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+ "The Missouri Supreme Court has turned away an appeal about how to word a ballot question on access to abortion in the state.
Missouri lawmakers have already banned abortion except in cases of medical emergency, but proponents of broader access to the procedure are seeking to put a question about it directly before voters next year. In all seven states where abortion has been on the ballot since the U.S. Supreme Court struck down Roe v. Wade last year, voters have either supported protecting abortion rights or rejected attempts to erode them.
In Missouri, officials and advocates on both sides are grappling with how to word the question that could go on the ballot. Secretary of State Jay Ashcroft has proposed asking voters whether they are in favor of allowing \u201cdangerous and unregulated abortions until live birth.\u201d
A state appeals court in October said the wording was politically partisan. Ashcroft appealed the decision, but on Monday the Missouri Supreme Court declined to hear his argument.
Summaries are used on Missouri ballots to help voters understand sometimes lengthy and complex constitutional amendments and other ballot proposals. Ashcroft, who is running for governor in 2024, said his wording \u201cfairly and accurately reflects the scope and magnitude\" of each of the six proposed abortion rights ballot measures.
\u201cMy responsibility as secretary of state is to make sure the people of Missouri have ballot language that they can understand and trust,\" Ashcroft said in a news release. \"If these petitions make it to the ballot, the people will decide. I will continue to do everything in my power to make sure Missourians know the truth.\u201d
A statement from the ACLU of Missouri said the \u201crepeated rejection of the Secretary of State\u2019s arguments verify that his case has no legal bearing.\"
Ashcroft is the son of John Ashcroft, a former governor, U.S. senator and U.S. attorney general under President George W. Bush. Jay Ashcroft is among four Republicans who have announced their candidacies for governor next year.
Ashcroft\u2019s original description of the proposed abortion amendments, which could go on the ballot in 2024 if supporters gather enough voter signatures, would have asked voters whether they want to \u201callow for dangerous, unregulated, and unrestricted abortions, from conception to live birth, without requiring a medical license or potentially being subject to medical malpractice.\u201d
In October, an appeals court panel wrote that allowing unrestricted abortion \u201cduring all nine months of pregnancy is not a probable effect of initiatives.\u201d The panel largely upheld summaries that were written by a lower court judge to be more impartial.
Those summaries would tell voters the amendments would \u201cestablish a right to make decisions about reproductive health care, including abortion and contraceptives\u201d and \u201cremove Missouri\u2019s ban on abortion.\u201d
Missouri's current law makes most abortion a felony punishable by five to 15 years in prison for anyone who performs or induces one. Medical professionals who do so also could lose their licenses. The law prohibits women who undergo abortions from being prosecuted.
Earlier this month, Ohio voters approved a constitutional amendment that ensures access to abortion and other forms of reproductive health care.
Measures to protect abortion access will be on 2024 ballots in Maryland and New York. Legislative efforts or petition drives are underway in a variety of other states. There are efforts to protect or expand access in Arizona, Florida, Nevada and South Dakota; and to restrict it in Iowa, Nebraska and Pennsylvania. Drives are on for both kinds of measures in Colorado.
", + "textformat": "bx", + "links": [ + { + "href": "https://apnews.com/article/missouri-abortion-ballot-measure-wording-0821671b0292823fbabbb30f6cdf9824", + "rel": "canonical" + } + ], + "topics": { + "Health": { + "relevance_score": 3, + "reason": "The document discusses a legal and political issue related to the wording of a ballot question on abortion in Missouri. While abortion is a health-related topic, the focus of the document is more on the legal, political, and procedural aspects of how the ballot question is being handled, rather than on health itself. The document does touch on the implications for reproductive health care, but it is not the primary focus." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2023/11/21/16e47790bdf7a1f7c683ee771b569776.json b/datasets/AP_news/raw_data/2023/11/21/16e47790bdf7a1f7c683ee771b569776.json new file mode 100644 index 0000000..b2568fe --- /dev/null +++ b/datasets/AP_news/raw_data/2023/11/21/16e47790bdf7a1f7c683ee771b569776.json @@ -0,0 +1,203 @@ +{ + "altids": { + "itemid": "16e47790bdf7a1f7c683ee771b569776", + "etag": "16e47790bdf7a1f7c683ee771b569776_0a2aza0c0", + "friendlykey": "814880665674", + "referenceid": "VA--Virginia-Legislative Bills" + }, + "version": 0, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2023-11-21T18:04:45Z", + "firstcreated": "2023-11-21T18:04:45Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "signals": [ + "newscontent" + ], + "title": "VA--Virginia-Legislative Bills", + "headline": "Abortion access protection, assault weapons ban to be heard in Virginia's 2024 legislative session", + "headline_extended": "Proposals to ensure access to abortion and to ban assault weapons are among the first bills and resolutions filed by Democratic leaders in Virginia for the 2024 legislative session", + "slugline": "BC-VA--Virginia-Legislative Bills", + "description_summary": "Proposals to ensure access to abortion and to ban assault weapons are among the first bills and resolutions filed by Democratic leaders in Virginia for the 2024 legislative session. 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(AP) \u2014 Proposals to ensure access to abortion and to ban assault weapons are among the first bills and resolutions filed by Democratic leaders in Virginia for the 2024 legislative session.
The bills filed Monday also include a proposal to speed up an increase in the state's minimum wage and a measure to automatically restore the rights of convicted felons who have completed their sentences.
Del. Don Scott, the newly elected Speaker of the House, said the proposals will help move Virginia forward.
\u201cI am especially glad to see the resolution to start the process of codifying the automatic restoration of rights,\" Scott said in a news release. \"With this, we are sending a message that there is no room for the spirit of Jim Crow that has plagued our Commonwealth for far too long.\u201d
If the resolutions for abortion access and restoring felons' rights pass the legislature, it would be the first step in a lengthy process to amend the state constitution. The amendments would then need to pass the legislature during a second year and then be put to voters for approval in a state referendum.
Del. Charniele Herring, who is sponsoring the House resolution to protect abortion access, said it's become \u201call too clear that without constitutional protection, access to reproductive health care is at risk.\u201d
Bills filed in both the House and Senate would make buying, selling or transferring an assault firearm a Class 1 misdemeanor, subject to up to 12 months in jail. The state Senate passed a similar bill earlier this year, but it died in the House, which was then controlled by Republicans.
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The package's scope was significantly reduced after Democratic disagreements on a repeal of the state\u2019s 24-hour wait period for an abortion and legislation that would have allowed state Medicaid to pay for abortions. Democrats were forced to cut the two pieces of legislation after one Detroit Democrat objected. Michigan Democrats held a two-seat majority in the state House until earlier this month.", + "bylines": [ + { + "by": "By JOEY CAPPELLETTI", + "title": "Associated Press" + } + ], + "located": "LANSING, Mich.", + "datelinelocation": { + "city": "Lansing", + "countryareacode": "MI", + "countryareaname": "Michigan", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -84.55553, + 42.73253 + ] + } + }, + "copyrightnotice": "Copyright 2023 The Associated Press. All rights reserved. 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(AP) \u2014 Michigan Democrats, who early this year had built on the state\u2019s recent reputation for safeguarding abortion rights, have stalled on the once-assured effort due to dissent within the state legislative caucus in recent months.
Two key pieces of legislation that would have repealed a 24-hour wait period required for patients receiving an abortion and also allowed state Medicaid dollars to pay for abortions were left out of a package signed Tuesday by Gov. Gretchen Whitmer.
The scaled back package of bills known as the Reproductive Health Act will repeal regulations aimed at abortion providers, known as TRAP laws, that critics had said were designed to close abortion providers. It will also ensure that students at Michigan public universities can access information about all their reproductive health options and repeals a law that forced patients to buy a separate insurance rider for abortion.
But the absence of more substantial policy changes appeared to detract from the significance of the bill signing outside Detroit on Tuesday.
Democratic state Rep. Laurie Pohutsky, a sponsor of the package, said that Democrats' slim majority means \u201cone person\u2019s personal politics can still greatly impact what we are able to do.\u201d She added that all the opponents did was \u201ddelay the inevitable.\u201d
\u201cLet\u2019s celebrate today, and tomorrow get back to work,\u201d Pohutsky said.
Last November, Michigan voters overwhelmingly approved a citizen-led ballot proposal \u2014 known as Prop 3 \u2014 that enshrined abortion rights in their state\u2019s constitution.
Democrats, who have controlled both chambers of the Legislature and the governor's office, followed the passage of Prop 3 by passing key pieces of legislation. They repealed the 1931 law that had threatened abortion rights in the state after the overturning of Roe v. Wade and added worker protections to ensure companies would be prohibited from firing or otherwise retaliating against workers for receiving an abortion.
But Democratic unity on the issue began to splinter in September when state Rep. Karen Whitsett voted against the Reproductive Health Act during a committee hearing, signaling trouble ahead for its passage. With all Republicans voting against the package, Democrats needed Whitsett\u2019s support \u2014 the party held a 56-54 advantage in the House until earlier this month.
The state House is now deadlocked after two Democratic state representatives won mayoral races, vacating their seats until special elections can be held.
Whitsett, a Detroit Democrat, opposed the repeal of a state law that requires patients to wait 24 hours before receiving an abortion. A bill allowing patients to use state Medicaid to pay for abortion was also opposed by Whitsett.
Democrats eventually passed a pared down version of the package. A group of some of the state's top abortion right advocates slammed Whitsett in a statement after the package's passage.
\u201cThanks to one Michigan House member\u2019s foolhardy opposition to this critical legislation \u2014 this chamber just passed a watered-down version of the Reproductive Health Act that lacks key policy reforms that are both desperately needed and widely supported by voters across the state,\u201d the group said in a Nov. 2 statement.
Whitsett declined an interview with The Associated Press but said in a written statement that the original package \u201chad the potential to advance an unregulated abortion environment.\u201d She added that she supports a waiting period for abortion \"to ensure that women are not being forced to abort their children.\u201d
Planned Parenthood of Michigan estimates that an average of 150 patients each month are forced to cancel their appointments due to Michigan\u2019s state-mandated 24-hour delay law. The organization has called restrictions on Medicaid coverage for abortion \u201cde facto abortion bans\u201d for people with low incomes.
Whitmer told reporters Tuesday that she hoped lawmakers would be able to pass the two policies so that she could sign them.
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After leaving Washington, she used The Carter Center in Atlanta to bring together policy experts and created a journalism fellowship program to improve the accuracy of reporting about mental illness. Those who knew her say her work was rooted in compassion, but she also had sharp political skills and the drive to get things done. Rosalynn Carter died Sunday at the age of 96.", + "bylines": [ + { + "by": "By HOLLY RAMER", + "title": "Associated Press" + } + ], + "located": "CONCORD, N.H.", + "datelinelocation": { + "city": "Concord", + "countryareacode": "NH", + "countryareaname": "New Hampshire", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -71.53757, + 43.20814 + ] + } + }, + "copyrightnotice": "Copyright 2023 The Associated Press. All rights reserved. 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(AP) \u2014 The sun was shining in June 1979 as Rosalynn Carter made her way through an enthusiastic crowd in Laconia, New Hampshire.
\u201cShe shook my hand!\u201d yelled one delighted participant.
The first lady was in the state for her husband\u2019s reelection campaign, but this was no political rally. Instead, she was at a sprawling 75-year-old institution founded for \u201cfeebleminded\u201d children that the U.S. Justice Department had deemed \u201ca classic example of warehousing.\u201d She was joined by Gov. Hugh Gallen, a kindred spirit who had been pushing to correct the deplorable conditions there and at the state\u2019s psychiatric hospital.
\u201cGoing to a place like the Laconia State School and talking not to voters but to people dealing with a very acute issue \u2014 well, it doesn\u2019t happen very often. It didn\u2019t then, and it certainly doesn\u2019t at all now,\u201d recalled Dayton Duncan, who was there as Gallen\u2019s press secretary.
\u201cShe could have just given a good speech about what the administration was hoping to do and left it at that,\u201d Duncan said. \u201cBut the fact that she would go to the Laconia State School and meet with the people who work there, the children who were warehoused there and the parents, was special.\u201d
After leaving the White House, Jimmy and Rosalynn Carter launched programs that have, among other things, monitored elections in at least 113 countries and nearly eradicated the Guinea worm parasite in the developing world. But the former president has said that The Carter Center would have been a success had it accomplished nothing but his wife\u2019s mental health work.
That\u2019s according to Kathy Cade, vice chair of Atlanta-based center and a longtime aide to Rosalynn Carter, and others who know the couple. They spoke to The Associated Press in the months leading up to Rosalynn Carter's death Sunday at age 96.
\u201cI do not think there has ever been another sort of leader in the mental health field who has had as much of an impact on mental health care and access to care and how we think about mental health and mental illness as Mrs. Carter,\u201d Cade said. \u201cAnd I think it has to do with her incredible concern about the issue and her perseverance for more than 50 years.\u201d
What evolved into a lifelong crusade began during Carter\u2019s 1966 gubernatorial campaign in Georgia. Almost daily, Rosalynn was approached by voters distressed about loved ones housed at an overcrowded psychiatric hospital. Early one morning, she spoke to a weary cotton mill worker who explained that she and her husband worked opposite shifts to care for their mentally ill daughter.
\u201cThe image of the woman haunted me all day,\u201d Rosalynn Carter wrote in her 2010 book, \u201cWithin Our Reach: Ending the Mental Health Crisis.\u201d That night, she went to her husband\u2019s campaign rally and waited in line to shake his hand.
\u201cI came to see what you are going to do to help people with mental illness when you are governor,\u201d she told the surprised candidate.
Jimmy Carter responded by creating a state commission to improve services for those with mental illness. Then, as president, he created a national commission on mental health, which led to the passage of the Mental Health Systems Act of 1980, a major revamping of federal policy that sought to treat people with mental illness in their communities.
Rosalynn Carter was that commission's honorary co-chair and a driving force behind the legislation, traveling around the country to hear from experts and everyday citizens alike and sharing her findings with Congress. Though it was effectively repealed during the Reagan administration, advocates say it created a framework for much of the progress since then.
At The Carter Center, she created a program devoted solely to mental health in 1991 and eventually established fellowships for journalists who cover the topic. Years later, she lobbied Congress to create a landmark law requiring insurers to provide equality in mental health coverage.
Those who worked with her over the decades say Carter\u2019s accomplishments were rooted in her compassion and listening skills.
\u201cHer power comes from her heart,\u201d said Cynthia Wainscott, a former board chair of Mental Health America, a national nonprofit organization. \u201cShe\u2019s very, very, very kind, and she listens to people. When you\u2019re talking to her, there can be three conversations going on around you, but you know she\u2019s keyed on you, and she hears you.\u201d
She also was an effective and inspiring mobilizer with sharp instincts, Wainscott said.
Preparing for an annual mental health symposium, Carter once suggested contacting a pollster to refine a key message: that 20% of Americans will have a psychiatric disorder in any given year. The pollster conducted focus groups and found that people didn\u2019t believe the statistic, but if it was restated as one in five Americans instead, they did.
\u201cWhen you hear 20%, you have to visualize 100 people and 20 of them are sick, and it\u2019s complex and impersonal. If you say one in five, people think about their workplace, their school, their neighborhood,\u201d said Wainscott, who also led the National Mental Health Association of Georgia.
\u201cIf she hadn\u2019t been in that room, none of us would have thought of asking a pollster to tell us how to phrase it,\u201d she said. \u201cIt was brilliant.\u201d
Journalist Bill Lichtenstein considered Rosalynn Carter \u201cthe patron saint of all who are dealing with mental health or behavioral issues.\u201d
Lichtenstein, who runs a media production company in Boston, was an investigative reporter for ABC News when he fell ill with manic depression in 1986. He went on to produce award-winning programs on recovery from mental illness, but he still remembers feeling shunned when he disclosed his own struggles. Carter\u2019s desire to reduce such stigma is at the heart of her accomplishments, he said.
\u201cAt the end of the day, whether it\u2019s talking about more money for research or people with a mental health history being on a level playing field when it comes to employment or renting an apartment, the thing that\u2019s the most insidious, difficult obstacle to all of it is stigma,\u201d he said.
Lichtenstein serves on the board of advisers for The Carter Center\u2019s mental health journalism fellowship program, which has provided support to more than 220 journalists from the U.S. and six other countries over the years.
Marion Scher, a freelance journalist and author in South Africa, was awarded a fellowship in 2005. Her first article, headlined \u201cWhen is it more than just a bad day?\u201d was published in a men\u2019s health magazine along with the phone number for a mental health organization. The response, in a country where stigma remains strong, was massive, she said.
\u201cThe phone was ringing off the hook for three weeks,\u201d she said. \u201cThey had to bring in extra counselors to man the phones.\u201d
Scher now offers mental health journalism fellowships in South Africa, using local sponsorships. That kind of multiplier effect illustrates the impact of The Carter Center fellowships, and it wouldn't have happened without her tenacity, Cade said.
Carter was a \u201cwoman of action\" \u2014 unsatisfied with just bringing together experts for discussions, she brainstormed ways to change policy by changing attitudes, Cade said, recalling how she'd sit with her advisers and say \"What can we do? What else could we be doing?\u201d
___
Associated Press reporter Holly Ramer received a 2017-18 Rosalynn Carter Fellowship for Mental Health Journalism.
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He described the difficulties in balancing the risks of introducing measures \u201ctoo early\u201d or \u201ctoo late.\u201d He added \"there were no good options.\u201d The U.K. has one of the highest COVID-19 death tolls in Europe, with the virus recorded as a cause of death for more than 232,000 people.", + "bylines": [ + { + "by": "By SYLVIA HUI", + "title": "Associated Press" + } + ], + "located": "LONDON", + "datelinelocation": { + "city": "London", + "countrycode": "GBR", + "countryname": "United Kingdom", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -0.12574, + 51.50853 + ] + } + }, + "copyrightnotice": "Copyright 2023 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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Responding to questions about the early days of the pandemic, Chris Whitty said he felt he was more wary than others about the negative impacts of isolation policies, school closures and lockdowns. He said he had been concerned in particular about longer-term impacts on the poorest people and those living alone, and described the difficulties in balancing the risks of introducing measures \u201ctoo early\u201d or \u201ctoo late.\u201d
But he rejected suggestions by the inquiry\u2019s lawyer, Hugo Keith, that he had warned the government against \u201coverreacting.\" He said he made it clear to policymakers that \u201cwithout action, very serious things would occur.\"
\u201cWith the benefit of hindsight, we went a bit too late on the first wave,\" Whitty conceded. But he added \u201cthere were no good options.\u201d
The inquiry was ordered by former Prime Minister Boris Johnson in 2021 to scrutinize and learn lessons from the U.K.'s response. Whitty became a household name during the pandemic, when he often appeared alongside Johnson and senior officials at daily televised government briefings on COVID-19.
The U.K. has one of the highest COVID-19 death tolls in Europe, with the virus recorded as a cause of death for more than 232,000 people. Many bereaved families say they were failed by politicians and policymakers whose actions contributed to unnecessary deaths and suffering.
Revelations that multiple lockdown rule-breaking parties took place at Johnson's Downing Street residence during the height of the pandemic were among the scandals that ultimately forced Johnson to resign in 2022.
The inquiry's current phase focuses on pandemic decision-making. Johnson and current Prime Minister Rishi Sunak, who was Treasury chief during the pandemic, are both expected to give evidence.
The U.K. imposed a national lockdown, with a mandatory stay-at-home order, in March 2020, shortly after France, Spain and Italy imposed similar measures.
Whitty said that while the government had in place a flu pandemic plan at the time, it became clear early on that the document was \u201cwoefully deficient\" for coping with COVID-19.
\u201cThe idea there was a respiratory pandemic plan for the kind of pandemic this was going to be if it was going to be a problem, that we could just take off the shelf and follow the playbook, was optimistic at best,\u201d he added.
___
This version corrects the lawyer\u2019s first name to Hugo.
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The document is highly relevant to the topic of health as it addresses public health measures, pandemic response, and the consequences of governmental decisions on health outcomes." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2023/11/21/faeef82d7806cb2e5511beb5e1319221.json b/datasets/AP_news/raw_data/2023/11/21/faeef82d7806cb2e5511beb5e1319221.json new file mode 100644 index 0000000..13f7c60 --- /dev/null +++ b/datasets/AP_news/raw_data/2023/11/21/faeef82d7806cb2e5511beb5e1319221.json @@ -0,0 +1,248 @@ +{ + "altids": { + "itemid": "faeef82d7806cb2e5511beb5e1319221", + "etag": "faeef82d7806cb2e5511beb5e1319221_1a4aza0c0", + "friendlykey": "447163742081", + "referenceid": "LT--Mexico-Vaccines" + }, + "version": 1, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2023-11-21T21:28:50Z", + "firstcreated": "2023-11-21T21:27:02Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: With AP Photo.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "LT--Mexico-Vaccines", + "headline": "4 out of 5 Mexicans who got a flu shot this year turned down Cuban and Russian COVID-19 vaccines", + "headline_extended": "Four out of five people in Mexico who got influenza shots so far this year turned down the government's recommendation they get Russian or Cuban COVID-19 boosters at the same time", + "slugline": "BC-LT--Mexico-Vaccines, 1st Ld-Writethru", + "description_summary": "Four out of five people in Mexico who got influenza shots so far this year turned down the government's recommendation they get Russian or Cuban COVID-19 boosters at the same time. A health official said the high refusal rate was because people were reluctant to get two vaccines. But some people appear to simply distrust the Russian Sputnik and Cuban Abdala vaccines, both designed in 2020 for variants prevalent at the time. Meanwhile, Mexico has held up approval for Pfizer and Moderna COVID-19 boosters used in the United States since October, and those boosters may not be available for Mexicans until 2024.", + "located": "MEXICO CITY", + "datelinelocation": { + "city": "Mexico City", + "countrycode": "MEX", + "countryname": "Mexico", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -99.12766, + 19.42847 + ] + } + }, + "copyrightnotice": "Copyright 2023 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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Assistant Health Secretary Ruy L\u00f3pez Ridaura attributed the high refusal rate to people being reluctant to get two vaccines at the same time.
\u201cPeople have a certain reluctance to get simultaneous vaccinations,\u201d L\u00f3pez Ridaura said.
But the population eligible for flu and COVID-19 shots \u2014 people over 60 and people with underlying health problems \u2014 are considered high-risk, and Mexicans in those groups had extremely high take-up rates for Covid vaccines in 2021 and 2022, according to the Health Department.
Some people appear to simply distrust the Russian Sputnik and Cuban Abdala vaccines, both designed in 2020 for variants prevalent at the time.
\u201cIt is an old antigen, it's as if they were going to give me an influenza vaccine from 2020,\u201d said Andreu Comas, a professor of medicine at the Autonomous University of San Luis Potosi. \u201cThere are no studies regarding the effectiveness of both of these vaccines against the (current) variants.\u201d
Mexico has bought millions of doses of the Russian and Cuban vaccines. The original plan was to administer around 20 million shots, but only about 1.9 million people, or 9.5% of those eligible, have agreed to take them since the vaccination campaign started in mid-October.
In contrast, 10 million people got the influenza shot in the same period.
President Andr\u00e9s Manuel L\u00f3pez Obrador has been a big supporter of Cuba, hiring Cuban doctors, buying vaccines and construction materials from Cuba and supplying oil to the island.
Meanwhile, Mexico has held up approval for Pfizer and Moderna COVID-19 boosters, both of which were designed to work against the COVID variants currently circulating. While those shots have been approved for use in the United States since September, they may not be available for Mexicans until 2024.
____
Follow AP\u2019s coverage of Latin America and the Caribbean at https://apnews.com/hub/latin-america
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November 20, 2023.
Editorial: Buyer beware on \u2018health care sharing ministries\u2019
What seems like a good deal on health insurance may be quite risky.
O pen enrollment is the window of time at the year\u2019s end when consumers make a critical health care decision \u2014 which health insurance plan to buy for the coming year to cover themselves and their families.
Those with coverage through a job typically have a handful of plans to choose from. Those who buy on their own \u2014 such as early retirees, farm families or entrepreneurs \u2014 have a dizzying array of choices. It\u2019s that latter group, currently right in the middle of open enrollment, who should take heed of recent data from Colorado underscoring an old truth:
If something sounds too good to be true, it probably is.
The Colorado state regulators\u2019 information concerns a product known as \u201chealth care sharing ministries\u201d that may be marketed to consumers shopping for a health plan. In a Health Care Sharing Ministry (HCSM), \u201cmembers follow a common set of religious or ethical beliefs and make monthly payments to help pay the qualifying medical expenses of other members,\u201d according to the Commonwealth Fund, a nonpartisan health policy organization.
It sounds like health insurance. And to someone on a budget, it likely sounds like a good deal, with monthly payments often less, perhaps substantially so, than the monthly premiums for insurance sold through MNsure and other trusted marketplaces.
But the National Association of Insurance Commissioners has long cautioned that health care ministry plans \u201care not insurance.\u201d The consumer protections provided by the Affordable Care Act don\u2019t apply, and in some states, ministries may fall between regulatory cracks.
That can mean big problems. \u201cHCSMs are under no obligations to pay members\u2019 claims,\u201d Commonwealth said in a new warning last week. Coverage for pre-existing conditions such as cancer, diabetes or asthma may be excluded. So might be other needs, such as preventive care or mental health treatment. In contrast, traditional medical plans \u201cmust cover essential health benefits and all pre-existing conditions.\u201d
The regulatory gray zone in which HCSMs operate has provided little visibility into their operations. But in 2022, Colorado legislators passed a measure requiring the state to collect data on them. State regulators have issued two yearly reports since then. Open enrollment is a smart time to highlight the findings:
1. In 2021, nearly 68,000 Colorado residents were enrolled in an HCSM. That\u2019s about 30% of those who bought insurance in the state on their own that year, an alarming number.
2. The yearly medical claims far exceeded what the HCSMs paid out \u2014 $362 million in medical claims were submitted, while $97 million in fees were collected \u2014 enough to pay for 28% of members\u2019 medical costs. HCSMs contend that the $362 million included duplicate and ineligible charges and didn\u2019t reflect discounts or what members had agreed to pay. But even when adjusting this sum to reflect that, the amount collected by HCSMs only covered 74% of total eligible share requests. Translation: Members are at risk for significant out-of-pocket medical costs.
3. Many HCSMs reported excluding important types of medical claims, such as those for mental health and alcohol use disorders, ADHD treatments, contraceptives or prescription drugs for chronic conditions. In addition, some excluded or limited maternity care unless the pregnant woman belonged to a certain membership tier (one likely more expensive) for a required time.
4. Members in some HCSMs had to petition clinics or hospitals to write off or discount medical care, or request charity care or government assistance before the organization would pay the bill.
A recent Commonwealth analysis of the Colorado data adds further troubling perspective. One HCSM recently surveyed members, and found that 42% of them had incomes below 200% of federal poverty guidelines. That means they probably could have qualified for medical assistance programs or Affordable Care Act financial subsidies. Either could provide low-cost or no-cost coverage without the gaping benefit loopholes.
There are HCSMs operating in Minnesota. On Monday, the state Department of Commerce advised \u201cconsumers seeking affordable insurance options to research legitimate plans available through MNsure.\u201d Officials also noted that the agency \u201cdoes have the ability to take enforcement action should an unlicensed entity engage in the business of insurance.\u201d
Consumers, as always, should be on guard during open enrollment, which began Nov. 1 and runs through Jan. 15. Minnesotans are also welcome to file complaints with Commerce about insurance or insurance-like products. They can file a complaint online, via email at consumer.protection@state.mn.us or call 651-539-1600.
___
Mankato Free Press. November 19, 2023.
Editorial: Transparency: BCA must clear public records bottleneck
It would be troubling enough if the state Bureau of Criminal Apprehension was not able to provide public records to a family of a victim of a police shooting. But to not provide records on five police shootings is more than concerning.
The five families of victims have filed a lawsuit against the BCA claiming it has violated the Minnesota Data Practices Act. The case seems straightforward in favor of the plaintiffs if the investigations are indeed \u201cinactive\u201d or complete. State law requires release of the information in those cases.
But the BCA told The Free Press Friday that it will release the information to the families as soon as possible after it has reviewed \u201cvoluminous\u201d reports, body cam, dashcam and surveillance footage and images because by law it must remove information not considered public data.
A BCA spokesperson wrote in an email to The Free Press: \u201cThe BCA is committed to providing information to families and the public as quickly as possible, while ensuring the protection of information that we cannot release under Minnesota law.\u201d
The cases have been closed and no charges were brought against any police officer, but the fact of closure, according to Minnesota law, requires police agencies to release records of the investigation to the public with few exceptions. Plaintiffs argued the BCA is in violation of the Data Practices Act because they were not supplied information on their cases in 10 days after requesting the information.
All cases have been closed for months,and one family has been waiting three years for their report. That\u2019s significant in that the statute of limitations for a wrongful death case in Minnesota is three years.
The cases involve deaths by police shootings of Dolal Idd, Zachary Shogren, Okwan Sims, Tekle Sunberg and Brent Alsleben. The families held a press conference Thursday at the Ramsey County Courthouse to announce the lawsuit.
The BCA is a major law enforcement agency with significant power in Minnesota. It takes over many serious criminal investigations across Minnesota that smaller agencies can\u2019t handle.
The agency formed a special use of force team after the George Floyd murder that is an independent team of 13 investigators and scientists that are charged with putting together evidence for cases within 60 days. The officers are only assigned use of force cases and do not interact with other police agencies or work on cases with other BCA agents. That\u2019s a sound way to handle these cases, but the delays with data practices requests is troubling.
The volume of evidence in these cases can be substantial, especially with review hours of videotape from body cams and other webcams.
But the families say they\u2019ve been told by the BCA they\u2019re too busy or don\u2019t have the time. That\u2019s not a good reason. If the BCA needs more resources and more investigators to get families information in a timely manner, the Legislature and the governor should provide those resources.
The suit will be one of the first of its kind against the BCA and a judge will rule on whether the information should be released. But the public release of the information is critical not only so the families can understand what happened, but so the public can scrutinize police activity as well.
END
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Editorial: State Is Conflicted On Medical Pot
Mississippi has a history of being conflicted when it comes to vices, or what\u2019s perceived as a vice.
During Prohibition, it allowed alcohol to be sold and consumed liberally, turning what was technically an illegal product into a revenue generator for the state by collecting a black market tax on it.
The state criminalized all games of chance \u2014 except perhaps church bingo \u2014 until it saw, first, how much tax revenue could be reaped from the public\u2019s attraction to a casino\u2019s slot machines and blackjack tables, and later from lotteries.
Now, Mississippi is trying to navigate how to regulate marijuana in order to limit its availability to medicinal use, which voters overwhelming said they support.
The state has limited where marijuana growing facilities and dispensaries can be located, and it bars almost all advertising.
The latter restriction, though, may be unconstitutional. At least that\u2019s what Clarence Cocroft II intends to prove.
Cocroft opened a medical marijuana dispensary in Olive Branch after the Mississippi Legislature in 2022 legalized the sale and consumption of marijuana to treat debilitating medical conditions. The Legislature took that step less than two years after more than two-thirds of voters, in a referendum that was thrown out on a technicality, voted in favor of legalizing medical marijuana.
Cocroft\u2019s marketing plan included what most smart business people do when they have a product to sell. He planned to advertise, even purchasing a few billboards in preparation for his promotion strategy.
He hasn\u2019t been able, though, to use those billboards or most any other form of advertising under regulations set up by the state Department of Health.
Cocroft contends those regulations are an infringement on his First Amendment rights, and he has filed a federal lawsuit to challenge them.
His argument seems fairly compelling. As one of his attorneys said, \u201cIf it is legal to sell a product, it is legal to talk about that product.\u201d
In practice, that is already true for most products, including those that are associated with vices, such as alcohol. The main exception is tobacco products, whose advertising was once ubiquitous but now has become so heavily regulated that it has all but disappeared.
There is a distinction, though, between tobacco products and medical marijuana. Tobacco products are a highly addictive and proven carcinogen, whose consumption is also associated with all kinds of heart and lung problems. Cigarettes and other tobacco products have few if any redeeming qualities. Marijuana, by contrast, has proven medicinal properties, and its legalization has been approved precisely to deal with certain medical conditions for which other pharmaceuticals don\u2019t seem to work as well.
Banning the advertising of medical marijuana is akin to banning the advertising of medicine. That, of course, does not happen in this country, where advertising for prescription and over-the-counter medicine has become prevalent.
Some may have legitimate concerns about whether medical marijuana on balance is a good thing. Once the door was opened to it, though, it seems unfair to restrict the profit potential of those who have invested in what is a legal business.
___
Tupelo Daily Journal. November 15, 2023.
Editorial: Spirited discussion doesn\u2019t demand mean spirit
The old mathematical chestnut that says enough people randomly banging on typewriters would eventually reproduce the complete works of Shakespeare has surely been disproven now by Facebook and other social media. Along with giving everyone a public voice, social media has too often taken away the dignity and restraint typically exercised in our discussions of political matters.
Social media and 24-hour TV news didn\u2019t invent political invective as we know it in America. Libel, slander and calumny of those in public service date to the very first days of our republic. What modern communication methods do threaten to do, though, is normalize polarization. The pamphleteers printing terrible things about Thomas Jefferson and Alexander Hamilton in their day didn\u2019t have an audience standing by to receive their words on a device always in their hand or not far from it.
The health of our nation\u2019s democracy depends on individual preferences and beliefs, pursued and defended passionately in the course of public discussion. It\u2019s important for us to pour our energies into the promotion of what we believe best for our country. We should argue as hard and as heatedly as we like. Strong beliefs should lead to thorough explanations and a vigorous defense.
As we argue, though, it\u2019s important we remember those with different viewpoints are human beings just as flawed as ourselves. What\u2019s more, they\u2019re our countrymen. If every disagreement results in the dissolution of an association, it won\u2019t be long before we\u2019re all standing alone.
END
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With AP Photos.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "EU--Poland-In Vitro Fertilization", + "headline": "Poland's new parliament debates reversing a ban on government funding for in vitro fertilization", + "headline_extended": "Poland\u2019s new parliament has begun debating the reinstatement of government funding for in vitro fertilization", + "slugline": "BC-EU--Poland-In Vitro Fertilization, 1st Ld-Writethru", + "description_summary": "Poland\u2019s new parliament has begun debating the reinstatement of government funding for in vitro fertilization. It's the body's first legislation following elections in which the conservative party that had banned the funding lost control of the legislature. Members of the new centrist majority say it's symbolic to begin their term with work on ending one of the bans introduced by the outgoing right-wing government. The date of the final vote on the program is not immediately known. 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Members of the new centrist majority said it was symbolic to begin their term with work on ending one of the bans introduced by the outgoing right-wing government.
\u201cThe reinstatement of IVF funding is the first decision of the democratic majority,\u201d said one of its lawmakers, Agnieszka Pomaska.
The date of the final vote on the program, estimated at some 500 million zlotys ($125 million) a year, was not immediately known.
The lawmakers stressed that thousands of childless couples in the shrinking nation of some 38 million people were waiting for the return of government support for IVF. State funding was introduced in 2013 by a liberal government led by Donald Tusk, but the conservative government banned it in 2016 in one of its first moves, saying the procedure involved destroying human embryos.
Some 22,000 children were born during the program's existence, according to Health Ministry figures. More than 100,000 children have been born since the IVF procedure was first performed in Poland in 1987.
A citizens' proposal seeking to reinstate government funding was put on hold by the ruling Law and Justice party earlier this year. Many Law and Justice lawmakers left the chamber during Wednesday's discussion to demonstrate displeasure.
However, an aide to President Andrzej Duda, who is an ally of Law and Justice, said Duda likely won't use his veto power against the reinstatement of state funding for IVF.
A coalition of pro-European Union parties won a majority of seats in last month\u2019s general election and has embarked on reversing some of the laws they see as restrictive. A new coalition government led by Tusk is expected to be in place in mid-December, but Duda gave Law and Justice the first shot at forming the Cabinet.
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The agency has received 52 reports of elevated lead levels among children who reportedly consumed the products, which is up from 34 cases reported last week. The reports span 22 states and involve children between the ages of 1 to 4, according to the FDA's online update on the investigation.
The pouches were marketed to parents and children under three brands: WanaBana apple cinnamon fruit puree and Schnucks and Weis cinnamon applesauce pouches. They were sold by national grocery chains, including Dollar Tree, and online retailers such as Amazon.
The FDA said it is still working with Dollar Tree to get the recalled products off of shelves in several states.
\u201cThis product should not be available for sale and consumers should not purchase or consume this product,\u201d the agency said.
Parents should dispose of the pouches by emptying the contents into the trash and discarding the packaging, the agency said.
The FDA said Wednesday it is investigating the source of the contamination in cooperation with the Centers for Disease Control and Prevention. The agency previously said cinnamon imported from a manufacturer in Ecuador was the \u201clikely source\u201d of the lead contamination.
Lead exposure can lead to serious learning and behavior problems. Heavy metals like lead can get into food products from soil, air, water or industrial processes, according to the American Academy of Pediatrics.
There\u2019s no safe level of lead exposure, but the CDC uses a marker of 3.5 micrograms per deciliter to identify children with higher levels than most. The affected children\u2019s blood lead levels ranged from 4 to 29 micrograms per deciliter.
___
The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute\u2019s Science and Educational Media Group. The AP is solely responsible for all content.
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But experts question the way those water samples were collected, saying the results could be false. The testing came in response to discolored water on the island, which has an old water system that needs significant improvements.", + "bylines": [ + { + "by": "By MICHAEL PHILLIS", + "title": "Associated Press" + } + ], + "copyrightnotice": "Copyright 2023 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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\u201cOn a personal level, it\u2019s been frightening and frustrating,\u201d said resident Frandelle Gerard, executive director of Crucian Heritage and Nature Tourism, Inc.
Officials told residents to stop using their taps and began distributing vouchers for bottled water. Lead can have devastating effects on childhood development, behavior and IQ scores.
But experts consulted by The Associated Press said the frightening results may be false because they came from testing that does not meet EPA standards.
\u201cThe data should be thrown into the garbage,\u201d said Marc Edwards, a Virginia Tech lead and water expert who helped identify the lead problems in Flint, Michigan.
If the information given to St. Croix residents turns out to be bad, it won't be the first time that's happened. Poor information often plagues communities, and they are often majority-Black communities, facing lead crises, leaving people unsure what to believe. In Flint, officials initially concealed high lead levels. When levels spiked in Newark, officials emphasized the safety of the city\u2019s reservoirs even though it is lead pipes \u2013 not the source \u2013 that are usually the problem. In Benton Harbor, Michigan, residents waited months for officials to confirm that filters truly work, relying on bottled water.
On the Caribbean island of St. Croix, officials avoided some of those pitfalls and quickly told residents of the results. The governor declared an emergency.
\u201cThis is not something that we shy away from talking about,\u201d said Andrew Smith, head of the Virgin Islands Water and Power Authority.
Edwards does not believe the sky-high results reflect reality and said the problem is how the samples were collected. For lead testing, workers usually take water from a household faucet. But the samples that tested so high on St. Croix were collected from the meter.
\u201cWhen you (unscrew) it, you are literally ripping the leaded-brass apart and a chunk of leaded-brass gets in your sample,\u201d he said. It produces artificially high results.
Tom Neltner, a chemical and lead expert at the Environmental Defense Fund, agreed that testing from the water meter isn't accurate. \u201cThere's a lot of oddities\u201d about how St. Croix's sampling was done, he said.
Parents in St. Croix therefore still have no idea how much lead their kids were consuming.
Here\u2019s what is known:
In September, officials tested in the normal way, at faucets, following EPA lead testing rules. Those results showed the water was safe.
But island residents, who had long dealt with discolored water, said the color was getting even worse in recent months. So officials took more samples, this time at the meter, to see whether the utility's pipes were the problem. It is some of these tests that first recorded astronomically high lead levels.
\u201cWe were all shocked and surprised by the results,\u201d Smith said.
Retesting found results were still too high. Other locations including two schools, however, were low.
A more definitive answer should come soon. Local and federal officials did detailed testing to find the root cause in early November. A final report is expected in mid-December.
Smith said about 3,400 homes are affected and that the utility worked with EPA on the sampling.
Even though the tests didn't follow the normal procedure, EPA water expert Christine Ash said \u201cout of an abundance of caution, we are recommending that folks who use (utility) water piped to their homes not consume the water until we're able to do further investigation to identify if there is a potential source of lead and what it might be.\u201d
Fortunately on St. Croix, that doesn't include everyone.
A lot of people rely on rainwater they collect in cisterns.
On the mainland, in many cities, lead pipes are the main threat to drinking water. That's not the problem on the island, however. Instead, it's brass fittings that contain lead and can corrode into the water, Smith said.
And regardless of the test results, the water system needs attention and fixing. Smith and his colleagues are flushing water through it. When people don't use the water, it sits and can pick up contaminants. They are also fixing how they treat their water so it is less corrosive and working to replace components that contain lead. That replacement work might take 12 to 18 months, Smith said. Plus, the island\u2019s water system is old and in the coming years, major upgrades are planned.
Gerard said people on the island are overwhelmed.
\u201cThere\u2019s this sense of well, what\u2019s next for St. Croix?\u201d she said, adding that residents have endured a devastating hurricane, the pandemic and water contamination from a refinery, all in recent years. Many people gave up on tap water long ago, she said, and it's hard to know what to make of these latest developments.
\u201cAs a fairly literate person, reading the reports has almost left us with more questions than answers.\u201d Many people probably don\u2019t understand just how high these lead test results are, she said.
As for the temporary measure of flushing lots of water through the pipes to reduce lead, it's ill-suited to the island, she said.
\u201cWe're a water conserving society,\u201d Gerard said. \u201cWater is a precious commodity.\u201d
__
The Associated Press receives support from the Walton Family Foundation for coverage of water and environmental policy. The AP is solely responsible for all content. For all of AP\u2019s environmental coverage, visit https://apnews.com/hub/climate-and-environment
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The Pharmacy and Poisons Board said the drugs were in two batches falsely labeled as Truvada, a commonly used HIV prevention drug worldwide.
The board said on X, formerly Twitter, that it will take \u201cstern legal and regulatory action\u201d against anyone found trading, distributing, selling or dispensing from the batches.
Kenyan police fear that thousands of counterfeits of Truvada could already be in circulation on the market.
Around 1.4 million people have HIV in Kenya, according to UNAIDS data in 2022. Of those, 1.2 million are on antiretroviral therapy drugs.
Truvada is manufactured by U.S.-based Gilead Sciences Inc., which in January warned that millions of dollars\u2019 worth of fake versions of its HIV drugs were being sold in the U.S., posing dangers to patients.
But their discovery in Kenya, East Africa's commercial hub, shows the herculean task of tackling fake medicines.
Truvada is used in treating HIV and as a preexposure prophylaxis for people at high risk, including those with multiple sexual partners and those who share needles while injecting drugs.
Earlier this month, Kenya's National Syndemic Diseases Control Council, a state body charged with coordinating national strategy for HIV and AIDS, raised the alarm that HIV infection rates among those ages 15 to 29 had surged by 61% between 2021 and 2022.
Across Africa, health workers have expressed concern about complacency as AIDS treatment improves.
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In the request filed Tuesday, they argue a provision that allows the procedure to protect a woman\u2019s health is too vague. Earlier this year, the Republican-led Legislature overwhelmingly passed a bill that essentially revised the state's abortion laws. They did so in response to the U.S. Supreme Court's 2022 decision striking down the constitutional right to an abortion. Republican Gov. Doug Burgum signed the bill into law in April.", + "bylines": [ + { + "by": "By JACK DURA", + "title": "Associated Press" + } + ], + "located": "BISMARCK, N.D.", + "datelinelocation": { + "city": "Bismarck", + "countryareacode": "ND", + "countryareaname": "North Dakota", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -100.78374, + 46.80833 + ] + } + }, + "copyrightnotice": "Copyright 2023 The Associated Press. All rights reserved. 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(AP) \u2014 Physicians and the former, sole abortion provider in North Dakota on Tuesday asked a judge to block enforcement of part of a revised law that bans most abortions, saying a provision that allows the procedure to protect a woman\u2019s health is too vague.
North Dakota outlaws all abortions, except in cases where women could face death or a \u201cserious health risk.\u201d People who perform abortions could be charged with a felony under the law, but patients would not.
Tuesday\u2019s request for a preliminary injunction asks the state district court judge to bar the state from enforcing the law against physicians who use their \u201cgood-faith medical judgment\u201d to perform an abortion to treat pregnancy complications that could \u201cpose a risk of infection, hemorrhage, high blood pressure, or which otherwise makes continuing a pregnancy unsafe.\u201d
The doctors and clinic are asking the injunction to remain in place until their suit against the full law goes to trial next year.
Physicians have perceived the law's language for \u201cserious health risk\u201d to be \u201cso vague\u201d that they \u201cdon't know at what point a condition rises to the level of being what the statute calls a \u2018serious health risk,\u2019\u201d Center for Reproductive Rights attorney Meetra Mehdizadeh told The Associated Press.
\u201cPhysicians want to be able to provide treatment for their patients before their health declines and before they experience serious and potentially life-threatening complications,\u201d she said. \u201cBecause of the restrictions placed on abortion access in North Dakota, they don\u2019t know whether they can do that legally.\u201d
The state's revised abortion law also provides an exception for pregnancies caused by rape and incest, but only in the first six weeks, before many women know they are pregnant. It also allows for treatment of ectopic and molar pregnancies, which are nonviable situations.
The Red River Women\u2019s Clinic sued the state last year after the U.S. Supreme Court\u2019s Dobbs decision, which overturned the court's landmark 1973 Roe v. Wade ruling establishing a nationwide right to abortion. The lawsuit targeted the state\u2019s since-repealed trigger ban \u2014 a ban designed to go into effect immediately if the court overturned Roe v. Wade \u2014 as unconstitutional. The clinic moved last year from Fargo, North Dakota, to neighboring Moorhead, Minnesota, where abortion remains legal.
A judge granted a preliminary injunction blocking the ban from taking effect last year, which the state Supreme Court upheld in March. In April, the Republican-led Legislature overwhelmingly passed a bill revising the state's abortion law.
Republican Gov. Doug Burgum signed that bill into law in late April. In June, the clinic filed an amended complaint, joined by several doctors in obstetrics, gynecology and maternal-fetal medicine. A jury trial is scheduled for August 2024.
Chief Justice Jon Jensen wrote in the court's March decision that \u201cit is clear the citizens of North Dakota have a right to enjoy and defend life and a right to pursue and obtain safety, which necessarily includes a pregnant woman has a fundamental right to obtain an abortion to preserve her life or her health.\u201d
Republican state Sen. Janne Myrdal, who sponsored the bill, called Tuesday's filing \u201csad\" and said it could have come earlier.
\u201cWe can do a lot better in North Dakota than what these people who are suing us are intending to do, so we're going to stand firm and continue to protect life,\u201d she told the AP.
The Associated Press sent a text message to North Dakota Republican Attorney General Drew Wrigley seeking comment.
___
Associated Press writer Kimberlee Kruesi in Nashville, Tennessee, contributed to this report.
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WHO cited unspecified media reports and a global infectious disease monitoring service as reporting clusters of undiagnosed pneumonia in children in northern China and formally requested more details from China earlier this week.
Outside scientists said the situation warranted close monitoring, but were not convinced that the recent spike in respiratory illnesses in China signaled the start of a new global outbreak.
The emergence of new flu strains or other viruses capable of triggering pandemics typically starts with undiagnosed clusters of respiratory illness. Both SARS and COVID-19 were first reported as unusual types of pneumonia.
WHO noted that authorities at China\u2019s National Health Commission on Nov. 13 reported an increase in respiratory diseases, which they said was due to the lifting of COVID-19 lockdown restrictions. Other countries also saw a jump in respiratory diseases such as respiratory syncytial virus, or RSV, when pandemic restrictions ended.
WHO said media reports about a week later reported clusters of undiagnosed pneumonia in children in northern China.
The U.N. agency said it held a teleconference with Chinese health officials on Thursday, during which the data it requested were provided. Those showed an increase in hospital admissions of children due to diseases including bacterial infection, RSV, influenza and common cold viruses since October.
\u201cNo changes in the disease presentation were reported by the Chinese health authorities,\u201d WHO said. It added that Chinese officials said the spike in patients had not overloaded the country's hospitals.
Dr. Paul Hunter, a professor of medicine at Britain's University of East Anglia, doubted the wave of infections was sparked by a new disease.
\u201cIf it was (a new disease), I would expect to see many more infections in adults,\u201d he said in a statement. \u201cThe few infections reported in adults suggest existing immunity from a prior exposure.\u201d
Francois Balloux of University College London said China was probably experiencing a significant wave of childhood infections since this was the first winter since lockdown restrictions were lifted, which likely reduced children's immunity to common bugs.
WHO said that northern China has reported a jump in influenza-like illnesses since mid-October compared to the previous three years. It is rare for the U.N. health agency to publicly ask for more detailed information from countries, as such requests are typically made internally. WHO said it requested further data from China via an international legal mechanism.
According to internal accounts in China, the outbreaks have swamped some hospitals in northern China, including in Beijing, and health authorities have asked the public to take children with less severe symptoms to clinics and other facilities.
The average number of patients in the internal medicine department at Beijing Children\u2019s Hospital topped 7,000 per day, exceeding the hospital\u2019s capacity, state-owned China National Radio said in an online article earlier this week.
China\u2019s National Health Commission, in a written Q&A posted online by the official Xinhua News Agency, suggested Thursday that children with mild symptoms \u201cfirst visit primary healthcare institutions or pediatrics departments of general hospitals\u201d because large hospitals are crowded and have long waiting times.
WHO said that there was too little information at the moment to properly assess the risk of these reported cases of respiratory illness in children. The agency has previously been stymied by a lack of cooperation from countries when new viruses have emerged - particularly in China.
After SARS broke out in southern China in 2002, Beijing officials told doctors to hide patients, with some being driven around in ambulances while WHO scientists were visiting the country. That prompted WHO to threaten to close its office in China.
Nearly two decades later, China stalled on sharing critical details about the coronavirus with the U.N. health agency after the new virus emerged in late 2019. WHO publicly applauded China's commitment to stopping the virus \u2014 weeks before it started causing explosive epidemics worldwide.
\u201cWhile WHO seeks this additional information, we recommend that people in China follow measures to reduce the risk of respiratory illness,\u201d the agency said, advising people to get vaccinated, isolate if they are feeling ill, wear masks if necessary and get medical care as needed.
___
Cheng reported from London. AP researcher Wanqing Chen in Beijing contributed to this report.
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But that does not mean all the victims are satisfied.
In exchange for giving up ownership of drug manufacturer Purdue Pharma and for contributing up to $6 billion to fight the crisis, members of the wealthy Sackler family would be exempt from any civil lawsuits. At the same time, they could potentially keep billions of dollars from their profits on OxyContin sales.
The Supreme Court is set to hear arguments Dec. 4 over whether the agreement, part of the resolution of Purdue Pharma's bankruptcy, violates federal law.
The issue for the justices is whether the legal shield that bankruptcy provides can be extended to people such as the Sacklers, who have not declared bankruptcy themselves. The legal question has resulted in conflicting lower court decisions. It also has implications for other major product liability lawsuits settled through the bankruptcy system.
But the agreement, even with billions of dollars set aside for opioid abatement and treatment programs, also poses a moral conundrum that has divided people who lost loved ones or lost years of their own lives to opioids.
Ellen Isaacs\u2019 33-year-old son, Ryan Wroblewski, died in Florida in 2018, about 17 years after he was first prescribed OxyContin for a back injury. When she first heard about a potential settlement that would include some money for people like her, she signed up. But she has changed her mind.
Money might not bring closure, she said. And by allowing the deal, it could lead to more problems.
\u201cAnybody in the future would be able to do the exact same thing that the Sacklers are now able to do,\u201d she said in an interview.
Her lawyer, Mike Quinn, put it this way in a court filing: \u201cThe Sackler releases are special protection for billionaires.\u201d
Lynn Wencus, of Wrentham, Massachusetts, also lost a 33-year-old son, Jeff, to overdose in 2017.
She initially opposed the deal with Purdue Pharma but has come around. Even though she does not expect a payout, she wants the settlement to be finalized in hopes it would help her stop thinking about Purdue Pharma and Sackler family members, whom she blames for the opioid crisis.
\u201cI feel like I can\u2019t really move on while this is all hanging out in the court,\u201d Wencus said.
Purdue Pharma\u2019s aggressive marketing of OxyContin, a powerful prescription painkiller that hit the market in 1996, is often cited as a catalyst of a nationwide opioid epidemic, persuading doctors to prescribe painkillers with less regard for addiction dangers.
The company pleaded guilty to misbranding the drug in 2007 and paid more than $600 million in fines and penalties.
The drug and the Stamford, Connecticut-based company became synonymous with the crisis, even though the majority of pills being prescribed and used were generic drugs. Opioid-related overdose deaths have continued to climb, hitting 80,000 in recent years. That\u2019s partly because people with substance abuse disorder found pills harder to get and turned to heroin and, more recently, fentanyl, an even more potent synthetic opioid.
Drug companies, wholesalers and pharmacies have agreed to pay a total of more than $50 billion to settle lawsuits filed by state, local and Native American tribal governments and others that claimed the companies\u2019 marketing, sales and monitoring practices spurred the epidemic. The Purdue Pharma settlement would be among the largest. It's also one of only two so far with provisions for victims of the crisis to be compensated directly, with payouts from a $750 million pool expected to range from about $3,500 to $48,000.
Lawyers for more than 60,000 victims who support the settlement called it \u201ca watershed moment in the opioid crisis,\u201d while recognizing that \u201cno amount of money could fully compensate\u201d victims for the damage caused by the misleading marketing of OxyContin.
In the fallout, parts of the Sackler family story has been told in multiple books and documentaries and in fictionalized versions in the streaming series \u201cDopesick\u201d and \u201cPainkiller.\u201d
Museums and universities around the world have removed the family\u2019s name from galleries and buildings.
Family members have remained mostly out of the public eye, and they have stepped off the board of their company and have not received payouts from it since before the company entered bankruptcy. But in the decade before that, they were paid more than $10 billion, about half of which family members said went to pay taxes.
Some testified in a 2021 bankruptcy hearing, telling a judge that the family would not contribute to the proposed legal settlement without being shielded from lawsuits.
Two family members appeared by video and one listened by audio to a 2022 court hearing in which more than two dozen people impacted by opioids told their stories publicly. One told them: \u201cYou poisoned our lives and had the audacity to blame us for dying.\u201d
Purdue Pharma reached the deal with the governments suing it \u2014 including with some states that initially rejected the plan.
But the U.S. Bankruptcy Trustee, an arm of the Justice Department responsible for promoting the integrity of the bankruptcy system, has objected to the legal protections for Sackler family members. Attorney General Merrick Garland also has criticized the plan.
The opposition marked an about-face for the Justice Department, which supported the settlement during the presidency of Donald Trump, a Republican. The department and Purdue Pharma forged a plea bargain in a criminal and civil case. The deal included $8.3 billion in penalties and forfeitures, but the company would pay the federal government only $225 million so long as it executed the settlement plan.
A federal trial court judge in 2021 ruled the settlement should not be allowed. This year, a federal appeals panel ruled the other way in a unanimous decision in which one judge still expressed major concerns about the deal. The Supreme Court quickly agreed to take the case, at the urging of the administration of President Joe Biden, a Democrat.
Purdue Pharma\u2019s is not the first bankruptcy to include this sort of third-party release, even when not everyone in the case agrees to it. It was specifically allowed by Congress in 1994 for asbestos cases.
They have been used elsewhere, too, including in settlements of sexual abuse claims against the Boy Scouts of America, where groups like regional Boy Scout councils and churches that sponsor troops helped pay, and against Catholic dioceses, where parishes and schools contributed cash.
Proponents of Purdue Pharma\u2019s settlement plan often assert that federal law does not prohibit third-party releases and that they can be necessary to create a settlement that parties will agree to.
\u201cThird-party releases are a recurring feature of bankruptcy practice,\" lawyers for one branch of the Sackler family said in a court filing, \u201cand not because anyone is trying to do the released third parties a favor.\u201d
___
Mulvihill reported from Cherry Hill, New Jersey.
___
This story has been corrected to show that the appeals court ruling was unanimous, not 2-1.
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Rome prosecutors Claudia Terracina and Paolo Ielo asked to archive the investigation that had grabbed headlines given Italy\u2019s huge toll as t he first epicenter of the pandemic in Europe. While the judge can override the request, such a decision is highly unlikely.
Already prosecutors had closed their case without filing charges against three of Italy\u2019s past health ministers. On Thursday, they asked a judge to archive the case against nine other officials, including a former top official at the World Health Organization, Dr. Ranieri Guerra, said his lawyer Roberto De Vita.
The investigation initially focused on whether delayed lockdowns in the hard-hit northern city of Bergamo contributed to the toll, but expanded to include whether Italy\u2019s overall preparedness going into the crisis played a role.
Included was controversy over a WHO report into Italy\u2019s response that was published by the U.N. health agency in May 2020 and then taken down a day later and never republished.
A former WHO official, Francesco Zambon, had suggested that WHO spiked the report to spare the Italian government criticism that its pandemic preparedness plan hadn\u2019t been updated. WHO said it was pulled because it contained inaccuracies and was published prematurely.
Guerra had been the former head of the department of prevention in the Italian health ministry until 2017 and was a WHO envoy to Italy during the pandemic. De Vita said prosecutors determined the pandemic plan was in the process of being updated.
He welcomed the decision to archive the case, saying it should have been closed two years ago as soon as Guerra provided documentation to prosecutors showing he had acted correctly.
In a statement, Guerra said his reputation had been \u201cgravely\u201d harmed by the controversy and lashed out at those who had accused him of not protecting Italy.
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Hyperlinks.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "AF--West Africa-Diphtheria", + "headline": "West Africa responds to huge diphtheria outbreaks by targeting unvaccinated populations", + "headline_extended": "Authorities in several West African countries are trying to manage their huge diphtheria outbreaks", + "slugline": "BC-AF--West Africa-Diphtheria, 1st Ld-Writethru", + "description_summary": "Authorities in several West African countries are trying to manage their huge diphtheria outbreaks. A top health official in Nigeria said Thursday that millions are being vaccinated to cover wide gaps in immunity against the disease. At least 573 people out of the 11,640 diagnosed with the disease in Nigeria have died since the current outbreak started in December 2022. Niger has reported the deaths of 37 people out of the 865 cases as of October while Guinea has reported 58 deaths out of 497. French medical organization Doctors Without Borders says that a major driver of the high rate of infection in the region has been a historically wide vaccination gap.", + "bylines": [ + { + "by": "By CHINEDU ASADU", + "title": "Associated Press" + } + ], + "located": "ABUJA, Nigeria", + "datelinelocation": { + "city": "Abuja", + "countrycode": "NGA", + "countryname": "Nigeria", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + 7.49508, + 9.05785 + ] + } + }, + "copyrightnotice": "Copyright 2023 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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At least 573 people out of the 11,640 diagnosed with the disease in Nigeria have died since the current outbreak started in December 2022, though officials estimate the toll \u2014 now on the decline because of treatment efforts \u2014 could be much higher across states unable to detect many cases.
In Niger 37 people had died out of the 865 cases as of October, while Guinea has reported 58 deaths out of 497 since its outbreak started in June.
\u201cAs far as the history that I am aware of, this is the largest outbreak that we have had,\u201d Ifedayo Adetifa, head of the Nigeria Centre for Disease Control, told The Associated Press.
The highly contagious bacterial infection has been reported in 20 of Nigeria's 36 states so far.
A major driver of the high rate of infection in the region has been a historically wide vaccination gap, the French medical organization Doctors Without Borders, or MSF, said in a statement on Tuesday.
In Nigeria, only 42% of children under 15 years old are fully protected from diphtheria, according to a government survey, while Guinea has a 47% immunization rate \u2014 both far below the 80\u201385% rate recommended by the World Health Organization to maintain community protection.
The fate of the affected countries is worsened by the global shortages of the diphtheria vaccine as demand has increased to respond to outbreaks, the MSF said.
\u201cWe\u2019re not seeing vaccination happen, not at the scale that is needed,\u201d said Dr. Dagemlidet Tesfaye Worku, emergency medical program manager for MSF in Abidjan, Ivory Coast. \u201cWhat is needed is a truly massive scale-up of vaccination, as soon as possible.\u201d
The Nigerian government is ramping up vaccination for targeted populations while assisting states to boost their capacity to detect and manage cases, said Adetifa, the Nigeria CDC head.
But several states continue to struggle, including Kano, which accounts for more than 75% of cases in Nigeria but has only two diphtheria treatment centers, according to Abubakar Labaran Yusuf, the state\u2019s top health official.
\u201cOnce people have to travel or move significant distances to access treatment, that becomes a challenge,\u201d Adetifa said.
____
Follow AP\u2019s Africa coverage at: https://apnews.com/hub/africa
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(AP) \u2014 A judge has struck down an effort to enshrine reproductive rights, including abortion, in Nevada\u2019s constitution, as abortion rights advocates in the western swing state attempt to follow other states in putting the question before voters in 2024.
Judge James T. Russell in Carson City District Court concluded on Tuesday that the proposed ballot initiative is too broad, contains a \u201cmisleading description of effect\u201d and has an unfunded mandate.
The petition, if passed by voters, would have amended the state constitution to include the \u201cfundamental right to reproductive freedom,\u201d including prenatal care, childbirth, postpartum care, birth control, vasectomy, tubal ligation, abortion and abortion care.
\u201cThis is probably the clearest case I have seen that I think there is a violation of the single-subject rule,\u201d Russell said on Tuesday, according to KOLO-TV Reno, which first reported the ruling. \u201cI\u2019ve seen a lot of them over the years and in respect to this particular matter, there are too many subjects. Not all of which are functionally related to each other.\u201d
Russell, the son of former Republican Gov. Charles Russell, was appointed to the bench in January 2007 by moderate Republican Gov. Kenny Guinn. He was threatened after dismissing a lawsuit brought by former President Donald Trump\u2019s campaign seeking to nullify President-elect Joe Biden\u2019s electoral win in Nevada.
The political action committee Nevadans for Reproductive Rights filed the petition to enshrine reproduction rights in the constitution with the Nevada Secretary of State's office on Sept. 14.
On Oct. 5, the Coalition for Parents and Children PAC filed a complaint with the court challenging the petition's legality. If allowed to proceed, Nevadans for Reproductive Rights would need just over 100,000 signatures to get the issue on the ballot.
Asked about a possible appeal to the Nevada Supreme Court, Nevadans for Reproductive Rights attorney Bradley Schrager said the group is \u201cconsidering its options.\u201d
Nevadans for Reproductive Rights president Lindsay Harmon said the group \u201cwill not let one judge\u2019s misguided ruling deter us from giving Nevadans the opportunity to vote to permanently protect their reproductive rights in the Nevada Constitution.\u201d
Jason Guinasso, an attorney for the Coalition for Parents and Children PAC, said he was happy with the ruling but expected the other side to appeal.
Abortion rights have become a mobilizing issue for Democrats since the U.S. Supreme Court last year overturned Roe v. Wade, the landmark 1973 court decision establishing a nationwide right to abortion.
Earlier this month, Ohio became the seventh state in which voters decided to protect abortion access.
Meanwhile, constitutional amendments protecting abortion access are already set to appear on the 2024 ballot in New York and Maryland, and could also show up in a host of other states, including Missouri and neighboring Arizona.
Advocates on both sides of the issue are trying to get questions about abortion access on the ballot in at least a dozen states across the country.
Public polling shows about two-thirds of Americans say abortion should generally be legal in the earliest stages of pregnancy. Since the overturning of Roe v. Wade in June 2022, that sentiment has been underscored in elections both in Democratic and deeply Republican states.
Abortion rights up to 24 weeks are already codified into Nevada law through a 1990 referendum vote, where two-thirds of voters were in favor. That can be changed with another referendum vote.
The standards are higher for amending the constitution, which requires either approval from two legislative sessions and an election, or two consecutive elections with a simple majority of votes.
In Nevada, reproductive rights were central to Democratic campaigns in the 2022 midterms. It is set to be a central issue for Democratic U.S. Sen. Jacky Rosen as she looks to defend her seat in 2024.
Lawmakers in Nevada\u2019s Democratic-controlled legislature are attempting to get reproductive rights including abortion access in front of voters on the 2026 ballot. The initiative, which would enshrine those rights in the state constitution, passed the state Senate and Assembly earlier this year, and now must be approved with a simple majority again in 2025 before being eligible for the 2026 ballot.
Democrats, who hold a supermajority in the Assembly, are expected to control both chambers again. They need to flip one red seat blue to hold a supermajority in the Senate.
____
Stern is a corps member for the Associated Press/Report for America Statehouse News Initiative. Report for America is a nonprofit national service program that places journalists in local newsrooms to report on undercovered issues. Follow Stern on X, formerly Twitter: @gabestern326.
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Experts see it as a shift in how such countries deal with pharmaceutical behemoths and say it could trigger more efforts to make lifesaving medicines more widely available.
In the COVID-19 pandemic, rich countries bought most of the world\u2019s vaccines early, leaving few shots for poor countries and creating a disparity the World Health Organization called \u201ca catastrophic moral failure.\u201d
Now, poorer countries are trying to become more self-reliant \u201cbecause they\u2019ve realized after COVID they can\u2019t count on anyone else,\u201d said Brook Baker, who studies treatment-access issues at Northeastern University.
One of the targets is a drug, bedaquiline, that is used for treating people with drug-resistant versions of tuberculosis. The pills are especially important for South Africa, where TB killed more than 50,000 people in 2021, making it the country\u2019s leading cause of death.
In recent months, activists have protested efforts by Johnson & Johnson to protect its patent on the drug. In March, TB patients petitioned the Indian government, calling for cheaper generics; the government ultimately agreed J&J's patent could be broken. Belarus and Ukraine then wrote to J&J, also asking it to drop its patents, but with little response.
In July, J&J\u2019s patent on the drug expired in South Africa, but the company had it extended until 2027, enraging activists who accused it of profiteering.
The South African government then began investigating the company\u2019s pricing policies. It had been paying about 5,400 rand ($282) per treatment course, more than twice as much as poor countries that got the drug via a global effort called the Stop TB partnership.
In September, about a week after South Africa\u2019s probe began, J&J announced that it would drop its patent in more than 130 countries, allowing generic-makers to copy the drug.
\u201cThis addresses any misconception that access to our medicines is limited,\u201d the company said.
Christophe Perrin, a TB expert at Doctors Without Borders, called J&J's reversal \u201ca big surprise\u201d because aggressive patent protection was typically a \u201ccornerstone\u201d of pharmaceutical companies' strategy.
Meanwhile, in Colombia, the government declared last month that it would issue a compulsory license for the HIV drug dolutegravir without permission from the drug\u2019s patent-holder, Viiv Healthcare. The decision came after more than 120 groups asked the Colombian government to expand access to the WHO-recommended drug.
\u201cThis is Colombia taking the reins after the extreme inequity of COVID and challenging a major pharmaceutical to ensure affordable AIDS treatment for its people,\u201d said Peter Maybarduk of the Washington advocacy group Public Citizen. He noted that Brazilian activists are pushing their government to make a similar move.
Still, some experts said much more needs to change before poorer countries can produce their own medicines and vaccines.
When the coronavirus pandemic hit, Africa produced fewer than 1% of all vaccines made globally but used more than half of the world\u2019s supply, according to Petro Terblanche, managing director of Afrigen Biologics. The company is part of a WHO-backed effort to produce a COVID vaccine using the same mRNA technology as those made by Pfizer and Moderna.
Terblanche estimated about 14 million people died of AIDS in Africa in the late 1990s-2000s, when countries couldn\u2019t get the necessary medicines.
Back then, President Nelson Mandela\u2019s government in South Africa eventually suspended patents to allow wider access to AIDS drugs. That prompted more than 30 drugmakers to take it to court in 1998, in a case dubbed \u201cMandela vs. Big Pharma.\u201d
Doctors Without Borders described the episode as \u201ca public relations disaster\u201d for the drug companies, which dropped the lawsuit in 2001.
Terblanche said that Africa's past experience during the HIV epidemic has proven instructive.
\u201cIt\u2019s not acceptable for a listed company to hold intellectual property that stands in the way of saving lives and so, we will see more countries fighting back,\u201d she said.
Challenging pharmaceutical companies is just one piece to ensuring Africa has equal access to treatments and vaccines, Terblanche said. More robust health systems are critical.
\u201cIf we can\u2019t get (vaccines and medicines) to the people who need them, they aren\u2019t useful,\u201d she said.
Yet some experts pointed out that South Africa's own intellectual property laws still haven't been changed sufficiently and make it too easy for pharmaceutical companies to acquire patents and extend their monopolies.
While many other developing countries allow legal challenges to a patent or a patent extension, South Africa has no clear law that allows it to do that, said Lynette Keneilwe Mabote-Eyde, a health care activist who consults for the nonprofit Treatment Action Group.
The South African department of health didn't respond to a request for comment regarding drug procurement and patents.
Andy Gray, who advises the South African government on essential medicines, said J&J's recent decision to not enforce its patent may have more to do with the drug's limited future earnings than caving to pressure from activists.
\"Because bedaquiline is not ever going to sell in huge volumes in high-income countries, it's the sort of product they would love to offload at some stage and perhaps earn a royalty from,\u201d said Gray, a senior lecturer in pharmacology at the University of KwaZulu-Natal.
In its annual report on TB released earlier this month, the World Health Organization said there were more than 10 million people sickened by the disease last year and 1.3 million deaths. After COVID-19, tuberculosis is the world's deadliest infectious disease and it is now the top killer of people with HIV. WHO noted only about 2 in 5 people with drug-resistant TB are being treated.
Zolelwa Sifumba, a South African doctor, was diagnosed with drug-resistant TB in 2012 when she was a medical student and endured 18 months of treatment taking about 20 pills every day in addition to daily injections, which left her in \u201cimmense pain\u201d and resulted in some hearing loss. Bedaquiline was not rolled out as a standard treatment in South Africa until 2018.
\u201cI wanted to quit (treatment) every single day,\u201d she said. Since her recovery, Sifumba has become an advocate for better TB treatment, saying it makes little sense to charge poor countries high prices for essential medicines.
\u201cTB is everywhere but the burden of it is in your lower and middle income countries,\u201d she said. \"If the lower income countries can\u2019t get it (the drug), then what\u2019s the point? Who are you making it for?\u201d
___
Cheng reported from London.
___
AP health coverage: https://apnews.com/health
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What chemicals created the burning-trash-barrel scent that has lingered since a deadly wildfire tore through Lahaina in August? Should he believe government agencies' assessment of when the air, land and water will be safe enough for his family to return?
Or will political and economic pressures to rebuild and restore Maui\u2019s robust tourism industry \u2014 where visitors normally spend $14 million per day \u2014 lead officials to look at any testing results through rose-colored glasses?
\u201cIt appears very important to them to get that tourism tax revenue back,\u201d said Skousen. \u201cIt makes you wonder if the testing will be biased.\u201d
The fire blew out Skousen\u2019s windows and filled his home with ash, but the building is still standing, and he hopes someday to move back in. The home next door burned to the ground.
Skousen wants a second opinion on any government environmental assessments, preferably from an expert with a stake in the community. But the raw data isn't easy to find, and experts say the long-term health effects from fires like the one that incinerated Lahaina are mostly unknown. There are no national standards that detail how clean is clean enough for a residential home damaged by a nearby fire.
At least 100 people died in the Aug. 8 wildfire, and thousands were displaced. Nearly 7,000 were still in short-term lodging two months later.
The rubble left behind includes electrical cables, plastic pipes and vehicle tires that emit dangerous dioxins when burned; lead from melted vehicles or old house paint; and arsenic-laden ash from termite-resistant building materials.
After a major wildfire burned 1,000 homes in Boulder County, Colorado, in 2021, health officials learned that even professionally remediated homes were often still polluted with ash, char and other toxic substances long after the fire, said Bill Hayes, the county's air quality program coordinator.
The reason? High winds \u2014 like those that plagued Maui during the wildfire this summer \u2014 forced fine particulate matter into every crevice, Hayes said. Those particulates would sit inside window panes, behind light switches, between shingles and elsewhere until the winds started up again, re-contaminating the home.
\u201cChar is a carcinogen, so we don\u2019t ever say any level of those particulates are safe,\u201d Hayes said. \u201cThat became a challenge in the cleanup \u2013 determining the level of when is it clean enough?\u201d
State and federal agencies have released regular updates on Lahaina\u2019s relative safety. The water in much of the town is still unsafe to drink, and visitors have been advised to use protective gear in impacted areas. Officials say pregnant people and kids should stay out of the burn zone, though the Hawaii Department of Education says the schools, which are above the burned part of town, are safe.
Crews have installed air quality monitors throughout town and are spraying a soil sealant to prevent toxic ash from being washed into the ocean or blowing around.
An attorney representing Skousen and about two dozen other Lahaina residents sent a public records request to the Environmental Protection Agency last month asking for all records regarding residential testing of contaminants in Lahaina and their impact to human health.
The EPA's reply, sent earlier this month, wasn't reassuring: \u201cNo records could be located that are responsive to your request.\u201d
EPA spokesman Kellen Ashford told The Associated Press his agency did some environmental hazard testing in the burn zone, but only to determine the immediate risk for workers involved in the initial cleanup.
He referred further questions about such testing to the Hawaii Department of Health, which he said was responsible for determining longer-term safety for residents.
The Hawaii Department of Health's Environmental Health Services Division also told Skousen's attorney it had no records about residential testing of contaminants to release.
The Health Department declined interview requests. Spokesman Shawn Hamamoto said in an email the department will pursue additional air quality and ash testing when the U.S. Army Corps of Engineers begins removing debris from Lahaina.
\u201cI think that they're playing \u2018hide the ball,\u2019\u201d said Skousen's attorney, Edward Neiger. \u201cThe question is, why do they feel the need to hide anything?\u201d
Ashford acknowledged some residents are skeptical of the cleanup efforts. He said the EPA has people stationed at the Lahaina Civic Center and at work sites to talk to community members about their concerns.
Andrew Shoemaker, a fine art photographer who operated a gallery on Lahaina\u2019s famous Front Street, believes it's an important part of healing to go back to the burned areas to see what is left, but he has recently had a lung infection and doesn't want to risk his health.
\u201cI don\u2019t even want to take the chance of going over there,\u201d he said.
Dioxins, toxic compounds that can be released when plastic pipes, tires and other household materials are burned, are a particular concern for Shoemaker. Dioxins can last for decades inside the human body, and can cause reproductive and developmental problems, damage the immune system, interfere with hormones and cause cancer, according to the World Health Organization.
The EPA has found that forest fires and household trash burning in backyard burn barrels \u2014 how Skousen now describes the scent of Lahaina \u2014 are both major sources of dioxin emissions.
Irva Hertz-Picciotto, a professor and environmental epidemiologist with University of California-Davis, said the air monitors are effective and can measure particles that are about 30 times smaller than the width of a human hair.
Still, there is a lot that scientists don\u2019t yet know about the long-term health risks posed by fires, Hertz-Picciotto said.
That post-fire smell noticed by Skousen can be a result of off-gassing, she said, which occurs when volatile organic compounds are absorbed into surfaces and released later.
Even with careful air quality monitoring, off-gassing can expose residents and cleanup workers to toxic fire emissions for months, and research shows only some volatile organic compounds can be trapped by high-quality air particle filters, according to the Cooperative Institute for Research in Environmental Sciences at the University of Colorado Boulder.
\u201cIf it smells like burned plastic or burned electrical cables, then probably those chemicals are in the air and not healthy,\u201d Hertz-Picciotto said. \u201cThe other side of that, though, is even if you can\u2019t smell it, that doesn\u2019t mean it\u2019s safe.\u201d
Skousen is a teacher and runs a cleaning business on the side. He\u2019s spent his off hours in Lahaina working on cleaning his and his neighbors\u2019 homes. Skousen and his wife decided to homeschool their kids at their temporary residence outside of Lahaina for now rather than risk exposing them to possible health problems.
Most of the guidelines for human exposure to pollutants are based on industrial settings, where people might work 40 hours a week \u2014 not their homes, where they might spend 90% of their time, said Hayes, the Boulder County air quality coordinator. Whether a home can be made safe enough for residency comes down in part to the resident's risk tolerance, Hayes said.
\u201cThere is no black-and-white, clear-cut answer,\u201d he said. \u201cIf they have young children in the home, or anyone has respiratory conditions, they might want to do significantly more cleaning than what the guidance documents are recognizing.\u201d
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Nearly 100 people in 32 states have gotten sick from the contaminated fruits. Arizona, Missouri, Minnesota, Wisconsin and Ohio have the highest number of cases. Two people have died of the infections in Minnesota, and 45 people are hospitalized nationwide.
The U.S. Food and Drug Administration's original recall included Malichita brand whole cantaloupe, Vinyard brand pre-cut cantaloupe and ALDI whole cantaloupe and pre-cut fruit products. Rudy brand whole cantaloupes and Freshness Guaranteed brand and RaceTrac brand pre-cut cantaloupes joined the list Friday.
Health officials say anyone who bought the recalled fruits should throw them away and wash surfaces that touched them with hot, soapy water or in a dishwasher.
Most people infected with salmonella develop diarrhea, fever and stomach cramps within six hour to six days after consuming food contaminated with the bacteria. Illnesses typically last four to seven days. Vulnerable people, including children, people older than 65 and those with weakened immune systems may develop severe illnesses that require medical care or hospitalization.
___
AP Health Writer JoNel Aleccia contributed to this report.
___
The Associated Press Health and Science Department receives support from the Robert Wood Johnson Foundation. The AP is solely responsible for all content.
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The U.S. Department of Agriculture said all 1.35 million chickens on the farm in Ohio's Union County will be slaughtered to help limit the spread of the highly contagious virus after a case was confirmed in the flock this week.
The outbreak that began in early 2022 has been much less severe this year as fewer cases of the virus are being found among the wild birds that spread it. But there have still been 8.1 million birds killed this year to help control the spread of the disease and 5.8 million of those have come just this month as several large egg farms have been struck. That includes 1.2 million birds at one Iowa egg farm and another 940,000 chickens at one Minnesota egg farm that had to be killed.
Egg farms tend to be much larger than turkey or chicken farms, sometimes with millions of birds. That's a big part of why Iowa \u2014 the nation's largest egg producing state \u2014 has been hit the hardest in this outbreak with nearly 17.3 million birds killed. Ohio is also one of the top egg producing states but it has seen only 5.1 million birds killed because of bird flu.
This week, there have also been sizeable bird flu cases confirmed on farms in Minnesota, Maryland, South Dakota, Wisconsin, Georgia and California. But the biggest one of those cases was the Maryland chicken farm where 198,200 birds were killed.
In 2022, nearly 58 million birds were slaughtered as part of the outbreak. The highly contagious virus is spread easily by wild birds through droppings and nasal discharges.
Farmers are working hard to keep the virus from infecting their flocks by taking steps like requiring workers to shower and change clothes before entering barns, sanitizing trucks that enter a farm and investing in separate sets of tools for every barn. But the virus is difficult to keep out particularly along the main pathways for migrating birds who are headed south for the winter.
Officials say bird flu doesn\u2019t represent a significant health threat. Human cases are extremely rare and none of the infected birds are allowed into the nation\u2019s food supply. Properly cooking poultry and eggs to 165 degrees Fahrenheit (73.89 degrees Celsius) will also kill any viruses.
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Therefore, it is somewhat relevant to the topic of health." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2023/11/24/db409f48ea2d03d375c046d61c5ab96b.json b/datasets/AP_news/raw_data/2023/11/24/db409f48ea2d03d375c046d61c5ab96b.json new file mode 100644 index 0000000..09b4f39 --- /dev/null +++ b/datasets/AP_news/raw_data/2023/11/24/db409f48ea2d03d375c046d61c5ab96b.json @@ -0,0 +1,286 @@ +{ + "altids": { + "itemid": "db409f48ea2d03d375c046d61c5ab96b", + "etag": "db409f48ea2d03d375c046d61c5ab96b_1a4aza0c0", + "friendlykey": "12333841372", + "referenceid": "AF-MED--Congo Monkeypox" + }, + "version": 1, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2023-11-24T12:32:40Z", + "firstcreated": "2023-11-24T12:12:21Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: EDITS: to remove typographical error in first paragraph. With AP Photos.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "AF-MED--Congo Monkeypox", + "headline": "UN confirms sexual spread of mpox in Congo for the 1st time as country sees a record outbreak", + "headline_extended": "The World Health Organization said it has confirmed sexual transmission of mpox in Congo for the first time as the country experiences its biggest-ever outbreak", + "slugline": "BC-AF-MED--Congo Monkeypox, 1st Ld-Writethru", + "description_summary": "The World Health Organization said it has confirmed sexual transmission of mpox in Congo for the first time as the country experiences its biggest-ever outbreak. The confirmation is a worrying development that African scientists warn could make it more difficult to stop the disease. Mpox has been endemic in parts of central and west Africa for decades, where it mostly jumped into humans from infected rodents. Last year, epidemics triggered mainly by sex among gay and bisexual men in Europe hit more than 100 countries in a global emergency. WHO said the latest outbreak in Congo suggests the risk of mpox spreading elsewhere in Africa and globally is \u201csignificant.\u201d", + "bylines": [ + { + "by": "By MARIA CHENG", + "title": "AP Medical Writer" + } + ], + "located": "LONDON", + "datelinelocation": { + "city": "London", + "countrycode": "GBR", + "countryname": "United Kingdom", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -0.12574, + 51.50853 + ] + } + }, + "copyrightnotice": "Copyright 2023 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. For other uses, additional clearances may be required." + ], + "keywords": [ + "mpox monkeypox WHO africa congo outbreak" + ], + "provider": "AP", + "infosource": [ + { + "name": "AP", + "type": "AP" + } + ], + "subject": [ + { + "rels": [ + "category" + ], + "creator": "Editorial", + "code": "i", + "name": "i" + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "f9f9464781a443e4813c5b61eca976b3", + "name": "Mpox", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 86 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "9cce666bb29344b8ba61f3732d971d32", + "name": "Disease outbreaks", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 69 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "4b19fac87e8710048c398087fc32d30c", + "name": "Epidemics", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 37 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "cc7a76087e4e10048482df092526b43e", + "name": "Health", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 77 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "838cac99285a42d69ac6ab7a8ed70377", + "name": "LGBTQ people", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 45 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "bb2d2c5f441a452cb24bb511a2ab5eea", + "name": "World news", + "creator": "Editorial", + "editorial_subject": "World news", + "rels": [ + "direct" + ], + "relevance": 75 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "f25af2d07e4e100484f5df092526b43e", + "name": "General news", + "creator": "Editorial", + "editorial_subject": "General news", + "rels": [ + "direct" + ], + "relevance": 50 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "cc7a76087e4e10048482df092526b43e", + "name": "Health", + "creator": "Editorial", + "editorial_subject": "Health", + "rels": [ + "direct" + ], + "relevance": 99 + } + ], + "place": [ + { + "scheme": "http://cv.ap.org/id/", + "code": "f69c39187e3410048728df092526b43e", + "name": "Kinshasa", + "creator": "Machine", + "rels": [ + "direct" + ], + "parentids": [ + "661ab2407d5b10048232c076b8e3055c" + ], + "locationtype": { + "code": "9d26a20b35f0484a891740f8189d4c7b", + "name": "City" + }, + "geometry_geojson": { + "type": "Point", + "coordinates": [ + 15.32146, + -4.32459 + ] + }, + "relevance": 54, + "parentnames": [ + "Democratic Republic of the Congo" + ] + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "661812607d5b100481f1c076b8e3055c", + "name": "Africa", + "creator": "Machine", + "rels": [ + "direct" + ], + "locationtype": { + "code": "976d112cd5c3497ea180aeecab922c6b", + "name": "Continent" + }, + "geometry_geojson": { + "type": "Point", + "coordinates": [ + 21.09375, + 7.1881 + ] + }, + "relevance": 61 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "661ab2407d5b10048232c076b8e3055c", + "name": "Democratic Republic of the Congo", + "creator": "Machine", + "rels": [ + "direct" + ], + "parentids": [ + "661812607d5b100481f1c076b8e3055c" + ], + "locationtype": { + "code": "01f56e0e654841eca2e69bf2cbcc0526", + "name": "Nation" + }, + "geometry_geojson": { + "type": "Point", + "coordinates": [ + 25, + 0 + ] + }, + "relevance": 93, + "parentnames": [ + "Africa" + ] + } + ], + "audiences": [ + { + "code": "82c6a4c46fa0446090a7acaf93159e4c", + "name": "Print", + "type": "AUDPLATFORM" + }, + { + "code": "9add4649b53b4702ba7d9de5d4fa607a", + "name": "Online", + "type": "AUDPLATFORM" + }, + { + "code": "f43adc08760d10048040e6e7a0f4673e", + "name": "National", + "type": "AUDSCOPE" + }, + { + "code": "f4ecf9b0760d10048044e6e7a0f4673e", + "name": "International", + "type": "AUDSCOPE" + }, + { + "code": "661812607d5b100481f1c076b8e3055c", + "name": "Africa", + "type": "AUDGEOGRAPHY" + }, + { + "code": "661e48387d5b10048291c076b8e3055c", + "name": "United States", + "type": "AUDGEOGRAPHY" + } + ], + "associations": { + "1": { + "altids": { + "itemid": "164ecd5f61214a83b811987a0d4c672e" + }, + "type": "picture" + } + }, + "body_nitf": "LONDON (AP) \u2014 The World Health Organization said it has confirmed sexual transmission of mpox in Congo for the first time as the country experiences its biggest-ever outbreak, a worrying development that African scientists warn could make it more difficult to stop the disease.
In a statement issued late Thursday, the U.N. health agency said a resident of Belgium traveled to Congo in March and tested positive for mpox, or monkeypox, shortly afterward. WHO said the individual \u201cidentified himself as a man who has sexual relations with other men\u201d and that he had gone to several underground clubs for gay and bisexual men.
Among his sexual contacts, five later tested positive for mpox, WHO said.
\u201cThis is the first definitive proof of sexual transmission of monkeypox in Africa,\u201d Oyewale Tomori, a Nigerian virologist who sits on several WHO advisory groups, said. \u201cThe idea that this kind of transmission could not be happening here has now been debunked.\"
Mpox has been endemic in parts of central and west Africa for decades, where it mostly jumped into humans from infected rodents and caused limited outbreaks. Last year, epidemics triggered mainly by sex among gay and bisexual men in Europe hit more than 100 countries. WHO declared the outbreak as a global emergency, and it has caused about 91,000 cases to date.
WHO noted there were dozens of \u201cdiscrete\u201d clubs in Congo where men have sex with other men, including members who travel to other parts of Africa and Europe. The agency described the recent mpox outbreak as \u201cunusual\u201d and said it highlighted the risk the disease could spread widely among sexual networks.
WHO added that the mpox outbreak this year in Congo, which has infected more than 12,500 people and killed about 580, also marked the first time the disease has been identified in the capital of Kinshasa and in the conflict-ridden province of South Kivu. Those figures are roughly double the mpox toll in 2020, making it Congo's biggest-ever outbreak, WHO said.
Virologist Tomori said that even those figures were likely an underestimate and had implications for the rest of Africa, given the continent's often patchy disease surveillance.
\u201cWhat's happening in Congo is probably happening in other parts of Africa,\u201d he said. \u201cSexual transmission of monkeypox is likely established here, but (gay) communities are hiding it because of the draconian (anti-LGBTQ+) laws in several countries,\u201d he added.
He warned that driving people at risk for the virus underground would make the disease harder to curb.
The mpox virus causes fever, chills, rash and lesions on the face or genitals. Most people recover within several weeks without requiring hospitalization.
WHO said the risk of mpox spreading to other countries in Africa and globally \u201cappears to be significant,\" adding that there could be \u201cpotentially more severe consequences\u201d than the worldwide epidemic last year.
Tomori lamented that while the mpox outbreaks in Europe and North America prompted mass immunization campaigns among affected populations, no such plans were being proposed for Africa.
\u201cDespite the thousands of cases in Congo, no vaccines have arrived,\u201d he noted. Even after mpox epidemics subsided in the West, few shots or treatments were made available for Africa.
\u201cWe have been saying for years in Africa that monkeypox is a problem,\" he said. \u201cNow that sexual transmission has been confirmed here, this should be a signal to everyone to take it much more seriously.\u201d
___
The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute\u2019s Science and Educational Media Group. The AP is solely responsible for all content.
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The document also touches on the broader impact on public health and disease surveillance in Africa, making it highly relevant to the topic of health." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2023/11/24/f3c1d54f2d059de0532360d638335e99.json b/datasets/AP_news/raw_data/2023/11/24/f3c1d54f2d059de0532360d638335e99.json new file mode 100644 index 0000000..8a8150d --- /dev/null +++ b/datasets/AP_news/raw_data/2023/11/24/f3c1d54f2d059de0532360d638335e99.json @@ -0,0 +1,303 @@ +{ + "altids": { + "itemid": "f3c1d54f2d059de0532360d638335e99", + "etag": "f3c1d54f2d059de0532360d638335e99_0a5aza0c0", + "friendlykey": "121168725416", + "referenceid": "Not-Real-News" + }, + "version": 0, + "type": "text", + "urgency": 4, + "profile": "Analysis", + "language": "en", + "versioncreated": "2023-11-24T15:26:48Z", + "firstcreated": "2023-11-24T15:26:47Z", + "editorialrole": "FullStory", + "fixture": { + "code": "384befa3d90e4e2db11d99e2a275e982", + "name": "AP Fact Check" + }, + "pubstatus": "usable", + "ednote": "Eds: UPDATES: With AP Photos.", + "signals": [ + "newscontent" + ], + "title": "Not-Real-News", + "headline": "NOT REAL NEWS: A look at what didn't happen this week", + "headline_extended": "Social media users shared a range of false claims this week", + "slugline": "AP-Not-Real-News", + "description_summary": "Social media users shared a range of false claims this week. Here are the facts: DNA fragments used in the development of the coronavirus vaccine -- such as a portion of SV40\u2019s DNA sequence \u2014 are not causing health problems in people who have received the COVID-19 vaccine. Newly released footage from the Jan. 6 attack on the Capitol does not show a federal agent disguised as a Trump supporter waving his badge. A video shows Israeli soldiers raising the country\u2019s flag over a United Nations-operated school in Gaza City, not Shifa Hospital. And President Joe Biden did not abruptly leave this year's turkey pardoning, a video was edited to make it appear that way.", + "bylines": [ + { + "by": "By The Associated Press" + } + ], + "copyrightnotice": "Copyright 2023 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. For other uses, additional clearances may be required." + ], + "keywords": [ + "fact check misinformation" + ], + "provider": "AP", + "infosource": [ + { + "name": "AP", + "type": "AP" + } + ], + "person": [ + { + "scheme": "http://cv.ap.org/id/", + "code": "984ca7dac6cc4a0daff38dad560f0ece", + "name": "Marjorie Taylor Greene", + "creator": "Machine", + "rels": [ + "direct" + ], + "types": [ + "POLITICIAN", + "PERSON" + ], + "relevance": 47 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "a6331b54c46e4ca8b79fa40fada95db5", + "name": "Donald Trump", + "creator": "Machine", + "rels": [ + "direct" + ], + "types": [ + "POLITICIAN", + "PERSON" + ], + "relevance": 53 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "42fcd5108d2610048a34f7ae5e3ffd3e", + "name": "Joe Biden", + "creator": "Machine", + "rels": [ + "direct" + ], + "types": [ + "POLITICIAN", + "PERSON" + ], + "relevance": 76 + } + ], + "subject": [ + { + "rels": [ + "category" + ], + "creator": "Editorial", + "code": "a", + "name": "a" + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "ace74e307f00100486cedf092526b43e", + "name": "Immunizations", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 85 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "b17e2751b26d4523a2c99d79e04747ee", + "name": "COVID-19 pandemic", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 70 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "86aad5207dac100488ecba7fa5283c3e", + "name": "Politics", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 50 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "a4677d70863b4012b846a1b00f5079f5", + "name": "U.S. news", + "creator": "Editorial", + "editorial_subject": "U.S. news", + "rels": [ + "direct" + ], + "relevance": 99 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "f25af2d07e4e100484f5df092526b43e", + "name": "General news", + "creator": "Editorial", + "editorial_subject": "General news", + "rels": [ + "direct" + ], + "relevance": 50 + } + ], + "organisation": [ + { + "scheme": "http://cv.ap.org/id/", + "code": "e5c917c88bcc1004803aeb438e258b03", + "name": "U.S. Food and Drug Administration", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 31 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "54fa9358892310048056fb7860a2fc03", + "name": "United Nations", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 45 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "962e787a6e964cfba68aec9259217e6d", + "name": "Israel government", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 64 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "ac18a2ea71034a5991f916b5b3e113e7", + "name": "Associated Press", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 31 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "5c807dd498a24264ac62c20c8f5f0c48", + "name": "Pfizer Inc", + "creator": "Machine", + "rels": [ + "direct" + ], + "symbols": [ + { + "ticker": "PFE", + "exchange": "NYSE", + "instrument": "NYSE:PFE" + } + ], + "relevance": 62 + } + ], + "place": [ + { + "scheme": "http://cv.ap.org/id/", + "code": "cebb72fbc5df4331b9100571853da530", + "name": "Gaza", + "creator": "Machine", + "rels": [ + "direct" + ], + "parentids": [ + "662253607d5b100482f3c076b8e3055c" + ], + "locationtype": { + "code": "9d26a20b35f0484a891740f8189d4c7b", + "name": "City" + }, + "geometry_geojson": { + "type": "Point", + "coordinates": [ + 34.46667, + 31.5 + ] + }, + "relevance": 40, + "parentnames": [ + "Gaza Strip" + ] + } + ], + "audiences": [ + { + "code": "82c6a4c46fa0446090a7acaf93159e4c", + "name": "Print", + "type": "AUDPLATFORM" + }, + { + "code": "9add4649b53b4702ba7d9de5d4fa607a", + "name": "Online", + "type": "AUDPLATFORM" + }, + { + "code": "f43adc08760d10048040e6e7a0f4673e", + "name": "National", + "type": "AUDSCOPE" + }, + { + "code": "f4ecf9b0760d10048044e6e7a0f4673e", + "name": "International", + "type": "AUDSCOPE" + }, + { + "code": "661850e07d5b100481f5c076b8e3055c", + "name": "Latin America and Caribbean", + "type": "AUDGEOGRAPHY" + }, + { + "code": "661e48387d5b10048291c076b8e3055c", + "name": "United States", + "type": "AUDGEOGRAPHY" + } + ], + "associations": { + "1": { + "altids": { + "itemid": "d642ea1e9f9e460482543592a9fa8bdf" + }, + "type": "picture" + }, + "2": { + "altids": { + "itemid": "355ee3c1e5914335903f77c2edf65205" + }, + "type": "picture" + } + }, + "body_nitf": "A roundup of some of the most popular but completely untrue stories and visuals of the week. None of these are legit, even though they were shared widely on social media. The Associated Press checked them out. Here are the facts:
___
No evidence that DNA sequence used in Pfizer shot leads to cancer and other health issues
CLAIM: Pfizer\u2019s COVID-19 vaccine contains a DNA sequence called Simian Virus 40 that can cause health problems, including cancer.
THE FACTS: No evidence has been found to suggest DNA fragments used in the development of the coronavirus vaccine -- such as a portion of SV40\u2019s DNA sequence -- are causing health problems in people who have received the COVID-19 vaccine. A recent congressional hearing r evived the baseless claim that coronavirus vaccines contain dangerous levels of monkey virus DNA. Following the hearing, social media users began sharing a post with information from The Epoch Times website that reported Congress was warned at the hearing about \u201cDNA fragments\u201d detected in the inoculation made by Pfizer and BioNTech. The post cites testimony from Dr. Robert Malone, who played a role in developing the messenger RNA, or mRNA, technology used in the vaccine, claiming the shot includes a DNA sequence called Simian Virus 40, or SV40. \u201cThe sequence leaves behind residual DNA that could cause problems,\u201d reads one Instagram post. But the Nov. 13 hearing at the U.S. Capitol, which was held by Rep. Marjorie Taylor Greene and other vaccine critics in the House of Representatives, repeated long-debunked falsehoods about the contents of the shot and purported health risks like cancer. Government regulatory agencies and vaccine experts told The Associated Press that the Simian Virus itself isn\u2019t present in the vaccine, and there\u2019s no evidence anything contained in the vaccine could alter a person\u2019s DNA or lead to cancer and other illnesses. The European Medicines Agency, which regulates vaccines in European Union nations, explained that \u201cnon-functional\u201d fragments of SV40\u2019s DNA sequence are used as \u201cstarting material\u201d in producing the vaccine. But they\u2019re mostly being broken down and removed in the manufacturing process. Trace amounts might remain at \u201cvery low levels\u201d in the final product, the agency and others acknowledged, but they are well within established safety guidelines.\u201c EMA has seen no evidence of an association between mRNA vaccines and adverse events that could be linked to the presence of DNA material, nor are we aware of any scientific evidence showing that the very small amounts of residual DNA that may be present in vaccine batches could integrate into the DNA of vaccinated individuals,\u201d the Amsterdam-based agency wrote in an emailed statement. The Food and Drug Administration, which regulates vaccines in the U.S., echoed the sentiment, saying no safety concerns about residual DNA in COVID vaccines have been identified, despite more than one billion shots being administered. \u201cThe FDA stands behind its findings of quality, safety, and efficacy for the mRNA vaccines,\u201d the agency wrote, deferring further questions to Pfizer and other vaccine makers. Pfizer, in an emailed statement, stressed that the use of the SV40 sequence is common practice in developing vaccines, including the influenza and hepatitis shots that have been administered globally for decades. \u201dThere is no evidence to support claims that the Pfizer-BioNTech COVID-19 vaccine contains plasmid DNA that could potentially impact a person\u2019s DNA or be a theoretical cancer risk,\u201d the company wrote, referring to DNA materials used to trigger an immune response during vaccine development. Spokespersons for The Epoch Times didn\u2019t respond to messages seeking comment.
\u2014-Associated Press writer Philip Marcelo in New York contributed this report.
___
Newly released Jan. 6 footage does not show a federal agent flashing his badge while undercover
CLAIM: Security camera footage from Jan. 6, 2021, shows a federal agent disguised as a supporter of then-President Donald Trump during the attack on the U.S. Capitol.
THE FACTS: The man in the video is not a federal agent. It's Kevin James Lyons, a Chicago man who was sentenced in July to more than four years in federal prison for his role in the attack. Multiple images of Lyons at the Capitol, dressed as he is in the footage, appear in court documents. The false claim emerged after House Speaker Mike Johnson on Nov. 17 began releasing thousands of hours of footage from the Capitol insurrection. Social media users \u2014 including members of Congress \u2014 seized on a clip saying it proved that undercover federal agents participated in the riot. The video, which is 5 minutes and 31 seconds long, shows rioters and law enforcement personnel moving through a hallway in the Capitol. At 21 seconds into the video, a man appears from behind a column wearing a red \u201cMake America Great Again\u201d hat, a camouflage scarf covering most of his face, and a dark blue sweatshirt layered over a green sweatshirt. He walks toward the camera, flashing his palms at the 36-second mark with a small object in his right hand. \u201cAnd that ladies and gentlemen is a badge\u2026 with a red hat and fully disguised,\u201d reads one post on X that shared a screenshot of the footage paused as Lyons is flashing his palms. But these claims play on enduring conspiracytheories about federal agents orchestrating the events of Jan. 6. Lyons was sentenced on July 14 to 51 months in federal prison for the part he played in the riot. Court documents include multiple images of Lyons inside the Capitol, dressed in the same outfit as in the security footage. For example, one shows Lyons recording himself in a mirror in the office of then-Speaker Nancy Pelosi. In another, he sits in a car holding a framed photograph from Pelosi\u2019s office, which shows her with the late Congressman John Lewis, a civil rights movement icon who died in July 2020. It is unclear exactly what Lyons is holding in his right hand when he flashes his palms. Lyons was convicted in April of six charges, including obstruction of an official proceeding. In addition to prison time, he was ordered to pay $2,000 in restitution to the Architect of the Capitol and complete 36 months of supervised release. Johnson on Friday publicly released about 90 hours of security footage from the Jan. 6 attack. An additional 44,000 hours is expected to be posted online over the next several months, the AP has reported.
\u2014- Associated Press reporter Melissa Goldin in New York contributed this report. ___
Video shows Israeli soldiers raising a flag over a Gaza school building, not a hospital
CLAIM: A video shows Israeli soldiers placing a flag atop Gaza\u2019s Shifa Hospital.
THE FACTS: The video shows the soldiers raising the country\u2019s flag over a United Nations-operated school in the city, not the hospital, a U.N. agency spokesperson confirmed. But posts online misrepresent the footage,,saying the video was taken at Gaza\u2019s largest hospital, which became a focal point in the latest conflict between Israel and Hamas this month. In the video, three soldiers walk along a flat rooftop carrying a flagpole bearing the Israeli flag and its distinctive Star of David, along with another purple and white flag. The group, dressed in heavy military gear, silently affixes the pole to a short column along the edge of the roof before quickly walking away. \u201cThey set up their flag on top of the Al Shifa Hospital To congratulate themselves on \u201cconquering\u201d a place filled with premature babies, injured kids and dead woman,\u201d the text on the brief clip reads. But the flag wasn\u2019t raised at Shifa Hospital \u2014 which Israel raided last week, claiming it hid a command center for Hamas \u2014 but at a school elsewhere in the city. Juliette Touma, a spokesperson for the U.N.\u2019s Relief and Works Agency for Palestine Refugees in the Near East, confirmed in an email Tuesday that the building shown in the video houses one of its schools in the Hamas-controlled Gaza City. Indeed, at one point in the video, the three soldiers step over the letters \u201cUN\u201d written in large dark-colored capital letters on the rooftop floor. But Touma declined to say which of the more than 180 schools the agency operates in the Gaza Strip is shown in the video. She also said it was unclear when the flag was raised or whether or not it\u2019s still there. \u201cThis is what we have for now and we don\u2019t have more details,\u201d Touma wrote. Spokespersons for the Israeli government and military didn\u2019t respond to emails seeking comment. But the video appears to have been taken from the roof of a school building at the intersection of Tariq Ibn Ziyad and Al-Naser roads, which is located about one mile from the hospital. Satellite imagery on Google Earth shows the letters \u201cUN\u201d painted on the long flat roof of one building, and matches several distinctly-styled structures that are shown in the video surrounding the campus complex that includes at least four schools for boys. For example, at the beginning of the clip, a tower with a red roof and a tall antenna on top can be seen in the upper left of the clip. That matches a building a block away on the map. Another building in front of the soldiers as they plant the flag has a unique curved facade and window on the top level, which is also visible in the satellite image. It\u2019s unclear who first shared the video, but Israeli journalist Hallel Bitton Rosen shared a longer, clearer version of the footage on his social media accounts on Nov. 15. Rosen, who didn\u2019t respond to emails seeking comment, described the clip in a post written in Hebrew as showing soldiers from the Israeli military\u2019s Givati Brigade raising a flag atop a school. The Givati Brigade is composed of infantry units and has a purple and white flag similar to the one flown along with the Israeli flag in the video.
\u2014- Philip Marcelo
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Video misrepresents Biden\u2019s departure from White House turkey pardon
CLAIM: A video clip shows President Joe Biden \u201cabruptly\u201d leaving this year\u2019s Thanksgiving turkey pardoning ceremony at the White House.
THE FACTS: In the full video of Monday\u2019s ceremony, Biden spends several minutes speaking and taking photos with guests after pardoning two turkeys in an address before hundreds of attendees. He can be seen waving to the crowd, plus giving a thumbs up and a salute, before leaving the event. But in the edited clip he leaves abruptly after the pardoning, turning away from the crowd and breaking into a light jog for a few moments before slowing to a walk as he makes his way to the White House. Two Marines standing in front of the door part to let him through and salute as he goes inside. \u201cBiden abruptly leaves his turkey pardon ceremony and half-jogs back inside,\u201d reads one post on X, formerly Twitter. In the full video from the ceremony, Biden makes a more prolonged departure from the South Lawn of the White House. Immediately after pardoning two turkeys, named Liberty and Bell, Biden can be seen speaking with Steve Lykken, chairman of the National Turkey Federation, and Jose Rojas, vice president of Jennie-O Turkey Store. Biden then speaks for several minutes with some of the hundreds of guests and p oses for photos. Finally, standing next to his granddaughter, Maisy Biden, the president waves to the crowd, giving a thumbs up and a salute, before making his exit. The tradition of pardoning turkeys dates back to 1947 when the National Turkey Federation, which represents turkey farmers and producers, first presented a National Thanksgiving Turkey to President Harry Truman.
\u2014- Melissa Goldin
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Fixes typo in \"protections,\" not \"projections.\" Adds hyperlink to story about Supreme Court overturning Roe v. Wade.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "US--Abortion-Ohio", + "headline": "Ohio voters just passed abortion protections. When and how they take effect is before the courts", + "headline_extended": "Ohio\u2019s new constitutional protections for abortion access and other reproductive rights take effect Dec. 7, a month after voters resoundingly passed them", + "slugline": "BC-US-Abortion-Ohio, 2nd Ld-Writethru", + "description_summary": "Ohio\u2019s new constitutional protections for abortion access and other reproductive rights take effect Dec. 7, a month after voters resoundingly passed them. How and when their impacts are felt remains unclear. Existing abortion-related lawsuits are moving again through the courts since voters decided the issue, raising questions about implementation. The amendment voters approved Nov. 7 did not repeal any existing Ohio laws relating to abortion or reproductive rights. That has prompted some anti-abortion activists to step up pressure on Republican elected officials to extend their efforts to halt, delay or significantly water it down. It passed with a strong 57% majority of the vote.", + "bylines": [ + { + "by": "By JULIE CARR SMYTH", + "title": "Associated Press" + } + ], + "located": "COLUMBUS, Ohio", + "datelinelocation": { + "city": "Columbus", + "countryareacode": "OH", + "countryareaname": "Ohio", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -82.99879, + 39.96118 + ] + } + }, + "copyrightnotice": "Copyright 2023 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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How and when their impacts are felt remains unclear.
Existing abortion-related lawsuits are moving again through the courts now that voters have decided the issue, raising questions about implementation.
The amendment declared an individual\u2019s right to \u201cmake and carry out one\u2019s own reproductive decisions\u201d and passed with a strong 57% majority. It was the seventh straight victory in statewide votes for supporters of abortion access nationally since the U.S. Supreme Court overturned constitutional protections.
But the amendment voters approved Nov. 7 did not repeal any existing Ohio laws, prompting some anti-abortion activists to step up pressure on Republican elected officials to extend their efforts to halt, delay or significantly water it down.
\u201cA lot of that hard work of figuring out what state laws are inconsistent with the amendment and what state laws can remain, does tend to devolve to the courts,\u201d said Laura Hermer, a professor of law at Mitchell Hamline School of Law in St. Paul, Minnesota, who studies access to health coverage and care in the U.S. \"It\u2019s difficult to imagine that the Legislature will say, \u2018All right, you win. We\u2019re going to repeal the heartbeat ban' and so forth.\u201d
The state Legislature is controlled by Republicans whose leaders opposed the November ballot amendment, which was known as Issue 1. The Ohio Supreme Court also is controlled by Republicans, who have a 4-3 majority, and will be the final judge of constitutional questions. Several of the Republican justices have taken actions or made statements over the years that have caused abortion rights organizations and ethics attorneys to question their objectivity on the subject.
Minority Democrats in the Ohio House announced legislation two days after the election aimed at avoiding a piecemeal approach to implementing the amendment. Among other steps, they called for repealing the state\u2019s ban on most abortions after fetal cardiac activity is detected, which is around six weeks, and a 24-hour waiting period.
\u201cThere are over 30 different restrictions in place,\" said state Rep. Beth Liston, a physician and co-author of the Reproductive Care Act. \"And I think that it is important that we don't require citizens to go to court for every restriction, and, quite frankly, that we don't let harm occur in the interim.\u201d
House Minority Leader Allison Russo was careful not to criticize the high court, which holds sway over the fate of those laws.
\u201cMy hope is they will uphold the rule of law and the constitution,\u201d she said.
Chief Justice Sharon Kennedy last week ordered lawyers for the state and a group of abortion clinics to tell the court how they believe the measure\u2019s passage has affected a case involving Ohio\u2019s ban on most abortions once fetal cardiac activity is detected, which has been on hold since October 2022.
A day after voters approved the amendment, U.S. District Judge Michael Barrett made a similar request of the parties in a long-running federal lawsuit challenging a set of state restrictions imposed on abortion providers\u2019 operations. They included a requirement that clinics obtain agreements with a nearby hospital for emergency patient transfers, as well as a prohibition against public hospitals entering into those agreements.
At least three other Ohio abortion laws also have been on hold in the courts.
Passing legislation to bring Ohio law in line with the new constitutional amendment has so far been a non-starter with Republican lawmakers, who mostly opposed it and took extraordinary steps to defeat it.
With a primary election in their GOP-heavy districts only months away, they are facing fierce pressure from anti-abortion groups to go in the other direction and either pass laws countering the amendment or using their supermajorities to strip courts of their power to interpret it.
\u201cThe (Ohio) Constitution specifically says reigning in out-of-control courts is the legislators' job,\" the anti-abortion group Faith2Action argues in a recently released video. \u201cSo let's call on the legislators to do their job, to use their constitutionally granted right to represent us and to keep pro-abortion judges from repealing Ohio laws based on an amendment that doesn't even mention a single Ohio law.\u201d
The video argues that the \u201cright to life\u201d created in Ohio's constitution is inalienable and that the U.S. Supreme Court's decision overturning Roe v. Wade punted the abortion issue to \u201cthe people's elected representatives.\u201d
But in his concurring opinion in that ruling, Justice Brett Kavanaugh, an appointee of former President Donald Trump, wrote that constitutional amendments were among the avenues for deciding the future of abortion access.
\u201cMoreover, the Constitution authorizes the creation of new rights \u2014 state and federal, statutory and constitutional,\" Kavanaugh wrote. \"But when it comes to creating new rights, the Constitution directs the people to the various processes of democratic self-government contemplated by the Constitution \u2014 state legislation, state constitutional amendments, federal legislation, and federal constitutional amendments.\u201d
For now, Republican Ohio House Speaker Jason Stephens has said legislation targeting the power of state courts will not be considered. GOP Senate President Matt Huffman has ruled out lawmakers pushing for an immediate repeal of Issue 1, as had once been suggested, saying nothing like that should be tried, at least in 2024.
How Attorney General Dave Yost will proceed also is being closely watched.
In a legal analysis of Issue 1 that the Republican published before the election, Yost said the amendment created a new standard for protecting abortion access that \u201cgoes beyond\u201d the law of the land under Roe v. Wade.
\u201cThat means that many Ohio laws would probably be invalidated ... and others might be at risk to varying degrees,\u201d he wrote.
Hermer, the law professor, said that statement is convenient for lawyers fighting to implement the constitutional amendment but such an analysis isn't legally binding for Yost.
\u201cHe doesn\u2019t necessarily have to stand down, but, of course, having already said that, it\u2019s going to make it a bit more difficult to hold those sorts of positions,\u201d she said.
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Therefore, the document is relevant to the topic of health, though it is not exclusively focused on health-related issues." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2023/11/25/600fd34afaa58bbe2447546c3a0deaeb.json b/datasets/AP_news/raw_data/2023/11/25/600fd34afaa58bbe2447546c3a0deaeb.json new file mode 100644 index 0000000..5a928d5 --- /dev/null +++ b/datasets/AP_news/raw_data/2023/11/25/600fd34afaa58bbe2447546c3a0deaeb.json @@ -0,0 +1,224 @@ +{ + "altids": { + "itemid": "600fd34afaa58bbe2447546c3a0deaeb", + "etag": "600fd34afaa58bbe2447546c3a0deaeb_3a13aza0c0", + "friendlykey": "183507491374", + "referenceid": "EU-REL--Vatican-Pope" + }, + "version": 3, + "type": "text", + "urgency": 3, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2023-11-25T17:37:40Z", + "firstcreated": "2023-11-25T09:18:03Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: to link audio. With AP Photos.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "EU-REL--Vatican-Pope", + "headline": "Pope Francis has a hospital checkup after coming down with the flu", + "headline_extended": "The Vatican says Pope Francis went to the hospital for tests after he came down with the flu", + "slugline": "BC-EU-REL-Vatican-Pope, 3rd Ld-Writethru", + "description_summary": "The Vatican says Pope Francis went to the hospital for tests after he came down with the flu. The results ruled out any respiratory problems. Francis, who had part of one lung removed as a young man, underwent a CAT scan, Vatican spokesman Matteo Bruni said. Earlier Saturday, the Vatican said the pope had canceled his audiences because of the flu. Francis is due to travel on Friday to Dubai for the COP28 conference on climate change. Bruni provided no information about any change in his plans. Francis, who turns 87 next month, has had a number of health problems in recent times.", + "located": "ROME", + "datelinelocation": { + "city": "Rome", + "countrycode": "ITA", + "countryname": "Italy", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + 12.51133, + 41.89193 + ] + } + }, + "copyrightnotice": "Copyright 2023 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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Francis, who had part of one lung removed as a young man, underwent a CAT scan, Vatican spokesman Matteo Bruni said.
The test at Rome\u2019s Gemelli hospital, where Francis was treated for a respiratory infection earlier this year, was done to rule out any possible respiratory problems and came back negative, Bruni said in a statement.
Earlier Saturday, the Vatican said the pope had canceled his audiences because of the flu.
Francis is due to travel on Friday to Dubai for the COP28 conference on climate change. Bruni provided no information about any change in his plans and the Vatican on Saturday gave new details about his itinerary, suggesting the trip was still on.
Francis, who will turn 87 next month, spent three days at Gemelli in April for what the Vatican said was bronchitis after he had trouble breathing. He was discharged after receiving intravenous antibiotics.
Francis spent 10 days at the same hospital in July 2021 following intestinal surgery for a bowel narrowing. He was readmitted in June of this year for an operation to repair an abdominal hernia and remove scarring from previous surgeries.
When asked about his health in a recent interview, Francis quipped in reply what has become his standard line \u2014 \u201cStill alive, you know.\u201d
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(AP) \u2014 The mayor of a south Louisiana city underwent surgery Saturday for a broken collarbone, ribs and ankle after a hunting accident.
Plaquemine Mayor Ed Reeves was hunting Friday morning when his four-wheeler hit a large hole, flipped and landed on top of him, according to a post shared to the city's Facebook page.
The city noted that Reeves will be in the hospital for a few days.
\u201cHe is expected to make a full recovery,\u201d the post reads. \u201cWe ask that you keep him in your prayers.\u201d
Reeves has been the mayor of Plaquemine since January 2017. He previously served as a member of the Iberville Parish Council and on the Plaquemine Board of Selectmen.
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Francis skipped his weekly Sunday appearance at a window overlooking St. Peter's Square. It came a day after the Vatican said he was suffering from a mild flu. Francis instead gave the traditional noon blessing in a televised appearance from the chapel in the Vatican hotel where he lives. A priest sitting beside him read out the pope's weekly reflection. Francis said he was going to Dubai later this week to deliver a speech at the COP28 climate conference. The Vatican said Saturday that a CT scan was negative for pulmonary complications. The discrepancy wasn't immediately explained.", + "bylines": [ + { + "by": "By FRANCES D'EMILIO", + "title": "Associated Press" + } + ], + "located": "VATICAN CITY", + "datelinelocation": { + "city": "Vatican City", + "countrycode": "VAT", + "countryname": "Vatican City", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + 12.4533, + 41.90225 + ] + } + }, + "copyrightnotice": "Copyright 2023 The Associated Press. All rights reserved. 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that he has a lung inflammation but will go later this week to Dubai to address the climate change conference.
Francis skipped his weekly Sunday appearance at a window overlooking St. Peter\u2019s Square, a day after the Vatican said he was suffering from a mild flu. Instead, Francis gave the traditional noon blessing in an appearance televised live from the chapel in the Vatican hotel where he lives.
\"Brothers and sisters, happy Sunday. Today I cannot appear at the window because I have this problem of inflammation of the lungs,'' Francis said. The pontiff, whose turns 87 on Dec. 17, added that a priest, sitting beside him, would read out his day's reflections for him.
In those comments, Francis said that he was going to the United Arab Emirates for the COP28 gathering on climate change and that he would deliver his speech, as scheduled, on Saturday to the participants.
\"Besides war, our world is threatened by another great peril, that of climate change, which puts at risk life on Earth, especially for future generations,'' the pontiff said in the words read by the priest.
\"I thank all who will accompany this voyage with prayer and with the commitment to take to heart the safeguarding of the common house,'' the pontiff said, using his term for Earth.
In the footage, it could be seen that the pope had a bandage on his right hand and what appeared to be a cannula. The Vatican didn't immediately respond to a query from The Associated Press about whether he was receiving intravenous or some other treatment.
Not immediately explained was the discrepancy between the pope saying he has lung inflammation and the Vatican saying a day earlier that Francis had a CT scan at a Rome hospital \u201cto exclude the risk of pulmonary complications\u201d and that the exam was negative.
Earlier this year, Francis was hospitalized for three days for what he later said was pneumonia and what the Vatican described as a case of bronchitis necessitating treatment with intravenous antibiotics.
This weekend has been very windy and unusually chilly for late autumn in Rome.
The pontiff's voice dipped low, and at times he seemed almost breathless in his brief introductory remarks explaining why he didn't make the window appearance, and at the end when he added his usual request to \u201cdon't forget to pray for me.\u201d
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The ministry called on local authorities to open more fever clinics and promote vaccinations among children and the elderly as the country grapples with a wave of respiratory illnesses in its first full winter since the removal of COVID-19 restrictions. The WHO earlier this week requested that China provide information about a potentially worrying spike in respiratory illnesses and clusters of pneumonia in children, as mentioned by media reports and a global infectious disease monitoring service.", + "located": "BEIJING", + "datelinelocation": { + "city": "Beijing", + "countrycode": "CHN", + "countryname": "China", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + 116.39723, + 39.9075 + ] + } + }, + "copyrightnotice": "Copyright 2023 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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Recent clusters of respiratory infections are caused by an overlap of common viruses such as the influenza virus, rhinoviruses, the respiratory syncytial virus, or RSV, the adenovirus as well as bacteria such as mycoplasma pneumoniae, which is a common culprit for respiratory tract infections, a National Health Commission spokesperson said.
The ministry called on local authorities to open more fever clinics and promote vaccinations among children and the elderly as the country grapples with a wave of respiratory illnesses in its first full winter since the removal of COVID-19 restrictions.
\u201cEfforts should be made to increase the opening of relevant clinics and treatment areas, extend service hours and increase the supply of medicines,\u201d said ministry spokesman Mi Feng.
He advised people to wear masks and called on local authorities to focus on preventing the spread of illnesses in crowded places such as schools and nursing homes.
The WHO earlier this week formally requested that China provide information about a potentially worrying spike in respiratory illnesses and clusters of pneumonia in children, as mentioned by several media reports and a global infectious disease monitoring service.
The emergence of new flu strains or other viruses capable of triggering pandemics typically starts with undiagnosed clusters of respiratory illness. Both SARS and COVID-19 were first reported as unusual types of pneumonia.
Chinese authorities earlier this month blamed the increase in respiratory diseases on the lifting of COVID-19 lockdown restrictions. Other countries also saw a jump in respiratory diseases such as RSV when pandemic restrictions ended.
The WHO said Chinese health officials on Thursday provided the data it requested during a teleconference. Those showed an increase in hospital admissions of children due to diseases including bacterial infection, RSV, influenza and common cold viruses since October.
Chinese officials maintained the spike in patients had not overloaded the country\u2019s hospitals, according to the WHO.
It is rare for the U.N. health agency to publicly ask for more detailed information from countries, as such requests are typically made internally. WHO said it requested further data from China via an international legal mechanism.
According to internal accounts in China, the outbreaks have swamped some hospitals in northern China, including in Beijing, and health authorities have asked the public to take children with less severe symptoms to clinics and other facilities.
WHO said that there was too little information at the moment to properly assess the risk of these reported cases of respiratory illness in children.
Both Chinese authorities and WHO have been accused of a lack of transparency in their initial reports on the COVID-19 pandemic, which started in the central Chinese city of Wuhan in December 2019.
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With AP Photos.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "AS--China-Zero Covid-Art", + "headline": "Artist Zeng Fanzhi depicts 'zero-COVID' after a lifetime of service to the Chinese state", + "headline_extended": "A year after protests pushed Beijing to end its stringent \u201czero-COVID\u201d controls, a retired architect is on the road displaying portraits of life under the policy", + "slugline": "AP-AS--China-Zero Covid-Art, 2nd Ld-Writethru", + "description_summary": "A year after protests pushed Beijing to end its stringent \u201czero-COVID\u201d controls, a retired architect is on the road displaying portraits of life under the policy. But Zeng Fanzhi has a different perspective from the protesters, one shaped by the tumult of China\u2019s recent past and a lifetime of service to the Chinese state. Zeng sees China\u2019s adherence three years of \u201czero-COVID\u201d protocols as necessary and considers the paintings he created as a tribute to the heroism of ordinary people. During that time, millions of people were tested, locked in apartments, or carried off to quarantine centers as China worked to eliminate the coronavirus.", + "bylines": [ + { + "by": "By DAKE KANG", + "title": "Associated Press" + } + ], + "located": "SHENZHEN, China", + "datelinelocation": { + "city": "Shenzhen", + "countrycode": "CHN", + "countryname": "China", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + 114.0683, + 22.54554 + ] + } + }, + "copyrightnotice": "Copyright 2023 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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"2e74108c64cd480987e2cc5c4e2028d3" + }, + "type": "picture" + } + }, + "body_nitf": "SHENZHEN, China (AP) \u2014 In one painting, a child sits, mouth wide open, as a worker in white medical garb extends a long cotton swab toward her tonsils. In another, a masked officer and medical workers stand guard in front of an apartment cordoned off with ropes and seals reading \u201cCLOSED,\u201d as residents look on with frustration and despair.
These are some of the portraits that Zeng Fanzhi, 85, has painted to commemorate three years of China\u2019s strict \u201czero-COVID\u201d controls, which sparked nationwide protests a year ago. But Zeng, a retired architect living in Shenzhen, is not a critic of the measures, under which millions of people were tested, locked in apartments, or carried off to quarantine centers.
Zeng has spent much of his life in service to the Chinese state, designing monuments in Beijing\u2019s Tiananmen Square and coal plants for the Ministry of Coal. He\u2019s a member of Shenzhen\u2019s state-sponsored artist\u2019s association and his paintings feature on stamps and win prizes.
The artist has a different perspective from the young protesters \u2014 one shaped by early years in China living through war and revolution, and later years witnessing decades of prosperity and growth. To Zeng, China\u2019s adherence to \u201czero-COVID\u201d controls was necessary, and its people\u2019s adherence to it heroic.
Chinese leader Xi Jinping \u201csays that artistic creation must be from \u2018The People\u2019s Standpoint,\u2019\u201d Zeng says, explaining his focus on ordinary people. \u201cThis means art should reflect the reality of people's lives. The subjects of my paintings are aligned with this direction.\u201d
___
Growing up, Zeng lived through some of the most tumultuous periods in Chinese history. Born to civil servants who fled for Chongqing, China\u2019s wartime capital in World War II, Zeng grew up moving from city to city, fleeing the invading Japanese and the Chinese civil war that followed.
The Communist Party\u2019s victory in 1949 ended decades of strife in China, bringing some stability to the country. Zeng aspired to be an artist and took art school entrance exams in 1957, but failed twice. His parents encouraged him to study architecture instead.
Soon after, the founder of Communist China, Mao Zedong, launched the Great Leap Forward, an ambitious but disastrous campaign to transform the impoverished country into an industrial power. Millions starved to death, and students across China spent time in political study sessions.
In 1962, fresh from college, Zeng was assigned to work for an architectural team in Beijing and put in charge of drafting designs for Tiananmen Square and the Avenue of Heavenly Peace.
A few years later, Zeng and his wife, a fellow architect, decided to move to Pingdingshan \u2014 home to one of the largest coalfields in China, nestled among mountains in the heart of the country.
There, for 20 years, they designed coal separation plants, from coal crushers to worker\u2019s dorms.
By the 1980s, the couple was getting antsy. Mao had died and a new reformist leader, Deng Xiaoping, was in charge. China was opening up, and opportunity beckoned on the coasts. They begged to be relocated.
\u201cWe felt like we weren\u2019t being put to our best use, so we want to jump ship,\u201d Zeng said.
College graduates like them were in scarce supply, and jobs were easy to find. They moved to Shenzhen, an experimental economic zone located next to Hong Kong in China\u2019s south. The \u201990s saw China\u2019s leaders experimenting with market capitalism, and Shenzhen was rapidly developing. Zeng began working at Shenzhen University, which back then was located in the distant suburbs and built among fields with muddy roads winding up to the entrance.
In the years that followed, Shenzhen boomed, and Zeng\u2019s family prospered. Millions came to Shenzhen to work in factories that exported goods to overseas markets. Zeng and his wife designed dozens of Shenzhen\u2019s apartments and office towers, which rose like reeds out of empty fields.
Newly affluent, they bought an apartment near the center of the city, while their children went overseas for study. Today, Shenzhen has more skyscrapers than New York or Tokyo.
\"We\u2019ve seen a lot of ups and downs in our life,\u201d says his wife, Zhao Sirong. \u201cShenzhen was a fledging city, and we were pioneers.\u201d
___
It wasn\u2019t until Zeng turned 80 that he retired from architecture. Finally, Zeng was able to pursue his true passion: painting.
Despite his old-school training, he learned his new trade in a distinctly 21st-century fashion. Day by day, he watched tutorials of master artists online.
Zeng\u2019s art is informed by socialist realism, a style he encountered growing up in Maoist China. He cites works by famed Russian realist painter Ilya Repin as inspiration, such as \u201cBarge Haulers on the Volga,\" which shows 11 men dragging a barge, exhaustion on their faces. It\u2019s an unflinching depiction of backbreaking labor, the quiet heroism of ordinary people in harsh conditions.
\u201cIt left a deep impression on me,\u201d Zeng said.
Zeng found himself drawn to similar themes. One of his paintings, \u201cLife is Not Easy,\" portrays a migrant worker bundled in scarves, selling vegetables and shivering as snow swirls around her.
Zhao, Zeng\u2019s wife, complains about his rigorous painting routine. Zeng drives to his studio every morning, painting till late afternoon. The octogenarian works weekends, leaving his wife with only her plants to keep her company.
\u201cWhat I want from my husband is that he walks slower and stops acting like a young man,\u201d Zhao said, chuckling and sighing. \u201cWhy is he working so hard? I don't understand.\"
But Zhao still supports her husband's craft because she believes regular activity is key to preventing mental decline. They wonder at young people who spend their days idle, swiping endlessly on cellphone videos and whiling away their savings on outdoor games of mahjong in steamy Shenzhen.
\u201cMy life is still very fulfilling,\u201d Zeng says. \u201cSome say painting must be tiring for you. OK, sure, but is gambling tiring for you?\u201d
___
As the coronavirus spread, Zeng was fascinated by how it upended daily life around him.
First he painted nurses swabbing residents, then children attending online classes. Then, last year, as controls grew strict and Zeng\u2019s compound was locked down, he spent his days sitting on his balcony, painting residents locked in their complexes, guards standing sentry, and masked delivery drivers tossing groceries over fences.
\u201cThis was an unimaginable event that\u2019s never happened before in the whole world,\u201d Zeng says.
Zeng and his wife caught the virus last winter, when controls were abruptly lifted. Though his wife recovered quickly, Zeng spent weeks recuperating. Across China, hundreds of thousands perished as the infected overran hospitals and medication ran out of stock.
\u201cWe were all infected,\u201d Zhao said. \u201cWe struggled through the past three years, and then things suddenly opened up. We weren't psychologically prepared.\"
Despite the pandemic\u2019s historic nature, few depictions of the era exist in China outside official exhibits and state television glorifying the government\u2019s role in combatting the virus. Under Xi, the state has tightened controls on artist expression, leading to some going overseas.
At a Beijing art exposition this fall, one of Zeng\u2019s paintings was tucked away behind a column. The exposition, he said, deemed it too negative, as it depicted residents confined to their homes.
\u201cWe couldn\u2019t put it on display,\u201d he said with a chuckle, walking out of his booth and gesturing to the painting.
But Zeng sees his art as commemoration, not criticism. He lived through a \u201cgreat historical event,\" he says, and he sees his artwork as an observation honoring all the sacrifice and difficulty endured by ordinary people.
For Zeng and Zhao, their government benefits \u2014 including public medical care, subsidized food, free public transit, and a pension of 10,000 yuan ($1,400) a month \u2014 is well beyond what they imagined having when they were younger, growing up in a China scarred by war.
\u201cWe understand the country\u2019s measures,\u201d Zhao says. \u201cWe all feel that on the whole, our policy was correct, because if we reopened too early, it could have been like the United States, where the death rate was very high.\u201d
Today, Zeng is hard at work on a new series portraying Chinese leader Xi Jinping, which he hopes will serve as positive \u201cpolitical promotion\u201d. His latest depicts Xi sitting humbly among villagers. He tentatively calls it, \u201cChairman Xi Taking Us on the Road to Prosperity.\u201d
\u201cMy work can play a role in promoting the superiority of our distinctive socialist system,\" Zeng says. \u201cOur current era is a great era, and I want to paint paintings that capture this era.\"
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The Department of Health and Social Care said it submitted a pay offer to doctors' unions after weeks of talks, and union leaders agreed to put the proposal to their members for a vote.
Health officials said the breakthrough was a huge relief, though results from the union votes won't be known until January.
The British Medical Association said the government's offer meant senior doctors will start to receive extra income next year, on top of a 6% pay increase already awarded for 2023 to 2024. The doctors' union said the government was investing 4.95% more in salaries for senior doctors, though the amount each doctor will get depends on their contracts.
Thousands of senior physicians walked off the job for 48-hour periods earlier this year to demand better pay and working conditions from the government, causing major disruptions at hospitals across England.
Those strikes came on top of similar industrial actions by junior doctors, nurses and other health workers who organized their own strikes to obtain pay raises amid the U.K.'s soaring inflation and cost-of-living crisis.
Senior doctors said their pay has shrunk by a third in real terms over the past 14 years.
Prime Minister Rishi Sunak said the new offer was a \u201cfair deal\u201d for senior doctors and will be good news for patients.
This year's strike actions have put further pressure on Britain's under-funded and under-staffed National Health Service, leading to the postponement of more than 1 million hospital appointments. The disruption also cost the NHS some 1.4 billion pounds ($1.8 billion) in lost income and staff coverage, according to health executives.
Amanda Pritchard, chief executive of NHS England, said the progress in pay negotiations was welcome news, especially because demand for hospital care always surges in winter.
\u201cThis agreement is a critical first step, and we now need all parties to continue to work together to find a solution to remaining pay disputes as soon as possible,\" she said.
Government officials earlier reached pay deals with nurses and other health workers, but they are still negotiating with doctors in the early stages of their careers over pay.
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he is \u201cseriously looking at alternatives\u201d if he wins a second term.
Trump's comments drew rebuke from Democratic President Joe Biden 's campaign, which cast them as another \u201cextremist\u201d proposal from the GOP front-runner. And they rapidly moved to mobilize a response, including new advertising in battleground states contrasting Biden\u2019s efforts to lower drug costs with Trump\u2019s comments.
\u201cDonald Trump is campaigning on a threat to rip away health care from millions of Americans, so we\u2019re going to use every tool in our arsenal to make sure the American people know that lives are literally on the line next November,\u201d said Biden campaign communications director Michael Tyler.
The back-and-forth points to what could be a key issue in a general election rematch between Trump and Biden if both win their parties' nominations, as is widely expected.
Biden's team has long operated under the assumption that Trump would be the GOP nominee, given his commanding lead in the polls, and has stepped up efforts in recent weeks to cast his proposals as extreme and to paint him as a danger to democracy. Biden, in particular, has begun painting a vision of a catastrophic future if Trump wins \u2014 a strategy that could motivate lukewarm Democratic voters who may be driven more by a desire to stop Trump than to deliver a second term to Biden amid lingering concerns over high inflation, the direction of the country and his age.
Health care has generally been a better issue for Democrats than Republicans, who have largely abandoned efforts to repeal the Affordable Care Act in recent years.
And Biden's campaign quickly seized the opportunity. Beyond the new ads, the campaign will host a press call Tuesday with former House Speaker Nancy Pelosi and North Carolina Gov. Roy Cooper to highlight the potential impact of repealing the law, while state Democratic parties in swing states will host their own events.
\u201cDonald Trump\u2019s America is one where millions of people lose their health insurance and seniors and families across the country face exorbitant costs just to stay healthy. Those are the stakes next November,\u201d Biden-Harris 2024 spokesperson Ammar Moussa said in a statement.
Trump has not spent much time discussing health care as he has laid out an aggressive agenda for a potential second term that has focused on immigration crackdowns and mass deportations, as well as efforts to target political rivals.
But Trump weighed in on the issue Saturday morning on his Truth Social site.
\u201cThe cost of Obamacare is out of control, plus, it\u2019s not good Healthcare. I\u2019m seriously looking at alternatives,\u201d he wrote. \u201cWe had a couple of Republican Senators who campaigned for 6 years against it, and then raised their hands not to terminate it. It was a low point for the Republican Party, but we should never give up!\u201d
He was referring to July 2017, when the late Sen. John McCain, R-Ariz., blocked Trump\u2019s long effort to repeal the health care law, which has proven increasingly popular.
About 6 in 10 Americans say they have a favorable opinion of the health reform bill signed into law in 2010, known commonly as the Affordable Care Act or Obamacare, according to a KFF poll conducted in May 2023.
A recent ABC News/Ipsos poll found 37% of Americans trust Democrats to do a better job than Republicans on handling health care, versus about 1 in 5 \u2014 18% \u2014 who trust Republicans over Democrats on this issue. About one-third (34%) trust neither party.
Still, a June 2023 AP-NORC poll showed a minority of U.S. adults \u2014 44% \u2014 approving of how Biden was handling health care, with 53% disapproving. That included 69% of Democrats and 17% of Republicans \u2014 measurements in line with Biden\u2019s overall job approval.
Trump's comments came in response to a Wall Street Journal op-ed he shared highlighting concerns raised by Sens. Elizabeth Warren, D-Mass., and Mike Braun, R-Ind., that large insurance companies are using their pharmacies \u201cto evade federal requirements that limit the percentage of premium dollars spent on profits and administration, known as the Medical Loss Ratio (MLR), resulting in sky-high prescription drug costs and excessive corporate profits.\u201d
Biden's Health and Human Services Department says more than 40 million are insured through coverage related to provisions of the Affordable Care Act.
Moussa said Trump \u201cwould try to rip it away if he returns to power. He was one vote away from getting it done when he was president \u2014 and we should take him at his word that he\u2019ll try to do it again.\u201d
___ Colvin reported from New York. Linley Sanders contributed to this report.
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The document also contrasts Trump's stance with President Joe Biden's efforts to lower drug costs and maintain health care coverage, making it directly pertinent to the health topic." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2023/11/27/cf63b2eceac0de1f239558b5ebda45e0.json b/datasets/AP_news/raw_data/2023/11/27/cf63b2eceac0de1f239558b5ebda45e0.json new file mode 100644 index 0000000..4c8ffe6 --- /dev/null +++ b/datasets/AP_news/raw_data/2023/11/27/cf63b2eceac0de1f239558b5ebda45e0.json @@ -0,0 +1,218 @@ +{ + "altids": { + "itemid": "cf63b2eceac0de1f239558b5ebda45e0", + "etag": "cf63b2eceac0de1f239558b5ebda45e0_0a2aza0c0", + "friendlykey": "736324459821", + "referenceid": "PA--Pelvic-Exams-Restrictions-Pennsylvania" + }, + "version": 0, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2023-11-27T21:31:52Z", + "firstcreated": "2023-11-27T21:31:52Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "signals": [ + "newscontent" + ], + "title": "PA--Pelvic-Exams-Restrictions-Pennsylvania", + "headline": "Pennsylvania will require patient consent for pelvic exams by medical students", + "headline_extended": "A new Pennsylvania law will require doctors to get a patient\u2019s verbal and written consent before medical students can perform pelvic exams on someone who receives anesthesia", + "slugline": "BC-PA--Pelvic-Exams-Restrictions-Pennsylvania", + "description_summary": "A new Pennsylvania law will require doctors to get a patient\u2019s verbal and written consent before medical students can perform pelvic exams on someone who receives anesthesia. 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(AP) \u2014 A new Pennsylvania law will require doctors to get a patient's verbal and written consent before medical students can perform pelvic or rectal exams on someone who receives anesthesia.
At a press conference Monday, supporters touted the recently enacted legislation, which goes into effect in January.
Tracking how often medical students are asked to perform pelvic, rectal or prostate exams on anesthetized patients is difficult, but concern about the procedures has led to a broad national effort to require informed consent for the procedures. At least 20 states have similar measures, with Colorado advancing some of the most extensive legislation so far.
Often, patient paperwork contains broad consent for a range of procedures that might be medically necessary while someone is anesthetized. But the documents can also include consent for educational purposes, allowing students to conduct medically unnecessary exams as part of their training.
Some doctors have called the legislative effort governmental overreach that will diminish trust. Supporters say the laws increase transparency and protect medical students from being made to conduct exams without informed consent.
\u201cIf a coherent person declines a pelvic, prostate or rectal exam, one would not be performed. Their response would not be open to interpretation,\u201d said Rep. Liz Hanbidge, D-Montgomery, a primary sponsor of the Pennsylvania legislation. \u201cUnconscious persons should never be viewed as merely an object for learning.\u201d
South Philadelphia resident Keren Sofer approached her legislator in 2019 after she believed an exam was performed on her without consent.
\u201cEvery single person, every time I shared my experience, were shocked because they too thought that being treated with dignity, respect and transparency in a medical facility \u2014 and especially when under anesthesia \u2014 was a given,\u201d she said Monday.
The law will impose at least a $1,000 penalty for violations by health care providers. If a student in a training program conducts an exam without consent, the health care provider will be held liable, according to the legislation.
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Francis himself on Sunday revealed that he was suffering from the inflammation problem, explaining why he didn't keep his weekly window appointment to greet people in St. Peter's Square. The Vatican's press office director, Matteo Bruni, also said in a written statement on Monday that the inflammation was causing some respiratory difficulties, which are now improving. To aid his recovery, the pope is postponing some appointments this week but will keep others. Francis said on Sunday he will fly later this week to Dubai for the upcoming United Nations COP28 climate talks.", + "located": "ROME", + "datelinelocation": { + "city": "Rome", + "countrycode": "ITA", + "countryname": "Italy", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + 12.51133, + 41.89193 + ] + } + }, + "copyrightnotice": "Copyright 2023 The Associated Press. All rights reserved. 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Francis himself on Sunday revealed that he was suffering from the inflammation problem, explaining why he didn\u2019t keep his weekly window appointment to greet people in St. Peter\u2019s Square. Instead, he gave his blessing from the chapel of the hotel on Vatican grounds where he lives.
Vatican\u2019s press office director, Matteo Bruni, said in a written statement on Monday that the inflammation was causing some respiratory difficulties for Francis, whose 87th birthday is next month.
\"The condition of the pope is good and stationary, he doesn't have a fever, and the respiratory situation is in clear improvement,'' Bruni said. A CT scan, which the pope underwent on Saturday afternoon at a Rome hospital, ruled out pneumonia, Bruni added.
To aid the pope's recovery, \u201csome important commitments expected for the next days have been postponed so he can dedicate the time and desired energy\u201d to his recovery, the spokesman said.
Other appointments, \u201cof institutional character or easier to maintain given the current health conditions, have been maintained,\u201d Bruni added.
The spokesman didn't spell out which appointments were being put off. Francis on Monday morning received in a private, half-hour-long audience the president of Paraguay, Santiago Pe\u00f1a, at his residence instead of the Apostolic Palace.
In televised remarks on Sunday, Francis indicated he was going ahead with a three-day trip, beginning on Dec. 1, to the United Arab Emirates, to deliver a speech on climate change at the upcoming United Nations COP28 climate talks.
When he gave his blessing on Sunday, a bandage, holding in place a cannula for intravenous treatment, was clearly visible on his right hand.
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(AP) \u2014 A ransomware attack has prompted a health care chain that operates 30 hospitals in six states to divert patients from some of its emergency rooms to other hospitals while postponing certain elective procedures.
Ardent Health Services said it took its network offline after the Nov. 23 cyberattack, adding in a statement that it suspended user access to information technology applications such as software used to document patient care.
By Tuesday afternoon, more than half of Ardent's 25 emergency rooms had resumed accepting some patients by ambulance or by fully lifting their \u201cdivert\" status, Ardent spokesperson Will Roberts said. Divert status means hospitals have asked ambulances to take people needing emergency care to other nearby facilities. Roberts said hospitals nationwide have at times used divert status during flu season, COVID-19 surges, natural disasters and large trauma events.
The company said it could not yet confirm the extent of any compromised patient health or financial information. It reported the issue to law enforcement and retained third-party forensic and threat intelligence advisers, while working with cybersecurity specialists to restore IT functions as quickly as possible. There was no immediate timeline for resolving the problems.
Based in the Nashville, Tennessee, suburb of Brentwood, Ardent owns and operates 30 hospitals and more than 200 care sites with upwards of 1,400 aligned providers in Oklahoma, Texas, New Jersey, New Mexico, Idaho and Kansas.
Ardent said each hospital is still providing medical screenings and stabilizing care to patients arriving at emergency rooms.
In Amarillo, Texas, William Spell said he and his mother have had flu-like symptoms for days but couldn't make a doctor's appointment through an online patient portal because of the cyberattack.
\u201cWe are trying to figure out other options as to what to do next,\u201d said Spell, 34.
BSA Health System \u2013 the Ardent umbrella provider for Spell\u2019s clinic and other facilities in the city \u2013 said it was working to restore its patient portal and system for video doctors\u2019 visits. Spell said his doctor\u2019s office could not tell him how long the outage might last and recommended trying an urgent care clinic.
\u201cThat\u2019s just something we cannot do because urgent cares charge a lot of money just to walk through the door and be seen by a doctor,\u201d Spell said. \u201cThere\u2019s no way we can afford that.\u201d
Ardent says it is still seeing patients in its clinics and is contacting them if rescheduling is necessary.
Several hospitals in Albuquerque, New Mexico, within Ardent's Lovelace Health System have continued to divert some patients needing emergency care to other hospitals, Lovelace spokesperson Whitney Marquez said. They also rescheduled elective and other non-urgent surgeries.
In Topeka, Kansas, a hospital spokesperson confirmed the attack put the University of Kansas Health System-St. Francis on divert status. Meanwhile, the city\u2019s other hospital, Stormont Vail, said it increased weekend staffing after patient volume began growing Friday.
There was no immediate claim of responsibility for the attack. Ransomware criminals do not usually admit to an attack unless the victim refuses to pay.
\u201cThe attack against Ardent Health is both egregious and quickly becoming the norm,\u201d said analyst Allan Liska at the cybersecurity firm Recorded Future.
While some groups won\u2019t attack hospitals, \u201cthey are greatly outnumbered by those who will and with the number of ransomware groups growing every day, the percentage who won\u2019t attack hospitals is constantly decreasing,\u201d Liska said.
Even when health care providers don't pay, ransomware groups can sell patient data, Liska added.
The attacks also take a toll on hospitals around those that were targeted, said Dr. Christian Dameff, co-director of the Center for Healthcare Cybersecurity at the University of California, San Diego.
He described being in a \u201ccyber blast radius\u201d two years ago while working as an emergency room physician at a hospital near one that was attacked. He said patients waited longer for care and for beds if they needed to be admitted.
What is particularly problematic is when a targeted hospital provides specialized care, including for trauma and stroke patients. If they are lucky, another suitable hospital is nearby. \u201cBut in certain areas, especially rural and critical access areas, you can have a prolonged transport time because of diversions,\u201d said Dameff, who described the issue in a paper earlier this year in JAMA.
A recent global study by the cybersecurity firm Sophos found nearly two-thirds of health care organizations were hit by ransomware attacks in the year ending in March, double the rate from two years earlier but dipping slightly from 2022.
Increasingly, ransomware gangs steal data before activating data-scrambling malware that paralyzes networks. The threat of making stolen data public is used to extort payments. That data can also be sold online. Sophos found data theft occurred in one in three ransomware attacks on health care organizations.
Analyst Brett Callow at the cybersecurity firm Emsisoft said 25 U.S. health care systems with 290 hospitals were hit last year while this year the number is 36 with 128 hospitals. Not all hospitals within the systems may have been impacted, and not all equally, he said.
\"The fact that nobody appears to have yet died is partly due to luck,\u201d Callow added.
Most ransomware syndicates are run by Russian speakers based in former Soviet states, beyond the reach of U.S. law enforcement, though some \u201caffiliates\u201d who do the grunt work of infecting targets and negotiating ransoms live in the West.
___
Bleiberg reported from Dallas. Associated Press technology reporter Frank Bajak and writers Heather Hollingsworth in Mission, Kansas, and Susan Montoya Bryan in Albuquerque, New Mexico contributed to this report.
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The Tuesday report sets up a renewed push on the issue that sparked a House-Senate standoff in the 2023 legislative session. Republican Lt. Gov. Burt Jones appointed many committee members who oppose Georgia\u2019s certificate of need rules. A parallel House committee studying the issue has yet to issue a final report. That committee has heard testimony on expanding Medicaid, suggesting some lawmakers might be willing to abolish the permits in exchange for extending health care coverage to many poorer Georgia adults.", + "bylines": [ + { + "by": "By JEFF AMY", + "title": "Associated Press" + } + ], + "located": "ATLANTA", + "datelinelocation": { + "city": "Atlanta", + "countryareacode": "GA", + "countryareaname": "Georgia", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -84.38798, + 33.749 + ] + } + }, + "copyrightnotice": "Copyright 2023 The Associated Press. All rights reserved. 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The conclusion was little surprise after Republican Lt. Gov Burt Jones appointed many committee members who wanted a full or partial repeal of Georgia's certificate of need rules.
\u201cWhat we heard pretty consistently in our work around the state was that access to health care is being constricted by these existing laws,\u201d state Sen. Greg Dolezal, a Cumming Republican and Jones ally, said after the special committee adopted its final report on a 6-2 vote.
What happens in 2024 will depend most on what the state House is willing to do. A parallel House committee studying the issue has yet to submit a final report. The committee heard testimony last week on expanding Medicaid, suggesting some lawmakers might be willing to abolish the permits in exchange for extending health care coverage to many poorer Georgia adults who currently lack it. North Carolina lawmakers agreed to a deal to expand Medicaid in exchange for loosening permitting rules, which was discussed in the House meeting.
\u201cThey broached the topic, which we did not broach in our in our meetings,\u201d Dolezal said of expanding Medicaid. \u201cIt's something that I\u2019m not sure that there\u2019s an appetite for in the Senate, coupling those two things together.\u201d
Gov. Brian Kemp launched a narrower Medicaid expansion for low-income adults, requiring them to document 80 hours a month of work, volunteer activity, study or vocational rehabilitation. Fewer than 2,000 people had enrolled as of early October, raising questions about the effort's viability.
Certificates of need, in place in Georgia since the 1970s, require someone who wants to build a new health facility or offer new services to prove an expansion is needed. The permits are meant to prevent overspending that would increase health care costs.
Incumbent hospitals and health care providers often oppose new developments. Those who dislike the certificates say the law has outlived its usefulness because the government and insurers now seek to control costs by negotiating prices in advance. Instead, they say certificates prevent needed competition and prop up existing health care facilities\u2019 revenues.
While some states have repealed certificate-of-need laws, Georgia is among 34 states and the District of Columbia still using them.
The Georgia Hospital Association, a longtime defender of the law, made some suggestions to loosen the rules. The association said the state should still require permits for outpatient surgery centers, so other providers don't skim off a hospital's most profitable procedures and weaken its overall financial standing.
The Senate committee adopted recommendations for changes to the rules if lawmakers stop short of a full repeal. Among those are loosening the rules on surgery centers, dropping permit requirements for anything related to childbirth and newborn care, and letting new hospitals be built anywhere without certificates starting in 2025.
Much of this year's debate was centered on a Senate bill that would have ended permits for hospitals in counties with fewer than 50,000 residents. That measure was aimed at allowing a new hospital in Butts County, the lieutenant governor's home.
There, Marietta-based Wellstar Health System operates the county-owned Sylvan Grove Hospital. County commissioners say the 25-bed hospital doesn\u2019t provide enough services.
Wellstar has said a new 100-bed hospital would hurt both Sylvan Grove and its hospital in nearby Griffin.
The Atlanta Journal-Constitution reported a new hospital could be built on land that Bill Jones, Burt Jones\u2019 father, has purchased.
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(AP) \u2014 A customer has filed a lawsuit against the fast casual chain Chopt over a salad that she says contained a piece of the manager's finger.
The lawsuit filed Monday by Allison Cozzi of Greenwich, Connecticut, alleges that she bought a salad at a Chopt location in Mount Kisco, New York, on April 7, 2023, and realized while eating it that \u201cshe was chewing on a portion of a human finger that had been mixed in to, and made a part of, the salad.\u201d
According to the suit, a manager at the restaurant accidentally severed a piece of her left pointer finger while chopping arugula.
The manager went to the hospital but the contaminated arugula was served to customers including Cozzi, the lawsuit says.
Westchester County health department records show that Chopt was fined $900.
Cozzi said in the lawsuit that she suffered injuries including shock, panic attacks, migraine, cognitive impairment, nausea, dizziness, and neck and shoulder pain as a result of eating the contaminated salad.
She is seeking unspecified monetary damages.
An email seeking comment was sent to Chopt Creative Salad Co., a chain with more than 70 locations across the eastern United States.
Cozzi's attorney said Tuesday that she does not want to comment further.
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November 26, 2023.
Editorial: PAC\u2019s shenanigans another sign of political class\u2019 disrespect for law, Illinois
No one is ever going to brag about the effective oversight of campaign spending in Illinois. Campaign disclosure rules were written to be ineffective, and the Illinois State Board of Elections designed to be pretty much toothless.
But the board does do its job within the limits of its authority. The Chicago Tribune recently reported what can happen when it does.
Connected Democrats funded a political action committee \u2014 All for Justice \u2014 to elect two Democrats to the seven-member Illinois Supreme Court.
The PAC spent more than $7.3 million to put Justices Elizabeth Rochford and Mary Kay O\u2019Brien in office.
But it failed to disclose the millions it spent until nearly three months after the November 2022 general election.
As a consequence, the PAC faced substantial fines for its violations of state law.
The committee responded by transferring nearly $150,000 to another committee, the Chicago Independent Alliance.
The Tribune story reported that the committees have the same address as the Andreou & Casson law firm, which was founded by Luke Casson.
Who is Casson? State election records show he\u2019s the chairman and treasurer of All for Justice. He\u2019s further identified as counsel for Senate President Don Harmon and the political director of Oak Park\u2019s Democratic Party, \u201cHarmon\u2019s political base,\u201d according to the Tribune.
Casson was considerably less than forthcoming when contacted by the Tribune. His responses included, \u201cI didn\u2019t know,\u201d \u201cI had no knowledge (of the fines)\u201d and \u201cThat\u2019s none of your business.\u201d
Asked if he made the transfer to avoid what turned out to be a $99,500 fine for noncompliance, he said, \u201cIt wasn\u2019t. I just said we don\u2019t have any comment.\u201d
Campaign disclosure rules are intended to allow voters to find out who\u2019s backing whom in our costly election process.
All for Justice spent more than $7 million on behalf of two candidates, roughly a third of total campaign expenditures.
Spending on that level obviously contributed to the wins by Rochford and O\u2019Brien. Rochford collected 55 percent of the vote in her race while O\u2019Brien won narrowly with 51.1 percent.
The elections board isn\u2019t giving up on collecting the fine. It contends that administrative rules make PAC officers \u2014 in this case Casson \u2014 \u201cpersonally liable\u201d for payment.
People will just have to wait and see how that works out. But the transfer speaks volumes about the committee leaders\u2019 desire to follow the law.
Millions of dollars flowed into All for Justice from organized labor, lawyers and lawyer groups and Democratic politics. But Harmon, Casson\u2019s political buddy, was among the biggest donors, contributing $700,000 from campaign committees he controls.
Harmon declined to answer questions about the fine-dodging transfer. But he did issue a bold statement saying \u201call political committees\u201d have a \u201cresponsibility\u201d and \u201cduty\u201d to comply with the law.
Politics is, by its nature, a tough and sometimes dirty business. But the transfer ploy demonstrates a level of clever sleaze and evasion showing \u2014 once again \u2014 how little respect the political class has for both the law and the people of Illinois.
___
Chicago Sun-Times. November 27, 2023.
Editorial: Thousands of babies born prematurely in Illinois are part of a deadly national trend
A new report by the March of Dimes underscores the need for elected officials, government and the healthcare system to do more to save lives, especially Black women and babies.
263.
That\u2019s the number of women in Illinois who died during pregnancy or within one year of giving birth over a three-year period, according to a recent state report.
718.
That\u2019s the number of infants who died in Illinois in 2022, according to data released earlier this month by the U.S. Centers for Disease Control and Prevention. Nationwide, there were 20,538 deaths last year, a 3% increase over 2021 \u2014 the largest percentage increase in infant mortality in more than two decades.
If that\u2019s not enough evidence we are failing pregnant mothers and their babies, a new report by the March of Dimes offers still more sobering figures. The report gives Illinois a grade of D+ for the number of preterm births in 2022. Out of 128,315 births last year, 10.57% \u2014 or 12,139 babies \u2014 were born prematurely, putting our state\u2019s youngest residents and their mothers at risk for all sorts of health issues, not to mention premature death.
And these numbers continue to be even more alarming for women and babies of color, especially Black women and infants. The preterm birth rate for Black women in Illinois is 1.6 times higher than the rate among all other women, according to the March of Dimes report.
\u201cIt\u2019s unfortunate that we only see a modest improvement\u201d in pre-births nationally and locally, Elizabeth Oladeinde, director of maternal and child health for the March of Dimes\u2019 Chicago office, told us. \u201cWe know more work needs to be done.\u201d
A major reason Illinois received such low marks for preterm births: Too many pregnant women lack access to health care, Oladeinde said.
Hospitals closing in the Chicago area have made it harder for women, particularly women of color, to regularly see health providers throughout their pregnancy \u2014 a key way to keep pregnant women healthy, leading to far fewer preterm births. Other hospitals \u2014 Jackson Park Hospital and Medical Center, St. Bernard Hospital and Advocate South Suburban Hospital \u2014 have reduced or eliminated maternal health services, Oladeinde notes.
Too little access to health care
\u201cYou have these (health care) deserts, and lack of care for the population in and around that area,\u201d forcing women to travel farther distances, making it harder for them to get the regular care they need, she said. Another factor: the ongoing staffing shortage among nurses, midwives and other health care providers, Oladeinde adds.
There is some good news about how we\u2019re doing: Illinois is one of 37 states, along with the District of Columbia, that has extended Medicaid health insurance coverage to low-income women from 60 days to one year postpartum. And Illinois is one of 39 states, plus Washington, D.C., to have adopted the Medicaid expansion, which allows expectant mothers greater access to preventive care during pregnancy.
Also, the state is one of 44 that has a federally funded mortality review committee that analyzes each maternal death to better understand and address the causes. The state\u2019s most recent report on these deaths, which covered 2018 through 2020, concluded that 91% of pregnancy-related deaths might have been preventable, our WBEZ colleague Kristen Schorsch reported this month.
The March of Dimes\u2019 Oladeinde is right \u2014 \u201cwe are ahead of the game\u201d in these areas \u2014 but there is much more elected officials in Illinois and state government should be doing to improve the dismal numbers.
The state has said it will help pay for doula care, joining 11 states and D.C. that already reimburse non-medical companions who physically and emotionally support a woman throughout childbirth.
Another way the state can bring down the alarming number of mother and infant deaths is for the Illinois General Assembly to approve and Gov. J.B. Pritzker to sign a law that provides for paid family leave.
And the health care system \u2014 hospitals, licensing bodies, medical schools and others \u2014 should make tackling implicit bias a top priority by offering robust training and engaging in regular conversation about why some patients\u2019 health conditions routinely go undiagnosed or underdiagnosed. More awareness and action means more lives saved.
While the problem of preterm births and maternal and infant deaths may seem insurmountable, advocates like Oladeinde are right to remain optimistic.
\u201cWe have to keep moving ahead,\u201d she said. \u201cPreventing just one death is a win.\u201d
Saving women and babies\u2019 lives should be an easy goal to prioritize. Too many lives are depending on it.
___
Chicago Tribune. November 26, 2023.
Editorial: Wind farms in Lake Michigan make no economic sense. Springfield ought to sink that idea.
There\u2019s a bill floating around in Springfield that would establish a wind farm in the waters of Lake Michigan.
Residents in high-rises with lake views need not be alarmed. Nothing being envisioned poses a visual threat to their vistas. The turbines would go on the Far South Side, nearest to heavy industrial areas that aren\u2019t known for being picturesque.
The idea ought to be killed anyway for reasons having nothing to do with aesthetics. It\u2019s unneeded, prohibitively expensive and would be funded by hiking your electric bills, which already are considerably higher than they were a few years ago.
But let\u2019s start at the beginning.
Democratic state Sen. Robert Peters and state Rep. Marcus C. Evans Jr., both South Side lawmakers, last year introduced the measure, which would require the state to contract with the developers of the new wind power facility and have utilities charge customers accordingly. They argued the project, which would feature up to 12 turbines and generate up to 150 megawatts of power, would help the environment and also create jobs for the economically disadvantaged South Side.
The bill had some momentum in the spring session, passing the House on a convincing 85-21 vote. Ultimately, it stalled in the Senate.
So the General Assembly did what lawmakers do when they don\u2019t want to just say no to their colleagues. They passed a law requiring the Illinois Power Agency, the state body tasked with negotiating power procurement on behalf of utility customers, to study the issue along with several other energy projects wanting state help.
That report is due in March.
Lawmakers no doubt will wait for the IPA to weigh in before making any final decisions. But, unless they ignore economic rationality \u2014 something they\u2019ve been known to do, especially when it comes to energy policy \u2014 they will take a pass. The economics of offshore wind power, already poor when the bill surfaced, have grown considerably worse since then.
Consider that several major offshore wind projects planned in the Atlantic, off this nation\u2019s East Coast, have been deep-sixed or gone on life support in recent months. The problems are essentially the same in all cases. Costs have ballooned far higher than originally projected thanks to supply-chain snarls and sharply higher interest rates.
Danish wind power giant Orsted last month canceled two large developments planned off the southern coast of New Jersey, prompting Gov. Phil Murphy to accuse the company of breaking promises and jeopardizing its credibility.
Other planned projects off New York and Massachusetts either are tottering or returning to the drawing board.
In Massachusetts, developers of two massive wind farms have gone so far as to pay the state $108 million to free them of power-purchase contracts that had become financially infeasible. They intend to rebid with the state, at considerably higher prices.
There\u2019s a lot of debate right now about the future of wind power off the East Coast. Is the industry merely enduring a hiccup or are these issues killing Atlantic offshore wind in the cradle?
Most likely, wind farms in the Atlantic eventually will happen. The Biden administration is banking on substantial ocean development to meet its carbon goals. The Great Lakes are another story.
To date, there are no wind farms in the Midwestern portion of the Great Lakes. A relatively small 20-megawatt project proposed off Cleveland in Lake Erie is struggling to obtain financing and may need to be rethought.
There are simple reasons the oceans are a far better bet for siting wind power than the Great Lakes. First, saltwater doesn\u2019t freeze nearly as quickly as fresh water. Frozen lake waters add substantially to the cost of wind power and also hinder operations, making them potentially less efficient.
Then there\u2019s public acceptance. Oceanic wind farms can be located far enough out to sea that they can\u2019t be seen from the shore. That\u2019s not the case in Lake Michigan.
More generally in terms of energy policy, state lawmakers have resorted again and again over the past decade to promoting various clean-energy initiatives \u2014 typically in the form of electric-bill surcharges financing nuclear plant bailouts, utility-run energy efficiency programs, renewable energy, social equity in energy policy, etc. \u2014 that the last thing we need is yet another add-on to your monthly ComEd bill bankrolling something that provides so little bang for the buck.
The economics are so crummy that even some environmental groups oppose the bill. The Environmental Law & Policy Center in Chicago estimates the Lake Michigan project would require power prices of at least 20 cents per kilowatt-hour. Onshore wind power in Illinois is economic at prices more like 2 or 3 cents. That\u2019s quite the markup.
ELPC also believes, since the lake bed is held in public trust, that allowing it to be used for private gain potentially violates the law.
The economic development case for wind is poor as well. Wind power, once in operation, is a low employment industry. There are construction jobs, of course, but those are temporary. The industry\u2019s real job-creation engine is in manufacturing the turbines.
More practically, Illinois has lots of open land where more wind power can be installed far more cost effectively as the state strives to meet its ambitious clean-energy goals.
In Europe, where offshore wind has been a reality for years, domestic energy sources are less abundant, making the case for offshore wind more compelling.
Windmills in the lake are an idea whose time hasn\u2019t come. There\u2019s plenty of green-energy opportunity without messing with Lake Michigan.
END
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David Fuller\u2019s necrophilia was only discovered in 2020 after police used DNA to tie him to the 1987 slayings of two women and discovered videos of him having sex with the dead bodies of women and girls in the mortuaries at two hospitals in southeast England. The inquiry made 17 recommendations including that surveillance cameras be installed in the mortuary and that non-mortuary workers and contractors be accompanied with another staff member.", + "bylines": [ + { + "by": "By BRIAN MELLEY", + "title": "Associated Press" + } + ], + "located": "LONDON", + "datelinelocation": { + "city": "London", + "countrycode": "GBR", + "countryname": "United Kingdom", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -0.12574, + 51.50853 + ] + } + }, + "copyrightnotice": "Copyright 2023 The Associated Press. All rights reserved. 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David Fuller's necrophilia was uncovered in 2020 when police used DNA to tie him to the 1987 slayings of two women and also discovered millions of images of sexual abuse in his home. The images included videos of him having sex with the dead bodies of women and girls in the mortuaries at two hospitals where he worked in southeast England.
\u201cThe offenses that David Fuller committed were truly shocking,\u201d the 308-page inquiry report said. \u201cHowever, the failures of management, governance, regulation and processes, and a persistent lack of curiosity, all contributed to the creation of the environment in which he was able to offend.
\"This is not solely the story of a rogue electrical maintenance supervisor. David Fuller\u2019s victims and their relatives were repeatedly let down by those at all levels whose job it was to protect and care for them.\u201d
Fuller, 69, is serving a life sentence with no chance of release after pleading guilty to two counts of murder. He is serving a concurrent 12-year term after admitting dozens of instances of necrophilia that the prosecutor in the case said had never been seen on that scale before in a British court.
The inquiry was launched to find out how Fuller was able to get away with it for so long and to prevent such abuse from ever happening again.
Fuller, who had a criminal record as a burglar that he never disclosed in work papers, was hired at the now-closed Kent and Sussex Hospital two years after he killed Wendy Knell, 25, and Caroline Pierce, 20, in two separate attacks in the town of Tunbridge Wells in 1987. Those crimes wouldn't be solved for 33 years, after he moved on to work at the Tunbridge Wells Hospital, in Pembury.
Fuller committed 140 violations against the bodies of at least 101 girls and women \u2014 aged 9 to 100 \u2014 between 2005 and 2020, the inquiry found. There was time-stamped photographic or video evidence of each instance.
The inquiry led by Jonathan Michael, a former NHS chief executive, made 17 recommendations including that surveillance cameras be installed in the mortuary and post-mortem room, and that non-mortuary workers and contractors be accompanied to the mortuary with another staff member.
Miles Scott, who became chief executive of Maidstone and Tunbridge Wells NHS Trust in 2018, said the vast majority of the report's recommendations had been put in place and others would be accomplished soon. He said in a statement he was \u201cdeeply sorry for the pain and anguish\u201d of the families of Fuller\u2019s victims.
Fuller was brazen in committing his crimes, taking risks during working hours when other employees were in the mortuary, the report said. The inquiry said it could not determine how he had been able to carry out the abuse during working hours without being caught.
\u201cIt remains hard to believe not only that he took the risk of offending during normal mortuary working hours but that this was unnoticed by the mortuary staff who, we are told, were actually present in the department,\u201d the report said.
Fuller, who would occasionally have to perform maintenance on the refrigeration system in the mortuary, routinely entered the department \u2014 as many as 444 times in one year \u2014 without being properly questioned, the inquiry said.
Fuller said he selected his victims by viewing a logbook. He avoided those who died of an infection or something like COVID-19, the report said.
Family members of the victims who were interviewed by the inquiry but not identified in the report said they were stunned when they learned what had happened to their loved ones and discussed how difficult it had been to carry on afterwards.
One widower said he couldn't bring himself to tell his family members about it.
\u201cThe impact on my family has been non-existent, because they don\u2019t know,\" the man said. \"It\u2019s basically robbed me of 25 years of happy memories. \u2026 Anything that reminds me of my wife also reminds me of what David Fuller did to her.\u201d
Many questioned how Fuller was able to get away with it when surveillance cameras are so prevalent throughout Britain. Some said they had lost trust in the NHS leadership with at least one family member calling for the CEO to be sacked.
\u201cI know they\u2019re not alive, but they are vulnerable individuals,\u201d the daughter of one victim said. \"So why on earth is someone who\u2019s a subcontractor being allowed to go in and out of that building at all times a day without having some form of supervision? ... I find that an absolute disgraceful trust loss there.\u201d
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The Texas lawsuit is among the biggest challenges to abortion bans in the U.S. since Roe v. Wade was overturned last year. In July, several Texas women gave emotional testimony about carrying babies they knew would not survive and doctors unable to offer abortions despite their spiraling conditions.
A judge later ruled that Texas' ban was too restrictive for women with pregnancy complications, but that order was swiftly put on hold after the state appealed.
The decision now rests with Texas' highest court, and during arguments Tuesday, one justice on the all-Republican panel signaled concerns about potentially giving physicians too broad discretion to provide exceptions.
\u201cThis very well could open the door far more widely than you're acknowledging,\u201d Justice Jimmy Blacklock said.
A ruling from the court could take months.
The lawsuit does not seek to repeal Texas\u2019 abortion ban but to force more clarity on when exceptions are allowed under the law, which is one of the most restrictive in the U.S. Under the law in Texas, doctors who perform abortions risk life in prison and fines of up to $100,000.
Opponents say that has left some women with providers who are unwilling to even discuss terminating a pregnancy. Among those in the packed court gallery Tuesday were women who joined the lawsuit after being denied abortions, some of whom criticized justices for questioning whether women should instead sue physicians for failing to provide care.
\u201cThere was no point to sue my doctor who was already giving me the best care that our state offers. I think it falls back on the legislation,\" said Kimberly Manzano, who traveled to New Mexico in May for an abortion after doctors said her baby would not survive outside the womb.
Women across the U.S. have continued to file lawsuits challenging abortion restrictions that went into effect in Republican-led states after the Supreme Court overturned Roe last year. What has set the Texas case apart is that the women are believed to be the first in the U.S. to have sued a state and testify over being denied abortion following newly enacted bans.
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\u201cBeaches, parks, around schools -\u2013 lots of places had started these experiments and now, it\u2019s true, we\u2019re heading to a general rule to show our determination,\u201d he said.
Legislators also intend to outlaw single-use disposable e-cigarettes, with an initial vote on a draft law to ban them expected in the National Assembly next month.
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Francis, who turns 87 next month, was scheduled to leave Rome on Friday to address the COP28 meeting first thing Saturday morning. He also was supposed to inaugurate a faith pavilion Sunday on the sidelines of the conference before returning home.
The pope revealed Sunday that he had lung inflammation but said at the time that he still planned to go to Dubai, where he was to become the first pontiff to address a U.N. climate conference. Care for the environment has been a priority for Francis, and presidents and patriarchs alike have welcomed his moral leadership on the issue.
Until the announcement late Tuesday, all of the information from the Vatican indicated the trip would proceed. The Vatican spokesman held his traditional pre-trip briefing earlier in the day and fielded questions about Francis\u2019 planned bilateral meetings on the sidelines of the Dubai conference. The Vatican travel agency accepted payment for journalists to fly on the papal plane, and the Vatican press office finalized accreditation details.
The announcement marked the second time the pope\u2019s frail health had forced the cancellation of a foreign trip: He had to postpone a planned trip to Congo and South Sudan in 2022 because of knee inflammation, though he was able to make the journey earlier this year.
Vatican spokesman Matteo Bruni said Francis was improving from the flu and inflammation of his respiratory tract that had forced him to cancel his audiences Saturday. But \"the doctors have asked the pope not to make the trip planned for the coming days to Dubai.
\"Pope Francis accepted the doctors\u2019 request with great regret and the trip is therefore canceled,\" he added.
Francis had part of one lung removed as a young man and has seemed increasingly prone to respiratory problems. He has also had mobility problems from strained knee ligaments that have required him to use a cane or wheelchair.
Francis came down with the flu late last week. After cancelling his audiences Saturday \u2014 including with the visiting leader of Guinea Bissau \u2014 he went to the hospital for a CAT scan, and the Vatican said the test had ruled out pneumonia.
On Sunday, he skipped his traditional appearance at his studio window overlooking St. Peter's Square to avoid the cold. Instead, Francis gave the traditional noon blessing in a televised appearance from the chapel in the Vatican hotel where he lives and asked a priest to read his written daily reflections out loud.
He coughed and spoke in a whisper, and sported the cannula in which he was receiving antibiotics intravenously. Recruiting a substitute speaker was a first for this pope and recalled how St. John Paul II frequently had other prelates read his remarks in his final years as he battled the effects of Parkinson's disease.
People who saw Francis this week said his health was improving but he still spoke in a whisper.
In April, the pope spent three days at Rome's Gemelli hospital for what the Vatican said was bronchitis after he had trouble breathing. He was discharged after receiving intravenous antibiotics.
Francis spent 10 days at the same hospital in July 2021 following intestinal surgery for a bowel narrowing. He was readmitted in June of this year for an operation to repair an abdominal hernia and remove scarring from previous surgeries.
When asked about his health in a recent interview, Francis quipped in reply what has become his standard line \u2014 \u201cStill alive!\u201d
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Editorial: State Budget Committee keeps questions of Indiana Gaming Commission secret
As part of a new legislative effort to limit the rule-making authority of state agencies, departments critical to government operations justified their fee and penalty schedules before the State Budget Committee last week.
Given an opportunity to add more transparency on how such departments raise revenue through fee collections, Republican members of the committee curiously threw a shroud of suspicion over the Indiana Gaming Commission.
In the 2023 legislative session, lawmakers passed House Bill 1623, a measure requiring fee-imposing agencies to first win the State Budget Committee\u2019s approval of fee schedules. Without the go-ahead, state agencies will be unable to impose fines and penalties in the next calendar year.
Ten departments presented nearly 50 fees, ranging from penalties for animal-quarantine violations to licensure exam fees for teachers. The Indiana Gaming Commission, which oversees 12 casinos that raked in $2.5 billion from July 2021 through June 2022 and sent about $700 million of that total in taxes to the state, was not invited to the commission\u2019s Nov. 14 meeting.
\u201cThere were just some questions that haven\u2019t been answered that we\u2019ve asked, and so we feel we want those questions answered first before we move forward,\u201d Sen. Ryan Mishler, R-Mishawaka, said at the meeting.
The problem, according to members of the gaming commission, is that they weren\u2019t aware there were questions to be answered.
Republican State Budget Committee chair Jeff Thompson and Mishler sent their questions directly to the gaming commission three days after that meeting, Jennifer Reske, deputy director of the gaming commission, told The Journal Gazette Friday.
The gaming commission asked to be on the budget committee\u2019s October agenda for approval of its fees, but was told no agencies would testify.
\u201cAnd then when we saw we weren\u2019t on the meeting in November, we tried to work to figure out what additional information we needed to provide,\u201d Reske told The Journal Gazette. That inquiry wasn\u2019t made to the gaming commission until the end of last week, she said, despite Mishler\u2019s public pronouncement.
The Journal Gazette filed a public records request with the gaming commission for the Thompson-Mishler letter, but the agency was still processing our inquiry Tuesday.
Our requests for interviews with State Budget Committee members Rep. Jeff Thompson, R-Lizton, and Sen. Chris Garten, R-Charlestown, were declined.
\u201cSen. Garten is still doing his due diligence by reading through everything the (gaming commission) has proposed and combing through data,\u201d Garten\u2019s press secretary, Kellyn Harrison, said in an email Friday. \u201cTherefore, if you are interested in his questions, he encourages you to tune into the next State Budget Committee meeting.\u201d
We\u2019re planning on it. But the committee\u2019s December meeting has yet to be scheduled. Reske has heard it could be slated for the week before Christmas.
Indiana\u2019s gaming industry is a huge contributor to the state\u2019s bottom line. In fiscal year 2022, gaming and sports wagering generated $691.4 million in state taxes, according to the gaming commission.
As of June 30, 2022, gaming has added more than $16.6 billion in tax support since the Indiana Riverboat Gaming Act was passed in 1993.
That\u2019s revenue Indiana would likely never be able to replace. So why would Republican members of the budget committee put off approving the Indiana Gaming Commission\u2019s fee schedule?
They won\u2019t say, which is a slap in the face to Hoosiers who value government transparency.
___
Anderson Herald Bulletin. November 27, 2023.
Editorial: Different approach needed for teens and vaping
The prevalence of electronic-cigarette use or \u201cvaping\u201d among middle and high school students suggests that a different approach may be necessary to address this dangerous trend.
The 2023 National Youth Tobacco Survey results suggest a nearly 4% drop in e-cigarette usage among middle and high school students, which may seem like cause for celebration but still indicates that about 2.8 million middle and high school students are using tobacco products.
Intersect, which heads up the local Students Against Destructive Decisions chapter, has been advocating for a change in schools\u2019 approach to tobacco use.
Teens smoking, and now vaping, has been often treated as a behavioral issue rather than an addiction.
Often the punishment involves suspension from school for a period of time, which may very well put them in an environment where they have even more opportunities to engage in tobacco use.
Adults who are addicted to nicotine aren\u2019t punished. They\u2019re offered resources and encouragement to help them quit, and this is what youth need as well.
The National Youth Tobacco Survey was conducted by self-report, and we can almost certainly say that many more teens are using e-cigarettes while being untruthful when asked. It\u2019s not breaking news that teenagers will lie if they\u2019re afraid of getting in trouble.
E-cigarettes were initially marketed to smokers as a way to get a nicotine fix where smoking is prohibited, or as a safer alternative to cigarettes.
In fairness, vaping may be less dangerous than smoking, but that doesn\u2019t mean it\u2019s not a harmful addiction. Cigarettes are less dangerous than heroin, but that doesn\u2019t mean either is a good idea.
Parents and educators should provide students with facts and resources needed to quit tobacco products or avoid picking up the habit at all.
Relying on condemnation and punishment clearly didn\u2019t work with cigarette smoking, and it won\u2019t work with vaping.
___
Jeffersonville News and Tribune. November 24, 2023.
Editorial: Clear path needed on marijuana issue
The grass is greener in many of our neighboring states, but Indiana continues to stall when it comes to making progress on the issue.
On Nov. 7, Ohio voters chose to make recreational marijuana use legal in the state. Ohio is the 24th state to pass the grass for recreational use, joining Hoosier neighbors Illinois and Michigan. Earlier this year, Kentucky legalized medical marijuana.
Indiana is an outlier, even in the Midwest, when it comes to cannabis. According to the Marijuana Policy Project, Indiana is one of just 12 states without a medical marijuana law and one of 19 that still imposes jail time for simple possession of cannabis.
Gov. Eric Holcomb has said he won\u2019t act on the matter until the federal government legalizes pot. Our state legislature has failed to move the issue forward. Yet another legislative committee provided no recommendations on marijuana legalization during a meeting earlier this month. Unlike Ohio, Hoosier voters are limited in deciding on the issue since Indiana is one of 27 states where questions such as marijuana legalization can\u2019t appear on the ballot without the will of the state legislature.
Given that our state lawmakers have largely failed to come up with even basic guidance on pot legalization or medical marijuana, it\u2019s hard to imagine that Hoosiers will be seeing the issue on a ballot anytime soon.
But marijuana-related products such as CBD, Delta-8 and Delta-9 are legal in Indiana.
Indiana doesn\u2019t need the tax revenue from marijuana like Illinois and other states, yet having the additional revenue from marijuana couldn\u2019t hurt. Kentucky lost millions of dollars by refusing to legalize gambling. Instead, Kentuckians drove to places like Southern Indiana to spend their money at casinos. In 2023, Hoosiers are driving to Michigan and Illinois to spend money on a drug that\u2019s been shown to have few adverse effects on users and has been proved to have medicinal value.
Legalizing marijuana would also free up law enforcement, from street patrols to eradication efforts, to focus on serious crimes and problems. It could alleviate some of the strain on our courts, which are backed up enough due to delays caused by the pandemic.
The majority of Hoosiers are in favor of it. A 2022 Ball State University survey found that 85% of the 600 adults polled supported legalization of marijuana in some form. For recreational use, 56% were in favor of legalization.
But there are other sides to the issue, such as how employers would handle marijuana use for workers if it\u2019s legalized.
Lawmakers need to seek reliable input from experts and the Hoosiers they represent, and move forward on a firm path to deciding the issue. Seating another committee won\u2019t make a difference unless there\u2019s a strong will to resolve the matter, either for or against pot legalization.
END
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Mayo CEO Dr. Gianrico Farrugia says the idea is to blur the traditional lines between inpatient and outpatient care.", + "bylines": [ + { + "by": "By STEVE KARNOWSKI", + "title": "Associated Press" + } + ], + "located": "MINNEAPOLIS", + "datelinelocation": { + "city": "Minneapolis", + "countryareacode": "MN", + "countryareaname": "Minnesota", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -93.26384, + 44.97997 + ] + } + }, + "copyrightnotice": "Copyright 2023 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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The project is part of a Mayo strategy to transform both patient care and its campus in downtown Rochester, about 80 miles (130 kilometers) southeast of Minneapolis. This storied hospital is known for its patient care as well as scientific breakthroughs in cancer and gene therapies. It draws patients from around the world.
A key to it will be the creation of \u201cneighborhoods\u201d within the new facilities, where patients can go for all the services they need for their particular condition, such as cancer, without needing to be shuttled between various departments. Another component of that strategy will be integrating in-person and virtual visits, and taking advantage of artificial intelligence, including to accelerate the development of new cures.
The idea is to blur the traditional lines between inpatient and outpatient care, and between digital and in-person care, Dr. Gianrico Farrugia, Mayo's CEO, said in an interview. That requires rethinking how the buildings themselves are designed, he said.
\u201cThis is not about making a nicer facility,\" Farrugia said. \"This is making a place that will give a better outcome.\u201d
Announcing the project in a ceremony in Rochester Tuesday, Farrugia called it Mayo's biggest and most ambitious investment in a 160-year history of innovation. He said their vision is for more than just creating better spaces for patients and staff.
\u201cWe know that for overall health care transformation, indeed even for digital innovation to thrive in health care, we also need new types of health care buildings,\" he said at the ceremony attended by Gov. Tim Walz. \"Across the country we\u2019re providing 21st century care in 20th century buildings. It is simply, by far, not good enough.\u201d
Mayo will add five new buildings with 2.4 million square feet (223,000 square meters) of space as part of the project. They\u2019ll be designed so their spaces can be easily converted to new uses when needs change, such as from patient rooms to operating rooms.
Much of that space will be in two new clinical buildings at the center of campus. Each will have nine floors but they'll be as tall as a more conventional 16-story building, and they'll be designed strong enough so that more floors could be added in the future. Skyways and tunnels will connect the new facilities with existing buildings.
\u201cWe\u2019re not building buildings with the purpose of putting bricks and mortar together,\" Dr. Craig Daniels, the initiative leader, said at the ceremony. \"We make this investment to continue our mission, to serve the needs of our patients by being their source of hope and healing.\u201d
Mayo, an independent nonprofit, is funding the project with its own revenue sources as part of its long-term plans and will not ask for government money, Farrugia said in the interview. Most construction will begin in early 2024. Some facilities are expected to begin operating as early as 2028, with completion projected for 2030.
Farrugia said Mayo hopes the new facilities will \"serve as an example for what a global health care facility should look like.\u201d
Walz praised the plan, saying Mayo's investment will foster \u201cbold innovation\u201d that will extend \u201cworld-class health care to every corner of the globe.\u201d
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The snapshot statistic is considered one of the most important measures of the health of the U.S. population.", + "bylines": [ + { + "by": "By MIKE STOBBE", + "title": "AP Medical Writer" + } + ], + "located": "NEW YORK", + "datelinelocation": { + "city": "New York", + "countryareacode": "NY", + "countryareaname": "New York", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -74.00597, + 40.71427 + ] + } + }, + "copyrightnotice": "Copyright 2023 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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The 2022 rise was mainly due to the waning pandemic, Centers for Disease Control and Prevention researchers said Wednesday. But even with the large increase, U.S. life expectancy is only back to 77 years, 6 months \u2014 about what it was two decades ago.
Life expectancy is an estimate of the average number of years a baby born in a given year might expect to live, assuming the death rates at that time hold constant. The snapshot statistic is considered one of the most important measures of the health of the U.S. population. The 2022 calculations released Wednesday are provisional, and could change a little as the math is finalized.
For decades, U.S. life expectancy rose a little nearly every year. But about a decade ago, the trend flattened and even declined some years \u2014 a stall blamed largely on overdose deaths and suicides.
Then came the coronavirus, which has killed more than 1.1 million people in the U.S. since early 2020. The measure of American longevity plunged, dropping from 78 years, 10 months in 2019 to 77 years in 2020, and then to 76 years, 5 months in 2021.
\u201cWe basically have lost 20 years of gains,\u201d said the CDC\u2019s Elizabeth Arias.
A decline in COVID-19 deaths drove 2022\u2019s improvement.
In 2021, COVID was the nation's third leading cause of death (after heart disease and cancer). Last year, it fell to the fourth leading cause. With more than a month left in the current year, preliminary data suggests COVID-19 could end up being the ninth or 10th leading cause of death in 2023.
But the U.S. is battling other issues, including drug overdose deaths and suicides.
The number of U.S. suicides reached an all-time high last year, and the national suicide rate was the highest seen since 1941, according to a second CDC report released Wednesday.
Drug overdose deaths in the U.S. went up slightly last year after two big leaps at the beginning of the pandemic. And through the first six months of this year, the estimated overdose death toll continued to inch up.
U.S. life expectancy also continues to be lower than that of dozens of other countries. It also didn't rebound as quickly as it did in other places, including France, Italy, Spain and Sweden.
Steven Woolf, a mortality researcher at Virginia Commonwealth University, said he expects the U.S. to eventually get back to the pre-pandemic life expectancy.
But \u201cwhat I\u2019m trying to say is: That is not a great place to be,\u201d he added.
Some other highlights from the new report:
\u2014 Life expectancy increased for both men and women, and for every racial and ethnic group.
\u2014 The decline in COVID-19 deaths drove 84% of the increase in life expectancy. The next largest contributor was a decline in heart disease deaths, credited with about 4% of the increase. But experts note that heart disease deaths increased during COVID-19, and both factored into many pandemic-era deaths.
\u2014 Changes in life expectancy varied by race and ethnicity. Hispanic Americans and American Indians and Alaska Natives saw life expectancy rise more than two years in 2022. Black life expectancy rose more than 1 1/2 years. Asian American life expectancy rose one year and white life expectancy rose about 10 months.
But the changes are relative, because Hispanic Americans and Native Americans were hit harder at the beginning of COVID-19. Hispanic life expectancy dropped more than four years between 2019 and 2021, and Native American life expectancy fell more than six years.
\u201cA lot of the large increases in life expectancy are coming from the groups that suffered the most from COVID,\u201d said Mark Hayward, a University of Texas sociology professor who researches how different factors affect adult deaths. \u201cThey had more to rebound from.\u201d
___
The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute\u2019s Science and Educational Media Group. The AP is solely responsible for all content.
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The British star spoke to dozens of lawmakers and campaigners in the grand Speaker\u2019s House of Parliament on Wednesday. John set up his AIDS Foundation in 1992 and has helped raise millions of dollars to prevent HIV infections and reduce stigma. In the U.K., the charity recently led campaigns to extend a pilot government program to test people visiting hospitals\u2019 emergency rooms for HIV. The program has helped diagnose hundreds of new HIV cases. The Parliament reception for John came ahead of World AIDS Day, which takes place on Friday.", + "bylines": [ + { + "by": "By SYLVIA HUI", + "title": "Associated Press" + } + ], + "located": "LONDON", + "datelinelocation": { + "city": "London", + "countrycode": "GBR", + "countryname": "United Kingdom", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -0.12574, + 51.50853 + ] + } + }, + "copyrightnotice": "Copyright 2023 The Associated Press. All rights reserved. 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The British star spoke to dozens of lawmakers and campaigners in the grand Speaker\u2019s House of Parliament on Wednesday.
John set up his AIDS Foundation in 1992 and has helped raise millions of dollars to prevent HIV infections and reduce stigma.
\"This evening I was privileged to welcome Sir Elton John and acknowledge his exceptional contribution to the global fight against HIV and AIDS \u2014 personally and through the Elton John AIDS Foundation,\u201d Commons Speaker Lindsay Hoyle said on X, formerly Twitter.
\u201cHis work embodies the solidarity and kindness that defines our shared humanity,\" he added.
In the U.K., the charity recently led campaigns to extend a pilot government program to test people visiting hospitals' emergency rooms for HIV.
Under the program, which was recently introduced in London and other cities with a high prevalence of HIV cases, anyone 16 years old or older who has their blood tested in an emergency room will also get tested for HIV, Hepatitis B and Hepatitis C, unless they opt out of the testing.
John's charity has urged the government to expand the service, which officials say has been key in discovering hundreds of undetected cases of HIV.
\u201cRoutine HIV testing in emergency departments is especially good at finding people who would otherwise not receive a test, most often from marginalized communities who are being left behind in our progress on HIV,\" said Deborah Gold, chief executive of National Aids Trust.
On Wednesday health officials confirmed that the program will be scaled up to 46 more emergency departments, helping reach the estimated 4,500 people in England who could be living with undiagnosed HIV.
The Parliament reception for John came ahead of World AIDS Day, which takes place on Friday. The U.K. hopes to achieve zero HIV transmissions in England by 2030, in line with World Health Organization goals.
Earlier Wednesday, Prime Minister Rishi Sunak also paid tribute to John's AIDS Foundation, saying he was pleased its work was being celebrated in Parliament.
\u201cSir Elton has been a powerful voice for change in the U.K. and the world,\u201d Sunak told lawmakers. \u201cThrough the brilliant work of the AIDS Foundation he has raised awareness of the issue, reduced stigma and saved lives.\u201d
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UPDATES: to link audio. With AP Photos.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "EU-REL--Vatican-Pope", + "headline": "Pope Francis is still having trouble breathing due to lung inflammation, Vatican says", + "headline_extended": "The Vatican says Pope Francis is stable but is still having trouble breathing as a result of a lung inflammation that forced him to cancel a weekend trip to Dubai", + "slugline": "BC-EU-REL-Vatican-Pope, 4th Ld-Writethru", + "description_summary": "The Vatican says Pope Francis is stable but is still having trouble breathing as a result of a lung inflammation that forced him to cancel a weekend trip to Dubai. Francis told his general audience Wednesday morning that he still didn\u2019t feel well and that his voice was \u201cnot pretty.\u201d He coughed and spoke in a whisper in the few remarks he did deliver at the end of the gathering.Francis, who turns 87 next month and had part of one lung removed as a young man, was stable and no longer has a fever. But the Vatican spokesman says he is continuing his antibiotic regimen.", + "bylines": [ + { + "by": "By FRANCES D'EMILIO", + "title": "Associated Press" + } + ], + "located": "VATICAN CITY", + "datelinelocation": { + "city": "Vatican City", + "countrycode": "VAT", + "countryname": "Vatican City", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + 12.4533, + 41.90225 + ] + } + }, + "copyrightnotice": "Copyright 2023 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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reading of his weekly catechesis lesson and other remarks to aides, the Vatican said Wednesday.
Francis told his general audience Wednesday morning that he still didn't feel well and that his voice was \u201cnot pretty.\" He coughed and spoke in a whisper in the few remarks he did deliver at the end of the gathering.
Francis, who turns 87 next month and had part of one lung removed as a young man, no longer has a fever and is in stable condition but continues to receive antibiotics, Vatican spokesman Matteo Bruni said in an update later Wednesday.
\u201cThe lung inflammation associated with the respiratory difficulty remains,\u201d he said.
Francis came down with the flu late last week and canceled all his audiences Saturday for what he later revealed was a lung inflammation. The Vatican has said a CAT scan ruled out pneumonia, but Francis on Tuesday canceled his planned weekend trip to Dubai for the climate meeting after doctors recommended against it.
The pontiff, who has made caring for the environment a priority of his papacy, wants in some way to participate in the discussions in Dubai, according to the Holy See. It was unclear if Francis might read his address to the COP28 event by videoconference or take part in some other form.
The Vatican said the pope had acquiesced to the doctors\u2019 request \u201cwith great regret.\u201d
After asking an aide to read his catechism lesson, Francis did speak at the end of the audience to welcome the truce between Israel and Hamas. He said he hopes it continues \u201cso that all the hostages are released and access necessary to permit humanitarian aid\u201d to reach Gaza is provided.
\"They lack bread, water, the people are suffering,'' Francis said.
Francis also met with members of Celtic, a soccer team from Glasgow, Scotland, which has strong Catholic roots.
\u201cExcuse me, but with this cold, I cannot speak much, but I am better than yesterday,'' Francis told team members.
While he let a priest read his remarks, at the end, the pope praised the \u201dbeauty of playing together.\" The pontiff, an avid soccer fan from Argentina, told the players that he would greet them one by one.
And Francis seemed to enjoy a performance of visiting circus performers and posed for a group photo.
\u201cI want to say thanks for this moment of joy,'' Francis said, adding that the circus expresses the human dimension of \u201csimple joy,\u201d and asking the audience to applaud.
Francis was hospitalized earlier this year for three days for intravenous treatment with antibiotics of what the Vatican then said was bronchitis.
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Suryana has spent more than three decades living in the shadow of the power plant in northern Java, just 60 miles from Jakarta, Indonesia\u2019s most populous city. She and other villagers have watched as their loved ones suffered from coughing fits, itchy skin and other health problems that many believe are partly because of the ever-present smog.
Pollution is causing a rise in respiratory illnesses and deaths in northern Java, including Jakarta, experts say. Smog in the metropolis of 11.2 million people comes from a combination of the coal-fired plants, vehicle and motorcycle exhaust, trash burning and industries, and many in the city are demanding that the government take action.
Emissions from coal-fired power plants contribute to greenhouse gases that rise into the atmosphere and help heat the planet, a key focus of the United Nations climate conference, or COP28, which begins next week in Dubai.
Countries like Indonesia are struggling to balance rising demand to power industrialization with the need to cut carbon emissions and protect public health.
In 2010 Suryana watched as his sister-in-law died from lung problems. In 2019, the dirty air seemed to worsen his daughter's bout of tuberculosis.
\u201cWe\u2019ve clearly suffered an impact,\u201d he told The Associated Press.
Data gathered by IQAir, a Swiss air technology company, regularly ranks Jakarta as one of the most polluted cities in the world. Blue skies are a rare sight and the air often smells like petrol or heavy smoke. Normally healthy residents complain of itchy eyes and sore throats on days when pollution levels soar past levels considered safe by the World Health Organization and Indonesian government.
Air pollution potentially contributed to more than 10,000 deaths and 5,000 hospitalizations in Jakarta in 2019, according to research conducted by Vital Strategies, a global health public health nongovernmental organization that is headquartered in New York.
Pollution levels get and stay so high that it\u2019s not safe for people to do outdoor activities without risking short and long-term damage to their health, said Ginanjar Syuhada, a health analyst at Vital Strategies.
But not everyone is able to stay inside.
Misnar, a street vendor who spends his days working outdoors -- and like many Indonesians only uses one name \u2014 went to the hospital on September and spent days in a special air chamber to treat his pneumonia, which was worsened by routinely working outdoors in the polluted air, said Misnar\u2019s eldest daughter, Siti Nurzanah.
His doctor recommended that Misnar stay home after he left the hospital. But he makes his living selling items on the street. So his only option is to rely on face masks to help filter the dirty air he breathes.
\u201cI want my father to stay at home. My father is old, 63, the air is bad with his health condition,\u201d Nurzanah said.
Acute respiratory infections and pneumonia cases have been increasing, according to a spokesperson from Indonesia\u2019s Ministry of Health, who also recognized that Jakarta\u2019s air pollution has exceeded WHO safe limits.
Data from the Jakarta Health Agency show that the number of residents treated for pneumonia from January to August was more than double the same period the year before, at 9,192 cases.
The number of patients visiting Jakarta's Persahabatan Hospital, a national respiratory referral hospital, with acute respiratory infections and pneumonia from January to August likewise doubled.
The heavy smog takes a toll on the economy.
\u201cIf we calculate it in terms of economic value, it could potentially cause economic losses, from a health perspective, of around 40 trillion rupiah (more than $25.2 billion) a year,\u201d said Syuhada, the health analyst.
\u201cIt's working age people who suffer symptoms of prolonged coughs and colds,\u201d Feni Fitriani Taufik, a pulmonologist at Persahabatan Hospital told The Associated Press. \u201cThey used to have it for only three to five days. Now, after two or three weeks the cough still lingers.\"
Solving the pollution issue is complicated.
Emissions from burning coal, which is highly polluting but relatively cheap, contribute up to a third of Indonesia\u2019s air pollution according to Siti Nurbaya, Indonesia\u2019s Environmental and Forestry Minster. The country has pledged to cut emissions in coming decades, but it still provides most of Indonesia\u2019s energy needs.
Millions of vehicles and motorcycles spew emissions as workers commute to and within the city. The Indonesian government has called on residents to use public transportation and has given regulation and financial incentives to residents who want to shift from using gas or diesel-fueled vehicles to electric vehicles.
Public transport remains limited and electric vehicle uptake has been slow: Transportation Minister Budi Karya Sumadi at a national seminar in September said that there were 26,100 electric vehicles and 79,700 electric motorbikes currently operating in Indonesia in 2022\u2014 less than one percent of the over 17.2 million registered cars and 125.2 million motorbikes in Indonesia.
The government is pushing to have more than 530,000 electric vehicles on the road in Indonesia by 2030.
To make a real dent in the pollution, the government also needs to tighten regulations for emissions from factories and industries in and near Jakarta, according to research from Vital Strategies.
\u201cThey should. Because industry is contributing 30% to 40% of the air pollution in Jakarta, in addition to emissions from transportation,\u201d Syuhada said.
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Prime Minister Anthony Albanese issued the apology Wednesday on the 62nd anniversary of the drug being withdrawn from sale in the country. Thalidomide was available in 46 countries before being withdrawn because it caused birth defects, stillbirths and miscarriages. Doctors had assured pregnant women the drug was safe. But Albanese said there was no system for properly evaluating the safety of medicine and that just one dose of thalidomide was enough to cause devastating harm.", + "bylines": [ + { + "by": "By ROD McGUIRK", + "title": "Associated Press" + } + ], + "located": "CANBERRA, Australia", + "datelinelocation": { + "city": "Canberra", + "countrycode": "AUS", + "countryname": "Australia", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + 149.12807, + -35.28346 + ] + } + }, + "copyrightnotice": "Copyright 2023 The Associated Press. All rights reserved. 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Thalidomide, also sold under the brand names Contergan and Distaval, was available in 46 countries and caused birth defects, stillbirths and miscarriages.
Survivors with limb deformities and one with no limbs were in the House of Representatives gallery to hear Prime Minister Anthony Albanese\u2019s apology.
\u201cToday, on behalf of the people of Australia, our government and this Parliament offers a full unreserved and overdue apology to all thalidomide survivors, their families, loved ones, and carers,\u201d Albanese said.
\u201cThis apology takes in one of the darkest chapters in Australia\u2019s medical history,\u201d he added.
Doctors had assured pregnant women that the drug was safe.
\u201cThere was no system for properly evaluating the safety of medicines, and the terrible cruelty of thalidomide, is that far from being safe, just one dose was enough to cause devastating harm,\u201d Albanese said.
Trish Jackson, who has heart and lung problems as well as limb deformities caused by her mother taking the drug while pregnant, welcomed the apology.
\u201cAll those years of ... banging our heads against brick walls of politicians have finally paid off,\u201d Jackson told Australian Broadcasting Corp.
The apology was recommended in 2019 by a Senate inquiry into the support that was available to aging thalidomide survivors.
The government will fulfill another recommendation Thursday by opening a memorial in Canberra in recognition of thalidomide survivors and their families.
Australia established a support program in 2020 that is providing lifelong assistance to 148 survivors, and Albanese said his government was reopening the program to survivors who had yet to register.
Jackson said the support program needed to be simplified.
\u201cIt is so physically demanding to get anything back like for medications and stuff that ... a lot of survivors just don\u2019t bother because it\u2019s too hard for them to do it,\u201d Jackson said.
She said some doctors had never heard of thalidomide and did not understand survivors' problems.
\u201cIt\u2019s not just the missing limbs. There\u2019s so much internal damage as well,\u201d Jackson said. \u201cThalidomide\u2019s a drug that just keeps on giving us problems.\u201d
A class-action lawsuit by Australian and New Zealand thalidomide survivors against the drug\u2019s British distributor Diageo Scotland Ltd. was settled a decade ago for 89 million Australian dollars ($81 million).
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The parliament, which began its term this month, has made a point of reversing the ban in one of its first moves as it sets on changing various controversial or restrictive laws introduced by the conservative government.
Following a heated debate, lawmakers voted 268-118, with 50 abstentions, to guarantee state funding for IVF procedures, estimated at some 500 million zlotys ($125 million) a year.
An aide to President Andrzej Duda, who is an ally of the conservative government, suggested last week that Duda may not use his power of veto against the new law. However, Marcin Mastelerek stressed that the final decision was with the president.
State funding of IVF was introduced in 2013 by a liberal government led by Donald Tusk, but the conservative government of Law and Justice party banned it in 2016 in one of its first moves, saying the procedure involved destroying human embryos.
Some 22,000 children were born during the program\u2019s existence, according to Health Ministry figures. More than 100,000 children have been born through IVF since the procedure was first performed in Poland in 1987.
Wednesday's vote underlined the strength of the new centrist majority in parliament, following the Oct. 15 general election. A centrist Cabinet is expected to replace the conservative government next month.
A coalition of pro-European Union parties won a majority of seats in the vote and has embarked on reversing some of the laws they see as restrictive and which had at times created tensions between Warsaw and Brussels and led to the freezing of some of EU funds for Poland.
A new coalition government led by former prime minister and former EU top figure, Donald Tusk, is expected to be in place in mid-December, but Duda gave Law and Justice the first shot at forming the Cabinet because the party was the biggest single vote-getter in the election.
", + "textformat": "bx", + "links": [ + { + "href": "https://apnews.com/article/poland-vitro-fertilization-law-25000c217410ed59fa2cbed05fe66c57", + "rel": "canonical" + } + ], + "topics": { + "Health": { + "relevance_score": 5, + "reason": "The document discusses the reinstatement of government funding for in vitro fertilization (IVF) in Poland, which is directly related to health as it involves medical procedures and reproductive health. The document also provides context about the political changes that led to this decision, but the core focus remains on the health policy change regarding IVF. 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The Population Council announced Thursday that Kiara Health of Johannesburg will start making the silicone rings in the next few years, estimating that 1 million could be produced annually. The devices release a drug that helps prevent HIV infections and are authorized by nearly a dozen countries and the World Health Organization.
The nonprofit council owns the rights to the rings, which are now made by a Swedish company. About 500,00 rings are currently available to women in Africa at no cost, purchased by donors.
Ben Phillips, a spokesman at the U.N. AIDS agency, said the advantage of the ring is that it gives women the freedom to use it without anyone else\u2019s knowledge or consent.
\u201cFor women whose partners won\u2019t use a condom or allow them to take oral (preventive HIV) medicines, this gives them another option,\u201d he said.
HIV remains the leading cause of death among women of reproductive age in Africa and 60% of new infections are in women, according to figures from WHO.
The ring releases the drug dapivirine in slow doses over a month. It currently costs $12 to $16, but experts expect the price to drop once it is widely produced in Africa. Developers are also working on a version that will last up to three months, which should also lower the yearly cost.
WHO has recommended the ring be used as an additional tool for women at \u201csubstantial risk of HIV\u201d and regulators in more than a dozen African countries, including South Africa, Botswana, Malawi, Uganda and Zimbabwe have also given it the green light. WHO cited two advanced studies in its approval, saying the ring reduced women\u2019s chances of getting HIV by about a third, while other research has suggested the risk could be dropped by more than 50%.
Last year, activists charged the stage in a protest during last year's biggest AIDS meeting, calling on donors to buy the silicone rings for African women.
___
The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute\u2019s Science and Educational Media Group. The AP is solely responsible for all content.
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The report caused panic and forced tens of thousands to rely on bottled water.
The class-action lawsuit, which is expected to be served in the coming days, accuses the U.S. territory\u2019s Water and Power Authority and Seven Seas Water Corporation of improper monitoring and failing to provide safe water, among other things.
Andrew Smith, the public utility\u2019s CEO, condemned the lawsuit on Wednesday. He said the agency acted swiftly and transparently after the test results became available and that officials are still working to improve water quality in St. Croix.
\u201cWe \u2026 are disappointed that amidst these challenging circumstances, there are those who seek monetary gain by exploiting the evolving situation impacting the people of St. Croix,\u201d he said in a statement.
Seven Seas Water Corporation, a Florida-based company that runs a plant on St. Croix and provides water to the public utility for distribution, did not respond to a message seeking comment.
Lee J. Rohn, whose firm filed the lawsuit last week, said in an interview Wednesday that her clients have children whose blood tests show high levels of lead in their system.
\u201cIt would be narrow-minded at best to limit this to some idea that somebody is looking for monetary gain,\u201d she said. \u201cWhat people are looking for is justice.\u201d
The investigation into the state of tap water in St. Croix began in late September, following complaints of reddish-brown water on the island of more than 50,600 people. In late October, the local government announced that officials found high levels of lead and copper and warned people not to drink their tap water.
As testing continued, the governor of the U.S. Virgin Islands announced a state of emergency, with President Joe Biden doing the same earlier this month as residents in St. Croix received vouchers for bottled water.
However, experts contacted by The Associated Press have said the results could be false because the testing did not meet standards set by the U.S. Environmental Protection Agency.
Rohn, the attorney, dismissed that possibility, saying her clients have high levels of lead in their systems. She also criticized the government for announcing a couple of weeks ago that lead levels were low or undetectable at samples taken from various schools across St. Croix.
\u201cThere should be no levels of lead,\u201d she said. \u201cThe people can\u2019t drink their water. They can\u2019t bathe in their water. They can\u2019t cook with their water. They can\u2019t brush their teeth with their water, and they\u2019re being told by WAPA that they should spend money to fix their own plumbing.\u201d
Lead is a heavy metal that can damage a child\u2019s brain and nervous system, slow development and cause hearing and speech problems, according to the U.S. Centers for Disease Control and Prevention.
The lawsuit states that to make \u201cmatters worse, residents do not know how long they have been exposed to elevated levels of lead and copper in their water as WAPA has indicated that it only tests its water for these substances every three years.\u201d
The complaint seeks reimbursement for all expenses incurred by those affected and also replacement of all lead service lines at no cost to customers.
Rohn also criticized that taxpayer money was being used to fund vouchers for bottled water. She said there should be a better distribution method for safe drinking water given that some residents are elderly and unable to leave their home.
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(AP) \u2014 Nearly 95,000 gallons (360,000 liters) of sewage spilled in Laguna Beach on Wednesday, leading to the closure of more than 2 miles (3.2 km) of Southern California coastline to swimmers and surfers, health officials said.
The Orange County Health Care Agency\u2019s environmental division said the spill occurred following a break in a main sewer line.
The closure affects much of the coastline in the upscale beach city about 50 miles (80 km) southeast of Los Angeles.
\u201cThe affected bay water area will remain closed to ocean water-contact sports until the results of follow-up water quality monitoring meet acceptable standards,\u201d the agency said in a statement.
Officials didn't immediately say where exactly the break occurred.
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Christopher Luxon outlined 49 actions he said his conservative government intends to take in the next 100 days. He said Wednesday the first new law he planned to pass would narrow the central bank\u2019s mandate to focus purely on keeping inflation in check. Many of the actions he plans would repeal initiatives from the previous liberal government. His plan to repeal requirements for low nicotine levels in cigarettes, fewer retailers and a lifetime ban for youth were criticized as a setback for public health and a win for the tobacco industry.", + "bylines": [ + { + "by": "By NICK PERRY", + "title": "Associated Press" + } + ], + "located": "WELLINGTON, New Zealand", + "datelinelocation": { + "city": "Wellington", + "countrycode": "NZL", + "countryname": "New Zealand", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + 174.77557, + -41.28664 + ] + } + }, + "copyrightnotice": "Copyright 2023 The Associated Press. All rights reserved. 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Christopher Luxon outlined 49 actions he said his conservative government intended to take over the next three months.
The first new law he planned to pass would narrow the central bank's mandate to focus purely on keeping inflation in check, he said. That would change the Reserve Bank's current dual focus on low inflation and high employment.
Many of the actions in the 100-day plan involve repealing initiatives from the previous liberal government, which had been in office for six years. The new efforts include a plan to double renewable energy production.
Luxon said many of the measures were aimed at improving the economy.
Many of the plans are proving contentious, including the one to repeal tobacco restrictions approved last year by the previous government. Those included requirements for low nicotine levels in cigarettes, fewer retailers and a lifetime ban for youth.
Luxon's government has said that ending the tobacco restrictions \u2014 which were not due to take effect until next year \u2014 would bring in more tax dollars, although Luxon said Wednesday it wasn't a case of trading health for money.
\u201cWe are sticking with the status quo,\u201d Luxon said. \u201cWe are going to continue to drive smoking rates down across New Zealand under our government.\u201d
Critics say the plan is a setback for public health and a win for the tobacco industry.
Two education initiatives \u2014 one requiring schools to teach an hour of reading, writing and math each day, and another banning cellphone use \u2014 reflect a sentiment among some voters that schools have strayed from their primary mission.
Others plans around ethnicity, such as disbanding the M\u0101ori Health Authority, have been portrayed by Luxon's government as measures to treat all citizens equally but have been attacked by critics as being racist against Indigenous people.
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The train derailed Nov. 22 near Livingston, and residents who evacuated could only return to their homes that Thursday after the fire was extinguished. A CSX investigation found the derailment occurred after a wheel bearing on a train car failed. The lawsuit filed Wednesday said the derailment could have been prevented if CSX had monitored the train\u2019s wheel bearings more closely. CSX said it is reviewing the allegations.", + "bylines": [ + { + "by": "By REBECCA REYNOLDS", + "title": "Associated Press" + } + ], + "located": "LOUISVILLE, Ky.", + "datelinelocation": { + "city": "Louisville", + "countryareacode": "KY", + "countryareaname": "Kentucky", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -85.75941, + 38.25424 + ] + } + }, + "copyrightnotice": "Copyright 2023 The Associated Press. All rights reserved. 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(AP) \u2014 A lawsuit filed Wednesday in federal court alleges negligence by CSX Transportation caused a train derailment and ensuing chemical fire that forced residents of a small Kentucky town out of their homes for more than a day, including most of Thanksgiving.
The train derailed on Nov. 22 around 2:30 p.m. that Wednesday near the remote town of Livingston. Residents were advised to evacuate just a day before the Thanksgiving holiday and were only cleared to return to their homes that Thursday after the fire was put out.
An investigation by the railroad company found that the derailment occurred after a wheel bearing on a train car failed.
Morgan & Morgan filed the lawsuit seeking class-action status on behalf of the town\u2019s affected residents, saying the derailment could have been prevented if CSX had monitored the train\u2019s wheel bearings more closely and had placed trackside detectors that sound an alarm when wheel bearings overheat closer together.
\u201cBecause of CSX\u2019s alleged recklessness and negligence in monitoring the train\u2019s wheel bearings, they\u2019ve created a potentially deadly environment for all residents living in the surrounding area of Rockcastle County,\u201d Morgan & Morgan attorney Jean Martin said.
CSX said in a statement that it is reviewing the lawsuit's allegations and that it continues to support affected residents.
\u201cWe pride ourselves on being a safe railroad and in the rare occurrence of an incident like the one in Livingston, KY we respond quickly, prioritizing safety and supporting recovery of the community,\" the statement said.
Two of the 16 cars that derailed carried molten sulfur, which caught fire after the cars were breached. No other hazardous materials were released. The Federal Railroad Administration said an investigation is ongoing.
According to the Environmental Protection Agency website, sulfur dioxide can cause respiratory problems, depending on the concentration and length of exposure.
A spokesman for the railroad said Monday that crews were able to repair the tracks and trains resumed running through the area on Sunday. All 16 railcars involved in the derailment have been taken from the site, and crews removed the spilled chemical and 2,500 tons of impacted soil and replaced it with clean material, CSX said.
A CSX spokesman, Bryan Tucker, said no sulfur dioxide had been detected in the area since the fire was extinguished.
Tucker said the bearing that failed didn\u2019t get hot enough to trigger an alarm from the last one of the railroad\u2019s trackside detectors that the train passed, so the crew didn\u2019t get any warning before the derailment. A wheel bearing has to be at least 170 degrees hotter than the ambient temperature to trigger an alarm.
The train traveled about 21 miles (33 kilometers) after the last detector and was two miles (3 kilometers) away from the next one along the tracks. Across all of CSX\u2019s networks in the eastern United States, those detectors are an average of 14.9 miles (24 kilometers) apart, but on less-traveled tracks that don\u2019t include passenger traffic the detectors can be farther apart. Tucker said that was the case here.
Those trackside detectors that railroads rely on to help spot defects before they can cause derailments received a lot of attention earlier this year after an overheating wheel bearing caused a fiery derailment on a different railroad in eastern Ohio in February. In that Norfolk Southern derailment, the crew did get a warning but it didn\u2019t come soon enough for them to be able to stop the train before it derailed in East Palestine.
That derailment and several others since then have put the spotlight on railroad safety nationwide, but the reforms proposed afterward have largely stalled in Congress, and regulators have also made little progress.
The Kentucky lawsuit named two plaintiffs but seeks class-action status for all residents affected and asked the court for medical monitoring, injunctive and declaratory relief, punitive damages, damages related to emotional distress, loss of property value, and increased risks of future illness.
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He told an audience on Thursday that doctors recommended he cancel his planned visit to Dubai this weekend to avoid the quick changes in temperature that would be involved. Despite the illness, Francis had nine audiences on Thursday, suggesting he was still managing to carry a heavy workload. At the start of one meeting, he quipped: \u201cAs you can see, I\u2019m alive.\u201d Francis turns 87 in a few weeks. He had part of one lung removed as a young man. He came down with the flu last week and is on antibiotics.", + "located": "ROME", + "datelinelocation": { + "city": "Rome", + "countrycode": "ITA", + "countryname": "Italy", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + 12.51133, + 41.89193 + ] + } + }, + "copyrightnotice": "Copyright 2023 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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\u201cAs you can see, I\u2019m alive,\u201d Francis quipped at the start of an audience with participants of a symposium on health care ethics.
It was one of nine audiences Francis had scheduled for Thursday, suggesting he was still managing to carry a heavy workload despite his illness.
Francis, who turns 87 in a few weeks and had part of one lung removed as a young man, came down with the flu last week and is on antibiotics. On Tuesday, the Vatican announced he was cancelling his planned participation in the U.N. climate conference on doctors\u2019 orders.
\u201cThe reason is that it\u2019s very hot there, and you go from heat to air conditioning,\u201d Francis told the health care workers. \u201cThank God it wasn\u2019t pneumonia. It\u2019s a very acute, infectious bronchitis.\u201d
Previously the Vatican had said Francis was suffering from a lung inflammation and the flu. Francis had a previous case of acute bronchitis in the spring, when he was hospitalized for three days at Rome's Gemelli hospital so he could receive intravenous antibiotics.
The Vatican No. 2, Cardinal Pietro Parolin, said Thursday the Holy See was still trying to figure out how it would be represented at Dubai, where the U.N. climate conference, or COP 28, is underway. Parolin, the secretary of state, recalled that he had represented the Vatican at past U.N. climate conferences and could do the same in Dubai.
Francis was supposed to have left Rome on Friday, spoken at the conference Saturday, presided over the inauguration of a faith pavilion on the sidelines of the meeting Sunday and then returned to Rome. Parolin said doctors recommended against the trip \u201cto avoid any deterioration (in his condition) and so he can recover as soon as possible.\u201d
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This information is highly relevant to the topic of health as it provides insights into the Pope's medical condition and the healthcare decisions made for his well-being." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2023/11/30/1b80d5374bb8efe4521984e589b7b23e.json b/datasets/AP_news/raw_data/2023/11/30/1b80d5374bb8efe4521984e589b7b23e.json new file mode 100644 index 0000000..1c6dfd9 --- /dev/null +++ b/datasets/AP_news/raw_data/2023/11/30/1b80d5374bb8efe4521984e589b7b23e.json @@ -0,0 +1,219 @@ +{ + "altids": { + "itemid": "1b80d5374bb8efe4521984e589b7b23e", + "etag": "1b80d5374bb8efe4521984e589b7b23e_0a7aza0c0", + "friendlykey": "552485329628", + "referenceid": "EU--Britain-Slapping Therapy-Death" + }, + "version": 0, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2023-11-30T17:22:03Z", + "firstcreated": "2023-11-30T17:22:02Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "signals": [ + "newscontent" + ], + "title": "EU--Britain-Slapping Therapy-Death", + "headline": "Alternative healer faces manslaughter charge over woman's death at a UK slapping therapy workshop", + "headline_extended": "An alternative healer who advocates a technique known as \u201cslapping therapy\u201d has been charged over the death of a woman at one of his workshops in England", + "headline_seo": ",", + "slugline": "AP-EU-Britain-Slapping-Therapy-Death", + "description_summary": "An alternative healer who advocates a technique known as \u201cslapping therapy\u201d has been charged over the death of a woman at one of his workshops in England. Hongchi Xiao was charged with manslaughter by gross negligence in the October 2016 death of Danielle Carr-Gomm. He was detained after being extradited from Australia. California-based Xiao promotes paida lajin therapy, in which patients are slapped or slap themselves repeatedly. Carr-Gomm, who was 71, died while attending a workshop to help deal with her diabetes. Police said Xiao is due to appear in court in Salisbury, southwest England, on Friday.", + "located": "LONDON", + "datelinelocation": { + "city": "London", + "countrycode": "GBR", + "countryname": "United Kingdom", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -0.12574, + 51.50853 + ] + } + }, + "copyrightnotice": "Copyright 2023 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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Hongchi Xiao was charged with manslaughter by gross negligence in the October 2016 death of Danielle Carr-Gomm, Wiltshire Police said.
British police first sought to arrest Xiao in 2019. He was detained after being extradited from Australia.
Xiao promotes paida lajin therapy, in which patients are slapped or slap themselves repeatedly, ostensibly to release toxins from the body. Patients often end up with bruises or bleeding. The technique has its roots in Chinese medicine, but critics say it has no scientific basis.
Xiao, who is originally from China and runs the California-based Pailala Institute, has led paida lajin workshops around the world.
Carr-Gomm, 71, died at Cleeve House country hotel in western England while attending a workshop run by Xiao.
Carr-Gomm\u2019s son Matthew said after her death that she had sought \u201calternative methods of treating and dealing with her diabetes\u201d because she struggled to inject insulin due to a fear of needles.
\u201cI know she was desperate to try and cure herself of this disease,\u201d he said. \u201cShe always maintained a healthy lifestyle and was adamant that nothing would stop her from living a full life.\u201d
Police said Xiao, 60, is due to appear in court in Salisbury, southwest England, on Friday.
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These aspects are relevant to the topic of health, as they involve medical treatments and their implications on health and safety." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2023/11/30/45b4fdd21d7af3df474311b1cefa0576.json b/datasets/AP_news/raw_data/2023/11/30/45b4fdd21d7af3df474311b1cefa0576.json new file mode 100644 index 0000000..c816e59 --- /dev/null +++ b/datasets/AP_news/raw_data/2023/11/30/45b4fdd21d7af3df474311b1cefa0576.json @@ -0,0 +1,245 @@ +{ + "altids": { + "itemid": "45b4fdd21d7af3df474311b1cefa0576", + "etag": "45b4fdd21d7af3df474311b1cefa0576_0a7aza0c0", + "friendlykey": "660294591958", + "referenceid": "EU--Britain-Elton John" + }, + "version": 0, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2023-11-30T08:21:56Z", + "firstcreated": "2023-11-30T08:21:55Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "signals": [ + "newscontent" + ], + "title": "EU--Britain-Elton John", + "headline": "Elton John addresses Britain's Parliament, urging lawmakers to do more to fight HIV/AIDS", + "headline_extended": "Elton John has urged British lawmakers to do more to fight HIV and AIDS", + "slugline": "AP-EU--Britain-Elton John", + "description_summary": "Elton John has urged British lawmakers to do more to fight HIV and AIDS. He says the U.K. can be the first country in the world \u201cto defeat this awful virus.\u201d The British star spoke to dozens of lawmakers and campaigners in the grand Speaker\u2019s House of Parliament on Wednesday evening at an event honoring his dedication to fighting HIV. He told lawmakers: \u201cI implore you not to waste your allotted time as political leaders.\" John set up his AIDS Foundation in 1992 and has helped raise millions of dollars to prevent HIV infections and reduce stigma. The Parliament reception for John came ahead of World AIDS Day, which takes place on Friday.", + "bylines": [ + { + "by": "By SYLVIA HUI", + "title": "Associated Press" + } + ], + "located": "LONDON", + "datelinelocation": { + "city": "London", + "countrycode": "GBR", + "countryname": "United Kingdom", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -0.12574, + 51.50853 + ] + } + }, + "copyrightnotice": "Copyright 2023 The Associated Press. All rights reserved. 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The British star spoke to lawmakers and campaigners in the grand Speaker\u2019s House of Parliament on Wednesday evening at an event honoring his dedication to fighting HIV in the U.K. and beyond.
\"I implore you not to waste your allotted time as political leaders,\u201d John urged dozens of lawmakers packed into the ornate gold-trimmed room. \u201cTake action and push things a little further than might feel comfortable. And as you do, I can promise you this: I will be there with you.\"
John set up his AIDS Foundation in 1992 and has helped raise millions of dollars to prevent HIV infections and reduce stigma.
\"This evening I was privileged to welcome Sir Elton John and acknowledge his exceptional contribution to the global fight against HIV and AIDS \u2014 personally and through the Elton John AIDS Foundation,\u201d Commons Speaker Lindsay Hoyle said on X, formerly Twitter.
\u201cHis work embodies the solidarity and kindness that defines our shared humanity,\" he added.
John welcomed the \u201ctruly wonderful news\u201d that the U.K. government has decided to extend a pilot program to test people visiting hospital emergency rooms for HIV, which officials say has discovered hundreds of undetected cases of the virus.
Under the program, which was recently introduced in London and other cities with a high prevalence of HIV cases, anyone 16 years old or older who has their blood tested in an emergency room will also get tested for HIV, Hepatitis B and Hepatitis C, unless they opt out of the testing.
\u201cAutomatic testing gets to people earlier, which means less HIV transmission, less illness, less death and by the estimate of health economists, 50 million pounds ($63 million) saved for the NHS,\u201d Britain's health service, John said.
Health officials confirmed that the program would be scaled up to 46 more emergency departments across England, helping reach the estimated 4,500 people in England who could be living with undiagnosed HIV.
The Parliament reception for John came ahead of World AIDS Day, which takes place on Friday. The U.K. hopes to achieve zero HIV transmissions in England by 2030, in line with World Health Organization goals.
Earlier Wednesday, Prime Minister Rishi Sunak also paid tribute to John's AIDS Foundation, saying he was pleased its work was being celebrated in Parliament.
\u201cSir Elton has been a powerful voice for change in the U.K. and the world,\u201d Sunak told lawmakers. \u201cThrough the brilliant work of the AIDS Foundation he has raised awareness of the issue, reduced stigma and saved lives.\u201d
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November 27, 2023.
Editorial: Not too late for flu shot
It is not too late to get a flu shot.
The stress on the health care system by a very active flu season, persistent COVID-19 and an increase in RSV patients is palpable but the biggest concern is your health and well being.
While the Centers for Disease Control and Prevention says September and October are generally the best times to take the flu vaccine, it is not too late to get one now.
Here are the recommendations from the Centers for Disease Control for flu shots:
\u2014 CDC recommends a yearly flu vaccine as the first and most important step in protecting against flu viruses.
\u2014 While there are many different flu viruses, a flu vaccine protects against the viruses that research suggests will be most common.
\u2014 Flu vaccination can reduce flu illnesses, doctors\u2019 visits and missed work and school due to flu, as well as prevent flu-related hospitalizations.
\u2014 Everyone 6 months of age and older should get a flu vaccine every year before flu activity begins in their community.
\u2014 Vaccination of high-risk persons is especially important to decrease their risk of severe flu illness.
\u2014 People at high risk of serious flu complications include young children, pregnant women, people with chronic health conditions such as asthma, diabetes or heart and lung disease, and people 65 years and older.
\u2014 Vaccination also is important for health care workers and other people who live with or care for high-risk people to keep from spreading flu to them.
\u2014 Children younger than 6 months are at high risk of serious flu illness but are too young to be vaccinated. People who care for infants should be vaccinated instead.
Both for those who have and those who have not gotten the flu vaccine this season, the Centers for Disease Control and Prevention offers these recommendations to reduce your chances of getting sick and to manage your sickness if you do:
\u2014 Try to avoid close contact with sick people.
\u2014 While sick, limit contact with others as much as possible to keep from infecting them.
\u2014 If you are sick with flu-like illness, CDC recommends that you stay home for at least 24 hours after your fever is gone except to get medical care or for other necessities. (Your fever should be gone for 24 hours without the use of a fever-reducing medicine.)
\u2014 Cover your nose and mouth with a tissue when you cough or sneeze. Throw the tissue in the trash after you use it.
\u2014 Wash your hands often with soap and water. If soap and water are not available, use an alcohol-based hand rub.
\u2014 Avoid touching your eyes, nose and mouth. Germs spread this way.
\u2014 Clean and disinfect surfaces and objects that may be contaminated with germs such as the flu.
It should also be remembered that the hospital emergency room is not the first line of defense for battling the flu. A visit to a primary health care physician or after-hours clinic may be necessary if symptoms warrant but the emergency room should be reserved for emergencies. Fortunately, many of the same practices we used to help mitigate the spread of COVID-19 will also help prevent the spread of the flu \u2014 that is if we simply follow the guidelines. And while we\u2019re on the subject: COVID-19 hasn\u2019t gone away. Consider getting a vaccination against it along with your flu shot.
___
Brunswick News. November 27, 2023.
Editorial: Railroad proposal highlights Georgia\u2019s eminent domain weaknesses
One of Georgia\u2019s former and most outspoken state senators might have been right after all. Time will tell how accurate former state Sen. Jeff Chapman, R-Brunswick, was in his claim that legislation adopted by the state early in the new century regarding Georgia\u2019s eminent domain laws failed to go far enough in protecting private ownership of property.
Chapman, of course, is the Glynn County Tax Commissioner today, but before he left the senate for an unsuccessful run for governor, he warned that the state\u2019s revamped eminent domain law lacked strength. At the time, Chapman and others in the General Assembly were reacting to a wrestling match occurring in New London, Connecticut, over the condemnation of private land for what eventually will be a national museum for the U.S. Coast Guard on prime waterfront.
Today, it mimics a battle being waged in the Georgia upstate that pits private property owners against the Sandersville Railroad, a company that proposes to build a 4.5-mile spur that will connect a rock quarry to a CSX line. Landowners say they do not want a 200-foot wide swath cut through their property for a noisy train. Few can blame these rural property owners for desiring the peace and quiet that can be often found outside municipal areas.
The Sandersville Railroad says other industries in the area would likely use the rail service. There is also something to be said about limiting heavy truck traffic on the back roads and highways.
Still, it would be a matter of the government taking land for the benefit of a rock quarry that is owned and operated by a foreign company.
A hearing officer began taking testimony on Monday. He will eventually make a recommendation to the five-member Georgia Public Service Commission for consideration and a decision.
People should not be forced to give up or sell what they do not want to give up or sell. They also should not be forced to part with property for what the government considers a \u201cfair\u201d price, which they will have to do if condemned through the strong-arm legal powers of eminent domain.
END
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More than 600,000 people ultimately are expected to qualify, and roughly half will be automatically enrolled starting Friday. North Carolina elected officials agreed this year to accept Medicaid expansion as part of the federal Affordable Care Act established in 2010. The program will provide the government-funded health insurance to adults ages 19 to 64 who make too much money to receive traditional Medicaid, but generally not enough to qualify for subsidies that help pay for private health insurance. Medicaid coverage means they\u2019ll be able to get checkups and prescription drugs with little or no out-of-pocket expenses.", + "bylines": [ + { + "by": "By GARY D. 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(AP) \u2014 A decade after the federal government began offering expanded Medicaid coverage in states that opted to accept it, hundreds of thousands of adults in North Carolina are set to receive benefits, a development that boosters say will aid hospitals and local economies in addition to the long-term uninsured.
North Carolina elected officials agreed this year to expand Medicaid, which will provide the government-funded health insurance to adults ages 19 to 64 who make too much money to receive traditional Medicaid but generally not enough to benefit from public subsidies available for private health insurance. The federal government will pay 90% of the cost, as stipulated under the 2010 Affordable Care Act.
More than 600,000 North Carolinians are ultimately expected to qualify, with roughly half to be automatically enrolled as of Friday. That means they\u2019ll be able to get annual checkups, prescription drugs and other services with little or no out-of-pocket expenses.
Residents including Carrie McBane have been navigating the gap between earning too much to qualify for Medicaid and too little to afford private insurance for years. She's hopeful that expanded eligibility will revive the state's working class, especially in rural communities like her small mountain town of Sylva, located 290 miles (467 kilometers) west of Raleigh.
The 50-year-old had paid out-of-pocket to see several doctors who couldn't identify her debilitating illness, until one finally diagnosed her with Type 2 diabetes. By then, her organs were failing and she could barely work enough hours as a restaurant server to pay for insulin and her other new prescriptions. Her monthly income was still about $100 too high to qualify for Medicaid, she said.
\u201cIt's the worst feeling in the world, when you don't know what's happening with your body but you know something's terribly wrong and you've gotten zero help through the medical industry,\" McBane said. \u201cAnd as you get sicker, the bills pile up.\u201d
North Carolina's decision to opt into the expanded Medicaid program makes it the 40th state to do so. The District of Columbia also participates. Some states with Republican leaders have recently considered expansion after years of opposing it, primarily on the grounds that they worried federal policy would change and require states to pay a higher percentage of the expense. The 10 remaining states that don't participate are mostly Republican-controlled and are concentrated in the South and Midwest.
Expansion should help reduce the percentage of North Carolina\u2019s adults under age 65 who are considered uninsured. A 2022 report from the National Center for Health Statistics estimated North Carolina\u2019s uninsured population at 17.6%, significantly above the national average of 12.6%. The state currently has 2.9 million enrollees covered by some form of traditional Medicaid.
\u201cThis is a phenomenal moment for North Carolina and for North Carolinians,\u201d state Department of Health and Human Services Secretary Kody Kinsley said in an interview. \u201cAll that adds up to just the peace of mind, knowing that when they need health care, it\u2019s not going to drive them into debt.\u201d
Democratic Gov. Roy Cooper had pressed hard for expanding Medicaid since taking office in early 2017. But Republican legislative leaders weren\u2019t sold, saying they were suspicious about more government insurance and the chance Congress might cut its financial contribution.
They warmed to the idea in 2022, when the federal government offered a $1.8 billion bonus over two years if North Carolina signed on.
By March, the Republican-dominated General Assembly passed the legislation, and Cooper signed it into law. It stipulates that North Carolina hospitals cover the state\u2019s 10% share of expenses through increased assessments that began in November, DHHS said.
Participating in the Medicaid expansion and another federal program that North Carolina hospitals entered into under the new law should bring $8 billion in federal funds into the state annually, according to state officials. The money should help reimburse rural hospitals that treat high numbers of uninsured people. It may also generate economic benefits through the health care system.
To qualify for Medicaid under the new guidelines, a single person can make up to $20,120 annually in pretax income, while a household of four can make up to $41,400 for an adult to benefit.
McBane, who lives alone and has gone nearly 18 years without health insurance, is now searching for a job that will allow her to take care of her health while staying within the income range that will keep her in the program.
Many of her neighbors work fast food or construction jobs that don't cover health care, and they face stress and stigma whenever they have to visit a doctor, she explained. Much of western North Carolina exists in the Medicaid coverage gap, \u201cand its citizens are absolutely left behind,\u201d McBane said. She expects expansion will not only ease the financial burden on her community, but make many low-income residents feel more welcome in exam rooms.
The state has added social workers and better technology to review Medicaid eligibility for all enrollees now that a COVID-19 policy barring states from kicking anyone off Medicaid has ended. DHHS is also working with religious organizations, civic groups and other trusted local voices to get the word out to people newly qualified for publicly funded care, Kinsley said.
\u201cThey\u2019re working. They\u2019re taking care of their kids,\u201d he said. \u201cAnd so we\u2019re going to need to meet them where they are and use every tool we have to help them get connected to this important tool that they need for their health.\u201d
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Fauci, who served as the nation's top infectious disease expert before retiring last year, will sit for transcribed interviews in early January and a public hearing at a later date. It will be his first appearance before the Republican-controlled House.
The Select Subcommittee on the Coronavirus Pandemic first requested a sit-down with Fauci in February, but an agreement over the timing and details of the interviews was just reached with Fauci\u2019s attorneys earlier this month, according to a letter sent Thursday from the committee.
\"It is time for Dr. Fauci to confront the facts and address the numerous controversies that have arisen during and after the pandemic,\" Rep. Brad Wenstrup, the GOP chairman of the committee, said in a statement.
House Republicans have investigated whether Fauci or other U.S. government officials took part in any sort of cover-up about the origin of the deadly virus. Fauci, who served under both Republican and Democratic presidents, has repeatedly called the GOP criticism nonsense.
Wenstrup, who is also a longtime member of the House Intelligence Committee, has accused Fauci and U.S. intelligence of withholding key facts about its investigation into the coronavirus. Republicans on the committee last year issued a staff report arguing that there are \u201cindications\u201d that the virus may have been developed as a bioweapon inside China\u2019s Wuhan Institute of Virology.
That would contradict a U.S. intelligence community assessment released in unclassified form in August 2021 that said analysts do not believe the virus was a bioweapon, though it may have leaked in a lab accident.
Many scientists, including Fauci, who until December served as Biden\u2019s chief medical adviser, say they still believe the virus most likely emerged in nature and jumped from animals to humans, a well-documented phenomenon known as a spillover event. Virus researchers have not publicly identified any key new scientific evidence that might make the lab-leak hypothesis more likely.
But Republicans have accused Fauci of lying to Congress when he denied in May 2022 that the National Institutes of Health funded \u201cgain of function\u201d research \u2014 the practice of enhancing a virus in a lab to study its potential impact in the real world \u2014 at a virology lab in Wuhan. Sen. Ted Cruz, R-Texas, even urged Attorney General Merrick Garland to appoint a special prosecutor to investigate Fauci\u2019s statements.
___
Associated Press writers Amanda Seitz and Nomaan Merchant contributed to his report.
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November 29, 2023.
Editorial: Louisiana leading the way for once. Can U.S. follow the model?
Louisiana is hardly leading the nation in an arena of vital importance to every human, health care. But a Louisiana innovation is now being pushed by the White House as a way to tackle the dread disease of hepatitis C.
Francis Collins, former director of the National Institutes of Health and leader of a national initiative to eliminate hepatitis C, knows of the disease\u2019s ravages from personal experience. His brother-in-law died while awaiting a liver transplant.
Collins, a physician, wrote movingly in The New York Times about the tragedy of a disease that is curable, based on a pill regimen discovered in 2014. \u201cThese medications have cured about a million people in the United States,\u201d he wrote.
And, perhaps surprisingly to some, he cited Louisiana as a model for how to more widely distribute the life-saving drugs that can prevent 12,000 deaths a year in the United States.
\u201cThe (U.S.) plan includes an innovative approach to provide broad access to curative medications, modeled on a successful effort in Louisiana. Under this approach, sometimes known as the \u2018Netflix model,\u2019 a drug company or companies agree to provide full access to medications for a population in need in exchange for a set lump sum payment,\u201d Collins said. Doing this allowed our state government to purchase otherwise expensive drugs, which unfortunately in America\u2019s fragmented health care system can be blocked by bureaucracy and perverse profit incentives among providers.
A New Orleans physician, Rebekah Gee, headed the Louisiana health department that pushed the Netflix model.
It is good for pharmaceutical companies because Gee\u2019s plan locked in the market for a set period, in the original case five years, so the companies know they have a market for a drug formulation that might be superseded by new research \u2014 but might not.
And put bluntly, these good-enough drugs are better than none at all. The state desperately wants to curb high rates of hepatitis C in prisons and other settings where taxpayers are responsible for health care.
\u201cPeople treated for hepatitis C will avoid very expensive downstream medical needs for transplantation and cancer treatment,\u201d Collins argued. \u201cFurthermore, a cured person cannot pass it on to others; as a result, every case treated today means multiple cases averted in the future.\u201d
The program could save $18 billion over the next decade, with $13.3 billion of that savings accruing to the federal government, he said.
This should have bipartisan support, although there are many details to be worked out among agencies and interested parties. But a good sign is that one of the authors of a 2018 JAMA article backing the idea is Bill Cassidy, the Republican U.S. senator from Baton Rouge who is ranking member on the committee that oversees health and probably the most influential doctor in Congress.
Louisiana leads the way. We think that has a great ring to it.
END
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With AP Photos.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "US-MED--Cantaloupe-Salmonella", + "headline": "Don't eat pre-cut cantaloupe if the source is unknown, CDC says, as deadly salmonella outbreak grows", + "headline_extended": "U.S. health officials say consumers should not eat pre-cut cantaloupe if they don\u2019t know the source", + "slugline": "BC-US-MED--Cantaloupe-Salmonella, 1st Ld-Writethru", + "description_summary": "U.S. health officials say consumers should not eat pre-cut cantaloupe if they don\u2019t know the source. That comes as the number of illnesses and recalls tied to a deadly salmonella outbreak grows. At least 117 people in 34 states are sick after eating contaminated cantaloupe in the U.S. That tally includes 61 who were hospitalized and two who died. Another 63 illnesses, 17 hospitalizations and one death tied to the outbreak have been reported in Canada. Previous recalls of whole and pre-cut cantaloupes are expanding. Kwik Trip markets, Bix Produce and a distributor named GHGA are now involved. The distributor sent recalled products to Kroger, Sprouts Farmer\u2019s Markets and Trader Joe\u2019s stores.", + "bylines": [ + { + "by": "By JONEL ALECCIA", + "title": "AP Health Writer" + } + ], + "copyrightnotice": "Copyright 2023 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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At least 117 people in 34 U.S. states have been sickened by contaminated cantaloupe, including 61 who were hospitalized and two who died, according to the Centers for Disease Control and Prevention. Another 63 illnesses, 17 hospitalizations and one death tied to the same outbreak have been reported in Canada.
The illnesses are severe, with more than half of infected people hospitalized, including residents of long-term care centers and children in day care, the CDC said.
Previous recalls of whole and pre-cut cantaloupes have been expanded to include Kwik Trip markets, Bix Produce and distributor GHGA, which sent recalled products to Kroger, Sprouts Farmer's Markets and Trader Joe's stores in several states, according to the U.S. Food and Drug Administration.
Because of the scope of the recalls and potential uncertainty about the source of the cantaloupe, health officials warned consumers to be cautious.
\u201cIf you cannot tell if your cantaloupe, including pre-cut cantaloupe or products containing pre-cut cantaloupe is part of the recall, do not eat or use it and throw it away,\u201d the FDA said in a statement.
The number of people sickened is likely much higher than what's been reported, and the outbreak may not be limited to states with known illnesses. It typically takes three to four weeks to determine whether a sick person is part of an outbreak.
Most people infected with salmonella develop diarrhea, fever and stomach cramps within six hours to six days after consuming contaminated food. Illnesses typically last four to seven days. Vulnerable people, including children, people older than 65 and those with weakened immune systems may develop severe illnesses from the bacteria that require medical care or hospitalization.
__
The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute\u2019s Science and Educational Media Group. The AP is solely responsible for all content.
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He was contesting widespread criticisms about his leadership at a time when the country faced its biggest public health crisis in a century. Countering accusations of incompetence, Hancock said that he had started advocating for a U.K. lockdown around early March 2020 after speaking with his counterpart in Italy, the first country in Europe to see a huge first wave of COVID-19.", + "bylines": [ + { + "by": "By SYLVIA HUI", + "title": "Associated Press" + } + ], + "located": "LONDON", + "datelinelocation": { + "city": "London", + "countrycode": "GBR", + "countryname": "United Kingdom", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -0.12574, + 51.50853 + ] + } + }, + "copyrightnotice": "Copyright 2023 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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Matt Hancock, who played a key role in the U.K.\u2019s pandemic response as head of the health department, responded to questions from the inquiry's lawyer while contesting widespread criticisms about his leadership at a time when the country faced its biggest public health crisis in a century.
Hancock said he had started advocating for a lockdown that required most people to stay home in early March 2020 after speaking with his counterpart in Italy, the first country in Europe to see a cluster of coronavirus cases and the first outside of Asia to restrict people's movements to curb infections. Italy's national lockdown took effect on March 10, 2020.
Hancock argued that with hindsight, Britain's government should have enforced a lockdown at the beginning of that month, or about three weeks before then-Prime Minister Boris Johnson announced the move on March 23, 2020.
Acting more quickly would have meant that \u201cfewer than a tenth of the number of people would have died in the first wave\" of the pandemic, he said.
Hancock resigned as health secretary in June 2021 after apologizing for breaching social distancing rules by kissing a senior aide in an office at the Department of Health a month earlier, 11 days before lockdown rules were eased to allow hugs and other physical contact with people outside one\u2019s own household. Both Hancock and the aide were married to other people at the time.
The former Cabinet secretary, who remains a member of Parliament, said Thursday that he defended the government's actions at the beginning of the pandemic because the number of confirmed infections in the U.K. at the time was still very low \u2014 only 12 reported on March 1, he said \u2014 and there was still \u201cenormous uncertainty.\"
Almost four years after first COVID-19 cases emerged in China, the independent British inquiry is pouring over WhatsApp messages, phone records and diary entries of key government officials and questioning them to gather information about their political decision-making.
The U.K. had one of the world\u2019s deadliest outbreaks, with around 230,000 coronavirus-related deaths recorded, according to government statistics. Many bereaved families say decisions and actions by politicians at the time contributed to many unnecessary deaths.
A number of officials who gave evidence at the inquiry have accused Hancock of being \u201coveroptimistic\u201d and recalled concerns at the time about poor organization within the health department under him.
The inquiry heard that in one WhatsApp message, Mark Sedwill, the U.K.\u2019s most senior civil servant at the time, joked to Downing Street\u2019s permanent secretary that it was necessary to remove Hancock to \u201csave lives and protect the NHS (National Health Service).\"
Helen MacNamara, who served as deputy Cabinet secretary, said in her testimony that Hancock displayed \u201cnuclear levels\u201d of overconfidence and a pattern of reassuring colleagues the pandemic was being dealt with in ways that were not true.
Hancock maintained that he and his department repeatedly tried but failed to \u201cwake up\u201d the central government and warn of the coming crisis early in 2020.
\u201cFrom the middle of January, we were trying to effectively raise the alarm,\u201d he said. \u201cThis wasn\u2019t a problem that couldn\u2019t be addressed only from the health department. Non-pharmaceutical interventions cannot be put in place by a health department. The health department can\u2019t shut schools. It should have been grasped and led from the center of government earlier.\u201d
\u201cWe were on occasions blocked and at other times, I would say our concerns were not taken as seriously as they should have been until the very end of February,\u201d he added.
Officials also confirmed Thursday that former prime minister Johnson will give evidence for two days next week in the inquiry.
The former leader is scheduled to make a highly anticipated appearance next Wednesday and Thursday. Current Prime Minister Rishi Sunak, who was Treasury chief during the pandemic, also is expected to give evidence later in December.
The inquiry will not find any individual guilty, but is intended to learn lessons from how the country prepared for and coped with the crisis.
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But company leaders cautioned Thursday that a return on the deal they announced for drug developer ImmunoGen will take time to develop.
The company said it will pay $31.26 in cash for each ImmunoGen share. That amounts to a 95% premium on the stock's closing closing price Wednesday of $16.06.
The deal delivers Elahere, an ImmunoGen ovarian cancer treatment that AbbVie says could eventually reap billions of dollars in annual sales and drive long-term revenue growth. But in the near term, AbbVie expects the deal to be dilutive to its earnings until 2027.
U.S. regulators granted Elahere an accelerated approval last year, and the company is seeking a full approval from the Food and Drug Administration as well as expansion in other markets. It also plans to expand Elahere\u2019s use.
Elahere brought in $105.2 million in revenue in this year\u2019s third quarter, or nearly all of ImmunoGen\u2019s total sales.
AbbVie said the acquisition will speed up its entry into the market for treating solid tumors. Company leaders told analysts Thursday that Elahere made up the \u201cmost substantial component\u201d of the deal's value.
They expect sales of the treatment to grow, with a significant inflection starting early in the next decade.
AbbVie has been dealing this year with cheaper competition for its top seller, the autoimmune disease treatment Humira. The injectable biologic drug is used to treat rheumatoid arthritis, Crohn\u2019s disease and ulcerative colitis.
Humira brought in $21 billion in total revenue last year, or about 36% of AbbVie\u2019s total.
Humira also totaled more than $11 billion in revenue through the first nine months of this year. But its U.S. sales have slid about 31%.
AbbVie and ImmunoGen said Thursday that the boards of both companies have approved the transaction. It's expected to close in the middle of 2024. It still needs approval from ImmunoGen shareholders and regulators.
Shares of Waltham, Massachusetts.-based ImmunoGen Inc. soared more than 80% to top $29 in mid-morning trading Thursday. North Chicago, Illinois-based AbbVie Inc. stock was up 2% to $141.26 while broader indexes were mixed.
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It took eight years and the burgeoning #MeToo movement to spur them to go public and make a police report, and an additional five years for their attackers to plead guilty.
Now, as much as Schultz hopes there\u2019s a reckoning coming in gay and queer communities, too, it feels like they are the one shouldering the blame, not the attackers: for coming forward, for harming the men\u2019s reputations.
Instead of being able to focus on recovery, Schultz has been saddled with worries from other gay men that talking about sexual abuse in their community will hurt the fight for LBGTQ+ rights.
The pain of the assault and ensuing public attention and court proceedings have taken a huge toll.
\u201cIt is an exhausting and horrifying journey that I almost quit because it just takes way too much of a person,\u201d Schultz said in an interview with The Associated Press. \u201cAnd to any person who has pursued justice and quit along the way, I get it. The system is not built for us. The system is built to protect certain people.\u201d
As many as 95% of male sexual violations go unreported, according to research cited in a review of scientific literature about male victims of sexual assault, published in April in the journal Behavioral Sciences. Four of five men who reported assaults regretted doing so, saying that police were often unsympathetic and disinterested and that the process just added more trauma.
Men may fail to report sexual assault because of stigma, shame, guilt and embarrassment; fear of not being believed; privacy concerns; and worries that their sexual orientation or masculinity will be questioned, according to research cited in the article.
For gay men and other LGBTQ+ people, \u201ctheir friends and family may not be aware of how they identify. They\u2019re afraid that that this will tip people off, to disclose something they\u2019re not ready to disclose,\u201d said Scott Berkowitz, president of RAINN, the Rape, Abuse and Incest National Network. \u201cThere\u2019s in some places a disbelief that this really happens to LGBTQ people.\u201d
Prominent male sexual abuse and assault survivors have come forward in recent years, including actor Anthony Edwards, of \u201cER\u201d fame, who serves as the board chair and national spokesperson for the nonprofit 1in6 \u2014 so named because of research indicating that at least 1 in 6 men have experienced sexual abuse or assault.
A similar group, MaleSurvivor, formed in 1995, says it is committed to helping boys and men who have experienced sexual abuse.
And the National Women\u2019s Law Center, administrator of the Time\u2019s Up Legal Defense Fund, which provides legal assistance to survivors of workplace sexual harassment and abuse, also offers help to men. The fund helped pay Schultz\u2019s legal fees. Still, just 4% of the people who have sought its support since 2018, or about 200, identify as male.
\u201cWe have such strong and well-worn stereotypes and ideas about who is a survivor in this country, stereotypes that don\u2019t match reality,\u201d said Fatima Goss Graves, president and CEO of the National Women\u2019s Law Center. \"And men as a category don\u2019t meet that stereotype, even though all the research has shown us that at least 9% of sexual assault survivors are male.\u201d
__
This story includes discussion of sexual assault. If you or someone you know needs help, call the National Sexual Assault Hotline at 800-656-4673 or go to https://hotline.rainn.org.
__
Schultz, now 37, described a wrenching and maddening journey from assault, when they were 23, to adjudication and beyond.
Schultz was an aspiring opera singer and a graduate student at Houston\u2019s Rice University when they met David Daniels, a famous countertenor, and Scott Walters, a conductor, through the city\u2019s music circles. Schultz remembers admiring Daniels for being a \u201cproud gay man\u201d in a conservative art form.
The two invited Schultz to the closing of the Houston Grand Opera\u2019s \u201cXerxes,\u201d in which Daniels was starring, Schultz said. Later that night at a cast party, the couple invited Schultz to their apartment afterward, cautioning the young singer not to tell anyone, lest others get jealous.
Schultz was handed a drink and later woke up in an unfamiliar room, naked and bleeding. Shock and then fear set in.
\u201cWas I supposed to go to the police? Was I supposed to go to the hospital? Was I supposed to go home? The police didn\u2019t feel like a safe option. The hospital certainly didn\u2019t feel like a safe option. I went home and I stared at a wall,\u201d they said.
Schultz discussed the assault with relatives, friends and a therapist but didn\u2019t go public until 2018, when the #MeToo movement provided more comfort in making a report.
Daniels and Walters were arrested in 2019 and maintained the encounter with Schultz was consensual until, just as the two were going to trial on charges of first-degree aggravated sexual assault, they accepted a deal to plead guilty to sexual assault of an adult, a second-degree felony. Both were sentenced to eight years\u2019 probation and required to register as sex offenders.
The men still tell others in the opera community that they aren\u2019t guilty, Schultz said, and that the plea was just to avoid prison. Schultz saw others in the opera community rally around the attackers, and was criticized for besmirching the reputation of prominent gay men.
It hurts to see people place more value on their own friendship with the attackers than the hurt they\u2019ve caused.
\u201cYou\u2019re failing to recognize how they\u2019ve criminally impacted my life,\u201d Schultz said.
Ted Gideonse, an associate professor of teaching of health, society and behavior at the University of California, Irvine, public health program, noted that for gay and bisexual men, lines of consent have been historically muddy. That doesn\u2019t make it right.
The longtime illicit nature of sexual encounters between men meant that by necessity they had to be coded.
Gay men often gather in bars \u2013 spaces they feel safe to be themselves. But bars are a place that are already sexually heightened, said Gideonse, a researcher in medical and psychological anthropology.
\u201cThere is virtually no sort of admission that gay men or men who have sex with men have a completely different way of interacting around sex than heterosexuals do,\u201d Gideonse said.
Differences in what constitutes consent and predation, particularly for things like unwanted touching, are changing generationally, he said.
\u201cThe older men are much more like, \u2018Are you kidding, this is really typical stuff that no one has been bothered with before,\u2019 and the younger people saying, \u2018They just didn\u2019t tell you they were bothered,\u2019\u201d Gideonse said.
Schultz agrees there\u2019s a need for a discussion about consent within the gay community. In a recent essay in the Washington Blade, an LGBTQ online news magazine, Schultz spoke about the sexualization of young people, and the problems it creates.
\u201cAs young queer people, many of us are objectified and reduced to conquests by often older or more powerful peers,\u201d Schultz wrote. \u201cWe learn to believe that our primary value to many is sex rather than equal treatment and respect.\u201d
Just last month, the BBC published a report after a two-year investigation that uncovered stories alleging that Mike Jeffries, the former CEO of clothing retailer Abercrombie & Fitch, used a middleman to exploit young adult men for sex at events he hosted at his home in New York and at hotels in Paris, London and elsewhere.
A dozen men described events involving sex acts that were run for Jeffries and his partner, Matthew Smith, from 2009 to 2015. Jeffries stepped down from Abercrombie & Fitch in 2014.
Schultz hopes that it\u2019s a sign of things changing, and that allegations of men being abused are taken seriously.
After Schultz first told their own story, a man in his 60s heard it on the radio and realized he had been sexually assaulted in college, too.
\u201cHe wrote to me that he broke down crying at the breakfast table and for the first time started to understand what had happened to him when he was in college,\u201d Schultz said. \u201cAnd I think a lot of men push experiences away so they don\u2019t ever have to deal with them.\u201d
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With AP Photos.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "US--Biden-Family Planning Lawsuit", + "headline": "Court pauses federal policy allowing abortion clinic operators to get grants -- but only in Ohio", + "headline_extended": "An appeals court has paused enforcement of a federal government regulation that allows abortion providers to receive family planning grants \u2014 but only in Ohio", + "slugline": "AP-US--Biden-Family Planning Lawsuit, 2nd Ld-Writethru", + "description_summary": "An appeals court has paused enforcement of a federal government regulation that allows abortion providers to receive family planning grants \u2014 but only in Ohio. Since the 1980s, Republican presidential administrations have imposed rules keeping the providers from receiving the grants. Democratic administrations have allowed it. A dozen GOP state attorneys general challenged President Joe Biden's version of the rule. 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Since 1981, federal policy has changed several times regarding whether programs receiving family planning funds can provide abortions or refer patients to such services. Soon after President Joe Biden took office in 2021, the administration made rules to allow groups with abortion services to receive the funding again.
A dozen states with Republican attorneys general challenged the rule.
A U.S. District Court judge ruled last year that the Biden administration's version of the rules could remain in effect while the challenge moves through the court system.
A majority of the three-judge panel from the Cincinnati-based 6th U.S. Circuit Court of Appeals overruled that in a decision Thursday \u2014 but only as it applies to how the federal government distributes the grants in Ohio. In addition to allowing funding for entities that also provide abortions everywhere but Ohio, the court also left in place nationally another element that GOP attorneys general challenged: A requirement that grantees provide referrals to abortion providers if requested.
The majority judges \u2014 Joan Larsen and Amul Thapar, both nominated by Republican former President Donald Trump \u2014 said that Ohio was the only state that demonstrated it had suffered irreparable harm from the policy. The state health department said it was receiving 20% less in federal family planning funding under the current policy that it did under the regulation that was in place previously.
The judges said that's because when referrals were banned, Planned Parenthood of Greater Ohio did not apply for funding. When the referrals were again allowed, the group, which also provides abortions, returned. And when that happened, the award to the state's health department decreased by $1.8 million.
Ohio Attorney General Dave Yost said the result could be that the state\u2019s Planned Parenthood affiliate might need to make changes or risk losing funding.
A third judge, Karen Nelson Moore, who was nominated by former Democratic President Bill Clinton, dissented, saying her colleagues misunderstand the regulations.
The bigger case remains in the court system.
The abortion landscape has changed drastically since the lawsuit was initially filed. Last year, the U.S. Supreme Court overturned its landmark 1973 Roe v. Wade decision that established a nationwide right to abortion.
Since then, most Republican-controlled states, including most of those challenging the Biden administration policy, have enacted bans or strict limits.
Ohio adopted a ban on abortion after cardiac activity can be detected, about six weeks into pregnancy, which is often before women know they're pregnant. But a court blocked enforcement, and voters last month adopted an amendment to the state constitution enshrining the right to abortion.
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Safina Namukwaya gave birth to a boy and a girl on Wednesday via cesarean section at the hospital in the capital Kampala where she had been receiving in vitro fertilization treatment, said Arthur Matsiko, spokesman for the Women\u2019s Hospital International and Fertility Center.
\u201cShe's healthy. She's talking. She's walking around if they tell her to walk around the hospital,\u201d Matsiko said Friday, speaking of Namukwaya, who had a daughter at the same facility in 2020 following IVF treatment.
Namukwaya is the oldest woman to deliver a baby at the hospital, whose proprietor is a prominent gynecologist in the East African region. The hospital specializes in helping couples who struggle to have children.
Breakthroughs in research are improving success rates in IVF treatment. Notably, media reported that a 73-year-old woman in southern India gave birth to twin girls in 2019 after getting IVF care.
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The pharmaceutical company said it will focus instead on a once-daily version of the pill, danuglipron, instead of starting a late-stage study of the other version. Late-stage studies are usually the last and most expensive trials a drugmaker undertakes before seeking regulatory approval.
Obesity treatments are one of the hottest and more lucrative areas of medicine. Pfizer rivals Novo Nordisk and Eli Lilly already have injectable drugs on the market. But Novo and Pfizer are also trying to develop pill versions that would be easier for patients to take.
Pfizer said it saw patient discontinuation rates topping 50% across all doses in a mid-stage study of twice-daily danuglipron. That compares to about 40% for the placebo or fake drug.
The drugmaker also said side effects for the pills were mild but common. Up to 73% of patients experienced nausea and 47% dealt with vomiting.
Researchers did see statistically significant weight loss in adults with obesity but without type 2 diabetes. It ranged from nearly 7% to more than 11% in patients taking the pills.
By comparison, obese patients without diabetes lost about 18% of their weight compared to a placebo when taking taking Eli Lilly\u2019s Zepbound in late-stage research.
The Food and Drug Administration approved Zepbound for obesity last month.
Pfizer Chief Scientific Officer, Dr. Mikael Dolsten, said in a statement Friday that they believe a once-daily version of danuglipron could play an important role in treating obesity, and the company would focus on that.
A Pfizer spokeswoman said the company was conducting early-stage research on that version and expected to have results early next year.
Shares of New York-based Pfizer Inc. slipped nearly 5% to $28.98 in midmorning trading while broader indexes were mixed.
That drop continued a rough year for the drugmaker. Pfizer shares had already slid 40% before Friday.
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(AP) \u2014 A West Virginia coalition that helps support a network of anti-abortion pregnancy centers in the state is receiving $1 million in taxpayer dollars to distribute to organizations committed to encouraging people not to end their pregnancies.
The West Virginia Pregnancy Center Coalition has been selected to manage the new West Virginia Mothers and Babies Support Program, the state department of health and human resources announced this week.
Authorized by the GOP-dominated state Legislature and Republican Gov. Jim Justice earlier this year, officials said the program is intended to help support pregnant women and families following the passage of the state's near-total abortion ban in September 2022.
In a statement, West Virginia Pregnancy Center Coalition Executive Director Jenny Entsminger commended Justice and other state leaders for recognizing \u201cthe need of our state to support pregnant women and families with practical help as they seek to provide safe and loving care for West Virginia infants.\u201d
\u201cThis program will provide much-needed support to pregnant women and families with infants, and I am confident that the Pregnancy Center Coalition will do an excellent job of administering it,\u201d Justice said in a press release.
West Virginia State Health Officer Dr. Matthew Christiansen said the program will provide \u201cmedical care, parenting and life-skills education, financial assistance, baby supplies and other material assistance.\u201d
The grants under this program are available for anti-abortion pregnancy centers, maternity homes, adoption agencies and \u201clife-affirming social service organizations.\u201d
The law prohibits organizations from receiving funds that \u201cperform, prescribe, refer for, advocate for, or encourage abortion\u201d or affiliate with any organizations that do.
The announcement comes as Pennsylvania\u2019s new Democratic governor plans to end the state\u2019s three-decades-old contract with anti-abortion Real Alternatives, the first organization in the nation to secure significant state and federal subsidies to support anti-abortion counseling centers.
After the Supreme Court ended constitutional protections for abortion in 2022, state lawmakers mostly in predominantly red states have approved millions for organizations whose aim is to discourage women from seeking abortions, commonly called pregnancy resources or crisis pregnancy centers.
Often religiously affiliated, the anti-abortion centers are not licensed medical facilities and do not provide medical services such as pre- or post-natal care or other health care for uninsured women, unlike clinics that offer abortions \u2014 which are subject to strict government regulations and patient privacy laws. The centers do sometimes have nurses on staff or as volunteers.
As the West Virginia program's management agency, the West Virginia Pregnancy Center Coalition will be required by law to establish qualification requirements for organizations to receive funding, advertise the program and contract with organizations for services.
To qualify for funding, organizations must be nonprofits that provide training and annual evaluations for their employees and volunteers and maintain policies for child abuse reporting, as well as medical emergencies and client complaints.
The West Virginia Pregnancy Center Coalition will need to establish reporting requirements and an auditing procedure.
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While the primary focus is on the anti-abortion stance and the political context, the document also covers aspects of health services and support for pregnant women and families, which are relevant to the topic of health." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2023/12/01/4e286c1d1ad0af6d838a3fd22bf82287.json b/datasets/AP_news/raw_data/2023/12/01/4e286c1d1ad0af6d838a3fd22bf82287.json new file mode 100644 index 0000000..ba8759a --- /dev/null +++ b/datasets/AP_news/raw_data/2023/12/01/4e286c1d1ad0af6d838a3fd22bf82287.json @@ -0,0 +1,276 @@ +{ + "altids": { + "itemid": "4e286c1d1ad0af6d838a3fd22bf82287", + "etag": "4e286c1d1ad0af6d838a3fd22bf82287_0a6aza0c0", + "friendlykey": "589045654477", + "referenceid": "US--California-Mental Health Court" + }, + "version": 0, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2023-12-01T22:14:09Z", + "firstcreated": "2023-12-01T22:14:08Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "signals": [ + "newscontent" + ], + "title": "US--California-Mental Health Court", + "headline": "New California mental health court sees more than 100 petitions in first two months", + "headline_extended": "An alternative California mental health court has received more than 100 petitions after seven counties began the program in October", + "slugline": "AP-US--California-Mental Health Court", + "description_summary": "An alternative California mental health court has received more than 100 petitions after seven counties began the program in October. CARE Court was created by Democratic Gov. Gavin Newsom to address the homelessness crisis. The law enables family members and first responders to file a petition to fast-track people with untreated schizophrenia and other psychotic disorders into housing and medical care. Dr. Mark Ghaly is California's Health and Human Services secretary and he's optimistic of the early results. Los Angeles County kicked off its program Friday. The rest of the state has until December 2024 to implement the program.", + "bylines": [ + { + "by": "By TR\u00c2N NGUY\u1ec4N", + "title": "Associated Press" + } + ], + "located": "SACRAMENTO, Calif.", + "datelinelocation": { + "city": "Sacramento", + "countryareacode": "CA", + "countryareaname": "California", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -121.4944, + 38.58157 + ] + } + }, + "copyrightnotice": "Copyright 2023 The Associated Press. All rights reserved. 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(AP) \u2014 An alternative mental health court to compel treatment for people with severe mental illness has received more than 100 petitions since launching in seven California counties in October, state officials said Friday.
The state believes between 7,000 and 12,000 people statewide will eventually be eligible for \u201cCARE Court,\u201d which launched on a limited basis before Los Angeles County became the latest and largest county to start the program on Friday.
\u201cThis is exactly where we want to be,\u201d said Dr. Mark Ghaly, secretary of the California Health and Human Services Agency.
Ghaly told reporters he's optimistic about the early results and that the number of referrals reflects the small population eligible until now. Only those who are at least 18 years old and have schizophrenia or a related disorder would qualify. Severe depression, bipolar disorder and addiction by itself do not qualify.
\u201cWe\u2019re in good shape. We\u2019re providing the time to our local partners to create the ability to manage the referrals to make sure that they\u2019re doing all they can,\u201d Ghaly said at a news briefing Friday. \u201cIn many ways, we see the snowball, if you will, building up little by little.\u201d
The civil court process, created by Democratic Gov. Gavin Newsom, is part of a massive push to address the homelessness crisis in California. It empowers family members and first responders to file a petition on behalf of an adult they believe \u201cis unlikely to survive safely\u201d without supervision and whose condition is rapidly deteriorating. They also can file if an adult needs services and support to prevent relapse or deterioration that would likely result in \u201cgrave disability or serious harm\u201d to themselves or others.
A special civil court in each county reviews each petition to determine eligibility before asking the individual to participate in a voluntary plan that includes housing, medication, counseling and other social services. If all parties cannot agree to a voluntary plan, the statute says the court will order they work on a plan. Among the ongoing petitions, some have entered the court process and are working on creating their care plans, while other referrals are still being reviewed, Ghaly said. Some cases have also been dismissed, the Los Angeles Times reported.
Lawmakers hoped the program could get people with severe mental illnesses, many of whom are homeless, the help they need and off the streets. California is home to more than 171,000 homeless people \u2014 about 30% of the nation\u2019s homeless population. But critics worried the program will be ineffective and punitive because it could coerce people into treatment.
The administration didn't give specific data on the number of petitions submitted in each county. San Francisco, Orange, San Diego, Riverside, Stanislaus, Tuolumne and Glenn counties launched the court Oct. 1, with Los Angeles County beginning its program Friday. The rest of the state has until December 2024 to establish mental health courts.
Counties are trying different approaches to implementation. San Diego County is integrating CARE Court with its conservatorship system to help divert people off of conservatorships, while Orange County is moving the mental health court away from the typical courtrooms and into community spaces, Ghaly said.
\u201cI\u2019m pretty pleased with the level of engagement, the level of partnership, the level of, you know, belief and optimism that\u2019s growing in our counties,\u201d he said.
Representatives from Disability Rights California, a nonprofit that sued the state arguing the program would violate due process and equal protection rights under the state constitution, said CARE Court could result in unintended consequences.
\u201cWhile officials express optimism, the rushed implementation may overlook critical aspects of community engagement and careful consideration,\u201d said community organizer Vanessa Ramos said.
Newsom signed a law in October to expand the definition of \u201cgravely disabled\u201d to include people who are unable to provide themselves basic needs such as food and shelter due to an untreated mental illness or unhealthy drugs and alcohol use, which makes it easier for authorities to compel treatment.
Newsom is also pushing a plan to reform the state\u2019s mental health system. Newsom\u2019s proposal, which would overhaul how counties pay for mental and behavioral health programs and borrow $6.3 billion to pay for 10,000 new mental health treatment beds, will go before voters next March.
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With AP Photos. AP Audio.; AP Video.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "US--Sexual Assault-Male Victims-ABRIDGED", + "headline": "For a male sexual assault survivor, justice won in court does not equal healing", + "headline_extended": "Male survivors of sexual abuse and assault have long felt muzzled, but that might be starting to change as more victims emboldened by the MeToo movement come forward", + "slugline": "BC-US--Sexual Assault-Male Victims-ABRIDGED, 2nd Ld-Writethru", + "description_summary": "Male survivors of sexual abuse and assault have long felt muzzled, but that might be starting to change as more victims emboldened by the MeToo movement come forward. Renowned opera singer David Daniels and his husband recently pleaded guilty to sexually assaulting a singer who pressed the case for years. And a recent report by the BBC quoted several men saying the former CEO of Abercrombie & Fitch used a middleman to exploit them for sex. Advocates say there\u2019s an additional layer of trauma for male victims of sexual abuse, regardless of their sexual orientation.", + "bylines": [ + { + "by": "By JEFF McMILLAN", + "title": "Associated Press" + } + ], + "copyrightnotice": "Copyright 2023 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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It took eight years and the burgeoning #MeToo movement to spur them to go public and make a police report, and an additional five years for their attackers to plead guilty.
Now, as much as Schultz hopes there\u2019s a reckoning coming in gay and queer communities, too, it feels like they are the one shouldering the blame, not the attackers. Instead of being able to focus on recovery, Schultz has been saddled with worries from other gay men that talking about sexual abuse in their community will hurt the fight for LBGTQ+ rights.
The pain of the assault and ensuing public attention and court proceedings have taken a huge toll.
\u201cIt is an exhausting and horrifying journey that I almost quit because it just takes way too much of a person,\u201d Schultz said in an interview with The Associated Press. \u201cAnd to any person who has pursued justice and quit along the way, I get it. The system is not built for us. The system is built to protect certain people.\u201d
As many as 95% of male sexual violations go unreported, according to research cited in a review of scientific literature about male victims of sexual assault, published in April in the journal Behavioral Sciences. Four of five men who reported assaults regretted doing so, saying that police were often unsympathetic and disinterested and that the process just added more trauma.
Men may fail to report sexual assault because of stigma, shame, guilt and embarrassment; fear of not being believed; privacy concerns; and worries that their sexual orientation or masculinity will be questioned, according to research cited in the article.
Prominent male sexual abuse and assault survivors have come forward in recent years, including actor Anthony Edwards, of \u201cER\u201d fame, who serves as the board chair and national spokesperson for the nonprofit 1in6 \u2014 so named because of research indicating that at least 1 in 6 men have experienced sexual abuse or assault.
__
This story includes discussion of sexual assault. If you or someone you know needs help, call the National Sexual Assault Hotline at 800-656-4673 or go to https://hotline.rainn.org.
__
Schultz, now 37, described a wrenching and maddening journey from assault, when they were just 23, to adjudication and beyond.
Schultz was an aspiring opera singer and a graduate student at Houston\u2019s Rice University when they met David Daniels, a famous countertenor, and Scott Walters, a conductor, through the city\u2019s music circles. Schultz remembers admiring Daniels for being a \u201cproud gay man\u201d in a conservative art form.
The two invited Schultz to the closing of the Houston Grand Opera\u2019s \u201cXerxes,\u201d in which Daniels was starring, Schultz said. Later that night at a cast party, the couple invited Schultz to their apartment afterward, cautioning the young singer not to tell anyone, lest others get jealous.
Schultz was handed a drink and later woke up in an unfamiliar room, naked and bleeding. Shock and then fear set in.
Schultz discussed the assault with relatives, friends and a therapist but didn\u2019t go public until 2018, when the #MeToo movement provided more comfort in making a report.
Daniels and Walters were arrested in 2019 and maintained the encounter with Schultz was consensual until, just as the two were going to trial on charges of first-degree aggravated sexual assault, they accepted a deal to plead guilty to sexual assault of an adult, a second-degree felony. Both were sentenced to eight years\u2019 probation and required to register as sex offenders.
The men still tell others in the opera community that they aren\u2019t guilty, Schultz said, and that the plea was just to avoid prison. Schultz saw others in the opera community rally around the attackers, and was criticized for besmirching the reputation of prominent gay men.
Ted Gideonse, an associate professor of teaching of health, society and behavior at the University of California, Irvine, public health program, noted that for gay and bisexual men, lines of consent have been historically muddy. That doesn\u2019t make it right. The longtime illicit nature of sexual encounters between men meant that by necessity they had to be coded.
Schultz sees some signs of things changing for men who report abuse.
Just last month, the BBC published a report after a two-year investigation that uncovered stories alleging that Mike Jeffries, the former CEO of clothing retailer Abercrombie & Fitch, used a middleman to exploit young adult men for sex at events he hosted at his home in New York and at hotels in Paris, London and elsewhere.
A dozen men described events involving sex acts that were run for Jeffries and his partner, Matthew Smith, from 2009 to 2015. Jeffries stepped down from Abercrombie & Fitch in 2014.
After Schultz first told their own story, a man in his 60s heard it on the radio and realized he had been sexually assaulted in college, too.
\u201cHe wrote to me that he broke down crying at the breakfast table and for the first time started to understand what had happened to him when he was in college,\u201d Schultz said. \u201cAnd I think a lot of men push experiences away so they don\u2019t ever have to deal with them.\u201d
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(AP) \u2014 Tennessee's decades-old aggravated prostitution statute violates the Americans with Disabilities Act, the U.S. Department of Justice announced Friday after an investigation, warning that the state could face a lawsuit if officials don't immediately cease enforcement.
Tennessee is the only state in the United States that imposes a lifetime registration as a \u201cviolent sex offender\u201d if convicted of engaging in sex work while living with HIV, regardless of whether the person knew they could transmit the disease.
LGBTQ+ and civil rights advocates have long criticized the measure as discriminatory, making it almost impossible to find housing and employment due to the restrictions for violent sex offenders. Earlier this year, the American Civil Liberties Union and the Transgender Law Center filed a lawsuit seeking to overturn the law in federal court.
The department's findings on Friday are separate from the ongoing lawsuit.
The department is calling on the state to not only stop enforcing the law, but also remove those convicted under the statute from the sex offender registry and expunge their convictions. The agency also says Gov. Bill Lee should introduce legislation to repeal the law.
The ADA is the landmark 1990 federal law prevents discrimination against disabled people on everything from employment to parking to voting. HIV and AIDS are considered disabilities under the ADA because they substantially hinder life activities.
\u201cTennessee\u2019s aggravated prostitution law is outdated, has no basis in science, discourages testing and further marginalizes people living with HIV,\u201d said Assistant Attorney General Kristen Clarke, with the Justice Department\u2019s Civil Rights Division, in a statement. \u201cPeople living with HIV should not be treated as violent sex offenders for the rest of their lives solely because of their HIV status.\u201d
The department's letter was addressed specifically to Attorney General Jonathan Skrmetti, Tennessee Bureau of Investigation Director David Rausch and Shelby County District Attorney Steven Mulroy.
Shelby County, which encompasses Memphis, was named because DOJ said it's where the law has been \u201cenforced most frequently.\u201d
Through a spokesperson, Mulroy noted that the allegations stem from cases handled before he took office in September 2022. Mulroy said he agrees with the Justice Department\u2019s findings and his office is fully cooperating.
\u201cWe are aware of the DOJ\u2019s findings, will give them appropriate consideration, and look forward to finding out more about DOJ\u2019s apparent cooperation with local activist organizations and private litigants related to this matter,\u201d Brandon James Smith, Skrmetti's chief of staff, said in a statement.
A spokesperson for Skrmetti did not immediately respond to an email requesting comment.
Prostitution has long been criminalized as a misdemeanor in Tennessee. However, in 1991 \u2014 as the AIDS epidemic provoked panic and prevalent misinformation over prevention \u2014 Tennessee lawmakers enacted an aggravated prostitution statute, which was a felony and applied only to sex workers living with HIV. The law was later reclassified in 2010 as a \u201cviolent sexual offense,\u201d requiring those convicted to face lifetime sex offender registration.
Court documents state that more than 80 people are registered for aggravated prostitution in Tennessee.
The DOJ letter details several of the struggles of those with aggravated prostitution convictions. A lifetime sex offender registration can stop people from visiting with their grandchildren, revoke job offers, and severely limit housing options. One person shared that they were barred from taking a course to get a general education diploma because children might be present in the building.
Plaintiffs who had filed a lawsuit seeking to block the aggravated prostitution law in October said the DOJ's letter only further supports their efforts.
The lawsuit was brought by four unidentified people and OUTMemphis, a nonprofit that serves LGBTQ+ people.
\u201cOUTMemphis welcomes the DOJ\u2019s findings that, through its outdated and punitive aggravated prostitution law, Tennessee is discriminating against people living with HIV,\" said Molly Quinn, executive director, OUTMemphis, in a statement. \"We agree, and that\u2019s why we are suing to get the law struck down. Whether this issue is resolved informally or in court, it is long past time to end HIV criminalization.\u201d
___
Associated Press writer Adrian Sainz contributed to this report from Memphis, Tennessee.
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COVID-19, though, continues to cause the most hospitalizations and deaths among respiratory illnesses \u2014 about 15,000 hospitalizations and about 1,000 deaths every week, said Dr. Mandy Cohen, head of the Centers for Disease Control and Prevention.
The agency is also looking into reports of pneumonia outbreaks in children in two states, but Cohen said \u201cthere is no evidence\" that they are due to anything unusual.
As for the flu season, seven states were reporting high levels of flu-like illnesses in early November. In a new CDC report on Friday, the agency said the tally was up to 11 states \u2014 mostly in the South and Southwest.
In the last month, RSV infections rose sharply in some parts of the country, nearly filling hospital emergency departments in Georgia, Texas and some other states. But \"we think we\u2019re near the peak of RSV season or will be in the next week or so,\" Cohen said.
RSV, or respiratory syncytial virus is a common cause of mild coldlike symptoms but it can be dangerous for infants and older people.
Cohen was asked about pneumonia cases in children reported in Massachusetts and in Warren County, Ohio, near Cincinnati. There are a number of possible causes of the lung infection, and it can be a complication of COVID-19, flu, or RSV.
In Ohio, health officials have reported 145 cases since August and most of the children recovered at home. The illnesses were caused by a variety of common viruses and bacteria, officials said.
Massachusetts health officials said there\u2019s been a modest increase in pneumonia in kids but that it is appropriate for the season.
China recently had a surge in respiratory illnesses which health officials there attributed to the flu and other customary causes.
___
The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute\u2019s Science and Educational Media Group. The AP is solely responsible for all content.
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The Environmental Protection Agency says a new Biden administration rule announced Saturday will sharply reduce methane and other harmful air pollutants that contribute to global warming. The agency also says the rule will promote use of cutting-edge methane detection technologies and deliver significant public health benefits such as fewer asthma attacks and hospital visits. U.S. officials announced the rule at the U.N. climate conference being held in the United Arab Emirates. 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targeting the U.S. oil and natural gas industry for its role in global warming as President Joe Biden seeks to advance his climate legacy.
The Environmental Protection Agency said the rule will sharply reduce methane and other harmful air pollutants generated by the oil and gas industry, promote use of cutting-edge methane detection technologies and deliver significant public health benefits in the form of reduced hospital visits, lost school days and even deaths. Air pollution from oil and gas operations can cause cancer, harm the nervous and respiratory systems and contribute to birth defects.
EPA Administrator Michael Regan and White House climate adviser Ali Zaidi announced the final rule at the U.N. climate conference in the United Arab Emirates. Separately, the president of the climate summit announced Saturday that 50 oil companies representing nearly half of global production have pledged to reach near-zero methane emissions and end routine flaring in their operations by 2030.
Vice President Kamala Harris, the top American representative at the summit, said the U.S. and other nations must act boldly to confront the fallout from climate change.
\u201cThe urgency of this moment is clear,\u201d Harris said. \u201cThe clock is no longer just ticking. It is banging. And we must make up for lost time.\u201d
The U.S. rule on methane emissions is part of a broader effort by the Biden administration that includes financial incentives to buy electric vehicles and upgrade infrastructure \u2014 spending that Harris said will total roughly $1 trillion over 10 years.
Oil and gas operations are the largest industrial source of methane, the main component in natural gas and far more potent than carbon dioxide in the short term. It is responsible for about one-third of planet-warming greenhouse gas emissions. Sharp cuts in methane emissions are a global priority to slow the rate of climate change and are a major topic at the conference, known as COP28.
Presidents, prime ministers and royals from nations rich and poor have vowed to reduce how much their countries spew heat-trapping gases and asked their colleagues to do better.
\u201cOn Day One, President Biden restored America\u2019s critical role as the global leader in confronting climate change,'' Regan said, referring to Biden's actions returning the U.S. to the Paris climate agreement and ordering an immediate review of environmental regulations rolled back by the previous administration.
The methane rule finalizes a proposal Biden made at a UN climate conference in Scotland in 2021 and expanded a year later at a climate conference in Egypt. It targets emissions from existing oil and gas wells nationwide, rather than focusing only on new wells, as previous EPA regulations have done. It also regulates smaller wells that will be required to find and plug methane leaks. Such wells currently are subject to an initial inspection but are rarely checked again for leaks.
Studies have found that smaller wells produce just 6% of the nation\u2019s oil and gas but account for up to half the methane emissions from well sites.
The plan also will phase in a requirement for energy companies to eliminate routine flaring, or burning of natural gas that is produced by new oil wells.
The new methane rule will help ensure that the United States meets a goal set by more than 100 nations to cut methane emissions by 30% by 2030 from 2020 levels, Regan said.
The EPA rule is just one of more than 100 actions the Biden administration has taken to reduce methane emissions, Zaidi added.
\u201cFrom mobilizing billions in investment to plug orphaned wells, patch leaky pipes and reclaim abandoned mines, to setting strong standards that will cut pollution from the oil and gas sector, the Biden-Harris Administration is putting the full throw-weight of the federal government into slashing harmful methane pollution,'' he said.
The new rule will be coordinated with a methane fee approved in the 2022 climate law. The fee, set to take effect next year, will charge energy producers that exceed a certain level of methane emissions as much as $1,500 per metric ton of methane. The plan marks the first time the U.S. government has directly imposed a fee, or tax, on greenhouse gas emissions.
The law allows exemptions for companies that comply with the EPA\u2019s standards or fall below a certain emissions threshold. It also includes $1.5 billon in grants and other spending to help companies and local communities improve monitoring and data collection, and find and repair natural gas leaks.
Harold Wimmer, president and CEO of the American Lung Association, called the new rule a victory for public health.
\u201cEPA heeded the urgent guidance of health experts across the country and finalized a strong methane rule that, when fully implemented, will significantly reduce hazardous air pollutants and climate-warming methane pollution from the oil and gas industry,'' he said in a statement.
Methane has been shown to leak into the atmosphere during every stage of oil and gas production, Wimmer said, and people who live near oil and gas wells are especially vulnerable to these exposure risks.
David Doniger, a climate expert at the Natural Resources Defense Council, called methane a \u201csuper-polluter.\u201d He said in an interview that the Biden plan \"takes a very solid whack at climate pollution. I wish this had happened 10 years ago (under the Obama administration), but I'm really happy it's happening now.''
Fred Krupp, president of the Environmental Defense Fund, said the new rule ensures that \u201cthe U.S. now has the most protective methane pollution limits on the books. With other countries also zeroing in on methane as a key climate risk, it\u2019s a signal to operators worldwide that clean-up time is here,'' he said.
The American Petroleum Institute, the oil industry's top lobbying group, said it was reviewing the rule to see whether it meets a dual goal of reducing emissions while meeting rising energy demand.
\"Smart federal regulation can help build on industry\u2019s progress to date,'' said Dustin Meyer, an API vice president.
The oil industry has generally welcomed direct federal regulation on methane, preferring a national standard to a hodgepodge of state rules. Even so, energy companies have asked EPA to exempt hundreds of thousands of the nation\u2019s smallest wells from the pending rule.
__
Associated Press writer Will Weissert in Dubai, United Arab Emirates, contributed to this report.
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(AP) \u2014 A child care provider accused of sedating an infant with an antihistamine was convicted of manslaughter, and faces up to 25 years in prison when she's sentenced.
A jury on Friday convicted of Stacey Vaillancourt of manslaughter and child cruelty in the 2019 death of Harper Rose Briar in Vaillancourt's home in Rutland.
The 6-month-old was found unresponsive while in Vaillancourt's care, and an autopsy determined she had high concentrations of diphenhydramine, the sedating ingredient in some over-the-counter antihistamines including the brand Benadryl. The drug is not recommended for infants without a doctor's order, and there was no such order for Harper.
Vaillancourt\u2019s defense attorney said there was no evidence to prove Vaillancourt sedated the infant, but the prosecutor told jurors that no one else could have done it.
Vaillancourt, who denied giving the infant anything that wasn't provided by her parents, was released on an unsecured appearance bond. Her attorney didn't immediately return a message seeking comment on Saturday.
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Francis delivered very brief remarks from the chapel of the Vatican hotel where he lives and where he is recovering from what he has said is infectious bronchitis. Francis, whose 87th birthday is later this month, also said he is following from afar the workings of the U.N. climate conference in Dubai. The pontiff was due to go to the COP28 conference on Friday, and speak to the gathering in person. But instead he canceled his trip following his doctors' orders.", + "bylines": [ + { + "by": "By FRANCES D'EMILIO", + "title": "Associated Press" + } + ], + "located": "VATICAN CITY", + "datelinelocation": { + "city": "Vatican City", + "countrycode": "VAT", + "countryname": "Vatican City", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + 12.4533, + 41.90225 + ] + } + }, + "copyrightnotice": "Copyright 2023 The Associated Press. All rights reserved. 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As he did a week earlier, Francis delivered very brief remarks from the chapel of the Vatican hotel where he lives and where he is recovering from what he has said is infectious bronchitis. Thousands of people in the square followed his words from giant screens set up outdoors.
Francis, whose 87th birthday is later this month, also said he is following from afar the workings of the U.N. climate conference in Dubai. The pontiff was due to go to the COP28 conference on Friday to address the gathering.
During his first chapel appearance on Nov. 26, he insisted he would make the trip despite his illness. He instead canceled it following his doctors\u2019 orders and stayed at the Vatican, where he has received antibiotics intravenously.
\u201cDear brothers and sisters, good day. Also today, I won't be able to read everything. I'm getting better, but the voice still isn't\u201d enough to read everything, Francis said. He then passed the microphone to a priest who read prepared remarks, including about the end of the truce in the Israeli-Hamas war.
\u201cIt's painful that the truce has been broken,'' Francis said in the remarks read by the priest. \u201dThat means death, destruction and misery,'' the pontiff said. He called for the release of the remaining hostages who were seized from Israel in the Hamas' Oct. 7 attack, and lamented the lack of basic necessities of life in Gaza after Israel launched its war against Hamas.
On Thursday, Francis told an audience of health care workers that he was advised against making the Dec. 1-3 trip to the United Arab Emirates because \"it\u2019s very hot there, and you go from heat to air conditioning,\u201d Of his current illness, Francis told that audience: \u201cThank God it wasn\u2019t pneumonia. It\u2019s a very acute, infectious bronchitis.\u201d
Previously the Vatican had said Francis was suffering from a lung inflammation and the flu. Francis had a previous case of acute bronchitis in the spring, when he was hospitalized for three days so he could receive intravenous antibiotics.
Francis said that \u201ceven from a distance, I am following with great attention the work of COP28 in Dubai. I am close\u201d to the conference. He said he was renewing his appeal so that \u201cclimate change is answered by concrete political change.\"
In his Sunday remarks about climate change, Francis urged the end of what he called \u201cbottlenecks\u201d caused by nationalism, and \u201cpatterns of the past.\" He added: \"let's embrace a common vision, committing all of us and now, without delay, to a necessary global ecological conversion.\u201d
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The Phoenix Fire Department warned hikers need to make sure they dress appropriately and have plenty of water, even with the city seeing cooler temperatures.
People should also make sure they are carrying a cellphone and consider hiking with company. Also, they should also not push themselves if they have health condition such as asthma, diabetes or knee or back pain.
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Under a brown haze over Dubai, the COP28 summit moved past two days of lofty rhetoric and calls for unity from top leaders to concerns about health issues like the deaths of at least 7 million people globally from air pollution each year and the spread of diseases like cholera and malaria as global warming upends weather systems.
World Health Organization Director-General Tedros Adhanom Ghebreyesus said it's high time for the U.N. Conference of Parties on climate to hold its first \u201cHealth Day\u201d in its 28th edition, saying the threats to health from climate change were \u201cimmediate and present.\u201d
\u201cAlthough the climate crisis is a health crisis, it\u2019s well overdue that 27 COPs have been and gone without a serious discussion of health,\u201d he said. \u201cUndoubtedly, health stands as the most compelling reason for taking climate action.\u201d
After two days of speeches by dozens of presidents, prime ministers, royals and other top leaders \u2014 in the background and on-stage \u2014 participants were also turning attention to tough negotiations over the next nine days to push for more agreement on ways to cap global warming at 1.5 degrees Celsius (2.7 Fahrenheit) since pre-industrial times.
Pope Francis, who was forced to abandon plans to attend because of a case of bronchitis, on Sunday said that \u201ceven from a distance, I am following with great attention the work.\u201d In remarks read at the Vatican by an aide, the pope called for an end of what he called \u201cbottlenecks\u201d caused by nationalism and \u201cpatterns of the past.\u201d
Protests began in earnest Sunday at COP28: In one, a group gave mock resuscitation to an inflatable Earth.
\u201cWell, I mean, it\u2019s cheesy doing CPR on the Earth,\u201d said Dr. Joe Vipond, an emergency room physician from Alberta, Canada, who took part. \u201cWe\u2019re kind of in a lot of trouble right now,\" he said, so will do \"anything we can do to bring attention to this issue.\u201d
Saturday capped off with conference organizers announcing that 50 oil and gas companies had agreed to reach near-zero methane emissions and end routine flaring in their operations by 2030. They also pledged to reach \u201cnet zero\u201d for their operational emissions by 2050.
U.N. Secretary-General Antonio Guterres said \u201cthe promises made clearly fall short of what is required.\u201d
In comments Sunday, he called the methane emissions reductions \u201ca step in the right direction.\u201d But he criticized the net zero pledge for excluding emissions from fossil fuel consumption \u2014 where the vast majority of the industry's greenhouse gases come from \u2014 and said the announcement provided no clarity on how the companies planned to reach their goals.
\"There must be no room for greenwashing,\" he said.
Germany\u2019s climate envoy Jennifer Morgan said Sunday the oil and gas industry needs to go beyond just cutting emissions that are generated to make those products and slash emissions from indirect activities too, as well as fossil fuels burned by the end users.
\u201cIt\u2019s 2023,\u201d the former Greenpeace International co-director said. \u201cI was already speaking to Shell about this in 1998.\u201d
Temperature rises caused by the burning of oil, gas and coal have worsened natural disasters like floods, heat waves and drought, and caused many people to migrate to more temperate zones \u2014 in addition to the negative knock-on effects for human health.
\u201cOur bodies are ecosystems, and the world is an ecosystem,\u201d said John Kerry, the U.S. climate envoy. \u201cIf you poison our land and you poison our water and you poison our air, you poison our bodies.\u201d
He said his daughter Vanessa, who works with the WHO chief, \u201crepeats to me frequently that we should not measure progress on the climate crisis just by the degrees averted, but by the lives saved.\u201d
A COP28 declaration backed by some 120 countries stressed the link between health and climate change. It made no mention of phasing out planet-warming fossil fuels, but pledged to support efforts to curb health care sector pollution, which accounts for 5% of global emissions, according to the WHO head.
In the United States, 8.5% of greenhouse gas emissions come from the health sector and the Biden Administration is trying to use funds from the Inflation Reduction Act to try to cut that down, Assistant Secretary of Health and Human Services Admiral Rachel Levine said.
U.S. officials said one of the main issues has been waste anesthesia emissions from hospitals and greenhouse gases that escape when patients are treated for respiratory diseases like asthma with albuterol inhalers.
Part of the solution may come through raising awareness: when officials used a system that showed anesthesiologists how much gas they used and how much escaped, emissions fell by as much as half, said Dr. John Balbus, the Health and Human Services climate change and health equity director.
Dr. Yseult Gibert of Montreal said 70 percent of operating-room emissions come from the way patients are given anesthesia. She said some types of anesthesia are more climate-friendly than others, without sacrificing on quality or effectiveness when it comes to care.
A report last week issued by Unitaid, which helps get new healthcare products to low- and middle-income countries, explored how product redesign, improvements in manufacturing and other measures could reduce the carbon footprint of 10 products used for health emergencies, women's and children's health, and HIV, malaria and tuberculosis.
Forest fires caused in part by climate change can have dramatic effects on homes, health and lives. Heat waves, which can be deadly, also can weigh on mental health, Gibert said, while poor air quality can make life harder for those facing lung and heart ailments and cause respiratory issues, like asthma in kids.
\u201cNot a lot of people know that the climate crisis is a health crisis,\u201d she said.
The impact of human activity on the climate was visible to conference-goers in Dubai, an oil-rich boom city that often faces higher levels of air pollution than other places on Earth due to its location. Haze is common.
The Dubai government, on its web site, listed its Air Quality Index level mostly at \u201cgood\u201d on Sunday.
IQAir, a Swiss vendor of air-quality monitoring products, listed Dubai as the city with the 18th-worst air quality in the world with \u201cmoderate\u201d air quality levels as of noon local time on Sunday. It cited high levels of two types of particulate matter in the air and advised mask-wearing for \u201csensitive groups\u201d and a reduction of outdoor exercise.
___
Associated Press writers Jon Gambrell, Seth Borenstein and Peter Prengaman in Dubai and Frances D'Emilio in Rome contributed to this report.
___
Associated Press climate and environmental coverage receives support from several private foundations. See more about AP\u2019s climate initiative here. The AP is solely responsible for all content.
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Girls ganged up, calling her \u201cfat\u201d and \u201cugly.\u201d Boys tripped and pushed her. The California mother watched her typically bubbly second-grader retreat into her bedroom and spend afternoons curled up in bed.
For Valerie Aguirre\u2019s daughter in Hawaii, a spate of middle school \u201cfriend drama\u201d escalated into violence and online bullying that left the 12-year-old feeling disconnected and lonely.
Both children received help through telehealth therapy, a service that schools around the country are offering in response to soaring mental health struggles among American youth.
Now at least 16 of the 20 largest U.S. public school districts are offering online therapy sessions to reach millions of students, according to an analysis by The Associated Press. In those districts alone, schools have signed provider contracts worth more than $70 million.
The growth reflects a booming new business born from America\u2019s youth mental health crisis, which has proven so lucrative that venture capitalists are funding a new crop of school teletherapy companies. Some experts raise concerns about the quality of care offered by fast-growing tech companies.
As schools cope with shortages of in-person practitioners, however, educators say teletherapy works for many kids, and it\u2019s meeting a massive need. For rural schools and lower-income students in particular, it has made therapy easier to access. Schools let students connect with online counselors during the school day or after hours from home.
\u201cThis is how we can prevent people from falling through the cracks,\u201d said Ishoo, a mother of two in Lancaster, California.
Ishoo recalls standing at her second-grader's bedroom door last year and wishing she could get through to her. \u201cWhat\u2019s wrong?\u201d the mother would ask. The response made her heart heavy: \u201cIt\u2019s NOTHING, Mom.\u201d
Last spring, her school district launched a teletherapy program and she signed up her daughter. During a month of weekly sessions, the girl logged in from her bedroom and opened up to a therapist who gave her coping tools and breathing techniques to reduce anxiety. The therapist told her daughter: You are in charge of your own emotions. Don\u2019t give anyone else that control.
\u201cShe learned that it\u2019s OK to ask for help, and sometimes everyone needs some extra help,\u201d Ishoo said.
The 13,000-student school system, like so many others, has counselors and psychologists on staff, but not enough to meet the need, said Trish Wilson, the Lancaster district\u2019s coordinator of counselors.
Therapists in the area have full caseloads, making it impossible to refer students for immediate care, she said. But students can schedule a virtual session within days.
\u201cOur preference is to provide our students in-person therapy. Obviously, that\u2019s not always possible,\u201d said Wilson, whose district has referred more than 325 students to over 800 sessions since launching the online therapy program.
Students and their parents said in interviews they turned to teletherapy after struggling with feelings of sadness, loneliness, academic stress and anxiety. For many, the transition back to in-person school after distance learning was traumatic. Friendships had fractured, social skills deteriorated and tempers flared more easily.
Schools are footing the bill, many of them using federal pandemic relief money as experts have warned of alarming rates of youth depression, anxiety and suicide. Many school districts are signing contracts with private companies. Others are working with local health care providers, nonprofits or state programs.
Mental health experts welcome the extra support but caution about potential pitfalls. For one, it\u2019s getting harder to hire school counselors and psychologists, and competition with telehealth providers isn't helping.
\u201cWe have 44 counselor vacancies, and telehealth definitely impacts our ability to fill them,\u201d said Doreen Hogans, supervisor of school counseling in Prince George\u2019s County, Maryland. Hogans estimates 20% of school counselors who left have taken teletherapy jobs, which offer more flexible hours.
The rapid growth of the companies raises questions about the qualifications of the therapists, their experience with children and privacy protocols, said Kevin Dahill-Fuchel, executive director of Counseling in Schools, a nonprofit that helps schools bolster traditional, in-person mental health services.
\u201cAs we give these young people access to telehealth, I want to hear how all these other bases are covered,\u201d he said.
One of the biggest providers, San Francisco-based Hazel Health, started with telemedicine health services in schools in 2016 and expanded to mental health in May 2021, CEO Josh Golomb said. It now employs more than 300 clinicians providing teletherapy in over 150 school districts in 15 states.
The rapid expansions mean millions of dollars in revenue for Hazel. This year, the company signed a $24 million contract with Los Angeles County to offer teletherapy services to 1.3 million students for two years.
Other clients include Hawaii, which is paying Hazel nearly $4 million over three years to work with its public schools, and Clark County schools in the Las Vegas area, which have allocated $3.25 million for Hazel-provided teletherapy. The districts of Miami-Dade, Prince George\u2019s and Houston schools also have partnered with Hazel.
Despite the giant contracts, Golomb said Hazel is focused on ensuring child welfare outweighs the bottom line.
\u201cWe have the ethos of a nonprofit company but we\u2019re using a private-sector mechanism to reach as many kids as we can,\u201d Golomb said. Hazel raised $51.5 million in venture capital funding in 2022 that fueled its expansion. \u201cDo we have any concerns about any compromise in quality? The resounding answer is no.\u201d
Other providers are getting into the space. In November, New York City launched a free telehealth therapy service for teens to help eliminate barriers to access, said Ashwin Vasan, the city's health commissioner. New York is paying the startup TalkSpace $26 million over three years for a service allowing teens aged 13 to 17 to download an app and connect with licensed therapists by phone, video or text.
Unlike other cities, New York is offering the service to all teens, whether enrolled in private, public or home schools, or not in school at all.
\u201cI truly hope this normalizes and democratizes access to mental health care for our young people,\u201d Vasan said.
Many of Hawaii\u2019s referrals come from schools in rural or remote areas. Student clients have increased sharply in Maui since the deadly August wildfires, said Fern Yoshida, who oversees teletherapy for the state education department. So far this fall, students have logged 2,047 teletherapy visits, a three-fold increase from the same period last year.
One of them was Valerie Aguirre's daughter, whose fallout with two friends turned physical last year in sixth grade, when one of the girls slapped her daughter in the face. Aguirre suggested her daughter try teletherapy. After two months of online therapy, \u201cshe felt better,\u201d Aguirre said, with a realization that everyone makes mistakes and friendships can be mended.
In California, Ishoo says her daughter, now in third grade, is relaying wisdom to her sister, who started kindergarten this year.
\u201cShe walks her little sister to class and tells her everything will be OK. She\u2019s a different person. She\u2019s older and wiser. She reassures her sister,\u201d Ishoo said. \u201cI heard her say, \u2018If kids are being mean to you, just ignore them.\u2019\u201d
___
Associated Press data reporter Sharon Lurye contributed.
___
The Associated Press education team receives support from the Carnegie Corporation of New York. The AP is solely responsible for all content.
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"body_nitf": "BONDENI-JUA KALI, Kenya (AP) \u2014 As the sun rises in the Bondeni-Jua Kali neighborhood on the outskirts of Kenya\u2019s capital Nairobi, dozens of women and men step out of their corrugated iron homes with yellow jerricans, skip over pools of sewage and make their way to a nearby water vending station.
There is no piped water or sewage system in the area, and drought has made clean water supplies more scarce and expensive for locals. Twice a week, trucks with 5,000 to 10,000 liters (1,300 to 2,600 gallons) of water will fill up vending stations across Athi River where residents can buy 20 liters (five gallons) for 20 Kenyan Shillings ($0.16). A household of four needs about five gallons a day, and weekly incomes are about $13, according to data from Kenya\u2019s Finance Ministry.
But for those whose homes are kitted out with water filters distributed by a local nonprofit, the nearby river \u2014 polluted, prone to drought and usually unsafe for drinking \u2014 is becoming a cheaper and sometimes more reliable source of clean water. And while advocates say underlying issues like climate change -fueled drought and poor water management need to be urgently addressed, solutions like filters make a short-term difference because deliveries are often not enough for the neighborhoods\u2019 needs.
Many rely on unsafe alternatives if they miss out on the trucked-in stocks.
\u201cSometimes, we get to the water vending stations and find that the queue is long and then the water finishes and you have to wait,\u201d said 46-year-old resident Joyce Ngui. \u201cMost of the times you don\u2019t have money to buy even the salty water sold around. So we have no choice but to use the swamp water,\" she said.
When The Associated Press met Ngui, she was heading to a swamp to draw water to clean her family\u2019s clothes and for cooking. Part of the slimy swamp is clogged with overgrown water lilies. Ngui doesn\u2019t have a water filter, so she can\u2019t turn the swamp water into something suitable for drinking.
Ngui would like a filter, \u201cso that we can be able to filtrate the dirty water and be able to drink it,\u201d she said. Otherwise, \u201cit just has germs and diseases.\u201d
Bucket Ministry, a Christian nonprofit organization, has been providing communities around Nairobi and other parts of Kenya with the easy-to-use water filters. It provided over 600 filters, made by the water filtering company Sawyer, to households in the four neighborhoods in Athi River since August and plans to up that number to 6,000.
The devices are the size of a small water bottle and are fitted with a hose pipe onto a bucket. They can filter water from the river and nearby swamps into potable water that can be used by residents.
\u201cIt filters every germ or pathogen that causes water-borne diseases,\" said Derrick Mesulamu, the country director for the group. \u201cIt is designed in such a way that it has micro holes that don\u2019t allow those particles that cause water-borne diseases to pass through.\u201d
Josephine Mutile, a resident with a water filter, is already seeing the benefits.
\u201cI have been sick often and visiting the hospital where I am tested and told that I have typhoid, or an amoeba infection or diarrhea. Boiling water (to kill viruses and bacteria) is expensive because cooking gas is expensive,\u201d Mutile said. \u201cNow I have this filter, it will help me a lot.\u201d
Data from the Machakos County health ministry, of which Athi River is part, says that four out of 10 cases at public health clinics in the area are related to water-borne disease. At least 10 people died following a cholera outbreak in Mavoko area in the region between October last year and March.
Machakos' local government has been desilting and cleaning up the river, but most of the pollution, including plastic bags and bottles, happens upstream, where residents in poorer areas of Nairobi dump waste into the Nairobi River that then flows into the Athi River.
\u201cBecause of water scarcity, residents in Machakos have turned to rivers, shallow wells or other sources which are contaminated with pollutants \u2014 including human and animal waste,\u201d said Machakos County Governor Wavinya Ndeti.
She told The AP that the county government is cracking down on industries that have been disposing chemical waste and other pollutants into the Athi River.
Authorities \u201chave put in place regulations to monitor and limit industrial pollution, but the effectiveness all depends on compliance and strict enforcement, which we will do,\" she said.
Historically, Athi River is a water-scarce region, grasslands turned brown from the scorching sun and huge tracts of land were left untilled as residents couldn't farm the drylands. Consecutive seasons of failed rains and drought, driven by human-caused climate change and consecutive naturally occurring La Nina weather phenomena, have worsened shortages.
\u201cClimate change has had a very long term and short term devastating impact on water resources in Kenya, and especially the drylands,\u201d said Namenya Naburi, an environmentalist and climate change expert from the African Nazarene University. \u201cWe\u2019ve seen most of resources, especially surface water, has been declining due to the effects of climate change.\u201d
The loss of reliable water sources \u201chave become a recurrent threat to our communities,\u201d said Wavinya.
Experts say that while water filters are worthwhile, for a project like this to work it will need to be scaled up to reach millions of people in a similar situation to Athi River dwellers.
\u201cThese measures are just stop gap, a small dribble,\" said Tobias Omufwoko from the WASH Alliance Kenya. \u201cThe main solution is for the government and all stakeholders to play their part in making sure that first and foremost that we conserve our sources of water.\u201d
\u201cThere\u2019s no shortcut,\u201d he said.
___
Associated Press climate and environmental coverage receives support from several private foundations. See more about AP\u2019s climate initiative here. The AP is solely responsible for all content.
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He described it as crucial for the \u201cstrengthening of national power and progress of the revolution,\u201d state media said Monday. It was the latest in a series of government statements calling for people to have more children. While getting a detailed read on North Korea\u2019s population trends is difficult because of the limited statistics it discloses, South Korea\u2019s government assesses that the North\u2019s birthrate has declined steadily for the past 10 years. That is a concerning development for a country that mainly depends on mobilized labor to help keep afloat its broken, heavily sanctioned economy.", + "bylines": [ + { + "by": "By KIM TONG-HYUNG and HYUNG-JIN KIM", + "title": "Associated Press" + } + ], + "located": "SEOUL, South Korea", + "datelinelocation": { + "city": "Seoul", + "countrycode": "KOR", + "countryname": "South Korea", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + 126.9784, + 37.566 + ] + } + }, + "copyrightnotice": "Copyright 2023 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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While getting a detailed read on North Korea\u2019s population trends is extremely difficult because of the limited statistics it discloses, South Korea\u2019s government assesses that the North\u2019s fertility rate has declined steadily for the past 10 years. That is a concerning development for a country that depends on mobilized labor to help keep its broken, heavily sanctioned economy afloat.
Kim's latest appeal for women to have more children was made Sunday during the country\u2019s National Mothers Meeting, the first of its kind in 11 years.
\u201cStopping the decline in birthrates and providing good child care and education are all our family affairs that we should solve together with our mothers,\" Kim said in his opening speech.
According to South Korea\u2019s government statistics agency, North Korea\u2019s total fertility rate, or the average number of babies expected to be born to a woman over her lifetime, was at 1.79 in 2022, down from 1.88 in 2014. The decline is still slower than its wealthier rival South Korea, whose fertility rate last year was 0.78, down from 1.20 in 2014.
South Korea's fertility rate, the lowest in the developed world, is believed to be due to a potent cocktail of reasons discouraging people from having babies, including a decaying job market, a brutally competitive school environment for children, traditionally weak child care assistance and a male-centered corporate culture where many women find it impossible to combine careers and family.
While North Korea is one of the poorest nations in the world, the change in its demographic structure is similar to that of rich countries, some observers say.
\u201cMany families in North Korea also don't intend to have more than one child these days as they know they need lots of money to raise their kids, send them to school and help them get jobs,\u201d said Ahn Kyung-su, head of DPRKHEALTH.ORG, a website focusing on health issues in North Korea.
Ahn, who has interviewed many North Korean defectors, said the smuggling of a vast amount of South Korean TV dramas and movies in the past 20 years that showed an elevated social status for women has also likely influenced women in North Korea not to have many children.
North Korea implemented birth control programs in the 1970-80s to slow a postwar population growth. The country\u2019s fertility rate recorded a major decline following a famine in the mid-1990s that was estimated to have killed hundreds of thousands of people, the Seoul-based Hyundai Research Institute said in a report in August.
\u201cGiven North Korea lacks resources and technological advancements, it could face difficulties to revive and develop its manufacturing industry if sufficient labor forces are not provided,\u201d the institute report said.
According to North Korean state media reports this year, the country has introduced a set of benefits for families with three or more children, including preferential free housing arrangements, state subsidies, free food, medicine and household goods and educational perks for children.
South Korea\u2019s statistics agency estimates the North\u2019s population at 25.7 million. The Hyundai institute report said that North Korea was expected to experience a population shrink from 2034 and forecast its population would decrease to 23.7 million by 2070.
Ahn, the website head, said that Kim Jong Un's repeated public appearances with his young daughter, Ju Ae, are also likely be efforts to encourage families. Other experts said the daughter's appearances were more likely an attempt to show she's her father's heir.
___ Associated Press writer Jiwon Song contributed to this report.
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President Joe Biden and Chinese President Xi Jinping announced at a November meeting in California that China is telling its chemical companies to curtail shipments to Latin America of the materials used to produce fentanyl.", + "bylines": [ + { + "by": "By FATIMA HUSSEIN", + "title": "Associated Press" + } + ], + "located": "WASHINGTON", + "datelinelocation": { + "city": "Washington", + "countryareacode": "DC", + "countryareaname": "District of Columbia", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -77.03637, + 38.89511 + ] + } + }, + "copyrightnotice": "Copyright 2023 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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Secretary Janet Yellen is heading to Mexico this week to promote her agency's new strike force to help combat illicit fentanyl trafficking as the U.S. and China step up efforts to stop the movement of the powerful opioid and drug-making materials into the United States.
In Mexico City, Yellen will talk with government and private sector leaders about stopping illicit finance that funds the drug trade and boosting supply chains through her \u201cfriendshoring\u201d initiative. A major focus of the trip will be on stopping fentanyl financing.
The Counter-Fentanyl Strike Force announced Monday will bring together personnel and intelligence from throughout the Treasury Department \u2014 from its sanctions and intelligence arms to IRS Criminal Investigations \u2014 to more effectively collaborate on stopping the flow of drugs into the country.
The creation of the group and Yellen's Mexico trip are the beginning of the Biden administration's plan to redouble its efforts to stem the tide of illegal fentanyl after President Joe Biden and Chinese President Xi Jinping met in California in November. At the meeting, they announced that China is telling its chemical companies to curtail shipments of the materials used to produce fentanyl to Latin America.
China has also resumed sharing information about suspected trafficking with an international database.
Mexico and China are the primary source countries for fentanyl and fentanyl-related substances trafficked directly into the U.S., according to the Drug Enforcement Administration. Nearly all the precursor chemicals that are needed to make fentanyl are coming from China.
Among other things, the Treasury task force will analyze the financial flows of trafficking organizations, especially those that rely on cryptocurrency to move funds; work with local law enforcement in areas hardest hit by the fentanyl epidemic and use financial institution records to detect transactions related to drug and human smuggling.
\u201cCombating the flow of deadly fentanyl into communities across the United States is a top priority for President Biden as well as the Treasury Department,\u201d Treasury Secretary Janet Yellen in a statement. She said the new group will \"allow us to bring the department\u2019s unrivaled expertise in fighting financial crime to bear against this deadly epidemic.\u201d
\"Treasury will use every tool at its disposal to disrupt the ability of drug traffickers to peddle this poison in our country.\u201d
The Biden administration has taken a slew of actions against fentanyl traffickers \u2014 charging powerful traffickers with drug and money laundering offenses and announcing indictments and sanctions against Chinese companies and executives blamed for importing the chemicals used to make the dangerous drug.
Still, fentanyl is the deadliest drug in the U.S. today. The Centers for Disease Control and Prevention estimates that 71,000 people died from overdosing on synthetic opioids such as fentanyl in 2021, up from almost 58,000 in 2020.
The death toll is more than 10 times as many drug deaths as in 1988, at the height of the crack epidemic.
U.S. lawmakers have proposed a variety of measures to combat fentanyl's explosive use in the U.S.
Many of the GOP presidential candidates have said they would use military force against Mexico in response to the trafficking of fentanyl and other synthetic opioids.
And the leaders of the Senate Banking and Armed Services Committees, along with others, want to compel the Biden administration to declare international fentanyl trafficking a national emergency and pass legislation that would hold Treasury to reporting requirements and enable the president to confiscate sanctioned property of fentanyl traffickers to use for law enforcement efforts.
Treasury officials, including Brian Nelson, the department's undersecretary for terrorism and financial intelligence, have been traveling to the southern border this year to work with local authorities on quelling drug trafficking through sanctions efforts.
Nelson will co-chair the strike force with IRS Criminal Investigations Chief Jim Lee.
Nelson said the strike force \"will act quickly and decisively with the top specialists from across the department to nimbly respond to the newest threats.\u201d
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The review was launched in response to reports that many who served are now ill. The Air Force isn\u2019t making its initial findings of cancer numbers public for a month or so. Medical teams conducted thousands of tests of the air, water, soil and surface areas at its three nuclear missile bases in Montana, North Dakota and Wyoming. Samples came back clean in Montana and Wyoming, with results from North Dakota still out. The Air Force said preliminary analyses of the heath record data found that additional study is warranted.", + "bylines": [ + { + "by": "By TARA COPP", + "title": "Associated Press" + } + ], + "located": "WASHINGTON", + "datelinelocation": { + "city": "Washington", + "countryareacode": "DC", + "countryareaname": "District of Columbia", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -77.03637, + 38.89511 + ] + } + }, + "copyrightnotice": "Copyright 2023 The Associated Press. 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The initial study was launched in response to reports that many who served are now ill. The Air Force isn't making its initial findings of cancer numbers public for a month or so, but released its initial assessment Monday that more review is necessary.
\"We\u2019ve determined that additional study is warranted\u201d based on preliminary analyses of the data, said Lt. Col. Keith Beam, one of several Air Force medical officers who updated reporters on the service\u2019s missile community cancer review.
The findings are part of a sweeping review undertaken by the Air Force earlier this year to determine if missileers \u2014 the launch officers who worked underground to operate the nation's silo-launched nuclear missiles \u2014 were exposed to unsafe contaminants. The review began after scores of those current or former missile launch officers came forward this year to report they have been diagnosed with cancer.
In response, medical teams went out to each nuclear missile base to conduct thousands of tests of the air, water, soil and surface areas inside and around each of its three nuclear missile bases; Malmstrom Air Force Base in Montana, Minot Air Force Base in North Dakota and F.E. Warren Air Force Base in Wyoming.
The full Air Force study will look not just at the missileers but at the whole missile community, to include all who supported the ICBM mission.
At a briefing Friday with reporters to discuss its findings ahead of the release, the Air Force said none of the more than 2,000 samples of air, water and soil at either the Montana or Wyoming bases came back showing harmful levels of contamination. However four locations in the underground launch control capsules where the missileers worked had unsafe levels of PCBs. The service is still waiting on results from the North Dakota base.
PCBs are oily or waxy substances that have been identified as a likely carcinogen by the Environmental Protection Agency.
But while that data may show that the air, water and soil are safe now, it still raises questions as to what earlier missile launch officers may have breathed in or been exposed to in the past. The silos and underground control capsules were dug during the 1960s and much of that infrastructure hasn\u2019t been updated since.
\u201cWe can\u2019t go back and test to fully quantify what was there in the \u201890s or 2000s, or even the \u201950s and '60s,\u201d said Col. Tory Woodard, commander of the U.S. Air Force School of Aerospace Medicine. \u201cBut we can use this data to help us inform what those risks might have been.\u201d
Woodard said between the sampling and further data review, it will help the Air Force \u201cbuild a risk profile of what past members may have been exposed to.\u201d
To help with that the Air Force is expanding its review of medical records to try to account for as many service members as possible. The initial dataset only goes back to 2001, when DOD began using electronic medical records. But the group they hope to capture includes any personnel who worked with military nuclear missiles going back to 1976, and will add Department of Veterans Affairs data and state cancer registries.
\u201cThe limitations that were discovered with this initial dataset is driving us to open the aperture to ensure that we are capturing as many cases as possible, particularly among those who previously served in missile related career fields,\u201d the Air Force said in a statement.
In all, the study hopes to capture data on all missile community members who served from 1976 to 2010.
The Air Force response is far different this time than it has been in the past, when earlier generations of missile launch officers raised concerns about illnesses among their community. For years the missileers were told in multiple Air Force reviews that there was not cause for concern.
But the issue received significantly more attention this year as scores of current or former officers or their surviving family members joined forces and went public with self-reported data of their cancers. In particular, 41 of those launch officers self-reported a diagnoses of non-Hodgkin lymphoma, a blood cancer. Those families have formed an organization, called the Torchlight Initiative, to heighten awareness on the issue.
While the Air Force review is looking at a broader set of cancers, the number of self-reported NHL cases is striking because the community of missile launch officers is very small. Nationwide rates of NHL are 18.7 per 100,000 people, according to the National Cancer Institute.
For comparison, there have only been about 21,000 who have served as missileers since the 1960s, according to the Torchlight Initiative. The entire missile community population \u2014 to include maintainers to fix the warheads and security forces who patrolled the sites \u2014 is likely about 84,000, the Air Force said.
In a statement, the Torchlight Initiative said \u201cdespite the air, water, and soil findings, the PCB results are concerning. The missile community continues to struggle with disproportionate rates of cancer. The community is in desperate need of appropriate exposure documentation so they can get the care they need.\u201d
The heightened response in the Air Force is part of an overall sea change within the Department of Defense and Department of Veterans Affairs to look more bluntly at the issue of exposure to toxic contaminants such as exposure to radiation or harmful air particles in military occupations.
It often still requires a grassroots effort, whether by the Torchlight Initiative, or by Iraq and Afghanistan veterans who breathed in toxic fumes from trash-burning pits on base, or by individual pilots drawing attention to numbers of sickened aviators who all flew the same airframe, such as the Navy's E-2 Hawkeye radar plane, to drive further action on military cancer clusters.
Perhaps the biggest difference from years past in the Air Force's missileer community is that a number of those diagnosed officers are still serving, and many of the officers leading the missile community now have ties to former missileers who have been diagnosed with or have died of cancer.
\u201cI personally know a number of the folks who are non-Hodgkin lymphoma survivors, so a lot of empathy and a lot of desire to understand better,\u201d said Col. Barry Little, commander of the 341st Missile Wing at Malmstrom Air Force Base. \u201cWe\u2019re leaving no stone unturned.\u201d
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In a brief order issued Monday, U.S. District Judge Michael R. Barrett said he rejected the advocates' request to file a friend of the court brief because they \u201cwill not be of assistance in resolving or clarifying a question of law.\u201d
The coalition included Ohio Christian Alliance, three current and former Republican Ohio state representatives, leaders of several Ohio anti-abortion groups, a community pregnancy center, among others.
The parties intended to file a brief in support of Ohio Director of Health Bruce Vanderhoff, who has asked for summary judgment in the case. They described having \u201cinterests in defending against misuse of the ballot initiative by abortion providers.\" They also said they have \u201cdirect and vital interests in objecting to any implementation of Issue 1 by the Court.\u201d
The effort comes amid a broader movement nationally that has seen abortion opponents attempting to defy voters' support for abortion rights through recount efforts, legislative pushback and attacks on courts and the citizen-led ballot initiative process.
In his order, Barrett said the groups \u201cnotably fail to make even the most cursory references\" to any of the laws and provisions central to the suit.
\u201cInstead, they condemn \u2018how manipulated the initiative process has become,\u2019\u201d he wrote, and otherwise provide \u201ca highly partisan account of the facts.\u201d
Last month, Ohio voters approved a constitutional amendment that ensures access to abortion and other forms of reproductive health care.
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The justices seemed by turns reluctant to break up an exhaustively negotiated agreement, but also leery of somehow rewarding the Sacklers.
The agreement hammered out with state and local governments and victims would provide billions of dollars to combat the opioid epidemic. The Sacklers would contribute up to $6 billion and give up ownership of the company, but retain billions more. The company would emerge from bankruptcy as a different entity, with its profits used for treatment and prevention.
The high court put the settlement on hold during the summer, in response to objections from the Biden administration.
Justice Elena Kagan seemed to sum up the questions that were nagging at some of the justices.
\u201cIt seems as though the federal government is standing in the way of that as against the huge, huge, huge majority of claimants,\u201d Kagan said.
But later, she also said that in bankruptcies, protection against lawsuits has a price.
\u201cYou get a discharge when you put all your assets on the table,\u201d she said. \u201cThe Sacklers didn't come anywhere close to doing that.\u201d
Arguments lasted nearly two hours in a packed courtroom, its doors draped in black in memoriam to retired Justice Sandra Day O'Connor, who died Friday. Chief Justice John Roberts offered a remembrance of the first woman to serve on the court. \u201cShe changed the world,\u201d Roberts said.
Outside the court, a small but vocal group of protesters opposed the Purdue Pharma agreement. \u201cShame on Sackler,\" one banner read. \"No Sackler immunity at any $$,\u201d read another.
The issue for the justices is whether the legal shield that bankruptcy provides can be extended to people such as the Sacklers, who have not declared bankruptcy themselves. Lower courts have issued conflicting decisions over that issue, which also has implications for other major product liability lawsuits settled through the bankruptcy system.
The U.S. Bankruptcy Trustee, an arm of the Justice Department, contends that the bankruptcy law does not permit protecting the Sackler family from being sued. During the Trump administration, the government supported the settlement.
Justice Department lawyer Curtis Gannon told the court Monday that negotiations could resume, and perhaps lead to a better deal, if the court were to stop the current agreement.
Proponents of the plan said third-party releases are sometimes necessary to forge an agreement, and federal law imposes no prohibition against them.
\u201cForget a better deal,\u201d lawyer Pratik Shah, representing victims and other creditors in the bankruptcy, told the justices. \u201cThere is no other deal.\u201d
Lawyers for more than 60,000 victims who support the settlement called it \u201ca watershed moment in the opioid crisis,\u201d while recognizing that \u201cno amount of money could fully compensate\u201d victims for the damage caused by the misleading marketing of OxyContin, a powerful prescription painkiller.
A lawyer for a victim who opposes the settlement calls the provision dealing with the Sacklers \"special protection for billionaires.\u201d
Justice Ketanji Brown Jackson seemed more inclined toward the opponents, saying the Sacklers' insistence on a shield against all lawsuits is \u201ccausing this problem.\u201d
By contrast, Justice Brett Kavanaugh sounded like a vote to allow the deal to proceed. He said the government was seeking to prevent payment to victims and their families, as well as money for prevention programs \u201cin exchange really for this somewhat theoretical idea that they'll be able to recover money down the road from the Sacklers themselves.\u201d
OxyContin first hit the market in 1996, and Purdue Pharma\u2019s aggressive marketing of it is often cited as a catalyst of the nationwide opioid epidemic, persuading doctors to prescribe painkillers with less regard for addiction dangers.
The drug and the Stamford, Connecticut-based company became synonymous with the crisis, even though the majority of pills being prescribed and used were generic drugs. Opioid-related overdose deaths have continued to climb, hitting 80,000 in recent years. Most of those are from fentanyl and other synthetic drugs.
The Purdue Pharma settlement would be among the largest reached by drug companies, wholesalers and pharmacies to resolve epidemic-related lawsuits filed by state, local and Native American tribal governments and others. Those settlements have totaled more than $50 billion.
But the Purdue Pharma settlement would be one of only two so far that include direct payments to victims from a $750 million pool. Payouts are expected to range from about $3,500 to $48,000.
Sackler family members no longer are on the company's board, and they have not received payouts from it since before Purdue Pharma entered bankruptcy. In the decade before that, though, they were paid more than $10 billion, about half of which family members said went to pay taxes.
A decision in Harrington v. Purdue Pharma, 22-859, is expected by early summer.
___
Follow the AP's coverage of the U.S. Supreme Court at https://apnews.com/hub/us-supreme-court.
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The ban, supported Prime Minister Elisabeth Borne and Health Minister Aurelien Rousseau, aims to protect the health of youths and mitigate the environmental impacts of the increasingly popular disposable products known as \u201cpuffs.\u201d
The National Assembly was expected to vote on the measure Monday night. If passed, it would then move to the Senate and could go into effect by September 2024.
Disposable e-cigarettes are small, battery-powered devices that deliver vaporized nicotine with various flavorings. While they do not contain tobacco, many include nicotine, a dangerous chemical known for its addictive properties.
Marion Catellin, president of the Alliance Against Tobacco, told The Associated Press that \u201csingle-use e-cigarettes are made of plastic. They contain a lithium battery and other heavy metals including cobalt and bromine. And these pods contain nicotine which is a highly toxic product \u2026 On the basis of its environmental impact alone, these single-use e-cigarettes puffs warrant a ban.\u201d
Disposable e-cigarettes differ from reusable vaping devices in that they are not designed to be refilled or recharged. Their small, non-rechargeable lithium batteries often end up in landfills.
Their rising popularity among teenagers, due to their tangy or fruity tastes and colorful designs, is causing alarm among lawmakers.
This bill is part of a broader trend. The UK, Ireland, and Germany are considering similar measures. New Zealand and Australia have already implemented restrictions. New Zealand\u2019s measures include mandating lower nicotine levels and restrictions on vape shop locations near schools.
The surge in disposable e-cigarettes in the U.S. market, primarily from China, following the Food and Drug Administration\u2019s 2020 ban on flavored reusable e-cigarettes like Juul, exemplifies the broader challenge. The flavor restrictions didn\u2019t apply to disposable products, which proliferated in the wake of the regulation.
___
Associated Press journalist Alex Turnbull in Paris contributed.
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The Wisconsin State Journal reports that the county already stopped requiring the repayments from 2020 forward. It's now looking to stop pursuing cases before that date. The county budget passed in November calls for asking the state to stop pursuing older births. That could expunge 3,000 cases. Advocates for the switch say demanding repayment from unwed fathers increases parental stress and can lead to birth problems.", + "located": "MADISON, Wis.", + "datelinelocation": { + "city": "Madison", + "countryareacode": "WI", + "countryareaname": "Wisconsin", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -89.40123, + 43.07305 + ] + } + }, + "copyrightnotice": "Copyright 2023 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. For other uses, additional clearances may be required." + ], + "keywords": [ + "Dane County Medicaid birth cost payments" + ], + "provider": "AP", + "infosource": [ + { + "name": "AP", + "type": "AP" + } + ], + "subject": [ + { + "rels": [ + "category" + ], + "creator": "Editorial", + "code": "n", + "name": "n" + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "1b29d45f8e8e4c008e8a58fe6f92a753", + "name": "Government programs", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 81 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "cc7a76087e4e10048482df092526b43e", + "name": "Health", + "creator": "Editorial", + "editorial_subject": "Health", + "rels": [ + "direct" + ], + "relevance": 75 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "a4677d70863b4012b846a1b00f5079f5", + "name": "U.S. news", + "creator": "Editorial", + "editorial_subject": "U.S. news", + "rels": [ + "direct" + ], + "relevance": 99 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "f25af2d07e4e100484f5df092526b43e", + "name": "General news", + "creator": "Editorial", + "editorial_subject": "General news", + "rels": [ + "direct" + ], + "relevance": 50 + } + ], + "place": [ + { + "scheme": "http://cv.ap.org/id/", + "code": "211f453082c810048979df092526b43e", + "name": "Madison", + "creator": "Machine", + "rels": [ + "direct" + ], + "parentids": [ + "1bc1bc3082c81004896cdf092526b43e" + ], + "locationtype": { + "code": "9d26a20b35f0484a891740f8189d4c7b", + "name": "City" + }, + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -89.40123, + 43.07305 + ] + }, + "relevance": 44, + "parentnames": [ + "Wisconsin" + ] + } + ], + "audiences": [ + { + "code": "82c6a4c46fa0446090a7acaf93159e4c", + "name": "Print", + "type": "AUDPLATFORM" + }, + { + "code": "9add4649b53b4702ba7d9de5d4fa607a", + "name": "Online", + "type": "AUDPLATFORM" + }, + { + "code": "f5b16ea8760d10048047e6e7a0f4673e", + "name": "State", + "type": "AUDSCOPE" + }, + { + "code": "1bc1bc3082c81004896cdf092526b43e", + "name": "Wisconsin", + "type": "AUDGEOGRAPHY" + } + ], + "body_nitf": "MADISON, Wis. (AP) \u2014 Dane County officials are looking to stop making unwed fathers repay Medicaid for the cost of their children\u2019s births in cases before 2020.
The county already ended the policy for births after 2020, the Wisconsin State Journal reported. The county budget that passed in November calls for asking the state to drop cases from prior to 2020. That could lead to expunging 3,000 cases, according to the county.
Dane County collected $2.2 million in repayments in 2020, up from $1.2 million in 2019 as the county intercepted COVID-19 pandemic stimulus checks and unemployment bonuses, according to ABC for Health, a Madison-based nonprofit law firm that helps people find health care.
Advocates who want officials to stop chasing money from unwed fathers say the stress on parents can lead to birth problems, particularly in Black and Indigenous families. Others argue the repayments help keep Medicaid solvent and help parents learn responsibility.
About half of Wisconsin's nearly 60,000 annual births are covered by Medicaid, a joint state-federal health care program. Two-thirds of those births occurred among unmarried people in 2020, according to a report last year from ABC for Health.
Milwaukee County's 2024 budget calls for ending birth cost recovery as well. That spending plan passed in November.
", + "textformat": "bx", + "links": [ + { + "href": "https://apnews.com/article/dane-county-medicaid-birth-cost-payments-12c27cde43df0048ffa4993a696c56be", + "rel": "canonical" + } + ], + "topics": { + "Health": { + "relevance_score": 4, + "reason": "The document discusses a policy change in Dane County regarding the repayment of Medicaid birth costs by unwed fathers. It touches on the financial aspects of Medicaid, the impact on families, and the broader implications for health care coverage. Since Medicaid is a health care program and the policy affects health care costs and stress-related health outcomes, the document is relevant to the topic of health." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2023/12/05/18c36006172bc052844258d741f2694e.json b/datasets/AP_news/raw_data/2023/12/05/18c36006172bc052844258d741f2694e.json new file mode 100644 index 0000000..5717e29 --- /dev/null +++ b/datasets/AP_news/raw_data/2023/12/05/18c36006172bc052844258d741f2694e.json @@ -0,0 +1,234 @@ +{ + "altids": { + "itemid": "18c36006172bc052844258d741f2694e", + "etag": "18c36006172bc052844258d741f2694e_1a8aza0c0", + "friendlykey": "207325913024", + "referenceid": "EU--France-Smoking-Ban" + }, + "version": 1, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2023-12-05T09:12:56Z", + "firstcreated": "2023-12-05T08:58:36Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: To add the price of e-cigarettes. With AP Photos.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "EU--France-Smoking-Ban", + "headline": "French lawmakers approve bill to ban disposable e-cigarettes to protect youth drawn to their flavors", + "headline_extended": "France\u2019s National Assembly has unanimously approved a bill to ban single-use, disposable electronic cigarettes, in an attempt to protect young people drawn to their flavors and mitigate the environmental impacts of the disposable products known as \u201cpuffs.\u201d", + "slugline": "BC-EU--France-Smoking-Ban, 1st Ld-Writethru", + "description_summary": "France\u2019s National Assembly has unanimously approved a bill to ban single-use, disposable electronic cigarettes, in an attempt to protect young people drawn to their flavors and mitigate the environmental impacts of the disposable products known as \u201cpuffs.\u201d Lawmakers adopted the bill by 104 votes in favor, zero against. 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Lawmakers adopted the bill in a late-night vote on Monday by 104 in favor, zero against.
The bill, supported by the government, will then move to the Senate where it is expected to be adopted as well. It could go into effect by September 2024.
Disposable e-cigarettes \u2014 which cost about 10 euros (nearly $11) each \u2014 are small, battery-powered devices that are especially popular among teenagers for their sweet flavors. While they do not contain tobacco, many include nicotine, a dangerous chemical known for its addictive properties.
They differ from reusable vaping devices in that they are not designed to be refilled or recharged. Their small, non-rechargeable lithium batteries often end up in landfills.
This bill is part of a broader trend. The UK, Ireland, and Germany are considering similar measures. New Zealand and Australia have already implemented restrictions, with the former mandating lower nicotine levels and restrictions on vape shop locations near schools.
Three years ago, the U.S. Food and Drug Administration cracked down on kid-friendly flavored reusable e-cigarettes like Juul. However, the ban \u2014 which didn't apply to single-use products \u2014 was unable to stop a surge in unauthorized disposable e-cigarettes, primarily from China, from flooding the market.
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Additionally, the document references similar measures in other countries and the broader trend of regulating e-cigarettes, which further ties into public health policies and concerns." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2023/12/05/7b1153492b7ee7fbb01f8c0f816fc190.json b/datasets/AP_news/raw_data/2023/12/05/7b1153492b7ee7fbb01f8c0f816fc190.json new file mode 100644 index 0000000..b3ede58 --- /dev/null +++ b/datasets/AP_news/raw_data/2023/12/05/7b1153492b7ee7fbb01f8c0f816fc190.json @@ -0,0 +1,256 @@ +{ + "altids": { + "itemid": "7b1153492b7ee7fbb01f8c0f816fc190", + "etag": "7b1153492b7ee7fbb01f8c0f816fc190_0a15aza0c0", + "friendlykey": "410125324538", + "referenceid": "US--Frontier-Pilots-Breastfeeding" + }, + "version": 0, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2023-12-05T21:34:10Z", + "firstcreated": "2023-12-05T21:34:09Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "signals": [ + "newscontent" + ], + "title": "US--Frontier-Pilots-Breastfeeding", + "headline": "Frontier Airlines settles lawsuit filed by pilots who claimed bias over pregnancy, breastfeeding", + "headline_extended": "Frontier Airlines has settled a lawsuit filed by female pilots who said the airline discriminated against pregnant and breastfeeding employees", + "slugline": "BC-US--Frontier-Pilots-Breastfeeding", + "description_summary": "Frontier Airlines has settled a lawsuit filed by female pilots who said the airline discriminated against pregnant and breastfeeding employees. 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In the agreement announced Tuesday, Frontier will let pilots pump breast milk in the cockpit during \u201cnoncritical phases\u201d of flights.
The Denver-based airline also agreed to let pilots who are breastfeeding reduce their flying time and treat pregnancy and breastfeeding the same as other medical conditions if they make pilots unable to fly.
The settlement was announced by the U.S. Equal Employment Opportunity Commission. The agency lodged charges against Frontier in 2018, after several pilots sued the airline.
Aditi Fruitwala, a lawyer for the American Civil Liberties Union, one of the groups that filed the lawsuit, said the settlement should send a message to airlines and other employers about making reasonable accommodations to pregnant and breastfeeding employees.
\u201cWe\u2019re hopeful this will inspire more change and stronger protections for workers across the airline industry,\u201d Fruitwala said.
Frontier's vice president for labor relations, Jacalyn Peter, said the airline is \u201cat the forefront of accommodating the needs of pregnant and breastfeeding mothers in the airline industry.\u201d She said advances in wearable lactation technology made it possible to reach a settlement that maintains safety.
Last year, Frontier settled a similar lawsuit by flight attendants. The employees said Frontier forced them to take unpaid leave for pregnancy-related absences and didn't let them pump breast milk while working.
Frontier did not admit liability in settling the lawsuits. In the case involving Denver-based pilots, the airline also agreed to comply with a current union agreement letting pregnant pilots fly if they have medical approval.
The airline also agreed to continue to let breastfeeding pilots reduce their schedules to 50 hours of flying per month, and to update and make available a list of lactation facilities at airports.
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Updates stock price to close of trading. With AP Photos.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "US--CVS Health-Drug Pricing", + "headline": "CVS Health lays out changes to clarify prescription drug pricing that may save some customers money", + "headline_extended": "CVS Health is introducing changes to how its prescription drug pricing model works, and that could lead to some savings for customers starting next year", + "slugline": "AP-US--CVS Health-Drug Pricing, 1st Ld-Writethru", + "description_summary": "CVS Health is introducing changes to how its prescription drug pricing model works, and that could lead to some savings for customers starting next year. The health care giant said Tuesday that it will roll out a new reimbursement model designed to make costs more predictable. The company will start offering it next year to some third-party cash discount card administrators. 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The health care giant said Tuesday that it will roll out a new reimbursement model designed to make costs more predictable at the drugstore counter. The company will start offering it next year to some third-party cash discount card administrators.
Cash discount cards like those offered by GoodRx can give customers a price break on out-of-pocket costs for some prescriptions, depending on the person\u2019s coverage and the drug.
CVS Health drugstores will start using the company\u2019s new CostVantage model more broadly in 2025. It is designed to make drug costs more transparent. It involves a formula based on the cost of the drug, a set markup and then a fee for filling the prescription.
CVS Health runs one of the nation\u2019s largest drugstore chains and a large pharmacy benefit management business that operates prescription drug coverage for big clients like insurers and employers.
It also sells health insurance through its Aetna arm, and the company has been providing a growing amount of care through its drugstores and clinics.
The company also announced on Tuesday a 10% hike in its quarterly dividend and laid out its forecast for next year. CVS Health expects adjusted earnings of at least $8.50 per share. It also forecasts total revenue of at least $366 billion.
Analysts expect earnings of $8.51 per share on $344.5 billion in revenue, according to FactSet.
Edward Jones analyst John Boylan said in an email that he saw the stronger-than-expected revenue guidance and dividend hike as a \u201cshow of confidence by management.\u201d
Shares of CVS Health Corp., based in Woonsocket, Rhode Island, jumped 3.7%, or $2.54, to close Tuesday at $71.02 while broader indexes slipped.
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A ministry statement Tuesday said the posters stuck up outside apartment buildings in the city center, festooned with fake ministry and Athens municipality logos, were \u201cabsolutely false.\u201d
The posters, addressed to \u201cdear visitors\u201d in misspelled English, claimed health authorities had ordered local \u201cprivate guesthouses\u201d evacuated \u201cto protect the public health of permanent Greek tenants.\u201d
Citing a nonexistent bedbug infestation, they threatened visitors with a 500-euro fine ($540) for failure to leave their accomodation, and politely wished them a pleasant stay in Greece.
In addition to a cost-of-living crisis, Athens and other parts of Greece face housing problems largely caused by the proliferation of short-term rental apartments \u2014 mainly for foreign visitors.
That has helped fuel a surge in long-term rental costs for Greeks, many of whom are priced out of residential areas in central Athens. Property values are also spiraling, in part because of a \u201cgolden visa\u201d program offering residence to foreign property investors.
Tourism is a key driver of Greece's economy, accounting for a fifth of annual output, and 2023 is expected to be a record year for arrivals.
The health ministry said Tuesday that it has informed the police \u201cto do what is necessary\u201d about the hoax. It said that \u201cnobody is allowed to terrorize and misinform the public\u201d on public health issues.
Greece hasn't recorded any major trouble with the bloodsucking creepy-crawlies that recently caused consternation in France.
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The state law that allows for these removals is meant to be limited to people with severe mental illness, who are endangering their own lives or safety or someone else\u2019s. But advocates say schools nationwide are using the practice in response to behaviors prompted by bullying or frustration over assignments. The ER trips, they say, often follow months, and sometimes years, of students' needs not being met.", + "bylines": [ + { + "by": "By ANNIE MA of The Associated Press and MEREDITH KOLODNER of The Hechinger Report" + } + ], + "located": "SALISBURY, Md.", + "datelinelocation": { + "city": "Salisbury", + "countryareacode": "MD", + "countryareaname": "Maryland", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -75.59937, + 38.36067 + ] + } + }, + "copyrightnotice": "Copyright 2023 The Associated Press. All rights reserved. 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(AP) \u2014 Three times a week, on average, a police car pulls up to a school in Wicomico County on Maryland\u2019s Eastern Shore. A student is brought out, handcuffed and placed inside for transport to a hospital emergency room for a psychiatric evaluation.
Over the past eight years, the process has been used at least 750 times on students. Some are as young as 5 years old.
The state law that allows for these removals, known as petitions for emergency evaluation, is meant to be limited to people with severe mental illness, who are endangering their own lives or safety or someone else\u2019s. It\u2019s the first step toward getting someone involuntarily committed to a psychiatric hospital.
But advocates say schools across the country are sending children to the emergency room for psychiatric evaluations in response to behaviors prompted by bullying or frustration over assignments. The ER trips, they say, often follow months, and sometimes years, of their needs not being met.
Black students are more frequently subjected to these removals than their peers, according to available data. Advocates point to students with disabilities also being removed at higher rates.
\u201cSchools focus on keeping kids out rather than on keeping kids in,\u201d said Dan Stewart, managing attorney at the National Disability Rights Network. \u201cI think that\u2019s the fundamental crux of things.\u201d
Schools in Wicomico County agreed not to misuse emergency petitions as part of a 2017 settlement with the U.S. Department of Justice. But while the number of suspensions and expulsions declined, mandated trips to the emergency room ticked up.
Last year, children were handcuffed and sent to the emergency room at least 117 times from Wicomico schools, about once per every 100 students, according to data obtained from public records requests to the Wicomico County Sheriff\u2019s Office.
At least 40% were 12 or younger. More than half were Black children, even though a little more than a third of Wicomico public school children are Black.
In interviews, dozens of students, parents, educators, lawyers and advocates for students with disabilities in Wicomico County said a lack of resources and trained staff, combined with a punitive culture in some schools, are behind the misuse of emergency petitions.
One Wicomico mom, who asked for anonymity because she feared retaliation from the school, recalled the terror she felt when her son\u2019s school called and said they were going to have him assessed for a forced psychiatric hospitalization. When she arrived at the school, she said, her son was already in handcuffs. He was put in the back of a police car and taken to the hospital.
\u201cHe said his wrists hurt from the handcuffs,\u201d the mother said. \u201cHe was just really quiet, just sitting there, and he didn\u2019t understand why he was in the hospital.\u201d
The practice isn\u2019t just happening in Wicomico.
Recent data shows New York City schools still call police to take children in emotional distress to the emergency room despite a 2014 legal settlement in which they agreed to stop the practice.
A Kentucky school district was found to have used a psychiatric assessment on kids more than 1,000 times in a year. In Florida, thousands of school-aged children have been subjected to the Baker Act, the state\u2019s involuntary commitment statute.
In a settlement with the Education Department\u2019s Office of Civil Rights, the Stockton Unified School District in California agreed to protocols that require other interventions before referring students with disabilities for psychiatric evaluation.
In Maryland, Wicomico uses emergency petitions more often per capita than almost every other Maryland district where data is available.
Baltimore City, for example, last year had 271 emergency petitions from schools, compared with Wicomico\u2019s at least 117, according to data obtained from law enforcement agencies through public records requests. But Baltimore\u2019s student population is five times as large.
Wicomico parents describe struggling to get support for their children when they fell behind on basics like reading and math in early grades. These gaps in learning can lead to frustration and behaviors challenging for teachers to manage.
The Wicomico mother whose son was handcuffed said she fought for years with administrators to obtain accommodations for her child, who is autistic, an experience echoed by other parents. Her son, who also has ADHD, was several years behind in reading by the time he got to middle school. The mother said he was sent to the hospital after an outburst rooted in frustration, not mental illness.
She recalled school officials telling her, \u201c\u2018He doesn\u2019t have special needs, he just has anger issues.\u2019 They were trying to get him out of the school.\u201d
Her son had grown increasingly discouraged and agitated over an assignment he was unable to complete, she said. The situation escalated, she said, when the teacher argued with him. He knocked a laptop on his desk to the floor, and the school called for an emergency petition. After being taken to the hospital in handcuffs, he was examined and released.
\u201cAfter that, he went from angry to terrified,\u201d she said. \u201cEvery time he saw the police, he would start panicking.\u201d
A spokeswoman from the Wicomico County Public Schools said emergency petitions \u201care used in the most extreme, emergency situations where the life and safety of the student or others are at risk.\u201d
\u201c(Emergency petitions) are not used for disciplinary purposes and frequently do not result from a student\u2019s behaviors,\u201d Tracy Sahler said in an email. \u201cIn fact, a majority of EPs are related to when a student exhibits suicidal ideation or plans self-harm.\u201d
School officials did not respond to questions about why the rate of emergency petitions was so much higher in Wicomico than in other counties in Maryland. The Sheriff\u2019s Department declined to share records that would show the reasons for the removals.
By law, certain classroom removals must be recorded. Suspensions, expulsions and arrests are the most commonly documented indicators of racial disparities in discipline. Schools are required by law to publicly report the data, which often triggers oversight and investigations.
But with the exceptions of Florida and New York City, most places do not routinely collect information on removals from school for psychiatric assessments.
Without that data, there is no way to hold schools accountable, said Daniel Losen, senior director for the education team at the National Center for Youth Law.
\u201cThe civil rights of children is at stake, because it\u2019s more likely it\u2019s going to be Black kids and kids with disabilities who are subjected to all kinds of biases that deny them an educational opportunity,\u201d he said.
Families who have experienced emergency petitions say educators who can communicate with their child are stretched thin, and measures that could de-escalate a situation are not always taken. The day her son was sent to the hospital, the mother recalled, the administrator who had consistently advocated for him was out of the building.
In another instance, a middle schooler said the required accommodations for his learning and behavioral disabilities included taking a walk with a trusted educator when he became agitated. The day he was involuntarily sent to the hospital, that staff member was unavailable. He began yelling and spitting when an administrator blocked him from leaving on his own. He said that by the time police arrived, he was calm and sitting in the principal\u2019s office. Still, he was handcuffed and taken to the hospital, where he was examined and released a few hours later.
Because emergency petitions happen outside the standard discipline process, missed school days are not recorded as suspensions. For students with disabilities, that has special consequences \u2013 they are not supposed to be removed from class for more than 10 days without an evaluation of whether they are receiving the support they need.
\u201cIf you use the discipline process, and you\u2019re a student with a disability, your rights kick in,\u201d said Selene Almazan, legal director for the Council of Parent Attorneys and Advocates.
In many places around the country, the resources needed to support students with disabilities are scarce.
On Maryland\u2019s Eastern Shore, lawyers and advocates for families said the spectrum of alternatives for students is limited by both money and geography. Those can include private, out-of-district placements and specialized classrooms for specific needs like dyslexia, for example.
In cases where children need targeted services unavailable in the local district, the district must allow them to be educated outside the school system \u2014 and pay for it.
\u201cYou\u2019re stuck between a rock and a hard place because you\u2019re like, \u2018This kid needs more services,\u2019 but you can\u2019t get the school to agree,\u201d said Angela Ford, clinical director at Maple Shade Youth and Family Services, which serves children with emotional and behavioral disabilities in Wicomico.
The 2017 settlement with the Justice Department required the Wicomico district to reduce the significant racial and disability-related disparities in suspensions, placements in alternative schools and other discipline measures.
The district agreed not to use emergency petitions \u201cwhere less intrusive interventions \u2026 can be implemented to address the behavioral concern\u201d and not to use them \u201cto discipline or punish or to address lack of compliance with directions.\u201d
But since the settlement, many parents, teachers and community leaders said the district has seemed more concerned with keeping suspension numbers down than providing support for teachers to help prevent disruptive behavior.
\u201cIf we know how to handle and deal with behaviors, then we will have less EPs,\u201d said Anthony Mann, who was an instructional aide at Wicomico County High School last year and is a Wicomico public school parent.
Tatiyana Jackson, who has a son with a disability at Wicomico Middle School, agrees teachers need more training. \u201cI don\u2019t think they have a lot of patience or tolerance for children with differences. It\u2019s like they give up on them.\u201d
Wicomico school officials said ongoing professional development for staff includes the appropriate use of emergency petitions.
\u201cEach school has a well-trained team that includes a social worker and school counselor, with the support of school psychologists,\u201d said Sahler. \u201cAll supports that may be beneficial to assist the student are utilized. However, the safety of the student is paramount and the determining factor is ensuring that there is no unnecessary delay in obtaining aid for the student.\u201d
But Denise Gregorius, who taught in Wicomico schools for over a decade and left in 2019, questioned the feasibility of the discipline and behavior strategies taught during professional development.
What the teachers really want, she said, is more support.
After the settlement, which had a two-and-a-half year monitoring period, the number of suspensions and expulsions in Wicomico declined markedly \u2013 for Black and white students. But the number of emergency petitions, which don\u2019t appear in state statistics, has ticked up.
Other measures of exclusionary discipline remained high, including school arrests. In 2021-22, Wicomico had 210 school-based arrests \u2013 the second highest number in the state, while they were 15th in student enrollment. More than three-quarters of the children arrested were Black and 80% were students with disabilities.
\u201cMonitoring the numbers doesn\u2019t bring you the solution,\u201d said Losen, from the National Center for Youth Law. In many districts, \u201cthe problem is more than what they\u2019re doing with discipline.\u201d
The Department of Justice declined to comment.
Some Wicomico parents and educators point to an insular culture in the school district where problems are hidden rather than resolved.
They are frustrated that there is no relationship with the county\u2019s mobile crisis unit, which is often relied on in other counties to help de-escalate issues instead of calling the police.
Jermichael Mitchell, a community organizer who is an alum and parent in Wicomico County Schools, said educators often do not know how to empathize and respond to the trauma and unmet needs that may lead to children\u2019s behavior.
\u201cA Black kid that\u2019s truly going through something, that truly needs support, is always looked at as a threat,\u201d he said. \u201cYou don\u2019t know how those kids have been taught to cry out for help. You don\u2019t know the trauma that they\u2019ve been through.\u201d
Studies have found Black and Latino children who have a teacher of the same race have fewer suspensions and higher test scores, but that diversity is lacking in Wicomico County. Wicomico schools have the largest gap between the number of students of color and teachers of color in the state.
Wicomico school officials said they do not discriminate against any of their students.
A Wicomico teenager described a years-long process of becoming alienated from school, with an emergency petition as the ultimate break. He said he was bullied in middle school over a series of months until one day he snapped and hit the student who had been taunting him.
The school called the police. He told the officers not to touch him, and that he needed to calm down. Instead, the officers grabbed him and shoved him into the ground, he said. He was handcuffed and transported to the emergency room. But when he returned, he said the only thing that was different was how he felt about the adults in the building.
\u201cI got used to not trusting people, not talking to people at school,\u201d he said. \u201cNothing else really changed.\u201d
_____
This story about emergency petitions was produced by The Associated Press and The Hechinger Report, a nonprofit, independent news organization focused on inequality and innovation in education.
_____
The Associated Press education team receives support from the Carnegie Corporation of New York. The AP is solely responsible for all content.
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A post on Walesa\u2019s Facebook shows him on a hospital bed with an oxygen mask on, with a caption that says \u201cI have been hit by Covid.\u201d The aide, Marek Kaczmar, told Polish media that Walesa is seriously ill, but under good care in a hospital in Gdansk, the Baltic port city where he lives.
It\u2019s Walesa\u2019s second bout of COVID.
Starting in 1980, Walesa spearheaded Poland\u2019s pro-democracy Solidarity movement that nine years later led to the peaceful ouster of communism from Poland and inspired other countries to shed Moscow\u2019s domination.
In 1983 he was awarded the Nobel Peace Prize. In 1990-95 he served as democratic Poland\u2019s first popularly elected president.
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(AP) \u2014 The family of a 46-year-old Florida man has filed a wrongful death and negligence lawsuit against one of the biggest fast-casual restaurant chains in the U.S., claiming Panera Bread Company's caffeine-filled lemonade drink led to his death.
David Brown had high blood pressure and didn't drink energy drinks, but the lawsuit said he believed the Panera Charged Lemonade was safe since it was not advertised as an energy drink. It was offered in the same place as the restaurant chain\u2019s non-caffeinated or less-caffeinated drinks, according to the lawsuit filed Monday in Superior Court in Delaware, where Panera Bread Company is registered.
The lawsuit states that on Oct. 9, Brown had the drink three times during a visit to the Panera Bread Company location in Fleming Island, Florida. On his walk home, he suffered cardiac arrest and died a short time later. He had ordered a Panera Charged Lemonade at least seven times over the course of two weeks in September and October, according to the lawsuit.
\u201cDefendants knew or should have known that the Panera Charged Lemonade, as designed and formulated, once consumed, could injure children, pregnant and breastfeeding women, and people sensitive to caffeine by causing catastrophic injuries and/or death,\u201d the lawsuit said.
No one from Panera\u2019s corporate offices responded to an inquiry seeking comment Tuesday afternoon.
Brown had a chromosomal deficiency disorder, developmental delays, some blurred vision and mild intellectual disability, the lawsuit said. He had worked for 17 years at Publix Super Markets and would regularly go to the Panera restaurant after work for meals, as many as three times a week, because the lawsuit said he felt the chain advertised as being a healthy alternative to other restaurants.
Another wrongful death lawsuit was filed in October by the family of 21-year-old Sarah Katz, a University of Pennsylvania student with a heart condition who died in September 2022 after consuming the drink, according to media reports.
The privately-held Panera Bread Company, which is headquartered in St. Louis, Missouri, operates in 48 U.S. states and Canada.
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Krawiec and Rep. Gill won't seek reelection to the North Carolina General Assembly", + "headline_extended": "A North Carolina state senator involved heavily in bills to further restrict abortion, overhaul Medicaid and reduce health care regulation says she won't seek reelection next year", + "slugline": "AP-NC-XGR--Krawiec-Not Running", + "description_summary": "A North Carolina state senator involved heavily in bills to further restrict abortion, overhaul Medicaid and reduce health care regulation says she won't seek reelection next year. Republican Sen. Joyce Krawiec of Forsyth County announced her decision just before candidate filing for the 2024 elections began Monday. She joined the Senate in 2014. Krawiec also had a significant role in passing a 2018 law that implemented a voter ID mandate. Senate leader Phil Berger called Krawiec \u201ca conservative stalwart\" and a \u201cguiding force in the Senate.\u201d Also Monday, Democratic Rep. 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(AP) \u2014 North Carolina state Sen. Joyce Krawiec, who has successfully pushed to overhaul Medicaid, streamline health care access and further restrict abortion while in the General Assembly, announced on Monday that she won't seek reelection next year.
Krawiec, a Forsyth County Republican, made the announcement just before candidate filing for the 2024 elections began at noon.
She quickly endorsed Dana Caudill Jones, a recent Winston-Salem/Forsyth County Board of Education member as her successor in the 31st Senate District, which cover all of Stokes County and part of Forsyth.
Krawiec, who also had a significant role in passing a 2018 law that implemented a voter ID mandate, said she will serve out the remainder of her term through the end of 2024.
Krawiec \u201cis a conservative stalwart and has been a guiding force in the Senate,\u201d Senate leader Phil Berger was quoted as saying in Krawiec's news release. \u201cHer influence can be felt throughout our caucus as a skilled legislator, trusted mentor, and well-respected colleague.\u201d
Once the vice chairwoman of the state Republican Party, Krawiec served briefly in the House in 2012, then joined in the Senate in 2014 to fill the seat previously held by Sen. Pete Brunstetter. She currently helps lead Senate health care and pensions committees.
Krawiec was involved in legislation that moved Medicaid from a fee-for-service system to a managed-care system where statewide and regional health plans received monthly payments for each patient they enrolled and treated.
Over the years, she also fought for additional abortion restrictions and for easing state regulations on health care entities that wish to construct building or purchase new equipment. Those certificate of need rules were incorporated into this year's law expanding Medicaid coverage to hundreds of thousands of low-income adults.
Also Monday, Democratic state Rep. Rosa Gill of Wake County said she won't run for reelection. A former teacher and Wake County school board member, Gill filled a House vacancy in 2009 and has been reelected ever since, focusing on education matters.
\u201cI\u2019ve served long enough,\u201d Gill told WUNC-FM.
", + "textformat": "bx", + "links": [ + { + "href": "https://apnews.com/article/north-carolina-legislators-krawiec-2024-d6d71f7531af8cbcdbe6c688d45bb625", + "rel": "canonical" + } + ], + "topics": { + "Health": { + "relevance_score": 3, + "reason": "The document primarily focuses on the political careers and retirement announcements of Sen. Joyce Krawiec and Rep. Rosa Gill. While it does mention Krawiec's involvement in health-related legislation, such as Medicaid overhaul and health care access, the main topic of the document is their decision not to seek reelection. 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Although Texas allows exceptions, doctors and women have argued in court that the law is so restrictive and vaguely worded that it makes it all but impossible to obtain an abortion.", + "bylines": [ + { + "by": "By PAUL J. WEBER", + "title": "Associated Press" + } + ], + "located": "AUSTIN, Texas", + "datelinelocation": { + "city": "Austin", + "countryareacode": "TX", + "countryareaname": "Texas", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -97.74306, + 30.26715 + ] + } + }, + "copyrightnotice": "Copyright 2023 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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Wade was overturned last year.
Texas is one of 13 states that ban abortion at nearly all stages of pregnancy. Although Texas allows exceptions, doctors and women have argued in court this year that the state's law is so restrictive and vaguely worded that physicians are fearful of providing abortions lest they face potential criminal charges.
Kate Cox, 31, is 20 weeks pregnant and has been told by doctors that her baby is likely to be stillborn or live for a week at most, according to the lawsuit filed in Austin. The suit says doctors told her their \u201chands are tied\u201d under Texas' abortion ban.
\u201cKate Cox needs an abortion, and she needs it now,\u201d the lawsuit reads.
Spokespersons for the Texas attorney general's office, which has defended the ban in court, did not immediately respond to a message seeking comment.
Molly Duane, Cox's lawyer and an attorney for the Center for Reproductive Rights, said Tuesday that a court has not yet scheduled a hearing but one could happen later this week.
The lawsuit was filed a week after the Texas Supreme Court heard arguments about whether the ban is too restrictive for women with pregnancy complications. That case is among the biggest ongoing challenges to abortion bans in the U.S., although a ruling from the all-Republican court may not come for months.
Cox, a mother of two, had cesarean sections with her previous pregnancies. She learned she was pregnant for a third time in August and was told weeks later that her baby was at a high risk for a condition known as trisomy 18, which has a very high likelihood of miscarriage or stillbirth and low survival rates, according to the lawsuit.
Doctors told Cox that if the baby's heartbeat were to stop, inducing labor would carry a risk of a uterine rupture because of her prior cesareans, and that another C-section at full term would would endanger her ability to carry another child.
\u201cIt is not a matter of if I will have to say goodbye to my baby, but when. I\u2019m trying to do what is best for my baby and myself, but the state of Texas is making us both suffer,\u201d Cox said in a statement.
In July, several Texas women gave emotional testimony about carrying babies they knew would not survive and doctors unable to offer abortions despite their spiraling conditions. A judge later ruled that Texas\u2019 ban was too restrictive for women with pregnancy complications, but that decision was swiftly put on hold after the state appealed.
Duane said Cox reached out last week after coming across news stories following the hearing at the state Supreme Court. The arguments were held on the same day that Cox received results of an amniocentesis that confirmed prior tests about her pregnancy.
\u201cHow many people are going through the exact same thing as Kate is right now but are not in a position to file a lawsuit?\u201d Duane said in an interview. \"I think that gives you a sense of the scale of the problem that we're dealing with.\"
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(AP) \u2014 Inmates at an eastern Kentucky jail are guaranteed access to medication for opioid use disorder under a settlement between the U.S. Justice Department and the Big Sandy Regional Jail Authority, U.S. Attorney Carlton S. Shier announced.
The Americans with Disabilities Act protects people in recovery from the disorder and the settlement requires Big Sandy Regional Detention Center to ensure that medically appropriate treatment with any FDA-approved medication is available, Shier said Monday in a statement.
\"Access to medications that treat opioid use disorder saves lives, and we are pleased we were able to reach a settlement with the Big Sandy Regional Detention Center to better ensure access to this important treatment for the people in its custody,\u201d Shier said.
The agreement follows an investigation by the Justice Department that stemmed from a complaint by a medical provider on behalf of an inmate. The complaint alleged that the jail refused to provide an inmate with lawfully prescribed buprenorphine to treat opioid use disorder.
Big Sandy denied allegations of discrimination, but agreed to cooperate with the federal government and fully comply with requirements of the Americans with Disabilities Act, the agreement said. The jail in Paintsville serves Johnson, Lawrence, Magoffin, and Martin counties.
The agreement requires Big Sandy to revise its policies to medically evaluate all individuals for the disorder and to provide access to all three forms of FDA-approved medications. It also requires the jail to ensure that inmates already taking medication will continue on it and those that need it to have access even if they weren't being treated before being incarcerated, the settlement said.
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These points are all pertinent to the topic of health, particularly in the context of addiction treatment and healthcare rights for inmates." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2023/12/05/e9535cfcb85ab524d04a55483a3f192e.json b/datasets/AP_news/raw_data/2023/12/05/e9535cfcb85ab524d04a55483a3f192e.json new file mode 100644 index 0000000..a774791 --- /dev/null +++ b/datasets/AP_news/raw_data/2023/12/05/e9535cfcb85ab524d04a55483a3f192e.json @@ -0,0 +1,211 @@ +{ + "altids": { + "itemid": "e9535cfcb85ab524d04a55483a3f192e", + "etag": "e9535cfcb85ab524d04a55483a3f192e_1a4aza0c0", + "friendlykey": "486032621410", + "referenceid": "LT--Mexico-Mine-Protest" + }, + "version": 1, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2023-12-05T22:54:09Z", + "firstcreated": "2023-12-05T22:03:22Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: To add hyperlinks.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "LT--Mexico-Mine-Protest", + "headline": "Residents in northern Mexico protest over delays in cleaning up a mine spill", + "headline_extended": "Residents in Mexico\u2019s northern state of Sonora have protested at the state capital against persistent pollution from an almost decade-old mine spill", + "slugline": "BC-LT--Mexico-Mine-Protest, 1st Ld-Writethru", + "description_summary": "Residents in Mexico\u2019s northern state of Sonora have protested at the state capital against persistent pollution from an almost decade-old mine spill. 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For other uses, additional clearances may be required." + ], + "keywords": [ + "mexico sonora mine spill health protest" + ], + "provider": "AP", + "infosource": [ + { + "name": "AP", + "type": "AP" + } + ], + "subject": [ + { + "rels": [ + "category" + ], + "creator": "Editorial", + "code": "i", + "name": "i" + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "15a6f6325374234b9a7329631b4a5e07", + "name": "Utilities", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 41 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "8783d248894710048286ba0a2b2ca13e", + "name": "Climate and environment", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 64 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "86aad5207dac100488ecba7fa5283c3e", + "name": "Politics", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 53 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "0e8cf338896510048024d56c852d093e", + "name": "Protests and demonstrations", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 73 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "bb2d2c5f441a452cb24bb511a2ab5eea", + "name": "World news", + "creator": "Editorial", + "editorial_subject": "World news", + "rels": [ + "direct" + ], + "relevance": 99 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "f25af2d07e4e100484f5df092526b43e", + "name": "General news", + "creator": "Editorial", + "editorial_subject": "General news", + "rels": [ + "direct" + ], + "relevance": 50 + } + ], + "place": [ + { + "scheme": "http://cv.ap.org/id/", + "code": "661af0c07d5b10048239c076b8e3055c", + "name": "Mexico", + "creator": "Machine", + "rels": [ + "direct" + ], + "parentids": [ + "6618c9f87d5b10048204c076b8e3055c" + ], + "locationtype": { + "code": "01f56e0e654841eca2e69bf2cbcc0526", + "name": "Nation" + }, + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -102, + 23 + ] + }, + "relevance": 92, + "parentnames": [ + "Central America" + ] + } + ], + "audiences": [ + { + "code": "82c6a4c46fa0446090a7acaf93159e4c", + "name": "Print", + "type": "AUDPLATFORM" + }, + { + "code": "9add4649b53b4702ba7d9de5d4fa607a", + "name": "Online", + "type": "AUDPLATFORM" + }, + { + "code": "f4ecf9b0760d10048044e6e7a0f4673e", + "name": "International", + "type": "AUDSCOPE" + }, + { + "code": "f43adc08760d10048040e6e7a0f4673e", + "name": "National", + "type": "AUDSCOPE" + }, + { + "code": "661850e07d5b100481f5c076b8e3055c", + "name": "Latin America and Caribbean", + "type": "AUDGEOGRAPHY" + }, + { + "code": "661e48387d5b10048291c076b8e3055c", + "name": "United States", + "type": "AUDGEOGRAPHY" + } + ], + "associations": { + "1": { + "altids": { + "itemid": "e748bd00a84e4bec86ee352052dbd535" + }, + "type": "picture" + } + }, + "body_nitf": "MEXICO CITY (AP) \u2014 Residents in Mexico\u2019s northern state of Sonora on Tuesday protested against what they said is the government\u2019s continued failure to clean up an almost decade-old mine spill.
At a news conference held outside government offices in Hermosillo, the state capital, members of the local advocacy group the Sonora River Basin Committee described the situation as a health crisis that authorities continue to ignore.
\u201cYou have asked us for patience and our patience has lasted almost two years,\" Martha Patricia Velarde said. \"Today we tell you again: Bureaucracy should never be above the health and life of the people.\u201d
Nine years ago, millions of gallons of toxic waste flooded from Grupo M\u00e9xico\u2019s Buenavista mine into the Sonora and Bacanuchi rivers, just under 60 miles (100 kilometers) from the border city of Nogales, Sonora.
Mexico\u2019s environmental secretary Mar\u00eda Luisa Albores Gonz\u00e1lez has described the spill as \u201cthe most serious environmental disaster in the history of metal mining in Mexico.\"
In a 2022 study, the state health department found 10% of residents in the polluted area \u2014 almost 100 square miles (250 square kilometers) around the spill \u2014 were at high or very high risk of developing arsenic poisoning.
After years of waiting, recent months have seen a flurry of encouraging rhetoric, but little apparent progress.
In September, Mexico\u2019s environment department released a report describing \u201calarming\u201d levels of pollution around the spill. Then the following month Albores announced the department had filed a legal complaint against Grupo M\u00e9xico for failing to pay for the damage.
Since then what was the only remaining water treatment plant in operation closed at the end of November. Under an initial settlement, Grupo M\u00e9xico agreed to open 36 treatment plants, but only began construction on 10.
The environmental department and a spokesperson for Grupo M\u00e9xico declined to comment on Tuesday's protest or give any updates on the government's legal complaint.
The mining company's spokesperson referred to an October news release in which the company declined responsibility for pollution in the region.
\u201cThe environmental conditions and integrity of the Sonora and Bacanuchi river ecosystems are the same as they were before the 2014 accident,\u201d read the statement. \u201cThe Sonora river region has suffered the effects of continuous disinformation campaigns ... causing fear and unfounded distrust.\u201d
____ Follow AP\u2019s coverage of Latin America and the Caribbean at https://apnews.com/hub/latin-america
", + "textformat": "bx", + "links": [ + { + "href": "https://apnews.com/article/mexico-sonora-mine-spill-health-protest-e9535cfcb85ab524d04a55483a3f192e", + "rel": "canonical" + } + ], + "topics": { + "Health": { + "relevance_score": 4, + "reason": "The document discusses a protest in northern Mexico over delays in cleaning up a mine spill, which has led to a health crisis. It mentions the health risks, including arsenic poisoning, faced by residents in the polluted area. The document also references studies and reports on the health impact of the spill. Therefore, the document is relevant to the topic of health as it addresses the health consequences of environmental pollution and the community's response to it." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2023/12/05/ecdc9d2fe8a59352d9bb8f2e494f5255.json b/datasets/AP_news/raw_data/2023/12/05/ecdc9d2fe8a59352d9bb8f2e494f5255.json new file mode 100644 index 0000000..853e15a --- /dev/null +++ b/datasets/AP_news/raw_data/2023/12/05/ecdc9d2fe8a59352d9bb8f2e494f5255.json @@ -0,0 +1,232 @@ +{ + "altids": { + "itemid": "ecdc9d2fe8a59352d9bb8f2e494f5255", + "etag": "ecdc9d2fe8a59352d9bb8f2e494f5255_0a17aza0c0", + "friendlykey": "480584024382", + "referenceid": "US-MED--Healthcare-Race-Poll" + }, + "version": 0, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2023-12-05T22:35:34Z", + "firstcreated": "2023-12-05T22:35:33Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: With AP Photos.", + "signals": [ + "newscontent" + ], + "title": "US-MED--Healthcare-Race-Poll", + "headline": "Patients of color more often brace for unfair treatment in health care, survey finds", + "headline_extended": "A new survey shows 55% of Black patients said they feel like they must be very careful about their appearance to be treated fairly at medical visits", + "slugline": "BC-US-MED-Healthcare-Race-Poll", + "description_summary": "A new survey shows 55% of Black patients said they feel like they must be very careful about their appearance to be treated fairly at medical visits. That\u2019s similar to the rate for Hispanic and Alaska Native patients \u2013 and nearly double the rate for white patients. The poll released Tuesday by KFF, a health policy research group, found people of color brace against discrimination in health care far more often than white people. Experts say the survey points to deeper problems that can influence critical interactions between a doctor and patient.", + "bylines": [ + { + "by": "By DEVI SHASTRI", + "title": "AP Health Writer" + } + ], + "copyrightnotice": "Copyright 2023 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. For other uses, additional clearances may be required." + ], + "keywords": [ + "racism healthcare doctor survey disparity" + ], + "provider": "AP", + "infosource": [ + { + "name": "AP", + "type": "AP" + } + ], + "subject": [ + { + "rels": [ + "category" + ], + "creator": "Editorial", + "code": "a", + "name": "a" + }, + { + "rels": [ + "category" + ], + "creator": "Editorial", + "code": "n", + "name": "n" + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "e22563387de410048f92df092526b43e", + "name": "Breast cancer", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 45 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "86bcf1d87dac10048964ba7fa5283c3e", + "name": "Public opinion", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 52 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "5b4b7cf56c68466499b1607a138648a6", + "name": "Hispanics", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 64 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "2043fba2163b41fc9c92b7f8e55ac2d9", + "name": "Indigenous people", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 52 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "24af9f40872a10048cb6d7c656897a02", + "name": "Discrimination", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 64 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "cc7a76087e4e10048482df092526b43e", + "name": "Health", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 92 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "ec28dcdfc4ca4ac9918d3b61427e65c3", + "name": "Race and ethnicity", + "creator": "Editorial", + "editorial_subject": "Race and ethnicity", + "rels": [ + "direct" + ], + "relevance": 75 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "cc7a76087e4e10048482df092526b43e", + "name": "Health", + "creator": "Editorial", + "editorial_subject": "Health", + "rels": [ + "direct" + ], + "relevance": 99 + } + ], + "place": [ + { + "scheme": "http://cv.ap.org/id/", + "code": "2bec0c142d4d4a74ab28e48abb436084", + "name": "Mediterranean Sea", + "creator": "Machine", + "rels": [ + "direct" + ], + "parentids": [ + "8f378274236c4df79f481d1fbccac174" + ], + "locationtype": { + "code": "61bb9878082348469a42017d7ec5533b", + "name": "Sea" + }, + "relevance": 32, + "parentnames": [ + "Bodies of water" + ] + } + ], + "audiences": [ + { + "code": "82c6a4c46fa0446090a7acaf93159e4c", + "name": "Print", + "type": "AUDPLATFORM" + }, + { + "code": "9add4649b53b4702ba7d9de5d4fa607a", + "name": "Online", + "type": "AUDPLATFORM" + }, + { + "code": "f43adc08760d10048040e6e7a0f4673e", + "name": "National", + "type": "AUDSCOPE" + }, + { + "code": "f5b16ea8760d10048047e6e7a0f4673e", + "name": "State", + "type": "AUDSCOPE" + }, + { + "code": "bed6942882b310048501df092526b43e", + "name": "Massachusetts", + "type": "AUDGEOGRAPHY" + }, + { + "code": "b58f18a082c6100487fbdf092526b43e", + "name": "New York", + "type": "AUDGEOGRAPHY" + }, + { + "code": "cb06ab1082af100482f8df092526b43e", + "name": "Florida", + "type": "AUDGEOGRAPHY" + }, + { + "code": "661e48387d5b10048291c076b8e3055c", + "name": "United States", + "type": "AUDGEOGRAPHY" + } + ], + "associations": { + "1": { + "altids": { + "itemid": "844212b4bd5f40f394cc3ab4a8860e79" + }, + "type": "picture" + } + }, + "body_nitf": "A trip to the doctor\u2019s office comes with a bit of preparation for most, maybe even an internal pep talk to prepare for being told to get more exercise or calm a simmering fear of needles.
But dressing well in hopes of warding off unfair treatment \u2013 or even bracing for being insulted?
A newly released poll by KFF, a health policy research group, found many patients of color \u2014 including 3 in 5 Black respondents \u2014 take such steps at least some of the time when seeing a doctor.
The poll found that 55% of Black respondents said they feel like they must be very careful about their appearance to be treated fairly at medical visits. That\u2019s similar to the rate for Hispanic and Alaska Native patients \u2013 and nearly double the rate for white patients.
Nearly 30% of Black respondents prepare to be insulted, also about double the rate for white patients.
\u201cIt\u2019s exhausting,\u201d survey respondent Christine Wright, 60, told The Associated Press.
Wright, who is Black, says she\u2019s faced years of discrimination \u2013 including once being called a racial slur by a nurse. She was diagnosed with breast cancer in 2017 and recently found a doctor she trusts. But she still makes sure to dress well for any medical appointments, putting on jewelry, a nice coat and making sure her hair is done.
She braces herself for looks and comments from doctors and staff. \u201cThey don\u2019t control you,\" she tells herself. \"They don\u2019t. Doesn\u2019t matter what they\u2019re saying about you. Because you\u2019re not that.\u201d
While more than 90% of those polled said they were not treated unfairly or with disrespect in a health care setting because of their race or ethnic background in the past three years, the anticipation of unequal treatment can influence patients\u2019 interactions with their doctors, experts say. That\u2019s a particular concern because of the wide disparities in health outcomes along racial lines in the U.S.
\u201cThis survey shows the impact racism and discrimination continues to have on people\u2019s health care experiences,\u201d said KFF President Drew Altman.
Dr. Allison Bryant, an obstetrician at Massachusetts General Hospital who was not involved in the survey, said it provided important \u2013 though not necessarily surprising \u2013 results.
Bryant, who also serves as her hospital system's associate chief health equity officer, said she has heard similar stories from patients of color and seen it in the system's own patient satisfaction data. And as a Black woman, she lives the experience herself, often double-checking she has her ID or wedding ring visible to ward off assumptions from others.
\u201cI think everybody experiences that to some extent,\u201d Bryant said. \u201cBut I understand why it\u2019s more exaggerated in individuals of color, who have a legacy of not being treated well.\u201d
The behavior indicates a deeper problem, Bryant said, one that can influence critical interactions between a doctor and patient.
If you anticipate someone may treat you badly you may be more tense, you may not speak properly, she said. \u201cThere are deep harms that are associated with this that go beyond what it might look like at the surface, which is like, \u2018I put on some high heels and I put on some lipstick.\u2019\u201d
Jeymie Luna Rold\u00e1n, 45, also participated in the survey. She thinks her previous lack of health insurance or her imperfect English contributed to her bad experiences at the doctor. She spoke to the AP in Spanish.
\u201cIn my case, I\u2019m Latina,\u201d said Rold\u00e1n, of Lake Worth, Florida. \u201cSo when I have an appointment, I have to dress up a little \u2013 put on earrings, makeup \u2013 so that they don\u2019t see me in my work clothes. There\u2019s a saying that goes, \u2018Como te miro, te trato.\u2019\u201d
That translates to: \u201cYou\u2019re treated how you look.\u201d
Despite high percentages of people saying they prepare for insults or feel their appearance can influence how they are treated at the doctor, 93% said they have not felt they were treated unfairly or with disrespect in a health care setting because of their race or ethnic background in the past three years.
But there were still wide differences among racial groups. Asians and Hispanics were three times more likely to say they\u2019ve been treated badly in a health care setting because of their race than white respondents and Black respondents were 6 times more likely.
Beyond the doctor\u2019s office, 58% of American Indians and Alaska Natives, 54% of Black respondents, 50% of Hispanics, and 42% of Asians said they experienced at least one type of discrimination in daily life at least a few times in the past year. That includes getting poorer service at stores and restaurants, being threatened, harassed, or treated like they are not smart, or being criticized for speaking a language other than English.
While this shows health care is just one of the settings where discrimination is persistent, Bryant said, being treated with disrespect at a car dealership or profiled at a department store poses a different type of risk. A dismissive cardiologist not ordering the right tests because a patient doesn\u2019t \u201clook the part\u201d is potentially more dangerous.
\u201cThe consequences in health care are really striking and very frightening, honestly, to understand what people need to do to be taken seriously, to be seen as a whole person,\u201d she said. \u201cI think these data really speak to that.\u201d
__
AP video journalist Mary Conlon contributed to this report.
__
The Associated Press Health and Science Department receives support from the Robert Wood Johnson Foundation. The AP is solely responsible for all content.
", + "textformat": "bx", + "links": [ + { + "href": "https://apnews.com/article/racism-healthcare-doctor-survey-disparity-ecdc9d2fe8a59352d9bb8f2e494f5255", + "rel": "canonical" + } + ], + "topics": { + "Health": { + "relevance_score": 5, + "reason": "The document discusses a survey on the experiences of patients of color in the healthcare system, highlighting issues of discrimination and unfair treatment. It provides detailed statistics and personal anecdotes that illustrate the impact of racism on health outcomes and patient interactions with healthcare providers. This is highly relevant to the topic of health as it addresses significant factors affecting patient care and health equity." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2023/12/06/00b50f366e3928ead7213a2da5f51f84.json b/datasets/AP_news/raw_data/2023/12/06/00b50f366e3928ead7213a2da5f51f84.json new file mode 100644 index 0000000..4d08dc9 --- /dev/null +++ b/datasets/AP_news/raw_data/2023/12/06/00b50f366e3928ead7213a2da5f51f84.json @@ -0,0 +1,328 @@ +{ + "altids": { + "itemid": "00b50f366e3928ead7213a2da5f51f84", + "etag": "00b50f366e3928ead7213a2da5f51f84_6a5aza0c0", + "friendlykey": "252571810896", + "referenceid": "EU--Britain-COVID Inquiry" + }, + "version": 6, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2023-12-06T17:19:35Z", + "firstcreated": "2023-12-06T09:36:19Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: This story has been updated to add a video.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "EU--Britain-COVID Inquiry", + "headline": "Former UK Prime Minister Boris Johnson admits to making mistakes but defends COVID record at inquiry", + "headline_extended": "Former Prime Minister Boris Johnson has acknowledged that his government was too slow to grasp the scale of the COVID-19 crisis", + "slugline": "BC-EU-Britain-COVID-Inquiry, 6th Ld-Writethru", + "description_summary": "Former Prime Minister Boris Johnson has acknowledged that his government was too slow to grasp the scale of the COVID-19 crisis. But he defended his handling of the pandemic and skirted questions about whether any of his decisions had contributed to the country\u2019s high coronavirus death toll. Johnson was grilled Wednesday under oath by lawyers at a public inquiry into Britain's handling of the pandemic. Johnson opened his testimony with an apology \u201cfor the pain and the loss and the suffering of the COVID victims.\u201d He said the government \u201cunderestimated the scale and the pace of the challenge.\u201d Former colleagues, aides and advisers have painted an unflattering picture of him over weeks of testimony.", + "bylines": [ + { + "by": "By JILL LAWLESS", + "title": "Associated Press" + } + ], + "located": "LONDON", + "datelinelocation": { + "city": "London", + "countrycode": "GBR", + "countryname": "United Kingdom", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -0.12574, + 51.50853 + ] + } + }, + "copyrightnotice": "Copyright 2023 The Associated Press. All rights reserved. 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Testifying under oath at Britain's COVID-19 public inquiry, Johnson acknowledged that \u201cwe underestimated the scale and the pace of the challenge\u201d when reports of a new virus began to emerge from China in early 2020.
The \u201cpanic level was not sufficiently high,\u201d he said.
Ex-Health Secretary Matt Hancock told the inquiry last week that he had tried to raise the alarm inside the government, saying thousands of lives could have been saved by putting the country under lockdown a few weeks earlier than the eventual date of March 23, 2020.
The United Kingdom went on to have one of Europe\u2019s longest and strictest lockdowns, as well as one of the continent's highest COVID-19 death tolls, with the virus recorded as a cause of death for more than 232,000 people.
Johnson conceded that the government had \u201cmade mistakes,\u201d but emphasized collective failure rather than his own errors. He said ministers, civil servants and scientific advisers had failed to sound a \u201cloud enough klaxon of alarm\u201d about the virus.
\u201cI was not being informed that this was something that was going to require urgent and immediate action,\" he said.
Grilled by inquiry lawyer Hugo Keith, Johnson acknowledged that he didn't attend any of the government\u2019s five crisis meetings on the new virus in February 2020, and only \u201conce or twice\u201d looked at meeting minutes from the government\u2019s scientific advisory group. He said that he relied on \u201cdistilled\u201d advice from his science and medicine advisers.
Anna-Louise Marsh-Rees, whose father died during the pandemic, said that Johnson came across as \u201ccasual, careless, chaotic, clueless.\u201d
\u201cIt just feels like he was living under a rock,\u201d she said outside the hearing.
Johnson started his testimony with an apology \u201cfor the pain and the loss and the suffering of the COVID victims,\u201d though not for any of his own actions. Four people stood up in court as he spoke, holding signs saying: \u201cThe Dead can\u2019t hear your apologies,\" before being escorted out by security staff.
\u201cInevitably, in the course of trying to handle a very, very difficult pandemic in which we had to balance appalling harms on either side of the decision, we may have made mistakes,\u201d Johnson said. \u201cInevitably, we got some things wrong. I think we were doing our best at the time.\u201d
The former prime minister had arrived at the west London inquiry venue at daybreak, several hours before he was due to take the stand, avoiding a protest by a group of bereaved relatives, some holding pictures of their loved ones. A banner declared: \u201cLet the bodies pile high\u201d \u2014 a statement attributed to Johnson by an aide. Another sign read: \u201cJohnson partied while people died.\u201d
Johnson was pushed out of office by his own Conservative Party in mid-2022 after multiple ethics scandals, including the revelation that he and staff members held parties in the prime minister\u2019s Downing Street offices in 2020 and 2021, flouting the government\u2019s lockdown restrictions.
Johnson agreed in late 2021 to hold a public inquiry after heavy pressure from bereaved families. The investigation, led by retired Judge Heather Hallett, is expected to take three years to complete, though interim reports will be issued starting next year.
The inquiry's goal is to learn lessons rather than assign individual blame, but its revelations could further tarnish Johnson's battered reputation. Former colleagues, aides and advisers have painted an unflattering picture of the former leader and his government during weeks of testimony.
Former Chief Scientific Adviser Patrick Vallance said Johnson was \u201cbamboozled\u201d by science. In diaries that have been seen as evidence, Vallance also said Johnson was \u201cobsessed with older people accepting their fate.\u201d Former adviser Dominic Cummings, now a fierce opponent of Johnson, said the then prime minister asked scientists whether blowing a hair dryer up his nose could kill the virus.
Former senior civil servant Helen McNamara described a \u201ctoxic,\u201d macho culture inside Johnson's government, and Cabinet Secretary Simon Case, the country\u2019s top civil servant, called Johnson and his inner circle \u201cbasically feral.\u201d
Johnson defended his administration, saying it contained \u201cchallenging\u201d characters \u201cwhose views about each other might not be fit to print, but who got an awful lot done.\u201d
He said he didn't recognize the chaotic picture painted by other witnesses at the inquiry.
\"Nobody came to me and said \u2018people have got God complexes and there\u2019s internecine warfare going on here,'\u201d Johnson said.
Johnson said he was \u201cnot sure\u201d whether his government's decisions had caused excess deaths. He said that deciding when to impose lockdowns and other restrictions had been \u201cpainful\u201d and \u201cincredibly difficult.\"
Johnson sometimes appeared strained and emotional as he remembered the \u201ctragic year\u201d of 2020 and having to balance public health with the economic damage caused by lockdowns. But he denied allegations \u2014 in messages exchanged between aides at the time \u2014 that he had vacillated wildly about what to do as the virus spread.
The inquiry can compel witnesses to hand over emails and other communications evidence \u2014 but it hasn't received around 5,000 of Johnson's WhatsApp messages from several key weeks between February and June 2020. They were on a phone Johnson was told to stop using when it emerged that the number had been publicly available online for years. Johnson later said he\u2019d forgotten the password to unlock it.
Johnson was unable to explain what had happened to the messages, but said he wanted to \"make it absolutely clear I haven\u2019t removed any WhatsApps from my phone.\u201d
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Editorial: Honor for UWEC program points to a strength for the school
The recognition UWEC has earned for its Chinese program is worth noting for a couple reasons. Last week\u2019s announcement drew attention to an interesting aspect of the university\u2019s educational efforts.
It\u2019s a bit unusual for a program like this to be recognized when students can earn neither a major nor a minor in the subject, but that speaks to the effort the program is putting into students\u2019 educations.
The program is effectively a one-woman show. Kaishan Kong is the sole educator in the program, which awards a certificate if the approximately 30 students in the program complete the work.
Chinese is an immensely difficult language from a western perspective. While European languages largely rely on the same fundamental sounds, that\u2019s not true of Chinese. Then there\u2019s the entirely different approach to written language, which relies on ideograms rather than the Roman alphabet.
The differences underscore one of the basic values of learning a foreign language. Language shapes thought. It alters how you express ideas, which in turn shifts how you understand them. There\u2019s no way to learn a different language without gaining some insight into the culture from which it originates.
That\u2019s one of the program\u2019s focuses. International guest speakers and people with deep backgrounds in Chinese language and culture speak to the students. So do international students via online communications.
The need for multiple contacts is obvious. Chinese culture is hardly monolithic. Regional differences are at least as varied as those in the United States. You wouldn\u2019t say a Wisconsin native has the same outlook as a born-and-bred New Yorker. The same goes for someone who has spent their lifetime in northeastern China\u2019s Harbin as compared to someone in far western Hotan.
China is, indisputably, a rival of the United States politically and militarily. Those tensions have risen considerably in recent decades, especially as China has aggressively asserted territorial claims contested by American allies in the western Pacific.
Understanding in such a situation is essential. If there is open conflict, even short of warfare, you must understand your opponent. Even more important is the need to prevent conflict from emerging, something that is best accomplished when the sides avoid misunderstanding. Again, that requires a familiarity with language and cultural nuance that goes beyond being able to recognize a national flag.
Setting aside the question of rivalries, the American and Chinese economies are deeply entwined. Actions by one nation inevitably have ripple effects through the economic realities of the other. Business ties between the two nations are complex, sometimes tense, and entirely necessary to both at this time in history.
Kong\u2019s long term goal is to develop the program into a minor in Chinese. That\u2019s a worthy goal, though it\u2019s hard to say how long it may take. It doesn\u2019t seem unrealistic, though.
UWEC has long had a significant international student presence on campus. From 2014 through 2019 the fall semesters had an average of 249 international students in the fall. That number has taken a hit since the pandemic, but seems to be edging back upwards. UWEC\u2019s 2023 factbook, found on the school\u2019s website, indicates international students make up 2.2% of the student population, a total of 206 students.
Not all of those students are connected to the university\u2019s Chinese program, of course. But all offer their peers the opportunity to learn about people who grew up in different cultures, with different approaches to life. That\u2019s a key value for higher education: the opportunity to be exposed to a greater range of life than you would in your hometown.
We look forward to seeing how the Chinese program continues in the coming years. There\u2019s a lot of potential here, for several reasons, and it\u2019s nice to see it recognized.
___
Wisconsin State Journal. December 3, 2023.
Editorial: 2 big reasons to get a COVID-19 booster before Christmas
Dr. Patrick Remington finally caught COVID-19 last September.
A public health expert at UW-Madison, he\u2019s pretty sure he was infected during a trip to the Centers for Disease Control and Prevention in Atlanta. He was on the plane, and \u201cthe guy next to me didn\u2019t look good,\u201d he recalled Friday.
Remington developed COVID symptoms three days after the flight, and a couple of days later he tested positive.
So getting the vaccine didn\u2019t prevent him from getting sick, the doctor quickly acknowledged. But that doesn\u2019t mean it failed.
Far from it.
Unlike 3,700 people in Dane County and more than 75,000 across Wisconsin, Remington didn\u2019t have to be hospitalized for COVID. And unlike more than 600 in Dane County and 16,000 across the state, he didn\u2019t die from the disease.
In fact, just five days after getting past COVID, Remington, 69, was back on his mountain bike, riding 40 miles in a race through northwestern Wisconsin.
The vaccine \u201cis not really effective in preventing illness,\u201d Remington said. But \u201cthere\u2019s clear evidence it reduces the severity.\u201d
He cited a scholarly article that found a nearly 80% reduction in risk of death for those who get the booster.
\u201cIt\u2019s not a guarantee,\u201d he said. \u201cBut it\u2019s more effective in protecting against serious illness than it is against infection.\u201d
That\u2019s why Remington got the latest COVID booster last week \u2014 and why you should, too (if you haven\u2019t already): He wants protection against getting really sick.
With plans to travel with his wife to see family this Christmas, the doctor offered a second big reason for getting the latest shot: \u201cI don\u2019t want to give (COVID) to my grandkids.\u201d
Three people died from COVID-19 in Dane County last month. That\u2019s far less than the peak of 92 deaths in the county in December 2020.
But recent samples from wastewater in the Madison area suggest the virus is surging, even though emergency room visits are low, according to Dane County public health officials.
So get the latest booster \u2014 especially if you\u2019re older or have health conditions such as diabetes or emphysema. The new booster is an updated recipe to better protect people from severe disease. It targets a subtype of the omicron variant that\u2019s circulating now.
Another way to think of the COVID booster is like an airbag, the doctor said. It won\u2019t stop you from getting into a traffic accident. But it could save your life when it deploys in a crash.
The FDA approved the new COVID-19 booster in September and recommends it for everyone 6 months and older. The shot can reduce the severity of infections, prevent hospitalizations and deaths. It also can prevent long COVID systems such as fatigue, according to the FDA.
While you\u2019re getting your COVID shot, you might want to get the latest vaccines for flu and respiratory syncytial virus. RSV is respiratory illness especially problematic in infants and older adults in colder months.
Last December, 20 people in Dane County died from COVID. Six died from flu, and one from RSV. With more people indoors during the winter, viruses have more opportunity to spread.
So get a booster and your other shots. You can find a vaccine site at go.madison.com/vaccine.
It might not stop you from coughing and developing a fever if you\u2019re exposed to COVID. But for most people, it significantly reduces the chances of hospitalization and death.
The booster takes a couple of weeks to be effective. So sign up today. You\u2019ll be gifting yourself and your loved ones a healthy dose of protection for Christmas and the new year.
EMD
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Editorial: Something is rotten at WV\u2019s Southern Regional Jail
The Southern Regional Jail, in Raleigh County, is emerging as the embodiment of everything that is wrong with the criminal justice system in West Virginia and, possibly, beyond.
In late November, six correctional officers at the jail were indicted on various charges related to last year\u2019s death of inmate Quantez Burks, 37. Officers are accused of taking Burks to various locations in the facility, including \u201cblind spots\u201d (areas not visible to security cameras) and allegedly beating him while he was handcuffed. Burks died during the assault, but his cause of death was listed as heart disease. Coincidentally, or perhaps not, 17 other inmates who have died at the facility over the past three years have heart disease listed as the cause of death.
Burks\u2019 family claims an investigation they funded found that Burks suffered a heart attack during the beating. All six officers are charged with trying to cover up the incident, with some allegedly coercing witnesses to say Burks was being combative and the resulting use of force wasn\u2019t excessive. Earlier in November, two other Southern Regional Jail correctional officers pleaded guilty to conspiracy charges connected to Burks\u2019 death.
This is just one of several incidents at the Southern Regional that have raised red flags about just what is happening inside the jail\u2019s walls. Nineteen inmates have died at the facility between 2021 and 2023, according to documents obtained by the Gazette-Mail. Roughly 1-in-5 of all inmate deaths in West Virginia going back to 2009 have occurred at Southern Regional.
A civil lawsuit, alleging unsanitary conditions at the jail led to inmate deaths, recently was settled. But not before a federal magistrate judge issued a ruling stating that the preponderance of missing documents from high-ranking state officials left no conclusion other than deliberate destruction of records. The lawsuit also alleged officials at Southern Regional Jail had inmates move hard-copy files of complaints so that federal investigators wouldn\u2019t be able to find them.
It doesn\u2019t take a criminal justice system expert to see there are serious problems at the Southern Regional Jail and the larger West Virginia Division of Corrections. This can\u2019t help but be exacerbated by the staffing shortages and overcrowding that caused Gov. Jim Justice to declare a state of emergency and mobilize the National Guard more than a year ago. The Guard is still on the job at corrections facilities around the state.
The Justice administration canned two state officials after the allegations that records were deliberately destroyed surfaced, but that\u2019s unlikely to resolve the apparent sprawling and systemic dysfunction in West Virginia\u2019s correctional facilities.
___
Parkersburg News and Sentinel. December 6, 2023.
Editorial: Medicaid: Check eligibility and make sure you\u2019re covered
West Virginia\u2019s Medicaid eligibility review has booted approximately 100,000 off the rolls so far. But according to a report by WDTV, many may remain eligible but did not respond to paperwork requests or may have a new address.
Renate Pore, health care policy consultant for West Virginians for Affordable Healthcare, told WDTV that will mean fewer resources for some of our most vulnerable residents.
\u201cThe 100,000 people who no longer have Medicaid coverage,\u201d Pore told the station, \u201cmay not even know they no longer have Medicaid coverage until they go to a doctor\u2019s office and find out that, indeed, their coverage has dropped.\u201d
Such a large reduction in Medicaid recipients doesn\u2019t just take away resources from some individuals who may need it, it means a 5% loss in federal funding for the program\u2019s operation and reimbursements, Pore said.
But what can be done about it?
Well, for starters, if you know someone who might need to check their status or start the Medicaid renewal process, direct them online to www.wvpath.wv.gov. They can call 877-716-1212 or visit a local Department of Health and Human Resources office.
Imagine needing medical attention and not being aware you were no longer on the Medicaid rolls until you went to the doctor.
During this season in which we\u2019re all working a little harder to look out for one another, check in with anyone you know who might need a nudge to help avoid such a nasty surprise.
___
The Herald-Dispatch. December 1, 2023.
Editorial: Homeless camp sweeps are a fix, not a solution
When people who are homeless through circumstance or through choice separate themselves and stay in their camps out of sight, they are out of mind. When their behavior bothers or scares other people, public officials and social service agencies act. When they set up camps in highly visible places and intrude on the lives of others, or when their camps cause problems with public safety or public health, something has to be done.
An Associated Press story on Page 1A of The Herald-Dispatch on Thursday shows the problem on a national scale.
\u201cRecords obtained by The Associated Press show attempts to clear encampments increased in cities from Los Angeles to New York as public pressure grew to address what are dangerous and unsanitary living conditions. But despite tens of millions of dollars spent in recent years, there appears to be little reduction in the number of tents propped up on sidewalks, in parks and by freeway off-ramps,\u201d the article, which carried the bylines of three reporters, said. It also said, \u201cEncampments are also generating more controversy because of homeless people with severe mental illness and drug addictions who refuse treatment or don\u2019t have access to programs.\u201d
This part of West Virginia has had problems of its own. The encampment sweeps described in the AP article have happened here, too. Huntington police have removed homeless camps on the Ohio River bank between Harris Riverfront Park and the Robert C. Byrd Bridge but when the police leave the campers return. As long as they bother no one, no one is worried.
Last year, Charleston officials rounded up homeless people and shipped them to other cities before crowds arrived for the Sternwheel Regatta.
Conventional wisdom says a large part of the homeless population would not have been living in the streets 50 years ago. They would have been committed to mental health institutions \u2014 also known as lunatic asylums \u2014 where they would have been warehoused in conditions modern people consider abhorrent and unacceptable. A hundred years ago, people with epilepsy were also taken from society and placed in institutions \u2014 for the good of themselves and for society, people said at that time.
But as the principle of personal freedom and the court-ordered \u201cleast restrictive environment\u201d approach took hold, people who were once put away, out of sight and out of mind, now are among us in Huntington, Charleston, Parkersburg and anywhere that they can find the environment to support their life choices. Some of those people can be a nuisance or a danger to themselves or others, and that\u2019s where the problem lies.
Even the language we use gives away how we view the problem and thus how we approach solving or not solving it. The old words of \u201cbum,\u201d \u201chobo\u201d and \u201ctramp\u201d have fallen out of favor. Putting the article \u201cthe\u201d before \u201chomeless\u201d to create the phrase \u201cthe homeless\u201d says we consider them to be different from us \u2014 another group. One recent attempt to alter our perceptions of homeless people through language has been calling them the \u201cunhoused population,\u201d which carries interpretations of its own.
Some homeless people consider the word \u201csweep\u201d offensive, according to the AP article.
\u201cThe word \u2018sweep\u2019 that they use ... that\u2019s kind of how it feels, like being swept like trash,\u201d said David Sjoberg, 35. \u201cI mean we\u2019re not trash; we\u2019re people.\u201d
The problem of homelessness is like that of substance abuse, teen pregnancy, tobacco use, high school dropouts and many more \u2014 it will always be with us, and until something happens in society to create a fundamental change, it must be managed with an eye toward public safety and public health. Are sweeps the answer? They may be necessary at some times, but they are more of a temporary fix than a permanent solution.
END
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(AP) \u2014 Andy Hoang eagerly began her first nursing job this year in New Hampshire, with a desire to specialize in cardiac care.
She was excited about attending a November practice session on how to respond to someone in cardiac arrest. But as things were getting under way at Dartmouth-Hitchcock Medical Center, Hoang, 23, started to feel dizzy and nauseated. She felt she needed to sit down.
\u201cThat\u2019s the last thing I remember,\u201d she told The Associated Press in an interview. \u201cI woke up to a room full of doctors and nurses.\u201d
It turned out that she, herself, had gone into cardiac arrest and needed help immediately. Her colleagues sprung into action \u2014 instead of practicing chest compressions on a mannequin in a simulated environment, they went to work on her.
\u201cOne checked her carotid, one her femoral (arteries), and she did not have a pulse,\u201d instructor Lisa Davenport said.
The nurses started CPR and a \u201ccode blue,\u201d or medical emergency, team was called.
\u201cWhat was really stressful about the situation was that we never had a real code blue in the center,\u201d Davenport said. \u201cWe train for them all the time.\u201d
Davenport shouted for help. Luckily, the Lebanon hospital\u2019s critical care team was nearby, attending a separate session. More nurses came in, hooked Hoang up to defibrillator for monitoring, inserted an IV line and placed her on oxygen. A doctor and nurse from another department rushed in with crash carts.
Hoang was waking up by the time an emergency team arrived. Davenport estimated 15 minutes passed from the time Hoang slumped over to when they got her on a stretcher and sent her to the emergency department. But it felt longer.
\u201cIt worked out, but it was pretty frightening for all of us,\u201d she said. \u201cYou just don\u2019t expect that to happen with someone as young as Andy.\u201d
Charmaine Martin, one of the nurses at the scene, agreed it was a scary moment, but also one \u201cwhere I saw and felt supported and we all worked as a team,\u201d she said in a statement.
Hoang, who recently returned to work, couldn\u2019t believe what had happened either.
\u201cI would say I\u2019m your pretty average healthy 23-year-old,\u201d she said. She goes to the gym four times a week, runs, and eats well. \u201cI\u2019m on my feet 12, 13 hours a day at work, so I want to make sure that I\u2019m in shape for that.\u201d
Cardiac arrest \u2014 the sudden loss of heart function \u2014 causes more than 436,000 deaths in the United States each year, according to the American Heart Association. It is different from a heart attack, which happens when blood flow to the heart is blocked.
A person can suffer cardiac arrest after having a heart attack, but the association says other conditions can also disrupt the heart's rhythm and lead to cardiac arrest, including having a thickened heart muscle or cardiomyopathy, heart failure, arrhythmias and more.
According to information compiled by the National Heart, Lung and Blood Institute, a person\u2019s risk of cardiac arrest increases with age. It is rare in someone younger than 30. Genetic arrhythmias, problems with the structure of the heart or coronary arteries, heart inflammation and substance abuse are the main risk factors in younger people. Most cardiac arrests also occur in men and women\u2019s risk increases after menopause.
Hoang said before the day she suffered cardiac arrest, she had passed out twice before. The first time, she hadn't eaten and her blood sugar was low. The second time was preceded by a sharp pain in her abdomen.
\u201cSo, nothing like this, nothing to this extent,\u201d she said.
Hoang, who grew up in Vietnam and came to the United States in 2016 as a student, said her family has no history of heart problems. She had been living with a family in Montana before she got her nursing degree in Michigan, and then headed to New Hampshire.
While recovering, Hoang wore a patch that recorded the electrical activity of her heart. Doctors hope to learn more from the data.
The experience has strengthened her relationship with the other nurses \u2014 Hoang now regards them as best friends. \u201cWe basically went through this whole life-or-death experience,\u201d she said.
\u201cI am so grateful for Andy and her courage. She is an excellent nurse and someone I call friend,\u201d Martin said.
Hoang said she feels like she's part of a family at work, not just an employee. Her family told the AP they are extremely grateful that she was surrounded by medical personnel when she went into cardiac arrest.
It was care given by nurses to her grandfather, who died a couple of years ago, that made Hoang want to switch her career focus from graphic design to nursing. But she never expected she would become a patient.
\u201cIt really changed my perspective on how I view life, like \u2018Hug your family a little longer,\u2019\u201d she said. \u201cTell them that you love them, because it might be the last time you get to say it to them. And just cherish life for what you've been given. It's precious, and I didn't realize how precious it was until I nearly lost it.\"
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December 1, 2023.
Editorial: Maybe we should make Dec. 1 a holiday: Medicaid Expansion Day
Tomorrow begins today.
At long last, Medicaid expansion becomes a reality in this state, so you\u2019ll likely hear some facts and figures that have become familiar over the years:
\u2014 600,000: The estimated number of North Carolinians who will become eligible for health insurance.
\u2014 14,000: The approximate share of those people who are military veterans.
\u2014 78.2: The percentage of North Carolinians who support Medicaid expansion.
\u2014 69: The percentage of Republicans who support Medicaid expansion in North Carolina.
\u2014 $1.6 billion: The amount of the federal bonus North Carolina will receive as result of expansion.
\u2014 Not one penny: The amount of funding Medicaid expansion will require from the state.
There are more good reasons to expand Medicaid where these came from \u2014 a veritable mountain of them from virtually day one.
But the most compelling argument is the tremendous good it will do, one person at a time.
And for what that looks, and feels, like, we\u2019ll revisit an open letter from someone who ought to know: a longtime family physician from a Triad community who was anguished by the unnecessary pain and suffering he saw. Here\u2019s some of what he had to say: \u201cThere is good reason that nearly every industrialized country in the world provides a basic level of health care for all. For more than 30 years I have watched my patients with no insurance pay a terrible price.
\u201cI\u2019ve seen women die of invasive breast cancer and cervical cancer when they couldn\u2019t afford mammograms and preventive checkups.
\u201cI\u2019ve hospitalized patients who stopped their medicines so they could pay other bills.
\u201cI\u2019ve spoken to the next of kin in funeral homes about symptoms regretfully ignored by those afraid of the cost of evaluation.
\u201cYou name just about any cancer or serious disease, and I can tell you about uninsured patients who delayed coming to see me, often with disastrous results.\u201d
The physician who wrote these words, Stephen Luking, addressed them to then-Gov. Pat McCrory and state Senate leader Phil Berger (who, like Luking, is from Rockingham County) \u2026 in 2016.
Added Luking, who has since retired: \u201cLike any family doctor who has practiced for 30 years, I know what it\u2019s like to make a decision that leads to the death of a patient. The appropriate intervention gone badly, the symptom after consideration mistakenly reassured. ... I can tell you, it cuts like a knife. You face the family and fight back the tears. You wake up in the middle of the night in a cold sweat and wish you had that moment back.
\u201cAnd sometimes one night leads to a dozen. My wife will tell you, it\u2019s a load to carry.
\u201cGov. McCrory and Sen. Berger, you now carry that same weight, whether you will admit it or not. Welcome to this our unfortunate fraternity: those who carry the blood of others on our hands. Like it or not, we are all three members.
\u201cSome in Rockingham County will surely die \u2014 if some haven\u2019t already \u2014 because of your partisan decision to reject Medicaid expansion.
\u201cPlease embrace our shared humanity. The two of you have the power to get this done.\u201d
Thankfully, it did get done, even if took nearly eight more years.
Now more than half a million low-income North Carolinians, most of them working poor, will be eligible for health coverage. What that means for the Triad is thousands of changed lives and saved lives.
According to state DHHS estimates, some 35,000 Guilford County residents are expected to be enrolled over the next two years, 25,000 in Forsyth. Among other Triad communities DHHS projects 6,000 enrollees in Rockingham County and as many as 3,000 apiece in Stokes, Yadkin and Davie counties.
It means not having to choose between paying the rent and paying for health care.
It means scheduled doctor\u2019s visits instead of panicked trips to an emergency department.
It means more access to treatment for opioid addiction and behavioral illnesses.
And it means critical revenue for hospitals, especially rural ones.
This is why today matters so much, even if did take much too long to get here.
Maybe we should celebrate this date every year, Dec. 1, when North Carolina lawmakers finally proved that they have both the brains and the hearts to heed the data, listen to their constituents and do what is right and compassionate.
Even if they did take their time.
END
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The U.S. Food and Drug Administration has said that contaminated cinnamon is the likely source of the lead. An FDA team is collecting samples from the Austrofoods plant that shipped the now recalled applesauce pouches sold widely at Dollar Tree and other stores across the U.S.
The agency said health officials in Ecuador found that cinnamon from Austrofood's supplier had higher levels of lead than the country allows. The company, Negasmart, is facing sanctions while officials there track down the source of the cinnamon, the FDA reported Tuesday.
At least 64 children from 27 states have reported illnesses potentially linked to the products, which were recalled in late October, the FDA said. So far, all of the children are aged 6 or younger.
The recalled applesauce pouches were sold under the brand names WanaBana, Schnucks and Weis. They were sold at the Dollar Tree, on Amazon and in other online outlets.
The pouches were recalled after officials in North Carolina first reported cases of young children who posted high blood lead levels after eating pouches found to contain extremely high levels of lead.
___
The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute\u2019s Science and Educational Media Group. The AP is solely responsible for all content.
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The director general of health and public hygiene, Dr. Cheick Amadou Tidiane Traore, told The Associated Press in an interview Wednesday that his department had counted 21 deaths and 600 cases of the disease as of Monday.
Dengue is a viral infection spread by mosquitoes that mostly causes flu-like illness. In severe cases, it can cause joint pain, swollen glands, bleeding and death. There is no specific treatment, but two vaccines have been recommended by the World Health Organization for countries that suffer regular outbreaks.
Mali's government has not officially released any figures on the disease to the public, nor has it announced whether it has requested aid from the WHO.
With the country in political transition and facing the threat of fighters linked to al-Qaida and the Islamic State group, a new epidemic of dengue fever risks worsening the humanitarian situation especially among the large population of displaced people.
\u201cDengue fever is also present in Burkina Faso and Senegal, and we need to raise public awareness,\" Traore said.
The virus typically emerges in more tropical environments but was first detected in comparatively arid Mali in 2008. Reports of the virus reemerged in 2017 and 2019. There is little long-term data on its prevalence.
In August, the government of Chad reported the country\u2019s first-ever outbreak of dengue, with dozens of confirmed cases in the nation that, like Mali, is located in the vast Sahel region south of the Sahara desert.
Elsewhere, the WHO has reported record cases of dengue this year in Bangladesh and the Americas, which have seen more than 300,000 cases and 4 million infections respectively.
___
Associated Press writer Sam Metz contributed from Rabat, Morocco.
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This information is highly relevant to the topic of Health as it addresses a significant public health issue, the spread of an infectious disease, and the challenges faced by the healthcare system in Mali." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2023/12/06/9bfb3525c07472911631e0ed576b9217.json b/datasets/AP_news/raw_data/2023/12/06/9bfb3525c07472911631e0ed576b9217.json new file mode 100644 index 0000000..3990fc8 --- /dev/null +++ b/datasets/AP_news/raw_data/2023/12/06/9bfb3525c07472911631e0ed576b9217.json @@ -0,0 +1,266 @@ +{ + "altids": { + "itemid": "9bfb3525c07472911631e0ed576b9217", + "etag": "9bfb3525c07472911631e0ed576b9217_0a4aza0c0", + "friendlykey": "655657880713", + "referenceid": "EU-REL--Vatican-Pope" + }, + "version": 0, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2023-12-06T09:08:56Z", + "firstcreated": "2023-12-06T09:08:55Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: With AP Photos.", + "signals": [ + "newscontent" + ], + "title": "EU-REL--Vatican-Pope", + "headline": "Pope says he's 'much better' after a bout of bronchitis but still gets tired if he speaks too much", + "headline_extended": "Pope Francis says he's \u201cmuch better\u201d after a two-week bout of bronchitis but says speaking still makes him tired", + "slugline": "BC-EU-REL--Vatican-Pope", + "description_summary": "Pope Francis says he's \u201cmuch better\u201d after a two-week bout of bronchitis but says speaking still makes him tired. 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Francis, who had part of one lung removed as a young man, told his weekly general audience that he still gets tired if he speaks too much.
Francis, who turns 87 on Dec. 17, came down with the flu on Nov. 25 and was forced to cancel a planned trip to Dubai to participate in the U.N. climate conference. He later revealed he had been diagnosed with an acute case of infectious bronchitis that made breathing difficult.
It was the second time this year he has had a serious case of bronchitis; in spring he was hospitalized for three days to receive intravenous antibiotics.
Francis walked onto the stage of the Vatican audience hall with his cane Wednesday and smiled broadly at the cheering crowd. He appeared in good spirits and received several prelates who came to speak to him individually at the end of the audience.
Explaining why he would ask his aide to read his remarks, he said: \u201cI\u2019m much better, but I get tired if I speak too much.\u201d
Francis then made a brief appeal asking for prayers for all those who are suffering from war, including people in Ukraine, Israel and Gaza.
\u201cWar is always a defeat,\u201d he said. \u201cNo one wins, everyone loses. The only ones who win are the weapons makers.\u201d
To spare him from temperature changes that might aggravate his condition, Francis has delivered his weekly Sunday blessing for the past two weekends from the Vatican chapel rather than the open window of his studio overlooking St. Peter's Square.
Nevertheless, the Vatican has confirmed Francis would participate in his annual visit to pray before a statue of the Virgin Mary at Rome's Piazza di Spagna on Friday to mark an important Catholic feast day and officially kick off the Christmas season in Rome.
The Vatican said Francis is also planning to add on a visit that day, the Immaculate Conception, to Rome's St. Mary Major basilica to pray before one of his favorite icons of Mary.
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Editorial: Mend cracks in defense against measles
A new report shows cases and deaths rose worldwide as vaccination coverage declined. Minnesota legislators should end nonmedical exemptions.
One of the COVID-19 pandemic\u2019s lasting lessons is how quickly a pathogen can circumnavigate the globe.
Distance isn\u2019t a defense when air travel routinely narrows the gap between continents to mere hours. An outbreak in a far-flung location can become a public health crisis in the United States with frightening speed.
That\u2019s why a new report on measles from the World Health Organization (WHO) and the U.S. Centers for Disease Control and Prevention (CDC) is cause for alarm. Measles cases and deaths rose significantly worldwide from 2021 to 2022, a disturbing trend fueled by declining vaccination rates.
Boosting vaccination rates is an urgent world health challenge, particularly in the low-income countries hit hardest by measles\u2019 resurgence. But action is imperative in Minnesota as well.
Parents need to ensure their children are protected against measles, which can cause serious illness. State lawmakers also have a role to play, with the upcoming session a chance to pass an overdue reform to stem sliding vaccination coverage here.
Unfortunately, there are some who misguidedly dismiss measles as a little more than a childhood rash. The reality is far more sobering.
The WHO dubs measles one of the world\u2019s most contagious diseases, making it very difficult to protect the unvaccinated. Measles is spread by contact with secretions sneezed or coughed out by someone infected. But it can also be contracted just by \u201cbreathing the air that was breathed by someone with measles,\u201d the agency states.
Measles is also contagious four days before a rash appears, meaning someone who doesn\u2019t know they\u2019re ill can spread it.
There is no specific treatment once someone is infected, other than symptom care. About 1 in 5 people infected is hospitalized, according to the CDC. Complications include pneumonia and encephalitis, which in turn can leave a child deaf or with intellectual disabilities. While deaths are rare in the United States, the same is not true in other countries.
The new WHO/CDC findings underscore this tragic reality. From 2021 to 2022, estimated measles cases rose 18%, from 7.8 million to 9.2 million. Estimated measles deaths rose 43% during the same time period, from 95,000 to 136,200.
Unsurprisingly, the agencies found that measles vaccine coverage worldwide is at its lowest since 2008. From 2000-2019, global coverage for a first dose of measles vaccine rose from 72% to 86%. It declined to 81% in 2021, the lowest coverage in more than a decade. A likely factor: the COVID-19 pandemic, which disrupted public health vaccination efforts.
Fortunately, measles cases in the U.S. have not mirrored the global increase. Forty-one cases have been reported nationally in 2023, according to CDC stats. There were 121 cases in 2022 and 49 cases in 2021. But the U.S. isn\u2019t immune from larger outbreaks. In 2019, 1,274 cases were confirmed in 31 states.
Unfortunately, CDC data indicates that U.S. vaccination trends are heading in the wrong direction. Measles vaccination coverage for kindergartners in the 2011-12 school year was 94.7%. In the 2022-23 school year, it was 93.1%.
Drilling into CDC data for Minnesota-specific information gives more cause for concern. A decade ago, 96.3% of the state\u2019s kindergartners were vaccinated against measles. For the 2022-23 school year, it was 87.6%. That\u2019s bigger drop than seen nationally, one that leaves children at risk. Measles remains relative rare thanks to vaccination, but the global figures show how quickly this virus can resurface and spread if defenses continue to weaken.
\u201cNot getting kids vaccinated is the equivalent of putting them in the back seat without buckling them up, driving 90 miles an hour and running red lights,\u201d Minnesota infectious disease expert Michael Osterholm told an editorial writer.
Again, families have a responsibility to seek out credible information about vaccinations. That means talking to a medical provider. But state lawmakers could take another vital step: ending the state\u2019s \u201d personal belief\u201d exemption.
The policy allows parents to opt out of school-aged vaccinations for nonmedical reasons. That puts other kids at risk, particularly those with weakened immune systems or babies who aren\u2019t yet old enough to have gotten all their shots.
The Legislature previously considered ending this exemption but backed off after protests by the state\u2019s small, loud and well-funded anti-vaccine lobby. Minnesota\u2019s sliding measles vaccine coverage is further evidence that lawmakers need to find the fortitude to act.
___
Mankato Free Press. December 5, 2023.
Editorial: State must get serious about nitrate pollution
Federal officials this month put Minnesota agencies on notice that they have not done enough to prevent nitrates \u2014 a toxic byproduct of fertilizers and livestock manure \u2014 from getting into people\u2019s drinking water, particularly in southeast Minnesota.
Now a legislative leader has a plan to pay for cleaning up the mess \u2014 a \u201cpolluters tax\u201d paid by adding a fee on fertilizers.
Rep. Rick Hansen, DFL-South St. Paul, said at a committee hearing recently that \u201cThere has to be a \u2018polluter pays\u2019 model. Once the general public picks up these costs there will be no incentive for change. Why would anything change if someone else will be cleaning up the mess?\u201d
The idea has merit.
The U.S. Environmental Protection Agency told the Minnesota Department of Agriculture, the Minnesota Pollution Control Agency and the Minnesota Department of Health that the agencies were not doing enough to identify and assist people with nitrate in their water.
If the state doesn\u2019t properly address the problem and hold farmers accountable the feds can take emergency enforcement action.
The state has had rather limited success in increasing regulations in the face of the powerful farm lobby.
Southeast Minnesota is dominated by a terrain that lets water \u2014 and fertilizer and manure pollutants \u2014 move easily from the surface to underground drinking water.
While a fertilizer fee would be paid by everyone across the state, the nitrate problem is not limited to southeastern Minnesota. Citizens are more and more aware that the state\u2019s valuable water resources are under threat and need to be protected and, when necessary, cleaned up.
END
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EDITS: Minor edits throughout to polish.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "US--Abortion-Wisconsin", + "headline": "Wisconsin judge reaffirms July ruling that state law permits consensual abortions", + "headline_extended": "A Wisconsin judge has reaffirmed her ruling this summer that state law permits consensual medical abortions, handing abortion rights advocates a massive victory", + "slugline": "AP-US--Abortion-Wisconsin, 1st Ld-Writethru", + "description_summary": "A Wisconsin judge has reaffirmed her ruling this summer that state law permits consensual medical abortions, handing abortion rights advocates a massive victory. The U.S. Supreme Court's decision to overturn Roe v. Wade last year reactivated Wisconsin's 1849 abortion ban. Democratic Attorney General Josh Kaul immediately filed a lawsuit challenging the ban's validity. Dane County Circuit Judge Diane Schlipper ruled in July that the ban prohibits attacking a woman in an attempt to kill her unborn child and doesn't apply to consensual medial abortions. Schlipper issued a ruling Tuesday refusing to reconsider her position and issued summary judgment in favor of Kaul.", + "bylines": [ + { + "by": "By TODD RICHMOND", + "title": "Associated Press" + } + ], + "located": "MADISON, Wis.", + "datelinelocation": { + "city": "Madison", + "countryareacode": "WI", + "countryareaname": "Wisconsin", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -89.40123, + 43.07305 + ] + } + }, + "copyrightnotice": "Copyright 2023 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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(AP) \u2014 A Wisconsin judge on Tuesday reaffirmed her ruling from earlier this year that state law permits consensual medical abortions, handing abortion rights advocates a massive victory but opening up appellate options for conservatives.
The U.S. Supreme Court's decision to overturn Roe v. Wade, the court's landmark 1973 decision legalizing abortion, in June 2022 reactivated an 1849 Wisconsin law that conservatives interpreted as banning abortion. Abortion providers ceased operations in the state out of fear of violating the ban.
Democratic Attorney General Josh Kaul filed a lawsuit days after the U.S. Supreme Court decision challenging the ban's validity. He argued the statutes were too old to enforce and a 1985 law permitting abortions before fetuses can survive outside the womb trump the ban. Three doctors later joined the lawsuit as plaintiffs, saying they fear being prosecuted for performing abortions.
Dane County Circuit Judge Diane Schlipper ruled this past July that the ban prohibits someone from attacking a woman in an attempt to kill her unborn child but doesn't apply to consensual medical abortions. Her finding didn't formally end the lawsuit but Planned Parenthood of Wisconsin was confident enough in the ruling to resume abortion procedures at their Madison and Milwaukee clinics in September.
Joel Urmanski, the Republican district attorney in Sheboygan County, where Planned Parenthood's third abortion clinic is located, had asked Schlipper to reconsider her the ruling.
Schlipper refused in a 14-page opinion issued Tuesday, writing that Urmanski failed to show how she misapplied state law or made any other mistake and declared that the plaintiffs had won the suit.
She declined the doctors' request, however, to issue an injunction prohibiting prosecutors from charging abortion providers. Prosecutors in Dane, Milwaukee and Sheboygan County have said they would abide by her ruling that state law permits consensual abortions, she noted.
Planned Parenthood of Wisconsin said in a statement Tuesday that it expects to resume abortion procedures at its facility in Sheboygan \u201cas soon as possible.\u201d
Urmanski\u2019s attorney, listed in online court records as Andrew Phillips, didn\u2019t immediately respond to an email seeking comment.
Kaul called the ruling a \u201cmomentous victory.\u201d
\u201cFreedom wins. Equality wins. Women\u2019s health wins,\u201d he said in a statement.
The lawsuit is likely far from over. Tuesday's ruling opens the door for conservatives to appeal and a case of this magnitude will likely end up before the state Supreme Court. Liberal justices currently control the court, making it likely that Schlipper's ruling will stand.
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Biden administration officials indicated Wednesday they will continue reviewing the plan into next year, targeting March for publication. The proposed ban from the Food and Drug Administration has been under White House review since October. Anti-smoking groups widely expected the rule to appear by early next month. The FDA has been studying the menthol issue for years and estimates banning the flavor could prevent over 300,000 smoking deaths over several decades. The agency's previous efforts to ban the flavor have been derailed by industry pushback and competing political priorities.", + "bylines": [ + { + "by": "By MATTHEW PERRONE", + "title": "AP Health Writer" + } + ], + "located": "WASHINGTON", + "datelinelocation": { + "city": "Washington", + "countryareacode": "DC", + "countryareaname": "District of Columbia", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -77.03637, + 38.89511 + ] + } + }, + "copyrightnotice": "Copyright 2023 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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Administration officials indicated Wednesday the process will continue into next year, targeting March to implement the rule, according to an updated regulatory agenda posted online. Previously, the rule was widely expected to be published in late 2023 or early January.
The Food and Drug Administration has spent years developing the plan to eliminate menthol, estimating it could prevent 300,000 to 650,000 smoking deaths over several decades. Most of those preventable deaths would be among Black Americans, who disproportionately smoke menthols.
Previous FDA efforts on menthol have been derailed by tobacco industry pushback or competing political priorities across several administrations. The latest delay comes amid lingering worries from some Democrats about President Joe Biden's prospects in a rematch against Donald Trump.
Anti-smoking groups have spent years backing the effort. And some warned on Wednesday that the proposal, which would give cigarette companies one year to phase out the flavor, could be held up indefinitely.
\u201cAny delay in finalizing the FDA\u2019s menthol rule would be a gift to the tobacco industry at the expense of Black lives,\u201d said Yolanda Richardson, CEO of the Campaign for Tobacco-Free Kids. \u201cWe urge the administration to keep its promise and issue a final rule by the end of this year.\u201d
Menthol is the only cigarette flavor that wasn\u2019t banned under the 2009 law that gave the FDA authority over tobacco products. The flavor\u2019s cooling effect makes it easier to start smoking and harder to quit, driving menthol\u2019s popularity. An estimated 85% of Black smokers buy menthols.
FDA officials sent their final version of the regulation to the White House\u2019s Office of Management and Budget in October, typically the last step before a rule is released.
But the White House has agreed to hold dozens of meetings with groups opposing the rule, including civil rights advocates, business owners and law enforcement officials. In nearly all cases, the groups opposing the ban have received donations from tobacco companies.
More than 60 meetings on the rule have been scheduled with budget office staffers, with discussions set to stretch into January, according to a government website. Only three of the meetings thus far have been with health groups, records show.
The meetings underscore the attention the issue is attracting from prominent African American leaders and senior members of the Biden administration.
A Nov. 20 meeting included civil rights attorney Ben Crump and Kendrick Meek, a former congressman who is now a lobbyist with a law firm whose clients include the tobacco company Reynolds American. More than two dozen government officials also attended the virtual meeting, including Food and Drug Administration Commissioner Robert Califf and Health and Human Services Secretary Xavier Becerra.
The meeting was requested by the National Organization of Black Law Enforcement Executives, which has received funding from cigarette-makers, including Reynolds. The group has been running ads in local Washington media warning that a menthol ban would damage relations between police and the communities they serve.
The FDA and health advocates have long rejected such concerns, noting FDA\u2019s enforcement of the rule would only apply to companies that make or sell cigarettes, not to individual smokers.
___
The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute\u2019s Science and Educational Media Group. The AP is solely responsible for all content.
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These aspects are directly related to the topic of health, making the document highly relevant." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2023/12/06/cb42ae9846ab9e4fc07eff970872143a.json b/datasets/AP_news/raw_data/2023/12/06/cb42ae9846ab9e4fc07eff970872143a.json new file mode 100644 index 0000000..0e897b0 --- /dev/null +++ b/datasets/AP_news/raw_data/2023/12/06/cb42ae9846ab9e4fc07eff970872143a.json @@ -0,0 +1,308 @@ +{ + "altids": { + "itemid": "cb42ae9846ab9e4fc07eff970872143a", + "etag": "cb42ae9846ab9e4fc07eff970872143a_3a6aza0c0", + "friendlykey": "663221754962", + "referenceid": "US--Elijah McClain Trial" + }, + "version": 3, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2023-12-07T01:08:15Z", + "firstcreated": "2023-12-06T23:38:22Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: Adds that trial in recess until Friday. With AP Photos.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "US--Elijah McClain Trial", + "headline": "Paramedics told investigators that Elijah McClain had 'excited delirium,' a disputed condition", + "headline_extended": "Two paramedics on trial over the 2019 death of Elijah McClain told investigators in videotaped interviews previously unseen in public that the 23-year-old Black man had \u201cexcited delirium,\u201d a disputed condition critics say is unscientific and rooted in racism", + "slugline": "AP-US--Elijah McClain Trial, 3rd Ld-Writethru", + "description_summary": "Two paramedics on trial over the 2019 death of Elijah McClain told investigators in videotaped interviews previously unseen in public that the 23-year-old Black man had \u201cexcited delirium,\u201d a disputed condition critics say is unscientific and rooted in racism. McClain died after being stopped by police while walking home from a convenience store then forcibly restrained and injected with ketamine by the paramedics in the Denver suburb of Aurora. Paramedics there were trained starting in 2018 to use ketamine, a sedative, to treat excited delirium. But critics say such diagnoses have been misused to justify excessive force against suspects.", + "bylines": [ + { + "by": "By COLLEEN SLEVIN", + "title": "Associated Press" + } + ], + "located": "BRIGHTON, Colo.", + "datelinelocation": { + "city": "Brighton", + "countryareacode": "CO", + "countryareaname": "Colorado", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -104.82053, + 39.98526 + ] + } + }, + "copyrightnotice": "Copyright 2023 The Associated Press. All rights reserved. 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(AP) \u2014 Two paramedics on trial over the 2019 death of Elijah McClain told investigators in videotaped interviews previously unseen by the public that the 23-year-old Black man had \" excited delirium,\u201d a disputed condition some say is unscientific and rooted in racism.
McClain died after being stopped by police while walking home from a convenience store, then forcibly restrained and injected with ketamine by the paramedics in the Denver suburb of Aurora. Initially no one was charged because the coroner\u2019s office could not determine how McClain died. But social justice protests over the 2020 murder of George Floyd drew renewed attention to McClain\u2019s case \u2014 which led to the 2021 indictment of the paramedics and three officers.
Starting in 2018, paramedics in Aurora were trained to use ketamine, a sedative, to treat excited delirium after approval from state regulators. Under their training, if they determined that an agitated person they were treating had the condition, which has been described as involving bizarre behavior and a high tolerance for pain, they were told to administer ketamine.
However, critics say such diagnoses have been misused to justify excessive force against suspects. It\u2019s been rejected by some doctor\u2019s groups in the years since McClain\u2019s fatal stop and last week, Colorado officials decided that police officers will no longer be trained to look for the condition starting in 2024. Previously, Colorado told paramedics to stop using excited delirium as a basis for administering ketamine.
Aurora Fire Department paramedics Jeremy Cooper and Peter Cichuniec told detectives in separate 2019 interviews that prosecutors showed to jurors Wednesday that McClain was actively resisting officers. They said McClain showed unusual strength, a supposed symptom of excited delirium.
Cooper alleged McClain tried to get away from the officers, at one point attempting to walk up a grassy area outside an apartment building where he was being held by police. The claim is at odds with body camera footage that shows McClain handcuffed and pinned to the ground by multiple officers before Cooper injected him with ketamine. McClain cannot always be seen on the footage but no attempt to get away was mentioned at the previous trials of the three police officers.
Cichuniec, the senior officer of the medical crew, said it was his decision to give McClain ketamine and that it was the first time he was involved with administering it. He said they were dispatched to help because of a report that a man had been running around in a mask, not making sense and waving his arms at people.
\u201cIf you looked in his eyes, no one was home,\u201d he said in the interview, the first comments from the paramedics to be made public since they were charged.
The fatal encounter on Aug. 24, 2019, began when a 911 caller reported that a man looked \u201csketchy\u201d as he walked down the street wearing a ski mask and raising his hands in the air. However, it now appears that McClain, who was headed home after buying some iced tea, was moving to the music he later told police he was listening too. Prosecutors say surveillance video of him leaving the store shows him dancing as he walked through the parking lot.
During previous trials, two of the officers who confronted McClain were acquitted. The third officer was convicted of negligent homicide and third-degree assault.
The two paramedics have pleaded not guilty to manslaughter, criminally negligent homicide and several counts each of assault.
The trial is scheduled to continue through most of December, exploring largely uncharted legal territory because it is rare for medical first responders to face criminal charges.
However, court officials said late Wednesday that the trial wouldn't resume as expected on Thursday and was in recess until Friday due to \u201cunforeseen circumstances.\u201d The announcement followed a courtroom disclosure that one juror had tested positive for COVID-19 using an expired at-home test.
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The class action lawsuit, filed by the American Civil Liberties Union of Indiana on behalf of five anonymous residents and the group Hoosier Jews for Choice, argues Indiana\u2019s abortion ban violates the state's Religious Freedom Restoration Act that was approved by Republican lawmakers in 2015.
The suit was originally filed in September 2022 and a county judge sided with the residents last December.
Indiana later appealed the decision. The court heard arguments Wednesday at the Indiana Statehouse, but did not indicate when it would rule on the appeal.
The lawsuit argues the ban violates Jewish teachings that \u201ca fetus attains the status of a living person only at birth\u201d and that \u201cJewish law stresses the necessity of protecting the life and physical and mental health of the mother prior to birth as the fetus is not yet deemed to be a person.\u201d It also cites theological teachings allowing abortion in at least some circumstances by Islamic, Episcopal, Unitarian Universalist and Pagan faiths.
Solicitor General James Barta argued in court that the ban does not violate the law because \u201cthe unborn are persons entitled to protections.\" Three judges hearing arguments peppered him with questions about current exemptions to the abortion ban, including in limited cases of rape and incest.
\u201cAren't religious beliefs just as important as those concerns?\u201d Judge Leanna K. Weissmann asked.
The judges also questioned ACLU of Indiana\u2019s legal director Ken Falk about the state Supreme Court's decision earlier this year to uphold the ban. Falk said at least some of the residents have changed their sexual practices because of the ban despite of their religion's teaching on abortion.
A spokesperson for the Indiana Attorney General\u2019s office said in a written statement it looks forward to the court\u2019s ruling. \u201cWe once again stood up for the rights of the most vulnerable today,\u201d the statement said.
The suit is one of many across the country wherein religious freedom is cited as a reason to overturn a state's abortion ban, including one in Missouri and one in Kentucky.
In the Missouri case, 13 Christian, Jewish and Unitarian leaders are seeking a permanent injunction barring the state\u2019s abortion ban. The lawyers for the plaintiffs said at a court hearing state lawmakers intended to \u201cimpose their religious beliefs on everyone\u201d in the state.
The lawsuit will likely to go to the state Supreme Court. Indiana\u2019s near total abortion ban went into effect in August after the Indiana Supreme Court upheld it in the face of a separate legal challenge from the ACLU.
The ACLU of Indiana revamped its efforts impede the ban in November. In a separate and amended complaint, abortion providers are seeking a preliminary injunction on the ban in order to expand its medical exemptions and block the requirement that abortions be performed at a hospital.
Indiana became the first state to enact tighter abortion restrictions after the U.S. Supreme Court ended federal abortion protections by overturning Roe v. Wade in June 2022. The near total ban makes exceptions for abortions at hospitals in cases of rape or incest and to protect the life and physical health of the mother or if a fetus is diagnosed with a lethal anomaly.
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In a financial update, London-based British American Tobacco said it is in the process of transforming its business from traditional, combustible products to \u201csmoke-free\u201d ones. Its goal is to get half its revenue from non-combustibles by 2035. Combustibles currently account for about 83% of its sales, according to the data firm FactSet.
In 2017, British American Tobacco bought Winston-Salem, North Carolina-based Reynolds American Inc. for about $49 billion in cash and stock.
Earlier this year, the Centers for Disease Control and Prevention released a survey that showed U.S. cigarette smoking in another all-time low, with 1 in 9 adults saying they were current smokers. In the mid-1960s, 42% of U.S. adults were smokers.
The preliminary survey findings sometimes are revised after further analysis.
The rate has been gradually dropping for decades, due to cigarette taxes, tobacco product price hikes, smoking bans and changes in the social acceptability of lighting up in public.
Cigarette smoking is a risk factor for lung cancer, heart disease and stroke, and it\u2019s long been considered the leading cause of preventable death.
At the same time, the CDC survey showed that electronic cigarette use rose, to about 1 in 17 adults.
Those are the customers British American Tobacco is turning its focus to. The company plans to invest in its \u201cnew products\u201d business, which includes vaporizers.
British American Tobacco shares fell $2.72, about 8.6%, to $28.82 in afternoon trading Wednesday. Other tobacco companies also fell, with Altria down 2.75% and Philip Morris losing 1.5%.
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\"We cannot end the U.S. opioid crisis and achieve greater security without looking beyond our borders,\" she said.
Yellen traveled to Mexico this week after the Treasury Department announced a strike force to help combat illicit fentanyl trafficking as the U.S. and China step up efforts to stop the movement of the powerful opioid and drug-making materials into the U.S. When President Joe Biden and Chinese leader Xi Jinping met in California in November, they announced that China would instruct chemical companies to curtail shipments of the materials used to produce fentanyl to Latin America.
The new sanctions were imposed on 15 Mexicans and two Mexican-based companies linked, directly or indirectly, to the Beltran Leyva drug cartel, according to the Treasury Department. Mexican musician Oscar Manuel Gastelum Iribe and Pedro Inzunza Noriega, whom the U.S. considers cartel leaders, were penalized, along with other members of the group, including its attorney and family members, the Biden administration said.
The Treasury Department said the cartel has been sending tons of cocaine and methamphetamine into the U.S. for decades and has been \u201cheavily involved in the transportation and distribution of deadly drugs, including fentanyl.\"
Fentanyl is the deadliest drug in the U.S. today. The Centers for Disease Control and Prevention estimates that 71,000 people died from overdosing on synthetic opioids such as fentanyl in 2021, compared with almost 58,000 in 2020.
The opioid epidemic has cost America nearly $1.5 trillion in 2020, according to the congressional Joint Economic Committee.
Mexico and China are the primary source countries for fentanyl and fentanyl-related substances trafficked directly into the U.S., the Drug Enforcement Administration says. Nearly all the precursor chemicals that are needed to make fentanyl are coming from China.
\u201cDrug trafficking organizations generate billions of dollars in illicit proceeds every year,\u201d Yellen said. \u201cThey hold some in cash, some in investments, such as in real estate, and, increasingly, though still in small amounts, in digital assets. U.S. financial institutions are vulnerable, such as through exposure to drug trafficking organizations using shell companies.\u201d
The sanctions block access to U.S. property and bank accounts and prevent the targeted people and companies from doing business with Americans.
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December 6, 2023.
Editorial: On healthcare, NC has accepted what SC lawmakers continue to reject
As a long-time physician and public health advocate in Rock Hill, S.C., I am looking to our northern neighbors with envy. On Dec. 1, North Carolina closed the coverage gap and expanded Medicaid so that nearly 600,000 more people can now access affordable, quality healthcare.
South Carolina should take a cue from the Tar Heel state and follow in line as soon as possible.
As a South Carolina doctor who treated patients and worked in small hospital emergency rooms for over 35 years, I have witnessed the terrible impacts felt by our state\u2019s failure to close the coverage gap. Many of the people I\u2019ve treated fell into the gap because they earned too little to afford insurance and too much to qualify for Medicaid.
In fact, less than half of South Carolina employers offer health insurance to employees. These are hard-working people like church pastors, truck drivers, childcare workers, restaurant cooks and mental health therapists, who all want to support themselves and their families.
When I think back to my time working in the Chesterfield General Hospital emergency department, I think of the family who came in the middle of the night to have their 1-year-old treated for a painful ear infection and high fever. They delayed care for the child due to not having insurance. This caused a danger to the child and a financial burden to the hospital for having to cover the expensive overnight bill.
I also think of the construction worker who couldn\u2019t afford preventive care. He came in with a stroke-in-progress because his blood pressure was so high. A simple physical could\u2019ve caught his high blood pressure and treated him accordingly, without him ever having a stroke. Instead, he left the hospital disabled and unable to work anymore, due to never having access to care.
The resistance to closing the coverage gap in South Carolina is costing us all. Patients will have worse outcomes that still require care. Not to mention, our federal tax dollars currently fund Medicaid in other states without any of it benefiting our deserving people in the Palmetto State.
With North Carolina set to expand Medicaid, they will see hundreds of thousands of people gain access to crucial screenings that could catch cancer or diabetes early, cover ongoing treatments and save lives. It also means rural North Carolina hospitals have a better chance of staying open, now that patients have more coverage.
It means North Carolina stands to gain tens of thousands of jobs. And it means hundreds of thousands of people, many of them veterans, now have access to crucial mental health care.
These are all benefits North Carolina has accepted that South Carolina lawmakers continue to reject. That\u2019s why I am volunteering with the American Cancer Society Cancer Action Network and other health partners to advocate to close the coverage gap in our state.
___
Post and Courier. December 2, 2023.
Editorial: All wet? SC and its cities need a better grip on stormwater ponds
No one knows how many stormwater ponds are scattered across South Carolina, much less what condition they\u2019re in, whether they pose any health or environmental threat to their neighbors or whether they\u2019re not functioning as they should be as far as retaining stormwater runoff, if that\u2019s what they were designed to do in the first place.
Some were excavated before any permitting requirements, and the vast majority are on private property, though some have been well-maintained through homeowners associations or other groups given the authority to raise money for their occasional dredging and care.
That reality will not change overnight, but it should change over time, especially as these man-made ponds age. Specifically, state and municipal officials should start by compiling an inventory. This not only would provide an informed basis for future decisions on whether taxpayer dollars should be spent on assessing the ponds\u2019 conditions \u2014 particularly as far as their effect on local drainage, water quality and public health \u2014 but also would help determine how much public money, if any, should be spent to help fix problems with ponds that can be an essential part of public stormwater management.
When it comes to these ponds, it\u2019s been sort of the Wild West, but more people are seeking law and order. And their voices are expected to grow louder.
That\u2019s clear from two recent reports by The Post and Courier\u2019s Jonah Chester, who noted that the earliest of these ponds \u2014 created before today\u2019s permitting laws \u2014 exist in a regulatory no-man\u2019s land, not unlike septic systems built on private property. Those septic systems need a permit from the state, but there\u2019s no follow-up as far as their proper maintenance and functioning, even as their effectiveness slowly erodes.
Many ponds were built before 1991, when South Carolina first adopted standards for them; 15 years later, larger local governments began to adopt their own regulations to comply with the federal Clean Water Act. A decade-old estimate from the South Carolina Sea Grant Consortium found more than 9,000 development-related stormwater ponds in the state\u2019s coastal counties, and the actual number is surely higher now. And that estimate sheds no light on their condition or relative importance in preventing flood damage during a heavy rain.
These ponds will continue to pose a greater challenge to their neighbors, particularly in situations where there is not an effective system in place to ensure regular maintenance. At some point, there might be a role for cities, even counties and the state, to address the most problematic conditions. But before that happens, they must know a lot more about what they might be getting into. What they do for one neighborhood\u2019s pond they must be willing to do for all other similar ponds in their jurisdiction.
The city of Charleston is right to proceed cautiously as far as helping with residents\u2019 request for dredging Lake Sandhurst in West Ashley. Again, as Mr. Chester reported, residents around Lake Sandhurst, which was created in the 1960s by building an earthen dam between a creek and the Ashley River, are facing a costly bill to dredge it and remove the soil that has eroded into it over time. The lake is privately owned and has been privately maintained to this point.
It\u2019s unclear whether dredging all of that lake or just part of it to enable stormwater to exit more quickly to the river, or gradually converting it from a lake to a wetland with native plants, would make the most sense. It\u2019s even less clear whether city government should pay for any of the above, partly because we know so little about what else is out there.
Today, developers are using other flood-control measures, including dry ponds (which only hold water after it rains), bioswales and rain gardens. All these are easier to maintain, as they don\u2019t involve dredging, drying out the spoil and hauling it off.
An inventory of stormwater ponds would be a good start on getting a handle on the size and scope of the current problem and provide a basis for future decisions.
___
Times and Democrat. December 5, 2023.
Editorial: S.C., 21 other states get bad news on obesity
Just in time for the holiday season, South Carolinians have some bad news on obesity.
The U.S. Centers for Disease Control and Prevention reports that new population data from 2022 show South Carolina and 21 other states have an adult obesity prevalence at or above 35%, compared to 19 states in 2021.
The other states with an adult obesity prevalence at or above 35% are: Alabama, Arkansas, Delaware, Georgia, Indiana, Iowa, Kansas, Kentucky, Louisiana, Mississippi, Missouri, Nebraska, North Dakota, Ohio, Oklahoma, South Dakota, Tennessee, Texas, Virginia, West Virginia and Wisconsin.
Just 10 years ago, no state had an adult obesity prevalence at or above 35%.
The 2022 data show that obesity impacts some groups more than others. There are notable differences by race and ethnicity, as shown by combined data from 2020-22. Among geographic groups (states, territories, or DC) with enough data, the number with an adult obesity prevalence of 35% or higher, by race/ethnicity, is:
\u2022 American Indian or Alaska Native adults: 33 (among 47 states)
\u2022 Asian adults: 0 (among 37 states, 1 territory, and DC)
\u2022 Black adults: 38 (among 48 states and DC)
\u2022 Hispanic adults: 32 (among 49 states, 2 territories, and DC
\u2022 White adults: 14 (among 49 states, 1 territory, and DC)
State-based adult obesity prevalence by race, ethnicity, and location is based on self-reported height and weight data from the Behavioral Risk Factor Surveillance System.
Adults with obesity are at increased risk for many other serious health conditions, including as heart disease, stroke, type 2 diabetes, some cancers, severe outcomes from COVID-19, and poor mental health. Additionally, people with obesity report being stigmatized because of their weight.
Dieting and watching what you eat may be the last topics about which you want to read during the holidays, but the advice by a veteran nutritional and biochemical expert in the U.S. health industry is worthy of note.
Dr. Susie Rockway says sticking to a low-calorie diet every day to lose weight is very difficult \u2013 and you may not have to.
She offers insight as a decades-long health industry expert. She has worked for multiple companies in executive capacities, including as an executive director of product development, a director of research and a manager for science developing health and wellness products, where she communicated nutrition and new science updates to consumers. She has also designed testing strategies for clinical efficacy studies.
\u201cStudies show you can lose 10 to 30 pounds in eight weeks through alternate-day fasting,\u201d Rockway says. \u201cEvery other day, dieters in the study ate only lunch \u2013 no breakfast or dinner \u2013 between noon and 2 p.m. The following day, they could eat whatever they wanted. Not only did they not \u2018gorge\u2019 as expected on the feed days, most had an easier time sticking with it.\u201d
In the alternate-day fast studies conducted by Dr. Krista Varady of the University of Illinois at Chicago, participants on average consumed only 110% of their energy needs on feed days, Rockway says. Lunch on fast days was 400 to 500 calories for women and 500 to 600 calories for men.
So here\u2019s advice on indulging your taste buds this holiday season while losing weight or maintaining a healthy weight.
Eat your bigger meals earlier in the day. Avoiding large meals at dinnertime is effective in helping to lose weight, particularly abdominal fat.
Don\u2019t belly up to a buffet bar. Whether it\u2019s a cheat meal or a cheat day, throw all those studies out the window if you gorge on huge quantities of food. Eat controlled portions of healthy, nutritious foods.
Include plenty of fiber and water (stay hydrated!). Unlike most nutrients in foods, we don\u2019t absorb fiber. It passes through our digestive tract, and if it\u2019s soluble fiber, it can help us feel full since it forms viscous gels. High-fiber foods include legumes, beans, avocados, nuts, whole fruits (vs. juice), and whole-grain foods such as whole wheat spaghetti. On a cheat day, you may splurge on a higher-fat hamburger or fries.
Healthy eating. Plan meals that are higher in lean protein and lower in simple carbohydrates. This will help you avoid a sugar spike that will leave you feeling hungry soon afterward. It also stabilizes your insulin levels, and protein foods are the most satiating.
There you have it. Eat up (kinda!) during the holiday season \u2013 but not every day during the season.
END
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UPDATES: This story has been updated to tighten lede, add comments from Republican Senate leader and rephrases Schlipper's ruling in the 8th paragraph.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "US--Wisconsin-Abortion", + "headline": "Republican prosecutor will appeal judge's ruling invalidating Wisconsin's 174-year-old abortion ban", + "headline_extended": "A Republican prosecutor says he plans to appeal a judge's ruling invalidating Wisconsin's 174-year-old abortion ban", + "slugline": "BC-US--Wisconsin-Abortion, 2nd Ld-Writethru", + "description_summary": "A Republican prosecutor says he plans to appeal a judge's ruling invalidating Wisconsin's 174-year-old abortion ban. The U.S. Supreme Court's decision last year overturning Roe v. Wade reactivated an 1849 state law that conservatives argue bans abortion. But Dane County Circuit Judge Diane Schlipper ruled in July that the law bars feticide \u2014 not consensual medical abortions. She reaffirmed that finding in a ruling Tuesday. Sheboygan County District Attorney Joel Urmanski said Wednesday that he plans to appeal the ruling. Sheboygan County is home to a Planned Parenthood of Wisconsin facility that provides abortions.", + "bylines": [ + { + "by": "By TODD RICHMOND", + "title": "Associated Press" + } + ], + "located": "MADISON, Wis.", + "datelinelocation": { + "city": "Madison", + "countryareacode": "WI", + "countryareaname": "Wisconsin", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -89.40123, + 43.07305 + ] + } + }, + "copyrightnotice": "Copyright 2023 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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(AP) \u2014 A Republican prosecutor said Wednesday that he plans to appeal a court ruling that Wisconsin law permits abortions, the first step toward a potential showdown in the state Supreme Court over abortion rights.
Sheboygan County District Attorney Joel Urmanski issued a statement through his attorneys saying that he disagrees with Dane County Circuit Judge Diane Schlipper's July finding and state law clearly bans abortions, including \u201cconsensual medical abortions.\u201d
The case appears destined to end up at the state Supreme Court.
Liberal justices currently hold a 4-3 majority on the court, making it unlikely that conservatives would prevail at that level. Urmanski could string out the process beyond the 2025 spring elections, however, in the hopes that liberal Justice Ann Walsh Bradley loses re-election and conservatives regain control of the court.
In question is an 1849 Wisconsin law that conservatives have interpreted as banning abortion. The U.S. Supreme Court\u2019s June 2022 decision to overturn Roe v. Wade, the landmark 1973 decision legalizing abortion, reactivated the law. Abortion providers subsequently ceased operations in the state out of fear of violating the ban.
Democratic Attorney General Josh Kaul filed a lawsuit days after the Supreme Court decision, challenging the ban\u2019s validity. He argued the statutes were too old to enforce and a 1985 law permitting abortions before fetuses can survive outside the womb trumps the ban. Three doctors later joined the lawsuit as plaintiffs, saying they fear being prosecuted for performing abortions.
Urmanski is defending the ban in court. The city of Sheboygan is home to one of Planned Parenthood's three Wisconsin clinics that provide abortions. The others are in Madison and Milwaukee.
Schlipper ruled this past July that the legal language in the ban doesn\u2019t use the term \u201cabortion\u201d so the law only prohibits attacking a woman in an attempt to kill her unborn child. Her finding didn\u2019t formally end the lawsuit but Planned Parenthood was confident enough in the ruling to resume abortion procedures at their Madison and Milwaukee clinics in September.
Urmanski later filed a motion asking Schlipper to reconsider her ruling. She refused in a 14-page opinion issued Tuesday, writing that Urmanski failed to show how she misapplied state law or made any other mistake and declared that the plaintiffs had won the suit.
She also declined the doctors\u2019 request to issue an injunction prohibiting prosecutors from charging abortion providers, saying she's confidant prosecutors will follow her ruling.
Dane County District Attorney Ismael Ozanne and Milwaukee County District Attorney John Chisholm, both Democrats, have said they would abide by Schlipper's ruling. Urmanski has said he would abide by it as well. He reiterated in his statement Tuesday that he's obligated to follow the ruling unless it's stayed on appeal.
Julaine Appling, president of anti-abortion group Wisconsin Family Action, called Schlipper's interpretation of the law a regression that comes at the price of future Wisconsin citizens' lives.
\u201cWe are pleased to know DA Urmanski intends to appeal this egregious decision,\u201d she said in a statement.
Kaul said during a news conference Wednesday morning before Urmanski's announcement that he fully expected an appeal.
\u201cThis decision can be appealed. I expect that it likely will be,\u201d Kaul said. \u201cAnd so other courts will weigh in on this. But for now, this is a major win for reproductive freedom in Wisconsin, and we are prepared to defend that victory and reproductive freedom as we move forward.\u201d
Wisconsin Senate Republican Majority Leader Devin LeMahieu's district includes Sheboygan. He told The Associated Press in an interview Wednesday afternoon that he was pleased to see that Urmanski plans to appeal. If the ban is ultimately invalidated, Republican lawmakers will consider other legislation, he said. He did not elaborate.
___
Associated Press writer Scott Bauer contributed to this report.
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The musical is based on the Peabody Award-winning documentary of the same name. It is set at a counseling center in Columbus as a group of autistic young adults develop social skills and make connections. Seven openly autistic actors \u2014 aged between 19 and 36 \u2014 are playing the autistic characters, a first for Broadway.", + "bylines": [ + { + "by": "By MARK KENNEDY", + "title": "AP Entertainment Writer" + } + ], + "located": "NEW YORK", + "datelinelocation": { + "city": "New York", + "countryareacode": "NY", + "countryareaname": "New York", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -74.00597, + 40.71427 + ] + } + }, + "copyrightnotice": "Copyright 2023 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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The show follows seven autistic characters as they prepare for a spring dance. After co-starring in a performance this fall, Burton asked her son what he thought. His opinion mattered not just because Mom is in it but also because he has autism.
\u201cHe said, \u2018I loved it. It was amazing. I just I can\u2019t believe that there are people who think like me,\u2019\u201d Burton recalled. \u201cI thought, \u2018This is why I am doing this. This is why this is so important.\u2019\u201d
\u201cHow to Dance in Ohio\u201d opens on Broadway on Sunday both celebrating and starring those on the autism spectrum as well as opening a window about autism's highs and lows for the neurotypical.
\u201cWhen we talk about this piece internally, we really view it as a piece of activism,\u201d said Burton, whose Broadway credits include \u201cKinky Boots\u201d and \u201cLegally Blonde.\u201d \u201cThere is entertainment and certainly commercial value, but at its very core, our values are to educate.\u201d
Based on the Peabody Award-winning documentary of the same name, the musical is set at a counseling center in Columbus as a group of autistic young adults develop social skills and make connections. Seven openly autistic actors \u2014 aged between 19 and 36 \u2014 are playing the autistic characters, a first for Broadway.
\u201cIt just feels like a really special moment in time in the industry \u2014 important to bring awareness, to have this kind of representation on stage that is authentic,\u201d says Barton, who along with her husband are co-producers.
Autism has been explored before on Broadway \u2014 \u201cThe Curious Incident of the Dog in the Night-Time\u201d was a 2015 best play Tony winner with a lead character on the autism spectrum \u2014 and autism-friendly performances of many shows have been offered for over a decade, but this is the first time all the lead actors of a show are on the spectrum.
\u201cThe core seven of us are sort of the face of autism on Broadway right now, which is massive,\u201d said Ashley Wool, making her Broadway debut playing the daughter of Burton's character. \u201cWe represent a good amount of the experience, but it\u2019s still only the tip of the iceberg of the stories that can be told within and by and alongside the autistic and neurodiverse community.\"
Previous attempts at portraying autism, she said, have focused on the condition: \u201cAnybody can read about autism in a textbook and understand it as kind of a diagnostic list of symptoms and traits and tendencies. But our show introduces the audience to more autistic culture.\u201d
The musical doesn't shy away from the challenges people with autism encounter or the worries their parents face, as illustrated in one of Burton's songs, \u201cGetting Ready for the Dance,\u201d with the lines: \u201cSo many things the other kids do/Ours get nevers, nos and can'ts.\u201d
\u201cWe\u2019re always trying to be very cautious of that line between grief and celebration, because you can hold both as a parent,\u201d Burton says. \u201cI think that you grieve the moment you become a parent regardless of who your child is, because parenting is like wearing your heart outside of your body for the rest of your life.\u201d
According to the Centers for Disease Control and Prevention, autism affects an estimated 1 in 36 children in the United States today. But Burton says \u201cHow to Dance in Ohio\u201d is a musical for everyone.
\u201cIt\u2019s not just a show about autism. It\u2019s a show about connection. It\u2019s a show about growth. It\u2019s about overcoming challenges and finding things in common,\" she said. \"But for people that do have a touch point to autism, I think there is a real profound recognition of what\u2019s happening on stage.\u201d
The show has also tried to accommodate autistic theatergoers, offering cool-down spaces, fidget spinners and headphones that offer a separate, sensory-friendly mix of the show specially designed for autistic patrons.
Wool, who was diagnosed as autistic in college but hid it for a decade for fear she wouldn't work if the news was public, has been cheered by the strides the autism community has made in the past few years.
\u201cThe conversation around autism has shifted so much even within my lifetime,\u201d she said. \u201cI\u2019m an example of what an autistic person can accomplish when they are listened to and supported and accommodated and surrounded by resources and nonjudgmental people who love them for who they are.\u201d
As for Burton, she is dedicating her performance to Hudson. In the Playbill, she says he \u201dleads with a courageous heart in a world that was not designed for him. I hope you take our story with you and leave our theater curious, kind and willing to challenge the world around you.\u201d
Every night, she says, she shares a message to her fellow actors before they go on: \u201cTell the truth. Tell the truth. Don\u2019t forget to tell the truth.\u201d
___
Mark Kennedy is at http://twitter.com/KennedyTwits
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Therefore, while there is some relevance to health, particularly mental health and autism awareness, it is not the primary focus of the document." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2023/12/07/296067d522b89951280be2cd6f05c180.json b/datasets/AP_news/raw_data/2023/12/07/296067d522b89951280be2cd6f05c180.json new file mode 100644 index 0000000..649ff41 --- /dev/null +++ b/datasets/AP_news/raw_data/2023/12/07/296067d522b89951280be2cd6f05c180.json @@ -0,0 +1,279 @@ +{ + "altids": { + "itemid": "296067d522b89951280be2cd6f05c180", + "etag": "296067d522b89951280be2cd6f05c180_1a6aza0c0", + "friendlykey": "27899553688", + "referenceid": "US--Mississippi-Maternal Mortality" + }, + "version": 1, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2023-12-07T23:27:35Z", + "firstcreated": "2023-12-07T23:18:47Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: With AP Photos.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "US--Mississippi-Maternal Mortality", + "headline": "Maternal mortality rate is much higher for Black women than white women in Mississippi, study says", + "headline_extended": "Black people make up about 38% of Mississippi\u2019s population", + "slugline": "AP-US--Mississippi-Maternal Mortality, 1st Ld-Writethru", + "description_summary": "Black people make up about 38% of Mississippi\u2019s population. But a new study says Black women were four times more likely to die of causes directly related to pregnancy than white women in the state in 2020. The study was done by a Maternal Mortality Review Committee and published Wednesday by the state health department. The committee leaders, Dr. Michelle Owens and Dr. Courtney Mitchell, say steps must be taken to improve outcomes. One recommendation is Medicaid expansion. The committee found 80% of pregnancy-related deaths in Mississippi between 2016 and 2020 were considered preventable. And cardiovascular disease and hypertension remain top contributors to maternal mortality.", + "bylines": [ + { + "by": "By EMILY WAGSTER PETTUS", + "title": "Associated Press" + } + ], + "located": "JACKSON, Miss.", + "datelinelocation": { + "city": "Jackson", + "countryareacode": "MS", + "countryareaname": "Mississippi", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -90.18481, + 32.29876 + ] + } + }, + "copyrightnotice": "Copyright 2023 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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(AP) \u2014 Black people make up about 38% of Mississippi's population, but a new study shows that Black women were four times more likely to die of causes directly related to pregnancy than white women in the state in 2020.
\u201cIt is imperative that this racial inequity is not only recognized, but that concerted efforts are made at the institutional, community, and state levels to reduce these disparate outcomes,\" wrote Dr. Michelle Owens and Dr. Courtney Mitchell, leaders of the Maternal Mortality Review Committee that conducted the study.
The Mississippi State Department of Health published the findings Wednesday.
The committee said 80% of pregnancy-related deaths in Mississippi between 2016 and 2020 were considered preventable, and cardiovascular disease and hypertension remain top contributors to maternal mortality.
Women need comprehensive primary care before, during and after pregnancy, but many people live in areas where health care services are scarce, Owens and Mitchell wrote.
\u201cA substantial portion of this care is being shouldered by smaller hospitals with limited resources, many of whom are facing possible closure and limiting or discontinuing the provision of obstetrical services, further increasing the burdens borne by the individuals and their communities,\u201d they wrote.
The Maternal Mortality Review Committee was formed in 2017, and its members include physicians, nurses, public health experts and others who work in health care.
The committee found that from 2016 to 2020, Mississippi's pregnancy-related mortality rate was 35.2 deaths per 100,000 live births. The study did not provide a comparable five-year number for the U.S. but said the national rate was 20.1 deaths per 100,000 live births in 2019 and 32.9 deaths per 100,000 live births in 2020.
Mississippi has long been one of the poorest states in the U.S., with some of the highest rates of obesity and heart disease.
A state health department program called Healthy Moms, Healthy Babies offers care management and home visits for pregnant women and for infants who are at risk of having health problems.
\u201cLosing one mother is too many,\u201d Dr. Daniel Edney, the state health officer, said in a news release about the maternal mortality study.
The committee recommended that Mississippi leaders expand Medicaid to people who work in lower-wage jobs that don't provide private health insurance \u2014 a policy proposal that Republican Gov. Tate Reeves has long opposed.
Earlier this year, Reeves signed a law allowing postpartum Medicaid coverage for a full year, up from two months.
Medicaid expansion is optional under the health care overhaul that then-President Barack Obama signed into law in 2010, and Mississippi is one of 10 states that have not taken the option. The non-expansion states have Republican governors, Republican-controlled Legislatures or both.
\u201cMedicaid expansion should be incorporated for rural hospitals to remain open and include access to telehealth services,\u201d the Maternal Mortality Review Committee leaders wrote. \u201cThere is a need for rural healthcare facilities to provide higher levels of critical care, recruit and retain adequate providers, and have access to life saving equipment, especially in the most vulnerable areas of the state.\u201d
The study examined deaths that occurred during or within one year after pregnancy. It defined pregnancy-related deaths as those \u201cinitiated by pregnancy, or the aggravation of an unrelated condition by the physiologic effects of pregnancy\u201d and pregnancy-associated deaths as those \u201cfrom a cause that is not related to pregnancy.\u201d
Pregnancy-related deaths during the five years included 17 homicides and four suicides, plus 26 instances of substance abuse disorder contributing to the maternal death and 30 instances of mental health conditions other than substance abuse disorder contributing to a death.
The study also said obesity contributed to 32 maternal deaths and discrimination contributed to 22. It noted that some pregnancy-related deaths could have more than one contributing factor.
The committee recommended that health care providers develop procedures and training to address maternal patients with severe complaints for the same health concern, including training to eliminate bias or discrimination.
", + "textformat": "bx", + "links": [ + { + "href": "https://apnews.com/article/mississippi-maternal-mortality-health-department-296067d522b89951280be2cd6f05c180", + "rel": "canonical" + } + ], + "topics": { + "Health": { + "relevance_score": 5, + "reason": "The document is highly relevant to the topic of Health. It discusses maternal mortality rates, health disparities between Black and white women, and the impact of healthcare access and quality on maternal health outcomes. The document also includes recommendations for improving healthcare services and policies, which are directly related to health. 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In a second day of sworn testimony, Johnson rejected claims that he was prepared to let older people die to protect the economy and that he was too slow to order a second national lockdown as infection rates began to rise in the autumn of 2020.
Johnson, who left parliament after he was found to have misled lawmakers about lockdown-breaking parties during his premiership, said he learned about the horrors of COVID-19 firsthand when he was hospitalized with the disease in March 2020. In the intensive care unit, Johnson said he was surrounded not by elderly people but by middle-aged men like himself.
\u201cI knew from that experience what an appalling disease this is. I had absolutely no personal doubt about that from March onwards,\u201d he said. \u201cTo say that I didn\u2019t care about the suffering that was being inflicted on the country is simply not right.\u201d
Johnson\u2019s testimony was an opportunity for the former prime minister to tell his side of the story 17 months after he was forced to resign following a series of scandals, including revelations about boozy parties in his Downing Street offices at a time when the country was under lockdown.
The families of COVID-19 victims have criticized his government for being slow to create an effective testing system, discharging hospital patients with the virus to care homes and dithering about restrictions on personal interactions \u2014 all of which contributed to a higher death toll in Britain than most European countries.
The inquiry, which began public hearings earlier this year and is expected to run through 2027, is designed to uncover the lessons of COVID-19 to help officials better respond to future pandemics.
During his first day of testimony on Wednesday, Johnson apologized for mistakes made during the early days of the pandemic but maintained that he got the big decisions right, most importantly investing in the development of vaccines that ultimately provided a way out of the pandemic.
On Thursday, an unusually polite and deferential Johnson downplayed the sometimes crude and bombastic language contained in WhatsApp messages, diaries and government documents provided to the inquiry by other witnesses.
In one exchange, Johnson shook his head and said \u201cNo, no, no\u201d as he was confronted with a series of diary entries by his chief scientific adviser that indicated he had argued in favor of letting the virus spread rapidly to increase immunity to COVID-19 rather than imposing further restrictions on the people of Britain.
Johnson said he was simply pushing scientists to explain why such a strategy wouldn\u2019t work as the government debated whether to impose a second national lockdown in the autumn of 2020 when infection rates were rising and vaccines weren\u2019t yet available. The former prime minister said critics should look at his public statements and actions, rather than \u201cpeople\u2019s jottings from meetings that I have been in\u201d when they assess the government\u2019s response to the pandemic.
\u201cI think, frankly, it does not do justice to what we did \u2014 our thoughts, our feelings, my thoughts, my feelings \u2014 to say that we were remotely reconciled to fatalities across the country, or that I believed that it was acceptable to let it rip,\u201d a frustrated Johnson said under questioning from the inquiry\u2019s chief legal counsel, Hugo Keith.
Johnson defended his efforts to balance public health measures against the need to protect the economy, in particular the government\u2019s \u201cEat Out to Help Out\u201d program, which supported the hospitality industry by subsidizing restaurant meals after the first lockdown ended in the summer of 2020.
Leading scientists have testified that they weren\u2019t included in discussions about the program and that it was obvious it would increase the spread of COVID-19. Johnson said he had no reason to question the restaurant initiative.
\u201cI must emphasize, it was not at the time presented to me as something that would add to the budget of risk,\u201d he said.
But as infection rates began to rise, the government was once again faced with the question of whether to impose another lockdown that would save lives but drastically curtail personal freedoms.
Johnson\u2019s government implemented a series of less draconian measures including a 10 p.m. curfew, work from home advice and regionally targeted restrictions in September and October of 2020 before it finally imposed a second national lockdown on Oct. 31.
His remarks came after weeks of testimony by other ministers, including former Health Secretary Matt Hancock, who said they sought to raise the alarm inside the government about the threat posed by COVID-19. Hancock argued that thousands of lives could have been saved by starting the first national lockdown a few weeks earlier than the eventual date of March 23, 2020.
The United Kingdom went on to have one of Europe\u2019s longest and strictest lockdowns, as well as one of the continent\u2019s highest COVID-19 death tolls, with the virus recorded as a cause of death for more than 232,000 people.
Among Western European nations, only Italy recorded a higher excess death rate than Britain during the pandemic, according to data presented to the inquiry.
Families of the bereaved expressed hostility afterward, unmoved by his apologies. After Johnson testified, protesters outside shouted \u201cmurderer\u201d and \u201cshame on you\u201d as left the building and into his awaiting car.
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State District Judge Maya Guerra Gamble has granted a temporary restraining order allowing Cox to have an abortion. The state has not said if it plans to appeal. Cox is 20 weeks pregnant. Her attorneys say Cox went to an emergency room this week for a fourth time during her pregnancy.", + "bylines": [ + { + "by": "By PAUL J. WEBER", + "title": "Associated Press" + } + ], + "located": "AUSTIN, Texas", + "datelinelocation": { + "city": "Austin", + "countryareacode": "TX", + "countryareaname": "Texas", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -97.74306, + 30.26715 + ] + } + }, + "copyrightnotice": "Copyright 2023 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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Wade was overturned.
The lawsuit by Kate Cox, a 31-year-old mother of two from the Dallas area, is believed to be the first time since the landmark U.S. Supreme Court decision last year that a woman has asked a court to approve an abortion. The order only applies to Cox and her attorneys afterward spoke cautiously about any wider impacts, calling it unfeasible that scores of other women seeking abortions would also now to turn to courts.
\u201cThis can't be the new normal,\u201d said Marc Hearron, an attorney for the Center for Reproductive Rights. \u201cI don\u2019t think you can expect to see now hundreds of cases being filed on behalf of patients. It's just not realistic.\u201d
State District Judge Maya Guerra Gamble, an elected Democrat, granted a temporary restraining order allowing Cox to have an abortion under what are narrow exceptions to Texas' ban. Her attorneys said they would not disclose what Cox was planning to do next, citing safety concerns.
Republican Texas Attorney General Ken Paxton, whose office argued that Cox does not meet the criteria for a medical exception, issued a statement that did not say whether the state would appeal. But in a letter to three Houston hospitals, Paxton warned that legal consequences were still possible if Cox's physician provided the abortion.
Cox, who is 20 weeks pregnant, attended the hearing via Zoom along with her husband but did not address the court. Doctors have told Cox that if the baby\u2019s heartbeat were to stop, inducing labor would carry a risk of a uterine rupture because of her prior cesareans sections, and that another C-section at full term would would endanger her ability to carry another child.
\u201cThe idea that Ms. Cox wants so desperately to be a parent and this law may have her lose that ability is shocking and would be a genuine miscarriage of justice,\" Gamble said.
The Center for Reproductive Rights, which is representing Cox, has said this lawsuit is believed to be the first of its kind since Roe v. Wade was overturned. Since that landmark ruling, Texas and 12 other states rushed to ban abortion at nearly all stages of pregnancy. Opponents have sought to weaken those bans, including an ongoing Texas challenge over whether the state's law is too restrictive for women with pregnancy complications.
\u201cI do not want to continue the pain and suffering that has plagued this pregnancy or continue to put my body or my mental health through the risks of continuing this pregnancy,\u201d Cox wrote in an editorial published in The Dallas Morning News. \u201cI do not want my baby to arrive in this world only to watch her suffer.\u201d
The temporary restraining order stops Texas from enforcing the state's ban on Cox and lasts for 14 days. Under the restrictions in Texas, doctors who provide abortions could face criminal charges that carry a punishment of up to life in prison. They could also be fined. Pregnant women cannot be criminally charged for having an abortion in Texas.
Paxton told the Houston hospitals the order \u201cwill not insulate you\u201d from civil and criminal liabilities, arguing that private citizens could still bring lawsuits and local prosecutors could still bring charges.
Seth Chandler, a law professor at the University of Houston, said he would have concerns as a physician based on both legal issues and Paxton's \u201capparent zeal\u201d to enforce the state's abortion ban.
\u201cIf I were one of the doctors involved here, I would not sleep easy performing that abortion,\u201d he said.
Although Texas allows exceptions under the ban, doctors and women have argued that the requirements are so vaguely worded that physicians still won't risk providing abortions, lest they end up facing criminal charges or lawsuits.
State officials had asked Gamble to deny the request, arguing that Cox has not shown her life is in imminent danger and that she is therefore unable to qualify for an exception to the ban.
The decision was handed down just two days after Cox filed the lawsuit.
Cox learned she was pregnant for a third time in August and was told weeks later that her baby was at a high risk for a condition known as trisomy 18, which has a very high likelihood of miscarriage or stillbirth and low survival rates, according to the lawsuit.
The termination of pregnancies because of fetal anomalies or other often-fatal medical problems is seldom discussed in national debates over abortion. There are no recent statistics on the frequency of terminations for fetal anomalies in the U.S. but experts say it's a small percentage of total procedures.
The lawsuit was filed a week after the Texas Supreme Court heard arguments about whether the ban is too restrictive for women with pregnancy complications. That case is among the biggest ongoing challenges to abortion bans in the U.S., although a ruling from the all-Republican court may not come for months.
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Editorial: More mental health resources, collaboration are vital
The job of police officers in enforcing laws and keeping the peace is daunting enough without the added burden of being mental health professionals.
Yet that is far too often a role police have to play.
That point was driven home Wednesday during a town hall hosted by The Kentucky Judicial Commission at Sloan Convention Center. It was the final of nine sessions across the state.
Commission members have traveled Kentucky for town halls to gather input on how to improve how the state\u2019s justice system addresses people with challenges involving mental illness, substance use and intellectual or developmental disabilities.
\u201cWe\u2019ve learned much from the citizens of Kentucky about what our needs are and what our strengths are,\u201d said Kentucky Supreme Court Deputy Chief Justice Debra Hembree Lambert, who chairs the mental health commission. \u201cThis has been a very powerful journey.\u201d
One of the many important issues discussed was the scenario where police, called to a scene, often encounter individuals suffering a mental health crisis that is not necessarily a crime.
Melanie Watts, director of community engagement for LifeSkills and a former Bowling Green Police Department officer, said that city police have crisis intervention training that helps officers de-escalate such a situation.
\u201cPolice do not need to be involved with the mentally ill at all times,\u201d Watts said. \u201cThe police have been put in a situation they did not ask to be put in ... .\u201d
The solutions to that problem, and the many others discussed Wednesday, are not simple, but it\u2019s clear more resources and more collaboration between those in our judicial system and mental health providers are good first steps.
We applaud The Kentucky Judicial Commission for putting a spotlight on these issues, and encourage our legislators to support and fund appropriate initiatives to address these often neglected issues.
___
Ashland Daily Independent. December 2, 2023.
Editorial: Proud of student\u2019s courage
The accident could have been worse, but in the heat of the moment, nobody knew. That\u2019s why a young man who jumped in to help deserves recognition, and he got that recognition at the Boyd County School Board meeting this week.
The school system\u2019s transportation manager, Amy Conley, wrote a letter, which was read at the meeting, commending Boyd County High School sophomore and Navy JROTC Cadet Joshua Summers for helping during a bus accident on Nov. 10.
First, Summers checked on the driver, and then assisted the driver in recording student names, seat numbers and dates of birth, all the while helping keep his fellow students remain calm and organized and offering assistance any way he could.
Summers made the staff and faculty in Boyd County proud, showing courage and leadership.
Summers is a shining example of those traits. The community should be proud, too. His acts inspire continued faith in the upcoming generations.
END
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(AP) \u2014 The killing of a Connecticut nurse making a house call in October was a nightmare come true for an industry gripped by the fear of violence.
Already stressed out by staffing shortages and mounting caseloads, heath care workers are increasingly worrying about the possibility of a patient becoming violent \u2013 a scenario that is too common and on the rise nationwide.
Joyce Grayson, a 63-year-old mother of six, went into a halfway house for sex offenders in late October, to give medication to a man with a violent past. She didn't make it out alive.
Police found her body in the basement and have named her patient as the main suspect in her killing.
Grayson\u2019s death has her peers and lawmakers renewing their yearslong pleas for better protections for home health care workers, including sending them out with escorts and providing more information about their patients. The calls come during an era of increasing violence against medical professionals in general.
\u201cI used to go into some pretty bad neighborhoods,\" said Tracy Wodatch, a visiting nurse and chief executive of the Connecticut Association of Healthcare at Home. She said she used to call the police and get an officer to escort her when she felt unsafe. But, because of budget and staffing issues, this is no longer an option, she said.
Grayson, who had been a nurse for over 36 years including the last 10 as a visiting nurse, was found dead Oct. 28 in the Willimantic halfway house. She didn\u2019t return from a visit to patient Michael Reese, a convicted rapist. No charges have been filed in the killing yet.
\u201cIt\u2019s all nurses are thinking about right now, even the hospital nurses because they\u2019ve had so many close calls,\u201d said Connecticut state Sen. Martha Marx, a visiting nurse and New London Democrat who is calling for changes in both state and federal laws.
Marx said she was once sent to a home and didn\u2019t find out until she talked to clients there that it was a residence for sex offenders. Often, if a nurse asks for a chaperone, the agency will simply reassign the work to another employee who won\u2019t \u201cmake waves,\u201d she said.
Grayson's death came about 11 months after another visiting nurse, Douglas Brant, was shot to death during a home visit in Spokane, Washington \u2014 a killing that also drew calls for safety reforms, including federal standards on preventing workplace violence.
While killings are rare, nursing industry groups say non-fatal violence against health care workers is not. From 2011 to 2018, the rate of non-fatal violence against health care workers increased more than 60%, according to the latest analysis by the federal Bureau of Labor Statistics.
In fact, the number of non-fatal injuries from workplace violence involving health care workers has been higher than that of other industries for years, according to the bureau.
In a survey released in late 2022 by the National Nurses United, the largest union of registered nurses in the U.S., 41% of hospital nurses reported an increase in recent workplace violence incidents, up from 30% in September 2021.
\u201cI knew a home health aide who got punched in the stomach,\u201d said Ha Do Byon, a former visiting nurse and now a nursing professor at the University of Virginia, who has been studying violence against home health care workers. \u201cMany more nurses got bitten, kicked, or slapped by their patients or family members in the patients\u2019 homes. Some were attacked by vicious dogs or were called names or sworn at. Notably, the majority of these workers were female.\u201d
Byon said specific statistics on visiting nurses has been lacking and he has been working on improving the data.
\u201cThere\u2019s no way home health workers should be sent into somebody\u2019s home or apartment by themselves,\u201d said U.S. Rep. Joe Courtney, a Democrat who represents the congressional district where Grayson was killed. \u201cYou have to have systems and tools to reduce the risk.\"
Courtney has been pushing legislation since 2019 that would set up federal regulations requiring health care and social service employers to develop and implement comprehensive workplace violence prevention plans. While several states require such prevention plans, there is no federal law, industry groups say.
He says the problem highlighted by Grayson\u2019s case is not just about safety, but also about attracting and retaining health care workers, many of whom feel the job is just too dangerous.
\u201cIt\u2019s honestly a huge factor in terms of the burnout that employers are so concerned about, \u201d Courtney said.
Marx wants to see laws requiring security escorts for nurses in some cases, and for police to provide caregivers regularly updated lists of addresses where violent crime has occurred. She also said patients\u2019 charts should be flagged to alert nurses about past incidents of violence, if they\u2019re registered sex offenders and other information.
Grayson was a nurse for the Connecticut Department of Mental Health and Addiction Services for 26 years before serving as a visiting nurse for over a decade, according to her family. She also was a beloved foster parent, taking in nearly three dozen children and being honored with the state's Foster Parent of the Year award in 2017.
What exactly Grayson knew about Reese and the halfway house in Willimantic is one of many unanswered questions in the case.
Her employer, Elara Caring, said Grayson had Reese\u2019s medical file before she went there, but it declined to say what information was in the file, citing medical privacy laws.
Elara, which provides home care for more than 60,000 patients in 17 states, says it is reviewing its safety protocols and talking to employees about what more is needed. Scott Powers, chairman and chief executive, said company workers were shocked and grieving over Grayson\u2019s death.
The company said it had safeguards in place when Grayson was killed. This includes working with states to ensure patients, including ex-cons, are deemed safe by state officials to be cared for in the community and training for employees to prepare them for such clients. It declined to go into deeper details about its security protocols, citing the investigation into Grayson's death.
Police still haven't said how Grayson died, and the medical examiner's office said autopsy results remain pending. Willimantic's police chief, Paul Hussey, called the killing one of the worst cases he has seen in his 27 years in law enforcement.
Reese, who was on probation after serving more than 14 years in prison for stabbing and sexually assaulting a woman in 2006 in New Haven, was taken into police custody while leaving the halfway house on the day Grayson was killed. He was released from prison in late 2020 and was sent back to detention two times for violating probation, state records show.
Authorities said he had some of Grayson's belongings, including credit cards, and was charged with violating probation, larceny and using drug paraphernalia. He is detained on $1 million bail. A public defender listed in court records as representing Reese did not return emails seeking comment.
Grayson\u2019s family is devastated and is seeking answers to an array of questions, including if there were failures of oversight by the state Department of Correction, state probation officials and the company that runs the halfway house. They also want to know whether Elara Caring adequately protected her, according to their lawyer, Kelly Reardon, who said a lawsuit is planned.
\u201cThey were extremely concerned that it was preventable,\u201d Reardon said. \u201cThey certainly felt from the get-go that there were failings in the system that led to this and they want that to be investigated.\u201d
____
Collins reported from Hartford, Connecticut.
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The document provides detailed information on the incident, the reactions from peers and lawmakers, and the broader context of violence in the healthcare industry, making it highly relevant to the topic of health." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2023/12/07/c7f3dddbe88ec40d70448743fd479b30.json b/datasets/AP_news/raw_data/2023/12/07/c7f3dddbe88ec40d70448743fd479b30.json new file mode 100644 index 0000000..17d0668 --- /dev/null +++ b/datasets/AP_news/raw_data/2023/12/07/c7f3dddbe88ec40d70448743fd479b30.json @@ -0,0 +1,274 @@ +{ + "altids": { + "itemid": "c7f3dddbe88ec40d70448743fd479b30", + "etag": "c7f3dddbe88ec40d70448743fd479b30_3a11aza0c0", + "friendlykey": "563791321686", + "referenceid": "US-MED--Chronic Fatigue Syndrome" + }, + "version": 3, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2023-12-08T19:59:23Z", + "firstcreated": "2023-12-07T21:50:46Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: EDITS: Changes headline. With AP Photos. AP Audio.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "US-MED--Chronic Fatigue Syndrome", + "headline": "Chronic fatigue syndrome is not rare, says new CDC survey. It affects 3.3 million U.S. adults", + "headline_extended": "Health officials are releasing the first nationally representative estimate of how many U.S. adults have chronic fatigue syndrome: 3.3 million", + "slugline": "AP-US-MED--Chronic Fatigue Syndrome, 3rd Ld-Writethru", + "description_summary": "Health officials are releasing the first nationally representative estimate of how many U.S. adults have chronic fatigue syndrome: 3.3 million. The Centers for Disease Control and Prevention\u2019s number is larger than previous studies have suggested. It is likely boosted by some of the patients with long COVID. Chronic fatigue is characterized by at least six months of severe exhaustion not helped by bed rest. There is no cure, and no blood test or scan to enable a quick diagnosis. Doctors have not been able to pin down a cause. Research suggests it is a body\u2019s prolonged overreaction to an infection.", + "bylines": [ + { + "by": "By MIKE STOBBE", + "title": "AP Medical Writer" + } + ], + "located": "NEW YORK", + "datelinelocation": { + "city": "New York", + "countryareacode": "NY", + "countryareaname": "New York", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -74.00597, + 40.71427 + ] + } + }, + "copyrightnotice": "Copyright 2023 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. For other uses, additional clearances may be required." + ], + "keywords": [ + "Chronic fatigue syndrome long COVID CDC" + ], + "provider": "AP", + "infosource": [ + { + "name": "AP", + "type": "AP" + } + ], + "subject": [ + { + "rels": [ + "category" + ], + "creator": "Editorial", + "code": "l", + "name": "l" + }, + { + "rels": [ + "category" + ], + "creator": "Editorial", + "code": "a", + "name": "a" + }, + { + "rels": [ + "category" + ], + "creator": "Editorial", + "code": "n", + "name": "n" + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "084d61987f00100481c1f571351eed07", + "name": "Chronic fatigue syndrome", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 80 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "cc7a76087e4e10048482df092526b43e", + "name": "Health", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 95 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "b17e2751b26d4523a2c99d79e04747ee", + "name": "COVID-19 pandemic", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 57 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "3e37e4b87df7100483d5df092526b43e", + "name": "Lifestyle", + "creator": "Editorial", + "editorial_subject": "Lifestyle", + "rels": [ + "direct" + ], + "relevance": 75 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "cc7a76087e4e10048482df092526b43e", + "name": "Health", + "creator": "Editorial", + "editorial_subject": "Health", + "rels": [ + "direct" + ], + "relevance": 99 + } + ], + "place": [ + { + "scheme": "http://cv.ap.org/id/", + "code": "c65ddb4882c71004890fdf092526b43e", + "name": "Salt Lake City", + "creator": "Machine", + "rels": [ + "direct" + ], + "parentids": [ + "c1dff44882c710048903df092526b43e" + ], + "locationtype": { + "code": "9d26a20b35f0484a891740f8189d4c7b", + "name": "City" + }, + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -111.89105, + 40.76078 + ] + }, + "relevance": 31, + "parentnames": [ + "Utah" + ] + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "b58f18a082c6100487fbdf092526b43e", + "name": "New York", + "creator": "Machine", + "rels": [ + "direct" + ], + "parentids": [ + "661e48387d5b10048291c076b8e3055c" + ], + "locationtype": { + "code": "0ae5eb8e00e04295a4fc209c94bfe6ef", + "name": "State" + }, + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -75.4999, + 43.00035 + ] + }, + "relevance": 44, + "parentnames": [ + "United States" + ] + } + ], + "audiences": [ + { + "code": "82c6a4c46fa0446090a7acaf93159e4c", + "name": "Print", + "type": "AUDPLATFORM" + }, + { + "code": "9add4649b53b4702ba7d9de5d4fa607a", + "name": "Online", + "type": "AUDPLATFORM" + }, + { + "code": "f43adc08760d10048040e6e7a0f4673e", + "name": "National", + "type": "AUDSCOPE" + }, + { + "code": "f4ecf9b0760d10048044e6e7a0f4673e", + "name": "International", + "type": "AUDSCOPE" + }, + { + "code": "f5b16ea8760d10048047e6e7a0f4673e", + "name": "State", + "type": "AUDSCOPE" + }, + { + "code": "661850e07d5b100481f5c076b8e3055c", + "name": "Latin America and Caribbean", + "type": "AUDGEOGRAPHY" + }, + { + "code": "c1dff44882c710048903df092526b43e", + "name": "Utah", + "type": "AUDGEOGRAPHY" + }, + { + "code": "661e48387d5b10048291c076b8e3055c", + "name": "United States", + "type": "AUDGEOGRAPHY" + } + ], + "associations": { + "1": { + "altids": { + "itemid": "e9b2ca495c5948f28ee2b7923921a4ce" + }, + "type": "picture" + }, + "2": { + "altids": { + "itemid": "42e2a33438b44d89b7d1b0478cd336ae" + }, + "type": "audio" + }, + "3": { + "altids": { + "itemid": "1205f22a17a049809243021687b17f6b" + }, + "type": "audio" + } + }, + "body_nitf": "NEW YORK (AP) \u2014 Health officials on Friday released the first nationally representative estimate of how many U.S. adults have chronic fatigue syndrome: 3.3 million.
The Centers for Disease Control and Prevention's number is larger than previous studies have suggested, and is likely boosted by some of the patients with long COVID. The condition clearly \"is not a rare illness,\u201d said the CDC's Dr. Elizabeth Unger, one of the report's co-authors.
Chronic fatigue is characterized by at least six months of severe exhaustion not helped by bed rest. Patients also report pain, brain fog and other symptoms that can get worse after exercise, work or other activity. There is no cure, and no blood test or scan to enable a quick diagnosis.
Doctors have not been able to pin down a cause, although research suggests it is a body's prolonged overreaction to an infection or other jolt to the immune system.
The condition rose to prominence nearly 40 years ago, when clusters of cases were reported in Incline Village, Nevada, and Lyndonville, New York. Some doctors dismissed it as psychosomatic and called it \u201cyuppie flu.\u201d
Some physicians still hold that opinion, experts and patients say.
Doctors \"called me a hypochondriac and said it was just anxiety and depression,\u201d said Hannah Powell, a 26-year-old Utah woman who went undiagnosed for five years.
The new CDC report is based on a survey of 57,000 U.S. adults in 2021 and 2022. Participants were asked if a doctor or other health-care professional had ever told them they had myalgic encephalomyelitis or chronic fatigue syndrome, and whether they still have it. About 1.3% said yes to both questions.
That translated to about 3.3 million U.S. adults, CDC officials said.
Among the other findings: The syndrome was more common in women than men, and in white people compared with some other racial and ethnic groups. Those findings are consistent with earlier, smaller studies.
However, the findings also contradicted long-held perceptions that chronic fatigue syndrome is a rich white woman's disease.
There was less of a gap between women and men than some previous studies suggested, and there was hardly any difference between white and Black people. The study also found that a higher percentage of poor people said they had it than affluent people.
Those misperceptions may stem from the fact that patients who are diagnosed and treated \u201ctraditionally tend to have a little more access to health care, and maybe are a little more believed when they say they're fatigued and continue to be fatigued and can't go to work,\u201d said Dr. Brayden Yellman, a specialist at the Bateman Horne Center in Salt Lake City, Utah.
The report relied on patients\u2019 memories, without verifying their diagnoses through medical records.
That could lead to some overcounting, but experts believe only a fraction of the people with chronic fatigue syndrome are diagnosed, said Dr. Daniel Clauw, director of the University of Michigan\u2019s Chronic Pain and Fatigue Research Center.
\u201cIt\u2019s never, in the U.S., become a clinically popular diagnosis to give because there\u2019s no drugs approved for it. There\u2019s no treatment guidelines for it,\u201d Clauw said
The tally likely includes some patients with long COVID who were suffering from prolonged exhaustion, CDC officials said.
Long COVID is broadly defined as chronic health problems weeks, months or years after an acute COVID-19 infection. Symptoms vary, but a subset of patients have the same problems seen in people with chronic fatigue syndrome.
\u201cWe think it's the same illness,\" Yellman said. But long COVID is more widely accepted by doctors, and is being diagnosed much more quickly, he said.
Powell, one of Yellman's patients, was a high school athlete who came down with an illness during a trip to Belize before senior year. Doctors thought it was malaria, and she seemed to recover. But she developed a persistent exhaustion, had trouble sleeping and had recurrent vomiting. She gradually had to stop playing sports, and had trouble doing schoolwork, she said.
After five years, she was diagnosed with chronic fatigue and began to achieve some stability through regular infusions of fluids and medications. She graduated from the University of Utah and now works for an organization that helps domestic violence victims.
Getting care is still a struggle, she said.
\u201cWhen I go to the ER or to another doctor\u2019s visit, instead of saying I have chronic fatigue syndrome, I usually say I have long COVID,\u201d Powell said. \u201cAnd I am believed almost immediately.\u201d
___
The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute\u2019s Science and Educational Media Group. The AP is solely responsible for all content.
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Corrects name of product in Kentucky case, Total Comfort, based on updated information from FDA.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "US-MED--Infant-Formula Infection", + "headline": "Two babies infected with dangerous bacteria sometimes found in powdered infant formula", + "headline_extended": "A Kentucky child is dead and a Missouri infant has brain damage from the same kind of bacteria that sparked powdered formula recalls and shortages last year", + "slugline": "BC-US-MED-Infant-Formula-Infection, 2nd Ld-Writethru", + "description_summary": "A Kentucky child is dead and a Missouri infant has brain damage from the same kind of bacteria that sparked powdered formula recalls and shortages last year. The Food and Drug Administration confirms that two cases of severe infections have been reported this year, both in infants who consumed formula made by Abbott Nutrition. 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LOUIS (AP) \u2014 The dangerous bacteria that sparked powdered formula recalls and shortages last year has infected two babies this year, killing a Kentucky child and causing brain damage in a Missouri infant.
Federal health officials confirmed Thursday that two cases of invasive infections caused by cronobacter sakazakii have been reported in 2023, both in infants who consumed powdered infant formula made by Abbott Nutrition, the company at the center of the 2022 crisis.
Food and Drug Administration officials said there was no evidence that the infections were linked to manufacturing and no reason to issue new recalls. The bacteria are found naturally in the environment and also can make their way into infant formula after the packaging is opened.
\u201cThere is no indication of a broader public health concern related to this product at this time,\u201d the FDA said in a statement.
Kentucky health officials notified the Centers for Disease Control and Prevention on Nov. 15 that a child who consumed Similac Total Comfort powdered formula died after being infected with cronobacter sakazakii.
In Missouri, 6-week-old Mira White, of Sikeston, was diagnosed in early March with a brain infection caused by the bacteria, which was detected in an open container of Similac NeoSure formula in her home.
The same type of bacteria led federal investigators to shut down an Abbott formula plant in Sturgis, Michigan, last year when inspections sparked by four infant illnesses, including two deaths, showed widespread contamination in the plant.
Since falling ill, Mira has suffered nearly constant seizures and inconsolable bouts of crying, said her 33-year-old mother, Asian Davis. Brain scans showed neurological damage and missing tissue caused by the infection.
\u201cIt affected her brain real bad,\u201d Davis said. \u201cShe\u2019ll grow, but it will be a slow progress.\u201d
FDA investigators said they \u201cdid not identify a causal link\u201d between Mira's infection and the Casa Grande, Arizona, factory that made the formula marketed for premature babies. Abbott officials said they found no cronobacter in batches of formula at the plant. The bacteria also weren't found in unopened cans of Similac NeoSure formula from Mira\u2019s home.
In Kentucky, the FDA said it \u201chas not found evidence\u201d of contamination after a Nov. 21 inspection at an Abbott plant. Officials did not identify the child or the location of the plant.
Abbott officials said there is no evidence that conditions at the company\u2019s manufacturing plants or contamination in sealed products caused the illnesses.
Frank Yiannas, a former FDA official in charge of food safety response, cautioned that a negative test does not guarantee there's no contamination.
\u201cA positive test result means a lot. A negative test result doesn't mean anything,\" he said.
Food safety advocates say the tragic cases underscore the overlooked risk of powdered formula, particularly for babies born prematurely, as Mira was. And it highlights the need for better education for parents and caregivers about how to prepare and use the crucial food.
Many people don't understand that powdered infant formula isn't sterile, said Mitzi Baum, chief executive of the nonprofit group STOP Foodborne Illness.
The powder itself can harbor potentially dangerous germs \u2014 and it is easily contaminated by sources in the home. Cronobacter sakazakii bacteria are common in soil and surface water, as well as dry foods.
Very young babies and those born prematurely are vulnerable to illnesses caused by the germ because their immune systems aren\u2019t developed enough to fight it off.
Earlier this year, the CDC warned parents to wash their hands and to sterilize equipment and the environment before feeding newborns. The warning followed the 2022 death of a baby from a cronobacter sakazakii infection tied to a contaminated breast pump.
The CDC typically receives two to four reports per year of invasive disease caused by cronobacter, though officials believe that's an undercount. Starting Jan. 1, the agency will begin formally tracking illnesses from the germ. Powdered infant formula is the most common cause of cronobacter infections in babies, the agency said.
Asian Davis said she had never heard of cronobacter sakazakii before Mira got sick.
The girl was hospitalized for weeks after her premature birth in January, but was developing normally when she went home in February. In March, within days of feeding Mira the formula, Davis noticed a difference.
\u201cShe stopped eating and sucking,\u201d Davis recalled. \u201cThat mother instinct came in and I said, \u2018Something\u2019s wrong with my baby.\u2019\u201d
After a battery of tests, doctors diagnosed Mira with bacterial meningitis caused by cronobacter sakazakii found in her spinal fluid and blood.
On Monday, lawyers representing Davis and her daughter moved to sue Abbott, claiming the company sold a defective product and that it should have warned parents of premature babies that powdered formula can cause serious disease. Officials at the Illinois court where the lawsuit was sent said civil claims can take days to process and that the case was not yet in its system.
The pending lawsuit also includes the family of a second child \u2014 Ryker Brown, of DeKalb, Illinois \u2014 who developed bacterial meningitis and brain damage in 2021 caused by a cronobacter infection after consuming Similac NeoSure formula. It's not clear how he became infected.
The Abbott plant in Michigan is still being monitored under a legal agreement with the FDA.
The agency, which came under fire for a slow response to previous cronobacter illnesses, warned three other U.S. formula makers in August to step up efforts to prevent contamination at manufacturing plants.
Davis, a single mother with four older children, has been unable to work at her job as a certified nursing assistant because of Mira\u2019s severe needs. She said she joined the lawsuit to raise awareness about the dangers of the rare bacteria \u2014 and to provide financially for Mira\u2019s future care.
\u201cShe will need surgeries, she might need a wheelchair,\u201d Davis said. \u201cShe might need that stuff for the rest of her life.\u201d
___
The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute\u2019s Science and Educational Media Group. The AP is solely responsible for all content.
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administration is putting pharmaceutical companies on notice, warning them that if the price of certain drugs is too high, the government might cancel their patent protection and allow rivals to make their own versions.
Under a plan announced Thursday, the government would consider overriding the patent for high-priced drugs that have been developed with the help of taxpayer money and letting competitors make them in hopes of driving down the cost.
In a 15-second video released to YouTube on Wednesday night, President Joe Biden promised the move would lower prices.
\u201cToday, we're taking a very important step toward ending price gouging so you don't have to pay more for the medicine you need,\u201d he said.
White House officials would not name drugs that might potentially be targeted. The government would consider seizing a patent if a drug is only available to a \u201cnarrow set of consumers,\u201d according to the proposal that will be open to public comment for 60 days. Drugmakers are almost certain to challenge the plan in court if it is enacted.
It's the latest health policy pitch from a White House gearing up to make its efforts to tackle drug prices a central theme in next year\u2019s reelection campaign. With health care costs in mind, the administration also sent a warning Thursday to private equity firms that have been buying up and gutting hospitals and physician practices around the country, then selling for a profit.
Already, Biden has spent months boasting about the $35 cap on insulin for Medicare enrollees that he signed into law last year and a plan for government officials, for the first time, to negotiate some drug prices paid by Medicare.
Washington has never made such an aggressive move against the patents of drugs, a step called \u201cmarch-in rights.\u201d Federal agencies can do so if the federal government has invested money in the research or development of the product.
Pharmaceutical companies have long relied on government research to develop drugs, with the most recent major breakthrough being the COVID-19 vaccines and treatments. U.S. taxpayers spent billions on the effort and were able, until recently, to access treatments and preventions for the virus without paying out-of-pocket for them.
While only a minority of drugs on the market relied so heavily on taxpayer dollars, the threat of a government \u201cmarch-in\u201d on patents will make many pharmaceutical companies think twice, said Jing Luo, a professor of medicine at University of Pittsburgh.
\u201cIf I was a drug company that was trying to license a product that had benefited heavily from taxpayer money, I'd be very careful about how to price that product,\u201d Luo said. \u201cI wouldn't want anyone to take my product away from me.\u201d
The pharmaceutical lobby immediately pushed back on Biden's announcement, arguing the White House's interpretation of the law is inaccurate and their plan will stifle drug research and development.
\u201cThis would be yet another loss for American patients who rely on public-private sector collaboration to advance new treatments and cures,\u201d said Megan Van Etten, a spokesperson for the Pharmaceutical Research and Manufacturers of America, or PhRMA.
Debate has for years swirled around how the government might employ \u201cmarch-in rights,\" with a few Democratic lawmakers, including Sens. Elizabeth Warren of Massachusetts and Amy Klobuchar of Minnesota, lobbying the Health and Human Services Department to seize the patents of certain pricey drugs. Most recently, the National Institutes of Health refused to do so with the prostate cancer drug Xtandi.
\"Americans should not have to pay excessive prices for medications while drug companies make huge profits, especially when those medicines were developed with the help of taxpayer dollars,\u201d Klobuchar said in a statement.
The proposal raises a reasonable question, said William Pierce, a former HHS official during President George W. Bush's administration: \u201cWhat reward should there before the taxpayer who help fund this product?\u201d
The White House also intends to focus more closely on private equity firms that purchase hospitals and health systems, then often whittle them down and sell quickly for a profit. The departments of Justice and Health and Human Services, and the Federal Trade Commission will work to share more data about health system ownership.
\u201cEverything from fertility care to primary care to nursing homes \u2014 running the gamut from cradle to grave \u2014 there's no segment in health care where we don't see private equity,\" said Yashaswini Singh, a health care economics professor at Brown University in Providence, Rhode Island \u201cA lot of this have gone largely unreported and undisclosed to the antitrust authorities.\u201d
", + "textformat": "bx", + "links": [ + { + "href": "https://apnews.com/article/biden-drug-prices-patents-2024-campaign-f92da4ee89814d3ab89a909399bf4c85", + "rel": "canonical" + } + ], + "topics": { + "Health": { + "relevance_score": 5, + "reason": "The document discusses a significant health policy initiative by the Biden administration aimed at reducing the cost of high-priced drugs developed with taxpayer dollars. It covers the potential use of 'march-in rights' to override patents, the impact on pharmaceutical companies, and the broader implications for drug pricing and healthcare costs. These topics are directly related to health, making the document highly relevant to the topic." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2023/12/07/ffcac001535361421a74c0d5c80ebc38.json b/datasets/AP_news/raw_data/2023/12/07/ffcac001535361421a74c0d5c80ebc38.json new file mode 100644 index 0000000..c7ab17d --- /dev/null +++ b/datasets/AP_news/raw_data/2023/12/07/ffcac001535361421a74c0d5c80ebc38.json @@ -0,0 +1,172 @@ +{ + "altids": { + "itemid": "ffcac001535361421a74c0d5c80ebc38", + "etag": "ffcac001535361421a74c0d5c80ebc38_0a4aza0c0", + "friendlykey": "722385393721", + "referenceid": "US-MED--Cantaloupe-Salmonella" + }, + "version": 0, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2023-12-07T23:19:18Z", + "firstcreated": "2023-12-07T23:19:18Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: With AP Photos.", + "signals": [ + "newscontent" + ], + "title": "US-MED--Cantaloupe-Salmonella", + "headline": "Deaths from tainted cantaloupe increase to 3 in U.S. and 5 in Canada", + "headline_extended": "A salmonella outbreak tied to tainted cantaloupe has now killed eight people _ three in the U.S. and five in Canada", + "slugline": "AP-US-MED--Cantaloupe-Salmonella", + "description_summary": "A salmonella outbreak tied to tainted cantaloupe has now killed eight people _ three in the U.S. and five in Canada. Health officials in both countries also reported dozens of new illnesses on Thursday. In the U.S., at least 230 people are sick and 96 have been hospitalized since mid-November. Many of those who fell ill reported eating pre-cut cantaloupe sold in clamshell packages and trays. Salmonella can cause serious illness in young children, people older than 65 and those with conditions that weaken their immune systems.", + "bylines": [ + { + "by": "By JONEL ALECCIA", + "title": "AP Health Writer" + } + ], + "copyrightnotice": "Copyright 2023 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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Dozens more illnesses were reported by both countries. In the U.S., at least 230 people have been ill in 38 states and 96 have been hospitalized since mid-November, according to the Centers for Disease Control and Prevention.
The tainted cantaloupe was also shipped to Canada, where 129 cases have been reported, including 44 hospitalizations, health officials reported.
Many of the people who fell ill reported eating pre-cut cantaloupe in clamshell packages and trays sold in stores. Consumers should not buy, eat or serve cantaloupe, if they don't know the source, the CDC said.
New recalls of whole and pre-cut fruit have been added to a growing list, the U.S. Food and Drug Administration said. Last week, Cut Fruit Express initiated a recall of cantaloupe chunks and fruit mixes containing cantaloupe. On Tuesday, TGD Cuts, LLC launched a recall of specific fresh fruit cup, clamshell and tray products that contained cantaloupe from the company TruFresh.
Health officials are still working to determine whether additional products are linked to the illnesses.
Salmonella can cause serious illness in young children, people older than 65 and those with weakened immune systems.
___
The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute\u2019s Science and Educational Media Group. The AP is solely responsible for all content.
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A letter sent Thursday by a congressional committee calls attention to \u201cthe extreme proliferation of illicit vaping products.\u201d The letter cites Associated Press reporting on how thousands of new disposable e-cigarettes have hit the U.S. market in recent years. Elf Bar, the most popular brand among underage teens, remains widely available despite efforts by the Food and Drug Administration to block its importation. The bipartisan committee urges the FDA and the Department of Justice to cooperate in bringing lawsuits against companies illegally shipping vapes into the U.S.", + "bylines": [ + { + "by": "By MATTHEW PERRONE", + "title": "AP Health Writer" + } + ], + "located": "WASHINGTON", + "datelinelocation": { + "city": "Washington", + "countryareacode": "DC", + "countryareaname": "District of Columbia", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -77.03637, + 38.89511 + ] + } + }, + "copyrightnotice": "Copyright 2023 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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Members of a new congressional committee on U.S.-China relations sent the request Thursday to Justice Department and Food and Drug Administration leaders, calling attention to \u201cthe extreme proliferation of illicit vaping products.\u201d
The letter cites Associated Press reporting on how thousands of new disposable e-cigarettes have hit the market in recent years, mostly manufactured in China and sold in flavors like watermelon and gummy bear.
The FDA has declared all such products illegal. Companies seeking to sell e-cigarettes in the U.S. are required to first seek permission from the FDA, though many of the products imported from China have skipped that step. The agency has only authorized a tiny handful of tobacco-flavored vapes for adult smokers.
In May, the agency called on customs officials to block imports of Elf Bar, a small, colorful vaping device that is the No. 1 choice among teenagers.
The AP has reported that the company behind Elf Bar has been able to evade the ban by simply renaming its products, which remain widely available in convenience stores and vape shops.
\u201cWe ask you to work with the Customs and Border Protection to address this urgent problem with all due speed,\u201d states the bipartisan letter from 12 members of the committee, including Chairman Rep. Mike Gallagher, R-Wis., and ranking Democrat Raja Krishnamoorthi of Illinois.
The special committee was established early this year with the goal of countering Chinese policies that can damage the U.S. economy. Tensions between the two countries have been rising for years, with both China and the U.S. enacting retaliatory measures on imports.
The committee\u2019s inquiry comes amid an improving picture for teen vaping. Last month, an annual government survey showed the percentage of high school students using e-cigarettes fell to 10% from 14% in 2022.
Still, more than 2.1 million students continue to vape. More than half say they use Elf Bar, double the rate of any other brand.
The FDA\u2019s tobacco center has recently stepped up actions against stores selling illegal e-cigarettes following a blistering assessment of the agency's track record earlier this year. Among other steps, the FDA-commissioned report called on regulators to work more closely with other federal agencies to clear the market of unauthorized e-cigarettes.
FDA leaders have pointed out that they rely on the Justice Department to prosecute cases against vaping companies identified by tobacco regulators. But in many instances, prosecutors may decide against filing charges for various reasons.
In their letter, lawmakers specifically ask the head of the Justice Department's consumer protection branch whether he \u201chas sufficient resources or expertise to litigate vapor-related referrals from FDA.\u201d
Lawmakers are seeking answers to more than a half-dozen questions by Jan. 15.
___
Follow Matthew Perrone on X: @AP_FDAwriter
___
The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute\u2019s Science and Educational Media Group. The AP is solely responsible for all content.
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(AP) \u2014 A pregnant woman in Kentucky filed a lawsuit Friday demanding the right to an abortion, the second legal challenge in days to sweeping abortion bans that have taken hold in more than a dozen U.S. states since Roe v. Wade was overturned last year.
The suit, filed in state court in Louisville, says Kentucky's near-total prohibition of abortion violates the plaintiff's rights to privacy and self-determination under the state constitution.
The plaintiff, identified as Jane Doe, is about eight weeks pregnant and she wants to have an abortion in Kentucky but cannot legally do so because of the state's ban, the suit said. She is seeking class-action status to include other Kentuckians who are or will become pregnant and want to have an abortion.
\u201cI am a proud Kentuckian and I love the life my family and I have here, but I\u2019m angry that now that I\u2019m pregnant and do not want to be,\u201d the plaintiff said in a statement released by the American Civil Liberties Union, one of the groups backing her challenge. \u201cThe government is interfering in my private matters and blocking me from having an abortion. This is my decision, not the government or any other person\u2019s.\"
Republican state Attorney General Daniel Cameron's office said it was reviewing the suit but offered no other comments. Cameron's office has defended the state's anti-abortion laws in other court proceedings.
The latest legal challenge was denounced as \u201cmeritless\u201d by The Family Foundation, a conservative group staunchly opposed to abortion. Its executive director, David Walls, called it \u201cabsolutely absurd\u201d for abortion rights groups to say Kentucky's constitution \u201csomehow secretly contains a hidden right to terminate the life and stop the beating heart of an unborn human being.\u201d
The filing in Kentucky comes a day after a judge in Texas gave a pregnant woman whose fetus has a fatal diagnosis permission to get an abortion. The temporary restraining order issued Thursday stops Texas from enforcing the state\u2019s ban on the woman, who is 20 weeks pregnant, and lasts for 14 days. Her attorneys afterward spoke cautiously about any wider impacts, and Texas Attorney General Ken Paxton insisted that the order would not insulate any medical practitioners from any civil or criminal liability.
Paxton appealed the ruling to the Texas Supreme Court on Friday, urging justices to act swiftly.
Cox's attorneys have said they will not disclose her plans, citing safety concerns.
Unlike the case in Texas, little is known about the Kentucky plaintiff or her pregnancy. Legal challenges currently taking place across the country have largely highlighted the stories from women who were denied abortions while facing harrowing pregnancy complications.
But in Kentucky, the plaintiff's attorneys insisted they would fiercely protect their client's privacy, stressing that Jane Doe believes \u201ceveryone should have the right to make decisions privately and make decisions for their own families,\u201d said Amber Duke, executive director for the ACLU of Kentucky.
Earlier this year, Kentucky's Supreme Court refused to halt the state's near-total abortion ban and another outlawing abortion after the sixth week of pregnancy. The justices focused on narrow legal issues but didn\u2019t resolve larger constitutional questions about whether access to abortion should be legal in the Bluegrass State.
The ACLU, Planned Parenthood and other activists say they've been searching for a plaintiff ever since that February ruling. The suit filed Friday marks the launch of their new assault against the state's abortion bans.
\u201cThese bans have harmed countless Kentuckians since going into effect last year, and we are relieved to be back in court to try to restore abortion access in Kentucky,\u201d Brigitte Amiri, deputy director of the ACLU Reproductive Freedom Project, said in the news release.
The lawsuit says Kentucky woman are suffering \u201cmedical, constitutional and irreparable harm\u201d by being denied the right to obtain an abortion.
\u201cAbortion is a critical component of reproductive healthcare and crucial to the ability of Kentuckians to control their lives,\u201d the suit says.
\u201cWhether to take on the health risks and responsibilities of pregnancy and parenting is a personal and consequential decision that must be left to the individual to determine for herself without governmental interference,\u201d it added.
Kentucky voters last year rejected a ballot measure that would have denied any constitutional protections for abortion, but abortion rights supporters have made no inroads in the Republican-controlled Legislature in chipping away at the state's anti-abortion laws.
The legal challenge revolves around Kentucky\u2019s near-total trigger law ban and a separate six-week ban \u2014 both passed by Republican legislative majorities. The trigger law was passed in 2019 and took effect when Roe v. Wade was overturned in 2022. It bans abortions except when they\u2019re carried out to save the life of the patient or to prevent disabling injury. It does not include exceptions for cases of rape or incest.
___
Kruesi reported from Nashville, Tennessee. Associated Press reporter Paul J. Weber in Austin, Texas contributed to this report.
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Therefore, it is somewhat relevant to the topic of health but not highly focused on it." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2023/12/08/18678c34ca19e66876faf7dcbdab86f5.json b/datasets/AP_news/raw_data/2023/12/08/18678c34ca19e66876faf7dcbdab86f5.json new file mode 100644 index 0000000..c669a5a --- /dev/null +++ b/datasets/AP_news/raw_data/2023/12/08/18678c34ca19e66876faf7dcbdab86f5.json @@ -0,0 +1,251 @@ +{ + "altids": { + "itemid": "18678c34ca19e66876faf7dcbdab86f5", + "etag": "18678c34ca19e66876faf7dcbdab86f5_3a22aza0c0", + "friendlykey": "51859316737", + "referenceid": "US--Census-Defining Disabilities" + }, + "version": 3, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2023-12-08T17:31:34Z", + "firstcreated": "2023-12-08T05:11:06Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: Updates with Census Bureau officials conferring this week with disability advocates twice.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "US--Census-Defining Disabilities", + "headline": "The Census Bureau wants to change how it asks about disabilities. Some advocates don't like it", + "headline_extended": "The U.S. Census Bureau wants to change how it asks people about disabilities, and some advocates don't like where things are heading", + "slugline": "AP-US--Census-Defining Disabilities, 3rd Ld-Writethru", + "description_summary": "The U.S. Census Bureau wants to change how it asks people about disabilities, and some advocates don't like where things are heading. The advocates say the proposed changes will artificially reduce their numbers by almost half, even as more people are living with new conditions from the COVID-19 pandemic. Census Bureau officials say the revised approach on its most comprehensive survey of U.S. life will conform to international standards. Bureau officials say disabilities occur across a continuum rather than as a stark choice. But advocates say they weren't consulted enough on the changes. If given final approval, the changes to the American Community Survey questions would be implemented in 2025.", + "bylines": [ + { + "by": "By MIKE SCHNEIDER", + "title": "Associated Press" + } + ], + "copyrightnotice": "Copyright 2023 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. For other uses, additional clearances may be required." + ], + "keywords": [ + "disability census covid19 survey count backlash" + ], + "provider": "AP", + "infosource": [ + { + "name": "AP", + "type": "AP" + } + ], + "subject": [ + { + "rels": [ + "category" + ], + "creator": "Editorial", + "code": "l", + "name": "l" + }, + { + "rels": [ + "category" + ], + "creator": "Editorial", + "code": "a", + "name": "a" + }, + { + "rels": [ + "category" + ], + "creator": "Editorial", + "code": "n", + "name": "n" + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "35c3e4b4097447a2bb0d91833d539e06", + "name": "Pandemics", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 53 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "2214d0c884fc1004844291f43387513e", + "name": "Vision impairment and blindness", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 36 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "cc7a76087e4e10048482df092526b43e", + "name": "Health", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 67 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "b17e2751b26d4523a2c99d79e04747ee", + "name": "COVID-19 pandemic", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 77 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "4b198e46e14e41b9967c67077be56ac9", + "name": "Language", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 36 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "cc7a76087e4e10048482df092526b43e", + "name": "Health", + "creator": "Editorial", + "editorial_subject": "Health", + "rels": [ + "direct" + ], + "relevance": 75 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "abfca78268874726966cdad8c35c4ae3", + "name": "Washington news", + "creator": "Editorial", + "editorial_subject": "Washington news", + "rels": [ + "direct" + ], + "relevance": 75 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "f25af2d07e4e100484f5df092526b43e", + "name": "General news", + "creator": "Editorial", + "editorial_subject": "General news", + "rels": [ + "direct" + ], + "relevance": 50 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "3e37e4b87df7100483d5df092526b43e", + "name": "Lifestyle", + "creator": "Editorial", + "editorial_subject": "Lifestyle", + "rels": [ + "direct" + ], + "relevance": 75 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "a4677d70863b4012b846a1b00f5079f5", + "name": "U.S. news", + "creator": "Editorial", + "editorial_subject": "U.S. news", + "rels": [ + "direct" + ], + "relevance": 99 + } + ], + "audiences": [ + { + "code": "82c6a4c46fa0446090a7acaf93159e4c", + "name": "Print", + "type": "AUDPLATFORM" + }, + { + "code": "9add4649b53b4702ba7d9de5d4fa607a", + "name": "Online", + "type": "AUDPLATFORM" + }, + { + "code": "f43adc08760d10048040e6e7a0f4673e", + "name": "National", + "type": "AUDSCOPE" + }, + { + "code": "f5b16ea8760d10048047e6e7a0f4673e", + "name": "State", + "type": "AUDSCOPE" + }, + { + "code": "b0fa317082b3100484dbdf092526b43e", + "name": "Maryland", + "type": "AUDGEOGRAPHY" + }, + { + "code": "b58f18a082c6100487fbdf092526b43e", + "name": "New York", + "type": "AUDGEOGRAPHY" + }, + { + "code": "661e48387d5b10048291c076b8e3055c", + "name": "United States", + "type": "AUDGEOGRAPHY" + } + ], + "associations": { + "1": { + "altids": { + "itemid": "e86d62b311fd4e9c9a568ad9535513b6" + }, + "type": "picture" + }, + "2": { + "altids": { + "itemid": "f5588062ca514628a2246584df128307" + }, + "type": "picture" + }, + "3": { + "altids": { + "itemid": "32c0d78934f5481a974f631b00caf421" + }, + "type": "picture" + } + }, + "body_nitf": "The U.S. Census Bureau wants to change how it asks people about disabilities, and some advocates are complaining that they were not consulted enough on what amounts to a major overhaul in how disabilities would be defined by the federal government.
Disability advocates say the change would artificially reduce their numbers by almost half. At stake are not only whether people with disabilities get vital resources for housing, schools or program benefits but whether people with disabilities are counted accurately in the first place, experts said.
Some also question the timing of the change, which comes just as more people are living with new, long-term conditions from the COVID-19 pandemic.
Census Bureau officials say the proposed change on its most comprehensive survey of American life will align the U.S. with international standards, allowing comparisons among countries. They also say it will better capture how disabilities occur in the real world, since they rarely fit neatly into stark yes-or-no boxes that don't account for variations or nuance.
The bureau has spent time, money and energy trying to improve counts of racial and ethnic minorities who have been historically undercounted, but the statistical agency seems willing to adapt questions that will shortchange the numbers of people with disabilities, said Scott Landes, an associate professor of sociology at Syracuse University.
\u201cThis, in my mind, is illogical,\u201d Landes, who is visually impaired, said in an interview. \u201cThere is a piece of me that thinks, 'How dare you \u2014 to think that we don't count.' I get offended.\"
If given final approval, the changes to the American Community Survey questions would be implemented in 2025. The ACS is the most comprehensive survey of American life, covering commuting times, internet access, family life, income, education levels, disabilities and military service, among other topics. The statistical agency was asked to make the change by the National Center for Health Statistics and is accepting public comment on the proposal through Dec. 19.
The existing questions ask respondents to answer \u201cyes\u201d or \u201cno\u201d if they have difficulty or \u201cserious difficulty\u201d seeing, even with glasses, or are blind; hearing, or are deaf; concentrating, remembering or making decisions because of a physical, mental or emotional condition; walking or climbing stairs; dressing or bathing; or performing everyday tasks because of a physical, mental or emotional condition. If the answer is ''yes,\" they are counted as having a disability.
Under the proposed change, respondents would be allowed to answer most of the same questions with four choices: \u201cno difficulty,\u201d \u201csome difficulty,\u201d \u201ca lot of difficulty\u201d and \u201ccannot do at all.\u201d There are tweaks to the language of the questions, and the proposal adds a query on whether respondents have trouble communicating.
But the most significant change involves the threshold beyond which people are determined to have a disability. The international standards being considered by the Census Bureau typically define a person as having a disability if they answer \u201ccannot do at all\u201d or \u201ca lot of difficulty\u201d for any task or function.
During testing last year by the Census Bureau, the percentage of respondents who were defined as having a disability went from 13.9% using the current questions to 8.1% under the international standards. When the definition was expanded to also include \u201csome difficulty,\u201d it grew to 31.7%.
Marlene Sallo said her degenerative spine condition presents difficulties on some days, but overall she is able to function on a daily basis, so she worries that she might not be considered as having a disability with the revised questions.
\u201cRight now, it\u2019s not inclusive and it will miss many individuals within my community,\u201d Sallo, executive director of the National Disability Rights Network, said last month at a meeting of a Census Bureau advisory committee, of which she is a member.
Officials at the Census Bureau and the health statistics agency argue that the change will give officials better information and details about disabilities that can inform how services or resources are provided. Census Bureau officials had two conference calls with disability advocates on the subject this week.
\u201cForcing a dichotomy masks nuance,\u201d Julie Weeks, an official at the National Center for Health Statistics, said during a presentation last month.
The terminology surrounding disabilities has evolved in recent years, moving away from labels that imply inferiority and toward more sensitive language that outlines the specific conditions or circumstances in which individuals or groups live. The Associated Press defers whenever possible to the wishes of people or groups in how they choose to be described but uses neutral language that withholds judgment about a person\u2019s condition.
Disability advocates said the international standards were formulated without their input. Last month, the Census Bureau's National Advisory Committee recommended that the statistical agency not adopt the change until it meets further with disability advocates and researchers.
While the proposal may be better for scientific research, the questions, if approved, will be adapted with the needs of agencies and not people with disabilities in mind, Andrew Houtenville, research director at the Institute on Disability at the University of New Hampshire, told members of the National Advisory Committee at last month\u2019s meeting.
\u201cThis has taken a lot of people by surprise,\u201d Houtenville said.
Some experts believe the current questions don't adequately account for people with mental health problems, developmental disabilities or chronic health conditions, like those faced by many people living with long COVID. But they say the proposed change isn't the answer.
\u201cDisability is an evolving concept, and there is a new kind of disability we didn\u2019t have five years ago, Long COVID, and we need to be able to account for that and other changes,\u201d said Susan Popkin, co-director of the Disability Equity Policy Initiative at the Urban Institute, who has a chronic autoimmune condition.
The proposed change is grating to some advocates since it is occurring at a time when disability has grown to be an identity and a social movement, rather than just a function-based definition of someone's limitations. For instance, a person with limited hearing may be able to function fully with the help of hearing aids but can still identify as having a disability.
\u201cYou can be proud of your disability and still not want the pain and symptoms of the conditions that lead to that disability. That is part of a shift in disability as a demographic group,\u201d said Bonnielin Swenor, director of the Johns Hopkins Disability Health Research Center, who has low vision.
\u201cThere is a shift of view in disability pride and claiming disability identity as part of who we are ... not as a deficit,\" Swenor said.
___
Follow Mike Schneider on X, formerly known as Twitter: @MikeSchneiderAP.
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These aspects are directly related to health, making the document highly relevant to the topic." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2023/12/08/7b0a328bb34b0acb3d37e359a63712fc.json b/datasets/AP_news/raw_data/2023/12/08/7b0a328bb34b0acb3d37e359a63712fc.json new file mode 100644 index 0000000..9cf0401 --- /dev/null +++ b/datasets/AP_news/raw_data/2023/12/08/7b0a328bb34b0acb3d37e359a63712fc.json @@ -0,0 +1,344 @@ +{ + "altids": { + "itemid": "7b0a328bb34b0acb3d37e359a63712fc", + "etag": "7b0a328bb34b0acb3d37e359a63712fc_1a12aza0c0", + "friendlykey": "516247988847", + "referenceid": "US-MED--Abortion Delays" + }, + "version": 1, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2023-12-09T15:37:43Z", + "firstcreated": "2023-12-08T20:05:55Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: With AP Photos. This story updates the headline.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "US-MED--Abortion Delays", + "headline": "It's taking longer to schedule abortions in the US. Doctors fear riskier, more complex procedures", + "headline_extended": "Obstacles to obtaining an abortion are more common since the U.S. Supreme Court overturned Roe v. Wade in June 2022", + "slugline": "BC-US-MED--Abortion Delays, 1st Ld-Writethru", + "description_summary": "Obstacles to obtaining an abortion are more common since the U.S. Supreme Court overturned Roe v. Wade in June 2022. Doctors and researchers say it's causing delays that can lead to abortions that are more complex, costly and in some cases riskier. About half of U.S. states either ban or restrict access to abortion, meaning many clinics don\u2019t offer the procedure. That has increased demand for appointments at the remaining providers. A periodic survey spearheaded by a Middlebury College economics professor and provided to The Associated Press shows that various points since Roe, waits in several states stretched for two or three weeks.", + "bylines": [ + { + "by": "By LAURA UNGAR", + "title": "AP Science Writer" + } + ], + "copyrightnotice": "Copyright 2023 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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"016c4a8a259940f28eea9378b1f95410" + }, + "type": "picture" + }, + "3": { + "altids": { + "itemid": "eedce52f6a934b9fa3513fe471e7e1c5" + }, + "type": "picture" + }, + "4": { + "altids": { + "itemid": "2e33026afc8e4ec0a6e4e1e8215275b7" + }, + "type": "picture" + } + }, + "body_nitf": "A woman whose fetus was unlikely to survive called more than a dozen abortion clinics before finding one that would take her, only to be put on weekslong waiting lists. A teen waited seven weeks for an abortion because it took her mother that long to get her an appointment. Others seeking the procedure faced waits because they struggled to travel hundreds of miles for care.
Such obstacles have grown more common since Roe v. Wade was overturned in June 2022, doctors and researchers say, causing delays that can lead to abortions that are more complex, costly and in some cases riskier \u2014 especially as pregnancies get further along.
About half of U.S. states now have laws that ban or restrict access to abortion. Because of that, many clinics don't offer the procedure, which has increased demand for appointments at the remaining providers.
At various points since Roe, waits in several states stretched for two or three weeks, and some clinics had no available appointments, according to results of a periodic survey spearheaded by Middlebury College economics professor Caitlin Myers and recently provided to The Associated Press. Doctors and researchers say even as wait times have lessened, people still encounter other challenges, like planning and paying for travel, taking time off work and finding child care.
\u201cAll of those things can contribute to delays, and then it kind of becomes like this vicious circle,\u201d said Dr. Daniel Grossman, an OB-GYN at the University of California, San Francisco, who co-authored a research report earlier this year that compiled anecdotes from health care providers after Roe was overturned.
People may miss the window for medication abortions, which are not generally offered past 10 to 11 weeks gestation. A dwindling number of clinics provide abortions as people move through the second trimester, which begins at 13 or 14 weeks. Costs for the procedure change, too, from up to $800 in the first trimester to $2,000 or more in the second trimester.
\u201cWhile abortion is safe at all points in pregnancy,\u201d with an overall complication rate of 2%, it \u201cdoes get more complicated as the pregnancy continues,\u201d said Dr. Colleen McNicholas, chief medical officer at Planned Parenthood of the St. Louis Region. \u201cIt does carry additional risks.\u201d
At least 66 clinics in 15 states stopped providing abortions in the 100 days after Roe was overturned, according to an analysis last year by the Guttmacher Institute, a research group that supports abortion rights.
The necessity for people to travel out of state is at the root of abortion delays.
Clinics run by Planned Parenthood of the Rocky Mountains, which operates in Colorado, New Mexico and southern Nevada, saw out-of-state patients more than double after Roe. And Planned Parenthood of the St. Louis Region's health center in Fairview Heights, Illinois, saw a 715% increase in patients from outside of Illinois or Missouri in the year after Roe.
\u201cWe know that abortion bans have caused a ripple effect and increased wait times even in states where access is protected,\u201d McNicholas said.
The ongoing Myers Abortion Appointment Availability Survey called more than 700 facilities across the United States. Its latest survey, conducted in September, found that 11 states had median appointment wait times of more than five business days and four states had waits of at least eight business days, not counting weekends or holidays. The longest wait was in Iowa: 12 business days.
A year earlier, the survey found Iowa had a median wait of 13 business days, and six other states had waits between 12 and 15 business days.
Planned Parenthood of the Rocky Mountains told the AP that wait times peaked at 28 days shortly after the U.S. Supreme Court decision, though it later fell. Before June 2022, waits in the region's Planned Parenthood clinics averaged 17 days, reflecting restrictions in Texas that were put into place in 2021.
In the report from Grossman\u2019s team, a health care worker described how it took one mom seven weeks to get an appointment for her pregnant teen, who was about 17 weeks along by then. Another patient described in the report was also that far along by the time she got an abortion after struggling for six weeks to find an appointment. She drove 10 hours to a different state for care.
The latest statistics from the U.S. Centers for Disease Control and Prevention are from 2021 and show that about 7% of abortions took place at 14 weeks or later.
While there\u2019s no way to know definitively whether delays have pushed more abortions into the second trimester, several providers said they\u2019ve seen the number rise in their own clinics. The St. Louis region's Planned Parenthood, for instance, tracked a 35% increase in the number of patients getting abortions at 14 weeks or later at the Southern Illinois health center in the year after the Supreme Court decision.
Dr. Rebecca Cohen, an OB-GYN at a hospital-affiliated clinic in Colorado, said her team has cared for an increasing number of patients seeking abortions later in pregnancy, some of whom \u201chave experienced several weeks of delays\" trying to find care.
Jillaine St.Michel struggled to find somewhere to have an abortion late last year after learning that her 20-week fetus had multiple genetic and developmental problems and probably wouldn\u2019t survive. She lives in Idaho, which has a ban on abortions, so St.Michel and her husband called about 15 out-of-state clinics, finally getting on a three-week waiting list in Denver and a two-week waiting list in Seattle.
St.Michel, 37, said she worried about passing abortion time limits: Colorado allows abortion at all stages of pregnancy, while Washington state allows the procedure up to viability, the point a fetus may survive outside the womb. Some babies can survive with medical help at 22 or 23 weeks.
A chance cancellation opened up a spot in Seattle four days after she called to get on the list. Still, she said, \u201cwe absolutely felt the time crunch.\"
Clinics have taken numerous steps to reduce waits, such as adding more telehealth appointments for medication abortions, staying open longer and adding more staff. That's generally brought appointment wait times down and also helped people obtain other types of reproductive care at the clinics in a timely fashion.
\u201cIf someone\u2019s sexually active and they don\u2019t want to become pregnant, we want to get them on birth control,\u201d said Adrienne Mansanares, president and CEO of Planned Parenthood of the Rocky Mountains. \u201cIf they are experiencing symptoms of a sexually transmitted infection \u2026 we want to get them treated.\u201d
But streamlining appointments is only part of the answer to reducing abortion delays, providers said. Individual issues like child care problems, canceled flights and financial concerns can be tough to overcome \u2014 even when clinics try to help by connecting patients to abortion funds, for instance.
This is especially difficult as travel distances grow longer. Research by Myers and colleagues found the average driving distance to the nearest clinic rose substantially in some states after Roe. From March 2022 to September 2023, it shot up from 34 to 160 miles in Alabama and from 43 to 499 miles in Texas.
The clinic where St.Michel, a chiropractor, had an abortion is about 500 miles from her home. She and her husband quickly came up with about $4,000 for airplane tickets, a rental car, three nights of lodging and the procedure, since the clinic was out of network for her insurance. The couple decided not to turn to an abortion fund because they thought others needed it more, instead taking it out of their savings.
Hoping to help other families, she joined a lawsuit filed by the Center for Reproductive Rights, an organization of lawyers and advocates that supports abortion rights. The suit asks state courts in Idaho and Tennessee to place holds on abortion laws.
\u201cI personally can't imagine that most people would be able to make this work,\u201d said St.Michel, who is pregnant again. \u201cThis is not how we should have to seek health care.\u201d
___
The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute\u2019s Science and Educational Media Group and the Robert Wood Johnson Foundation. The AP is solely responsible for all content.
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Marines and health inspection authorities seized 4,681 boxes of medications. The pills may have been offered for sale without proper safeguards, may have been faked or may contain fentanyl. The Health Department said tests are being conducted on the merchandise. It represented one of the first times Mexican authorities have acknowledged what researchers pointed out almost a year ago: that Mexican pharmacies were offering controlled medications like Oxycodone, Xanax or Adderall, but the pills were often fentanyl-laced fakes.", + "located": "MEXICO CITY", + "datelinelocation": { + "city": "Mexico City", + "countrycode": "MEX", + "countryname": "Mexico", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -99.12766, + 19.42847 + ] + } + }, + "copyrightnotice": "Copyright 2023 The Associated Press. All rights reserved. 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Marines and health inspection authorities seized 4,681 boxes of medications that may have been offered for sale without proper safeguards, may have been faked and may contain fentanyl.
\u201cThis measure was taken due to the irregular sales of medications contaminated with fentanyl, which represents a serious public health risk,\u201d the Navy said in a press statement.
Mexico's health authorities are conducting tests on the seized merchandise. Ensenada is located about 60 miles (100 kms) south of the border city of Tijuana.
The announcement represents one of the first times Mexican authorities have acknowledged what U.S. researchers pointed out almost a year ago: that Mexican pharmacies were offering controlled medications like Oxycodone, Xanax or Adderall, but the pills were often fentanyl-laced fakes.
Authorities inspected a total of 53 pharmacies, and found the suspected fakes in 31 of them. They slapped temporary suspension signs on the doors of those businesses.
Sales of the pills are apparently aimed at tourists.
In August, Mexico shuttered 23 pharmacies at Caribbean coast resorts after authorities inspected 55 drug stores in a four-day raid that targeted establishments in Cancun, Playa del Carmen and Tulum.
The Navy said the pharmacies usually offered the pills only to tourists, advertised them and even offered home-delivery services for them.
The Navy did not say whether the pills seized in August contained fentanyl, but said it found outdated medications and some for which there was no record of the supplier, as well as blank or unsigned prescription forms.
In March, the U.S. State Department issued a travel warning about sales of such pills, and the practice appears to be widespread.
In February, the University of California, Los Angeles, announced that researchers there had found that 68% of the 40 Mexican pharmacies visited in four northern Mexico cities sold Oxycodone, Xanax or Adderall, and that 27% of those pharmacies were selling fake pills.
UCLA said the study, published in January, found that \u201cbrick and mortar pharmacies in Northern Mexican tourist towns are selling counterfeit pills containing fentanyl, heroin, and methamphetamine. These pills are sold mainly to U.S. tourists, and are often passed off as controlled substances such as Oxycodone, Percocet, and Adderall.\u201d
\u201cThese counterfeit pills represent a serious overdose risk to buyers who think they are getting a known quantity of a weaker drug,\u201d Chelsea Shover, assistant professor-in-residence of medicine at the David Geffen School of Medicine at UCLA, said in February.
The U.S. State Department travel warning in March said the counterfeit pills being sold at pharmacies in Mexico \u201cmay contain deadly doses of fentanyl.\u201d
Fentanyl is a synthetic opioid far more powerful than morphine, and it has been blamed for about 70,000 overdose deaths per year in the United States. Mexican cartels produce it from precursor chemicals smuggled in from China, and then often press it into pills designed to look like other medications.
____
Follow AP\u2019s coverage of Latin America and the Caribbean at https://apnews.com/hub/latin-america
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One is the first to use the editing tool CRISPR", + "headline_extended": "U.S. regulators have approved two gene therapies for sickle cell disease", + "slugline": "BC-US-MED--Gene Therapy-Sickle Cell, 4th Ld-Writethru", + "description_summary": "U.S. regulators have approved two gene therapies for sickle cell disease. Doctors hope the treatments can cure the painful inherited blood disorder that afflicts mostly Black people in the U.S. One treatment is the first based on CRISPR, the gene editing tool that won its inventors the Nobel Prize in 2020. The Food and Drug Administration approved the gene therapies on Friday, the agency's first for sickle cell disease. While doctors say these one-time treatments are promising, they point out there are still unknowns. For example, they don't know about possible long-term effects of the treatments.", + "bylines": [ + { + "by": "By LAURA UNGAR", + "title": "AP Science Writer" + } + ], + "copyrightnotice": "Copyright 2023 The Associated Press. 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The Food and Drug Administration said the one-time treatments can be used for patients 12 and older with severe forms of the disease. One, made by Vertex Pharmaceuticals and CRISPR Therapeutics, is the first approved therapy based on CRISPR, the gene editing tool that won its inventors the Nobel Prize in 2020. The other is made by Bluebird Bio and works differently.
\u201cSickle cell disease is a rare, debilitating and life-threatening blood disorder with significant unmet need,\" the FDA's Dr. Nicole Verdun said in a statement announcing the approvals. \u201cWe are excited to advance the field especially for individuals whose lives have been severely disrupted by the disease.\"
The two gene therapies are the first approved in the U.S. for sickle cell. The FDA has previously OK'd 15 gene therapies for other conditions. Some have list prices in the millions of dollars, and the sickle cell therapies will too.
In the U.S., an estimated 100,000 people have sickle cell and about a fifth of them have the severe form. Sickle cell is most common among Black people and 1 in 365 Black babies are born with the disease nationally. Scientists believe being a carrier of the sickle cell trait helps protect against severe malaria, so the disease occurs more often in mosquito-prone regions such as Africa or in people whose ancestors lived in those places.
The disease affects hemoglobin, the protein in red blood cells that carries oxygen. A genetic mutation causes the cells to become sickle or crescent-shaped, which can block blood flow, causing excruciating pain, organ damage, stroke and other problems.
Current treatments include medications and blood transfusions. The only permanent solution is a bone marrow transplant, which must come from a closely matched donor and brings a risk of rejection.
No donor is required for the gene therapies, which permanently change DNA in the patient\u2019s blood cells. The goal of the Vertex therapy, called Casgevy, is to help the body go back to producing a fetal form of hemoglobin that\u2019s present at birth \u2014 it\u2019s the adult form that\u2019s defective in people with sickle cell disease. CRISPR is used to knock out a gene in stem cells collected from the patient.
Bluebird\u2019s treatment, called Lyfgenia, aims to add copies of a modified gene, which helps red blood cells produce \u201canti-sickling\u201d hemoglobin that prevents or reverses misshapen cells.
When patients get the treatments, stem cells are removed from their blood and sent to a lab. Before getting the altered cells back, they must undergo chemotherapy. The process requires at least two hospitalizations, one lasting four to six weeks.
Still, many patients say they\u2019d consider gene therapy given the seriousness of the disease.
Jalen Matthews of Louisville, Kentucky, was diagnosed with sickle cell at birth and had her first pain episode at age 9. Three years later, the disease led to a spinal cord stroke that left her with some paralysis in her left arm and leg.
\u201cI had to learn how to walk again, feed myself, clothe myself, basically learn how to do everything all over again,\u201d said Matthews, now 26.
Today, she keeps her sickle cell at bay with transfusions every two months or so, with five units of her blood replaced with healthy cells. She said gene therapy could be a better option and she plans to ask her doctor about it.
\u201cThis one-time kind of cure is very much needed,\u201d said Matthews.
The FDA\u2019s approval is the first for Bluebird\u2019s treatment; Vertex has been previously authorized in Britain and Bahrain.
Studies testing the therapies suggest they work well. Of 31 people treated in the pivotal Vertex study with sufficient follow-up, 29 were free of pain crises for at least a year. In the Bluebird study, 28 of 32 patients had no severe pain or organ damage between six and 18 months after the therapy.
But doctors point out there are possible side effects and the long-term outcomes are unknown. For both, the necessary chemotherapy comes with risks such as infertility, hair loss and vulnerability to serious infection.
With the Bluebird therapy, blood cancer has occurred, so the FDA said the label will include a \u201cblack box warning\u201d about that risk. With the Vertex therapy, some scientists worry that CRISPR brings the possibility of \u201coff-target effects,\u201d which are unexpected changes to a person\u2019s genome.
\u201cIt\u2019s important to be cautious and to be optimistic about this therapy, but also know that there\u2019s still not a ton of experience with it,\u201d said Dr. Benjamin Watkins, director of the pediatric stem cell and cell therapy program at Children\u2019s Hospital New Orleans.
Doctors said they don\u2019t expect every medical center to offer the gene therapies because they require so much equipment and coordination between medical specialists. They also don\u2019t expect lots of people to seek them right away. Watkins said some may want to wait until more people get the treatments.
Experts also warned that cost could be a hurdle. The list price for Bluebird Bio is $3.1 million and for Vertex, $2.2 million. What patients might pay will depend on insurance coverage and other factors. To help cover the cost, the U.S. Centers for Medicare and Medicaid Services announced a plan that aims to establish partnerships with state Medicaid agencies and drug companies.
But eventually, gene therapy \u201ccould be transformative and really change the landscape of sickle cell disease,\u201d said Dr. Monica Bhatia, who treats children with the disease at NewYork-Presbyterian.
Matthews, who volunteers with The Sickle Cell Association of Kentuckiana, said she\u2019s hopeful the treatments will have a big impact.
\u201cIt\u2019s a blessing,\u201d she said. \u201cIt will really benefit all of us in the sickle cell community.\"
____
The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute\u2019s Science and Educational Media Group. The AP is solely responsible for all content.
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It also includes expert opinions and patient testimonials, which are pertinent to understanding the health-related aspects of the topic." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2023/12/08/9d3f7fe81d401e5d181247dc21dd8113.json b/datasets/AP_news/raw_data/2023/12/08/9d3f7fe81d401e5d181247dc21dd8113.json new file mode 100644 index 0000000..537b6ed --- /dev/null +++ b/datasets/AP_news/raw_data/2023/12/08/9d3f7fe81d401e5d181247dc21dd8113.json @@ -0,0 +1,249 @@ +{ + "altids": { + "itemid": "9d3f7fe81d401e5d181247dc21dd8113", + "etag": "9d3f7fe81d401e5d181247dc21dd8113_1a6aza0c0", + "friendlykey": "233040475739", + "referenceid": "US--Hospital Worker Attack" + }, + "version": 1, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2023-12-08T18:06:21Z", + "firstcreated": "2023-12-08T17:18:33Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: to reflect attempt to reach accused.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "US--Hospital Worker Attack", + "headline": "2 nurses, medical resident injured in attack at New Jersey hospital, authorities say", + "headline_extended": "Authorities in New Jersey say two nurses and a medical resident were stabbed inside a pediatric intensive care unit", + "slugline": "BC-US--Hospital Worker Attack, 1st Ld-Writethru", + "description_summary": "Authorities in New Jersey say two nurses and a medical resident were stabbed inside a pediatric intensive care unit. The hospital workers suffered cuts and are in stable condition. A woman has been arrested and charged in the violence, which unfolded as a domestic dispute involving two visitors to the unit at about 7 a.m. Friday at Newark Beth Israel Hospital. Authorities say 37-year-old Firdousi Abdul-Hakim faces charges of aggravated assault, unlawful possession of a weapon and possession of a weapon for unlawful purposes.", + "located": "NEWARK N.J.", + "datelinelocation": { + "city": "John J Delaney Homes", + "countryareaname": "New Jersey", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -74.28126, + 40.53399 + ] + } + }, + "copyrightnotice": "Copyright 2023 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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(AP) \u2014 Two nurses and a medical resident were stabbed Friday inside a New Jersey pediatric intensive care unit, suffering cuts, and a woman has been arrested and charged in the attack, authorities said.
It unfolded about 7 a.m. Friday at Newark Beth Israel Hospital in Newark, New Jersey, arising from a \u201cdomestic dispute\u201d involving two visitors to the hospital\u2019s pediatric intensive care unit, according to a statement posted on social media by the hospital.
Firdousi Abdul-Hakim, 37, then attacked the hospital workers, who are in stable condition, according to Fritz Frag\u00e9, Newark's public safety director. Abdul-Hakim faces aggravated assault, unlawful possession of a weapon and possession of a weapon for unlawful purposes charges.
Abdul-Hakim was arrested immediately, and no patients or family members were injured, the hospital said.
A message left at a possible phone number for the suspect was not immediately returned, while other numbers were no longer working.
The injured nurses and the medical resident were not identified.
The 655-bed facility is a teaching hospital with more than 800 doctors and 3,200 employees and dates to 1901.
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Therefore, while it is somewhat relevant to health due to the setting and the individuals involved, it is not highly relevant to the broader topic of health." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2023/12/08/c1613b363249dfd6fe87c672ab332ad0.json b/datasets/AP_news/raw_data/2023/12/08/c1613b363249dfd6fe87c672ab332ad0.json new file mode 100644 index 0000000..b66687a --- /dev/null +++ b/datasets/AP_news/raw_data/2023/12/08/c1613b363249dfd6fe87c672ab332ad0.json @@ -0,0 +1,334 @@ +{ + "altids": { + "itemid": "c1613b363249dfd6fe87c672ab332ad0", + "etag": "c1613b363249dfd6fe87c672ab332ad0_0a38aza0c0", + "friendlykey": "197124971991", + "referenceid": "US-MED--Abortion Delays-ABRIDGED" + }, + "version": 0, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2023-12-09T14:00:08Z", + "firstcreated": "2023-12-08T20:06:43Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: With AP Photos.", + "signals": [ + "newscontent" + ], + "title": "US-MED--Abortion Delays-ABRIDGED", + "headline": "Abortion delays have grown more common in the US since Roe v. Wade was overturned", + "headline_extended": "Obstacles to obtaining an abortion are more common since the U.S. Supreme Court overturned Roe v. Wade in June 2022", + "slugline": "BC-US-MED--Abortion Delays-ABRIDGED", + "description_summary": "Obstacles to obtaining an abortion are more common since the U.S. Supreme Court overturned Roe v. Wade in June 2022. Doctors and researchers say it\u2019s causing delays that can lead to abortions that are more complex, costly and in some cases riskier. About half of U.S. states either ban or restrict access to abortion, meaning many clinics don\u2019t offer the procedure. That has increased demand for appointments at the remaining providers. A periodic survey spearheaded by a Middlebury College economics professor and provided to The Associated Press shows that various points since Roe, waits in several states stretched for two or three weeks.", + "bylines": [ + { + "by": "By LAURA UNGAR", + "title": "AP Science Writer" + } + ], + "copyrightnotice": "Copyright 2023 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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"016c4a8a259940f28eea9378b1f95410" + }, + "type": "picture" + }, + "2": { + "altids": { + "itemid": "eedce52f6a934b9fa3513fe471e7e1c5" + }, + "type": "picture" + } + }, + "body_nitf": "A woman whose fetus was unlikely to survive called more than a dozen abortion clinics before finding one that would take her, only to be put on weekslong waiting lists. A teen waited seven weeks for an abortion because it took her mother that long to get her an appointment. Others seeking the procedure faced waits because they struggled to travel hundreds of miles for care.
Such obstacles have grown more common since Roe v. Wade was overturned in June 2022, doctors and researchers say, causing delays that can lead to abortions that are more complex, costly and in some cases riskier \u2014 especially as pregnancies get further along.
About half of U.S. states now have laws that ban or restrict access to abortion. Because of that, many clinics don\u2019t offer the procedure, which has increased demand for appointments at the remaining providers.
At various points since Roe, waits in several states stretched for two or three weeks, and some clinics had no available appointments, according to results of a periodic survey spearheaded by Middlebury College economics professor Caitlin Myers and recently provided to The Associated Press. Doctors and researchers say even as wait times have lessened, people still encounter other challenges, like planning and paying for travel, taking time off work and finding child care.
\u201cAll of those things can contribute to delays, and then it kind of becomes like this vicious circle,\u201d said Dr. Daniel Grossman, an OB-GYN at the University of California, San Francisco, who co-authored a research report earlier this year that compiled anecdotes from health care providers after Roe was overturned.
People may miss the window for medication abortions, which are not generally offered past 10 to 11 weeks gestation. A dwindling number of clinics provide abortions as people move through the second trimester, which begins at 13 or 14 weeks. Costs for the procedure change, too, from up to $800 in the first trimester to $2,000 or more in the second trimester.
\u201cWhile abortion is safe at all points in pregnancy,\u201d with an overall complication rate of 2%, it \u201cdoes get more complicated as the pregnancy continues,\u201d said Dr. Colleen McNicholas, chief medical officer at Planned Parenthood of the St. Louis Region.
At least 66 clinics in 15 states stopped providing abortions in the 100 days after Roe was overturned, according to an analysis last year by the Guttmacher Institute, a research group that supports abortion rights.
The necessity for people to travel out of state is at the root of abortion delays. Planned Parenthood of the St. Louis Region\u2019s health center in Fairview Heights, Illinois, saw a 715% increase in patients from outside of Illinois or Missouri in the year after Roe.
The ongoing Myers Abortion Appointment Availability Survey called more than 700 facilities across the United States. Its latest survey, conducted in September, found that 11 states had median appointment wait times of more than five business days and four states had waits of at least eight business days, not counting weekends or holidays. The longest wait was in Iowa: 12 business days.
A year earlier, seven states had waits between 12 and 15 business days. In the report from Grossman\u2019s team, a health care worker described how it took one mom seven weeks to get an appointment for her pregnant teen, who was about 17 weeks along by then.
The latest statistics from the U.S. Centers for Disease Control and Prevention are from 2021 and show that about 7% of abortions took place at 14 weeks or later.
While there\u2019s no way to know definitively whether delays have pushed more abortions into the second trimester, several providers said they\u2019ve seen the number rise in their own clinics. The St. Louis region\u2019s Planned Parenthood, for instance, tracked a 35% increase in the number of patients getting abortions at 14 weeks or later at the southern Illinois health center in the year after the Supreme Court decision.
Jillaine St.Michel struggled to find somewhere to have an abortion late last year after learning that her 20-week fetus had multiple genetic and developmental problems and probably wouldn\u2019t survive. She lives in Idaho, which has a ban on abortions, so St.Michel and her husband called about 15 out-of-state clinics, finally getting on a three-week waiting list in Denver and a two-week waiting list in Seattle.
St.Michel, 37, said she worried about passing an abortion time limit: Washington state allows the procedure up to viability, the point a fetus may survive outside the womb. Some babies can survive with medical help at 22 or 23 weeks.
A chance cancellation opened up a spot in Seattle four days after she called to get on the list.
Clinics have taken numerous steps to reduce waits, such as adding more telehealth appointments for medication abortions, staying open longer and adding more staff. That\u2019s generally brought appointment wait times down.
But streamlining appointments is only part of the answer to reducing abortion delays, providers said. Individual issues like child care problems, canceled flights and financial concerns can be tough to overcome.
This is especially difficult as travel distances grow longer. Research by Myers and colleagues found the average driving distance to the nearest clinic rose substantially in some states after Roe. From March 2022 to September 2023, it shot up from 34 to 160 miles in Alabama, for example. The clinic where St.Michel, a chiropractor, had an abortion is about 500 miles from her home.
Hoping to help other families, St. Michel joined a lawsuit filed by the Center for Reproductive Rights, an organization of lawyers and advocates that supports abortion rights. The suit asks state courts in Idaho and Tennessee to place holds on abortion laws.
\u201cI personally can\u2019t imagine that most people would be able to make this work,\u201d said St.Michel, who is pregnant again. \u201cThis is not how we should have to seek health care.\u201d
___
The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute\u2019s Science and Educational Media Group and the Robert Wood Johnson Foundation. The AP is solely responsible for all content.
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The claim was filed Thursday on behalf of the family of Deputy Arturo Atilano-Valdez, who shot himself at home on Nov. 7, leaving behind his wife and two daughters. The claim says Atilano-Valdez spent the last 12 years assigned to jails despite requests to be transferred. A similar claim was filed last month in the case of a deputy who was killed by a gunman in September. That claim contends overtime left him too fatigued to stay alert to threats. Sheriff Robert Luna told reporters this week that the department is working on plans to reduce overtime and hire more deputies.", + "located": "LOS ANGELES", + "datelinelocation": { + "city": "Los Angeles", + "countryareacode": "CA", + "countryareaname": "California", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -118.24368, + 34.05223 + ] + } + }, + "copyrightnotice": "Copyright 2023 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. For other uses, additional clearances may be required." + ], + "keywords": [ + "California deputy suicide overtime stress" + ], + "provider": "AP", + "infosource": [ + { + "name": "AP", + "type": "AP" + } + ], + "subject": [ + { + "rels": [ + "category" + ], + "creator": "Editorial", + "code": "n", + "name": "n" + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "7077b3c88b6b10048b67a385cd5ce603", + "name": "Medical technology", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 35 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "e23336487de410048fe4df092526b43e", + "name": "Depression", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 35 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "d136a002b9e34c76b103e55426f3c4d5", + "name": "Suicide", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 35 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "4c96e8e92e0441579dbce2f9e8d06493", + "name": "Prisons", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 80 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "a4677d70863b4012b846a1b00f5079f5", + "name": "U.S. news", + "creator": "Editorial", + "editorial_subject": "U.S. news", + "rels": [ + "direct" + ], + "relevance": 99 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "f25af2d07e4e100484f5df092526b43e", + "name": "General news", + "creator": "Editorial", + "editorial_subject": "General news", + "rels": [ + "direct" + ], + "relevance": 50 + } + ], + "audiences": [ + { + "code": "82c6a4c46fa0446090a7acaf93159e4c", + "name": "Print", + "type": "AUDPLATFORM" + }, + { + "code": "9add4649b53b4702ba7d9de5d4fa607a", + "name": "Online", + "type": "AUDPLATFORM" + }, + { + "code": "f5b16ea8760d10048047e6e7a0f4673e", + "name": "State", + "type": "AUDSCOPE" + }, + { + "code": "789fdd8882af10048263df092526b43e", + "name": "California", + "type": "AUDGEOGRAPHY" + } + ], + "body_nitf": "LOS ANGELES (AP) \u2014 The family of a Los Angeles County sheriff's deputy who killed himself has filed a $20 million wrongful-death claim against the county, blaming years of working in jails and mandatory overtime for his depression.
The claim was filed Thursday by attorney Brad Gage on behalf of the family of Deputy Arturo Atilano-Valdez, who shot himself at home on Nov. 7, leaving behind wife Michele Atilano and two daughters. A claim is a required step before a lawsuit.
Atilano-Valdez started his career in 2001 and spent the last 12 years assigned to jails despite requests to be transferred, the claim said. He saw doctors and therapists but the overtime and \u201cvirtual imprisonment\u201d became too severe, it said.
A similar $20 million claim was filed last month in the case of Deputy Ryan Clinkunbroomer, who was fatally shot by a gunman while driving a patrol car on Sept. 16. His parents claim that required overtime left him too fatigued to stay alert to such threats.
Sheriff Robert Luna, who took office last December, addressed overtime and other strains on deputies during a press conference this week, saying it was unacceptable that there have been eight employee suicides in the past year.
As of Nov. 5, the department was short 1,200 sworn deputies and 1,600 professional staff members, he said.
\u201cWe are working on a multiphase plan to reduce mandatory overtime ... we have some units that are working mandates between eight and 12 a month,\" he said. \"That concerns me greatly from an employee wellness perspective.\u201d
The number of psychiatric doctors hired by the department has been boosted to more than 20, he said.
\u201cWe tell people there's no shame in raising your hand and saying, \u2018I need help, I need to talk to somebody\u2019 because our employees see things on a daily basis that people shouldn't see,\u201d the sheriff said.
He said he believes a lot of wellness issues involve untreated post-traumatic stress disorder.
", + "textformat": "bx", + "links": [ + { + "href": "https://apnews.com/article/california-deputy-suicide-overtime-stress-d1dee9e7cd4629192e9f4f2c48367b4b", + "rel": "canonical" + } + ], + "topics": { + "Health": { + "relevance_score": 4, + "reason": "The document discusses the mental health struggles and eventual suicide of a Los Angeles County sheriff's deputy, attributing these issues to mandatory overtime and prolonged work in jails. It also mentions the department's efforts to address employee wellness, including increasing the number of psychiatric doctors and encouraging employees to seek help. These aspects are directly related to mental health and workplace stress, making the document relevant to the topic of health." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2023/12/08/e192f15396b4cd82e593819c2692cd56.json b/datasets/AP_news/raw_data/2023/12/08/e192f15396b4cd82e593819c2692cd56.json new file mode 100644 index 0000000..8c8c404 --- /dev/null +++ b/datasets/AP_news/raw_data/2023/12/08/e192f15396b4cd82e593819c2692cd56.json @@ -0,0 +1,266 @@ +{ + "altids": { + "itemid": "e192f15396b4cd82e593819c2692cd56", + "etag": "e192f15396b4cd82e593819c2692cd56_1a6aza0c0", + "friendlykey": "92247291709", + "referenceid": "US--Abortion-Missouri" + }, + "version": 1, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2023-12-08T18:05:35Z", + "firstcreated": "2023-12-08T18:02:19Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: With AP Photos.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "US--Abortion-Missouri", + "headline": "Missouri lawmakers propose allowing homicide charges for women who have abortions", + "headline_extended": "Some Republican Missouri lawmakers are renewing their call to allow homicide charges against women who have abortions", + "slugline": "AP-US--Abortion-Missouri, 1st Ld-Writethru", + "description_summary": "Some Republican Missouri lawmakers are renewing their call to allow homicide charges against women who have abortions. Measures that would do so have been introduced in both chambers of the state's legislature for consideration in the session that begins in January. It's a step no state has taken since the U.S. Supreme Court's overturning of Roe v. Wade last year caused rapid shifts in the nation's abortion landscape. In Missouri and other states where similar policies have been proposed, they haven't gained traction. One sponsor says prosecutions wouldn't be needed under the bill so long as people comply with the current abortion ban.", + "bylines": [ + { + "by": "By DAVID A. LIEB and GEOFF MULVIHILL", + "title": "Associated Press" + } + ], + "located": "JEFFERSON CITY, Mo.", + "datelinelocation": { + "city": "Jefferson City", + "countryareacode": "MO", + "countryareaname": "Missouri", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -92.17352, + 38.5767 + ] + } + }, + "copyrightnotice": "Copyright 2023 The Associated Press. 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(AP) \u2014 Some Missouri lawmakers are renewing a call for the state to take an anti-abortion step that goes further than prominent anti-abortion groups want to go and that has not gained much traction in any state so far: a law that would allow homicide charges against women who obtain abortions.
Republicans in both the state House and Senate have introduced bills to be considered in the legislative session that begins next month to apply homicide laws on behalf of a victim who is an \u201cunborn child at every stage of development.\u201d
The bills would offer exceptions if the suspect is a woman who aborts a pregnancy after being coerced or threatened, or an abortion is provided by a physician to save the life of the pregnant woman.
\u201cTo me, it\u2019s just about protecting a baby\u2019s life like we do every other person\u2019s life,\u201d state Rep. Bob Titus, a first-term Republican who is sponsoring one of the measures, told The Associated Press. \u201cThe prosecution is just a consequence of taking an innocent human life.\u201d
Titus said no charges would need to be brought under the bill, so long as people abide by the law already on the books that makes Missouri one of 14 states with bans in effect on abortions at all stages of pregnancy, with limited exceptions.
Titus said he has not discussed his bill with legislative leaders and did not base it on any model legislation, though it is aligned with a bill by Republican state Sen. Mike Moon, who represents the same area in southwestern Missouri.
Two groups are trying to get measures on ballots in Missouri in 2024 to legalize abortion in more cases. One would bar the government from infringing on abortion rights during the first 24 weeks of pregnancy. The other, being crafted by moderate Republicans, would scale back restrictions to a lesser degree.
Abortion-related measures could be before voters in several states next year. Since last year, voters have sided with abortion rights in all seven states where the questions have been on the ballot.
The abortion landscape in the U.S. has been shifting quickly since a U.S. Supreme Court ruling in June 2022 overturned the 1973 Roe v. Wade ruling and ended a nationwide right to abortion.
Most Republican-controlled states have adopted bans or restrictions and most Democrat-run states have taken steps to protect access.
Prominent anti-abortion groups have generally opposed measures that would subject women who get abortions to charges.
Still, identical legislation was introduced earlier this year in Missouri and similar bills were introduced in 2023 in other states including Arkansas, Colorado, Georgia, Kentucky and South Carolina. None was advanced by a legislative committee.
The Kentucky measure died after it was opposed by the state's Republican attorney general and legislative leaders. At the time, GOP House Speaker David Osborne said the Republican majority in his chamber had never contemplated passing an abortion ban without any exceptions.
In South Carolina, more than 20 GOP lawmakers signed on as sponsors of a bill that would have classified abortion as homicide. As the bill garnered attention, several lawmakers withdrew their support. Lawmakers later adopted a ban on abortions when cardiac activity can be detected, generally around six weeks into a pregnancy \u2013 and often before women realize they are pregnant.
___
Mulvihill reported from Cherry Hill, New Jersey.
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(AP) \u2014 All members of New Mexico\u2019s congressional delegation expressed outrage with the U.S. House leadership\u2019s move to block compensation for people sickened by exposure to radiation during nuclear weapons testing and the mining of uranium during the Cold War.
Originally, the bill expanded eligibility for compensation under the Radiation Exposure Compensation Act, offering up tens of thousands of dollars in compensation to residents of New Mexico, Colorado, Montana, Guam and Missouri \u2014 as well as those in some parts of Arizona, Nevada and Utah \u2014 who suffered the effects of nuclear testing or uranium mines and who are not covered under the current program.
The Santa Fe New Mexican reported that the compensation was included in a massive defense spending bill that won Senate approval in July. But the GOP-controlled House removed those provisions from the act Wednesday, rendering New Mexicans \u2014 including those stricken with ailments from the radioactive fallout of the first atomic bomb \u2014 still ineligible for federal help unless it is reattached to the final bill.
\u201cGenerations of New Mexicans and their families have gotten sick and died from the radiation exposure and the lasting impacts of the Trinity Test,\u201d said Sen. Ben Ray Luj\u00e1n, referring to the first-ever atomic bomb test in the New Mexico desert in 1945. \u201cFor New Mexico to have been ground zero for the first nuclear weapon \u2014 and left out of the original RECA program \u2014 is an injustice.\u201d
Luj\u00e1n, a Democrat, has introduced radiation exposure compensation bills in every Congress since he was first elected to the U.S. House in 2008.
The hit summer film \u201cOppenheimer\u201d about the top-secret Manhattan Project and the dawn of the nuclear age during World War II has brought new attention to decades-long efforts to extend compensation for families who were exposed to fallout and still grapple with related illness.
Advocates also have been trying for years to bring awareness to the lingering effects of radiation exposure on the Navajo Nation, where millions of tons of uranium ore were extracted over decades to support U.S. nuclear activities.
", + "textformat": "bx", + "links": [ + { + "href": "https://apnews.com/article/us-house-radiation-exposure-compensation-e1be7de856d53a1dc38feff07292d15e", + "rel": "canonical" + } + ], + "topics": { + "Health": { + "relevance_score": 5, + "reason": "The document discusses the removal of compensation for individuals affected by radiation exposure from nuclear testing and uranium mining, which has significant health implications. It highlights the health issues faced by residents of New Mexico and other states due to radiation exposure, including sickness and death. The document also mentions the efforts to extend compensation to those suffering from related illnesses, which directly ties into the topic of health." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2023/12/08/f4540caefac9cd63e4c85548ffa5ecaa.json b/datasets/AP_news/raw_data/2023/12/08/f4540caefac9cd63e4c85548ffa5ecaa.json new file mode 100644 index 0000000..c414a3b --- /dev/null +++ b/datasets/AP_news/raw_data/2023/12/08/f4540caefac9cd63e4c85548ffa5ecaa.json @@ -0,0 +1,250 @@ +{ + "altids": { + "itemid": "f4540caefac9cd63e4c85548ffa5ecaa", + "etag": "f4540caefac9cd63e4c85548ffa5ecaa_1a4aza0c0", + "friendlykey": "442351913262", + "referenceid": "US-MED--Mammograms After Cancer" + }, + "version": 1, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2023-12-08T21:12:32Z", + "firstcreated": "2023-12-08T13:19:39Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: With AP Photos. Adds AP audio.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "US-MED--Mammograms After Cancer", + "headline": "Breast cancer survivors may not need so many mammograms after surgery, UK study suggests", + "headline_extended": "A large British study finds that less frequent screening is just as good as annual mammograms for certain breast cancer survivors", + "slugline": "BC-US-MED--Mammograms After Cancer, 1st Ld-Writethru", + "description_summary": "A large British study finds that less frequent screening is just as good as annual mammograms for certain breast cancer survivors. The findings are being discussed at the San Antonio Breast Cancer Symposium. Until now, there wasn\u2019t solid evidence for when women could ease back on yearly mammograms after cancer surgery. This research suggests after three years, women age 50 and older can get by with a mammogram every other year or every third year. The study was funded by the research arm of the U.K.\u2019s National Health Service. One expert says more research will be needed to change U.S. guidelines.", + "bylines": [ + { + "by": "By CARLA K. JOHNSON", + "title": "AP Medical Writer" + } + ], + "copyrightnotice": "Copyright 2023 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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Yearly screening is meant to monitor whether cancer has come back. All that testing causes anxiety for patients and costs money.
Until now, there wasn\u2019t solid evidence for when women could ease back on yearly mammograms, said Janet Dunn of the University of Warwick, who led the study funded by the research arm of the U.K.\u2019s National Health Service.
The study showed less frequent mammograms are just as good as a yearly schedule for breast cancer survivors 50 and older.
\u201cIt\u2019s really all about giving the ladies the all-clear a bit earlier if you can,\u201d Dunn said. The findings were being discussed Friday at the San Antonio Breast Cancer Symposium. The unpublished study has not yet gone through a full peer review.
Researchers followed more than 5,200 women. The participants were 50 and older, and had undergone successful breast cancer surgery, mostly lumpectomies. After three years of annual screening, half were randomly assigned to get mammograms every year and the other half to get less frequent ones.
Both groups did well, with remarkably similar results. Six years later, 95% of both groups were still cancer free. Breast cancer survival was 98% in both groups.
\u201cThis is an eye-opening study,\u201d said breast cancer specialist Dr. Laura Esserman of the University of California, San Francisco who was not involved in the new study but is leading research on a personalized approach to screening. \u201cI think people will be very surprised.\u201d
The new study is \u201cvery strong,\u201d but more research will be needed to change U.S. guidelines, said Corinne Leach of Moffitt Cancer Center in Tampa, Florida. She led the development of a 2015 U.S. guideline that calls for indefinite annual screening for these kinds of patients.
\u201cOne study alone typically does not move the needle on guidelines,\u201d Leach said. \u201cThis study inspires other researchers to do more work in this area. And that is what could lead to a change.\u201d
In the new study, most women in both groups followed their assigned screening schedule. Some in the annual group missed screenings and some in the less frequent group were screened ahead of schedule. When the researchers analyzed the findings based on what the women actually did, the conclusions remained the same.
Survivors \u201ccan breathe easily\u201d three years after surgery as they resume a less frequent mammogram schedule, Dunn said. The findings are likely to change practice in the U.K. and \u201cwill be influential globally,\u201d she said.
How often is less frequent? In the study, it depended on the type of surgery.
In the less-frequent screening group, women who\u2019d had mastectomies had a mammogram once every three years. Those who\u2019d had lumpectomies, also called breast conservation surgery, had mammograms every two years.
The findings do not apply to younger breast cancer survivors, who were excluded from the study and tend to have more aggressive cancers. And women who have both breasts removed don't need mammograms.
\u201cIt\u2019s high time that we have a more personalized approach to screening, not just for women who\u2019ve never had breast cancer, but for those who\u2019ve had breast cancer,\u201d Esserman said.
___
The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute\u2019s Science and Educational Media Group. The AP is solely responsible for all content.
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"type": "audio" + } + }, + "body_nitf": "ROME (AP) \u2014 Pope Francis on Friday made his first public appearance outdoors since being stricken by bronchitis two weeks ago, which forced him to cancel a planned trip to the COP-28 climate conference in Dubai.
The pope has been steadily recovering, and for the Dec. 8 holiday devoted to Mary kept a traditional appointment to pray at the Spanish Steps. He arrived in a black car, and blessed a crowd of onlookers before taking a seat in a chair facing a statue of the Madonna.
The pontiff prayed for Mary\u2019s mercy for \u201call the people oppressed by injustice and poverty, tried by war,\u2019\u2019 adding a special prayer for \u201cthe tormented Ukrainian people,\u201d as well as Palestinians and Israelis \u201cwho have fallen back into a spiral of violence.\u201d
Francis also addressed violence against women, a topic that has resonated in Italy in recent weeks following the killing last month of a 22-year-old female student in northern Italy. \u201cMary, we need you as a woman, to entrust all of the women who have suffered violence and those who are still victims in this city, in Italy and in every part of the world,\u2019\u2019 the pope said.
Before his appointment at the Spanish Steps, Francis went to the St. Mary Major basilica to pray before one of his favorite icons to Mary. He entered the basilica in a wheelchair.
Francis earlier addressed the faithful from an open window overlooking St. Peter\u2019s Square for the traditional blessing, appearing for the first time to the public since his illness.
Francis, who turns 87 on Dec. 17, came down with the flu on Nov. 25 and was forced to cancel a planned trip to Dubai to participate in the U.N. climate conference. He later revealed he had been diagnosed with an acute case of infectious bronchitis that made breathing difficult.
It was the second time this year he has had a serious case of bronchitis; in spring he was hospitalized for three days to receive intravenous antibiotics.
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Sends to Kentucky lines. With AP Photos.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "US--Abortion-Texas", + "headline": "Texas Supreme Court pauses lower court's order allowing pregnant woman to have an abortion", + "headline_extended": "The Texas Supreme Court has put on hold a judge\u2019s ruling that approved an abortion for a pregnant woman whose fetus has a fatal diagnosis", + "slugline": "BC-US--Abortion-Texas, 2nd Ld-Writethru", + "description_summary": "The Texas Supreme Court has put on hold a judge\u2019s ruling that approved an abortion for a pregnant woman whose fetus has a fatal diagnosis. The order Friday throws into limbo an unprecedented challenge to one of the most restrictive bans in the U.S. The order by the all-Republican court came more than 30 hours after Kate Cox, a 31-year-old mother of two from the Dallas area, received a temporary restraining order from a lower court judge. Cox is represented by the Center for Reproductive Rights, whose attorneys say they will not share her abortion plans, citing concerns for her safety. In a filing with the Texas Supreme Court on Friday afternoon, her attorneys indicated she was still pregnant.", + "bylines": [ + { + "by": "By PAUL J. WEBER", + "title": "Associated Press" + } + ], + "located": "AUSTIN, Texas", + "datelinelocation": { + "city": "Austin", + "countryareacode": "TX", + "countryareaname": "Texas", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -97.74306, + 30.26715 + ] + } + }, + "copyrightnotice": "Copyright 2023 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. For other uses, additional clearances may be required." + ], + "keywords": [ + "texas abortion ban supreme court decision" + ], + "provider": "AP", + "infosource": [ + { + "name": "AP", + "type": "AP" + } + ], + "subject": [ + { + "rels": [ + "category" + ], + "creator": "Editorial", + "code": "a", + "name": "a" + }, + { + "rels": [ + "category" + ], + "creator": "Editorial", + "code": "n", + "name": "n" + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "e2305bd07de410048fcfdf092526b43e", + "name": "Pregnancy and childbirth", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 76 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "e22e35087de410048fc2df092526b43e", + "name": "Abortion", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 64 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "4626a38a1b52454ca5d01755d14f1dc9", + "name": "Legal proceedings", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 39 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "86ba17607dac1004894eba7fa5283c3e", + "name": "Courts", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 87 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "86aad5207dac100488ecba7fa5283c3e", + "name": "Politics", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 54 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "cc7a76087e4e10048482df092526b43e", + "name": "Health", + "creator": "Editorial", + "editorial_subject": "Health", + "rels": [ + "direct" + ], + "relevance": 75 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "a4677d70863b4012b846a1b00f5079f5", + "name": "U.S. news", + "creator": "Editorial", + "editorial_subject": "U.S. news", + "rels": [ + "direct" + ], + "relevance": 99 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "f25af2d07e4e100484f5df092526b43e", + "name": "General news", + "creator": "Editorial", + "editorial_subject": "General news", + "rels": [ + "direct" + ], + "relevance": 50 + } + ], + "place": [ + { + "scheme": "http://cv.ap.org/id/", + "code": "6e92d9b882c7100488e5df092526b43e", + "name": "Texas", + "creator": "Machine", + "rels": [ + "direct" + ], + "parentids": [ + "661e48387d5b10048291c076b8e3055c" + ], + "locationtype": { + "code": "0ae5eb8e00e04295a4fc209c94bfe6ef", + "name": "State" + }, + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -99.25061, + 31.25044 + ] + }, + "relevance": 98, + "parentnames": [ + "United States" + ] + } + ], + "audiences": [ + { + "code": "82c6a4c46fa0446090a7acaf93159e4c", + "name": "Print", + "type": "AUDPLATFORM" + }, + { + "code": "9add4649b53b4702ba7d9de5d4fa607a", + "name": "Online", + "type": "AUDPLATFORM" + }, + { + "code": "f5b16ea8760d10048047e6e7a0f4673e", + "name": "State", + "type": "AUDSCOPE" + }, + { + "code": "f43adc08760d10048040e6e7a0f4673e", + "name": "National", + "type": "AUDSCOPE" + }, + { + "code": "f4ecf9b0760d10048044e6e7a0f4673e", + "name": "International", + "type": "AUDSCOPE" + }, + { + "code": "6e92d9b882c7100488e5df092526b43e", + "name": "Texas", + "type": "AUDGEOGRAPHY" + }, + { + "code": "661850e07d5b100481f5c076b8e3055c", + "name": "Latin America and Caribbean", + "type": "AUDGEOGRAPHY" + }, + { + "code": "2f6e294082b310048474df092526b43e", + "name": "Kentucky", + "type": "AUDGEOGRAPHY" + }, + { + "code": "661e48387d5b10048291c076b8e3055c", + "name": "United States", + "type": "AUDGEOGRAPHY" + } + ], + "associations": { + "1": { + "altids": { + "itemid": "edcd7b7f370248d59cfe4c9d1b85b88d" + }, + "type": "picture" + }, + "2": { + "altids": { + "itemid": "d1d583b6d5d74629be9027a89b1acc3d" + }, + "type": "picture" + }, + "3": { + "altids": { + "itemid": "c3e647f9d0ce447ab9fa6a4f7ada7840" + }, + "type": "picture" + }, + "4": { + "altids": { + "itemid": "b74c056de9bd459697c6318d17fac779" + }, + "type": "picture" + }, + "5": { + "altids": { + "itemid": "1f6cd449dca1498c89186ed792d3728f" + }, + "type": "audio" + }, + "6": { + "altids": { + "itemid": "7edb678ad7fb4ceea47d1235ef254e9d" + }, + "type": "audio" + } + }, + "body_nitf": "AUSTIN, Texas (AP) \u2014 The Texas Supreme Court on Friday night put on hold a judge's ruling that approved an abortion for a pregnant woman whose fetus has a fatal diagnosis, throwing into limbo an unprecedented challenge to one of the most restrictive bans in the U.S.
The order by the all-Republican court came more than 30 hours after Kate Cox, a 31-year-old mother of two from the Dallas area, received a temporary restraining order from a lower court judge that prevents Texas from enforcing the state's ban in her case.
In a one-page order, the court said it was temporarily staying Thursday's ruling \u201cwithout regard to the merits.\" The case is still pending.
\u201cWhile we still hope that the Court ultimately rejects the state\u2019s request and does so quickly, in this case we fear that justice delayed will be justice denied,\u201d said Molly Duane, an attorney at the Center for Reproductive Rights, which is representing Cox.
Cox's attorneys have said they will not share her abortion plans, citing concerns for her safety. In a filing with the Texas Supreme Court on Friday, her attorneys indicated she was still pregnant.
Cox was 20 weeks pregnant this week when she filed what is believed to be the first lawsuit of its kind since the landmark U.S. Supreme Court ruling last year that overturned Roe v. Wade. The order issued Thursday only applied to Cox and no other pregnant Texas women.
Cox learned she was pregnant for a third time in August and was told weeks later that her baby was at a high risk for a condition known as trisomy 18, which has a very high likelihood of miscarriage or stillbirth and low survival rates, according to her lawsuit.
Furthermore, doctors have told Cox that if the baby\u2019s heartbeat were to stop, inducing labor would carry a risk of a uterine rupture because of her two prior cesareans sections, and that another C-section at full term would would endanger her ability to carry another child.
Republican Texas Attorney General Ken Paxton argued that Cox does not meet the criteria for a medical exception to the state's abortion ban, and he urged the state's highest court to act swiftly.
\u201cFuture criminal and civil proceedings cannot restore the life that is lost if Plaintiffs or their agents proceed to perform and procure an abortion in violation of Texas law,\u201d Paxton's office told the court.
He also warned three hospitals in Houston that they could face legal consequences if they allowed Cox's physician to provide the abortion, despite the ruling from state District Judge Maya Guerra Gamble, who Paxton called an \u201cactivist\u201d judge.
On Friday, a pregnant Kentucky woman also filed a lawsuit demanding the right to an abortion. The plaintiff, identified as Jane Doe, is about eight weeks pregnant and she wants to have an abortion in Kentucky but cannot legally do so because of the state\u2019s ban, the suit said.
Unlike Cox's lawsuit, the Kentucky challenge seeks class-action status to include other Kentuckians who are or will become pregnant and want to have an abortion.
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Therefore, it is relevant to the topic of Health, particularly in the context of reproductive health and legal restrictions on medical procedures." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2023/12/09/512b53b92f03b4c45035be503adcac20.json b/datasets/AP_news/raw_data/2023/12/09/512b53b92f03b4c45035be503adcac20.json new file mode 100644 index 0000000..9331112 --- /dev/null +++ b/datasets/AP_news/raw_data/2023/12/09/512b53b92f03b4c45035be503adcac20.json @@ -0,0 +1,264 @@ +{ + "altids": { + "itemid": "512b53b92f03b4c45035be503adcac20", + "etag": "512b53b92f03b4c45035be503adcac20_3a4aza0c0", + "friendlykey": "485833506472", + "referenceid": "EU--Italy-Hospital Fire" + }, + "version": 3, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2023-12-09T22:00:19Z", + "firstcreated": "2023-12-09T07:58:12Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: Adds audio clip. With AP Photos. AP Audio.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "EU--Italy-Hospital Fire", + "headline": "A hospital fire near Rome kills at least 3 and causes an emergency evacuation of all patients", + "headline_extended": "A fire broke in a hospital on Rome\u2019s outskirts has killed at least three people and required the overnight evacuation of the smoke-filled facility and its nearly 200 patients", + "slugline": "AP-EU--Italy-Hospital Fire, 3rd Ld-Writethru", + "description_summary": "A fire broke in a hospital on Rome\u2019s outskirts has killed at least three people and required the overnight evacuation of the smoke-filled facility and its nearly 200 patients. Italian officials on Saturday praised the rescue operation at St. John the Evangelist hospital in Tivoli. The Tivoli mayor's office says patients in intensive care were transferred immediately to other hospitals in ambulances. The ones in less critical condition were moved into a nearby municipal gymnasium and then transferred to other facilities.acknowledged \u201cnotable delays\u201d in updating Italy\u2019s aging hospitals with sprinkler systems and other fire safety infrastructure.", + "bylines": [ + { + "by": "By NICOLE WINFIELD", + "title": "Associated Press" + } + ], + "located": "ROME", + "datelinelocation": { + "city": "Rome", + "countrycode": "ITA", + "countryname": "Italy", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + 12.51133, + 41.89193 + ] + } + }, + "copyrightnotice": "Copyright 2023 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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The blaze began in the ground floor emergency room of the St. John the Evangelist hospital in Tivoli at around 11 p.m. Friday, which was a holiday in Italy. The flames spread to a few other wards, \u201cbut the smoke went everywhere,\u201d said chief prosecutor Francesco Menditto.
Using fire truck ladders to reach patients on high floors, fire and police rescue crews worked through the night to evacuate the 193 patients. The ones in intensive care were transferred immediately to other hospitals in ambulances, while patients in less critical condition were moved into a nearby municipal gymnasium and then transferred to other facilities, officials said.
The governor of the Lazio region, Francesco Rocca, said from the scene that three people were killed and an investigation would determine the cause of the fire. He acknowledged \u201cnotable delays\u201d in updating Italy's aging hospitals with sprinkler systems and other fire safety infrastructure.
The fire department initially said four people were killed. Menditto said during a news conference that only three deaths were directly caused by the blaze, while a fourth death was unrelated to the fire.
He said prosecutors do not believe the fire was set intentionally but the working hypothesis guiding the investigation was related to manslaughter charges, without any suspects identified.
Video released by the fire department showed fire crews trying to reach the upper floors of the hospital on ladders to get to patients as smoke billowed out. Both Menditto and Rocca, the governor, praised firefighters and police officers for a \u201ctruly exceptional\u201d overnight operation to evacuate the patients, especially those who could not walk on their own, and to get them transferred to other hospitals.
Italian Premier Giorgia Meloni offered condolences to the families of the victims.
Rome's chief firefighter, Cmdr. Adriano De Acutis, said crews were now focused on securing and removing valuable medicines, especially drugs used to treat cancer, since the hospital will be unusable for the foreseeable future.
Tivoli, which is located about 35 kilometers (20 miles) northeast of the center of Rome, is a popular tourist destination. It is best known for the archaeological sites of Villa d'Este and Villa Adriana, both of which are UNESCO World Heritage Sites.
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However, the main emphasis is on the fire incident rather than broader health topics." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2023/12/09/68c7d8d6ac39b999227497ec527aa165.json b/datasets/AP_news/raw_data/2023/12/09/68c7d8d6ac39b999227497ec527aa165.json new file mode 100644 index 0000000..58ca941 --- /dev/null +++ b/datasets/AP_news/raw_data/2023/12/09/68c7d8d6ac39b999227497ec527aa165.json @@ -0,0 +1,245 @@ +{ + "altids": { + "itemid": "68c7d8d6ac39b999227497ec527aa165", + "etag": "68c7d8d6ac39b999227497ec527aa165_0a12aza0c0", + "friendlykey": "56183734326", + "referenceid": "US--Magnetic Ball Recall" + }, + "version": 0, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2023-12-09T20:39:36Z", + "firstcreated": "2023-12-09T20:39:35Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "signals": [ + "newscontent" + ], + "title": "US--Magnetic Ball Recall", + "headline": "Consumer product agency issues warning on small magnetic balls linked to deaths", + "headline_extended": "The U.S. Consumer Product Safety Commission has issued a warning about the danger of high-powered, pea-sized magnets found in toys", + "slugline": "AP-US--Magnetic Ball Recall", + "description_summary": "The U.S. Consumer Product Safety Commission has issued a warning about the danger of high-powered, pea-sized magnets found in toys. It says it is aware of seven deaths linked to their ingestion and announced that one company had recalled them. The federal agency estimates that ingestion of the magnets led to 2,400 hospital emergency room visits from 2017 to 2021 in addition to the deaths, two of which it said occurred outside the United States. The commission says the balls are made in China but did not name their manufacturer.", + "copyrightnotice": "Copyright 2023 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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The federal agency estimated that ingestion of the magnets led to 2,400 hospital emergency room visits from 2017-2021 in addition to the deaths, two of which it said occurred outside the United States.
\u201cConsumers should stop using the recalled magnetic balls immediately, (and) take them away from children,\u201d the commission said in an online notice. Made from rare-earth metals, each ball measures five millimeters.
The safety commission said the magnets were stronger than permitted by federal toy regulations and could kill children if two or more are swallowed as they can attract each other in the stomach, perforating intestinal walls, twisting and/or blocking intestines \u2014 which could lead to infection and blood poisoning.
The Neodymium Magnetic Balls recalled on Thursday were sold by XpressGoods, a North Carolina company, from July 2021 through May 2022 and made in China, the agency said. It said the company offered full refunds and directly contacted purchasers of the roughly 700 units it had sold.
A commission spokeswoman told The New York Times that five other companies that also sold the magnetic balls had refused to do recalls, so it was alerting consumers.
The commission did not say who manufactures the balls.
XpressGoods did not immediately respond to an email seeking comment Saturday.
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This information is directly related to health concerns, particularly those affecting children, making the document highly relevant to the topic of health." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2023/12/09/943b39aec80e17aa72d166846f8ba297.json b/datasets/AP_news/raw_data/2023/12/09/943b39aec80e17aa72d166846f8ba297.json new file mode 100644 index 0000000..0407405 --- /dev/null +++ b/datasets/AP_news/raw_data/2023/12/09/943b39aec80e17aa72d166846f8ba297.json @@ -0,0 +1,294 @@ +{ + "altids": { + "itemid": "943b39aec80e17aa72d166846f8ba297", + "etag": "943b39aec80e17aa72d166846f8ba297_0a8aza0c0", + "friendlykey": "885373109347", + "referenceid": "US--Abortion-Texas-Explainer" + }, + "version": 0, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2023-12-09T18:44:29Z", + "firstcreated": "2023-12-09T18:44:28Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: With AP Photos.", + "signals": [ + "newscontent" + ], + "title": "US--Abortion-Texas-Explainer", + "headline": "A pregnant Texas woman asked a court for permission to get an abortion, despite a ban. What's next?", + "headline_extended": "The Texas Supreme Court has put on hold a judge\u2019s ruling that approved an abortion for a pregnant woman whose fetus has a fatal diagnosis", + "slugline": "AP-US--Abortion-Texas-Explainer", + "description_summary": "The Texas Supreme Court has put on hold a judge\u2019s ruling that approved an abortion for a pregnant woman whose fetus has a fatal diagnosis. The order Friday throws into limbo an unprecedented challenge to one of the most restrictive bans in the U.S. The order by the all-Republican court came more than 30 hours after Kate Cox, a 31-year-old mother of two from the Dallas area, received a temporary restraining order from a lower court judge. Her lawsuit is believed to be the first time since Roe v. Wade was overturned last year that a woman has gone to court in the U.S. to ask for an abortion. A pregnant Kentucky woman has since filed a similar challenge. The Texas Supreme Court has not said when it will ultimately rule on Cox's lawsuit.", + "bylines": [ + { + "by": "By PAUL J. WEBER", + "title": "Associated Press" + } + ], + "located": "AUSTIN, Texas", + "datelinelocation": { + "city": "Austin", + "countryareacode": "TX", + "countryareaname": "Texas", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -97.74306, + 30.26715 + ] + } + }, + "copyrightnotice": "Copyright 2023 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. For other uses, additional clearances may be required." + ], + "keywords": [ + "abortion texas ban explainer" + ], + "provider": "AP", + "infosource": [ + { + "name": "AP", + "type": "AP" + } + ], + "subject": [ + { + "rels": [ + "category" + ], + "creator": "Editorial", + "code": "a", + "name": "a" + }, + { + "rels": [ + "category" + ], + "creator": "Editorial", + "code": "n", + "name": "n" + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "e22e35087de410048fc2df092526b43e", + "name": "Abortion", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 71 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "5898d3303b1e4dfc9e4ae39ed34f3378", + "name": "Lawsuits", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 47 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "e2305bd07de410048fcfdf092526b43e", + "name": "Pregnancy and childbirth", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 77 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "86aad5207dac100488ecba7fa5283c3e", + "name": "Politics", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 62 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "86ba17607dac1004894eba7fa5283c3e", + "name": "Courts", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 86 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "4626a38a1b52454ca5d01755d14f1dc9", + "name": "Legal proceedings", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 54 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "cc7a76087e4e10048482df092526b43e", + "name": "Health", + "creator": "Editorial", + "editorial_subject": "Health", + "rels": [ + "direct" + ], + "relevance": 75 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "a4677d70863b4012b846a1b00f5079f5", + "name": "U.S. news", + "creator": "Editorial", + "editorial_subject": "U.S. news", + "rels": [ + "direct" + ], + "relevance": 99 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "f25af2d07e4e100484f5df092526b43e", + "name": "General news", + "creator": "Editorial", + "editorial_subject": "General news", + "rels": [ + "direct" + ], + "relevance": 50 + } + ], + "place": [ + { + "scheme": "http://cv.ap.org/id/", + "code": "6e92d9b882c7100488e5df092526b43e", + "name": "Texas", + "creator": "Machine", + "rels": [ + "direct" + ], + "parentids": [ + "661e48387d5b10048291c076b8e3055c" + ], + "locationtype": { + "code": "0ae5eb8e00e04295a4fc209c94bfe6ef", + "name": "State" + }, + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -99.25061, + 31.25044 + ] + }, + "relevance": 96, + "parentnames": [ + "United States" + ] + } + ], + "audiences": [ + { + "code": "82c6a4c46fa0446090a7acaf93159e4c", + "name": "Print", + "type": "AUDPLATFORM" + }, + { + "code": "9add4649b53b4702ba7d9de5d4fa607a", + "name": "Online", + "type": "AUDPLATFORM" + }, + { + "code": "f5b16ea8760d10048047e6e7a0f4673e", + "name": "State", + "type": "AUDSCOPE" + }, + { + "code": "f43adc08760d10048040e6e7a0f4673e", + "name": "National", + "type": "AUDSCOPE" + }, + { + "code": "f4ecf9b0760d10048044e6e7a0f4673e", + "name": "International", + "type": "AUDSCOPE" + }, + { + "code": "6e92d9b882c7100488e5df092526b43e", + "name": "Texas", + "type": "AUDGEOGRAPHY" + }, + { + "code": "661850e07d5b100481f5c076b8e3055c", + "name": "Latin America and Caribbean", + "type": "AUDGEOGRAPHY" + }, + { + "code": "2f6e294082b310048474df092526b43e", + "name": "Kentucky", + "type": "AUDGEOGRAPHY" + }, + { + "code": "661e48387d5b10048291c076b8e3055c", + "name": "United States", + "type": "AUDGEOGRAPHY" + } + ], + "associations": { + "1": { + "altids": { + "itemid": "b74c056de9bd459697c6318d17fac779" + }, + "type": "picture" + }, + "2": { + "altids": { + "itemid": "d1d583b6d5d74629be9027a89b1acc3d" + }, + "type": "picture" + }, + "3": { + "altids": { + "itemid": "c3e647f9d0ce447ab9fa6a4f7ada7840" + }, + "type": "picture" + }, + "4": { + "altids": { + "itemid": "ec307e4fe4ff4e4298116d3a95ad61c9" + }, + "type": "picture" + }, + "5": { + "altids": { + "itemid": "edcd7b7f370248d59cfe4c9d1b85b88d" + }, + "type": "picture" + } + }, + "body_nitf": "AUSTIN, Texas (AP) \u2014 Kate Cox, a mother of two in Texas, became pregnant again in August but soon after learned devasting news: Her baby has a fatal condition and is likely to either be stillborn or die shortly after birth.
The tragic circumstances have thrust Cox, 31, into the center of an unprecedented challenge over abortion bans that have altered the landscape for women in the U.S. A Texas judge gave Cox permission this week to receive an abortion, but the state's highest court put that decision on hold Friday night.
Whether Cox, who is 20 weeks pregnant, can legally receive an abortion under narrow exceptions to the state's ban is now in limbo while the Texas Supreme Court considers her case. The court, which is made up of nine Republican justices, gave no timetable on when it might rule.
Her lawsuit is believed to be the first since Roe v. Wade was overturned last year asking a court for permission to get an abortion. A pregnant Kentucky woman has since filed a similar challenge.
\u201c With our client's life on the line, the State of Texas is playing despicable political games. This fight is not over,\u201d the Center for Reproductive Rights, which is representing Cox, posted Saturday on X.
Here's what to know:
Cox lives in the Dallas area with her husband and two children, ages 3 and 1. Neither pregnancy was easy and she had a cesarean surgery for both deliveries, according to her lawsuit filed this week in Austin.
In October, doctors told Cox that her fetus was at a high risk for a condition known as trisomy 18, which has a very high likelihood of miscarriage or stillbirth, and low survival rates, according to the lawsuit. Her attorneys say Cox has been to the emergency room at least four times, including this week, and that her health is put increasingly at risk the longer her pregnancy lasts.
Doctors have told Cox that inducing labor or carrying the baby to term could jeopardize her ability to have another child in the future.
\u201cI really would love another baby,\" Cox told NBC News this week after a lower court judge granted her permission for an abortion, \u201cSo, I\u2019m hopeful for my health, our family.\u201d
Republican Texas Attorney General Kan Paxton, who is leading efforts to prevent the abortion, says Cox does not meet the requirements for a medical exception under the state's ban. His office argues that Cox did not demonstrate that the pregnancy has put her life at imminent risk and notes that she was sent home following her visits to hospital emergency rooms.
Texas' ban makes no exceptions for fetal anomalies. There are no recent statistics on the frequency of terminations for fetal anomalies in the U.S. but experts say it\u2019s a small percentage of total procedures.
\u201cThe Texas Legislature did not intend for courts to become revolving doors of permission slips to obtain abortions,\u201d Paxton's office wrote in a filing to the state Supreme Court.
Texas is one of 13 states that rushed to ban abortion at nearly all stages of pregnancy after Roe was overturned. Texas has long been at the forefront of strict abortion laws in the U.S., and even now, there are ongoing efforts to make it harder for pregnant women to leave Texas for states where the procedure is legal.
Under Texas' bans, doctors who provide an abortion can face criminal charges that carry punishments of up to life in prison. They could also face lawsuits from private citizens, who are empowered to sue a person who helps a woman obtain an abortion, such as the doctor's staff. The laws do not threaten the mother with any legal consequences.
Fewer than 50 women in Texas have received abortions since the ban took effect last year, according to state health data. None is known to have resulted in criminal charges or lawsuits.
Who qualifies for a medical exception under Texas' ban has become one of the biggest legal questions since Roe was overturned. A separate case before the Texas Supreme Court argues that lawmakers made the requirements too vague, leaving doctors fearful of providing abortions under virtually any circumstance.
A ruling in that case is likely still months away.
Hours before the Texas Supreme Court put Cox's case on hold Friday, a woman in Kentucky who is eight weeks pregnant also demanded the right to an abortion in state court.
Unlike Cox's case, the Kentucky lawsuit seeks class-action status to include other women who are or will become pregnant and want to have an abortion. Republican state Attorney General Daniel Cameron, whose office has defended the state's anti-abortion laws, has said his office is reviewing the lawsuit.
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Fred Hutchinson Cancer Center officials say a Nov. 19 hack hit a portion of the health care system\u2019s clinical network, possibly leaking patient data. The Seattle Times reports that this week some former and current patients received threatening emails claiming the names, Social Security numbers, medical history and other data of more than 800,000 patients had been compromised. Emails shared with the newspaper claim the stolen data of recipients will be sold. After last month\u2019s hack, the center took its clinical network offline, notified federal law enforcement and brought in a forensic security firm to investigate.", + "located": "SEATTLE", + "datelinelocation": { + "city": "Seattle", + "countryareacode": "WA", + "countryareaname": "Washington", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -122.33207, + 47.60621 + ] + } + }, + "copyrightnotice": "Copyright 2023 The Associated Press. 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Fred Hutchinson Cancer Center officials said a Nov. 19 hack hit a portion of the health care system's clinical network, possibly leaking patient data.
This week, some former and current patients received threatening emails claiming names, Social Security numbers, medical history and other data of more than 800,000 patients had been compromised, The Seattle Times reported.
Emails shared with the newspaper claimed the stolen data of recipients would be sold.
Christina VerHeul, the center's associate vice president of communications, said she couldn't speculate how many people were affected but said an investigation is ongoing.
After last month's hack, the center took its clinical network offline, notified federal law enforcement and brought in a forensic security firm to investigate, she said.
The center encouraged patients to keep a close eye on bank statements and credit reports.
The center directed those who received suspicious or threatening calls or emails to report them to the FBI, block senders and delete messages. If the message demands a ransom, do not pay it, the center instructed.
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With AP Photos.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "US--Maine Shooting", + "headline": "Brain sample from Maine gunman to be examined for injury related to Army Reserves", + "headline_extended": "A brain sample from a gunman who killed 18 people in Maine has been sent to a lab in Massachusetts to be examined for signs of injury related to his service in the Army Reserves", + "slugline": "AP-US--Maine Shooting, 2nd Ld-Writethru", + "description_summary": "A brain sample from a gunman who killed 18 people in Maine has been sent to a lab in Massachusetts to be examined for signs of injury related to his service in the Army Reserves. The office of the chief medical examiner on Monday said it wants to know if a brain injury stemming from 40-year-old Robert Card\u2019s military service could have contributed to unusual behavior he exhibited before the shootings on Oct. 25 in Lewiston, Maine. The concern surrounds Card's exposure to blasts while training U.S. Military Academy cadets in guns, anti-tank weapon and grenades at West Point, New York.", + "bylines": [ + { + "by": "By DAVID SHARP", + "title": "Associated Press" + } + ], + "located": "PORTLAND, Maine", + "datelinelocation": { + "city": "Portland", + "countryareacode": "ME", + "countryareaname": "Maine", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -70.2589, + 43.65737 + ] + } + }, + "copyrightnotice": "Copyright 2023 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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The state's chief medical examiner wants to know if a brain injury stemming from 40-year-old Robert Card's military service could have contributed to unusual behavior he exhibited leading up to the Oct. 25 shootings at a bowling alley and at a bar in Lewiston .
A spokesperson for the medical examiner's office characterized the extra step as a matter of thoroughness \u201cdue to the combined history of military experience and actions.\u201d
\u201cIn an event such as this, people are left with more questions than answers. It is our belief that if we can conduct testing (in-house or outsourced) that may shed light on some of those answers, we have a responsibility to do that,\u201d Lindsey Chasteen, office administrator, wrote in an email.
The gunman's body was found two days after the shootings in a nearby town. The medical examiner already concluded that Card died by suicide.
The tissue samples, first reported by The New York Times, were sent to a laboratory at Boston University that specializes in problems associated with brain trauma, including chronic traumatic encephalopathy, or CTE, which has plagued many professional football players. A spokesperson said the CTE Center cannot comment without the family\u2019s permission. Two family members didn't immediately respond to a request for comment from The Associated Press.
The concerns surround Card's exposure to repeated blasts while training U.S. Military Academy cadets about guns, anti-tank weapon and grenades at West Point, New York.
Card was assigned to the 3rd Battalion, 304th Regiment, in Saco, Maine, starting in April 2014 and during that time he trained others on how to use hand grenades, the Army said.
A Pentagon spokesperson said Monday that the Army is participating in studies to try to better understand the relationship between \u201cblast overpressure\u201d and brain health effects, and in the meantime it has instituted several measures to reduce soldiers\u2019 exposure, including limiting the number of personnel near blasts.
\u201cThe Army is committed to understanding, mitigating, accurately diagnosing and promptly treating blast overpressure and its effects in all forms. While prolonged blast exposures can be potentially hazardous, even if encountered on the training range and not the battlefield, there is still a lot to learn,\u201d Lt. Col. Rob Lodewick said in a statement.
Family members and friends reported that Card had become paranoid behavior that preceded him being hospitalized for two weeks last summer during training with fellow reservists at West Point. Among other things, Card thought others were accusing him of being a pedophile.
His fellow soldiers were concerned enough that his access to weapons was restricted when he left the hospital. At least one of the reservists specifically expressed concerns of a mass shooting.
New York and Maine both have laws that can lead to removal of weapons for someone who's experiencing a mental health crisis, but those laws were not invoked to take his guns.
Law enforcement officials in Maine were warned about concerns from Card's fellow reservists. But Card didn't answer the door at his Bowdoin home when deputies attempted to check on his well-being several weeks before the shootings.
___
Follow David Sharp on X, the platform formerly known as Twitter, @David_Sharp_AP
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"dfd10a9aa80648fbb64aceaf8780a752" + }, + "type": "picture" + } + }, + "body_nitf": "PORTLAND, Maine (AP) \u2014 A federal program that protects the health and wellbeing of commercial fishermen should be expanded to include substance use disorder and worker fatigue, a group of lawmakers from New England and Alaska said.
The lawmakers want to expand a federal commercial fishing occupational safety program that funds research and training. The program is designed to help the nation's fishermen with the often hazardous conditions they face at sea.
Republican Sen. Susan Collins of Maine, who is one of the lawmakers pushing for the change, said expanding the program would help fishermen access more safety training and mental health resources. Collins and the lawmakers introduced the proposal late last week.
\u201cEvery day, our fishermen are faced with demanding and dangerous working conditions that take both a physical and mental toll, all while they work to bring food to the tables of families across the country,\u201d said another member of the group, Democratic Sen. Edward Markey of Massachusetts, who added the expansion would \"provide much needed funding to ensure that fishermen are getting the information and resources they need to stay safe and healthy on the job.\u201d
Republican Sen. Dan Sullivan of Alaska is another supporter of the change. Alaska produces the most volume of seafood in the country, while New England is home to New Bedford, Massachusetts, the top U.S. port in terms of seafood value.
The lawmakers' proposed changes would increase the program's annual funding from $6 million to $12 million, a Collins spokesperson said. The proposal would also remove a cost share component from the program, the spokesperson said.
Commercial fishing is one of the most dangerous occupations in the country, and access to more mental and behavioral health supports is critically important for the nation's fishermen, said Andrea Tomlinson, founder and executive director of New England Young Fishermen\u2019s Alliance.
\u201cProviding our next generation of fishermen and women with the mental health and substance abuse care that they need is vital to the success of our industry,\u201d Tomlinson said.
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Therefore, the document is highly relevant to the topic of health." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2023/12/11/300601a624ca9affec4df5bb9b40624e.json b/datasets/AP_news/raw_data/2023/12/11/300601a624ca9affec4df5bb9b40624e.json new file mode 100644 index 0000000..f684550 --- /dev/null +++ b/datasets/AP_news/raw_data/2023/12/11/300601a624ca9affec4df5bb9b40624e.json @@ -0,0 +1,263 @@ +{ + "altids": { + "itemid": "300601a624ca9affec4df5bb9b40624e", + "etag": "300601a624ca9affec4df5bb9b40624e_0a4aza0c0", + "friendlykey": "23563323130", + "referenceid": "AF--Africa-Anthrax Outbreaks" + }, + "version": 0, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2023-12-11T20:41:05Z", + "firstcreated": "2023-12-11T20:41:04Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: With AP Photos.", + "signals": [ + "newscontent" + ], + "title": "AF--Africa-Anthrax Outbreaks", + "headline": "5 countries in East and southern Africa have anthrax outbreaks, WHO says, with 20 deaths reported", + "headline_extended": "The World Health Organization says five countries in East and southern Africa are in the middle of outbreaks of the anthrax disease with more than 1,100 suspected cases and 20 deaths this year", + "slugline": "BC-AF--Africa-Anthrax Outbreaks", + "description_summary": "The World Health Organization says five countries in East and southern Africa are in the middle of outbreaks of the anthrax disease with more than 1,100 suspected cases and 20 deaths this year. A total of 1,166 suspected cases have been reported in Kenya, Malawi, Uganda, Zambia and Zimbabwe. Thirty-seven cases have been confirmed by laboratory tests. WHO said Monday that the five countries have seasonal outbreaks every year. But Zambia was experiencing its worst since 2011 and Malawi reported its first human case this year. Uganda had 13 deaths. Anthrax usually affects livestock like cattle, sheep and goats as well as wild herbivores. Humans can be infected if they are exposed to the animals or contaminated animal products.", + "located": "CAPE TOWN, South Africa", + "datelinelocation": { + "city": "Cape Town", + "countrycode": "ZAF", + "countryname": "South Africa", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + 18.42322, + -33.92584 + ] + } + }, + "copyrightnotice": "Copyright 2023 The Associated Press. All rights reserved. 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A total of 1,166 suspected cases had been reported in Kenya, Malawi, Uganda, Zambia and Zimbabwe. Thirty-seven cases had been confirmed by laboratory tests, WHO said. It said the five countries have seasonal outbreaks every year, but Zambia was experiencing its worst since 2011 and Malawi reported its first human case this year. Uganda had reported 13 deaths.
Anthrax usually affects livestock like cattle, sheep and goats, as well as wild herbivores. Humans can be infected if they are exposed to the animals or contaminated animal products. Anthrax isn't generally considered to be contagious between humans, although there have been rare cases of person-to-person transmission, WHO says.
Anthrax is caused by spore-forming bacteria and is sometimes associated with the weaponized version used in the 2001 attacks in the United States, when five people died and 17 others fell sick after being exposed to anthrax spores in letters sent through the mail.
Anthrax bacteria also occurs naturally in soil.
In a separate assessment of the Zambia outbreak, which was the most concerning, WHO said that 684 suspected cases had been reported in the southern African nation as of Nov. 20, with four deaths. Human cases of anthrax had been reported in nine out of Zambia's 10 provinces. In one instance, 26 people were suspected of contracting the disease from eating contaminated hippopotamus meat.
WHO said there was a high risk that the Zambian outbreak would spread to neighboring countries.
The outbreaks in all five countries were \u201clikely being driven by multiple factors, including climatic shocks, food insecurity, low-risk perception and exposure to the disease through handling the meat of infected animals,\u201d WHO said.
___
AP Africa news: https://apnews.com/hub/africa
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} + }, + "body_nitf": "The Texas Supreme Court received a lot of attention this week when it rejected a woman\u2019s request for an immediate abortion there due to harrowing pregnancy complications.
It's one of several Western states where there have been developments and court arguments this week in lawsuits over state abortion policies.
In some cases, plaintiffs are trying to end the abortion bans most Republican-controlled states have begun enforcing since last year. In others, the quest is for clarity about exceptions that could come into play in a small portion of pregnancies.
Some things to know about the cases:
One short-lived Texas case may be the most watched of all the abortion ban lawsuits.
Last week, Katie Cox sued for the right to end her pregnancy. When she filed, the mother of two was 20 weeks pregnant with a fetus expected to die in utero or shortly after birth. She said carrying a baby to term would also risk her health and future fertility.
On Monday, the Texas Supreme Court denied the request, saying she didn\u2019t qualify for the exceptions to the abortion bans in state law.
By the time the ruling came down, her doctors said she had already traveled to another state to obtain an abortion.
Also this week, lawyers said a Kentucky woman who filed a similar challenge to her state\u2019s ban had learned the embryo she was carrying no longer had cardiac activity.
A lawyer for the state of Idaho made a case Thursday in Boise for dismissing a lawsuit that challenges the state's ban.
Like lawsuits in Tennessee and Texas, the plaintiffs are women who could not get abortions in their states despite pregnancies that had serious health risks for them, their fetuses or both. The women are not seeking to overturn the entire abortion ban but rather to clarify how exceptions to save the lives of pregnant women should be applied.
The state contended that the case should move ahead because it was based on hypothetical future scenarios. The plaintiffs said the opposite: That these are real situations facing doctors now \u2014 and the vagueness is harming women.
The plaintiffs all wanted to end pregnancies in which doctors told them they were likely to have miscarriages or deliver babies who would likely die soon after birth.
All four of them traveled to Oregon or Washington. Three of them received abortions and one delivered a stillborn baby.
After Ohio's ban on abortions after cardiac activity can be detected \u2014 generally at six weeks' gestation and before women often know they're pregnant \u2014 took effect last year, abortion providers sued to have it struck down, arguing it violated the state constitution.
A judge eventually put enforcement on hold while the case advanced through the courts.
Last month, Ohio voters approved amending the state constitution to enshrine the right to for people to make their own reproductive decisions. The amendment became official this month.
But the Republican-controlled state Legislature has not yet rolled back the ban. In fact, some Ohio GOP lawmakers have vowed to block the amendment from lifting existing abortion restrictions.
On Thursday, the abortion providers filed a new request for courts to throw out the state's bans, noting that the amendment has taken effect.
There are no restrictions in Democrat-controlled New Mexico on when in pregnancy abortion is allowed, and the state has become a haven for people from neighboring Texas, where nearly all abortions are illegal, to get them.
But some conservative city and county governments have passed their own restrictions. Gov. Michelle Lujan Grisham earlier this year signed a bill that overrides local restrictions that were adopted in Lea and Roosevelt counties and the cities of Hobbs and Clovis.
The state supreme court heard arguments Wednesday on whether they have the right to do so.
Justices have not indicated when they'll rule.
A judge heard arguments Thursday on whether to decide now on Wyoming's abortion bans or let a challenge to the laws go to trial in the spring.
Challenges to laws banning abortion at all stages of pregnancy and the nation's first explicit prohibition on use of medication to end pregnancy are before Teton County District Judge Melissa Owens, who has blocked the laws from being enforced while they are disputed in court.
Advocates on both sides have asked Owens to rule based on the law rather than holding a trial that's scheduled to start in April. Any ruling from her would likely be appealed to the Wyoming Supreme Court.
Owens didn't immediately make a decision after Thursday's arguments.
The state's high court this week also heard arguments from lawyers for some lawmakers who oppose abortion rights and Right to Life Wyoming who are seeking to join in the defense of the bans alongside the state attorney general.
The state has just one clinic that provides abortions with both medication and surgery. The Casper clinic opened in April, after a nearly yearlong delay because of damage from an arson attack. A second, in Jackson, which provides only medication abortion, is closing this week because of high rent and other costs.
Justices on the Arizona Supreme Court on Tuesday grilled lawyers about whether a territorial abortion ban adopted in 1864, nearly a half-century before it became a state, is still fully in effect \u2014 or if key parts have been superseded by a new law adopted last year.
A state appeals court previously ruled that because of newer restrictions, physicians cannot be prosecuted for providing abortions in the first 15 weeks of pregnancy, but other people can be.
A lawyer representing the director of anti-abortion counseling centers said the lower court got it wrong and that the old ban still applies to doctors, too, and that the 15-week law allows abortions during that time only to save the life of the pregnant woman.
Lawyers for the state government and Planned Parenthood of Arizona disagree.
While the court considers the case, advocates are trying to get a measure on the ballot next year to enshrine the right to abortion in the state constitution.
The U.S. Supreme Court said Wednesday that it will take up an abortion case in its current term, which will run until late June or early July.
The case is on whether mifepristone, one of the two drugs used in combination for most medication abortions, was properly approved by federal regulators.
An appeals court\u2019s ruling would cut off access to the drug through mail and impose other restrictions.
The arguments will be the first before the highest court in the U.S. on abortion since Dobbs v. Jackson Women\u2019s Health Organization last year. That was the case in which the court undid the right to abortion that justices had found nearly 50 years earlier in Roe v. Wade, sparking the wave of laws and lawsuits.
", + "textformat": "bx", + "links": [ + { + "href": "https://apnews.com/article/abortion-lawsuit-kentucky-texas-arizona-42776ba0bc37394f86dc779be98e0949", + "rel": "canonical" + } + ], + "topics": { + "Health": { + "relevance_score": 4, + "reason": "The document discusses various legal cases and court rulings related to abortion laws in multiple U.S. states. While the primary focus is on the legal and political aspects of abortion, the topic of abortion itself is inherently related to health, particularly women's reproductive health. 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A judge gave Cox permission last week but that decision was put on hold by the state\u2019s all-Republican high court. The court ruled against Cox later Monday. Cox's lawsuit quickly became a high-profile test of bans in Texas and a dozen other GOP-controlled states, where abortion is prohibited at nearly all stages of pregnancy.", + "bylines": [ + { + "by": "By PAUL J. WEBER and JAMIE STENGLE", + "title": "Associated Press" + } + ], + "located": "AUSTIN, Texas", + "datelinelocation": { + "city": "Austin", + "countryareacode": "TX", + "countryareaname": "Texas", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -97.74306, + 30.26715 + ] + } + }, + "copyrightnotice": "Copyright 2023 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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Texas (AP) \u2014 A pregnant Texas woman whose fetus has a fatal condition left the state to get an abortion elsewhere before the state Supreme Court on Monday rejected her unprecedented challenge of one of the most restrictive bans in the U.S.
Kate Cox, a 31-year-old mother of two, had spent nearly a week seeking court permission in Texas to end her pregnancy, but her attorneys said she could not wait any longer and left the state. Her baby has a condition known as trisomy 18, which has low survival rates, and her lawsuit argued that continuing the pregnancy jeopardized both her health and ability to have more children.
Texas\u2019 abortion ban makes narrow exceptions when the life of the mother is in danger but not for fetal anomalies. Republican Attorney General Ken Paxton argued that Cox had not shown that any of the complications in her pregnancy rose to the level of threatening her life.
\u201cHer health is on the line. She\u2019s been in and out of the emergency room and she couldn\u2019t wait any longer,\u201d said Nancy Northup, president and CEO of the Center for Reproductive Rights, which was representing Cox.
The organization did not disclose where Cox went. On Monday, she would have been 20 weeks and six days pregnant.
Hours after Cox's attorneys announced she had left Texas, the state Supreme Court issued its decision that ruled against Cox. It came three days after the court temporarily halted a lower judge's ruling that gave Cox permission to get an abortion.
\"No one disputes that Ms. Cox\u2019s pregnancy has been extremely complicated. Any parents would be devastated to learn of their unborn child\u2019s trisomy 18 diagnosis,\" the court wrote. \u201cSome difficulties in pregnancy, however, even serious ones, do not pose the heightened risks to the mother the exception encompasses.\u201d
Cox, who lives in the Dallas area, was believed to be the first woman in the U.S. to ask a court for permission for an abortion since Roe v. Wade was overturned last year. Her lawsuit quickly became a high-profile test of bans in Texas and a dozen other GOP-controlled states, where abortion is prohibited at nearly all stages of pregnancy.
Days after Cox filed her lawsuit, a pregnant woman in Kentucky also asked a court to allow an abortion. There has been no ruling yet in that case.
In Texas, Paxton mounted an aggressive defense to try to prevent Cox from having an abortion. He sent three Houston hospitals letters warning of legal consequences \u2014 both criminal and civil \u2014 if they allowed Cox's physician to provide the procedure. He also argued that Cox had not demonstrated that her life was at imminent risk, including noting that she was sent home after her multiple visits to emergency rooms.
Cox had cesarean surgeries during her first two pregnancies. Her lawsuit argued that inducing labor would carry a risk of a uterine rupture because of her prior C-sections, and that another one at full term would would endanger her ability to carry another child. But Paxton contended those arguments still fell short.
\u201cRather, the only question is whether Ms. Cox\u2019s condition meets the exception, regardless of how long the child is expected to live,\u201d Paxton's office told the court in a filing over the weekend.
Dr. Leilah Zahedi-Spung, a maternal fetal medicine specialist in Colorado and a fellow with Physicians for Reproductive Health, said when lethal fetal anomalies are diagnosed \u201cthere\u2019s only risk to that pregnant person and no benefit unfortunately for that innocent child.\u201d
\u201cYou are putting your body through risks without any benefit because prolonging the pregnancy doesn\u2019t change the survival rate,\u201d Zahedi-Spung said.
Doctors told Cox that her fetus has a condition known as trisomy 18, which is when a baby has an extra copy of chromosome 18. The diagnosis has a very high likelihood of miscarriage or stillbirth, and low survival rate. Doctors told Cox that inducing labor or carrying the baby to term could jeopardize her ability to have another child.
Trisomy 18 occurs in approximately 1 in 2,500 diagnosed pregnancies, according to the American College of Obstetricians and Gynecologists and the Society for Maternal-Fetal Medicine. There is no live birth in about 70% of pregnancies involving the diagnosis that proceed past 12 weeks gestational age, according to a legal filing that the two groups submitted to the court.
The termination of pregnancies because of fetal anomalies or other often-fatal medical problems is seldom discussed in national debates over abortion. There are no recent statistics on the frequency of terminations for fetal anomalies in the U.S. but experts say it\u2019s a small percentage of total procedures.
Texas has long been at the forefront of strict abortion laws in the U.S., and even now, there are ongoing efforts to make it harder for pregnant women to leave Texas for states where the procedure is legal. This year, a federal judge in Texas ruled that the bans do not apply to helping women get abortions out of state.
Under Texas\u2019 bans, doctors who provide an abortion can face criminal charges that carry punishments of up to life in prison. They could also face lawsuits from private citizens, who are empowered to sue a person who helps a woman obtain an abortion, such as the doctor\u2019s staff. The laws do not threaten the mother with any legal consequences.
Dr. Christina Bourne, medical director for abortion provider Trust Women, which provides abortion care in Wichita, Kansas, and also has a clinic in Oklahoma City, said that whether someone\u2019s life is at risk can be subjective.
Doctors are now operating in a confusing atmosphere, Bourne said,
\u201cIf you are a pregnant person in a legally restrictive state, I am concerned about your health outcomes,\u201d she said.
___
Stengle reported from Dallas.
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December 9, 2023.
Editorial: Michigan GOP needs an intervention
The Republican National Committee must intervene to help stabilize the Michigan Republican Party, which is heading into the presidential campaign season financially broke and wracked by internal feuds.
The state GOP has all but disappeared under the leadership of Chair Kristina Karamo. The Detroit News reported that a draft report from a group opposed to Karamo\u2019s leadership found the state GOP\u2019s main fundraising account had just $315,000 in it as of Nov. 30.
The party also owes about $509,000 on its longstanding line of credit with Comerica Bank, along with $110,000 for a speaker at the Mackinac Leadership Conference in September.
With three weeks until the beginning of 2024 \u2014 a pivotal election year \u2014 the state\u2019s GOP is essentially bankrupt.
Karamo raised just $186,000 from March through October of this year, according to the document. By comparison, the party raised $1.3 million during the same period in 2021 under former chairman Ron Weiser.
In further proof of the party\u2019s desperate condition, The Detroit News reported exclusively Karamo filed suit against the former chairs who control the trust that owns its Lansing headquarters. She wants to sell the building to settle the current debt.
RNC staffers are reportedly coming to Michigan next week to meet with GOP donors and assess the situation here.
Meanwhile, 39 members of the state executive committee have scheduled a meeting Dec. 27 to consider unseating Karamo. That move would require 75% of the state committee, which has about 100 members. Or, with two-thirds of the committee it could change the bylaws to lower the threshold.
If the dissidents are successful in dumping Karamo, the challenge will be finding a successor who can appeal to both the Trump-sotted grassroots and the traditional donor base.
Former Congressman Pete Hoekstra of Grand Rapids says he\u2019d take the job under the right circumstances. He\u2019d be the perfect choice.
If Karamo can be replaced, the next steps will be up to the RNC. The national committee must recognize the new chair as the official Republican leader in Michigan and make sure he or she is credentialed by the RNC as the official representative of Michigan.
The new chair will need help rebuilding a fundraising structure and crafting a plan for managing the debt. The revamped state party will need considerable assistance from the RNC in paying for its presidential nominating caucuses in March, as well as in organizing the vote.
How much direct financial aid the national party can give is uncertain. It has had fundraising struggles of its own due to former President Donald Trump siphoning off a large number of donors to fund his campaign.
Because of the disarray in Michigan, the RNC has not placed a state director or field staff here to assist in its national efforts, as it typically would.
RNC Chair Ronna Romney McDaniel still lives in Michigan and must be aware of the state of emergency in the Michigan Republican Party. She also knows the critical role this state will play in next year\u2019s presidential race and the battle for control of Congress.
The RNC must take an active role in reestablishing political order in a state that is vital to its 2024 ambitions.
___
Traverse City Record-Eagle. December 10, 2023.
Editorial: The tide that lifts all boats
A historic $11 billion in federal funds, allocated for Michigan through the Bipartisan Infrastructure Law passed in November 2021, is going to pay for projects aimed at expanding access to high-speed internet, rebuilding the state\u2019s roads and bridges, and improving water and sewer systems, public transportation and public parks.
To put the amount in context, the state\u2019s annual budget for fiscal year 2024 is about $81 billion, so an infusion of an additional $11 billion will have a significant impact. In effect, it\u2019s a funding tide that will lift all boats.
And, boy, do we need it \u2013 especially when we have the state administration throwing $20 million at an ad campaign targeting young college graduates in other states and the Growing Michigan Together Council floating the idea of paying people to move to Michigan.
That\u2019s no tide lifting anything. Instead, it feels like we\u2019re circling the drain. It\u2019ll be interesting to see the council\u2019s Dec. 15 recommendations.
In the meantime, what seems most uplifting, oddly enough, is what the U.S. Congress has done for us.
In October, we reported on the Traverse City Cherry Capital Airport receiving both an Airport Improvement Grant and funding from the Airport Terminal Program to expand the terminal ramp to the east and west, and to replace three passenger jet bridges.
That\u2019s part of this federal largesse \u2014 and it\u2019s being invested right in the heart of the Traverse City area.
This is the first major infrastructure spending in the U.S. in more than a decade. When adjusted for inflation, the $550-billion legislation is the equivalent of building the interstate highway system, according to a report in The New York Times.
Total infrastructure spending as a percentage of GDP has been declining since about 1970, when the rate of investment was 1.15%. The level fell as low as 0.7% in 2019, according to a study by Yale University. This infrastructure bill brought it back up to about 1.2%, a level of investment only exceeded by the New Deal at 1.4%.
As Michigan motorists know, failing to invest in crumbling roads and bridges costs more in the long run, not to mention the wear and tear on our vehicles. Roads that have to be rebuilt from a poor condition cost more to repair than those rated somewhat higher yet still need replacement.
U.S. Transportation Administration data shows, as of this spring, there were 1,219 road bridges and 7,345 miles of highway in poor condition. Michigan is expected to receive $7.3 billion toward road replacement and repair and $563 million for road bridge work. About $3.1 billion of those funds have been, or will soon be, allocated.
For our region, we\u2019ll see a $29 million investment in pavement reconstruction on I-75 from Levering Road to Cheboygan County; $4.5 million to improve M-72 in Kalkaska and Crawford counties; $273,679 to chip and seal a portion of M-32 in Atlanta; and $1.1 million to reconstruct and add drainage to a portion of M-22 in Leelanau County.
Other general allocations for Michigan include about $1 billion toward public transportation \u2014 and not just the airport \u2013 bus, rail, car and passenger ferry infrastructure will receive funds for upgrades. Another $1.3 billion is earmarked to improve water infrastructure, and $110 million for electric vehicle infrastructure, including charging stations.
One of the largest outlays of the federal infrastructure funding in the state, at $1.56 billion, is a plan to ensure residents\u2019 access to a high-speed internet connection. That will benefit many people in our rural areas.
The key to attracting growth, and doing it wisely, is to piggyback off these projects and extend them by magnifying the impact of the federal funds that much more. The members of that Growing Michigan Together Council should reconvene, mark all of these federal projects on a big map of Michigan and figure out how they can springboard some enhancement off each one of the initiatives.
Use state funds to make federal investment in infrastructure count for a nearby town, a nature trail, a township park, an educational institution or an arts and entertainment venue.
The answer is staring them in the face: Invest in Michigan.
Build it up and they will come.
___
Iron Mountain Daily News. December 5, 2023.
Editorial: \u2019Tis the week \u2014 and the season \u2014 to get that flu shot
While this is National Influenza Vaccination Week, truth is flu season already appears to be in full swing in parts of the U.S., with 11 states reporting high levels of flu-like illnesses Friday, mostly in the South and Southwest, according to the Associated Press.
So the Michigan Department of Health and Human Services is urging Michigan residents to get flu, COVID-19 and RSV vaccines. All three can help protect against respiratory illnesses and can be given at the same time, MDHHS stated in a news release.
\u201cVaccines against respiratory illnesses are the best way to protect yourself and your families against the anticipated surge of these illnesses over winter months,\u201d said Dr. Natasha Bagdasarian, chief medical executive. \u201cIt is not too late to get vaccinated this season \u2014 please get your flu, COVID-19 and RSV vaccines (if eligible) today to prevent yourself from the potentially severe consequences of influenza and other respiratory illnesses this holiday season and to help prevent further burden on our health care system.\u201d
While it is ideal to get a flu vaccine before flu starts spreading \u2014 usually in October each year \u2014 getting vaccinated is beneficial anytime flu viruses are circulating, according to the MDHHS. Respiratory virus activity is beginning to increase nationally, which is why getting vaccinated now can still provide protection. Flu activity usually peaks in February but significant flu activity can continue into May.
The Centers for Disease Control and Prevention recommends annual influenza vaccination for all persons ages 6 months and older with rare exceptions. According to data from the Michigan Care Improvement Registry, as of Nov. 18 approximately 2.2 million people in Michigan have received their flu vaccine for the 2023-2024 flu season, which is 55% towards the state\u2019s goal of reaching 4 million doses of flu vaccine administered this season.
For people younger than 65 years, CDC recommends any flu vaccine available during the 2023-2024 flu season. Options for this age group include inactivated flu vaccine, recombinant flu vaccine or live-attenuated flu vaccine for those ages 2 to 49.
Vaccination is particularly important for individuals at higher risk of developing serious flu complications, including young children, adults ages 65 years and older, people with certain chronic medical conditions and pregnant persons. Some children ages 6 months through 8 years will need two doses of flu vaccine this season to be fully protected. Individuals should speak with their health care provider to determine which vaccine is best for them.
Since it takes about two weeks after the vaccine is administered before the body builds up enough immunity to protect from severe illness from the flu, now is an ideal time to get the shots to be ready when families and friends begin to gather for the holidays later this month.
The Michigan Department of Insurance and Financial Services also reminds Michiganders that flu shots are an essential health benefit under the Affordable Care Act and are covered with no out-of-pocket costs by most health plans in Michigan.
\u201cAs the weather gets colder and Michiganders spend more time inside, getting a flu shot can help keep you and your family healthy without missing time from work or school,\u201d DIFS Director Anita Fox said. Most health plans cover flu shots at no cost, so I urge you to get your vaccine and to make sure that your kids and other family members are also protected.\u201d
Michiganders with questions about their health insurance can contact DIFS at 877-999-6442 8 a.m. to 5 p.m. Monday through Friday or online at Michigan.gov/HealthInsurance.
Flu vaccines are widely available now at local health departments, physician offices and pharmacies around the state. Go online Michigan.gov/flu for more information or to IVaccinate.org to find answers to vaccine questions.
For updates on flu and respiratory illnesses in Michigan, go to Michigan.gov/CovidFluRSV and Michigan.gov/flufocus.
END
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With AP Photos.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "AS--Asia-Hunger", + "headline": "Asia lags behind pre-pandemic levels of food security, UN food agency says", + "headline_extended": "The U.N. Food and Agriculture Organization says that hunger remains a chronic problem in Asia", + "slugline": "BC-AS--Asia-Hunger, 1st Ld-Writethru", + "description_summary": "The U.N. Food and Agriculture Organization says that hunger remains a chronic problem in Asia. A report issued Monday shows 55 million more people were undernourished in 2022 than before the COVID-19 pandemic. Progress has stagnated as the pandemic reversed a longstanding trend beginning in the early 2000s toward alleviation of hunger. The FAO study says more than half of the 735 million people who are nourished worldwide live in the Asia-Pacific, most of them in South Asia. The share of people suffering from such undernourishment fell to 8.4% in 2022 from 8.8% the year before. But that\u2019s higher than the 7.3% of people who were undernourished before the pandemic began.", + "bylines": [ + { + "by": "By ELAINE KURTENBACH", + "title": "AP Business Writer" + } + ], + "located": "BANGKOK", + "datelinelocation": { + "city": "Bangkok", + "countrycode": "THA", + "countryname": "Thailand", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + 100.50144, + 13.75398 + ] + } + }, + "copyrightnotice": "Copyright 2023 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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Food and Agriculture Organization says in its latest assessment of food security in the region.
Most of those living without enough to eat are in South Asia, and women tend to be less food secure than men, the report says.
The FAO\u2019s study focuses on food supply, consumption and dietary energy needs and is designed to capture a state of chronic energy deprivation that stunts growth and saps productivity and quality of life.
The share of people in the region suffering from such undernourishment fell to 8.4% in 2022 from 8.8% the year before. But that\u2019s higher than the 7.3% of people who were undernourished before the pandemic began, sending some economies into a tailspin and depriving millions of people of their livelihoods.
Natural disasters and disruptions to food supplies, often linked to climate change, have added to those pressures.
The FAO data show the share of people in the region facing moderate food insecurity, uncertain of their ability to obtain food and having to sometimes eat less or poorer food due to a lack of money, or those experiencing hunger that puts their well-being at serious risk, still hovers near 30% for the world and above 25% for Asia and the Pacific.
The problem is worst for women: more than one in five women in Asia, excluding East Asia, face moderate or severe food insecurity. The rates are slightly lower for men in most regions, but in Southern Asia the gap grows to more than 42% for women and more than 37% for men.
Higher food, fuel, fertilizer and livestock feed prices mean that progress has stagnated after the pandemic reversed a longstanding trend beginning in the early 2000s toward alleviation of hunger.
It's a global problem, made worse by disruptions to supplies of grain, edible oil and fertilizer partly due to the war in Ukraine.
Worldwide, the number of people having precarious access to food rose to nearly 2.4 billion in 2022 from just over 1.6 billion in 2015, the report said.
In Africa, the United Nations says at least three of every four Africans can\u2019t afford a healthy diet because of an \u201cunprecedented food crisis.\u201d
More than half of the 735 million people who are nourished worldwide live in the Asia-Pacific, most of them in South Asia. But North Korea has the largest regional share of people who are undernourished, the report says, at about 45%, followed by Afghanistan at 30%.
The world average for undernourishment is 9.2%, while in the Pacific islands of Oceania, excluding Australia and New Zealand, it was nearly 21%, or more than one in five people. In Southern Asia, about 16% of people are undernourished, the report says.
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December 10, 2023.
Editorial: Iowa Republicans have made a mess of family planning. Will they fix it?
Anti-abortion legislators and Gov. Kim Reynolds have enacted a parade of policies in Iowa that focus mainly on punishing abortion providers.
Ensuring the availability of reproductive health care \u2014 from providers better aligned with this anti-abortion vision \u2014 has seemed to be a secondary goal.
Iowa is seeing the results of these priorities. As predicted, ever since Statehouse Republicans cut off Planned Parenthood from government money in 2017, fewer people have received subsidized counsel and care. More surprising is that the state can\u2019t manage to get its purported \u201cpro-life\u201d alternatives off the ground.
The state could go in three directions from here.
\u2014 Leaders could do nothing and leave Iowans in need of services flailing.
\u2014 They could acknowledge the statistics and try to understand why Iowans are not visiting anti-abortion reproductive care providers.
\u2014 Or they could allow experts including Planned Parenthood to resume their proven work helping Iowa families.
That last, and best, direction isn\u2019t likely, given that Republican leadership has invested a lot of time and energy into trying to deceive people into thinking that abortion is all Planned Parenthood does. But pretending that there\u2019s no major problem should not be palatable either.
Iowa family planning history: How we got here
Two major actions have led us to where we are today:
1. Six years ago, the Republican-controlled Legislature removed Iowa from the federal family planning network and set up a state version that would not allow funding to reach clinics that provide abortions.
2. Over the past two years, the Legislature has tried to put money toward a program called \u201cMore Options for Maternal Support,\u201d or MOMS, intended to assist crisis pregnancy centers that are not medical clinics and steer girls and women away from considering abortion. Abortion rights advocates correctly pillory crisis pregnancy centers for misleading women about abortion, but MOMS raised the prospect at least of some material assistance \u2013 donated baby items, for instance \u2013 reaching girls and women in need.
The results: Reproductive care that doesn\u2019t measure up
How have those actions worked out?
3. The state family planning network is an underused disaster. The number of people obtaining services through it dropped 83% from 2017 to 2021, the Register\u2019s Michaela Ramm reported. That\u2019s hundreds fewer people every year getting help with birth control, pelvic exams and other services. The number of abortions in the state \u2014 presumably the statistic that matters most to Republicans \u2014 has increased. Data on sexually transmitted diseases is a bit of a mixed bag, but syphilis cases have risen substantially.
4. Iowa can\u2019t even get MOMS off the ground. Two rounds of bidding for a nonprofit agency to administer it have failed. State officials deserve some faint praise on this point: They appropriately rejected a bidder this year because it wasn\u2019t able to meet the state\u2019s standard for data collection. Documenting how MOMS money is used is, indeed, a rock-bottom expectation, particularly in light of widely reported fraud and other misspending associated with a similar program in Texas that had relatively few guardrails. The state will continue trying to run a MOMS network itself, for now.
Iowa Republicans make it harder for girls and women to find help
All this has happened against the backdrop of anti-abortion decisions from the Trump administration and then from the U.S. Supreme Court. The Iowa Supreme Court also flip-flopped and removed abortion protections. The Legislature then passed a law banning almost all abortions; it\u2019s on hold while it\u2019s reviewed in court. Meanwhile, the state Board of Medicine, which is required to prepare rules to enforce the law should it take effect, is considering language that uses political, not medical, terminology, and would require doctors to assess, perhaps in an adversarial manner, whether a pregnancy is the result of rape or incest.
The collective effect of all these Republican policies has been to make help harder to find, period.
What Iowa Republicans are offering \u2014 a family planning network that ostensibly offers reproductive health care except for abortions and a network of pregnancy resource centers that excludes proven health care procedures \u2014 is vastly inferior to what was available here before 2017 and to what remains available in much of the country. Elsewhere, leaders recognize and celebrate Planned Parenthood\u2019s expertise in averting unplanned pregnancies and providing competent, nurturing care.
The Iowa systems aren\u2019t delivering as advertised, not even close. Neither network is providing even these reduced services in a meaningful way. Nor is the state spending any money to help Iowans learn about the family planning services that remain available.
What Iowa really needs to do to foster the best outcomes for women and for children is to reverse course and take advantage of all family planning providers. Given that unlikelihood, the state at the very least must puts more effort into actually connecting its family planning network and MOMS with Iowa families who need help.
___
Daily Nonpareil. December 9, 2023.
Editorial: Condemnation worth a pause before sharing
While careful, precise, intentional language is always laudable, it\u2019s an absolute necessity when discussing certain issues.
Use the wrong word, or phrase, and you\u2019re likely to shut down a conversation before any actual communication can take place.
As college Democrats at the University of Iowa learned, it can also get you accused of advocating for genocide.
In a world where the leading candidate for the Republican nomination for the presidency jokes about being a dictator \u2014 if only for one day \u2014 to own the libs, perhaps hearing that a group of youthful Democrats supports genocide doesn\u2019t ring the alarm bells that it should.
But such extreme rhetoric should ring an alarm bell when you hear it. You should say, \u201cIs that right?\u201d In the case of Mr. Trump, sadly it is. For the UI Democrats, though, it isn\u2019t \u2014 at least, that\u2019s certainly not what they intended to convey.
A pro-Palestine statement issued Nov. 1 from the college group concluded with the line, \u201cMay every Palestinian live long and free, from the river to the sea.\u201d
That phrase is considered antisemitic by the Anti-Defamation League among others. It has historic pro-Palestinian roots, but it has been adopted by anti-Israel entities, including Hamas.
It refers to the area between the Jordan River and the Mediterranean Sea, which includes Gaza, Israel and the West Bank.
U.S. Rep. Rashida Tlaib, who was censured in part of using the phrase, described the slogan as \u201can aspirational call for freedom, human rights, and peaceful coexistence, not death, destruction, or hate.\u201d
The college Democrats changed their statement to read, \u201cMay every Palestinian live long and free.\u201d Nonetheless, the Iowa Democratic Party issued a statement condemning them and calling on the leaders who signed it to resign.
\u201cLet\u2019s be very clear. That is a call for Jewish genocide and we wholly condemn that offensive language,\u201d Iowa Democratic Party state chairwoman Rita Hart said in response to the college students.
Matthew Charles, a UI senior and treasurer of University Democrats, told The Gazette that Hart didn\u2019t communicate with the students beforehand.
\u201cThey\u2019re saying, unambiguously, these people are calling for Jewish genocide, which obviously is not true,\u201d he said. \u201cIf anything, we made a mistake and used a few words that we shouldn\u2019t have.\u201d
Last weekend, Hart said it was \u201cnot an easy situation to handle\u201d and \u201ca very tough political situation.\u201d
It needn\u2019t have been, though. A short delay in reacting \u2014 allowing time to reach out and gather facts, and likely diagnose the problem as overzealousness on the part of college students \u2014 would have avoided much of the consternation.
Talking to someone before publicly condemning them doesn\u2019t seem like too much to ask, even if it means you\u2019re not the first to be seen reacting. That\u2019s especially true when dealing with topics where language use can be particularly tricky.
We hope the lesson learned by both sides of this tiff is to take a moment, take a breath and be sure of what you\u2019re saying.
END
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(AP) \u2014 A skier suffered a life-threatening leg injury after triggering an avalanche while skiing down Mount Washington, the highest peak in the Northeast, New Hampshire Fish and Game conservation officers said.
Dominic Torro, 30, of Bow, New Hampshire, was coming down \u201cAirplane Gully\u201d in a wilderness area with a friend Saturday morning, Sgt. Glen Lucas of the department said in a news release.
Torro's friend and another skier went to Torro and called 911. No one else was caught in the avalanche.
Authorities worked on a rescue plan for a National Guard helicopter and the Mount Washington Auto Road Sno-Cat vehicle.
\u201cConcern about specific and needed medical action rose to the level that a joint phone call was made to a highly experienced back country paramedic in order to give medical guidance to the two skiers giving the aid,\u201d Lucas said. \u201cThe guidance was given and Torro was stabilized.\u201d
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The National Highway Traffic Safety Administration announced on Tuesday that it is starting the process to put a new federal safety standard in place requiring the technology in all new passenger vehicles.
Such devices were required in the Bipartisan Infrastructure Law that was passed by Congress in 2021.
The agency says an advance notice of proposed rule making will help it gather information about the state of technology to detect impaired driving. The regulation would set standards for the devices once technology is mature, NHTSA said in a statement.
It can take years for a regulation to make its way through the process, which includes public comment periods.
In 2021, the latest year for which statistics are available, nearly 13,400 people were killed in drunken driving crashes, costing society $280 billion in medical expenses, lost wages and loss of quality of life, the statement said.
Alcohol-impaired crash deaths hit nearly a 15-year high in December of 2021 with more than 1,000 people dying.
\u201cIt's going to keep drunk drivers off the road and we're going to keep people from dying because somebody's drunk,\u201d U.S. Rep. Debbie Dingell, a Michigan Democrat who pushed for the regulation. \u201cThis is going to be simple technology.\u201d
The Alliance for Automotive Innovation, an industry trade group, said in a statement that it is reviewing the NHTSA announcement and that automakers are working to make vehicles safer.
In 2022, the National Transportation Safety Board recommended to NHTSA that all new vehicles in the U.S. be equipped with alcohol monitoring systems that can stop an intoxicated person from driving.
NHTSA and a group of 16 automakers have been jointly funding research on alcohol monitoring, forming a group called Driver Alcohol Detection System for Safety.
The group is researching technology that would automatically test a driver\u2019s breath for alcohol and stop a vehicle from moving if the driver is impaired. The driver wouldn\u2019t have to blow into a tube, and a sensor would check the driver\u2019s breath.
Another company is working on light technology that could test for blood alcohol in a person\u2019s finger, the group has said.
NHTSA and law enforcement agencies on Tuesday announced their annual \u201cDrive Sober or Get Pulled Over\u201d enforcement campaign for the holiday season. Increased enforcement will run from Dec. 13 through Jan. 1.
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However, the document does not delve deeply into health-related issues or provide detailed health information, focusing more on regulatory and technological aspects." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2023/12/12/3e24f473b0eab907993ddcad189e8115.json b/datasets/AP_news/raw_data/2023/12/12/3e24f473b0eab907993ddcad189e8115.json new file mode 100644 index 0000000..a49c7ec --- /dev/null +++ b/datasets/AP_news/raw_data/2023/12/12/3e24f473b0eab907993ddcad189e8115.json @@ -0,0 +1,257 @@ +{ + "altids": { + "itemid": "3e24f473b0eab907993ddcad189e8115", + "etag": "3e24f473b0eab907993ddcad189e8115_0a8aza0c0", + "friendlykey": "417853278460", + "referenceid": "US--Abortion-Texas-What We Know" + }, + "version": 0, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2023-12-12T20:18:06Z", + "firstcreated": "2023-12-12T20:18:05Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: With AP Photos.", + "signals": [ + "newscontent" + ], + "title": "US--Abortion-Texas-What We Know", + "headline": "What we know about the legal case of a Texas woman denied the right to an immediate abortion", + "headline_extended": "The Texas Supreme Court this week said no to a woman who asked for permission for an immediate abortion", + "slugline": "AP-US--Abortion-Texas-What We Know", + "description_summary": "The Texas Supreme Court this week said no to a woman who asked for permission for an immediate abortion. Katie Cox said pregnancy complications would result in a stillbirth or the death of her baby soon after birth and that continuing the pregnancy to full term could endanger her life and future fertility. But the Texas Supreme Court ruled Monday that she still didn't meet the exceptions to the state's law. The case is believed to be the first since the U.S. Supreme Court overturned the right to abortion in which a pregnant woman has sued seeking immediate access.", + "bylines": [ + { + "by": "By GEOFF MULVIHILL", + "title": "Associated Press" + } + ], + "copyrightnotice": "Copyright 2023 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. For other uses, additional clearances may be required." + ], + "keywords": [ + "abortion texas court kate cox complications" + ], + "provider": "AP", + "infosource": [ + { + "name": "AP", + "type": "AP" + } + ], + "subject": [ + { + "rels": [ + "category" + ], + "creator": "Editorial", + "code": "a", + "name": "a" + }, + { + "rels": [ + "category" + ], + "creator": "Editorial", + "code": "n", + "name": "n" + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "5898d3303b1e4dfc9e4ae39ed34f3378", + "name": "Lawsuits", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 44 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "e2305bd07de410048fcfdf092526b43e", + "name": "Pregnancy and childbirth", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 74 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "e22e35087de410048fc2df092526b43e", + "name": "Abortion", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 82 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "86aad5207dac100488ecba7fa5283c3e", + "name": "Politics", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 56 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "86ba17607dac1004894eba7fa5283c3e", + "name": "Courts", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 66 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "cc7a76087e4e10048482df092526b43e", + "name": "Health", + "creator": "Editorial", + "editorial_subject": "Health", + "rels": [ + "direct" + ], + "relevance": 75 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "a4677d70863b4012b846a1b00f5079f5", + "name": "U.S. news", + "creator": "Editorial", + "editorial_subject": "U.S. news", + "rels": [ + "direct" + ], + "relevance": 99 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "f25af2d07e4e100484f5df092526b43e", + "name": "General news", + "creator": "Editorial", + "editorial_subject": "General news", + "rels": [ + "direct" + ], + "relevance": 50 + } + ], + "organisation": [ + { + "scheme": "http://cv.ap.org/id/", + "code": "efa933c0892110048d92fb7860a2fc03", + "name": "Supreme Court of the United States", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 36 + } + ], + "place": [ + { + "scheme": "http://cv.ap.org/id/", + "code": "6e92d9b882c7100488e5df092526b43e", + "name": "Texas", + "creator": "Machine", + "rels": [ + "direct" + ], + "parentids": [ + "661e48387d5b10048291c076b8e3055c" + ], + "locationtype": { + "code": "0ae5eb8e00e04295a4fc209c94bfe6ef", + "name": "State" + }, + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -99.25061, + 31.25044 + ] + }, + "relevance": 97, + "parentnames": [ + "United States" + ] + } + ], + "audiences": [ + { + "code": "82c6a4c46fa0446090a7acaf93159e4c", + "name": "Print", + "type": "AUDPLATFORM" + }, + { + "code": "9add4649b53b4702ba7d9de5d4fa607a", + "name": "Online", + "type": "AUDPLATFORM" + }, + { + "code": "f5b16ea8760d10048047e6e7a0f4673e", + "name": "State", + "type": "AUDSCOPE" + }, + { + "code": "f43adc08760d10048040e6e7a0f4673e", + "name": "National", + "type": "AUDSCOPE" + }, + { + "code": "f4ecf9b0760d10048044e6e7a0f4673e", + "name": "International", + "type": "AUDSCOPE" + }, + { + "code": "6e92d9b882c7100488e5df092526b43e", + "name": "Texas", + "type": "AUDGEOGRAPHY" + }, + { + "code": "2f6e294082b310048474df092526b43e", + "name": "Kentucky", + "type": "AUDGEOGRAPHY" + }, + { + "code": "661850e07d5b100481f5c076b8e3055c", + "name": "Latin America and Caribbean", + "type": "AUDGEOGRAPHY" + }, + { + "code": "661e48387d5b10048291c076b8e3055c", + "name": "United States", + "type": "AUDGEOGRAPHY" + } + ], + "associations": { + "1": { + "altids": { + "itemid": "63349cdecc43471290b1be288322c135" + }, + "type": "picture" + } + }, + "body_nitf": "Last week, a Texas woman sued her home state for the right to obtain an abortion in a new kind of challenge to the bans that most Republican-controlled states have begun enforcing in the last year and a half since Roe v. Wade was overturned.
The Texas Supreme Court denied Katie Cox's request on Monday.
But by then, her lawyers said, she had already traveled out of state for an abortion.
Here's what we know about her case.
The 31-year-old mother of two children \u2014 ages 3 and 1 \u2014 and her husband want additional children and they were glad to learn she was pregnant.
But tests confirmed late last month that the baby she was carrying had a condition called trisomy 18, an extra chromosome that made it likely the baby would die in utero or shortly after birth.
She had a hard pregnancy, with several trips to an emergency room. By the time she filed her lawsuit last week, she was 20 weeks pregnant.
She said in court filings that delivering the baby at full term by cesarean surgery would carry a risk of uterine rupture, which would endanger any future pregnancies.
Texas has multiple abortion bans in place.
The state allows abortion in cases where doctors determine it necessary to save the life of the pregnant woman. Unlike at least three other states with bans on abortion at all stages of pregnancy, there is no exception in Texas for fatal fetal anomalies.
Doctors convicted of providing illegal abortions can face steep consequences: up to 99 years in prison, $100,000 fines and losing their medical licenses.
The trisomy 18 diagnosis came Nov. 28, the same day the Texas Supreme Court heard arguments in another case brought by a group of physicians and women who were denied abortions.
The state Supreme Court has not ruled on their challenge, which calls for clarification of the exceptions in the state's bans, which the plaintiffs say are so vague that doctors are fearful of providing abortions under virtually any circumstance.
Hearing about that led her to the lawyers representing those women.
But her case is different. While the other plaintiffs contend that they were hurt by the state's policies, Cox was seeking the right to an immediate abortion.
Like the others, Cox says doctors told her they could not provide her an abortion because of state law.
On Friday, an Austin-based judge elected as a Democrat granted Cox permission to receive an abortion, but the state attorney general warned that anyone who provided one could still face legal consequences.
Later that day, the Texas Supreme Court put the lower court's order on hold. Monday evening, the high court ruled against Cox, finding her pregnancy complications did not constitute the kind of medical emergency under which abortions are allowed.
\u201cSome difficulties in pregnancy,\u201d the court said in an order that was not signed but to which two of the justices said they concurred, \u201ceven serious ones, do not pose the heightened risks to the mother that the exception encompassed.\u201d
Even before that ruling was issued Monday, Cox's lawyers said she had traveled out of state for an abortion.
A ruling by a Texas court regarding a Texas law does not apply elsewhere.
But in the week since Cox sued, a pregnant woman sued her home state, Kentucky, for the right to an immediate abortion. That woman, who filed under a pseudonym, is challenging the constitutionality of Kentucky's ban. But on Tuesday, her lawyers said her embryo no longer had cardiac activity. The lawyers said they would continue the case.
Rachel Rebouch\u00e9, an associate dean at Temple University Beasley School of Law in Philadelphia, said it's hard for pregnant women to bring these suits.
But when they do, she said: \u201cIt throws into sharp relief what\u2019s at stake. No one\u2019s speaking for the pregnant woman, they\u2019re speaking for themselves.\u201d
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These health aspects are relevant to the topic of health, but the document is more centered on the legal and policy dimensions rather than health itself." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2023/12/12/4fd8d2c5c0ad30ba716afcd64214b76d.json b/datasets/AP_news/raw_data/2023/12/12/4fd8d2c5c0ad30ba716afcd64214b76d.json new file mode 100644 index 0000000..8915ff3 --- /dev/null +++ b/datasets/AP_news/raw_data/2023/12/12/4fd8d2c5c0ad30ba716afcd64214b76d.json @@ -0,0 +1,319 @@ +{ + "altids": { + "itemid": "4fd8d2c5c0ad30ba716afcd64214b76d", + "etag": "4fd8d2c5c0ad30ba716afcd64214b76d_0a19aza0c0", + "friendlykey": "687565553376", + "referenceid": "US--Atlantic City Casino Smoking" + }, + "version": 0, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2023-12-12T17:35:51Z", + "firstcreated": "2023-12-12T17:35:50Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: With AP Photos.", + "signals": [ + "newscontent" + ], + "title": "US--Atlantic City Casino Smoking", + "headline": "Auto union boss urges New Jersey lawmakers to pass casino smoking ban", + "headline_extended": "Shawn Fain, the international president of the United Auto Workers union, recently won large raises for his workers", + "slugline": "BC-US--Atlantic City Casino Smoking", + "description_summary": "Shawn Fain, the international president of the United Auto Workers union, recently won large raises for his workers. Now he's taking aim at a new target: New Jersey lawmakers who are delaying votes on a bill to ban smoking in Atlantic City\u2019s casinos. The head of the powerful union represents workers at three casinos. He's urging legislators to move the bill forward in a scheduled hearing Thursday. Many casino workers have been pushing for three years for a smoking ban, which the casinos oppose on economic grounds. The casinos propose enclosed smoking rooms as a compromise, but the UAW rejects that proposal.", + "bylines": [ + { + "by": "By WAYNE PARRY", + "title": "Associated Press" + } + ], + "located": "ATLANTIC CITY, N.J.", + "datelinelocation": { + "city": "Atlantic City", + "countryareacode": "NJ", + "countryareaname": "New Jersey", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -74.00597, + 40.71427 + ] + } + }, + "copyrightnotice": "Copyright 2023 The Associated Press. All rights reserved. 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(AP) \u2014 Shawn Fain, the international president of the United Auto Workers union who recently won large raises for his workers, is taking aim at a new target: New Jersey lawmakers who are delaying votes on a bill to ban smoking in Atlantic City\u2019s casinos.
The head of the powerful union, which represents workers at three casinos here, is urging legislators to move the bill forward in a scheduled hearing Thursday, warning that the union will \u201cmonitor and track\u201d their votes.
Many casino workers have been pushing for three years to close a loophole in the state's public smoking law that specifically exempts casinos from a ban. Despite overwhelming bipartisan support from lawmakers, and a promise from the state's Democratic governor to sign the measure, it has been bottled up in state government committees without a vote to move it forward.
The same state Senate committee that failed to vote on the bill last month is due to try again on Thursday. Fain's letter to the state Senate and Assembly was timed to the upcoming hearing.
The casino industry opposes a ban, saying it will cost jobs and revenue. It has suggested creating enclosed smoking rooms, but has refused to divulge details of that plan.
\u201cThousands of UAW members work as table game dealers at the Caesars, Bally\u2019s, and Tropicana casinos in Atlantic City, and are exposed on a daily basis to the toxic harms of secondhand smoking,\u201d Fain wrote in a letter sent last week to lawmakers. \u201cPatrons blow cigarette/tobacco smoke directly into their faces for eight hours, and due to the nature of their work, table dealers are unable to take their eyes away from the table, so they bear through the thick smoke that surrounds their workplace.\u201d
Fain rejected smoking rooms as a solution, calling the suggestion \u201cpreposterous,\" and said it will oppose any amendment allowing anything less than a total ban on smoking in the casinos.
Currently, smoking is allowed on 25% of the casino floor. But those spaces are not contiguous, and are scattered widely throughout the premises.
At a Nov. 30 hearing in the state Senate, several lawmakers said they are willing to consider smoking rooms as a compromise.
The Casino Association of New Jersey did not immediately respond to a request for comment Tuesday. Nor did state Sen. Joseph Vitale, chairman of the committee that will conduct this week's hearing.
Chris Moyer, a spokesperson for the Atlantic City casino workers who want a smoking ban, said similar movements are under way in Pennsylvania, Rhode Island, Virginia, Kansas, Michigan and Nevada, and noted Connecticut\u2019s casinos are already smoke-free. Shreveport, Louisiana ended a smoking ban in its casinos in June.
\u201cWorkers should leave work in the same condition they arrived,\u201d Fain wrote. \u201cUnion. Non-union. Factory, office, casino, or any workplace in between, worker safety must be the #1 goal of every employer and worker throughout the state.\u201d
___
Follow Wayne Parry on X, formerly Twitter, at www.twitter.com/WayneParryAC
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With AP Photos.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "US--Abortion-Kentucky", + "headline": "Kentucky woman seeking court approval for abortion learned her embryo no longer has cardiac activity", + "headline_extended": "Attorneys for a pregnant woman in Kentucky who filed a lawsuit demanding the right to an abortion say she's learned her embryo no longer has cardiac activity", + "slugline": "BC-US--Abortion-Kentucky, 3rd Ld-Writethru", + "description_summary": "Attorneys for a pregnant woman in Kentucky who filed a lawsuit demanding the right to an abortion say she's learned her embryo no longer has cardiac activity. Her attorneys didn\u2019t immediately comment on what effect the development would have on the lawsuit filed last week in a state court in Louisville. The plaintiff, identified as Jane Doe, was seeking class-action status to include other Kentuckians who are or will become pregnant and want to have an abortion. The attorneys urged other Kentucky women who are pregnant and seeking an abortion to reach out if they are interested in joining the case.", + "bylines": [ + { + "by": "By BRUCE SCHREINER and KIMBERLEE KRUESI", + "title": "Associated Press" + } + ], + "located": "FRANKFORT, Ky.", + "datelinelocation": { + "city": "Frankfort", + "countryareacode": "KY", + "countryareaname": "Kentucky", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -84.87328, + 38.20091 + ] + } + }, + "copyrightnotice": "Copyright 2023 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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(AP) \u2014 A pregnant woman in Kentucky who filed a lawsuit demanding the right to an abortion has learned her embryo no longer has cardiac activity, her attorneys said Tuesday.
The plaintiff\u2019s attorneys signaled their intent to continue the challenge to Kentucky\u2019s near-total abortion ban, but did not immediately comment on what effect the development would have on the lawsuit.
The complaint was filed last week in a state court in Louisville. The plaintiff, identified only as Jane Doe, was seeking class-action status to include other Kentuckians who are or will become pregnant and want to have an abortion. The suit filed last week said she was about eight weeks pregnant.
The flurry of individual women petitioning a court for permission for an abortion is the latest development since Roe v. Wade was overturned last year. The Kentucky case is similar to a legal battle taking place in Texas, where Kate Cox, a pregnant woman with a likely fatal condition, launched an unprecedented challenge against one of the most restrictive abortion bans in the U.S.
But unlike the Texas case, little is known about the Kentucky plaintiff. Her attorneys have insisted they would fiercely protect their client\u2019s privacy, stressing that Jane Doe believes \u201ceveryone should have the right to make decisions privately and make decisions for their own families,\u201d Amber Duke, executive director for the ACLU of Kentucky, said last week. Her legal team also declined to disclose whether Jane Doe still needed an abortion.
Instead, Jane Doe\u2019s attorneys urged other women who are pregnant and seeking an abortion in the Bluegrass State to reach out if they are interested in joining the case. The lawsuit says Kentucky\u2019s near-total abortion ban violates the plaintiff\u2019s rights to privacy and self-determination under the state constitution.
\u201cJane Doe sought an abortion in Kentucky, and when she could not get one, she bravely came forward to challenge the state\u2019s abortion ban,\u201d ACLU Reproductive Freedom Project deputy director Brigitte Amiri said in a statement. \u201cAlthough she decided to have an abortion, the government denied her the freedom to control her body. Countless Kentuckians face the same harm every day as the result of the abortion ban.\u201d
According to court documents, Jane Doe had a medical appointment Dec. 8 \u2014 after the lawsuit was filed \u2014 where no cardiac activity was discovered after an ultrasound was performed.
In the Texas case, Cox, a 31-year-old mother of two, had been seeking court permission to end her pregnancy in a state where abortion is only allowed in narrow exceptions when the life of the mother is in danger \u2014 not for fetal anomalies. Before the Texas Supreme Court on Monday rejected Cox's request, her attorneys said she had left the state to get an abortion elsewhere because she could not wait any longer due to concerns that remaining pregnant would jeopardize her health and her ability to have more children.
While Cox is believed to be the first to make such a request, her legal team and other experts anticipate other challenges among the dozen of other GOP-controlled states where abortion is largely prohibited at all stages of pregnancy. Meanwhile, a handful of separate legal challenges are taking place across the country highlighting the stories from women who were denied abortions while facing harrowing pregnancy complications.
Earlier this year, Kentucky\u2019s Supreme Court refused to halt the state\u2019s near-total abortion ban and another outlawing abortion after the sixth week of pregnancy. The justices focused on narrow legal issues but did not resolve larger constitutional questions about whether access to abortion should be legal in the state.
The legal challenge revolves around Kentucky\u2019s near-total trigger law ban and a separate six-week ban \u2014 both passed by Republican legislative majorities. The trigger law was passed in 2019 and took effect when Roe v. Wade was overturned in 2022. It bans abortions except when they are carried out to save the life of the patient or to prevent disabling injury. It does not include exceptions for cases of rape or incest.
Kentucky voters last year rejected a ballot measure that would have denied any constitutional protections for abortion, but abortion rights supporters have made no inroads in the Republican-controlled Legislature in chipping away at the state\u2019s anti-abortion laws.
As a result of the ruling, patient-led challenges \u201care our only path forward to strike down the bans under the right to privacy and right to self-determination,\u201d Amiri said.
\"We will do everything we can to restore abortion access in Kentucky,\u201d she said.
___
Kruesi reported from Nashville, Tennessee.
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These aspects are directly related to health, particularly reproductive health and legal access to medical procedures." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2023/12/12/b8b10a6df203c99ea6fe51319c533ebe.json b/datasets/AP_news/raw_data/2023/12/12/b8b10a6df203c99ea6fe51319c533ebe.json new file mode 100644 index 0000000..8c2c895 --- /dev/null +++ b/datasets/AP_news/raw_data/2023/12/12/b8b10a6df203c99ea6fe51319c533ebe.json @@ -0,0 +1,236 @@ +{ + "altids": { + "itemid": "b8b10a6df203c99ea6fe51319c533ebe", + "etag": "b8b10a6df203c99ea6fe51319c533ebe_0a6aza0c0", + "friendlykey": "622059926069", + "referenceid": "US--Abortion-Arizona" + }, + "version": 0, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2023-12-12T23:11:16Z", + "firstcreated": "2023-12-12T23:11:16Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: With AP Photos.", + "signals": [ + "newscontent" + ], + "title": "US--Abortion-Arizona", + "headline": "An abortion ban enacted in 1864 is under review in the Arizona Supreme Court", + "headline_extended": "The Arizona Supreme Court is grilling lawyers over whether a pre-statehood ban on nearly all abortions is limited or has been made moot by other statutes enacted over the past 50 years", + "slugline": "AP-US-Abortion-Arizona", + "description_summary": "The Arizona Supreme Court is grilling lawyers over whether a pre-statehood ban on nearly all abortions is limited or has been made moot by other statutes enacted over the past 50 years. 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The state\u2019s high court is reviewing a lower-court decision that said doctors couldn\u2019t be charged for performing the procedure in the first 15 weeks of pregnancy because other Arizona laws over the years have allowed them to provide abortions.
The 1864 law, which remains on the books, imposes a near total ban on abortions, providing no exceptions for rape or incest but allowing them if a mother\u2019s life is in danger.
Nearly a year ago, the Arizona Court of Appeals concluded that doctors can't be prosecuted for performing abortions in the first 15 weeks. But it said people who aren't doctors would still be subject to prosecution under the old law.
Attorneys representing Dr. Eric Hazelrigg, the medical director of anti-abortion counseling centers in metro Phoenix who appealed the decision, had argued the Court of Appeals incorrectly concluded that the law doesn\u2019t apply to doctors. They are asking the state Supreme Court to lift the lower court's injunction.
Jacob Warner, an attorney representing Hazelrigg, said Arizona\u2019s 15-week abortion law, which took effect in 2022 after the U.S. Supreme Court overturned Roe v. Wade, makes it clear that abortion is only allowed after that time frame to protect the mother's life \"or to prevent significant reversible bodily impairment.\u201d
Andrew Gaona, an attorney representing Planned Parenthood Arizona, said that in passing laws regulating abortion over the past 50 years, Arizona lawmakers didn\u2019t \u201csignal any intent that most if not all of these subsequent enactments would become mere empty shells if Roe v. Wade were ever to fall.\"
A court had blocked enforcement of the 1864 law shortly after the U.S. Supreme Court issued the 1973 Roe v. Wade decision guaranteeing a constitutional right to an abortion. After the Supreme Court overturned the decision in June 2022, then-Republican Attorney General Mark Brnovich succeeded in getting a state judge in Tucson to lift the block. Brnovich\u2019s Democratic successor, Attorney General Kris Mayes, has since urged the state\u2019s high court to reject Hazelrigg\u2019s appeal.
This past summer, abortion rights advocates began a push to ask Arizona voters to create a constitutional right to abortion. If proponents collect enough signatures, Arizona will become the latest state to put the question of reproductive rights directly to voters.
The proposed constitutional amendment would guarantee abortion rights until a fetus could survive outside the womb, typically around 24 weeks of pregnancy. It also would allow later abortions to save the mother\u2019s life or to protect her physical or mental health.
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The Conference of Parties to the UNFCCC, or COP28 summit, featured numerous firsts, including forums on health, food production and philanthropy. The estimated pledges, which do not represent a complete account of philanthropic commitments at COP28, came from a mix of foundations and private companies with some made in partnership with governments. They will be delivered over a range of timelines.
For the first time, the Global Fund to Fight AIDS, Tuberculosis and Malaria sent a delegation to the conference, pledging to spend 70% of its budget, about $9 billion, in the 50 most climate vulnerable countries over the next three years.
\"The honest answer is that the global health community, including us, was so focused on COVID-19, that we probably didn\u2019t pay enough attention to all the signs of what climate change was doing to global health,\" said Peter Sands, CEO of the Global Fund.
His organization also launched a set of principles for financing projects at the intersection of climate and health along with the World Health Organization, the Green Climate Fund, The Rockefeller Foundation and COP presidency.
The first Business & Philanthropy forum offered foundations, donors and corporations a larger formal role at a time when COP28 leaders are looking to secure more financing from the private sector.
According to a report from ClimateWorks Foundation released earlier this month, philanthropic funding for climate change mitigation was essentially unchanged in 2022, after showing consistent growth for the past three years. The lack of growth is attributed to global economic conditions, including increased inflation.
\u201cEvery sector of society must do more to contribute, including philanthropy,\u201d said Helene Desanlis, ClimateWorks\u2019 director of climate philanthropy for global intelligence, which she said includes both increasing funding amounts and collaborating more closely with other funders and actors.
The forum announced new blended finance vehicles, which can fund initiatives through a mix of corporate investments and donations, as well as a call to direct funding for Indigenous peoples already working to protect the environment in their communities.
Ozawa Bineshi Albert, co-executive director of the Climate Justice Alliance, which advocates for people and organizations in frontline communities affected by climate change, said it\u2019s a welcome idea to increase funding for Indigenous peoples, who she says always face an uphill battle to be heard in these meetings.
\u201cIt would be generous for me to say I\u2019m cautiously optimistic,\u201d said Albert. \u201cThere\u2019s a difference between folks advocating to be benevolent caretakers of Indigenous people versus Indigenous people being at the table because they\u2019re players and they have a stake in what\u2019s going to happen.\u201d
Albert said the Business & Philanthropy forum can be helpful, but government policy and regulation, especially in reducing carbon production, would be far more helpful.
\u201cShould they and could they do more? Absolutely,\u201d she said.\u201c Do I think their investment in this is going to rescue us from the crisis we\u2019re in? No. The government still has to act. If we\u2019re not reducing and eliminating the production of carbon with our energy sources, no matter how much philanthropy invests, we will never be able to dig out of the hole.\u201d
Christie Ulman, president of the Sequoia Climate Foundation, which focuses on driving down emissions in part through transitioning to clean energy, said she is supporting their grantee organizations and partners at COP in advocating for ambitious targets for renewable energy and decreasing other pollutants like methane.
\u201cWe also are there encouraging the fossil fuel phase out agenda and mainstreaming that,\u201d she said of her organization's role at the summit. Along with multiple other philanthropic funders, Sequoia announced a $450 million commitment to target the reduction of methane and other pollutants over three years.
Last year, Sequoia along with some of the same funders, pledged $500 million over three years to accelerate the transition to clean energy sources in low- and middle-income countries. So far, Ullman said that coalition has granted out 40% of the commitment, or around $200 million.
Ulman said that the investments are targeted to support the plans and projects that countries have already made around energy transitions and she hopes that additional funding will follow.
The Bezos Earth Fund pledged $100 million to support a plan by Pacific Island nations to protect and sustainably manage marine ecosystems. Bloomberg Philanthropies also made commitments around protecting oceans, transitioning to clean energy and supporting cities adapting to climate change.
The Bill & Melinda Gates Foundation, which has long focused on food insecurity through developing tools and technology to help farmers adapt to climate change, announced a new commitment of $100 million along with the United Arab Emirates, who committed another $100 million. Some of those funds will go to CGIAR, an agricultural research group, which the Gates Foundation has supported with more than $1 billion in grants over time.
\u201cNo other effort to adapt to climate change will have more impact,\u201d Gates said in prepared remarks, of CGIAR.
The Gates Foundation and other funders also pledged a collective $770 million to expand the work of a fund founded by the UAE to eliminate neglected tropical diseases, called Reaching the Last Mile Fund.
Sands, of the Global Fund, advocated for using the existing global health architecture as much as possible to diminish the burden on health systems in individual countries and called for swift action in the short term as climate change exacerbates health inequities around the world.
\u201cFundamentally what it\u2019s doing is making those who are most vulnerable and least able to access health services even more vulnerable and even less able to access how health services,\u201d he said.
___
Associated Press coverage of philanthropy and nonprofits receives support through the AP\u2019s collaboration with The Conversation US, with funding from Lilly Endowment Inc. The AP is solely responsible for this content. For all of AP\u2019s philanthropy coverage, visit https://apnews.com/hub/philanthropy.
", + "textformat": "bx", + "links": [ + { + "href": "https://apnews.com/article/cop28-gates-global-fund-health-food-insecurity-cbec05f9b731ad21829edac1f4a045c6", + "rel": "canonical" + } + ], + "topics": { + "Health": { + "relevance_score": 4, + "reason": "The document discusses various aspects of the COP28 summit, with a significant focus on climate change, agriculture, and philanthropy. However, it also includes substantial information on health-related initiatives, such as the Global Fund's commitment to spend 70% of its budget in climate-vulnerable countries, the launch of principles for financing projects at the intersection of climate and health, and the impact of climate change on global health. These health-related details are relevant to the topic of health, but they are part of a broader discussion on climate change and philanthropy." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2023/12/12/e131b5e8afa9026adc1648840b37ac29.json b/datasets/AP_news/raw_data/2023/12/12/e131b5e8afa9026adc1648840b37ac29.json new file mode 100644 index 0000000..d4a8835 --- /dev/null +++ b/datasets/AP_news/raw_data/2023/12/12/e131b5e8afa9026adc1648840b37ac29.json @@ -0,0 +1,255 @@ +{ + "altids": { + "itemid": "e131b5e8afa9026adc1648840b37ac29", + "etag": "e131b5e8afa9026adc1648840b37ac29_0a4aza0c0", + "friendlykey": "407947007992", + "referenceid": "AF--West Africa-Food Insecurity" + }, + "version": 0, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2023-12-12T19:26:06Z", + "firstcreated": "2023-12-12T19:26:05Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "signals": [ + "newscontent" + ], + "title": "AF--West Africa-Food Insecurity", + "headline": "UN warns nearly 50 million people could face hunger next year in West and Central Africa", + "headline_extended": "The United Nations is warning that hunger could surge across West and Central Africa next year, primarily driven by violence in the conflict-riddled region", + "slugline": "BC-AF--West Africa-Food Insecurity", + "description_summary": "The United Nations is warning that hunger could surge across West and Central Africa next year, primarily driven by violence in the conflict-riddled region. Officials from the Food and Agriculture Organization presented the findings in Senegal\u2019s capital, Dakar. The report is compiled by the U.N. and aid groups. It says nearly 50 million people could face food insecurity and more than 2.5 million will be on the brink of starvation. Climate change and inflation are contributing factors but the main driver of food insecurity is increasing violence, particularly across the Central Sahel \u2014 the vast expanse below the Sahara Desert \u2014 which has been hardest hit.", + "bylines": [ + { + "by": "By SAM MEDNICK", + "title": "Associated Press" + } + ], + "located": "DAKAR, Senegal", + "datelinelocation": { + "city": "Dakar", + "countrycode": "SEN", + "countryname": "Senegal", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -17.44406, + 14.6937 + ] + } + }, + "copyrightnotice": "Copyright 2023 The Associated Press. All rights reserved. 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Nearly 50 million people could face food insecurity and more than 2.5 million will be on the brink of starvation, said officials from the U.N., the Food and Agriculture Organization, regional and other groups as they presented the findings in Senegal\u2019s capital, Dakar.
The report is compiled by regional governments, the U.N. and aid groups. While climate change and inflation are contributing factors, the main driver of food insecurity is increasing violence, particularly across the Central Sahel \u2014 the vast expanse below the Sahara Desert \u2014 which has been hardest hit.
Mali, Burkina Faso and Niger have had five coups in three years, which has led to increased jihadi attacks linked to al-Qaida and the Islamic State group. The militants were already operating in the area and have capitalized on the political turmoil, taking swaths of land and blockading cities.
\u201cThe biggest concern this year is the threat of insecurity,\" said Martin Naindouba Djerandodje, a regional expert for FAO. He added that if those affected do not get aid, \"people could die and the situation (could) get worse.\u201d
The cross-border region between Burkina Faso, Mali and Niger is the epicenter of West Africa\u2019s escalating humanitarian crisis, compounded by effects of climate change, severe floods and droughts. The U.N. is targeting more than 10 million people with assistance in the area.
Since the military takeover in Niger in July, jihadi violence has increased while economic, commercial and financial sanctions imposed by the West African regional bloc have made it harder for assistance to enter the country.
In Mali, violence in the north between soldiers accompanied by mercenaries from Russian military contractor Wagner and Tuareg fighters, coupled with the withdrawal of the U.N. peacekeeping mission after more than a decade, has made it harder for relief to get to some cities, aid workers say.
In Burkina Faso, where many places are under siege, aid workers say approximately 1 million people live in areas that are hard to reach. The Famine Early Warning Systems Network said Tuesday that hundreds of thousands in the northern city of Djibo could be at risk of famine after humanitarian cargo flights were suspended in October. Since then, less than 1% of the local population has received food assistance, the network said.
Even when food is available, soaring costs have made it hard for people to buy anything.
\u201cThere is no money here. There is no business to do in Djibo to get money, food is very expensive,\u201d Maiga, a Djibo resident who only wanted to use his family name for security reasons, told The Associated Press by phone on Tuesday.
The U.N. says it's unable to meet the soaring needs because of dwindling funds.
Forty percent of people who were food insecure this year did not get aid and those who did received less than 50% of the full rations, said Ollo Sib from the World Food Program.
The U.N. on Monday launched a $7.6 billion appeal to support more than 32 million people across West and Central Africa in dire need. Martin Gri\ufb03ths, the U.N.'s humanitarian chief, warned that support from the international community is not keeping pace with the needs.
\u201cIf we cannot provide more help in 2024, people will pay for it with their lives,\" he said.
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With AP Photos. AP Video.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "US--Abortion-Texas", + "headline": "Kate Cox sought an abortion in Texas. A court said no because she didn't show her life was in danger", + "headline_extended": "The Texas Supreme Court's rejection of a mother of two's request for an exception under the state's restrictive abortion ban has laid bare the high threshold women in many states must meet to get the procedure", + "slugline": "BC-US--Abortion-Texas, 2nd Ld-Writethru", + "description_summary": "The Texas Supreme Court's rejection of a mother of two's request for an exception under the state's restrictive abortion ban has laid bare the high threshold women in many states must meet to get the procedure. Carrying a fetus with a fatal condition, 31-year-old Kate Cox had been to the emergency room four times, she had elevated vital signs and risks of a uterine rupture and her ability to have more children was being put in jeopardy. But the state\u2019s Republican attorney general and its highest court agreed that she was not in life-threatening danger. Cox\u2019s attorneys on Monday said she had left the state to obtain an abortion elsewhere.", + "bylines": [ + { + "by": "By PAUL J. WEBER and JAMIE STENGLE", + "title": "Associated Press" + } + ], + "located": "AUSTIN, Texas", + "datelinelocation": { + "city": "Austin", + "countryareacode": "TX", + "countryareaname": "Texas", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -97.74306, + 30.26715 + ] + } + }, + "copyrightnotice": "Copyright 2023 The Associated Press. All rights reserved. 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whose fetus had a fatal condition, did not qualify for an abortion in Texas: not after four emergency room visits, elevated vital signs, risks of a uterine rupture and with her ability to have more children in jeopardy.
The Texas Supreme Court's rejection of the mother of two's request for an exception under the state's restrictive ban has laid bare the high threshold women in many states must meet to get the procedure: pregnancy complications that pose life-threatening danger to the mother.
\u201cThese laws reflect the policy choice that the Legislature has made, and the courts must respect that choice,\u201d the court's nine Republican justices said in their ruling late Monday.
The state\u2019s Republican attorney general had for a week argued that Cox did not meet the standard for an exception, despite appeals from her attorneys that her health was deteriorating. Hours before the order came down, Cox's attorney said she could no longer wait for the procedure and had already left Texas to get an abortion in another state.
The decision galled doctors and opponents who say it underscored how, even though such bans allow abortions to save a mother\u2019s life, the laws are vague on how close to death a patient must be to get the procedure. Fourteen states have banned abortion at nearly all stages of pregnancy since the U.S. Supreme Court decision last year in Dobbs vs. Jackson Women\u2019s Health, which upended the right to an abortion.
The outcome in Texas drew condemnation from the White House, which criticized Republican abortion policies and called them out of step. \u201cThis should never happen in America, period,\" President Joe Biden said in a statement Tuesday.
Public polling has shown that the majority of U.S. adults want abortion to be legal at least in the initial stages of pregnancy.
Dr. Clayton Alfonso, an OB-GYN at Duke University, said things \u201ccan go from being really OK to really bad really quickly\u201d during pregnancy. He said that with so many nuances in medicine, it's often difficult to know what will lead to a death.
\u201cThings just don\u2019t fit the strict legal guidelines of black and white,\" Alfonso said.
Texas\u2019 ban is one of the most restrictive in the U.S. and backers of the law say it worked as designed this week, even while acknowledging Cox\u2019s tragic circumstances.
On Tuesday, however, there was no reaction from Republicans in Texas who championed the state's ban. The offices of Texas. Gov. Greg Abbott, the state's GOP lieutenant governor and the House speaker did not return messages seeking comment.
States with bans in the U.S. have provisions to allow abortion to save the life of the woman. There\u2019s a patchwork of policies for other exceptions, including for pregnancies caused by rape or incest. In the states with the most restrictive policies, abortion is generally allowed if doctors find it necessary to prevent the pregnant woman from irreversible impairment of a major bodily function \u2014 but not to protect her health in other ways, including mental health.
Texas Right to Life President John Seago, whose group opposes abortion and has helped push through some of the state's restrictive laws, said they want doctors to \u201cintervene immediately\u201d if there is a life-threatening condition. But he said Cox's lawsuit never demonstrated that was the case.
\u201cWhen we look at this case, it is a very tragic situation of a child that has a negative diagnosis, but in Texas law we have a very strong position that we are going to give every child in Texas a chance at life,\u201d Seago said.
Nationally, about 700 women die each year because of pregnancy or delivery complications. Doctors worry that delaying an abortion could mean a slightly riskier procedure, especially when the pregnancy is further along. While they stress that abortion is safe at all points of pregnancy \u2014 with an overall complication rate of 2% \u2014 the procedure does carry additional risks as the pregnancy progresses.
Doctors and researchers say abortion delays have grown more common since Roe v. Wade was overturned. One big reason for delays is the increasing need to seek care out of state.
Some state lawmakers took steps this year to clarify their laws. In Texas, for instance, they added a provision that offers doctors some legal protection when they end pregnancies in cases of premature rupture of membranes or ectopic pregnancies.
For Cox, tests confirmed late last month that the baby she was carrying had a condition called trisomy 18, an extra chromosome that made it likely the baby would die in utero or shortly after birth.
Dr. Andrea Henkel, a clinical assistant in the department of obstetrics and gynecology and a complex family planning subspecialist at Stanford Health Care in Palo Alto, California, said trisomy 18 is associated with an increased risk of gestational diabetes, preterm birth and cesarean birth. She said additional cesareans \u2014 Cox already has two children born by cesarean section \u2014 are inherently more risky, especially if Cox wants to have more children in the future.
\u201cI think that that\u2019s where I really struggle right now is when legislators get in the way of a patient making the best plan outside of knowing their specific goals and desires,\u201d Henkel said.
___
Stengle reported from Dallas. Associated Press writers Laura Ungar in Louisville, Kentucky; Geoff Mulvihill in Philadelphia; and video journalist Kendria LaFleur in Dallas contributed to this report.
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The renewed access marks an important emotional milestone for victims of the Aug. 8 fire, but much work remains to be done to safely clear properties of burned debris and rebuild. Monday's reopened areas include Banyan Tree Park, which is home to a 150-year-old tree that burned in the fire but that is now sprouting new leaves. They also encompass remnants of Lahaina\u2019s public library, an elementary school and popular restaurants.", + "bylines": [ + { + "by": "By LINDSEY WASSON and AUDREY McAVOY", + "title": "Associated Press" + } + ], + "located": "LAHAINA, Hawaii", + "datelinelocation": { + "city": "Lahaina", + "countryareacode": "HI", + "countryareaname": "Hawaii", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -156.67663, + 20.87429 + ] + } + }, + "copyrightnotice": "Copyright 2023 The Associated Press. All rights reserved. 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"48": { + "altids": { + "itemid": "73994bd2b0ab41daa09ae6674066efaa" + }, + "type": "picture" + } + }, + "body_nitf": "LAHAINA, Hawaii (AP) \u2014 The heart of Lahaina, the historic town on the Hawaiian island of Maui that burned in a deadly wildfire that killed at least 100 people, is reopening to residents and business owners holding day passes.
The renewed access on Monday and Tuesday marks an important emotional milestone for victims of the Aug. 8 fire, but much work remains to be done to safely clear properties of burned debris and rebuild. Some residents are concerned about where the fire debris will wind up on the island with a vibrant and delicate ecosystem.
The reopened areas include Banyan Tree Park, home to a 150-year-old tree that burned in the fire but is now sprouting new leaves, as well as Lahaina's public library, an elementary school and popular restaurants.
An oceanfront section of Front Street, where the fire ripped through a traffic jam of cars trying to escape town, reopened Friday.
Authorities are continuing to recommend that people entering scorched lots wear protective gear to shield them from hazards.
On Sunday, the state Department of Health released test results confirming the ash and dust left by the fire is toxic and that arsenic is the biggest concern. Arsenic is a heavy metal that adheres to wildfire dust and ash, the department said.
The tests examined ash samples collected Nov. 7-8 from 100 properties built from the 1900s to the 2000s. Samples also showed high levels of lead, which was used to paint houses built before 1978.
Clean-up is still in its early stages. For the past few months, the U.S. Environmental Protection Agency has been removing batteries, propane tanks, pesticides and other hazards from the town's more than 2,000 destroyed buildings.
Residents and business owners have been able to visit their properties after the EPA has finished clearing their lots. In some cases, residents \u2014 often wearing white full-body suits, masks and gloves \u2014 have found family heirlooms and mementos after sifting through the charred rubble of their homes.
The U.S. Army Corps of Engineers will begin hauling away the remaining debris and take it to a landfill after it gets permission from property owners.
Officials have said the debris would be put into dumpsters lined with impermeable plastic, then wrapped up and sealed with glue. Another layer of plastic would then cover it before it\u2019s placed in the landfill site, which would be closed and covered with grass to look like a park.
The county plans to monitor the area for the next 30 years, the county has said. Officials plan to install groundwater wells between the landfill and the ocean to check for potential contaminant leaks.
Some Maui residents are skeptical about the plan, in part because the landfill is just 400 yards (365 meters) from the coast. The reef off Olowalu hosts the largest known manta ray population in the U.S. and is a primary source of coral larvae for the reefs of Lanai, Molokai and West Maui, according to The Nature Conservancy in Hawaii.
\u201cPart of our fears and part of the dangers of this is, you don\u2019t smell it. You don\u2019t see it. It\u2019s an accumulative toxin,\u201d Eddy Garcia, executive director of Regenerative Education Centers in Olowalu, said of the potential toxins in the wildfire debris. \u201cEvery time you touch it, it goes into your face. It also seeps into the ocean. Algae will pick it up and then fish eat the algae, bigger fish with those fish. And then we eat those fish.\u201d
The EPA and the state's health department have also installed 53 air monitors in Lahaina and Upcountry Maui, where a separate fire burned homes in early August. The department is urging people to avoid outdoor activity when monitor levels show elevated air pollution and to close windows and doors.
___
McAvoy reported from Honolulu.
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The primary focus is on the community's recovery and the environmental impact, rather than health as the central theme." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2023/12/13/0f6d421c8f39d0322ef31aacedd6d46a.json b/datasets/AP_news/raw_data/2023/12/13/0f6d421c8f39d0322ef31aacedd6d46a.json new file mode 100644 index 0000000..c5b3ccd --- /dev/null +++ b/datasets/AP_news/raw_data/2023/12/13/0f6d421c8f39d0322ef31aacedd6d46a.json @@ -0,0 +1,283 @@ +{ + "altids": { + "itemid": "0f6d421c8f39d0322ef31aacedd6d46a", + "etag": "0f6d421c8f39d0322ef31aacedd6d46a_4a9aza0c0", + "friendlykey": "428876259881", + "referenceid": "US--Eyedrops" + }, + "version": 4, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2023-12-26T23:23:05Z", + "firstcreated": "2023-12-13T13:16:26Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: With AP Photos. EDITS: Links AP Audio. Nothing in the story, which first ran on Dec. 13, has changed. With AP Photos.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "US--Eyedrops", + "headline": "After recalls and infections, experts say safer eyedrops will require new FDA powers", + "headline_extended": "Repeated recalls of eyedrops are drawing new attention to the limited powers U.S. regulators have to oversee medical products made overseas", + "slugline": "BC-US-Eyedrops, 4th Ld-Writethru", + "description_summary": "Repeated recalls of eyedrops are drawing new attention to the limited powers U.S. regulators have to oversee medical products made overseas. Unlike prescription drugs, eyedrops and other over-the-counter products don't get preliminary review by the Food and Drug Administration. In the case of two eyedrop recalls earlier this year, FDA inspectors had never previously visited the plants in India. In both cases, when FDA inspectors arrived on site they found dangerous conditions. The FDA is asking Congress for new powers, including the ability to require drugmakers to immediately recall products. But experts say those authorities will do little without more resources for foreign inspections.", + "bylines": [ + { + "by": "By MATTHEW PERRONE", + "title": "AP Health Writer" + } + ], + "located": "WASHINGTON", + "datelinelocation": { + "city": "Washington", + "countryareacode": "DC", + "countryareaname": "District of Columbia", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -77.03637, + 38.89511 + ] + } + }, + "copyrightnotice": "Copyright 2023 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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But repeated recalls involving over-the-counter drops are drawing new attention to just how little U.S. officials know about the conditions at some manufacturing plants on the other side of the world \u2014 and the limited tools they have to intervene when there's a problem.
The Food and Drug Administration is asking Congress for new powers, including the ability to mandate drug recalls and require eyedrop makers to undergo inspections before shipping products to the U.S. But experts say those capabilities will do little without more staff and resources for foreign inspections, which were a challenge even before the COVID-19 pandemic forced regulators to skip thousands of visits.
\u201cThe FDA is not getting its job done in terms of drug quality assurance inspections abroad,\u201d said David Ridley of Duke University and co-author of a recent paper tracking the downturn in inspections. \u201cVery few foreign drugmakers have been inspected in the past four years.\u201d
In 2022, FDA foreign inspections were down 79% from 2019, according to agency records collected by Ridley's group. Inspections increased this year but are still far below pre-pandemic levels.
FDA spokesman Jeremy Kahn said: \u201cThe FDA works to inspect as many facilities possible, but ultimately industry is responsible for the quality of their products.\"
An October recall of two dozen eyedrop brands came after FDA staff found cracked floors, barefoot workers and other unsanitary conditions at a Mumbai plant that supplied products to CVS, Walmart and other major retailers. It was the first time FDA staff had visited the site.
That inspection was prompted by an earlier recall of tainted eyedrops from a different Indian plant that's been linked to four deaths and more than a dozen cases of vision loss. That plant had also never been previously inspected.
\u201cThese are very rare instances, but what we\u2019ve seen is that these products can cause real harm,\u201d said Dr. Timothy Janetos, an ophthalmologist at Northwestern University. \u201cSomething needs to change.\u201d
Experts point to three possible changes:
EARLIER INSPECTIONS
Prescription medicines are highly regulated. Before a drugmaker can sell one in the U.S., it must undergo FDA review to establish its safety and effectiveness. As part of the process, the FDA typically inspects the factory where the drug will be made.
But eyedrops and other over-the-counter products don\u2019t undergo preliminary review or inspections. Instead, they are governed by a different system called a monograph, essentially a generic recipe for all medicines in a particular class. So long as drugmakers attest that they are using the standard recipe, they can launch a product within days of filing with the FDA.
\u201cIt\u2019s nothing more than electronic paperwork,\u201d said Dr. Sandra Brown of the Dry Eye Foundation, a nonprofit advocating for increased regulation. \u201cThere\u2019s no requirement for the facility to be inspected prior to shipping for sale.\u201d
The FDA says it has flexibility to adjust its review process \u201cto ensure safety.\"
But the agency is asking Congress for the power to require manufacturers of eyedrops and other sterile products to give at least six months notice before shipping products from a new factory. That would give inspectors time to visit facilities that aren\u2019t on their radar.
The proposal could face pushback from some over-the-counter drugmakers, who aren\u2019t accustomed to preapproval inspections.
But Brown says the unique risks of tainted eyedrops require a different approach from pills and tablets.
\u201cAnything you swallow is going to meet up with your stomach acid, which is going to kill most bacteria,\" Brown said. \u201cIt\u2019s much more dangerous to put a product in your eye.\u201d
REQUIRING RECALLS
The FDA warned consumers in late October not to use the eyedrops sold at CVS, Rite-Aid and other stores. But the products weren\u2019t officially recalled until Nov. 15, almost three weeks later.
That's because Indian manufacturer, Kilitch Healthcare, initially declined to cooperate. The FDA can force recalls of food, medical devices and many other products, but it lacks the same authority for drugs and instead must ask companies to voluntarily take action.
The FDA recently asked Congress for mandatory recall authority over drugs.
FUNDING FOREIGN INSPECTORS
Since the 1990s, drug manufacturing has increasingly moved to India, China and other lower-cost countries.
The Government Accountability Office has raised concerns for years about the FDA\u2019s oversight of the global supply chain, flagging it as a \u201chigh-risk\u201d issue for more than a decade.
The FDA said in a statement it uses \u201call available tools\u201d to ensure Americans get \u201chigh quality, safe and effective\u201d medications.
The agency generally prioritizes factories that have never been inspected or haven\u2019t been inspected in the last five years. It halted most routine, in-person foreign inspections in March 2020 and did not resume them until 2022. The agency didn\u2019t conduct any inspections in India during the first year of COVID-19.
FDA leaders have long said it's challenging to recruit and keep overseas inspectors.
Experts say Congress can and should address that.
\u201cFederal hiring is inherently slow and pay is often not competitive,\u201d said Ridley, the Duke researcher. \u201dCongress needs to try and help FDA solve that problem and then hold them responsible for staffing inspections.\u201d
___
The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute\u2019s Science and Educational Media Group. The AP is solely responsible for all content.
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(AP) \u2014 The New Mexico Supreme Court is weighing whether to strike down local abortion restrictions by conservative cities and counties at the request of the attorney general for the state where abortion laws are among the most liberal in the country.
The high court heard oral arguments for roughly an hour Wednesday without a ruling as lawyers and activists packed the small courtroom and state police vehicles lined the street outside in a rarely seen security deployment.
It's unclear how soon the justices may rule after temporarily blocking local anti-abortion ordinances. At least one abortion provider abandoned efforts to open a facility in eastern New Mexico near the Texas state line as a result of local restrictions, relocating to Albuquerque instead.
At least four state supreme courts are grappling with abortion litigation this week in the aftermath of the U.S. Supreme Court\u2019s decision last year to rescind the constitutional right to abortion.
Opposition to abortion runs deep in New Mexico communities that border Texas. In Lea and Roosevelt counties and the cities of Hobbs and Clovis, officials argue that local governments have the right to back federal abortion restrictions under a 19th century U.S. law that prohibits the shipping of abortion medication and supplies.
They say the local abortion ordinances can't be struck down at least until federal courts rule on the meaning of provision within the \u201canti-vice\u201d law known as the Comstock Act.
The law has been revived by anti-abortion groups and conservative states seeking to block the mailing of mifepristone, a medication used in the most common method of abortion in the United States. On Wednesday, the U.S. Supreme Court agreed to take up a dispute over the drug it its first abortion case since it overturned Roe v. Wade last year.
Beyond New Mexico, the act underpins an anti-abortion \u201csanctuary city\u201d ordinance in Danville, Illinois, and several proposed ordinances for jurisdictions stretching from Montana to rural Grayson County in Virginia, said Mark Lee Dickson, a Texas-based advocate for local restrictions on abortion and related travel.
Attorney General Ra\u00fal Torrez argued Wednesday that the Comstock Act does not confer authority on local governments to enforce federal restrictions on abortion, just as they can't override New Mexico's legalization of recreational cannabis.
He said the local abortion ordinances violate constitutional guarantees under the New Mexico\u2019s equal rights amendment that prohibits discrimination based on sex or being pregnant.
Torrez urged the court to clarify women's right to abortion.
\u201cThe court should at least consider whether there is an independent state constitutional basis for announcing a basic proposition that women in this state have a constitutional right, under the equal rights amendment, to access reproductive health care,\u201d he said.
Earlier this year, New Mexico Gov. Michelle Lujan Grisham signed a bill that overrides local ordinances aimed at limiting abortion access and enacted a shield law that protects abortion providers from investigations by other states.
Erin Hawley, a Washington-D.C.-based attorney representing Roosevelt County, argued that the new state law doesn't prevent local governments from interfering with services such as abortion that fall outside standardized medical obligations to patients.
\u201cWe would disagree with it being health care,\u201d said Hawley, senior attorney at the Alliance Defending Freedom and wife of U.S. Sen. Josh Hawley of Missouri. \u201cThese services are not within the medical standards of care.\u201d
Justices peppered the attorney general and three attorneys for local governments with questions, voicing skepticism on a variety of arguments.
Since the court case began, additional local ordinances have been adopted to restrict abortion near Albuquerque and along the state line with Texas.
New Mexico is among seven states that allow abortions up until birth, and it has become a major destination for people from other states with bans, especially Texas, who are seeking procedures.
Because of New Mexico\u2019s permissive abortion laws, some nearby Texas counties have sought to prevent pregnant women from using its highways to leave the state for the procedure. The ordinances, including one recently adopted in Lubbock County, ban helping people travel within local boundaries to get an abortion. The measures are solely enforced by lawsuits filed by private citizens, although to date there are no known cases that have been filed.
A pregnant Texas woman whose fetus has a fatal condition left the state to get an abortion elsewhere before the state's Supreme Court on Monday rejected her unprecedented challenge of one of the most restrictive bans in the U.S.
In 2021, the New Mexico Legislature repealed a dormant 1969 statute that outlawed most abortion procedures as felonies, ensuring access to abortion even after the U.S. Supreme Court rolled back guarantees last year.
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in Oregon and Washington have named it a top issue as overdose deaths rise.
Washington's Democratic Gov. Jay Inslee plans to ask lawmakers for about $64 million more to treat and prevent opioid use. In Oregon, Democratic Gov. Tina Kotek has proposed declaring a fentanyl emergency in Portland, and lawmakers have created a committee on addiction to get a jump on the issue before the Legislature reconvenes in February.
\u201cOne pill can now take your life. Fentanyl is the nuclear weapon of drugs and we\u2019ve got to up our game against this scourge,\u201d Inslee said during a press conference on Wednesday.
A surge in fentanyl deaths, including among children, has marked the latest iteration of the years-long opioid crisis. The most recent provisional figures from the federal Centers for Disease Control and Prevention estimate that more than 78,000 people died from overdoses involving synthetic opioids in the 12 months ending June 2023, accounting for 92% of all opioid overdose deaths during that period.
One way Oregon and Washington want to reduce fatalities is by more widely distributing opioid overdose reversal medications such as naloxone. Naloxone is most commonly administered as a nasal spray or an injection and helps restore breathing.
Inslee's office said part of his proposed supplemental budget would go toward equipping first responders with naloxone, and setting up 20 \u201csmart\u201d machines that dispense naloxone and other health supplies in areas of the state with high rates of opioid overdoses.
Oregon's state health department said it plans to offer free opioid overdose reversal kits to middle and high schools. A bill that has been filed ahead of Washington's short legislative session, which starts in January, would require all school districts to make such medication available in its high schools. Current law only requires districts with at least 2,000 students to do so.
Native Americans and Alaska Natives in Washington have been especially affected, dying from opioid overdoses at four times the state average, according to the proposed budget. Inslee wants some funds to go to a campaign to spread awareness in tribes about opioids, including how to find treatment and use naloxone.
Another key goal is expanding access to treatment, including in jails. The majority of inmates meet the criteria for drug dependence or abuse, studies have found, and they are more likely to die in their first weeks after release. Overdose is a leading cause of death for people newly released, partly because their tolerance decreases when they're not using behind bars.
The federal government is planning to allow states to use money from Medicaid, the joint federal-state health insurance program for low-income people, to pay for medications that help curb opioid use in state jails and prisons. The plan represents a major shift for the program; when launched in 1965, it banned using the funds to help incarcerated people.
Until the federal Medicaid dollars become available, Inslee wants to equip all city, county and tribal jails across the state with medications for opioid use disorder, increasing the number from the 19 locations currently providing it.
His state's opioid response plan also seeks to expand treatment by allowing jails to start administering medication that reduces cravings and withdrawal symptoms to people who weren't taking it before incarceration. Only 19% of U.S. jails initiate such treatment for people without prior prescriptions, the federal Bureau of Justice Statistics found in analyzing data from 2019.
According to the same report, only 24% of jails continue to provide medication to curb withdrawal symptoms and opioid cravings to people who had prescriptions before incarceration.
The U.S. Food and Drug Administration has approved three drugs for treating opioid dependence: buprenorphine, methadone and naltrexone.
Authorities also want to curb public drug use, which has become more visible in major cities such as Portland and Seattle due to growing homelessness.
Kotek, Oregon's governor, this week released a proposal that calls for the state, Multnomah County and the city of Portland each to declare a 90-day fentanyl emergency and establish a command center to improve coordination between law enforcement, outreach workers and service providers. She has also urged providers to expand their hours.
When the Legislature convenes for its short session in February, Kotek also wants lawmakers to consider outlawing public drug use.
Banning public use has been a major talking point among Portland officials and lawmakers in recent months. Portland City Council approved such a ban in September, but it's contingent on state law changing.
Law enforcement officials have advocated for such a measure, saying a 2020 ballot initiative that decriminalized possession of small drug amounts has made it difficult to stop public use.
\u201cConfronting our most pressing challenges requires the hope and fortitude of an entire community,\u201d Kotek said.
___
Rush reported from Portland, Oregon.
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The lawsuit was filed in federal court in Boston on Wednesday. Sarah Depoian says she and her husband first went to Dr. Merle Berger in 1979 to discuss intrauterine insemination. The artificial insemination that Berger performed resulted in the birth of her daughter in 1981. The daughter says she discovered Berger was her biological father after using a home DNA test. A lawyer for Berger says the allegations have no legal or factual merit.", + "bylines": [ + { + "by": "By STEVE LeBLANC", + "title": "Associated Press" + } + ], + "located": "BOSTON", + "datelinelocation": { + "city": "Boston", + "countryareacode": "MA", + "countryareaname": "Massachusetts", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -71.05977, + 42.35843 + ] + } + }, + "copyrightnotice": "Copyright 2023 The Associated Press. All rights reserved. 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Sarah Depoian, 73, said she and her husband first went to Dr. Merle Berger, now-retired professor of obstetrics, gynecology and reproductive biology, in 1979 to discuss intrauterine insemination. Depoian said Berger told her the sperm would come from an anonymous donor \u201cwho resembled her husband, who did not know her, and whom she did not know,\u201d according to the lawsuit filed in the United States District Court for the District of Massachusetts.
The artificial insemination that Berger performed resulted in a successful pregnancy, and Depoian\u2019s daughter, Carolyn Bester, was born in January 1981. Earlier this year, Bester conducted a home DNA test and discovered Berger was her biological father, according to the lawsuit.
A spokesperson for Harvard Medical School said Berger was academically affiliated with the medical school, but his primary place of employment was at various Harvard-affiliated hospitals, which the school does not own or operate.
Adam Wolf, a lawyer representing Depoian, said Berger clearly knew that what he was doing was wrong.
\u201cSome people call this horrific act medical rape, but regardless of what you call it, Dr. Berger\u2019s heinous and intentional misconduct is unethical, unacceptable and unlawful,\" Wolf told reporters Wednesday.
Ian Pinta, a lawyer representing Berger, described him as a pioneer in the medical fertility field who in 50 years of practice helped thousands of families fulfill their dreams of having a child.
\u201cThe allegations concern events from over 40 years ago, in the early days of artificial insemination,\u201d Pinta said in a written statement. \u201cThe allegations, which have changed repeatedly in the six months since the plaintiff\u2019s attorney first contacted Dr. Berger, have no legal or factual merit, and will be disproven in court.\u201d
A spokesperson for Boston IVF Fertility Clinic, which Berger helped found, said the situation cited in the lawsuit occurred before Berger\u2019s employment at the clinic and before the company even existed.
\u201cThe field of reproductive endocrinology and infertility is much different than it was decades ago, and the safety measures and safeguards currently in place would make such allegations virtually impossible nowadays,\u201d the company said in a written statement.
In the lawsuit, Depoian is in part seeking \u201cdamages in an amount sufficient to compensate her for her injuries.\u201d
\u201cWe fully trusted Dr. Berger. He was a medical professional. It's hard to imagine not trusting your own doctor,\" said Depoian, who lives in Maine. \u201cWe never dreamt he would abuse his position of trust and perpetrate this extreme violation. I am struggling to process it.\"
Bester, 42, said she received DNA results from Ancestry.com and 23andMe as she explored her history earlier this year.
The results didn't show a direct match to Berger but identified a granddaughter and second cousin of his. Bester said she spoke to one of the relatives and started to piece together the puzzle.
\u201cTo say I was shocked when I figured this out would be an extreme understatement. It feels like reality has shifted,\" said Bester, who lives in New Jersey. \u201cMy mom put her trust in Dr. Berger as a medical professional during one of the most vulnerable times in her life. He had all the power and she had none.\"
Bester said she told her mother, who then contacted Berger through a lawyer. The lawyer said Berger didn't deny that Depoian had consented only to an insemination with the sperm of a donor who did not know her and whom she did not know, Bester said.
There have been other instances of fertility doctors being accused of using their own sperm to impregnate a patient.
In 2017, a retired Indianapolis fertility doctor avoided jail time for lying about using his own sperm to impregnate as many as dozens of women after telling them the donors were anonymous. Dr. Donald Cline was given a one-year suspended sentence after pleading guilty to two counts of obstruction of justice. Indiana law didn't specifically prohibit fertility doctors from using their own sperm.
In 2022, a federal court jury in Vermont awarded a woman $5.25 million from a doctor who used his own sperm to impregnate her during an artificial insemination procedure in 1977. The jury awarded plaintiff Cheryl Rousseau $250,000 in compensatory damages and $5 million in punitive damages from Dr. John Coates III.
And this year a New York fertility doctor who was accused of using his own sperm to impregnate several patients died when the hand-built airplane he was in fell apart mid-flight and crashed, authorities said. Dr. Morris Wortman, 72, of Rochester, was a well-known OB-GYN who was sued in 2021 by the daughter of one of his patients who became pregnant in the 1980s.
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Minor edit in sixth paragraph, changing \"health statistics\" to \"diseases.\"", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "US-MED--Fear Of Illness", + "headline": "In hypochondria paradox, Swedish study finds a higher death rate in those who fear serious illness", + "headline_extended": "A Swedish study has uncovered a paradox about people diagnosed with an excessive fear of serious illness: They tend to die earlier than people who aren\u2019t hypervigilant about health concerns", + "slugline": "BC-US-MED-Fear-Of-Illness, 1st Ld-Writethru", + "description_summary": "A Swedish study has uncovered a paradox about people diagnosed with an excessive fear of serious illness: They tend to die earlier than people who aren\u2019t hypervigilant about health concerns. The study was published Wednesday in JAMA Psychiatry. Researchers were curious about the condition known as hypochondria. People with it are unable to shake their fears despite normal physical exams and lab tests. The researchers found that people with the diagnosis have an increased risk of death from both natural and unnatural causes, particularly suicide. The researchers say many of these deaths are preventable through appropriate treatment.", + "bylines": [ + { + "by": "By CARLA K. JOHNSON", + "title": "AP Medical Writer" + } + ], + "copyrightnotice": "Copyright 2023 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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Hypochondriasis, now called illness anxiety disorder, is a rare condition with symptoms that go beyond average health worries. People with the disorder are unable to shake their fears despite normal physical exams and lab tests. Some may change doctors repeatedly. Others may avoid medical care.
\u201cMany of us are mild hypochondriacs. But there are also people on the other extreme of the spectrum who live in a perpetual state of worry and suffering and rumination about having a serious illness,\" said Dr. Jonathan E. Alpert of Montefiore Medical Center in New York.
People with the disorder are suffering and \u201cit\u2019s important to take it seriously and to treat it,\" said Alpert, who was not involved in the new study. Treatment can involve cognitive behavioral therapy, relaxation techniques, education and sometimes antidepressant medication.
The researchers found that people with the diagnosis have an increased risk of death from both natural and unnatural causes, particularly suicide. Chronic stress and its impact on the body could explain some of the difference, the authors wrote.
The study, published Wednesday in JAMA Psychiatry, addressed \u201ca clear gap in the literature,\u201d said David Mataix-Cols of the Karolinska Institute in Sweden, who led the research. \u201cWe got lucky,\u201d he said, because the Swedish classification system for diseases has a separate code for hypochondriasis, allowing data analysis on thousands of people over 24 years, 1997-2020.
Older research had suggested the risk of suicide might be lower for people with the condition, but \u201cour hunch, based on clinical experience, was that this would be incorrect,\u201d Mataix-Cols said. In the study, the risk of suicide death was four times higher for the people with the diagnosis.
They looked at 4,100 people diagnosed with hypochondriasis and matched them with 41,000 people similar in age, sex and county of residence. They used a measurement called person years, which accounts for the number of people and how long they were tracked.
Overall death rates were higher in the people with hypochondriasis, 8.5 versus 5.5 per 1,000 person years. People with the condition died younger than the others, a mean age of 70 versus 75. Their risk of death from circulatory and respiratory diseases was higher. Cancer was an exception; the risk of death was about the same.
Referring an excessively anxious patient to mental health professionals takes care, said Alpert, who leads the American Psychiatric Association\u2019s council on research. Patients can be offended, because they feel they're being accused of imagining symptoms.
\u201cIt takes a great deal of respect and sensitivity conveyed to patients that this itself is a kind of condition, that it has a name,\u201d Alpert said. \"And, fortunately, there are good treatments.\u201d ___
The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute\u2019s Science and Educational Media Group. The AP is solely responsible for all content.
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A record more than 4 million cases have been reported throughout the Americas and Caribbean so far this year, surpassing a previous record set in 2019, with officials from the Bahamas to Brazil warning of crowded clinics and new infections daily. More than 2,000 deaths in that region also have been reported.
\u201cThis year is the year we\u2019ve been seeing the most dengue in recorded history,\u201d said Thais dos Santos, adviser on surveillance and control of arboviral diseases with the Pan American Health Organization, the regional office of the World Health Organization in the Americas. She noted that record keeping began in 1980. \u201cVector borne diseases, especially these diseases that are transmitted by mosquitoes \u2026 provide us a really good sentinel of what is happening with climate change.\"
Poor sanitation and a lack of robust health systems have contributed to a rise in cases, but experts say droughts and floods linked to climate change are causing greater transmission of the virus, with stored water and heavy rains attracting mosquitoes.
Dr. Gabriela Paz-Bailey, chief of the dengue branch for the U.S. Centers for Disease Control and Prevention in Puerto Rico, noted that higher temperatures also are extending the mosquito's habitat and helping the virus develop faster inside the mosquito, leading to higher viral loads and higher probability of transmission.
\u201cThese infections are a symptom of some big underlying trends happening in the world,\u201d Dr. Jeremy Farrar, chief scientist of the World Health Organization, said in an interview. \u201cClimate change is seemingly so difficult to address, and so many countries are now becoming urbanized, I can see dengue and the other diseases\u2026becoming increasingly frequent and increasingly complex to deal with.\u201d
Dos Santos said officials are seeing \u201clots of new things\u201d as dengue spikes, including record temperatures, extended seasons and the spread of dengue farther north and south than usual. California, for example, reported its first two locally-acquired dengue cases this year, and Florida 138 such cases \u2014 a record for the state. Last year, Florida reported 65 cases, Paz-Bailey said.
This year\u2019s Northern Hemisphere summer was the hottest ever, with August some 1.5 degrees Celsius (2.7 degrees Fahrenheit) warmer than pre-industrial averages. And so far, 2023 is the second hottest year on record, according to Copernicus, the European climate service.
Worldwide, more than 4.5 million cases of dengue had been reported as of early November, with more than 4,000 deaths reported in 80 countries. Farrar believes that a global record set in 2019 of 5.2 million cases could be surpassed this year.
\u201cDengue is something that the Americas need to be increasingly concerned about, but it\u2019s almost a global phenomenon now,\u201d he said.
Countries like Bangladesh are seeing a record number of cases and deaths. The government in the South Asian country has reported more than 313,700 cases and more than 1,600 deaths, the majority of them occurring within three days of hospitalization, according to published data.
The mosquito that carries dengue also has been identified in 22 European countries, with local spread of the disease seen in France, Italy and Spain. In August, the central African country of Chad reported its first-ever dengue outbreak.
Dengue affects some 129 countries, with roughly half the world\u2019s population at risk, according to the World Health Organization. The virus is transmitted mainly by infected female Aedes aegypti mosquitoes, which bites hosts to obtain protein for its eggs. The virus can cause crushing headaches, fever, vomiting, a rash and other symptoms. While most infected people don\u2019t get symptoms, severe cases can lead to plasma leakage and death.
What\u2019s worse, experts say, repeated infections means a higher risk of developing severe dengue.
While the mosquito that carries dengue also spreads chikungunya and the Zika virus, there is less circulation of the other two viruses because of past immunity, Paz-Bailey said, adding that it's very rare for a mosquito to carry two viruses at once.
In January, the World Health Organization warned that dengue poses a pandemic threat and is the world\u2019s fastest spreading mosquito-borne disease. While there are vaccines and specially bred mosquitoes containing a bacteria called Wolbachia to fight dengue, there are no specific treatments for the virus once someone becomes infected.
It's unclear how many countries, if any, have requested vaccines from manufacturers, but the Pan American Health Organization said its immunization technical advisory group recently met to talk about dengue vaccines and would publish recommendations once they're finalized.
The Americas broke the previous regional record for dengue earlier this year, with Brazil, Argentina, Paraguay and Peru reporting the most cases worldwide. Peru declared a state of emergency in some areas after reporting a historic number of cases.
The Caribbean also is battling a surge in cases, with the region reporting a 15% increase in confirmed cases by early October compared with the same period last year, according to the Caribbean Public Health Agency.
Officials on the French Caribbean islands of Guadeloupe and Martinique declared an epidemic in August that is still ongoing. Martinique, for example, is reporting an average of 800 cases a week on the island of some 394,000 inhabitants.
Meanwhile, Jamaica and the Bahamas declared an outbreak in September followed by Barbados in October.
\u201cThe associated risks and ripple effects must not be underestimated as outbreaks of dengue and other mosquito-borne diseases \u2026 pose a significant threat to health, tourism, as well as social and economic development,\u201d the Caribbean Public Health Agency said in a statement.
Impoverished countries struggle the most with dengue, with poor sanitation creating fertile breeding grounds for infected mosquitoes, a lack of air conditioning and screened windows allowing the insects to roam freely and rickety health systems groaning under a growing caseload.
Farrar, chief scientist for the World Health Organization, said dengue is very difficult to treat in part because patients often delay in seeking medical care and because the virus can progress so quickly. Caring for patients is tricky because staff must ensure they receive the correct amount of fluid, which requires a lot of time and monitoring, he said.
\u201cImagine that you have a thousand people like that requiring all that delicate clinical care. It can very quickly overwhelm a system,\u201d he said.
Claude Burton, a 70-year-old retiree who lives in Jamaica, knows first-hand about the strain on medical facilities. Last month, he began to feel increasingly worse until he finally visited a doctor.
After testing positive, he took a taxi for an hourlong ride from Ocho Rios to Kingston after the doctor advised he be hospitalized. The first hospital he visited turned him away, with staff telling him no beds were available. Then at the second hospital he went to, Burton spent two nights in a wheelchair until a bed freed up.
\u201cI was really bad,\u201d he recalled, adding that he had blood in his urine and ended up spending four nights at the hospital.
Dr. Georgiana Gordon-Strachan, director of the Tropical Metabolism Research Unit at the University of the West Indies in Jamaica, said the island\u2019s summer of 2023 provided the perfect conditions for its newest outbreak.
\u201cHeat is one of the drivers of dengue fever,\u201d she said.
Most worrisome is that the second strain of dengue \u2014 the most severe out of all four \u2014 is the dominant one currently circulating in Jamaica, she said.
To fight the virus, trucks are rumbling across Jamaica, Barbados and other Caribbean islands and fogging areas with a product that contains small amounts of insecticide. Health officials also keep urging people to discard old tires, plastic containers and other recipients that collect rainwater, as well as to sleep with netting over their beds and wear pants and long-sleeved shirts.
\u201cIt\u2019s really important that we talk more proactively about dengue since it\u2019s becoming such an important public health threat,\u201d Paz-Bailey said.
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With AP Photos.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "US-MED--CBD Use", + "headline": "More people are using CBD products. There's still little research on the benefits and risks", + "headline_extended": "A new survey shows 1 in 5 Americans used CBD in the past year", + "slugline": "AP-US-MED--CBD Use, 1st Ld-Writethru", + "description_summary": "A new survey shows 1 in 5 Americans used CBD in the past year. This is despite a lack of research on the benefits and risks of CBD and other compounds that come from hemp. The survey was done by NORC at the University of Chicago and was published in the Journal of the American Medical Association. It also found people who live in states where marijuana is illegal are more likely to use delta-8 THC. There is no government regulation of CBD and similar compounds, which are found in lotions, tinctures, candies, vapes and more.", + "bylines": [ + { + "by": "By DEVI SHASTRI", + "title": "AP Health Writer" + } + ], + "copyrightnotice": "Copyright 2023 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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About 1 in 5 survey respondents said they used CBD in the past year.
People who use cannabis are more likely to report using CBD, CBG and other hemp-derived compounds, the survey, done by NORC at the University of Chicago, showed. Also, people who live in a state where marijuana is illegal are more likely to use delta-8 THC, a mildly intoxicating sibling of delta-9 THC, which is the psychoactive compound in marijuana.
\u201cAlthough there are a lot of survey studies out that show this increased use, we don't have a lot of good data on what effects any of these things have, either harmful or beneficial,\" said Angela Bryan, a University of Colorado-Boulder professor who has studied the public health implications of cannabis legalization for more than a decade. She was not involved in the JAMA study.
CBD and similar compounds have boomed in popularity since the 2018 farm bill legalized hemp production, and are found in lotions, tinctures, candies, vapes and more. While there is a lack of government regulation for the products, the U.S. Food and Drug Administration did approve one drug that contains CBD in 2018 to help treat two rare seizure disorders.
Surveys show people use CBD and other hemp compounds to treat everything from anxiety and sleep issues to pain. But experts say there is not enough clinical research on the compounds. The FDA warned CBD can cause liver injury and can poorly interact with certain medications.
Delta-8 THC is of particular concern, because of adverse side effects and because of how it is chemically manufactured.
Several states, including Colorado, ban or regulate delta-8 THC, though it is sold in many states due to a loophole in federal law.
\u201cThe implication in the paper, and I think it\u2019s accurate, is that if you don\u2019t have access to legal delta-9, then you\u2019re going to seek out delta-8,\u201d Bryan said. \"But we know even less about delta-8 than we do about delta-9.\"
___
The Associated Press Health and Science Department receives support from the Robert Wood Johnson Foundation. The AP is solely responsible for all content.
", + "textformat": "bx", + "links": [ + { + "href": "https://apnews.com/article/marijuana-cbd-cannabis-delta-8-thc-690dcbbd118371ed20a2871bab35c57d", + "rel": "canonical" + } + ], + "topics": { + "Health": { + "relevance_score": 5, + "reason": "The document discusses the increasing use of CBD products and the lack of research on their benefits and risks, which is directly related to health. It includes information on survey results, expert opinions, and regulatory aspects, all of which are pertinent to understanding the health implications of CBD and related compounds. Therefore, the document is highly relevant to the topic of health." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2023/12/13/7bc796924c49062b421b39241f7e751a.json b/datasets/AP_news/raw_data/2023/12/13/7bc796924c49062b421b39241f7e751a.json new file mode 100644 index 0000000..03e2e62 --- /dev/null +++ b/datasets/AP_news/raw_data/2023/12/13/7bc796924c49062b421b39241f7e751a.json @@ -0,0 +1,329 @@ +{ + "altids": { + "itemid": "7bc796924c49062b421b39241f7e751a", + "etag": "7bc796924c49062b421b39241f7e751a_1a10aza0c0", + "friendlykey": "962959691213", + "referenceid": "US--Transgender Health Care-Florida" + }, + "version": 1, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2023-12-13T23:14:59Z", + "firstcreated": "2023-12-13T21:56:56Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: Links photo. With AP Photos.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "US--Transgender Health Care-Florida", + "headline": "Florida mother fears her family will be devastated as trial on trans health care ban begins", + "headline_extended": "A Florida mother tearfully testified that her family could be torn apart if the state's ban on trans health care for children is allowed to take effect", + "slugline": "AP-US--Transgender Health Care-Florida, 1st Ld-Writethru", + "description_summary": "A Florida mother tearfully testified that her family could be torn apart if the state's ban on trans health care for children is allowed to take effect. The testimony came Wednesday during the first day of a federal trial seeking to overturn a new law that also places restrictions on adult trans care. A lawyer for the family and others challenging the law said Republican Gov. Ron DeSantis is targeting transgender people and violating their constitutional rights. A lawyer for the state said trans health care is underregulated and Florida is simply trying to protect people.", + "bylines": [ + { + "by": "By BRENDAN FARRINGTON", + "title": "Associated Press" + } + ], + "located": "TALLAHASSEE, Fla.", + "datelinelocation": { + "city": "Tallahassee", + "countryareacode": "FL", + "countryareaname": "Florida", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -84.28073, + 30.43826 + ] + } + }, + "copyrightnotice": "Copyright 2023 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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(AP) \u2014 The mother of a transgender girl sobbed in federal court Wednesday as she contemplated having to move away from her Navy officer husband to get health care for her 12-year-old if Florida's ban on gender dysphoria treatments for minors is allowed to take affect.
The woman, who testified as Jane Doe to protect the identity of her child, said her daughter went from being anxious and upset to a thriving, happy straight-A student after being allowed to live as a girl about eight years ago, a decision she made with her husband after multiple visits to their family's doctor.
But as the girl approaches puberty, she fears she will start turning into a boy. Without treatment, she and her family will be devasted, the mother said.
\u201cI will go to the end of the Earth to get my daughter the help she needs,\u201d the woman testified through sobs as she pulled facial tissues from a box. \u201cI think about, will our family get torn apart? Will we have to live somewhere else away from my husband?\"
The testimony came as a trial began challenging Florida's ban on medical treatment for transgender children, such as hormone therapy or puberty blockers, a law pushed by Republican Gov. Ron DeSantis, who has campaigned on the issue while seeking the presidency. The law also places restrictions on adult trans care.
\u201cThis all started with the governor.\u201d said Thomas Redburn, a lawyer representing trans adults and the families of trans children.
He noted other laws DeSantis has pushed to show the governor and Republican lawmakers have attacked transgender rights, including restricting the use of pronouns in schools that don't match peoples' sex at birth.
But lawyer Mohammad Jazil, representing the state, said the law is a matter of protecting people. He said in one case, a person was prescribed hormones after a 30-minute telehealth appointment. And other people have decided to detransition back to their birth sex and learned their treatment has caused permanent damage, he said.
\u201cThis case isn't about overregulation, it's about under-regulation,\" Jazil said.
Judge Robert Hinkle has temporarily blocked enforcement of the law pending the outcome of the trial. The lawsuit also challenges restrictions placed on adult trans care, which are being allowed to take effect during the trial.
At least 22 states have now enacted laws restricting or banning gender-affirming medical care for transgender minors, and many of those states face lawsuits. Courts have issued mixed rulings, with the nation\u2019s first law, in Arkansas, struck down by a federal judge who said the ban on care violated the due process rights of transgender youth and their families.
Enforcement is blocked in two states besides Florida, and enforcement is currently allowed in or set to go into effect soon in seven other states.
Redburn said in opening arguments that the Florida law is unconstitutional because it singles out an entire group of people. He pointed out that non-transgender adults can receive the same treatments, such as estrogen and testosterone, without having to jump through hoops.
\u201cThe state of Florida has decided that people should not be transgender,\u201d Redburn said. \u201cThe fewer transgender people, the better.\u201d
The girl's mother testified that their family's pediatrician diagnosed her daughter with gender dysphoria after she began gravitating towards girls' toys and clothes as a 3-year-old. She described her daughter screaming and tearing off her clothes in her car seat while being driven to preschool. She and her husband have made four-hour roundtrips to the University of Florida so their daughter can get care from experts.
As for risks like infertility that Jazil noted in opening statements, the woman said, \u201cThe benefits for my daughter far outweigh the potential of the risks. Her biggest fear is what she calls turning into a boy. I've assured her that won't happen.\u201d
Jazil only questioned the girl's mother briefly, including pointing out that the University of Florida health records didn't list a height and weight for Jane Doe's daughter.
Redburn said gender dysphoria is real and not something people choose because of social media and the influence of the internet, as policymakers have argued. He pointed out that Republican lawmakers who pushed for the law described transgender people as evil and a cult. He noted that the bill's sponsor argued that God doesn't make mistakes.
Separately Wednesday, a lawsuit was filed by three educators challenging the law restricting pronoun use in schools, saying that transgender and nonbinary teachers are prohibited from being themselves.
Ironically, Jazil consistently referred to Jane Doe's daughter as \u201cher\u201d and \u201cshe\u201d despite the state forcing others to use pronouns that match birth sex in schools.
The trial over trans health care is expected to last five days.
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(AP) \u2014 Missouri on Wednesday launched a statewide database of opioid prescriptions aimed at helping doctors identify possible addiction.
Under the program, pharmacists now must report when they provide drugs listed as controlled substances. The information is collected in a database that doctors and other pharmacists can check to see if patients have been receiving opioids from multiple providers.
Prescription information in the database can only be used for patient care and cannot be shared with law enforcement.
The Missouri Legislature in 2021 passed a law creating the program after years of resistance from a small number of skeptical lawmakers who raised concerns about sensitive patient data being misused.
Missouri was the last state to adopt such a database statewide.
Most Missouri health care providers had already been sharing controlled substance information with a St. Louis County database following local buy-in from 75 cities and other municipalities.
Advocates argued that a more expansive program would give lawmakers greater oversight and prevent people from loading up on painkillers in uncovered areas.
The St. Louis County database now will be absorbed into the statewide system.
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}, + { + "code": "6e92d9b882c7100488e5df092526b43e", + "name": "Texas", + "type": "AUDGEOGRAPHY" + }, + { + "code": "661e48387d5b10048291c076b8e3055c", + "name": "United States", + "type": "AUDGEOGRAPHY" + } + ], + "associations": { + "1": { + "altids": { + "itemid": "a88f5b8c79414b4e9facad33e5508034" + }, + "type": "picture" + }, + "2": { + "altids": { + "itemid": "ebfd5cd2cded49f3aff29d1ebfe54b4d" + }, + "type": "picture" + } + }, + "body_nitf": "WASHINGTON (AP) \u2014 Some of the Republicans seeking their party's 2024 presidential nomination have said the case of a Texas woman whose health deteriorated as she unsuccessfully sought an abortion should be handled with \u201ccompassion,\u201d but they did not criticize the state's law.
It\u2019s the latest indication that the candidates see the politics surrounding abortion as a delicate \u2014 and fraught \u2014 issue for the GOP after the Supreme Court's reversal of constitutional protections for the procedure helped power Democrats to unexpectedly strong performances in the 2022 midterms.
While campaigning Tuesday, both former United Nations Ambassador Nikki Haley and Florida Gov. Ron DeSantis expressed sympathy for Kate Cox, a mother of two who sought an abortion after learning the baby she was carrying had a fatal genetic condition and suffering health complications of her own. Her request for an exemption from Texas\u2019 ban \u2014 one of the most restrictive in the U.S. \u2014 was ultimately denied by the state Supreme Court, and Cox left the state to seek an abortion elsewhere.
Asked about Cox's case at a CNN town hall, DeSantis, who signed a six-week ban in his state earlier this year, said that \u201cthese are very difficult issues\u201d and pointed to Florida\u2019s exceptions allowing abortions when the mother\u2019s life is in danger or for a \u201cfatal fetal abnormality.\u201d
\u201cWe have to approach these issues with compassion,\u201d said DeSantis, though there have been reports in Florida of women who have not been able to obtain abortions under the exception because their doctors, facing steep penalties if they are wrong, were unwilling to perform the procedure. The window of time for women to make the wrenching choice is also limited.
Haley also spoke of compassion and suggested Texas' medical board review the case. But she notably did not call for the law to be changed.
\u201cYou know I\u2019m pro-life. I welcome the states that have become pro-life. But this is exactly why I\u2019ve said you have to show compassion and humanize the situation,\" said Haley, who signed abortion restrictions after about 20 weeks into law as South Carolina governor in 2016. \u201cWe don\u2019t want any women to sit there and deal with a rare situation and have to deliver a baby in that sort of circumstance, any more than we want women getting an abortion at 37, 38, 39 weeks\" \u2014 a rare occurrence generally due to grave medical complications.
President Joe Biden has called the Texas ruling \u201csimply outrageous\" and said what happened to Cox \u201cshould never happen in America, period.\u201d
Many Republican lawmakers, meanwhile, have been reluctant to stake out clear positions on what restrictions they support, including bans on abortion even when doctors determine a pregnancy is not viable and a baby will not survive outside the womb.
Much of that reluctance may be due to public sentiment, which favors abortion rights. An Associated Press-NORC Center for Public Affairs Research poll this past summer found that about two-thirds of Americans said abortion should generally be legal. Voters have either affirmed abortion access or turned back attempts to undermine it in all seven states where the question has been on the ballot since Roe v. Wade's reversal.
Former New Jersey Gov. Chris Christie was alone among the 2024 Republican candidates in declaring that the Texas Supreme Court erred in denying the abortion. He said Texas legislators should change their law.
\u201cI think the Texas Supreme Court was wrong. And I think that, in a situation like this, you\u2019re not protecting any life because the child clearly has been diagnosed with having a fatal illness,\" Christie told The Associated Press on Wednesday. \"So all you\u2019re doing is putting the life of the mother at risk by making her carry it to term.\u201d
Former President Donald Trump, who has taken credit for appointing the Supreme Court justices who helped overturn national abortion protections, has not issued any statement on the Texas case, and his campaign did not respond to messages Wednesday inquiring about his stance.
Another GOP presidential candidate, biotech entrepreneur Vivek Ramaswamy, has not spoken out about Cox\u2019s case. He said in a video on X, formerly Twitter, on Tuesday night that the Supreme Court was correct to overturn Roe, that states should decide their own abortion restrictions and that Republicans should campaign on the idea of \u201csexual responsibility for men\u201d by allowing any woman who carries a pregnancy to term to legally make the father solely responsible for caring for the child.
Cox's case and others like hers \u201cprove exceptions don't exist in reality,\u201d said Angela Vasquez-Giroux, vice president of communications and research for the national group Reproductive Freedom for All.
\u201cIf politicians like DeSantis and Haley really believed in exceptions and in compassion, they would have been fighting to find ways to work with doctors to clarify these laws and to help people facing these nightmarish situations in their own states to access care,\" she said. \u201cThey threw compassion out the window the moment they signed these bans.\u201d
Marjorie Dannenfelser, president of the national anti-abortion group SBA Pro-Life America, also called for \u201ccompassion and care and dignity\u201d for the mother and child but said Texas' law gives doctors the ability to perform an abortion if they determine a woman has a life-threatening condition or is in risk of impairment of a major bodily function.
The Texas law, however, is vague on how close to death a patient must be to get the procedure, and lawmakers have refused to clarify and amend the measure.
Christie, who is anti-abortion, nonetheless believes regulations on the procedure should be left to the states, not the federal government.
He said the Texas case demonstrates \u201cwhy so many people don\u2019t trust certain members of my party with this issue, because either they are completely unmovable on it, no matter what the facts are, or they say nice words but are unwilling to take a position.\u201d
___
Fernando reported from Chicago, and Price reported from New York. Associated Press writer Holly Ramer in Manchester, N.H., contributed to this report.
___
Meg Kinnard can be reached at http://twitter.com/MegKinnardAP
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The Amherst County Sheriff\u2019s office says seven students at Central Elementary School experienced a reaction after eating the gummy bears at school on Tuesday and five sought medical treatment. The sheriff's office says the gummies tested negative for foreign substances, but residue in the bag that contained the gummies tested positive for fentanyl in a field test. Two people have been arrested and charged with contributing to the delinquency of a minor and other offenses. Superintendent William Wells says the fourth graders all returned home Tuesday evening.", + "located": "AMHERST, Va.", + "datelinelocation": { + "city": "Amherst", + "countryareacode": "VA", + "countryareaname": "Virginia", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -79.14511, + 37.60477 + ] + } + }, + "copyrightnotice": "Copyright 2023 The Associated Press. All rights reserved. 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(AP) \u2014 A group of Virginia elementary school students sought medical attention Tuesday after eating gummy bears from a bag that contained residue that tested positive for fentanyl, according to the county sheriff\u2019s office.
Seven students at Central Elementary School experienced a reaction after eating the gummy bears at school on Tuesday, the Amherst County Sheriff\u2019s office said in a news release. School administrators notified the children\u2019s families and five of the seven students sought medical treatment, Amherst County Public Schools officials said in a news release.
Two were taken to hospitals by county EMS and three by their parents, County Public Safety Director Brad Beam said at a news conference. The students were experiencing nausea or were vomiting or lethargic, he said.
The gummies tested negative for foreign substances, but residue in the plastic bag that contained the gummies tested positive for fentanyl in a field test, sheriff's office spokesperson Lt. Dallas Hill said.
As part of the investigation, the sheriff's office executed a search warrant at a home in the county and arrested two people who were charged with contributing to the delinquency of a minor, Hill said. One was also charged with possession of a schedule I or II drug and the other was charged with possession of a firearm by a convicted felon.
The students were all fourth graders in the same class at the school and all returned home Tuesday evening, Superintendent William Wells said at a news conference on Wednesday. It is believed that the bag was contaminated at home or on the way to school, he said. A sibling of the child who brought the gummies to school in the contaminated bag also had a bag of gummy bears at school, but it did not test positive for fentanyl, Wells said.
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(AP) \u2014 The federal government has approved the first part of Mississippi\u2019s plan to help some of the state\u2019s financially strapped hospitals receive more Medicaid money, Gov. Tate Reeves said Wednesday.
The Centers for Medicare and Medicaid Services approved part of the proposal Reeves released in September, in which hospitals would pay higher taxes so the state could draw more federal Medicaid money. The governor\u2019s statement didn\u2019t say how much more the hospitals will pay collectively in taxes, but he said the changes would generate about $689 million, which would be split among hospitals in the state.
\u201cThis is the product of meetings with a range of medical professionals and healthcare leaders, and I\u2019m truly thankful to all of them for helping to get us to today,\u201d Reeves said in a news release.
Mississippi has 73 rural hospitals. Six have closed since 2005, and 31 are at immediate risk of closing because of severe financial problems, according to a national policy group, the Center for Healthcare Quality and Payment Reform. Only Texas, Kansas and Oklahoma have more hospitals in that risk category.
Under the component of the plan approved by CMS, hospitals will be reimbursed near the average commercial rate for services provided through managed care, the primary delivery system for Medicaid enrollees. That average rate has been considered the federal ceiling for Medicaid reimbursements in managed care, Reeves said.
A second plank of the plan, still awaiting approval from CMS, would also increase Medicaid hospital reimbursement in fee-for-service health care. That refers to a way of delivering health care where providers are paid for each particular service they provide.
Reeves, who was reelected in November, released the proposal after his Democratic opponent had spent months criticizing him for refusing to expand Medicaid to people working jobs that pay modest wages but don\u2019t offer health insurance coverage. Mississippi is one of 10 states that have not taken the option, all of them led by Republican governors, Republican-controlled Legislatures or both.
The state economists have said Mississippi could receive about $1 billion a year from the federal government for Medicaid expansion. Reeves and other expansion opponents have said it would not be the best approach to alleviating financial pressures on rural hospitals.
The Mississippi Division of Medicaid will deliver the first round of payments to hospitals in the coming weeks, Reeves said.
___
Michael Goldberg is a corps member for the Associated Press/Report for America Statehouse News Initiative. Report for America is a nonprofit national service program that places journalists in local newsrooms to report on undercovered issues. Follow him at @mikergoldberg.
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Demand for the abortion pills mifepristone and misoprostol has grown as states have imposed bans or restrictions or seek to limit abortions after the reversal of Roe v. Wade in June 2022.
Conservative groups filed lawsuits targeting mifepristone, which is the only drug approved specifically for abortion, seeking to reverse its approval or rollback policies that have made it easier to obtain. The Supreme Court will hear a case in the spring that could block mail-order access to mifepristone and impose restrictions on its use, even in states where abortion remains legal.
The restrictions include shortening the window during pregnancy in which the drug can be used and requiring in-person office visits to get a prescription.
Here's a closer look at how mifepristone and misoprostol work and the legal challenges that the drugs face.
The prescription medications are taken several days apart.
Mifepristone is taken first, swallowed by mouth. The drug dilates the cervix and blocks the effects of the hormone progesterone, which is needed to sustain a pregnancy.
Misoprostol, a drug also used to treat stomach ulcers, is taken 24 to 48 hours later. The pill is designed to dissolve when placed between the gums and teeth or in the vagina. It causes the uterus to cramp and contract, causing bleeding and expelling pregnancy tissue.
While the two-drug combination is slightly more effective, misoprostol is sometimes used alone. That practice is more common in countries where mifepristone is banned.
Abortion medication is currently approved for use up to the 10th week of pregnancy.
The pills may be taken in a doctor\u2019s office or clinic, where patients sometimes have an ultrasound or lab tests beforehand. Some providers also offer the pills through telehealth visits and send the medication by mail.
The pills account for more than half of all U.S. abortions.
Studies and real-use evidence show that when taken together, the pills are safe and up to 99% effective.
Side effects may include nausea, vomiting and diarrhea. Bleeding is normal; very heavy bleeding is uncommon and requires medical attention.
Serious complications are very rare. The U.S. Food and Drug Administration said last year about 5.9 million women have used mifepristone since it was approved more than 20 years ago. The agency has received 32 reports of deaths in women using the medication, including two involving ectopic pregnancies, which grow outside the womb. The deaths can\u2019t be definitively attributed to mifepristone because in many cases the women had other health conditions and were using other medications.
The medications are not recommended for certain patients, including those with suspected ectopic pregnancies or with implanted IUD birth control devices.
Dr. Stephanie Rand, a New York OB-GYN and abortion specialist with the advocacy group Physicians for Reproductive Health, says pregnancy tests should not be used right away to determine if a medication abortion was successful because the pregnancy hormone may linger in the body for several weeks. Bleeding with blood clots that include lighter colored tissue are signs of success, she said.
It varies by location, but it's similar to abortion procedures and may total more than $500. Health insurance coverage also varies, with some plans making the pills free or low-cost and others not covering them at all.
Mifepristone is sold under the brand name Mifeprex and misoprostol under the brand name Cytotec. Both pills are available as generics.
Mifepristone remains fully approved, despite the legal challenges. The FDA and the Biden administration have reiterated that the drug's safety and effectiveness have been repeatedly confirmed by multiple studies conducted since its 2000 approval.
Access largely depends on where a patient lives. Currently, 14 states are enforcing laws that bar abortions, including medication abortions, throughout pregnancy. Another 15 states have separate laws specifically limiting how mifepristone can be prescribed and distributed, such as requiring an in-person visit with a physician.
Still, some women in states with bans are able to obtain the pills through the mail, which isn't tightly regulated.
The case now before the Supreme Court began with a legal challenge in 2022 by Christian conservatives who sought to overturn mifepristone's original FDA approval. A Texas judge sided with the group in an initial victory that would have required the drug to be removed from the market. But an appeals court left the drug's approval intact, instead issuing a ruling that would reverse changes the FDA made in 2016 and 2021 that eased access to the drug.
The Supreme Court put all those changes on hold while it considers the case.
If the justices side with abortion opponents, it would likely mean the drug could no longer be sent through the mail as has been possible since 2021. It would also shorten the window for use to seven weeks from 10 weeks \u2014 the latter was approved in 2016.
Other requirements would include reimposing three in-person office visits with a doctor before women could get a prescription. Additionally, women also might have be required to take a higher dosage of the drug than the FDA says is necessary. That's because a negative ruling would also overturn a determination by the FDA that a lower dosage could be safely used.
The U.S. Supreme Court is likely to decide on the case by late June.
___
AP Writer Mark Sherman contributed to this report.
___
The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute\u2019s Science and Educational Media Group. The AP is solely responsible for all content.
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Recasts first paragraph, adds comments from company officials, more context and details. Updates stock price.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "Pfizer-Outlook", + "headline": "Switch from selling COVID-19 drugs on market rather than to governments continues to sting at Pfizer", + "headline_extended": "Pfizer\u2019s forecast for sales of its COVID-19 vaccine and treatment next year falls more than $5 billion short of the Wall Street consensus", + "slugline": "AP-Pfizer-Outlook, 2nd Ld-Writethru", + "description_summary": "Pfizer\u2019s forecast for sales of its COVID-19 vaccine and treatment next year falls more than $5 billion short of the Wall Street consensus. The drugmaker expects sales for both the treatment, Paxlovid, and the vaccine, Comirnaty, to total $8 billion in 2024, according to an initial forecast the drugmaker released Wednesday. Analysts expect nearly $14 billion combined sales, according to FactSet. Those products combined to rake in more than $56 billion in sales last year. But both Pfizer and the Street expected a decline as demand waned and the drugmaker switched to selling through the commercial market.", + "bylines": [ + { + "by": "By TOM MURPHY", + "title": "AP Health Writer" + } + ], + "copyrightnotice": "Copyright 2023 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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The drugmaker announced on Wednesday initial expectations for the new year that include about $8 billion in combined sales from its Comirnaty vaccine and the treatment Paxlovid. That falls more than $5 billion short of estimates on Wall Street.
The company\u2019s forecast for overall earnings and revenue next year also missed consensus. Pfizer shares continued their largely year-long slide in midday trading.
Pfizer leaders told analysts Wednesday that they expect vaccination and treatment rates to be about the same next year as they were in 2023. But they wanted to be conservative and offer a \u201cgood floor\u201d for expectations to avoid creating any more uncertainty, CEO Albert Bourla said.
In mid-October, Pfizer said sales of both the vaccine and treatment were turning out weaker than expected. The company cut revenue projections for this year by $9 billion. Two weeks later, Pfizer said sales of the treatment and vaccine had slid 97% and 70%, respectively, in the third quarter.
Comirnaty and Paxlovid combined to rake in more than $56 billion in sales last year, easily making them Pfizer's two top-selling products.
But a down year for both was widely expected as demand slid and drugmakers switched to selling on the commercial market instead relying on the more stable payout of bulk government contracts.
Bourla also noted Wednesday in a call with analysts that the virus that triggered a global pandemic in 2020 is no longer \u201ctop of mind,\u201d and that there\u2019s some COVID-19 fatigue and anti-vaccine rhetoric in the market.
Chief Financial Officer David Denton also called the virus unpredictable and said it was hard to model its performance. Even so, he said Pfizer expects both the market-leading treatment and vaccine to remain significant products.
\u201cThey meet a very large and high unmet need of the patient population around the globe,\u201d he said.
The company said that it expects full-year revenue in 2024 of between $58.5 billion and $61.5 billion, short of the $62.7 billion that Wall Street was expecting, according to a survey of industry analysts by FactSet.
The New York drugmaker expects to post per-share earnings of between $2.05 and $2.25 next year. Wall Street was projecting earnings of around $3.17 per share.
Pfizer also said that it was expanding its cost-cutting program by $500 million. Company leaders noted that recently acquired cancer treatment developer Seagen will start contributing revenue in the new year.
The company said it had no plans to cut its quarterly dividend which now totals 41 cents per share.
Shares of Pfizer Inc. slid more than 8% to $26.12 in late-morning trading while broader indexes climbed.
The stock had already already shed more than 44% of its value so far this year.
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December 11, 2023.
Editorial: Fictional mental health care
A report finds health insurers often list providers who can\u2019t really be found. That\u2019s a stunning and dangerous disservice to people in need of care.
We hear about the need for mental health care all the time. We hear about children harmed by the turmoil and isolation of the COVID-19 pandemic. We\u2019re told that \u201cdoing something about mental illness\u201d is a key part of reducing gun violence. Lawmakers talk of making sure that mental health services are covered just like any other kind of health care.
And if you look at the subscriber manuals of health insurance companies, you might think all that mental health care is there for the asking. Except, it turns out, it often is not.
That\u2019s the maddening bottom line of a report from New York Attorney General Letitia James\u2019 office, which found, in just a sampling, that 86 percent of mental health providers listed on health plans\u2019 networks were not really available. These so-called \u201cghosts\u201d were either unreachable, not really in the network, or not accepting new patients. Some of the worst offenders were the Capital District Physicians Health Plan, which the survey found had a 92 percent ghost rate, and MVP \u2013 a survey of 24 Albany providers in that network found that all of them were ghosts.
The result, the report found, is that people either seek out-of-network mental health care \u2013 often at higher cost \u2013 or forgo it altogether. That leaves a society full of people with untreated mental health issues, especially lower income people.
It\u2019s troubling that it was the attorney general who uncovered this widespread problem, not the agencies that oversee insurance and mental health services in New York \u2013 not, that is, the state Department of Health, the Office of Mental Health or the Department of Financial Services, the latter of which oversees the insurance industry.
The attorney general\u2019s report recommends, among other things, that the state require insurers to conduct more regular surveillance of the situation, such as \u201csecret shopper\u201d surveys like those her office did to keep tabs on the accuracy of their network directories. They should make sure, too, that people are able to schedule mental health care appointments in a reasonably short period of time.
The report also urged health plans to actively recruit and work to keep mental health care providers in their networks, and to ensure greater diversity so that people with specific language or cultural needs can access mental health care.
Those are sound recommendations, as far as they go. But they don\u2019t get to what\u2019s really the heart of the problem \u2013 a shortage of mental health care providers not just in New York, but across the country.
New York actually ranks better than most states, with relatively fewer areas in the state with deficient numbers of mental health care providers, according to data gathered by KFF, a health policy research organization. Still, New York could do more to improve its residents\u2019 access to mental health care.
The state, for example, is one of only a few that are not part of a growing Psychology Interjurisdictional Compact, which allows telepsychology across state lines without practitioners already licensed in one state having to go through long, costly, state-by-state certifications.
The pandemic showed that nontraditional ways of delivering care \u2013 such as telemedicine \u2013 can be done responsibly. The governor and Legislature should look in the coming session at ways to broaden access across state lines.
___
Dunkirk Evening Observer. December 11, 2023.
Editorial: NEW YORK STATE: Make criminal court cases available
State lawmakers are busy setting priorities for the coming legislative session \u2013 and in our opinion, a series of recommendations from Reinvent Albany and Scrutinize should be high on the list.
Only about 6% of local court decisions are eventually published in the state record, and judges end up choosing the decisions they publish. That\u2019s the very definition of the foxes guarding the henhouse.
The groups are calling on criminal courts to make judges\u2019 written decisions or transcripts of oral decisions available online. These would include decisions dealing with admissibility of evidence, if a case presented to a grand jury should continue or not, prosecutorial misconduct, speedy trial rulings, if warrants are overly broad or properly handled and orders deciding if a prosecutor should be able to keep evidence from the defense.
These are the decisions made every day that affect who ends up in jail or not and, just as importantly, whether or not people accused of serious crimes end up walking the streets to potentially commit further crimes. Often, as we have seen locally, these decisions are often appealed \u2013 but unless someone is in court to hear the judge\u2019s oral orders members of the press and public don\u2019t find out about the decisions unless they are tipped off by an attorney. That\u2019s a horrible way for the public to hold the court system accountable or to judge the effectiveness of criminal justice reforms. Three years after the state\u2019s 2019 criminal justice reforms, there are still arguments over how they\u2019ve worked that could be resolved if it was easier to see judges\u2019 legal reasoning for their decisions.
State Sen. Michael Gianaris, D-Astoria and Senate majority leader, told the Albany Times Union he plans to introduce legislation to increase transparency in the state\u2019s criminal courts. Making the decisions available makes sense.
Already the state Court of Appeals and Appellate Division cases are available for free publicly, so it stands to reason that the lower court cases from which those higher courts are getting their cases should be available publicly at no charge too.
This should be a matter both Republicans and Democrats in the state Legislature can get behind.
___
Jamestown Post-Journal. December 13, 2023.
Editorial: Governor Should Sign Bill To Make Public Contracts Comptroller Can\u2019t Review
State legislators have voted several times over the past few years to return oversight of state contracts to the state Comptroller\u2019s Office.
Despite these improvements, the governor retains broad authority to issue executive orders suspending state Comptroller\u2019s Office oversight while the governor and state legislature approve individual state budget appropriations that exempt certain state spending from review.
State lawmakers, to their credit, agreed earlier this year that the public should be notified about those contracts by passing A.7404/S.6941. Legislators want more information made public about those exempted contracts.
The bills require all emergency and exempted contracts be publicly posted with information about the relevant emergency declaration or provision exempting the contract from review by the state Comptroller\u2019s Office, a brief description of the contract, the amount of the contract, the contract terms, what is being provided, and how the contract relates to the declared state of emergency. The bills also require a statement explaining whether the contract was chosen on a competitive basis, and if not, an explanation why a competitive process was not undertaken.
Gov. Kathy Hochul has yet to sign the bill. In our opinion, she should.
But Comptroller Thomas DiNapoli should go a step further and take the advice of five good government groups who asked earlier this year that the comptroller publish a list of current executive orders and laws that suspend his pre-audit review. Such a list will allow local governments, legislators, journalists, watchdog groups and the general public to better understand what pre-audit and competitive procurement exemptions agencies should be reporting.
Hundreds of millions of COVID-19 related contracts were approved during the pandemic without review by DiNapoli\u2019s office and without going through typical procurement procedures. Much of that money ended up being wasted.
There will always be contracts the comptroller\u2019s office isn\u2019t able to review, whether because there isn\u2019t time to look at every contract or because there are contracts the law exempts from outside review. In our view, the state Legislature is trying to do the right thing in at least making the public aware of those contracts so those interested can review them.
Hochul should sign A.7404/S.6941 before the end of the year.
___
New York Post. December 12, 2023.
Editorial: Hochul should ignore NRDC\u2019s fake \u2018grassroots\u2019 letter and veto the pesticide ban
A letter to the gov signed by nearly 100 New York \u201cfarms, farmers and food professionals\u201d this fall calls on her to back the Birds and Bees Protection Act, which would ban a class of pesticides called neonicotinoids \u2014 primarily to protect bees.
Yet the letter appears to be penned not by farmers \u2014 but by the radical Natural Resources Defense Council. One of its staffers, Daniel Raichel, is listed on the \u201cowner\u201d of the publicly released PDF of the letter.
(The NRDC did not respond to emails seeking confirmation.)
Hochul should toss the missive in the waste bin where it belongs \u2014 and veto the bill.
Why? As molecular biologist Henry Miller notes, the ban would devastate New York\u2019s farmers and upstate communities, who depend on \u201cneonics\u201d to protect their crops.
Corn farmers can lose as much as 66% of their yield without neonics, thanks mainly to the seedcorn maggot: A similar ban in Europe caused enormous crop damage.
As for bees, their numbers nationwide have actually increased, despite the widespread use of neonics.
Some areas where bees have seen declines are far from places where pesticides are used, suggesting other causes driving the drops.
Meanwhile, the Hochul letter\u2019s signers are organic farmers who don\u2019t use pesticides, and several are small niche farmers \u2014 one \u201cfarm\u201d is just an 1/8th of an acre!
They clearly don\u2019t represent the view (or interests) of the vast majority of New York\u2019s agricultural community.
The New York Farm Bureau, which represents a far larger and more diverse number of farmers, insists \u201cthe science has demonstrated the safety and effectiveness of neonics.\u201d
Urging Hochul to veto the bill, the bureau notes that seeds treated with neonicotinoids were specifically designed to be safer and to reduce total pesticide use.
It also wisely fears setting a precedent by letting New York lawmakers \u2014 influenced by campaign donations and wacky ideologues \u2014 overrule science, urging the Department of Environmental Conservation to stick to \u201cscientific-based authority to determine what pesticides are safe and appropriate.\u201d
Clearly, if the NRDC were right on the merits about neonics, it wouldn\u2019t need to send the gov a fake \u201cgrassroots\u201d letter.
Hochul should take the Farm Bureau\u2019s advice: Follow the science \u2014 and veto the pesticide bill.
___
Wall Street Journal. December 12, 2023.
Editorial: Democrats Stage a Congressional Map-Making Coup in New York
A state court orders a new House district map that could cost four GOP seats.
Congratulations to Democrats who on Tuesday significantly increased their odds of picking up at least four House seats next November\u2014thanks to New York\u2019s Court of Appeals. A progressive 4-3 majority on the state\u2019s high court bowed to the left and threw out the current court-ordered House map that was the most politically competitive in decades.
The backstory to this coup is that New Yorkers in 2014 passed a constitutional amendment banning partisan gerrymandering and establishing a 10-member bipartisan redistricting commission. But after the commission deadlocked on a new Congressional map, the Democratic Legislature redrew it in a way that would make Elbridge Gerry proud.
The Legislature\u2019s House map gave Democrats an edge in 22 of 26 seats, or 85%\u2014significantly more than Joe Biden \u2019s 61% vote share in 2020. We\u2019ve long argued that proportional representation shouldn\u2019t be required in map-making, but the Legislature\u2019s disfigured districts were an egregious gerrymander that defied traditional redistricting principles.
A 4-3 majority on the state\u2019s Court of Appeals agreed and appointed a special master to redraw the map for the 2022 midterm election. The new map resulted in Republicans winning 11 of 26 seats\u2014giving the GOP a knife-thin majority. Democrats blamed New York\u2019s high court for costing them the House even though their partisan map-makers were at fault.
However, after Chief Judge Janet DiFiore\u2014who wrote the majority opinion striking down the maps\u2014stepped down last year, liberal groups mounted a legal attack on the new map. They argued that the commission should have to redraw districts for the 2024 election even though the result would invariably be another partisan deadlock.
Now a different appellate court majority has sided with Democrats. If the commission can\u2019t agree on a new map, as is likely, the Democratic Legislature could gerrymander one afresh. This is the real partisan end-game. By the time the Legislature adopts a new map, it may be too close to the 2024 election for Republicans to challenge it in court.
\u201cToday\u2019s decision is a win for democracy and particularly the people of New York,\u201d Democratic Congressional Campaign Committee Chair Suzan DelBene declared. Anyone notice how democracy seems to prevail only when Democrats do?
END
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With AP Photos.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "US-XGR--Transgender Health-Ohio", + "headline": "Ohio Senate clears ban on gender-affirming care for minors, transgender athletes in girls sports", + "headline_extended": "Ohio is one step closer to banning gender-affirming care for minors and blocking transgender students from participating in girls and women's sports", + "slugline": "BC-US-XGR--Transgender Health-Ohio, 2nd Ld-Writethru", + "description_summary": "Ohio is one step closer to banning gender-affirming care for minors and blocking transgender students from participating in girls and women's sports. The measure was cleared by the Republican-dominated state Senate on Wednesday. It would drastically change the way LGBTQ youth live in the state, and has sent parents scrambling over the future of their transgender children. Supporters say the bans will protect children who cannot give \u201cinformed consent\u201d and ensure fairness in sports. Opponents including medical professionals decry the bill as cruel and life threatening. The bill now heads to Republican Gov. Mike DeWine's desk for final approval after the GOP-led House agreed to some Senate changes.", + "bylines": [ + { + "by": "By SAMANTHA HENDRICKSON", + "title": "Associated Press/Report For America" + } + ], + "located": "COLUMBUS, Ohio", + "datelinelocation": { + "city": "Columbus", + "countryareacode": "OH", + "countryareaname": "Ohio", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -82.99879, + 39.96118 + ] + } + }, + "copyrightnotice": "Copyright 2023 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. For other uses, additional clearances may be required." + ], + "keywords": [ + "transgender care sports bans Ohio" + ], + "provider": "AP", + "infosource": [ + { + "name": "AP", + "type": "AP" + } + ], + "person": [ + { + "scheme": "http://cv.ap.org/id/", + "code": "06d316b4061d4bd097c5de777c7192a9", + "name": "Mike DeWine", + "creator": "Machine", + "rels": [ + "direct" + ], + "types": [ + "GOVERNMENT_FIGURE", + "PERSON" + ], + "relevance": 65 + } + ], + "subject": [ + { + "rels": [ + "category" + ], + "creator": "Editorial", + "code": "f", + "name": "f" + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "570831e088701004882deb2e0e616f0b", + "name": "Gender", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 95 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "86aad5207dac100488ecba7fa5283c3e", + "name": "Politics", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 61 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "20e045207e4e1004892ed0913b2d075c", + "name": "Gender in sports", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 95 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "838cac99285a42d69ac6ab7a8ed70377", + "name": "LGBTQ people", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 83 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "c8e409f8858510048872ff2260dd383e", + "name": "Business", + "creator": "Editorial", + "editorial_subject": "Business", + "rels": [ + "direct" + ], + "relevance": 99 + } + ], + "organisation": [ + { + "scheme": "http://cv.ap.org/id/", + "code": "d4b82a78857310048a38ff2260dd383e", + "name": "United States Senate", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 49 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "de1f83b8857310048a4dff2260dd383e", + "name": "United States House of Representatives", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 32 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "bf6e2e80760d10048f8ae6e7a0f4673e", + "name": "U.S. Republican Party", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 32 + } + ], + "place": [ + { + "scheme": "http://cv.ap.org/id/", + "code": "dcb000c082c610048843df092526b43e", + "name": "Ohio", + "creator": "Machine", + "rels": [ + "direct" + ], + "parentids": [ + "661e48387d5b10048291c076b8e3055c" + ], + "locationtype": { + "code": "0ae5eb8e00e04295a4fc209c94bfe6ef", + "name": "State" + }, + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -83.00018, + 40.25034 + ] + }, + "relevance": 75, + "parentnames": [ + "United States" + ] + } + ], + "audiences": [ + { + "code": "82c6a4c46fa0446090a7acaf93159e4c", + "name": "Print", + "type": "AUDPLATFORM" + }, + { + "code": "9add4649b53b4702ba7d9de5d4fa607a", + "name": "Online", + "type": "AUDPLATFORM" + }, + { + "code": "f43adc08760d10048040e6e7a0f4673e", + "name": "National", + "type": "AUDSCOPE" + }, + { + "code": "f4ecf9b0760d10048044e6e7a0f4673e", + "name": "International", + "type": "AUDSCOPE" + }, + { + "code": "f5b16ea8760d10048047e6e7a0f4673e", + "name": "State", + "type": "AUDSCOPE" + }, + { + "code": "661850e07d5b100481f5c076b8e3055c", + "name": "Latin America and Caribbean", + "type": "AUDGEOGRAPHY" + }, + { + "code": "dcb000c082c610048843df092526b43e", + "name": "Ohio", + "type": "AUDGEOGRAPHY" + }, + { + "code": "687e74a082af1004823adf092526b43e", + "name": "Arkansas", + "type": "AUDGEOGRAPHY" + }, + { + "code": "661e48387d5b10048291c076b8e3055c", + "name": "United States", + "type": "AUDGEOGRAPHY" + } + ], + "associations": { + "1": { + "altids": { + "itemid": "eb9a2164e9f6493aadf2626a9eae79fd" + }, + "type": "picture" + } + }, + "body_nitf": "COLUMBUS, Ohio (AP) \u2014 A Republican-backed proposal that would drastically affect how LGBTQ youth in Ohio live their everyday lives cleared the state Senate on Wednesday, despite adamant opposition from parents, medical providers and education professionals who call it cruel and potentially life threatening.
State senators, by a vote of 24-8, approved a multifaceted bill that would ban gender-affirming care for minors and block transgender student athletes from participating in girls and women's sports. A lone Republican, Sen. Nathan Manning of Northeast Ohio, joined Democrats in a \u201cno\u201d vote.
The GOP-dominated House agreed to some Senate-made changes to the bill Wednesday evening and sent the measure to Republican Gov. Mike DeWine\u2019s desk for final approval. DeWine has not said whether he will sign it. He previously had expressed doubts about the sports restrictions, saying such decisions were best made by individual sports organizations.
DeWine\u2019s spokesperson, Dan Tierney, said the governor\u2019s office would not comment on the legislation until it has thoroughly reviewed it.
Under the legislation, minors in Ohio would be prohibited from taking puberty blockers and undergoing other hormone therapies or receiving gender reassignment surgery that would further align them with their gender identity.
An amendment added this week changes a provision that would have forced children receiving gender affirming care to stop treatment or leave the state to obtain it. The latest version of the bill allows for any minor who is an Ohio resident currently receiving care to see that care through.
Since 2021, more than 20 states have enacted laws restricting or banning such treatments, despite the fact that they have been available in the United States for more than a decade and are endorsed by major medical associations. Most of these states face lawsuits, but courts have issued mixed rulings.
The nation\u2019s first law, in Arkansas, was struck down by a federal judge who said the ban on care violated the due process rights of transgender youth and their families. Courts have blocked enforcement in three states while such legislation is currently allowed or set to go into effect soon in seven other states.
The proposal also would require public K-12 schools and universities to designate separate teams for male and female sexes, and would explicitly ban transgender girls and women from participating in girls and women's sports.
At least 20 states have passed some version of a ban on transgender athletes playing on K-12 and collegiate sports teams statewide. Those bans would be upended by a regulation proposed by President Joe Biden's administration that is set to be finalized early next year. The rule, announced in April, states that blanket bans violateTitle IX, the landmark federal gender-equity legislation enacted in 1972.
The proposal would make it more difficult for schools to ban, for example, a transgender girl in elementary school from playing on a girls basketball team. But it would also leave room for schools to develop policies that prohibit trans athletes from playing on more competitive teams if those policies are designed to ensure fairness or prevent sports-related injuries.
Supporters say Ohio's transgender care measure is about protecting children because they cannot provide \u201cinformed consent\" for gender-affirming care and could be pushed into making choices that they regret later in life. They say banning transgender athletes from girls and women's sports maintains the integrity of those sports and ensures fairness.
Hundreds of opponents have testified against the bill, including medical and mental health providers, education professionals, faith leaders, parents of transgender children and transgender individuals themselves. They decry the legislation as cruel, life threatening to transgender youth and based on fearmongering rather than scientific fact.
Parents also say the bill obliterates their rights and ability to make informed health care decisions for their transgender children.
But Senate President Matt Huffman, a Lima Republican, said Wednesday that passing the law would be akin to backing measures that prevent parents from giving their children illicit drugs or physically abusing them.
\u201cCertainly the parents are the most important decision-maker in a child\u2019s life. But there are things where it\u2019s important for the state to step in and protect the child,\u201d Huffman said.
But Sen. Paula Hicks-Hudson, a Toledo Democrat, argued that the measure will only hurt transgender youth.
\u201cWe understand that our young people have so many different types of trials and trauma that they have to deal with. And unfortunately, this legislature is going to add an additional trauma to that,\" Hicks-Hudson said in a committee hearing earlier Wednesday.
___
Samantha Hendrickson is a corps member for the Associated Press/Report for America Statehouse News Initiative. Report for America is a nonprofit national service program that places journalists in local newsrooms to report on undercovered issues.
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Therefore, the document is relevant to the topic of health, though it also covers broader social and political dimensions." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2023/12/13/ecff8127b0bf54812a98217dde5a2170.json b/datasets/AP_news/raw_data/2023/12/13/ecff8127b0bf54812a98217dde5a2170.json new file mode 100644 index 0000000..5f1a43c --- /dev/null +++ b/datasets/AP_news/raw_data/2023/12/13/ecff8127b0bf54812a98217dde5a2170.json @@ -0,0 +1,311 @@ +{ + "altids": { + "itemid": "ecff8127b0bf54812a98217dde5a2170", + "etag": "ecff8127b0bf54812a98217dde5a2170_4a17aza0c0", + "friendlykey": "467675698253", + "referenceid": "US--SmileDirect-Customers" + }, + "version": 4, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2023-12-29T14:20:59Z", + "firstcreated": "2023-12-13T19:58:50Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: EDITS: A version of this story first ran on Monday, Dec. 11. Edits for clarity and to reflect the timeline of the latest update. With AP Photo.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "US--SmileDirect-Customers", + "headline": "SmileDirectClub is shutting down. Where does that leave its customers?", + "headline_extended": "Just months after filing for bankruptcy, SmileDirectClub announced it was shutting down its global operations and halting its teeth-aligner treatments", + "slugline": "BC-US-SmileDirect-Customers, 4th Ld-Writethru", + "description_summary": "Just months after filing for bankruptcy, SmileDirectClub announced it was shutting down its global operations and halting its teeth-aligner treatments. That leaves existing SmileDirectClub customers with a lot of questions. There is no more customer care support from the company and few details about possible refunds available yet. Multiple dental organizations and orthodontists are also cautioning patients about safety concerns around such \u201cdirect-to-consumer\u201d dentistry. Some experts say these kinds of aligner treatments can overlook key aspects of a patient\u2019s oral condition below the surface \u2014 and potentially lead to health consequences.", + "bylines": [ + { + "by": "By WYATTE GRANTHAM-PHILIPS", + "title": "AP Business Writer" + } + ], + "located": "NEW YORK", + "datelinelocation": { + "city": "New York", + "countryareacode": "NY", + "countryareaname": "New York", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -74.00597, + 40.71427 + ] + } + }, + "copyrightnotice": "Copyright 2023 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. For other uses, additional clearances may be required." + ], + "keywords": [ + "smile direct club shuts down bankruptcy" + ], + "provider": "AP", + "infosource": [ + { + "name": "AP", + "type": "AP" + } + ], + "subject": [ + { + "rels": [ + "category" + ], + "creator": "Editorial", + "code": "f", + "name": "f" + }, + { + "rels": [ + "category" + ], + "creator": "Editorial", + "code": "l", + "name": "l" + }, + { + "rels": [ + "category" + ], + "creator": "Editorial", + "code": "a", + "name": "a" + }, + { + "rels": [ + "category" + ], + "creator": "Editorial", + "code": "n", + "name": "n" + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "15e4391e57a2443e842d5e41110305bf", + "name": "Oral health", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 70 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "cc7a76087e4e10048482df092526b43e", + "name": "Health", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 81 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "e52df429a4b34c12acaa65a2071dabb7", + "name": "Recessions and depressions", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 38 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "5238439888e910048f62f8851349f9bd", + "name": "Product safety", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 48 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "ec2bcc5088e810048c8bf8851349f9bd", + "name": "Bankruptcy", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 48 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "c8e409f8858510048872ff2260dd383e", + "name": "Business", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 90 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "a4677d70863b4012b846a1b00f5079f5", + "name": "U.S. news", + "creator": "Editorial", + "editorial_subject": "U.S. news", + "rels": [ + "direct" + ], + "relevance": 75 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "f25af2d07e4e100484f5df092526b43e", + "name": "General news", + "creator": "Editorial", + "editorial_subject": "General news", + "rels": [ + "direct" + ], + "relevance": 50 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "3e37e4b87df7100483d5df092526b43e", + "name": "Lifestyle", + "creator": "Editorial", + "editorial_subject": "Lifestyle", + "rels": [ + "direct" + ], + "relevance": 75 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "cc7a76087e4e10048482df092526b43e", + "name": "Health", + "creator": "Editorial", + "editorial_subject": "Health", + "rels": [ + "direct" + ], + "relevance": 75 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "c8e409f8858510048872ff2260dd383e", + "name": "Business", + "creator": "Editorial", + "editorial_subject": "Business", + "rels": [ + "direct" + ], + "relevance": 99 + } + ], + "place": [ + { + "scheme": "http://cv.ap.org/id/", + "code": "87326b96c818441d86b6d4829dccafd4", + "name": "Buffalo", + "creator": "Machine", + "rels": [ + "direct" + ], + "parentids": [ + "b58f18a082c6100487fbdf092526b43e" + ], + "locationtype": { + "code": "9d26a20b35f0484a891740f8189d4c7b", + "name": "City" + }, + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -78.87837, + 42.88645 + ] + }, + "relevance": 32, + "parentnames": [ + "New York" + ] + } + ], + "audiences": [ + { + "code": "82c6a4c46fa0446090a7acaf93159e4c", + "name": "Print", + "type": "AUDPLATFORM" + }, + { + "code": "9add4649b53b4702ba7d9de5d4fa607a", + "name": "Online", + "type": "AUDPLATFORM" + }, + { + "code": "f43adc08760d10048040e6e7a0f4673e", + "name": "National", + "type": "AUDSCOPE" + }, + { + "code": "f4ecf9b0760d10048044e6e7a0f4673e", + "name": "International", + "type": "AUDSCOPE" + }, + { + "code": "f5b16ea8760d10048047e6e7a0f4673e", + "name": "State", + "type": "AUDSCOPE" + }, + { + "code": "661850e07d5b100481f5c076b8e3055c", + "name": "Latin America and Caribbean", + "type": "AUDGEOGRAPHY" + }, + { + "code": "661850e07d5b100481f4c076b8e3055c", + "name": "Europe", + "type": "AUDGEOGRAPHY" + }, + { + "code": "62532b5882c7100488cedf092526b43e", + "name": "Tennessee", + "type": "AUDGEOGRAPHY" + }, + { + "code": "661e48387d5b10048291c076b8e3055c", + "name": "United States", + "type": "AUDGEOGRAPHY" + } + ], + "associations": { + "1": { + "altids": { + "itemid": "d24322f9aa9c413fb7dbec3a4f1bdef9" + }, + "type": "picture" + } + }, + "body_nitf": "NEW YORK (AP) \u2014 Just months after filing for bankruptcy, SmileDirectClub announced it was shutting down its global operations and halting its teeth-aligner treatments.
That leaves existing SmileDirectClub customers with a lot of questions and few available answers. The company is offering no more customer care support and few details about possible refunds are available yet. Multiple dental organizations and orthodontists also caution patients about safety concerns arising from \u201cdirect-to-consumer\u201d dentistry.
Here's what you need to know.
SmileDirectClub \u2014 which served over 2 million people since its 2014 founding \u2014 once promised to revolutionize the oral-care industry by selling clear dental aligners that were marketed as a faster and more affordable alternative to braces. It sold its aligners directly to consumers by mail and in major retailers.
When SmileDirectClub's stock began trading on the stock market in 2019, the company was valued at about $8.9 billion. But the stock plummeted in value over time as the company proved to be unprofitable year after year. In 2022, SmileDirectClub lost $86.4 million.
With its stock price tumbling, SmileDirectClub was pressured to spend on acquiring customers to demonstrate its business could grow, said Eric Snyder, chairman of bankruptcy at the Wilk Auslander law firm.
\u201cAnd then you combine that with the legal battles they had (and pushback) from orthodontics industry ... all those things together just made it really hard for them to stay competitive,\u201d he added. \u201cThey\u2019ve been losing just tremendous amounts of money over the last couple of years.\u201d
SmileDirectClub filed for Chapter 11 bankruptcy protection in September while reporting nearly $900 million in debt. And earlier this month, it confirmed it was shutting down operations after being unable to find a partner willing to bring in enough capital to keep the company afloat.
In an FAQ about it shutting down operations, SmileDirectClub confirmed that its telehealth aligner treatment is no longer available.
That leaves existing customers in limbo \u2014 with many expressing confusion and frustration online. Customer orders that haven\u2019t shipped yet have been canceled and \u201cLifetime Smile Guarantee\u201d no longer exists, the company said in its Dec. 8 announcement. SmileDirectClub added that SmilePay customers were expected to continue payments \u2014 but has since updated its FAQ to direct these customers to HFD, the service provider for SmilePay, for questions.
SmileDirectClub's customer-care support has ceased. The Nashville, Tennesee, company apologized and urged consumers to consult their local dentist or orthodontist for further treatments. The company added that more details about refund requests will arrive \u201conce the bankruptcy process determines next steps and additional measures customers can take.\u201d
When contacted by The Associated Press for additional information shortly after this announcement, a spokesperson said SmileDirectClub couldn\u2019t comment further.
Now that SmileDirectClub is out of business it must liquidate, Snyder noted. He said he's skeptical about compensation making its way to customers \u2014 but notes that people who signed up or made payments after the company's September bankruptcy filing will likely be prioritized.
\u201cUnfortunately, I think they\u2019re going to be out of luck. ... (But) if there\u2019s any money, it\u2019ll go to the newest customers,\u201d Snyder told The AP earlier this month. And even when a company goes out of business, consumers still paying off services they already received will still owe that amount, he noted.
Snyder also didn't expect there to be further legal implications around the end of the \u201cLifetime Smile Guarantee,\u201d for example, noting that such warranties are \"only as good as the life of the company offering it.\"
It's unclear how many active customers SmileDirectClub had before shutting down, but American Association of Orthodontists President Dr. Myron Guymon speculates that tens of thousands of people could be affected.
\u201cThat's got to be very frustrating for them to have spent time and money in a treatment, and then all of a sudden the rug gets shoved out underneath their feet,\" Guymon said.
He and others advised those people to seek the care of a professionally trained orthodontic specialist, such as those listed on AAO's website.
Over the years, dental associations around the world have been urging caution or expressing opposition to direct-to-consumer aligners \u2014 what some call \u201cDIY\" dentistry.
These types of aligner treatments don't require in-person visits to a dentist or orthodontist, but typically ask consumers to take molds of their teeth or a digital scan instead. This can lead to key aspects of a patient\u2019s oral condition being overlooked and potentially lead to health consequences, some experts say.
\u201cIt\u2019s very easy to cause harm if you\u2019re not properly monitoring the case,\" Dr. Thikriat Al-Jewair, chair of the Department of Orthodontics at the University at Buffalo, said. \u201cI cannot overstate the importance of seeing an orthodontist to monitor the care. (Moving teeth) is a very complex process and also very individualized.\"
Al-Jewair added that many former direct-to-consumer aligner patients end up coming to orthodontic practices for reevaluation. In these cases, she said, gum disease, bite problems and other issues often arise.
It\u2019s important to note that SmileDirectClub isn\u2019t the only direct-to-consumer aligner provider on the market today. The treatment's appeal and perceived benefits boil down to convenience and affordability \u2014 still, Al-Jewair notes, past demographic research has found that the majority of patients seeking direct-to-consumer aligners came from higher economic backgrounds.
SmileDirectClub has previously specified that each of its customers' treatment plans and health histories were reviewed by licensed doctors, who could also request additional information or reject some applications for the company's teledentristy care. But this kind of business model, which is not unique the company, still brings up concerns for the AAO, Guymon noted. Apart from not requiring an initial in-person evaluation, he said, supervising doctors are not always identified to patients.
\u201cOur concern has always been that the lack of direct supervision, the lack of a patient-doctor relationship (and the fact) that the patient didn\u2019t know who to call if they had problems, was not in the public\u2019s best health and interests,\" he said.
That doesn't mean there isn't a place for telehealth in the dental world, Guymon and others said. Remote monitoring between treatments, for example, can be convenient and can alleviate some cost barriers of orthodontic care.
\"We absolutely support teledentistry and many of our members use it, but just within certain safety guidelines,\" said Trey Lawrence, AAO\u2019s VP, general counsel and head of the association\u2019s advocacy team. \u201cPatients can check in with their dentist (remotely), but also maintain knowing who your dentist is and being seen in-person before you start something more permanent, like orthodontic treatment.\u201d
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Wade last year.
The justices will hear appeals from the Biden administration and the maker of the drug mifepristone asking the high court to reverse an appellate ruling that would cut off access to the drug through the mail and impose other restrictions, even in states where abortion remains legal. The restrictions include shortening from the current 10 weeks to seven weeks the time during which mifepristone can be used in pregnancy.
The nine justices rejected a separate appeal from abortion opponents who challenged the Food and Drug Administration's initial approval of mifepristone as safe and effective in 2000.
The case will be argued in the spring, with a decision likely by late June, in the middle of the 2024 presidential and congressional campaigns.
Mifepristone, made by New York-based Danco Laboratories, is one of two drugs used in medication abortions, which account for more than half of all abortions in the United States. More than 5 million people have used it since 2000.
The Supreme Court overturned the constitutional right to an abortion in June 2022. That ruling has led to bans on abortion at all stages of pregnancy in 14 states, with some exceptions, and once cardiac activity can be detected, which is around six weeks, in two others.
Abortion opponents filed their challenge to mifepristone the following November and initially won a sweeping ruling six months later revoking the drug\u2019s approval entirely. The appeals court left intact the FDA\u2019s initial approval of mifepristone. But it would reverse changes regulators made in 2016 and 2021 that eased some conditions for administering the drug.
The justices blocked that ruling from taking effect while the case played out, though Justices Samuel Alito, the author of last year\u2019s decision overturning Roe, and Clarence Thomas said they would have allowed some restrictions to take effect while the case proceeded.
Women seeking to end their pregnancies in the first 10 weeks without more invasive surgical abortion can take mifepristone, along with misoprostol. The FDA has eased the terms of mifepristone\u2019s use over the years, including allowing it to be sent through the mail in states that allow access.
In its appeal, the Democratic administration said the appeals court, the 5th U.S. Circuit Court of Appeals in New Orleans, ignored the FDA\u2019s scientific judgment about mifepristone\u2019s safety and effectiveness since its approval in 2000.
White House press secretary Karine Jean-Pierre said on Wednesday that the appellate ruling \u201cthreatens to undermine the FDA\u2019s scientific, independent judgment and would reimpose outdated restrictions on access to safe and effective medication abortion.\u201d
Lawyers for the anti-abortion medical groups and individual physicians who have challenged the use of mifepristone had urged the Supreme Court to turn away the appeals.
\u201cThe modest decision below merely restores the common-sense safeguards under which millions of women have taken chemical abortion drugs,\u201d wrote lawyers for the Alliance Defending Freedom, which describes itself as a Christian law firm. The lead attorney on the Supreme Court filing is Erin Hawley, wife of Republican Sen. Josh Hawley of Missouri.
U.S. District Judge Matthew Kacsmaryk, an appointee of President Donald Trump in Texas, initially revoked FDA approval of mifepristone.
Responding to a quick appeal, two more Trump appointees on the 5th U.S. Circuit Court of Appeals said the FDA\u2019s original approval would stand for now. But Judges Andrew Oldham and Kurt Engelhardt said most of the rest of Kacsmaryk\u2019s ruling could take effect while the case winds through federal courts.
Besides reducing the time during which the drug can be taken and halting distribution through the mail, patients who are seeking medication abortions would have had to make three in-person visits with a doctor. Women also might have been required to take a higher dosage of the drug than the FDA says is necessary.
Health care providers have said that if mifepristone is no longer available or is too hard to obtain, they would switch to using only misoprostol, which is somewhat less effective in ending pregnancies.
___
Follow the AP\u2019s coverage of the U.S. Supreme Court at https://apnews.com/hub/us-supreme-court.
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"type": "picture" + } + }, + "body_nitf": "Gautam Dongre\u2019s two children in India and Pascazia Mazeze\u2019s son in Tanzania live with an inherited blood disorder that turns blood cells into instruments of pain.
Now that new gene therapies promise a cure for their sickle cell disease, Dongre says he's \"praying the treatment should come to us.\u201d
But experts say the one-time treatment is out of reach in India and Africa \u2014 places where the disease is most common. Vast inequities cut much of the world off from gene therapy in general.
While access to all sorts of medicine is limited in developing countries, the problem is especially acute with these therapies, which are among the most expensive treatments in the world.
Beyond their sky-high prices, these therapies are extremely complex to give patients because they require long hospitalizations, sophisticated medical equipment and specially trained doctors and scientists. So far, the two gene therapies for sickle cell have only been approved in wealthier countries: both of them in the U.S., and one in Britain and Bahrain as well.
\u201cThe vast, vast majority of patients live in an area where they have no access to this kind of therapy,\u201d said Dr. Benjamin Watkins, who treats sickle cell in New Orleans and is also involved in pediatric work internationally. \u201cWe as medical professionals, and as a society, have to think about that.\u201d
Access to gene therapies was a major focus of this year\u2019s international summit on human genome editing in London. A subsequent editorial in the journal Nature said high prices leave low- and middle-income countries \u201centirely in the lurch\u201d and could stymie progress across the field.
Some scientists worry that new cures won\u2019t reach their potential, future treatments may never be invented and the prospect of wiping out diseases like sickle cell will remain a distant dream.
STRUGGLING FOR BASIC TREATMENT
For gene therapy to even be an option, people in developing nations must stay alive long enough to get it. There, sickle cell disease is more likely to disable or kill than in wealthy regions. Late diagnosis is common and basic care can be hard to come by.
While gene therapy \"is a huge leap forward \u2026 we can\u2019t forget about those patients,\u201d said Watkins, of Children\u2019s Hospital New Orleans.
Sickle cell disease begins its assault on the body at birth, affecting hemoglobin, the protein in red blood cells that carries oxygen. A genetic mutation causes the cells to become crescent-shaped, which can block blood flow and cause problems such as excruciating pain, organ damage and stroke.
The only other cure is a bone marrow transplant, which must come from a closely matched donor and brings a risk of rejection.
Global estimates of how many people have the disease vary, but some researchers put the number between 6 million and 8 million. It\u2019s more common in malaria-prone regions because carrying the sickle cell trait helps protect against severe malaria. More than 1 million people with sickle cell disease live in India, studies show, and more than 5 million are in sub-Saharan Africa.
Dongre, who lives in Nagpur in central India, has seen the struggles in his own family and among people he\u2019s met as a leader in the National Alliance of Sickle Cell Organizations in India. For many years, awareness of the disease has been lacking, he said, even among some health professionals.
Dongre recalled how his newborn son Girish cried constantly from stomach and leg pain. Doctors couldn\u2019t figure out what was wrong and didn\u2019t diagnose him with sickle cell for 2 1/2 years. When their daughter Sumedha was born, he and his wife had her tested immediately and learned she had the disease too.
Other patients go undiagnosed for a decade or more. Lalit Pargi, who lives in Udaipur in northern India, said he wasn\u2019t diagnosed until he was 16 despite having the tell-tale yellow eyes and skin of jaundice, a common sign of sickle cell. That meant a childhood filled with inexplicable pain.
\u2018GOD AND GOOGLE\u2019
Available treatments can reduce the bouts of pain known as \u201ccrises.\" Dongre\u2019s children, now 19 and 13, take a medicine called hydroxyurea, a decades-old chemo drug that helps prevent the formation of sickle-shaped red blood cells and control the disease. Both have been hospitalized for pain episodes, especially when they were younger.
Other patients in rural areas are dying at very young ages without getting the right treatments, Dongre said.
In July, Indian Prime Minister Narendra Modi launched a sickle cell \u201celimination mission\u201d that combines awareness, education, screening, early detection and treatment. Dongre lauded the effort but said the country faces huge obstacles to meet its goals.
The situation is much the same in East Africa's Tanzania, where the health ministry has partnered with drug company Novartis, which makes sickle cell medicine, to improve access to diagnosis and treatment.
Mazeze scrambled for information after her son, Ian Harely, was diagnosed.
\u201cI Googled and Googled and I couldn\u2019t sleep,\u201d said Mazeze, executive director of the Tanzania Sickle Cell Warriors Organization. \u201cAfter that, I was praying. It was God and Google.\u201d
Her son is now 10 and takes hydroxyurea and folic acid for anemia. They\u2019ve helped, but haven\u2019t eliminated pain episodes like the one that put him in the hospital for two weeks earlier this year.
Still, Mazeze counts herself lucky she can afford treatment at all.
\u201cWe have people in Tanzania who can\u2019t even manage folic acid,\u201d she said. \u201cFolic acid for a month is 1,000 Tanzanian shillings \u2013 less than a dollar,\u201d while out-of-pocket costs for hydroxyurea can be more than 35 times that.
\u2018SIGNIFICANT CHALLENGES'
Such stark realities make the cost of gene therapies an insurmountable obstacle, experts say. The price tags for the two sickle cell therapies in the U.S. are $3.1 million and $2.2 million although the cost for gene therapies can vary by country.
The process of giving the therapies is just as big a hurdle.
Patients must go to the hospital, where stem cells are removed from their blood in a process that requires specialized equipment. One treatment, made by Vertex Pharmaceuticals and CRISPR Therapeutics, involves sending the cells to a lab as quickly as possible to keep them fresh and using a gene-editing tool called CRISPR to knock out a gene. The cells must be sent back in liquid nitrogen so they stay frozen until they\u2019re ready to use.
The other therapy, made by Bluebird Bio, doesn't use CRISPR but involves the same process for patients. In both cases they must undergo chemotherapy before they get back their altered cells by IV, and spend weeks in the hospital. The process can stretch on for months.
\u201cThe infrastructure doesn\u2019t exist to make it possible in many parts of the world,\u201d said Dr. David Altshuler, chief scientific officer at Vertex. \u201cThere\u2019s great unmet need, but there are also significant challenges.\u201d
Not only do many medical centers lack things like specialized equipment, but health care systems themselves are comparatively skeletal. For example, World Health Organization data shows India and Tanzania both have less than a quarter of the per-capita hospital beds the U.S. has.
Scientists say one possible solution \u2014 though not an immediate fix \u2014 is to develop easier-to-administer versions of the new therapies. Altshuler said Vertex is trying to find ways to provide the same benefits without requiring chemo, which comes with serious risks such as infertility. His team is working on making a pill that wouldn\u2019t edit genes but would have the same goal: helping the body produce a fetal form of hemoglobin since the adult form is defective in people with sickle cell.
Other scientists are also working on simpler potential cures, including Dr. Stuart Orkin, one of the scientists whose work led to the development of the Vertex therapy.
Orkin said he's not sure if next-generation treatments like pills will necessarily be affordable.
\u201cSomeone's going to want to be compensated for the development of that pill,\u201d although foundations could help bring it to the developing world, said the Harvard Medical School pediatrics professor, who is paid by the Howard Hughes Medical Institute, which also supports The Associated Press' Health and Science Department. Experts said governments will likely also be instrumental in getting cures to patients.
Dongre said he hopes gene therapy for sickle cell eventually makes it to India. If it does, he\u2019d like his children to be among the first to get it. Mazeze said she may wait to see how other patients fare but will consider it for her son too.
Both agreed that patients in all countries \u2014 rich or poor \u2014 should have the option.
\u201cWe all are part of one single planet,\u201d Dongre said.
___
The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute\u2019s Science and Educational Media Group. The AP is solely responsible for all content.
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New gene therapies promise a cure for sickle cell disease, and Dongre says he\u2019s \u201cpraying the treatment should come to us.\u201d
But experts say the one-time treatment is out of reach in India and Africa \u2014 places where the disease is most common. Vast inequities cut much of the world off from gene therapy in general.
While access to all sorts of medicine is limited in developing countries, the problem is especially acute with these therapies, some of the most expensive treatments in the world.
Beyond their sky-high prices, these therapies are extremely complex to give patients because they require long hospitalizations, sophisticated medical equipment and specially trained doctors. So far, the two gene therapies for sickle cell have only been approved in wealthier countries: both in the U.S., and one in Britain and Bahrain as well.
\u201cThe vast, vast majority of patients live in an area where they have no access to this kind of therapy,\u201d said Dr. Benjamin Watkins, who treats sickle cell at Children's Hospital New Orleans. \u201cWe as medical professionals, and as a society, have to think about that.\u201d
Access to gene therapies was a major focus of this year\u2019s international summit on human genome editing in London. A subsequent editorial in the journal Nature said high prices leave low- and middle-income countries \u201centirely in the lurch\u201d and could stymie progress across the field.
Some scientists worry that new cures won\u2019t reach their potential, future treatments may never be invented and the prospect of wiping out diseases like sickle cell will remain a distant dream.
STRUGGLING FOR BASIC TREATMENT
For gene therapy to even be an option, people in developing nations must stay alive long enough to get it. There, sickle cell disease is more likely to disable or kill than in wealthy regions. Late diagnosis is common and basic care can be hard to come by.
Sickle cell disease affects hemoglobin, the protein in red blood cells that carries oxygen. A genetic mutation causes the cells to become crescent-shaped, which can block blood flow and cause problems such as excruciating pain and organ damage.
Global estimates of how many people have the disease vary, but some researchers put the number between 6 million and 8 million \u2014 with more than 1 million in India and more than 5 million in sub-Saharan Africa.
Dongre, who lives in Nagpur in central India, has seen the struggles in his own family and among people he\u2019s met as a leader of India's National Alliance of Sickle Cell Organizations.
He recalled how his newborn son Girish cried constantly from stomach and leg pain. Doctors didn\u2019t diagnose him with sickle cell for 2 1/2 years. When their daughter Sumedha was born, he and his wife had her tested immediately and learned she had the disease too.
Available treatments can reduce the bouts of pain known as \u201ccrises.\u201d Dongre\u2019s children, now 19 and 13, take hydroxyurea, a decades-old chemo drug that helps prevent the formation of sickle-shaped red blood cells and control the disease.
Other patients in rural areas are dying at very young ages without getting the right treatments, Dongre said.
The situation is much the same in East Africa's Tanzania.
Mazeze scrambled for information after her son, Ian Harely, was diagnosed.
\u201cI Googled and Googled and I couldn\u2019t sleep,\u201d said Mazeze, executive director of the Tanzania Sickle Cell Warriors Organization. \u201cAfter that, I was praying. It was God and Google.\u201d
Her son is now 10 and takes hydroxyurea and folic acid for anemia. They\u2019ve helped, but haven\u2019t eliminated pain episodes.
Still, Mazeze counts herself lucky she can afford treatment at all. She said some in Tanzania can't even pay for folic acid, which costs less than a dollar.
\u2019SIGNIFICANT CHALLENGES\u2019
Such stark realities make the cost of gene therapies an insurmountable obstacle, experts say. The price tags for the two sickle cell therapies in the U.S. are $3.1 million and $2.2 million although costs can vary by country.
The process of giving the therapies is just as big a hurdle.
Patients must go to the hospital, where stem cells are removed from their blood. One treatment, made by Vertex Pharmaceuticals and CRISPR Therapeutics, involves quickly sending the cells to a lab and using a gene-editing tool called CRISPR to knock out a gene.
The other therapy, made by Bluebird Bio, doesn\u2019t use CRISPR but involves the same process for patients. They must undergo chemotherapy before they get back their altered cells, and spend weeks in the hospital. The process can stretch on for months.
\u201cThere\u2019s great unmet need, but there are also significant challenges,\u201d said Dr. David Altshuler, chief scientific officer at Vertex.
Scientists are working to make easier-to-administer versions of the new therapies. Altshuler's team is trying to develop a pill that wouldn\u2019t edit genes but would have the same goal: helping the body produce a fetal form of hemoglobin since the adult form is defective in people with sickle cell.
But experts say simpler cures will likely still be unaffordable to many, so foundations and governments will be instrumental in getting them to patients.
If the gene therapy eventually makes it to India, Dongre would like his children to be among the first to get it. Mazeze said she may wait to see how other patients fare but will consider it for her son too.
Both agreed it should be an option in all countries \u2014 rich or poor.
\u201cWe all are part of one single planet,\u201d Dongre said.
___
The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute\u2019s Science and Educational Media Group. The AP is solely responsible for all content.
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Moderna Inc., up $7.27 to $85.87.
The vaccine maker gave investors an encouraging update on a potential cancer vaccine being developed with Merck.
Glaukos Corp., up $15.32 to $75.74.
The glaucoma treatments developer received regulatory approval in the U.S. of its eye-condition drug iDose.
Jabil Inc., up $15.82 to $136.42.
The electronics manufacturer beat analysts' fiscal first-quarter earnings and revenue forecasts.
Rivian Automotive Inc., up $2.75 to $22.43.
AT&T will buy vehicles for its fleet from the electric vehicle maker.
Apellis Pharmaceuticals Inc., down $10.70 to $52.18.
The biopharmaceutical company warned investors about the potential for a negative opinion on an eye condition drug from European regulators.
Adobe Inc., down $39.62 to $584.64.
The software company's profit forecast for its current fiscal year disappointed investors.
Hess Corp., up $6.37 to $143.10.
Energy stocks gained ground along with rising crude oil prices.
Newmont Corp., up $1.15 to $41.15.
The gold producer rose along with prices for the precious metal.
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The mention of a potential cancer vaccine by Moderna and regulatory approval for Glaukos' eye-condition drug are relevant to health, but these are brief mentions within a broader financial context." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2023/12/14/385aaf752e98a0de5899193ea85d64b8.json b/datasets/AP_news/raw_data/2023/12/14/385aaf752e98a0de5899193ea85d64b8.json new file mode 100644 index 0000000..2e2e159 --- /dev/null +++ b/datasets/AP_news/raw_data/2023/12/14/385aaf752e98a0de5899193ea85d64b8.json @@ -0,0 +1,288 @@ +{ + "altids": { + "itemid": "385aaf752e98a0de5899193ea85d64b8", + "etag": "385aaf752e98a0de5899193ea85d64b8_1a3aza0c0", + "friendlykey": "471388036442", + "referenceid": "VA-XGR--Youngkin-Mental Health" + }, + "version": 1, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2023-12-15T01:37:43Z", + "firstcreated": "2023-12-14T22:40:39Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: EDITS: Deletes extraneous word and corrects Youngkin spelling in second paragraph.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "VA-XGR--Youngkin-Mental Health", + "headline": "Youngkin pledges to seek mental health legislation in honor of Irvo Otieno", + "headline_extended": "Virginia Gov. Glenn Youngkin plans to pursue mental health reform legislation next year in honor of Irvo Otieno", + "slugline": "BC-VA-XGR--Youngkin-Mental Health, 1st Ld-Writethru", + "description_summary": "Virginia Gov. Glenn Youngkin plans to pursue mental health reform legislation next year in honor of Irvo Otieno. The 28-year-old Black man died earlier this year while in custody at a state mental hospital, sparking outrage and led to legal charges. Youngkin said he would seek legislation that would ensure that Virginia families have the right to be in close physical proximity to a relative amid a medical, mental health or substance-use emergency. Otieno's mother has said she was prevented from seeing him while he was in custody. In an interview, she welcomed the legislation.", + "bylines": [ + { + "by": "By SARAH RANKIN", + "title": "Associated Press" + } + ], + "located": "RICHMOND, Va.", + "datelinelocation": { + "city": "Richmond", + "countryareacode": "VA", + "countryareaname": "Virginia", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -77.46026, + 37.55376 + ] + } + }, + "copyrightnotice": "Copyright 2023 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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(AP) \u2014 Virginia families would have the right to be near a relative who is having a medical, mental health or substance-use emergency, and that person could be given previously prescribed medications, under legislation Republican Gov. Glenn Youngkin said Thursday he'll pursue in the coming year.
Youngkin said the proposed reforms would honor Irvo Otieno, a 28-year-old Black man whose death in March while in custody at a state mental hospital sparked outrage and led to both legal charges and a wrongful death settlement.
Otieno was initially taken to a hospital for treatment in March amid a mental health episode. But he was later taken to jail after police said he \u201cbecame physically assaultive toward officers,\" and from there was transported to a state mental hospital south of Richmond.
Otieno's family and their attorneys have said that while Otieno was in the first hospital, his mother was prevented from seeing him. And they have said that while Otieno was in jail \u2014 where they argue he never should have been taken \u2014 he was for days denied access to needed medications.
\u201cThe system failed you,\" Youngkin told Otieno's mother and brother, who attended the event. \u201cThe system failed Irvo. And we\u2019re going to work together to fix it.\u201d
Youngkin outlined that legislation \u2014 which he said he thought would pass unanimously \u2014 and other mental health-related priorities for next year's legislative session in a speech in Richmond. A year ago, the governor rolled out a plan he calls \u201cRight Help, Right Now\u201d intended to overhaul the state's mental health care system, in part by expanding crisis services and tackling substance abuse challenges.
Otieno's mother, Caroline Ouko, and his brother, Leon Ochieng, said in an interview Thursday that they welcomed the governor's push for the legislation, as well as his focus on improving mental health care services.
\u201cIf Irvo's mental crisis was taken seriously, you know, treated as such, I would not be having an empty chair at the Christmas table,\u201d his mother said.
Ochieng said the family plans to celebrate what would have been Otieno's 29th birthday on Sunday.
Youngkin also pledged in his speech to push for legislation that would ban TikTok for users under 18. Dozens of other states have taken steps to ban or otherwise limit TikTok, including Montana, where a first-in-the-nation law banning the video-sharing app has met a legal challenge.
The governor also said he would push for legislation intended to otherwise protect children and their data privacy online, by banning targeted advertising to minors and requiring verifiable parental consent for children to establish a social media profile.
Youngkin will need to build support for his priorities among Democrats, who will have narrow majorities in both General Assembly chambers come January.
___
This story has been updated to correct the spelling of Youngkin in one instance.
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With AP Photos.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "US--Abortion-Ohio", + "headline": "Ohio clinics want abortion ban permanently struck down in wake of constitutional amendment passage", + "headline_extended": "Abortion clinics in Ohio are pushing for a court to strike down abortion restrictions now that voters have enshrined abortion rights into the state Constitution", + "slugline": "BC-US--Abortion-Ohio, 1st Ld-Writethru", + "description_summary": "Abortion clinics in Ohio are pushing for a court to strike down abortion restrictions now that voters have enshrined abortion rights into the state Constitution. The push comes on the heels of an amendment that Ohio voters approved last month that ensures access to abortion and other reproductive health care. It took effect last week. A law signed by Republican Gov. Mike DeWine in April 2019 prohibited most abortions after the first detectable \u201cfetal heartbeat.\u201d The law had been blocked through a federal legal challenge, briefly went into effect when the landmark 1973 Roe v. Wade decision was overturned, and then was again put on hold in county court.", + "copyrightnotice": "Copyright 2023 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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The push comes on the heels of an amendment that Ohio voters approved last month that ensures access to abortion and other reproductive health care. It took effect last week.
A law signed by Republican Gov. Mike DeWine in April 2019 prohibited most abortions after the first detectable \u201cfetal heartbeat.\u201d Cardiac activity can be detected as early as six weeks into pregnancy, before many women know they are pregnant.
The law had been blocked through a federal legal challenge, briefly went into effect when the landmark 1973 Roe v. Wade decision was overturned, and then was again put on hold in county court.
Republican Attorney General Dave Yost appealed that ruling to the state Supreme Court, which is reviewing the case, but he declined to take up the question of whether abortion is legal under the state constitution. That was left to be litigated at the county level.
In response to a request for comment, Yost's office referred to a statement from Dec. 7 on where things stand, writing, \u201cthe state is prepared to acknowledge the will of the people on the issue, but also to carefully review each part of the law for an orderly resolution of the case.\u201d
The providers are asking the lower court that initially blocked the ban to permanently strike it down.
\u201cThe Ohio Constitution now plainly and precisely answers the question before the court \u2014 whether the six-week ban is unconstitutional \u2014 in the affirmative,\u201d the clinics and ACLU Ohio said in a statement issued Thursday. \u201cThe Ohio Constitution is the highest law in our state and this amendment prevents anti-abortion politicians from passing laws to deny our bodily autonomy and interfere in our private medical decisions.\u201d
In the complaint updated on Thursday to reflect the vote, lawyers for the clinics asserted that the ban \u201cviolates fundamental rights guaranteed by the Ohio Constitution, including the right to reproductive freedom.\u201d
The complaint cites Yost\u2019s legal analysis circulated before the vote, which stated that passage of the amendment would invalidate the state\u2019s six-week ban, stating, \u201cOhio would no longer have the ability to limit abortions at any time before a fetus is viable.\u201d
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EDITS: Edits a typo in fourth paragraph.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "NC--Cooper-Interview", + "headline": "North Carolina Gov. Cooper says Medicaid expansion and other investments made 2023 a big year", + "headline_extended": "North Carolina Democratic Gov. Roy Cooper says he's got much to be pleased about in 2023 although Republicans at the legislature used their majorities to override all of his vetoes", + "slugline": "AP-NC--Cooper-Interview, 1st Ld-Writethru", + "description_summary": "North Carolina Democratic Gov. Roy Cooper says he's got much to be pleased about in 2023 although Republicans at the legislature used their majorities to override all of his vetoes. Cooper told The Associated Press in a year-end interview Thursday that federal capital investments, Medicaid expansion and more jobs announcements are building historic momentum for the state. Cooper says Dec. 1 was one of his best days as governor. 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(AP) \u2014 As Republicans used their legislative heft in 2023 to enact more rightward policies that he opposes, North Carolina Democratic Gov. Roy Cooper said Thursday that federal capital investments, Medicaid expansion and more jobs announcements are building historic momentum for the state.
\u201cWe\u2019re strengthening our communities, our infrastructure and our economy,\u201d the second-term governor said in a year-end interview with The Associated Press. \u201cWe\u2019re laying a groundwork to help North Carolinians right now and for decades in the future.\u201d
Billions of dollars are entering the state from federal legislation, such as for high-speed internet in rural areas and for building roads, bridges and public transportation. Earlier this week in Raleigh, Cooper and U.S. Transportation Secretary Pete Buttigieg celebrated the state receiving a $1.1 billion grant to begin construction of a high-speed passenger rail line connecting the state capital and Richmond, Virginia.
The contributions also include the hundreds of millions of dollars a month that will cover the costs of low-income adults who until recently made too much to enroll in Medicaid. In March, the governor signed a bipartisan bill that directed his administration to accept the Medicaid expansion offered through the 2010 federal Affordable Care Act.
After the state cleared a final hurdle with the passage of a state budget in October, expansion began on Dec. 1, with the number of people automatically enrolled approaching 300,000. Another 300,000 or so are expected to be added over time.
Cooper had made expansion a top priority since becoming governor in 2017, but it took Republican lawmakers several years to come around to the idea. Cooper said one of his best days as governor happened Dec. 1 when he met in Charlotte with people who, with tears in their eyes, were able to obtain health insurance.
\u201cIt\u2019s a big deal for our state,\u201d the governor said. The year was also marked by economic development announcements, particularly in the clean-energy field, that Cooper has highlighted. Toyota said in October that it would spend another $8 billion on its electric battery plant it's building outside of Greensboro, generating another 3,000 jobs.
Save for expansion and legislation on a few other topics, Cooper's legislative year was marked by a series of defeats resulting from the veto-proof majorities that the GOP now holds in both chambers.
By the time the annual session ended in October, all 19 of Cooper\u2019s vetoes had been overridden. Those enacted laws tightened North Carolina\u2019s ban on most abortions from after 20 weeks of pregnancy to 12 weeks, prohibited gender-affirming medical treatments for youth, and shifted power to choose members of key state board and commissions from the governor to legislators.
Republicans, who take credit for the state's strong fiscal and economic picture, have said that the public wanted this year's policy prescriptions and that the powers between executive and legislative branches need to be rebalanced.
Republicans had fallen one House seat short of holding complete veto-proof power after the November 2022 elections. But in April, Rep. Tricia Cotham's party switch gave the GOP supermajorities in both chambers \u2014 opening the door to overrides at will.
\u201cI think North Carolinians prefer a more balanced government,\" Cooper told the AP. \"And we see what happens when the legislature has a supermajority. They sacrifice long-term benefit and long-term good governance for short-term political gain.\u201d Cooper sued this fall to challenge the new boards and commissions laws, with some success so far.
The 2024 legislative session won\u2019t begin until late April, but Cooper said he plans to focus on trying to restore and build spending for public education to neutralize that veto-proof control. He said he plans to ask the business community to get more involved in lobbying the General Assembly for appropriations.
\u201cTheir future workforce depends on our success in education in North Carolina,\u201d he said.
Cooper, 66, said he\u2019ll campaign hard next year to get current Attorney General Josh Stein elected governor, eliminate the GOP supermajorities and help President Joe Biden win a second term. Cooper has taken an active role as a Biden surrogate.
As 2024 progresses, Cooper will face the \u201clame duck\u201d label more acutely. Cooper is prohibited by the state constitution from seeking a third consecutive term. This means the ex-legislator and former attorney general won't be an elected state official for the first time since 1987.
\u201cThe fact remains that I\u2019ve got more than a year to do a lot and I\u2019m going to cherish every day,\u201d Cooper said.
As for his future after governor, Cooper said: \"I love public service. So you never know what might be next. And I don\u2019t know at this moment.\u201d
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Corrects paragraph 4 to reflect that the operation took place in July, not November. Corrects throughout that other brands unrelated to Elf Bar were involved", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "US-MED--E-cigarettes-China", + "headline": "US officials block Elf Bar-maker and others from importing 1.4 million illegal e-cigarettes", + "headline_extended": "U.S. officials recently seized more than 1.4 million illegal e-cigarettes from overseas manufacturers, including the company behind Elf Bar", + "slugline": "BC-US-MED--E-cigarettes-China, 1st Ld-Writethru", + "description_summary": "U.S. officials recently seized more than 1.4 million illegal e-cigarettes from overseas manufacturers, including the company behind Elf Bar. The fruity disposable products have become the top choice among underage American teens who vape. The Food and Drug Administration pegged the value of the e-cigarettes seized at Los Angeles Airport at $18 million. Many were mislabeled as toys, shoes and other household items in order to evade customs, officials said. In May, the FDA instructed customs officials to begin seizing shipments from the Chinese manufacturer behind Elf Bar. It\u2019s the first time U.S. authorities have reported successfully blocking the company's imports.", + "bylines": [ + { + "by": "By MATTHEW PERRONE", + "title": "AP Health Writer" + } + ], + "located": "WASHINGTON", + "datelinelocation": { + "city": "Washington", + "countryareacode": "DC", + "countryareaname": "District of Columbia", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -77.03637, + 38.89511 + ] + } + }, + "copyrightnotice": "Copyright 2023 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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Officials pegged the value of the e-cigarettes seized at Los Angeles International Airport at $18 million and said they included several related brands, including Elf Bar, Lost Mary, Funky Republic and EB Create, according to the Food and Drug Administration. The agency announced the seizure with U.S. Customs and Border Protection, which helped conduct the operation.
Many of the containers were deliberately mislabeled as toys, shoes and other household items in order to evade customs, the agencies said. An FDA spokesman said officials intercepted the shipment in July.
Several companies' products were involved, including those from iMiracle Shenzhen, maker Elf Bar and other disposable electronic cigarettes.
It's the first time authorities have publicly reported successfully blocking the company from getting its vapes into the U.S., according to agency records. The products have generated hundreds of millions of dollars in sales since late 2021. In May, the FDA instructed customs officials to begin seizing shipments from iMiracle and several other companies.
The confiscated products will likely be destroyed, the FDA said.
\u201cThose shamelessly attempting to smuggle illegal e-cigarettes, particularly those that appeal to youth, into this country should take heed of today\u2019s announcement,\u201d Brian King, FDA's tobacco chief, said in a statement.
Elf Bar is the most visible of thousands of brands of cheap, disposable e-cigarettes that have poured into the U.S. from China in recent years. Its products come in flavors like strawberry melon and triple berry ice and claim to contain 5,000 \u201cpuffs\u201d per device. After the FDA placed the import ban on some of its products, iMiracle rebranded under several new product names, including EB Design.
The products remain widely available in convenience stores and vape shops throughout the U.S.
In the latest government survey, 56% of teens who vape said they used Elf Bar, more than double the rate of any other e-cigarette brand, according to federal figures.
A spokesperson for iMiracle did not immediately respond to a request for comment on Thursday.
___
This story has been corrected to reflect that the operation took place in July, not November, and that some seized brands were unrelated to Elf Bar.
___
The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute\u2019s Science and Educational Media Group. The AP is solely responsible for all content.
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(AP) \u2014 South Carolina Gov. Henry McMaster plans to be put under anesthesia Friday to fix a minor irregular heartbeat, his office said.
The 76-year-old governor is being treated for atrial fibrillation where some chambers of the heart beat out of sync with the others, his office said in a statement Thursday afternoon.
McMaster underwent a similar procedure nearly two years ago. His cardiologist Dr. Amy Rawl Epps said the elective procedure should take about two to three hours.
She called it relatively simple and said the governor has undergone extensive tests that show his heart appears normal and has \u201cno evidence of significant coronary artery disease,\u201d according to a statement from McMaster's office.
If the procedure is successful, McMaster can return home in hours, the doctor said.
But since he is being put under, McMaster is letting Lt. Gov. Pamela Evette know. According to the state constitution, the lieutenant governor can act as the governor in an emergency if the governor is temporarily disabled.
The heart problem was first detected in April 2022 when McMaster was scheduled for arthroscopic knee surgery after suffering a slight meniscus tear while playing tennis with his wife. A pre-operation electrocardiogram discovered the condition.
McMaster is the oldest governor in South Carolina history and the third-oldest governor who is current serving in the U.S.
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The bill is named for Democratic Virginia Rep. Jennifer Wexton, who has the disease, and Republican Florida Rep. Gus Bilirakis' brother, who passed away in May after a long battle with it.
The legislation sets up an advisory council of public health experts and others in the private sector who will provide an annual report evaluating efforts to prevent, treat and cure Parkinson's. Bilirakis and Rep. Paul Tonko, D-N.Y., are the lead sponsors of the legislation.
Thursday\u2019s vote was hardly controversial, passing by a vote of 407-9, but it was emotional.
Wexton, now serving her third term representing a Northern Virginia district, has physically deteriorated so rapidly this year that colleague Jennifer McClellan, D-Va., read Wexton's floor speech for her the day before the vote. It was a haunting self-portrayal of what she has endured.
She noted as recently as last year, she got up every morning to go to the gym. And just this year, she could stride confidently through the House chamber. She began using walking sticks in the summer and now relies heavily on a walker.
\u201cMy husband and I were supposed to be getting to the good part and were looking forward to enjoying our empty nest as our younger son went off to join his brother in college,\" Wexton said in her statement. \"Instead he will be a caregiver.\"
\u201cInstead of scuba diving together in the morning and sitting under a palm tree playing Scrabble in the afternoon, we will not enjoy a leisurely retirement a decade plus from now,\" she added.
Nearly 1 million people in the U.S. are living with Parkinson\u2019s disease. Wexton said she knows her family is not alone and called the legislation a historic step toward a world where \u201cno family has to endure what ours has.\u201d
\u201cIf there's one thing we can all agree on is that we can and must do better to fight these terrible diseases,\" she said.
Wexton, 55, has announced she won't be seeking reelection next year. She said she had to come to terms with having to give up what she loves doing, but she would continue the fight on behalf of the broader Parkinson's community for as long as she is able.
McClellan said she served with Wexton in the Virginia General Assembly before being elected to the House. She told colleagues of how she saw Wexton turn other's pain into progress.
\u201cAnd now I am honored to serve with her as she does that with her own pain \u2014 turns it into progress, to fight for those who cannot fight for themselves,\" McClellan said.
Several lawmakers speaking for the bill recounted in emotional terms how family members battled the neurological disease. Rep. Russ Fulcher, R-Idaho, said his father, grandfather and brother fell prey to the disease. He addressed Wexton personally.
\u201cThis bill would not be possible without Representative Wexton, so I'll close by saying to you, my friend and colleague, there is hope,\" Fulcher said. \u201cThis disease may touch you physically, but it can never touch your soul.\u201d
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Additionally, it includes personal stories of individuals affected by the disease, highlighting the human impact and the importance of health-related legislation." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2023/12/14/5077b37523d50ad7d0f6169baefba2af.json b/datasets/AP_news/raw_data/2023/12/14/5077b37523d50ad7d0f6169baefba2af.json new file mode 100644 index 0000000..2ecadde --- /dev/null +++ b/datasets/AP_news/raw_data/2023/12/14/5077b37523d50ad7d0f6169baefba2af.json @@ -0,0 +1,302 @@ +{ + "altids": { + "itemid": "5077b37523d50ad7d0f6169baefba2af", + "etag": "5077b37523d50ad7d0f6169baefba2af_2a14aza0c0", + "friendlykey": "530582637131", + "referenceid": "US--Abortion-Wyoming" + }, + "version": 2, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2023-12-15T00:05:37Z", + "firstcreated": "2023-12-14T05:03:20Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: With details from court hearing, no ruling yet.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "US--Abortion-Wyoming", + "headline": "A judge is considering Wyoming abortion laws, including the first explicit US ban on abortion pills", + "headline_extended": "Attorneys for both sides in a challenge to Wyoming abortion restrictions that include the nation\u2019s first explicit ban on medication to end pregnancy have urged a judge to uphold or strike down the new laws without holding a trial", + "slugline": "BC-US-Abortion-Wyoming, 2nd Ld-Writethru", + "description_summary": "Attorneys for both sides in a challenge to Wyoming abortion restrictions that include the nation\u2019s first explicit ban on medication to end pregnancy have urged a judge to uphold or strike down the new laws without holding a trial. 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(AP) \u2014 Attorneys for both sides in a challenge to Wyoming abortion restrictions that include the nation's first explicit ban on medication to end pregnancy urged a judge Thursday to uphold or strike down the new laws without holding a trial.
A ruling either way would likely be appealed to the Wyoming Supreme Court. Teton County District Judge Melissa Owens in Jackson didn't immediately rule after the arguments, however, saying the complex constitutional questions in the case would take time to assess.
A three-day bench trial is set for April 15 if Owens chooses not to rule before then on the two new laws. One bans abortion except to protect to a pregnant woman\u2019s life or in cases involving rape and incest. The other made Wyoming the only state to explicitly ban abortion pills, though other states have instituted de facto bans on the medication by broadly prohibiting abortion.
Owens has shown sympathy for arguments that the bans violate women's rights under the state constitution. Three times over the past year and a half, the judge has blocked the laws from taking effect while they were disputed in court.
The laws were challenged by four women, including two obstetricians, and two nonprofit organizations. One of the groups, Wellspring Health Access, opened as the state\u2019s first full-service abortion clinic in years in April following an arson attack in 2022.
The bans could harm their health, well-being and livelihoods in ways the Legislature did not consider or care about, an attorney for the groups and women, Peter Modlin, told Owens during Thursday's hearing.
\u201cThe statutes would have a devastating impact on women\u2019s health in Wyoming,\" Modlin said.
Modlin described research showing that pregnancy is statistically far more deadly for women than abortion, particularly when mental health \u2014 namely suicide \u2014 is taken into account. Wyoming's abortion pill ban specifically bars any exception for \u201cpsychological or emotional conditions.\u201d
\"When the state says they are trying to protect women, that can\u2019t be right,\u201d Modlin said.
The women and nonprofits also say the bans violate a 2012 state constitutional amendment saying competent Wyoming residents have a right to make their own health care decisions, an argument Owens in previous rulings has said had merit.
Wyoming voters approved the amendment amid fears of government overreach following approval of the federal Affordable Care Act and its initial requirements for people to have health insurance.
Attorneys for the state argue health care doesn't include abortion. Abortion is an \u201cordinary social interest\u201d and not any sort of implicit right under the state constitution, Special Assistant Attorney General Jay Jerde told Owens.
\u201cThe plaintiffs have a burden to show the statutes are unconstitutional beyond a reasonable doubt,\u201d Jerde said. \u201dThe fact they disagree with the policies does not make them unconstitutional.\u201d
The state\u2019s high court this week also heard arguments from lawyers for some lawmakers who oppose abortion rights and Right to Life Wyoming who are seeking to join in the defense of the bans alongside the state attorney general.
Separately, the U.S. Supreme Court will take up a dispute over mifepristone, one of two drugs used in the most common method of ending pregnancy in the U.S.
Wyoming has just two clinics providing abortions: Wellspring Health Access in Casper and the Women\u2019s Health and Family Care Clinic in Jackson. The Jackson clinic provides only medication abortions and is scheduled to close Friday due to rising costs. Physicians at the clinic have said they will resume providing medication abortions elsewhere in Jackson within the next couple months if allowed.
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Vince Polistina says he'll write a new bill incorporating measures favored by the casinos, including enclosed smoking rooms in which no employee would be forced to work. He said he would seek to ban smoking at table games, and gradually reduce smoking at slot machines over 18 months.", + "bylines": [ + { + "by": "By WAYNE PARRY", + "title": "Associated Press" + } + ], + "located": "ATLANTIC CITY, N.J.", + "datelinelocation": { + "city": "Atlantic City", + "countryareacode": "NJ", + "countryareaname": "New Jersey", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -74.00597, + 40.71427 + ] + } + }, + "copyrightnotice": "Copyright 2023 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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(AP) \u2014 With prospects for a smoking ban in Atlantic City's casinos looking hazier than ever, workers who want smoking banned took matters into their own hands, lips and lungs Thursday.
Members of the United Auto Workers union disrupted a meeting of a state Assembly committee that had been scheduled to take a preliminary vote on a bill to ban smoking in the casinos by lighting cigarettes and blowing smoke toward legislators.
That vote was canceled Wednesday night when one of the main champions of workers who want smoking banned in the gambling halls gave up on a bill that would end smoking in the nine casinos, and embraced some measures the casino industry wants, including enclosed smoking rooms.
That had some employees burning mad \u2014 literally.
Seven members of the union, which represents dealers at three casinos in Atlantic City, began smoking in the meeting hall of the State House Annex, where, like virtually all other workplaces in New Jersey, smoking is prohibited.
\u201cWe're not allowed to smoke in your workplace, but you're allowed to smoke in ours,\u201d Daniel Vicente, a regional director of the union, told lawmakers through a cloud of exhaled smoke.
He and the others were soon escorted from the hearing room by State Police, and released without charges.
\u201cThey say it's OK for secondhand smoke to be blown in our faces all day, every day,\u201d Vicente said afterward. \u201cWe wanted to know if it's OK if we did that in their workplace. They said it was inappropriate and not allowed here.\"
Angry workers said they want the state\u2019s top Democratic leadership to force a vote on the original bill that would impose a total smoking ban, but the likelihood of such a vote remains unclear.
State Sen. Vince Polistina, a Republican from the Atlantic City area who has appeared with casino workers at rallies in favor of a smoking ban, said the original bill is going nowhere.
He said he's writing a new measure incorporating proposals favored by the casino industry while still working toward the goal of keeping secondhand smoke away from workers and customers who don't want it.
\u201cMy conversations with leaders in both houses make it clear that there is not enough support for this bill,\u201d he said, referring to the original measure that would ban smoking without exceptions. \u201cIt is disappointing that after two years of advocating and building support with our colleagues, we still do not have the necessary support in the Legislature to get a full smoking ban passed.\u201d
Polistina said he expects to introduce the new bill next year after the current legislative session ends.
It would prohibit smoking at table games; gradually reduce smoking at slot machines over 18 months, with specific distances between table games and the nearest smoking-permitted slot machines; and give the casinos 18 months to build enclosed rooms where gamblers could still smoke, but which would be staffed by employees who volunteer to work in them.
That proposal was denounced last week by Shawn Fain, international president of the United Auto Workers, which represents dealers at three Atlantic City casinos. He called the idea of smoking rooms \u201cpreposterous\u201d and called on lawmakers to pass the original smoking ban bill.
If enacted in early 2024, Polistina's measure would end smoking on the unenclosed casino floor by the fall of 2025, he said.
That did not go over well with the many casino workers.
Pete Naccarelli, a Borgata dealer and a leader of the employee anti-smoking movement, said Polistina is \u201ccopying and pasting casino executive talking points and attempting to present them as a credible solution. It\u2019s shameful and disgusting.\u201d
Senate President Nicholas Scutari declined comment Thursday. Assembly Speaker Craig Coughlin said \u201cwe'll find a way to get this done in both houses of the Legislature,\u201d but did not say which approach he favors.
New Jersey's public smoking law specifically exempts casinos \u2014 something that workers have long sought to change.
But the casinos oppose a smoking ban on competitive grounds, saying Atlantic City would lose business and jobs to casinos in neighboring states where smoking is permitted. Workers dispute that, citing research showing business improved at numerous casinos after a smoking ban.
Recently, the industry has floated a proposal for enclosed smoking areas, but without giving details publicly. The Casino Association of New Jersey recently declined to provide details on its vision for smoking rooms. In a statement Thursday, the group said, \u201cIt is clear that more and more people realize that the bill, as drafted, will have a significant adverse effect on Atlantic City\u2019s economy.\u201d
Vicente said union members who disrupted the meeting made their point.
\u201cDo I think this is going to change their minds and get a smoking ban passed? No,\u201d he said. \u201cDid we show them how angry we are that we're the only ones who have to put up with this in our workplaces? Absolutely.\u201d
___
Follow Wayne Parry on X, formerly Twitter, at www.twitter.com/WayneParryAC
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Therefore, it is somewhat relevant to the topic of health but not highly focused on it." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2023/12/14/dbee5655aa2602d9840334c5afce0c09.json b/datasets/AP_news/raw_data/2023/12/14/dbee5655aa2602d9840334c5afce0c09.json new file mode 100644 index 0000000..5141bbb --- /dev/null +++ b/datasets/AP_news/raw_data/2023/12/14/dbee5655aa2602d9840334c5afce0c09.json @@ -0,0 +1,324 @@ +{ + "altids": { + "itemid": "dbee5655aa2602d9840334c5afce0c09", + "etag": "dbee5655aa2602d9840334c5afce0c09_1a11aza0c0", + "friendlykey": "274902797721", + "referenceid": "US--Water-Bead Sales" + }, + "version": 1, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2023-12-14T23:31:50Z", + "firstcreated": "2023-12-14T21:19:48Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: Links AP Video and AP Audio. 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But warnings about the dangers of the beads being ingested have been piling up. According to the US Consumer Product Safety Commission, an estimated 7,800 water bead-related injuries were treated in hospital emergency rooms between 2016 and 2022.", + "bylines": [ + { + "by": "By WYATTE GRANTHAM-PHILIPS and MELISSA PEREZ WINDER", + "title": "Associated Press" + } + ], + "located": "NEW YORK", + "datelinelocation": { + "city": "New York", + "countryareacode": "NY", + "countryareaname": "New York", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -74.00597, + 40.71427 + ] + } + }, + "copyrightnotice": "Copyright 2023 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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Water beads are small, colorful balls made of superabsorbent polymers. They are often sold as toys, including in craft activity kits, and as sensory tools for children with developmental disabilities. But warnings about the dangers of the beads being ingested have been piling up.
\u201cWhen (water beads) absorb water, they can swell to many times their size,\u201d said Dr. Joshua King, medical director of the Maryland Poison Center. \u201cAnd while most even still pass through the gut without trouble, occasionally they swell to a size where they actually obstruct the bowel.\u201d
This can lead to severe discomfort and life-threatening injuries, the U.S. Consumer Product Safety Commission notes in online guidance \u2014 adding that water beads can also end up in ears, causing damage or hearing loss. According to the regulator, an estimated 7,800 water bead-related injuries were treated in hospital emergency rooms between 2016 and 2022.
Amazon confirmed Thursday that it updated its policy on water bead sales earlier this week \u201cin the interest of safety.\u201d The e-commerce giant will no longer allow the sale of water beads that are marketed to children, including as toys, art supplies or for sensory play, a spokesperson said.
Under Amazon's updated policy, listings will be removed if they include images of children with the products or have references including \u201cchild,\u201d \u201ckid,\u201d \u201ccrafts\u201d or \u201csensory play.\u201d Sellers have until Dec. 22 to comply, the spokesperson said.
Walmart also confirmed its decision to stop selling \u201cexpanding water bead toy and craft items marketed to young children,\u201d noting the company has already taken steps to remove the products in stores and online. And Target said it will no longer sell water beads marketed to children aged 12 and under \u2014 similarly citing growing safety concerns.
Target has started removing the products from its shelves and online this week, a spokesperson said, and expects to complete the process by the first weeks of January.
Target previously sold \u201cChuckle & Roar Ultimate Water Beads Activity Kits,\u201d which were recalled in September. The activity kits, manufactured by Buffalo Games, were pulled from shelves after the reported death of 10-month-old in Wisconsin who swallowed the water beads and another report of 9-month-old in Maine who underwent surgery after being seriously injured from ingesting the beads.
Amazon, Walmart and Target aren't the only retailers with policies limiting water-bead sales today. EBay points to measures it has implemented over the years \u2014 including filters to prevent sellers from listing water beads marketed as toys, and safety warning requirements for other water-bead products. And Etsy has now prohibited water beads entirely, \u201cregardless of their marketing or intended use,\u201d a spokesperson said.
Ashley Haugen, founder of advocacy nonprofit That Water Bead Lady, said Thursday that proactive action from companies \u201cnot only saves lives, but builds trust among consumers.\u201d
\u201cI\u2019m really proud because what you see and what this action shows is the result of parents, advocates, health care professionals, policy makers and corporations working together to create a safer world for all of our children,\u201d said Haugen, who founded That Water Bead Lady after her youngest daughter was critically injured by water beads in 2017.
Beyond company-by-company corporate measures, lawmakers and advocates have also continued to push for more widespread change \u2014 which some say is overdue.
Last month, U.S. Rep Frank Pallone Jr., a Democrat of New Jersey, introduced legislation to ban all water beads marketed for kids' use nationwide. Pallone was joined by CPSC Chair Alex Hoehn-Saric and other consumer safety advocates, including Haugen, when announcing the bill.
Since water beads and countless other objects that children can ingest (whether they're toys or not) are still out there, experts advise families to stay vigilant, keep an eye on what their kids are playing with, and store potential hazards out of sight and reach. If something happens, he points to local poison centers and the Poison Help line (1-800-222-1222) as good resources.
\u201cWe recognize that the children swallow things all the time \u2014 and we\u2019re here to help,\" King said.
___
Perez Winder reported from Chicago.
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Given the focus on safety and health implications, the document is highly relevant to the topic of health." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2023/12/14/efc99d020d53c48449c4725ae943c4df.json b/datasets/AP_news/raw_data/2023/12/14/efc99d020d53c48449c4725ae943c4df.json new file mode 100644 index 0000000..4d72613 --- /dev/null +++ b/datasets/AP_news/raw_data/2023/12/14/efc99d020d53c48449c4725ae943c4df.json @@ -0,0 +1,279 @@ +{ + "altids": { + "itemid": "efc99d020d53c48449c4725ae943c4df", + "etag": "efc99d020d53c48449c4725ae943c4df_2a16aza0c0", + "friendlykey": "468119847164", + "referenceid": "US--Biden-Drug Prices" + }, + "version": 2, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2023-12-14T21:19:10Z", + "firstcreated": "2023-12-14T17:30:24Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: With comments from President Joe Biden and the pharmaceutical lobby. Add more details on drugs selected for rebates. Summary updated. New AP photos", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "US--Biden-Drug Prices", + "headline": "Older Americans to pay less for some drug treatments as drugmakers penalized for big price jumps", + "headline_extended": "Hundreds of thousands of older Americans could pay less for outpatient drug treatments beginning early next year", + "slugline": "BC-US--Biden-Drug Prices, 2nd Ld-Writethru", + "description_summary": "Hundreds of thousands of older Americans could pay less for outpatient drug treatments beginning early next year. The White House has unveiled a list of 48 drugs that drugmakers will have to pay rebates to the federal government on due to raising their prices higher than the cost of inflation during this year. These include drugs for chemotherapy treatments and growth hormones used to treat endocrine disorders. The rebates will translate into a wide range of savings \u2014 as little as $1 to as much as $2,700 \u2014 on the drugs for Medicare members in 2024. This is the first time those drugs will be penalized for their prices.", + "bylines": [ + { + "by": "By AMANDA SEITZ", + "title": "Associated Press" + } + ], + "located": "WASHINGTON", + "datelinelocation": { + "city": "Washington", + "countryareacode": "DC", + "countryareaname": "District of Columbia", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -77.03637, + 38.89511 + ] + } + }, + "copyrightnotice": "Copyright 2023 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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The White House unveiled a list of 48 drugs \u2014 from chemotherapy treatments to growth hormones used to treat endocrine disorders \u2014 whose prices increased faster than the rate of inflation this year. Under a new law, drugmakers will have to pay rebates to the federal government because of those price increases. The money will be used to lower the price Medicare enrollees pay on the drugs early next year.
\u201cFor years, there's been no check on how high or how fast big pharma can raise drug prices,\u201d President Joe Biden said Thursday, speaking in a lab at the National Institutes of Health in Bethesda, Maryland. \u201cLet\u2019s call this for what it is \u2013 it simply is a rip off. They\u2019re ripping off Medicare. They\u2019re ripping off the American people. We\u2019re now fighting back.\u201d
This is the first time drugmakers will have to pay the penalties for outpatient drug treatments under the Inflation Reduction Act, passed by Congress last year. The rebates will translate into a wide range of savings \u2014 from as little as $1 to as much as $2,700 \u2014 on the drugs that the White House estimates are used every year by 750,000 older Americans.
The types of drugs on the government's list vary. They include generic drugs, medications taken orally or injected, and treat a variety of disorders or illnesses, according to a review by the American Society of Health-System Pharmacists of the administration's list.
But all of the drugs, the White House said, raised their prices significantly this year, many by nearly 20%.
The price decreases will only be seen for patients who access the drugs on Medicare Part B, the government outpatient care coverage. But the rebates are \u201can important tool to discourage excessive price increases,\" Chiquita Brooks-LaSure, the administrator for the Centers for Medicare and Medicaid, said Thursday in a statement.
Only a small number of drugs met the criteria for penalties, pointed out Stephen Ubl, the president of the Pharmaceutical Research and Manufacturers of America, also called PhRMA.
\"It\u2019s a tiny fraction of overall working medicines,\u201d he said.
As it readies for a 2024 reelection campaign, the Biden administration has rolled out a number of efforts to push pharmaceutical companies to lower drug prices. Last week, the White House announced it was considering an aggressive, unprecedented new tactic: pulling the patents of some drugs priced out of reach for most Americans.
\u201cOn no. We've upset Big Pharma again,\u201d the White House posted on the social media platform X, formerly Twitter, last week, just hours after the announcement.
The president plans to make his push for lower drug prices a central theme of his reelection pitch to Americans.
The U.S. Health and Human Services agency also released a report on Thursday that will help guide its first-ever negotiation process with drugmakers over the price of 10 of Medicare's costliest drugs. The new prices for those drugs will be negotiated by HHS next year, in the middle of next year's presidential campaign.
___
This story has been corrected to show that the National Institutes of Health in in Bethesda, MD, not Washington, D.C.
\u2014
Associated Press writer Tom Murphy in Indianapolis contributed.
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These topics are highly relevant to the broader topic of health as they address issues related to healthcare costs, access to treatment, and government policies affecting public health." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2023/12/14/f7f8cf569019a3903959cb32ea8f54fe.json b/datasets/AP_news/raw_data/2023/12/14/f7f8cf569019a3903959cb32ea8f54fe.json new file mode 100644 index 0000000..38a785e --- /dev/null +++ b/datasets/AP_news/raw_data/2023/12/14/f7f8cf569019a3903959cb32ea8f54fe.json @@ -0,0 +1,273 @@ +{ + "altids": { + "itemid": "f7f8cf569019a3903959cb32ea8f54fe", + "etag": "f7f8cf569019a3903959cb32ea8f54fe_2a13aza0c0", + "friendlykey": "928222923140", + "referenceid": "US--Reality Show Couple-Drug Charges" + }, + "version": 2, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2023-12-14T22:45:04Z", + "firstcreated": "2023-12-14T19:37:10Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: EDITS: Deletes redundant reference to the defendants' names. Raises comment from defense lawyer, description of show.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "US--Reality Show Couple-Drug Charges", + "headline": "NY doctor and wife who appeared on Bravo's 'Below Deck' charged with fake opioid prescription scheme", + "headline_extended": "A doctor and his wife who appeared on the Bravo reality series \u201cBelow Deck\u201d have been arraigned on drug charges in New York for allegedly filling out bogus opioid prescriptions using the names of cast members from the show", + "slugline": "BC-US--Reality Show Couple-Drug Charges, 2nd Ld-Writethru", + "description_summary": "A doctor and his wife who appeared on the Bravo reality series \u201cBelow Deck\u201d have been arraigned on drug charges in New York for allegedly filling out bogus opioid prescriptions using the names of cast members from the show. Urologist Francis Martinis and his wife, Jessica Martinis, were each charged Thursday with criminal sale of a prescription for a controlled substance by a practitioner and falsifying business records. Prosecutors say Francis Martinis transmitted prescriptions for the opioid drug oxycodone with the names of \u201cBelow Deck\u201d cast members listed as the patients. The couple's attorney has called the charges bogus.", + "bylines": [ + { + "by": "By KAREN MATTHEWS", + "title": "Associated Press" + } + ], + "located": "NEW YORK", + "datelinelocation": { + "city": "New York", + "countryareacode": "NY", + "countryareaname": "New York", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -74.00597, + 40.71427 + ] + } + }, + "copyrightnotice": "Copyright 2023 The Associated Press. All rights reserved. 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Urologist Francis Martinis and his wife, Jessica Martinis, of Fort Salonga, New York, were each charged with criminal sale of a prescription for a controlled substance by a practitioner and falsifying business records.
They appeared in state court in Riverhead on Long Island after first being arrested in May. Both pleaded not guilty, according to their attorney. The couple were released without bail and are due back in court Jan. 25.
\u201cBelow Deck,\u201d which premiered on Bravo in 2013, follows crew members and the passengers they cater to aboard a luxury yacht.
The Martinises appeared on the spinoff \u201cBelow Deck Mediterranean\u201d in 2019. Francis Martinis also appeared on \u201cBelow Deck Sailing Yacht\u201d the following year.
The couple\u2019s attorney, Peter Crusco, called the charges bogus.
\u201cMy clients have pled not guilty and are presumed innocent, and look forward to their day in court to clear their names,\u201d Crusco said in a text message.
Prosecutors said Francis Martinis, 55, transmitted prescriptions for oxycodone to Long Island pharmacies with the names of \u201cBelow Deck\u201d cast members listed as the purported patients. Jessica Martinis, 38, then picked up the drugs and paid in cash, prosecutors said.
Jessica Martinis first raised red flags in January 2023 when she tried to fill a handwritten prescription for oxycodone in someone else\u2019s name, prosecutors said.
An investigation turned up evidence of numerous fake oxycodone prescriptions that Francis Martinis had written with the names of cast members from the reality show, authorities said.
None of the oxycodone was actually intended for the people named in the prescriptions, prosecutors said.
\u201cPhysicians are held to a high standard, as they take an oath to uphold a number of professional ethical standards when they begin their careers,\" Suffolk County District Attorney Raymond Tierney said in a statement. \"The conduct Dr. Martinis allegedly engaged in with his wife not only violated this oath, but it also violated the law.\u201d
Frank Tarentino, the federal Drug Enforcement Agency's special agent in charge for New York, said, \"These arrests are a reminder that a doctor\u2019s illicit drug diversion can lead to irreparable harm like the drug overdoses and poisonings currently plaguing our nation.\u201d
A representative for NBCUniversal, Bravo\u2019s parent company, declined to comment.
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Therefore, it is somewhat relevant to health but not highly focused on it." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2023/12/15/054e67f7495845804f801c57a1ae2522.json b/datasets/AP_news/raw_data/2023/12/15/054e67f7495845804f801c57a1ae2522.json new file mode 100644 index 0000000..db3ccb3 --- /dev/null +++ b/datasets/AP_news/raw_data/2023/12/15/054e67f7495845804f801c57a1ae2522.json @@ -0,0 +1,230 @@ +{ + "altids": { + "itemid": "054e67f7495845804f801c57a1ae2522", + "etag": "054e67f7495845804f801c57a1ae2522_6a14aza0c0", + "friendlykey": "255833500882", + "referenceid": "ENT--Matthew Perry" + }, + "version": 6, + "type": "text", + "urgency": 3, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2023-12-16T01:53:27Z", + "firstcreated": "2023-12-15T21:34:38Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: EDITS: Minor edit to remove repeated word. With AP Photos.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "ENT--Matthew Perry", + "headline": "Matthew Perry died from the effects of ketamine, autopsy report says", + "headline_extended": "An autopsy report on \u201cFriends\u201d star Matthew Perry says he died from the acute effects of the drug ketamine", + "slugline": "AP-ENT--Matthew Perry, 6th Ld-Writethru", + "description_summary": "An autopsy report on \u201cFriends\u201d star Matthew Perry says he died from the acute effects of the drug ketamine. The Los Angeles County Department of Medical Examiner said in the autopsy report released Friday that Perry also drowned in the heated end of his pool, but said that was a secondary factor in his death deemed an accident. The report says coronary artery disease also contributed. Perry was declared dead at age 54 after being found unresponsive at his home in the Pacific Palisades area of Los Angeles on Oct. 28. Investigators performed an autopsy the following day.", + "bylines": [ + { + "by": "By ANDREW DALTON", + "title": "AP Entertainment Writer" + } + ], + "located": "LOS ANGELES", + "datelinelocation": { + "city": "Los Angeles", + "countryareacode": "CA", + "countryareaname": "California", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -118.24368, + 34.05223 + ] + } + }, + "copyrightnotice": "Copyright 2023 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. For other uses, additional clearances may be required." + ], + "keywords": [ + "matthew perry death cause" + ], + "provider": "AP", + "infosource": [ + { + "name": "AP", + "type": "AP" + } + ], + "subject": [ + { + "rels": [ + "category" + ], + "creator": "Editorial", + "code": "e", + "name": "e" + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "8979136dd0dc43758bb2a892b695f666", + "name": "Vascular disease", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 36 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "b0cb0494819a4a8b928c8a353468695d", + "name": "Drownings", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 80 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "cc7a76087e4e10048482df092526b43e", + "name": "Health", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 96 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "e237be707de410048fffdf092526b43e", + "name": "Medication", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 64 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "16cb0ba3e6d24d97ace39f5a1924669a", + "name": "Entertainment", + "creator": "Editorial", + "editorial_subject": "Entertainment", + "rels": [ + "direct" + ], + "relevance": 99 + } + ], + "place": [ + { + "scheme": "http://cv.ap.org/id/", + "code": "8345b5f082af10048280df092526b43e", + "name": "Los Angeles", + "creator": "Machine", + "rels": [ + "direct" + ], + "parentids": [ + "789fdd8882af10048263df092526b43e" + ], + "locationtype": { + "code": "9d26a20b35f0484a891740f8189d4c7b", + "name": "City" + }, + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -118.24368, + 34.05223 + ] + }, + "relevance": 39, + "parentnames": [ + "California" + ] + } + ], + "audiences": [ + { + "code": "82c6a4c46fa0446090a7acaf93159e4c", + "name": "Print", + "type": "AUDPLATFORM" + }, + { + "code": "9add4649b53b4702ba7d9de5d4fa607a", + "name": "Online", + "type": "AUDPLATFORM" + }, + { + "code": "f43adc08760d10048040e6e7a0f4673e", + "name": "National", + "type": "AUDSCOPE" + }, + { + "code": "f5b16ea8760d10048047e6e7a0f4673e", + "name": "State", + "type": "AUDSCOPE" + }, + { + "code": "f4ecf9b0760d10048044e6e7a0f4673e", + "name": "International", + "type": "AUDSCOPE" + }, + { + "code": "789fdd8882af10048263df092526b43e", + "name": "California", + "type": "AUDGEOGRAPHY" + }, + { + "code": "661850e07d5b100481f5c076b8e3055c", + "name": "Latin America and Caribbean", + "type": "AUDGEOGRAPHY" + }, + { + "code": "661e48387d5b10048291c076b8e3055c", + "name": "United States", + "type": "AUDGEOGRAPHY" + } + ], + "associations": { + "1": { + "altids": { + "itemid": "213effb31b984e70a76640095d770412" + }, + "type": "picture" + }, + "2": { + "altids": { + "itemid": "c6b08501ebec46fca596455456c01cad" + }, + "type": "picture" + }, + "3": { + "altids": { + "itemid": "b1947e66d1674d3782ef311e9c0d8b40" + }, + "type": "picture" + } + }, + "body_nitf": "LOS ANGELES (AP) \u2014 Matthew Perry died from the acute effects of the anesthetic ketamine, according to the results of an autopsy on the 54-year-old \u201cFriends\u201d actor released Friday.
The Los Angeles County Department of Medical Examiner said in the autopsy report that Perry also drowned in \u201cthe heated end of his pool,\u201d but that it was a secondary factor in his Oct. 28 death, deemed an accident.
People close to Perry told investigators that he was undergoing ketamine infusion therapy, an experimental treatment used to treat depression and anxiety. But the medical examiner said the levels of ketamine in Perry\u2019s body were in the range used for general anesthesia during surgery, and that his last treatment 1 1/2 weeks earlier wouldn\u2019t explain those levels. The drug is typically metabolized in a matter of hours.
The report says coronary artery disease and buprenorphine, which is used to treat opioid use disorder, also contributed.
The amount of ketamine detected \u201cwould be enough to make him lose consciousness and lose his posture and his ability to keep himself above the water,\u201d said Dr. Andrew Stolbach, a medical toxicologist with Johns Hopkins Medicine who reviewed the autopsy report at the request of The Associated Press.
\u201cUsing sedative drugs in a pool or hot tub, especially when you\u2019re alone, is extremely risky and, sadly, here it\u2019s fatal,\u201d said Stolbach, who noted that both ketamine and buprenorphine can be used safely.
Perry was declared dead after being found unresponsive at his home in the Pacific Palisades area of Los Angeles. Investigators performed the autopsy the following day.
The actor had taken drugs in the past but had been \u201creportedly clean for 19 months,\" according to the report.
Perry had played pickleball earlier in the day, the report says, and his assistant, who lives with him, found him face down in the pool after returning from errands.
The assistant told investigators Perry had not been sick, had not made any health complaints, and had not shown evidence of recent alcohol or drug use.
Postmortem blood tests showed \u201chigh levels\u201d of ketamine in his system, which could have raised his blood pressure and heart rate and dulled his impulse to breathe.
Buprenorphine, commonly used in opioid addiction and found in therapeutic levels in Perry\u2019s blood, could have contributed to the breathing problem, the autopsy said. It would have been risky to mix the central nervous system depressant with ketamine \u201cdue to the additive respiratory effects when present with high levels of ketamine,\" according to the autopsy report.
The report said his coronary artery disease would have made him more susceptible to the drugs' effects.
Perry was among the biggest television stars of his generation when he played Chandler Bing alongside Jennifer Aniston, Courteney Cox, Lisa Kudrow, Matt LeBlanc and David Schwimmer for 10 seasons from 1994 to 2004 on NBC's megahit sitcom \u201cFriends.\u201d
His castmates, like many of his friends, family and fans, were stunned by his death, and paid him loving tribute in the weeks that followed.
Perry was open about discussing his struggles with addiction dating back to his time on \u201cFriends.\"
\"I loved everything about the show but I was struggling with my addictions which only added to my sense of shame,\u201d he wrote in his 2022 memoir. \u201cI had a secret and no one could know.\u201d
A woman whose name is redacted in the autopsy report told investigators that Perry had been in good spirits when she spoke to him a few days earlier, but had been taking testosterone shots which she said were making him \u201cangry and mean.\u201d She said he had quit smoking two weeks earlier.
The woman said he had been receiving the ketamine infusions for his mental health, and that his doctor had been giving them to him less often because he had been feeling well.
Ketamine is a powerful anesthetic approved by U.S. health regulators for use during surgery, but in the past decade it has emerged as an experimental treatment for a range of psychiatric and hard-to-treat conditions, including depression, anxiety and chronic pain.
While not approved by regulators, doctors are free to prescribe drugs for these alternate uses if they think their patients could benefit, and hundreds of clinics across the U.S. offer ketamine infusions and other formulations for various health conditions.
___
AP Medical Writer Carla K. Johnson in Washington state, Health Writer Matthew Perrone in Washington, D.C., and Ryan J. Foley in Iowa City, Iowa, contributed reporting.
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There was some hope that children in a government food program might be bucking a trend in obesity rates. Earlier research found rates had dropped a little for those children. But an update published Monday in the journal Pediatrics shows the rate up a bit to 2% by 2020. The increase echoes national data, which suggests around 2.5% of all preschool-aged children are severely obese. The study involved young kids in the Women, Infants and Children program, which provides healthy foods and other services.", + "bylines": [ + { + "by": "By MIKE STOBBE", + "title": "AP Medical Writer" + } + ], + "located": "NEW YORK", + "datelinelocation": { + "city": "New York", + "countryareacode": "NY", + "countryareaname": "New York", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -74.00597, + 40.71427 + ] + } + }, + "copyrightnotice": "Copyright 2023 The Associated Press. All rights reserved. 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There was some hope that children in a government food program might be bucking a trend in obesity rates \u2014 earlier research found rates were dropping a little about a decade ago for those kids. But an update released Monday in the journal Pediatrics shows the rate bounced back up a bit by 2020.
The increase echoes other national data, which suggests around 2.5% of all preschool-aged children were severely obese during the same period.
\"We were doing well and now we see this upward trend,\u201d said one of the study\u2019s authors, Heidi Blanck of the U.S. Centers for Disease Control and Prevention. \u201cWe are dismayed at seeing these findings.\u201d
The study looked at children ages 2 to 4 enrolled in the Women, Infants and Children program, which provides healthy foods and other services to preschool-aged children in low-income families. The children were weighed and measured.
The researchers found that 2.1% of kids in the program were severely obese in 2010. Six years later, the rate had dipped to 1.8%. But by 2020, it was 2%. That translates to about 33,000 of more than 1.6 million kids in the WIC program.
Significant increases were seen in 20 states with the highest rate in California at 2.8%. There also were notable rises in some racial and ethnic groups. The highest rate, about 2.8%, was in Hispanic kids.
Experts say severe obesity at a very early age is nearly irreversible, and is strongly associated with chronic health problems and an early death.
It\u2019s not clear why the increase occurred, Blanck said.
When WIC obesity rates dropped, some experts attributed it to 2009 policy changes that eliminated juice from infant food packages, provided less saturated fat, and tried to make it easier to buy fruits and vegetables.
The package hasn\u2019t changed. But \u201cthe daily hardships that families living in poverty are facing may be harder today than they were 10 years ago, and the slight increases in the WIC package just weren\u2019t enough,\u201d said Dr. Sarah Armstrong, a Duke University childhood obesity researcher.
The researchers faced challenges. The number of kids in WIC declined in the past decade. And the study period included 2020, the year the COVID-19 pandemic hit, when fewer parents brought their children in to see doctors. That reduced the amount of complete information available.
Despite it\u2019s limitations, it was a \u201cvery well done study,\" said Deanna Hoelscher, a childhood obesity researcher at the UTHealth Houston School of Public Health, \u201cIt gives you a hint of what's going on.\u201d
What's happened since 2020 is not yet known. Some small studies have suggested a marked increase in childhood obesity \u2014 especially during the pandemic, when kids were kept home from schools, eating and bedtime routines were disrupted and physical activity decreased.
\u201cWe are thinking it's going to get worse,\u201d Hoelscher said.
___
The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute\u2019s Science and Educational Media Group. The AP is solely responsible for all content.
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This is highly relevant to the topic of Health as it addresses a critical public health concern and its implications." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2023/12/15/816171b353a8d1f635b0898e0741fa9e.json b/datasets/AP_news/raw_data/2023/12/15/816171b353a8d1f635b0898e0741fa9e.json new file mode 100644 index 0000000..20c782a --- /dev/null +++ b/datasets/AP_news/raw_data/2023/12/15/816171b353a8d1f635b0898e0741fa9e.json @@ -0,0 +1,260 @@ +{ + "altids": { + "itemid": "816171b353a8d1f635b0898e0741fa9e", + "etag": "816171b353a8d1f635b0898e0741fa9e_0a10aza0c0", + "friendlykey": "522441451523", + "referenceid": "US--Election 2023-Ohio-Campaign Spending" + }, + "version": 0, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2023-12-15T23:23:16Z", + "firstcreated": "2023-12-15T23:23:15Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "signals": [ + "newscontent" + ], + "title": "US--Election 2023-Ohio-Campaign Spending", + "headline": "Ohio's 2023 abortion fight cost campaigns $70 million", + "headline_extended": "Campaign finance reports show this fall\u2019s fight over abortion rights in Ohio cost a combined $70 million", + "slugline": "BC-US--Election 2023-Ohio-Campaign Spending", + "description_summary": "Campaign finance reports show this fall\u2019s fight over abortion rights in Ohio cost a combined $70 million. Voters overwhelmingly passed November\u2019s Issue 1, which guaranteed an individual\u2019s right \u201cto make and carry out one\u2019s own reproductive decisions.\u201d That made Ohio the seventh state to support abortion access since Roe v. Wade was overturned last summer. Filings Friday show Ohioans United for Reproductive Rights, the pro campaign, raised and spent more than $39.5 million to pass the constitutional amendment. Protect Women Ohio, the no campaign, raised and spent about $30.4 million. A successful recreational marijuana legalization effort cost about a tenth of the abortion rights fight's total.", + "bylines": [ + { + "by": "By JULIE CARR SMYTH and SAMANTHA HENDRICKSON", + "title": "Associated Press" + } + ], + "located": "COLUMBUS, Ohio", + "datelinelocation": { + "city": "Columbus", + "countryareacode": "OH", + "countryareaname": "Ohio", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -82.99879, + 39.96118 + ] + } + }, + "copyrightnotice": "Copyright 2023 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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Voters overwhelming passed November's Issue 1, which guaranteed an individual's right \u201cto make and carry out one's own reproductive decisions,\u201d making Ohio the seventh state where voters opted to protect abortion access in the wake of the U.S. Supreme Court 's decision last summer to overturn Roe v. Wade.
The pro campaign, known as Ohioans United for Reproductive Rights, raised and spent more than $39.5 million to pass the constitutional amendment, the filings show. Protect Women Ohio, the opposition campaign, raised and spent about $30.4 million.
Nearly $11 million in donations favoring passage of Issue 1 rolled in during the final reporting period before the Nov. 7 election. That included $2.2 million from the Tides Foundation and an additional $1.65 million from the progressive Sixteen Thirty Fund, based in Washington, D.C., which had already given $5.3 million. The fund counts among its funders Hansj\u00f6rg Wyss, a Swiss billionaire who has given the group more than $200 million since 2016.
The campaign in support of the abortion rights amendment also received an additional $500,000 from the New York-based Open Society Policy Center, a lobbying group associated with the billionaire philanthropist George Soros, and a second $1 million donation from billionaire Michael Bloomberg in the closing weeks of the high stakes campaign.
Meanwhile, the pace of Protect Women Ohio's fundraising fell off significantly in the final weeks, with the campaign reporting $3.4 million in contributions for the final reporting period, down from nearly $10 million raised in the previous period.
The vast majority of that money became from the Protection Women Ohio Action Fund, which was supported mostly by The Concord Fund out of Washington, D.C., and Arlington, Virginia-based Susan B. Anthony Pro Life America.
Over the three years it took supporters of recreational marijuana legalization to get their initiated statute passed as this fall's Issue 2, they only spent about a tenth of what the abortion fight cost.
The Coalition to Regulate Marijuana Like Alcohol, the pro campaign, raised and spent roughly $6.5 million since its inception in 2021, with the bulk of its contributions coming from the Marijuana Policy Project, a Washington, D.C.-based marijuana legalization nonprofit \u2014 which donated about $3 million over that time period \u2014 and from medical marijuana dispensaries across the state.
Protect Ohio Workers and Families, the opposition campaign that only sprung up earlier this year, raised only $828,000, reports show. Its largest donor was the American Policy Coalition, a conservative nonprofit organization out of Alexandria, Virginia, which donated about $320,000.
Other notable donors included the Ohio Manufacturers\u2019 Association and the Ohio Hospital Association.
___
Samantha Hendrickson is a corps member for the Associated Press/Report for America Statehouse News Initiative. Report for America is a nonprofit national service program that places journalists in local newsrooms to report on undercovered issues.
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Similar lawsuits are playing out around the nation, with some of them, like Idaho\u2019s, brought by the Center for Reproductive Rights on behalf of doctors and pregnant people who were denied access to abortions while facing serious pregnancy complications.", + "bylines": [ + { + "by": "By REBECCA BOONE", + "title": "Associated Press" + } + ], + "located": "BOISE, Idaho", + "datelinelocation": { + "city": "Boise", + "countryareacode": "ID", + "countryareaname": "Idaho", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -116.20345, + 43.6135 + ] + } + }, + "copyrightnotice": "Copyright 2023 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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(AP) \u2014 An attorney for Idaho asked a judge on Thursday to throw out a lawsuit seeking clarity about the medical exemptions to the state's broad abortion bans, saying it was based on hypothetical situations rather than current facts.
But an attorney for the four women and several physicians who sued says their claims aren't hypothetical at all, but real-life tragedies happening in doctors' offices and homes across the state.
Similar lawsuits are playing out around the nation, with some of them, like Idaho's, brought by the Center for Reproductive Rights on behalf of doctors and pregnant people who were denied access to abortions while facing serious pregnancy complications.
\u201cThe physicians go to work every day not knowing if they will be able to provide the necessary care to their patients,\u201d Marc Hearron, an attorney for the Center for Reproductive Rights, told 4th District Judge Jason Scott.
The women and doctors suing aren't asking the court to recognize a right to abortion in the state constitution, Hearron said. Instead, they want the judge to find that pregnant people are entitled to the fundamental rights that are specifically listed in the Idaho Constitution \u2014 including the right to enjoy and defend their own life and the right to secure their own safety.
James Craig, a division chief with the Idaho Attorney General's office, told the judge that the Idaho Supreme Court has already upheld the state's abortion bans. That should make the ruling in this case easy, Craig said, urging the judge to dismiss the lawsuit.
The four women named in the case were all denied abortions in Idaho after learning they were pregnant with fetuses that were unlikely to go to term or survive birth, and that the pregnancies also put them at risk of serious medical complications. All four traveled to Oregon or Washington for the procedures.
Craig suggested that since they were no longer facing the pregnancy complications, they should be challenging the state's law in the Legislature, not the courts. The possibility of similar problems happening again is hypothetical, he said, and hypothetical situations don't meet the legal standard needed for this kind of lawsuit.
\u201cThey're representing hypothetical fact \u2014 hypothetical future scenarios \u2014 and asking the court to rule,\u201d Craig said. \u201cIn that respect, no, they don't have the right to a declaratory judgement.\u201d
The judge said he would likely rule on the motion to dismiss next month.
Jennifer Adkins, one of the plaintiffs, said afterward it was infuriating to be dismissed as a \u201chypothetical.\u201d
\"It\u2019s easier for them to pretend that we don\u2019t exist, to ignore the trauma and tragedy that we have been through as a family,\u201d she said of the state's attorneys and officials.
The hypothetical became real for Adkins in April. She and her husband John were thrilled to welcome a second baby when she found out she was pregnant just after Valentine's Day. But during a routine 12-week ultrasound, their joy came crashing down. Their baby had a rare condition called Turner syndrome, making survival until birth highly unlikely.
Adkins' doctors also told her the pregnancy put her at risk of developing mirror syndrome, a rare and potentially life-threatening obstetric disorder.
\u201cI remember thinking, \u2018The other shoe has dropped. Here we are, and it\u2019s happening to me of all people,'\" Adkins said.
The couple decided an abortion was necessary to protect Adkins' health and their family. The next several days were spent securing an appointment in Portland, Oregon, and trying to figure out how to cover the cost of flights, a hotel and the procedure itself \u2014 knowing covering the full price tag would mean they couldn't pay their mortgage.
\u201cI'm a sixth generation Idahoan. I want to stay here,\" said her husband John Adkins. \u201cBut it makes you question whether or not the state will allow you to, because we had to flee in order to be safe. When we left for Oregon, we felt like we were criminals.\u201d
Adkins and the other three women suing the state have become the public faces of what some medical professionals say is an increasingly common tragedy in Idaho: Patients with high-risk pregnancies and fetuses that are dying or severely ill, forced to choose between carrying to term or leaving the state for an abortion.
\u201cWe find joy every day in raising our son, but we still have this tragedy in our family and this loss of a baby that we really wanted,\u201d she said. \u201cWe should be preparing to have Christmas with our newborn baby right now, and we're not.\u201d
John Adkins is angry at the lawmakers and state leaders who passed the abortion bans, and said he believes they all knew the laws were putting some families at risk.
\u201cWe are casualties that they're comfortable with,\u201d he said. \u201cTo allow them to have this fig leaf of hypotheticals and all that nonsense? They know what they're doing.\u201d
Lawmakers passed one of the abortion bans as a trigger law in March of 2020, when most of the physicians in the state were focused on the pandemic that had just begun sweeping through Idaho. At the time, any suggestion that the ban could harm pregnant people was quickly brushed off by the bill's sponsor, Republican Sen. Todd Lakey, who said during one debate that the health of the mother \"weighs less, yes, than the life of the child.\"
The trigger ban took effect in 2022 shortly after the U.S. Supreme Court overturned Roe v. Wade. Since then, Idaho's roster of obstetricians and other pregnancy-related specialists has been shrinking.
Of the nine maternal fetal medicine specialists practicing in Idaho before the bans, four have already left the state and another intends to retire at the end of 2023, according to the lawsuit. Two rural Idaho hospitals have closed their labor-and-delivery centers, with one directly attributing the closure to physicians' resignations over Idaho's restrictive abortion bans.
\u201cThe health care system is being quite disrupted,\u201d said Dr. Julie Lyons, a family physician and one of the doctors bringing the lawsuit. \u201cIt happens in my clinic, where there is fear among the nurses I work with about treating an ectopic pregnancy even though treating an ectopic is legal. But nobody believes that.\"
Now it takes longer for patients to get treated, Lyons said, and medical costs are increasing because everyone is worried about being prosecuted.
\u201cWe're over-ordering tests, over-ordering ultrasounds to try to protect ourselves,\" Lyons said. \"We don't want to have any possible way that a doctor could be scrutinized and sent to jail.\u201d
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The department did not name the company involved, but Canada's Public Health Agency linked the outbreak to Malichita and Rudy brand cantaloupes.
Mexico did not say what violations were found at the plant in the northern border state of Sonora, and said testing was being done to find the source of the contamination.
Inspectors took samples of water and swiped surfaces at the plant to look for traces of salmonella bacteria.
Since October, at least 230 people in the U.S. and 129 in Canada have been sickened in this outbreak.
The cantaloupes implicated in this outbreak include two brands, Malichita and Rudy, that are grown in the Sonora area.
The fruit was imported by Sofia Produce LLC, of Nogales, Arizona, which does business as TruFresh, and Pacific Trellis Fruit LLC, of Los Angeles. So far, more than 36,000 boxes or cases of cantaloupe have been recalled.
Health officials are warning consumers, retailers and restaurants not to buy, eat or serve cantaloupe if they don\u2019t know the source.
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All these points are directly related to public health concerns and safety measures." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2023/12/15/a313926f955339828175984054753a06.json b/datasets/AP_news/raw_data/2023/12/15/a313926f955339828175984054753a06.json new file mode 100644 index 0000000..3d4a8dd --- /dev/null +++ b/datasets/AP_news/raw_data/2023/12/15/a313926f955339828175984054753a06.json @@ -0,0 +1,243 @@ +{ + "altids": { + "itemid": "a313926f955339828175984054753a06", + "etag": "a313926f955339828175984054753a06_2a11aza0c0", + "friendlykey": "596432201144", + "referenceid": "EU--Netherlands-Cannabis" + }, + "version": 2, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2023-12-15T15:54:40Z", + "firstcreated": "2023-12-15T14:11:06Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: This story has been updated with a quote from a grower. With AP Photos.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "EU--Netherlands-Cannabis", + "headline": "Shops in 2 Dutch cities start selling legally grown cannabis in an experiment to regulate pot trade", + "headline_extended": "A paradox at the heart of the Netherlands\u2019 permissive pot policy has gone up in smoke in two Dutch cities as \u201ccoffeeshops\u201d began selling the country\u2019s first legally cultivated cannabis", + "slugline": "BC-EU--Netherlands-Cannabis, 2nd Ld-Writethru", + "description_summary": "A paradox at the heart of the Netherlands\u2019 permissive pot policy has gone up in smoke in two Dutch cities as \u201ccoffeeshops\u201d began selling the country\u2019s first legally cultivated cannabis. The move is part of an experiment to regulate the pot trade in the Netherlands. But it could mark the beginning of the end for a long-standing legal anomaly: people can buy and sell small amounts of weed without fear of prosecution in the country, but growing it commercially remains illegal. The chairperson of the Union for the Abolition of Cannabis Prohibition calls it a \"very, very big step in the right direction.", + "bylines": [ + { + "by": "By MIKE CORDER", + "title": "Associated Press" + } + ], + "located": "BREDA, Netherlands", + "datelinelocation": { + "city": "Breda", + "countrycode": "NLD", + "countryname": "Netherlands", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + 4.77596, + 51.58656 + ] + } + }, + "copyrightnotice": "Copyright 2023 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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The experiment could mark the beginning of the end for a long-standing legal anomaly \u2014 you can buy and sell small amounts of weed without fear of prosecution in the Netherlands, but growing it commercially remains illegal.
\u201cThis is really a very, very big step in the right direction,\u201d Derrick Bergman, chairman of the Union for the Abolition of Cannabis Prohibition, said as he sat in the De Baron cannabis cafe in the southern Dutch city of Breda.
Dutch Health Minister Ernst Kuipers visited earlier to launch the new policy. The plan for the experiment dates back to 2017 and is seen as as a way of providing \u201cquality-controlled\" weed to coffeeshops \u2014 places that are allowed to sell marijuana \u2014 and shutting out illegal growers.
\u201cBy regulating the sale of cannabis, we have a better insight into the origin of the products and the quality,\u201d Kuipers said. \u201cIn addition, we can better inform consumers about the effects and health risks of cannabis use.\u201d
Bart Vollenberg, who grows cannabis for the experiment, called it a \u201chappy day for the Netherlands.\u201d
\"The most significant advantage is that it is not criminal activity, and it becomes transparent,\" he said. \"You can test the weed in the laboratory. With all the knowledge and skills of Dutch horticulture, we can start improving the quality of the weed now. No longer need to make all kinds of twists and turns in illegality.\u201d
A trailblazer in decriminalizing pot since the 1970s, the Netherlands has grown more conservative. Amsterdam, long a magnet for marijuana smokers from around the world, has been closing coffeeshops in recent years and has banned smoking weed on some of the cobbled streets that make up its historic center.
Across the nation, there are 565 coffeeshops. That is down from around 2,000 \u201cin the real heyday,\u201d Bergman said.
Meanwhile, other countries around the world and some U.S. states have taken steps to legalize the recreational use of cannabis.
\u201cWe are finally taking a small place on the international stage back again,\" Bergman said. \"It\u2019s not like we\u2019re back full on. It\u2019s a small experiment.\u201d
Friday marked the first day of what the government calls the \u201cclosed coffeeshop chain experiment.\u201d The initial phase is scheduled to last a maximum of six months and could then be rolled out to 11 municipalities across the Netherlands.
\u201cDuring the startup phase, growers, coffeeshop owners, transporters and supervisors will gain experience with the supply and sale of regulated cannabis and its supervision, secure transport and the use of the track and trace system,\u201d the Ministry of Health, Welfare and Sport said in a statement.
Coffeeshops in Breda and nearby Tilburg are allowed to have a maximum of 500 grams (17.64 ounces) of weed from legal growers in stock at a time.
Breda Mayor Paul Depla said the initial experiment in his city and Tilburg would help detect any \u201cgrowing pains\u201d in the system.
\u201cIt is also a great opportunity to see how cooperation within the closed chain between legal growers, coffeeshop owners and all other authorities involved works,\u201d he said.
The Trimbos Institute, a Dutch organization that raises awareness about mental health and the use of drugs, alcohol and tobacco, is involved in the experiment and promoting measures to prevent cannabis use.
\u201cWe think it's important that people who use cannabis are well informed about the risks and options for help,\u201d spokeswoman Harri\u00ebtte Koop said in an email.
For longtime campaigner Bergman, an upside of the new policy is that smokers can now easily see who grew the cannabis they are using and let friends know whether it's any good.
\u201cIt's a relief that the weed is quite good,\u201d he said, smiling as he lit his marijuana cigarette in a small puff of thick white smoke.
There is a downside, Bergman added. He looked at a plastic beaker in a plastic bag holding the new legally grown weed and a much smaller plastic container for illegal pot.
\u201cThe new system produces much more plastic waste,\u201d he noted.
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Orbit Services Partners Inc., a company registered in Barbados, is partnering with Verily, a San Francisco-based health technology company, for the project. The companies have been meeting with government officials in the region in hopes of launching the project early next year, said Orbit chairman Anthony Da Silva.
It would target nations including Barbados, Guyana, Jamaica, St. Kitts & Nevis, St. Maarten, St. Martin, Suriname, Dominican Republic and Haiti.
Similar projects using the Wolbachia bacterium already have been implemented elsewhere in the world. Mosquitoes are infected with Wolbachia in a laboratory and then released into the wild, where they pass it on to their offspring. The bacterium prevents the dengue virus from replicating inside a mosquito's gut.
Da Silva said the partnership has been three years in the making and was delayed by the pandemic. The proposal is still pending approval in individual Caribbean nations.
The Caribbean, along with the Americas, has reported more than 4 million dengue cases so far this year, the highest number since record-keeping began in 1980.
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This information is highly relevant to the topic of health." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2023/12/16/58690452424441759e661468073263dc.json b/datasets/AP_news/raw_data/2023/12/16/58690452424441759e661468073263dc.json new file mode 100644 index 0000000..3f74e20 --- /dev/null +++ b/datasets/AP_news/raw_data/2023/12/16/58690452424441759e661468073263dc.json @@ -0,0 +1,300 @@ +{ + "altids": { + "itemid": "58690452424441759e661468073263dc", + "etag": "58690452424441759e661468073263dc_2a7aza0c0", + "friendlykey": "371205402759", + "referenceid": "US--Miscarriage-Prosecution-ABRIDGED" + }, + "version": 2, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2023-12-16T16:27:02Z", + "firstcreated": "2023-12-16T13:05:58Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: CORRECTS: This story corrects that case was sent to a grand jury last month, not last week. UPDATES: With AP Photos. This story updates the headline and adds a photo.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "US--Miscarriage-Prosecution-ABRIDGED", + "headline": "A Black woman was criminally charged after a miscarriage. It shows the perils of pregnancy post-Roe", + "headline_extended": "A Black Ohio woman who miscarried in her bathroom has been charged with abuse of a corpse", + "slugline": "BC-US-Miscarriage-Prosecution-ABRIDGED, 2nd Ld-Writethru", + "description_summary": "A Black Ohio woman who miscarried in her bathroom has been charged with abuse of a corpse. Thirty-three-year-old Brittany Watts, of Warren, awaits grand jury action. Her case has sparked a national firestorm over the plight of pregnant women, especially women of color, following the U.S. Supreme Court\u2019s decision to overturn Roe v. Wade. Supporters have rallied around Watts and civil rights attorney Benjamin Crump elevated her plight on X. Police say Watts tried to plunge the contents of her miscarriage and left the fetus stuck in the pipes. Her attorney says Watts is being demonized for a common natural occurrence.", + "bylines": [ + { + "by": "By JULIE CARR SMYTH", + "title": "Associated Press" + } + ], + "located": "COLUMBUS, Ohio", + "datelinelocation": { + "city": "Columbus", + "countryareacode": "OH", + "countryareaname": "Ohio", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -82.99879, + 39.96118 + ] + } + }, + "copyrightnotice": "Copyright 2023 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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The 33-year-old Watts, who had not shared the news of her pregnancy even with her family, made her first prenatal visit to a doctor\u2019s office behind Mercy Health-St. Joseph\u2019s Hospital in Warren, a working-class city about 60 miles (100 kilometers) southeast of Cleveland.
The doctor said that, while a fetal heartbeat was still present, Watts\u2019 water had broken prematurely and the fetus she was carrying would not survive. He advised heading to the hospital to have her labor induced, so she could have what amounted to an abortion to deliver the nonviable fetus. Otherwise, she would face \u201csignificant risk\u201d of death, records of her case show.
That was a Tuesday in September. What followed was a harrowing three days entailing: multiple trips to the hospital; Watts miscarrying into, and then flushing and plunging, a toilet at her home; a police investigation of those actions; and Watts, who is Black, being charged with abuse of a corpse. That\u2019s a fifth-degree felony punishable by up to a year in prison and a $2,500 fine.
Her case was sent last month to a grand jury. It has touched off a national firestorm over the treatment of pregnant women, and especially Black women, in the aftermath of the U.S. Supreme Court\u2019s Dobbs v. Jackson Women\u2019s Health Organization decision that overturned Roe v. Wade.
Civil rights attorney Benjamin Crump elevated Watts\u2019 plight in a post to X, formerly Twitter.
Michele Goodwin, a law professor at the University of California, Irvine, and author of \u201cPolicing The Womb,\u201d said the case follows a pattern of women's pregnancies being criminalized against them. She said those efforts have long overwhelmingly targeted Black and brown women.
Even before Roe was overturned, studies show that Black women who visited hospitals for prenatal care were 10 times more likely than white women to have child protective services and law enforcement called on them, even when their cases were similar, she said.
\u201cPost-Dobbs, what we see is kind of a wild, wild West,\u201d said Goodwin. \u201cYou see this kind of muscle-flexing by district attorneys and prosecutors wanting to show that they are going to be vigilant, they\u2019re going to take down women who violate the ethos coming out of the state\u2019s legislature.\u201d
She called Black women \u201ccanaries in the coal mine\u201d for the \u201chyper-vigilant type of policing\u201d women of all races might expect from the nation\u2019s network of health-care providers, law enforcers and courts now that abortion isn\u2019t federally protected.
At the time of Watts\u2019 miscarriage, abortion was legal in Ohio through 21 weeks, six days of pregnancy. Her lawyer, Traci Timko, said Watts sat for eight hours at Mercy Health-St. Joseph\u2019s awaiting care on the eve of her pregnancy reaching 22 weeks, before leaving without being treated.
Timko said hospital officials had been deliberating over the legalities.
\u201cIt was the fear of, is this going to constitute an abortion and are we able to do that,\u201d Timko said. The hospital didn\u2019t return calls seeking confirmation and comment.
But B. Jessie Hill, a law professor at Case Western Reserve University School of Law, said the hospital was in a bind.
\u201cThese are the razor\u2019s edge decisions that health care providers are being forced to make,\u201d she said. \u201cAnd all the incentives are pushing hospitals to be conservative, because on the other side of this is criminal liability.\u201d
Warren Assistant Prosecutor Lewis Guarnieri told Warren Municipal Court Judge Terry Ivanchak during Watts' preliminary hearing that she left home for a hair appointment after miscarrying, leaving the toilet clogged. Police would later find the fetus wedged in the pipes.
\u201cThe issue isn\u2019t how the child died, when the child died,\u201d Guarnieri told the judge, according to TV station WKBN. \u201cIt\u2019s the fact the baby was put into a toilet, was large enough to clog up the toilet, left in that toilet, and she went on (with) her day.\u201d
In court, Timko bristled.
\u201cThis 33-year-old girl with no criminal record is demonized for something that goes on every day,\u201d she said.
The size and stage of development of Watts\u2019 fetus became an issue during her preliminary hearing.
At the time, vigorous campaigning over Issue 1, an ultimately successful amendment to enshrine a right to abortion in Ohio\u2019s constitution, included ads alleging the amendment would allow abortions \u201cuntil birth.\u201d
A county forensic investigator reported feeling \u201cwhat appeared to be a small foot with toes\u201d inside Watts\u2019 toilet. Police seized the toilet and broke it apart to retrieve the intact fetus as evidence. An autopsy confirmed that the fetus died in utero before passing through the birth canal and identified \u201cno recent injuries.\u201d
The judge acknowledged the case\u2019s complexities when he bound the case over to the grand jury.
\u201cThere are better scholars than I am to determine the exact legal status of this fetus, corpse, body, birthing tissue, whatever it is,\u201d he said from the bench.
Assistant Trumbull County Prosecutor Diane Barber, lead prosecutor on Watts\u2019 case, could not speak specifically about the case, other than to note the county is compelled to move forward with it. She doesn\u2019t expect a grand jury finding this month.
Timko, a former prosecutor, said Ohio\u2019s abuse-of-corpse statute is vague.
\u201cFrom a legal perspective, there\u2019s no definition of \u2018corpse,\u2019\u201d she said. \u201cCan you be a corpse if you never took a breath?\u201d
Grace Howard, assistant justice studies professor at San Jos\u00e9 State University, said clarity on what about Watts\u2019 behavior constituted a crime is essential.
\u201cHer miscarriage was entirely ordinary,\" she said. \"So I just want to know what (the prosecutor) thinks she should have done. If we are going to require people to collect and bring used menstrual products to hospitals so that they can make sure it is indeed a miscarriage, it\u2019s as ridiculous and invasive as it is cruel.\u201d
___
This story corrects that case was sent to a grand jury last month, not last week.
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It\u2019s areas near this mall where former Democratic President Barack Obama's health care overhaul is more popular than anywhere in the country, according to federal data. The region has also shifted away from Democrats to Republicans in recent years, with Donald Trump hosting several rallies here as part of his outreach to Latino voters.
Trump, the current front-runner for the Republican presidential nomination in 2024, has pledged to renew efforts to repeal and replace the 2010 law \u2014 something that would be felt heavily in the region and could possibly reverse some of the GOP shift among South Florida's Latinos, experts say.
President Joe Biden's reelection campaign has already seized on Trump's statements about \u201cObamacare,\" which was enacted when Biden was vice president, as part of its broader efforts to shape the widely expected rematch with Trump next year.
\u201cHealth insurance is something that is extremely needed for everyone,\u201d said Odalys Arevalo, one of the managing partners of a health insurance agency serving Spanish-speaking clients in Miami. \u201cAnd I know that everybody that supports the Republican Party that has health insurance through Obamacare would not support the fact that it would be taken away from one day to another. That is a fact.\u201d
Arevalo and her business partner, Mercy Cabrera, started enrollment centers to help people navigate the Affordable Care Act\u2019s insurance marketplaces and remember how some Cubans would walk away uttering \u201cno, no, no,\u201d after seeing the name \u201cObamacare,\u201d which was coined by Republicans opposing the overhaul as an expensive government takeover of health insurance.
Insurers could no longer deny coverage based on preexisting medical conditions, and that drew many Latinos to consider it, Arevalo says. In the following years, the women started enrolling tens of thousands, earning the nickname of \u201cMadrinas del Obamacare,\u201d or \u201cObamacare\u201d godmothers, evoking the crucial role godparents play in Latino culture.
They have since renamed themselves \u201cLas Madrinas de los Seguros,\u201d or \u201cinsurance godmothers,\u201d because they offer other plans. But they continue to feature the word \u201cObamacare\u201d on their office walls and in their ads.
\u201cObamacare\u201d is seen throughout Miami in advertising flags, businesses and bus signs. Federal data from the Centers for Medicare & Medicaid Services indicates how widely used it is here.
About 3.4 million Hispanics are signed up with insurance through the health law. Florida leads enrollment with more than 3.2 million consumers selecting a plan during last year's enrollment period from November 2022 to January. Miami-Dade is the county with the most people enrolled, with about 750,000 consumers, or more than one-fourth of the total population.
Florida is also one of 10 states that has resisted expanding Medicaid coverage under a provision of the health law.
The two Zip codes with the most sign-ups last year and this year are in Doral and Hialeah, hubs for the Venezuelan and Cuban communities that are just north of Miami and are common stops for Trump\u2019s visits and rallies.
Last month, Trump posted on his Truth Social social media site that \u201cthe cost of Obamacare is out of control, plus, it\u2019s not good Healthcare.\u201d While he said he is looking at alternatives, he has not shared any plans. But Trump said he would not give up on terminating it \u2014 recalling when the late Sen. John McCain, R-Ariz., blocked the then-president's effort to repeal the law in July 2017.
During Trump's administration, Republicans managed to pass a provision that reduced the penalty for not having health insurance to zero, the most unpopular part of the law and something that people in South Florida say made them feel more at ease with the plans.
The Miami Herald, in a recent editorial, called the plans by Trump \u2014 also echoed by Florida Gov. Ron DeSantis, another 2024 GOP presidential candidate \u2014 \u201cexceedingly out of touch with voters.\"
Biden\u2019s campaign quickly mobilized a response and the chair of the Florida Democratic Party, Nikki Fried, specifically mentioned an area where \u201cObamacare\u201d is popular.
\u201cMiami-Dade County would be hardest hit by Trump\u2019s anti-health care agenda,\u201d Fried said.
According to a KFF poll conducted in May 2023, 59% of Americans say they have a favorable opinion of the Affordable Care Act. The same poll by the nonprofit organization focused on health policy found that 66% of Hispanics say they have a favorable opinion of the law.
According to APVoteCast, a wide-ranging survey of U.S. voters, 62% of 2022 midterm voters in Florida said it should be the responsibility of the federal government to make sure that all people in the country have health care coverage. About one-third of Florida voters in the 2022 midterm elections said that shouldn\u2019t be the government\u2019s job. Among Latino or Hispanic midterm voters in Florida, 77% said ensuring health care coverage for all should be the responsibility of the federal government, while 1 in 5 said it should not be.
Zulina Ruiz, a 72-year-old retired lawyer from Venezuela, said she found out about the Affordable Care Act options quickly after arriving in the U.S. in 2017. She said she is particularly grateful for having access to drugs to treat her high blood pressure. Green-card holders, refugees and other migrants who have been granted temporary protected status or who have come recently with humanitarian parole also qualify for coverage under the law.
\u201cThis is very important for me. I don\u2019t think a candidate can just make this program disappear,\u201d she said. \u201cThey would leave millions of low-income people without insurance.\u201d
Ruiz became a U.S. citizen in May, but has not registered with any party. She does not know whom she will vote for next year.
\u201cI am still not decided, and we don\u2019t have official candidates yet,\u201d Ruiz said, adding that she still feels more connected politically to Venezuela. Much of the growing support for Republicans in Miami is owed to Trump\u2019s record opposing socialist leaders across Latin America, including imposing White House sanctions on Venezuelan officials.
\u201cBut health policy is a top priority for me,\u201d Ruiz said.
The Biden campaign has run advertising in battleground states contrasting his efforts to lower drug costs with Trump\u2019s renewed promise to repeal the health overhaul. The ad campaign did not include markets in Florida.
Arevalo, one of the \u201cObamacare godmothers,\u201d thinks voters in Miami may not necessarily approve of all the positions of the candidates they ultimately back.
But as far as a local verdict on \u201cObamacare,\u201d and despite initial hesitations about it, the program grew on people in Miami once they understood it, she said.
\u201cWhen Trump was elected, some people came and said they wanted nothing to do with Obamacare. We said \u2018Obamacare, Trumpcare, whatever,\u2019\u201d she said of what they told people. \u201cThe important thing is that everybody has access to health insurance and that they can take care of their health.\u201d
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The ruling moves action in the case back to Hamilton County Common Pleas, where abortion clinics asked Judge Christian Jenkins this week to throw out the law following voters' decision to approve enshrining abortion rights in the state constitution.
The high court on Friday said the appeal was \u201c dismissed due to a change in the law.\u201d
The justices in March agreed to review a county judge\u2019s order that blocked enforcement of the abortion restriction and to consider whether clinics had legal standing to challenge the law. They ultimately denied Republican Attorney General Dave Yost\u2019s request that they launch their own review of the constitutional right to abortion, leaving such arguments for a lower court.
The clinics asked Jenkins on Thursday to block the abortion ban permanently on the heels of the amendment Ohio voters approved last month that ensures access to abortion and other reproductive health care.
A law signed by Republican Gov. Mike DeWine in April 2019 prohibited most abortions after the first detectable \u201cfetal heartbeat.\u201d Cardiac activity can be detected as early as six weeks into pregnancy, before many women know they are pregnant.
The ban, initially blocked through a federal legal challenge, briefly went into effect when the landmark 1973 Roe v. Wade decision was overturned last year. It was then placed back on hold in county court, as part of a subsequent lawsuit challenging it as unconstitutional under the state constitution.
Yost's office referred to a statement from Dec. 7 that \u201cthe state is prepared to acknowledge the will of the people on the issue, but also to carefully review each part of the law for an orderly resolution of the case.\u201d
The abortion providers asked the lower court that initially blocked the ban to permanently strike it down. They cited Yost\u2019s own legal analysis, circulated before the vote, that stated that passage of the amendment would invalidate the state\u2019s six-week ban, stating, \u201cOhio would no longer have the ability to limit abortions at any time before a fetus is viable.\u201d
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Therefore, the document is relevant to the topic of health, though it is not exclusively focused on health-related details." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2023/12/16/b19cbb614ab6bcb4424266938824aace.json b/datasets/AP_news/raw_data/2023/12/16/b19cbb614ab6bcb4424266938824aace.json new file mode 100644 index 0000000..7f0924c --- /dev/null +++ b/datasets/AP_news/raw_data/2023/12/16/b19cbb614ab6bcb4424266938824aace.json @@ -0,0 +1,171 @@ +{ + "altids": { + "itemid": "b19cbb614ab6bcb4424266938824aace", + "etag": "b19cbb614ab6bcb4424266938824aace_0a2aza0c0", + "friendlykey": "520032363841", + "referenceid": "AL--Deer Disease-Alabama" + }, + "version": 0, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2023-12-16T16:44:31Z", + "firstcreated": "2023-12-16T16:44:30Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "signals": [ + "newscontent" + ], + "title": "AL--Deer Disease-Alabama", + "headline": "2 new cases of chronic wasting disease found in Alabama deer", + "headline_extended": "Two more cases of a fatal disease have been found in deer in northwest Alabama", + "slugline": "BC-AL--Deer Disease-Alabama", + "description_summary": "Two more cases of a fatal disease have been found in deer in northwest Alabama. 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(AP) \u2014 Two more cases of a fatal disease have been found in deer in northwest Alabama.
The Alabama Department of Conservation and Natural Resources on Friday announced confirmation of two cases of chronic wasting disease in hunter-harvested, white-tailed deer in northern Lauderdale County. That brings Alabama\u2019s total number of confirmed cases to five, al.com reported.
The disease was first detected in Lauderdale County in January 2022. After the first case was confirmed, all of Lauderdale and Colbert counties were designated as a CWD Management Zone.
CWD commonly results in altered behavior due to microscopic changes in the brain in infected animals. An animal may carry the disease for years without outward signs. But in later stages, animals may exhibit listlessness, lowering of the head, weight loss, repetitive walking in set patterns and a lack of responsiveness. There are no treatments or vaccines for the disease and, according to the Centers for Disease Control and Prevention, there have been no cases in humans.
Samples have been collected from more than 1,700 white-tailed deer harvested statewide, with 420 of those collected within the CMZ this hunting season, the department said. One of the positive samples was submitted during a mandatory sampling weekend on Dec. 2 and 3. The other positive was voluntarily submitted at a drop-off location by a hunter as part of the department's monitoring program.
The next mandatory sampling weekend is Jan. 6 and 7.
Department of Conservation and Natural Resource Commissioner Chris Blankenship thanked hunters for providing a \u201crobust\u201d number of samples.
\u201cHunters are our most important partners in the management of CWD as we move forward with future deer seasons,\u201d he said.
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Salmonella infections can cause fever, diarrhea, nausea, vomiting and stomach pain, according to the Food and Drug Administration. In rare cases, the bacterial disease can be fatal.
Quaker, which is owned by PepsiCo, said in a news release that it has not received any reports of salmonella infections related to the recalled granola products. The full list of recalled foods includes granola oats cereals and Quaker Chewy Bars, which are also sold in PepsiCo's snack mixes.
The affected products have been sold in all 50 U.S. states, as well as U.S. territories, Quaker said. The company is asking customers with recalled products to throw them away and contact its customer support line or visit the recall website for more information and reimbursement.
According to estimates from the Centers for Disease Control and Prevention, roughly 1.35 million cases of salmonella infection occur in the U.S. each year, causing approximately 26,500 hospitalizations and 420 deaths.
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UPDATES: With AP Photos. This story links a new photo.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "US--Miscarriage-Prosecution", + "headline": "A Black woman was criminally charged after a miscarriage. It shows the perils of pregnancy post-Roe", + "headline_extended": "A Black Ohio woman who miscarried in her bathroom has been charged with abuse of a corpse", + "slugline": "BC-US-Miscarriage-Prosecution, 5th Ld-Writethru", + "description_summary": "A Black Ohio woman who miscarried in her bathroom has been charged with abuse of a corpse. Thirty-three-year-old Brittany Watts, of Warren, awaits grand jury action. Her case has sparked a national firestorm over the plight of pregnant women, especially women of color, following the U.S. Supreme Court\u2019s decision to overturn Roe v. Wade. Supporters have rallied around Watts and civil rights attorney Benjamin Crump elevated her plight on X. Police say Watts tried to plunge the contents of her miscarriage and left the fetus stuck in the pipes. Her attorney says Watts is being demonized for a common natural occurrence.", + "bylines": [ + { + "by": "By JULIE CARR SMYTH", + "title": "Associated Press" + } + ], + "located": "COLUMBUS, Ohio", + "datelinelocation": { + "city": "Columbus", + "countryareacode": "OH", + "countryareaname": "Ohio", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -82.99879, + 39.96118 + ] + } + }, + "copyrightnotice": "Copyright 2023 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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The 33-year-old Watts, who had not shared the news of her pregnancy even with her family, made her first prenatal visit to a doctor's office behind Mercy Health-St. Joseph's Hospital in Warren, a working-class city about 60 miles (100 kilometers) southeast of Cleveland.
The doctor said that, while a fetal heartbeat was still present, Watts' water had broken prematurely and the fetus she was carrying would not survive. He advised heading to the hospital to have her labor induced, so she could have what amounted to an abortion to deliver the nonviable fetus. Otherwise, she would face \u201csignificant risk\u201d of death, according to records of her case.
That was a Tuesday in September. What followed was a harrowing three days entailing: multiple trips to the hospital; Watts miscarrying into, and then flushing and plunging, a toilet at her home; a police investigation of those actions; and Watts, who is Black, being charged with abuse of a corpse. That's a fifth-degree felony punishable by up to a year in prison and a $2,500 fine.
Her case was sent last month to a grand jury. It has touched off a national firestorm over the treatment of pregnant women, and especially Black women, in the aftermath of the U.S. Supreme Court's Dobbs v. Jackson Women's Health Organization decision that overturned Roe v. Wade. Civil rights attorney Benjamin Crump elevated Watts\u2019 plight in a post to X, formerly Twitter, and supporters have donated more than $100,000 through GoFundMe for her legal defense, medical bills and trauma counseling.
Whether abortion-seekers should face criminal charges is a matter of debate within the anti-abortion community, but, post-Dobbs, pregnant women like Watts, who was not even trying to get an abortion, have increasingly found themselves charged with \u201ccrimes against their own pregnancies,\u201d said Grace Howard, assistant justice studies professor at San Jos\u00e9 State University.
\u201cRoe was a clear legal roadblock to charging felonies for unintentionally harming pregnancies, when women were legally allowed to end their pregnancies through abortion,\" she said. \u201cNow that Roe is gone, that roadblock is entirely gone.\"
Michele Goodwin, a law professor at the University of California, Irvine, and author of \u201cPolicing The Womb,\u201d said those efforts have long overwhelmingly targeted Black and brown women.
Even before Roe was overturned, studies show that Black women who visited hospitals for prenatal care were 10 times more likely than white women to have child protective services and law enforcement called on them, even when their cases were similar, she said.
\u201cPost-Dobbs, what we see is kind of a wild, wild West,\u201d said Goodwin. \u201cYou see this kind of muscle-flexing by district attorneys and prosecutors wanting to show that they are going to be vigilant, they're going to take down women who violate the ethos coming out of the state's legislature.\u201d She called Black women \u201ccanaries in the coal mine\u201d for the \u201chyper-vigilant type of policing\u201d women of all races might expect from the nation's network of health-care providers, law enforcers and courts now that abortion isn't federally protected.
In Texas, for example, Republican Attorney General Ken Paxton mounted an aggressive and successful defense against a white Texas mother, Kate Cox, who sued for permission to skirt the state's restrictive abortion law because her fetus had a fatal condition.
At the time of Watts' miscarriage, abortion was legal in Ohio through 21 weeks, six days of pregnancy. Her lawyer, Traci Timko, said Watts left the hospital on the Wednesday when, coincidentally, her pregnancy arrived at that date \u2014 after sitting for eight hours awaiting care.
It turned out the delay was because hospital officials were deliberating over the legalities, Timko said. \u201cIt was the fear of, is this going to constitute an abortion and are we able to do that,\u201d she said.
At the time, vigorous campaigning was taking place across Ohio over Issue 1, a proposed amendment to enshrine a right to abortion in Ohio\u2019s constitution. Some of the ads were harshly attacking abortions later in pregnancy, with opponents arguing the issue would allow the return of so-called \u201cpartial-birth abortions\u201d and pregnancy terminations \u201cuntil birth.\u201d
The hospital did not return calls seeking confirmation and comment, but B. Jessie Hill, a law professor at Case Western Reserve University School of Law in Cleveland, said Mercy Health-St. Joseph's was in a bind.
\u201cThese are the razor's edge decisions that health care providers are being forced to make,\" she said. \"And all the incentives are pushing hospitals to be conservative, because on the other side of this is criminal liability. That's the impact of Dobbs.\u201d
Watts had been admitted to the Catholic hospital twice that week with vaginal bleeding, but she left without being treated. A nurse told the 911 dispatcher that Watts returned no longer pregnant on that Friday. She said Watts told her, \u201cthe baby\u2019s in her backyard in a bucket,\u201d and that she didn't want to have a child.
Timko said Watts insists she doesn't recall saying the pregnancy was unwanted; it was unintended, but she had always wanted to give her mother a grandchild. Her lawyer believes Watts may have meant that she didn't want to fish what she knew was a dead fetus from the bucket of blood, tissue and feces that she\u2019d scooped from her overflowing toilet.
\u201cThis 33-year-old girl with no criminal record is demonized for something that goes on every day,\u201d she told Warren Municipal Court Judge Terry Ivanchak during Watts\u2019 recent preliminary hearing.
Warren Assistant Prosecutor Lewis Guarnieri told Ivanchak that Watts left home for a hair appointment after miscarrying, leaving the toilet clogged. Police would later find the fetus wedged in the pipes.
\u201cThe issue isn't how the child died, when the child died,\u201d Guarnieri told the judge, according to TV station WKBN. \u201cIt's the fact the baby was put into a toilet, was large enough to clog up the toilet, left in that toilet, and she went on (with) her day.\u201d
In court, Timko bristled at Guarnieri's suggestion.
\u201cYou cannot be broadcasting any clearer that you just don\u2019t get it,\u201d she said in an interview, suggesting Watts was scared, anxious and traumatized by the experience. \u201cShe\u2019s trying to protect Mama. She doesn\u2019t want to get her hair done. She wants to stop bleeding like crazy and start grieving her fetus, what she's just been through.\u201d
As chief counsel to the county\u2019s child assault protection unit, Assistant Trumbull County Prosecutor Diane Barber is the lead prosecutor on Watts\u2019 case.
Barber said she couldn\u2019t speak specifically about the case other than to note that the county was compelled to move forward with it once it was bound over from municipal court. She said she doesn\u2019t expect a grand jury finding this month.
\u201cAbout 20% of the cases get no-billed, (as in) they do not get indicted and the case does not proceed,\u201d she said.
The size and stage of development of Watts' fetus \u2014 precisely the point when abortion crossed from legal to illegal in most cases \u2014 became an issue during her preliminary hearing.
A county forensic investigator reported feeling \u201cwhat appeared to be a small foot with toes\u201d inside Watts' toilet. Police seized the toilet and broke it apart to retrieve the intact fetus as evidence.
Testimony and an autopsy confirmed that the fetus died in utero before passing through the birth canal. In regard to abuse, the examination identified \u201cno recent injuries.\u201d
Ivanchak acknowledged the case's complexities.
\u201cThere are better scholars than I am to determine the exact legal status of this fetus, corpse, body, birthing tissue, whatever it is,\u201d he said from the bench. \u201cMatter of fact, I'm assuming that's what ... Issue 1's all about: at what point something becomes viable.\u201d
Timko, a former prosecutor, said Ohio's abuse-of-corpse statute is vague. It prohibits treating \u201ca human corpse\" in a way that would \u201coutrage\u201d reasonable family or community sensibilities.
\"From a legal perspective, there's no definition of \u2018corpse,\u2019\" she said. \u201cCan you be a corpse if you never took a breath?\u201d
Howard said clarity on what about Watts' behavior constituted a crime is essential.
\u201cFor rights of people with the capacity for pregnancy, this is huge,\" she said. \"Her miscarriage was entirely ordinary. So I just want to know what (the prosecutor) thinks she should have done. If we are going to require people to collect and bring used menstrual products to hospitals so that they can make sure it is indeed a miscarriage, it\u2019s as ridiculous and invasive as it is cruel.\"
___
This story corrects that the case was sent to a grand jury last month, not last week.
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(AP) \u2014 Biotech giant Illumina says it will undo its $7.1 billion purchase of the cancer-screening company Grail after losing legal battles with antitrust enforcers in the U.S. and Europe.
San Diego-based Illumina said in a Sunday statement that it made its decision to divest Grail after a U.S. appeals court ruled Friday that the merger could violate antitrust laws.
The European Union in October ordered the deal to be unwound because it closed in 2021 without regulatory approval from the 27-nation bloc. The EU earlier slapped a $475 million fine on Illumina for jumping the gun on the acquisition without its consent.
Ilumina said Sunday it had already pledged to divest Grail if it was not successful with either the European Court of Justice or in the Louisiana-based Fifth Circuit Court of Appeals, where the U.S. Federal Trade Commission case seeking to block the deal was most recently considered.
The company said the divestiture will happen through a third-party sale or capital markets transaction by the end of the second quarter of 2024.
Illumina is a major supplier of next-generation sequencing systems for genetic and genomic analysis. Grail, based in Menlo Park, California, is a health company developing blood tests to try to catch cancer early.
\u201cWe are committed to an expeditious divestiture of GRAIL in a manner that allows its technology to continue benefitting patients,\u201d llumina CEO Jacob Thaysen said in a statement.
Thaysen began leading the company in September after months of tumult over the legal challenges.
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With AP Photos.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "US--Masking in America", + "headline": "As 2023 holidays dawn, face masks have settled in as an occasional feature of the American landscape", + "headline_extended": "As the year comes to an end with holiday parties and crowds, mask-wearing is much more off than on around the country even as COVID\u2019s long tail lingers", + "slugline": "BC-US--Masking in America, 1st Ld-Writethru", + "description_summary": "As the year comes to an end with holiday parties and crowds, mask-wearing is much more off than on around the country even as COVID\u2019s long tail lingers. There\u2019s the odd one here and there, but nothing like it was three years ago at the dawn of the COVID pandemic\u2019s first winter holidays. Look at it a different way, though: These days, mask-wearing has become just another thing that simply happens in America. In a country where the mention of a mask prior to the pandemic usually meant Halloween or a costume party, it\u2019s a new way of being that hasn\u2019t gone away.", + "bylines": [ + { + "by": "By DEEPTI HAJELA", + "title": "Associated Press" + } + ], + "located": "NEW YORK", + "datelinelocation": { + "city": "New York", + "countryareacode": "NY", + "countryareaname": "New York", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -74.00597, + 40.71427 + ] + } + }, + "copyrightnotice": "Copyright 2023 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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Or a warehouse store. Or maybe a packed airport terminal or a commuter train station or another place where large groups gather.
There are people \u2014 lots of people. But look around, and it's clear one thing is largely absent these days: face masks.
Yes, there's the odd one here and there, but nothing like it was three years ago at the dawn of the COVID pandemic's first winter holidays \u2014 an American moment of contentiousness, accusation and scorn on both sides of the mask debate.
As 2023 draws to an end, with promises of holiday parties and crowds and lots of inadvertent exchanges of shared air, mask-wearing is much more off than on around the country even as COVID's long tail lingers. The days of anything approaching a widespread mask mandate would be like the Ghost of Christmas Past, a glimpse into what was.
Look at it a different way, though: These days, mask-wearing has become just another thing that simply happens in America. In a country where the mention of a mask prior to the pandemic usually meant Halloween or a costume party, it\u2019s a new way of being that hasn\u2019t gone away even if most people aren\u2019t doing it regularly.
\u201cThat\u2019s an interesting part of the pandemic,\u201d says Brooke Tully, a strategist who works on how to change people's behaviors.
\u201cHome delivery of food and all of those kind of services, they existed before COVID and actually were gaining some momentum,\u201d she says. \u201cBut something like mask-wearing in the U.S. didn\u2019t really have an existing baseline. It was something entirely new in COVID. So it\u2019s one of those new introductions of behaviors and norms.\u201d
It tends to be situational, like the recent decision from the University of Pittsburgh Medical Center hospital system to reinstate a mask mandate at its facilities starting Dec. 20 because it's seeing an increase in respiratory viruses. And for people like Sally Kiser, 60, of Mooresville, North Carolina, who manages a home health care agency.
\u201cI always carry one with me,\" she says, \u201c'cause I never know.\u201d
She doesn\u2019t always wear it, depending on the environment she\u2019s in, but she will if she thinks it\u2019s prudent. \u201cIt\u2019s kind of like a new paradigm for the world we live in,\u201d she says.
It wasn't that long ago that fear over catching COVID-19 sent demand for masks into overdrive, with terms like \u201cN95\u201d coming into our vocabularies alongside concepts like mask mandates \u2014 and the subsequent, and vehement, backlash from those who felt it was government overreach.
Once the mandates started dropping, the masks started coming off and the demand fell. It fell so much so that Project N95, a nonprofit launched during the pandemic to help people find quality masks, announced earlier this month that it would stop sales Monday because there wasn\u2019t enough interest.
Anne Miller, the organization\u2019s executive director, acknowledges she thought widespread mask usage would become the rule, not the exception.
\u201cI thought the new normal would be like we see in other cultures and other parts of the world \u2014 where people just wear a mask out of an abundance of caution for other people,\u201d she says.
But that\u2019s not how norms work, public safety or otherwise, says Markus Kemmelmeier, a professor of sociology at the University of Nevada, Reno.
In 2020, Kemmelmeier authored a study about mask-wearing around the country that showed mask usage and mandate resistance varied by region based on conditions including pre-existing cultural divisions and political orientation.
He points to the outcry after the introduction of seatbelts and seatbelt laws more than four decades ago as an example of how practices, particularly those required in certain parts of society, do or don't take hold.
\u201cWhen they first were instituted with all the sense that they make and all the effectiveness, there was a lot of resistance,\u201d Kemmelmeier says. \u201cThe argument was basically lots of complaints about individual freedoms being curtailed and so forth, and you can\u2019t tell me what to do and so forth.\u201d
In New York City\u2019s Brooklyn borough, members of the Park Slope Co-op recently decided there was a need at the longstanding, membership-required grocery. Last month, the co-op instituted mask-required Wednesdays and Thursdays; the other five days continue to have no requirement.
The people who proposed it weren\u2019t focused on COVID rates. They were thinking about immune-compromised people, a population that has always existed but came to mainstream awareness during the pandemic, says co-op general manager Joe Holtz.
Proponents of the mask push at the co-op emphasized that immunocompromised people are more at risk from other people\u2019s respiratory ailments like colds and flu. Implementing a window of required mask usage allows them to be more protected, Holtz says.
It was up to the store\u2019s administrators to pick the days, and they went with two of the slowest instead of the busy weekend days on purpose, Holtz says, a nod to the reality that mask requirements get different responses from people.
\u201cFrom management\u2019s point of view,\" he says, \u201cif we were going to try and if there\u2019s going to be a negative financial impact from this decision that was made, we want to minimize it.\u201d
Those shopping there on a recent Thursday didn't seem fazed.
Aron Halberstam, 77, says he doesn\u2019t usually mask much these days but wasn't put off by the requirement. He wears a mask on the days it\u2019s required, even if he doesn\u2019t otherwise \u2014 a middle ground reflecting what is happening in so many parts of the country more than three years after the mask became a part of daily conversation and daily life.
\u201cAny place which asks you to do it, I just do it,\u201d Halberstam says. \u201cI have no resistance to it.\u201d
Whatever the level of resistance, says Kemmelmeier, the culture has shifted. People are still wearing masks in places like crowded stores or while traveling. They do so because they choose to for their own reasons and not because the government is requiring it. And new reasons can come up as well, like when wildfires over the summer made air quality poor and people used masks to deal with the haze and smoke.
\u201cIt always will find a niche to fit in with,\u201d he says. \u201cAnd as long as there are needs somewhere, it will survive.\u201d
", + "textformat": "bx", + "links": [ + { + "href": "https://apnews.com/article/masks-america-new-cultural-norm-8337bc3f9c5d99192d7bf58a7c2e7cf3", + "rel": "canonical" + } + ], + "topics": { + "Health": { + "relevance_score": 5, + "reason": "The document discusses the current state of face mask usage in the United States as of the end of 2023, which is directly related to public health. It covers various aspects such as the situational use of masks, the impact of COVID-19 on mask-wearing behaviors, and the cultural shifts regarding mask usage. These topics are all relevant to the broader topic of health, particularly in the context of respiratory health and public safety measures." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2023/12/17/ff55b0c7146dd389a76317526498f266.json b/datasets/AP_news/raw_data/2023/12/17/ff55b0c7146dd389a76317526498f266.json new file mode 100644 index 0000000..769fc2d --- /dev/null +++ b/datasets/AP_news/raw_data/2023/12/17/ff55b0c7146dd389a76317526498f266.json @@ -0,0 +1,277 @@ +{ + "altids": { + "itemid": "ff55b0c7146dd389a76317526498f266", + "etag": "ff55b0c7146dd389a76317526498f266_0a13aza0c0", + "friendlykey": "289115659336", + "referenceid": "US--Autism Therapy-Indiana" + }, + "version": 0, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2023-12-17T05:08:38Z", + "firstcreated": "2023-12-17T05:08:37Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: With AP Photos.", + "signals": [ + "newscontent" + ], + "title": "US--Autism Therapy-Indiana", + "headline": "Families say autism therapy helped their kids. Indiana's Medicaid cuts could put it out of reach", + "headline_extended": "Starting with the new year, Indiana will implement a universal reimbursement rate for a therapy commonly used by children with autism, at a rate significantly less than what healthcare providers received on average in the past", + "slugline": "BC-US-Autism-Therapy-Indiana", + "description_summary": "Starting with the new year, Indiana will implement a universal reimbursement rate for a therapy commonly used by children with autism, at a rate significantly less than what healthcare providers received on average in the past. Families worry that clinics offering the critical therapy for children, which also serves as childcare for some, will accept fewer Medicaid patients to stay afloat or close altogether. The change comes as Indiana and other U.S. states are reducing pandemic protections to the program.", + "bylines": [ + { + "by": "By ISABELLA VOLMERT", + "title": "Associated Press" + } + ], + "located": "INDIANAPOLIS", + "datelinelocation": { + "city": "Indianapolis", + "countryareacode": "IN", + "countryareaname": "Indiana", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -86.15804, + 39.76838 + ] + } + }, + "copyrightnotice": "Copyright 2023 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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Her daughter Abbie was expelled from daycare in 2022 because of \u201call over the place\u201d behavior. Thompson found an in-home provider for the toddler, but was told Abbie was \u201ctoo much\u201d to watch every day of the week.
The experiences motivated Thompson to seek assistance for her daughter, who also was missing developmental milestones. Abbie, now 3, was diagnosed with autism spectrum disorder in October of last year.
By March, Thompson enrolled her in applied behavior analysis \u2014 a therapy based on learning and behavior focused on improving communicative, social and motor skills \u2014 at a local facility in northern Indiana for 40 hours a week. Abbie, nonverbal most of her life, has since said her first word: \u201cMom.\u201d
\u201cIt brought tears to my eyes\u201d Thompson said.
But Thompson and other families reliant on Medicaid worry changes coming in January will limit access to the therapy as Indiana attempts to limit the cost and, along with other states, cut the size of the low-income health care program.
Indiana\u2019s Family and Social Services Administration said the cost of Medicaid reimbursement for the behavioral therapy, commonly referred to as ABA, has ballooned in recent years because of the growing number of children seeking the services and the amount that providers have billed the state. The state plans a universal, hourly reimbursement rate for the therapy, but the planned amount is lower than what providers have previously received on average.
Advocates and centers worry this will mean accepting fewer patients or even closing, as has happened in other states such as Colorado this year.
\u201cCompanies just kept leaving and it just kind of turned into a crisis situation,\u201d said J.J. Tomash, who leads an ABA provider in Colorado called BehaviorSpan. He blamed Medicaid reimbursement rates that have not kept up with the cost of living.
Medicaid began covering the services in 2016, and providers in Indiana set their own rates until now. But centers say the new rates are still not enough to keep them running and are far below the previous statewide average of $97 per hour.
Indiana Act for Families, a coalition opposing the new rates, said the proposal is 10% below providers\u2019 operating costs. Although Indiana has said the new rates are aligned with pay in other states, the coalition argued the state used outdated data in their comparison.
Miles Hodge, owner and co-founder of Shine Pediatric Therapy in Indianapolis, said the effects of the new rates will take their toll over time. The state said the rates will be up for review every four years, a time frame Hodge said does not keep up with inflation.
\u201cIt could leave a lot of people underwater,\u201d he said.
About 6,200 children and young adults received the services under Medicaid in 2022, the state said.
With a standard patient to therapist ratio of 1-to-1, ABA is an \u201cextremely staff intensive model,\u201d Hodge said. Across the state, he expects staff pay and benefits to be hit, which he said could lead to high turnover and inconsistent care for patients.
Hodge predicted his center will have to take fewer patients who are on Medicaid because of the changes.
The Indiana agency overseeing Medicaid said the therapy is the only major service category that did not have a uniform reimbursement rate, and the rising cost of the services was unsustainable. ABA expenditures increased more than 50% per year for the last three years, according to the agency.
In 2022, ABA claims represented $420 million in Medicaid spending, the state said. Total Medicaid expenditures in state fiscal year 2022 totaled more than $16 billion.
The move comes at the same time as states unwind pandemic-era protections that kept millions of people covered by Medicaid. In Indiana, the number of people enrolled in Medicaid steadily grew every month from March 2020 until May 23, when the federal budget law ended the protections.
Indiana\u2019s total enrollment has fallen every month since then.
States setting universal rates is common, but low reimbursement endangers access to key services for individuals with disabilities, said Jennifer Lav, senior attorney with the National Health Law Program.
Lower rates in a time of high inflation can lead to staff turnover and shortages, issues that can compound in rural areas, she said.
ABA is not without critics. Zoe Gross, advocacy director at the Autistic Self-Advocacy Network, said ABA\u2019s goal is to eliminate behaviors considered autistic and teaches children to conform with neurotypical behaviors.
\u201cIt teaches you that the way you naturally behave is not OK,\u201d she said.
But families who have found it helpful find it hard to imagine a future without access.
In Westfield, a suburb of Indianapolis, 29-year-old Natasha Virgil said her family's ability to participate in activities outside their home markedly improved once 6-year-old Elijah Hill began ABA therapy.
\u201cMy biggest thing is making sure that he has a fighting chance to be able to live in this world and have the skills to survive,\u201d Virgil said, holding her 4-month-old daughter and watching Elijah play with soap bubbles near the family's Christmas tree.
It's difficult already for parents of children with disabilities to hold jobs between numerous therapy sessions and doctor\u2019s appointments, Virgil said.
\u201cI don\u2019t think I would ever be able to be where we are if we didn\u2019t pursue ABA,\u201d she said
Chanel McClure, mother of 2-year-old King, said she has lost sleep over the pending change. She interviewed multiple centers before finding the ABA therapy she wanted for King. He was on a waiting list for another 11 months.
Now almost 3, King is nonverbal and attends speech, occupational and developmental therapy. Since beginning ABA, McClure said he has learned new ways to communicate and is comfortable playing with other children. His therapists are working to address elopement or wandering that can be common in children with autism.
\u201cKing just bloomed like a flower,\u201d McClure said.
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(AP) \u2014 Attorneys for a Kentucky woman who sued demanding the right to an abortion withdrew the lawsuit after the woman learned her embryo no longer has cardiac activity.
In a court filing Sunday, the American Civil Liberties Union of Kentucky told a judge the attorneys will \u201cvoluntarily dismiss\u201d the lawsuit that was filed Dec. 8.
Lawyers for the woman pointed to a Kentucky Supreme Court decision that said abortion providers cannot sue on behalf of their patients, limiting the legal actions to individuals seeking an abortion. The lawsuit had sought class-action status.
\u201cThe court\u2019s decision has forced Kentuckians seeking abortion to bring a lawsuit while in the middle of seeking time-sensitive health care, a daunting feat, and one that should not be necessary to reclaim the fundamental right to control their own bodies,\u201d the ACLU of Kentucky said in a release Monday. The attorneys said they would continue to look for possible plaintiffs.
The case \u2014 Jane Doe, et al. v. Daniel Cameron, et al. \u2014 was filed on behalf of an anonymous woman who was about eight weeks pregnant. Last week, just a few days after the suit was filed, lawyers sent notice that the embryo has no cardiac activity.
The flurry of individual women petitioning a court for permission for an abortion is the latest development since Roe v. Wade was overturned last year by the U.S. Supreme Court. The Kentucky case was similar to a legal battle in Texas, where Kate Cox, a pregnant woman with a likely fatal condition, launched an unprecedented challenge against one of the most restrictive abortion bans in the nation.
While Cox is believed to be the first to make such a request, her legal team and other experts anticipate additional challenges among the dozen of other GOP-controlled states where abortion is largely prohibited at all stages of pregnancy.
Kentucky's Republican-dominated General Assembly passed a trigger law in 2019 that took effect when Roe v. Wade was overturned in 2022. It bans abortions except when they are carried out to save the life of the patient or to prevent disabling injury. It does not include exceptions for cases of rape or incest.
Kentucky voters last year rejected a ballot measure that would have denied any constitutional protections for abortion, but abortion rights supporters have made no inroads with lawmakers in chipping away at the state\u2019s anti-abortion laws.
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(AP) \u2014 The Wisconsin Department of Natural Resources is creating a new grant program to help small public water systems reduce PFAS and manganese contamination levels.
The DNR announced Monday that it will begin accepting applications for grants on Jan. 16 to help water systems that serve non-residential groups of at least 25 people for more than six months annually, such as schools and day care centers, and non-government water systems that serve at least 25 people year-round, such as mobile home parks and apartment buildings.
The grants will be funded through the 2021 bipartisan infrastructure law.
PFAS is an acronym for perfluoroalkyl and polyfluoroalkyl substances, a group of man-made chemicals that have been used for decades in a wide range of products, including firefighting foam and non-stick cookware. Studies have linked PFAS contamination to a host of ailments in humans, including liver and kidney disease and cancer.
Manganese is a naturally occurring metal that can cause significant health impacts if consumed in high concentrations, including lung, liver and kidney damage as well as a neurological condition known as manganism.
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Adds no comment from pouch maker.; With AP Photos.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "US--Fruit Pouch-Lead", + "headline": "FDA finds 'extremely high' lead levels in cinnamon at Ecuador plant that made tainted fruit pouches", + "headline_extended": "U.S. food inspectors found \u201cextremely high\u201d lead levels in cinnamon at a plant in Ecuador that made applesauce pouches tainted with the metal", + "slugline": "BC-US--Fruit Pouch-Lead, 3rd Ld-Writethru", + "description_summary": "U.S. food inspectors found \u201cextremely high\u201d lead levels in cinnamon at a plant in Ecuador that made applesauce pouches tainted with the metal. The recalled pouches have been linked to dozens of illnesses in U.S. kids. The cinnamon samples contained lead levels more than 2,000 times higher than a maximum level proposed by the Food and Drug Administration. At least 125 children may have been sickened by lead poisoning after consuming the WanaBana pouches and other brands sold at the Dollar Tree stores and elsewhere. The FDA said Monday the agency is continuing to investigate.", + "bylines": [ + { + "by": "By JONEL ALECCIA", + "title": "AP Health Writer" + } + ], + "copyrightnotice": "Copyright 2023 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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The recalled pouches have been linked to dozens of illnesses in U.S. kids.
Cinnamon tested from the plant had lead levels more than 2,000 times higher than a maximum level proposed by the FDA, officials said.
The samples came from ground or powdered cinnamon from Negasmart, an Ecuadorian company that supplied the spice to Austrofoods, which made the pouches. The applesauce pouches were sold under three brands \u2014 WanaBana, Schnucks and Weis. Officials with Austrofoods did not respond to requests for comment about the investigation.
FDA said lead has not been detected in WanaBana products made without cinnamon and sold in the U.S.
The agency continues to investigate how the cinnamon was contaminated. Jim Jones, who heads the agency\u2019s human foods program, said in an interview with Politico last week that the lead contamination appeared to be \u201can intentional act.\"
One theory is that the cinnamon may have been contaminated for economic reasons, agency officials said. That could mean an ingredient is added or subtracted from a food to to boost its value. For example, compounds like red brick, red lead salt, lead oxide and lead chromate, which mirror cinnamon\u2019s red color, have been added to increase the value of the spice, research shows.
FDA officials said they \u201ccannot take direct action\u201d with Negasmart and are relying on officials in Ecuador for the investigation into the company's actions. Negasmart does not ship product directly to the U.S. and of Negasmart's customers, only Austrofoods shipped foods to the U.S., the agency said.
At least 125 children from 22 states may have been sickened by lead poisoning since late October, the Centers for Disease Control and Prevention said. Using a different reporting method, the Food and Drug Administration counts at least 65 kids ages 6 and younger sickened in 27 states as of Dec. 8.
Tests show children who ate the pouches had blood lead readings up to eight times higher than the reference level that sparks concern, health officials said. Samples of the puree showed lead contamination more than 200 times higher than the FDA allows, officials said.
___
The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute\u2019s Science and Educational Media Group. The AP is solely responsible for all content.
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The detailed information about the contamination, its potential causes, and the health effects on children makes it highly relevant to the topic of health." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2023/12/18/36447c90098f4558f93b8fc6e2d69ef5.json b/datasets/AP_news/raw_data/2023/12/18/36447c90098f4558f93b8fc6e2d69ef5.json new file mode 100644 index 0000000..13dc3ce --- /dev/null +++ b/datasets/AP_news/raw_data/2023/12/18/36447c90098f4558f93b8fc6e2d69ef5.json @@ -0,0 +1,221 @@ +{ + "altids": { + "itemid": "36447c90098f4558f93b8fc6e2d69ef5", + "etag": "36447c90098f4558f93b8fc6e2d69ef5_0a2aza0c0", + "friendlykey": "337992544022", + "referenceid": "WI--Abortion-Wisconsin" + }, + "version": 0, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2023-12-18T20:21:16Z", + "firstcreated": "2023-12-18T20:21:15Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "signals": [ + "newscontent" + ], + "title": "WI--Abortion-Wisconsin", + "headline": "Planned Parenthood of Wisconsin to resume abortions at its Sheboygan clinic within days", + "headline_extended": "Planned Parenthood of Wisconsin says it will resume offering abortions at its clinic in Sheboygan on Dec. 28", + "slugline": "AP-WI--Abortion-Wisconsin", + "description_summary": "Planned Parenthood of Wisconsin says it will resume offering abortions at its clinic in Sheboygan on Dec. 28. 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(AP) \u2014 Planned Parenthood of Wisconsin announced Monday that it will resume offering abortions at its Sheboygan location on Dec. 28.
The group promised earlier this month to restart abortion services at the clinic \u201cas soon as possible\u201d after a judge on Dec. 5 reaffirmed her ruling that state law permits abortions.
Planned Parenthood providers stopped offering abortions in the state in June 2022 immediately after the U.S. Supreme Court overturned its decision in Roe v. Wade. Clinics in Milwaukee and Madison resumed offering abortions in September, leaning on an initial ruling from Dane County Circuit Judge Diane Schlipper that said Wisconsin's 173-year-old abortion ban outlaws killing fetuses but does not ban consensual medical abortions.
Schlipper's final ruling earlier this month boosted Planned Parenthood leaders' confidence that they could restart abortion services at the Sheboygan clinic, too.
Sheboygan County District Attorney Joel Urmanski, a Republican, acknowledged that he is obligated to comply with the ruling but promised to appeal it. The case is likely to end up before the Wisconsin Supreme Court, which recently flipped to liberal control. Urmanski's attorney did not immediately respond to an email sent Monday seeking comment.
\u201cWhile we are grateful to be resuming medication abortion care at the Sheboygan Health Center, there is more to be done,\u201d Planned Parenthood of Wisconsin President Tanya Atkinson said. \u201cWe will continue essential work to help protect and expand reproductive freedom in Wisconsin so that everyone who needs comprehensive reproductive health care in our state can get the nonjudgmental and compassionate care they deserve.\u201d
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Records show makers of rival disposable electronic cigarettes also routinely mislabel their shipments from China, thwarting efforts by U.S. officials to intercept products that have been declared illegal.", + "bylines": [ + { + "by": "By MATTHEW PERRONE", + "title": "Associated Press" + } + ], + "located": "WASHINGTON", + "datelinelocation": { + "city": "Washington", + "countryareacode": "DC", + "countryareaname": "District of Columbia", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -77.03637, + 38.89511 + ] + } + }, + "copyrightnotice": "Copyright 2023 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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Last week, U.S. authorities publicly announced the first seizure of some of the company\u2019s products, part of an operation confiscating 1.4 million illegal, flavored e-cigarettes from China. Officials pegged the value of the items at $18 million, including brands other than Elf Bar.
But the makers of Elf Bar and other Chinese e-cigarettes have imported products worth hundreds of millions of dollars while repeatedly dodging customs and avoiding taxes and import fees, according to public records and court documents reviewed by The Associated Press.
Records show the makers of disposable vapes routinely mislabel their shipments as \u201cbattery chargers,\u201d \u201cflashlights\u201d and other items, hampering efforts to block products that are driving teen vaping in the U.S.
\u201cThe steps toward regulating disposables have been very weak and that has enabled this problem to get bigger and bigger,\u201d said Eric Lindblom, a former Food and Drug Administration official.
Fruit-and-candy-flavored disposables began pouring into the U.S. shortly before Chinese regulators banned vaping flavors last year. Officials there said they were acting to protect children\u2019s health, but vaping executives and health experts note the ban came only after e-cigarettes began threatening sales of traditional cigarettes, which generate $200 billion annually for China\u2019s state-run tobacco monopoly.
Disposable e-cigarettes may soon become the victim of their own success. From Australia to England, governments are moving toward banning the single-use products, citing underage use and environmental impact.
The global backlash could lead vaping entrepreneurs to focus even more on the U.S., where loopholes and lax enforcement make it easy to disguise e-cigarettes among the thousands of daily shipments arriving by sea and air.
\u2018DISCREET\u2019 SHIPPING
Elf Bar is the lead product of Shenzhen iMiracle, a privately held company based in Shenzhen, the sprawling Chinese manufacturing hub that produces more than 95% of the world\u2019s e-cigarettes.
Elf Bar, Lost Mary and several other iMiracle brands are expected to generate $3.5 billion to $4 billion globally this year, according to industry analyst ECigIntelligence.
In the U.S., iMiracle recently abandoned the Elf Bar name due to a trademark dispute and efforts by regulators to seize its imports. Instead, its products are sold as EB Create in flavors like watermelon ice and frozen creamsicle.
A spokesman for iMiracle said the company stopped shipping Elf Bar to U.S. earlier this year and is trying to comply with regulators.
\u201cAll the Elf Bar-branded products you see in the U.S. are counterfeit, I\u2019m pretty sure about this,\u201d said Jacques Xiang Li, who added that he\u2019d only worked for iMiracle for three months and was still learning about its business.
When asked about EB Create e-cigarettes he said: \u201cI can\u2019t tell you anything about that.\u201d
Details on the company\u2019s U.S. sales and activities are beginning to emerge in court documents.
Earlier this year, iMiracle was forced to drop the Elf Bar name after losing a trademark case to a smaller company that already sold its own products as Elf vapes.
At a 2022 court hearing in the case, U.S. distributors described skyrocketing sales.
Jon Glauser, of Demand Vape in Buffalo, N.Y., told a federal judge his company had sold more than $132 million worth of Elf Bar products, accounting for a third of its yearly profits.
\u201cWe were selling it faster than we could get it in,\u201d Glauser said, according to the court transcript.
Glauser attributed Elf Bar\u2019s quick rise to its profit margin. Sellers make about a 30% profit, double that of other disposable e-cigarettes, he said.
IMiracle\u2019s parent company, Heaven Gifts, previously described how it could help customers evade import fees and taxes. Heaven Gifts\u2019 website advertised \u201cdiscreet\u201d shipping methods to buyers, including not mentioning e-cigarettes or its company name \u201canywhere on the package.\u201d Instead, the company said contents would be labeled as \u201catomizer, coil, tube, etc.\u201d
\u201cWe also mark a lower value to avoid tax,\u201d the website stated, adding that customers could suggest their own value for the shipment.
In June, Heaven Gifts announced it would \u201cgo offline,\u201d shortly after the FDA directed customs officials to begin seizing shipments from the company.
Despite the update, the company\u2019s spokesman indicated Heaven Gifts remains in business and staffers continue using email accounts bearing its name. The spokesman did not respond to numerous follow-up questions about the company's business.
Neither Heaven Gifts nor iMiracle appear in customs data reviewed by the AP and compiled by ImportGenius, a global trade analytics company.
The seizure announced last week suggests part of the answer: The shipments arrived at Los Angeles International Airport, and air carriers are not required to disclose the same details about their cargo as ocean vessels. The e-cigarettes were mislabeled as toys, shoes and other items.
Ships docking in the U.S., which account for most Chinese imports, must provide information on suppliers, recipients and types of cargo they are carrying. But importers can obscure their identities and products.
For example, U.S. recipient information is listed as \u201cnot available\u201d for roughly 45 of over 100 shipments of e-cigarettes from China this year, according ImportGenius data. U.S. companies can avoid disclosure by using third-party shippers, called freight forwarders, who handle foreign goods on behalf of importers.
\u201cAll of this suggests that these companies are incredibly sophisticated, they know how to game this system and they are intentionally doing so,\u201d said William George, research director for ImportGenius.
It\u2019s likely most disposable e-cigarettes coming into the U.S. aren\u2019t even declared as vaping products.
Esco Bars, one of Elf Bar\u2019s chief U.S. rivals, imported 30 shipments from China this year labeled \u201catomizers,\u201d a generic type of hardware that turns a liquid into a spray. The Texas-based company received the shipments, weighing about 25,000 pounds each, under its shipping arm, Affiliated Imports LLC. The shipments stopped in May, after the FDA placed Esco Bars on a list of banned imports.
Another disposable maker, Magellan Technology, routinely labeled its imports as \u201cbattery chargers,\u201d records show.
Neither company responded to AP\u2019s inquiries.
U.S. Customs and Border Protection did not make officials available for interviews, but pointed to the agency\u2019s recent operation in Los Angeles with the FDA.
\u201cThe rise in illicit e-commerce demands that our agencies remain vigilant in intercepting shipments that could pose serious health risks to the public,\u201d Troy Miller, a senior official with the border agency, said in a release.
FDA Commissioner Robert Califf said that agency is \u201ccommitted to continuing to stem the flow of illegal e-cigarettes into the United States.\u201d
U.S. tobacco companies say their e-cigarettes \u2014 which undergo FDA review and don\u2019t come in fruity flavors \u2014 can\u2019t compete with lower-priced disposables. In recent weeks both Reynolds American and Altria filed separate legal actions against iMiracle, Esco Bars and other disposable makers.
Documents filed by Reynolds with the U.S. International Trade Commission describe elaborate techniques for smuggling disposables into the country.
In a sworn affidavit, a former FDA investigator now working for Reynolds describes vape exhibitors at a recent conference removing hidden e-cigarettes from flashlights, \u201cwhich is consistent with the fraudulent practice of Chinese manufacturers declaring the product as flashlights.\"
Last week, the commission announced it would open an investigation into the matter.
\u2018NO FUTURE\u2019 FOR VAPING IN CHINA
The rise of disposable e-cigarettes in the U.S. can be traced to actions by Chinese regulators.
China\u2019s vaping sector is estimated to be worth $28 billion, and the U.S. accounts for nearly 60% of the country\u2019s vape exports, according to the China Electronics Chamber of Commerce.
Chinese authorities have encouraged those exports while at the same time drastically curtailing the country\u2019s domestic vaping business, which is controlled by several hundred private companies.
The government brought vaping companies under control of its state-run tobacco administration, beginning with a prohibition on online sales in 2019 and culminating in a sweeping ban on all flavors except tobacco.
The flavor ban sent domestic sales for large Chinese manufacturers like RLX Technology plummeting over 50%. Many vape shops and smaller producers also closed, unable to obtain government-issued licenses needed to operate.
Authorities cited concerns over \u201cunsafe additives, leaky e-juice and shoddy batteries.\u201d But experts who have spent years in the country point to another cause: vaping\u2019s encroachment on government tobacco sales.
The China National Tobacco Corp., the state-run monopoly, is the largest tobacco company in the world. In cooperation with its regulatory arm, the Tobacco Monopoly Administration, the pair controls the manufacture, marketing and pricing of all cigarettes made in China.
Between 2017 and 2020, e-cigarette sales increased more than 254%, according to data firm EuroMonitor. Those sales accrued exclusively to vaping entrepreneurs, not the government.
\u201cThe tobacco administration says, \u2018Well, every e-cigarette sold means one less cigarette smoked,\u2019 so they are going to regulate the hell out of them now,\u201d said Dr. Ray Yip, a public health consultant and former director of the Gates Foundation\u2019s China program.
Euromonitor expects e-cigarette sales of $822 million this year inside China, down more than 70% from a nearly $3 billion peak.
\u201cEveryone in the industry has suffered from the government\u2019s ban because people like flavored vapes,\u201d said Lin Jian, who owns a vape shop in Shenzhen. Jian said he can no longer afford to hire employees to help at the shop, which barely covers his expenses.
Hu Leng, manager of a contract vape manufacturer in Shenzhen said: \u201cThere is no future in the domestic market. All of our products are sold to Europe and we\u2019re doing well for the time being.\u201d
EXPLOITING LOOPHOLES
Elf Bar-maker Shenzhen iMiracle is among the companies that have built their entire business on exports.
In late 2021, the company began shipping to the U.S. to exploit a regulatory loophole: The FDA had prohibited kid-appealing flavors from reusable vapes, such as Juul, but not disposable ones.
An entrepreneur, Zhang Shengwei, founded Heaven Gifts in 2004 as an e-commerce platform for e-cigarettes. Over the years he invested in companies up and down the supply chain \u2014 makers of batteries, nicotine solutions and other components. Around 2018 the company began manufacturing its own vapes, according to iMiracle\u2019s spokesman. (Heaven Gifts and iMiracle share the same building address in Shenzhen.)
Shengwei\u2019s holdings now include more than a half-dozen companies, including a Hong Kong subsidiary, iMiracle HK Limited and VapeOnly Technology, which is listed as Elf Bar\u2019s manufacturer on some products. The company spokesman declined to make Shengwei available for an interview.
Vaping analysts are quick to separate companies like iMiracle from more established Chinese manufacturers like Smoore International, which have longstanding relationships with regulators and vaping brands around the world.
\u201cThis is much more of an opportunistic attempt to generate revenue quickly using the capacity that\u2019s there in Shenzhen,\u201d said Shane MacGuill, head of nicotine research for Euromonitor. \u201cI would guess that a long-term view is not part of the strategic play here.\u201d
A spokesperson for China\u2019s tobacco administration did not respond to repeated requests for comment, but the country\u2019s regulations state that exported vapes \u201cshould comply with the laws, regulations and standards of the destination country.\u201d Since the FDA has declared Elf Bar illegal, iMiracle would seem to be violating Chinese law by shipping to the U.S.
But experts say such rules go unenforced.
\u201cChina basically couldn\u2019t care what happens to the products if they\u2019re selling for export,\u201d said Patricia Kovacevic, an attorney specializing in tobacco regulation. \u201cIf it\u2019s something for export, you are not held to any standard.\u201d
GLOBAL BACKLASH
As brands like Elf Bar have traveled around the world, more governments are introducing measures to block their use, often citing the environmental toll of electronic waste.
Australia announced a ban on disposables over the summer. This month, French lawmakers unanimously approved a bill to prohibit disposables.
Perhaps nowhere has the backlash been more drastic than in the U.K., where health authorities have long promoted vaping as a less harmful alternative for adult smokers.
In October, the country\u2019s conservative government called for legislation aimed at reducing underage vaping, including a potential ban on disposable products.
Vaping advocates say disposables have \u201cmassively\u201d damaged the industry\u2019s reputation.
\u201cSix months ago, I had a government that was very pro-vaping. Now I have a prime minister spending his time railing against vaping,\u201d said John Dunne, of U.K. Vaping Industry Association. \u201cThat to me is a tsunami of change and the only thing that\u2019s changed is disposables.\u201d
Dunne blamed some of the missteps on \u201cvery small, inexperienced teams of employees.\u201d He sees an improving picture, noting that iMiracle recently hired regulatory staffers to oversee compliance in Europe and the U.K. The company also recently said it would drop some of its dessert and soft drink-based flavors.
But even as iMiracle appears to be pulling back on disposables in the U.K., the company is already launching new products.
Last month, vape shops began promoting a new offering from iMiracle\u2019s U.K. subsidiary: TACJA nicotine pouches.
The pouches are similar to nicotine gum and less messy than traditional chewing tobacco. They come in colorful, plastic containers displaying their flavor, strength and the tagline: \u201cpowered by Elf Bar.\u201d
One Instagram post is typical of the new advertising pitch: \u201cEnjoy next level of satisfaction and unrivalled convenience, all with the same great Elf Bar taste you know and love.\u201d
___
Associated Press researcher Yu Bing in Beijing contributed to this report. Follow Matthew Perrone on X: @AP_FDAwriter
___
The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute\u2019s Science and Educational Media Group. The AP is solely responsible for all content.
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LOUIS (AP) \u2014 The largest skilled nursing facility in St. Louis has closed suddenly, forcing about 170 residents to be bused to other care centers. Many left with nothing but the clothes they were wearing.
The abrupt shutdown of Northview Village Nursing Home on Friday came after workers learned they might not be paid and walked out, confusing residents and their relatives. Many family members gathered through the day Saturday outside the facility on the city's north side. Some didn't immediately know where their loved ones were taken.
Alvin Cooper of East St. Louis, Illinois, was preparing Monday to fill out a missing person\u2019s report on his 35-year-old son. Alvin Cooper Jr. has lived at Northview Village for several months while recovering from a gunshot wound to the head and a drug addiction.
\u201cThey don\u2019t know where he is,\u201d Alvin Cooper said. \u201cI\u2019ve burnt two tanks of gas going back and forth to that nursing home trying to find out what\u2019s going on. I don\u2019t know if he\u2019s somewhere safe or what\u2019s going to happen to him.\u201d
The difficulties started Friday when, according to the union representing workers, more than 130 people went unpaid, and it became unclear if their checks would be forthcoming.
Marvetta Harrison, 59, a certified medical technician, said workers received emails from the company this weekend promising they\u2019ll be paid, but it was unclear when.
\u201cThis is real wrong,\u201d Harrison said. \u201cI have worked in that building for 37 years. Not only did they mistreat us, they mistreated the residents we take care of.\u201d
Northview Village has been fined 12 times for federal violations since March 2021, according to the Centers for Medicare and Medicaid Services. Fines totaled over $140,000 and ranged from $2,200 to more than $45,000. The federal agency gives Northview a one-star rating out of a possible five, but doesn\u2019t spell out reasons for the fines.
In addition, the state health department website lists nearly two dozen Northview investigations since 2016. The most recent complaint, from February, said a resident was able to get out of the building through an unsecured door. A 2021 complaint alleged the facility failed to investigate allegations that residents left the nursing home and brought drugs into it.
Missouri Department of Health and Senior Services spokeswoman Lisa Cox said the agency was notified around 4:15 p.m. Friday that the nursing home was closing. The operator implemented an evacuation plan and emergency medical service workers helped relocate residents to other nursing homes, Cox said in a statement Monday.
\u201cThe final resident left the facility before 6 a.m. Saturday,\" Cox said. \"Our team continued working through the weekend following up with the receiving facilities to check in on the residents who had been transferred.\u201d
Shamell King, an assistant manager at another St. Louis-area nursing home, Superior Manor, told the St. Louis Post-Dispatch that some Northview Village residents arrived without paperwork documenting their medical histories or medication needs.
Phone calls to Northview Village went unanswered Monday. Calls also were unanswered at suburban St. Louis-based Healthcare Accounting Services, the company that owns the nursing home and five others.
On Friday, employees began to question why their bi-weekly paychecks were late. They found out the payments weren't coming at all, said Marjorie Moore, executive director of VOYCE, a St. Louis agency that serves as an ombudsman for long-term care residents and their families.
The shutdown began as employees voiced their concerns, said Lenny Jones, state director for the Service Employees International Union Healthcare union, which represents about 100 of the roughly 130 displaced workers.
\u201cThey ran out of money to make payroll, caused this massive disruption, and just quickly moved forward with their goal, which was to shutter this facility,\u201d Jones said. \u201cYou would have to have been planning to move 175 residents in the dead of night.\u201d
Shuttle buses took residents to at least 15 different facilities across the St. Louis area, Moore said. Many patients departed with nothing but what they were wearing.
\u201cClosing it down this way is the absolute worst-case scenario for a lot of us,\" Moore said. \u201cIt all happened so fast.\u201d
Northview Village was the largest skilled nursing facility in St. Louis, licensed for up to 320 beds. Many residents are on Medicaid and can't get into other long-term care facilities, Moore said. In addition to elderly people, the center houses many with behavioral problems, she said.
\u201cIt\u2019s a troubled facility, but it\u2019s also been a safety net to keep people from falling through the cracks,\u201d Moore said.
Cherie Ford, a certified nursing assistant at Northview Village, said she figured something was wrong on Friday when her direct-deposit paycheck wasn't in her account. Still, she and her colleagues worked a full day.
\u201cWe had no warning, the residents knew nothing either,\" she said in a Facebook Messenger interview.
Around 3 p.m. Friday, the staff learned they wouldn't be paid at all, she said.
\u201cThis was the only job I had and am facing eviction and no Christmas for my family,\" Ford said. \"We were all looking forward to this check. This was our Christmas check to do our shopping, paying rent and other things.\u201d
\u2014-
Hollingsworth reported from Mission, Kansas.
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Records show makers of rival disposable electronic cigarettes also routinely mislabel their shipments from China, thwarting efforts by U.S. officials to intercept products that have been declared illegal.", + "bylines": [ + { + "by": "By MATTHEW PERRONE", + "title": "Associated Press" + } + ], + "located": "WASHINGTON", + "datelinelocation": { + "city": "Washington", + "countryareacode": "DC", + "countryareaname": "District of Columbia", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -77.03637, + 38.89511 + ] + } + }, + "copyrightnotice": "Copyright 2023 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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Last week, U.S. authorities publicly announced the first seizure of some of the company\u2019s products, part of an operation confiscating 1.4 million illegal, flavored e-cigarettes from China. Officials pegged the value of the items at $18 million, including brands other than Elf Bar.
But the makers of Elf Bar and other Chinese e-cigarettes have imported products worth hundreds of millions of dollars while repeatedly dodging customs and avoiding taxes and import fees, according to public records and court documents reviewed by The Associated Press.
Records show the makers of disposable vapes routinely mislabel their shipments as \u201cbattery chargers,\u201d \u201cflashlights\u201d and other items, hampering efforts to block products that are driving teen vaping.
Elf Bar is the lead product of Shenzhen iMiracle, a privately held company based in Shenzhen, the sprawling Chinese manufacturing hub.
In the U.S., iMiracle recently abandoned the Elf Bar name due to a trademark dispute and efforts by regulators to seize its imports. Instead, its products are sold as EB Create.
A spokesman for iMiracle said the company stopped shipping Elf Bar to U.S. earlier this year and is trying to comply with regulators.
When asked about EB Create e-cigarettes he said: \u201cI can\u2019t tell you anything about that.\u201d
Details on the company\u2019s U.S. sales and activities are beginning to emerge in court documents.
At a 2022 court hearing in the case over the company's name, U.S. distributors described skyrocketing sales.
Jon Glauser of Demand Vape told a federal judge his company had sold more than $132 million worth of Elf Bar products last year.
\u201cWe were selling it faster than we could get it in,\u201d Glauser said, according to the court transcript.
Glauser attributed Elf Bar\u2019s quick rise to its profit margin. Sellers make about a 30% profit, double that of other disposable e-cigarettes.
IMiracle\u2019s parent company, Heaven Gifts, previously described how it could help customers evade import fees and taxes. Heaven Gifts\u2019 website advertised \u201cdiscreet\u201d shipping methods to buyers, including not mentioning e-cigarettes or its company name \u201canywhere on the package.\u201d
\u201cWe also mark a lower value to avoid tax,\u201d the website stated.
In June, Heaven Gifts announced it would \u201cgo offline,\u201d after the FDA directed customs officials to begin seizing shipments from the company.
Neither Heaven Gifts nor iMiracle appear in customs data reviewed by the AP and compiled by ImportGenius, an analytics company.
The seizure announced last week suggests part of the answer: The shipments arrived at Los Angeles International Airport, and air carriers are not required to disclose the same details about their cargo as ocean vessels.
Ships docking in the U.S. must provide information on suppliers, recipients and types of cargo they are carrying. But importers can obscure their identities and products.
For example, recipient information is listed as \u201cnot available\u201d for roughly 45 of over 100 shipments of e-cigarettes from China this year, according ImportGenius data. U.S. companies can avoid disclosure by using third-party shippers, called freight forwarders.
It\u2019s likely most disposable e-cigarettes coming into the U.S. aren\u2019t even declared as vaping products.
Esco Bars, one of Elf Bars\u2019 chief rivals, imported 30 shipments from China this year labeled \u201catomizers,\u201d a generic type of hardware that turns a liquid into a spray.
U.S. Customs and Border Protection did not make officials available for interviews, but pointed to the agency\u2019s recent operation in Los Angeles with the FDA.
\u201cThe rise in illicit e-commerce demands that our agencies remain vigilant in intercepting shipments that could pose serious health risks to the public,\u201d Troy Miller, a senior official with the border agency, said in a release.
FDA Commissioner Robert Califf said that agency was \u201ccommitted to continuing to stem the flow of illegal e-cigarettes.\u201d
China\u2019s vaping sector is estimated to be worth $28 billion, and the U.S. accounts for nearly 60% of the country\u2019s vape exports, according to the China Electronics Chamber of Commerce.
Chinese authorities have encouraged those exports while at the same time curtailing the country\u2019s domestic vaping business.
The government brought vaping companies under control of its state-run tobacco administration last year, banning all flavors except tobacco.
Authorities cited \u201csafety issues around unsafe additives,\" and other risks. But experts point to another cause. The China National Tobacco Corp. is the largest tobacco company in the world. In cooperation with its regulatory arm, the Tobacco Monopoly Administration, the entity controls the manufacture of all cigarettes made in China.
\u201cThe tobacco administration says, \u2018Well, every e-cigarette sold means one less cigarette smoked,\u2019 so they are going to regulate the hell out of them now,\u201d said Dr. Ray Yip, a former director of the Gates Foundation\u2019s China program.
Hu Leng, manager at a vape manufacturer said: \u201cThere is no future in the domestic market. All of our products are sold to Europe.\u201d
Elf Bar-maker Shenzhen iMiracle is among the companies that have built their entire business on exports.
In late 2021, the company began shipping to the U.S. to exploit a regulatory loophole: The FDA had prohibited kid-appealing flavors from reusable vapes, such as Juul, but not disposable ones.
A spokesperson for China\u2019s tobacco administration did not respond to requests for comment, but the country\u2019s tobacco regulations state that exported vapes \u201cshould comply with the laws, regulations and standards of the destination country.\u201d Since the FDA has declared Elf Bar illegal, iMiracle would seem to be violating Chinese law.
But experts say such rules go unenforced.
\u201cChina basically couldn\u2019t care what happens to the products if they\u2019re selling for export,\u201d said Patricia Kovacevic, an attorney specializing in tobacco regulation.
___
Associated Press researcher Yu Bing in Beijing contributed to this report. Follow Matthew Perrone on X: @AP_FDAwriter
___
The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute\u2019s Science and Educational Media Group. The AP is solely responsible for all content.
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December 12, 2023.
Editorial: Texas has a chance to be a climate leader in carbon capture technology
The environmental push against carbon capture is stunningly shortsighted.
For years, some environmentalists trumpeted the benefits of carbon capture and storage to significantly reduce greenhouse gas emissions associated with climate change.
The irony though is that as major energy companies and the state of Texas embrace the emerging technology, some environmentalists argue that the technology isn\u2019t ready for prime time, is too expensive, is a red herring to allow energy companies to delay transitions from fossil fuel production, and that Texas\u2019 history of cozy regulation of the energy industry would pose the potential for safety and other abuses.
This opposition has been brewing since 2021 when 500 environmental organizations in the United States and Canada, many of whom had backed carbon capture technology previously, turned against its use in a letter to the two governments. Since then, some environmentalists in Texas and in Washington have sought to slow-walk reviews and adoption of carbon capture technologies. Both Washington and Texas have to do a better job of reviewing carbon capture and storage proposals in a timely manner.
We hear the concerns, but think it\u2019s time for some pragmatism. Given that fossil fuels will be part of energy production for years to come, Texas, private industry and the federal government are right to pursue the development of additional carbon capture and storage facilities.
Carbon capture technology has support from many Democrats and Republicans, including President Joe Biden, as well as most energy companies. Earlier this year, the U.S. Department of Energy announced up to $1.2 billion to advance the development of two commercial-scale direct air capture facilities in Texas and Louisiana, an initiative that the Biden administration describes as the world\u2019s largest investment in engineered carbon removal.
This investment, and opportunities for federal tax credits to support carbon capture projects, could significantly jumpstart public and private sector investments in what could be a multitrillion industry to address the climate crisis. And it\u2019s not just a benefit for energy companies, but also for steel, cement, refineries and chemical firms that produce carbon emissions.
Texas has an opportunity to be at the epicenter of a carbon reduction industry that allows major energy companies to establish carbon capture and storage operations next to onshore gas wells or obtain offshore leases that would allow them to store carbon dioxide in the Gulf of Mexico. For example, ExxonMobil, which has the largest owned and operated carbon dioxide pipeline network in the country, recently acquired Denbury Inc., a sequestration firm, as part of its broader commercial and industrial carbon reduction strategy.
The world needs to embrace wind, solar and other technologies to reduce the carbon footprint. However, oil and gas production is integral to the world economy and can\u2019t be abandoned overnight without cratering the global economy.
Carbon capture and storage technologies aren\u2019t the sole answers to the challenges of climate change and carbon emissions but have to be part of the solution.
___
Fort Worth Star Telegram. December 13, 2023.
Editorial: Kate Cox\u2019s complicated pregnancy shows why Texas needs to change abortion law
The complications that Texas\u2019 abortion law created for a pregnant mother in Dallas have put the state in a national spotlight \u2014 and not in a good way.
Kate Cox left the state to get an abortion at 20 weeks because it wasn\u2019t clear that, despite grave risks to her health and a pregnancy almost certain to end in the baby\u2019s quick death, doctors could legally perform the procedure.
We err on the side of life and think that it\u2019s ethical, healthy and consistent to promote a culture of life in society, but scenarios like this fall into a gray area and demonstrates that our current law is somehow both too vague and too narrow . It must be amended.
According to a court filing, Cox, 31, and her husband were excited to expand their family of four. However, after finding out through extensive testing that her baby had full trisomy 18, among many other severe health problems, and was unlikely to survive long past birth, if at all, the couple grew concerned. As Cox\u2019s health deteriorated, they became increasingly worried about carrying the pregnancy to term.
Cox\u2019s physicians told her her pregnancy would pose risks to her health and \u201cfuture fertility, including uterine rupture and hysterectomy.\u201d She is at \u201cincreased risk of gestational hypertension, gestational diabetes, fetal macrosomia, cesarean delivery, post-operative infections, and anesthesia complication.\u201d The justices of the Texas Supreme Court contended her doctor did not argue persuasively that Cox\u2019s life was at risk, as Texas\u2019 strict ban requires to allow an abortion.
Though an Austin-based judge granted her an abortion based on the medical emergency exception in the law, the Texas Supreme Court halted it. Worse, Attorney General Ken Paxton informed Cox\u2019s attorneys and medical providers that none of them would be insulated from prosecution or civil suits if she went forward with her abortion.
We are concerned about the optics of this case and the merits affecting the health, fertility, and lives of Texas women who want to have children here.
In their opinion, the nine Republican Supreme Court justices said that Cox\u2019s doctor \u201cdid not assert that Ms. Cox has a \u2018life-threatening physical condition\u2019 or that, in (the doctor\u2019s) reasonable medical judgment, an abortion is necessary because Ms. Cox has the type of condition the exception requires.\u201d
The Supreme Court opinion acknowledges that the law does not require pregnant mothers seeking an abortion to be \u201cwithin an inch of death.\u201d But in the same breath, the justices assert that Cox\u2019s physician presented only \u201ca good faith belief\u201d that Cox meets the exception\u2019s requirements, not \u201creasonable medical\u201d judgment. The opinion acknowledges that not every doctor would reach the same medical conclusions about what is life-threatening and yet eschews this particular doctor\u2019s judgment on the topic.
The justices also tacitly admitted that the law needs clarification, urging the Texas Medical Board to step in. But it is unlikely to do so, unless Gov. Greg Abbott approves.
So, as much as the justices say they do not want to weigh in on medical matters, they have and will continue to do so. It forces women like Cox to visit emergency rooms repeatedly. Having been told that she may not conceive children again if she delivers her baby, Cox had to either wait and see or leave the state for an abortion. She chose the latter.
What\u2019s pro-life about this decision? What\u2019s pro-life about a law that is written so vaguely that the Texas Supreme Court thinks even in this complicated scenario, a woman like Cox still doesn\u2019t meet the exception requirements?
The way this law affects medical professionals in this field isn\u2019t tenable, either. Without further clarification of the existing law, the court system and the Legislature are forcing doctors in complex situations to either risk their careers or, in some cases, violate their consciences to provide care. The ambiguity in this law could further deter valuable health professionals from staying here or coming here to build a career.
Kate Cox\u2019s situation doesn\u2019t seem engineered to test Texas\u2019 abortion law, but it has. Without wanting to be, she has become the poster-child for showcasing why Texas\u2019 law must be amended. With the advice and counsel of physicians in the field of labor and delivery, OB-GYN\u2019s, and emergency physicians, this law must be amended to reflect the nuances of the medical exception to better serve \u2014 and save the lives \u2014 of both unborn babies and mothers.
___
Houston Chronicle. December 17, 2023.
Editorial: Mexican cartels provide the drugs, we provide the weapons
Scanning the headline from our sister newspaper, we were tempted to ask, \u201cWhat\u2019s the problem?\u201d After all, the alleged gun-smuggling miscreants reside in a state whose governor has chided his fellow Texans for not owning as many guns as their California counterparts. They live in a state where guns are ubiquitous; in stores, in shops, in restaurants, even at church, people are packing heat. (That gospel singer reminds us of a campaign ad then-Attorney General Greg Abbott ran a few years back, the one where he urged his fellow Texans to get more familiar with two things: guns and the Bible. He\u2019s an Abbott two-fer, so to speak.)
Again, what\u2019s the problem? Don\u2019t the people of Mexico have an even more urgent need than we do to arm themselves? From what we hear, several Mexican towns and cities are under siege by murderous drug cartels; law enforcement is outgunned (or in cahoots with the cartels). Applying the logic of Abbott and his fellow Second Amendment absolutists, it would seem that law-abiding Mexicans need every AR-15 they can get their hands on. Nearly 5,000 assault-style rifles would, in a small way, even the odds.
On second thought, we realized, of course, that those guns aren\u2019t going to the defenseless besieged. They\u2019re going to the cartels.
As it turns out, we Americans, we Texans, are their suppliers. We are major exporters, legal and otherwise, of military-style rifles into Mexico. As the Washington Post reported in a 2020 investigation, weapons from America are pouring into a country where \u201cmilitary drug cartels now command arsenals that rival the weaponry of the country\u2019s security forces. In many cases, criminals outgun police.\u201d
A Mexican government study found that roughly 2.5 million illicit American guns have surfaced in Mexico in the last dozen years. The weapon of choice is not necessarily the well-known AR-15 or the AK-47. It\u2019s the .50-caliber rifle that shoots rounds the size of a cigar, a weapon that can hit targets from nearly 2 miles away. Traffickers in rural Michoac\u00e1n used one a few years ago to shoot down a police helicopter.
According to the U.S. Bureau of Alcohol, Tobacco, Firearms and Explosives, 70% of guns found at crime scenes in Mexico between 2014 and 2018 and submitted for tracing were sourced from the United States. Mexico \u2014 \u201cso far from God, so close to the United States,\u201d as the quote attributed to Mexican dictator Porfirio Diaz goes \u2014 is a prime market for this country\u2019s $21 billion gun and ammunition manufacturing industry.
\u201cOn Capitol Hill,\u201d U.S. Rep. Joaquin Castro, D-San Antonio, noted in a speech last week, \u201cmy colleagues across the aisle will turn any conversation about immigration into a warning about the dangers of Mexican cartels, with vivid descriptions of brutal kidnappings and undeniably horrific violence. But in Mexico, there is only one gun store in the entire country. It\u2019s nearly impossible for any civilian to get a gun. When the cartels need weapons, they don\u2019t look within Mexico; they look north of the border, to gun shops in Houston, Dallas, Tucson and Deming.\u201d
Arizona and Texas are the go-to states, ATF officials told the Post. \u201cGround zero,\u201d the newspaper noted, is the Houston area. We are home to some 5,000 licensed gun stores and dealers. We offer smugglers a huge and unregulated informal market, including gun shows where people can sell guns as their \u201cprivate collection\u201d with no background check for the buyer. It\u2019s no wonder that more weapons recovered in Mexico are traced to Houston and Harris County than anywhere else in the country.
\u201cAt a time when the United States is pushing Mexico to target cartels more aggressively,\u201d the Post notes, \u201cU.S. laws that make .50-calibers and other destructive weapons easy to buy, along with a lack of enforcement at the border, are enabling those groups to expand their influence and activities in the country.\u201d
In other words, those smugglers Florida Gov. Ron DeSantis vows to shoot \u201cstone-cold dead\u201d once he becomes president, are carrying made-in-America weapons. The phrase doesn\u2019t translate well into Spanish so any Mexican politician threatening to shoot American gunrunners will need to coin their own.
Granted, Mexico has its own problems with drug interdiction and law enforcement, but they\u2019re getting little help from this country. Our insatiable drug appetite makes for a huge market for Mexican narcotics traffickers, while the ready availability of American guns keep the cartels as well-armed as a small nation\u2019s military force. \u201cWhat if we did as little to stop drugs as you\u2019re doing to stop guns?\u201d Mexican Defense Secretary Luis Cresencio Sandoval asked his American counterparts during a high-level meeting in 2020, as reported by the Post.
Consider the irony. Not only are the drug smugglers affiliated with the cartels armed with weapons they acquired from us, but the violence and chaos they ignite are driving out defenseless Mexican residents (as well as residents of other countries in the hemisphere). Faced with living \u2014 and dying \u2014 in merciless thrall to heavily armed gangs that murder, kidnap, torture and decapitate, it\u2019s little wonder that desperate people are willing to risk their lives and the lives of their children on long, dangerous treks to this country. They\u2019re defenseless victims of a vicious drugs-and-guns symbiosis.
Castro, ranking member of the House Foreign Affairs Committee on the Western Hemisphere, introduced relatively modest legislation earlier this month that\u2019s designed to tighten gun-export regulations and break the deadly link between Mexican drug smuggling and American arms smuggling.
\u201cNearly four years ago, the Trump administration worked with the National Rifle Association to loosen gun export regulations and unleash a flood of American-made guns on the Western Hemisphere,\u201d the San Antonio Democrat noted in a statement. \u201cAs we work with our allies and partners to address shared regional challenges, including forced migration and drug trafficking, Congress needs to address the role of U.S. gun exports in driving violence and instability abroad.\u201d
Labeled the Americas Regional Monitoring of Arms Sales (ARMAS) Act, the legislation would reverse the Trump administration\u2019s decision shortly before the former president left office to transfer authority over small-arms exports from the State Department to the Commerce Department. The NRA pushed for the transfer to allow gun manufacturers \u201cto run more competitively among the global markets,\u201d as they put it.
Castro maintains that Commerce is not equipped to enforce weapons-export laws and that the transfer has led to huge increases in arms sales throughout Latin America and the Caribbean, in tandem with political suppression, gang violence and human rights violations. His office told the Chronicle editorial board that, in addition to signing up a number of Democratic co-sponsors, he has held \u201cproductive talks\u201d with his Republican colleagues about the ARMAS Act and expects these discussions to continue. \u201cDisarming Mexican cartels shouldn\u2019t be a partisan fight,\u201d he said.
Meanwhile, the drug-smuggling duo from New Braunfels won\u2019t be enjoying their ill-gotten gain, an estimated $3.5 million over a two-year period. As the two men learned in a court appearance on Thursday, they\u2019re facing up to 20 years in prison.
One small consolation for the former gospel singer: A number of prisons around the country offer opportunities to join convict choirs.
___
___
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Health officials in the U.S. and Canada have confirmed at least 10 deaths, dozens of hospitalizations and hundreds of illnesses since the outbreak began in mid-October. More than 36,000 boxes or cases of cantaloupe grown in Mexico have been recalled. Cantaloupe can become contaminated in the field and during processing, shipping and storage. Many people who got sick ate pre-cut cantaloupe sold in trays or clamshell packages in grocery store. Young children, older adults and people with weakened immune systems are especially vulnerable.", + "bylines": [ + { + "by": "By JONEL ALECCIA", + "title": "AP Health Writer" + } + ], + "copyrightnotice": "Copyright 2023 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. For other uses, additional clearances may be required." + ], + "keywords": [ + "cantaloupe precut salmonella outbreak" + ], + "provider": "AP", + "infosource": [ + { + "name": "AP", + "type": "AP" + } + ], + "subject": [ + { + "rels": [ + "category" + ], + "creator": "Editorial", + "code": "f", + "name": "f" + }, + { + "rels": [ + "category" + ], + "creator": "Editorial", + "code": "l", + "name": "l" + }, + { + "rels": [ + "category" + ], + "creator": "Editorial", + "code": "a", + "name": "a" + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "9cce666bb29344b8ba61f3732d971d32", + "name": "Disease outbreaks", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 68 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "abb902c66c1547868d46a72d5235b16d", + "name": "Seniors", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 47 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "49ff30f87f0010048248f571351eed07", + "name": "Salmonella infections", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 74 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "5238821888e910048f68f8851349f9bd", + "name": "Production facilities", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 34 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "3e37e4b87df7100483d5df092526b43e", + "name": "Lifestyle", + "creator": "Editorial", + "editorial_subject": "Lifestyle", + "rels": [ + "direct" + ], + "relevance": 75 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "c8e409f8858510048872ff2260dd383e", + "name": "Business", + "creator": "Editorial", + "editorial_subject": "Business", + "rels": [ + "direct" + ], + "relevance": 75 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "cc7a76087e4e10048482df092526b43e", + "name": "Health", + "creator": "Editorial", + "editorial_subject": "Health", + "rels": [ + "direct" + ], + "relevance": 99 + } + ], + "place": [ + { + "scheme": "http://cv.ap.org/id/", + "code": "661af0c07d5b10048239c076b8e3055c", + "name": "Mexico", + "creator": "Machine", + "rels": [ + "direct" + ], + "parentids": [ + "6618c9f87d5b10048204c076b8e3055c" + ], + "locationtype": { + "code": "01f56e0e654841eca2e69bf2cbcc0526", + "name": "Nation" + }, + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -102, + 23 + ] + }, + "relevance": 49, + "parentnames": [ + "Central America" + ] + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "661e48387d5b1004828fc076b8e3055c", + "name": "Canada", + "creator": "Machine", + "rels": [ + "direct" + ], + "parentids": [ + "661850e07d5b100481f7c076b8e3055c" + ], + "locationtype": { + "code": "01f56e0e654841eca2e69bf2cbcc0526", + "name": "Nation" + }, + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -96, + 60 + ] + }, + "relevance": 84, + "parentnames": [ + "North America" + ] + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "e427079081d610048a4edf092526b43e", + "name": "Arizona", + "creator": "Machine", + "rels": [ + "direct" + ], + "parentids": [ + "661e48387d5b10048291c076b8e3055c" + ], + "locationtype": { + "code": "0ae5eb8e00e04295a4fc209c94bfe6ef", + "name": "State" + }, + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -111.50098, + 34.5003 + ] + }, + "relevance": 37, + "parentnames": [ + "United States" + ] + } + ], + "audiences": [ + { + "code": "82c6a4c46fa0446090a7acaf93159e4c", + "name": "Print", + "type": "AUDPLATFORM" + }, + { + "code": "9add4649b53b4702ba7d9de5d4fa607a", + "name": "Online", + "type": "AUDPLATFORM" + }, + { + "code": "f43adc08760d10048040e6e7a0f4673e", + "name": "National", + "type": "AUDSCOPE" + }, + { + "code": "f4ecf9b0760d10048044e6e7a0f4673e", + "name": "International", + "type": "AUDSCOPE" + }, + { + "code": "661850e07d5b100481f5c076b8e3055c", + "name": "Latin America and Caribbean", + "type": "AUDGEOGRAPHY" + }, + { + "code": "661e48387d5b10048291c076b8e3055c", + "name": "United States", + "type": "AUDGEOGRAPHY" + } + ], + "associations": { + "1": { + "altids": { + "itemid": "c65016a859884375a3fdfeeeb926cc9f" + }, + "type": "picture" + }, + "2": { + "altids": { + "itemid": "00c3454d26af4bb9b8d3c24354596b15" + }, + "type": "picture" + }, + "3": { + "altids": { + "itemid": "73ecf2e1d32a4f8084b68ef6b4f89bd9" + }, + "type": "video" + } + }, + "body_nitf": "Hundreds of people in the U.S. and Canada have been sickened and at least 10 people have died in a growing outbreak of salmonella poisoning linked to contaminated whole and pre-cut cantaloupe.
Health officials are warning consumers, retailers and restaurants not to buy, eat or serve cantaloupe if they don\u2019t know the source.
That\u2019s especially important for individuals who are vulnerable to serious illness from salmonella infection and those who care for them. High-risk groups include young children, people older than 65 and those with weakened immune systems.
The U.S. Centers for Disease Control and Prevention is especially concerned because many of the illnesses have been severe and because victims include people who ate cantaloupe served in childcare centers and long-term care facilities.
Here\u2019s what we know about this outbreak:
Overall, at least 302 people in the U.S. and 153 in Canada have been sickened in this outbreak. That includes four killed and 129 hospitalized in the U.S. and six killed and 53 hospitalized in Canada.
The first U.S. case was a person who fell ill on Oct. 16, according to the CDC. The latest illness detected occurred on Nov. 28. Canadian health officials said people fell ill between mid-October and mid-November.
The first recalls were issued Nov. 6 in the U.S., according to the Food and Drug Administration. Multiple recalls of whole and cut fruit have followed.
The cantaloupes implicated in this outbreak include two brands, Malichita and Rudy, that are grown in the Sonora area of Mexico. The fruit was imported by Sofia Produce LLC, of Nogales, Arizona, which does business as TruFresh, and Pacific Trellis Fruit LLC, of Los Angeles. So far, more than 36,000 boxes or cases of cantaloupe have been recalled.
On Dec. 15, Mexican health officials temporarily closed a melon-packing plant implicated in the outbreak.
Roughly one-third of FDA-regulated human food imported into the U.S. comes from Mexico, including about 60% of fresh produce imports. The average American eats about 6 pounds of cantaloupe a year, according to the U.S. Department of Agriculture.
Health officials in the U.S. and Canada are still investigating, but cantaloupes generally are prone to contamination because they are \u201cnetted\u201d melons with rough, bumpy rinds that make bacteria difficult to remove.
Salmonella bacteria are found in animals' intestines and can spread if their waste comes in contact with fruit in the field. Contamination can come from tainted water used in irrigation, or in cleaning and cooling the melons.
Poor hygienic practices of workers, pests in packing facilities and equipment that\u2019s not cleaned and sanitized properly can also lead to contamination, the FDA says.
The Mexico growing area saw powerful storms and hurricanes in late summer and early fall that resulted in flooding that could be a factor, said Trevor Suslow, a produce safety consultant and retired professor at the University of California, Davis.
Once the melons are contaminated, the nubby rinds harbor nutrients that can help the salmonella bacteria grow, Suslow said.
If the cantaloupe become moldy or damaged, the bacteria can move from the outside of the rind to the inner layer or into the flesh. Also, when the fruit is sliced \u2014 in a home kitchen, grocery store or processing plant \u2014 the bacteria can spread to the flesh.
Cut fruit in a tray or clamshell package can harbor the bacteria. If the fruit isn\u2019t kept very cool, the germs can grow.
It is difficult to remove disease-causing bacteria from cantaloupe at home. Food safety experts recommend rinsing whole melons in cool water and scrubbing them with a clean produce brush and then drying completely.
Blanching the cantaloupes briefly in very hot water is another method, Suslow said. And Purdue University researchers found that household items such as vinegar and iodine diluted in water could reduce exterior contamination with salmonella by 99%.
For high-risk people, it might be best to avoid cantaloupe, especially pre-cut cantaloupe and especially during an outbreak, said Amanda Deering, a Purdue University food scientist.
Understanding that certain foods can pose a serious health risk is key, she added.
\u201cAs consumers, we just assume that our food is safe,\u201d she said. \u201cYou don\u2019t want to think that a cantaloupe is what\u2019s going to take you out.\u201d
___
The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute\u2019s Science and Educational Media Group. The AP is solely responsible for all content.
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December 16, 2023.
Editorial: Reeves Gets OK On Hospital Plan
Tate Reeves was late to the hospital rescue crusade, but the Mississippi governor has pulled off what could be a vital part in the effort. This past week, Reeves announced that one of his two plans \u2014 and the largest of the two \u2014 to provide additional Medicaid funding to the state\u2019s hospitals has been approved by the federal government.
The change is expected to net the hospitals about $600 million a year extra in reimbursements from the state-federal insurance program that provides coverage to the poor and disabled. Another $100 million piece is still waiting on a decision by federal regulators.
Struggling rural hospitals, such as Greenwood Leflore Hospital, have described this additional funding as a \u201cgame changer.\u201d The Greenwood hospital\u2019s administration has estimated that Reeves\u2019 two plans combined would bring an extra $10 million annually to the hospital. That big bump in government funding has raised the hopes that Greenwood\u2019s hospital, whose fate seemed dire not long ago, could survive even if its pending application for a critical-access designation \u2014 and the extra Medicare funds that separately come with it \u2014 can\u2019t get past a federal regulation that stands in the way.
Reeves, it should be remembered, was pushed to address the hospital crisis by a tough reelection challenge from Brandon Presley. The Democratic opponent rested a big part of his campaign on the state\u2019s hospital crisis and the Republican incumbent\u2019s absolute refusal to help the hospitals by expanding Medicaid to cover an estimated 200,000 to 300,000 of the currently uninsured.
Instead, Reeves embraced as an alternative an idea previously pitched by the hospitals themselves \u2014 namely, to tax the hospitals and use that money to leverage additional federal funding.
It is a relief that it has worked out.
We still would prefer that Mississippi expand Medicaid, too. That\u2019s a billion dollars a year from Washington that the state continues to thumb its nose at, while 40 other states are happy to take the money.
But give credit where credit is due. Reeves produced a plan to help Mississippi\u2019s hospitals in a significant way, and to do it without requiring the taxpayers to come up with the state\u2019s share of the cost. It might have required an election to get him focused on the hospital crisis, but elections \u2014 particularly competitive ones \u2014 have a way of shaping the priorities of those in office who are trying to keep their jobs.
END
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(AP) \u2014 The Missouri Supreme Court on Tuesday struck down a law that threatened homeless people with jail time for sleeping on state land.
Judges ruled unanimously to toss the law for violating a section of the Missouri Constitution that prohibits legislation from containing multiple unrelated subjects.
In this case, the sweeping 64-page bill also dealt with city and county governance and banned COVID-19 vaccine requirements for public workers in Missouri.
Judges ruled that the law is \u201cinvalid in its entirety,\u201d Judge Paul Wilson wrote in the court's decision.
The judges\u2019 ruling means unhoused people no longer face up to 15 days in jail and a $500 fine after an initial warning for sleeping on state land without permission, and vaccine mandates for public workers now are allowed in Missouri.
The law, enacted in 2022, also had prohibited state funding from being used for permanent housing for homeless people, instead directing it toward temporary shelters and assistance with substance use and mental health treatment.
In an amicus brief, advocates for homeless people argued that lawmakers \u201cblamed mental health and substance abuse for causing homelessness, but ignored that the real problem is affordable housing and offered no real mental-health or substance-abuse solutions in the bill.\u201d
\u201cAnd in the process, they tried to justify criminalizing homelessness as a method of improving outcomes for homeless individuals,\u201d attorneys for organizations including the National Coalition for the Homeless wrote.
A spokeswoman for the Attorney General\u2019s Office, which defended the law in court, did not immediately respond to an Associated Press request for comment Tuesday.
Records obtained by The AP show attempts to clear homeless encampments increased in cities from Los Angeles to New York as public pressure grew to address what some residents say are dangerous and unsanitary living conditions.
In March, bulldozers took down what was left of a once-busy homeless encampment along the Mississippi River and near the Gateway Arch in St. Louis, ending nearly a year of debate over what to do about it.
Supreme Court judges ruled against the Missouri law without discussing the potential impact of the homelessness policy, instead focusing on whether that issue fits under the bill's subject: political subdivisions.
Wilson wrote that the connection between homelessness and political subdivisions is \u201cremote at best and, in some instances, completely missing.\u201d
State lawmakers had added the homelessness provision, along with 49 other new sections, to the legislation in an attempt to pass bills that otherwise were too far behind in the process to advance before the end-of-session deadline in 2022.
The lawmaker who spearheaded the homelessness provisions has since left office, and so far no other legislators have filed bills to reinstate the policy.
One Missouri lawmaker, Sen. Steven Roberts, proposed legislation that would have relaxed the homelessness provisions. On Tuesday, he said he was not yet aware of the court ruling striking down the law but likely will pull his proposal in response.
Missouri's next legislative session begins in January.
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Editorial: Keep Minnesota at medicine\u2019s cutting edge
A less rosy state budget forecast isn\u2019t an excuse for state lawmakers to punt on the University of Minnesota Medical Center\u2019s future.
State coffers were stuffed with a $17.5 billion surplus when the University of Minnesota rolled out aspirations last January to build a $1 billion state-of-the-art Medical Center, one at least partially funded by tax dollars, on its Twin Cities campus.
Almost a year later, the U is still pursuing this ambitious vision \u2014 and should be. Hospital systems across the nation, particularly those based at universities, are retooling for next-generation medicine, one that will be shaped by artificial intelligence and other technological leaps. The U\u2019s Medical Center is also at a crossroads after an unsuccessful merger pursued by its clinical partner, Fairview Health, with an out-of-state health system spotlighted Fairview\u2019s finances and tense relations with the U.
U officials are now back with a more detailed plan, revealed earlier this month, that calls for $60 million to $80 million in yearly state funding beginning in fiscal 2025 as part of its long-term plans to improve care and training and modernize facilities. But the state no longer has that historic surplus. Instead, it\u2019s facing a more modest $2.4 billion surplus requiring careful management.
Some lawmakers may be tempted to use these tighter purse strings as a reason to punt once again in 2024 on the U Medical Center\u2019s future. That is not acceptable, a point that needs to be driven home as the 2024 legislative session approaches in February.
This is a state powered by medical care and technology. A thriving academic health center at the U \u2014 one that brings in millions in research grants, fuels medical technology entrepreneurship and is responsible for training 70% of physicians here \u2014 is integral to Minnesota\u2019s future. This is the time to invest to ensure prosperity and good health for generations to come.
The state\u2019s fresh financial challenges will require innovation on the part of lawmakers and the Walz administration to make this a reality. Fortunately, a gubernatorial task force led by Jan Malcolm, one that is aiming to ensure \u201cnation-leading health professions education,\u2033 has been weighing the state\u2019s options.
The U presented its updated academic health vision at a task force meeting earlier this month. The plan, to its credit, appears to take into account the state\u2019s less rosy financial outlook. It also notes \u201ccurrent levels of Academic Support from Fairview will not continue past 2026,\u201d underscoring the need for swift, farsighted action at the Capitol.
Fairview acquired the U\u2019s teaching hospitals in 1997, with the terms of the partnership updated periodically. The arrangement has included funding from Fairview to support academic medicine. This year, that support comes to at least $100 million, the Star Tribune reported in November. That\u2019s vital funding for training medical professionals.
Fairview has repeatedly stated that it can no longer afford the investment, and in November it announced that it did not wish to extend the U partnership past 2026. However, talks between Fairview and the U continue, which is commendable.
The fraught relationship between the two, especially after the proposed merger, made it tempting to urge the U to sever ties with Fairview and replace its longtime partner with a web of new relationships with other providers. But doing so would be a massive undertaking. While the U does need to strengthen its ties to other providers, forging a different path with Fairview is sensible.
State lawmakers especially need to take heed of Fairview\u2019s affordability warning and urgently consider an updated model to pay for medical education. State involvement is warranted given the U Medical Center\u2019s economic importance and its central role in providing care to Minnesotans.
The Star Tribune Editorial Board also notes the U hospitals\u2019 public mission as an argument for public dollars. The Medical Center plays a vital role in caring for medical assistance patients, a public service when reimbursement is generally less than that provided by private health plans. In 2022, 31% of the University of Minnesota Medical Center\u2019s patient admissions were enrolled in medical assistance or MinnesotaCare, according to state Health Department data. For comparison, the percentage for Mayo Clinic hospital patients was 11.8%.
The new U plan admirably lays out some innovative funding options that would supplement state dollars or provide targeted funding. One promising approach would generate additional federal dollars through \u201cintergovernmental transfers.\u201d That would require support from the Minnesota Department of Human Services to implement.
The U plan also notes that some other states provide higher reimbursements for academic medical providers with high volumes of medical assistance patients. Following that example would help cover the costs of caring for this population while providing the resources for teaching and training.
Those are worthwhile options to consider. Tapping the state\u2019s provider tax to provide targeted funding for the U Medical Center is a logical consideration as well. So is looking to the state\u2019s private health insurers, which profit from administering medical assistance programs.
The staunch support of two former governors \u2014 Mark Dayton, a Democrat, and Tim Pawlenty, a Republican \u2014 for a new U hospital and other major capital improvements speaks volumes. High-profile leadership also is needed from Gov. Tim Walz as the state takes crucial next steps to stay at medicine\u2019s cutting edge.
___
Mankato Free Press. December 19, 2023.
Editorial: Environment: State must pick up pace on battling invasive carp
The recent capture of more than 300 invasive carp in the Mississippi River, downriver from Winona, shows the growing threat from the carp and the need for lawmakers and the Department of Natural Resources to step up efforts to prevent their spread into Minnesota.
So far those efforts have been insufficient.
It\u2019s not as if state leaders haven\u2019t had plenty of time to be more aggressive in keeping invasive carp out of Minnesota. The first invasive carp captured in Minnesota was a grass carp in 1991, followed by a bighead carp in 1996 and the first silver carp in 2008.
Invasive carp harm other fish species and degrade water quality, among other problems.
Many of the carp have been moving up the Mississippi River. If they are not yet in the Minnesota River \u2014 which connects to the Mississippi in the Twin Cities \u2014 they soon will be.
Researchers from the Minnesota and Wisconsin natural resources departments have been tracking invasive carp that had been previously caught and tagged, hoping the \u201ctraitor fish\u201d would lead them to hiding spots.
Late last month they located several tagged carp below Winona and sent in a commercial crew which captured 323 invasive carp using seine nets.
That included 296 silver carp \u2014 known for jumping out of the water and striking boaters.
Locating hundreds of carp in one pool is alarming.
Conservation groups, including the Friends of the Mississippi River and the Stop Carp Coalition, have been pushing for stronger funding to install a bio-acoustic fish fence (bubble barrier) at Lock and Dam 5 near Winona.
With a record surplus, the last session offered the opportunity for the Legislature to provide the $18.4 million to the DNR that the groups had called for. Instead just $1.7 million was provided to expand carp management programs.
Meanwhile the DNR opposed a bill to fund a barrier, saying they want to first update their carp plan. But groups have been asking the agency since 2020 to update their out of date plan. The DNR says it will soon have an updated plan.
The agency and Legislature need to have more urgency in attacking the invasive carp problem before it\u2019s too late.
END
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Editorial: Legislature needs to lead to solve state\u2019s literacy crisis
The statistics are startling: Nearly one in five Hoosier students is still struggling to read by the end of third grade.
Indiana policymakers thought they had found a solution to the problem more than a decade ago when the State Board of Education created a rule requiring children who failed the IREAD-3 third-grade literacy test to be held back.
Exceptions were created for students who have disabilities, are English-language learners or receive special tutoring. But over the years, the exceptions seemed to widen as the number of students promoted on to third grade without the required reading skills increased dramatically.
Chalkbeat Indiana recently reported that about 96% of students who did not pass the IREAD-3 moved to fourth grade over the past decade.
In 2023, 13,840 third graders\u2014or 18% of all third graders in the state\u2014did not pass the test. Of those, 13,428 moved on to fourth grade, and only 412 stayed in third grade another year.
In addition, student performance on the IREAD-3 test has deteriorated significantly over the past 10 years. In 2012, 91.4% of third graders passed the test. Last year, that number stood at 81.9%.
Leaders in the Republican-dominated Indiana General Assembly appropriately have pronounced that attacking the third-grade literacy problem will be a priority when the Legislature convenes on Jan. 8.
Leaders of both the House and Senate have said the focus will be on tightening rules that keep students in the third grade if they fail the literacy exam, even though some educators question the effectiveness of retention.
But House Speaker Todd Huston, R-Fishers, also told the Indiana Capital Chronicle that the state\u2019s larger goal should be to ensure that students have the skills to learn to read by the time they have reached third grade.
The reality is that the literacy problem in Indiana elementary schools has reached a crisis, and the state needs to throw everything at it that it can.
The Legislature took an important first step last year, mandating curriculum and teacher training in the Science of Reading. The approach is based on scientifically based research that requires the systematic use of phonemic awareness, phonics, fluency, vocabulary and comprehension.
We\u2019ll have to wait and see how effective that new approach will be, but that doesn\u2019t mean lawmakers should sit on their hands in the meantime or just toughen third-grade retention requirements.
This crisis requires an all-hands-on-deck approach that tries as many potential solutions as possible to see which one will move the needle.
The Lilly Endowment is doing its part. This week, it announced plans to provide $21.5 million in grants to help 28 Indiana colleges and universities instruct teachers in Science-of-Reading methods.
Ultimately, it will take the cooperation of business and government leaders, educators and philanthropists of all political stripes to solve the problem.
There is no time to waste. Literacy in the third grade must be improved so that all students have a chance to succeed in school and life and become productive members of society.
___
Fort Wayne Journal Gazette. December 13, 2023.
Editorial: Rural Hoosiers need quality health care
State officials have recognized Angola\u2019s Cameron Memorial Community Hospital and a physician with Parkview Health for their commitment to rural communities, which are suffering through a health care crisis.
Dr. Eric Reichenbach, a family medicine physician at the Parkview Wabash Health Clinic in North Manchester, won the Outstanding Rural Health Provider Award. Cameron Memorial won the Quality Improvement and Critical Access Hero awards. The two received the commendations through the Indiana Department of Health and State Office of Rural Health Critical Access Hospital Award program.
Unfortunately, such health oases are rare in rural America. Since 2015, nine rural Indiana hospitals have closed including four since 2022. IU Health Blackford is the latest to close its doors in October.
\u201cOne of the challenges for rural communities is the ability to recruit and retain health care providers, especially obstetricians,\u201d said Laura Kracher, vice president of public affairs and communication for the Indiana Hospital Association. \u201cIn Indiana, 87% of rural residents live in areas with a primary care shortage.\u201d
The U.S. Department of Health and Human Services lists Noble, DeKalb, Whitley, Huntington and Adams counties as health professional shortage areas.
In looking at data from the federal Rural Health Information Hub, the counties that collar Fort Wayne and Allen County have a shortage of physicians per 10,000 people. For example, Allen County has 28.7 physicians per 10,000 residents. Huntington is at 13.3, while Adams is at 5.3 doctors per 10,000. Both counties have about 36,000 residents, showing the disparity isn\u2019t about county size.
The numbers are even more stark when looking at the availability of nurse practitioners and physician\u2019s assistants in those counties. NPs and PAs are graduate-level trained and licensed professionals who can provide primary care.
According to National Rural Health Association data, 25% of Indiana\u2019s 55 rural hospitals have \u201cnegative operating margins,\u201d 13 have pulled back service and seven hospitals considered closing. The association did not mention facilities by name.
Meanwhile, the health disparities between rural and urban areas are pronounced and startling, with the people in the former being older and more prone to chronic conditions such as lower respiratory disease, heart disease, stroke and cancer. Rural men and women will live about three years fewer than their urban counterparts.
Cancer care, mental health and dialysis are the most difficult services to access for rural Hoosiers.
Indiana Hospital Association\u2019s Kracher points to low Medicaid reimbursement as a significant challenge for hospitals, particularly in rural areas where more than half of annual births are covered by Medicaid. In Indiana, hospitals are experiencing significant financial losses due to inflation and rising costs, she said.
Medicaid expansion \u2014 Indiana was the first red state to expand in 2015 \u2014 improved the financial performance of hospitals and other providers particularly for rural and small hospitals, according to the Kaiser Family Foundation survey of research released in June.
But the amount paid by Medicaid has not changed in 30 years to keep up with costs, Kracher said.
According to an outside analysis the Indiana Hospital Association commissioned surveying inpatient operating base rates, the standard amount of Medicaid reimbursement paid in Indiana is $3,524. Kentucky and Michigan, which have compiled complex methodologies that include legislatively approved base rate increases, paid average amounts of $5,796 and $4,996, respectively. Ohio\u2019s base rate is just over $5,000.
\u201cPolicy solutions are needed to raise Medicaid reimbursement for hospitals now so that we don\u2019t erode access to vital health care services or see our rural and urban safety hospitals close,\u201d Karcher said. \u201cPolicymakers in neighboring states like Kentucky and Illinois have successfully enacted policies to raise their reimbursement levels just in the last year. Without immediate financial support, Medicaid shortfalls will only exacerbate the emerging trends of service reductions and facility closures across the state.\u201d
Indiana can\u2019t hold itself as inclusive and equitable if we\u2019re telling 1 million rural Hoosiers that the choice for living in the country is to submit to a growing health care desert.
___
Jeffersonville News and Tribune. December 15, 2023.
Editorial: Money matters this session
It\u2019s not a budget year, but money should always be a priority for Indiana legislators.
From encouraging economic development to ensuring Hoosier workers are paid livable wages, lawmakers can play a pivotal role in moving Indiana forward financially.
RETOOL INDIANA\u2019S ECONOMY
Artificial Intelligence no longer belongs in a science fiction novel. AI is here and it\u2019s changing our world daily. It\u2019s incumbent upon our legislators to keep Indiana on the cutting edge of AI if the state is to excel in the new high-tech world.
Lawmakers should embrace the changes, support institutions that are training tomorrow\u2019s workforce to utilize AI and establish logical and ethical guidelines for the technology.
A 2021 study from Purdue University found that Indiana is lagging behind when it comes to AI advances and manufacturing. The state simply can\u2019t afford to fail on this issue.
BET ON GAMING
From tax revenue to foundations supporting surrounding communities, Indiana has benefited from casinos. But the state is behind the curve on electronic gaming.
Bills have been introduced during recent sessions to legalize video gaming terminals, but have failed to pass. Coming out of the pandemic, allowing bars and restaurants to have video gaming machines could generate needed revenue for those businesses.
Reimagining Indiana\u2019s electronic gaming laws would also cut down on corruption.
READI FOR MORE
The Regional Economic Acceleration and Development Initiative, or READI, has been a major success in Indiana. Millions of dollars are being spent on local quality of life, place and opportunity projects.
Lawmakers approved funding for a second round of READI last session. Those funds support the improvements that draw people to Indiana to work and play. It\u2019s not just about a job, but what workers can expect from a community that attracts them to a new destination.
Great parks, entertainment districts and infrastructure support the fabric of a community, and that\u2019s why programs like READI are so important to economic development and the overall financial well-being of a state.
Lawmakers should consider a plan for sustained funding of READI efforts.
INVEST IN TRAINING
Don\u2019t let low unemployment rates fool you \u2014 cutting back on workforce training programs is a bad idea.
The funding for some workforce development and training efforts is tied to unemployment. The lower the jobless rate, the lower the amount of funding from the state and federal sources.
The best way to keep workers employed is by having them equipped with skills that make them attractive to employers regardless of the condition of the economy. Waiting until jobless rates rise to provide more resources is like waiting until the flood arrives to build a levee.
DON\u2019T FORGET ABOUT WORKERS
Indiana has followed the federal lead, keeping minimum wage at $7.25 since 2009. A person making $7.25 hourly in 2024 won\u2019t be able to afford decent housing and will rely on public transportation and subsidies for food and clothing.
Why not go beyond the bare minimum and send a message that Indiana is a pro-worker state? At the least, legislators should welcome a robust, respectful discussion on raising the state\u2019s minimum wage.
Lawmakers should also hold companies that are receiving tax abatements to account on wages. Tax breaks shouldn\u2019t be handed out to businesses that aren\u2019t paying livable wages and offering employees the benefits they need and deserve.
END
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Therefore, while part of the document is highly relevant, the overall relevance is diluted by the unrelated content." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2023/12/19/6e94e90e3bc1d2c84c0f96fc6871d9e7.json b/datasets/AP_news/raw_data/2023/12/19/6e94e90e3bc1d2c84c0f96fc6871d9e7.json new file mode 100644 index 0000000..23d3637 --- /dev/null +++ b/datasets/AP_news/raw_data/2023/12/19/6e94e90e3bc1d2c84c0f96fc6871d9e7.json @@ -0,0 +1,231 @@ +{ + "altids": { + "itemid": "6e94e90e3bc1d2c84c0f96fc6871d9e7", + "etag": "6e94e90e3bc1d2c84c0f96fc6871d9e7_0a3aza0c0", + "friendlykey": "197163051344", + "referenceid": "IN--Community Health-Medicare Fraud" + }, + "version": 0, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2023-12-19T23:59:48Z", + "firstcreated": "2023-12-19T23:59:48Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "signals": [ + "newscontent" + ], + "title": "IN--Community Health-Medicare Fraud", + "headline": "Community Health Network to pay government $345M to settle Medicare fraud charges", + "headline_extended": "An Indianapolis-based health network has agreed to pay the government $345 million to resolve charges it defrauded Medicare by overpaying doctors who referred patients to its facilities", + "slugline": "BC-IN--Community Health-Medicare Fraud", + "description_summary": "An Indianapolis-based health network has agreed to pay the government $345 million to resolve charges it defrauded Medicare by overpaying doctors who referred patients to its facilities. 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The agreement settles allegations that senior management at Community Health Network recruited hundreds of doctors beginning in 2008 and paid them salaries that were significantly higher than what they received in their own private practices, the U.S. Department of Justice said.
Community Health submitted an unspecified number of claims to Medicare for services that resulted from the unlawful referrals, the department said. That violated a federal statute known as the Stark Law, which prohibits hospitals from billing for certain services referred by physicians with whom the hospital has a financial relationship unless the doctors' compensation is consistent with fair market value and not based on the value or volume of their referrals to the hospital.
\u201cThe Stark Law was enacted to ensure that the clinical judgment of physicians is not corrupted by improper financial incentives,\u201d Principal Deputy Assistant Attorney General Brian Boynton, head of the Justice Department\u2019s Civil Division, said in a news release.
Community Health, in its own news release, called the allegations against it \u201ctechnical violations.\u201d
\u201cThis settlement, like those involving other health systems and hospitals, relates to the complex, highly regulated area of physician compensation,\u201d spokesperson Kris Kirschner said.
The settlement resolves the government\u2019s claims with no finding of wrongdoing, Community Health said.
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(AP) \u2014 Kentucky Lt. Gov. Jacqueline Coleman underwent a double mastectomy on Monday after concerns were raised during a routine medical examination, her office announced. The Democrat said she expects to make a full recovery.
The surgery occurred less than a week after Coleman and Gov. Andy Beshear were sworn in for second terms, having run successfully as a ticket again in the Bluegrass State.
In a statement Monday, Coleman thanked her family for its loving support and said she would see Kentuckians again soon.
The surgery followed a routine physical exam recently, she said.
\u201cWith a significant family history of cancer, I made the decision to have a double mastectomy,\u201d Coleman said. \u201cI am happy to report that a successful surgery was performed today, and I expect to make a full recovery.\u201d
Beshear said in a separate statement that Coleman is a friend and \u201ccritical part\u201d of his administration.
\u201cMy family and Kentucky families are standing with her during this time,\u201d the Democratic governor said.
Coleman, 41, was a fixture on the campaign trail throughout the hard-hitting campaign that featured Beshear and Republican Attorney General Daniel Cameron at the top of the ticket. She debated her Republican rival for lieutenant governor in a televised debate late in the campaign. The Beshear-Coleman ticket won a convincing victory last month, even as every other statewide office was won by the GOP.
Coleman has already fielded questions about whether she will run for governor in 2027, politely brushing them aside. Beshear is term-limited from running for governor again in four years.
Coleman spent years as a teacher and school administrator before being tapped by Beshear as his running mate for their first successful run as a ticket in 2019. She's been an ardent proponent of the governor's education proposals, including his push for higher teacher pay and universal access to pre-K for all 4-year-old Kentuckians. Besides her role as a public education advocate, Coleman focused on rural economic development, adult learning and student mental health initiatives during her first term.
She participated in daylong inaugural events last week. In her speech that day, Coleman touted the importance of the Beshear administration's education proposals, declaring: \u201cFrom cradle to career, education is the key that unlocks doors for every Kentuckian.\u201d Health care workers and educators served as grand marshals for the inaugural parade that day.
On Monday, Coleman was thanking her health-care providers for the care she's received.
\u201cAs Kentucky\u2019s highest elected teacher, it is only fitting that I leave you with a little homework: Schedule those preventative exams you\u2019ve put off, hug your people a little tighter and be kind, because everyone is fighting a battle you may know nothing about,\" she said.
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While the document also touches on her political career and recent election, the primary focus is on her health and medical procedure, making it highly relevant to the topic of health." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2023/12/19/9ed95b8363236078e8769c362177bd8a.json b/datasets/AP_news/raw_data/2023/12/19/9ed95b8363236078e8769c362177bd8a.json new file mode 100644 index 0000000..20f4d6f --- /dev/null +++ b/datasets/AP_news/raw_data/2023/12/19/9ed95b8363236078e8769c362177bd8a.json @@ -0,0 +1,323 @@ +{ + "altids": { + "itemid": "9ed95b8363236078e8769c362177bd8a", + "etag": "9ed95b8363236078e8769c362177bd8a_0a10aza0c0", + "friendlykey": "305665366394", + "referenceid": "US--Harris-Abortion" + }, + "version": 0, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2023-12-19T10:01:55Z", + "firstcreated": "2023-12-19T10:01:54Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: With AP Photos.", + "signals": [ + "newscontent" + ], + "title": "US--Harris-Abortion", + "headline": "Vice President Harris announces nationwide events focused on abortion", + "headline_extended": "Vice President Kamala Harris is planning a nationwide series of events focused on abortion", + "slugline": "BC-US--Harris-Abortion", + "description_summary": "Vice President Kamala Harris is planning a nationwide series of events focused on abortion. 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Her first event is scheduled for Wisconsin on Jan. 22, which would have been the 51st anniversary of Roe v. Wade, the landmark Supreme Court case that legalized abortion nationwide. The court overturned the decision in 2022 in the case of Dobbs v. Jackson Women\u2019s Health Organization.
\u201cI will continue to fight for our fundamental freedoms while bringing together those throughout America who agree that every woman should have the right to make decisions about her own body \u2014 not the government,\u201d Harris said in a statement.
Wisconsin is a critical battleground state where access to abortion has seesawed since the Supreme Court decision.
Other dates and locations for Harris' tour have not yet been announced.
The loss of Roe v. Wade was a historic setback for Democrats, and there\u2019s no clear path to restoring nationwide abortion rights as Republican-led states enact new restrictions.
However, Democrats successfully harnessed anger over the decision to stem their losses in the 2022 midterms \u2014 Republicans narrowly took control of the House rather than winning wipeout victories that had been forecast \u2014 and they plan to make the issue a rallying cry in 2024 as well.
Vice presidents are rarely decisive in election campaigns, but Harris is poised to play an important role next year.
Part of that reason is Biden's age; he would be 86 at the end of his second term.
She's also led the charge for the White House on abortion, holding more than 50 events in at least 16 states with lawmakers, attorneys general, activists and healthcare providers.
The issue was a focus for her recent college tour as well, when she visited campuses to speak to students.
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Adds hyperlink to Senate passage story. With AP Photos.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "WI--PFAS Pollution", + "headline": "Excessive costs force Wisconsin regulators to halt work on groundwater standards for PFAS chemicals", + "headline_extended": "Excessive compliance costs have forced Wisconsin regulators to stop developing groundwater standards on PFAS chemicals", + "slugline": "BC-WI--PFAS Pollution, 2nd Ld-Writethru", + "description_summary": "Excessive compliance costs have forced Wisconsin regulators to stop developing groundwater standards on PFAS chemicals. Gov. Tony Evers said Tuesday that the Department of Natural Resources has had to stop drafting the standards because an economic impact projection put the cost of compliance for industrial facilities and wastewater treatment plants at $33 million over the first two years the standards would be in effect. Then-Republican Gov. Scott Walker signed a law in 2017 that requires state agencies obtain permission from legislators to continue working on regulations with compliance costs of at least $10 million over any two-year period.", + "bylines": [ + { + "by": "By TODD RICHMOND", + "title": "Associated Press" + } + ], + "located": "MADISON, Wis.", + "datelinelocation": { + "city": "Madison", + "countryareacode": "WI", + "countryareaname": "Wisconsin", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -89.40123, + 43.07305 + ] + } + }, + "copyrightnotice": "Copyright 2023 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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(AP) \u2014 Excessive compliance costs have forced Wisconsin regulators to stop developing standards limiting so-called forever chemicals in groundwater, Gov. Tony Evers said Tuesday.
The Department of Natural Resources has been working on groundwater standards for PFAS chemicals for the past year. Groundwater is the source of drinking water for about two-thirds of Wisconsin residents.
But Evers said that the agency had to stop because economic impact projections put the cost of compliance for industrial facilities and wastewater treatment plants that discharge to groundwater at $33 million over the first two years the standards would be in effect.
Then-Republican Gov. Scott Walker signed a law in 2017 that requires state agencies to obtain permission from legislators to continue working on regulations with compliance costs of at least $10 million over any two-year period.
Republicans currently control the Legislature. Their relationship with Evers is strained \u2014 they rarely communicate with his administration \u2014 making it unlikely Evers could coax them into allowing the DNR to continue its work.
Still, the governor sent a letter to Republican Sens. Robert Cowles and Eric Wimberger asking them to champion legislation that would let the DNR continue drafting the standards.
Cowles and Wimberger have authored a bill that would use $125 million the Legislature set aside in the state budget to combat pollution to create grants to help municipalities deal with PFAS. The bill passed the Senate in November, but it hasn't gotten a floor vote in the Assembly. Democrats see that clause as diminishing the agency's authority.
Evers signaled Tuesday that he will likely veto the bill if it reaches his desk, directing the DNR to ask the Legislature's Republican-controlled finance committee to release the money to the agency so it can help local governments deal with contamination. The finance committee almost certainly won't go along with Evers' wishes, though, and neither Wimberger nor Cowles' offices immediately responded to an email late Tuesday afternoon seeking comment on the governor's requests.
PFAS are man-made chemicals that don\u2019t easily break down in nature. They are found in a wide range of products, including cookware, firefighting foam and stain-resistant clothing. The chemicals have been linked to health problems including low birth weight, cancer and liver disease, and they have been shown to make vaccines less effective.
Communities across Wisconsin are grappling with PFAS contamination, including Marinette, Madison, Eau Claire, La Crosse, Wausau and the towns of Peshtigo and Campbell.
The DNR's policy board in February 2022 adopted PFAS standards for surface and drinking water. Those went into effect in June of that year.
The board initially killed proposed PFAS limits in groundwater that same February amid concerns about the cost to paper mills and other businesses, wastewater plants and others for drilling new wells and installing treatment systems. The board restarted work on the standards in December 2022.
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Edits to conform.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "US--Chicago-Migrant-Child-Death", + "headline": "Migrant child's death and other hospitalizations spark concern over shelter conditions", + "headline_extended": "The death of a 5-year-old migrant boy and reported illnesses in other children has raised fresh concerns about the living conditions and medical care provided for asylum-seekers arriving in Chicago", + "slugline": "AP-US--Chicago-Migrant-Child-Death, 2nd Ld-Writethru", + "description_summary": "The death of a 5-year-old migrant boy and reported illnesses in other children has raised fresh concerns about the living conditions and medical care provided for asylum-seekers arriving in Chicago. Six more people living in the shelter \u2014 four children and two adults \u2014 were hospitalized this week. Medical professionals have worried for months about the disjointed healthcare system, saying new arrivals in the U.S. face numerous health issues. Jean Carlos Martinez, 5, was a resident at a shelter in Chicago\u2019s Pilsen neighborhood when he suffered a medical emergency, then died shortly after arriving at a hospital Sunday afternoon.", + "bylines": [ + { + "by": "By SOPHIA TAREEN and CLAIRE SAVAGE", + "title": "Associated Press" + } + ], + "located": "CHICAGO", + "datelinelocation": { + "city": "Chicago", + "countryareacode": "IL", + "countryareaname": "Illinois", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -87.65005, + 41.85003 + ] + } + }, + "copyrightnotice": "Copyright 2023 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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Medical professionals have worried for months about the disjointed healthcare system, saying new arrivals in the U.S. face numerous health issues. For many, the problems are either related to their journey, including trauma, or from living in crowded group settings where infections spread easily and quickly.
Five-year-old Jean Carlos Martinez was a resident at a shelter in Chicago\u2019s Pilsen neighborhood when he suffered a medical emergency, then was pronounced dead shortly after arriving at Comer Children\u2019s Hospital on Sunday afternoon, the city said. Six more people living in the shelter \u2014 four children and two adults \u2014 were hospitalized this week, according to Chicago Fire Department spokesperson Larry Langford.
All had been living in the same shelter as Martinez, whose family arrived in Chicago on Nov. 30. The cause of death was still \u201cpending\u201d on Tuesday, according to Cook County medical examiner records.
While city officials on Tuesday dismissed the notion of an outbreak at the shelter, there have been clusters of illness at other shelters where people sleep on cots close to each other, including chicken pox and hand foot and mouth disease. Area doctors are growing increasingly worried about RSV and COVID-19 this winter.
\u201cThese are hard environments for people to rest and feel good and be able to take care of themselves,\u201d said Dr. Evelyn Figueroa, who recently toured the shelter where the boy was living. She runs a nearby food pantry and has spent most of her medical career working with homeless, immigrant and low-income populations.
About 2,300 people are staying at the shelter, a former warehouse near downtown. The space has about 10 isolation rooms for when people get sick, according to Figueroa.
Questions about the environment for migrants come as Chicago is winding down its much-maligned practice of using police stations and airports for temporarily housing migrants arriving in the city. However, its use of shelters \u2014 which range from park district field houses to commercial spaces \u2014 have prompted equal criticism.
Residents have complained of faulty heat, water leaks, expired food and crowded conditions that are closed to the public, including reporters and some volunteers who were critical in providing medical care at police stations.
More than 26,000 migrants have arrived in Chicago over the past year by bus and plane with about 14,000 currently in shelters. Roughly 10,000 have been resettled into their own places, which is the city\u2019s ultimate goal. Chicago recently instituted a 60-day limit for shelters, with the first batch of evictions taking effect next month.
In another setback earlier this month, Gov. J.B. Pritzker\u2019s administration announced that it is scrapping plans for a temporary winter camp for migrants in the city's Brighton Park neighborhood on the southwest side, citing the risk of contaminants at the former industrial site.
Some medical professionals worry that more migrants will end up back at police stations or on the street.
\u201cWe are going to be needed again very shortly,\u201d said Sara Izquierdo, a medical student at the University of Illinois Chicago, who organized teams of medics to provide free care at police stations.
She and others argue that they city hasn\u2019t done enough to provide basic care.
City officials say each person is evaluated for medical issues when placed at city shelters and the city has partnered with two organizations to provide weekly medical care at shelters.
The city also pointed to its partnership with Cook County, which set up a clinic exclusively for migrants last year on the city\u2019s northwest side. As many as 100 patients are seen per day for vaccines, routine health concerns like rashes, and referrals for dental care or mental health issues. The clinic has seen more than 18,000 patients overall.
The Chicago Department of Public Health said Tuesday it didn\u2019t appear the boy died from an infectious disease, though an investigation was ongoing. City officials also said that the other illnesses do not appear to have originated in the same shelter and \u201care consistent with ongoing seasonal respiratory trends.\u201d
\u201cThere is no evidence of an outbreak at the shelter,\u201d the city said in a statement Tuesday.
City officials also offered a fuller account of the day the boy died, saying the family left the shelter for the day and returned around 2:30 p.m. About 13 minutes later, shelter staff saw a medical emergency, called 911 and administered first aid, including chest compressions, until medics arrived.
Mayor Brandon Johnson has directed blame at border states. He told reporters earlier this week that \u201cthe conditions in which people are arriving in Chicago are quite disturbing,\u201d he said. \u201cPeople are showing up in very extreme circumstances. Very very unhealthy.\u201d
He cited Texas Gov. Greg Abbott's practice of busing migrants to northern cities without notice and migrants' strenuous, perilous journeys from their home countries as reasons for the health issues shelter residents are facing.
\u201cThey're just dropping off people anywhere. Do you understand how raggedy and how evil that is?\u201d Johnson said.
The shelters are run by a private-staffing company, Favorite Healthcare Staffing, which city officials have said provides some basic medical care and calls ambulances. At the Pilsen shelter, one Chicago organization has helped with medical care a few hours a week.
The city has spent about $94 million for Favorite Healthcare\u2019s services \u2014 nearly 70% of its total spending, despite critics\u2019 claims that Favorite\u2019s costs are exorbitant and shelter conditions and resident treatment are poor. The company, which staffs the shelter where Martinez had lived, said they are working with the city and other authorities to investigate the incident.
\u201cWe are heartbroken to learn of the death of a child at a Pilsen shelter on Sunday, and we send our deepest condolences to his loved ones and community. We take the safety and wellbeing of all shelter residents seriously,\u201d Vice President Keenan Driver said in an emailed statement.
A vigil for the child and family is scheduled for Wednesday evening.
___
Savage is a corps member for the Associated Press/Report for America Statehouse News Initiative. Report for America is a nonprofit national service program that places journalists in local newsrooms to report on undercovered issues.
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The felony abuse-of-corpse charge against 33-year-old Brittany Watts, of Warren, has touched off a national firestorm over the treatment of pregnant women. Ohio Physicians for Reproductive Rights wrote Trumbull County Prosecutor Dennis Watkins it conflicts \u201cwith the spirit and letter\u201d of November's Issue 1. The group said her treatment could deter women from obtaining miscarriage care. Watts faces up to a year in prison, if convicted. Watkins didn't immediately return a call seeking comment.", + "bylines": [ + { + "by": "By JULIE CARR SMYTH", + "title": "Associated Press" + } + ], + "located": "COLUMBUS, Ohio", + "datelinelocation": { + "city": "Columbus", + "countryareacode": "OH", + "countryareaname": "Ohio", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -82.99879, + 39.96118 + ] + } + }, + "copyrightnotice": "Copyright 2023 The Associated Press. All rights reserved. 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Ohio Physicians for Reproductive Rights, a nonpartisan coalition of 4,000 doctors and others, argues in a letter to Trumbull County Prosecutor Dennis Watkins that the abuse-of-corpse charge against Brittany Watts, 33, conflicts \u201cwith the spirit and letter\u201d of Issue 1.
The measure, which was approved in November with 57% of the vote, guarantees an individual's \u201cright to make and carry out one's own reproductive decisions.\u201d It made Ohio the seventh-straight state to vote to protect reproductive rights since the U.S. Supreme Court\u2019s 2022 decision to overturn Roe v. Wade, the ruling that long legalized abortion nationally.
Watts\u2019 case has touched off a national firestorm over the treatment of pregnant women, particularly those like Watts who are Black, in post-Roe America. Civil rights attorney Benjamin Crump elevated Watts\u2019 plight in a post to X, formerly Twitter, and supporters have donated more than $135,000 through GoFundMe for her legal defense, medical bills and trauma counseling.
Watts miscarried at home Sept. 22, days after a doctor told her that her fetus had a heartbeat but was nonviable. She twice visited Mercy Health-St. Joseph's Hospital in Warren and twice left before receiving care. Her attorney said she was left waiting for lengthy periods and felt anxious and judged.
A nurse called police when Watts returned that Friday, no longer pregnant and bleeding. \"She says her baby's in her backyard in a bucket,\u201d the woman told a dispatcher. Police arrived at her home, where they found the toilet clogged and the 22-week-old fetus wedged in the pipes.
A city prosecutor told a municipal judge that Watts was wrong when she tried unsuccessfully to plunge the toilet, scooped the overflow into a bucket, set it outside by the trash and callously \u201cwent on (with) her day.\u201d
Her attorney, Traci Timko, argued Watts is being \"demonized for something that goes on every day.\u201d
An autopsy found \u201cno recent injuries\" to the fetus, which had died in utero.
The statute under which Watts is charged prohibits treating \u201ca human corpse\u201d in a way that would \u201coutrage\u201d reasonable family or community sensibilities. A violation is a fifth-degree felony punishable by up to a year in prison and a $2,500 fine.
Dr. Lauren Beene, executive director of the physicians\u2019 group, wrote Watkins: \u201cIt was wrong for the nurse who was caring for Ms. Watts and hospital administrators to call the police, wrong for the police to invade Ms. Watts\u2019 home while she was fighting for her life in the hospital, wrong for Warren assistant prosecutor Lewis Guarnieri to move that she be bound over to the Trumbull County grand jury, and wrong for Judge (Terry) Ivanchak to grant his motion. Prosecutor Watkins has the opportunity to be the first law enforcement official to do the right thing since this incident began.\u201d
She called it \u201can opportunity he should seize immediately.\u201d
Beene said Ohio Physicians for Reproductive Rights fears the case will deter other women from seeking miscarriage care. The organization also shared its letter, dated Dec. 15, with the Warren mayor, law director and city council members, in hopes of building support for dropping charges against Watts.
Messages seeking comment were left with Watkins, the mayor and the law director. The prosecutor told the Tribune Chronicle of Warren that his office does not comment on pending grand jury cases.
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Sheboygan County District Attorney Joel Urmanski on Tuesday appealed the ruling from a Dane County judge that said there is no state ban on abortions. The appeal was expected and the case is likely to ultimately be decided by the Wisconsin Supreme Court. Urmanski asked that the appeal be heard in the state\u2019s Waukesha-based 2nd District Court of Appeals where three of the four judges are conservatives. Appeals are heard by three-judge panels.", + "bylines": [ + { + "by": "By SCOTT BAUER", + "title": "Associated Press" + } + ], + "located": "MADISON, Wis.", + "datelinelocation": { + "city": "Madison", + "countryareacode": "WI", + "countryareaname": "Wisconsin", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -89.40123, + 43.07305 + ] + } + }, + "copyrightnotice": "Copyright 2023 The Associated Press. All rights reserved. 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(AP) \u2014 A Republican district attorney has appealed a court ruling that determined that an 1849 Wisconsin law does not ban abortions, a decision that cleared the way for abortions to resume in the state.
Sheboygan County District Attorney Joel Urmanski on Tuesday appealed the ruling from a Dane County judge that said there is no state ban on abortions. The appeal was expected and the case is likely to ultimately be decided by the Wisconsin Supreme Court.
Urmanski asked that the appeal be heard in the state's Waukesha-based 2nd District Court of Appeals, where three of the four judges are conservative. Appeals are heard by three-judge panels.
Any appeal of a ruling there would go to the state Supreme Court, where liberals hold a 4-3 majority. The most recently elected liberal justice, Janet Protasiewicz, campaigned as a supporter of abortion rights.
The U.S. Supreme Court\u2019s June 2022 decision to overturn Roe v. Wade, the landmark 1973 decision legalizing abortion, led to Planned Parenthood stopping abortions in Wisconsin. The group cited the state's 1849 law, which was widely viewed as banning the procedure.
Democratic Attorney General Josh Kaul sued to overturn the ban, naming Urmanski in Sheboygan County and prosecutors in Dane and Milwaukee counties as defendants. Those are the counties where Planned Parenthood had clinics that offered abortions.
Dane County Circuit Judge Dianne Schlipper ruled in July that the 1849 ban doesn\u2019t use the term \u201cabortion\u201d and that the law therefore only prohibits attacking a woman in an attempt to kill her unborn child. She issued her final order earlier this month, which opened the door for the appeal.
Planned Parenthood reopened clinics in Madison and Milwaukee that perform abortions soon after the July ruling. A third clinic in Sheboygan is scheduled to reopen next week.
District attorneys in all three counties where the clinics are located, including Urmanski, have said they will abide by the judge's ruling while the case plays out.
Marquette University Law School polls conducted since the Supreme Court overturned Roe v. Wade have shown that a majority of Wisconsin residents opposed that ruling and support legalized abortion.
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However, the document is more focused on the legal aspects rather than health outcomes or services directly." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2023/12/20/06922b5dc6923c1f7f4d833e435eb096.json b/datasets/AP_news/raw_data/2023/12/20/06922b5dc6923c1f7f4d833e435eb096.json new file mode 100644 index 0000000..40d0c95 --- /dev/null +++ b/datasets/AP_news/raw_data/2023/12/20/06922b5dc6923c1f7f4d833e435eb096.json @@ -0,0 +1,308 @@ +{ + "altids": { + "itemid": "06922b5dc6923c1f7f4d833e435eb096", + "etag": "06922b5dc6923c1f7f4d833e435eb096_0a7aza0c0", + "friendlykey": "611704813210", + "referenceid": "US--Abortion-2024 Legislatures-Things to Know" + }, + "version": 0, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2023-12-20T06:43:39Z", + "firstcreated": "2023-12-20T06:43:38Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: With AP Photos.", + "signals": [ + "newscontent" + ], + "title": "US--Abortion-2024 Legislatures-Things to Know", + "headline": "What to know about abortion policy across the US heading into 2024", + "headline_extended": "Abortion is going to be a major issue in the U.S. again in 2024, the second full year after the nation's top court ended a right to abortion and making it largely a state issue", + "slugline": "BC-US--Abortion-2024 Legislatures-Things to Know", + "description_summary": "Abortion is going to be a major issue in the U.S. again in 2024, the second full year after the nation's top court ended a right to abortion and making it largely a state issue. After prevailing on seven straight statewide ballot questions, abortion rights supporters are looking to ask voters to enshrine abortion rights in more states. When states have restricted abortion access, it's been followed by court challenges. Several of those have not yet been decided. Lawmakers could also continue to delve into abortion policy by clarifying exceptions in current bans and adding or removing restrictions.", + "copyrightnotice": "Copyright 2023 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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The abortion landscape has been in flux since the June 2022 U.S. Supreme Court ruling that overturned Roe v. Wade, which touched off a round of abortion policy changes and new litigation about them.
There are still looming ballot questions and court decisions. And lawmakers could tweak current abortion laws.
Here\u2019s a look at what to know.
Since Roe was overturned, abortion-related questions have been on the ballot in seven states \u2013 and the abortion rights side has prevailed on all of them.
Legislatures in the East Coast blue states of Maryland and New York have already put questions on the November 2024 ballot to amend the state constitutions to include rights regarding reproductive health care.
Both states already allow abortion through viability, which is generally considered to be about 24 weeks gestational age.
While those are the only states where ballot questions are a sure thing, they\u2019re possible in several others.
There are pushes to add constitutional rights to abortion in Minnesota, Montana, Nevada and Virginia, where it\u2019s legal in most cases already; and in Arizona, Florida, Nebraska and South Dakota, where heavier restrictions are in place.
In Missouri, where abortion is banned throughout pregnancy, there are dueling ballot measures to expand abortion access. One would bar the government from banning it during the first 24 weeks of pregnancy. Another, from moderate Republicans, would make it legal but for fewer weeks.
In Colorado, where abortion is legal in most cases, there are pushes for ballot measures both to enshrine abortion rights and to roll them back.
Lawmakers in Iowa, where abortion restrictions have been put on hold by a court, are pushing for an amendment that would clear the way for a ban. There could be a similar effort in Pennsylvania, where abortion is legal until viability.
For nearly 50 years, abortion legal questions were waged mostly in federal courts.
But the U.S. Supreme Court finding that there\u2019s no national right to abortion directed the latest generation of legal battles over abortion mostly to state court.
Some of the big issues that are yet to be decided:
Women in Idaho, Oklahoma, Tennessee and Texas are suing over being denied abortion while facing harrowing pregnancy complications. The Texas Supreme Court heard arguments in a similar case in November, and this month it denied a woman's request for an immediate abortion, finding that her life was not in danger, so she did qualify under the exceptions in state law.
The U.S. Supreme Court has agreed to take up the question of whether the U.S. Food and Drug Administration's approval of the abortion drug mifepristone was appropriate.
State courts are considering several challenges to abortion bans and restrictions, including in Iowa, Montana, Utah and Wyoming, where courts have blocked enforcement of the measures.
In Idaho, a federal judge in November blocked enforcement of the state's first-in-the-nation \u201cabortion trafficking\u201d ban while courts sort out the constitutionality of the measure.
Legislative sessions begin in January or February in most states, and there haven't been many abortion-related bills filed yet.
But activists on both sides anticipate that bills will emerge.
Inrgid Duran, the legislative director at National Right to Life, said other states could pursue provisions like Idaho's to make it illegal to transport a minor for an abortion without parental consent. Enforcement in Idaho is on hold.
She also said there could be more efforts to fund organizations, sometimes called crisis pregnancy centers, that seek to dissuade abortion, and more measures to clarify abortion definitions.
\u201cThe pro-life movement has faced challenges before and will continue to face challenges,\u201d she said. \u201cBut it\u2019s not going to deter us from continuing to do what is right by advocating for the vulnerable.\u201d
Some conservative groups are also prioritizing providing more resources to support women during pregnancy and after birth, including with tax credits or grants to boost organizations that encourage women not to seek abortions.
Missouri lawmakers have introduced measures that would make it possible to file homicide charges against women who have abortions. Most major anti-abortion groups oppose that approach, which has been introduced in other states but never gained traction.
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The document provides detailed information on the current and upcoming changes in abortion policies, which are crucial for understanding the broader health implications for women in the U.S." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2023/12/20/0c6bb7c3e40ba16714b0904bbd869490.json b/datasets/AP_news/raw_data/2023/12/20/0c6bb7c3e40ba16714b0904bbd869490.json new file mode 100644 index 0000000..f1b1a29 --- /dev/null +++ b/datasets/AP_news/raw_data/2023/12/20/0c6bb7c3e40ba16714b0904bbd869490.json @@ -0,0 +1,423 @@ +{ + "altids": { + "itemid": "0c6bb7c3e40ba16714b0904bbd869490", + "etag": "0c6bb7c3e40ba16714b0904bbd869490_1a13aza0c0", + "friendlykey": "18707558074", + "referenceid": "US-Election 2024-Christie" + }, + "version": 1, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2023-12-20T19:58:45Z", + "firstcreated": "2023-12-20T19:04:50Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: Adds more Christie comments", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "US-Election 2024-Christie", + "headline": "Chris Christie outlines his national drug crisis plan, focusing on treatment and stigma reduction", + "headline_extended": "Republican presidential hopeful Chris Christie is outlining his plan for addressing the latest wave of the nation's drug crisis", + "slugline": "BC-US-Election 2024-Christie, 1st Ld-Writethru", + "description_summary": "Republican presidential hopeful Chris Christie is outlining his plan for addressing the latest wave of the nation's drug crisis. 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(AP) \u2014 Calling the latest wave of the nation\u2019s drug crisis \u201ca test of our national resolve,\u201d Republican presidential hopeful Chris Christie returned to a New Hampshire recovery center Wednesday to outline a people-focused, not punitive, policy plan.
\u201cThis is a test to see who we want to be as both a people and as a country,\u201d he said at the Hope on Haven Hill wellness center, which services pregnant women and mothers struggling with substance use disorder. \u201cWe need an approach that remembers and reflects on the very basic humanity of every single one of those 100,000 victims, as well as the treasures each one of them could have brought to this country.\u201d
Christie led a White House commission on opioid misuse in 2017, and he praised former president Donald Trump for endorsing all 56 of its recommendations. But only about half have been enacted, and both Trump and President Joe Biden have treated the problem as a crisis in name only, Christie said. Meanwhile, other Republican presidential candidates, have focused too narrowly on preventing drugs from getting into the country, he said.
Without mentioning them by name, he described Florida Gov. Ron DeSantis\u2019s vow to shoot drug dealers at the border, former United Nations Ambassador Nikki Haley\u2019s plan to cut off trade with China and Trump\u2019s threat to take military action against Mexico.
\u201cIt will be important to stem some of the flow of this stuff into our country, but that\u2019s not going to be what fixes this problem by itself. And people who say that\u2019s what will do it just are not telling the truth,\u201d he said.
With 110,000 people dying of drug overdoses last year, reducing stigma and providing treatment is the only thing that\u2019s going to get the problem under control, he said.
\u201cWe don\u2019t solve this crisis unless we focus on substance use disorder and what gets us there and what helps to help get people out of it and into recovery,\u201d he said.
Christie said he finds Biden\u2019s inaction particularly galling given Hunter Biden\u2019s struggles with addiction.
\u201cHe owes it to this country as a father who understands the pain that every family member goes through when there\u2019s someone with active addiction in their family,\u201d he said. \u201cIt\u2019s astonishing to me he\u2019s not talking about this.\u201d
Christie said he would increase access to medication-assisted treatment by making the telehealth policies created during the coronavirus pandemic permanent, requiring all federally qualified health centers to provide such treatment and creating mobile opioid treatment programs.
He also called for expanding block grants to states, tied to specific requirements for data collection and sharing. The pandemic, he argued, showed that vast amounts of data can be gathered and shared quickly, and the same should be done to track overdose deaths and identify the areas of greatest need.
\u201cWe\u2019ve been told for decades it\u2019s just too difficult to accurately track and understand,\u201d he said. \u201cIf we keep saying that these things are too hard, what we\u2019re saying is that working harder at this is too much and that the lives that we\u2019re losing are not worth it. I\u2019m sorry, I just don\u2019t believe that.\u201d
Jackie Lacrosse, who lives in Hope on Haven Hill\u2019s transitional shelter with her three-year-old daughter, asked Christie what he would do to help those in recovery secure housing. She was pleased with his answer \u2014 reallocating money in federal programs to target that population \u2014 as well as his approach overall.
\u201cI think Chris is super knowledgeable, and I think he can bring that knowledge and his history to the campaign,\u201d she said.
Christie met the recovery center's founder during his 2016 campaign for president when she was just getting the program off the ground and has visited its facilities since. While the types of drugs have changed \u2014 from overprescribed painkillers to heroin to street-drugs laced with fentanyl \u2014 the stories he hears from voters have not, he said in an interview before his speech.
\u201cThe sad thing is, I see no difference eight years later, and I think that's the thing that is the most concerning and frustrating,\u201d he said.
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The document also touches on the impact of drug addiction on individuals and families, which is a significant health issue." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2023/12/20/1f5f73a8e2f1c491d79e5cb2e6db452a.json b/datasets/AP_news/raw_data/2023/12/20/1f5f73a8e2f1c491d79e5cb2e6db452a.json new file mode 100644 index 0000000..f7c84bb --- /dev/null +++ b/datasets/AP_news/raw_data/2023/12/20/1f5f73a8e2f1c491d79e5cb2e6db452a.json @@ -0,0 +1,276 @@ +{ + "altids": { + "itemid": "1f5f73a8e2f1c491d79e5cb2e6db452a", + "etag": "1f5f73a8e2f1c491d79e5cb2e6db452a_0a3aza0c0", + "friendlykey": "785729421739", + "referenceid": "NC--Medicaid Expansion" + }, + "version": 0, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2023-12-20T17:53:14Z", + "firstcreated": "2023-12-20T17:53:13Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "signals": [ + "newscontent" + ], + "title": "NC--Medicaid Expansion", + "headline": "North Carolina Medicaid expansion enrollment reached 280,000 in first weeks of program", + "headline_extended": "The number of North Carolina residents enrolled in Medicaid under the state\u2019s new coverage for low-income adults is approaching 300,000 in its first weeks", + "slugline": "BC-NC--Medicaid Expansion", + "description_summary": "The number of North Carolina residents enrolled in Medicaid under the state\u2019s new coverage for low-income adults is approaching 300,000 in its first weeks. Medicaid expansion began Dec. 1 in the state. The expansion coverage applies to people ages 19-64 who make too much to qualify for traditional Medicaid but not enough to benefit much from government-subsidized private insurance. The state Department of Health and Human Services says that as of Dec. 12 there were 280,000 expansion enrollees. Nearly all of them received that coverage on the program's first day. Gov. Roy Cooper's administration projects ultimately 600,000 will receive coverage over time. DHHS unveiled on Wednesday a new online dashboard with expansion data.", + "located": "RALEIGH, N.C.", + "datelinelocation": { + "city": "Raleigh", + "countryareacode": "NC", + "countryareaname": "North Carolina", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -78.63861, + 35.7721 + ] + } + }, + "copyrightnotice": "Copyright 2023 The Associated Press. All rights reserved. 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(AP) \u2014 The number of North Carolina residents enrolled in Medicaid under the state\u2019s new coverage for low-income adults is nearing 300,000 in the first weeks of the program, the state Department of Health and Human Services says.
Medicaid expansion began Dec. 1 in North Carolina, after Republican legislators and Democratic Gov. Roy Cooper agreed to legislation this year that accepted the coverage offered to states through the 2010 Affordable Care Act.
The expansion coverage applies to people ages 19-64 who make too much to qualify for traditional Medicaid but not enough to benefit much from government-subsidized private insurance.
As of Dec. 12, the latest figures available from DHHS, there were 280,000 expansion enrollees. Nearly 273,000 were enrolled and covered by expansion on Dec. 1, with the first-day total largely coming from people who were already receiving Medicaid for family-planning coverage and were moved automatically through expansion for broader medical care.
As the start date for expansion neared, the Cooper administration estimated that close to 300,000 would be enrolled on day one, with ultimately 600,000 receiving coverage over time.
The data comes as DHHS unveiled on Wednesday an online dashboard that will update monthly expansion enrollment and demographic and health care trends. For example, the agency says, the dashboard shows the highest percentages of adults 19-64 now covered by Medicaid are in four rural counties -- Anson, Edgecombe, Richmond and Robeson.
DHHS also said more than 84,000 people had applied for Medicaid through Dec. 15, with county social service officials processing the application. And 49,000 prescriptions have been filled for expansion enrollees as of Dec. 12.
\u201cHundreds of people each day are gaining health care coverage and getting the care they need,\u201d state health Secretary Kody Kinsley said in a news release. \u201cOur work continues with state and community partners to support enrollment efforts to ensure as many people as possible can get covered.\u201d
The state continues to operate an online dashboard that keeps track of overall Medicaid enrollment, which was about 2.85 million people as of November.
North Carolina was the 40th state, along with the District of Columbia, to implement Medicaid expansion.
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But like many homeless people, White suffered from diabetes and cardiovascular disease. He died unexpectedly one sweltering September day at age 36.
Thousands of people like White who died this year without a permanent home are being memorialized on Thursday in communities from Cape Cod, Massachusetts to La Crosse, Wisconsin, to Riverside, California. Established in 1990, the increasingly popular Homeless Persons\u2019 Memorial Day is observed with prayers, candles, moments of silence and the reading of names on Dec. 21, the first day of winter and the longest night of the year.
A national gathering called \u201cOne Life, Too Many. Another Year, Too Long\u201d is planned Thursday afternoon in Washington, with a Zoom call so people can follow from afar.
Other gatherings will be in Cincinnati, Ohio; Wilmington, Delaware; and San Diego. A ceremony in Phoenix will honor 758 homeless people confirmed to have died so far this year in Maricopa County, the most populous in Arizona and home to Phoenix, the state's largest city.
That's already a record. The Maricopa County Medical Examiner investigated 732 deaths of homeless people in 2022, representing a 42% jump in deaths from 2021.
\"Without sufficient housing and services, people will continue to die on the streets,\u201d said Lisa Glow, CEO at Central Arizona Shelter Services, which operates the state\u2019s largest emergency shelter, a 600-bed facility in Phoenix.
DeBorah Gilbert White, the public education director for the National Coalition for the Homeless, said learning about those who died can shatter stereotypes. At one event several years ago, she learned of a 3-year-old homeless girl who died in the nation's capital.
White said that as the population grows older, more people are dying in their 60s. She noted that many with chronic conditions like diabetes don't have the necessary conditions, such as refrigeration for insulin, to care for their health.
Overall, homelessness is surging. The recent Annual Homeless Assessment Report from the Department of Housing and Urban Development showed that roughly 653,100 people in the United States were experiencing homelessness. That's a 12% overall increase over the previous year and the highest since reporting began in 2007.
\u201cA lot of people living in encampments are uninsured and without access to medical treatment for a variety of illnesses that are exacerbated by living unsheltered,\u201d said Etel Haxhiaj, a spokesperson for the National Healthcare for the Homeless Council.
The council supports the remembrance events to push for better tracking of the deaths.
Maricopa County is among few U.S. jurisdictions engaged in such tracking.
Drug and alcohol abuse figured into many deaths and was often the main cause. While a stroke killed White, methamphetamine intoxication contributed to his death, according to the medical examiner. Cardiovascular events like strokes and heart attacks, followed by traffic injuries, are also common ways that homeless people die.
Many homeless people are estranged from family, which means their deaths can pass virtually unnoticed. But when White died, at least 60 people, including family members from Arizona and Oklahoma, showed up for his funeral. The food was catered by Feed Phoenix, the nonprofit organization he volunteered with.
Among the mourners was Phoenix documentary photographer Eric Elmore, who created numerous black and white portraits of White over a year. The downtown encampment where White lived once housed hundreds of people in tents, but it has since been cleared out under a court order.
\u201cHe had this kind of energy that would just draw you in,\u201d Elmore said of White. \u201cHe had a huge personality.\u201d
Megan Kepler, who volunteered with White, remembered him on Wednesday as \u201ca man who was full of kindness and joy.\u201d
\u201cAlthough he had many struggles, he always had a smile on his face and a positive attitude. He stayed hopeful in the face of difficulties,\u201d said Kepler. \u201cWe miss our friend dearly, and hope that others can see that he was not just a number, but instead a valued and loved human being.\u201d
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These aspects are directly related to health, making the document relevant to the topic." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2023/12/20/38883851ee722ae9a31d2696daffa235.json b/datasets/AP_news/raw_data/2023/12/20/38883851ee722ae9a31d2696daffa235.json new file mode 100644 index 0000000..b9a1ce1 --- /dev/null +++ b/datasets/AP_news/raw_data/2023/12/20/38883851ee722ae9a31d2696daffa235.json @@ -0,0 +1,226 @@ +{ + "altids": { + "itemid": "38883851ee722ae9a31d2696daffa235", + "etag": "38883851ee722ae9a31d2696daffa235_0a6aza0c0", + "friendlykey": "786312554132", + "referenceid": "US--Cheese Factory-Workers Sickened" + }, + "version": 0, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2023-12-20T21:03:22Z", + "firstcreated": "2023-12-20T21:03:21Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "signals": [ + "newscontent" + ], + "title": "US--Cheese Factory-Workers Sickened", + "headline": "Chemical leak at Tennessee cheese factory La Quesera Mexicana sends 29 workers to the hospital", + "headline_extended": "Officials in the Tennessee city of Greeneville are working to determine the cause of a leak of anhydrous ammonia that sent 29 workers to the hospital Wednesday morning", + "slugline": "AP-US--Cheese Factory-Workers Sickened", + "description_summary": "Officials in the Tennessee city of Greeneville are working to determine the cause of a leak of anhydrous ammonia that sent 29 workers to the hospital Wednesday morning. Greeneville City Manager Todd Smith says the fire department was first called to La Quesera Mexicana, a local cheese factory, at 7:15 a.m. where a leak occurred during maintenance on a valve. Six people were hospitalized and the leak was believed fixed. However, a second call about a leak came at 10:01 a.m. and another 23 people were hospitalized. Smith says they aren't sure if the two leaks had the same source. He says the leak is now repaired and there is no threat to the surrounding community.", + "located": "GREENEVILLE, Tenn.", + "datelinelocation": { + "city": "Greeneville", + "countryareacode": "TN", + "countryareaname": "Tennessee", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -82.83099, + 36.16316 + ] + } + }, + "copyrightnotice": "Copyright 2023 The Associated Press. All rights reserved. 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(AP) \u2014 Twenty-nine workers at a Tennessee cheese factory were sent to the hospital on Wednesday morning after a leak of anhydrous ammonia, Greeneville City Manager Todd Smith said at a news conference.
The Greeneville Fire Department was first called to La Quesera Mexicana at 7:15 a.m. when a leak occurred during maintenance on a valve. Six people were hospitalized at the time.
\u201cThe leak was contained and fixed at that moment. And the scene was certified as safe,\u201d Smith said.
However, a second call about a leak came in at 10:01 a.m. A further 23 people were hospitalized and 53 other employees were evaluated for possible illness, Smith said. Anhydrous ammonia can irritate or damage the lungs and burn the eyes and skin.
Officials do not yet know if the two leaks came from the same source, Smith said, but the second leak was repaired and there was no risk to the surrounding community.
Ballad Health set up incident command centers at Greeneville Community Hospital and Johnson City Medical Center to handle the influx of patients, according to a news release from the health system. As of noon, the system was treating 25 patients from the incident.
Medical staff were working together with other emergency responders including from the Tennessee Emergency Management Agency.
", + "textformat": "bx", + "links": [ + { + "href": "https://apnews.com/article/chemical-leak-cheese-factory-tennessee-38883851ee722ae9a31d2696daffa235", + "rel": "canonical" + } + ], + "topics": { + "Health": { + "relevance_score": 5, + "reason": "The document discusses a chemical leak at a cheese factory in Tennessee that resulted in 29 workers being hospitalized. It details the nature of the chemical (anhydrous ammonia), its health effects, and the response from medical and emergency services. This information is directly related to health, particularly occupational health and safety, and the medical response to chemical exposure." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2023/12/20/50bf7739fc9d69f4b991a14daadecaba.json b/datasets/AP_news/raw_data/2023/12/20/50bf7739fc9d69f4b991a14daadecaba.json new file mode 100644 index 0000000..ef64279 --- /dev/null +++ b/datasets/AP_news/raw_data/2023/12/20/50bf7739fc9d69f4b991a14daadecaba.json @@ -0,0 +1,358 @@ +{ + "altids": { + "itemid": "50bf7739fc9d69f4b991a14daadecaba", + "etag": "50bf7739fc9d69f4b991a14daadecaba_2a35aza0c0", + "friendlykey": "57296136096", + "referenceid": "US--Virus Outbreak-Shedding Stockpiles" + }, + "version": 2, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2023-12-20T16:44:12Z", + "firstcreated": "2023-12-20T05:10:01Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: Adds a phrase explaining that expiration dates are set for PPE because materials can degrade. Links audio. With AP Photos. AP Audio.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "US--Virus Outbreak-Shedding Stockpiles", + "headline": "States are trashing troves of masks and pandemic gear as huge, costly stockpiles linger and expire", + "headline_extended": "Some states that stockpiled millions of masks and other personal protective equipment during the coronavirus pandemic are now throwing the items away", + "slugline": "AP-US--Virus Outbreak-Shedding Stockpiles, 2nd Ld-Writethru", + "description_summary": "Some states that stockpiled millions of masks and other personal protective equipment during the coronavirus pandemic are now throwing the items away. An Associated Press investigation found that at least 15 states have tossed out some of the PPE items because they are expiring or have more than they need. Other states have sold extra materials at bargain prices or have tried to give away surplus masks, gowns and gloves but have had difficulty finding entities willing to take them. Public health experts say the glut of supplies shows that governments need to do a better job of planning for future emergencies.", + "bylines": [ + { + "by": "By JENNIFER PELTZ and DAVID A. LIEB", + "title": "Associated Press" + } + ], + "copyrightnotice": "Copyright 2023 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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"itemid": "41aa6bc737ab44e8a3a670c57fe01d45" + }, + "type": "picture" + }, + "4": { + "altids": { + "itemid": "d2107443509f4b59a6177561cfe159a3" + }, + "type": "picture" + }, + "5": { + "altids": { + "itemid": "78667f9dd7774b7a95b6432dbd9a3f09" + }, + "type": "picture" + }, + "6": { + "altids": { + "itemid": "63dde29f85ed468aa1361e3d62c67a25" + }, + "type": "picture" + }, + "7": { + "altids": { + "itemid": "bc83d763577d4340988b0a8f2e37fc5b" + }, + "type": "picture" + }, + "8": { + "altids": { + "itemid": "1cd6dcbb9c824b82b8676ce1c95fdbf3" + }, + "type": "audio" + }, + "9": { + "altids": { + "itemid": "a87c1e8087b645ed85113406c2135569" + }, + "type": "audio" + } + }, + "body_nitf": "When the coronavirus pandemic took hold in an unprepared U.S., many states like Ohio scrambled for masks and other protective gear. Supplies were so limited in 2020 that the state bought millions of medical gowns from a marketing and printing company and spent about $20 million to try to get personal protective equipment made in-state.
Three years later, as the grips of the pandemic have loosened, Ohio and other states are now trying to deal with an excess of protective gear, ditching their supplies in droves.
With expiration dates passing and few requests to tap into the stockpile, Ohio auctioned off 393,000 gowns for just $2,451 and ended up throwing away another 7.2 million, along with expired masks, gloves and other materials. The now expiring supplies had cost about $29 million in federal money.
A similar reckoning is happening around the country. Items are aging, and as a deadline to allocate federal COVID-19 cash approaches next year, states must decide how much to invest in maintaining warehouses and supply stockpiles.
An Associated Press investigation found that at least 15 states, from Alaska to Vermont, have tossed some of their trove of PPE because of expiration, surpluses and a lack of willing takers.
Into the trash went more than 18 million masks, 22 million gowns, 500,000 gloves, and more. That\u2019s not counting states that didn\u2019t give the AP exact figures or responded in cases or other measurements. Rhode Island said it shredded and recycled 829 tons of PPE; Maryland disposed of over $93 million in supplies.
\u201cWhat a real waste. That\u2019s what happens when you don\u2019t prepare, when you have a bust-and-boom public health system,\u201d where a lack of planning leads to panicked over-purchasing in emergencies, said Dr. Georges Benjamin, executive director of the American Public Health Association. \u201cIt shows that we really have to do a better job of managing our stockpiles.\u201d
The AP sent inquiries about PPE stockpiles to all 50 states over the past several months. About half responded.
States emphasize that they distributed far more gear than they discarded and have gone to lengths to donate the leftovers. Washington state sent hundreds of thousands of supplies to the Marshall Islands last year. Pennsylvania says it offered PPE to 10,000 cities, heath facilities and more throughout the pandemic. Both states still ended up throwing out loads of expired items.
Some states found limited post-expiration uses, such as training exercises.
Many states are keeping at least a portion, and sometimes all, of their remaining protective gear. Some, such as Minnesota, even plan to update their stockpiles.
But others say the vagaries of the pandemic and the PPE supply left no choice but to acquire the items, and now to throw them out, however reluctantly. Expiration dates are set because materials can degrade and might not work as intended. The Federal Emergency Management Agency has set the fair market value of expired supplies at zero dollars.
\u201cAnytime you\u2019re involved in a situation where you\u2019re recalling how difficult it was to get something in the first place, and then having to watch that go or not be used in the way it was intended to be used, certainly, there\u2019s some frustration in that,\u201d said Louis Eubank, who runs the South Carolina health department\u2019s COVID-19 coordination office. The state has discarded over 650,000 expired masks.
Before the coronavirus pandemic, health care product distributors typically kept 20 to 30 days of supplies. That wasn\u2019t enough when the pandemic struck and demand skyrocketed for N95 masks, gloves and gowns. They became so scarce that some health care workers wore homemade masks and used trash bags for gowns.
Hampered by years of underfunding and expanded responsibilities, the U.S government\u2019s Strategic National Stockpile \u201cwas not equipped to handle the COVID-19 pandemic,\u201d according to an inspector general\u2019s report. As the federal stockpile dwindled, states plunged into global bidding wars and anything-goes arrangements. Massachusetts even used the New England Patriots\u2019 team plane to collect masks from China.
The explosive demand triggered a surge \u2014 and ultimately a hard crash \u2014 for American PPE manufacturers. The AP found in 2020 that states spent over $7 billion in a few months on PPE, ventilators and some other high-demand medical devices in a seller\u2019s market. Ultimately, the federal government paid for many of the supplies.
\u201cThere was no way to know, at the time of purchase, how long the supply deficit would last or what quantities would be needed,\u201d Ohio Department of Health spokesperson Ken Gordon said.
Ohio distributed more than 227 million pieces of protective equipment during the pandemic. But as the supply crunch and the health crisis eased, demand faded, especially for gowns.
Now, \u201cstates, hospitals, manufacturers \u2013 everybody in the whole system -- has extra product,\u201d said Linda Rouse O\u2019Neill of the Health Industry Distributors Association.
Given the glut, stockpiled items are selling for bargain prices, if at all. Vermont got $82.50 for 105,000 boot covers and 29 cents apiece for thousands of safety goggles.
The glut extends beyond states. Georgia\u2019s Fulton County, which encompasses Atlanta, dispensed gloves, hand sanitizer and other supplies by the dozens of boxes at a public PPE giveaway in March.
New York City said it auctioned a heap of \u201cnon-medical-grade\u201d PPE that was expiring or supplanted by better versions. Health Commissioner Dr. Ashwin Vasan told local lawmakers in May that officials would focus on enhancing supply contracts for future emergencies, rather than prioritizing \u201ca static stockpile of commodities.\"
Missouri\u2019s mental health department planned but scrapped an auction of thousands of extra masks, gowns and other protective items bought with federal coronavirus relief money. The agency cited a belief that federal rules barred such a sale, but the U.S. Treasury Department later told the AP that states can sell excess PPE.
Supply chain chaos prompted some governments to place multiple orders, resulting in surpluses when the shipments belatedly arrived.
A New York state-run veterans\u2019 home was so deluged by PPE deliveries in early 2021 that it stashed them under tarps in a parking lot. By the time a warehouse was arranged four months later, between $560,000 and $1.6 million of supplies were too damaged to use \u2014 and cost another $21,000 to incinerate, according to a state inspector general\u2019s office report. Another $779,000 in expired items have been discarded.
Striking a balance between preparedness and surpluses is \u201ca major dilemma\u201d for governments, said Scott Amey of the Project on Government Oversight, a Washington, D.C.-based watchdog group. And while politicians vowed in 2020 never to be caught off guard again, \u201cmemories are short, budgets are tight,\u201d Amey noted.
In Wisconsin, a legislative committee axed from the budget $17.2 million that would have funded a warehouse with an ongoing 60-day supply of PPE for two years.
The state Department of Health Services said it is now \u201cdemobilizing the warehouse\u201d and trying to donate the supplies. Already, Wisconsin has tossed nearly 1.7 million masks and almost 1 million gowns.
In Michigan, a 2021 state law requires the state health department to keep a stockpile of up to two months of medical supplies, and the department\u2019s website shows more than 38 million items on hand.
But one of the law\u2019s sponsors, Republican state Rep. John Roth, said he now thinks \u201cwe have to take another look at it,\u201d suggesting a one-month supply might mean less waste.
The Health Industry Distributors Association recommends that product distributors maintain a 60-to-90-day supply to guard against demand spikes. But the group says it\u2019s probably unnecessary for everyone in the system \u2014 from manufacturers to doctors\u2019 offices \u2014 to have such a large cushion.
Some government officials concur.
\u201cIt\u2019s not really practical for most local health departments to have a large stockpile of materials for \u2018just in case,\u2019\u201d said Adriane Casalotti of the National Association of County and City Health Officials. \u201cThey have limited budgets. They also have limited space.\u201d
Pennsylvania officials are aiming for a 15-day stockpile after frank conversations about what they can afford not only to keep, but to keep replacing. Tens of thousands of cases of PPE already have expired and been slated for disposal.
\u201cIf we had unlimited federal funding, or even significantly more federal funding, for public health preparedness, that 60-day stockpile or 90-day stockpile would be a fantastic idea,\" said Andy Pickett, the Health Department\u2019s emergency preparedness and response director.
Meanwhile, Missouri\u2019s health department has maintained a 90-day supply of PPE, based on the highest-demand months of the pandemic. It\u2019s keeping even expired materials, presuming the federal government will OK their use in an emergency as it did for COVID-19. Missouri has insured the stockpile at $19 million.
\u201cIf you don\u2019t make the investment \u2013 and perhaps the investment that is never used \u2013 then you may not be prepared to assist the public when it\u2019s needed,\u201d Missouri health director Paula Nickelson said.
Minnesota\u2019s Department of Health was allocated some money this year for retaining and restocking PPE and is figuring out how much, while trying to condense the cache. For now, emergency response official Deb Radi says the agency expects to dispose of a few expiring gowns \u2014 items once so elusive that the state bought disposable raincoats instead.
\u201cPeople might be critical that we have some excess supply right now, but they would have been way more critical if we were not trying to procure supplies at the time we needed them,\u201d Radi said.
She hopes the federal government will examine how expiration dates are determined and whether they can be extended.
Chris Emory, who runs New Mexico\u2019s Bureau of Health Emergency Management, suggests incentivizing suppliers to expand their stocks. Still, his state is hanging onto its PPE cache, after using masks left over from fighting the H1N1 flu when COVID-19 struck.
Nevada, meanwhile, can\u2019t give its aging PPE away fast enough. Pallets of it are at or approaching expiration in a leased warehouse, Department of Administration Director Jack Robb lamented.
Nevada is endeavoring to shed expiring supplies safely and efficiently and not waste money, \u201cbut the bulk of this is going to end up in a landfill,\u201d he said. Some already did.
But Robb said officials \u201cmade the best decisions that they could\u201d when confronted with a disease that has killed nearly 7 million people worldwide, including some of his close friends.
\u201cAnd I hope we never see anything like that again in our lifetime,\u201d he said.
", + "textformat": "bx", + "links": [ + { + "href": "https://apnews.com/article/coronavirus-pandemic-ppe-stockpiles-masks-50bf7739fc9d69f4b991a14daadecaba", + "rel": "canonical" + } + ], + "topics": { + "Health": { + "relevance_score": 5, + "reason": "The document discusses the disposal of expired personal protective equipment (PPE) and the challenges states face in managing stockpiles of health-related supplies post-pandemic. It includes detailed information on the financial and logistical aspects of maintaining and discarding PPE, which is directly related to public health preparedness and response. 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Edits throughout; With AP Photos.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "US--Abortion-North Dakota", + "headline": "North Dakota judge to decide whether to temporarily block part of abortion law that limits doctors", + "headline_extended": "Physicians and the former sole abortion provider in North Dakota have asked a state district court judge to temporarily block the enforcement of part of a revised law that bans most abortions so doctors can perform the procedure to save patients' lives or health", + "slugline": "BC-US--Abortion-North Dakota, 2nd Ld-Writethru", + "description_summary": "Physicians and the former sole abortion provider in North Dakota have asked a state district court judge to temporarily block the enforcement of part of a revised law that bans most abortions so doctors can perform the procedure to save patients' lives or health. They argue a provision that allows the procedure in life-saving or \u201cserious health risk\u201d scenarios is vague. Earlier this year, the Republican-led Legislature passed a bill that essentially revised the state's abortion laws after the U.S. Supreme Court's 2022 decision striking down the constitutional right to an abortion. In April, Republican Gov. Doug Burgum signed the bill into law.", + "bylines": [ + { + "by": "By JACK DURA", + "title": "Associated Press" + } + ], + "located": "BISMARCK, N.D.", + "datelinelocation": { + "city": "Bismarck", + "countryareacode": "ND", + "countryareaname": "North Dakota", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -100.78374, + 46.80833 + ] + } + }, + "copyrightnotice": "Copyright 2023 The Associated Press. All rights reserved. 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(AP) \u2014 A North Dakota judge said Wednesday he will decide soon whether to temporarily block a part of the state's revised abortion laws so doctors can perform the procedure to save a patient's life or health.
The request for a preliminary injunction asks state District Court Judge Bruce Romanick to bar the state from enforcing the law against physicians who use their \u201cgood-faith medical judgment\u201d to perform an abortion because of pregnancy complications that could pose \"a risk of infection, hemorrhage, high blood pressure, or which otherwise makes continuing a pregnancy unsafe.\u201d
North Dakota outlaws all abortions, except in cases where women could face death or a \u201cserious health risk.\u201d People who perform abortions could be charged with a felony under the law, but patients would not.
Physicians, to mitigate risk of prosecution, \"feel like they must delay offering abortions to their patients until the patients' health has declined to the point where other physicians could not plausibly disagree that it was necessary to provide an abortion,\u201d Center for Reproductive Rights attorney Meetra Mehdizadeh said.
\u201cPatients and physicians have experienced significant harm,\u201d she said. \u201cFor patients, the denial of their constitutional rights and forced additional health risks; and for physicians, the harm of having the threat of criminal prosecution hanging over their head every time they treat a patient with a medical complication.\u201d
The state's revised abortion laws also provide an exception for pregnancies caused by rape and incest, but only in the first six weeks, before many women know they are pregnant. It also allows for treatment of ectopic and molar pregnancies, which are nonviable situations.
Special Assistant Attorney General Dan Gaustad cited the plaintiffs' \u201cseven-month delay\u201d in seeking a preliminary injunction, and he disputed the \u201cgood-faith medical judgment\" language. He told the judge the plaintiffs are asking him \u201cto modify and rewrite the statute under the guise of a preliminary injunction.\" The law uses \u201dreasonable medical judgment.\"
The Red River Women\u2019s Clinic sued the state last year after the U.S. Supreme Court\u2019s Dobbs decision, which overturned the court's landmark 1973 Roe v. Wade ruling establishing a nationwide right to abortion. The lawsuit targeted the state\u2019s since-repealed trigger ban \u2014 a ban designed to go into effect immediately if the court overturned Roe v. Wade \u2014 as unconstitutional. The clinic moved from Fargo to neighboring Moorhead, Minnesota, where abortion is legal.
The judge granted a preliminary injunction blocking the ban from taking effect last year, which the state Supreme Court upheld in March.
Chief Justice Jon Jensen wrote in the court\u2019s March decision that \u201cit is clear the citizens of North Dakota have a right to enjoy and defend life and a right to pursue and obtain safety, which necessarily includes a pregnant woman has a fundamental right to obtain an abortion to preserve her life or her health.\u201d
Soon afterward, North Dakota's Republican-controlled Legislature passed a bill revising the state's abortion laws, which Gov. Doug Burgum signed into effect in April.
In June, the clinic filed an amended complaint, joined by several doctors in obstetrics, gynecology and maternal-fetal medicine. A jury trial is scheduled for August 2024.
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The Richmond Times-Dispatch reports that the state Department of Health led the investigation of Parham Doctors\u2019 Hospital, where Irvo Otieno was briefly held. The 28-year-old Black man died in March after being pressed to the floor of Central State Hospital for about 11 minutes by a group of Henrico County sheriff\u2019s deputies and hospital employees. Inspectors said that Parham staff were \u201cnot in compliance\u201d with health guidelines for hospitals that treat mental health crisis patients.", + "located": "RICHMOND, Va.", + "datelinelocation": { + "city": "Richmond", + "countryareacode": "VA", + "countryareaname": "Virginia", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -77.46026, + 37.55376 + ] + } + }, + "copyrightnotice": "Copyright 2023 The Associated Press. All rights reserved. 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(AP) \u2014 The hospital that initially treated a man who later died while being admitted to a Virginia psychiatric hospital failed to meet care standards while he was in a mental health crisis, a state investigation found.
The state Department of Health led the investigation of Parham Doctors' Hospital, where Irvo Otieno was briefly held, the Richmond Times-Dispatch reported.
Otieno, a 28-year-old Black man, died in March after being pressed to the floor of Central State Hospital for about 11 minutes by a group of Henrico County sheriff\u2019s deputies and hospital employees. Surveillance video that captured how Otieno was treated at the facility where he was set to receive care sparked outrage across the U.S. and calls for mental health and policing reforms.
Parham staff were \u201cnot in compliance\u201d with health guidelines for hospitals that treat mental health crisis patients, two inspectors said. The report also said a psychiatrist did not examine Otieno during his six hours in the emergency department.
\u201cThe facility staff failed to provide stabilizing treatment for one of twenty-five patients after the patient presented to the emergency department with an emergency medical condition,\u201d the report said.
Parham Doctors' Hospital is working with the Department of Health and has submitted an action plan requested by the agency, said Pryor Green, a spokesperson for Hospital Corporations of America, which owns the facility.
\u201cWe strive to always provide compassionate, high-quality care to all patients,\u201d Green said.
Otieno was experiencing mental distress at the time of his initial encounter with law enforcement in suburban Richmond in early March, days before he was taken to the state hospital, his family has said.
He was first taken into police custody March 3, when he was transported to the local hospital for mental health treatment under an emergency custody order.
Police have said that while at the local hospital, he \u201cbecame physically assaultive toward officers,\u201d at which point they arrested him and took him to a local jail, a transfer Otieno\u2019s family has said should never have happened.
Mark Krudys, an attorney for the Otieno family, described his treatment at Parham as \u201cnon-care.\u201d
\u201cThe very reason that lrvo was brought to the hospital was to stabilize his condition, but that effort was effectively abandoned,\u201d Krudys said Tuesday afternoon in a statement.
Otieno's death has led to legal charges and a wrongful death settlement in addition to a pledge from the governor to seek reforms for mental health care.
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in an unprepared U.S., states scrambled for masks and other protective gear.
Three years later, as the grips of the pandemic have loosened, many states are now trying to deal with an excess of protective gear, ditching their supplies in droves.
With expiration dates passing and few requests to tap into its stockpile, Ohio auctioned off 393,000 gowns for just $2,451 and ended up throwing away another 7.2 million, along with expired masks, gloves and other materials. The now expiring supplies had cost about $29 million in federal money.
A similar reckoning is happening around the country. Items are aging, and as a deadline to allocate federal COVID-19 cash approaches next year, states must decide how much to invest in maintaining warehouses and supply stockpiles.
An Associated Press investigation found that at least 15 states, from Alaska to Vermont, have tossed some of their trove of PPE because of expiration, surpluses and a lack of willing takers.
Into the trash went more than 18 million masks, 22 million gowns, 500,000 gloves, and more. That\u2019s not counting states that didn\u2019t give the AP exact figures or responded in cases or other measures. Rhode Island said it got rid of 829 tons of PPE; Maryland disposed of over $93 million in supplies.
\u201cWhat a real waste. That\u2019s what happens when you don\u2019t prepare, when you have a bust-and-boom public health system,\u201d where a lack of planning leads to panicked over-purchasing in emergencies, said Dr. Georges Benjamin, executive director of the American Public Health Association. \u201cIt shows that we really have to do a better job of managing our stockpiles.\u201d
The AP sent inquiries about PPE stockpiles to all 50 states over the past several months. About half responded.
States emphasize that they distributed far more gear than they discarded and have gone to great lengths to donate the leftovers. Washington state sent hundreds of thousands of supplies to the Marshall Islands last year, yet ended up throwing out millions more items after they expired.
Many states are keeping at least a portion, and sometimes all, of their remaining protective gear. Some even plan to update their stockpiles.
But others say the vagaries of the pandemic and the PPE supply left no choice but to acquire the items, and now to throw them out, however reluctantly. Expiration dates are set because materials can degrade and might not work as intended. The Federal Emergency Management Agency has set the fair market value of expired supplies at zero dollars.
\u201cAnytime you\u2019re involved in a situation where you\u2019re recalling how difficult it was to get something in the first place, and then having to watch that go or not be used in the way it was intended to be used, certainly, there\u2019s some frustration in that,\u201d said Louis Eubank, who runs the South Carolina health department\u2019s COVID-19 coordination office. The state has discarded over 650,000 expired masks.
When the virus struck, demand skyrocketed for N95 masks, gloves and gowns. The U.S government\u2019s Strategic National Stockpile was underequipped, and states plunged into global bidding wars.
The AP found in 2020 that states spent over $7 billion in a few months on PPE, ventilators and some other high-demand medical devices in a seller\u2019s market. Ultimately, the federal government paid for many of the supplies.
\u201cThere was no way to know, at the time of purchase, how long the supply deficit would last or what quantities would be needed,\u201d Ohio Department of Health spokesperson Ken Gordon said.
Ohio distributed more than 227 million pieces of protective equipment during the pandemic. But as the supply crunch and the health crisis eased, demand faded, especially for gowns.
Now, \u201cstates, hospitals, manufacturers \u2013 everybody in the whole system -- has extra product,\u201d said Linda Rouse O\u2019Neill of the Health Industry Distributors Association.
Given the glut, stockpiled items are selling for bargain prices, if at all. Vermont got $82.50 for 105,000 boot covers and 29 cents apiece for thousands of safety goggles.
Striking a balance between preparedness and surpluses is \u201ca major dilemma\u201d for governments, said Scott Amey of the Project on Government Oversight, a Washington, D.C.-based watchdog group. And while politicians vowed in 2020 never to be caught off guard again, \u201cmemories are short, budgets are tight,\u201d Amey noted.
In Wisconsin, a legislative committee axed from the budget $17.2 million that would have funded a warehouse with an ongoing 60-day supply of PPE for two years.
The state Department of Health Services said it is now \u201cdemobilizing the warehouse\u201d and trying to donate the supplies. Already, Wisconsin has tossed nearly 1.7 million masks and almost 1 million gowns.
Minnesota\u2019s Department of Health was allocated some money this year for retaining and restocking PPE and is strategizing. For now, emergency response official Deb Radi says the agency expects to dispose of a few expiring gowns.
The Health Industry Distributors Association recommends that product distributors maintain a 60-to-90-day supply to guard against demand spikes. But the group says it\u2019s probably unnecessary for everyone in the system \u2014 from manufacturers to doctors\u2019 offices \u2014 to have such a large cushion.
Missouri\u2019s health department has maintained a 90-day supply, keeping even expired materials on the presumption that the federal government will OK their use in an emergency. That happened during COVID-19.
\u201cIf you don\u2019t make the investment \u2013 and perhaps the investment that is never used \u2013 then you may not be prepared to assist the public when it\u2019s needed,\u201d Missouri health director Paula Nickelson said.
Pennsylvania officials, by contrast, are aiming for a 15-day stockpile after frank conversations about what they can afford not only to keep, but to keep replacing as items expire, said Andy Pickett, the Health Department\u2019s emergency preparedness and response director.
And Nevada can't give its aging PPE away fast enough.
Department of Administration Director Jack Robb said the state is endeavoring to shed the supplies safely and without wasting money but already has discarded some.
But Robb said officials \u201cmade the best decisions that they could\u201d when confronted with a disease that has killed nearly 7 million people worldwide, including some of his close friends.
\u201cAnd I hope we never see anything like that again in our lifetime,\u201d he said.
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This topic is highly relevant to health as it deals with public health preparedness, resource management, and the impact of the pandemic on health systems." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2023/12/20/6ba1a9b758fa26358c89e0694a3b4e54.json b/datasets/AP_news/raw_data/2023/12/20/6ba1a9b758fa26358c89e0694a3b4e54.json new file mode 100644 index 0000000..ee60ea3 --- /dev/null +++ b/datasets/AP_news/raw_data/2023/12/20/6ba1a9b758fa26358c89e0694a3b4e54.json @@ -0,0 +1,268 @@ +{ + "altids": { + "itemid": "6ba1a9b758fa26358c89e0694a3b4e54", + "etag": "6ba1a9b758fa26358c89e0694a3b4e54_1a6aza0c0", + "friendlykey": "843898439193", + "referenceid": "US--Miscarriage-Prosecution" + }, + "version": 1, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2023-12-20T21:49:21Z", + "firstcreated": "2023-12-20T21:33:03Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: CORRECTS: The eighth paragraph has been edited to correct that Watts, not Watkins, was charged. UPDATES: With AP Photos.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "US--Miscarriage-Prosecution", + "headline": "Ohio prosecutor says he's duty bound to bring miscarriage case to a grand jury", + "headline_extended": "An Ohio prosecutor says it's not within his power to drop a criminal charge against a woman who miscarried at her home, regardless of the pressure that national attention is bringing to her case", + "slugline": "AP-US--Miscarriage-Prosecution, 1st Ld-Writethru", + "description_summary": "An Ohio prosecutor says it's not within his power to drop a criminal charge against a woman who miscarried at her home, regardless of the pressure that national attention is bringing to her case. Trumbull County Prosecutor Dennis Watkins said in a news release late Tuesday that prosecutors are \u201cduty bound\u201d to present the felony abuse-of-corpse charge against 33-year-old Brittany Watts, of Warren, to a grand jury. Watts was charged after she miscarried Sept. 22 and the 22-week-old fetus was found clogging her toilet. She pleaded not guilty. The hospital where she sought care before and after the miscarriage called police.", + "bylines": [ + { + "by": "By JULIE CARR SMYTH", + "title": "Associated Press" + } + ], + "located": "COLUMBUS, Ohio", + "datelinelocation": { + "city": "Columbus", + "countryareacode": "OH", + "countryareaname": "Ohio", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -82.99879, + 39.96118 + ] + } + }, + "copyrightnotice": "Copyright 2023 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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Trumbull County Prosecutor Dennis Watkins said in a release issued late Tuesday that he is obligated to present the felony abuse-of-corpse charge against Brittany Watts, 33, of Warren, to a grand jury.
\u201cThe county prosecutors are duty bound to follow Ohio law,\u201d he wrote, noting that the memo would suffice as his office's only comment on the matter.
Watkins said it is the grand jury's role to determine whether Watts should be indicted. Defendants are \u201cno-billed,\u201d or not indicted, in about 20% of the hundreds of cases county grand juries hear each year, he said.
\u201cThis office, as always, will present every case with fairness,\u201d Watkins wrote. \u201cOur responsibility carries with it specific obligations to see that the accused is accorded justice and his or her presumption of innocence and that guilt is decided upon the basis of sufficient evidence.\u201d
Watts miscarried at home on Sept. 22, days after a doctor told her that her fetus had a heartbeat but was nonviable. She twice visited Mercy Health-St. Joseph\u2019s Hospital in Warren and twice left before receiving care.
A nurse called police when Watts returned that Friday, bleeding, no longer pregnant and saying that her fetus was in a bucket in the backyard. Police arrived at her home, where they found the toilet clogged and the 22-week-old fetus wedged in the pipes. Authorities seized the toilet bowl and extracted the fetus.
Watts was ultimately charged with abuse of a corpse, a fifth-degree felony punishable by up to a year in jail and a $2,500 fine. The case touched off a national firestorm over the treatment of pregnant women, particularly those like Watts who are Black, in the wake of the U.S. Supreme Court's June 2022 decision overturning federal abortion protections.
A city prosecutor told a municipal judge that Watts' actions broke the law. He said after she flushed, plunged and scooped out the toilet following her miscarriage, she left home knowing it was clogged and \u201cwent on (with) her day.\u201d
Watts has pleaded not guilty. Her attorney argued in court that she was being \u201cdemonized for something that goes on every day.\u201d An autopsy found \u201cno recent injuries\u201d to the fetus, which had died in utero.
On Friday, Ohio Physicians for Reproductive Rights \u2014 a coalition behind Ohio\u2019s newly passed reproductive rights amendment \u2014 wrote to Watkins, urging him to drop the charge against Watts. The group said the charge violates the \u201cspirit and letter\u201d of the amendment.
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Corrects child's last name in second reference to Dibert, not Shurtleff.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "US-MED--Fruit-Pouch-Lead Parents", + "headline": "Parents of children sickened by lead linked to tainted fruit pouches fear for kids' future", + "headline_extended": "Parents of children who posted sky-high blood lead levels after eating potentially tainted apple cinnamon fruit puree pouches are worried about their kids' futures", + "slugline": "BC-US-MED--Fruit-Pouch-Lead Parents, 1st Ld-Writethru", + "description_summary": "Parents of children who posted sky-high blood lead levels after eating potentially tainted apple cinnamon fruit puree pouches are worried about their kids' futures. Dozens across the U.S. have been affected by an ongoing outbreak of lead poisoning linked to WanaBana apple cinnamon puree. No amount of lead is safe for children and exposure can lead to problems with learning, behavior and attention. 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\u201cShe sucked them dry,\u201d recalls her 26-year-old mother, Morgan Shurtleff, of Elgin, Oklahoma.
Within a week, the family got an alarming call. The test showed that the 1-year-old had lead poisoning, with nearly four times as much lead as the level that raises concern. Only later did Shurtleff learn that that the fruit puree Cora\u2019s grandmother bought at a Dollar Tree store may have been the cause.
\u201cThat was the scariest thing that ever happened to me,\u201d Shurtleff says.
Cora is among dozens of young kids across the U.S. poisoned by lead linked to tainted pouches of the cinnamon-and-fruit puree.
The exact number of affected children is unclear. The Centers for Disease Control and Prevention reports at least 205 confirmed, probable or suspected cases from 33 states. Using a different reporting method, the Food and Drug Administration counts at least 69 kids ages 6 and younger sickened in 28 states as of Dec. 14.
Tests show victims had blood lead readings up to eight times higher than the federal reference level of concern, health officials said. Samples of the puree showed lead contamination more than 200 times higher than the FDA allows.
The pouches were sold under three brands \u2014 WanaBana, Schnucks and Weis. The products were produced at a plant in Ecuador and first imported to the U.S. in November 2022, the officials said.
Testing of cinnamon samples supplied to the factory showed \u201cextremely high\u201d levels of lead \u2014 more than 2,000 times higher than a proposed FDA maximum, the agency said.
FDA officials have raised the prospect that the contamination was intentional. One possibility is that the cinnamon was contaminated for economic reasons, the agency said. That could mean an ingredient such as lead may have been added to boost the value of the cinnamon.
Spices such as turmeric, cinnamon and paprika have been known to be mixed with lead chromate or lead oxide, compounds that mirror the spices' colors, said Karen Everstine, technical director for FoodchainID, a company that tracks food supply chains.
\u201cThe intent is not to make people sick. Nobody wants to do that because then they get caught,\u201d Everstine said. \u201cWhat they want to do is make money.\u201d
That angers Shurtleff.
If it's true, \u201cthey made my child sick for a dime,\u201d she said. \u201cThe more I think about it, the angrier I get.\u201d
At the same time, she and other parents are most concerned about the lasting effects on their kids.
\u201cI\u2019m pretty worried, considering the effects are irreversible,\u201d said Shurtleff, who works as a nurse.
No amount of lead exposure is safe for children and the effects on brain development can show up years later, said Dr. Jennifer Sample, a pediatric toxicologist who consults for industry and academics.
\u201cIt\u2019s irritability. It\u2019s behavioral concerns. It\u2019s learning difficulties,\u201d she said.
When kids ingest lead, the heavy metal travels through the bloodstream and spreads to organs, including the brain, Sample explained. Once there, the lead substitutes inside cells for vital nutrients such as calcium and iron, causing permanent damage.
Because kids\u2019 brains are flexible and still growing, early detection and changes in diet may offset the harm, experts said. The children nevertheless will likely need years of monitoring and intervention.
\u201cThe effects in the brain at the cellular level are irreversible, but the downstream effects don\u2019t have to be,\u201d Sample said.
Lead poisoning can be treated with chelation, a therapy that uses drugs that bind to metals in blood to remove them from the body. But it\u2019s only used with higher lead levels and it's usually difficult to administer to the very young.
Instead, affected kids should eat a diet high in vitamin D, calcium and iron and be given a stimulating environment that encourages brain development.
The prognosis is sobering for families whose children were sickened.
Mustafa Al-Khaled, a Norfolk, Nebraska, civil engineer, sued WanaBana LLC because his 17-month-old son, Arian, was diagnosed with acute lead poisoning after eating the pouches regularly since August.
\u201cAs a parent, it\u2019s really hurtful to be in this situation,\u201d said Al-Khaled, who is among about a dozen parents of affected kids who contacted Ron Simon, a Houston food-safety lawyer who filed the case. \u201cWhy I'm here is to protect this child.\u201d
Al-Khaled and his wife, Dania, rushed Arian for testing in early November after learning that the WanaBana products had been recalled. The were already worried because Arian had been crying uncontrollably, losing weight and passing white-colored stool.
A test showed the boy\u2019s blood lead level was 15.3 micrograms of lead per deciliter of blood. That\u2019s more than four times higher than the 3.5 micrograms per deciliter that the CDC uses to identify children with elevated lead levels.
Health officials in Nebraska retrieved samples of the WanaBana pouches from Al-Khaled's home. Test results are still pending.
\u201cWe\u2019re really worrying about the future,\" Al-Khaled said. \"Is this going to harm him later?\u201d
That fear is shared by Talia Hurdle, 29, of Mount Vernon, New York. Her 18-month-old son, Jamari, ate WanaBana apple cinnamon pouches two or three times a day for months, she said.
He\u2019s a picky eater, she explained, and the pouches that sold at the Dollar Tree for $1.25 for a pack of three were an inexpensive way to give him food he liked. Jamari\u2019s blood level was 17.5 micrograms when he was first tested in September.
\u201cIt's sad because you give your baby stuff to help them continue to be healthy, but look what happened,\u201d Hurdle said.
A few weeks after Jamari stopped eating the puree, his lead level was down to 10.5 micrograms per deciliter. Levels dropped for Cora Dibert and Arian Al-Khaled, too, once they quit eating the pouches.
That\u2019s a good sign, said Sample, the toxicologist.
\u201cThese parents can breathe a sigh of relief that they\u2019re not going to be as harmed as they could have been with a longer exposure,\u201d she said.
Shurtleff worries that not all families know about the danger. The FDA said some Dollar Tree stores still have the fruit pouches on their shelves, weeks after they were recalled. Dollar Tree Inc. officials said in a statement they have added register locks to prevent sales of the products, instructed stores to destroy the affected packages and are working with a third party to confirm they're removed from shelves.
After Cora's diagnosis, Shurtleff was at work, preparing to give a vaccination, when she noticed her young patient was eating a WanaBana apple cinnamon pouch. She immediately told the parent about the recall.
\u201cThey were just in shock. They hadn't heard anything about it,\u201d Shurtleff said. \u201cThen they were like, \u2018We still have some in our pantry. I guess we should throw it out.\u2019\u201d
___
The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute\u2019s Science and Educational Media Group. The AP is solely responsible for all content.
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It also includes expert opinions and advice on managing and mitigating the health impacts of lead exposure in children." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2023/12/20/91dac42b2cf462877f0d14e956469920.json b/datasets/AP_news/raw_data/2023/12/20/91dac42b2cf462877f0d14e956469920.json new file mode 100644 index 0000000..df8ba8d --- /dev/null +++ b/datasets/AP_news/raw_data/2023/12/20/91dac42b2cf462877f0d14e956469920.json @@ -0,0 +1,175 @@ +{ + "altids": { + "itemid": "91dac42b2cf462877f0d14e956469920", + "etag": "91dac42b2cf462877f0d14e956469920_1a2aza0c0", + "friendlykey": "5615847938", + "referenceid": "KY--Coal Ash Leak" + }, + "version": 1, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2023-12-20T22:43:51Z", + "firstcreated": "2023-12-20T21:08:58Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: CORRECTS: This story has been updated to correct attribution. Wright had told WFIE-TV about the leak, not WSAZ-TV.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "KY--Coal Ash Leak", + "headline": "Ash leak at Kentucky power plant sends 3 workers to hospital", + "headline_extended": "A Kentucky power plant silo has leaked coal ash and trapped one worker under a pile of the dusty material", + "slugline": "AP-KY--Coal Ash Leak, 1st Ld-Writethru", + "description_summary": "A Kentucky power plant silo has leaked coal ash and trapped one worker under a pile of the dusty material. He and two others have been sent to a hospital. The leak at the D.B. Wilson Generating Station on Wednesday caused dusty conditions around the plant. Ohio County Sheriff Adam Wright says the workers were trying to loosen a stuck valve inside the silo when ash dumped on them. One was trapped under the pile until a response team pulled him out. Wright says the men\u2019s conditions were not known Wednesday afternoon. 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For other uses, additional clearances may be required." + ], + "keywords": [ + "kentucky power plant ash leak" + ], + "provider": "AP", + "infosource": [ + { + "name": "AP", + "type": "AP" + } + ], + "subject": [ + { + "rels": [ + "category" + ], + "creator": "Editorial", + "code": "n", + "name": "n" + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "d4c860e0883010048352ae2ac3a6923e", + "name": "Nuclear power plant accidents", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 84 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "cc7a76087e4e10048482df092526b43e", + "name": "Health", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 32 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "a4677d70863b4012b846a1b00f5079f5", + "name": "U.S. news", + "creator": "Editorial", + "editorial_subject": "U.S. news", + "rels": [ + "direct" + ], + "relevance": 99 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "f25af2d07e4e100484f5df092526b43e", + "name": "General news", + "creator": "Editorial", + "editorial_subject": "General news", + "rels": [ + "direct" + ], + "relevance": 50 + } + ], + "place": [ + { + "scheme": "http://cv.ap.org/id/", + "code": "2f6e294082b310048474df092526b43e", + "name": "Kentucky", + "creator": "Machine", + "rels": [ + "direct" + ], + "parentids": [ + "661e48387d5b10048291c076b8e3055c" + ], + "locationtype": { + "code": "0ae5eb8e00e04295a4fc209c94bfe6ef", + "name": "State" + }, + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -84.87762, + 38.20042 + ] + }, + "relevance": 54, + "parentnames": [ + "United States" + ] + } + ], + "audiences": [ + { + "code": "82c6a4c46fa0446090a7acaf93159e4c", + "name": "Print", + "type": "AUDPLATFORM" + }, + { + "code": "9add4649b53b4702ba7d9de5d4fa607a", + "name": "Online", + "type": "AUDPLATFORM" + }, + { + "code": "f5b16ea8760d10048047e6e7a0f4673e", + "name": "State", + "type": "AUDSCOPE" + }, + { + "code": "2f6e294082b310048474df092526b43e", + "name": "Kentucky", + "type": "AUDGEOGRAPHY" + } + ], + "body_nitf": "CENTERTOWN, Ky. (AP) \u2014 A Kentucky power plant silo leaked coal ash and trapped one worker under a pile of the dusty material on Wednesday, sending him and two others who tried to help him to a hospital.
The leak at the D.B. Wilson Generating Station caused dusty conditions around the plant and prompted police to divert traffic and warn motorists of low visibility.
Ohio County Sheriff Adam Wright said a valve inside the silo became stuck open. Three workers went to loosen the valve, and one became stuck under a coal ash pile during the repair. The other two escaped but returned to help him, Wright told WFIE-TV. The plant's emergency response team arrived and pulled the third worker out, and all three were sent to the hospital.
Wright said the men's conditions were not known Wednesday afternoon. The plant was back at full operation, he said.
Federal and state officials were monitoring the air quality, and Wright said it was confirmed safe.
___
This story has been updated to correct attribution. Wright had told WFIE-TV about the leak, not WSAZ-TV.
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However, the document does not delve deeply into health issues or provide extensive information on health impacts, making it somewhat relevant but not highly so." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2023/12/20/a8dd99fadd7f6e7d9b63a5e7dbedfd12.json b/datasets/AP_news/raw_data/2023/12/20/a8dd99fadd7f6e7d9b63a5e7dbedfd12.json new file mode 100644 index 0000000..ed6a3ee --- /dev/null +++ b/datasets/AP_news/raw_data/2023/12/20/a8dd99fadd7f6e7d9b63a5e7dbedfd12.json @@ -0,0 +1,247 @@ +{ + "altids": { + "itemid": "a8dd99fadd7f6e7d9b63a5e7dbedfd12", + "etag": "a8dd99fadd7f6e7d9b63a5e7dbedfd12_0a6aza0c0", + "friendlykey": "779013854022", + "referenceid": "US--Indiana Medicaid Shortfall" + }, + "version": 0, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2023-12-20T16:12:25Z", + "firstcreated": "2023-12-20T16:12:23Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: With AP Photos.", + "signals": [ + "newscontent" + ], + "title": "US--Indiana Medicaid Shortfall", + "headline": "Indiana underestimated Medicaid cost by nearly $1 billion, new report says", + "headline_extended": "Indiana agencies say previous estimates of Medicaid expenses fell nearly $1 billion short of its now-predicted need", + "slugline": "BC-US--Indiana Medicaid Shortfall", + "description_summary": "Indiana agencies say previous estimates of Medicaid expenses fell nearly $1 billion short of its now-predicted need. 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A December outlook found that Medicaid is predicted to need $984 million more than what was thought in April, when the state's biennium budget was finalized.
State budget director Zachary Jackson told The Associated Press the forecast used to develop the budget allowed Indiana to move $525 million from Medicaid to the state's general fund in July. The state has directed that $271 million of that money be moved back to Medicaid to address the shortfall of the last year, he said.
According to the predictions presented to lawmakers on Tuesday, the state will need to appropriate $255.2 million more for the program before July 2024 and $457.9 million more for the following year.
The flawed April forecast was based on data that did not reflect the latest needs of enrollees, state agencies said. Jackson said demand for certain categories, such as elderly care, outpaced what state official anticipated. According to the report, home and community based long-term services and support are anticipated to be in need of the most funding over the next two years.
Medicaid director Cora Steinmetz told lawmakers Tuesday that the agency is working on proposals for controlling costs, prompting concern over access to the the program.
\u201cWe\u2019re exploring all aspects of the Medicaid program to look at where there might be an opportunity to generate potential savings on the appropriation,\u201d Steinmetz said.
Indiana's lawmakers finalize the state budget during odd-numbered years, leaving lawmakers and state agencies with a limited a path to enact legislative change in the upcoming 2024 session. Steinmetz said the agency will draft proposals for cost containment within the power of the agency and the budget committee.
States across the country are unwinding pandemic-era protections that kept millions of people covered by Medicaid. In Indiana, the number of people enrolled in Medicaid steadily grew every month from March 2020 until May of this year, when the federal budget law ended the protections.
Indiana\u2019s total enrollment has fallen every month since then. Even so, the demand is still greater than before the pandemic.
According to the report, Indiana saw a net growth of over 370,000 Medicaid enrollees since January 2020.
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"2": { + "altids": { + "itemid": "857c241f3f47425fa460cc80648c87f5" + }, + "type": "picture" + }, + "3": { + "altids": { + "itemid": "24fc6f7ed81d422ebe4b99f579bd87bb" + }, + "type": "picture" + }, + "4": { + "altids": { + "itemid": "76b233a48e3848cd8efcbe7bc1b45dd5" + }, + "type": "picture" + }, + "5": { + "altids": { + "itemid": "16c224ca005e415a94ee778f4b86103f" + }, + "type": "picture" + } + }, + "body_nitf": "Ever since the nation\u2019s highest court ended abortion rights more than a year ago, vaguely worded bans enacted in some Republican-controlled states have caused bewilderment over how exceptions should be applied.
Supporters have touted these exemptions, tucked inside statutes restricting abortion, as sufficient enough to protect the life of the woman. Yet repeatedly, when applied in heart-wrenching situations, the results are much murkier.
\u201cWe have black and white laws on something that is almost always multiple shades of gray,\u201d said Kaitlyn Kash, one of 20 Texas women denied abortion who are suing the state seeking clarification of the laws \u2014 one of a handful of similar lawsuits playing out across the country.
State lawmakers there and elsewhere face growing pressure to answer these questions by amending laws in legislative sessions that start in most states next month. But it\u2019s not certain how \u2014 or whether \u2014 they will.
Before the Supreme Court overturned the 1973 Roe v. Wade decision in June 2022, nearly every state allowed abortion at least until a fetus would be viable outside the womb \u2014 around 24 weeks' gestational age, or about 22 weeks after conception.
Yet the new ruling cleared the way for states to impose tighter restrictions or bans; several had such laws already on the books in anticipation of the decision.
Currently, 14 states are enforcing bans on abortion throughout pregnancy. Two more have such bans on hold due to court rulings. And another two have bans that take effect when cardiac activity can be detected, about six weeks into pregnancy \u2014 often before women know they\u2019re pregnant.
Each state ban has a provision that allows abortion under at least some circumstances to save the life of the mother. At least 11 \u2014 including three with the strictest bans \u2014 allow abortion because of fatal fetal anomalies, and some do when the pregnancy was the result of rape or incest.
But a provision included in a law enacted by Congress in 1986 and signed by Republican President Ronald Reagan said abortion must be available when a pregnant woman's life is at risk during a medical emergency.
But a lack of clarity over how to apply that rule and other exceptions in state laws has escalated the trauma and heartache some women experience while facing serious medical issues but unable to access abortion in their home states.
The case of Katie Cox, a Texas woman who sued for immediate access to abortion amid a fraught pregnancy and was denied by the state's top court, received broad attention this month.
Meanwhile, Jaci Statton filed a complaint in Oklahoma claiming the state violated the federal rule. She said in court documents that because her own life wasn't found to be in immediate peril when doctors deemed her pregnancy nonviable, she was told to wait in a hospital parking lot until her conditioned worsened enough to qualify for life-saving care.
In Tennessee, Nicole Blackmon told reporters that a 15-week ultrasound showed that several of her baby\u2019s major organs were growing outside its stomach and it would likely not survive. Even so, her medical team told her she didn\u2019t have the option to have an abortion. She eventually delivered a stillborn baby because she could not afford to travel out of state for an abortion.
The vagueness surrounding the Volunteer State\u2019s abortion ban has prompted Republican state Sen. Richard Briggs' push to tweak the law during the upcoming 2024 legislative session. However, it\u2019s unclear how far the measure will advance inside the GOP-controlled statehouse where many members are running for reelection.
Republicans carved out an extremely narrow exception earlier this year, but Briggs, who is a doctor, said the statute still fails to properly help women and doctors. He wants the law to include a list of diagnoses when abortion could be appropriate and protect women with pregnancy complications who may end up infertile if they don\u2019t receive an abortion.
Other states took steps in 2023 to address the confusion, but advocates say they didn't fully accomplish the task.
In Texas, lawmakers this year added a provision that offers doctors some legal protection when they end pregnancies in cases of premature rupture of membranes, commonly referred to as water breaking, or ectopic pregnancies, which can lead to dangerous internal bleeding.
Across the country, advocates on both sides anticipate more legislatures will consider adding or clarifying abortion ban exceptions and definitions in 2024, though few, if any, such measures have been filed so far.
\"What is and is not an abortion, what is an abortion emergency?\" said Denise Burke, senior counsel with Alliance Defending Freedom, a conservative Christian legal advocacy group that is behind many anti-abortion lawsuits. \u201cThat may need some clarification in some areas.\u201d
Meanwhile, in states where Democrats are in control, lawmakers are expected to push to loosen abortion restrictions and expand access.
This year, Maine became the seventh state to have no specific limit on when during pregnancy an abortion can be obtained.
Greer Donley, an associate professor at the University of Pittsburgh School of Law, who is an expert on abortion law, said there could be a push for more changes like that: \u201cMany people are questioning whether a line should exist at all right now.\u201d
The line is stark in Texas, where changes are unlikely in 2024 because lawmakers aren't scheduled to meet.
In Texas, Kash and 19 other women who were denied abortions, plus two physicians, have a lawsuit before the state's Supreme Court seeking to clarify when abortions should be allowed.
Kash, who already had one child, was overjoyed at the thought of telling family and friends that she was expecting. But after a routine ultrasound 13 weeks into pregnancy, she learned that the baby had severe skeletal dysplasia \u2014 a condition affecting bone and cartilage growth. Her baby was unlikely to survive birth or likely to suffocate soon after being born.
\u201cIs this where we talk about termination?\u201d Kash asked her doctor.
\u201cHe told me to get a second opinion out of state,\u201d she recalled.
Her health wasn\u2019t immediately at risk of failing, so she didn\u2019t qualify for any of the narrow exceptions to allow her doctor to provide her abortion services. Instead, she went to another state to terminate her pregnancy legally.
In the arguments on the case last month, a lawyer for the patients told the justices about the confusion.
\u201cWhile there is technically a medical exception to the ban,\u201d Molly Duane, a Center for Reproductive Rights lawyer said, \u201cno one knows what it means and the state won\u2019t tell us.\u201d
Beth Klusmann, an assistant state attorney general, said that the law does include guidance: Doctors must use \u201creasonable medical judgment\u201d when deciding whether a pregnant woman\u2019s life is at risk.
She added that \u201cthere are always going to be harder calls at the edge\" of the lines of any abortion ban.
Marc Hearron, a lawyer at the Center for Reproductive Rights who is leading the Texas case, said he does not have a lot of confidence in lawmakers across the U.S. to do it right generally.
\u201cLegislatures do not have a track record of listening to doctors,\u201d he said. \u201cWe\u2019re certainly not waiting on legislatures to do the right thing.\u201d
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Patients in Britain's state-owned National Health Service have been warned that there will be \u201csignificant disruption,\" with thousands of appointments and procedures postponed or even canceled. The strike began at 7 a.m. and will run until Saturday morning.
Tens of thousands of so-called junior doctors, which make up around half of the medical workforce in the NHS, will also go on strike for a six-day stretch early next year, the longest walkout in the health service's 75-year history.
They are seeking a 35% pay rise, a figure they say takes into account years of below-inflation rises and will prevent an exodus of staff to other countries. The government though is offering junior doctors an average increase of 8.8% and Prime Minister Rishi Sunak has indicated there won't be more on offer.
\u201cI obviously appreciate that people are upset about missing elective appointments and outpatient appointments, but if we don\u2019t act now then five or 10 years down the line there won\u2019t be any doctors left and those appointments will become much worse and much longer than they are,\u201d said 30-year-old Hamish Bain on a picket line at University College Hospital in London.
NHS leaders have expressed \u201cdisappointment\u201d that talks between the British Medical Association, which represents the doctors, and the government broke down and said that the fresh round of industrial action has come at the \u201cworst possible time\u201d for the health service.
\u201cThis is coming at the worst possible time of year for us where we are beginning to see those winter pressures that we always see around the festive season, with flu cases and COVID cases on the rise,\" said Stephen Powis, national medical director for the NHS in England.
\u201cSo there is no doubt this is going to be a challenging period and we will see disruption once again,\" he added.
The more senior consultant doctors from the BMA in England have reached a deal with the government, with members currently voting whether or not to accept the deal. Specialist, associate specialist and specialty doctors in England have also come to an agreement, which is being put to members.
While on strike, hospitals will provide minimal care similar to public holidays, when only emergency procedures are available and routine appointments or procedures are postponed or canceled.
The strikes across the NHS, which began last year, have so far affected more than 1 million appointments and procedures at a cost of around 2 billion pounds ($2.5 billion).
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This is highly relevant to the topic of Health as it addresses issues related to healthcare delivery, workforce challenges, and the functioning of a major health service provider." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2023/12/20/e7015d8fd38ec80802eeae350755a402.json b/datasets/AP_news/raw_data/2023/12/20/e7015d8fd38ec80802eeae350755a402.json new file mode 100644 index 0000000..c321050 --- /dev/null +++ b/datasets/AP_news/raw_data/2023/12/20/e7015d8fd38ec80802eeae350755a402.json @@ -0,0 +1,259 @@ +{ + "altids": { + "itemid": "e7015d8fd38ec80802eeae350755a402", + "etag": "e7015d8fd38ec80802eeae350755a402_1a15aza0c0", + "friendlykey": "873519318784", + "referenceid": "US-MED--Childhood Vaccinations-Waivers" + }, + "version": 1, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2023-12-20T16:59:04Z", + "firstcreated": "2023-12-20T15:49:55Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: Fixes typo in personal in 6th paragraph; tightens quote in 12 paragraph", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "US-MED--Childhood Vaccinations-Waivers", + "headline": "Health officials push to get schoolchildren vaccinated as more US parents opt out", + "headline_extended": "Parents are opting out of school vaccinations at the highest rate ever", + "slugline": "AP-US-MED--Childhood Vaccinations-Waivers, 1st Ld-Writethru", + "description_summary": "Parents are opting out of school vaccinations at the highest rate ever. Last school year, that amounted to 3% of U.S. children entering kindergarten. The highest rate was 12% in Idaho, where a change in state law a few years ago made it easier to opt out. All states require students to have certain vaccines to attend public school, and often private school and day care. Exemptions are given for medical reasons, and sometimes for religious beliefs or personal reasons. Most states saw an increase in exemption rates last year.", + "bylines": [ + { + "by": "By DEVI SHASTRI", + "title": "AP Health Writer" + } + ], + "copyrightnotice": "Copyright 2023 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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In the end, 10 people, all in one family, were infected, all unvaccinated.
This time, the state was lucky, said the region\u2019s medical director Dr. Perry Jansen. The family quickly quarantined and the children were already taught at home. The outbreak could have been worse if the kids were in public school, given the state\u2019s low vaccination rates, he said.
In Idaho last year, parents opted out of state-required vaccines for 12% of kids entering kindergarten, the highest rate in the nation.
\u201cWe tend to forget that diseases like measles and polio used to kill people,\u201d said Jansen, medical director of the Southwest District Health Department, which handled the outbreak in September.
All states require children to have certain routine vaccines to go to public school, and often private school and day care, to prevent outbreaks of once-common childhood diseases like measles, mumps, whooping cough, chickenpox and polio. All provide exemptions for children who have a medical reason for avoiding the shots. Most also offer waivers for religious beliefs. Fifteen allow a waiver for any personal belief.
Last school year, vaccination waivers among kindergartners hit an all-time high: 3% in total, according to a recent Centers for Disease Control and Prevention report. Waivers for religious or personal beliefs have been on the rise, driven by some states loosening laws, in others by vaccine misinformation and political rhetoric amplified during the COVID-19 pandemic.
In Idaho, \u201ca parent only has to provide a signed statement,\u201d to get a waiver, the state\u2019s health department said. A change in state law before the 2018-19 school year made it easier to get waivers. The state\u2019s exemption rate that year was 7.7%.
September\u2019s measles outbreak started when a resident of Nampa, the state\u2019s third largest city, returned home from a trip abroad. Measles is usually brought into the U.S. through travel since widespread vaccination has all but eliminated local spread of the disease.
It takes a very high level of vaccination \u2014 around 95% \u2014 to protect against the spread of measles and other diseases, experts say. During the pandemic, the national rate for vaccinations among kindergartners dropped to 93%.
Health experts say interventions on every level are needed to get more kids immunized: doctors talking to parents, social media campaigns, easier access to vaccines in some areas, enforcement by schools in others.
Last year, most states had an increase in waivers. Hawaii, which allows medical and religious waivers, saw rates double from the previous school year. Nearly 6.5% of kindergartners have an exemption for at least one required vaccine.
It\u2019s impossible to know the reasons behind a waiver, said Ronald Balajadia, immunization program manager for Hawaii State Department of Health. But misinformation about COVID-19 vaccines \u201chas bled through to routine vaccines\" that people wouldn't normally question, Balajadia said.
While some states have made it easier to opt out, others have clamped down. Connecticut eliminated its longstanding religious waiver for vaccinations in 2021, joining California, West Virginia, New York and Maine in allowing only medical exemptions. The change drew protests and lawsuits. With only a medical waiver now, the kindergartner vaccination rate reached 97% or above last year; waiver rates dropped to less than 1%.
The state is still working to get more parents on board by answering their questions \"and not just dismiss them. It\u2019s our best shot at trying to bring people along,\u201d said Dr. Manisha Juthani, commissioner of the Connecticut Department of Public Health.
Georgia had the second largest drop in vaccine waivers last year \u2014 from 4.7% to 3.8%. State health officials cited a steady post-pandemic return to partnerships between schools, public health and pediatricians as possible reasons for the improvement.
Dr. Angela Highbaugh-Battle has cared for kids in rural Georgia for 17 years, now in the small coastal community of St. Mary\u2019s. She said she spends more time now talking to parents wary about routine childhood vaccines.
Every connection, every conversation, is a chance to educate, she said.
\u201cIt\u2019s not about winning or losing,\u201d she said.
___
The Associated Press Health and Science Department receives support from the Robert Wood Johnson Foundation. The AP is solely responsible for all content.
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These topics are directly related to public health and the measures taken to protect community health, making the document highly relevant to the topic of Health." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2023/12/20/f1a25c47e14e72bc5e5b956f58e23576.json b/datasets/AP_news/raw_data/2023/12/20/f1a25c47e14e72bc5e5b956f58e23576.json new file mode 100644 index 0000000..96f9fc0 --- /dev/null +++ b/datasets/AP_news/raw_data/2023/12/20/f1a25c47e14e72bc5e5b956f58e23576.json @@ -0,0 +1,202 @@ +{ + "altids": { + "itemid": "f1a25c47e14e72bc5e5b956f58e23576", + "etag": "f1a25c47e14e72bc5e5b956f58e23576_0a3aza0c0", + "friendlykey": "663674045348", + "referenceid": "AZ--Arizona Lawmaker Resigning" + }, + "version": 0, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2023-12-20T22:05:17Z", + "firstcreated": "2023-12-20T22:05:16Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "signals": [ + "newscontent" + ], + "title": "AZ--Arizona Lawmaker Resigning", + "headline": "Arizona lawmaker Athena Salman resigning at year's end, says she will join an abortion rights group", + "headline_extended": "Arizona state Rep. Athena Salman says she is resigning to take up a top position at an abortion rights group", + "slugline": "AP-AZ--Arizona Lawmaker Resigning", + "description_summary": "Arizona state Rep. Athena Salman says she is resigning to take up a top position at an abortion rights group. Salman announced her decision on social media Wednesday. She says she will step down at the end of this month. Salman will become the director of Arizona campaigns for the state chapter of Reproductive Freedom For All, a nonprofit political action and advocacy organization formerly known as NARAL Pro-Choice America. Salman is a Democrat who was elected in 2016. Democratic precinct committee members will nominate three candidates to replace her. The Maricopa County Board of Supervisors will then pick one of them to serve out her term through the end of 2024.", + "located": "PHOENIX", + "datelinelocation": { + "city": "Phoenix", + "countryareacode": "AZ", + "countryareaname": "Arizona", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -112.07404, + 33.44838 + ] + } + }, + "copyrightnotice": "Copyright 2023 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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Athena Salman will resign her seat in the Arizona Legislature at the end of the month to take up a top position at an abortion rights group, she announced Wednesday on social media.
Salman will become the director of Arizona campaigns for the state chapter of Reproductive Freedom For All, a nonprofit political action and advocacy organization formerly known as NARAL Pro-Choice America.
\u201cWhen the Supreme Court overturned Roe v. Wade, I committed to do everything in my power to restore abortion rights in the United States of America,\u201d Salman said in a statement. \u201cThe right to decide if, when and how to start and grow your family faces the largest threat in generations. We are one bad court decision away from a 160-year-old total ban on abortion being reinstated in Arizona.\u201d
Salman, a Democrat, was elected to the Arizona House in 2016. She has represented District 8, which includes parts of Tempe, Phoenix, Mesa, Scottsdale and the Salt River Pima-Maricopa Indian Community.
Democratic precinct committee members will nominate three candidates, who under state law must belong to the same party as the departing lawmaker, to replace Salman.
The Maricopa County Board of Supervisors will then pick one of them to serve out her term, which runs through the end of 2024.
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It was updated on December 21, 2023 to say that 39% of total deaths among Portland's homeless population were from drug overdoses and methamphetamine contributed to 81% of overdose deaths. It also has been corrected to say that Street Roots, which publishes a newspaper, also operates as a social justice nonprofit.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "US--Homeless Deaths-Portland-Oregon", + "headline": "Methamphetamine, fentanyl drive record homeless deaths in Portland, Oregon, annual report finds", + "headline_extended": "Homeless deaths in Oregon\u2019s Multnomah County, home to Portland, have reached a new, somber record", + "slugline": "BC-US--Homeless Deaths-Portland-Oregon, 6th Ld-Writethru", + "description_summary": "Homeless deaths in Oregon\u2019s Multnomah County, home to Portland, have reached a new, somber record. According to an annual county report released Wednesday, at least 315 homeless people died in 2022. That is a 63% increase compared with 2021. The increase is partly because this year's report, for the first time, includes data from hospitals in addition to figures from the county medical examiner. Nearly 40% of fatalities \u2014 123 \u2014 were from drug overdoses. Methamphetamine contributed to 81% of overdose fatalities, and fentanyl contributed to 74%. Homicides accounted for 8% of the fatalities. The report comes homelessness nationwide this year jumped a dramatic 12% to its highest reported level.", + "bylines": [ + { + "by": "By CLAIRE RUSH", + "title": "Associated Press" + } + ], + "located": "PORTLAND, Ore.", + "datelinelocation": { + "city": "Portland", + "countryareacode": "OR", + "countryareaname": "Oregon", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -122.67621, + 45.52345 + ] + } + }, + "copyrightnotice": "Copyright 2023 The Associated Press. All rights reserved. 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(AP) \u2014 Fentanyl and methamphetamine drove a record number of homeless deaths last year in Oregon's Multnomah County, home to Portland, according to an annual report released by regional officials Wednesday.
At least 315 homeless people died in 2022 in the Portland area, the report found. Nearly 40% of fatalities \u2014 123 \u2014 were from drug overdoses. Methamphetamine contributed to 81% of overdose deaths, and fentanyl contributed to 74%.
Kaia Sand, executive director of Street Roots, a social justice nonprofit that also publishes a newspaper, has worked on the annual report for years. In the report, she wrote that this year\u2019s edition \u201cdemonstrates the devastating impact of fentanyl.\"
\u201cThe first year I worked on this report \u2014 2016 \u2014 fentanyl was not associated with any deaths,\u201d she wrote. \u201cIn 2020, four deaths were tracked to fentanyl, and by 2021, that number rose to 36 deaths. This year, the number skyrocketed to 91 deaths.\u201d
The figures underlie the increased risk of death facing people who live outside, and it comes as homelessness in the U.S. this year jumped a dramatic 12% to its highest reported level.
The mortality risk for people experiencing homelessness compared with the general county population was nearly six times higher for all causes of death, the report found. For drug overdoses and homicide, it was 37 times higher and 32 times higher, respectively.
Homeless people, many of whom live near roadways, were also nearly 45 times more likely to die from a transportation-related injury than the general county population, according to the report. Fourteen people died of such a cause last year.
Among them was Angela Boyd, who was the victim of a hit-and-run in southeast Portland. Her brother, Jake Ausmes, attended Wednesday's news conference unveiling the report to pay her homage.
\u201cIt's awful,\u201d he said, adding that he hopes new developments in the case will help it get \u201cas much exposure as possible.\u201d He said his family intends to offer a $2,500 reward to find the person responsible.
Violence also contributed homeless deaths \u2014 about a quarter of all people who died by homicide in Portland in 2022 were homeless, according to the report.
Twenty-five homeless people died by homicide in 2022, accounting for 8% of homeless fatalities. The majority were caused by firearms, the report said.
Additionally, the number of suicides \u2014 17 \u2014 more than doubled from 2021.
For the first time, this year's report included hospital deaths in addition to data from the county medical examiner. That contributed, in part, to the sizable 63% increase in homeless deaths compared with 2021, when at least 193 homeless people died.
But county officials said that homeless deaths would have still broken a new record this year even based solely on county medical examiner figures. The report cites 249 homeless deaths recorded by the medical examiner in 2022 and 66 deaths recorded by hospitals.
More than 5,000 people were experiencing homelessness in the county in 2022, according to that year's federal data.
The most recent federal numbers show that, nationwide, more than 650,000 people were homeless in January 2023, an increase of about 70,650 from a year earlier, as soaring rents and a decline in coronavirus pandemic assistance combined to put housing out of reach for more Americans, federal officials said.
The latest estimate indicates that people becoming homeless for the first time were behind much of the increase.
___
This story has been corrected to say that 39% of total deaths among Portland's homeless population were from drug overdoses and methamphetamine contributed to 81% of overdose deaths. The Associated Press also didn\u2019t include a full description of the newspaper Street Roots. Street Roots also operates as a social justice nonprofit. Kaia Sand is the executive director of the nonprofit and does not oversee the newspaper.
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LOUIS (AP) \u2014 One of the largest urgent care chains in Missouri will pay $9.1 million to settle allegations that the company submitted false claims for medical services, including COVID-19 testing.
The U.S. Attorney's office in St. Louis on Thursday announced the settlement with Total Access Urgent Care, which operates more than two dozen clinics in the St. Louis area.
\u201cThis settlement will fully repay three federal health care programs for TAUC's overbilling for COVID tests and office visits,\u201d U.S. Attorney Sayler A. Fleming said in a news release.
Federal prosecutors said Total Access Urgent Care submitted false insurance claims for COVID-19 testing between April 2021 and December 2021, using improper billing codes that resulted in the company getting reimbursements at a rate that was too high.
From 2017 to 2021, TAUC was accused of falsely claiming that doctors participated in some office visits that were actually overseen by non-physician practitioners. The reimbursement rate is higher for visits involving physicians.
Total Access Urgent Care said in a statement that it \u201ccooperated fully\u201d with the investigation, the St. Louis Post-Dispatch reported. The company said it has improved a compliance program.
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With gifts, social gatherings and plane tickets home, the costs can start piling up.
Household expenses continue to rise and many Americans are expressing concern about their financial futures, according to a poll from The Associated Press-NORC Center for Public Affairs Research.
\"Financial concerns are the number one anxiety-provoking issue (for the holidays),\u201d said Dr. Petros Levounis, president of the American Psychiatric Association.
Here are recommendations from experts to reduce financial stress during the holidays:
In many families, the holidays mean going all out with gift giving. But this can quickly become stressful if your finances make it hard to keep up.
Managing expectations is key, according to Sarah Foster, a Bankrate.com analyst.
\u201cDuring the holiday season, we often feel like not talking about money, not letting individuals know how much the gift we bought for them cost,\u201d said Foster, who recommends leaving aside taboos and talking about how much you can afford to give this year.
Setting a budget can help prevent stress during the holidays, Levounis said.
\u201cTry not to spend beyond your means. Make a budget and stick with it. Being with friends is more meaningful for our mental health than the commercial aspects of this season,\u201d he said.
But not spending during the holiday season, when it seems like everyone is spending so much money on gifts, is easier said than done. If you struggle with overspending, Trae Bodge, a shopping expert, recommends that you set a spending limit for yourself.
Bodge recommends that you write a list of gifts you and stick to it when you are out shopping. If you tend to spend a lot buying gifts for yourself, she recommends that you set a specific limit.
\u201cIf you say \u2018I only have $50 or $100, you\u2019re going to spend more mindfully',\u201d she said.
There are several alternatives to spending a lot of money. They include:
\u2014 Homemade gifts
Lena Liu, 30, a Massachusetts-based fellow physician, has opted for giving homemade bracelets to some of her friends in the past.
\u201cIt can be really thoughtful and it actually ends up not being so expensive either,\u201d Liu said. \u201cThey know that you put your work and your energy into designing the bracelet and getting the beads so they really appreciate that.\u201d
\u2014 Gift cards
Gift cards can seem impersonal, but Foster argues that they are a great way to stay within your budget since you can plan out the exact amount you\u2019re spending on each card.
\u2014 Experiences
In recent years, Bodge has noticed that younger people prefer to gift each other experiences rather than gifts. But she recommended that you don't overspend on an expensive trip but rather find affordable fun activities to do with your loved ones.
Examples include going ice skating, hiking or hosting a potluck. You could also gift a photoshoot or framed pictures or digital albums to commemorate happy experiences.
\u201cIt's something that you and your loved ones can experience and enjoy together and take pictures and enjoy,\" Bodge said.
\u2014 The gift of time
If you can\u2019t afford to take your parents on a trip or visit them during the holidays, giving them more of your time can be a true gift, Levounis said.
Whether it\u2019s planning weekly video calls with your friend group or calling your grandma every day, non-monetary gifts can go a long way.
Expectations or traditions you grew up with, such as buying expensive gifts for every member of your extended family, can cause stress during the holidays. This is what Bodge refers as \u201ckeeping up with the Joneses\u201d which refers to trying to keep up with the expectations of other people rather than what is realistic for you to spend.
\u201cSometimes you may have a family member that is very financially well-off and they love to treat you to big, extravagant things. If you're not in that same financial position, you should not feel compelled to return the favor,\" said Bodge.
Creating your own new traditions can help reduce the stress of overspending because you feel pressured. Bodge recommends that you suggest something different to your family, friends or at work.
Additionally, for people who are grieving or have a challenging relationship with their family, the holidays can represent a difficult time. It's always good to remember to be extra kind and understanding during this time, Levounis said.
Bodge also recommends cutting costs by being selective with your expenses. For example, when it comes to hosting, even having a small group of people can be very expensive if you're expected to pay for everything. If you're in this situation, you could propose that everyone brings a dish.
\u201cMaybe try a potluck or if you want to control the dinner menu, allow people to bring appetizer and drinks or dessert,\u201d she said.
If you are having financial difficulties, it can help to talk about it with your family and friends.
Liu, who was diagnosed with anxiety and depression during her first year as a medical resident, now feels more comfortable talking with her family after keeping her struggles to herself for six months.
\u201cI\u2019m of Chinese ethnicity and, in our culture, it\u2019s very stigmatized to talk about mental health at all,\u201d Liu said.
Her parents and twin sister helped her through the difficult time, and her father shared that he struggled to show emotions when he was growing up and wants her generation to be able to be more open.
It's the season where social events are happening every weekend but if there are causing you too much financial stress or hurting your mental health, it's okay to be selective.
Additionally, if you start feeling uncomfortable about certain conversations with your family, Levounis recommends you take a break and limit your alcohol consumption.
While your stress might stem from financial struggles, negative feelings can spill over to other aspects of your life, making it hard to enjoy the holidays.
Levounis recommends taking some time out from social gatherings and Christmas shopping to do something for yourself, such as exercising.
\u201cLong low-intensity activities seem to be the most helpful,\u201d said Levounis, who suggested long walks or bike rides in nature.
Getting enough sleep is also critical. Turning off your electronics a few hours before bed can be a good practice.
If you are experiencing mental health struggles, there are several resources you can use to find professional help.
In the U.S., you can dial 211 to speak with a mental health expert, confidentially and for free.
Other mental health resources include:
Veterans Crisis Line: call 1-800-273-TALK (8255)
Crisis Text Line: Text the word \u2018Home\u2019 to 741-741
The Trevor Lifeline for LGBTQ Youth: 1-866-488-7386
The Trans Lifeline: 1-877-565-8860
___
A version of this story moved in December 2022. This story has been updated with new details and quotes.
___
The Associated Press receives support from Charles Schwab Foundation for educational and explanatory reporting to improve financial literacy. The independent foundation is separate from Charles Schwab and Co. Inc. The AP is solely responsible for its journalism.
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It was updated on Dec. 22 to correct that Roe v. Wade didn\u2019t only allow states to regulate abortion after the point of fetal viability. It allowed states to regulate abortion before that point under certain circumstances.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "US-XGR--Wisconsin-Abortion Referendum", + "headline": "Top Wisconsin Republican wants to put abortion laws on a future ballot", + "headline_extended": "Wisconsin\u2019s top Republican wants to let voters decide whether to shorten the length of time that pregnant women can legally seek abortions", + "slugline": "BC-US-XGR--Wisconsin-Abortion Referendum, 5th Ld-Writethru", + "description_summary": "Wisconsin\u2019s top Republican wants to let voters decide whether to shorten the length of time that pregnant women can legally seek abortions. Current state laws allow abortions up until 20 weeks of pregnancy. 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(AP) \u2014 Wisconsin's top Republican wants to let voters decide whether to shrink the window of time in which women can get abortions, but the state's Democratic governor says he won't allow it.
Current state law bans abortions after the 20th week of pregnancy. Republican Assembly Speaker Robin Vos said Wednesday that he hopes to put a proposal on some future ballot that would lower the limit to somewhere between the 12th and 15th week.
\u201cIt\u2019s probably the only way for us to put this issue to rest,\u201d he told The Associated Press. \u201cIt has the idea of saying we're letting the people decide.\u201d
However, Democratic Gov. Tony Evers opposed the plan in a statement issued Thursday.
\u201cI'll veto any bill that makes reproductive health care any less accessible for Wisconsinites than it is right now,\u201d he said.
The state of abortion laws in Wisconsin was thrown into confusion in June 2022 after the U.S. Supreme Court overturned its 1973 Roe v. Wade decision, which legalized abortion throughout the country. The 2022 ruling reactivated an 1849 state law that conservatives interpreted as banning abortion, and abortion providers halted their operations for fear of prosecution. Planned Parenthood clinics in Madison and Milwaukee only resumed offering abortions in September after Dane County Circuit Judge Diane Schlipper ruled that the 173-year-old abortion ban outlaws killing fetuses but does not ban abortions.
Schlipper reaffirmed that decision in a final ruling earlier this month, and a Republican prosecutor appealed the ruling on Wednesday. The case is likely to end up before the Wisconsin Supreme Court, which recently flipped to liberal control.
Vos argued Wednesday that passing a new abortion law would put to rest the uncertainty of waiting for judges to interpret outdated laws.
Voters in every state with an abortion-related ballot measure since the Supreme Court overturned Roe have favored the side backed by abortion rights supporters. Looking ahead to 2024, abortion could be on the ballot in many more states across the country.
Measures in Maryland and New York to protect access have already secured spots on next year's ballot. Legislative efforts or petition drives are also underway in several other states, including efforts to protect or expand abortion access in Arizona, Arkansas, Florida, Minnesota, Montana, Nevada, South Dakota and Virginia; and efforts to restrict access in Iowa. Drives are on for both kinds of measures in Colorado.
Marquette University Law School polls conducted since the Supreme Court overturned Roe v. Wade have shown that a majority of Wisconsin residents opposed that ruling and support legalized abortion.
For a new abortion law to be put before Wisconsin voters, the proposal would first have to be passed by the Republican-controlled Legislature and signed into law by Evers. It could then be placed on the ballot in a statewide election as a binding referendum. Wisconsin law does not allow voters to place questions on the ballot, and Republicans who control the Legislature have previously rejected Evers' calls to create a way for voters to repeal the 1849 abortion ban.
Evers has repeatedly vowed to veto any abortion legislation that would create stricter laws than existed under Roe, which only allowed states to ban abortion after the point of fetal viability. Doctors and researchers generally consider that point to be around the 23rd or 24th week of pregnancy.
\u201cThe bottom line for me is this: Wisconsinites should be able to make their own reproductive healthcare decisions without interference from politicians who don\u2019t know anything about their lives, their family, or their circumstances,\u201d Evers said Thursday.
Julaine Appling, president of Wisconsin Family Action, a prominent anti-abortion lobbying group, also spoke against Vos\u2019 plan on Thursday. She called it \u201cill-advised\u201d and \u201cpremature\u201d given that the pending appeal in the abortion lawsuit could result in a more favorable outcome for conservatives.
Vos isn't the first Wisconsin Republican to call for a ballot question on abortion laws. U.S. Sen. Ron Johnson has repeatedly pushed for a referendum to determine when voters believe abortion should be banned, saying he thinks most people would not support allowing the procedure after the 12th week of pregnancy.
\u201cI continue to believe that having \u2018we the people\u2019 decide the profound moral issue of abortion is the only way to find a reasonable consensus that most people will accept,\" Johnson said in a statement Wednesday. \"One of the benefits of a one-time, single-issue referendum would be the education and discussion that would occur leading up to it. Unfortunately, with an active court case and resistance in the Legislature, a referendum in 2024 is highly unlikely.\u201d
___
This story was first published on Dec. 21. It was updated on Dec. 22 to correct that Roe v. Wade didn\u2019t only allow states to regulate abortion after the point of fetal viability. It allowed states to regulate abortion before that point under certain circumstances.
___
Harm Venhuizen is a corps member for the Associated Press/Report for America Statehouse News Initiative. Report for America is a nonprofit national service program that places journalists in local newsrooms to report on undercovered issues.
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(AP) \u2014 Wisconsin Republicans plan to unveil a proposal soon to legalize medical marijuana in the state and could vote on it sometime in 2024, Assembly Speaker Robin Vos said.
Republicans have been working behind closed doors for years on a medical marijuana bill. Along the way, they have rejected calls from Gov. Tony Evers and other Democrats to legalize all uses of marijuana, including medical and recreational.
Vos, in an interview Wednesday, said the proposal will be limited and modeled after the medical marijuana law that had been in place in neighboring Minnesota before it moved to full legalization.
\u201cIt is not going to be widespread,\u201d he said. \u201cWe are not going to have dispensaries on every corner in every city.\u201d
He said Assembly Republicans are on board in concept, but no one has seen the actual proposal yet. He expected to unveil it in January. Vos had said in April that he hoped to have the bill by the fall of 2023, but he said it took more time to find consensus.
\u201cIn concept most people are there, but I don\u2019t want to guarantee anything until we have a wider discussion,\u201d he said. \u201cI feel pretty good that we\u2019re in a place where I think it can get through our chamber.\"
Democratic state Sen. Melissa Agard, who has advocated for full marijuana legalization, said Thursday that she could support a more limited medical marijuana program, but \u201cI remain skeptical as to whether or not this is it.\u201d Agard, who has traveled the state calling for legalization, said she has offered to work with Republicans on the bill but has been rejected.
Democratic Assembly Minority Leader Greta Neubauer said Democrats were open to discussing the Republican bill.
\u201cWe hope that it\u2019s a serious proposal from our colleagues that addresses the past harms that have been caused by the criminalization of marijuana and that really allows access for the people who need it,\u201d she said Thursday.
If passed by both the Senate and Assembly, it would have to be signed by Evers before taking effect. His spokesperson did not return a message Thursday seeking comment.
Senate Republicans have been less open to pot legalization than those in the Assembly. But in January, Senate Majority Leader Devin LeMahieu said a bill to create a medical marijuana program could pass this legislative session \u2014 as long as regulations are put forward to ensure it\u2019s for those in serious pain.
Vos has long backed some form of medical marijuana program, but no bill has ever received a vote in either the GOP-controlled Assembly or Senate.
Wisconsin remains an outlier nationally, with 38 states legalizing medical marijuana and 24 legalizing recreational marijuana. The push for legalization in Wisconsin has gained momentum, as its neighbors have loosened laws.
Marquette University Law School polls have shown large majority support among Wisconsin residents for legalizing marijuana use for years. Given that broad, bipartisan support, there should be full legalization, Agard said.
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Another 19-month-old, Freya Baudoin, born prematurely at 28 weeks and delayed in her mobility, has finally taken her first step.
Special needs children like these often take longer than most to become independently mobile, which can be a hardship for parents and others who care for them. Elijah is often carried because of his limb difference and clubfeet, meaning that instead of being straight, his feet are twisted inward and his toes point downward.
As a result, getting around on his own is a challenge.
That was until this past Spring. Elijah was one of the first recipients of a specially designed rolling chair built by a team of biomedical engineering students at Tulane University. Today, Elijah has mastered getting around on wheels \u2013 turning, stopping and steering all on his own.
\u201cHe loves his chair,\u201d said Crystal Jack, Elijah\u2019s mom. \u201cSo, I get a lot of things done because I know in his chair, he's safe. He know how to go around the house with it and everything, so I get a lot of things done now.\"
Before the chair, Jack said her son was able to scoot on the floor to get where he needed to go but the chair offers a whole new level of independence.
\"Like I said we come a long way, but I\u2019m blessed to have him,\u201d Jack said, smiling warmly as he moved back and forth around the living room of her mother\u2019s home in Ventress, Louisiana.
The Tulane students partnered with the nonprofit MakeGood in 2022 to design and produce the chairs to help toddlers (roughly ages 1-4) build independence and strength, and for some, prepare for a real wheelchair. While it remains difficult to access precise numbers for total wheelchair use among children, there were about 2.8 million wheelchair users in the U.S. in 2002, of whom 121,000 were under 15 years of age, according to the US Census.
MakeGood is the New Orleans area coordinator for TOM Global, an Israeli nonprofit that combines modern design and digital manufacturing to fulfill neglected needs of people with disabilities and limitations. TOM stands for Tikkun Olam, which is Hebrew for \u201crepairing the world.\u201d
The students partnered with the nonprofits as part of a service-learning project \u2014 a graduation requirement at Tulane. But many say they had no idea when the project started the depth of impact their chairs would make in the lives of children in the community.
Dylan Lucia, a graduate student at Tulane from the San Diego, California area, said he chose the field of biomedical engineering to help people and this project has manifested that.
\u201cSeeing that direct kind of patient feedback and seeing how much these (chairs) were improving their lives and helping them become a more independent person, even as a small toddler ... like, it was really, really endearing to see something like that and to see the positive change,\u201d Lucia said.
The chairs are particularly helpful for families whose children will eventually need wheelchairs. Noam Platt, director of MakeGood, said insurance companies typically don\u2019t cover the cost of a wheelchair for a child unless there is sufficient evidence that the child can use it effectively.
\u201cThese devices are used to create that evidence that their quality of life will be improved so they can get maybe a more durable assistive technology,\u201d Platt said.
Freya's chair was one of five made throughout several weekends early this fall at Tulane\u2019s Scot Ackerman MakerSpace, an enormous workshop with laser cutters, 3D printers and drilling and sewing equipment.
Students applied padding and safety straps to the chairs, and some required modifications to accommodate the needs of the children receiving them. For instance, Freya\u2019s chair needed a wider strap to help secure her torso, and another patient needed a space behind the chair big enough to hold his breathing vent. Freya\u2019s chair also had a bar added to the back, so that she could push it like a stroller. She took her first steps in early December after working with her physical therapist and her chair.
There's no word on how long Freya will have to use the chair but her mother said it has been more than a blessing.
\u201cAt first, we thought the muscle tone in her ankles wasn't strong enough for her to walk at all, but the neurologists recently told us everything is looking good and she should be walking on her own or with limited assistance soon,\u201d said her mom, Heather Hampton, of Metairie, Louisiana.
Hampton said Freya's able to push the chair like a stroller on her own. She wishes they could've gotten it sooner but understands the adjustments that needed to be made.
\u201cWe're just happy that she'll ultimately be able to get around and walk independently,\u201d Hampton said.
Platt said the mobility chairs' original design and plans came from TOM Global but the parts were purchased in the U.S. or made and then assembled by hand at Tulane. The wood panels used for the chair\u2019s frame were laser cut and then sanded by students to buff out any splinters and rough edges. Padded seats were stuffed into fabric cushions sewn by students. Wheels were purchased online and then screwed into place.
Elijah has had his chair since the end of March. It was made in the first batch of about 10 chairs delivered to pediatric patients for use in occupational and physical therapy sessions.
\"His chair shows him that, like, \u2018I could be up like other children.\u2019 You know, he don\u2019t let his (being) disabled get in the way,\" said Jack who added Elijah will likely need some type of mobility assistance for the rest of his life.
Bumpers were added to the bottom front of the most recent batch of chairs after parents from the first round said their furniture \u2013 and feet \u2013 were taking hits as their children became better and faster at using their chairs.
Platt said there have been two rounds, so far, of chair building and 15 chairs have been given away. But, he said they're aiming for at least 10 to 15 more by Spring 2024.
\u201cWe coordinate with our clinical partners to find kids that would be a good fit for these devices,\u201d he said. \u201cWe work with the clinical team to make sure each chair fits the individuals and make customizations if necessary.\u201d
Platt said the chairs cost less than $200 each to make, and even though these chairs were donated to patients at no cost, the price is still much lower than most pediatric wheelchairs on the market and electric-powered wheelchairs can run into the thousands.
The student-made chairs also look and feel more like toys than hospital equipment, Platt said. They\u2019re made to be light and easy to maneuver.
Platt said he\u2019d ultimately like to see the chairs be made in high schools and colleges across the country.
\u201cFor the students that I work with, I tell them this is just the beginning,\" Platt said. \"I\u2019m trying to open their eyes to kind of a lifelong passion that they\u2019ll have to solving these problems because once you see the problems, you see the scope of the problems and you can\u2019t really ignore them.\u201d
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her skin when she straps the pieces together.
The 67-year-old Amanda, Ohio, resident then does the same for her 5-year-old dilute tortoiseshell cat, Lola-Pearl, who is missing her left hind leg.
The duo is one of an estimated 200 therapy cat teams registered in the U.S. through Pet Partners. The nonprofit sets up owners and their pets as volunteer teams providing animal-assisted interventions, where they might visit hospitals, nursing homes or schools to aid in therapy and other activities to improve well-being in communities.
\u201cA therapy animal is an animal who\u2019s been assessed based on their ability to meet new people and not just tolerate the interaction, but actively enjoy it,\u201d said Taylor Chastain Griffin, the national director of animal-assisted interventions advancement at the organization.
Pet Partners registers nine different species as therapy animals: dogs, cats, horses, rabbits, guinea pigs, rats, birds, mini pigs, and llamas and alpacas.
As part of her research, Chastain Griffin studies the impact of therapy cats and argues more research needs to be done. There\u2019s abundant research on other therapy animals like dogs, she said, but there\u2019s often a \u201cshock factor\u201d involved with therapy cats because many don\u2019t know they exist.
\u201cThey go into a setting and people are like, \u2018Whoa, there\u2019s a cat on a leash. What\u2019s happening?\u2019\u201d Chastain Griffin said. \u201cIt kind of inspires people to connect in a way we haven\u2019t traditionally heard talked about in other therapy animal interventions.\u201d
Mengel said she knew Lola-Pearl would be a good therapy cat after she brought her on a whim to an amputee coalition conference about a month after she adopted the domestic shorthair.
\u201cShe was so good with people I just knew she would be a good therapy cat,\" Mengel said. \u201cPeople really were attracted to her, too.\u201d
During a recent visit to a limb loss support group meeting, Mengel pushed Lola-Pearl around in a stroller \u2014 labeled \u201cTherapy Cat\u201d \u2014 so attendees could pet the kitty as she woke up from a nap.
Whether she was sitting in the stroller, walking in between participants' legs or cuddling on their laps, Lola-Pearl brought a smile to whoever she decided was worthy of her attention in that moment.
\u201cShe's very intuitive of people,\u201d Mengel said.
Lola-Pearl isn't the only cat in Mengel's life; the former traveling nurse who lost her left leg in 2006 after years of surgeries following a near-fatal car accident is a mother to seven felines, most of which have disabilities.
\u201cThey find you, you don't find them,\u201d she said.
Lola-Pearl was found at only a few weeks old with her back legs completely twisted together. She was unable to walk and brought to a friend of Mengel's at an animal shelter in Missouri, where veterinarians could not help her. The shelter found specialists in Iowa who were able to splint Lola-Pearl's legs as an attempt to save them, but they decided her left hind leg needed to be amputated.
Meanwhile, Mengel had been in talks with her friend in Missouri about adopting the cat, and after Lola-Pearl healed from surgery, Mengel officially adopted her.
Despite the obstacles Mengel has been through, she exudes a spirit of gratitude for Lola-Pearl and for the work they do together.
\u201cIt\u2019s a really rewarding experience,\u201d she said, \"I get just as much out of it as the people that I visit.\u201d
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Editorial: Give supervised consumption sites a chance to reduce drug-related deaths
Governor Maura Healey\u2019s DPH now supports the idea of creating sites where people can take illegal drugs under medical supervision. While no panacea, they\u2019re worth trying as a way to reduce overdose fatalities.
Elections have consequences, even in an issue as bipartisan as addressing the scourge of substance use disorder.
Some public health advocates have been calling for years for Massachusetts to create supervised consumption sites, where people can use illegal drugs that they obtained themselves under medical supervision. But the issue was a political nonstarter when former governor Charlie Baker opposed them, and former president Donald Trump\u2019s US Attorney for Massachusetts Andrew Lelling promised to prosecute.
But with new Democratic administrations, a new day may be dawning for supervised consumption sites (also called safe injection sites or overdose prevention centers). On Wednesday, Governor Maura Healey\u2019s Department of Public Health released two reports that provide a rationale for opening supervised consumption sites and a practical blueprint for doing so. The state Legislature should take the next step and create a legal framework that would let public health professionals oversee these efforts without fear of state-level professional or legal liability.
The idea is not to legalize drugs \u2014 but to recognize the reality that people are taking them, and the state should do whatever it can to save lives and get drug use off the streets.
While there would still be fears about federal prosecution, the Biden administration has shown a willingness to turn a blind eye to sites set up in New York. Removing state-level barriers would let the Department of Public Health move forward in crafting a responsible pilot program in partnership with municipalities and treatment organizations. Data collected could inform future decisions about whether to continue and expand the sites \u2014 or shut them down.
Supervised consumption sites are not a panacea or a long-term solution to the crisis of addiction. Ultimately, people with substance use disorders need access to effective treatment. But supervised consumption sites have the potential to reduce harm by preventing fatal overdoses and drug-related hospital visits, since anti-overdose medication is administered onsite if necessary. Consumption sites connected with existing harm reduction efforts would let drug users obtain clean needles and drug test strips used to detect the presence of fentanyl in street drug, be offered referrals for treatment, and be tested for infectious diseases.
Department of Public Health Commissioner Robert Goldstein said overdose prevention centers \u201ccan be lifelines, serving not only as places of intervention, but as places of empathy, understanding, and healing.\u201d
Supervised consumption sites have existed for years in Canada, Australia, and parts of Europe, and the data on them is mixed but promising. A report by the National Institutes of Health, authorized by a 2021 budget bill, said there are conflicting studies regarding whether supervised consumption sites reduce mortality from drug overdoses in the population overall, but there is evidence that the sites prevent fatal overdoses among visitors who use them. Studies of these sites have identified reductions in ambulance calls and drug-related HIV infections, and increases in numbers of people entering drug treatment programs. In New York, a recent study in the Journal of the American Medical Association found no significant increase in crimes or calls for emergency service in areas where two sites are located.
A 2020 study by the Institute for Clinical and Economic Review estimated that if all existing clean syringe programs in Boston were paired with supervised consumption sites, Boston taxpayers would save $4 million a year from 773 fewer ambulance rides, 551 fewer emergency department visits, and 264 fewer hospitalizations.
As Sarah Wakeman, senior medical director at Mass General Brigham, said in a statement, \u201cThe choice is not between having overdose prevention centers or people not using drugs \u2014 the choice is between creating centers where people can not die from overdose versus the status quo, where people will continue to die behind bedroom doors down the hall from their parents, in public restrooms, and alleyways.\u201d
In 2019, Massachusetts\u2019 Harm Reduction Commission recommended establishing a supervised consumption site pilot program. Since then, New York has established two sites. Rhode Island plans to launch a two-year pilot in 2024. Minnesota has taken steps toward a program, while Philadelphia officials who tried to open a site are in settlement negotiations with the Biden administration over a 2019 lawsuit brought by Trump\u2019s Justice Department.
A newly released 41-page study conducted by JSI Research and Training Institute for Massachusetts\u2019 Bureau of Substance Addiction Services suggests that people using drugs would be interested in supervised consumption sites. Users expressed interest in a site that is accessible, nonjudgmental, and provides other services, like laundry or showers. Two agencies told researchers that they are prepared to open a site if funding becomes available.
Unless Congress changes the law \u2014 which seems unlikely \u2014 those who operate and visit supervised consumption sites could be prosecuted for violations of federal drug laws. But New York\u2019s ability to operate sites since 2021 without federal interference suggests the Biden administration may be taking the type of hands-off approach that successive administrations have taken to state-sanctioned marijuana businesses.
As the Department of Public Health report points out, what is necessary for a pilot program is an update to state laws to protect staff, funders, operators, and users from criminal prosecution and civil liability under state drug laws. Additionally, either legislation or guidance from the Department of Public Health would be required to instruct professional licensing boards that working at a supervised injection site should not subject someone to disciplinary action. Lawmakers would need to set up a framework to let DPH license and oversee sites.
Establishing supervised injection sites won\u2019t solve the addiction crisis. But with 2,300 deaths last year from opioid-related overdoses in Massachusetts, anything that could potentially save lives is worth a try.
___
Barre-Montpelier Times Argus. December 16, 2023.
Editorial: Be right, make enemies
The stakes are high for all parties taking sides in the Hamas-Israel conflict. The members of Vermont\u2019s congressional delegation have certainly been leaning in a direction of a cease-fire and an end to the bloodshed for good. Israel has said it will not stop. And now the U.S. pledge to maintain support through aid is feeling messy. So messy, in fact, that those individuals taking a firm stance are more than likely alienating members of their base. U.S. Rep. Becca Balint, who is Jewish, has been pushing for a peaceful solution as well as condemning acts of antisemitism that have arisen as a result of the heated conflict. In the U.S. Senate, Peter Welch has been urging a cease-fire and peace talks. Bernie Sanders has taken the fight to a different level \u2014 one that may cost him votes in the future. Sanders is Jewish and spent time in Israel as a young man. He has drawn criticism from some of his former supporters for not calling for a cease-fire in the conflict. Sanders said recently that he wants a humanitarian end to the conflict. First, he urged conditions on any aid provided to Israel. In a commentary in the New York Times three weeks ago, when the issue was coming to a head, Sanders concluded by writing, \u201cOver the years, people of good will around the world, including Israelis, have tried to address this conflict in a way that brings justice for Palestinians and security for Israel. I, and some other members of Congress, have tried to do what we could. Obviously, we did not do enough. Now we must recommit to this effort. The stakes are just too high to give up.\u201d Then Sanders called for President Biden to cut proposed aid to Israel by $10.1 billion in a letter that called the Israeli military\u2019s actions in Gaza a \u201cmass atrocity\u201d that the United States is complicit in. \u201cIsrael\u2019s military campaign will be remembered among some of the darkest chapters of our modern history,\u201d Sanders wrote in his letter. \u201cAnd it is being done with bombs and equipment produced and provided by the United States and heavily subsidized by American taxpayers. Tragically, we are complicit in this carnage.\u201d Sanders also asked Biden to support the humanitarian cease-fire resolution the United States recently vetoed in a meeting of the U.N. Security Council. \u201cLong-term, I don\u2019t know how you can have a permanent cease-fire when Hamas has made it very clear that that\u2019s not what they want or believe in,\u201d Sanders said. \u201cAnd at the same time you have Netanyahu and his right-wing government wanting to continue the war. So I think it raises false hopes.\u201d Then, when the aid vote came, Sanders was the lone member of the Senate Democratic caucus to oppose advancing a $10.5 billion supplemental foreign aid measure on, expressing opposition to the bill\u2019s unconditional military assistance for the Israeli government. \u201cI voted NO on the foreign aid supplemental bill today for one reason,\u201d he said in a statement. \u201cI do not believe that we should give the right-wing extremist Netanyahu government an additional $10.1 billion with no strings attached to continue their inhumane war against the Palestinian people.\u201d \u201cIsrael has the absolute right to defend itself against the Hamas terrorists who attacked them on October 7,\u201d Sanders added. \u201cThey do not have the legal or moral right to kill thousands of innocent Palestinian men, women and children.\u201d This week, Sanders introduced a resolution in Congress to investigate Israel\u2019s \u201cindiscriminate bombing campaign in Gaza.\u201d His stance has infuriated some of his former supporters and allies. But Sanders wants accountability. According to his statement, the resolution was introduced a resolution under Section 502B(copyright) of the Foreign Assistance Act \u201cto force a debate on the indiscriminate bombing being carried out by Prime Minister Benjamin Netanyahu\u2019s right-wing government.\u201d Sanders points out that the Foreign Assistance Act prohibits security assistance to any government \u201cwhich engages in a consistent pattern of gross violations of internationally recognized human rights.\u201d Section 502B(copyright) of this law allows Congress to request information on a country\u2019s human rights practices \u2014 such requests are privileged, allowing the sponsor to force a floor vote on the requesting resolution. If the resolution passes, the Department of State must submit the requested report within 30 days, or all security assistance to the country in question is cut off. After the report is received, Congress may then enact changes to condition, reduce, or terminate the security assistance in question. Both the initial vote to request the information and any subsequent votes to alter security assistance are privileged and require a simple majority for passage, according to the statement. \u201cThe scale of the suffering in Gaza is unimaginable \u2014 it will be remembered among some of the darkest chapters of our modern history. This is a humanitarian cataclysm, and it is being done with American bombs and money. We need to face up to that fact \u2014 and then we need to end our complicity in those actions,\u201d Sanders said. With no end to the conflict in sight, Sanders may just be posturing for the sake of posturing. History will look back on this time, indeed. It likely will assign blame on many nations, including us. It will also will reveal the carnage of sacrifice \u2014 in body counts and politics.
The stakes are high for all parties taking sides in the Hamas-Israel conflict. The members of Vermont\u2019s congressional delegation have certainly been leaning in a direction of a cease-fire and an end to the bloodshed for good.
Israel has said it will not stop. And now the U.S. pledge to maintain support through aid is feeling messy. So messy, in fact, that those individuals taking a firm stance are more than likely alienating members of their base.
U.S. Rep. Becca Balint, who is Jewish, has been pushing for a peaceful solution as well as condemning acts of antisemitism that have arisen as a result of the heated conflict. In the U.S. Senate, Peter Welch has been urging a cease-fire and peace talks.
Bernie Sanders has taken the fight to a different level \u2014 one that may cost him votes in the future. Sanders is Jewish and spent time in Israel as a young man. He has drawn criticism from some of his former supporters for not calling for a cease-fire in the conflict. Sanders said recently that he wants a humanitarian end to the conflict.
First, he urged conditions on any aid provided to Israel. In a commentary in the New York Times three weeks ago, when the issue was coming to a head, Sanders concluded by writing, \u201cOver the years, people of good will around the world, including Israelis, have tried to address this conflict in a way that brings justice for Palestinians and security for Israel. I, and some other members of Congress, have tried to do what we could. Obviously, we did not do enough. Now we must recommit to this effort. The stakes are just too high to give up.\u201d
Then Sanders called for President Biden to cut proposed aid to Israel by $10.1 billion in a letter that called the Israeli military\u2019s actions in Gaza a \u201cmass atrocity\u201d that the United States is complicit in.
\u201cIsrael\u2019s military campaign will be remembered among some of the darkest chapters of our modern history,\u201d Sanders wrote in his letter. \u201cAnd it is being done with bombs and equipment produced and provided by the United States and heavily subsidized by American taxpayers. Tragically, we are complicit in this carnage.\u201d
Sanders also asked Biden to support the humanitarian cease-fire resolution the United States recently vetoed in a meeting of the U.N. Security Council. \u201cLong-term, I don\u2019t know how you can have a permanent cease-fire when Hamas has made it very clear that that\u2019s not what they want or believe in,\u201d Sanders said. \u201cAnd at the same time you have Netanyahu and his right-wing government wanting to continue the war. So I think it raises false hopes.\u201d
Then, when the aid vote came, Sanders was the lone member of the Senate Democratic caucus to oppose advancing a $10.5 billion supplemental foreign aid measure on, expressing opposition to the bill\u2019s unconditional military assistance for the Israeli government.
\u201cI voted NO on the foreign aid supplemental bill today for one reason,\u201d he said in a statement. \u201cI do not believe that we should give the right-wing extremist Netanyahu government an additional $10.1 billion with no strings attached to continue their inhumane war against the Palestinian people.\u201d
\u201cIsrael has the absolute right to defend itself against the Hamas terrorists who attacked them on October 7,\u201d Sanders added. \u201cThey do not have the legal or moral right to kill thousands of innocent Palestinian men, women and children.\u201d
This week, Sanders introduced a resolution in Congress to investigate Israel\u2019s \u201cindiscriminate bombing campaign in Gaza.\u201d His stance has infuriated some of his former supporters and allies. But Sanders wants accountability.
According to his statement, the resolution was introduced a resolution under Section 502B(copyright) of the Foreign Assistance Act \u201cto force a debate on the indiscriminate bombing being carried out by Prime Minister Benjamin Netanyahu\u2019s right-wing government.\u201d
Sanders points out that the Foreign Assistance Act prohibits security assistance to any government \u201cwhich engages in a consistent pattern of gross violations of internationally recognized human rights.\u201d Section 502B(copyright) of this law allows Congress to request information on a country\u2019s human rights practices \u2014 such requests are privileged, allowing the sponsor to force a floor vote on the requesting resolution.
If the resolution passes, the Department of State must submit the requested report within 30 days, or all security assistance to the country in question is cut off. After the report is received, Congress may then enact changes to condition, reduce, or terminate the security assistance in question. Both the initial vote to request the information and any subsequent votes to alter security assistance are privileged and require a simple majority for passage, according to the statement.
\u201cThe scale of the suffering in Gaza is unimaginable \u2014 it will be remembered among some of the darkest chapters of our modern history. This is a humanitarian cataclysm, and it is being done with American bombs and money. We need to face up to that fact \u2014 and then we need to end our complicity in those actions,\u201d Sanders said.
With no end to the conflict in sight, Sanders may just be posturing for the sake of posturing. History will look back on this time, indeed. It likely will assign blame on many nations, including us. It will also will reveal the carnage of sacrifice \u2014 in body counts and politics.
___
Hearst Connecticut Media. December 17, 2023.
Editorial: CT should not let grass grow under feet on moving away from gas-powered leaf blowers
Only a few days of autumn remain, yet cheerful sounds of the holiday season are still commonly drowned out by the drone of gas-powered leaf blowers.
Nothing about blowers and related equipment is quiet, but the movement to ban them has been relatively hushed. That\u2019s poised to change, as Westport concludes its first year with restricted hours on using gas-engine leaf blowers.
Westport may be a Connecticut pioneer on the movement, but other states have lapped us in creating healthier environments. Palo Alto, Calif., banned gas-powered leaf blowers all the way back in 2005, and has since been followed by Miami Beach, Fla., Washington, D.C., Seattle, Wash., and Portland, Ore. Starting in July, California will forbid the sale of gas-powered leaf blowers and weed whackers.
Like everything involving the lawn equipment, though, they will not go away quietly in Connecticut. Landscapers have created an online petition to blow back against Greenwich\u2019s efforts to limit use of gas-fueled leaf blowers in the summer. They argue that switching to electric devices is not economically feasible.
From their perspective, massive properties in the likes of Greenwich can\u2019t be efficiently cleared off with rakes or electric devices that require frequent charges.
Leaders in Connecticut\u2019s cities and towns are watching one another to sort out best policies. But there are plenty of reasons we shouldn\u2019t let the grass grow beneath our feet on this issue:
Our air is dirty: A new study points to Fairfield County scoring poorly on pollutants produced by lawn equipment. A commonly cited, but revealing, data point is that a single car has to travel 1,100 miles to produce the same amount of smog as a commercial gas-powered leaf blower. Park the electric vehicle debate for a moment and remember how gas cars evolved over generations. Leaf blowers have not changed all that much since they were adapted from their original use in the 1940s to spray crops with pesticides.
All that noise isn\u2019t good for us either: Harvard released a study that each 5-decibel increase in the average daily noise level boosts the likelihood of a heart attack or stroke by 34 percent.
Take a breath: Wonder why you\u2019ve been sneezing and tearing up so much in the spring and fall? Consider all the pollen and mold swirling around the neighborhood, along with pesticides and animal feces. It\u2019s not just bad for allergies, but for asthma.
Let nature run its course: There are perils to wet leaves on roads and walkways, but there are also good reasons to just leave them where they are. They provide a habitat for life forms needed for pollination, such as beetles, bees and butterflies. They also deliver nutrients back to the trees.
Three Yale School of Medicine professors wrote to Greenwich officials about the \u201cmultiple health and environmental hazards\u201d presented by the equipment, deeming it nothing less than a \u201cpublic health emergency.\u201d
Like nature, this issue will evolve. As it does, the livelihood of the landscapers should not only be considered, but made a priority. They, more than anyone else, are exposed to the perils of this outdated practice.
___
Portland Press Herald. December 17, 2023.
Editorial: Remarkable population growth is a remarkable opportunity for Maine
Recent big-picture changes to American life can be turned to our advantage.
Maine is growing. Can we take a moment to recognize how remarkable that is?
Generations of politicians, bureaucrats, business owners, community leaders and activists have served the state under the shadow of stagnant growth. Untold hours of debate and millions of dollars in campaign funds have been spent on the question of how to turn it around.
Suddenly, Maine\u2019s population growth is booming, outpacing the national average for the first time in decades.
The reversal is the result of a once-in-a-century pandemic that led a lot of people to reconsider what they want out of life \u2013 playing right into Maine\u2019s strengths. It\u2019s time for us to take advantage.
UNEXPECTED GROWTH
As the Press Herald reported last week, Maine\u2019s population as of July 1, 2022, stood at 1,385,340, an increase in the last decade of more than 56,000 people.
Most of that growth took place in the prior three years, when Maine has experienced a growth rate of twice the national average, alongside that of Sun Belt states such as Florida, Arizona and North Carolina.
While the growth was concentrated in York and Cumberland counties, more people moved here than moved away in every county \u2013 with Piscataquis, Lincoln and Oxford counties experiencing the largest increases as a percentage of population.
And although the influx of asylum seekers and other international migrants gets a lot of attention, they have made up less than 10% of the recent increase in population.
Most of the growth instead has come from people moving from other states, many of them searching for a safer, quieter, more community-centered place to live. There\u2019s a reason Vermont and Maine are growing while nearby metro areas lose people.
CHANGING COURSE
It\u2019s a strange place for Maine to find itself, even if policymakers have been chasing it for decades. Statewide growth has been below the national average since the 1990s. Mills closed at the same time Maine\u2019s population was aging, so there were fewer babies being born and fewer opportunities to keep young people here, or to attract them to the state.
From 2010 to 2020, Maine\u2019s population grew just 2.6% while the country as a whole grew 7.4%, making it uncertain whether the state would have enough people to fill its workforce and care for the older generation.
There\u2019s been a lot of fighting over how to change those conditions, with Republicans in general citing Maine\u2019s relatively high cost of doing business as the problem, while Democrats most often call for government investment in communities and the workforce.
No one saw the pandemic coming. But it should be noted that no one moved to Maine in the last few years because taxes or welfare were cut, or because businesses were allowed to pollute or mistreat workers. None of those things happened.
Instead, many Americans began to rethink a long workday with an soul-sucking commute. Many people can now work from anywhere, too, and are choosing to settle in Maine, where they can find tight-knit communities, a different pace and endless opportunities to enjoy the outdoors.
As the climate crisis brings high heat and more frequent storms to other parts of the country, people may continue to look to Maine for respite.
TAKING ADVANTAGE
As much as Mainers sometimes want things to stay the same, this growth is a positive development for the state. Communities either grow and allow their members to take advantage of opportunity and progress, or they wither and watch those opportunities go elsewhere \u2013 along with many of their residents.
So how do we take advantage of this moment? By reinforcing everything that makes Maine an attractive place \u2013 for both current and future residents. We need housing so that more people can live affordably in our great neighborhoods and close to work. We need to improve and expand our public areas \u2013 our parks, trails and downtowns. We need to manage growth so that we\u2019re not overwhelmed by traffic, or see our towns pulled apart by sprawl.
We need to do better supporting people at the lower rungs of the economy, too. A community where every member is counted and cared for is better for everyone, regardless of income.
Maine doesn\u2019t have year-round sun. Compared to other parts of the country, housing is expensive and taxes are high. But it has something else that keeps us here, and now it\u2019s drawing others as well. It\u2019s a rare opportunity to build a prosperous state while maintaining what makes it special. What are we going to do about it?
___
Bangor Daily News. December 18, 2023.
Editorial: This simple federal change can help Maine better support asylum seekers
Some of the many needed changes to America\u2019s immigration system require large shifts through an act of Congress. Others, however, can be done administratively and in a fairly simple way.
One such change is available to the Department of Homeland Security, and it should be quickly implemented in order to better support people arriving in Maine and the communities welcoming them.
Three of Maine\u2019s federal representatives \u2014 U.S. Sen. Susan Collins, U.S. Sen. Angus King and U.S. Rep. Chellie Pingree \u2014 have called on Homeland Security to provide increased flexibility in the Shelter and Services Program. This program provides funding to organizations and municipalities that provide shelter and other services to people who aren\u2019t American citizens, like asylum seekers.
The Maine lawmakers have argued, convincingly, that the program\u2019s 45-day limitation on funds fails to match the current migration realities in Maine and other so-called destination areas far away from the southern border. They have asked for that limitation to be changed to 180 days.
\u201cThe SSP (notices of funding opportunities\u2019) 45-day limitation is inappropriate for migrant destination locations like Maine,\u201d Collins, King and Pingree wrote in a Dec. 6 letter to Homeland Security Secretary Alejandro Mayorkas. \u201cMaine immigrant services groups struggle with the 45-day limitation because migrants arriving in the state have typically been released from DHS custody many days prior, reducing the period in which these individuals and families may receive support. This reality makes it impossible for many Maine programs to access SSP funding that they have depended on under the (the Emergency Food and Shelter Program for humanitarian relief) to support and assist migrants.\u201d
Portland officials in particular have raised concerns about shifts in the availability of federal aid, and the way this 45-day threshold could limit access to funds for non-border cities.
\u201cForty-five days works mostly for a lot of folks along the southern border,\u201d Aaron Geyer, Portland\u2019s director of social services, told the Portland Press Herald.
\u201cFor destination cities away from the border, that\u2019s where the negative impact comes in. The length of stay is often much greater than 45 days,\u201d Geyer added.
In November, then-Portland Mayor Kate Snyder sent a letter to the city\u2019s representatives in the Maine Legislature, asking for assistance finding state or federal support for the city of Portland\u2019s Resettlement Program. Shifts in federal programs and funding sources put the 45-day requirement in play, threatening the longer-term services provided to asylum seekers here.
The simplest solution would be for the federal government to acknowledge the realities on the ground, make sure the intent of this program matches those realities and make the necessary administrative adjustment. As the Maine officials have suggested, 180 days would be more workable and appropriate.
\u201cWe understand that DHS can revise (notices of funding opportunities) through administrative action that does not require further legislation,\u201d Collins, King and Pingree continued in their letter. \u201cThe 45-day requirement does not appear in the Department of Homeland Security Appropriations Act, 2023 (Div. F, Title II of P.L. 117-328) that created the SSP. DHS created the requirement of its own volition, and DHS has the ability to amend or remove the requirement going forward.\u201d
Homeland Security has the ability, and it should do so without delay. Geyer explained the need clearly to the Press Herald.
\u201cI can\u2019t stress enough the negative impact it has on cities and municipalities away from the border because of the 45-day limit,\u201d Geyer said. \u201cThe work that could be done within 180 days, it just can\u2019t be done within the 45-day limit.\u201d
END
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The debate gained new momentum after Russia\u2019s full-scale invasion of Ukraine on Feb. 24, 2022. The Kremlin\u2019s forces have repeatedly used powerful missiles to blast civilian targets across the country, with devastating consequences.
Many people are believed to be suffering from stress and anxiety.
The legislation imposes strict controls on cannabis production and distribution. A doctor\u2019s prescription will be required to obtain any medicine containing cannabis. Recreational use of cannabis remains a criminal offense.
___
Follow AP\u2019s coverage of the war in Ukraine at https://apnews.com/hub/russia-ukraine
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December 14, 2023.
Editorial: (Gun)smoke and mirrors over Remington Arms\u2019 exit
No, the firearms manufacturer isn\u2019t leaving for Georgia because of New York\u2019s gun policies.
To Republicans hungry for political theater, the announcement that Remington Arms will be closing its plant in the Herkimer County village of Ilion must have looked like a plump, juicy peach.
As if on cue, GOP leaders, including U.S. Rep. Elise Stefanik and state Sen. Mark Walczyk, blamed New York\u2019s \u201cunconstitutional\u201d gun policies as the reason the factory is leaving after more than 200 years, taking 270 jobs with it.
But this low-hanging political fruit is as fake as the plastic apples and oranges in a department store window display.
Consider, first, that Remington had been raided by a private equity firm for \u201chundreds of millions\u201d by 2012, according to The New York Times Magazine. Then, in 2022, the firearms manufacturer had to pay out $73 million to settle with the families of those murdered at Sandy Hook Elementary School in Newtown, Conn., in 2012. The killer had used a semiautomatic Remington rifle to slaughter 26 people, including 20 children. It declared bankruptcy in 2018, and again in 2020 \u2014 and would have done so if the plant had been located in Herkimer County or Honolulu.
In blaming the Remington move on New York gun policies, Mr. Walczyk cited the state\u2019s Gun Industry Liability Law, which allows gunmakers to be sued if they \u201cknowingly or recklessly create, maintain or contribute\u201d to a dangerous condition with their firearms. That\u2019s nonsense: The Sandy Hook lawsuit was filed in 2014, seven years before New York\u2019s liability law was signed.
To be sure, there\u2019s an entirely different set of New York policies that played into this decision: Georgia has a lower corporate tax rate, and individual tax rates of 1 to 5.75 percent. (New York\u2019s individual rates range from 4 to 10.9 percent.) We\u2019ve seen this show before: A financially struggling company decamps to a southern state that takes less of its earnings.
Ms. Stefanik\u2019s trite recitation of New York\u2019s \u201cunconstitutional gun-grab policies\u201d ignores the fact that the factory just waded through two years of labor negotiations that had only been settled this summer. Moving those jobs to Georgia gives the company the option of establishing wages based off that state\u2019s Scrooge-worthy $7.25 hourly minimum wage, which is less than half of New York\u2019s. Georgia has the eighth-lowest union membership in the country; New York has the second-highest. As the United Mine Workers of America, which represents the Ilion workers, noted: \u201cThey\u2019re obviously moving to a very nonunion state.\u201d
Some will argue that we\u2019re missing the forest for the trees, knocking the GOP for blaming the company\u2019s exit on the wrong set of Democratic-driven policies \u2014 not gun laws but the tax structure and a decent minimum wage. Never mind the ramifications of a low-tax state having less to spend on education, economic development and social supports, or the loss of union protections. The real question is whether the laws are fair both for workers and management.
Don\u2019t be distracted by these peanut-gallery tropes. The central problem with guns, including their manufacture, remains that Congress won\u2019t take the simplest steps to reduce the country\u2019s gut-churning number of mass shootings: Pass universal background checks and an assault weapons ban, which would surely include Remington\u2019s version of the AR-15. Maybe if the company hadn\u2019t produced such a weapon, it wouldn\u2019t have lost $73 million, and maybe 20 children from Newtown would be enjoying the holidays this year.
___
Advance Media New York. December 14, 2023.
Editorial: NY\u2019s public hospitals should stop suing low-income patients over medical debts
Gov. Kathy Hochul signed a bill last week prohibiting medical debt from appearing on credit reports, which damages patients\u2019 ability to rent an apartment, get a job or buy a car. Over the past two years, Hochul also has banned hospitals and other healthcare providers from placing liens on people\u2019s homes or garnishing their wages over unpaid bills.
Advocates praised the governor\u2019s \u201ctremendous leadership in tackling the state\u2019s medical debt crisis.\u201d
But there\u2019s one abusive debt collection practice the governor could end with the stroke of a pen: a 30-year-old rule that tells state-run hospitals to sue patients over past-due medical bills of $2,500 or higher.
SUNY Upstate Medical University and other state hospitals accounted for three-fourths of such lawsuits across the state in 2022, according to the nonprofit Community Service Society of New York. University and Community General hospitals have sued more than 4,000 patients since 2020. Other Syracuse hospitals appear to have stopped the practice.
It\u2019s one thing to go after patients who can afford to pay. The targets of these lawsuits are disproportionately the working poor, who earn too much to qualify for Medicaid but earn too little to afford private health insurance.
Staff writer Douglass Dowty tells some of their stories: the dying cancer patient who spent his last weeks worrying about how he would fight the hospital\u2019s lawsuit; the tow-truck driver who works all hours to pay what he can for treatment of diabetes that cost him one leg already; the uninsured woman whose emergency room debt entitled the hospital to intercept her state tax refund.
Medical debt is a fact of life in the United States, where treatment and drug costs are high, and even people with health insurance are saddled with bills they cannot afford to pay. More than half of U.S. adults say they have gone into debt because of medical or dental bills in the past five years, a Kaiser Family Foundation poll found. Another study found that one-fourth of Syracuse adults had overdue medical bills on their credit records.
Upstate told Dowty that it only sues after it sends three bills with no response from the patient. The hospital provides $10 million in charity care to income-eligible patients and writes off another $40 million in debt. Hospitals in New York state are tax-exempt nonprofits and are obligated to care for anyone who walks in the door, regardless of their ability to pay.
On the other side of the ledger, Upstate collected $1.5 billion in revenues in 2021. For every dollar the hospital refers to the Attorney General for legal action, it recoups 14 cents. That\u2019s an awful lot of effort \u2014 and grief for patients \u2014 for negligible impact on the institution\u2019s bottom line.
It doesn\u2019t have to be this way.
A budget directive from Gov. George Pataki told state hospitals and the state Attorney General to sue patients over unpaid bills. Hochul could simply cancel that obligation and end the practice. We urge the governor to do so as soon as possible.
If she won\u2019t act, the state Legislature should step up and pass legislation to forbid SUNY hospitals from suing low-income patients over medical debt.
Or maybe the hospitals and the Attorney General should just stop filing lawsuits. They break no laws by not following the budget directive. Who would object if they don\u2019t?
To further help patients, proposed legislation would standardize financial aid rules across all hospitals, obligate hospitals to see if patients qualify for free care, and raise income limits to help the working poor.
As sponsor Assemblywoman Amy Paulin, D-Scarsdale, said, \u201cWe have an ability to choose most debt. We do not have an ability to choose a medical emergency.\u201d
A medical emergency can send low-income patients already struggling to pay the bills into a financial tailspin. Suing them for money they can\u2019t pay just adds insult to injury.
___
The Daily Star. December 15, 2023.
Editorial: Humane treatment of prisoners is key to rehabilitation
There are more than a million people living in prisons across America today.
While there are certainly those who have forfeited their right to live amongst society, many are ordinary people who made a terrible decision. This doesn\u2019t mean they should be deprived of basic human rights and decent treatment.
The condition of U.S. prisons is a subject that has come under greater scrutiny in recent years but recent legislation in New York has taken steps to address those issues.
The \u201cRights Behind Bars\u201d bill, introduced last week by state Sen. Julia Salazar and Assemblymember Phara Souffrant Forrest, aims to take action against jail policies that limit the rights of prisoners, while also reigning in instances of those facilities flouting the law.
A central tenet of the bill is to strengthen the Humane Alternatives to Long-Term (HALT) Solitary Confinement Act which the current prison system has largely ignored.
Rights Behind Bars would also allow for prisoners to receive care packages from the outside, access to free phone calls and limit impunity for abusive corrections officers.
There is a misconception among some that modern prisons are akin to hotels and resorts. The truth is that most jails in America are overcrowded, unhealthy and dangerous habitats that don\u2019t do nearly enough to prepare prisoners for their return to the outside world.
Perhaps the most brutal aspect of the modern prison system is the use of solitary confinement.
More than 100,000 inmates in federal and state prisons are placed in what is sometimes referred to as \u201crestrictive housing\u201d but more commonly known as solitary confinement. This entails keeping a prisoner in a confined space for 22 or more hours in a given day.
Contrary to popular belief, solitary confinement is not reserved for the most dangerous criminals but in some cases is instead used to isolate those in pre-trial and interrogation situations.
Outside contact is restricted or denied altogether despite research showing that interpersonal interactions are crucial to successful rehabilitation efforts.
Prisoners subjected to months or even years of solitary confinement are set up to fail when returned to the outside world and more likely to wind up back in prison or worse because of the mental and physical effects of their isolation.
The Rights Behind Bars bill cites international conventions that define prolonged solitary confinement as a form of torture.
Additionally, the bill would allow a court-like process to allow those accused of infractions to defend themselves before being sentenced to solitary.
Beyond New York state, legislation titled the End Solitary Confinement Act was introduced earlier this month that would largely ban the use of the practice in federal institutions and give local jurisdictions incentives to do the same.
Abuse at the hands of corrections officers is also a point of focus for these new reforms.
An investigation from the Marshall Project uncovered systematic cover-ups and silence when it comes to trying to discipline guards accused of violence toward inmates.
Over the past decade, there were nearly 300 cases of the New York corrections department attempting to fire individuals accused of physical abuse or covering up abuse. But only 10% of those cases resulted in those involved being fired. Some officers left voluntarily, but many kept their jobs.
What\u2019s more, researchers estimate that these records likely reflect just a portion of the wrongdoing occurring in prisons. Many prisoners remain silent out of fear of retaliation or not being believed.
It isn\u2019t just the most heinous acts that serve to deprive prisoners of basic human rights.
The ACLU of Delaware is suing the state on behalf of those being held in pre-trial detention or convicted of misdemeanors who are unable to vote while in custody.
According to the ACLU, the state doesn\u2019t allow for in-person voting in prisons, relying instead on absentee ballots.
Prisoners are people who have made mistakes; they are not animals, and they are entitled to humane treatment that will allow them to reacclimate to society once they\u2019ve paid their debt.
___
Dunkirk Evening Observer. December 16, 2023.
Editorial: New York STATE: Funding follies need attention
As a major northern Chautauqua County employer that serves 3,200 students deals with potential reductions, a smaller educational entity is rolling in the dough after a vote that included only 125 residents. Last week, the State University of New York at Fredonia announced it would be cutting academic offerings to rightsize a deficit of more than $10 million.
On the other end of the spectrum is the Brocton Central Schools. This week, it got the go-ahead to do a capital project that costs $16.8 million after 101 voters approved the plan.
While the cost to Brocton school taxpayers is minimal at best, New York state taxpayers from Buffalo to Long Island are subsidizing more than $15 million of it. Brocton enrollment \u2013 from kindergarten to 12th grade \u2013 is a little more than 550 students.
Brocton Central Schools is obviously a key cog in the village and town economy. It also is a place where the community can gather to swim, exercise \u2013 or participate in a Christmas festival that will be happening on Sunday.
All that cannot be discounted. What\u2019s troubling is how simple it was for the district to get the large sum of money. New York state is facing too much fiscal trouble to just be handing out $16.8 million because 101 people said yes.
That\u2019s far too easy.
SUNY Fredonia can only wish for a fix like that. In the last 10 days, the students, staff and even the administrators have been dealing with the pains of potential reductions facing an institution that has lost 2,000 students in the last 14 years.
Priorities in Albany need to change \u2013 with more emphasis being put on local residents having to fork over additional funds to do these major initiatives at small schools. If larger public institutions are faced with drastic decisions like SUNY, smaller public entities must also be held accountable.
In other words, there needs to be a lot more buy-in from the local community than just votes. It needs to come from the pockets of the local residents of that district.
___
New York Post. December 16, 2023.
Editorial: NY\u2019s exodus won\u2019t stop \u2019til the state reverses its ever-leftward course
State Comptroller Tom DiNapoli just delivered fresh confirmation of the city\u2019s shrinking pandemic-era population, while a new Census Bureau report shows the state still losing residents even post-COVID.
Expect the shrinkage to continue until New York reverses its tilt ever-more leftward.
From April 2020 to July 2022, Gotham\u2019s population fell by nearly a half million people, or 5.3% \u2014 wiping out almost three-quarters of the gains over the previous decade, DiNapoli reports, citing Census figures.
That was more than double the state\u2019s 2.6% drop, and it came while the nation overall was expanding by 0.6%.
DiNapoli blames the city\u2019s decline on not enough births and migrants from abroad to make up for \u201cthe relatively large number of residents leaving.\u201d
Meanwhile, the Census Bureau reported Tuesday that New York was one of just eight states to see its population dip, by a nation-topping 102,000, in the year ending July 1 \u2014 long after the pandemic ended.
By contrast, the South \u2014 notably, Florida and Texas, which have no personal incomes taxes \u2014 grew during COVID, and accounted for a whopping 87% of the nation\u2019s growth this year, though it holds just 39% of the population.
New York, of course, has watched its share of the nation\u2019s population plunge steadily for decades, as it leaned further and further left.
In the 1940s, the state\u2019s share of the US population translated to 45 House seats; today, it\u2019s just 26.
Certainly, as DiNapoli notes, the shift to remote work, which enabled employees to leave Gotham, accounts for some of the flight.
He also highlights the city\u2019s high cost of living and raising a family.
Yet the drivers of those high costs are New York\u2019s nation-leading and ever-growing tax burden, self-defeating housing rules, onerous business mandates, insane climate laws and so on.
Add in its crime-fueling policies and failing schools, and it\u2019s beyond obvious that it\u2019s the relentless progressive agenda that\u2019s driving people away.
Yet the usual suspects want more of the same: The far-left Working Families Party orders candidates seeking its endorsement now to back a mind-blowing $40 billion tax hike, letting non-citizens vote and legalizing drug-injection sites.
Honey, they shrunk New York \u2014 and if the progs aren\u2019t stopped, they\u2019ll keep bleeding the state and city until they\u2019ve sucked all the life out.
END
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Jean Carlos Martinez was a resident at a shelter in Chicago\u2019s Pilsen neighborhood when he suffered a medical emergency. He was pronounced dead shortly after arriving at a hospital on Sunday. A social worker who spoke at the vigil Wednesday night said Martinez' death was preventable and predictable. She says migrants \"deserve to be safe and cared for and living in humane conditions.\u201d A Chicago Fire Department spokesperson says six more people living in the shelter have been hospitalized this week.", + "located": "CHICAGO", + "datelinelocation": { + "city": "Chicago", + "countryareacode": "IL", + "countryareaname": "Illinois", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -87.65005, + 41.85003 + ] + } + }, + "copyrightnotice": "Copyright 2023 The Associated Press. All rights reserved. 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Jean Carlos Martinez was a resident at a warehouse retrofitted as a shelter in Chicago\u2019s Pilsen neighborhood when he suffered a medical emergency, the city said. He was pronounced dead shortly after arriving at a hospital Sunday afternoon.
Six more people living in the shelter \u2014 four children and two adults \u2014 were hospitalized this week, Chicago Fire Department spokesperson Larry Langford said.
All had been living in the same shelter as Martinez, whose family arrived in Chicago on Nov. 30. The cause of death was still pending Wednesday, according to Cook County medical examiner records.
\u201cThis was a preventable death. This was also a predictable death,\u201d said social worker Britt Hodgdon, who spoke at the vigil. \u201cPeople are here. They are our brothers and sisters. They deserve to be safe and cared for and living in humane conditions.\"
Migrant mothers were crying at the vigil. One young migrant child came to put a candle at the site and wouldn\u2019t stop crying, saying she missed her friend.
While city officials dismissed on Tuesday the notion of an outbreak at the shelter, there have been clusters of illness at other shelters where people sleep on cots close to each other, including chicken pox and hand, foot and mouth disease. Area doctors are growing increasingly worried about RSV and COVID-19 this winter.
\u201cThese are hard environments for people to rest and feel good and be able to take care of themselves,\u201d said Dr. Evelyn Figueroa, who recently toured the shelter where the boy was living. She runs a nearby food pantry and has spent most of her medical career working with homeless, immigrant and low-income populations.
About 2,300 people are staying at the shelter. The space has about 10 isolation rooms for when people get sick, Figueroa said.
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(AP) \u2014 A German drug packaging and medical device maker says it will expand in suburban Atlanta, investing $88 million and hiring more than 200 new employees.
Gerresheimer AG, based in Dusseldorf, said Thursday that it would build a new factory in Peachtree City, south of Atlanta. The company currently employs more than 260 people there, and it had already announced an expansion that is supposed to add 180 jobs by April.
Gerresheimer has been operating in Peachtree City for more than 30 years, officials said.
The company has bought land and will build a factory with 160,000 square feet (15,000 square meters). The new factory, scheduled to open in fall 2024, will focus on making autoinjectors, spring-loaded syringes that are used to inject drugs.
The new jobs will pay an average salary of $56,000 a year, said Amanda Fields, director of existing industries for the Fayette County Development Authority.
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(AP) \u2014 A federal judge hearing a challenge to a transgender health care ban for minors and restrictions for adults noted Thursday that Republican Florida Gov. Ron DeSantis repeatedly spread false information about doctors mutilating children's genitals even though there's been no such documented cases.
The law was sold as defending children from mutilation when it is actually about preventing trans children from getting health care, Judge Robert Hinkle said to Mohammad Jazil, a lawyer for the state.
\u201cWhen I'm analyzing the governor's motivation, what should I make of these statements?\u201d Hinkle asked. \u201cThis seems to be more than just hyperbole.\u201d
Hinkle said he will rule sometime in the new year on whether the Legislature, the Department of Health and presidential candidate DeSantis deliberately targeted transgender people through the new law. He raised some skepticism about the state\u2019s motivation as lawyers gave their closing arguments.
The trial is challenging Florida\u2019s ban on medical treatment for transgender children, such as hormone therapy or puberty blockers, a law DeSantis touted while seeking the presidency. The law also places restrictions on adult trans care.
Jazil said the motivation behind the law was simply public safety in an area that needs more oversight and can have permanent consequences.
\u201cIt's about treating a medical condition; it's not about targeting transgender individuals,\u201d Jazil said.
Jazil added that if the state was targeting transgender people, it could have banned all treatment for adults and children. Hinkle quickly replied that Jazil would have trouble defending such a law.
Hinkle, who was appointed by former President Bill Clinton, has temporarily blocked enforcement of the law as it pertains to minors, pending the outcome of the trial. The lawsuit also challenges restrictions placed on adult trans care, which have been allowed to take effect during the trial.
At least 22 states have now enacted laws restricting or banning gender-affirming medical care for transgender minors, and many of those states face lawsuits. Courts have issued mixed rulings, with the nation\u2019s first law, in Arkansas, struck down by a federal judge who said the ban on care violated the due process rights of transgender youth and their families.
Enforcement is blocked in two states besides Florida, and enforcement is currently allowed in or set to go into effect soon in seven other states.
Thomas Redburn, a lawyer representing trans adults and the families of trans children, said DeSantis and the Legislature have shown a pattern of targeting transgender people. He listed other recent laws that affect the community, including restrictions on pronoun use in schools, the teaching of gender identification in schools, restrictions on public bathrooms and the prohibition of trans girls from playing girls sports.
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With AP Photos.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "EU--Russia-Ukraine-Bionic Limbs", + "headline": "The war took away their limbs. Now bionic prostheses empower wounded Ukrainian soldiers", + "headline_extended": "Russia\u2019s war on Ukraine has created a massive need for prosthetic limbs", + "slugline": "AP-EU-Russia-Ukraine-Bionic-Limbs, 1st Ld-Writethru", + "description_summary": "Russia\u2019s war on Ukraine has created a massive need for prosthetic limbs. An estimated 20,000 Ukrainians had amputations since the war started in February 2022, many of them soldiers who lost arms or legs due to blast wounds. Only a small number of them has been able to receive bionic prostheses, which are more advanced and can provide greater mobility than the traditional prosthetic limbs. Alexis Cholas lost his right arm as a volunteer combat medic near the front lines in eastern Ukraine. That ended his career as a surgeon. 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But thanks to a new bionic arm, he was able to continue working in health care and is now a rehab specialist helping other amputees.
The 26-year-old is delighted with his sleek black robotic arm \u2014 he described it as \u201clove at first sight\u201d \u2014 and realizes how lucky he was to get one.
\u201cThere are fewer (bionic) arms available than lost ones,\u201d Cholas said.
Russia\u2019s war on Ukraine has created a massive need for prosthetic limbs. An estimated 20,000 Ukrainians have had amputations since the war started in February 2022, many of them soldiers who lost arms or legs due to blast wounds.
Only a small number was able to receive bionic prostheses, which are more advanced and can provide greater mobility than the traditional prosthetic limbs.
They are also far more costly than conventional prostheses.
Bionic artificial limbs typically pick up electrical signals from the muscles that remain above the amputation site, thanks to something called myoelectric technology, to carry out an intended motion.
Cholas' bionic arm was made by Esper Bionics. Before 2022, the Ukrainian startup primarily targeted the United States market, but due to the sharp rise in demand for prosthetic limbs caused by the war, Esper now distributes 70% of its products at home.
The company\u2019s production hub in the capital of Kyiv is working at full capacity, with more than 30 workers producing about dozen bionic hands a month.
In one corner of the factory, a small group of engineers huddle as they program, assemble and test the elegant bionic arms \u2014 known as Esper Hand. Each finger\u2019s movement on the robotic hand is accompanied by a soft whirring sound, assuring the engineers of its smooth operation.
Bohdan Diorditsa, head of strategic relations at the company, says that despite ramping up production, Esper Bionics is struggling to keep up with demand, with almost 120 people on the waitlist.
In Ukraine, the company says it provides the bionic prostheses at zero profit for about $7,000 a piece, just enough to cover production costs. In the United States, the Esper Hand sells for more than $20,000.
\u201cWe do not consider Ukraine as a market, but rather as an opportunity to help,\u201d says Diorditsa.
Compared to a conventional prosthesis, which is designed to replicate simple basic functions of a missing arm or leg, a bionic one offers the capability to restore fine motor skills.
\u201cEveryone wants them,\u201d says Anton Haidash, a prosthetist at Unbroken, a municipal center in the city of Lviv that focuses on rehabilitation of civilians and soldiers affected by the war. The center has helped provide prosthetic limbs to about 250 people so far, including about 20 bionic arms.
The difference in cost is significant. While bionic limbs can cost up to $50,000, conventional artificial limbs are priced at $800-$2,700, Haidash says.
Ukrainians can get the regular artificial limbs free of charge through the public health care system. However, to get a bionic prosthesis, they normally need additional funding from charities or rehabilitation centers such as Unbroken, which depend on donations.
And while patients can make the final decision about the type of prostheses they want, a variety of factors, including the nature of the injury and the person\u2019s occupation, also play a role.
Unbroken purchases bionic prostheses from German and Icelandic companies as well as Esper Bionics, whose notable advantage is having both a manufacturing and a service center in Ukraine. This means people don\u2019t need to travel abroad when a repair or resizing is required.
Another outstanding characteristic of the Esper Hand, which is powered by artificial intelligence, is its ability to adapt over time, learning the user's unique interactions with the hand.
After getting outfitted with his bionic arm, Cholas went back to volunteering as a combat medic on the front lines, while in his day job in Kyiv he works as a rehabilitation specialist in a public hospital. Most of his patients are members of the military or civilians who, like him, have lost limbs. He says their shared experience helps him quickly develop a rapport with his patients.
\u201cI now know a lot not only from textbooks but also from my own experience,\u201d he says.
Cholas speaks to his patients encouragingly as he examines their injuries. His movements with the bionic hand are natural and fluid. He effortlessly removes a bandage and dresses a patient\u2019s wounds without the assistance of nurses.
The bionic prosthesis allows him to perform even delicate movements, such as picking up a grape without crushing it, he says.
\u201cI feel uncomfortable when I\u2019m without the prosthesis,\u201d he says. \u201cBut when I have the bionic arm on, I feel comfortable. It\u2019s like a part of you.\u201d
___
Associated Press photographer Evegeniy Maloletka in Kyiv, Ukraine, contributed to this report.
___
Find more of AP\u2019s war coverage at https://apnews.com/hub/russia-ukraine
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A Missouri state health department spokesperson on Friday confirmed one resident of Northview Village Nursing Home has yet to be found. St. Louis police have been notified. Many of the home's roughly 170 patients left with nothing but the clothes they were wearing when the home shut down abruptly last week. The situation created confusion for residents and their relatives. Healthcare Accounting Services owns Northview Village and several other St. Louis residential homes. A person answering the phone said staff are gone for the holidays and declined to provide email addresses for company leaders.", + "bylines": [ + { + "by": "By SUMMER BALLENTINE", + "title": "Associated Press" + } + ], + "located": "COLUMBIA, Mo.", + "datelinelocation": { + "city": "Columbia", + "countryareacode": "MO", + "countryareaname": "Missouri", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -92.33407, + 38.95171 + ] + } + }, + "copyrightnotice": "Copyright 2023 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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(AP) \u2014 One person is still missing a week after the abrupt closure of St. Louis' largest nursing home left roughly 170 residents scattered at new facilities throughout the city, a state health department spokeswoman confirmed Friday.
Many patients left with nothing but the clothes they were wearing when Northview Village Nursing Home shuttered without warning last week, creating confusion and spurring outrage among residents and their families.
St. Louis police have been alerted about the final resident who remains unaccounted for, Health and Senior Services Department spokesperson Lisa Cox said in a Friday email.
Cox said Northview Village also has surrendered its license to operate, which will end the company's contracts with Medicare and Medicaid.
A person answering the phone said staff of Healthcare Accounting Services, which owns Northview Village and several other St. Louis residential homes, are gone for the holidays and declined to provide email addresses for company leaders.
One of Northview\u2019s owners, Mark Suissa, told the St. Louis Post-Dispatch that the state wasn\u2019t paying enough to keep the facility afloat and laid blame on staff, who did not receive paychecks the day the home closed.
\u201cOf course I would have done it a different way,\u201d he said of the closure. \u201cI have other partners also involved. But unfortunately, that\u2019s the way it happened.\u201d
The union representing workers has said the company started to close the home and bus away residents after staff raised concerns about not being paid.
Levare Westbrook told the Post-Dispatch that he lost track of his 82-year-old mother, who has dementia, for more than two days after the home shut down.
\u201cI did a whole lot of cursing until I finally found her,\" he said.
Northview Village has been fined 12 times for federal violations since March 2021, according to the Centers for Medicare and Medicaid Services. Fines totaled over $140,000 and ranged from $2,200 to more than $45,000. The federal agency gives Northview a one-star rating out of a possible five but doesn\u2019t spell out reasons for the fines.
In addition, the state health department website lists nearly two dozen Northview investigations since 2016. The most recent complaint, from February, said a resident was able to get out of the building through an unsecured door. A 2021 complaint alleged the facility failed to investigate claims that residents left the nursing home and brought drugs into it.
\u2014\u2014\u2014\u2014\u2014
Researcher Rhonda Shafner contributed from New York.
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These elements are directly related to health, particularly in the context of elder care and regulatory oversight of health facilities." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2023/12/22/86d152c78f180792e7764a435cb3334d.json b/datasets/AP_news/raw_data/2023/12/22/86d152c78f180792e7764a435cb3334d.json new file mode 100644 index 0000000..cbbab5b --- /dev/null +++ b/datasets/AP_news/raw_data/2023/12/22/86d152c78f180792e7764a435cb3334d.json @@ -0,0 +1,226 @@ +{ + "altids": { + "itemid": "86d152c78f180792e7764a435cb3334d", + "etag": "86d152c78f180792e7764a435cb3334d_2a11aza0c0", + "friendlykey": "691793238028", + "referenceid": "US-MED--Fake-Ozempic" + }, + "version": 2, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2023-12-22T19:19:56Z", + "firstcreated": "2023-12-22T15:34:39Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: With AP Photos.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "US-MED--Fake-Ozempic", + "headline": "FDA says fake Ozempic shots are being sold through some legitimate sources", + "headline_extended": "The U.S. Food and Drug Administration says it has seized \u201cthousands of units\u201d of counterfeit Ozempic, the diabetes drug widely used for weight loss", + "slugline": "BC-US-MED--Fake-Ozempic, 2nd Ld-Writethru", + "description_summary": "The U.S. Food and Drug Administration says it has seized \u201cthousands of units\u201d of counterfeit Ozempic, the diabetes drug widely used for weight loss. The agency said Thursday that the shots had been distributed through legitimate drug supply sources. The FDA and the drugmaker Novo Nordisk are testing the shots and do not yet have information about the fake drugs' identity, quality or safety. Consumers should avoid products labeled with lot number NAR0074 and serial number 430834149057. The FDA says some of the fake products may still be for sale.", + "bylines": [ + { + "by": "By JONEL ALECCIA", + "title": "AP Health Writer" + } + ], + "copyrightnotice": "Copyright 2023 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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The FDA and the drug\u2019s maker, Novo Nordisk, are testing the shots. They do not yet have information about the drugs' identity, quality or safety, according to a statement. Five illnesses have been linked to the fake shots, but none have been serious, the FDA said Thursday.
Some of the fake 1 milligram semaglutide shots may still be for sale, FDA said. In addition to the drug itself, the needles, pen labels, carton and accompanying health care information are also counterfeit, the agency said.
It said the counterfeits were labeled with the lot number NAR0074 and serial number 430834149057.
FDA advised retail pharmacies to buy authentic Ozempic only through authorized distributors and for patients to get it only through state-licensed pharmacies.
Consumers can report suspect Ozempic packages by calling 800-332-1088 or by contacting a state complaint coordinator.
___
The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute\u2019s Science and Educational Media Group. The AP is solely responsible for all content.
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In January, WHO warned that dengue posed a pandemic threat and was the world\u2019s fastest spreading mosquito-borne disease. It says more than 5 million cases and over 5,000 dengue-related deaths have been reported this year.", + "located": "GENEVA", + "datelinelocation": { + "city": "Geneva", + "countrycode": "CHE", + "countryname": "Switzerland", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + 6.14569, + 46.20222 + ] + } + }, + "copyrightnotice": "Copyright 2023 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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The World Health Organization said reported cases soared to a record 5.2 million in 2019, up from 500,000 in 2000, across 129 countries worldwide, figures that likely understate the actual toll.
In January, WHO warned that dengue posed a pandemic threat and was the world\u2019s fastest spreading mosquito-borne disease. While there are vaccines and specially bred mosquitoes containing a bacteria called Wolbachia to fight dengue, there are no specific treatments for the virus once someone becomes infected.
This year, more than 5 million cases and over 5,000 dengue-related deaths were reported, WHO said. Changing distribution patterns of the mosquitoes that spread dengue, together with higher rainfall, humidity and heat linked to climate change, have been factors in the rise.
Weaker health systems and poor surveillance have also played a part.
Most cases of dengue don\u2019t cause symptoms or cause mild illness, though some infections can result in shock, severe bleeding and organ impairment \u2013 symptoms that typically emerge after fever has faded, WHO said.
Warning signs include intense abdominal pain, persistent vomiting, bleeding gums, fluid accumulation, lethargy or restlessness, and liver enlargement, the agency said. Repeat infections can result in severe disease, which can cause hemorrhaging and death.
Dengue swept across the Western hemisphere this year. It isn\u2019t established in Europe, though some locally spread cases have turned up in the southern part of the continent since 2010.
Regions including the Americas, the Caribbean and Bangladesh have reported record numbers of cases in 2023.
The Americas, which has about four-fifths of the world's dengue cases, broke the previous regional record for dengue earlier this year, with Brazil, Argentina, Paraguay and Peru reporting the most cases worldwide. Peru declared a state of emergency in some areas after reporting a historic number of cases.
There are two licensed vaccines for dengue, although experts say one of them should only be used in people who have previously been infected, otherwise they could face a risk of more severe disease.
", + "textformat": "bx", + "links": [ + { + "href": "https://apnews.com/article/dengue-cases-increase-world-mosquitoes-95c754bbc98c82970adda4e3f5f82a48", + "rel": "canonical" + } + ], + "topics": { + "Health": { + "relevance_score": 5, + "reason": "The document is highly relevant to the topic of Health. It discusses the significant increase in dengue cases globally, the factors contributing to this rise, the impact on health systems, and the symptoms and risks associated with the disease. It also mentions the role of climate change and mosquito distribution in the spread of dengue, as well as the availability of vaccines and the challenges in treating the disease. All these points are directly related to health concerns and public health issues." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2023/12/22/9e4253bcb1bd679c95aef30c2a8db62a.json b/datasets/AP_news/raw_data/2023/12/22/9e4253bcb1bd679c95aef30c2a8db62a.json new file mode 100644 index 0000000..8528eef --- /dev/null +++ b/datasets/AP_news/raw_data/2023/12/22/9e4253bcb1bd679c95aef30c2a8db62a.json @@ -0,0 +1,202 @@ +{ + "altids": { + "itemid": "9e4253bcb1bd679c95aef30c2a8db62a", + "etag": "9e4253bcb1bd679c95aef30c2a8db62a_0a2aza0c0", + "friendlykey": "919658738900", + "referenceid": "LA--Flu Death-Louisiana" + }, + "version": 0, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2023-12-22T23:19:16Z", + "firstcreated": "2023-12-22T23:19:15Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "signals": [ + "newscontent" + ], + "title": "LA--Flu Death-Louisiana", + "headline": "First child flu death of season reported in Louisiana", + "headline_extended": "The Louisiana Department of Health on Friday confirmed the state\u2019s first pediatric flu death of the season", + "slugline": "AP-LA--Flu Death-Louisiana", + "description_summary": "The Louisiana Department of Health on Friday confirmed the state\u2019s first pediatric flu death of the season. WVUE-TV reports the department wouldn\u2019t release the child\u2019s age, name or the region of the state the child was from. It also wouldn\u2019t confirm the date the child died. But the death comes as the nation is witnessing a surge in flu, COVID-19 and RSV cases. According to data from the U.S. Centers for Disease Control and Prevention, Louisiana is one of two states with very high levels of respiratory illnesses. South Carolina is currently seeing the heaviest traffic for respiratory infections in emergency rooms.", + "located": "BATON ROUGE, La.", + "datelinelocation": { + "city": "Baton Rouge", + "countryareacode": "LA", + "countryareaname": "Louisiana", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -91.18747, + 30.44332 + ] + } + }, + "copyrightnotice": "Copyright 2023 The Associated Press. All rights reserved. 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(AP) \u2014 The Louisiana Department of Health on Friday confirmed the state\u2019s first pediatric flu death of the season.
The department wouldn't release the child's age, name or the region of the state the child was from, WVUE-TV reported. It also wouldn't confirm the date the child died.
According to the latest national data from the U.S. Centers for Disease Control and Prevention, as of Dec. 16, there have been 14 influenza-related pediatric deaths in the past year compared with 182 the year before.
The Louisiana death comes as the nation is witnessing a surge in flu, COVID-19, and RSV cases, with concerns mounting over a potential escalation over the holiday season.
High levels of flu-like illnesses were reported last week in 17 states \u2014 up from 14 the week before, the CDC said Friday. Louisiana has led the nation in cases, and it is one of two states reaching level 13, the highest rank for the number of reported illnesses. About one in five flu tests are coming back positive in the state, more than twice the national rate.
Louisiana is one of two states with very high levels of respiratory illnesses. South Carolina is currently seeing the heaviest traffic for respiratory infections in emergency rooms, according to CDC data.
At Children\u2019s Hospital New Orleans, the influenza A strain is circulating at a high rate and is joined by other respiratory viruses such as RSV, COVID and influenza B, The Times-Picayune/The New Orleans Advocate reported.
\u201cIt\u2019s sort of the quadruple whammy,\u201d said Dr. Mark Kline, an infectious disease specialist and physician in chief at Children\u2019s Hospital. \u201cWe\u2019ve got a lot of respiratory viruses out there right now.\u201d
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This information is highly relevant to the topic of Health as it addresses public health concerns, disease statistics, and the impact on healthcare facilities." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2023/12/22/a343409477b7aea350254f94daf52eb7.json b/datasets/AP_news/raw_data/2023/12/22/a343409477b7aea350254f94daf52eb7.json new file mode 100644 index 0000000..897e7c0 --- /dev/null +++ b/datasets/AP_news/raw_data/2023/12/22/a343409477b7aea350254f94daf52eb7.json @@ -0,0 +1,417 @@ +{ + "altids": { + "itemid": "a343409477b7aea350254f94daf52eb7", + "etag": "a343409477b7aea350254f94daf52eb7_1a72aza0c0", + "friendlykey": "586887499785", + "referenceid": "US--Artificial Intelligence-Seniors" + }, + "version": 1, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2023-12-22T20:44:55Z", + "firstcreated": "2023-12-22T05:10:34Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: With AP Photos.; AP Video.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "US--Artificial Intelligence-Seniors", + "headline": "Chatty robot helps seniors fight loneliness through AI companionship", + "headline_extended": "Some American senior citizens have a new companion to help them combat loneliness: a robot", + "slugline": "BC-US-Artificial-Intelligence-Seniors, 1st Ld-Writethru", + "description_summary": "Some American senior citizens have a new companion to help them combat loneliness: a robot. 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(AP) \u2014 Joyce Loaiza lives alone, but when she returns to her apartment at a Florida senior community, the retired office worker often has a chat with a friendly female voice that asks about her day.
A few miles away, the same voice comforted 83-year-old Deanna Dezern when her friend died. In central New York, it plays games and music for 92-year-old Marie Broadbent, who is blind and in hospice, and in Washington state, it helps 83-year-old Jan Worrell make new friends.
The women are some of the first in the country to receive the robot ElliQ, whose creators, Intuition Robotics, and senior assistance officials say is the only device using artificial intelligence specifically designed to alleviate the loneliness and isolation experienced by many older Americans.
\u201cIt's entertaining. You can actually talk to her,\u201d said Loaiza, 81, whose ElliQ in suburban Fort Lauderdale nicknamed her \u201cJellybean\u201d for no particular reason. \u201cShe'll make comments like, \u2018I would go outside if I had hands, but I can\u2019t hold an umbrella.'\u201d
The device, which looks like a small table lamp, has an eyeless, mouthless head that lights up and swivels. It remembers each user's interests and their conversations, helping tailor future chats, which can be as deep as the meaning of life or as light as the horoscope.
ElliQ tells jokes, plays music and provides inspirational quotes. On an accompanying video screen, it provides tours of cities and museums. The device leads exercises, asks about the owner's health and gives reminders to take medications and drink water. It can also host video calls and contact relatives, friends or doctors in an emergency.
Intuition Robotics says none of the conversations are heard by the company, with the information staying on each owner's device.
Intuition Robotics CEO Dor Skuler said the idea for ElliQ came before he launched his Israeli company eight years ago. His widowed grandfather needed an aide, but the first didn\u2019t work out. The replacement, though, understood his grandfather\u2019s love of classical music and his \u201cquirky sense of humor.\u201d
Skuler realized a robot could fill that companionship gap by adapting to each senior\u2019s personality and interests.
\u201cIt\u2019s not just about (ElliQ's) utility. It\u2019s about friendship, companionship and empathy,\u201d Skuler said. \u201cThat just did not exist anywhere.\u201d
The average user interacts with ElliQ more than 30 times daily, even six months after receiving it, and more than 90% report lower levels of loneliness, he said.
The robots are mostly distributed by assistance agencies in New York, Florida, Michigan, Nevada and Washington state, but can also be purchased individually for $600 a year and a $250 installation fee. Skuler wouldn\u2019t say how many ElliQs have been distributed so far, but the goal is to have more than 100,000 out within five years.
That worries Brigham Young University psychology professor Julianne Holt-Lunstad, who studies the detrimental effects loneliness has on health and mortality.
Although a device like ElliQ might have short-term benefits, it could make people less likely to seek human contact. Like hunger makes people seek food and thirst makes them seek water, she said \u201cthat unpleasant feeling of loneliness should motivate us to reconnect socially.\u201d
Satiating that with AI \u201cmakes you feel like you've fulfilled it, but in reality you haven't,\" Holt-Lunstad said. \u201cIt is not clear whether AI is actually fulfilling any kind of need or just dampening the signal.\"
Skuler and agency heads distributing ElliQ agreed it isn't a substitute for human contact, but not all seniors have social networks. Some are housebound, and even seniors with strong ties are often alone.
\u201cI wish I could just snap my fingers to make a person show up at the home of one of the many, many older adults that don\u2019t have any family or friends, but it's a little bit more complicated,\u201d said Greg Olsen, director of the New York State Office for the Aging. His office has distributed 750 of the 900 ElliQs it acquired.
Charlotte Mather-Taylor, director of the Broward County, Florida, Area Agency on Aging, said the COVID-19 pandemic and its aftermath left many seniors more isolated. Her agency has distributed 300 ElliQs, which she believes breaks them out of their shells.
\u201cShe\u2019s proactive and she really engages the seniors, so it gives them that extra kind of interaction,\u201d she said. \u201cWe\u2019ve seen very positive results with it. People generally like her and she makes them smile and brings joy.\u201d
Skuler said ElliQ was purposely designed without eyes and a mouth so it wouldn't fully imitate humans. While \u201cElli\" is the Norse goddess of old age, he said the \u201cQ\u201d reminds users that the device is a machine. He said his company wants \"to make sure that ElliQ always genuinely presents herself as an AI and doesn\u2019t pretend to be human.\u201d
\u201cI don\u2019t understand why technologists are trying to make AI pretend to be human,\" he said. \u201cWe have in our capacity the ability to create a relationship with an AI, just like we have relationships with a pet.\u201d
But some of the seniors using ElliQ say they sometimes need to remember the robot isn't a living being. They find the device easy to set up and use, but if they have one complaint it's that ElliQ is sometimes too chatty. There are settings that can tone that down.
Dezern said she felt alone and sad when she told her ElliQ about her friend's death. It replied it would give her a hug if it had arms. Dezern broke into tears.
\u201cIt was so what I needed,\u201d the retired collections consultant said. \u201cI can say things to Elli that I won't say to my grandchildren or to my own daughters. I can just open the floodgates. I can cry. I can giggle. I can act silly. I\u2019ve been asked, doesn\u2019t it feel like you\u2019re talking to yourself? No, because it gives an answer.\"
Worrell lives in a small town on Washington\u2019s coast. Widowed, she said ElliQ's companionship made her change her mind about moving to an assisted living facility and she uses it as an icebreaker when she meets someone new to town.
\u201cI say, \u2018Would you like to come over and visit with my robot?\u2019 And they say, \u2018A vacuum?\u2019 No, a robot. She\u2019s my roommate,\u201d she said and laughed.
Broadbent, like the other women, says she gets plenty of human contact, even though she is blind and ill. She plays organ at two churches in the South New Berlin, New York, area and gets daily visitors. Still, the widow misses having a voice to talk with when they leave. ElliQ fills that void with her games, tours, books and music.
\u201cShe's fun and she's informative. OK, maybe not as informative as (Amazon's) Alexa, but she is much more personable,\u201d Broadbent said.
", + "textformat": "bx", + "links": [ + { + "href": "https://apnews.com/article/artificial-intelligence-robot-elliq-senior-citizens-a343409477b7aea350254f94daf52eb7", + "rel": "canonical" + } + ], + "topics": { + "Health": { + "relevance_score": 4, + "reason": "The document discusses the use of a robot named ElliQ to alleviate loneliness and isolation among seniors, which has significant implications for mental and emotional health. It mentions the positive effects on users' well-being, such as reduced loneliness and increased interaction, which are relevant to the topic of health. Additionally, the document includes expert opinions on the potential health impacts of using AI for companionship. However, the primary focus is on the technology and its social benefits rather than a detailed exploration of health outcomes." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2023/12/22/a6af41985e566beaf381c855fd6e0379.json b/datasets/AP_news/raw_data/2023/12/22/a6af41985e566beaf381c855fd6e0379.json new file mode 100644 index 0000000..61c0d64 --- /dev/null +++ b/datasets/AP_news/raw_data/2023/12/22/a6af41985e566beaf381c855fd6e0379.json @@ -0,0 +1,315 @@ +{ + "altids": { + "itemid": "a6af41985e566beaf381c855fd6e0379", + "etag": "a6af41985e566beaf381c855fd6e0379_1a13aza0c0", + "friendlykey": "457788019577", + "referenceid": "US--Transgender Health-Texas" + }, + "version": 1, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2023-12-22T20:15:01Z", + "firstcreated": "2023-12-22T19:28:20Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: With comment from a spokesperson for Seattle Children\u2019s Hospital. 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On Friday, court records showed there been no decision yet on the Seattle hospital\u2019s lawsuit. Paxton's office has not commented on the lawsuit.", + "bylines": [ + { + "by": "By PAUL J. WEBER", + "title": "Associated Press" + } + ], + "located": "AUSTIN, Texas", + "datelinelocation": { + "city": "Austin", + "countryareacode": "TX", + "countryareaname": "Texas", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -97.74306, + 30.26715 + ] + } + }, + "copyrightnotice": "Copyright 2023 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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Seattle Children's Hospital filed a lawsuit in Austin, Texas, this month asking a court to invalidate or narrow the requests from Paxton, a staunch conservative who has helped drive Republican efforts that target the rights of trans people. His office sent similar letters earlier this year to Texas hospitals.
Texas is among more than 20 states that have enacted laws restricting or banning gender-affirming medical care for transgender minors. On Friday, court records showed there been no decision yet on the Seattle hospital's lawsuit.
The hospital argued Paxton's office was overstepping its jurisdiction and had no authority to request the records.
\u201cAdditionally, the Demands represent an unconstitutional attempt to investigate and chill potential interstate commerce and travel for Texas residents to another state,\u201d the lawsuit states.
Paxton\u2019s office did not immediately respond to a phone message and email seeking comment Friday.
Ashley Speller, a spokesperson for Seattle Children\u2019s Hospital, said in an emailed statement that it complies with the law and went to court \u201cto protect private patient information related to gender-affirming care services at our organization.\u201d
The hospital received the request from Texas in November. The lawsuit includes a copy of the letter from Paxton's office, which among other requests asks the hospital to produce records identifying medication given to children who live in Texas; the number of Texas children who received treatment; and documents that identify the \u201cstandard protocol or guidance\" used for treatment.
The hospital argued in cannot respond to the letter under a law signed by Democratic Gov. Jay Inslee earlier this year that aims to protects minors seeking gender-affirming care in Washington.
The law was part of a wave of legislation this year in Democratic-led states intended to give refuge amid a conservative movement in which lawmakers in other states have attacked transgender rights and limited or banned gender-affirming care for minors.
In May, Paxton\u2019s office sought information from Dell Children\u2019s Hospital in Texas about its policies on puberty blockers as well as documents identifying patients it has referred for treatment or counseling. The attorney general\u2019s office request at the time asked to examine hospital records \u201cto determine whether any state laws have been violated or misrepresentations have been made to parents and patients.\u201d
Those efforts began before Texas' restrictions were signed by Republican Gov. Greg Abbott, who was the first governor to order the investigation of families of transgender minors who receive gender-affirming care.
The Texas law prevents transgender minors from accessing hormone therapies, puberty blockers and transition surgeries, even though medical experts say such surgical procedures are rarely performed on children. Children who already started the medications being banned are required to be weaned off in a \u201cmedically appropriate\u201d manner.
___
Associated Press writer Jake Bleiberg in Dallas contributed to this report.
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Bristol Myers Squibb and Karuna announced their merger agreement on Friday. The transaction, which divvies out to $330 per share in cash, was unanimously approved by both companies\u2019 boards of directors. Karuna\u2019s top asset on the table is KarXT, an experimental antipsychotic with promising novel mechanism. KarXT is currently being reviewed by the U.S. Food and Drug Administration for the treatment of schizophrenia in adults. The drug is also undergoing trials related to Alzheimer\u2019s disease psychosis. The transaction is expected to close in the first half of 2024, subject to regulatory approvals and other closing conditions.", + "located": "NEW YORK", + "datelinelocation": { + "city": "New York", + "countryareacode": "NY", + "countryareaname": "New York", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -74.00597, + 40.71427 + ] + } + }, + "copyrightnotice": "Copyright 2023 The Associated Press. 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Bristol Myers Squibb and Karuna announced their merger agreement on Friday. The transaction, which amounts to $330 per share in cash, offers a premium of 53% over Karuna's stock on Thursday. The deal was unanimously approved by both companies' boards of directors.
Karuna's top asset is KarXT, an experimental antipsychotic with a promising novel mechanism. KarXT is currently being reviewed by the U.S. Food and Drug Administration for treatment of schizophrenia in adults. The drug is also undergoing trials related to Alzheimer\u2019s disease psychosis.
\"We expect KarXT to enhance our growth through the late 2020s and into the next decade,\u201d Christopher Boerner, Bristol Myers Squibb CEO, said in a prepared statement, noting that the Karuna acquisition strengthens the company's neuroscience portfolio. Bristol's top seller is Eliquis, used to treat and prevent dangerous blood clots.
Bill Meury, president and CEO of Karuna, pointed to Bristol Myers Squibb's prominent position in the industry and stated that KarXT and other assets \"will be well-positioned to reach those living with schizophrenia and Alzheimer\u2019s disease psychosis\u201d under the merger.
Analysts are also bullish on KarXT\u2019s prospects. A Friday research note from Graig Suvannavejh, senior U.S. healthcare equity research analyst at Mizuho Securities, said peak year unadjusted sales could reach $6.8 billion if the drug gets on the market with multiple uses.
Shares of Bristol Myers Squibb were up about 2% in afternoon trading Friday. Year-to-date, the company's stock is down more than 27% \u2014 similar to trends seen across other large drugmakers in 2023.
The Karuna transaction is expected to close in the first half of 2024, the companies said Friday, subject to regulatory approvals and other closing conditions.
Beyond this Bristol Myers Sqibb-Karuna deal, a handful of other pharma players have also announced major acquisitions this year. In March, for example, Pfizer said it would be spending about $43 billion to buy Seagen and broaden its reach into cancer treatments. And last month, AbbVie said it would pay around $10 billion on ImmunoGen to also strengthen its cancer-fighting treatment portfolio.
In October, Bristol Myers Squibb also acquired Mirati Therapeutics for $4.8 billion in equity value.
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The panel of three judges has 90 days to rule on the appeal.", + "bylines": [ + { + "by": "By TRISHA AHMED", + "title": "Associated Press/Report for America" + } + ], + "located": "MINNEAPOLIS", + "datelinelocation": { + "city": "Minneapolis", + "countryareacode": "MN", + "countryareaname": "Minnesota", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -93.26384, + 44.97997 + ] + } + }, + "copyrightnotice": "Copyright 2023 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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But an attorney for George Badeaux, the pharmacist at Thrifty White in central Minnesota, said his refusal to provide the drug due to his religious beliefs was not a violation of state and federal law.
A jury ruled last year that Badeaux did not discriminate against Andrea Anderson, a mother and foster parent, when he refused to fill her prescription for Ella, a drug that is used to stop a pregnancy before it starts. The jury also awarded Anderson $25,000 due to emotional harm \u2014 money she can't collect because there was no finding of discrimination, said Jess Braverman, one of Anderson\u2019s lawyers.
Gender Justice, an advocacy organization for gender equity, and other lawyers for Anderson appealed the jury's ruling this year.
\u201cThis was pregnancy-related discrimination,\u201d Braverman, the legal director for Gender Justice, said in court Thursday.
Braverman added that Badeaux illegally discriminated against Anderson on the basis of her sex when he refused to fill her prescription for a drug that is only prescribed to women.
Anderson eventually got her prescription filled at a pharmacy in Brainerd, making the round-trip of more than 100 miles (161 kilometers) in wintry driving conditions in 2019.
Rory Gray, a lawyer for Badeaux, argued federal and state law would not classify Badeaux's actions as pregnancy discrimination.
The Minnesota Human Rights Act \u201cis focused on motives, not consequences,\" Gray said. \u201cMr. Badeaux had to have a discriminatory motive. The jury found that he did not. And that\u2019s backed up by the statute, which does not impact so much what is done as to why it\u2019s done.\u201d
Gray added that Badeaux was not focused on himself or on Anderson when he refused to fill the prescription. \u201cPrimarily, he was focused on a third party. And that\u2019s the life that\u2019s formed when an egg is fertilized,\u201d Gray said.
Braverman said it doesn't matter if Badeaux was trying to harm Anderson or not.
\u201cThat\u2019s not an element of a discrimination claim. It\u2019s simply whether they denied the person full and equal access to goods and services,\" Braverman said.
\u201cThe problem that happened here was that the court instructed the jury that if Mr. Badeaux didn\u2019t intend to cause Ms. Anderson harm and stigma and shame, then they have not committed discrimination. And that is not the law in Minnesota \u2014 it\u2019s whether you intended to discriminate, which we have ... uncontroverted testimony of that here,\" Braverman added.
The panel of three judges has 90 days to rule on the appeal.
Since the U.S. Supreme Court ended constitutional protections for abortion last year, some states have expanded access to emergency contraceptives and birth control while other states have restricted access and enacted abortion bans.
Dozens of universities across the country now carry emergency contraceptives in vending machines, according to the American Society for Emergency Contraception. Some, such as the University of Tulsa in Oklahoma, are in states where abortion is largely banned.
___
Trisha Ahmed is a corps member for the Associated Press/Report for America Statehouse News Initiative. Report for America is a nonprofit national service program that places journalists in local newsrooms to report on under-covered issues. Follow her on X, formerly Twitter: @TrishaAhmed15
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A suspect is in custody", + "headline_extended": "Police said a person was critically injured when a man began shooting inside a Richmond, Virginia hospital", + "slugline": "AP-US--Hospital Shooting-Virginia, 1st Ld-Writethru", + "description_summary": "Police said a person was critically injured when a man began shooting inside a Richmond, Virginia hospital. Richmond police said that the suspect had come to the hospital for a mental health evaluation when he began shooting around 4 am on Friday. The victim's injuries were critical, but not life-threatening. Richmond Police Chief Rick Edwards said that a Chesterfield police officer who was also at the hospital for an unrelated incident returned fire with his weapon, but the suspect was not injured. 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(AP) \u2014 One person was injured at a hospital in Virginia when a man who had come to the facility for a mental health evaluation Friday began shooting, police said.
Richmond Police Chief Rick Edwards told reporters that a 911 call came in at 4:11 a.m. of shots fired at Chippenham Hospital. Officers who were already in the emergency room responded and found one adult male with critical, but not life-threatening, gunshot wounds.
The suspect surrendered and was taken into custody. Edwards said that a Chesterfield police officer who was also at the hospital for an unrelated reason had returned fire with his weapon during the incident, but the suspect was not injured.
Edwards said the suspect in the shooting is a 27-year-old man from Glen Allen, Virginia. He had come to the hospital on his own for a mental health evaluation. He was armed and began shooting shortly after he arrived. His motive was unclear.
\u201cHe was entering a room where he was disrobing and getting into a gown and then without warning starting firing his weapon,\u201d Edwards said. Another patient in a hallway was hit, he said.
A wave of gun violence has swept through U.S. hospitals and medical centers, which have struggled to adapt to the growing threats.
Such attacks have helped make health care one of the nation\u2019s most violent fields. Data shows American health care workers now suffer more nonfatal injuries from workplace violence than workers in any other profession, including law enforcement.
Similar shootings have played out in hospitals across the country including one in the lobby of New Hampshire state psychiatric hospital last month that left a security guard dead.
Edwards said the charges would be filed against the man after consulting with prosecutors.
He said sometimes officers work extra duty at the hospital, but there wasn't one stationed there at the time of the shooting.
\u201cIt was just luck that we had officers there on an unrelated call and they were able to respond rapidly, \u201d Edwards said.
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Therefore, it is somewhat relevant to health due to the context of the incident occurring in a healthcare setting and the mention of workplace violence in healthcare, but it is not highly relevant to the broader topic of health." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2023/12/22/e40d9095adea5f3dd90f9b09d3ecf7e1.json b/datasets/AP_news/raw_data/2023/12/22/e40d9095adea5f3dd90f9b09d3ecf7e1.json new file mode 100644 index 0000000..60a9fc7 --- /dev/null +++ b/datasets/AP_news/raw_data/2023/12/22/e40d9095adea5f3dd90f9b09d3ecf7e1.json @@ -0,0 +1,202 @@ +{ + "altids": { + "itemid": "e40d9095adea5f3dd90f9b09d3ecf7e1", + "etag": "e40d9095adea5f3dd90f9b09d3ecf7e1_0a7aza0c0", + "friendlykey": "381614622047", + "referenceid": "US--Getting Through the Holidays" + }, + "version": 0, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2023-12-22T13:24:50Z", + "firstcreated": "2023-12-22T13:24:49Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: With AP Photos.", + "signals": [ + "newscontent" + ], + "title": "US--Getting Through the Holidays", + "headline": "Holiday togetherness can also mean family fights. But there are ways to try to sidestep the drama", + "headline_extended": "The holidays, a time where families and friends can get together to talk, to laugh \u2014 or get into screaming arguments", + "slugline": "BC-US--Getting Through the Holidays", + "description_summary": "The holidays, a time where families and friends can get together to talk, to laugh \u2014 or get into screaming arguments. There are plenty of reasons togetherness can turn into tension \u2014 maybe that cousin you mostly love has that one opinion on politics or world events you just can\u2019t stand, or that one nosy grandparent won\u2019t stop asking about your life choices. Perhaps someone at the table is struggling with a substance abuse issue or a mental health concern. And don\u2019t forget that person who is just mean and miserable and spoiling for a fight. But experts in psychology and mental health say it doesn\u2019t have to be that way.", + "bylines": [ + { + "by": "By DEEPTI HAJELA", + "title": "Associated Press" + } + ], + "copyrightnotice": "Copyright 2023 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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There are plenty of reasons togetherness can turn into tension \u2014 maybe that cousin you mostly love has that one opinion on politics or world events you just can't stand, or that one nosy grandparent won't stop asking about your life choices. Perhaps someone at the table is struggling with a substance abuse issue or a mental health concern. And don't forget that person who is just mean and miserable and spoiling for a fight.
It can be enough to make you want to hit the eggnog extra hard. But experts in psychology and mental health say it doesn't have to be that way, and they offer suggestions for how to help manage gatherings that might be less than jolly:
It's important for people to know why they are going into situations they know could be tense or worse, says Ramani Durvasula, Ph.D, a licensed clinical psychologist who talks about the damage of narcissistic relationships.
Whether that's because there are other relatives they want to see or some other reason that is worth the potential drama, it's vital \u201cto be clear on the reason,\u201d she says, \u201cbecause otherwise you feel like you\u2019re just sort of a moth to the flame.\u201d
Watch enough holiday movies, and you could be lulled into thinking that a time of year where messages of hope and redemption are everywhere means your relationship with that conflict-prone person you have fought with in most other moments of your life will also somehow magically be all sunshine and roses.
\u201cThere\u2019s that kind of relationship-healing fantasy,\u201d says Tracy Hutchinson, Ph.D., who teaches in the graduate clinical mental health program at the College of William & Mary in Virginia. She says people want to believe \u201cmaybe this time it will be different, instead of just radically accepting that it probably won\u2019t be any different. But what can be different is the way that you approach the relationship and you approach the situation.\u201d
With everything going on in the world today, it probably wouldn't be difficult to have that political issue or current event where you find yourself diametrically opposed to someone you otherwise think well of. Well, you don't have to talk about it, says Jeanne Safer, Ph. D., psychotherapist and author of, \u201cI Love You, But I Hate Your Politics.\u201d
\u201cI think people have a great deal of difficulty realizing that they can care about somebody and have a lot in common and all of those kinds of things and not be able to talk about politics,\u201d she says. \u201cYou don\u2019t have to talk about everything.\u201d
\u201cDon\u2019t go in trying to convince them that you\u2019re right and they\u2019re wrong,\u201d says Tania Israel, Ph. D., professor at the University of California, Santa Barbara. \u201cWhat\u2019s best is to go in trying to understand them and communicate that you care.\u201d
If someone says something you disagree with, she says, you can say, \u201cTell me how you came to form that opinion, tell me a little bit about the connection that you have to that issue, what makes that so important to you, and ask them questions.\u201d
If you know your holiday family situation is likely to be tough, find ways to give yourself some moments of peace or distraction, Durvasula says, like going for a walk or taking some time to read a book or meditate. And don't overlook that it is the holiday season.
\u201cFind a way to commemorate or celebrate with healthy people, whoever those who might be,\u201d she says. \u201cThey might be a subset of your family. They may be friends, they may be colleagues, whoever they are, do that. So at least you feel that there\u2019s something that happened during that holiday season that felt meaningful to you.\u201d
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(AP) \u2014 Delaware\u2019s largest hospital system will pay more than $47 million to settle whistleblower allegations by its former compliance officer that it provided kickbacks to outside doctors in return for patient referrals, resulting in fraudulent Medicaid billing.
The settlement announced Friday comes nearly seven years after Ronald Sherman filed his whistleblower lawsuit, which remained under seal for more than a year, against Christiana Care Health System.
The lawsuit alleged that Christiana Care employees, including nurse practitioners, hospitalists and physician assistants, treated patients referred by non-CHSS physicians at no cost or below fair market value.
Those outside physicians then billed insurers, primarily Medicaid, for care that was actually provided by Christiana employees.
In exchange for the unearned billings, the physicians continued to funnel patients to Christiana Care rather than to other hospitals, according to the lawsuit.
The alleged fraud occurred between April 2011 and September 2013 involving Christiana\u2019s neonatology department, and between April 2011 and April 2017 invoving the cardiovascular surgery, urology, neurosurgery and ear, nose and throat departments.
State and federal authorities said the scheme violated anti-kickback laws and state and federal false claims statutes.
Attorneys for Sherman said the case is believed to be the largest False Claims Act settlement in Delaware history and similar lawsuits could be brought against other hospitals nationwide.
\u201cAny other hospital in the country which operates under that model that led to this settlement should consider changing its practices immediately,\u201d Dan Miller, lead counsel for Sherman, said in a statement.
Miller suggested that the scheme was partly a reaction to new industry rules in 2003 limiting the number of hours that hospitals could require medical residents to work.
\u201cTo fill the gap left behind by residents, many hospitals hired mid-level providers such as nurse practitioners and physician assistants,\u201d he said. \u201cAt Christiana Care, we alleged that services performed by mid-level providers were billed for by private attending physicians who were in a position to make future referrals to the hospital. Put differently, we alleged that Christiana Care paid kickbacks to the private physicians in the form of free employees.\u201d
Under the settlement, Christiana Care will pay about $32 million to the federal government and roughly $11 million to the state of Delaware, with half of each amount being restitution. Sherman will receive slightly more than $12 million, with roughly $9 million coming from the federal government and $3 million from the state. Christiana Care will also pay $4.6 million to Sherman\u2019s attorneys.
A statement issued by Shane Hoffman, a spokesman for Christiana Care, noted that the settlement involves no admission of liability.
\u201cWe are pleased to settle this matter as we focus forward on meeting the evolving health needs of the diverse communities we serve,\u201d it said.
In 2010, Christiana Care paid $3.3 million to settle a similar whistleblower suit alleging Medicare and Medicaid fraud involving neurology doctors. As part of that settlement, Christiana entered into a \u201ccorporate integrity agreement\u201d with the inspector general\u2019s office of the U.S. Department of Health and Human Services.
That agreement, among other things, required Christiana to maintain programs to detect and encourage internal reporting of potential violations of laws prohibiting kickbacks and patient referrals in return for financial consideration. Christiana also was required to report probable violations and overpayments to the government.
The lawsuit alleges that Sherman was stonewalled and marginalized by Christiana officials including Dr. Janice Nevin, the president and CEO, after expressing concerns about questionable billing practices that the hospital continued to engage in despite the earlier settlement. He was fired by Nevin in 2014.
\u201cMr. Sherman had an obligation to investigate compliance concerns. The mere fact that he was doing so appeared (to) cause a \u2018problem\u2019 for Dr. Nevin, which she was unable to explain during her deposition,\u201d former federal prosecutor Virginia Evans said in an export report commissioned by Sherman\u2019s attorneys.
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The American Red Cross began implementing the new U.S. Food and Drug Administration guidance in August. And about half of the 16 independent blood bank organizations in the U.S. that are members of the Alliance for Community Transfusion Services also have rolled out the guidelines, with more expected next year.", + "bylines": [ + { + "by": "By MANUEL VALDES and CLAIRE RUSH", + "title": "Associated Press" + } + ], + "located": "VANCOUVER, Wash.", + "datelinelocation": { + "city": "Vancouver", + "countryareacode": "WA", + "countryareaname": "Washington", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -122.66149, + 45.63873 + ] + } + }, + "copyrightnotice": "Copyright 2023 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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(AP) \u2014 Over the last six years, blood center employee Dylan Smith was often asked how frequently he gave blood himself. His answer was always the same: As a gay man, he couldn't.
That changed this month.
Thanks to new federal guidelines finalized in May, gay and bisexual men in monogamous relationships can now donate at many blood centers around the country without abstaining from sex.
Bloodworks Northwest, where Smith works as a donor services supervisor, adopted the change on Dec. 6. He and his partner gave blood for the first time the next day.
\u201cIt\u2019s been really emotionally difficult just to explain every single time the reason why,\u201d said Smith, 28. \u201cTo be able to finally step up and support the mission that I really have just believed in since I started here just makes my heart feel so happy.\u201d
The new U.S. Food and Drug Administration guidelines are the latest step in a yearslong effort to reverse restrictions that were designed to protect the blood supply from HIV, but which were increasingly criticized as discriminatory following scientific advances that allowed better detection of the virus.
In 2015, the FDA dropped the lifetime ban on donations from men who have sex with men and replaced it with a one-year abstinence requirement. The agency shortened the abstinence period to three months in 2020 after donations plummeted during the COVID-19 pandemic.
The American Red Cross, which accounts for about 40% of blood and blood component donations in the U.S., began implementing the new guidance in August.
About half of the 16 independent blood bank organizations that are members of the Alliance for Community Transfusion Services have rolled out the new guidelines, with more expected next year, the organization said.
\u201cIt is going to take time,\u201d said Benjamin Prijatel, president of Shepeard Community Blood Center in Augusta, Georgia. \u201cBlood centers and health professionals are going to have to put forth the effort to engage and educate this community in order to overcome years of distrust. That\u2019s the only way this rule change will translate into additional donations.\u201d
The change puts the emphasis on sexual activity rather than on sexual orientation. All potential donors are screened with a new questionnaire evaluating their HIV risk based on sexual behavior, partners and other factors that can contribute to the spread of blood-borne infections, such as intravenous drug use or recent tattoos or piercings.
Potential donors who report having anal sex with new partners in the last three months are barred from giving until a later date, and anyone who has ever tested positive for HIV will continue to be ineligible. Those taking pills to prevent HIV through sexual contact are still barred until three months after their last dose; the medications, known as PrEP, can delay the detection of the virus, the FDA said.
Donated blood is then tested for HIV, hepatitis C, syphilis and other infectious diseases.
Bloodworks Northwest, which supplies blood to more than 90 hospitals in the region, isn\u2019t keeping track of how many newly eligible donors are coming in, said Dr. Kirsten Alcorn, the nonprofit\u2019s co-chief medical officer. But workers have heard plenty of stories from people excited to give.
\u201cIt feels very meaningful to many of them to now be able to contribute to somebody\u2019s survival,\u201d Alcorn said.
Bloodworks executive Aaron Posey, whose own life was saved by a transfusion when he fell down a set of stairs and broken glass sliced an artery, welcomed the new guidance. He said hospitals and patients need access to a new pool of donors.
\u201cHaving always witnessed a shortage in the blood supply, it has at times been very frustrating,\u201d said Posey, who first donated blood during the pandemic when the abstinence period was cut to three months.
Smith learned of the restrictions on gay men giving blood when he was screened while trying to donate his freshman year of college in 2013. The rules blindsided him, he said. It was a long time to wait before he could finally donate with his partner and other friends.
\u201cJust being able to see them donating next to me, smiling next to me ... meant so much,\u201d Smith said.
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These aspects are directly related to health, making the document highly relevant to the topic." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2023/12/22/f382233d2d15301c75c7d3b3ba82c800.json b/datasets/AP_news/raw_data/2023/12/22/f382233d2d15301c75c7d3b3ba82c800.json new file mode 100644 index 0000000..93ef473 --- /dev/null +++ b/datasets/AP_news/raw_data/2023/12/22/f382233d2d15301c75c7d3b3ba82c800.json @@ -0,0 +1,208 @@ +{ + "altids": { + "itemid": "f382233d2d15301c75c7d3b3ba82c800", + "etag": "f382233d2d15301c75c7d3b3ba82c800_0a10aza0c0", + "friendlykey": "730424107098", + "referenceid": "US-MED--Winter Viruses" + }, + "version": 0, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2023-12-22T18:36:56Z", + "firstcreated": "2023-12-22T18:36:55Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: With AP Photos.", + "signals": [ + "newscontent" + ], + "title": "US-MED--Winter Viruses", + "headline": "Flu and COVID infections are rising and could get worse over the holidays, CDC says", + "headline_extended": "U.S. health officials say flu and COVID-19 infections are expected to ramp up in the coming weeks", + "slugline": "BC-US-MED--Winter Viruses", + "description_summary": "U.S. health officials say flu and COVID-19 infections are expected to ramp up in the coming weeks. They say the increases will be fueled by holiday gathering, low rates of vaccinations and the latest version of the coronavirus that appears to spread more easily. The Centers for Disease Control and Prevention reported Friday that high levels of flu-like were seen last week in 17 states. Health officials are keeping an eye on a version of the ever-evolving coronavirus. But officials say there's no evidence that the strain causes more severe disease than other recent variants.", + "bylines": [ + { + "by": "By MIKE STOBBE", + "title": "AP Medical Writer" + } + ], + "located": "NEW YORK", + "datelinelocation": { + "city": "New York", + "countryareacode": "NY", + "countryareaname": "New York", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -74.00597, + 40.71427 + ] + } + }, + "copyrightnotice": "Copyright 2023 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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High levels of flu-like illnesses were reported last week in 17 states \u2014 up from 14 the week before, the Centers for Disease Control and Prevention said Friday.
\u201cFolks are traveling a lot more this season. They want to see their families,\u201d said the CDC's Dr. Manisha Patel. \"And all of that sort of adds to the mix\u201d in the spread of viruses.
Health officials are keeping an eye on a version of the ever-evolving coronavirus, known as JN.1. The omicron variant was first detected in the U.S. in September and now accounts for an estimated 20% of cases. The CDC expects it to reach 50% in the next two weeks, Patel said.
It may spread easier or be better at evading our immune systems, but there is no evidence that the strain causes more severe disease than other recent variants, health officials say. And current evidence indicates vaccines and antiviral medications work against it.
As for flu, early signs suggest current vaccines are well-matched to the strain that is causing the most illnesses, and that strain usually doesn't cause as many deaths and hospitalizations as some other versions.
But the bad news is vaccinations are down this year, officials say. About 42% of U.S. adults had gotten flu shots by the first week of December, down from about 45% at the same time last year, according to the CDC.
Americans have also been slow to get other vaccinations. Only about 18% have gotten an updated COVID-19 shot that became available in September. At nursing homes, about a third of residents are up to date with COVID-19 vaccines.
And only 17% of adults 60 and older had received new shots against another respiratory virus. RSV, respiratory syncytial virus, is a common cause of mild coldlike symptoms but it can be dangerous for infants and older people.
The CDC last week took the unusual step of sending a health alert to U.S. doctors urging them to immunize their patients against the trio of viruses.
The Carolinas are currently seeing the heaviest traffic for respiratory infections in emergency rooms, according to CDC data posted this week.
It's not as dire as some past winters, but some patients are still waiting days to get a hospital bed, noted Dr. Scott Curry, an infectious diseases specialist at the Medical University of South Carolina in Charleston.
\u201cWe've barely been cold in South Carolina, and flu tends to hit us very hard when people actually get some cold weather to deal with,\u201d he said. \u201cWe could get worse, very easily, in the next four to eight weeks.\u201d
___
The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute\u2019s Science and Educational Media Group. The AP is solely responsible for all content.
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More than three decades later, he had a prestigious professorship in California and was conducting promising research on Parkinson\u2019s disease.
But now Fu is doing his research at a Chinese university. His American career was derailed as U.S.-China relations unraveled, putting his collaborations with a Chinese university under scrutiny. He ended up resigning.
Fu\u2019s story mirrors the rise and fall of U.S.-China academic engagement.
Beginning in 1978, such cooperation expanded for decades, largely insulated from the fluctuations in relations between the two countries. Today, it's in decline, with Washington viewing Beijing as a strategic rival and there are growing fears about Chinese spying. The number of Chinese students in the United States is down, and U.S.-Chinese research collaboration is shrinking. Academics are shying away from potential China projects over fears that seemingly minor missteps could end their careers.
This decline isn\u2019t hurting just students and researchers. Analysts say it will undercut American competitiveness and weaken global efforts to address health issues. Previous collaborations have led to significant advances, including in influenza surveillance and vaccine development.
\u201cThat\u2019s been really harmful to U.S. science,\" said Deborah Seligsohn, a former U.S. diplomat in Beijing and now a political scientist at Villanova University. \u201cWe are producing less science because of this falloff.\"
For some, given the heightened U.S.-China tensions, the prospect for scientific advances needs to take a back seat to security concerns. In their view, such cooperation aids China by giving it access to sensitive commercial, defense and technological information. They also fear the Chinese government is using its presence in American universities to monitor and harass dissidents.
Those concerns were at the core of the China Initiative, a program begun in 2018 by the Justice Department under the Trump administration to uncover acts of economic espionage. While it failed to catch any spies, the effort did have an impact on researchers in American schools.
Under the initiative, Gang Chen, a professor of mechanical engineering at the Massachusetts Institute of Technology, was charged in 2021 with hiding links with the Chinese government. Prosecutors eventually dropped all charges, but Chen lost his research group. He said his family went through a hard time and has yet to recover.
Chen said investigations and wrongful prosecutions like his \u201care pushing out talents.\u201d
\u201cThat\u2019s going to hurt U.S. scientific enterprise, hurt U.S. competitiveness,\u201d he said.
The Biden administration ended the China Initiative in 2022, but there are other efforts targeting scholars with Chinese connections.
In Florida, a state law aimed at curbing influences from foreign countries has raised concerns that students from China could effectively be banned from labs at the state\u2019s public universities.
This month, a group of Republican senators expressed concerns about Beijing\u2019s influence on American campuses through student groups and urged the Justice Department to determine whether such groups should be registered as foreign agents.
Miles Yu, director of the China Center at Hudson Institute, said Beijing has exploited U.S. higher education and research institutes to modernize its economy and military.
\u201cFor some time, out of cultural, self-interest reasons, many people have double loyalty, erroneously thinking it\u2019s OK to serve the interests of both the U.S. and China,\u201d Yu said.
The U.S.-China Science and Technology Cooperation Agreement \u2014 the first major pact between the two countries, signed in 1979 \u2014 was set to lapse this year. In August, Congress extended the agreement by six months, but its future also hangs in the balance.
If there is a new agreement, it should take into account new advances in science and technology, Nicholas Burns, the U.S. ambassador to China, said recently.
There were only 700 American students studying in China, Burns said, compared with nearly 300,000 Chinese students in the U.S., which is down from a peak of about 372,000 in 2019-2020.
By October, nearly all Confucius Institutes, a Beijing-backed Chinese language and culture program, had closed on American university campuses. Their number fell from about 100 in 2019 to fewer than five now, according to the U.S. Government Accountability Office.
The National Institute of Health in 2018 began an investigation into foreign ties by asking dozens of American institutions to look into whether their faculty members might have violated policies regarding use of federal money, usually in cases involving partnerships with Chinese institutions.
In the case of Fu, then a professor at the University of California, San Diego, his links with Wuhan University were the focus of the NIH investigation. Fu insisted that federal money was never used toward work there, according to the local news outlet La Jolla Light, but the university ruled against him.
In a China Initiative case, Charles Lieber, a former chair of chemistry and chemical biology at Harvard University, was found guilty in December 2021 of lying to the federal government about his affiliations with a Chinese university and a Chinese government talent-recruitment program.
Chen, the MIT professor, said once-encouraged collaborations suddenly became problematic. Disclosure rules had been unclear, and in many cases such collaborations had been commended, he said.
\u201cVery few people in the general public understand that most U.S. universities, including MIT, don't take on any secret research projects on campus,\u201d Chen said. \u201cWe aim to publish our research findings.\u201d
The investigations have had negative effects on university campuses. \u201cPeople are so fearful that, if you check the wrong box, you could be accused of lying to the government,\u201d Chen said.
In June, an academic study published in the peer-reviewed Proceedings of the National Academy of Sciences journal said the China Initiative likely has caused widespread fear and anxiety among scientists of Chinese descent.
The study, which surveyed 1,304 scientists of Chinese descent employed by American universities, showed many considered leaving the U.S. or no longer applying for federal grants, the researchers wrote.
An analysis of research papers in the PubMed database showed that, as of 2021, U.S. scientists still co-wrote more papers with scientists from China than from any other country, but those with a history of collaborating with China experienced a decline in research productivity after 2019, soon after the NIH investigation started.
The study, to be published in the PNAS journal by the year\u2019s end, found the impact of U.S.-based scholars in collaboration with China, as measured by citations, fell by 10%.
\u201cIt has a chilling effect on science\u201d said Ruixue Jia, the study\u2019s leading researcher, of the NIH investigation. \u201cWhile researchers tried to finish existing cooperative projects, they were unwilling to start new ones, and the results could become worse. Both countries have been hurt.\u201d
Three months after Fu resigned from the California school, his name appeared on the website of Westlake University, a private research university in the Chinese city of Hangzhou. At Westlake, Fu leads a lab to tackle issues in RNA biology and regenerative medicine.
In August, Fu was joined by Guan Kunliang, a fellow scientist in San Diego, who also was investigated. Guan was banned from applying for NIH grants for two years. Guan didn\u2019t lose his job, but his lab had shrunk. Now, he\u2019s rebuilding a molecular cell biology lab at Westlake.
Li Chenjian, a former vice provost of Peking University, said the talent loss to China is a complicated question and the worry might be overblown because the U.S. remains the go-to place for the world\u2019s best brains and has an excess of talent.
More than 87% of Chinese students who received their doctorates in the U.S. had planned to stay in the U.S. from 2005 to 2015, according to the National Science Foundation. The percentage fell to 73.9 in 2021 but rose to 76.7 in 2022, above the average of 74.3% for all foreign students who had earned research doctorate degrees in the U.S.
Rao Yi, a prominent neurobiologist who returned to China from the U.S. in 2007, said American policies related to the China Initiative were \u201cmorally wrong.\u201d
\u201cWe will see how long it will take for the U.S. government and its morally upright scientists to correct such mistakes and come around to see the bigger picture of human development, beyond petty-mindedness and shortsightedness,\u201d he said. \u201cThroughout history, it is always the morally corrupt governments which advocate the blocking of scientific communication and persecution of scientists.\"
___
Associated Press writers Christina Larson and Collin Binkley contributed to this report
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(AP) \u2014 Two Denver-area paramedics were convicted Friday for giving a fatal overdose of the sedative ketamine to Elijah McClain in 2019 \u2014 a jury verdict that experts said could have a chilling effect on first responders around the country.
The case involving the 23-year-old Black man\u2019s death was the first among several recent criminal prosecutions against medical first responders to reach trial, potentially setting the bar for prosecutors for future cases.
It also was the last of three trials against police and paramedics charged in the death of McClain, whom officers stopped following a suspicious person complaint. He was injected with the sedative after being forcibly restrained. The case received little attention until protests over the 2020 killing of George Floyd in Minneapolis.
An Aurora police officer was convicted of homicide and third degree assault earlier this year, while two other officers were acquitted.
The jury on Friday found Aurora Fire Rescue paramedics Jeremy Cooper and Peter Cichuniec guilty of criminally negligent homicide following a weekslong trial in state district court. They could face years in prison at sentencing.
The jury also found Cichuniec guilty on one of two second-degree assault charges, which brings the possibility of an enhanced prison sentence and required that he be taken into immediate custody. Cooper was found not guilty on the assault charges and was not taken into custody.
McClain's mother, Sheneen, raised her fist in the air following the verdict. \u201cWe did it! We did it! We did it!\u201d she said as she walked away from the courthouse.
Cichuniec\u2019s wife had her head bowed as deputies handcuffed him. Cooper's wife sobbed alongside her.
Neither the paramedics nor their attorneys spoke outside court. They did not immediately respond to emails and telephone messages from The Associated Press seeking comment.
The outcome could set a precedent for how emergency personnel respond to situations with people in police custody, said University of Miami criminologist Alex Piquero.
\u201cImagine if you're a paramedic,\u201d Piquero said. \u201cThey could be hesitant. They could say, 'I'm not going to do anything' or 'I'm going to do less. I don't want to be found guilty.'\"
The International Association of Fire Fighters said in a statement that in pursuing the charges, Colorado Attorney General Phil Weiser had criminalized split-second medical decisions and set \u201ca dangerous, chilling precedent for pre-hospital care.\u201d
Weiser, who convened the grand jury that indicted the first responders, said he was satisfied with the verdict.
\"We remain confident that bringing these cases forward was the right thing to do for justice for Elijah McClain and for healing in the Aurora community,\u201d he said outside court.
The city of Aurora said Friday night that the two paramedics were fired following their convictions.
The verdict was announced after two days of deliberations. When jurors told the judge Friday afternoon they were stuck on one of the charges, the judge told them to keep trying to reach a verdict.
Police stopped McClain while he was walking home from a convenience store on Aug. 24, 2019, following a suspicious person complaint. After an officer said McClain reached for an officer\u2019s gun \u2014 a claim disputed by prosecutors \u2014 another officer put him in a neck hold that rendered him temporarily unconscious. Officers also pinned down McClain before Cooper injected him with an overdose of ketamine. Cichuniec was the senior officer and said it was his decision to use ketamine.
Prosecutors said the paramedics did not conduct basic medical checks of McClain, such as taking his pulse, before giving him the ketamine. The dose was too much for someone of his size \u2014 140 pounds (64 kilograms), experts testified. Prosecutors say they also did not monitor McClain immediately after giving him the sedative but instead left him lying on the ground, making it harder to breathe.
McClain\u2019s pleading words captured on police body camera video, \u201cI\u2019m an introvert and I\u2019m different,\u201d struck a chord with protesters and people around the country.
In a statement released prior to the verdict, McClain's mother said that everyone present during the police stop of her son displayed a lack of humanity.
\u201cThey can not blame their job training for their indifference to evil or their participation in an evil action,\u201d McClain wrote. \u201cThat is completely on them. May all of their souls rot in hell when their time comes.\u201d
Defense attorneys argued that the paramedics followed their training in giving ketamine to McClain after diagnosing him with \u201c excited delirium,\u201d a disputed condition some say is unscientific and has been used to justify excessive force.
The verdicts came after a jury in Washington state cleared three police officers of all criminal charges on Thursday in the 2020 death of Manuel Ellis, a Black man who was shocked, beaten and restrained face-down on a Tacoma sidewalk as he pleaded for breath.
In the Colorado case, the prosecution said Cooper lied to investigators to try to cover up his actions, telling detectives that McClain was actively resisting when he decided to inject McClain with ketamine, even though the body camera showed McClain lying on the ground unconscious. It also disputed Cooper\u2019s claim that McClain tried to get away from police holding him down \u2014 and that he took McClain\u2019s pulse as he bent down to give him the shot of ketamine, which others testified they did not see.
\u201cHe\u2019s trying to cover up the recklessness of his conduct,\u201d Senior Assistant Attorney General Jason Slothouber told jurors in closing statements.
Cichuniec, who testified along with Cooper this week, said paramedics were trained that they had to work quickly to treat excited delirium with ketamine and said they were told numerous times that it was a safe, effective drug and were not warned about the possibility of it killing anyone.
Colorado now tells paramedics not to give ketamine to people suspected of having the controversial condition, which has symptoms including increased strength and has been associated with racial bias against Black men.
When the police stopped McClain, a massage therapist, he was listening to music and wearing a mask that covered most of his face because he had a blood circulation disorder. The police stop quickly became physical after McClain, seemingly caught off guard, asked to be left alone. He had not been accused of committing any crime.
The case's prominence means the specter of criminal charges and accompanying lawsuits over emergency care will be a concern for paramedics going forward, said Arizona State University law professor James G. Hodge, Jr.
It could prompt them to better document what police tell them about people needing treatment and to ask doctors to sign off before paramedics use life-saving but potentially harmful treatments on patients, he said.
\u201cThe national coverage of the cases against these paramedics unquestionably influences practices in real-time,\u201d Hodge said.
___
Brown reported from Billings, Montana.
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Therefore, it is somewhat relevant to health but not highly so." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2023/12/23/ca9af645bdd9301adf0c42ea29eef93a.json b/datasets/AP_news/raw_data/2023/12/23/ca9af645bdd9301adf0c42ea29eef93a.json new file mode 100644 index 0000000..6be1804 --- /dev/null +++ b/datasets/AP_news/raw_data/2023/12/23/ca9af645bdd9301adf0c42ea29eef93a.json @@ -0,0 +1,238 @@ +{ + "altids": { + "itemid": "ca9af645bdd9301adf0c42ea29eef93a", + "etag": "ca9af645bdd9301adf0c42ea29eef93a_0a6aza0c0", + "friendlykey": "469179923138", + "referenceid": "US--Alabama-Woman-Double-Uterus" + }, + "version": 0, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2023-12-23T22:01:39Z", + "firstcreated": "2023-12-23T22:01:38Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "signals": [ + "newscontent" + ], + "title": "US--Alabama-Woman-Double-Uterus", + "headline": "Alabama woman with rare double uterus gives birth to two children", + "headline_extended": "An Alabama woman with two uteri and two cervixes has given birth to two babies after carrying one of them in each uterus", + "slugline": "AP-US--Alabama-Woman-Double-Uterus", + "description_summary": "An Alabama woman with two uteri and two cervixes has given birth to two babies after carrying one of them in each uterus. 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(AP) \u2014 An Alabama woman with two uteri and two cervixes has given birth to two babies after carrying one of them in each uterus.
Kelsey Hatcher of Dora, about 28 miles (45.06 kilometers) northwest of Birmingham, gave birth to two girls on Wednesday and Thursday after a combined 20 hours of labor.
Hatcher was diagnosed with a double uterus, also called uterus didelphys, when she was 17. The rare congenital condition occurs in 0.3% of women, according to a report published by the University of Alabama at Birmingham. There is an \u201cestimated one-in-a-million chance\u201d of carrying a baby in both uteri, also known as a dicavitary pregnancy, the report says.
The older child, Roxi, was born on Tuesday, and Rebel arrived on Wednesday. Hatcher told WVTM-TV that both she and the newborns are healthy. Her husband, Caleb, was with her in the hospital, she said.
\u201cThat was our first moment of just us four together,\u201d Hatcher said. \u201cAnd really getting to breathe that in and be in the moment and look at the girls together.\u201d
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December 18, 2023.
Editorial: Flu season is here; don\u2019t forget to get your vaccine
Although the holiday season is rushing to a conclusion in the near future, flu season just getting started and we\u2019d like to remind everyone of a few things to remember as the illness peaks.
Typically the flu season peaks in January or February, but with winter arriving with a bang this week, it\u2019s not too soon to to think about the flu.
Though the start, duration and severity of the season is hard to gage from year to year, it seems the sickness has already begun to spread in the U.P.. But it\u2019s easy for anyone to take steps to prevent getting the flu in the first place.
The first step is to get a flu shot, anyone 6-years-old and older, that is. The vaccine, which lasts one season, comes in two forms: A shot and a nasal spray for children.
Doctor\u2019s offices, health departments and many pharmacies offer flu vaccinations and the shots are covered by many insurance companies.
Another important step to staying healthy is to avoid sick people. Those with the flu should not go to work to avoid spreading the sickness to others. Cover your mouth when coughing or use a tissue.
Washing your hands with soap regularly can help you avoid spreading the germs and help prevent you from getting flu. The illness is passed through a virus via contact: You can\u2019t get the flu from just going outside when it\u2019s cold. You have to touch an infected door handle or other surface, or come in close proximity with someone who\u2019s already sick.
If you do get sick with the flu \u2014 symptoms include a high fever, cough, head and body aches, fatigue and a sore throat \u2014 some anti-viral drugs are available that can shorten the duration and ease the symptoms.
See a doctor as soon as any of these symptoms start. Not only can they make you feel better but they can also prevent flu-related complications like pneumonia.
We implore you to take these steps to help avoid the flu this season.
Stay healthy.
___
Traverse City Record-Eagle. December 20, 2023.
Editorial: Transparency is not a matter of \u2018naughty or nice\u2019
The decision to release thousands of documents in the Larry Nassar case to Michigan Attorney General Dana Nessel\u2019s office came about quickly.
The agenda item was added an hour before the meeting of the Michigan State University Board of Trustees, according to the Detroit News.
Trustees cited a need for \u201chealing\u201d on behalf of the victims and the need to rebuild trust in the university by way of \u201ctransparency, accountability, justice and truth.\u201d
Nessel\u2019s office quickly lauded the decision, calling it \u201clong-owed.\u201d Long, as Nasser was convicted five years ago, and the choice to keep the investigative documents shrouded in darkness has endured that long.
\u201cI am encouraged to see the MSU Board of Trustees finally make the right decision on a long-promised, and long-delayed, measure of transparency,\u201d Nessel\u2019s statement read.
Yet her office is fighting transparency on a number of fronts when it comes to its own investigations.
Close to home, the cases of those accused of plotting to kidnap Gov. Gretchen Whitmer during the COVID-19 pandemic are resolved \u2014 Shawn Fix and Brian Higgins accepted plea agreements with prosecutors and have been sentenced; Eric Molitor, Michael Null and William Null were found not guilty by a jury. The former defendants faced state terrorism-related charges in Antrim County after prosecutors accused them of participating in a plot to kidnap Whitmer from her summer home near Elk Rapids.
Prosecutors first argued that releasing discovery material to the public could taint the jury pool and infringe on fair trial rights \u2014 an argument Nessel repeated during an April visit to Traverse City for an open government seminar.
But that story changed when the protection order was lifted:
\u201cAs the litigation concluded, it is appropriate for the Department to seek the return of the discovery so as to protect the personal identifying information of people that were interviewed during the investigation,\u201d said a spokesman from Nessel\u2019s office.
Here\u2019s the thing \u2014 transparency is not a gift, and the AG office is not Santa Claus, deciding who is naughty or nice: The nice ones get a Freedom Of Information Act response and the naughty ones get a flat stocking.
Rather, transparency is a right of the governed public, and a fundamental \u2014 and functional \u2014 part of keeping a democracy working. Instead of making righteous transparency claims, our state officials need to examine their own embrace of transparency to determine what list they\u2019d be on.
___
Alpena News. December 21, 2023.
Editorial: Talk to lawmakers about growing population
Gov. Gretchen Whitmer\u2019s Growing Michigan Together Council, the team Whitmer tasked with finding ways to turn around the state\u2019s sluggish population growth, has released its final recommendations to some praise and some condemnation.
Among the council\u2019s recommendations:
\u2014 Pilot new incentives \u2014 such as help with down payments on a new house, paid workforce training, or tax credits for student loans \u2014 to attract targeted workers to the state.
\u2014 Offer two years\u2019 tuition-free college.
\u2014 Develop regional public transit, such as a passenger rail line between Grand Rapids and Detroit.
\u2014 Invest in \u201cregional innovation districts.\u201d
The full report can be found online at GrowingMichigan.org.
The council did not address how it would fund its recommendations, which Republican legislative leaders say could cost billions of dollars.
Now, it\u2019s up to the Legislature \u2014 currently controlled by Democrats \u2014 to figure if and how to craft the council\u2019s recommendations into policy and put money behind the plan.
And that means it\u2019s time for you to talk to your lawmakers, dear Northeast Michiganders.
The state has definitely seen bad trendlines in population, ranking as one of the slowest-growing states in the nation according to U.S. Census Bureau data. Fewer people means less tax revenue for the state and local governments and schools, fewer customers and fewer employees for local businesses.
If trends continue, the state could lose a congressional seat when seats are next divvied up after the 2030 census. And that means Michigan would have less of a voice in Washington and less of a say in the Electoral College.
So we have to grow our population if we want to remain competitive.
But how we do that is important. If we craft the wrong policies, we could drive people away at the worst and waste taxpayer dollars at the least.
So lawmakers need to hear from you. Do you support the council\u2019s recommendations? Would you tweak them in some way? Would you throw out the recommendations all together and come up with some other plan?
Let your lawmakers know, Northeast Michigan.
Whitmer\u2019s office can be reached at 517-335-7858. State Sen. Michele Hoitenga, who represents Northeast Michigan, can be reached at 517-373-7946. State Rep. Cam Cavitt, who also represents Northeast Michigan, can be reached at 517-373-0833.
Make your voices heard.
END
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With AP Photos.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "US-MED--Subscription-Based Care Growth", + "headline": "Subscription-based care moves beyond peddling birth control and helping with hair loss", + "headline_extended": "Online, direct-to-consumer health care has grown well beyond its roots mostly treating hair loss and acne or selling birth control pills", + "slugline": "BC-US-MED--Subscription-Based Care Growth, 1st Ld-Writethru", + "description_summary": "Online, direct-to-consumer health care has grown well beyond its roots mostly treating hair loss and acne or selling birth control pills. Companies like Hims & Hers and Ro have started weight loss programs. Rival Lemonaid Health has added seasonal affective disorder treatments to a care lineup that includes help with depression and insomnia. These companies provide quick access to specialists and prescription deliveries for a regular fee. Their approach offers solutions to two common difficulties in the U.S. health care system: access to care and prescription refills. But it also stirs concern from some doctors about care quality.", + "bylines": [ + { + "by": "By TOM MURPHY", + "title": "AP Health Writer" + } + ], + "copyrightnotice": "Copyright 2023 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. For other uses, additional clearances may be required." + ], + "keywords": [ + "Hims Ro Lemonaid subscription health care" + ], + "provider": "AP", + "infosource": [ + { + "name": "AP", + "type": "AP" + } + ], + "subject": [ + { + "rels": [ + "category" + ], + "creator": "Editorial", + "code": "f", + "name": "f" + }, + { + "rels": [ + "category" + ], + "creator": "Editorial", + "code": "l", + "name": "l" + }, + { + "rels": [ + "category" + ], + "creator": "Editorial", + "code": "a", + "name": "a" + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "c40fab387e891004837ad7e4e3aa4207", + "name": "Prenatal care", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 50 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "6cd98adfc84d405eadec8ca81bd37df4", + "name": "Access to health care", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 79 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "e23336487de410048fe4df092526b43e", + "name": "Depression", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 58 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "e22e73887de410048fc3df092526b43e", + "name": "Birth control", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 74 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "d8e6d7087f00100483b7f571351eed07", + "name": "Family medicine", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 63 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "a2ba8398898a100488b2d56c852d093e", + "name": "Weight management", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 40 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "9f32da3d50b444f3900a1cf8c8012482", + "name": "Skin conditions", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 35 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "f5c099b87e3810048ae6df092526b43e", + "name": "Medical research", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 50 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "cc7a76087e4e10048482df092526b43e", + "name": "Health", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 93 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "e231c7187de410048fd7df092526b43e", + "name": "Mental health", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 40 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "e237be707de410048fffdf092526b43e", + "name": "Medication", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 68 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "c8e409f8858510048872ff2260dd383e", + "name": "Business", + "creator": "Editorial", + "editorial_subject": "Business", + "rels": [ + "direct" + ], + "relevance": 75 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "3e37e4b87df7100483d5df092526b43e", + "name": "Lifestyle", + "creator": "Editorial", + "editorial_subject": "Lifestyle", + "rels": [ + "direct" + ], + "relevance": 75 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "cc7a76087e4e10048482df092526b43e", + "name": "Health", + "creator": "Editorial", + "editorial_subject": "Health", + "rels": [ + "direct" + ], + "relevance": 99 + } + ], + "audiences": [ + { + "code": "82c6a4c46fa0446090a7acaf93159e4c", + "name": "Print", + "type": "AUDPLATFORM" + }, + { + "code": "9add4649b53b4702ba7d9de5d4fa607a", + "name": "Online", + "type": "AUDPLATFORM" + }, + { + "code": "f43adc08760d10048040e6e7a0f4673e", + "name": "National", + "type": "AUDSCOPE" + }, + { + "code": "f4ecf9b0760d10048044e6e7a0f4673e", + "name": "International", + "type": "AUDSCOPE" + }, + { + "code": "661850e07d5b100481f5c076b8e3055c", + "name": "Latin America and Caribbean", + "type": "AUDGEOGRAPHY" + }, + { + "code": "661e48387d5b10048291c076b8e3055c", + "name": "United States", + "type": "AUDGEOGRAPHY" + } + ], + "associations": { + "1": { + "altids": { + "itemid": "00d3c8237d524f93a6809ce6207140a1" + }, + "type": "picture" + } + }, + "body_nitf": "Need help losing weight or handling depression? How about a pill that lowers cholesterol and treats erectile dysfunction?
Online subscription services for care have grown far beyond their roots dealing mainly with hair loss, acne or birth control. Companies including Hims & Hers, Ro and Lemonaid Health now provide quick access to specialists and regular prescription deliveries for a growing list of health issues.
Hims recently launched a weight-loss program starting at $79 a month without insurance. Lemonaid began treating seasonal affective disorder last winter for $95 a month. Ro still provides birth control, but it also connects patients trying to have children with regular deliveries of ovulation tests or prenatal vitamins.
This Netflix-like approach promises help for two common difficulties in the U.S.: access to health care and prescription refills. But it also stirs concern about care quality.
\u201cThis isn\u2019t medicine. This is selling drugs to consumers,\u201d said Dr. Adriane Fugh-Berman, who studies pharmaceutical marketing at Georgetown.
The online providers say they screen their patients carefully and send customers elsewhere if they can\u2019t help them. They also think they\u2019ve tapped a care approach that patients crave.
\u201cThe growth we\u2019ve seen on our platform is a testament to how people are looking to get the care they need,\u201d Hims spokeswoman Khobi Brooklyn said.
The publicly traded Hims has topped 1.4 million subscribers this year. It expects to pull in at least $1.2 billion in annual sales by 2025.
That pales compared to the $300 billion-plus in annual revenue generated by health care giants like CVS Health. But Hims' 2025 projection is more than eight times what the company brought in at the start of the decade.
Subscription-based health care has been around for years, particularly in primary care, where patients can pay monthly fees to gain better access to doctors. The e-commerce giant Amazon recently entered that niche with a subscription plan that gives some customers access to virtual and in-person care.
Online versions of subscription-based care started growing after the COVID-19 pandemic made Americans more comfortable with telemedicine. That has led to a surge of investor money flowing to companies providing this care, said Dr. Ateev Mehrotra, a Harvard researcher who studies consumer health care.
Many condition-specific plans offer patients regular visits with a health care provider and then recurring prescriptions for a monthly fee.
That simplicity can be attractive, Mehrotra noted.
\u201cYou can just get the care you need and move on with life just as you pay for Netflix or whatever,\u201d he said.
Hims debuted weight loss earlier this month after starting a heart health program last summer that includes the combination pill treatments.
Its rival Ro added weight loss last year to a lineup that also includes treatment plans for eczema, excessive sweating and short eyelashes, among other issues.
Lemonaid offers treatment plans for insomnia and high blood pressure. It also touts cholesterol management for $223 a year without insurance. That includes provider visits, lab work and prescriptions for generic medicines.
These companies still push sexual health help, especially on social media. But broader growth remains a priority.
Hims says in a regulatory filing that it sees significant future opportunities in menopause, post-traumatic stress disorder and diabetes.
Ro CEO Zach Reitano noted in an interview earlier this year that his company's obesity treatments are \u201cupstream\u201d to other chronic diseases. He said patients who want help losing weight also care about improving their overall health.
Reitano told The Associated Press he thought one of the health care system\u2019s biggest problems was that \u201cit is not built around what patients want.\u201d
Subscriptions, whether for medicine or meal kits, offer predictable costs and may seem like good deals at first. But customer enthusiasm can fade, and companies may feel pressure to find new business, said Jason Goldberg, chief commerce strategy officer at Publicis Groupe.
The approach also comes with reputational baggage.
RobRoy Chalmers turned to Hims for help with erectile dysfunction. But the Seattle artist decided to cancel his subscription and cut costs after a few months.
He kept receiving bills after he thought he stopped the subscription. He said he emailed and called customer service. He didn\u2019t get a response until he criticized Hims on social media.
\u201cThe amount of effort I needed to go through for them to make good was too much,\u201d he said. \u201cThis is every subscription-based company in my mind.\u201d
Fugh-Berman worries mainly about care quality. She noted that talk therapy can be as effective as prescriptions for some conditions.
\u201cMental health care should never just be about drugs,\u201d she said.
She also noted that a diagnosis can change over time. Patients on regular medications must be monitored in case the drug causes problems like higher blood pressure.
Lemonaid Health does that, according to Dr. Matthew Walvick, the company's top medical official. He said Lemonaid routinely follows up with patients to monitor for side effects and update their medical history.
Brooklyn said Hims\u2019 program for mental health care includes psychiatry and talk therapy.
Representatives of both companies say they also encourage patients to get in-person help when needed.
Mehrotra worries more broadly. He noted that overall patient health may get overlooked when customers come to these companies with a specific condition or medicine in mind.
Someone visiting a primary care doctor for birth control may also get screened for depression, he noted.
\u201cThese companies are very solution-oriented,\u201d Mehrotra said. \u201cThey\u2019re not thinking about that comprehensive care.\u201d
Walvick said Lemonaid collects an extensive patient medical history that delves into issues like smoking or drug use to offer \u201cthe best possible comprehensive care.\u201d
Brooklyn said Hims & Hers provides access to safe care for many issues but shouldn\u2019t replace a primary care doctor. She added that every part of the health care system should be focused on improving access.
\u201cThe traditional health care system in the U.S. has always been slow to adapt to our changing society\u2019s needs,\u201d she said.
___
The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute\u2019s Science and Educational Media Group. The AP is solely responsible for all content.
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(AP) \u2014 A federal judge declined Tuesday to pause litigation challenging Alabama\u2019s ban on gender-affirming care for minors as similar cases wind upward toward the U.S. Supreme Court.
U.S. District Judge Liles Burke said no to a request from the U.S. Department of Justice to put the Alabama case on hold until appellate courts decide if they will hear related petitions on whether states can enact such bans. The Justice Department asked for the stay because, \u201cthis exceptional legal landscape is quickly evolving.\u201d
Burke wrote that the case will move forward for now. He said a stay might be appropriate later if those petitions are granted.
Transgender young people and their families have asked the U.S. Supreme Court to review an appellate court decision that allowed bans in Kentucky and Tennessee to remain in effect. In the Alabama case, families with transgender children have asked the full 11th U.S. Circuit Court of Appeals to review a decision that would let the Alabama law take effect.
The Alabama case is scheduled to go to trial in April.
At least 22 states have enacted laws banning or restricting gender-affirming care for minors and most of the bans are being challenged in court.
The Alabama ban makes it a felony \u2014 punishable by up to 10 years in prison \u2014 for doctors to treat people under 19 with puberty blockers or hormones to help affirm a new gender identity. The law remains blocked by injunction until the 11th Circuit appeals court issues a mandate in the case.
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Some insurance plans cover the use of Ozempic for Type 2 diabetes, but not the entire cost. Those wanting to use Ozempic may have to pay for it out of pocket, especially for non-diabetic treatments. With a high price tag and with insurance coverage or not, you\u2019ll need to factor in the monthly cost of Ozempic as part of your budget. Medications like Ozempic are one option, along with exercise and nutrition, to lead a healthier life.", + "bylines": [ + { + "by": "By RONITA CHOUDHURI-WADE of NerdWallet" + } + ], + "copyrightnotice": "Copyright 2023 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. For other uses, additional clearances may be required." + ], + "keywords": [ + "On Money NerdWallet Ozempic" + ], + "provider": "AP", + "infosource": [ + { + "name": "AP", + "type": "AP" + } + ], + "subject": [ + { + "rels": [ + "category" + ], + "creator": "Editorial", + "code": "f", + "name": "f" + }, + { + "rels": [ + "category" + ], + "creator": "Editorial", + "code": "l", + "name": "l" + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "e237be707de410048fffdf092526b43e", + "name": "Medication", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 95 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "e22803187de410048fa3df092526b43e", + "name": "Diabetes", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 77 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "cc7a76087e4e10048482df092526b43e", + "name": "Health", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 95 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "39a5551883591004893adf092526b43e", + "name": "Health care costs", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 95 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "3e37e4b87df7100483d5df092526b43e", + "name": "Lifestyle", + "creator": "Editorial", + "editorial_subject": "Lifestyle", + "rels": [ + "direct" + ], + "relevance": 75 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "c8e409f8858510048872ff2260dd383e", + "name": "Business", + "creator": "Editorial", + "editorial_subject": "Business", + "rels": [ + "direct" + ], + "relevance": 99 + } + ], + "audiences": [ + { + "code": "82c6a4c46fa0446090a7acaf93159e4c", + "name": "Print", + "type": "AUDPLATFORM" + }, + { + "code": "9add4649b53b4702ba7d9de5d4fa607a", + "name": "Online", + "type": "AUDPLATFORM" + }, + { + "code": "f43adc08760d10048040e6e7a0f4673e", + "name": "National", + "type": "AUDSCOPE" + }, + { + "code": "f4ecf9b0760d10048044e6e7a0f4673e", + "name": "International", + "type": "AUDSCOPE" + }, + { + "code": "661850e07d5b100481f5c076b8e3055c", + "name": "Latin America and Caribbean", + "type": "AUDGEOGRAPHY" + }, + { + "code": "661e48387d5b10048291c076b8e3055c", + "name": "United States", + "type": "AUDGEOGRAPHY" + } + ], + "body_nitf": "Steve Haines always loved to go for walks, but exercise had become a nightmare when he was 380 pounds and diabetic. The 49-year-old from Champaign, Illinois, says he would get ulcers on his feet after long walks.
About six years ago, Haines\u2019 doctor prescribed Ozempic, a medication approved by the Food and Drug Administration to treat diabetes that also helps with weight loss. Haines lost weight and began to feel more active. Now, at 220 pounds and with his diabetes under control, he gets out of the house a lot.
\u201cI sometimes walk 10 to 15 miles in a day,\u201d says Haines.
Haines is one of many Americans who live with diabetes. According to the Centers for Disease Control and Prevention, around 1 in 10 Americans have diabetes, and the vast majority have Type 2, a condition in which the body can\u2019t control the amount of sugar in the blood.
Ozempic, generically known as semaglutide, can be a lifeline for many. Semaglutide stimulates insulin secretion and controls blood sugar, which helps manage Type 2 diabetes. The medication also slows digestion and sends signals to the brain that the stomach is full, which can lead to weight loss.
Prescriptions in the U.S. for semaglutide medications like Ozempic increased 300% from 2020 to 2022, despite a high price tag. Depending on factors like the dosage and your pharmacy, Ozempic can cost over $11,000 annually. Insurance provides coverage for some patients, but others must find alternative ways to pay, through savings or assistance programs or borrowing.
UNDERSTANDING INSURANCE COVERAGE
Most health insurance plans, including Medicare and Medicaid, cover at least some of the cost of semaglutide medication when it\u2019s prescribed to treat Type 2 diabetes. However, coverage can vary depending on an individual\u2019s plan and state requirements.
Alvin Carlos, a certified financial planner based in Washington, D.C., suggests calling your insurance provider to ask if your plan covers drugs like Ozempic and what the out-of-pocket costs may be.
When choosing insurance, a low-deductible plan can be better for expected costs such as ongoing prescriptions, says Carlos. A health savings account or flexible savings account, which use pre-tax income to pay for health expenses, can also mitigate out-of-pocket costs.
Those who don\u2019t have insurance that covers Ozempic for diabetes, or are seeking the drug for weight management and other non-diabetic reasons, will likely have to find alternative ways to pay for the medication.
EXPLORING PAYMENT OPTIONS
Hillary Filstrup, 37, a customer success manager in Tulsa, tried to get Ozempic to manage her weight after being diagnosed with polycystic ovary syndrome and developing insulin resistance. However, her insurance wouldn\u2019t cover the medication since her condition wasn\u2019t diabetes-related. Filstrup opted to pay out of pocket for a semaglutide medication from a compounding pharmacy.
For those like Filstrup with high out-of-pocket costs or no insurance coverage for Ozempic, there are ways to help pay for the medication.
\u2014 MANUFACTURERS\u2019 SAVINGS PROGRAMS
Pharmaceutical companies often offer savings cards to reduce out-of-pocket costs for eligible patients. Novo Nordisk, the manufacturer of Ozempic, provides a savings card that can significantly lower the cost for up to three months for qualifying patients with private or commercial insurance.
\u2014 PATIENT ASSISTANCE PROGRAMS
Patient assistance programs are designed to help uninsured patients who cannot afford their medications. Qualification criteria may include income limits and lack of insurance coverage.
\u2014 BORROWING MONEY FOR MEDICAL BILLS
A medical credit card like CareCredit or a personal loan are two ways to finance medical bills, but both come with interest that can increase the total cost. According to Carlos, using a loan or credit card is best for one-time urgent medical expenses rather than recurring costs like semaglutide medications. But they can be fast-funding options that help bridge a gap while patients sort out insurance coverage and their longer-term finances.
BE PROACTIVE
Once you decide to start Ozempic, create a plan that factors in the additional costs to your monthly budget and ways to manage the financial impact. Filstrup acknowledges that the medication, despite its benefits, is an expense that many people may not be able to afford.
Both Haines and Filstrup agree that semaglutide medication like Ozempic is a tool, alongside exercise and nutrition, for a more significant shift in health.
\u201cThe medication is just very helpful. It provides you with the opportunity to become healthier,\u201d says Haines.
__________________________
This article was provided to The Associated Press by the personal finance website NerdWallet. Ronita Choudhuri-Wade is a writer at NerdWallet. Email: rcwade@nerdwallet.com.
RELATED LINK:
NerdWallet: Does Medicare Cover Ozempic? https://bit.ly/nerdwallet-medicare-ozempic
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Dec. 22
The Washington Post on the dementia crisis in the US
The number of Americans over the age of 65 is rising quickly. In the past century, it has grown at nearly five times the rate of the rest of the population and is now approaching 60 million people. That includes about 15.5 million added since 2010. This is good news for the widening community of people who are enjoying happy, healthy golden years.
And yet, a rise in the number of older Americans also means a rise in the number of people with Alzheimer\u2019s disease and other forms of dementia. More families are struggling with the challenge of caring for them. Recent years have brought a substantial increase in people with dementia residing in assisted-living homes. As a Post investigative series has revealed in appalling detail, these centers aren\u2019t always equipped to provide the special care that people with dementia need.
To be sure, assisted-living centers were not created as homes for people with dementia or any other serious health problems. Back in the 1980s, when the assisted-living concept began, the expectation was that ill elderly went to nursing homes. Assisted-living centers were for older people who could manage independently, with staff nearby to help them with tasks such as taking medicines.
As the over-65 demographic has ballooned, however, the number of people experiencing dementia has risen, too \u2014 to about 7 million as of 2020. The figure could approach 12 million by 2040. Inevitably, people with dementia have become much more prevalent in assisted-living centers. About a third of assisted-living residents have dementia, according to the Alzheimer\u2019s Association. Many are in memory-care units, but more and more can be found in the general assisted-living population. Some are just beginning to experience troubling symptoms. And, too often, assisted living cannot provide the special attention they need.
The Post reporters found many instances in which assisted-living staff members, often overworked and poorly paid, neglected patients, missed giving them their medicines, skipped scheduled bed checks or ignored alarms. Far worse, they found that in the past five years, some 2,000 residents had been able to walk away from assisted-living homes or were left unattended outdoors. Nearly 100 of them died \u2014 typically from exposure to extreme cold or heat.
This problem, which threatens to worsen, is already widespread enough to call for systemwide solutions. States should require minimum staff levels according to the patient population size, as the reporters noted. Only 13 states have such rules. (Unlike nursing homes, which are more largely funded by Medicare and Medicaid, assisted-living centers are not regulated by the federal government.)
More important, assisted-living staff need to be trained to understand dementia \u2014 including the disorientation, confusion and behavioral changes it causes \u2014 and to work compassionately with residents who have it. This means learning to communicate with them, and to observe them closely enough to recognize when they become bewildered or agitated \u2014 or decide to try to leave the building and set out on their own. Assisted-living staffers need to have enough education, and enough time, to patiently engage with residents and respectfully address their problems. When workers recognize symptoms of dementia and respond appropriately, it reduces stress for residents and caregivers alike.
Only half of states require such training for all assisted-living staffers, not just those working in designated memory-care units. And only nine states require at least six hours of instruction for all workers, the amount recommended by the Alzheimer\u2019s Association, The Post reported.
States should mandate the use of training courses with proven effectiveness. They should require that assisted-living centers educate all their staff as well as possible to work with people who are diagnosed with or are just developing dementia. They should require that facilities document and report the training, as Oregon does.
The public and private sectors invest billions of dollars annually to understand dementia, to search for new methods of prevention and early diagnoses, and to discover pharmaceutical treatments. It is right to provide enormous resources for this work. But the search for a cure will yield results over the long term. In the here and now, there is great urgency to helping the millions already diagnosed with dementia thrive. Society should be equally devoted to ensuring that they get the care, protection and respect they need.
ONLINE: https://www.washingtonpost.com/opinions/2023/12/22/nursing-home-care-dementia/
___
Dec. 26
The Wall Street Journal says President Biden endangers US troops
It was going to happen sooner or later: American service members would be seriously hurt as Iran-backed militias conduct lethal target practice against U.S. bases in the Middle East. When will President Biden do his duty as Commander in Chief and protect Americans deployed abroad?
Iranian proxies have attacked U.S. forces in the Middle East about 100 times since October, and on Monday an explosive drone made it past U.S. defenses at a base in Iraq. Two Americans were wounded and a third is in critical condition.
The Administration conducted retaliatory strikes on three facilities used by Kataib Hezbollah, the Iranian proxy group responsible for the attack. Defense secretary Lloyd Austin issued a statement saying his \u201cprayers\u201d are with the wounded. Which is nice, but Mr. Austin isn\u2019t a chaplain. The U.S. defense chief\u2019s job is to deter such attacks and defend his troops from being too-easy targets for Shiite militias.
The White House response was worse. The National Security Council\u2019s Adrienne Watson issued a statement announcing the reprisal and insisted that the \u201cPresident places no higher priority than the protection of American personnel serving in harm\u2019s way.\u201d
This is demonstrably false, and the bromide is insulting. Mr. Biden\u2019s highest priority, whispered by the White House every day, is avoiding escalation with Iran or its proxies. Mr. Biden is afraid\u2014we use that word advisedly\u2014of being involved in a larger conflict, which might not be popular in an election year. But that anxiety is now interfering with his core obligation to defend U.S. forces.
Iranian front groups have been trying to kill U.S. troops for months. Yet Mr. Biden offered the military equivalent of a wrist slap after Americans suffered traumatic brain injuries in attacks this autumn.
The Administration may want the public to think the latest retaliatory strikes were more substantive than the previous pinpricks on weapons stores. U.S. Central Command took the unusual step Monday night of saying that the strikes \u201clikely killed\u201d a number of militants. But the Associated Press, citing Iraqi officials, says the U.S. killed all of one militant. Some 18 were wounded.
Americans who sign up to serve in uniform know the risks, but serving as drone catchers because Washington refuses to deter the enemy isn\u2019t supposed to be among the occupational hazards. And Mr. Biden\u2019s token strikes haven\u2019t deterred Iran\u2019s proxies in Iraq or anywhere else.
The Houthis, another Iran-backed military, are also unimpressed with the new U.S. coalition to protect commercial shipping in the Red Sea. The terrorists are escalating despite U.S. restraint in response. The U.S. military said Tuesday afternoon that American ships and fighter jets had shot down no fewer than 12 drones, three antiship ballistic missiles, and two land attack cruise missiles, ostensibly at multiple targets. All were fired by the Houthis in a 10-hour period.
Does that sound like an organization worried about how America might respond? The U.S. hasn\u2019t punished the Houthis for taking the world economy hostage, though the U.S. knows the location of Houthi launch sites, radars, weapons and military leadership. The Houthis are betting the U.S. and friends lack the political will to punish their piracy.
Behind all of this is Iran, though the White House refuses to speak this truth or do much about it. Mr. Biden frets that Iran could accelerate its nuclear program, or further unleash its proxies and create trouble for Iraq\u2019s government that hosts U.S. military trainers and anti-ISIS intelligence assets. Tehran is exploiting the U.S. fear of escalation to its own benefit.
The irony is that the biggest tonic for disorder in the Middle East would be restoring American deterrence. That would mean warning Tehran that its military and nuclear assets are at risk if it doesn\u2019t call off the proxy dogs. For all the Biden fears of Tehran, the recent empirical record\u2014the U.S. strike that killed Iranian Gen. Qassem Soleimani, for instance\u2014counsels that Iran backs down when it faces severe costs for its assaults.
Restoring deterrence in the Middle East would require the Biden Administration to admit that its approach to Iran hasn\u2019t worked and demands a course correction. The alternative is a continuing spiral of violence the Administration says it desperately wants to avoid. And sooner or later more Americans will be in critical condition, or dead.
___
Dec. 20
The Los Angeles times says former presidents don't get immunity
After the Senate acquitted Donald Trump at his second impeachment trial, Senate Minority Leader Mitch McConnell suggested that Trump might still be held accountable for his efforts to overturn the 2020 election that culminated in the Jan. 6, 2021, attack on the U.S. Capitol. \u201cWe have a criminal justice system in this country. We have civil litigation,\u201d said McConnell (R-Ky.). \u201cAnd former presidents are not immune from being held accountable by either one.\u201d
Indeed, Trump faces criminal charges related to his attempt to overturn the election in both state and federal court, though he has attempted to derail those prosecutions with elaborate but unpersuasive objections, including the assertion that he has immunity from prosecution. It\u2019s vital that the U.S. Supreme Court, which likely would have the last word on Trump\u2019s legal challenges in any case, move quickly to rule on those arguments so Trump can face a jury as soon as possible, and certainly before the November 2024 presidential election.
Special counsel Jack Smith has asked the justices to fast-track a ruling on Trump\u2019s appeal of a federal district judge\u2019s ejection of the former president\u2019s immunity claim, bypassing review by a federal appeals court. Smith also asked the court to consider whether Trump\u2019s acquittal at an impeachment trial protects him from prosecution. The justices should accept Smith\u2019s request, just as their predecessors in 1974 expedited a ruling on whether President Nixon could be forced to turn over Watergate-related tape recordings.
The court should move equally fast in ruling on a Jan. 6 defendant\u2019s challenge to the applicability \u2014 to him and other defendants, including Trump \u2014 of a federal law enacted after the Enron scandal making it a crime to \u201ccorruptly ... obstruct ... an official proceeding.\u201d Last week the justices agreed to hear the appeal of the defendant, Joseph Fischer, a former Pennsylvania police officer. Once the court hears oral arguments, it should resolve this case expeditiously as well.
U.S. District Judge Tanya S. Chutkan has scheduled Trump\u2019s trial on election-related charges for March 4. In asking the Supreme Court to expedite consideration of Trump\u2019s claim to immunity, Smith wrote: \u201cVindicating that public interest in this case requires immediate resolution of the immunity question to permit the trial to occur on an appropriate timetable.\u201d
Smith has been faulted for not explaining more fully why time is of the essence. But it seems obvious: Delaying Trump\u2019s trial would deny voters the opportunity to consider the outcome of the trial \u2014 be it conviction or acquittal \u2014 in choosing a president in 2024 if he were the Republican nominee.
There is also the possibility that, if the trial were delayed until after the election and Trump won, he would move to shut down the prosecution and pardon other defendants who have been convicted of charges arising out of the riot at the Capitol. It is not impermissibly \u201cpolitical\u201d for prosecutors \u2014 or judges \u2014 to take the broader public interest into account when dealing with questions of timing or other matters, so long as a defendant\u2019s rights are respected.
On the merits, Trump\u2019s claim to immunity is unconvincing in the extreme. As Chutkan noted in her ruling: \u201cWhatever immunities a sitting president may enjoy, the United States has only one chief executive at a time, and that position does not confer a lifelong \u2018get-out-of-jail-free\u2019 pass.\u201d
Chutkan similarly demolished two other arguments: that the indictment \u201ccriminalized\u201d Trump\u2019s speech in violation of the 1st Amendment and that he couldn\u2019t be prosecuted because he was acquitted at his second impeachment trial. On the contrary, Chutkan held, the Constitution\u2019s language on impeachment \u201cdoes not provide that acquittal by the Senate during impeachment proceedings shields a President from criminal prosecution after he leaves office.\u201d
The separate argument that Jan. 6 defendants \u2014 and Trump \u2014 cannot be prosecuted for corruptly obstructing an official proceeding is also unpersuasive. The U.S. Court of Appeals for the District Columbia Circuit concluded that federal law authorizes prosecutions for obstructing the counting of electoral votes. The law about obstructing an official proceeding, Circuit Judge Florence Y. Pan wrote, is not confined to situations involving tampering with documents, records or other objects, as a district court judge held.
Finally, when the Supreme Court takes up issues related to the 2020 election, one justice should not take part: Clarence Thomas, whose wife, Virginia, was involved in efforts to overturn that election. In a matter so consequential for the country, Thomas should recuse himself to safeguard public confidence in the court.
The maxim that \u201cjustice delayed is justice denied\u201d applies not only to criminal defendants such as Trump, but also to the public. The Supreme Court should consider the public interest and move quickly to consider \u2014 and dispose of \u2014 Trump\u2019s objections so that he can face a jury.
ONLINE: https://www.latimes.com/opinion/story/2023-12-20/editorial-no-immunity-for-trump
___
Dec. 26
China Daily says the food crisis in Gaza is unconscionable
Pointing out that since Hamas-led fighters attacked Israel on Oct 7, high-ranking Israeli officials, including Defense Minister Yoav Gallant, National Security Minister Itamar Ben-Gvir and Energy Minister Israel Katz, have all made public statements admitting that Israel is deliberately depriving civilians in Gaza of food, water and fuel, as reflected in the operations of Israeli forces, Human Rights Watch last week accused the Israeli government of committing a war crime.
The United Nations is warning that the quantity of food reaching Palestinians in Gaza is just 10 percent of what is needed to feed the territory\u2019s inhabitants amid the Israeli military\u2019s near nonstop bombardment of the Palestinian enclave and its ground operations, which are worsening the humanitarian situation there with each passing day.
In a report published on Thursday, Integrated Food Security Phase Classification, a partnership of aid organizations, including UN agencies and NGOs, said that the proportion of households in Gaza that are in hunger crisis, or suffering from high levels of acute food insecurity, is the largest ever recorded globally, and it warned that the entire 2.3 million population of Gaza faces the risk of famine.
On Friday, the United Nations Security Council passed a resolution urging steps to allow \u201csafe, unhindered, and expanded humanitarian access\u201d to Gaza and to realize the \u201cconditions for a sustainable cessation\u201d of the fighting.
Although it fell short of calling for an immediate cease-fire, given it is the first resolution on Gaza to be passed by the UN Security Council, it should be taken as a crucial step to get urgently needed humanitarian aid into the territory.
With the humanitarian situation in Gaza becoming increasingly dire, and the Israeli military action indefensible, even the United States, Tel Aviv\u2019s staunchest supporter, has adjusted its attitude, albeit slightly. While still refusing to call for an immediate cease-fire, US officials have said they want and expect Israel to shift its military operations in Gaza to a lower-intensity phase. They have urged Israel to ensure that its military operations are precise and targeted so as to reduce civilian casualties.
Yet, this has not been enough to stop the Israeli military\u2019s onslaught on Gaza. On Sunday, one Israeli airstrike on the al-Maghazi refugee camp in the central Gaza Strip killed at least 70 Palestinians. There are now fears that the conflict is spilling over to other parts in the Middle East, with Yemeni Houthi militia intensifying their attacks on \u201cIsrael-linked\u201d ships in the Red Sea. In response, the US is organizing an international coalition in the waters to try and protect shipping, which only adds more complexity to the crisis.
Friday\u2019s resolution called on the warring parties to \u201callow, facilitate and enable the immediate, safe and unhindered delivery of humanitarian assistance\u201d to civilians in Gaza and to \u201ccreate the conditions for a sustainable cessation of hostilities.\u201d
To avert the looming catastrophe in Gaza and prevent the conflict from escalating further concerted efforts are needed by all parties to ensure the UNSC resolution is now implemented.
ONLINE: https://www.chinadaily.com.cn/a/202312/26/WS658abf66a31040ac301a9a17.html
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(AP) \u2014 A judge has ordered a woman who set fire to Wyoming's only full-service abortion clinic to pay nearly $300,000 in restitution, the full amount sought by prosecutors.
Lorna Green is serving five years in prison for burning Wellspring Health Access weeks before the clinic was set to open in Casper in 2022. The fire gutted the building while it was being renovated for the new clinic and delayed its opening by almost a year.
After opening this past April, Wellspring is now the only abortion clinic in Wyoming. A clinic in Jackson that provided pill abortions closed Dec. 15 due to rising costs.
On Tuesday, U.S. District Judge Alan Johnson ordered Green, 22, to pay about $298,000 in restitution including $240,000 to Nationwide General Insurance Company, the clinic's insurer.
Green must also pay $33,500 to the building's owner, Christine Lichtenfels, and $24,500 to Julie Burkhart, founder and president of Wellspring Health Access. Burkhart expressed satisfaction with the restitution.
\u201cNot only did we have the emotional struggle and that trauma from the arson but also it was quite challenging for us financially. So I\u2019m glad this is the final piece and it has been put to rest,\u201d Burkhart said Wednesday.
The restitution was identical to the amounts sought by prosecutors and unopposed by Green's attorney, Ryan Semerad, who in an emailed statement said Wednesday that Green \u201clooks forward to a productive and peaceful life after her term of incarceration.\"
Green has expressed remorse for the crime, which she said was driven by anxiety and nightmares about the planned clinic. The Casper College mechanical engineering student had shown no sign of anti-abortion views on social media but told investigators she opposed abortion.
She admitted driving from Laramie to Casper, breaking into the clinic through a door and lighting gasoline she poured in trays and splashed on the floor. After months of little progress, investigators increased the reward to $15,000 and got tips leading to Green's arrest in March.
Green pleaded guilty in June to arson and in September received the minimum prison sentence. She had faced up to 20 years in prison.
The arson and eventual opening of the clinic happened as new laws in Wyoming seek to ban abortion in nearly all cases. The laws, including the nation's first explicit ban on abortion pills, have been put on hold by a judge amid a lawsuit filed by four women and two nonprofits including Wellspring Health Access.
After hearing arguments in the lawsuit Dec. 14, Wyoming District Judge Melissa Owens is weighing whether to rule on the laws. Her decision would likely be appealed, putting Wyoming's abortion laws before the state Supreme Court.
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Temperatures in the city that day were at about 40 degrees Celsius (105 Fahrenheit). Fans lined up for hours before the show, and many accused organizers of failing to deliver enough water supplies for the more than 60,000 attending the concert.", + "bylines": [ + { + "by": "By MAURICIO SAVARESE", + "title": "Associated Press" + } + ], + "located": "RIO DE JANEIRO", + "datelinelocation": { + "city": "Rio De Janeiro", + "countrycode": "BRA", + "countryname": "Brazil", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -43.18223, + -22.90642 + ] + } + }, + "copyrightnotice": "Copyright 2023 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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Ana Clara Benevides, 23, passed out during Swift's second song in the Nov. 17 concert in Rio de Janeiro, \u201cCruel Summer,\u201d and died hours later at a local hospital. Temperatures in the city that day were at about 40 degrees Celsius (105 Fahrenheit).
Fans lined up for hours before the show, and many accused organizers of failing to deliver enough water supplies for the more than 60,000 attending the concert at the Nilton Santos Stadium. They said they were not allowed to take their own water into the stadium.
The report by Rio's Forensic Medical Institute said Benevides' heat exposure led to a cardiorespiratory arrest. It also said she did not have preexisting conditions or substance abuse that could have led to her death.
The forensics expert who analyzed her body said in the document she had \u201cserious compromise of her lungs and sudden death\u201d due to the heat.
One of Benevides\u2019 friends, who also attended the concert, told local media outlets in November they had been given water while waiting to enter the stadium.
Organizers T4F said in a statement the company \u201cfollowed the best practices,\u201d complied with \u201cevery demand from authorities\u201d and \u201cdistributed thousands of bottles of water\u201d to fans. TF4 also denied it did not allow people to bring their own water to the concert.
TF4 also said Benevides \u201cwas promptly cared for by members of a rescue team and sent (to the hospital) in an intensive-care unit ambulance.\u201d
\u201cIn our 40 years in the business, this company had never registered a tragic episode\u201d like Benevides' death due to extreme heat, T4F said.
The office of Rio\u2019s public prosecutor has opened a criminal investigation. Rio police said in a statement on Wednesday that after the forensics report is analyzed \u201crepresentatives of the company organizing the event will be called to testify.\u201d
Benevides\u2019 death shook many in Brazil. She had taken her first flight to travel from the country\u2019s center-west region to see her favorite singer.
In a statement posted on Instagram after the death, Swift said the case had left her with a \u201cshattered heart.\u201d
Benevides's father, Jos\u00e9 Weiny Machado, told news website G1 he \u201cnever doubted the cause of death was the heat.\u201d
His lawyer, Jo\u00e3o Paulo Sales Delmondes, said in a video shared with journalists that the forensics report \u201cconfirms the failings of the event's organization.\u201d
\u201cAna Clara's family wants to wait until the investigations are finished to study what will unfold to punish those responsible in the criminal case and seek the necessary legal actions to claim for damages,\u201d he said.
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Dazed, coughing and weak, the frail but feisty 78-year-old headed straight for the bedroom. Her daughter headed for a drugstore, thinking the coughing might be asthma or the flu.
It wasn't.
Rabang died with her daughter holding her hand nearly a month later. She had a history of cancer, COVID and high blood pressure, and the doctor initially neglected to attribute her death to the wildfire. It wasn't until November that, at the urging of her family, Honolulu's medical examiner said a contributing cause of death was the thick, black smoke that Rabang breathed as she fled.
The report made Rabang the 100th victim of the deadliest U.S. wildfire in more than a century. The Aug. 8 fire devastated the onetime capital of the former kingdom of Hawaii. It wiped out an estimated 3,000 homes and apartments in Lahaina as it raced through dry, invasive grasses, driven by winds from a hurricane passing far to the south.
The number of people exposed to natural hazards has increased as climate change has intensified disasters like wildfires and hurricanes. Studies suggest that wildfire disproportionately affects vulnerable people such as those who are older, have a diminished capacity to respond to danger, or are low-income.
Of those killed by the Maui fire, 60 were 65 or older.
Many relatives are facing grief and anger and feeling robbed of their final years with their elders. The pain is particularly acute around the holidays.
\u201cI don\u2019t care how many surgeries she\u2019s had in her life, I don\u2019t care that she was vulnerable,\u201d said Rabang\u2019s daughter, Lorine Lopes. \u201cShe wouldn\u2019t be dead if it wasn\u2019t because of the fire.\u201d
In September, a team of wildfire researchers in the U.S. West found that in the past decade, the number of highly vulnerable people living within the perimeter of wildfires in Washington, Oregon and California more than tripled from the decade before, to more than 43,000. When a wildfire destroyed the town of Paradise, California, in 2018, 68 of the 85 victims were 65 or older, and more than a dozen had physical or mental impairments that impeded their ability to evacuate.
Recordings of 911 calls from the Maui wildfire underscored how susceptible older residents were.
One woman called about an 88-year-old man left behind in a house: \u201cHe would literally have to be carried out,\u201d she told the dispatcher. A man reported that his elderly parents called him after their home caught fire: \u201cThey just called to say, \u2018I love you, we\u2019re not going to make it.'\u201d
Several victims were residents of a 35-unit low-income senior apartment complex that burned. The nonprofit that ran it, Hale Mahaolu, stressed that its tenants lived independently, but some relatives said more should have been done to evacute them.
Louise Abihai, 97, was among the tenants who died. Strong and sharp, she walked a mile daily and enjoyed the friends she had there.
Her great-granddaughter Kailani Amine wondered if the values of caring for and respecting \u201ckupuna,\u201d the Hawaiian term for elders, were lost in the chaos.
\u201cIt\u2019s just sad that they really didn\u2019t have a chance,\u201d Amine said.
Much can be done to reduce risk, such as asking communities what help they need, planning the transportation that may be required in an evacuation, and determining how to communicate with vulnerable people.
\u201cPutting the resources and political will and the social will to assist those populations -- there\u2019s capacity to do that,\u201d said Erica Fleishman, the director of the Oregon Climate Change Research Institute and a co-author of the study about wildfire risk in the West. \u201cWe know this is going to keep happening.\u201d
Rabang, who stood barely 5 feet (1.5 meters) tall and weighed under 100 pounds (45 kg), was home alone when the fire struck. Her husband, Weslee Chinen, was with family on Oahu, a short flight away. The couple tended to ignore evacuation warnings for fires and tsunamis \u2014 disaster had spared their home before and they expected it would again, Chinen said.
But this time, Rabang's son, Brandon, showed up after driving past a police barricade and insisted she leave. They could feel the heat of the fire on their faces and inhaled intense smoke that turned the sky to darkness.
They made it to a relative's home. There were dogs inside, so Rabang slept in the car with Poke \u2014 the calico she adopted after deciding she wanted the oldest, ugliest cat in the shelter, her daughter said.
\u201cShe felt old and decrepit, and she wanted a cat that was the same,\u201d Lopes said. \u201cShe wanted to give a home to an animal that no one else would.\u201d
The next morning, Rabang was gagging and struggling for breath. She seemed exhausted and heartbroken, and fretted about what her grandchildren would do with the town demolished. It took Lopes and her sister all morning to persuade her to fly to Oahu, where she could be with her husband and daughters.
By 8 p.m., her husband called an ambulance.
Rabang spent nine days in intensive care being treated for respiratory failure, anemia caused by bleeding ulcers and other conditions. She often forgot why she was in the hospital. Her hands were tied to the bed to keep her from trying to rip off her oxygen mask.
When she had recovered enough to leave the ICU, her family struggled to get her to eat, even when they made her her favorite dumpling soup or brought her fresh sashimi.
So after five days at home, an ambulance once again delivered her to the hospital. Her eyes were glazed. Her weight dropped to below 70 pounds (31.8 kg). Her son and his family flew in from Maui. Lopes and her sister took turns holding vigil. Rabang's husband stopped by but found it too upsetting to stay long.
When doctors increased her dose of adrenaline, she went into cardiac arrest. The family ended her life support and she died Sept. 4. Her cat now lives at her husband's family home.
Rabang, who had worked in the restaurant industry, helping turn around failing establishments, had several health conditions that made her vulnerable. She had rheumatoid arthritis, survived pancreatic cancer over a decade earlier, had a kidney removed due to carcinoma in July, and had weakened lungs from COVID.
She was also tough and more than a bit stubborn. She refused to use a wheelchair during cancer recovery and would crawl to the bathroom when her joint pain was too severe to walk.
The doctor who signed her death certificate failed to mention the fire as a cause \u2014 an omission that had financial ramifications for the family, as well as emotional ones. For Rabang's husband to receive government help for funeral or other expenses, Lopes said, they needed to prove she was a fire victim.
After phone calls and emails with various agencies, the family persuaded the medical examiner\u2019s office to review her death.
Rabang had already been cremated, but the medical examiner, Dr. Masahiko Kobayashi, considered her records and the family's account, confirming in mid-November that while the main causes were pneumonia and anemia, a contributing factor was smoke inhalation, according to the report, obtained by The Associated Press through a public records request.
Lopes said that when Rabang was added to the victims list, she just started crying. After months of stress, she could finally grieve.
\u201cIt was a battle to get her on that list, and now that it happened, I\u2019m just releasing,\u201d Lopes said, sobbing. \u201cI watched her through every torturous moment she went through, fighting for her life. She had to get on that list, because she was part of that event.\"
___
Johnson reported from Seattle, Kelleher from Honolulu and Thiessen from Anchorage, Alaska. Audrey McAvoy in Honolulu contributed.
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December 19, 2023.
Editorial: Lawmaker reviving safe-storage bill after surge in youth shootings
When Fort Wayne police answered a shooting call at a home in September, they found Justin T. Wiley with a gunshot wound in the middle of his upper back, according to a probable cause affidavit.
Wiley, 32, told police he put a handgun on a bed in the home of a woman he was visiting, then her 2-year-old son grabbed the gun and pulled the trigger. Wiley, who is not legally allowed to carry a gun because of prior felony convictions, was charged with neglect of a child and unlawful possession of a handgun.
According to data collected by the advocacy group Everytown for Gun Safety, that September shooting contributed to Indiana having the third-highest number of unintentional shootings by children so far in 2023, resulting in nine children killed and 18 others injured.
Everytown\u2019s troubling data has prompted one Democratic state lawmaker to revive a failed attempt to promote safe firearm storage and penalize adults with children in the home who fail to do so.
\u201cIt highlights how serious the situation is,\u201d Rep. Mitch Gore, D-Indianapolis, told The Journal Gazette Monday of the Everytown report, \u201cand it strengthens my resolve.\u201d
In the Everytown analysis, Indiana\u2019s death rate fell behind just Texas and Florida, whose populations are four times and three times larger, respectively, than that of the Hoosier State. Shootings involved children as old as 17 and as young as 2, spanning from northeast Indiana to Evansville. While many of the incidents have taken place in larger cities, children have died in rural areas as well.
Gore, a captain with the Marion County Sheriff\u2019s Office, said two incidents have occurred in his district since last year, including a shooting that killed a 4-year-old.
\u201cThis past summer, in Cumberland, we had a 4-year-old little girl killed by her 5-year-old brother after they came across an unsecured handgun while grandma was downstairs babysitting a bunch of kids,\u201d he said. \u201cAnd then we all saw the year before a toddler running through an apartment complex in his diaper waving a handgun around in Beech Grove, which is also in my district.\u201d
Gore plans to reintroduce a safe-storage bill in the coming legislative session this January, he said, and expects support from some Republican lawmakers, though the GOP supermajority struck his original safe-storage amendment from 2022\u2019s House Bill 1296, which repealed the law requiring a license to carry a handgun in Indiana.
Gore\u2019s proposal would make it a crime to leave a firearm unsecured, but it also is intended to create awareness among adults that guns should be locked up away from children.
\u201cThey have been receptive, some of them, to my and others\u2019 attempts to get this done,\u201d he said of Republican legislators. \u201cRural communities are just as likely, if not more likely, to have firearms in the home. So I think even legislators from other parts of the state understand the need to take this issue seriously, and the need to remind gun owners of their responsibilities, not just their rights.\u201d
Indiana gun laws provide that a child\u2019s parent or guardian commits the crime of \u201cdangerous control of a child\u201d if he or she knowingly, intentionally or recklessly permits a child to possess a firearm. But there\u2019s no law that either requires unattended firearms to be stored in a certain way, or a locking device to accompany the sale of a firearm.
State lawmakers should consider legislation mandating all firearms be securely stowed in a locked gun safe or be fitted with trigger locks so they can\u2019t be accessed by curious children. Hoosiers must show proof of insurance after purchasing a vehicle. Why shouldn\u2019t it be compulsory for gun owners to safely store firearms in their homes?
Even the most diligent gun-owning parents can\u2019t watch their children every second of the day, which is why safe storage is critical for all Hoosier residents.
___
Anderson Herald Bulletin. December 22, 2023.
Editorial: Vouchers fund private schools at cost to public schools
As record numbers of students across Indiana take advantage of the state\u2019s near-universal voucher program, local private schools are seeing their enrollment numbers surge.
The move has raised concerns among public school officials who say subsidizing voucher access siphons needed funding away from public school districts seeking to attract and retain teachers in a difficult hiring environment.
School choice advocates counter that the vouchers provide opportunities to families who otherwise wouldn\u2019t be able to chart educational paths of their choosing for their children.
If public school is, in fact, an inferior education to private school, and we\u2019re not convinced that it is, then our legislature\u2019s first priority should be improving the quality of public education.
Sending students elsewhere doesn\u2019t address the problem, nor does it show concern for the children who are still attending public school.
It\u2019s much like the manager of Walmart sending people to Target because it\u2019s a cleaner store. Such a manager should be immediately fired for not cleaning up their own store first.
Furthermore, the voucher system sends public funds to private schools, some of them being faith-based institutions.
The problem with government funds going to religious institutions should be an obvious violation of church-state separation, but advocates of school choice don\u2019t seem to notice or care.
Their argument is that money shouldn\u2019t stand in the way of people with religious values being able to send their child to a school that reflects their values.
That argument may have some merit but it doesn\u2019t change the fact that the state shouldn\u2019t be in the business of funding religious schools.
If politicians are interested in funding education, they should start with public schools and let private schools remain private.
___
Kokomo Tribune. December 22, 2023.
Editorial: Lawmakers must make health of all Hoosiers a priority
From the newly born to the elderly, health among Hoosiers is a major concern for everyone. Top concerns include the state\u2019s high maternal and infant mortality rates, the alarming rates of drug and tobacco use among teens and young adults, cancer rates, mental health and issues inside institutions caring for the elderly.
The state\u2019s various health rankings are concerning: mental health is 35th in the nation; infant mortality, 42nd; early adult mortality, 40th; obesity ranks 39th, smoking ranks 42nd and suicide is 28th, according to US News and World Report\u2019s 2022 \u201cBest States\u201d rankings.
In all, the media company ranks the Hoosier state 43rd in overall health.
Financially speaking, Hoosiers\u2019 poor health is costing the state and its businesses and residents more than $87 billion, according to Gov. Eric Holcomb\u2019s Public Health Commission.
Recommendations from the commission all point to this: More public money needs to be spent on health care in Indiana.
Early into the Indiana Senate\u2019s 2023 legislative session, the governor\u2019s commission met with legislators with proposed changes to the way Indiana tackles public health.
When the Indiana General Assembly passed its primary budget bill April 28, state health funding had increased. Specifically focused on decreasing overdoses, $5 million from an opioid settlement fund was allocated to the Substance Abuse Prevention, Treatment and Enforcement Program to combat addiction. From the state\u2019s opioid settlement fund, $18.7 million was approved for substance abuse treatment and overdose intervention. The funds will be split between fiscal years 2024 and 2025.
ADDICTION ISSUES
Lung cancer is the leading cause of cancer-related deaths worldwide, with millions of new cases diagnosed each year. Tobacco products are the primary risk factor for lung cancer.
Lawmakers should look at neighboring states and their increased tobacco product taxes as a way to help deter use among Hoosiers.
YOUNG HOOSIERS
While the state\u2019s infant mortality as a whole has declined in recent years, the eastern and central southwestern portions of Indiana saw an increase over the past five years.
Holcomb launched the \u201cMy Health Baby\u201d program in 2022, which was part of his goal to make Indiana\u2019s infant mortality rate the lowest in the Midwest by 2024. More outreach is needed to help Black Hoosier women whose numbers of deaths are staggering: According to the 2022 Indiana Maternal Mortality Annual Report, Indiana\u2019s pregnancy-associated mortality ratio was 117 per 100,000 live births in 2020, representing a 58% increase from 2019. For Black women, it\u2019s twice the average rate and three times higher than the rate for white women.
OLDER HOOSIERS
By the year 2035, the number of adults over the age of 65 is expected to outnumber the number of children under 18, according to a report this year by the Indiana Capital Chronicle. And it\u2019s well-documented that Indiana is facing an assisted living and nursing home crisis.
Add in the fact that chronic worker shortages and funding issues at those facilities are making it harder for elders to find a quality place to spend their golden years. More must be done to better monitor the state\u2019s nursing homes to protect older Hoosiers.
END
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(AP) \u2014 The Mississippi State Department of Health said Wednesday that \u201ca large number\u201d of medical marijuana products are on hold so they can be retested.
The department first issued the hold on Dec. 21.
A news release from the department said the products are being retested \u201cto validate results related to the use of pesticides and presence of mycotoxins,\" which are produced by fungi. No illnesses from the products have been reported, the department said.
The department is overseeing the new testing of the medical cannabis products in licensed testing facilities.
\u201cThrough the state\u2019s seed-to-sale tracking system, the agency can isolate the batch and lot numbers associated with this administrative hold and expedite the retesting,\" said Laura Goodson, director of the Mississippi Medical Cannabis Program. \u201cThe tracking system is an invaluable tool to assist with regulatory compliance and overall product safety.\u201d
Retesting is prioritized based on the type of medical cannabis products. Cannabis flower or bud was being tested first because it is the base for many of products, followed by concentrates and infused products.
The department said as batches of products are cleared, the hold on those will be lifted and the products will be back on the market.
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drugs are showing promising results in helping some people shed pounds but the injections will remain out of reach for millions of older Americans because Medicare is forbidden to cover such medications.
Drugmakers and a wide-ranging and growing bipartisan coalition of lawmakers are gearing up to push for that to change next year.
As obesity rates rise among older adults, some lawmakers say the United States cannot afford to keep a decades-old law that prohibits Medicare from paying for new weight loss drugs, including Wegovy and Zepbound. But research shows the initial price tag of covering those drugs is so steep it could drain Medicare's already shaky bank account.
A look at the debate around if \u2014 and how \u2014 Medicare should cover obesity drugs:
The Food and Drug Administration has in recent years approved a new class of weekly injectables, Novo Nordisk's Wegovy and Eli Lilly's Zepbound, to treat obesity.
People can lose as much as 15% to 25% of their body weight on the drugs, which imitate the hormones that regulate appetites by communicating fullness between the gut and brain when people eat.
The cost of the drugs, beloved by celebrities, has largely limited them to the wealthy. A monthly supply of Wegovy rings up at $1,300 and Zepbound will put you out $1,000. Shortages for the drugs have also limited the supplies. Private insurers often do not cover the medications or place strict restrictions on who can access them.
Last month, a large, international study found a 20% reduced risk of serious heart problems such as heart attacks in patients who took Wegovy.
Long before Oprah Winfrey and TikTok influencers alike gushed about the benefits of these weight loss drugs, Congress made a rule: Medicare Part D, the health insurance plan for older Americans to get prescriptions, could not cover medications used to help gain or lose weight. Medicare will cover obesity screening and behavioral treatment if a person has a body mass index over 30. People with BMIs over 30 are considered obese.
The rule was tacked onto legislation passed by Congress in 2003 that overhauled Medicare's prescription drug benefits.
Lawmakers balked at paying high costs for drugs to treat a condition that was historically regarded as cosmetic. Safety problems in the 1990s with the anti-obesity treatment known as fen-phen, which had to be withdrawn from the market, were also fresh in their minds.
Medicaid, the state and federal partnership program for low-income people, does cover the drugs in some areas, but access is fragmented.
New studies are showing the drugs do more than help patients slim down.
Rep. Brad Wenstrup, R-Ohio, introduced legislation with Rep. Raul Ruiz, D-Calif., this year that would allow Medicare to cover the now-forbidden anti-obesity drugs, therapy, nutritionists and dietitians.
\u201cFor years there was a stigma against these people, then there was a stigma about talking about obesity,\u201d Wenstrup said in an interview with The Associated Press. \u201cNow we\u2019re in a place where we\u2019re saying this is a health problem we need to deal with this.\u201d
He believes the intervention could alleviate all sorts of ailments associated with obesity that cost the system money.
\u201cThe problem is so prevalent,\u201d Wenstrup said. \u201cPeople are starting to realize you have to take into consideration the savings that comes with better health.\u201d
Last year, about 40% of the nearly 66 million people enrolled in Medicare had obesity. That roughly mirrors the larger U.S. population, where 42% of adults struggle with obesity, according to the Centers for Disease Control and Prevention.
Notably, Medicare does cover certain surgical procedures to treat medical complications of obesity in people with a BMI of 35 and at least one related condition. Congress approved the exception in 2006, noted Mark McClellan, a former head of the Centers for Medicare and Medicaid Services and the FDA.
The 17-year-old law may provide a blueprint for expanding coverage of the new drugs, which mirror the results of bariatric surgery in some cases, McClellan said. Evidence showed that the surgery reduced the risks of death and serious illness from conditions related to obesity.
\u201cAnd that's been the basis for coverage all this time,\u201d McClellan said.
Still, the upfront price tag for lifting the rule remains a challenge.
Some research shows offering weight loss drugs would assure Medicare's impending bankruptcy. A Vanderbilt University analysis this year put an annual price of about $26 billion on anti-obesity drugs for Medicare if just 10% of the system's enrollees were prescribed the medication.
Other research, however, shows it could also save the government billions, even trillions over many years, because it would reduce some of the chronic conditions and problems that stem from obesity.
An analysis this year from the University of Southern California's Schaeffer Center estimated the government could save as much as $245 billion in a decade, with the majority of savings coming from reducing hospitalizations and other care.
\u201cWhat we did is we looked at the long-term health consequences of treating obesity in the Medicare population,\u201d said the study's co-author, Darius Lakdawalla, the director of research at the center. The Schaeffer Center receives funding from pharmaceutical companies, including Eli Lilly.
Lakdawalla said it's nearly impossible to put a cost on covering the drugs because no one knows how many people will end up taking them or what the drugs will be priced at.
The Congressional Budget Office, which is tasked with pricing out legislative proposals, acknowledged this difficulty in an October blog post, with the director calling for more research on the topic.
Overall, the agency \u201cexpects that the drug\u2019s net cost to the Medicare program would be significant over the next 10 years.\u201d
The cost of the legislation is the biggest hang up in getting support, Ruiz said.
\u201cWhen we talk about the initial cost, I often have to educate the members that the CBO does not take into account cost savings in their cost benefit analysis,\" Ruiz told the AP. \"Taking that number in isolation, one does not get the full picture of the full economies of reducing obesity and all of its comorbidities in our patients.\u201d
Doctors say weight loss drugs are only a part of the most effective strategies to treat a patient with obesity.
When Dr. Andrew Kraftson develops a plan with his patients at the University of Michigan's Weight Navigator program, it involves a \u201cperfect marriage\u201d of behavioral intervention, health and diet education, and possibly anti-obesity medication.
But with Medicare patients, he is limited in what he can prescribe.
\u201cA blanket prohibition for use of anti-obesity medication is an antiquated way of thinking and does not recognize obesity as a disease and is perpetuating health disparities,\" Kraftson said. \u201cI'm not so ignorant to think that Medicare should just start covering expensive treatments for everyone. But there is something between all or nothing.\"
Lawmakers have introduced some variation of legislation that would permit Medicare coverage of weight loss drugs over the last decade. But this year's bill has garnered interest from more than 60 lawmakers, from self-proclaimed budget hawk Rep. David Schweikert, R-Ariz., to progressive Rep. Judy Chu, D-Calif.
Passage is a top priority for two lawmakers, Wenstrup and Sen. Tom Carper, D-Del., before they retire next year.
Pharmaceutical companies also are readying for a lobbying blitz next year with the drugs getting the OK from the FDA to be used for weight loss.
\u201cAmericans should have access to the medicines that their doctors believe they should have,\u201d Stephen Ubl, the president of the lobbying group, Pharmaceutical Research and Manufacturers of America, said on a call with reporters last week. \u201cWe would call on Medicare to cover these medicines.\"
Already, Novo Nordisk has employed eight separate firms and spent nearly $20 million on lobbying the federal government on issues, including the Treat & Reduce Obesity Act, since 2020, disclosures show. Eli Lilly has spent roughly $2.4 million lobbying since 2021.
Advocates for groups such as the Obesity Society have been pushing for Medicare coverage of the medications for years. But the momentum may be shifting, thanks to the growing evidence that the obesity drugs can prevent strokes, heart attacks, even death, said Ted Kyle, a policy advisor.
\u201cThe conversation has shifted from debating whether obesity treatment is worthwhile to figuring out how to make the economics work,\u201d he said. \u201cThis is why I now believe the change is inevitable.\u201d
___
Associated Press writers JoNel Aleccia in Temecula, California, and Brian Slodysko contributed to this report.
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Health authorities say an exact death toll was difficult to confirm because of how badly the bodies were burned. Similar deadly accidents have occurred elsewhere in Africa.", + "bylines": [ + { + "by": "By MARK N. MENGONFIA", + "title": "Associated Press" + } + ], + "located": "MONROVIA, Liberia", + "datelinelocation": { + "city": "Monrovia", + "countrycode": "LBR", + "countryname": "Liberia", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -10.7969, + 6.30054 + ] + } + }, + "copyrightnotice": "Copyright 2023 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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The blast on Tuesday also injured at least 83 people in the town of Totota in the central part of the West African country, health officials said.
Many of the dead were buried in a mass grave on Wednesday because their remains were unrecognizable, said health official Dr. Cynthia Blapook in Bong County. Health authorities said an exact death toll was difficult to confirm because of how badly the bodies were burned.
Liberian Vice President Jewel Howard-Taylor attended the mass funeral.
\u201cWe never expected to start the new year like this,\u201d Howard-Taylor said.
Health officials said the number of injured could rise as they were not certain everyone had been brought in for care. A doctor at one hospital treating the injured urged the Liberian government to deploy a disaster management team and to have one in each county to respond to emergencies.
Dr. Minnie Sankawolo-Rocks also pleaded with people not to approach fuel tankers in the hope of collecting much-needed gasoline. Similar deadly accidents have occurred elsewhere in Africa.
\u201cPlease, I am begging you,\" she said.
Sankawolo-Rocks said people did not listen to police instructions to keep away before the tanker exploded.
___
AP Africa news: https://apnews.com/hub/africa
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I\u2019ve noticed some health benefits myself, but the biggest change has been in my bank account: Switching from a meat-heavy diet (eating meat nearly twice a day) to a plant-heavy diet (eating meat one to three times a week) has saved me a lot of money. After five months of eating mostly plants, I\u2019ve saved $800 compared to the five months before that.", + "bylines": [ + { + "by": "By ALANA BENSON of NerdWallet" + } + ], + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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My best friend was a vegetarian, and I was curious. I lasted only about four days. My downfall: a buffalo chicken sandwich. Since that ill-fated attempt, I\u2019ve never tried to curb my meat consumption. It\u2019s just too dang tasty.
But in 2022, a family member was diagnosed with a life-threatening disease. In addition to taking new medications, they adopted a strict whole-food, plant-based diet in the hopes that it would improve their health. If diet could potentially help a serious disease, I figured maybe it could help my far less serious health issues. Why not try it?
And it worked.
What\u2019s more, in addition to making me feel better, switching from a meat-heavy diet (eating meat nearly twice a day) to a plant-heavy diet (eating meat one to three times a week) saved me more than $800 over the course of five months.
AN ECONOMIC DIET
At first I wasn\u2019t thrilled about eating salad over steak, but I loved how much money I was saving. And it turns out my case isn\u2019t unique.
A 2021 study from Oxford University found that vegan diets reduced food costs by as much as one-third.
When you think about it, it makes sense: The average cost of a pound of ground beef was $5.23 in October 2023. If you replace that meat with chickpeas, you can expect to pay around a dollar for a 15.5-ounce can.
Toni Okamoto, founder of the blog Plant-Based on a Budget in Sacramento, California, says that many of her clients spend $40 to $50 a week per person on groceries while following her plant-based meal plans.
\u201cI was living paycheck to paycheck working a job that led me to live a life below the poverty line,\u201d says Okamoto. \u201cAnd through meal planning and being thoughtful about my plant-based eating, I was able to climb out of debt and start saving money.\u201d
Eating more plants has also been shown to potentially improve long-term health. Reducing your health risks could mean fewer doctors\u2019 visits, prescriptions and other health-related expenses in the long run.
Katie Cummings, a vegan certified financial planner with Vision Capital Management in Portland, Oregon, notes how diet as potential disease prevention can help cut costs.
\u201cOne thing that really derails a financial plan is a long-term care event,\u201d says Cummings.
HOW TO EAT MORE PLANTS
When I started eating more plants I tried to focus on adding rather than subtracting. For me, that looked like eating one new vegetable a week. That\u2019s how I discovered I liked romanesco and was not a fan of kohlrabi. Instead of focusing on cutting out meat, I thought about how many vegetables I could add to my diet. Eventually my tastes changed and I even started craving vegetables.
If you\u2019re looking to eat more plants, there are a lot of ways to approach it, but Okamoto suggests keeping it simple.
\u201cTry not to get overwhelmed with thinking about it as a whole new lifestyle change, but simply think about the things that you eat and how you can make swaps,\u201d says Okamoto. \u201cFor example, if you like pasta, you can still eat pasta with marinara sauce and a can of cannellini beans with some frozen veggies thrown in there, or if you like beef tacos, try using lentils instead. They\u2019re heart-healthier and much cheaper.\u201d
GROW YOUR SAVINGS
If you search \u201cmake money fast,\u201d you\u2019ll find a lot of suggestions, such as delivery driving or teaching an online class. But few of these can actually put money in your pocket today. If you\u2019re looking to make money, reducing your grocery bill can help you save money instantly.
Cummings suggests that people looking to start eating a plant-based or vegan diet can benefit from tracking their spending.
\u201cJust be really clear and honest with yourself when you\u2019re looking at your budget. Be nice to yourself when you\u2019re starting out on it, and set the limits for your categories kind of high,\u201d says Cummings. \u201cAnd then you can slowly crank them down, and modify it, checking in often. I always tell my clients once a week if you can, if you can dedicate just 15 minutes once a week.\u201d
If you\u2019re saving a significant amount of money, checking your budget may even start to feel fun. If you cut your grocery bill by a third, you may suddenly have some extra money to work with. You could pad your emergency fund, save for retirement or put money toward a vacation. No matter what you choose to spend it on, the savings and health benefits might just make it worth going meatless.
_________________________
This column was provided to The Associated Press by the personal finance website NerdWallet.The content is for educational and informational purposes and does not constitute investment advice. Alana Benson is a writer at NerdWallet. Email: abenson@nerdwallet.com. X (formerly known as Twitter): @alananeedsanap.
RELATED LINK:
NerdWallet: How to Save for Retirement https://bit.ly/nerdwallet-saving-retirement
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The document also provides practical advice on how to incorporate more plants into one's diet, which is relevant to the topic of health." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2023/12/28/4be497fc0571427d02306c5fb703fad5.json b/datasets/AP_news/raw_data/2023/12/28/4be497fc0571427d02306c5fb703fad5.json new file mode 100644 index 0000000..341e3fd --- /dev/null +++ b/datasets/AP_news/raw_data/2023/12/28/4be497fc0571427d02306c5fb703fad5.json @@ -0,0 +1,194 @@ +{ + "altids": { + "itemid": "4be497fc0571427d02306c5fb703fad5", + "etag": "4be497fc0571427d02306c5fb703fad5_0a2aza0c0", + "friendlykey": "825199951520", + "referenceid": "NV--License Symbol-Nevada" + }, + "version": 0, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2023-12-28T23:05:50Z", + "firstcreated": "2023-12-28T23:05:49Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "signals": [ + "newscontent" + ], + "title": "NV--License Symbol-Nevada", + "headline": "Nevada drivers can now add a symbol identifying certain medical conditions on their driver license", + "headline_extended": "Nevada drivers can now add a symbol that identifies certain medical conditions on their driver licenses, in an effort to improve safety on the roads, the Nevada Department of Motor Vehicles announced this month", + "slugline": "AP-NV--License Symbol-Nevada", + "description_summary": "Nevada drivers can now add a symbol that identifies certain medical conditions on their driver licenses, in an effort to improve safety on the roads, the Nevada Department of Motor Vehicles announced this month. 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The \u201cStar of Life\u201d symbol has different codes for different conditions including vision impairment, deafness, depression, schizophrenia and food allergies, among others. The symbol, a six-pointed blue figure often seen in the medical field, is optional to have for those eligible.
The symbol can help law enforcement and first responders \u201crecognize any medical conditions Nevadans may have that require extra consideration,\u201d according to the Nevada DMV. It stems from a law passed by state lawmakers that give drivers the option to have the symbol.
Eligible drivers must bring a physician\u2019s report to have the symbol added to their license.
", + "textformat": "bx", + "links": [ + { + "href": "https://apnews.com/article/driver-license-nevada-dmv-4be497fc0571427d02306c5fb703fad5", + "rel": "canonical" + } + ], + "topics": { + "Health": { + "relevance_score": 4, + "reason": "The document discusses a new initiative by the Nevada Department of Motor Vehicles that allows drivers to add a medical symbol to their licenses to identify certain medical conditions. This initiative is directly related to health as it involves medical conditions such as vision impairment, deafness, depression, schizophrenia, and food allergies. The purpose of the symbol is to improve safety and provide necessary information to law enforcement and first responders, which is a health-related concern." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2023/12/28/94b5ff7c6b9c6bea7d32c32d8aff20db.json b/datasets/AP_news/raw_data/2023/12/28/94b5ff7c6b9c6bea7d32c32d8aff20db.json new file mode 100644 index 0000000..8b26b55 --- /dev/null +++ b/datasets/AP_news/raw_data/2023/12/28/94b5ff7c6b9c6bea7d32c32d8aff20db.json @@ -0,0 +1,257 @@ +{ + "altids": { + "itemid": "94b5ff7c6b9c6bea7d32c32d8aff20db", + "etag": "94b5ff7c6b9c6bea7d32c32d8aff20db_2a6aza0c0", + "friendlykey": "250812010199", + "referenceid": "ENT--People-Cher-Conservatorship" + }, + "version": 2, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2023-12-29T01:12:12Z", + "firstcreated": "2023-12-28T23:19:45Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: Links audio. Edits 1st paragraph and summary to conform with AP Style. With AP Photos.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "ENT--People-Cher-Conservatorship", + "headline": "Cher asks court to give her conservatorship over her adult son", + "headline_extended": "Cher has asked a court to make her a temporary conservator overseeing her son\u2019s money", + "slugline": "AP-ENT--People-Cher-Conservatorship, 2nd Ld-Writethru", + "description_summary": "Cher has asked a court to make her a temporary conservator overseeing her son\u2019s money. She says the 47-year-old's struggles with mental health issues and addiction have left him unable to manage his assets. The Oscar winning singer and actor on Wednesday filed the petition in Los Angeles Superior Court that would give her temporary control of the finances of Elijah Blue Allman. Cher\u2019s petition says that Allman is entitled to regular payments from a trust fund, but she fears any money will be spent on drugs. Allman told The Associated Press that he is \"of sound mind and body.\"", + "bylines": [ + { + "by": "By ANDREW DALTON", + "title": "AP Entertainment Writer" + } + ], + "located": "LOS ANGELES", + "datelinelocation": { + "city": "Los Angeles", + "countryareacode": "CA", + "countryareaname": "California", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -118.24368, + 34.05223 + ] + } + }, + "copyrightnotice": "Copyright 2023 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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The Oscar and Grammy winning singer and actor on Wednesday filed the petition in Los Angeles Superior Court that would give her temporary control of the finances of Elijah Blue Allman, her son with musician Gregg Allman.
Cher's petition says that Elijah Allman is entitled to regular payments from a trust fund. But \u201cgiven his ongoing mental health and substance abuse issues,\u201d she is \u201cconcerned that any funds distributed to Elijah will be immediately spent on drugs, leaving Elijah with no assets to provide for himself and putting Elijah\u2019s life at risk,\u201d the petition says.
Reached through his attorney, Elijah Allman said in a phone call with The Associated Press, \"I am well, and able, and of sound mind and body.\"
He declined to say whether he planned to oppose the petition, or give any further comment.
A court-ordered conservatorship is \u201curgently needed,\u201d Cher's filing says. A judge scheduled a January hearing on the issue.
The filing explicitly seeks to keep control of Elijah Allman's finances from his wife, Marieangela King, from whom he filed for divorce in 2021.
The two remain legally married. A filing from King in October says the couple had agreed to pause the divorce proceedings and work on their marriage, but she had not seen him in person in six months.
Cher's petition says the couple's \u201ctumultuous relationship has been marked by a cycle of drug addiction and mental health crises\" and that she believes King \u201cis not supportive of Elijah's recovery.\u201d
Emails seeking comment from an attorney for King and representatives for Cher were not immediately returned.
Cher has two sons, one from each of her marriages \u2014 54-year-old Chaz Bono with the late Sonny Bono, and Elijah Allman, who is the former singer and guitarist of the band Deadsy and is known professionally as P. Exeter Blue.
Conservatorships, known in some states as guardianships, allow courts to give relatives or others control over a person's money and, at times, their life decisions after they are deemed not competent to make such decisions for themselves.
The issue became widely known when what began as a temporary conservatorship over Britney Spears became a years-long legal saga and fight with her father.
", + "textformat": "bx", + "links": [ + { + "href": "https://apnews.com/article/cher-son-conservatorship-elijah-allman-94b5ff7c6b9c6bea7d32c32d8aff20db", + "rel": "canonical" + } + ], + "topics": { + "Health": { + "relevance_score": 3, + "reason": "The document primarily focuses on Cher's legal petition for conservatorship over her adult son due to his mental health and addiction issues. While it does touch on health-related topics such as mental health and substance abuse, the main focus is on the legal proceedings and family dynamics rather than health itself. Therefore, it is somewhat relevant to the topic of health but not highly focused on it." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2023/12/28/bdfbae117989cfa41f5e7e36d583c036.json b/datasets/AP_news/raw_data/2023/12/28/bdfbae117989cfa41f5e7e36d583c036.json new file mode 100644 index 0000000..11e3021 --- /dev/null +++ b/datasets/AP_news/raw_data/2023/12/28/bdfbae117989cfa41f5e7e36d583c036.json @@ -0,0 +1,292 @@ +{ + "altids": { + "itemid": "bdfbae117989cfa41f5e7e36d583c036", + "etag": "bdfbae117989cfa41f5e7e36d583c036_0a9aza0c0", + "friendlykey": "364091213148", + "referenceid": "AF-MED--Congo-Mpox" + }, + "version": 0, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2023-12-28T05:37:20Z", + "firstcreated": "2023-12-28T05:37:20Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: With AP Photos.", + "signals": [ + "newscontent" + ], + "title": "AF-MED--Congo-Mpox", + "headline": "Stigma against gay men could worsen Congo's biggest mpox outbreak, scientists warn", + "headline_extended": "African scientists warn that discrimination against gay and bisexual men on the continent could make an mpox outbreak in Congo worse", + "slugline": "BC-AF-MED-Congo-Mpox", + "description_summary": "African scientists warn that discrimination against gay and bisexual men on the continent could make an mpox outbreak in Congo worse. 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In November, the World Health Organization reported that mpox, also known as monkeypox, was being spread via sex in Congo for the first time. That is a significant departure from previous flare-ups, where the virus mainly sickened people in contact with diseased animals.
Mpox has been in parts of central and west Africa for decades, but it was not until 2022 that it was documented to spread via sex; most of the 91,00 people infected in approximately 100 countries that year were gay or bisexual men.
In Africa, unwillingness to report symptoms could drive the outbreak underground, said Dimie Ogoina, an infectious diseases specialist at the Niger Delta University in Nigeria.
\u201cIt could be that because homosexuality is prohibited by law in most parts of Africa, many people do not come forward if they think they have been infected with mpox,\u201d Ogoina said.
WHO officials said they identified the first sexually transmitted cases of the more severe type of mpox in Congo last spring, shortly after a resident of Belgium who \u201cidentified himself as a man who has sexual relations with other men\u201d arrived in Kinshasa, the Congolese capital. The U.N. health agency said five other people who had sexual contact with the man later became infected with mpox.
\u201cWe have been underestimating the potential of sexual transmission of mpox in Africa for years,\u201d said Ogoina, who with his colleagues, first reported in 2019 that mpox might be spreading via sex.
Gaps in monitoring make it a challenge to estimate how many mpox cases are linked to sex, he said. Still, most cases of mpox in Nigeria involve people with no known contact with animals, he noted.
In Congo, there have been about 13,350 suspected cases of mpox, including 607 deaths through the end of November with only about 10% of cases confirmed by laboratories. But how many infections were spread through sex isn't clear. WHO said about 70% of cases are in children under 15.
During a recent trip to Congo to assess the outbreak, WHO officials found there was \u201cno awareness\u201d among health workers that mpox could be spread sexually, resulting in missed cases.
WHO said health authorities had confirmed sexual transmission of mpox \u201cbetween male partners and simultaneously through heterosexual transmission\u201d in different parts of the country.
Mpox typically causes symptoms including a fever, skin rash, lesions and muscle soreness for up to one month. It is spread via close contact and most people recover without needing medical treatment.
During the 2022 major international outbreak, mass vaccination programs were undertaken in some countries, including Canada, Britain and the U.S., and targeted those at highest risk \u2014 gay and bisexual men. But experts say that's not likely to work in Africa for several reasons, including the stigma against gay communities.
\u201cI don\u2019t think we\u2019ll see the same clamoring for vaccines in Africa that we saw in the West last year,\u201d said Dr. Boghuma Titanji, an assistant professor of medicine in infectious diseases at Emory University School of Medicine in Atlanta.
She said that the gay and bisexual men most at risk of mpox might be fearful of coming forward in a broad immunization program. Countries should work on ways to give the shots \u2014if available \u2014 in a way that wouldn't stigmatize them, she said.
Dr. Jean-Jacques Muyemba, general director of Congo\u2019s National Institute of Biomedical Research, said two provinces in Congo had reported clusters of mpox spread through sex, a concerning development.
There's no licensed vaccine in Congo, and it would be hard to get enough shots for any large-scale program, Muyemba said. The country is trying to get a Japanese mpox vaccine, but regulatory issues are complicating the situation, he said.
Globally, only one vaccine has been authorized against mpox, made by Denmark\u2019s Bavarian Nordic. Supplies are very limited and even if they were available, they would have to be approved by the African countries using them or by WHO. To date, the vaccine has only been available in Congo through research.
Oyewale Tomori, a Nigerian virus expert who sits on several WHO advisory boards, said African governments probably have too many competing priorities to ask the U.N. health agency or donors for help securing vaccines.
\u201cIn Africa, mpox is most likely considered a low-priority nuisance,\u201d Tomori said.
He said stronger monitoring, laboratory networks and better availability of diagnostic supplies would be more helpful to the continent than vaccines.
Without greater efforts to stop the outbreaks in Africa, Ogoina predicted that mpox would continue to infect new populations, warning that the disease could also spark outbreaks in other countries, similar to the global emergency WHO declared last year.
\u201cWhen the HIV pandemic started, it was among gay and bisexual men in the global north, and Africa thought it was not our problem,\u201d he said. \u201cBefore we knew it, it came to Africa, but we still thought heterosexual populations would be protected.\u201d
Women of reproductive age now account for more than 60% of new HIV infections in Africa.
\u201cI worry the same thing will now happen with mpox,\u201d he said. \u201cUnless we address these outbreaks in Africa, this virus will keep coming back.\u201d
____
Cheng reported from Toronto.
___
The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute\u2019s Science and Educational Media Group. The AP is solely responsible for all content.
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December 27, 2023.
Editorial: Warren, Markey shine a much-needed light on prison health care
Staffing woes, response times faulted as the contract of Massachusetts\u2019 for-profit provider comes up for renewal.
Since 2018, Massachusetts has outsourced health care services for all of those incarcerated in its prison system \u2014 some 6,000 individuals \u2014 to an out-of-state, for-profit health services behemoth.
During that time the adequacy of those services and the treatment of the incarcerated has attracted the attention of the US Justice Department, the Disability Law Center, and several prisoners\u2019 rights advocacy groups. Now it is the state\u2019s two US senators who have zeroed in on the role of Wellpath, questioning its role at the national level and adding, \u201cwe are also deeply concerned about Wellpath\u2019s operations in the Commonwealth of Massachusetts in particular.\u201d
The letter, sent by Senators Elizabeth Warren and Ed Markey to Wellpath executives and its private equity owner H.I.G. Capital, and first reported by MassLive, comes as state officials face a decision next year (bids are scheduled to be opened Jan. 29, 2024) on whether to renew the contract that has given the firm control over all prison health services since 2018.
\u201cSome of the most serious complaints against Wellpath include reports of time-sensitive care being delayed; outright denials of care; inadequate staffing; Wellpath staff members\u2019 negligence and failure to follow physician treatment plans or Wellpath\u2019s own policies; and the inappropriate use of restraints and solitary confinement for people with mental health needs,\u201d the senators said in the letter.
To that end, the senators sent the firm a list of 23 questions about staffing levels, the licensure of its personnel, and how it intends to deal with the needs of the aging population in Massachusetts prisons (some 15 percent of those incarcerated by the state are over age 60). It also raised questions about the firm\u2019s possible lobbying efforts and its political contributions. The answers are due Jan. 8, 2024.
The company said it is \u201cproud of the work it does in Massachusetts and around the country to provide high-quality care to hundreds of thousands of patients every year\u201d in a statement to MassLive. \u201cWe put patients at the center of everything we do and our clients count on us for our professionalism, our innovative approach and our world-class health care providers.\u201d
But a quick glance at the firm\u2019s website is revealing. As of Tuesday, the site listed 116 Massachusetts job openings \u2014 nearly all at Department of Correction facilities. (Wellpath also serves prison facilities in Essex and Worcester counties.) Most of the jobs are for mental health staff (34) or nursing staff (54). But state prisons are also seeking two physicians, two dentists, two psychiatrists, and a psychologist. DOC officials told the editorial board that Wellpath has reported to them that 81 percent of its positions are filled.
Warren and Markey, however, charged that Wellpath \u201croutinely understaffs some of its facilities,\u201d citing in particular MCI-Norfolk, where about a fifth of the population is over age 60. But at various times in 2022 the facility lacked a medical director, a director of nursing, and mental health clinicians, the senators noted.
At the moment Wellpath is advertising for 20 jobs at the maximum security Souza-Baranowski Correctional Center and for 14 at Bridgewater State Hospital, which serves those with complex mental health needs.
The Disability Law Center, which monitors Bridgewater at the direction of the Legislature, in a report issued last summer, said it found \u201chealth and safety risks and serious rights violations abound at the Department of Correction facility run by contractor Wellpath.\u201d
\u201cCommonwealth agencies should not be contracting with entities, like Wellpath, that do not staff to comply with state law on chemical restraint and involuntary medication administration,\u201d the report said.
The report also faulted Wellpath for denying basic medical care. One man interviewed for the report after his transfer to a Department of Mental Health facility was put on an appropriate diabetic diet and given \u201cthe correct medication for his Type 1 diabetes which BSH had refused to provide due to cost.\u201d Another did not get treatment for his Hepatitis C until his transfer to a DMH hospital, according to the report.
Reena Kapoor, the independent monitor assigned to oversee DOC\u2019s implement of the settlement agreement with the Justice Department over treatment of incarcerated individuals in mental health crisis, praised the Correction Department\u2019s \u201csubstantial improvements to mental healthcare since the DOJ\u2019s investigation in 2019\u2033 but added, \u201cSignificant work remains to be done.\u201d At the top of her list of \u201cgreatest challenges\u201d was staffing \u2014 both security and mental health. Kapoor found the system \u201cnon-compliant\u201d in providing adequate on-site mental health staff. And that is a Wellpath issue.
Warren and Markey point to possible alternatives to Wellpath as a provider, citing New York City\u2019s use of a group of nonprofit health care providers that took over services at Rikers after the city ousted its for-profit operator in 2015. In years past, the UMass Chan Medical School and the Massachusetts Partnership for Correctional Health provided services at Massachusetts prisons. ForHealth Consulting, a division of the medical school, helped prepare the bid documents for the next health services contract.
The window for potential rivals to challenge Wellpath for the contract is a narrow one. And Warren and Markey have now indicated their own interest in the outcome. The status quo clearly isn\u2019t acceptable. It\u2019s ultimately the Commonwealth\u2019s job to make sure those in its care and custody are treated humanely. That\u2019s both a moral and legal obligation \u2014 and that responsibility can\u2019t be outsourced.
___
Boston Globe. December 28, 2023.
Editorial: Mass. has hit the wall \u2013 Healey must amend shelter law
Gov. Maura Healey has done yeoman\u2019s work tackling the state\u2019s surge in homelessness, exacerbated by continued influxes of immigrants.
It\u2019s about to get worse \u2013 perhaps to the point where the governor has to make a large \u2013 and difficult decision.
Her administration has lined up emergency shelter spaces in college dorms, hotels and motels in addition to existing state shelters that are bursting at the seams. Families were even put up at the Transportation Building.
The shelter cap of 7,500 families was reached, Healey declared a state of emergency, asked for money, asked for more, and the need has not subsided.
As The Hill reported, a migrant caravan is making its way through Mexico towards the U.S.. The reportedly 6,000-strong caravan is the largest organized group of migrants to form in Tapachula, Mexico since 2022.
According to reports, the caravan\u2019s leaders are carrying banners calling the movement an \u201cexodus from poverty,\u201d and it is mainly composed of people from Cuba, Haiti and Honduras.
Migrant rights activist Luis Garcia Villagran, who is accompanying the group, has warned that the caravan could grow to 15,000 people by the time it reaches the border, according to the New York Post.
They aren\u2019t all going to head to Massachusetts, but it\u2019s a good bet some will. Where will we put them? How will we pay for food, shelter and other care?
Joe Biden\u2019s off to St. Croix, so while this is no doubt on his radar, it\u2019s not bearing down with the same urgency as it is for Gov. Healey. Biden isn\u2019t hunting down overflow shelter space, stat.
Healey\u2019s held on for as long as she could, but the writing is not only on the wall, it\u2019s outlined in blinking lights: Massachusetts has to ditch its its current \u201cright to shelter\u201d law.
It was never designed to guarantee housing for anyone who crossed our border. As the Herald reported, the 1983 law, in defining a resident, states that \u201cany such person who enters the Commonwealth solely for the purposes of obtaining such benefits under this chapter shall not be considered a resident.\u201d
But application of the law morphed from covering Massachusetts residents to those who entered the state with the intent of becoming a resident.
Efforts to curtail the overly generous interpretation of the law have sparked outrage. In setting the shelter cap, Healey noted \u201cWe are not ending the right-to-shelter law. We are being very clear, though, that we are not going to be able to guarantee placement for folks who are sent here after the end of this month.\u201d
Lawyers for Civil Rights filed an emergency request to stop Healey\u2019s move.
Sen. Ryan C. Fattman, R-Worcester/Hampden, filed an amendment limiting the right-to-shelter law to Massachusetts residents who have resided in the state for at least six months. It was rejected last month.
Healey has considered ending the right to shelter law, but stopped short when the administration realized it did not have the authority to do so, as the Herald reported.
Healey can, however, file her own legislation to end or overhaul the law. While Fattman\u2019s amendment was rousted, the notion that yet more migrants are on their way to the U.S. and Mass. cities and towns may have to accommodate them could boost support this time around.
There is no more room, governor. Do what needs to be done.
___
Portland Press Herald. December 24, 2023.
Editorial: Disaster preparedness must become a policy priority
Maine, like almost everywhere else on earth, has to get serious about fighting back against extreme weather.
The extent of the devastation visited on Maine by last week\u2019s storm has highlighted the urgent need for a robust approach to mitigation and adaptation, one that rises to the immense challenge of being faced with \u201c100-year weather events\u201d with far greater frequency.
According to a May study published in the journal Climatic Change, the northeastern United States will experience a 51.6% rise in extreme precipitation by 2100.
We\u2019ve been faced with this evidence of climate change for a while.
In the latest and most challenging example of it in Maine, last Monday\u2019s storm dumped 6 inches of rain on some parts of the state. Flooding and other damage led to the closure of more than 100 state roads. The Maine Department of Transportation took it upon itself to close 36 bridges statewide. Downed wires challenged communication to first responders \u2013 and everybody else.
Tens of thousands of Mainers spent days without power; by Wednesday night, more than 100,000 Central Maine Power customers were still without. A state of civil emergency was declared in all but two of Maine\u2019s 16 counties.
2023 had already been a bruising year for extreme weather in Maine. \u201cThe amount of flash flood warnings and flood advisories are almost double the amount of the next-highest year,\u201d meteorologist Derek Schroeter told the Press Herald. The next-highest year was 1998.
Flooding causes untold damage throughout the U.S.; by one estimate, it accounts for 90% of the damage from natural disasters annually. The Maine Climate Council estimates that climate-related flooding could cost up to $2.4 billion in total building losses and another $2.6 billion a year in jobs. That\u2019s without getting into danger that severe storms pose to the general public.
Despite the increasing prevalence of stronger and more damaging storms and more devastating flooding, the American approach continues to focus more on remediation than it does on mitigation. When things get really severe, we take action \u2013 the Federal Emergency Management Agency\u2019s Hazard Mitigation Grant Program provided Vermont with $20 million for voluntary buyouts of at-risk homes after its record flooding \u2013 but too often we wait to reach a tipping point, with all of the devastation and misery that brings.
The Biden administration has shepherded in a meaningful amount of federal funding for investment in infrastructure. The Infrastructure and Jobs Act sets aside more than $50 billion for new spending on water infrastructure. Even then, the Environmental Protection Agency has suggested that is a fraction of the investment needed for \u201cwater, wastewater, and stormwater system enhancement and restoration,\u201d meaning elected representatives in D.C. must push for more. At the local level, stormwater fees should be adjusted to cover the real cost of infrastructure upgrades and the appointment of committees and officials dedicated to this work.
How do we design for prevention? By investing heavily in planning and civil engineering that identifies the greatest points of weakness in our communities and devises sustainable, appropriate solutions. United States Geological Survey employees were hard at work in Maine last week trying to capture \u201ccritical perishable data,\u201d information about where flood lines reached and for how long. As a Kennebec Journal report noted: \u201cWithout good data, good planning and preparation can\u2019t happen.\u201d
The information they gathered will ultimately be handed over to those afore-mentioned engineers, ideally informing the development of new evacuation routes, specifications for bridges, new building codes and models for better and more accurate forecasting of floods\u2019 likelihood and magnitude. The data will also be used to check the accuracy of existing FEMA flood insurance maps.
Part of prevention is communication. Last week\u2019s storm didn\u2019t come as a surprise to meteorologists; its severity did. While nobody wants to drop what they\u2019re doing and routinely prepare for the worst, everything we\u2019ve seen recently suggests that \u2013 particularly at certain times of year; snow melt was a major exacerbating factor last week \u2013 it would be better for the authorities, businesses and individuals to act with an abundance of caution.
Community response matters. As we noted in our last editorial, Mainers stepped up to help each other in impressive ways last week. We can take that attitude and apply it to rigorous pursuit of safer environments and better-oiled systems.
\u201cMaine people, we\u2019re no strangers to hard times,\u201d Gov. Janet Mills said in a midweek address. \u201cWe\u2019ve been through a lot lately, the last few years. \u2026 I know in Maine that the burden is heavy right now, but it is not more than we can carry.\u201d
___
Hearst Connecticut Media. December 22, 2023.
Editorial: As Lamont wisecracks about CT trooper scandal, stakeholders await the punchline
Connecticut trooper scandal nothing to joke about
Perhaps Gov. Ned Lamont knows enough about the inner workings of the investigations into Connecticut troopers to be able to joke about it.
The governor, after all, did ask to wait until all the evidence was in before judging troopers accused of falsifying hundreds of tickets.
\u201cThere are a lot of guys driving around our streets right now like a bat out of hell,\u201d Lamont joked Tuesday. \u201cThat\u2019s what happens when you get the police to stop issuing those fake tickets. Things like that start happening.\u201d
Lamont made his comments during a Middlesex Chamber of Commerce event with a tradition of inviting such humor, so we don\u2019t want to be too hard on him (though it\u2019s in perhaps worse taste to joke about bad drivers given recent road fatalities in the state). But one way or another, Connecticut won\u2019t have a lot to laugh about when the findings of three probes are done.
Even if the best outcome is revealed \u2014 that there was zero wrongdoing \u2014 it will come at a hefty financial cost.
Everyone involved is lawyering up, which is a more reliable barometer of what is likely on the horizon. Connecticut Attorney General William Tong has contracted legal help to assist the governor\u2019s office and the Department of Emergency Services and Public Protection on everything from handling research and paperwork to offering advice and responding to subpoenas. Tong\u2019s contract for such services is worth up to $250,000.
The troopers\u2019 union is also poised to bring in lawyers as federal investigators begin interviews with individual troopers. The counsel to the union said those sessions would likely occur in mid-January or February.
The controversy heated up over the summer as an audit revealed the \u201chigh likelihood\u201d that hundreds of Connecticut troopers might have falsified traffic ticket records over the previous decade. The audit cast suspicion that tens of thousand of tickets may be compromised.
There are three investigations under way: an internal review by state police, a federal grand jury probe and an independent one overseen by former U.S. attorney for Connecticut Deirdre M. Daly. As they continue, a CT Insider analysis of the audit\u2019s data raises some of the questions that need to be answered.
One example cited in a CT Insider story details how a trooper logged stops of 43 cars over 2\u00bd hours on July 17, 2017, recording a ticket every four minutes. Somehow, the trooper was able to do so in five towns: Middletown, Vernon, Berlin, Glastonbury and Colchester.
An audit flagged all 43 tickets as \u201cunreliable,\u201d as they had trouble matching them to court records.
The CT Insider analysis identified similar incidents, a pattern that one of the audit\u2019s authors concluded \u201cjust didn\u2019t pass the smell test.\u201d
There are several possible explanations. Even if it\u2019s the result of technical glitches, there will need to be reforms. But the primary concern is whether troopers logged tickets without ever making stops. These so-called \u201cghost tickets\u201d are not a phantom theory, as cases of such a work culture have already been identified.
There are a lot of experts \u2014 including ones from the U.S. Department of Justice and the FBI \u2014 who are seeking the truth. Regardless of the outcome, this won\u2019t end with a punchline.
___
Bangor Daily News. December 27, 2023.
Editorial: Susan Collins on right track with bill to require military to use state red and yellow flag laws
It can\u2019t be said enough: The horrific mass shooting in Lewiston on Oct. 25 requires answers and action. Even as multiple investigations into the facts involved get underway, it is already quite clear that various missed warnings, system failures and statutory shortcomings were involved. This points to the need for a multifaceted response at various levels of government.
As just one example, there needs to be more clarity and stronger requirements about how the U.S. military interacts with state laws designed to temporarily limit firearm access for people demonstrated to be a risk to themselves or others \u2014 like Maine\u2019s yellow flag law and New York\u2019s red flag law. Both seemingly could and should have been engaged in the case of Lewiston shooter Robert Card.
U.S. Sen. Susan Collins is currently working on a bill that would appear to provide the needed clarity and requirements. Without legislative text yet, it is hard to fully evaluate the forthcoming proposal. But reporting on the bill and remarks from Collins\u2019 office are encouraging.
\u201cBased on press reports, it appears that the military units with which Robert Card was associated had not acted to invoke either New York\u2019s red flag law or Maine\u2019s yellow flag law, despite numerous warning signs that lead to Mr. Card\u2019s hospitalization in a psychiatric hospital in New York, and the Army\u2019s decision to prevent him from having access to weapons, ammunition, and participation in live fire exercises,\u201d Collins spokesperson Annie Clark said in a statement to the Bangor Daily News editorial board last week. \u201cThis led Senator Collins to initiate the request for an (Army inspector general) investigation. In the meantime, she is working on legislation that would require each branch of the military services to fully utilize states\u2019 red and yellow flag laws when appropriate to protect an individual from harming him or herself or others.\u201d
This is a needed push, as part of a larger conversation about improving systems and laws to prevent other shootings like this. Card\u2019s concerning behavior led him to spend about two weeks in a New York psychiatric facility while in that state for U.S. Army Reserve training. The military had barred him from handling weapons and live ammunition two months before the shooting. Members of Maine law enforcement were also warned about his behavior and the concerns of fellow soldiers. And yet it seems that neither Army nor law enforcement officials fully engaged with the red flag law in New York or yellow flag law in Maine to limit his access to firearms amid the alarming behavior.
It should go without saying that this failure of systems, and failure to fully engage with existing public safety tools, must not be repeated. As we said in early November, \u201cIf the U.S. military has determined that someone shouldn\u2019t have access to firearms within the service, that person should also then lose access to firearms in civilian life (at least for a period of time, and with proper balance of Second Amendment rights).\u201d It is too soon to know if or how Collins\u2019 bill would match with this goal specifically, but there is good reason to expect that requiring the military to fully pursue the process for state red and yellow flag laws would apply the same general principle.
The anticipated legislation is one specific piece in a larger conversation, but it is an important piece. As Collins continues to work on this needed and appreciated proposal at the federal level, state lawmakers in Maine and elsewhere also need to be moving toward stronger red flag laws.
The military element was not the only apparent shortcoming in Card\u2019s case, and we remain convinced that Maine\u2019s yellow flag law should be updated and strengthened to an actual red flag law to better address barriers for families and law enforcement trying to use it. The tragedy in Lewiston was also a failure of systems and statute, and requires this kind of reassessment at all levels of government.
END
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Pennsylvania's Department of Aging says it has no data to suggest that a lack of caseworkers contributed to the increase in deaths.", + "bylines": [ + { + "by": "By MARC LEVY", + "title": "Associated Press" + } + ], + "located": "HARRISBURG, Pa.", + "datelinelocation": { + "city": "Harrisburg", + "countryareacode": "PA", + "countryareaname": "Pennsylvania", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -76.88442, + 40.2737 + ] + } + }, + "copyrightnotice": "Copyright 2023 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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(AP) \u2014 Pennsylvania recorded a steep increase in the deaths of older adults following an abuse or neglect complaint the last few years, as COVID-19 ravaged the nation, complaints grew and agencies struggled to keep caseworkers on staff.
The staggering increase shown in state data \u2014 from 120 deaths reported in 2017 to almost 1,400 in 2022, a more than tenfold increase \u2014 may have had several contributing factors, and the state and county-level agencies that field and investigate complaints gave varying answers explaining why.
Mostly, Pennsylvania\u2019s Department of Aging and county-level agency officials speculated that it had to do with a growing population of people 65 and older, an increase in complaints and the devastating impact of the COVID-19 pandemic on older adults.
One county said errors in its data entry procedure \u2014 now corrected \u2014 led to undercounting in the initial years. Another pointed to cases staying open longer.
Some county agencies wouldn't answer questions about it at all.
The increase came as agencies in Pennsylvania and nationwide struggled to keep caseworkers on staff through the pandemic and manage caseloads.
The Department of Aging said it has no data to suggest that a lack of caseworkers contributed to the increase in deaths, and suggested that the data could be misleading since the deaths may have had nothing to do with the original abuse or neglect complaint.
\u201cThe data does not make any correlation between the provision of protective services and how the older adult died,\u201d the agency said.
The department doesn\u2019t track causes of death, and individual county-level agencies aren\u2019t required to provide that information to the state. When caseworkers enter data on a case, they are given a choice of reasons for why a case was closed, including death.
If anything changed in recent years, state efforts to train caseworkers likely improved how data on cases was recorded and entered, former department employees and county officials said.
It\u2019s not clear to what extent better data collection helps explain Pennsylvania\u2019s increase, but evidence suggests that other similar jurisdictions did not see a similarly steep increase.
Officials from the National Adult Protective Services Association said they had not heard discussion of such a steep increase in deaths among the state programs that investigate abuse and neglect complaints of adults.
Although states have different practices for investigating complaints and collecting data, two states with similar-sized populations \u2014 Illinois and Michigan \u2014 also reported significant increases in deaths.
But those increases \u2014 roughly triple during the pandemic \u2014 were nowhere near the proportion of Pennsylvania\u2019s.
The broader death rate of older adults did not increase nearly as steeply during the pandemic, going from about 4% of those 65 and older in 2018 to 4.5% in 2021, according to federal statistics.
All told, Pennsylvania\u2019s data shows caseworkers reported closing 120 neglect or abuse cases due to death in 2017.
That number rose steadily every year. It reached 784 in 2020, 1,284 in 2021 and then 1,389 in 2022 \u2014 rising by more than 10 times in five years, or more than 1000%.
The number of complaints called into caseworkers rose over that period, too. But it rose by a much smaller proportion \u2014 by about half, or 55%, according to state data.
This year, the pace of cases closed due to death slowed a bit, but still remained well above 2020\u2019s pace. Through the first six months of 2023, the number of deaths was 528, on pace for 1,056 over the full year.
The department also doesn't disclose the details of case investigations or what shortcomings it finds when it inspects the performance of the 52 county-level \u201carea agencies for aging\u201d across Pennsylvania.
Some agencies are county-run while others are nonprofits, and field calls about elder abuse or neglect under state contracts. They employ caseworkers to investigate complaints and coordinate with doctors, service providers and if necessary, law enforcement.
Most calls involve someone who lives alone or with a family member or caregiver. Poverty is often a factor.
The department released the deaths data in response to a request filed by The Associated Press under Pennsylvania\u2019s open records law.
The AP submitted the request after reviewing internal emails \u2014 also released through an open records request \u2014 showing that state protective services staff had become alarmed at how Philadelphia\u2019s agency had handled the cases of three people in 2021.
The department refused to disclose the fate of the three people \u2014 including when a state lawmaker asked about it following AP\u2019s story on it.
In Pennsylvania, state data shows caseworkers took longer to close some cases as the pandemic wore on and often handled more cases than state regulations allow.
The shortage of caseworkers during the COVID-19 pandemic became so extreme that, in 2021, then-Gov. Tom Wolf\u2019s administration took the extraordinary step of marshaling state employees to handle investigations for Philadelphia\u2019s agency.
The agency, the nonprofit Philadelphia Corporation for Aging, reported four cases closed due to death in 2017. By 2020, that number rose to 220. In 2021, it hit 472 before dropping to 295 in 2022.
Bob Burns, the director of Dauphin County\u2019s Area Agency on Aging, said he wasn\u2019t surprised by the increase in deaths, considering the ravages of the COVID-19 pandemic.
The shortage of caseworkers leads to higher caseloads because it might take longer to close out a case, Burns said. But, he said, counties began using experienced caseworkers up front to quickly investigate complaints to determine right away if a person was in a dire situation.
Gov. Josh Shapiro\u2019s secretary for the Department of Aging, Jason Kavulich, told lawmakers in a March hearing that many county-level agencies \u201care struggling for a variety of reasons, from not having adequate staff to a high number of staff turnover to some serious training issues, that we need to get them up to an acceptable level of understanding.\u201d
Even before the pandemic, the performance of area agencies on aging had drawn criticism.
In 2018, the state's internal investigation agency, the Office of Inspector General, issued a report that criticized how the state and counties handle abuse and neglect reports. That report pointed to failures to properly investigate complaints under timelines required by state law and inadequate staffing of the Department of Aging office that monitors those agencies.
__
Follow Marc Levy at http://twitter.com/timelywriter.
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(AP) \u2014 Four days of waiting under the flickering fluorescent lights of UNC Hospitals' emergency room left Callum Bradford desperate for an answer to one key question.
The transgender teen from Chapel Hill needed mental health care after overdosing on prescription drugs. He was about to be transferred to another hospital because the UNC system was short on beds.
With knots in his stomach, he asked, \u201cWill I be placed in a girls' unit?\u201d
Yes, he would.
The answer provoked one of the worst anxiety attacks he had ever experienced. Sobbing into the hospital phone, he informed his parents, who fought for days to reverse the decision they warned would cause their already vulnerable son greater harm.
Although they initially succeeded in blocking the transfer, the family had few remaining options when a second overdose landed Callum back in UNC's emergency room a few months later. When the 17-year-old learned he was again scheduled to be sent to an inpatient ward inconsistent with his gender identity, he told doctors his urge to hurt himself was becoming uncontrollable, according to hospital records given by the family to The Associated Press.
\u201cI had an immense amount of regret that I had even come to that hospital, because I knew that I wasn\u2019t going to get the treatment that I needed,\u201d Callum said. \u201cThat moment of crisis and shock and fear, I would wish anything that that hadn\u2019t happened, because I truly think that I took a step backwards from where I was before in terms of my mental health.\u201d
As the political debate over health care for transgender youth has intensified across the U.S., elected officials and advocates who favor withholding gender-affirming medical procedures for minors have often said parents are not acting in their children\u2019s best interest when they seek such treatment.
Major medical associations say the treatments are safe and warn of grave mental health consequences for children forced to wait until adulthood to access puberty-blocking drugs, hormones and, in rare cases, surgeries.
Youth and young adults ages 10\u201324 account for about 15% of all suicides, and research shows LGBTQ+ high school students have higher rates of attempted suicide than their peers, according to the Centers for Disease Control and Prevention.
Some transgender teens say the negative rhetoric popularized by many Republican politicians in recent years has become too much to bear. In North Carolina, legislators enacted new limits to gender-affirming care for trans youth this year while barely discussing flaws in the psychiatric care system. It's one of at least 22 states that have passed laws restricting or banning gender-affirming medical care for transgender minors. Most face legal challenges.
North Carolina lacks uniform treatment standards across hospitals and runs low on money and staff with proper training to treat transgender kids in crisis. That means the last-resort measures to support patients like Callum often fail to help them, and sometimes make things worse.
Sending a transgender child to a unit that does not align with their gender identity should be out of the question, no matter a hospital's constraints, said Dr. Jack Turban, director of the gender psychiatry program at the University of California, San Francisco, and a researcher of quality care barriers for trans youth in inpatient facilities.
\u201cIf you don\u2019t validate the trans identity from day one, their mental health\u2019s going to get worse,\u201d Turban said. \u201cPotentially, you\u2019re sending them out at a higher suicide risk than they came in.\u201d
When North Carolina lawmakers allocated $835 million to shore up mental health infrastructure earlier this year, none of the money was specifically allocated to the treatment needs of trans patients. Though the funding may benefit everyone, a lack of direct action has left trans youth at the mercy of a system ill-equipped to help them when they need it most.
A nationwide dearth of pediatric psychiatric beds was compounded by the COVID-19 pandemic, which saw an unprecedented number of people seeking emergency mental health services, according to a report by the American Psychiatric Association. Demand has yet to return to pre-pandemic levels.
A \u201cdire shortage\u201d of at least 400 inpatient psychiatric beds for North Carolina youth has left UNC with no choice but to send patients to other facilities, even those that cannot accommodate specific needs, said Dr. Samantha Meltzer-Brody, chair of the UNC Department of Psychiatry.
Emergency rooms are not designed for boarding, nor can they provide comprehensive mental health treatment. That creates an immediate need to place patients left waiting in the ER for days or even weeks before a bed opens up, Meltzer-Brody said.
While UNC\u2019s own inpatient program assigns all children to individual rooms on co-ed floors, it sends overflow patients to some hospitals that don't make such accommodations.
\u201cWe have no choice but to refer people to the next available bed,\u201d Meltzer-Brody said of the University of North Carolina-affiliated hospital. \u201cIf you\u2019re talking about the LGBTQ+ community and seeking trans care, you may be sent to a place that is not providing care in a way that is going to be most optimal.\u201d
Callum exploded when he was told about plans to place him in a unit for girls, his records note. He shouted and cried hysterically until he ended up in an isolation room. Doctors later found him banging his head against the wall in a trance-like state.
\u201cIt was almost as if sort of my brain had turned off because of such a shock,\" he recalled. \"I had never acted on such severe self-harm without even realizing that I was doing it.\u201d
UNC declined to comment on Callum's case, despite the family's willingness to waive its privacy rights. But Meltzer-Brody did broadly address barriers to gender-affirming treatment for all psychiatric patients.
The public hospital system's policy on gender-designated facilities recommends inpatient assignments based on a patient's \u201cself-identified gender when feasible.\u201d But with the ER overrun in recent years, Meltzer-Brody said meeting that goal is a challenge.
The issue extends beyond transgender youth, affecting patients with autism, addiction and acute psychiatric disorders who are sometimes sent to facilities unfit to provide specialized care.
It doesn\u2019t help, she said, that there is no national standard for how psychiatric hospitals must cater to transgender patients.
The LGBTQ+ civil rights organization Lambda Legal has outlined best practices for hospitals treating transgender patients under the Affordable Care Act. The organization says denying someone access to a gender-affirming room assignment is identity-based discrimination, based on its interpretation of the law.
But such cases rarely end up in court, because the burden falls on families to advocate for their rights while supporting a child in crisis, said Casey Pick, law and policy director at The Trevor Project, a nonprofit focused on LGBTQ+ suicide prevention.
\u201cThese are circumstances that are themselves often inherently traumatic, and adding a layer of trauma on top of that in the form of discrimination based on an individual\u2019s gender identity just compounds the issue,\" Pick said. \u201cThe last thing we should have to do is then add the additional trauma of going to court.\u201d
Parents including Callum's father, Dan Bradford, describe feeling helpless while their children are receiving psychiatric care involuntarily, which isn\u2019t uncommon after attempted suicide. Callum's involuntary commitment designation also temporarily stripped his mother and father of many parental rights to make medical decisions for their son.
A psychiatrist himself, Dan Bradford always has supported his son's medical transition, which began with puberty-blocking drugs, followed by a low dose of testosterone that he still takes. Eventually, Callum underwent top surgery to remove his breasts. Irreversible procedures like surgery are rarely performed on minors, and only when doctors determine it's necessary.
\u201cIn Callum\u2019s case, the gender dysphoria was so strong that not pursuing gender-affirming medical treatments, like pretty quickly, was going to be life-threatening,\u201d his father said, wiping tears from his eyes. \u201cAny risk that might be associated with the treatments seemed trivial, quite frankly, because we were afraid we\u2019re going to lose our kid if we didn\u2019t.\u201d
North Carolina law bars medical professionals from providing hormones, puberty blockers and gender-transition surgeries to anyone under 18. But some kids like Callum, who began treatment before an August cut-off date, can continue if their doctors deem it medically necessary.
Although he retained access to hormones, Callum said it has been brutal seeing the General Assembly block his transgender friends from receiving the treatments he credits as life-saving.
\u201cWhen these public policies are discussed or passed, that sends a really strong message to these kids that their government, their society and their community either accepts them and validates them or doesn\u2019t,\" said Turban, the researcher at UC San Francisco.
His research has found that many medical providers still lack training about LGBTQ+ identities and make common mistakes, such as printing the wrong gender designation on a hospital wristband or placing a transgender patient in a single-occupancy room when everyone else has a roommate.
Fearing the plan to place his son in a girls' ward would be deeply traumatizing, Dan Bradford secured a spot at a residential treatment center in Georgia. He pleaded with UNC to release Callum early and convinced the North Carolina hospital that was supposed to take him to reject the transfer.
The teen then spent 17 weeks in an individualized treatment program in Atlanta, recovering from the circumstances that landed him in the ER and the added trauma he endured there. He has since returned home and is taking care of his mental health by playing keyboard and rowing with his co-ed team on the calm waters of Jordan Lake. For the first time in years, Callum said he's thinking about his future.
There are some positive developments on the horizon for North Carolina youth facing mental health crises.
The new state funding for mental health services approved in October has enabled UNC Hospitals to open a 54-bed youth behavioral health facility in Butner, 28 miles (45 kilometers) north of Raleigh. State Department of Health and Human Services Secretary Kody Kinsley said the facility should alleviate some barriers to individualized care, including for transgender patients. And UNC has announced plans to open a freestanding children's hospital within the next decade.
Leaders of the Butner facility, which began its phased opening this month, have promised to take a whole-family approach so parents are not shut out of their child's treatment plan. Nearly every patient will be placed in an individual room on a co-ed floor.
The new facility and funding will allow more patients to stay in single-occupancy rooms at UNC, but overflow patients may still be sent elsewhere, Meltzer-Brody said. The hospital system has not changed its policies on transgender patient referrals, and other facilities across the state that receive those patients still lack uniform standards for treating them.
Although Callum said his experiences eroded his trust in the state's inpatient care network, he is optimistic that the new resources could give others a more gender-affirming treatment experience, if they are paired with policy changes.
\u201cI\u2019m still here, and I\u2019m happy to be here,\u201d he said. \u201cThat\u2019s all I want for all my trans friends.\u201d
___
The Associated Press Health and Science Department receives support from the Robert Wood Johnson Foundation. The AP is solely responsible for all content.
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(AP) \u2014 West Virginia is issuing the first checks from a fund established by the settlement of opioid lawsuits in the state, which has by far the nation\u2019s highest drug overdose death rate.
The Kanawha County Commission said Thursday it received a $2.9 million check and plans to discuss how it will be spent at its next meeting on Jan. 11. Last week the Mercer County Commission received $1.9 million.
The distribution is part of a memorandum of understanding that was previously adopted by state Attorney General Patrick Morrisey and counsel for West Virginia cities and counties. According to the agreement, the board in charge of around $1 billion in funds will distribute just under three-fourths of the settlement money, and a fourth will go directly to local communities and 3% will remain in trust.
Morrisey told the Kanawha County Commission that his office and the state auditor's office have formed a partnership to ensure that the settlement funds are used properly. All the money must be used to abate the opioid crisis through efforts such as addiction treatment, recovery and prevention programs, or supporting law enforcement in anti-drug measures.
The state is receiving money from each of its settlement agreements on a staggered schedule, with annual payments coming until at least 2036. The West Virginia First Foundation alone is expected to receive around $367 million over the next five years.
Over the past four years, drug manufacturers, distribution companies, pharmacies and other companies have reached settlements totaling more than $50 billion with governments. While the biggest amounts are national in scope, West Virginia has been aggressive in bringing its own lawsuits and reaching more than a dozen settlements.
A $68 million settlement was announced by the state in May with Kroger, the last remaining defendant in a lawsuit involving Walgreens, Walmart, CVS and Rite Aid. Walgreens settled for $83 million; Walmart for more than $65 million; CVS for $82.5 million; and Rite Aid for up to $30 million.
As part of the state's 2022 settlement with Teva, the University of Charleston School of Pharmacy starting receiving shipments of the overdose-reversal drug naloxone in September.
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The ruling imposes a temporary injunction until March 31, with the judge saying \u201cirreparable harm will be caused\u201d if the laws come into force.
The Restricting Public Consumption of Illegal Substances Act was passed by the B.C. provincial legislature in November, allowing fines and imprisonment for people who refuse to comply with police orders not to consume drugs within six meters (20 feet) of all building entrances and bus stops; within 15 meters (49 feet) of playgrounds, spray and wading pools, and skate parks; and in parks, beaches and sports fields.
The act was introduced following concerns from some municipalities and attempts by several city councils to impose extra limits on open air drug use.
The Harm Reduction Nurses Association argued the act, which has yet to come into effect, would violate the Canadian charter in various ways if enforced.
But Chief Justice Christopher Hinkson said in his ruling that it was unnecessary to turn to those arguments, since the \"balance of convenience\u2033 and the risk of irreparable harm weighed in the plaintiff\u2019s favor.
Lawyer Caitlin Shane for the nurses association said the injunction, pending a constitutional challenge, shows \u201csubstance use cannot be legislated without scrutiny.\u201d
Mike Farnworth, the province\u2019s public safety minister and solicitor general, said the province is reviewing the decision and assessing its next move.
\u201cThe law in question prevents the use of drugs in places that are frequented by children and families,\u201d Farnworth said in a statement. \u201cWhile we respect the decision of the court, we are concerned that this decision temporarily prevents the province from regulating where hard drugs are used, something every other province does, every day.\"
British Columbia is in the second year of a three-year decriminalization experiment, which allows drug users aged 18 and older to carry up to 2.5 grams of opioids including heroin, morphine and fentanyl, as well as crack and powder cocaine, methamphetamine and ecstasy for personal use.
The pilot project is a first of its kind in Canada and it aims to treat illicit drug use and addiction as a health issue, not a criminal one that stigmatizes people and prevents them from seeking help.
The province declared an ongoing public health emergency due to rising overdose deaths in 2016. Since then more than 13,500 people have fatally overdosed in the province.
Brad West, one of the mayors who voiced concerns about public drug use, denounced the decision.
\u201cThe court is, once again, demonstrating how out of touch they are,\u201d said West, mayor of Port Coquitlam, located about 30 kilometers (19 miles) east of Vancouver. \u201cThe rules were very modest, providing just a small restriction on drug use in public places, especially where children are present.\"
\u201cIf this restriction doesn\u2019t stand, then we have truly entered the wild west of unrestricted drug use, anywhere and everywhere,\" he said.
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With AP Video.; An expanded version of this story is available. Slug: US--Transgender Mental Health Crisis", + "signals": [ + "newscontent" + ], + "title": "US--Transgender Mental Health-Abridged", + "headline": "For transgender youth in crisis, hospitals sometimes compound the trauma", + "headline_extended": "A North Carolina hospital network is referring transgender psychiatric patients to treatment facilities that do not align with their gender identities", + "slugline": "AP-US--Transgender Mental Health-Abridged", + "description_summary": "A North Carolina hospital network is referring transgender psychiatric patients to treatment facilities that do not align with their gender identities. Though UNC Hospitals\u2019 policy discourages the practice, administrators say a massive bed shortage is forcing them to make tough decisions. Psychiatrists say long wait times in the emergency room give them no choice but to place patients in the next available bed. When North Carolina lawmakers allocated $835 million to shore up mental health infrastructure in 2023, none of the money was specifically allocated to the treatment needs of trans patients. A lack of funding and the absence of uniform treatment standards across the state\u2019s hospitals are combining with shortcomings in staff training to create barriers to treating transgender youth.", + "bylines": [ + { + "by": "By HANNAH SCHOENBAUM", + "title": "Associated Press" + } + ], + "located": "CHAPEL HILL, N.C.", + "datelinelocation": { + "city": "Chapel Hill", + "countryareacode": "NC", + "countryareaname": "North Carolina", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -79.05584, + 35.9132 + ] + } + }, + "copyrightnotice": "Copyright 2023 The Associated Press. All rights reserved. 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(AP) \u2014 Four days of waiting in UNC Hospitals\u2019 psychiatric emergency room left Callum Bradford desperate for an answer to one key question.
With knots in his stomach, the transgender teen asked: \u201cWill I be placed in a girls\u2019 unit?\u201d
Yes.
The answer provoked one of the worst anxiety attacks Callum had ever experienced. Sobbing into the hospital phone, he informed his parents, who fought to reverse the decision they warned would cause their son greater harm.
Although they succeeded in blocking the transfer, the family had few options when a second overdose landed Callum back in UNC\u2019s emergency room a few months later. When the 17-year-old learned he was again scheduled to be sent to a girls' inpatient ward, he told doctors the urge to hurt himself was becoming uncontrollable. The exchange is documented in hospital records given by the family to The Associated Press.
\u201cI had an immense amount of regret that I had even come to that hospital, because I knew that I wasn\u2019t going to get the treatment that I needed,\u201d Callum said.
As the political debate over health care for transgender youth has intensified across the U.S., elected officials and advocates who oppose gender-affirming medical procedures for minors have often said parents are not acting in their children\u2019s best interest when they seek such treatment.
Major medical associations say the treatments are safe and warn of grave mental health consequences for children forced to wait to access puberty-blocking drugs, hormones and, in rare cases, surgeries.
Youth and young adults ages 10\u201324 account for about 15% of all suicides, and research shows LGBTQ+ high school students have higher rates of attempted suicide than their peers, according to the Centers for Disease Control and Prevention.
North Carolina lacks uniform hospital treatment standards and runs low on money and staff with proper training to treat transgender kids.
Sending a transgender child to a unit that does not align with their gender identity should be out of the question, said Dr. Jack Turban, director of the gender psychiatry program at the University of California, San Francisco, and a researcher of quality care barriers for trans youth in inpatient facilities.
\u201cIf you don\u2019t validate the trans identity from day one, their mental health\u2019s going to get worse,\u201d Turban said.
When North Carolina lawmakers allocated $835 million to shore up mental health infrastructure earlier this year, none of the money was allocated to meet the specific needs of trans patients.
A nationwide dearth of pediatric psychiatric beds has been compounded by the COVID-19 pandemic as an unprecedented number of people sought emergency mental health services, according to the American Psychiatric Association. Demand has yet to fall back to pre-pandemic levels.
North Carolina is short about 400 youth psychiatric beds, leaving UNC with no choice but to send patients to other facilities, even those that cannot accommodate specific needs, said Dr. Samantha Meltzer-Brody, chair of the UNC Department of Psychiatry.
\u201cWe have no choice but to refer people to the next available bed,\u201d she said.
UNC declined to comment on Callum\u2019s case, despite the family\u2019s willingness to waive its privacy rights. But Meltzer-Brody broadly addressed barriers to gender-affirming treatment for all psychiatric patients.
The public hospital system\u2019s policy recommends inpatient assignments based on a patient\u2019s \u201cself-identified gender when feasible.\u201d But with the ER overrun in recent years, Meltzer-Brody said meeting that goal is a challenge.
The LGBTQ+ civil rights organization Lambda Legal says denying someone access to a gender-affirming room assignment is identity-based discrimination.
Parents including Callum\u2019s father, Dan Bradford, describe feeling helpless while their children are receiving psychiatric care involuntarily, which isn\u2019t uncommon after attempted suicide.
A psychiatrist himself, Dan Bradford has always supported his son\u2019s medical transition, which began with puberty-blocking drugs, followed by a low dose of testosterone that he still takes. Eventually, Callum underwent top surgery to remove his breasts. Irreversible procedures like surgery are rarely performed on minors, and even then only when doctors determine it\u2019s necessary.
\u201cIn Callum\u2019s case, the gender dysphoria was so strong that not pursuing gender-affirming medical treatments, like pretty quickly, was going to be life-threatening,\u201d his father said.
North Carolina law bars medical professionals from providing hormones, puberty blockers and gender-transition surgeries to anyone under 18. Callum was able to continue treatment because he began it before an August cut-off date.
He said it has been brutal seeing the General Assembly block his transgender friends from receiving the treatments he credits as life-saving.
\u201cWhen these public policies are discussed or passed, that sends a really strong message to these kids that their government, their society and their community either accepts them and validates them or doesn\u2019t,\u201d said Turban, the psychiatry researcher at UC San Francisco.
Fearing the plan to place his son in a girls\u2019 ward would be deeply traumatizing, Dan Bradford secured a spot at a residential treatment center in Georgia. He pleaded with UNC to release Callum early and convinced the North Carolina hospital that was supposed to take him to reject the transfer.
The teen then spent 17 weeks in an Atlanta treatment program. He has since returned home and is taking care of his mental health by playing keyboard and rowing with his co-ed team on the calm waters of Jordan Lake. For the first time in years, he\u2019s thinking about his future.
Although he said his experiences eroded his trust in the state\u2019s inpatient care network, he is optimistic that new resources could give others a more gender-affirming experience, if they\u2019re paired with policy changes.
\u201cI\u2019m still here, and I\u2019m happy to be here,\u201d he said. \u201cThat\u2019s all I want for all my trans friends.\u201d
___
The Associated Press Health and Science Department receives support from the Robert Wood Johnson Foundation. The AP is solely responsible for all content.
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These topics are directly related to health, particularly mental health and healthcare services for a vulnerable population." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2023/12/29/789f2d04bd195086d2e41d0d43b8111c.json b/datasets/AP_news/raw_data/2023/12/29/789f2d04bd195086d2e41d0d43b8111c.json new file mode 100644 index 0000000..67c5221 --- /dev/null +++ b/datasets/AP_news/raw_data/2023/12/29/789f2d04bd195086d2e41d0d43b8111c.json @@ -0,0 +1,315 @@ +{ + "altids": { + "itemid": "789f2d04bd195086d2e41d0d43b8111c", + "etag": "789f2d04bd195086d2e41d0d43b8111c_0a8aza0c0", + "friendlykey": "5456608802", + "referenceid": "US--Food Assistance-Nebraska" + }, + "version": 0, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2023-12-29T21:39:46Z", + "firstcreated": "2023-12-29T21:39:45Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: With AP Photos.", + "signals": [ + "newscontent" + ], + "title": "US--Food Assistance-Nebraska", + "headline": "Nebraska governor stands firm on rejection of federal money to feed food-insecure children", + "headline_extended": "Nebraska\u2019s governor is standing firm on his plans to reject $18 million in federal funding to help feed children who might otherwise go hungry while school is out", + "slugline": "AP-US--Food Assistance-Nebraska", + "description_summary": "Nebraska\u2019s governor is standing firm on his plans to reject $18 million in federal funding to help feed children who might otherwise go hungry while school is out. Republican Gov. Jim Pillen issued a statement Friday defending his decision not to allow the state to participate in the 2024 Summer Electronic Benefits Transfer for Children program. That statement came as advocates for children and low-income families held a news conference outside the Governor's Mansion to call on Pillen to change his mind before the Jan. 1 deadline to join the program. Federal officials estimate the program would benefit 175,000 Nebraska children who might otherwise go hungry on some days during the summer.", + "bylines": [ + { + "by": "By MARGERY A. BECK", + "title": "Associated Press" + } + ], + "located": "OMAHA, Neb.", + "datelinelocation": { + "city": "Omaha", + "countryareacode": "NE", + "countryareaname": "Nebraska", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -95.94043, + 41.25626 + ] + } + }, + "copyrightnotice": "Copyright 2023 The Associated Press. All rights reserved. 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(AP) \u2014 Nebraska's Republican governor on Friday reiterated his rejection of $18 million in federal funding to help feed children who might otherwise go hungry while school is out.
Nebraska will not participate in the 2024 Summer Electronic Benefits Transfer for Children \u2014 or Summer EBT \u2014 program, Gov. Jim Pillen said in a written statement. That statement came as advocates for children and low-income families held a news conference outside the Governor\u2019s Mansion in Lincoln to call on Pillen to change his mind before the Jan. 1 deadline to sign up for the program.
The program \u2014 part of federal assistance made available during the COVID-19 pandemic \u2014 would provide pre-loaded EBT cards to families whose children are eligible for free and reduced-price lunches at school. Those families would receive $40 per eligible child per month over the summer. The cards can be used to buy groceries, similar to how SNAP benefits are used.
\u201cCOVID-19 is over, and Nebraska taxpayers expect that pandemic-era government relief programs will end too,\" Pillen said in his statement. Pillen announced on Dec. 19 that Nebraska would not participate in the program. He has drawn a firestorm of criticism for later defending that stance at a news conference by saying, \u201cI don't believe in welfare.\"
Neighboring Iowa is also opting out of the program, with Republican Gov. Kim Reynolds announcing that decision last week and saying, \u201cAn EBT card does nothing to promote nutrition at a time when childhood obesity has become an epidemic.\u201d
States that participate in the federal program are required to cover half of the administrative costs, which would cost Nebraska an estimated $300,000. Advocates of the program note that the administrative cost is far outweighed by the $18 million benefit, which the U.S. Department of Agriculture estimates would benefit 175,000 Nebraska children who might otherwise go hungry on some days during the summer.
Advocacy group Nebraska Appleseed on Friday delivered a petition bearing more than 6,100 signatures from 230 communities across Nebraska calling on the state to utilize the federal Summer EBT program. Many of those who signed the petition also included comments expressing how much the program is needed, especially in light of multi-year inflation that has outpaced many household incomes.
\u201cEverything is expensive,\" wrote one mother from Bruno, a small rural town in eastern Nebraska. \u201cI\u2019m a single mom who works full time, and my budget is already spread so thin. My son plays sports, and as a growing boy, he could practically eat a hole through the wall; it feels like it never stops. The extra money for food would free up money for things like bills and savings, and car maintenance.\u201d
Pillen insisted Friday that the state would continue to help food-insecure children through the Summer Food Service Program, which provides meals and snacks at various sites when school is not in session. Providing on-site services also allows providers to spot and report issues like malnutrition, neglect and abuse in children, he said.
But critics say not all families have access to the on-site programs \u2014 particularly in Nebraska's vast rural stretches, where sites can be many miles away from a struggling family.
\u201cNo kid ever said, \u2018I want to be born into a family that struggles,\u2019\u201d said Jenni Benson, president of the Nebraska State Education Association \u2014 the state's largest teachers union. \u201cWhy would we even question that people and children deserve food?\"
Preston Love Jr,, a longtime community advocate in Omaha, on Friday questioned whether Pillen was bowing to political pressure in rejecting the federal funding.
\u201cI know the governor a little bit, and he seems to be a reasonable man. He's a man who is compassionate in conversation,\u201d Love said. \u201cThis is out of character. So, obviously, he's not following his heart. He's following his politics. He's falling victim to political posturing, and there's no excuse for that when it comes to children.\u201d
As of Friday, 28 other states and six other U.S. territories and Native American tribes had confirmed their participation, according to the USDA.
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However, the main emphasis is on the political stance and the administrative aspects of the program rather than a direct focus on health issues." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2023/12/29/9f872a8cb4f016e61ca9640aaec72790.json b/datasets/AP_news/raw_data/2023/12/29/9f872a8cb4f016e61ca9640aaec72790.json new file mode 100644 index 0000000..1c20ea7 --- /dev/null +++ b/datasets/AP_news/raw_data/2023/12/29/9f872a8cb4f016e61ca9640aaec72790.json @@ -0,0 +1,182 @@ +{ + "altids": { + "itemid": "9f872a8cb4f016e61ca9640aaec72790", + "etag": "9f872a8cb4f016e61ca9640aaec72790_0a2aza0c0", + "friendlykey": "537175624551", + "referenceid": "AL--Medical Marijuana" + }, + "version": 0, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2023-12-29T21:08:16Z", + "firstcreated": "2023-12-29T21:08:15Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "signals": [ + "newscontent" + ], + "title": "AL--Medical Marijuana", + "headline": "Medical marijuana dispensary licenses blocked in Alabama amid dispute over selection process", + "headline_extended": "A judge has temporarily blocked Alabama from issuing licenses to medical marijuana dispensaries", + "slugline": "BC-AL--Medical Marijuana", + "description_summary": "A judge has temporarily blocked Alabama from issuing licenses to medical marijuana dispensaries. 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(AP) \u2014 A judge temporarily blocked Alabama from issuing licenses to medical marijuana dispensaries amid an ongoing legal battle over how the state selected the winning companies.
Montgomery Circuit Judge James Anderson issued a temporary restraining order late Thursday to stop the Alabama Medical Cannabis Commission from issuing licenses to the four dispensaries. The licenses will be on hold while he hears a challenge to the selection process.
The court order is the latest development in an ongoing legal battle that has plagued the start of Alabama's medical marijuana program. Alabama lawmakers voted to allow medical marijuana in the state in 2021. Commission officials are aiming to make the products available in 2024 after a series of delays.
The ruling affects only the dispensaries. Brittany Peters, a spokeswoman for the commission, said Friday that the commission has issued licenses to other companies that were selected to cultivate, transport, and test marijuana.
The commission next month is set to issue the coveted \u201cintegrated\u201d licenses for multifunctional companies that grow, transport and sell medical marijuana. Anderson has not yet ruled on a request to block the issuance of the integrated licenses.
Yellowhammer Medical Dispensaries had sought the pause on the dispensary licenses. Yellowhammer was selected in the commission's first two attempts to award the licenses this summer, but the commission rescinded the awards amid disputes about the selection process. Yellowhammer was not selected in the latest round.
Patrick Dungan, a lawyer representing Yellowhammer, said the company is pleased to see the court intervene.
Dungan said Yellowhammer had unsuccessfully urged the commission to allow two dispensary licenses to go forward and withhold a decision on the final two. He said the company is \u201conly looking for a fair opportunity to be heard on how we were denied a license after achieving the second-highest score and being awarded a license twice.\u201d
Anderson said he is sympathetic to concerns about delaying the availability of medical marijuana but said a pause on the licenses is merited.
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The Consumer Product Safety Commission said the balls, which are 5 millimeters (0.2 inches) in diameter, exceed federal standards for magnetic strength and could clump together to block parts of the digestive system when ingested.
The commission said no injuries had been reported from use of this particular product, called the Relax 5mm Science Kit. It contained 216 small, multicolored magnetic balls with what the CPSC called a \u201cstrong magnetic flux.\u201d
The agency said that ingested magnets could attach to each other or other metal objects, potentially leading to perforations, twisting and/or blockage of the intestines, infection, blood poisoning and death.
The CPSC estimates that 2,400 magnet ingestions were treated in hospital emergency rooms between 2017 and 2021 and said the agency is aware of seven deaths related to the ingestion of hazardous magnets, including two outside of the U.S.
The magnet kit was sold at Walmart.com by Joybuy Marketplace Express, a unit of the Chinese e-commerce giant JD.com. As of mid-afternoon Eastern Time, the kits were no longer visible on Walmart.com.
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President Andr\u00e9s Manuel L\u00f3pez Obrador\u2019s solution was to outfit a big warehouse on the outskirts of Mexico City to centralize a supply and send it to hospitals throughout the country.
\u201cThe pharmacy is going to be big, big, big, and it is going to have all the medications that are used in the heath system,\u201d L\u00f3pez Obrador said Friday.
The pharmacy is intended to complement local health facilities. If a patient can't get needed medications at a local hospital, the patient, the patient's doctor or the pharmacist would be able to call up the warehouse and get it delivered from the huge 40,000 square meter (430,000 square foot) Mexico City warehouse.
The armed forces, or the government-run pharmaceutical company Birmex, will ship the drugs out by land or air \u201cwithin 24 to 48 hours,\u201d L\u00f3pez Obrador pledged.
The question is whether Mexico can overcome its history of being bad at regulating the pharmaceutical industry, bad at buying medicines, bad at storing them, and bad at distributing them. Extreme centralization also hasn't helped Mexico much in the past in many areas.
The most visible face of this problem are the parents of children with cancer, who frequently stage protests because they say that in recent years chemotherapy and other drugs have been impossible to obtain.
Desperate parents blocked traffic at the Mexico City airport last year, holding up a banner reading: \u201cThere isn't any chemotherapy, treatment or medicines, have some empathy and sensitivity.\u201d
The problems have killed otherwise healthy people. Because Mexico has had problems in obtaining enough morphine, anesthesiologists in Mexico have had to carry around their own vials of the sedative, drawing multiple doses out of a single vial for routine procedures like spinal blocks during births.
In the United States, where there is no shortage of morphine, doctors are advised to draw a single dose from a vial and throw the remainder out.
But in Mexico, that has led to contamination of the vials, triggering outbreaks of injection-induced meningitis in two Mexican states that have killed dozens of people \u2014 including some Americans who sought treatment at clinics in the border city of Matamoros, across from Brownsville, Texas.
L\u00f3pez Obrador mounted a major effort to obtain COVID-19 vaccines in 2021, using the armed forces to distribute them and volunteers to help apply them, and by the end of that year just about anybody in Mexico who wanted a vaccine got one, for free.
But trying to replicate that model of centralized government purchasing and army distribution on a national scale for thousands of medications is not the same, according to Mauricio Rodr\u00edguez, a professor at the School of Medicine at Mexico's National Autonomous University.
\u201cThis is crazy,\u201d said Rodr\u00edguez, noting the government is opening the centralized warehouse without answering how the system will operate, especially for urgently-needed medications. He noted that concentrating all the drugs at one site increases risks, and could sideline some already-existing distribution systems.
Many of the problems pre-date L\u00f3pez Obrador, who took office in late 2018. For decades, there have been scandals involving of millions of dollars worth of medicines going out-of-date at warehouses while hospitals couldn't get them.
The country's medicine regulatory agency, known by its Spanish acronym as Cofepris, was already so riddled with corruption prior to L\u00f3pez Obrador that regulators would hide applications for approval of new medicines for years, and demand bribes to approve them.
And with alarming frequency, regulators in Mexico send out alerts about falsified or knock-off medications being sold for treating everything from cancer to heart disease. Boxes, labels, vials and certifications are copied with amazing accuracy, but the bottles often contain little or none of the medication.
The fake medicine trade is so common, and so lucrative in Mexico because patients or their relatives are often told by doctors to buy medications at private drug stores when they are unavailable at government hospitals.
The civic group \u201cZero Shortages\u201d said there was an increase of 142% in the number of alerts about falsified medicines between 2021 and 2022.
But part of the problems are of L\u00f3pez Obrador's own making. Angry at what he claimed were inflated profits made by drug distributors and importers, the president simply cut the private companies out and decided the government should directly buy all medications.
Because the government did not have much infrastructure, contacts or experience in such a massive effort, L\u00f3pez Obrador signed an agreement with the World Health Organization to help Mexico in purchasing. But even with that help, Mexico was unable to obtain some specialized medication, something L\u00f3pez Obrador blamed on sabotage by pharmaceutical firms.
Rafael Gual, the director of the National Pharmaceutical Industry Chamber, said the government's own actions created \u201cbottlenecks\u201d in distribution.
According to the group \u201cZero Shortages,\u201d the number of prescriptions that went unfilled in Mexico rose from 1.5 million in 2019 to 22 million in 2021; disruptions due to the COVID pandemic probably played a role.
But even in 2022, there were still about 12.5 million prescriptions that went unfilled.
Dr. Jos\u00e9 Moya, WHO's Mexico representative, said centralized medical warehouses can be a solution, but the key is to have a good logistical system.
\u201cIf they are considering a warehouse like this, it's because there is a need,\u201d Moya said, \u201cand this has to be very well organized.\u201d
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+ "body_nitf": "SACRAMENTO, Calif. (AP) \u2014 Doctors in California who mail abortion pills to patients in other states will be protected from prosecution. Workers will receive more paid sick leave on the heels of a big year for labor. And companies can't fire employees for using marijuana outside of work.
These are among the hundreds of laws that take effect Jan. 1 in the nation's most populous state.
Each year, California Gov. Gavin Newsom signs hundreds of laws passed by the state Legislature. Most take effect Jan. 1 the following year. But sometimes lawmakers will delay a law's effective date for a variety of reasons, including giving people more time to prepare for the new rules.
Some of the highest-profile bills passed by the Legislature in 2023 will not take effect until later. Fast food workers will get a minimum wage increase to $20 per hour on April 1. Health care workers are scheduled to see the first increases in their minimum wage on June 1. Laws requiring businesses to report their emissions and financial risks from climate change won't take effect until 2026.
A law banning people from carrying guns in most public places was blocked by a federal judge just days before it was set to take effect.
In 2023, the California Legislature passed 1,046 bills. Newsom signed 890 of those bills into law. He vetoed 156 bills, or 14.9%, according to statistics compiled by veteran lobbyist Chris Micheli.
Here is a look at some of the new laws Californians face:
Some drug tests don't determine if a person is high, but only if that person has used marijuana at all in recent days. California lawmakers thought it wasn't fair for companies to punish workers for failing these drug tests, especially since recreational marijuana has been legal in the state since 2016. A new law, which was passed in 2022 but takes effect this year, says companies can't punish workers for failing these types of drug tests. There are exceptions for construction workers and companies that must conduct drug tests as part of federal contracts.
California has a short-term disability program that pays people who cannot work because of a non-work related illness, injury or pregnancy. The program is funded by a 1.1% tax on wages. In the past, this tax only applied to wages below a certain amount, about $153,000 in 2023. But starting Jan. 1, a new law, which was passed in 2022 but takes effect this year, eliminates the wage cap. People who make more than $153,000 per year subsequently will pay a 1.1% tax on those wages.
Abortion is now illegal in 14 states after the U.S. Supreme Court overturned Roe v. Wade. But doctors and pharmacists in California who mail abortion pills to patients in those states will be shielded from prosecution or fines. The law bans bounty hunters or bail agents from apprehending California doctors and taking them to another state to stand trial. It even prohibits state-based social media companies, such as Facebook, from complying with out-of-state subpoenas, warrants or other requests for records to discover the identity of patients seeking abortion pills.
Workers in California will receive a minimum of five days of sick leave annually, instead of three, which they will accrue once they have been employed for 200 days. Labor advocates say the increase will curb the spread of disease by preventing employees from working when they are sick. But opponents say the law will be another financial burden for employers and claim some workers request sick leave when they are not ill.
Low-income Mexican residents who live within 45 miles (72 kilometers) of the California-Mexico border will be eligible for in-state tuition rates at participating Southern California community colleges under a new law signed by Newsom. The measure will lower a burden for students to receive education and training to help prepare them for the workforce, advocates say. It resembles another program in the state allowing up to 200 Nevada residents who live in certain areas near the California-Nevada border to receive in-state tuition rates at Lake Tahoe Community College.
Foster families will be required to demonstrate their ability to meet the health and safety needs of children regardless of sexual orientation or gender identity. It was one of several bills the Legislature passed this year to expand protections for LGBTQ+ youth. Newsom vetoed another high-profile bill that would have required courts to consider whether a parent affirms their child's gender identity in custody and visitation proceedings.
Religious institutions and nonprofit colleges in California can now turn their parking lots and other properties into affordable housing. The new law, which helps these institutions bypass most local permitting and environmental review rules, was among several initiatives attempting to address the homelessness crisis in California. Supporters of the law said it will serve as another tool to build much-needed housing in the state, but opponents said the law takes away local control over housing developments.
California lawmakers introduced a slew of bills last year aimed at addressing fentanyl overdoses, which are killing roughly 110 Californians each week. Only one measure cracking down on dealers reached Newsom\u2019s desk. The new law increases penalties for dealers who possess more than 1 kilogram (2.2 pounds) of fentanyl. Newsom also signed bills requiring stadiums and amusement parks to stock overdose reversal drugs and community colleges and California State University campuses to provide fentanyl test strips.
___
Sophie Austin is a corps member for The Associated Press/Report for America Statehouse News Initiative. Report for America is a nonprofit national service program that places journalists in local newsrooms to report on undercovered issues. Follow Austin on X, the platform formerly known as Twitter: @sophieadanna
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No fresh air. Computer displays that would overheat and ooze out a fishy-smelling gel that nauseated the crew. Asbestos readings 50 times higher than the Environmental Protection Agency\u2019s safety standards.
These are just some of the past toxic risks that were in the underground capsules and silos where Air Force nuclear missile crews have worked since the 1960s. Now many of those service members have cancer.
The toxic dangers were recorded in hundreds of pages of documents dating back to the 1980s that were obtained by The Associated Press through Freedom of Information Act requests. They tell a far different story from what Air Force leadership told the nuclear missile community decades ago, when the first reports of cancer among service members began to surface:
\u201cThe workplace is free of health hazards,\u201d a Dec. 30, 2001, Air Force investigation found.
\u201cSometimes, illnesses tend to occur by chance alone,\u201d a follow-up 2005 Air Force review found.
The capsules are again under scrutiny.
The AP reported in January that at least nine current or former nuclear missile officers, or missileers, had been diagnosed with the blood cancer non-Hodgkin\u2019s lymphoma. Then hundreds more came forward self-reporting cancer diagnoses. In response the Air Force launched its most sweeping review to date and tested thousands of air, water, soil and surface samples in all of the facilities where the service members worked. Four current samples have come back with unsafe levels of polychlorinated biphenyls, or PCBs, a known carcinogen used in electrical wiring.
In early 2024, more data is expected, and the Air Force is working on an official count of how many current or former missile community service members have cancer.
Some current missileers told the AP they were concerned by the new reports but believe the Air Force is being transparent in its current search for toxic dangers. Many of them take some of the same precautions missileers have for generations, such as having \u201ccapsule clothes,\u201d the civilian attire they change into once inside the capsule to work the 24-hour shift. The clothes go straight into the laundry after a shift because they end up smelling metallic.
\u201cWhenever you hear \u2018cancer\u2019 it\u2019s a little concerning,\u201d said Lt. Joy Hawkins, 23, a missileer at Malmstrom Air Force Base in Montana. To Hawkins and fellow missileer Lt. Samantha McGlinchey, who spoke to a visiting AP reporter as they completed an underground shift at launch control capsule Charlie, the news meant they would need to be diligent about medical checkups. \u201cThere\u2019s more testing, things to come, cleanup efforts,\u201d McGlinchey, 28, said. \u201cFor us early in our careers, it\u2019s better to be caught so early.\u201d
Others worry the dangers will again be played down.
When the latest rounds of test results were released, the Air Force did not initially reveal that samples showing contamination had critically higher PCB levels than EPA standards allow \u2014 and dozens of other areas tested were just below the EPA's threshold, said Steven Mayne, a former senior enlisted nuclear missile facility supervisor at Minot Air Force Base in North Dakota who now runs a Facebook group that is dedicated to posting Air Force news or internal memos.
\u201cAt this point the EPA, OSHA (Occupational Safety and Health Administration) and senators from North Dakota and Montana need to look into this matter,\u201d Mayne said.
In December 2022, former Malmstrom missileers Jackie Perdue and Monte Watts, both of whom have been diagnosed with non-Hodgkin\u2019s lymphoma, asked the Defense Department's inspector general to investigate.
\u201cI believe health and safety standards have been violated, or not considered, and should be investigated,\u201d said Perdue, who served as a nuclear missile combat crew commander at Malmstrom from 1999 to 2006, in an inspector general complaint obtained by the AP.
There are currently three nuclear missile bases in the United States: F.E. Warren Air Force Base in Wyoming, Minot and Malmstrom. Each base has 15 underground launch control capsules that act as hubs for fields of 10 Minuteman III intercontinental ballistic missile silos each. The capsules are manned around the clock, 365 days a year. Missileers spend 24 hours or more each shift working underground in those capsules monitoring the ICBMs, ready to launch them if directed by the president.
The Air Force acknowledges the current review can't provide full answers on what past missileers were exposed to, but the data will establish a health profile likely to help them apply for veterans benefits.
However, there are plenty of warning signs about past toxic risks in the documents obtained by AP.
\u201cType and content of asbestos, please phone ASAP,\u201d a handwritten note reads on memo dated Nov. 9, 1992. All of the documents obtained by the AP have been redacted to have the names blocked out, but the urgency was evident. \u201cPRIORITY,\u201d the handwritten note says, in all caps.
An environmental team at Malmstrom capsules Hotel and Juliet got worrisome asbestos readings from underneath a generator in the capsule equipment rooms. The equipment room is also underground, contained within the same, sealed-in workspace. The EPA\u2019s threshold for asbestos exposure is 1% for an eight-hour workday. But missileers were locked in there for 24 hours at a time, at least. If the weather was bad and the replacement crew couldn\u2019t make the drive to the site, a team could be stuck underground for as long as 72 hours. Hotel and Juliet recorded solid samples of chrysotile asbestos \u2014 a white asbestos that can be inhaled \u2014 between 15% to 30%.
In the official report published just seven days later, however, the risks were downplayed.
\u201cAsbestos presents a health hazard only when it is crushed (able to be crushed or pulverized by hand pressure.) All suspect (asbestos) was found to be in good condition,\u201d the annual review on Hotel said.
At missile silo Quebec-12 in 1989 it found levels of up to 50% amosite asbestos, a brown asbestos found in cement and insulation. And a team looking at Malmstrom's Bravo capsule that same year had warned that even if it was left undisturbed, it could be dangerous. \u201cDiesel room \u2014 when running leaks asbestos,\u201d it warned.
In his inspector general complaint, former Malmstrom missileer Watts said there was asbestos in the floor tile as well, and that missileers also \u201croutinely removed, handled and replaced these tiles as part of required survival equipment inventories.\"
The documents also reveal multiple PCB spills throughout the decades. A 1987 report talks about a missileer calling his commander to report a severe headache and lightheadedness. The crew finds a clear, sticky syrup leaking under the capsule\u2019s power panel. \u201cI suggested the blast door be opened for more ventilation and no contact with the substance be made,\u201d a bioenvironmental engineer documents. \u201cAll the team needed to do was open the blast door and stay away from the spill. There was no need to close the capsule.\u201d
\u201cIt\u2019s frustrating to know they had thought of this back then,\u201d said Doreen Jenness, whose husband, Jason Jenness, was a Malmstrom missileer who died of non-Hodgkin's lymphoma in 2001 at the age of 31. \u201cIt makes me frustrated and angry that they can keep telling these young men and women that they are not finding anything \u2014 knowing that back in 2001, 2003 and the early 2000s that there was something going on there.\u201d
Doreen and Jason Jenness met while he was assigned to Malmstrom. They married and lived on base in the mid-1990s. Their missileer friends used to tease them because they had a golden Labrador named Sierra, the same name as one of the capsules that Jason\u2019s squadron operated.
The environmental reports from Malmstrom when Jason was assigned there show Sierra had a long list of hazards. In 1996, a medical team reported there were more than 25 gallons of fluid overrun with biological growth festering on Sierra\u2019s capsule floor. An intake that collected outside air for Sierra was located by the parking lot, and the team watched a running car idle near it for 20 minutes. The team documented that a fan needed to pull clean air down into Sierra had been broken for at least six months, so the only way crews could get fresh air was if they left the capsule\u2019s steel vault door open.
At the other capsules, the team said the air quality was \u201cmarginal, but should not cause serious health problems.\u201d Sierra was dangerous. In March of 1996, the medical team measured carbon dioxide levels of 1,700 parts per million in the air. \u201cAt these levels you can expect complaints of headache, drowsiness, fatigue and/or difficulty concentrating from a majority of the occupants. Worker removal should be considered.\u201d
Nothing changed. That May the medical team again recorded exposure levels of 1,800 ppm, and advised again that the missileers should be removed.
By the mid-1990s a new missile targeting system was needed, and each capsule began a refurbishment to install a wall-sized computer console called REACT, for Rapid Execution and Combat Targeting System. The new system would allow the U.S. more quickly to reprogram and retarget its nuclear missiles in case of war. Demolition of the old computer and construction of REACT began inside each of the 15 Malmstrom capsules.
Missileers wonder if the REACT refurbishment further disturbed asbestos and PCBs that were still in the capsules. But once installed, the new console also exposed missileers to a new toxic danger.
\u201cCrew members reported a malfunctioning video display characterized by a clicking sound,\u201d a report on a May 1995 incident at Malmstrom's Bravo capsule said. \u201cAfter the click, the video display shut down with only a white line visible to crew members.\u201d
A clear liquid began to leak, followed by a fishy, ammonia-like smell. The crew began to complain of headaches and nausea, and the capsule was evacuated two hours later.
Malmstrom\u2019s team learned that the liquid was dimethylformamide, an electrolyte used in REACT\u2019s video display unit capacitors, because F.E. Warren, the Wyoming base, had recently reported similar leaks.
\u201cThe capacitors overheat and vent into the capsule in lieu of catastrophic failure,\u201d a 1996 memo found after a second dimethylformamide leak at Bravo. \u201cTo date, we have no idea how much of this material is contained in the capsules nor do we have any idea of the relative hazard to missile crews and maintenance personnel who come in contact with this material.\u201d
Medical studies on dimethylformamide\u2019s link to cancer are split; some report a clear tie to liver cancer, others say more study is needed.
All of the capsules will be closed down in a few years, as the military\u2019s new ICBM, the Sentinel, comes online. As part of the modernization, the old capsules will be demolished. A new, modern underground control center will be built on top of them. Air Force teams working on the new designs are aware of the cancer reports and are applying modern environmental health standards in the new centers \u2014 requirements that did not exist when the Minuteman capsules were first built, said Maj. Gen. John Newberry, commander of the Air Force\u2019s nuclear weapons center.
\u201cWe are absolutely learning from or understanding what\u2019s going on with Minuteman III, and if there\u2019s something that we need to look at from a Sentinel side,\u201d Newberry said.
The old capsules will remain in use until then, though, which makes it even more important that the Air Force is completely open with its missileers now, Doreen Jenness said.
Because they were so young, neither she nor Jason suspected cancer when he started to feel fatigued in the fall of 2000. Nor when his hip started to ache that December.
When he finally gave in and saw a doctor in February 2001, he was admitted to the hospital the same day. By March, Jason and Doreen knew his lymphoma was untreatable. He died that July.
\u201cWe can all pretend to not know, because knowing is really hard,\u201d Doreen Jenness said. \u201cKnowing and doing something about it is even harder. Now, 23 years after Jason\u2019s been gone there\u2019s a whole bunch of young men and women that are having to go through the same things that we had to go through. They have to live the same lives and maybe have the same future as me, and it\u2019s just sad. Really sad.\u201d
___
This story has been corrected to show the documents recorded toxic dangers, not toxins.
___
The Associated Press receives support for nuclear security coverage from the Carnegie Corporation of New York and Outrider Foundation. The AP is solely responsible for all content.
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Commissioners voted 7-2 on Thursday for a motion declaring they have no plans for a pause and intend to move forward and issue licenses to companies selected to produce, process and sell medical marijuana. Supporters said the motion is intended to convey a message that they will not delay the program any longer unless ordered to do so by a court. However, a number of companies have filed a lawsuit challenging the license selection process as flawed and seeking to stop the awards.", + "located": "MONTGOMERY, Ala.", + "datelinelocation": { + "city": "Montgomery", + "countryareacode": "AL", + "countryareaname": "Alabama", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -86.29997, + 32.36681 + ] + } + }, + "copyrightnotice": "Copyright 2023 The Associated Press. All rights reserved. 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(AP) \u2014 Members of the Alabama Medical Cannabis Commission said Thursday they are aiming to get the state's medical marijuana program underway in 2024 after a series of delays and legal disputes.
Commissioners voted 7-2 for a motion declaring they have no plans to pause license awards despite ongoing lawsuits and appeals from losing companies. Supporters said the motion is intended to convey a message that they will not delay the program any longer unless ordered to do so by a court.
\u201cWe\u2019d like to move forward with these people, the slate of awards that we\u2019ve had in the month of December, and just get this show on the road so the people can get their medicine,\u201d Commissioner Sam Blakemore, a pharmacist, said during the meeting.
The commission earlier this month selected more than 20 companies to cultivate, process and sell medical marijuana in the state. Under commission rules, the licenses will be awarded after license fees are paid.
However, several companies have filed lawsuits challenging the license selection process as flawed and seeking to stop the awards. Montgomery Circuit Judge James Anderson held a hearing Thursday on the injunction request but did not issue an immediate ruling.
Twenty-six companies have also requested hearings with the commission after their license applications were rejected.
Medical marijuana remains unavailable in Alabama more than two years after lawmakers voted to legalize it in 2021. The state had to develop rules, and the selection process has been bogged down in disputes. Commissioners paused the license process several times during the ongoing dispute.
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The document highlights the importance of getting the program underway so that people can access their medicine, which is a health-related issue." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2023/12/30/34d8deb2186e9195b253f499e81a3d77.json b/datasets/AP_news/raw_data/2023/12/30/34d8deb2186e9195b253f499e81a3d77.json new file mode 100644 index 0000000..b022035 --- /dev/null +++ b/datasets/AP_news/raw_data/2023/12/30/34d8deb2186e9195b253f499e81a3d77.json @@ -0,0 +1,324 @@ +{ + "altids": { + "itemid": "34d8deb2186e9195b253f499e81a3d77", + "etag": "34d8deb2186e9195b253f499e81a3d77_0a40aza0c0", + "friendlykey": "276537032459", + "referenceid": "US--California-Immigrant Health Care" + }, + "version": 0, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2023-12-30T05:09:35Z", + "firstcreated": "2023-12-30T05:09:34Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: With AP Photos.", + "signals": [ + "newscontent" + ], + "title": "US--California-Immigrant Health Care", + "headline": "California is expanding health care coverage for low-income immigrants in the new year", + "headline_extended": "California will soon become one of the first states to provide free health care to all low-income immigrants living in the state illegally", + "slugline": "BC-US-California-Immigrant-Health-Care", + "description_summary": "California will soon become one of the first states to provide free health care to all low-income immigrants living in the state illegally. 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(AP) \u2014 More than 700,000 immigrants living illegally in California will gain access to free health care starting Monday under one of the state's most ambitious coverage expansions in a decade.
It's an effort that will eventually cost the state about $3.1 billion per year and inches California closer to Democrats\u2019 goal of providing universal health care to its roughly 39 million residents.
Democratic Gov. Gavin Newsom and lawmakers agreed in 2022 to provide health care access to all low-income adults regardless of their immigration status through the state\u2019s Medicaid program, known as Medi-Cal.
California is the most populous state to guarantee such coverage, though Oregon began doing so in July.
Newsom called the expansion \u201ca transformative step towards strengthening the health care system for all Californians\" when he proposed the changes two years ago.
Newsom made the commitment when the state had the largest budget surplus in its history. But as the program kicks off next week, California faces a record $68 billion budget deficit, raising questions and concerns about the economic ramifications of the expansion.
\u201cRegardless of what your position is on this, it doesn\u2019t make sense for us to be adding to our deficit,\u201d said Republican Sen. Roger Niello, the vice-chair of the Senate Budget and Fiscal Review Committee.
Immigration and health care advocates, who spent more than a decade fighting for the changes, have said the expanded coverage will close a gap in health care access and save the state money in the long run. Those who live in the state illegally often delay or avoid care because they aren\u2019t eligible for most coverage, making it more expensive to treat them when they end up in emergency rooms.
\u201cIt\u2019s a win-win, because it allows us to provide comprehensive care and we believe this will help keep our communities healthier,\u201d said Dr. Efrain Talamantes, chief operating officer at AltaMed in Los Angeles, the largest federally qualified health center in California.
The update will be California's largest health care expansion since the 2014 implementation of former President Barack Obama's Affordable Care Act, which allowed states to include adults who fall below 138% of the federal poverty level in their Medicaid programs. California's uninsured rate dropped from about 17% to 7%.
But a large chunk of the population was left out: adults living in the United States without legal permission. They are not eligible for most public benefit programs, even though many have jobs and pay taxes.
Some states have used their tax dollars to cover a portion of health care expenses for some low-income immigrants. California first extended health care benefits to low-income children without legal status in 2015 and later added the benefits for young adults and people over the age of 50.
Now the last remaining group, adults ages 26 to 49, will be eligible for the state\u2019s Medicaid program.
The state doesn\u2019t know exactly how many people will enroll through the expansion, but state officials said more than 700,000 people will gain full health coverage allowing them to access preventative care and other treatment. That's larger than the entire Medicaid population of several states.
\u201cWe\u2019ve had this asterisk based on immigration status,\u201d said Anthony Wright, executive director of Health Access California, a consumer advocacy group. \u201cJust from the numbers point of view, this is a big deal.\u201d
Republicans and other conservative groups worry the new expansion will further strain the overloaded health care system and blasted the cost of the expansion.
State officials estimated the expansion will cost $1.2 billion the first six months and $3.1 billion annually thereafter from the budget. Spending for the Medi-Cal program, which is now about $37 billion annually, is the second-largest expense in the California budget, according to an analysis by the nonpartisan Legislative Analyst\u2019s Office.
Earlier this month, the state Department of Finance sent a letter urging state agencies to cut costs in light of the deficit. It has not given specific directions about the Medicaid expansion, state officials told The Associated Press in December.
California\u2019s expansion of Medicaid will face other challenges. The state is chugging through a review of Medicaid enrollees\u2019 eligibility for the first time in more than three years that was prompted by the end of some federal pandemic policies. Many immigrants who had their coverage protected during the COVID-19 pandemic now find themselves ineligible because they no longer financially qualify.
John Baackes, CEO of L.A. Care Health Plan, the state\u2019s largest Medi-Cal plan with nearly 2.6 million members, said roughly 20,000 members have lost their Medicaid coverage during the review process this past year and are looking to secure new insurance plans. His organization is juggling to help people navigate through both processes.
\u201cPeople are being bombarded with information,\u201d Baackes said. \u201cI can\u2019t imagine if somebody were having to maneuver through all this, why they wouldn\u2019t be terribly confused.\u201d
\u201cThe phones are ringing off the walls,\" he said.
Fear and distrust are also barriers for the expansion, said Sarah Dar, policy director for the California Immigrant Policy Center.
Many immigrants avoid accepting any public programs or benefits out of fear it will eventually prevent them from gaining legal status under the \u201cpublic charge\u201d rule. The federal law requires those seeking to become permanent residents or gain legal status to prove they will not be a burden to the U.S., or a \u201cpublic charge.\u201d The rule no longer considers Medicaid as a factor under President Joe Biden\u2019s administration, but the fear remains, she said.
More resources and effort are required to reach this population \u201cbecause of the history of just being completely excluded and not interfacing with the health care system or with government programs at all for so long,\" Dar said.
California has more work to do to see the state\u2019s uninsured rate hit zero, known as \u201cuniversal coverage,\" Dar said.
For one thing, immigrants living in the U.S. without legal permission are still not eligible to purchase insurance from Covered California, the state-run exchange offering steep discounts for people who meet certain income requirements. A bill pending in the state Legislature, supported by the California Immigrant Policy Center, would change that.
\u201cIt\u2019s going to be another really big undertaking,\u201d Dar said. \u201cAnd we know that revenues are down ... but it\u2019s our job to make the case that, in times of economic downturn and whatnot, these are the communities that need the support the most.\u201d
___
Associated Press Reporter Adam Beam contributed to this report.
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The agreement was revealed late Friday in documents filed in federal court in San Francisco. The settlement must still be approved by a judge.
Under the agreement, McKinsey would establish a fund to reimburse insurers, private benefit plans and others for some or all of their prescription opioid costs.
The insurers argued that McKinsey worked with Purdue Pharma \u2013 the maker of OxyContin \u2013 to create and employ aggressive marketing and sales tactics to overcome doctors\u2019 reservations about the highly addictive drugs. Insurers said that forced them to pay for prescription opioids rather than safer, non-addictive and lower-cost drugs, including over-the-counter pain medication. They also had to pay for the opioid addiction treatment that followed.
From 1999 to 2021, nearly 280,000 people in the U.S. died from overdoses of prescription opioids, according to the U.S. Centers for Disease Control. Insurers argued that McKinsey worked with Purdue Pharma even after the extent of the opioid crisis was apparent.
The settlement is the latest in a years-long effort to hold McKinsey accountable for its role in the opioid epidemic. In February 2021, the company agreed to pay nearly $600 million to U.S. states, the District of Columbia and five U.S. territories. In September, the company announced a separate, $230 million settlement agreement with school districts and local governments.
Asked for comment Saturday, McKinsey referred to a statement it released in September.
\u201cAs we have stated previously, we continue to believe that our past work was lawful and deny allegations to the contrary,\u201d the company said, adding that it reached a settlement to avoid protracted litigation.
McKinsey said it stopped advising clients on any opioid-related business in 2019.
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This is directly related to health, particularly in the context of public health and the opioid epidemic." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2023/12/30/a2527ef0df708876228a21e94ca474b2.json b/datasets/AP_news/raw_data/2023/12/30/a2527ef0df708876228a21e94ca474b2.json new file mode 100644 index 0000000..bd051fa --- /dev/null +++ b/datasets/AP_news/raw_data/2023/12/30/a2527ef0df708876228a21e94ca474b2.json @@ -0,0 +1,297 @@ +{ + "altids": { + "itemid": "a2527ef0df708876228a21e94ca474b2", + "etag": "a2527ef0df708876228a21e94ca474b2_0a34aza0c0", + "friendlykey": "137850188318", + "referenceid": "US-Abortion-Idaho" + }, + "version": 0, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2023-12-30T00:48:10Z", + "firstcreated": "2023-12-30T00:48:09Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: With AP Photos.", + "signals": [ + "newscontent" + ], + "title": "US-Abortion-Idaho", + "headline": "Judge allows lawsuit that challenges Idaho's broad abortion ban to move forward", + "headline_extended": "An Idaho judge has denied a request by the state\u2019s top legal chief to throw out a lawsuit seeking to clarify the exemptions tucked inside the state\u2019s broad abortion ban", + "slugline": "BC-US-Abortion-Idaho", + "description_summary": "An Idaho judge has denied a request by the state\u2019s top legal chief to throw out a lawsuit seeking to clarify the exemptions tucked inside the state\u2019s broad abortion ban. 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Instead, 4th District Judge Jason Scott narrowed the case to focus only on the circumstances where an abortion would be allowed and whether abortion care in emergency situations applies to Idaho's state constitutional right to enjoy and defend life and the right to secure safety.
Scott's decision comes just two weeks after a hearing where Idaho's Attorney General Raul Labrador's office attempted to dismiss the case spearheaded by four women and several physicians, who filed the case earlier this year.
Similar lawsuits are playing out around the nation, with some of them, like Idaho\u2019s, brought by the Center for Reproductive Rights on behalf of doctors and pregnant people who were denied access to abortions while facing serious pregnancy complications.
According to the Center for Reproductive Rights, Idaho's Constitution entitles its residents to certain fundamental rights, but a sweeping abortion ban poses a risk to those rights.
Labrador's office countered that the Idaho Supreme Court has already upheld the state's abortion bans \u2014 thus solving any lingering questions on the matter.
Scott agreed in part with the state attorneys that the state Supreme Court ruled there was no fundamental right to abortion inside the state constitution, but added that the court didn't reject \u201cevery conceivable as applied challenge that might be made in a future case.\u201d
\u201cWe\u2019re grateful the court saw through the state\u2019s callous attempt to ignore the pain and suffering their laws are causing Idahoans,\u201d said Gail Deady, a senior staff attorney for the Center for Reproductive Rights. \u201cNow the state of Idaho will be forced to answer to these women in a court of law.\u201d
Meanwhile, the Idaho judge also sided with the attorney general in removing Gov. Brad Little, Labrador, and the Idaho Board of Medicine as named defendants in the lawsuit \u2014 leaving the state of Idaho as the only remaining defendant. Scott called the long list of defendants as \u201credundant,\u201d saying that all three would be subject to whatever is ultimately decided in the lawsuit.
\u201cThis is only the beginning of this litigation, but the Attorney General is encouraged by this ruling,\u201d Labrador's office said in a statement. \u201cHe has long held that the named defendants were simply inappropriate, and that our legislatively passed laws do not violate the Idaho Constitution by narrowly limiting abortions or interfering with a doctor\u2019s right to practice medicine.\u201d
The four women named in the case were all denied abortions in Idaho after learning they were pregnant with fetuses that were unlikely to go to term or survive birth, and that the pregnancies also put them at risk of serious medical complications. All four traveled to Oregon or Washington for the procedures.
Idaho has several abortion bans, but notably Idaho lawmakers approved a ban as a trigger law in March of 2020, before the U.S. Supreme Court overturned Roe v. Wade.
At the time, any suggestion that the ban could harm pregnant people was quickly brushed off by the bill\u2019s sponsor, Republican Sen. Todd Lakey, who said during one debate that the health of the mother \u201cweighs less, yes, than the life of the child.\u201d
The trigger ban took effect in 2022. Since then, Idaho\u2019s roster of obstetricians and other pregnancy-related specialists has been shrinking.
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But industry data shows thousands of new flavored products continue pouring into the country from China. The rise in new products continues despite a record number of vaping shipments seized at U.S. ports in recent months. The figures underscore the chaotic state of the nation\u2019s $7 billion vaping market. They also raise questions about how to stop the flow of fruit-flavored disposable e-cigarettes used by 1 in 10 American teens and adolescents.", + "bylines": [ + { + "by": "By MATTHEW PERRONE", + "title": "AP Health Writer" + } + ], + "located": "WASHINGTON", + "datelinelocation": { + "city": "Washington", + "countryareacode": "DC", + "countryareaname": "District of Columbia", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -77.03637, + 38.89511 + ] + } + }, + "copyrightnotice": "Copyright 2023 The Associated Press. All rights reserved. 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The figures underscore the chaotic state of the nation\u2019s $7 billion vaping market and raise questions about how the U.S. government can stop the flow of fruit-flavored disposable e-cigarettes used by 1 in 10 American teens and adolescents.
More than 11,500 unique vaping products are being sold in U.S. stores, up 27% from 9,000 products in June, according to tightly held industry data from analytics firm Circana.
\u201cFDA whacks one product and then the manufacturers get around it and the kids get around it,\u201d said Bonnie Halpern-Felsher, a Stanford University psychologist who develops anti-vaping educational materials. \u201cIt\u2019s too easy to change your product a little bit and just relaunch it.\u201d
Halpern-Felsher says she is \u201cconstantly\u201d updating her curriculum to keep pace with new vaping brands and trends.
Nearly all the new products are disposable e-cigarettes, according to the sales data gathered from gas stations, convenience stores and other shops. The products generated $3.2 billion in the first 11 months of this year.
The FDA has authorized a handful of e-cigarettes for adult smokers and is still reviewing products from several major companies, including Juul. Regulators consider nearly all other e-cigarettes to be illegal.
\u201cThose committing illegal acts don\u2019t advertise their crimes, and those trying to import illegal tobacco products into the United States are no different,\" said FDA\u2019s tobacco director, Brian King, in a written response to AP questions. \u201cThe FDA and our federal partners are using tools, like import alerts, to stop these illegal tobacco products at the border and to deter countless others.\u201d
The rise in e-cigarettes sold continues despite a record number of products detained.
An FDA database shows officials \u201crefused\u201d entry to 148 containers or pallets of \u201ctobacco\u201d goods last month, consisting almost entirely of vaping products from China. Refused imports are typically destroyed.
Through the end of November, U.S. officials had refused 374 such shipments this year, more than double the 118 refused in 2022.
This year's items included $400,000 worth of Esco Bars, a disposable brand placed on a list of banned imports in May. The agency's posted data is often preliminary because it takes time to finalize refusals.
But recent history shows how easily companies can maneuver around import bans.
In July 2022, the FDA barred dozens of e-cigarettes from Chinese manufacturer Fume, including flavors Pineapple Ice and Blue Razz.
Fume sales dipped after the ban, but the company launched a slew of new products, posting $42 million in U.S. sales in the third quarter of 2023, the data shows. Roughly 98% of sales came from products not on the FDA\u2019s \u201cred list\u201d of products that can be detained.
Industry shipping tactics are also challenging the usefulness of import restrictions.
In July, FDA and customs officials intercepted $18 million worth of illegal vapes, including leading brand Elf Bar. But the shipments were mislabeled as shoes, toys and other items \u2014 not e-cigarettes \u2014 requiring officials to individually open and verify the contents of more than two dozen containers.
Circana, formerly IRI, restricts access to its data, which it sells to companies and researchers. A person not authorized to share it gave the AP access on condition of anonymity.
The FDA has no schedule for updating its import lists but said it is \u201cclosely monitoring\u201d instances where companies try to avoid detection.
\u201cThe FDA has a variety of tools at our disposal to take action against these tactics,\u201d FDA\u2019s King said.
The agency has limited powers to penalize foreign companies. Instead, regulators have sent hundreds of warning letters to U.S. stores selling their products, but those are not legally binding.
Even as the FDA attempts to work with customs officials, it is struggling to complete a yearslong review of applications submitted by manufacturers hoping to market their products to adults.
The few tobacco-flavored products currently authorized by FDA are deeply unpopular. Their combined sales were just $174 million, or 2.4% of the vaping marketplace this year, according to Circana.
\u201cNobody wants them,\u201d says Marc Silas, owner of 906 Vapor shop in Michigan. \u201cIf people wanted them, they\u2019d be on the shelves and they\u2019re not.\u201d
Deeply frustrated with the pace of FDA\u2019s review, public health groups have successfully sued the agency to speed up the process. The agency aimed to complete all major outstanding applications this year, but it recently said the process would stretch into next year.
The delays have raised questions about the viability of the the current regulatory framework for e-cigarettes.
\u201cFDA is trying to operate with an old model when the whole environment has changed,\u201d said Scott Ballin, a health policy consultant who previously worked for the American Heart Association. \u201cThey have this long line of products that have to be reviewed one by one and now they\u2019re in a giant hole.\u201d
One alternative approach would be to make decisions about entire classes of e-cigarettes, rather than individual products.
The idea initially came from small vaping manufacturers who did not have the money to conduct the large studies typical of FDA applications. Public health advocates concerned about the persistence of underage vaping have embraced it.
Halpern-Felsher, of Stanford University, is among those urging the FDA to ban all flavored disposable e-cigarettes, the products used by most of the 2 million underage teens who vape.
\u201cIf we continue down this path that we\u2019re on, we\u2019re just going to have new and continuing generations of young people addicted to nicotine,\u201d she said.
___
The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute\u2019s Science and Educational Media Group. The AP is solely responsible for all content.
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John Fetterman acknowledges having \u201cdark conversations\u201d about harming himself before he hit \u201cthe emergency brake\u201d and sought treatment for depression.
He remembers thinking about his three school-age kids. \u201cI can\u2019t be a blueprint for my children. I can\u2019t let them be left alone or not to understand why he would have done that,\u201d the first-term Pennsylvania Democrat told NBC\u2019s \u201cMeet the Press\u201d in a deeply personal and introspective interview taped before the broadcast that aired Sunday.
So he checked himself into Walter Reed National Military Medical Center in Bethesda, Maryland, last Feb. 15. \u201cThere was nowhere else to go,\u201d he said, describing how he often felt during his stay that \u201cthere wasn\u2019t any hope sometimes and like, \u2018What do I have left?\u2019\u201d
He also wondered whether he would survive politically.
\u201cWhen it got released where I was and where it was going, it was a big story. And so, I had assumed that that would be the end of my career,\u201d he said
When he sought treatment for clinical depression, Fetterman was still coping with the effects of the stroke he had in May 2022, during his campaign for one of the Senate\u2019s most contested seats. \u201cMy heart technically stopped, and it was a very touch-and-go situation,\u201d said Fetterman, 54. A pacemaker was implanted with a defibrillator to manage two heart conditions, atrial fibrillation and cardiomyopathy.
His victory over Republican Mehmet Oz had helped Democrats keep control of the Senate and made him a national figure. It was the height of his political career. But he couldn\u2019t make it out of bed at his home in Braddock, in western Pennsylvania.
\u201cI really scared my kids, and they thought, \u2019You won, Dad. Why aren\u2019t we enough? Why are you still so sad? Why are you even more sad?' And it was hard for \u2014 to explain why I was. And, of course, a 9-year-old child wouldn\u2019t understand that. And it was awful,\u201d Fetterman said.
So much so that he said he \u201cpleaded not to go down to D.C.\u201d later that November for orientation sessions in Washington for newly elected lawmakers.
His favorite holiday was nearing, yet he was unable to think about getting Christmas presents for his children and \u201cdreading\u201d his swearing in on Capitol Hill early in the new year.
Within two months, he was at Walter Reed. Aides had described the new senator as being withdrawn and uninterested in eating, discussing work or the usual banter with staff.
\u201cThis is a conversation that I\u2019ve had with myself and anybody that knows they\u2019re unable to address their depression, is they start to have dark conversations with themself about self-harm,\u201d Fetterman said. \u201cAnd things continued to kind of tick off the list. And then I kind of hit the emergency brake.\"
He added, \u201cI knew I needed help.\u201d
Before checking into Walter Reed, Fetterman had never publicly discussed his battle with depression. He has since said that he has experienced it on and off throughout his life.
He left Walter Reed at the end of March after six weeks of inpatient treatment with his depression \u201cin remission,\u201d according to a statement from his office.
Doctors describe \u201cremission\u201d as when a patient responds to treatment so that they have returned to normal social function and they are indistinguishable from someone who has never had depression.
Fetterman has since become a visible presence in the Capitol, bantering with reporters, joking with Senate colleagues and speaking up at Senate hearings.
To others who are now \u201cfacing a really dark holiday time,\u201d Fetterman offered this guidance: \u201cI know that last year\u2019s was desolate. And this year\u2019s might be desolate. Next year\u2019s can be the best ever. And that\u2019s what happened for me.\u201d
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But a clean slate awaits at the stroke of midnight for the next round of resolutions.
From the first spray of fireworks to the closing chorus of \u201cAuld Lang Syne\u201d 366 days into the future \u2014 2024 is a leap year \u2014 it could be the year for finally achieving long-elusive goals, fulfilling aspirations and being resolute on all those New Year resolutions.
\u201cAs humans, we are creatures that aspire,\u201d said Omid Fotuhi, a social psychologist who is a motivation and performance researcher.
\u201cThe fact that we have goals, the fact that we want to set goals is just a manifestation of that internal and almost universal desire to want to stretch, to want to reach, to want to expand and grow,\" said Fotuhi, the director of learning innovation at Western Governors University Labs and a research associate at the University of Pittsburgh.
\u201cNew Year\u2019s resolutions are one of those ways in which we do that,\u201d he said. \u201cThere\u2019s something very liberating about a fresh start. Imagine starting on a blank canvas. Anything is possible.\u201d
If so, could this be the year to run a marathon, vanquish (or make peace with) old foes such as the bathroom scale and a thickening waist? Maybe learn Mandarin or register to vote, and actually vote? So many questions, and so much time to delay.
Tim Williams used to issue himself a panoply of resolutions: lose weight, drink less, exercise more and yada yada.
Now, he doesn't bother.
\u201cIn the past, I would make them, and I would fail or give up on them or whatever,\u201d said Williams, a part-time resident of Fort Lauderdale, Florida.
Carla Valeria Silva de Santos, a Florida transplant from Brazil, wants to learn to play the guitar. A native Portuguese speaker, she wants to learn Spanish and improve her English.
With any resolution, she said, the ultimate goal is \u201cto improve your life and be in peace with yourself.\u201d
Josh Moore, another Fort Lauderdale resident, sees things in line with the natural philosopher Sir Isaac Newton and physics. For every action there must be an equal reaction.
\u201cIf you do something like eat a bunch of candy or a bunch of desserts at a holiday party, go run,\u201d he said while interrupting a jog with his dog. \u201cMaybe you went out drinking too much and you might have a hangover. But then next day when you\u2019re feeling better, go to the gym.\u201d
Too many people are too soft on themselves, he posited. \u201cYou\u2019ve got to actually hold yourself accountable.\u201d
Resolutions don't have to be big, grandiose or overly ambitious, Fotuhi said.
Even if they are, he said value should not exclusively be derived from the achievement but also be measured by what you become by trying to better yourself.
\u201cGoals are only there to serve a function to get you started,\u201d Fotuhi said. \u201cIf they don\u2019t do that, then maybe that\u2019s not the appropriate goal for you.\"
In other words, it is a time to recalibrate goals and expectations, he said, adding that some people hang on to outdated goals for way too long.
\u201cIf you set a goal that\u2019s overly ambitious, that doesn\u2019t have the effect of getting you excited and making you believe that it\u2019s possible, then maybe you should think about a goal that\u2019s a little bit more within your reach \u2014 starting with a 5k for instance, then moving up to 10K,\u201d Fotuhi said.
___
Kozin contributed from Fort Lauderdale, Florida.
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The 2023 list of gifts from individuals or their foundations totaled more than $3.5 billion. Four universities received big gifts, along with four scientific research institutes and a health-care system. The other gifts went to a family foundation and a racial justice group. The list has 11 gifts because of ties. Eight of the donors are multibillionaires, and their combined net worth is $305.1 billion.", + "bylines": [ + { + "by": "By MARIA DI MENTO of The Chronicle of Philanthropy", + "title": "Chronicle of Philanthropy" + } + ], + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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Four universities received big gifts in 2023, along with four scientific research institutes and a health-care system. The other gifts went to a family foundation and a racial-justice group.
The list has 11 gifts because of ties. Eight of the donors are multibillionaires, and their combined net worth is $305.1 billion.
Topping the list is a gift from the investment guru Warren Buffett, whose net worth is estimated by Forbes at roughly $119 billion. He gave 1.5 million shares of Berkshire Hathaway Class \u201cB\u201d stock valued at $541.5 million to the Susan Thompson Buffett Foundation, named for his first wife, who died in 2004.
Buffett created the grantmaker in 1964 to manage the family\u2019s charitable giving, and it remains a family affair. Two of his three children serve on its board, and it is led by his former son-in-law. The foundation primarily backs women\u2019s reproductive health. It also provides college scholarships for students in Nebraska, where the family is from.
The donation is a special contribution that Buffett announced in November rather than one of the annual contributions he makes to the foundation and several other grant makers, which are payments toward multibillion-dollar pledges he announced in 2006.
Buffett\u2019s gift is followed on the list by a donation from the mathematician and hedge-fund founder James Simons and his wife, Marilyn. The couple gave $500 million through their Simons Foundation to the State University of New York at Stony Brook to support the university\u2019s endowment and to boost scholarships, professorships, research, and clinical care.
The Simons, who have an estimated net worth of $30.7 billion, have deep ties to the university. James Simons was chairman of its mathematics department from 1968 to 1978, and Marilyn Simons earned two degrees there: a bachelor\u2019s degree in 1974 and a Ph.D. in economics in 1984. They have given the institution nearly $600 million through their foundation over the last 10 years.
Tying for third on the list is a contribution from Ross Brown, the founder of Cryogenic Industries, an industrial equipment manufacturer. In November, Brown gave the biggest gift to science in 2023 when he pledged $400 million to the California Institute of Technology. The gift will be fulfilled through his family foundation and a donor-advised fund; the money will be used to launch the Brown Institute for Basic Sciences.
The center will support scientific research at other universities and will house the Ross Brown Investigators Award Program, a fellowship program Brown started in 2020 that until this year was operated out of his foundation. The program provides five-year, $2 million awards to midcareer, tenured faculty working on chemistry and physics research.
Brown told the Chronicle in November that he no longer wanted to house the program at his foundation because he was worried about mission drift and controlling the costs of the program. A Caltech alumnus, he said the university seemed like the best fit for the fellowships.
Now that Brown has moved the program over to Caltech, university officials are in charge of awarding the $2 million grants to at least eight researchers each year. To avoid conflicts of interest, only researchers at other universities will be considered for the awards. However, Brown is directing some of this donation \u2014 about $1 million a year \u2014 toward other fundamental physical science research efforts at Caltech. There are three other donations on the list that support scientific research.
Nike cofounder Phil Knight and his wife, Penny, made a $400 million pledge to the 1803 Fund. The commitment from the Knights, whose net worth is pegged at $43 billion, will establish Rebuild Albina, an effort to revive the economic and cultural prosperity of Albina, a historic area of Portland, Oregon, that was once a thriving Black neighborhood but fell into neglect in the 1970s.
Black families in Albina were displaced by a ruinous mix of predatory lending, discriminatory government practices, and huge, long-term construction projects that shuttered businesses and destroyed the neighborhood. It was a pattern that played out in many U.S. cities during that era. Rebuild Albina officials plan to renovate the area, pay for education programs and education-related services for children and their families, and support a range of projects meant to deepen the area\u2019s cultural roots. The Knights are giving the money both personally and through their Knight Foundation.
Daniel and Jennifer Gilbert gave $375 million through their Gilbert Family Foundation to Henry Ford Health to build two medical centers to take the fourth spot on the list. Dan Gilbert founded Rocket Mortgage and is chairman of the Cleveland Cavaliers. The couple\u2019s net worth is estimated at nearly $29 billion.
One of the medical centers will be a rehabilitation center at the Henry Ford Hospital in Detroit. The center will serve patients recovering from spinal-cord injuries, stroke, traumatic brain injuries, and other conditions. The Gilberts directed $10 million of the total to create a special fund to pay for rehabilitation care for low-income Detroit residents who have little or no health insurance coverage.
The other medical center, the Nick Gilbert Neurofibromatosis Research Institute, will bring medical professionals and researchers from Henry Ford Health and Michigan State University Health Sciences together to seek a cure for neurofibromatosis, a genetic disorder that causes tumors to grow on nerve pathways throughout the body. Nick Gilbert, the donors\u2019 oldest son, was diagnosed with the disease as a child and devoted much of his life to raising awareness about it. He died in May at age 26.
Coming in at No. 5 is a gift from financier Kenneth Griffin, who gave $300 million through his Kenneth C. Griffin Charitable Fund to back financial aid and a range of other programs within Harvard\u2019s Faculty of Arts and Sciences. Griffin, whose net worth is estimated at roughly $38 billion, has given extensively to his alma mater over the years, including tens of millions of dollars for financial aid for undergraduates.
Griffin made another gift that was among the biggest of 2023. He partnered with the entertainment executive David Geffen to provide $400 million to Memorial Sloan Kettering Cancer Center. Neither philanthropist would disclose the precise amount he gave through his grantmaker so the Chronicle didn\u2019t count those contributions in its rankings.
The Chronicle\u2019s annual rankings are based on the 10 biggest publicly announced gifts. The tally does not include contributions of artwork or gifts from anonymous donors. In March, the Chronicle will unveil its annual ranking of the 50 biggest donors, a list based on philanthropists\u2019 total contributions in 2023 rather than individual gifts.
_____
This article was provided to The Associated Press by The Chronicle of Philanthropy. Maria Di Mento is a senior reporter at the Chronicle. Email: maria.dimento@philanthropy.com. The AP and the Chronicle receive support from the Lilly Endowment for coverage of philanthropy and nonprofits and are solely responsible for this content. For all of AP\u2019s philanthropy coverage, visit https://apnews.com/hub/philanthropy.
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Therefore, the document is only partially relevant to the topic of health." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/01/02/1a0911aba3b59409f660ac6aaee146f9.json b/datasets/AP_news/raw_data/2024/01/02/1a0911aba3b59409f660ac6aaee146f9.json new file mode 100644 index 0000000..e498e14 --- /dev/null +++ b/datasets/AP_news/raw_data/2024/01/02/1a0911aba3b59409f660ac6aaee146f9.json @@ -0,0 +1,186 @@ +{ + "altids": { + "itemid": "1a0911aba3b59409f660ac6aaee146f9", + "etag": "1a0911aba3b59409f660ac6aaee146f9_0a2aza0c0", + "friendlykey": "572681464420", + "referenceid": "UT-Carbon Monoxide Poisoning" + }, + "version": 0, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-01-02T01:29:35Z", + "firstcreated": "2024-01-02T01:29:34Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "signals": [ + "newscontent" + ], + "title": "UT-Carbon Monoxide Poisoning", + "headline": "22 people hospitalized from carbon monoxide poisoning at Mormon church in Utah", + "headline_extended": "Twenty-two people were hospitalized for carbon monoxide poisoning over the weekend at a Church of Jesus Christ of Latter-day Saints church in central Utah", + "slugline": "AP-UT-Carbon Monoxide Poisoning", + "description_summary": "Twenty-two people were hospitalized for carbon monoxide poisoning over the weekend at a Church of Jesus Christ of Latter-day Saints church in central Utah. Authorities said that emergency personnel initially responded to two medical calls on Sunday at the church in the small community of Monroe. After a third call involving a family with headaches, the Monroe City Fire Department checked the building and found elevated levels of carbon monoxide, prompting the evacuation of the church. More people reported being ill later in the evening and police said in all 22 individuals were taken to out-of-area hospitals with hyperbaric chambers where the victims could be treated. The source of the poisoning had not been determined.", + "bylines": [ + { + "by": "Associated Press" + } + ], + "located": "MONROE, Utah", + "datelinelocation": { + "city": "Monroe", + "countryareacode": "UT", + "countryareaname": "Utah", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -112.11985, + 38.62291 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. 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Emergency personnel initially responded to two medical calls on Sunday at the church in the small city of Monroe, the Sevier County Sheriff\u2019s Office said. The calls involved a four-year-old girl with breathing problems and a man who was feeling sick.
After a third call involving a family with headaches, the Monroe City Fire Department checked the building and found elevated levels of carbon monoxide, prompting the church to be evacuated.
More people reported being ill later in the evening and police said in all 22 individuals were taken to out-of-area hospitals with hyperbaric chambers where the victims could be treated.
The source of the carbon monoxide poisoning had not been determined.
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However, it is a specific event rather than a broader discussion on health topics." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/01/02/1a257ab09aeeb6528ccca2f70363577c.json b/datasets/AP_news/raw_data/2024/01/02/1a257ab09aeeb6528ccca2f70363577c.json new file mode 100644 index 0000000..91bb5fe --- /dev/null +++ b/datasets/AP_news/raw_data/2024/01/02/1a257ab09aeeb6528ccca2f70363577c.json @@ -0,0 +1,225 @@ +{ + "altids": { + "itemid": "1a257ab09aeeb6528ccca2f70363577c", + "etag": "1a257ab09aeeb6528ccca2f70363577c_0a10aza0c0", + "friendlykey": "808598768424", + "referenceid": "US-MED--Abortion Pill-Advance Purchase" + }, + "version": 0, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-01-02T16:01:13Z", + "firstcreated": "2024-01-02T16:01:12Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: With AP Photos.", + "signals": [ + "newscontent" + ], + "title": "US-MED--Abortion Pill-Advance Purchase", + "headline": "US women are stocking up on abortion pills, especially when there is news about restrictions", + "headline_extended": "New research shows thousands of women in the U.S. have stocked up on abortion pills just in case they need them", + "slugline": "AP-US-MED--Abortion Pill-Advance Purchase", + "description_summary": "New research shows thousands of women in the U.S. have stocked up on abortion pills just in case they need them. The demand peaks when court decisions might threaten access to the medications. The research was published Tuesday in the journal JAMA Internal Medicine. The authors looked at requests for abortion pills from people who weren\u2019t pregnant to Aid Access, which is an online telemedicine service. Advance requests were highest following the May 2022 news leak that the U.S. Supreme Court would overturn Roe v. Wade. The average number of daily requests shot up nearly tenfold at that point.", + "bylines": [ + { + "by": "By LAURA UNGAR", + "title": "AP Science Writer" + } + ], + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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Medication abortion accounts for more than half of all abortions in the U.S., and typically involves two drugs: mifepristone and misoprostol. A research letter published Tuesday in JAMA Internal Medicine looked at requests for these pills from people who weren\u2019t pregnant and sought them through Aid Access, a European online telemedicine service that prescribes them for future and immediate use.
Aid Access received about 48,400 requests from across the U.S. for so-called \u201cadvance provision\u201d from September 2021 through April 2023. Requests were highest right after news leaked in May 2022 that the Supreme Court would overturn Roe v. Wade \u2014 but before the formal announcement that June, researchers found.
Nationally, the average number of daily requests shot up nearly tenfold, from about 25 in the eight months before the leak to 247 after the leak. In states where an abortion ban was inevitable, the average weekly request rate rose nearly ninefold.
\u201cPeople are looking at looming threats to reproductive health access, looming threats to their reproductive rights, and potentially thinking to themselves: How can I prepare for this? Or how can I get around this or get out ahead of this?\u201d said Dr. Abigail Aiken, an associate professor at the University of Texas at Austin and one of the letter's authors.
Daily requests dropped to 89 nationally after the Supreme Court decision, the research shows, then rose to 172 in April 2023 when there were conflicting legal rulings about the federal approval of mifepristone. The Supreme Court is expected to rule on limits on the drug this year.
Co-author Dr. Rebecca Gomperts of Amsterdam, director of Aid Access, attributed this spike to greater public awareness during times of uncertainty.
Researchers found inequities in who is getting pills in advance. Compared with people requesting pills to manage current abortions, a greater proportion were at least 30 years old, white, had no children and lived in urban areas and regions with less poverty.
Advance provision isn\u2019t yet reaching people who face the greatest barriers to abortion care, said Dr. Daniel Grossman, an OB-GYN at the University of California, San Francisco, who was not involved in the research.
\u201cIt\u2019s not surprising that some people would want to have these pills on hand in case they need them, instead of having to travel to another state or try to obtain them through telehealth once pregnant,\" he added in an email, also saying more research is needed into the inequities.
Recently, Aiken said, some other organizations have started offering pills in advance.
\u201cIt\u2019s a very new idea for a lot of folks because it\u2019s not standard practice within the U.S. health care setting,\u201d she said. \u201cIt will actually be news to a lot of people that it\u2019s even something that is offered.\u201d
___
The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute\u2019s Science and Educational Media Group. The AP is solely responsible for all content.
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With AP Photos.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "REL--Dominican Republic Sex Education Clubs", + "headline": "How Dominican women fight child marriage and teen pregnancy while facing total abortion bans", + "headline_extended": "The Dominican Republic is one of four Latin American countries criminalizing abortion without exceptions", + "slugline": "AP-REL--Dominican Republic Sex Education Clubs, 2nd Ld-Writethru", + "description_summary": "The Dominican Republic is one of four Latin American countries criminalizing abortion without exceptions. Activists' concerns, though, go beyond the impossibility of terminating a pregnancy. Some local organizations claim that poverty forces some mothers to marry their 14- or 15-year-old daughters to men up to 50 years older. Stigma makes it difficult for youngsters to access contraception and families remain silent regarding sexual abuse. To spare girls from facing these issues, some activists have developed \u201cteenage clubs\u201d, which gather adolescents to talk about sexual and reproductive rights, self-esteem, gender violence, finances and other topics. The goal? To empower future generations of Dominican women.", + "bylines": [ + { + "by": "By MAR\u00cdA TERESA HERN\u00c1NDEZ", + "title": "Associated Press" + } + ], + "located": "AZUA, Dominican Republic", + "datelinelocation": { + "city": "Azua", + "countrycode": "DOM", + "countryname": "Dominican Republic", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -70.8, + 18.58333 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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was a busy Saturday morning at Marcia Gonz\u00e1lez\u2019s church. A bishop was visiting, and normally she would have been there helping with logistics, but on this day she was teaching sex education at a local school.
\u201cI coordinate activities at the church and my husband is a deacon,\u201d Gonz\u00e1lez said. \u201cThe bishop comes once a year and children are being confirmed, but I am here because this is important for my community.\u201d
For 40 years, Gonz\u00e1lez and her husband have pushed for broader sex education in the Dominican Republic, one of four Latin American nations that criminalizes abortion without exceptions. Women face up to 2 years in prison for having an abortion; penalties for doctors or midwives range from 5 to 20 years.
With a Bible on its flag, the Caribbean country has a powerful lobby of Catholics and evangelicals who are united against decriminalizing abortion.
President Luis Abinader committed to the decriminalization of abortion as a candidate in 2020, but his government hasn\u2019t acted on that pledge. For now, it depends on whether he is re-elected in May.
To help girls prevent unplanned pregnancies in this context, Gonz\u00e1lez and other activists have developed \u201cteenage clubs,\u201d where adolescents learn about sexual and reproductive rights, self-esteem, gender violence, finances and other topics. The goal is to empower future generations of Dominican women.
Outside the clubs, sex education is often insufficient, according to activists. Close to 30% of adolescents don\u2019t have access to contraception. High poverty levels increase the risks of facing an unwanted pregnancy.
For the teenagers she mentors, Gonz\u00e1lez\u2019s concerns also go beyond the impossibility of terminating a pregnancy.
According to activists, poverty forces some Dominican mothers to marry their 14 or 15-year-old daughters to men up to 50 years older. Nearly 7 out of 10 women suffer from gender violence such as incest, and families often remain silent regarding sexual abuse.
For every 1,000 adolescents between 15 and 19, 42 became mothers in 2023, according to the United Nations Population Fund. And until 2019, when UNICEF published its latest report on child marriage, more than a third of Dominican women married or entered a free union before turning 18.
Dominican laws have prohibited child marriage since 2021, but community leaders say that such unions are still common because the practice has been normalized and few people are aware of the statute.
\u201cIn my 14-year-old granddaughter\u2019s class, two of her younger friends are already married,\u201d Gonz\u00e1lez said. \u201cMany mothers give the responsibility of their younger children to their older daughters so, instead of taking care of little boys, they run away with a husband.\u201d
Activists hope education can help prevent girls from facing this situation.
\u201cThere are myths that people tell you when you have your period,\u201d said Gabriela D\u00edaz, 16, during a recent encounter organized by the Women\u2019s Equality Center. \u201cThey say that we are dirty or we have dirty blood, but that is false. We are helping our body to clean itself and improve its functions.\u201d
D\u00edaz calls Gonz\u00e1lez \u201cgodmother,\u201d a term applied by Plan International to community leaders who implement the programs of this UK-based organization, which promotes children\u2019s rights.
According to its own data, San Crist\u00f3bal and Azua, where Gonz\u00e1lez lives, are the Dominican cities with the highest rates of teenage pregnancy and child marriage.
To address this, its clubs accept girls between 13 and 17. Each group meets 2 hours per week, welcomes up to 25 participants and is led by volunteers like Gonz\u00e1lez.
In San Cristobal, also in southern Dominican Republic, the National Confederation of Rural Women (CONAMUCA) sponsors teenage clubs of its own.
\u201cCONAMUCA was born to fight for land ownership, but the landscape has changed, and we have integrated new issues, such as food sovereignty, agrarian reform, and sexual and reproductive rights,\u201d said Lidia Ferrer, one of its leaders.
Its clubs gather 1,600 girls in 60 communities, Ferrer said. The topics they study vary from region to region, but among the recurring ones are adolescent pregnancy, early unions and feminicide.
\u201cThe starting point is our own reality,\u201d said Kathy Cabrera, who joined CONAMUCA clubs at age 9 and two decades later takes new generations under her wing. \u201cIt\u2019s how we live and suffer.\u201d
Migration is increasingly noticeable in rural areas, Cabrera said. Women are forced to walk for miles to attend school or find water, and health services fail in guaranteeing their sexual and reproductive rights.
\u201cWe have a government that tells you \u2019Don\u2019t have an abortion\u2019 but does not provide the necessary contraception to avoid it.\u201d
She has witnessed how 13-year-old girls bear the children of 65-year-old men while neither families nor authorities seem to be concerned. On other occasions, she said, parents \u201cgive away\u201d their daughters because they cannot support them or because they discover that they are no longer virgins.
\u201cIt\u2019s not regarded as sexual abuse because, if my grandmother got pregnant and married at an early age, and my great-grandmother too and my mother too, then it means I should too,\u201d Cabrera said.
In southern Dominican communities, most girls can relate to this, or know someone who does.
\u201cMy sister got pregnant at 16 and that was very disturbing,\u201d said 14-year-old Laura P\u00e9rez. \u201cShe got together with a person much older than her, and they have a baby. I don\u2019t think that was right.\u201d
The clubs\u2019 dynamics change as needed to create safe and loving environments for girls to share what they feel. Some sessions kick off with relaxation exercises and others with games.
Some girls speak proudly of what they have learned. One of them mentioned she confronted her father when he said she shouldn\u2019t cut any lemons from a tree while menstruating. Another said that her friends always go to the bathroom in groups, to avoid safety risks. They all regard their godmothers as mentors who have their backs.
\u201cThey call me to confide everything,\u201d Gonz\u00e1lez said. \u201cI am happy because, in my group, no girl has become pregnant.\u201d
Many girls from teenage clubs have dreams they want to follow. Francesca Montero, 16, would like to become a pediatrician. Perla Infante, 15, a psychologist. Lomel\u00ed Arias, 18, a nurse.
\u201cI want to be a soldier!\u201d shouted Laura P\u00e9rez, the 14-year-old who wants to be careful not to following her sister\u2019s footsteps.
\u201cI was undecided, but when I entered CONAMUCA I knew I wanted to become a soldier. In here we see all these women who give you strength, who are like you, but as a guide,\u201d P\u00e9rez said. \u201cIt\u2019s like a child seeing an older person and thinking: \u2019When I grow up, I want to be like that.\u2019\u201d
___
Associated Press religion coverage receives support through the AP\u2019s collaboration with The Conversation US, with funding from Lilly Endowment Inc. The AP is solely responsible for this content.
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These topics are highly relevant to the broader topic of health, as they address significant public health concerns and the impact of socio-cultural factors on health outcomes." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/01/02/5890252153c3b451b16b62b4aa3fe26d.json b/datasets/AP_news/raw_data/2024/01/02/5890252153c3b451b16b62b4aa3fe26d.json new file mode 100644 index 0000000..eba1625 --- /dev/null +++ b/datasets/AP_news/raw_data/2024/01/02/5890252153c3b451b16b62b4aa3fe26d.json @@ -0,0 +1,222 @@ +{ + "altids": { + "itemid": "5890252153c3b451b16b62b4aa3fe26d", + "etag": "5890252153c3b451b16b62b4aa3fe26d_0a4aza0c0", + "friendlykey": "152122460397", + "referenceid": "REL-Dominican Republic-Abortion-Explainer" + }, + "version": 0, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-01-02T13:02:45Z", + "firstcreated": "2024-01-02T13:02:45Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: With REL-Dominican Republic-Sex Education clubs. With AP Photo.", + "signals": [ + "newscontent" + ], + "title": "REL-Dominican Republic-Abortion-Explainer", + "headline": "What does a total abortion ban look like in Dominican Republic?", + "headline_extended": "In Latin America, only Nicaragua, El Salvador, Honduras and the Dominican Republic maintain total abortion bans", + "slugline": "BC-REL-Dominican Republic-Abortion-Explainer", + "description_summary": "In Latin America, only Nicaragua, El Salvador, Honduras and the Dominican Republic maintain total abortion bans. Decriminalization, though, seems unlikely for Dominican women. Their country keeps an agreement with the Vatican, which implies that Catholicism is the official religion, and anti-abortion groups have clout in Congress. In spite of this, abortion activists keep fighting to try to protect women who already face poverty, gender violence and lack of appropriate health services. Here\u2019s a general look at the country\u2019s ban.", + "bylines": [ + { + "by": "By MAR\u00cdA TERESA HERN\u00c1NDEZ", + "title": "Associated Press" + } + ], + "located": "SANTO DOMINGO, Dominican Republic", + "datelinelocation": { + "city": "Santo Domingo", + "countrycode": "DOM", + "countryname": "Dominican Republic", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -70.66667, + 19 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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Women face up to 2 years in prison for having an abortion, while the penalties for doctors or midwives range from 5 to 20 years. Abortion rights activists argue that the country\u2019s total abortion ban not only restricts women\u2019s reproductive choices but also puts their lives in danger.
Here\u2019s a look at the country\u2019s ban.
No other nation bears a Bible on its flag.
The country\u2019s motto is \u201cGod, Country, Freedom,\u201d and the government holds a concordat, or agreement, with the Vatican, which implies that the official religion is Catholicism, although the constitution allows freedom of worship.
The Catholic Church influences sex education. The \u201cLearning to Love\u201d program, recently implemented by the Ministry of Education, aims to reinforce Catholic values for students.
Catholics and evangelicals are united against decriminalizing abortion and hold sway among legislators. \u201cWe have gained a pro-life majority in Congress,\u201d said anti-abortion activist Marthar\u00eds Rivas. \u201cWe have always contributed to the debates, and bishops approach congressmen to talk.\u201d
No. In the countryside, ancestral knowledge is used to terminate pregnancies with concoctions. Some medical personnel in urban areas facilitate abortions with medications such as misoprostol.
\u201cIt\u2019s not legal, but if someone calls, I know how to handle it,\u201d said a health worker who asked for anonymity to avoid prosecution. \u201cWe use prescriptions. It (misoprostol) is used to treat ulcers, so you can prescribe a B complex, an antacid and there won\u2019t be trouble.\u201d
In addition, there are \u201cacompa\u00f1antes\u201d networks like in Mexico, said activist Sergia Galv\u00e1n.
\u201cIn 1995, we had three clandestine abortion centers, but there came a time when the risks were too high,\u201d Galv\u00e1n said. \u201cHistorically we have had mechanisms, but they are insufficient in the midst of restrictions.\u201d
The situation in public hospitals is extremely delicate, said nurse Francisca Peguero. \u201cWe have seen teenagers dying in emergency rooms because doctors face a dilemma: If they treat them, they might be criminalized.\u201d
According to Peguero, clinics are monitored by police officers who, upon seeing a woman bleeding, can report her.
As a first step, abortion rights activists would like legal abortion access when the woman\u2019s life is at risk, when the pregnancy is the product of rape or incest and when fetal malformations are incompatible with life.
___
Associated Press religion coverage receives support through the AP\u2019s collaboration with The Conversation US, with funding from Lilly Endowment Inc. The AP is solely responsible for this content.
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The administration had issued guidance saying hospitals \u201cmust\u201d provide abortion services if the life of the mother is at risk, citing a 1986 law that requires hospitals to provide stabilizing treatment for anyone who arrives at the emergency room. The ruling affects use of the federal guidance in Texas. Another court has allowed use of the guidance to continue in an Idaho case, now pending at the U.S. Supreme Court.", + "bylines": [ + { + "by": "By KEVIN McGILL", + "title": "Associated Press" + } + ], + "located": "NEW ORLEANS", + "datelinelocation": { + "city": "New Orleans", + "countryareacode": "LA", + "countryareaname": "Louisiana", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -90.07507, + 29.95465 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. 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It's one of numerous cases involving abortion restrictions that have played out in state and federal courts after the U.S. Supreme Court ended abortion rights in 2022. The administration issued guidance that year saying hospitals \u201cmust\u201d provide abortion services if there's a risk to the mother's life, citing the Emergency Medical Treatment and Labor Act of 1986, which requires emergency rooms to provide stabilizing treatment for anyone who arrives at the emergency room.
Texas state courts have also been brought separate cases about when abortion must be allowed there, despite bans on it under most circumstances. The Texas Supreme Court ruled last month against a woman who asked for permission to abort a fetus with a fatal diagnosis. The same court heard arguments in November on behalf of women who were denied abortions despite serious risks to their health if they continued their pregnancies; the justices have not ruled on that case.
Abortion opponents have challenged the emergency care law guidance in multiple jurisdictions. In Texas, the state joined abortion opponents in a lawsuit to stop the guidance from taking effect and won at the district court level. The Biden administration appealed to the 5th U.S. Circuit Court of Appeals, which has jurisdiction in Texas, Louisiana and Mississippi. But the appeal was rejected in Tuesday's ruling by a unanimous three-judge panel.
The ruling said the guidance cannot be used to require emergency care abortions in Texas or by members of two anti-abortion groups that filed suit \u2014 the American Association of Pro-Life Obstetricians & Gynecologists and the Christian Medical & Dental Associations. The California-based 9th Circuit has allowed use of the guidance to continue in an Idaho case, which is pending at the U.S. Supreme Court.
Opponents of the guidance said Texas law already allows abortions to save the life of the mother, but that the federal guidance went too far, calling for abortions when an emergency condition is not present and eliminating obligations to treat the unborn child.
The 5th Circuit panel sided with Texas. The opinion said language in the 1986 emergency care law requires hospitals to stabilize the pregnant woman and her fetus.
\u201cWe agree with the district court that EMTALA does not provide an unqualified right for the pregnant mother to abort her child especially when EMTALA imposes equal stabilization obligations,\u201d said the opinion written by Judge Kurt Engelhardt.
In the appellate hearing last November, a U.S. Justice Department attorney arguing for the administration said the guidance provides needed safeguards for women, and that the district court order blocking the use of the guidance was an error with \u201cpotentially devastating consequences for pregnant women within the state of Texas.\u201d
The panel that ruled Tuesday included Engelhardt and Cory Wilson, nominated to the court by former President Donald Trump, and Leslie Southwick, nominated by former President George W. Bush.
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Hines miraculously survived his suicide attempt at age 19 in September 2000 as he struggled with bipolar disorder, one of about 40 people who survived after jumping off the bridge.
Hines, his father, and a group of parents who lost their children to suicide at the bridge relentlessly advocated for a solution for two decades, meeting resistance from people who did not want to alter the iconic landmark with its sweeping views of the Pacific Ocean and San Francisco Bay.
On Wednesday, they finally got their wish when officials announced that crews have installed stainless-steel nets on both sides of the 1.7-mile (2.7-kilometer) bridge.
\u201cHad the net been there, I would have been stopped by the police and gotten the help I needed immediately and never broken my back, never shattered three vertebrae, and never been on this path I was on,\u201d said Hines, now a suicide prevention advocate. \u201cI\u2019m so grateful that a small group of like-minded people never gave up on something so important.\u201d
Nearly 2,000 people have plunged to their deaths since the bridge opened in 1937.
City officials approved the project more than a decade ago, and in 2018 work began on the 20-foot-wide (6-meter-wide) stainless steel mesh nets. But the efforts to complete them were repeatedly delayed until now.
The nets \u2014 placed 20 feet (6 meters) down from the bridge\u2019s deck \u2014 are not visible from cars crossing the bridge. But pedestrians standing by the rails can see them. They were built with marine-grade stainless steel that can withstand the harsh environment that includes salt water, fog and strong winds that often envelop the striking orange structure at the mouth of the San Francisco Bay.
\u201cWe have a continuous physical suicide barrier installed the full length of the 1.7-mile bridge on the east and the west side. The bridge is sealed up,\u201d said Dennis Mulligan, general manager of the Golden Gate Bridge, Highway and Transportation District.
The barriers are already working as intended, he added.
As the project neared completion in 2023, the number of people who jumped fell from an annual average of 30 to 14, with the deaths in the spots where crews had not finished installing the barriers yet, he said.
Some people still jumped into the net, and crews then helped them out of there. A handful of them jumped into the ocean from the net and died, he added.
The nets are meant to deter a person from jumping and curb the death rate of those who still do, though they will likely be badly injured.
\u201cIt's stainless-steel wire rope netting, so it\u2019s like jumping into a cheese grater,\u201d Mulligan said. \u201cIt\u2019s not soft. It\u2019s not rubber. It doesn\u2019t stretch.\u201d
\u201cWe want folks to know that if you come here, it will hurt if you jump,\u201d he added.
Firefighters in both San Francisco and Marin counties are being trained to climb down and rescue anyone who jumps into the nets. For now, ironworkers who maintain the bridge and are trained in rescue techniques perform many of the rescues. On the deck, members of a bridge patrol work to spot people considering suicide and prevent them from jumping. Last year, they dissuaded 149 people from jumping, Mulligan said.
Bridge officials were first asked to do something about the suicides shortly after the bridge opened eight decades ago. But it was a small group of parents, including Hines' father, Patrick, who formed the Bridge Rail Foundation in 2006 and got the job done.
The name stems from the group's demand that the 4-foot-high (1-meer) railing along the bridge be raised. Its members often showed up at bridge meetings clutching large photos of their loved ones.
But a public comment campaign showed most people didn't want to raise the railing because it would block the sweeping views from the bridge.
An architectural firm recommended the nets based on the success a similar net had in preventing suicides in Bern, Switzerland, where officials installed one at a popular terrace overlooking a river, said Paul Muller, president of the Bridge Rail Foundation.
In 2008, bridge officials began exploring the idea of installing nets and after settling on a design, officials had to come up with the money to build them. In 2014, Golden Gate Bridge, Highway and Transportation District officials approved the project for $76 million.
Construction costs have risen to $224 million, Mulligan said. In a lawsuit filed against the district that year, Shimmick Construction Co. and Danny\u2019s Construction Co., the lead contractors on the project, said the nets and other work on the bridge as part of the project would cost about $400 million.
Changes and flaws in the government\u2019s design of the nets and deterioration of the bridge\u2019s maintenance platforms raised the construction price, the companies said. The contractors say they have lost approximately $100 million on the project and spent another $100 million to pay expenses and laborers to ensure the project\u2019s completion.
\u201cAt no point did we let the litigation, or the fact that we haven\u2019t been paid everything we are owed, get in the way of the work,\u201d Steve Richards, CEO of Shimmick, said in a statement.
\u201cOur dispute is with the District,\u201d he added. \u201cThe people of California should not be deprived of the safety netting because of the District\u2019s behavior.\u201d
A hearing on the dispute is scheduled for June. Mulligan said the bridge district filed a countersuit in October.
Critics of the project say a lot of money is being spent on the nets to deter people who are determined to end their lives and who will simply find another method to do it.
But supporters of the nets, including the Bridge Rail Foundation, point to studies by Harvard University and the University of California, Berkeley that show that most survivors will not try to kill themselves again. They say stopping easy access to lethal means is crucial to preventing suicides.
Dayna Whitmer, whose son, Matthew, jumped to his death from the Golden Gate Bridge in 2007, said she believes her son, whose body was never recovered, would have been deterred by the nets.
\u201cA lot of people, when they\u2019re that focused on a method, they don\u2019t see anything else around them,\u201d she said. \u201cAnd if they get to that point where they can\u2019t do it, they kind of just throw their hands up and sort of walk away. And I\u2019m thinking that\u2019s something he would have done.\u201d
___
Associated Press reporter Haven Daley contributed to this story.
___
This story includes discussion of suicide. If you or someone you know needs help, please call the National Suicide Prevention Lifeline at 988.
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EDITS: Fixes typo in paragraph 4.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "VT-XGR--Vermont Legislature", + "headline": "Flood recovery, public safety, opioid crisis and housing are Vermont Legislature's top priorities", + "headline_extended": "Vermont lawmakers have returned to the Statehouse and legislative leaders say recovery from July's catastrophic flooding, climate resiliency, improving public safety and creating more affordable housing are the top priorities of this year's session", + "slugline": "BC-VT-XGR--Vermont Legislature, 2nd Ld-Writethru", + "description_summary": "Vermont lawmakers have returned to the Statehouse and legislative leaders say recovery from July's catastrophic flooding, climate resiliency, improving public safety and creating more affordable housing are the top priorities of this year's session. Senate President Pro Tempore Philip Baruth told colleagues that the off-session was not a normal one. He says the state had emergencies from flooding to public safety to the opioid epidemic. He says the Legislature is going to have to think bigger about how to avoid and mitigate climate change and flooding as well as balance the budget. He says the challenges are going to be tougher and lawmakers are going to have to work harder this session.", + "bylines": [ + { + "by": "By LISA RATHKE", + "title": "Associated Press" + } + ], + "located": "MONTPELIER, Vt.", + "datelinelocation": { + "city": "Montpelier", + "countryareacode": "VT", + "countryareaname": "Vermont", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -72.57539, + 44.26006 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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(AP) \u2014 Recovery from the catastrophic flooding that hit Vermont this summer, climate resiliency, improving public safety, tackling opioid addiction, and creating more affordable housing are among the top priorities of the legislative session that kicked off Wednesday, legislative leaders said.
The legislative off-session was not a normal one, said Senate President Pro Tempore Philip Baruth, and a range of critical issues need lawmaker\u2019s attention this year.
\u201cWe had emergencies of various kinds around the state,\u201d the Democrat-Progressive told colleagues. \u201cSo our range of choices are going to be little narrower this year than they were last year. And yet we\u2019re going to have to think bigger about how to avoid and mitigate climate change and flooding, we\u2019re going to have dig deeper and we\u2019re going to have to balance the budget, which we always do.\u201d
Multiple bills are being introduced with different strategies to tackle flood recovery and improve climate resiliency, said House Speaker Jill Krowinski.
\"There\u2019s not one magic bill that\u2019s going to solve all of our problems when it comes to the flood recovery and so it\u2019s going to be a combination of things,\" she said in an interview. \u201cIt\u2019s support for families and small businesses that have been impacted, looking at ways to help deal with the water that comes through, through our rivers and dams, and looking at different policies around that.\u201d
The session opens as federal COVID-19 relief funding has ended, which means spending is returning to pre-pandemic levels. Most of the federal money has been committed and there's still a bit that needs to be designated and get out the door, Baruth said.
\u201cFor the first time in the last three or four years, we are going to have to make tougher choices about where to put our money,\u201d he said.
The one-time federal pandemic funds, Krowinski noted, were used for one-time policies and projects.
Concurrently, the state is grappling with rising opioid overdose deaths each year. The number jumped from 111 in 2019 to 237 in 2022. As of September 2023, there were 180 opioid overdose deaths in the state, with three months remaining to tally, according to the latest data from the Vermont Health Department.
Communities experiencing opioid misuse have had problems with needles discarded in public places like parks and greenbelts, said Baruth. \u201cWe have to act on that.\u201d
Legislators will look at a harm reduction bill that will include programs to gather in more needles. They will also consider starting a pilot program \u2014 in communities that are receptive to it \u2014 for overdose prevention centers, which include safe injection sites \u2014 places where people can use heroin and other narcotics under the supervision of trained staff and be revived if they take too much. Republican Gov. Phil Scott has opposed the idea.
Baruth said that like many people, he was skeptical in the past about safe injection sites. However, he said the current rise in overdose deaths and the use of drugs in public needs to be managed and supervised.
\u201cIf they\u2019re going to use let\u2019s control where they use, let\u2019s help them keep the needles safe \u2014 and let\u2019s get them services, wraparound services, while they visit with that site,\u201d Baruth said.
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She said Wednesday that a lot of the women were informed of cancellations by voicemail and hadn\u2019t been offered emotional support or been given explanations for alternative timelines or cost reimbursements. Hospital spokesperson Jessica Pastore says all frozen embryos and eggs remain safe inside cryogenic tanks in the lab, but that lab staff can\u2019t open the tanks until the risk of mold growth inside damp walls is mitigated. She said the process would likely take a month.", + "bylines": [ + { + "by": "By NICK PERRY", + "title": "Associated Press" + } + ], + "located": "MEREDITH, N.H.", + "datelinelocation": { + "city": "Meredith", + "countryareacode": "NH", + "countryareaname": "New Hampshire", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -71.50035, + 43.65757 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. 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(AP) \u2014 Flooding from a burst water main at Boston's Brigham and Women\u2019s Hospital has disrupted services for about 200 patients seeking to have children through in vitro fertilization, leaving some of them devastated.
Alexis Goulette, who runs a private IVF support group on Facebook, said Wednesday that a lot of the women had been informed of cancellations by voicemail and hadn\u2019t been offered emotional support or been given explanations for alternative timelines or cost reimbursements.
Goulette also noted the enormous amount of intense preparation that is required for an embryo transfer.
\u201cAll the medications, the internal ultrasounds, the bloodwork,\u201d she said. \u201cIt can sometimes be every single day for an entire month.\u201d
The disruption has left some of the women burdened with extra costs such as canceled flights or new insurance deductibles as they move into the new year, Goulette added.
The pipe burst about 1 a.m. on Christmas Eve on the eighth floor of Brigham and Women\u2019s during ongoing construction, said hospital spokesperson Jessica Pastore. A significant amount of water was released, affecting multiple areas of the hospital, including the IVF laboratory, she said.
Pastore said all frozen embryos and eggs remain safe inside cryogenic tanks in the lab, but that lab staff can\u2019t open the tanks until the risk of mold growth inside damp walls is mitigated, a process likely to take a month.
Pastore said the hospital had contacted every affected patient. Some procedures, including egg retrievals and fresh embryo transfers, were continuing at a different location, she said.
One woman from New Hampshire said she had begun the IVF process about 16 months ago and was finally ready to go through the embryo transfer procedure when she got the cancellation call on Christmas Day.
\u201cAll the tests, all the procedures, everything that you put your body through, it all comes down to this one day of transferring that embryo to make that baby, to live out the dream that you have had since day 1,\" the woman said. \u201cAnd so getting that phone call was just absolutely devastating. There\u2019s no other words for that.\u201d
The woman said she and her wife wanted to remain anonymous because they were keeping their IVF journey private until they were pregnant.
The woman said that while her fertility clinic had been very communicative, she had been unable to contact anybody from the hospital to get answers. She said at one point she wasn't even able to leave voice messages.
\u201cThere has been no timeline released. There has been no verbal communication from Brigham,\u201d the woman said. \u201cWe\u2019re left in the dark and having to navigate this, with no answers.\u201d
A second woman, who also wanted to remain anonymous because of concerns that using her name could negatively affect her IVF treatment, echoed similar concerns about the hospital's lack of communication and said it should be providing more emotional support.
Pastore said the hospital is providing resources for affected patients, including mental health resources, and the hospital would mitigate financial or insurance costs associated with the flooding.
Brigham, which serves as a teaching hospital for Harvard Medical School, had a flooding event in 2014 that also affected the IVF laboratory.
The hospital is installing water shutoffs on multiple floors in the hospital to prevent the issue from happening again, Pastore said.
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Some new drugs modestly slow Alzheimer's worsening by attacking brain-clogging amyloid plaque, with doses every few weeks for well over a year. In a novel experiment, West Virginia University researchers added the ultrasound tool to three patients' drug doses for six months. In spots in the brain where that shield was opened, more plaque was cleared. The findings were published Wednesday in the New England Journal of Medicine.", + "bylines": [ + { + "by": "By LAURAN NEERGAARD", + "title": "AP Medical Writer" + } + ], + "located": "WASHINGTON", + "datelinelocation": { + "city": "Washington", + "countryareacode": "DC", + "countryareaname": "District of Columbia", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -77.03637, + 38.89511 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. 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The novel experiment was a first attempt in just three patients. But in spots in the brain where the new technology took aim, it enhanced removal of Alzheimer\u2019s trademark brain-clogging plaque, researchers reported Wednesday.
\u201cOur goal is to give patients a head start,\u201d by boosting some new Alzheimer\u2019s treatments that take a long time to work, said Dr. Ali Rezai of West Virginia University\u2019s Rockefeller Neuroscience Institute, who led the study.
At issue is what\u2019s called the blood-brain barrier, a protective lining in blood vessels that prevents germs and other damaging substances from leaching into brain from the bloodstream. But it also can block drugs for Alzheimer\u2019s, tumors and other neurologic diseases, requiring higher doses for longer periods for enough to reach their target inside the brain.
Now scientists are using a technology called focused ultrasound to jiggle temporary openings in that shield. They inject microscopic bubbles into the bloodstream. Next, they beam sound waves through a helmetlike device to a precise brain area. The pulses of energy vibrate the microbubbles, which loosen gaps in the barrier enough for medications to slip in.
Prior small studies have found the technology can safely poke tiny holes that seal up in 48 hours. Now Rezai\u2019s team has gone a step further \u2014 administering an Alzheimer\u2019s drug at the same time.
Some new Alzheimer\u2019s drugs, on the market or in the pipeline, promise to modestly slow worsening of the mind-robbing disease. They're designed to clear away a sticky protein called beta-amyloid that builds up in certain brain regions. But they require IV infusions every few weeks for at least 18 months.
\u201cWhy not try to clear the plaques within a few months?\u201d Rezai said, his rationale for the proof-of-concept study.
His team gave three patients with mild Alzheimer's monthly doses of one such drug, Aduhelm, for six months. Right after each IV, researchers aimed the focused ultrasound on a specific amyloid-clogged part of each patient\u2019s brain, opening the blood brain-barrier so more of that day\u2019s dose might enter that spot.
PET scans show patients\u2019 amyloid levels before and after the six months of medication. There was about 32% greater plaque reduction in spots where the blood-brain barrier was breached compared to the same region on the brain\u2019s opposite side, researchers reported in the New England Journal of Medicine.
This pilot study is elegant but too tiny to draw any conclusions, cautioned Dr. Eliezer Masliah of the National Institute on Aging.
Still, \"it's very exciting, compelling data,\u201d added Masliah, who wasn\u2019t involved with the research. \u201cIt opens the door for more extensive, larger studies definitely.\u201d
Rezai is about to begin another small test of a similar but better proven drug named Leqembi. Eventually large studies would be needed to tell if combining focused ultrasound with Alzheimer\u2019s drugs makes a real difference for patients.
Masliah said it's also important to closely check whether speedier plaque reduction might increase the risk of a rare but worrisome side effect of these new drugs \u2014 bleeding and swelling in the brain.
Alzheimer\u2019s isn\u2019t the only target. Other researchers are testing if breaching the blood-brain barrier could allow more chemotherapy to reach brain tumors, and ways to target other diseases.
___
The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute\u2019s Science and Educational Media Group. The AP is solely responsible for all content.
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Links audio. With AP Photos.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "EU--Britain-Doctors Strike", + "headline": "Thousands of doctors in Britain walk off the job in their longest-ever strike", + "headline_extended": "Thousands of doctors have walked off their jobs in Britain at the start of a six-day strike that's set to be the longest in the history of the state-funded National Health Service", + "slugline": "BC-EU--Britain-Doctors Strike, 3rd Ld-Writethru", + "description_summary": "Thousands of doctors have walked off their jobs in Britain at the start of a six-day strike that's set to be the longest in the history of the state-funded National Health Service. Managers say tens of thousands scheduled appointments and operations will be postponed during the walkout by junior doctors. The doctors form the backbone of hospital and clinic care. They plan to stay off the job until Tuesday morning. Senior doctors and other medics have been drafted to cover for emergencies, critical care and maternity services. Britain has endured a year of rolling strikes across the health sector over the soaring cost of living.", + "bylines": [ + { + "by": "By JILL LAWLESS", + "title": "Associated Press" + } + ], + "located": "LONDON", + "datelinelocation": { + "city": "London", + "countrycode": "GBR", + "countryname": "United Kingdom", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -0.12574, + 51.50853 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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Managers said tens of thousands of appointments and operations will be postponed because of the walkout across England by junior doctors, those in the first years of their careers. The doctors, who form the backbone of hospital and clinic care, plan to stay off the job until 7 a.m. on Tuesday.
Senior doctors and other medics have been drafted to cover for emergency services, critical care and maternity services.
Julian Hartley, chief executive of heath care managers' organization NHS Providers, said the strike came at one of the toughest times of the year for the health service, \u201cimmediately after the Christmas and New Year period because of the pressures the demands, and of course we\u2019ve got flu, we\u2019ve got COVID.
\u201cSo there\u2019s going to be an impact on patients that will be significant,\u201d he said.
Britain has endured a year of rolling strikes across the health sector as staff sought pay rises to offset the soaring cost of living. Unions say wages, especially in the public sector, have fallen in real terms over the past decade, and double-digit inflation in late 2022 and early 2023, fueled by sharply rising food and energy prices, left many workers struggling to pay bills.
The union says newly qualified doctors earn 15.53 pounds ($19.37) an hour \u2014 the U.K. minimum wage is just over 10 pounds an hour \u2014 though salaries rise rapidly after the first year.
On a picket line outside St. Thomas\u2019 Hospital in central London, 28-year-old Dr. Georgia Blackwell said stress and low pay were driving many doctors to take jobs overseas.
\u201cA lot of doctors are moving to Australia \u2014 not just because of the pay, but also the work-life balance is better,\u201d she said.
The walkouts have strained the already stretched health service still struggling to recover from backlogs created by the coronavirus pandemic.
Health Secretary Victoria Atkins said the strikes were having \u201ca serious impact on patients,\u201d with more than 1.2 million appointments rescheduled in the months since the wave of industrial action began.
The impact is difficult to quantify. Some claim that delays in testing and treatment due to the strikes may lie behind an increase in excess deaths in the U.K., which were at their highest in 2023 since the pandemic year of 2020.
There is little firm evidence of a link, however, with factors including COVID-19 and an aging population contributing to an increase in deaths in the U.K. and other countries.
Nurses, ambulance crews and senior doctors have reached pay deals with the government, but the union representing junior doctors has held out, and negotiations broke down late last year. The government says it won\u2019t hold further talks unless doctors call off the strike, while the medics' union, the British Medical Association, says it won\u2019t negotiate unless it receives a \u201ccredible\u201d pay offer.
The government gave the doctors an 8.8% pay raise last year, but the union says it is not enough because junior doctors\u2019 pay has been cut by more than a quarter since 2008.
\u201cThe notion that we\u2019re hellbent on calling strikes and all we want to do is call strikes is not what we want,\u201d said Dr. Vivek Trivedi, co-chair of the British Medical Association\u2019s Junior Doctors Committee. \u201cWhat we want is to negotiate an offer we can put to our members and for our members to accept it.\u201d
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With AP Photos.; AP Video.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "US--MED--Winter Viruses", + "headline": "More hospitals are requiring masks as flu and COVID-19 cases surge", + "headline_extended": "More U.S. hospitals are requiring masks and limiting visitors as health officials face a post-holiday spike in flu and other illnesses", + "slugline": "AP-US--MED--Winter Viruses, 2nd Ld-Writethru", + "description_summary": "More U.S. hospitals are requiring masks and limiting visitors as health officials face a post-holiday spike in flu and other illnesses. New York City last week instituted a mask mandate for the city\u2019s 11 public hospitals. Similar measures were ordered at some hospitals in Los Angeles and Massachusetts. Flu and COVID-19 infections have been increasing for weeks, with high levels of flu-like illness reported in 31 states just before Christmas. Updated national numbers are to be released Friday, but health officials predict infections will grow in many states well into January.", + "bylines": [ + { + "by": "By MIKE STOBBE", + "title": "AP Medical Writer" + } + ], + "located": "NEW YORK", + "datelinelocation": { + "city": "New York", + "countryareacode": "NY", + "countryareaname": "New York", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -74.00597, + 40.71427 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. For other uses, additional clearances may be required." + ], + "keywords": [ + "covid flu hospital masks" + ], + "provider": "AP", + "infosource": [ + { + "name": "AP", + "type": "AP" + } + ], + "subject": [ + { + "rels": [ + "category" + ], + "creator": "Editorial", + "code": "a", + "name": "a" + }, + { + "rels": [ + "category" + ], + "creator": "Editorial", + "code": "n", + "name": "n" + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "084e24e87f00100481c7f571351eed07", + "name": "Flu", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 81 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "cc7a76087e4e10048482df092526b43e", + "name": "Health", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 96 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "b17e2751b26d4523a2c99d79e04747ee", + "name": "COVID-19 pandemic", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 69 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "a4677d70863b4012b846a1b00f5079f5", + "name": "U.S. news", + "creator": "Editorial", + "editorial_subject": "U.S. news", + "rels": [ + "direct" + ], + "relevance": 75 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "f25af2d07e4e100484f5df092526b43e", + "name": "General news", + "creator": "Editorial", + "editorial_subject": "General news", + "rels": [ + "direct" + ], + "relevance": 50 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "cc7a76087e4e10048482df092526b43e", + "name": "Health", + "creator": "Editorial", + "editorial_subject": "Health", + "rels": [ + "direct" + ], + "relevance": 99 + } + ], + "place": [ + { + "scheme": "http://cv.ap.org/id/", + "code": "8345b5f082af10048280df092526b43e", + "name": "Los Angeles", + "creator": "Machine", + "rels": [ + "direct" + ], + "parentids": [ + "789fdd8882af10048263df092526b43e" + ], + "locationtype": { + "code": "9d26a20b35f0484a891740f8189d4c7b", + "name": "City" + }, + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -118.24368, + 34.05223 + ] + }, + "relevance": 52, + "parentnames": [ + "California" + ] + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "bed6942882b310048501df092526b43e", + "name": "Massachusetts", + "creator": "Machine", + "rels": [ + "direct" + ], + "parentids": [ + "661e48387d5b10048291c076b8e3055c" + ], + "locationtype": { + "code": "0ae5eb8e00e04295a4fc209c94bfe6ef", + "name": "State" + }, + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -71.10832, + 42.36565 + ] + }, + "relevance": 52, + "parentnames": [ + "United States" + ] + } + ], + "audiences": [ + { + "code": "82c6a4c46fa0446090a7acaf93159e4c", + "name": "Print", + "type": "AUDPLATFORM" + }, + { + "code": "9add4649b53b4702ba7d9de5d4fa607a", + "name": "Online", + "type": "AUDPLATFORM" + }, + { + "code": "f43adc08760d10048040e6e7a0f4673e", + "name": "National", + "type": "AUDSCOPE" + }, + { + "code": "f4ecf9b0760d10048044e6e7a0f4673e", + "name": "International", + "type": "AUDSCOPE" + }, + { + "code": "f5b16ea8760d10048047e6e7a0f4673e", + "name": "State", + "type": "AUDSCOPE" + }, + { + "code": "661850e07d5b100481f5c076b8e3055c", + "name": "Latin America and Caribbean", + "type": "AUDGEOGRAPHY" + }, + { + "code": "b58f18a082c6100487fbdf092526b43e", + "name": "New York", + "type": "AUDGEOGRAPHY" + }, + { + "code": "b836d07082c610048807df092526b43e", + "name": "New York City", + "type": "AUDGEOGRAPHY" + }, + { + "code": "bed6942882b310048501df092526b43e", + "name": "Massachusetts", + "type": "AUDGEOGRAPHY" + }, + { + "code": "789fdd8882af10048263df092526b43e", + "name": "California", + "type": "AUDGEOGRAPHY" + }, + { + "code": "661e48387d5b10048291c076b8e3055c", + "name": "United States", + "type": "AUDGEOGRAPHY" + } + ], + "associations": { + "1": { + "altids": { + "itemid": "ce86b8a59c1e4313ba5fad5791d794b5" + }, + "type": "picture" + }, + "2": { + "altids": { + "itemid": "6aa812d8362243c58a5a80fe02f48d3c" + }, + "type": "picture" + }, + "3": { + "altids": { + "itemid": "a4f9660d1ed548d995c2d5c3d63f4aeb" + }, + "type": "video" + }, + "4": { + "altids": { + "itemid": "13410a58c63d45a2861532744b7b086b" + }, + "type": "audio" + }, + "5": { + "altids": { + "itemid": "eff53d58d4eb42c0a49a1d49e90f1702" + }, + "type": "audio" + }, + "6": { + "altids": { + "itemid": "9a30719cd2fd484fa0e92075df0c3c9b" + }, + "type": "audio" + } + }, + "body_nitf": "NEW YORK (AP) \u2014 More U.S. hospitals are requiring masks and limiting visitors as health officials face an expected but still nasty post-holiday spike in flu, COVID-19 and other illnesses.
While many experts say this season likely won\u2019t prove to be as deadly as some other recent winters, it still could mean hundreds of thousands of hospitalizations and many thousands of deaths across the country.
New York City last week instituted a mask mandate for the city\u2019s 11 public hospitals. Similar measures were ordered last week at some hospitals in Los Angeles and Massachusetts. Some hospitals reinstated masking rules for employees months ago, in anticipation of a seasonal rush of sick people.
Flu and COVID-19 infections have been increasing for weeks, with high levels of flu-like illness reported in 31 states just before Christmas. Updated national numbers are to be released Friday, but health officials predict infections will grow in many states well into January.
\u201cWhat we're seeing right now, in the first week of January, is really an acceleration \u2014 of flu cases, in particular,\u201d said Dr. Mandy Cohen, director of the Centers for Disease Control and Prevention.
There is some good news. Flu and COVID-19 cases may peak by the end of the month and then drop, Cohen said. Though the flu has been skyrocketing, this year's cases are being caused by a strain that usually doesn\u2019t cause as many deaths and hospitalizations as some other versions. What\u2019s more, signs suggest current flu vaccines are well-matched to the strain.
\u201cI don't think it's going to be overwhelming,\u201d said Dr. William Schaffner, Vanderbilt University infectious diseases expert. He deemed the current season \u201cmoderately severe.\u201d
The CDC is pointing the public to an agency website where people can look up their county, which can help them make decisions about whether to wear masks or take other precautions. Cohen urged people to get vaccinated and to seek treatment for flu and COVID-19.
Vaccinations are down this year, officials say. About 44% of U.S. adults had gotten flu shots by Dec. 23, according to the most recently available CDC vaccination survey data. Only about 19% of U.S. adults were reported to have received an updated COVID-19 shot as of early December.
COVID-19 cases are causing more severe disease than the flu but have been rising less dramatically. Health officials are keeping an eye on JN.1, a new version of the ever-evolving coronavirus. The omicron variant was first detected in the U.S. in September and just before Christmas accounted for an estimated 44% of COVID-19 cases.
The JN.1 variant may spread easier or be better at evading our immune systems, but there is no evidence that it causes more severe disease than other recent variants, health officials say. Current evidence indicates vaccines and antiviral medications work against it.
The CDC also has reported disappointing vaccination rates against another seasonal bug, respiratory syncytial virus, or RSV. That is a common cause of mild cold-like symptoms, but it can be dangerous for infants and older people. RSV cases rose in the fall but appear to have plateaued and are even going down in some places, according to the latest data.
At Hillsdale Hospital in southern Michigan, a 65% increase in respiratory illness activity in late December triggered a limitation to visitors in the birthing center. Only a spouse, a support person and grandparents can visit. They all must wear a mask and not show symptoms of sickness.
The restriction is common for the hospital around this time of year, said Dr. Nichole Ellis, a pediatrician who is the hospital's medical chief of staff. But it\u2019s more difficult this season, she added.
\u201cIn the past, we would have one \u2026 disease that we were tracking or monitoring at one time,\u201d Ellis said. \u201cBut now, babies and children will have multiple diseases at the same time. It\u2019s not that they just have RSV \u2026 but they\u2019re getting RSV and COVID at the same time, or influenza and RSV at the same time because all of the diseases are prevalent in our community.\u201d
___
Kenya Hunter in Atlanta contributed.
___
The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute\u2019s Science and Educational Media Group and the Robert Wood Johnson Foundation. The AP is solely responsible for all content.
", + "textformat": "bx", + "links": [ + { + "href": "https://apnews.com/article/covid-flu-hospital-masks-d15543a3d77a48bf8d985433725c4e75", + "rel": "canonical" + } + ], + "topics": { + "Health": { + "relevance_score": 5, + "reason": "The document discusses the increase in mask requirements and visitor limitations in hospitals due to a surge in flu, COVID-19, and other illnesses. It provides detailed information on the current state of these health issues, vaccination rates, and the impact on hospital policies. This is highly relevant to the topic of health as it covers current health concerns, preventive measures, and public health responses." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/01/04/11c358a462082f3291b8ca91d6e4aad4.json b/datasets/AP_news/raw_data/2024/01/04/11c358a462082f3291b8ca91d6e4aad4.json new file mode 100644 index 0000000..a7297f3 --- /dev/null +++ b/datasets/AP_news/raw_data/2024/01/04/11c358a462082f3291b8ca91d6e4aad4.json @@ -0,0 +1,221 @@ +{ + "altids": { + "itemid": "11c358a462082f3291b8ca91d6e4aad4", + "etag": "11c358a462082f3291b8ca91d6e4aad4_2a3aza0c0", + "friendlykey": "543908026787", + "referenceid": "AL--Medical Marijuana" + }, + "version": 2, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-01-05T02:34:12Z", + "firstcreated": "2024-01-04T21:57:12Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: Adds a quote from court ruling and additional background", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "AL--Medical Marijuana", + "headline": "Alabama judge puts a temporary hold on medical marijuana companies", + "headline_extended": "A judge has temporarily blocked Alabama from issuing licenses to medical marijuana facilities amid an ongoing legal battle over how the state selected the winning companies", + "slugline": "BC-AL--Medical Marijuana, 2nd Ld-Writethru", + "description_summary": "A judge has temporarily blocked Alabama from issuing licenses to medical marijuana facilities amid an ongoing legal battle over how the state selected the winning companies. Montgomery Circuit Judge James Anderson issued a temporary restraining order late Wednesday to stop the Alabama Medical Cannabis Commission from issuing licenses for \u201cintegrated\u201d facilities that grow, transport and sell medical marijuana. Companies that were not selected to receive the licenses have challenged the selection process used by the commission. Anderson said he is sympathetic to concerns about delaying the availability of medical marijuana but said a pause on the licenses is merited.", + "located": "MONTGOMERY, Ala.", + "datelinelocation": { + "city": "Montgomery", + "countryareacode": "AL", + "countryareaname": "Alabama", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -86.29997, + 32.36681 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. 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(AP) \u2014 A judge has temporarily blocked Alabama from issuing licenses to medical marijuana facilities amid an ongoing legal battle over how the state selected the winning companies.
Montgomery Circuit Judge James Anderson issued a temporary restraining order late Wednesday to stop the Alabama Medical Cannabis Commission from issuing licenses for \u201cintegrated\u201d facilities that grow, transport and sell medical marijuana. The coveted licenses will be on hold while he hears a challenge to the selection process.
Companies that were not selected to receive one of the five available integrated licenses have challenged the selection process, saying the commission violated its own rules when selecting winners. The commission has attempted to award the licenses three times and rescinded the first two selections during the legal dispute.
Anderson said he is sympathetic to concerns about delaying the availability of medical marijuana but said a pause on the licenses is merited.
\"While the court understands those parties\u2019 frustrations, the court also notes that all three rounds of awards have been challenged as legally infirm: the first two rounds of awards were abandoned by action of the Commission itself, and now there is a serious question as to whether the third round is also invalid,\u201d Anderson wrote.
The restraining order is the latest development in a legal battle that has plagued the start of Alabama\u2019s medical marijuana program. Alabama lawmakers voted to allow medical marijuana in the state in 2021. Commission officials are aiming to make the products available in 2024 after a series of delays.
\u201cWe remain determined and hopeful that the availability of medical cannabis products, recommended by certified physicians to qualified Alabama patients, is right around the corner,\" Alabama Medical Cannabis Commission Director John McMillan said in a statement.
The Wednesday order only affects the licenses for the facilities that perform multiple functions from \u201cseed to sale.\u201d The judge last week put a hold on licenses for dispensaries in order to hear a similar challenge. The commission has issued licenses for growers, processors, transportation companies and laboratory testing.
McMillan said the delay on having any licensed dispensaries to sell medical marijuana products also delays the ability of Alabama doctors to get certified to recommend medical cannabis to patients. He said the Alabama Board of Medical Examiners requires the issuance of at least one cultivator, processor, secure transporter, and dispensary license before the board will issue medical cannabis certification permits to physicians.
\u201cWe remain hopeful that the Court will swiftly permit the issuance of all licenses awarded by the Commission,\u201d McMillan said.
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Therefore, the document is relevant to the topic of health, but not exclusively focused on health-related outcomes or medical details." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/01/04/1f63e3030abfae307868c31edb608964.json b/datasets/AP_news/raw_data/2024/01/04/1f63e3030abfae307868c31edb608964.json new file mode 100644 index 0000000..01611b9 --- /dev/null +++ b/datasets/AP_news/raw_data/2024/01/04/1f63e3030abfae307868c31edb608964.json @@ -0,0 +1,257 @@ +{ + "altids": { + "itemid": "1f63e3030abfae307868c31edb608964", + "etag": "1f63e3030abfae307868c31edb608964_2a10aza0c0", + "friendlykey": "865346357590", + "referenceid": "US-MED--Child Deaths-Seizures" + }, + "version": 2, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-01-04T23:41:27Z", + "firstcreated": "2024-01-04T21:02:21Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: Links audio; With AP Photos.; AP Video.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "US-MED--Child Deaths-Seizures", + "headline": "Crib videos offer clue to mysterious child deaths, showing seizures sometimes play a role", + "headline_extended": "Crib cameras are offering a clue to a rare but devastating tragedy _ when seemingly healthy young children suddenly die in their sleep and autopsies can\u2019t tell why", + "slugline": "BC-US-MED--Child Deaths-Seizures, 2nd Ld-Writethru", + "description_summary": "Crib cameras are offering a clue to a rare but devastating tragedy _ when seemingly healthy young children suddenly die in their sleep and autopsies can\u2019t tell why. Similar to SIDS in babies, it\u2019s called sudden unexplained death in childhood, or SUDC, when it happens after age 1. In a small study, researchers analyzed video that captured the deaths of seven toddlers and found seizures sometimes play a role. Now they must figure out why. Researchers from NYU Langone Health reported the findings Thursday in the journal Neurology.", + "bylines": [ + { + "by": "By LAURAN NEERGAARD", + "title": "AP Medical Writer" + } + ], + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. For other uses, additional clearances may be required." + ], + "keywords": [ + "child deaths SUDC seizures videos" + ], + "provider": "AP", + "infosource": [ + { + "name": "AP", + "type": "AP" + } + ], + "subject": [ + { + "rels": [ + "category" + ], + "creator": "Editorial", + "code": "l", + "name": "l" + }, + { + "rels": [ + "category" + ], + "creator": "Editorial", + "code": "a", + "name": "a" + }, + { + "rels": [ + "category" + ], + "creator": "Editorial", + "code": "n", + "name": "n" + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "f5c099b87e3810048ae6df092526b43e", + "name": "Medical research", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 60 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "3f7589e084e410048099f2e1c5fd4d03", + "name": "Neurological disorders", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 82 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "084d88a87f00100481c3f571351eed07", + "name": "Common cold", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 38 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "4f95136e072e41c6a81e8fa820e26e9c", + "name": "Children", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 69 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "cc7a76087e4e10048482df092526b43e", + "name": "Health", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 92 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "4bf76cb87df7100483dbdf092526b43e", + "name": "Science", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 47 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "3e37e4b87df7100483d5df092526b43e", + "name": "Lifestyle", + "creator": "Editorial", + "editorial_subject": "Lifestyle", + "rels": [ + "direct" + ], + "relevance": 75 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "cc7a76087e4e10048482df092526b43e", + "name": "Health", + "creator": "Editorial", + "editorial_subject": "Health", + "rels": [ + "direct" + ], + "relevance": 99 + } + ], + "audiences": [ + { + "code": "82c6a4c46fa0446090a7acaf93159e4c", + "name": "Print", + "type": "AUDPLATFORM" + }, + { + "code": "9add4649b53b4702ba7d9de5d4fa607a", + "name": "Online", + "type": "AUDPLATFORM" + }, + { + "code": "f43adc08760d10048040e6e7a0f4673e", + "name": "National", + "type": "AUDSCOPE" + }, + { + "code": "f4ecf9b0760d10048044e6e7a0f4673e", + "name": "International", + "type": "AUDSCOPE" + }, + { + "code": "f5b16ea8760d10048047e6e7a0f4673e", + "name": "State", + "type": "AUDSCOPE" + }, + { + "code": "661850e07d5b100481f5c076b8e3055c", + "name": "Latin America and Caribbean", + "type": "AUDGEOGRAPHY" + }, + { + "code": "b0fa317082b3100484dbdf092526b43e", + "name": "Maryland", + "type": "AUDGEOGRAPHY" + }, + { + "code": "661e48387d5b10048291c076b8e3055c", + "name": "United States", + "type": "AUDGEOGRAPHY" + } + ], + "associations": { + "1": { + "altids": { + "itemid": "1f93b21818994db68d848fccfcb4333f" + }, + "type": "picture" + }, + "2": { + "altids": { + "itemid": "6a9db39a1e7942f9adba0444affcc2b4" + }, + "type": "picture" + }, + "3": { + "altids": { + "itemid": "6c2066dbbd2d4534879a020e15a1b2a4" + }, + "type": "picture" + }, + "4": { + "altids": { + "itemid": "6495fe354b8b45dcbb21e95e29442eba" + }, + "type": "picture" + }, + "5": { + "altids": { + "itemid": "dc06d0d0e1dc4111b37b615e66bac4db" + }, + "type": "picture" + }, + "6": { + "altids": { + "itemid": "ea5b665a65c84941b64d51f440d401f3" + }, + "type": "video" + }, + "7": { + "altids": { + "itemid": "5342288324424570904552d7f04ca42d" + }, + "type": "audio" + } + }, + "body_nitf": "The last bedtime of 17-month-old Hayden Fell\u2019s life was heartbreakingly normal. Crib video shows the toddler in pajamas playing happily as his parents and sister sang \u201cWheels on the Bus\u201d with his twin brother.
The next morning, Hayden\u2019s dad couldn\u2019t wake him. The tot had become one of several hundred seemingly healthy U.S. toddlers and preschoolers each year who suddenly die in their sleep and autopsies can\u2019t tell why. But Hayden\u2019s crib cam was recording all night \u2014 and offered a clue.
Seizures during sleep are a potential cause of at least some cases of sudden unexplained death in childhood, or SUDC, researchers at NYU Langone Health reported Thursday after analyzing home monitoring video that captured the deaths of seven sleeping toddlers.
Similar to SIDS in babies, SUDC is the term when these mysterious deaths occur any time after a child\u2019s first birthday. Little is known about SUDC but some scientists have long suspected seizures may play a role. In addition to some genetics research, scientists also have found that a history of fever-related seizures was about 10 times more likely among the children who died suddenly than among youngsters the same age.
The new study is very small but offers the first direct evidence of a seizure link. Five of the toddlers died shortly after movements deemed to be a brief seizure by a team of forensic pathologists, a seizure specialist and a sleep specialist. A sixth child probably also had one, according to findings published online by the journal Neurology.
\u201cIt\u2019s hard to watch,\u201d said Dr. Orrin Devinsky, an NYU neurologist and the study\u2019s senior author. \u201cWe have video which is in some ways the best evidence we may ever get of what\u2019s happened to these kids.\u201d
The recordings can\u2019t prove fevers triggered the seizures but researchers noted several toddlers had signs of mild infections. One, Hayden, previously had such febrile seizures when he\u2019d catch childhood bugs.
That raises a big question: Fever-related seizures are hugely common in young children, affecting 2% to 5% of tots between ages 6 months and 5 years. While scary, they\u2019re hardly ever harmful. So how could anyone tell if occasionally, they might be a warning of something more serious?
\u201cI thought he would be fine and it was just a matter of letting this run its course,\u201d said Justin Fell, explaining how multiple doctors told the Bel Air, Maryland, family not to worry whenever Hayden had a fever-sparked seizure. Instead, \u201cit was every parent\u2019s nightmare.\u201d
Laura Gould, one of the NYU researchers, understands that agonizing frustration. In 1997 she lost her 15-month-old daughter Maria to what later was named SUDC \u2014 the toddler woke up one night with a fever, was her usual happy self the next morning but died during a nap. Gould later co-founded the nonprofit SUDC Foundation and helped establish NYU's registry of about 300 deaths \u2014 including the first seven videos offered by families \u2014 for research.
Gould doesn't want families to be scared by the new findings \u2014 they won't change advice about febrile seizures. Instead, researchers next will have to determine if it\u2019s possible to tease out differences between those very rare children who die and the masses who are fine after an occasional seizure.
\u201cIf we can figure out the children at risk, maybe we can change their outcome,\" she said.
It\u2019s hard for autopsies to find evidence of a seizure so using video from home monitors to reevaluate deaths \u201cis actually very clever,\u201d said Dr. Marco Hefti, a neuropathologist at the University of Iowa who wasn\u2019t involved with the study but has also investigated SUDC.
\u201cIt\u2019s not that parents need to be stressing out, panicking about every febrile seizure,\u201d he cautioned. But Hefti said it's time for additional research, including animal studies and possibly sleep studies in children, to better understand what's going on.
SUDC is estimated to claim over 400 lives a year in the U.S. Most occur during sleep. And just over half, about 250 deaths a year, are in 1- to 4-year-olds.
Sudden death in babies occurs more often and gets more public attention \u2014 along with more research funding that in turn has uncovered risk factors and prevention advice such as to put infants to sleep on their backs. But SUDC happens to youngsters long past the age of SIDS. The Fells had never even heard of it until Hayden died.
Hayden experienced his first seizure shortly before his first birthday, when a cold-like virus sparked a fever. Additional mild bugs triggered several more but Hayden always rapidly bounced back \u2014 until the night in November 2022 when he died.
Other recent studies, at NYU and by a team at Boston Children\u2019s Hospital, have hunted genetic links to SUDC \u2014 finding that some children harbored mutations in genes associated with heart or brain disorders, including irregular heartbeats and epilepsy.
Heart problems, including those mutations, couldn't explain the deaths of the toddlers in the video study, Devinsky said. He cautioned that far more research is needed but said epilepsy patients sometimes experience difficulty breathing after a seizure that can lead to death \u2014 and raised the prospect that maybe some SIDS deaths could have seizure links, too.
Hayden's mom, Katie Czajkowski-Fell, hopes the video evidence helps finally lead to answers.
\u201cHis life, it was too precious and too important for us to not try and do something with this tragedy.\u201d
___
The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute\u2019s Science and Educational Media Group. The AP is solely responsible for all content.
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Adds more details on earnings, company background, stock information.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "Walgreens-Dividend Cut", + "headline": "Drugstore chain Walgreens cuts quarterly dividend to get more cash to grow its business", + "headline_extended": "Walgreens is chopping its dividend nearly in half as the drugstore chain looks to strengthen its balance sheet", + "slugline": "BC-Walgreens-Dividend Cut, 1st Ld-Writethru", + "description_summary": "Walgreens is chopping its dividend nearly in half as the drugstore chain looks to strengthen its balance sheet. The health care giant said Thursday that reducing its quarterly payout to shareholders to 25 cents per share will help free up capital to spend growing its pharmacy and health care businesses. New CEO Tim Wentworth said in a statement that company leaders believe such growth will ultimately improve shareholder value, but company shares slid in early-morning trading. Walgreens also announced a better-than-expected fiscal first quarter. The chain runs a network of around 13,000 drugstores globally.", + "bylines": [ + { + "by": "By TOM MURPHY", + "title": "AP Health Writer" + } + ], + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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The health care giant said Thursday that reducing its quarterly payout to shareholders to 25 cents per share will help free up capital to spend growing its pharmacy and health care businesses.
New CEO Tim Wentworth said in a statement that company leaders believe such growth \u201cwill ultimately improve shareholder value.\u201d
The new dividend compares to a 48 cents per share payout the company announced in October.
Edward Jones analyst John Boylan said the dividend cut was a necessary move.
\u201cHowever, this is just another step in the financial healing process, and seeing predictable and sustained growth may take time,\u201d he said in an email.
Walgreens also announced on Thursday a better-than-expected fiscal first quarter.
Walgreens Boots Alliance Inc. runs a network of around 13,000 drugstores globally. Most of its locations are in the United States, where its locations are becoming growing sources for care.
The company is working with VillageMD to open primary care practices next to some locations with the idea that drugstores and doctor offices work together to help keep patients healthy. But drugstores remain Walgreens\u2019 main business.
Walgreens, like other drugstores, has struggled with a drop in COVID-19 vaccines and testing, tight reimbursement for prescriptions and pharmacy staffing shortages. The company also is pushing to grow its health care business, a segment that analysts say will take time to develop and turn profitable.
Wentworth said in the company\u2019s earnings statement Thursday that Walgreens is focused on \u201cswift actions to right-size costs and increase cash flow,\u201d and the company is looking at all strategic options to boost shareholder value. He became CEO in October after former leader Rosalind Brewer left the company in late August.
In its fiscal first quarter, Walgreens lost $67 million. Earnings adjusted for one-time items came to 66 cents per share. Sales grew 10% to $36.7 billion.
Analysts expect earnings of 62 cents per share on $34.95 billion in revenue, according to FactSet.
Walgreens also said Thursday that the company was maintaining guidance for the full fiscal year that it laid out in October. The company expects earnings to range between $3.20 and $3.50 per share.
That represents a drop from adjusted earnings of $3.98 per share the company reported in fiscal 2023. Walgreens said challenges in the new fiscal year will include the lower contributions from COVID-19 and a higher tax rate, among other issues.
Analysts expect adjusted earnings of $3.32 per share.
Shares of the Deerfield, Illinois, company slid 7.2% to $23.74 in early trading.
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The drugmaker said Thursday it will use the site, called LillyDirect, to pair visitors with third-party mail-order pharmacies for prescriptions and to care providers through a virtual medical weight-loss clinic. The site also offers a directory for in-person care and help with insulins and migraine treatments. Lilly says the doctors connected through the website are independent and not paid to promote its products, and the drugmaker also isn\u2019t paid to send referrals to them.", + "bylines": [ + { + "by": "By TOM MURPHY", + "title": "AP Health Writer" + } + ], + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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The drugmaker said Thursday it will use the site, called LillyDirect, to pair visitors with third-party mail-order pharmacies for prescriptions and to care providers through a virtual medical weight-loss clinic.
The site also offers a directory for in-person care and help with insulins and migraine treatments.
Lilly says the doctors connected through the website are independent and not paid to promote its products, and the drugmaker also isn\u2019t paid to send referrals to them.
In November, U.S. regulators approved Zepbound, a version of the popular diabetes treatment Mounjaro, to be used as a weight-loss treatment. The drug joins Novo Nordisk\u2019s Wegovy in a hot field for care, chronic weight management.
At least 100 million adults are considered obese in the United States.
Indianapolis-based Lilly started its site to eliminate some of the complexity in the U.S. health care system that people face when they manage a chronic disease, Lilly CEO David Ricks said in a statement.
Drugmakers frequently offer coupons for their drugs or other help getting prescriptions, said Caitlin Donovan, a senior director for the non-profit Patient Advocate Foundation, which helps patients deal with serious or chronic health problems.
Pairing that prescription help with access to doctors in one location is unique, she added.
\u201cAnything that\u2019s going to streamline any type of process is good because we have the least streamlined healthcare system in the world,\u201d Donovan said.
Telemedicine grew popular during the COVID-19 pandemic, and more companies have started offering virtual help directly to consumers for specific conditions, often through subscription plans. This trend has drawn concern from some doctors who see it simply as a push to sell more drugs.
Lilly says the care providers available through LillyDirect will use their own judgement in deciding treatment, and that may not include medication use.
", + "textformat": "bx", + "links": [ + { + "href": "https://apnews.com/article/eli-lilly-website-zepbound-34e7b1fe394f8c61107cff7b4af6f477", + "rel": "canonical" + } + ], + "topics": { + "Health": { + "relevance_score": 5, + "reason": "The document discusses Eli Lilly's launch of a website to connect patients with obesity treatment, including their new drug Zepbound, and other health services. It covers aspects of healthcare such as virtual medical clinics, telemedicine, and the complexity of the U.S. healthcare system. These topics are directly related to health, making the document highly relevant to the topic." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/01/04/461ccb22c80617e6973465bb44b8bc66.json b/datasets/AP_news/raw_data/2024/01/04/461ccb22c80617e6973465bb44b8bc66.json new file mode 100644 index 0000000..8ac7237 --- /dev/null +++ b/datasets/AP_news/raw_data/2024/01/04/461ccb22c80617e6973465bb44b8bc66.json @@ -0,0 +1,202 @@ +{ + "altids": { + "itemid": "461ccb22c80617e6973465bb44b8bc66", + "etag": "461ccb22c80617e6973465bb44b8bc66_0a2aza0c0", + "friendlykey": "388933199862", + "referenceid": "GA--Lawsuit-Mental Health Agencies" + }, + "version": 0, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-01-04T17:18:13Z", + "firstcreated": "2024-01-04T17:18:12Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "signals": [ + "newscontent" + ], + "title": "GA--Lawsuit-Mental Health Agencies", + "headline": "Federal lawsuit seeks to force Georgia mental health agencies to improve care for children", + "headline_extended": "Families who say their children suffered from being institutionalized for prolonged periods are suing three Georgia agencies that provide mental health services", + "slugline": "AP-GA--Lawsuit-Mental Health Agencies", + "description_summary": "Families who say their children suffered from being institutionalized for prolonged periods are suing three Georgia agencies that provide mental health services. 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The lawsuit filed Wednesday in U.S. District Court says the state's shortcomings violate federal law including provisions of the Medicaid Act and the Americans with Disabilities Act. It asks a judge to order the agencies to make improvements to its mental health care system.
\u201cGeorgia\u2019s children belong at home with their families,\" said Ruby Moore, executive director of the nonprofit Georgia Advocacy Office, which represents the families suing the state. \u201cDue to Georgia\u2019s failings, children are unnecessarily thrust into institutions and child welfare.\u201d
The lawsuit names as defendants the leaders of three Georgia agencies \u2014 the Department of Community Health, the Department of Human Services and the Department of Behavioral Health and Developmental Disabilities. Each of the agencies declined comment, The Atlanta Journal-Constitution reported.
The lawsuit says the child plaintiffs have spent long periods institutionalized, leading to worsening symptoms and more frequent trips to hospital emergency rooms and psychiatric care facilities. It says one of the children has been institutionalized 16 times and admitted to emergency rooms 18 times, in part because the state failed to provide sufficient home care.
Attorneys for the families want the court to require the state to perform assessments for children who have been institutionalized multiple times and to provide better remedial care, among other improvements.
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(AP) \u2014 Pregnant people in New York would have 40 hours of paid leave to attend prenatal medical appointments under a new proposal by Gov. Kathy Hochul after the state's legislative session kicked off this week.
The Democrat\u2019s plan to expand the state's paid family leave policy, which would need to be approved by the state Legislature, aims to expand access to high-quality prenatal care and prevent maternal and infant deaths in New York, an issue that especially affects low-income and minority communities.
The U.S. infant mortality rate, a measure of how many babies die before they reach their first birthday, is worse than other high-income countries, which experts have attributed to poverty, inadequate prenatal care and other possibilities. The U.S. rate rose 3% in 2022 \u2014 the largest increase in two decades, according to a 2023 report by the Centers for Disease Control and Prevention.
\u201cWe hope what we're doing in New York will raise the bar for the rest of the nation,\u201d Hochul said Thursday at an event at a hospital in Brooklyn. \u201cConsistent medical care in the early months makes all the difference.\u201d
New York's paid family leave policy currently only applies after a baby is born. If approved, New York would be the first to establish statewide coverage for prenatal care, the governor noted.
In New York, the mortality rate for Black infants was 2.8 times higher than that of white or Hispanic infants in 2019, according to a report issued by the state Department of Health in June that looked at the years 2016 to 2019.
The report also found that people of color are less likely to receive routine medical procedures and experience a low quality of care overall, which drive some of the racial disparities in infant health.
State Assemblywoman Michaelle Solages, a Democrat, said that while she supports the idea, she's concerned about potential cuts to other parts of the existing paid family leave program.
\u201cAt the end of the day, there isn't an amount of unlimited pool of money in the program,\u201d Solages said. \u201cWe have to be smart with the policies we put forward. We have to reform the programs and strengthen parts of it to make sure all families get access to it.\u201d
Hochul's proposal also includes waiving co-pays and other out-of-pocket costs for pregnancy-related benefits for New Yorkers enrolled in certain health plans. She also wants the state to provide funding for free portable cribs for economically disadvantaged New Yorkers in an effort to reduce the number of infant deaths related to unsafe sleep settings.
Additionally, she is proposing that the state launch new initiatives to reduce the rate of unnecessary cesarean sections, which the governor said is performed by some doctors more frequently than recommended.
Mike Whyland, a spokesperson for state Assembly Speaker Carl Heastie, a Democrat, said they'd review the proposal. New York's Legislative session began Wednesday and will end in June.
___
Maysoon Khan is a corps member for the Associated Press/Report for America Statehouse News Initiative. Report for America is a nonprofit national service program that places journalists in local newsrooms to report on undercovered issues. Follow Maysoon Khan on X, formerly known as Twitter.
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That follows a news report that two died and others were sickened after a nurse replaced fentanyl intravenous drips with tap water. The Medford Police Department said Wednesday that officials at Asante Rogue Regional Medical Center reported last month that they believed a former employee had stolen medication and \u201cthere was concern that this behavior resulted in adverse patient care.\" The Oregon Health Authority said it is also investigating reports of tampering that may have caused infections which severely injured or killed several patients.", + "bylines": [ + { + "by": "By CLAIRE RUSH", + "title": "The Associated Press" + } + ], + "located": "PORTLAND, Ore.", + "datelinelocation": { + "city": "Portland", + "countryareacode": "OR", + "countryareaname": "Oregon", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -122.67621, + 45.52345 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. 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(AP) \u2014 Authorities are investigating the theft of medication prescribed to patients at a southern Oregon hospital, police and state medical officials confirmed Wednesday, following a local news report that two people died and others were sickened after a nurse replaced fentanyl intravenous drips with tap water.
Officials at Asante Rogue Regional Medical Center in Medford reported to police early last month that they believed a former employee had stolen medication, Medford Police Lt. Geoff Kirkpatrick said in a statement.
\u201cThere was concern that this behavior resulted in adverse patient care, though the extent of the impact on those patients is yet to be determined,\u201d the statement said.
In a phone interview, Kirkpatrick declined to confirm whether deaths resulted from the medication theft or tampering, saying, \u201cWe\u2019re investigating whether or not that behavior led to adverse patient care, which could be death, could be all sorts of other forms or things. ... We don't know that that resulted in deaths.\u201d
The police statement said the department received numerous calls from individuals asking if they or a family member might have been affected. Asante told police it had identified any patients who were and has notified or is notifying them or their families, the department said.
Neither the hospital nor police would provide further information, and there were no indications an arrest had been made.
\u201cWe were distressed to learn of this issue,\" Asante said in a statement. \"We reported it to law enforcement and are working closely with them.\u201d
The Oregon Health Authority said Wednesday in a statement that it was aware of reports of an Asante nurse \u201calleged to have tampered with pharmaceutical fentanyl used to treat severe pain and introduced tap water in patients' intravenous lines.\u201d It also confirmed it was investigating \u201creports that the incidents led to health care-associated infections that severely injured, and may have caused the deaths of, several patients.\u201d
The Rogue Valley Times reported this week that the families of two patients \u2014 36-year-old Samuel Allison, who died in November 2022, and 74-year-old Barry Samsten, who died in July \u2014 said hospital officials notified them that the deaths were due to infections resulting from their pain medication being replaced with non-sterile tap water.
Relatives of Allison and Samsten did not immediately respond to interview requests from The Associated Press.
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The 700,000-square-foot (65,032-square-meter) former Westside Pavilion, located 2 miles (3.2 kilometers) from the university's Westwood campus, will be called UCLA Research Park.
It will house the California Institute for Immunology and Immunotherapy at UCLA, the UCLA Center for Quantum Science and Engineering, and eventually other programs, the governor said. He said it will take a little over three years to build out the research center and another two years to attract \u201cthe best and the brightest\u201d to work there.
\u201cIt will serve as a state-of-the-art hub of research and innovation that will bring together academics, corporate partners, government agencies and startups to explore new areas of inquiry and achieve breakthroughs that could serve the common good,\u201d UCLA Chancellor Gene Block told a news conference.
The mall shut down years ago. In 2019, Google leased the property and planned to use part of it for office space, a project that never came about. Google helped enable UCLA's acquisition, the university said in a statement.
UCLA did not disclose the cost of the purchase, but Hudson Pacific Properties and the Macerich mixed-use real estate company, which were in a joint venture that owned the location, said it was acquired by the University of California for $700 million.
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Andy Beshear says access to medical marijuana in the state should expand to include more health conditions", + "slugline": "AP-US--XGR--Medical Marijuana-Kentucky", + "description_summary": "Kentucky Gov. Andy Beshear says access to medical marijuana in the state should expand to include more health conditions. He says the change would make 437,000 more Kentuckians eligible for treatment when the program begins next year. The measure passed by lawmakers in 2023 specified that eligible conditions include cancer, multiple sclerosis, chronic pain, epilepsy, chronic nausea and post-traumatic stress disorder. Beshear said Thursday that the list of conditions should grow to include ALS or Lou Gehrig\u2019s disease, Parkinson\u2019s disease, Chron\u2019s disease, sickle cell anemia, cachexia or wasting syndrome, neuropathies, severe arthritis, hepatitis C, fibromyalgia, muscular dystrophy, Huntington\u2019s disease, HIV, AIDS, glaucoma and terminal illness.", + "bylines": [ + { + "by": "By BRUCE SCHREINER", + "title": "Associated Press" + } + ], + "located": "FRANKFORT, Ky.", + "datelinelocation": { + "city": "Frankfort", + "countryareacode": "KY", + "countryareaname": "Kentucky", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -84.87328, + 38.20091 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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(AP) \u2014 Access to medical marijuana in Kentucky should expand to include a longer list of severe health conditions, Gov. Andy Beshear said Thursday in advocating a change that would make hundreds of thousands more people eligible for treatment when the program begins next year.
The measure passed by the GOP-led legislature in 2023 specified that the eligible conditions include cancer, multiple sclerosis, chronic pain, epilepsy, chronic nausea and post-traumatic stress disorder.
The Democratic governor said the law is based on \"providing relief to Kentuckians with severe medical conditions\u201d and should therefore be expanded. He said the list of qualifying conditions should grow to include ALS or Lou Gehrig\u2019s disease, Parkinson\u2019s disease, Chron\u2019s disease, sickle cell anemia, cachexia or wasting syndrome, neuropathies, severe arthritis, hepatitis C, fibromyalgia, muscular dystrophy, Huntington\u2019s disease, HIV, AIDS, glaucoma and terminal illness.
\u201cThis is a crucial set,\u201d Beshear said at his weekly news conference. \u201cWhile the legislation referenced several qualifying conditions, it left others out.\u201d
The expansion would make an estimated 437,000 more Kentuckians eligible, he said.
The governor noted that two advisory boards have recommended that lawmakers expand the list of conditions to include those additional illnesses. One of them, hepatitis C, was recommended by just one of the groups, Beshear said.
The medical cannabis bill cleared the legislature after years of defeats. Beshear quickly signed it into law last March, making it one of the top bipartisan achievements of his first term. The governor won reelection to a second term last November.
Bill supporters cautioned Thursday that any effort to expand the number of eligible conditions would run into resistance in both legislative chambers.
\u201cThis is our initial step,\u201d Republican Sen. Stephen West, the bill\u2019s lead sponsor, said in an interview. \u201cSome people want to be on step five, and you\u2019ve got to walk before you can run.\u201d
One of the most protracted debates last year revolved around which conditions would qualify, and lawmakers \u201cwent back and forth\u201d before reaching consensus, West said.
\u201cI think there will be much consternation if we start tinkering with the list of conditions it covers,\u201d he said.
Republican Rep. Jason Nemes, another prominent supporter, agreed, saying: \u201cI don\u2019t think now is the time to make those adjustments.\" The measure already includes language allowing for the \u201copportunity to make those adjustments when appropriate,\u201d he said in a separate interview.
\"I think what we need to focus on now is getting all the T\u2019s crossed, all the I\u2019s dotted,\u201d Nemes said.
To that end, Beshear announced that his administration has filed its first batch of regulations governing the medical cannabis program. They provide a framework for how medical cannabis businesses \u2014 cultivators, processors, producers and dispensaries \u2014 would operate and offer guidance on how products will be packaged, labeled, transported, advertised and tested, he said.
\u201cThese regulations will ensure that Kentucky\u2019s medical cannabis program is safe and accessible for all patients and to make sure that they are secure for our communities,\u201d the governor said.
Beshear said his administration is on track to get the program launched in 2025.
Lawmakers will review those regulations and others. Additional rules on how Kentuckians can apply for a medical cannabis business license will be issued in coming weeks and months, Beshear said.
In another step toward implementation, the state has launched a commercial zoning tool meant to help medical marijuana businesses determine if a proposed location is legal. The law prohibits such businesses from being within 1,000 feet of a primary or secondary school or day care and allows local governments to issue additional zoning restrictions.
Kentucky joined the majority of other states when it legalized medical marijuana.
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With AP Photos.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "EU--Britain-Doctors-Strike", + "headline": "Striking doctors in England say hospitals haven't shown an urgent need for them to return to work", + "headline_extended": "The longest planned strike in the history of Britain\u2019s state-funded National Health Service has entered its second day of six with doctors in England at loggerheads with hospitals over requests for some to return to work to cover urgent needs", + "slugline": "BC-EU--Britain-Doctors-Strike, 2nd Ld-Writethru", + "description_summary": "The longest planned strike in the history of Britain\u2019s state-funded National Health Service has entered its second day of six with doctors in England at loggerheads with hospitals over requests for some to return to work to cover urgent needs. The British Medical Association said Thursday that hospitals haven't demonstrated they had \u201cexhausted\u201d all other sources of staffing before recalling doctors in the early stages of their careers. Hospital managers said filling out the forms to show they were overwhelmed took time and could undermine patient care. Junior doctors form the backbone of hospital and clinic care in England, and they plan to strike until the morning of Jan. 9.", + "bylines": [ + { + "by": "By PAN PYLAS", + "title": "Associated Press" + } + ], + "located": "LONDON", + "datelinelocation": { + "city": "London", + "countrycode": "GBR", + "countryname": "United Kingdom", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -0.12574, + 51.50853 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. 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The strike is the ninth organized by doctors in the early stages of their careers in just over a year amid an increasingly bitter pay dispute with the British government. Junior doctors form the backbone of hospital and clinic care in England, and plans were laid out before this week's walkout for them to return to work if hospitals got overwhelmed.
The British Medical Association, the union that represents the bulk of the 75,000 or so striking doctors, had agreed with NHS managers on a system for so-called derogations, in which junior doctors return to work in the event of safety concerns about emergency care. Hospitals were expected to show they had \u201cexhausted\u201d all other sources of staffing before recalling the newer physicians.
On Wednesday, the first day of the strike, hospitals made 20 requests for junior doctors to return to work due to patient safety fears. A number of hospitals declared critical incidents, and others warned of significant waits in emergency rooms. None of the requests were granted.
It's unknown how many more appeals came from hospitals on Thursday.
The BMA said the refusal of hospitals to provide the necessary data \u201cis fundamentally undermining the derogation process.\" The NHS Confederation, which represents hospitals, said the form-filling took time and could undermine patient safety.
During the strike, senior doctors, known as consultants, are providing some of the care that their juniors usually provide. But there\u2019s not enough of them to fill the gap and NHS managers have said that tens of thousands of appointments and operations will be postponed because of the walkout.
The strike is taking place at a time when hospital admissions for flu and COVID-19 cases are running at their highest rate this winter, according to figures from the U.K. Health Security Agency.
\u201cThis latest round of strike action will not only have an impact on this week but will have an ongoing effect on the weeks and months ahead as we struggle to recover services and cope with heavy demand,\" NHS England National Medical Director Stephen Powis said.
Britain has endured a year of rolling strikes across the health sector as staff sought pay rises to offset the soaring cost of living.
The BMA says newly qualified doctors earn 15.53 pounds (about $19) an hour \u2014 the U.K. minimum wage is just over 10 pounds (nearly $12.6) an hour \u2014 though salaries rise rapidly after the first year.
Nurses, ambulance crews and consultants have reached pay deals with the government, but negotiations with junior doctors broke down late last year. The government says it won\u2019t hold further talks unless doctors call off the strike, while the BMA says it won\u2019t negotiate unless it receives a \u201ccredible\u201d pay offer.
The government gave the doctors an 8.8% pay raise last year, but the union says it was not enough as pay has been cut by more than a quarter since 2008.
The hunior doctors are due to stay off the job until 7 a.m. on Jan. 9.
Prime Minister Rishi Sunak said NHS leaders, independent of government, had his backing in urging the doctors to return to work.
\u201cThese strikes are disrupting people\u2019s lives,\" he said. \u201cThey are causing an enormous amount of concern to people.\u201d
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Now it's just unlikely.
Georgia House Speaker Jon Burns says he wants lawmakers to consider more health coverage in the state as their session begins Monday. But he\u2019s careful not to label it Medicaid expansion, and certainly not \u201cObamacare.\u201d
\u201cThe speaker is committed to lowering costs and increasing access to healthcare across the state, and will be working closely with members over the coming weeks to develop sound policy to do just that,\u201d Stephen Lawson, a spokesperson for the Newington Republican, said Thursday.
After North Carolina began offering Medicaid to uninsured adults on Dec. 1, there are 10 remaining states that don't cover people with incomes up to 138% of the federal poverty line. That's what was envisioned in President Barack Obama\u2019s 2010 health care overhaul.
Like in Georgia, there's a thaw in Mississippi, where GOP legislative leaders say they're open to extending coverage, even if newly reelected Republican Gov. Tate Reeves remains vocally opposed.
\u201cWe\u2019re fixing to look at every facet of Medicaid expansion, and if it makes sense, we\u2019re going to do it,\u201d Rep. Jason White, newly elected as Mississippi's House speaker, said last week.
But Robin Rudowitz, a KFF vice president who directs the nonprofit group's program on Medicaid and the uninsured, said there's little movement in other states. In Kansas for example, Republican lawmakers are spurning Democratic Gov. Laura Kelly's pro-expansion campaign of events with business leaders, hospital administrators and health advocates.
Kelly argued in a recent interview that she\u2019s addressed every Republican argument opposing expansion and \u201cthere really, truly is no good reason\" not to act.
Like other holdouts, Georgia Republicans long resisted participating. Lawmakers in 2014 even passed a law saying the governor couldn't expand Medicaid without their approval.
In July, Republican Gov. Brian Kemp launched a limited expansion offering coverage to able-bodied adults earning up to the poverty line \u2014 $14,580 for an individual or $24,860 for a family of three. But people must document 80 monthly hours of work, study, rehabilitation or volunteering to be eligible for Georgia's Pathways program, and enrollment has plodded, with fewer than 1,100 people signed up through October.
Opposition to broader expansion in Georgia began publicly wavering in November, when state House members held a hearing on how Arkansas uses Medicaid money to buy private coverage for residents. Like traditional Medicaid, the plan requires copayments of $5 or less for most services while paying medical providers more than Arkansas' traditional Medicaid program.
Republican Arkansas State Sen. Missy Irvin told Georgia lawmakers that Arkansas cut uninsured visits to hospitals and clinics by half, calling it \u201cthe best outcome for Arkansas.\u201d
Advocates of extending health coverage feel hopeful.
\u201cIn the past it has been the Republicans that have said \u2018no\u2019 to Medicaid expansion. Now we see more coming around,\u201d said Monte Veazey, CEO of the Georgia Alliance of Community Hospitals.
KFF projects more than 430,000 uninsured Georgia adults could gain coverage if Medicaid is broadened. Of those, 250,000 don't qualify for subsidies to buy individual policies, leaving them ineligible for both Medicaid and subsidized marketplace policies. Others are eligible for marketplace policies, but haven't enrolled.
Nationwide, KFF estimates 3.5 million uninsured adults would become eligible if all states expanded Medicaid.
Any expansion would come as Georgia and other states are purging millions off the Medicaid rolls who had been retained during the pandemic without proving continuing eligibility. Georgia thus far has removed almost 450,000 people.
Democratic state Sen. Nan Orrock of Atlanta calls Kemp\u2019s refusal to expand while so many are being purged a \u201cfailure of governance.\"
Any Georgia deal could also reduce or eliminate permitting requirements for hospitals and health services. That's been a top priority for Lt. Gov. Burt Jones, the Republican who presides over Georgia's Senate, while the House has balked at loosening certificate of need rules. A similar deal to reduce permitting requirements helped clinch expansion votes last year in North Carolina.
Georgia Senate Majority Leader Steve Gooch says his more ideologically conservative chamber isn't interested in \u201cfull-blown expansion of Medicaid.\" But he suggests an Arkansas-style plan could succeed.
\u201cI believe there\u2019s an appetite there to make some changes to our certificate of need requirements that could include better access for all Georgians to health care facilities and services,\" the Dahlonega Republican said.
Even then, Kemp could veto any plan. He invested years to win a legal fight with President Joe Biden\u2019s administration over the Pathways work requirement. In a 2022 letter to Georgia\u2019s Democratic members of Congress, Kemp called full Medicaid expansion a \u201cfailed one-size-fit-none\u201d policy.
But Kemp could face a difficult renegotiation on Pathways if Biden wins reelection. Georgia sought to extend the program past its September 2025 expiration, saying the legal fight delayed its start. Last month, the federal Centers for Medicare and Medicaid Services said it couldn't consider Georgia's request because the state hadn't met extension requirements, including a public notice and comment period.
Kemp spokesperson Garrison Douglas said Thursday that the governor \u201chas championed and continues to support\u201d Pathways and a linked program that has subsidized private health insurance premiums. He declined to comment on the prospect of a broader expansion.
Kemp wouldn\u2019t necessarily have to sign any proposal. In Georgia, bills not signed or vetoed by the governor can automatically become law.
But without vocal support, Veazey said the inertia of entrenched opposition could defeat expansion. That's especially true because all of Georgia's 236 legislators face 2024 elections.
\u201cWe\u2019ve got to have the leadership to come out with a plan,\" Veazey said. \"They have to have buy-in.\u201d
___
Associated Press writers Sudhin Thanawala in Atlanta, John Hanna in Topeka, Kansas, and Emily Wagster Pettus in Jackson, Mississippi, contributed.
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Eddie Bernice Johnson said Thursday that the trailblazing Texas congresswoman, who died over the weekend at age 89, passed away after getting an infection and accused a Dallas rehabilitation facility of neglect.
Johnson, who was the first registered nurse elected to Congress, died on Dec. 31 at her Dallas home. Les Weisbrod, her family\u2019s attorney and Johnson's longtime friend, said at a news conference that her death was caused by an infection in her spine that developed after she was left in her own feces at Baylor Scott & White Institute for Rehabilitation following back surgery.
Weisbrod said he has given notice to Baylor Scott & White Health System and Baylor Scott & White Institute for Rehabilitation that the family intends to file a lawsuit for medical negligence over her death.
In a statement Thursday, Baylor Scott & White Health called Johnson \u201can inspiration to all,\u201d and said they are committed to working with her family and attorney.
Weisbrod said it\u2019s a case that Johnson herself had asked him to pursue weeks ago after she began suffering from complications from the infection.
\u201cI thought it was going to be a case for the pain that she went through and the additional procedures she went through and the medical bills and that she was going to recover,\" he said. \u201cAnd so it\u2019s very distressing for me that she succumbed to this.\u201d
On Sept. 21, her son found her lying in her own feces and urine at the rehabilitation facility, according to a news release from Weisbrod's office. Kirk Johnson said at the news conference Thursday that he had gone to the facility after his mother called to tell him she was getting no response from the call button. He said he arrived about 10 minutes later.
\u201cDeplorable,\" he said. \u201cShe was being unattended to. She was screaming out in pain and for help.\u201d
The news release said that when Kirk Johnson couldn't find any nurses on the floor, he went to the administration office and the CEO accompanied him to his mother's room. When they arrived, staff members were cleaning up the feces.
The news release said that Eddie Bernice Johnson's orthopedic surgeon noted in his record that Johnson had some complications after the operation after being found in bed sitting in her own feces and three days later she began having \u201ccopious purulent drainage from the low lumbar incision.\u201d
The surgeon performed a surgical repair on the infected wound, and she was moved to a skilled nursing facility on Oct. 18 and went home on hospice care mid-December, the news release said.
The news release said that laboratory wound culture reports showed organisms directly related to feces.
Johnson served in the House for three decades, leaving office last January after repeatedly delaying her retirement. Johnson, who was the first Black chief psychiatric nurse at Dallas\u2019 Veterans Affairs hospital, became the first Black woman to chair the House Committee on Science, Space, and Technology, and she also led the Congressional Black Caucus.
", + "textformat": "bx", + "links": [ + { + "href": "https://apnews.com/article/eddie-bernice-johnson-death-infection-negligence-ee5aab873191923aa6db8b445b760152", + "rel": "canonical" + } + ], + "topics": { + "Health": { + "relevance_score": 3, + "reason": "The document discusses the death of former U.S. Rep. Eddie Bernice Johnson due to medical negligence, which includes details about her infection, the conditions at the rehabilitation facility, and the subsequent legal actions. While the document is primarily focused on a specific incident involving a public figure, it does touch on broader health-related issues such as medical negligence, infection control, and patient care in rehabilitation facilities. These aspects are relevant to the topic of health, but the document is not a comprehensive discussion on health in general." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/01/04/fa30db82d99e6cf223d8a5bf40b2d62f.json b/datasets/AP_news/raw_data/2024/01/04/fa30db82d99e6cf223d8a5bf40b2d62f.json new file mode 100644 index 0000000..d291a44 --- /dev/null +++ b/datasets/AP_news/raw_data/2024/01/04/fa30db82d99e6cf223d8a5bf40b2d62f.json @@ -0,0 +1,308 @@ +{ + "altids": { + "itemid": "fa30db82d99e6cf223d8a5bf40b2d62f", + "etag": "fa30db82d99e6cf223d8a5bf40b2d62f_4a15aza0c0", + "friendlykey": "866164607433", + "referenceid": "US--Assisted Suicide-Vermont" + }, + "version": 4, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-01-04T23:26:51Z", + "firstcreated": "2024-01-04T21:44:08Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: Links audio. With AP Photos.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "US--Assisted Suicide-Vermont", + "headline": "Terminally ill Connecticut woman ends her life on her own terms, in Vermont", + "headline_extended": "A Connecticut woman who pushed for expanded access to Vermont\u2019s law that allows people who are terminally ill to end their lives has died in Vermont", + "slugline": "BC-US--Assisted Suicide-Vermont, 4th Ld-Writethru", + "description_summary": "A Connecticut woman who pushed for expanded access to Vermont\u2019s law that allows people who are terminally ill to end their lives has died in Vermont. Lynda Bluestein, who had terminal cancer, ended her life by taking prescribed lethal medication on Thursday. Her husband says her last words were that she was so happy that she didn't have to suffer anymore. The group Compassion & Choices filed a lawsuit against Vermont in 2022 on behalf of Bluestein. She claimed Vermont\u2019s residency requirement in its medically assisted suicide law violated the U.S. Constitution. The state settled the case last year, allowing Bluestein and later anyone else in her circumstances to take advantage of the law.", + "bylines": [ + { + "by": "By LISA RATHKE", + "title": "Associated Press" + } + ], + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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Lynda Bluestein, who had terminal cancer, ended her life by taking prescribed medication.
Her last words were \u2018I\u2019m so happy I don\u2019t have to do this (suffer) anymore,'\" her husband Paul wrote in an email on Thursday to the group Compassion & Choices, which was shared with The Associated Press.
The organization filed a lawsuit against Vermont in 2022 on behalf of Bluestein, of Bridgeport, Connecticut, and Diana Barnard, a physician from Middlebury. The suit claimed Vermont's residency requirement in its so-called patient choice and control at end of life law violated the U.S. Constitution\u2019s commerce, equal protection, and privileges and immunities clauses.
The state agreed to a settlement last March that allowed Bluestein, who is not a Vermont resident, to use the law to die in Vermont. And two months later, Vermont made such accommodations available to anyone in similar circumstances, becoming the first state in the country to change its law to allow terminally ill people from out of state to take advantage of it to end their lives.
\"Lynda was an advocate all the way through, and she wanted access to this law and she had it, but she and everybody deserves to have access much closer to home because the need to travel and to make arrangements around the scheduling to come to Vermont is not something that we wish for people to have, \" Barnard said.
Barnard said it's a sad day because her life came to an end, \"But more than a silver lining is the beauty and the peace that came from Lynda having a say in what happened at the very end of her life.\u201d
Ten states allow medically assisted suicide but before Vermont changed its law only one state \u2014 Oregon \u2014 allowed non-residents to do it, by not enforcing the residency requirement as part of a court settlement. Oregon went on to remove that requirement this past summer.
Vermont\u2019s law, in effect since 2013, allows physicians to prescribe lethal medication to people with an incurable illness that is expected to kill them within six months.
Supporters say the law has stringent safeguards, including a requirement that those who seek to use it be capable of making and communicating their health care decision to a physician. Patients are required to make two requests orally to the physician over a certain timeframe and then submit a written request, signed in the presence of two or more witnesses who aren\u2019t interested parties. The witnesses must sign and affirm that patients appeared to understand the nature of the document and were free from duress or undue influence at the time.
Others express moral opposition to assisted suicide and say there are no safeguards to protect vulnerable patients from coercion.
Bluestein, a lifelong activist, who advocated for similar legislation to be passed in Connecticut and New York, which has not happened, wanted to make sure she didn't die like her mother, in a hospital bed after a prolonged illness. She told The Associated Press last year that she wanted to pass away surrounded by her husband, children, grandchildren, wonderful neighbors, friends and dog.
\u201cI wanted to have a death that was meaningful, but that it didn\u2019t take forever ... for me to die,\u201d she said.
\u201cI want to live the way I always have, and I want my death to be in keeping with the way I wanted my life to be always,\u201d Bluestein said. \u201cI wanted to have agency over when cancer had taken so much for me that I could no longer bear it. That\u2019s my choice.\u201d
\u2014\u2014\u2014-
Rathke reported from Marshfield, Vt.
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The document also touches on the broader implications for similar laws in other states and the safeguards in place to protect patients, making it highly relevant to the topic of health." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/01/05/028cab262ca8ec817cc7ff745a83387f.json b/datasets/AP_news/raw_data/2024/01/05/028cab262ca8ec817cc7ff745a83387f.json new file mode 100644 index 0000000..d99573c --- /dev/null +++ b/datasets/AP_news/raw_data/2024/01/05/028cab262ca8ec817cc7ff745a83387f.json @@ -0,0 +1,213 @@ +{ + "altids": { + "itemid": "028cab262ca8ec817cc7ff745a83387f", + "etag": "028cab262ca8ec817cc7ff745a83387f_1a6aza0c0", + "friendlykey": "844834397647", + "referenceid": "US-MED--Winter Viruses" + }, + "version": 1, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-01-05T22:52:27Z", + "firstcreated": "2024-01-05T19:30:27Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: With AP Photos.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "US-MED--Winter Viruses", + "headline": "Flu and COVID infections got worse over the holidays, with more misery expected, CDC says", + "headline_extended": "The flu season in the U.S. is getting worse with 38 states reporting high or very high levels for respiratory illnesses", + "slugline": "BC-US-MED--Winter Viruses, 1st Ld-Writethru", + "description_summary": "The flu season in the U.S. is getting worse with 38 states reporting high or very high levels for respiratory illnesses. 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New government data posted Friday for last week \u2014 the holiday week between Christmas and New Year's \u2014 show 38 states with high or very high levels for respiratory illnesses with fever, cough and other symptoms. That's up from 31 states the week before.
The measure likely includes people with COVID-19, RSV and other winter viruses, and not just flu. But flu seems to be increasing most dramatically, according to the Centers for Disease Control and Prevention.
\u201cWe expect it to be elevated for several more weeks,\u201d said the CDC's Alicia Budd. So far, though, this is a moderate flu season, she said.
Interpreting flu reports during and after the holidays can be tricky, she noted. Schools are closed. More people are traveling. Some people may be less likely to go see a doctor, deciding to just suffer at home. Others may be more likely to go.
The flu season generally peaks between December and February; CDC Director Dr. Mandy Cohen said she expects it to peak by the end of this month. Officials say this season's flu shots are well-matched to the strain that is spreading the most.
According to CDC estimates, since the beginning of October, there have been at least 10 million illnesses, 110,000 hospitalizations, and 6,500 deaths from flu so far this season. The agency said 27 children have died of flu.
COVID-19 illnesses may not be as escalating as quickly as flu this winter. CDC data indicates coronavirus-caused hospitalizations haven't hit the same levels they did at the same point during the last three winters. Still, COVID-19 is putting more people in the hospital than flu, CDC data shows.
Lauren Ancel Meyers of the University of Texas, said the nation is seeing a second rise in COVID-19 after a smaller peak in September.
\"There is a lot of uncertainty about when and how high this current surge will peak,\u201d said Meyers, who runs a team that forecasts COVID-19, flu and RSV trends
A new version of the coronavirus, called JN.1, is accounting for nearly two-thirds of U.S. cases, according to a CDC estimate. But health officials say there's no evidence that that it causes more severe disease than other recent variants,
___
The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute\u2019s Science and Educational Media Group. The AP is solely responsible for all content.
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Mike DeWine has signed an executive order effective immediately barring Ohioans from gender-affirming surgical interventions until they're 18", + "slugline": "AP-US-XGR--Transgender Health-Ohio", + "description_summary": "A week after vetoing a ban on all forms gender affirming care for minors in Ohio, Republican Gov. Mike DeWine has signed an executive order effective immediately barring Ohioans from gender-affirming surgical interventions until they're 18. The governor said medical professionals have told him such surgeries aren\u2019t happening anyway. The Friday move comes as an effort by the GOP-dominated Legislature to override DeWine's veto looms next week. The DeWine administration has also begun work on proposed administrative rules that would establish mandated care teams and comprehensive mental health for transgender children and adults. The rules are subject to public comment.", + "bylines": [ + { + "by": "By SAMANTHA HENDRICKSON", + "title": "Associated Press/Report for America" + } + ], + "located": "COLUMBUS, Ohio", + "datelinelocation": { + "city": "Columbus", + "countryareacode": "OH", + "countryareaname": "Ohio", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -82.99879, + 39.96118 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. For other uses, additional clearances may be required." + ], + "keywords": [ + "Ohio DeWine transgender surgery minors" + ], + "provider": "AP", + "infosource": [ + { + "name": "AP", + "type": "AP" + } + ], + "person": [ + { + "scheme": "http://cv.ap.org/id/", + "code": "06d316b4061d4bd097c5de777c7192a9", + "name": "Mike DeWine", + "creator": "Machine", + "rels": [ + "direct" + ], + "types": [ + "GOVERNMENT_FIGURE", + "PERSON" + ], + "relevance": 79 + } + ], + "subject": [ + { + "rels": [ + "category" + ], + "creator": "Editorial", + "code": "a", + "name": "a" + }, + { + "rels": [ + "category" + ], + "creator": "Editorial", + "code": "n", + "name": "n" + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "468257dba1c848ca93ba314d4ce86539", + "name": "Surgery", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 65 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "570831e088701004882deb2e0e616f0b", + "name": "Gender", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 97 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "86aad5207dac100488ecba7fa5283c3e", + "name": "Politics", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 76 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "a4677d70863b4012b846a1b00f5079f5", + "name": "U.S. news", + "creator": "Editorial", + "editorial_subject": "U.S. news", + "rels": [ + "direct" + ], + "relevance": 99 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "f25af2d07e4e100484f5df092526b43e", + "name": "General news", + "creator": "Editorial", + "editorial_subject": "General news", + "rels": [ + "direct" + ], + "relevance": 50 + } + ], + "organisation": [ + { + "scheme": "http://cv.ap.org/id/", + "code": "bf6e2e80760d10048f8ae6e7a0f4673e", + "name": "U.S. Republican Party", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 47 + } + ], + "place": [ + { + "scheme": "http://cv.ap.org/id/", + "code": "dcb000c082c610048843df092526b43e", + "name": "Ohio", + "creator": "Machine", + "rels": [ + "direct" + ], + "parentids": [ + "661e48387d5b10048291c076b8e3055c" + ], + "locationtype": { + "code": "0ae5eb8e00e04295a4fc209c94bfe6ef", + "name": "State" + }, + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -83.00018, + 40.25034 + ] + }, + "relevance": 97, + "parentnames": [ + "United States" + ] + } + ], + "audiences": [ + { + "code": "82c6a4c46fa0446090a7acaf93159e4c", + "name": "Print", + "type": "AUDPLATFORM" + }, + { + "code": "9add4649b53b4702ba7d9de5d4fa607a", + "name": "Online", + "type": "AUDPLATFORM" + }, + { + "code": "f5b16ea8760d10048047e6e7a0f4673e", + "name": "State", + "type": "AUDSCOPE" + }, + { + "code": "f43adc08760d10048040e6e7a0f4673e", + "name": "National", + "type": "AUDSCOPE" + }, + { + "code": "f4ecf9b0760d10048044e6e7a0f4673e", + "name": "International", + "type": "AUDSCOPE" + }, + { + "code": "dcb000c082c610048843df092526b43e", + "name": "Ohio", + "type": "AUDGEOGRAPHY" + }, + { + "code": "661850e07d5b100481f5c076b8e3055c", + "name": "Latin America and Caribbean", + "type": "AUDGEOGRAPHY" + }, + { + "code": "661e48387d5b10048291c076b8e3055c", + "name": "United States", + "type": "AUDGEOGRAPHY" + } + ], + "body_nitf": "COLUMBUS, Ohio (AP) \u2014 A week after vetoing legislation that would have banned all forms of gender-affirming care for minors in Ohio, Republican Gov. Mike DeWine signed an executive order Friday barring Ohioans from receiving transgender surgeries until they\u2019re 18.
The bill passed by both chambers along party lines last year would have banned gender-affirming surgeries, as well as hormone therapies, and restricted mental health care for transgender individuals under 18. While DeWine\u2019s order does ban such surgeries for minors, it does not put limits on hormone therapies or the type of mental health care minors can receive. It takes effect immediately.
\u201cA week has gone by, and I still feel just as firmly as I did that day,\u201d DeWine said, doubling down on his decision to veto the broader restrictions. \u201cI believe the parents, not the government, should be making these crucial decisions for their children.\u201d
In announcing his veto last week, the governor said medical professionals he consulted with told him such surgeries aren\u2019t happening, anyway, and families with transgender children did not advocate for them.
\u201cThis will ensure that surgeries of this type on minors can never happen in Ohio,\u201d DeWine said in Friday's press conference, adding that the executive order takes the issue \u201coff the table\u201d and provides clear guidelines.
The move comes as an effort by the GOP-dominated Legislature to override DeWine\u2019s veto looms next week. The Ohio House has scheduled a session where a vote is expected Wednesday, while the Ohio Senate will vote on Jan. 24.
DeWine said Friday that he has also directed the Ohio Department of Health and the Ohio Department of Mental Health and Addiction Services to take action.
The departments filed proposed administrative rules Friday that would ensure both transgender children and adults are not receiving treatment from what he called \u201cfly-by-night\u201d clinics or providers outside of proper healthcare systems.
The proposal would mandate a team for transgender individuals seeking gender-affirming care that would consist of, at a minimum, an endocrinologist, a bioethicist and a psychiatrist.
As part of their care plan, transgender individuals also must provide \u201csufficient informed consent\u201d for gender-affirming care after comprehensive and lengthy mental health counseling, under the rules. For minors, parents also would have to give informed consent.
Additionally, the departments must also collect data submitted by providers on gender dysphoria and subsequent treatment, and his plan calls for the agencies to inform lawmakers, policy makers and the public.
These rules, unlike the executive order, are not in effect immediately. However, both the proposed rules and executive order are subject to change even though the executive order is effective \u2014 due to an emergency order. They must still go through the rule-making process with several state panels, including lawmakers, and opportunity for public comment.
Even if the Legislature chooses to override the veto, DeWine said his administration will continue to pursue these rules and that he is working with his legal team to ensure that his administration can implement them.
\u201cWe\u2019re doing this because we think it\u2019s the right thing to do,\u201d the governor said.
___
Samantha Hendrickson is a corps member for the Associated Press/Report for America Statehouse News Initiative. Report for America is a nonprofit national service program that places journalists in local newsrooms to report on undercovered issues
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The focus on medical procedures, mental health care, and the involvement of health departments makes it highly relevant to the topic of health." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/01/05/5d181048c82c9efe9b297db28033e4a5.json b/datasets/AP_news/raw_data/2024/01/05/5d181048c82c9efe9b297db28033e4a5.json new file mode 100644 index 0000000..81a500c --- /dev/null +++ b/datasets/AP_news/raw_data/2024/01/05/5d181048c82c9efe9b297db28033e4a5.json @@ -0,0 +1,277 @@ +{ + "altids": { + "itemid": "5d181048c82c9efe9b297db28033e4a5", + "etag": "5d181048c82c9efe9b297db28033e4a5_2a16aza0c0", + "friendlykey": "647878085324", + "referenceid": "US-MED--WIC Access" + }, + "version": 2, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-01-11T17:16:59Z", + "firstcreated": "2024-01-05T14:40:30Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: CLARIFICATION: This story was first published on January 5, 2024. It was updated on January 11, 2024 to make clear in the 19th paragraph the full name of the Gretchen Swanson Center for Nutrition.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "US-MED--WIC Access", + "headline": "WIC helps moms and kids eat. But finding what you need isn't always easy", + "headline_extended": "More than 6 million people receive benefits through the nation\u2019s food assistance program for women, infants and children, which is known as WIC", + "slugline": "BC-US-MED--WIC Access, 2nd Ld-Writethru", + "description_summary": "More than 6 million people receive benefits through the nation\u2019s food assistance program for women, infants and children, which is known as WIC. But it\u2019s not always easy to get what you might need. Unlike food stamps, the fresh produce, baby formula and other nutritious items that are WIC-approved can\u2019t be bought online just yet. Complex requirements make it tough for smaller stores and sometimes big-name stores to participate. Some states are working to expand access after vendors left due to changes in the WIC program or pandemic-related store closures.", + "bylines": [ + { + "by": "By KENYA HUNTER", + "title": "AP Health Writer" + } + ], + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. For other uses, additional clearances may be required." + ], + "keywords": [ + "WIC food insecurity food access USDA" + ], + "provider": "AP", + "infosource": [ + { + "name": "AP", + "type": "AP" + } + ], + "subject": [ + { + "rels": [ + "category" + ], + "creator": "Editorial", + "code": "a", + "name": "a" + }, + { + "rels": [ + "category" + ], + "creator": "Editorial", + "code": "n", + "name": "n" + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "c8e409f8858510048872ff2260dd383e", + "name": "Business", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 93 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "1b29d45f8e8e4c008e8a58fe6f92a753", + "name": "Government programs", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 93 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "a4677d70863b4012b846a1b00f5079f5", + "name": "U.S. news", + "creator": "Editorial", + "editorial_subject": "U.S. news", + "rels": [ + "direct" + ], + "relevance": 75 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "f25af2d07e4e100484f5df092526b43e", + "name": "General news", + "creator": "Editorial", + "editorial_subject": "General news", + "rels": [ + "direct" + ], + "relevance": 50 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "cc7a76087e4e10048482df092526b43e", + "name": "Health", + "creator": "Editorial", + "editorial_subject": "Health", + "rels": [ + "direct" + ], + "relevance": 99 + } + ], + "place": [ + { + "scheme": "http://cv.ap.org/id/", + "code": "dec1cce882af10048320df092526b43e", + "name": "Georgia", + "creator": "Machine", + "rels": [ + "direct" + ], + "parentids": [ + "661e48387d5b10048291c076b8e3055c" + ], + "locationtype": { + "code": "0ae5eb8e00e04295a4fc209c94bfe6ef", + "name": "State" + }, + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -83.50018, + 32.75042 + ] + }, + "relevance": 47, + "parentnames": [ + "United States" + ] + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "0b394d7082c71004887fdf092526b43e", + "name": "Pennsylvania", + "creator": "Machine", + "rels": [ + "direct" + ], + "parentids": [ + "661e48387d5b10048291c076b8e3055c" + ], + "locationtype": { + "code": "0ae5eb8e00e04295a4fc209c94bfe6ef", + "name": "State" + }, + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -76.90567, + 40.27245 + ] + }, + "relevance": 63, + "parentnames": [ + "United States" + ] + } + ], + "audiences": [ + { + "code": "82c6a4c46fa0446090a7acaf93159e4c", + "name": "Print", + "type": "AUDPLATFORM" + }, + { + "code": "9add4649b53b4702ba7d9de5d4fa607a", + "name": "Online", + "type": "AUDPLATFORM" + }, + { + "code": "f43adc08760d10048040e6e7a0f4673e", + "name": "National", + "type": "AUDSCOPE" + }, + { + "code": "f4ecf9b0760d10048044e6e7a0f4673e", + "name": "International", + "type": "AUDSCOPE" + }, + { + "code": "f5b16ea8760d10048047e6e7a0f4673e", + "name": "State", + "type": "AUDSCOPE" + }, + { + "code": "661850e07d5b100481f5c076b8e3055c", + "name": "Latin America and Caribbean", + "type": "AUDGEOGRAPHY" + }, + { + "code": "1bc1bc3082c81004896cdf092526b43e", + "name": "Wisconsin", + "type": "AUDGEOGRAPHY" + }, + { + "code": "0b394d7082c71004887fdf092526b43e", + "name": "Pennsylvania", + "type": "AUDGEOGRAPHY" + }, + { + "code": "dec1cce882af10048320df092526b43e", + "name": "Georgia", + "type": "AUDGEOGRAPHY" + }, + { + "code": "43fb970882b310048496df092526b43e", + "name": "Louisiana", + "type": "AUDGEOGRAPHY" + }, + { + "code": "9531546082c6100487b5df092526b43e", + "name": "New Hampshire", + "type": "AUDGEOGRAPHY" + }, + { + "code": "d2f8d8a882c710048915df092526b43e", + "name": "Vermont", + "type": "AUDGEOGRAPHY" + }, + { + "code": "661e48387d5b10048291c076b8e3055c", + "name": "United States", + "type": "AUDGEOGRAPHY" + } + ], + "associations": { + "1": { + "altids": { + "itemid": "c2c50bf3e1214d87b3e2b80e790819fd" + }, + "type": "picture" + }, + "2": { + "altids": { + "itemid": "ac285e0e76ef4ac8b6e620e992458203" + }, + "type": "picture" + }, + "3": { + "altids": { + "itemid": "5bb791ea7637448883cee975b604a284" + }, + "type": "picture" + } + }, + "body_nitf": "Bianca Williams was tired of trying to find a store that either accepted federal food benefits for low-income mothers and their children or a store that had quality produce.
So the Milwaukee resident \u2014 who has seven kids, including two currently being breastfed \u2014 decided in November that she\u2019d rather turn to frozen Thanksgiving leftovers and food from family and friends.
More than 6 million people in the U.S. get benefits from the Special Supplemental Nutrition Program for Women and Children, commonly known as WIC. But it\u2019s not always easy to get the fresh produce, baby formula and other nutritious WIC-approved items.
Williams' closest Walmart shuttered in 2016. Since then, she said, WIC can be \u201ctoo much of a hassle.\"
\u201cSometimes, to be honest, I don\u2019t even use it,\u201d said Williams, who makes about $7 too much a month to qualify for food stamps, \u201cbecause it\u2019s so hard to get to and from the grocery store, and find a vendor that does accept (WIC).\u201d
Unlike food stamps, WIC-approved items can\u2019t be bought online, though a few states are working on pilot programs to make it a reality. Complex requirements make it tough for smaller stores \u2014 and sometimes big-name grocers \u2014 to participate in WIC. Some states are trying to expand access after vendors left over the last five years due to changes in the program or closing down during the pandemic.
\u201cIt\u2019s really set up to be a program, at least in our area, that a large full-scale grocer can participate in,\u201d said Ann Sanders, the director of public benefits policy and programs at the Pennsylvania nonprofit Just Harvest. Since 2019, the state has seen a net loss of 353 vendors.
Though both are under the U.S. Department of Agriculture, WIC differs from the Supplemental Nutrition Assistance Program (SNAP), commonly known as food stamps, because SNAP participants can buy almost any grocery item they want \u2014 regardless of the nutritional value. With WIC, states use federal guidelines to choose products and quantities that vendors are required to carry; brands commonly found on WIC-approved lists include Cheerios, Juicy Juice and Similac.
Many smaller stores participate in WIC because community members need the help, but it can come at a cost, according to the National Grocers Association, which lobbies for independent stores.
\u201cIt\u2019s not necessarily a big moneymaker for them by any means,\u201d said Stephanie Johnson, the association\u2019s vice president of government relations, adding that some \u201ceven lose money from participating in WIC.\u201d
WIC programs have been making a slow transition from paper vouchers to electronic benefits, known as eWIC. It\u2019s easier for shoppers, but stores had to spend money on upgrading cash registers, which in Georgia caused some to quit the program.
Michael Gay, who owns Food Fresh, the only grocery store in rural Claxton, Georgia, said eWIC is \u201cvery time-consuming at the register\" to parse out which items are eligible. Despite that and other frustrations, he has stuck with the program because, \u201cI want you to have it ... I want to sell it, and I want your baby to eat.\"
National chains don't always participate in WIC, either. Aldi doesn\u2019t because it only carries its own brand of formula. Trader Joe\u2019s told The Associated Press in a statement that the majority of its products don\u2019t meet WIC's brand or size criteria.
About half of Target stores accept WIC, spokesperson Brian Harper-Tibaldo said, because there are different sizes and layouts. He said smaller stores might not have enough shelf space to meet minimum stocking requirements.
Ashley Yancey recently tried to find formula for her daughter at a Target about 30 miles from her home in Douglasville, Georgia, and was stunned the location didn\u2019t accept WIC. Often, her nearest WIC vendor is out of the product.
\u201cIt\u2019s embarrassing, kinda,\u201d she said about her attempt to use WIC at the Target store. \u201cBecause it\u2019s like, are you too good to take WIC? Are you looking at me like I\u2019m poor?\"
Yancey doesn\u2019t have a car, and likes the freedom of doing most of her grocery shopping online, where she can use her SNAP benefits; the USDA started piloting online SNAP purchases in 2019 and expanded it during the pandemic.
\u201cIt\u2019s harder that I can\u2019t get my milk like that,\u201d she said. \u201cI have to borrow somebody\u2019s car to go look for the milk, just to not find the milk. It is inconvenient that they don\u2019t take WIC online.\u201d
The USDA is reviewing comments on a proposed rule that would remove barriers to online shopping, like not requiring a cashier to be present for WIC transactions. The agency also has paired with the nonprofit Gretchen Swanson Center for Nutrition to pilot online shopping in seven states and with the Rosebud Sioux Tribe. Major retailers Walmart and Hy-Vee are participating in some places.
\u201cI think the states want to see (online shopping), I think they know it would make a big difference for their participants, and I think retailers are on board, too,\u201d said Ali Hard, the policy director for the National WIC Association, which is an advocacy group and frequent federal partner. \u201cIt\u2019s a huge equity issue if WIC participants can\u2019t buy their groceries in the same way everybody else can.\u201d
In states where the number of WIC stores has drastically decreased, officials say the impact is most pronounced in rural areas. Louisiana has lost 68 WIC vendors since 2019, and is working on a recruitment plan for stores.
\u201cWe want to focus on more of the rural areas and determine where there might be a store that we can have a conversation with,\u201d Bureau of Nutrition Services Director Jennifer Nicklas said. \u201cSome of it just organically happens when we know we\u2019ve had an existing relationship with the store before \u2026 that\u2019s going to really help us to develop where exactly we want to have those conversations.\u201d
In New Hampshire, minimum inventory requirements kept smaller, more rural stores out of the program, said Hailey McAlary with the state Bureau of Family Health and Nutrition, so the state decided those stores no longer have to carry things like juice concentrates and pureed meat for infants.
\u201cI think participation and vendor certification are really connected \u2026 food shopping, we all know, has to be convenient,\u201d said Rebecca White, the public and government affairs associate for Hanover Co-Op Food stores in New Hampshire and Vermont. \u201cPeople will buy foods based on what works with their schedule and their lifestyle.\u201d
___
The Associated Press Health and Science Department receives support from the Robert Wood Johnson Foundation. The AP is solely responsible for all content.
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With AP Photos.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "US-MED--Salmonella-Snack-Tray", + "headline": "Recalled meat snack trays sold at Sam's Club are linked to salmonella poisoning in two dozen people", + "headline_extended": "Health officials say at least two dozen people in 14 states were sickened by salmonella poisoning tied to recalled meat snack trays sold at some Sam\u2019s Club stores", + "slugline": "BC-US-MED--Salmonella-Snack-Tray, 1st Ld-Writethru", + "description_summary": "Health officials say at least two dozen people in 14 states were sickened by salmonella poisoning tied to recalled meat snack trays sold at some Sam\u2019s Club stores. Five people were hospitalized. Fratelli Beretta USA is a New Jersey meat processing company that has recalled more than 11,000 pounds of Busseto Foods brand ready-to-eat charcuterie meat products because they may be tainted with salmonella. The meat trays are labeled \u201cBussetto Food Charcuterie Sampler Prosciutto, Sweet Soppressata and Dry Copa\" and have a best-by date of April 27.", + "bylines": [ + { + "by": "By The Associated Press" + } + ], + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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Fratelli Beretta USA, a New Jersey meat processing company, recalled more than 11,000 pounds of Busseto Foods brand ready-to-eat charcuterie meat products this week because they may be tainted with salmonella.
The meat trays are labeled \u201cBussetto Food Charcuterie Sampler Prosciutto, Sweet Soppressata and Dry Copa,\" with lot number LO75330300 and a best-by date of April 27. They have establishment numbers EST. 7543B inside the U.S. Department of Agriculture mark of inspection and EST. #47967 on the package.
Illnesses were reported between Nov. 20, 2023, and Dec. 18, 2023. Salmonella infections can be dangerous for young children, older people and those with weakened immune systems.
Consumers should check their refrigerators for the products and return them to the place of purchase or throw them away, the CDC said.
___
The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute\u2019s Science and Educational Media Group. The AP is solely responsible for all content.
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It was the department\u2019s first acknowledgement that Austin had been admitted to Walter Reed National Military Medical Center. The Pentagon\u2019s failure to disclose Austin\u2019s hospitalization is counter to normal practice with other senior U.S. and Cabinet officials, including the president. Ryder says it\u2019s not clear when Austin will be released. He says the secretary is recovering well. Ryder says the hospitalization wasn't made public until now due to privacy and medical issues.", + "bylines": [ + { + "by": "By LOLITA C. BALDOR", + "title": "Associated Press" + } + ], + "located": "WASHINGTON", + "datelinelocation": { + "city": "Washington", + "countryareacode": "DC", + "countryareaname": "District of Columbia", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -77.03637, + 38.89511 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. 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Air Force Maj. Gen. Pat Ryder said Friday that it was not clear when Austin would be released from the hospital, but said the secretary was \u201crecovering well.\"
The Pentagon\u2019s failure to disclose Austin\u2019s hospitalization is counter to normal practice with the president and other senior U.S. officials and Cabinet members. The Pentagon Press Association, which represents media members who cover the Defense Department, sent a letter of protest to Ryder and Chris Meagher, the assistant defense secretary for public affairs.
\u201cThe fact that he has been at Walter Reed National Military Medical Center for four days and the Pentagon is only now alerting the public late on a Friday evening is an outrage,\u201d the PPA said in its letter. \u201cAt a time when there are growing threats to U.S. military service members in the Middle East and the U.S. is playing key national security roles in the wars in Israel and Ukraine, it is particularly critical for the American public to be informed about the health status and decision-making ability of its top defense leader.\u201d
The White House has refused to say when or how it had been notified of Austin\u2019s hospitalization, and it referred questions to the Pentagon.
When Attorney General Merrick Garland went in for a routine medical procedure in 2022, his office informed the public a week in advance and outlined how long he was expected to be out and when he would return to work.
Ryder, the Pentagon spokesman, cited an \u201cevolving situation,\u201d and said that due to privacy and medical issues, the Pentagon did not make Austin\u2019s absence public. He declined to provide any other details about Austin\u2019s medical procedure or health.
Austin, 70, spent 41 years in the military, retiring as a four-star Army general in 2016.
In a statement, Ryder said that at all times, Deputy Defense Secretary Kathleen Hicks \u201cwas prepared to act for and exercise the powers of the Secretary, if required.\u201d
Austin's hospitalization comes as Iranian-backed militias have repeatedly launched drones, missiles and rockets at bases where U.S. troops are stationed in Iraq and Syria, leading the Biden administration to strike back on a number of occasions. Those strikes often involve sensitive, top-level discussions and decisions by Austin and other key military leaders.
The U.S. is also the chief organizer behind a new international maritime coalition using ships and other assets to patrol the southern Red Sea to deter persistent attacks on commercial vessels by Houthi militants in Yemen.
In addition, the administration, particularly Austin, has been at the forefront of the effort to supply weapons and training to Ukraine, and he's also been communicating frequently with the Israelis on their war against Hamas.
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With AP Photos.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "WI--Legalizing Marijuana-Wisconsin", + "headline": "Wisconsin governor who called for marijuana legalization says he'll back limited GOP proposal", + "headline_extended": "Wisconsin Gov. Tony Evers, who has pushed for full legalization of recreational marijuana, says he is open to a more limited medical marijuana legalization being promoted by Republicans", + "slugline": "BC-WI--Legalizing Marijuana-Wisconsin, 5th Ld-Writethru", + "description_summary": "Wisconsin Gov. Tony Evers, who has pushed for full legalization of recreational marijuana, says he is open to a more limited medical marijuana legalization being promoted by Republicans. The Democrat told The Associated Press on Wednesday that he would prefer to get it all done at once, but if medical marijuana legalization is all that can be done now, he'll \"be supportive of that.\u201d Republicans planned to unveil the latest bill on Monday. GOP lawmakers have repeatedly rejected full legalization. A previous Republican-introduced measure legalizing medical marijuana failed to pass in 2022.", + "bylines": [ + { + "by": "By SCOTT BAUER", + "title": "Associated Press" + } + ], + "located": "MADISON, Wis.", + "datelinelocation": { + "city": "Madison", + "countryareacode": "WI", + "countryareaname": "Wisconsin", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -89.40123, + 43.07305 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. 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(AP) \u2014 Wisconsin Gov. Tony Evers, who has pushed for full legalization of recreational marijuana, said Wednesday that he is open to a more limited medical marijuana legalization being promoted by Republicans.
\u201cI would think that getting it all done in one fell swoop would be more thoughtful as far as meeting the needs of Wisconsinites that have asked for it,\u201d the Democrat said in an interview with The Associated Press. \u201cBut if that\u2019s what we can accomplish right now, I\u2019ll be supportive of that.\u201d
Republicans planned to introduce a bill on Monday. GOP lawmakers have repeatedly rejected calls from Evers and other Democrats to legalize all uses of marijuana, including medical and recreational.
Vos said the proposal would be limited and modeled after the medical marijuana law that had been in place in neighboring Minnesota before it moved to full legalization.
\u201cI'm glad that the governor is open to supporting our proposal,\" Vos said Friday. \"But if he keeps saying it\u2019s only a precursor to recreational marijuana, it will kill this proposal.\u201d
Republican state Sen. Mary Felzkowski, who introduced a medical marijuana bill that got its first hearing in the Legislature in 2022, said she too was glad Evers was open to the idea. Felzkowski said she is not involved with the Assembly's latest proposal.
Evers said he had not yet seen the Republican bill but that he would support a limited proposal.
Democratic Sen. Melissa Agard, who has pushed for full legalization, said Republicans were not consulting with her on the bill and she also didn\u2019t know what it would include.
\u201cThe devil\u2019s in the details with all policy making,\u201d Agard said. \u201cIt\u2019s hard for me to say I support or don\u2019t support something I haven\u2019t seen yet.\u201d
Wisconsin remains an outlier nationally. Thirty-eight states have legalized medical marijuana and 24 have legalized recreational marijuana. The push for legalization in Wisconsin has gained momentum as its neighbors have loosened laws.
Marquette University Law School polls have shown large majority support among Wisconsin residents for legalizing marijuana use for years.
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With AP Photos.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "US--Supreme Court-Abortion-Idaho", + "headline": "Supreme Court allows Idaho to enforce its strict abortion ban, even in medical emergencies", + "headline_extended": "The Supreme Court is allowing Idaho to enforce its strict abortion ban, even in medical emergencies, while a legal fight continues", + "slugline": "AP-US--Supreme Court-Abortion-Idaho, 4th Ld-Writethru", + "description_summary": "The Supreme Court is allowing Idaho to enforce its strict abortion ban, even in medical emergencies, while a legal fight continues. The justices on Friday said they would hear arguments in the case in April and put on hold a lower court ruling that had blocked the Idaho law in hospital emergencies, based on a lawsuit filed by the Biden administration. The Democratic administration argued hospitals that receive Medicare funds are required by a federal law to provide emergency care including abortion. The legal fight followed the court\u2019s 2022 decision to overturn Roe v. Wade and allow states to severely restrict or ban abortion. A district judge in Idaho agreed with the administration. In a separate case in Texas, a judge sided with the state.", + "bylines": [ + { + "by": "By MARK SHERMAN", + "title": "Associated Press" + } + ], + "located": "WASHINGTON", + "datelinelocation": { + "city": "Washington", + "countryareacode": "DC", + "countryareaname": "District of Columbia", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -77.03637, + 38.89511 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. 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The justices said they would hear arguments in April and put on hold a lower court ruling that had blocked the Idaho law in hospital emergencies, based on a lawsuit filed by the Biden administration.
The Idaho case gives the court its second major abortion dispute since the justices in 2022 overturned Roe v. Wade and allowed states to severely restrict or ban abortion. The court also in the coming months is hearing a challenge to the Food and Drug Administration's rules for obtaining mifepristone, one of two medications used in the most common method of abortion in the United States.
In the case over hospital emergencies, the Biden administration has argued that hospitals that receive Medicare funds are required by federal law to provide emergency care, potentially including abortion, no matter if there's a state law banning abortion.
The administration issued guidance about the federal law, the Emergency Medical Treatment and Labor Act, or EMTALA, two weeks after the high court ruling in 2022. The Democratic administration sued Idaho a month later.
U.S. District Judge B. Lynn Winmill in Idaho agreed with the administration. But in a separate case in Texas, a judge sided with the state.
In a statement Friday night, President Joe Biden objected to the high court's decision and said his administration \u201cwill continue to defend a woman\u2019s ability to access emergency care under federal law.\u201d
Idaho makes it a crime with a prison term of up to five years for anyone who performs or assists in an abortion.
The administration argues that EMTALA requires health care providers to perform abortions for emergency room patients when needed to treat an emergency medical condition, even if doing so might conflict with a state\u2019s abortion restrictions.
Those conditions include severe bleeding, preeclampsia and certain pregnancy-related infections.
\u201cFor certain medical emergencies, abortion care is the necessary stabilizing treatment,\u201d Solicitor General Elizabeth Prelogar wrote in an administration filing at the Supreme Court.
The state argued that the administration was misusing a law intended to prevent hospitals from dumping patients and imposing \u201ca federal abortion mandate\u201d on states. \u201cEMTALA says nothing about abortion,\u201d Idaho Attorney General Raul Labrador told the court in a brief.
Just Tuesday, the federal appeals court in New Orleans came to the same conclusion as Labrador. A three-judge panel ruled that the administration cannot use EMTALA to require hospitals in Texas to provide abortions for women whose lives are at risk due to pregnancy. Two of the three judges are appointees of President Donald Trump, and the other was appointed by another Republican president, George W. Bush.
The appeals court affirmed a ruling by U.S. District Judge James Wesley Hendrix, also a Trump appointee. Hendrix wrote that adopting the Biden administration's view would force physicians to place the health of the pregnant person over that of the fetus or embryo even though EMTALA \u201cis silent as to abortion.\u201d
After Winmill, an appointee of Democratic President Bill Clinton, issued his ruling, Idaho lawmakers won an order allowing the law to be fully enforced from an all-Republican, Trump-appointed panel of the 9th U.S. Circuit Court of Appeals. But a larger contingent of 9th Circuit judges threw out the panel\u2019s ruling and had set arguments in the case for late January.
The justices' order Friday takes the case away from the appeals court. A decision is expected by early summer.
Friday\u2019s development is just one of several legal battles currently making their way through the courts in Idaho.
Separately, four women and several physicians have filed a lawsuit asking an Idaho court to clarify the circumstances that qualify patients to legally receive an abortion. That lawsuit was recently granted the greenlight to move forward despite attempts by the Attorney General\u2019s office to dismiss the case.
Meanwhile, a federal judge in November temporarily blocked Idaho\u2019s \u201cabortion trafficking\u201d law from being enforced while a lawsuit challenging its constitutionality is underway. That law, which Idaho lawmakers passed last year, was designed to prevent minors from getting abortions in states where the procedure is legal if they don\u2019t have their parents\u2019 permission.
___
Associated Press writer Kimberlee Kruesi contributed to this report from Nashville, Tennessee.
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(AP) \u2014 A petition initiative that would enshrine abortion rights in the Florida constitution on Friday reached the necessary number of verified signatures to qualify for the 2024 ballot, officials said.
More than 911,000 signatures have been verified, according to the Florida Division of Elections, surpassing the more than 891,500 petition signatures required by the state to put a ballot initiative before voters.
If the measure ultimately makes it on the fall ballot, voters in the third-most populous U.S. state could join citizens of other states in deciding what, if any, abortion protections or restrictions there should be following the U.S. Supreme Court's decision to overturn Roe v. Wade in 2022.
Since that landmark 1973 case giving constitutional protections for abortion across the United States was overturned in the Dobbs decision, voters in at least seven states have supported ballot measures protecting abortion rights or rejected measures aimed at limiting access. Constitutional amendments to protect access are already on the ballots for 2024 in Maryland and New York.
\u201cWe know what will happen if reproductive rights make it onto the ballot in 2024 \u2014 just like in every other state since Dobbs, Florida voters will choose to keep the government out of their health care decisions,\" said Nikki Fried, chair of the Florida Democratic Party.
The proposed amendment would allow abortions in Florida to remain legal until the fetus is viable, as determined by the patient's health care provider. If the amendment makes the ballot, it will need at least 60% voter approval to take effect.
Florida Attorney General Ashley Moody says that abortion rights proponents and opponents have differing interpretations as to what viability means. Those differences along with the failure to define \u201chealth\u201d and \u201chealth-care provider,\u201d she said, are enough to deceive voters and potentially open a box of legal questions in the future.
Because of that, the Republican attorney general has asked the state Supreme Court to keep the proposed measure off the ballot, saying proponents are waging \u201ca war\u201d to protect the procedure and ultimately will seek to expand those rights in future years.
The court will hear arguments Feb. 7 on whether the ballot language should be approved.
A law Florida Gov. Ron DeSantis approved last year banning abortion after 15 weeks is being challenged in court.
If the courts uphold the law \u2014 DeSantis appointed five of the Supreme Court\u2019s seven justices \u2014 a bill DeSantis signed this year will ban abortion after six weeks, which is before many women know they are pregnant. DeSantis, who is running for president, has said he would support a federal abortion ban after 15 weeks.
Any change in abortion access in Florida will be felt out of state as well because the Sunshine State traditionally has been a haven for women in the southeastern U.S. seeking abortions. There are bans on abortion at all stages of pregnancy in nearby Alabama, Louisiana and Mississippi and a ban on terminating pregnancies in Georgia after cardiac activity can be detected.
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Besides lead, the U.S. Food and Drug Administration said investigators detected \u201ca high level\u201d of the chemical element chromium, which can be toxic, in WanaBana apple cinnamon fruit puree and in cinnamon collected from the Ecuador factory where the pouches were manufactured.
The additional details come as the U.S. Centers for Disease Control and Prevention reported 287 confirmed, probable or suspected lead poisoning cases from 37 states in the outbreak first detected in October. At least one adult has reported high blood lead levels after eating the lead-tainted pouches, but the median age of those sickened is 1, the FDA said.
It's not clear what type of chromium was detected in the products, FDA investigators said.
Chromium is a naturally occurring element with traces typically found in the human diet. One form, called chromium III, is considered an essential nutrient. Another, chromium VI, is known to cause cancer.
The lead-to-chromium ratio found in the factory is consistent with lead chromate, a compound that has been previously reported as a contaminant in certain spices, officials said. But that finding is not definitive evidence that the substance was the contaminant in the pouches, they said.
Anyone who consumed the recalled pouches should consult with a health care provider, the CDC said. There is no safe level of lead consumption, the agency emphasized.
The recalled pouches include those sold under the WanaBana brand at Dollar Tree stores and online and under the Schnucks and Weis brands in stores. Because they have a long shelf life, they may still be in consumers' homes. Consumers should not eat or serve the pouches and should discard them.
___
The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute\u2019s Science and Educational Media Group. The AP is solely responsible for all content.
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(AP) \u2014 Lawmakers in Washington state will return to Olympia on Monday to address housing, climate change and the fentanyl crisis in an abbreviated legislative session that marks Jay Inslee\u2019s final one as governor.
During a session preview this week, the Democratic governor described climate as the biggest long-term issue he wants to address this session. He referenced his six grandchildren and his fear about what the environment will look like when they're his age.
\u201cI am going to do everything I can in the next 60 days to make sure we have a brighter vision for everybody\u2019s grandkids,\u201d he said.
Majority Democrats will also be playing defense. A conservative group has submitted hundreds of thousands of signatures in support of initiatives that threaten some of their biggest recent wins, including the 1-year-old Climate Commitment Act, a landmark policy that created a \u201ccap and invest\u201d system for carbon emissions. The initiatives have been provisionally certified and will end up on the November ballot, Democratic House Speaker Laurie Jinkins said.
\u201cI do look forward to the conversation with Washington voters ... I don't think the voters in this state particularly want to turn our backs on climate change,\" she said.
The 60-day election-year session will feature hundreds of bills and see lawmakers approve a supplemental budget based on a proposal by Inslee. Democrats control the House by a margin of 58-40 and the Senate by 29-20.
Here are some key proposals that will be considered:
After a 2023 legislative session filled with proposals to address the housing crisis, lawmakers are once more facing off against staggeringly high home and rental prices.
One bill would require that 10% of the units in new housing around transit hubs, including bus rapid transit and light rail, be affordable for lower income residents. Another would focus on rent stabilization, barring landlords from increasing rent by more than 5% annually during a rental agreement term.
Democratic Sen. Yasmin Trudeau, who is sponsoring both proposals, called the rental market \u201cuntenable.\u201d
\u201cPeople are having to make decisions about whether they buy food or whether they pay rent,\u201d she said. \u201cAnd that\u2019s not a society I think any of us want to live in.\u201d
House Minority Leader Drew Stokesbary, a Republican, said the focus should be on increasing the supply of housing, referencing a proposal that would provide additional property tax credits for builders to add affordable multi-family housing.
\u201cThe biggest and maybe the only thing we can really meaningfully do is grow the supply of housing stock,\" he said. \u201cWe need more housing, period. Housing of all types.\u201d
Lawmakers on both sides are proposing legislation related to the Climate Commitment Act, which works to cap and reduce pollution while creating revenue for climate investments. It includes quarterly auctions in which emission allowances are sold to businesses covered under the act, and they raised $1.8 billion dollars in 2023, according to the Department of Ecology.
Some Democratic lawmakers are pushing to increase transparency surrounding oil prices in the face of high gas prices and complaints that the climate act is to blame.
Others want to link the carbon market with California and Quebec \u2014 which also have emission allowance auctions \u2014 so the auctions of emission allowances would include all three jurisdictions.
\u201cIt makes the program more durable and stable, and provides more opportunities for the market to do what it\u2019s supposed to do, which is to provide investments for us to invest in non-fossil economies,\u201d said state Rep. Beth Doglio, chair of the House Environment & Energy Committee.
At the same time, Republican lawmakers have proposed requiring that utility companies list on bills charges resulting from the climate act.
Outside of the climate act, there will be efforts to electrify school buses statewide and a push to make tires more efficient so vehicles get better mileage.
As overdose deaths rise in Washington, some lawmakers are doubling down on the fight against fentanyl by proposing legislation that would increase access to opioid overdose reversal medications and education.
One bill would require all school districts make naloxone available in high schools, instead of only districts with at least 2,000 students. Another proposal would help bring information about fentanyl into K-12 public schools.
\u201cIt has become a significant problem in our society. It\u2019s incredibly powerful and it\u2019s being mixed with everything and it\u2019s very available,\u201d said Democratic Sen. Lisa Wellman, of Mercer Island, who sponsored the bill.
Last year, there were more than 1,000 fentanyl overdose deaths in King County, which includes Seattle, according to the King County Medical Examiner\u2019s Office.
The work comes less than eight months after the state approved a major new drug policy that keeps controlled substances illegal while boosting resources to help those struggling with addiction.
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"itemid": "6942278d348f460fa9b87dbaa7feb133" + }, + "type": "picture" + } + }, + "body_nitf": "WASHINGTON (AP) \u2014 The Food and Drug Administration on Friday cleared the way for Florida's first-in-the-nation plan to import prescription drugs from Canada, a long-sought approach to accessing cheaper medications that follows decades of frustration with U.S. drug prices.
Republican Gov. Ron DeSantis signed the plan into law in 2019, but it required federal review and approval by the FDA, which controls prescription drug imports.
Democratic President Joe Biden has backed such programs as a way to lower prices, signing an executive order in 2021 that directed the FDA to work with states on imports.
The White House called Friday\u2019s action \u201ca step in the right direction,\u201d and encouraged more states to apply for importation.
\u201cFor too long, Americans have been forced to pay the highest prescription drug prices of any developed nation,\u201d White House spokesperson Kelly Scully said in a statement.
But even as U.S. politicians applauded the plan, Canadian health providers said it was impractical given the supply challenges the country already faces.
\u201cHistorically, we\u2019ve had some pretty devastating drug shortages in Canada,\u201d Joelle Walker, spokesperson for the Canadian Pharmacists Association, told the Canadian Broadcasting Corporation \u201cSo the idea that they could import them from us is not really feasible.\"
The policy represents a major shift in the U.S. after years of successful lobbying by the pharmaceutical industry, which said imports would expose U.S. patients to risks of counterfeit or adulterated drugs. The FDA also previously warned of the difficulties of assuring the safety of drugs originating from outside the U.S.
But the politics surrounding the issue have shifted in recent years, with both parties \u2014 including former President Donald Trump \u2014 doubling down on the import approach.
Jeff Johnson, director for AARP Florida, said he was excited about the federal decision, though he said it\u2019s only one step of many the group would like to see to help lower prescription drug costs. He noted savings won\u2019t be noticed by most people, but the state will save money overall.
\u201cUnless our healthcare coverage comes through Medicaid or through some another state-run program, we probably won\u2019t save that money on prescription drugs,\u201d Johnson said. \u201cIf there are enough different things out there that help reduce drug prices, together they\u2019ll make a difference.\u201d
The FDA said Florida\u2019s program will be authorized for two years, though imports won't begin immediately. Under federal requirements, state officials must first test the drugs to make sure they\u2019re authentic and relabel them so that they comply with U.S. standards.
Florida\u2019s health department must also provide a quarterly report to the FDA on the types of drugs imported, cost savings and any potential safety and quality issues.
The FDA action was first reported by The New York Times.
DeSantis, who is battling Trump for the Republican presidential nomination, previously sued the Biden administration for allegedly delaying approval of the import program. Several other states are also awaiting federal approval.
\u201cAfter years of federal bureaucrats dragging their feet, Florida will now be able to import low-cost, life-saving prescription drugs,\u201d said DeSantis in a statement.
The FDA is likely to face legal challenges over the decision, which the pharmaceutical industry's trade organization called \u201ca serious danger to public health.\u201d
\u201cWe are deeply concerned with the FDA\u2019s reckless decision to approve Florida\u2019s state importation plan,\" the Pharmaceutical Research and Manufacturers of America said in a statement Friday.
Many people already buy at least some of their medicines from pharmacies in Canada or Mexico, although technically it\u2019s illegal to import them.
Work on allowing state imports began under Trump, a relentless critic of industry pricing.
Under the current regulations, states can import certain medicines through pharmacies and wholesalers. DeSantis has previously estimated taxpayers could save up to $150 million annually under the program.
The state\u2019s proposal includes a number of drug classes, including medications for asthma; chronic obstructive pulmonary disease, or COPD; diabetes; HIV and AIDS; and mental illness.
The medications would be only for certain people, including foster children, inmates, certain elderly patients and \u2014 eventually \u2014 Medicaid recipients.
Like most developed nations, Canada sets limits on the prices drugmakers can charge if they wish to enter the market. Health officials there have suggested their country\u2019s prescription drug market is too small to have any real impact on U.S. prices.
Until recently, the U.S. government had almost no leverage over the prices set by drugmakers. Only in 2022 did Congress pass a law allowing the federal government to negotiate prices for a small number of medications used by seniors in the Medicare program. The first such negotiations are set to take place later this year.
___
Associated Press writer Zeke Miller in Washington and Brendan Farrington in Tallahassee, Florida, contributed to this story.
___
The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute\u2019s Science and Educational Media Group. The AP is solely responsible for all content.
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The research, funded by the National Institutes of Health, was published Friday and comes as European and U.S. regulators look into anecdotal reports that people taking the drug, semaglutide, had thoughts of self-harm.
NIH and Case Western Reserve University researchers analyzed electronic medical records from more than 1.8 million patients prescribed semaglutide or another drug to treat obesity or diabetes between 2017 and 2022. They included about 240,000 patients treated for obesity or being overweight and nearly 1.6 million patients treated for diabetes.
They found that people taking semaglutide had a 49% to 73% lower risk of first-time or recurring suicidal thoughts than those taking another drug for those conditions during a six-month follow-up period.
The researchers called for closer evaluation of reports of suicidal thoughts linked to the drugs and for patients to be followed for a longer period of time. Their review only considered patients taking semaglutide or another drug for diabetes or obesity, not those taking semaglutide in the general population.
Study co-author Dr. Rong Xu, of Case Western, also noted obesity and diabetes are risk factors on their own for suicidal thoughts. But the study wasn\u2019t designed to determine if the GLP-1 drugs reduced those thoughts.
The scientists launched the review after the European Medicines Agency said in July that it was reviewing about 150 reports of possible cases of self-injury and suicidal thoughts linked to semaglutide and other drugs known as GLP-1 receptor agonists. The drugs work by targeting the hormones in the gut and brain that regulate appetite and feelings of fullness. Older weight-loss drugs work differently.
In December, the EMA's drug watchdog group said it would seek more data from drugmaker Novo Nordisk about the reports.
The U.S. Food and Drug Administration also is investigating unconfirmed reports of suicidal thoughts or actions in people taking the GLP-1 drugs.
Millions of people in the U.S. are taking semaglutide, which has soared in popularity since Wegovy was approved to treat obesity in June 2021.
A spokesperson for Novo Nordisk said the new study reflects the company's data collected from large clinical trials and since the drug has been on the market \u2014 all of which showed no \"causal association\u201d between semaglutide and thoughts of suicide or self-harm.
___
The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute\u2019s Science and Educational Media Group. The AP is solely responsible for all content.
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The lawsuit filed Thursday by the conservative group \u201cDo No Harm\u201d seeks a declaration that the law is unconstitutional. The 10-member State Board of Medical Examiners has one consumer member and nine physician members chosen from lists submitted by medical organizations and medical schools. The challenged law says that every other consumer member, every other member chosen from LSU medical centers in New Orleans and Shreveport, and every other member chosen from Louisiana Hospital Association nominees must be a minority member.", + "bylines": [ + { + "by": "By KEVIN McGILL", + "title": "Associated Press" + } + ], + "located": "NEW ORLEANS", + "datelinelocation": { + "city": "New Orleans", + "countryareacode": "LA", + "countryareaname": "Louisiana", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -90.07507, + 29.95465 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. 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The lawsuit filed Thursday by the conservative group \u201cDo No Harm\u201d seeks a declaration that the law requiring minority appointees to the State Board of Medical Examiners is unconstitutional, and an order forbidding the governor from complying with it.
The governor appoints the members of the 10-member board, subject to state Senate confirmation. One must be a \u201cconsumer member\u201d who does not need medical expertise. The other nine must be physicians chosen from among lists submitted by designated medical organizations and medical schools. For example, two must come from a list submitted by the Louisiana State Medical Society, and one from the LSU Health Sciences Center in New Orleans. Each member serves a four-year term.
The part of the law targeted in the lawsuit requires that every other consumer member, and every other member appointed from each of the lists compiled the LSU Health Sciences Center at New Orleans, the LSU Health Sciences Center at Shreveport and the Louisiana Hospital Association must be from a minority group.
\u201cDo No Harm has physician and consumer members who are qualified, willing, and able to be appointed to the Board if the racial mandate is enjoined,\u201d the lawsuit said. \u201cThe racial mandate prevents these members from equal consideration for appointment to the Board.\u201d
Gov. John Bel Edwards is named as the defendant in his official capacity. However, Edwards, a Democrat who couldn't seek reelection due to term limits, leaves office Monday. Republican Gov.-elect Jeff Landry's spokesperson did not immediately respond to a request for comment. State Sen. Katrina Jackson, a Monroe Democrat who sponsored the 2018 legislation that included the minority appointment requirements, did not respond to a Friday afternoon email.
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The content does not delve into health issues, medical practices, or healthcare policies directly, but rather the governance and composition of a medical board." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/01/06/a975811472b5935b66e972923f0088ad.json b/datasets/AP_news/raw_data/2024/01/06/a975811472b5935b66e972923f0088ad.json new file mode 100644 index 0000000..2374fd9 --- /dev/null +++ b/datasets/AP_news/raw_data/2024/01/06/a975811472b5935b66e972923f0088ad.json @@ -0,0 +1,327 @@ +{ + "altids": { + "itemid": "a975811472b5935b66e972923f0088ad", + "etag": "a975811472b5935b66e972923f0088ad_0a18aza0c0", + "friendlykey": "915044000531", + "referenceid": "US-XGR--Medicaid Expansion-Kansas" + }, + "version": 0, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-01-06T05:43:01Z", + "firstcreated": "2024-01-06T05:43:01Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: With AP Photos.", + "signals": [ + "newscontent" + ], + "title": "US-XGR--Medicaid Expansion-Kansas", + "headline": "A push to expand Medicaid has Kansas governor embracing politics and cutting against her brand", + "headline_extended": "Democratic Gov. 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(AP) \u2014 Democratic Gov. Laura Kelly is more aggressive and openly political in pushing to expand Medicaid in Kansas as the Republican-controlled Legislature prepares to open its annual session Monday following five years of failed efforts to provide state health coverage to another 150,000 people.
Kelly faces leaders of GOP supermajorities whose priorities are to cut income taxes and rein in local property taxes, not to expand Medicaid.
But Kelly's new plan includes hitting expansion-opposing Republicans hard later this year during races for legislative seats, an approach that cuts against years of self-branding as a bipartisan problem-solver who doesn't care about politics.
\u201cMy previous approach, which has always been to try to bring people together and work collaboratively and come up with consensus and then get good policy on the books \u2014 that hasn\u2019t worked,\u201d Kelly said during a recent interview.
\u201cTaking a more aggressive approach and \u2014 to be direct, a more political approach to it \u2014 might be the answer,\" she added.
For months, Kelly has toured the state for news conferences and roundtables to build support for Medicaid expansion. She said she modeled her campaign on one by Democratic Gov. Roy Cooper in North Carolina, where a GOP-dominated legislature expanded coverage as of Dec. 1.
Kansas is among only 10 states that have not expanded Medicaid in line with the 2010 federal Affordable Care Act, which promises federal funds to cover 90% of the new costs. In two other states, Georgia and Mississippi, top Republicans have signaled willingness to discuss expansion this year so the issue isn't a dead letter.
In Kansas, conservative opposition is rooted in small-government beliefs and decades of skepticism about social services. In the fall, House Speaker Dan Hawkins and Senate President Ty Masterson, both Wichita-area Republicans, derided Kelly's events with business leaders, hospital administrators and health advocates as a \u201cWelfare Express Tour\u201d for \u201cmore government dependency.\u201d
\u201cIt\u2019s about not using taxpayer dollars to fund free healthcare for a new population of able-bodied childless adults who don\u2019t want to work,\u201d Hawkins said in an email.
For some Kansas residents, the issue is getting by.
In Newton, 46-year-old Robyn Adams works 15 to 20 hours a week while she cares for her 15-year-old daughter and uses a manufacturer's program to avoid paying $1,500 every two weeks for shots to manage her rheumatoid arthritis.
She lost Medicaid coverage by working more hours, but not enough to qualify for federal subsidies for private insurance. Even covering a $40 copay before a doctor's visit can be a financial challenge, so paying a larger monthly insurance premium is out of the question, she said.
\u201cWe need insurance, too,\u201d she said of low-income families. \u201cWithout the expansion, I don\u2019t know \u2014 a lot of families are going to be in trouble.\u201d
To attract GOP votes, Kelly has mandated that those who would newly qualify for Medicaid verify annually they are working. But Masterson told reporters, \"It really doesn\u2019t change the underlying facts.\u201d
In Kansas, childless adults without disabilities don't qualify for Medicaid. Parents like Adams aren't covered when their household incomes hit 38% of the federal poverty level. For a single parent of one child, it's less than $7,500; for a family of four, it's $11,400.
An expansion would make both groups eligible if they earn up to 138% of the federal poverty level. A single, childless adult could earn $20,100; a single parent and one child, about $27,200; and a family of four, $41,400.
Of the people who would qualify, 73% are in families with at least one full- or part-time worker, according to KFF, the research organization formerly known as the Kaiser Family Foundation. Many work in services and others are independent contractors, said Sean Gatewood, a former Kansas House member and spokesperson for the KanCare Advocates Network, a pro-expansion coalition.
Kelly's plan would increase the cost of the Kansas Medicaid program by 31%, about $1.35 billion a year. However, federal funds would cover all but $135 million, with the state imposing fees on hospitals and large private health insurance companies for most of the rest.
The federal government also is offering remaining non-expansion states another financial bonus. A promise of an additional $1.8 billion over two years was crucial for GOP lawmakers in North Carolina. Kelly\u2019s office expects Kansas to receive a total bonus of between $370 million and $450 million.
But even if there is enough support to pass a bill expanding eligibility, Hawkins, Masterson and their allies can keep a plan from even clearing committees. Democrats' attempts to offer expansion plans during debates on other measures have been ruled out of order, and even Republicans backing expansion have stood with their leaders on that point.
Yet Kelly and other advocates see plenty of reasons to keep pushing, including North Carolina Gov. Cooper's success.
Cooper argued GOP lawmakers in his state felt pressure from an unusual coalition that included rural chambers of commerce and \u201ctough-on-crime Republican sheriffs\u201d who felt they were dealing with too many people who simply needed access to health care, \u201cnot handcuffs.\u201d
As for non-expansion states, Cooper said in a news conference: \u201cI hope that they can take some of the lessons of the coalitions of people that we\u2019ve been able to put together to try to succeed.\u201d
___
Associated Press writer Gary Robertson in Raleigh, North Carolina, also contributed.
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Announcing the proposal Friday, legislators are sounding a cautionary note on the future of the state\u2019s petroleum bonanza with plans to set aside more money in savings and investment accounts. The proposal from a lead budget writing committee to the Democratic-led Legislature would increase general fund spending by $566 million for the fiscal year running from July 2024 to June 2025. The budget blueprint would bolster efforts to improve student achievement in public education and buttresses health care for people in poverty or on the cusp.", + "bylines": [ + { + "by": "By MORGAN LEE", + "title": "Associated Press" + } + ], + "located": "SANTA FE, N.M.", + "datelinelocation": { + "city": "Santa Fe", + "countryareacode": "NM", + "countryareaname": "New Mexico", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -105.9378, + 35.68698 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. 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(AP) \u2014 Leading New Mexico lawmakers on Friday recommended a 5.9% increase in general fund spending for the coming fiscal year amid a windfall in oil-related income, while also sounding a cautionary note on the future of the state's petroleum bonanza and setting aside more money in savings and investment accounts.
The proposal from a lead budget writing committee to the Democratic-led Legislature would increase general fund spending by $566 million to $10.1 billion for the fiscal year running from July 2024 to June 2025. The increased general spending represents a fraction of an anticipated $3.5 billion surplus of state income in excess of current tax obligations.
The budget blueprint would bolster efforts to improve student achievement in public education, buttresses health care for people in poverty or on the cusp as federal support for Medicaid recedes in the aftermath of the pandemic, and provide pay raises averaging 4% to state employees along with compensation boosts at public school and colleges.
Support for childhood wellbeing also figures prominently, including a recommendation to increased spending from an early childhood education trust to expand prekindergarten and home visits from nurses for parents of infants and toddlers. The early childhood education trust was established in 2020 amid an extraordinary surge in oil-related income and already contains roughly $6 billion.
State Sen. George Mu\u00f1oz of Gallup warned that the state budget is more reliant than ever on income from oil and natural gas \u2014 a commodity subject to volatile swings in pricing and production.
\u201cThat's a very dangerous situation in the end,\u201d said Mu\u00f1oz, chairman of two lead budget-writing committees. \u201cI think this is a very sound budget. ... It keeps the state of New Mexico able to grow over the next couple years without having massive cuts\u201d later on.
The legislature convenes Jan. 16 for a rapid-fire, 30-day legislative session centered on budget negotiations. Gov. Michelle Lujan Grisham can veto any and all budget provisions approved by legislators.
Republican state Sen. Pat Woods of Grady said he's urging colleagues in the Democratic majority to be reasonable and slow the pace of recent budget increases.
\u201cDo we even know what we\u2019re funding is working?\" said Woods, one of 14 GOP senators who are outnumbered nearly 2-1 by Democrats in the chamber. \"Do we need to maybe hold off from any more big expenditures to get a general idea of where the funding is working.\u201d
Spending on public schools would increase increase by $243 million, or 5.8%, to $4.42 billion under the proposal from legislators.
The plan also would significantly increase spending on the state courts system, local prosecutors and public defenders amid heightened concerns about crime and gun violence in Albuquerque.
State Rep. Derrick Lente of Sandia Pueblo said the budget plan leaves room for $200 million in tax reductions and incentives.
Lujan Grisham last year used her veto powers to scale back a tax relief package based on concerns it could undermine future spending on public education, heath care and law enforcement. Vetoed items included reduced tax rates on personal income, sales and business transactions. Credits toward the purchase of electric vehicles and related charging equipment also were vetoed \u2014 but are back on the negotiating table this year.
\u201cWe're taking a much more conservative approach for our tax proposal this year,\u201d said Lente, chairman of lead House committee on taxation.
A rival budget proposal from Lujan Grisham would increase general fund spending more dramatically by about $950 million, or nearly 10%, to $10.5 billion, with major initiatives to shore up homeownership and affordable housing opportunities.
Both budget proposals signal a likely end to three straight years of bulk state money transfers to New Mexico households. The most recent rebates in 2023 exceeded $600 million in individual payments of $500.
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The latest information comes as Republicans and Democrats in Congress expressed sharp concerns about the secrecy of Austin\u2019s hospital stay and the fact that the president and other senior leaders were kept in the dark about it for days. Deputy Secretary of Defense Kathleen Hicks and top government leaders were not notified until Jan. 4 that Austin had been hospitalized since Jan. 1.", + "bylines": [ + { + "by": "By TARA COPP, COLLEEN LONG and KEVIN FREKING", + "title": "Associated Press" + } + ], + "located": "WASHINGTON", + "datelinelocation": { + "city": "Washington", + "countryareacode": "DC", + "countryareaname": "District of Columbia", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -77.03637, + 38.89511 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. 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The latest information came as members of both parties in Congress expressed sharp concerns about the secrecy of Austin's hospital stay and the fact that the president and other senior leaders were kept in the dark about it for days.
The statement, released by Air Force Maj. Gen. Pat Ryder, did not, however, provide any details about the medical procedure or what actually happened on Monday to require Austin to be in intensive care at the Walter Reed Army Medical Center.
Ryan said Austin was placed in the hospital\u2019s intensive care unit \"due to his medical needs, but then remained in that location in part due to hospital space considerations and privacy.\u201d
The Pentagon\u2019s failure to disclose Austin\u2019s hospitalization, including to President Joe Biden, the National Security Council and top Pentagon leaders, for days reflects a stunning lack of transparency about his illness, how serious it was and when he may be released. Such secrecy, when the United States is juggling myriad national security crises, runs counter to normal practice with the president and other senior U.S. officials and Cabinet members.
Ryder said the National Security Council and Deputy Secretary of Defense Kathleen Hicks were not notified until Thursday, Jan. 4, that Austin had been hospitalized since Jan. 1. Ryder said Austin's chief of staff, Kelly Magsamen, was ill and \u201cunable to make notifications before then.\u201d He said she informed Hicks and the national security adviser, Jake Sullivan, on Thursday.
Once notified, Hicks began preparing statements to send to Congress and made plans to return to Washington. Hicks was in Puerto Rico on leave but had communications equipment with her to remain in contact and had already been tasked with some secretary-level duties on Tuesday.
The Pentagon did not say if Hicks was given an explanation on Tuesday for why she was assuming some of Austin\u2019s duties, but temporary transfers of authority are not unusual and are often done without detailed explanations. Hicks decided not to return after she was informed that Austin would resume full control on Friday.
Biden was told of Austin's medical stay on Thursday by Sullivan, according to three people with knowledge of the hospitalization who were not authorized to speak publicly and spoke to the AP on condition of anonymity.
In a statement issued Saturday evening, Austin took responsibility for the delays in notification.
\u201cI recognize I could have done a better job ensuring the public was appropriately informed. I commit to doing better,\u201d he said, acknowledging the concerns about transparency. \u201cBut this is important to say: this was my medical procedure, and I take full responsibility for my decisions about disclosure.\u201d
Austin, 70, remains hospitalized and officials have been unable to say how long he will be at Walter Reed. In his statement, Austin said he is on the mend and is looking forward to returning to the Pentagon soon, but he provided no other details about his ailment.
Sen. Roger Wicker, the top-ranking Republican on the Senate Armed Services Committee, said the episode erodes trust in the Biden administration and called on the department to provide lawmakers with a \"full accounting of the facts immediately.\u201d
\u201cI am glad to hear Secretary Austin is in improved condition and I wish him a speedy recovery,\" Wicker said in a statement. \u201cHowever, the fact remains that the Department of Defense deliberately withheld the Secretary of Defense\u2019s medical condition for days. That is unacceptable.\u201d
It's not just Republicans expressing alarm. In a joint statement, Reps. Mike Rogers, R-Ala., and Adam Smith, D-Wash., said they were \u201cconcerned with how the disclosure of the Secretary's condition was handled.\u201d
Among the questions they had were what the medical procedure was and what the resulting complications were, how and when the delegation of his responsibilities was made, and the reason for the delay in notification to the president and lawmakers. Rogers is chairman of the House Armed Services Committee and Smith is the panel's top Democrat.
\u201cTransparency is vitally important,\" said the two lawmakers. \u201cAustin \u201dmust provide these additional details on his health and the decision-making process that occurred in the past week as soon as possible.\"
Secretary of State Antony Blinken voiced support for Austin at a news conference in Qatar on Sunday.
\u201cHe is an extraordinary leader in this country, in uniform and now out of uniform,\" Blinken said. \u201cAnd it\u2019s been a highlight of my service to be able to serve alongside him,.\u201d He added: \"I\u2019m very much looking forward to see him fully recovered and working side by side in the year ahead.\u201d
Ryder said Austin is able to do his full duties, has secure communications at Walter Reed, and is in contact with his senior team, getting updates and providing guidance. He said he doesn't know if Austin will do in-person briefings this coming week.
The Pentagon Press Association, which represents journalists who cover the Defense Department, sent a letter of protest on Friday evening, calling the delay in alerting the public \u201can outrage.\u201d
\u201cAt a time when there are growing threats to U.S. military service members in the Middle East and the U.S. is playing key national security roles in the wars in Israel and Ukraine, it is particularly critical for the American public to be informed about the health status and decision-making ability of its top defense leader,\" the group said in its letter.
Other senior U.S. leaders have been much more transparent about hospital stays. When Attorney General Merrick Garland went in for a routine medical procedure in 2022, his office informed the public a week in advance and outlined how long he was expected to be out and when he would return to work.
___
Associated Press writers Zeke Miller, Michael Balsamo and Lolita C. Baldor contributed to this report.
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The measure is far from the full legalization that Evers and Democrats have pushed unsuccessfully to pass for years. Evers said last week that he supports creating a medical marijuana program if that\u2019s all that can be done now, but he was noncommittal on the proposal floated Monday.", + "bylines": [ + { + "by": "By SCOTT BAUER", + "title": "Associated Press" + } + ], + "located": "MADISON, Wis.", + "datelinelocation": { + "city": "Madison", + "countryareacode": "WI", + "countryareaname": "Wisconsin", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -89.40123, + 43.07305 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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(AP) \u2014 Wisconsin Assembly Republicans' highly restrictive plan to legalize medical marijuana in the state drew a lukewarm response from Senate Republicans and Democratic Gov. Tony Evers on Monday.
The bill would limit medical marijuana only to severely ill people with chronic diseases such as cancer and allow for it to be dispensed at only five state-run locations. Smokable marijuana would not be allowed.
The measure is far from the full legalization that Evers and Democrats have pushed unsuccessfully to pass for years. Evers said last week that he supports creating a medical marijuana program if that's all that can be done now, but he was noncommittal on the proposal floated Monday.
Evers will review the idea, and \u201che looks forward to hearing from Wisconsinites and other stakeholders as the bill moves through the legislative process,\u201d the governor's spokesperson Britt Cudaback said.
The bill would have to clear the Assembly and Senate and be signed by Evers before it could take effect.
Last year, Republican Senate Majority Leader Devin LeMahieu said a bill to create a medical marijuana program could pass this legislative session \u2014 as long as regulations are put forward to ensure that it would be limited to only those who are in serious pain.
But like Evers, LeMahieu was noncommittal Monday, saying the bill needed to be \u201cthoroughly vetted before the Senate decides how to proceed.\u201d
Democratic Senate Minority Leader Dianne Hesselbein called the measure a \u201csmall step in the right direction,\u201d but said she was concerned it was too restrictive.
Republican Assembly Speaker Robin Vos has said that the program detailed in the bill announced Monday was as far as Assembly Republicans could go. Republicans hold a 64-35 majority in the Assembly and a 22-11 advantage in the Senate.
\u201cWe want to make this available to people, but we want to have tight controls on it as well,\u201d state Rep. Jon Plumer said at a news conference.
The exact locations of Wisconsin\u2019s dispensaries would be up to the state Department of Health Services, but they would be located in five different regions of the state. Given that recreational marijuana is legal in neighboring Illinois, Minnesota and Michigan, many Wisconsin residents would be closer to a dispensary in another state where they could purchase whatever they wanted.
The Wisconsin Policy Forum estimated in a report last year that more than half of all Wisconsin residents over the age of 21 live within a 75-minute drive to a legal dispensary in another state. And that was before Minnesota legalized recreational marijuana.
In 2022, sales to Wisconsin residents generated more than $36 million in sales tax for Illinois alone, according to a report by Wisconsin\u2019s nonpartisan Legislative Fiscal Bureau.
About $165 million a year in sales taxes were projected to be collected in Wisconsin under Evers\u2019 full legalization plan the Legislature rejected last year.
Medical marijuana would not be subject to Wisconsin sales tax under the new Republican bill, meaning it would not be a moneymaker for the state like it is in Illinois and other states.
\u201cIt\u2019s designed to be a break-even program since it is a medical program,\u201d Plumer said.
Patients would be required to have a doctor\u2019s diagnosis to obtain the marijuana at one of only five state-run dispensaries. The number of dispensaries could grow, Plumer said.
Republican Sen. Mary Felzkowski, who has been the biggest proponent for medical marijuana legalization in the Senate, did not work on the bill because she objected to having the state run the dispensaries, rather than private entities. But she praised Assembly Republicans for introducing the bill, saying \u201cany progress towards providing those in need with access to medical marijuana is something to be celebrated.\u201d
Only the patient and up to three caregivers would be allowed to obtain the medical marijuana.
The proposal would limit the availability of marijuana to people diagnosed with certain diseases, including cancer, HIV or AIDS, glaucoma, multiple sclerosis, inflammatory bowel disease, severe muscle spasms, chronic pain or nausea, and those with a terminal illness and less than a year to live.
The marijuana to be dispensed could not be smokeable. But a wide array of other types would be legal, including gummies, concentrates, oils, tinctures, pills, gels, creams, vapors, patches, liquids, or forms administered by a nebulizer.
Wisconsin remains an outlier nationally. Thirty-eight states have legalized medical marijuana and 24 have legalized recreational marijuana. The push for legalization in Wisconsin has gained momentum as its neighbors have loosened their laws.
Marquette University Law School polls have shown large majority of Wisconsin residents have supported legalizing marijuana use for years.
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With AP Photos.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "AS--Pakistan-Polio Campaign Bombing", + "headline": "Pakistani Taliban claims responsibility for bomb that killed 6 police guarding anti-polio campaign", + "headline_extended": "A roadside bomb has exploded near a van carrying police assigned to protect workers in an anti-polio immunization campaign in restive northwestern Pakistan, killing at least six officers and wounding 10 others", + "slugline": "BC-AS--Pakistan-Polio Campaign Bombing, 2nd Ld-Writethru", + "description_summary": "A roadside bomb has exploded near a van carrying police assigned to protect workers in an anti-polio immunization campaign in restive northwestern Pakistan, killing at least six officers and wounding 10 others. Officials say the attack happened in a former Pakistani Taliban stronghold bordering Afghanistan. Police say some of the wounded officers are in critical condition. The Pakistan Taliban claimed responsibility for the attack. Anti-polio campaigns in Pakistan are regularly marred by violence. Islamic militants falsely claim they are a Western conspiracy to sterilize children. Pakistan and Afghanistan are the only countries in the world where polio remains endemic.", + "bylines": [ + { + "by": "By ANWARULLAH KHAN", + "title": "Associated Press" + } + ], + "located": "KHAR, Pakistan", + "datelinelocation": { + "city": "Khar", + "countrycode": "PAK", + "countryname": "Pakistan", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + 71.52739, + 34.7361 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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The Pakistani Taliban claimed responsibility for the attack.
The bombing happened in the former Pakistani Taliban stronghold of Mamund in Khyber Pakhtunkhwa province bordering Afghanistan, police official Kashif Zulfiquar said.
He said some of the wounded officers were in critical condition at a government hospital.
Anti-polio campaigns in Pakistan are regularly marred by violence. Islamic militants often target polio teams and police assigned to protect them, claiming falsely that the vaccination campaigns are a Western conspiracy to sterilize children.
In a statement, the Pakistani Taliban claimed responsibility for Monday's attack, which came hours after authorities launched the first anti-polio campaign of the new year.
The Pakistani Taliban, also known as Tehreek-e-Taliban Pakistan or TTP, is a separate group but a close ally of the Afghan Taliban, who seized power in Afghanistan in August 2021 as U.S. and NATO troops were in the final stages of their pullout from the country after 20 years of war.
Many TTP leaders and fighters have found sanctuaries in Afghanistan since the Taliban takeover, which also emboldened the TTP to carry out more attacks on security forces. It has strained Pakistan's ties with the Taliban government, which insists it does not allow TTP to use its soil to launch attacks in Pakistan.
Zulfiquar said the campaign has been halted in the area where the attack occurred and all the polio workers are safe. Authorities said it will continue in other parts of the country.
Pakistan and Afghanistan are the only countries in the world where polio remains endemic. Last year, at least six new polio cases were detected in Pakistan, almost all in the northwest where parents often refuse to inoculate children. The outbreak has been a blow to the nation\u2019s efforts to eradicate the disease, which can cause severe paralysis in children.
In 2021, Pakistan reported only one case, raising hopes it was close to eradicating polio. Other cases then began being detected despite anti-polio efforts.
___
Associated Press writer Riaz Khan in Peshawar, Pakistan, contributed to this report.
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The lawsuit was prepared by Lambda Legal and other advocates on behalf of five Louisiana minors and their parents, identified in the lawsuit by pseudonyms. Lambda Legal said in a news release the lawsuit was being filed in Louisiana district court in New Orleans. State lawmakers approved the ban last year and overrode a veto by then-Gov. John Bel Edwards, a Democrat. The law took affect Jan. 1.", + "bylines": [ + { + "by": "By KEVIN McGILL", + "title": "Associated Press" + } + ], + "located": "NEW ORLEANS", + "datelinelocation": { + "city": "New Orleans", + "countryareacode": "LA", + "countryareaname": "Louisiana", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -90.07507, + 29.95465 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. 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The lawsuit was prepared by Lambda Legal and others on behalf of five Louisiana minors and their parents, identified in the filings by pseudonyms. Lambda Legal said in a news release the lawsuit was being filed in Louisiana district court in New Orleans.
State lawmakers approved the ban last year and overrode a veto by then-Gov. John Bel Edwards, a Democrat. The law bans, among other things, hormone treatments, gender reassignment surgery or puberty-blocking drugs for minors and took took effect Jan. 1, making Louisiana one of 22 states banning or restricting such transgender care.
The lawsuit in New Orleans is one of several state and federal court challenges to those laws. A federal judge in Arkansas struck down that state's ban last June but other challenges have resulted in rulings allowing enforcement. The ACLU has taken a challenge to Kentucky and Tennessee bans to the Supreme Court.
The Louisiana lawsuit argues that the law violates the state constitution's right to privacy provision by imposing burdens on parents' and individuals' ability to make personal medical decisions. It seeks a judicial declaration that the law is unconstitutional and a court order blocking its enforcement.
\u201cThe Act\u2019s prohibition on providing evidence-based and medically necessary care for transgender adolescents with gender dysphoria stands directly at odds with transgender adolescents\u2019 right to obtain the medical treatment they need, as recommended by their medical providers and with the support of their parents,\u201d the lawsuit states.
Edwards, who was term-limited, left office Monday. New Republican Gov. Jeff Landry, the former state attorney general, had expressed support for the ban. His communications director did not immediately respond to a request for comment Monday afternoon.
___
This version corrects the spelling of \u2018Lambda\u2019 throughout.
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practice of surrogate motherhood, as he included the \u201ccommercialization\u201d of pregnancy in an annual speech listing threats to global peace and human dignity.
In a foreign policy address to ambassadors accredited to the Holy See, Francis lamented that 2024 had dawned at a time in which peace is \u201cincreasingly threatened, weakened and in some part lost.\u201d
Citing Russia\u2019s war in Ukraine, the Israel-Hamas war, the issue of migration, climate crises and the \u201cimmoral\u201d production of nuclear and conventional weapons, Francis delivered a list of the ills afflicting humanity and the increasing violation of international humanitarian law that allows them.
But Francis also listed smaller-scale issues that he said were threats to peace and human dignity, including surrogacy. He said the life of the unborn child must be protected and not \u201csuppressed or turned into an object of trafficking.\u201d
\u201cI consider despicable the practice of so-called surrogate motherhood, which represents a grave violation of the dignity of the woman and the child, based on the exploitation of situations of the mother\u2019s material needs,\u201d he said.
Saying a child is a gift and \u201cnever the basis of a commercial contract,\u201d he called for a global ban on surrogacy \"to prohibit this practice universally.\u201d
Vatican teaching opposes in vitro fertilization, and Francis has previously voiced the Roman Catholic Church\u2019s opposition to surrogacy, or what he has called \u201cuterus for rent.\" At the same time, however, the Vatican\u2019s doctrine office has made clear that same-sex parents who resort to surrogacy can have their children baptized.
While commercial surrogacy contracts are common in the United States, including protections for the mothers, guarantees of independent legal representation and medical coverage, they are banned in parts of Europe, including Spain and Italy.
Russia\u2019s war in Ukraine, and the threat to babies born to surrogate Ukrainian mothers, exposed the country\u2019s thriving industry. Ukraine is one of the few countries that allow surrogacy for foreigners.
Critics say commercial surrogacy targets women who are poor and from vulnerable communities. Supporters say surrogacy gives women a chance to provide children to childless couples, and that commercial contracts protect both the surrogates and the intended parents.
On Monday, the U.S. Conference of Catholic Bishops quoted Francis' words in explaining why the Catholic Church teaches that surrogacy \u201cis not morally permissible.\u201d
\"Instead, we should pray for, and work towards, a world that upholds the profound dignity of every person, at every stage and in every circumstance of life,\u201d spokesperson Chieko Noguchi said.
In his geopolitical roundup, Francis singled out Russia by name in noting the \u201clarge-scale war waged by the Russian Federation against Ukraine.\" It marked an unusual break with Francis\u2019 usual tendency to spare Moscow direct and public blame for the invasion when expressing solidarity with the Ukrainian people.
Francis was more balanced in his lament of Israel\u2019s ongoing war in Gaza, condemning Hamas\u2019 Oct. 7 assault on southern Israel \u201cand every instance of terrorism and extremism.\u201d At the same time, he said the attack provoked a \u201cstrong Israeli military response\u201d that had left thousands dead and created a humanitarian crisis in Gaza.
He called for an immediate cease-fire, including in Lebanon, and the liberation of hostages held in Gaza, and reiterated the Holy See\u2019s position seeking a two-state solution for Israel and the Palestinians and an internationally guaranteed special status for Jerusalem.
In other comments, Francis:
\u2014 Lamented various humanitarian and refugee crises in Africa, and without naming names blasted military coups and elections in several African countries marked by \u201ccorruption, intimidation and violence.\u201d
\u2014 Called for a \u201crespectful diplomatic dialogue\u201d with the Nicaraguan government to resolve what he called a \u201cprotracted crisis.\u201d The government\u2019s crackdown on the Catholic Church has resulted in the detention of dozens of priests and bishops. The government has accused the church of aiding popular protests against his administration that he considered an attempted coup.
\u2014 Called for the resumption, as early as possible, of Iran nuclear talks \u201cto ensure a safer future for all.\u201d Last month, the International Atomic Energy Agency said Iran had increased the rate at which it is producing near-weapons-grade uranium, reversing a previous slowdown.
Francis also said that the \u201cmanufacturing\u201d of nuclear weapons was just as immoral as the possession and use of them. Francis has already changed church teaching to include the possession of nuclear weapons as inadmissible, but on Monday he included the production of such weapons as part of his overall criticism of the weapons industry.
\u201cPerhaps we need to realize more clearly that civilian victims are not \u2018collateral damage\u2019 (of war) but men and women, with names and surnames, who lost their lives,\u201d he said. \u201cThey are children who are orphaned and deprived of their future.\u201d
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Even as the Biden administration pledges to look into what rules or procedures weren\u2019t followed, it is maintaining its silence about why Austin has been hospitalized for a week. Some Republicans have demanded Austin\u2019s resignation, but the Pentagon said Monday he has no plans to step down.", + "bylines": [ + { + "by": "By LOLITA C. BALDOR, SEUNG MIN KIM and ZEKE MILLER", + "title": "Associated Press" + } + ], + "located": "WASHINGTON", + "datelinelocation": { + "city": "Washington", + "countryareacode": "DC", + "countryareaname": "District of Columbia", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -77.03637, + 38.89511 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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Pentagon said Monday they would look into why President Joe Biden and other top officials weren\u2019t informed for days that Defense Secretary Lloyd Austin had been hospitalized. A Pentagon spokesman pointed to one reason: A key staffer was out sick with the flu.
Even as the Biden administration pledged to look into what rules or procedures weren\u2019t followed, it maintained its silence about why Austin has been hospitalized for a week. Late Monday, the Pentagon issued an update saying Austin \u201cis recovering well.\"
Some Republicans have demanded Austin\u2019s resignation, but the Pentagon said he has no plans to step down.
Austin, 70, went to the hospital on Dec. 22 for what the Pentagon press secretary called an \u201celective procedure\u201d but one serious enough that Austin temporarily transferred some of his authorities to his deputy, without telling her or other U.S. leaders why. He went home the following day.
He also transferred some of his authorities to Deputy Defense Secretary Kathleen Hicks after experiencing severe pain and being taken back to Walter Reed National Military Medical Center by ambulance and put into intensive care on Jan. 1. The White House was not informed he was in the hospital until Jan. 4.
Austin, who resumed his duties on Jan. 5, is no longer in intensive care. Maj. Gen. Pat Ryder, the Pentagon press secretary, said his prognosis is \u201cgood\u201d but it is not known when he will be released.
The Pentagon said Austin has continued to receive briefings and make calls to senior leaders. On Monday, he spoke to national security adviser Jake Sullivan and got briefings from Hicks; Gen. Erik Kurilla, his top general in the Middle East; and the Joint Chiefs chairman, Gen. CQ Brown Jr.
The failure to properly inform government and defense leaders will be the subject of what John Kirby, the National Security Council spokesman, called a \u201chotwash\u201d to see if procedures need to be changed.
Kirby, speaking to reporters on Air Force One as Biden traveled to South Carolina, said there is an \u201cexpectation\u201d among members of Biden\u2019s Cabinet that if one of them is hospitalized, \u201cthat will be notified up the chain of command.\u201d
Monday night the Pentagon announced in a memo it would review how authorities are transferred and specifically focus on the events and decisions surrounding Austin's hospitalization, to ensure that in the future, \"proper and timely notification has been made to the President and White House and, as appropriate, the United States Congress and the American public.\u201d
The late Monday memo also vastly expands the circle of people who will be notified in future transfers of authority. During the week of Austin's hospitalization, Hicks and her staff received the transfer of authority notification through email, but it was limited to them and without explanation.
Going forward, any time authority is transferred a wider swath of officials will also be notified, to include the Pentagon's general counsel, the chairman and vice chairman of the Joint Chiefs of Staff, the Combatant Commanders, service secretaries, the service chiefs of staff, the White House Situation Room, and the senior staff of the Secretary and Deputy Secretary of Defense.
On Monday, Ryder acknowledged that he and other public affairs and defense aides were told Jan. 2 that Austin had been hospitalized but did not make it public and did not tell the military service leaders or the National Security Council until Jan. 4.
\u201cI want to offer my apologies and my pledge to learn from this experience, and I will do everything I can to meet the standard that you expect from us,\" he said.
Ryder said staff in Austin\u2019s front office will review notification procedures, including whether regulations, rules or laws were broken, and will take steps to improve the notification process. Those staff members, however, are among those who did not disclose the secretary's hospitalization.
Austin has taken responsibility for the delays in notification.
\u201cI recognize I could have done a better job ensuring the public was appropriately informed. I commit to doing better,\u201d he said, acknowledging the concerns about transparency, in a statement he issued Saturday. \u201cBut this is important to say: this was my medical procedure, and I take full responsibility for my decisions about disclosure.\u201d
Ryder provided some more detail on who knew about the hospitalization and when they were told.
He said when Austin was taken back to the hospital on Jan. 1 he \u201cwas conscious but in quite a bit of pain.\u201d He spent that evening undergoing tests and evaluation. The next day, \u201cdue to the secretary\u2019s condition and on the basis of medical advice,\u201d some authorities were transferred to Hicks through a standard email notification that often does not provide the reason for transfer, Ryder said.
Hicks, who was in Puerto Rico, was not told the reason for the transfer of authorities until Jan. 4.
Ryder said Austin\u2019s chief of staff, senior military adviser and the Joint Chiefs chairman were notified of the defense secretary\u2019s hospitalization on Jan. 2.
Ryder said the chief of staff, Kelly Magsamen, did not inform the White House because she had the flu. He said Magsamen told Hicks on Jan. 4 and they began drafting a public statement and developing plans to notify government and congressional officials that day.
But the congressional notifications did not begin until the evening of Jan. 5, just minutes before the Pentagon issued its first public statement on Austin's status.
Asked who approved the U.S. military strike in Baghdad that killed a militia leader on Jan. 4, Ryder said it was pre-approved by Austin and the White House before Austin was hospitalized.
Sen. Jack Reed, a Democrat from Rhode Island who chairs the Senate Armed Services Committee, and the only member of Congress Austin contacted about his hospitalization, called it a \u201cserious incident\u201d and said there needs to be accountability from the Pentagon.
New York Rep. Elise Stefanik and Sen. J.D. Vance of Ohio, and Sen. Tom Cotton of Arkansas, all Republicans, have called for Austin to resign. Senate Republican leader Mitch McConnell did not answer when asked if Austin should resign.
\u201cThis lack of disclosure must never happen again,\" Reed said in a statement. \"I am tracking the situation closely and the Department of Defense is well aware of my interest in any and all relevant information.\u201d
Democratic Sen. Dick Durbin of Illinois said letters requesting additional information from Austin are being sent.
\u201cThere\u2019s a lot of pressure,\" Durbin said. \"It\u2019s not over by a longshot.\u201d
Still, White House officials on Monday emphasized that Austin retains Biden's confidence. White House press secretary Karine Jean-Pierre said Biden appreciated Austin's statement on Saturday, in which he took responsibility for the lack of transparency.
\u201cThere is no plan for anything other than for Secretary Austin to stay in the job and continue the leadership that he\u2019s been demonstrating,\u201d Kirby said.
\u2014-
Associated Press writers Tara Copp, Mary Clare Jalonick and Lisa Mascaro contributed to this report.
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Therefore, it is somewhat relevant to the topic of health but not highly focused on it." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/01/08/8fcb75397dd7085975e990a3a7b3adba.json b/datasets/AP_news/raw_data/2024/01/08/8fcb75397dd7085975e990a3a7b3adba.json new file mode 100644 index 0000000..18d8252 --- /dev/null +++ b/datasets/AP_news/raw_data/2024/01/08/8fcb75397dd7085975e990a3a7b3adba.json @@ -0,0 +1,193 @@ +{ + "altids": { + "itemid": "8fcb75397dd7085975e990a3a7b3adba", + "etag": "8fcb75397dd7085975e990a3a7b3adba_0a4aza0c0", + "friendlykey": "313819747422", + "referenceid": "ML--Iraq-Hospital Fire" + }, + "version": 0, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-01-08T21:57:35Z", + "firstcreated": "2024-01-08T21:57:34Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "signals": [ + "newscontent" + ], + "title": "ML--Iraq-Hospital Fire", + "headline": "Four premature babies die in hospital fire in Iraq", + "headline_extended": "Health officials say a fire erupted at a hospital in southern Iraq, sending smoke through a maternity ward and killing four premature babies", + "slugline": "BC-ML--Iraq-Hospital Fire", + "description_summary": "Health officials say a fire erupted at a hospital in southern Iraq, sending smoke through a maternity ward and killing four premature babies. 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The fire started at a pile of debris belonging to a construction company working on renovations at Women and Children\u2019s Hospital in Diwaniyiah, Iraqi Health Minister Saleh al-Hasnawi told journalists at the scene.
The hospital building did not burn but it was filled with smoke, and the four infants died of chest problems as a result of smoke inhalation, Al-Hasnawi said. Some other patients suffered minor injuries.
Iraq\u2019s Red Crescent Society said in a statement that its teams successfully evacuated 150 children and 190 relatives from the hospital. The Red Crescent said the fire might have been triggered by an electrical problem.
Prime Minister Mohammed Shia al-Sudani's office directed local authorities and the health ministry to open an investigation into the circumstances of the fire, the state-run Iraqi News Agency reported. Officials overseeing the hospital were suspended pending the outcome of the investigation.
Electrical fires, often due to inadequate maintenance and substandard wiring, pose a recurrent threat in Iraq, with the absence of proper fire escapes further compounding the risk. Construction companies and providers of building materials often neglect safety standards, contributing to the hazards.
In 2016, a fire ripped through a maternity ward at a Baghdad hospital overnight, killing 12 newborn babies.
More recently, in September, more than 100 people died in a blaze ignited by fireworks during a wedding ceremony in the northern Iraqi town of Qaraqosh.
\u2014\u2014-
Associated Press staff writer Qassim Abdul-Zahra contributed to this report.
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The state Supreme Court on Monday heard oral arguments in a lawsuit brought by Republican legislators, the National Rifle Association and several residents of the Albuquerque area including retired law enforcement officers. They accuse Lujan Grisham of overstepping her authority in violation of the Second Amendment and the state constitution. The governor says her emergency orders are warranted because of extremely dangerous conditions and drugs posing an imminent threat.", + "bylines": [ + { + "by": "By MORGAN LEE", + "title": "Associated Press" + } + ], + "located": "SANTA FE, N.M.", + "datelinelocation": { + "city": "Santa Fe", + "countryareacode": "NM", + "countryareaname": "New Mexico", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -105.9378, + 35.68698 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. 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(AP) \u2014 Advocates for gun rights urged the New Mexico Supreme Court on Monday to block emergency orders by Gov. Michelle Lujan Grisham restricting people from carrying guns at public parks and playgrounds in the state's largest metro area and address gun violence as a public health crisis.
The state Supreme Court heard oral arguments Monday without issuing a ruling in a lawsuit brought by Republican state legislators, the National Rifle Association and several residents of the Albuquerque area that include retired law enforcement officers, former federal agents, licensed firearms instructors and a gun-shop owner.
The state\u2019s legal standoff is one of many \u2014 from an Illinois ban on high-powered rifles to location-based restrictions in New York \u2014 since a U.S. Supreme Court decision last year expanded gun rights and as leaders in politically liberal-leaning states explore new avenues for restrictions. A California law was set to take effect Jan. 1 banning firearms in most public places, but a legal challenge has held up implementation.
Lujan Grisham, a second-term Democrat, first invoked the orders in response to a spate of shootings that included the death of an 11-year-old boy outside a minor league baseball stadium.
Supreme Court justices questioned attorneys for more than an hour as they weighed whether to rein in the governor's use of emergency powers to restrict firearms. Outside the courthouse, there was an unusually heavy police presence with New Mexico State Police vehicles lining the street.
\u201cIt seems to me that there are guardrails, so to speak. \u2026 You have to say the nature of the public health emergency,\" Justice Michael E. Vigil, told an attorney for the governor. \u201cWhere is the statistical information showing that gun violence in public parks in Albuquerque and in Bernalillo County is a problem? There\u2019s nothing in these declarations that show that.\u201d
Justice Briana Zamora said New Mexico lawmakers have given the governor broader emergency powers in comparison with many states. She also sounded a cautionary note on executive authority.
\u201cIf we allow this, what are we not allowing?\u201d she asked.
The high court adjourned without setting a deadline or a decision.
The petitioners say Lujan Grisham has overstepped her authority as governor in violation of the Second Amendment and that gun violence and drug abuse don't qualify as public health emergencies that can limit access to firearms even temporarily.
They accuse the governor of infringing on the Legislature's authority and overriding gun regulations that have been refined over the course of more than a century, including concealed handgun laws. The state Republican and Libertarian parties also support the legal challenge.
\u201cThe executive orders are so far outside and so contrary to the emergency statutes that, in their entirety, they are invalid \u2014 by trying to declare a state of emergency base on \u2018gun violence\u2019 and \u2018drug abuse,'\" attorney Jessica Hernandez argued Monday on behalf of gun rights advocates.
In defining what constitutes a public health emergency, the governor asserts that both gun violence and drug abuse \u201ccomfortably fall within\u201d the category because of extremely dangerous conditions posed by weapons and toxic chemical agents posing an imminent threat to many New Mexico residents.
The temporary orders don\u2019t violate constitutional rights, she says.
\"Those are the powers that the governor has, and those are the powers that she was reelected to use, again, in consultation with her public health experts about what constitutes an emergency,\u201d said Holly Agajanian, chief general counsel to the governor.
Separately, a federal judge has allowed enforcement of the gun provision to continue while legal challenges run their course. The October ruling by U.S. District Judge David Urias marked a victory for Lujan Grisham.
The governor's orders, first issued on Sept. 8, 2023, sparked public protests among gun rights advocates and additional legal challenges in federal court that are still underway.
Initial restrictions on carrying guns were scaled back from the original order that broadly suspended the right to carry guns in most public places, which the Bernalillo County sheriff and Albuquerque\u2019s police chief had refused to enforce.
The governor\u2019s health order includes directives for gun buyback efforts, monthly inspections of firearms dealers statewide, reports on gunshot victims at New Mexico hospitals and wastewater testing for indication of illicit drug use at public schools.
Longtime NRA leader Wayne LaPierre resigned before Monday\u2019s start of a civil trial in New York over allegations he treated himself to lavish perks at the expense of the powerful gun rights group.
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whether Republicans, after longtime opposition, may agree to a further expansion of health care for poor adults under the state's Medicaid program.
Republican House Speaker Jon Burns of Newington said he wants to explore the idea, and Republican Lt. Gov. Burt Jones said he is willing to consider it. Gov. Brian Kemp, the state's top Republican, has championed a more limited expansion of coverage.
Because it's the second year of the two-year legislative term, all the measures that didn't pass last year are still alive. That means things can happen fast, especially for bills that got close to passage. For example, many people expect a quick resolution on a push to create new educational vouchers.
This also is an election year for the 180 representatives and 56 senators, although not for Kemp or Jones. Lawmakers may look toward measures that will please their supporters or win them votes. With state coffers bulging, further pay increases for public employees and teachers appear likely. Republicans are also pushing a further income tax cut.
Here is a look at other top issues that could arise as state lawmakers meet for 40 business days over the next three months:
Kemp has said he wants to make it harder for people to file lawsuits and win big legal judgments. He has said Georgia\u2019s high insurance rates are among the harms of such lawsuits.
Georgia lawmakers capped noneconomic damages including pain and suffering in a 2005 tort reform law, but the state Supreme Court overturned such caps as unconstitutional in 2010.
Owners of commercial properties and apartments have been some of the biggest supporters of limits, saying they are getting unfairly sued when unrelated parties do wrong on their property. Another big backer is the trucking industry, which wants to end the right of people to sue insurers directly.
Fighting about elections and the laws that govern them has rarely paused since 2018 in Georgia, and more measures could be debated in 2024.
Some partisans may seek a measure clarifying that the State Election Board has legal authority to investigate Secretary of State Brad Raffensperger, seeking an inquiry into the Republican's handling of post-election audits following Joe Biden's 2020 victory in Georgia.
Those who question Biden's victory also want a bill allowing them to review paper ballots, pursuing claims of counterfeit ballots.
Raffensperger is asking for $4.7 million to be appropriated for machines to allow voters to check the computer codes printed on their ballots. Those who distrust Georgia's electronic balloting system could counter with bills to outlaw the codes or to let voters mark ballots by hand.
Some lawmakers are unhappy Raffensperger won't update software on voting machines before the 2024 presidential election. The secretary says there is not enough time to install updates
Raffensperger has renewed his call to eliminate runoffs after general elections when no candidate wins a majority.
Top Senate Republicans plan a bill to remove the requirement that the Georgia Supreme Court approve rules for a new commission to discipline and remove state prosecutors. The court in November ruled that it lacked authority to do so, which meant the commission could not begin operating. A House Republican also has promised a quick fix.
Some Republicans in Georgia want the new commission to discipline or remove Fulton County District Attorney Fani Willis for indicting former President Donald Trump.
Georgia\u2019s law is one of multiple Republican attempts nationwide to control prosecutors. Opponents say the law creates a bias in favor of prosecuting people, but supporters say district attorneys violate their oaths of office if they don't prosecute.
A bill to define antisemitism in Georgia law stalled in 2023 in a debate over how the measure should be worded. The measure already was supported by many lawmakers and the pressure to act has only grown with strong Republican support for Israel in its war with Hamas.
Sponsors say a definition would help prosecutors and other officials identify hate crimes and illegal discrimination targeting Jewish people. But some critics warn it would limit free speech, especially in criticizing the actions of Israel. Others don't oppose a law, but object to the measure defining antisemitism by referring to a definition adopted by the International Holocaust Remembrance Alliance.
A group of prominent evangelical Christians, including Pastor John Hagee of Christians United for Israel, Ralph Reed of the Faith and Freedom Coalition and Jentezen Franklin of megachurch Free Chapel, wrote to Georgia lawmakers in December urging them to adopt the IHRA definition.
House members made a big push in 2023 for a bill that would recruit more mental health workers, help people who bounce between hospitals, jails and homelessness, and study other needs. That measure faltered in a broader House-Senate dispute.
This year, mental health leaders say they expect to focus on more money to raise pay, increase payments to service providers and open more crisis beds. But legislation may still be needed for some priorities, including addressing the backlog of pretrial mental health evaluations for people accused of crimes.
Georgia could join other states requiring children younger than 18 to get their parents' permission to create social media accounts. Republican Sen. Jason Anavitarte of Dallas said in August that he would push such a proposal.
Georgia wouldn't be the first state to seek such a restriction, but efforts in other states have been challenged by lawsuits.
In the House, Education Committee Chairman Chris Erwin, a Homer Republican, says lawmakers need to study whether threats and other social media activity hurt schools' ability to function, although he has made no specific proposals.
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With AP Photos.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "US--Abortion-Tennessee", + "headline": "More women join challenge to Tennessee's abortion ban law", + "headline_extended": "More women have joined a Tennessee lawsuit challenging the state\u2019s broad abortion ban that went into effect shortly after the U.S. Supreme Court overturned Roe v. Wade in 2022", + "slugline": "AP-US--Abortion-Tennessee, 1st Ld-Writethru", + "description_summary": "More women have joined a Tennessee lawsuit challenging the state\u2019s broad abortion ban that went into effect shortly after the U.S. Supreme Court overturned Roe v. Wade in 2022. Three of the women added Monday to the Tennessee suit were denied abortions while experiencing severe pregnancy complications, forcing them to travel out of state to get the procedure. The Center for Reproductive Rights, which is representing the plaintiffs, has also tweaked their complaint to also request an temporary injunction as the court case proceeds. The legal challenge is part of a handful lawsuits filed across the U.S. in Republican-dominant states seeking clarity on the circumstances that qualify patients to legally receive an abortion.", + "bylines": [ + { + "by": "By KIMBERLEE KRUESI", + "title": "Associated Press" + } + ], + "located": "NASHVILLE, Tenn.", + "datelinelocation": { + "city": "Nashville", + "countryareacode": "TN", + "countryareaname": "Tennessee", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -86.78444, + 36.16589 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. 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(AP) \u2014 More women on Monday joined a Tennessee lawsuit challenging the state's broad abortion ban that went into effect shortly after the U.S. Supreme Court overturned Roe v. Wade in 2022.
The legal challenge is part of a handful of lawsuits filed across the U.S. in Republican-dominant states seeking clarity on the circumstances that qualify patients to legally receive an abortion.
Here is the latest on what's going on in Tennessee and where many of the lawsuits stand.
On Monday, four more women joined the legal battle in Tennessee that first was filed in September\u2014 bringing the total of plaintiffs suing over the state's abortion ban to nine, including two doctors.
Three of the women added Monday were denied abortions while experiencing severe pregnancy complications, forcing them to travel out of state to get the procedure.
Among the new plaintiffs is Rebecca Milner, who learned she was pregnant with her first child in February 2023 after several years of unsuccessful fertility treatments.
According to court documents, Milner was told at a 20-week appointment that the amniotic fluid surrounding her baby was low. A specialist later said that her water had broken likely several weeks before and that nothing could be done to save the baby.
However, her doctor said that Tennessee's abortion ban prohibited abortion services in her situation.
That's because the ban only explicitly lists ectopic pregnancies and miscarriages as legally allowed exemptions. While the law also allows doctors to use \u201creasonable medical judgment\u201d when determining if an abortion is necessary to prevent the death of a pregnant patient or to prevent irreversible, severe impairment of a major bodily function, medical experts have criticized this provision as too vague, one that puts doctors at a high legal risk of violating the statute.
In Milner's case, court documents state that she eventually traveled to Virginia for an abortion and returned to Tennessee with a high fever. Doctors told her that she had an infection and that the delay in getting an abortion allowed the infection to worsen.
\u201cContrary to its stated purpose of furthering life, Tennessee\u2019s ban is exposing pregnant patients to grave risks of death, injury, and illness, including loss of fertility \u2014 making it less likely that every family that wants to bring a child into the world will be able to do so,\u201d the lawsuit states.
In Tennessee, the plaintiffs argue that the ban violates pregnant patients\u2019 right to life as guaranteed by the state\u2019s constitution and are asking a three-judge panel to clarify the circumstances that qualify patients to legally receive an abortion. Among the circumstances they want included are fatal diagnoses.
On Monday, the Center for Reproductive Rights, which is representing the plaintiffs, tweaked their complaint to also request an temporary injunction as the court case proceeds.
\u201cAfter we filed this case in September, our phones lit up with calls from people who were forced to endure similar horror stories,\u201d said Linda Goldstein, an attorney with the center, in a statement. \"These women were put through unnecessary agony and suffering, and some almost died. The medical exceptions to state abortion bans clearly do not work \u2014 and that is true not just in Tennessee but in every other state that bans abortion.\"
A spokesperson for Tennessee's Attorney General's office, tasked with defending the state's abortion ban, did not immediately respond to an email request seeking comment.
The Center for Reproductive Rights has launched legal battles in Idaho, Oklahoma and Texas to force more clarity on when exceptions are allowed under abortion ban laws.
A state judge in Idaho recently denied a request by the state\u2019s top legal chief to throw out a lawsuit seeking to clarify the exemptions tucked inside the state\u2019s broad abortion ban.
Instead, 4th District Judge Jason Scott narrowed the case to focus only on the circumstances where an abortion would be allowed and whether abortion care in emergency situations applies to Idaho\u2019s state constitutional right to enjoy and defend life and the right to secure safety.
Meanwhile, in Texas, a judge initially ruled that Texas\u2019 ban was too restrictive for women with pregnancy complications, but that decision was swiftly put on hold after the state appealed. Now it's up to the Texas Supreme Court to issue a ruling, which could take months.
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Holcomb said that during his last term, he will fight for improvements in child care access and childhood literacy. His speech came one day after Indiana lawmakers returned to the statehouse for the first day of the 2024 legislative session.", + "located": "INDIANAPOLIS", + "datelinelocation": { + "city": "Indianapolis", + "countryareacode": "IN", + "countryareaname": "Indiana", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -86.15804, + 39.76838 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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Eric Holcomb cited Tuesday as he delivered his final State of the State address while promoting a new agenda for his last term.
Addressing a joint session of the General Assembly, Holcomb renewed his commitment to work for the state \u201cuntil the ultimate conclusion of my assigned duty.\u201d He cannot run for reelection because Indiana law restricts governors to two consecutive terms. Holcomb hasn't announced what his plans are after he leaves office.
His speech came one day after Indiana lawmakers returned to the statehouse in Indianapolis for the start of the 2024 legislative session.
The Republican governor avoided directly speaking about the coronavirus pandemic, which hit the same year as his reelection. His popularity took a hit over some COVID-19 restrictions, such as a statewide mask mandate in the early days of the pandemic.
Instead, he sought to emphasize Indiana\u2019s economy and manufacturing industry, including partnerships with the federal government to fund hydrogen, micro-electronics and biotech manufacturing hubs.
He also highlighted Health First Indiana, a public health initiative he pushed for last year as part of a major budget package. The governor received widespread attention for the program, which allows counties to opt in for state funding for services such as chronic disease prevention; infectious disease prevention and control; and maternal and child health care.
In his remarks, Holcomb announced a $250 million grant from Lilly Endowment Inc. for regional redevelopment and arts and cultural initiatives throughout the state.
He also laid out his agenda for the final year of his term, focusing mostly on improving child care access and education outcomes.
The outgoing governor said Monday that he wants to lower the minimum caregiver age at child care facilities to include some teenagers, and expand eligibility for free or reduced child care for employees in the field.
On the education front, literacy among elementary school students is what the governor and GOP lawmakers are citing as their chief concern. Holcomb wants lawmakers to require that the state\u2019s reading test be administered to second graders, to provide an indicator of their aptitudes and how they can improve.
According to the Indiana Department of Education, about 18% of third graders did not pass Indiana\u2019s reading test last year. Holcomb also wants to make it harder for students who fail the test to move up to the fourth grade.
\u201cTerm-limited though I am, here are my promises to you, for 2024,\u201d Holcomb said during his speech.
Following the address, Senate President Pro Tem Rodric Bray, a Republican, said he looks forward to working with the governor on his new initiatives, particularly on children\u2019s literacy. Republican House Speaker Todd Huston told reporters he supports the governor\u2019s push to hold back more third graders who do not pass reading proficiency standards.
Huston also called the Lily Endowment grant for redevelopment and cultural initiatives \u201ctremendous news.\u201d
Democratic leaders criticized parts of Holcomb\u2019s speech, saying there were topical gaps in his address.
State Senate minority leader Greg Taylor expressed optimism about Indiana\u2019s economic outlook, but touted the Democrats' leadership in pushing to raise the minimum wage. State House minority leader Phil GiaQuinta criticized Holcomb for not addressing a recent calculation error that leaves the state $1 billion short of its predicted Medicaid needs.
\u201cThis unacceptable budgeting error could devastate the one-third of Hoosiers who rely on Medicaid for vital medical care,\u201d GiaQuinta said in a written statement.
Holcomb did not introduce any proposals with fiscal implications because they are only handled in odd years, when lawmakers hold a longer, budget-making session. The 2024 session must adjourn by March 14.
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Editorial: State push for recreational trails is a smart way to boost economy
An explosion in the development of recreational trails across Indiana through the state\u2019s $150 million Next Level Trails program holds great promise in improving Hoosier health, spurring economic development, boosting property values, and creating the kind of amenities that will attract talented workers.
Just last month, Gov. Eric Holcomb and the Department of Natural Resources announced 14 more recipients as part of the fourth round of Next Level Trails grants, providing a combined $31.2 million that will support 28 miles of new trails.
Among the biggest recipients are the Fall Creek Greenway in Lawrence and the Marquette Greenway, which will each receive $5 million. As Inside INdiana Business reported, other projects receiving funding include the Vision Trail Phase 1 in Randolph County and the Poka-Bache Trail in Steuben County
Local communities also have to have some skin in the game, providing a match of at least 20% that can include monetary contributions, land value or in-kind donations of materials and labor. This helps to guarantee community buy-in and puts the projects on the path to success.
When it comes to state-funded trails, however, the big kahuna is the South Monon Trail Project, which the governor last year announced would receive $29.5 million in state funds.
Construction began last summer on that trail, which will span more than 62 miles from New Albany to Mitchell and connect Floyd, Clark, Washington, Orange and Lawrence counties. It promises to become a cherished community amenity, offering dramatic views of farmland, forests and nearby state parks and recreational areas, and introducing visitors to the charm of small-town restaurants and shops along the way.
In Indianapolis, we already know the tremendous economic impacts of trails, thanks to public-private partnerships and the philanthropy of the Glick family.
According to a study by the Indiana University Public Policy Institute, neighborhood connections and amenities spurred by the Indianapolis Cultural Trail boosted nearby property values 148% from 2008 to 2014, and businesses along the trail reported increased revenue and the creation of more jobs. And now the trail is expanding along South Street and Indiana Avenue.
The Monon Trail, which runs from East 10th Street in Indianapolis north to Carmel, Westfield and Sheridan, has had a similar impact on its neighborhoods. Carmel this week announced a $13 million expansion of a key part of the trail through its Midtown, widening a 0.2-mile stretch from 14 feet to 140 feet. Work also continues on the Nickel Plate Trail and the Pennsy Trail.
Actually, the list of new trail projects, planned expansions and related amenities seems almost endless. Their positive impacts have been proven repeatedly.
Holcomb, the Legislature and local leaders clearly know a good thing when they see it. And the development of trails plays perfectly into the governor\u2019s vision to create appealing communities that will attract talented employees and encourage companies to locate and grow in Indiana.
___
Fort Wayne Journal Gazette. January 2, 2024.
Editorial: Hoosiers have governor, legislature to thank for drop in fatal overdoses
In 2016, more people died from drug overdoses in the U.S. than the total number of Americans killed in the Vietnam War. Indiana opioid overdose deaths rose 52% between 2015 and 2016. New, comprehensive strategies were needed at the state and federal levels to deal with the ongoing crisis.
\u201cI didn\u2019t intend to make attacking the opioid epidemic a part of my agenda as governor,\u201d Gov. Eric Holcomb wrote in a piece published in the Indianapolis Star in September 2017. \u201cBut, as I traveled the state leading up to the 2016 election and saw firsthand the devastating effects of opioid addiction \u2014 I couldn\u2019t look away from the lives and communities I saw ravaged.\u201d
Less than a year later, the state had a strategic plan, Next Level Recovery, to fight addiction with a community-based approach. Today, Indiana is reaping the benefits of the new laws, programs and funding associated with that effort.
Last month, the Indiana Department of Health reported drug overdose deaths fell by 5% in 2022 \u2014 the first reported drop in overdose fatalities in four years.
Fatal overdoses tumbled by 10% in Allen County \u2014 twice the state rate \u2014 and nonfatal overdoses plummeted by 28% in 2022 compared with 2021, Fort Wayne Police Capt. Kevin Hunter told The Journal Gazette last week.
Douglas Huntsinger, executive director of Drug Prevention, Treatment and Enforcement for Indiana, credits the state\u2019s 20 recovery hubs that help Hoosiers find housing or employment, the expansion of residential treatment beds throughout Indiana and an increase in the distribution of naloxone \u2014 a drug that reverses opioid overdose \u2014 for the downward trend in deaths.
\u201cCommunities have recognized the urgency of this crisis and have joined forces to address it comprehensively,\u201d he said in December\u2019s Next Level Recovery Progress Report. \u201cBy combining our expertise, resources and perspectives, we\u2019re not only saving more lives from overdose, but we\u2019re creating a network of supports to aid individuals on their path to recovery.\u201d
Allen County\u2019s Hope and Recovery Team works closely with many local agencies to help residents access addiction treatment, including project.ME, the Indiana recovery hub for Allen and Whitley counties. Last month, the agency, staffed by former addicts, opened the area\u2019s first drop-in recovery center at 2305 Broadway.
Huntsinger attended its grand opening.
\u201cWhen I first met project.ME\u2019s Aisha Diss, she had just started leading one of #Indiana\u2019s first harm reduction street outreach teams,\u201d Huntsinger posted on Facebook. \u201cFast forward a couple of years later, and we\u2019re celebrating the opening of project.ME\u2019s new drop-in center, made possible by Aisha\u2019s passion and determination. This building opens even more opportunities for project.ME to serve Hoosiers in the NE region.\u201d
In June, the Indiana Family and Social Services Administration awarded project.ME nearly $300,000 to expand its Harm Reduction Street Outreach Program, which distributes naloxone to aid in the prevention of fatal overdoses and fentanyl test strips to screen for contamination of other drugs.
The YWCA of Northeast Indiana also received $2.2 million to renovate the former Don Hall\u2019s Guesthouse and expand both its domestic violence shelter and residential addictions treatment center from a total capacity of 96 beds to 244 beds.
Diss told The Journal Gazette she isn\u2019t surprised fatal and nonfatal overdoses have dropped in the state and Allen County. It shows the efforts of local organizations such as the Hope and Recovery Team, project.ME, Avenues Recovery and Fort Wayne Medical Society Alliance are working and more people are seeking rehabilitation from addiction.
Like Holcomb in 2016, those seeking to replace him as governor in January 2025 must recognize that addiction is a medical condition and not a moral failing. They should commit to continue providing programs and funding for addiction mitigation, as Holcomb has since 2017.
It took a crisis to force the state to act against the societal, economic and personal damage that addiction causes Indiana. Hoosiers should be thankful Holcomb and the General Assembly did so with resolve.
___
Tribune-Star. January 5, 2024.
Editorial: ISU needs to steady waters with next choice of next president
Indiana State University needs its next president to instill steady progress through the campus.
Likewise, Terre Haute needs ISU to do that. The university is the city\u2019s third-largest employer, behind only the Vigo County School Corp. and Union Hospital. Along with ISU\u2019s faculty and staff employees, its 8,300 students help comprise nearly one-sixth of Terre Haute\u2019s population.
Many Sycamore alums choose to stay here, work for local businesses, raise families, volunteer, attend houses of worship, pay taxes and send their kids to VCSC schools.
It matters greatly that ISU thrives in the future. At the moment, the university is struggling with uncertainty.
This week, the community learned that Sycamore Athletic Director Sherard Clinkscales had resigned, a seemingly sudden move. It came at an unusual moment, halfway through the university\u2019s 2023-24 athletic season. On Thursday, the Tribune-Star obtained a \u201cseparation and release agreement\u201d signed by Clinkscales and ISU President Deborah Curtis. The document explained that ISU and Clinkscales had \u201cmutually agreed\u201d that he would resign as athletic director effective Dec. 31. It also explained his severance package, which included 50 percent of his salary over the final 18 months of his contract, totaling $165,979, plus other benefits and considerations.
The agreement also included a \u201cnon-disparagement\u201d clause, obliging Clinkscales, Curtis and ISU to refrain from making derogatory comments about each other.
The university and its former AD indeed issued only praise for each other in the statements issued after Clinkscales\u2019 resignation became public. And, no other specific explanation for his departure has been given.
Regardless of the reason, the situation certainly leaves a high-profile segment of the university in some disarray. The university did, wisely, place the interim athletic director duties in the capable hands of longtime Sycamore athletic administrator Angie Lansing, ISU\u2019s senior associate AD and senior woman administrator. She served in the interim role once before, in 2016 just before former ISU President Dan Bradley hired Clinkscales.
The permanent role of AD undoubtedly will not be filled until a new ISU president is hired. Curtis is retiring effective June 30, 2024 \u2014 one year earlier than her contract had called for \u2014 under an agreement approved by the university\u2019s board on Dec. 15, 2023. The choice of Clinkscales long-term replacement should be made by that new president. That president and staff would be smart to choose Lansing for that position, if she would choose to take it.
ISU is certainly far more than just its athletics programs. Nonetheless, its teams and their events can serve as a bonding place for the greater community. Clinkscales had built a solid corps of coaches, and the teams experienced some strong successes for local residents to follow and enjoy. The highlights include the ISU men\u2019s basketball, baseball and men\u2019s and women\u2019s track and field programs, and a third-place finish in the Missouri Valley Conference\u2019s All-Sports Trophy race in 2021, the school\u2019s best finish since 2014.
Right now, Coach Josh Schertz\u2019s Sycamore men\u2019s basketball team sits atop the early standings of the Missouri Valley Conference, and the fan following is growing.
Other universities have seen athletic programs help in the recruitment of students in general. ISU definitely needs that jolt. The COVID-19 pandemic certainly hurt enrollments at colleges across America, including ISU. Still, the enrollment drop at Indiana State has been breathtaking. It fell to 8,305 students last fall, a decline of 4.1% from the previous year and down 36% from fall 2017\u2019s 13,045 total. In response to enrollment losses, ISU made about $12 million in budget cuts this over the course of a year, including a reorganization.
A new ISU president will face a handful of concerns when that person arrives in June. A search committee and the ISU Board of Trustees needs to make a stellar choice.
END
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\u201cI don\u2019t think it is any drama. It is a basic and simple measure of the first order,\" she added.
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Regional governments are in charge of healthcare although the central government can intervene if it deems it necessary.
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Spain declared a formal end to the health crisis caused by the COVID-19 pandemic last July, saying people no longer needed to wear masks in health and care centers and pharmacies. Over the previous two years, Spain had gradually ended mandatory mask wearing, first in public and then on public transport.
The country registered more than 14 million cases and some 120,000 deaths from the coronavirus.
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With AP Photos.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "US\u2014Food Assistance-Children", + "headline": "USDA estimates 21 million kids will get summer food benefits through new program in 2024", + "headline_extended": "About 21 million children are likely to receive food benefits this summer through a newly permanent federal program", + "slugline": "BC-US\u2014Food Assistance-Children, 1st Ld-Writethru", + "description_summary": "About 21 million children are likely to receive food benefits this summer through a newly permanent federal program. Thirty-five states, all five U.S. territories and four tribes opted into the Summer Electronic Benefits Transfer, known as Summer EBT. Families at or below 185% of the federal poverty line will receive $120 per child total during the summer months. Some states that opted out say there wasn't enough time to implement the program.", + "bylines": [ + { + "by": "By KENYA HUNTER", + "title": "AP Health Writer" + } + ], + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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Thirty-five states, all five U.S. territories and four tribes opted into the Summer Electronic Benefits Transfer program, or Summer EBT, which the government says is meant to supplement existing programs during the summer that have had a more limited reach.
\u201cNo child in this country should go hungry,\u201d Agriculture Secretary Tom Vilsack said in an interview with The Associated Press. \u201cThey certainly shouldn\u2019t go hungry because they lose access to nutritious school meals during the summer months.\"
In December 2022, Congress made Summer EBT permanent starting in 2024 after the USDA had tested it for several years. The states that chose not to opt in for this summer will have a chance to join for summer 2025, the USDA said.
Families with children who are eligible for free or reduced-price lunches (that is, families who are at or under 185% of the federal poverty line) will be eligible for Summer EBT, which will cover about 70% of the eligible population in its first year.
In an October report, the USDA said an estimated 17 million households in the U.S. reported problems finding enough food in 2022. That was up from 13.5 million in 2021, when there was more pandemic-era federal food aid.
Eligible families will receive $40 per month per child during the summer \u2014 a total of $120 per child. The money will be loaded on an EBT card, which can be used at stores that also take Supplemental Nutrition Assistance Program (SNAP) benefits.
The USDA estimates it will provide a total of $2.5 billion in grocery benefits in 2024 through the Summer EBT program.
The Cherokee Nation is one of the four tribes that'll be a part of the inaugural summer. Cherokee National Principal Chief Chuck Hoskin Jr. said it was an easy decision.
\u201cI think we\u2019re seeing a lot of pressures on households in terms of rent or other housing costs, all of that hitting very finite household budgets,\u201d he said, adding, \u201c \u2026 This puts a dent in that overall problem by empowering parents to just simply be able to go out and purchase more food and some healthy options that are available.\u201d
The Cherokee Nation has its headquarters in Tahlequah, Oklahoma \u2014 a state that opted out of Summer EBT. Hoskin said he expects more applications from non-tribal citizens who live on the reservation.
Alabama, Alaska, Florida, Georgia, Iowa, Louisiana, Mississippi, Nebraska, Oklahoma, South Carolina, South Dakota, Texas, Vermont and Wyoming chose not to participate this summer.
Nebraska, Iowa and Oklahoma cited existing programs that already feed children during the summer as reasons not to join Summer EBT.
Implementing a Summer EBT program this year was \u201cnot feasible\u201d in Texas, state Health and Human Services Commission spokesperson Thomas Vazquez said in a statement to the AP. He said that was due to USDA guidance coming in late December, \u201dthe level of effort needed\" to start a new program and the need for the state legislature to approve money for it.
Oklahoma Gov. Kevin Stitt said in a statement that he doesn't want \"a single Oklahoma child to go hungry, and I\u2019ll keep working to accomplish that, but large, duplicative federal programs don\u2019t accomplish that goal.
\u201cThey cause more bureaucracy for families to wade through.\u201d
All 50 states already administer the Summer Food Service Program, which provides sites where kids can eat for free. Vilsack said he\u2019s worried it doesn't \u201cprovide the help for all the children, no matter how well-intentioned it is.\"
\u201cFor the life of me I don\u2019t see why 50 governors aren't doing (Summer EBT),\" he said, \"but we\u2019re happy that 35 are, we\u2019re happy that territories are in and we\u2019re happy that the tribes are continuing to work with us.\u201d
___
The Associated Press Health and Science Department receives support from the Robert Wood Johnson Foundation. AP is solely responsible for all content.
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The latest attack happened in Bannu, a district in Khyber Pakhtunkhwa province bordering Afghanistan, said Altaf Khan, a local police chief. Another two officers were also wounded in the attack.
Khan said police have launched a search in the area to trace the assailants, and one of the attackers was apparently at a house in Bannu.
No one immediately claimed responsibility for Tuesday's attack in Bannu.
Tuesday's attack came hours after authorities said an officer who was critically wounded in a roadside bombing that targeted police assigned to protect polio vaccination workers in northwestern Pakistan died in a hospital, raising the death toll from the attack, claimed by the Pakistani Taliban, to seven.
Police said in a statement that at least three officers remained in critical condition after Monday\u2019s bombing in the district of Mamund, a former stronghold of the Pakistani Taliban in Khyber Pakhtunkhwa province bordering Afghanistan.
The Pakistani Taliban promptly claimed responsibility for the attack. However, a competing claim late on Monday by the Islamic State group accused the Pakistani Taliban of falsely taking responsibility for the bombing. In the past, the two militant groups \u2014 which are both active in the region \u2014 have issued competing claims.
Pakistan and Afghanistan are the only countries in the world where polio remains endemic.
Monday's bombing in Mamund happened after the government began another round of its regular vaccination drives. Islamic militants often target polio teams and police assigned to protect them, claiming falsely that the vaccination campaigns are a Western conspiracy to sterilize children.
The vaccination drive in Mamund was suspended for a second day Tuesday.
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The social media giant based in Menlo Park, California, said in a blog post that while it already aims not to recommend such \u201cage-inappropriate\u201d material to teens, now it also won't show it in their feeds, even if it is shared by an account they follow.
\u201cWe want teens to have safe, age-appropriate experiences on our apps,\u201d Meta said.
Teen users \u2014 provided they did not lie about their age when they signed up for Instagram or Facebook \u2014 will also see their accounts placed on the most restrictive settings on the platforms, and they will be blocked from searching for terms that might be harmful.
\u201cTake the example of someone posting about their ongoing struggle with thoughts of self-harm. This is an important story, and can help destigmatize these issues, but it\u2019s a complex topic and isn\u2019t necessarily suitable for all young people,\u201d Meta said. \u201cNow, we\u2019ll start to remove this type of content from teens\u2019 experiences on Instagram and Facebook, as well as other types of age-inappropriate content.\u201d
Meta's announcement comes as the company faces lawsuits from dozens of U.S. states that accuse it of harming young people and contributing to the youth mental health crisis by knowingly and deliberately designing features on Instagram and Facebook that addict children to its platforms.
Critics said Meta's moves don't go far enough.
\u201cToday\u2019s announcement by Meta is yet another desperate attempt to avoid regulation and an incredible slap in the face to parents who have lost their kids to online harms on Instagram,\u201d said Josh Golin, executive director of the children's online advocacy group Fairplay. \u201cIf the company is capable of hiding pro-suicide and eating disorder content, why have they waited until 2024 to announce these changes?\u201d
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Eric Smith, the commandant of the Marine Corps, had open heart surgery Monday, and he is expected to return to full duty as the service's leader, the Corps said in a statement.
Smith suffered cardiac arrest near his home at Marine Barracks Washington on Oct. 29, and was hospitalized. He had been confirmed as the new commandant on Sept. 21. The assistant commandant, Gen. Christopher Mahoney, has been serving as the acting head of the Marine Corps since Smith's hospitalization.
The Marines said Smith underwent successful surgery to repair a bicuspid aortic valve in his heart, which was the cause of his cardiac arrest. No date was given for his return.
\u201cHe is in good condition and continues to recover at the hospital among family members and his doctors,\u201d the statement said. \u201cFollowing his rehabilitation, Gen. Smith will return to full duty status as Commandant.\u201d
Smith's cardiac arrest came just two days after he\u2019d talked about the stress of having to do the top two high-level jobs for the service because Republican Sen. Tommy Tuberville had blocked hundreds of military promotions and nominations for months. Tuberville is opposed to Pentagon policy paying for troops' travel for abortions and other reproductive care.
Under pressure from lawmakers on both sides of the political aisle, Tuberville ended his holds in December, allowing the Senate to confirm more than 435 nominations.
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later to treat a urinary tract infection related to that operation, his doctors said Tuesday.
The cancer revelation answers the main question about Austin\u2019s hospitalization, which has now lasted eight days. But it may only add to questions of accountability, since President Joe Biden only learned about the cancer diagnosis on Tuesday, even though it was made about a month ago.
\u201cNobody at the White House knew that Secretary Austin had prostate cancer until this morning,\" said John Kirby, the National Security Council spokesman. \"And the president was informed immediately after.\u201d
The 70-year-old Austin was admitted to Walter Reed National Military Medical Center on Dec. 22 and underwent surgery to treat the cancer. He developed the infection a week later. Biden and other senior administration officials were not told for days about his hospitalization or his cancer.
According to the doctors, the cancer was detected when Austin had a regular screening in early December. They said he \u201cunderwent a minimally invasive surgical procedure\u201d and went home the next day. But on Jan. 1 he reported nausea and severe abdominal, hip and leg pain due to the infection.
They said his prostate cancer was detected early, and his prognosis is excellent.
The cancer revelation comes after days of persistent questions about Austin\u2019s hospitalization and the delays in notifying key leaders. And it raises more questions about the transparency and truthfulness of the Defense Department, which for the past four days said he was initially at Walter Reed for an \"elective medical procedure,\u201d and not prostate surgery.
Asked about that choice of wording, Maj. Gen. Pat Ryder, Pentagon press secretary, said in a briefing on Tuesday that it was developed in consultation with Austin\u2019s doctors.
When pressed on the delays in public notification, Ryder said, \u201cDespite the frequency of prostate cancer, discussions about screening, treatment and support are often deeply personal and private ones.\" It was still not clear Tuesday how this will affect Austin's job, travel or other public engagements going forward. Deputy Defense Secretary Kathleen Hicks is expected to take on some of his day-to-day duties as he recovers.
The lack of transparency about Austin's hospitalization \u2014- including the failure to tell Biden and other top officials about it or the reason for it for days \u2014 has triggered sharp criticism.
Austin spoke with Biden on Saturday, the same day he issued a public statement saying he recognized he could have done a better job insuring the public was informed about his hospitalization, and said \u201cI commit to doing better.\u201d He did not, however, tell the president in that phone call that he had cancer.
Several Republican lawmakers even said Austin should be ousted. Rep. Mike Rogers, R-Ala., the chairman of the House Armed Services Committee, launched a formal inquiry into the situation. And, earlier Tuesday, the White House chief of staff ordered Cabinet members to notify his office if they ever can\u2019t perform their duties.
Dr. John Maddox, trauma medical director, and Dr. Gregory Chesnut, director of the Center for Prostate Disease at Walter Reed, provided the first details of Austin's prognosis in a statement put out by the Pentagon. They said he was under anesthesia during the initial surgery, and when he went to intensive care on Jan. 2 the infection had triggered an intestinal backup and his stomach had to be drained with a tube in his nose.
Medical experts said it\u2019s likely Austin had urine leak into his abdomen, a rare complication of prostate surgery, and that led to a bowel problem.
\u201cAll of this is temporary and reverses relatively quickly,\u201d said Dr. Benjamin Davies, a professor of urology at the University of Pittsburgh School of Medicine.
\u201cWe anticipate a full recovery, although this can be a slow process,\u201d Maddox said. They noted that prostate cancer is the most common cancer among American men, and it affects 1 in every 8 men \u2014 and 1 in every 6 African American men \u2014 during their lifetime.
The doctors said Austin underwent a surgical procedure called a prostatectomy. That is a common procedure to remove all or part of the prostate gland and is often used to treat prostate cancer, but is not the only option. Some men and their doctors choose radiation treatment or actively monitoring the disease, which involves watching it closely but no immediate treatment.
Prostate surgery can be done with small incisions and the aid of a tiny camera. It\u2019s not minor surgery, experts said, but \u201cit\u2019s not as big a deal as it once was,\u201d said Dr. David Penson, who chairs Vanderbilt University\u2019s urology department. \u201cIt\u2019s not all that different than, say, having your gallbladder removed with a laparoscope.\u201d
Meanwhile, the Biden administration, reeling from learning of Austin's surprise, is mounting a policy review. And the Pentagon has also begun its own review.
Chief of staff Jeff Zients sent a memo to Cabinet secretaries directing them to send to the White House by Friday any existing procedures for delegating authority in the event of incapacitation or loss of communication.
Biden and other top officials weren\u2019t informed for days that Austin had been hospitalized and had turned over power to his deputy. A Pentagon spokesman blamed the lapse on a key staffer being out sick with the flu.
\u201cAgencies should ensure that delegations are issued when a Cabinet Member is traveling to areas with limited or no access to communication, undergoing hospitalization or a medical procedure requiring general anesthesia, or otherwise in a circumstance when he or she may be unreachable,\u201d Zients said in the memo. He also directed agencies to document when any such transfer of authority occurs and that the person serving in the acting role promptly establish contact with relevant White House staff.
A copy of the memo was obtained by The Associated Press.
During Austin's two hospitalizations, he transferred some of his authorities to Hicks, but she was not told why. The White House was not informed Austin was in the hospital until Jan. 4, and the public and Congress didn't learn of it until a day later.
The Pentagon issued a memo Monday on its internal review, and broadened the circle of leaders who would be informed of any delegation of authorities by the defense secretary to ensure that, in the future, \u201cproper and timely notification has been made to the President and White House and, as appropriate, the United States Congress and the American public.\u201d
Going forward, any time authority is transferred, a wider swath of officials will also be notified, to include the Pentagon\u2019s general counsel, the chair and vice chair of the Joint Chiefs of Staff, the combatant commanders, service secretaries, the service chiefs of staff, the White House Situation Room, and the senior staff of the secretary and deputy secretary of defense.
\u2014-
Associated Press writers Zeke Miller and Seung Min Kim contributed from Washington, D.C.; AP Medical Writer Carla K. Johnson contributed from Washington state.
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(AP) \u2014 A young woman who dominated the discussion about abortion during Kentucky's campaign last year stepped forward again Tuesday to call on lawmakers to relax the state's near-total abortion ban.
Months after revealing the trauma of being raped and impregnated in a powerful campaign ad, Hadley Duvall went to the statehouse to endorse a bill that would add exceptions to the anti-abortion law. The measure would allow abortions when pregnancies are caused by rape or incest, or when pregnancies are deemed nonviable or medical emergencies threaten the mother.
She teamed with Democratic Gov. Andy Beshear and the bill's lead sponsor to try to generate momentum, but its fate ultimately will be decided by Republican supermajorities in the legislature. The prospects for carving out more exceptions appear to be uncertain as GOP lawmakers wrangle with the issue.
Duvall, now a college senior in her early 20s, became pregnant as a seventh grader but ultimately miscarried. Her stepfather was convicted of rape. She recounted those traumatic events in a Beshear campaign ad attacking his Republican challenger's longstanding support for the abortion ban. The commercial put the GOP candidate, then-Attorney General Daniel Cameron, on the defensive for weeks until the November election, which Beshear won in convincing fashion.
The Associated Press does not normally identify sexual assault victims, but Duvall chose to be identified and has spoken out publicly about what she experienced and its connection to the debate over abortion.
Turning her attention to winning over the legislature on Tuesday, Duvall noted that under current Kentucky law she would have had to carry her pregnancy to term.
\u201cThere are women and girls across Kentucky right now who are dealing with the same trauma that I went through,\" she said. \"Those women and girls need their choices. This bill will provide those.\u201d
The debate about loosening Kentucky's abortion ban comes after Republicans spent years adding restrictions to the procedure. Once the U.S. Supreme Court overturned Roe v. Wade, a state trigger law passed years before took effect. It bans abortions in Kentucky except when carried out to save the life of the mother.
Since this year's legislative session convened last week, prominent Republicans have talked about how it's a deeply personal issue for their colleagues. House Speaker David Osborne recently referred to abortion as a \u201chotly debated issue\" with \u201clots of strong opinions\u201d among GOP members.
Democratic state Sen. David Yates, the lead sponsor of the new exceptions bill, denounced Kentucky's abortion law as among the nation's most restrictive. His legislation would provide \"a very small step in the right direction for a very limited number of victims that we can help,\u201d he said Tuesday.
Kentucky is one of 14 states currently enforcing a ban on abortion at all stages of pregnancy. Two more have similar bans on hold in court. And two others have bans that kick in when cardiac activity can be detected \u2013- at about six weeks gestational age and before women often realize they are pregnant.
Several of the laws were adopted when the U.S. Supreme Court still found a nationwide right to abortion under the 1973 Roe v. Wade decision and took effect only after that precedent was overturned with the new ruling in 2022.
The laws in states with the deepest restrictions are divided over the exceptions. Most allow abortion when the woman\u2019s life is in immediate danger, though a recent ruling said that Texas does not have to do so. Some have them for pregnancies caused by rape or incest and some do not. A few states allow abortion in the case of rape but not incest. There are also contrasting policies over whether abortions are allowed when there is a fatal fetal anomaly.
In Kentucky, abortion access remained virtually shut off after the state\u2019s Supreme Court refused to halt the ban last year. The justices, however, ruled on narrow legal issues and left unanswered larger constitutional questions about whether access to abortion should be legal. In 2022, Kentucky voters rejected a ballot measure aimed at denying any constitutional protections for abortion.
Last month, a woman in Kentucky sued demanding the right to an abortion. But her attorneys later withdrew the lawsuit after the plaintiff learned her embryo no longer had cardiac activity.
Beshear, an abortion-rights supporter, said Tuesday he would immediately sign the new exceptions bill if it reaches his desk. The rape and incest exceptions would ensure that \u201cthose that have been harmed and violated in the worst of ways have options,\u201d the governor said.
In comments echoing her hard-hitting message for Cameron last year, Duvall called on lawmakers to think about the \u201creal world implications\u201d of the current abortion ban.
\u201cI\u2019m here with a clear message to say that unless you\u2019ve been in this position you have no idea what any woman or girl is currently going through,\u201d she said Tuesday. \"So there should be options. The legislators shouldn\u2019t feel entitled to force victims who have stories like mine to carry a baby of their rapist.\u201d
___
Associated Press writer Geoff Mulvihill in Cherry Hill, New Jersey, contributed to this report.
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For example, before Part A will pay for your hospital stay, you need to pay a deductible of over $1,600 in 2024. With Part B, you\u2019re responsible for 20% of the cost of most outpatient services. And there\u2019s no annual cap on how high those expenses can go. If you buy a Medigap policy, it can cover many of those out-of-pocket costs. Medigap premiums would add to your monthly health care bills but could buy you peace of mind by covering higher potential costs down the road.", + "bylines": [ + { + "by": "By ALEX ROSENBERG of NerdWallet" + } + ], + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. For other uses, additional clearances may be required." + ], + "keywords": [ + "On Money NerdWallet Medicare Supplemental" + ], + "provider": "AP", + "infosource": [ + { + "name": "AP", + "type": "AP" + } + ], + "subject": [ + { + "rels": [ + "category" + ], + "creator": "Editorial", + "code": "f", + "name": "f" + }, + { + "rels": [ + "category" + ], + "creator": "Editorial", + "code": "l", + "name": "l" + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "e2f27836163e4840a132ceda92115e18", + "name": "Medicare", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 95 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "523716d088e910048f56f8851349f9bd", + "name": "Personal insurance", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 95 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "6cd98adfc84d405eadec8ca81bd37df4", + "name": "Access to health care", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 75 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "c8e409f8858510048872ff2260dd383e", + "name": "Business", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 52 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "1b29d45f8e8e4c008e8a58fe6f92a753", + "name": "Government programs", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 85 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "3e37e4b87df7100483d5df092526b43e", + "name": "Lifestyle", + "creator": "Editorial", + "editorial_subject": "Lifestyle", + "rels": [ + "direct" + ], + "relevance": 75 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "c8e409f8858510048872ff2260dd383e", + "name": "Business", + "creator": "Editorial", + "editorial_subject": "Business", + "rels": [ + "direct" + ], + "relevance": 99 + } + ], + "audiences": [ + { + "code": "82c6a4c46fa0446090a7acaf93159e4c", + "name": "Print", + "type": "AUDPLATFORM" + }, + { + "code": "9add4649b53b4702ba7d9de5d4fa607a", + "name": "Online", + "type": "AUDPLATFORM" + }, + { + "code": "f43adc08760d10048040e6e7a0f4673e", + "name": "National", + "type": "AUDSCOPE" + }, + { + "code": "f4ecf9b0760d10048044e6e7a0f4673e", + "name": "International", + "type": "AUDSCOPE" + }, + { + "code": "661850e07d5b100481f5c076b8e3055c", + "name": "Latin America and Caribbean", + "type": "AUDGEOGRAPHY" + }, + { + "code": "661e48387d5b10048291c076b8e3055c", + "name": "United States", + "type": "AUDGEOGRAPHY" + } + ], + "associations": { + "1": { + "altids": { + "itemid": "4224714c9df9447698bf75dbb0396e2a" + }, + "type": "picture" + } + }, + "body_nitf": "About 41% of Original Medicare beneficiaries had Medicare Supplement Insurance, or Medigap, in 2021, according to a February 2023 report summarizing enrollment data from AHIP, a national health insurance trade association. For the other 59%, Medicare has some \u201cgaps\u201d that could be costly.
\u201cThere are many gaps in Medicare that a beneficiary has to pay if they don\u2019t have a Medigap,\u201d Kelli Jo Greiner, Minnesota State Health Insurance Assistance Program director, said in an email. \u201cThis can add up to be thousands of dollars per year.\u201d
While it\u2019s not mandatory, you might want to purchase a Medigap policy to fill some of the gaps in Medicare Part A and/or Part B. (Medigap doesn\u2019t work with Medicare Advantage policies.)
DEDUCTIBLES
Medicare Part A has a deductible of $1,632 in 2024, which you owe before Medicare starts to pay for inpatient hospital care.
\u201cJust one hospital stay, you\u2019re going to be paying that $1,632 deductible \u2014 so, really fast, your costs can add up,\u201d says Joanne Giardini-Russell, CEO of Giardini Medicare, an independent insurance agency.
Most Medigap plans cover the Part A deductible. And plans with premiums below $136 per month could put you ahead based on that benefit alone.
(New Medicare members can\u2019t buy Medigap plans that cover Part B\u2019s relatively smaller deductible of $240 in 2024, so you\u2019d still owe that amount out of pocket.)
COINSURANCE AND COPAYS
After you\u2019ve met your deductible, there are out-of-pocket costs for many Medicare services. For example, you pay a 20% coinsurance for most medically necessary outpatient services covered by Part B.
Medicare Part A copays kick in after your 60th day in the hospital. They start at $408 per day in 2024 and get more expensive for longer stays.
All Medigap policies include at least some coverage for Part A and Part B coinsurance and copays. If you use a lot of health care, that coverage could mean big out-of-pocket savings.
OUT-OF-POCKET LIMITS
Unlike many other kinds of insurance, Medicare Part A and Part B don\u2019t have maximum out-of-pocket caps. There\u2019s no limit on what you could owe as copays and coinsurance add up.
\u201cOriginal Medicare without Medigap would be perilous because we need Medigap for the out-of-pocket limit,\u201d Michael Dayoub, a certified financial planner in Savannah, Georgia, said in an email.
Buying a Medigap policy is one way to put a cap on your yearly costs. Paying more upfront for premiums could pay off by limiting your future out-of-pocket spending.
IS MEDIGAP WORTH THE COST?
You can expect to pay $100-$150 per month or more for the most popular Medigap plan, Plan G, when you sign up at age 65. And premiums can go up based on plan type, age, location and sometimes health status.
That\u2019s a significant added expense \u2014 so is it worth it?
Giardini-Russell compares Medigap to car insurance, which you pay for each month, even though you hope not to need it. \u201cIt comes down a lot of times to the psychology and peace of mind,\u201d she says. \u201cAre you willing to pay $150 per month for peace of mind?\u201d
\u201cWe tend to hear from beneficiaries that they are very satisfied with their policy,\u201d Greiner said. Medigap is worth it if you can afford to pay the Medigap premiums along with your premiums for Medicare Part B and a Medicare Part D prescription drug plan, according to Greiner.
If Medigap isn\u2019t affordable, you might want to look into programs that can help with Medicare costs, such as Medicare Savings Programs and Extra Help subsidies.
People who can\u2019t afford Medigap premiums could also consider Medicare Advantage, according to Dayoub. Medicare Advantage plans are bundled alternatives to Original Medicare sold by private insurance companies. They have out-of-pocket limits, but there are trade-offs to consider, such as limited provider networks.
ENROLLMENT TIME LIMITS
The best and easiest time to buy a Medigap policy is right as you\u2019re turning 65. Your six-month Medigap open enrollment period starts when you\u2019re 65 and enrolled in Medicare Part B.
During this period, insurance companies can\u2019t use medical underwriting to charge you more or deny coverage based on your health or medical history. After that, it can be more expensive or even impossible to get a Medigap policy.
So if you want to buy in for peace of mind, don\u2019t miss your best chance. You can compare options on Medicare.gov, shop online or work with an agent or broker to find the best policy for you.
______________________________
This article was provided to The Associated Press by the personal finance website NerdWallet. Alex Rosenberg is a writer at NerdWallet. Email: arosenberg@nerdwallet.com. Twitter: @AlexPRosenberg.
RELATED LINK:
NerdWallet: What is Medigap? What to know about Medicare Supplement plans https://bit.ly/nerdwallet-medigap-what-to-know
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That revelation has put an intense spotlight on what staff knew when and why they did not inform government or military leaders or the public. Austin has since returned to work, but was hospitalized again on Sunday \u201cfor symptoms suggesting an emergent bladder issue.\u201d While his doctors have said his prognosis is excellent, Austin\u2019s mobility has been noticeably affected. He sometimes has been using a cane or motorized cart to get around the Pentagon.", + "bylines": [ + { + "by": "By TARA COPP and LOLITA C. BALDOR", + "title": "Associated Press" + } + ], + "located": "WASHINGTON", + "datelinelocation": { + "city": "Washington", + "countryareacode": "DC", + "countryareaname": "District of Columbia", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -77.03637, + 38.89511 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. 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Austin has since returned to work, but was hospitalized again Feb. 11 \u201cfor symptoms suggesting an emergent bladder issue.\u201d While his doctors have said his prognosis is excellent, Austin's mobility has been noticeably affected, sometimes using a cane or motorized cart to get around the Pentagon.
Austin finally addressed questions surrounding his hospitalization in a press conference earlier this month where he said he never told anyone on his staff to keep his hospitalization a secret. That has left unanswered questions as to why some members of his staff chose not to inform Biden or the public about it.
Although doctors say he is recovering well, there are many unanswered questions about the lack of disclosure and what impact the diagnosis will have on his ability to do his job, which entails an aggressive travel and public schedule, including a trip to Brussels that is scheduled to depart Feb. 13 to meet with other defense chiefs to discuss military assistance for Ukraine and then meet with NATO defense ministers.
Here's a look at the timeline:
Early December: During regular medical screenings, Austin's lab results identify prostate cancer which requires treatment. He does not disclose that news to staff or the White House.
Dec. 22: Austin undergoes what doctors have now described as a \u201cminimally invasive surgical procedure called a prostatectomy to treat and cure prostate cancer.\" Austin is under general anesthesia during this procedure at Walter Reed. He does not inform the White House or senior staff that he is undergoing the procedure, but he does temporarily transfer some of his authorities to Deputy Secretary of Defense Kathleen Hicks. Hicks is not told the reason for the transfer, which is not unusual.
Dec. 23: Austin is discharged from Walter Reed.
Dec. 24-31: Austin is working from home. On Dec. 25, in response to militia attacks in Iraq and Syria that injured several U.S. service members, U.S. Central Command strikes multiple facilities used by Kataib Hezbollah and affiliated groups in Iraq.
Jan. 1: By the evening, Austin is in severe pain, but conscious, and is taken by ambulance back to Walter Reed. He is admitted to the intensive care unit. His personal security detail is with him, but no call is made to an operations center or to key staff to alert them of the hospitalization. He is evaluated throughout the evening. Neither his staff nor the White House are informed of the development.
Jan. 2: Austin is visited by a junior aide. Following the guidance of his physicians, he again transfers \u201ccertain operational responsibilities that require constant secure communications capabilities\u201d to Hicks, who is on vacation in Puerto Rico. She again is not told why.
Also that day, Austin's senior staff, including chief of staff Kelly Magsamen, his senior military assistant, Lt. Gen. Ron Clark, the assistant defense secretary for public affairs, Chris Meagher, and Pentagon press secretary Maj. Gen. Pat Ryder, say they are informed of Austin's hospitalization. Chairman of the Joint Chiefs of Staff Gen. CQ Brown is also told. None of those officials notifies the White House, National Security Council or Hicks. Austin remains in the intensive care unit.
Jan. 4: The U.S. conducts strikes against a militia target in Baghdad. Hicks is still assuming the authorities Austin transferred to her, but the Pentagon says Austin had pre-approved the strike before his hospitalization. Hicks is finally told Austin is in the hospital, and she and Magsamen begin working on a statement to notify Congress and others. White House national security adviser Jake Sullivan is notified and he notifies Biden.
Also that day, Ryder briefs the media and never mentions Austin's hospitalization.
Jan. 5: The congressional notifications begin that evening, just minutes before the Pentagon issues its first public statement about Austin\u2019s status. The three-sentence statement says only that he was admitted to Walter Reed on Jan. 1 because of complications from a \u201crecent elective medical procedure\u201d and is recovering. It does not state his condition or if he is still in the hospital. The Pentagon Press Association issues an immediate statement underscoring the seriousness of the lapse: \u201cThe public has a right to know when U.S. Cabinet members are hospitalized, under anesthesia or when duties are delegated as the result of any medical procedure.\u201d
Jan. 6: Austin issues a statement saying: \u201cI could have done a better job ensuring the public was appropriately informed. I commit to doing better.\u201d He still does not divulge what medical issues he is addressing. And Defense Department officials still will not say publicly when the White House and others were notified. Austin also speaks to Biden, but does not tell the president he has prostate cancer.
Jan 7: Congressional leaders on both sides of the aisle say they will be looking further into the matter. Ryder for the first time reveals publicly that Austin went to Walter Reed for the medical procedure on Dec. 22 and that he was admitted to the ICU on Jan. 1 due to severe pain, but provides no other details about the procedure.
Jan. 8: The White House and Pentagon begin separate reviews of policies on notification when there is a transfer of power and how the public will be informed. Several Republicans call for Austin to resign. National Security Council spokesman John Kirby says Biden still supports Austin, and Ryder says Austin has no plans to resign. Ryder, in his first public briefing to reporters on the matter, provides a more detailed timeline of events and says Austin is still hospitalized but out of the ICU. He does not disclose the ailment. The Pentagon does not know when he will be discharged.
Jan. 9: The Defense Department releases a statement from Austin's doctors revealing he was diagnosed with prostate cancer and that the procedure on Dec. 22 was prostate surgery. The doctors' statement says Austin was taken back to Walter Reed on Jan. 1 after he developed a urinary tract infection related to that surgery and was admitted to the ICU. They say he is expected to fully recover.
Also on Jan. 9, the White House says Biden had not been informed until that day that his defense chief had cancer.
Jan. 11: The Pentagon inspector general announces it will review the \"roles, processes, procedures, responsibilities, and actions\u201d surrounding Austin's hospitalization to ensure they are sufficient to ensure timely and appropriate notifications and transition of authorities if needed.
Jan. 12: Biden says he still has confidence in Austin.
Jan. 15: Austin is released from the hospital. He works from home as he recovers, including undergoing physical therapy.
Jan. 26: Austin\u2019s doctors at Walter Reed say his prostate cancer prognosis is excellent and no further treatments will be needed after seeing him for a follow-up appointment.
Jan. 29: Austin r eturns to work at the Pentagon.
Feb. 1: In a Pentagon press conference, Austin says the cancer diagnosis was a shock to him, and that he should have handled the situation differently. He says he never instructed anyone on his staff not to tell the president.
Feb. 8: The Pentagon finishes its internal review of Austin's hospitalization and failure to inform the President of others, but no other details are provided.
Feb. 11: Austin is taken back to Walter Reed for an \u201cemergent bladder issue.\u201d After a series of tests and evaluations, Austin is admitted into the intensive care unit \u201cfor supportive care and close monitoring\" and he again transfers his authorities to Hicks. The Pentagon announces the hospitalization within hours.
Feb. 12: Austin cancels a trip to address the Ukraine Defense Contact Group in Brussels and undergoes another procedure under general anesthesia to address the bladder issue. His doctors issue a statement saying his hospitalization is not expected to be long and that his cancer prognosis remains \u201cexcellent.\u201d
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President Joe Biden will likely proclaim those results regularly on the campaign trail for months to come as former President Donald Trump, the Republican front-runner, vows to dismantle the Obama-era program.
The Biden administration announced Wednesday morning that 20 million have enrolled for coverage on the marketplace, days before the open enrollment period is set to close on Jan. 16.
The latest enrollment projections mean a quarter more Americans have signed up for coverage this year compared to last \u2014 another record-breaking year when 16.3 million enrolled in the program. Signs-ups spiked after Biden took office, with Democrats rolling out a series of tax breaks that give millions of Americans access to low cost plans, some with zero-dollar premiums.
\u201cWe must build upon this progress and make these lower health care premiums permanent,\u201d Biden said in a statement. \u201cBut extreme Republicans have blocked these efforts at every turn.\u201d
The nation's top health official on Wednesday credited piqued interest in the coverage with an aggressive campaign to get people enrolled. The administration has worked with nonprofits across the the country, including in predominately Black and Latino communities, like South Florida, to get new people into coverage. The administration has also invested millions more dollars into hiring navigators who help people enroll, a program that was decimated while President Donald Trump, a longtime critic of so-called \u201cObamacare,\u201d was in office.
\u201cThe previous administration made no effort to let people know what they could get,\u201d Health and Human Services Secretary Xavier Becerra said during an interview with MSNBC's \u201c Morning Joe.\u201d \u201cWe're out there, we're not waiting for them to come to us. We're going to them.\"
But the increased enrollment news that the Biden administration celebrated on Wednesday has not come without cost. Some of the millions of new enrollees have only turned to the marketplace because they have been booted off Medicaid, the nearly free health care coverage offered to the poorest Americans or those with disabilities. The health plans they purchase through the marketplace will have higher premiums and copays for services.
Roughly 14.5 million Americans have been recently kicked off Medicaid after the federal government lifted a 3-year ban that barred states from removing ineligible people from the government-sponsored health insurance. States began purging millions of people from Medicaid last year, during an error-plagued process that has left thousands of children and pregnant women erroneously without health insurance coverage in some states.
Trump, meanwhile, is regularly threatening on the campaign trail to undo the Biden administration's work on former President Barack Obama's signature health care law.
\u201cObamacare is a catastrophe, nobody talks about it,\u201d Trump said at a rally in Iowa on Saturday. The former president went on to criticize the late Republican Sen. John McCain of Arizona for blocking GOP efforts to scuttle the law more than five years ago.
Although open enrollment for health insurance plans purchased through the Affordable Care Act ends on Jan. 16., people who have been removed from Medicaid may be eligible to enroll through the end of July.
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With AP Photos.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "CB--Puerto Rico-Cesarean Surge", + "headline": "Cesarean deliveries surge in Puerto Rico, reaching a record rate in the US territory, report says", + "headline_extended": "Cesareans are surging in the U.S. territory of Puerto Rico, which has one of the world\u2019s highest rates", + "slugline": "BC-CB--Puerto Rico-Cesarean Surge, 1st Ld-Writethru", + "description_summary": "Cesareans are surging in the U.S. territory of Puerto Rico, which has one of the world\u2019s highest rates. More than half of babies born in the territory are now delivered via surgery compared with only 32% on the U.S. mainland. That's according to a federal report released Wednesday. Medical experts say reasons behind the surge in Puerto Rico vary and include the island\u2019s crumbling health care system. One doctor says ob-gyns prefer to schedule a cesarean to ensure they will have all the medical personnel required for a birth. The World Health Organization recommends a cesarean rate of between 10% to 15%.", + "bylines": [ + { + "by": "By D\u00c1NICA COTO", + "title": "Associated Press" + } + ], + "located": "SAN JUAN, Puerto Rico", + "datelinelocation": { + "city": "San Juan", + "countrycode": "PRI", + "countryname": "Puerto Rico", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -66.10572, + 18.46633 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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The rates of cesarean delivery on the island increased from 2018 to 2022 for each age group younger than 40 after remaining stable for nearly a decade, according to the U.S. Centers for Disease Control and Prevention.
The report did not provide an explanation, but medical experts in Puerto Rico say reasons behind the surge vary and include the island\u2019s crumbling health care system.
\u201cIn general, hospitals have limited personnel and few economic resources,\u201d said Dr. Carlos D\u00edaz V\u00e9lez, president of Puerto Rico\u2019s Association of Surgical Doctors.
As a result, ob-gyns prefer to schedule a cesarean to ensure they will have all the medical personnel required for a birth, he said.
\u201cThey prefer it be organized than improvised,\u201d D\u00edaz said. \u201cIt guarantees security.\u201d
More than a dozen delivery rooms have closed across Puerto Rico in the past decade because of doctors moving to the U.S. mainland and a record drop in births, with only 17,772 births reported last year. That's the lowest since record keeping began in the late 1880s.
D\u00edaz said a spate of lawsuits against Puerto Rican ob-gyns in the previous decade that he described as \u201cfrivolous\u201d also have prompted doctors to schedule cesareans to reduce risks.
Women also prefer cesareans for aesthetic reasons or to avoid pain, since epidurals in Puerto Rico are routinely not covered by insurance companies, said Dr. Annette P\u00e9rez-Delboy, a maternal-fetal medicine specialist who specializes in high-risk pregnancies and previously worked in New York.
\u201cIn Puerto Rico, women are afraid of vaginal birth,\u201d she said.
P\u00e9rez-Delboy coincided with D\u00edaz that a lack of medical personnel also has contributed to a rise in cesareans. In addition, she noted that in vitro fertilizations have increased, leading to more twins being conceived, which leads to more cesareans to avoid risky births.
P\u00e9rez-Delboy also said that up-and-coming doctors are not well-versed in using forceps or vacuums, and as a result opt for cesareans to avoid legal action.
\u201cFor a doctor in Puerto Rico, it is better to do a cesarean section, since it pays more, you have it on time, it has less risk of litigation and the mother leaves happier,\u201d she said, adding that doctors and patients are aware that vaginal births are better. \u201cEveryone knows it, and everyone understands it, but you have to put yourself in the shoes of these doctors.\u201d
In recent years, cesarean deliveries in Puerto Rico increased by more than 10% in three of six municipalities that reported at least 1,000 births, according to the CDC report.
The biggest increase occurred in mothers younger than 20, jumping from 37% to more than 42%, according to the report.
Puerto Rico\u2019s Health Department has said that more than half of all cesareans performed on the island were not medically justified, and that nearly 80% of women who underwent the surgery never presented risk factors.
Heidi Anne Vera, a 47-year-old mother of two, is one of the few women who had a cesarean for medical reasons.
\u201cIt was an emergency,\u201d she said. \u201cIt was not planned.\u201d
She had worked with a doula and prepared to give birth at home, but her son was not in the correct position and her blood pressure began to spike.
\u201cThat\u2019s when we decided to go to a doctor,\u201d she said.
The World Health Organization recommends a cesarean rate of between 10% to 15%, noting that the average rate for the Americas is nearly 40%. Once the rate surpasses 10%, there is no evidence that mortality rates improve, according to the agency.
\u201cThe sustained, unprecedented rise in caesarean section rates is a major public health concern,\u201d the organization said in a 2018 report.
Cesareans are considered a safe procedure, but the WHO noted that any surgery carries risks, and that cesareans could affect future pregnancies or put someone's life at risk if performed in a place with limited resources.
The organization said that factors contributing to the rise in cesareans are complex, adding that some of the most common reasons are fear of pain, the convenience of scheduling a birth and the perception that cesareans are less traumatic for a baby.
For the U.S. as a whole, the cesarean delivery rate is much lower but also has been rising. After generally declining from 2009 to 2019, it inched up for three straight years, accounting for 32.2% of births in 2022, up slightly from 32.1% the year before.
Data for 2023 has not yet been released.
___
AP Medical Writer Mike Stobbe in New York contributed to this report.
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(AP) \u2014 A program aimed at helping remove families and infants in Flint, Michigan, from deep poverty will give $1,500 to women during mid-pregnancy and $500 each month throughout the first year after the birth.
Enrollment opened Wednesday for Rx Kids, lauded by officials as the first of its kind in the United States.
The program has no restrictions on income and empowers \u201cparents with the freedom and choice to make the decisions that best fit their families\u2019 needs,\u201d officials said in a release.
The $1,500 can be used on food, prenatal care, rent, cribs or other needs. The $500 monthly stipend can be spent on formula, diapers or childcare.
Rx Kids is supported by a number of foundations, funds and the state of Michigan. More than $43 million of the program's estimated $55 million cost over five years has been raised.
\u201cInvesting in strong families is an investment in Flint\u2019s future,\u201d Mayor Sheldon Neeley said. \u201cRx Kids will support mothers and children in Flint when they are most vulnerable. This blessing will lift families out of poverty and improve health outcomes. Our prayer is that we will improve maternal and infant health, and help Flint families raise strong, healthy babies.\u201d
Flint has one of the highest childhood poverty rates in the nation. About a third of the city's residents live in poverty, according to the Census.
\u201cThis first-in-the-nation initiative boldly reimagines how society supports families and children \u2014 how we care for each other,\u201d said Dr. Mona Hanna-Attisha, a pediatrician and director of the Michigan State University-Hurley Children\u2019s Hospital Pediatric Public Health Initiative.
Hanna-Attisha raised early alarms about lead-tainted drinking water in Flint after state-appointed city managers began using the Flint River in 2014 to save money while a new pipeline to Lake Huron was built. The water was not treated to reduce its corrosive qualities, causing lead to break off from old pipes and contaminate the system for more than a year.
A study by Hanna-Attisha found the percentage of Flint infants and children with above-average lead levels had nearly doubled citywide and almost tripled among children in \u201chigh risk\u201d areas of lead exposure.
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New prescriptions for stimulants used to treat the condition jumped for young adults and women during a two-year window after the pandemic hit in March 2020, according to a study published Wednesday in JAMA Psychiatry.
Prescriptions also soared for nonstimulant treatments for adults of all ages, the U.S. Food and Drug Administration researchers found.
Attention-deficit/hyperactivity disorder is one of the most common developmental disorders in children, particularly boys. The use of drugs like Adderall to treat it climbed in general during the pandemic.
Telemedicine made it easier to get help, and regulators started allowing doctors to prescribe the drug without first seeing a patient in person.
But Dr. Ann Childress says more adults also started coming to her for help after COVID-19 hit. The Las Vegas psychiatrist sees several reasons behind the shift.
Working from home made some people realize how easily they get distracted. Childress says she diagnosed a lot of parents, especially moms, who saw it in their children and realized they may have it as well.
Plus, social media made people more aware of adult ADHD.
\u201cPeople are more open to talking about mental health issues now,\u201d said Childress, who was not involved in the study.
Rising use of ADHD treatments compounded with manufacturing problems triggered an Adderall shortage that started more than a year ago. Doctors and patients say supply problems for several treatments haven't let up.
\u201cEach week there about 10 things that are in shortage,\u201d Childress said.
Wendy Terry called nearly 20 pharmacies last month looking for the drug Focalin for her third-grade son, who has ADHD. Some were a 45-minute drive from her home in Diboll, Texas, a town about 100 miles northeast of Houston.
\u201cThey all told me the same thing: We can\u2019t get it from the manufacturer. We don\u2019t know when we\u2019re going to get it or if we\u2019re going to get it,\u201d said the 42-year-old insurance agent.
Desperate, she briefly switched her son to another ADHD medication. But that went so badly that he had to miss school.
Terry eventually found a drugstore, thanks to a tip from a friend who works at another pharmacy. She says she dreads going through the ordeal again for a refill, but her son needs the help.
\u201cWhen he\u2019s not medicated, he literally can\u2019t sit down at school,\u201d Terry said. \u201cHe can\u2019t quit moving. He is constantly moving. His mind is all over the place.\u201d
Federal regulators limit the production of some ADHD treatments because they are controlled substances. Regulators and drugmakers try to anticipate how much of a drug will be needed based in part on how it has been used in the past, said Mike Ganio, who studies drug shortages at the American Society of Health-System Pharmacists.
But he noted that predicting demand is difficult, and spikes in use can contribute to shortages.
\u201cIt\u2019s a business. Nobody wants to produce more, or hold on their shelves more, inventory than will be needed,\u201d he said.
Overall, the society counted more than 300 drug shortages in the U.S. as of last fall. Aside from ADHD drugs, shortages of cancer treatments like chemotherapies also have persisted.
Ganio noted that the latest shortage total is close to a 10-year high of 320 set in late 2014.
___
Murphy reported from Indianapolis. Hollingsworth reported from Mission, Kansas.
___
The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute\u2019s Science and Educational Media Group. The AP is solely responsible for all content.
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The prolonged focus on a senior official\u2019s medical secrecy is also shedding an unwelcome spotlight on Biden's own health as the oldest president in history seeks another term. The questions over transparency and health have put the White House on the defensive for days as the election year opens. The Democratic administration had pledged to restore truth and transparency to the federal government. Austin was still hospitalized on Wednesday. The Pentagon says the 70-year-old Austin has prostate cancer.", + "bylines": [ + { + "by": "By SEUNG MIN KIM and ZEKE MILLER", + "title": "Associated Press" + } + ], + "located": "WASHINGTON", + "datelinelocation": { + "city": "Washington", + "countryareacode": "DC", + "countryareaname": "District of Columbia", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -77.03637, + 38.89511 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. 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The controversy has prompted a government-wide review of what protocols are in place to prevent such failures and the Pentagon is scrutinizing its own procedures following the extraordinary lapse, which left even Austin's top deputies unaware of his condition for days. Senior congressional Republicans are investigating whether Austin ignored legal requirements to inform Congress, and Biden administration officials are privately fuming about Austin's lack of disclosure, believing it to be an unforced error that undercuts the president's message of restoring competency through his administration.
The prolonged focus on a senior official's medical secrecy is also shedding an unwelcome spotlight on Biden's own health, which already was under scrutiny as the oldest president in history seeks another term and faces regular questions and concerns from voters about his age. Combined, the questions over transparency and health have put the White House on the defensive for days as the election year opens and have given ammunition to Biden political opponents who question whether his Democratic administration is living up to its pledges of competency.
The Pentagon disclosed Tuesday afternoon, after days of silence on Austin\u2019s medical diagnosis, that the secretary has prostate cancer. Austin, 70, was admitted to Walter Reed National Military Medical Center on Dec. 22 and underwent surgery to treat the disease, but developed a urinary tract infection a week later and was admitted into intensive care. He remained hospitalized Wednesday.
Austin was diagnosed with prostate cancer during a routine screening in early December, but the White House insisted that no one there, including Biden, knew about the diagnosis until Tuesday.
\u201cI think we all recognize \u2014 and I think the Pentagon has been very, very honest with themselves \u2014 about the challenge to credibility by what has transpired here, and by how hard it was for them to be fully transparent with the American people,\u201d John Kirby, spokesman for the National Security Council, said Tuesday. \u201cWe all recognize that this didn\u2019t unfold the way it should have \u2014 on so many levels.\u201d
There is no government-wide policy in the Biden administration on how absences of Cabinet officials should be handled, according to people familiar with the matter, although there is a general expectation that the White House should be made aware of such circumstances. The people spoke on condition of anonymity to discuss government practices.
While there is no statutory requirement for public officials to disclose their medical histories, it has become common practice for presidential and vice presidential candidates and incumbents to do so. Many choose to share more about their health than a private citizen would.
Other top figures, though, have opted to remain cagey about their health, including Senate Minority Leader Mitch McConnell after recent incidents in which he froze up, and the late Supreme Court Justice Ruth Bader Ginsburg, who delayed revealing the recurrence of pancreatic cancer or the seriousness of her condition before her death weeks ahead of the 2020 presidential election.
Disclosures to the public about a Cabinet official's absence have varied between federal agencies. For instance, the Justice Department in 2022 announced that Attorney General Merrick Garland would undergo surgery to remove enlarged prostate tissue a week in advance of his procedure.
Transportation Secretary Pete Buttigieg cleared his parental leave with the White House after he and his husband adopted twins in 2021, but the leave was not disclosed publicly until he had returned to work.
Multiple current and former officials said White Houses generally aim to keep closer tabs on the whereabouts of the secretaries of state and defense due to their prominent positions in the line of presidential succession, and particularly in the case of the Pentagon.
Cedric Leighton, a retired U.S. Air Force colonel, noted that the chain of command for the U.S. military runs from the president through his defense secretary to the combatant commanders, who then execute orders that could include command and control of any potential use of nuclear weapons.
He said it was \u201cimperative\u201d that the president, top administration and military officials, select members of Congress and even key allied counterparts be notified of even a temporary absence.
\u201cIt\u2019s highly unusual for any Cabinet secretary not to notify the president, the White House chief of staff, or the NSC of any absence, especially a medical one,\" he added.
White House chief of staff Jeff Zients, in a Tuesday memo to Cabinet secretaries, directed them to report back by Friday on any existing procedures for delegating authority in the event of incapacitation or loss of communication. He also is requiring agencies to provide notice if an agency expects a circumstance in which a Cabinet head can\u2019t perform his or her duties.
The White House also reiterated this week that it is committed to releasing medical information about Biden promptly.
Biden last underwent a physical in February 2023, when his doctor declared him to be \"healthy, vigorous\u201d and \u201cfit.\u201d A skin lesion removed from his chest was later found to be a basal cell carcinoma, among the most common and easily treated forms of cancer.
Biden transferred power to Vice President Kamala Harris for one hour and 25 minutes in 2021 when he was under anesthesia during a routine colonoscopy. The White House provided advance notice that he was undergoing the procedure, but waited until Biden awoke before saying precisely when he was unconscious.
The president last year began using a continuous positive airway pressure, or CPAP, machine at night to help with sleep apnea. His use of the machine was only disclosed to the public after journalists spotted telltale indents on his face from the CPAP mask.
Biden\u2019s sleep apnea diagnosis was first revealed in medical reports in 2008, but it did not appear in medical write-ups of the physical he took when he ran for the White House in 2020, or of the two physicals he underwent since taking office in 2021.
The Austin incident has sparked bipartisan criticism from lawmakers who have numerous questions about how his condition could have been kept secret from the White House, Capitol Hill and the public.
Mississippi Sen. Roger Wicker, the top Republican on the Senate Armed Services Committee, said Tuesday that Austin\u2019s lack of disclosure to key lawmakers about his condition and transferring of duties to Deputy Defense Secretary Kathleen Hicks was a \u201cclear violation of the law.\u201d Congress was not told until Friday afternoon of Austin's hospitalization, the Pentagon has said, a day after Biden and national security adviser Jake Sullivan were informed.
Wicker's aides said a federal law governing vacancies requires Congress to be informed immediately if a Senate-confirmed official dies, resigns or is otherwise unable to carry out the duties of the office. A March 1999 opinion from the Justice Department\u2019s Office of Legal Counsel said the requirement could apply to sickness in such circumstances.
Sen. Richard Blumenthal, D-Conn., said he was not satisfied with the Pentagon\u2019s explanations so far and called for the Senate Armed Services Committee to look into the matter, potentially with a hearing.
\u201cHe owes Congress and the American people additional facts to ensure us that he can continue to serve,\u201d Blumenthal said.
In the House, Armed Services Committee Chairman Mike Rogers on Tuesday sent letters to Austin, Hicks and Kelly Magsamen, Austin's chief of staff, demanding a detailed accounting of what transpired regarding notification and operational impacts during the secretary's hospitalization.
\u201cSomeone has to resign or be fired,\u201d said Sen. Tom Cotton, R-Ark., an Army veteran. \u201cMaybe there are more facts to come out that will shed light on who exactly is responsible besides the secretary, but to show such a breakdown in communication and poor judgment in such a simple matter really raises questions about judgment in much bigger matters.\u201d
___
Associated Press writer Stephen Groves contributed to this report.
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Therefore, it is highly relevant to the topic of health." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/01/10/51f1c84e88355153c7862696a6381930.json b/datasets/AP_news/raw_data/2024/01/10/51f1c84e88355153c7862696a6381930.json new file mode 100644 index 0000000..5e8beef --- /dev/null +++ b/datasets/AP_news/raw_data/2024/01/10/51f1c84e88355153c7862696a6381930.json @@ -0,0 +1,227 @@ +{ + "altids": { + "itemid": "51f1c84e88355153c7862696a6381930", + "etag": "51f1c84e88355153c7862696a6381930_0a6aza0c0", + "friendlykey": "736965766554", + "referenceid": "US--Forever Chemicals-New Mexico" + }, + "version": 0, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-01-10T20:58:24Z", + "firstcreated": "2024-01-10T20:58:23Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "signals": [ + "newscontent" + ], + "title": "US--Forever Chemicals-New Mexico", + "headline": "Blood tests offered in New Mexico amid query into 'forever chemical' contamination at military bases", + "headline_extended": "State environment officials will be offering residents in eastern New Mexico and personnel at Cannon Air Force Base the opportunity to have their blood tested for PFAS chemicals", + "slugline": "AP-US--Forever Chemicals-New Mexico", + "description_summary": "State environment officials will be offering residents in eastern New Mexico and personnel at Cannon Air Force Base the opportunity to have their blood tested for PFAS chemicals. The compounds also known as \u201cforever chemicals\u201d have been detected at military bases in New Mexico and around the United States. Experts have estimated cleanup costs will top billions of dollars. New Mexico is among the states to sue over cleanup at air force bases and other locations. Officials at Cannon are in the process of determining the nature and extent of contamination on and off the base. They have plans for eventually building a treatment plant.", + "bylines": [ + { + "by": "By SUSAN MONTOYA BRYAN", + "title": "Associated Press" + } + ], + "located": "ALBUQUERQUE, N.M.", + "datelinelocation": { + "city": "Albuquerque", + "countryareacode": "NM", + "countryareaname": "New Mexico", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -106.65114, + 35.08449 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. 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(AP) \u2014 Hundreds of residents and personnel stationed at a U.S. Air Force base in eastern New Mexico will be able to have their blood tested as state officials expand their investigation into contamination from a group of compounds known as \u201cforever chemicals.\u201d
The New Mexico Environment Department announced Tuesday that it is searching for a contractor that can conduct the tests in the spring. The idea is to host two events where up to 500 adult volunteers living within a few miles of Cannon Air Force Base will have a small amount of blood drawn and tested for PFAS.
Surveys also will be done to determine any potential exposure for those living near the base.
PFAS, which stands for per- and polyfluoroalkyl substances, have been linked to cancer and other health problems in humans. They are called \"forever chemicals\u201d because they don\u2019t degrade in the environment and remain in the bloodstream.
The chemicals have been detected at hundreds of military installations across the United States, resulting in what will be billions of dollars in cleanup costs. New Mexico officials said contamination at Cannon and at Holloman Air Force Base in southern New Mexico already has cost the state over $8 million in site assessment, cleanup, litigation and other costs.
The Air Force has spent more than $67 million on its response to PFAS contamination at Cannon so far.
State Environment Secretary James Kenney said PFAS chemicals are used in so many consumer products that it's likely most New Mexicans will have some amount in their blood. Those who live near military bases may be at higher risk, he said.
\"This data will help us quantify if there are greater risks and inform how we better protect New Mexicans,\u201d Kenney said in a statement.
In early 2023, the Environmental Protection Agency proposed the first federal limits on forever chemicals in drinking water, limiting them to the lowest level that tests can detect. New Mexico had previously petitioned the agency to treat PFAS as hazardous.
The state of New Mexico and the U.S. Department of Defense have been at odds over responsibilities for mitigating PFAS contamination at installations including Cannon and Holloman Air Force bases.
Near Cannon, the Highland Dairy in Clovis euthanized more than 3,000 cows in 2022 after confirmation of PFAS contamination in the herd \u2014 and the milk the cows produced.
Officials at Cannon held a meeting in November to update the public on their efforts. They are in the process of determining the nature and extent of contamination on and off the base. The work has included soil and water samples as well as the installation of monitoring wells. Plans also call for eventually building a treatment plant.
Last year, the New Mexico Environment Department also offered to test for PFAS in private domestic wells across the state. Results from that sampling effort, done with the help of the U.S. Geological Survey, showed that PFAS compounds were not detected in the majority of wells tested.
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The three-judge panel of the U.S. Eighth District Court of Appeals panel, however, otherwise agreed Wednesday with a lower court\u2019s 2022 ruling that tossed out Missouri\u2019s case entirely. The court found that federal rules prohibit a sovereign foreign entity from being sued in American courts. The state had alleged that China\u2019s officials were to blame for the pandemic because they didn\u2019t do enough to slow its spread. The appeals panel found that only the claim regarding personal protective equipment can proceed.", + "bylines": [ + { + "by": "By SUMMER BALLENTINE", + "title": "Associated Press" + } + ], + "located": "JEFFERSON CITY, Mo.", + "datelinelocation": { + "city": "Jefferson City", + "countryareacode": "MO", + "countryareaname": "Missouri", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -92.17352, + 38.5767 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. 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(AP) \u2014 A Missouri lawsuit accusing China of hoarding masks and other protective gear during the COVID-19 pandemic can move forward, federal judges ruled Wednesday.
A panel of the U.S. Eighth District Court of Appeals panel, however, otherwise agreed with a lower court's 2022 ruling that tossed out Missouri's case entirely, finding that federal rules prohibit a sovereign foreign entity from being sued in American courts. The state alleged that China's officials were to blame for the pandemic because they didn't do enough to slow its spread.
The appeals panel found that only one claim may proceed: an allegation that China hoarded personal protective equipment.
\u201cMissouri\u2019s overarching theory is that China leveraged the world\u2019s ignorance about COVID-19,\u201d Judge David Stras wrote in the ruling. \u201cOne way it did so was by manipulating the worldwide personal-protective-equipment market. Missouri must still prove it, but it has alleged enough to allow the claim to proceed beyond a jurisdictional dismissal on the pleadings.\u201d
Chief Judge Lavenski Smith dissented, writing that the whole lawsuit should be dismissed.
\u201cImmunity for foreign states under the Foreign Sovereign Immunities Act, while not impenetrable, is quite stout and stronger than the claim alleged in this case,\u201d Smith wrote. \u201cIt is certainly not strong enough to justify judicial intervention into an arena well populated with substantial political and diplomatic concerns.\u201d
Missouri Republican Attorney General Andrew Bailey, whose office filed the lawsuit, lauded the ruling Wednesday on X, formerly known as Twitter.
\u201cWe are headed back to court to pursue remedies,\u201d he posted.
The lawsuit, filed in April 2020, alleged that Chinese officials were \u201cresponsible for the enormous death, suffering, and economic losses they inflicted on the world, including Missourians.\u201d
Neither the Chinese government nor any other Chinese defendant named in the case has responded to the lawsuit in court.
The Lawyers for Upholding International Law and The China Society of Private International Law filed briefs defending China against the lawsuit. Associated Press emails and voice messages left with lawyers for the groups were not immediately returned Wednesday.
China has criticized the lawsuit as \u201cvery absurd\u201d and said it has no factual and legal basis. Legal experts have mostly panned it as a stunt aimed at shifting blame to China for the COVID-19 pandemic.
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The document does not provide health-related information, advice, or data, but rather focuses on the legal and political aspects of the situation." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/01/10/628fdfafecf59c7a0d489756280e5abd.json b/datasets/AP_news/raw_data/2024/01/10/628fdfafecf59c7a0d489756280e5abd.json new file mode 100644 index 0000000..55df03c --- /dev/null +++ b/datasets/AP_news/raw_data/2024/01/10/628fdfafecf59c7a0d489756280e5abd.json @@ -0,0 +1,258 @@ +{ + "altids": { + "itemid": "628fdfafecf59c7a0d489756280e5abd", + "etag": "628fdfafecf59c7a0d489756280e5abd_2a6aza0c0", + "friendlykey": "494718663738", + "referenceid": "US-XGR--Transgender Health-Ohio" + }, + "version": 2, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-01-11T00:06:27Z", + "firstcreated": "2024-01-10T22:51:48Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: Edits 14th paragraph", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "US-XGR--Transgender Health-Ohio", + "headline": "Ohio House overrides Republican governor's veto of ban on gender affirming care for minors", + "headline_extended": "The Republican-dominated Ohio House has voted to override GOP Gov. Mike DeWine\u2019s veto of legislation banning gender-affirming care for minors", + "slugline": "AP-US-XGR--Transgender Health-Ohio, 2nd Ld-Writethru", + "description_summary": "The Republican-dominated Ohio House has voted to override GOP Gov. Mike DeWine\u2019s veto of legislation banning gender-affirming care for minors. The legislation also restricts transgender women\u2019s and girls\u2019 participation on sports teams. As of Wednesday, the measure is one step closer to becoming law. The Senate is expected to vote to override on Jan. 24. LGBTQ+ activists say the bans would severely restrict the everyday lives of transgender youth in the state. DeWine vetoed the bill Dec. 29 of last year, but on Jan. 5, he signed an executive order banning gender-affirming surgeries for anyone under 18, even though medical professionals say the procedures aren't happening.", + "bylines": [ + { + "by": "By SAMANTHA HENDRICKSON", + "title": "Associated Press/Report for America" + } + ], + "located": "COLUMBUS, Ohio", + "datelinelocation": { + "city": "Columbus", + "countryareacode": "OH", + "countryareaname": "Ohio", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -82.99879, + 39.96118 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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Mike DeWine's veto of legislation banning gender-affirming care for minors and restricting transgender women's and girls' participation on sports teams, a move LGBTQ+ activists say would severely restrict the everyday lives of transgender youth in the state.
The override propels closer to law a ban on gender-affirming surgeries and hormone therapies and sets restrictions on mental health care for transgender individuals under 18. The legislation also bans transgender girls and women from girls and women's sports teams at both the K-12 and collegiate level.
DeWine previously said he vetoed the legislation to protect parents and children from government overreach on medical decisions.
The House voted to override the veto 65-28 along party lines. The Republican-majority Senate is expected take up their own override vote on Jan. 24.
Rep. Gary Click, a Republican Baptist preacher from Sandusky County and sponsor of the bill, has maintained that the measures protect children who cannot provide informed consent for such life-altering care. He hopes that the override, and possible related future legislation, will encourage doctors and other individuals who may be afraid to testify against gender-affirming care for minors to come forward and speak their minds.
\u201cWe have to get away from allowing our medical institutions to be captured by ideology,\u201d Click said.
Rep. Beth Liston, a Democrat and Columbus-area pediatrician, said on the floor that she was struggling to \"comprehend the arrogance of the people in this room\" who voted to override the veto and enact these bans, as they are not medical or mental health professionals.
Liston went on to encourage the LGBTQ+ community, saying there was still hope and pointed to recent votes by Ohio citizens to enshrine abortion rights in the constitution and legalize marijuana as evidence that the people could still have impact on these bans.
At least 22 states have now enacted laws restricting or banning gender-affirming medical care for transgender minors, and many of those states face lawsuits. Courts have issued mixed rulings, with the nation\u2019s first law, in Arkansas, struck down by a federal judge who said the ban on care violated the due process rights of transgender youth and their families. Enforcement is blocked in some states, and the laws have been enacted in others.
The care has been available in the United States for more than a decade and is endorsed by major medical associations.
At least 20 states have approved a version of a blanket ban on transgender athletes playing on K-12 and collegiate sports teams statewide, but a Biden administration proposal to forbid such outright bans is set to be finalized in March after two delays and much pushback. As proposed, the rule would establish that blanket bans would violate Title IX, the landmark gender-equity legislation enacted in 1972.
DeWine vetoed the bill Dec. 29 of last year, then on Jan. 5, signed an executive order and announced proposed regulations designed to address some of the elements the bill covered while allowing non-surgical gender-affirming care for minors, such as puberty blockers and hormone treatments, to continue.
The executive order bans gender-affirming surgeries for minors, even though medical professionals say they weren't occurring anyway.
DeWine's proposals, alongside his executive order, have garnered harsh criticism from supporters of the bans and their opponents alike. The proposals include mandating a \u201ccontractual relationship\u201d with medical care teams for both transgender children and adults and comprehensive and lengthy mental health programs before any treatments or surgeries.
None of DeWine's rules tackle the sports ban provision. He told reporters last week that he would not address that particular ban and felt gender-affirming care was more important at this time. On the House floor, Republicans continued to push that such bans were about fairness and protection for girls and women and sports while Democrats categorized them as bullying kids.
DeWine's break from his party's status quo, which he has touted as a \u201cpro-life\u201d decision, has drawn backlash from fellow Republicans, including former President Donald Trump, and conservative Christian groups even with his proposed regulations. Trump posted to Truth Social that DeWine had fallen to the \u201cradical left,\" that he was \u201cdone\u201d with Ohio's governor and urged legislators to override.
Less than 24 hours before DeWine's veto, Lt. Gov Jon Husted, who is currently running for governor in 2026, voiced his support of the bans on social media and said that he hoped the measure would become law.
While opponents such as Democrats, families with transgender children and LGBTQ+ people are rallying against the veto, with possible legal challenges being explored after the Senate's expected override, they are not happy with DeWine's proposals either.
Equality Ohio, an organization seeking to preserve rights of the LGBTQ+ community, said in a statement that \u201cas drafted, the proposed rules fundamentally change how Ohio medical systems operate and disrupt care for existing patients, including adults\u201d and that DeWine's proposals would impose broader regulations on the transgender community.
___
Samantha Hendrickson is a corps member for the Associated Press/Report for America Statehouse News Initiative. Report for America is a nonprofit national service program that places journalists in local newsrooms to report on undercovered issues.
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Representatives from 70 countries, the World Health Organization, and other international organizations are attending a two-day summit in Islamabad. It comes as reports show that thousands of people who lost their homes in the floods were still living in tents for the second consecutive harsh winter. The 2022 floods at one point left a third of Pakistan submerged. Caretaker Prime Minister Anwaar-ul-Haq Kakar told the meeting that \u201cno state in the world, no matter how powerful it is, can meet such challenges\u201d alone.", + "bylines": [ + { + "by": "By MUNIR AHMED", + "title": "Associated Press" + } + ], + "located": "ISLAMABAD", + "datelinelocation": { + "city": "Islamabad", + "countrycode": "PAK", + "countryname": "Pakistan", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + 73.04329, + 33.72148 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. 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Representatives from 70 countries, the World Health Organization, and other international organizations attended a two-day summit. It comes as reports show that millions of people who lost their homes in the floods were still living in tents for the second consecutive harsh winter.
The 2022 unprecedented flooding, which started in mid-June that year and which experts attribute in part to climate change, at one point left a third of Pakistan submerged.
Caretaker Prime Minister Anwaar-ul-Haq Kakar told the meeting in Islamabad that \u201cno state in the world, no matter how powerful it is, can meet such challenges\" alone.
Kakar said Pakistan is the eighth most vulnerable country to the impacted by climate change. He said while the developed world has systems in place to timely respond to health emergencies, a similar setup is lacking in the developing world.
Dozens of countries and international institutions at an international conference in Geneva in January 2023 pledged more than $9 billion to help Pakistan recover and rebuild from the summer floods.
According to the U.K.-based Islamic Relief charity, the progress has been far too slow, with only an estimated 5% of damaged and destroyed homes fully rebuilt. It said many rural flood survivors feel abandoned, with a worsening mental health crisis in some communities.
The donor conference \"was widely seen as a success, but most of the money pledged has not yet reached people on the ground,\u201d the group said. It said millions were still living in tents or basic shelters, without access to decent livelihoods or basic services.
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Editorial: Women\u2019s pro hockey a welcome addition to Minnesota
It was no ordinary victory when the hockey game ended with a score of 3-2.
The win for the Minnesota women\u2019s professional team against Boston on Wednesday is the start of a thrilling chapter in the state\u2019s hockey history book.
The new Professional Women\u2019s Hockey League is made up of three U.S. teams and three Canadian teams and is capturing a lot of deserved attention as its inaugural season gets underway.
Although women\u2019s pro leagues existed previously, they were victims of unstable financial footing. This league is different, with the backing of Los Angeles Dodgers owner Mark Walter and his wife, Kimbra, who reportedly committed to putting money down to finance the PWHL and a union contract with players for the next seven years.
That solid support is key for a sport that is so near and dear to the hearts of Minnesotans, many who grew up watching, playing or knowing someone involved in the sport \u2014 including numerous girls.
The depth of our state\u2019s hockey talent is exhibited in the league, which has 21 Minnesotans playing with 13 of them on the Minnesota team. And those 13 are rich in experience.
The PWHL\u2019s No. 1 overall pick, former Gophers star Taylor Heise, is on the team and five of the players are from the 2022 silver medal-winning U.S. Olympic Women\u2019s Ice Hockey Team. During the game Wednesday, the team got goals from three Minnesota natives \u2014 Heise of Lake City, Grace Zumwinkle of Excelsior and Sophia Kunin of Wayzata. Not too bad, eh?
The Minnesota team, yet unnamed, faced a bit of turbulence when players returned from a brief holiday break to find out the coach they\u2019d been training with had resigned. But they didn\u2019t miss a beat with the coaching change, welcoming experienced women\u2019s hockey coach Ken Klee and winning their first game.
Fans have a chance to see the team\u2019s skills in person at the first home game 2:30 p.m. Saturday against Montreal at the Xcel Energy Center in St. Paul. The quality of play is sure to satisfy fans\u2019 needs to watch a competitive game and at the same time give every little girl a chance to see what they can possibly be some day.
___
Minneapolis Star Tribune. January 6, 2024.
Editorial: Don\u2019t miss out on Medicare savings
Awareness unfortunately lags for income-based programs available now to help seniors struggling with medical and drug expenses.
More than a million Minnesotans rely on Medicare, the federal health insurance program that primarily serves those 65 and up. A year from now, seniors here and elsewhere should see significant savings as a historic new reform kicks in: a $2,000 yearly cap on out-of-pocket expenses for Part D, the program component providing prescription drug coverage.
This future financial relief comes courtesy of the Inflation Reduction Act, sweeping legislation passed in 2022 that included investments to boost manufacturing and clean energy, as well as pocketbook-friendly Medicare improvements. The yearly drug cost cap will take effect in 2025.
But for those currently struggling to pay at the pharmacy counter, a year is a long time to wait. Fortunately, financial aid available now could help many Minnesota Medicare enrollees with limited incomes more easily shoulder health care costs.
The average savings for Minnesotans enrolled in two key assistance programs: an impressive $6,000 a year, according to state officials.
The problem is that the public awareness of these programs too often lags. There are thousands, even potentially tens of thousands of Minnesotans with Medicare who may be eligible but haven\u2019t applied, said Kelli Jo Greiner, who serves as the Medicare program manager for the state Department of Human Services (DHS) and also works for the Minnesota Board on Aging.
\u201cWe are constantly trying to get more and more people to apply and enroll because they can save so much money,\u201d Greiner told an editorial writer. \u201cIt\u2019s incredible how much you can save.\u201d
Medicare enrollees, which include some younger people with serious health challenges, shouldn\u2019t leave money on the table, especially when many can no longer work. Those struggling should see if they qualify for these two assistance measures:
1. Medicare Savings Programs. This is an umbrella term for initiatives that \u201ccan help pay for costs for Medicare Part A (Hospital Insurance) and/or Medicare Part B (Medical Insurance) which may include help with premiums deductibles, coinsurance and/or co-payments,\u201d according to the federal agency that administers Medicare.
2. Part D Extra Help. Again, Medicare Part D covers prescription drugs. Extra Help can help those eligible pay for the program\u2019s deductibles, premiums and co-payments.
It\u2019s important to note that both programs are income-based. Currently, the Medicare Savings Programs\u2019 monthly income limit for an individual applicant is $1,660 and $2,239 for a married couple living together.
For Part D Extra Help, yearly income limits are $21,870 for singles and $29,580 for those who are married and live together.
Yes, those income levels are low: The state\u2019s median household income was $84,313 in 2022 dollars. But those Minnesotans who are struggling the most economically can benefit the most from savings on health care costs.
Each program has asset limits as well. But these may be more generous than many people assume. Assets excluded from eligibility calculations include \u201cyour primary home, one car, burial plots, and life insurance with a cash value of less than $1,500,\u201d according to the National Council on Aging.
Greiner also notes this important point: \u201cThere is no asset recovery.\u201d
DHS is legally required to try to recover some health care costs from the estates of some who were enrolled in Medical Assistance (a separate program from Medicare). Among them: those who were 55 and older and received long-term services and supports.
The same collection process does not apply to those receiving assistance through Medicare Savings Programs and Extra Help. Misconceptions about this could be why some people have not taken advantage of the two programs.
Potential enrollees do need to apply for assistance and do so yearly to continue it. Free help navigating this process is available from Minnesota\u2019s Senior LinkAge Line at mn.gov/senior-linkage-line/ or by phone at 1-800-333-2433.
Regrettably, the application process for the Medicare Savings Programs is still paper-based in Minnesota. Applicants, however, can go online and download this form at tinyurl.com/MedicareSavingsApp.
Or they can request a form from their county, with the application arriving by regular mail. To find your county\u2019s contact information, go to tinyurl.com/MNCountyDirectory.
Thankfully, online application is available for the Part D Extra Help program at tinyurl.com/PartDExtraHelp. If you need assistance filling it out, call 1-800-772-1213 to set up an appointment.
Another important point: Greiner said the two programs are available to those enrolled in Medicare Advantage programs, which are administered by private insurers, as well as those relying on traditional Medicare.
Help is available and more is on the way in 2025 for Medicare enrollees struggling with costs. But a few steps taken now could make medical care significantly more affordable in 2024 for many in Minnesota.
END
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Laura Kelly renewed her call Wednesday to expand Medicaid and countered an anticipated single-rate flat income tax for individuals with a plan that would instead cut taxes by doing things like accelerating the phasing out of the state\u2019s sales tax on groceries.
Kelly said in her annual State of the State address that her slate of proposals, which also includes an ongoing focus on addressing falling water levels in a vast aquifer used to irrigate crops, are key to helping rural parts of the state.
So far Medicaid expansion has been a non-starter in the Republican-controlled Legislature. But she noted the challenges rural hospital are facing as she tried again following five years of failed efforts to provide state health coverage to an additional 150,000 people.
\u201cThey say that Medicaid Expansion is not a silver bullet for our rural hospitals,\u201d she said in embargoed remarks. \u201cYou know what? I agree. Of course it\u2019s not going to solve every challenge facing rural healthcare. But it\u2019s a critical part of the solution. We can\u2019t solve the problem without it.\u201d
House Speaker Dan Hawkins decried the Medicaid expansion in a message on X, formerly Twitter.
\u201cThe Governor should know- nothing in life is free, certainly not Medicaid expansion! Who\u2019s going to end up paying- you and me! That\u2019s who those costs get passed on to,\u201d he said.
Kansas is among only 10 states that have not expanded Medicaid in line with the 2010 federal Affordable Care Act, which promises federal funds to cover 90% of the new costs. In two other states, Georgia and Mississippi, top Republicans have signaled a willingness to discuss expansion this year, so the issue isn\u2019t a dead letter.
In Kansas, conservative opposition is rooted in small-government beliefs and decades of skepticism about social services. The federal government also is offering remaining non-expansion states another financial bonus. A promise of an additional $1.8 billion over two years was crucial for GOP lawmakers in North Carolina. Kelly\u2019s office expects Kansas to receive a total bonus of between $370 million and $450 million.
Kelly faces leaders of GOP supermajorities whose priorities are to cut income taxes and rein in local property taxes, not to expand Medicaid.
Her tax cut proposal, which she touted as far better than a flat personal income tax, also would eliminate taxes on retirees\u2019 Social Security incomes and reduce property taxes.
Kelly voiced opposition to the kind of sweeping plan to use state education dollars to help parents pay for private or home schooling that states such as Iowa, South Carolina and Utah enacted.
\u201cVouchers will crush our rural schools, plain and simple,\" she said. \"Believe me, if you represent a rural area and you\u2019re out there pushing for vouchers, you\u2019ll be hearing from parents back home \u2013 wondering why you\u2019ve turned your back on their schools, and why you\u2019ve prioritized private schools hundreds of miles away.\"
She also described addressing water issues as \u201can existential issue\u201d not just for rural Kansas but the entire state.
\u201cMy goal for the rest of my term is to put Kansas on the path to resolving this crisis,\u201d she said.
The issue is dropping water levels in the Ogallala Aquifer, which covers roughly 175,000 square miles (453,000 square kilometers) in the western and Great Plains states of Texas, New Mexico, Oklahoma, Kansas, Colorado, Nebraska, Wyoming and South Dakota.
Kansas produces more than 20% of the nation\u2019s wheat and has about 18% of the cattle being fed in the U.S. The western third of Kansas, home to most of its portion of the Ogallala, accounts for 60% of the value of all Kansas crops and livestock. That is possible because of the water.
Her comments came after state Supreme Court Chief Justice Marla Luckert told lawmakers earlier in the day that courts are getting closer to functioning normally after affiliates of a Russian-based ransomware group infiltrated the system three months ago.
The public court portal is back online, and electronic filing also was restored Wednesday in two judicial districts, with the rest expected to follow within the next couple weeks.
Luckert stressed that the state didn\u2019t pay the ransom, and it is working to identify and notify those whose personal information was stolen.
\u201cWe are optimistic that full functionality of our systems, including appellate e-filing, is on the near horizon,\u201d Luckert said in her State of the Judiciary address .
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Kim Reynolds focuses on education, health care in annual address", + "headline_extended": "Iowa Gov. Kim Reynolds focused on education and health care in an expansive agenda laid out for legislators Tuesday evening, calling for substantial revisions to how special education is provided in schools and how mental health and substance use are treated across the state", + "slugline": "BC-US--State of the State-Iowa", + "description_summary": "Iowa Gov. Kim Reynolds focused on education and health care in an expansive agenda laid out for legislators Tuesday evening, calling for substantial revisions to how special education is provided in schools and how mental health and substance use are treated across the state. The proposals may bring systematic changes to services across Iowa but are drawing early concerns about disparities in care in the state, especially for rural communities. Reynolds began her annual Condition of the State address reflecting on last week\u2019s high school shooting in Perry, about 40 miles northwest of Des Moines and thanking first responders, some of whom were in the audience.", + "bylines": [ + { + "by": "By HANNAH FINGERHUT", + "title": "Associated Press" + } + ], + "located": "DES MOINES, Iowa", + "datelinelocation": { + "city": "Des Moines", + "countryareacode": "IA", + "countryareaname": "Iowa", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -93.60911, + 41.60054 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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Kim Reynolds focused on education and health care in an expansive agenda laid out for legislators Tuesday evening, calling for substantial revisions to how special education is provided in schools and how mental health and substance use are treated across the state.
The proposals may bring systematic changes to services across Iowa but are drawing early concerns about disparities in care in the state, especially for rural communities.
Reynolds began her annual Condition of the State address reflecting on last week\u2019s high school shooting in Perry, about 40 miles (65 kilometers) northwest of Des Moines and thanking first responders, some of whom were in the audience.
She made no mention of gun laws, which brought high school and college students to the Capitol rotunda Monday to advocate for gun control legislation.
On education, Reynolds spoke about \u201ctroubling\u201d performance metrics for students with disabilities despite funding levels for special education that are higher than the national average. Reynolds will target the nine regional agencies \u2013 called Area Education Agencies \u2014 responsible for providing special education services in Iowa, instead recommending that schools can decide for themselves whether their funding goes to those agencies, as is the case now, or whether they seek out other providers.
Hints of reform to the agencies has already drawn some concern, prompting Reynolds to include a clarifying message to families \u201cwho have been told that we\u2019re planning to end the AEAs or even cut services their families depend on.\u201d
\u201cThis claim is categorically false,\u201d she said.
Senate Minority Leader Pam Jochum expressed concern that the potential for increased privatization of education services will have an outsized impact on rural Iowa.
Most of what Reynolds proposed in last year\u2019s condition of the state crossed the finish line after a robust re-election win in 2022, which also padded her party\u2019s majorities in the Legislature. She celebrated some of those policies Tuesday, including her signature school choice legislation to create publicly funded educational savings accounts that families could use for private school education.
\u201cThere are those who said we did too much, too fast. That change wasn\u2019t necessary or that it would make us worse off,\u201d Reynolds said. \u201cBut when I look at the result of our hard work, I know we made a difference. And it drives me to do it again; to work even harder this session.\u201d
Reynolds\u2019 address ran the gamut, pledging to cut taxes, expand work-based learning programs, protect minors from online pornography and to bolster enforcement of foreign ownership of land in Iowa.
Reynolds also identified mental health and substance use as priorities for the Legislature this year, investing $20 million of Iowa\u2019s settlement award money from opioid-related lawsuits and streamlining the state\u2019s administration of behavioral health.
Democratic House leader Jennifer Konfrst criticized what she sees as diminished \u2014 not expanded \u2014 mental health care in Iowa, saying she's not optimistic that the administrative revisions will lead to substantive benefits.
\u201cI have a constituent who recently spent three days in the E.R. waiting for a mental health bed and had to go out of state because there we no beds available,\u201d she said.
Reynolds again asked the Legislature to extend postpartum Medicaid coverage for moms earning less than $42,000 a year, from 60 days to 12 months. It earned applause from Republicans and Democrats in the chamber, though it was not as expansive as legislation Democrats have previously proposed to expand the benefit for all moms on Medicaid.
She also called for a select few health care proposals that tend to be supported by Democrats but failed to win over some Republicans, including over-the-counter contraception and parental leave for state employees.
House Speaker Pat Grassley said he wouldn't commit at this point to the legislation passing a majority of his caucus, but he acknowledged it's something \u201cwe can't just ignore.\u201d
Konfrst said she hopes House Democrats and Republicans can talk about solutions to address those priorities they have in common, saying Democrats will look to the specifics of Reynolds' proposals and \u201cbipartisanship isn't \u2014 we vote for the bills Republicans bring to the table.\u201d
\u201cWe are hopeful. I'm going to hope we're going to be bipartisan and work together,\" she said. \"Democrats stand ready to have those conversations. The question is, will Republicans include us in this conversation or not?\"
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Timothy Priddy will enter a plea before a federal judge on Jan. 22, a day before his trial was supposed to start. Prosecutors say Priddy is expected to plead guilty. An indictment says Priddy certified a company\u2019s invoices for more than $34 million in COVID-19 payments without verifying that the vendor had provided the goods and services. He's accused of making false statements when he was interviewed by federal agents and in testimony to a grand jury. U.S. District Judge Thomas Johnston scheduled the plea hearing on Tuesday.", + "bylines": [ + { + "by": "By JOHN RABY", + "title": "Associated Press" + } + ], + "located": "CHARLESTON, W.Va.", + "datelinelocation": { + "city": "Charleston", + "countryareacode": "WV", + "countryareaname": "West Virginia", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -81.63262, + 38.34982 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. 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(AP) \u2014 A former West Virginia state health office manager who was indicted on charges related to coronavirus pandemic relief payments is due to enter a plea later this month.
Timothy Priddy is set to appear in federal court on Jan. 22, a day before his trial had been scheduled to start. Federal prosecutors said he is expected to plead guilty. U.S. District Judge Thomas Johnston scheduled the hearing on Tuesday.
An indictment filed in October charged Priddy with making false statements about the payments to federal agents in August 2022 and in grand jury testimony the following month. On both occasions, Priddy knew his statements were false because he made no efforts to verify the invoices before approving them, according to the indictment.
Priddy held various manager positions with the state Bureau for Public Health's Center for Threat Preparedness. He was promoted to deputy director in March 2021 and to director in January 2022, according to the indictment.
Prosecutors said the federal investigation was trying to determine whether one or more vendors providing COVID-19 tests and mitigation services to the state overbilled or otherwise received payment from federal funds disbursed through the state\u2019s main health agency, the Department of Health and Human Resources. That agency was reorganized into three separate departments effective Jan. 1.
Prosecutors said the vendor reported the results of about 49,000 COVID-19 tests between October 2020 and March 2022 but submitted invoices reflecting the cost of about 518,000 test kits. Despite the discrepancy, Priddy certified at least 13 of the invoices totaling about $34 million, they said.
The indictment did not name the vendor but said the company was from out of state and provided test kits, laboratory analysis and community testing events throughout West Virginia.
The health agency had said previously that a contract with the company for diagnostic testing services ended in October 2022 and that the agency cooperated fully with federal investigators.
According to its contract, the vendor was required to provide nasal swab diagnostic testing for COVID-19 and upload test results immediately. The tests were for specific DHHR programs and initiatives, including residential youth facilities and hospice agencies, locations such as pharmacies where people go to get tested for COVID-19, and kits for emergency medical services workers who were required to be tested frequently.
Vendors contracted by the state were required to report the test results so that officials would have accurate information on the number of active COVID-19 infections and geographical areas experiencing outbreaks, the indictment said.
Nearly 8,900 people have died from COVID-19 in West Virginia since March 2020, according to the Centers for Disease Control and Prevention.
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This multi-day trade event put on by the Consumer Technology Association is expected to bring some 130,000 attendees and more than 4,000 exhibitors to Las Vegas. The latest advances and gadgets across personal tech, transportation, health care, sustainability and more will be on display, with burgeoning uses of artificial intelligence almost everywhere you look.
The Associated Press will keep a running report of everything we find interesting from the floor of CES, from the latest announcements to most quirky smart gadgets.
Roberta Wilson-Garrett used to be a morning person who would leap out of bed at dawn. Until, that is, she was diagnosed with Parkinson\u2019s disease six years ago.
Now her hands twist and tremor, making the morning, when her medicine is wearing off, especially difficult. It takes hours for her to get ready for the day. All her coffee mugs have lids on them now.
Boston-based GyroGear, a medical tech startup, debuted a hand-stabilizing glove at CES 2024 that it hopes will help people like Wilson-Garrett regain control of their lives.
\u201cIt makes life normal for me again. The things that you take for granted, I don\u2019t take for granted anymore,\u201d Wilson-Garrett told AP on the show floor as her right hand shook. \"It gives me back a piece of my old life when I have the glove on.\"
When Wilson-Garrett slipped on the black glove, her right hand relaxed, and she was able to hold a pen and write her name.
The GyroGlove is now available for $5,899.
Can generative AI tell your future? A fortune teller showcased by South Korean manufacturing and IT services giant SK Group at CES this week gives us a glimpse.
SK\u2019s AI Fortune Teller, which is powered by high-bandwidth memory technology, claims that it can tell users\u2019 their fortune by reading their emotions. The machine snaps a photo of your face and, naturally, asks you to select a card from an on-screen deck. Within moments, the AI analyzes facial characteristics and produces an Tarot card-like print with a short, future-looking message or piece of advice.
This AI fortune teller isn\u2019t available to consumers outside of CES, but it\u2019s featured in the Las Vegas show to help display SK\u2019s latest tech and sustainability advances. Other attractions advertised at the \u201cSK Wonderland\u201d interactive exhibit include a fully-electric dancing car and train that\u2019s capable of being powered by hydrogen energy
A new flying taxi concept, dubbed the S-A2 by Hyundai, made its debut at CES 2024.
The South Korean vehicle manufacturer envisions the electric vertical takeoff and landing vehicle as a commuter solution for urban areas with heavy traffic.
Hyundai claims the vehicle will be able to cruise at 120 mph (190 kph) at a 1,500-foot (460-meter) altitude while operating as quietly as a dishwasher.
The S-A2 builds on Hyundai's S-A1 concept, which made its debut at CES in 2020. Company officials say they are working to get the vehicle ready to meet flight standards set by nations around the world.
GE Appliances is looking to change the way you smoke food with its new $1,000 indoor smoker.
About the size of a toaster oven or microwave, the GE Profile Smart Indoor Smoker can fit a full brisket cut in half, 40 chicken wings or three racks of ribs. It still uses wood pellets to achieve a smokey flavor, but its technology traps the smoke inside, making it \u201cperfect for people who live in urban environments,\u201d like high-rise apartments, said Whitney Welch, a spokesperson for GE Appliances.
A focus on accessibility in the gaming industry is on the rise. Just this October, Sony launched the Access controller for Playstation.
To talk about the wins so far and the road ahead, CES 2024 featured a panel of four players for \u201cThe Evolution of Accessible Gaming.\"
For Paul Amadeus Lane, an accessibility consultant and broadcaster who moderated the panel, gaming is a lifelong passion, but when he got in a car accident that left him unable to use his fingers, he first thought his gaming days were over.
\u201cIt was like I lost a good friend. But then that good friend got reunited when I found out about all these accessibility features,\u201d Lane said during the panel.
Mark Barlet, founder of AbleGamers, said people with disabilities are 56% more likely to be socially isolated, and combatting that is what drives his organization. Further, he says it\u2019s smart business.
\u201cTwenty percent of the population has some sort of disability and you start looking at game companies competing for eyeballs \u2014 all of a sudden, talking about, \u2018Hey, would you like to sell more games?\u2019 becomes a really powerful conversation.\u201d
When asked what advice they\u2019d give to game developers, panelists Liz Schmidlin, user research lead at PlayStation, and Michele Zorrilla, senior user experience researcher at Insomniac Games, echoed a similar statement: Start working accessibility conversations in early on in the design process.
Barlet added, \u201cGood accessibility is good design.\u201d
Artificial intelligence has been seen powering smart home hubs, cars, TVs, medical devices and even fingernail printers at CES 2024. Now it's giving massages.
Created by French company Capsix Robotics, iYU uses artificial intelligence to perform a real-time body scan and recommend the best kind of experience for the user. A robotic arm then performs a variety of massage techniques.
It\u2019s a new product but the functionality might ring familiar \u2014 Clicks Technologies\u2019 iPhone keyboard is making a splash at CES 2024.
According to co-founder Johnathan Young, the smartphone accessory is aimed at three core audiences: iPhone users with dexterity or accessibility issues, the younger generation looking to stand out, and people who miss their previous smartphone keyboards.
Prices range from $139 to $159.
Dutch startup Whispp aims to use AI to help millions of people suffering from vocal impairments speak again in their natural voices.
While many current technologies focus on speech-to-text or text-to-speech, Whispp is using audio-to-audio-based AI, resulting in almost real-time speech conversion.
Users can recreate their distinct voice by providing recordings of their current or past voice, adding a personalized touch to their own communication.
At CES 2024, Whispp launched an AI-powered assistive speech and phone-calling app.
On Tuesday, businesswoman and media personality Martha Stewart took to the kitchen stage at the Samsung CES booth to craft her \u201cMartha-tini\u201d and smashed potatoes using the company's SmartThings technology.
As a bonus, the famed cooking, entertaining and homemaking celebrity revealed how she first got hooked on the tech culture scene.
\u201cWell, I got my first computer in 1982. An IBM. I still have it. ... and all my friends and I would sit up all night long trying to figure out what the computer could do for us.\u201d
\u2014\u2014
Associated Press reporters Wyatte Grantham-Philips, Rio Yamat, McKinnon de Kuyper and Shawn Chen contributed to this report
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Therefore, the document is only partially relevant to the topic of health." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/01/10/b004f7a76a552431da10ca8415098c55.json b/datasets/AP_news/raw_data/2024/01/10/b004f7a76a552431da10ca8415098c55.json new file mode 100644 index 0000000..d26412a --- /dev/null +++ b/datasets/AP_news/raw_data/2024/01/10/b004f7a76a552431da10ca8415098c55.json @@ -0,0 +1,275 @@ +{ + "altids": { + "itemid": "b004f7a76a552431da10ca8415098c55", + "etag": "b004f7a76a552431da10ca8415098c55_0a3aza0c0", + "friendlykey": "790037357999", + "referenceid": "NC--Medicaid Expansion" + }, + "version": 0, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-01-10T21:54:48Z", + "firstcreated": "2024-01-10T21:54:47Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: With AP Photos.", + "signals": [ + "newscontent" + ], + "title": "NC--Medicaid Expansion", + "headline": "Cooper, Medicaid leader push insurance enrollment as North Carolina Medicaid expansion also grows", + "headline_extended": "The number of people who have enrolled in Medicaid in North Carolina since expansion began in December is now over 310,000", + "slugline": "BC-NC--Medicaid Expansion", + "description_summary": "The number of people who have enrolled in Medicaid in North Carolina since expansion began in December is now over 310,000. 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(AP) \u2014 North Carolina is barely a month into the start of Medicaid expansion in the state and over 310,000 low-income adults have now enrolled in the government health care coverage, Gov. Roy Cooper said Wednesday while hosting the nation's chief Medicaid regulator.
The Democratic governor joined Chiquita Brooks-LaSure, administrator of the Centers for Medicare & Medicaid Services, at a Raleigh church to highlight both the coverage numbers and next week's open-enrollment deadline for people seeking other subsidized insurance offered through the Affordable Care Act.
The big health news in North Carolina has been the Dec. 1 start of Medicaid expansion coverage offered the 2010 federal law that Cooper's administration said could ultimately help 600,000 people ages 19-64. Until recently many of those people made too much to qualify for Medicaid but struggled to afford the subsidized private plans through the online marketplace.
Cooper had sought expansion since taking office in 2017, but it wasn\u2019t until last March that the Republican-controlled legislature approved legislation that the governor signed so the state could ultimtately accept such coverage.
\u201cOur goal was simple here in North Carolina -- to get people health insurance so that they can get the health care that they need. And the message is this: North Carolina Medicaid is now for more people,\u201d Cooper said at the event at Martin Street Baptist Church.
Cooper said over 311,000 people have newly received coverage through expansion in the state. About 273,000 of them were enrolled and covered on the first day, with most automatically added because they were already receiving limited family-planning Medicaid coverage.
Others, like Patrick Dunnagan of Raleigh, who has kidney disease, switched immediately from a private marketplace plan with high premiums and out-of-pocket expenses.
\u201cFor me Medicaid expansion is all about financial freedom. We are all one diagnosis away from being unable to take care of ourselves and our families,\u201d he told event attendees. \u201cThis is powerful, and I am so thankful.\u201d
Dunnagan and another recipient of marketplace insurance spoke after Cooper and Brooks-LaSure met with representatives of groups associated with the North Carolina Navigator Consortium who have trained workers to help residents enroll in Medicaid and the subsidized insurance on the online marketplace. These and other health care experts have been attending local enrollment events across the state since last month.
Brooks-LaSure also said Wednesday that some 20 million people nationwide \u2014 a record \u2014 have selected a plan so far on online insurance marketplaces since open enrollment started Nov. 1. CMS said in a statement that North Carolina has seen more than 996,000 plan selections during the enrollment period, which largely ends next Tuesday. The online marketplace numbers are separate from Medicaid expansion enrollments.
Brooks-LaSure praised Cooper for his work on expansion and welcomed the national enrollment figures, saying \u201cmore people will be able to enjoy the security that access to quality, affordable health care provides.\u201d
Next week's open-enrollment deadline doesn't apply to people seeking health care through Medicaid expansion or traditional Medicaid.
Cooper, who is barred by term limits from seeking reelection this year, suggested that Medicaid expansion and other Affordable Care Act benefits could be threatened should some Republicans win in November. He pointed to Lt. Gov. Mark Robinson, who is now running for governor and has said he didn't support expansion legislation, and to former President Donald Trump, who said recently that he was \u201cseriously looking at alternatives\u201d to the ACA should he win a second term.
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Additionally, it touches on the political aspects that could affect health care policies in the future." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/01/10/c8fbfe4ba7d4e2447eec52c6000878dc.json b/datasets/AP_news/raw_data/2024/01/10/c8fbfe4ba7d4e2447eec52c6000878dc.json new file mode 100644 index 0000000..65c27e1 --- /dev/null +++ b/datasets/AP_news/raw_data/2024/01/10/c8fbfe4ba7d4e2447eec52c6000878dc.json @@ -0,0 +1,247 @@ +{ + "altids": { + "itemid": "c8fbfe4ba7d4e2447eec52c6000878dc", + "etag": "c8fbfe4ba7d4e2447eec52c6000878dc_3a6aza0c0", + "friendlykey": "917038513309", + "referenceid": "SCI--Ancient DNA-Multiple Sclerosis" + }, + "version": 3, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-01-11T00:55:19Z", + "firstcreated": "2024-01-10T16:15:48Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: Restores dropped word in summary.; With AP Photos.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "SCI--Ancient DNA-Multiple Sclerosis", + "headline": "Ancient human DNA hints at why multiple sclerosis affects so many northern Europeans today", + "headline_extended": "Northern Europeans are more prone to multiple sclerosis than other ancestries and now a study of ancient DNA hints at why", + "slugline": "BC-SCI--Ancient DNA-Multiple Sclerosis, 3rd Ld-Writethru", + "description_summary": "Northern Europeans are more prone to multiple sclerosis than other ancestries and now a study of ancient DNA hints at why. It seems to be a genetic legacy of horseback-riding cattle herders who swept into the region about 5,000 years ago. The findings come from a huge project to compare modern DNA with that culled from ancient humans\u2019 teeth and bones. Scientists found a Bronze Age people called the Yamnaya carried gene variants that may have protected them from animal diseases but that today are known to increase MS risk. The findings were published Wednesday in the journal Nature.", + "bylines": [ + { + "by": "By LAURAN NEERGAARD", + "title": "AP Medical Writer" + } + ], + "located": "WASHINGTON", + "datelinelocation": { + "city": "Washington", + "countryareacode": "DC", + "countryareaname": "District of Columbia", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -77.03637, + 38.89511 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. 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The findings come from a huge project to compare modern DNA with that culled from ancient humans\u2019 teeth and bones \u2014 allowing scientists to trace both prehistoric migration and disease-linked genes that tagged along.
When a Bronze Age people called the Yamnaya moved from the steppes of what are now Ukraine and Russia into northwestern Europe, they carried gene variants that today are known to increase people\u2019s risk of multiple sclerosis, researchers reported Wednesday.
Yet the Yamnaya flourished, widely spreading those variants. Those genes probably also protected the nomadic herders from infections carried by their cattle and sheep, concluded the research published in the journal Nature.
\u201cWhat we found surprised everyone,\u201d said study co-author William Barrie, a genetics researcher at the University of Cambridge. \u201cThese variants were giving these people an advantage of some kind.\u201d
It\u2019s one of several findings from a first-of-its-kind gene bank with thousands of samples from early humans in Europe and western Asia, a project headed by Eske Willerslev of Cambridge and the University of Copenhagen who helped pioneer the study of ancient DNA. Similar research has traced even earlier cousins of humans such as Neanderthals.
Using the new gene bank to explore MS was a logical first step. That's because while MS can strike any population, it is most common among white descendants of northern Europeans and scientists have been unable to explain why.
The potentially disabling disease occurs when immune system cells mistakenly attack the protective coating on nerve fibers, gradually eroding them. It causes varying symptoms \u2014 numbness and tingling in one person, impaired walking and vision loss in another \u2014 that often wax and wane.
It\u2019s not clear what causes MS although a leading theory is that certain infections could trigger it in people who are genetically susceptible. More than 230 genetic variants have been found that can increase someone\u2019s risk.
The researchers first examined DNA from about 1,600 ancient Eurasians, mapping some major shifts in northern Europe\u2019s population. First, farmers from the Middle East began supplanting hunter-gatherers and then, nearly 5,000 years ago, the Yamnaya began moving in \u2014 traveling with horses and wagons as they herded cattle and sheep.
The research team compared the ancient DNA to about 400,000 present-day people stored in a UK gene bank, to see the MS-linked genetic variations persist in the north, the direction the Yamnaya moved, rather than in southern Europe.
In what is now Denmark, the Yamnaya rapidly replaced ancient farmers, making them the closest ancestors of modern Danes, Willerslev said. MS rates are particularly high in Scandinavian countries.
Why would gene variants presumed to have strengthened ancient immunity later play a role in an autoimmune disease? Differences in how modern humans are exposed to animal germs may play a role, knocking the immune system out of balance, said study co-author Dr. Astrid Iversen of Oxford University.
The findings finally offer an explanation for the north-south MS divide in Europe but more work is needed to confirm the link, cautioned genetic expert Samira Asgari of New York\u2019s Mount Sinai School of Medicine, who wasn\u2019t involved with the research, in an accompanying commentary.
___
The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute\u2019s Science and Educational Media Group. The AP is solely responsible for all content.
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Brian Kemp said Wednesday he'll propose $1.8 billion in added spending on infrastructure, as well as expand health care training for dentists and physicians, showing how the state's $11 billion in surplus cash is giving the Republican clout to spend big even as state revenues slow.
Kemp also told the Georgia Chamber of Commerce at a meeting at Mercedes-Benz Stadium in Atlanta that he'll need more than a year to follow through on a pledge to limit lawsuits. He also wants to make it harder for workers to unionize at the big developments Georgia is subsidizing.
\u201cIf we want to maintain this incredible position we\u2019re in today for another generation, we need to make smart moves right now to secure that future,\u201d Kemp said, arguing his plans would keep Georgia's economy humming.
Wednesday's speech by the second-term incumbent was a meaty preview of Thursday's looming State of the State address. Kemp promised more to come in the address, including a likely proposal to raise pay for public employees and teachers.
Republican House Speaker Jon Burns of Newington, also speaking Wednesday, voiced openness to expanding health care coverage to low-income adults through Georgia\u2019s Medicaid program.
\u201cExpanding access to care for lower income working families through a private option in a fiscally responsible way that lowers premiums is something we will continue to gather facts on in the House,\" Burns said.
Kemp says he wants to allot $1.5 billion to the Georgia Department of Transportation before June 30 to speed planned roadwork and establish a freight infrastructure program. Of that money, $200 million would go to cities and counties, increasing what the state sends local governments to maintain their own roads and bridges.
Kemp said he also wants to invest another $250 million in the Georgia Environmental Finance Authority, which loans money to local governments for water and sewer projects. Kemp previously gave out $442 million in water and sewer grants using federal COVID-19 aid.
The governor wants to allot another $50 million to a fund to develop land for housing, and then spend at least $6 million annually on such grants going forward. Lawmakers earlier allotted $35.7 million for Kemp's \u201crural workforce housing\u201d plan, and $17 million has been spent so far.
Kemp proposed spending $178 million to create a new public dental school at Georgia Southern University in Savannah, in addition to the current Dental College of Georgia at Augusta University. Kemp also proposed $50 million to create a separate medical school at the University of Georgia in Athens. Now, a four-year medical program operates there in partnership with the Medical College of Georgia at Augusta University.
\u201cWith these new assets on the way, we will further address the growing need for health care professionals in our state,\u201d Kemp said.
Like he did before the chamber in Athens this summer, Kemp argued lawsuits are driving up insurance premiums and hampering business.
\u201cI will be introducing legislation this year that reflects my priorities to stabilize the market for insurers, stabilize premiums for Georgia families, and level the playing field in our courtrooms so we can continue to create even more quality, good-paying jobs,\u201d he said.
But Kemp now says the effort will take more than one legislative session, promising to take \u201cthe first step\u201d this year.
Georgia Chamber President and CEO Chris Clark said after the speech that limiting lawsuits has \u201calways been a difficult issue\u201d to make progress on. He said this year's steps would include a study to determine \u201cthe true impact of these nuclear verdicts\u201d on insurance rates.
Kemp also promised to make it harder for workers to form unions to bargain with employers in Georgia, echoing the chamber's own agenda. Kemp seeks to bar any business that benefits from state business incentives from allowing employees to unionize without a formal election. Now, businesses can accept unions without an election.
Only 4.4% of Georgia workers are union members, the eighth-lowest rate among states. Unions did win a notable victory in May when workers at Georgia school bus maker Blue Bird Corp. voted to be represented by the United Steelworkers.
Kemp portrayed the move as protecting workers' \u201cright to opportunity\u201d from President Joe Biden's pro-union agenda and outside forces \u201cwho want nothing more than to see the free market brought to a screeching halt.\u201d
Burns said he wants to further cut taxes by increasing the deduction for a child on state income taxes from $3,000 to $4,000, which would save a typical family about $45. He also is seeking a slight cut in property taxes.
Burns also said he wants to boost the number of state troopers from 700 to 1,000 and expand state-paid prekindergarten classes.
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With AP Photos.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "US-XGR--Transgender Health-South Carolina", + "headline": "South Carolina Republicans back trans youth health care ban despite pushback from parents, doctors", + "headline_extended": "A bill banning transgender medical care for minors is heading to the South Carolina House floor", + "slugline": "BC-US-XGR--Transgender Health-South Carolina, 2nd Ld-Writethru", + "description_summary": "A bill banning transgender medical care for minors is heading to the South Carolina House floor. Republicans are moving the ban in the first days of the 2024 legislation session. The proposal bars health professionals from performing gender transition surgery, prescribing puberty-blocking drugs or overseeing hormone therapy for anyone under 18 years old. 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(AP) \u2014 Pleas from transgender children\u2019s pediatricians and parents to keep allowing such kids to receive hormone therapies failed to stop Republican lawmakers from advancing a ban on those treatments to the South Carolina House floor on Wednesday.
The GOP-led Medical, Military, Public and Municipal Affairs Committee voted to advance the bill within the first two days of the 2024 legislative session. At least 22 states have enacted similar restrictions amid recent Republican-led crackdowns on transgender medical care, bathroom usage and sports participation.
The speedy movement underscores South Carolina House Republicans' prioritization of the conservative issue at the outset of an election year that will pit incumbents against primary challengers from the right.
The bill would bar health professionals from performing gender transition surgery, prescribing puberty-blocking drugs and overseeing hormone therapy for anyone under 18 years old. It also prevents Medicaid from covering such care for anyone under the age of 26.
Matt Sharp, senior counsel for a national Christian conservative advocacy group called the Alliance Defending Freedom, appeared virtually as the lone public testifier supporting the bill. Sharp, an out-of-state lawyer, claimed that children susceptible to \u201cpeer pressure\u201d might experience irreversible negative consequences later in life if \u201cexperimental procedures\u201d are allowed to continue.
Major medical groups, including the American Medical Association and the American Academy of Pediatrics, endorse transgender youth care as safe when administered properly.
South Carolina pediatricians stressed that minors in the state do not receive gender transition surgeries and that the other forms of care are lifesaving for young people who might otherwise turn to self-harm. Treatments occur with \u201cfully-involved\u201d parents' consent, according to Dr. Deborah Greenhouse. The pediatrician, who said she has cared for a number of transgender children over more than 30 years in the field, added that minors do not begin taking such medication until puberty begins.
Greenhouse said the proposed ban would make the already difficult path for transgender youth to obtain medical care \u201ceven more torturous and virtually impossible to navigate.\u201d
Retired naval officer Dave Bell and Rebecca Bell, a software integrator, testified that their 15-year-old transgender daughter's \u201cpainful journey\u201d has ultimately alleviated her anxiety and depression, noting that she expressed a desire to die before they started letting her live as a young girl. They said their family visited seven times with an endocrinologist over a three-year period before their daughter started puberty blockers. Their daughter has been seeing mental health counselors for more than seven years, including a gender therapist.
Eric Childs, of Pelzer, said it's up to his 15-year-old transgender son to decide whether to undergo hormone replacement therapy and not lawmakers. He said his son hasn't begun the treatment but that the family wants to ensure he has every medically recommended option available. None of their health care decisions have been taken \u201con a whim,\" he added.
\u201cAbsolutely every last bit of it has been a conversation: anxious, worried, whatever we could do in his best interest,\" Childs, who identified himself as a combat veteran, told the Associated Press.
In addition to banning gender transition surgery, puberty-blocking drugs and hormone therapies for minors, the bill would forbid school employees from withholding knowledge of a student\u2019s transgender identity from their legal guardians. Opponents decried this provision as \u201cforced outing\u201d that would place vulnerable children from unloving households at risk of homelessness and domestic abuse. Democrats said the move would overburden teachers who aren't trained to recognize gender dysphoria.
Republican state Rep. Jordan Pace said that when he was an educator, he thinks he would have been neglecting his duty if he had he ever concealed such information from parents.
\u201cParents need to know what's going on in their child's life,\u201d Republican state Rep. Thomas Beach said.
___
Pollard is a corps member for the Associated Press/Report for America Statehouse News Initiative. Report for America is a nonprofit national service program that places journalists in local newsrooms to report on undercovered issues.
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Tedros Adhanom Ghebreyesus said nearly 10,000 deaths were reported in December, while hospital admissions during the month jumped 42% in nearly 50 countries \u2014 mostly in Europe and the Americas \u2014 that shared such trend information.
\"Although 10,000 deaths a month is far less than the peak of the pandemic, this level of preventable deaths is not acceptable,\" the World Health Organization director-general told reporters from its headquarters in Geneva.
He said it was \u201ccertain\u201d that cases were on the rise in other places that haven't been reporting, calling on governments to keep up surveillance and provide continued access to treatments and vaccines.
Tedros said the JN.1 variant was now the most prominent in the world. It is an omicron variant, so current vaccines should still provide some protection.
Maria Van Kerkhove, technical lead at WHO for COVID-19, cited an increase in respiratory diseases across the globe due to the coronavirus but also flu, rhinovirus and pneumonia.
\u201cWe expect those trends to continue into January through the winter months in the northern hemisphere,\u201d she said, while noting increases in COVID-19 in the southern hemisphere \u2014 where it's now summer.
While bouts of coughs, sniffling, fever and fatigue in the winter are nothing new, Van Kerkhove said this year in particular, \"we are seeing co-circulation of many different types of pathogens.\u201d
WHO officials recommend that people get vaccinated when possible, wear masks, and make sure indoor areas are well ventilated.
\u201cThe vaccines may not stop you being infected, but the vaccines are certainly reducing significantly your chance of being hospitalized or dying,\u201d said Dr. Michael Ryan, head of emergencies at WHO.
___
The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute\u2019s Science and Educational Media Group. The AP is solely responsible for all content.
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(AP) \u2014 California's budget deficit is not as bad as previously thought, Gov. Gavin Newsom announced Wednesday, but it's deep enough that it could delay a minimum wage increase for more than 400,000 health care workers and force spending cuts across various housing and climate programs.
Most of Newsom's time in office has been defined by big spending increases made possible by unprecedented budget surpluses. But the past two years have saddled him with a pair of multi-billion dollar deficits, a less-welcome position for a governor seen as a potential Democratic presidential candidate.
Newsom vowed not to roll back his previous major spending commitments \u2014 including free kindergarten for all 4-year-olds and free health insurance for all low-income adults regardless of their immigration status. But he wants the Legislature to consider delaying a planned minimum wage increase for health care workers in years when there isn\u2019t enough money in the budget to pay for it \u2014 something Newsom said lawmakers agreed to in advance before he signed the law last year.
Newsom stopped short of calling California\u2019s budget deficit a \u201ccrisis.\u201d But his plan to cover the deficit includes pulling more than $13 billion from the state\u2019s reserves \u2014 an action that will require him to declare a \u201cfiscal emergency.\u201d His plan includes $8.5 billion in spending cuts, with about half of those cuts spread across various housing and climate programs.
The rest of the deficit comes from a combination of delays, deferrals, borrowing and shifting expenses to other funds.
The nonpartisan Legislative Analyst's Office predicted last month that California's budget deficit would be $68 billion \u2014 a staggering number that would have been a record-high shortfall for a state known for its progressive tax structure that makes it prone to wild swings in revenue. But Newsom said the deficit is actually $37.9 billion \u2014 a shortfall that, while still steep, is much easier to manage for a state with revenues expected to exceed $291 billion.
\u201cWe are just a little less pessimistic than they are about the next year,\u201d Newsom said about the differing numbers.
Legislative Analyst Gabriel Petek said he thought Newsom's estimates were reasonable but added, \u201cThey fall on the optimistic side of what we consider most plausible.\u201d
Newsom signed a law last year to gradually raise the minimum wage for health care workers to $25 per hour. The first increase was set to take effect this summer. Newsom said he did not expect a big fight to potentially delay that increase, noting that \u201call parties\u201d had committed to it prior to Newsom signing the law.
David Huerta, president of the Service Employees International Union California \u2014 the union that represents health care workers who would benefit from the minimum wage increase \u2014 said in a statement that the union applauded Newsom's budget proposal and \u201clooks forward to working with the Administration and the Legislature to ensure that these critically needed workforce investments are implemented.\u201d
California\u2019s economy is so big that if it were a country, it would be the fifth largest in the world. But the state\u2019s budget is notoriously volatile. Just 1% of California's total tax returns \u2014 about 180,000 \u2014 accounted for half of the state's income tax revenue in 2021. Those rich people had insanely good years after the pandemic, earning $349 billion in capital gains income that resulted in $36 billion in taxes for the state.
By 2022, taxes from capital gains had declined to $15 billion. Overall, state tax collections are $42.9 billion below projections.
Newsom says this revenue decline does not mean the state is entering a recession. Instead, he said it is a return to normal following the pandemic, when consumer spending soared and generated billions of dollars of unexpected revenue for the state.
\u201cThis is a story of correction, a story of normalization after a period of a tremendous amount of distortion,\u201d Newsom said.
Newsom wants to spend $126.8 billion on public schools \u2014 about $2.4 billion less than last year. But the cut could have been far worse. A voter-approved law guarantees the state will spend a certain amount on public schools each year. Because of the state's revenue declines, Newsom said that guarantee has fallen by more than $11 billion over the past three years.
But instead of cutting the public education budget by that much, Newsom is using money from a special savings account for public schools that voters approved in 2014 to make up the difference.
\u201cThere are no deferrals, there are no claw backs of money school districts have already gotten, and not a single cut to ongoing permanent programs,\u201d said Kevin Gordon, a veteran lobbyist who represents public school districts. \u201cIt just validates the governor's huge commitment to public education. There's a lot of grateful school districts out there today.\u201d
State Sen. Roger Niello, a Republican representing Fair Oaks and vice-chair of the Senate budget committee, said he is concerned about the amount of spending Newsom wants to delay rather than looking for more places to make cuts. Newsom proposed to delay, but not cancel, $5.1 billion in spending for a variety of programs including facilities for preschool and public transit.
\u201cA real risk of not developing a sustainable spending plan is that the budget makes commitments that maybe it can\u2019t follow up on if we do have severe continued deficits,\u201d he said.
___
Associated Press reporter Sophie Austin contributed to this report.
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But Senate Majority Leader Devin LeMahieu said Thursday that there\u2019s still the possibility of reaching a medical marijuana compromise that could pass. LeMahieu says the \u201cchallenge\u201d for the Assembly bill is that many GOP senators are opposed to having the state operate the dispensaries. The Assembly bill introduced this week would allow for only five state-run dispensaries. The bill would have to pass the Senate and Assembly and be signed by Gov. Tony Evers to become law.", + "bylines": [ + { + "by": "By SCOTT BAUER", + "title": "Associated Press" + } + ], + "located": "MADISON, Wis.", + "datelinelocation": { + "city": "Madison", + "countryareacode": "WI", + "countryareaname": "Wisconsin", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -89.40123, + 43.07305 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. 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(AP) \u2014 Having state-run dispensaries for medical marijuana in Wisconsin as proposed by Assembly Republicans is a \u201cnonstarter\u201d in the Senate, but there's still the possibility of reaching a compromise that could pass, the Senate GOP leader said Thursday.
Senate Majority Leader Devin LeMahieu said at a WisPolitics.com event that the \u201cchallenge\u201d for the Assembly bill is that many GOP senators are opposed to having the state operate the dispensaries.
\u201cIt\u2019s a nonstarter for a lot of our caucus members,\" LeMahieu said. \"Why would we let government grow the size of government?\u201d
The highly restrictive bill unveiled this week by Assembly Republicans would limit medical marijuana only to severely ill people with chronic diseases such as cancer and allow for it to be dispensed at just five state-run locations. Smokable marijuana would not be allowed.
LeMahieu said creating a new office within the Department of Health Services to handle medical marijuana \u201cseems like overkill.\u201d
Still, LeMahieu didn\u2019t rule out the possibility of reaching a compromise that could result in legalizing medical marijuana.
\u201cI think there could be a way to do it,\u201d he said.
The measure must pass the Senate and Assembly, and be signed by Democratic Gov. Tony Evers, before it would become law. Evers, who like many Democrats is a proponent of full legalization, said earlier this month that he would support medical marijuana only but was noncommittal on the Assembly's plan.
Under the Assembly bill, the exact locations of Wisconsin\u2019s dispensaries would be up to the state Department of Health Services, but they would be located in five different regions of the state. Given that recreational marijuana is legal in neighboring Illinois, Minnesota and Michigan, many Wisconsin residents would be closer to a dispensary in another state where they could purchase whatever they wanted.
The Wisconsin Policy Forum estimated in a report last year that more than half of all Wisconsin residents over the age of 21 live within a 75-minute drive to a legal dispensary in another state. And that was before Minnesota legalized recreational marijuana.
The Assembly proposal would limit the availability of marijuana to people diagnosed with certain diseases, including cancer, HIV or AIDS, glaucoma, multiple sclerosis, inflammatory bowel disease, severe muscle spasms, chronic pain or nausea, and those with a terminal illness and less than a year to live.
Wisconsin remains an outlier nationally. Thirty-eight states have legalized medical marijuana and 24 have legalized recreational marijuana. The push for legalization in Wisconsin has gained momentum as its neighbors have loosened their laws.
Marquette University Law School polls have shown a large majority of Wisconsin residents have supported legalizing marijuana use for years.
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Laura Kelly renewed her call Wednesday to expand Medicaid and countered an anticipated single-rate flat income tax for individuals with a plan that would instead cut taxes by doing things like accelerating the phasing out of the state\u2019s sales tax on groceries.
Kelly said in her annual State of the State address that her slate of proposals, which also includes an ongoing focus on addressing falling water levels in a vast aquifer used to irrigate crops, are key to helping rural parts of the state.
So far Medicaid expansion has been a non-starter in the Republican-controlled Legislature. But she noted the challenges rural hospital are facing as she tried again following five years of failed efforts to provide state health coverage to an additional 150,000 people.
\u201cThey say that Medicaid expansion is not a silver bullet for our rural hospitals,\u201d she said. \u201cYou know what? I agree. Of course, it\u2019s not going to solve every challenge facing rural health care, but it\u2019s a critical part of the solution. We can\u2019t solve the problem without it.\u201d
House Speaker Dan Hawkins decried the Medicaid expansion in a message on X, formerly Twitter.
\u201cThe Governor should know- nothing in life is free, certainly not Medicaid expansion! Who\u2019s going to end up paying- you and me! That\u2019s who those costs get passed on to,\u201d he said, adding afterward, \u201cLimited resources should be reserved for the truly needy instead of siphoning them away to able bodied adults who don\u2019t want to work and who have access to other health care options.\u201d
Kansas is among only 10 states that have not expanded Medicaid in line with the 2010 federal Affordable Care Act, which promises federal funds to cover 90% of the new costs. In two other states, Georgia and Mississippi, top Republicans have signaled a willingness to discuss expansion this year, so the issue isn\u2019t a dead letter.
In Kansas, conservative opposition is rooted in small-government beliefs and decades of skepticism about social services. The federal government also is offering remaining non-expansion states another financial bonus. A promise of an additional $1.8 billion over two years was crucial for GOP lawmakers in North Carolina. Kelly\u2019s office expects Kansas to receive a total bonus of between $370 million and $450 million.
Kelly faces leaders of GOP supermajorities whose priorities are to cut income taxes and rein in local property taxes, not to expand Medicaid.
Her tax cut proposal, which she touted as far better than a flat personal income tax that Republicans plan to again propose this year, also would eliminate taxes on retirees\u2019 Social Security incomes, increase the standard deduction for all Kansans, reduce property taxes and create a back-to-school sales tax holiday. She first unveiled the plan earlier this week alongside two Republican state senators and a conservative independent senator.
\u201cLet\u2019s take the flat tax off the table once and for all,\" she said.
Kelly voiced opposition to the kind of sweeping plan to use state education dollars to help parents pay for private or home schooling that states such as Iowa, South Carolina and Utah enacted.
\u201cVouchers will crush our rural schools plain and simple. Our teachers don\u2019t support vouchers. Our local officials don\u2019t support vouchers. And Kansans don\u2019t support vouchers,\u201d she said to applause.
She also described addressing water issues as \u201can existential issue\u201d not just for rural Kansas but the entire state.
\u201cMy goal for the rest of my term is to put Kansas on the path to resolving this crisis,\u201d she said.
The issue is dropping water levels in the Ogallala Aquifer, which covers roughly 175,000 square miles (453,000 square kilometers) in the western and Great Plains states of Texas, New Mexico, Oklahoma, Kansas, Colorado, Nebraska, Wyoming and South Dakota.
Kansas produces more than 20% of the nation\u2019s wheat and has about 18% of the cattle being fed in the U.S. The western third of Kansas, home to most of its portion of the Ogallala, accounts for 60% of the value of all Kansas crops and livestock. That is possible because of the water.
Her comments came after state Supreme Court Chief Justice Marla Luckert told lawmakers earlier in the day that courts are getting closer to functioning normally after affiliates of a Russian-based ransomware group infiltrated the system three months ago.
The public court portal is back online, and electronic filing also was restored Wednesday in two judicial districts, with the rest expected to follow within the next couple weeks.
Luckert stressed that the state didn\u2019t pay the ransom, and it is working to identify and notify those whose personal information was stolen.
\u201cWe are optimistic that full functionality of our systems, including appellate e-filing, is on the near horizon,\u201d Luckert said in her State of the Judiciary address .
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Just under three-quarters of West Virginia\u2019s $1 billion in settlement money from drug manufacturers and dispensers is being funneled through the private West Virginia First Foundation. The foundation\u2019s board of directors, just finalized late last year by local communities and Gov. Jim Justice, has expressed a willingness to hold open meetings. The bill was approved by a House committee Thursday, and it will go before another committee before going before the full chamber for a vote.", + "bylines": [ + { + "by": "By LEAH WILLINGHAM", + "title": "Associated Press" + } + ], + "located": "CHARLESTON, W.Va.", + "datelinelocation": { + "city": "Charleston", + "countryareacode": "WV", + "countryareaname": "West Virginia", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -81.63262, + 38.34982 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. 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(AP) \u2014 The private foundation in charge of distributing the lion's share of West Virginia's hundreds of millions of opioid-settlement dollars would be required to make its proceedings public under a bill advancing in the state Legislature.
Just under three-quarters of West Virginia's $1 billion in settlement money is being funneled through the private West Virginia First Foundation, per an agreement drafted by the state Attorney General's Office last year and signed by officials from every county in the state, which has the highest rate of opioid overdoses in the nation. Around a quarter will go directly to local communities and 3% will remain in trust.
The foundation\u2019s board of directors, comprised of members appointed by Republican Gov. Jim Justice and elected by local governments, has expressed a willingness to hold open meetings, at the request of members of the public and the media. Just finalized late last year, the board has not yet considered any spending proposals. But it is currently working on completing its search for an executive director to run daily operations.
Democratic Del. Mike Pushkin of Kanawha County said Thursday he was glad to see the proposal requiring the board to follow open meeting laws be introduced so early in the 60-day legislative session, which started Wednesday.
\u201cThe state got that money because a lot of people lost their lives, and it\u2019s very important how it\u2019s spent, what it\u2019s spent on .... This money came at a great, great cost to the state,\u201d he said before the bill was unanimously approved by the House Health and Human Resources Committee.
If the bill becomes law, the foundation would be required to provide public notice of each meeting and release an agenda in advance, as well as minutes documenting its actions afterward. It would also be required to allow the public to attend its meetings, except for proceedings not protected by state open meetings law, like discussions about personnel matters.
The proposal must also be approved by another House committee before going to the full chamber for a vote. If it passes the House, it would then move on to consideration in the state Senate.
Over the past four years, drug manufacturers, distribution companies, pharmacies and other companies with roles in the opioid business have reached settlements totaling more than $50 billion with governments.
West Virginia is receiving money from each of its settlement agreements on a staggered schedule, with annual payments coming until at least 2036. The West Virginia First Foundation is expected to receive around $367 million over the next five years alone.
The board must use the funds to abate the opioid crisis, according to the Foundation memorandum. That could mean evidence-based addiction treatment, recovery and prevention programs, among other initiatives.
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As legislatures begin their work for the year, lawmakers in several states have proposed enacting or strengthening restrictions on puberty-blocking drugs and hormone treatments for minors. Bills to govern the pronouns kids can use at school, which sports teams students can play on, and the bathrooms they can use are back, as well, along with efforts to restrict drag performances and some books and school curriculums.
LGBTQ+ advocates say that most of the states inclined to pass bans on gender-affirming care have done so, and that they now expect them to build on those restrictions and expand them to include adults. With legislatures in most states up for election this year, transgender youths and their families worry about again being targeted by conservatives using them as a wedge issue.
They include Mandy Wong, a mother in Santa Barbara, California, who said she's tired of conservative politicians using transgender children as \u201ccampaign fuel.\u201d While she doesn\u2019t expect such a policy to pass in her Democrat-led state, Wong said, her child and his friends feel emotionally drained.
\u201cIt was just heartbreaking to tell him ... I don\u2019t think this is going away anytime soon,\u201d she said. \u201cAll the negative attention trans kids, even us as parents, have gotten because of these proposals doesn\u2019t seem to be dying down.\u201d
In Ohio, House Republicans voted Wednesday to override Republican Gov. Mike DeWine's veto of legislation banning all forms of gender-affirming care for minors. The Senate is expected to follow suit this month. Despite his veto, DeWine signed an order banning the rare occurrence of gender-transition surgeries before adulthood. He also proposed rules mandating a care team for children and adults that critics say could severely restrict access for all patients.
In South Carolina, one of the few Southern states without a ban on gender-affirming care for minors, a House committee voted Wednesday to send a ban to the House floor. The bill, sponsored by the state\u2019s Republican House speaker, would also prevent Medicaid from covering such treatments for anyone under age 26. And last week in New Hampshire, the House voted to ban gender-transition surgeries for minors.
At least 22 states have enacted bans on gender-affirming care for children, with most of them approved in the past year. Those who support the bans say they want to protect children and have concerns about the treatments themselves. Major medical groups, including the American Medical Association and the American Academy of Pediatrics, oppose the bans and have endorsed such care, saying it\u2019s safe when administered properly.
Last year's limits included a Florida law that has made it nearly impossible for many transgender adults in the state to receive gender-affirming care. Florida Gov. Ron DeSantis has promoted that ban as one of his accomplishments as he seeks the Republican presidential nomination.
\u201cThey\u2019ll stop at nothing, so we don\u2019t know what exactly to anticipate (in 2024),\u201d said Katy Erker-Lynch, executive director of PROMO, an advocacy group in Missouri, where lawmakers have proposed more than 20 bills targeting LGBTQ+ people.
Bills filed in Missouri include efforts to remove two provisions that were key in overcoming a Democratic filibuster to that state's ban on gender-affirming care for youths. The new Missouri Freedom Caucus is prioritizing a bill that would make the ban on gender-affirming care for minors permanent, removing a provision that allows it to expire in 2027. Legislation would also remove a clause that allows minors who began the care before the law went into effect to continue with it.
Republican state Sen. Mike Moon, who is sponsoring bills both to repeal the expiration date on the medical restrictions and to require schools to tell parents if a student wants to go by a name or pronoun other than the one the parent used to register the child for school, compared transgender medical restrictions for minors to age thresholds in laws for smoking, drinking and driving.
\u201cChildren, especially younger children, don\u2019t make good decisions, and they\u2019re not certain exactly what reality is sometimes,\u201d Moon said.
LGBTQ+ activists call laws that require schools to tell parents about a student's desire to change names or pronouns \u201cforced outing,\u201d saying schools might be the only safe place for a transgender or nonbinary student to express their gender identify.
Missouri's large number of filed bills has drawn attention from activists, but Republican legislative leaders say they don\u2019t think there\u2019s much of an appetite for revisiting the restrictions and don't want to prioritize them.
\u201cWe passed what I thought was a strong and fairly broad bill last year,\u201d said Missouri Senate President Pro Tem Caleb Rowden, referring to the medical ban.
In Oklahoma, at least two bills remain active from last year that target gender-affirming care for adults. One proposal would prohibit insurance coverage for the procedures for adults, while another would prohibit public funds from going to any entity that provides such care.
Both measures stalled in the Republican-controlled Legislature last year but could be reconsidered during the legislative session starting in February.
The rules proposed in Ohio by DeWine last week place new limits on adults that advocates say would make treatment difficult, if not impossible, for some people. They include mandating a team for individuals that would consist of at least an endocrinologist, a bioethicist and a psychiatrist. The rules also would require departments to collect data submitted by medical providers on gender dysphoria and subsequent treatment.
Several bills have been filed in Florida, including a measure to require employees at state agencies or at any entity that receives state funding to use the pronouns consistent with their assigned sex at birth.
Legislation introduced Wednesday in West Virginia would ban gender-affirming care up to age 21 and prohibit mental health professionals from supporting what lawmakers call a transgender patient\u2019s \u201cdelusion\u201d about their gender identity.
In California, which has offered refuge to transgender youths and their families from states with medical bans, conservatives are mounting a longshot effort to put a measure on next year's ballot targeting the rights of transgender minors.
Nebraska state Sen. Kathleen Kauth, who last year sponsored the state\u2019s gender-affirming care ban for those under 19, said partisan politics are not behind her push for bills aimed at LGBTQ+ people. This year she is again pushing a bill she introduced last year that would restrict transgender students\u2019 participation in sports and limit their access to bathrooms and locker rooms.
Kauth\u2019s medical ban led progressive lawmakers to filibuster nearly every bill of last year\u2019s session.
\u201cI don\u2019t think it\u2019s something that is designed to get reelected because, you know, my district is actually half and half \u2014 slightly more are conservative than liberal,\u201d Kauth said. \u201cI am about pushing back on federal government overreach, whatever it looks like, and protecting kids.\"
Nationwide, challenges to laws already in place are moving closer to the U.S. Supreme Court. The American Civil Liberties Union has asked the court to block restrictions on care for youths in Kentucky and Tennessee.
The full 8th U.S. Circuit Court of Appeals is also considering Arkansas' request to reverse a ruling that struck down the state's first-in-the-nation ban on gender-affirming care for youths.
Federal rulings against the bans so far have come from judges appointed by both Democratic and Republican presidents.
__
DeMillo reported from Little Rock, Arkansas, and Schoenbaum from Salt Lake City. Contributing to this report were Associated Press writers David Lieb and Summer Ballentine in Jefferson City, Missouri; Margery Beck in Omaha, Nebraska; Sean Murphy in Oklahoma City; and Sophie Austin in Sacramento, California.
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Editorial: It\u2019s about time on medical marijuana for Wisconsin
We\u2019re glad to see Wisconsin\u2019s legislative Republicans moving toward a bill to allow medical marijuana in the state. While it\u2019s not perfect, it\u2019s an important step in the right direction.
The last time we talked about the issue here was back in April 2023. That was when Robin Vos, the Assembly\u2019s speaker, announced he was working with his fellow Republicans on some form of medical marijuana bill. The results took longer than one might have expected at that time, but last week officials presented the broad outlines for the public.
The proposal looks a lot more like some of the earliest state laws on the issue than it does legislation passed in numerous states over the past couple years. Sales are limited to severely ill individuals in most cases. Cancer patients would have access, as would people with multiple sclerosis. Glaucoma patients could use marijuana, as could people who have severe muscle spasms, chronic pain or nausea.
The most open category is for those who are terminally ill and are expected to have less than a year to live. Every category would require a doctor\u2019s diagnosis and purchases would be allowed only at one of five state dispensaries. While that figure could increase, that\u2019s where things would start.
The proposal doesn\u2019t go as far as most Wisconsin residents would probably prefer. An October 2022 poll from Marquette University showed 64% of Wisconsin residents favored full legalization of recreational marijuana, while a whopping 83% favored allowing it for medical uses. There\u2019s no reason to believe those numbers are lower today.
The overwhelming support for medical marijuana means there is phenomenally little risk for politicians backing this step. You probably wouldn\u2019t get that kind of approval for a proposal to eliminate the state\u2019s income tax, or virtually any other step a legislature could take.
This isn\u2019t a done deal just yet, though. The Legislature still has to vote on it, with passage in the Assembly and Senate likely but not assured. Gov. Tony Evers, who has urged legislators to approve full recreational legalization, has signaled he will sign the bill if it passes.
It\u2019s cynical \u2014 though probably accurate \u2014 to tie the announcement to the beginning of an election year. The extraordinarily strong appeal of such legislation gave politicians cover, and very few will willingly leave such a club laying around for an opponent to beat them with during a campaign. That meant the years of foot-dragging was incompatible with hopes for re-election for what appears to be a critical mass in the Republican caucus.
The move will, assuming it goes through as anticipated, end Wisconsin\u2019s status as a genuine outlier in the issue of marijuana access. It is one of only a handful of states in which absolute prohibition still stands, and three neighboring states allow recreational use. While being out of step with neighbors is one thing, being that far out of synch with voters was another.
Wisconsin\u2019s actions are a new signal, if one is needed, that the federal government\u2019s antiquated approach to marijuana needs to change. The Drug Enforcement Agency\u2019s listing of marijuana as a Schedule I drug \u2014 one with high potential for abuse and no currently accepted medical uses \u2014 isn\u2019t a sustainable argument.
There\u2019s a solid medical consensus that marijuana has some valid uses. Wisconsin\u2019s proposal aligns more with the requirements for Schedule II drugs, which have accepted medical uses with significant restrictions, than it does the DEA\u2019s claims. And there\u2019s a good argument for viewing it as a Schedule III drug, with accepted medical uses and varying levels of addictive potential.
Federal regulations need to change. It\u2019s obvious the vast majority of Americans, conservative or liberal, think they\u2019re off base. Wisconsin\u2019s change is in line with what residents want, and it adds to the pressure to update the federal guidelines.
___
Racine Journal Times. January 7, 2024.
Editorial: Bump stock ban needs court OK
Just after Christmas, attorneys general from 23 states and the District of Columbia urged the U.S. Supreme Court to uphold a federal rule banning bump stocks.
We concur and if the high court doesn\u2019t get it right, Congress should get to work and spell out the ban in a new law.
The high court agreed to take up the issue in November after differing lower court decisions over the ban, which was put in place by the Bureau of Alcohol, Tobacco, Firearms and Explosives six years ago by the then-President Donald Trump administration.
The ATFE bump stock ban went into effect after a mass shooting in Las Vegas, Nevada in 2017.
You remember that, of course. A crazed gunman in the 32nd floor of the Mandalay Bay hotel opened fire with bump stock-equipped AR-15s on a crowd of 20,000 people attending a country music festival across the street.
By the time the smoke had cleared and the screaming had stopped, 58 people were killed and another 500 were wounded or injured in the rush for cover. The gunman, Stephen Paddock, killed himself before he could be apprehended.
The attorneys general told the court in their petition that the ban aligns with longstanding prohibitions \u2014 dating to 1934 \u2014 against public ownership of most machine guns and that bump stocks, which use the recoil of the weapon to rapidly fire without additional trigger pulls belong in that category.
\u201cBump stocks were deliberately developed and marketed to circumvent federal law banning civilian use of automatic weapons,\u201d said District of Columbia Attorney General Brian L. Schwalb, \u201cThese devices are designed to convert semiautomatic firearms to illegal machine guns, with foreseeable tragic and deadly consequences. We urge the Supreme Court to prioritize public safety and the safety of law enforcement officers by upholding a reasonable, well-established rule classifying bump stocks as banned automatic weapons.\u201d
We can\u2019t undo the horror and bloodletting at Mandalay Bay, but we can take steps to prevent the next crazed shooting by keeping the ban on bump stocks.
If the Supreme Court can\u2019t see its way to support the ban, then Congress should step in and pass a single piece of legislation to enforce it. There may need to be an exception for handicapped hunters, but for the most part there is no reasonable purpose for nearly full automatic firepower. Not for hunting; not for self-protection.
Consider that Stephen Paddock, at one point in the tower at Mandalay Bay, was able to fire 90 shots in a 10 second period using bump stocks. A machine gun can fire 98 shots in a seven second period.
There\u2019s not a deer herd or a concert crowd that can stand up to that rain of fire.
The Supreme Court should get that.
___
Wisconsin State Journal. January 7, 2024.
Editorial: Herb Kohl did the impossible \u2014 he gave politicians a good name
The political class never seemed impressed with U.S. Sen. Herb Kohl, D-Milwaukee. He was always so polite and agreeable. Most of Washington doesn\u2019t believe that\u2019s how you get things done. And too often, they\u2019re right.
Kohl never hogged the headlines. He didn\u2019t say provocative things. He didn\u2019t incessantly pick partisan battles. That\u2019s what made him so different.
And unlike most of his colleagues, he didn\u2019t have to worry about raising piles of campaign cash. \u201cNobody\u2019s senator but yours,\u201d as his election ads dubbed him, had all the money he needed from the retail empire he built. He could always outspend his challengers and won four elections, the last three by landslides.
It wasn\u2019t just the money that keyed his success at the polls. People trusted him to do what he thought was right, even if they didn\u2019t always agree with his positions.
Keeping the Milwaukee Bucks basketball team in the state\u2019s largest city endeared him to many. So did his generosity \u2014 granting the best teachers and principals cash awards for great work, gifting universities tens of millions for academics and sports, regularly eating and engaging with constituents at a modest George Webb diner in Downtown Milwaukee.
Most unusual for a politician: He listened more than he spoke.
Kohl, who died at 88 just before the new year, wasn\u2019t a backroom dealer, which no doubt limited his impact. Yet he always stuck up for Wisconsin, especially education. He wanted everyone who works hard to have a shot at prosperity and happiness, just as he did. The son of Jewish immigrants, he grew up working in his father\u2019s grocery store, went on to UW-Madison and Harvard Business School.
Most important, Kohl led by example. He actually accomplished the seemingly impossible \u2014 he gave politicians a good name. He proved that the stereotype of the conniving, slick, power-hungry elected official doesn\u2019t have to be true. At least in his case, it wasn\u2019t.
For that we can thank him. And we can only hope his best instincts and values washed off on some of his less-than-pure peers.
Wisconsin and America definitely could use more of Kohl\u2019s attributes these days in seats of power. Our democracy needs more humility, cooperation and thoughtfulness. We need more humanity \u2014 the good kind.
Kohl recognized nuance and complication as he sought solutions. He wasn\u2019t a showboat. He was a serious public servant, not unlike so many people across Wisconsin who serve on local municipal, county and school boards. With open minds and flexibility, they try to solve problems for their neighbors.
That\u2019s what Kohl did.
Perhaps his worst moment in the national spotlight was sitting on the Senate Judiciary Committee in 1991. The committee of white men, led by then-U.S. Sen. Joe Biden, came off as out of touch and disrespectful of Anita Hill, a Black woman who accused Supreme Court nominee Clarence Thomas of sexual harassment.
But Kohl was a bit player in that, and he deserves to be remembered for so much more. His business acumen helped him improve federal policy on jobs, the economy and taxes. To his credit, he was more sensitive to government red tape than most Democrats. And he proved effective at landing federal money for projects back home.
The fiscally conservative Club for Growth faulted him for supporting wasteful earmarks. Yet the bipartisan Concord Coalition ranked him as the top U.S. senator in 1996 for his efforts to balance the federal budget, which was a much bigger goal.
As chair of the Senate Appropriations Committee\u2019s agriculture panel, he looked out for Wisconsin farmers. He also advocated for older folks, quality child care, clean elections and preserving wilderness.
His loyalty to Milwaukee and Wisconsin through his private gifts are legendary. Besides investing in Milwaukee sports teams, including a group that helped lure the Brewers to Wisconsin, he gave large sums to the United Way, public museums and art.
\u201cThe more you give, the richer you get,\u201d he said.
The political handlers and strategists may roll their eyes at Kohl\u2019s heartfelt public service. Though intensely competitive and disciplined as a businessman, he lacked the persuasiveness and pizzazz of a skilled politician.
Most of Wisconsin, though, was truly sad to hear he died, we suspect. And most of Wisconsin should want his distinguished brand of good citizenship to continue. May his sincere and generous ways live on through all the lives he touched, from his favorite booth at George Webb to Capitol Hill.
END
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The Trumbull County prosecutor\u2019s office said grand jurors declined to return an indictment for abuse of a corpse against Brittany Watts, 34, of Warren, resolving a case that sparked national attention for its implications for pregnant women as states across the country hash out new laws governing reproductive health care access in the wake of Roe v. Wade being overturned.
The announcement came hours before about 150 supporters gathered for a \u201cWe Stand With Brittany!\u201d rally on Warren\u2019s Courthouse Square. The event had been planned before Thursday\u2019s announcement of the grand jury\u2019s decision.
Watts was among several speakers who addressed the crowd.
\u201cI want to thank my community \u2014 Warren. Warren, Ohio. I was born here. I was raised here. I graduated high school here, and I\u2019m going to continue to stay here because I have to continue to fight,\u201d she said.
Watts' lawyer said an outpouring of emails, letters, calls, donations and prayers from the public helped her client endure the ordeal of being charged with a felony punishable by up to a year in prison.
\u201cNo matter how shocking or disturbing it may sound when presented in a public forum, it is simply the devastating reality of miscarriage,\u201d attorney Traci Timko said in a statement. \u201cWhile the last three months have been agonizing, we are incredibly grateful and relieved that justice was handed down by the grand jury today.\u201d
A municipal judge had found probable cause to bind over Watts\u2019 case after city prosecutors said she miscarried \u2014 clogging the toilet and removing some of its contents to an outdoor trash area \u2014 then left the house, leaving the 22-week-old fetus lodged in the pipes.
Watts had visited Mercy Health-St. Joseph\u2019s Hospital, a Catholic facility in working-class Warren, about 60 miles (100 kilometers) southeast of Cleveland, twice in the days leading up to her miscarriage. Her doctor had told her she was carrying a nonviable fetus and to have her labor induced or risk \u201csignificant risk\u201d of death, according to records of her case.
Due to delays and other complications, her attorney said, she left each time without being treated. After she miscarried, she tried to go to a hair appointment, but friends sent her to the hospital. A nurse called 911 to report a previously pregnant patient had returned reporting \u201cthe baby\u2019s in her backyard in a bucket.\u201d
That call launched a police investigation that led to the eventual charge against Watts.
Warren Assistant Prosecutor Lewis Guarnieri told Municipal Court Judge Terry Ivanchak the issue wasn\u2019t \u201chow the child died, when the child died\u201d but \u201cthe fact the baby was put into a toilet, was large enough to clog up the toilet, left in the toilet, and she went on (with) her day.\u201d
An autopsy determined the fetus died in utero and identified \u201cno recent injuries.\u201d
Timko told Ivanchak that Watts, who is Black, had no criminal record and was being \u201cdemonized for something that goes on every day.\u201d She also argued that Ohio\u2019s abuse-of-corpse statute lacked clear definitions, including what is meant by \u201chuman corpse\u201d and what constitutes \u201coutrage\u201d to \u201creasonable\u201d family and community sensibilities.
When Ivanchak bound the case over, he said, \u201cThere are better scholars than I am to determine the exact legal status of this fetus, corpse, body, birthing tissue, whatever it is.\u201d
Trumbull County Prosecutor Dennis Watkins said in a statement that county prosecutors \u201crespectfully disagree with the lower court's application of the law,\" after their follow-up investigation found Watts committed no crime.
In Our Own Voice, a Black reproductive rights group, expressed relief Thursday at the case's outcome.
\u201cWhat happened to Brittany Watts is a grave example of how Black women and their bodies face legal threats simply for existing,\" president and CEO Dr. Regina Davis Moss said in a statement. \"Her story is one that is becoming alarmingly common: in states with abortion restrictions, Black women, girls, and gender-expansive people are being surveilled, arrested, prosecuted and punished for pregnancy loss.\u201d
Ohio Physicians for Reproductive Rights, a key backer of Ohio\u2019s successful fall amendment protecting access to reproductive health care, had lobbied Watkins to drop the charge against Watts, which Watkins insisted was not within his power.
On Thursday, the group commended the grand jury and called for the \u201cdangerous trend\u201d of criminalizing reproductive outcomes to be halted.
\"It not only undermines women\u2019s rights but also threatens public health by instilling fear and hesitation in women seeking necessary medical care during their most vulnerable moments,\u201d President Dr. Marcela Azevedo said in a statement.
Watts hopes her story can be an \u201cimpetus to change,\u201d Timko said.
\u201cThrough education and legislation,\" Timko said, \"we can make sure no other woman must set her grief and trauma on a back burner to muster the strength to fight for her freedom.\u201d
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To some, the uproar may be puzzling or even offensive. An individual's right to privacy, particularly about medical issues, is sacred. And most people have that right to privacy. But not all.
As a member of President Joe Biden's Cabinet, a key national security adviser and a guardian of the use and maintenance of the country's nuclear arsenal, Austin gives up some personal privacy. He must be ready to act on a moment's notice if the U.S. is attacked and must be able to make an array of immediate, critical decisions on the deployment of troops or the use of America's military might anywhere in the world.
Although he transferred key decision-making authorities to Deputy Defense Secretary Kathleen Hicks during the surgery and early part of his current hospital stay, he did not tell her why. He also did not tell Biden, other U.S. government leaders, and his senior staff about his surgery, his diagnosis \u2014 or that he was rushed by ambulance to the hospital \u2014 until days later.
Here's a look at what happened and why it set off an outcry and launched a government-wide demand to fix such lapses.
Austin, 70, was diagnosed with prostate cancer in early December after a routine screening.
He was admitted to Walter Reed National Military Medical Center on Dec. 22 and underwent a surgical procedure called a prostatectomy. It is a common procedure to remove all or part of the prostate gland and is often used to treat prostate cancer, He went home the following day.
On Jan. 1, he felt nauseous and was having severe abdominal, hip and leg pain, due to what turned out to be a urinary tract infection related to the surgery. His doctors, who released a detailed medical statement on Tuesday, said he was under anesthesia during the initial surgery, and when he went to intensive care on Jan. 2 the infection had triggered an intestinal backup and his stomach had to be drained with a tube in his nose.
The doctors said his cancer was detected early, and his prognosis is excellent.
Based on routine protocols, Austin transferred decision-making authorities to his deputy. That process is not unusual and happens anytime Austin does not have access to secure, classified communications.
For example, last month he flew out to a U.S. Navy aircraft carrier, and he transferred authorities to Hicks during that flight, took them back once he was on the ship, which has full communications capabilities, and then did a similar swap on the flight back to land.
It's not uncommon for Austin to not give Hicks a reason for the transfer, which is handled by email. And such transfers happen regularly across the Defense Department and other agencies, including by military service leaders, service chiefs and combatant commanders.
The department has said Hicks is taking on some of Austin's day-to-day duties as he recovers.
The secrecy surrounding the surgery and his current hospital stay has been extensive and shocking to senior leaders in government and the Pentagon. And it's raised questions about his candor with staff and the Biden White House.
Pentagon officials disclosed last Friday that Austin was hospitalized, but gave no details. They later acknowledged that a few of his senior staff were told Jan. 2, but they did not tell the White House until Jan. 4. And they did not disclose his cancer diagnosis when it was first made a month ago, the Dec. 22 surgery or details about the latest complications until Jan. 9.
A glaring omission appears to be during his phone call on Saturday with Biden. The White House says it was a very brief call for Biden to share well wishes with Austin, who was still hospitalized.
But questions remain \u2014 did the president not ask Austin why he was in the hospital? Or did he ask, and not get a full answer? No one will say.
Asked repeatedly about the delays in public notification about the secretary's condition, Pentagon press secretary Maj. Gen. Pat Ryder said discussions about prostate cancer screening and treatment are often deeply personal and private.
Government transparency is a vital, long-held tenet of democracy. On Biden's first day in office, the White House pledged to bring back truth and transparency and rebuild trust with the American people.
Austin's failure to disclose his hospitalization and the fact that he'd delegated decision-making to his deputy for days before telling the president, is counter to normal practice. The president and other Cabinet members routinely make public when they are incapacitated or have serious health issues. Doctors for the president \u2014- the current one and those who served before him \u2014 have routinely done press conferences on medical check-ups.
Austin is just below the president in the chain of command for the military, including oversight of U.S. nuclear bombs. He's sixth in the line of succession if something happens to the commander-in-chief.
And his hospitalization comes as the U.S. juggles war and diplomacy in Israel and Ukraine, and as American ships in the Red Sea shoot down missiles and drones fired by Iranian-backed Houthis in Yemen, and militias repeatedly attack bases where U.S. troops are stationed in Iraq and Syria.
The attacks have forced the Biden administration to threaten retaliation against the Houthis and to strike back in Iraq and Syria multiple times, requiring sensitive, top-level discussions and decisions by Austin and other key military leaders.
It comes down to trust.
The multiple omissions, if not lies, have eroded the credibility of the Pentagon at a critical time, with both the public and the Biden White House. And, the lack of disclosure has \u2014 for no reason \u2014 given the administration a black eye, and provided fodder for Biden opponents, who are calling for Austin's resignation.
It also shines a bright light on the apparent lack of detailed procedures that should be followed if a key leader is suddenly rushed to an ambulance and incapacitated.
Pentagon leaders incessantly describe the department as a \u201cplanning organization.\u201d The five-sided building is famously known for its obsession with chain of command, endless processes for troops down to the lowest private, and war plans for any and all contingencies around the world.
It's unclear if staff violated any procedures, or if those rules aren't detailed enough or well known.
Austin's silence also was a critical opportunity missed. He failed as a mentor.
Austin could have seized his prostate check and early discovery of the cancer as a teaching moment, for his many male troops and workers across the department, and, even more importantly, for the African American population.
Prostate cancer is the most common cancer among American men. It affects 1 in every 8 men \u2014 and 1 in every 6 African American men \u2014 during their lifetime.
Specifically, it's been a problem for some of Austin's own troops. The Pentagon and Veterans Affairs Department are involved in multiple studies to address cancer rates \u2014 including prostate cancer \u2014 among service members, such as those deployed to war, aviators and aircrew, and those operating the nation's nuclear missiles.
When TV personality Al Roker was diagnosed with prostate cancer in 2020, he went public and urged others at risk \u2014 particularly Black men \u2014 to ensure they see a doctor and get checkups to stop a cancer that is very treatable if detected early.
\u201cThe problem for African American men is any number of reasons from genetics to access to healthcare, and so we want to make it available and let people know they got to get checked,\u201d Roker said.
___
Associated Press writer Tara Copp contributed to this report.
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Editorial: Pay it forward; resolve to give blood in 2024
There is always a need for blood. And in honor of National Blood Donor Month and to celebrate donors, the Kentucky Blood Center (KBC) is offering those who donate between now and Jan. 20 a wildly popular hoodie that features a heathered oatmeal cotton/polyester blend and KBC\u2019s community-focused \u201cLive Local, Give Local\u201d message.
\u201cWe are nothing without our loyal donors,\u201d explained Mandy Brajuha, vice president of external relations at KBC. \u201cThe need for blood is constant, so we appreciate this opportunity to thank all those who take the time to roll up their sleeves to give blood. This is a great time of year to commit to donating blood more regularly or to give it a try for the first time.\u201d
Because it cannot be synthetically produced, blood is unique in the healthcare ecosystem \u2014 meaning it can only be provided by volunteer donors.
According to America\u2019s Blood Centers, only 3% of Americans currently donate blood despite 65% of the population being eligible to do so. In addition, less than 20% of blood donations come from individuals in communities of color, and donations from individuals aged 19-24 have declined by nearly 32% from 2019 to 2021.
The Kentucky Blood Center relies on volunteer donors to supply lifesaving blood products to more than 70 local hospitals. The current critical need is of four blood types \u2014 O-, A-, AB- and AB+ \u2014 of which there is less than a day\u2019s supply available of each.
In fact, every two seconds someone in the U.S. needs blood and one in four will need a blood transfusion in their lifetime. Why not pay it forward by resolving to help those in need this year?
Not only is donating blood rewarding, it is also easy. Whole blood donations take less than an hour from registration to refreshment and can save three lives, per the KBC \u2014 the commonwealth\u2019s largest, independent, full-service, nonprofit blood center.
The Frankfort donor center at 363 Versailles Road is open Monday through Friday from 9 a.m. to 6 p.m. and Saturdays from 8 a.m. to 2 p.m.
Blood donors must be at least 17 years old (16 with parental consent), weigh at least 110 pounds, be in general good health, show a photo I.D. and meet additional requirements. Sixteen-year-olds must have a signed parental permission slip, which can be found at kybloodcenter.org.
END
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(AP) \u2014 Alabama can begin immediately enforcing a ban outlawing the use of puberty blockers and hormones to treat transgender people under 19, a federal appeals court ruled Thursday, granting the state\u2019s request to stay a preliminary injunction that had blocked enforcement of the 2022 law.
The 11th U.S. Circuit Court of Appeals had previously ruled that the injunction should be vacated, but the decision had been effectively on hold for more than 18 months while families with transgender children asked the full appellate court to reconsider the decision. The Thursday order will allow the ban to take effect while the full court decides whether it will revisit the issue.
The state Attorney General Steve Marshall called the order a \"significant victory for our country, for children and for common sense.\u201d
\u201cThe physical and psychological safety of our children can now be better protected from these untested and life-altering chemical and surgical procedures through the implementation of the Alabama Vulnerable Child Compassion and Protection Act,\u201d Marshall said.
Alabama Gov. Kay Ivey signed the Vulnerable Child Compassion and Protection Act into law in April 2022, making it a felony punishable by up to 10 years in prison for doctors to treat people under 19 with puberty blockers or hormones to help affirm their gender identity.
The ban was blocked less than a month later by a preliminary injunction ordered by U.S. District Judge Liles Burke, who ruled that Alabama had produced no credible evidence to show that transitioning medications are \u201cexperimental.\u201d Alabama appealed the decision to the 11th Circuit.
At least 22 states have now enacted laws restricting or banning gender-affirming medical care for transgender minors, and many of them face lawsuits or blocked enforcement. Courts have issued mixed rulings, with the nation\u2019s first law, in Arkansas, struck down by a federal judge who said the ban violated the due process rights of young transgender people and their families.
Lawyers representing parents of transgender adolescents who challenged the Alabama ban said the decision will \u201churt parents and children in the state.\u201d
\u201cToday\u2019s decision puts parents in the excruciating position of not being able to secure the medical treatment that their transgender adolescents need,\" Jennifer L. Levi, an attorney with GLBTQ Advocates & Defenders, said. \u201cIt\u2019s not the end of this effort to challenge that law, but it\u2019s a really significant and disappointing setback.\u201d
Parent Jeff Walker said he is reaching out to his 16-year-old transgender daughter's medical provider to \u201cfigure out what can we do\" to continue medications for her. State politicians, he said, are trying to override decisions made by parents and doctors.
\u201cThese same people that are wanting to restrict my daughter\u2019s access to healthcare would be screaming that this is between a parent and their healthcare provider ... if this was kids wearing masks because of a pandemic, if this was vaccinations,\" Walker said.
He said the climate in the state and their community has gotten increasingly hostile to families with trans kids. After his daughter, Harleigh, was honored for her activism and appeared on a national talk show, he said another parent called to complain about the school not enforcing the state's bathroom law. The school told Harleigh she could no longer use the girls' bathrooms, he said. He said the \u201clegislators are bullies\u201d and the school system is \u201ckowtowing to the bullying\u201d
Dr. Morissa Ladinsky, a pediatrician who founded a Birmingham medical team that treats children with gender dysphoria, called the 11th Circuit decision \u201cheartbreaking.\u201d
\u201cThis is devastating for our patients and families,\" Ladinsky said. \u201cWe will continue to provide all care we are legally able to. But the law taking effect does prevent us from providing medically necessary care.\u201d
The lawsuit challenging the Alabama ban is scheduled to go to trial in August. The issue could ultimately be headed to the U.S. Supreme Court.
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January 10, 2024.
Editorial: The brief moment that still defines water crisis
Perhaps the most enduring moment in West Virginians\u2019 collective memory about the Jan. 9, 2014, chemical spill that left roughly 300,000 residents and businesses in the Kanawha Valley and surrounding areas without water came from the combination of a dismissive attitude and an Aquafina bottle.
It\u2019s hard to forget Freedom Industries president Gary Southern trying to dodge the press while absent-mindedly chugging bottled water, a precious commodity at the time.
\u201cLook guys, it has been an extremely long day, I\u2019m having a hard (time) talking at the moment, I\u2019d appreciate it if we could wrap this thing up,\u201d Southern said.
The retort from former TV reporter Kallie Cart that news media members had a lot of questions and \u201cit\u2019s been a long day for a lot of people who don\u2019t have water,\u201d then telling Southern \u201cHey, hey, we\u2019re not done\u201d as he tries to walk away are as equally legendary as Southern\u2019s brief engagement with reporters is infamous.
Southern\u2019s approach was so disastrous that it made global news, with some outlets reporting he appeared \u201carrogant\u201d or \u201crude and aloof.\u201d
A little more than two years later, Southern would be sentenced to 30 days in federal prison and fined $20,000 after pleading guilty to negligently discharging a pollutant, unlawfully discharging refuse matter and negligently violating the company\u2019s environmental permit because Freedom Industries didn\u2019t have a pollution prevention plan.
Some might argue that Southern\u2019s viral moment of shame isn\u2019t all that important when considering the broader implications of the chemical spill for hundreds of thousands of West Virginians, along with the reasons the spill occurred. There\u2019s also plenty to digest on what has and hasn\u2019t happened to protect the health of the state\u2019s people and the environment in the intervening 10 years.
At the same time, Southern\u2019s brief news media appearance personifies a huge part of the problem that applies to just about every major industrial accident that has taken its toll on the people of West Virginia during the state\u2019s history, which is a general disdain for those very same people.
Mining injuries, deaths and large-scale disasters in West Virginia have occurred because profits were more important than safe working conditions for those doing the actual labor. Communities have been left in financial and environmental ruin by industries that had no concern for either, especially once operations became unprofitable. Bodies of minorities and the poor who died working on projects like the Hawk\u2019s Nest Tunnel were dumped in unmarked graves.
Even today, agencies that are supposed to protect the public health of West Virginians and the state\u2019s environment don\u2019t have the staffing to do their jobs effectively. Meanwhile, complicit lawmakers work with industry shills to try to roll back what few health and safety regulations and penalties that do exist. The Freedom Industries spill is a great example. New policies on storage and containment of hazardous substances passed by the West Virginia Legislature in 2014 as a result of the spill were weakened in the very next legislative session, and lawmakers have continued to chip away at those protections.
West Virginians have to fight tooth and nail, often in court at great expense, just to get industrial interests and permitting agencies that should have citizens\u2019 backs to merely adhere to the minimum standard of the law. And the Gary Southerns of the world, along with those who aid them, sneer in contempt, wondering why insignificant people would dare complain and think they deserve answers or, God forbid, accountability.
___
The Herald-Dispatch. January 9, 2024.
Editorial: Legislature doesn\u2019t need distraction of death penalty bill
As the West Virginia Legislature prepares for the opening of its 2024 regular session Wednesday, its members should keep one question in mind: Do we really want to go there?
Not to the Capitol, of course, but do legislators really want to break decades of legal precedent and tradition by walking into some issues?
This past Friday, legislative leaders gave a preview of their priorities for the upcoming session at the annual panel event sponsored by the West Virginia Press Association.
One legislative proposal is legalizing the use of recreational marijuana, or cannabis. It could be that legalizing marijuana is inevitable. Ohio has done it.
House of Delegates Minority Leader Sean Hornbuckle, D-Cabell, said House Democrats believe adult-use cannabis should be discussed because voters say they want it. Hornbuckle said he favors letting voters decide the issue through an amendment to the state constitution. Voters have decided other contentious issues through constitutional amendments. It\u2019s probably time for recreational marijuana to be decided in a similar manner.
The big do-you-want-to-go-there question will be bringing back capital punishment, which was outlawed in 1965. The proposal comes up often, but usually it goes nowhere. This time it has the backing of Senate President Craig Blair, R-Berkeley. Blair said he wants capital punishment required for the illicit manufacturing and wholesale distribution of fentanyl.
\u201cWhat we\u2019re wanting to do is send a message out to these animals that are selling this and manufacturing this,\u201d Blair said. \u201cStay the hell out of West Virginia.\u201d
Blair conceded that capital punishment for distributing fentanyl might not get passed this year, but he hopes the Legislature will enact it someday.
The problem with capital punishment lies not in the act itself but in the process. The death penalty usually involves several rounds of appeals. Some states with the death penalty struggle to find humane ways of carrying it out. There are questions of whether certain groups of people are more likely to be sentenced to death for the same crime than other groups. And there is always the risk of executing an innocent person.
Some states that have the death penalty have moratoriums on it. They have the legal authority to execute people for some crimes, but they refuse to do so.
Allowing capital punishment for fentanyl distribution opens the door to allowing it for other crimes. This is one proposal legislators should be exceptionally careful with.
Legislators could also revisit a law allowing high school athletes to transfer to another school and not have to sit out a year. This could be a question that occupies a large amount of time that could be spent on discussing state employee pay raises, a permanent funding source for volunteer fire departments and other matters of more importance to voters.
Legislators have 60 days to get their work done. The hope always is that they use those 60 days on the most productive issues and set aside those that take a lot of time debating despite having little chance of passage or little impact on the state\u2019s future.
___
The Intelligencer. January 9, 2024.
Editorial: Ensure Medicaid Available to All
West Virginia\u2019s Medicaid eligibility review has booted approximately 100,000 off the rolls so far.
But according to a report by WDTV, many may remain eligible but did not respond to paperwork requests or may have a new address.
Renate Pore, health care policy consultant for West Virginians for Affordable Healthcare, told WDTV that will mean fewer resources for some of our state\u2019s most vulnerable residents.
\u201cThe 100,000 people who no longer have Medicaid coverage,\u201d Pore told the station, \u201cmay not even know they no longer have Medicaid coverage until they go to a doctor\u2019s office and find out that, indeed, their coverage has dropped.\u201d
Such a large reduction in Medicaid recipients doesn\u2019t just take away resources from some individuals who may need it, it means a 5% loss in federal funding for the program\u2019s operation and reimbursements, Pore said.
But what can be done about it?
Well, for starters, if you know someone who might need to check their status or start the Medicaid renewal process, direct them online to www.wvpath.wv.gov. They can call 877-716-1212 or visit a local Department of Health and Human Resources office.
Imagine needing medical attention and not being aware you were no longer on the Medicaid rolls until you went to the doctor.
At a time when we all need to be working a little harder to look out for one another, check in with anyone you know who might need a nudge to help avoid such a nasty surprise in 2024.
END
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Editorial: Protect yourself heading into new year
With 2024 comes big hopes for a great year. It also comes with an old nemesis still lying around: COVID-19.
The dangerous virus is still with us and causing health concerns across the region, state and country.
Not only do we have to still worry about COVID, cases of the flu and respiratory syncytial virus or RSV, are also up.
According to information from the federal Centers for Disease Control and Prevention, more than 29,000 people were admitted with COVID during the week ending Dec. 23.
Another 15,000 were admitted with the flu, and many more with respiratory syncytial virus or RSV.
The CDC data also shows that levels of COVID-19 in wastewater, a good indicator of how much COVID is active in a community, are higher than they were last year across the country.
Also weekly emergency department visits rose 12 percent, and hospitalizations jumped about 17 percent in the most recent week.
For the past four years, we\u2019ve had to deal with COVID, but this year flu cases are also way up, giving us yet another concern when it comes to our respiratory health.
CDC estimates show that there have been more than 7 million illnesses, 73,000 hospitalizations and 4,500 deaths related to the flu this season, and multiple indicators are high and rising.
Hospitalization rates for RSV also remain high.
So now we have a triple-header to deal with: COVID, flu and RSV.
With such threats prominent, it only makes sense to continue taking the precautions we\u2019ve all become used to over the past four years.
That primarily includes, wearing a mask in public, getting vaccinated, staying home when sick and washing hands.
Vaccines remain the best way to protect yourself, yet not everyone seems to be on board, which is concerning.
According to CDC data, only 19 percent of adults and 8 percent of children have gotten the latest COVID-19 vaccine, and 17 percent of adults 60 and older have gotten the new RSV vaccine.
Less than half of adults and children have gotten the flu vaccine this season.
Nationally, more than 230 U.S. counties were considered to have \u201chigh\u201d levels of COVID-19 hospital admissions, and nearly 1,000 other counties have \u201cmedium\u201d COVID-19 hospital admission levels.
Locally, virus rates are up a bit, but not yet too alarming, but that could change quickly. Plus, we don\u2019t really know the true amount of people with COVID in our region because many had simply stopped reporting their illness.
But we\u2019ve all heard the anecdotes in recent weeks of people we know getting COVID and the virus spreading through workplaces and such.
With that, we cannot again emphasize enough for people to take care of themselves. Wearing a mask when in crowded places really isn\u2019t that big a deal and it is something we are all used to by now.
Also, please talk to your healthcare provider about getting vaccinated for not just COVID, but the flu and RSV.
We just started 2024 and it would be great if we could all have a healthy new year together.
END
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But U.S. Food and Drug Administration officials say they cannot definitively rule out that \u201ca small risk may exist\" for those taking medications such as Ozempic, Wegovy and Mounjaro. The agency said Thursday it will continue to review reports that some patients taking the drugs or similar ones had thoughts of suicide or attempted self harm. The agency says people taking the drugs should report any concerns to their health care providers.", + "bylines": [ + { + "by": "By JONEL ALECCIA", + "title": "AP Health Writer" + } + ], + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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But the agency also said officials cannot definitively rule out that \u201ca small risk may exist\" and that they'll continue to look into reports regarding more than a dozen drugs, including Ozempic, Wegovy and Mounjaro. Patients taking the drugs should report any concerns to health care providers, the FDA said.
The review follows a recent federally funded study that showed that people taking semaglutide, the medication in Ozempic and Wegovy, had a lower risk of suicidal thoughts than those taking other drugs to treat obesity and diabetes. The review came after European regulators said they were investigating anecdotal reports that people taking semaglutide had thoughts of self-harm.
\u201cOur preliminary evaluation has not found evidence that use of these medicines causes suicidal thoughts or actions,\u201d the FDA report said.
The agency is analyzing reports related to more than a dozen drugs approved since 2005 that are known as GLP-1 receptor agonists. The medications help control blood sugar levels and reduce the risk of heart disease in people with type 2 diabetes. Some of the drugs are also used to help people with obesity or who are overweight shed pounds.
___
The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute\u2019s Science and Educational Media Group. The AP is solely responsible for all content.
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ADDS comments from analysts, company leaders, more context. Updates stock price.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "UnitedHealth-Results", + "headline": "UnitedHealth shares tumble after health care giant reports soaring medical costs in 4Q", + "headline_extended": "UnitedHealth Group turned in a better-than-expected fourth quarter but surprised Wall Street with medical costs that soared 16%", + "slugline": "AP-UnitedHealth-Results, 2nd Ld-Writethru", + "description_summary": "UnitedHealth Group turned in a better-than-expected fourth quarter but surprised Wall Street with medical costs that soared 16%. Shares of UnitedHealth and other major health care and insurance providers slipped Friday after the company announced results. Health insurers dealt with rising medical costs for much of last year. UnitedHealth has said it saw a jump in claims from its Medicare Advantage business, as more seniors got heart and orthopedic outpatient procedures. Company leaders said claims also grew toward the end of the year because people sought vaccines and had other care addressed when they got those shots.", + "bylines": [ + { + "by": "By TOM MURPHY", + "title": "AP Health Writer" + } + ], + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. For other uses, additional clearances may be required." + ], + "keywords": [ + "UnitedHealth medical costs" + ], + "provider": "AP", + "infosource": [ + { + "name": "AP", + "type": "AP" + } + ], + "subject": [ + { + "rels": [ + "category" + ], + "creator": "Editorial", + "code": "f", + "name": "f" + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "ace74e307f00100486cedf092526b43e", + "name": "Immunizations", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 40 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "e55ae0105cb337448557ceca13d587ac", + "name": "Financial services", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 72 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "abb902c66c1547868d46a72d5235b16d", + "name": "Seniors", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 40 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "c8e409f8858510048872ff2260dd383e", + "name": "Business", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 97 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "5e3af32f00ad0d418f037f115324362b", + "name": "Health care industry", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 64 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "1b29d45f8e8e4c008e8a58fe6f92a753", + "name": "Government programs", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 56 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "60a31c1888f91004804d8503ef5018bd", + "name": "Financial markets", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 32 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "c8e409f8858510048872ff2260dd383e", + "name": "Business", + "creator": "Editorial", + "editorial_subject": "Business", + "rels": [ + "direct" + ], + "relevance": 99 + } + ], + "organisation": [ + { + "scheme": "http://cv.ap.org/id/", + "code": "7e5cc9d998934a8b98466b474e908c73", + "name": "UnitedHealth Group Inc", + "creator": "Machine", + "rels": [ + "direct" + ], + "symbols": [ + { + "ticker": "UNH", + "exchange": "NYSE", + "instrument": "NYSE:UNH" + } + ], + "relevance": 51 + } + ], + "audiences": [ + { + "code": "82c6a4c46fa0446090a7acaf93159e4c", + "name": "Print", + "type": "AUDPLATFORM" + }, + { + "code": "9add4649b53b4702ba7d9de5d4fa607a", + "name": "Online", + "type": "AUDPLATFORM" + }, + { + "code": "f43adc08760d10048040e6e7a0f4673e", + "name": "National", + "type": "AUDSCOPE" + }, + { + "code": "f4ecf9b0760d10048044e6e7a0f4673e", + "name": "International", + "type": "AUDSCOPE" + }, + { + "code": "f5b16ea8760d10048047e6e7a0f4673e", + "name": "State", + "type": "AUDSCOPE" + }, + { + "code": "661850e07d5b100481f5c076b8e3055c", + "name": "Latin America and Caribbean", + "type": "AUDGEOGRAPHY" + }, + { + "code": "9f12355082c4100486addf092526b43e", + "name": "Minnesota", + "type": "AUDGEOGRAPHY" + }, + { + "code": "661e48387d5b10048291c076b8e3055c", + "name": "United States", + "type": "AUDGEOGRAPHY" + } + ], + "associations": { + "1": { + "altids": { + "itemid": "96c489954bf44d09852135e188f101d5" + }, + "type": "picture" + } + }, + "body_nitf": "UnitedHealth Group turned in a better-than-expected fourth quarter but surprised Wall Street with medical costs that soared 16%.
Shares of UnitedHealth and other major health care and insurance providers slipped Friday after the company announced results.
Health insurers dealt with rising medical costs for much of last year. UnitedHealth has said claims jumped from its Medicare Advantage business as more seniors got heart and orthopedic outpatient procedures.
The company covers about 7.7 million people with Medicare Advantage plans, which are privately run versions of the government's Medicare program mainly for people age 65 and older.
UnitedHealth also saw claims grow toward the end of the year in part from COVID-19 and because people sought vaccines and had other care addressed when they went to the doctor, company leaders told analysts.
\u201cSeniors did really respond strongly to RSV vaccinations and scheduled physician visits,\u201d Chief Financial Officer John Rex said.
UnitedHealth's medical costs, its largest expense, jumped to $62.23 billion in the quarter from $53.6 billion at the end of 2022.
But company leaders stressed that the rising costs wouldn't affect their expectations for 2024. The company said in late November that it expects adjusted earnings ranging between $27.50 and $28 per share in the new year.
FactSet says analysts forecast earnings of $27.87 per share.
Overall, UnitedHealth\u2019s profit climbed nearly 15% to about $5.5 billion in the final quarter of 2023, and the company earned more than $22 billion on the year.
Earnings adjusted for one-time items totaled $6.16 per share in the fourth quarter, as revenue climbed 14% to $94.43 billion.
Analysts expected earnings of $5.98 per share on $92.13 billion in revenue in the final quarter of 2023.
UnitedHealth provides health insurance for more than 47 million people in the United States. It also provides care, pharmacy benefits management and technology services through its Optum segment.
The overall results \u201cdon't look great\u201d despite the better-than-expected earnings, Leerink Partners analyst Whit Mayo said in a research note. He added that the company's care-providing arm, Optum Health, turned in \u201canother lackluster quarter\u201d with earnings that fell below expectations and shrinking profitability.
UnitedHealth is the first to report earnings every quarter, and many analysts see it as a bellwether for rivals.
Shares of Minnetonka, Minnesota-based UnitedHealth Group Inc. fell more than 4% to $516.63 Friday morning. The Dow Jones Industrial Average, of which UnitedHealth is a member, was down less than 1%.
", + "textformat": "bx", + "links": [ + { + "href": "https://apnews.com/article/unitedhealth-medical-costs-0e9a14d256d0a7a4ecd3c0f39419b86e", + "rel": "canonical" + } + ], + "topics": { + "Health": { + "relevance_score": 3, + "reason": "The document discusses the financial performance of UnitedHealth Group, focusing on its medical costs, earnings, and stock performance. While it does touch on health-related topics such as Medicare Advantage, COVID-19, and vaccinations, the primary focus is on the company's financial metrics and stock market reaction. Therefore, it is somewhat relevant to the topic of health but not highly focused on health issues themselves." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/01/12/0eff31045787265407e5951c9e2a4aad.json b/datasets/AP_news/raw_data/2024/01/12/0eff31045787265407e5951c9e2a4aad.json new file mode 100644 index 0000000..24fd075 --- /dev/null +++ b/datasets/AP_news/raw_data/2024/01/12/0eff31045787265407e5951c9e2a4aad.json @@ -0,0 +1,255 @@ +{ + "altids": { + "itemid": "0eff31045787265407e5951c9e2a4aad", + "etag": "0eff31045787265407e5951c9e2a4aad_0a2aza0c0", + "friendlykey": "447367534760", + "referenceid": "GA-XGR--Medicaid Expansion-Georgia" + }, + "version": 0, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-01-12T15:38:05Z", + "firstcreated": "2024-01-12T15:38:04Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: With AP Photos.", + "signals": [ + "newscontent" + ], + "title": "GA-XGR--Medicaid Expansion-Georgia", + "headline": "For Republican lawmakers in Georgia, Medicaid expansion could still be a risky vote", + "headline_extended": "The prospect \u2014 albeit still dim \u2014 that Georgia could fully expand Medicaid has prompted Democrats and patient advocates to turn up the pressure on Republicans in the state legislature to act", + "slugline": "BC-GA-XGR--Medicaid Expansion-Georgia", + "description_summary": "The prospect \u2014 albeit still dim \u2014 that Georgia could fully expand Medicaid has prompted Democrats and patient advocates to turn up the pressure on Republicans in the state legislature to act. But political experts, advocates and policy analysts say GOP lawmakers face significant headwinds to approving a plan they've long derided as wasteful, and that could ultimately doom the effort. Georgians for a Healthy Future Executive Director Laura Colbert says the biggest obstacle is Georgia Pathways. That's the state\u2019s limited Medicaid expansion that includes the nation\u2019s only work requirement for Medicaid recipients. Republican Georgia Gov. Brian Kemp has championed the program and may be unwilling to jettison it.", + "bylines": [ + { + "by": "By SUDHIN THANAWALA and JEFF AMY", + "title": "Associated Press" + } + ], + "located": "ATLANTA", + "datelinelocation": { + "city": "Atlanta", + "countryareacode": "GA", + "countryareaname": "Georgia", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -84.38798, + 33.749 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. For other uses, additional clearances may be required." + ], + "keywords": [ + "Georgia Medicaid health Republicans Brian Kemp" + ], + "provider": "AP", + "infosource": [ + { + "name": "AP", + "type": "AP" + } + ], + "person": [ + { + "scheme": "http://cv.ap.org/id/", + "code": "14d0647dc2164559ad1ab798cadd3d73", + "name": "Brian P. 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But political experts, advocates and policy analysts say GOP lawmakers face significant headwinds to approving a plan they have long derided as wasteful, and that could ultimately doom the effort.
\u201cThere\u2019s reason to be a little more optimistic than one year or two years ago, but there\u2019s not a groundswell of support and willingness to change the status quo on the part of the Republican members of the legislature,\u201d said Harry Heiman, a health policy professor at Georgia State University.
The biggest obstacle is Georgia Pathways, the state's limited Medicaid expansion that includes the nation's only work requirement for Medicaid recipients, said Laura Colbert, executive director of the advocacy group Georgians for a Healthy Future.
Republican Georgia Gov. Brian Kemp has championed the program, which launched in July. Though it is off to a rocky start, with just under 2,350 people enrolled as of mid-December, the Kemp administration has sought to extend it past its September 2025 expiration date.
\u201cGovernor Kemp has put a lot of political capital into Pathways,\u201d Colbert said.
Colbert said she was optimistic that Georgia lawmakers would eventually approve a fuller expansion of coverage for low-income adults, but not necessarily this year.
Kyle Wingfield, president of the conservative Georgia Public Policy Foundation, said he, too, was skeptical Kemp would be willing to retreat from Pathways.
He also warned that Republican lawmakers could face backlash for any Medicaid deal from Republican primary voters.
Expanding Medicaid to low-income adults who make up to 138% of the federal poverty level, with the federal government picking up 90% of the cost, was a key part of the Affordable Care Act. Georgia is among 10 states that have not done it.
Wingfield said he thinks Republicans in Washington, and to a lesser extent in Georgia, have accepted that the Affordable Care Act is here to stay, but that acceptance may not be shared by rank-and-file GOP primary voters.
\u201cWhen it comes to the voters in a Republican primary, I don\u2019t think I\u2019d want to be the one finding that out,\" he said.
But Brian Robinson, a Republican political consultant who counts the Georgia Alliance of Community Hospitals and House GOP caucus among his clients, says he thinks Republicans face little risk from primary opponents if they vote for Medicaid.
\u201cThe political issue of the danger has faded over the time,\" Robinson said. \"We\u2019ve had some mini-expansions in Georgia and there\u2019s been no blowback on Republicans. In fact they\u2019ve proudly touted it for groups like new mothers.\u201d
Republicans in Georgia also risk alienating the conservative organization Americans for Prosperity with a vote to expand Medicaid coverage.
The group is opposed to expansion, even as part of a deal that would repeal permitting requirements for hospitals and health services, said Tony West, the group's Georgia State Director. That sort of deal has emerged as a possible compromise between Republicans and Democrats.
West wants lawmakers to focus solely on repealing the permitting requirements and leave Medicaid expansion by the wayside.
\u201cI think we\u2019re taking our eye off the ball,\u201d he said.
Conversely, Wingfield raised the possibility that some Democrats could balk at a deal, noting that Medicaid expansion has been a key political issue for the party in Georgia.
\"What do they gain from taking one of their signature issues off the table and letting the Republicans claim a large share of the credit for it?\u201d he asked.
At least for now, Democrats in the General Assembly don't appear concerned about losing their ability to hammer the GOP on Medicaid. The Democratic caucus organized a lengthy hearing Wednesday focused on the economic and health benefits of expansion that featured health care providers, advocates and policy experts.
In opening remarks, Democratic state Rep. Michelle Au, a doctor, noted Georgia had one of the highest rates of uninsured residents in the country and some of its worst health outcomes.
\u201dAs we start this 2024 legislative session, it is my hope that all options are on the table,\" she said.
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The document is highly relevant to the topic of health as it directly addresses health policy, Medicaid expansion, and the impact on uninsured residents and health outcomes in Georgia." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/01/12/1d514c6b8a851ef0f77c1c222966d834.json b/datasets/AP_news/raw_data/2024/01/12/1d514c6b8a851ef0f77c1c222966d834.json new file mode 100644 index 0000000..3fc9805 --- /dev/null +++ b/datasets/AP_news/raw_data/2024/01/12/1d514c6b8a851ef0f77c1c222966d834.json @@ -0,0 +1,199 @@ +{ + "altids": { + "itemid": "1d514c6b8a851ef0f77c1c222966d834", + "etag": "1d514c6b8a851ef0f77c1c222966d834_0a2aza0c0", + "friendlykey": "901365038313", + "referenceid": "VT--Safe Injection Sites-Vermont" + }, + "version": 0, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-01-12T20:53:51Z", + "firstcreated": "2024-01-12T20:53:50Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "signals": [ + "newscontent" + ], + "title": "VT--Safe Injection Sites-Vermont", + "headline": "As Vermont grapples with spike in overdose deaths, House approves safe injection sites", + "headline_extended": "As Vermont grapples with rising opioid overdose deaths, the House has passed legislation that would allow for the creation of overdose prevention centers", + "slugline": "BC-VT--Safe Injection Sites-Vermont", + "description_summary": "As Vermont grapples with rising opioid overdose deaths, the House has passed legislation that would allow for the creation of overdose prevention centers. The centers would include safe injection sites \u2014 places where people can use heroin and other narcotics under the supervision of trained staff and be revived if they take too much. The legislation was approved by the House on Thursday and now goes to the state Senate. Supporters say such centers save lives and connect people with addiction treatment, mental health services and medical care. But some Vermont lawmaker who opposed the bill say such centers would allow illegal drug use and enable drug users. They also raised concerns about minors using drugs at them. Republican Gov. Phil Scott has said he is opposed to the idea.", + "bylines": [ + { + "by": "By LISA RATHKE", + "title": "Associated Press" + } + ], + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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The legislation, approved by the House on Thursday after emotional testimony, now goes to the state Senate.
Vermont has had consecutive record high numbers of opioid overdose deaths in recent years. In 2022, there were 243 such deaths, more than the record 217 in 2021, said Rep. Taylor Small, a Progressive-Democrat from Winooski and a member of the House Human Services Committee. As of the end of September of 2023, the state had 180 in nine months last year.
\u201cWe are at a crisis point. We have been in an overdose death crisis for too long. And in a year where public safety seems to be at the forefront of our priorities, it is clear that we need to expand our approach to address this crisis,\u201d Small told colleagues on Wednesday.
The drugs bought and sold in Vermont are becoming increasingly dangerous and deadly, Small said, referring to fentanyl, the animal tranquilizer xylazine and gabapentin.
Rep. Emilie Kornheiser, a Democrat from Brattleboro, said one of her favorite things about living in a small community is watching the town\u2019s kids grow up.
\u201cIn the last 10 years, I\u2019ve watched those children die,\u201d she said, her voice cracking. \u201cI\u2019ve also grieved the deaths of my friends\u2019 precious children, of my own loved ones, of clients. And we can\u2019t go on like this. I want my community to stay alive, and I want us in this body to do everything we can to make that happen.\u201d
Supporters say such centers save lives and connect people with addiction treatment, mental health services and medical care. But some Vermont lawmaker who opposed the bill said such centers would allow illegal drug use and enable drug users. They also raised concerns about minors using drugs at them.
Republican Gov. Phil Scott has said he is opposed to the idea and vetoed similar legislation two years ago.
_______
Rathke reported from Marshfield, Vermont.
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With AP Photos.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "US--Water-Woes-Mississippi", + "headline": "Mississippi's capital is under a boil water order after E. coli bacteria is found in city's supply", + "headline_extended": "State health officials have told residents in Mississippi\u2019s capital to boil their tap water after traces of E", + "slugline": "BC-US--Water-Woes-Mississippi, 1st Ld-Writethru", + "description_summary": "State health officials have told residents in Mississippi\u2019s capital to boil their tap water after traces of E. coli bacteria were found in the city\u2019s supply. The manager of Jackson\u2019s long-troubled water system disputed the test results while calling Thursday's boil water order a setback for rebuilding public trust. The boil water notice, which officials also imposed in the Jackson suburb of Flowood, was issued days before the expected arrival of a blast of cold weather that could disrupt the water infrastructure. The order will last at least two full days as officials collect new samples for testing.", + "bylines": [ + { + "by": "By MICHAEL GOLDBERG", + "title": "Associated Press/Report for America" + } + ], + "located": "JACKSON, MISS.", + "datelinelocation": { + "city": "Jackson", + "countryareacode": "MS", + "countryareaname": "Mississippi", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -90.18481, + 32.29876 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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(AP) \u2014 Mississippi health officials told residents in the state's capital to boil their tap water Thursday after traces of E. coli bacteria were found in the city\u2019s supply \u2014 a result the manager of Jackson\u2019s long-troubled water system disputed while calling it a devastating setback for rebuilding public trust.
The boil water notice, which officials also imposed in the Jackson suburb of Flowood, was issued just days before the expected arrival of a blast of cold weather that could further disrupt the local water infrastructure. The bacteria\u2019s presence indicates that the water may be contaminated with human or animal waste, the state health department said.
Residents of the two Mississippi cities were advised to boil their water for one minute before using it. The precaution will last at least two full days as officials collect new samples for testing.
Ted Henifin, Jackson's interim water manager, said at a news conference that state officials refused to validate the lab results before issuing the boil water notice, and suggested there may have been false positive tests. He also said it was unlikely that samples from Jackson and Flowood would be contaminated at the same time since the cities\u2019 water systems are not connected.
\u201cThis is tragic,\" Henifin said. \"This is setting us back maybe a year. It\u2019s taken everything we can do to get a few more people in this city to drink tap water and have trust in it.\"
Officials at the state health department\u2019s lab don\u2019t believe there was any contamination of the samples, and the results are not false positives, the health department said in a news release after Henifin\u2019s news conference.
A federal judge appointed Henifin in November 2022 to oversee reforms to Jackson's water system after infrastructure breakdowns during the late summer of that year caused many city residents to go days and weeks without safe running water.
Rebuilding trust in the water system after years of dysfunction has been a central goal of Henifin's tenure in Jackson, where many residents have grown accustomed to relying on bottled water during repeated boil water notices.
Henifin has focused on numerous improvement projects, such as fixing broken pipes and introducing a new proposal for how the city charges for water.
The boil water notices sent local officials scrambling to collect samples from 120 locations. Henifin said he expected the advisory might not be lifted until Monday, the same day temperatures in the area are expected to drop to frigid lows as an \u201carctic blast\u201d moves across the state. Cold snaps in 2021 and 2022 caused frozen pipes and drops in water pressure across Jackson.
Henifin said he expected city leaders to be prepared for the extreme weather. But Thursday's boil water notice could have far-reaching consequences, he said.
\u201cWe have made amazing progress, and to not have at least the benefit of a validation of the results really puts us back into that old school of Jackson fearing the drinking water,\u201d Henifin said.
___
Michael Goldberg is a corps member for the Associated Press/Report for America Statehouse News Initiative. Report for America is a nonprofit national service program that places journalists in local newsrooms to report on undercovered issues. Follow him at @mikergoldberg.
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(AP) \u2014 For weary parents rolling up their sleeves for around-the-clock diaper duty, a bill with bipartisan support in Kentucky would deliver tax relief when purchasing a necessity that adds up to a hefty expense.
The measure would exempt diapers from the state\u2019s 6% sales tax. Senators from both parties have signed on as cosponsors, and the proposal received a hearty endorsement from the operator of a Kentucky diaper bank who says it goes to the heart of a harsh reality for some struggling families \u2014 cutting back on food and other expenses to keep their infants in fresh diapers or reusing disposable diapers.
\u201cWhen people hear about this bill, it\u2019s something they all understand,\" Democratic Sen. Cassie Chambers Armstrong, the bill's lead sponsor, said in an interview Friday. \u201cAnyone who has young children or young grandchildren understands that diapers are really expensive. They understand that several hundred dollars a month for a family with two kids in diapers is a huge expense and families need relief.\u201d
With two young children of her own, Chambers Armstrong can relate to the frequent runs to the store to buy diapers. By waiving Kentucky's sales tax for diaper purchases, families with infants or toddlers could save hundred of dollars each year, she said. The proposed exemption also would apply to adult diapers.
\u201cIt adds up over time,\u201d Chambers Armstrong said of the savings. \u201cIt sounds small \u2014 6% \u2014 but every penny counts when you're counting pennies.\u201d
The struggle to afford diapers is a growing problem, according to the National Diaper Bank Network. When families can't afford a constant supply of clean diapers, their babies are more vulnerable to painful rashes and urinary tract infections and require more doctor visits, the group said. Parents risk missing work or school if they can\u2019t afford the diapers required to leave their baby in child care, it said.
As of last summer, 26 states were charging sales tax on diapers, the organization said. The diaper tax can be as low as 4% or as high as 7%, it said. Children require at least 50 diaper changes per week, it said.
Deanna Hornback, who runs a Louisville-area diaper bank, said she has heard of families rinsing out or taping disposable diapers to keep them in use. She called it a \"silent need\u201d that is becoming more prevalent, and she said that passing the tax exemption would deliver badly needed relief for families.
\"You\u2019ll not only be reaching those ... impoverished families, you will actually reach those who fall between the cracks, who struggle or who have too much pride to ask for the help,\u201d she said in a phone interview Thursday. \"So this bill is going to help everybody.\u201d
In a legislative chamber dominated by Republicans, Chambers Armstrong has broken through as a Democrat with an idea that is resonating with her Republican colleagues. Senate Majority Floor Leader Damon Thayer is among the Republicans adding their names to the bill as cosponsors.
\u201cI think it's a really good bill,\u201d Thayer said Friday. \u201cWe're Republicans. We're for cutting taxes. Diapers are a required staple of life.\"
While the bill has drawn considerable attention, the actual pathway for enacting a sales tax exemption for diaper purchases isn't yet clear. Revenue bills have to start in the House, so the language in Chambers Armstrong's proposal could end up being attached to a House measure, Thayer said.
\u201cHowever it gets done is a win,\u201d Chambers Armstrong said.
Applying the exemption to diaper purchases would cost the Bluegrass State an estimated $10 million a year in revenue \u2014 a minuscule amount compared with the cost of existing sales tax exemptions for food and medicine and at a time when Kentucky has massive budget reserves from surging tax collections.
Chambers Armstrong sees the projected fiscal impact for her bill as too high, saying Kentuckians will likely spend savings from the diaper exemption on other family necessities.
Whatever the cost to state coffers, the diaper tax exemption would help ease the pinch on family budgets, she said.
\u201cWhenever you have young children, diapers \u2014 purchasing them, affording them \u2014 is one of the things that you think about every single day,\u201d she said. \u201cAnd I'm lucky that we had the resources to be able to afford the diapers we needed. But there were so many expenses when we first had our two children, you just think about all the families that struggle and what you can do to help them.\u201d
___
The legislation is Senate Bill 97.
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The company, which is owned by PepsiCo., announced the additional recall in the U.S. and Canada on Thursday.
The expanded recall includes Quaker Chewy Granola Bars and Cereals, Cap'n Crunch Bars and select cereals, Gamesa Marias Cereal, Gatorade Peanut Butter Chocolate Protein Bars, Munchies Munch Mix and snack boxes that contain those products.
The U.S. Food and Drug Administration has received at least 24 reports of adverse events related to the products initially recalled, but no illnesses have been confirmed to be linked to the foods, an agency spokesperson said Friday. Adverse events can include medical problems, but also complaints about off taste or color of a product, defective packaging or other non-medical issues, the official said. FDA will continue to investigate the reports.
Salmonella infections can cause fever, diarrhea, nausea, vomiting and stomach pain. In rare cases, the bacterial infections can be fatal.
Consumers should check their pantries for any of the products listed and throw them away. The company's recall website has additional information and details on reimbursement. ___
The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute\u2019s Science and Educational Media Group. The AP is solely responsible for all content.
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(AP) \u2014 The new speaker of the Mississippi House on Friday announced his leadership team for this four-year term, making a significant change by choosing a new chairman who supports his wish to consider Medicaid expansion.
Speaker Jason White appointed fellow Republican Sam Creekmore of New Albany to lead the House Public Health and Human Services Committee.
Creekmore, whose father is a physician, told The Associated Press that he has been willing for years to consider Medicaid expansion as a way to bring more federal money to Mississippi. The state has long been one of the poorest in the nation.
\u201cI\u2019m close to our hospital administrators in New Albany, in Tupelo,\" Creekmore said Friday. \"I see the struggles they go through. So I\u2019m hoping to put it all on the table.\u201d
White appointed Republican Missy McGee of Hattiesburg as the new chairwoman of the House Medicaid Committee, also giving her a role in considering broader coverage by the program. She was one of the leaders last year in changing a state law to extend postpartum Medicaid coverage from two months to a full year.
Medicaid is health insurance for low-income people, and it's funded by state and federal money. Under the 2010 health care overhaul signed by then-President Barack Obama, states have the option to expand Medicaid coverage to people working in jobs that provide modest wages but no private health insurance.
Mississippi is one of 10 states \u2014 nine with Republican governors and one with a Republican-controlled legislature \u2014 that have not taken the expansion option. Debate over the issue has stalled in Mississippi because of opposition from Republican leaders, including Gov. Tate Reeves, who refers to Medicaid as \u201cwelfare,\u201d and former House Speaker Philip Gunn, who did not seek reelection last year.
The House chose White as the new speaker on Jan. 2. With some Mississippi hospitals struggling to remain open, White says he wants legislators to consider Medicaid expansion as a way to bring up to $1 billion of federal money to the state each year.
McGee replaces Republican Joey Hood of Ackerman as leader of the Medicaid Committee, and Creekmore replaces Republican Sam Mims of McComb as leader of Public Health. As part of Gunn's leadership team, they never pushed Medicaid expansion.
White is keeping the same leaders of the committees that handle money \u2014 Republican John Read of Gautier as chairman of the budget-writing Appropriations Committee and Republican Trey Lamar of Senatobia as chairman of Ways and Means, which considers taxes and borrowing.
He chose Hood as the new chairman of Judiciary A and Republican Kevin Horan of Grenada as the new chairman of Judiciary B, the committees that consider bills that affect criminal and civil cases.
White also named Republican Rob Roberson of Starkville as the new chairman of Education and Republican Donnie Scoggin of Ellisville as the new chairman of Universities and Colleges.
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Unusually heavy rainfall has caused nine of the countries 12 departments to be affected with floods damaging health facilities and schools and submerging farmland, said the World Health Organization in a statement. More than 330,000 people have been impacted. The rainfall is twice the average of what was recorded between 2022 and 2023 and the floods have destroyed or damaged 34 health facilities, 120 schools and more than 64, 000 houses.", + "bylines": [ + { + "by": "By LOUIS PATRICK OKAMBA", + "title": "Associated Press" + } + ], + "located": "BRAZZAVILLE, Republic of Congo", + "datelinelocation": { + "city": "Brazzaville", + "countrycode": "COG", + "countryname": "Republic of Congo", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + 15.28318, + -4.26613 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. 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Unusually heavy rainfall has caused nine of the countries 12 departments to be affected with floods damaging health facilities and schools and submerging farmland, said the World Health Organization in a statement. More than 330,000 people have been impacted.
\u201cWHO is committed to supporting the government to ramp up emergency response to save lives and ensure access to critical basic services,\u201d said Lucien Manga, a representative in the Republic of Congo for the organization.
The rainfall is twice the average of what was recorded between 2022 and 2023 and the floods have destroyed or damaged 34 health facilities, 120 schools and more than 64, 000 houses, it said.
The flooding occurred along Congo\u2019s riverbanks around the Ubangi River with the United Nations warning it could lead to the outbreak of water-borne diseases such as cholera and impede access to healthcare.
River levels are at an all time high and it\u2019s likely the waters will not recede in the immediate future, said government spokesman Thierry Moungalla. Since flooding began some two weeks ago it has killed at least 17 people, he said.
While flooding is not rare in Congo, residents in the capital, Brazzaville said they haven\u2019t seen anything like this in decades.
\"Not even the floods of 1961 were on the scale we\u2019re seeing in Brazzaville today,\u201d said Antoine Okandza. The 78-year-old said his house was washed away by the water.
The government said it was giving more than $3 million to an emergency fund for disaster relief.
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Therefore, the document is relevant to the topic of health." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/01/12/c74131916a668d3b5da9171c104f5531.json b/datasets/AP_news/raw_data/2024/01/12/c74131916a668d3b5da9171c104f5531.json new file mode 100644 index 0000000..0cba129 --- /dev/null +++ b/datasets/AP_news/raw_data/2024/01/12/c74131916a668d3b5da9171c104f5531.json @@ -0,0 +1,333 @@ +{ + "altids": { + "itemid": "c74131916a668d3b5da9171c104f5531", + "etag": "c74131916a668d3b5da9171c104f5531_4a6aza0c0", + "friendlykey": "872949051551", + "referenceid": "US--Water-Woes-Mississippi" + }, + "version": 4, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-01-12T23:12:13Z", + "firstcreated": "2024-01-12T18:20:07Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: Adds context from the state health department defending lab results and explaining why state requirements were lifted. ; With AP Photos.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "US--Water-Woes-Mississippi", + "headline": "Mississippi officials say water in state capital is safe one day after E. coli scare", + "headline_extended": "The Mississippi State Health Department says Jackson's water is safe to consume", + "slugline": "AP-US--Water-Woes-Mississippi, 4th Ld-Writethru", + "description_summary": "The Mississippi State Health Department says Jackson's water is safe to consume. That Friday announcement came one day after health officials told residents in the state\u2019s capital that dangerous bacteria could be in their tap water. Mississippi health officials lifted their health advisory after a new round of test results did not find E. coli in Jackson\u2019s supply. The announcement reverses the department's Thursday instructions for Jackson residents to boil their water before consuming it. The move comes hours after Ted Henifin, Jackson\u2019s interim water manager, said repeat samples taken from the city\u2019s water system tested negative for E. coli.", + "bylines": [ + { + "by": "By MICHAEL GOLDBERG", + "title": "Associated Press/Report for America" + } + ], + "located": "JACKSON, Miss.", + "datelinelocation": { + "city": "Jackson", + "countryareacode": "MS", + "countryareaname": "Mississippi", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -90.18481, + 32.29876 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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(AP) \u2014 One day after Mississippi health officials told residents in the state\u2019s capital that dangerous bacteria could be in their tap water, the state health department said Friday that city water was safe to consume.
Mississippi health officials lifted their health advisory after a new round of test results did not find E. coli in Jackson's supply. The announcement reverses the Mississippi Department of Health's Thursday instructions for Jackson residents to boil their water before consuming it.
The move came hours after Ted Henifin, Jackson\u2019s interim water manager, said repeat samples taken from the city\u2019s water system tested negative for E. coli. The new round of results, which were collected from the same locations where state officials reported positive results the day before, show the previous test was likely a false positive caused by lab contamination, Henifin said.
In a statement Friday, the health department stood by the initial test results and dismissed the idea that its lab had been contaminated. Officials have detected E. coli in Jackson\u2019s water system 29 times since 2003 and during the same period, three times in the nearby suburb of Flowood, the department said.
\u201cClean drinking water and its availability to the public are fundamental to protecting the health, well-being, and safety of everyone, with no exception,\u201d said Dr. Dan Edney, the state health officer.
Earlier on Friday, Henifin did not expect the boil water notice to be lifted after one day because state regulations require officials to obtain clean results for two consecutive days before lifting it.
Greg Flynn, a spokesperson for the state health department, said federal law allows samples from the same site to be submitted within 24 hours, and if negative, boil water notices can be lifted. The state has more stringent requirements requiring an additional day of clean tests. That state rule was waived in this case following pushback over the extra requirements.
Jackson's water met the federal standard, and the health department was satisfied with the results, Flynn said. \"That's the nice, political way to put it,\" he said.
At news conferences on Thursday and Friday, Henifin said state officials refused to validate the lab results before issuing the boil-water notice.
\u201cI still do not understand why the Mississippi Department of Health issued the city-wide boil-water notice before confirming the initial results,\" Henifin said. \"The damage to confidence in our water system and economic impact to our area businesses is enormous.\u201d
State health officials imposed boil-water notices in Jackson and Flowood following positive results in both cities Thursday. The bacteria\u2019s presence indicated that the water may have been contaminated with human or animal waste, the department initially said.
Flynn said the boil-water notice is still in effect in Flowood, pending further tests.
Henifin said it was unlikely that samples from Jackson and Flowood would be contaminated at the same time because the cities\u2019 water systems are not connected and do not draw from the source.
A federal judge appointed Henifin in November 2022 to oversee reforms to Jackson\u2019s long-troubled water system after infrastructure breakdowns during the late summer of that year caused many city residents to go days and weeks without safe running water.
The E. coli scare came just days before the expected arrival of a blast of cold weather that could further disrupt the local water infrastructure. Cold snaps in 2021 and 2022 caused frozen pipes and drops in water pressure across Jackson.
The positive tests and boil water notices sent lab technicians scrambling to test samples from 120 locations ahead of the winter weather.
___
Michael Goldberg is a corps member for the Associated Press/Report for America Statehouse News Initiative. Report for America is a nonprofit national service program that places journalists in local newsrooms to report on undercovered issues. Follow him at @mikergoldberg.
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With AP Photos.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "US-MED--Vaping Health Effects", + "headline": "A surgeon general report once cleared the air about smoking. Is it time for one on vaping?", + "headline_extended": "Sixty years ago, the U.S. surgeon general released a report that settled a longstanding public debate about the dangers of cigarettes and led to huge changes in smoking in America", + "slugline": "BC-US-MED-Vaping-Health-Effects, 1st Ld-Writethru", + "description_summary": "Sixty years ago, the U.S. surgeon general released a report that settled a longstanding public debate about the dangers of cigarettes and led to huge changes in smoking in America. Is it time for a similar report on vaping? Just as there were questions in January 1964 about how the health effects of combustible cigarettes, there\u2019s persisting uncertainty today about the dangers of electronic cigarettes. Some experts say a clarifying report is needed.", + "bylines": [ + { + "by": "By MIKE STOBBE", + "title": "AP Medical Writer" + } + ], + "located": "NEW YORK", + "datelinelocation": { + "city": "New York", + "countryareacode": "NY", + "countryareaname": "New York", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -74.00597, + 40.71427 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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Today, some public health experts say a similar report could help clear the air about vaping.
Many U.S. adults believe nicotine vaping is as harmful as \u2014 or more dangerous than \u2014 cigarette smoking. That\u2019s wrong. The U.S. Food and Drug Administration and most scientists agree that, based on available evidence, electronic cigarettes are far less dangerous than traditional cigarettes.
But that doesn\u2019t mean e-cigarettes are harmless either. And public health experts disagree about exactly how harmful, or helpful, the devices are. Clarifying information is urgently needed, said Lawrence Gostin, a public health law expert at Georgetown University.
\u201cThere have been so many confusing messages about vaping,\u201d Gostin said. \u201cA surgeon general\u2019s report could clear that all up.\u201d
One major obstacle: E-cigarettes haven\u2019t been around long enough for scientists to see if vapers develop problems like lung cancer and heart disease.
\u201cThere\u2019s a remarkable lack of evidence,\u201d said Dr. Kelly Henning, who leads the public health program at Bloomberg Philanthropies.
SMOKING AND VAPING
Cigarette smoking has long been described as the leading cause of preventable death in the United States. The Centers for Disease Control and Prevention puts the annual toll at 480,000 lives. That count should start to fall around 2030, according to a study published last year by the American Journal of Preventive Medicine, thanks in part to a decline in smoking rates that began in the 1960s.
Back then, ashtrays were everywhere and more than 42% of U.S. adults smoked.
On Jan. 11, 1964, U.S. Surgeon General Luther Terry released an authoritative report that said smoking causes illness and death \u2014 and the government should do something about it. The report is considered a watershed moment: In the decades that followed, warning labels were put on cigarette packs, cigarette commercials were banned, governments raised tobacco taxes and new restrictions were placed on where people could light up.
By 2022, the adult smoking rate was 11%.
Some experts believe e-cigarettes deserve some of the credit. The devices were billed as a way to help smokers quit, and the FDA has authorized a handful of e-cigarettes as less-harmful alternatives for adult smokers.
Vaping\u2019s popularity exploded in the 2010s, among both adults but and teens. In 2014, e-cigarettes surpassed combustible cigarettes as the tobacco product that youth used the most. By 2019, 28% of high schoolers were vaping.
U.S. health officials sounded alarms, fearing that kids hooked on nicotine would rediscover cigarettes. That hasn\u2019t happened. Last year, the high school smoking rate was less than 2% \u2014 far lower than the 35% rate seen about 25 years ago.
\u201cThat\u2019s a great public health triumph. It\u2019s an almost unbelievable one,\u201d said Kenneth Warner, who studies tobacco-control policies at the University of Michigan.
\u201cIf it weren\u2019t for e-cigarettes, I think we would be hearing the public health community shouting at the top of their lungs about the success of getting kids not to smoke,\u201d he said.
VAPING\u2019S BENEFITS AND HARMS
Cigarettes have been called the deadliest consumer product ever invented. Their smoke contains thousands of chemicals, at least 69 of which can cause cancer.
The vapor from e-cigarettes has been estimated to contain far fewer chemicals, and fewer carcinogens. Some toxic substances are present in both, but show up in much lower concentrations in e-cigarette vapor than in cigarette smoke.
Studies have shown that smokers who completely switch to vaping have better lung function and see other health improvements.
\u201cI would much rather see someone vaping than smoking a Marlboro. There is no question in my mind that vaping is safer,\u201d said Donald Shopland, who was a clerk for the committee that generated the 1964 report and is co-author of a forthcoming book on it.
But what about the dangers to people who have never smoked?
There have been 100 to 200 studies looking at vaping, and they are a mixed bag, said Dr. Neal Benowitz, of the University of California, San Francisco, a leading academic voice on nicotine and tobacco addiction. The studies used varying techniques, and many were limited in their ability to separate the effects of vaping from former cigarettes smoking, he said.
\u201cIf you look at the research, it\u2019s all over the map,\u201d Warner said.
Studies have detected bronchitis symptoms and aggravation of asthma in young people who vape. Research also indicates vaping also can affect the cells that line the blood vessels and heart, leading to looks for a link to heart disease. Perhaps the most cited concern is nicotine, the stimulant that makes cigarettes and vapes addictive.
Animal studies suggest nicotine exposure in adolescents can affect development of the area of the brain responsible for attention, learning and impulse control. Some research in people suggests a link between vaping and ADHD symptoms, depression and feelings of stress. But experts say that the research is very limited and more work needs to be done.
Meanwhile, there\u2019s not even a clear scientific consensus that vaping is an effective way to quit smoking, with different studies coming up with different conclusions.
CLEARING THE AIR
Last month, the World Health Organization raised alarms about the rapidly growing global markets for electronic cigarettes, noting they come in thousands of flavors that attract young people.
In 2016, U.S. Surgeon General Dr. Vivek Murthy said efforts were needed to prevent and reduce e-cigarette use by children and young adults, saying nicotine in any form is unsafe for kids.
About four months before the report\u2019s release, the FDA began taking steps to regulate e-cigarettes, believing they would benefit smokers.
The agency has authorized several e-cigarettes, but it has refused more than 1 million product marketing applications. Critics say the FDA has been unfair and inconsistent in regulation of products.
Meanwhile, the number of different e-cigarette devices sold in the U.S. has boomed, due largely to disposables imported from China that come in fruit and candy flavors. But vaping by youths has recently been falling: Last year, 10% of high school students surveyed said they had used e-cigarettes in the previous month, down from 14% the year before.
Why the decline? \u201cIt\u2019s hard to say what\u2019s working,\u201d said Steven Kelder, a University of Texas researcher.
He mentioned a 2019 outbreak of hospitalizations and deaths among people who were vaping products with THC, the chemical that gives marijuana its high.
The illnesses were traced to a thickening agent used in black market vape cartridges, a substance not used in commercial nicotine e-cigarettes. But it may be a reason many Americans think of e-cigarettes as unsafe, Kelder said.
Sherri Mayfield, a 47-year-old postal worker, remembers the 2019 outbreak and reports of rapid illnesses and deaths in youths. Vaping \u201cabsolutely\u201d needs to be studied more, Mayfield said last week while on a cigarette break in New York with some co-workers.
\u201cCigarettes aren't safe\u201d but at least it can take them decades to destroy your health, she said.
The surgeon general's office said in a statement that the 1964 report \u201ccatalyzed a 60-year movement to address the harmful effects of smoking\" and suggested similar action was needed to address youth vaping.
Murthy's website, however, currently lists neither vaping nor smoking as a priority issue.
___
The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute\u2019s Science and Educational Media Group. The AP is solely responsible for all content.
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It addresses the need for clear information on vaping's health effects, which is directly relevant to the topic of health." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/01/13/8ad0788883bc8407149b24c0d113f004.json b/datasets/AP_news/raw_data/2024/01/13/8ad0788883bc8407149b24c0d113f004.json new file mode 100644 index 0000000..19a9bf2 --- /dev/null +++ b/datasets/AP_news/raw_data/2024/01/13/8ad0788883bc8407149b24c0d113f004.json @@ -0,0 +1,282 @@ +{ + "altids": { + "itemid": "8ad0788883bc8407149b24c0d113f004", + "etag": "8ad0788883bc8407149b24c0d113f004_0a14aza0c0", + "friendlykey": "996253492504", + "referenceid": "AF--Nigeria-Child Amputees" + }, + "version": 0, + "type": "text", + "urgency": 4, + "profile": "Feature", + "language": "en", + "versioncreated": "2024-01-13T05:08:21Z", + "firstcreated": "2024-01-13T05:08:20Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: With AP Photos.", + "signals": [ + "newscontent" + ], + "title": "AF--Nigeria-Child Amputees", + "headline": "Nigerian group provides hundreds of prosthetic limbs to amputee children thanks to crowdfunding", + "headline_extended": "Nigerian children with amputated limbs are getting help to walk again and fight social stigma through the support of a group that has given free artificial limbs to more than 500 children", + "slugline": "BC-AF--Nigeria-Child Amputees", + "description_summary": "Nigerian children with amputated limbs are getting help to walk again and fight social stigma through the support of a group that has given free artificial limbs to more than 500 children. One such child is 10-year-old Princess, whose leg was injured in an accident in 2020. She now walks and continues to receive psychosocial support provided by the IREDE Foundation, which receives 70% of its funding through crowdsourcing. One orthopedic surgeon said such support brings relief for people with disabilities in a place like Nigeria where they often struggle with stigma.", + "bylines": [ + { + "by": "By DAN IKPOYI and CHINEDU ASADU", + "title": "Associated Press" + } + ], + "located": "LAGOS, Nigeria", + "datelinelocation": { + "city": "Lagos", + "countrycode": "NGA", + "countryname": "Nigeria", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + 3.39467, + 6.45407 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. For other uses, additional clearances may be required." + ], + "keywords": [ + "Irede Foundation limbs prosthetics amputees" + ], + "provider": "AP", + "infosource": [ + { + "name": "AP", + "type": "AP" + } + ], + "subject": [ + { + "rels": [ + "category" + ], + "creator": "Editorial", + "code": "i", + "name": "i" + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "cc7a76087e4e10048482df092526b43e", + "name": "Health", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 58 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "468257dba1c848ca93ba314d4ce86539", + "name": "Surgery", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 36 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "0d1cc8008c1e10048bb0a13d9888b73e", + "name": "Prostheses", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 80 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "5f7ebcc082b4100485cfdf092526b43e", + "name": "Accidents", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 47 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "cc7a76087e4e10048482df092526b43e", + "name": "Health", + "creator": "Editorial", + "editorial_subject": "Health", + "rels": [ + "direct" + ], + "relevance": 75 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "bb2d2c5f441a452cb24bb511a2ab5eea", + "name": "World news", + "creator": "Editorial", + "editorial_subject": "World news", + "rels": [ + "direct" + ], + "relevance": 99 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "f25af2d07e4e100484f5df092526b43e", + "name": "General news", + "creator": "Editorial", + "editorial_subject": "General news", + "rels": [ + "direct" + ], + "relevance": 50 + } + ], + "place": [ + { + "scheme": "http://cv.ap.org/id/", + "code": "6620a9987d5b100482c8c076b8e3055c", + "name": "Nigeria", + "creator": "Machine", + "rels": [ + "direct" + ], + "parentids": [ + "661812607d5b100481f1c076b8e3055c" + ], + "locationtype": { + "code": "01f56e0e654841eca2e69bf2cbcc0526", + "name": "Nation" + }, + "geometry_geojson": { + "type": "Point", + "coordinates": [ + 8, + 10 + ] + }, + "relevance": 83, + "parentnames": [ + "Africa" + ] + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "f9855bc07e4b10048e78df092526b43e", + "name": "Lagos", + "creator": "Machine", + "rels": [ + "direct" + ], + "parentids": [ + "6620a9987d5b100482c8c076b8e3055c" + ], + "locationtype": { + "code": "9d26a20b35f0484a891740f8189d4c7b", + "name": "City" + }, + "geometry_geojson": { + "type": "Point", + "coordinates": [ + 3.39583, + 6.45306 + ] + }, + "relevance": 61, + "parentnames": [ + "Nigeria" + ] + } + ], + "audiences": [ + { + "code": "82c6a4c46fa0446090a7acaf93159e4c", + "name": "Print", + "type": "AUDPLATFORM" + }, + { + "code": "9add4649b53b4702ba7d9de5d4fa607a", + "name": "Online", + "type": "AUDPLATFORM" + }, + { + "code": "f4ecf9b0760d10048044e6e7a0f4673e", + "name": "International", + "type": "AUDSCOPE" + }, + { + "code": "f43adc08760d10048040e6e7a0f4673e", + "name": "National", + "type": "AUDSCOPE" + }, + { + "code": "661812607d5b100481f1c076b8e3055c", + "name": "Africa", + "type": "AUDGEOGRAPHY" + }, + { + "code": "661e48387d5b10048291c076b8e3055c", + "name": "United States", + "type": "AUDGEOGRAPHY" + } + ], + "associations": { + "1": { + "altids": { + "itemid": "e5752ad362ac404980c9ac4990ee9991" + }, + "type": "picture" + }, + "2": { + "altids": { + "itemid": "b9d2b5eaeed244f8bdb6dd1db48ff41a" + }, + "type": "picture" + }, + "3": { + "altids": { + "itemid": "6fc123e3e84c41cab224f327f86463cd" + }, + "type": "picture" + }, + "4": { + "altids": { + "itemid": "cec216aa342246068ef81bb390c44519" + }, + "type": "picture" + }, + "5": { + "altids": { + "itemid": "0bf4b4b13d7c4907ae43c02ff3e4f4a0" + }, + "type": "picture" + }, + "6": { + "altids": { + "itemid": "cb4fb45e5fa544209cffdaad8cdd7cba" + }, + "type": "picture" + } + }, + "body_nitf": "LAGOS, Nigeria (AP) \u2014 The accident that broke 10-year-old Princess Igbinosa's right leg could have crushed her dreams of becoming a model in a country where not many can afford prosthetics to cope with life and fight social stigma.
\u201cIt was heartbreaking when they told us they had to amputate it (the leg),\" her mother, Esther Igbinosa, said of Princess's experience in 2020. \"During the first few months of her amputation \u2026 I just wake up and start crying. I was like, how is she going to cope with life with an amputated leg?\u201d
But Princess can now walk and her dreams are alive again, thanks to an artificial leg that matches the tone of her skin. The prosthesis came from the IREDE Foundation, a Nigerian group that provides children like her with free artificial limbs that normally cost $2,000 to $3,000.
\u201cMy dream is to become a model,\" Princess said. \"When the accident happened, I thought I couldn\u2019t become a model. But now that I have two legs, I can become whatever I want \u2014 model, doctor, whatever.\u201d
Founded in 2012 in Nigeria's economic hub of Lagos, IREDE has provided more than 500 artificial limbs at no cost in addition to psychosocial support to children like Princess, said its executive director, Crystal Chigbu. She said the group gets up to 70% of its funding from crowdsourcing.
Chigbu said her inspiration to start the foundation came from her daughter\u2019s experience with being born with limb deformity.
The child amputees the foundation has helped can \u201cdo things that they would never have imagined that they would do,\u201d said Chigbu.
While there is no verifiable data on how many Nigerians are living with amputated limbs, IREDE is one of several groups providing such services amid a great need.
It is a huge source of relief in Nigeria where people with disabilities struggle with stigma and limb replacements make them more accepted in their communities, said Dr. Olasode Isreal-Akinmokun, an orthopedic surgeon.
\u201cWe have limbs that function almost as perfectly as the limbs that have been lost,\u201d he said.
In addition to providing artificial limbs to children, Chigbu said, IREDE is also educating people about limb loss to deter stigma and it encourages support groups among parents of affected children.
\u201cWe come from a culture of people just saying (that) when you have a disability it is either taboo or people just look down on you. We are ensuring that whether it is in the school or even when they find themselves in the workplace as they grow, that people accept them and know that they have their abilities,\u201d she said.
___
Asadu reported from Abuja, Nigeria.
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Therefore, the document is highly relevant to the topic of health." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/01/13/ca9912777420d5761ce70a89c7220905.json b/datasets/AP_news/raw_data/2024/01/13/ca9912777420d5761ce70a89c7220905.json new file mode 100644 index 0000000..22b10cf --- /dev/null +++ b/datasets/AP_news/raw_data/2024/01/13/ca9912777420d5761ce70a89c7220905.json @@ -0,0 +1,289 @@ +{ + "altids": { + "itemid": "ca9912777420d5761ce70a89c7220905", + "etag": "ca9912777420d5761ce70a89c7220905_2a8aza0c0", + "friendlykey": "363527700559", + "referenceid": "US--Anti-Abortion Center-Funding" + }, + "version": 2, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-01-13T17:03:15Z", + "firstcreated": "2024-01-13T05:31:39Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: Updates to add audio", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "US--Anti-Abortion Center-Funding", + "headline": "Republicans try to block Biden administration plan to cut money for anti-abortion counseling centers", + "headline_extended": "In a new twist in the abortion access fight, congressional Republicans are trying to block a Biden administration spending rule that they say will cut off millions of dollars to anti-abortion counseling centers", + "slugline": "BC-US--Anti-Abortion Center-Funding, 2nd Ld-Writethru", + "description_summary": "In a new twist in the abortion access fight, congressional Republicans are trying to block a Biden administration spending rule that they say will cut off millions of dollars to anti-abortion counseling centers. The rule would prohibit states from sending federal funds earmarked for needy Americans to so-called \u201ccrisis pregnancy centers,\u201d which counsel against abortions. Millions in federal funding currently flow to the organizations through the Temporary Assistance for Needy Families program, a 1996 block grant program created to give cash assistance to poor children and prevent out-of-wedlock pregnancies. Republicans have introduced legislation to block the Health and Human Services Department from restricting funds for the centers, though it has no chance of becoming law this year.", + "bylines": [ + { + "by": "By AMANDA SEITZ", + "title": "Associated Press" + } + ], + "located": "WASHINGTON", + "datelinelocation": { + "city": "Washington", + "countryareacode": "DC", + "countryareaname": "District of Columbia", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -77.03637, + 38.89511 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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The rule would prohibit states from sending federal funds earmarked for needy Americans to so-called \u201ccrisis pregnancy centers,\u201d which counsel against abortions. At stake are millions of dollars in federal funds that currently flow to the organizations through the Temporary Assistance for Needy Families (TANF) program, a block grant program created in 1996 to give cash assistance to poor children and prevent out-of-wedlock pregnancies.
\u201cPrograms that only or primarily provide pregnancy counseling to women only after they become pregnant likely do not meet the ... standard,\u201d the Health and Human Services agency said in its rule proposal released late last year.
More than 7,000 comments have been submitted on the proposed rule, which includes a series of restrictions on how states would be able to spend TANF dollars.
The proposal limiting funds for anti-abortion counseling centers is the Biden administration's latest attempt to introduce federal policies that expand abortion access. Conservative states, meanwhile, have severely restricted the care since the U.S. Supreme Court stripped women of their federal right to an abortion in 2022.
Congressional Republicans this week introduced legislation that would block the Health and Human Services Agency from restricting the funds from the centers. The bill has no chance of becoming law this year.
\u201cPregnancy centers are an important and vital alternative for expectant mothers,\u201d Republican Rep. Darin LaHood of Illinois said Thursday during a House Ways and Means Committee hearing to mark up the legislation.
The anti-abortion counseling centers have become an increasingly popular way for conservatives to sermonize against abortions, with an Associated Press investigation last year finding that states have been sending more and more money to the programs over the last decade. More than a dozen states have given the centers roughly $500 million in taxpayer dollars since 2010. Last year, Pennsylvania's Democratic governor cut funding for all centers from the state budget.
The centers\u2019 mission is controversial not only because workers often advise pregnant patients against seeking an abortion, but, critics say, the organizations can provide some misleading information about abortion and contraception, like suggesting that abortion can cause breast cancer. Most centers are religiously affiliated and not licensed healthcare facilities. They typically offer pregnancy tests and some offer limited medical services such as ultrasounds.
The Human Coalition, an anti-abortion organization that has locations in Georgia, Ohio, Pennsylvania, North Carolina and Texas, estimates it would lose millions of dollars in funds, said Chelsey Youman, the group's national director of public policy. Plans to expand to Louisiana and Indiana could be put on hold if the rule goes through, she added.
Youman argues that her organization helps connect women to social services, like Medicaid, while persuading them to continue with their pregnancy.
\u201cThe work we do is truly compassionate and loving care for women who are facing sometimes the most difficult moment of their life,\u201d Youman said.
HHS is suggesting several tweaks that would change how states can use the $16.5 billion in block grants intended for the nation's neediest families. The proposal comes on the heels of a high-profile corruption scandal in Mississippi, where $77 million in TANF funds were squandered over several years.
The restrictions would limit how much of the money ends up benefitting middle- and high-income earners, with the agency saying that the percentage of impoverished families who get cash assistance has dropped from nearly 70% in 1996 to just over 21% in 2020. The plan would restrict how states use the money for college scholarships and child care, for example.
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He pledged Sunday to do his utmost to improve the living conditions of the evacuees and rebuild their homes as soon as possible. More than 20,000 people are taking refuge at about 400 makeshift facilities. To prevent possible health problems at evacuation centers, officials said they would provide the evacuees free temporary accommodation further from their neighborhoods.", + "bylines": [ + { + "by": "By MARI YAMAGUCHI", + "title": "Associated Press" + } + ], + "located": "TOKYO", + "datelinelocation": { + "city": "Tokyo", + "countrycode": "JPN", + "countryname": "Japan", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + 139.69171, + 35.6895 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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Kishida pledged to do his utmost to improve the living conditions of the evacuees and to rebuild their homes and restore their livelihoods as soon as possible.
The magnitude 7.6 earthquake left 221 dead and more than 20 others still missing while injuring hundreds. More than 20,000 people, many of whom had their homes damaged or destroyed, are taking refuge at about 400 school gymnasiums, community centers and other makeshift facilities, according to the Fire and Disaster Management Agency report.
Road damage has hampered rescue efforts, and though relief supplies have reached most regions affected by the quake, hundreds of people in isolated areas are getting little support. Additionally, in the hard-hit towns of Noto, Wajima and Suzu, elderly residents account for half their population, and many are facing growing risks of deteriorating health, officials and experts say.
\u201cWhen I saw the severity of the disaster I was speechless,\u201d Kishida told reporters, saying the aerial view showed gaping grounds, landslides crushing roads, and an elevation of the seafloor, changing the beautiful landscape on the eastern coast of the peninsula. \u201cI also heard from the residents about their difficulties and worries.\u201d
The prime minister said he took the evacuee's conditions seriously and promised support. \u201cWe will do everything we can so that you can have hope for the future,\" he said.
Kishida also met with Ishikawa Gov. Hiroshi Hase in the prefectural government in Kanazawa, where he was given a list of requests, including central government funding for the reconstruction of key infrastructure, and emergency loans for individuals and small businesses.
Many have criticized Kishida\u2019s government over what they called a slow disaster response although the cabinet has approved 4.7 billion yen (about $32 million) for relief efforts and is backing the call for a secondary evacuation, including to facilities in the capital region.
Kishida said the cabinet plans to approve a second relief fund of 100 billion yen (nearly $690 million) this week to help people rebuild their lives while doubling the reserve funds of the fiscal 2024 budget to 1 trillion yen ($6.9 billion) to bolster funding for the reconstruction.
The prime minister, in his disaster-response uniform, also visited a junior high school that has turned into an evacuation center in Wajima where officials showed him the evacuees\u2019 severe living conditions. They spoke about the potential risk of spreading infectious diseases, such as influenza, COVID-19 and stomach flu due to the lack of running water and congestion.
To mitigate immediate concerns about possible health problems and risk of death at evacuation centers, local and central government officials said they would provide the evacuees free accommodation at hotels and apartments \u2014 further away from their neighborhoods \u2014 until temporary housing was ready. But many of the locals have refused to move out, worried about their destroyed homes, belongings and communities.
Hase urged residents on Friday to temporarily relocate to the recommended facilities to rest better and \u201cprotect your lives.\u201d
Mototaka Inaba, a medical doctor who heads an international relief organization Peace Winds Japan, told an NHK talk show on Sunday that a secondary evacuation of elderly residents was critical from a medical perspective but should be done in a way that didn't isolate them.
Chief Cabinet Secretary Yoshimasa Hayashi also stressed in a pre-recorded interview with NHK the importance of relocating the residents taking into consideration their sense of community, jobs and education.
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January 12, 2024.
Editorial: Don\u2019t weaken Florida gun laws
It took the spilled blood of far too many to convince even a minimum of Florida lawmakers that changes to our gun laws were needed.
Mass shootings in Colorado, Connecticut and in dozens of other states didn\u2019t do it. It took the murders in our own backyard, in Parkland, and the grieving efforts of parents, siblings and schoolmates that followed, to stir just enough shame to overcome stalwart gun defenders and bring modest reforms in 2018.
But now, just a few seasons distant, a winter legislative session brings with it the chill of efforts at repeal.
House Bill 1223 would lower the age limit to buy rifles and other long guns back to 18, from 21. Another bill, HB 1619, also filed by a House Republican, would make it legal to carry weapons openly. Just last April, Gov. Ron DeSantis signed HB 543, which let Floridians carry concealed weapons without a permit.
It seems unbelievable that, given the horrors that left 17 dead and 17 injured almost six years ago at Marjory Stoneman Douglas High School, not to mention the 49 killed and 53 wounded eight years ago at Orlando\u2019s Pulse nightclub, and the many multiple-fatality shootings since then in Florida and around the nation, that anyone would call for weakening laws that even slightly restrain the American killing culture.
And yet.
It\u2019s as if they think we\u2019ve forgotten.
We haven\u2019t had a chance to forget.
According to the Every Town for Gun Safety website: \u201cIn an average year, 2,849 people die and 5,267 are wounded by guns in Florida. Florida has the 19th-highest rate of gun violence in the US.\u201d The rate of gun deaths rose 15 percent from 2011 to 2020, while the rate of gun homicides rose 40 percent.
But by all means, let\u2019s lower the purchase age and let everyone walk around strapped \u2015 except in the Florida Capitol in Tallahassee, of course, where our brave legislators take up these bills.
We recognize that age limits, licensing requirements and even bans on bump stocks and semi-automatic rifles won\u2019t stop the most sinister, deranged or determined mass murderers, any more than licensing drivers makes I-95 accident-free.
But a combination of legal restraints, red flag law enforcement and enhanced availability of mental health care at least gives us a chance to counter the normalization of death sprees.
Sadly the Legislature\u2019s Republican supermajority has come untethered from the checks and balances of political opposition. Only voters can rein them in.
Our sympathies go out to those in Perry, Iowa, who saw one 11-year-old killed and four other students and school staff members injured Jan. 4, before the 17-year-old who shot them killed himself. The shooting occurred at a time when the nation\u2019s eyes already were on Iowa, in advance of the caucusing for the Republican primary, in which two Florida residents are contending.
Gov. Ron DeSantis, interviewed by the Associated Press, attributed the blame for such incidents mostly on \u201can underlying sickness in society\u201d that requires addressing mental health issues but not \u201cconstitutional rights.\u201d
Former President Donald Trump offered his prayers and \u201cdeepest sympathies,\u201d at an Iowa gathering a day after the shooting. \u201cThat\u2019s just horrible,\u201d he said. \u201cBut we have to get over it. We have to move forward.\u201d
No worries. A poll conducted by Florida Atlantic University and Mainstreet Research in October and November asked respondents, \u201cWhich personality trait do you value the most in a presidential candidate?\u201d The options: integrity, leadership, intelligence, stability and empathy. Empathy came in dead last, at 4 percent. So DeSantis and Trump are well-positioned.
And Florida lawmakers moved forward indeed, filing their bills days after the Iowa shooting, to weaken our state\u2019s gun laws.
They\u2019d like nothing better than for us to get over it, too. But there is no \u201cit.\u201d It\u2019s more of a \u201cthem,\u201d when it\u2019s happening every day, eight gun deaths a day across Florida, sometimes in a school near you.
___
Orlando Sentinel. January 10, 2024.
Editorial: State of the state? Delusional, according to DeSantis
Gov. Ron DeSantis brought his failing presidential campaign back to Florida Tuesday in the guise of his annual State of the State speech, delivered to a joint session of the Legislature and dozens of other dignitaries.
The setting was the state Capitol in Tallahassee and the audience included most of the state\u2019s political infrastructure. But DeSantis could have been giving his stump speech to a Rotary Club in Iowa, which holds the first-in-the-nation nominating caucuses next Monday night.
Most mentions of Florida were mere puffery, with little indication of what DeSantis intends to accomplish. In full-on campaign mode, DeSantis bashed the Biden administration\u2019s immigration policy, the size of the national debt, and high taxes and urban decay in New York, Illinois and California.
By contrast, he said Florida is \u201ca refuge for freedom and sanity.\u201d
As we\u2019ve seen before, DeSantis has different definitions for those words than many Floridians do.
Where is DeSantis headed?
The governor\u2019s annual speech (which you can view here ) formally kicks off the 60-day legislative session. It has traditionally been both a self-congratulatory look back and a table-setting talk that sets the agenda for the challenges ahead.
The latter got short shrift. DeSantis repeatedly glossed over Florida\u2019s worst problems in ways the national media would not be likely to catch.
Nowhere was that on greater display than when DeSantis talked about the needs of Florida\u2019s children. He twittered on about protecting children from the evils of social media (which is the prerogative of parents and not the state\u2019s job) and claimed he\u2019d made it \u201ctax free\u201d to raise a child, which is a ludicrous claim \u2014 a handful of sales-tax breaks do not change the fact that Florida\u2019s tax burden falls disproportionately on the shoulders of its lowest income families.
He barely mentioned health care access, and certainly didn\u2019t acknowledge that more than 750,000 Floridians have been dropped from Medicaid rolls via disenrollment. Nearly 300,000 of those are children. Federal officials say many of those who were dropped were still eligible for coverage, yet Florida is the only state that didn\u2019t ask for more time before giving them the boot. DeSantis didn\u2019t attempt to explain, let alone fix, that.
He boasted about his efforts to strip \u201cwoke ideology\u201d from public schools and universities and bragged about \u201cprotecting\u201d children, but didn\u2019t mention that nearly two-thirds of fourth graders are not proficient in reading. And while DeSantis brags about boosting access to school-choice vouchers (but not the $4 billion price tag that benefits many families that could easily afford private-school tuition on their own), he ignored the crisis in child-care affordability for low-income families. Child care can carve more than 25% out of a single mother\u2019s income, but only 15% of Florida families poor enough to be eligible for child-care vouchers get them.
House Speaker Paul Renner acknowledged the cruel effects of Florida\u2019s failure to provide resources for children and families in need of mental health care. And Senate President Kathleen Passidomo offered plans to improve access to healthcare and recruit more providers to Florida, but it was disheartening to hear her flat-out reject the idea that Florida would expand Medicaid to low-income working Floridians.
They, at least, are admitting reality. In too many areas, the state of the state is sacrificed \u2014 along with Florida\u2019s children, its low-income working families and its vulnerable seniors \u2014 on the altar of political expediency, through culture-war sideshows and attacks on academic freedom, school books, transgender teens and LGBTQ people.
Other big issues missing
The deepening property insurance crisis received only a single passing reference: \u201cLet\u2019s reduce the cost,\u201d he said, without explaining how. Skyrocketing car insurance rates? Never mentioned. Neither was a housing crisis that makes Florida increasingly unaffordable for millions of people.
DeSantis also boasted about Florida\u2019s abortion restrictions, a concealed-carry gun law, a crackdown on diversity, equity and inclusion policies, restrictions on social activism on college campuses and sending 100 Florida Highway Patrol troopers to Texas to help that state fight illegal immigration.
None of these are the state\u2019s job, and nobody was crying out for them.
The governor also cited as a point of pride that Florida has the fewest full-time state employees per capita of any state (82 employees for each 10,000 residents, he said). That may explain why DeSantis had to assign hundreds of National Guard troops to keep order at state prisons staffed by too few correctional officers, why so many underpaid adjunct instructors are teaching at Florida\u2019s universities, and why motorists seldom see a state trooper on its interstates and expressways.
On the positive side, DeSantis spoke of raising teacher pay, importing cheaper prescription drugs from Canada, and expanding workforce education and environmental protection \u2014 all laudable goals.
It was clear that the governor who was re-elected in 2022 by an astounding 19 percentage points is now a diminished figure. He still wields a veto pen, a powerful political tool, but he can\u2019t expect people to fall in line for fear of offending the next president of the United States. Meanwhile, he\u2019s done little to articulate a realistic road map for the next 59 days of the legislative session \u2014 leaving Floridians, including the Legislature, in the dark about what he plans to do as governor now that it seems likely he\u2019ll be sticking around for another two years.
___
Tampa Bay Times. January 12, 2024.
Editorial: Here\u2019s why the courts should settle the Andrew Warren-Ron DeSantis case now
Hillsborough voters deserve to have a state attorney they elect.
A federal appeals court took a big step in righting a terrible wrong by opening a door to reinstate suspended Hillsborough State Attorney Andrew Warren. The lower court judge who presided over the case and who already found that Gov. Ron DeSantis abused his authority should move quickly to uphold the rule of law and the interests of Hillsborough voters.
In a 59-page opinion Wednesday, the 11th Circuit Court of Appeals directed U.S. District Judge Robert Hinkle to reconsider his 2023 ruling that he lacked the authority to reinstate Warren, whom DeSantis suspended in 2022 for \u201cneglect of duty\u201d and \u201cincompetence.\u201d Hinkle, who presided over Warren\u2019s legal challenge to the ouster, wrote in his own 59-page ruling that the suspension stemmed from \u201cpolicy differences\u201d between the Republican governor and Democratic state attorney. \u201cThe controlling motivations for the suspension were the interest in bringing down a reform prosecutor \u2014 a prosecutor whose performance did not match the governor\u2019s law-and-order agenda,\u201d Hinkle wrote, finding that DeSantis\u2019 actions violated both the Florida and U.S. constitutions.
DeSantis suspended Warren on Aug. 4, 2022, alleging the steps and statements he advanced on abortion, transgender care and low-level crimes amounted to \u201cblanket policies\u201d against prosecuting violations of Florida law. But Hinkle found the governor\u2019s claim that Warren had blanket policies against certain prosecutions was false. \u201cThe record includes not a hint of misconduct by Mr. Warren,\u201d Hinkle wrote in his ruling. Rather, the judge found, DeSantis used the allegations as a \u201cpretext\u201d to violate Warren\u2019s First Amendment free speech rights.
Yet Hinkle also concluded he lacked the authority under the U.S. Constitution to restore Warren to office. But the three-judge appeals panel dismissed that concern this week. \u201cWe reject this argument,\u201d the opinion, written by U.S. Circuit Judge Jill Pryor, added in a footnote. \u201cThe Eleventh Amendment permits federal courts to remedy First Amendment violations.\u201d
That should clear the jurisdictional fog and enable the courts to directly, quickly and finally resolve the core question: Was the governor\u2019s suspension lawful?
Importantly, the 11th circuit contributed to the record this week by finding that \u201cDeSantis lacked probable cause to believe Warren neglected his duty or was incompetent.\u201d That wording is key, as \u201cneglect of duty\u201d and \u201cincompetence\u201d are among the enumerated causes for removal allowed under the state constitution, and the very language that DeSantis used to justify his suspension of Warren. As such, the appeals court built on Hinkle\u2019s earlier ruling. \u201c(Warren) had no blanket non-prosecution policies. Any minimally competent inquiry would have confirmed this,\u201d Hinkle wrote last year. \u201cThe assertion that Mr. Warren neglected his duty or was incompetent is incorrect. This factual issue is not close.\u201d
The federal courts have brought clarity and moral authority to this case and they cannot stop now. Warren has been in limbo too long. The outcome here could affect whether the twice-elected Warren runs again in November, and indeed, whether any candidate \u2014 Democrat or Republican \u2014 takes on the consuming task of challenging Suzy Lopez, whom the governor installed in the post.
Hillsborough residents have already been robbed a full term of a reform-minded prosecutor they voted for overwhelmingly. Allowing DeSantis to run out the clock with legal maneuvering and effectively dictate another election for state attorney would compound an injustice and deny any remedy for this democratic assault.
___
South Florida Sun Sentinel. January 10, 2024.
Editorial: Ladapo\u2019s reckless fear-mongering on vaccines
Nowhere besides Florida have we heard of any public health expert urging people not to get the COVID-19 vaccinations that have saved millions of lives.
But in Florida, Dr. Joseph Ladapo, Gov. Ron DeSantis\u2019 quack surgeon general, is doing precisely that.
It\u2019s impossible to know whether he really believes the deadly misinformation he\u2019s dishing out or is simply saying what the governor wants. Either way, he\u2019s a menace to the public health that he\u2019s supposed to protect.
So, it must be said, is the governor who chose him and should have fired him long ago.
He was right, then wrong
DeSantis\u2019 initial reactions to the pandemic were correct. He declared a state of emergency, called for masking, social distancing and \u2014 later than most governors \u2014 lockdowns. He also acted swiftly to distribute vaccines when they became available.
But he pivoted sharply on all of that and placed himself far to the right of everyone else, especially former President Donald Trump, whom he intended to oppose for the 2024 Republican presidential nomination.
DeSantis the candidate courted the votes of people whose idea of \u201cfreedom\u201d is their right to risk the lives of others along with their own. DeSantis the governor prostituted the state of Florida to that strategy.
When he recruited Ladapo from California, it demonstrated the governor\u2019s newfound opposition to vaccine and masking mandates. Ladapo\u2019s oddball views were well known, sharply contrasting with those of Scott Rivkees, the qualified surgeon general who had been silenced by the governor\u2019s office.
Worse, DeSantis and Ladapo turned to attacking the vaccines themselves. Co-opting even the Florida Supreme Court, DeSantis got it to create a statewide grand jury to investigate the manufacture and distribution of the life-saving formulations. That witch hunt hasn\u2019t been heard from yet.
No jabs for children
Ladapo eventually opposed vaccines for children and urged healthy Floridians under 65 to avoid the latest ones that were targeted to the newest COVID subvariant.
He was caught distorting data to say that the shots caused an increase in heart disease in young men. The suppressed data actually showed a greater risk from not being vaccinated.
Now, he\u2019s gone all in against the mRNA COVID-19 vaccines \u2014 the ones made by Pfizer-BioNTech and Moderna \u2014 because ingredients might infect recipients\u2019 DNA. Might. There is only one other vaccine the CDC recommends.
\u201cThese vaccines are not appropriate for use in human beings,\u201d Ladapo said.
That is conjecture, a gambit that has no place in medicine or any other science. \u201cMight\u201d wouldn\u2019t cut it for a first-year medical student.
Refuted by the FDA
Ladapo did that despite having received a stern, two-page letter from the FDA refuting his concerns. The agency made the letter public.
\u201cIt is quite implausible,\u201d wrote Peter Marks, director of the FDA Center for Biologics Evaluation and Research, that any fragments of the vaccine DNA \u201ccould find their way into the nucleus through the nuclear membrane present in intact cells and then be incorporated into chromosomal DNA.\u201d
With more than a billion mRNA vaccine doses having been administered, \u201cno safety concerns related to residual DNA have been identified,\u201d Marks said.
\u201cWe stand firmly behind our regulatory decision-making,\u201d he said, noting that the vaccines \u201chave a highly favorable safety profile and \u2026 have saved, and continue to save, many lives.
\u201cThe challenge we face,\u201d he said, is the ongoing proliferation of misinformation and disinformation about these vaccines,\u201d which he said contributes to the \u201ccontinued death and serious toll of COVID-19.\u201d
Marks explained in detail why Ladapo\u2019s objections were scientifically implausible, but Ladapo countered that the FDA had not made the proper assessments.
Millions of lives saved
Recent estimates of lives saved by the vaccines in the U.S. alone range from 2.4 million to 3.2 million, compared to 1.1 million lost due to COVID-19. But vaccination rates have become disturbingly low, and some 1,200 Americans still die from COVID-19 every week. That\u2019s as if four big jetliners crashed every seven days.
In a way, the vaccines are victims of their own success. COVID-19 no longer seems to be a menace in people\u2019s minds other than among those unfortunate enough to get sick or die from it.
It still makes utter good sense for everyone to keep their vaccinations and boosters up to date. They can take their guidance from the overwhelming numbers of physicians and public health officials who recommend it, or they can believe an outlier like Ladapo. It bears remembering that lives hang in the balance.
The July edition of JAMA Internal Medicine cited data from Florida and Ohio that in 2021 the \u201cexcess death rate\u201d \u2014 that is, attributable to COVID \u2014was 43% higher among Republican voters than Democrats after the vaccines became available.
The study acknowledged that health factors other than political preferences might have contributed to the disparity and called for further research. But what they did find means that DeSantis and Ladapo should not be making things worse.
___
Miami Herald. January 11, 2024.
Editorial: Politicians are are using AI to mislead voters. Florida has a chance to act
The political ad aired in Iowa ahead of the country\u2019s first Republican primary. It had audio of Donald Trump attacking the state\u2019s popular Republican governor. To the unsuspecting viewer, the audio may sound like Trump\u2019s voice, but it was a fabrication by a pro-Ron DeSantis super PAC using artificial intelligence.
If fake news is a problem in America politics, AI might take \u201calternative facts\u201d to a new dystopian level. Luckily, Florida is among the states that are considering regulating the use of this technology. Lawmakers have filed at least three bills ahead of the 2024 legislative session starting this month.
The most consequential of them would be Senate Bill 850. It would require that political ads using AI \u201cto depict a real person performing an action that did not actually occur\u201d state \u201cprominently\u201d that the ad was created \u201cin whole or in part with the use of generative artificial intelligence (AI).\u201d
The Legislature could try to ban such ads but that would likely run into free speech challenges under the First Amendment.
Lawmakers have filed other legislation to create a statewide AI advisory council and make people liable if they use AI to depict someone in a \u201cfalse light.\u201d
Don\u2019t wait for Congress
Ideally, Congress should pass nationwide legislation to regulate the use of AI, especially with the 2024 elections around the corner. A group of Democratic U.S. senators introduced a bill similar to SB 850 in May. Given the inaction that normally afflicts a divided Congress, it will likely be up to states to crack down on technology that can further undermine Americans\u2019 trust in what they hear or see online and on TV. While AI has its many positive uses, it jeopardizes our understanding of what reality and facts \u2014 already on shaky ground \u2014 are.
In the past five years, 30 states have passed more than 50 laws addressing AI in some capacity, according to the Brennan Center for Justice. Last year, Michigan\u2019s Democratic-controlled Legislature passed a law similar to SB 850. While the Florida bill was filed by Republican Sen. Nick DiCeglie, and its House version was filed by Hialeah Republican Rep. Alex Rizo, it is unclear whether it will advance in the GOP-controlled Florida Legislature. No legislative committees have heard the legislation.
The ad attacking Trump by the pro-DeSantis super PAC Never Back Down was not the only time Republicans have used AI. The Republican National Committee in April released an AI-generated ad that depicted America\u2019s future under President Joe Biden.
Prominent disclaimers
There were fake but realistic photos of boarded-up storefronts and military patrols in the streets. There was a disclaimer that the ad was \u201cbuilt entirely with AI imagery\u201d but it was small, probably on purpose. SB 850 would require those disclaimers be prominent but what that means exactly seems to be up for debate.
Given the political advantages of using AI, what, then, is the incentive for Florida Republicans to pass SB 850 when they control state government without much competition from Democrats? Certainly, they must do the right thing and protect voters from fake but realistic images and audio. But the best appeal to them may be that if they can use AI in their own ads, AI also may be used against them in ads from opponents.
Americans have caught a glimpse of where the intersection of AI and politics can lead the county. The Florida Legislature has a chance to take action. The time to prevent the most nefarious uses of this technology is now.
END
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Therefore, while there are relevant sections, the overall document is not primarily focused on health." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/01/15/2f7909c1db4d709a801ed7af62645a8d.json b/datasets/AP_news/raw_data/2024/01/15/2f7909c1db4d709a801ed7af62645a8d.json new file mode 100644 index 0000000..3f27c41 --- /dev/null +++ b/datasets/AP_news/raw_data/2024/01/15/2f7909c1db4d709a801ed7af62645a8d.json @@ -0,0 +1,262 @@ +{ + "altids": { + "itemid": "2f7909c1db4d709a801ed7af62645a8d", + "etag": "2f7909c1db4d709a801ed7af62645a8d_0a4aza0c0", + "friendlykey": "220146263889", + "referenceid": "EU--Belarus-Crackdown" + }, + "version": 0, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-01-15T16:36:22Z", + "firstcreated": "2024-01-15T16:36:21Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: With AP Photos.", + "signals": [ + "newscontent" + ], + "title": "EU--Belarus-Crackdown", + "headline": "Belarus political prisoner dies after authorities fail to provide him with medical care, group says", + "headline_extended": "A human rights group says that a political prisoner has died in prison in Belarus after authorities failed to provide him with proper medical care", + "slugline": "BC-EU--Belarus-Crackdown", + "description_summary": "A human rights group says that a political prisoner has died in prison in Belarus after authorities failed to provide him with proper medical care. The death has spotlighted cruel conditions in the country\u2019s prisons. The respected Viasna human rights center said Monday that Vadzim Khrasko died of pneumonia in a penal colony near the northeastern city of Vitebsk after prison authorities had been slow to take him to a hospital and ignored his pleas for help. Khrasko died on Jan. 9. But officials only reported his death now. Belarusian authorities have cracked down on opponents of authoritarian President Alexander Lukashenko after huge protests triggered by the August 2020 election. The balloting was viewed by the opposition and the West as fraudulent.", + "bylines": [ + { + "by": "By YURAS KARMANAU", + "title": "Associated Press" + } + ], + "located": "TALLINN, Estonia", + "datelinelocation": { + "city": "Tallinn", + "countrycode": "EST", + "countryname": "Estonia", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + 24.75353, + 59.43696 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. 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Vadzim Khrasko died of pneumonia in a penal colony near the northeastern city of Vitebsk after prison authorities had been slow to take him to a hospital, ignoring his pleas for help, the respected Viasna human rights center said. He died on Jan. 9, but the penal colony only reported his death now.
Khrasko, an information technology specialist who died at the age of 50, was serving a three-year sentence on charges of offering donations to opposition groups that the authorities branded \"extremist.\"
Political activist Leanid Sudalenka, who served his three-year term at the same penal colony, told The Associated Press after finishing his term that he nearly died when COVID-19 swept through the facility. He said that he and other political prisoners had to wear a yellow tag on their uniforms, so they\u2019re easily identifiable to guards who he said routinely bullied, abused and humiliated them.
Sudalenka said that methods of bullying can range from punishment cells and complete information isolation, to refusing a meeting with a lawyer and the denial of medical care and medicine.
A few other prisoners haven\u2019t survived incarceration, including artist Ales Pushkin, who died in July of a perforated ulcer after receiving no medical care, and Vitold Ashurak, whose body was turned over to his relatives in 2021 still bearing a head bandage.
Belarusian authorities have cracked down on opponents of authoritarian President Alexander Lukashenko after huge protests triggered by the August 2020 election that gave him a sixth term in office. The balloting was viewed by the opposition and the West as fraudulent.
Protests swept the country for months, bringing hundreds of thousands into the streets. More than 35,000 people were arrested, thousands were beaten in police custody and hundreds of independent media outlets and nongovernmental organizations were shut down and outlawed.
More than 1,400 political prisoners remain behind bars, including leaders of opposition parties and renowned human rights advocate and 2022 Nobel Peace Prize winner Ales Bialiatski.
Belarusian opposition leader-in-exile Sviatlana Tsikhanouskaya, who was forced to leave the country after challenging Lukashenko in the 2020 vote, called for an investigation into Khrasko's death.
\u201cI received the tragic news of the death of political prisoner Vadzim Khrasko, due to inadequate medical care,\u201d Tsikhanouskaya said. \u201cWe must act now to prevent more deaths.\u201d
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Austin will be working from home as he recovers, and his doctors said he \u201cprogressed well throughout his stay and his strength is rebounding.\" They said in a statement the cancer was treated early and his prognosis is \u201cexcellent.\u201d
In a statement, Austin expressed thanks to the medical staff and said that \u201cas I continue to recuperate and perform my duties from home, I\u2019m eager to fully recover and return as quickly as possible to the Pentagon.\u201d
Austin, 70, was admitted to Walter Reed National Military Medical Center on Dec. 22 and underwent surgery to treat the cancer, which was detected earlier in the month during a routine screening. He developed an infection a week later and was hospitalized Jan. 1 and admitted to intensive care.
Dr. John Maddox, the trauma medical director, and Dr. Gregory Chesnut, the director of the Center for Prostate Disease Research at Walter Reed, said that during Austin's hospitalization he underwent medical tests and was treated for lingering leg pain. They said he has physical therapy to do but there are no plans for further cancer treatment other than regular checks.
President Joe Biden and senior administration officials were not told about Austin's hospitalization until Jan. 4, and Austin kept the cancer diagnosis secret until Jan. 9. Biden has said Austin's failure to tell him about the hospitalization was a lapse in judgment, but the Democratic president insists he still has confidence in his Pentagon chief.
During Austin's time at Walter Reed, the U.S. launched a series of military strikes late last week on the Iranian-backed Houthis in Yemen, targeting dozens of locations linked to their campaign of assaults on commercial shipping in the Red Sea. Working from his hospital bed, Austin juggled calls with senior military leaders, including Gen. Erik Kurilla, head of U.S. Central Command, and White House meetings to review, order and ultimately watch the strikes unfold over secure video.
The lack of transparency about Austin\u2019s hospitalization, however, has triggered administration and Defense Department reviews on the procedures for notifying the White House and others if a Cabinet member must transfer decision-making authorities to a deputy, as Austin did during his initial surgery and a portion of his latest hospital stay. And the White House chief of staff ordered Cabinet members to notify his office if they ever can\u2019t perform their duties.
Austin's secrecy also drew criticism from Congress members on both sides of the political aisle, and Rep. Mike Rogers, an Alabama Republican who is chairman of the House Armed Services Committee, said he has opened a formal inquiry into the matter. Others openly called for Austin to resign, but the White House has said the Pentagon chief's job is safe.
It is still unclear when Austin will return to his office in the Pentagon or how his cancer treatment will affect his job, travel and other public engagements going forward. Deputy Defense Secretary Kathleen Hicks has been taking on some of his day-to-day duties as he recovers.
___
Follow the AP's coverage of Defense Secretary Lloyd Austin at https://apnews.com/hub/lloyd-austin.
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A 6.3-magnitude earthquake shook Herat province on Oct. 7 and a second strong quake struck the same province days later, leaving more than 1,000 dead. UNICEF says the area is thick with suffering and families live in life-threatening conditions as winter takes hold. UNICEF's representative in Afghanistan said \u201cchildren are still trying to cope with the loss and trauma.\" The head of communications for the agency in Afghanistan said schools, homes, health facilities and water systems were destroyed.", + "bylines": [ + { + "by": "By RAHIM FAIEZ", + "title": "Associated Press" + } + ], + "located": "ISLAMABAD", + "datelinelocation": { + "city": "Islamabad", + "countrycode": "PAK", + "countryname": "Pakistan", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + 73.04329, + 33.72148 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. 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A 6.3-magnitude earthquake shook Herat province on Oct. 7 and a second strong quake struck the same province days later, on Oct. 11, killing more than 1,000 people. The majority of those dead in the quakes in Zinda Jan and Injil districts were women and children, and 21,000 homes were destroyed, UNICEF said in a statement.
\u201cThe atmosphere in these villages is thick with suffering even 100 days after the earthquakes in western Afghanistan when families lost absolutely everything,\" said Fran Equiza, UNICEF representative in Afghanistan.
\"Children are still trying to cope with the loss and trauma. Schools and health centers, which children depend upon, are damaged beyond repair, or destroyed completely,\u201d he added.
\u201cAs if this was not enough, winter has taken hold and temperatures hover below freezing,\" Equiza said. \"Children and families without homes live in life-threatening conditions at night, with no way to heat their temporary shelters.\u201d
UNICEF said it urgently needs $1.4 billion in 2024 to meet the humanitarian and basic needs of 19.4 million Afghans, half of the population.
The Taliban\u2019s failure to invest in public services has contributed to the deterioration of basic services, hindering the ability of vulnerable communities to recover from shocks and build resilience, the agency added..
\u201cWe are grateful to our donor partners who mobilized resources quickly, enabling UNICEF to respond within days to the urgent needs of children and their families in Herat,\u201d Equiza said.
But more help is needed \u201cto ensure that children not only survive the winter but have a chance to thrive in the months and years to come,\u201d he added.
Daniel Timme, head of communications for UNICEF in Afghanistan, said schools, homes, health facilities and water systems were destroyed.
\u201cWe have money coming in but it\u2019s not enough. These communities need to be independent again. It\u2019s not enough to put out the fire. We need to make it (Afghanistan) more resilient,\" Timme said.
Separately and for all of Afghanistan, UNICEF said Monday that 23.3 million people, including 12.6 million children, are in need of humanitarian assistance\" in 2024, \"mainly due to the residual impacts of a protracted conflict, extreme climate shocks and the country\u2019s severe economic decline.\u201d
___
Associated Press writer Riazat Butt in Islamabad contributed to this report.
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A potential redesign of two Apple Watch models, the Series 9 and Ultra 2, that would exclude the blood-oxygen sensor has been approved by the U.S. Customs and Border Protection, according to a Monday court filing by Masimo, a Southern California company pursuing a patent claim against Apple.
The document didn't disclose how Apple plans to remove the blood-oxygen sensor, although analysts have speculated the change could come through a software update.
Masimo won a favorable ruling from the U.S. International Trade Commission in late October that prompted Apple to temporarily halt sales of the Apple Watch models with the blood-oxygen sensor just before Christmas. But Apple then filed an appeal of the ITC ruling that resulted in a order clearing the way for the two Apple Watch models to return to stores shortly after Christmas while the appeal is under review.
The U.S. Court of Appeals in Washington is expected to decide whether it extend the stay later this month. If it does, the Series 9 and Ultra 2 can remain on sale with the blood-oxygen sensors intact.
It will probably take at least a year for the appeals process to unfold, meaning Apple will need an extended stay to continue selling the watches with the blood-oxygen sensors as part of the company's effort to position the products as health-monitoring devices.
Apple declined to comment on the court filing disclosing its plans to remove the blood-oxygen sensor if the stay isn't extended.
In their arguments filed so far with the appeals court, Masimo and Apple have been painting dramatically different pictures of the technology involved in the dispute.
Masimo has depicted itself as a pioneer in the making of blood-oxygen sensors on wearable devices, prompting Apple to begin luring away some of its employees as far back as 2013 \u2014 a year before the first version of the Apple Watch was unveiled.
When Apple finally introduced a watch with a blood-oxygen sensor in September 2020 during the throes of the pandemic, Masimo alleged the technology was so unreliable that it threated to taint its reputation and hurt sales of its W1 medical watch. Masimo says its pulse oximeters are used by hospitals and other professionals that treat 200 million patients annually.
Apple has denied infringing on a Masimo technology that has limited availability to consumers. Masimo's W1 watch wasn't even available on the market when the dispute started in 2021 and the device still has negligible sales, according to Apple. In contrast, Apple accounts for roughly one-third of smartwatch shipments \u2014 a business that generates an estimated $18 billion in annual sales for the Cupertino, California, company. That represents about 5% of Apple's annual revenue.
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(AP) \u2014 Wisconsin Republicans appear to be at an impasse over a proposal to legalize medical marijuana.
Assembly Speaker Robin Vos said Tuesday that he would not compromise with state Senate Republicans to address their concerns with his proposal. Senate Majority Leader Devin LeMahieu last week said the bill's proposed creation of state-run dispensaries was a \u201cnonstarter.\u201d
Vos said at a news conference that \u201cmonths and months of negotiations\u201d resulted in a \u201cvery detailed bill\u201d he proposed that has the minimum 50 votes needed to pass among Republicans.
\u201cTaking and renegotiating the bill means we probably lose votes in our caucus,\u201d Vos said. \u201cSo I\u2019d rather get us through to keep the promise we made, which is to have a comprehensive bill that can actually become law as opposed to an ethereal idea that maybe somebody could support someday but it never actually makes it anywhere.\u201d
LeMahieu last week said he was open to making changes to the bill in an effort to find a compromise that could pass in the Senate.
The highly restrictive bill would limit medical marijuana to severely ill people with chronic diseases such as cancer and allow for it to be dispensed at just five state-run locations. Smokable marijuana would not be allowed.
The proposal would limit the availability of marijuana to people diagnosed with certain diseases, including cancer, HIV or AIDS, glaucoma, multiple sclerosis, inflammatory bowel disease, severe muscle spasms, chronic pain or nausea, and those with a terminal illness and less than a year to live.
Wisconsin remains an outlier nationally. Thirty-eight states have legalized medical marijuana and 24 have legalized recreational marijuana. The push for legalization in Wisconsin has gained momentum as its neighbors have loosened their laws.
The measure would need to pass the Senate and Assembly and be signed by Democratic Gov. Tony Evers to become law. Evers, who like many Democrats is a proponent of full legalization, said this month that he would support medical marijuana only but was noncommittal on the Assembly\u2019s plan.
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Editorial: Amos Miller isn\u2019t a hero fighting for \u2018food freedom.\u2019 He\u2019s a serial violator of essential food safety rules that other farmers follow.
Amos Miller is not a heroic David to the government\u2019s Goliath. He is a serial violator of federal and state health and safety regulations.
\u2014 He has slaughtered animals without the requisite Federal Grant of Inspection issued to slaughtering operations by the U.S. Department of Agriculture\u2019s Food Safety and Inspection Service. This was in violation of the Federal Meat Inspection Act, as was his selling of misbranded meat and poultry products.
\u2014 He has sold raw milk containing the bacteria known as listeria. Listeria can cause an infection called listeriosis, which is particularly dangerous for pregnant women and their newborns, older adults and people with weakened immune systems. In 2016, raw milk from Miller\u2019s Organic Farm was linked to the 2014 death of a person in Florida.
\u2014 His retail operation is unlicensed. He does not even have the required state permit to sell raw milk.
Miller is not a champion of liberty \u2014 he\u2019s someone who seems to believe that the rules and regulations to which other farmers adhere don\u2019t apply to him. There\u2019s a word for that, and it\u2019s arrogance, not courage. And it\u2019s an arrogance that puts others at serious risk.
Miller\u2019s disdain for government regulation makes him a threat not just to consumers, but to other farmers. An outbreak of foodborne illness caused by raw milk, for instance, could harm the businesses of other Lancaster County dairy farmers, who are operating on thin profit margins and couldn\u2019t withstand a hit to the county\u2019s reputation as a producer of safe and healthy foods.
There\u2019s a very good reason why the nation\u2019s food supply is subject to government regulation \u2014 so that people don\u2019t die.
Miller clearly understands marketing, because he labeled his farm \u201corganic,\u201d which appeals to consumers seeking minimally processed foods.
But if he marketed his eggnog as \u201cE. coli Eggnog,\u201d would anyone buy it? Of course not. So he shouldn\u2019t be able to sell raw eggnog containing Shiga toxin-producing E. coli.
Two things: Shiga toxin-producing E. coli, according to the Centers for Disease Control and Prevention, can cause severe stomach cramps, bloody diarrhea and a type of kidney failure. And E. coli, as LNP ' LancasterOnline\u2019s Nephin reported, \u201calmost always originate in feces.\u201d
In the wake of Miller\u2019s most recent clash with authorities, more than 1,600 people have given more than $115,000 to an online site raising funds for the farmer. Would those folks willingly drink Miller\u2019s eggnog despite the risk? We fear that some would, because they\u2019ve gotten drunk on the twisted narrative that Miller is a folk hero fighting for \u201cfood freedom\u201d in the face of evil regulators and their annoying insistence on adherence to the science of food safety.
The Pennsylvania Department of Agriculture has given Miller plenty of chances to comply.
Nevertheless, the false narrative persists. And this is a tragedy, because, as we\u2019ve seen in recent years, the rejection of science has led to so much unnecessary suffering and death.
Consider the use of hydroxychloroquine, which was promoted as a COVID-19 treatment by former President Donald Trump despite the reservations of infectious disease experts. As Scripps News reported this week, a new study by French researchers suggests that the use of that anti-malaria drug in COVID-19 patients from March to July 2020 was associated with an 11% increase in patients\u2019 mortality rate and an estimated 16,990 deaths across six countries. (The drug was briefly approved for emergency use by the U.S. Food and Drug Administration in 2020, but that authorization was revoked after a few months.)
The Philadelphia region now is dealing with a measles outbreak. In 2019, an outbreak of measles in the tiny South Pacific island nation of Samoa killed 83 people, most of them children. Independent presidential candidate Robert F. Kennedy Jr. was among the anti-vaccination activists who shamelessly ginned up baseless fears about the measles, mumps and rubella vaccine, and discouraged parents in Samoa \u2014 and across the United States \u2014 from immunizing their children against measles and other vaccine-preventable diseases.
When officials from the Pennsylvania Department of Agriculture, and their counterparts in the USDA, do their job well, they do it almost invisibly. We don\u2019t often stop to laud them for working to ensure the safety of the food we consume. But they\u2019re doing essential work and we ought to be thankful.
As demonstrated at the Pennsylvania Farm Show, which is now underway in Harrisburg, so much goes into the process of getting food from fields and barns to our tables. Testing food for dangerous pathogens and holding food producers to account for safety lapses are part of that process.
Responsible farmers appreciate the need for food safety, because they care about their customers. They don\u2019t see sensible regulation as harassment. Because it isn\u2019t.
___
Pittsburgh Post-Gazette. January 12, 2024.
Editorial: Pennsylvania GOP should thank Shapiro for voter registration expansion
The Pennsylvania Republican Party may have to eat some crow \u2014 and thank Gov. Josh Shapiro for an electoral boost. It\u2019s been roughly four months since Mr. Shapiro made voter registration at PennDOT Drivers License Centers an automatic \u201copt-out\u201d system, and the results are in: Registrations spiked 65% compared to the same period last year, a healthy bump brought on by a reasonable policy.
And, contrary to Republican hysterics, it was independents who nabbed the most new voters, not Democrats. And the GOP came in second.
To break it down, approximately 13,800 new registrants opted to remain independent, followed by 13,200 for the Republicans and 12,200 for the Democrats. These results showcase a broad-based boost in registrations that match the state\u2019s purple politics \u2014 and show that Republicans need not fear making it easier to vote.
The results, of course, make the immediate GOP outcry against Mr. Shapiro\u2019s policy look rather silly. State Sen. Cris Dush, R-Jefferson, labeled the move tyrannical, while former President Donald Trump claimed the measure was \u201ca disaster for the Election of Republicans.\u201d Which says something unflattering about his own confidence in winning over the American people fair and square.
The Republican reaction also reveals that the party doesn\u2019t understand its own voter base. Preoccupied with the notion that all younger voters lean left, are more likely to be unregistered and will be swept up by an automatic voter policy, it was blind to opportunity.
After all, the current GOP strategy is based in driving turnout among people, especially in overlooked blue-collar towns and neighborhoods, who feel disenfranchised by the political system \u2014 and are among the most likely to be unregistered, and to get registered while renewing their license.
Despite the impression made by online echo chambers, real-world voters aren\u2019t as neatly categorized, predictable or hyper-partisan. Most don\u2019t align comfortably with either main party. Rather than fighting pro-voting measures, the GOP should be trying to win these votes \u2014 many, if not most, of which should be naturals for what is functionally the anti-establishment party.
This is a replay of the GOP\u2019s self-sabotaging reaction to the expansion of mail-in voting, here and elsewhere. Instead of trying to win mail-in votes, Republican leaders actively dissuaded their voters from participating, and raised doubts about the system\u2019s security. As a result, Democrats now lock in millions more early votes, while Republicans play catch-up \u2014 and pray for good weather on Election Day.
Only in recent months has the party changed course and begun encouraging mail-in voting, but it\u2019s years behind the competition.
As for Mr. Shapiro\u2019s voter registration policy, simply said, it worked: By giving voters a subtle nudge toward civic engagement, more people registered to vote. And despite the Republican Party\u2019s cynical reaction, it has benefitted them most of all.
But the governor probably shouldn\u2019t expect a thank you card.
___
Pittsburgh Tribune Review. January 12, 2024.
Editorial: Pennsylvania will flood with campaign cash in 2024
We knew it was coming.
The 2024 election year was bound to be some rough weather for Pennsylvania. It\u2019s a presidential year, after all, which means national campaign funds and political action committee money will fall like rain.
Presidential years also mean state and federal representatives will be on the ballot. Let\u2019s not forget state senate seats. Some of those will be shuffled or face new contenders after the 2020 census results and the periodic redrawing of legislative maps.
But Pennsylvania has another cloud on the horizon \u2014 the U.S. Senate race.
Just two years after a free-for-all that pitted unconventional political star John Fetterman against surgeon-turned-talk show host Mehmet Oz, the state will now be at the mercy of the fight for its second U.S. Senate seat.
Incumbent and Pennsylvania legacy politician Bob Casey Jr., D-Scranton, is seeking reelection. He has a challenger in Pittsburgh engineer Blaine Forkner for the Democratic nomination.
On the Republican side, former hedge fund CEO Dave McCormick is making a second run at the Senate after a strong showing against Oz in 2022 came down to a photo finish, court challenges and ultimately a McCormick concession. Two other Republicans announced, but neither Tariq Parvez or Cory Widmann are the kind of prominent GOP names who were drawn to the last race. There is still time, though \u2014 the filing deadline isn\u2019t until Feb. 13.
So far, Casey and McCormick are the ones accumulating cash \u2014 and that\u2019s what we foresaw in November when U.S. Sen. Joe Manchin, D-W.Va., announced he would not seek reelection.
\u201cLiterally, as goes Manchin, so goes the Senate. But without Manchin, the math becomes uncertain, and that makes the future of the Pennsylvania seat all the more important,\u201d we said at the time, predicting a tsunami of campaign money and, therefore, campaign ads in 2024.
That\u2019s being proven as McCormick reports $5.4 million in donations in the last quarter of 2023, plus $1 million of his own cash, for a $6.4 million total. That\u2019s the highest of any Senate candidate so far.
Casey\u2019s campaign apparatus has been in place far longer and is steadily chugging along with $3.6 million in the last quarter of 2023. That seems a lot smaller but is added to $3.2 million in the third quarter and $4 million in the second.
And none of that includes the real blizzard of cash that can blanket the airwaves and mailboxes with ads \u2014 the third-party PACs.
Brace yourself. It\u2019s going to be a long year.
___
Scranton Times-Tribune. January 14, 2024.
Editorial: Pa. needs to adequately fund indigent defense
A report issued this week by the Wren Collective is direct in its title: \u201cUnder-resourced And Ignored: Indigent Defense in Schuylkill County.\u201d
The 20-page report says it found \u201cmajor deficiencies\u201d in the county\u2019s indigent defense system \u2014 or its ability to provide legal representation to defendants who cannot afford it.
The report is further evidence that funding for public defenders is inadequate, and, as the Wren group notes, it\u2019s a phenomenon found not just in Schuylkill County, but throughout \u201crural counties\u201d in Pennsylvania.
Wren\u2019s report was timed to celebrate the 60th anniversary of Gideon v. Wainwright, a unanimous 1963 U.S. Supreme Court ruling that says the Sixth Amendment of the Constitution requires that states provide a lawyer to anyone facing criminal charges who can\u2019t afford one.
The report\u2019s key findings are that the county needs more resources for attorneys and support staff for the public defender office; that the office lacks adequate technology and funding for defense experts; that it lacks resources to provide immigration consultations; and that it needs resources to provide attorneys at arraignments.
On the latter, the report noted how it\u2019s common for a defendant to be \u201calone\u201d at a preliminary arraignment, which isn\u2019t illegal but is certainly concerning for a moment \u201cwhen the accused\u2019s liberty is at stake,\u201d as the Wren group put it.
___
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Chairman of Lummi Nation Tony Hillaire says the money would be critical in fighting the crisis. He was one of four tribal leaders to testify Monday in support of the bill. The measure would guarantee at least $7.75 million of funds deposited into an opioid settlement account during the previous fiscal year go to tribes annually to respond to the opioid crisis. Native Americans and Alaska Natives in Washington die from opioid overdoses at four times the state average.", + "bylines": [ + { + "by": "By HALLIE GOLDEN", + "title": "Associated Press" + } + ], + "located": "OLYMPIA, Wash.", + "datelinelocation": { + "city": "Olympia", + "countryareacode": "WA", + "countryareaname": "Washington", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -122.9007, + 47.03787 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. 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(AP) \u2014 Tribal leaders in Washington state are urging lawmakers there to pass a bill that would send millions of dollars in funding to tribal nations to help them stem a dramatic rise in opioid overdose deaths.
The money would be critical in helping to fight the crisis, said Tony Hillaire, chairman of Lummi Nation in northwest Washington and one of four tribal leaders to testify Monday in support of the bill.
\u201cThe story is too familiar nowadays: Having to go to a funeral every single day, declaring fentanyl crises and state of emergencies in response,\" he said. \"At some point it has to be our time to step up and address this issue head on. And a big part of that is getting organized and preparing. And that\u2019s why we believe that this bill is so important.\u201d
Native Americans and Alaska Natives in Washington die from opioid overdoses at four times the state average, according to the Office of the Governor. These deaths have increased dramatically since 2019, with at least 98 in 2022 \u2014 73 more than in 2019, according to the most recent data available.
The proposed measure would guarantee $7.75 million or 20% of the funds deposited into an opioid settlement account during the previous fiscal year \u2014 whichever is greater \u2014 go to tribes annually to respond to the opioid crisis. The account includes money from the state\u2019s $518M settlement in 2022 with the nation\u2019s three largest opioid distributors.
State Sen. John Braun, a Republican who sponsored the bill, said he envisions the funds likely being distributed through a grant program to support the 29 federally recognized tribes in the state in sustaining, creating or expanding programs aimed at treatment, recovery and other services.
Hillaire said he asks that the funding not come with any sort of reporting requirements that tribes would have to provide about the crisis, which would put a burden on them.
\u201cWe\u2019ve been very vocal in describing drug harms and raising the nature of the opioid crisis to the highest levels,\u201d he said. \u201cAnd it\u2019s suggested that it will take a generation to address even the basic harms of the opioid crisis.\"
State Sen. Claudia Kauffman, a member of the Nez Perce tribe and another sponsor of the bill, said during the hearing that the crisis goes beyond the numbers.
\u201cThis represents lives lost. This represents families shattered. This really reflects the tragedy happening within the Indian community,\u201d said Kauffman, a Democrat. \u201cAnd tribal communities, our world can be very small. And so, when there is one loss it effects so many people within our community. And it is felt deeply.\u201d
In an interview with The Associated Press, she referenced the complex law enforcement jurisdictional maze that exists in Indian Country and the role she suspects it has played in this crisis.
\u201cSome tribes have their own tribal police, some have a contract with the county police and some just rely on the federal police,\" she said. \u201cAnd so having this mix of jurisdiction may seem attractive to some of the traffickers out there.\u201d
Kauffman said she sees this as merely a first step toward addressing the issue, and one that would help tribal Nations address the crisis in a manner that is distinct to them.
\"The services will be provided in a manner that really honors our culture, our traditions, our services, our value systems, and also to include our ceremonies in an intergenerational setting so that we have the respect and understanding of our elders as well as with our youth,\u201d she said.
Democratic Gov. Jay Inslee has also pushed for funding to address the crisis. In his 2024 proposed supplemental budget, he recommended funding a campaign to spread awareness in tribes about opioids, including how to find treatment and use naloxone, an opioid overdose reversal medication.
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Some worry that failing to include such limits will sink their chances of passing abortion protections. The conflict has been especially divisive in Missouri, where conflicting strategies are complicating efforts to push ahead with a ballot measure in a state with one of the nation's strictest abortion bans.", + "bylines": [ + { + "by": "By CHRISTINE FERNANDO and SUMMER BALLENTINE", + "title": "Associated Press" + } + ], + "located": "JEFFERSON CITY, Mo.", + "datelinelocation": { + "city": "Jefferson City", + "countryareacode": "MO", + "countryareaname": "Missouri", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -92.17352, + 38.5767 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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(AP) \u2014 Reproductive rights activists in Missouri agree they want to get a ballot measure before voters this fall to roll back one of the strictest abortion bans in the country and ensure access. The sticking point is how far they should go.
The groups have been at odds over whether to include a provision that would allow the state to regulate abortions after the fetus is viable, a concession supporters of the language say will be needed to persuade voters in the conservative state.
It's a divide that's not limited to Missouri.
Advocates say the disagreements there and in other states where activists are planning abortion-rights measures this year have resurfaced long-brewing ruptures among reproductive rights advocates. The divisions are most acute in Republican-leaning or closely divided states, where some worry that failing to include limits related to viability will sink the measures.
The conflict has been especially sharp in Missouri, where dueling strategies have complicated efforts to push ahead with a ballot measure seeking to reinstate the right to abortion.
\u201cThe movement is grappling with its value system,\u201d said Bonyen Lee-Gilmore, the Kansas City-based vice president of communications for the National Institute for Reproductive Health, which opposes viability clauses.
Viability is used by health care providers to describe whether a pregnancy is expected to continue developing normally or whether a fetus might survive outside the uterus. It's generally considered to be around 23 or 24 weeks into pregnancy but has shifted downward with medical advances. The American College of Obstetricians and Gynecologists opposes viability language in legislation or regulations.
Some say it creates an arbitrary dividing line and stigmatizes abortions later in pregnancy, which are exceedingly rare and usually the result of serious complications, such as fetal anomalies, that put the life of the woman or fetus at risk.
The Supreme Court's 1973 Roe v. Wade decision established a constitutional right to abortion but also created a framework that allowed states to regulate abortions at certain points during pregnancy. Since the current court overturned it in 2022, \u201cRoe is the floor, not the ceiling\u201d has become a rallying cry for activists who vowed to rebuild access, especially for marginalized communities, according to Pamela Merritt, executive director of Medical Students for Choice, a group that opposes viability clauses.
Yet measures proposed for this year's ballot in Missouri, Florida and Arizona have been replicating Roe\u2019s viability framework, as did an Ohio constitutional amendment guaranteeing the right to abortion that passed last year.
Shortly after that election, a Black Ohio woman who miscarried in her bathroom was charged with abuse of a corpse. The amendment\u2019s viability clause was cited as justification for allowing the case to move forward, though a grand jury ultimately dismissed the case.
The charges are part of a larger effort by anti-abortion forces in Ohio to use the viability clause to limit the reach of the amendment, said Merritt. Many of these efforts will wind up in Ohio\u2019s largely conservative court system, she added.
\u201cWhen you hand them the scalpel, you can\u2019t turn around and be surprised when they start cutting,\u201d Merritt said.
In South Dakota, the local Planned Parenthood affiliate has pulled out of ballot measure efforts for a proposal that allows lawmakers to restrict abortion after the first trimester. In a statement, the group said the proposal fails to protect abortion rights.
In Oklahoma, viability has been central to conversations about a potential ballot measure to repeal the state's abortion ban, said Rebecca Tong, co-executive director of Trust Women, which provides abortion care. Tong said viability is \u201cnot something we want written into the Constitution in Oklahoma.\u201d
But Lauren Brenzel, campaign director for Floridians Protecting Freedom, said viability has not been a major focus in conversations around ballot measure language in a state that could soon ban the procedure after six weeks of pregnancy if the Florida Supreme Court upholds a previously passed 15-week ban. The campaign recently reached the necessary number of verified signatures to qualify an abortion-rights measure for this year's ballot that includes a viability clause.
\u201cViability is the framework that Florida had used until the legislators started passing abortion bans,\u201d Brenzel said. \"What we know is that voters understand this, and we see it as clear and concise language that matches with what the standard was in Florida for a long time.\u201d
Viability language in Florida\u2019s proposed measure has already opened the door to a legal challenge from the state\u2019s Republican attorney general, who has asked the state Supreme Court to keep the measure off the ballot because of vagueness over the meaning of the term.
A few states, including California and Vermont, have enshrined abortion rights in their constitutions without viability limits. Proposed amendments in Maryland and New York also don\u2019t mention viability.
Missouri has found itself in the center of the national debate over the issue as abortion-rights groups have split over which of 11 versions of a measure to support for the ballot. The petitions have been tied up in court for months after being challenged by Republican Secretary of State Jay Ashcroft.
Complicating the effort is another initiative petition \u2014 one proposed by a Republican, strategist Jamie Corley. It would allow abortions up to 12 weeks into pregnancy and include exceptions for rape, incest or to protect the life of the mother until viability.
Corley said those restrictions are what's feasible to pass in Missouri, where Republicans banned abortions except in medical emergencies.
\u201cPro-life, anti-abortion voters, a lot of them are still OK with legal but limited access,\u201d Corley said.
Some reproductive rights groups advocating for versions of a more permissive ballot measure with a viability clause raised concerns that anti-abortion forces would attack proposals without one by saying it was an attempt to legalize abortion \u201cup until birth\u201d or \u201cabortion on demand,\u201d terms considered misleading by medical experts.
Sarah Standiford, national campaigns director of Planned Parenthood Action Fund, said reproductive rights groups must balance their desire for the most expansive access with proposals that can withstand legal challenges and qualify for the ballot.
She acknowledged that such an approach \u201cmay ultimately advance a policy that is far short of the ideal.\u201d
Other activists say they\u2019re increasingly frustrated by compromises they see as based on fear and repeating past mistakes in Roe v. Wade that prevented abortion access for the most vulnerable, including people with higher-risk pregnancies, those with lower incomes, people of color and people living in rural communities.
\u201cIt is a restriction under the guise of reproductive freedom,\u201d said Jennifer Villavicencio, senior director of public affairs and advocacy at the Society of Family Planning.
In Missouri, it's yet to be seen how and if activists divided over viability will come together. To many, there\u2019s a sense of urgency to restore at least some rights.
\u201cReal lives are on the line, and that has to be part of these political considerations,\u201d said Mallory Schwarz, executive director of Abortion Action Missouri. \u201cWe have to consider both what is politically possible and also look at why that is possible in that moment.\u201d
___
Fernando reported from Chicago.
___
The Associated Press receives support from several private foundations to enhance its explanatory coverage of elections and democracy. See more about AP\u2019s democracy initiative here. The AP is solely responsible for all content.
__
This story was first published on January 16, 2024. It was updated on January 17, 2024, to explain that Florida\u2019s six-week abortion ban will take effect if the state supreme court upholds a previously passed 15-week ban.
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Updates Media.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "US--Election 2024-New Hampshire-Opioids", + "headline": "Some New Hampshire residents want better answers from the 2024 candidates on the opioid crisis", + "headline_extended": "Drug overdose deaths in New Hampshire have increased in recent years, and some residents want to hear more from the presidential candidates about how they'd help", + "headline_seo": "For GOP candidates, opioids are a campaign issue. In NH, it's personal.", + "slugline": "AP-US--Election 2024-New Hampshire-Opioids, 2nd Ld-Writethru", + "description_summary": "Drug overdose deaths in New Hampshire have increased in recent years, and some residents want to hear more from the presidential candidates about how they'd help. Much of the talk from the Republican presidential hopefuls has focused on the supply side. 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(AP) \u2014 Kristina Amyot\u2019s life has drastically improved since the last New Hampshire primary, but she isn\u2019t confident the current candidates will help others achieve the same success.
Amyot, 36, spent more than half her life struggling with addiction, mainly to heroin, before joining Hope on Haven Hill, a comprehensive program for pregnant women and mothers that includes residential treatment, transitional housing and a wide array of support services. Today, she\u2019s financially independent with a job, apartment and family she loves.
\u201cI will never put myself through that again,\u201d she said in an interview last week. \u201cI have self-worth now.\u201d
New Hampshire, a small state with an outsized role in presidential politics, has heard from candidates promising action on the opioid crisis for several presidential elections now. And some of those closest to the problem here say they\u2019re dissatisfied with how the Republicans competing in Tuesday\u2019s primary have focused on the border and law enforcement instead of treatment and recovery.
Regardless of the election's outcome, Amyot said she is skeptical that anything will change.
\u201cI feel like every four years it gets talked about, and then it gets lost. We don\u2019t really do much with it, and that\u2019s something that needs to change because this should be one of the top priorities,\u201d she said. \u201cTo think that these people don\u2019t care about us is really sad.\u201d
Starting in the late 1990s with the overprescribing of opioid painkillers, the nation's drug crisis evolved to encompass heroin and then fentanyl, which in recent years often has been cut into other street drugs, often without the users' knowledge. More than 80,000 people died of opioid overdoses in 2022, according to the U.S. Centers for Disease Control and Prevention.
In 2015, New Hampshire's drug overdose death rate was the second highest in the nation. And while the state has made progress since then, the numbers have gone back up. The final tally for 2022 \u2014 486 deaths \u2014 was only four short of the all-time high for New Hampshire, a state of about 1.4 million people.
\u201cIn New Hampshire, we are losing more than a person a day,\u201d said Kerry Norton, who co-founded Hope on Haven Hill in Rochester in 2016. \u201cIt\u2019s so easy for everyone to forget that it\u2019s still killing generations of people, and it\u2019s still making communities and states and families and friends lose their loved ones.\"
Republicans who will be on the New Hampshire campaign trail this week have primarily focused on stopping the influx of illegal drugs at the southern U.S. border.
Former President Donald Trump, who once described New Hampshire as a \u201cdrug-infested den, \u201d has proposed using the military against foreign drug cartels, a view echoed by Florida Gov. Ron DeSantis and former U.N. Ambassador Nikki Haley. DeSantis also has said drug smugglers should be shot \u201cstone cold dead,\" while Haley has proposed cutting off trade with China \u201cuntil they stop murdering Americans with fentanyl.\u201d China is accused by many experts of allowing the export of precursor chemicals used to make synthetic opioids like fentanyl.
But that\u2019s only part of the equation, argues Jay Ruais, a Republican who was sworn in this month as mayor of Manchester, New Hampshire\u2019s largest city.
\u201cI think we also have to address it on the demand side as well. What are we doing for prevention for kids in schools? What are we doing for those who need more treatment? What are we doing for people who are outside of treatment? And on the recovery side, housing is a big component as well,\u201d said Ruais. \u201cIt requires a systemic response where we\u2019re dealing with everything from A to Z.\u201d
During his own campaign, Ruais described how completing a court-ordered rehabilitation program in 2010 after a second drunk driving arrest deepened his sense of empathy for those struggling with addiction.
\u201cIt\u2019s a deeply personal issue to me. It\u2019s why I ran for mayor to begin with,\u201d he said. \u201cBut I certainly think that any candidate coming to speak in New Hampshire should be talking about this issue.\u201d
After two big leaps at the beginning of the COVD-19 pandemic, drug overdose deaths nationally rose 2% in 2022 to nearly 110,000. In New Hampshire, overdose deaths declined significantly before the pandemic and held steady in 2020, in part thanks to the creation of a hub-and-spoke model called \u201cThe Doorway,\u201d in which hospitals work with local providers to connect patients with services close to home. But the state's 486 deaths in 2022 marked an 11% increase from the previous year.
Norton said above all, she wants a president who recognizes that substance use disorder is a disease and will treat the crisis as a public health emergency. Punitive policies don\u2019t help people who end up in the program due to trauma, abuse and lack of connection, she said.
\u201cI\u2019m not an expert in any way on how controlling the border is going to help,\u201d she said. \u201cWhat I do know is helping people have affordable health care, affordable housing, and basic rights and support is what will help here in New Hampshire.\u201d
Former New Jersey Gov. Chris Christie, who led a bipartisan White House commission on opioid misuse during the Trump administration, echoed that approach when he unveiled his national drug policy plan at Hope on Haven Hill's wellness center in December, a few weeks before dropping out of the race.
\u201cWe need an approach that remembers and reflects on the very basic humanity of every single one of those 100,000 victims, as well as the treasures each one of them could have brought to this country,\u201d he said.
Haley, too, struck a more compassionate tone when she visited the Rochester center Wednesday night. Holding one of the client\u2019s 12-day-old daughter throughout her remarks, she described her efforts to support an adult niece\u2019s recovery from addiction. She said her focus as president would be giving states more flexibility in spending federal funds rather than a one-size-all approach, and said she'd support investments in mental health treatment.
\u201cI know every day is a struggle,\u201d she told program participants. \u201cBut your goal is to make today better than yesterday.\u201d
After her daughter was returned to her, Emma Rosenthal said Haley will get her vote.
\u201cShe cares about people,\u201d she said.
Amyot, who also was in the audience, said she, too, is now a Haley supporter. Putting a woman in the White House might make a difference, she said.
\u201cThe next four years cannot continue the way it has been, because it\u2019s going to be so bad,\u201d she said. \u201cIt\u2019s so bad right now, and we\u2019re not doing much about it.\u201d
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(AP) \u2014 A bipartisan group of Kentucky lawmakers endorsed a bill Wednesday aimed at combatting a tragic health statistic by expanding access to insurance coverage for expectant mothers.
The goal is to reduce the Bluegrass State's maternal mortality rate, which ranks as the second-highest nationally, said Republican Rep. Kimberly Poore Moser, the bill's lead sponsor.
Maternal mortality is defined as a death during pregnancy or up to a year afterward. Common causes include excessive bleeding, infection, heart disease, suicide and drug overdose.
The bill has affectionately been dubbed the \u201cMomnibus Bill\u201d by supporters due to its many provisions aimed at supporting mothers through pregnancy, delivery and the postpartum period.
A central part of the measure would ensure that pregnancy is considered a qualifying life event for health insurance coverage. Some insurance policies cover deliveries but not the prenatal and postnatal care that's crucial for mothers and their infants, Moser has said.
\u201cThis will address any prenatal health issues that the mom is facing and improve outcomes during the pregnancy, during delivery and of course in the postpartum period,\u201d Moser said at a news conference.
Moser introduced the sweeping legislation on Wednesday, and it drew support from women lawmakers in both parties who stood at Moser's side during the kickoff event for the measure.
\u201cMost of us are parents and most of us recognize the need for strengthening our families, strengthening our health care overall and, of course, giving our newest citizens, our newborns, the best start in life that we can,\u201d Moser said. \"So I would say it's been very well received.\u201d
The bill's appeal was evident by the bipartisan gathering of lawmakers who represented a spectrum of political views, Democratic Rep. Sarah Stalker said. It reflected the widespread commitment to combat the state's \u201cabysmal maternal health outcomes,\u201d she said. And defining pregnancy as a qualifying life event for health insurance coverage is critical to reducing those death rates, she said.
\u201cWe know that ensuring early access to prenatal care is the best upstream method approach to bringing our maternal mortality rates down,\u201d Stalker said.
___
The legislation is House Bill 10.
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(AP) \u2014 What\u2019s expected to be an expensive and bitter fight over multiple Missouri abortion-rights ballot measures so far has not attracted much money.
An abortion-rights campaign called Missourians for Constitutional Freedom had no money on hand as of Dec. 31, according to campaign finance reports filed Tuesday. The group received $25,000 in nonmonetary aid from the American Civil Liberties Union last year.
The campaign has not yet announced which of 11 versions of its proposal it intends to push forward. Some versions would allow the Republican-led Legislature to regulate abortion after fetal viability, a divisive issue among abortion-rights activists.
A competing Republican-backed campaign raised roughly $61,000, most of which came from a $50,000 donation from Director Jamie Corley. Her proposal would allow abortions up to 12 weeks into pregnancy, and in cases of rape, incest or to protect the life of the mother, until fetal viability.
It typically costs millions of dollars just to pay workers to collect enough voter signatures to get a constitutional amendment on the Missouri ballot. Campaigns have until May to collect more than 170,000 signatures to get on the November ballot.
In Ohio, a successful 2023 initiative guaranteeing abortion rights cost a combined $70 million. Ohioans United for Reproductive Rights, the campaign in favor of the initiative, raised and spent more than $39.5 million to pass the constitutional amendment. Protect Women Ohio, the campaign against it, raised and spent about $30.4 million.
Meanwhile, an anti-abortion group called Missouri Stands with Women launched its own campaign Tuesday to block any abortion-rights measure from passing. Because the campaign was formed Tuesday, no fundraising has been reported yet.
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However, the document does not delve deeply into health-related details or implications, focusing more on the political and financial dimensions." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/01/17/530477ae9f861d7d6a20ebc7a30c372f.json b/datasets/AP_news/raw_data/2024/01/17/530477ae9f861d7d6a20ebc7a30c372f.json new file mode 100644 index 0000000..11fd0f5 --- /dev/null +++ b/datasets/AP_news/raw_data/2024/01/17/530477ae9f861d7d6a20ebc7a30c372f.json @@ -0,0 +1,255 @@ +{ + "altids": { + "itemid": "530477ae9f861d7d6a20ebc7a30c372f", + "etag": "530477ae9f861d7d6a20ebc7a30c372f_0a6aza0c0", + "friendlykey": "407153418257", + "referenceid": "RI--Rhode Island-State of State" + }, + "version": 0, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-01-17T00:05:12Z", + "firstcreated": "2024-01-17T00:05:11Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "signals": [ + "newscontent" + ], + "title": "RI--Rhode Island-State of State", + "headline": "Rhode Island governor says higher wages, better student scores and new housing among his top goals", + "headline_extended": "Higher wages, stronger student scores and increased housing production are some of the goals Rhode Island Gov. 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He also said he\u2019ll also propose $15 million for math and English Language Arts coaching for students and professional development for teachers and push for a $100 million housing production bond to jumpstart housing production.", + "bylines": [ + { + "by": "By STEVE LeBLANC", + "title": "Associated Press" + } + ], + "located": "BOSTON", + "datelinelocation": { + "city": "Boston", + "countryareacode": "MA", + "countryareaname": "Massachusetts", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -71.05977, + 42.35843 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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Dan McKee promised in his annual State of the State address Tuesday.
One pledge McKee made was to increase the buying power of the state\u2019s residents in coming years by setting a goal to raise the per capita income in the state by at least $20,000 by 2030.
Within the next 100 days, the administration will roll out a game plan for raising incomes, the Democrat said.
McKee also said the budget for the new fiscal year that he'll be submitting to the General Assembly later this week will prioritize programs that will help raise incomes while also making key investments in education, small businesses, and health care \u2014 all without raising broad-based taxes.
\u201cJust think how much housing insecurity and food insecurity we could address as a state if we double down and work to raise per capita income across Rhode Island, helping every family,\u201d McKee said.
Another priority for the new year is education.
McKee said that last year, the administration set a challenge for Rhode Island to reach Massachusetts student achievement levels by 2030, including by raising scores on the Rhode Island Comprehensive Assessment System assesments.
He said he'll propose $15 million for math and English Language Arts coaching for students and professional development for teachers to help meet the goal.
Another challenge facing Rhode Island, and many neighboring states, is the lack of housing.
To help jumpstart production, McKee said he'll propose that a $100 million housing production bond be placed before voters. He said the initiative would be the largest housing production bond in the state\u2019s history.
\u201cWe\u2019re going to ensure that \u2013 if approved by the voters \u2013 these dollars will create more inventory and help put young people on a path to homeownership in our state,\u201d he said.
Health care is another top issue. McKee said he'll sign an executive order in coming weeks focused on improving Rhode Island\u2019s health care systems and working to ensure \"we have access to an efficient and effective health care delivery system aligned with our state\u2019s needs.\u201d
To help make Rhode Island a leader in life sciences McKee pointed to a new State Health Lab that is being built. He also noted his budget will also propose construction of a new life science school at the University of Rhode Island through a bond referendum.
Other high-paying jobs include those in cybersecurity. McKee said he wants Rhode Island College to dedicate itself to responding to the demand.
\u201cLet\u2019s pass a first-of-its-kind cybersecurity bond to grow RIC\u2019s current cybersecurity program into a cybersecurity school of choice,\u201d he said. \u201cAnd in five years \u2013 let\u2019s have 1,000 students enrolled in this school graduating 250 students a year with these degrees.\"
On the tax front, McKee called for reducing the corporate minimum tax from $400 to $350 \u2013- a tax that he said impacts the state\u2019s smallest businesses the most. He also said he's targeting \u201csix annoying fees\u201d for elimination \u2013 including liquor manufacturing fees.
\u201cLet\u2019s finally pass an assault weapons ban in Rhode Island,\u201d he added.
The state is also looking ahead to its second offshore wind project, Revolution Wind, which is set to begin construction this year, he said. When complete, Revolution Wind will power nearly 263,000 households.
Another question McKee said he wants to put before voters on the 2024 ballot is whether the state should build a new State Archive and History Center to display the state's founding documents and important treasures.
Finally, McKee said the state is continuing to make strides on pitching itself as a destination, including to filmmakers, who used the state in the HBO series The Guilded Age.
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Authorities ordered schools across the southern African country to remain shut after the end-of-year holidays. A large soccer stadium in the capital has been converted into a makeshift treatment facility. The Zambian government is embarking on a mass vaccination program and has committed to providing 2.4 million liters of clean water daily to affected communities. Cholera is caused by a bacteria typically spread by contaminated food or water. The disease is strongly linked to poverty and inadequate access to clean water.", + "bylines": [ + { + "by": "By NOEL SICHALWE", + "title": "Associated Press" + } + ], + "located": "LUSAKA, Zambia", + "datelinelocation": { + "city": "Lusaka", + "countrycode": "ZMB", + "countryname": "Zambia", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + 28.28713, + -15.40669 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. 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A large soccer stadium in the capital city has been converted into a treatment facility.
The Zambian government is embarking on a mass vaccination program and says it's providing clean water \u2014 2.4 million liters a day \u2014 to communities that are affected across the southern African nation.
The national disaster management agency has been mobilized.
Cholera is an acute diarrhea infection caused by a bacteria that is typically spread via contaminated food or water. The disease is strongly linked to poverty and inadequate access to clean water.
The outbreak in Zambia began in October and 412 people have died and 10,413 cases have been recorded, according to the latest count on Wednesday from the Zambia Public Health Institute, the government body that deals with health emergencies.
The Health Ministry says cholera has been detected in nearly half of the country's districts and nine out of 10 provinces, and the nation of about 20 million people has been recording more than 400 cases a day.
\u201cThis outbreak continues to pose a threat to the health security of the nation,\u201d Health Minister Sylvia Masebo said, outlining it was a nationwide problem.
The United Nations Children's Fund, UNICEF, called the fatality rate of around 4% in the three-month outbreak \u201ca devastatingly high number.\u201d When treated, cholera typically has a death rate of less than 1%.
There have been recent cholera outbreaks in other southern African nations including Malawi, Mozambique and Zimbabwe. More than 200,000 cases and over 3,000 deaths have been reported in southern Africa since the start of 2023, UNICEF said.
Malawi had its worst cholera outbreak in decades in 2023. Last year, the World Health Organization reported that about 30 countries globally, also including Nigeria and Uganda in Africa, suffered serious outbreaks in the last few years.
Cholera barely affects countries in the developed world and can be easily treated but can be quickly fatal if not treated.
More than half \u2014 229 \u2014 of the victims in the Zambian outbreak died before being admitted to a health facility, the public health institute said.
Zambia has had several major cholera outbreaks since the 1970s but this one is the worst for 20 years in terms of the caseload, according to Dr. Mazyanga Mazaba, the director of public health policy and communication at the public health institute.
The cholera bacteria can also survive longer in warmer weather and unusually heavy rains and storms in southern Africa have contributed to recent outbreaks, experts say.
WHO said last year that while poverty and conflict remain the main drivers for cholera, climate change has contributed to the disease's upsurge in many places across the globe since 2021 by making storms wetter and more frequent. A cyclone sparked a spiraling cholera outbreak in Mozambique last year.
Heavy rains and flash flooding in Zambia have converted some neighborhoods into soggy or waterlogged areas.
The Zambian government announced in early January that schools \u2014 which were meant to open for the year on Jan. 8 \u2014 will only open on Jan. 29. Parents and children were urged to make use of education programs on public TV and radio, a situation that had echoes of the COVID-19 pandemic.
The education minister ordered schools to be cleaned and inspected.
Zambia's Disaster Management and Mitigation Unit was mobilized and it was delivering large water tanks and trucking in clean water to some neighborhoods daily. Granulated chlorine to treat water was also being provided, it said.
The majority of cases are in the capital, Lusaka, where a 60,000-seat national soccer stadium has been converted into a treatment center and is dealing with around 500 patients at any one time, the health minister said.
She said Zambia had received around 1.4 million doses of the oral cholera vaccine from the WHO and expected more than 200,000 more to arrive soon. Zambian government officials, including Masebo, took a vaccine publicly to encourage others to also do so.
Health experts have previously warned that the numerous cholera outbreaks globally have strained the supply of vaccines, which are mostly distributed to poor countries through an international body run by the U.N. and partners. Vaccines alliance Gavi predicted that the vaccine shortage could last until 2025.
___
AP Africa news: https://apnews.com/hub/africa
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January 16, 2024.
Editorial: Disorder in the court
More can be done to reduce the amount of horrid behavior by New York\u2019s judges, or at least bring it into public view sooner.
Roughly a third of the people who dispense justice in New York\u2019s judiciary are non-lawyers presiding over town and village courts. Most of them are public servants who comport themselves with civility and propriety. But the state Commission on Judicial Conduct, the system\u2019s watchdog entity, regularly uncovers bad apples who engage in behavior \u2014 boorish, unethical, sexist, racist or all of the above \u2014 that\u2019s corrosive to the reputation of the judiciary and the smooth operation of local courts.
Just from the past few months, consider the cases of William H. Futrell, a Town Court justice in Cayuga County whose Facebook postings included Nazi imagery and \u201clikes\u201d on images of scantily clad women; June Shepardson, who held both a Town and Village Court role in Cayuga County, and resigned while under investigation for allegedly taking more than $6,000 in court funds (she pleaded guilty to grand larceny last month); Edward Mercer, a town justice in Greene County, who gave his own security company a no-bid $3,300 contract for a camera system, then falsified the invoice; and Randy Hall, a Town Court justice in Broome County, who engaged in workplace behavior and online postings better suited to a teen sex comedy, tried to use his judicial role during a dispute at a gas station, and made remarks to defendants that sent the clear message he had prejudged their cases.
All four non-lawyers were recommended for removal by the Judicial Conduct commission. As noted before in this space, that panel performs its duties with a doggedness that outdoes the legislative and executive branches (though that might be seen as damning with faint praise). The only problem: During the investigative process and the back-and-forth of resolving these matters, the commission is a black box that leaves the public in the dark as to whether a jurist is in deep or merely shallow trouble. (Only the Court of Appeals can remove a judge, though the judiciary can take the stopgap action of taking away a judge\u2019s cases in response to a credible complaint.) Legislation passed by the state Senate but so far ignored by the Assembly would make the commission\u2019s findings public as soon as formal charges are filed. In many of the cases listed above, that change would have brought these matters to public light a year earlier.
And while the numbers ebb and flow every year, roughly two-thirds of the commission\u2019s disciplinary determinations involve non-lawyer judges. Over the disciplinary panel\u2019s 45-year history, more than two-thirds of its dispositions involved town and village courts \u2014 the only venues where non-lawyer judges can serve.
This accounting is intended in no way to suggest that judges who are lawyers aren\u2019t capable of despicable behavior; the commission\u2019s archives include plenty of those cases, as well. (No less a legal personage that former Chief Judge Janet DiFiore retired while under investigation by the commission.) But there does appear to be an opportunity for non-lawyer judges to benefit from additional training, mentoring or monitoring that might reduce these types of antics. As farcical as some of the behavior listed above might sound, the application of justice is no joke, and it shouldn\u2019t be handled by clowns.
___
Oneonta Daily Star. January 12, 2024.
Editorial: Prenatal care vital in addressing infant mortality trends
For all of the bad news that seems to crop up on a daily basis, the quality of life of the average American has improved in recent years. By and large, people are living longer and have access to better medical care than ever before.
But despite this progress, the U.S. has fallen behind the rest of the developed world in one of the most important areas of all: delivering and nurturing healthy babies.
Infant mortality is one of the telltale signs of how a nation is able to care for its citizens and recent data suggests that America is not coming anywhere close to meeting adequate standards.
Fortunately, there has been a push to amend this troubling trend in New York state.
Gov. Kathy Hochul recently proposed legislation that would give pregnant people in the state 40 hours of paid leave to attend prenatal medical appointments.
This is part of a plan to expand the state\u2019s paid family leave policy and prenatal care in order to prevent the deaths of both mothers and infants.
New York\u2019s current paid leave policy only applies after a child is born. If the legislation is approved, it would make New York the first state to have blanket coverage for prenatal care.
It\u2019s a badly needed step considering the frightening infant mortality numbers in New York and the rest of the country.
The infant mortality rate is a measure of how many babies die before their first birthday. Primary causes include birth defects, preterm births, accidents and injuries, and complications during pregnancy, according to the Center for Disease Control and Prevention.
In 2022 the United States saw an increase in infant mortality for the first time in more than 20 years.
A report from the National Center for Health Statistics released in November showed overall infant mortality in the U.S. was 5.6 infant deaths per 1,000 live births, a 3% increase from 2021 to 2022.
Even without the year-over-year rise, that mortality rate is notably higher than rates seen in regions like Western Europe that are similarly developed.
Infant mortality is often worse among people of color who are less likely to receive routine medical procedures and often receive lower quality care overall.
What\u2019s odd is that the overall death rate in the United States fell 5% in 2022, a decrease attributed in part to the waning impact of COVID-19, especially amongst the elderly. The U.S. also saw a decrease in the number of maternal deaths last year.
However, a November report released by March of Dimes listed the U.S. as one of the most dangerous developed nations for childbirth, assigning a grade of D+ for its preterm birth rate for the second year in a row. This grade takes into account the state of a country\u2019s infant and maternal health.
One of the biggest reasons why American mothers-to-be are suffering is because many of them don\u2019t have proper access to adequate prenatal care.
A report from March of Dimes found more than 5 million women in America live in counties with limited or no access to maternity care services. These regions have come to be known as \u201cmaternity care deserts.\u201d
In the last five years, there has been a 4% increase in these deserts, which are classified as any county that doesn\u2019t have a hospital or birth center that offers obstetric care or has no obstetric providers. It\u2019s an issue that has been especially prevalent in regions such as the South and the Midwest.
It\u2019s important to note that despite last year\u2019s rise in infant mortality, the rate in the U.S. has gradually improved in recent years. But there are still ways to ensure it heads in the right direction.
These include extending Medicaid benefits to one year after a child\u2019s birth, expanding mandatory paid parental leave and funding maternal and infant mortality review committees.
There\u2019s no excuse for the United States to lag behind the rest of the world when it comes to the health of newborn babies. This proposed legislation must represent the beginning of a trend and not an aberration.
___
Jamestown Post-Journal. January 17, 2024.
Editorial: It\u2019s Time For A Real Study Of State\u2019s Population Loss
There is no one reason why New York is hemorrhaging population.
Former Gov. Andrew Cuomo may have been partly right when he joked people are moving to warmer climates because they\u2019re tired of the cold and snow in New York. Gov. Kathy Hochul may be partially right when she blames the lack of affordable housing in many communities. Those who point to high taxes, excessive regulations and high costs of living in much of the state may also be partially right.
The fact that there are so many possible causes \u2013 and zero consensus on possible solutions \u2013 tells us it\u2019s time for Democrats to hop on board with state Republicans\u2019 proposed legislation to create a commission on outmigration that examines why the state is losing population and that offers recommendations to reverse the state\u2019s population trends. The bill is sponsored by state Sen. James Tedisco, R-Clifton Park, and co-sponsored by several Republicans including state Sen. George Borrello, R-Sunset Bay. As proposed the commission would study housing, but Tedisco also wants the commission to study affordability, public safety, education and economic opportunity while holding at least one public hearing in each Economic Development Council region.
In our view Republicans are on the right track. If the governor is going to make such a big deal of outmigration, then putting all of her eggs in the basket of building more housing is foolish if there is a myriad of reasons leading people to leave the state. It\u2019s time for the state to take a serious look at outmigration in the same way it did Medicaid costs with the Medicaid Redesign Team or the Commission on Local Government Efficiency and Competitiveness chaired by former Lt. Gov. Stan Lundine of Jamestown.
It\u2019s time for a real and honest discussion of the state\u2019s population loss and a coordinated effort to reverse the trend.
___
Adirondack Daily Enterprise. January 12, 2024.
Editorial: House GOP must make good faith effort on border solutions
Rep. Elise Stefanik, in a show of spectacular hypocrisy, is among House Republicans who are pushing for the impeachment of Homeland Security Secretary Alejandro Mayorkas over his handling of the migrant crisis at the U.S.-Mexico border.
This call for an impeachment of a Cabinet secretary is extremely rare. It\u2019s happened only once before in U.S. history, in 1876, after a defense secretary was charged with receiving kickbacks in government contracts.
Stefanik\u2019s push for Mayorkas\u2019 impeachment comes mere weeks after she voted against the impeachment of the disgraced former GOP Rep. George Santos because, in her own words, it would set a \u201cdangerous precedent.\u201d Santos was the sixth representative to be impeached in history; the first since the Civil War to be expelled without a criminal conviction.
Santos was charged with 23 federal counts. The evidence supporting those charges continues to mount. Much of his background, which he campaigned on, was completely fabricated. If he were to continue to serve in Congress as Stefanik desired \u2014 effectively keeping Republicans\u2019 majority in the House from getting smaller \u2014 he would have continued to pull a public salary despite his lies and further discredit the important work of the House.
\u201cEvery day that Joe Biden and Secretary Mayorkas refuse to secure our borders they fail the American people, sacrificing our nation\u2019s safety, security, and sovereignty,\u201d Stefanik said at a press conference in Washington, D.C. this week.
Mayorkas, a respected attorney and Jewish immigrant whose family fled Cuba to the U.S. after the Cuban Revolution, has been charged with no real crimes by a law enforcement agency. Instead, as a bipartisan effort by Senators aims to negotiate a border security package, Republicans in the House seem to have given up on compromises and good faith negotiations, instead opting to try to push Mayorkas out over a policy dispute. House Republicans are claiming that Mayorkas is not enforcing federal immigration laws. The Department of Homeland Security has called Republicans\u2019 push for Mayorkas\u2019 impeachment \u201cbaseless and pointless.\u201d
The Constitution specifies that \u201chigh crimes and misdemeanors\u201d warrant impeachment \u2014 is there actual evidence to prove that Mayorkas\u2019 conduct rises to that level? If so, Republicans must make that evidence public and clear.
Last month, U.S. Border Patrol was expected to take a quarter of a million people entering the U.S. illegally into custody. There were a record number of arrivals at the southern border in December: 300,000. This trend\u2019s genesis spans further back than Biden. After Trump ended his zero-tolerance policy in 2018 following public outrage over migrant children being removed from their families, the Washington Post reports that smugglers \u201cquickly seized on\u201d the attention that the outrage had generated. Despite Trump\u2019s other hard-line policies, annual illegal crossing apprehensions peaked at 851,508 in 2019, a 12-year high, according to the Pew Research Center. But even before Trump was elected, in 2014, the number of migrants turning themselves over to Border Patrol agents had overwhelmed the agency\u2019s resources, prompting the Obama administration to open a new border processing facility with a capacity for 1,500 people \u2014 and the infamous \u201ccages\u201d to hold them, according to the Washington Post. This vexing issue has spanned multiple presidencies and just seems to continue to get worse.
But until there\u2019s evidence to prove a direct link between Mayorkas\u2019 conduct and the rising illegal crossings, this effort by House Republicans seems a useless, unproductive exercise in bomb throwing.
Despite what members of the House Freedom Caucus may want to believe, this sort of approach is clearly not working and will not work.
House Republicans, after ousting their own speaker last year and failing for weeks to agree on a replacement, have become mired by infighting. Last year, under a Republican majority, Congress passed just 27 bills. That makes this Congress the least productive since 1931-33. This is a disgrace to the GOP and not reflective of the party\u2019s great history.
If Republicans hope to keep control of the House after this year, they must demonstrate to voters that they are effective leaders who can make the sort of compromises necessary to make meaningful progress.
___
New York Post. January 16, 2024.
Editorial: Hochul\u2019s budget isn\u2019t terrible \u2014 but will she stand up to lawmakers who will want to make it so?
Gov. Hochul just rolled out a characteristically careful budget that points toward fiscal sanity.
Let\u2019s hope she sticks to her guns against the coming demands from the tax-and-spendaholic Legislature.
The gov has no new taxes in her $233 billion budget proposal and vows that if lawmakers push for a hike, she\u2019ll tell them to go take one.
Good: New York already has the heaviest state- and local-tax burden in the country, and it\u2019s driving people to flee.
And where Albany usually adds billions in new outlays, she aims to keep overall spending roughly flat.
State-funded outlays rise 4.5%, a bit more than inflation, offsetting drops in federal aid.
Budget rollbacks would be better: As the Citizens Budget Commission warns, in three years, the state will face a mammoth $15 billion budget gap \u2014 and that\u2019s assuming Albany doesn\u2019t need to help with migrant costs after this year, a huge risk.
Hochul also has no specific plans to keep Medicaid from bankrupting the state: It soared 38% over the past three years.
Yet she does deserve credit for focusing attention on that $27 billion-and-counting money-gobbler, as well as on education costs still soaring amid declining enrollments.
Her plan calls for slowing the growth of school aid ($35.3 billion) and shifting funds to account for population changes and to favor higher-need districts.
All commendable \u2014 though Hochul herself notes per-student outlays here blow away those in most other states, and her plans won\u2019t lower those costs one cent.
Hochul rightly flags the state\u2019s housing shortage, blaming it for fueling outmigration that\u2019s cost the state $6 billion in revenue, and she offered decent ideas to address it.
One disappointing sign: She failed to utter a word about fixing criminal-justice laws \u2014 cashless bail, Raise the Age \u2014 despite claiming public safety is her \u201cNo. 1 priority.\u201d
She clearly fears being rebuffed by prog lawmakers. But if she can\u2019t win their backing to address her top priority, how will she resist new tax hikes and added budget bloat?
Hochul often shows she knows what\u2019s right for New York. Let\u2019s hope that this year she can get lawmakers to go along.
END
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These dangers can include carbon monoxide poisoning, hypothermia and frozen pipes that can burst and make homes unlivable.
Public safety officials and experts say there are multiple ways people can prepare themselves to avoid these winter weather hazards and keep themselves safe.
Officials say that during a winter storm, people should stay indoors. But home heating systems running for hours can increase the risk of carbon monoxide poisoning as the deadly fumes can be produced by furnaces, stoves and heaters, according to the U.S. Centers for Disease Control and Prevention.
Carbon monoxide can also be created when people use portable generators or run cars in their garages to stay warm or charge their phones.
Dr. Alex Harding, assistant professor of emergency medicine at the Baylor College of Medicine in Houston, said that because carbon monoxide is odorless and colorless, people won\u2019t necessarily be aware of it.
\u201cThe symptoms of carbon monoxide poisoning can be really insidious. They can sneak up on patients and can range from just developing a headache or maybe a little bit of nausea to all the way to losing consciousness and seizures,\u201d he said.
As Texas saw temperatures dip below freezing in January, Houston Fire Department Chief Samuel Pe\u00f1a warned residents not to operate generators inside their homes or even in their garages.
\u201cWe all don\u2019t want you to sacrifice safety for warmth,\u201d Pe\u00f1a said.
Prolonged exposure to frigid temperatures can put people at risk to hypothermia, a condition that happens when one\u2019s body loses heat faster than it can produce it.
\u201cHypothermia is definitely one of the bigger concerns, especially if we do have any kind of certainty in like power grids or electricity failing,\u201d Harding said.
The danger of hypothermia is greater for someone who is outside, exposed to wind gusts and isn\u2019t wearing appropriate clothing or has clothing that gets wet.
\u201cIf they have a safe place that\u2019s warm, where they can hunker down, where they have water and food and all those kind of necessities \u2026 then that\u2019s going to limit their exposure to those risks,\u201d Harding said.
But vulnerable populations like people with disabilities or homeless individuals can have problems finding a warm and safe place to stay.
In Houston, officials have worked in recent years to improve their services for disabled individuals and homeless people during winter weather and other situations, like natural disasters, said Julian Ochoa, who is the Houston Office of Emergency Management\u2019s emergency preparedness manager for vulnerable populations.
Frozen pipes in a home during severe winter weather is a particular problem in parts of the South because such equipment is often located outside structures. But other parts of the country also have to deal with this problem.
Jose Parra, a master plumber with Abacus Plumbing, Air Conditioning & Electrical in Houston, advises people to insulate any pipes that are exposed to the outside, turn off and drain sprinkler systems and let faucets inside a home drip during freezing temperatures so water can run through the pipes and protect them.
\u201cA lot of what we\u2019re fixing, I would say 80% to 90%, could have been prevented with just a little bit of work ahead of time,\u201d Parra said.
___
Follow Juan A. Lozano on X, formerly Twitter: https://twitter.com/juanlozano70
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(AP) \u2014 The South Dakota House passed a bill Wednesday that would make xylazine, an animal sedative that is being mixed with fentanyl and then used by some people, a controlled substance.
The measure, which passed unanimously in the Republican-held House and now goes to the Senate, would establish penalties of up to two years in prison and fines of up to $4,000 for possession and use of xylazine. There are exceptions for veterinary use, however.
Xylazine in humans can cause health problems including difficulty breathing, dangerously low blood pressure, a slowed heart rate, wounds that can become infected and even death, according to the Centers for Disease Control and Prevention. Last year the Office of National Drug Control Policy designated the combination of fentanyl and xylazine as an \u201c emerging threat.\u201d
The South Dakota Health Department and Republican state Attorney General Marty Jackley brought the bill in South Dakota. Jackley said Congress has been slow to act even as xylazine has \u201cbecome a national epidemic.\u201d
As things stand now, \u201cIf we were to arrest a drug dealer and they don't have fentanyl on them yet, and they've got a pile of xylazine, we can't confiscate it, we can't arrest them for it, and that's a serious concern,\u201d Jackley said.
Police are encountering xylazine in the state, mainly in Sioux Falls, he said.
Gov. Kristi Noem highlighted the issue of xylazine in her recent State of the State address.
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(AP) \u2014 Blood tests of a construction worker who collapsed Wednesday outside a building owned by Yale University led emergency crews to uncover potentially lethal levels of carbon monoxide inside. Another 13 people were hospitalized, but the discovery may have prevented a much larger catastrophe, officials said.
\u201cThere was a disaster averted here,\u201d said Rick Fontana, New Haven\u2019s emergency operations director. \u201cYou could have had a lot more sick or a lot more death had this gone on for a longer period of time.\u201d
Emergency crews initially thought they were responding to a \u201cregular medical call\u201d Wednesday morning when they brought the collapsed unconscious man to the hospital, Fontana said. However, an hour-and-a-half later, the hospital informed them that the worker had extremely high levels of carbon monoxide in his bloodstream.
Crews then returned to the location and found 13 people at the building with elevated carbon monoxide levels and complaining of headaches. It was later determined that the construction workers had been using a propane-fueled saw to cut concrete inside the structure. Even though they were venting it, Fontana said the fumes were not exiting the building.
Of the 14 people who were hospitalized, nine were construction workers and five were members of Yale Security Department, which is located in the same facility, said a spokesperson for Mayor Justin Elicker.
The man found lying outside of the building, which is a couple of blocks from Yale's New Haven campus, was taken to Jacobi Medical Center's hyperbaric chamber in the Bronx, New York City, where he was in critical condition, Fontana said. He said another worker was also in \u201cpretty serious condition\u201d but was uncertain where he was taken.
\u201cThat carbon monoxide, it\u2019s not like you could smell it or see it or feel it,\u201d he said. \u201cEverybody thought that it was being vented properly until we were notified of this group of people.\u201d
Fontana said a typical home carbon monoxide detector sounds an alarm when it detects 35 parts per million. In this situation, there were 350 parts per million, or 10 times the permissible level.
Inhaling carbon monoxide fumes hinders the body from properly using oxygen and can harm organs, including the heart and brain.
The Occupational Safety and Health Administration is investigating the incident. A Yale spokesperson said in an email it took about a half-hour for carbon monoxide levels in the building to reach a safe level. Yale first responders also checked adjacent areas but did not detect any of the gas.
___
This story was updated to correct that only nine of the 14 people who were hospitalized are construction workers. The other five are Yale employees. The first victim was taken to a hospital in the Bronx not Brooklyn, N.Y.
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The measure would bar health professionals from performing gender-transition surgeries, prescribing puberty-blocking drugs and overseeing hormone treatments for patients under 18 years old. It goes next to the state Senate. The 82-23 vote comes as Republican-led statehouses nationwide are restricting transgender people\u2019s access to health care, sports leagues and bathrooms that align with their identity. Also in Missouri, a House committee on Wednesday was debating a slate of anti-transgender legislation, even though Republican legislative leaders have said LGBTQ+-related bills are not a top priority this session.", + "bylines": [ + { + "by": "By JAMES POLLARD and SUMMER BALLENTINE", + "title": "Associated Press" + } + ], + "located": "COLUMBIA, S.C.", + "datelinelocation": { + "city": "Columbia", + "countryareacode": "SC", + "countryareaname": "South Carolina", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -81.03481, + 34.00071 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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(AP) \u2014 The Republican-led South Carolina House overwhelmingly approved a ban on gender-affirming care for transgender minors on Wednesday, while a Missouri legislative committee discussed a slew of like-minded proposals.
The measures' consideration in the two GOP strongholds highlights the continued interest among conservative lawmakers in targeting issues that impact LGBTQ+ people after a wave of high-profile bills last year. The South Carolina proposal will soon head to the state Senate, where the chair of the Medical Affairs Committee has said it would have his attention.
South Carolina is one of the few Southern states without a ban on gender-affirming care for minors. The bill its Republican-dominated House approved would bar health professionals from performing gender-transition surgeries, prescribing puberty-blocking drugs and overseeing hormone treatments for patients under 18 years old. People under 26 could not use Medicaid to cover the costs for such care, and school employees could not withhold knowledge of a student\u2019s transgender identity from their legal guardians.
Doctors and parents told lawmakers last week that such treatment can be lifesaving, allowing young transgender people to live more fulfilling lives. They emphasized that people younger than 18 do not receive gender-transition surgeries in South Carolina and hormone treatments begin only after extensive consultation with health professionals.
Research has shown that transgender youth and adults are prone to stress, depression and suicidal behavior when forced to live as the sex they were assigned at birth.
But Republican South Carolina Rep. John McCravy, a co-sponsor of the bill, said Wednesday that \u201cunpublished evidence\u201d shows puberty blockers increase self-harm and decried the banned treatments as irreversible. He described transgender children as \u201cmentally disturbed youth\u201d in need of protection from \u201cmutilation\" \u2014 a narrative that expert panels in the nation\u2019s major medical associations have said is false.
Democrats tried to cut the provision blocking Medicaid coverage for children and young adults seeking gender-confirming treatments. They accused Republicans of political fearmongering and said the bill will mean further ostracization for transgender youth if it becomes law.
Democratic South Carolina Rep. Marvin Pendarvis said Republicans should stick to their stated goal of protecting children and should not also limit adults' health care access.
\u201cIs it really about protecting minors or is it about attacking a group of people that you don\u2019t agree with their lifestyle?\u201d Pendarvis asked.
Republican South Carolina Rep. RJ May, the vice chair of the state's ultra-conservative Freedom Caucus, compared public funding for any transition surgeries \u2014 regardless of the patient's age \u2014 to public funding for \u201clifestyles\u201d like drug addiction.
Some other Republicans failed to add more definite penalties. The bill allows medical licensing boards to discipline health care professionals who provide the banned treatments. It does not expose medical providers to criminal liability as in Florida or civil liability as in Georgia.
In Missouri, a House committee on Wednesday was debating a slate of anti-transgender legislation, even though Republican legislative leaders have said LGBTQ+-related bills are not a top priority this session. Lawmakers last year passed a partial ban on gender-affirming health care treatments for minors and limits on what sports teams student athletes can join based on the sex they were assigned at birth.
New measures would regulate public school bathroom use and define male and female in state laws as being based on a person\u2019s sex assigned at birth.
Another proposal would apply the ban on gender-affirming health care to all minors and repeal its 2027 expiration date.
Republican Missouri Rep. Brad Hudson, who proposed last year's ban, said there should have never been a \u201csunset\u201d in the first place.
Democratic Missouri Rep. David Tyson Smith said legislation aimed at transgender people is a campaign tactic to attract Republican votes. Smith said it\u2019s \u201ctime we turn the page.\u201d
\u201cFor this to dominate the airwaves over and over again, it\u2019s too much,\u201d Smith said.
The bills are among dozens this year in red states designed to restrict medical care for transgender youth \u2014 and in some cases, adults \u2014 or to govern the pronouns students can use at school, which sports teams they can play on, and the bathrooms they can use, along with efforts to restrict drag performances and some books and school curriculums.
At least 22 states have enacted laws restricting or banning gender-affirming medical care for transgender minors, and many of those states face lawsuits. Courts have issued mixed rulings. Enforcement is blocked in three states and enforcement is allowed in seven others. The Ohio Senate later this month is expected to override Republican Gov. Mike DeWine\u2019s veto of that state\u2019s ban.
Major medical groups, including the American Medical Association and the American Academy of Pediatrics, oppose the bans and have endorsed such care, saying it\u2019s safe when administered properly.
___
Ballentine contributed from Jefferson City, Mo. Pollard is a corps member for the Associated Press/Report for America Statehouse News Initiative. Report for America is a nonprofit national service program that places journalists in local newsrooms to report on undercovered issues.
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The number of deaths rose by 690,000 to 11.1 million, more than double the previous year's increase. Demographers said the rise was driven by the aging of the population and the widespread COVID-19 outbreaks that started in December 2022 and continued into February of last year.
The total population stood at 1.4 billion, the statistics bureau said. China, long the most populated country in the world, dropped into second place behind India in 2023, according to U.N. estimates.
The falling births reflect a decline in the fertility rate that is a long-term economic and societal challenge for China. Women are having fewer babies despite government incentives and the easing of its one-child policy in recent years to allow up to three children.
The lower fertility rate, together with people living longer because of better health care, means China is slowly growing older, something that could slow economic growth over time and challenge the government's finances and its ability to provide for a larger elderly population with fewer workers.
Experts expect the population decline to continue for decades, even if the fertility rate rebounds.
Demographer Zuo Xuejin, former executive vice president of the Shanghai Academy of Social Sciences., estimated that the proportion of the population that is 65 or older could double to more than 30% by 2050.
The government issued guidelines earlier this week on developing the \u201csilver\u201d economy and enhancing the well-being of older people. They included expanding geriatric hospital and nursing care, encouraging the development of clothing, food and other products suitable for older people, cracking down on scams that target the elderly and making it easier to operate a TV.
The number of births fell by 540,000, or 5.6%, which was smaller than the double-digit percent drops the previous three years. The 9 million babies born in 2023 were less than half the total in 2016. All the figures are estimates based on surveys and do not include Hong Kong and Macao. China conducts a full census every 10 years.
China, which once sought to control population growth with its one-child policy, is now facing the opposite problem. The government has sought to encourage births since gradually easing the policy over 2014 to 2016 to allow a second child and then a third child in 2021, but with little success.
Many people are delaying marriage or choosing not to have children. Even those who do often have only one child because of the high cost of educating children in cities in a highly competitive academic environment. The population of women of child-bearing age has also fallen.
Local governments are offering incentives for new children. A municipality in China\u2019s Inner Mongolia region has started offering payments of 2,000 yuan ($280) for a second child and 5,000 yuan ($700) for a third, as well as requiring that employers give an extra 60 and 90 days of paid maternity leave for the second and third child respectively, according to an online report by state-owned China National Radio.
President Xi Jinping told the new leadership of the All-China Women\u2019s Federation last October that it is necessary to strengthen the guidance of young people\u2019s views on marriage, parenthood and family and promote policies that support parenthood and cope with the aging of the population, according to a report on a government website.
\u201cWe must tell good stories about family customs, guide women to play a unique role in promoting the traditional virtues of the Chinese nation ... and create a new culture of family civilization,\u201d he was quoted as saying.
The working-age population, defined as those between 16 and 59 years old, fell to 61% of the total population, continuing a gradual decline. The proportion of those aged 60 and older ticked up to 21%. The official retirement age in China is 60 years old for men and 50 or 55 for women.
It is not clear how many people died from COVID-19 because of the sudden end to China's \u201czero-COVID\u201d restrictions in December 2022. The government has reported about 80,000 COVID-related deaths from early December to mid-February but experts believe the total was much higher. Studies have estimated deaths could have reached 1.4 million or 1.9 million.
The drop in population is expected to be less this year, because of the waning effects of the pandemic and the fact that the year of the dragon, which begins in February, is considered an auspicious year to have children, an expert said at a forum earlier this week, according to the English-language state-owned China Daily newspaper.
But Yuan Xin, a professor at Nankai University and vice-president of the China Population Association, added that \"the downward trend in China\u2019s total population is bound to be long-term and become an inherent characteristic.\u201d
___
Associated Press researchers Wanqing Chen and Yu Bing contributed to this report.
___
Follow AP's Asia-Pacific coverage at https://apnews.com/hub/asia-pacific
___
This story has been corrected to say that 690,000 was the annual increase in the number of deaths, not the total number of deaths, and that the easing of the one-child policy began in 2014.
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Charles will undergo a \u201ccorrective procedure\u201d for an enlarged prostate next week, Buckingham Palace said on Wednesday. The palace said the king\u2019s condition is benign.
Moments earlier, the princess\u2019 office announced that Kate would remain at a private hospital in London for up to two weeks after undergoing planned abdominal surgery. The princess, formerly Kate Middleton, is the wife of Prince William, the heir to the throne.
While it is somewhat unusual for members of the royal family to release details about their health, the twin announcements may help to avoid speculation if events featuring Charles or Kate have to be postponed or canceled over the coming weeks.
The publicity around the king\u2019s surgery is seen as an opportunity to encourage other men to have their prostates checked in line with public health advice. The 75-year-old monarch sought treatment \u201cin common with thousands of men each year,\u201d the palace said.
An enlarged prostate is common in men over age 50. The condition affects how one urinates and isn't usually a serious health threat. It\u2019s not cancer and doesn't lead to an increased risk of developing prostate cancer.
The U.K. and foreign media have been focused on the health of Britain\u2019s senior royals in recent years, first as the late Queen Elizabeth II faded from public view during the last months of her 70-year reign, then when Charles ascended the throne at an age when most of his contemporaries were long retired.
A series of events on the monarch\u2019s schedule have already been postponed, including plans for a number of foreign dignitaries and members of Prime Minister Rishi Sunak\u2019s Cabinet to travel to Dumfries House in Scotland.
Kate, 42, was admitted to The London Clinic on Tuesday.
The princess\u2019 office at Kensington Palace didn\u2019t offer further details, but said her condition wasn\u2019t cancerous. Though she has generally experienced good health, Kate was hospitalized while pregnant because of severe morning sickness.
Kate apologized for postponing upcoming engagements, and the palace said she wouldn't return to public duties until after Easter, Kensington Palace said.
\u201cThe Princess of Wales appreciates the interest this statement will generate,\u201d the palace said. \u201cShe hopes that the public will understand her desire to maintain as much normality for her children as possible; and her wish that her personal medical information remains private.\u201d
After Prince Harry and Meghan\u2019s stormy departure to California in 2020, the Prince and Princess of Wales have solidified their position as being among the most popular members of the royal family.
Kate, in particular, has remained a reliable royal in the public eye \u2014 the smiling mother of three who can comfort grieving parents at a children\u2019s hospice or wow the nation by playing piano during a televised Christmas concert.
___
AP journalists Jill Lawless and Sylvia Hui contributed to this report.
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These aspects are directly related to the topic of health." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/01/17/f7950cd73de899a51f1181246a76c9d5.json b/datasets/AP_news/raw_data/2024/01/17/f7950cd73de899a51f1181246a76c9d5.json new file mode 100644 index 0000000..68f2fe9 --- /dev/null +++ b/datasets/AP_news/raw_data/2024/01/17/f7950cd73de899a51f1181246a76c9d5.json @@ -0,0 +1,356 @@ +{ + "altids": { + "itemid": "f7950cd73de899a51f1181246a76c9d5", + "etag": "f7950cd73de899a51f1181246a76c9d5_0a7aza0c0", + "friendlykey": "348147748236", + "referenceid": "US--Pentagon Chief-Cancer" + }, + "version": 0, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-01-17T22:51:58Z", + "firstcreated": "2024-01-17T22:51:57Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "signals": [ + "newscontent" + ], + "title": "US--Pentagon Chief-Cancer", + "headline": "Aide to Lloyd Austin asked ambulance to arrive quietly to defense secretary's home, 911 call shows", + "headline_extended": "An aide to Defense Secretary Lloyd Austin asked first responders to avoid using lights and sirens in requesting an ambulance be sent to Austin's northern Virginia home earlier this month", + "slugline": "BC-US-Pentagon-Chief-Cancer", + "description_summary": "An aide to Defense Secretary Lloyd Austin asked first responders to avoid using lights and sirens in requesting an ambulance be sent to Austin's northern Virginia home earlier this month. 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"name": "United States", + "type": "AUDGEOGRAPHY" + } + ], + "associations": { + "1": { + "altids": { + "itemid": "81a57e4e1bf9496c881632e0e9400ef4" + }, + "type": "picture" + }, + "2": { + "altids": { + "itemid": "461e8b9886dd401ba85e7b3f9093bf28" + }, + "type": "video" + }, + "3": { + "altids": { + "itemid": "78c8f9278ef44424b0c43a403f70aed6" + }, + "type": "audio" + }, + "4": { + "altids": { + "itemid": "8f12f2df4b6741c2ad6ba406c49d876a" + }, + "type": "audio" + }, + "5": { + "altids": { + "itemid": "cf0b5d005ae346d0838def56bcf63767" + }, + "type": "audio" + } + }, + "body_nitf": "An aide to Defense Secretary Lloyd Austin asked first responders to avoid using lights and sirens in requesting an ambulance be sent to Austin\u2019s northern Virginia home after he had complications from surgery for prostate cancer that he had kept secret from senior Biden administration leaders and staff.
Austin was hospitalized Jan. 1 and admitted to intensive care after developing an infection a week after undergoing surgery. He was released from Walter Reed National Military Medical Center on Monday.
On the Jan. 1 call to the Fairfax County Department of Public Safety, a man who identified himself as a government employee described Austin as alert. The identity of Austin and the caller were redacted from a copy of the 911 audio, which was obtained by The Associated Press under the Freedom of Information Act. The caller named the street on which Austin lives.
In the four-minute call, the reason for needing the ambulance also was redacted. The caller said Austin was not having chest pains.
\u201cCan I ask, like, can the ambulance not show up with lights and sirens? Um, we\u2019re trying to remain a little subtle,\u201d the aide said, according to the recording.
A dispatcher responded that the ambulance would comply once it got near the home.
\u201cUsually when they turn into a residential neighborhood, they\u2019ll turn them off,\u201d the dispatcher said, adding that emergency sirens and lights are required by law on major roads when ambulances are responding to a call.
Austin was located on the ground floor of the residence, said the aide, who indicated he would be waiting outside for the ambulance.
The caller asked how long it would take to get to the home. The dispatcher said it depended on traffic and road conditions and said first responders would be arriving from the closest available station.
Details of the 911 audio file from the Fairfax County Public Safety Department were first reported by The Daily Beast.
As he recovers, Austin will be working from home. His doctors said he \u201cprogressed well throughout his stay and his strength is rebounding.\" They said in a statement the cancer was treated early and his prognosis is \u201cexcellent.\u201d
Austin, 70, was admitted to Walter Reed National Military Medical Center on Dec. 22 and underwent surgery to treat the cancer, which was detected earlier in the month during a routine screening.
Dr. John Maddox, the trauma medical director, and Dr. Gregory Chesnut, the director of the Center for Prostate Disease Research at Walter Reed, said that during Austin's hospitalization he underwent medical tests and was treated for lingering leg pain. They said he has physical therapy to do but there are no plans for further cancer treatment other than regular checks.
President Joe Biden and senior administration officials were not told about Austin's hospitalization until Jan. 4, and Austin kept the cancer diagnosis secret until Jan. 9. Biden has said Austin's failure to tell him about the hospitalization was a lapse in judgment, but the Democratic president insists he still has confidence in his Pentagon chief.
During Austin's time at Walter Reed, the U.S. launched a series of military strikes late last week on the Iranian-backed Houthis in Yemen, targeting dozens of locations linked to their campaign of assaults on commercial shipping in the Red Sea. Working from his hospital bed, Austin juggled calls with senior military leaders, including Gen. Erik Kurilla, head of U.S. Central Command, and White House meetings to review, order and ultimately watch the strikes unfold over secure video.
The lack of transparency about Austin\u2019s hospitalization, however, has triggered administration and Defense Department reviews on the procedures for notifying the White House and others if a Cabinet member must transfer decision-making authorities to a deputy, as Austin did during his initial surgery and a portion of his latest hospital stay. And the White House chief of staff ordered Cabinet members to notify his office if they ever can\u2019t perform their duties.
Austin's secrecy also drew criticism from Congress members on both sides of the political aisle, and Rep. Mike Rogers, an Alabama Republican who is chairman of the House Armed Services Committee, said he has opened a formal inquiry into the matter. Others openly called for Austin to resign, but the White House has said the Pentagon chief's job is safe.
It is still unclear when Austin will return to his office in the Pentagon or how his cancer treatment will affect his job, travel and other public engagements going forward. Deputy Defense Secretary Kathleen Hicks has been taking on some of his day-to-day duties as he recovers.
___
Follow the AP's coverage of Defense Secretary Lloyd Austin at https://apnews.com/hub/lloyd-austin.
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Therefore, the document is somewhat relevant to the topic of health but not highly focused on it." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/01/18/073e836a94349113336dae0556bb7d29.json b/datasets/AP_news/raw_data/2024/01/18/073e836a94349113336dae0556bb7d29.json new file mode 100644 index 0000000..1c94963 --- /dev/null +++ b/datasets/AP_news/raw_data/2024/01/18/073e836a94349113336dae0556bb7d29.json @@ -0,0 +1,160 @@ +{ + "altids": { + "itemid": "073e836a94349113336dae0556bb7d29", + "etag": "073e836a94349113336dae0556bb7d29_0a5aza0c0", + "friendlykey": "900944255850", + "referenceid": "US--3M-Settlement Payments" + }, + "version": 0, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-01-18T16:47:29Z", + "firstcreated": "2024-01-18T16:47:28Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: Updates Media.", + "signals": [ + "newscontent" + ], + "title": "US--3M-Settlement Payments", + "headline": "3M begins payments to service members in $6 billion earplug settlement", + "headline_extended": "3M has started paying out parts of its $6 billion settlement to U.S. service members who say they experienced hearing loss or other serious injuries after using faulty earplugs made by the company", + "slugline": "AP-US--3M-Settlement Payments", + "description_summary": "3M has started paying out parts of its $6 billion settlement to U.S. service members who say they experienced hearing loss or other serious injuries after using faulty earplugs made by the company. 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The chemical and consumer product manufacturer made a $250 million payment to the qualified settlement fund on Dec. 26, expected to result in 25,000 to 30,000 claimants dismissing associated litigation. And on Monday, 3M said it was accelerating another payment of $253 million to settle \u201cwave\u201d cases by Jan. 31.
\u201cAll the remaining \u2018wave\u2019 plaintiffs, whose claims were being prepared for trial prior to the settlement agreement, have now agreed to participate in the settlement and release their claims,\u201d 3M wrote Monday, noting that company amended existing settlement timing as a result of this \u201cstrong support.\u201d
Saint Paul, Minnesota-based 3M reached the $6 billion settlement agreement back in August \u2014 after over a quarter million veterans and current service members sued the company and Aearo Technologies, which 3M acquired in 2008, over their Combat Arms Earplugs.
Throughout years-long litigation, service members alleged that a defective design allowed the products to loosen slightly and possibly cause hearing damage, according to Aylstock, Witkin, Kreis, & Overholtz PLLC, one of the law firms representing plaintiffs.
At the time of announcing August's agreement, 3M maintained that the settlement \u2014 which consists of $5 billion in cash and $1 billion in stock \u2014 was not an admission of liability.
Payments were set to run from 2023 through 2029. It's unclear out each claimant will be notified and receive settlement checks. The Associated Press reached out to attorneys representing the plaintiffs for further information Thursday.
In a Tuesday statement to the Star Tribune, plaintiff attorney Bryan Aylstock said the legal team was \u201cpleased with 3M\u2019s decision to move up this payment and appreciate its commitment to the resolution of these claims.\u201d
Aylstock added that support for the settlement has been \u201coverwhelming\u201d so far and they \"expect to meet and indeed exceed the 98% participation threshold provided for in the settlement agreement in the coming weeks.\u201d
Prior to this settlement, 3M agreed to pay $9.1 million in 2018 to settle a lawsuit on behalf of the government alleging the company knowingly supplied defective earplugs to the U.S. military. There was no determination of liability in the agreement.
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It was their first march since the Supreme Court, seven months earlier, had overturned the nationwide right to abortion. At this year\u2019s march, on Friday in Washington, the mood will be different \u2013 reflecting challenges lying ahead in this election year. March participants will salute the 14 states enforcing bans on abortion throughout pregnancy. However, anti-abortion leaders know that their side has a seven-state losing streak in votes on abortion-related ballot measures. Even in red states such as Ohio, Kansas and Kentucky, outcomes favored protecting abortion access.", + "bylines": [ + { + "by": "By DAVID CRARY", + "title": "AP National Writer" + } + ], + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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At this year\u2019s march, on Friday, the mood will be very different \u2014 reflecting formidable challenges that lie ahead in this election year.
\u201cWe have undeniable evidence of victory \u2014 lives being saved,\u201d said John Seago, president of Texas Right to Life. \u201cBut there is also a realization of the significant hurdles that our movement has right now in the public conversation.\u201d
Participants at the march in Washington will salute the 14 states enforcing bans on abortion throughout pregnancy. They will proclaim that thousands of babies have been born who otherwise might have been aborted, even as studies show the total number of abortions provided in the U.S. rose slightly in the year after that enforcement began.
Moreover, anti-abortion leaders know that their side has a seven-state losing streak in votes on abortion-related ballot measures. Even in red states such as Ohio, Kansas and Kentucky, the outcomes favored keeping abortion access legal.
In this year\u2019s election, several more states are expected to have abortion-rights ballot measures, and Democratic candidates in many races, including President Joe Biden, will be highlighting their support for abortion access.
\u201cWe have been around for more than 50 years, and I don\u2019t know of any year that was easy,\u201d said Carol Tobias, president of the National Right to Life Committee.
\u201cBut it definitely got harder after Dobbs,\u201d she added. \u201cWe have a lot of work ahead of us.\u201d
Tobias was referring to the Supreme Court\u2019s Dobbs v. Jackson Women\u2019s Health Organization ruling in June 2022, overturning the 1973 Roe v. Wade decision that legalized abortion nationwide.
The key consequence of Dobbs was to return decision-making on abortion policy to individual states. Some Democratic-governed states \u2014 such as California, New York and New Jersey \u2014 have strengthened protections for abortion access. Roughly 20 states with Republican-controlled legislatures have either banned abortion or sought to impose new restrictions.
After Dobbs, \u201cI didn\u2019t want anyone to get the false sense that we were at the end of our work,\u201d said Brent Leatherwood, an abortion opponent who heads the Southern Baptist Convention\u2019s public policy wing.
\u201cWe\u2019ve gone from a focal point at the federal level to 50 different focal points,\u201d he said. \u201cIt may be another 50 years before we truly establish a culture of life, where preborn lives are saved and mothers are supported.\u201d
Even the current claims of lives being saved due to the Dobbs decision are subject to question. While abortions have decreased to nearly zero in states with total bans, they have increased elsewhere \u2013 notably in states such as Illinois, Florida and New Mexico, which are near those with more restrictions.
Anti-abortion leaders are keenly aware that their opponents in the abortion debate depict the wave of state bans as an infringement on women\u2019s rights and a potential danger to their health.
Thus the theme of this year\u2019s March for Life strives to convey support for women facing unexpected pregnancies: \u201cPro Life: With Every Woman, For Every Child.\u201d
\u201c Pregnancy care centers and maternity homes are the very backbone of our movement,\u201d March for Life president Jeanne Mancini wrote in a recent opinion piece.
She and her allies have encouraged states to offer support programs for new mothers in need \u2014 helping them find housing, jobs and health insurance.
Among the scheduled speakers at the march is Jean Marie Davis, executive director of Branches Pregnancy Resource Center in Brattleboro, Vermont. Davis says a similar center in New Hampshire helped her break free several years ago after she became pregnant while ensnared in a sex-trafficking operation.
Other scheduled speakers include House Speaker Mike Johnson, R-La., and U.S. Rep. Chris Smith, R-N.J., a co-chair of the Congressional Pro-Life Caucus.
Mancini said last year\u2019s march drew tens of thousands of people; she\u2019s hoping this year\u2019s march will be bigger.
The participants, she said, will be in a \u201cpersevering mood.\u201d
J.J. Straight, part of an American Civil Liberties Union team working to protect and broaden abortion access, says her side also feels determined, especially in light of the recent ballot-measure results.
\u201cWe\u2019ve seen a tremendous pushback to the anti-abortion agenda,\u201d she said. \u201cThere\u2019s a huge coalition of folks, regardless of their party and other demographics, who absolutely draw the line at this kind interference in their health care.\u201d
Among the reasons for uncertainty for all parties in the debate is the inconsistent way that federal and state courts have adjudicated abortion-related cases. There have been numerous legal challenges to the various state laws banning or restricting abortion, some failing and others succeeding at least temporarily.
There\u2019s a pending lawsuit in Texas filed by women who say the state\u2019s abortion ban forced them to continue pregnancies despite serious risk to their health.
In an even higher profile Texas case, Kate Cox, a mother of two, sought an abortion after learning the baby she was carrying had a fatal genetic condition. Her request for an exemption from Texas\u2019 ban \u2014 one of the country\u2019s strictest \u2014 was denied by the state Supreme Court, and Cox left Texas to seek an abortion elsewhere.
For abortion-rights activists, Cox\u2019s case was a powerful illustration of how abortion bans could be dangerous for women with pregnancy complications.
\u201cNever in our history have we had such overwhelming reaction to any case,\u201d said Nancy Northup, president of the Center for Reproductive Rights. \u201cWe got phone calls, emails, snail-mail. Over and over, people talked about her with awe, her courage in going public.\u201d
Seago, the Texas Right to Life president, defended Texas\u2019 abortion ban. He said the Cox case and the pending lawsuit simply underscored the need for Texas health authorities to clarify what doctors are and aren\u2019t allowed to do in dealing with problem pregnancies.
Carol Tobias acknowledged there can be difficult pregnancies.
\u201cBut I don\u2019t think hard circumstances should be used to establish state laws,\u201d she said. In such cases, she added, \u201cthe doctors have two patients. They need to take care of both of them to best of their ability.\u201d
All the new bans make an exception to allow abortion if deemed necessary to save the life of the mother. There are divides within the anti-abortion movement over additional exceptions \u2014 for example, in cases of rape and incest, or when severe fetal abnormalities are diagnosed.
Other divisions have surfaced over who should be criminalized by the new laws.
Among leading anti-abortion activists, there\u2019s a general consensus that women should not be prosecuted for seeking or obtaining an abortion. But there is support for criminal penalties against doctors and others who help people get an abortion; some states, including Texas and Idaho, seek to deter people from traveling out of state to get abortions or obtaining abortion pills by mail.
Dr. Jamila Perritt, an abortion-rights supporter who is president of Physicians for Reproductive Health, worries that abortion opponents in states with bans will criminalize people who seek abortions outside the formal medical system.
\u201cThe impact of their campaign has been devastating \u2014 and it will get worse,\u201d she said. \u201cI\u2019m worried about many more people being arrested and prosecuted.\u201d
One of the biggest unknowns, heading toward to Election Day on Nov. 5, is how power in Washington will be divided between the two major parties.
Abortion-rights supporters fear a Republican sweep of Congress and the White House might trigger a bid to impose a federal abortion ban. Conversely, some abortion opponents \u2014 including Chris Smith \u2014 fear a Democratic sweep might lead to a law overriding the state abortion bans that are now in effect.
Such legislation \u2014 as modeled in the unsuccessful Women\u2019s Health Protection Act of 2021-22 \u2014 would be \u201can existential threat,\u201d Smith said.
Sen. Lindsay Graham, R-S.C., has introduced a bill proposing to ban most abortions nationwide after 15 weeks of gestation. SBA Pro-Life America, a prominent anti-abortion group, supports the bill, according to its state policy director, Katie Glenn Daniel. But the measure has vehement critics on both sides of the abortion divide.
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(AP) \u2014 Mississippi has improved some of its poor health outcomes, but its people are more likely to die unnecessarily than residents of any other state, the state's top health official said Thursday.
State Health Officer Dr. Daniel Edney urged legislators who just began this year's session to work with health officials to improve Mississippi's status as the nation's unhealthiest state, ranking at the bottom of virtually every health care indicator and at the top of every health disparity.
\u201cIf we choose the right policies for our people, we will see us move off the radar of having the highest rate of preventable death,\" Edney said at a news conference inside the Mississippi Capitol.
Mississippi ranks worst for infant mortality, with Black infants nearly twice as likely as whites to die over the past decade, according to a report unveiled Thursday by the Mississippi State Medical Association.
While Mississippi managed to lower its opioid death rate by 10% in 2022, it still leads the nation in firearm deaths. And while the state's obesity and diabetes rates have declined recently, they remain among the nation's highest, with heart disease still the state's leading cause of death, the report says.
Increasing access to health care coverage for working-class Mississippians is key to improving outcomes, Edney said.
Mississippi is one of 10 states that have not expanded Medicaid coverage to people working in jobs that provide modest wages but no private health insurance. The debate has stalled because of opposition from Republican leaders, including Gov. Tate Reeves, who refers to Medicaid as \u201cwelfare,\u201d but new Republican House Speaker Jason White says he wants legislators to consider Medicaid expansion as a way to bring up to $1 billion of federal money each year to the state, where some hospitals are struggling to remain open.
White has not come out in full support of expansion.
As the new chairwoman of the House Medicaid Committee, Republican Rep. Missy McGee would play a big role in any push for expansion. She helped lead a successful effort last year to extend postpartum Medicaid coverage from two months to a full year.
Dr. John Mitchell, president of the Mississippi State Medical Association, said he supports any policy that would increase access to care, whether it's Medicaid expansion or some alternative.
\u201cEvery improvement made towards better public health outcomes in our state pays dividends for a healthier Mississippi, a more productive Mississippi and a future Mississippi abounding with opportunity,\u201d Mitchell said.
Mississippi\u2019s high unnecessary death toll comes even though it has some of the highest rates of childhood vaccination against diseases such as polio, measles and mumps \u2014 the legacy of a state judge\u2019s ruling in 1979 that vaccinated schoolchildren have a constitutional right to be free from associating with unvaccinated peers.
Vaccination data for 2023 is not available yet, so the impact of a federal judge's April ruling ordering Mississippi to join most other states in allowing religious exemptions from childhood vaccinations is still unclear.
___
Michael Goldberg is a corps member for the Associated Press/Report for America Statehouse News Initiative. Report for America is a nonprofit national service program that places journalists in local newsrooms to report on undercovered issues. Follow him at @mikergoldberg.
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(AP) \u2014 Florida will seek to streamline regulations and offer incentives to help make health care more accessible under two bills unanimously passed by the Senate, votes that quickly pushed forward Republican Senate President Kathleen Passidomo's top session priority.
The bills passed Thursday would make it easier for foreign doctors and out-of-state health care workers to relocate to Florida and would create loan programs and other incentives to attract health care providers to underserved rural areas. They also seek to reduce demand at emergency rooms by strengthening hospitals' partnerships with urgent care centers.
Republican Senate Health Policy Committee Chair Colleen Burton said Florida is growing by 300,000 people a year, but the influx of new doctors and nurses isn't keeping up.
\u201cWe have a city's worth of new Floridians every year and there's not a proportionate number of health care providers,\u201d she said.
The bill still needs House approval.
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(AP) \u2014 Some local residents and an animal-rights group are protesting plans for a monkey-breeding facility in southwest Georgia.
Opponents on Tuesday urged the Bainbridge City Council to block plans by a company called Safer Human Medicine to build a $396 million complex that would eventually hold up to 30,000 long-tailed macaques that would be sold to universities and pharmaceutical companies for medical research. The company says it plans to employ up to 263 workers.
Council members didn\u2019t directly address the concerns Tuesday, WALB-TV reported.
Safer Human Medicine is led by executives who formerly worked for two other companies that provide animals for medical testing. One of those companies, Charles River Laboratories, came under investigation last year for obtaining wild monkeys that were smuggled from Cambodia. The monkeys were falsely labeled as bred in captivity, as is required by U.S. rules, federal prosecutors have alleged. The company suspended shipments from Cambodia.
Charles River had proposed a similar facility in Brazoria County, Texas, south of Houston, but it has been stalled by local opposition.
The Bainbridge facility would provide a domestic source of monkeys to offset imports, the company said. Medical researchers use the animals to test drugs before human trials, and to research infectious diseases and chronic conditions like brain disorders.
\u201cIn the aftermath of the pandemic, we learned the hard way that our researchers in the U.S. need reliable access to healthy primates to develop and evaluate the safety of potentially life-saving drugs and therapies for you, your family, your friends, and neighbors,\u201d Safer Human Medicine wrote in an open letter to the Bainbridge community. \u201cMany of the medicines in your medical cabinets today would not exist without this essential medical research and without these primates, research comes to a halt.\u201d
But People for the Ethical Treatment of Animals and some local residents say they fear the possibility of monkeys escaping into the community along with other harms.
\u201cThey\u2019re an invasive species and 30,000 of them, we\u2019d just be overrun with monkeys,\u201d Ted Lee, a local resident, told WALB-TV.
Lisa Jones-Engel, PETA\u2019s science advisor on primate experimentation, said there\u2019s a risk that local people will be exposed to pathogens and diseases.
\u201cIn a bid to attract a few jobs \u2014 many of them low-paying and risking exposure to zoonotic diseases \u2014 city and county officials have rolled out the red carpet for an unethical plan by some questionable characters that could spell ecological disaster and potentially spark the next pandemic,\u201d Jones-Engel said in a statement last week.
\u201cPETA urges Bainbridge officials to withdraw their support and shut down this project before a shovel hits the dirt,\" she wrote.
The company and local officials said the nonprofit and community's concerns are baseless. Rick McCaskill, executive director of the Development Authority of Bainbridge & Decatur County, said risks are low because veterinarians and trained staff will be working with the monkeys.
\u201cThere are going to be a lot of monkeys, there\u2019s no question. We got more cows in the county then we got people too, and we got more chickens in the county then we have people too,\u201d McCaskill said.
Local officials in December agreed to property tax breaks for the project \u2014 waiving them for the first 10 years and then gradually decreasing tax breaks until they end after 20 years.
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John Carney has postponed his scheduled State of the State address because of illness", + "slugline": "AP-DE--Delaware Governor-Illness", + "description_summary": "Delaware Gov. John Carney has postponed his scheduled State of the State address because of illness. Carney's office announced the postponement Thursday morning, hours before he was to speak to a joint session of the General Assembly. Officials provided few details in a statement. They said only that the 67-year-old Democrat has a fever and mild symptoms, but is in good spirits. A spokeswoman for the governor said Carney had tested negative for COVID-19. The State of the State Address will be rescheduled for a date yet to be determined. Carney is in the final year of his second term as governor.", + "bylines": [ + { + "by": "By RANDALL CHASE", + "title": "Associated Press" + } + ], + "located": "DOVER, Del.", + "datelinelocation": { + "city": "Dover", + "countryareacode": "DE", + "countryareaname": "Delaware", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -75.52437, + 39.15817 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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(AP) \u2014 Democratic Gov. John Carney was forced to postpone his scheduled State of the State address on Thursday because of illness, his office said.
Officials provided few details in a statement, saying only that Carney has \u201ca fever and mild symptoms\u201d but was in good spirits. A spokeswoman later said Carney, 67, had tested negative for COVID-19.
The State of the State Address will be rescheduled for a date yet to be determined.
Carney announced in May 2022 that, after receiving the coronavirus vaccine and two booster shots, he had tested positive for COVID-19 after experiencing mild symptoms. Carney also tested positive for COVID-19 in January 2023, again saying he was experiencing mild symptoms.
Carney is in the final year of his second term as governor. He has formed a campaign committee as he explores a possible bid for mayor of Wilmington, Delaware's largest city.
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Therefore, it is relevant to the topic of health." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/01/18/37e28b7609607ae762626206ea1a72c1.json b/datasets/AP_news/raw_data/2024/01/18/37e28b7609607ae762626206ea1a72c1.json new file mode 100644 index 0000000..e0d4658 --- /dev/null +++ b/datasets/AP_news/raw_data/2024/01/18/37e28b7609607ae762626206ea1a72c1.json @@ -0,0 +1,298 @@ +{ + "altids": { + "itemid": "37e28b7609607ae762626206ea1a72c1", + "etag": "37e28b7609607ae762626206ea1a72c1_2a6aza0c0", + "friendlykey": "838991251808", + "referenceid": "US--Election 2024-Abortion-Missouri" + }, + "version": 2, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-01-18T16:48:01Z", + "firstcreated": "2024-01-18T12:15:54Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: With AP Photos. AP Audio. ; This story has been updated to include reaction from Medical Students for Choice.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "US--Election 2024-Abortion-Missouri", + "headline": "Missouri abortion-rights campaign backs proposal to enshrine access but allow late-term restrictions", + "headline_extended": "Missouri activists are throwing support behind a constitutional amendment to restore abortion rights while also allowing the procedure to be restricted in later stages of pregnancy", + "slugline": "AP-US--Election 2024-Abortion-Missouri, 2nd Ld-Writethru", + "description_summary": "Missouri activists are throwing support behind a constitutional amendment to restore abortion rights while also allowing the procedure to be restricted in later stages of pregnancy. The group Missourians for Constitutional Freedom committed Thursday to an amendment that would let lawmakers restrict or ban abortions after fetal viability, except when needed to protect the health of the woman. The campaign had also considered a proposal without the option for viability laws. The announcement comes amid divisions within abortion-rights advocates over whether the procedure should be regulated after fetal viability. A competing Missouri amendment proposed by a Republican would allow abortions in the first 12 weeks of pregnancy.", + "bylines": [ + { + "by": "By SUMMER BALLENTINE", + "title": "Associated Press" + } + ], + "located": "JEFFERSON CITY, Mo.", + "datelinelocation": { + "city": "Jefferson City", + "countryareacode": "MO", + "countryareaname": "Missouri", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -92.17352, + 38.5767 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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(AP) \u2014 A Missouri abortion-rights campaign announced Thursday that it's throwing support behind an amendment to the state constitution that would enshrine access to the procedure while allowing restrictions in later stages of pregnancy.
Missourians for Constitutional Freedom said it is committing to a proposal, one of 11 versions, that would let lawmakers regulate or ban abortion after what's called viability, with an exception for the protection of the life and physical and mental health of the woman.
Supporters include the ACLU of Missouri, local Planned Parenthood affiliates and Abortion Action Missouri.
\u201cMissouri\u2019s cruel and restrictive ban on abortion is tying the hands of doctors and preventing necessary care,\u201d said Dr. Iman Alsaden, an adviser to Missourians for Constitutional Freedom and chief medical officer of Planned Parenthood Great Plains, in a statement. \u201cToday, Missourians are taking a critical step to make their own medical decisions and kick politicians out of the exam room.\u201d
The campaign faces steep opposition in its bid to get the proposal on November's ballot, with the petitions tied up in court for months after being challenged by Republican Secretary of State Jay Ashcroft. Anti-abortion activities on Tuesday launched a campaign to quash any ballot initiative to amend the constitution aimed at bringing abortion back to the state.
Missourians for Constitutional Freedom has funding difficulties, ending 2023 with no money in the bank. Also complicating the effort is a competing ballot measure by a Republican that would allow abortion up to 12 weeks, and after that only in cases of rape, incest and in medical emergencies up until fetal viability.
Missourians for Constitutional Freedom's announcement comes as abortion activists nationwide are divided over whether to support constitutional amendments that allow any regulation of abortion after viability.
The term is used by health care providers to describe whether a pregnancy is expected to continue developing normally or whether a fetus might survive outside the uterus. It\u2019s generally considered to be around 23 or 24 weeks into pregnancy but has shifted earlier with medical advances. The American College of Obstetricians and Gynecologists opposes viability language in legislation or regulations.
Executive Director Pamela Merritt in a statement said Medical Students for Choice \u201cis deeply concerned by the trend of state coalitions organizing to enshrine restrictions on abortion access into state constitutions.\u201d
\u201cCodifying the most problematic components of Roe is a tactic that completely rejects the reproductive justice framework, placing greater importance on the rights of some while sacrificing abortion access for people most impacted by abortion bans,\u201d Merritt said.
The decision by Missourians for Constitutional Freedom to include language on viability acknowledges concerns by some that a more expansive proposal would fail to pass in the state, which was among the first to outlaw almost all abortions after Roe v. Wade was overturned.
Current Missouri law includes an exception for medical emergencies, but not in cases of rape and incest.
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At least 47 people in 22 states have been sickened in the outbreak linked to Busseto brand and Fratelli Berreta brand meat trays. Ten people have been hospitalized, officials with the Centers for Disease Control and Prevention said Thursday. Consumers should discard the foods. Salmonella poisoning can cause severe illness, particularly in young children, older people and those with weakened immune systems.", + "bylines": [ + { + "by": "By The Associated Press" + } + ], + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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At least 47 people in 22 states have been sickened and 10 people have been hospitalized after eating Busseto brand and Fratelli Beretta brand meats, officials with the Centers for Disease Control and Prevention said Thursday.
The CDC had previously warned about one recalled lot of Busseto brand charcuterie sampler trays, but the agency now advises retailers and consumers not to eat, serve or sell any lots of the foods. They include the Busseto charcuterie sampler sold at Sam's Club and the Fratelli Beretta brand Antipasto Gran Beretta products sold at Costco.
The meat trays come in twin packs that include prosciutto, sweet soppressata, and dry coppa or black pepper-coated dry salami, Italian dry salami, dry coppa, and prosciutto.
Salmonella poisoning can cause severe illness, particularly in young children, older people and those with weakened immune systems. In rare cases, the bacterial infection can be fatal.
___
The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute\u2019s Science and Educational Media Group. The AP is solely responsible for all content.
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Expect more bugs to be tracked that way", + "headline_extended": "New research bolsters a push to use sewage to track more diseases in the U.S. Wastewater testing does a good job at detecting mpox infections", + "slugline": "BC-US-MED-Mpox-Wastewater", + "description_summary": "New research bolsters a push to use sewage to track more diseases in the U.S. Wastewater testing does a good job at detecting mpox infections. That's according to a Centers for Disease Control and Prevention study released Thursday. It found that over the course of a week, there was a 32% likelihood the tests would detect the presence of at least one person infected with mpox in a population ranging from thousands to millions. The testing is now a staple of COVID-19 tracking. And CDC is now using it for flu and RSV too. Soon, the agency plans to start watching for germs that are resistant to antibiotics and some food poisoning bugs.", + "bylines": [ + { + "by": "By MIKE STOBBE", + "title": "AP Medical Writer" + } + ], + "located": "NEW YORK", + "datelinelocation": { + "city": "New York", + "countryareacode": "NY", + "countryareaname": "New York", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -74.00597, + 40.71427 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. For other uses, additional clearances may be required." + ], + "keywords": [ + "wastewater mpox COVID CDC" + ], + "provider": "AP", + "infosource": [ + { + "name": "AP", + "type": "AP" + } + ], + "subject": [ + { + "rels": [ + "category" + ], + "creator": "Editorial", + "code": "a", + "name": "a" + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "cc7a76087e4e10048482df092526b43e", + "name": "Health", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 89 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "75fc9ec07f00100482a7f571351eed07", + "name": "Poisoning", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 39 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "a150b41e018f40b298beda45cef6f16f", + "name": "Respiratory syncytial virus", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 39 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "e237be707de410048fffdf092526b43e", + "name": "Medication", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 39 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "084e24e87f00100481c7f571351eed07", + "name": "Flu", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 39 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "f9f9464781a443e4813c5b61eca976b3", + "name": "Mpox", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 80 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "b17e2751b26d4523a2c99d79e04747ee", + "name": "COVID-19 pandemic", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 64 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "4bf76cb87df7100483dbdf092526b43e", + "name": "Science", + "creator": "Editorial", + "editorial_subject": "Science", + "rels": [ + "direct" + ], + "relevance": 75 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "cc7a76087e4e10048482df092526b43e", + "name": "Health", + "creator": "Editorial", + "editorial_subject": "Health", + "rels": [ + "direct" + ], + "relevance": 99 + } + ], + "audiences": [ + { + "code": "82c6a4c46fa0446090a7acaf93159e4c", + "name": "Print", + "type": "AUDPLATFORM" + }, + { + "code": "9add4649b53b4702ba7d9de5d4fa607a", + "name": "Online", + "type": "AUDPLATFORM" + }, + { + "code": "f43adc08760d10048040e6e7a0f4673e", + "name": "National", + "type": "AUDSCOPE" + }, + { + "code": "f4ecf9b0760d10048044e6e7a0f4673e", + "name": "International", + "type": "AUDSCOPE" + }, + { + "code": "661850e07d5b100481f5c076b8e3055c", + "name": "Latin America and Caribbean", + "type": "AUDGEOGRAPHY" + }, + { + "code": "661e48387d5b10048291c076b8e3055c", + "name": "United States", + "type": "AUDGEOGRAPHY" + } + ], + "associations": { + "1": { + "altids": { + "itemid": "1c1018986bf248b0bb62c9f0a31a2259" + }, + "type": "picture" + } + }, + "body_nitf": "NEW YORK (AP) \u2014 Wastewater testing does a good job at detecting mpox infections, U.S. health officials said in a report Thursday that bolsters a push to use sewage to track more diseases.
U.S. Centers for Disease Control and Prevention researchers found that over the course of a week, there was a 32% likelihood the tests would detect the presence of at least one person infected with mpox in a population ranging from thousands to millions.
Amy Kirby, who oversees the CDC\u2019s wastewater surveillance work, said initially they didn't know if the tests would work for a rare infection like mpox.
\"It turns out it worked really very well,\" she said.
The chance that the tests could detect infections rose as more people were infected. When there were 15 or more people infected in a community, there was a 76% chance wastewater testing could find mpox.
The water that goes down a sink, shower drain or toilet can carry bits of viruses or bacteria that come off the skin or are excreted in urine or poop. Studies have shown wastewater testing can be an early warning system, signaling a bug has hit a community even before doctors start reporting cases.
Whole cities can be watched from a single sample, said Joshua Levy, a researcher at the Scripps Research Institute in California who has studied wastewater monitoring and develops related technology.
\u201cAlmost every kind of virus that we've gone looking for is detectable,\u201d Levy said.
The U.S. monitoring system is growing but still a patchwork. Currently, 863 of the nation\u2019s 3,143 counties \u2014 roughly a quarter \u2014 are reporting wastewater data to the CDC. Those are larger counties that are home to most of the U.S. population, but it misses a lot of rural homes that aren't hooked up to municipal sewage systems.
This approach to disease tracking rose to prominence in 2020, when health officials began testing wastewater for genetic evidence of the coronavirus. It has grown into a mainstay of the CDC's COVID-19 tracking as fewer nasal swab test results are reported.
In 2022, the CDC began working with a small group of cities to also look for polio in wastewater. That same year also saw a new effort to look for mpox, previously known as monkeypox, which erupted in outbreaks in the U.S. and other countries.
In the new study, the CDC looked at wastewater samples from 89 sites in 16 states, taken from August 2022 through May 2023. When mpox DNA was detected, the researchers checked cases reported by doctors \u201cto basically see if we were seeing the same thing,\u201d said the CDC\u2019s Carly Adams, the lead author of the report.
It not only worked, the approach appears to be more sensitive for detecting mpox than COVID-19, CDC officials said. CDC officials, however, cautioned it is difficult to do head-to-head-comparisons, because of differences among germs and how well doctors are diagnosing and reporting cases of various diseases.
The CDC has also begun collecting data for flu and RSV \u2014 about 40 states have been testing for those viruses and reporting that data. The agency isn't yet posting it publicly as officials work through the best ways to display it, though Kirby said it should go live by next fall.
The agency also plans to start tracking germs that are resistant to antibiotics. And Kirby said by early next year the agency would start monitoring some food poisoning bugs.
\u201cWastewater surveillance is outperforming everyone's expectations,\u201d Kirby said. \u201cWe are really excited to see where else we can apply this new tool to help us understand disease in communities.\u201d
___
The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute\u2019s Science and Educational Media Group. The AP is solely responsible for all content.
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On track to surpass George Szell as Cleveland\u2019s longest-tenured music director, the 63-year-old Austrian returned to his orchestra at Cleveland\u2019s Severance Music Center last week and leads it in a pair of programs at Carnegie Hall this weekend. He had a slipped disk in his neck in June, surgery Sept. 1 to remove a cancerous tumor from his bladder and a second operation on Oct. 25. That was followed in November by six weeks of once-a-week immunotherapy treatment.", + "bylines": [ + { + "by": "By RONALD BLUM", + "title": "Associated Press" + } + ], + "located": "NEW YORK", + "datelinelocation": { + "city": "New York", + "countryareacode": "NY", + "countryareaname": "New York", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -74.00597, + 40.71427 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. 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\u201cIt was not my best year, the last year,\" he said Wednesday. \u201cI feel good. You learn to live with the circumstances, and I'm extremely and grateful that I'm back at work.\u201d
On track to surpass George Szell as Cleveland's longest-tenured music director, the 63-year-old Austrian returned to his orchestra at Cleveland's Severance Music Center last week and leads it in a pair of programs at Carnegie Hall this weekend. He will be in Austria for five concerts with the Vienna Philharmonic in late February, then leads that orchestra on a seven-concert tour in early March to New York and Naples and West Palm Beach, Florida.
Quite a schedule, given his setbacks in 2023.
He had a slipped disk in his neck while conducting Wagner's four-opera \u201cDer Ring des Nibelungen (The Ring of the Nibelung)\u201d at the Vienna State Opera in June, an injury that caused him to enter an orthopedic clinic in the second half of July and again in August. He was forced to cancel a high-profile new production of Verdi's \u201cMacbeth\u201d at the Salzburg Festival.
Welser-M\u00f6st had surgery Sept. 1 to remove a cancerous tumor from his bladder and came back to Cleveland to conduct the orchestra's season opener on Sept. 28. After leading two weeks of programs there, he took the orchestra to Vienna and Linz for their 21st international tour together, then had a second operation on Oct. 25.
That was followed in November by six weeks of once-a-week immunotherapy treatment. He is scheduled for additional three-week cycles of treatment in March, July and October.
\u201cThe doctors are very happy. So am I, that it seems to work. It has been in my family, so it\u2019s genetic,\u201d Welser-M\u00f6st said. \u201cBoth my brothers had the same thing a couple of years ago. Both are very well now, so there\u2019s every reason to be optimistic.\u201d
Welser-M\u00f6st has been Cleveland's music director since 2002-03 and has appointed 69 musicians, including 52 of the current 105 members.
\u201cOne of the keys to Franz's success is his incredible discipline. He's like a great athlete in that way,\u201d said Andr\u00e9 Gremillet, the Cleveland Orchestra\u2019s president and CEO. \u201cHe\u2019s very focused, very disciplined in the way he approaches everything, and I think that has served him well also in facing his health challenges.\u201d
His name at birth in Linz, Austria, was Franz Leopold Maria M\u00f6st, and he switched it in 1985 to Welser-M\u00f6st in honor of Wels, a nearby city he grew up in. The change was made on the advice of a benefactor, Baron Andreas von Bennigsen of Liechtenstein.
Welser-M\u00f6st spent a decade studying the technique of Herbert von Karajan, the Berlin Philharmonic\u2019s chief conductor from 1954-89. He was 19 when he was brought to Karajan in 1979 by Albert Moser, then general director of Vienna\u2019s Musikverein. Welser-M\u00f6st was among the 10 finalists of the Karajan International Conductors Competition, though he failed to win.
\u201cI\u2019d been to a lot of rehearsals in Vienna, in Salzburg and Berlin, and that made a huge impression on me because Karajan was highly efficient in rehearsals,\u201d Welser-M\u00f6st recalled. \u201cHe would just say one sentence and the sound of the orchestra changed completely. And in those days, of course, I was like: How on earth is he doing that?\u201d
Welser-M\u00f6st first conducted the Cleveland Orchestra in 1993 and became music director for the 2002-03 season. On the afternoon of his return concert on Jan. 11, he announced he will retire as music director at the end of 2026-27, his 25th season. Welser-M\u00f6st maintained he wasn't focused on topping Szell's reign, which stretched from 1946-70.
\u201cI\u2019m not into that game. It just happened,\u201d he said.
Welser-M\u00f6st's New York concerts are part of Carnegie Hall's \u201cPerspectives\u201d series and its focus this winter and spring on the fall of the Weimar Republic.
\u201cIt is something that is so important to him and so important to his life,\u201d Carnegie Hall executive director Clive Gillinson said. \u201cI remember doing one Zoom call where he was in his library and he showed me all the books he's got on Weimar.\u201d
Welser-M\u00f6st is proud of extending the orchestra's flexibility by programming semi-staged operas, with Mozart's \"Die Zauberfl\u00f6te (The Magic Flute)\" next this May. He already has scheduled Jan\u00e1\u010dek's \u201cJen\u016ffa\u201d for next season, Beethoven's \u201cFidelio\u201d for 2025-26 and Strauss' \u201cDie Frau ohne Schatten (The Woman without a Shadow)\u201d for 2026-27.
\u201cI\u2019m an old dog when it comes to opera,\u201d he said. \u201cI\u2019ve conducted about 90 different operas in my life. When I was in Zurich for nearly 14 years, I conducted 43 opening nights of a piece.\u201d
His retirement creates another coveted U.S. podium vacancy. Riccardo Muti stepped down from the Chicago Symphony Orchestra in June and Gustavo Dudamel shifts from the Los Angeles Philharmonic to the New York Philharmonic for the 2026-27 season.
\u201cEvery institution needs once in a while new input and new ideas,\u201d Welser-M\u00f6st said. \u201cI\u2019m not saying I'm running out of ideas, but I always tried to live that philosophy here, that music comes first, the institution second, the individual third.\u201d
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Adds more details, context. Edits for space.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "Humana-Medicare Advantage", + "headline": "Late-year medical costs spike forces Humana to scale back profit expectations for 2023", + "headline_extended": "Shares of Humana are tumbling after the health insurer said it was still dealing with higher-than-expected care costs from its Medicare Advantage customers and it chopped earnings expectations", + "slugline": "AP-Humana-Medicare Advantage, 1st Ld-Writethru", + "description_summary": "Shares of Humana are tumbling after the health insurer said it was still dealing with higher-than-expected care costs from its Medicare Advantage customers and it chopped earnings expectations. The health insurer said Thursday that its Medicare Advantage patients used more inpatient care than it expected in November and December. Humana also saw more growth in care that doesn\u2019t involve a hospital stay. Humana is one of the nation\u2019s largest providers of Medicare Advantage plans, which are privately run versions of the federal government\u2019s Medicare program. Insurers have been dealing with higher-than-expected costs from that business since last year.", + "bylines": [ + { + "by": "By TOM MURPHY", + "title": "AP Health Writer" + } + ], + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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The update from Humana arrived less than a week after rival UnitedHealth Group surprised Wall Street, saying that its overall medical costs had soared 16% in its most recent quarter.
Humana said its Medicare Advantage patients used more inpatient care than it expected in November and December. The health insurer also saw more growth in care that doesn\u2019t involve a hospital stay, like doctor visits and outpatient surgeries.
Humana said it now expects adjusted earnings for last year to total about $26.09 per share.
That falls more than $2 below what it predicted in November. Wall Street forecasts $28.29 per share, according to the data firm FactSet.
Humana has yet to lay out its forecast for 2024.
The company said Thursday that its still trying to figure out the impact current trends will have on its outlook, but it plans to provide an update soon. It moved up its report on the fourth quarter to Jan. 25 from Feb. 5.
Humana is one of the nation\u2019s largest providers of Medicare Advantage plans, which are privately run versions of the federal government\u2019s Medicare program mostly for people age 65 and older. Medicare Advantage plans are one of Humana\u2019s biggest forms of coverage outside insurance it provides for military families and retirees.
Insurers dealt with higher-than-expected costs from Medicare Advantage patients through most of last year, partly because people continued to return to surgery centers and doctor offices after shying away during the COVID-19 pandemic.
For the new year, Humana also said it now expects less than 2% enrollment growth from its Medicare Advantage business, which covered about 5.4 million people at the end of last year.
These plans finished their annual enrollment period last month, a window at the end of year when people can switch plans or buy new coverage.
Leerink Partners analyst Whit Mayo called Humana's growth from the enrollment period \u201clackluster.\u201d He said in a research note that it will wind up slower than overall market growth, which he expects to be around 6%.
Humana said it was prudent when it set 2024 prices for its Medicare Advantage coverage, and its pricing approach \u201cresulted in a lower share of overall industry growth.\u201d
Shares of Humana Inc., based in Louisville, Kentucky, fell 11% to $398.48 Thursday morning while the Standard & Poor's 500 index rose slightly.
The stock is more than a year removed from an all-time high price of more than $571, which it reached in November 2022.
Shares of UnitedHealth Group Inc. also dropped 4% on Thursday. The Blue Cross-Blue Shield insurer Elevance Inc. fell 3.5%
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The content is directly related to health, particularly in the context of health insurance and medical costs, making it highly relevant to the topic." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/01/18/b19344ea114e211811e465adf0550967.json b/datasets/AP_news/raw_data/2024/01/18/b19344ea114e211811e465adf0550967.json new file mode 100644 index 0000000..f690471 --- /dev/null +++ b/datasets/AP_news/raw_data/2024/01/18/b19344ea114e211811e465adf0550967.json @@ -0,0 +1,274 @@ +{ + "altids": { + "itemid": "b19344ea114e211811e465adf0550967", + "etag": "b19344ea114e211811e465adf0550967_1a8aza0c0", + "friendlykey": "987071946804", + "referenceid": "US-Falsified Vaccination Records" + }, + "version": 1, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-01-18T20:37:49Z", + "firstcreated": "2024-01-18T18:09:40Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: Updates Media.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "US-Falsified Vaccination Records", + "headline": "NY midwife who gave kids homeopathic pellets instead of vaccines fined $300K for falsifying records", + "headline_extended": "A New York midwife who gave nearly 1,500 children homeopathic pellets instead of required vaccinations has been fined $300,000", + "slugline": "AP-US-Falsified Vaccination Records, 1st Ld-Writethru", + "description_summary": "A New York midwife who gave nearly 1,500 children homeopathic pellets instead of required vaccinations has been fined $300,000. 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Jeanette Breen, who operates Baldwin Midwifery on Long Island, administered the pellets as an alternative to vaccinations and then falsified their immunization records, the agency said Wednesday.
The scheme, which goes back least to the 2019-2020 school year, involved families throughout the state, but the majority reside on suburban Long Island. In 2019, New York ended a religious exemption to vaccine requirements for schoolchildren.
The health department said immunization records of the children who received the falsified records have been voided, and their families must now prove the students are up-to-date with their required shots or at least in the process of getting them before they can return to school.
\u201cMisrepresenting or falsifying vaccine records puts lives in jeopardy and undermines the system that exists to protect public health,\u201d State Health Commissioner James McDonald said in a statement.
Breen, a state-licensed healthcare provider, supplied patients with the \u201cReal Immunity Homeoprophylaxis Program,\u201d a series of oral pellets that are marketed as an alternative to vaccination but are not recognized or approved by state or federal regulators as valid immunizations, according to the health department.
She administered 12,449 of the fake immunizations to roughly 1,500 school-aged patients before submitting information to the state's immunization database claiming the children had received their required vaccinations against measles, mumps, rubella, polio, chickenpox, diphtheria, tetanus, pertussis, hepatitis B and a host of other diseases, the department said.
Breen's lawyer said Thursday that his client cooperated with investigators, paid her fine and intends to comply with all other requirements of her agreement with health officials.
\u201cSuffice it to say, Ms. Breen has provided excellent midwifery services for many years to many families, especially on Long Island. She is now toward the end of her career,\u201d David Eskew wrote in an emailed statement. \u201cFrom her perspective, this matter is over, done with, and closed and she is now moving on with her life.\u201d
As part of the settlement, Breen has paid $150,000 of the $300,000 penalty, with the remainder suspended contingent upon her complying with state health laws and never again administering any immunization that must be reported to the state, according to the health department. She's also permanently banned from accessing the state's immunization records system.
Erin Clary, a health department spokesperson, said Thursday that while parents and legal guardians had sought out and paid Breen for her services, they weren't the focus of the agency\u2019s investigation.
State health officials say they're now in the process of notifying hundreds of affected school districts.
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Details of royal health are always a tricky issue in the U.K., because members of the monarchy are private individuals but also, in a sense, public property. Charles, 75, is head of state, and Kate, 42, is destined to be queen when her husband Prince William succeeds his father on the throne.
The brief media statements on the health scares were so unusual that they dominated Thursday\u2019s newspaper front pages, with headlines calling them \u201croyal health bombshells.\u201d
The disclosure of Charles' and Kate's health details was seen by some royal observers as a sign that the monarchy is adapting to modern communications after centuries of staying tight-lipped about health matters.
Royal officials announced Wednesday that Kate had undergone \u201cplanned\u201d abdominal surgery and was expected to remain in The London Clinic, a private hospital, for 10 to 14 days. She isn't expected to resume public duties until April.
The princess\u2019 office at Kensington Palace didn\u2019t offer further details, but said that her condition wasn\u2019t cancerous. Though she has generally experienced good health and is seen as fit and sporty, Kate was hospitalized during her pregnancies because of severe morning sickness.
William also has postponed some official duties so that he can devote time to his wife and their three children. He visited his wife on Thursday, and British media reported that the Princess of Wales was \u201cdoing well.\u201d
Soon after the announcement of Kate\u2019s hospitalization, Buckingham Palace said that Charles will undergo a \u201ccorrective procedure\u201d for an enlarged prostate next week. The palace said the king\u2019s condition is benign. Queen Camilla said Thursday that Charles was \u201cfine\u201d and \u201clooking forward to getting back to work.\u201d
When U.K. monarchs had real power, news of illness was withheld for fear it might weaken their authority. The habit of secrecy lingered after royals became constitutional figureheads.
The British public wasn't told that Charles' grandfather, King George VI, had lung cancer before his death in February 1952 at the age of 56, and some historians have claimed that the king himself wasn't told he was terminally ill. The public death announcement said only that the king had \u201cpassed peacefully away in his sleep.\u201d
His father, King George V, died in 1936 after suffering from heart and lung disease. A half-century later, diary extracts were published revealing that the king\u2019s physician had injected the terminally ill monarch with morphine and cocaine to speed his death \u2014 partly so it could be announced in the morning newspapers \u201crather than the less appropriate evening journals.\u201d
The U.K. and international media have been focused on the health of Britain\u2019s senior royals in recent years as the late Queen Elizabeth II faded from public view during the last months of her 70-year reign.
Even then, few specific details were released about the late monarch\u2019s condition. The public was told only that the queen was suffering from \u201cmobility issues.\u201d The cause of her death in September 2022 at the age of 96 was listed on the death certificate simply as \u201cold age.\u201d
Wednesday's announcements gave more details than the public would have expected in the past.
Some royal experts said that while the latest statement on Kate was coy and shrouded in some secrecy, the one on Charles showed that the monarch was keen to try a new and more open kind of communication.
The publicity was seen as a decision by Charles to help boost awareness of prostate health, and encourage other men to have their prostates checked.
\u201cI think it symbolizes the kind of campaigning king that Charles is \u2014 he wants to put this issue on the agenda by being quite open and candid,\u201d Ed Owens, a royal historian and author, told The Associated Press. \u201cWe know that King Charles wants to talk about issues of personal significance \u2014 and there's nothing more significant or personal to him than his health.\u201d
Releasing the news about both royals on the same day was also about news management, Owens added. While Kate's condition sounded more serious, the king's can be seen as a \u201cpositive news story to complement a more complicated one in the case of Catherine's health,\u201d he said.
\u201cIt means that we haven\u2019t got the story rolling on about what exactly (Kate's) been suffering from. Rather, we are instead talking about King Charles III and him wanting to set a good example to other men his age,\u201d Owens said.
One headline dubbed the release of Charles\u2019 health details the \u201cKing\u2019s public health message.\u201d It's worked: Prostate Cancer UK, a charity that promotes public awareness of prostate health, says there has been a surge of interest in its work thanks to the royal announcements.
\u201cWe have been receiving lots of calls from men and women that are concerned about them and their loved ones, wanting to talk about their prostate problems and signs and symptoms,\u201d said Sophie Smith, a senior specialist nurse at the charity.
An enlarged prostate is common in men over age 50. The condition affects how one urinates, and isn\u2019t usually a serious health threat. It\u2019s not cancer and doesn\u2019t lead to an increased risk of developing prostate cancer.
\u201cIt\u2019s about getting that conversation started,\" Smith added. \u201cWe know that men often don\u2019t talk about it, they don\u2019t sit with their mates and say, \u2018I\u2019ve getting problems going to the toilet.\u2019 It\u2019s something quite personal, a bit taboo.\u201d
While Charles's condition wasn't worrying, the announcements that the monarch, Kate and William would all be out of action in one way or another in the coming days did lead to larger questions about what happens to matters of state in more serious cases.
This is especially of interest because Charles presides over a much more \u201cslimmed-down\u201d monarchy than his predecessors, with just four royals under 65 years old: William, Kate, Charles's younger brother Prince Edward and his wife Sophie.
When monarchs can't undertake their duties on a temporary basis, \u201cCounsellors of State,\u201d who include senior royals like Queen Camilla and Prince Harry, can stand in and deputize if needed.
\u201cIt points to a fundamental question \u2014 how does the king get the monarchy ready for the middle of the 21st century with this smaller family in tow?\" Owens said. \u201cI think it points to the fact that he has to reduce the amount of engagements, the amount of work that is being undertaken by this family.\u201d
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The document also touches on the historical context of royal health secrecy and the shift towards greater openness, which is pertinent to the topic of health communication." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/01/18/ba9b2d181d26425cc4927ad6c55f79f7.json b/datasets/AP_news/raw_data/2024/01/18/ba9b2d181d26425cc4927ad6c55f79f7.json new file mode 100644 index 0000000..f5693e8 --- /dev/null +++ b/datasets/AP_news/raw_data/2024/01/18/ba9b2d181d26425cc4927ad6c55f79f7.json @@ -0,0 +1,211 @@ +{ + "altids": { + "itemid": "ba9b2d181d26425cc4927ad6c55f79f7", + "etag": "ba9b2d181d26425cc4927ad6c55f79f7_2a14aza0c0", + "friendlykey": "1118271136", + "referenceid": "US-MED--Pig Liver Experiment" + }, + "version": 2, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-01-18T23:01:20Z", + "firstcreated": "2024-01-18T20:40:55Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: Updates Media. 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The University of Pennsylvania announced the novel experiment Thursday, a different spin on animal-to-human organ transplants. In this case, the pig liver was used outside the donated body, not inside \u2014 a way to create a \u201cbridge\u201d to support failing livers by doing the organ's blood-cleansing work externally, much like dialysis for failing kidneys.
Animal-to-human transplants, called xenotransplants, have failed for decades because people's immune systems rejected the foreign tissue. Now scientists are trying again with pigs whose organs have been genetically modified to be more humanlike.
In recent years, kidneys from genetically modified pigs have been temporarily transplanted into brain-dead donors to see how well they function, and two men received heart transplants from pigs although both died within months.
The U.S. Food and Drug Administration is considering whether to allow a small number of Americans who need a new organ to volunteer for rigorous studies of either pig hearts or kidneys.
Some researchers also are looking to use pig livers. A liver has different complexities than kidneys and hearts: It filters blood, removes waste and produces substances needed for other bodily functions. About 10,000 people are currently on the U.S. waiting list for a liver transplant.
In the Penn experiment, researchers attached a liver from a pig \u2014 one genetically modified by eGenesis \u2014 to a device made by OrganOx that usually helps preserve donated human livers before transplant.
The family of the deceased, whose organs weren\u2019t suitable for donation, offered the body for the research. Machines kept the body's blood circulating.
The experiment, conducted last month, filtered blood through the pig liver-device for 72 hours. In a statement, the Penn team reported that the donor\u2019s body remained stable and the pig liver showed no signs of damage.
There's lots of work into developing liver dialysis-like machines, and experiments using pig livers were tried years ago \u2014 before today's more advanced genetic techniques, said Dr. Parsia Vagefi of UT Southwestern Medical Center, who wasn't involved in the new experiment but is closely watching xenotransplantation research.
\u201cI applaud them for pushing this forward,\u201d Vagefi said, calling this combination pig-device approach an intriguing step in efforts toward better care for liver failure.
___
The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute\u2019s Science and Educational Media Group. The AP is solely responsible for all content.
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The newest measures were unveiled at a virtual town hall held late Wednesday, months after people in St. Croix complained about red and brown water coming out of their taps. The issue prompted the U.S. Virgin Islands to declare a state of emergency in November after an initial investigation found high levels of lead and copper. Subsequent federal studies found that lead levels at people\u2019s homes were significantly lower than those reported previously at distribution meters.", + "bylines": [ + { + "by": "By D\u00c1NICA COTO", + "title": "Associated Press" + } + ], + "located": "SAN JUAN, Puerto Rico", + "datelinelocation": { + "city": "San Juan", + "countrycode": "PRI", + "countryname": "Puerto Rico", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -66.10572, + 18.46633 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. 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The newest measures were unveiled at a virtual town hall held months after people in St. Croix complained about red and brown water coming out of their taps. The complaints led to the governor of the U.S. Virgin Islands to declare a state of emergency in November after an investigation found high levels of lead and copper. U.S. President Joe Biden also declared an emergency later that month.
Subsequent studies by the U.S. Environmental Protection Agency found lead levels at people\u2019s homes were significantly lower than those reported previously at distribution meters. The agency said that of the 119 samples collected at nearly a dozen homes in St. Croix, only three samples showed levels higher than those recommended by the EPA, according to a report released in late December.
Local authorities conducted their own study, analyzing 31 samples collected from kitchen taps. All were found to be within U.S. federal standards, said Don Gregoire, water director for St. Croix.
Despite those findings, people on St. Croix remain concerned.
\u201cEveryone knows the water is still not safe,\u201d a woman who identified herself as Shirley Smith said during the virtual town hall.
She called on local officials to set more stringent standards for lead and copper in water, saying the federal ones are \u201cnot acceptable.\u201d
Echoing her remarks, another woman, who identified herself only as C.J. said, \u201cThe ideal lead level is zero.\"
Authorities agreed, saying they are in talks about the issue.
So far, the U.S. Virgin Islands government's response has included distribution of thousands of water vouchers, a $75 water bill credit, installation of lead-free meter boxes and other equipment, and free lead testing for children up to 6 years old.
At least 1,270 people on St. Croix have been screened. Three have tested positive for lead, six others tested positive for copper and 17 are awaiting final results.
Authorities plan to extend the screening to the islands of St. Thomas and St. John by the end of January, said Reuben Molloy, acting commissioner for the U.S. Virgin Islands Health Department.
On Thursday, officials will start distributing free water filters as they continue to test water samples taken from homes and businesses across St. Croix.
Long-term solutions include eliminating corrosion from water distribution lines and overhauling the entire system, a more than $1.5 billion project that would take an estimated 20 years to complete, said Noel Hodge, chief operating officer for water in St. Croix.
So far, $30 million in federal funds has been allocated to the Water and Power Authority in St. Croix, which treats up to 3 million gallons of drinking water a day and serves up to 40% of the island\u2019s 41,000 residents, according to the EPA.
In its report, the EPA found that the water agency\u2019s distribution system is more than 60 years old and deteriorating.
Gregoire said federal funds are needed to replace the entire system because the water agency is allocated only $5 million to $7 million a year.
\u201cThe couple million that we\u2019ve been getting will definitely not cover the replacement,\u201d he said, adding that officials are looking at upgrading pump stations as well. \u201cIt\u2019s basically bringing our water system up to industry standards.\u201d
Residents participating in the virtual meeting peppered officials with questions and their concerns.
\u201cThese pipes are older than me. I\u2019m 23 years old,\u201d said C.J. \u201cMothers use the pipe water for formula.\u201d
When a reporter asked officials when they believe it would be safe to drink tap water again in St. Croix, there was a moment of silence. The host then asked Harold Mark with the Department of Natural Resources to reply.
He said it all depends on data still being collected, with new results expected in the coming weeks.
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Vice President Kamala Harris has led the charge on the issue for the White House and will hold the first event in Wisconsin on Monday, which would have been the 51st anniversary of Roe v. Wade, the lawsuit that led to the landmark 1973 U.S. Supreme Court decision establishing a constitutional right to abortion.
Then Biden, Harris, first lady Jill Biden and second gentleman Doug Emhoff will travel to Virginia on Tuesday for another campaign stop focused on abortion. It will be their first joint appearance for the 2024 reelection campaign.
Roe v. Wade was overturned by the Supreme Court's conservative majority two years ago. Trump has taken credit for the outcome because as president he appointed three justices to the nine-member court.
Biden's campaign manager, Julie Chavez Rodriguez, said in a statement that Trump as president \u201cpaved the way\u201d for \u201cdraconian bans.\u201d
\u201cIn 2024, a vote for Joe Biden and Kamala Harris is a vote to restore Roe, and a vote for Donald Trump is a vote to ban abortion across the country,\u201d she said. \"These are the stakes in 2024 and we\u2019re going to continue to make sure that every single voter knows it.\u201d
Biden's campaign said its advertising campaign would focus on how abortion restrictions have affected women and health care providers.
In addition, several political allies \u2014 including Michigan Gov. Gretchen Whitmer, Phoenix Mayor Kate Gallego and North Carolina Gov. Roy Cooper \u2014 are hosting their own events focused on battleground states.
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The appeal Wednesday by the Viasna group said Ryhor Kostusiou is being denied proper medical care in the prison where he is serving a 10-year sentence on a conviction of attempting to unlawfully seize power.
Kostusiou, head of the Belarusian Popular Front party, was arrested in 2021 as part of a harsh crackdown on opposition that began after mass protests shook the country following the 2020 presidential election. The election's disputed results gave another term to President Alexander Lukashenko, who has been in office since 1994 and suppressed opposition and independent news media.
About 35,000 people were detained in and after the protests. More than 1,400 political prisoners remain behind bars, including Viasna founder Ales Bialiatski, a winner of the Nobel Peace Prize in 2022.
Viasna said Monday that another political prisoner had died of pneumonia after authorities ignored his pleas for help.
The 67-year-old Kostusiou's \u201chealth condition has seriously deteriorated,\u201d Viasna said in its appeal to special rapporteur Anais Marin. \u201dThe conditions for serving a criminal sentence do not take into account his serious health condition, do not allow him to receive quality treatment and endanger his life.\u201d
The group asked the rapporteur to send \"an urgent appeal to the authorities asking them to provide Kostusiou with proper treatment.\u201d
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The primary focus is on the health and medical treatment of these prisoners, which is directly related to the topic of health." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/01/18/da73556c20695c19283e31315601f35b.json b/datasets/AP_news/raw_data/2024/01/18/da73556c20695c19283e31315601f35b.json new file mode 100644 index 0000000..cddb907 --- /dev/null +++ b/datasets/AP_news/raw_data/2024/01/18/da73556c20695c19283e31315601f35b.json @@ -0,0 +1,222 @@ +{ + "altids": { + "itemid": "da73556c20695c19283e31315601f35b", + "etag": "da73556c20695c19283e31315601f35b_0a3aza0c0", + "friendlykey": "668940759817", + "referenceid": "MD-XGR--Black Caucus-Maryland" + }, + "version": 0, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-01-18T23:25:38Z", + "firstcreated": "2024-01-18T23:25:37Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: Updates Media.", + "signals": [ + "newscontent" + ], + "title": "MD-XGR--Black Caucus-Maryland", + "headline": "Maryland Black Caucus\u2019s legislative agenda includes criminal justice reform and health", + "headline_extended": "Black Maryland lawmakers are highlighting a package of measures that they are prioritizing in this legislative session to improve health, housing, minority business opportunities, education and criminal justice reforms", + "slugline": "BC-MD-XGR--Black Caucus-Maryland", + "description_summary": "Black Maryland lawmakers are highlighting a package of measures that they are prioritizing in this legislative session to improve health, housing, minority business opportunities, education and criminal justice reforms. Legislative Black Caucus Chair Jheanelle Wilkins says the agenda seeks to address health disparities and maternal health. The caucus highlighted a bill to increase transparency in the awarding of state contracts to help minority business owners. The caucus is backing a bill to give local governments the authority to require just cause to deny the renewals of leases and establish clear criteria for evictions to protect tenants.", + "bylines": [ + { + "by": "By BRIAN WITTE", + "title": "Associated Press" + } + ], + "located": "ANNAPOLIS, Md.", + "datelinelocation": { + "city": "Annapolis", + "countryareacode": "MD", + "countryareaname": "Maryland", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -76.49184, + 38.97859 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. 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(AP) \u2014 Black Maryland lawmakers highlighted a package of measures on Thursday that they are prioritizing to improve health, access to housing, minority business opportunities, education and criminal justice reforms.
Del. Jheanelle Wilkins, chair of the Legislative Black Caucus of Maryland, noted that the caucus includes 66 of the Maryland General Assembly's 188 legislators, the largest caucus of its kind in the nation.
\u201cOur agenda seeks to address health disparities and maternal health and cancer that plague our communities and lead to high mortality rates,\" Wilkins, a Montgomery County Democrat, said at a news conference. \u201cWe will seek to increase access to housing and create a more stable environment for renters and Marylanders.\"
Here's a look at some of the measures that are being prioritized by the caucus:
The caucus is supporting a measure to improve the health of pregnant women by streamlining medical forms after they are discharged from hospitals and connecting patients with community-based services.
Black lawmakers also are adding their support to a bill to expand the authority of the Maryland Prescription Drug Affordability Board to set upper payment limits on prescription drugs statewide. The caucus also wants to do more to raise public awareness about the availability of cancer screening.
The caucus is backing a bill to give local governments the authority to require just cause to deny the renewal of leases and establish clear criteria for evictions to protect tenants. Another bill would restrict housing providers from discriminating against potential tenants who have criminal records by barring landlords from reviewing criminal history three years after release.
The caucus is seeking to expand criminal record expungement laws. One measure would enable courts to decide whether a person's record could be expunged, even if a crime falls outside of current statutory allowances. Supporters say that while the state has made progress on expungement rights, there are still a number of misdemeanors \u2014 like driving without a license or without insurance \u2014 that can't be expunged.
The caucus also supports a bill to create an ombudsman's office for the correctional system that would provide a voice for the incarcerated and their families about conditions in correctional facilities.
A measure with caucus support would ensure that Maryland is not approving duplicative programs that already are being provided by the state's four historically Black colleges and universities.
The caucus also expressed opposition to a proposal in Gov. Wes Moore's budget proposal that would create a copayment of up to 7% of families' income to participate in a child care scholarship program. Del. Stephanie Smith, a Baltimore Democrat, said the potential copays \u201ccould actually make the value of the scholarship program less potent.\u201d The governor's office said Moore is proud to have put forward the largest investment ever in the program, and that the governor looks forward to continuing conversations with lawmakers, local leaders and advocates.
The caucus highlighted a bill to increase transparency in the awarding of state contracts. One measure would create an interactive public dashboard for the state's Board of Public Works, which approves most state contracts. Another measure would increase prime contracting opportunities for minority businesses.
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However, the document also extensively covers other areas, diluting the focus on health." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/01/19/265a21152acf1279932e04cad1154951.json b/datasets/AP_news/raw_data/2024/01/19/265a21152acf1279932e04cad1154951.json new file mode 100644 index 0000000..55b4574 --- /dev/null +++ b/datasets/AP_news/raw_data/2024/01/19/265a21152acf1279932e04cad1154951.json @@ -0,0 +1,295 @@ +{ + "altids": { + "itemid": "265a21152acf1279932e04cad1154951", + "etag": "265a21152acf1279932e04cad1154951_0a6aza0c0", + "friendlykey": "23983073299", + "referenceid": "US--Abortion-Oklahoma" + }, + "version": 0, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-01-19T22:30:19Z", + "firstcreated": "2024-01-19T22:30:18Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: Updates Media.", + "signals": [ + "newscontent" + ], + "title": "US--Abortion-Oklahoma", + "headline": "US government rejects complaint that woman was improperly denied an emergency abortion in Oklahoma", + "headline_extended": "The U.S. Department of Health and Human Services says an Oklahoma hospital did not violate federal law after doctors told a woman with a nonviable pregnancy to wait in the parking lot until her condition worsened enough to qualify for an abortion", + "slugline": "BC-US--Abortion-Oklahoma", + "description_summary": "The U.S. Department of Health and Human Services says an Oklahoma hospital did not violate federal law after doctors told a woman with a nonviable pregnancy to wait in the parking lot until her condition worsened enough to qualify for an abortion. Jaci Statton filed a complaint with the department last year under the Emergency Medical Treatment and Labor Act. Doctors had told her that she had a partial molar pregnancy but could not give her an abortion until she was closer to death. The Centers for Medicare and Medicaid Services told Statton that it could not \u201cconfirm a violation\u201d of the emergency care federal law after conducting an investigation.", + "bylines": [ + { + "by": "By KIMBERLEE KRUESI", + "title": "Associated Press" + } + ], + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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Jaci Statton, 26, was among several women last year who challenged abortion restrictions that went into effect in Republican-led states after the Supreme Court revoked the nationwide right to abortion in 2022.
Rather than join a lawsuit, Statton filed a complaint with the Department of Health and Human Services under the Emergency Medical Treatment and Labor Act, or EMTALA. The complaint came a little more than a year after Biden's administration informed hospitals that they must provide abortion services if the mother\u2019s life is at risk. At the time, President Joe Biden's administration said EMTALA supersedes state abortion bans that don\u2019t have adequate exceptions for medical emergencies.
The Biden administration\u2019s denial of Statton\u2019s claim is the latest development in the ongoing scrutiny over how to apply EMTALA in the wake of the Supreme Court ruling that overturned Roe v. Wade. It also underscores the uphill legal battle reproductive rights advocates when pushing back against state abortion bans.
According to the complaint, Statton learned she was pregnant in early 2023 and soon began experiencing severe pain and nausea. Doctors in Oklahoma eventually told her that she had a partial molar pregnancy, which left untreated could cause hemorrhaging, infection, and even death.
\u201cHowever, providers told Jaci that they could not provide an abortion until she was actively crashing in front of them or on the verge of a heart attack,\" the complaint stated. \"In the meantime, the best that they could offer was to let Jaci sit in the parking lot so that she would be close to the hospital when her condition further deteriorated.\u201d
Abortion is illegal in almost every case in Oklahoma. However, in November, the state's Supreme Court reiterated in a ruling that the state constitution guarantees a woman\u2019s right to an abortion when necessary to preserve her life.
Ultimately, Statton and her husband traveled out of state to have an emergency abortion rather than wait for her health to deteriorate.
In October, the Centers for Medicare and Medicaid Services \u2014 which operates under Health and Human Services \u2014 informed Statton that its investigation could not \u201cconfirm a violation\u201d of the emergency care federal law.
\u201cWe appreciate you bringing this matter to our attention,\u201d the letter said.
The Center for Reproductive Rights, which represents Statton, confirmed Friday that her complaint had been denied. The center did not disclose why it waited months to make the denial public. In December, an attorney for the center told The Associated Press that they had did not have any updates that they could release publicly.
\u201cEMTALA was created to protect every person\u2019s right to receive stabilizing treatment for an emergency medical condition no matter which state they live in or what kind of stabilizing care they need,\u201d said Rabia Muqaddam, a senior staff attorney with the center. \u201cIt is horrifying that patients in Jaci\u2019s circumstances are being turned away.\u201d
A spokesperson for Health and Human Services did not immediately return an email request for comment.
The Center for Reproductive Rights has lawsuits ongoing in Idaho, Tennessee and Texas. The lawsuits do not seek to overturn the states\u2019 abortion bans, but instead ask the state courts to clarify the circumstances that qualify patients to legally receive an abortion.
The Supreme Court earlier this month allowed Idaho to enforce its strict abortion ban, even in medical emergencies, while a separate legal fight continues. The justices said they would hear arguments in April and put on hold a lower court ruling that had blocked the Idaho law in hospital emergencies, based on a federal lawsuit filed by the Biden administration.
Also this month, a three-judge panel in New Orleans ruled that the administration cannot use EMTALA to require hospitals in Texas to provide abortions for women whose lives are at risk due to pregnancy.
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The Los Angeles County Department of Public Health has reported more than 150 suspected cases of gastrointestinal illness linked to raw oysters, while in San Diego County, health officials said Thursday that they had 69 confirmed and probable cases. Other cases were reported in Orange, Riverside, San Bernardino and Ventura counties.
The U.S. Food and Drug Administration issued an initial advisory Jan. 11 regarding oysters from one site in the Mexican state of Sonora, which is located along the Gulf of California. That was based, at least in part, on the findings of an investigation conducted by San Diego County health officials.
On Wednesday the FDA issued another advisory for oysters from Laguna De Guerrero Negro and Laguna Manuela, both on the Pacific Coast of Baja California, Mexico. That same day the agency also updated its initial Sonora advisory to include a second harvest location, Estero Morua.
The California Department of Public Health warned consumers that raw oysters harvested from those locations may be contaminated with the norovirus, which can cause diarrhea, vomiting, nausea and stomach pain. Other symptoms include fever, headache and body aches, according to FDA.
Health officials are recommending that restaurants throw away any oysters imported from locations in Mexico until further notice \u201cgiven the expanding number of harvest locations associated with illness and the potential of other sites to be involved,\u201d San Diego County said in a statement.
The norovirus cases included both restaurant patrons and consumers who bought oysters at shops and ate them at home.
People are advised to ask where oysters came from before consuming them and to wash hands and surfaces that may have come into contact with contaminated oysters.
All of the implicated oysters were harvested in December, and none since then have been distributed to food venues in San Diego from those locations, according to the county statement.
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With AP Photos.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "US-MED--Virus Season-Explainer", + "headline": "How to stay healthy during cold, flu and COVID-19 season", + "headline_extended": "Getting through winter healthy means trying to protect yourself from respiratory viruses", + "slugline": "BC-US-MED-Virus-Season-Explainer, 2nd Ld-Writethru", + "description_summary": "Getting through winter healthy means trying to protect yourself from respiratory viruses. January can be the worst month for these illnesses and vaccination rates are low. When relatives, friends and co-workers are coming down with coughs, nasal congestion, fatigue and fever, keeping viruses at bay means thorough hand-washing, good ventilation and wearing a mask in crowded areas. If you do get sick, prompt testing can help determine whether you have COVID-19 or influenza. That\u2019s important to see if you need one of the medicines that can help prevent severe illness: Paxlovid for COVID-19 and Tamiflu for flu.", + "bylines": [ + { + "by": "By CARLA K. JOHNSON", + "title": "AP Medical Writer" + } + ], + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. For other uses, additional clearances may be required." + ], + "keywords": [ + "covid flu rsv health virus" + ], + "provider": "AP", + "infosource": [ + { + "name": "AP", + "type": "AP" + } + ], + "subject": [ + { + "rels": [ + "category" + ], + "creator": "Editorial", + "code": "a", + "name": "a" + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "084d88a87f00100481c3f571351eed07", + "name": "Common cold", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 60 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "084e24e87f00100481c7f571351eed07", + "name": "Flu", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 82 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "4f95136e072e41c6a81e8fa820e26e9c", + "name": "Children", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 49 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "ace74e307f00100486cedf092526b43e", + "name": "Immunizations", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 41 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "b17e2751b26d4523a2c99d79e04747ee", + "name": "COVID-19 pandemic", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 71 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "cc7a76087e4e10048482df092526b43e", + "name": "Health", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 96 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "cc7a76087e4e10048482df092526b43e", + "name": "Health", + "creator": "Editorial", + "editorial_subject": "Health", + "rels": [ + "direct" + ], + "relevance": 99 + } + ], + "audiences": [ + { + "code": "82c6a4c46fa0446090a7acaf93159e4c", + "name": "Print", + "type": "AUDPLATFORM" + }, + { + "code": "9add4649b53b4702ba7d9de5d4fa607a", + "name": "Online", + "type": "AUDPLATFORM" + }, + { + "code": "f43adc08760d10048040e6e7a0f4673e", + "name": "National", + "type": "AUDSCOPE" + }, + { + "code": "f4ecf9b0760d10048044e6e7a0f4673e", + "name": "International", + "type": "AUDSCOPE" + }, + { + "code": "661850e07d5b100481f5c076b8e3055c", + "name": "Latin America and Caribbean", + "type": "AUDGEOGRAPHY" + }, + { + "code": "661e48387d5b10048291c076b8e3055c", + "name": "United States", + "type": "AUDGEOGRAPHY" + } + ], + "associations": { + "1": { + "altids": { + "itemid": "03b53b574bff4fc0a66fb2cca0db89ac" + }, + "type": "picture" + }, + "2": { + "altids": { + "itemid": "be98323c364a4406b424d2ab1c365017" + }, + "type": "picture" + }, + "3": { + "altids": { + "itemid": "adfac7a3c2c446b780e8e8268fe72d2d" + }, + "type": "picture" + }, + "4": { + "altids": { + "itemid": "f959435df71248b4a291e99d53bf9bad" + }, + "type": "picture" + }, + "5": { + "altids": { + "itemid": "46338780651f40069168ce894d42a899" + }, + "type": "video" + }, + "6": { + "altids": { + "itemid": "76df256a148942eba4cf20eb05833697" + }, + "type": "audio" + } + }, + "body_nitf": "Winter is here, inflicting its usual array of symptoms \u2014 coughs, nasal congestion, fatigue and fever \u2014 and, this year, a new COVID-19 variant is dominating the scoreboard.
COVID-19 is leading hospital admissions among the respiratory viruses, according to the U.S. Centers for Disease Control and Prevention.
Last week, 25 U.S. states had high or very high levels for respiratory illnesses with fever, cough and other symptoms. That\u2019s down from 37 states the week before, the CDC said.
Since the beginning of October, there have been at least 16 million illnesses, 180,000 hospitalizations, and 11,000 deaths from flu so far this season. The CDC said 47 children have died of flu.
January can be the worst month for these illnesses. With vaccination rates low, what can you do to protect yourself from respiratory viruses, including influenza, COVID-19 and RSV?
BACK TO BASICS
Hand-washing remains crucial to reducing the spread of viral infections. Take your time at the sink. Twenty seconds is recommended. If you feel silly singing \u201cHappy Birthday\u201d twice while you scrub with soapy water, count to 20. Slowly.
Use hand sanitizer with 60% alcohol when you don\u2019t have access to soap and water.
Also, wear a mask in crowded areas. Increase ventilation in your workplace and home.
NOT TOO LATE TO VACCINATE
In the United States, only 17% of those eligible have received the updated COVID-19 vaccine, which provides good protection against the now-dominant JN.1 variant.
It\u2019s not too late to roll up your sleeve. While you\u2019re at it, make sure you\u2019ve had your annual flu shot. Those 60 and older may want to get the RSV vaccine, which also is recommended during pregnancy to prevent RSV in infants.
WHEN YOU HAVE CHILDREN AT HOME
Young children seem to pick up every germ going around. Can their parents avoid getting sick?
This time of year, children are indoors in close quarters with other kids, touching the same toys and surfaces, said Jennifer Sonney of University of Washington School of Nursing in Seattle. Some haven\u2019t learned to cover their coughs and they simply haven\u2019t been exposed to many illnesses, so their immune systems are still developing.
It\u2019s important to take care of yourself if you\u2019re a parent or caregiver of young children, said Sonney who is immediate past president of the National Association of Pediatric Nurse Practitioners.
\u201cWe know if you are sleep deprived or dehydrated or experiencing a lot of stress, that can compromise your immune function,\u201d Sonney said.
Having young children is very demanding, \u201cso all of this advice needs to be interpreted within the context of reality,\" she said. \"Despite doing everything right, kids are still going to get colds.\u201d
A special note if your baby is sick: It\u2019s a good idea to have saline drops and a bulb syringe at home. They can be used to clear mucus from tiny nostrils.
\u201cA couple drops of saline into one nostril and suction it and then do the other side,\u201d Sonney said. \u201cDoing that before eating and sleep is going to help a lot.\u201d
A home kit for children could also include acetaminophen or ibuprofen for fevers, tissues for runny noses and water bottles of sippy cups for staying hydrated.
TEST TO TREAT
If you do get sick, prompt testing can help determine whether you have COVID-19 or influenza. That\u2019s important to see if you need one of the medicines that can help prevent severe illness: Paxlovid for COVID-19 and Tamiflu for flu.
If you don't have a test kit at home, look for a test-to-treat site at a pharmacy clinic or health center near your. There is also a free home-based test-to-treat program for adults who are uninsured or rely on government health insurance.
___
The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute\u2019s Science and Educational Media Group. The AP is solely responsible for all content.
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The document also discusses the current state of respiratory illnesses and offers tips for prevention and treatment, making it highly relevant to the topic of health." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/01/19/720e871a5181ba939f3f8219b39eccdb.json b/datasets/AP_news/raw_data/2024/01/19/720e871a5181ba939f3f8219b39eccdb.json new file mode 100644 index 0000000..0391914 --- /dev/null +++ b/datasets/AP_news/raw_data/2024/01/19/720e871a5181ba939f3f8219b39eccdb.json @@ -0,0 +1,296 @@ +{ + "altids": { + "itemid": "720e871a5181ba939f3f8219b39eccdb", + "etag": "720e871a5181ba939f3f8219b39eccdb_0a15aza0c0", + "friendlykey": "43291147448", + "referenceid": "US--Winter Weather-Layered Clothing-Explainer" + }, + "version": 0, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-01-19T18:25:02Z", + "firstcreated": "2024-01-19T18:25:01Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: Updates Media.", + "signals": [ + "newscontent" + ], + "title": "US--Winter Weather-Layered Clothing-Explainer", + "headline": "How to stay warm in layered clothing and avoid frostbite this winter", + "headline_extended": "As a bout of bitter and deadly cold sweeps the U.S., millions of Americans are being told to dress in layers if they must go outside", + "slugline": "BC-US--Winter Weather-Layered Clothing-Explainer", + "description_summary": "As a bout of bitter and deadly cold sweeps the U.S., millions of Americans are being told to dress in layers if they must go outside. In places that rarely experience bone-chilling temperatures, that advice can be confounding. What does it mean to layer up? Is it different from just putting on a coat? Is there a way to do it wrong? People in Minnesota \u2014 a state that is no stranger to the cold \u2014 have wisdom to share. Layering means wearing multiple pieces of clothing to keep your body comfortable in cold weather. In winter, staying warm means staying dry. Layering certain types of clothing helps move sweat and moisture away from your skin. Avoid wearing cotton, and avoid getting wet, to prevent frostbite.", + "bylines": [ + { + "by": "By TRISHA AHMED and MARK VANCLEAVE", + "title": "Associated Press/Report for America" + } + ], + "located": "MINNEAPOLIS", + "datelinelocation": { + "city": "Minneapolis", + "countryareacode": "MN", + "countryareaname": "Minnesota", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -93.26384, + 44.97997 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. For other uses, additional clearances may be required." + ], + "keywords": [ + "Layer Up Clothing Weather Cold Warm" + ], + "provider": "AP", + "infosource": [ + { + "name": "AP", + "type": "AP" + } + ], + "subject": [ + { + "rels": [ + "category" + ], + "creator": "Editorial", + "code": "f", + "name": "f" + }, + { + "rels": [ + "category" + ], + "creator": "Editorial", + "code": "l", + "name": "l" + }, + { + "rels": [ + "category" + ], + "creator": "Editorial", + "code": "a", + "name": "a" + }, + { + "rels": [ + "category" + ], + "creator": "Editorial", + "code": "n", + "name": "n" + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "084d88a87f00100481c3f571351eed07", + "name": "Common cold", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 65 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "d8e6d7087f00100483b5f571351eed07", + "name": "Emergency care", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 34 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "5934f1087e87100487e3df092526b43e", + "name": "Injuries", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 47 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "cc7a76087e4e10048482df092526b43e", + "name": "Health", + "creator": "Editorial", + "editorial_subject": "Health", + "rels": [ + "direct" + ], + "relevance": 75 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "c8e409f8858510048872ff2260dd383e", + "name": "Business", + "creator": "Editorial", + "editorial_subject": "Business", + "rels": [ + "direct" + ], + "relevance": 75 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "3e37e4b87df7100483d5df092526b43e", + "name": "Lifestyle", + "creator": "Editorial", + "editorial_subject": "Lifestyle", + "rels": [ + "direct" + ], + "relevance": 99 + } + ], + "place": [ + { + "scheme": "http://cv.ap.org/id/", + "code": "aebb360082c4100486bedf092526b43e", + "name": "Minneapolis", + "creator": "Machine", + "rels": [ + "direct" + ], + "parentids": [ + "9f12355082c4100486addf092526b43e" + ], + "locationtype": { + "code": "9d26a20b35f0484a891740f8189d4c7b", + "name": "City" + }, + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -93.26384, + 44.97997 + ] + }, + "relevance": 49, + "parentnames": [ + "Minnesota" + ] + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "9f12355082c4100486addf092526b43e", + "name": "Minnesota", + "creator": "Machine", + "rels": [ + "direct" + ], + "parentids": [ + "661e48387d5b10048291c076b8e3055c" + ], + "locationtype": { + "code": "0ae5eb8e00e04295a4fc209c94bfe6ef", + "name": "State" + }, + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -94.25055, + 46.25024 + ] + }, + "relevance": 81, + "parentnames": [ + "United States" + ] + } + ], + "audiences": [ + { + "code": "82c6a4c46fa0446090a7acaf93159e4c", + "name": "Print", + "type": "AUDPLATFORM" + }, + { + "code": "9add4649b53b4702ba7d9de5d4fa607a", + "name": "Online", + "type": "AUDPLATFORM" + }, + { + "code": "f43adc08760d10048040e6e7a0f4673e", + "name": "National", + "type": "AUDSCOPE" + }, + { + "code": "f4ecf9b0760d10048044e6e7a0f4673e", + "name": "International", + "type": "AUDSCOPE" + }, + { + "code": "f5b16ea8760d10048047e6e7a0f4673e", + "name": "State", + "type": "AUDSCOPE" + }, + { + "code": "661850e07d5b100481f5c076b8e3055c", + "name": "Latin America and Caribbean", + "type": "AUDGEOGRAPHY" + }, + { + "code": "9f12355082c4100486addf092526b43e", + "name": "Minnesota", + "type": "AUDGEOGRAPHY" + }, + { + "code": "661e48387d5b10048291c076b8e3055c", + "name": "United States", + "type": "AUDGEOGRAPHY" + } + ], + "associations": { + "1": { + "altids": { + "itemid": "c21b03707f8b4c819811eaa194e55863" + }, + "type": "video" + }, + "2": { + "altids": { + "itemid": "cc5bc736ad314d7d840f9f7bb814e723" + }, + "type": "picture" + }, + "3": { + "altids": { + "itemid": "571f1641cfd94079b021031503bbfdbf" + }, + "type": "picture" + }, + "4": { + "altids": { + "itemid": "67b1421ceb214bd9ab90fb7d910e73e4" + }, + "type": "picture" + } + }, + "body_nitf": "MINNEAPOLIS (AP) \u2014 As a bout of bitter and deadly cold sweeps the U.S., millions of Americans are being told to dress in layers if they must go outside.
In places that rarely experience bone-chilling temperatures, that advice can be confounding. What does it mean to layer up? Is it different from just putting on a coat? Is there a way to do it wrong?
People in Minnesota, a state that is no stranger to the cold, have wisdom to share.
Layering means wearing multiple pieces of clothing to keep your body comfortable in cold weather. Each layer creates an insulating pocket of air that protects you better than just wearing a big jacket, and layering helps move sweat and moisture away from your skin.
No matter how cold it is, you\u2019re probably going to sweat when you go outside and start moving, said Claire Wilson, executive director of The Loppet Foundation \u2014 a nonprofit that promotes winter recreation and activities in Minneapolis.
If you're wearing the correct layers, you can feel perspiration wick away from your body, she said. The idea is to add another layer if you get cold, or take off a layer when you get hot or wet.
Wilson said she loves to shop at thrift stores for layers that won't break the bank.
\u201cJust look for things that aren\u2019t cotton,\u201d she said.
Cotton absorbs moisture, so it stays wet longer, Wilson explained. Cotton socks can get wet in your boots or shoes if you walk in the snow, and a cotton shirt under your jacket can get wet with sweat. Cotton won't dry quickly, so you'll get colder, she said.
Instead, choose wool socks and fabrics made of fleece, polyester or polypropylene, she said. You can also repurpose old vests and shirts, which are great at keeping your core warm. Many of these items might also already be in your closet; layering up doesn't have to cost a fortune.
Wilson recommends starting with a base layer, then a mid layer, and then an outer layer.
The base layer is closest to your skin, so it's important for the fabric to wick away moisture, she said. Choose polyester over cotton for this. Then, wear a mid layer \u2014 a vest or a shirt \u2014 to keep your core warm. Some people choose to wear more than one mid layer. Finally, wear a traditional winter jacket that breaks the wind a little but also insulates you, Wilson said.
Frostbite \u2014 a painful injury in which skin freezes, blood flow decreases and tissue gets damaged \u2014 can happen within minutes in cold weather when skin is not adequately covered.
\u201cWe see people with frostbite inside their shoes and gloves all the time,\u201d said Dr. James Miner, chief of emergency medicine at Hennepin County Medical Center in Minneapolis.
Symptoms include blistering of the skin because it's damaged, along with bruising and swelling. Frostbite can even result in the loss of a limb, if it's not properly treated.
The hospital sees about a dozen people a day with frostbite when temperatures hover near zero (minus 18 degrees Celsius), Miner said.
Layering up can prevent frostbite because it traps a bit of insulating air between each layer of fabric, Miner said. It's more effective than simply wearing a big coat because layers \u201ctend to keep the moisture from outside \u2014 or the moisture from your body \u2014 from traveling as far as it gets trapped\u201d by the air within each layer.
Miner recommends a waterproof outer layer, like a raincoat, to keep the lower layers dry.
Children typically require one more layer than adults, said Toni Hauser, supervisor of emergency preparedness and response for the Minneapolis Health Department. Hauser suggests keeping extra clothing or blankets in your car as well, in case you run out of gas or your car breaks down and you need to be outside.
\u201cThree words: Cover Your Bum (CYB)!\u201d the city of Minneapolis says in a blog post about staying warm in cold weather. In other words, wear a winter jacket that falls closer to your knees than your hips.
The post also recommends keeping your legs warm with fleece-lined leggings or a pair of long underwear under your pants. Woolen socks and winter boots are a big help, too. Fur-lined gloves or mittens can also keep your hands warm and prevent dry skin. And keep your ears cozy with ear muffs or a hat.
___
Trisha Ahmed is a corps member for the Associated Press/Report for America Statehouse News Initiative. Report for America is a nonprofit national service program that places journalists in local newsrooms to report on under-covered issues. Follow her on X, formerly Twitter: @TrishaAhmed15
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untrue stories and visuals of the week. None of these are legit, even though they were shared widely on social media. The Associated Press checked them out.
___
CLAIM: A deadly contagion known as Disease X is emerging and under discussion at the World Economic Forum\u2019s 2024 annual meeting in Davos, Switzerland.
THE FACTS: Disease X is not real. It is the name given to a hypothetical pathogen that is being used to help plan for future health crises. Global healthcare experts this week spoke on a WEF panel called \u201cPreparing for Disease X.\u201d The name was coined by the World Health Organization in 2018. In the days leading up to Wednesday\u2019s panel on the topic, social media users began sharing a range of posts misrepresenting Disease X as real, and portraying it as an imminent threat to society. \u201cDisease X is the mystery contagion that the World Economic Forum is having a meeting about TODAY!\u201d reads one Instagram post that had received more than 2,000 likes as of Thursday before it was deleted. \u201cApparently it \u2018could have 20 times more fatalities than COVID.\u2019 Remember\u2026 they always tell us what\u2019s coming.\u201d But Disease X is not an actual illness. The WHO introduced the concept as part of its 2018 list of diseases that pose the greatest public health risk. The information helps guide global research and development in areas such as vaccines, tests and treatments. Disease X represents a hypothetical pathogen that could one day cause an epidemic or pandemic, according to a 2022 announcement about the WHO\u2019s intent to update its list. An initial version of the list, which did not include Disease X, was published in 2017 and another update is planned for the first half of 2024. Actual diseases on the current list include COVID-19, Zika, Ebola and SARS, among others. \u201cTargeting priority pathogens and virus families for research and development of countermeasures is essential for a fast and effective epidemic and pandemic response,\u201d Dr. Michael Ryan, executive director of the WHO\u2019s Health Emergencies Programme, said in the 2022 press release. Asked for comment on false claims about Disease X, the WHO sent The Associated Press an updated copy of the release, which was nearly identical to the one from 2022. The Davos panel discussing Disease X on Wednesday featured global healthcare leaders, including WHO Director-General Tedros Adhanom Ghebreyesus; N\u00edsia Trindade, Brazil\u2019s minister of health; and Nancy Brown, CEO of the American Heart Association.
___
CLAIM: A New York City high school was shut down to house migrants who entered the U.S. illegally.
THE FACTS: News that migrants living in a temporary shelter at Floyd Bennett Field, a former airport, would wait out out a storm at James Madison High School led to false claims on social media that the move would be long term. Nearly 2,000 migrants housed in tents at the Brooklyn shelter were moved temporarily to the high school in the borough\u2019s Midwood neighborhood on the evening of Jan. 9. All of the migrants had left the school by early the next morning. Classes were held remotely on Jan. 10 and resumed in person the next day. \u201c(Heart)BREAKING: New York has shut down a highschool so that it can become a shelter for illegal aliens,\u201d reads one post on X, formerly Twitter. But the move was temporary, the migrants were at James Madison High School for less than 12 hours. \u201cTo be clear, this relocation is a proactive measure being taken out of an abundance of caution to ensure the safety and well-being of individuals working and living at the center,\u201d Kayla Mamelak, a spokesperson for New York City Mayor Eric Adams, said in a statement on Jan. 9, referencing the Floyd Bennett Field shelter. \u201cThe relocation will continue until any weather conditions that may arise have stabilized and the facility is once again fit for living.\u201d Aries Dela Cruz, a spokesperson for the New York City Office of Emergency Management, told The Associated Press that migrants began loading onto buses at Floyd Bennett Field at about 4:50 p.m. on Jan. 9 and arrived at the school starting about 5:30 p.m. The last buses arrived about 8 p.m. Some families arrived on their own after hearing about the relocation. The agency wrote on X that the migrants had all returned to Floyd Bennett Field by 4:27 a.m. on Wednesday, after winds had subsided. Fabien Levy, another Adams spokesperson, wrote on X Wednesday that \u201cas the rain died down early this AM, we were able to move all the migrants out of James Madison High School by 4:15 this morning, and all headed back to Floyd Bennett Field.\u201d James Madison High School wrote in a Facebook post late Tuesday that all classes would be remote the next day. Regular in-person instruction resumed the next day. The decision to house migrants at James Madison High School led to widespread anger, including a protest outside the school and a bomb threat directed at the institution. But Adams stressed at a press conference on Jan. 10 that using schools in emergency situations was nothing new.
___
CLAIM: Starbucks has begun selling a watermelon mug to signal its support for Palestinians amid the Israel-Hamas war and appease those boycotting the chain.
THE FACTS: The mug was part of Starbucks\u2019 U.K. summer collection, which launched in May 2023, months before the conflict broke out, a company spokesperson told The Associated Press. Starbucks, as well as many customers, featured the mug in socialmediaposts around that time. While fighting continues in the third month of the Israel-Hamas war, some on social media are falsely claiming that Starbucks is selling the watermelon mug to mitigate damage caused by a boycott of the company over the conflict. Posts spreading online include photos and videos of the mug, which features a watermelon design on each side \u2014 green on the bottom with a white stripe through the middle and red with black seeds near the rim. \u201cit\u2019s giving \u2018we\u2019re so sorry pls come\u2019,\u201d reads one post on X, formerly Twitter, that had received approximately 58,000 likes and more than 18,600 shares as of Friday. \u201cy\u2019all ain\u2019t fooling us. we still boycotting.\u201d But the mug has nothing to do with the Israel-Hamas war and was launched months before the fighting began, according to Jaci Anderson, a Starbucks spokesperson. Any stores still selling the product would simply have leftover stock from its May 2023 release, Anderson said. The mug can be seen in social media posts from around the time it became available for purchase. A June 22 post on Starbucks\u2019 U.K. Facebook page, for example, shows the mug as part of a beach picnic. Multiple TikTok users postedvideos, starting in May, that showed the watermelon mug among the company\u2019s other summer merchandise. Colors found in a slice of watermelon, the green and white rind, red pulp and black seeds, also appear in the Palestinian flag. For years watermelon has been used as a sign of defiance against Israeli actions. Watermelon imagery has more recently become a symbol of solidarity in protests against the Israel-Hamas war, particularly where displaying the flag has been banned. In October, Starbucks sued Workers United \u2014 the union organizing its employees \u2014 over a pro-Palestinian message on social media that used Starbucks\u2019 name and a circular green logo resembling that of the coffee chain, saying that customers might be confused about its origin. The lawsuit was refiled in November, adding language about workers\u2019 rights to express political views and emphasizing a desire to protect worker safety and Starbucks\u2019 reputation. Starbucks has not taken an official stance on the conflict, but those boycotting the chain have said they see this as a failure to offer more support to the people of Gaza. The company says of its position on the war: \u201c Starbucks stands for humanity. We condemn violence, the loss of innocent life and weaponized speech. Despite false statements spread through social media, we have no political agenda.\u201d
___
Find AP Fact Checks here: https://apnews.com/APFactCheck
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The Namibian Presidency said the 82-year-old had a colonoscopy and a gastroscopy on Jan. 8, followed by a biopsy. Geingob's office gave no more details on his diagnosis but said he would continue to carry out his duties.
Geingob, who has been president of the southern African nation since 2015, is due to finish his second and final term in office this year. In 2014, he said he had survived prostate cancer.
\u201cOn the advice of the medical team, President Geingob will undertake appropriate medical treatment to deal with the cancerous cells,\u201d his office said in a statement.
Namibia will hold elections to choose a new leader in November.
___
More AP Africa news: https://apnews.com/hub/africa
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This information is directly related to the topic of health, as it involves medical procedures, a cancer diagnosis, and treatment plans." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/01/19/999dc0a7c0233d179fdd71962440b55b.json b/datasets/AP_news/raw_data/2024/01/19/999dc0a7c0233d179fdd71962440b55b.json new file mode 100644 index 0000000..1cb4366 --- /dev/null +++ b/datasets/AP_news/raw_data/2024/01/19/999dc0a7c0233d179fdd71962440b55b.json @@ -0,0 +1,242 @@ +{ + "altids": { + "itemid": "999dc0a7c0233d179fdd71962440b55b", + "etag": "999dc0a7c0233d179fdd71962440b55b_0a6aza0c0", + "friendlykey": "320319517940", + "referenceid": "US--Forever Chemicals-Michigan" + }, + "version": 0, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-01-19T17:22:00Z", + "firstcreated": "2024-01-19T17:21:59Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: With AP Photo.", + "signals": [ + "newscontent" + ], + "title": "US--Forever Chemicals-Michigan", + "headline": "Defense Department to again target 'forever chemicals' contamination near Michigan military base", + "headline_extended": "The U.S. Department of Defense plans to install more groundwater treatment systems at a former Michigan military base to control contamination from so-called forever chemicals", + "slugline": "AP-US--Forever Chemicals-Michigan", + "description_summary": "The U.S. Department of Defense plans to install more groundwater treatment systems at a former Michigan military base to control contamination from so-called forever chemicals. DOD officials said Thursday that they planned to install the filtration systems in a lagoon and drainage ditch on the now-shuttered Wurtsmith Air Force Base in Oscoda on the shores of Lake Huron. The systems should help prevent PFAS from spreading into surrounding water bodies. The agency announced in August that it would install groundwater treatment systems near the base. PFAS don't degrade in the environment and have been linked to health problems in humans.", + "bylines": [ + { + "by": "By TODD RICHMOND", + "title": "Associated Press" + } + ], + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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Elissa Slotkin's office announced Friday.
Environmentalists say the systems will help prevent PFAS from spreading into the Clarks Marsh area and the Au Sable River near the former Wurtsmith Air Force Base in Oscoda on the shores of Lake Huron. The base closed in 1993 as part of a base realignment.
PFAS, an abbreviation for perfluoroalkyl and polyfluoroalkyl substances, are compounds that don't degrade in the environment. They're linked to a host of health issues, including low birthweight and kidney cancer. The chemicals are found in a wide range of products, including nonstick cookware, food packaging and firefighting foam that airports use to combat fires resulting from plane crashes.
Pentagon documents show at least 385 military bases nationwide are contaminated with PFAS, mostly from firefighting foam used during training.
DOD records released in 2021 showed PFAS had been detected in groundwater around Wurtsmith at levels up to 213,000 parts per trillion. Federal regulators in March proposed limits of 4 parts per trillion in drinking water. State officials have warned people not to eat fish, venison or small game caught in and around Clarks March and parts of the Au Sable and to avoid contact with all surface water and shoreline foam in Oscoda.
The Department of Defense announced in August that it would install two groundwater treatment systems near the base. The two new systems would be in addition to those systems.
\u201cThis announcement is a milestone moment for Oscoda and its surrounding communities,\u201d Slotkin said in a news release. \u201cI will continue to urge the Pentagon to swiftly implement these measures and to address other instances of PFAS contaminations at installations in Michigan and across the country.\u201d
Tony Spaniola, co-chair of the Great Lakes PFAS Action Network, has pushed the Pentagon to clean up PFAS contamination around Wurtsmith since he was notified in 2016 that water near his Oscoda cabin wasn't safe to drink. In a statement in Slotkin's news release, he called the additional systems \u201ca landmark moment.\" The effort should serve as a model for cleanup at other contaminated military installations, he said.
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However, the primary focus is on environmental contamination and cleanup efforts rather than health itself, so it is not entirely centered on health issues." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/01/19/b30271e482ffab0b19f50797bde6062c.json b/datasets/AP_news/raw_data/2024/01/19/b30271e482ffab0b19f50797bde6062c.json new file mode 100644 index 0000000..4a4e461 --- /dev/null +++ b/datasets/AP_news/raw_data/2024/01/19/b30271e482ffab0b19f50797bde6062c.json @@ -0,0 +1,310 @@ +{ + "altids": { + "itemid": "b30271e482ffab0b19f50797bde6062c", + "etag": "b30271e482ffab0b19f50797bde6062c_2a6aza0c0", + "friendlykey": "551933149620", + "referenceid": "US--Wisconsin Abortion" + }, + "version": 2, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-01-20T01:00:15Z", + "firstcreated": "2024-01-19T20:06:36Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: This story has been updated to trim and remove 'quietly' from the lead paragraph.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "US--Wisconsin Abortion", + "headline": "Wisconsin Republicans introduce a bill to ban abortions after 14 weeks of pregnancy", + "headline_extended": "Wisconsin Assembly Republicans have introduced a bill that would set up a binding statewide referendum on whether abortion should be banned after 14 weeks of pregnancy", + "slugline": "AP-US--Wisconsin Abortion, 2nd Ld-Writethru", + "description_summary": "Wisconsin Assembly Republicans have introduced a bill that would set up a binding statewide referendum on whether abortion should be banned after 14 weeks of pregnancy. Current Wisconsin law bars abortions after 20 weeks. The bill introduced Friday would outlaw abortions after 14 weeks if voters approve the idea in this April's elections. The new prohibition would not take effect if voters rejected the idea. The bill comes as Democrats have parlayed the U.S. Supreme Court's decision in 2022 overturning Roe v. Wade into campaign successes across the country. Democratic Gov. Tony Evers almost certainly will veto the proposal if it reaches his desk.", + "bylines": [ + { + "by": "By TODD RICHMOND", + "title": "Associated Press" + } + ], + "located": "MADISON, Wis.", + "datelinelocation": { + "city": "Madison", + "countryareacode": "WI", + "countryareaname": "Wisconsin", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -89.40123, + 43.07305 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. 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(AP) \u2014 Republicans who control the Wisconsin Assembly introduced a bill Friday that would call for a binding statewide referendum on whether abortion should be banned after 14 weeks of pregnancy.
The GOP has scheduled a public hearing on the bill for Monday afternoon at the state Capitol. Democratic Gov. Tony Evers is almost certain to veto the measure. However, the proposal could still galvanize the conservative base after Democrats parlayed anger over the U.S. Supreme Court's decision to overturn its landmark 1972 Roe v. Wade ruling, which legalized abortion nationwide, into big election wins across the country.
Nowhere was that dynamic more evident than in Wisconsin, where Janet Protasiewicz won a seat on the state Supreme Court last year after repeatedly announcing on the campaign trail that she supports abortion rights. Her victory handed liberal justices a 4-3 majority on the court.
To add to Republicans' woes, a Dane County judge ruled this past summer that Wisconsin's 174-year-old ban on abortion only prohibits feticide, or an attempt to kill an unborn child. The ruling emboldened Planned Parenthood, which had ceased providing services in the wake of the U.S. Supreme Court decision, to resume operations in September. The case is on appeal, though, and likely will end up before the state Supreme Court.
Monday's hearing is set for the same day Vice President Kamala Harris is set to visit Waukesha County as part of a nationwide tour promoting reproductive rights, promising plenty of headlines for both sides on abortion.
Another Wisconsin law bans abortions after 20 weeks of pregnancy. The bill Friday would outlaw abortions after 14 weeks of pregnancy, or about three months.
Forty-three states prohibit abortions after a certain point of viability, according to the Guttmacher Institute, a research group that supports abortion rights. Two states \u2014 Georgia and South Carolina \u2014 have laws in effect that ban abortion at six weeks, before many women realize they are pregnant. Nebraska and North Carolina have laws in effect that outlaw abortion at 12 weeks. Arizona and Florida have laws in effect that prohibit abortion at 15 weeks.
The Wisconsin bill comes with a catch, though. The proposal calls for a statewide referendum conducted during April's election asking voters whether the 14-week prohibition should take effect. If approved, the bill would take effect the day after the results are certified. If the question is rejected, the bill would not take effect.
Wisconsin law does not allow voters to place questions on the ballot. Republican lawmakers have rejected Evers' calls to create a way for voters to repeal the 1849 abortion ban.
Assembly Speaker Robin Vos said in December that he would like to let voters decide whether to shrink the window for abortions. He said then that passing a new abortion law would end the uncertainty of waiting for judges to interpret outdated laws.
Asked for comment Friday, Vos spokesperson Angela Joyce referred a reporter to Vos' December comments.
Joyce released a statement on behalf of Rep. Amanda Nedweski, the bill's chief Assembly sponsor, later Friday afternoon. Nedweski said shrinking the window for an abortion could save lives.
Britt Cudaback, a spokesperson for Evers, referred reporters Friday to comments Evers made last month in which he vowed to veto \u201cany bill that makes reproductive health care any less accessible for Wisconsinites than it is right now.\u201d
\u201cWhich is what this bill aims to do,\u201d Cudaback said.
The measure may not even get to Evers. The bill would have to pass both the Assembly and the Senate before going to the governor.
The Senate's Republican majority leader, Devin LeMahieu, said last week that it would be difficult to get his caucus to coalesce around an abortion bill that Evers would veto. LeMahieu spokesperson Brian Radday didn't immediately return a message Friday seeking comment.
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Fixes typographical error in 2nd paragraph. With AP Photos. AP Video.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "EU--Britain-Six-legged Dog", + "headline": "6-legged spaniel undergoes surgery to remove extra limbs and adjusts to life on 4 paws", + "headline_extended": "A spaniel with six legs that was found abandoned in a supermarket parking lot is now like other dogs after having her extra limbs surgically removed", + "slugline": "AP-EU--Britain-Six-legged Dog, 2nd Ld-Writethru", + "description_summary": "A spaniel with six legs that was found abandoned in a supermarket parking lot is now like other dogs after having her extra limbs surgically removed. Ariel, who was named for \u201cThe Little Mermaid\" character because her extra appendage with two paws on the end looked a flipper, ran outdoors Saturday as she adjusted to life on four legs. Vicki Black, director of the Langford Vets Small Animal Referral Hospital in Wales, says the pooch is doing brilliantly. Video shot by the hospital shows her running through the grass. Black says the hospital had never seen a six-legged dog and had never performed that type of surgery.", + "located": "LONDON", + "datelinelocation": { + "city": "London", + "countrycode": "GBR", + "countryname": "United Kingdom", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -0.12574, + 51.50853 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. For other uses, additional clearances may be required." + ], + "keywords": [ + "sixlegged dog surgery spaniel Britain" + ], + "provider": "AP", + "infosource": [ + { + "name": "AP", + "type": "AP" + } + ], + "subject": [ + { + "rels": [ + "category" + ], + "creator": "Editorial", + "code": "i", + "name": "i" + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "786cf5fe209b47abaadbbfd7f9b3a20a", + "name": "Dogs", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 85 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "468257dba1c848ca93ba314d4ce86539", + "name": "Surgery", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 38 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "44811870882f10048079ae2ac3a6923e", + "name": "Oddities", + "creator": "Editorial", + "editorial_subject": "Oddities", + "rels": [ + "direct" + ], + "relevance": 75 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "bb2d2c5f441a452cb24bb511a2ab5eea", + "name": "World news", + "creator": "Editorial", + "editorial_subject": "World news", + "rels": [ + "direct" + ], + "relevance": 99 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "f25af2d07e4e100484f5df092526b43e", + "name": "General news", + "creator": "Editorial", + "editorial_subject": "General news", + "rels": [ + "direct" + ], + "relevance": 50 + } + ], + "place": [ + { + "scheme": "http://cv.ap.org/id/", + "code": "e293fee87d6b10048fe8ba7fa5283c3e", + "name": "Wales", + "creator": "Machine", + "rels": [ + "direct" + ], + "parentids": [ + "66219fb07d5b100482e2c076b8e3055c" + ], + "locationtype": { + "code": "d83e15f769714aab9d49a03eab919128", + "name": "Constituent country" + }, + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -3.5, + 52.5 + ] + }, + "relevance": 61, + "parentnames": [ + "United Kingdom" + ] + } + ], + "audiences": [ + { + "code": "82c6a4c46fa0446090a7acaf93159e4c", + "name": "Print", + "type": "AUDPLATFORM" + }, + { + "code": "9add4649b53b4702ba7d9de5d4fa607a", + "name": "Online", + "type": "AUDPLATFORM" + }, + { + "code": "f43adc08760d10048040e6e7a0f4673e", + "name": "National", + "type": "AUDSCOPE" + }, + { + "code": "f4ecf9b0760d10048044e6e7a0f4673e", + "name": "International", + "type": "AUDSCOPE" + }, + { + "code": "661850e07d5b100481f4c076b8e3055c", + "name": "Europe", + "type": "AUDGEOGRAPHY" + }, + { + "code": "661e48387d5b10048291c076b8e3055c", + "name": "United States", + "type": "AUDGEOGRAPHY" + } + ], + "associations": { + "1": { + "altids": { + "itemid": "0acb607ac93849b4a8c23524ed143236" + }, + "type": "picture" + }, + "2": { + "altids": { + "itemid": "277f4a3cf08e47208a2d101e558d3135" + }, + "type": "picture" + }, + "3": { + "altids": { + "itemid": "223556cff0aa4fad940db78acf5da78c" + }, + "type": "video" + } + }, + "body_nitf": "LONDON (AP) \u2014 A spaniel born with six legs that was found abandoned in a supermarket parking lot is now like other dogs after having her extra limbs surgically removed.
Ariel, who was named for \u201cThe Little Mermaid\u201d character because the additional appendage with two paws on the end looked like a flipper, ran through the grass outside a veterinary hospital Saturday as she adjusted to life on four legs.
\u201cShe is doing brilliantly,\u201d said Vicki Black, director of the Langford Vets Small Animal Referral Hospital, where she was operated on Thursday.
The dog, who had multiple birth defects, was found in the center of Pembroke, Wales, in September. Greenacres Rescue took her in and raised funds for her surgery.
Black said the hospital, which is part of the University of Bristol, had never seen a six-legged dog or performed such an operation.
\u201cAriel was a complicated little dog,\u201d Black said. \u201cWe are a center committed to career-long learning and are proud to innovate and treat pets like Ariel.\u201d
The extra legs extended from the right hindquarter and appeared to be of no use, dangling beside her wagging tail, as she walked a bit awkwardly in a video shot before the operation.
On Saturday as she was discharged, she took to the lawn outside the hospital with the determination of a bird dog, nose to the ground and pulling on her leash. Just like any other dog.
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Therefore, while it is somewhat relevant to health, it is not highly relevant to general health topics." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/01/20/dddee43bda5a30bfb40513f0ce05358c.json b/datasets/AP_news/raw_data/2024/01/20/dddee43bda5a30bfb40513f0ce05358c.json new file mode 100644 index 0000000..194e1a2 --- /dev/null +++ b/datasets/AP_news/raw_data/2024/01/20/dddee43bda5a30bfb40513f0ce05358c.json @@ -0,0 +1,327 @@ +{ + "altids": { + "itemid": "dddee43bda5a30bfb40513f0ce05358c", + "etag": "dddee43bda5a30bfb40513f0ce05358c_3a4aza0c0", + "friendlykey": "722682416249", + "referenceid": "US--Winter Weather Dangers" + }, + "version": 3, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-01-20T21:13:38Z", + "firstcreated": "2024-01-20T18:29:15Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: Adds graf about pet safety.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "US--Winter Weather Dangers", + "headline": "Winter blast in much of US poses serious risks like black ice, frostbite and hypothermia", + "headline_extended": "Freezing temperatures and wind speeds are creating dangerously cold conditions in a large part of the U.S. stretching from Montana to northern Florida", + "slugline": "AP-US--Winter Weather Dangers, 3rd Ld-Writethru", + "description_summary": "Freezing temperatures and wind speeds are creating dangerously cold conditions in a large part of the U.S. stretching from Montana to northern Florida. 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The region is not expected to begin thawing out until Monday.
Here are some of the dangers the winter blast poses and how to protect against them:
Wind chill describes what the air temperature feels like to human skin from the combination of wind speed and temperature. It is expected to be in the single digits in parts of the southern U.S., including the Florida Panhandle, that are typically much warmer.
In other places, it will drop below zero. Portions of Kansas will feel like 15 degrees below zero Fahrenheit (minus 26 degrees Celsius) on Saturday, according to the National Weather Service. In other areas, bitterly frigid air from Canada and wind will make it feel like minus 30 degrees Fahrenheit (minus 34 degrees Celsius) outside.
Forecasters say the risk of developing frostbite and hypothermia increases as the wind chill temperature falls.
Hypothermia occurs when the body\u2019s stored energy is used up, causing its temperature to drop. People who remain outdoors for long periods \u2014 such as those who are homeless \u2014 are particularly at risk.
A series of storms before this weekend's cold weather were blamed for at least 55 deaths around the country, many of them involving hypothermia.
In Tennessee, a 25-year-old man was found dead on the floor of a mobile home in Lewisburg after a space heater overturned and turned off, said Bob Johnson, chief deputy for the Marshall County Sheriff\u2019s Office. \u201cThere was ice on the walls in there,\u201d Johnson said.
Though less serious, frostbite is also a concern in cold weather. It occurs when skin \u2014 and sometimes underlying tissue \u2014 freezes. To prevent it, the American Academy of Dermatology advises people going outside to dress in layers and wear two pairs of socks, a heavy wool or fleece hat that covers the ears, a face mask or scarf and insulated mittens or gloves. It also advises people to stay hydrated and avoid alcohol.
In Atlanta, city officials announced two sites where people can go to stay warm will remain open through the weekend.
Water pipes are at risk of freezing and bursting in cold temperatures. In Memphis, Tennessee, officials urged residents to boil water after days of cold temperatures led to broken water mains.
So many lines broke that water pressure throughout the city dropped. That could allow contaminants to enter the system.
Forecasters were warning home and business owners as far south as northern Florida to wrap or drain outdoor water pipes to prevent damage. Another strategy is to allow a faucet to drip slowly.
Officials say that during a winter storm, people should stay indoors. But home heating systems running for hours can increase the risk of carbon monoxide poisoning as the deadly fumes can be produced by furnaces, stoves and heaters, according to the U.S. Centers for Disease Control and Prevention.
Carbon monoxide can also be created when people use portable generators or run cars in their garages to stay warm or charge their phones. Generators should not be operated inside homes or even in garages, experts say.
Snow and ice can make driving and walking treacherous. Heavier-than-forecast snow fell in New York City, Baltimore and Washington, D.C., on Friday.
New Yorkers have been warned that roads could be covered with black ice this weekend. Black ice is a glaze that forms on roads, sidewalks and driveways. It is not easily seen and is often clear, making a black road surface visible underneath. It is most likely to be present during the early morning hours and on bridges, elevated overpasses and shaded spots on the road.
People should avoid driving during such conditions. If they must be on the road, they are encouraged to slow down and maintain even more distance than normal from the vehicle ahead of them. If they do hit ice, they should avoid braking and instead ease off the accelerator. Sudden turns of the steering wheel are also not advised.
Freezing temperatures can be dangerous for animals as well as people. If the weather is too cold for people, it\u2019s likely too cold for pets, so keep them mostly inside, the American Society for the Prevention of Cruelty to Animals recommends. Cars can hold in the cold like refrigerators when the temperature dips, so don\u2019t leave pets alone in automobiles.
Animals that spend time outdoors should have access to shelter and unfrozen drinking water, according to the Humane Society of the United States.
Wipe down dogs\u2019 paws after walks because rock salt and other snow-melting chemicals can irritate their feet and even cause salt poisoning, the Humane Society says. Antifreeze is a deadly poison, so wipe up any spills quickly and keep it out of reach.
___
Associated Press writer Lindsay Whitehurst contributed to this story.
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Mike DeWine announced proposals this month that transgender advocates say could block access to gender-affirming care provided by independent clinics and general practitioners, leaving thousands of adults scrambling for treatment and facing health risks.
Ashton Colby, 31, fears the clinic where he gets the testosterone he has taken since age 19 would no longer offer it. The transgender Columbus man believes he could eventually be treated by another provider that would meet the new requirements. But even a few months' wait could leave Colby experiencing a menstrual cycle for the first time in many years.
\u201cMy mental health has been stressed,\u201d Colby said. \u201cThese are feelings related to being transgender that I have not felt in years, but now I\u2019m thrown into feeling devastated about my experience as a transgender person.\u201d
DeWine announced the proposed rules amid a whirl of activity that could push Ohio further than most other states in controlling gender-affirming care and make it just the second to set forth restrictions on adult care.
He also signed an executive order to ban gender-affirming surgery for minors but vetoed a bill that would ban all gender-affirming care for minors. One chamber of the state legislature has already overridden it and the other is voting Jan. 24 on whether to do so.
\u201cIt is a policy project that attempts to make it so onerous, so restrictive to get care, that people are functionally unable to do so,\u201d said Kellan Baker, executive director of the Whitman-Walker Institute, a Washington-based organization focused on the health of LGBTQ+ people.
The policies focused on care for adults come in draft administrative rules released this month by the Ohio Department of Health and the state's Department of Mental Health and Addiction Services.
They would require psychiatrists, endocrinologists and medical ethicists to have roles in creating facility-wide gender-affirming care plans for patients of all ages. Patients under 21 would have to receive at least six months of mental health counseling before starting gender-affirming medication or surgery. Providers would be barred from referring minors to treatment elsewhere, such as clinics in other states.
When he announced the measures, DeWine said they would ensure safe treatment and make it impossible to operate \u201cfly-by-night\u201d clinics.
The rules are not intended to stop treatment for those already receiving it and are in line with the way specialized care is generally practiced, even if the approach isn't always state-mandated, said DeWine spokesperson Dan Tierney, who noted the administration is open to wording changes to clarify the rules.
Still, advocates say those rules go beyond the standard of care established by organizations including the World Professional Association for Transgender Health, and at any rate there are no sketchy gender clinics in the state.
\u201cIt\u2019s bad and unnecessary bureaucracy, and we know what they\u2019re trying to do \u2014 and they\u2019re hoping to cut off health care for as many people as possible,\u201d said Dara Adkison, board secretary for the advocacy group TransOhio. \u201cIt\u2019s not subtle.\u201d
Mimi Rivard, a nurse practitioner and clinical director at Central Outreach Wellness Center Ohio\u2019s Columbus clinic, said clinics already successfully prescribe hormones without the involvement of endocrinologists and there aren\u2019t enough of those specialists in the state to do the current work, plus serve an estimated 60,000 Ohioans of transgender experience.
Many transgender patients are wary of other medical settings, which they might see as unfriendly, for more routine needs like hypertension or diabetes, but clinics like hers also treat them for those conditions, she said.
\u201cWe have to behave in ways that are consistent with the oaths we\u2019ve taken as caregivers,\" Rivard said. \u201cAnd these guidelines will not allow for this.\u201d
Patients who have undergone surgery and stop hormones could be at risk for osteoporosis and extreme fatigue, she said.
Dr. Carl Streed Jr., president of U.S. Professional Association for Transgender Health, who provides gender-affirming care in Boston, noted abortion is the only other realm in which states have weighed in to bar health professionals from providing services allowed by their licenses.
\u201cThe rules are draconian. They don't follow any standard of care,\u201d Streed said. \u201cIt is a veil of this false sense of safety that will effectively lead to a ban.\u201d
How the policy would affect transgender patients might depend on where they are treated. The big academic medical centers providing gender-affirming care already employ the required specialists.
Equitas Health, a Columbus-based nonprofit focused on LGBTQ+ health care, strongly opposes the regulations but also says it will fulfill the requirements to continue offering gender-affirming care if the rules are finalized.
Advocates warn the care might not be available via smaller clinics or general practitioners, creating more hurdles to care for lower-income, minority and rural transgender people.
Adkison, who lives in Cleveland, expects their own treatment to continue.
\u201cI\u2019m a white person living in the city near multiple major hospital systems,\u201d they said. \u201cI\u2019m definitely not as concerned as many of my friends.\u201d
GOP-controlled governments in 22 other states already have passed bans or restrictions on gender-affirming care for minors. So far, though, adoption of policies aimed at adults is rare.
The only other restriction currently in force at the state level is in Florida, where a law took effect last year requiring physicians to oversee any health care related to transitioning, and for those appointments to be in person. Those rules have been onerous for people who have received care from nurse practitioners or used telehealth.
It\u2019s not clear when the Ohio rules might take effect, or in what form if they are finalized. The health department is taking public comment until Feb. 5; for the Department of Mental Health and Addiction Services proposal, public comment is open only until Jan. 26.
The rules also are subject to review of a legislative committee looking at whether rules exceed the administration\u2019s power, something DeWine's proposals do, said Rhea Debussy, spokesperson for Equitas Health.
\u201cHe\u2019s really done an impressive job in the last two weeks, making a lot of Democrats, a lot of progressives, a lot of conservatives and Republicans across the state of Ohio very mad at him,\u201d she said.
The measures were unveiled Jan. 5, the same day DeWine signed an executive order banning gender-affirming surgery for those under 18. Advocates expect the move will have little practical impact because such surgeries are almost never performed on minors.
\u201cIt\u2019s very cruel,\u201d said Erin Upchurch, executive director of Kaleidoscope Youth Center, a Columbus-based organization serving young LGBTQ+ people. \u201cIt's vindictive, it\u2019s mean and it\u2019s unnecessary.\u201d
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Wade, Democratic pollster Celinda Lake took it as a political gift, thinking to herself, \u201cOh my God, we just won the election.\u201d
It may not be that simple, but as the 2024 race heats up, President Joe Biden's campaign is betting big on abortion rights as a major driver for Democrats in the election. Republicans are still trying to figure out how to talk about the issue, if at all, and avoid a political backlash.
\u201cA vote for Joe Biden and Kamala Harris is a vote to restore Roe, and a vote for Donald Trump is a vote to ban abortion across the country,\u201d said Julie Chavez Rodriguez, Biden's campaign manager. \u201cThese are the stakes in 2024.\u201d
Since Roe was overturned in 2022, voters have pushed back by approving a number of statewide ballot initiatives to preserve or expand the right to abortion. Support for abortion rights drove women to the polls during the 2022 midterm elections, delivering Democrats unexpected success. For many people, the issue took on higher meaning, part of an overarching concern about the future of democracy, according to AP VoteCast, a nationwide survey of more than 94,000 voters in the midterm elections.
Democrats have since worked to broaden how they talk to voters about the Supreme Court's decision, delivered by a conservative majority that included three justices nominated by Trump, and what it means for people's access to health care and their personal freedoms.
The Biden campaign is launching a nationwide political push this coming week centered on Monday's 51st anniversary of the 1973 decision that codified abortion rights. Vice President Kamala Harris, the administration's chief messenger on this, will hold the first event Monday in Wisconsin.
On Tuesday, Biden, Harris, first lady Jill Biden and second gentleman Doug Emhoff head to Virginia for a campaign stop focused on the issue. More events featuring top Democrats in battleground states are also in the works.
The campaign on Sunday released a advertising campaign scheduled to run all week, including during \u201cThe Bachelor\u201d season premiere and the NFL conference championships. The spot features Dr. Austin Dennard, an OB-GYN in Texas who had to leave her state to get an abortion when she learned that her baby had a fatal condition called anencephaly.
\u201cIn Texas, you are forced to carry that pregnancy, and that is because of Donald Trump overturning Roe v. Wade,\u201d she said.
Focusing on abortion will not be a silver bullet for Democrats. The economy, foreign policy, immigration and inflation are major issues, too, as is concern about Biden's age as he tries to overcome low poll numbers. Many voters are simply turned off by the prospect of a likely 2024 Trump-Biden rematch.
Still, Democrats believe abortion will be a key motivator for base voters and help expand their coalition. Biden aides and allies point to recent elections that have overwhelmingly shown that, when voters can choose, they have chosen to safeguard abortion rights.
The issue isn't vanishing from the headlines anytime soon, either. The Supreme Court will decide whether to restrict access to medication prescribed for abortion and to treat other reproductive issues. And there is an ongoing stream of stories about the impact of abortion bans, such as the mother who had to sue, then flee, her home state to end her doomed pregnancy.
Democrats spent decades trying to calibrate their message, always defending the right to choose while also making overtures to voters who are conflicted about the issue. President Bill Clinton's mantra was that abortion should be \u201csafe, legal and rare.\u201d
But the loss of federal abortion protections has been a catalyst for a broader and bolder message about abortion and reproductive rights after the historic setback from the decision in Dobbs v. Jackson Women\u2019s Health Organization that overturned Roe.
\u201cWe know that if we talk about this issue as a fundamental freedom, we are able to resonate across demographics \u2014 older voters, younger voters, people of color, folks in rural areas,\u201d said Mini Timmaraju, head of Reproductive Freedom for All, formerly NARAL Pro-Choice America.
Biden aides said the strategy is to let the president be who he is \u2014 an 81-year-old Catholic man who doesn't use the word abortion much, preferring to talk instead about the issue in the context of personal freedom.
The White House often frames the fight as part of a larger battle that involves book bans, voting rights and other social issues. For more aggressive talk about abortion and how the ripple effects of the decision are affecting maternal health, there's Harris.
Timmaraju said those \u201cdifferent messages resonate with different parts of the electorate.\"
Michigan Gov. Gretchen Whitmer, Democrat and vocal advocate for abortion rights, said it would be good if Biden spoke more forcefully on the topic.
\u201cI think people want to know that this is a president that is fighting,\" Whitmer told CBS' \u201cFace the Nation\u201d on Sunday. \u201cTo use maybe more ... blunt language, maybe that would be helpful.\u201d
Since the high court overturned Roe, roughly 25 million women now live in states with some type of ban in effect. The impacts are increasingly felt by women who never intended to end their pregnancies, yet have had emergency medical care denied or delayed because of the new restrictions.
According to an Associated Press-NORC Center for Public Affairs Research poll, among Democrats, nearly nine in 10 say abortion should generally be legal. Four in 10 say it should be legal in all cases, and nearly half say it should be legal in most cases.
As for Republicans, the topic was largely absent in the lead-up to this year\u2019s Iowa caucuses, a remarkable change in a state that has long backed religious conservatives vowing to restrict the procedure. Part of the change is because Republicans achieved a generational goal with the overturning of Roe. But it also underscores a fear among Republican candidates and voters alike that vocalizing their desire to further restrict abortion rights might be politically dangerous.
\u201cI am calling the time period we are in now \u2018the new fight for life,\u2019\u201d said Benjamin Watson, a former NFL player who is now an anti-abortion advocate. \u201cRoe is done, but we still live in a culture that knows not how to care for life. Roe is done, but the factors that drive women to seek abortions are ever apparent and ever increasing.\"
Overall, opinions on abortion remain complex, with most people believing it should be allowed in some circumstances and not in others. About two-thirds of U.S. adults say abortion should generally be legal, but only about one-quarter say it should always be legal and only about 1 in 10 say it should always be illegal.
Trump has waffled on the topic. During a recent Fox News town hall, he expressed support for limited exceptions and criticized state laws that ban abortion after six weeks. But he also has promoted his own role.
\u201cFor 54 years they were trying to get Roe v. Wade terminated, and I did it and I\u2019m proud to have done it,\u201d he said.
The Biden administration is nearing the limits of what it can do to preserve access to abortion absent congressional legislation. In the immediate aftermath June 24, 2022 Supreme Court decision, the administration quickly tried to flex its regulatory muscle to fight back against Republican efforts to severely restrict abortion. Many efforts have been challenged in court.
Biden had invited states with robust abortion access to apply for Medicaid waivers that would help pay for women to travel for the care. But so far, only California has applied to unlock federal money for the effort.
The top U.S. health official, Health and Human Services Secretary Xavier Becerra, is on a three-day East Coast tour to talk with doctors and medical students about access to abortion and birth control.
\u201cThis is the beginning of an effort to reach out to all Americans,\u201d Becerra said, and \"say to the American people how important it is that we stand up at a crucial time.\u201d
___
Associated Press writers Alanna Durkin Richer in Boston and Amanda Seitz and Linley Sanders contributed to this report.
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\u201cClearly, another diagnosis so soon after treatment for breast cancer has been distressing but the Duchess remains in good spirits,\" the spokesperson said.
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The announcement came five days after dual health announcements in Britain's royal family. Kate, the Princess of Wales, had abdominal surgery and King Charles III is due this week to have prostate treatment.
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The city is working with RIP Medical Debt, a nonprofit that buys medical debt in bulk from hospitals and debt collectors for pennies on the dollar. The group targets the debt of people with low incomes or financial hardships and then forgives the amounts.
Under the program, the city will spend $18 million over three years.
\u201cFor middle- and working-class New Yorkers, medical bills can be financially devastating,\u201d Adams said as he announced the plan. \u201cWorking-class families often have to choose between paying their medical bills or some of the basic essentials that they need to go through life.\u201d
The mayor said medical debt is the No. 1 cause of bankruptcy in the United States, disproportionately burdening low-income households and people with inadequate insurance. He called the debt relief program the largest municipal initiative of its kind in the country, though RIP Medical Debt has worked with other municipalities.
RIP Medical Debt president and CEO Allison Sesso said there will be no application process for the program. Relief recipients will be notified that their debt has been bought by a third party and erased.
Though New York City is facing financial strains, Adams said the $18 million commitment over three years is a great investment for the city.
\u201cIf you are able to ... save $2 billion in debt, that $2 billion trickles down to those households, who are not going to fall into our safety net,\u201d he said. \u201cThey\u2019re not going to fall into our homeless system.\u201d
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The involvement of RIP Medical Debt, a nonprofit organization focused on medical debt relief, further emphasizes the health-related nature of the topic." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/01/22/283630794490a7ecb344265a1a168016.json b/datasets/AP_news/raw_data/2024/01/22/283630794490a7ecb344265a1a168016.json new file mode 100644 index 0000000..d97ac81 --- /dev/null +++ b/datasets/AP_news/raw_data/2024/01/22/283630794490a7ecb344265a1a168016.json @@ -0,0 +1,317 @@ +{ + "altids": { + "itemid": "283630794490a7ecb344265a1a168016", + "etag": "283630794490a7ecb344265a1a168016_2a10aza0c0", + "friendlykey": "610969635299", + "referenceid": "US--Abortion-Maine" + }, + "version": 2, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-01-22T21:49:22Z", + "firstcreated": "2024-01-22T18:13:35Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: with public hearing wrapping up.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "US--Abortion-Maine", + "headline": "Maine Democrats who expanded abortion access now want to enshrine it in the state constitution", + "headline_extended": "A proposal to enshrine the right to an abortion in the Maine Constitution is moving forward", + "slugline": "BC-US--Abortion-Maine, 2nd Ld-Writethru", + "description_summary": "A proposal to enshrine the right to an abortion in the Maine Constitution is moving forward. Gov. Janet Mills and other leading Democrats are pressing to end future legislative debate by amending the state constitution. But Republican Sen. Lisa Keim calls it \u201cpolitical theater\u201d and says there's no way supporters can obtain a two-thirds vote in both chambers to send it to the people. Maine could join four other states that have amended their constitutions to protect the right to abortion since the U.S. Supreme Court overturned Roe v. Wade in 2022.", + "bylines": [ + { + "by": "By DAVID SHARP", + "title": "Associated Press" + } + ], + "located": "AUGUSTA, Maine", + "datelinelocation": { + "city": "Augusta", + "countryareacode": "ME", + "countryareaname": "Maine", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -69.77949, + 44.31062 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. 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Janet Mills and other leading Democrats are pressing to end future legislative debate over abortions by amending the state constitution to enshrine the right to reproductive health care, just six months after lawmakers expanded access to abortions.
Maine is seeking to join four other states that have amended their constitutions to protect the right to abortion since the U.S. Supreme Court overturned Roe v. Wade in 2022.
But the proposal faces another tough, passionate battle after a closer-than-expected outcome last year in the Democratic-controlled Legislature, which voted along party lines to give Maine one of the nation's least restrictive abortion laws.
Amendment supporters say Mainers should have the final say, but it would take a two-thirds vote in each chamber to advance the amendment to a statewide vote at a time when many Republicans are still angry over last year's loss.
\u201cThere\u2019s no way it\u2019s going to pass,\u201d said Republican Sen. Lisa Keim, of Dixfield. \u201cThey shouldn\u2019t be putting this political theater on stage again.\u201d
On Monday, the 51st anniversary of the Roe v. Wade decision that established a nationwide right to abortion, the governor lent her support to amending the Maine Constitution, saying the state must act to ensure the right to reproductive health care, regardless of which party is in control.
\u201cNo matter how strong our laws may be, they are subject to everchanging political tides and can be repealed,\" she wrote in testimony to the Judiciary Committee. \u201cThat is why, without any such federal protection, it is critical that Maine people be assured that reproductive autonomy be protected to the greatest extent possible in the state \u2014 through an amendment to the Constitution of the State of Maine.\u201d
Maine is one of more than a dozen other states that are considering ballot measures dealing with abortion for this year or in 2026. Most, in places including Arizona and Florida, would seek to ensure access, though in varying degrees. In Colorado, there are dueling efforts to get restrictions and access on the ballot.
Abortion questions have appeared on statewide ballots seven times since the U.S. Supreme Court overturned Roe v. Wade. In each case, the side backed by abortion-rights advocates prevailed \u2014 even in conservative states such as Kansas and Kentucky and swing states such as Michigan and Ohio.
Measures to enshrine the right to abortion are already on the ballots for November 2024 in Maryland and New York. Like Maine\u2019s proposal, they don\u2019t use the word \u201cabortion,\u201d but rather refer to \u201creproductive autonomy\u201d or \u201creproductive freedom.\u201d
On Monday, the sponsor of the proposal in Maine, Sen. Eloise Vitelli, of Arrowsic, warned that Maine isn't immune to efforts to restrict abortions, noting there have been more than two dozen proposals in recent years in the Legislature.
\u201cAs we are seeing so clearly in state after state across this nation, laws can and do change,\u201d Vitelli told supporters of her proposal Monday before the Judiciary Committee held an hourslong public hearing that wrapped up in the late afternoon.
That's why it's important, supporters said, for Maine to join California, Vermont, Ohio and Michigan, states that have made reproductive freedom explicit in the state constitutions after the U.S. Supreme Court action.
About 100 people supporting the proposal rallied in the State House, along with House Speaker Rachel Talbot Ross, Senate President Troy Jackson and others, but the tone was different from last year, when larger, boisterous crowds gathered in the halls.
Lisa Kushner of Belfast described her harrowing experience of entering a darkened building from an alley entrance to get an abortion in 1966, and she said lawmakers and the people of Maine should take additional steps to ensure that never happens again.
\u201cPersonal reproductive decisions have no place in state legislatures. Our elected representatives should never be orchestrating constituents\u2019 reproductive lives,\u201d she said. \"Mainers deserve a right to vote and settle this issue,\" she added.
The amendment follows a new law that allows abortions at any time if deemed medically necessary by a doctor. Maine's previous law, adopted in 1993, made abortions legal until a fetus becomes viable outside the womb, at roughly 24 weeks.
The emotional debate included a public hearing that lasted 19 hours, driven mostly by a massive turnout by voters opposed to the proposal.
The bill was narrowly approved in the Maine House, passing 74-72, after the chamber took an hourslong break and the vote was held open for about 45 minutes.
Enraged Republicans accused Democrats of political shenanigans, but there were only a handful of abortion opponents present Monday. Keim said she didn\u2019t encourage those opposed to the amendment to come to the State House in a show of force, calling it a waste of their time, given the significant hurdles to passage.
Several teenagers were among those who quietly held signs in opposition to the amendment.
Kristina Parker, an 18-year-old activist, said many Mainers share her view that abortion is wrong. \u201cThis is a constitutional amendment proposal to make personal reproductive autonomy a right, except I don't think anyone has a right to kill anybody,\u201d she said.
___
Associated Press writer Geoff Mulvihill in Cherry Hill, New Jersey, contributed to this report.
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(AP) \u2014 A former West Virginia state health official pleaded guilty Monday to lying about whether or not he verified vendor invoices from a company claiming to have conducted COVID-19 tests for the state.
In federal court Monday, Timothy Priddy admitted making a false statement to investigators in a case that had been set to go to trial Tuesday.
An indictment filed in October charged Priddy with lying to federal agents in August 2022 when he said he verified a vendor\u2019s invoices for performing COVID-19 tests as part of a back-to-school program before approving them. Priddy knew his statements were false because he made no such verification efforts, according to prosecutors.
Priddy faces up to five years in prison and a $250,000 fine. Sentencing was set for May 9.
Priddy, who held various managerial positions with the state Bureau for Public Health\u2019s Center for Threat Preparedness, left his job the day the indictment was announced.
Prosecutors said federal investigators were trying to determine whether one or more vendors providing COVID-19 tests and mitigation services to the state overbilled or otherwise received federal payments they shouldn't have through the state Department of Health and Human Resources.
Prosecutors said the vendor involved in Priddy's case reported the results of about 49,000 COVID-19 tests between October 2020 and March 2022 but submitted invoices reflecting the cost of about 518,000 test kits. The indictment did not name the vendor, but said the company was from out of state and provided test kits, laboratory analysis and held community testing events throughout West Virginia.
Vendors were required to report test results so officials would have accurate information about the number of COVID-19 infections and any geographical hot spots, the indictment said.
The West Virginia health department has said a contract with the company ended in October 2022 and that the agency cooperated fully with federal investigators.
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(AP) \u2014 Vice President Kamala Harris blasted Republicans as extremists for trying to ban abortions as she rallied women in the key battleground state of Wisconsin on Monday, marking the 51st anniversary of Roe v. Wade by leading Democrats' charge for restoring reproductive rights.
She singled out Donald Trump, who is tightening his grip on the Republican presidential nomination, for saying he was \u201cproud\u201d of helping to limit abortions. Trump nominated three conservative justices to the U.S. Supreme Court during his term in office, paving the way for the overturning of Roe v. Wade.
\u201cProud that women across our nation are suffering?\u201d Harris said. \u201cProud that women have been robbed of a fundamental freedom? Proud that doctors could be thrown in prison for caring for their patients? That young women today have fewer rights than their mothers and grandmothers?\u201d
\u201cHow dare he?\u201d she added.
The barrage reflects the White House's intense focus on abortion rights during this year's presidential campaign. Back in Washington, Biden convened a meeting of his reproductive health care access task force to discuss threats to emergency care and new steps for implementing executive orders on the subject.
The Democratic president described Roe v. Wade as \u201ca fundamental right\" that had been \"ripped away.\u201d
Biden, Harris, first lady Jill Biden and second gentleman Doug Emhoff are holding another rally focused on abortion in Virginia on Tuesday. In addition, Harris' trip to Wisconsin is the first stop in a nationwide tour to talk about reproductive rights.
In her speech on Monday, Harris described abortion as an integral part of the country's tradition of personal liberty.
\u201cIn America, freedom is not to be given. It is not to be bestowed. It is ours by right,\u201d she said. \u201cAnd that includes the freedom to make decisions about one\u2019s own body \u2014 not the government telling you what to do.\u201d
Harris shared stories of women who have miscarried in toilets or developed sepsis because they were denied help by doctors concerned about violating abortion restrictions.
\u201cThis is, in fact, a healthcare crisis,\u201d she said. \"And there is nothing about this that is hypothetical.\"
Wisconsin faces an ongoing legal battle over abortion. When Roe v. Wade was overturned, Republicans argued that an 1849 law that was still on the books would effectively ban the procedure except in situations where a mother\u2019s life was at risk.
\u201cThese extremists want to roll back the clock to a time before women were treated as full citizens,\u201d Harris said.
Clinics across the state stopped offering abortions until a court ruled the law did not apply to abortions. Republicans have appealed the decision, and the case will likely be decided by the state supreme court. They\u2019re also pushing for a voter referendum that would ban abortions after 14 weeks, holding a hearing on the proposal on Monday.
The White House is pushing against the limits of its ability to ensure access to abortion without new legislation from Congress, where control is split between Democrats and Republicans.
On Monday, Biden administration announced it was creating a team dedicated to helping hospitals comply with the federal Emergency Medical Treatment and Labor Act, which requires hospitals receiving federal money to provide life-saving treatment when a patient is at risk of dying.
The Department of Health and Human Services said it would beef up training at hospitals around the law and publish new information on how to lodge a complaint against a hospital.
Some advocacy groups have criticized HHS as not responding aggressively enough to such complaints. Last week, the Associated Press reported that federal officials did not find any violation of the law when an Oklahoma hospital instructed a 26-year-old woman to wait in a parking lot until her condition worsened to qualify for an abortion of her nonviable pregnancy.
The White House has repeatedly turned to Harris, the first woman to serve as vice president, to make its case on abortion. Her outspokenness contrasts with Biden's more reticent approach. Although he is a longtime supporter of abortion rights, he mentions less often and sometimes avoids using the word abortion even when he discusses the issue.
\u201cI think the real star from a messaging standpoint is the vice president,\u201d said Mini Timmaraju, head of Reproductive Freedom for All, the activist organization formerly known as the National Abortion Rights Action League. \u201cLook, Joe Biden picked Kamala Harris. Joe Biden has asked Kamala Harris to lead on this issue. This is going to set us up for a great contrast with the other side.\"
While Harris and Democrats have embraced abortion as a campaign issue, Republicans are shying away or calling for a truce, fearful of sparking more backlash from voters.
Nikki Haley, the former South Carolina governor who is running for the Republican presidential nomination, recently made a plea to \u201cfind consensus\u201d on the divisive issue.
\u201cAs much as I\u2019m pro-life, I don\u2019t judge anyone for being pro-choice, and I don\u2019t want them to judge me for being pro-life,\u201d she said during a primary debate in November.
Trump has taken credit for helping to overturn Roe v. Wade, but he has balked at laws like Florida's ban on abortions after six weeks, which was signed by Gov. Ron DeSantis, another Republican candidate who dropped out of the race over the weekend.
\u201cYou have to win elections,\u201d Trump said during a recent Fox News town hall.
Vice presidents are rarely decisive figures in reelection campaigns. However, Harris has faced additional scrutiny because of Biden\u2019s age \u2014 he would be 82 at the start of a second term \u2014 and her status as the first woman, Black person and person of South Asian descent to serve in her position.
Abortion has reshaped Harris' tenure as vice president after earlier struggles when dealing with intractable issues like migration from Central America.
Jamal Simmons, a former communications director for Harris, said abortion \u201cfocused her attention and her office in a way that nothing had before.\"
\u201cFocusing on abortion rights tapped into the vice president\u2019s legal background, her political values and her substantive knowledge in a way that I saw no other issue do while I was there,\" he said.
____
Associated Press writer Amanda Seitz contributed from Washington.
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It does touch on some health-related consequences of abortion restrictions, but the main thrust is political advocacy and campaign strategy." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/01/22/5c060634a19b8bf272d0f304e9e0f42d.json b/datasets/AP_news/raw_data/2024/01/22/5c060634a19b8bf272d0f304e9e0f42d.json new file mode 100644 index 0000000..c1019bf --- /dev/null +++ b/datasets/AP_news/raw_data/2024/01/22/5c060634a19b8bf272d0f304e9e0f42d.json @@ -0,0 +1,250 @@ +{ + "altids": { + "itemid": "5c060634a19b8bf272d0f304e9e0f42d", + "etag": "5c060634a19b8bf272d0f304e9e0f42d_3a8aza0c0", + "friendlykey": "768845815664", + "referenceid": "EU--Britain-Measles" + }, + "version": 3, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-03-27T14:21:49Z", + "firstcreated": "2024-01-22T13:46:10Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: CORRECTS: This story was first published on January 22, 2024. It was updated on March 27, 2024, because the National Health Service in England has since amended the data on 3.4 million unprotected children to state that the figure includes children who are unprotected or not fully protected from the disease because they only received one of two vaccine doses.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "EU--Britain-Measles", + "headline": "Millions in the UK are being urged to get vaccinations during a surge in measles cases", + "headline_extended": "U.K. health officials are urging millions of parents to book their children for missed measles, mumps and rubella shots during a sharp increase in the number of measles cases and the lowest vaccination rates in a decade", + "slugline": "AP-EU--Britain-Measles, 3rd Ld-Writethru", + "description_summary": "U.K. health officials are urging millions of parents to book their children for missed measles, mumps and rubella shots during a sharp increase in the number of measles cases and the lowest vaccination rates in a decade. The National Health Service is launching a publicity campaign Monday after figures showed there were about 250 confirmed measles cases in parts of England last year. Most cases were in children under 10 years old. The combined measles, mumps and rubella, or MMR, vaccine is offered in the U.K. in two doses to all children. But a U.K. health official said vaccination rates have dropped to about 85% nationally, and far lower in parts of London.", + "bylines": [ + { + "by": "By SYLVIA HUI", + "title": "Associated Press" + } + ], + "located": "LONDON", + "datelinelocation": { + "city": "London", + "countrycode": "GBR", + "countryname": "United Kingdom", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -0.12574, + 51.50853 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. 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The National Health Service is launching a publicity campaign after figures showed there were about 250 confirmed measles cases in parts of England last year. Most cases were in children under 10 years old.
The combined measles, mumps and rubella, or MMR, vaccine is offered in the U.K. in two doses to all children, first at 12 months and then again at 3 years. Vaccination rates have dropped to about 85% nationally, and far lower in parts of London, according to U.K. Health Security Agency chief executive Jenny Harries.
That is \u201ctoo low to maintain safe population coverage \u2014 we want that at about 95%\" as advised by the World Health Organization, she said.
Public health officials say more than 3.4 million children under 16 years old are unprotected or not fully protected and at risk of catching the preventable diseases because they only received one of two vaccine doses.
Measles was declared eliminated in the U.K. in 2017, meaning the disease was no longer native to the country.
But transmissions began again when epidemics broke out in the rest of Europe. Officials said outbreaks can take place anywhere where vaccine coverage is below the 95% needed to achieve herd immunity.
WHO and the U.S. Centers for Disease Control and Prevention said in November that measles deaths globally spiked by more than 40% last year, and cases rose after vaccination levels dramatically dropped during the COVID-19 pandemic.
Measles is among the most infectious diseases known and spreads in the air when an infected person coughs or sneezes. It's most common in children under 5. Symptoms include fever, cough, runny nose and a distinctive rash.
Infection can lead to permanent physical damage such as deafness. Most deaths are due to complications like encephalitis, severe dehydration, serious breathing problems and pneumonia.
Harries said there was \u201cclearly misinformation\u201d about vaccines and urged people to consult trusted sources.
Officials said intense media coverage in the late 1990s about the now discredited claim linking the MMR vaccine to autism led to a drop in vaccinations and took many years to recover from.
More recently, declines in vaccination uptake were exacerbated partly by the pandemic and anti-vaccine sentiment, said Helen Bedford, a professor of children's health at University College London.
\u201cThe pandemic, with new vaccines introduced and vaccination constantly discussed, may have resulted in the public having more questions about vaccination: its safety, effectiveness and, for a disease like measles which had become rare in the U.K., its necessity,\u201d she said. \u201cAsking questions about vaccination is to be encouraged, but we need trained staff to do this.\u201d
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A ballot committee called Health Not Harm MD is seeking to defeat the proposed amendment.", + "bylines": [ + { + "by": "By BRIAN WITTE", + "title": "Associated Press" + } + ], + "located": "ANNAPOLIS, Md.", + "datelinelocation": { + "city": "Annapolis", + "countryareacode": "MD", + "countryareaname": "Maryland", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -76.49184, + 38.97859 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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(AP) \u2014 Abortion rights supporters in Maryland launched a campaign on Monday \u2014 the 51st anniversary of Roe v. Wade \u2014 to enshrine the right for women to end their pregnancies in the Maryland Constitution in November.
Members of the Freedom in Reproduction Maryland ballot committee announced the effort in front of the state Capitol. Last year, Maryland lawmakers voted to put the constitutional amendment on the ballot after the U.S. Supreme Court overturned Roe in 2022 and ended the nationwide right to abortion.
\u201cImmediately after the Supreme Court overturned Roe v. Wade, too many states have turned their backs to women,\" Maryland first lady Dawn Moore said at a news conference with supporters, including Maryland House Speaker Adrienne Jones, a Democrat. \"While states like our neighbor West Virginia passed a near-total abortion ban and closed their doors on reproductive rights, Maryland has opened ours.\u201d
The overturning of Roe left it to states to decide on abortion's legality. Some have severely restricted it while others have strengthened abortion access or are considering doing so.
Maryland law already protects the right to abortion. The state approved legislation in 1991 to protect abortion rights if the Supreme Court were to allow abortion to be restricted. Voters showed their support for the law the following year, when 62% backed it in a referendum. Democrats outnumber Republicans 2-1 in the state.
Those behind the proposed constitutional amendment say it would make it even harder for opponents to try to strip away abortion rights in the future.
\u201cIf we vote \u2018yes\u2019 on reproductive freedom, our rights will be protected well into the future, no matter who\u2019s in office, but if we fall short, if we don\u2019t get it done, I promise there\u2019s always going to be someone out there looking to turn back the clock,\" Moore said.
Maryland officials have said the state already is seeing an increase in patients from other states.
Since the high court overturned Roe, roughly 25 million women live in states with some type of ban in effect. The impacts are increasingly felt by women who never intended to end their pregnancies yet have had emergency medical care denied or delayed because of the new restrictions.
A ballot committee called Health Not Harm MD opposes Maryland\u2019s proposed amendment.
\u201cIf approved by voters in November 2024, the \u2018Reproductive Freedom\u2019 Amendment will mandate that Maryland taxpayers fully fund these radical elective procedures, enriching politicians who seek to impose this radical agenda on Maryland families,\" the group said on its website.
In addition to putting the constitutional amendment on the ballot, Maryland lawmakers also approved a package of measures last year to protect abortion rights.
Those laws protect patients and providers from criminal, civil and administrative penalties relating to abortion bans or restrictions in other states. Lawmakers also approved a separate data-privacy bill to protect medical and insurance records on reproductive health in electronic health information exchanges that can be shared across state lines.
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Wade ruling on Jan. 22, 1973, the time around the anniversary has always been marked by rallies, protests and political pledges.
This time, after the 2022 ruling that overturned the nationwide right to abortion that Roe provided, there's a flurry of activity as state policy gets decided by courts, lawmakers and voters.
It's also giving Democrats, including President Joe Biden's reelection campaign, a chance to rally voters around abortion access.
Abortion opponents also rallied last week in Washington with a context that's different from past editions of the annual March for Life. There's no longer a nationwide right to abortion and 14 states have bans on abortion at all stages of pregnancy. But the political fallout has boosted their opponents more than them.
There were still some traditional anti-abortion rallies, including one in St. Paul, Minnesota, where an estimated 2,000 people attended, with many placing life-size models of fetuses on the steps of the state Capitol in protest of policies that protect abortion access.
Here's what to know about several developments.
At least a hundred people gathered on the steps of the Colorado Capitol on Monday to launch a signature campaign for a ballot measure to enshrine abortion rights in the state\u2019s constitution. A cardboard sign read, \u201cSomeone you love has had an abortion,\u201d as state lawmakers and the Colorado attorney general bunched around a microphone and the crowd cheered.
Colorado\u2019s legislature passed abortion protections last year, but \u201cif we don\u2019t enshrine it in the constitution, we will be at the whim of lawmakers,\u201d said Nicole Hensel, executive director of New Era Colorado, one of the coalition of groups behind the Coloradans for Protecting Reproductive Freedom campaign.
Colorado has become an island of abortion protections as surrounding states installed restrictions after Roe was overturned. The Cobalt Abortion Fund based in Colorado spent six times the amount helping people get abortions in 2023 as they did in 2021.
Advocates in Maryland also used Monday's Roe v. Wade anniversary to begin their campaign to support the ballot measure to enshrine abortion rights in the state constitution that's already on the ballot there for November.
The only other state where a statewide vote on abortion rights in 2024 is sure to happen is New York, where the proposed amendment includes protecting reproductive freedom.
But similar votes are under consideration in more than a dozen states.
Since 2022, abortion rights supporters have prevailed on all seven statewide ballot measures.
Lawmakers in two states scheduled hearings for Monday as first steps to ask voters to change abortion policy. Both face uphill battles.
In Maine, Democrats are pushing for a measure that would protect reproductive autonomy in the state constitution.
Democrats control both chambers of the Legislature and the governor's office and, under state law, abortion is allowed at any point throughout pregnancy, if it's deemed necessary by a doctor.
But advancing a measure to voters would require the approval of two-thirds of both legislative chambers. To reach that, several Republicans would have to vote in favor of asking the public to vote.
In Wisconsin, a GOP proposal would ban abortion after 14 weeks of pregnancy.
Republicans control the legislature there, but Gov. Tony Evers, a Democrat, would likely veto the measure if it passed.
Currently, abortion is available in Wisconsin until fetal viability, but there's litigation over whether an 1849 law that conservatives interpreted as banning abortion should apply.
A coalition of abortion rights supporters in Missouri decided last week which of 11 amendment proposals to support.
They went with one that would allow lawmakers to restrict abortion access only after viability \u2014 generally considered to be around 23 or 24 weeks gestation age \u2014 when a fetus might survive outside the uterus.
The decision from groups including the state ACLU chapter and Planned Parenthood chapters is one solution to a debate advocates have been having on whether to support measures that allow some abortion restrictions.
The Missouri measure would allow abortion later in pregnancy to protect the life and physical and mental health of the woman.
Some moderate Republicans are pushing a competing amendment, which would allow abortion up to 12 weeks in most cases, and between then and viability only in pregnancies resulting from rape or incest or in medical emergencies.
Under Missouri law, abortion is banned at all stages of pregnancy, with an exception to protect the life of the woman \u2014 but not in cases of rape or incest.
In a decision made in October but not revealed publicly until last week, the U.S. Department of Health and Human Services found that an Oklahoma hospital did not violate federal law when doctors told a woman with a nonviable pregnancy to wait in a parking lot until her condition declined enough for her to qualify for an abortion under the state's strict ban.
The ruling was the latest in what's emerged as a major legal question as most Republican-controlled states have imposed abortion bans: When do exceptions apply?
In other situations, the same federal agency has maintained that hospitals would violate federal law by turning away women seeking an abortion amid medical emergencies.
Pending lawsuits from women who assert they were wrongly denied an abortion address the issue.
Even as the Biden administration ruled in favor of the hospital in the Oklahoma case, it's planning to help people file complaints under the law that\u2019s intended to ensure emergency health care access.
___
Associated Press/Report for America reporters Trisha Ahmed in Minneapolis and Jesse Bedayn in Denver contributed to this article.
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In one incident, officials from the Vice and Virtue Ministry advised a woman to get married if she wanted to keep her job at a health care facility, saying it was inappropriate for an unwed woman to work, it said.
The Taliban have barred women from most areas of public life and stopped girls from going to school beyond the sixth grade as part of harsh measures they imposed after taking power in 2021, despite initially promising more moderate rule.
They have also shut down beauty parlors and started enforcing a dress code, arresting women who don't comply with their interpretation of hijab, or Islamic headscarf. In May 2022, the Taliban issued a decree calling for women to only show their eyes and recommending they wear the head-to-toe burqa, similar to restrictions during the Taliban\u2019s previous rule between 1996 and 2001.
The U.N. spokesman, asked for Secretary-General Antonio Guterres' reaction to the latest bans, replied: \u201cHorror!\u201d Stephane Dujarric added: \u201cIt must be unimaginable to have to live through it.\"
In its latest quarterly report, covering October to December last year, the U.N. Assistance Mission in Afghanistan said the Taliban are cracking down on Afghan women who are single or don't have a male guardian, or mahram, accompanying them.
There are no official laws about male guardianship in Afghanistan, but the Taliban have said women cannot move around or travel a certain distance without a man who is related to her by blood or marriage.
Three female health care workers were detained last October because they were going to work without a mahram. They were released after their families signed a written guarantee that they would not repeat the act, the report said.
In Paktia province, the Vice and Virtue Ministry has stopped women without mahrams from accessing health facilities since December. It visits health facilities in the province to ensure compliance.
The ministry, which serves as the Taliban's morality police, is also enforcing hijab and mahram requirements when women visit public places, offices and education institutes through checkpoints and inspections.
In December, in Kandahar province, ministry officials visited a bus terminal to ensure women were not traveling long distances without mahrams and instructed bus drivers not to permit women to board without one, the U.N. said.
Women have also been arrested for buying contraceptives, which the Taliban have not officially banned.
The Taliban\u2019s chief spokesman, Zabihullah Mujahid, said the U.N. report was based mostly on misunderstandings and accused the mission of ignoring or criticizing Islamic law, or Shariah.
With an Islamic government in power in Afghanistan, it must \"fully implement all aspects of Shariah for both men and women,\u201d Mujahid said in a statement.
This means enforcing rules for the hijab, male guardianship and gender segregation for women in education and employment, he said.
\"If UNAMA criticizes these cases or considers explicit Islamic rulings as an act against human rights, then it is an insult to the beliefs of a people,\u201d he said.
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The campaign due to start Monday was described by officials as a milestone in the decades-long effort to curb the mosquito-spread disease on the continent, which accounts for 95% of the world\u2019s malaria deaths.
\u201cThe vaccination will save lives. It will provide major relief to families and the country\u2019s health system,\" said Aurelia Nguyen, chief program officer at the Gavi vaccines alliance, which is helping Cameroon secure the shots.
The Central Africa nation hopes to vaccinate about 250,000 children this year and next year. Gavi said it is working with 20 other African countries to help them get the vaccine and that those countries will hopefully immunize more than 6 million children through 2025.
In Africa, there are about 250 million cases of the parasitic disease each year, including 600,000 deaths, mostly in young children.
Cameroon will use the first of two recently approved malaria vaccines, known as Mosquirix. The World Health Organization endorsed the vaccine two years ago, acknowledging that that even though it is imperfect, its use would still dramatically reduce severe infections and hospitalizations.
The GlaxoSmithKline-produced shot is only about 30% effective, requires four doses and protection begins to fade after several months. The vaccine was tested in Africa and used in pilot programs in three countries.
GSK has said it can only produce about 15 million doses of Mosquirix a year and some experts believe a second malaria vaccine developed by Oxford University and approved by WHO in October might be a more practical solution. That vaccine is cheaper, requires three doses and India\u2019s Serum Institute said they could make up to 200 million doses a year.
Gavi's Nguyen said they hoped there might be enough of the Oxford vaccines available to begin immunizing people later this year.
Neither of the malaria vaccines stop transmission, so other tools like bed nets and insecticidal spraying will still be critical. The malaria parasite mostly spreads to people via infected mosquitoes and can cause symptoms including fever, headaches and chills.
___
The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute\u2019s Science and Educational Media Group. The AP is solely responsible for all content.
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The court filing says that when Nicholas Overfield was arrested in February 2022, he told officers he was HIV-positive and required antiretroviral medication. But the lawsuit filed last week says he was never given the medicine during his entire incarceration. He was eventually released and died that June in hospice care. The suit names a local county and the jail\u2019s contracted healthcare provider. Neither responded to emails seeking comment.", + "located": "PLACERVILLE, Calif.", + "datelinelocation": { + "city": "Placerville", + "countryareacode": "CA", + "countryareaname": "California", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -120.79855, + 38.72963 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. 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(AP) \u2014 A lawsuit filed by the family of a man who died after being held in a Northern California jail alleges he contracted a preventable viral infection there when its medical staff denied him critical HIV medication for two months.
When Nicholas Overfield was arrested in Feb. 2022 for a failure to appear in court, he informed officers that he was HIV-positive and required antiretroviral medication to keep the virus in check, according to the court filing.
His mother, Lesley Overfield, a plaintiff in the lawsuit, handed the arresting officers her son's prescribed medication but he was never administered it, the filing says.
\"Medical records show that he was denied his prescribed HIV medication for the entire two months he was detained,\" the lawsuit alleges.
Overfield's health deteriorated rapidly as his HIV \u201cdevolved into AIDS\" and he was eventually released from jail and hospitalized, according to court documents. He died while under hospice care on June 21, 2022.
The civil lawsuit filed Jan. 16 in U.S. District Court names El Dorado County and the jail's contracted healthcare provider, Wellpath Community Care. It demands a jury trial and seeks unspecified damages.
Officials with the county and Wellpath didn't immediately reply on Monday to emails seeking comment on the allegations.
The lawsuit says when Lesley Overfield visited her son on April 22, 2022, he \u201cwas so unwell and so diminished that he could not even speak to his mother.\u201d She demanded \u201cthe jail provide Nick with the medical care he clearly needed\u201d and he was rushed to a hospital that same evening, according to the filing.
\"Defendants were either unaware of or, worse, ignoring the severity of Nick\u2019s general health and medical condition until they were forced to confront those things by his mother,\" the lawsuit says.
Overfield's death certificate said he died of encephalitis \u201cand indicated that Nick contracted this virus two months prior to his death,\u201d while he was in custody, according to court documents.
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(AP) \u2014 Democratic Wisconsin Gov. Tony Evers vowed in his State of the State speech Tuesday to veto any bill that would limit access to abortions, even as Republicans move forward with a measure that would let voters weigh in on whether it should be banned after 14 weeks of pregnancy.
The speech comes as Evers and Republicans who control the Legislature have had some bipartisan successes, but continue to fight over redistricting, abortion, tax cuts, election administration and other key issues in a presidential election year.
Evers, like many Democrats nationwide, made abortion rights a focus of his winning 2022 campaign, and he returned to that theme again Tuesday. He noted that his opponent, Republican Tim Michels, supported banning abortions and lost.
\u201cI want to speak directly to women in Wisconsin tonight,\u201d Evers said. \u201cI will veto any bill that takes away your reproductive freedom or makes reproductive health care any less accessible in Wisconsin than it is today. Period.\u201d
Evers announced that enrollees in the state\u2019s BadgerCare Plus Medicaid program will have access to over-the-counter contraception, including emergency contraception, without a separate prescription. The medication will be provided without any out-of-pocket costs, Evers said.
Evers also renewed his pledge to fight efforts to make it more difficult to vote in the battleground state. Evers has vetoed a raft of Republican proposals over the past five years that seek to make changes to election administration in the state.
Evers said that in coming weeks he will be announcing new steps his administration is taking to increase voter turnout. He didn\u2019t reveal any details.
Evers also called on Republicans and Democrats to work together to address Wisconsin's workforce shortages, declaring 2024 the \"Year of the Worker.\"
The speech comes as the Evers enters his sixth year as governor working with a Republican-led Legislature. That majority is projected to be weakened under new legislative maps ordered by the Wisconsin Supreme Court after it ruled that the current Republican-drawn maps were unconstitutional.
Evers won reelection in 2022, part of a continuation of recent Democratic victories that include last year\u2019s spring election that flipped majority control of the state Supreme Court in favor of liberals.
Evers said the public's widespread support of abortion rights as shown in statewide and nationwide polls shows the importance of having maps that fairly reflect the population.
\u201cWhen elected officials gerrymander themselves into safe seats, they can comfortably ignore the overwhelming majority of Wisconsinites,\u201d Evers said.
In his speech delivered before lawmakers, members of the state Supreme Court, tribal leaders and others, Evers highlighted bipartisan successes in the past year, including an agreement on a plan to pay for repairs to the Milwaukee Brewers' stadium that will keep the team in Wisconsin through at least 2050.
But much partisan rancor remains and is growing.
Republicans have repeatedly tried, and failed, to get Evers to sign off on multiple tax cut plans. Republicans are also preparing for the Supreme Court to institute new maps that would greatly weaken their majorities. Evers has proposed his own map, along with lawmakers and others, which the court is considering.
Despite the divisions, Evers called on Republicans and Democrats to work together to address the state's worker shortages and a lack of affordable housing and child care.
Evers called for expanding paid family leave, an idea the Legislature rejected last year, investing more in public education and coming up with a long-term solution to child care shortages. Republicans also rejected a plan from Evers last year to continue the Child Care Counts program, but he got around them by allocating $170 million in pandemic relief funds to keep it running through June 2025.
\u201cRepublicans are officially on the clock to make the meaningful investments necessary to prevent the collapse of an industry that\u2019s essential for maintaining our current levels of workforce participation,\u201d Evers said.
Evers challenged Republicans to come up with alternate plans if they continue to reject his comprehensive workforce proposals as they have done twice already.
\u201cI will work with any legislator, any partner, any stakeholder who\u2019s willing to engage in meaningful conversations on these issues to do the right thing for Wisconsin,\u201d Evers said in the excerpts. \u201cIn the meantime, my administration will continue to pursue every pathway and seek every avenue to address our workforce challenges without legislative action, just as we have for five years.\"
Evers also renewed his call for Republicans to release $125 million in funding approved in the state budget to fight pollution from so-called forever chemical known as PFAS. He also called on them to spend more on mental health services statewide. Evers announced the creation of a new interagency council designed to reduce barriers and address gaps in mental health services.
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(AP) \u2014 President Joe Biden on Tuesday condemned abortion bans that have increasingly endangered the health of pregnant women, forcing them to grow sicker before they can receive medical care, and he laid the blame on Donald Trump, his likely Republican challenger in this year's election.
\u201cHe's betting we won't hold him responsible,\u201d Biden said to a crowd of hundreds of cheering supporters. \u201cHe's betting you're going to stop caring.\u201d
\u201cBut guess what?\u201d he added. \u201cI'm betting he's wrong. I'm betting you won't forget.\"
The rally with Vice President Kamala Harris came on the same day as the Republican primary in New Hampshire, where Trump tightened his grip on his party's presidential nomination. Biden won the largely symbolic Democratic primary via a write-in campaign after he refused to appear on the ballot.
The Virginia rally demonstrated how Democrats hope to harness enduring anger over abortion restrictions to blunt his comeback bid.
Roe v. Wade was overturned by the U.S. Supreme Court less than two years ago in the case of Dobbs v. Jackson Women\u2019s Health Organization, a decision enabled by three conservative justices appointed by Trump.
\u201cThe person most responsible for taking away this freedom in America is Donald Trump,\" Biden said.
The speech was Biden's bluntest yet on abortion and the status of reproductive health, but it was disrupted several times by protests over Israel's war in Gaza. One person shouted \u201cshame on you!\u201d
\u201cThis is going to go on for a while; they got this planned,\u201d the Democratic president said as the protestors were escorted out one by one.
Biden and Harris were joined by their spouses, first lady Jill Biden and second gentleman Doug Emhoff, at Tuesday's rally. It\u2019s the first time the four of them have appeared together since the campaign began, a reflection of the importance that Democrats are putting on abortion this year.
Jill Biden told a story about a friend who became pregnant in high school, years before Roe v. Wade. The friend, she said, needed to get a psychiatric evaluation to be declared mentally unfit before she could get the abortion.
\u201cSecrecy, shame, silence, danger, even death. That's what defined that time for so many women,\" she said. \u201cAnd because of Dobbs that\u2019s where we\u2019re finding ourselves back again, refighting the battles we had fought.\"
Emhoff told the crowd that the fight for abortion rights needed men as well.
\u201cReproductive freedom is not a woman\u2019s issue,\u201d Emhoff said. \u201cIt\u2019s an everyone\u2019s issue.\u201d
The four of them spoke in front of a blue banner that spanned the width of the stage and said \u201cRestore Roe\u201d in bold letters. The crowd hummed with energy, chanting \u201cfour more years\u201d and booing Trump's name, a glimpse of the enthusiasm that has been largely missing from Biden's low-key events since announcing his reelection campaign last April.
Biden was introduced by Amanda Zurawski, a Texas woman whose water broke only halfway through her pregnancy. Because Roe v. Wade had just been overturned, she was unable to get an abortion until she went into septic shock.
\u201cWhat I went through was nothing short of barbaric. And it didn\u2019t need to happen,\" said Zurawski, who has also testified before Congress and sued Texas along with several other women. \"But it did, because of Donald Trump.\u201d
Democrats view Virginia as a success story in their fight for abortion rights since Roe v. Wade was overturned by the U.S. Supreme Court. In last year\u2019s legislative elections, the party maintained control of the Senate and won a majority in the House. It was a defeat for Republican Gov. Glenn Youngkin, who had proposed new limits on abortion and had been considered a potential presidential candidate.
\u201cThe voice of the people has been heard and it will be heard,\u201d said Harris, the first woman to serve as vice president.
She also targeted Trump in her speech, describing him as \u201cthe architect of this health care crisis\u201d caused by abortion restrictions around the country.
Harris was in Wisconsin on Monday to mark the 51st anniversary of Roe v. Wade, the first stop in a nationwide series of events focused on abortion.
\u201cIn America, freedom is not to be given. It is not to be bestowed. It is ours by right,\u201d she said. \u201cAnd that includes the freedom to make decisions about one\u2019s own body \u2014 not the government telling you what to do.\u201d
While Harris and Democrats have embraced abortion as a campaign issue, many Republicans are shying away or calling for a truce, fearful of sparking more backlash from voters.
Nikki Haley, the former South Carolina governor who is running for the Republican presidential nomination, recently made a plea to \u201cfind consensus\u201d on the divisive issue.
\u201cAs much as I\u2019m pro-life, I don\u2019t judge anyone for being pro-choice, and I don\u2019t want them to judge me for being pro-life,\u201d she said during a primary debate in November.
Trump has taken credit for helping to overturn Roe v. Wade, but he has balked at laws like Florida\u2019s ban on abortions after six weeks, which was signed by Gov. Ron DeSantis, who dropped out of the Republican nomination race over the weekend.
\u201cYou have to win elections,\u201d Trump said during a recent Fox News town hall.
Abortion is also the focus of Biden's new television advertisement featuring Dr. Austin Dennard, an OB-GYN in Texas who had to leave her state to get an abortion when she learned that her baby had a fatal condition called anencephaly.
\u201cIn Texas, you are forced to carry that pregnancy, and that is because of Donald Trump overturning Roe v. Wade,\u201d Dennard said.
Although Democrats want to restore the federal rights that were established in Roe v. Wade, there's no chance of that with the current makeup of the Supreme Court and Republican control of the House. The White House is pushing against the limits of its ability to ensure access to abortion.
On Monday, it announced the creation of a team dedicated to helping hospitals comply with the federal Emergency Medical Treatment and Labor Act, which requires hospitals receiving federal money to provide life-saving treatment when a patient is at risk of dying.
The Department of Health and Human Services said it would improve training at hospitals concerning the law and publish new information on how to lodge a complaint against a hospital.
Some advocacy groups have said complaints should be enforced more aggressively. Last week, The Associated Press reported that federal officials did not find any violation of the law when an Oklahoma hospital instructed a 26-year-old woman to wait in a parking lot until her condition worsened to qualify for an abortion of her nonviable pregnancy.
___
Associated Press writer Amanda Seitz contributed to this report.
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(AP) \u2014 Democratic lawmakers in Oregon on Tuesday unveiled a sweeping new bill that would undo a key part of the state\u2019s first-in-the-nation drug decriminalization law, a recognition that public opinion has soured on the measure amid rampant public drug use during the fentanyl crisis.
The bill would recriminalize the possession of small amounts of drugs as a low-level misdemeanor, enabling police to confiscate them and crack down on their use on sidewalks and in parks, its authors said. It also aims to make it easier to prosecute dealers, to access addiction treatment medication, and to obtain and keep housing without facing discrimination for using that medication.
\u201cIt\u2019s the compromise path, but also the best policy that we can come up with to make sure that we are continuing to keep communities safe and save lives,\u201d state Sen. Kate Lieber, a Portland Democrat, told The Associated Press.
Voters passed the pioneering decriminalization law, Measure 110, with 58% support in 2020. But Democratic legislators who championed it as a way to treat addiction as a public health matter, not a crime, are now contending with one of the nation's largest spikes in overdose deaths, along with intensifying pressure from Republicans and growing calls from a well-funded campaign group to overhaul it.
Researchers say it\u2019s too soon to determine whether the law has contributed to the state\u2019s deadly overdose surge, and supporters of the measure say the decadeslong approach of arresting people for possessing and using drugs didn't work.
The bill, unveiled by Lieber and other Democrats serving on a recently created committee on addiction, is set to be introduced during the legislative session that starts in February. The Legislature adjourned over the summer, but concern over the state's drug crisis led Democrats to launch the committee in between sessions. Since September, the committee has held multiple hearings and heard testimony from law enforcement and substance use disorder experts on the law's accomplishments and shortcomings.
Measure 110 directed the state\u2019s cannabis tax revenue toward drug addiction treatment while decriminalizing \u201cpersonal use\u201d amounts of illicit drugs. Possession of under a gram of heroin, for example, is only subject to a ticket and a maximum fine of $100.
Those caught with small amounts can have the citation dismissed by calling a 24-hour hotline to complete an addiction screening within 45 days, but those who don\u2019t do a screening are not penalized for failing to pay the fine.
In the year after the law took effect in February 2021, only 1% of people who received citations for possession sought help via the hotline, state auditors found. As of last June, the hotline received an average of 10 calls per month that were related to citations.
Opponents of the law say it hasn't created an incentive to seek treatment, a criticism the new bill seeks to address.
The measure's details have yet to be finalized, but \u201cpersonal use\u201d possession of illegal drugs would become a misdemeanor punishable by up to 30 days in jail or a $1,250 fine. The bill would not affect Oregon's legalization of cannabis or psychedelic mushrooms.
Those arrested for small amounts would be referred by police to a peer support specialist to schedule an assessment or intervention. If the person shows up to the meeting, they wouldn't be charged. If they don't, the offense could be referred to the district attorney's office.
If charges are filed, they could avoid jail by agreeing to certain conditions of probation, or by agreeing to have their case diverted to drug court, where judges place people in treatment programs rather than jail.
\u201cWe're trying to give people off-ramps while also introducing some accountability into the system,\" Lieber said.
Republican lawmakers said the bill didn't go far enough. They called for mandatory treatment and \u201cpersonal use\u201d possession to be a higher-level misdemeanor punishable by up to a year in jail or a $6,250 fine.
\"A low-level class C misdemeanor only provides 30 days in jail as an alternative. This is nowhere near the amount of time needed to address addiction,\u201d state Rep. Kevin Mannix said in a statement.
Advocacy groups that have backed Oregon\u2019s decriminalization law opposed the proposal to once again make \u201cpersonal use\u201d possession a crime.
\u201cYou don't need a criminal penalty. You need services, and you need to make sure that you're investing in those services,\u201d said Tera Hurst, executive director of the Health Justice Recovery Alliance. \u201cCriminalization is not an effective tool to getting people into treatment, and it does more harm than good.\u201d
Regarding drug dealing, the bill would make it easier to prosecute people for selling drugs and create harsher penalties for doing so in parks and near homeless shelters and substance use disorder treatment centers.
The bill also aims to expand access to treatment, particularly medications used to treat opioid addiction. It would allow doctors to prescribe such medication without prior approval or review from insurance companies, and make it easier for pharmacists to refill prescriptions in certain emergency situations.
Additionally, it would expand fair housing standards to protect people prescribed such medication from being discriminated against when trying to maintain or access long-term living facilities, such as permanent supportive housing for people exiting homelessness.
Lawmakers will have just 35 days to pass the bill once the legislative session starts on Feb. 5.
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The document also mentions measures to improve access to addiction treatment and protect individuals using treatment medications from discrimination, which are pertinent to health topics." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/01/23/5ed026fc6db9ff591f869744e1925f10.json b/datasets/AP_news/raw_data/2024/01/23/5ed026fc6db9ff591f869744e1925f10.json new file mode 100644 index 0000000..e6501a1 --- /dev/null +++ b/datasets/AP_news/raw_data/2024/01/23/5ed026fc6db9ff591f869744e1925f10.json @@ -0,0 +1,216 @@ +{ + "altids": { + "itemid": "5ed026fc6db9ff591f869744e1925f10", + "etag": "5ed026fc6db9ff591f869744e1925f10_0a4aza0c0", + "friendlykey": "564648104056", + "referenceid": "EU--Greece-Human Rights Court-HIV" + }, + "version": 0, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-01-23T16:48:46Z", + "firstcreated": "2024-01-23T16:48:45Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "signals": [ + "newscontent" + ], + "title": "EU--Greece-Human Rights Court-HIV", + "headline": "European human rights court condemns Greece for naming HIV-positive sex workers in 2012", + "headline_extended": "The European Court of Human Rights has condemned Greece for violating the privacy rights of a group of women arrested and publicly identified in 2012 as HIV-positive prostitutes who allegedly endangered public health", + "slugline": "AP-EU--Greece-Human Rights Court-HIV", + "description_summary": "The European Court of Human Rights has condemned Greece for violating the privacy rights of a group of women arrested and publicly identified in 2012 as HIV-positive prostitutes who allegedly endangered public health. 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The case was brought to the Strasbourg, France-based court by 11 Greek women, 10 of whom had been arrested and charged with intentionally attempting to inflict serious bodily harm by allegedly having unprotected sex with customers.
The 11th woman was mistakenly identified as a sex worker instead of her sister. Five of the case\u2019s original petitioners have since died.
The court found that Greek authorities had violated the privacy of two women by forcibly subjecting them to blood tests, and of four of the women by publishing their personal details. It awarded a total of 70,000 euros ($76,000) in damages.
\u201cThe information disseminated concerned the applicants\u2019 HIV-positive status, disclosure of which was likely to dramatically affect their private and family life, as well as social and employment situation, since its nature was such as to expose them to opprobrium and the risk of ostracism,\u201d the court said in a news release about the ruling.
The prosecutor who ordered the publication of the women\u2019s personal information \u201chad not examined \u2026 whether other measures, capable of ensuring a lesser degree of exposure for the applicants, could have been taken,\u201d it added.
In the run-up to Greece's 2012 elections, the country's health minister at the time, Andreas Loverdos, championed a crackdown on unlicensed brothels following a spike in reported HIV cases. He had warned of an increase in the incidence of customers having unprotected sex with prostitutes for an additional fee.
Prostitution is legal in Greece, with regular health checks for sex workers required.
As part of the crackdown, women were rounded up from illegal brothels and streets and forced to undergo HIV testing at police stations. Criminal charges were filed against more than 30 women, with authorities publishing the personal details, photos and HIV status of most of them, along with the accusation that they had deliberately endangered their clients by having sex without condoms.
Several of the women involved have since died, including one who was reported to have taken her own life.
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While the primary focus is on the legal and human rights aspects, the health topic is significantly intertwined with the narrative, making it relevant to the topic of health." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/01/23/b43b400d3d4dd9e1d6259df06690b1f8.json b/datasets/AP_news/raw_data/2024/01/23/b43b400d3d4dd9e1d6259df06690b1f8.json new file mode 100644 index 0000000..b8a5006 --- /dev/null +++ b/datasets/AP_news/raw_data/2024/01/23/b43b400d3d4dd9e1d6259df06690b1f8.json @@ -0,0 +1,226 @@ +{ + "altids": { + "itemid": "b43b400d3d4dd9e1d6259df06690b1f8", + "etag": "b43b400d3d4dd9e1d6259df06690b1f8_0a6aza0c0", + "friendlykey": "21203911594", + "referenceid": "US--Inmate Dies-Lawsuit-Minnesota" + }, + "version": 0, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-01-23T23:49:41Z", + "firstcreated": "2024-01-23T23:49:40Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "signals": [ + "newscontent" + ], + "title": "US--Inmate Dies-Lawsuit-Minnesota", + "headline": "Lawsuit says Minnesota jail workers ignored pleas of man before he died of perforated bowel", + "headline_extended": "A lawsuit alleges that Minnesota jail workers ignored the pleas of a 41-year-old man who died of a perforated bowel after spending days begging to be taken to a hospital, with pain so severe that he was forced to crawl on the floor of his cell", + "slugline": "AP-US--Inmate Dies-Lawsuit-Minnesota", + "description_summary": "A lawsuit alleges that Minnesota jail workers ignored the pleas of a 41-year-old man who died of a perforated bowel after spending days begging to be taken to a hospital, with pain so severe that he was forced to crawl on the floor of his cell. The suit filed Tuesday against Hennepin County and Hennepin Healthcare in the U.S. District Court in Minneapolis said Lucas Bellamy was treated like \u201che was subhuman, like he was an animal.\" The Hennepin County Sheriff\u2019s Office, which operates the jail, and Hennepin Healthcare declined to comment on the litigation.", + "located": "MINNEAPOLIS", + "datelinelocation": { + "city": "Minneapolis", + "countryareacode": "MN", + "countryareaname": "Minnesota", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -93.26384, + 44.97997 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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Lucas Bellamy was treated like \u201che was subhuman, like he was an animal,\u201d according to the suit filed against Hennepin County and Hennepin Healthcare in the U.S. District Court in Minneapolis.
The Hennepin County Sheriff\u2019s Office, which operates the jail, offered condolences to the family in a written statement but declined to comment on the lawsuit because it was just filed and is ongoing. Hennepin Healthcare said in a statement that it doesn't comment on pending litigation.
It all started on July 18, 2022, when Lucas Bellamy was arrested on charges of fleeing police in a suspected stolen vehicle and possession of brass knuckles, The Minneapolis Star Tribune reports.
During jail intake, he told staff that he had ingested a bag of drugs and was taken to Hennepin County Medical Center, known as HCMC, the suit said. He was monitored and returned to jail with instructions to return to the emergency department if he exhibited any concerning symptoms.
The Bellamy family\u2019s attorney, Jeff Storms, showed the news media video of Lucas\u2019 interactions with nurses and jail guards. The last clip revealed him just behind his cell door, the lower half of his body slowly moving about until he went still and died.
His father, Louis Bellamy, who is a director and founded the Penumbra Theatre in St. Paul, said in a briefing that he has seen tragedy on the stage. But he noted he \u201ccould not have built anything more callous, more disrespectful to \u2026 humanity, human existence than what I witnessed on that tape.\u201d
The lawsuit alleges that Bellamy\u2019s death was among 15 at the jail since 2015, including eight within the past two years. It alleges that checks on inmate well-being have fallen short of standards, and such was the case with Bellamy.
Storms, the attorney, said he is calling on Minnesota Attorney General Keith Ellison to investigate.
\u201cLucas could have been saved with proper treatment,\u201d the suit said. \u201cInstead, he endured a real-life nightmare and died.\u201d
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Minor edits.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "US--Winter Weather-Memphis Water", + "headline": "Memphis utility lifts boil-water advisory after 5 days following deep freeze that burst pipes", + "headline_extended": "Memphis\u2019 water company has lifted a boil-water advisory for more than 600,000 people that was in place for five days due to freezing temperatures that caused pipes to break throughout the southern city", + "slugline": "AP-US--Winter Weather-Memphis Water, 2nd Ld-Writethru", + "description_summary": "Memphis\u2019 water company has lifted a boil-water advisory for more than 600,000 people that was in place for five days due to freezing temperatures that caused pipes to break throughout the southern city. Memphis Light, Gas and Water issued the notice on Friday after snowfall and sub-freezing temperatures caused pipes in homes and water mains to burst, leading to low water pressure that could allow harmful bacteria to contaminate the water supply. Residents were asked to boil water for three minutes before drinking it or using it to brush their teeth and prepare food. It was the third time in the last three years that a winter storm prompted a boil-water advisory.", + "bylines": [ + { + "by": "By ADRIAN SAINZ", + "title": "Associated Press" + } + ], + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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Memphis Light, Gas and Water said water quality tests have met state and federal standards, and home and business customers no longer will be asked to boil water for three minutes before drinking it or using it to brush their teeth and prepare food.
The utility issued the notice on Friday after snowfall and sub-freezing temperatures caused pipes in homes and water mains to burst, leading to low water pressure that could have allowed harmful bacteria to contaminate the water supply.
It was the third time in the last three years that a winter storm prompted a boil-water advisory.
Memphis was the largest, but not the only, water system in Tennessee to experience problems from the unusually cold weather, which has caused dozens of deaths around the U.S. this month, many involving hypothermia or road accidents. The Tennessee Department of Health reported 36 weather-related fatalities across the state as of Tuesday.
More than two dozen water systems were under boil water notices and 19 counties were reporting operational issues with their water utilities, the Tennessee Emergency Management Agency has said.
Water infrastructure in the South is not built for heavy snow, large ice accumulations and days of subfreezing temperatures, said Sarah Houston, executive director of Protect Our Aquifer.
\u201cOur water lines are not buried beneath the frost line. They\u2019re not insulated. And, they\u2019re old,\u201d she said. \u201cIf we had building codes like up North, they bury the lines deeper. Everyone\u2019s plumbing is in the center of the house. Everything is insulated.\u201d
Meanwhile, in rural Tipton County east of Memphis, residents of the town of Mason still had no running water on Tuesday after losing the service last week. The town's fire department said there was no timetable for water restoration.
Annie Christmas Cocke, a 36-year-old real estate agent, lives in Mason with her husband, two young sons, their dog Cricket and a collection of goats and horses. They lost all water service on Jan. 16.
Cocke and her family had stockpiled gallons of water because Mason, northeast of Memphis, has lost water service in the past, and she wanted to be ready. She has also traveled to the homes of family and friends who have water, to fill up containers.
\u201cIt\u2019s been very difficult,\u201d she said. \u201cDue to the snow, no stores had water either. Luckily, I was prepared, but I didn\u2019t know it was going to be this ... It\u2019s been a mess.\u201d
Mason has had a history of financial mismanagement, including charges of official misconduct against former city leaders, Cocke noted.
\u201cThis is due to years and years of misuse of funds and not using our tax dollars to do the necessary maintenance and improvements,\u201d she said.
Justin Hanson served two terms as mayor of the Tipton County city of Covington, from 2014 to 2022. Covington has not been placed under a boil water advisory, so he has let Cocke come to his house to refill water containers.
Hanson said leaders of rural governments must prioritize investment in infrastructure. State funds can be accessed to help with infrastructure maintenance, with a minimal local match, he said.
Generally, infrastructure problems don\u2019t develop overnight, and they can\u2019t be fixed overnight, Hanson said.
\u201cYou either pay now and make the investment now, and stay ahead of any looming problems, or you pay a lot more later in repair,\u201d Hanson said.
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The judge ruled Tuesday, but the lawsuit will continue to play out in court. A jury trial is set for August. Doctors argue a provision that allows abortions in lifesaving or \u201cserious health risk\u201d scenarios is vague. The North Dakota's Republican-led Legislature this year passed a bill that essentially revised the state's abortion laws after the U.S. Supreme Court's 2022 decision striking down the constitutional right to an abortion.", + "bylines": [ + { + "by": "By JACK DURA", + "title": "Associated Press" + } + ], + "located": "BISMARCK, N.D.", + "datelinelocation": { + "city": "Bismarck", + "countryareacode": "ND", + "countryareaname": "North Dakota", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -100.78374, + 46.80833 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. 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(AP) \u2014 A North Dakota judge ruled Tuesday that he won\u2019t block a part of a state law that doctors say puts them at risk of prosecution if they perform an abortion to save a patient\u2019s life or health.
State District Judge Bruce Romanick said the request for a preliminary injunction \u201cis not appropriate and the Plaintiffs have presented no authority for the Court to grant the specific relief requested.\u201d The lawsuit will continue to play out in court, with a jury trial set for August.
The request asked the judge to bar the state from enforcing the law against physicians who use their \u201cgood-faith medical judgment\u201d to perform an abortion because of complications that could pose \"a risk of infection, hemorrhage, high blood pressure, or which otherwise makes continuing a pregnancy unsafe.\u201d
Physicians face \u201cthe harm of having the threat of criminal prosecution hanging over their head every time they treat a patient with a medical complication,\u201d attorney Meetra Mehdizadeh, of the Center for Reproductive Rights, said in court arguments last month.
In a statement Tuesday, Mehdizadeh said, \u201cThough we are disappointed by today\u2019s decision, the court did not reach the constitutional questions at the heart of this case, and we remain confident that we will prevail after the court hears further evidence of how this law harms pregnant North Dakotans.\"
North Dakota outlaws abortion except for cases in which women could face death or a \u201cserious health risk.\u201d People who perform abortions could be charged with a felony under the law, but patients would not.
The judge said the plaintiffs appeared to request that he, \u201cby way of a preliminary injunction, change application of the exception from \u2018reasonable medical judgment\u2019 to \u2018good faith medical judgment.\u2019 Plaintiffs have cited the Court with no legal authority that would allow the Court to re-write the statute in this manner under the pretense of providing injunctive relief.\u201d
The state's revised abortion laws also provide an exception for pregnancies caused by rape and incest, but only in the first six weeks, before many women know they are pregnant. It also allows for treatment of ectopic and molar pregnancies, which are nonviable situations.
Republican state Sen. Janne Myrdal, who brought the 2023 bill revising revising the laws, welcomed the judge's ruling.
\u201cI think we have something that's very clear for physicians to see,\" she said. \"I think it's common sense what we put in as far as the health exceptions, and it goes with the intent of the legislators, so I applaud this judge for reading into it and realizing that the authority lies with us, as far as writing the law, and interpreting it simply shouldn't be that hard for the physicians.\u201d
The Red River Women\u2019s Clinic sued the state in 2022 after the U.S. Supreme Court\u2019s Dobbs decision, which overturned the court's landmark 1973 Roe v. Wade ruling establishing a nationwide right to abortion.
The lawsuit targeted the state\u2019s since-repealed trigger ban \u2014 designed to go into effect immediately if the court overturned Roe v. Wade \u2014 as unconstitutional. The clinic moved from Fargo to neighboring Moorhead, Minnesota, where abortion is legal.
The judge granted a preliminary injunction blocking the ban from taking effect in 2022, a decision the state Supreme Court upheld in March.
Chief Justice Jon Jensen wrote in the court\u2019s decision that \u201cit is clear the citizens of North Dakota have a right to enjoy and defend life and a right to pursue and obtain safety, which necessarily includes a pregnant woman has a fundamental right to obtain an abortion to preserve her life or her health.\u201d
Soon afterward, North Dakota\u2019s Republican-controlled Legislature passed a bill revising the state\u2019s abortion laws, which Gov. Doug Burgum signed in April.
In June, the clinic filed an amended complaint, joined by several doctors in obstetrics, gynecology and maternal-fetal medicine.
___
This story has been corrected to show that The Red River Women\u2019s Clinic sued the state in 2022, not last year.
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Tennessee's Senate Judiciary Committee agreed Tuesday to advance a measure that would drop the mandatory sex offender registration for those convicted of aggravated prostitution. The U.S. Department of Justice called in December for the state to repeal the measure, saying it violates the Americans with Disabilities Act.", + "bylines": [ + { + "by": "By KIMBERLEE KRUESI", + "title": "Associated Press" + } + ], + "located": "NASHVILLE, Tenn.", + "datelinelocation": { + "city": "Nashville", + "countryareacode": "TN", + "countryareaname": "Tennessee", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -86.78444, + 36.16589 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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"d3762bb0b86144429f04b9fa0015edd9" + }, + "type": "picture" + } + }, + "body_nitf": "NASHVILLE, Tenn. (AP) \u2014 Tennessee would no longer be the only U.S. state to impose a lifetime registration as a \u201cviolent sex offender\u201d on anyone convicted of engaging in sex work while living with HIV under a proposal that advanced Tuesday in the legislature.
The controversial statute still on the books is being challenged in federal court by LGBTQ+ and civil rights advocates. They argue that the law stems from the decades-old AIDS scare and discriminates against HIV-positive people. The U.S. Department of Justice has also weighed in on the decades-old law after completing an investigation in December, saying that it violates the Americans with Disabilities Act and called on the state to repeal the measure.
However, Republican Sen. Page Walley on Tuesday stopped short of fully removing the law and instead introduced legislation that would remove those convicted of aggravated prostitution of having to register as a violent sex offender.
\u201cIt maintains the charge,\u201d Walley said. \u201cBut removes the sex offender registration.\u201d
Prostitution has long been criminalized as a misdemeanor in Tennessee. But in 1991, Tennessee lawmakers enacted an even harsher statute that applied only to sex workers living with HIV. Nearly 20 years later, the state legislature revised the law once more by requiring lifetime sex offender registration for those convicted under the controversial statute.
In the years since, the federal Centers for Disease Control and Prevention has warned that laws criminalizing HIV exposure \u2014 many of which were enacted amid the height of the AIDS epidemic \u2014 as outdated and ineffective. Black and Latino communities have been particularly affected by these laws even as the same standards do not apply to other infectious diseases.
Some states have taken steps to repeal their HIV criminal laws, such as Illinois, which repealed all of its HIV-specific criminal laws in 2021. That same year, New Jersey and Virginia repealed all their felony HIV-specific laws.
In Republican-dominant Tennessee, lawmakers have expressed resistance to outright repealing the aggravated prostitution charge. Instead, the GOP-controlled Senate Judiciary Committee on Tuesday agreed to advance a proposal that would drop the lifetime sex offender registration requirement.
Walley described his bill as \u201canti-trafficking,\u201d arguing that the current framework hurts those who may be victims of sexual assault and hinders attempts to get their lives back on track.
According to court documents, 83 people are currently registered sex offenders for aggravated prostitution convictions in Tennessee. The majority of those convictions took place in Shelby County, which encompasses Memphis. The plaintiffs challenging the law in federal court, all named Jane Doe, have described years of harassment and hardships in finding housing and employment that complies with Tennessee's violent sex offender registry.
The legislation would still need to clear the full Senate and House chambers before it could make it to Gov. Bill Lee's desk for consideration. The Republican governor has not weighed in publicly on the bill.
Meanwhile, the federal lawsuit is ongoing. It's currently scheduled to go to trial in 2026.
", + "textformat": "bx", + "links": [ + { + "href": "https://apnews.com/article/hiv-tennessee-da5264c0d0ebf624d168e3e109fd3a8b", + "rel": "canonical" + } + ], + "topics": { + "Health": { + "relevance_score": 3, + "reason": "The document discusses a legislative proposal in Tennessee that aims to revise a law targeting HIV-positive individuals convicted of sex work. While the primary focus is on legal and civil rights aspects, the document also touches on health-related issues such as the impact of HIV criminalization laws, the outdated nature of these laws according to the CDC, and the broader public health implications. These elements make the document relevant to the topic of health, though it is not exclusively focused on health-related content." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/01/24/0280e65b90a3ced4eb0d7eece19154a4.json b/datasets/AP_news/raw_data/2024/01/24/0280e65b90a3ced4eb0d7eece19154a4.json new file mode 100644 index 0000000..a92cc8b --- /dev/null +++ b/datasets/AP_news/raw_data/2024/01/24/0280e65b90a3ced4eb0d7eece19154a4.json @@ -0,0 +1,242 @@ +{ + "altids": { + "itemid": "0280e65b90a3ced4eb0d7eece19154a4", + "etag": "0280e65b90a3ced4eb0d7eece19154a4_1a10aza0c0", + "friendlykey": "368219763615", + "referenceid": "US-MED--Hearing Loss-Demographics" + }, + "version": 1, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-01-24T23:51:32Z", + "firstcreated": "2024-01-24T23:36:17Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: Adds photos. With AP Photos.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "US-MED--Hearing Loss-Demographics", + "headline": "New estimate shows rural Americans and men are more likely to suffer from hearing loss", + "headline_extended": "A new estimate shows hearing loss affects approximately 37.9 million Americans and is more common in rural areas than urban ones", + "slugline": "BC-US-MED--Hearing Loss-Demographics, 1st Ld-Writethru", + "description_summary": "A new estimate shows hearing loss affects approximately 37.9 million Americans and is more common in rural areas than urban ones. The study by NORC at the University of Chicago and published Wednesday is The Lancet Regional Health-Americas Journal is the first to estimate rates of hearing loss at the state and county level. Experts say many rural Americans need better access to hearing screenings and specialists. Working with loud machinery and hunting can damage hearing in a short time. The study found men were more likely than women to have hearing loss, with the highest rates among non-Hispanic white people and those 65 and older.", + "bylines": [ + { + "by": "By DEVI SHASTRI", + "title": "AP Health Writer" + } + ], + "located": "MILWAUKEE", + "datelinelocation": { + "city": "Milwaukee", + "countryareacode": "WI", + "countryareaname": "Wisconsin", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -87.90647, + 43.0389 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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The study, published Wednesday in The Lancet Regional Health-Americas Journal, is the first to estimate hearing loss rates at the state and county level, and was led by NORC at the University of Chicago. The estimates are for 2019 and only include people who have hearing loss in both ears.
While the study could not explain the reason for the geographic divide, experts who treat hearing loss say there are two factors to consider: how loud noises are and how often people hear them.
A person who rides the subway in a bustling city could, in theory, go six to eight hours before being at risk of hearing loss, said audiologist Nicholas Reed, an assistant professor of epidemiology at Johns Hopkins University who co-authored the study. On the other hand, hunters who don\u2019t wear protection can damage their hearing with just a few pulls of the trigger.
Experts say rural Americans need better access to hearing screenings and specialists. Many jobs in rural areas may use loud machinery. Popular leisure activities in these areas, like hunting, woodworking and riding all-terrain vehicles, also put hearing at risk.
The study also found men were more likely than women to have hearing loss, starting at 35, which is in line with previous estimates. The highest rates were among non-Hispanic white people and those 65 and older.
\u201cThe number one risk factor for hearing loss is age,\u201d said David Rein, director of NORC's public health analytics program and the paper's lead author.
Audiologist Melanie Buhr-Lawler, a clinical professor at the University of Wisconsin-Madison, said she saw the threats to hearing health growing up on a farm in rural Wisconsin and later researching hearing loss in rural residents.
\u201cPeople who live in rural areas have a hearing health double-whammy,\" said Buhr-Lawler, who was not involved with the study. \"So they\u2019re more exposed to high noise levels through their work, be it mining or farming or other rural occupations, but also through leisure activities.\u201d
For years, her research team handed out thousands of ear plugs at a tractor pull in Tomah, Wisconsin, to raise awareness.
The U.S. Centers for Disease Control and Prevention funded the study.
___
The Associated Press Health and Science Department receives support from the Robert Wood Johnson Foundation. The AP is solely responsible for all content.
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The document is highly relevant to the topic of health as it addresses a specific health issue (hearing loss), its demographic and geographic distribution, and potential interventions to mitigate the problem." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/01/24/0d0ca85eb0fda1519d7dfe5c16c33ca8.json b/datasets/AP_news/raw_data/2024/01/24/0d0ca85eb0fda1519d7dfe5c16c33ca8.json new file mode 100644 index 0000000..166bda0 --- /dev/null +++ b/datasets/AP_news/raw_data/2024/01/24/0d0ca85eb0fda1519d7dfe5c16c33ca8.json @@ -0,0 +1,301 @@ +{ + "altids": { + "itemid": "0d0ca85eb0fda1519d7dfe5c16c33ca8", + "etag": "0d0ca85eb0fda1519d7dfe5c16c33ca8_0a10aza0c0", + "friendlykey": "730274061972", + "referenceid": "US--Gun Safety Information" + }, + "version": 0, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-01-24T00:01:57Z", + "firstcreated": "2024-01-24T00:01:57Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "signals": [ + "newscontent" + ], + "title": "US--Gun Safety Information", + "headline": "Federal appeals court upholds local gun safety pamphlet law in Maryland", + "headline_extended": "A federal appeals court has upheld a county law in Maryland that requires gun dealers to distribute a pamphlet about suicide prevention, conflict resolution and mental health resources", + "slugline": "BC-US--Gun Safety Information", + "description_summary": "A federal appeals court has upheld a county law in Maryland that requires gun dealers to distribute a pamphlet about suicide prevention, conflict resolution and mental health resources. 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(AP) \u2014 A federal appeals court upheld a county law in Maryland on Tuesday that requires gun dealers to distribute information about suicide prevention, conflict resolution and mental health resources.
A three-judge panel of the 4th U.S. Circuit Court of Appeals in Richmond, Virginia, ruled in favor of the Anne Arundel County law approved in 2022. The panel rejected an appeal on First Amendment grounds by the gun rights group Maryland Shall Issue and four gun store owners, after a federal judge ruled in favor of the county.
In the decision released Tuesday, Judge Paul Niemeyer wrote that the county law required the pamphlets as a health and safety advisory, informing purchasers of the nature, causes, and risks of suicides and the role that guns play in them.
While the literature points out that \u201caccess\u201d to firearms is a \u201crisk factor,\u201d the judge wrote that the pamphlets doesn't suggest to the reader that he or she should not purchase a firearm.
\u201cMore particularly, we do not read it to suggest to firearm purchasers that firearms should not be purchased because doing so causes suicide. Rather, the pamphlet is more in line with other similar safety warnings \u2014 widely applicable and accepted \u2014 that gun owners should store guns safely, especially to prevent misuse and child access,\u201d Niemeyer wrote.
Judges Roger Gregory and Toby Heytens joined the opinion.
Anne Arundel County Executive Steuart Pittman commended the ruling for requiring gun stores to give customers the information.
\u201cEnsuring gun owners are aware of accessible mental health and suicide prevention services is a critical step in reducing gun deaths and saving lives,\" Pittman said.
Mark Pennak, president of Maryland Shall Issue, said he thought the ruling was \u201cgrievously wrong,\u201d because it compels speech at a place of commercial establishment.
\u201cThat\u2019s never been the law,\" Pennak said. \"It\u2019s contrary to Supreme Court precedent, and it would invite wholesale unconstitutional action by governments.\u201d
Pennak said he is considering an appeal to either the full 4th U.S. Circuit Court of Appeals or the U.S. Supreme Court.
After a mass shooting that left five people dead at the Capital Gazette newsroom in 2018, Pittman created a task force to recommend ways to help reduce gun violence. The task force recommended that the county establish a partnership with gun sellers, gun safety advocacy organizations and agencies working to prevent domestic violence and suicide.
In 2022, the Anne Arundel County Council passed a measure that directed the county\u2019s health department to distribute literature about \u201cgun safety, gun training, suicide prevention, mental health, and conflict resolution\u201d to stores that sell firearms and ammunition. It also required the stores to display the pamphlets and to distribute them with the purchase of guns and ammunition.
The literature consists of a pamphlet jointly authored by the National Shooting Sports Foundation and the American Foundation for Suicide Prevention concerning firearms and suicide prevention, as well as a one-page insert developed by the county concerning local resources for suicide and conflict prevention.
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Therefore, the content is highly relevant to the topic of health." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/01/24/11a56905a5b57301ad7f0d3c905cd97e.json b/datasets/AP_news/raw_data/2024/01/24/11a56905a5b57301ad7f0d3c905cd97e.json new file mode 100644 index 0000000..aaefc0a --- /dev/null +++ b/datasets/AP_news/raw_data/2024/01/24/11a56905a5b57301ad7f0d3c905cd97e.json @@ -0,0 +1,275 @@ +{ + "altids": { + "itemid": "11a56905a5b57301ad7f0d3c905cd97e", + "etag": "11a56905a5b57301ad7f0d3c905cd97e_1a6aza0c0", + "friendlykey": "127650301602", + "referenceid": "AR--Abortions-Arkansas" + }, + "version": 1, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-01-24T01:07:30Z", + "firstcreated": "2024-01-24T00:46:41Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: CORRECTS: The summary has been updated to correct that Arkansas' ban on abortion took effect in 2022, not last year.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "AR--Abortions-Arkansas", + "headline": "Arkansas abortion ban may be scaled back, if group can collect enough signatures", + "headline_extended": "A proposal to scale back Arkansas' abortion ban has cleared its first hurdle toward getting on the November ballot", + "slugline": "AP-AR--Abortions-Arkansas, 1st Ld-Writethru", + "description_summary": "A proposal to scale back Arkansas' abortion ban has cleared its first hurdle toward getting on the November ballot. Republican Attorney General Tim Griffin on Tuesday approved the wording of the measure prohibiting the state from banning abortion within the first 18 weeks of pregnancy. The measure includes exemptions for rape, incest and fatal fetal anomalies. Arkansas' abortion ban took effect in 2022 when the U.S. Supreme Court overturned Roe v. Wade. The group behind the new measure has until July 5 to gather nearly 91,000 signatures to qualify for the ballot. The group says it will begin gathering signatures this weekend.", + "bylines": [ + { + "by": "By ANDREW DeMILLO", + "title": "Associated Press" + } + ], + "located": "LITTLE ROCK, Ark.", + "datelinelocation": { + "city": "Little Rock", + "countryareacode": "AR", + "countryareaname": "Arkansas", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -92.28959, + 34.74648 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. 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(AP) \u2014 Arkansas' attorney general on Tuesday approved the wording of a proposed ballot measure that would scale back the state's abortion ban, clearing the way for supporters to begin gathering enough signatures to qualify for the November election.
Republican Attorney General Tim Griffin certified the proposal, which would prohibit the state from banning abortion within the first 18 weeks of pregnancy. The proposal includes exemptions for rape, incest, fatal fetal anomalies and to protect the mother's life. It would also exempt abortions performed to protect the mother from a physical disorder, physical illness or physical injury.
Arkansas banned nearly all abortions under a law that took effect when the U.S. Supreme Court overturned Roe v. Wade in 2022. That ban only exempts abortions to protect the mother's life in a medical emergency.
Starting on Sunday in the northwest part of the state, Arkansans for Limited Government said it will start gathering signatures. The group must submit at least 90,704 valid signatures from registered voters \u2014 which is 6% of the votes cast in the 2022 governor's election \u2014 to qualify for the November ballot.
\u201cToday, we are one step closer to restoring the freedom that was taken from individuals when Roe v. Wade was overturned,\u201d Jim McHugh, the group's treasurer, said in a statement. \u201cWe won\u2019t stop until Arkansans can use their voice at the ballot box in November.\u201d
In addition to the statewide requirement, the group will also have to submit a minimum number of signatures from 50 of Arkansas' 75 counties.
Griffin had rejected a previous version of the proposed measure and said he couldn't allow his opposition to abortion to be a factor.
\u201cI am and have always been strongly pro-life, but the law does not allow me to consider my own personal views. I am guided by the law and the law alone,\u201d Griffin said in a statement.
Abortion opponents criticized the proposal and said it would hamper the state's ability to regulate the procedure by enshrining it in the state's constitution.
\u201cThis is a radical amendment legalizing abortion in a way Arkansas has never seen before,\u201d Jerry Cox, president of the Family Council, a conservative group that has pushed for abortion restrictions over the years.
Measures to protect access already have spots on this year's ballot in Maryland and New York. Legislative efforts or petition drives are underway in a variety of other states. Voters in every state with an abortion-related ballot measure since the U.S. Supreme Court overturned Roe v. Wade in 2022, effectively making abortion access a state-by-state question, have favored the side supported by abortion rights supporters.
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Editorial: Hutto proposal has appeal, but needs vetting
State Sen. Brad Hutto has an interesting proposal, one he made a couple of years ago too, as a means of luring medical doctors into the Palmetto State\u2019s rural areas. Cover a portion of the doctors\u2019 medical school bills.
The concept is nothing new, really. Rural school districts have floated dollar incentives to lure good teachers to areas where they might not otherwise go. People can have their higher education in military schools covered in exchange for years of military service.
Hutto proposes paying up to $30,000 of a student\u2019s medical school bills, beginning in their final year of clinical studies, with the caveat that the student commit to working full time for two years in rural areas or with underserved patients in urban areas. If they work in the community less than 36 hours a week, they would be required to commit to four years there.
Certainly the proposal has an appeal, one that frankly is be more appealing than a federal plan that wipes out student loan debt with few, if any, caveats. The big question, however, is where will the money come from to support such a move? We know the answer. Our tax dollars. So, can it be done without raising taxes on the people?
Would the return on investment be worthwhile? At least the doctors would have skin in the game as opposed to a free ride.
Hutto\u2019s proposal has some rationale to support it. Before it\u2019s given a \u201cyes\u201d vote, however, the details need to be worked out. There needs to be transparency in how the state will foot the bill, what impact it would have on other existing state budget expense columns and clear enforceable accountability guidelines to prevent doctors from reneging on the obligation.
___
Post and Courier. January 20, 2024.
Editorial: SC lenders blocked ban on 300% interest. So let\u2019s just ban predatory marketing.
There\u2019s a whole industry out there that makes a living by taking advantage of people who are desperate or unsophisticated or both, luring them into what look like easy loans that trap them in a cycle of perpetual debt because they have to keep taking out new loans, with added fees, to pay off the old ones.
In South Carolina, we have more than our fair share of such people, who find themselves unable to pay for unexpected car repairs or roof repairs or medical bills and assume that their only option is a payday lender or title lender or what\u2019s called an installment lender \u2014 an assumption that often is tragically incorrect.
So it\u2019s no surprise that we have more than our fair share of people who are struggling under the burden of loans they couldn\u2019t afford to repay in the first place and certainly can\u2019t afford once each new round of fees is added. The South Carolina Daily Gazette, an online news organization affiliated with the nonprofit States Newsroom, reports that South Carolinians had $2.8 billion in high-interest loan debt in 2022, with $650 million of that two months past due; an estimated 400,000 South Carolinians are struggling to repay these loans.
It\u2019s hard to get a handle on precisely how many states restrict a particular type of predatory loan, but it\u2019s clear that South Carolina coddles these lenders more than most other states, which have stricter regulations. Georgia and North Carolina, for instance, have banned payday lending.
South Carolina did put some restrictions on payday lenders back in 2009, but those businesses are still thriving, as is the industry as a whole, thanks not only to high interest rates but also to predatory lending practices.
For years now, religious leaders and other advocates for the poor have joined with credit unions to try to convince the Legislature to cap the annualized rate of interest on non-conventional loans at 36% \u2014 the amount the federal government caps loans to members of our armed services. And for years, the lenders have fought off those efforts.
This year, Sen. Tom Davis has joined the effort and brought a new approach: Instead of limiting interest rates \u2014 which a lot of people believe isn\u2019t the government\u2019s business \u2014 his S.910 would outlaw predatory practices. Among the most egregious is sending what are called \u201ccourtesy\u201d or live checks to consumers in hopes that they\u2019ll cash them and in so doing lock themselves into a loan with a triple-digit interest rate.
If the check-mailing scheme sounds familiar, it\u2019s because shady financial companies have been doing that to trick people who have suffered traumatic brain injuries and other particularly vulnerable people into trading millions of dollars in future payments from personal injury lawsuits for a few thousand dollars; the Legislature outlawed that practice last year.
Sen. Davis\u2019 bill also would outlaw making a loan without first conducting an analysis of the borrower\u2019s ability to repay it, making a loan that the analysis shows the borrower doesn\u2019t have the ability to pay off, flipping some types of loans and flipping others beyond a limited number of times.
There are provisions in the bill that free-market advocates legitimately object to \u2014 notably a provision that would outlaw marketing to low-income communities. That\u2019s not the case for most of the provisions.
Although a lot of legislators object on principle to laws designed to protect people from themselves \u2014 at least when it comes to financial matters \u2014 we already have laws in place to protect people with regular paychecks who use traditional financial institutions. This would extend those protections to institutions that market to people who can\u2019t imagine they could get a loan from traditional institutions.
And by providing a little consumer protection to some of our most vulnerable neighbors, the Legislature could reduce the chance that they\u2019d get suckered into an unending cycle of debt that drives them further into poverty and the need for public assistance.
___
Times and Democrat. January 20, 2024.
Editorial: Trafficking in humans is threat here too
The flood of people crossing the southern U.S. border will have a far-reaching impact on the country. Not the least of the problems is the criminal element involved in smuggling people.
Make no mistake, however, human trafficking is a nationally problem even if border issues are resolved today.
How bad is it in the United States?
The National Human Trafficking Hotline and others estimate that between 15,000 and 50,000 women and children are forced into sexual slavery in the United States every year. Of the more than 365,000 missing children in the country each year, 30% are being trafficked.
South Carolina and Orangeburg are not immune.
State Attorney General Alan Wilson, chair of the South Carolina Human Trafficking Task Force, recently released an annual report detailing the magnitude of human trafficking here.
In 2023, the South Carolina Law Enforcement Division reported opening 357 cases that included nearly 500 potential victims, most of those minors being sex trafficked. SLED\u2019s data also showed that human trafficking cases were opened in 40 counties, with only six not reporting any cases.
The counties with the most cases in 2023 are Richland (43), Greenville (34), Horry and Aiken (24 each), Berkeley (23), Charleston, Spartanburg, and Lexington (21 each), Dorchester (18), and York (13).
The National Human Trafficking Hotline data show that two counties tied for the most incidents reported to the hotline. Greenville and Horry ranked number one, Charleston County was second, followed by Richland and Spartanburg tied for third. Aiken ranked fourth.
Orangeburg and Lexington counties tied for fifth place.
\u201cHuman trafficking continues to grow in South Carolina, just as it does around the country and the world. Last year, we saw an increase in the number of victims. That shows that we need to continue our work and do everything we can to raise awareness of this crime so the public can know what to look for and report what they see,\u201d Wilson said.
Of note, Wilson and the task force announced the launch of TravelWatchSC during this National Human Trafficking Awareness Month. The campaign has begun at three major airports: Columbia Metropolitan Airport, Greenville-Spartanburg International Airport and Myrtle Beach International Airport.
The airports began running digital signs featuring the National Human Trafficking Hotline contact information. Each location will also share hotline posters and stickers as well as educational brochures that include information about regional task forces.
Awareness of the trafficking threat \u2013 especially affecting children \u2013 is vital.
In Wilson\u2019s words, \u201cHuman trafficking happens in our back yards. Most of the time, it\u2019s not far off in exotic places, but in our local communities. Raising awareness is critical to fighting human trafficking.\u201d
END
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(AP) \u2014 A Nevada judge has approved a petition by abortion access advocates as eligible for signature gathering in their long-standing attempt to get abortion rights on the 2024 ballot.
Carson City District Judge James T. Russell made the ruling Tuesday, about two months after he struck down a similar yet broader version that, if passed, would have enshrined additional reproductive rights into the state\u2019s constitution.
If the Nevadans for Reproductive Freedom political action committee gets enough signatures, a question would appear on the November ballot that would enshrine abortion access into the Nevada constitution for up to 24 weeks, or as needed to protect the health of the pregnant patient. Then, voters would need to pass again on the 2026 ballot to amend the constitution.
Russell's ruling struck down a challenge by the Coalition for Parents and Children political action committee that claimed the ballot question was inadequate and contained an unfunded mandate, according to a copy of the judge's order.
Abortion rights up to 24 weeks are already codified into Nevada law through a 1990 referendum vote, where two-thirds of voters were in favor. That can be changed with another referendum vote.
The standards are higher for amending the constitution, which requires either approval from two legislative sessions and an election, or two consecutive elections with a simple majority of votes.
The petition that was cleared for signatures is one of two efforts from the Nevadans for Reproductive Freedom committee to get the right to abortion on the 2024 ballot.
Russell rejected an earlier petition in a November ruling, saying the proposed ballot initiative was too broad, contained a \u201cmisleading description of effect\u201d and had an unfunded mandate.
The petition would have included protections for \u201cmatters relating to their pregnancies\u201d including prenatal care, childbirth, postpartum care, birth control, vasectomies, tubal ligations, abortion and abortion care as well as care for miscarriages and infertility. Nevadans for Reproductive Freedoms appealed that rejection to the Nevada Supreme Court and are waiting for a new ruling.
The petition approved for signatures Tuesday had narrower language \u2014 \u201cestablishing a fundamental, individual right to abortion,\u201d which applies to \u201cdecisions about matters relating to abortion\u201d without government interference.
In a statement following the ruling, Nevadans for Reproductive Freedom spokesperson Lindsey Hamon celebrated the ruling but said she remained confident that the committee's initial petition will be recognized as eligible by the Nevada Supreme Court.
\u201cAbortion rights are not the only form of reproductive freedom under attack across the country,\u201d Hamon said. \u201cProtecting miscarriage management, birth control, prenatal and postpartum care, and other vital reproductive health care services are inextricably linked pieces of a singular right to reproductive freedom.\u201d
Abortion rights have become a mobilizing issue for Democrats since the U.S. Supreme Court overturned Roe v. Wade, the landmark 1973 court decision establishing a nationwide right to abortion.
Constitutional amendments protecting abortion access are already set to appear on the 2024 ballot in New York and Maryland and could also show up in a host of states, including Missouri and neighboring Arizona.
Lawmakers in Nevada\u2019s Democratic-controlled Legislature are also attempting to get reproductive rights including abortion access in front of voters on the 2026 ballot. The initiative, which would enshrine those rights in the state constitution, passed the state Senate and Assembly in May 2023 and now must be approved with a simple majority again in 2025 before being eligible for the 2026 ballot.
___
Stern is a corps member for The Associated Press/Report for America Statehouse News Initiative. Report for America is a nonprofit national service program that places journalists in local newsrooms. Follow Stern on X, formerly Twitter: @gabestern326.
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Updates photos.; Updates photos.; Updates Media.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "US--Washington-Opioid-Settlement", + "headline": "Washington state reaches a nearly $150 million settlement with Johnson & Johnson over opioid crisis", + "headline_extended": "The Washington state attorney general has announced a $149.5 million settlement agreement with drugmaker Johnson & Johnson, more than four years after the state sued the company over its role in the opioid addiction crisis", + "slugline": "BC-US--Washington-Opioid-Settlement, 7th Ld-Writethru", + "description_summary": "The Washington state attorney general has announced a $149.5 million settlement agreement with drugmaker Johnson & Johnson, more than four years after the state sued the company over its role in the opioid addiction crisis. Attorney General Bob Ferguson's announcement Wednesday comes as opioid overdose deaths have risen across the state, with 2,048 in 2022. That\u2019s more than twice as many deaths as there were in 2019. Under the deal, the state and local governments would have to spend $123.3 million to address the opioid crisis, including on substance abuse treatment, expanded access to overdose-reversal drugs and services that support pregnant women on substances.", + "bylines": [ + { + "by": "By MANUEL VALDES and HALLIE GOLDEN", + "title": "Associated Press" + } + ], + "located": "OLYMPIA, Wash.", + "datelinelocation": { + "city": "Olympia", + "countryareacode": "WA", + "countryareaname": "Washington", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -122.9007, + 47.03787 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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(AP) \u2014 The Washington state attorney general announced a $149.5 million settlement Wednesday with drugmaker Johnson & Johnson, more than four years after the state sued the company over its role in the opioid addiction crisis.
\"They knew what the harm was. They did it anyway,\" Attorney General Bob Ferguson told reporters Wednesday.
The attorney general's announcement came as opioid overdose deaths more than doubled from 2019 to 2022, with 2,048 deaths recorded in 2022, according to the most recent numbers from the Washington State Department of Health.
Under the deal, the state and local governments would have to spend $123.3 million to address the opioid crisis, including on substance abuse treatment, expanded access to overdose-reversal drugs and services that support pregnant women on substances. The rest of the money would go toward litigation costs.
The harm is \u201cleft now to policymakers to grapple with,\u201d the attorney general said, \"or families and individuals who grapple in a very different way with the real tragedy of addiction.\u201d
The settlement agreement still requires approval from a judge. If approved, the deal would send over $20 million more to respond to the opioid crisis than if the state had signed onto a national settlement in 2021 involving Johnson & Johnson, the attorney general\u2019s office said.
Since the 2000s, drugmakers, wholesalers, pharmacy chains and consultants have agreed to pay more than $50 billion to state and local governments to settle claims that they played a part in creating the opioid crisis.
Under the agreements, most of the money is to be used to combat the nation\u2019s addiction and overdose crisis.
Drug overdoses caused more than 1 million deaths in the U.S. from 1999 through 2021, and the majority of those involved opioids. At first, the crisis centered on prescription painkillers that gained more acceptance in the 1990s, and later heroin. Over the past decade, the death toll has reached an all-time high, and the biggest killers have been synthetic opioids such as fentanyl that are in the supply of many street drugs.
Washington state\u2019s Democratic attorney general sued Johnson & Johnson in 2020, alleging that it helped drive the pharmaceutical industry\u2019s expansion of prescription opioids. He also claimed that the company made a distinct mark on Washington\u2019s opioid crisis by deceiving doctors and the public about the effectiveness of opioids for chronic pain and the risk of addiction.
The attorney general\u2019s office noted that in 2015 the company was the largest supplier in the country of the active pharmaceutical ingredients that go into opioid drugs.
Johnson & Johnson said in a written statement Monday that Duragesic, its fentanyl patch, and its Nucynta opioid accounted for less than 1% of opioid prescriptions in the state and the U.S., adding that it has not sold prescription opioid medications in the country in years.
\u201cThe Company\u2019s actions relating to the marketing and promotion of important prescription opioid medications were appropriate and responsible,\u201d according to the statement.
Funds will be awarded by the end of this fiscal year, which means that the Legislature can earmark the money during the current legislative session. Half of the money will go to a state account, while the other half will go to an account for local governments, according to the attorney general\u2019s office.
Democratic Sen. June Robinson said Wednesday that her children have lost friends to addiction and that she has known parents who have lost children in similar ways.
\u201cThe fact that these lawsuits have played out since then, they can\u2019t unfortunately bring back the lives that we lost,\" she said. \"But they are bringing resources to our communities and to our state that we are able to invest in ways that will help people recover and hopefully help to prevent future addiction and future crises like the one that we\u2019re seeing right now.\u201d
The deal comes about two years after the nation\u2019s three largest opioid distributors agreed to pay the state $518 million, with the vast majority being directed toward easing the addiction epidemic.
___
AP reporter Geoff Mulvihill in Cherry Hill, New Jersey, contributed.
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A small study published Wednesday documents significantly restored hearing in five of six kids treated in China. On Tuesday, the Children\u2019s Hospital of Philadelphia announced similar gains in an 11-year-old boy treated there. And earlier this month, Chinese researchers published a study showing positive results in two other children. So far, the experimental therapies only target one rare condition. But scientists say similar treatments could someday help many more kids with other types of hereditary deafness. Genes are responsible for up to 60% of hearing loss in children.", + "bylines": [ + { + "by": "By LAURA UNGAR", + "title": "AP Science Writer" + } + ], + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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A small study published Wednesday documents significantly restored hearing in five of six kids treated in China. On Tuesday, the Children's Hospital of Philadelphia announced similar improvements in an 11-year-old boy treated there. And earlier this month, Chinese researchers published a study showing much the same in two other children.
So far, the experimental therapies target only one rare condition. But scientists say similar treatments could someday help many more kids with other types of deafness caused by genes. Globally, 34 million children have deafness or hearing loss, and genes are responsible for up to 60% of cases. Hereditary deafness is the latest condition scientists are targeting with gene therapy, which is already approved to treat illnesses such as sickle cell disease and severe hemophilia.
Children with hereditary deafness often get a device called a cochlear implant that helps them hear sound.
\u201cNo treatment could reverse hearing loss \u2026 That\u2019s why we were always trying to develop a therapy,\u201d said Zheng-Yi Chen of Boston's Mass Eye and Ear, a senior author of the study published Wednesday in the journal Lancet. \u201cWe couldn\u2019t be more happy or excited about the results.\u201d
The team captured patients' progress in videos. One shows a baby, who previously couldn\u2019t hear at all, looking back in response to a doctor\u2019s words six weeks after treatment. Another shows a little girl 13 weeks after treatment repeating father, mother, grandmother, sister and \u201cI love you.\u201d
All the children in the experiments have a condition that accounts for 2% to 8% of inherited deafness. It's caused by mutations in a gene responsible for an inner ear protein called otoferlin, which helps hair cells transmit sound to the brain. The one-time therapy delivers a functional copy of that gene to the inner ear during a surgical procedure. Most of the kids were treated in one ear, although one child in the two-person study was treated in both ears.
The study with six children took place at Fudan University in Shanghai, co-led by Dr. Yilai Shu, who trained in Chen's lab, which collaborated on the research. Funders include Chinese science organizations and biotech company Shanghai Refreshgene Therapeutics.
Researchers observed the children for about six months. They don't know why the treatment didn't work in one of them. But the five others, who previously had complete deafness, can now hear a regular conversation and talk with others. Chen estimates they now hear at a level around 60% to 70% of normal. The therapy caused no major side effects.
Preliminary results from other research have been just as positive. New York's Regeneron Pharmaceuticals announced in October that a child under 2 in a study they sponsored with Decibel Therapeutics showed improvements six weeks after gene therapy. The Philadelphia hospital \u2014 one of several sites in a test sponsored by a subsidiary of Eli Lilly called Akouos \u2014 reported that their patient, Aissam Dam of Spain, heard sounds for the first time after being treated in October. Though they are muffled like he's wearing foam earplugs, he's now able to hear his father's voice and cars on the road, said Dr. John Germiller, who led the research in Philadelphia.
\u201cIt was a dramatic improvement,\u201d Germiller said. \u201cHis hearing is improved from a state of complete and profound deafness with no sound at all to the level of mild to moderate hearing loss, which you can say is a mild disability. And that\u2019s very exciting for us and for everyone. \u201d
Columbia University's Dr. Lawrence Lustig, who is involved in the Regeneron trial, said although the children in these studies don't wind up with perfect hearing, \u201ceven a moderate hearing loss recovery in these kids is pretty astounding.\u201d
Still, he added, many questions remain, such as how long the therapies will last and whether hearing will continue to improve in the kids.
Also, some people consider gene therapy for deafness ethically problematic. Teresa Blankmeyer Burke, a deaf philosophy professor and bioethicist at Gallaudet University, said in an email that there\u2019s no consensus about the need for gene therapy targeting deafness. She also pointed out that deafness doesn\u2019t cause severe or deadly illness like, for example, sickle cell disease. She said it's important to engage with deaf community members about prioritization of gene therapy, \"particularly as this is perceived by many as potentially an existential threat to the flourishing of signing Deaf communities.\u201d
Meanwhile, researchers said their work is moving forward.
\"This is real proof showing gene therapy is working,\u201d Chen said. \u201cIt opens up the whole field.\u201d
___
The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute\u2019s Science and Educational Media Group. The AP is solely responsible for all content.
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The Texas Supreme Court denied Katie Cox\u2019s request. But by then, her lawyers said, she had already traveled out of state for an abortion.
The Bidens spoke with Cox on Sunday and invited her to the annual address set for March 7 at the U.S. Capitol. Cox will sit with the first lady, White House press secretary Karine Jean-Pierre said Wednesday. Cox accepted the invitation, she said.
\u201cThey thanked her for her courage in sharing her story and speaking out against the impact of the extreme abortion ban in Texas,\u201d Jean-Pierre said.
Cox, 31, was pregnant with her third child when she learned the baby had a rare genetic disorder. The couple was informed by doctors that their baby would live at best a week. She sued over the right to have an abortion to end the pregnancy but lost because the judges said she hadn't shown her life was in danger enough to be granted the procedure.
The White House invitation reflects how strongly the administration is leaning into reproductive rights as a galvanizing force for voters in the upcoming presidential election after the Supreme Court in 2022 overturned abortion protections. Biden and Vice President Kamala Harris and their spouses on Tuesday centered their first major campaign rally of the election year on abortion rights.
Nancy Northup, president of the Center for Reproductive Rights, which represented Cox in her legal fight, applauded the invitation and said when Cox travels to Washington \u201cshe will be representing thousands of others suffering under draconian state abortion bans.\u201d
In his speech, Biden spoke about the increased medical challenges women are facing since the fall of the legal protections granted in Roe v. Wade, particularly for women who never intended to end their pregnancies. He laid the blame on Republican frontrunner Donald Trump, who as president appointed three conservative justices to the Supreme Court.
This will be the first State of the Union under Republican House Speaker Mike Johnson, who will sit behind the president and to his left during the address to Congress. This year\u2019s speech will offer an opportunity for Biden to detail his broader vision and policy priorities as he campaigns for reelection in November.
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(AP) \u2014 Democratic Wisconsin Gov. Tony Evers vowed in his State of the State speech Tuesday to veto any bill that would limit access to abortions and announced plans to expand access to emergency contraception.
Evers also declared 2024 the \u201cYear of the Worker\" and called on Republicans and Democrats to work together on addressing workforce issues, including expanding access to affordable housing, child care and paid family leave.
Evers also called on the Legislature to release funding to address PFAS pollution.
Republican Assembly Speaker Robin Vos derided the address, Evers sixth State of the State, as \u201ctypical Tony Evers.\u201d
\u201cNot a lot of new ideas and a lot of rehashing of old things that have been proposed over the course of the past few years and failed,\u201d Vos said.
Evers issued his abortion veto pledge even as Republicans move forward with a measure that would let voters weigh in on whether it should be banned after 14 weeks of pregnancy.
The speech comes as Evers and Republicans who control the Legislature have had some bipartisan successes, but continue to fight over redistricting, abortion, tax cuts, election administration and other key issues in a presidential election year.
Evers, like many Democrats nationwide, made abortion rights a focus of his winning 2022 campaign, and he returned to that theme again Tuesday. He noted that his opponent, Republican Tim Michels, supported banning abortions and lost.
\u201cI want to speak directly to women in Wisconsin tonight,\u201d Evers said. \u201cI will veto any bill that takes away your reproductive freedom or makes reproductive health care any less accessible in Wisconsin than it is today. Period.\u201d
Evers announced that enrollees in the state\u2019s BadgerCare Plus Medicaid program will have access to over-the-counter contraception, including emergency contraception, without a separate prescription. The medication will be provided without any out-of-pocket costs, Evers said.
Evers said the public\u2019s widespread support of abortion rights as shown in statewide and nationwide polls shows the importance of having legislative maps that fairly reflect the population. The Wisconsin Supreme Court in December tossed out the current Republican-drawn maps as unconstitutional.
\u201cWhen elected officials gerrymander themselves into safe seats, they can comfortably ignore the overwhelming majority of Wisconsinites,\u201d Evers said.
Evers also renewed his pledge to fight efforts to make it more difficult to vote in the battleground state. Evers has vetoed a raft of Republican proposals over the past five years that seek to make changes to election administration in the state.
Evers said that in coming weeks he will be announcing new steps his administration is taking to increase voter turnout. He didn\u2019t reveal any details.
Vos said he was disappointed that Evers didn't mention cutting taxes as Republicans have proposed.
\u201cWe're going to move forward with our plan and hopefully Gov. Evers once he has a chance to review them will sign them into law,\u201d Vos said.
Despite the divisions, Evers called on Republicans and Democrats to work together to address Wisconsin's workforce shortages, declaring 2024 the \"Year of the Worker.\"
Evers called for expanding paid family leave, an idea the Legislature rejected last year, investing more in public education and coming up with a long-term solution to child care shortages. Republicans also rejected a plan from Evers last year to continue the Child Care Counts program, but he got around them by allocating $170 million in pandemic relief funds to keep it running through June 2025.
\u201cRepublicans are officially on the clock to make the meaningful investments necessary to prevent the collapse of an industry that\u2019s essential for maintaining our current levels of workforce participation,\u201d Evers said.
Evers challenged Republicans to come up with alternate plans if they continue to reject his comprehensive workforce proposals as they have done twice already.
\u201cI will work with any legislator, any partner, any stakeholder who\u2019s willing to engage in meaningful conversations on these issues to do the right thing for Wisconsin,\u201d Evers said. \u201cIn the meantime, my administration will continue to pursue every pathway and seek every avenue to address our workforce challenges without legislative action, just as we have for five years.\u201d
Evers also renewed his call for Republicans to release $125 million in funding approved in the state budget to fight pollution from so-called forever chemical known as PFAS. He also called on them to spend more on mental health services statewide. Evers announced the creation of a new interagency council designed to reduce barriers and address gaps in mental health services.
In his speech delivered before lawmakers, members of the state Supreme Court, tribal leaders and others, Evers highlighted bipartisan successes in the past year, including an agreement on a plan to pay for repairs to the Milwaukee Brewers' stadium that will keep the team in Wisconsin through at least 2050.
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January 19, 2024.
Editorial: Easier access to cancer screening a no-brainer
Despite a proclivity toward culture war issues, given a GOP supermajority, the West Virginia Legislature is doing some meaningful work in addressing access to cancer screening.
The House of Delegates this week passed a bill, 96-0, with three abstentions, that would waive the certificate-of-need process for mobile health care services that provide mammograms to help screen for breast cancer or low-density computerized tomography (essentially, an image scan to detect lung cancer).
The certificate-of-need process, which is in place to prevent redundant services and provide cost control for patients, is something that lawmakers have often tried to eliminate completely. And the bill does include language that also would eliminate the certificate-of-need process for private practices purchasing tomography equipment up to $750,000.
Certificate-of-need itself is a bigger issue for another time. But it makes sense to waive the process for mobile cancer screening and smaller practices for a few reasons.
West Virginia\u2019s health care infrastructure isn\u2019t exactly top of the line, and access to basic health care is a huge problem owing to a combination of factors, including the state\u2019s high poverty rate, rural communities, lack of transportation for some and continuing decline of available facilities. The state also has one of the highest cancer rates in the nation and regularly appears among the highest in the country for cancer deaths. So, any means of providing early detection that also cuts through some of the barriers to health care access should be welcomed.
The bill doesn\u2019t establish a mobile screening service or provide funds for such a service, although waiving the certificate-of-need process will save money for any health care provider looking to establish such a service.
Hopefully, the state Senate will pass the bill in short order.
___
The Intelligencer. January 24, 2024.
Editorial: W.Va. Is Building Workforce of Future
Though politicians are still fond of diminishing West Virginia as only a fossil fuels state, the reality points to an even brighter future. According to West Virginia Affiliated Construction Trades Director Justin Williams, apprenticeship programs are growing here.
And yes, some of those workers are in coal mines, but others work in a variety of trades that will literally build our state\u2019s next chapters.
\u201cThere are 2,500 apprentices in West Virginia, and we represent about 24,000 construction workers,\u201d Williams told WV MetroNews.\u201d \u201cIt\u2019s not a huge number but it\u2019s people that get up and go to work every day, and they make a big impact on their communities and state.\u201d
For those hoping to work in the budding aviation, aerospace and even electric vehicle manufacturing industries in our state, apprenticeship programs can put them in a position to make starting wages of $20 to $23 per hour. \u201cWith the investments we\u2019re seeing \u2026 these are 20, 30, 40-year-old or more careers that people coming out of high school now can have,\u201d Williams said. \u201cThey\u2019ll have a living wage, benefits, and a pension.\u201d
Sounds a little bit like the career prospects our grandparents knew in this region, doesn\u2019t it?
Apprenticeships are classroom and on-the-job training that allow employers to tailor the training to build the workforce they need. Williams touted apprenticeships\u2019 ability to produce electricians, plumbers, pipe fitters, iron workers, truck drivers and more.
In a state full of people who can do it all, there is room for those who are ready and willing to get to work. Apprenticeship programs offer an option that will let workers make a difference for themselves \u2013and our state.
___
Parkersburg News and Sentinel. January 19, 2024.
Editorial: Diversity: Bribes can\u2019t fix an unwelcome atmosphere
State Senate Majority Leader Tom Takubo, R-Kanawha, has spoken in support of Senate Bill 208 \u2014 yet another attempt to attract and retain needed workers. This one would create a tax credit for physicians who chose to locate and practice in West Virginia. Certainly, there is a need to pull out all the stops to address the dearth of health care workers in the Mountain State, but one can\u2019t help but wonder if lawmakers are being a bit naive in their hope that such an idea would find success.
\u201cThis would be one way that if a person comes back to the state, it may be an incentive enticing them to come back,\u201d Takubo said during a committee meeting, according to a report by WV MetroNews. \u201c\u2026 Chances are (after the establishment of a medical practice) you\u2019ve probably got a spouse, home, kids in school, et cetera, and good chance we keep them for life after that.\u201d
Maybe, provided lawmakers and other public officials stop their relentless drive to push our state back to the socio-cultural and economic norms of a century ago. They must not underestimate an intelligent and caring person\u2019s desire to make sure his or her family is in the best environment possible.
Challenges such as the one Takubo is trying to address are precisely the kinds of issues West Virginia lawmakers SHOULD be tackling. Even better, they should be working toward affecting change that would expand and diversify our economy, improve access to healthcare, housing and a good education for our families and encourage an attitude of working toward lifting ALL Mountain State residents.
If young people \u2014 natives and outsiders alike \u2014 could see a West Virginia where those in positions of power had such a mindset, we wouldn\u2019t have to be throwing money at doctors, nurses, teachers and everyone else we are trying to bribe to come here (or stay).
SB 208 may be worth a try, and lawmakers should give it serious consideration. They MUST also be thinking about how to build a West Virginia where ideas such as SB 208 are no longer necessary.
END
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Editorial: Start negotiating
Earlier this session it appeared the Wisconsin Legislature had come around on the concept of medical marijuana. It\u2019s something that is overwhelmingly favored by Wisconsin residents, and the public support isn\u2019t fading.
Legislative support? That may be a different question. Now we have a standoff between Assembly Speaker Robin Vos and Senate Majority Leader Devin LeMahieu.
Vos supports a proposal he said was the result of \u201cmonths and months of negotiations\u201d which includes state-run dispensaries for medical marijuana. He says it has the votes to pass.
LeMahieu called the dispensaries a \u201cnonstarter,\u201d vowing state-owned facilities are a dealbreaker in advancing any legislation to a Senate vote.
Both Vos and LeMahieu are Republicans and the party has strong control over the Legislature. This isn\u2019t an inter-party dispute between Republicans and Democrats. In fact, Democratic Gov. Tony Evers appears prepared to sign the bill despite the fact it falls far short of what he has publicly called for.
Our message to the Republican leadership is simple: Guys, don\u2019t muck this up.
Wisconsin is already an outlier compared to the rest of the nation on this issue. Some 38 states allow medical marijuana. That\u2019s three-quarters of the country. That, interestingly, is the same high bar required for passage of a Constitutional amendment.
We\u2019re not suggesting such an amendment here. We\u2019re referencing that process only to display how far out of synch Wisconsin is right now with the rest of the states.
But being out of step with the other states on an issue like this isn\u2019t necessarily a problem for politicians. Being out of step with constituents is another matter, and the legislators blocking bills along these lines are definitely in that territory.
It\u2019s tempting to see this standoff as yet another instance of politicians drawing a line in the sand and saying \u201cIf I don\u2019t get everything I want, nobody gets anything.\u201d We\u2019re not sure it goes to quite that length, but it\u2019s uncomfortably close to such a stance.
This isn\u2019t, at least publicly, negotiation. It\u2019s not even really a discussion. It\u2019s two powerful figures setting forth their positions with little indication they\u2019re willing to budge.
It\u2019s not the way students are taught government works, either. In those lessons, one side of the legislature passes a bill, sending it to the other. That bill is debated, possibly amended, and voted on. If the bill is unchanged and passes, it goes to the executive for a signature or veto. If an amended version passes the two bodies try to hammer out an agreement and, if one is reached, that new bill is sent to both sides for a vote. If the bill is approved on one side but not the other, in either scenario, it\u2019s dead.
Nowhere in those classroom lessons was there a suggestion that good government depends on the whims of a single person, or that both sides have to approve of a bill before it can be presented by either chamber.
We would suggest the question Vos and LeMahieu should be asking is not whether the dispensaries should be state-owned and run. It\u2019s whether they value being seen as officials who are capable of behaving as if they\u2019re capable of leading. Emphasizing an all-or-nothing approach fails that test.
Our system of government inevitably leads to some legislative leaders occupying powerful positions. That\u2019s built in. But when those people lose sight of the very concept of compromise, the system ceases to function well. We\u2019ve seen that in ongoing fighting between parties. We don\u2019t need to see it expand to preventing the parties themselves from functioning.
END
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Editorial: Keep key addiction recovery reform to hold treatment providers accountable
Imagine a state agency that has been content to sit on the sidelines for too long in overseeing Florida\u2019s troubled addiction recovery industry now promising to go \u201call-in\u201d on addressing a big problem that has led to patient deaths due to shoddy care.
HB 1065 and SB 1180 has language requiring the Florida Department of Children & Families to prominently post information regarding complaints, inspections and investigative reports on addiction treatment programs to help those who need it find competent care. Unfortunately, that language might be lifted because of the department\u2019s promises to post the information without any legal requirements.
\u201cWe have absolute guarantees from the secretary,\u201d Sen. Gayle Harrell, R.-Stuart, said of her talk with DCF. \u201cWe have the word of the secretary that there\u2019s going to be transparency.\u201d
The \u201cword of the secretary?\u201d Sorry, the Post Editorial Board doesn\u2019t buy it and neither should lawmakers hoping to rid the state of what has become our national shame of dubious and often fraudulent addiction recovery care. We also don\u2019t believe DCF is the right state agency to oversee Florida\u2019s network of problematic addiction treatment providers.
Addiction treatment involves medical and psychiatric procedures but the department doesn\u2019t have the medical staff capable of locating information needed to respond to violations. The agency still relies on the addiction treatment providers to promote their credentials, address problems and correct lapses. Until that changes, all the assurances of change from DCF remain worthless.
Palm Beach Post continues to raise concerns about \u2018Florida Shuffle.\u2019
The \u201cFlorida Shuffle,\u201d is the moniker that describes what has become a national problem fueled by the state\u2019s failure to oversee addiction treatment. That failure has resulted in too many patients who flock to Florida seeking help and sobriety receiving inadequate care that puts their lives at risk.
Last September, The Palm Beach Post published the results of a major investigation detailing DCF dysfunction and dereliction in its oversight of addiction treatment. The months-long probe by Post investigative reporter Antigone Barton revealed a revolving door of unsuspecting patients lured by unscrupulous and unqualified providers marketing treatment that fails to meet medical standards.
The bottom line: While the Florida Department of Children and Families is responsible for regulating addiction treatment programs, an industry riddled with abuse, fraud and negligence, the agency lacks the medically qualified staff to evaluate the addiction programs it licenses. The onus to make sure such programs are credible and competently run too often falls on addicted patients.
To address the paper\u2019s findings and the community\u2019s concerns, the Post is holding a forum today, Jan. 17, at the Palm Beach State College Lake Worth Beach campus. The \u201c Fixing the Florida Shuffle \u2013 Next Steps\u201d forum will feature a panel moderated by Barton that includes representatives from the Palm Beach County State Attorney\u2019s office, the Health Care District of Palm Beach County, the county\u2019s Addiction Recovery Task Force and a patient whose experiences with addiction treatment in the county contributed to the Post\u2019s investigation. The forum runs from 6:15 p.m. to 8:30 p.m.
The Post\u2019s Editorial Board has made its position on the Florida Shuffle clear. We believe the state\u2019s monitoring of addiction treatment is at best irresponsible and at worst, criminal. We also believe that AHCA is the more appropriate agency to provide that oversight. It already regulates medical services, including nursing homes, outpatient clinics and home healthcare programs, which makes it a far better fit to regulate addiction recovery than DCF ever could be.
Kudos to Harrell and Rep. Mike Caruso, R-West Palm Beach for crafting legislation that promises real reform to drug addiction treatment. But that change won\u2019t come until the Legislature either gives AHCA the job or provides DCF the staff and resources to properly monitor addiction recovery.
Change certainly won\u2019t come by removing the bill\u2019s language that would make both drug treatment providers operating in Florida and the state agency now monitoring them more accountable.
___
Orlando Sentinel. January 23, 2024.
Editorial: Ron DeSantis can regain the hearts of Floridians by putting their needs first
Gov. Ron DeSantis returned Monday to the job Floridians elected him to do. Now all Floridians are wondering what\u2019s in store for them as DeSantis serves the last two years of a term that was really an extended campaign for the presidency.
Welcome back, Governor. Time to get to work on their behalf.
Start with the obvious: DeSantis should drop the culture-war mentality that fueled attacks on LGBTQ Floridians, African-Americans who want to talk about their own history\u2019s relevance, and true academic, governmental and corporate freedom to deal with issues of diversity and inclusion on their own terms. Essentially, any of his initiatives that were launched despite a near-total lack of public outcry for changes in state policy.
It\u2019s probably too much to expect him to acknowledge that he was wrong. But stopping the attacks and doing his best to repair the damage would speak volumes.
Meanwhile, he should act quickly and decisively on the issues that Floridians say are important.
Those needs are clear, and many of them align with the priorities DeSantis first ran on in 2018. Addressing them in effective, innovative ways will give the governor the chance to wrap up this chapter of his life with a strong fourth-quarter surge of advocacy on behalf of the Floridians he swore an oath \u2014 twice \u2014 to serve.
Plenty of challenges
Those priorities include preparing the state to meet the challenges of climate change and the availability of clean, fresh drinking water \u2014 a case that will be tougher to make than it was six years ago, but one that is imperative to Florida\u2019s future prosperity and cannot wait.
It will be a tougher sell, because Floridians are focused on the disasters that are playing out right now as they struggle to find affordable housing and insurance to protect them against catastrophes. Many households are paying more than half their income just to keep roofs over their heads. And they are the lucky ones. Across Florida, there are reports of workers sleeping in their cars because they can\u2019t afford rent or a mortgage.
Meanwhile, the unstable insurance market hasn\u2019t responded to any of the giveaways showered upon it by the Legislature and unchecked by DeSantis\u2019 apparent indifference. Unleashing his ire on an industry that has treated Florida like an ATM for years would be a refreshing change of pace and a win for Florida\u2019s beleaguered consumers.
DeSantis should also urge Florida lawmakers to reverse course on the billions in federal funding he and the Legislature have rejected. As the Sentinel\u2019s Jeffrey Schweers reported earlier this month, the total likely exceeds $11 billion. Though many deadlines have passed, including a Jan. 1 deadline to request $248 million for a summer food program that would sustain 2 million children, it\u2019s likely that federal officials would give Florida a shot at changing its mind if the governor asks. The same goes for $320 million in federal funds for road improvements and measures intended to reduce carbon emissions. DeSantis has already made a tentative move by asking for $1.7 million in the upcoming year\u2019s state budget that could draw down at least a portion of Florida\u2019s allotted $346 million in federal energy-efficiency rebates. That money could help many residents who are struggling to rebuild storm-ravaged homes or protect themselves from skyrocketing utility bills.
There are many other ways the governor could demonstrate that he can fight just as aggressively (and more effectively) on behalf of Floridians as he did for a spot as a distant runner-up to the juggernaut that is Donald Trump.
The right fights at last
If he takes these opportunities, DeSantis could ease the pain of the countless volunteers, small-dollar donors and loyal supporters who first rallied to his cause, many of whom held out hope until the bitter end. When DeSantis announced Sunday that he was suspending his presidential campaign, their sorrow was palpable across social media platforms.
A strong record of last-term achievement would force people to rethink the legacy of \u201closer.\u201d Far more importantly, it could prove DeSantis sees Floridians as more than backdrops for endless photo shoots.
By returning to fight for them, and all Floridians \u2014 instead of targeting marginalized groups to generate pointless, painful controversy \u2014 he could reclaim a measure of the popularity he once took for granted, and restore the air of optimism that marked his first months as governor.
___
South Florida Sun Sentinel. January 19, 2024.
Editorial: Legislature\u2019s attack on local police oversight boards is wrong
People in Florida want to trust their local police, and in many communities, that trust is bolstered by citizen oversight boards that review police shootings and evaluate residents\u2019 complaints against individual officers.
So why do some state legislators in Tallahassee want to strip these boards of their ability to monitor, investigate and advise police departments on complaints \u2014 often serious ones \u2014 about the conduct of specific officers?
It\u2019s a question one lawmakers\u2019 constituents should ask. From what we\u2019re seeing, it seems more about protecting bad officers by stripping away transparency, and once again trampling on local officials\u2019 ability to address local needs firsthand.
A few justifications surfaced at Friday\u2019s meeting of the House Local Administration, Federal Affairs and Special Districts Subcommittee, where House Bill 601 made its second stop. But they ring hollow.
The basics of oversight
These boards have no power to discipline officers and must comply with the Florida Police Officers\u2019 Bill of Rights, which spells out officers\u2019 claims to due process and safeguards against self-incrimination. Yet they make a difference for the better.
Many residents will take complaints to a board of fellow citizens that they would be afraid to take to the police chief or an internal affairs division. Boards can look at trends and make suggestions to bridge gaps between police agencies and minority groups that have often felt victimized.
St. Petersburg was the first city to set up a citizen oversight board in 1991. Orlando and Fort Lauderdale soon followed. Currently, 20 cities have police review boards, including Delray Beach and West Palm Beach.
The bill\u2019s sponsor, state Rep. Wyman Duggan, R-Jacksonville, said he was seeking uniform standards for police. He also claimed that he wasn\u2019t really gutting the ability of oversight boards to serve the public. After all, he noted, they could still examine trends and gauge community law enforcement needs.
The FOP speaks out
Lisa Henning, a lobbyist for the Florida State Fraternal Order of Police, was more negative: \u201cYou\u2019re reinvestigating an officer that\u2019s already been investigated twice and cleared and now you\u2019re pulling them back before a group of people who have no expertise in the job,\u201d she told House members.
The FOP\u2019s support is highly coveted by legislative candidates. The union\u2019s extreme hostility to citizen oversight boards might explain why a Legislature filled with people looking for their endorsement is so interested in the bill.
Both Duggan and Henning ignored the reality that most law enforcement officers already have ample protection, and that citizen oversight boards often find complaints to be unfounded. Citizens can often feel defenseless. They have heard too many stories about complaints fading into oblivion, or drawing retaliation. That fear is often amplified in marginalized communities.
Burbeth Foster, senior counsel of Community Justice Partners, said investigations of individual claims of misconduct lead to far more significant insight into bigger problems. Agencies also benefit from improved relationships with the communities they serve.
Removing the bad apples
But the most important thing she had to say was this: These boards help good officers by removing bad apples who taint the reputation of their departments, and by having their backs when complaints are unfounded.
This is backed up by a study last year by the Leroy Collins Institute, which found that communities with oversight boards see less disparity in arrests of marginalized populations, fewer clashes between police and the public and safer communities. Why? Because people in those cities are more apt to trust the police.
They are far less likely to trust law enforcement when their complaints are cloaked in secrecy, investigated by the departments who instinctively protect their own or are punted to the far-flung Florida Department of Law Enforcement (FDLE) or the state Attorney General.
This oversight has been particularly helpful in Florida\u2019s largest cities, most of which have review boards. But this is an option that should remain available to any local government that has seen flare-ups in tension between the police and the public.
It\u2019s understandable that many lawmakers struggled with this bill, including Rep. Mike Gottlieb, D-Davie, a criminal defense lawyer who acknowledged the difficulty in recruiting good officers. He suggested a compromise: A bill to set standards and training requirements for police oversight boards, while preserving their ability to conduct individual reviews.
As this legislation advances, lawmakers should consider Gottlieb\u2019s proposal. This is about more than \u201cbacking the blue.\u201d It\u2019s about cutting off the ability of city officials who see a rift between their police departments and their residents \u2014 and the need to address growing tensions before anger, distrust and fear erupt into violence.
___
Miami Herald. January 22, 2024.
Editorial: Back to reality in Florida, DeSantis better drop the culture wars and get to work
It\u2019s time for Ron DeSantis to go back to his real job, the one Floridians reelected him to do just months before he announced his presidential bid.
DeSantis tried to sell his accomplishments in Florida to Republican primary voters in other parts of the country. He had a litany of signature laws he pushed through the Legislature, but most of them required more state control over private businesses like Disney or public school classrooms or women\u2019s reproductive rights \u2014 all in the name of fighting some made-up threat to American values.
The past two years have been full of posturing and fabricated cultural outrage to pace with whatever issues right-wing Twitter-sphere and Fox News amped up.
After dropping out of the GOP race on Sunday, DeSantis is no longer under pressure to make a name for himself. It\u2019s time for him to quit performative politics and heavy-handed government interference and seriously address issues for the people who actually did elect him. We\u2019re talking about things like rising property and auto insurance rates and housing prices.
Home prices and rental costs in South Florida have skyrocketed like never before in recent years. Unlike California or New York, Florida has had a reputation for being affordable. That\u2019s slipping away, despite lawmakers\u2019 unusual effort last year to address the issue with sweeping legislation called the Live Local Act.
The 2024 legislative session that began this month already has some DeSantis-esque bills, such as one that would ban government employees and contractors from using gender pronouns that don\u2019t correspond with their biological sex. But the Republican primary showed that, while culture-war issues might be popular among conservatives, they failed to move the needle for the governor. Voters are more outraged over inflation than \u201ccritical race theory\u201d and they aren\u2019t going to abandon Donald Trump because DeSantis barred transgender teens from getting gender-affirming care.
There is at least one sign that Republicans are trying to rein in some of their excesses of the last two years. The GOP-controlled House has advanced a bill to curb frivolous book challenges by allowing schools to charge some people a $100 fees if they submit more than five objections.
Egged on by the governor, lawmakers previously made it easier for parents and activists to challenge schools books, creating a logistical mess for school districts. The Escambia County School District in the Panhandle pulled for review 1,600 titles from its libraries, including Webster\u2019s Dictionary for Students, to ensure the books follow a new state law that restricts topics related to sex. Other districts have banned classics by authors like Nobel Prize winner Toni Morrison.
The new legislation won\u2019t stop districts from making knee-jerk decisions to remove books from shelves out of fear of running afoul of the law\u2019s vague new requirements. But it might keep in check groups like Moms for Liberty that have ridden the \u201cparental rights\u201d movement into book-ban frenzy.
The movement picked up steam during the pandemic, when many parents were angered by school closures and teachings to which they objected. DeSantis capitalized on that when he vowed to remove leftist \u201cwoke\u201d indoctrination from schools.
Now, though, there are no pandemic restrictions left for DeSantis to fight against. And even he realized that there was little interest in the dangers of \u201cwoke\u201d culture, which he mentioned less and less as his presidential bid waned.
DeSantis will have to find new signature issues, though we doubt he\u2019ll suddenly have a change of heart and focus only on addressing problems that don\u2019t drive the conservative media and the social media world, like transgender women using bathrooms designated for women. He needs to remain relevant if he wants to run again in 2028.
As governor of the nation\u2019s third largest state \u2014 where hurricanes and sea-level rise are an existential threat, where residents are leaving the state because they can no longer afford another homeowners\u2019 insurance premium hike \u2014 DeSantis has a lot of work left in the next three years of his term.
So, drop the \u201cwoke,\u201d governor, and get to work.
END
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], + "body_nitf": "COLUMBUS, Ohio (AP) \u2014 Local governments in Ohio can no longer regulate tobacco in their communities after the Republican Legislature overrode on Wednesday GOP Gov. Mike DeWine's veto of a budget measure that puts regulation instead in the hands of the state.
The measure, vetoed in 2022 before reappearing in the state budget, says regulating tobacco and alternative nicotine products should be up to the state, not municipalities. It also prevents communities from voting to restrict things like flavored e-cigarettes and sales of flavored vaping products.
The new law will take effect in roughly 90 days, though it's not yet clear how that could affect local governments that have any stricter tobacco rules in place.
Lawmakers passed the 2022 legislation days after Ohio's capital city, Columbus, cleared its bans on the sale of flavored tobacco and menthol tobacco products, which would have been enacted in early 2024. Toledo and Beckley have similar bans.
Anti-tobacco advocates, the American Cancer Society Cancer Action Network and DeWine himself harshly criticized the override as a win for the tobacco industry, saying it enables addiction in children as tobacco and vaping products made with fruit or candy flavors becomes more popular and accessible to kids.
Opponents of the measure also say it violates Ohio's home rule provision, which allows local governments to create their own ordinances as long as they do not interfere with the state's revised code.
Those against the measure have also expressed fear that it will wipe out other local tobacco restrictions entirely. Leo Almeida, government relations director for the American Cancer Society Cancer Action Network, told The Associated Press that, as written, the law is too broad.
\u201cTaking local control away from the people who are trying to improve public health is a big mistake,\u201d Almeida said.
Senate President Matt Huffman said Wednesday that legislators have carefully reviewed the language with the Legislative Service Commission, a nonpartisan agency that drafts bills for the General Assembly, and don't believe it impacts all possible tobacco restrictions local governments could pass.
Proponents of the measure tout it as a way to maintain uniformity for tobacco laws and eliminate confusion for Ohioans. They argue the state should have control rather than communities because restrictions on the products would affect state income as a whole.
DeWine has maintained that the best way to ensure uniformity in these laws would be a statewide ban on flavored tobacco.
At least two states, California and Massachusetts, have passed statewide bans on selling all flavored tobacco products.
___
Samantha Hendrickson is a corps member for the Associated Press/Report for America Statehouse News Initiative. Report for America is a nonprofit national service program that places journalists in local newsrooms to report on undercovered issues.
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Up to 6,000 volunteers with the Los Angeles Homeless Services Authority fanned out for the effort\u2019s main component, the unsheltered street tally.
The so-called \u201cpoint-in-time\u201d count will take place over three days and aims to estimate how many people are unhoused and what services they may require, such as mental health or drug addiction treatment.
LA County\u2019s undertaking is the largest among similar tallies in major cities nationwide. The tally, which also makes use of demographic surveys and shelter counts, is mandated by the federal government for cities to receive certain kinds of funding.
The count this year comes amid increasing public outrage over the perceived failure \u2014 despite costly efforts \u2014 to reduce the surging population of people living in cars, tents and makeshift street shelters.
The 2023 effort reported more than 75,500 people were homeless on any given night in LA County, a 9% rise from a year earlier. About 46,200 were within the city of Los Angeles, where public frustration has grown as tents have proliferated on sidewalks and in parks and other locations.
Since 2015, homelessness has increased by 70% in the county and 80% in the city.
Karen Bass, the mayor of Los Angeles, joined city and county officials to kick off the count Tuesday night in the North Hollywood neighborhood of LA\u2019s San Fernando Valley.
The count \u201cis an important tool to confront the homelessness crisis,\u201d Bass said in a statement. \u201cHomelessness is an emergency, and it will take all of us working together to confront this emergency.\u201d
On her first day in office in Dec. 2022, Bass declared a state of emergency on homelessness. One year into her term, the mayor, a Democrat, announced that over 21,000 unhoused people were moved into leased hotels or other temporary shelter during 2023, a 28% increase from the prior year. Dozens of drug-plagued street encampments were cleared, and housing projects are in the pipeline, she said last month.
City Hall, the City Council and the LA County Board of Supervisors have said they intend to work together to tackle the crisis. Progress hasn\u2019t always been apparent despite billions spent on programs to curb homelessness.
Homelessness remains hugely visible throughout California with people living in tents and cars and sleeping outdoors on sidewalks and under highway overpasses.
The results of the LA County homeless count are expected to be released in late spring or early summer.
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The chamber voted 106-13 Wednesday on the bill that is a priority for Speaker Paul Renner. It targets any social media site that tracks user activity, allows children to upload material and interact with others and uses addictive features designed to cause excessive or compulsive use. The bill would not affect apps used for private messages between individuals. Proponents argued that social media exposes children to bullying and sexual predators and can lead to depression and an addictive obsession.", + "bylines": [ + { + "by": "By BRENDAN FARRINGTON", + "title": "Associated Press" + } + ], + "located": "TALLAHASSEE, Fla.", + "datelinelocation": { + "city": "Tallahassee", + "countryareacode": "FL", + "countryareaname": "Florida", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -84.28073, + 30.43826 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. 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(AP) \u2014 Florida children under the age of 16 would be banned from popular social media platforms regardless of parent approval under a bill passed by the House on Wednesday, a measure that is the top priority for the chamber's speaker.
The bill doesn't list which platforms would be affected, but it targets any social media site that tracks user activity, allows children to upload material and interact with others and uses addictive features designed to cause excessive or compulsive use. The bill would not affect apps used for private messages between individuals.
\u201cThey're taking advantage of kids growing up. That's their business model. And why do they do it? To keep them hooked ... with the dopamine hits that the platform gives our children with every autoplay, with every like, with every push notification,\u201d said bill sponsor Republican Rep. Tyler Sirois.
The House voted 106-13 for the bill, with several Democrats joining Republicans in support. Proponents argued that social media exposes children to bullying and sexual predators and can lead to depression, suicide and an addictive obsession.
Democratic Rep. Michele Rayner said she posted her position on the bill on X on Tuesday, and she referred to her deceased mother. On the House floor Wednesday, she read some of the hateful comments she received from the platform's users, including people who posted, \u201cYour mother sucks\u201d and \u201cYour mom was stupid.\u201d
\u201cI'm 42-years old ... and comments like these were a gut punch to me, but I was able to navigate,\u201d she said. \"Imagine what our babies have to deal with when they have their friends in school doing the same cyberbullying to them.\"
Meta, the company that owns Facebook, Instagram and other social media platforms, urged the House to seek another solution, such as requiring parental approval to download apps. It also wants the issue addressed on a federal level rather than a patchwork of different state laws.
\u201cMany teens today leverage the internet and apps to responsibly gather information and learn about new opportunities, including part-time jobs, higher education, civic or church gatherings, and military service,\u201d Meta representative Caulder Harvill-Childs wrote to the House Judiciary Committee. \u201cBy banning teens under 16, Florida risks putting its young people at a disadvantage versus teens elsewhere.\u201d
Other states have considered similar legislation, but most have not proposed a total ban. In Arkansas, a federal judge blocked enforcement of a law in August that required parental consent for minors to create new social media accounts.
But Republican House Speaker Paul Renner, who has made the issue his top priority, said the Florida bill should withstand constitutional scrutiny because it targets the addictive features of social media, and not the content.
\u201cIt's a situation where kids can't stay off the platforms, and as a result of that, they have been trapped in an environment that harms their mental health,\u201d Renner told reporters after the vote.
The Florida bill would require social media companies to close any accounts it believes to be used by minors and to cancel accounts at the request of a minor or parents. Any information pertaining to the account must be deleted.
Opponents argued that the bill would violate the First Amendment and take away benefits some children get from social media. And they said parents should make the decisions on which sites their children can visit.
Democratic Rep. Anna Eskamani said social media was an outlet and comfort where she could find support after her mother died when she was 13.
\u201cI think the intention of those who have filed (the bill) is absolutely golden. We have a concern about the impact of social media on our young people,\u201d she said. \u201cI just find the solution that you propose too broad and casts a wide a net with unintended consequences.\u201d
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Haleon says it has not received any reports of injury or infection linked to the products.", + "bylines": [ + { + "by": "By MATTHEW PERRONE", + "title": "AP Health Writer" + } + ], + "located": "WASHINGTON", + "datelinelocation": { + "city": "Washington", + "countryareacode": "DC", + "countryareaname": "District of Columbia", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -77.03637, + 38.89511 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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Haleon\u2019s recall covers eight lots of Robitussin Honey CF Max Day Adult and Robitussin Honey CF Max Nighttime Adult, which were distributed to stores and pharmacy suppliers. The Food and Drug Administration posted the company's announcement to its website Wednesday.
The products may contain dangerously high levels of yeast, the company said in an emailed message Thursday. Yeast is a natural component of honey, but the levels detected by the company were \u201cbeyond allowed measurements,\u201d Haleon said.
Ingestion of the contaminated syrup could result in severe fungal infections that would be potentially dangerous for people with weakened immune systems, such as organ transplant recipients or those with HIV. Several million people in the U.S. have conditions that impair the immune system\u2019s ability to fight off infections.
For most healthy individuals, any infections resulting from the products are unlikely to be serious, said the company, which is based in the U.K. and has its U.S. headquarters in New Jersey.
Haleon said it has not received any reports of injury or infection linked to the products, which have expiration dates ranging from October 2025 to June 2026.
People who have used the product should contact a health provider if they think they're experiencing any problem related to the recall. They can also report the problem to the FDA's online system.
___
The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute\u2019s Science and Educational Media Group. The AP is solely responsible for all content.
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(AP) \u2014 A 25-year-old professional dancer from England who moved to New York City to pursue her career has died after eating a mislabeled cookie containing peanuts, part of a batch that has since been recalled.
The grocery retailer Stew Leonard\u2019s announced Tuesday that Vanilla Florentine Cookies sold in its stores in Danbury and Newington in Connecticut from Nov. 6 to Dec. 31 were being recalled in partnership with the Food and Drug Administration. The company said about 500 packages of the holiday cookies were sold.
The person who died was identified as \u00d3rla Baxendale, a law firm representing her interests said Thursday.
\u201cHer passion for dance extended well beyond a single discipline as she was an exquisite ballet, contemporary, and Irish step dancer,\u201d read an online obituary for Baxendale, who was born in East Lancashire.
She died Jan. 11 after suffering anaphylactic shock resulting from a severe allergic reaction, according to a post on the website for Gair, Gair, Conason, Rubinowitz, Bloom, Hershenhorn, Steigman & Mackauf.
The cookies contained peanuts as an unlisted ingredient and Baxendale ate them at a social gathering in Connecticut, state health and consumer protection officials said. On Thursday, authorities issued another alert saying the same cookies also contained eggs, which also were not listed on the label and can cause allergic reactions for some.
The cookies were produced by the Long Island-based wholesaler Cookies United and labeled with the Stew Leonard\u2019s brand name, according to state officials.
Stew Leonard Jr., the retailer's president and CEO, said in a video posted Wednesday that the supplier went from soy nuts to peanuts in the recipe without notifying their chief safety officer.
Cookies United said in a release that they notified Stew Leonard\u2019s last July that the product contained peanuts and that all products shipped to the retailer had been labeled accordingly. Cookies United said the incorrect label was created by Stew Leonard\u2019s.
Peanuts and eggs are among nine major food allergens identified in federal law that requires such ingredients to be listed on food packaging.
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These topics are directly relevant to health as they pertain to public safety, consumer protection, and the management of severe allergies." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/01/25/44c5165dbb9f648e1e7627e90d099e4c.json b/datasets/AP_news/raw_data/2024/01/25/44c5165dbb9f648e1e7627e90d099e4c.json new file mode 100644 index 0000000..6561742 --- /dev/null +++ b/datasets/AP_news/raw_data/2024/01/25/44c5165dbb9f648e1e7627e90d099e4c.json @@ -0,0 +1,216 @@ +{ + "altids": { + "itemid": "44c5165dbb9f648e1e7627e90d099e4c", + "etag": "44c5165dbb9f648e1e7627e90d099e4c_0a2aza0c0", + "friendlykey": "578128417794", + "referenceid": "SD--South Dakota-Medicaid Work Requirement" + }, + "version": 0, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-01-25T22:07:23Z", + "firstcreated": "2024-01-25T22:07:22Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: With AP Photo.", + "signals": [ + "newscontent" + ], + "title": "SD--South Dakota-Medicaid Work Requirement", + "headline": "South Dakota Senate OKs measure for work requirement to voter-passed Medicaid expansion", + "headline_extended": "The South Dakota Senate has approved a resolution for a 2024 ballot measure to impose work requirements for Medicaid expansion recipients", + "slugline": "AP-SD--South Dakota-Medicaid Work Requirement", + "description_summary": "The South Dakota Senate has approved a resolution for a 2024 ballot measure to impose work requirements for Medicaid expansion recipients. The measure now moves to the House of Representatives. South Dakota voters in 2022 approved a constitutional amendment for expanding eligibility of the government health insurance program. Adding a work requirement to that expansion would require approval from the federal government. Prime sponsors of the measure said Thursday that it encourages people to work. Opponents called the work requirement unnecessary, ineffective at encouraging work and said it goes against the will of the voters.", + "bylines": [ + { + "by": "By JACK DURA", + "title": "Associated Press" + } + ], + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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The resolution next heads to the GOP-led House, after passing the Senate in a 28-4 vote.
South Dakota Republican lawmakers want to add the work requirement for people who are not physically or mentally disabled, and who are eligible for an expansion of the government-sponsored program that voters approved in 2022. The change, which took effect last summer, greatly increased the number of people who qualify for Medicaid.
The work requirement would still need to be approved by voters in November, and the federal government would then have to sign off on it.
The 2022 constitutional amendment expanded Medicaid eligibility to people who earn up to 138% of the federal poverty level, which the state Department of Social Services says is up to $41,400 for a family of four.
The expansion was previously opposed by both Republican Gov. Kristi Noem and the GOP-controlled Legislature, which defeated a proposed Medicaid expansion earlier in 2022.
\u201cReally, it's a fundamental question,\u201d Republican Senate Majority Leader Casey Crabtree, a prime sponsor of the work requirement, told reporters. \u201cDo we want to incentivize those who can, or are able-bodied, those who can work, to do so? Or do we want to leave a gap where government dependency can become a way of life?\u201d
He asserted that work requirements on other state programs have been successful.
Opponents lamented the work requirement as unnecessary, ineffective at encouraging work and going against the will of the voters \u2014 as well as creating more paperwork.
\u201cThis is about government bureaucracy,\u201d Democratic Senate Minority Leader Reynold Nesiba said. \u201cThis is about denying health care to people who otherwise qualify for it.\u201d
Republican Sen. John Wiik bemoaned the 2022 measure as \u201ca petition mostly from out-of-state money to put a federal program into our constitution.\u201d
\u201cOur hands are effectively tied. We need to go back to the voters every time we want to make a change to this program,\" he said. \u201cAnd this is the point we need to learn: Direct democracy doesn't work.\u201d
Republican Rep. Tony Venhuizen, another prime sponsor, said the resolution is a \u201cclarifying question\u201d that wouldn't reverse the 2022 vote.
\u201cIf this amendment was approved, and if the federal government allowed a work requirement, and if we decided we wanted to implement a work requirement, two or three steps down the line from now, we would have to talk about what exemptions are available,\u201d Venhuizen told a Senate panel on Wednesday.
The expanded eligibility took effect July 1, 2023. Roughly 18,000 South Dakotans are enrolled in Medicaid expansion, according to state Secretary of Social Services Matt Althoff. Of those, 12,000 are already receiving food assistance, thus meeting a work requirement.
More people are expected to enroll in Medicaid expansion, something the Legislature's budget writers are trying to estimate, Venhuizen said. The 2022 measure was estimated to expand eligibility to 42,500 people.
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Walgreens said in a statement that it disputes the accuracy of the state\u2019s allegations and admits no liability, but is pleased to have reached the settlement.", + "located": "MONTPELIER, Vt.", + "datelinelocation": { + "city": "Montpelier", + "countryareacode": "VT", + "countryareaname": "Vermont", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -72.57539, + 44.26006 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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(AP) \u2014 Walgreens has agreed to pay a $275,000 fine to settle allegations that some of its Vermont stores temporarily closed without notice, had untenable working conditions for pharmacists and made medication and vaccination errors during the coronavirus pandemic, the secretary of state announced.
The Vermont Board of Pharmacy approved the fine as part of the settlement between the state Office of Professional Regulation and the national pharmacy chain, Secretary of State Sarah Copeland Hanzas said Wednesday, calling it a \u201cbig win for Vermont consumers.\u201d
\u201cI am proud of the work our OPR investigators and attorneys have done to hold Walgreens accountable and to ensure safe conditions for patients and pharmacy staff,\" Copeland Hanzas said in a statement.
Walgreens said in a statement Thursday that \u201cit disputes the accuracy of the state\u2019s allegations and admits no liability; however, we are pleased to have reached this settlement.\u201d
The fine follows an 18-month investigation after 70 complaints regarding conditions across Walgreens' 32 Vermont stores, the secretary of state's office said.
Walgreens signed a stipulation and consent order earlier this month with the state's prosecuting attorney. The order said the company has taken steps to improve, including by updating and standardizing policies and procedures for unanticipated pharmacy closings in Vermont; enabling patients to get their prescription filled at another pharmacy if there is a closing; and continuing to provide vaccine training to new and current pharmacy staff.
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Therefore, it is relevant to the topic of health." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/01/25/67e2f15497af084c2de98d98e243a327.json b/datasets/AP_news/raw_data/2024/01/25/67e2f15497af084c2de98d98e243a327.json new file mode 100644 index 0000000..7d4eca5 --- /dev/null +++ b/datasets/AP_news/raw_data/2024/01/25/67e2f15497af084c2de98d98e243a327.json @@ -0,0 +1,321 @@ +{ + "altids": { + "itemid": "67e2f15497af084c2de98d98e243a327", + "etag": "67e2f15497af084c2de98d98e243a327_0a6aza0c0", + "friendlykey": "382495454306", + "referenceid": "US--Guinea Worm-Carter Center" + }, + "version": 0, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-01-25T22:38:23Z", + "firstcreated": "2024-01-25T22:38:22Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "signals": [ + "newscontent" + ], + "title": "US--Guinea Worm-Carter Center", + "headline": "Once in the millions, Guinea worm cases numbered 13 in 2023, Carter Center's initial count says", + "headline_extended": "Guinea worm disease remains on the cusp of being eradicated, with the global number of cases in 2023 holding steady at 13, according to a provisional account released by The Carter Center", + "slugline": "BC-US--Guinea Worm-Carter Center", + "description_summary": "Guinea worm disease remains on the cusp of being eradicated, with the global number of cases in 2023 holding steady at 13, according to a provisional account released by The Carter Center. 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A final count will be confirmed in the coming months. But the initial count matches the confirmed number of human cases in 2022, after 15 were recorded in 2021.
Global cases numbered about 3.5 million in 1986, when former President Jimmy Carter announced that his post-White House Carter Center would prioritize eradication of the parasitic disease that affected developing nations in Africa and Asia.
\u201cEradicating Guinea worm disease and the suffering it causes has long been a dream of my grandparents, and they have worked incredibly hard to make it a reality,\u201d said Jason Carter, Carter Center board chair and eldest grandson of Jimmy Carter and his late wife, Rosalynn Carter.
The former president is now 99 and remains under home hospice care in Plains, Georgia. The former first lady died in November at the age of 96. The Carter Center said animal cases increased slightly from 685 in 2022 to 713 in 2023, though authorities attributed that uptick to increased monitoring in Angola and Cameroon. The same species of worm is involved in both human and animal cases.
Nine of the 13 provisional human cases in 2023 occurred in Chad, two in South Sudan and one each in Cameroon and Mali. The provisional count includes no Guinea worm cases in Ethiopia, down from one case in 2022. South Sudan had five cases in 2022.
Jimmy Carter has said he hopes to outlive Guinea worm.
Humans typically contract Guinea worm disease through contaminated water sources that contain organisms that eat Guinea worm larvae. The larvae develop into adult worms and mate within the human host. Pregnant female worms often emerge from painful blisters on a host's skin.
Guinea worm would become the second human disease, after smallpox, to be eradicated. It would become the first parasitic disease to be eradicated and the first to be eradicated without a vaccine. The Carter Center\u2019s eradication programs have focused on locally based education and awareness programs about the disease and its source.
Donald Hopkins, the Carter Center's senior advisor for Guinea worm eradication and architect of the eradication campaign, credited residents in the affected areas.
\u201cWithout any vaccine or medicine, Guinea worm disease is disappearing because everyday people are careful to filter their water, tether their animals, properly dispose of fish entrails, and keep their water sources safe,\u201d Hopkins said in a statement, \u201cbecause they care about their communities, families, and the people they love.\u201d
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Many of the recent deaths involved a procedure known as a Brazilian butt lift. The operation has grown in popularity recently and has led to deaths in other countries as well, including the U.S. The U.S. Embassy in the Dominican Republic requested a health investigation after an escalating number of U.S. women died after visiting the Caribbean nation for liposuctions, breast implants and other cosmetic procedures. The Centers for Disease Control and Prevention on Thursday released the results of the investigation.", + "bylines": [ + { + "by": "By MIKE STOBBE", + "title": "AP Medical Writer" + } + ], + "located": "NEW YORK", + "datelinelocation": { + "city": "New York", + "countryareacode": "NY", + "countryareaname": "New York", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -74.00597, + 40.71427 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. 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The operation has grown in popularity recently and has led to deaths in other countries as well, including the U.S. A report issued Thursday by the U.S. Centers for Disease Control and Prevention could not say how common these deaths are or whether they are more common in the Dominican Republic.
The report suggests steps that medical tourists should consider before traveling to get work done.
\u201cBe informed about who is doing your surgery, the qualifications of the person doing your surgery, and whether or not the facility is capable of doing the surgery and whether it is capable of providing adequate post-operative care \u2014 which is crucial,\u201d said Dr. Matthew Hudson, the study\u2019s first author.
A Brazilian butt lift involves injecting fat. The report included details of about two dozen of the deaths, and most were the result of fat or blood clots getting into the lungs or bloodstream.
Complications from cosmetic surgery are not unique to the Dominican Republic. Reports of deaths after cosmetic surgeries have repeatedly surfaced in the United States, perhaps most often in Florida. The CDC on Thursday issued a separate report about 15 cases of bacterial infections in women who went to one Florida cosmetic surgery center in 2022.
Sporadic reports also have come out of Mexico, including last year when U.S. patients were stricken with fungal meningitis after undergoing cosmetic procedures in the border city of Matamoros. Two clinics were closed and a dozen deaths reported.
The Dominican Republic is known as a friendly island vacation spot, and some doctors there advertise in the U.S., offering breast implants, liposuction and other operations at lower prices. After an increase in U.S. deaths in 2019 and 2020, the U.S. Embassy contacted the CDC, which investigated along with the Dominican Republic Ministry of Health.
They tallied 93 cosmetic surgery-related deaths of U.S. citizens in the Dominican Republic from 2009 to 2022, or an average of about seven a year. All but one were women. More than half of the deaths occurred since 2019, coinciding with the increasing popularity of Brazilian butt lifts. In the U.S., nearly 29,000 of those procedures were done in 2022, according to the American Society of Plastic Surgeons.
The procedure commonly involves liposuction of fat from the hips, lower back, thighs or other areas. The fat is then injected in the buttocks to change the shape or size. Risks include fat being injected too deeply, making its way into the bloodstream and blocking key arteries or veins.
Autopsy records show that was the cause of death for 11 of 20 deaths, said Hudson, who is now at the State University of New York at Buffalo.
___
The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute\u2019s Science and Educational Media Group. The AP is solely responsible for all content.
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PAUL, Minn. (AP) \u2014 The Minnesota Legislature kicked off debate Thursday on whether the state should join the list of those that allow physician-assisted suicide.
A House health committee took the unusual step of giving the bill a hearing even before the legislative session formally convenes Feb. 12. The lead sponsor, Democratic Rep. Mike Freiberg, of Golden Valley, who first introduced a similar proposal in 2015, said at a news conference beforehand that he was confident it will pass at least the House this year. Years of experience in states with similar laws such as Oregon and Washington, show that they work as intended, and they are used only by a narrow group of patients with terminal illnesses, he said.
Nancy Unde, of Corcoran, who was diagnosed with an aggressive form of brain cancer in late 2022, told reporters that she wants the right to choose a peaceful, painless death on her own terms.
\u201cThis bill has been in front of the Minnesota legislature for 10 years already. It\u2019s time to act,\u201d Unde said. \u201cAs I imagine the end of my life, I would like to be able to say my goodbyes and go peacefully. I\u2019m thankful that we have hospice as an option. I will use it for the maximum comfort I can. But if it\u2019s not enough, in the end, I want the option to die gently in my sleep.\"
Ten states and the District of Columbia already allow some form of physician-assisted suicide, while proponents are planning fresh pushes to pass it this year in several other states. Oregon became the first state to legalize it in 1994. Vermont dropped its residency requirement last May, while Oregon did so in 2022.
While a New York bill has stalled for years, it is slowly gaining momentum with more lawmakers signing on as sponsors. Supporters in Connecticut held a news conference two weeks ago to announce a renewed effort after it passed one committee last year but stalled in another. A terminally ill Connecticut woman made news earlier this month by traveling to Vermont to end her life.
The Minnesota bill would allow patients age 18 and older who are suffering terminal illnesses and have less than six months to live obtain drugs they could take to end their own lives. The safeguards include a requirement that two providers, one of whom must be a physician, would have to certify that the patient meets the criteria. Patients would have to have the mental capacity to make their own health care decisions and provide informed consent, so those with dementia would not qualify. They would have to take the drugs themselves. The bill does not require that patients be Minnesota residents.
Freiberg said he is optimistic because his bill already has around 25 cosponsors, and that it's \u201cconsistent with legislation that advances bodily autonomy\u201d \u2014 abortion and trans rights bills \u2014 that became law last year. But its prospects are less clear in the Senate, where Democrats hold just a one-seat majority and one Democratic senator, John Hoffman, of Champlin, has already come out against the proposal.
Freiberg said he was hopeful of getting some Republican support. But no GOP lawmakers on the committee were present at the start of the hearing, which drew an overflow crowd and a long list of testifiers, though they arrived later and offered amendments aimed at softening the impact of the bill.
\u201cIntentionally ending a human life is wrong. It doesn\u2019t matter what name we call it,\u201d testified Chris Massoglia, of Blaine, representing Americans United for Life. \u201cSuicide is not health care. And it\u2019s completely unnecessary due to the advances in palliative and end-of-life care.\u201d
Nancy Utoft, president of the Minnesota Alliance for Ethical Healthcare, said at a news conference beforehand that the legislation lacks sufficient safeguards to protect the elderly, disabled and other vulnerable people. Current law already gives people the right to make legally binding end-of-care health care directives, the right to hospice and palliative care, and the right to refuse care, she said.
\u201cIf these rights were better known and executed, we wouldn\u2019t hear the heartbreaking stories of over-treatment often shared by assisted suicide proponents,\" Utoft said. \"Let\u2019s prioritize policies that promote better care for everyone.\u201d
___
Associated Press writer Maysoon Khan in Albany, New York, contributed to this story.
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(AP) \u2014 Dawn Ericksen was struggling with an opioid addiction a dozen years ago when she got pregnant and realized she couldn\u2019t keep herself safe, much less a baby. Working part-time, she couldn't afford the hundreds of dollars she would need for an abortion and had to turn to a trusted friend to help cover the costs.
Ericksen, a 43-year-old attorney from southern New Jersey who has been sober for 10 years, is now speaking out about her experience because she thinks women's voices need to be heard.
\u201cI knew it was the right choice for me. But at the same time, that doesn\u2019t mean I want to shout it from the rooftops and tell everybody, hey, I\u2019m in a tough position,\u201d she said. \u201cIt wasn\u2019t easy to kind of come hat in hand, so to speak, and say \u2018This is something I need help with.\u2019 It\u2019s a very vulnerable place to be.\u201d
Experiences like Ericksen's are at the center of a renewed effort by New Jersey's Democratic-led Legislature and governor, Phil Murphy, to bar women from having to pay out-of-pocket costs to get an abortion. New Jersey is among a group of Democratic-led states that are moving to reduce the barriers to abortion, even as many conservative states have been severely restricting a woman's right to end her pregnancy since the U.S. Supreme Court overturned Roe v. Wade in 2022.
New Jersey and nine other states require health insurers to cover abortion services, but it is the only state among that group that doesn't bar out-of-pocket costs, according to KFF, a nonprofit that researches health care issues. In the governor's annual address this month, Murphy called for an end to such costs.
The issue, according to proponents of the measure, is that even women with insurance coverage might not reach their deductible, which vary but often exceed $1,000. An abortion's cost depends on several factors, including whether it's medication-induced or surgical. A medication abortion typically costs $600-$800, while a surgical procedure could cost up to $2,000, according to Planned Parenthood.
\u201cWe don\u2019t want those having to make the decision between paying for groceries or having the care that they need,\" said Kaitlyn Wojtowicz, an executive with Planned Parenthood Action of New Jersey, which supports the legislation.
The second-term governor is pushing for the legislation after his party expanded its majority in the Legislature and in a presidential year in which Democrats hope that the abortion issue will buoy their candidates nationwide. It also coincides with a yearslong effort to expand abortion services in the state, as Democratic officials sought to blunt the impact of the Supreme Court's overturning of Roe.
New Jersey has already enshrined abortion rights as law, increased funding for abortion services and required regulated health insurance plans to cover the procedure.
\u201cNew Jersey will always be a safe haven for reproductive freedom. Period,\u201d Murphy told lawmakers recently. \u201cI am asking you to join me in doing more to protect reproductive rights.\u201d
Despite Democrats having full control of the state government, the bill's prospects are unknown. The legislative session just began, and lawmakers will soon turn their attention to the state budget. The leaders of both legislative chambers support abortion rights, but it's unknown how much passing the law would cost, how it would be funded and whether it could cause insurance premiums to rise.
California, for instance, eliminated insurance charges such as co-payments and deductibles in 2022 and the measure was expected to increase insurance premiums.
Teresa Ruiz, the New Jersey Senate's majority leader, spoke passionately about expanding access to abortion. She also raised a practical point about the measure and said it's likely to come in the context of a broader budget discussion.
\u201cMy daughter, who is 7, has less body autonomy in this country than my mother has had in her lifetime,\u201d Ruiz said.
Legislative Republicans viewed the governor's proposal skeptically. Assembly Minority Leader John DiMaio said his party is focused on \u201cpocketbook issues\u201d that affect all residents, and GOP state Sen. Declan O'Scanlon called it a \u201cred herring\u201d issue because the law protects abortion in the state.
Ericksen, who described her path to sobriety as a slow and laborious journey, said she would ask lawmakers to consider not just the financial costs of ending out-of-pocket fees, but how it could help everyone.
\u201cWhen we support vulnerable populations, our whole state benefits,\u201d she said.
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The lawsuit from the Transgender American Veterans Association seeks to compel the VA to codify in its regulations the verbal assurances the department made years ago that it would begin providing those services. Rebekka Eshler is president of the association and says the surgeries are needed to reduce the risks of suicide, depression, and psychological distress for transgender people who live with gender dysphoria. A spokesperson for the Department of Veterans Affairs said it does not comment on ongoing litigation.", + "bylines": [ + { + "by": "By PAT EATON-ROBB", + "title": "Associated Press" + } + ], + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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The lawsuit from the Transgender American Veterans Association seeks to compel the VA to codify in its regulations verbal assurances the department has made that it would begin providing those services, said Rebekka Eshler, the president of the association.
She said the surgeries are needed to reduce the risk of suicides, depression, and psychological distress for transgender people who live with gender dysphoria.
\u201cIt would also mean that those veterans do not have to seek this care through private doctors, which is often prohibitively expensive,\u201d the transgender veterans association said in its lawsuit, which it said was filed in the United States Court of Appeals for the Federal Circuit in Washington.
A spokesperson for the Department of Veterans Affairs said it does not comment on ongoing litigation. But he pointed to 2021 statements from Veteran Affairs Secretary Denis McDonough, who said the VA was beginning a yearslong rulemaking process that would result in providing gender-affirming surgeries. McDonough said the VA would use the time to \u201cdevelop capacity to meet the surgical needs\u201d of transgender veterans.
The decision, he said, will allow \u201ctransgender vets to go through the full gender confirmation process with VA by their side.\"
The court on Thursday ordered the VA to file a response to the lawsuit within 14 days.
The veterans first petitioned for the rule change in May of 2016. Since then, the VA has held hearings and prepared multiple proposed rules for cost-benefit analysis, the association said. But while the VA currently provides hormone therapy and other services to transgender veterans at some locations, it has failed to change its rules in a timely manner and provide any coverage for the surgeries, the group said.
\u201cI get phone calls from veterans that are so in crisis that they are calling us because they can't handle it anymore and they are wanting to go kill themselves,\u201d Eshler said.
The association said there are approximately 150,000 living transgender veterans, and at least 10,000 veterans that receive some type of transition-related care through the VA.
Natalie Kastner, a 39-year-old disabled veteran from Texas, said she went to the VA in 2022 seeking surgery. When doctors there denied her request, she said she took a knife and attempted self-castration. She hit an artery and almost died, but doctors were able to save her life.
\u201cI did not go into that bathroom looking to kill myself,\u201d she said. \u201cI went into that bathroom looking to fix myself. I can only imagine how many others have done the same and have not been so lucky and have simply been listed as a suicide.\u201d
Eshler said she hopes the lawsuit also will standardize the care transgender veterans receive, which said said can vary from state to state and even clinic to clinic.
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Given that the topic is 'Health,' the document is highly relevant as it addresses significant health issues and the need for medical procedures to improve the well-being of transgender veterans." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/01/25/f0fe0eab945bebd1489ab083c3a54d6d.json b/datasets/AP_news/raw_data/2024/01/25/f0fe0eab945bebd1489ab083c3a54d6d.json new file mode 100644 index 0000000..9522513 --- /dev/null +++ b/datasets/AP_news/raw_data/2024/01/25/f0fe0eab945bebd1489ab083c3a54d6d.json @@ -0,0 +1,213 @@ +{ + "altids": { + "itemid": "f0fe0eab945bebd1489ab083c3a54d6d", + "etag": "f0fe0eab945bebd1489ab083c3a54d6d_3a7aza0c0", + "friendlykey": "289009903663", + "referenceid": "Health Insurers-Higher Costs" + }, + "version": 3, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-01-25T16:53:52Z", + "firstcreated": "2024-01-25T13:32:08Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: Adds analyst comment, more context, updates stock. Edits for space.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "Health Insurers-Higher Costs", + "headline": "Humana warns that rising care costs will persist through 2024, surprises Wall Street with forecast", + "headline_extended": "Humana still doesn\u2019t know why more people were admitted for short hospital stays than it expected late last year, and that is casting a shadow over health insurers early in 2024", + "slugline": "AP-Health Insurers-Higher Costs, 3rd Ld-Writethru", + "description_summary": "Humana still doesn\u2019t know why more people were admitted for short hospital stays than it expected late last year, and that is casting a shadow over health insurers early in 2024. Shares of several companies sank again Thursday after Humana debuted an earnings forecast for the new year that fell about $13 short of analyst expectations. Insurer stocks also dropped last week when Humana first disclosed the hospitalization spike and scaled back expectations for 2023. Humana executives say they are still studying the trend, and they have to assume for now that it will persist through 2024.", + "bylines": [ + { + "by": "By TOM MURPHY", + "title": "AP Health Writer" + } + ], + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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Shares of several companies sank again Thursday after Humana debuted an earnings forecast for the new year that fell about $13 short of analyst expectations. Insurer stocks also dropped last week when Humana first disclosed the hospitalization spike and scaled back expectations for 2023.
Health insurers typically see a rise in claims toward the end of each year as flu cases climb and people schedule surgeries before their coverage deductibles renew in January and their out-of-pocket costs rise.
But Humana executives told analysts Thursday that the jump in costs they saw in November and December for Medicare Advantage customers wasn't tied to respiratory illnesses like the flu or COVID-19.
The company saw a rise in patients being admitted to hospitals instead of being held for observation and then released. Chief Financial Officer Susan Diamond said they were still studying claims, but since they don't see signs that the trend was temporary, they had to assume that it will persist through 2024.
The health insurer also is seeing more growth in care that doesn\u2019t involve a hospital stay, like doctor visits and outpatient surgeries and the use of supplemental benefits.
Medicare Advantage plans are privately run versions of the federal government\u2019s Medicare program mostly for people age 65 and older. Humana has nearly 6 million people enrolled in Medicare Advantage plans.
Humana leaders said in a statement Thursday that they believe the rising medical costs were an \u201cindustry dynamic\u201d that was not specific to Humana. They also said that the costs \u201cmay persist for an extended period or, in some cases, permanently reset the baseline.\u201d
Rival UnitedHealth Group Inc., the only insurer with a bigger Medicare Advantage enrollment, also has struggled with cost hikes and its shares tumbled two weeks ago after saying that its medical costs soared 16%.
But UnitedHealth leaders also have stressed that the rising costs wouldn\u2019t affect their expectations for 2024.
Humana Inc. said Thursday that it expects adjusted earnings of about $16 per share for the new year. Analysts had been projecting per-share earns of $29.14, according to the data firm FactSet.
Jefferies analyst David Windley said he thought Humana's earnings could drop in 2024, maybe to between $20 or $21 per share.
\u201cWe did not think $16 was possible,\u201d he said in a research note.
Windley noted that the company appears to be forecasting conservatively by assuming that there will be little moderation in the medical cost trend.
Humana also said Thursday it was backing off a previously announced goal of adjusted earnings of $37 a share for 2025 as it prioritizes improving profitability over enrollment growth.
Shares of Humana, based in Louisville, Kentucky, shed $50 in midday trading. They sank more than 12% to $352.40 while the Standard & Poor's 500 index rose slightly.
UnitedHealth dropped 5%. The Blue Cross-Blue Shield insurer Elevance Health also was down even though it reported on Wednesday a medical cost trend that was better than analysts expected.
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Wisconsin law currently prohibits abortion after 20 weeks. The Assembly approved the bill Thursday on a 53-46 vote. The proposal now goes to the Republican-controlled state Senate, where it's unclear whether it has enough support to pass. Democratic Gov. Tony Evers tweeted after the Assembly vote that he will veto the bill if it reaches him. But the proposal could galvanize the Republicans' conservative base heading into the November elections.", + "bylines": [ + { + "by": "By TODD RICHMOND", + "title": "Associated Press" + } + ], + "located": "MADISON, Wis.", + "datelinelocation": { + "city": "Madison", + "countryareacode": "WI", + "countryareaname": "Wisconsin", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -89.40123, + 43.07305 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. 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(AP) \u2014 Republicans who control the Wisconsin Assembly approved a bill Thursday that would call for a binding statewide referendum to ban abortion after 14 weeks of pregnancy.
Current Wisconsin law prohibits abortion after 20 weeks of pregnancy. The bill's supporters say closing the window after 14 weeks could save more fetuses from death. The proposal would set up a statewide referendum during April's election asking voters whether the 14-week prohibition should take effect. The deadline would not apply in cases of rape and incest.
If voters approved the referendum, the prohibition would take effect the day after the results are certified.
\"A vote against (the bill) is a vote against the will of the people,\" Republican Rep. Amanda Nedweski, the bill's chief Assembly sponsor, said during a news conference before the floor session began.
Floor debate went on for more than two hours.
Democrats blasted the bill as government overreach, insisting that women should be allowed to make their own choices about reproductive care. They predicted that Democratic Gov. Tony Evers would veto the bill even if the Republican-led state Senate also passes it.
\u201cPoliticians should not be making our reproductive health care choices for us,\u201d state Rep. Lisa Subeck said. \u201cThese are decisions that are deeply personal. Every pregnancy is different.\u201d
Republicans railed against the concept of abortion, saying society deserves a voice in setting boundaries on the practice.
\u201cWe as a society should protect that innocent life,\u201d state Rep. Shae Sortwell said. \u201cI wish the people of Wisconsin universally agreed with me on that.\u201d
The Assembly ultimately passed the proposal 53-46. Ten Republicans voted against it.
It's unclear whether it has enough support to pass in the Senate. Republican Majority Leader Devin LeMahieu said this month that it would be hard for his caucus to come together around an abortion bill that Democratic Gov. Tony Evers would just veto. The governor pledged to do that just that after the vote was tallied.
\u201cThe people of Wisconsin have already made themselves clear on this issue, and so have I,\u201d Evers tweeted. \u201cI promised to veto any bill that takes away Wisconsinites' reproductive freedom or makes reproductive healthcare (sic) any less accessible than it is today. I'll keep that promise.\u201d
Introducing the bill could earn Assembly Republicans points with their conservative base. Democrats have parlayed anger over the U.S. Supreme Court's decision in 2022 to overturn Roe vs. Wade into big election wins across the nation.
That dynamic was in full force last year in Wisconsin, where Janet Protasiewicz won a state Supreme Court seat after repeatedly announcing on the campaign trail that she supports abortion rights. Her victory handed liberal justices a 4-3 majority on the high court.
Making matters worse for Republicans, a Dane County judge ruled last summer that Wisconsin's 174-year-old ban on abortion prohibits feticide \u2014 an attempt to kill an unborn child \u2014 but not abortions. Planned Parenthood, which had ceased providing abortion services following the U.S. Supreme Court decision, resumed operations in September following the Dane County ruling.
The case is on appeal and likely will end up before the state Supreme Court. Republicans will have tough time persuading Protasiewicz and the rest of the liberal majority to reinstate the abortion ban in full.
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Buckingham Palace says the 75-year-old monarch was admitted to the London Clinic, where the Princess of Wales, his daughter-in-law, is recovering from abdominal surgery. The king, who entered the hospital with Camilla at his side Friday, visited Kate at the clinic after he arrived. Charles was diagnosed with the benign condition on Jan. 17 after he experienced undisclosed symptoms. He canceled engagements and was urged to rest ahead of the procedure. which had concluded by Friday afternoon.", + "bylines": [ + { + "by": "By DANICA KIRKA", + "title": "Associated Press" + } + ], + "located": "LONDON", + "datelinelocation": { + "city": "London", + "countrycode": "GBR", + "countryname": "United Kingdom", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -0.12574, + 51.50853 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. 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\u201ccorrective procedure\u201d for an enlarged prostate, Queen Camilla said Friday as she left the private hospital where he was being treated.
The 75-year-old monarch was admitted to the London Clinic, where the Princess of Wales, his daughter-in-law, is recovering from abdominal surgery, Buckingham Palace said Friday. The king, who entered the hospital with Camilla at his side, visited Kate at the clinic after he arrived.
\u201cHe\u2019s doing well, thank you,\u201d Camilla told people inside the hospital. She left the hospital at 3:10 p.m. and appeared to be in good spirits.
Charles, who ascended the throne 16 months ago, was diagnosed with the benign condition on Jan. 17 after he experienced undisclosed symptoms. He canceled engagements and was urged to rest ahead of the procedure. which had concluded by Friday afternoon.
\u201cThe King was this morning admitted to a London hospital for scheduled treatment,\u2019\u2019 the palace said. \u201cHis Majesty would like to thank all those who have sent their good wishes over the past week.\u2033
The king decided to announce the surgery in advance in an effort to encourage other men to have their prostates checked in line with public health advice.
The palace said the king was \u201cdelighted to learn that his diagnosis is having a positive impact on public health awareness.\u2019\u2019
The prostate is a small gland that surrounds the urethra \u2014 the tube that carries urine out of the body. An enlarged prostate can put pressure on the urethra and make it more difficult to urinate.
Britain\u2019s National Health Service recommends that men see their doctors if they notice any problems with, or changes in, their usual pattern of urination. Surgery is usually only recommended when a patient experiences moderate to severe symptoms that don\u2019t respond to medicine.
Benign prostate enlargement is common in men over age 50, and normally it isn\u2019t a serious health threat, the NHS says.
\u201cThe risk of prostate cancer is no greater for men with an enlarged prostate than it is for men without an enlarged prostate,\u201d the agency says on its website.
News of the king\u2019s treatment came amid a flurry of royal medical news over the past 10 days.
The Princess of Wales\u2019 office at Kensington Palace said the princess underwent planned abdominal surgery on Jan. 16 for an undisclosed condition. 16. The palace didn\u2019t provide further details but said her condition wasn\u2019t cancerous.
The 42-year-old princess, formerly Kate Middleton, is the wife of Prince William, the heir to the throne. She is on day 11 of her hospital stay and is expected to remain in the hospital for up to two weeks, the palace says.
Though she is physically active and has generally experienced good health, Kate was hospitalized with severe morning sickness when she was pregnant.
Soon after Kate was hospitalized last week, the Duchess of York was diagnosed with a malignant skin cancer that was discovered during treatment for breast cancer. The melanoma was found after several moles were removed while she was undergoing reconstructive surgery after a mastectomy.
The duchess, 64, the ex-wife of Prince Andrew and the mother of Princesses Beatrice and Eugenie, was once a favorite target of Britain\u2019s tabloids. The former Sarah Ferguson, often called by her nickname, \u201cFergie,\u201d has written a number of children\u2019s books, as well as a historical romance for adults.
While it is somewhat unusual for members of the royal family to release details about their health, the announcements about Charles and Kate\u2019s conditions were seen as a way to avoid speculation because appearances would have to be postponed or canceled.
William also postponed a number of engagements to be able to support Kate and their three children during the time she's hospitalized and after.
Stories about the health of Britain\u2019s senior royals have been in the news repeatedly in recent years.
Speculation about the health of the late Queen Elizabeth II increased during the last months of her 70-year reign as undisclosed \u201cmobility issues\u201d limited her public appearances. After that, focus switched to Charles, who ascended the throne at an age when most of his contemporaries were long retired.
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Given the focus on health-related topics and medical procedures, the document is highly relevant to the topic of Health." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/01/26/6cdf8f7957f2ba76fdceebaaf2f42358.json b/datasets/AP_news/raw_data/2024/01/26/6cdf8f7957f2ba76fdceebaaf2f42358.json new file mode 100644 index 0000000..edbe194 --- /dev/null +++ b/datasets/AP_news/raw_data/2024/01/26/6cdf8f7957f2ba76fdceebaaf2f42358.json @@ -0,0 +1,264 @@ +{ + "altids": { + "itemid": "6cdf8f7957f2ba76fdceebaaf2f42358", + "etag": "6cdf8f7957f2ba76fdceebaaf2f42358_1a6aza0c0", + "friendlykey": "82621059204", + "referenceid": "US--Test Strips-West Virginia" + }, + "version": 1, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-01-26T21:47:56Z", + "firstcreated": "2024-01-26T19:46:58Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: EDITS: Rewords language in the first paragraph.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "US--Test Strips-West Virginia", + "headline": "Bill decriminalizing drug test strips in opioid-devastated West Virginia heads to governor", + "headline_extended": "A bill that would decriminalize all strips used to test drugs for deadly substances now goes to West Virginia's governor", + "slugline": "AP-US--Test Strips-West Virginia, 1st Ld-Writethru", + "description_summary": "A bill that would decriminalize all strips used to test drugs for deadly substances now goes to West Virginia's governor. Republican Jim Justice hasn\u2019t said publicly whether he supports the bill, which has received bipartisan support in the state with the nation\u2019s highest overdose rate. Justice already signed a 2022 law that decriminalized fentanyl testing strips. Republican Deputy House Speaker Matthew Rohrbach says the purpose of this bill is to ensure that all drug test strips will be available to people who need them, without lawmakers having to pass new legislation every time a new one is developed.", + "bylines": [ + { + "by": "By LEAH WILLINGHAM", + "title": "Associated Press" + } + ], + "located": "CHARLESTON, W.Va.", + "datelinelocation": { + "city": "Charleston", + "countryareacode": "WV", + "countryareaname": "West Virginia", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -81.63262, + 38.34982 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. 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(AP) \u2014 A bill that would decriminalize all strips used to test drugs for deadly substances in West Virginia, the state with the nation's highest overdose rate, is headed to the desk of Republican Gov. Jim Justice.
Justice hasn't said publicly whether he supports the bill, which has received bipartisan support. The proposal follows a law signed by Justice in 2022 that decriminalized fentanyl testing strips.
\u201cAs time has gone, unfortunately, we\u2019ve got fentanyl, now we\u2019ve got carfentanil, now we\u2019ve got xylazine,\u201d Republican Deputy House Speaker Matthew Rohrbach said on the House floor before the legislation passed overwhelmingly Friday.
Rohrbach, who is also the chamber\u2019s substance abuse committee chair, said the bill is meant to ensure that all drug test strips will be available to people who need them, without lawmakers having to pass new legislation every time a new one is developed.
\u201cIt just says, \u2018test strips for deadly drugs will be exempted from drug paraphernalia,\u2019\u201d Rohrbach said.
Under West Virginia law, drug paraphernalia could be hypodermic syringes, needles, capsules, and balloons, among other items. A person found in possession of drug paraphernalia could face a misdemeanor charge, a fine of up to $5,000 and six months to a year in jail.
The U.S. Centers for Disease Control and Prevention has described drug test strips as a low-cost method of helping prevent drug overdoses.
The proportion of drug overdose deaths involving heroin has declined in recent years. Fentanyl and fentanyl analogues were involved in 76% of all drug overdose deaths occurring in West Virginia in 2021, up from 58% in 2017. Approximately 75,000 of the nearly 110,000 overdose deaths of 2022 could be linked to fentanyl, according to data from the CDC.
Xylazine is a tranquilizer not approved for use in people that is increasingly being found in the U.S. illegal drug supply, and was declared an emerging threat by the White House\u2019s Office of National Drug Control Policy in 2023. Carfentanil is a synthetic opioid approximately 10,000 times more potent than morphine and 100 times more potent than fentanyl.
Legalizing test strips could bring those numbers down, advocates say, saving lives by helping more people understand just how deadly their drugs could be.
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The document also provides statistics on overdose deaths and mentions the role of the CDC, further emphasizing its relevance to health." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/01/26/9235eecc7c78f2478d4d163d23bfb227.json b/datasets/AP_news/raw_data/2024/01/26/9235eecc7c78f2478d4d163d23bfb227.json new file mode 100644 index 0000000..5488d68 --- /dev/null +++ b/datasets/AP_news/raw_data/2024/01/26/9235eecc7c78f2478d4d163d23bfb227.json @@ -0,0 +1,237 @@ +{ + "altids": { + "itemid": "9235eecc7c78f2478d4d163d23bfb227", + "etag": "9235eecc7c78f2478d4d163d23bfb227_0a8aza0c0", + "friendlykey": "31563952842", + "referenceid": "Defense Secretary-Cancer" + }, + "version": 0, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-01-26T22:16:01Z", + "firstcreated": "2024-01-26T22:16:00Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: Updates Media.", + "signals": [ + "newscontent" + ], + "title": "Defense Secretary-Cancer", + "headline": "Pentagon chief Austin's cancer prognosis is 'excellent,' no further treatments needed, doctors say", + "headline_extended": "Defense Secretary Lloyd Austin's cancer doctors at Walter Reed National Military Medical Center say his prostate cancer prognosis is good and no further treatments will be needed after seeing him for a follow-up appointment Friday", + "slugline": "BC--Defense Secretary-Cancer", + "description_summary": "Defense Secretary Lloyd Austin's cancer doctors at Walter Reed National Military Medical Center say his prostate cancer prognosis is good and no further treatments will be needed after seeing him for a follow-up appointment Friday. 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Austin, 70, was diagnosed with prostate cancer in December and spent two weeks in the hospital following complications from a prostatectomy. Despite the complications, \u201chis cancer was treated early and effectively, and his prognosis is excellent,\u201d his doctors said Friday.
The disclosure of the treatment Friday stood in contrast to the long silence about his hospitalization, which was kept secret for days not only from the public but from President Joe Biden.
Austin is expected to return to work at the Pentagon on Monday, a defense official said on the condition of anonymity to share details of Austin's return that were not yet announced.
\u201cBeyond planned physical therapy and regular post-prostatectomy follow up appointments, he has no planned further treatment for his cancer,\u201d Walter Reed trauma medical director Dr. John Maddox and Murtha Cancer Center director Dr. Gregory Chesnut said in a statement Friday.
Austin made his first public appearance earlier this week during a virtual Ukraine contact defense group meeting. Although visible only through a web camera. Austin appeared slightly gaunt.
Austin had what the Pentagon described as \u201cminimally invasive surgical procedure,\" called a prostatectomy to treat the cancer on Dec. 22. He was under general anesthesia during this procedure and had transferred some authorities to his deputy defense secretary Kathleen Hicks. He was discharged the next day and continued to perform his duties.
Austin was taken by ambulance to Walter Reed on Jan. 1 in extreme pain and was admitted to the intensive care unit. He stayed there for two weeks.
Austin did not inform the White House or even his deputy that he'd been hospitalized and only told Biden about his diagnosis more than a week after he'd been admitted to the ICU. The incident has prompted both an internal Pentagon review and an IG review into its notification procedures. Both reviews are ongoing.
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Suddenly, the rest of her high school experience was threatened: being student council president, her role as debate team captain and walking at graduation. Even her college scholarships were at risk. She was sent to the district\u2019s alternative school for 30 days and told she could have faced criminal charges.
Like thousands of other students around the country, she was caught by surveillance equipment that schools have installed to crack down on electronic cigarettes, often without informing students.
Schools nationwide have invested millions of dollars in the monitoring technology, including federal COVID-19 emergency relief money meant to help schools through the pandemic and aid students' academic recovery. Marketing materials have noted the sensors, at a cost of over $1,000 each, could help fight the virus by checking air quality.
___
This story is a collaboration between student journalists at Stanford University and the University of Missouri, in partnership with The Associated Press.
___
E-cigarettes have inundated middle and high schools. The devices can dispense vapor containing higher concentrations of nicotine than tobacco cigarettes. Millions of minors report vaping despite efforts to limit sales to kids by raising the legal age to 21 and ban flavored products preferred by teenagers.
Some districts pair the sensors with surveillance cameras. When activated by a vaping sensor, those cameras can capture every student leaving the bathroom.
It can surprise students that schools even have such technology. Iglesias, who graduated in May from Tyler High School in Tyler, Texas, first learned it had sensors after an administrator came into a restroom as students started vaping.
\u201cI was in awe,\u201d Iglesias said. The administrator tried to figure out who was involved but ultimately let all the students go.
The episode that got her in trouble happened elsewhere in Texas, at Athens High School, where her debate team was competing last February. Iglesias went into a bathroom to vape. Later that day, her coach told her she had been caught.
\u201cI decided to partake in something that I\u2019m not proud of, but I did it,\u201d Iglesias said, adding that her senior year was a stressful time and a close relative of hers was about to come out of jail. \u201cI had had a lot of personal stuff building up outside.\u201d
She immediately was pulled from the debate tournament and her coach told her she could face charges because she was 18. She was sent to her district\u2019s alternative school for 30 days, which was the minimum punishment for students caught vaping under Tyler schools' zero-tolerance policy.
Students found vaping also can receive a misdemeanor citation and be fined up to $100. Students found with vapes containing THC, the chemical that makes marijuana users feel high, can be arrested on felony charges. At least 90 students in Tyler have faced misdemeanor or felony charges.
The Tyler district declined to comment on the disciplinary actions, saying in a written statement that tracking of vape usage addresses a problem that is hurting children's health.
\"The vape detectors have been efficient in detecting when students are vaping, allowing us to address the issue immediately,\u201d the school system said.
A leading provider, HALO Smart Sensors, sells 90% to 95% of its sensors to schools. The sensors don\u2019t have cameras or record audio but can detect increases in noise in a school bathroom and send a text alert to school officials, said Rick Cadiz, vice president of sales and marketing for IPVideo, the maker of the HALO sensors.
The sensors are marketed primarily for detecting vape smoke or THC but also can monitor for sounds such as gunshots or keywords indicating possible bullying.
\u201cWhat we\u2019re seeing with the districts is they\u2019re stopping the vaping in the schools with this, but then we don\u2019t want a $1,000 paperweight that the school invests for no other uses, right?\u201d Cadiz said. \u201cWe want it to be a long-term investment.\u201d
During the pandemic, HALO noted on its website that monitoring indoor air quality was an approved use for federal COVID relief money.
\u201cWith the HALO Smart Sensor, you can combat COVID-19 in your schools and create a safe work and learning environment, while also reaping the benefits of vape detection, security monitoring, and more,\u201d the company said.
Schools now also can use some of the nearly $440 million Juul Labs is paying to settle a lawsuit claiming it marketed its products to youth, Cadiz said.
The company is aware of privacy concerns around the sensors, Cadiz said.
\u201cAll it\u2019s doing is alerting that something\u2019s going on,\u201d he said. \u201cYou need someone to physically investigate the alert that comes out.\u201d
The sensors do not always work as administrators hope.
At San Dieguito Union High School District in California, the vape smoke was so thick in bathrooms some students found it unbearable. In a pilot program, the district installed vape sensors in bathrooms and cameras outside the doors.
\u201cIn a way it was too successful,\u201d said Michael Allman, a district board member who explained the sensors went off so frequently that administrators felt it was useless to review security footage each time.
On social media, students around the country describe ways to outsmart the sensors. Some report covering them in plastic wrap. Others say they blow the smoke into their clothes.
At the Coppell Independent School District in Texas, sensors are part of a prevention strategy that includes educational videos and a tip line. Students can receive $50 for reporting vaping by peers and \"they were turning each other in right and left,\u201d said Jennifer Villines, the district's director of student and staff services.
Students can be sent to an alternative school or serve in-school suspensions but are not expelled for vaping, she said.
\u201cWe want our kids here. If they\u2019re not here, they\u2019re not learning,\u201d Villines said. \u201cWe also feel like in some cases, behaviors such as these are coping mechanisms, and we want to keep them in our environment where they learn to self-regulate.\u201d
The consequences for Iglesias included having to step down as student council president and debate captain and leaving the National Honor Society. At the alternative school where she spent a month, students do regular coursework but do not attend classes and are not guaranteed to have the materials included in their normal classes.
Iglesias was still able to attend prom, walk at graduation and stay in most of her clubs. She also kept her college scholarship and now attends Tyler Junior College.
For her, the punishments for vaping have gone too far.
\u201cThe people that make these policies and implement these things sit in a room and do not walk the campuses or see the results, the consequences to these policies that they\u2019re making to actually ensure that it\u2019s working, because it\u2019s not,\u201d Iglesias said. \u201cI\u2019m never going to do something like that again, because the repercussions I faced were horrible.\u201d
___
In addition to Munis from Stanford University and McCarthy from the University of Missouri, the following student reporters contributed to this report: Yasmeen Saadi, Mikaela Schlueter, Asplen Gengenbacher and Alexis Simmerman from the University of Missouri; Parker Daly, Elise Darragh-Ford, Emily Handsel, Henry Hill-Gorman, Victoria Ren, Shaurya Sinha, Carolyn Stein and Jessica Yu from Stanford University.
___
The Associated Press\u2019 education coverage receives financial support from multiple private foundations. AP is solely responsible for all content. Find AP\u2019s standards for working with philanthropies, a list of supporters and funded coverage areas at AP.org.
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However, the main emphasis is on the surveillance and disciplinary measures rather than health itself." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/01/26/9c284622110774e80a9de37cf727189d.json b/datasets/AP_news/raw_data/2024/01/26/9c284622110774e80a9de37cf727189d.json new file mode 100644 index 0000000..cceff59 --- /dev/null +++ b/datasets/AP_news/raw_data/2024/01/26/9c284622110774e80a9de37cf727189d.json @@ -0,0 +1,309 @@ +{ + "altids": { + "itemid": "9c284622110774e80a9de37cf727189d", + "etag": "9c284622110774e80a9de37cf727189d_1a23aza0c0", + "friendlykey": "306346573615", + "referenceid": "US--Illinois Prisons-Health Care" + }, + "version": 1, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-01-27T00:40:57Z", + "firstcreated": "2024-01-26T23:49:14Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: This story has been updated with a comment from a spokesperson for the school of medicine and to note that Wexford has worked in other states. 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A procurement announcement reviewed Friday by The Associated Press shows that Wexford\u2019s offer came in $673 million higher than that of VitalCore Health Strategies of Topeka, Kansas. Wexford has been roundly criticized for its performance, particularly high vacancy rates for medical positions. Government officials and a spokesperson for Wexford did not respond to requests for comment Friday.", + "bylines": [ + { + "by": "By JOHN O'CONNOR", + "title": "AP Political Writer" + } + ], + "located": "SPRINGFIELD, Ill.", + "datelinelocation": { + "city": "Springfield", + "countryareacode": "IL", + "countryareaname": "Illinois", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -89.64371, + 39.80172 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. 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(AP) \u2014 Illinois has awarded a more than $4 billion prison medical care contract to the same company it's used for three decades, despite multimillion-dollar lawsuits against the firm and statewide complaints alleging substandard care.
Pittsburgh-based Wexford Health Sources was one of two companies responding to a request for proposals from the Illinois Department of Corrections, but it was not the low bidder. Wexford\u2019s offer came in $673 million higher than one from VitalCore Health Strategies of Topeka, Kansas, according to a procurement announcement reviewed Friday by The Associated Press.
The initial term of Wexford\u2019s contract is five years for $1.956 billion, with a five-year renewal worth $2.201 billion.
State officials\u2019 decisions on contract awards are not based on cost alone. But Wexford has also been roundly criticized for its performance, facing numerous multimillion-dollar lawsuits that accuse the company of delayed or shoddy health care and backlash for relying on off-site doctors to determine whether and what treatment is necessary. Positions for medical professionals continue to suffer high vacancy rates.
A panel of experts appointed by a federal judge concluded in 2015 that the Corrections Department's health care system was \u201cunable to meet minimal constitutional standards.\u201d Additional admonishments from the federal bench have subsequently followed.
Camille Bennett, director of the Corrections Reform Project for the American Civil Liberties Union of Illinois, said it was \u201cdisappointing and inexplicable\" that the state would retain Wexford, which has also provided prison medical services in other states, including Arizona, Florida and Mississippi.
\u201cExpert reports to the federal court have demonstrated that Wexford has failed to provide adequate health care to people in IDOC facilities across the state failed to ensure the presence of an appropriate level of staffing,\" Bennett said in a statement. \"It is not clear how they are prepared to meet these needs going forward.\u201d
Bennett testified before a state House committee last summer during which lawmakers urged the corrections department to find a suitable replacement.
The Associated Press sent multiple phone and email requests for comment to the Corrections Department, and a text message to a spokesperson for Gov. J.B. Pritzker. A telephone message was left with a Wexford spokesperson.
Currently, roughly one-third of physicians' positions are unfilled, while the vacancy rate for nurses and dental professionals is about 50%, according to Alan Mills, executive director of the Peoples Uptown Law Center. The center's lawsuit against Corrections over mental health treatment called for a total revamp of the state's system of care but it's still being litigated. A federal court monitor in the case in 2017 called psychiatric care in the prisons \u201cgrossly insufficient\u201d and declared it is in a \u201cstate of emergency.\u201d
\u201cThey've had years to turn it around, but they haven't figured it out,\u201d Mills said of Wexford. \u201cWe're just throwing good money after bad.\u201d
Wexford's last 10-year contract expired in 2021 but has been extended since then.
Southern Illinois University School of Medicine began a pilot program in 2020 to provide health care in two prisons and officials said they were eager to see it play out with an eye toward expansion. The COVID-19 pandemic delayed progress but the program continues under an interagency agreement with the Corrections Department, said university spokesperson Rikeesha Phelon.
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(AP) \u2014 Scammers hacked into doctors' electronic prescribing accounts, wrote tens of thousands of bogus orders for addictive drugs, then had runners pick them up from pharmacies in multiple states so they could be illegally resold online, prosecutors in New York announced Friday.
The man who prosecutors say led the sophisticated drug ring, Devin Anthony Magarian, 21, of Kissimmee, Florida, pleaded not guilty during a court appearance on Long Island and was ordered detained at least until his next court date on Feb. 5.
Nassau County District Attorney Anne Donnelly described the scheme as the modern-day equivalent of stealing a doctor\u2019s prescription pad. She also said it exposed vulnerabilities in the e-prescription system used by doctors and other prescribers to electronically send prescriptions directly to pharmacies.
\u201cThis defendant and his associates have found ways to exploit the entire security system around e-prescribing,\u201d Donnelly said in her office in the Mineola courthouse on Friday. \u201cThis case is a sobering reminder that drug dealers have become cyber criminals, who are often way ahead of everyone else.\u201d
Magarian faces 19 criminal charges, including illegally selling a controlled substance and illegally diverting prescription medications.
His lawyer, Douglas Rankin, dismissed the case as a \u201crush to judgement.\"
\u201cMy client is 21 years old with no criminal record,\u201d he wrote in an email. \u201cI fully expect that my client will be fully exonerated.\u201d
Prosecutors say they're still trying to piece together how Magarian was able to obtain doctor\u2019s credentials, but that information enabled him to create fraudulent e-prescription accounts. He then generated fake patient information, which in turn he used to generate thousands of drug prescriptions.
The scheme mainly involved Oxycodone, the powerful painkiller at the center of the nation\u2019s opioid epidemic, and Promethazine and Codeine, cough syrup ingredients that can be mixed with alcohol and other beverages to create a recreational drug concoction often referred to as sizzurp or purple drank.
The fraudulent prescriptions went out to chain and mom-and-pop pharmacies across the country, including in Massachusetts, New Hampshire, Florida, Georgia, Texas and the Carolinas.
A team of runners then picked up the prescription drugs using the fictitious patient names.
Prosecutors say Magarian operated a channel on the encrypted messaging service Telegram where he notified customers when the next round of prescriptions would be available so that they could place their orders.
Customers either purchased the drugs outright or acquired just the prescription, in which case they were responsible for collecting the medication themselves.
Donnelly said Magarian and his crew were in high demand and could charge a premium because they could prove their drugs were authentic and prescription grade, and not fentanyl or counterfeit medications that have flooded the illicit market in recent years, deepening the drug epidemic.
Over one five-hour span alone, she said, the drug ring sent out 18,500 fraudulent prescriptions across 18 different states.
As a result, she said, Magarian and his crew lived a lavish lifestyle, purchasing luxury cars, frequenting steakhouses and strip clubs and enjoying courtside seats at NBA games.
She said law enforcement officials on Long Island learned of the scheme last February after a local pharmacist alerted authorities about a suspicious prescription from an out-of-state doctor.
Magarian was nabbed earlier this month by Nassau County police when he was in the New York area to collect about $14,000 from a customer purchasing some 630 Oxycodone pills.
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These aspects are relevant to the topic of health, as they highlight the impact of cybercrime on public health and the ongoing challenges in managing prescription drug abuse." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/01/26/a434259aa592692fde6470b9817ed6b7.json b/datasets/AP_news/raw_data/2024/01/26/a434259aa592692fde6470b9817ed6b7.json new file mode 100644 index 0000000..90a89b3 --- /dev/null +++ b/datasets/AP_news/raw_data/2024/01/26/a434259aa592692fde6470b9817ed6b7.json @@ -0,0 +1,151 @@ +{ + "altids": { + "itemid": "a434259aa592692fde6470b9817ed6b7", + "etag": "a434259aa592692fde6470b9817ed6b7_0a10aza0c0", + "friendlykey": "398812683326", + "referenceid": "MED--Enlarged Prostate-Explainer" + }, + "version": 0, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-01-26T15:32:43Z", + "firstcreated": "2024-01-26T15:32:43Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: Updates Media.", + "signals": [ + "newscontent" + ], + "title": "MED--Enlarged Prostate-Explainer", + "headline": "What are the symptoms of an enlarged prostate and how is it treated?", + "headline_extended": "King Charles III is in a hospital to undergo a procedure for an enlarged prostate \u2014 an extremely common condition among older men", + "slugline": "BC-MED--Enlarged Prostate-Explainer", + "description_summary": "King Charles III is in a hospital to undergo a procedure for an enlarged prostate \u2014 an extremely common condition among older men. The 75-year-old king is in good company. The prostate gland grows as men age. Its location below the bladder means the growing gland can cause problems with urination. Some men have more trouble than others. Doctors can recommend lifestyle changes and prescribe medications. And there are various surgical procedures to remove prostate tissue or widen the urethra when symptoms are especially troubling.", + "bylines": [ + { + "by": "By CARLA K. JOHNSON", + "title": "AP Medical Writer" + } + ], + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. For other uses, additional clearances may be required." + ], + "keywords": [ + "king charles iii enlarged prostate" + ], + "provider": "AP", + "infosource": [ + { + "name": "AP", + "type": "AP" + } + ], + "subject": [ + { + "rels": [ + "category" + ], + "creator": "Editorial", + "code": "a", + "name": "a" + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "90aeac5089ef10048f63d56c852d093e", + "name": "Royalty", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 50 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "cc7a76087e4e10048482df092526b43e", + "name": "Health", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 88 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "e237be707de410048fffdf092526b43e", + "name": "Medication", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 69 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "cc7a76087e4e10048482df092526b43e", + "name": "Health", + "creator": "Editorial", + "editorial_subject": "Health", + "rels": [ + "direct" + ], + "relevance": 99 + } + ], + "audiences": [ + { + "code": "82c6a4c46fa0446090a7acaf93159e4c", + "name": "Print", + "type": "AUDPLATFORM" + }, + { + "code": "9add4649b53b4702ba7d9de5d4fa607a", + "name": "Online", + "type": "AUDPLATFORM" + }, + { + "code": "f43adc08760d10048040e6e7a0f4673e", + "name": "National", + "type": "AUDSCOPE" + }, + { + "code": "f4ecf9b0760d10048044e6e7a0f4673e", + "name": "International", + "type": "AUDSCOPE" + }, + { + "code": "661850e07d5b100481f4c076b8e3055c", + "name": "Europe", + "type": "AUDGEOGRAPHY" + }, + { + "code": "661e48387d5b10048291c076b8e3055c", + "name": "United States", + "type": "AUDGEOGRAPHY" + } + ], + "associations": { + "1": { + "altids": { + "itemid": "cc9cafec47824cfda372e52e5a516f35" + }, + "type": "picture" + } + }, + "body_nitf": "The announcement that King Charles III was admitted to a private hospital Friday to undergo a procedure for an enlarged prostate has sparked interest in what is an extremely common condition among older men.
The 75-year-old monarch is in good company. About half of men in their 50s have enlarged prostates and that prevalence climbs to more than 80% of men by the time they reach age 80.
It's a common result of aging, said Dr. Stephen Nakada, a University of Wisconsin urologist.
\u201cIt\u2019s like getting gray hair,\u201d Nakada said.
An enlarged prostate doesn\u2019t always cause symptoms, but when it does, they can be annoying. And some men have more trouble than others.
A look at the condition, also known as benign prostatic hyperplasia:
The prostate is part of the reproductive system in men. It makes fluid for semen. It\u2019s located below the bladder and it wraps around the urethra, the tube that carries urine and semen out through the penis.
First, it\u2019s not cancer. The word \u201cbenign\u201d in benign prostatic hyperplasia means the prostate isn\u2019t cancerous.
What causes the prostate to grow isn\u2019t completely clear, but it\u2019s possibly caused by hormonal changes as men age.
The symptoms of an enlarged prostate can include frequent urination and needing to get up many times in the night to pee. A man might have trouble getting started in the bathroom or dribbling when finished. The inability to completely empty the bladder is also a common symptom.
Doctors may first advise patients to stop drinking fluids after dinner. Antihistamines can contribute to symptoms, as can alcohol and caffeine.
\u201cA good initial intervention would be to decrease caffeine and alcohol intake, even decrease spicy food intake, because those can irritate the bladder,\u201d Nakada said.
Doctors will ask about symptoms and medications. They will perform a rectal exam to determine the size and shape of the prostate.
Medicines are available that relax muscles and allow better flow of urine. Another type of medicine can be used to stop the prostate from growing. Erectile dysfunction drugs can help with urine flow too.
There's not strong evidence for herbal remedies such as saw palmetto.
\u201cI usually tell patients the only thing saw palmetto does is hurt your wallet,\u201d Nakada said.
There are various procedures to remove prostate tissue or widen the urethra.
Some use the pulse of a laser beam, microwaves, ultrasound, electric current or heated water. Another procedure inserts a stent to prop up the prostate and make more room for urine flow.
There are also surgical techniques to cut away tissue.
All surgeries have potential complications such as bleeding and infections. Prostate surgery can cause urinary or sexual problems. Some of the less invasive procedures may need to be repeated if symptoms come back.
___
The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute\u2019s Science and Educational Media Group. The AP is solely responsible for all content.
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The State Health Plan trustees board voted Thursday to exclude coverage effective April 1 of what are known as GLP-1 medications when used for the purpose of weight loss. Health plan officials say the costs for these medications were over $100 million in 2023, and an effort to curb their use means the plan is losing a financial rebate from the maufacturer of Wegovy and Saxenda. The health plan has over 700,000 members. A compromise could still be negotiated.", + "located": "RALEIGH, N.C.", + "datelinelocation": { + "city": "Raleigh", + "countryareacode": "NC", + "countryareaname": "North Carolina", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -78.63861, + 35.7721 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. 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(AP) \u2014 The health insurance program for North Carolina government workers, teachers, retirees and their families soon won\u2019t cover popular but expensive anti-obesity drugs, the result of a price fight with the manufacturer of two brand-name medications.
The North Carolina State Health Plan trustees board voted 4-3 on Thursday to exclude coverage effective April 1 of what are known as GLP-1 medications when used for the purpose of weight loss, news outlets reported. GLP-1-related prescriptions for diabetes treatment aren\u2019t affected.
The State Health Plan, which covers more than 700,000 people, has been dealing with massive growth in prescriptions of these drugs and their resulting expense. The GLP-1 weight-loss medications cost the plan an estimated $102 million in 2023, plan officials say, or about 10% of what it paid for all prescriptions.
In October, the board had voted to permit what became nearly 25,000 people with prescriptions for Wegovy, Saxenda or Zepbound for the purpose of weight loss at the end of 2023 to continue receiving them. But no additional prescriptions would be allowed going forward.
But this shift in drug utilization meant the State Health Plan would lose a 40% rebate on the cost of Wegovy and Saxenda from their manufacturer Novo Nordisk through the contract with plan pharmacy benefits manager CVS/Caremark.
That would have resulted in the plan spending $139 million on the grandfathered prescriptions, instead of $84 million with the rebate. Even with the rebate, the state plan was paying $800 for a month of Wegovy.
By ending coverage for the weight-loss drugs after April 1, the plan said it could save nearly $100 million this year.
\u201cWe can\u2019t spend money we don\u2019t have, we just can\u2019t,\u201d said Dr. Pete Robie, a board member. Thursday\u2019s vote ended the grandfather provision.
If no limits had been set, the State Health Plan would have spent an estimated $170 million on the weight-loss drugs, plan administrator Sam Watts said. That could have necessitated by 2025 a monthly surcharge of $48.50 on each plan member, the plan said, whether that member is using the drugs or not.
Board member Melanie Bush argued that the plan should maintain coverage of the existing prescriptions while negotiations continue with manufacturers and CVS/Caremark.
\u201cThis is a life-saving drug, and we\u2019re talking about denying it,\u201d said Bush, who also helps lead the state's Medicaid program. Board members agreed the vote could be reconsidered if a compromise is reached.
\u201cWe have seen movement, but not enough movement to say, \u2018Yes we have a solution,\u2019\u201d Watts said.
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They're a safety net under stress", + "headline_extended": "Federally funded community health centers serve 1 in 11 Americans", + "slugline": "AP-US-MED--Community Health Clinics, 2nd Ld-Writethru", + "description_summary": "Federally funded community health centers serve 1 in 11 Americans. Most of them are low-income and many are underinsured. The health centers are under stress as they work to meet the specific needs of their communities because of uncertain funding and staffing issues. The number of people seeking care increased 45% in a decade. The centers treat a range of populations, including migrants, rural residents with limited health care options and multiple generations of families.", + "bylines": [ + { + "by": "By DEVI SHASTRI", + "title": "AP Health Writer" + } + ], + "located": "NEW YORK", + "datelinelocation": { + "city": "New York", + "countryareacode": "NY", + "countryareaname": "New York", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -74.00597, + 40.71427 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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Though she moved away a while ago, the 33-year-old keeps returning, even if it means a two-hour roundtrip bus ride.
That\u2019s because her two children see the same doctor she does. Because when she\u2019s sick, she can walk in without an appointment. Because the staff at the Queens clinic helped her apply for health insurance and food stamps.
\u201cI feel at home. They also speak my language,\u201d Reyes said in Spanish. \u201cI feel comfortable.\u201d
Plaza del Sol is one of two dozen sites run by Urban Health Plan Inc., which is one of nearly 1,400 federally designated community health centers. One in 11 Americans rely on these to get routine medical care, social services and, in some cases, fresh food.
The clinics serve as a critical safety net in every state and U.S. territory for low-income people of all ages. But it\u2019s a safety net under stress.
Since 2012, community health centers have seen a 45% increase in the number of people seeking care \u2014 and they\u2019ve opened more and more service sites to expand their footprint to more than 15,000 locations.
Many centers are short-staffed and struggling to compete for doctors, mental health professionals, nurses and dentists. Leaders also told The Associated Press that funding is an ever-present concern, with the months-long debate over the federal budget making it all but impossible for them to plan and hire for the long term.
Despite that, the centers are trying to improve their communities\u2019 health and access to primary care in the face of inequities that start well before a patient steps into an exam room.
Community health centers have been around, in some form, for decades, and they are largely what remains to serve a community when urban and rural hospitals close or cut back.
Dr. Matthew Kusher, Plaza del Sol\u2019s clinical director, said there are things that prescriptions can\u2019t change, like stopping the spread of flu and COVID-19 when people live in apartments with one family per room and it\u2019s impossible to quarantine.
\u201cWhat we provide here is only 20% of what goes toward somebody\u2019s health,\u201d Kusher said. \u201cTheir health is more driven by the other factors, more driven by the poverty, and the lack of access to food or clean water or healthy air.\u201d
Nine in 10 health center patients live at or below 200% of the federal poverty line, according to the U.S. Health Resources and Services Administration. Beyond that:
\u2014 In 2022, nearly 1.4 million health center patients were homeless.
\u2014 One in five was uninsured.
\u2014 Half were on Medicaid.
\u2014 One in four was best served in a language other than English; about 63% were racial or ethnic minorities.
\u201cWe confront these disparities head-on in the communities that need it the most,\u201d said Dr. Kyu Rhee, president of the National Association of Community Health Centers. \u201cWe have a workforce that works nonstop, diligently and is resilient and diverse \u2014 that represents the people they serve. And that trust is so essential.\u201d
Plaza del Sol\u2019s specialty case manager Yelisa Sierra said she frequently fields questions about people needing clothes, food or shelter. Lately, the clinic serves many newly arrived migrants. She wishes she had a better answer to the question she hears most: Where can they find work?
\u201cIt\u2019s not only a medical need, it\u2019s emotion,\u201d said Sierra, sitting in a cramped office off the bustling waiting room. \u201cThey need to have a person that listens. Sometimes, it\u2019s just that.\u201d
Fifty years ago, Dr. Acklema Mohammad started as a medical assistant in Urban Health Plan\u2019s first clinic, San Juan Health Center. She has cared for some families across three generations.
\u201cIt\u2019s so gratifying to work in this community. I\u2019m walking through the door, or I\u2019m walking down the street, and I\u2019m getting hugs,\u201d she said. \u201cAll along, \u2018Oh Dr. Mo! You\u2019re still here!\u2019\u201d
Staffing is Mohammad\u2019s biggest worry. Many pediatricians retired or left for other jobs after the worst of the pandemic. It\u2019s not just about money, either: She said job applicants tell her they want quality of life and flexibility, no weekends or long hours.
\u201cIt\u2019s a big job and it\u2019s a big issue because we have so many sick children and so many sick patients,\u201d Mohammad said, \u201cbut we don\u2019t have enough providers to take care of them.\u201d
Former pediatricians are sometimes picking up virtual visits to provide relief, she said, and telehealth helps, too.
When patients can\u2019t do telehealth, El Nuevo San Juan Health Center tries to bring care to them instead. About 150 elders get at-home visits, said Dr. Manuel Vazquez, Urban Health Plan\u2019s vice president of medical affairs who oversees the home health program.
There are times when the home visit isn\u2019t covered, but the team does it anyway, without getting paid.
\u201cWe said, \u2018No. We need to do this,\u2019\u201d he said.
One of the nation\u2019s first community health centers opened in the rural Mississippi delta in 1967, in the wake of the Civil Rights Movement\u2019s Freedom Summer.
Delta Health Center in Mound Bayou, Mississippi today operates the health center has 17 locations in five counties, including free-standing clinics and some in schools.
Staffers are taking on challenges that have been around for generations, like hunger and limited transportation. There are cooking classes and vegetables from the community garden. In nearby Leland, there\u2019s a clinic in the town of less than 4,000 \u2014 open Saturdays, too \u2014 because many people don\u2019t have a car to make the 15-minute highway drive to Greenville, the nearest small city, and there\u2019s no public transportation.
That kind of access to preventive health care is critical as area hospitals cut back on neonatal services and other specialty care, said Temika Simmons, Delta Health Center\u2019s chief public affairs officer.
\u201cIf you\u2019re in the middle of a heart attack, you\u2019re going to have to be airlifted to Jackson or Memphis where they have the equipment to save your life, and so you might die along the way,\u201d she said.
Another key to the centers\u2019 ability to improve health disparities is understanding and being part of their communities.
Plaza del Sol is located in the heavily immigrant, mostly Latino neighborhood of Corona, which was the epicenter of New York City\u2019s COVID-19 spread. Staff are required to speak Spanish. They regularly go to a local church to host vaccination clinics that reach hundreds. Center director Angelica Flores-DaSilva said a local principal will call her directly and ask for help to vaccinate kids so they don\u2019t get disenrolled.
In Mississippi, workers are trained to spot signs of abuse, or know that the patient \u201cfussing and fighting\u201d about filling out a form likely can\u2019t read. They hand out clothes, food and resources as if they\u2019re being offered to everyone.
\u201cPeople hide their circumstances extremely well,\u201d Simmons said. \u201cThey hide illiteracy well, they hide poverty well, and they hide abuse very well. They know exactly what to say.\u201d
To continue to serve the communities in the way they want to, center leaders say they\u2019re stretching dollars are far as they can \u2014 but need more.
Based on the rising number of patients and inflation in the health care sector, federal funding for centers would need to increase by $2.1 billion to match 2015 funding levels, according to an analysis sponsored by the National Association of Community Health Centers.
\u201cYou can\u2019t be overwhelmed with the problem,\u201d Simmons said. \"You've got to just simply take it one day at a time, one patient at a time.\u201d
___
Associated Press data journalist Kasturi Pananjady contributed to this report.
___
The Associated Press Health and Science Department receives support from the Robert Wood Johnson Foundation. The AP is solely responsible for all content.
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(AP) \u2014 Last month, Mike Weber got the news every poultry farmer fears: His chickens tested positive for avian flu.
Following government rules, Weber's company, Sunrise Farms, had to slaughter its entire flock of egg-laying hens \u2014 550,000 birds \u2014 to prevent the disease from infecting other farms in Sonoma County north of San Francisco.
\u201cIt\u2019s a trauma. We\u2019re all going through grief as a result of it,\u201d said Weber, standing in an empty hen house. \u201cPetaluma is known as the Egg Basket of the World. It\u2019s devastating to see that egg basket go up in flames.\u201d
A year after the bird flu led to record egg prices and widespread shortages, the disease known as highly pathogenic avian influenza is wreaking havoc in California, which escaped the earlier wave of outbreaks that devastated poultry farms in the Midwest.
The highly contagious virus has ravaged Sonoma County, where officials have declared a state of emergency. During the past two months, nearly a dozen commercial farms have had to destroy more than 1 million birds to control the outbreak, dealing an economic blow to farmers, workers and their customers.
Merced County in Central California also has been hit hard, with outbreaks at several large commercial egg-producing farms in recent weeks.
Experts say bird flu is spread by ducks, geese and other migratory birds. The waterfowl can carry the virus without getting sick and easily spread it through their droppings to chicken and turkey farms and backyard flocks through droppings and nasal discharges.
California poultry farms are implementing strict biosecurity measures to curb the spread of the disease. State Veterinarian Annette Jones urged farmers to keep their flocks indoors until June, including organic chickens that are required to have outdoor access.
\u201cWe still have migration going for another couple of months. So we\u2019ve got to be as vigilant as possible to protect our birds,\u201d said Bill Mattos, president of the California Poultry Federation.
The loss of local hens led to a spike in egg prices in the San Francisco Bay Area over the holidays before supermarkets and restaurants found suppliers from outside the region.
While bird flu has been around for decades, the current outbreak of the virus that began in early 2022 has prompted officials to slaughter nearly 82 million birds, mostly egg-laying chickens, in 47 U.S. states, according to the U.S. Department of Agriculture. Whenever the disease is found the entire flock is slaughtered to help limit the spread of the virus.
The price of a dozen eggs more than doubled to $4.82 at its peak in January 2023. Egg prices returned to their normal range as egg producers built up their flocks and outbreaks were controlled. Turkey and chicken prices also spiked, partly due to the virus.
\u201cI think this is an existential issue for the commercial poultry industry. The virus is on every continent, except for Australia at this point,\u201d said Maurice Pitesky, a poultry expert at the University of California, Davis.
Climate change is increasing the risk of outbreaks as changing weather patterns disrupt the migratory patterns of wild birds, Pitesky said. For example, exceptional rainfall last year created new waterfowl habitat throughout California, including areas close to poultry farms.
In California, the outbreak has impacted more than 7 million chickens in about 40 commercial flocks and 24 backyard flocks, with most of the outbreaks occurring over the past two months on the North Coast and Central Valley, according to the USDA.
Industry officials are worried about the growing number of backyard chickens that could become infected and spread avian flu to commercial farms.
\u201cWe have wild birds that are are full of virus. And if you expose your birds to these wild birds, they might get infected and ill,\u201d said Rodrigo Gallardo, a UC Davis researcher who studies avian influenza.
Gallardo advises the owners of backyard chickens to wear clean clothes and shoes to protect their flocks from getting infected. If an unusual number of chickens die, they should be tested for avian flu.
Ettamarie Peterson, a retired teacher in Petaluma, has a flock of about 50 chickens that produce eggs she sells from her backyard barn for 50 cents each.
\u201cI\u2019m very concerned because this avian flu is transmitted by wild birds, and there\u2019s no way I can stop the wild birds from coming through and leaving the disease behind,\u201d Peterson said. \u201cIf your flock has any cases of it, you have to destroy the whole flock.\u201d
Sunrise Farms, which was started by Weber\u2019s great-grandparents more than a century ago, was infected despite putting in place strict biosecurity measures to protect the flock.
\u201cThe virus got to the birds so bad and so quickly you walked in and the birds were just dead,\u201d Weber said. \u201cHeartbreaking doesn\u2019t describe how you feel when you walk in and perfectly healthy young birds have been just laid out.\u201d
After euthanizing more than half a million chickens at Sunrise Farms, Weber and his employees spent the Christmas holiday discarding the carcasses. Since then, they\u2019ve been cleaning out and disinfecting the hen houses.
Weber hopes the farm will get approval from federal regulators to bring chicks back to the farm this spring. Then it would take another five months before the hens are mature enough to lay eggs.
He feels lucky that two farms his company co-owns have not been infected and are still producing eggs for his customers. But recovering from the outbreak won\u2019t be easy.
\u201cWe have a long road ahead,\u201d Weber said. \u201cWe\u2019re going to make another run of it and try to keep this family of employees together because they\u2019ve worked so hard to build this into the company that it is.\u201d
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The National Park Service said the man was found unresponsive on the West Rim Trail near Scout Lookout on Friday afternoon. Rangers performed CPR and used an automated external defibrillator to deliver electric shocks in a bid to revive him. In spite of their efforts, the man died at the scene. Authorities said the 63-year-old man was from San Diego, California. They said the cause of death is under investigation but appears to be consistent with a heart attack.", + "located": "SPRINGDALE, Utah", + "datelinelocation": { + "city": "Springdale", + "countryareacode": "UT", + "countryareaname": "Utah", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -112.99855, + 37.18887 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. 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The 63-year-old man from San Diego, California, was found unresponsive on the West Rim Trail on Friday afternoon, the National Park Service said in a statement. Other hikers on the trail performed CPR while awaiting the arrival of rangers, who continued CPR and used a heart monitor and an automated external defibrillator to deliver electric shocks in a bid to revive him.
More than 20 search and rescue team members and emergency medical personnel responded to the scene, the statement said. But after an hour a half of resuscitation efforts, the man was pronounced dead.
\u201cAll of us at Zion extend our deepest condolences to this hiker\u2019s family,\u201d park Superintendent Jeff Bradybaugh said in the statement. \u201cWe also want to express thanks to the bystanders who assisted by performing CPR.\u201d
Authorities said the cause of death is under investigation but appears to be consistent with a heart attack.
The medical emergency occurred on near Scout Lookout on the West Rim Trail, which the National Park Service describes as strenuous. The trail was has since reopened after being temporarily closed for rescue operations, authorities said.
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With AP Photos.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "US-MED--Community Health Clinics-ABRIDGED", + "headline": "Community health centers serve 1 in 11 Americans. They're a safety net that's under stress", + "headline_extended": "Federally funded community health centers serve 1 in 11 Americans", + "slugline": "BC-US-MED-Community-Health-Clinics-ABRIDGED, 1st Ld-Writethru", + "description_summary": "Federally funded community health centers serve 1 in 11 Americans. Most of them are low-income and many are underinsured. The health centers are under stress as they work to meet the specific needs of their communities because of uncertain funding and staffing issues. The number of people seeking care increased 45% in a decade. 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She moved away a while ago but keeps returning \u2014 even if it means a two-hour roundtrip bus ride.
That\u2019s because her two children see the same doctor she does. Because when she\u2019s sick, she can walk in without an appointment. Because the staff at the Queens clinic helped her apply for health insurance and food stamps.
\u201cI feel at home. They also speak my language,\u201d Reyes, 33, said in Spanish. \u201cI feel comfortable.\u201d
Plaza del Sol is one of two dozen sites run by Urban Health Plan Inc., which is one of nearly 1,400 federally designated community health centers. One in 11 Americans rely on these to get routine medical care, social services and, in some cases, fresh food.
The clinics serve as a critical safety net in every state and U.S. territory for low-income people of all ages. But it\u2019s a safety net under stress.
Since 2012, community health centers have seen a 45% increase in the number of people seeking care \u2014 and they\u2019ve opened more and more service sites to expand their footprint to more than 15,000 locations.
Many centers are short-staffed and struggling to compete for doctors, mental health professionals, nurses and dentists. Leaders also told The Associated Press that funding is an ever-present concern, with the months-long debate over the federal budget making it all but impossible for them to plan and hire for the long term.
Community health centers have been around in some form for decades, and are largely what remains when urban and rural hospitals close or cut back on services.
Dr. Matthew Kusher, Plaza del Sol\u2019s clinical director, said there are things that prescriptions can\u2019t change, like stopping the spread of flu and COVID-19 when people live in apartments with one family per room and it\u2019s impossible to quarantine.
\u201cWhat we provide here is only 20% of what goes toward somebody\u2019s health,\u201d Kusher said. \u201cTheir health is more driven by the other factors, more driven by the poverty, and the lack of access to food or clean water or healthy air.\u201d
Nine in 10 health center patients live at or below 200% of the federal poverty line, according to the U.S. Health Resources and Services Administration. Beyond that:
\u2014 In 2022, nearly 1.4 million health center patients were homeless.
\u2014 One in five was uninsured.
\u2014 Half were on Medicaid.
\u2014 One in four was best served in a language other than English; about 63% were racial or ethnic minorities.
Dr. Acklema Mohammad started 50 years ago as a medical assistant in Urban Health Plan\u2019s first clinic, San Juan Health Center. She has cared for some families across three generations.
\u201cIt\u2019s so gratifying to work in this community. I\u2019m walking through the door, or I\u2019m walking down the street, and I\u2019m getting hugs,\u201d she said. \u201cAll along, \u2018Oh, Dr. Mo! You\u2019re still here!\u2019\u201d
Staffing is Mohammad\u2019s biggest worry. Many pediatricians retired or left for other jobs after the worst of the pandemic. It\u2019s not just about money, either: She said job applicants tell her they want quality of life and flexibility.
\u201cIt\u2019s a big job and it\u2019s a big issue because we have so many sick children and so many sick patients,\u201d Mohammad said, \u201cbut we don\u2019t have enough providers to take care of them.\u201d
Former pediatricians are sometimes picking up virtual visits to provide relief, she said, and telehealth helps, too. But when telehealth is not a possibility, El Nuevo San Juan Health Center tries to bring care to people instead.
About 150 elders get at-home visits, said Dr. Manuel Vazquez, Urban Health Plan\u2019s vice president of medical affairs who oversees the program. There are times when the care isn\u2019t covered, but the team does it without pay.
\u201cWe said, \u2018No. We need to do this,\u2019\u201d he said.
One of the nation\u2019s first community health centers opened in the rural Mississippi delta in 1967, in the wake of the Civil Rights Movement\u2019s Freedom Summer.
Today, Delta Health Center in Mound Bayou, Mississippi, has 17 locations in five counties, including free-standing clinics and some in schools.
Access to preventive care is critical as area hospitals cut back on neonatal services and other specialty care, said Temika Simmons, Delta Health Center\u2019s chief public affairs officer.
\u201cIf you\u2019re in the middle of a heart attack, you\u2019re going to have to be airlifted to Jackson or Memphis where they have the equipment to save your life, and so you might die along the way,\u201d she said. \u201cSo, what we\u2019ve been doing in terms of primary care is trying to keep people away from that part.\u201d
Another key to the centers\u2019 ability to improve health disparities is understanding and being part of their communities. Plaza del Sol is located in the heavily immigrant, mostly Latino neighborhood of Corona, which was the epicenter of New York City\u2019s COVID-19 spread. Staff are required to speak Spanish.
The Mississippi Delta staffers are trained to spot signs of abuse, Simmons said, or know that the patient \u201cfussing and fighting\u201d about filling out a form likely can\u2019t read.
To continue to serve the communities in the way they want to, center leaders say they\u2019re stretching dollars are far as they can \u2014 but need more.
Based on the rising number of patients and inflation in the health care sector, federal funding for centers would need to increase by $2.1 billion to match 2015 funding levels, according to an analysis sponsored by the National Association of Community Health Centers.
\u201cYou can\u2019t be overwhelmed with the problem,\u201d Simmons said. \u201cYou\u2019ve got to just simply take it one day at a time, one patient at a time.\u201d
___
Associated Press data journalist Kasturi Pananjady contributed to this report.
___
The Associated Press Health and Science Department receives support from the Robert Wood Johnson Foundation. The AP is solely responsible for all content.
", + "textformat": "bx", + "links": [ + { + "href": "https://apnews.com/article/community-health-center-inequity-safety-net-d10b1122982efcf4919f239c86c80216", + "rel": "canonical" + } + ], + "topics": { + "Health": { + "relevance_score": 5, + "reason": "The document discusses the role and challenges of community health centers in the United States, which are a critical part of the healthcare system. It provides detailed information on how these centers serve low-income populations, the increase in demand for their services, staffing issues, and funding concerns. These topics are directly related to the broader topic of health, making the document highly relevant." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/01/29/37219cb0748655898469a8e83501024b.json b/datasets/AP_news/raw_data/2024/01/29/37219cb0748655898469a8e83501024b.json new file mode 100644 index 0000000..3f51e47 --- /dev/null +++ b/datasets/AP_news/raw_data/2024/01/29/37219cb0748655898469a8e83501024b.json @@ -0,0 +1,192 @@ +{ + "altids": { + "itemid": "37219cb0748655898469a8e83501024b", + "etag": "37219cb0748655898469a8e83501024b_1a8aza0c0", + "friendlykey": "997029193070", + "referenceid": "NerdWallet-Millennial Money-Longevity Questions" + }, + "version": 1, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-01-30T13:26:17Z", + "firstcreated": "2024-01-29T16:47:24Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: Updates Media.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "NerdWallet-Millennial Money-Longevity Questions", + "headline": "Millennial Money: The 4 longevity questions you should ask your financial planner", + "headline_extended": "Only one-third of men correctly estimated how long a 60-year-old man in the U.S. could expect to live, according to a 2022 TIAA Institute survey", + "slugline": "BC-NerdWallet-Millennial Money-Longevity Questions, 1st Ld-Writethru", + "description_summary": "Only one-third of men correctly estimated how long a 60-year-old man in the U.S. could expect to live, according to a 2022 TIAA Institute survey. And fewer than half of women got it right for a 60-year-old woman. Advisers call this understanding of how long you\u2019ll live in your retirement years longevity literacy, and it\u2019s a crucial part of your retirement planning strategy. Retirement topics you should be addressing with your financial professional include what they\u2019re using as your life expectancy in your plan, how you should prepare for long-term care expenses and whether you should be budgeting for care for your aging parents.", + "bylines": [ + { + "by": "By KATE ASHFORD of NerdWallet" + } + ], + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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And fewer than half of women got it right for a 60-year-old woman.
Advisers call this \u2014 understanding how long you\u2019ll live in your retirement years \u2014 longevity literacy. It\u2019s a crucial part of your retirement strategy, and it\u2019s important that you and your financial professional are on the same page. You should be talking about things like what your planner is using as your life expectancy, how you\u2019ll cover future health care costs and whether you need to account for any spending related to aging parents.
Getting this right means your money will last for as long as you do. Here are the questions to ask your adviser.
1. WHAT ARE YOU USING AS MY LIFE EXPECTANCY?
No one can know when they\u2019re going to die, but your health and family history can help your planner make a good guess. How long did your parents live, or your grandparents? Do you have any health conditions?
\u201cI\u2019ve started, a few years ago, asking a lot of health questions of my clients,\u201d says Mitchell Kraus, a certified financial planner in Santa Monica, California. \u201cThey should let their adviser know of any health concerns that might cause their life expectancy to be shorter.\u201d
Planners often work with software that can model what will happen to your finances if you die at different ages, based on the assumptions you\u2019re making. You can explore various scenarios together and decide what makes the most sense.
\u201cIf you\u2019ve got longevity in your family, let\u2019s boost it up to (age) 97 or even 100,\u201d says Timothy Knotts, a CFP in Red Bank, New Jersey. \u201cWe want to make sure we don\u2019t have this thing that keeps you up at night, which is, \u2018Am I going to run out of money?\u2019\u201d
2. WHAT SHOULD I BE DOING ABOUT LONG-TERM CARE?
The big wild card in your financial plan is whether (and how long) you\u2019ll need long-term care. There\u2019s a reasonable chance you\u2019ll need some kind of support, so talk to your planner about the best way to prepare.
You may want to plan to purchase long-term care insurance at some point, or a hybrid policy that combines permanent life insurance with a long-term care rider. Or it may be better to self-insure and plan to use savings for long-term care needs if insurance is too expensive.
\u201cIt\u2019s something that unfortunately many of us aren\u2019t good at \u2014 the risk and uncertainty thing,\u201d says Paul Yakoboski, a senior economist with the TIAA Institute. \u201cThis is where an adviser could be extremely valuable \u2014 to help us understand likelihoods and scenarios and the costs attached to them.\u201d
3. HOW SHOULD I PREPARE TO PAY FOR HEALTH CARE NEEDS?
You may have seen Fidelity\u2019s statistic that a 65-year-old couple today may need $315,000 to pay for health care expenses in retirement. It\u2019s a daunting figure. But making the right health care decisions once you\u2019re eligible for Medicare can help.
\u201cI think if people have Medicare and a Medicare Supplement, I\u2019ve actually found they have a pretty good chunk of their health care paid for,\u201d says Clark Randall, a CFP in Dallas.
This is because Medicare Supplement Insurance, otherwise known as Medigap, can pay for most out-of-pocket costs associated with your Medicare plan. As long as you can pay the premiums, many of your costs may be covered if you have a big health event.
\u201cWe also build in some percentage for out-of-pocket expenses,\u201d Knotts says.
4. SHOULD WE INCLUDE ANY PLANNING FOR MY PARENTS?
If there are older adults in your life who may need your support later, make sure your adviser knows this and builds it into your retirement plan to the extent that\u2019s possible. Do you anticipate bringing them to live with you or potentially moving in with them? Do you expect an inheritance, or do you expect to have to help pay their bills?
\u201cI will ask, \u2018Do your parents have enough money to support themselves in retirement?\u2019\u201d says Catherine Valega, a CFP in Winchester, Massachusetts. Clients may be doing everything right, she says, but it doesn\u2019t mean their parents have done everything right.
Considering these questions may facilitate a conversation with your loved ones about the future, which can be helpful for everyone. If they\u2019re young enough, you can also encourage your parents to look into long-term care insurance for themselves.
______________________________
This column was provided to The Associated Press by the personal finance website NerdWallet. Kate Ashford is a writer at NerdWallet. Email: kashford@nerdwallet.com. Twitter: @kateashford.
RELATED LINKS:
NerdWallet: What is Medigap? What to know about Medicare Supplement plans https://bit.ly/nerdwallet-medigap-what-to-know
METHODOLOGY:
The TIAA Institute-GFLEC Personal Finance Index (P-Fin Index) was completed online in January 2022 by a sample of 3,582 U.S. adults, ages 18 and older. Asian, Black and Hispanic Americans were oversampled, as was Gen Z. The data were weighted to be nationally representative.
TIAA Institute. (2022). \u201cFinancial literacy, longevity literacy, and retirement readiness.\u201d https://www.tiaa.org/content/dam/tiaa/institute/pdf/insights-report/2023-01/longevity_literacy_financial_literacy_and_retirement_readiness.pdf
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Therefore, it is somewhat relevant to health but not highly focused on it." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/01/29/391844f5b4d9b197400abe8803280133.json b/datasets/AP_news/raw_data/2024/01/29/391844f5b4d9b197400abe8803280133.json new file mode 100644 index 0000000..06e5bd5 --- /dev/null +++ b/datasets/AP_news/raw_data/2024/01/29/391844f5b4d9b197400abe8803280133.json @@ -0,0 +1,282 @@ +{ + "altids": { + "itemid": "391844f5b4d9b197400abe8803280133", + "etag": "391844f5b4d9b197400abe8803280133_2a6aza0c0", + "friendlykey": "539050039192", + "referenceid": "US--Abortion-Pennsylvania" + }, + "version": 2, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-01-29T20:45:26Z", + "firstcreated": "2024-01-29T17:15:40Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: Adds reaction, details. Trims.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "US--Abortion-Pennsylvania", + "headline": "Pennsylvania high court revives case challenging limits on Medicaid coverage for abortions", + "headline_extended": "Pennsylvania\u2019s state Supreme Court says a lower court must hear a challenge to the constitutionality of a decades-old state law that limits the use of state Medicaid dollars to cover the cost of abortions", + "slugline": "BC-US--Abortion-Pennsylvania, 2nd Ld-Writethru", + "description_summary": "Pennsylvania\u2019s state Supreme Court says a lower court must hear a challenge to the constitutionality of a decades-old state law that limits the use of state Medicaid dollars to cover the cost of abortions. Monday's 3-2 decision overturns the lower court\u2019s ruling and puts aside an earlier state Supreme Court decision. The high court\u2019s majority said Monday that prior court decisions did not fully consider the breadth of state constitutional protections against discrimination. The lawsuit brought by Planned Parenthood and other operators of abortion clinics says the law unconstitutionally discriminates against poor women. Abortion is legal in Pennsylvania under state law through 23 weeks of pregnancy.", + "bylines": [ + { + "by": "By MARC LEVY", + "title": "Associated Press" + } + ], + "located": "HARRISBURG, Pa.", + "datelinelocation": { + "city": "Harrisburg", + "countryareacode": "PA", + "countryareaname": "Pennsylvania", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -76.88442, + 40.2737 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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(AP) \u2014 Pennsylvania's Supreme Court said Monday that a lower court must hear a challenge to the constitutionality of a decades-old state law that limits the use of Medicaid dollars to cover the cost of abortions, a major victory for Planned Parenthood and the abortion clinic operators who sued.
The decision also elicited hope that the state Supreme Court may one day find a right to abortion in Pennsylvania\u2019s constitution after the U.S. Supreme Court ended nearly a half-century of federal abortion protections by overturning Roe v. Wade.
The 3-2 decision both overturns a lower court decision to dismiss the case on procedural grounds and puts aside a 1985 state Supreme Court decision that upheld a law banning the use of state Medicaid dollars for abortion, except in cases of rape, incest or to save the life of the mother.
Alexis McGill Johnson, Planned Parenthood Federation of America\u2019s president and CEO, called the decision a \u201clandmark victory for reproductive freedom.\"
The high court\u2019s majority said Monday in a 219-page decision that prior court decisions did not fully consider the breadth of state constitutional protections against discrimination, beyond those provided by the federal constitution.
The lawsuit, brought in 2019 by Planned Parenthood and other operators of abortion clinics, said the 1982 law unconstitutionally discriminates against poor women.
\u201cToday\u2019s ruling is the first step toward ending discriminatory access to care, and we remain committed to removing every barrier to abortion,\u201d Signe Espinoza, executive director of Planned Parenthood of Pennsylvania's policy arm, said in a statement.
The state House's Republican floor leader, Rep. Bryan Cutler, had opposed the lawsuit in court and on Monday accused the state Supreme Court of \u201cseeking to overstep its authority and change well-settled law.\u201d
The new ruling does not necessarily find a constitutional right to an abortion in Pennsylvania, where abortion is legal under state law through 23 weeks of pregnancy.
Rather, it turns on the question of whether the state Medicaid law unconstitutionally singled out a procedure sought only by women and differentiated between women who carry to term and women who get an abortion.
Women who get an abortion receive no government funding for the reproductive care they seek, while women who carry to term receive full coverage, the majority opinion said. Seventeen other states cover abortion in their state Medicaid programs, the court said.
The lower Commonwealth Court had said in its 2022 decision that it was bound by the prior state Supreme Court decision in dismissing the lawsuit.
But the majority said the lower court must now reconsider the case under a more stringent constitutional standard.
That part of the majority opinion was written by Justice Christine Donohue and joined by Justices David Wecht and Dougherty. Dissenting were Chief Justice Debra Todd and Justice Sally Mundy, the lone Republican to take part in the decision.
Todd and Mundy disagreed that the high court had issued a flawed decision in 1985. In her dissent, Mundy wrote that the 1985 decision was \u201cwell-considered, restrained and appropriate,\u201d and preserved the balance of power between the judicial and legislative branches.
That balance will be upset, however, if the court prevents lawmakers from advancing a state interest \u2014 for instance, encouraging childbirth over abortion \u2014 by prioritizing how to spend public money, Mundy wrote.
Justices Kevin Brobson and Daniel McCaffery joined the bench after the case was argued and didn't participate in the decision.
In one part of the majority opinion, Donohue made it clear that she sees a state constitutional right to abortion in the existing structure of Pennsylvania's constitution.
\u201cWe conclude that the Pennsylvania Constitution secures the fundamental right to reproductive autonomy, which includes a right to decide whether to have an abortion or to carry a pregnancy to term,\u201d Donohue wrote.
Wecht joined that part of the opinion. However, the other three justices did not.
Dougherty said he agreed with Todd and Mundy that the case is not about the right to an abortion, but qualified it in his written opinion by saying \u201cat least, not yet.\u201d
David S. Cohen, a constitutional law professor at Drexel University's law school who helped argue the case, acknowledged that a majority of the court didn\u2019t find a fundamental right to abortion in Pennsylvania.
But, Cohen said, the issue will come back to the court in the future \"and we now have a great building block to accomplish that goal.\u201d
___
Follow Marc Levy on Twitter at https://twitter.com/timelywriter.
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London hospital following unrelated medical treatments that have made the health of the royal family headlines news in the United Kingdom.
The 75-year-old monarch was admitted to the London Clinic on Friday for treatment of an enlarged prostate, which Buckingham Palace described as benign. The princess, formerly Kate Middleton, has been at the hospital in central London for the past two weeks following abdominal surgery for an undisclosed condition.
Charles walked out of the clinic with his wife, Queen Camilla, at about 3 p.m. local time (1500 GMT; 10 a.m. EST) on Monday, stopping to smile and wave to well-wishers but ignoring shouted questions from reporters. A few hours earlier, the princess\u2019 office said that she had returned home to recuperate, though she wasn\u2019t seen leaving the hospital and details about when she left weren\u2019t released.
\u201cHis majesty would like to thank the medical team and all those involved in supporting his hospital visit, and is grateful for all the kind messages he has received in recent days.'' Buckingham Palace said in a statement.
Charles, who ascended the throne 16 months ago, was diagnosed with an enlarged prostate on Jan. 17 after he experienced undisclosed symptoms. He canceled engagements and was urged to rest before the procedure, which was completed on Friday afternoon.
The king decided to announce the surgery in advance in an effort to encourage other men to have their prostates checked in line with public health advice.
The princess is \u201cmaking good progress\u201d in her recovery, her office at Kensington Palace said Monday. The wife of Prince William, Charles\u2019 eldest son and heir to the throne, underwent planned surgery on Jan. 16.
The palace didn't provide further details, but said her condition wasn\u2019t cancerous. The 42-year-old future queen has canceled her public engagements until after Easter.
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These aspects are directly related to the topic of health." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/01/29/71686627ce41a8625a98449a61f63a0b.json b/datasets/AP_news/raw_data/2024/01/29/71686627ce41a8625a98449a61f63a0b.json new file mode 100644 index 0000000..e6c0700 --- /dev/null +++ b/datasets/AP_news/raw_data/2024/01/29/71686627ce41a8625a98449a61f63a0b.json @@ -0,0 +1,238 @@ +{ + "altids": { + "itemid": "71686627ce41a8625a98449a61f63a0b", + "etag": "71686627ce41a8625a98449a61f63a0b_3a8aza0c0", + "friendlykey": "882682518319", + "referenceid": "US-MED--Sleep Apnea Machines-Recall" + }, + "version": 3, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-01-29T23:58:34Z", + "firstcreated": "2024-01-29T19:04:54Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: Updates Media.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "US-MED--Sleep Apnea Machines-Recall", + "headline": "Maker of recalled sleep apnea machines agrees to halt sales in US", + "headline_extended": "The company behind a global recall of sleep apnea machines says it will stop selling the devices in the U.S., under a tentative agreement with regulators", + "slugline": "BC-US-MED--Sleep Apnea Machines-Recall, 3rd Ld-Writethru", + "description_summary": "The company behind a global recall of sleep apnea machines says it will stop selling the devices in the U.S., under a tentative agreement with regulators. Philips has recalled more than 5 million pressurized breathing machines due to risks that their foam can break down over time and be inhaled by users. The deal announced Monday has not yet been finalized and will have to be approved by a U.S. court. Philips would continue servicing existing machines in the U.S., but would not be able to sell new ones until meeting several corrective actions laid out by the FDA.", + "bylines": [ + { + "by": "By MATTHEW PERRONE", + "title": "AP Health Writer" + } + ], + "located": "WASHINGTON", + "datelinelocation": { + "city": "Washington", + "countryareacode": "DC", + "countryareaname": "District of Columbia", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -77.03637, + 38.89511 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. 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Device maker Philips has recalled more than 5 million pressurized breathing machines due to risks that their internal foam can break down over time, leading users to inhale tiny particles and fumes while they sleep.
The company first announced the problem in mid-2021, but efforts to repair or replace the machines have dragged on for years, frustrating patients in the U.S. and other countries.
The Dutch manufacturing giant said it has agreed to a consent decree with the Food and Drug Administration and the Department of Justice. The deal has not yet been finalized and will have to be approved by a U.S. judge. Philips executives disclosed the tentative agreement during a quarterly earnings update.
Under the agreement's terms, Philips would continue servicing previously sold machines in the U.S., but couldn't sell new ones until it meets corrective actions laid out by the FDA. Company executives said they have set aside $393 million for operational changes and upgrades needed to comply.
The company promised it would put \"safety and quality at the center of everything we do with a greater level of accountability,\u201d Philips CEO Roy Jakobs told analysts and investors.
The FDA's website warns patients that the risks of ingesting the sound-dampening foam could include headache, asthma, allergic reactions and more serious problems. In November, the agency issued a new warning that the machines can overheat, in rare cases causing fires.
The agency said it cannot comment on Philips' announcement until a final agreement is \u201csigned and filed with the court.\u201d
In 2022, the FDA took the rare step of ordering Philips to step up its outreach to customers about the recall including \u201cclearer information about the health risks of its products.\u201d At the time, the agency estimated only about half the people in the U.S. with affected machines knew they had been recalled.
Customers trying to obtain refunds or new or refurbished devices from the company have reported months of delays.
Most of the recalled devices are continuous positive airway pressure, or CPAP, machines. They force air through a mask to keep passageways open during sleep. The company has also recalled certain lines of ventilators and other breathing devices.
Untreated sleep apnea can cause people to stop breathing hundreds of times per night, leading to dangerous drowsiness and increased heart attack risk. The problem is more common in men than women, with estimates ranging from 10% to 30% of adults affected.
On Monday, Philips again pointed to company-commissioned studies suggesting that inhaling foam from its machines is \u201cunlikely to result in appreciable harm\u201d to patients. The company has discontinued several of the recalled models.
The latest announcement does not resolve 675 personal injury lawsuits filed against the company over the devices. Those cases have been consolidated in a federal court in Pennsylvania.
Philips faces similar legal challenges in Canada, Australia, Israel and Chile, according to the company's update.
___
The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute\u2019s Science and Educational Media Group. The AP is solely responsible for all content.
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\u201cAt this important time, I\u2019m glad to be back at the Pentagon,\u201d said Austin, speaking at the start of the meeting. \"I feel good and am recovering well, but still recovering, and I appreciate all the good wishes that I have received thus far.\u201d
After that session, Austin went to the White House Situation Room for a meeting of the national security team to discuss the drone attack at a base in Jordan that killed three U.S. troops and wounded several dozen others.
He was last in the Pentagon on Dec. 21. He had been diagnosed with prostate cancer earlier in December, and he went to a hospital for a surgical procedure for the cancer on Dec. 22. He worked the following week from home.
On Jan. 1, he was taken by ambulance to Walter Reed National Military Medical Center after experiencing extreme pain and was admitted to the intensive care unit. He stayed there for two weeks but didn\u2019t inform the White House or his deputy that he had cancer, had surgery or had been taken back to the hospital and put in intensive care until days later. He told President Joe Biden and other key leaders about his diagnosis only after he\u2019d been in the hospital more than a week.
Austin's lack of disclosure has prompted changes in federal guidelines and has triggered an internal Pentagon review and an inspector general review into his department\u2019s notification procedures. Both reviews are ongoing.
Austin has been working from home since he got out of the hospital on Jan. 15, and he made his first public appearance early last week during a virtual Ukraine contact defense group meeting. He gave opening remarks for the meeting via video camera that was streamed online.
Doctors at Walter Reed said on Friday that Austin's prostate cancer prognosis is excellent and no further treatments will be needed. He saw doctors for a checkup on Friday.
Austin has been criticized for keeping secret his prostate cancer diagnosis, surgery and subsequent hospitalization with complications from the procedure.
He was diagnosed in early December and had what the Pentagon described as a \u201cminimally invasive surgical procedure,\u201d called a prostatectomy, to treat the cancer on Dec. 22. He was under general anesthesia during this procedure and had transferred some authorities to his deputy defense secretary, Kathleen Hicks. He was discharged the next day and continued to perform his duties.
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Additionally, it mentions the impact of his health on his professional duties and the changes in federal guidelines prompted by his situation." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/01/29/996f74bcf4ce53d88c7320bd61444465.json b/datasets/AP_news/raw_data/2024/01/29/996f74bcf4ce53d88c7320bd61444465.json new file mode 100644 index 0000000..e066ce6 --- /dev/null +++ b/datasets/AP_news/raw_data/2024/01/29/996f74bcf4ce53d88c7320bd61444465.json @@ -0,0 +1,273 @@ +{ + "altids": { + "itemid": "996f74bcf4ce53d88c7320bd61444465", + "etag": "996f74bcf4ce53d88c7320bd61444465_2a4aza0c0", + "friendlykey": "97786150361", + "referenceid": "US--Attorney General-Surgery" + }, + "version": 2, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-01-30T02:14:23Z", + "firstcreated": "2024-01-29T22:43:17Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: Updates Media.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "US--Attorney General-Surgery", + "headline": "Attorney General Merrick Garland to undergo surgery, Justice Department says", + "headline_extended": "Attorney General Merrick Garland will undergo back surgery this weekend and delegate his duties to the deputy attorney general during the procedure", + "slugline": "BC-US--Attorney General-Surgery, 2nd Ld-Writethru", + "description_summary": "Attorney General Merrick Garland will undergo back surgery this weekend and delegate his duties to the deputy attorney general during the procedure. 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The news comes as Defense Secretary Lloyd Austin returns to work at the Pentagon following a hospitalization related to prostate cancer that was criticized for being kept secret for days.
Garland, 71, will be under general anesthesia during the back procedure on Saturday, which will last about 90 minutes and is \u201cminimally invasive,\u201d said Xochitl Hinojosa, director of public affairs at the Justice Department. He is expected to return home the same day, she said. Garland will delegate his duties to Deputy Attorney General Lisa Monaco shortly before, during and for a short time after the procedure as he recovers from the anesthesia, the statement said. He is expected to return to work the week of Feb. 5.
Austin returned to the Pentagon Monday after nearly a month-long absence. He underwent a surgical procedure for the cancer on Dec. 22 and was released, but was then admitted to intensive care days later after experiencing extreme pain. He stayed there for two weeks but didn\u2019t inform the White House or his deputy that he had cancer, had surgery or returned to the hospital until days later.
Austin\u2019s lack of disclosure prompted two ongoing reviews as well as changes in federal guidelines to ensure the White House will be informed any time a Cabinet head can\u2019t carry out their job. The Justice Department notified the White House of the plans to delegate his duties under the new guidelines, White House spokeswoman Olivia Dalton confirmed.
When Garland went in for a routine medical procedure in 2022, his office also informed the public a week in advance and outlined how long he was expected to be out and when he would return to work.
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That program is being developed by the Council of State Governments and other groups. North Carolina is the third state to officially join Reentry 2030 after Missouri and Alabama.", + "bylines": [ + { + "by": "By GARY D. ROBERTSON", + "title": "Associated Press" + } + ], + "located": "RALEIGH, N.C.", + "datelinelocation": { + "city": "Raleigh", + "countryareacode": "NC", + "countryareaname": "North Carolina", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -78.63861, + 35.7721 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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(AP) \u2014 North Carolina has joined a nascent nationwide effort to improve outcomes for more prisoners who return to society through an approach focused on education, health care and housing.
Gov. Roy Cooper, a Democrat, signed an executive order Monday that seeks to reduce recidivism through formal training and workforce tools for incarcerated people so more can succeed once they are freed.
More than 18,000 people are released annually from the dozens of North Carolina adult correctional facilities, the order says, facing obstacles to a fresh start from their criminal record.
\u201cEvery person deserves the opportunity to live a life of joy, success and love even when we make mistakes,\u201d Cooper said at an Executive Mansion ceremony. \u201cEvery single one of us can be redeemed.\u201d
The order aligns with the goals of Reentry 2030, which is being developed by the Council of State Governments and other groups to promote successful offender integration. The council said that North Carolina is the third state to officially join Reentry 2030, after Missouri and Alabama.
North Carolina has set challenging numerical goals while joining Reentry 2030, such as increasing the number of high school and post-secondary degrees or skills credentials earned by incarcerated people by 75% by 2030. And the number of employers formally willing to employ ex-offenders would increase by 30%.
\u201cThis is the perfect time for this order, as employers really need workers for the record numbers of jobs that are now being created in our state,\u201d the governor said. \u201cOur state's correctional facilities are a hidden source of talent.\u201d
The executive order also directs a \u201cwhole-of-government\" approach, in which Cabinet departments and other state agencies collaborate toward meeting these goals. For example, the state Transportation Department is directed to help provide the Department of Adult Correction information so that incarcerated people can learn how to get driver\u2019s licenses and identification upon their release.
Cooper\u2019s order also tells the Department of Health and Human Services to create ways to prescreen prisoners for federal and state health and welfare benefits before they are freed, and look into whether some Medicaid services can be offered before their release.
The order \u201ccharts a new path for us to collaborate with all state agencies to address the needs of justice-involved people in every space,\u201d Adult Correction Secretary Todd Ishee said in a news release.
The governor said there is already funding in place to cover many of the efforts, including new access to Pell Grants for prisoners to pursue post-secondary education designed for them to land jobs once released. But he said he anticipated going to the Republican-controlled General Assembly for assistance to accelerate the initiatives.
Republican legislators have in the past supported other prisoner reentry efforts, particularly creating mechanisms for ex-offenders to remove nonviolent convictions from their records.
Cooper and other ceremony speakers touched on the spiritual aspects of prisoner reentry.
NASCAR team owner and former Super Bowl champion coach Joe Gibbs talked about a program within the \u201cGame Plan for Life\u201d nonprofit he started that helps long-term prisoners get a four-year bachelor\u2019s degree in pastoral ministry so they can counsel fellow inmates.
And Greg Singleton, a continuing-education dean at Central Carolina Community College in Sanford, is himself an ex-offender, having served four years in prison in the 1990s. The college has educational opportunities inside the state prison and county jail in Sanford. Plans are ahead to expand such assistance to jails in adjoining counties.
\u201cWhat if God didn\u2019t give second chances \u2014 where would any of us be?\u201d Singleton asked. \u201cOh, but thank God he did, thank God he did.\u201d
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It still needs additional approvals before going to the desk of Gov. Phil Murphy. The Democrat has said he will sign it. The casinos say a smoking ban will cost jobs and revenue as smokers head to nearby Pennsylvania.", + "bylines": [ + { + "by": "By WAYNE PARRY", + "title": "Associated Press" + } + ], + "located": "TRENTON, N.J.", + "datelinelocation": { + "city": "Trenton", + "countryareacode": "NJ", + "countryareaname": "New Jersey", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -74.74294, + 40.21705 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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(AP) \u2014 A measure that would prohibit smoking in Atlantic City's casinos moved forward Monday after three years of going nowhere, heartening casino workers who say they are literally sick and tired of having smoke blown in their faces at work.
The New Jersey Senate health committee approved a long-delayed bill to impose a smoking ban in Atlantic City's nine casinos.
It was the first step in a long chain of necessary approvals, and it came as the movement by many casino workers to implement a ban entered its fourth year.
The vote also touched off a confrontation among casino workers outside the state Capitol afterward, with supporters of a smoking ban and opponents of the proposal screaming at one another on the sidewalk before being separated by their respective camps.
And a prominent business group and a casino workers union warned that a smoking ban would be \u201can economic catastrophe\u201d that would cost Atlantic City and the southern New Jersey region jobs and money.
Casino workers who favor the ban were elated to finally have it voted on after years of inertia.
\u201cWe feel like we cracked the egg,\u201d said Nicola Vitola, a Borgata dealer and a leader of the movement to ban casino smoking.
Smoking is permitted on 25% of the casino floor in Atlantic City. But those spaces are not contiguous, and smoke wafts into most areas of the gambling floor, regardless of their designation.
Casinos were specifically exempted from New Jersey's 2006 law that banned smoking in virtually all other workplaces.
Vitola said that while she was pregnant, she was assigned to work tables in smoking sections.
\u201cDealers are mere inches from players blowing smoke in our faces,\u201d she said.
Christina Renna, president and CEO of the Chamber of Commerce Southern New Jersey, said that while smoking is undoubtedly harmful, so, too, could be the layoffs she and executives from the casino industry warn could happen if smoking were banned.
Donna DeCaprio, president of Local 54 of the Unite Here union, which represents bartenders, cocktail servers, room cleaners and others, noted that there used to be 50,000 casino jobs in Atlantic City. She warned that the bill could eliminate 3,000 of them.
In an online discussion with Sen. Joseph Vitale, the committee's Democratic chair, she said she warned that as many as three Atlantic City casinos could be forced to close if a smoking ban were imposed while casinos in neighboring Pennsylvania continue to offer it.
\u201cIn south Jersey, there are no replacement jobs of this caliber,\u201d she said. \u201cA total ban is going to result in an economic catastrophe for Atlantic City, the region and the state.\u201d
Cynthia Hallett, president and CEO of Americans for Nonsmokers\u2019 Rights, said polling has shown that more people say they would visit Atlantic City casinos if smoking were prohibited.
The casino industry opposes a total smoking ban and says it is working on proposals including better ventilation systems and enclosed smoking rooms in which no employees would be involuntarily assigned to work. The Casino Association of New Jersey said in a statement it is eager \u201cto find a meaningful compromise that will address the concerns of our employees without jeopardizing jobs and benefits to some of our most vulnerable citizens.\u201d
A Republican senator, Vince Polistina, has said he will draft a new bill incorporating those proposals, but he has yet to do so.
The bill that was acted upon Monday now goes to the full state Senate for a vote. An identical bill also must be approved by an Assembly committee and voted upon by the full chamber before it can go to the desk of Democratic Gov. Phil Murphy, who has said he will sign a smoking ban into law.
Sen. Shirley Turner, who has co-sponsored bills for years that would have imposed a casino smoking ban, said casino workers are left in an untenable position.
\u201cYou shouldn't have to make that kind of decision in this country: your job or your health,\u201d she said. \u201cThat's not America.\u201d
___
Follow Wayne Parry at www.twitter.com/WayneParryAC
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At a hearing Monday in a Los Angeles courtroom, the judge wasn't convinced by arguments from Cher's attorneys that 47-year-old Elijah Blue Allman needs to have the court control his money because of his struggles with mental illness and substance abuse. Cher observed the hearing remotely and appeared on a large screen in the courtroom, but did not speak. The issue isn't over yet. A hearing is set for March on a longer-term conservatorship Cher is seeking over Allman.", + "bylines": [ + { + "by": "By ANDREW DALTON", + "title": "AP Entertainment Writer" + } + ], + "located": "LOS ANGELES", + "datelinelocation": { + "city": "Los Angeles", + "countryareacode": "CA", + "countryareaname": "California", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -118.24368, + 34.05223 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. 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The Oscar- and Grammy-winning singer and actor had argued in a petition that 47-year-old Elijah Blue Allman's large payments from the trust of his late father, rocker Gregg Allman, are putting him in danger because of his struggles with mental health and substance abuse.
But Los Angeles Superior Court Judge Jessica A. Uzcategui was not convinced that a conservatorship was urgently needed and declined the petition, though she will still consider a larger, long-term conservatorship at a hearing in March.
Cher observed the hearing remotely. She appeared on a large screen in the courtroom throughout, but did not take part in the arguments.
Allman was in the courtroom with his his attorneys, who acknowledged his previous struggles but argued that he is in a good place now, attending meetings, getting treatment and reconciling with his previously estranged wife.
\u201cWe are thrilled that the court saw that he does not need a temporary conservatorship,\u201d Allman\u2019s lawyer said as he stood alongside him outside the courthouse. \u201cHe\u2019s got a lot of support, he\u2019s doing great.\u201d
Cher's attorneys argued that the support Allman was getting was from people who tell him what he wants to hear and downplay the size of his problems. They said his current apparent sobriety and mental health were illusory. They said he suffers from bipolar disorder, has been recently homeless, and that having large amounts of money might lead to access to drugs that could endanger his life.
Blue and his attorneys have consistently argued since the petition was first filed in December that none of this is true.
Uzcategui had already signaled at a hearing on January 5 that she wasn't inclined to establish a conservatorship, delaying the decision until Monday because documents had not been shared in time with Allman's attorneys.
Cher's attorneys said that she was not necessarily seeking any direct control over Allman's money, and would be happy to have a court-appointed fiduciary manage his finances. They did not immediately reply to a request for comment on the judge's decision.
Court conservatorships, known as guardianships in some states, have come under far greater scrutiny in recent years after a temporary conservatorship imposed on Britney Spears in 2008 would end up leaving her without control of her money and major life affairs for nearly 14 years.
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Therefore, it is somewhat relevant to the topic of health but not highly focused on it." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/01/29/e9969f33db065004d45abf9180c0e8cf.json b/datasets/AP_news/raw_data/2024/01/29/e9969f33db065004d45abf9180c0e8cf.json new file mode 100644 index 0000000..08acee1 --- /dev/null +++ b/datasets/AP_news/raw_data/2024/01/29/e9969f33db065004d45abf9180c0e8cf.json @@ -0,0 +1,313 @@ +{ + "altids": { + "itemid": "e9969f33db065004d45abf9180c0e8cf", + "etag": "e9969f33db065004d45abf9180c0e8cf_3a18aza0c0", + "friendlykey": "534138674158", + "referenceid": "EU--Britain-Vaping" + }, + "version": 3, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-01-29T14:53:44Z", + "firstcreated": "2024-01-29T09:36:42Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: Adds a photo; Adds expert comments; updates summary.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "EU--Britain-Vaping", + "headline": "The UK will ban disposable vapes and curb candy-flavored e-cigarettes that attract children under 18", + "headline_extended": "Britain's government says it will ban the sale of disposable vapes and limit their cornucopia of flavors to prevent children from becoming addicted to nicotine", + "slugline": "BC-EU--Britain-Vaping, 3rd Ld-Writethru", + "description_summary": "Britain's government says it will ban the sale of disposable vapes and limit their cornucopia of flavors to prevent children from becoming addicted to nicotine. 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It also plans to stick to a contentious proposal to ban today\u2019s young people from ever buying cigarettes.
It is currently illegal to sell vapes or tobacco to children under 18 in the U.K., but officials say that youth vaping has tripled in the past three years, and that cheap, colorful disposable vapes in flavors like bubblegum and candy floss are a \u201ckey driver.\u201d
\u201cYou talk to any parent or teacher, they\u2019ll talk to you about the worrying rise in vaping among children,\" Prime Minister Rishi Sunak told reporters. \u201cChildren shouldn\u2019t be vaping, we don\u2019t want them to get addicted. We still don\u2019t understand the full long-term health impacts of vaping. So it is right we take strong action to stamp this out.\u201d
Disposable vapes, or e-cigarettes, are behind an alarming rise in vaping among children under 18, Sunak said, with 9% of 11 to 15-year-olds now using vapes, according to figures provided by the government.
The nicotine contained within them can be highly addictive, officials said. Withdrawal sometimes causes anxiety, trouble concentrating and headaches.
The government said it will introduce new powers \u2014 expected to come into effect next year \u2014 to restrict flavors that are \u201cspecifically marketed at children,\" and ensure that manufacturers use plainer packaging and shops move the products out of sight of children. New fines will also be introduced for shops that sell vapes illegally to children.
Adults who wanted to use vapes as a tool to quit smoking would still be able to access vape kits, Sunak said.
Some experts say that the proposed ban needs to be carefully considered so that it doesn't encourage people to turn to cigarettes.
\u201cThis ban may discourage use of e-cigarettes among people trying to quit smoking and induce relapse among those who have already used disposables to quit,\u201d said Jamie Brown, director of the tobacco and alcohol research group at University College London. \u201cCigarettes are far more harmful to our health and are not currently banned for adults.\u201d
Sunak\u2019s government also said it will push on with a plan announced last year to gradually raise the minimum age to buy cigarettes, so that no one born after Jan. 1, 2009 can ever legally buy them.
Health experts like Brown welcomed the idea as potentially the most important public health intervention for a generation. However, it outraged some members of the Conservative Party who viewed it as excessive state intervention.
The plan was modeled on a proposal in New Zealand that was scrapped late last year after a change of government in that country.
The number of people in the U.K. who smoke has declined by two-thirds since the 1970s, but some 6.4 million people, or about 13% of the population, still smoke, according to official figures.
Other countries have proposed similar bans on disposable vapes. Last month, France's National Assembly unanimously approved a bill to ban single-use, disposable electronic cigarettes to protect young people attracted by their flavors.
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Millions more need food aid", + "headline_extended": "Nearly 400 people have died of starvation in Ethiopia\u2019s Tigray and Amhara regions in recent months, the country\u2019s ombudsman said Tuesday, a rare admission of hunger-related deaths by a federal body", + "slugline": "AP-AF--Ethiopia-Tigray-Hunger Crisis, 3rd Ld-Writethru", + "description_summary": "Nearly 400 people have died of starvation in Ethiopia\u2019s Tigray and Amhara regions in recent months, the country\u2019s ombudsman said Tuesday, a rare admission of hunger-related deaths by a federal body. Local officials have previously reported starvation deaths in their districts, but Ethiopia\u2019s federal government has insisted these reports are \u201ccompletely wrong.\" Ethiopia\u2019s ombudsman office sent experts to the regions, which are gripped by drought and still reeling from devastating civil war that officially ended 14 months ago. They concluded that 351 people have died of hunger in Tigray in the past six months, with 44 more deaths in Amhara. Only a small fraction of needy people in Tigray are receiving food aid, according to an aid memo seen by The Associated Press.", + "bylines": [ + { + "by": "By RODNEY MUHUMUZA", + "title": "Associated Press" + } + ], + "located": "KAMPALA, Uganda", + "datelinelocation": { + "city": "Kampala", + "countrycode": "UGA", + "countryname": "Uganda", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + 32.58219, + 0.31628 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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Local officials have previously reported starvation deaths in their districts, but Ethiopia\u2019s federal government has insisted these reports are \u201ccompletely wrong\u201d.
Ethiopia\u2019s ombudsman office sent experts to the regions, which are gripped by drought and still reeling from a devastating civil war that officially ended 14 months ago. They concluded that 351 people have died of hunger in Tigray in the past six months, with 44 more deaths in Amhara.
Only a small fraction of needy people in Tigray are receiving food aid, according to an aid memo seen by The Associated Press, more than one month after aid agencies resumed deliveries of grain following a lengthy pause over theft.
Just 14% of 3.2 million people targeted for food aid by humanitarian agencies in Tigray this month had received it by Jan. 21, according to the memo by the Tigray Food Cluster, a group of aid agencies co-chaired by the U.N.\u2019s World Food Program and Ethiopian officials.
The memo urges humanitarian groups to \u201cimmediately scale up\u201d their operations, warning that \u201cfailure to take swift action now will result in severe food insecurity and malnutrition during the lean season, with possible loss of the most vulnerable children and women in the region.\u201d
The U.N. and the U.S. paused food aid to Tigray in mid-March last year after discovering a \u201clarge-scale\u201d scheme to steal humanitarian grain. The suspension was rolled out to the rest of Ethiopia in June. U.S. officials believe the theft may be the biggest diversion of grain ever. Donors have blamed Ethiopian government officials and the military for the fraud.
The U.N. and the U.S. lifted the pause in December after introducing reforms to curb theft, but Tigray authorities say food is not reaching those who need it.
Two aid workers told the AP that the new system \u2014 which includes fitting GPS trackers to food trucks and putting QR codes on ration cards \u2014 has been hampered by technical issues. Aid agencies are also struggling with a lack of funds.
A third aid worker said the food aid pause and the slow resumption meant some people in Tigray have not received food aid for over a year. \u201cThey went through multiple rounds of registration and verification, but no actual distributions yet,\u201d the aid worker said.
The aid workers spoke to the AP on the condition of anonymity because they were not authorized to speak to the press.
Around 20.1 million people across Ethiopia need humanitarian food due to drought, conflict and a tanking economy. The aid pause pushed up hunger levels even further.
The U.S.-funded Famine Early Warning System has warned that crisis levels of hunger or worse \u201care expected in northern, southern and southeastern Ethiopia throughout at least early 2024.\u201d A former head of the WFP has described these levels of hunger as \u201cmarching towards starvation.\u201d
In Amhara, which shares a border with Tigray, a rebellion that erupted in August is impeding humanitarians\u2019 movements and making distributions difficult, while several regions of Ethiopia have been devastated by a multi-year drought.
Malnutrition rates among children in parts of Ethiopia\u2019s Afar, Amhara and Oromia regions range between 15.9% and 47%, according to a presentation by the Ethiopia Nutrition Cluster and reviewed by the AP. Among displaced children in Tigray, the rate is 26.5%. The Ethiopia Nutrition Cluster is co-chaired by the U.N. Children's Fund and the federal government.
Tigray, home to 5.5 million people, was the center of a devastating two-year civil war that killed hundreds of thousands and spilled into the neighboring regions. A U.N. panel accused Ethiopia\u2019s government of using \u201cstarvation as a method of warfare\u201d by restricting food aid to Tigray during the conflict, which ended in November 2022 with a peace deal.
Persistent insecurity meant only 49% of Tigray\u2019s farmland was planted during the main planting season last year, according to an assessment by U.N. agencies, NGOs and the regional authorities, and seen by the AP.
Crop production in these areas was only 37% of the expected total because of drought. In some areas the proportion was as low as 2%.
The poor harvest prompted Tigray\u2019s authorities to warn of an \u201cunfolding famine\u201d that could match the disaster of 1984-5, which killed hundreds of thousands of people across northern Ethiopia, unless the aid response is immediately scaled up.
But Ethiopia\u2019s federal government denies there is a large hunger crisis. When Tigray\u2019s leader, Getachew Reda, raised the alarm over looming mass starvation deaths last month, a federal government spokesperson dismissed the reports as \u201cinaccurate\u201d and accused him of \u201cpoliticizing the crisis.\u201d
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Therefore, the document is highly relevant to the topic of health." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/01/30/17c748701b8da8024f06869460b33961.json b/datasets/AP_news/raw_data/2024/01/30/17c748701b8da8024f06869460b33961.json new file mode 100644 index 0000000..af0b657 --- /dev/null +++ b/datasets/AP_news/raw_data/2024/01/30/17c748701b8da8024f06869460b33961.json @@ -0,0 +1,287 @@ +{ + "altids": { + "itemid": "17c748701b8da8024f06869460b33961", + "etag": "17c748701b8da8024f06869460b33961_2a7aza0c0", + "friendlykey": "31966637624", + "referenceid": "US-MED--STD Trends" + }, + "version": 2, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-01-31T02:38:11Z", + "firstcreated": "2024-01-30T16:11:20Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: Edits paragraphs 4 and 5 to include that total count was up 17% and that count includes latent and congenital cases, also edits summary.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "US-MED--STD Trends", + "headline": "The US hasn't seen syphilis numbers this high since 1950. Other STD rates are down or flat", + "headline_extended": "Infectious syphilis cases in the U.S. rose by 9% in 2022", + "slugline": "AP-US-MED--STD Trends, 2nd Ld-Writethru", + "description_summary": "Infectious syphilis cases in the U.S. rose by 9% in 2022. That's according to a new federal government report released Tuesday on sexually transmitted diseases in adults. The rate of new gonorrhea cases fell for the first time in a decade, while chlamydia rates were relatively flat. Total cases of syphilis surpassed 207,000 in 2022. That count includes the most infectious stages of the disease but also latent cases and cases in which pregnant women passed syphilis on to their babies. It is the highest count in the United States since 1950, and is rising in heterosexual men and women.", + "bylines": [ + { + "by": "By MIKE STOBBE", + "title": "AP Medical Writer" + } + ], + "located": "NEW YORK", + "datelinelocation": { + "city": "New York", + "countryareacode": "NY", + "countryareaname": "New York", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -74.00597, + 40.71427 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. For other uses, additional clearances may be required." + ], + "keywords": [ + "syphilis gonorrhea STD sexually transmitted CDC" + ], + "provider": "AP", + "infosource": [ + { + "name": "AP", + "type": "AP" + } + ], + "subject": [ + { + "rels": [ + "category" + ], + "creator": "Editorial", + "code": "a", + "name": "a" + }, + { + "rels": [ + "category" + ], + "creator": "Editorial", + "code": "n", + "name": "n" + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "e228f5487de410048fabdf092526b43e", + "name": "Sexually transmitted diseases", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 96 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "cc7a76087e4e10048482df092526b43e", + "name": "Health", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 96 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "cc7a76087e4e10048482df092526b43e", + "name": "Health", + "creator": "Editorial", + "editorial_subject": "Health", + "rels": [ + "direct" + ], + "relevance": 99 + } + ], + "place": [ + { + "scheme": "http://cv.ap.org/id/", + "code": "aacce28082c6100487e4df092526b43e", + "name": "New Mexico", + "creator": "Machine", + "rels": [ + "direct" + ], + "parentids": [ + "661e48387d5b10048291c076b8e3055c" + ], + "locationtype": { + "code": "0ae5eb8e00e04295a4fc209c94bfe6ef", + "name": "State" + }, + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -106.00085, + 34.50034 + ] + }, + "relevance": 31, + "parentnames": [ + "United States" + ] + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "788b364882f110048df3df092526b43e", + "name": "District of Columbia", + "creator": "Machine", + "rels": [ + "direct" + ], + "parentids": [ + "661e48387d5b10048291c076b8e3055c" + ], + "locationtype": { + "code": "9d26a20b35f0484a891740f8189d4c7b", + "name": "City" + }, + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -77.00025, + 38.91706 + ] + }, + "relevance": 59, + "parentnames": [ + "United States" + ] + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "5578469882c7100488badf092526b43e", + "name": "South Dakota", + "creator": "Machine", + "rels": [ + "direct" + ], + "parentids": [ + "661e48387d5b10048291c076b8e3055c" + ], + "locationtype": { + "code": "0ae5eb8e00e04295a4fc209c94bfe6ef", + "name": "State" + }, + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -100.25069, + 44.50026 + ] + }, + "relevance": 72, + "parentnames": [ + "United States" + ] + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "b058a9531c7d4399926f810e1003ac7e", + "name": "Rapid City", + "creator": "Machine", + "rels": [ + "direct" + ], + "parentids": [ + "5578469882c7100488badf092526b43e" + ], + "locationtype": { + "code": "9d26a20b35f0484a891740f8189d4c7b", + "name": "City" + }, + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -103.23324, + 44.07527 + ] + }, + "relevance": 31, + "parentnames": [ + "South Dakota" + ] + } + ], + "audiences": [ + { + "code": "82c6a4c46fa0446090a7acaf93159e4c", + "name": "Print", + "type": "AUDPLATFORM" + }, + { + "code": "9add4649b53b4702ba7d9de5d4fa607a", + "name": "Online", + "type": "AUDPLATFORM" + }, + { + "code": "f43adc08760d10048040e6e7a0f4673e", + "name": "National", + "type": "AUDSCOPE" + }, + { + "code": "f4ecf9b0760d10048044e6e7a0f4673e", + "name": "International", + "type": "AUDSCOPE" + }, + { + "code": "f5b16ea8760d10048047e6e7a0f4673e", + "name": "State", + "type": "AUDSCOPE" + }, + { + "code": "661850e07d5b100481f5c076b8e3055c", + "name": "Latin America and Caribbean", + "type": "AUDGEOGRAPHY" + }, + { + "code": "5578469882c7100488badf092526b43e", + "name": "South Dakota", + "type": "AUDGEOGRAPHY" + }, + { + "code": "661e48387d5b10048291c076b8e3055c", + "name": "United States", + "type": "AUDGEOGRAPHY" + } + ], + "associations": { + "1": { + "altids": { + "itemid": "7dbf7b0158664c13ad0dc59b2d8a4f67" + }, + "type": "picture" + } + }, + "body_nitf": "NEW YORK (AP) \u2014 The U.S. syphilis epidemic isn't abating, with the rate of infectious cases rising 9% in 2022, according to a new federal government report on sexually transmitted diseases in adults.
But there's some unexpected good news: The rate of new gonorrhea cases fell for the first time in a decade.
It's not clear why infectious cases of syphilis rose 9% while gonorrhea dropped 9%, officials at the U.S. Centers for Disease Control and Prevention said, adding that it's too soon to know whether a new downward trend is emerging for the latter.
They are most focused on syphilis, which is less common than gonorrhea or chlamydia but considered more dangerous. And while it continues to have a disproportionate impact on gay and bisexual men, it is expanding in heterosexual men and women, and increasingly affecting newborns, too, CDC officials said.
Total cases surpassed 207,000 in 2022, a 17% increase and the highest count in the United States since 1950, according to data released Tuesday. The count includes not only the most infectious stages of the disease but also latent cases and cases in which pregnant women passed syphilis on to their babies.
Syphilis is a bacterial disease that can surface as painless genital sores but can ultimately lead to paralysis, hearing loss, dementia and even death if left untreated.
New syphilis infections plummeted in the U.S. starting in the 1940s when antibiotics became widely available and fell to their lowest by 1998.
About 59,000 of the 2022 cases involved the most infectious forms of syphilis. Of those, about a quarter were women and nearly a quarter were heterosexual men.
\u201cI think it's unknowingly being spread in the cisgender heterosexual population because we really aren\u2019t testing for it. We really aren't looking for it\u201d in that population, said Dr. Philip Chan, who teaches at Brown University and is chief medical officer of Open Door Health, a health center for gay, lesbian and transgender patients in Providence, Rhode Island.
The report also shows rates of the most infectious types of syphilis rose not just across the country but also across different racial and ethnic groups, with American Indian and Alaska Native people having the highest rate. South Dakota outpaced any other state for the highest rate of infectious syphilis at 84 cases per 100,000 people \u2014 more than twice as high as the state with the second-highest rate, New Mexico.
South Dakota's increase was driven by an outbreak in the Native American community, said Dr. Meghan O\u2019Connell, chief public health officer at the Great Plains Tribal Leaders\u2019 Health Board based in Rapid City, South Dakota. Nearly all of the cases were in heterosexual people, and O'Connell said that STD testing and treatment was already limited in isolated tribal communities and only got worse during the pandemic.
The U.S. Department of Health and Human Services last year convened a syphilis task force focused on stopping the spread of the STD, with an emphasis on places with the highest syphilis rates \u2014 South Dakota, 12 other states and the District of Columbia.
The report also looked at the more common STDs of chlamydia and gonorrhea.
Chlamydia cases were relatively flat from 2021 to 2022, staying at a rate of about 495 per 100,000, though there were declines noted in men and especially women in their early 20s. For gonorrhea, the most pronounced decline was seen in women in their early 20s as well.
Experts say they're not sure why gonorrhea rates declined. It happened in about 40 states, so whatever explains the decrease appears to have occurred across most of the country. STD testing was disrupted during the COVID-19 pandemic, and officials believe that's the reason the chlamydia rate fell in 2020.
It's possible that testing and diagnoses were still shaking out in 2022, said Dr. Jonathan Mermin, director of the CDC\u2019s National Center for HIV, Viral Hepatitis, STD and TB Prevention.
\u201cWe are encouraged by the magnitude of the decline,\u201d Mermin said, though the gonorrhea rate is still higher now than it was pre-pandemic. \"We need to examine what happened, and whether it's going to continue to happen.\u201d
___
The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute\u2019s Science and Educational Media Group. The AP is solely responsible for all content.
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Given that the topic is 'Health,' the document is highly relevant as it addresses significant public health concerns and provides insights into the epidemiology of STDs." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/01/30/556c0206d24ada6d2ac8581f5100b1fc.json b/datasets/AP_news/raw_data/2024/01/30/556c0206d24ada6d2ac8581f5100b1fc.json new file mode 100644 index 0000000..a1c24a8 --- /dev/null +++ b/datasets/AP_news/raw_data/2024/01/30/556c0206d24ada6d2ac8581f5100b1fc.json @@ -0,0 +1,247 @@ +{ + "altids": { + "itemid": "556c0206d24ada6d2ac8581f5100b1fc", + "etag": "556c0206d24ada6d2ac8581f5100b1fc_1a9aza0c0", + "friendlykey": "634581278698", + "referenceid": "Pfizer-Results" + }, + "version": 1, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-01-30T14:34:48Z", + "firstcreated": "2024-01-30T14:31:40Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: Updates Media.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "Pfizer-Results", + "headline": "Pfizer stays the course on 2024 outlook after delivering better earnings than Wall Street forecast", + "headline_extended": "Pfizer turned in a better-than-expected fourth quarter, boosted by products outside the drugmaker\u2019s slumping COVID-19 vaccine and treatment", + "slugline": "BC-Pfizer-Results, 1st Ld-Writethru", + "description_summary": "Pfizer turned in a better-than-expected fourth quarter, boosted by products outside the drugmaker\u2019s slumping COVID-19 vaccine and treatment. 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The New York drugmaker also said Tuesday it's reaffirming its forecast for 2024, a month after surprising Wall Street with an initial outlook that missed consensus.
In the fourth quarter, Pfizer said it booked 8% operational revenue growth outside its market-leading COVID vaccine, Comirnaty, and treatment, Paxlovid. That excludes the impact of foreign exchanges.
Comirnaty sales tumbled 53% in the quarter to $5.4 billion, and Pfizer took a $3.1 billion hit from Paxlovid for a revenue reversal. That was tied to the return of unused treatment courses that had been purchased by the government.
The vaccine and treatment helped push Pfizer past $100 billion in sales for 2022. But a big sales drop was expected after the drugmaker switched last year to selling on the commercial market instead relying on bulk government contracts.
A Pfizer spokeswoman said the company expects to start recovering some of that revenue reversal from Paxlovid this year. Pfizer will contribute to a government stockpile of treatment courses and help establish a patient assistance program.
Overall, Pfizer lost $3.37 billion in the final quarter of 2023 after booking a nearly $5 billion profit in the same quarter the prior year. But earnings adjusted for one-time items came to 10 cents per share.
Analysts had expected a loss of 18 cents per share, according to the data firm FactSet.
Pfizer\u2019s total revenue fell 41% in the quarter to $14.25 billion. That missed the consensus expectation for $14.37 billion.
For the full year, Pfizer earned $2.1 billion on $58.5 billion in total revenue.
The drugmaker says it still expects 2024 adjusted earnings to range between $2.05 and $2.25 per share.
Analysts expect $2.27 per share this year. But Wall Street expectations also are dialed back now from previous consensus forecasts made last fall for earnings per share of $3.17 or more.
Pfizer debuted its 2024 forecast in December. It included sales expectations for its COVID-19 products that fell more than $5 billion short of expectations. The company said then that it was starting conservatively to avoid creating any more uncertainty.
The company had previously scaled back its sales expectations for 2023, which sent Pfizer shares plunging and contributed to a rough year for the stock.
Pfizer Inc. shares rose about 3% in early trading Tuesday.
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Therefore, it is somewhat relevant to the topic of health but not highly focused on it." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/01/30/6aa8ca96a1746785dcae9f168c227124.json b/datasets/AP_news/raw_data/2024/01/30/6aa8ca96a1746785dcae9f168c227124.json new file mode 100644 index 0000000..1ee3fb5 --- /dev/null +++ b/datasets/AP_news/raw_data/2024/01/30/6aa8ca96a1746785dcae9f168c227124.json @@ -0,0 +1,292 @@ +{ + "altids": { + "itemid": "6aa8ca96a1746785dcae9f168c227124", + "etag": "6aa8ca96a1746785dcae9f168c227124_3a4aza0c0", + "friendlykey": "641813238606", + "referenceid": "EU--France-Abortion Right" + }, + "version": 3, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-01-31T00:42:18Z", + "firstcreated": "2024-01-30T06:11:24Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: Revises headline.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "EU--France-Abortion Right", + "headline": "France's National Assembly approves bill meant to enshrine right to abortion in French Constitution", + "headline_extended": "France\u2019s National Assembly has approved a bill meant to enshrine a woman\u2019s right to an abortion in the French Constitution", + "slugline": "BC-EU--France-Abortion Right, 3rd Ld-Writethru", + "description_summary": "France\u2019s National Assembly has approved a bill meant to enshrine a woman\u2019s right to an abortion in the French Constitution. 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The measure has been promised by President Emmanuel Macron following a rollback of abortion rights in the United States.
The bill was voted Tuesday evening by the lower house of parliament by 493 votes for and 30 against.
\u201cTonight, the National Assembly and the government did not miss their rendez-vous with women's history,\u201d Justice Minister Eric Dupond-Moretti said.
Macron\u2019s government wants Article 34 of France's constitution amended to include that \u201cthe law determines the conditions by which is exercised the freedom of women to have recourse to an abortion, which is guaranteed.\u201d
A constitutional amendment must pass both chambers of parliament and then be approved either in a referendum or by a three-fifths majority of a joint session of parliament. Macron's government is aiming for the second method, though the measure's level of support in the Senate is less certain than in the National Assembly.
None of France\u2019s major political parties represented in parliament is questioning the right to abortion.
Yet some members of the conservative majority in the Senate have criticized the wording of the proposal, making its passage there more uncertain. If the same version of the bill ultimately passes both houses, Macron would call a special session of all legislators in attempts to win a three-fifths vote.
Abortion in France was decriminalized under a 1975 law, but there is nothing in the constitution that would guarantee abortion rights.
The government argued in its introduction to the bill that the right to abortion is threatened in the United States, where the Supreme Court in 2022 overturned a 50-year-old ruling that had guaranteed the right to an abortion.
\u201cUnfortunately, this event is not isolated: in many countries, even in Europe, there are currents of opinion that seek to hinder at any cost the freedom of women to terminate their pregnancy if they wish,\u201d the introduction to the French legislation says.
In Poland, a controversial tightening of the already restrictive abortion law led to protests in the country last year The Polish constitutional court ruled in 2020 that women could no longer terminate pregnancies in cases of severe fetal deformities, including Down Syndrome.
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(AP) \u2014 The No. 2 elected leader in the North Carolina House said on Tuesday that she has been receiving treatment for breast cancer, with the likelihood of a full recovery deemed extremely high.
House Speaker Pro Tempore Sarah Stevens confirmed her disease and the prognosis in an interview following a visit to Raleigh for a legislative oversight committee.
Stevens, who will be 64 next month, said she was diagnosed in August and had a tumor removed. She said she is wrapping up chemotherapy and is about to begin radiation.
Stevens said cancer runs among the women in her family, and she was previously diagnosed with breast cancer two decades ago. This cancer is separate and apart from her previous illness, she said.
The Surry County Republican and attorney was first elected to the state House in 2008 and became a leader on judicial matters. She is now in her fourth two-year term as speaker pro tempore, having been first elected by the chamber in 2017. One of her chief responsibilities is directing debate when House Speaker Tim Moore is absent.
Stevens said she encourages people with a similar cancer diagnosis to find a support group and learn about the disease from friends who have battled it.
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Janet Mills said during her State of the State address Tuesday that there's broad support for taking action to prevent future tragedies. The governor also used her annual speech to address storms that hit Maine in recent weeks and caused millions of dollars of damage.", + "bylines": [ + { + "by": "By DAVID SHARP", + "title": "Associated Press" + } + ], + "located": "AUGUSTA, Maine", + "datelinelocation": { + "city": "Augusta", + "countryareacode": "ME", + "countryareaname": "Maine", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -69.77949, + 44.31062 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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Janet Mills called Tuesday evening for strengthening the state's yellow flag law, boosting background checks for private sales of weapons and bolstering mental crisis care, telling lawmakers that there's broad support for action to prevent future tragedies following the deadliest mass shooting in state history.
The Democratic governor delivered her State of the State address to a joint session of the Maine Legislature three months after Army reservist Robert Card killed 18 people and wounded 13 others in Lewiston, the state's second-largest city. Mills read aloud the name of each victim and recognized law enforcement officers in the gallery.
She wants to allow police officers to be able to go directly to a judge to start the process of removing guns from someone in a psychiatric crisis, addressing a problem that arose when a deputy was stymied by Card's refusal to answer the door for a required face-to-face meeting that's necessary under current law. The rampage happened little more than a month later.
Mills also wants to require background checks for advertised private gun sales, increase penalties for reckless private sales to prohibited people, and create a statewide network of crisis centers for people experiencing mental health emergencies.
Citing wide-ranging support for action, Mills urged lawmakers not to wait any longer or give in to the cynical attitude that it's pointless to try to change gun laws because they will be broken.
\u201cFor the sake of the communities, individuals and families now suffering immeasurable pain, for the sake of our state, doing nothing is not an option,\u201d the governor said, prompting a standing ovation.
In addition to gun violence and mental health, the governor used her annual speech to address extreme weather events following storms that hit Maine in recent weeks, causing millions of dollars of damage. She proposed funding for community resiliency efforts and infrastructure upgrades.
She also proposed the creation of a new violence and injury prevention program requiring the Maine Centers for Disease Control and Prevention to serve as a clearinghouse for data from law enforcement, hospitals, schools and other sources to inform public policy decisions.
Her proposal for a network of crisis centers, meanwhile, would build upon the first such facility already in operation in Portland and a second one that's being created in central Maine. A third center would be built in Lewiston as part of a statewide expansion overseen by the Maine Department of Health and Human Services.
The gun control proposals could face some pushback in a state known for its hunting traditions.
Senate GOP Leader Trey Stewart and House GOP Leader Billy Bob Faulkingham, delivering the formal Republican response, didn't address the governor's gun control proposals but emphasized reining in government and putting faith in people to make decisions.
Maine already has a yellow flag law that differs from other states\u2019 so-called red flag laws, which allow family members to go directly to a judge. The yellow flag law requires police to initiate the process.
The proposed expansion would allow police to go directly to a judge for a warrant to take someone into protective custody, allowing a warrant to be issued for the temporary removal of guns from someone in a mental health crisis without first meeting to assess whether protective custody is necessary as required by current law.
Mills also proposed that sellers utilizing an advertised private gun sale \u2014 a sale posted on Craigslist, for example \u2014 must conduct a background check utilizing commercially licensed businesses like L.L. Bean or Cabela's, while legal standards for prosecution and penalties would be strengthened to deter other people from transferring weapons to prohibited buyers.
\u201cViolence is not a simple problem. And the remedy is not a simple, single measure,\" the governor told lawmakers. \"And these proposals represent progress, and they do not trample on anybody\u2019s rights,\u201d
The speech was delivered to the Maine Legislature in the second part of Mills' annual address. Hours earlier, she released a letter to lawmakers to address her upcoming supplemental budget and other proposals.
In her letter, Mills urged fiscal restraint after several years of budget surpluses as the state bounced back from the COVID-19 pandemic, and she said she intends to set aside $100 million for the next two-year budget when state revenues are anticipated to level off.
\u201cI recognize there are many needs across the state, and I know, in the past, we have been able to say yes to a lot of things. However, this year is, and must be, different,\u201d Mills wrote. \u201cIf we do not budget responsibly now, the Legislature will be forced to make painful cuts in the future \u2014 just like other states are having to do now.\u201d
Nonetheless, she did propose some modest spending to address the state\u2019s housing crunch, opioid epidemic, child welfare and education.
Mills cited individual income growth, low unemployment and business openings among reasons for being optimistic about the future. She said that despite recent changes including the shootings and storms, \u201cour state is getting stronger every day.\u201d
___
Follow David Sharp on X, formerly known as Twitter, @David_Sharp_AP
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Their meeting was a hopeful sign of cooperation as the two global powers try to better manage their contentious ties. Jen Daskal, a deputy homeland security advisor in the White House, says that The U.S. is seeking more information sharing and law enforcement cooperation and the designation and control of made-in-China chemicals that are ingredients for fentanyl made elsewhere. The U.S. says the production is done largely in Mexico, and the final product is then smuggled into the United States.", + "bylines": [ + { + "by": "By KEN MORITSUGU", + "title": "Associated Press" + } + ], + "located": "BEIJING", + "datelinelocation": { + "city": "Beijing", + "countrycode": "CHN", + "countryname": "China", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + 116.39723, + 39.9075 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. 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Their meeting was a hopeful sign of cooperation as the two global powers try to better manage their contentious ties.
The U.S. is seeking more information sharing and law enforcement cooperation and the designation and control of made-in-China chemicals that are ingredients for fentanyl made elsewhere, said Jen Daskal, a deputy homeland security advisor in the White House.
\u201cObviously we need to see the results and we need to see action,\u201d she said in a phone interview after the meeting. \u201cBut there was a real spirit of cooperation and a commitment to working together.\u201d
The first meeting of a new U.S.-China counternarcotics working group will be followed by more in-depth meetings in smaller groups on Wednesday. Fentanyl, the synthetic opioid that is ravaging America, is a major focus, and in particular the ingredients and pill presses for the drug that come from China.
Chinese President Xi Jinping agreed to restart cooperation in drug trafficking and a handful of other areas when he and U.S. President Joe Biden met outside San Francisco in November. The agreements were a small step forward in a relationship strained by major differences on issues ranging from trade and technology to Taiwan and human rights.
The U.S. wants China to do more to curb the export of chemicals that it says are processed into fentanyl, largely in Mexico, before the final product is smuggled into the United States.
Chinese Public Security Minister Wang Xiaohong said the two sides had in-depth and pragmatic talks.
\"We reached common understanding on the work plan for the working group,\u201d he said at a ceremony marking the inauguration of the group.
Daskal said that Biden had sent a high-level delegation \"to underscore the importance of this issue to the American people.\u201d
She said there have been some drops in shipments of fentanyl \u201cprecursors\u201d from China since the Biden-Xi meeting and stressed the importance of information sharing to identify trends and keep up with fentanyl producers who come up with substitutes when supplies of a particular ingredient dry up.
\u201cThere\u2019s a real sense of urgency,\u201d she said, noting the high number of fentanyl-related fatalities in the United States and the violence, corruption and instability fueled by drug cartels around the world.
China used to be a major supplier of fentanyl, and the U.S. has credited Beijing for a 2019 crackdown that led to \u201ca drastic reduction in seizures of fentanyl shipments ... from China.\u201d
Synthetic opioids are the biggest killers in the deadliest drug crisis the U.S. has ever seen. More than 100,000 deaths were linked to drug overdoses in 2022, according to the U.S. Centers for Disease Control and Prevention. More than two-thirds involved fentanyl or similar synthetic drugs.
China had previously rebuffed U.S. appeals for help as relations between the two global powers deteriorated, often responding that the U.S. should look inward to solve its domestic problems and not blame them on China.
Talks were formally put on ice in 2022, when China suspended cooperation in several areas including narcotics to protest a visit to Taiwan by then-U.S. House Speaker Nancy Pelosi.
The ice began to thaw in the lead-up to the Biden-Xi meeting in November 2023. A U.S. Senate delegation pressed the fentanyl issue on a visit to Beijing in October and said that Chinese officials expressed sympathy for the victims of America's opioid crisis.
But China refused to discuss cooperation unless the U.S. lifted sanctions on the Public Security Ministry's Institute of Forensic Science. The Commerce Department had imposed the sanctions in 2020, accusing the institute complicity in human rights violations against Uyghurs and other predominantly Muslim ethnic groups in China\u2019s Xinjiang region.
The U.S. quietly agreed to lift the sanctions to get cooperation on fentanyl. Chinese Foreign Minister Wang Yi acknowledged \"the removal of the obstacle of unilateral sanctions\u201d in a speech on China-U.S. relations earlier this month.
State Department spokesperson Matthew Miller called it \u201can appropriate step to take\u201d given what China was willing to do on the trafficking of fentanyl precursors.
", + "textformat": "bx", + "links": [ + { + "href": "https://apnews.com/article/china-us-fentanyl-opioid-precursor-b296aeb56a3df511103ff3b2790c6450", + "rel": "canonical" + } + ], + "topics": { + "Health": { + "relevance_score": 5, + "reason": "The document discusses the cooperation between the US and China to combat fentanyl trafficking, which is directly related to public health due to the significant impact of fentanyl on the opioid crisis in the United States. The document highlights the efforts to control the flow of fentanyl and its precursors, which are critical to addressing the health crisis caused by synthetic opioids. Therefore, the document is highly relevant to the topic of health." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/01/30/c2d319d28ea8760ef8da878bd6600bee.json b/datasets/AP_news/raw_data/2024/01/30/c2d319d28ea8760ef8da878bd6600bee.json new file mode 100644 index 0000000..1b92333 --- /dev/null +++ b/datasets/AP_news/raw_data/2024/01/30/c2d319d28ea8760ef8da878bd6600bee.json @@ -0,0 +1,256 @@ +{ + "altids": { + "itemid": "c2d319d28ea8760ef8da878bd6600bee", + "etag": "c2d319d28ea8760ef8da878bd6600bee_0a4aza0c0", + "friendlykey": "864368381619", + "referenceid": "US--AP Poll-AAPI-Economy" + }, + "version": 0, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-01-30T18:00:07Z", + "firstcreated": "2024-01-30T18:00:06Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: Updates Media.", + "signals": [ + "newscontent" + ], + "title": "US--AP Poll-AAPI-Economy", + "headline": "US Asians and Pacific Islanders worry over economy, health care costs, AP-NORC/AAPI data poll shows", + "headline_extended": "A majority of Asian Americans and Pacific Islanders in the United States call their personal financial situation good", + "slugline": "BC-US--AP Poll-AAPI-Economy", + "description_summary": "A majority of Asian Americans and Pacific Islanders in the United States call their personal financial situation good. But, recent polling shows the outlook isn\u2019t quite as sunny when it comes to the nation's economy, rising household expenses and unexpected medical costs. Those are the findings of a new poll from AAPI Data and The Associated Press-NORC Center for Public Affairs Research. Around 65% of AAPI adults believe the economy is doing somewhat poorly. Nearly a quarter have little or no confidence they can keep up with household expenses. And 4 in 10 feel the same about a sudden medical expense.", + "bylines": [ + { + "by": "By TERRY TANG and LINLEY SANDERS", + "title": "Associated Press" + } + ], + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. For other uses, additional clearances may be required." + ], + "keywords": [ + "asian american pacific islander poll personal finance economy" + ], + "provider": "AP", + "infosource": [ + { + "name": "AP", + "type": "AP" + } + ], + "person": [ + { + "scheme": "http://cv.ap.org/id/", + "code": "42fcd5108d2610048a34f7ae5e3ffd3e", + "name": "Joe Biden", + "creator": "Machine", + "rels": [ + "direct" + ], + "types": [ + "POLITICIAN", + "PERSON" + ], + "relevance": 54 + } + ], + "subject": [ + { + "rels": [ + "category" + ], + "creator": "Editorial", + "code": "a", + "name": "a" + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "7b08dc6651164504845f8e789e8722cc", + "name": "Asian Americans", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 60 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "4f7e0448857510048d0aff2260dd383e", + "name": "Economy", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 77 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "39a5551883591004893adf092526b43e", + "name": "Health care costs", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 94 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "86bcf1d87dac10048964ba7fa5283c3e", + "name": "Public opinion", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 68 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "a4677d70863b4012b846a1b00f5079f5", + "name": "U.S. news", + "creator": "Editorial", + "editorial_subject": "U.S. news", + "rels": [ + "direct" + ], + "relevance": 99 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "f25af2d07e4e100484f5df092526b43e", + "name": "General news", + "creator": "Editorial", + "editorial_subject": "General news", + "rels": [ + "direct" + ], + "relevance": 50 + } + ], + "organisation": [ + { + "scheme": "http://cv.ap.org/id/", + "code": "ac18a2ea71034a5991f916b5b3e113e7", + "name": "Associated Press", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 45 + } + ], + "place": [ + { + "scheme": "http://cv.ap.org/id/", + "code": "603b57cc12944739a1bb2ed5ca1f1421", + "name": "Riverside", + "creator": "Machine", + "rels": [ + "direct" + ], + "parentids": [ + "789fdd8882af10048263df092526b43e" + ], + "locationtype": { + "code": "9d26a20b35f0484a891740f8189d4c7b", + "name": "City" + }, + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -117.39616, + 33.95335 + ] + }, + "relevance": 46, + "parentnames": [ + "California" + ] + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "789fdd8882af10048263df092526b43e", + "name": "California", + "creator": "Machine", + "rels": [ + "direct" + ], + "parentids": [ + "661e48387d5b10048291c076b8e3055c" + ], + "locationtype": { + "code": "0ae5eb8e00e04295a4fc209c94bfe6ef", + "name": "State" + }, + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -119.75126, + 37.25022 + ] + }, + "relevance": 53, + "parentnames": [ + "United States" + ] + } + ], + "audiences": [ + { + "code": "82c6a4c46fa0446090a7acaf93159e4c", + "name": "Print", + "type": "AUDPLATFORM" + }, + { + "code": "9add4649b53b4702ba7d9de5d4fa607a", + "name": "Online", + "type": "AUDPLATFORM" + }, + { + "code": "f43adc08760d10048040e6e7a0f4673e", + "name": "National", + "type": "AUDSCOPE" + }, + { + "code": "f4ecf9b0760d10048044e6e7a0f4673e", + "name": "International", + "type": "AUDSCOPE" + }, + { + "code": "661850e07d5b100481f5c076b8e3055c", + "name": "Latin America and Caribbean", + "type": "AUDGEOGRAPHY" + }, + { + "code": "661e48387d5b10048291c076b8e3055c", + "name": "United States", + "type": "AUDGEOGRAPHY" + } + ], + "associations": { + "1": { + "altids": { + "itemid": "17a1fe4fe8f145ad881d8bb4783bc312" + }, + "type": "picture" + } + }, + "body_nitf": "Asian Americans and Pacific Islanders in the United States are somewhat more optimistic than the overall adult population about their personal finances, but recent polling shows the outlook isn't quite as sunny when it comes to keeping up with household expenses or unexpected medical costs.
A new poll from AAPI Data and The Associated Press-NORC Center for Public Affairs Research finds that 62% of U.S. Asians and Pacific Islanders say their household's financial situation is good, slightly higher than the 54% of all U.S. adults who said that in an October AP-NORC poll. But only about one-quarter of Asian American and Pacific Islander adults are extremely or very confident they would be able to pay for a sudden medical expense. That is in sync with 26% of U.S. adults overall. Meanwhile, 4 in 10 are \u201cnot very\u201d or \u201cnot at all\u201d confident.
When it comes to the ability to maintain household expenses, only 3 in 10 AAPI adults are highly confident they can do so. An additional 46% are \u201csomewhat confident\u201d and 23% have \u201clittle to no confidence.\u201d
Stan Kilpatrick, a 65-year-old Republican in Altadena, California, runs a limo service. His client base, which includes the University of Southern California, has gone down because more events and meetings with guest speakers and groups are happening virtually. Meanwhile, the cost of auto insurance and fuel continues to rise.
\u201cMuch of the money that I was saving for retirement has gone into the day-to-day expenses as the business has gone down,\u201d said Kilpatrick, who is half Chinese. He also has a 23-year-old daughter living at home and is \u201cabsolutely terrified\" because of what things cost right now. I feel for her because if you\u2019re just starting out, it\u2019s like you really are stuck in the land of the roommate.\u201d
He is somewhat confident he could weather an unforeseen payment like a health-related need. But that is only because of the health insurance coverage he has as an Army veteran.
\u201cThey\u2019re able to spread the cost. So, that does help but ultimately out of pocket, I\u2019m not necessarily sure that the Veterans Administration will be there for me,\u201d Kilpatrick said.
Karthick Ramakrishnan, a public policy professor at the University of California, Riverside and founder of AAPI Data, said concerns about health costs and medical debt are clearly high priorities in the Asian American and Pacific Islander community. There are more multi-generational AAPI households compared to the U.S. average, and these households are more likely to include foreign-born grandparents who don't qualify for Medicare.
The weight of medical costs is emotional too, Ramakrishnan said.
\u201cThere is just the sense of familial obligation that tends to be fairly high in many Asian, Asian American cultures,\u201d he said. \u201cYou look at a population that on average has higher incomes, but they\u2019re not much more likely than the U.S. average to say that they\u2019ll have enough savings for retirement \u2014 22% versus 18%.\u201d
When it comes to the nation's economy as a whole, 65% of AAPI adults characterize it as at least somewhat poor. That aligns with 69% of the general U.S. adult population in a December AP-NORC poll. Furthermore, about 4 in 10 AAPI adults believe the economy will only get worse in the next year. Only about 2 in 10 think it will actually improve. But they mostly follow party lines when it comes to how President Joe Biden is handling the economy, inflation, jobs and student debt.
About half identified as Democrats, about one-quarter as Republicans and 2 in 10 as independents.
About 4 in 10 AAPI adults expressed approval with how Biden is handling the economy. But only 34% of U.S. adults approve of his performance on the economy. A majority of AAPI adults \u2014 55% \u2014 approve of how Biden is handling jobs. Only 32% approve of how he is dealing with cost inflation. On student debt, 45% approve of him. That is on par with the 41% of U.S. adults overall who approved in the October poll.
Audrey Jackson-Post, 34, of Kirksville, Missouri, said her household's financial situation has been difficult. Sometimes she stresses out over paying basic expenses. She and her husband recently fell short of buying a house. Jackson-Post, who is part Korean, only has part-time hours in the kitchen of the school where her husband works in the classroom full-time.
A Democrat, Jackson-Post is not sure if she will vote for Biden in the presidential election.
\u201cSince he\u2019s been in office, it\u2019s been harder for everyone to get jobs. It just feels like everything\u2019s harder,\u201d she said. \u201cMy situation\u2019s not great, but if the housing market isn\u2019t the way it is, I would have been able to get a different house.\u201d
James Bae, 49 and a married business consultant in Temecula, California, said his household income is lower compared to a year ago. The number of companies willing to pay for his services fluctuates with the state of the economy. Meanwhile, household expenses have risen. Bae, who is Korean American and unaffiliated with a political party, recently went back to school for his Ph.D. Plus, he and his wife have two teenage sons.
\u201cThey eat a lot, they\u2019re getting more active. Certainly, I'm glad they\u2019re great and they're getting more involved in activities but it costs more,\u201d Bae said.
At the same time, he believes the country's economy is moving in the right direction. He pointed to the Biden administration trying to foster more technology and manufacturing in the U.S. as well as financial assistance during the pandemic. He also acknowledges inflation is \u201ca tough needle to thread.\u201d
\u201cIf I had the trade-off with the state of employment and the way the economy is, I\u2019d rather have the problems we have now with inflation rather than a recession,\u201d Bae said.
He worries that the outcome of this year's presidential election could badly disrupt things.
\u201cBuilding the infrastructure for a developing future economy takes time,\u201d Bae said. \u201cIf the administration changes over, I suspect a lot of those things will be stopped and curtailed.\u201d
__
The poll of 1,091 U.S. adults who are Asian American, Native Hawaiian and Pacific Islanders was conducted Dec. 4-11, 2023, using a sample drawn from NORC's probability-based Amplify AAPI Panel, designed to be representative of the Asian American, Native Hawaiian, and Pacific Islander population. The margin of sampling error for all respondents is plus or minus 4.5 percentage points.
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These points are relevant to the topic of health, but the document is not solely focused on health issues." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/01/30/e92ca9621c9331487c94e9b537c2d537.json b/datasets/AP_news/raw_data/2024/01/30/e92ca9621c9331487c94e9b537c2d537.json new file mode 100644 index 0000000..5905bf2 --- /dev/null +++ b/datasets/AP_news/raw_data/2024/01/30/e92ca9621c9331487c94e9b537c2d537.json @@ -0,0 +1,302 @@ +{ + "altids": { + "itemid": "e92ca9621c9331487c94e9b537c2d537", + "etag": "e92ca9621c9331487c94e9b537c2d537_6a12aza0c0", + "friendlykey": "338895587473", + "referenceid": "US--Neuralink-Human Implant" + }, + "version": 6, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-01-31T13:11:44Z", + "firstcreated": "2024-01-30T15:19:52Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: Updates Media.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "US--Neuralink-Human Implant", + "headline": "Elon Musk says the first human has received an implant from Neuralink, but other details are scant", + "headline_extended": "According to Elon Musk, the first human received an implant from his computer-brain interface company Neuralink over the weekend", + "slugline": "AP-US-Neuralink-Human-Implant, 6th Ld-Writethru", + "description_summary": "According to Elon Musk, the first human received an implant from his computer-brain interface company Neuralink over the weekend. In a Monday post on X, the platform formerly known as Twitter, Musk said that the patient received the implant the day prior and was recovering well. The billionaire did not provide additional details about the patient. Neuralink reposted Musk\u2019s Monday post on X, but did not publish any additional statements acknowledging the human implant. Neuralink\u2019s device is about the size of a large coin and is designed to be implanted in the skull, with ultra-thin wires going directly into the brain. The initial goal of the so-called brain computer interface is to give people the ability to control a computer cursor or keyboard using their thoughts alone.", + "bylines": [ + { + "by": "By WYATTE GRANTHAM-PHILIPS and LAURA UNGAR" + } + ], + "located": "NEW YORK", + "datelinelocation": { + "city": "New York", + "countryareacode": "NY", + "countryareaname": "New York", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -74.00597, + 40.71427 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. For other uses, additional clearances may be required." + ], + "keywords": [ + "elon musk neuralink human brain implant" + ], + "provider": "AP", + "infosource": [ + { + "name": "AP", + "type": "AP" + } + ], + "person": [ + { + "scheme": "http://cv.ap.org/id/", + "code": "ee17704fdd2642e0a1e53fd801d88008", + "name": "Elon Musk", + "creator": "Machine", + "rels": [ + "direct" + ], + "types": [ + "BUSINESS_LEADER", + "PERSON" + ], + "relevance": 80 + } + ], + "subject": [ + { + "rels": [ + "category" + ], + "creator": "Editorial", + "code": "f", + "name": "f" + }, + { + "rels": [ + "category" + ], + "creator": "Editorial", + "code": "a", + "name": "a" + }, + { + "rels": [ + "category" + ], + "creator": "Editorial", + "code": "n", + "name": "n" + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "0d1cc8008c1e10048bb0a13d9888b73e", + "name": "Prostheses", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 88 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "7077b3c88b6b10048b67a385cd5ce603", + "name": "Medical technology", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 76 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "cc7a76087e4e10048482df092526b43e", + "name": "Health", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 62 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "cc7a76087e4e10048482df092526b43e", + "name": "Health", + "creator": "Editorial", + "editorial_subject": "Health", + "rels": [ + "direct" + ], + "relevance": 75 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "455ef2b87df7100483d8df092526b43e", + "name": "Technology", + "creator": "Editorial", + "editorial_subject": "Technology", + "rels": [ + "direct" + ], + "relevance": 75 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "a4677d70863b4012b846a1b00f5079f5", + "name": "U.S. news", + "creator": "Editorial", + "editorial_subject": "U.S. news", + "rels": [ + "direct" + ], + "relevance": 75 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "f25af2d07e4e100484f5df092526b43e", + "name": "General news", + "creator": "Editorial", + "editorial_subject": "General news", + "rels": [ + "direct" + ], + "relevance": 50 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "c8e409f8858510048872ff2260dd383e", + "name": "Business", + "creator": "Editorial", + "editorial_subject": "Business", + "rels": [ + "direct" + ], + "relevance": 99 + } + ], + "organisation": [ + { + "scheme": "http://cv.ap.org/id/", + "code": "e5c917c88bcc1004803aeb438e258b03", + "name": "U.S. Food and Drug Administration", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 57 + } + ], + "audiences": [ + { + "code": "82c6a4c46fa0446090a7acaf93159e4c", + "name": "Print", + "type": "AUDPLATFORM" + }, + { + "code": "9add4649b53b4702ba7d9de5d4fa607a", + "name": "Online", + "type": "AUDPLATFORM" + }, + { + "code": "f43adc08760d10048040e6e7a0f4673e", + "name": "National", + "type": "AUDSCOPE" + }, + { + "code": "f4ecf9b0760d10048044e6e7a0f4673e", + "name": "International", + "type": "AUDSCOPE" + }, + { + "code": "f5b16ea8760d10048047e6e7a0f4673e", + "name": "State", + "type": "AUDSCOPE" + }, + { + "code": "661850e07d5b100481f5c076b8e3055c", + "name": "Latin America and Caribbean", + "type": "AUDGEOGRAPHY" + }, + { + "code": "789fdd8882af10048263df092526b43e", + "name": "California", + "type": "AUDGEOGRAPHY" + }, + { + "code": "661e48387d5b10048291c076b8e3055c", + "name": "United States", + "type": "AUDGEOGRAPHY" + } + ], + "associations": { + "1": { + "altids": { + "itemid": "9585a3560ee746aa812865089024adf8" + }, + "type": "picture" + }, + "2": { + "altids": { + "itemid": "2499142e45ff437591f4faad5afc81c1" + }, + "type": "audio" + }, + "3": { + "altids": { + "itemid": "cc4d618df3234bb5bb5b62a7833db480" + }, + "type": "audio" + }, + "4": { + "altids": { + "itemid": "6432ddcebd5f43cc853c0ecdae047ddf" + }, + "type": "audio" + }, + "5": { + "altids": { + "itemid": "2bea9ec0ec42444a9adbb71f5f6831ee" + }, + "type": "audio" + }, + "6": { + "altids": { + "itemid": "98541b79926b480e9da7c14b500fcd74" + }, + "type": "audio" + }, + "7": { + "altids": { + "itemid": "31f95d459218495a96c8cf16974232af" + }, + "type": "video" + } + }, + "body_nitf": "NEW YORK (AP) \u2014 According to Elon Musk, the first human received an implant from his computer-brain interface company Neuralink over the weekend.
In a Monday post on X, the platform formerly known as Twitter, Musk said that the patient received the implant the day prior and was \u201crecovering well.\u201d He added that \u201cinitial results show promising neuron spike detection.\u201d
The billionaire, who co-founded Neuralink, did not provide additional details about the patient. When Neuralink announced in September that it would begin recruiting people, the company said it was searching for individuals with quadriplegia due to cervical spinal cord injury or amyotrophic lateral sclerosis, commonly known as ALS or Lou Gehrig\u2019s Disease.
Neuralink is one of many groups working on linking the nervous system to computers, efforts aimed at helping treat brain disorders, overcoming brain injuries and other applications. There are more than 40 brain computer interface trials underway, according to clinicaltrials.gov.
Neuralink reposted Musk's Monday post on X, but did not publish any additional statements acknowledging the human implant. The company did not immediately respond to The Associated Press' requests for comment Tuesday.
Neuralink previously announced that the U.S. Food and Drug Administration had approved its \u201cinvestigational device exemption,\u201d which generally allows a sponsor to begin a clinical study \u201cin patients who fit the inclusion criteria,\u201d the FDA said Tuesday. The agency pointed out that it can\u2019t confirm or disclose information about a particular study.
Neuralink\u2019s device is about the size of a large coin and is designed to be implanted in the skull, with ultra-thin wires going directly into the brain. In its September announcement, Neuralink said the wires would be surgically placed in a region of the brain that controls movement intention. The initial goal of the so-called brain computer interface is to give people the ability to control a computer cursor or keyboard using their thoughts alone.
In a separate Monday post on X, Musk said that the first Neuralink product is called \u201cTelepathy\u201d \u2014 which, he said, will enable users to control their phones or computers \u201cjust by thinking.\u201d He added that intial users would be those who have lost use of their limbs.
It\u2019s unclear how well this device or similar interfaces will ultimately work, or how safe they might be. Clinical trials are designed to collect data on safety and effectiveness.
Laura Cabrera, who researches brain science at Pennsylvania State University, said that even though Neuralink uses an innovative procedure \u2013 robotic surgery \u2013 to get the device in the brain, no one has implanted it before in humans and much remains unknown.
Brain surgery is \u201cnot a trivial thing,\u201d she said, pointing to significant potential risks such as brain hemorrhage or seizures. \u201cAnd so I think we have to be mindful that even though they\u2019re using a novel way to implant the device, we just don\u2019t know if it\u2019s truly going to be a \u2026 safer approach for human patients.\u201d
She pointed out that Neuralink\u2019s competitors plan to use their devices for medical applications only, but Musk has been outspoken about going beyond medicine. For example, Cabrera said, Musk has talked about implants for the masses that will allow people to record everything that happens to them and access the information when they want \u2014 which may raise red flags for some.
\u201cWe know that he has very bold claims,\u201d she said. \u201cPeople not really assessing the strengths and weaknesses of the technology is something that I worry about.\u201d
___
Ungar reported from Columbia, Missouri. Video journalist Christine Nguyen contributed from Houston, Texas.
___
The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute\u2019s Science and Educational Media Group. The AP is solely responsible for all content.
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The internet has become a clearing house for untested and even potentially dangerous medical products. They range from unproven supplements and remedies for aging to alternative treatments for COVID-19. Some of the people who are pushing these treatments have attracted the attention of federal regulators. But many continue to sell their products as these people exploit lingering fears from the pandemic and a lack of trust in traditional medicine. Experts say it recalls the period in the 19th century when peddlers selling cure-all ointments and powders traveled the country fleecing unsuspecting people. 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(AP) \u2014 The hotel on the outskirts of town looks a lot like lodging one can find on any American highway. Over the years it has been a Holiday Inn and a Days Inn. The sign outside now bears the brand of a new, growing chain. One that promises a lot more than a good night\u2019s sleep.
At the Tesla Wellness Hotel and MedBed Center, about 45 minutes north of Pittsburgh, the enticements are nothing short of miraculous.
Part motel, part new-age clinic, the facility offers nightly rentals in rooms that come equipped with \u201cBioHealers\u201d \u2013- canisters that the company claims exude \u201clife force energy,\u201d or biophotons. Testimonials from the company's patients speak to the devices' power to treat cancer, dementia, chronic pain and a long list of other ailments.
The center also sells the canisters for home use. Prices start at $599 and range all the way to $11,000 for the largest model, with slightly cheaper versions available for pets and children.
Just don\u2019t call the thousands of people who have shelled out big bucks to Tesla \u201cpatients.\u201d Dr. James Liu, the physician who founded Tesla, doesn\u2019t like the term -\u2013 perhaps the first clue that what he's selling goes far beyond the abilities of traditional medicine.
\u201cWe are not a clinic, not a doctor\u2019s office,\u201d said Liu, who earned a medical degree in China and a Ph.D. in human nutrition at Penn State University. \u201cFor me, for the company, I always call them customers.\u201d
Tesla Biohealing, which has no connection to the car company, is part of a growth industry marketing unproven cures and treatments to conspiracy theorists and others who have grown distrustful of science and medicine. Experts who study such claims say they're on the increase, thanks to the internet, social media and skepticism about traditional health care.
\u201cThere have always been hucksters selling medical cures, but I do feel like it\u2019s accelerating,\u201d said Timothy Caulfield, a health policy and law professor at the University of Alberta who studies medical ethics and fraud. \u201cThere are some forces driving that: obviously the internet and social media, and distrust of traditional medicine, traditional science. Conspiracy theories are creating and feeding this distrust.\u201d
Blending the high-tech jargon of Western science with the spiritual terminology of traditional and Eastern medicine, these modern salesmen claim their treatments can reverse aging, restore mental acuity or fight COVID-19 better than a vaccine. They promise better health, but what they\u2019re really selling is the idea of insider information, the promise of a secret known only to the wealthy and the powerful.
So-called medbeds are one of the flashiest, most expensive, and least credible. \u201cMedbeds are coming,\u201d exclaims a woman in one TikTok video. Similar videos have been seen millions of times on the platform.
According to believers of the QAnon conspiracy theory, medbeds were developed by the military (in some versions, using alien technology) and are already in use by the world\u2019s richest and most powerful families. Many accounts claim former President Donald Trump, if he wins another term in the White House, will unveil the devices and make them free for all Americans.
Whole message boards on Telegram are devoted to discussions about medbeds, and the latest rumors about when and where they will arrive.
\u201cI\u2019m desperately seeking any help from all to answer my prayers to a cure for my son\u2019s cancer,\u201d wrote one woman on another Telegram channel created by medbed conspiracy theorists in New Jersey.
For those waiting for medbeds to arrive, Tesla BioHealers may be tempting alternative, though one that comes with a cost.
A one-night stay in a \"highly-energized\" room at the Tesla complex in Butler runs for $300. The rooms look like any other motel room, although a look beneath the bed reveals several of the biophoton devices placed underneath. The company runs seven other medbed centers in other states and its devices are used at several other \u201cpartner\u201d facilities operated by other businesses.
Inside the canisters? A mix of \u201cfine naturally active stones and activated fine metal, grout, sands and proprietary polymers that are manufactured with a special technology,\u201d according to the company.
In addition to the biophoton emitting cannisters, the company also sells bottled water \u2014 24-packs of 16.9 ounce bottles of Tennessee spring water \u2014 for $150. The company says the water has been imbued with \u201clife force energy\u201d that can increase energy and libido, improve breathing, digestion and sleep, reduce pain and lead to \u201cvivid dreams to indicate enhanced brain activity.\u201d
At Walmart, a 24-pack of 16.9 ounce of generic brand water bottles retails for less than $4.
Online testimonials from Tesla's customers speak to the life-changing power of the company's products, with gushing superlatives such as \u201cIt worked miracles!\u201d But experts and scientists who have studied the company\u2019s claims say there\u2019s no scientific evidence to support them.
Tesla acknowledges the facts in its terms of service: \u201cTesla BioHealing does not provide any medical advice,\u201d the fine print says. \u201cOur products... are not intended to replace your physicians\u2019 care, diagnose, treat, cure, or prevent any disease or medical condition.\u201d
Liu told The Associated Press that he was unfamiliar with the medbed conspiracy theory when he named his company and that he isn\u2019t trying to exploit gullible people who want to believe medbeds are real. He said 40,000 people have used his devices so far, and that he believes the cannisters can treat about 80% of all disease.
Given the primary importance of health, it\u2019s hardly surprising that unproven medical claims and products that seem too-good-to-be-true have a long history in America. More than a century ago, hucksters peddled magic elixirs from wagons. Decades later, electricity sparked a brief craze in electric belts and magnet suits as a supposed cure for anxiety, paralysis or sexual problems. In the 1920s, a quack named John Brinkley became a household name by implanting goat testicles into the bodies of patients complaining of infertility and impotence. He later lost his medical license after he was exposed as a fraud.
In the 1970s and 1980s, the back pages of magazines were filled with ads for mail-order diet pills and supplements that made promises not backed up by the facts.
Today the same claims are made online, where they\u2019ve found a niche audience among conspiracy theorists and others distrustful of science and traditional medicine. \u201cShop Now!\u201d reads the website of conspiracy theorist Alex Jones, who sells supplements and vitamins alongside survival gear and emergency food rations.
These online communities were thriving long before the COVID-19 pandemic, which saw an explosion of false claims about vaccines, communicable diseases and even basic medical science.
And as the adherents' suspicion of traditional medicine, the media and the government has grown, more people are willing to put their faith in untested treatments and unproven claims.
In some cases, that faith can have deadly results. Last year, a Florida preacher and members of his family were convicted for selling a COVID-19 cure that was actually toxic industrial bleach. Others have died after ingesting other unproven COVID-19 cures such as chloroquine phosphate and hydroxychloroquine, which was promoted by Trump as president. Conspiracy theories about COVID-19 and immunization have also spurred opposition to the lifesaving vaccine.
The Food and Drug Administration maintains an online database of unproven or harmful treatments that it has identified, including unapproved treatments for COVID-19 that contain harmful chemicals, autism \u201ccures\u201d that include raw camel milk and the ingestion of dangerous heavy metals, and medications that supposedly cure all cancer.
\u201c Distrust of government and distrust of major institutions makes people vulnerable,\u201d said Stephen Barrett, a psychiatrist and expert in unproven medical claims who launched the organization Quackwatch in the 1970s to highlight medical scams. \u201cBut there are other factors too: Some people are desperate for help and they don\u2019t know what to believe.\u201d
Health care fraud is big business, and the largest source of civil fines and penalties for fraud paid to the federal government last year \u2014 more than $5 billion. Most investigations and prosecutions focused on schemes to defraud public health programs such as Medicaid and Medicare or the billions of dollars set aside for COVID-19. As a result, low-level hucksters or those peddling unproven treatments often don\u2019t get as much attention.
Liu and other Tesla employees are quick to defend their work, arguing they are only giving people alternatives to a medical system many no longer trust.
Like the automotive company owned by Elon Musk, Tesla BioHealing is named for Nikola Tesla, the 19th-century inventor and early electrical pioneer who, who like Musk, has become a favorite of many conspiracy theorists.
Many of Tesla Biohealing's customers have grown frustrated with the answers they get from doctors, said Seth Robinson, a chiropractor who directs Tesla's clinic in Delaware. Asked to describe a typical Tesla patient, Robinson doesn\u2019t hesitate.
\u201cDesperate, desperate, desperate is the word,\u201d he said. \u201cA lot of times people will come here, they will have anti-medicine thoughts, feelings. We\u2019re not anti-medicine. We believe medicine has a place. But medicine has a limitation.\u201d
Tesla\u2019s claims have attracted the interest of federal regulators. In August, the FDA wrote to the company demanding responses to questions about its devices and their supposed medical benefits. Liu said his company takes the letter seriously and is working on its response.
Among other concerns, the FDA questioned the assertions Tesla has made about its devices. The agency declined to comment on the matter. Depending on Tesla\u2019s response, the agency could levy fines or take other punitive actions, including ordering the company to remove its products from the market.
The AP contacted several people who had purchased the products, or whose relatives had, who said they later felt duped. None agreed to speak on the record, citing the fear of public embarrassment. Some angry customers have posted complaints about the products on social media.
\u201cDon\u2019t waste your money, I\u2019ve already wasted mine,\u201d said one woman who uploaded a TikTok video about her experiences with a BioHealer. During the video, the woman opened the container to reveal the interior of the canister: a solid mass that resembled concrete. \u201cThey sold me a can of cement.\u201d
Many of the company\u2019s claims ape the language of science, said Caulfield, the Canadian law professor, including technical sounding words like \u201cquantum\u201d or \u201cbiophotons\u201d to add to their credibility.
\u201cThey sound high-tech and employ the language of technology and medicine, even borrowing the name of Nikola Tesla,\u201d Caulfield said. \u201cIt\u2019s designed to enhance their credibility.\u201d
Tesla\u2019s claims about life force energy are also based, somewhat, on fact. Biophotons are real \u2014 a type of light emitted by living tissue that can\u2019t be seen by the human eye. But their role in health is not well understood and use as a medical therapy is not proven, according to Bahman Anvari, a professor of bioengineering at the University of California, Riverside.
Tesla is now undertaking a clinical study to demonstrate the effectiveness of the cannisters. For now, the company cites a single medical study written by Liu and three other Tesla employees as evidence to back up its claims. That study found that Tesla\u2019s canisters helped a woman who had complained of severe menstrual pain.
Anvari, however, noted that Tesla\u2019s single journal article was not peer-reviewed, was limited to a single patient who was also receiving standard treatments, lacked a control group and has not been replicated.
\u201cIt\u2019s completely scientifically implausible,\u201d Caulfield said. \u201cBut if you\u2019re desperate, and you\u2019re looking for answers, you can see why you\u2019d be drawn to it.\u201d
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Cigna said Wednesday the deal includes its Medicare Advantage insurance, a supplemental benefits business and Medicare prescription drug coverage. Medicare Advantage plans are privately run versions of the government\u2019s Medicare program mostly for people ages 65 and older.
Cigna CEO David Cordani said in a statement that his company still sees Medicare as an attractive market, but that business required a focus and resources that were \u201cdisproportionate to their size\u201d within the company\u2019s portfolio.
Cigna\u2019s Medicare business has 3.6 million customers, spokeswoman Justine Sessions said. That includes 2.5 million people with Part D prescription drug coverage, nearly 600,000 people with Medicare Advantage and more than 450,000 with Medicare Supplement plans.
By comparison, market leaders Humana and UnitedHealth Group Inc. each have more than 5 million people enrolled just in their respective Medicare Advantage plans
Privately held Health Care Service Corp., based in Chicago, runs nonprofit Blue Cross-Blue Shield coverage in several states. Those include Illinois, Texas and New Mexico.
The companies expect the deal to close in next year\u2019s first quarter. As part of the agreement, Cigna's Evernorth Health Services subsidiary will continue to manage pharmacy benefits for the Medicare business.
Cigna expects to use proceeds from the deal mainly for share repurchases.
Shares of Bloomfield, Connecticut-based Cigna climbed around 1% to $301.71 Wednesday afternoon while the Standard & Poor's 500 index was down 1%.
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Editorial: Improve oversight of charter programs
More is needed to ensure schools are financially sound.
After an auditing firm that served dozens of Minnesota charter schools failed under a cloud of wrongdoing, many of the schools were left in the lurch. Lacking a financial adviser, some were unable to fulfill state-required reporting and auditing.
The end of St. Paul Paul-based Anton Group exacerbated an existing problem in Minnesota: a shortage of auditing firms that can handle school finances. Better oversight and financial training are needed to ensure that charter operations are being reviewed and evaluated properly. Ultimately, state-approved auditors should be required and supported.
Many charters have been started by groups with good ideas about education but little experience managing schools. Some have been taken advantage of by shady accountants or even their own board members. Enrollment and (often related) financial problems are the major reasons that charters have closed over the years.
To that end, according to a Minnesota Department of Education (MDE) official, the state plans to put more resources into assisting charters. MDE is looking at doing a \u201cdeeper dive\u201d on the enrollment and financial issues as well as helping charters evaluate community needs to assess and better project enrollments.
Charter schools are independent public schools of choice for parents and students. They are run by boards of directors and must contract with a state-approved authorizer per state statutes. The idea was conceived in Minnesota, and the first charter schools in the nation opened here in 1992.
According to MDE, there were 180 charter programs in the state in 2023. About 68,000 students attended those schools, 55 of which are in greater Minnesota with the remaining majority located in the metro area.
Joey Cienian, executive director of the Minnesota Association of Charter Schools, told the Star Tribune that his organization is \u201chearing about a lot of situations where schools have lost their auditors and can\u2019t find a new one.\u201d
In 2023, an association survey showed that 29% of the state\u2019s charter schools had lost auditors, and some were still struggling to find a new one as the deadline for financial reports neared on Dec. 31, Cienian said. As a result of the shortage, he said, financial service costs have doubled or tripled for some charter schools.
MDE officials said 46 charter schools missed the 2023 reporting deadline, up from 41 last year. Spokesman Kevin Burns told an editorial writer that eight charters were in statutory operating debt last year and that three of those closed.
One of the three was the Legacy of Dr. Josie R. Johnson Montessori, a Minneapolis charter school that shut down earlier this month due to enrollment and financial trouble. It lost its auditor last year and did not submit audits for the past two years, according to the school\u2019s authorizer, Osprey Wilds.
\u201cThey were misled by their financial services provider into believing their audit was underway,\u201d said Erin Anderson, Osprey Wilds\u2019 director of charter school authorizing.
In another blow to a Twin Cities charter school, last month the Minnesota Attorney General\u2019s Office said that Burnsville charter school leaders needed to provide stronger oversight because of the questionable activities of a former executive director. An investigation by the AG found that a former director of Gateway STEM Academy violated his fiduciary duties by channeling school funds to companies owned or controlled by three of the school\u2019s directors or officers \u2014 including himself.
State Auditor Julie Blaha told a Star Tribune reporter that she\u2019ll ask the 2024 Minnesota Legislature to consider changing auditing requirements.
\u201cI wouldn\u2019t propose cutting auditing requirements for charter schools, but we can look for other places where we can recalibrate so more resources are available,\u201d Blaha said. \u201cWe aren\u2019t going to be able to hire our way out of this. We are going to have to change how we do that work.\u201d
Strong accounting oversight is needed to help prevent the abuse of public funds \u2014 whether it\u2019s due to inexperience on the part of boards, intentional theft or lack of resources.
___
Mankato Free Press. January 26, 2024.
Editorial: Mental Health: Legislature needs to fix treatment funding
Kids needing mental health treatment in Minnesota wait for days in emergency rooms. When kids and adults do get care, the providers are paid about 74% of what the government would pay for Medicaid patients. Woefully inadequate.
A recent study examining the Minnesota mental health system shows it\u2019s significantly underfunded while demand is overwhelming providers and the result has been the long waits for therapy and costly emergency room visits. Children\u2019s Health in Minneapolis reported some 1,700 children admissions to emergency rooms for mental health concerns in 2018. That number has since nearly doubled, according to a report in the Star Tribune.
While the current rate from the Department of Human Services for residential substance abuse treatment is about $79.84 per day, the study recommended the level should be nearly triple that at $216.90. per day.
Minnesota\u2019s formula for reimbursement is not based on costs providers face or quality of care. It has been set arbitrarily, according to Kristy Graume with the Minnesota Department of Human Services, according to the Star Tribune report.
And there is no way the state can triple its reimbursement rate, given a budget that will be flat or possibly in deficit in the next two years, according to Rep. Mohamud Noor, DFL-Minneapolis, and chair of the House and Human Services Finance Committee.
\u201cWe will do everything in our ability and power to increase rates,\u201d he told the Star Tribune, adding: \u201cI don\u2019t want to disappoint anybody \u2014 we don\u2019t have any budget capacity to do the rate increases that were reflected in this study, but we\u2019ll keep working together.\u201d
DHS experts say the state should adopt the Medicare formula for reimbursement, noting that the current state rates are unsustainable. The lack of funding leaves patients without treatment, and their care ends up being more costly as they end up in emergency rooms or jail.
Funding mental health care at reasonable rates for providers should be a top priority in the next legislative session. A Free Press in-depth report on mental health last year showed high demand for services locally and long wait times. It showed a state system of reimbursement fraught with delays and bottlenecks.
Some progress has been made. Last year, the Legislature boosted funding for mental health services, especially in schools. It approved establishment of the Blue Cross Blue Shield of Minnesota Center for Rural Behavioral Health at Minnesota State University. That institute will train mental health practitioners and provide mental health services.
But it\u2019s obvious more needs to be done. Tackling the reimbursement rate will not be an easy lift, and while funding may be tight, legislators should consider the costs, human and financial, that will be incurred by all if the system continues to fail patients who need help.
You can find mental health resources by Googling \u201cmental health resources + mankatofreepress.com \u201d or going to this site: https://www.mankatofreepress.com/news/local_news/mental-health-resources/article_4e4c0286-fb3f-11eb-8e4b-cf780c9a480d.html
For the nationwide 24 hour, 7 day a week mental health help line dial or text 988 or to chat go to 988lifeline.org/chat.
END
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The second editorial, however, is highly relevant to the topic of health as it addresses the funding and accessibility issues within the mental health care system in Minnesota, including the impact on patients and the need for legislative action to improve the situation." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/01/31/404036ed2ec111e288487362f4f8424a.json b/datasets/AP_news/raw_data/2024/01/31/404036ed2ec111e288487362f4f8424a.json new file mode 100644 index 0000000..727f054 --- /dev/null +++ b/datasets/AP_news/raw_data/2024/01/31/404036ed2ec111e288487362f4f8424a.json @@ -0,0 +1,279 @@ +{ + "altids": { + "itemid": "404036ed2ec111e288487362f4f8424a", + "etag": "404036ed2ec111e288487362f4f8424a_1a10aza0c0", + "friendlykey": "613894443195", + "referenceid": "US-XGR--Abortion-Kentucky" + }, + "version": 1, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-01-31T21:26:40Z", + "firstcreated": "2024-01-31T21:25:30Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: Links photos. With AP Photo.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "US-XGR--Abortion-Kentucky", + "headline": "Activists renew push to repeal Kentucky's near-total abortion ban", + "headline_extended": "Abortion-rights supporters are mounting another push to restore abortion access in Kentucky", + "slugline": "AP-US-XGR--Abortion-Kentucky, 1st Ld-Writethru", + "description_summary": "Abortion-rights supporters are mounting another push to restore abortion access in Kentucky. But the lawmaker sponsoring the bill acknowledges the long odds against them. A near-total abortion ban has been in place in Kentucky since the U.S. Supreme Court overturned Roe v. Wade. It bans abortions except when carried out to save the mother\u2019s life. A bill unveiled Wednesday by Democratic Rep. Lindsey Burke would roll back Kentucky\u2019s abortion laws to the time before Republicans won the House majority in the 2016 election, which consolidated their control of the legislature. Since then, lawmakers put more restrictions on abortion, culminating with the near-total ban.", + "bylines": [ + { + "by": "By BRUCE SCHREINER", + "title": "Associated Press" + } + ], + "located": "FRANKFORT, Ky.", + "datelinelocation": { + "city": "Frankfort", + "countryareacode": "KY", + "countryareaname": "Kentucky", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -84.87328, + 38.20091 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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(AP) \u2014 Abortion rights supporters mounted another push Wednesday to restore abortion access in Kentucky, but the Democratic lawmaker sponsoring the legislation acknowledged the odds are overwhelmingly against them in the Republican-dominated legislature.
A near-total abortion ban has been in place in Kentucky since the U.S. Supreme Court overturned Roe v. Wade in 2022. The so-called trigger law banned abortions except when carried out to save the mother's life. It does not include exceptions for pregnancies caused by rape or incest.
The bill unveiled Wednesday by Democratic Rep. Lindsey Burke would roll back Kentucky's abortion laws to the time before Republicans claimed majority status in the House after the 2016 election. Since then, GOP lawmakers who dominate the legislature have passed a series of bills putting more restrictions on abortion, culminating in the near-total ban under the trigger law \u2014 which passed in 2019 and took effect when Roe v. Wade was struck down.
Republican supermajorities in Kentucky's legislature skipped over the abortion issue last year and so far have not taken up abortion-related measures in this year's session, which continues until mid-April.
\u201cI think the truth is that there\u2019s very little appetite for change, at least among the supermajority,\u201d Burke acknowledged at a news conference Wednesday.
But she predicted that grassroots activism to restore abortion access would eventually pay dividends. Activists point to the outcome of a statewide vote in 2022 when Kentuckians rejected a ballot measure backed by GOP lawmakers that would have denied any constitutional protections for abortion
\u201cThe more these groups get mobilized, the more they speak to their lawmakers, I think we will get to a place where action will be required,\u201d Burke said. \"And I will look forward to that day.\u201d
Abortion opponents gathered for a recent rally at Kentucky's Capitol, where they \u201cstood together as one voice, united in love for every precious life,\u201d said Addia Wuchner, executive director of Kentucky Right to Life.
Burke was joined by Democratic colleagues and abortion-rights supporters at the news conference. Jackie McGranahan, a senior policy strategist for the American Civil Liberties Union of Kentucky, said the ban fails to recognize that some pregnancies are unplanned, complicated and risky.
\u201cRepealing the current abortion ban in Kentucky is not about promoting one choice over another,\" she said. \"It\u2019s about recognizing that pregnancy can be complicated. And it\u2019s our duty to ensure individuals have the autonomy to make decisions that are best for their health, their families and their future.\u201d
A Senate bill introduced early in this year's session would relax the state\u2019s abortion ban by allowing the procedure when pregnancies are caused by rape or incest, or when pregnancies are deemed nonviable or medical emergencies threaten the mother. The Democratic-sponsored bill has made no headway.
That bill won an endorsement from Hadley Duvall, who dominated discussion about abortion during last year's campaign for Kentucky governor. Now a college senior in her early 20s, Duvall became pregnant as a seventh grader but ultimately miscarried. Her stepfather was convicted of rape. She recounted those traumatic events in a campaign ad for Democratic Gov. Andy Beshear that attacked his Republican challenger\u2019s longstanding support for the state's abortion ban. Beshear won a resounding reelection victory last November.
Kentucky's Supreme Court last year refused to strike down the near-total abortion ban. The justices ruled on narrow legal issues but left unanswered the larger constitutional questions about whether access to abortion should be legal in the Bluegrass State.
In late 2023, a Kentucky woman sued to demand the right to an abortion, but her attorneys later withdrew the lawsuit after the woman learned her embryo no longer had cardiac activity.
Elsewhere, legislatures in some other states with strict abortion bans are facing pressure to clarify or loosen their exemptions but it\u2019s unclear if they will do so.
In Kentucky, Burke revealed two other bills Wednesday. One would provide legal protections for private medical information and providers when patients go to other states to undergo abortions. The other bill seeks to provide more Kentucky women with information about maternal and postpartum depression.
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Federal authorities said Wednesday the machines can be used to manufacture counterfeit pills that look just like prescription pills but instead are laced with substances like fentanyl, a synthetic opioid drug largely fueling the deadliest overdose crisis in U.S. history. The Justice Department says eBay failed to follow laws requiring verification buyers\u2019 identities and people who bought pill presses there have been charged in drug trafficking cases. EBay maintains it did not break the law and also took its own steps to remove pill-making equipment.", + "bylines": [ + { + "by": "By LINDSAY WHITEHURST", + "title": "Associated Press" + } + ], + "located": "WASHINGTON", + "datelinelocation": { + "city": "Washington", + "countryareacode": "DC", + "countryareaname": "District of Columbia", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -77.03637, + 38.89511 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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The machines can be used to manufacture counterfeit pills that look just like prescription pills but instead can be laced with substances like fentanyl, a synthetic opioid drug that is largely fueling the deadliest overdose crisis in U.S. history.
The company failed to verify buyers\u2019 identities and keep records required by law, and many people who bought pill presses on eBay have been prosecuted in connection with trafficking illegal counterfeit pills, the Justice Department said.
EBay, headquartered in San Jose, California, provides a platform for people to make their own online sales. It said it agreed to the settlement to avoid long-running litigation but maintained it didn't break the law.
The company said it had removed pill-making equipment on its own and blocked \u201ctens of thousands\u201d of listings before the Justice Department got involved.
\u201cGovernment officials have repeatedly commended eBay for our partnership with law enforcement and efforts to support investigations into illegal pill press usage,\u201d eBay said.
Still, the Justice Department says there were thousands of cases where people bought pill presses on eBay, including high-capacity presses capable of producing thousands of pills per hour. Hundreds of those buyers also got counterfeit molds or dies that allowed them to make pills mimicking legitimate prescription pills, authorities said.
Ebay failed to meet requirements that sellers of pharmaceutical manufacturing equipment verify buyers\u2019 identities, keep records, and report to the Drug Enforcement Administration to make sure the machines are traceable and not used illegally, federal prosecutors said.
\u201cCounterfeit pills laced with fentanyl are a significant contributor to the deadly overdose epidemic,\u201d said Associate Attorney General Vanita Gupta.
More than 100,000 deaths were linked to drug overdoses in 2022, according to the U.S. Centers for Disease Control and Prevention, and over than two-thirds of those involved fentanyl or similar synthetic drugs. The crisis at first centered on prescription painkillers that gained more acceptance in the 1990s, and later heroin. Over the past decade, the death toll has reached an all-time high, and the biggest killers have been synthetic opioids such as fentanyl that are in the supply of many street drugs.
\u201cThrough its website, eBay made it easy for individuals across the country to obtain the type of dangerous machines that are often used to make counterfeit pills,\" said U.S. Attorney Nikolas Kerest of Vermont.
The company has agreed to step up its compliance program on sales of pill presses as well as counterfeit molds, stamps and dies, and encapsulating machines, which are used to fill pills.
EBay's failure to follow \u201cbasic reporting and record keeping requirements\u201d allowed people to \"set up pill factories in their homes and to do so without detection,\u201d said U.S. Attorney Henry Leventis for the Middle District of Tennessee.
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The Norwegian palace made the announcement Wednesday. The 86-year-old monarch, who has repeatedly said he has no plans to abdicate unlike his second cousin Queen Margrethe II of Denmark, has been hospitalized several times in recent months. In December, he was admitted to a hospital with an infection and was treated with intravenous antibiotics. The heir to the throne, Crown Prince Haakon, has stepped in and taken over his father\u2019s duties, the royal household said. Harald\u2019s duties as Norway\u2019s head of state are ceremonial and he holds no political power.", + "located": "COPENHAGEN, Denmark", + "datelinelocation": { + "city": "Copenhagen", + "countrycode": "DNK", + "countryname": "Denmark", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + 12.56553, + 55.67594 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. 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The 86-year-old monarch, who has repeatedly said he has no plans to abdicate unlike his second cousin Queen Margrethe II of Denmark, has been hospitalized several times in recent months. In December, he was admitted to a hospital with an infection and was treated with intravenous antibiotics. He also was hospitalized last August with a fever.
Harald, who has been seen using crutches in recent years, had an operation to replace a heart valve in October 2020 after being hospitalized with breathing difficulties.
The heir to the throne, Crown Prince Haakon, has stepped in and taken over his father\u2019s duties, the royal household said.
Harald\u2019s duties as Norway\u2019s head of state are ceremonial and he holds no political power. He ascended to the throne following the death of his father, King Olav, in 1991.
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(AP) \u2014 Mississippi senators voted Wednesday to set rules for how insurance companies decide whether to cover medical procedures or prescription drugs, a process known as prior authorization.
Insurance companies that require prior authorization for health care services would be required to gather information from physicians or other providers through a standardized online portal, under Senate Bill 2140. Insurers also would be required to use relevant medical specialists to review requests for services.
The bill passed without opposition, and it moves to the House for more work.
Republican Gov. Tate Reeves last year vetoed a similar bill that passed both chambers with broad bipartisan support.
Senate Insurance Committee Chairman Walter Michel, a Republican from Ridgeland, said the bill this year includes changes the governor wanted, including giving oversight to the state Department of Insurance rather than the state Department of Health.
Michel said some physicians expressed frustration about trying to explain complex medical situations to insurance company employees, and some insurers have said medical providers fail to provide complete or timely information in requests for prior authorization.
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(AP) \u2014 Several elected leaders in Oregon declared a state of emergency on Tuesday for downtown Portland over the public health and public safety crisis fueled by fentanyl.
Oregon Gov. Tina Kotek, Portland Mayor Ted Wheeler and Multnomah County Chair Jessica Vega Pederson made the declaration for a 90-day period during which collaboration and response will come from a command center downtown. The three governments are directing their agencies to work with first responders in connecting people addicted to the synthetic opioid with resources including drug treatment programs and to crack down on drug sales.
\u201cOur country and our state have never seen a drug this deadly addictive, and all are grappling with how to respond,\u201d Kotek said in a statement.
The declaration is a recommendation from a governor-established task force that met for several months last year to determine ways to rejuvenate downtown Portland.
People addicted to fentanyl who interact with first responders in Portland\u2019s downtown in the next 90 days will be triaged by this new command center. Staff can connect people with various resources from a bed in a drug treatment center to meeting with a behavioral health clinician to help with registering for food stamps.
\u201cWe cannot underestimate the tremendous value of bringing leaders from different disciplines in a room on a daily basis who all account for a different part of the solution,\u201d Portland Mayor Ted Wheeler said in a statement.
Mike Myers, the director of Portland\u2019s Community Safety Division, will head the city\u2019s command team. Nathan Reynolds, deputy policy chief at the state\u2019s Office of Resilience and Emergency Management, will be the state\u2019s incident commander.
The effort also extends the Portland Police Bureau\u2019s partnership with Oregon State Police to jointly patrol downtown streets for fentanyl sales. It additionally kicks off information campaigns centered on drug use prevention and recovery programs across the region. The county will expand outreach and training on how to administer Narcan, an overdose-reversal drug.
The program doesn\u2019t establish any goals to measure success. Kotek said the next 90 days will provide a road map for the next steps.
The synthetic opioid addiction and overdose crisis that has gripped the U.S. for over two decades has left governments at the federal, state and local levels scrambling for solutions.
At the state level, Oregon lawmakers have introduced a new bill that would undo a key part of the state\u2019s drug decriminalization law. Public opinion has soured on it as public drug use has become more visible because of growing homelessness.
And President Joe Biden and Chinese President Xi Jinping announced last fall that China was telling its chemical companies to restrict shipments to Latin America and elsewhere of the materials used to produce fentanyl, which is largely finished in Mexico and then smuggled into the U.S.
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Given the focus on health-related interventions and the impact of fentanyl on public health, the document is highly relevant to the topic of Health." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/01/31/b83de0b6ba4f7bdb1251806388e2f021.json b/datasets/AP_news/raw_data/2024/01/31/b83de0b6ba4f7bdb1251806388e2f021.json new file mode 100644 index 0000000..06d08cd --- /dev/null +++ b/datasets/AP_news/raw_data/2024/01/31/b83de0b6ba4f7bdb1251806388e2f021.json @@ -0,0 +1,288 @@ +{ + "altids": { + "itemid": "b83de0b6ba4f7bdb1251806388e2f021", + "etag": "b83de0b6ba4f7bdb1251806388e2f021_0a8aza0c0", + "friendlykey": "926290237971", + "referenceid": "US--Mississippi Medicaid-Pregnancy" + }, + "version": 0, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-01-31T23:05:16Z", + "firstcreated": "2024-01-31T23:05:16Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: With AP Photos.", + "signals": [ + "newscontent" + ], + "title": "US--Mississippi Medicaid-Pregnancy", + "headline": "Mississippi eyes quicker Medicaid coverage in pregnancy to try to reduce deaths of moms and babies", + "headline_extended": "Mississippi could start providing Medicaid coverage earlier in pregnancy in a bid to improve health outcomes for moms and babies", + "slugline": "BC-US--Mississippi Medicaid-Pregnancy", + "description_summary": "Mississippi could start providing Medicaid coverage earlier in pregnancy in a bid to improve health outcomes for moms and babies. The state is poor and has the worst rate of infant mortality in the nation. House Bill 539 passed the House with wide bipartisan support Wednesday. It moves to the Senate for more work. The bill would allow up to 60 days of \u201cpresumptive eligibility\u201d for Medicaid, starting July 1. This means a pregnant woman\u2019s outpatient care would be paid by Medicaid as her application for coverage is considered. Medicaid is government-funded health insurance. Processing applications can take weeks, and physicians say early prenatal care is important.", + "bylines": [ + { + "by": "By EMILY WAGSTER PETTUS", + "title": "Associated Press" + } + ], + "located": "JACKSON, Miss.", + "datelinelocation": { + "city": "Jackson", + "countryareacode": "MS", + "countryareaname": "Mississippi", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -90.18481, + 32.29876 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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(AP) \u2014 Mississippi could allow Medicaid coverage earlier in pregnancy in an effort to improve health outcomes for mothers and babies in a poor state with the nation's worst rate of infant mortality.
With wide bipartisan support, the state House passed a bill Wednesday to allow up to 60 days of \u201cpresumptive eligibility\u201d for Medicaid, starting July 1. This means a pregnant woman's outpatient medical care would be paid by Medicaid as her application for coverage by the government insurance program is being considered.
Processing Medicaid applications can take weeks, and physicians say early prenatal care is important.
House Medicaid Committee Chairwoman Missy McGee of Hattiesburg pointed out that Mississippi has high rates of fetal mortality, infant mortality and maternal mortality.
\u201cI think this will go a long way in helping moms and babies be healthy ... and give babies the best shot for a healthy life,\" McGee said.
Mississippi ranks worst in the U.S. for infant mortality, with Black infants nearly twice as likely as white ones to die over the past decade, according to a report unveiled Jan. 18 by the state Department of Health.
Presumptive Medicaid eligibility during pregnancy would be based on questions about income, asked by health care providers such as employees of county health departments. If a woman's Medicaid application is ultimately rejected because her income is too high, Medicaid would still pay health care providers for services they provided during the time of presumptive eligibility.
McGee said presumptive eligibility could cost the Medicaid program just under $600,000 a year.
Medicaid is funded by federal and state governments, with the federal government paying at least 50% of costs in all states and a higher share in poorer states. The federal government pays for nearly 77% of Medicaid expenses in Mississippi.
In Mississippi, Medicaid coverage for pregnant women 19 and older is based on income. A woman who is in that age category and has no dependents can earn up to about $29,000 and qualify for Medicaid during pregnancy. A pregnant woman in that age category who has three dependents can earn up to $59,700 and qualify.
Mississippi Medicaid coverage is available to all income levels for those who are pregnant and younger than 19.
Democratic Rep. John Hines Sr. of Greenville said earlier eligibility for Medicaid coverage during pregnancy could help the state in recruiting OB-GYNs.
\u201cWhere we are right now is that we are last in everything,\" Hines said. \"This is a step toward making Mississippi a better place.\u201d
The bill passed the House 117-5. It moves to the Senate for more work in coming weeks. Republicans control both chambers.
About 41% of births in the U.S. and 57% in Mississippi were financed by Medicaid in 2022, according to the health policy research group KFF. Only Louisiana had a larger share of births covered by Medicaid that year, at 61%.
In 2023, Mississippi extended postpartum Medicaid coverage from two months to a full year, with Republican Gov. Tate Reeves saying the change was part of a \u201cnew pro-life agenda\u201d to help mothers in a state where abortion is tightly restricted.
____
Associated Press/Report For America reporter Michael Goldberg contributed to this report.
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Editorial: Louisiana abortion laws have real-world effects we cannot ignore
When the U.S. Supreme Court\u2019s decision in Dobbs v. Jackson Women\u2019s Health Organization was handed down on June 24, 2022, activists on both sides of the abortion divide predicted what the future what look like.
The court\u2019s reversal of nearly 50 years of jurisprudence granting women access to abortion returned the issue to the states, leaving a patchwork of laws across the country restricting abortion to varying degrees. States with so-called \u201ctrigger laws,\u201d which were designed to go into effect in the immediate aftermath of Roe v. Wade\u2019s defeat, saw the landscape of reproductive care change almost overnight.
Louisiana\u2019s trigger law banned almost all abortions, with no exceptions for rape and incest. There were certain exemptions for medical conditions, but those were often unclear enough to make doctors fear legal repercussions if they performed what had previously been standard care.
We saw the closure of clinics. We heard stories of women seeking abortions at clinics far from Louisiana, of women being denied abortions even when the fetus wasn\u2019t viable but didn\u2019t have a medical condition on the list of exemptions, of women not being treated as they were miscarrying.
But what did that all add up to? What has been the real effect of the abortion ban in Louisiana?
We have data now, 18 months after the Dobbs decision, that shows the real-world effects on women and families of restrictive abortion laws.
An analysis of the available research by staff writers Emily Woodruff and Jeff Adelson shows the picture is fairly mixed. Anti-abortion activists would probably view it as a victory that researchers believe Louisiana has seen more babies born. In the first six months of 2023, Louisiana saw a 3.2% increase in births than it would have without the ban, according to a new study. That means the state was on track to see approximately an additional 1,800 births than it would have seen for the entire year.
At the same time, however, demand for abortion pills has skyrocketed. Aid Access, a telehealth organization, reported that requests for abortion pills from Louisiana increased from about 51 to 136 per week. There are also signs that more Louisiana women are seeking assistance to leave the state to access abortion.
It\u2019s important that we follow the research and the data. Laws often have unintended effects, and when it comes to maternal and fetal health, Louisiana already ranks low, as this newspaper has documented.
For now, researchers indicate that most women seeking abortion are finding ways around the legal obstacles. But it may take a longer time to discover what happens to the women who don\u2019t.
Those who care about mothers and babies would do well to remember that the effects of laws aren\u2019t always apparent immediately.
If our state legislators really want to support Louisiana families, they should keep an eye on what the data are telling us.
END
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The jury\u2019s decision, handed down late Tuesday after a weeklong trial, marks the latest development in a case that has been closely watched by conservative groups who have accused the federal government of unfairly targeting abortion opponents. Attorneys representing the defendants say they will plan on appealing the convictions. At issue is a 2021 \u201cblockade\u201d held outside a reproductive health clinic in Mount Juliet, Tennessee. Anti-abortion supporters used social media to promote and live-stream actions that they hoped would prevent the clinic from performing abortions.", + "bylines": [ + { + "by": "By KIMBERLEE KRUESI", + "title": "Associated Press" + } + ], + "located": "NASHVILLE, Tenn.", + "datelinelocation": { + "city": "Nashville", + "countryareacode": "TN", + "countryareaname": "Tennessee", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -86.78444, + 36.16589 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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(AP) \u2014 A Tennessee jury has convicted six anti-abortion protesters of violating federal laws after they blocked the entrance of a reproductive clinic outside Nashville nearly three years ago.
The jury's decision, handed down late Tuesday after a weeklong trial, marks the latest development in a case that has been closely watched by conservative groups, who have accused the federal government of unfairly targeting abortion opponents by using 1994 federal law designed to protect abortion clinics from obstruction and threats. Reproductive rights supporters counter the law, known as Freedom of Access to Clinic Entrances Act, or the FACE Act, is more critical than ever in shielding abortion providers from violence now that the constitutional right to abortion has been revoked.
At issue is a 2021 \u201cblockade\u201d held outside a reproductive health clinic in Mount Juliet, Tennessee, a town 17 miles (27.36 kilometers) east of Nashville, nearly a year before the U.S. Supreme Court overturned Roe v. Wade. The event was organized by anti-abortion supporters who used social media to promote and live-stream actions that they hoped would prevent the clinic from performing abortions, according to court documents.
At the time, abortion was still legal in Tennessee. It is now currently banned at all stages of pregnancy under a law that has very narrow exemptions.
Prosecutors say participants stationed themselves throughout the office building where carafem health clinic was located and, later, several began recording themselves \u201cleading a rescue,\u201d a term commonly known among anti-abortion activists as dissuading women from obtaining an abortion. Prosecutors added that videos from that day showed people blocking the clinic's entrances and others attempting to engage with police as a delay tactic. Around 20 people attended the blockade.
While a federal grand jury initially indicted 11 people who participated in the blockade last year, six were convicted on Tuesday. Those are Chester Gallagher, Paul Vaughn, Heather Idoni, Calvin Zastrow, Coleman Boyd, and Dennis Green. They face up 10 1/2 years of prison time and fines of up to $260,000. Sentencing hearings will take place July 2.
\u201cThese defendants knowingly chose to violate laws they disagreed with,\u201d said U.S. Attorney Henry C. Leventis in a statement. \u201cThe jury\u2019s verdict today is a victory for the rule of law in this country and a reminder that we cannot pick and choose which laws we follow.\u201d
Attorneys representing the defendants say they plan on appealing the convictions. The legal team has described the 2021 demonstration as a \u201cpeaceful life-affirming gathering\" and has accused the federal justice department of prosecuting \u201cpro-life activists\" ever since the Supreme Court's landmark 2022 abortion decision.
\u201cThis was a peaceful demonstration by entirely peaceable citizens \u2014 filled with prayer, hymn-singing, and worship \u2014 oriented toward persuading expecting mothers not to abort their babies,\" said Steve Crampton, an attorney with the Thomas More Society.
Before Roe was overturned, the Justice Department oversaw just a handful of FACE Act violation cases. In 2021, just three cases involving three defendants were charged, and in 2020, the agency handled just one case.
By 2022, that number jumped to 11 cases involving 29 defendants. And last year, there were 10 cases and 22 defendants.
Advocates like the National Abortion Federation say the uptick in cases reflects the rise in harassment and violence abortion clinics have faced since state abortion bans have been allowed to go into effect.
In a 2022 report, the organization said abortion providers across the U.S. saw noticeable spikes in the number of death threats, stalkings, burglaries and arsons compared with the year prior.
Yet a growing number of conservative groups and Republican lawmakers have responded to these numbers by saying law enforcement has downplayed similar threats and violence against Catholic churches and so-called \u201ccrisis pregnancy centers,\u201d which counsel against abortions.
Some have called on the Justice Department to apply the 1994 federal law more equitably and use it to investigate those who target crisis pregnancy centers. Meanwhile, a handful of Republican congressional members have introduced legislation that would repeal the protections altogether.
President Bill Clinton signed the FACE Act into law in 1994 following a string of high-profile attacks against abortion clinics, which included Dr. David Gunn being shot and killed outside an abortion clinic in Pensacola, Florida in 1993 \u2014 marking the first abortion provider killed in the U.S.
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Therefore, the document is somewhat relevant but not highly focused on health as a broader topic." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/01/31/cf6ca705f533f6c886706c8d130983ef.json b/datasets/AP_news/raw_data/2024/01/31/cf6ca705f533f6c886706c8d130983ef.json new file mode 100644 index 0000000..d4d041e --- /dev/null +++ b/datasets/AP_news/raw_data/2024/01/31/cf6ca705f533f6c886706c8d130983ef.json @@ -0,0 +1,273 @@ +{ + "altids": { + "itemid": "cf6ca705f533f6c886706c8d130983ef", + "etag": "cf6ca705f533f6c886706c8d130983ef_0a6aza0c0", + "friendlykey": "832482139888", + "referenceid": "US--Wisconsin Dental Workforce-Bills" + }, + "version": 0, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-01-31T17:09:29Z", + "firstcreated": "2024-01-31T17:09:29Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "signals": [ + "newscontent" + ], + "title": "US--Wisconsin Dental Workforce-Bills", + "headline": "Wisconsin governor signs legislative package aimed at expanding access to dental care", + "headline_extended": "Wisconsin Gov. Tony Evers has signed a package of legislation aimed at expanding access to dental care and bolstering the dental workforce across the state into law", + "slugline": "AP-US--Wisconsin Dental Workforce-Bills", + "description_summary": "Wisconsin Gov. Tony Evers has signed a package of legislation aimed at expanding access to dental care and bolstering the dental workforce across the state into law. The governor signed the legislation Wednesday at Northcentral Technical College in Wausau. The legislation authorizes licenses for dental therapists, a position between a dentist and a hygienist, in areas experiencing shortages in care. 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(AP) \u2014 Wisconsin Gov. Tony Evers signed a package of bipartisan legislation aimed at expanding access to dental care and addressing dental workforce shortages across the state into law Wednesday.
U.S. Health Resources Administration data released this month found shortages of dental care in 160 areas of Wisconsin, defined as geographic areas, facilities or populations experiencing a shortage of care providers.
The package Evers signed includes five bills, including one that authorizes licenses for dental therapists who practice in areas experiencing shortages in care. Dental therapists are positions between a dentist and a hygienist \u2014 they can fill cavities but can't perform more complex operations like root canals.
Other bills in the package create guidelines for distributing $20 million in state aid for technical colleges' dental training programs, create scholarships for Marquette University dental students who agree to practice in underserved areas, allow dental workers from out of state to practice in Wisconsin, and allow insurers to send reimbursements directly to a provider rather than the patient if the patient requests it.
Evers signed the bills at Northcentral Technical College in Wausau.
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January 29, 2024.
Editorial: Good news on smoking cessation
Every now and then there\u2019s something that isn\u2019t a particularly big headline, but it\u2019s interesting enough to catch our attention. A new study from the University of Wisconsin-Madison fits that category.
The UW system has studied tobacco use for some time through its Center for Tobacco research and Intervention. A new study broke more than 400 smokers into two groups. All of the people were trying to quit smoking, but the groups were given different strategies. In one group, people who started smoking again were instructed to wait one month before making another attempt. The other group was told to go right back to their efforts to quit.
Most of the people in both groups did indeed make another attempt to quit smoking. But the group that was told to try again immediately was far more likely to seek treatment in the form of medicine and counseling. Eight out of 10 did so, compared to only 56% of those who were advised to wait a month.
It\u2019s probably not surprising, then, that the people who fell off the wagon and tried to hop back on without a delay eventually had an easier time quitting and spent less on tobacco as they did.
The days when tobacco companies had doctors as spokesmen are long gone, but there was a time that was fairly common. In 1930, Lucky Strikes said doctors endorsed their cigarettes as less irritating to smokers\u2019 throats. R.J. Reynolds Tobacco Company claimed in 1946 that \u201cmore doctors smoke Camels\u201d than their competitors.
Those ads faded as evidence of smoking\u2019s harm grew. The U.S. Surgeon General\u2019s 1964 report linking it to cancer and chronic bronchitis effectively put an end to them. Smoking rates have declined thanks in part to successive reports, the end of televised ads, and smoking itself becoming less socially acceptable.
The downward trend has been in place for decades. The year after the first surgeon general\u2019s report on smoking, about 42% of Americans smoked. The figure fell below 20% in 2009. As of 2021 the Centers for Disease Control found only 11.5% of American adults smoked, though the rate of decline has slowed.
The data also suggests most smokers want to quit. The CDC says just less than 70% of smokers say they want to stop. And, though the process is notoriously difficult, better than 70% of those who try to quit eventually succeed in doing so.
That\u2019s where this new study offers some real hope. Quitting an addiction isn\u2019t usually as simple as just deciding that you won\u2019t partake anymore. Some people can pull that off, but not most. Breaking an addiction is a tough process that generally includes missteps and setbacks. That\u2019s ok. What the new research suggests is that people should view those slips as transient and immediately resume their efforts.
Honestly, that\u2019s not bad advice for a lot of things. It\u2019s tempting to think failure is permanent. It absolves you of responsibility. It\u2019s easy.
The rewards of persistence are real. Most things worth doing take multiple attempts to get right. We learn from failure and we improve our next attempt as a result. Eventually, we get the hang of the new skill or behavior, and it becomes second nature.
Amid the concerns about vaping and tobacco use that isn\u2019t related to cigarettes, it\u2019s good to see a headline that speaks to the clear interest in quitting. It\u2019s not easy. But we can\u2019t think of anyone who has succeeded who looks back and regrets it.
___
Wisconsin State Journal. January 29, 2024.
Editorial: Iowa model for fair maps is still the answer because court ruling could quickly revert
The solution to Republican lawmakers gerrymandering voting districts across Wisconsin isn\u2019t for Democrats or a liberal-leaning high court to skew the maps to the Democrats\u2019 advantage.
The fix must be a neutral and permanent map-making process that both major political parties \u2014 and more important, the voting public \u2014 can accept.
The answer is still the Iowa model for nonpartisan redistricting. Both Democrats and Republicans now claim to support it. So let\u2019s get it done, rather than relying on the court to pick or draw a map that could easily be overturned in little more than a year. If a conservative jurist captures the Supreme Court seat now held by Justice Ann Walsh Bradley in April 2025, you can be sure the maps will revert.
Elected officials have spent millions of tax dollars on high-priced lawyers to battle in court for decades over where the lines of voting districts should go. Adding insult to financial injury for voters, gerrymandering reduces the number of candidates and competition for legislative and congressional seats.
The hypocritical and expensive political games need to end. The constant battling over redistricting \u2014 which is only supposed to occur once every decade following each major census \u2014 distracts state leaders from Wisconsin\u2019s many challenges, including its worker shortage, gun violence and opioid scourge.
Democrats long favored the Iowa model, only for most of them to quibble over details of a Republican-backed version \u2014 even after it was amended to address the bulk of the Democrats\u2019 concerns. Now the Republicans seem to have abandoned their newfound support for nonpartisan redistricting.
The state Senate abruptly took up the Iowa model last week and replaced it with maps similar to those drawn by Democratic Gov. Tony Evers \u2014 but with changes to protect GOP incumbents. It appears to be a last-ditched and failed attempt by GOP leaders to avoid a court decision that damages their political interests.
None of the politicians should be drawing the lines. The Iowa model, which has worked well in the Hawkeye State for close to a half century, would assign to the nonpartisan Wisconsin Legislative Reference Bureau the task of reshaping districts to account for population changes. The bureau would be forbidden from considering past voting results, partisan implications or even where incumbents live. Instead, the respected bureau, which is insulated from politics, would be directed to draw compact districts that run along municipal and county lines instead of snaking into odd shapes for unfair advantage.
One of several skewed maps proposed to the high court recently stretches a voting district from Madison\u2019s Isthmus all the way to Oconomowoc in Waukesha County, an absurd and tortured attempt at divvy up Madison\u2019s many liberal voters into more districts for competitive advantage. Another map, drawn by conservatives, would continue to grant Republicans a lock on legislative power \u2014 even withstanding a Democratic landslide.
The Democrats have to accept that they have a natural disadvantage at winning legislative control. That\u2019s because much of their base of supporters is packed into major cities including Madison. For their part, Republicans must recognize that their days of rigging maps are over, at least until the next high-court election.
Now should be the time to finally adopt fair maps that respect Wisconsin voters of all political stripes. It\u2019s time to move forward, as our state motto commands.
Iowa\u2019s proven model has worked no matter which political party has held power there. Here in Wisconsin, v oters and local elected officials across the state have endorsed it in advisory referendums and resolutions.
No matter what the high court does, our leaders should listen to the people and enshrine this fair process into state law and the Wisconsin constitution.
END
", + "textformat": "bx", + "links": [ + { + "href": "https://apnews.com/dc0e4215ef0bf68362833ded61c01133", + "rel": "canonical" + } + ], + "topics": { + "Health": { + "relevance_score": 3, + "reason": "The document contains two editorials. The first editorial from the Eau Claire Leader-Telegram is highly relevant to the topic of health as it discusses a study on smoking cessation, the effectiveness of different strategies to quit smoking, and the historical context of smoking rates and public health campaigns. The second editorial from the Wisconsin State Journal, however, is not relevant to the topic of health as it focuses on political issues related to gerrymandering and redistricting in Wisconsin. 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The drug was once seen as a potential blockbuster but it stumbled after its launch a few years ago. The drugmaker also said Wednesday that it will end a study of the drug needed for full approval from the Food and Drug Administration. Patients taking doses of Aduhelm available through the commercial market can continue until November. A company representative said there are about 2,500 people worldwide taking Aduhelm. Biogen said it will turn its focus to other treatments for the fatal, mind-robbing disease.", + "bylines": [ + { + "by": "By TOM MURPHY", + "title": "AP Health Writer" + } + ], + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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The drugmaker also said Wednesday that it will end a study of the drug needed for full approval from the Food and Drug Administration.
Patients taking doses of Aduhelm available through the commercial market can continue until November. A company representative said there are about 2,500 people worldwide taking Aduhelm.
Biogen said it will turn its focus to other treatments for the fatal, mind-robbing disease. The company also is helping Japanese drugmaker Eisai sell another Alzheimer\u2019s treatment, Leqembi, which received full FDA approval last summer.
Leqembi is the first medicine that\u2019s been convincingly shown to slow the cognitive decline caused by Alzheimer\u2019s disease, though only modestly. Regulators have approved it for patients with mild dementia and other symptoms caused by early Alzheimer\u2019s.
When Aduhelm debuted in 2021, it was the first new Alzheimer\u2019s drug in nearly two decades. The FDA had granted accelerated approval but required the additional study for full approval, which can spur broader insurance coverage.
Aduhelm promised to slow the progression of the disease instead of just managing its symptoms, like other drugs on the market.
Initially priced at $56,000 a year, analysts predicted it would quickly become a blockbuster that would generate billions for Biogen. The federal government's Medicare program raised the premium it charges for its coverage partially because of an expected influx of Aduhelm claims.
But doctors were hesitant to prescribe the intravenous drug, given weak evidence that it meaningfully improved Alzheimer\u2019s patients lives. Insurers blocked or restricted coverage. Medicare, which eventually scaled back its premium hike, imposed strict limits on who could get it.
That proved especially challenging for Biogen. Most U.S. Alzheimer\u2019s patients are old enough to qualify for the federal program, which covers patients age 65 and older.
The drug wound up generating millions, not billions, in quarterly sales. Biogen announced in 2022 that it would largely shut down marketing of Aduhelm.
Last year, Biogen started an unsuccessful search for outside financing or partners to help with Aduhelm. That was done as part of a review the company did of its research and development program.
Biogen said it had considered during that review the time and investment that would be required for that additional study and likely advancements in the field before Aduhelm received full approval.
Aside from Leqembi, patients also may soon have another treatment option. The FDA is currently reviewing a potential drug from Eli Lilly and Co. A decision is expected early this year.
Biogen said it would book a charge of about $60 million in its fourth quarter for shutting down the Aduhelm program.
Shares of Cambridge, Massachusetts-based Biogen Inc. climbed around $4 to $251.11 in late-morning trading while the Standard & Poor's 500 index slipped.
___
The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute\u2019s Science and Educational Media Group. The AP is solely responsible for all content.
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Federal health officials called the research one the largest ever done in the United States to assess cancer risk by comparing a group who live and worked in a polluted environment to a similar group that did not.
The study found military personnel stationed at U.S. Marine Corps Base Camp Lejeune were at higher risk for some types of leukemia and lymphoma and cancers of the lung, breast, throat, esophagus and thyroid. Civilians who worked at the base also were at a higher risk for a shorter list of cancers.
The study is \u201cquite impressive,\u201d but cannot count as final proof that the tainted drinking water caused the cancers, said David Savitz, a Brown University disease researcher who is consulting for plaintiffs\u2019 attorneys in Camp Lejeune-related litigation.
\u201cThis is not something we're going to be able to resolve definitively,\u201d he said. \u201cWe are talking about exposures that happened (decades ago) that were not well documented.\u201d
But he said the new research will add weight to arguments made on behalf of people who got sick after living and working at the base.
Camp Lejeune was built in a sandy pine forest along the North Carolina coast in the early 1940s. Its drinking water was contaminated with industrial solvents from the early 1950s to 1985. The contamination \u2014 detected in the early 1980s \u2014 was blamed on a poorly maintained fuel depot and indiscriminate dumping on the base, as well as from an off-base dry cleaner.
Before wells were shut down, contaminated water was piped to barracks, offices, housing for enlisted families, schools and the base's hospital. Military personnel and families drank it, cooked with it and bathed in it.
The contamination has spawned a wave of litigation by law firms who have aggressively sought out clients with TV ads.
People who got sick after being at Camp Lejeune have accused the Marine Corps of failing to protect the health of its personnel and criticized the federal government for being slow to investigate. Marine Corps officials have repeatedly said that federal environmental regulations for these cancer-causing chemicals were not finalized until 1989, after the wells were shut down.
The Agency for Toxic Substances and Disease Registry, or ATSDR, an Atlanta-based sister agency to the Centers for Disease Control and Prevention, has done about a half-dozen studies focused on health problems in people at Camp Lejeune. Those studies were smaller than the new one, and had varied focuses, including male breast cancer rates and birth defects in children born to base personnel.
The earlier studies pointed out health risks, but the new work \u201cmore fully establishes the scope,\" said Richard Clapp, a Boston University emeritus public health professor who has been involved in past Camp Lejeune research.
Dr. Aaron Bernstein, the head of the ATSDR and CDC\u2019s environmental health programs, called the new study \u201cremarkable\u201d for being bigger and more rigorous than past research.
In the new paper, the ATSDR investigated cancer in about 211,000 people who were stationed at or worked at Camp Lejeune between 1975 and 1985 and compared them to about 224,000 people at California's Camp Pendleton \u2014 which was not known to have polluted groundwater \u2014 during the same time period.
Frank Bove, a senior epidemiologist, has led the agency's Camp Lejeune research for many years and was in charge of the latest study. He relied on staff at Battelle Memorial Institute and others to comb through cancer registries across the country to look for cases tied to either base.
They found a similar number of malignant cancers in each group, about 12,000. But the numbers \u2014 and the relative risks calculated from those numbers \u2014 were higher in the Camp Lejeune population for a number of specific types of cancer. That list included some that weren't clearly identified in some earlier studies, most notably thyroid cancer, Clapp said.
A federal law signed by President Joe Biden in August 2022 included language to address concerns of people who developed certain health problems they believe were linked to Camp Lejeune water contamination. It gave them a two-year window to file claims.
The new study may lead to inclusion of thyroid cancer to be added to the list of diseases for which Camp Lejeune personnel and their families might one day be compensated, Clapp said.
The paper, which underwent external peer review, is being submitted for publication, agency officials said.
___
The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute\u2019s Science and Educational Media Group. The AP is solely responsible for all content.
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Given the detailed focus on health-related issues, the document is highly relevant to the topic of Health." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/02/01/03e74e6673edce13144265902633fb07.json b/datasets/AP_news/raw_data/2024/02/01/03e74e6673edce13144265902633fb07.json new file mode 100644 index 0000000..5d4409e --- /dev/null +++ b/datasets/AP_news/raw_data/2024/02/01/03e74e6673edce13144265902633fb07.json @@ -0,0 +1,279 @@ +{ + "altids": { + "itemid": "03e74e6673edce13144265902633fb07", + "etag": "03e74e6673edce13144265902633fb07_0a6aza0c0", + "friendlykey": "658842118613", + "referenceid": "US--Jail Deaths-Florida" + }, + "version": 0, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-02-01T22:13:38Z", + "firstcreated": "2024-02-01T22:13:38Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: With AP Photos.", + "signals": [ + "newscontent" + ], + "title": "US--Jail Deaths-Florida", + "headline": "NAACP seeks federal probe of Florida county's jail system following deaths", + "headline_extended": "The NAACP is seeking a federal investigation of deaths in Florida\u2019s second-largest county jail system", + "slugline": "BC-US--Jail Deaths-Florida", + "description_summary": "The NAACP is seeking a federal investigation of deaths in Florida\u2019s second-largest county jail system. The civil rights organization said Thursday that the Broward Sheriff\u2019s Office does not adequately monitor inmates or provide them with proper medical treatment and mental health services. The organization says 21 people have died in the county's jails since 2019. Those have included at least one homicide, suicides and drug overdoses. In the recent homicide, an inmate was allegedly beaten by his cellmate for two minutes without guards noticing. Sheriff's officials said in a statement that its jail system meets all national accreditation standards. The U.S. Justice Department acknowledged receiving the NAACP request but declined comment.", + "bylines": [ + { + "by": "By TERRY SPENCER", + "title": "Associated Press" + } + ], + "located": "FORT LAUDERDALE, Fla.", + "datelinelocation": { + "city": "Fort Lauderdale", + "countryareacode": "FL", + "countryareaname": "Florida", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -80.14338, + 26.12231 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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(AP) \u2014 The NAACP is seeking a federal investigation of deaths in Florida's second-largest county jail system, saying the Broward Sheriff's Office does not adequately monitor inmates or provide them with proper medical treatment and mental health services.
Marsha Ellison, the civil rights group's Broward County president, stood with the relatives of some of the 21 inmates they say have died in the jail's custody since 2019.
Ellison said Sheriff Gregory Tony and his staff are often not transparent about the circumstances surrounding fatalities. She also said the company contracted by the sheriff's office to provide medical and mental health services to inmates often fails to provide adequate care.
The national NAACP filed a letter this week with the U.S. Justice Department seeking the investigation. It comes about six weeks after a 29-year-old inmate, Janard Geffrard, was allegedly choked and beaten to death by his cellmate.
One death highlighted in the letter is that of Kevin Desir, a 43-year-old with bipolar disorder, who died of strangulation during a 2021 struggle with guards, according to an independent autopsy report. The letter also lists deaths by suicides and drug overdoses. It also mentions the 2019 case of a woman who gave birth alone in her cell and an inmate who cut off his penis with a razor in 2018.
\u201cWe don\u2019t want to hear we\u2019ve investigated ourselves and found that we\u2019ve done no wrong. We want to find out what\u2019s really happening,\u201d Ellison said during a news conference at the Broward County Public Defender's Office. \u201cI don\u2019t honestly believe and don\u2019t trust the process of the internal (sheriff's office) to investigate themselves.\u201d
Public Defender Gordon Weekes, pointing to the families, said the lack of knowing exactly how their loved ones died \u201ccreates additional pain that these family members should not have to endure.\u201d
\u201cFolks are dying when they are supposed to be protected (and) cared for,\" Weekes said. \"We have to look at how we can do better as a community and as a society and that starts with us having some transparency.\u201d
The Broward Sheriff's Office issued a statement Thursday saying its jail system meets national accreditation standards and that even with \u201csignificant vacancy rates\u201d among guards, it \u201chas consistently maintained high levels of excellence.\u201d
Broward jails average about 3,600 inmates in custody per day with about 44,000 people spending at least one night in jail annually. The system houses inmates who have been sentenced to less than a year behind bars, and defendants who are on trial or awaiting trial. Anyone sentenced to more than a year gets transferred to a state prison.
The Justice Department acknowledged Thursday that it has received the NAACP's request, but declined to say whether an investigation will be opened. Monitoring by The Associated Press shows that about a dozen state prison and local jail systems are currently under federal investigation nationwide.
Janard Geffrard's father, Jeff Geffrard, told reporters that the sheriff's office has not said anything to the family about the Dec. 16 attack. Investigators said in court documents that his son was beaten and choked for more than two minutes by his cellmate. Guards apparently didn't notice anything was wrong until more than 20 minutes after the attack had ended.
Janard Geffrard was taken to a hospital where he died two weeks later. He had been jailed awaiting trial for robbery and burglary. The sheriff\u2019s office suspended two guards with pay pending the completion of an investigation.
Jeff Geffrard said it was the sheriff office\u2019s responsibility to protect his son.
\u201cI don\u2019t want no other family to go through what I\u2019m going through,\u201d he said through tears.
The sheriff's office filed an attempted murder charge against the cellmate shortly after the attack. That has not been upgraded. The State Attorney's Office said Thursday the law enforcement investigation is ongoing.
The father of Corbin Moberg said his 25-year-old son's death on Jan. 1 of a suspected drug overdose while at the Broward jail \u201cdoesn't make any sense.\u201d Moberg had been in custody for more than two years awaiting trial on drug trafficking charges.
\u201cCorbin was a good kid. Corbin just made a bad choice. I was hoping Corbin would be safe where he was at and that didn\u2019t work out,\u201d Robert Moberg said, his voice breaking. \u201cSome nights I wake up and I can\u2019t go back to sleep. I just lay there thinking about what could have been and how his life could have been in the future. Now, that\u2019s not going to happen because somewhere somebody failed.\u201d
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The announcement Thursday came just weeks before Attorney General Bob Ferguson\u2019s case was set for trial against Providence Health and Services. The state argued that the medical system\u2019s practices violated the state\u2019s charity care law, which requires hospitals to notify patients about the availability of financial aid and to screen them for eligibility.", + "bylines": [ + { + "by": "By GENE JOHNSON", + "title": "Associated Press" + } + ], + "located": "SEATTLE", + "datelinelocation": { + "city": "Seattle", + "countryareacode": "WA", + "countryareaname": "Washington", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -122.33207, + 47.60621 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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debt for tens of thousands of others \u2014 to settle the state's allegations that it overcharged those patients and then used aggressive collection tactics when they failed to pay.
The announcement Thursday came just weeks before Attorney General Bob Ferguson's case was set for trial against Providence Health and Services, which operates 14 hospitals in Washington under the Providence, Swedish and Kadlec names.
The state argued that the medical system's practices violated Washington's charity care law, which is considered one of the strongest in the country. It requires hospitals to notify patients about the availability of financial aid and to screen them to see if they\u2019re eligible for discounts before trying to collect payment.
Providence trained its staff not to accept it when patients said they couldn\u2019t afford the bills, Ferguson said.
\u201cHospitals \u2014 especially nonprofits like Providence \u2014 get tax breaks and other benefits with the expectation that they are helping everyone have access to affordable health care,\u201d Ferguson said at a news conference. \u201cWhen they don\u2019t, they\u2019re taking advantage of the system to their benefit.\u201d
Recently expanded, the law now covers roughly half of all residents, making them eligible for free or reduced-cost care at hospitals in the state, according to Ferguson\u2019s office. It applies to out-of-pocket hospital costs, including co-pays and deductibles.
Those earning up to four times the federal poverty standard could qualify for assistance. For example, a family of four earning $120,000 a year could be eligible for a 50% discount, depending on the hospital.
In a statement posted to Providence\u2019s website, the organization said it was simplifying how it provides information about financial aid to patients and working to make the application process clearer.
\u201cCharity care and financial assistance are vital resources for patients who cannot afford health care,\u201d said Providence Chief Financial Officer Greg Hoffman. \u201cProvidence is committed to providing support to those who need it most, and we will continually evaluate our efforts and make sure they fully meet the needs of those we serve.\u201d
Providence has already erased about $125 million in medical debt following the state's lawsuit two years ago, said Ferguson, a Democrat who is running for governor. Under the settlement, Providence will also pay $4.5 million to the attorney general\u2019s office for legal fees and the costs of enforcing the charity care law.
In all, about 65,000 patients will see their outstanding debt erased and 34,000 will receive refunds, plus 12% interest, for bills they managed to pay despite difficult circumstances. The debts being erased range from less than $1 to $262,000, while those receiving refunds will get amounts varying from under $1 to $293,000, Ferguson's office said.
The latter category includes Kevin and Evangeline Holloman, who spoke at the news conference. The couple said that after their daughter was born in 2020 at Swedish hospital in Seattle, they received a bill for $7,000 and were put on a payment plan of $250 per month.
But when they missed a payment, Swedish immediately sent them to a collection agency without informing them, they said. They eventually wiped out their emergency savings and used a tax return to pay off the balance.
\u201cWe had to restart from ground zero with our kid, and having to set aside money again in case anything were to happen,\u201d Evangeline Holloman said. \u201cHaving your security ripped out from under you like that is really hard.\u201d
The state is still pursuing related consumer protection claims against two debt-collection firms Providence used.
Ge Bai, an accounting professor at Johns Hopkins University who focuses on health care finance and policy, said the settlement could encourage other states to strengthen their charity care laws or seek to better enforce them. Bai was listed as an expert witness for Washington state in the case.
\u201cWashington has a pretty comprehensive charity care law \u2014 many states don't even have that,\" Bai said. \"It also has a chilling effect for hospitals in other states: State attorneys general are taking this seriously.\u201d
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As a lawyer, activist, and executive at nonprofit organizations, he sued cigarette makers, cultivated whistleblowers, and led the campaign to ban smoking on airlines.
Which is why allies in the anti-smoking movement were surprised when in October he became CEO of the Foundation for a Smoke-Free World, a nonprofit created and entirely funded by Philip Morris International, one of the world\u2019s largest tobacco companies.
Douglas, who previously worked for the American Cancer Society and the American Lung Association, sees his new job as the continuation of his anti-smoking work. He joined the foundation only after its board agreed to make a clean break from Philip Morris. He wants to bring together foundations, nonprofits, public health experts, elected officials, regulators, and academics in a renewed effort to curb death and disease caused by smoking.
It won\u2019t be easy. Because anti-smoking groups aren\u2019t just fighting the tobacco companies these days. They\u2019re fighting, sometimes bitterly, among themselves.
\u201cI\u2019m under no illusions about the challenges,\u201d Douglas says.
The stakes are high. Smoking remains the leading cause of preventable death in the United States, killing about 480,000 people a year, according to the Centers for Disease Control and Prevention. To succeed, Douglas will have to work through what he calls the \u201cvery fraught, polarized environment\u201d that hampers the nonprofits, foundations, governments, and academics who work on tobacco control. They have fractured over tobacco harm reduction \u2014 the idea that people who cannot or will not quit smoking should be provided with alternatives, notably e-cigarettes, which deliver nicotine without burning tobacco.
Bloomberg Philanthropies and the nonprofits it supports \u2014 the Campaign for Tobacco-Free Kids and long-established groups like the American Cancer Society, the American Lung Association, and the American Heart Association \u2014 have campaigned relentlessly to limit access to e-cigarettes. The Campaign for Tobacco-Free Kids has focused on what it continues to describe as a \u201cyouth e-cigarette epidemic,\u201d even though vaping by teens has fallen by more than 60% since its peak in 2019. They argue that e-cigarettes will lead to a new generation addicted to nicotine, even if they are not smoking.
Backed by $300 million in Bloomberg philanthropic money, along with political donations from Michael Bloomberg, the anti-vaping groups have helped convince five states \u2013 California, Massachusetts, New Jersey, New York, and Rhode Island \u2013 to ban the sale of flavored e-cigarettes. The nonprofit Truth Initiative goes further, saying it is \u201ccommitted to making tobacco use and nicotine addiction a thing of the past,\u201d which would require removing all e-cigarettes from the market. Some cities, including San Francisco, have already done so.
Douglas and his allies in the harm reduction camp say that\u2019s been nothing short of disastrous. Bans on flavored e-cigarettes, which now cover nearly 40% of the United States, have been associated with increased sales of conventional cigarettes, according to several academic studies and financial analysts.
\u201cThese bans disincentivize the far safer product and move people back to a product that\u2019s going to kill one in two of them,\u201d Douglas says.
The argument threatens to derail progress on one of the most successful public health campaigns in history. The percentage of Americans who smoke has dropped from 42% in 1964 \u2014 when the first Surgeon General\u2019s report warned of the dangers of smoking \u2014 to less than 12%. But the arrival of e-cigarettes fractured opponents of smoking, especially after startup company JUUL marketed its vapes with high nicotine levels to young people, infuriating activists and regulators.
\u201cI can\u2019t think of any other field of public health that has been so divided,\u201d says Charles Gardner, a former program officer at the Foundation for a Smoke Free World and a global-health expert who previously worked at the Rockefeller and UBS Optimus foundations.
The mission of the Foundation for a Smoke Free World, which Philip Morris started in 2017, is to reduce deaths and diseases caused by smoking. It focuses largely, but not entirely, on reduced-risk nicotine products, a category that includes e-cigarettes, oral tobacco, and \u201cheat not burn\u201d products that warm up tobacco without burning it.
This aligns with the goals of the company, which says that its future depends on replacing cigarettes with the smoke-free products that it sells. Philip Morris International promised that the foundation would be independent and said it would fund it with $80 million a year for 12 years.
Anti-smoking groups called the foundation a public relations stunt, noting that the tobacco industry has a long history of creating front groups to push its agenda. Joanna Cohen, a professor of disease prevention at the Bloomberg School of Public Health at Johns Hopkins University, and Ellen MacKenzie, the school\u2019s dean, urged universities and nonprofits around the world to shun the foundation.
Douglas says the company has no influence over the foundation. All ties with Philip Morris were severed after accepting $122.5 million, which he characterized as a severance payment.
But some anti-tobacco advocates remain skeptical. Yolonda Richardson, president of the Campaign for Tobacco Free Kids, and Deborah Arnott, chief executive of a British health charity called Action on Smoking and Health, told Reuters that the foundation was tainted by accepting tobacco money and could not be seen as independent.
Douglas would like his critics to reserve judgment. \u201cI\u2019m asking those who feel doubt at this early stage to not merely rely on what I say but to watch what we do,\u201d he says.
What, then, will the foundation do?
Douglas intends to correct widespread and dangerous misunderstandings about the relative risks of conventional cigarettes, e-cigarettes, and nicotine. There are no safe tobacco products; all fall along what\u2019s called a continuum of risk. Nicotine pouches and gums are widely accepted because, unlike e-cigarettes, they have been approved as smoking-cessation medicines by the FDA.
That said, the vast majority of scientific experts and government agencies, including the Centers for Disease Control, say that vaping is safer than smoking, although its long-term effects remain unknown.
Public-opinion surveys, however, show that Americans mistakenly believe that e-cigarettes are as harmful or more harmful than conventional cigarettes. Misinformed smokers, therefore, have no reason to switch to the safer product.
Surprisingly, physicians are also misinformed. Surveys of doctors in the United States and around the world have found that most blame nicotine for many of the negative health consequences of smoking. Nicotine is addictive, but other chemicals and carcinogens, particularly those produced by combustion, are the primary causes of tobacco-related disease and death.
\u201cDoctors understand that you shouldn\u2019t be smoking,\u201d says Michael Cummings, a tobacco-control expert at the Medical University of South Carolina. \u201cUnfortunately, they\u2019ve been sold a bill of goods on vaping.\u201d
Misperceptions affect not only patients and the advice they get from doctors but also the beliefs and actions of elected officials who favor an abstinence-only approach to nicotine.
\u201cMisunderstanding leads to poor policy,\u201d Douglas says. While concerns about the long-term effects of vaping are valid, studies show that people who switch from conventional cigarettes to smoke-free nicotine products show immediate decreases in biomarkers associated with disease in their blood and urine.
More than anything else, Douglas would like to find common ground with the Bloomberg-funded groups around policies that would keep tobacco and nicotine products away from kids while helping adults kick their smoking habit.
______
Marc Gunther is a contributor at the Chronicle of Philanthropy, where you can read the full article. His report was provided to The Associated Press by the Chronicle of Philanthropy as part of a partnership to cover philanthropy and nonprofits supported by the Lilly Endowment. The AP and the Chronicle are solely responsible for all content. For all of AP\u2019s philanthropy coverage, visit https://apnews.com/hub/philanthropy.
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\u201cWe did not handle this right and I did not handle this right. I should have told the president about my cancer diagnosis. I take full responsibility,\u201d Austin told reporters in a lengthy Pentagon briefing. \u201cI have apologized directly to President Biden and I\u2019ve told him that I\u2019m deeply sorry for not letting him know immediately that I received a heavy diagnosis and was getting treatment.\u201d
Known as an intensely private man, Austin provided his most extensive comments to date on the secrecy surrounding his cancer diagnosis and struggles with complications since his surgery on Dec. 22. It was the first time he has answered questions from reporters since his cancer surgery, and his answers were often bluntly personal, offering rare insights into the deeply private matter.
\u201cThe news shook me,\u201d Austin, 70, said about getting the initial diagnosis in early December. \u201cIt was a gut punch. And, frankly my first instinct was to keep it private.\u201d
While he said he \"never directed anyone to keep my January hospitalization from the White House,\u201d Austin dodged questions about any repercussions on his staff or any decisions they made about disclosing it.
He said he doesn't believe he has created \u201ca culture of secrecy\u201d in his office. And he said he did not tell his aides to ask first responders to avoid using lights and sirens when calling for an ambulance on Jan. 1. But, he acknowledged, \u201cthere will be security officers, there will be other staff members who may perceive that they\u2019re doing things in my best interest.\u201d
His lack of disclosure prompted changes in federal guidelines and triggered an internal Pentagon review and an inspector general review into his department\u2019s notification procedures. Both reviews are ongoing, and members of Congress have called for hearings on the matter.
Austin was taken by ambulance to Walter Reed National Military Medical Center on Jan. 1 after experiencing extreme pain due to complications from the surgery. He was admitted to the intensive care unit the next day. He was released from the hospital on Jan. 15.
He transferred decision-making authorities to Deputy Defense Secretary Kathleen Hicks, but did not tell her why. Some top staff members were told about his hospitalization on Jan. 2, but no one told the White House or the president until two days later. His hospitalization was publicly announced on Jan. 5, but his cancer diagnosis and surgery were not disclosed until the following week.
A key question is why Austin's chief of staff Kelly Magsamen or his senior military assistant, Lt. Gen. Ron Clark, didn't inform the White House or key leaders more quickly.
Austin's solo appearance in the Pentagon briefing room was also a rare moment. He is known for avoiding the media as much as possible. But he appeared calm and even joked a few times during the 35-minute press conference. His ongoing leg pain was evident as he walked carefully to the podium, but he said he expects to recover, although it will be incremental and take time.
Pressed on why he didn't tell the president and others about his diagnosis and surgery, Austin said, \u201cI\u2019m a pretty private guy. I never like burdening others with my problems. It\u2019s just not my way.\u201d He added that the president has a lot of things on his plate and he didn't want to add his personal issue to that.
\u201cI apologize to my teammates and to the American people,\u201d he said.
He said he has learned from the experience. \u201cTaking this kind of job means losing some of the privacy that most of us expect,\u201d he said. \u201cThe American people have a right to know if their leaders are facing health challenges that might affect their ability to perform their duties even temporarily. So a wider circle should have been notified, especially the president.\u201d
Austin also acknowledged that he missed a crucial opportunity to use his prostate check and early discovery of the cancer as a teaching moment, for his many male troops and workers across the department, and, even more importantly, for the African American population.
Prostate cancer is the most common cancer among American men. It affects 1 in every 8 men \u2014 and 1 in every 6 African American men \u2014 during their lifetime.
\u201cI\u2019m here with a clear message to other men, especially older men,\u201d Austin said. \u201cGet screened, get your regular checkups. Prostate cancer has a glass jaw. If your doctor can spot it, they can treat it and beat it.\u201d
Asked about the matter earlier in January, Biden said it was a lapse in judgment for Austin not to tell him about his hospitalization, but he said he still has confidence in his Pentagon chief.
Austin, who worked from home for two weeks after his release from the hospital, returned to work in the Pentagon on Monday. He had not been in the building since Dec. 21.
", + "textformat": "bx", + "links": [ + { + "href": "https://apnews.com/article/austin-pentagon-cancer-secret-hospital-313255a7126a0482a67ec18b7474a8c1", + "rel": "canonical" + } + ], + "topics": { + "Health": { + "relevance_score": 4, + "reason": "The document discusses Defense Secretary Lloyd Austin's cancer diagnosis, surgery, and hospitalization, which are directly related to his health. It also touches on the implications of his health issues on his duties and the importance of prostate cancer screening, which is relevant to public health awareness. However, the document also includes significant details about the political and procedural aspects of the situation, which are not directly related to health. Therefore, while the document is relevant to the topic of health, it is not exclusively focused on it." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/02/01/3ef87efabac8ae4cfdfe6cd645cf3254.json b/datasets/AP_news/raw_data/2024/02/01/3ef87efabac8ae4cfdfe6cd645cf3254.json new file mode 100644 index 0000000..fc6519e --- /dev/null +++ b/datasets/AP_news/raw_data/2024/02/01/3ef87efabac8ae4cfdfe6cd645cf3254.json @@ -0,0 +1,244 @@ +{ + "altids": { + "itemid": "3ef87efabac8ae4cfdfe6cd645cf3254", + "etag": "3ef87efabac8ae4cfdfe6cd645cf3254_0a10aza0c0", + "friendlykey": "255608686352", + "referenceid": "US--XGR-New Hampshire Abortion" + }, + "version": 0, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-02-01T20:13:30Z", + "firstcreated": "2024-02-01T20:13:29Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "signals": [ + "newscontent" + ], + "title": "US--XGR-New Hampshire Abortion", + "headline": "New Hampshire House refuses to either further restrict or protect abortion rights", + "headline_extended": "The Republican-led but closely divided New Hampshire House rejected three abortion bills Thursday, refusing to either further restrict or protect reproductive rights", + "slugline": "BC-US--XGR-New Hampshire Abortion", + "description_summary": "The Republican-led but closely divided New Hampshire House rejected three abortion bills Thursday, refusing to either further restrict or protect reproductive rights. Current state law prohibits abortion after 24 weeks of pregnancy, with some exceptions. The House voted Thursday in favor of asking voters to enshrine abortion rights in the state constitution as well but not by a wide enough margin to advance the proposal. The House also rejected a bill that would have required abortions after 15 weeks to be performed with two doctors present and in hospitals with neonatal intensive care units and a third that would have banned abortion after 15 days gestation. The latter was akin to an outright ban as virtually no one knows they are pregnant at that point.", + "bylines": [ + { + "by": "By HOLLY RAMER", + "title": "Associated Press" + } + ], + "located": "CONCORD, N.H.", + "datelinelocation": { + "city": "Concord", + "countryareacode": "NH", + "countryareaname": "New Hampshire", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -71.53757, + 43.20814 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. For other uses, additional clearances may be required." + ], + "keywords": [ + "abortion New Hampshire" + ], + "provider": "AP", + "infosource": [ + { + "name": "AP", + "type": "AP" + } + ], + "subject": [ + { + "rels": [ + "category" + ], + "creator": "Editorial", + "code": "a", + "name": "a" + }, + { + "rels": [ + "category" + ], + "creator": "Editorial", + "code": "p", + "name": "p" + }, + { + "rels": [ + "category" + ], + "creator": "Editorial", + "code": "n", + "name": "n" + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "e2305bd07de410048fcfdf092526b43e", + "name": "Pregnancy and childbirth", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 66 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "e22e35087de410048fc2df092526b43e", + "name": "Abortion", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 96 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "86c1f7007dac10048991ba7fa5283c3e", + "name": "Constitutions", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 43 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "86aad5207dac100488ecba7fa5283c3e", + "name": "Politics", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 53 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "a4677d70863b4012b846a1b00f5079f5", + "name": "U.S. news", + "creator": "Editorial", + "editorial_subject": "U.S. news", + "rels": [ + "direct" + ], + "relevance": 75 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "f25af2d07e4e100484f5df092526b43e", + "name": "General news", + "creator": "Editorial", + "editorial_subject": "General news", + "rels": [ + "direct" + ], + "relevance": 50 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "86aad5207dac100488ecba7fa5283c3e", + "name": "Politics", + "creator": "Editorial", + "editorial_subject": "Politics", + "rels": [ + "direct" + ], + "relevance": 99 + } + ], + "place": [ + { + "scheme": "http://cv.ap.org/id/", + "code": "9531546082c6100487b5df092526b43e", + "name": "New Hampshire", + "creator": "Machine", + "rels": [ + "direct" + ], + "parentids": [ + "661e48387d5b10048291c076b8e3055c" + ], + "locationtype": { + "code": "0ae5eb8e00e04295a4fc209c94bfe6ef", + "name": "State" + }, + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -71.4998, + 43.66702 + ] + }, + "relevance": 79, + "parentnames": [ + "United States" + ] + } + ], + "audiences": [ + { + "code": "82c6a4c46fa0446090a7acaf93159e4c", + "name": "Print", + "type": "AUDPLATFORM" + }, + { + "code": "9add4649b53b4702ba7d9de5d4fa607a", + "name": "Online", + "type": "AUDPLATFORM" + }, + { + "code": "f5b16ea8760d10048047e6e7a0f4673e", + "name": "State", + "type": "AUDSCOPE" + }, + { + "code": "f43adc08760d10048040e6e7a0f4673e", + "name": "National", + "type": "AUDSCOPE" + }, + { + "code": "f4ecf9b0760d10048044e6e7a0f4673e", + "name": "International", + "type": "AUDSCOPE" + }, + { + "code": "9531546082c6100487b5df092526b43e", + "name": "New Hampshire", + "type": "AUDGEOGRAPHY" + }, + { + "code": "661850e07d5b100481f5c076b8e3055c", + "name": "Latin America and Caribbean", + "type": "AUDGEOGRAPHY" + }, + { + "code": "661e48387d5b10048291c076b8e3055c", + "name": "United States", + "type": "AUDGEOGRAPHY" + } + ], + "body_nitf": "CONCORD, N.H. (AP) \u2014 The Republican-led but closely divided New Hampshire House rejected three abortion bills Thursday, refusing to either further restrict or protect reproductive rights.
Current state law prohibits abortion after 24 weeks of pregnancy except when the mother\u2019s health or life is in danger or there is a fatal fetal anomaly. The House voted 193-184 Thursday in favor of asking voters to enshrine abortion rights in the state constitution as well. But the vote fell short of the majority needed to advance the proposal.
The House also rejected a bill that would have required abortions after 15 weeks to be performed with two doctors present and in hospitals with neonatal intensive care units and a third measure that would have banned abortion after 15 days of gestation. The latter was akin to an outright ban as virtually no one knows they are pregnant at that point, and lawmakers took the extra step of voting to \u201cindefinitely postpone\u201d the bill, making it more difficult to revive at a later date.
The only one of three measures to be debated was the constitutional amendment to protect abortion up to 24 weeks and allow abortions beyond that when a physician believes they are necessary. It was sponsored by Rep. Amanda Toll, who spoke in support of the proposal while holding her week-old daughter.
\u201cHaving my third child, a little girl, has reinvigorated my commitment to making sure that every Granite Stater, including Daniella, has the right to make their own reproductive decisions,\u201d she said. \u201cWe need to send this to the voters and let voters decide.\u201d
Since the U.S. Supreme Court overturned the constitutional right to abortion in 2022, voters in seven states have either protected abortion rights or defeated attempts to curtail them in statewide votes. New Hampshire does not allow citizen-led ballot initiatives, but changes can be made to the state constitution if three-fifths of the Legislature agrees to put the question to voters, who must then approve amendments by at least a two-thirds majority.
\u201cGranite Staters should not have their reproductive rights on the line every legislative session with bills seeking to ban abortion earlier and earlier in pregnancy,\" said Toll, a Democrat from Keene. \"Because while abortion is currently safe and legal here, we have zero state or federal protections in place for abortion rights in New Hampshire.\u201d
Opponents argued the wording of the amendment was vague and left too much to a doctor's discretion. They also said it wasn't needed because the current law is widely supported by the public.
\u201cThere simply is no threat to abortion rights in this state, despite the never-ending political rhetoric to the contrary,\" said Rep. Bob Lynn, a Republican from Windham. \"And therefore, this proposed constitutional amendment is totally unnecessary.\u201d
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Therefore, it is somewhat relevant to the topic of health but not highly focused on it." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/02/01/3f8f33d55c54e7229892a3d92367b81f.json b/datasets/AP_news/raw_data/2024/02/01/3f8f33d55c54e7229892a3d92367b81f.json new file mode 100644 index 0000000..f7b03b2 --- /dev/null +++ b/datasets/AP_news/raw_data/2024/02/01/3f8f33d55c54e7229892a3d92367b81f.json @@ -0,0 +1,210 @@ +{ + "altids": { + "itemid": "3f8f33d55c54e7229892a3d92367b81f", + "etag": "3f8f33d55c54e7229892a3d92367b81f_1a6aza0c0", + "friendlykey": "342111625814", + "referenceid": "Lifestyles-Fitness-Cozy Cardio" + }, + "version": 1, + "type": "text", + "urgency": 4, + "profile": "Feature", + "language": "en", + "versioncreated": "2024-02-01T15:44:03Z", + "firstcreated": "2024-02-01T14:23:48Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: EDITS: Minor trims.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "Lifestyles-Fitness-Cozy Cardio", + "headline": "It's called 'cozy cardio.' In a world seeking comfort, some see a happier mode of exercise", + "headline_extended": "Political polarization", + "slugline": "BC-Lifestyles-Fitness-Cozy Cardio, 1st Ld-Writethru", + "description_summary": "Political polarization. Economic struggles. Inequity. Climate change. War. In a world like ours, you can hardly blame people for trying to cushion themselves. From weighted blankets to \u201ccozy\u201d murder mystery novels to restaurants based on childhood comfort foods, the appetite for comfortable things just keeps growing. Now some are seeking comfort even in their physical exertion. They are, it seems, entering the era of \u201ccozy cardio,\u201d an activity that lies right at the crossroads of gym workout, self-pampering evening \u2026 and nap time. This method of (minimal) calorie burning has gained popularity on TikTok and Instagram ever since a woman named Hope Zuckerbrow began posting videos in late 2022.", + "bylines": [ + { + "by": "By MELISSA RAYWORTH", + "title": "Associated Press" + } + ], + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. For other uses, additional clearances may be required." + ], + "keywords": [ + "fitness exercise cozy cardio comfort" + ], + "provider": "AP", + "infosource": [ + { + "name": "AP", + "type": "AP" + } + ], + "subject": [ + { + "rels": [ + "category" + ], + "creator": "Editorial", + "code": "l", + "name": "l" + }, + { + "rels": [ + "category" + ], + "creator": "Editorial", + "code": "a", + "name": "a" + }, + { + "rels": [ + "category" + ], + "creator": "Editorial", + "code": "e", + "name": "e" + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "33fcc508814a10048170df092526b43e", + "name": "Yoga", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 54 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "701697654d3a435a8076fead5991392a", + "name": "Physical fitness", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 84 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "54df6c687df7100483dedf092526b43e", + "name": "Sports", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 54 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "cc7a76087e4e10048482df092526b43e", + "name": "Health", + "creator": "Editorial", + "editorial_subject": "Health", + "rels": [ + "direct" + ], + "relevance": 75 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "16cb0ba3e6d24d97ace39f5a1924669a", + "name": "Entertainment", + "creator": "Editorial", + "editorial_subject": "Entertainment", + "rels": [ + "direct" + ], + "relevance": 75 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "a4677d70863b4012b846a1b00f5079f5", + "name": "U.S. news", + "creator": "Editorial", + "editorial_subject": "U.S. news", + "rels": [ + "direct" + ], + "relevance": 75 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "f25af2d07e4e100484f5df092526b43e", + "name": "General news", + "creator": "Editorial", + "editorial_subject": "General news", + "rels": [ + "direct" + ], + "relevance": 50 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "3e37e4b87df7100483d5df092526b43e", + "name": "Lifestyle", + "creator": "Editorial", + "editorial_subject": "Lifestyle", + "rels": [ + "direct" + ], + "relevance": 99 + } + ], + "audiences": [ + { + "code": "82c6a4c46fa0446090a7acaf93159e4c", + "name": "Print", + "type": "AUDPLATFORM" + }, + { + "code": "9add4649b53b4702ba7d9de5d4fa607a", + "name": "Online", + "type": "AUDPLATFORM" + }, + { + "code": "f43adc08760d10048040e6e7a0f4673e", + "name": "National", + "type": "AUDSCOPE" + }, + { + "code": "661e48387d5b10048291c076b8e3055c", + "name": "United States", + "type": "AUDGEOGRAPHY" + } + ], + "associations": { + "1": { + "altids": { + "itemid": "eff853deccc54bd2aea2ca5afb3e1bec" + }, + "type": "picture" + }, + "2": { + "altids": { + "itemid": "aa96d5557fd449b398fe084b807aebf7" + }, + "type": "picture" + } + }, + "body_nitf": "Political polarization. Economic struggles. Inequity. Climate change. War. In an often-bruising world, you can hardly blame people for seeking out ways to cushion themselves. From weighted blankets to \u201ccozy\u201d murder mystery novels to entire restaurants and cookbooks based on childhood comfort foods, the appetite for comfortable things just keeps growing.
Now some are seeking comfort even in their physical exertion. They are, it seems, entering the era of \u201ccozy cardio,\u201d an activity that lies right at the crossroads of gym workout, self-pampering evening \u2026 and nap time.
This method of (minimal) calorie burning has gained popularity on TikTok and Instagram ever since a woman named Hope Zuckerbrow began posting videos in late 2022. Let\u2019s describe it by what it doesn\u2019t do. It doesn\u2019t require you to:
\u2014squeeze into spandex workout clothes;
\u2014head out into the cold to drive to a fluorescently lit gym;
\u2014lift heavy things;
\u2014get winded to the beat of pulsating music.
Cozy cardio simply involves walking in place \u2013 in the comfort of your home \u2013 using a mini treadmill or \u201cwalking pad.\u201d No stress, no membership fees, no preening for other, buffer-than-thou gym rats. And you can even have a cup of hot tea by your side.
\u201cI get so many messages from men and women \u2013 so many people \u2013 saying something along the lines of \u2018thank you so much for kind of flipping my mindset on what I thought exercise is supposed to be,\u2019\u201d Zuckerbrow says. \u201cThis feels so doable.\u201d
The key is the setup.
Wearing soft sweatpants and your favorite comfy shirt, you light a few scented candles, make a healthy smoothie or pot of tea, dim the lights and put on a favorite TV show or movie. With your drink handy, you walk for an hour while getting lost in whatever you\u2019re watching, maybe walking just a bit more vigorously once you\u2019re warmed up.
Forget \u201cno pain, no gain.\u201d Cozy cardio acknowledges that maybe you can\u2019t take much more pain at this particular moment, so just enjoy getting some steps in while binge-watching \u201cThe Bear\u201d in your pajamas and call that your workout.
When Zuckerbrow posts on social media, \u201c80% to 90% of the video itself is me romanticizing the exercise that I\u2019m about to do,\u201d she says. \u201cI am setting up my favorite beverage and I\u2019m lighting those candles and my Scentsy and I\u2019m getting my TV show.\u201d
No, walking won\u2019t give you six-pack abs. But could cozy cardio, which embraces the most appealing aspects of being a couch potato while keeping you off the couch, help even hardcore gym-avoiders stick with exercise long after New Year\u2019s resolution season ends?
For people battling the common barriers to exercise, the answer could be yes, says Alex Montoye, assistant professor of clinical exercise physiology at Alma College in Michigan.
Montoye cautions that if you\u2019re downshifting from vigorous daily workouts to something this mellow, the health benefits may plummet. But for someone who would otherwise watch TV from the couch, he says, it\u2019s progress to watch while walking \u2014 especially if it becomes a daily habit.
People struggle to make healthy habits stick, which makes cozy exercise \u201ckind of a genius idea,\u201d says Catherine Sanderson, a professor of psychology at Amherst College in Massachusetts and author of \u201cThe Positive Shift: Mastering Mindset to Improve Happiness, Health, and Longevity.\u201d
\u201cIt fits in with a lot of what we know about how to get people to actually maintain behavior change,\u201d Sanderson says.
Along with removing the barriers to exercise, she says, \u201cit very much relies on what psychologists would call positive reinforcement \u2014 the idea of, \u2019It\u2019s not just that I\u2019m exercising. I\u2019m getting to watch my favorite show. I\u2019m tapping into something I want to be doing already.\u201d
The cozy approach also works for gymgoers who feel burned out at the idea of constant striving.
Ko Im, a mental health advocate who has taught yoga and meditation in New York and other U.S. cities, remembers a phase several years ago when \u201cyoga challenges\u201d were a trend.
\u201cIt was the yoga pose of the day \u2014 really, really hard yoga poses,\u201d Im says. More recently, she sees people pushing themselves to make the leaderboard in all their Peloton classes or to lose five more pounds.
\u201cWhat I like,\u201d she says, \u201cis the idea of enjoying the journey, not the goal. Does it feel good in my body today?\u201d
As cozy cardio gains traction, Zuckerbrow hears from people who didn\u2019t realize they could enjoy the journey.
Alyssa Royse, owner of Rocket Community Fitness in Seattle, has been alternating between full-on workouts at her gym and cozy exercise at home. Some days she switches off the sound on her Peloton (\u201cI don\u2019t even want those cheery people talking to me\u201d) and just pedals while watching \u201cthe trashiest TV I can find, because it just takes my brain somewhere else.\u201d
The hashtag-friendly name \u201ccozy cardio\u201d could sound like an oxymoron. But perhaps, as 2024 takes root, it\u2019s the compromise our culture needs.
Driving across town in icy weather and pushing through an hour of Zumba or lifting 20-pound kettlebells just isn\u2019t possible some days. But lighting a candle in your living room and walking three miles in your pajamas while re-watching the final season of \u201cSuccession\u201d? That\u2019s within reach.
And it might just serve up enough endorphins and bring enough oxygen into your lungs to cope with whatever global crisis tomorrow could bring.
\u201cToo many people look at exercise as an all-or-nothing thing,\u201d Royse says. \u201cIt doesn\u2019t give people room to just be where they are today. And I think that\u2019s incredibly important.\u201d
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The pressure comes nearly a year after lawmakers begrudgingly tweaked the ban in 2023. However, it remains unknown if state lawmakers will be receptive to changes \u2014 particularly in an election year when many members will be vying to keep their positions. So far, Tennessee\u2019s Democratic members have been the loudest in calling for significant changes to the state\u2019s abortion ban. Republicans, meanwhile, have been much quieter when pressed about the ban.", + "bylines": [ + { + "by": "By KIMBERLEE KRUESI", + "title": "Associated Press" + } + ], + "located": "NASHVILLE, Tenn.", + "datelinelocation": { + "city": "Nashville", + "countryareacode": "TN", + "countryareaname": "Tennessee", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -86.78444, + 36.16589 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. 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(AP) \u2014 After begrudgingly agreeing to tweak Tennessee's strict abortion ban last year, the Republican-dominant Legislature is once again facing pressure to reconsider when doctors can legally offer the procedure to pregnant patients.
The push comes as confusion and fear continues among residents in many GOP-controlled states over how abortion ban exemptions should be applied. While a handful of lawsuits have been filed with the hopes of getting clarity in state courts, others are pursuing legislative changes.
Yet it remains unknown if state lawmakers will be receptive to any changes \u2014 particularly in an election year when many members will be vying to keep their positions.
Across the U.S., the total number of abortions provided rose slightly in the year since states began implementing bans, according to a report released late last year from the Society of Family Planning, which advocates for abortion access. The number of abortions have fallen to nearly zero in states with the strictest bans but have increased elsewhere, especially in states close to those with the bans.
When asked earlier this year if Tennessee\u2019s abortion ban should be changed, Senate Speaker Randy McNally, a Republican, said no. \u201cI have the feeling that where we are is where we need to be to protect the life of the unborn.\u201d
Elsewhere, the New Hampshire House rejected three abortion bills Thursday, refusing to either further restrict or protect reproductive rights. The chamber is Republican-led but closely divided.
To date, Tennessee's Democratic members have been the loudest in calling for significant changes to the state's abortion ban. But with no ability to put the issue on a statewide ballot initiative \u2014 a method that to date has been successful elsewhere for reproductive rights advocates \u2014 Democrats face an uphill battle in convincing their conservative colleagues to drastically change the abortion ban.
The Democratic-backed proposals range from enacting a \u201cfundamental right to abortion,\" defining abortion services as \u201creproductive health care,\" and also enshrining the right to contraceptive access. Others would add rape and incest as legal exemptions to the state's abortion ban.
Currently, there are 14 states across the U.S. with strict abortion bans and almost all have some sort of exemption. At least 11 \u2014 including three states with the strictest bans \u2014 allow abortion because of fatal fetal anomalies, and some do when the pregnancy was the result of rape or incest.
So far, none of the Democratic-sponsored bills to add exemptions have made significant progress in Tennessee.
Republicans, meanwhile, have been much quieter when pressed about the state's abortion ban. Last year, lawmakers advanced a very narrow exemption bill. The proposal was significantly pared down after legislative leaders received threats from anti-abortion groups that doing so would come with political retribution.
Lawmakers considered the change after receiving harsh criticism for enacting a ban that had no explicit exemptions. Like other states, Tennessee's abortion ban only went into effect after the U.S. Supreme Court overturned Roe V. Wade in 2022. It was originally passed in 2019 before many Republicans thought the constitutional right to the procedure would ever be revoked \u2014 and skimmed over the consequences of how the law would be implemented.
Under the new statute, doctors now have a narrow option to use their \u201creasonable medical\u201d judgment in deciding whether providing the procedure can save the life of the pregnant patient or prevent major injury.
Since that change was implemented, a group of women have sued the state arguing that the ban violates pregnant patients\u2019 right to life as guaranteed by the state\u2019s constitution. They're asking a state court to clarify the circumstances that qualify patients to legally receive an abortion, which would include fatal diagnoses.
Attorney General Jonathan Skrmetti has asked the court to dismiss the lawsuit, arguing that the state has had some sort of abortion ban on the books since 1883 and countered that the state cannot be held liable for doctors potentially \u201cover-complying\u201d out of fear of possibly violating the law.
\u201cDefendants are not to blame\u2014and cannot be sued\u2014for doctors\u2019 \u2018independent\u2019 choice not to rely on the medical exception even when it applies,\" the AG's office wrote.
However, some Tennessee Republicans maintain that more clarifications are needed.
GOP Sen. Richard Briggs, who is a doctor, said Tennessee's current statute still fails to properly help women, patients and doctors. He is backing legislation to include a list of diagnoses when abortion could be allowed, but acknowledged that finalizing that list has taken \u201clots of back and forth\" after working with the Tennessee Medical Association and Vanderbilt University Medical Center.
Exact details of that bill have not yet been introduced, though Briggs said he has sponsors for both the legislation in both the Senate and the House.
\u201cThere may be some politics that come into play,\u201d he said. \u201cOur Senate Republican seats are pretty secure in Tennessee, but we have some concern that it could be used in a Republican primary against some members and that might make someone reluctant to vote on it.\u201d
Separately, some Republicans are working to make it harder for residents to order medication abortion pills or to leave the state for the procedure.
GOP Rep. Jason Zachary has introduced legislation that would make it illegal for a person to help a minor arrange an abortion out of state without parental or guardian permission. Similar legislation has been enacted in Idaho, but is temporarily blocked from being enforced due to an ongoing lawsuit.
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Therefore, it is somewhat relevant to the topic of health but not highly focused on health-specific content." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/02/01/47a5a5466e95b65216bf2dc6db508a0f.json b/datasets/AP_news/raw_data/2024/02/01/47a5a5466e95b65216bf2dc6db508a0f.json new file mode 100644 index 0000000..6225ba7 --- /dev/null +++ b/datasets/AP_news/raw_data/2024/02/01/47a5a5466e95b65216bf2dc6db508a0f.json @@ -0,0 +1,186 @@ +{ + "altids": { + "itemid": "47a5a5466e95b65216bf2dc6db508a0f", + "etag": "47a5a5466e95b65216bf2dc6db508a0f_0a4aza0c0", + "friendlykey": "838123344859", + "referenceid": "US-MED--COVID Vaccine Effectiveness" + }, + "version": 0, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-02-01T18:01:23Z", + "firstcreated": "2024-02-01T18:01:23Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: Updates Media.", + "signals": [ + "newscontent" + ], + "title": "US-MED--COVID Vaccine Effectiveness", + "headline": "Newest COVID shots are 54% effective in preventing symptoms, CDC finds", + "headline_extended": "The latest COVID-19 vaccines are 54% effective at preventing symptomatic infection in adults", + "slugline": "AP-US-MED--COVID Vaccine Effectiveness", + "description_summary": "The latest COVID-19 vaccines are 54% effective at preventing symptomatic infection in adults. That's according to the first U.S. study to assess how well the updated shots work. The shots became available last year and are designed to better protect against more recent coronavirus variants. The Centers for Disease Control and Prevention on Thursday released a study of how well the vaccine has worked since then. The finding is similar to what\u2019s been reported in other countries. It's also similar to what was reported for earlier versions of the vaccines.", + "bylines": [ + { + "by": "By MIKE STOBBE", + "title": "AP Medical Writer" + } + ], + "located": "NEW YORK", + "datelinelocation": { + "city": "New York", + "countryareacode": "NY", + "countryareaname": "New York", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -74.00597, + 40.71427 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. 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The shots became available last year and were designed to better protect against more recent coronavirus variants.
In Thursday's study, the Centers for Disease Control and Prevention looked at 9,000 people who got tested for COVID-19 at CVS and Walgreens pharmacies, checking who tested positive and whether they had gotten a new shot or not.
The 54% finding is similar to what's been reported in other countries, and it's also about what was reported for an earlier vaccine version, said the Ruth Link-Gelles of the CDC, the study's lead author.
Studies coming out later this year will assess how effective the shot was at preventing symptoms severe enough to send patients to a doctor's office or hospital, she said.
The CDC recommends the new shots for everyone 6 months and older, but most Americans haven't gotten them. The latest CDC data suggests only about 22% of U.S. adults have gotten the shots, and only 11% of children. The slow uptake meant that it took longer for researchers to gather enough data to assess how well the shots work, Link-Gelles said.
___
The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute\u2019s Science and Educational Media Group. The AP is solely responsible for all content.
", + "textformat": "bx", + "links": [ + { + "href": "https://apnews.com/article/covid19-vaccine-effectiveness-cdc-47a5a5466e95b65216bf2dc6db508a0f", + "rel": "canonical" + } + ], + "topics": { + "Health": { + "relevance_score": 5, + "reason": "The document discusses the effectiveness of the latest COVID-19 vaccines, which is a significant topic within the broader field of health. It provides specific data on the vaccine's effectiveness, the population studied, and the recommendations from the CDC. This information is highly relevant to the topic of health as it pertains to public health measures, vaccine efficacy, and disease prevention." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/02/01/7f13b5e461c758dbc56025469c4d0cfd.json b/datasets/AP_news/raw_data/2024/02/01/7f13b5e461c758dbc56025469c4d0cfd.json new file mode 100644 index 0000000..855b3d6 --- /dev/null +++ b/datasets/AP_news/raw_data/2024/02/01/7f13b5e461c758dbc56025469c4d0cfd.json @@ -0,0 +1,218 @@ +{ + "altids": { + "itemid": "7f13b5e461c758dbc56025469c4d0cfd", + "etag": "7f13b5e461c758dbc56025469c4d0cfd_0a8aza0c0", + "friendlykey": "339752236643", + "referenceid": "AF--Morocco-Trafficking Babies" + }, + "version": 0, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-02-01T18:10:55Z", + "firstcreated": "2024-02-01T18:10:54Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "signals": [ + "newscontent" + ], + "title": "AF--Morocco-Trafficking Babies", + "headline": "Morocco arrests 30 people suspected of trafficking newborns, report says", + "headline_extended": "Authorities in Morocco have arrested 30 people in the city of Fes on charges of blackmail, threats and trafficking of newborn babies", + "slugline": "BC-AF--Morocco-Trafficking Babies", + "description_summary": "Authorities in Morocco have arrested 30 people in the city of Fes on charges of blackmail, threats and trafficking of newborn babies. Morocco's state-owned news agency reported on Wednesday that the suspects were arrested this week. They include law enforcement agents, doctors, nurses and other health professionals. They are accused of working with unwed mothers to sell their newborn babies to families wishing to adopt. Their scheme also involved blackmail, fraud and theft of medications that are not sold without a prescription. Some suspects are accused of helping facilitate abortions, which are illegal outside of emergencies in Morocco.", + "located": "FES, Morocco", + "datelinelocation": { + "city": "Fes", + "countrycode": "MAR", + "countryname": "Morocco", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -5.00028, + 34.03313 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. For other uses, additional clearances may be required." + ], + "keywords": [ + "Morocco trafficking babies arrests" + ], + "provider": "AP", + "infosource": [ + { + "name": "AP", + "type": "AP" + } + ], + "subject": [ + { + "rels": [ + "category" + ], + "creator": "Editorial", + "code": "f", + "name": "f" + }, + { + "rels": [ + "category" + ], + "creator": "Editorial", + "code": "i", + "name": "i" + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "e7d1d3f880a910048b8adf092526b43e", + "name": "Nursing care", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 39 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "48612b807c2b4b93bbbacbf54f547ad5", + "name": "Crime", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 77 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "42c5b4aa33fe47f99018a0a7f866bf99", + "name": "Fraud", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 66 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "a37eab90831510048fcfdf092526b43e", + "name": "Law enforcement", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 53 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "c8e409f8858510048872ff2260dd383e", + "name": "Business", + "creator": "Editorial", + "editorial_subject": "Business", + "rels": [ + "direct" + ], + "relevance": 75 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "bb2d2c5f441a452cb24bb511a2ab5eea", + "name": "World news", + "creator": "Editorial", + "editorial_subject": "World news", + "rels": [ + "direct" + ], + "relevance": 99 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "f25af2d07e4e100484f5df092526b43e", + "name": "General news", + "creator": "Editorial", + "editorial_subject": "General news", + "rels": [ + "direct" + ], + "relevance": 50 + } + ], + "place": [ + { + "scheme": "http://cv.ap.org/id/", + "code": "661e48387d5b1004828cc076b8e3055c", + "name": "Morocco", + "creator": "Machine", + "rels": [ + "direct" + ], + "parentids": [ + "661812607d5b100481f1c076b8e3055c" + ], + "locationtype": { + "code": "01f56e0e654841eca2e69bf2cbcc0526", + "name": "Nation" + }, + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -5, + 32 + ] + }, + "relevance": 91, + "parentnames": [ + "Africa" + ] + } + ], + "audiences": [ + { + "code": "82c6a4c46fa0446090a7acaf93159e4c", + "name": "Print", + "type": "AUDPLATFORM" + }, + { + "code": "9add4649b53b4702ba7d9de5d4fa607a", + "name": "Online", + "type": "AUDPLATFORM" + }, + { + "code": "f43adc08760d10048040e6e7a0f4673e", + "name": "National", + "type": "AUDSCOPE" + }, + { + "code": "f4ecf9b0760d10048044e6e7a0f4673e", + "name": "International", + "type": "AUDSCOPE" + }, + { + "code": "661812607d5b100481f1c076b8e3055c", + "name": "Africa", + "type": "AUDGEOGRAPHY" + }, + { + "code": "661e48387d5b10048291c076b8e3055c", + "name": "United States", + "type": "AUDGEOGRAPHY" + } + ], + "body_nitf": "FES, Morocco (AP) \u2014 Moroccan authorities arrested 30 people this week in the city of Fes on multiple charges as part of a wide-ranging case involving blackmail, threats and trafficking of newborn babies.
The North African country's state-run news agency, MAP, reported on Wednesday that the suspects \u2014 including law enforcement agents, doctors, nurses and other health professionals \u2014 were arrested earlier this week. They are accused of working with unwed mothers to sell babies to families wishing to adopt.
Their scheme, the report said, also involved blackmail, fraud and theft of medications that are not sold without a prescription. Some suspects are accused of helping facilitate abortions, which are illegal outside of emergencies in Morocco.
", + "textformat": "bx", + "links": [ + { + "href": "https://apnews.com/article/morocco-trafficking-babies-arrests-7f13b5e461c758dbc56025469c4d0cfd", + "rel": "canonical" + } + ], + "topics": { + "Health": { + "relevance_score": 3, + "reason": "The document discusses the arrest of 30 people in Morocco for crimes including blackmail, threats, and trafficking of newborns. While the document does touch on health-related issues such as the involvement of doctors, nurses, and health professionals, as well as illegal abortions and theft of medications, the primary focus is on criminal activities rather than health itself. Therefore, the document is only somewhat relevant to the topic of health." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/02/01/982c5f06402153c3c7519430f4cf4eec.json b/datasets/AP_news/raw_data/2024/02/01/982c5f06402153c3c7519430f4cf4eec.json new file mode 100644 index 0000000..e725a35 --- /dev/null +++ b/datasets/AP_news/raw_data/2024/02/01/982c5f06402153c3c7519430f4cf4eec.json @@ -0,0 +1,193 @@ +{ + "altids": { + "itemid": "982c5f06402153c3c7519430f4cf4eec", + "etag": "982c5f06402153c3c7519430f4cf4eec_1a7aza0c0", + "friendlykey": "253019095254", + "referenceid": "US-MED--Dental X-Rays-Apron" + }, + "version": 1, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-02-01T22:18:53Z", + "firstcreated": "2024-02-01T21:37:36Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: Links video. With AP Photos. AP Video.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "US-MED--Dental X-Rays-Apron", + "headline": "Getting a dental X-ray? A new recommendation says you don't need a lead apron", + "headline_extended": "People do not need to wear lead aprons or thyroid collars when getting X-rays at the dentist", + "slugline": "AP-US-MED--Dental X-Rays-Apron, 1st Ld-Writethru", + "description_summary": "People do not need to wear lead aprons or thyroid collars when getting X-rays at the dentist. That's according to the American Dental Association. The new recommendation is just that, however. State rules may dictate if people have to wear the aprons, and some states still require them. Experts say there needs to be more education on the safety and risks of X-rays to broadly change minds about the aprons.", + "bylines": [ + { + "by": "By DEVI SHASTRI", + "title": "AP Health Writer" + } + ], + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. For other uses, additional clearances may be required." + ], + "keywords": [ + "Xray dentist lead apron teeth" + ], + "provider": "AP", + "infosource": [ + { + "name": "AP", + "type": "AP" + } + ], + "subject": [ + { + "rels": [ + "category" + ], + "creator": "Editorial", + "code": "a", + "name": "a" + }, + { + "rels": [ + "category" + ], + "creator": "Editorial", + "code": "n", + "name": "n" + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "e57b6c907e3810048ae4df092526b43e", + "name": "Public health", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 45 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "15e4391e57a2443e842d5e41110305bf", + "name": "Oral health", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 57 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "c9469c808b6b10048d8ba385cd5ce603", + "name": "Medical diagnostic technology", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 80 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "cc7a76087e4e10048482df092526b43e", + "name": "Health", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 69 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "cc7a76087e4e10048482df092526b43e", + "name": "Health", + "creator": "Editorial", + "editorial_subject": "Health", + "rels": [ + "direct" + ], + "relevance": 99 + } + ], + "audiences": [ + { + "code": "82c6a4c46fa0446090a7acaf93159e4c", + "name": "Print", + "type": "AUDPLATFORM" + }, + { + "code": "9add4649b53b4702ba7d9de5d4fa607a", + "name": "Online", + "type": "AUDPLATFORM" + }, + { + "code": "f43adc08760d10048040e6e7a0f4673e", + "name": "National", + "type": "AUDSCOPE" + }, + { + "code": "f4ecf9b0760d10048044e6e7a0f4673e", + "name": "International", + "type": "AUDSCOPE" + }, + { + "code": "f5b16ea8760d10048047e6e7a0f4673e", + "name": "State", + "type": "AUDSCOPE" + }, + { + "code": "661850e07d5b100481f4c076b8e3055c", + "name": "Europe", + "type": "AUDGEOGRAPHY" + }, + { + "code": "661850e07d5b100481f5c076b8e3055c", + "name": "Latin America and Caribbean", + "type": "AUDGEOGRAPHY" + }, + { + "code": "789fdd8882af10048263df092526b43e", + "name": "California", + "type": "AUDGEOGRAPHY" + }, + { + "code": "661e48387d5b10048291c076b8e3055c", + "name": "United States", + "type": "AUDGEOGRAPHY" + } + ], + "associations": { + "1": { + "altids": { + "itemid": "df4987c05bdc4f36979d5f9344c70834" + }, + "type": "picture" + }, + "2": { + "altids": { + "itemid": "9caa9a2d69db42f6bbfbe9aca063ab65" + }, + "type": "video" + } + }, + "body_nitf": "Those heavy lead aprons may be on their way out at the dentist office, depending on where you live.
The nation's largest dental association said Thursday it will no longer recommend the use of lead aprons and thyroid collars on patients who are getting dental X-rays.
There are two main reasons for the change. X-ray beams are now more focused, so there is less concern about radiation hitting other parts of the body. Also, the aprons and collars can sometimes block dentists from getting the images they need.
The best thing to lower radiation exposure is to make sure the patient needs the X-ray and to do it right the first time, said Dr. Purnima Kumar, who chairs the American Dental Association Council on Scientific Affairs, which released the recommendation.
Dental X-rays use a relatively small amount of radiation to begin with, she said.
\u201cIt\u2019s like taking a flight from, let\u2019s say, from Michigan to San Francisco, it gives you the equivalent of one dental X-ray,\u201d Kumar said.
The association's recommendation is just that. True change depends on state dental boards, dentists and patients, Kumar said. For example, California state rules require dentists to use the aprons.
Sanjay Mallya, a radiologist and professor at the University of California, Los Angeles, said there is \u201cno hard science,\u201d that the aprons are needed.
\u201cYet at the same time, we do have the letter of the law that requires that,\u201d said Mallya, who helped write the American Academy of Oral and Maxillofacial Radiology's recommendation in the fall against the use of lead aprons and thyroid collars. Kumar noted it was that group's recommendation that spurred the American Dental Association to look at the topic.
The most recent guidance is also backed by medical physicists with the U.S. Food and Drug Administration.
Mallya also said X-rays may cause patients and dentists to be complacent about the things that should be done to prevent unnecessary radiation exposure \u2014 such as making sure an X-ray is necessary and using digital X-ray instead of film ones because they use less radiation.
It will take advocacy and education to change more minds around the use of the aprons among patients, dentists and policymakers, he said.
\u201cThat is going to be the next step for us,\u201d he said.
___
The Associated Press Health and Science Department receives support from the Robert Wood Johnson Foundation. The AP is solely responsible for all content.
", + "textformat": "bx", + "links": [ + { + "href": "https://apnews.com/article/xray-dentist-lead-apron-teeth-982c5f06402153c3c7519430f4cf4eec", + "rel": "canonical" + } + ], + "topics": { + "Health": { + "relevance_score": 5, + "reason": "The document discusses a new recommendation regarding the use of lead aprons during dental X-rays, which is directly related to health. It covers the reasons for the change, the potential impact on radiation exposure, and the need for advocacy and education to implement the new guidelines. This information is highly relevant to the topic of health as it pertains to patient safety, medical guidelines, and radiation exposure." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/02/01/aff0e28dece3ef4168f301bd84331ea5.json b/datasets/AP_news/raw_data/2024/02/01/aff0e28dece3ef4168f301bd84331ea5.json new file mode 100644 index 0000000..1f18089 --- /dev/null +++ b/datasets/AP_news/raw_data/2024/02/01/aff0e28dece3ef4168f301bd84331ea5.json @@ -0,0 +1,212 @@ +{ + "altids": { + "itemid": "aff0e28dece3ef4168f301bd84331ea5", + "etag": "aff0e28dece3ef4168f301bd84331ea5_1a6aza0c0", + "friendlykey": "190184463967", + "referenceid": "MED--Autoimmune Diseases-Women" + }, + "version": 1, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-02-01T23:10:47Z", + "firstcreated": "2024-02-01T16:34:22Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: Adds AP Audio. With AP Photos.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "MED--Autoimmune Diseases-Women", + "headline": "Lupus and other autoimmune diseases strike far more women than men. Now there's a clue why", + "headline_extended": "Women are far more likely than men to get autoimmune diseases, illnesses like lupus or rheumatoid arthritis that occur when the immune system mistakenly attacks their own bodies", + "slugline": "BC-MED--Autoimmune Diseases-Women, 1st Ld-Writethru", + "description_summary": "Women are far more likely than men to get autoimmune diseases, illnesses like lupus or rheumatoid arthritis that occur when the immune system mistakenly attacks their own bodies. That gender disparity has baffled scientists for decades but new research may finally explain why. Females have two X chromosomes and Stanford University researchers say how cells handle that extra X can be a red flag for the immune system, essentially an early risk factor. The findings, published Thursday in the journal Cell, could lead to better ways to detect autoimmunity.", + "bylines": [ + { + "by": "By LAURAN NEERGAARD", + "title": "AP Medical Writer" + } + ], + "located": "WASHINGTON", + "datelinelocation": { + "city": "Washington", + "countryareacode": "DC", + "countryareaname": "District of Columbia", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -77.03637, + 38.89511 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. For other uses, additional clearances may be required." + ], + "keywords": [ + "autoimmune lupus women rheumatoid arthritis" + ], + "provider": "AP", + "infosource": [ + { + "name": "AP", + "type": "AP" + } + ], + "subject": [ + { + "rels": [ + "category" + ], + "creator": "Editorial", + "code": "w", + "name": "w" + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "e24779c87de410048069df092526b43e", + "name": "Men's health", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 83 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "4bf76cb87df7100483dbdf092526b43e", + "name": "Science", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 46 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "bb3d52787f6810048a46df092526b43e", + "name": "Lupus", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 72 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "9f32da3d50b444f3900a1cf8c8012482", + "name": "Skin conditions", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 59 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "cc7a76087e4e10048482df092526b43e", + "name": "Health", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 94 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "4bf76cb87df7100483dbdf092526b43e", + "name": "Science", + "creator": "Editorial", + "editorial_subject": "Science", + "rels": [ + "direct" + ], + "relevance": 75 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "cc7a76087e4e10048482df092526b43e", + "name": "Health", + "creator": "Editorial", + "editorial_subject": "Health", + "rels": [ + "direct" + ], + "relevance": 99 + } + ], + "audiences": [ + { + "code": "82c6a4c46fa0446090a7acaf93159e4c", + "name": "Print", + "type": "AUDPLATFORM" + }, + { + "code": "9add4649b53b4702ba7d9de5d4fa607a", + "name": "Online", + "type": "AUDPLATFORM" + }, + { + "code": "f43adc08760d10048040e6e7a0f4673e", + "name": "National", + "type": "AUDSCOPE" + }, + { + "code": "f4ecf9b0760d10048044e6e7a0f4673e", + "name": "International", + "type": "AUDSCOPE" + }, + { + "code": "661850e07d5b100481f4c076b8e3055c", + "name": "Europe", + "type": "AUDGEOGRAPHY" + }, + { + "code": "661e48387d5b10048291c076b8e3055c", + "name": "United States", + "type": "AUDGEOGRAPHY" + } + ], + "associations": { + "1": { + "altids": { + "itemid": "4aa4680b9b484957b44960288d12fbff" + }, + "type": "picture" + }, + "2": { + "altids": { + "itemid": "57e13eae265f4c72957a3007076bd731" + }, + "type": "audio" + }, + "3": { + "altids": { + "itemid": "41acec36766641b89ea2d989c04d40ee" + }, + "type": "audio" + } + }, + "body_nitf": "WASHINGTON (AP) \u2014 Women are far more likely than men to get autoimmune diseases, when an out-of-whack immune system attacks their own bodies \u2014 and new research may finally explain why.
It\u2019s all about how the body handles females\u2019 extra X chromosome, Stanford University researchers reported Thursday \u2014 a finding that could lead to better ways to detect a long list of diseases that are hard to diagnose and treat.
\u201cThis transforms the way we think about this whole process of autoimmunity, especially the male-female bias,\u201d said University of Pennsylvania immunologist E. John Wherry, who wasn\u2019t involved in the study.
More than 24 million Americans, by some estimates up to 50 million, have an autoimmune disorder \u2014 diseases such as lupus, rheumatoid arthritis, multiple sclerosis and dozens more. About 4 of every 5 patients are women, a mystery that has baffled scientists for decades.
One theory is that the X chromosome might be a culprit. After all, females have two X chromosomes while males have one X and one Y.
The new research, published in the journal Cell, shows that extra X is involved \u2014 but in an unexpected way.
Our DNA is carried inside each cell in 23 pairs of chromosomes, including that final pair that determines biological sex. The X chromosome is packed with hundreds of genes, far more than males\u2019 much smaller Y chromosome. Every female cell must switch off one of its X chromosome copies, to avoid getting a toxic double dose of all those genes.
Performing that so-called X-chromosome inactivation is a special type of RNA called Xist, pronounced like \u201cexist.\u201d This long stretch of RNA parks itself in spots along a cell's extra X chromosome, attracts proteins that bind to it in weird clumps, and silences the chromosome.
Stanford dermatologist Dr. Howard Chang was exploring how Xist does its job when his lab identified nearly 100 of those stuck-on proteins. Chang recognized many as related to skin-related autoimmune disorders \u2014 patients can have \u201cautoantibodies\u201d that mistakenly attack those normal proteins.
\u201cThat got us thinking: These are the known ones. What about the other proteins in Xist?\u201d Chang said. Maybe this molecule, found only in women, \u201ccould somehow organize proteins in such a way as to activate the immune system.\u201d
If true, Xist by itself couldn\u2019t cause autoimmune disease or all women would be affected. Scientists have long thought it takes a combination of genetic susceptibility and an environmental trigger, such as an infection or injury, for the immune system to run amok. For example, the Epstein-Barr virus is linked to multiple sclerosis.
Chang\u2019s team decided to engineer male lab mice to artificially make Xist \u2014 without silencing their only X chromosome \u2014 and see what happened.
Researchers also specially bred mice susceptible to a lupus-like condition that can be triggered by a chemical irritant.
The mice that produced Xist formed its hallmark protein clumps and, when triggered, developed lupus-like autoimmunity at levels similar to females, the team concluded.
\u201cWe think that\u2019s really important, for Xist RNA to leak out of the cell to where the immune system gets to see it. You still needed this environmental trigger to cause the whole thing to kick off,\u201d explained Chang, who is paid by the Howard Hughes Medical Institute, which also supports The Associated Press\u2019 Health and Science Department.
Beyond mice, researchers also examined blood samples from 100 patients \u2014 and uncovered autoantibodies targeting Xist-associated proteins that scientists hadn't previously linked to autoimmune disorders. A potential reason, Chang suggests: standard tests for autoimmunity were made using male cells.
Lots more research is necessary but the findings \u201cmight give us a shorter path to diagnosing patients that look clinically and immunologically quite different,\u201d said Penn\u2019s Wherry.
\u201cYou may have autoantibodies to Protein A and another patient may have autoantibodies to Proteins C and D,\u201d but knowing they\u2019re all part of the larger Xist complex allows doctors to better hunt disease patterns, he added. \u201cNow we have at least one big part of the puzzle of biological context.\u201d
Stanford\u2019s Chang wonders if it may even be possible to one day interrupt the process.
\u201cHow does that go from RNA to abnormal cells, this will be a next step of the investigation.\u201d
___
The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute\u2019s Science and Educational Media Group. The AP is solely responsible for all content.
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Several plaintiffs had complained they were banned from taking the mediations. One Jefferson County woman experienced severe withdrawal symptoms rather than test positive and return to prison.
\u201cToo many people have died and suffered under these kinds of policies. But we are heartened to see that the court system has finally agreed to do the right thing,\u201d said her lawyer, Sally Friedman, senior vice president of legal advocacy at the Legal Action Center in New York.
The settlement mandates training for judges and court personnel to ensure they do not interfere with medications such as buprenorphine, methadone and naltrexone.
Friedman's client, along with other plaintiffs, will also share in a $100,000 settlement, federal officials said in a news release.
The settlement resolves a DOJ complaint filed against several state court entities and court systems in Blair, Jefferson, Lackawanna and Northumberland counties.
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Publicis Health, part of the Paris-based media conglomerate Publicis Groupe, agreed to pay $350 million, part of which will flow to every state in the next two months, and most of which will be used to fight the overdose epidemic.
Hikma Pharmaceuticals agreed to pay $115 million in cash and provide $35 million worth of an overdose reversal drug to state, local and Native American tribal governments.
Publicis is the first advertising company to reach a major settlement over the toll of opioids in the U.S. It had faced a lawsuit in Massachusetts but settled with most states before they made court claims against it.
The office of New York Attorney General Letitia James, who led negotiations with the company, said Publicis worked with OxyContin maker Purdue Pharma from 2010-2019, helping campaigns for OxyContin and other prescription opioids, Butrans and Hysingla.
James' office said the materials played up the abuse-deterrent properties of OxyContin and promoted increasing patients' doses. While the formulation made it harder to break down the drug for users to get a faster high, it did not make the pills any less addictive.
Washington Attorney General Bob Ferguson said the company provided physicians with digital recorders so Publicis and Purdue could analyze conversations that the prescribers had with patients about taking opioids.
As part of the settlement, Publicis agreed to release internal documents detailing its work for Purdue and other companies that made opioids.
The company said in a statement that the settlement is not an admission of wrongdoing and noted that most of the work subject to the settlement was done by Rosetta, a company owned by Publicis that closed 10 years ago.
\u201cRosetta\u2019s role was limited to performing many of the standard advertising services that agencies provide to their clients, for products that are to this day prescribed to patients, covered by major private insurers, Medicare, and authorized by State Pharmacy Boards,\u201d Publicis said.
The company also reaffirmed its policy of not taking new work on opioid-related products.
Publicis added that the company's insurers are reimbursing it for $130 million and that $7 million of the settlement amount will be used for states' legal fees.
London-based Hikma also said its settlement is not an admission of wrongdoing.
Drugmakers, wholesalers, pharmacies, at least one consulting company and a health data firm have agreed to settlements over opioids with U.S. federal, state and local governments totaling more than $50 billion.
One of the largest individual proposed settlements is between state and local governments and Connecticut-based Purdue Pharma. As part of the deal, members of the Sackler family who own the company would contribute up to $6 billion, plus give up ownership. The U.S. Supreme Court is weighing whether it's appropriate to shield family members from civil lawsuits as part of the deal.
The opioid crisis has killed hundreds of thousands of Americans in three waves.
The first began after OxyContin hit the market in 1996 and was linked mostly to prescription opioids, many of them generics. By about 2010, as there were crackdowns on overprescribing and black-market pills, heroin deaths increased dramatically. Most recently, opioids have been linked to more than 80,000 deaths a year, more than ever before. Most involve illicitly produced fentanyl and other potent lab-produced drugs.
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EDITS: Light edits.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "US--Train Derailment-Ohio", + "headline": "New videos show towers of fire that prompted evacuations after last year's fiery Ohio derailment", + "headline_extended": "Residents of eastern Ohio can now get an up-close view in newly released videos of the toxic towers of fire that forced them from their homes last February when officials decided to blow open five tank cars filled with vinyl chloride they worried might explode days after a Norfolk Southern train derailed", + "slugline": "BC-US--Train Derailment-Ohio, 1st Ld-Writethru", + "description_summary": "Residents of eastern Ohio can now get an up-close view in newly released videos of the toxic towers of fire that forced them from their homes last February when officials decided to blow open five tank cars filled with vinyl chloride they worried might explode days after a Norfolk Southern train derailed. The National Transportation Safety Board released more than a half-dozen videos of the fire and huge plume of black smoke it generated in East Palestine, Ohio. They also released documents about the decision to release and burn the vinyl chloride. Those documents reinforce questions raised last year about whether the tank cars really would have exploded.", + "bylines": [ + { + "by": "By JOSH FUNK and TOM KRISHER", + "title": "Associated Press" + } + ], + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. For other uses, additional clearances may be required." + ], + "keywords": [ + "Norfolk Southern derailment East Palestine Ohio railroad" + ], + "provider": "AP", + "infosource": [ + { + "name": "AP", + "type": "AP" + } + ], + "subject": [ + { + "rels": [ + "category" + ], + "creator": "Editorial", + "code": "f", + "name": "f" + }, + { + "rels": [ + "category" + ], + "creator": "Editorial", + "code": "a", + "name": "a" + }, + { + "rels": [ + "category" + ], + "creator": "Editorial", + "code": "n", + "name": "n" + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "6b5b04b0882f100480e6ae2ac3a6923e", + "name": "Fires", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 52 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "6aa161b575f64c62993bc3e9cd82bb69", + "name": "Rail accidents", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 95 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "c8e409f8858510048872ff2260dd383e", + "name": "Business", + "creator": "Editorial", + "editorial_subject": "Business", + "rels": [ + "direct" + ], + "relevance": 75 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "8783d248894710048286ba0a2b2ca13e", + "name": "Climate and environment", + "creator": "Editorial", + "editorial_subject": "Climate and environment", + "rels": [ + "direct" + ], + "relevance": 75 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "cc7a76087e4e10048482df092526b43e", + "name": "Health", + "creator": "Editorial", + "editorial_subject": "Health", + "rels": [ + "direct" + ], + "relevance": 75 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "a4677d70863b4012b846a1b00f5079f5", + "name": "U.S. news", + "creator": "Editorial", + "editorial_subject": "U.S. news", + "rels": [ + "direct" + ], + "relevance": 99 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "f25af2d07e4e100484f5df092526b43e", + "name": "General news", + "creator": "Editorial", + "editorial_subject": "General news", + "rels": [ + "direct" + ], + "relevance": 50 + } + ], + "organisation": [ + { + "scheme": "http://cv.ap.org/id/", + "code": "36624508892310048fa2fb7860a2fc03", + "name": "National Transportation Safety Board", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 44 + } + ], + "place": [ + { + "scheme": "http://cv.ap.org/id/", + "code": "dcb000c082c610048843df092526b43e", + "name": "Ohio", + "creator": "Machine", + "rels": [ + "direct" + ], + "parentids": [ + "661e48387d5b10048291c076b8e3055c" + ], + "locationtype": { + "code": "0ae5eb8e00e04295a4fc209c94bfe6ef", + "name": "State" + }, + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -83.00018, + 40.25034 + ] + }, + "relevance": 77, + "parentnames": [ + "United States" + ] + } + ], + "audiences": [ + { + "code": "82c6a4c46fa0446090a7acaf93159e4c", + "name": "Print", + "type": "AUDPLATFORM" + }, + { + "code": "9add4649b53b4702ba7d9de5d4fa607a", + "name": "Online", + "type": "AUDPLATFORM" + }, + { + "code": "f43adc08760d10048040e6e7a0f4673e", + "name": "National", + "type": "AUDSCOPE" + }, + { + "code": "f4ecf9b0760d10048044e6e7a0f4673e", + "name": "International", + "type": "AUDSCOPE" + }, + { + "code": "f5b16ea8760d10048047e6e7a0f4673e", + "name": "State", + "type": "AUDSCOPE" + }, + { + "code": "661850e07d5b100481f5c076b8e3055c", + "name": "Latin America and Caribbean", + "type": "AUDGEOGRAPHY" + }, + { + "code": "dcb000c082c610048843df092526b43e", + "name": "Ohio", + "type": "AUDGEOGRAPHY" + }, + { + "code": "0b394d7082c71004887fdf092526b43e", + "name": "Pennsylvania", + "type": "AUDGEOGRAPHY" + }, + { + "code": "dec1cce882af10048320df092526b43e", + "name": "Georgia", + "type": "AUDGEOGRAPHY" + }, + { + "code": "661e48387d5b10048291c076b8e3055c", + "name": "United States", + "type": "AUDGEOGRAPHY" + } + ], + "associations": { + "1": { + "altids": { + "itemid": "94e06e04211c403fb7fa1e902a623444" + }, + "type": "picture" + }, + "2": { + "altids": { + "itemid": "5c019f5442ff44a09b18d320eb5dd7d8" + }, + "type": "picture" + }, + "3": { + "altids": { + "itemid": "adc91773cae54fe5ad5d6ba17ff284a0" + }, + "type": "picture" + }, + "4": { + "altids": { + "itemid": "1ab208d0d85a41edaea20d1c4d4136c8" + }, + "type": "picture" + }, + "5": { + "altids": { + "itemid": "40ac3746fcc141269528c856ac9e4953" + }, + "type": "video" + } + }, + "body_nitf": "Residents of eastern Ohio can now get an up-close view in newly released videos of the twin toxic towers of fire that forced them from their homes last February after officials decided to blow open five tank cars filled with vinyl chloride they worried might explode days after a Norfolk Southern train derailed.
The National Transportation Safety Board released more than a half-dozen videos of the explosions, fire and huge plume of black smoke generated along with documents unearthed in their investigation about what went into the decision to release and burn the vinyl chloride.
Those documents reinforce the questions raised last spring at the hearings the NTSB held in East Palestine, Ohio, about whether the tank cars really would have exploded while they were surrounded by the fire from the derailment. The officials who made that decision have defended it, saying they made the best call they could with the information they had available that day.
The company that made the chemical, Oxy Vinyls, told investigators they believed the vinyl chloride remained stable and wouldn't explode, but it was revealed last year that the opinion of Oxy Vinyls' experts wasn't shared with key decision-makers. Instead, they decided to blow open the cars because of the concerns about the cars' temperature readings and whether pressure relief valves were working.
Residents are still worrying about the potential health consequences of that decision and the derailment itself as the one-year anniversary of the derailment near the Ohio-Pennsylvania border approaches on Saturday. Key health questions remain unanswered although many who live in East Palestine just want to move forward with rebuilding their town.
State and federal Environmental Protection Agency officials have said their tests haven't shown toxic levels of chemicals since the evacuation order was lifted. The massive cleanup that included removing more than 176,000 tons of contaminated soil from around the derailment continues but could wrap up around the middle of this year.
There are also details in the documents about the trackside detectors that spotted a bearing heating up on one of the rail cars but didn't trigger an alarm early enough for the crew to stop the train before the derailment. The NTSB blamed that overheating bearing for causing the derailment in the preliminary report, but their full investigation likely won't be complete until this summer.
In the 30 miles (48 kilometers) before East Palestine, the eastbound train passed three detectors designed to spot hot wheel bearings that showed the temperature of a bearing on one of the cars steadily increasing.
A Norfolk Southern assistant vice president for signals told the NTSB the first two detectors \u201cdid not trigger any alarms or alerts\u201d that would have required action by the crew or the sole employee monitoring them across the railroad from Georgia.
But the official later said that as the train passed through Salem, Ohio, which is about 26 miles (42 kilometers) from East Palestine, a sensor sent a non-critical alert to an analyst about the bearing heating up. Video gathered by NTSB investigators showed sparks or fire beneath one of the rail cars starting in Salem.
The analyst was working through other alerts in his queue and \u201cdid not get to that alert immediately,\u201d said the Norfolk Southern official, whose name was redacted in these latest documents.
Railroad procedures called for monitoring of the wheel until the next detector. \u201cIt would not have been an event that we would have expected immediate action to be taken at that point in time,\u201d the official said.
As the ill-fated train passed a sensor in East Palestine, the bearing surged to 253 degrees above the ambient temperature and sent a \u201ccritical alarm\u201d to the crew to stop the train and check the axle.
NTSB has said the crew acted properly and tried to stop the train, but it derailed before coming to a complete stop.
An East Palestine Police Department report said that six days before the derailment, authorities got a call from a woman reporting that a different train was on fire.
An East Palestine police officer reported seeing a six-car train with three of the cars dragging wheels like the brakes were on, causing sparks to fly about 30 feet from the train. Two of the cars had flames under them, the officer wrote.
\u201cAs the train continued on through the North Market crossing, the engineer gave me a thumbs up and a smile, like this was everyday stuff,\" the officer wrote. \u201cHad dispatch call and advise Norfolk, but the train continued into Pennsylvania.\"
In response, Norfolk Southern told authorities the train was out of East Palestine\u2019s area, that they should cancel responding firefighters, and the railroad would call back if they were needed, the report said. It wasn't clear what happened to that train and whether it was stopped to remove the car that was on fire after the train left town.
___
Funk reported from Omaha, Nebraska, and Krisher reported from Detroit.
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The health-related information is secondary and not the primary focus of the document." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/02/02/06f7483df7c12199c29587d2a86ffcd1.json b/datasets/AP_news/raw_data/2024/02/02/06f7483df7c12199c29587d2a86ffcd1.json new file mode 100644 index 0000000..c6bcae6 --- /dev/null +++ b/datasets/AP_news/raw_data/2024/02/02/06f7483df7c12199c29587d2a86ffcd1.json @@ -0,0 +1,210 @@ +{ + "altids": { + "itemid": "06f7483df7c12199c29587d2a86ffcd1", + "etag": "06f7483df7c12199c29587d2a86ffcd1_0a6aza0c0", + "friendlykey": "900449666067", + "referenceid": "US--Safe Injection Sites-Rhode Island" + }, + "version": 0, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-02-02T22:44:33Z", + "firstcreated": "2024-02-02T22:44:32Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: Updates Media.", + "signals": [ + "newscontent" + ], + "title": "US--Safe Injection Sites-Rhode Island", + "headline": "Providence approves first state-sanctioned safe injection site in Rhode Island", + "headline_extended": "A Rhode Island city has approved the first state-sanctioned safe injection site, a place where people can use heroin and other illegal drugs and be revived if they overdose", + "slugline": "BC-US--Safe Injection Sites-Rhode Island", + "description_summary": "A Rhode Island city has approved the first state-sanctioned safe injection site, a place where people can use heroin and other illegal drugs and be revived if they overdose. The Providence City Council voted Thursday to establish the site that will be run by a nonprofit and funded with money from opioid settlement money. Supporters contend safe injection sites, also called overdose prevention centers or harm reduction centers, can save lives and connect people with addiction treatment, mental health services and medical care. Opponents worry the sites encourage drug use. The number of drug overdose deaths nationally was estimated at 112,127 for the 12 months ending in Aug. 2023.", + "bylines": [ + { + "by": "By MICHAEL CASEY", + "title": "Associated Press" + } + ], + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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The Providence City Council voted Thursday to establish the site that will be run by a nonprofit and funded with money from opioid settlement money. It is expected to open later this year and be run by the harm reduction organization Project Weber/RENEW and VICTA. Among the services provided will be food and showers, access to the overdose-reversing drug naloxone, case management and housing support as well as HIV testing.
\u201cI am grateful to Weber/RENEW for the vision, advocacy, and hard work they have put into making Rhode Island\u2019s first harm reduction center a reality,\u201d Council President Rachel Miller said in a statement.
Miller, who said she toured the facility a few weeks ago, added that she was confident the center \u201cwill save lives and prioritize the well-being of city residents\u201d as it connects people to \u201chealthcare, counseling, and outpatient services.\u201d
Supporters contend that safe injection sites, also called overdose prevention centers or harm reduction centers, can save lives and connect people with addiction treatment, mental health services and medical care. Opponents worry the sites encourage drug use. The number of drug overdose deaths nationally was estimated at 112,127 for the 12 months ending in Aug. 2023, according to the Centers for Disease Control and Prevention. That is up slightly from 109,680 for the year 2022.
\u201cThe unanimous vote by the Providence City Council is a historic moment for public health in the United States,\u201d said Brandon Marshall, a professor and chair of the Department of Epidemiology at the Brown University School of Public Health who is leading a research project on overdose prevention sites. \u201cThe council clearly recognizes that our current efforts to stopping overdose deaths aren\u2019t sufficient and that new harm reduction approaches are urgently needed.\u201d
The Providence site is the first sanctioned by the state and joins two other safe injection sites currently open in New York. Democratic Gov. Daniel McKee signed the measure into law in 2021, which allows the opening of the centers with local approval.
States including Colorado, Nevada and New Mexico have considered allowing them. Last month, the Vermont House passed a bill that would allow for the creation of overdose prevention centers in the state that would include safe injection sites.
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"audiences": [ + { + "code": "82c6a4c46fa0446090a7acaf93159e4c", + "name": "Print", + "type": "AUDPLATFORM" + }, + { + "code": "9add4649b53b4702ba7d9de5d4fa607a", + "name": "Online", + "type": "AUDPLATFORM" + }, + { + "code": "f43adc08760d10048040e6e7a0f4673e", + "name": "National", + "type": "AUDSCOPE" + }, + { + "code": "f5b16ea8760d10048047e6e7a0f4673e", + "name": "State", + "type": "AUDSCOPE" + }, + { + "code": "f4ecf9b0760d10048044e6e7a0f4673e", + "name": "International", + "type": "AUDSCOPE" + }, + { + "code": "789fdd8882af10048263df092526b43e", + "name": "California", + "type": "AUDGEOGRAPHY" + }, + { + "code": "661850e07d5b100481f5c076b8e3055c", + "name": "Latin America and Caribbean", + "type": "AUDGEOGRAPHY" + }, + { + "code": "08a0a00882c810048942df092526b43e", + "name": "Washington", + "type": "AUDGEOGRAPHY" + }, + { + "code": "fe016fe882c61004886adf092526b43e", + "name": "Oregon", + "type": "AUDGEOGRAPHY" + }, + { + "code": "661e48387d5b10048291c076b8e3055c", + "name": "United States", + "type": "AUDGEOGRAPHY" + } + ], + "associations": { + "1": { + "altids": { + "itemid": "f7de83aad67f4aeeb4458b1841762d48" + }, + "type": "picture" + } + }, + "body_nitf": "LOS ANGELES (AP) \u2014 Extreme heat and wildfire smoke are independently harmful to the human body, but together their impact on cardiovascular and respiratory systems is more dangerous and affects some communities more than others.
A study published Friday in the journal Science Advances said climate change is increasing the frequency of both hazards, particularly in California. The authors found that the combined harm of extreme heat and inhalation of wildfire smoke increased hospitalizations and disproportionately impacted low-income communities and Latino, Black, Asian and other racially marginalized residents.
The reasons are varied and complicated, according to the authors from the Scripps Institution of Oceanography at the University of California, San Diego and the UCLA Fielding School of Public Health. Structural racism, discriminatory practices, lack of medical insurance, less understanding of the health damages and a higher prevalence of multiple coexisting conditions are among the reasons.
Infrastructure, the surrounding environment and available resources are also factors. Homes and work places with air conditioning and neighborhoods with tree canopy cover are better protected from extreme heat, and some buildings filter smoke from wildfires and insulate heat more efficiently. Areas with access to cooling centers, such as libraries, also offer more protection.
\u201cEven if you\u2019re very susceptible \u2014 you have a lot of comorbidities \u2014 you may have many opportunities to not be impacted, not being hospitalized, not having to go to the ER, but if you live in a place that is quite remote that does not have access to a lot of social services or amenities, ... it may be more trouble,\u201d said Tarik Benmarhnia, a study author and climate change epidemiologist at UC San Diego.
Experts warn that climate change \u2014 which is worsening extreme weather events such as droughts, heat waves and wildfires \u2014 will increase the frequency and intensity in which they occur simultaneously.
While the study focused on California, similar patterns can be found in other parts of the western United States such as Oregon and Washington state, in parts of Canada including British Columbia, and in regions with Mediterranean climate, said Benmarhnia.
Researchers analyzed California health records \u2014 broken down by 995 ZIP codes covering most of the state's population \u2014 during episodes of extreme heat and toxic air from wildfires. They discovered that between 2006 and 2019, hospitalizations for cardiorespiratory issues increased by 7% on days where both conditions existed, and they were higher than that in ZIP codes where people were likelier to be poor, nonwhite, living in dense areas and not have health care.
California's Central Valley and the state's northern mountains had higher incidences of both hot weather and wildfires, likely driven by more forest fires in surrounding mountains.
Residents in the Central Valley agricultural heartland are particularly vulnerable to the adverse health effects of both because they are likelier to work outdoors and be exposed to pesticides and other environmental hazards, said Benmarhnia.
Beyond the health risks, being hospitalized has other significant consequences, such as losing hours of work or school, or being left with hefty medical bills.
During extremely hot days, the human body has a harder time cooling itself off through sweating, said Christopher T. Minson, professor of human physiology at the University of Oregon, who wasn't part of the study. The body can become dehydrated, forcing the heart to beat faster, which elevates blood pressure.
\u201cIf you\u2019re dehydrated or if you have any kind of cardiovascular disease, ... you\u2019re going to be less able to tolerate that heat stress, and that heat stress can become very, very dangerous,\u201d he said.
Some particles found in wildfire smoke can enter easily through the nose and throat, eventually arriving at the lungs, according to the Environmental Protection Agency. The smallest particles can even enter the bloodstream.
The combination of heat and smoke can cause inflammation in the body, Minson said, which is \u201cgoing to make all your cardiovascular regulation worse, and you\u2019re going to be at even more risk of heart attacks and other problems like long term, poor health outcomes from that. So it\u2019s definitely a snowball effect.\u201d
A 2022 study by the University of Southern California found that the risk of death surged on days when extreme heat and air pollution coincided. During heat waves, the likelihood of death increased by 6.1%; when air pollution was extreme, it rose by 5%; and on days when both combined, the threat skyrocketed to 21%.
When Dr. Catharina Giudice worked at a hospital in Los Angeles, she noticed an uptick of emergency room visits from patients with various health conditions on extremely hot days. When wildfires blazed, she saw more people with exacerbated asthma and other respiratory diseases.
As climate change fuels the intensity and frequency of heat waves and wildfires, Giudice worries about the low-income and minority communities that are less adapted to them.
\u201cFor a variety of reason, they tend to feel climate change much worse than other non-underserved communities, and I think it's really important to highlight this social injustice aspect of climate change,\u201d said the emergency physician and fellow at the Harvard T.H. Chan School of Public Health, who was not part of the study.
The authors noted that agencies like the National Weather Service and local air quality districts issue separate advisories and warnings on days of extreme heat and toxic air. But they argue that \u201cissuing a joint warning earlier considering the compound exposure would be beneficial.\u201d
\u2014\u2014\u2014
The Associated Press receives support from the Walton Family Foundation for coverage of water and environmental policy. The AP is solely responsible for all content. For all of AP\u2019s environmental coverage, visit https://apnews.com/hub/climate-and-environment
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The study's findings and expert opinions provided in the document are directly related to health, making it highly relevant to the topic." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/02/02/204b35c95c635581d1a9ac09b60a546b.json b/datasets/AP_news/raw_data/2024/02/02/204b35c95c635581d1a9ac09b60a546b.json new file mode 100644 index 0000000..4b1e750 --- /dev/null +++ b/datasets/AP_news/raw_data/2024/02/02/204b35c95c635581d1a9ac09b60a546b.json @@ -0,0 +1,224 @@ +{ + "altids": { + "itemid": "204b35c95c635581d1a9ac09b60a546b", + "etag": "204b35c95c635581d1a9ac09b60a546b_0a2aza0c0", + "friendlykey": "232864123516", + "referenceid": "ME--Abortion-Maine" + }, + "version": 0, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-02-02T14:26:24Z", + "firstcreated": "2024-02-02T14:26:22Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "signals": [ + "newscontent" + ], + "title": "ME--Abortion-Maine", + "headline": "Bill to enshrine abortion in Maine Constitution narrowly clears 1st vote, but faces partisan fight", + "headline_extended": "A party-line committee vote points to a partisan challenge for Democrats who want to amend the Maine Constitution to enshrine abortions as a right", + "slugline": "BC-ME--Abortion-Maine", + "description_summary": "A party-line committee vote points to a partisan challenge for Democrats who want to amend the Maine Constitution to enshrine abortions as a right. The Judiciary Committee voted 6-5 Thursday in favor of the proposal with all Democrats in support and all Republicans in opposition. Democrats control both chambers of the Legislature but lack big-enough majorities to send the proposed amendment to voters unless they convince some Republicans to vote in favor of amending the Maine Constitution. Maine Democrats are seeking to join four other states that have amended their constitutions to protect the right to abortion since the U.S. Supreme Court overturned Roe v. Wade in 2022.", + "located": "AUGUSTA, Maine", + "datelinelocation": { + "city": "Augusta", + "countryareacode": "ME", + "countryareaname": "Maine", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -69.77949, + 44.31062 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. 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The Judiciary Committee voted 6-5 in favor of the proposal Thursday with all Democrats in support and all Republicans in opposition. Two committee members were absent.
Maine Democrats are seeking to join four other states that have amended their constitutions to protect the right to abortion since the U.S. Supreme Court overturned Roe v. Wade in 2022. Last year, a passionate debate unfolded over a new law that expanded access to abortions.
Democrats control both chambers of the Legislature but lack big-enough majorities to send the proposed amendment to voters unless they convince some Republicans to support the resolution.
The Maine Senate will now take up the proposal. At least two Republicans in the 35-member chamber would have to support amending the constitution for the measure to reach a needed two-thirds vote. The hill for Democrats is steeper in the 151-member House.
The sponsor, Democratic Sen. Eloise Vitelli, was happy to see the proposal clear its first hurdle. \u201cThe best way to get politics out of abortion, and abortion out of politics, is to make sure our state constitution is clear: Reproductive autonomy is a human right. Maine voters deserve the right to weigh in on this,\u201d she said in a statement.
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Georgia Pathways is the only Medicaid program in the country that requires recipients to meet a work requirement. It launched in July and is set to expire next year. The lawsuit filed Friday in U.S. District Court in Brunswick, Georgia, says the Biden administration's 2021 decision to revoke the work requirement and a subsequent legal battle delayed the implementation of Pathways. The suit names the U.S. Centers for Medicare and Medicaid Services as a defendant. A spokesperson for the agency said it doesn't comment on pending litigation.", + "bylines": [ + { + "by": "By SUDHIN THANAWALA", + "title": "Associated Press" + } + ], + "located": "ATLANTA", + "datelinelocation": { + "city": "Atlanta", + "countryareacode": "GA", + "countryareaname": "Georgia", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -84.38798, + 33.749 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. 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Georgia Pathways launched in July and is set to expire at the end of September 2025.
The suit filed in U.S. District Court in Brunswick, Georgia, says the Biden administration's decision to revoke the work requirement and another aspect of Pathways delayed implementation of the program. That reduced the originally approved five-year term of the program to just over two years.
A judge later ruled the revocation was illegal.
\u201cThis case is about whether the federal government can benefit from its own unlawful conduct,\" the suit says.
It seeks a court order forcing the U.S. Centers for Medicare and Medicaid Services to extend the Pathways program until September 30, 2028. A spokesperson for CMS said in an email the agency does not comment on pending litigation.
CMS rejected the extension request in October and again in December. The agency was unable to consider it because the state had failed to meet requirements to seek an extension, including a public notice and comment period, CMS Deputy Administrator and Director Daniel Tsai said in a Dec. 22 letter.
Georgia Gov. Brian Kemp said in a news release announcing the lawsuit that the Biden administration was again trying to \u201cinterfere with Georgia\u2019s innovative plan.\" He accused the administration of playing politics \u201cby refusing to give us back the time they stole from delaying the Pathways rollout and implementation.\u201d
In his December letter to the state, Tsai said the agency did not stop Georgia officials from implementing other aspects of Pathways when it revoked the work requirement and a plan to charge some Medicaid recipients monthly premiums. And he said an implementation period that was shorter than the originally approved timeline was not unique to Georgia.
\u201cMany states experience delayed implementation of their demonstration projects (or initiatives within a demonstration project) for various reasons,\u201d he said.
Georgia's plan offers health care coverage to able-bodied adults earning up to the poverty line \u2014 $14,580 for an individual or $24,860 for a family of three. But people must document 80 monthly hours of work, study, rehabilitation or volunteering to be eligible.
Republicans have presented the plan as a financially responsible alternative to a full expansion of Medicaid services under the Affordable Care Act, though opposition to full expansion appears to have softened. Georgia is one of 10 states without broader Medicaid coverage.
The Kemp administration has estimated Pathways could add 100,000 poor and uninsured Georgia residents to the Medicaid rolls, but enrollment so far has been slow, with just under 2,350 people enrolled as of mid-December.
The work requirement was approved by then-President Donald Trump\u2019s administration, but the Biden administration announced in December 2021 that it was revoking that approval and the premium requirement. That prompted Georgia officials to sue.
A federal judge reinstated both parts of the program in 2022, saying the revocation was arbitrary and capricious.
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(AP) \u2014 A federal lawsuit says a woman who died last February shouldn't have been discharged from a Tennessee hospital, forced to leave despite her pleas for more help and unassisted by security guards and police during a medical emergency.
The son of 60-year-old Lisa Edwards on Thursday sued the city of Knoxville, a security company, individual officers and security guards, Fort Sanders Regional Medical Center, its parent company and a physician group.
The death sparked public outrage after the Knoxville Police Department released video early last year showing officers accusing Edwards of faking mobility and breathing problems and ignoring her repeated pleas for help.
Edwards used a wheelchair because of a disability from a previous stroke, the lawsuit says.
Security officers at the hospital called police Feb. 5, 2023, saying that Edwards had been evaluated and discharged, but she was refusing to leave. Several police officers were investigated. The lawsuit filed in Knoxville names three officers who were later disciplined by the city's police department, according to the Knoxville News Sentinel.
Police Chief Paul Noel has previously said he was \u201cembarrassed and disturbed\u201d by what he saw in the video of the interaction, and added that Edwards \u201cdeserved better from us.\u201d
The Knox County District Attorney\u2019s office declined to press criminal charges against the officers after an autopsy determined that Edwards died of a stroke and that \u201cat no time did law enforcement interaction cause or contribute to Ms. Edwards\u2019 death.\u201d
Additionally, the hospital said it conducted a thorough internal investigation of Edwards\u2019 care and found that her \u201cmedical treatment and hospital discharge were clinically appropriate.\u201d
The hospital said changes were being made to security procedures. Several security officers who were working at the facility when Edwards was removed are no longer working there, and the hospital and its parent company, Covenant Health, announced plans to add empathy training for security guards.
Edwards was \u201crolled by hospital security guards into the freezing cold wearing only paper scrubs, placed under physical arrest, and forcibly removed by police officers from the hospital property,\u201d according to the lawsuit, which says it was 29 degrees Fahrenheit (minus 1.7 Celsius) at the time.
A video released by police showed officers struggle for about 25 minutes to move Edwards into a police van and finally a cruiser. Edwards repeatedly asks for help. But she is rebuffed by officers and hospital security guards who become frustrated with her inability to step up into the van and tell her she is faking her incapacity.
After she is placed in a police cruiser, video shows Edwards trying to pull herself upright repeatedly, but eventually she slumps over out of sight. Several minutes later, one of the officers performs a traffic stop on another vehicle while Edwards remains in the backseat.
When he opens the rear door, Edwards is unresponsive. He calls dispatch for an ambulance, telling them, \u201cI don\u2019t know if she\u2019s faking it or what, but she\u2019s not answering me.\u201d
Edwards was pronounced dead at the Fort Sanders Regional Medical Center the following day.
\u201cThis was an emergency medical condition that began and worsened on hospital property and that was unequivocally preventable and treatable,\u201d the lawsuit states.
The 18-count lawsuit claims violations of the federal Emergency Medical Treatment and Labor Act, the U.S. Constitution's Fourth and 14th amendments, the Americans with Disabilities Act and the Rehabilitation Act. It alleges a conspiracy to violate federal civil rights and violations of state laws, including a wrongful death claim.
A Covenant Health spokesperson declined to comment on the lawsuit. A city of Knoxville spokesperson declined to comment as well.
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Mohammed Hamdan Dagalo, has decimated vast swaths of the northeastern Africa country. The conflict erupted last April in the capital, Khartoum, and quickly spread to other areas of the country. World Food Program said that some 18 million people across Sudan currently face acute hunger, with the most desperate trapped behind the front lines of the conflict.", + "bylines": [ + { + "by": "By JACK JEFFERY", + "title": "Associated Press" + } + ], + "located": "CAIRO", + "datelinelocation": { + "city": "Cairo", + "countrycode": "EGY", + "countryname": "Egypt", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + 31.24967, + 30.06263 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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The 10 months of clashes between the Sudanese military, led by Gen. Abdel Fattah Burhan, and the Rapid Support Forces, a powerful paramilitary group commanded by Gen. Mohammed Hamdan Dagalo, has decimated vast swaths of the northeastern Africa country.
The conflict erupted last April in the capital, Khartoum, and quickly spread to other areas of the country, after months of simmering tensions between the two forces.
World Food Program said that some 18 million people across Sudan currently face acute hunger, with the most desperate trapped behind the front lines of the conflict.
The hotspots include Khartoum, the western Darfur region, and the provinces of Kordofan and Gezira \u2014 areas where roadblocks, taxation demands and security threats endanger supplies.
\"Life-saving assistance is not reaching those who need it the most, and we are already receiving reports of people dying of starvation,\u201d said Eddie Rowe, WFP's director for Sudan.
The United Nations says at least 12,000 people have been killed in the conflict, although local doctors groups say the true toll is far higher. Over 10.7 million people have been displaced, according to the U.N. migration agency.
Dagalo's paramilitary forces appear to have had the upper hand in the conflict over the past three months, with their fighters advancing to the east and north across Sudan\u2019s central belt. Both sides have been accused of war crimes by rights groups.
Regional partners in Africa have been trying to mediate an end the conflict, along with Saudi Arabia and the United States, which facilitated several rounds of unsuccessful, indirect talks between the warring parties. Burhan and Dagalo are yet to meet in person since the conflict began.
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While psychedelics are still illegal under federal law, companies are jostling to try and patent key ingredients found in magic mushrooms, ayahuasca and other substances that have been used underground for decades or \u2014 in some cases \u2014 for millennia by indigenous cultures.
Wall Street's sudden exuberance for hallucinogens has rankled longtime advocates and philanthropists, who dreamed of making low-cost psychedelics widely available for mental health and personal growth. Instead, many now see a very different future for drugs like psilocybin and LSD: as expensive, specialty medications controlled by a handful of biotech companies.
\u201cIt\u2019s disappointing,\u201d said Carey Turnbull, an investor and philanthropist who sits on the board of several psychedelic nonprofits. \u201cAll the air is getting sucked out of the room by these for-profit companies who say, \u2018Wow, this stuff is awesome, if I could patent it I\u2019d make a fortune.\u2019\u201d
Since 2010, Turnbull and his wife have donated millions to fund psychedelic research at New York University, Yale and other top academic centers.
Promising results from those studies have sparked a wave of popular interest in psychedelics, amplified by books, documentaries and articles touting their potential to reshape care for mental illness, trauma and end-of-life care.
But in recent years, Turnbull has pivoted to challenging what he and other advocates consider frivolous patents filed by companies entering the field.
Most psychedelic startups are backed by venture capitalists or tech investors looking for the next industry \u201cdisruptor.\u201d Behind one of the biggest companies, Atai Life Sciences, is PayPal billionaire Peter Thiel, whose enthusiasm for psychedelics is shared by many in Silicon Valley.
About 50 such companies now trade on public stock exchanges, including developers of psychedelic drugs, retreats and training programs. Some analysts project the industry could grow to over $10 billion within the decade.
But recently investors have pulled back, amid reminders of the stark challenges of converting illegal drugs into money-making medicines.
Atai laid off 30% of its staff last March after its depression treatment failed in a key study. Stocks are down 80% to 90% from their highs across the industry with several smaller companies restructuring or declaring bankruptcy.
\u201cThey\u2019re in this hype cycle, but then the reality of running a biotech company catches up with you,\u201d said Chris Yetter of Dumont Global, which trades in cannabis and psychedelic companies. \u201cYou do drug trials and some of them succeed and some fail and every quarter your cash drains away.\u201d
The cash crunch recently forced fundamental changes at the field's leading nonprofit, the Multidisciplinary Association for Psychedelic Studies.
For more than 30 years, MAPS\u2019 efforts have been funded almost entirely by donations from wealthy individuals and foundations \u2014 including Republican political donor Rebekah Mercer and the Steven and Alexandra Cohen Foundation, created by the hedge fund manager and New York Mets owner with his wife.
The group\u2019s pharmaceutical arm, the MAPS Public Benefit Corp., is expected to win U.S. approval this year for the first psychedelic medicine accepted for review by the Food and Drug Administration: MDMA, or ecstasy, to help treat post-traumatic stress disorder.
But as investment opportunities have multiplied, charitable donations have dried up. The group was recently forced to take on private investors to continue funding the drug company, which changed its name to Lykos Therapeutics.
\u201cWe\u2019re a victim of our own success,\u201d said MAPS founder Rick Doblin. \u201cIt\u2019s heartbreaking because I had hoped to go the whole way with philanthropy, but I was unable to raise the mega millions to do that.\u201d
Psychedelics never fit the business model of the traditional blockbuster drug: an exclusive, patent-protected medicine that patients take regularly for years.
None of the psychedelics currently being studied are new. Synthetic drugs like LSD and ecstasy have been off patent for decades. Naturally occurring substances like psilocybin, found in certain mushrooms, can\u2019t be patented by themselves.
And then there\u2019s the challenge of administering drugs that bring about intense, disorienting visions and experiences. All the drugs vying for FDA approval will have to be given under professional supervision, typically during several therapy sessions lasting about six to eight hours each.
All those hours and professional fees will drive up costs, which many analysts say could range from $5,000 to $10,000 for one course of treatment.
Psychedelic executives say the only way to defer those costs is to conduct large, rigorous clinical studies needed for FDA approval, which could compel insurers to pay for psychedelics. But funding those studies requires raising tens of millions from investors, who typically only back drugmakers with strong patents.
\u201cThe only way you\u2019re going to bring about that broad and equitable access is with robust intellectual property,\u201d said Kabir Nath, CEO of Compass Pathways, which is studying laboratory-made psilocybin for depression, anorexia and other disorders.
Compass is among the most aggressive companies in terms of trying to patent its technology, with dozens of applications filed with the U.S. Patent and Trademark Office.
One submission describes the \u201csoft furniture\u201d and \u201cmuted colors\u201d that would decorate rooms where patients take psilocybin. Another patent lays claim to a specific, microscopic structure found in Compass' synthetic psilocybin, which the company claims is uniquely suited for mass production.
The company's efforts have drawn ridicule from some researchers, who note that as early as the 1970s, psychedelic therapists had codified the settings and techniques described in Compass patents.
\u201cIt just seems like a blatant power grab,\u201d said Frederick Barrett, a neuroscientist who directs Johns Hopkins University\u2019s psychedelic center.
But attempts to challenge the patents on Compass' synthetic psilocybin have been unsuccessful, despite years of work by Turnbull\u2019s patent watchdog group, Freedom to Operate.
Other companies are taking more creative approaches to patenting psychedelics, such as reformulating them as dissolvable lozenges or films \u2014 or combining LSD and ecstasy into a combination pill. Skeptics note that that approach, dubbed \u201ccandyflipping,\u201d has been used recreationally for decades.
One of the more intriguing reformulation efforts involves trying to shorten the duration of the psychedelic experience, or even do away with it entirely, while retaining the psychological benefits for patients.
The rush to innovate worries some psychiatrists who point to the many fundamental questions about psychedelics that remain unanswered, including exactly how they affect the brain and how long their benefits might last.
As companies develop more psychedelic derivatives and combinations, deciphering their strengths and weaknesses will become more challenging, says Dr. Jeffrey Lieberman of Columbia University. Unless researchers can clearly demonstrate their benefits, they risk another backlash like the 1970 federal ban that wiped out psychedelic research for decades.
\u201cPsychedelics could have tremendous benefit for treating a number of illnesses,\u201d Lieberman said. \u201cBut if we mess it up and rush the process, these drugs are going to get banned again and you lose that opportunity.\u201d
___
In a story published February 3, 2023, The Associated Press reported that hedge fund manager and New York Mets owner Steven Cohen had donated money to fund psychedelic research. The story has been updated to include the full name of the philanthropy created by Cohen and his wife: the Steven and Alexandra Cohen Foundation.
___
The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute\u2019s Science and Educational Media Group. The AP is solely responsible for all content.
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derailed and spilled a cocktail of hazardous chemicals that caught fire a year ago, but the worries and fears are always there.
Some people still report respiratory problems, rashes or headaches, or say they feel ill whenever they return to the village not far from the Pennsylvania border. At least several dozen haven\u2019t returned to their homes, concerned about chemicals like the vinyl chloride that was released and burned when officials blew open five derailed tank cars because they worried the cars might explode.
But others believe the EPA\u2019s findings that their air and water are safe. They say they\u2019re ready to move on and take advantage of all the money the railroad and governments are investing in the area. They don't want the derailment to define their town.
\u201cWe're going to move forward with our lives,\u201d said Village Council member Linda May.
It's just harder for some residents to do that.
Misti Allison said that over the past year, her 8-year-old son Blake has asked whether he is going to die from living at their home, or whether one of the really bad nosebleeds he\u2019s started having will ever stop.
\u201cI remember once he jumped in a puddle, and he stopped and looked at me and said, \u2018Is vinyl chloride in this puddle?\u2019 And that is just so sad,\u201d said Allison, who testified before Congress last spring about the derailment alongside the railroad's CEO and later ran unsuccessfully for mayor to try to get the town to focus more on health concerns. \u201cIt\u2019s really robbed our children of some of their childhood, and hopefully not more than just that.\u201d
Sam Chirico said she's still experiencing a rash that her doctors call chemical dermatitis. They've prescribed different creams and lotions that don't seem to work. Steroids did help, but as a diabetic they raised her blood sugar levels too much, so she stopped taking them.
\u201cI\u2019m kind of scarred for life,\u201d Chirico, wearing a shirt that read \u201cEast Palestine Strong,\u201d told The Associated Press inside her home just over a mile away from the crash site.
She said she's careful about talking about her symptoms or posting online about them because \u201cIf you say one thing on social media that you got some kind of symptom they would crucify me.\u201d
\u201cNot everybody has a rash like mine, not everybody\u2019s gotten sick or whatever, and that\u2019s great if you haven\u2019t got sick, but be kind because there\u2019s some people that have,\u201d she said.
Experts say it will likely take years and extensive research to understand the derailment's health implications. They note it's simply not possible to say yet how many cancers or chronic respiratory conditions might develop down the road.
Dr. Beatrice Golomb said she's already seen people with symptoms similar to health problems military veterans developed after working around toxic burn pits during the Gulf War, but that it's hard to predict what might develop in East Palestine because there isn't good research on the chemicals that spilled.
\u201cWe don\u2019t have good data on the individual chemicals and their human impact, and we certainly don\u2019t have good data on the combined impact,\u201d said Golomb, who is based at the University of California San Diego.
Dozens of chemicals spilled and caught fire after 38 cars careened off the tracks on Feb. 3, 2023. Federal investigators have said the derailment was likely caused by an overheated bearing that got as hot as 253 degrees F (122.8 C) above the outside air temperature before trigging an alarm, but the crew didn't have enough warning to stop the train.
Another early health study being done in town by the University of Kentucky's Dr. Erin Haynes offers some encouraging results. Haynes said blood tests performed on a handful of residents last summer revealed that none had alarming levels of the cancer-causing dioxins that were feared to be released when the chemicals burned.
Tests by the Environmental Protection Agency also suggest there\u2019s a low chance that dioxins were released.
But more research is needed, requiring significant new funding. The National Academy of Sciences held a workshop on the concerns in East Palestine last fall, but the federal government hasn't yet announced major research grants.
Air and water tests that state and federal health officials have been conducting haven't shown concerning levels of vinyl chloride, butyl acrylate or other chemicals in more than 115 million measurements since an evacuation order imposed after the derailment was lifted.
EPA Response Coordinator Mark Durno told The Associated Press he\u2019s \u201cfeeling pretty confident that vinyl chloride isn\u2019t going to be a trigger for long-term health effects.\u201d But he also knows that some in East Palestine are still having a \u201ccrisis of confidence\u201d about the test results because when they first came home after the evacuation they could smell the chemicals officials were telling them weren\u2019t at toxic levels.
Those doubts have only grown through the fall because residents keep seeing a chemical sheen atop the creeks that flow through town anytime they stir up the sediment on the creek bed. Pictures of the rainbow-colored residue atop Leslie Run and Sulphur Run keep popping up on social media pages dedicated to the derailment.
Durno said tests show the surface water in the creeks is clean, but officials are still completing a detailed assessment that included stirring up the creek bed every 25 feet (8 meters) to determine how best to deal with lingering substances in the sediment like lube oil.
Norfolk Southern CEO Alan Shaw said he knows there are also plenty of doubts in town about the railroad's commitment to helping the town recover, but \u201cthe way they\u2019ll trust is you make promises and you keep promises. And that\u2019s exactly what we\u2019ve done over the past year.\u201d
More than 176,000 tons of contaminated soil and over 44 million gallons of tainted water were removed from the area around the derailment last year. That work was largely done in October, and crews are now replacing the soil.
Thousands of tests are being done to make sure nothing was missed. If there aren\u2019t any surprises, Durno predicted the cleanup will be complete sometime around the middle of this year. The work will then shift into a long-term monitoring project.
For residents who believe the government's assurances and don't know anyone having any health problems, the recovery effort seems like a golden opportunity.
Norfolk Southern has promised to spend $25 million refurbishing the town's park and another $4.3 million to upgrade its water treatment system \u2014 things East Palestine would likely struggle to afford itself. The railroad is spending another $20 million to build a regional training center for first responders to help prepare them to deal with the kind of hazardous materials that spilled in this derailment.
The railroad has also created a fund to compensate homeowners for any lost value if they sell and promised to create funds to help pay for any water contamination or health problems that develop down the road. Details of those funds are still being negotiated with state and federal authorities who say they are holding Norfolk Southern accountable for the disaster.
Barb Kliner, a former area school district chief financial officer, said that before the derailment East Palestine was going downhill, like so many small rural communities, after losing its downtown businesses to big-box stores in surrounding towns and seeing many of its young people move away.
\u201cWe were floundering,\" Kliner said. \"And you know it\u2019s sad that something like this happened, but it\u2019s also probably the thing that\u2019s going to save our town because \u2014 unfortunately or fortunately for us \u2014 the railroad is putting a lot of money into town.\u201d
", + "textformat": "bx", + "links": [ + { + "href": "https://apnews.com/article/norfolk-southern-train-derailment-east-palestine-ohio-eab23ed0fd6577a5cf96e8fd301da681", + "rel": "canonical" + } + ], + "topics": { + "Health": { + "relevance_score": 5, + "reason": "The document is highly relevant to the topic of health. It discusses the ongoing health concerns of the residents of East Palestine, Ohio, following a train derailment that spilled hazardous chemicals. The article details various health issues reported by residents, such as respiratory problems, rashes, and headaches. It also mentions the psychological impact on children and the uncertainty about long-term health effects. Additionally, the document includes expert opinions on the potential health implications and the need for further research. 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"itemid": "b62afe4610c0406eab7f8317ca98be84" + }, + "type": "picture" + }, + "9": { + "altids": { + "itemid": "13feaa715c1942d7abee0b088f95ac65" + }, + "type": "picture" + }, + "10": { + "altids": { + "itemid": "e8950b1cc41b4d73a594591b68a0af91" + }, + "type": "picture" + }, + "11": { + "altids": { + "itemid": "bb8b63d9cdc549009a7ac5e782dbf54d" + }, + "type": "picture" + }, + "12": { + "altids": { + "itemid": "93a820fbdf1344ef9391a2bce54ec733" + }, + "type": "picture" + }, + "13": { + "altids": { + "itemid": "c4fb44f1a1de4823ba823fcb12a0d6e4" + }, + "type": "picture" + } + }, + "body_nitf": "The Minneapolis suburb of Anoka sits where Minnesota\u2019s meandering 150-mile (241-kilometer) Rum River ambles into the mighty Mississippi. Like other communities, it touts itself as an agreeably placid place to live.
But last year, a federal investigation found Anoka illegally discriminated against residents with mental health disabilities, saying the city gave landlords weekly reports over five years revealing personal medical information of renters who received multiple emergency calls to their homes.
In at least 780 cases, the city also shared details about mental health crises and even how people had tried to kill themselves, all under the guise of enforcing an ordinance designed to deter crime and eliminate public nuisances, the U.S. Department of Justice said.
Laws like Anoka\u2019s, one of hundreds enacted across the U.S. since the 1990s, have long drawn criticism for unfairly targeting poorer neighborhoods and communities of color. Now they are under scrutiny as sources of mental health discrimination.
\u201cIt\u2019s horrific,\u201d said Elizabeth Sauer, an attorney for Central Minnesota Legal Services, which serves low-income people. \u201cCan you imagine having the most intimate details of your life just broadcast to every landlord in the city you live in?\u201d
Anoka\u2019s \u201ccrime-free\u201d ordinance was enacted in 2016 and, at the time, City Council members said they were fighting crime and making neighborhoods safer. Jeff Weaver, who still sits on the council and did not respond to requests for comment, described the problem then as \u201csome dirtbag landlords.\u201d
\u201cIt\u2019s like a cancer on these neighborhoods,\u201d he said at the 2016 meeting shown in an online video.
Reported crimes in Anoka dropped by 57% from 2016 through 2022, according to FBI statistics, though crime rates were falling before then. The city\u2019s annual financial reports show that by 2022, police had seven full-time employees, 16% of its staffing, on the team enforcing the ordinance.
Among other things, Anoka's ordinance requires landlords to screen potential tenants, respond to resident complaints and attend a course on property management. It allows the city to suspend a landlord\u2019s rental license if police answer four or more \u201cnuisance\u201d calls in a year. Before that, a landlord can be fined up to $500.
The ordinance says a nuisance call involves \u201cdisorderly conduct,\u201d such as criminal activity and acts jeopardizing others. It also covers \u201cunfounded calls to police\u201d and allowing a \u201cphysically offensive condition,\u201d but doesn\u2019t define those further, allowing for wide discretion.
According to the DOJ, Anoka used that discretion to give landlords details about the adults and children involved in emergency calls, their diagnoses, medications and names of individuals' medical and psychiatric providers.
Sue Abderholden, executive director of the National Alliance on Mental Illness' Minnesota chapter, called Anoka\u2019s ordinance \u201cpretty aggressive\u201d and said if a tenant suffered a heart attack or other medical emergency, first responders aren't likely to say the tenant sought services \u201cone too many times.\u201d
\u201cWhy would we do it when somebody has a mental health issue?\u201d she said.
Minnesota has had a psychiatric hospital in Anoka for more than 100 years. Anoka Metro Area Treatment Center is its largest hospital, with 110 beds.
Federal fair housing laws bar landlords from asking whether someone has a disability, including a mental health disability, or refusing to rent to them on that basis. Minnesota law meanwhile prohibits landlords from limiting or preventing calls for emergency services and also preempts local ordinances penalizing landlords over such calls.
But many crime-free ordinances, like Anoka\u2019s, direct landlords to screen rental applicants, sometimes by the same officials who decide whether emergency calls will count against them or a tenant.
Following its investigation, the DOJ directed Anoka to revise its ordinance and exclude all medical or disability-related information for individuals from its reports, something the city is working on. Public records show city council members met last month in executive session with Scott Baumgartner, the city\u2019s private attorney, to discuss a \u201cdraft remediation agreement,\u201d but provided no further details.
Baumgartner confirmed in an email to The Associated Press that the city is \u201cdiscussing a resolution\u201d with the DOJ, but said he was unable to discuss it further \"prior to its final resolution.\u201d
Anoka\u2019s ordinance and the backlash are neither unique nor new.
In recent years, communities in California, Ohio and elsewhere have faced \u2014 and settled \u2014 federal lawsuits related to their \u201cnuisance\u201d laws.
In Illinois, Tina Davies and her five school-aged grandsons were evicted from their Peoria home in 2015. At the time, Davies\u2019 oldest grandson was on probation for vandalism and often stayed out late. Davies, following instructions from his probation officer, reported to police if he wasn\u2019t home. She later learned the calls ran afoul of Peoria\u2019s nuisance ordinance.
The HOPE Fair Housing Center later cited Davies\u2019 case in a lawsuit against Peoria, alleging her family was wrongly accused of fighting and having loud parties. Davies believes the city decided that, because her grandson was in trouble at school, he was the source of any problem on their block.
\u201cYou make it hard for anybody who is struggling and trying to keep things going \u2014 you know, trying to keep the kids under control and making sure they go to school and they\u2019re minding their manners,\u201d she said in a telephone interview. \u201cI\u2019m trying to give him stability, and this is the thanks I get?\u201d
Critical studies, including a 2018 report from the American Civil Liberties Union and New York Civil Liberties Union, further show enforcement of \u201cno crime\u201d laws is often most vigorous in poor and heavily minority areas. Other lawsuits, including one brought by the DOJ against Hesperia, California, also indicate some communities enact such laws after an influx of new residents of color.
Lawsuits also have argued such ordinances hurt victims of domestic violence by penalizing them for calling police or other help, even in life-threatening situations.
While the DOJ\u2019s investigation didn\u2019t disclose identifying information about the individuals whose information was shared by Anoka with landlords, 2023 U.S. Census data indicates that roughly 20% of its population are people of color.
In response to growing criticism, many cities and states are rethinking such policies.
Last year, Maryland prohibited landlords from evicting tenants over the number of emergency calls to their addresses, as well as prohibited cities and counties from penalizing landlords for emergency calls. A California law that took effect Jan. 1 greatly limits cities\u2019 use of such ordinances and advocates expect a push for similar legislation in Illinois and Minnesota.
While proponents of such ordinances argue they protect people who live in fear, critics say rethinking them is necessary to stem cycles of homelessness that many with mental illness face.
\u201cPolicing doesn\u2019t make them safer or better, and then you add to this, this threat to destabilize their housing, to displace them from their family,\u201d said Kate Walz, assistant litigation director for the National Housing Law Project, a fair housing and tenants rights group.
Housing advocates instead point to tenant unions and tenant-run housing cooperatives as ways to mitigate the issues nuisance laws are intended to target.
Jose Cruz Guzman, who serves on the board of Minneapolis\u2019 Sky Without Limits Cooperative, said emergency calls to an apartment would prompt support from fellow residents.
\u201cBecause the relationship between neighbors is so much better ... if there\u2019s a problem, I can go in and talk to the neighbor,\u201d he said, speaking in Spanish through a translator.
___
This story includes discussion of suicide. If you or someone you know needs help, please call the National Suicide Prevention Lifeline at 988.
___
Hanna reported from Topeka, Kansas. Associated Press reporter Steve Karnowski contributed from Minneapolis.
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Long the subject of criticism that such policies are ineffective and enforced more harshly in poor neighborhoods and against people of color, the ordinances are now under scrutiny as sources of mental health discrimination.
Last November, the U.S. Department of Justice issued what it called a first-of-its-kind finding, telling a Minneapolis suburb that its enforcement of a crime-free law illegally discriminated against people with mental health disabilities.
Other cities and jurisdictions are joining a growing movement to rethink, rewrite or repeal such laws as criticism and lawsuits escalate.
Anti-crime and nuisance ordinances have been around for years and are widespread in their usage. More than 2,000 cities nationwide have enacted such policies since the 1990s, according to the Chicago-based Shriver Center on Poverty Law. The International Crime Free Association says at least 3,000 international cities also use them.
Under such ordinances, landlords can be fined or lose their rental licenses if they don\u2019t evict tenants whose actions are considered a public nuisance, including those selling drugs or suspected of other crimes. They also can be required to screen potential tenants and limit the number of people living in a home or apartment.
But every ordinance is different: unique in what it targets, how it is enforced and what kind of consequences are levied for violating it. Many also are vague about who and what is considered a public nuisance.
In Anoka, Minnesota, the Minneapolis suburb scrutinized by the DOJ, the \u201cCrime Free Housing\u201d ordinance covers excessive noise, \u201cunfounded calls to police\" and allowing a \u201cphysically offensive condition.\u201d While the ordinance says a nuisance call involves \u201cdisorderly conduct,\u201d such as criminal activity and acts jeopardizing others, it doesn't define unfounded calls or physically offensive conditions.
Critics, and courts, say those subjective ambiguities have allowed discrimination against certain groups of people.
Federal fair housing laws bar landlords from asking whether someone has a disability, including a mental health disability, or refusing to rent to them on that basis. But many crime-free laws direct landlords to screen rental applicants, sometimes by the same officials who decide whether emergency calls for help or about an individual's demeanor will count against a tenant or the landlord themself.
Some jurisdictions also share detailed information about those calls with landlords, which housing activists say is often further shared among landlords when discussing why they don\u2019t view a past tenant as a good rental prospect.
One such law in Hesperia, California, spawned a federal lawsuit after a resident was forced to leave her home and move into a motel after calling for assistance when her boyfriend had a mental health crisis. The town\u2019s ordinance required landlords to have potential tenants\u2019 applications screened by the local sheriff\u2019s office. The agency, according to the lawsuit, then shared with landlords a list of people it flagged as potentially troublesome renters.
Advocates say reluctance to rent to people previously hospitalized for mental health issues, as well as city policies that discourage renting to people who have been arrested, exacerbates the situation.
People face being homeless or \u201cforced to cycle from an institution to a homeless shelter,\u201d said Cory Bernstein, a staff attorney with the National Disability Rights Network.
A lack of community services often means jails serve as \u201cde facto psychiatric centers\u201d for people with mental illnesses, said Devon Orland, litigation director at the disability rights Georgia Advocacy Office.
\u201cWe\u2019ve seen people on street corners yelling or getting upset,\u201d Orland said. \u201cThat locality doesn\u2019t want them around and then they reappear or they don\u2019t leave immediately and they get arrested for criminal trespass.\u201d
Critical studies and lawsuits indicate enforcement of nuisance laws frequently occur in poorer neighborhoods and communities of color.
An August 2018 report from the American Civil Liberties Union and New York Civil Liberties Union said data from Rochester and Troy, New York, showed the most vigorous enforcement of \u201cno crime\u201d and \u201cpublic nuisance\u201d laws occurred in poor and heavily minority areas.
A 2017 federal lawsuit against Peoria, Illinois, similarly plotted three years\u2019 worth of data on a map of the city and found almost all nuisance citations were issued in neighborhoods with larger percentages of residents of color.
Other studies and lawsuits indicate such ordinances are typically in response to an influx of residents of color, often from larger communities such as Cleveland or Los Angeles.
When the DOJ sued Hesperia, a city of about 101,000 residents about 60 miles (97 kilometers) northeast of Los Angeles, in 2019, the agency said officials there had made it clear their ordinance was a reaction to an increasing number of residents of color.
The lawsuit quoted one council member saying \u201cthose kind of people\u201d coming from the Los Angeles area were of \u201cno value\u201d and \u201cI want their butt kicked out of this community as fast as I can possibly humanly get it done.\u201d
Other lawsuits have concluded crime-free policies hurt domestic abuse victims for repeatedly calling for help from police.
The U.S. Department of Housing and Urban Development filed a complaint in 2013 against the Philadelphia community of Norristown, Pennsylvania, over an ordinance it said allowed the town to sanction landlords over \u201cdomestic disturbances that do not require that a mandatory arrest be made.\u201d
A Black resident had filed a federal lawsuit over a series of 2012 incidents involving an abusive boyfriend. She was told by police that she faced eviction over the emergency calls and later did not call police after her boyfriend stabbed her in the neck. A neighbor called police and the woman was airlifted to a hospital for emergency care, the lawsuit said.
At least a few states are trying to limit the reach of such ordinances.
Maryland last year prohibited cities and counties from penalizing landlords and now prevents landlords from evicting tenants over the number of police or emergency calls to their addresses. At the start of this year, California greatly limited cities\u2019 use of crime-free policies. Advocates expect a similar push for such legislation in Illinois.
Housing advocates and civil liberties groups also have challenged ordinances in multiple states, including California, Illinois, Ohio and Pennsylvania, forcing cities to rewrite or repeal their ordinances in legal settlements.
Some communities have backed off on their own.
In the Minneapolis area, the communities of Golden Valley, St. Louis Park and Bloomington repealed most or all of their ordinances starting in 2020.
Other area cities have rewritten their ordinances, including Faribault in 2022 as it agreed to pay $685,000 to settle a federal lawsuit over the law.
___
Hanna reported from Topeka, Kansas.
___
This story was first published on February 4, 2024. It was updated on February 5, 2024, to correct how an official with the National Disability Rights Network was identified. He is Cory Bernstein, not Corey, and he is a staff attorney, not the network\u2019s executive director.
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\u201cDementia not only affects your loved one but can shake a whole family\u2019s foundation, and self, if you allow it,\u201d Emma Heming Willis said in a statement Monday. \"Identifying the right resources to educate and enlighten myself has been powerful and has allowed me the space to continue to move forward in the most positive way so that I can be the best mother, wife, daughter, friend, and care partner. I want to be able to share that with the next person who finds themselves here.\u201d
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The frontier involves connecting patients more routinely with their regular doctors and using artificial intelligence to keep tabs on their health, according to Dr. Roy Schoenberg.
He\u2019s seeing this develop as co-CEO of Amwell, a Boston-based company that provides telemedicine software and technology for health systems and insurers. The company works with more than 55 health plans and health systems representing over 2,000 hospitals.
Schoenberg spoke recently with The Associated Press. The conversation has been edited for clarity and length.
A: In a very profound way. We\u2019re just beginning to unravel how deep the impact is. When people started buying books on Amazon, they didn\u2019t notice that they were beginning to embrace online retail. We\u2019re going through the same thing with telehealth. People have opened the door for getting care through technology.
A: Early generations of telehealth have really been about convenience \u2026 how a patient can quickly get a simple prescription or solve a problem with a sick child. The revolution that\u2019s going on right now is where people are beginning to utilize these technologies to interact with their regular caretakers. These are regularly scheduled appointments. Patients with very difficult conditions like cancer and deep chronic conditions are becoming the frequent flyers of telehealth. That\u2019s going to continue to evolve.
A: AI is not in any position to replace clinicians. However, these technologies can help check on a patient regularly. If you have a patient who was discharged from a hospital or has a chronic condition at home \u2026 we can check every day to see how they\u2019re doing. If the patient is not doing well, (the technology) will have the smarts to escalate that patient right back in front of (a nurse or doctor). You get a text message that begins the interaction. It switches over to a secure platform, essentially an application on your phone.
A: Ido is focused on business making. My heart is about developing technologies that solve big problems in care. We respect the fact that each of us has his own special skills. When disagreements arise \u2026 the right decision-maker is whoever really is proficient in that domain. We\u2019ve been doing this for 30 years now.
___
The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute\u2019s Science and Educational Media Group. The AP is solely responsible for all content.
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In a lawsuit filed Monday, Taylor Shelton and Planned Parenthood South Atlantic argue that the Republican-led state Legislature provided two different definitions of \u201cfetal heartbeat\u201d in a confusing manner. Instead of the common interpretation that abortion is banned at six weeks, they say the ban should start at nine weeks. That's because Planned Parenthood says the major components of the heart usually form around nine weeks. 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(AP) \u2014 A South Carolina woman who traveled elsewhere for an abortion just days after reaching six weeks of pregnancy wants a court to affirm that the state\u2019s ban on the procedure \u2014 when a \u201cfetal heartbeat\u201d can be detected \u2014 should not take effect until later in a pregnancy.
In a lawsuit filed in state circuit court Monday, Taylor Shelton and Planned Parenthood South Atlantic's chief medical officer Dr. Katherine Farris argued that the Republican-led state Legislature provided two different definitions of \u201cfetal heartbeat\" in its law restricting abortions. They said the correct interpretation is that the ban begins around nine weeks, and not six weeks as currently practiced.
The complaint marks yet another attempt by abortion providers to relax the state\u2019s so-called fetal heartbeat law. The South Carolina Supreme Court reversed course last summer when it upheld the ban after striking down a similar version. Last fall, the justices declined to take up Planned Parenthood's request to broaden the narrow window in which a pregnancy can be legally terminated, leaving the group to start over at the lower courts.
Most GOP-led states now have laws in effect restricting access to abortion, including 14 with bans at all stages of pregnancy. Georgia also has a ban in effect once cardiac activity can be detected. Nearly every ban has been challenged in court, and judges are currently blocking enforcement of the bans in four states.
In its law restricting abortion, the South Carolina General Assembly defines \u201cfetal heartbeat\u201d as \u201ccardiac activity, or the steady and repetitive rhythmic contraction of the fetal heart, within the gestational sac.\u201d
Ultrasounds pick up cardiac activity as early as six weeks into a pregnancy. But Planned Parenthood argues that the major components of the heart usually form around nine weeks. That point in time, the group said, is the relevant limitation under the law's wording.
Shelton, one of the plaintiffs, said her Charleston-area gynecologist responded dismissively when she first approached the office about options to end her unplanned pregnancy last September. Facing up to two years\u2019 imprisonment for violating the ban, health care providers were treading carefully.
An earlier lawsuit by Planned Parenthood argued that the law violated patients' right to privacy. But some members of the state\u2019s highest court decided last summer that the availability of contraception and period trackers made the strict ban a \"reasonable\u201d invasion of privacy.
Shelton noted that she was, in fact, using contraception \u2014 an intrauterine device \u2014 and tracked her typically regular menstrual cycles. She said she was shocked to learn of her pregnancy on Sept. 7 \u2014 two days after she missed her period.
After experiencing sharp pains, Shelton feared she might have an ectopic pregnancy. But her gynecologist found that the fertilized egg had not implanted outside the uterus, and that she did not face the potential of dangerous bleeding. She also learned, however, that her body had been trying to expel the IUD, making it bend and sting.
The doctor removed the T-shaped coil \u2014 one of the most effective forms of birth control \u2014 and she went back to finding an abortion provider.
After three trips to North Carolina \u2014 including a four-hour drive to Chapel Hill for a Sept. 19 appointment and a two-hour drive to Wilmington for a Sept. 23 visit \u2014 Shelton finally got her abortion at roughly six weeks and four days pregnant.
Despite making the decision \u201cquickly and confidently,\u201d Shelton wrote that she faced \u201ctotal apprehension\u201d while enduring \u201cunnecessary and unfair hardship.\u201d She described the process as a \u201crace to the finish line\u201d that left her with \u201ctwo weeks of uncertainty\u201d in an interview with The Associated Press.
\u201cI don\u2019t think it\u2019s enough time for someone, clearly, to obtain an abortion,\u201d Shelton said of the six-week interpretation.
The South Carolina Supreme Court has acknowledged the uncertainty of the law's language. During oral arguments, one justice asked whether the definitions referred to one or two periods of time. Ultimately, Justice John Kittredge wrote in his opinion that the question would be left \u201cfor another day.\u201d
Republicans have argued that abortion providers are backpedaling on their previous warnings about the ban by raising this point. South Carolina Senate Majority Leader Shane Massey has noted that Planned Parenthood repeatedly argued in court that the law unconstitutionally bans abortions after six weeks, not nine weeks.
\u201cPlanned Parenthood and the axis of abortion-providers know what the law means. We all do. South Carolina\u2019s Heartbeat law prohibits abortions after an ultrasound can detect fetal cardiac activity,\u201d Massey said in a statement last September.
Susanna Birdsong, a lawyer for Planned Parenthood South Atlantic, responded that abortion providers have had to make that more conservative interpretation because of the \u201conerous penalties\u201d for noncompliance. Planned Parenthood has stopped providing abortions when \u201cearly embryonic electrical activity\u201d is visible by ultrasound, the group wrote in Monday's filing.
\u201cWe\u2019re fighting for every inch of ground in South Carolina,\" Birdsong said.
\u2014-
Pollard is a corps member for the Associated Press/Report for America Statehouse News Initiative. Report for America is a nonprofit national service program that places journalists in local newsrooms to report on undercovered issues.
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Access to medical records and communication by phone or email has been limited since the middle of last week. Lurie Children\u2019s Hospital initially described the issue Wednesday as a network outage. Officials said Thursday the hospital had taken its networks offline as part of its response to a \u201ccybersecurity matter.\" The statement says the hospital is working with experts and law enforcement. It announced a phone line Friday for patients to get prescriptions refilled or get other information. The hospital didn't comment Monday.", + "bylines": [ + { + "by": "By KATHLEEN FOODY", + "title": "Associated Press" + } + ], + "located": "CHICAGO", + "datelinelocation": { + "city": "Chicago", + "countryareacode": "IL", + "countryareaname": "Illinois", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -87.65005, + 41.85003 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. 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The situation at Lurie Children's Hospital had all the hallmarks of a ransomware attack, although hospital officials would not confirm or deny the cause Monday.
The hospital initially described the issue Wednesday as a network outage. On Thursday, officials released public statements saying the hospital had taken its networks offline as part of its response to a \u201ccybersecurity matter.\"
\u201cWe are taking this very seriously, investigating with the support of leading experts, and are working in collaboration with law enforcement agencies,\u201d the hospital said in a statement Thursday. \u201cAs Illinois\u2019 leading provider for pediatric care, our overarching priority is to continue providing safe, quality care to our patients and the communities we serve. Lurie Children\u2019s is open and providing care to patients with as limited disruption as possible.\u201d
Media representatives for the hospital did not return messages from The Associated Press on Monday seeking more information, including whether the attack was caused by ransomware. Such extortion-style attacks are popular among those seeking financial gain by locking data, records or other critical information, and then demanding money to release it back to the owner.
A 2023 report by the Department of Health and Human Services warned of dramatic increases in digital attacks on health care and public health entities in recent years, causing delayed or disrupted care for patients across the country.
Health care providers aren't alone; state courts, county or state governments and schools all have struggled to recover from cyber-based attacks.
Christina Snyder's 9-year-old daughter receives regular infusions of medication at Lurie Children's for a rare autoimmune disease that weakens her bones. Her appointment Friday went smoothly, taking just about 30 minutes longer than usual, Snyder said, adding that she was comforted by the nurses' approach.
They kept records on paper and texted her daughter's doctor to verify the dose of medication needed, she said.
\"I would say they're doing an amazing job in a stressful situation,\" Snyder said. \u201cThey did everything they could do to keep us on schedule and make us feel comfortable.\u201d
Jason Castillo, though, said he thinks the hospital has failed to inform families of patients whose surgeries were delayed. Castillo said his nearly 7-month-old daughter was supposed to have had surgery on her heart Wednesday morning, a procedure doctors have planned for since her birth.
But it was quickly clear something had happened at the hospital. After a delay of a few hours, the girl's surgeon said he wasn't comfortable going forward as the hospital tried to respond to the cyberattack, Castillo said.
\u201cWe\u2019ve already been kind of in limbo with our lives waiting for the surgery, knowing we\u2019d need to drop everything and care for her until she\u2019s healthy again,\u201d Castillo said. \u201cWe just have no idea when it is going to be rescheduled, if we\u2019d need to switch hospitals. And we really don't want to do that.\u201d
The latest annual report for Lurie Children's said staff treated around 260,000 patients last year. Chicago-area pediatrician practices that work with the hospital also have reported being unable to access digital medical records because of the attack.
On Friday, the hospital announced a separate call center for patients to get prescriptions refilled or ask non-urgent questions about care or appointments.
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It was updated on March 28, 2024 to remove a claim by the Brazilian health ministry that it was the first to offer a dengue vaccine through its public health system. The Philippines was the first country to do so, in 2016.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "LT--Brazil-Dengue Outbreaks", + "headline": "Rio de Janeiro declares a dengue health emergency days ahead of Carnival", + "headline_extended": "Rio de Janeiro city authorities have declared a public health emergency in the city because of an outbreak of mosquito-borne dengue fever", + "slugline": "BC-LT--Brazil-Dengue Outbreaks, 4th Ld-Writethru", + "description_summary": "Rio de Janeiro city authorities have declared a public health emergency in the city because of an outbreak of mosquito-borne dengue fever. The announcement came just days before Carnival celebrations kick off across Brazil. But the outbreak wasn\u2019t expected to derail Carnival, which officially starts on Friday evening and runs until Feb. 14. Rio city hall announced the opening of 10 care centers, the creation of an emergency operations center and the allocation of hospital beds for dengue patients. Authorities will also use \u201csmoke cars\u201d in regions with the highest incidence of cases to diffuse an insecticide in the air.", + "bylines": [ + { + "by": "By EL\u00c9ONORE HUGHES", + "title": "Associated Press" + } + ], + "located": "RIO DE JANEIRO", + "datelinelocation": { + "city": "Rio De Janeiro", + "countrycode": "BRA", + "countryname": "Brazil", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -43.18223, + -22.90642 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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The outbreak wasn't expected to derail Carnival, which officially starts Friday evening and runs until Feb. 14, but it has prompted a slew of special measures by the city in hopes of containing the illness.
Rio city hall announced the opening of 10 care centers, the creation of an emergency operations center and the allocation of hospital beds for dengue patients. Authorities also will use \u201csmoke cars\u201d in regions with the highest incidence of cases, diffusing an insecticide in the air.
Since the beginning of 2024, the municipality has registered more than 10,000 dengue cases. That is just under half of the total cases \u2014 23,000 \u2014 recorded throughout all of 2023.
The announcement comes as tourists and revelers are pouring into Rio to take part in street parties and attend the samba schools\u2019 flamboyant parades.
Among Rio state's operational plans for Carnival, presented by Gov. Cl\u00e1udio Castro on Monday, is the \u201cAgainst Dengue Every Day\u201d campaign. That will entail the distribution of repellents, stickers, bandanas and hats with warnings about the disease to audiences at the Sambadrome, where a 15-second notice about the fight against the infection also will be shown.
Dengue is a viral infection transmitted to humans through the bite of infected mosquitoes and is more common in tropical climates. Frequent rains and high temperatures, which accelerate the hatching of mosquito eggs and the development of larvae, make the famously hot city of Rio susceptible to dengue outbreaks.
But the problem is national. The explosion of dengue cases across Brazil has caused at least four states \u2014 Acre, Minas Gerais and Goias, in addition to the Federal District \u2014 to declare public health emergencies.
On Monday, the Brazilian air force set up a 60-bed field hospital in the Federal District in Ceilandia that was due to begin treating patients.
\u201cOur objective is to relieve emergency care units in the region, given that today the Federal District accounts for around 20% of dengue cases in the country,\u201d air force commander Lt. Brig. Marcelo Kanitz Damascene said in a statement.
Most people who get dengue don\u2019t develop symptoms, but if they do these can include high fever, headache, body aches, nausea and a rash, according to the World Health Organization. While most get better after a week or so, some develop a severe form and require hospitalization. In such cases, dengue can be fatal.
Climate change, which leads to increased temperatures and high rainfall, is associated with a higher risk of dengue, WHO said in December.
Rio Mayor Eduardo Paes urged \u201ccariocas\u201d \u2014 as the residents of Rio are known \u2014 to eliminate sources of still water, used by mosquitoes as breeding grounds.
\u201cUnlike the COVID-19 pandemic, in which individual citizens couldn\u2019t do much more than demand that governments get the vaccine, in the case of dengue much depends on the action of each citizen,\u201d Paes said.
Brazil approved a vaccine against dengue in March of 2023. More than 3 million people were due to receive a jab in 2024.
\u2014-
This story was first published on February 7, 2024. It was updated on March 28, 2024 to remove a claim by the Brazilian health ministry that it was the first to offer a dengue vaccine through its public health system. The Philippines was the first country to do so, in 2016.
", + "textformat": "bx", + "links": [ + { + "href": "https://apnews.com/article/brazil-dengue-rio-carnival-8ed7cc1e4aade9fe9f8682b02b0ff967", + "rel": "canonical" + } + ], + "topics": { + "Health": { + "relevance_score": 5, + "reason": "The document is highly relevant to the topic of Health. It discusses a public health emergency in Rio de Janeiro due to a dengue fever outbreak, detailing the measures taken by the city to contain the illness, the impact on the upcoming Carnival, and the broader national context of dengue cases in Brazil. It also includes information on symptoms, transmission, and prevention of dengue, as well as the role of climate change in the spread of the disease. All these points are directly related to health issues." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/02/05/ab16990ee9c297d3a69a13cb9f10c7e3.json b/datasets/AP_news/raw_data/2024/02/05/ab16990ee9c297d3a69a13cb9f10c7e3.json new file mode 100644 index 0000000..d88ea7f --- /dev/null +++ b/datasets/AP_news/raw_data/2024/02/05/ab16990ee9c297d3a69a13cb9f10c7e3.json @@ -0,0 +1,291 @@ +{ + "altids": { + "itemid": "ab16990ee9c297d3a69a13cb9f10c7e3", + "etag": "ab16990ee9c297d3a69a13cb9f10c7e3_1a14aza0c0", + "friendlykey": "168959028461", + "referenceid": "US--Doctor-Drug Charges" + }, + "version": 1, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-02-05T23:42:29Z", + "firstcreated": "2024-02-05T21:20:43Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: This story has been updated with comment from an attorney for Joel Smithers.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "US--Doctor-Drug Charges", + "headline": "Virginia doctor who prescribed more than 500k doses of opioids granted new trial", + "headline_extended": "A Virginia doctor who was sentenced to 40 years in prison after prescribing more than half a million doses of highly addictive opioids in two years has been granted a new trial by a federal appeals court", + "slugline": "BC-US--Doctor-Drug Charges, 1st Ld-Writethru", + "description_summary": "A Virginia doctor who was sentenced to 40 years in prison after prescribing more than half a million doses of highly addictive opioids in two years has been granted a new trial by a federal appeals court. A three-judge panel of the Richmond-based 4th U.S. Circuit Court of Appeals ruled Friday that instructions given to jurors at the trial of Dr. Joel Smiths misstated the law. Smithers was convicted in 2019 of more than 800 counts of illegally prescribing drugs. The appeals court panel said the jury instruction was improper, citing a 2022 U.S. Supreme Court ruling that said a defendant must \u201cknowingly or intentionally\u201d act in an unauthorized manner to be guilty of illegally prescribing drugs.", + "bylines": [ + { + "by": "By DENISE LAVOIE", + "title": "AP Legal Affairs Writer" + } + ], + "located": "RICHMOND, Va.", + "datelinelocation": { + "city": "Richmond", + "countryareacode": "VA", + "countryareaname": "Virginia", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -77.46026, + 37.55376 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. 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(AP) \u2014 A Virginia doctor who was sentenced to 40 years in prison after prescribing more than half a million doses of highly addictive opioids in two years has been granted a new trial by a federal appeals court that found the instructions given to jurors at his trial misstated the law.
Joel Smithers was convicted in 2019 of more than 800 counts of illegally prescribing drugs.
During his trial, prosecutors said patients from five states drove hundreds of miles to see him to get prescriptions for oxycodone, fentanyl and other powerful painkillers. Authorities said Smithers headed a drug distribution ring that contributed to the opioid abuse crisis in Kentucky, Ohio, Tennessee, Virginia and West Virginia.
In a ruling issued Friday, a three-judge panel of the Richmond-based 4th U.S. Circuit Court of Appeals vacated Smithers' convictions and ordered a new trial.
Jurors at Smithers' trial were instructed that in order to find Smithers guilty of illegally prescribing drugs, they must find that he did so \u201cwithout a legitimate medical purpose or beyond the bounds of medical practice.\"
But the appeals court found that that jury instruction was improper, citing a 2022 U.S. Supreme Court ruling that said a defendant must \u201cknowingly or intentionally\u201d act in an unauthorized manner to be guilty of that charge. Even though the jury convicted Smithers in 2019, his case was subject to the 2022 Supreme Court decision because his appeal was still pending when that ruling was issued.
Justice Roger Gregory, who wrote the 3-0 opinion for the 4th Circuit panel, cited Smithers' testimony at his trial, when he said almost all of his patients had had significant car or workplace accidents and that he believed there was a legitimate medical purpose for each of the prescriptions he wrote. Gregory wrote that even though \u201ca jury might very well not have believed Smithers' testimony that he acted with a legitimate medical purpose,\u201d the defense provided evidence that could have led to a finding of not guilty on each of the unlawful distribution charges against Smithers.
\u201cIn sum, because there was evidence upon which a jury could have reached a contrary finding, the instructional errors were not harmless,\u201d Gregory wrote.
During Smithers' trial, a receptionist testified that patients would wait up to 12 hours to see Smithers, who sometimes kept his office open past midnight. Smithers did not accept insurance and took in close to $700,000 in cash and credit card payments over two years, prosecutors said.
\u201cWe understand the 4th circuit decision following a recent change in the law and look forward to retrying the defendant, \" U.S. Attorney Christopher Kavanaugh said in a statement Monday.
Beau Brindley, an attorney for Smithers, said that since the 2022 Supreme Court decision, \u201conly one thing decides a doctor's guilt or innocence: his own subjective beliefs about his prescriptions.\u201d
\u201cUnder this new legal standard, with the focus now solely on his intent, Dr. Smithers looks forward to being fully exonerated at trial,\u201d Brindley said in a statement.
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Therefore, it is somewhat relevant but not highly focused on health as a broader topic." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/02/05/bb99923245505557c90d305d2cc3990d.json b/datasets/AP_news/raw_data/2024/02/05/bb99923245505557c90d305d2cc3990d.json new file mode 100644 index 0000000..75765a2 --- /dev/null +++ b/datasets/AP_news/raw_data/2024/02/05/bb99923245505557c90d305d2cc3990d.json @@ -0,0 +1,197 @@ +{ + "altids": { + "itemid": "bb99923245505557c90d305d2cc3990d", + "etag": "bb99923245505557c90d305d2cc3990d_1a4aza0c0", + "friendlykey": "308756745592", + "referenceid": "US-MED--Police Violence-Disparities" + }, + "version": 1, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-02-05T16:55:28Z", + "firstcreated": "2024-02-05T16:03:41Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: Adds links to studies and editorial in JAMA Internal Medicine.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "US-MED--Police Violence-Disparities", + "headline": "The effect of police violence on Black Americans' health is documented in 2 new studies", + "headline_extended": "Two new studies track the effect of police violence on Black Americans", + "slugline": "AP-US-MED--Police Violence-Disparities, 1st Ld-Writethru", + "description_summary": "Two new studies track the effect of police violence on Black Americans. One study ties police-involved deaths to sleep disturbances. The other finds a racial gap in injuries involving police use of Tasers and other energy weapons. Both research papers appear in JAMA Internal Medicine. Researchers found sleep disturbances among Black people \u2014 but not among white people \u2014 in the six months following a police-involved killing. Other researchers analyzed data on injuries involving police use of weapons such as Tasers. Nearly 36% of those injuries were among Black people, far above their share of the U.S. population.", + "bylines": [ + { + "by": "By CARLA K. JOHNSON", + "title": "AP Medical Writer" + } + ], + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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The health effects of police violence on Black people \u201cneed to be documented as a critical first step to reduce these harms,\u201d three editors of JAMA Internal Medicine wrote in an editorial published Monday with the studies.
For the sleep study, researchers looked at responses from more than 2 million people from 2013 through 2019 in two large government surveys. They focused on people's reports of sleep in the months following police-involved killings of unarmed Black people.
They found a pattern of sleep disturbances, particularly getting less than six hours of sleep, in Black people \u2014 but not among white people \u2014 in the six months following a police-involved killing.
For the years studied, police-involved killings of unarmed Black people totaled 331 in the database used by the researchers: Mapping Police Violence, a project using Justice Department statistics and crowdsourced databases. The killings included cases that gained national attention such as the deaths of Eric Garner and Tamir Rice, as well as others less widely known.
For more prominent police-involved deaths, there was a 11.4% increase in reporting very short sleep compared with the average for all Black survey respondents. For deaths, whether prominent or not, that happened in the same state as the survey respondent, the effect was a 6.5% increase.
This type of study cannot prove cause and effect. The researchers made adjustments for age, sex, education and other factors that might account for differences and still found the pattern of more sleep disturbance reports from Black people after police-involved deaths.
\u201cDiscrimination can manifest in all sorts of ways, one of which is unequal exposure to police use of force,\u201d said Dr. Atheendar Venkataramani of the University of Pennsylvania, who led the study. Poor sleep can raise \"the lifetime risk of a number of diseases, as well as the risk of early death.\"
The second study found racial disparities in injuries that occurred when Tasers and similar weapons were used by police to incapacitate people.
It's the first comprehensive national analysis of such injuries using emergency department data. The study was possible because of a new medical code, added in late 2019, denoting law enforcement-related use of Tasers and similar weapons.
Researchers analyzed data on 1,276 emergency department visits from October 2019 through December 2020 where an injury coincided with police use of such \u201cconducted energy\u201d devices.
Nearly 36% of those injured were Black, far above their 13.6% share of the general U.S. population. White people made up 39% of the injured, Hispanic people 17.6%, Native Americans 2% and Asian or Pacific Islander people 1.4%.
The injuries included puncture wounds, concussions, fractures and traumatic brain injuries. The devices are known to cause falls, but the researchers couldn't pin down if police used the weapons incorrectly or the exact role of the weapons in the injuries.
\u201cIt\u2019s really important to make sure that law enforcement officers get the proper training on how to deploy these things and minimize the risk of long-term injury,\u201d said study co-author Kevin Griffith of Vanderbilt University.
___
The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute\u2019s Science and Educational Media Group. The AP is solely responsible for all content.
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Buckingham Palace said Monday the cancer is not related to the king\u2019s recent treatment for a benign prostate condition. It did not say what form of cancer the 75-year-old monarch has. The statement said Charles \u201cremains wholly positive about his treatment and looks forward to returning to full public duty as soon as possible.\u201d He is being treated as an outpatient and will continue to undertake paperwork and other business as head of state. The palace said Charles shared his diagnosis to prevent speculation and assist public understanding of others affected by cancer.", + "bylines": [ + { + "by": "By JILL LAWLESS", + "title": "Associated Press" + } + ], + "located": "LONDON", + "datelinelocation": { + "city": "London", + "countrycode": "GBR", + "countryname": "United Kingdom", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -0.12574, + 51.50853 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. 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Less than 18 months into his reign, the 75-year-old monarch will suspend public engagements but will continue with state business, and won't be handing over his constitutional roles as head of state.
The palace didn't disclose what form of cancer the king has, but said it's not related to his recent treatment for a benign prostate condition.
The palace said \u201ca separate issue of concern was noted\u201d during Charles' treatment for an enlarged prostate last month, when he spent three nights in a London hospital.
\u201cDiagnostic tests have identified a form of cancer,\u201d it said in a statement.
\u201cHis Majesty has today commenced a schedule of regular treatments, during which time he has been advised by doctors to postpone public-facing duties,\u201d the palace said. \"Throughout this period, His Majesty will continue to undertake State business and official paperwork as usual.\"
The king is being treated as an outpatient, the palace said.
It said Charles, who has generally enjoyed good health, \u201cremains wholly positive about his treatment and looks forward to returning to full public duty as soon as possible.\u201d
The palace added that the king \"has chosen to share his diagnosis to prevent speculation and in the hope it may assist public understanding for all those around the world who are affected by cancer.\u201d
Charles became king in September 2022 when his mother, Queen Elizabeth II, died at the age of 96 after 70 years on the throne.
News of the king's diagnosis comes as his daughter-in-law Kate, Princess of Wales, recovers from abdominal surgery that saw her hospitalized for about two weeks.
Kate is still taking a break from royal duties as she recovers. Her husband, Prince William, who is heir to the throne, also took time off to help look after the couple's three children, but is due to preside over an investiture ceremony at Windsor Castle and a charity dinner on Wednesday.
Charles took the throne intending to preside over a slimmer monarchy with fewer senior royals carrying out ceremonial public duties. But with Charles and Kate both temporarily sidelined, Prince Harry self-exiled to California and Prince Andrew largely banished from view because of his friendship with sex offender Jeffrey Epstein, the royal \u201cFirm\u201d risks becoming severely overstretched.
The king personally called both William and Harry \u2014 as well as his siblings Princess Anne, Prince Andrew and Prince Edward \u2014 to share news of his health.
Harry, who quit royal duties in 2020, has spoken to his father about the diagnosis and \u201cwill be traveling to U.K. to see His Majesty in the coming days,\u201d said the office of Harry and his wife, Meghan.
U.K. political leaders sent messages of support. Prime Minister Rishi Sunak tweeted: \u201cWishing His Majesty a full and speedy recovery. I have no doubt he\u2019ll be back to full strength in no time and I know the whole country will be wishing him well.\u201d
U.S. President Joe Biden, traveling in Las Vegas on Monday, said he had just learned about Charles\u2019s diagnosis and said he hopes to speak with him, \u201cGod willing.\u201d
\u201cI\u2019m concerned about him,\u201d Biden told reporters.
The president later posted on X, formerly known as Twitter: \u201cNavigating a cancer diagnosis, treatment, and survivorship takes hope and absolute courage. Jill and I join the people of the United Kingdom in praying that His Majesty experiences a swift and full recovery.\"
Charles departed from royal tradition with his openness about his prostate condition. For centuries Britain's royal family remained tight-lipped about health matters.
When U.K. monarchs had real power, news of illness was withheld for fear it might weaken their authority. The habit of secrecy lingered after royals became constitutional figureheads.
The British public wasn\u2019t told that Charles\u2019 grandfather, King George VI, had lung cancer before his death in February 1952 at the age of 56, and some historians have claimed that the king himself wasn\u2019t told he was terminally ill.
In the final years of Elizabeth's life, the public was told only that the queen was suffering from \u201cmobility issues.\u201d The cause of her death was listed on the death certificate simply as \u201cold age.\u201d
Pat Price, founder of the Catch Up With Cancer campaign, said millions shared the \u201ccollective concern\u201d for the king's health.
\u201cThe king\u2019s openness about his battle with cancer is a powerful reminder that one in two of us may face cancer at some point in our lives,\" Price said.
___
Associated Press writers Sylvia Hui and Brian Melley in London, Danica Kirka in Helsinki and Darlene Superville in Las Vegas contributed to this report.
___
This version has corrected that the investiture being held Wednesday is at Windsor Castle not Buckingham Palace.
___
Find more of AP's coverage of King Charles III at https://apnews.com/hub/royalty
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At the same time the head of the United Nations refugee agency warned that Europe may have to deal with a new flow of Sudanese refugees if a cease-fire agreement isn\u2019t signed soon between Sudan\u2019s warring sides and relief efforts aren\u2019t strengthened. MSF says that Zamzam, a camp of more than 300,000 people near North Darfur\u2019s regional capital, El Fasher, was originally formed by people fleeing ethnically targeted violence in the region in 2003. Ever since the war broke out between Sudan's security forces camp residents have been cut off from vital humanitarian aid.", + "bylines": [ + { + "by": "By TOM ODULA", + "title": "Associated Press" + } + ], + "located": "NAIROBI, Kenya", + "datelinelocation": { + "city": "Nairobi", + "countrycode": "KEN", + "countryname": "Kenya", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + 36.81667, + -1.28333 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. 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The head of the U.N. refugee agency, meanwhile, warned that Europe may have to deal with a rise in the numbers of Sudanese refugees if a cease-fire agreement isn't signed soon between Sudan's warring sides and relief efforts aren't strengthened.
One child is dying every two hours in the camp, according to Claire Nicolet, head of emergency response in Sudan for Doctors without Borders, or MSF.
\u201cThose with severe malnutrition who have not yet died are at high risk of dying within three to six weeks if they do not get treatment,\u201d Nicolet said.
MSF says that Zamzam, a camp of more than 300,000 people, was originally formed by people fleeing ethnically targeted violence in the region in 2003. However, since war broke out between Sudan\u2019s military and paramilitary forces in April 2023, camp residents have been cut off from vital humanitarian aid and medical care, the group said in a statement.
U.N. agencies and international aid organizations evacuated North Darfur after the war began in April, and have maintained only a limited presence since then, MSF said.
\u201cNow, they have been almost completely abandoned. There have been no food distributions from the World Food Program since May. People are going hungry \u2014 and children are dying as a result,\u201d Nicolet said.
MSF said that it would rapidly increase the scale of assistance at the camp to provide treatment for children in the most critical condition. However, the scale of the disaster requires a far greater response than MSF can provide alone, the group said.
The head of the U.N. refugee agency said that without additional support, refugees from Sudan will attempt to make their way to Europe.
\u201cThe Europeans are always so worried about people coming across the Mediterranean. Well, I have a warning for them that if they don't support more refugees coming out of Sudan, even displaced people inside Sudan, we will see onward movements of people towards Libya, Tunisia and across the Mediterranean,\u201d U.N. High Commissioner for Refugees Filippo Grandi said. \u201dThere is no doubt.\"
More than 9 million people are thought to be internally displaced in Sudan, and 1.5 million refugees have fled into neighboring countries in 10 months of clashes between the Sudanese military, led by Gen. Abdel Fattah Burhan, and the Rapid Support Forces, a powerful paramilitary group commanded by Gen. Mohammed Hamdan Dagalo.
The conflict erupted last April in the capital, Khartoum, and quickly spread to other areas of the country.
Grandi said several countries neighboring Sudan \u2014 Chad, Central African Republic, South Sudan and Ethiopia \u2014 have their own \u201cfragilities\u201d and will be unable to give refugees enough assistance.
He said that refugees will move further toward northern countries like Tunisia, where some have been documented planning to cross to Europe.
\u201cWhen refugees go out and they don\u2019t receive enough assistance, they go further,\u201d Grandi said.
He said the war in Sudan is becoming fragmented, with a number of militias controlling areas.
\u201cMilitias have even less hesitation to perpetrate abuse on civilians,\u201d he said, suggesting that it would create even more displacement.
Grandi also said conflicts in places like Sudan, Congo, Afghanistan and Myanmar shouldn't be overlooked during the wars in Ukraine and Gaza.
\u201cGaza is a tragedy, it needs a lot of attention and resources, but it cannot be at the expense of another big crisis like Sudan,\u201d he said.
Grandi spoke a day after visiting Sudan and Ethiopia, which is recovering from a two-year conflict in its northern Tigray region.
The United Nations says at least 12,000 people have been killed in Sudan's conflict, although local doctors groups say the true toll is far higher.
Dagalo\u2019s paramilitary forces appear to have had the upper hand over the past three months, with their fighters advancing to the east and north across Sudan\u2019s central belt. Both sides have been accused of war crimes by rights groups.
Regional partners in Africa have been trying to mediate an end to the conflict, along with Saudi Arabia and the United States, which facilitated several rounds of unsuccessful, indirect talks between the warring parties. Burhan and Dagalo are yet to meet in person since the conflict began.
___
Follow AP\u2019s coverage of migration issues at https://apnews.com/hub/migration
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Critics say the measures are out of step with San Francisco's liberal politics and will hurt already marginalized communities. But Breed says it is residents from poorer, Black and immigrant neighborhoods pleading for more police. The mayor, up for reelection in November, says recovering addicts want more treatment offered.", + "bylines": [ + { + "by": "By JANIE HAR", + "title": "Associated Press" + } + ], + "located": "SAN FRANCISCO", + "datelinelocation": { + "city": "San Francisco", + "countryareacode": "CA", + "countryareaname": "California", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -122.41942, + 37.77493 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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Mayor London Breed also supports a ballot measure that would grant police more crime-fighting powers, such as the use of drones and surveillance cameras. In November, she'll face cranky voters in a competitive reelection bid.
San Francisco is in a struggle to redefine itself after the pandemic left it in economic tatters and highlighted its longstanding problems with homelessness, drugs and property crime. Opponents say both ballot measures are wildly out of step with San Francisco's support for privacy and civil liberties and will only hurt the marginalized communities the city prides itself on helping.
But Breed, the first Black woman to lead San Francisco, said at a January campaign stop that residents from poorer, Black and immigrant neighborhoods are pleading for more police, and recovery advocates are demanding change as more than 800 people died of accidental overdose last year \u2014 a record fueled by the abundance of cheap and potent fentanyl.
\u201cThey said San Francisco makes it too easy for people to access and to use drugs on the streets of the city and we need to do something a lot more aggressive,\u201d Breed said at Footprint, an athletic apparel and shoe store that has been repeatedly burglarized.
While Breed's name isn't on the presidential primary ballots going out now \u2014 San Francisco uses a method where residents rank mayoral candidates by preference a single time in November \u2014 the two measures she's pushing are. They serve as an opening salvo for her reelection campaign as she faces off against fellow moderates who say her approach to the city's problems has been weak.
Violent crimes are low in San Francisco, but the city has long struggled with quality-of-life crimes.
Breed said rates of retail theft and auto smash-ins have declined recently, thanks in large part to strategic operations by city police. Similarly, police have stepped up enforcement of drug laws, including by issuing citations to people using drugs in public as a way to disrupt the behavior and an opportunity to persuade the person cited to seek help.
But she said San Francisco needs to do more.
If approved by voters, Proposition F would offer another way to compel treatment, by allowing the city to screen single adults on local welfare for substance abuse. People found to be abusing illegal drugs would be required to enroll in treatment if they want to receive cash assistance from the city, which maxes out at just over $700 a month.
Opponents say coercion doesn't work and homelessness may increase if the measure passes. Drug addicts are not criminals, they say, and there are not enough treatment beds and counseling services as it is.
A crackdown on drugs is reminiscent of the failed war on drugs that disproportionately harmed Black families, said Chris Ballard, co-executive director of Coleman Advocates, which pushes for improvements for Black and Latino youth in San Francisco.
\u201cThere are more ethical ways to address the issue aside from punitive measures, and that\u2019s the proper way to take care of a community, to show true support,\u201d he said.
Yet Trent Rhorer, executive director of the San Francisco Human Services Agency, which provides cash assistance and employment services to low-income residents without dependent children, said the current situation is in conflict with the agency's mission: to improve lives.
\u201cTo give someone who\u2019s addicted to fentanyl $700 a month, I don\u2019t think it helps improve their lives,\u201d he said. \u201cIn fact, I think it does the opposite.\u201d
Compelling treatment has become more acceptable in Democratic California, despite angst over the potential loss of civil liberties, as visible signs of homelessness and mental illness, fentanyl addiction, and unsafe street behavior surge.
Last year, several counties rolled out an alternative mental health court created by Democratic Gov. Gavin Newsom, former mayor of San Francisco, to fast-track people with untreated schizophrenia and related disorders into care, and in March voters will take up a statewide mental health proposition that some say will increase involuntary treatment.
Rhorer said the welfare program for single adults \u2014 which serves about 9,000 people per year \u2014 already asks applicants about substance abuse, with about 20% self-reporting an issue. A data check with the Department of Public Health revealed that almost one-third of recipients have been diagnosed with a substance use disorder, he said.
The ballot measure would replace that question with a more rigorous screening test that would be verified by an addiction specialist. If substance abuse is found, Rhorer said, the specialist and applicant would agree on treatment options that include residential care, a 12-step program, individual counseling and replacement medication.
There is no requirement that the person be sober, only that they make good-faith efforts to attend their program, with the hope that \u201cat one point a light bulb will go off,\u201d Rhorer said.
The measure calls for the city to pay the rent of those accepted into the program for 30 days or longer to avoid eviction. About 30% of the people who fatally overdosed in 2023 were homeless, and more were living in subsidized city housing.
Besides authorizing drones, cameras and other modern technologies, Proposition E would reduce paperwork so police have more time to patrol. It would also allow police to pursue more suspects by vehicle, and not just in cases of a violent felony or immediate threat to public safety \u2014 a policy store owner Michael Hsu learned of the hard way.
Hsu has had his Footprint store broken into multiple times since he took over in 2020, most recently on Jan. 1. Police arrived as the suspects were leaving but could not pursue them because no lives were at risk. Hsu, who lost about $20,000 in merchandise and damage, called that discouraging.
\u201cYou\u2019re sending the wrong message to these criminals,\u201d he said.
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Kristi Noem and her health secretary last year after the state terminated a contract with it.
Attorneys for the Transformation Project announced the settlement Monday. The nonprofit sued last year after the state canceled the contract for a community health worker in December 2022. The contract included a roughly $136,000 state-administered federal grant, about $39,000 of which the group received, according to its attorneys.
The organization alleged the state's decision \u201cwas based purely on national politics,\" citing Noem's statement to conservative media outlet The Daily Signal that the state government shouldn't participate in the group's efforts. The outlet had asked Noem about the group and one of its events.
\u201cThis settlement marks a significant milestone in our ongoing commitment to civil rights advocacy,\u201d lead attorney Brendan Johnson said. \u201cWe commend the resiliency of the LGBTQ community and remain committed to vigorously upholding their rights.\u201d
The apology, in a letter dated Jan. 18 and signed by South Dakota Secretary of Health Melissa Magstadt, reads: \u201cOn behalf of the State of South Dakota, I apologize that the Transformation Project\u2019s contract was terminated and for treating the Transformation Project differently than other organizations awarded Community Health Worker contracts.
\u201cI want to emphasize that all South Dakotans are entitled to equal treatment under the law \u2014 regardless of their race, color, national origin, religion, disability, age, or sex. South Dakota is committed to ensuring that no person is excluded from participation in, denied the benefits of, or subject to discrimination under any program, activity, or service that it provides,\u201d she wrote.
Transformation Project Executive Director Susan Williams said she is glad the lawsuit is over and \u201cit feels good to know that we won.\u201d
\u201cI would say that we settled with the apology. It would have been nice to have the apology come from our governor,\u201d she said.
Magstadt was not health secretary at the time the contract was terminated. Her predecessor announced her retirement days after the state terminated the contract. The Transformation Project had hired a community health worker before the state ended the contract.
The state alleged contract violations in a letter from the deputy secretary noticing the termination. The group said it had complied.
Spokespersons for Noem and the state Department of Health did not immediately respond to email requests for comment on the settlement.
Transformation Project Community Health Worker/Project Coordinator Jack Fonder said in a statement: \u201cI assumed the role of CHW with the intention of providing trans people in our community with the resources they require to succeed in this state, little realizing that doing so would result in my own outing as a trans man for standing up for what is right. We promise to keep up the battle for transgender rights and to make sure they have access to the resources they require.\"
Fundraising helped continue Fonder\u2019s position, Williams said. Fonder helps transgender people find shelter, housing and employment, as well as support with legal paperwork and driving people to appointments, among other needs.
Williams said the organization would apply for future grants from the state, and she hopes similar groups \u201cwill feel more confident\u201d to apply, too.
The nonprofit offers help for LGBTQ+ people and their families, such as suicide prevention and guiding people through health care and social services, and educates about gender identity.
South Dakota and other Republican-led states have passed laws in recent years that have raised complaints about discrimination against transgender people, such as restricting school sports participation and banning gender-affirming care for kids.
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The 3rd Circuit Court of Appeals issued a ruling Monday in two related cases stemming from lawsuits against officials in Freehold and Cranford, New Jersey. The suits revolved around claims that school boards retaliated against the plaintiffs because they refused to wear masks during public meetings. In one of the suits, the court sent the case back to a lower court for consideration. In the other, it said the plaintiff failed to show she was retaliated against.", + "bylines": [ + { + "by": "By MIKE CATALINI", + "title": "Associated Press" + } + ], + "located": "TRENTON, N.J.", + "datelinelocation": { + "city": "Trenton", + "countryareacode": "NJ", + "countryareaname": "New Jersey", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -74.74294, + 40.21705 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. 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(AP) \u2014 A federal appeals court shot down claims Monday that New Jersey residents' refusal to wear face masks at school board meetings during the COVID-19 outbreak constituted protected speech under the First Amendment.
The 3rd Circuit Court of Appeals issued a ruling in two related cases stemming from lawsuits against officials in Freehold and Cranford, New Jersey.
The suits revolved around claims that the plaintiffs were retaliated against by school boards because they refused to wear masks during public meetings. In one of the suits, the court sent the case back to a lower court for consideration. In the other, it said the plaintiff failed to show she was retaliated against.
Still, the court found that refusing to wear a mask during a public health emergency didn't amount to free speech protected by the Constitution.
\u201cA question shadowing suits such as these is whether there is a First Amendment right to refuse to wear a protective mask as required by valid health and safety orders put in place during a recognized public health emergency. Like all courts to address this issue, we conclude there is not,\u201d the court said.
The court added: \u201cSkeptics are free to \u2014 and did \u2014 voice their opposition through multiple means, but disobeying a masking requirement is not one of them. One could not, for example, refuse to pay taxes to express the belief that \u2018taxes are theft.\u2019 Nor could one refuse to wear a motorcycle helmet as a symbolic protest against a state law requiring them.\u201d
Ronald Berutti, an attorney for the appellants, said they intend to petition the U.S. Supreme Court to hear the case.
The lawsuits were filed by George Falcone and Gwyneth Murray-Nolan.
Falcone attended a Freehold Township school board meeting in early 2022 when masks were still required. He refused, according to the court's ruling, and was issued a summons on a trespassing charge. He also alleged a later school board meeting was canceled in retaliation for his not wearing a mask. A lower court found he didn't have standing to bring the suit, and he appealed.
Murray-Nolan, who had testified before lawmakers on her skepticism toward the efficacy of masking, attended an early 2022 Cranford school board meeting without a mask despite a requirement for them. Less than a month later at the board's next meeting, she was arrested on a defiant trespass charge after attending without a mask. A lower court found officers had probable cause to arrest her because she failed to wear a mask as required under the law at the time. She appealed.
Eric Harrison, an attorney for the officials named in the suit, lauded the ruling on Tuesday. In an emailed statement he said that refusing to wear a mask in violation of a public health mandate \u201cis not the sort of \u2018civil disobedience\u2019 that the drafters of the First Amendment had in mind as protected speech.\u201d
New Jersey's statewide order for public masking in schools ended in March 2022, shortly after the incidents described in the suits.
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With AP Photo.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "US--Census-Defining Disabilities", + "headline": "The Census Bureau halts changing how it asks about disabilities following a backlash", + "headline_extended": "Facing a growing backlash, the U.S. Census Bureau has halted plans to change how it asks people about disabilities", + "slugline": "BC-US-Census-Defining-Disabilities, 2nd Ld-Writethru", + "description_summary": "Facing a growing backlash, the U.S. Census Bureau has halted plans to change how it asks people about disabilities. Census Bureau Director Robert Santos said Tuesday that the bureau plans to meet with advocates in the disability community and determine what changes to questions on its American Community Survey are needed to better capture the range of disabilities. He says the bureau also will keep the current questions about disabilities on the 2025 American Community Survey. Disability advocates had complained the changes would artificially reduce their numbers.", + "bylines": [ + { + "by": "By MIKE SCHNEIDER", + "title": "Associated Press" + } + ], + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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Advocates for disabled people had argued that proposed changes to disability questions on the bureau's American Community Survey would artificially reduce their numbers by more than 40%, limiting the ability of some to get vital resources for housing, schools or program benefits. They also argued that they weren't properly consulted on such a major overhaul.
\u201cGood news. Good news. Good news,\u201d said Scott Landes, an associate professor of sociology at Syracuse University, who is visually impaired. \u201cThey got the message that we need to engage.\u201d
The bureau plans to meet with advocates in the disability community and determine what changes to the questions are needed to better capture the range of disabilities while keeping the current questions about disability on the 2025 American Community Survey, said Census Bureau Director Robert Santos.
\u201cWe will continue our work with stakeholders and the public to better understand data needs on disability and assess which, if any, revisions are needed across the federal statistical system to better address those needs,\u201d Santos said in a blog post.
The American Community Survey is the most comprehensive survey of American life, covering commuting times, internet access, family life, income, education levels, disabilities and military service, among other topics.
The existing questions ask respondents to answer \u201cyes\u201d or \u201cno\u201d if they have difficulty or \u201cserious difficulty\u201d seeing, even with glasses, or are blind; hearing, or are deaf; concentrating, remembering or making decisions because of a physical, mental or emotional condition; walking or climbing stairs; dressing or bathing; or performing everyday tasks because of a physical, mental or emotional condition. If the answer is \u2033yes,\u201d they are counted as having a disability.
Under the proposed changes, which follow international standards, respondents would be allowed to answer most of the same questions with four choices: \u201cno difficulty,\u201d \u201csome difficulty,\u201d \u201ca lot of difficulty\u201d and \u201ccannot do at all.\u201d A person would be counted as disabled if they answered \u201ccannot do at all\u201d or \u201ca lot of difficulty\u201d for any task or function. The changes also would have added a query on whether respondents have trouble communicating.
Supporters of the proposed changes said the revisions would have provided more nuanced data and given officials better details about disabilities that can inform how services or resources are provided.
In a test run, the percentage of respondents who were defined as having a disability went from 13.9% using the current questions to 8.1% under the proposed changes. When the definition was expanded to also include \u201csome difficulty,\u201d it grew to 31.7%.
The proposed changes to the disability questions were among several tweaks to the American Community Survey that the Census Bureau was planning to submit this year for approval to the Office of Management and Budget. As part of that process, the Census Bureau solicited public feedback and got more than 12,000 responses, with the majority expressing concerns about changes to the disability questions.
Advocates said Tuesday that they will be focused on working with the bureau on coming up with questions that capture the range of disabilities, including people with mental health problems, developmental disabilities or chronic health conditions, such as those faced by many people living with long COVID.
\u201cWhile this is a win for our community, we must stay committed to the long-term goal of developing better disability questions that are more equitable and inclusive of our community,\u201d Bonnielin Swenor, director of the Johns Hopkins Disability Health Research Center, said in an email.
___
Follow Mike Schneider on X, formerly known as Twitter: @MikeSchneiderAP.
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However, the main emphasis is on the survey process and the backlash rather than health itself." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/02/06/35da4c83d3cf8ce024250ef70971a030.json b/datasets/AP_news/raw_data/2024/02/06/35da4c83d3cf8ce024250ef70971a030.json new file mode 100644 index 0000000..8f2565f --- /dev/null +++ b/datasets/AP_news/raw_data/2024/02/06/35da4c83d3cf8ce024250ef70971a030.json @@ -0,0 +1,205 @@ +{ + "altids": { + "itemid": "35da4c83d3cf8ce024250ef70971a030", + "etag": "35da4c83d3cf8ce024250ef70971a030_2a15aza0c0", + "friendlykey": "770652610217", + "referenceid": "US-MED--Listeria Outbreak-Cheese" + }, + "version": 2, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-02-07T01:17:03Z", + "firstcreated": "2024-02-06T18:21:57Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: Fixes style of decadelong.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "US-MED--Listeria Outbreak-Cheese", + "headline": "Deadly decadelong listeria outbreak linked to cotija and queso fresco from a California business", + "headline_extended": "A California cheese and dairy company is the source of a decadelong outbreak of listeria food poisoning that killed two people and sickened more than two dozen", + "slugline": "BC-US-MED--Listeria Outbreak-Cheese, 2nd Ld-Writethru", + "description_summary": "A California cheese and dairy company is the source of a decadelong outbreak of listeria food poisoning that killed two people and sickened more than two dozen. The Centers for Disease Control and Prevention made the announcement Tuesday. Rizo-Lopez Foods of Modesto, California, has recalled more than 60 types of soft cheeses, sour cream and yogurt after the bacteria was found in a product. At least 26 people in 11 states have been sickened since 2014. Two people died in Texas and California. The CDC previously investigated the outbreak in 2017 and 2021.", + "bylines": [ + { + "by": "By JONEL ALECCIA", + "title": "AP Health Writer" + } + ], + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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New lab and inspection evidence linked soft cheeses and other dairy products made by Rizo-Lopez Foods of Modesto, California, to the outbreak, which was first detected in June 2014, the Centers for Disease Control and Prevention said.
Since then, at least 26 people in 11 states have been sickened. They include a person who died in California in 2017 and one who died in Texas in 2020, CDC officials said.
On Monday, the company recalled more than 60 soft cheeses, yogurt and sour cream sold under the brands Tio Francisco, Don Francisco, Rizo Bros, Rio Grande, Food City, El Huache, La Ordena, San Carlos, Campesino, Santa Maria, Dos Ranchitos, Casa Cardenas, and 365 Whole Foods Market.
The CDC previously investigated cases of food poisoning tied to queso fresco and other similar types of cheese in 2017 and 2021, but there was not enough evidence to identify a source.
New illnesses were reported in December, prompting CDC to reopen the investigation. The strain of listeria linked to the outbreak was found in a cheese sample from Rizo-Lopez Foods. Federal officials confirmed that queso fresco and cotija made by the company were making people sick.
The recalled products were distributed nationwide at stores and retail deli counters, including El Super, Cardenas Market, Northgate Gonzalez, Superior Groceries, El Rancho, Vallarta, Food City, La Michoacana, and Numero Uno Markets.
Listeria infections can cause serious illness and, in rare cases, death. People who are pregnant, older than 65 or have weakened immune systems are particularly vulnerable. Symptoms \u2014 like muscle aches, fever and tiredness \u2014 usually start within two weeks after eating contaminated foods, but can start earlier or later.
The CDC said consumers who have these products should discard them and thoroughly clean the refrigerator, counters and other contact sites. Listeria can survive in the refrigerator and easily contaminate other foods and surfaces.
___
The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute\u2019s Science and Educational Media Group. The AP is solely responsible for all content.
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(AP) \u2014 Gov. Josh Shapiro \u2019s second budget proposes significant increases to education and economic development and would regulate adult use marijuana, while leaning heavily on Pennsylvania\u2019s flush reserves to underwrite his vision.
The Democrat on Tuesday unveiled his budget for the 2024-25 fiscal year, which begins on July 1, in front of a joint session of the House and Senate in the ornate Capitol Rotunda, watched over by a heavy police presence.
After a relatively modest first-year budget proposal, Shapiro returned in his second year with an admittedly \u201cambitious\u201d $48.3 billion plan that marshals billions more for underfunded public schools, public transit, higher education and major industrial and high-tech projects to invigorate a slow-growing economy.
\u201cI know that\u2019s a bold vision, and some will reflexively be opposed, saying, \u2018We can\u2019t afford that,\u2019\u201d Shapiro told lawmakers during an 87-minute speech. \u201cBut I would argue we can\u2019t afford not to invest right now.\u201d
Much of Shapiro's plan will face stiff resistance in the Republican-controlled Senate. There, Senate Majority Leader Joe Pittman, R-Indiana, criticized the spending as \u201cabsolutely fiscally irresponsible and unsustainable.\u201d
Democrats who control the House applauded Shapiro's plan. The chambers will begin budget hearings in two weeks.
With a nod to his burgeoning catchphrase, Shapiro called on lawmakers \u201cget more stuff done.\u201d
Shapiro\u2019s spending request would increase total authorized spending by 7% through the state\u2019s main bank account, while tax collections are projected to increase by $1 billion, or 2%. The budget proposal holds the line on taxes, and instead uses about $3 billion in reserve cash to balance.
The proposal would shrink the state\u2019s cash reserve from $14 billion to $11 billion, while public schools, higher education and human services would absorb much of the increase in spending.
A hefty boost to public schools is a cornerstone of Shapiro's proposal, coming after a court ruling that found Pennsylvania's system of school funding unconstitutionally discriminates against poorer schools.
Shapiro wants a $1.1 billion increase, or 14% more, for public school operations and instruction, meeting a school funding commission's recommendation last month supported by his appointees. A significant portion, about $872 million, would go toward poorer schools, a proposal which drew enthusiasm from public school advocates and teachers\u2019 unions.
Shapiro also wants more money for student-teacher stipends, mental health counseling, special education and school construction, as well as putting menstrual hygiene products in schools.
Shapiro said his plan delivers another $2 billion to public schools, when combined with savings from tighter limits on charter school reimbursements.
\u201cThis is ambitious,\" Shapiro said to Democrats\u2019 applause. \"None of this is easy and all of it will require us to work together.\u201d
However, he also reiterated his support for a private school voucher program \u2014 a proposal that is backed by Republicans, opposed by Shapiro's fellow Democrats and that helped precipitate a monthslong budget fight last year.
With his \u201ccompetitive spirit\u201d in mind, Shapiro wants to catch up to other states that are ahead of Pennsylvania.
As a new revenue stream, Shapiro wants to legalize adult-use marijuana, following the example of neighbors Ohio, New Jersey and New York. Shapiro\u2019s administration estimates the industry would eventually yield $250 million in additional annual revenue. He also called for expunging records of those incarcerated for marijuana, and using $5 million for restorative justice.
To bolster students continuing through post-secondary, Shapiro\u2019s budget allots an extra $200 million, or 10% more, for the state\u2019s higher education institutions, an acknowledgment that Pennsylvania lags nearly every other state in funding higher education. The extra money would come with a reimagined state-owned higher education system that distributes aid based on transparency and performance-based measures.
In addition to pushing for a $15 minimum wage and making higher ed more affordable, Shapiro wants to attract major industrial and high-tech businesses by borrowing $500 million for site development to entice industrial and tech businesses to choose Pennsylvania.
\u201cWe need to build a more competitive Pennsylvania that starts in our classrooms, runs through our union halls and our small businesses, through our farmlands and our high rises, our college campuses, and leads to a life of opportunity and a retirement with dignity,\u201d Shapiro said.
Shapiro\u2019s proposal would boost spending on home and community services for the intellectually disabled and autistic by about $200 million, or 12% more.
That\u2019s about half the amount that advocates say is needed to fix a system beset by staffing shortages, low pay and a thousands-long waiting list.
Still, advocates applauded it.
\u201cIt's the first large systemic effort at addressing this issue,\u201d said Richard Edley of the Rehabilitation and Community Providers Association. \u201dThis isn\u2019t going to fix it, but at least it\u2019s major step toward addressing it.\"
Another significant investment would go to public transportation, increasing state aid by about $280 million, or about 20%. More than half of that would go to the Philadelphia-area Southeastern Pennsylvania Transportation Authority, or SEPTA.
Shapiro also wants to send $31 million more to help the Pennsylvania State Police maintain and update its fleet of vehicles and aircrafts. The proposal comes after prison escapee Danilo Cavalcante eluded hundreds of law enforcement officers for two weeks.
Specifically targeting gun violence, Shapiro is seeking millions more for to audit gun retailers and monitor social media for threats, to expand after-school programming for adolescents and to clean up shared spaces like parks and recreation areas that he said are most affected by gun violence.
Other funding requests target housing needs, such as home repair subsidies and those facing eviction to have legal counsel, and health care programs, including money to prevent hospital closures and lower medical debt, prescription drug prices and the cost of health insurance.
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The primary emphasis is on the overall budget and its various allocations, making the document only somewhat relevant to the topic of health." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/02/06/495855360fdd6f213990c781c82690ea.json b/datasets/AP_news/raw_data/2024/02/06/495855360fdd6f213990c781c82690ea.json new file mode 100644 index 0000000..e4ce72f --- /dev/null +++ b/datasets/AP_news/raw_data/2024/02/06/495855360fdd6f213990c781c82690ea.json @@ -0,0 +1,268 @@ +{ + "altids": { + "itemid": "495855360fdd6f213990c781c82690ea", + "etag": "495855360fdd6f213990c781c82690ea_2a14aza0c0", + "friendlykey": "993276701538", + "referenceid": "US-MED--Cancer Drugs-Lowering Doses" + }, + "version": 2, + "type": "text", + "urgency": 4, + "profile": "Feature", + "language": "en", + "versioncreated": "2024-02-07T01:23:53Z", + "firstcreated": "2024-02-06T14:22:12Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: Deletes extraneous word in paragraph 17.; Updates Media.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "US-MED--Cancer Drugs-Lowering Doses", + "headline": "As cancer treatment advances, patients and doctors push back against drugs' harsh side effects", + "headline_extended": "Cancer patients and doctors have ignited a movement to radically change how new cancer drugs are tested to make them more tolerable", + "slugline": "BC-US-MED--Cancer Drugs-Lowering Doses, 2nd Ld-Writethru", + "description_summary": "Cancer patients and doctors have ignited a movement to radically change how new cancer drugs are tested to make them more tolerable. Harsh side effects from powerful cancer drugs have long been accepted as a trade-off for living longer. Now, patients and doctors are questioning whether all that suffering is necessary. The U.S. Food and Drug Administration is pushing drugmakers to do a better job at finding the lowest effective dose, even if it takes more time. One group is planning a study to test whether lower doses of two new drugs will work for breast cancer that has spread.", + "bylines": [ + { + "by": "By CARLA K. JOHNSON", + "title": "AP Medical Writer" + } + ], + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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Now, patients and doctors are questioning whether all that suffering is necessary.
They\u2019ve ignited a movement to radically change how new cancer drugs are tested, with the U.S. Food and Drug Administration urging drugmakers to do a better job at finding the lowest effective dose, even if it takes more time.
Advances in treatment mean millions of people are surviving for years with incurable cancers. Jill Feldman, 54, of Deerfield, Illinois, has lived 15 years with lung cancer, thanks to that progress. Her parents both died of lung cancer months after their diagnoses.
But her cancer drug causes joint pain, fatigue and mouth sores that make eating and drinking painful.
\u201cIf you drink something that\u2019s too hot, you really burn your mouth. That\u2019s how my mouth feels 24/7,\u201d Feldman said.
She has lowered the dose with her doctor\u2019s blessing but she wants drugmakers to study lower doses early in the research process.
\u201cNo one should have to endure avoidable harmful effects of treatment,\u201d she said.
Unlike in other diseases, cancer drug development has focused on finding what\u2019s called the \u201cmaximum tolerated dose.\u201d
To speed testing of chemotherapy drugs, researchers ramp up the dosage in a few people in early studies to determine the highest possible dose patients can tolerate. That \u201cmore is better\u201d philosophy works for chemotherapy, but not necessarily for newer cancer drugs \u2014 like the one Feldman takes \u2014 which are more targeted and work differently.
Chemotherapy is like a battering ram where aggressive strikes are a good strategy. But newer cancer drugs are more like having a front door key. They target a mutation that drives cancer cell growth, for example, or rev up the body\u2019s immune system to join the fight.
\u201cYou might only need a low dose to turn off that cancer driver,\u201d said Dr. Lillian Siu, who leads cancer drug development at the Princess Margaret Cancer Center in Toronto. \u201cIf you can get the same bang for your buck, why go higher?\u201d
Through a program called Project Optimus, the FDA is pushing drugmakers to include more patients in early dose-finding trials to get better data on when lower doses can work. A key motivation for the project was \"the growing calls from patients and advocates that cancer drugs be more tolerable,\u201d said FDA spokesperson Chanapa Tantibanchachai in an email.
Many of the new cancers drugs were developed using the old strategy. That leads to problems when patients skip doses or stop taking the drugs because of side effects. Some dose recommendations have been officially lowered after the drugs were approved. Other dose-lowering happens one patient at a time. Nearly half of patients in late-stage trials of 28 targeted therapy drugs needed to have their doses lowered, according to one study.
\u201cWe were pushing the dose as high as we could go,\u201d said Dr. Patricia LoRusso, who leads drug discovery at Yale Cancer Center. \u201cYou get side effects and then you have to stop the drug to recover from the side effects and the tumor can grow.\u201d
There's also huge patient-to-patient variation. The amount of a pill that reaches the bloodstream can vary because of liver and kidney function and other differences. But that means lowering the dose for everyone risks underdosing some patients, LoRusso said.
\u201cThe challenge is: Where is the sweet spot?\u201d LoRusso said.
Dr. Julie Gralow, chief medical officer of the American Society of Clinical Oncology, is planning a 500-patient study to test lower doses of two drugs for breast cancer that has spread.
The study will compare two strategies: Starting treatment at the full dose then lowering the dose for side effects versus starting with a lower dose and increasing dosage if the patient does well.
Much of the questioning of high doses has come from metastatic breast cancer patients, including the Patient Centered Dosing Initiative, which has done influential surveys of patients and cancer doctors.
\u201cWe will be on treatment for the rest of our lives,\u201d said Lesley Kailani Glenn, 58, of Central Point, Oregon. \u201cWe want to try to live the best that we can, knowing that treatment is never-ever going to stop.\u201d
During the 11 years she's lived with the disease, she has summited Mount Whitney in California, hiked the Cinque Terra in Italy and started a nonprofit.
When Glenn learned how cancer drug research favors high doses, she started working with her doctor. She has taken drugs at lower doses and even lower when she can\u2019t live with the side effects. Diarrhea is her deal-breaker: She wants to be able to walk her dog or shop for groceries without worrying about a bathroom emergency.
\u201cThe last thing we want to do is have our quality of life stolen from us,\u201d Glenn said.
Through Project Optimus, the FDA is encouraging drug developers to conduct more head-to-head dosing comparisons. That could slow down the process, said Dr. Alice Shaw, who leads early cancer drug development at Novartis.
\u201cThat will require more patients and then, as you can imagine, also will require more time to identify, enroll and treat those patients,\u201d said Shaw said. Adding six months to a year to the process, Shaw said, needs to be balanced against the urgent need for new cancer drugs.
But getting the dose right early will in the long run lead to more effective drugs, said Dr. Timothy Yap, a drug developer at MD Anderson Cancer Center in Houston. \u201cIf the patients are not taking the drug, then it\u2019s not going to work.\u201d
___
The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute\u2019s Science and Educational Media Group. The AP is solely responsible for all content.
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Buckingham Palace says the king has begun outpatient treatment. The palace said Monday that the cancer isn't related to the king\u2019s recent treatment for a benign enlarged prostate. The 75-year-old monarch will suspend public duties but will continue with state business, and won\u2019t be handing over his constitutional roles as head of state. Charles ascended the throne when his mother Queen Elizabeth II died in 2022. He was crowned during a coronation ceremony last May.", + "located": "LONDON", + "datelinelocation": { + "city": "London", + "countrycode": "GBR", + "countryname": "United Kingdom", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -0.12574, + 51.50853 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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King Charles III has been diagnosed with an unspecified type of cancer. Buckingham Palace says the 75-year-old king has begun outpatient treatment.
Some key dates in Charles' life:
Nov. 14, 1948 \u2014 Charles is born on the royal estate at Sandringham, the first child of Princess Elizabeth and Prince Philip.
Feb. 6, 1952 \u2014 Princess Elizabeth becomes Queen Elizabeth II upon the death of her father, King George VI.
July 1, 1969 \u2014 Charles is formally invested as the Prince of Wales.
July 29, 1981 \u2014 He marries Lady Diana Spencer to become the first royal heir since 1660 to marry an Englishwoman.
June 21, 1982 \u2014 Birth of first son, William Arthur Philip Louis.
Sept. 15, 1984 \u2014 Birth of second son, Harry (Henry Charles Albert David).
June 15, 1992 \u2014 Andrew Morton\u2019s book \u201cDiana: Her True Story\u201d says Charles has had a long-term affair with a married woman, Camilla Parker Bowles.
Dec. 9, 1992 \u2014 He separates from Princess Diana.
Aug. 28, 1996 \u2014 Charles and Diana divorce.
Aug. 31, 1997 \u2014 Diana is killed in a Paris automobile crash.
Feb. 10, 2004 \u2014 Charles announces his engagement to marry Camilla Parker Bowles.
April 8, 2005 \u2014 He marries Camilla in a civil ceremony; she takes title of Duchess of Cornwall.
April 29, 2011 \u2014 His son, Prince William, is married to Kate Middleton.
December 2011 \u2014 Charles is hospitalized for treatment for a blocked coronary artery.
June 2013 \u2014 He is admitted to a hospital for an exploratory operation on his abdomen.
July 22, 2013 \u2014 He becomes a grandfather for the first time with the birth of Prince George, William and Kate\u2019s oldest child. Two more children \u2014 Charlotte and Louis \u2014 follow for the couple.
May 19, 2018 \u2014 His second son, Harry, marries American actor Meghan Markle.
April 9, 2021 \u2014 Charles' father, Prince Philip, dies at 99.
May 10, 2022 \u2014 Charles stands in for Queen Elizabeth II for the first time during the state opening of Parliament, after she had to pull out of the event, citing mobility problems. The delegation of the role, one of the queen\u2019s most important duties, was seen by many as the clearest sign that a transition of the monarchy was underway.
Sept. 8, 2022 \u2014 Charles becomes king upon the death of his mother, Queen Elizabeth II.
May 6, 2023 \u2014 He is crowned alongside Queen Camilla in a ceremony at Westminster Abbey.
March 29, 2023 \u2014 Charles travels to Berlin on his first state visit as king.
Nov. 7, 2023 \u2014 He delivers the King's Speech for the first time at the state opening of Parliament.
Jan. 26, 2024 \u2014 Charles enters a London hospital for a three-day stay for treatment of a benign enlarged prostate.
Feb. 5, 2024 \u2014 Buckingham Palace announces that Charles has cancer and will receive outpatient treatment.
___
Follow AP stories on King Charles III at https://apnews.com/hub/royalty
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(AP) \u2014 A pair of California lawmakers introduced a bipartisan bill on Tuesday to allow people 21 and older to consume psychedelic mushrooms under professional supervision as part of an agenda to tackle the state's mental health and substance use crises.
It comes after Democratic Gov. Gavin Newsom last year vetoed legislation that would have decriminalized the possession and personal use of several plant-based hallucinogens, including psychedelic mushrooms. It was the first time the proposal by Democratic Sen. Scott Wiener made it through the legislature after years of stalling. In his veto message, Newsom, who championed legalizing cannabis in 2016, asked lawmakers to work on therapeutic guidelines and regulations.
Now Wiener has teamed up with Republican Assemblymember Marie Waldron on a proposal to allow participations to consume psilocybin \u2014 the hallucinogenic component in what\u2019s known as psychedelic mushrooms \u2014 under the supervision of a licensed therapist. The bill also would include dimethyltryptamine (DMT), MDMA and mescaline.
Colorado and Oregon have already decriminalized psychedelic mushrooms and established regulated systems for therapeutic use of the substances. In California, San Francisco, Oakland and Santa Cruz have effectively decriminalized possession of psychedelic mushrooms, meaning a person cannot be arrested or prosecuted for possessing limited amounts of plant-based hallucinogens.
\u201cWe know that Californians are struggling with mental health and addiction challenges, and we know that psychedelics, particularly when combined with therapeutic support, can be a powerful tool to help people get their health back,\u201d Wiener said at a Monday news briefing. \u201cWe know that California veterans and first responders have particularly benefited from these substances, and we know that many more people can as well.\u201d
Waldron, who introduced a different bill to study the use of psychedelic therapy, said the bipartisan bill aligns with Newsom\u2019s vision by providing safeguards around psychedelic therapy. A person would have to go through a comprehensive screening to determine if they\u2019re fit to consume hallucinogens for therapy and engage in follow-up assessments.
The bill also would shift the state\u2019s response to mental health crisis away from criminalization and punishment, Waldron said.
California already has \u201ca massive network\u201d of underground therapists who provide psychedelic therapy, Wiener said. He added the bill would \u201cbring them above ground\u201d through a new state licensing board that regulates the services.
The legislation does not allow for personal possession and use. That means clients can't buy the substance to go. The drugs would still be illegal under federal law. Wiener said he doesn't want to wait on actions from the federal government and that state lawmakers could authorize such regulated psychedelic use, similar to previous efforts to legalize therapeutic use of cannabis to treat cancers or HIV.
Touted as a mind-bending drug in the 1960s, psychedelic mushrooms have been used in religious or spiritual practices in some cultures for centuries and possibly thousands of years. Some researchers believe psilocybin and other drugs show promise in treating depression, anxiety and post-traumatic stress disorder. The Food and Drug Administration in 2018 designated psilocybin a \u201cbreakthrough therapy\u201d and published draft guidance last year for researchers designing clinical trials for psychedelic drugs.
The bill is sponsored by Heroic Hearts Project, a nonprofit working with veterans to overcome trauma. Juliana Mercer, a Marine Corps veteran and a Heroic Hearts Project board member, said she's used psychedelics to manage her PTSD through programs outside of the U.S. Her organization recently sent a group of veterans to Oregon for regulated psilocybin use.
\u201cThrough education and through regulation, we'll be able to take people from doing this underground, where it may not be safe, into a place where they can do it safely,\u201d Mercer said.
She added that will allow them to \u201caccess the healing that they deserve without fear of negative repercussions.\u201d
The California Coalition for Psychedelic Safety and Education, which opposed the measure to decriminalize psychedelics last year, also joined to support the bipartisan bill this year. Susan Sagy, executive director of the group, called it an approach \u201cthat balances the potential benefits of therapeutic treatment with the potential risks to public health.\u201d
Proponents of the bill anticipate it would take 18 to 24 months to implement the program if the bill becomes law. The bill would also create an education program focused on harm reduction and the potential adverse effects of psychedelics.
__
This story has been corrected to say the education program would focus on harm reduction and adverse effects of psychedelics, not reducing stigma around their use.
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Corrects spelling of Zepbound in third paragraph. Updates stock price. Edits for space.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "Eli Lilly-New Drugs", + "headline": "Weight loss, diabetes drugs propel Eli Lilly to largely better-than-expected forecast for 2024", + "headline_extended": "Eli Lilly rode soaring demand for diabetes and weight-loss treatments to a better-than-expected finish in 2023, and the drugmaker expects momentum to carry into the new year", + "slugline": "BC-Eli Lilly-New Drugs, 3rd Ld-Writethru", + "description_summary": "Eli Lilly rode soaring demand for diabetes and weight-loss treatments to a better-than-expected finish in 2023, and the drugmaker expects momentum to carry into the new year. Lilly said on Tuesday that revenue could climb as much as 22% this year, as newer products like the diabetes drug Mounjaro and its weight-loss counterpart, Zepbound, gain market share. But the company still is struggling to make enough Mounjaro to satisfy demand. Lilly expects that problem to persist while it expands manufacturing capacity. The company also is dealing with supply problems and delays for the company\u2019s top seller, the diabetes treatment Trulicity.", + "bylines": [ + { + "by": "By TOM MURPHY", + "title": "AP Health Writer" + } + ], + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. For other uses, additional clearances may be required." + ], + "keywords": [ + "Eli Lilly Mounjaro Zepbound" + ], + "provider": "AP", + "infosource": [ + { + "name": "AP", + "type": "AP" + } + ], + "person": [ + { + "scheme": "http://cv.ap.org/id/", + "code": "b151d38e038144c6b11bc0fff211edaa", + "name": "David A. 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Lilly said on Tuesday that revenue could climb as much as 22% this year, as star sellers like the diabetes drug Mounjaro and its new weight-loss counterpart, Zepbound, gain market share. But the company is still struggling to make enough Mounjaro to satisfy high demand.
Mounjaro sales jumped 65% to $2.21 billion in the fourth quarter compared with the third quarter. Doctors also prescribe that drug off-label for weight loss, which is one of the hottest areas of pharmaceutical sales.
Lilly says demand has made it difficult to fill orders for Mounjaro and led to delays. The company expects that problem to persist while it adds manufacturing capacity. An expansion in North Carolina that the company started a few years ago is expected to begin production at the end of this year.
Lilly Chairman and CEO David Ricks told analysts on Tuesday that there was no quick solution to supply issues. He noted, for instance, that new manufacturing sites are complex to build and the supply of machines that make the drugs is constrained.
Still, he does expect the problem to ease over time.
\u201cThere\u2019ll be steady gains in manufacturing over the coming several years and perhaps bigger gains after that,\u201d he said.
Zepbound, a new version of Mounjaro, registered about $176 million in sales during the final weeks of the fourth quarter after it became the latest drug approved for weight management in November.
The data firm FactSet says analysts expect around $1.9 billion in sales from Zepbound this year. They see sales climbing to $12 billion in a few years.
Company leaders also told analysts Tuesday that they were dealing with supply problems and delays for the company\u2019s top seller, the diabetes treatment Trulicity. Sales of that drug slipped 14% in the fourth quarter.
Overall, Lilly booked a $2.19 billion profit in the final quarter of 2023. Earnings adjusted for one-time items came to $2.49 per share. Revenue grew 28% to $9.35 billion.
Analysts expect adjusted earnings of $2.30 per share on $8.95 billion in revenue.
For the new year, Lilly predicts adjusted earnings of $12.20 to $12.70 per share, a range that falls mostly above the Wall Street consensus of $12.39 per share.
Lilly expects a Food and Drug Administration decision in this year\u2019s first quarter on its potential Alzheimer\u2019s treatment, donanemab. But Lilly officials said Tuesday that donanemab will only contribute modestly to the company\u2019s growth this year. They expect initial use of that drug to limited.
Lilly shares slipped 14 cents to $706.06 in midday trading while the Standard & Poor\u2019s 500 index rose slightly.
The stock price topped $700 for the first time on Monday, and has already set several new all-time high marks just this year. The share price for Indianapolis-based Eli Lilly and Co. has climbed over 400% since the start of the decade.
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Five other senior Health Ministry officials and the supplier of the alleged counterfeit drugs have also been arrested. Rambukwella was removed as health minister last October and appointed environment minister. In September, he survived a no-confidence motion in Parliament that accused him of failing to secure enough essential drugs and laboratory equipment.", + "bylines": [ + { + "by": "By BHARATHA MALLAWARACHI", + "title": "Associated Press" + } + ], + "located": "COLOMBO, Sri Lanka", + "datelinelocation": { + "city": "Colombo", + "countrycode": "LKA", + "countryname": "Sri Lanka", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + 79.84868, + 6.93548 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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A government statement Tuesday confirmed that Environment Minister Keheliya Rambukwella, who previously served as health minister, has resigned. He was arrested on Friday for alleged involvement in the procurement of counterfeit intravenous human immunoglobulin, which is used to help fight infections and cancer, and was ordered held for investigation until Feb. 15.
His resignation follows mounting pressure from opposition lawmakers, activists and health groups for him to be removed and for a transparent investigation to be held into the scandal.
Five other senior Health Ministry officials and the supplier of the alleged counterfeit drugs have also been arrested.
Rambukwella is accused of using the economic crisis as a pretext to bypass the usual tender process in purchasing many types of medicine and allegedly favor a particular supplier.
He served as health minister until last October, when he was removed and appointed environment minister. In September, he survived a no-confidence motion submitted in Parliament by opposition lawmakers who accused him of failing to secure enough essential drugs and laboratory equipment, resulting in preventable deaths in hospitals.
The no-confidence motion was easily defeated since the governing coalition has a majority in the 225-member house.
Rambukwella could not be reached for comment. He has previously rejected the allegations against him.
Sri Lanka provides free health care through state-run hospitals, which experienced a shortage of medicines and health workers, especially doctors, as a result of the economic crisis.
Several patients died or suffered impairments, including blindness, while being treated at the hospitals over the last two years under circumstances that are being investigated by the Health Ministry. Their relatives, medical trade unions, activists and opposition lawmakers alleged that low-quality drugs led to poor patient care.
Sri Lanka has been struggling with an economic crisis since declaring bankruptcy in April 2022 with more than $83 billion in debt, more than half of it to foreign creditors. The economic crunch caused severe shortages of food, medicine, fuel, cooking gas and electricity in 2022, which led to massive street protests that forced then-President Gotabaya Rajapaksa to resign.
Sri Lanka has secured a $3 billion bailout package from the International Monetary Fund and is taking steps to restructure its domestic and foreign debts.
The shortages of food, fuel and medicine have largely abated over the past year under new President Ranil Wickremesinghe. But public dissatisfaction has grown over government efforts to increase revenue by raising electricity charges and imposing heavy new income taxes on professionals and businesses. The new taxes are part of the government\u2019s effort to meet the conditions of the IMF bailout.
Because of the crisis, thousands of Sri Lanka are leaving the country for better paying jobs abroad, including about 1,500 doctors who have left over the last year, according to a doctors' union.
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(AP) \u2014 State officials are continuing discussions of a possible $2.5 billion sale of Blue Cross and Blue Shield of Louisiana, a non-profit health insurer used by nearly half of the state's residents, to a much larger for-profit insurer based in Indiana.
A legislative committee held a nearly eight-hour meeting Monday to consider the proposed sale of Blue Cross and Blue Shield of Louisiana to Elevance Health, one of the nation\u2019s largest insurers, The Times-Picayune/The New Orleans Advocate reported.
While any decision on whether or not to sell will come down to the state's insurance commissioner and policyholders, legislators took the opportunity to question insurance regulators and gather more information, including about millions of dollars in regulatory fines issued to Elevance.
Policyholders have been split on a possible sale. Some fear that, under a for-profit company, they could see increases in their premiums and rates. Proponents of the proposed sale say that under Elevance there would be improved services and technology for 1.9 million Louisiana customers.
Blue Cross and Blue Shield of Louisiana executives say they are not making as much revenue as competitors and that the sale would put Blue Cross on more stable financial footing and bring improved services, The Times-Picayune/The New Orleans Advocate reported.
As part of the proposed agreement, Elevance, which runs Blue Cross-branded insurers in more than a dozen other states, would take over the Blue Cross brand and customer base in Louisiana.
Next week, during a two-day hearing before the state's Department of Insurance, executives of Blue Cross Blue Shield of Louisiana will make their case for the sale. For a deal to move forward, approval is needed from Insurance Commissioner Tim Temple and two-thirds of the Blue Cross members with voting rights.
", + "textformat": "bx", + "links": [ + { + "href": "https://apnews.com/article/blue-cross-elevance-louisiana-health-insurance-sale-968df3fb5b53a1fb678c27afcebccbf1", + "rel": "canonical" + } + ], + "topics": { + "Health": { + "relevance_score": 5, + "reason": "The document discusses the potential sale of Blue Cross and Blue Shield of Louisiana to Elevance Health, which is a significant event in the health insurance sector. It covers various aspects of the sale, including the financial stability of Blue Cross, the potential impact on policyholders, and the regulatory process involved. These elements are directly related to the topic of health, particularly in the context of health insurance and its implications for nearly half of Louisiana's residents." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/02/06/bc73e65d7a9db1488f7e3f751e30de40.json b/datasets/AP_news/raw_data/2024/02/06/bc73e65d7a9db1488f7e3f751e30de40.json new file mode 100644 index 0000000..43b2c33 --- /dev/null +++ b/datasets/AP_news/raw_data/2024/02/06/bc73e65d7a9db1488f7e3f751e30de40.json @@ -0,0 +1,229 @@ +{ + "altids": { + "itemid": "bc73e65d7a9db1488f7e3f751e30de40", + "etag": "bc73e65d7a9db1488f7e3f751e30de40_1a2aza0c0", + "friendlykey": "135877366081", + "referenceid": "IN-XGR--Sexuality-School Boards" + }, + "version": 1, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-02-06T20:37:22Z", + "firstcreated": "2024-02-06T20:30:50Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: Eds: UPDATES: Links photo.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "IN-XGR--Sexuality-School Boards", + "headline": "Indiana senators want to put school boards in charge of approving lessons on sexuality", + "headline_extended": "Indiana lawmakers are considering legislation that would require school boards to approve teachings on sexuality", + "slugline": "BC-IN-XGR--Sexuality-School Boards, 1st Ld-Writethru", + "description_summary": "Indiana lawmakers are considering legislation that would require school boards to approve teachings on sexuality. 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State senators passed the bill Tuesday by a vote of 38-10. It now moves to the House for consideration, where Republicans also hold a supermajority.
The bill would require school boards to approve by July 1 all materials used to instruct students on \u201chuman sexuality,\u201d author of the bill and state Sen. Gary Byrne told lawmakers Tuesday. Byrne told senators he intended to make sex education more transparent for parents.
Schools would also be required to post a list of the materials to their websites and the board must approve what age students will receive instruction, whether students will be taught in a co-ed setting and whether the lesson will be provided by a male or female instructor.
According to a state law passed last year, instruction on \u201chuman sexuality\u201d already is prohibited from prekindergarten through the third grade.
\u201cAs a former school board member, I think putting the local school boards in the driver\u2019s seat on this issue makes good sense,\u201d Byrne said. \u201cAnd they are elected by the voters.\u201d
However, the bill does not define \u201chuman sexuality,\" and Byrne said the definition would be left to school boards. Democratic state Sen. J.D. Ford warned that ambiguity could have a negative impact on LGBTQ+ students if the definition is not defined by the state.
\u201cThis bill, simply put, allows Moms for Liberty direct access to see what\u2019s going on so they can go to their local boards and fuss at them,\u201d Ford said.
Moms for Liberty is a national conservative group known for challenging curriculum such as material on LGBTQ+; diversity, equity and inclusion and racial justice topics and working to pack local school boards with its endorsements.
Democrats, who are in the super minority in the Senate, objected to placing school board members in control of material rather than educators and parents. Byrne said the law increases local control rather than establishing statewide mandates on the topic.
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Carlos Aguilera, a cinnamon-processing company in Ecuador, supplied the spice added to WanaBana and other applesauce pouches sent to the U.S., according to the Ecuadorian regulatory agency ARCSA. The cinnamon, which was sent to another supplier, Negasmart, was found to be contaminated with high levels of lead and chromium, an FDA analysis showed. Carlos Aguilera is not operating at this time, ARCSA said.
The unprocessed cinnamon sticks used in the products were originally imported from Sri Lanka. The sticks were tested and found to have no lead contamination, ARCSA told FDA. The Ecuador agency's investigation is continuing.
FDA has limited authority over foreign ingredient suppliers who do not ship product directly to the U.S. Because the finished pouches, but not the cinnamon itself, were shipped to the U.S., the agency cannot take direct action against Negasmart or Carlos Aguilera, officials said.
The U.S. Centers for Disease Control and Prevention has received reports of 413 suspected, probable or confirmed cases of lead poisoning, mostly in young children, in 43 states.
___
The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute\u2019s Science and Educational Media Group. The AP is solely responsible for all content.
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Royal officials announced Monday that the 75-year-old king has been diagnosed with an undisclosed form of cancer and is receiving treatment as an outpatient.
Less than 18 months into the reign that he\u2019d famously waited decades to begin, Charles suspended public engagements but will continue with state business \u2014 including weekly meetings with Prime Minister Rishi Sunak \u2014 and won\u2019t be handing over his constitutional roles as head of state.
On Tuesday afternoon, Harry could seen arriving at the king's Clarence House residence in a black SUV after an overnight flight.
The two have a troubled relationship, and Harry has seen his father infrequently since the prince quit royal duties in 2020 and moved to Los Angeles with his wife, Meghan, citing what they said was the unbearable intrusions and racist attitudes of the British media.
Harry, 39, has since detailed his rocky relationship with his family and his royal inheritance in TV interviews, a documentary and a memoir, \u201cSpare.\u201d
About an hour after Harry arrived, Charles and Queen Camilla were driven from their residence to nearby Buckingham Palace in a royal Bentley. The couple waved to tourists and well-wishers gathered outside the palace gates. They then traveled by helicopter to Sandringham, the monarch's rural residence in eastern England.
Buckingham Palace said the king's cancer was found during Charles' recent hospital treatment for an enlarged prostate but is a \u201cseparate issue\u201d and not prostate cancer.
\u201cThankfully, this has been caught early,\u201d Sunak told BBC radio, adding: \u201cWe\u2019ll crack on with everything.\u201d
\u201cMany families around the country listening to this will have been touched by the same thing and they know what it means to everyone,\u201d Sunak said. \u201cSo we\u2019ll just be willing him on and hopefully we get through this as quickly as possible.\u201d
The palace said Charles, who has generally enjoyed good health, \u201cremains wholly positive about his treatment and looks forward to returning to full public duty as soon as possible.\u201d
Charles became king in September 2022 when his mother, Queen Elizabeth II, died at the age of 96 after 70 years on the throne.
News of the king\u2019s diagnosis comes as his daughter-in-law Kate, Princess of Wales, recovers from abdominal surgery that saw her hospitalized for about two weeks.
Kate is taking a break from royal duties as she recovers. Her husband, Prince William, who is heir to the throne, also took time off to help look after her and the couple\u2019s three children, but is due to preside over a ceremony at Windsor Castle and a charity dinner on Wednesday.
Charles departed from royal tradition with his openness about his prostate condition. For centuries Britain\u2019s royal family remained tight-lipped about health matters.
Disclosing information about his cancer diagnosis \u2014 albeit in a limited way \u2014 is another break with tradition.
When U.K. monarchs had real power, news of illness was withheld for fear it might weaken their authority. The habit of secrecy lingered after royals became constitutional figureheads.
The British public wasn\u2019t told that Charles\u2019 grandfather, King George VI, had lung cancer before his death in February 1952 at the age of 56, and some historians have claimed that the king himself wasn\u2019t told he was terminally ill.
In the final years of Elizabeth\u2019s life, the public was told only that the queen was suffering from \u201cmobility issues\u201d when she began to miss public appearances towards the end of her life. The cause of her death was listed on the death certificate simply as \u201cold age.\u201d
When and how much to disclose about illness remains a difficult subject for many public figures. U.S. Defense Secretary Lloyd Austin has been criticized for not telling President Joe Biden or other key leaders that that he was being treated for prostate cancer, even when he was hospitalized in intensive care in January for post-surgery complications.
Buckingham palace said that the king \u201chas chosen to share his diagnosis to prevent speculation and in the hope it may assist public understanding for all those around the world who are affected by cancer.\u201d
Charles took the throne intending to preside over a slimmer monarchy with fewer senior royals carrying out ceremonial public duties. But with Charles and Kate both temporarily sidelined, Harry self-exiled to California and Prince Andrew largely banished from view because of his association with sex offender Jeffrey Epstein, the royal \u201cFirm\u201d risks becoming severely overstretched.
William and Camilla are both expected to take on extra public engagements during the king\u2019s treatment.
There are no current plans to call on the \u201ccounsellors of state\u201d \u2014 senior royals, including the queen and the heir to the throne \u2014 to deputize for the monarch on constitutional duties such as signing legislation and receiving ambassadors.
___
Associated Press writer Danica Kirka contributed to this story.
___
Find more of AP\u2019s coverage of King Charles III at https://apnews.com/hub/royalty
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abortion in all stages of pregnancy.
Arizona is one of several states where abortion might be on the ballot this year.
Across the country, there have been increased efforts to put abortion rights questions to voters since the U.S. Supreme Court overturned Roe v. Wade and removed the nationwide right to abortion.
Since that 2022 decision, most Republican-controlled states have new abortion restrictions in effect, including 14 that ban it at every stage of pregnancy. Most Democrat-dominated states have laws or executive orders to protect access.
Additionally, voters in seven states \u2014 California, Kansas, Kentucky, Michigan, Montana, Ohio and Vermont \u2014 have sided with abortion rights supporters on ballot measures.
It's not clear yet how many states will vote on measures to enshrine abortion access in November. In some, the question is whether amendment supporters can get enough valid signatures. In others, it's up to the legislature. And there's legal wrangling in the process in some states.
Some of the efforts have already failed to reach ballots. Wisconsin's legislative session ended without a state Senate vote on a measure that the House approved to ask voters to ban abortion after 14 weeks. A Louisiana measure to enshrine abortion rights in the state constitution died in committee and one in Maine effectively died when it fell short of receiving the approval of two-thirds of the House.
FLORIDA
The state Supreme Court ruled on April 1 that a ballot measure to legalize abortion until viability could go on the ballot despite a legal challenge from state Attorney General Ashley Moody, who argued that there are differing views on the meaning of \u201cviability\u201d and that some key terms in the proposed measure are not properly defined.
Advocates collected nearly a million signatures to put a state constitutional amendment to legalize abortion until viability on the ballot, surpassing the nearly 892,000 required.
Sixty percent of voters would have to agree for it to take effect.
Abortion is legal in Florida through the first 15 weeks of pregnancy. But a separate April 1 state Supreme Court ruling upholding the current law triggers a 2023 law would drop that to six weeks \u2014 often before women know they\u2019re pregnant \u2014 to take effect on May 1.
MARYLAND
Maryland voters this year will also be asked whether to enshrine the right for women to end their pregnancies in the state\u2019s constitution in a ballot question put before them by lawmakers last year. The state already protects the right to abortion under state law and Democrats outnumber Republicans 2-1. Abortion is allowed in Maryland until viability.
NEW YORK
New York lawmakers agreed to ask voters to bar discrimination on the basis of pregnancy, pregnancy outcome and reproductive healthcare as part of a broader equal protection amendment. It would also bar discrimination on the basis of sex, sexual orientation, gender identity, national origin and disability. The language of the constitutional amendment does not mention abortion specifically. Abortion is allowed in New York law until viability.
ARIZONA
A signature drive is underway to add a constitutional right to abortion in Arizona. Under the measure, the state would not be able to ban abortion until the fetus is viable, with later abortions allowed to protect a woman's physical or mental health. Supporters must gather nearly 384,000 valid signatures by July 4. An April 9 Arizona Supreme Court decision allows a ban on abortion throughout pregnancy to be enforced starting April 23.
ARKANSAS
Proponents of an amendment to allow abortion in many cases have until July 5 to gather nearly 91,000 valid signatures to get it on the Nov. 5 ballot. The measure would bar laws banning abortion in the first 20 weeks of gestation and allow abortion later in pregnancy in cases of rape, incest, threats to the woman's health or life, or if the fetus would be unlikely to survive birth. Because it allows limits as soon as 20 weeks, the proposal does not have the support of Planned Parenthood Great Plains, which includes Arkansas. The state has a ban on abortion at all stages of pregnancy with narrow exceptions.
COLORADO
There are dueling efforts on abortion in Colorado. One measure would create a voter-initiated law to ban access throughout pregnancy and the other would amend the state constitution to protect it. The abortion rights amendment would also require Medicaid and private health insurance to cover abortion.
Supporters on each side have to submit more than 124,000 signatures to get a measure on the ballot. The deadlines to submit them are April 15 for the ban measure and April 26 for the one to ensure access. Amending the constitution in Colorado requires the support of 55% of voters. But the ban could be passed with a simple majority. Abortion is legal at all stages of pregnancy in Colorado.
MISSOURI
Pushes are underway to get multiple abortion-related ballot measures before Missouri voters in 2024. Abortion rights advocates in Missourians for Constitutional Freedom are pushing for one that would guarantee abortion is legal until viability.
A group of moderate Republicans are taking a different approach and calling for an amendment that would allow abortion up to 12 weeks, and after that only under limited exceptions.
Supporters of each measure must submit more than 171,000 valid signatures by May 5 to get them on the ballot.
And some Republican lawmakers have launched a legislative process to put before voters a measure to enshrine a ban on abortion in the state constitution. It would expand provide an exception to allow for immediate abortion to save the life of the woman or in cases \u201cfor which a delay will create a serious risk of substantial and irreversible physical impairment of a major bodily function.\u201d Further exceptions would have to be approved by voters.
Abortion is currently banned in Missouri at all stages of pregnancy with limited exceptions.
MONTANA
Abortion rights proponents in Montana have proposed a constitutional amendment that would bar the government from denying the right to abortion before viability or when it\u2019s necessary to protect the life or health of the pregnant person. After a legal battle over the ballot language, the Montana Supreme Court on April 1 wrote its version of the language that would appear on the ballot if supporters gather more than 60,000 signatures by June 21. Abortion is legal until viability in Montana under a 1999 Montana Supreme Court opinion.
NEBRASKA
Advocates are trying to collect about 125,000 signatures needed by July 5 to put a constitutional amendment before voters to protect abortion rights until fetal viability. Under a law adopted last year, abortion is banned after 12 weeks, with some exceptions.
NEVADA
Signatures are being gathered to place an abortion access amendment on Nevada's ballot in November. Under the amendment, abortion access for the first 24 weeks of pregnancy or later to protect the health of the pregnant person, which is already assured under a 1990 law, would be enshrined in the constitution. It requires more than 102,000 valid signatures by June 26 to place the measure on the ballot. Voters would need to approve it in both 2024 and 2026 to change the constitution.
The measure is one of several attempts by Nevada abortion rights groups to get a ballot question before voters in 2024 or 2026.
SOUTH DAKOTA
South Dakota advocates are attempting to gather more than 35,000 signatures by May 7 to get a measure on the ballot that would loosen restrictions but does not go as far as many abortion rights advocates would like. It would ban any restrictions on abortion in the first trimester of pregnancy. It would allow the state in the second trimester to \"regulate the pregnant woman\u2019s abortion decision and its effectuation only in ways that are reasonably related to the physical health of the pregnant woman.\u201d An abortion ban would be allowed in the third trimester, as long as it included exceptions for the life and health of the woman. Planned Parenthood is not supporting the measure.
Abortion in the state is now banned at all stages of pregnancy with narrow exceptions.
There are some states where the balance of power or other circumstances make abortion-related measures \u2014 most of them seeking bans or limits \u2014 unlikely to reach voters in 2024.
IOWA
To put a constitutional amendment on the ballot, Iowa lawmakers have to approve it in two consecutive sessions. In 2021, both chambers advanced a resolution to find there is no constitutional right to abortion in the state. Republicans control the Legislature and governor's office, but the amendment has not emerged as a priority this year and Gov. Kim Reynolds has said she'll let the issue move through the courts rather than pushing for a vote. Abortion is currently banned 20 weeks into pregnancy. A stricter ban, which would kick in when cardiac activity can be detected, around six weeks, has been adopted but put on hold by a court.
PENNSYLVANIA
Pennsylvania has a similar process as Iowa with a similar amendment to find no constitutional right to abortion up for consideration. Lawmakers passed it in 2022. But Democrats have since taken control of the state House, making it unlikely to pass, which is required before it can go to a statewide referendum. Abortion is now legal in Pennsylvania up to 24 weeks of pregnancy.
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licenses for its failure to properly monitor the shipment of tens of millions of addictive painkillers blamed for fueling the opioid crisis.
As part of the settlement announced Wednesday, Morris & Dickson Co. agreed to admit wrongdoing, comply with heightened reporting requirements and surrender one of its two certificates of registration with the DEA. The Shreveport, La.-based company, which has around 600 employees and generates about $4 billion a year in revenue, also agreed to forfeit $19 million.
Last May, DEA Administrator Anne Milgram revoked both of Morris & Dickson's licenses after an investigation by The Associated Press found the nation's fourth-largest drug distributor kept shipping drugs for nearly four years after a federal judge recommended the harshest penalty for its \u201ccavalier disregard\u201d of rules aimed at preventing opioid abuse.
\u201cOf all the cases I handled as an administrative law judge for the DEA, Morris & Dickson\u2019s violations were the most blatant and egregious,\u201d Judge Charles Dorman told the AP. \u201cIn addition, I saw no real acceptance of responsibility for their violations.\u201d
The yearslong delay in issuing the order shined a light on Washington's revolving door after the AP reported that Milgram's handpicked deputy at the DEA, Louis Milione, was previously a consultant for Morris & Dickson, Purdue Pharma and other drugmakers blamed for the opioid epidemic.
Last summer, Milione resigned for the second time from the DEA and returned to Guidepost Solutions, a New York-based private investigative firm that has advised drug makers and distributors, including Morris & Dickson, in the past. Guidepost didn't immediately respond to an email asking whether Morris & Dickson remains a client.
The DEA last year acknowledged the time it took to issue its final decision was \u201clonger than typical for the agency\u201d but blamed Morris & Dickson in part for holding up the process by seeking delays due to the COVID-19 pandemic and its lengthy pursuit of a settlement.
Morris & Dickson said Wednesday that it looks forward to future growth now that a case that threatened to put the 182-year-old company out of business had been resolved.
It said the settlement \u201crecognizes our extensive and voluntary efforts to improve and enhance our compliance system over the past five years,\" the company said in a statement. \"In fact, following our efforts, our state-of-the-art compliance program has been repeatedly acknowledged as impressive and above reproach by outside parties.\u201d
The DEA, in a news release, did not say why it disavowed its earlier order that Morris & Dickson cease operations. However, it once again faulted the company for turning a blind eye to thousands of unusually large orders for hydrocodone and oxycodone.
\u201cToday, Morris & Dickson takes an important first step by admitting wrongdoing and paying for its misconduct, and today\u2019s settlement will ensure that such irresponsible practices will not continue in the future,\u201d said DEA spokesperson Katherine Pfaff.
Neither the DEA or Morris & Dickson immediately responded to a request for comment.
While Morris & Dickson has managed to stay open, several of the pharmacies it supplied have closed, had their licenses revoked by the DEA or have been criminally prosecuted.
Among the more than 12,000 suspicious orders that Judge Dorman said Morris & Dickson should have reported to the DEA were 51 unusually large orders of opioids made by Wilkinson Family Pharmacy in suburban New Orleans.
Wilkinson purchased more than 4.5 million pills of oxycodone and hydrocodone from Morris & Dickson between 2014 and 2017, and federal prosecutors say during that time owner Keith Wilkinson laundered more than $345,000 from illegal sales made with forged prescriptions or written by \u201cpill mill\u201d doctors. In May, he was sentenced to six years in federal prison.
In one month, as many as 42% of all prescriptions filled by Wilkinson were for painkillers and 38% of those were paid for in cash. The DEA considers a pharmacy\u2019s sales of controlled substances suspicious whenever they surpass 15% or cash transactions exceed 9%.
Yet Morris & Dickson never suspended any shipments to the pharmacy. Over three years, it filed just three suspicious order reports to the DEA \u2013 none of which resulted in shipments being suspended.
___
Goodman reported from Miami, Mustian from New York
___
Contact AP\u2019s global investigative team at Investigative@ap.org or https://www.ap.org/tips/
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ADDS AP Photos.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "US--Abortion-Florida", + "headline": "Florida asks state Supreme Court to keep abortion rights amendment off the November ballot", + "headline_extended": "Lawyers trying to keep an abortion-rights measure off the Florida ballot told the state Supreme Court that the proposed amendment is deceptive", + "slugline": "AP-US--Abortion-Florida, 4th Ld-Writethru", + "description_summary": "Lawyers trying to keep an abortion-rights measure off the Florida ballot told the state Supreme Court that the proposed amendment is deceptive. They say voters won\u2019t realize how much it will expand access to the procedure. But justices hearing arguments Wednesday seemed to think voters will clearly see that the proposed ballot question would keep the state from restricting most abortions. The wording says abortions must remain legal until the fetus is viable or if the woman's health needs protecting. Lawyers for Attorney General Ashley Moody and the Liberty Counsel warned that it would prevent lawmakers from regulating any aspect of the procedure. A ruling is expected by April 1.", + "bylines": [ + { + "by": "By BRENDAN FARRINGTON", + "title": "Associated Press" + } + ], + "located": "TALLAHASSEE, Fla.", + "datelinelocation": { + "city": "Tallahassee", + "countryareacode": "FL", + "countryareaname": "Florida", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -84.28073, + 30.43826 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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(AP) \u2014 Lawyers trying to keep an abortion-rights measure off the Florida ballot told the state Supreme Court on Wednesday that the proposed amendment is deceptive, and that voters won't realize just how far it will expand access to the procedure.
But the justices seemed to think the proposed ballot question isn't so much a wolf in sheep's clothing, but rather a clear effort to keep the state from restricting most abortions.
\u201cThis is a wolf coming as a wolf,\u201d said Chief Justice Carlos Muniz, one of five appointees of Republican Gov. Ron DeSantis on the seven-member court. \u201cThe people of Florida aren't stupid. They can figure it out.\u201d
The proposed amendment says \u201cno law shall prohibit, penalize, delay, or restrict abortion before viability or when necessary to protect the patient\u2019s health, as determined by the patient\u2019s healthcare provider.\u201d It provides for one exception, which is already in the state constitution \u2014 that parents must be notified before their minor children can get an abortion.
Lawyers for Attorney General Ashley Moody and the religious freedom group Liberty Counsel told justices it would essentially ban any restrictions whatsoever.
\u201cThe state of Florida through the Legislature, through the executive and also through the courts will have no ability to protect women or regulate any aspect of abortion,\u201d Liberty Counsel Chairman Mat Staver told reporters after the arguments. \u201cIt is a free-for-all. It's total deregulation of abortion, which is frankly deceptive.\u201d
Proponents of the proposed amendment say the language of the ballot summary and the proposed amendment are concise and that Moody is playing politics instead of letting voters decide whether to protect access to abortions.
\u201cThe language of the summary and the amendment are clear and unambiguous,\" Courtney Brewer, a lawyer for Floridians Protecting Freedom told reporters after the hearing. \"Florida voters will be able to understand that and I am confident based on the court\u2019s questioning today that they understand that as well.\"
The group gathered nearly 1 million voter signatures, well more than the 891,523 needed to make the ballot. The court has made clear that it's role is not to rule on the content of the proposed amendment, but rather, whether it is properly focused on a single subject, and whether voters will understand what they're voting on.
Florida is one of several states where voters could have a direct say on abortion questions this year.
There has been a major push across the country to put abortion rights questions to voters since the U.S. Supreme Court overturned Roe v. Wade and removed the nationwide right to abortion. Referendums to guarantee abortion rights are set for Maryland and New York, and activists on both sides of the issue in at least seven other states are working to get measures on 2024 ballots.
The case also tests whether DeSantis, who also appointed all three of the women on the bench, has changed the direction of a court that in past years has interpreted a privacy clause in the state constitution to strike down some abortion restrictions. A ruling is expected by April 1.
Both sides of the debate also are waiting on the Florida Supreme Court to rule on whether to uphold a 15-week abortion ban passed two years ago. Last year, lawmakers went further and passed a ban at six weeks, which is before many women even know they are pregnant, but that law won't take effect if the court throws out the 2022 ban signed by DeSantis.
If the question is allowed on the ballot, 60% of voters would have to approve it.
Any change in abortion access in Florida would be felt out of state as well because the Sunshine State traditionally has been a haven for women in the southeastern U.S. seeking abortions. Nearby Alabama, Louisiana and Mississippi ban abortion at all stages of pregnancy. Georgia and South Carolina prohibit terminating pregnancies once cardiac activity can be detected.
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Mike DeWine's administration on Wednesday backed off its plans to impose rules that advocates feared would have restricted gender-affirming medical treatment for adults in a way no other state has.
The rules proposed by two state departments would have required the psychiatrists, endocrinologists and medial ethicists to have roles in creating gender-affirming care plans for clinics and hospitals. And patients under 21 would have been required to receive at least six months of counseling before starting hormone treatment or receiving gender-affirming surgery.
The Department of Health and Department of Mental Health and Addiction Services both issued revised proposals Wednesday after gathering public comment. Both said in memos that they were swayed by what they had learned as transgender people and care providers weighed in. The Health Department said it received 3,900 comments. In the new versions, the rules would apply only to the care of minors, not adults.
Over the last few years, 21 states have adopted laws banning at least some aspects of gender-affirming care for minors. Some are so new they haven't taken effect yet, and a ban in Arkansas was struck down in court. But so far, only Florida has restricted care for adults.
The departments said the rules will now advance to the next step of review before being implemented.
The draft rules would still require that patients under 18 receive at least six months of mental health counseling before they can receive gender-affirming medications or surgeries. The revisions made Wednesday also expand the list of mental health professionals qualified to provide the required counseling, adding clinical nurses, social workers, school psychologists and some physicians.
Further, a medical ethicist would no longer be required to have a role in developing facility-wide treatment plans for the care. In a memo, the Health Department said that change was made partly because institutions already use medical ethics professionals to develop policies.
In a statement, Siobhan Boyd-Nelson, co-interim executive director of the LGBTQ+ advocacy group Equality Ohio, said the changes \u201cwill be a massive relief to thousands of transgender people receiving care in Ohio who have spent the last few weeks scrambling to make contingency plans in case their care is cut off.\u201d
But she said major concerns remain about the remaining provisions and that it would have been better for the agencies to rescind the draft rules entirely.
Some parts of the rules regarding care for minors could have a muted effect. Last month, the Legislature banned gender-affirming surgeries and hormone therapies for minors by overriding DeWine's December veto of that measure, which would allow children already receiving treatment to continue.
That law will take effect in April.
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The health care giant said Wednesday that it was scaling back an already cautious view of 2024 as the company tries to understand why costs keep rising from the privately run version of the government\u2019s Medicare program. Medicare Advantage plans mostly cover people who are age 65 and older. CVS Health has about 3.4 million people in that business through its Aetna arm. CVS Health said Wednesday those costs were coming from outpatient care like hip and knee surgeries and dental and vision coverage.", + "bylines": [ + { + "by": "By MICHELLE CHAPMAN and TOM MURPHY" + } + ], + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. For other uses, additional clearances may be required." + ], + "keywords": [ + "CVS Health Rite Aid pharmacy" + ], + "provider": "AP", + "infosource": [ + { + "name": "AP", + "type": "AP" + } + ], + "subject": [ + { + "rels": [ + "category" + ], + "creator": "Editorial", + "code": "f", + "name": "f" + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "5e3af32f00ad0d418f037f115324362b", + "name": "Health care industry", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 31 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "468257dba1c848ca93ba314d4ce86539", + "name": "Surgery", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 31 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "e2f27836163e4840a132ceda92115e18", + "name": "Medicare", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 56 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "9c750296cbfa4fdd89e9a32848825b29", + "name": "Prescription drugs", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 47 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "c8e409f8858510048872ff2260dd383e", + "name": "Business", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 98 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "e55ae0105cb337448557ceca13d587ac", + "name": "Financial services", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 56 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "1b29d45f8e8e4c008e8a58fe6f92a753", + "name": "Government programs", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 81 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "c8e409f8858510048872ff2260dd383e", + "name": "Business", + "creator": "Editorial", + "editorial_subject": "Business", + "rels": [ + "direct" + ], + "relevance": 99 + } + ], + "organisation": [ + { + "scheme": "http://cv.ap.org/id/", + "code": "cc24103613f741aaa8d97ccf986f6b8c", + "name": "CVS Health Corp", + "creator": "Machine", + "rels": [ + "direct" + ], + "symbols": [ + { + "ticker": "CVS", + "exchange": "NYSE", + "instrument": "NYSE:CVS" + } + ], + "relevance": 39 + } + ], + "audiences": [ + { + "code": "82c6a4c46fa0446090a7acaf93159e4c", + "name": "Print", + "type": "AUDPLATFORM" + }, + { + "code": "9add4649b53b4702ba7d9de5d4fa607a", + "name": "Online", + "type": "AUDPLATFORM" + }, + { + "code": "f43adc08760d10048040e6e7a0f4673e", + "name": "National", + "type": "AUDSCOPE" + }, + { + "code": "f4ecf9b0760d10048044e6e7a0f4673e", + "name": "International", + "type": "AUDSCOPE" + }, + { + "code": "f5b16ea8760d10048047e6e7a0f4673e", + "name": "State", + "type": "AUDSCOPE" + }, + { + "code": "661850e07d5b100481f5c076b8e3055c", + "name": "Latin America and Caribbean", + "type": "AUDGEOGRAPHY" + }, + { + "code": "1bf4bc0882c71004889cdf092526b43e", + "name": "Rhode Island", + "type": "AUDGEOGRAPHY" + }, + { + "code": "661e48387d5b10048291c076b8e3055c", + "name": "United States", + "type": "AUDGEOGRAPHY" + } + ], + "associations": { + "1": { + "altids": { + "itemid": "d83a6f1bddba423696a0ed53899891a0" + }, + "type": "picture" + } + }, + "body_nitf": "Busy Medicare Advantage businesses have CVS Health and other insurance providers spooked about the new year.
The health care giant said Wednesday that it was scaling back already cautious expectations for 2024 as it tries to understand why costs keep rising from the privately run version of the government\u2019s Medicare program.
Medicare Advantage plans cover people who are age 65 and older and others with severe disabilities or illnesses. CVS Health has about 3.5 million people in that business through its Aetna arm.
Health insurers started warning last year about higher-than-expected costs in their Medicare Advantage plans. CVS Health said Wednesday those costs were coming from outpatient care like hip and knee surgeries and supplemental benefits such as dental and vision coverage.
Rivals Humana and UnitedHealthcare, the two largest Medicare Advantage insurers, have pointed to similar problems. Humana said late last month that more of its customers had been admitted for short hospital stays than it had expected.
Chief Financial Officer Thomas Cowhey told analysts on Wednesday that CVS Health was \u201cprudently assuming\u201d these higher costs would persist in 2024.
The company now expects earnings adjusted for one-time items to total at least $8.30 per share in 2024.
That\u2019s well below the Wall Street consensus of $8.47 per share, according to the data firm FactSet.
It also falls 20 cents short of what CVS predicted at its annual investor presentation in December. And that forecast told Wall Street that the company may not see growth compared to 2023.
CEO Karen Lynch said Wednesday that the company was committed to improving the profitability of its Medicare Advantage business and will account for that when it sets coverage prices for next year.
The 2024 guidance cut was likely no surprise for investors, according to Edward Jones analyst John Boylan. He said changes the company is making internally to adjust its business may take time to translate to earnings growth due to the rising care cost.
\u201cEventually, we believe these changes will shine through, as the rate seniors are getting procedures done begins to normalize,\u201d Boylan said.
Aside from selling health insurance, CVS Health also runs one of the nation\u2019s largest drugstore chains and a huge pharmacy benefit management business that operates prescription drug coverage for big clients like insurers and employers.
The company booked a $2.05 billion profit in the final quarter of 2023, as earnings adjusted for one-time items totaled $2.12 per share.
Total revenue grew 12% to $93.81 billion.
Analysts expected earnings of $2.01 per share on $90.8 billion in revenue, according to Zacks Investment Research.
Shares of CVS Health Corp., based in Woonsocket, Rhode Island, rose about $2 to $75.84 Wednesday morning.
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Updates Media.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "US--Education-School Sick Days", + "headline": "Cough? Sore throat? More schools suggest mildly sick kids attend anyway", + "headline_extended": "Schools are confronting soaring absence rates", + "slugline": "BC-US-Education-School-Sick-Days, 1st Ld-Writethru", + "description_summary": "Schools are confronting soaring absence rates. Some are calling for parents to send their children to class even if they are not feeling 100% well. During the pandemic, schools urged parents and children to stay home at any sign of illness. Now that the COVID-19 emergency has ended, guidance on when to keep children home varies widely. 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Dorsey-Hollins followed school guidelines and kept her home when she had a cough or a sore throat \u2014 or worse \u2014 until she was completely better.
Near the end of the year, the school in Fort Worth, Texas, called her in to talk about why her daughter had missed so much school.
During the pandemic, schools urged parents and children to stay home at any sign of illness. Even though the emergency has ended, she said no one has clarified that those rules have changed.
\u201cIt\u2019s extremely confusing,\u201d she said.
\u201cIn the past, if the child didn\u2019t have a fever over 100, then it\u2019s okay to send them to school,\u201d said the mother of a 5- and 13-year-old. \u201cBut now it\u2019s like if they have a cough or they\u2019re sneezing, you might want to keep them home. Which is it?\u201d
Widely varying guidance on when to keep children home has only added to the confusion, which many see as a factor in the nationwide epidemic of chronic school absences. Some advocates and school systems \u2014 and the state of California \u2014 are now encouraging kids to come to class even when they have the sniffles or other nuisance illnesses like lice or pinkeye.
Families need to hear they no longer must keep kids home at any sign of illness, said Hedy Chang, the executive director of Attendance Works. The national nonprofit aimed at improving attendance has issued its own guidance, urging parents to send kids to school if they can participate in daily activities.
\u201cWe have to now re-engage kids and families and change their thinking about that,\u201d Chang said.
The American Academy of Pediatrics recommends staying home when there\u2019s fever, vomiting or diarrhea, or when students \u201care not well enough to participate in class.\u201d
But many districts go far beyond that, delineating a dizzying array of symptoms they say should rule out attendance. Fort Worth Independent School District, where Dorsey-Hollins\u2019 youngest daughter attends kindergarten, advises staying home if a child has a cough, sore throat or rash. A student should be \u201cfever-free\u201d for 24 hours without medication before returning to school, per district guidelines.
Austin Independent School District in Texas lists \u201ceye redness,\u201d \u201cundetermined rash\u201d or \u201copen, draining lesions\u201d as reasons to stay home. Kids with lice can\u2019t attend class in New York City schools. Maryland\u2019s Montgomery County recommends keeping a child home with a stomachache, \u201cpale or flushed face\u201d or \u201cthick yellow discharge from the nose.\u201d
Finding the right balance is difficult, and it\u2019s understandable that different places would approach it differently, said Claire McCarthy, a pediatrician at Boston Children\u2019s Hospital and professor at Harvard Medical School.
\u201cEach school or school district has a different tolerance for illness,\u201d said McCarthy.
It all leaves many parents feeling puzzled.
\u201cIt\u2019s a struggle,\u201d said Malika Elwin, a mother of a second grader on New York\u2019s Long Island.
She doesn\u2019t want to expose other children or burden the teacher with her daughter\u2019s runny nose, so she\u2019s kept her daughter home longer even though she\u2019s feeling better because she still has cold symptoms. \u201cThen I regret that because she just runs around here all day perfectly fine,\u201d she said.
For those who test positive for COVID-19, the CDC still calls for staying home and isolating for at least five days. But guidance from states and individual schools varies widely. In some school systems, guidance allows for students who test positive to go to school as long as they are asymptomatic.
Trenace Dorsey-Hollins said it is hard for parents like her to keep track.
\u201cIs it actually OK to sit in school with a cough if you don\u2019t have a fever and haven\u2019t tested positive for COVID?\u201d she said.
When schools closed during the pandemic, kids fell behind academically \u2014 and continued chunks of school absences have made it harder for them to catch up. So some authorities have re-evaluated their tolerance for illness. During the 2021-2022 school year, more than a quarter of students missed at least 10% of the school year, up from 15% before the pandemic.
Missing that much school puts students at risk of not learning to read or graduate. Absent students also lose out on meals, socialization with peers and caring adults, physical exercise, and access to mental health counseling and health care. In other words, missing school has its own health effects.
And when a class sees high levels of chronic absenteeism, it hurts the students who are there because a teacher has to spend time reorienting the students who\u2019ve been away.
The state of California, where 25% of students last year missed 10% of the school year, took a new approach to sick-day guidance this fall. Instead of only saying when a child should stay home, the guidance describes circumstances when a child might be slightly unwell but can come to school.
Overall, students should stay home when their symptoms \u201cprevent them from participating meaningfully in routine activities.\u201d But coming to school with diarrhea is all right as long as a child can make it to the toilet in time. Going to school with mild cold symptoms, sore throat, mild rash or pinkeye are all \u201cOK.\u201d
What\u2019s more, California doesn\u2019t insist on waiting 24 hours after a fever or vomiting before returning to school. Going fever-free or without vomiting overnight is enough.
Boston Public Schools took a similar stance in its online recommendations for parents. \u201cRespiratory infections are common,\u201d reads the online guidance. \u201cIf the child does not have fever, does not appear to have decreased activity or other symptoms, it is not necessary for the child to stay home.\u201d
The shift in guidance could have a disproportionate impact on low-income communities and people of color, said Noha Aboelata, who leads the Roots Community Health Center in Oakland, California. People in those communities might be more likely to live in multigenerational homes, take crowded public transportation or have poor ventilation in their homes, she said. When people are out and about while sick, vulnerable loved ones could be put at risk.
She had hoped the pandemic\u2019s lessons about staying home when contagious and taking care of yourself and your family when sick would outlast the public health emergency. Instead, she said, \u201cit feels like the pendulum is swinging fiercely back in the other direction.\"
But changing the culture around school absences goes beyond just issuing guidance.
Some schools in San Diego County seem unaware of California's new guidance allowing kids to attend school while mildly sick, said Tracy Schmidt, who oversees attendance for the county Office of Education.
Still, others have adopted and it and have begun talking through symptoms with parents who call to report their children are sick, urging them to bring them in and see how it goes. It gives her hope that as more schools and parents learn about this guidance, students will miss less school.
\u201cThe most important place for our kids to be is school,\u201d she said. \u201cWe need to leave behind this mindset that we had to adopt during the pandemic because we were in a public safety emergency.\u201d
___
The Associated Press\u2019 education coverage receives financial support from multiple private foundations. AP is solely responsible for all content. Find AP\u2019s standards for working with philanthropies, a list of supporters and funded coverage areas at AP.org.
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All these points are directly related to health, making the document highly relevant to the topic." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/02/07/67b264977168d91cae345994ccddce8e.json b/datasets/AP_news/raw_data/2024/02/07/67b264977168d91cae345994ccddce8e.json new file mode 100644 index 0000000..fcdb9da --- /dev/null +++ b/datasets/AP_news/raw_data/2024/02/07/67b264977168d91cae345994ccddce8e.json @@ -0,0 +1,179 @@ +{ + "altids": { + "itemid": "67b264977168d91cae345994ccddce8e", + "etag": "67b264977168d91cae345994ccddce8e_0a4aza0c0", + "friendlykey": "788342591529", + "referenceid": "US-MED--Paxlovid-How To Get It" + }, + "version": 0, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-02-07T17:33:50Z", + "firstcreated": "2024-02-07T17:33:50Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: Updates Media.", + "signals": [ + "newscontent" + ], + "title": "US-MED--Paxlovid-How To Get It", + "headline": "How to get COVID-19 antiviral pills like Paxlovid", + "headline_extended": "For some people with COVID-19, antiviral pills that can be taken at home can lessen the chances of winding up in the hospital", + "slugline": "BC-US-MED--Paxlovid-How To Get It", + "description_summary": "For some people with COVID-19, antiviral pills that can be taken at home can lessen the chances of winding up in the hospital. 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But the pills have to be taken right away, so you must get tested, obtain a prescription and get the medication within five days of symptoms appearing.
The medication is intended for those with mild or moderate COVID-19 who are more likely to become seriously ill \u2014 that includes older people and those with other health conditions like heart disease, cancer or diabetes.
Here\u2019s how to get the pills in the U.S.:
\u2014 Take an at-home COVID-19 test and contact your health care provider. If they prescribe the pills, you can get them at your usual pharmacy.
\u2014 Use a test-to-treat site, where pharmacists can check if you have COVID-19, write the prescription and give you the pills all in one stop. Find a test-to-treat site at treatments.hhs.gov.
\u2014 Use the National Institutes of Health\u2019s Home Test to Treat program, which allows people to get a telehealth appointment and then will ship medications to people who qualify. More information is available at www.test2treat.org.
Paxlovid is the most commonly prescribed antiviral pill for COVID-19. It has a list price around $1,400, but most people shouldn\u2019t have to pay that amount. The drug is free through the end of 2024 for people on federal insurance programs like Medicaid and Medicare. Uninsured people also can get it for free.
However, you must go through a patient assistance program run by Pfizer to get the discount. People on commercial insurance with high out-of-pocket costs can also get financial help through a separate co-pay assistance program. Go to paxlovid.iassist.com for more information.
___
The Associated Press Health and Science Department receives support from the Robert Wood Johnson Foundation. The AP is solely responsible for all content.
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PAUL, Minn. (AP) \u2014 Minnesota has reached a settlement with Eli Lilly and Co. in a price gouging lawsuit against the country's three biggest insulin manufacturers that guarantees that Minnesotans can now buy Lilly-produced insulin for only $35 a month for the next five years, Attorney General Keith Ellison announced Wednesday.
The settlement is likely to benefit as many as 500,000 residents whether they have insurance or not, and it covers all Lilly brand-name insulin products, Ellison said at a news conference. Litigation remains pending against two other manufacturers named in the 2018 lawsuit, Sanofi-Aventis and Novo Nordisk.
The American Diabetes Association says more than 8 million Americans use insulin, which the body needs to convert food into energy. People who have diabetes don\u2019t produce enough insulin.
While Lilly and other drug manufacturers have taken steps to help diabetics cover the costs of their insulin, and Minnesota adopted an emergency safety net program for diabetics in 2020, Ellison said the settlement provides better guarantees for patients that their out-of-pocket insulin costs won't exceed $35 a month, beginning immediately.
\u201cIt doesn\u2019t make sense for this lifesaving medicine to be locked behind the glass you can only break in case of an emergency, or behind a high wall of prices,\u201d Ellison said. \u201cThis settlement shatters that glass and tears down that wall \u2014 $35 out-of-pocket, when you need it.\u201d
Minnesotans can get information on how to access the $35-a-month Lilly insulin at MNinsulin35.org.
New York last year reached a similar settlement with the big three insulin makers, Ellison said. And the attorneys general of California, Illinois, Arizona and Utah, and some local governments, have filed similar lawsuits in the last year, his office said. President Joe Biden's 2022 Inflation Reduction Act capped out-of-pocket costs of insulin to people on Medicare to $35 a month, but only for seniors.
Lilly said in a statement that the settlement ensures that Minnesotans will have affordable access to its insulins, and that it builds on steps the company has already taken, including price cuts and caps announced last March, that have brought the average monthly out-of-pocket cost for Lilly insulin down to $20.48.
Novo Nordisk last year also announced plans for insulin price cuts starting this year.
Minnesota's emergency program is named for Alec Smith, who died from diabetic complications in 2017 at the age of 26 after rationing his insulin to make it last longer.
His mother, Nicole Smith-Holt, said at the news conference that there are now multiple ways for diabetics in Minnesota to access affordable insulin, \u201cand it\u2019s going to save so many lives.\u201d
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In Latin America, Colombia previously had been the only country to decriminalize euthanasia, while Uruguay and Chile are debating the matter.", + "bylines": [ + { + "by": "By GONZALO SOLANO and REGINA GARCIA CANO" + } + ], + "located": "QUITO, Ecuador", + "datelinelocation": { + "city": "Quito", + "countrycode": "ECU", + "countryname": "Ecuador", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -78.52495, + -0.22985 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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The decision of Ecuador\u2019s Constitutional Court came in response to a lawsuit from a terminally ill woman diagnosed with amyotrophic lateral sclerosis, commonly known as ALS, who had argued that she should be allowed to have death with dignity.
In Latin America, Colombia previously had been the only country to decriminalize euthanasia, in which doctors used drugs to kill terminally ill patients. The practice is also legal in Belgium, Canada, Luxembourg, Netherlands, New Zealand, Spain and several states in Australia. Chile is debating the matter.
Other jurisdictions, including several U.S. states, permit assisted suicide \u2014 in which patients take the lethal drug themselves, typically in a drink prescribed by a doctor.
\u201cThe Court considers that the issue raised relates to the rights to a life with dignity and the free development of personality,\u201d the ruling said. \u201cTherefore, after carrying out an examination, it concludes that life admits exceptions to its inviolability when it seeks to protect other rights.\u201d
The lawsuit in Ecuador was filed in August 2023 by Paola Rold\u00e1n, who argued that a death with dignity is a right of \u201cthose who suffer and have suffered serious or incurable diseases.\" She said they should be allowed to \u201cfreely and voluntarily end their life\u201d to stop \u201cintense physical or emotional pain or suffering.\u201d
Rold\u00e1n, 42, began experiencing symptoms of ALS, which weakens muscles and impairs physical functions, in 2020.
\u201cToday has been a very special moment for me,\u201d Rold\u00e1n told reporters with difficulty. She then thanked the court for \u201cbetting on solidarity, autonomy, freedom and dignity.\u201d
Under Wednesday's ruling, the court gave lawmakers and officials up to 12 months to draft the necessary rules and regulations to implement the decision.
But the court also granted Rold\u00e1n's request for an expedited permission to end her life, as long as a doctor performs the procedure and she expresses unequivocal, free and informed consent herself or through a representative if she cannot express it.
The court also set as a condition that she experience intense suffering caused by a serious, irreversible, bodily injury or by an incurable illness.
Farith Simon, one of Rold\u00e1n's attorneys, told reporters that in granting his client's request, the court opened the possibility for any person to avail of the ruling provided that conditions are met.
____
Follow AP\u2019s coverage of Latin America and the Caribbean at https://apnews.com/hub/latin-america
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February 3, 2024.
Editorial: Tennessee is failing to curb smoking
In 1998, 52 state and territory attorneys general signed a master settlement agreement (MSA) with the four largest tobacco companies to settle dozens of state lawsuits brought to recover billions of dollars in health care costs associated with treating smoking-related illnesses.
Eventually, more than 45 tobacco companies settled. Under the terms of the settlement, Tennessee and other states receive annual payments that help defray the cost of health care for smoking-related illnesses.
Although the MSA does not require states to spend settlement payments on tobacco control programs, many anti-smoking and health care observers are concerned that states are not using enough of the MSA payments to enhance their tobacco prevention and control efforts.
Among them is Tennessee.
As we recently reported, the state just received an overall failing grade from the American Lung Association for its tobacco control policies.
In its 22nd annual \u201cState of Tobacco Control\u201d report, the association gives Tennessee an \u201cF\u201d for the state government\u2019s level of funding for tobacco prevention and cessation programs, as well as for its efforts to provide access to smoking cessation programs, policies to discourage the sale of flavored tobacco products, and for the amount of taxes the state levies on the sale of tobacco products.
The report also gives Tennessee a grade of \u201cD\u201d for promoting smoke-free spaces.
While state law prohibits smoking in government workplaces, child care facilities and restaurants, it is allowed in private workplaces with three or fewer employees and in restaurants and bars where persons under the age of 21 are not allowed to enter.
Tennessee joined Texas, North Carolina, Mississippi and West Virginia as the only states with four \u201cF\u201d grades and one \u201cD\u201d grade.
Given the hundreds of millions of dollars Tennessee has received under the MSA, it is inexcusable that it has failed to meet the full recommendations of the American Lung Association, which include:
\u2022 Support local comprehensive smoke-free laws covering age-restricted venues that include e-cigarettes.
\u2022 Increase funding for the state\u2019s tobacco prevention and cessation program to $13 million by allocating Juul (e-cigarette) settlement funds that Tennessee will receive over a six-year period. The state should also see that the funds for that program are spent based on the best practices for such comprehensive tobacco control efforts as set by the U.S. Centers for Disease Control and Prevention.
\u2022 Require all tobacco retail businesses to obtain licenses and make sure that efforts to oversee enforcement measures are sufficiently funded.
The state should also establish a meaningful penalty structure for dealing with underage sales violations.
In 2007, the state finally prohibited smoking in enclosed public places, but that legislation was full of exemptions, including non-enclosed areas of public places, venues that restrict access to persons who are 21 years of age or older, private businesses with three or fewer employees, private clubs, smoking rooms in hotels and motels, retail tobacco stores that prohibit minors, nursing homes and long-term care facilities.
Last April, Tennessee received its latest annual payment under the MSA, $163.9 million.
To date, the state has received $3.8 billion.
It is well past time more of that money was used as other states are doing to protect children and curb adult smoking.
___
Johnson City Press. February 2, 2024.
Editorial: Black history abounds in Tennessee
It\u2019s hard to pay the proper respect to all the contributions Black Americans have made to history in 29 days \u2014 thank you for the extra day, leap year \u2014 but that is exactly what we are attempting to do this month. February is Black History Month, and we here in Tennessee are fortunate to have had so many from our state help shape it.
One such homegrown legend is W.C. Handy, who gave a national voice to the blues. In 1909, Handy and his band moved to Memphis where they made Beale Street their headquarters. One of Handy\u2019s most famous compositions was originally written as a campaign song for E.H. \u201cBoss\u201d Crump, who was running for mayor of Memphis. The title of the song, \u201cMr. Crump,\u201d was changed later to \u201cMemphis Blues.\u201d
Today, Handy is known as the \u201cFather of the Blues\u201d for single-handedly introducing this style of music to the world.
We also are fortunate to have had many local Black residents who have made history.
Many of these individuals have played important roles in religion, education and local government. One of the earliest pioneers in this regard was Dr. Hezekiah B. Hankal, a renowned physician, who was elected to what was then Johnson City\u2019s Board of Mayor and Aldermen in the late 1880s.
Hankal fought against institutionalized barriers to become a respected leader in this community.
The Washington County Health Department Building in Johnson City was named for Hankal in 2014 to honor this extraordinary man for his many contributions to our community.
There have been other Black trailblazers in local politics. One of them was Ernest McKinney, who was elected as Jonesborough\u2019s first Black alderman on April 4, 1968 \u2014 the same day that Dr. Martin Luther King Jr. was assassinated in Memphis. McKinney, who died in 2009, would later become a longtime member of the Washington County Board of Education.
Years later, his son, Kevin, followed in his father\u2019s political footsteps when he was elected as Jonesborough\u2019s first Black mayor.
As we take this month to celebrate the contributions of Black Americans, Tennesseans and Johnson Citians, also consider the persistent obstacles still standing in the way of true equality and how we can eliminate them.
END
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It's the first known ruling of its kind since the country\u2019s top court struck down a surgery requirement for such record changes. The Okayama Family Court\u2019s Tsuyama Branch said on Wednesday that 50-year-old Tacaquito Usui could get the gender listed for him in his family registry updated. Usui first applied for the revision five years ago, but the request was rejected. Japan\u2019s Supreme Court ruled in October that a provision of a 20-year-old law that made the removal of reproductive organs a precondition for gender changes in official documents was unconstitutional.", + "bylines": [ + { + "by": "By MARI YAMAGUCHI", + "title": "Associated Press" + } + ], + "located": "TOKYO", + "datelinelocation": { + "city": "Tokyo", + "countrycode": "JPN", + "countryname": "Japan", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + 139.69171, + 35.6895 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. 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The Okayama Family Court\u2019s Tsuyama Branch said Tacaquito Usui, 50, could get the gender listed for him in his family registry updated to male. Usui original application for the revision was rejected five years ago.
\u201cIt's like I'm standing at the start line of my new life,\u201d he said during a televised news conference after Wednesday's ruling came out. \u201cI'm so excited.\u201d
Japan's Supreme Court ruled in October that a provision of a 20-year-old law that made the removal of reproductive organs a precondition for the legal recognition of gender changes was unconstitutional. The ruling, however, only applied to the sterilization provision and did not address the constitutionality of requiring other procedures.
The Okayama court found that the hormone therapy Usui received made him eligible for gender affirmation. Usui welcomed the recognition, saying he thinks the law in Japan might be evolving faster than the public awareness.
Many LGBTQ+ people in Japan still hide their sexual orientations and gender identities due to fear of discrimination at work and schools. The country remains the only Group of Seven member that does not allow same-sex marriages.
Activists have pressed for greater rights and protections. But change has come slowly in a country of conformity with a conservative government that sticks to traditional paternalistic values and is reluctant to accept gender, sexual and family diversity,
The law that the Supreme Court addressed in its ruling took effect in 2004. It stated that individuals who wanted to register a gender change needed to have reproductive organs, including testes or ovaries, removed. They also were required to have a body that \u201cappears to have parts that resemble the genital organs\u201d of their expressed gender.
More than 10,000 Japanese have since had their genders officially changed, according to court documents from another court case. A court in central Japan noted in last year's case that sterilization surgery was not required in most of the approximately 50 European and central Asian countries that have laws that allow gender changes on official documents.
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Therefore, it is somewhat relevant to the topic of health but not highly focused on it." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/02/07/c2b1940871da17a41cff936390246d1d.json b/datasets/AP_news/raw_data/2024/02/07/c2b1940871da17a41cff936390246d1d.json new file mode 100644 index 0000000..a97bc97 --- /dev/null +++ b/datasets/AP_news/raw_data/2024/02/07/c2b1940871da17a41cff936390246d1d.json @@ -0,0 +1,266 @@ +{ + "altids": { + "itemid": "c2b1940871da17a41cff936390246d1d", + "etag": "c2b1940871da17a41cff936390246d1d_3a18aza0c0", + "friendlykey": "916989590883", + "referenceid": "US--Decapitated Baby" + }, + "version": 3, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-02-08T03:46:15Z", + "firstcreated": "2024-02-07T20:16:02Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: EDITS: Edits to trim.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "US--Decapitated Baby", + "headline": "Medical examiner rules death of baby decapitated during delivery was a homicide", + "headline_extended": "A medical examiner has classified the death of a Georgia couple\u2019s baby that was decapitated during delivery as a homicide", + "slugline": "BC-US--Decapitated Baby, 3rd Ld-Writethru", + "description_summary": "A medical examiner has classified the death of a Georgia couple\u2019s baby that was decapitated during delivery as a homicide. Attorneys for the family announced the finding at a news conference on Wednesday. The baby\u2019s parents, Jessica Ross and Treveon Isaiah Taylor Sr., have sued the doctor who delivered him and the hospital. Both have denied wrongdoing. An attorney for the doctor said in a court filing that the doctor used every maneuver a reasonable obstetrician would have employed to deliver the baby when its shoulder got trapped. The hospital has said the baby died before it was decapitated.", + "bylines": [ + { + "by": "By SUDHIN THANAWALA", + "title": "Associated Press" + } + ], + "located": "ATLANTA", + "datelinelocation": { + "city": "Atlanta", + "countryareacode": "GA", + "countryareaname": "Georgia", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -84.38798, + 33.749 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. 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Treveon Taylor Jr.'s parents have sued the hospital and the doctor who delivered the baby in July. Both have denied wrongdoing.
The Clayton County Medical Examiner's Office found the immediate cause of the baby's death was a broken neck and said human action was to blame, according to an office statement distributed by attorneys at a news conference Wednesday.
The boy's parents, Jessica Ross and Treveon Isaiah Taylor Sr., say Dr. Tracey St. Julian delayed a surgical procedure and failed to seek help quickly when the baby got stuck during delivery. Instead, they say she applied excessive force to the baby\u2019s head and neck.
\u201cThis is something that is clearly contraindicated,\" their attorney Roderick Edmond, who is also a physician, said Wednesday. \"No credible, no reasonably competent obstetrician should ever do this.\"
Attorneys for St. Julian said they reject the finding that the baby's injury happened before death.
\"Although tragic, that rare outcome has been reported in the medical literature and can happen in the absence of any wrongdoing by the physician, which is the case here,\u201d they said.
One of the attorneys, Scott Bailey, said in a court filing in September that the doctor used \u201cevery maneuver a reasonable obstetrician would have employed\u201d to deliver the baby when its shoulder got trapped.
Bailey's filing also asserted that the trauma to the baby's head and neck occurred after death, in the process of attempting to deliver the fetus by cesarean and save Ross\u2019s life. It accused attorneys for Ross and Taylor Sr. of making \u201csalaciously false public statements\u201d to the contrary.
The hospital where the baby was delivered, Southern Regional Medical Center in Riverdale, Georgia, has also said the baby died in utero.
The hospital denied any negligence in a court filing in November, and spokesperson Melinda Fulks said she couldn't comment Wednesday because of the lawsuit.
Clayton County police were investigating, with the possibility of referring the case to prosecutors, the medical examiner's office said in its Jan. 6 news release.
Clayton police Major Frank Thomas said in an email Wednesday the case was still under investigation. The department will not comment on details of active cases, he said.
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"AUDGEOGRAPHY" + }, + { + "code": "661e48387d5b10048291c076b8e3055c", + "name": "United States", + "type": "AUDGEOGRAPHY" + } + ], + "associations": { + "1": { + "altids": { + "itemid": "0faafee65ec84c23b2918c4dc247486c" + }, + "type": "picture" + }, + "2": { + "altids": { + "itemid": "9b1280aa167a4ac6afa3077315f4c46a" + }, + "type": "picture" + }, + "3": { + "altids": { + "itemid": "0b946088ca3e4376afb3d01cb7072e9a" + }, + "type": "picture" + } + }, + "body_nitf": "WASHINGTON (AP) \u2014 The Biden administration is setting tougher standards for deadly soot pollution, saying that reducing fine particle matter from tailpipes, smokestacks and other industrial sources could prevent thousands of premature deaths a year.
Environmental and public health groups hailed the new Environmental Protection Agency rule finalized Wednesday as a major step in improving the health of Americans, including future generations. Industry groups warned it could lead to the loss of manufacturing jobs and even shut down power plants or refineries. Business groups and Republican-led states are likely to challenge the rule in court.
EPA Administrator Michael Regan said the rule would have $46 billion in net health benefits by 2032, including prevention of up to 800,000 asthma attacks and 4,500 premature deaths. He said the rule will especially benefit children, older adults and those with heart and lung conditions, as well as people in low-income and minority communities adversely affected by decades of industrial pollution.
The rule \u201creally does represent what the Biden-Harris administration is all about, which is understanding that healthy people equal a healthy economy,'' he told reporters Tuesday. \u201cWe do not have to sacrifice people to have a prosperous and booming economy.''
The rule sets maximum levels of 9 micrograms of fine particle pollution per cubic meter of air, down from 12 micrograms established a decade ago under the Obama administration.
The rule sets an air quality level that states and counties must achieve in the coming years to reduce pollution from power plants, vehicles, industrial sites and wildfires. The rule comes as Democratic President Joe Biden seeks reelection, and some Democrats have warned that a tough soot standard could harm his chances in key industrial states such as Pennsylvania, Michigan and Wisconsin.
Administration officials brushed aside those concerns, saying the industry has used technical improvements to meet previous soot standards and can adapt to meet the new standard as well. Soot pollution has declined by 42% since 2000, even as the U.S. gross domestic product has increased by 52%, Regan said.
\"So we\u2019ve heard this argument before, but the facts are well-established that these standards really will increase the quality of life for so many people, especially those who are disproportionately impacted,'' he said.
Manish Bapna, president and CEO of the Natural Resources Defense Council, an environmental group, said the EPA was \u201cputting public health first by requiring polluters to cut soot from the air we all breathe.''
Ben Jealous, executive director of the Sierra Club, said that opponents' \"resistance is a stark reminder that the fight for clean air and a healthier future is far from over.''
The new rule does not impose pollution controls on specific industries; instead, it lowers the annual standard for fine particulate matter for overall air quality. The EPA will use air sampling to identify counties and other areas that do not meet the new standard. States would then have 18 months to develop compliance plans for those areas. States that do not meet the new standard by 2032 could face penalties, although EPA said it expects that 99% of U.S. counties will be able to meet the revised annual standard by 2032.
Industry groups and Republican officials dispute that and say a limit of 9 micrograms per cubic meter could sharply increase the number of U.S. counties in violation of the soot standard. Companies in those places would have difficulty obtaining permits to build or expand industrial plants.
The American Forest and Paper Association called the new rule \u201cunworkable\u201d and said it undermines Biden\u2019s promise to increase manufacturing jobs in the U.S.
\u201cWe are very concerned that many of the modernization projects in the paper and wood products industry and across U.S. manufacturing will no longer be able to move forward,'' said Heidi Brock, the group's president and CEO.
The paper lobby was among 71 industry groups that warned the White House in a letter that a lower soot standard could force companies to locate new facilities in foreign countries with weaker air-quality standards, thereby undermining Biden's economic and environmental goals.
EPA\u2019s new rule could put hundreds of U.S. counties out of compliance and push many others close to the limit, \u201cwhich threatens economic growth,'' said Marty Durbin, senior vice president at the U.S. Chamber of Commerce. \"Compliance with the new standard will be very difficult,'' he said.
The standard for particle pollution, more commonly known as soot, was set in late 2012 under Democratic President Barack Obama and left unchanged by Republican President Donald Trump, who overrode a scientific recommendation for a lower standard in his final days in office.
EPA scientists have estimated exposure at current limits causes the early deaths of thousands of Americans annually from heart disease and lung cancer, along with other health problems.
The new EPA rule would require states, counties and tribal governments to meet a stricter air quality standard for fine particulate matter up to 2.5 microns in diameter \u2014 far smaller than a human hair. The standard would not force polluters to shut down, but the EPA and state regulators could use it as the basis for other rules that target specific sources such as diesel-fueled trucks, refineries and power plants.
EPA said it will work with states, counties and tribes to account for and respond to wildfires, an increasing source of soot pollution, especially in the West. The agency allows states and air agencies to request exemptions from air-quality standards due to \u201dexceptional events,'' including wildfires and prescribed fires.
Paul Billings, a senior vice president at the American Lung Association, pushed back on industry claims that the rule would drive large numbers of counties out of compliance and hamper economic growth.
He accused the industry of using \u201ccherry-picked data'' and misleading maps to make \u201cfalse claims of economic calamity'' caused by the new rule. \u201cDespite what polluting industries are saying, the sky will not fall and the world will not come to an end,'' Billings said.
A 2023 lung association report found that nearly 64 million Americans live in counties that experience unhealthy daily spikes in soot pollution and nearly 19 million live in counties that exceed annual limits for soot pollution. People of color were nearly four times as likely as white people to live in a county with multiple failing grades on air quality, the report said.
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Given the focus on health outcomes and the broader implications for public health, the document is highly relevant to the topic of health." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/02/07/e0f843a8f5f1af49efc45f6cb02005a6.json b/datasets/AP_news/raw_data/2024/02/07/e0f843a8f5f1af49efc45f6cb02005a6.json new file mode 100644 index 0000000..1865ba7 --- /dev/null +++ b/datasets/AP_news/raw_data/2024/02/07/e0f843a8f5f1af49efc45f6cb02005a6.json @@ -0,0 +1,342 @@ +{ + "altids": { + "itemid": "e0f843a8f5f1af49efc45f6cb02005a6", + "etag": "e0f843a8f5f1af49efc45f6cb02005a6_2a8aza0c0", + "friendlykey": "86183203350", + "referenceid": "ML--Gaza-Shortages-Babies" + }, + "version": 2, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-02-07T09:53:02Z", + "firstcreated": "2024-02-07T05:21:21Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: with comment from Palestinian aid worker.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "ML--Gaza-Shortages-Babies", + "headline": "Diapers and baby formula are hard to find in Gaza, leaving parents desperate", + "headline_extended": "The war in Gaza has sparked a humanitarian catastrophe that has prompted shortages of the most basic necessities", + "slugline": "AP-ML--Gaza-Shortages-Babies, 2nd Ld-Writethru", + "description_summary": "The war in Gaza has sparked a humanitarian catastrophe that has prompted shortages of the most basic necessities. Among those hardest hit are babies, young children and their parents. Diapers and baby formula are hard to find or have become unaffordable as prices spike. Parents are looking to inadequate or even unsafe alternatives, such as giving solid food to infants younger than 6 months old. Aid deliveries are sporadic, hobbled by Israeli restrictions and the relentless fighting. Aid agencies say children's needs in the war-torn territory far exceed the aid that's coming in.", + "bylines": [ + { + "by": "By WAFAA SHURAFA and SAMY MAGDY", + "title": "Associated Press" + } + ], + "located": "DEIR AL-BALAH, Gaza Strip", + "datelinelocation": { + "city": "Deir el-Balah", + "countryareaname": "Gaza Strip", + "countryname": "Palestinian territories", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + 34.34933, + 31.41834 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. 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(AP) \u2014 Zainab al-Zein was forced to make a desperate decision: Feed her infant daughter solid foods that her tiny body may not be able to digest or watch her starve because of a lack of baby formula in the besieged Gaza Strip.
Al-Zein chose to give 2 1/2-month-old Linda solids, knowing the choice could lead to health issues.
\u201cI know we are doing something harmful to her, but there is nothing,\u201d said al-Zein, feeding her wailing daughter crushed biscuits in the cold tent they now call home. \u201cShe cries and cries continuously.\u201d
The war between Israel and Gaza's Hamas rulers has sparked a humanitarian catastrophe that has brought shortages of the most basic necessities. Some of the hardest-hit are babies, young children and their parents, with diapers and formula either hard to find or spiking to unaffordable prices, leading parents to resort to inadequate or even unsafe alternatives.
Their plight is further complicated due to sporadic aid deliveries that have been hobbled by Israeli restrictions and the relentless fighting.
Displaced Palestinians are also being squeezed into ever tighter areas of the tiny coastal enclave, prompting outbreaks of illness and disease, to which malnourished children are particularly vulnerable. The U.N. says the population is at imminent risk of famine, with a quarter of people already starving.
For Palestinians enduring increasingly dire conditions, the most basic of acts \u2014 such as changing a child\u2019s diaper \u2014 have become a luxury that can require sacrifice.
\u201cI sold my children\u2019s food so I can buy diapers,\u201d said Raafat Abu Wardeh, who has two children in diapers.
Aid is not reaching everyone, and shortages of basic goods have caused prices to skyrocket. With Gaza's economy decimated, few Palestinians have regular incomes and most are either depleting their savings or subsisting on handouts.
At makeshift street stalls, older children working as hawkers sell individual diapers for three to five shekels ($1 to $1.50) or entire packs for up to 170 shekels ($46). A pack of diapers before the war cost 12 shekels ($3.50).
\u201cThe prices of diapers are very ridiculous,\u201d said Anis al-Zein, who was buying them along a street in central Deir al-Balah and is not related to Zainab. \u201cA child costs you 20 shekels ($5) a day. Especially in a bad situation like this, all prices are high and there is no income for people. There isn\u2019t even aid.\u201d
Some parents are using cloth diapers, but those require washing with water, which is also scarce.
Mohammed al-Khatib, the local program manager for the U.K.-based Medical Aid for Palestinians, said some people have been forced to buy smaller diapers and tape them together.
Lack of fresh produce, the proliferation of unregulated food stalls and cold weather has contributed to the spread of illness, including respiratory infections, skin rashes and diarrhea. \u201cIt is winter, and the kids are wet most of the time,\u201d al-Khatib said.
The war, triggered by the deadly Oct. 7 Hamas assault on southern Israel, has unleashed unimaginable destruction, with more than 27,000 Palestinians killed and close to 67,000 wounded in Israel\u2019s offensive, according to local health officials.
The Health Ministry in Hamas-run Gaza does not differentiate in its count between civilians and combatants but says two-thirds of those killed were women and children. Israel blames Hamas for the high death toll because the group carries out attacks and militant activities in residential areas.
The Hamas attack killed about 1,200 people in Israel, most of them civilians, and roughly 250 were taken hostage.
The lack of diapers has added to the poor sanitary conditions for the estimated 1.7 million displaced Palestinians, many of whom are crammed into overcrowded shelters.
The United Nations\u2019 children\u2019s agency UNICEF said this week that most of the newly displaced have only 1-2 liters (50-67 ounces) of water a day to drink, cook and wash. It said chronic diarrhea among children was ticking up.
UNICEF says aid deliveries into Gaza are not meeting the vast needs.
The agency estimates 20,000 infants up to 6 months old need formula, which UNICEF has been delivering along with necessities that have also included diapers and cash.
\u201cThis is far from being enough to address the colossal needs of the children in Gaza,\u201d said UNICEF spokesperson Ammar Ammar.
The needs of infants are part of a broader threat to all 335,000 children in Gaza under 5 years old, who are at high risk of severe malnutrition and preventable death, UNICEF said.
\u201cFor many families in Gaza, the threat of dying from hunger is already real,\u201d Ammar said.
The U.N. humanitarian office said Wednesday that recent screenings show that nearly 10% of children under the age of 5 suffer from acute malnutrition, a 12-fold increase from before the war. The rate is even higher in northern Gaza, which has been largely cut off from aid for months.
For Zainab al-Zein, the difficult choice to feed her now-4-month-old baby crushed biscuits and ground rice instead of formula has meant frequent trips to the local hospital, which like Gaza's health care system at large is under deep strain from the war.
Health care providers typically recommend parents wait until their child is 6 months old before feeding them solids. Research has found that babies who are given solid food too early are at higher risk of developing certain chronic diseases.
Rocking in an infant bouncer and swaddled in a blanket, Linda cried ceaselessly as her mother tried to feed her.
\u201cThis is known, of course, as unhealthy eating, and we know that it causes her intestinal distress, bloating and colic,\u201d said al-Zein. \u201cWhat can I do?\u201d
___
Magdy reported from Cairo.
___
Follow AP\u2019s coverage of the Israel-Hamas war at https://apnews.com/hub/israel-hamas-war
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With AP Photos.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "US--Abortion Pill-Study Retracted", + "headline": "Studies cited in case over abortion pill are retracted due to flaws and conflicts of interest", + "headline_extended": "A medical journal has retracted studies claiming to show the harms of the leading abortion pill", + "slugline": "AP-US--Abortion Pill-Study Retracted, 1st Ld-Writethru", + "description_summary": "A medical journal has retracted studies claiming to show the harms of the leading abortion pill. The journal cites conflicts of interest by the authors. The decision comes just weeks before the Supreme Court hears arguments in a case that could determine access to mifepristone, which is used in medication abortion. Two of the retracted studies were cited in a Texas court ruling challenging the approval of the drug's approval by U.S. officials. The medical publisher says it retracted the studies due to flaws in the research and undisclosed ties to anti-abortion groups by the authors.", + "bylines": [ + { + "by": "By LAURA UNGAR and MATTHEW PERRONE", + "title": "Associated Press" + } + ], + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. For other uses, additional clearances may be required." + ], + "keywords": [ + "abortion pill mifepristone redacted studies Supreme Court" + ], + "provider": "AP", + "infosource": [ + { + "name": "AP", + "type": "AP" + } + ], + "subject": [ + { + "rels": [ + "category" + ], + "creator": "Editorial", + "code": "a", + "name": "a" + }, + { + "rels": [ + "category" + ], + "creator": "Editorial", + "code": "n", + "name": "n" + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "cc7a76087e4e10048482df092526b43e", + "name": "Health", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 87 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "86ba17607dac1004894eba7fa5283c3e", + "name": "Courts", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 51 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "e22e35087de410048fc2df092526b43e", + "name": "Abortion", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 95 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "e237be707de410048fffdf092526b43e", + "name": "Medication", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 62 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "a4677d70863b4012b846a1b00f5079f5", + "name": "U.S. news", + "creator": "Editorial", + "editorial_subject": "U.S. news", + "rels": [ + "direct" + ], + "relevance": 75 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "f25af2d07e4e100484f5df092526b43e", + "name": "General news", + "creator": "Editorial", + "editorial_subject": "General news", + "rels": [ + "direct" + ], + "relevance": 50 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "cc7a76087e4e10048482df092526b43e", + "name": "Health", + "creator": "Editorial", + "editorial_subject": "Health", + "rels": [ + "direct" + ], + "relevance": 99 + } + ], + "organisation": [ + { + "scheme": "http://cv.ap.org/id/", + "code": "efa933c0892110048d92fb7860a2fc03", + "name": "Supreme Court of the United States", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 45 + } + ], + "place": [ + { + "scheme": "http://cv.ap.org/id/", + "code": "6e92d9b882c7100488e5df092526b43e", + "name": "Texas", + "creator": "Machine", + "rels": [ + "direct" + ], + "parentids": [ + "661e48387d5b10048291c076b8e3055c" + ], + "locationtype": { + "code": "0ae5eb8e00e04295a4fc209c94bfe6ef", + "name": "State" + }, + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -99.25061, + 31.25044 + ] + }, + "relevance": 73, + "parentnames": [ + "United States" + ] + } + ], + "audiences": [ + { + "code": "82c6a4c46fa0446090a7acaf93159e4c", + "name": "Print", + "type": "AUDPLATFORM" + }, + { + "code": "9add4649b53b4702ba7d9de5d4fa607a", + "name": "Online", + "type": "AUDPLATFORM" + }, + { + "code": "f43adc08760d10048040e6e7a0f4673e", + "name": "National", + "type": "AUDSCOPE" + }, + { + "code": "f4ecf9b0760d10048044e6e7a0f4673e", + "name": "International", + "type": "AUDSCOPE" + }, + { + "code": "f5b16ea8760d10048047e6e7a0f4673e", + "name": "State", + "type": "AUDSCOPE" + }, + { + "code": "661850e07d5b100481f5c076b8e3055c", + "name": "Latin America and Caribbean", + "type": "AUDGEOGRAPHY" + }, + { + "code": "6e92d9b882c7100488e5df092526b43e", + "name": "Texas", + "type": "AUDGEOGRAPHY" + }, + { + "code": "661e48387d5b10048291c076b8e3055c", + "name": "United States", + "type": "AUDGEOGRAPHY" + } + ], + "associations": { + "1": { + "altids": { + "itemid": "8869d7268602417b9b1e8b8e0b15f9d0" + }, + "type": "picture" + } + }, + "body_nitf": "A medical journal has retracted two studies claiming to show the harms of the abortion pill mifepristone, citing conflicts of interest by the authors and flaws in their research.
Two of the three studies retracted by medical publisher Sage Perspectives were cited in a pivotal Texas court ruling that has threatened access to the pill. The U.S. Supreme Court will take up the case next month, with a decision expected later this year. The court's ruling could impact nationwide access to mifepristone, including whether it continues to be available by mail.
Medication abortion accounts for more than half of all abortions in the U.S., and typically involves two drugs: mifepristone and misoprostol.
Here's what to know about the retractions:
WHAT DO THE STUDIES SAY?
Both studies cited in the court ruling were published in the journal Health Services Research and Managerial Epidemiology. They were supported by the Charlotte Lozier Institute, part of an advocacy group that seeks to end access to abortion.
A 2021 paper looked at 423,000 abortions and more than 121,000 emergency room visits following medication abortions and abortions done through a medical procedure from 1999 to 2015. Researchers concluded medication abortions are \u201cconsistently and progressively associated with more postabortion ER visit morbidity\u201d than the other type.
A 2022 paper concluded that failure to identify a prior abortion during an ER visit \u2014 either by a doctor or because a patient concealed it \u2014 is \u201ca significant risk factor for a subsequent hospital admission.\u201d
HOW DO THESE STUDIES RELATE TO THE MIFEPRISTONE CASE?
U.S. District Judge Matthew Kacsmaryk cited the studies in a controversial legal ruling that will go before the U.S. Supreme Court next month.
Essentially, Kacsmaryk sided with a conservative Christian medical group, arguing that mifepristone\u2019s original approval by U.S. regulators was flawed because it overlooked serious safety issues with the pill.
He cited one of the retracted studies in claiming that mifepristone causes \u201cmany intense side effects.\u201d The ruling also cited the second retracted paper in explaining why anti-abortion physicians had the legal standing to bring their lawsuit \u2014 instead of showing they were directly harmed by a product, the judge said medical abortions cause \u201cenormous pressure and stress\" to physicians.
Many legal experts and medical professionals were deeply skeptical of the arguments and statistics cited in Kacsmaryk's decision, and a federal appeals court overturned parts of the ruling last summer.
The Food and Drug Administration's original 2000 approval of mifepristone is not in question, but the Supreme Court could roll back recent changes that made the drug easier to obtain, including via mail order.
WHY WERE THE STUDIES RETRACTED?
In a retraction notice, Sage Perspectives said a reader contacted the journal with concerns about the presentation of some of the data, possible \u201cdefects\u201d in the selection of the data and whether authors\u2019 affiliations with anti-abortion advocacy organizations present conflicts of interest that should have been disclosed.
Sage said in a statement that it asked two experts to conduct an independent post-publication peer review, which found the conclusions \u201cwere invalidated in whole or in part\" for several reasons, including problems with the study design and methodology and errors in the analysis of the data.
The studies\u2019 lead author, James Studnicki, said in an emailed statement that the publisher's actions are a \u201cbaseless attack on our scientific research and studies.\" Studnicki is a vice president at the Charlotte Lozier Institute.
Retractions of research papers have been on the rise, with more than 10,000 last year, according to Ivan Oransky, who teaches medical journalism at New York University and co-founded the Retraction Watch blog. About 1 in 500 papers is retracted, he said, compared with 1 in 5,000 two decades ago.
WHAT DOES THE SCIENCE SAY ABOUT MIFEPRISTONE?
Ushma Upadhyay, a professor of public health at the University of California, San Francisco, said medication abortions are extremely safe, with less than a third of 1% being followed by a serious adverse event. She pointed out that mifepristone has been used for more than two decades. The FDA says it has been used by about 6 million people for abortions.
She said one of the major flaws of the retracted research is that the authors conflate ER visits with serious adverse events and don\u2019t confirm whether patients received treatment.
___
The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute\u2019s Science and Educational Media Group. The AP is solely responsible for all content.
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Speaking about his families' health scares in public for the first time, the 41-year-old heir to the throne thanked the public for their \u201ckind messages of support\" at a charity gala dinner. Earlier in the day, he performed an investiture ceremony at Windsor Castle.
\u201cI\u2019d like to take this opportunity to say thank you for the kind messages of support for Catherine and for my father, especially in recent days,\" William told the gala dinner for London's Air Ambulance Charity. \u201cIt means a great deal to us all.\u201d
\u201cIt\u2019s fair to say the past few weeks have had a rather medical focus, so I thought I\u2019d come to an air ambulance function to get away from it all,\" he added jokingly.
The royal, who is a former air ambulance helicopter pilot, met fellow pilots and chatted with guests including Hollywood star Tom Cruise at the black-tie event.
William temporarily stepped away from public duties last month to help care for Kate and their three young children following her operation for an undisclosed condition. The Princess of Wales, formerly Kate Middleton, isn\u2019t expected to resume public duties until April.
Charles\u2019 cancer diagnosis earlier this week is putting extra pressure on the royal family, with the king suspending his public appearances to focus on treatment and recovery. While receiving treatment for an unspecified form of cancer, Charles will continue with behind-the-scenes work such as reviewing and signing state papers.
\u201cHis absence is putting a lot of pressure on the other members of the royal family, who are certainly up to it,\u201d said Sally Bedell Smith, author of \u201cPrince Charles: The Passions and Paradoxes of an Improbable Life.\u201d \u201cAnd having one of the great stars of the royal family, the Princess of Wales, in recuperation from a surgery\u201d magnifies those strains.
Prime Minister Rishi Sunak is expected to call the king Wednesday evening to wish him well as he recovers. In-person audiences are expected to resume later this month.
Charles\u2019 illness comes at an awkward time for the House of Windsor.
The king, who ascended the throne just 17 months ago, has pledged to reduce the cost of the monarchy, in part by keeping a lid on the number of \u201cworking royals\u201d whose public duties are supported by taxpayer funds.
But with two of the most visible family members out sick, it will be more challenging for the family to keep up.
In addition to the widely publicized pomp and ceremony of royal processions and state visits, the Windsors attend hundreds of little-known events every year to recognize the accomplishments of the general public and mark local events such as the opening of libraries and community centers. Hundreds of charities cherish royal appearances, which give visibility and credibility to their good work among potential donors.
The 75-year-old king was seen in public for the first time since his cancer diagnosis when he left his offices at Clarence House on Tuesday after a brief reunion with his younger son, Prince Harry.
Harry arrived in London from California less than 24 hours after Buckingham Palace announced the king\u2019s cancer diagnosis. The meeting has raised hopes that the pair can repair their troubled relationship after Harry publicly criticized the royal family for unconscious racism and complained about the way his American biracial wife, former actor Meghan Markle, was treated by palace officials.
Harry and Meghan, once seen as stars of the royal family who could help the Windsors connect with a younger generation, walked away from royal duties in 2020 and now live in California.
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While the document includes some information about royal duties and public appearances, the central theme revolves around health-related matters affecting the royal family." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/02/07/f03f3732e14fbbcb0fe33220db67c9f1.json b/datasets/AP_news/raw_data/2024/02/07/f03f3732e14fbbcb0fe33220db67c9f1.json new file mode 100644 index 0000000..2f41f85 --- /dev/null +++ b/datasets/AP_news/raw_data/2024/02/07/f03f3732e14fbbcb0fe33220db67c9f1.json @@ -0,0 +1,189 @@ +{ + "altids": { + "itemid": "f03f3732e14fbbcb0fe33220db67c9f1", + "etag": "f03f3732e14fbbcb0fe33220db67c9f1_1a19aza0c0", + "friendlykey": "618570895472", + "referenceid": "US-MED\u2014Paxlovid Usage" + }, + "version": 1, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-02-07T17:21:33Z", + "firstcreated": "2024-02-07T14:17:04Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: Adds background on other available treatments and that Paxlovid can be prescribed for kids as young as 12.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "US-MED\u2014Paxlovid Usage", + "headline": "Paxlovid can lessen the chance of a severe COVID-19 illness. Why is it underused?", + "headline_extended": "Paxlovid can prevent hospitalization and death from COVID-19, but experts say it's being underused", + "slugline": "BC-US-MED\u2014Paxlovid Usage, 1st Ld-Writethru", + "description_summary": "Paxlovid can prevent hospitalization and death from COVID-19, but experts say it's being underused. The pills' high price and doctors\u2019 hesitation to prescribe them are creating obstacles to getting the drug to everyone who would benefit. The people most likely to benefit from Paxlovid were the least likely to get it in 2022. The study by Harvard researchers found that Paxlovid was disproportionately given to patients with lower risk of severe infection. If it had been properly utilized, the authors concluded, more than 16,000 COVID-19 deaths could have been prevented.", + "bylines": [ + { + "by": "By KENYA HUNTER", + "title": "AP Health Writer" + } + ], + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. 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For other uses, additional clearances may be required." + ], + "keywords": [ + "paxlovid cost covid19" + ], + "provider": "AP", + "infosource": [ + { + "name": "AP", + "type": "AP" + } + ], + "subject": [ + { + "rels": [ + "category" + ], + "creator": "Editorial", + "code": "f", + "name": "f" + }, + { + "rels": [ + "category" + ], + "creator": "Editorial", + "code": "a", + "name": "a" + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "39a5551883591004893adf092526b43e", + "name": "Health care costs", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 61 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "cc7a76087e4e10048482df092526b43e", + "name": "Health", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 96 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "b17e2751b26d4523a2c99d79e04747ee", + "name": "COVID-19 pandemic", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 74 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "e237be707de410048fffdf092526b43e", + "name": "Medication", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 96 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "c8e409f8858510048872ff2260dd383e", + "name": "Business", + "creator": "Editorial", + "editorial_subject": "Business", + "rels": [ + "direct" + ], + "relevance": 75 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "cc7a76087e4e10048482df092526b43e", + "name": "Health", + "creator": "Editorial", + "editorial_subject": "Health", + "rels": [ + "direct" + ], + "relevance": 99 + } + ], + "audiences": [ + { + "code": "82c6a4c46fa0446090a7acaf93159e4c", + "name": "Print", + "type": "AUDPLATFORM" + }, + { + "code": "9add4649b53b4702ba7d9de5d4fa607a", + "name": "Online", + "type": "AUDPLATFORM" + }, + { + "code": "f43adc08760d10048040e6e7a0f4673e", + "name": "National", + "type": "AUDSCOPE" + }, + { + "code": "f4ecf9b0760d10048044e6e7a0f4673e", + "name": "International", + "type": "AUDSCOPE" + }, + { + "code": "661850e07d5b100481f5c076b8e3055c", + "name": "Latin America and Caribbean", + "type": "AUDGEOGRAPHY" + }, + { + "code": "661e48387d5b10048291c076b8e3055c", + "name": "United States", + "type": "AUDGEOGRAPHY" + } + ], + "associations": { + "1": { + "altids": { + "itemid": "e889b7a1d9b945ecac9f52210d119391" + }, + "type": "picture" + }, + "2": { + "altids": { + "itemid": "c0152824f83447e09fd203980d2ac9de" + }, + "type": "video" + } + }, + "body_nitf": "Tens of thousands of Americans are hospitalized with COVID-19 every week. Thousands die from it every month. And yet, an antiviral treatment proven to lessen the chances of severe outcomes is going underused.
The drug, Paxlovid, is lauded by experts as a powerful tool that can prevent hospitalization and death from COVID-19. But the high price and doctors\u2019 hesitation to prescribe the pills mean the five-day treatment isn\u2019t getting to everyone who would benefit from it.
\u201cWhen you read in your local newspaper that in this hospital, they\u2019ve got this many COVID patients, most of those are preventable hospitalizations,\u201d said Dr. Amesh Adalja, a senior scholar at Johns Hopkins University who sees Paxlovid as a useful tool to treat COVID-19.
One Centers for Disease Control and Prevention study found that Paxlovid can decrease hospitalization risks among adults by 51%. The drug is recommended for older people and other adults with certain underlying conditions and can be prescribed for kids as young as 12.
When Paxlovid was first authorized for emergency use in the U.S. in December 2021, it was free for anyone who needed it. Once the government stopped funding the treatment, Pfizer set a list price of $1,390.
The drug remains free for people on federal insurance programs like Medicaid and Medicare through the end of this year, and uninsured people also can get it for free. But many of those people must go through a patient assistance program run by Pfizer to get the discounts. People on commercial insurance with high out-of-pocket costs can also get financial help through a separate co-pay assistance program.
Independent pharmacy owners find Paxlovid is expensive to carry because of reimbursement rates from commercial insurers, said Kurt Proctor, a senior vice president at the National Community Pharmacists Association.
\u201cIf you\u2019re losing 5% on a $10 prescription, it\u2019s very different than losing 5% on a $1,400 prescription product,\u201d he said.
The high list price also is turning off some patients.
When Celise Ballow, of Junction, Utah, got COVID-19 recently, she never got the medication.
Ballow said her doctor declined to write her a prescription after telling her it wouldn\u2019t be covered by her insurance. Now she wonders if she could have avoided some of the infection\u2019s worst effects if she had been able to get the medication.
\u201cI\u2019m going on a month and a half and I\u2019m still having nebulizer treatments. \u2026 I\u2019m still exhausted,\u201d Ballow said.
Another factor hurting uptake appears to be the long list of medications that shouldn\u2019t be taken with Paxlovid. Many doctors may simply decide the risk of drug interactions isn\u2019t worth it.
\u201cIf people are on four or five different medications, it does tend to be a pain to double check \u2018is there an interaction here?\u2019\u201d said Dr. Sarah George, an infectious diseases professor at St. Louis University. Seeing a possible significant drug interaction \u201ctends to put a physician off from prescribing a drug, even if there is a workaround,\u201d she said.
Paxlovid isn't the only antiviral medication for COVID-19. Merck\u2019s Lagevrio is another available pill, though it's proven to be less popular in the U.S. than Paxlovid. A third drug, Gilead's Veklury, is given via infusion.
The people most likely to benefit from Paxlovid were the least likely to get it in 2022, according to a recent study.
The study by Harvard researchers found that Paxlovid was disproportionately given to Medicare patients with lower risk of severe infection. If it had been properly utilized, the authors concluded, more than 16,000 COVID-19 deaths could have been prevented.
Dr. Michael Barnett, a Harvard health policy researcher who co-wrote the study, said it shouldn\u2019t be that way.
\u201cThere are very few medications and very few patients whose potential medication interaction with Paxlovid is so severe that they\u2019re better off not taking Paxlovid,\u201d he said. \u201cVery few of them are important enough that it\u2019s a big risk to stop for a week.\u201d
___
The Associated Press Health and Science Department receives support from the Robert Wood Johnson Foundation. The AP is solely responsible for all content.
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But he shares only so much", + "headline_extended": "The palace\u2019s disclosure that King Charles III has been diagnosed with cancer shattered centuries of British history and tradition", + "slugline": "AP-EU-Britain-King-The-Disclosure, 1st Ld-Writethru", + "description_summary": "The palace\u2019s disclosure that King Charles III has been diagnosed with cancer shattered centuries of British history and tradition. Following close behind the shock and well-wishing for the 75-year-old monarch came widespread surprise that the palace had announced anything at all. The death certificate for his mother, Queen Elizabeth II, simply says she died of \u201cold age\u201d at 96. Her father, King George VI, did not himself know the severity of his lung and heart issues before he died \u2014 to say nothing of his family or the public. Some royal watchers say Charles owes the public more information, while others urge patience.", + "bylines": [ + { + "by": "By LAURIE KELLMAN", + "title": "Associated Press" + } + ], + "located": "LONDON", + "datelinelocation": { + "city": "London", + "countrycode": "GBR", + "countryname": "United Kingdom", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -0.12574, + 51.50853 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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Buckingham Palace's disclosure that King Charles III has been diagnosed with cancer shattered that longstanding tradition.
On the heels of the shock and well-wishing that followed the official statement Monday came the surprise that the palace had announced anything at all. Indeed, the unprecedented missive was sparse on details: Charles, 75, had begun treatment for a cancer it did not name after being diagnosed during a recent corrective procedure for an enlarged prostate. The king is stepping back from public duties but carrying on state business during his treatment, which he'll receive as an outpatient, the palace said.
\u201cThe King has cancer,\u201d the Times of London declared in a terse banner headline Tuesday. It was unlike any other in British history.
Never complain, never explain, as Charles' late mother, Queen Elizabeth II, was known to say. Charles has withheld details of his illness and treatment, and in that way is carrying on her approach. But in beaming a sliver of light from inside the palace walls and his own life, the king has broken with his mother and royal tradition.
The world still does not know the cause of Elizabeth's death in 2022 at the age of 96. In the final years of her life, the public was told only that the queen was suffering from \u201cmobility issues.\u201d Her death certificate listed the cause simply as \u201cold age.\u201d
The British public wasn\u2019t told that Charles\u2019 grandfather, King George VI, had lung cancer before his death in February 1952 at the age of 56, and some historians have claimed that the king himself wasn\u2019t told he was terminally ill.
Given that Charles rules in a media-saturated age, \u201cI do think it's incumbent on him to reveal more than he's revealed,\u201d said Sally Bedell Smith, author of \u201cCharles: The Passions and Paradoxes of an Improbable Life.\u201d
\u201cHe was admirably candid in what he said about being treated for an enlarged prostate, and his impulse was to be open and also to encourage men to have the necessary examinations,\u201d she added. \u201cBut then he reverted to the traditional royal form, which is mystery, secrecy, opacity.\u201d
On Tuesday, former royal press secretary Simon Lewis told BBC Radio 4 that Charles\u2019 openness about his cancer diagnosis has been his style as a monarch.
\u201cI think 20 years ago we would have got a very abrupt, short statement, and that\u2019s about it,\" he said. The palace statement goes as far as possible, \"given that the King has had a diagnosis of cancer and, as a lot of people know, processing that is a pretty tough process.\u201d
One reason for disclosing his illness, the palace statement said, was \"in the hope it may assist public understanding for all those around the world who are affected by cancer.\u201d Cancer patient advocates reported glimmers of success on that front, with Cancer Research UK reporting a 42% rise in visits to its cancer information page, according to Dr. Julie Sharp, the group's head of health and patient information.
The jump \u201creflects that high-profile cancer cases often act as a prompt to encourage people to find out more or think about their own health,\u201d she said.
But there was another pragmatic reason: To keep control of the information in the age of lightning-fast social media and misinformation. The palace statement said Charles \u201chas chosen to share his diagnosis to prevent speculation.\u201d
In the annals of power, leaders and their advisers strive to maintain \u2014 or at least, not undermine \u2014 the perception of being in strong and in control. Because to allow any perception of vulnerability or weakness could spark a fight for the gavel or the crown \u2014 or encourage a coup.
The former Soviet Union was famous for neglecting to mention when its leaders are sick or dead \u2014 think Leonid Brezhnev, Yuri Andropov and Konstantin Chernenko, secretly sick and soon deceased one after the other in the 1980s. Each event sparked scrambles for succession.
In the United States, there\u2019s little to no debate about the public\u2019s right to know the health status of their leaders. It\u2019s a key feature of the 2024 presidential rumble between President Joe Biden, 81, and former president Donald Trump, 77, with other contenders, such as GOP hopeful Nikki Haley, arguing that they\u2019re both too old to preside.
And on Feb. 1, Secretary of Defense Lloyd Austin \u2014 sixth in the presidential line of succession \u2014 apologized for keeping secret his cancer diagnosis and surgery. In a rare press conference, he acknowledged missing a key chance to use the experience as a teaching moment for those he leads across the Defense Department and, even more importantly, for Black Americans.
Whether the monarch owes the world more information about his health than other Britons do is a tense subject.
Royals are private citizens but also, in a sense, part of the public trust given that they are subsidized by British taxpayers and play an important \u2014 though largely powerless \u2014 constitutional role. Unelected, they inherit their wealth under a 1,000-year-old monarchy that Republican activists have long tried to dislodge.
And though some polls show the public is friendly toward Charles, opposition and apathy to the monarchy are both growing. In a recent study by the National Center for Social Research, just 29% of respondents thought the monarchy was \u201cvery important\u201d \u2014 the lowest level in the center\u2019s 40 years of research on the subject. Opposition was highest among the young.
Remaining relevant is part of what makes Charles' legacy and succession so urgent. Maintaining at least the appearance of vitality can be key to leaders' pursuit of and hold on power. The king, the palace was careful to note, would step away from public-facing duties during his treatment but continue to manage other duties of state.
In Charles' case, succession has long been set: Next in line is his son, William, the prince of Wales. But the king's illness makes William's preparation more critical at a time when he's also caring for his wife, Kate, princess of Wales, who is recovering from abdominal surgery.
Charles' news was received with great sympathy in a country in which 3 million people live with cancer, according to Macmillan Cancer Support, a London-based charity. On average, it says, one person is diagnosed with cancer in the UK every 90 seconds. That\u2019s about 1,000 new cancer cases detected every day, according to the National Health Service.
That the king has joined those ranks \u2014 and, critically for a British monarch, shared that vulnerability with the world \u2014 heralded for some a new era of transparency in an era of social media and misinformation.
___
Associated Press writer Danica Kirka contributed to this report from London. Follow Laurie Kellman at http://www.twitter.com/APLaurieKellman
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These aspects are directly related to the topic of health, making the document highly relevant." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/02/08/16c03cfa5e4bc80654723220c47abbeb.json b/datasets/AP_news/raw_data/2024/02/08/16c03cfa5e4bc80654723220c47abbeb.json new file mode 100644 index 0000000..8e55e13 --- /dev/null +++ b/datasets/AP_news/raw_data/2024/02/08/16c03cfa5e4bc80654723220c47abbeb.json @@ -0,0 +1,283 @@ +{ + "altids": { + "itemid": "16c03cfa5e4bc80654723220c47abbeb", + "etag": "16c03cfa5e4bc80654723220c47abbeb_0a6aza0c0", + "friendlykey": "423007158503", + "referenceid": "US-XGR--Missouri Budget-Planned Parenthood" + }, + "version": 0, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-02-08T01:07:31Z", + "firstcreated": "2024-02-08T01:07:31Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: Updates Media.", + "signals": [ + "newscontent" + ], + "title": "US-XGR--Missouri Budget-Planned Parenthood", + "headline": "Missouri Senate votes against allowing abortion in cases of rape and incest", + "headline_extended": "Missouri senators have voted against allowing abortion in cases of rape and incest", + "slugline": "BC-US-XGR--Missouri Budget-Planned Parenthood", + "description_summary": "Missouri senators have voted against allowing abortion in cases of rape and incest. 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(AP) \u2014 Missouri senators on Wednesday voted against amending the state's strict law against abortions to allow exceptions in cases of rape and incest.
The state banned almost all abortions after the U.S. Supreme Court in 2022 overturned Roe v. Wade. Abortions currently are only legal \u201cin cases of medical emergency.\u201d
Democratic state Sen. Tracy McCreery said Missouri's current law goes too far and called on her colleagues to \u201cshow an ounce of compassion\" for victims of rape and incest.
\u201cWhat we\u2019re saying is, \u2018We don\u2019t care,\u2019\u201d McCreery said of the state's current abortion ban. \u201cWe\u2019re going to force you to give birth, even if that pregnancy resulted from forcible rape by a family member, a date, an ex-husband or a stranger.\u201d
McCreery tried adding amendments to allow exceptions for abortion in cases of rape and incest to a Republican-sponsored bill that would continue blocking taxpayer funding from going to Planned Parenthood.
Both of McCreery's amendments were voted down along party lines in the Republican-led Senate, and debate on the underlying bill was cut off before a final vote Wednesday.
GOP Sen. Rick Brattin said abortion is as much of an atrocity as the institution of slavery and argued that giving birth could help women recover from rape or incest.
\u201cIf you want to go after the rapist, let\u2019s give him the death penalty. Absolutely, let\u2019s do it,\u201d Brattin said. \u201cBut not the innocent person caught in-between that, by God\u2019s grace, may even be the greatest healing agent you need in which to recover from such an atrocity.\u201d
Republican Sen. Mike Moon was also in favor of the ban and added to Brattin's comments, calling for rapists to be castrated.
But some Republicans said that Missouri went too far in its abortion ban.
St. Louis resident Jamie Corley is leading a campaign to amend the state constitution to allow abortions for any reason up to 12 weeks into pregnancy. If Corley's amendment is enacted, abortions would also be allowed in cases of rape, incest and fatal fetal abnormalities until viability, which typically is around 24 weeks.
A competing proposal backed by Planned Parenthood and other abortion-rights groups would enshrine the right to abortion in the constitution while allowing the GOP-led Legislature to regulate it after the point of viability.
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Therefore, it is somewhat relevant to the topic of health but not highly focused on health itself." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/02/08/20208054030139ab1abd644e7e8a4c82.json b/datasets/AP_news/raw_data/2024/02/08/20208054030139ab1abd644e7e8a4c82.json new file mode 100644 index 0000000..0cefe8b --- /dev/null +++ b/datasets/AP_news/raw_data/2024/02/08/20208054030139ab1abd644e7e8a4c82.json @@ -0,0 +1,280 @@ +{ + "altids": { + "itemid": "20208054030139ab1abd644e7e8a4c82", + "etag": "20208054030139ab1abd644e7e8a4c82_1a6aza0c0", + "friendlykey": "422889677757", + "referenceid": "US--Abortion-Missouri" + }, + "version": 1, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-02-08T20:38:49Z", + "firstcreated": "2024-02-08T16:22:21Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: This story has been updated to include comment from the campaigns, lawmakers and an anti-abortion group.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "US--Abortion-Missouri", + "headline": "Republican effort to restore abortion rights in Missouri folds", + "headline_extended": "A Republican-led group trying to restore abortion rights in Missouri is ending its campaign", + "slugline": "BC-US--Abortion-Missouri, 1st Ld-Writethru", + "description_summary": "A Republican-led group trying to restore abortion rights in Missouri is ending its campaign. 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(AP) \u2014 A Republican-led campaign to restore abortion rights in Missouri ended Thursday, clearing the path for a competing, more sweeping constitutional amendment to get on the state's November ballot.
\u201cHaving two initiatives on the ballot would create confusion and potentially split the vote,\u201d Missouri Women and Family Research Fund Executive Director Jamie Corley said in a statement. \u201cNo one wants that, so we have decided to suspend our campaign to amend Missouri's abortion law.\u201d
Corley's withdrawal means a rival campaign backed by Planned Parenthood, the American Civil Liberties Union of Missouri and other abortion-rights groups can move forward without competition. The ballot initiative by Missourians for Constitutional Freedom would enshrine abortion in the state constitution while allowing lawmakers to regulate it after viability.
Both campaigns had wanted their measures to go straight to voters after a law passed by Missouri's Republican-led Legislature barring almost all abortions took effect in 2022. Only abortions in cases of \u201cmedical emergencies\u201d are legal in Missouri now.
Missouri\u2019s Republican lawmakers appear uninterested in relaxing the law. A Democratic effort to allow for exceptions in cases of rape and incest was voted down along party lines Wednesday in the GOP-led Senate.
\u201cEvery Republican in the room voted against exceptions for victims of rape and incest,\u201d Senate Democratic Minority Leader John Rizzo said Thursday. \u201cThat\u2019s how extreme they\u2019ve become, and that is why the only recourse for everyday Missourians is through the initiative petition process.\u201d
Voters in seven states \u2014 California, Kansas, Kentucky, Michigan, Montana, Ohio and Vermont \u2014 have sided with abortion rights supporters on ballot measures. Florida\u2019s Republican attorney general on Wednesday asked the state Supreme Court to keep a proposed abortion rights amendment off the ballot.
Under Corley's proposal, abortions would have been allowed for any reason up until 12 weeks into pregnancy in Missouri. Abortions in cases of rape, incest and fatal fetal abnormalities would be allowed until viability.
Corley had pitched her initiative petition as a moderate alternative that could pass in Missouri, where all statewide elected officials are Republican and abortion-rights groups hold huge sway in state politics.
She said she's not joining the rival abortion-rights campaign but wants that initiative petition to be approved.
\u201cI hope it passes,\" she said. \u201cI think they have a very, very tough campaign ahead. I am pretty worried about it.\u201d
Nonetheless, the campaign appears hopeful. Missourians for Constitutional Freedom spokeswoman Mallory Schwarz in a Thursday statement said the campaign has \u201cgrowing momentum.\u201d Advocates earlier this week kicked off signature gathering events statewide.
But supporters say that even without a competing ballot measure, the remaining abortion-rights campaign still faces steep obstacles.
Missourians for Constitutional Freedom's campaign was delayed for months in a court fight with Republican Secretary of State Jay Ashcroft, who is running for governor. GOP lawmakers are trying to raise the threshold for approving constitutional amendments before the November ballot, an effort motivated in part by the abortion-rights campaigns. And an anti-abortion campaign called Missouri Stands with Women launched last month with the direct goal of torpedoing any abortion-rights measure.
\u201cOur coalition was prepared to inform Missourians on why they should decline to sign both pro-abortion petitions,\u201d Missouri Stands with Women spokeswoman Stephanie Bell said in a statement. \u201cSo now we will be working twice as hard to defeat one petition instead of two, while pro-abortion activists remain divided on the issue.\u201d
Initiative petition groups must collect at least 172,000 voter signatures by May 5 to make it on November\u2019s ballot, another huge undertaking.
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The situation has all the hallmarks of a ransomware attack, although officials have not confirmed or denied the cause. Lurie Children\u2019s Hospital officials say they are still working with the FBI and other law enforcement but confirmed Thursday that a \u201cknown criminal threat actor\u201d had accessed the hospital\u2019s network. A representative for the FBI in Chicago would not provide further information but has previously confirmed agents are part of the response.", + "bylines": [ + { + "by": "By KATHLEEN FOODY", + "title": "Associated Press" + } + ], + "located": "CHICAGO", + "datelinelocation": { + "city": "Chicago", + "countryareacode": "IL", + "countryareaname": "Illinois", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -87.65005, + 41.85003 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. 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Officials at Lurie Children's Hospital said Thursday that they are still working with the FBI and other law enforcement but told reporters that a \u201cknown criminal threat actor\u201d had accessed the hospital's network.
The hospital shut down its own systems for phone, email and medical records once the breach was discovered on Jan. 31, officials said.
\u201cWe take this matter very seriously and have been working closely around the clock with outside and internal experts and in collaboration with law enforcement, including the FBI,\u201d said Dr. Marcelo Malakooti, Lurie's chief medical officer. \u201cThis is an active and ongoing investigation.\u201d
The situation at Lurie Children\u2019s Hospital had all the hallmarks of a ransomware attack, although hospital officials have not confirmed or denied the cause. Such extortion-style attacks are popular among ransomware gangs seeking financial gain by locking data, records or other critical information, and then demanding money to release it back to the owner.
Allan Liska, an analyst with cybersecurity firm Recorded Future, said victims often are advised not to name specific criminal groups but said the description Lurie officials provided Thursday suggests it's an operation well known to U.S. law enforcement.
\u201cEven though we all know most hospitals with some exceptions don't have spare cash to pay a large ransom, they're much more aggressive than they used to be when going after health care providers,\u201d Liska said of ransomware gangs' strategies.
A representative for the FBI in Chicago would not provide further information on the hospital\u2019s comments, referring The Associated Press to a statement released Wednesday confirming an ongoing investigation.
The U.S. Department of Health and Human Services warned in a report last year that health care providers have increasingly been targeted by criminals, causing delayed or disrupted care for patients across the country.
But schools, courts, utilities and government agencies all have been exposed.
Lurie has directed patients to use a call center and said it can help people refill prescriptions, discuss appointments and reach health care providers.
\u201cWe recognize the frustration and concern the situation creates for all of those impacted,\u201d Malakooti said Thursday. \u201cWe are so grateful for this community for the outpouring of support, and we are especially inspired by our workforce and their resilience in their commitment to our mission.\u201d
But some parents have reported the center isn't keeping up with their needs, leaving families uncertain when they can get answers.
Brett Callow, a threat analyst with cybersecurity firm Emsisoft, said it can take weeks for a hospital to restore normal operations after a cyberattack, prioritizing critical systems first.
The latest annual report for Lurie Children\u2019s said staff treated around 260,000 patients last year. Chicago-area pediatrician practices that work with the hospital also have reported being unable to access digital medical records because of the attack.
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The document also mentions the broader context of healthcare providers being targeted by cybercriminals, which is relevant to the topic of health as it highlights vulnerabilities and challenges in the healthcare system." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/02/08/6af1f036b361e1590322910ee8b66376.json b/datasets/AP_news/raw_data/2024/02/08/6af1f036b361e1590322910ee8b66376.json new file mode 100644 index 0000000..83a0887 --- /dev/null +++ b/datasets/AP_news/raw_data/2024/02/08/6af1f036b361e1590322910ee8b66376.json @@ -0,0 +1,167 @@ +{ + "altids": { + "itemid": "6af1f036b361e1590322910ee8b66376", + "etag": "6af1f036b361e1590322910ee8b66376_0a4aza0c0", + "friendlykey": "178949513565", + "referenceid": "NC--Therapy Program-Death Investigation" + }, + "version": 0, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-02-08T19:53:30Z", + "firstcreated": "2024-02-08T19:53:30Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "signals": [ + "newscontent" + ], + "title": "NC--Therapy Program-Death Investigation", + "headline": "Boy's death at therapy program didn't appear natural, but sheriff says they're awaiting cause", + "headline_extended": "Authorities in western North Carolina say a 12-year-old boy\u2019s death a day after his arrival at a nature-based therapy program didn\u2019t appear to be natural, but the cause is still pending and the medical examiner\u2019s report may not be available for months", + "slugline": "AP-NC--Therapy Program-Death Investigation", + "description_summary": "Authorities in western North Carolina say a 12-year-old boy\u2019s death a day after his arrival at a nature-based therapy program didn\u2019t appear to be natural, but the cause is still pending and the medical examiner\u2019s report may not be available for months. The Transylvania County Sheriff\u2019s Office says an autopsy was performed because the death Saturday at Trails Carolina appeared suspicious since it happened so soon after the boy arrived. The manner of death is also pending. The sheriff\u2019s office says Trails Carolina hasn't completely cooperated, but the program says its staff fully cooperating. The program says an internal investigation and investigation by outside professionals found no evidence that it failed to supervise or caused harm or that conditions were unsafe or unhealthy.", + "located": "LAKE TOXAWAY, N.C.", + "datelinelocation": { + "city": "Lake Toxaway", + "countryareacode": "NC", + "countryareaname": "North Carolina", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -82.93403, + 35.13232 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. 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(AP) \u2014 A 12-year-old boy's death a day after his arrival at a western North Carolina nature-based therapy program did not appear to be natural, but the cause is still pending and the medical examiner\u2019s report may not be available for months, authorities said.
The autopsy was performed because the death at Trails Carolina in Lake Toxaway on Saturday appeared suspicious since it occurred less than 24 hours after the boy arrived, the Transylvania County Sheriff\u2019s Office said in a news release Wednesday. The forensic pathologist who conducted the autopsy told investigators the death appeared to not be natural, but the manner and cause of the boy's death are still pending.
The boy was transported by two men from New York to Trails Carolina on Feb. 2 and assigned to a cabin with other minors and four adult staffers were assigned to the cabin, the sheriff\u2019s office said.
Around 8 a.m. the next morning, staff called 911 when the boy did not respond to attempts to wake him, the program said. Staff said CPR efforts were made and CPR masks were found on the scene, the sheriff's office said.
When fire/rescue personnel arrived, they initiated rescue efforts, but then stopped as the child appeared to have been dead for some time, the sheriff\u2019s office said.
On Tuesday, investigators executed search warrants at the base camp where the boy was found and another location at Trails Carolina where other children from the cabin were moved after the boy\u2019s death.
The sheriff\u2019s office said Trails Carolina has not completely cooperated with the investigation, but the program disputed this in a statement Thursday, saying its staff fully cooperated.
Trails Carolina said no other students were involved and students from that cabin were moved to minimize the effect on them. Students have cooperated to the extent authorized by parents, Trails Carolina said.
Trails Carolina\u2019s internal investigation and an investigation by outside professionals found no evidence that the program failed to supervise or caused harm or that the facility\u2019s conditions were unsafe or unhealthy, the program said.
Preliminary findings don\u2019t suggest foul play and the program was not made aware of any suspicious findings, Trails Carolina said. Conversations with officials and preliminary reports indicate it was an accidental death, the program said.
Trails Carolina, which is located about 35 miles (56 kilometers) southwest of Asheville, describes itself as a nature-based therapy program that helps 10- to 17-year-olds \u201cwork through behavioral or emotional difficulties, build trusting relationships with their family and peers, and achieve academic success.\u201d
The state Department of Health and Human Services said Thursday that it could not comment on an ongoing investigation, but Trails Carolina notified its Division of Health Service Regulation of the death on Saturday. Division staff have been on-site for several days investigating this incident and are working closely with local authorities.
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The 30-day review was submitted to Austin on Thursday.
Maj. Gen. Pat Ryder, the Pentagon press secretary, said portions of the review are classified but the department will release what it can of the review.
Austin has been scrutinized for keeping secret his prostate cancer diagnosis in early December, his surgery and his hospitalization on Jan. 1, when he began suffering complications from the procedure.
Ryder has acknowledged that he and other public affairs and defense aides were told on Jan. 2, that Austin had been hospitalized but did not make it public and did not tell the military service leaders or the National Security Council until Jan. 4. Only then did President Joe Biden find out.
It took another four days before the reason for his hospitalization was disclosed.
And while he transferred decision-making authorities to Deputy Secretary Kathleen Hicks during his initial surgery on Dec. 22, and then again when he was in intensive care in early January, he did not tell her why.
The review was directed on Jan. 8, by Austin's chief of staff, Kelly Magsamen, and was done by Jennifer Walsh, the Pentagon's director of administration and management.
In a memo released at the time, Magsamen said the review should include a timeline of events and notifications after Austin was taken to the hospital by ambulance on Jan. 1. She said it must examine the existing process for when a secretary transfers decision-making authorities and who should be notified, and make recommendations for improvement.
Magsamen's memo also made some interim changes to vastly expand the number of people who must be notified in future transfers of authority and that they must provide a reason.
Officials have said that the reason has never been included in routine transfers. According to the memo, a wider array of officials will be notified, including the Pentagon\u2019s general counsel, the chairman and vice chairman of the Joint Chiefs of Staff, the combatant commanders, service secretaries, the service chiefs, the White House Situation Room, and the senior staff of the secretary and deputy secretary.
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The Queen Victoria, operated by Cunard Cruise Line, departed San Francisco Wednesday on its way from Florida to Hawaii. The ship is carrying 1,800 passengers and 970 crew members.
The cause is unknown. Cunard told the CDC that the ship increased cleaning and disinfection, and isolated ill passengers and crew.
The reported cases are totals for the entire voyage and do not represent how many people are actively sick at any one time, the CDC said.
The company did not immediately respond to an email from The Associated Press seeking more details.
The ship originated in Germany Jan. 9 and departed Florida Jan. 22, according to ship tracker Cruise Mapper. Its next stop is Honolulu, Hawaii, on Feb. 12 and ends in Australia next month.
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Camilla traveled from Sandringham House to Salisbury Cathedral on Thursday to attend a concert celebrating the work of local charities. Among the first people she met were workers from Wiltshire Air Ambulance, who offered hope that the king was doing well.
\u201cWell he\u2019s doing extremely well under the circumstances,'' Camilla said. \u201cHe's very touched by all the letters and the messages the public have been sending from everywhere \u2013 that\u2019s very cheering.\u201d
The British monarch has been recuperating at his Sandringham estate in eastern England following his first treatment for an unspecified type of cancer. Buckingham Palace announced the diagnosis earlier this week.
___
Find more of AP\u2019s coverage of King Charles III at https://apnews.com/hub/royalty
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Viking announced Thursday that Fauci's \u201cOn Call: A Doctor\u2019s Journey in Public Service\u201d will be published in June 18.
\u201cI hope that this memoir will serve as a personalized document for the reader to understand better the daunting challenges that we have faced in public health over the past 40 years,\" Fauci said in a statement released Thursday by Viking. \"I would also like to inspire younger individuals in particular to consider careers in public health and public service.\u201d
Fauci, 83, was director of the National Institute of Allergy and Infectious Diseases at the National Institutes of Health for nearly 40 years, and was President Joe Biden's chief medical advisor until his retirement, in 2022. Fauci served under seven presidents, starting with Ronald Reagan, but he is best known for his time during Donald Trump's administration, when he and the White House often clashed over how to respond to the coronavirus.
Millions regarded Fauci, with his raspy voice and plainspoken style, as the government's trusted point man during the heights of the pandemic. But he would become increasingly estranged from Trump, who favored a faster return to normal life and advocated unproven treatments. Republicans and anti-vaxxers have since criticized him relentlessly on a wide range of issues and have written books attacking him, including Sen. Rand Paul's \u201cDeception: The Great Covid Cover-Up\u201d and Robert F. Kennedy Jr's \u201cThe Real Anthony Fauci.\u201d
Fauci had been involved in controversy before. In the 1980s, the activist group ACT UP condemned Fauci for what it called his indifferent response to the spread of AIDS. But he would win over many of his critics, meeting with ACT UP members and agreeing to such requests as letting people with HIV serve on research committees and accelerating the process of finding treatments.
During President George W. Bush's administration, Fauci helped develop PEPFAR, the President\u2019s Emergency Plan for AIDS Relief. In 2008, Bush awarded Fauci the Presidential Medal of Freedom for \u201chis efforts to advance the understanding and treatment of HIV/AIDS.\u201d
Financial terms for Fauci's memoir were not disclosed. He was represented by Washington attorney Robert Barnett, whose clients have included Bush, and former Presidents Barack Obama and Bill Clinton.
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The Seattle Times reports the lawsuit filed in Tacoma Feb. 1 says Nicole McClure was booked into Thurston County Jail in 2022 and lay on a cell floor for a day before receiving medical attention. The lawsuit says doctors later removed part of her skull. Her lawyer says McClure now has permanent disabilities which would have been lessened had she received immediate medical attention. A state patrol spokesperson and a jail spokesperson each said the agencies don't comment on pending litigation.", + "located": "TACOMA, Wash.", + "datelinelocation": { + "city": "Tacoma", + "countryareacode": "WA", + "countryareaname": "Washington", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -122.44429, + 47.25288 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. 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(AP) \u2014 A Washington State Patrol trooper arrested a woman on suspicion of drunken driving when she was actually experiencing a life-threatening brain bleed and booked her into jail where officials mocked her instead of getting her medical attention, according to a civil rights lawsuit.
The federal lawsuit filed Feb. 1 in Tacoma says Nicole McClure was booked into Thurston County Jail on March 21, 2022, where she lay on a cell floor for a day before receiving medical attention, The Seattle Times reported.
Doctors later removed part of her skull to relieve pressure building inside her brain from a frontal-lobe subdural hematoma, according to the lawsuit.
\u201cNicole suffers from severe traumatic brain injury and remains unable to care for herself or engage with life in meaningful ways,\u201d McClure\u2019s attorney, Anne Vankirk, said in a statement. \u201cHad Nicole received immediate medical attention, her condition would have been significantly easier to treat and the outcome far less severe.\u201d
According to the lawsuit, dash-camera video and arrest reports, Trooper Jonathan Barnes tried to stop McClure after he noticed her driving too slowly and wandering out of her lane. McClure, then 38, had complained of a headache and dizziness and was headed home from work early, according to the lawsuit.
Barnes flashed his emergency lights to initiate a stop, but McClure kept slowly driving until she collided with a traffic roundabout, disabling her car, the lawsuit said.
Barnes approached with his gun pointed at McClure, yelling for her to get out of the car, dash-camera video shows. The video shows Barnes pushed her onto his vehicle hood to handcuff her while accusing her of eluding police.
The video also recorded Barnes repeatedly asking McClure if she was on drugs or had been drinking. \u201cWhen\u2019s the last time you used meth?\u201d he asks. \u201cWhen was the last time you used heroin?\u201d
\u201cI haven\u2019t \u2026 I don\u2019t,\u201d she said, according to the video. \u201cI\u2019m confused. I think I\u2019m tired.\u201d
Barnes arrested McClure on suspicion of intoxicated driving and felony evading. The lawsuit alleges the trooper also didn\u2019t call medics to the scene, despite the vehicle crash, and took her to a hospital for a blood draw, the filings allege.
Barnes didn\u2019t tell hospital staff that McClure had been in a crash, the lawsuit says. The filings also claim that in his written report, the trooper crossed out a section detailing a series of health and medical questions, printing \u201cDid not ask\u201d across the strikeout.
After the blood draw \u2014 which the lawsuit says later showed McClure had no drugs or alcohol in her system \u2014 Barnes took her to the Thurston County Jail.
Chris Loftis, a state patrol spokesperson, said the agency is aware of the lawsuit but doesn\u2019t comment on pending litigation. He said Barnes wasn\u2019t disciplined. A call from The Associated Press to the state patrol union seeking comment from Barnes was redirected to Loftis.
The lawsuit alleges that McClure received no medical attention at the jail for over 24 hours despite her asking for help, vomiting, and her inability to stand up.
\u201cNicole recalls being laughed at and told she should \u2018Have another shot,\u2019\u201d which she took as a taunting reference to the belief that she was drunk, not sick, Vankirk said.
Hours later McClure was taken to a hospital, where she underwent emergency brain surgery and was hospitalized for 17 days, according to Vankirk.
Tara Tsehlana, a spokesperson for the Thurston County Prosecuting Attorney\u2019s Office, which defends the jail, said the county has been served with the lawsuit.
\u201cWhile we can\u2019t discuss the specifics of any pending litigation, I can confirm that the safety of inmates, staff, and the general public remains a top priority for the Thurston County Corrections Facility,\u201d she said.
___
This story has been corrected to show the lawsuit was filed Feb. 1, not Feb. 8.
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Therefore, while there is some relevance to health, it is not the primary focus of the document." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/02/08/d364a4b572f09fa2785158a0129c7cfe.json b/datasets/AP_news/raw_data/2024/02/08/d364a4b572f09fa2785158a0129c7cfe.json new file mode 100644 index 0000000..b5feedb --- /dev/null +++ b/datasets/AP_news/raw_data/2024/02/08/d364a4b572f09fa2785158a0129c7cfe.json @@ -0,0 +1,221 @@ +{ + "altids": { + "itemid": "d364a4b572f09fa2785158a0129c7cfe", + "etag": "d364a4b572f09fa2785158a0129c7cfe_1a8aza0c0", + "friendlykey": "912435463112", + "referenceid": "US-MED--Opioid Antidote-Higher Doses" + }, + "version": 1, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-02-08T22:59:43Z", + "firstcreated": "2024-02-08T18:30:40Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: Updates with comment from Boston Medical Center addiction specialist.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "US-MED--Opioid Antidote-Higher Doses", + "headline": "Higher-dose naloxone spray didn't save more lives, researchers find", + "headline_extended": "A study finds that a new, higher-dose nasal spray for reversing opioid overdoses didn't save more lives than the standard dose", + "slugline": "AP-US-MED--Opioid Antidote-Higher Doses, 1st Ld-Writethru", + "description_summary": "A study finds that a new, higher-dose nasal spray for reversing opioid overdoses didn't save more lives than the standard dose. However, it was tied to more vomiting and other side effects. The new study is being called the first to provide real-world data on what kind of difference the 8-milligram spray has made. It found survival was the same, but side effects were twice as common in people who got a higher dose. The study was published Thursday.", + "bylines": [ + { + "by": "By MIKE STOBBE", + "title": "AP Medical Writer" + } + ], + "located": "NEW YORK", + "datelinelocation": { + "city": "New York", + "countryareacode": "NY", + "countryareaname": "New York", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -74.00597, + 40.71427 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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The 8-milligram naloxone spray \u2014 twice as potent as the highest dose previously available \u2014 was approved two years ago after pressure from experts and patient advocates who noted lower-dose antidotes often were being given multiple times to people suffering overdoses.
The new study, which was limited to more rural parts of New York state, is being called the first to provide real-world data on the differences between the two sprays. The paper was published by the Centers for Disease Control and Prevention, but the federal health agency was not involved in the research.
The higher-dose \u201cdid not provide added benefit,\u201d the authors wrote.
\"What was really remarkable was the survival was the same, but the amount of withdrawal symptoms was significantly larger in the people that got the 8-milligram dose,\" said one of the authors, Dr. Michael Dailey of Albany Medical College.
Dailey said the study did not lead him to endorse one product over another. But, he said, \u201cits important for us to recognize that the potential for increased side effects is real.\u201d
The researchers worked with the New York State Police, who respond to emergencies along highways and in rural areas.
Three troops in eastern New York were given 8-milligram sprays. Eight troops based further away from Albany were stocked with 4-milligram doses. The study results were based on 354 instances in which troopers administered naloxone sprays from late March 2022 to mid-August 2023.
In cases where overdose patients were still alive when troopers arrived, 99% survived after getting naloxone, no matter which dose was given.
People who got 4-milligram sprays usually got more than one dose \u2014 1.67 doses on average, equivalent to 6.7 milligrams. But so too did those treated with the 8-milligram sprays, who got 1.58 doses, or 12.6 milligrams, on average.
In both groups, disorientation and lethargy were common when people came to.
But other problems were significantly more common in the patients who got the higher-dose sprays. About 38% experienced signs and symptoms of withdrawal, including vomiting, abdominal pain, sweating, shaking and diarrhea. Only 19% of those getting the lower dose had those problems, the study found.
That's a concern because it could actually contribute to future overdose deaths, said Dr. Alexander Walley, a Boston Medical Center addiction specialist who also works with the Massachusetts health department.
If someone has extra withdrawal symptoms when they are rescued from an overdose, they may remember the pain and discomfort of that experience and \u2014 experts fear \u2014 might actually avoid having someone with naloxone around when they take drugs in the future, Walley said.
The study is limited and imperfect in how it randomized who got which doses, Walley said, but it's nevertheless \u201cgood quality evidence.\u201d
\"The solution to a more potent (illicit) drug supply is not necessarily a more potent naloxone,\u201d he said. \u201cIt's having people be witnessed when they use the drugs, and have that witness be someone who can administer naloxone and call for help.\u201d
___
The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute\u2019s Science and Educational Media Group. The AP is solely responsible for all content.
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They also say to throw away any affected products and thoroughly clean surfaces the food may have touched.", + "bylines": [ + { + "by": "By JONEL ALECCIA", + "title": "AP Health Writer" + } + ], + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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Seven-layer bean dip, chicken enchiladas, cilantro salad dressing and taco kits sold at stores like Costco, Trader Joe's and Albertson's are part of the growing recalls of products made by Rizo Lopez Foods, Inc., of Modesto, California, federal health officials said.
Dairy products made by Rizo Lopez Foods are the source of the listeria outbreak that has killed two people and sickened more than two dozen since 2014, according to the U.S. Centers for Disease Control and Prevention.
Health officials investigated illnesses in 2017 and 2021, but were only able to confirm the source based on new laboratory and inspection information when more people fell ill in December, officials said.
Rizo Lopez Foods recalled more than 60 soft cheeses, yogurt and sour cream on Monday that are sold under the brands Tio Francisco, Don Francisco, Rizo Bros, Rio Grande, Food City, El Huache, La Ordena, San Carlos, Campesino, Santa Maria, Dos Ranchitos, Casa Cardenas, and 365 Whole Foods Market.
The recalled foods were sold to food service providers, retailers and at deli counters nationwide.
The federal government said consumers should consult the Food and Drug Administration's table of recalled products for updated information about descriptions, sizes and best-by dates. The U.S. Department of Agriculture also issued a public health alert for certain Amazon kitchen burritos that contain ingredients made by Rizo Lopez Foods.
About 1,600 people are sickened by listeria food poisoning every year, according to the CDC. Listeria infections can cause serious illness and, in rare cases, death. People who are pregnant, older than 65 or have weakened immune systems are particularly vulnerable. Symptoms \u2014 like muscle aches, fever and tiredness \u2014 usually start within two weeks after eating contaminated foods, but can start earlier or later.
The CDC said consumers who have the recalled products should throw them away and thoroughly clean the refrigerator, counters and other contact sites. Listeria can survive in the refrigerator and easily contaminate other foods and surfaces.
___ The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute\u2019s Science and Educational Media Group. The AP is solely responsible for all content.
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This is highly relevant to the topic of health as it addresses food safety, public health alerts, and the impact of listeria on vulnerable populations." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/02/09/441df6d4c342f7fe556e8d65260b5540.json b/datasets/AP_news/raw_data/2024/02/09/441df6d4c342f7fe556e8d65260b5540.json new file mode 100644 index 0000000..5084425 --- /dev/null +++ b/datasets/AP_news/raw_data/2024/02/09/441df6d4c342f7fe556e8d65260b5540.json @@ -0,0 +1,179 @@ +{ + "altids": { + "itemid": "441df6d4c342f7fe556e8d65260b5540", + "etag": "441df6d4c342f7fe556e8d65260b5540_4a5aza0c0", + "friendlykey": "297781940241", + "referenceid": "US-MED--Winter Viruses" + }, + "version": 4, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-02-09T19:24:04Z", + "firstcreated": "2024-02-09T16:31:50Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: Updates to note patient traffic easing in Southeast and West.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "US-MED--Winter Viruses", + "headline": "Flu hangs on in US, fading in some areas and intensifying in others", + "headline_extended": "Flu is hanging on in the U.S., intensifying in some areas of the country after weeks of an apparent national decline", + "slugline": "BC-US-MED-Winter-Viruses, 4th Ld-Writethru", + "description_summary": "Flu is hanging on in the U.S., intensifying in some areas of the country after weeks of an apparent national decline. 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Centers for Disease Control and Prevention data released Friday showed a continued national drop in flu hospitalizations, but other indicators were up \u2014 including the number of states with high or very high levels for respiratory illnesses.
\u201cNationally, we can say we've peaked, but on a regional level it varies,\u201d said the CDC\u2019s Alicia Budd. \u201cA couple of regions haven\u2019t peaked yet.\u201d
Patient traffic has eased a bit in the Southeast and parts of the West Coast, but flu-like illnesses seem to be proliferating in the Midwest and have even rebounded a bit in some places. Last week, reports were at high levels in 23 states \u2014 up from 18 the week before, CDC officials said.
Flu generally peaks in the U.S. between December and February. National data suggests this season's peak came around late December, but a second surge is always possible. That's happened in other flu seasons, with the second peak often \u2014 but not always \u2014 lower than the first, Budd said.
So far, the season has been relatively typical, Budd said. According to CDC estimates, since the beginning of October, there have been at least 22 million illnesses, 250,000 hospitalizations, and 15,000 deaths from flu. The agency said 74 children have died of flu.
COVID-19 illnesses seem to have peaked at around he same time as flu. CDC data indicates coronavirus-caused hospitalizations haven\u2019t hit the same levels they did at the same point during the last three winters. COVID-19 is putting more people in the hospital than flu, CDC data shows.
The national trends have played out in Chapel Hill, said Dr. David Weber, an infectious diseases expert at the University of North Carolina.
Weber is also medical director of infection prevention at UNC Medical Center, where about a month ago more than 1O0 of the hospital's 1,000 beds were filled with people with COVID-19, flu or the respiratory virus RSV.
That's not as bad as some previous winters \u2014 at one point during the pandemic, 250 beds were filled with COVID-19 patients. But it was bad enough that the hospital had to declare a capacity emergency so that it could temporarily bring some additional beds into use, Weber said.
Now, about 35 beds are filled with patients suffering from one of those viruses, most of them COVID-19, he added.
\u201cI think in general it's been a pretty typical year,\u201d he said, adding that what's normal has changed to include COVID-19, making everything a little busier than it was before the pandemic.
___
The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute\u2019s Science and Educational Media Group. The AP is solely responsible for all content.
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The British Medical Association, the union that represents the so-called junior doctors, said on Friday that the government had \u201cfailed to meet the deadline to put an improved pay offer on the table\u201d and that they would go on strike from Feb. 24 to Feb. 28.
The junior doctors, who form the backbone of hospital and clinical care as they train up to be specialists in a particular field, have walked off the job on nine occasions over the past year and last month they went on strike for six days, the longest in the history of the state-funded National Health Service.
\u201cWe remain willing to carry on talking and to cancel the forthcoming strikes if significant progress is made and a credible offer is put forward,\u201d the BMA\u2019s junior doctors committee co-chairs Dr. Robert Laurenson and Dr. Vivek Trivedi said.
The union says newly qualified doctors earn 15.53 pounds ($19.37) an hour \u2014 the U.K. minimum wage is just over 10 pounds an hour \u2014 though salaries rise rapidly after the first year. The BMA has been asking for 35% \u201cpay restoration\u201d as its starting position, but has said it is willing to negotiate.
The Conservative government has said it won't negotiate unless the union calls off the strike.
\u201cWe already provided them with a pay increase of up to 10.3% and were prepared to go further,\" said Health Secretary Victoria Atkins. \u201cI ask the junior doctors\u2019 committee to cancel their action and come back to the table to find a way forward for patients and our NHS.\"
Senior doctors, known as consultants, and other medics have been drafted in to cover for emergency services, critical care and maternity services during the strikes. The consultants themselves are also in dispute with the government over their recent pay award but have yet to set any dates for any further strikes.
The upcoming strike means thousands more canceled appointments and operations, putting further pressure on the NHS to deal with a backlog that is likely to be a key issue in the general election later this year.
Britain has endured a year of rolling strikes across the health sector as staff sought pay rises to offset the soaring cost of living. Unions say wages, especially in the public sector, have fallen in real terms over the past decade, and double-digit inflation in late 2022 and early 2023, fueled by sharply rising food and energy prices, left many workers struggling to pay their bills.
Many groups within the NHS, such as nurses and ambulance crews, have reached pay deals with the government, but the union representing junior doctors has held out, and negotiations broke down late last year.
If it goes ahead, the strike would be the junior doctors' last on the current mandate, which expires at the end of the month. Further strikes would require another vote among members which the BMA is currently undertaking.
The government is seeking to apportion many of the problems in the NHS on the junior doctors, while the main opposition Labour Party, which is way ahead in opinion polls, points the finger at Prime Minister Rishi Sunak for personally blocking progress.
\u201cHe bears responsibility for the canceled operations and appointments desperate patients will face once again,\u201d said Wes Streeting, Labour's health spokesman. \u201cThis can\u2019t go on. Patients are desperate and staff are worn out.\u201d
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Faced with unprecedented legislative attacks, transgender rights leaders are now playing defense. As a counter, two of the biggest groups are joining forces. The Transgender Legal Defense and Education Fund and the National Center for Transgender Equality plan to merge this summer. The new organization, with a projected staff of about 50, will be called Advocates for Trans Equality. Scores of bills have been enacted recently in Republican-governed states targeting trans people, including bans on gender-affirming medical care for minors and trans athletes from competing on girls\u2019 and women\u2019s scholastic sports teams.", + "bylines": [ + { + "by": "By DAVID CRARY", + "title": "AP National Writer" + } + ], + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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Now, faced with unprecedented attacks in state legislatures, transgender rights leaders acknowledge they are playing defense \u2014 and two of the biggest groups are joining forces to counter the onslaught.
\u201cThis is going to be a defense game \u2014 and a movement-strengthening game,\u201d said Andy Marra, executive director of the Transgender Legal Defense and Education Fund. \u201cWe have witnessed a sophisticated, well-coordinated and highly resourced effort to dismantle the years of progress that our movement has made.\u201d
The essence of the attack: Scores of bills enacted in Republican-governed states over the past few years targeting transgender people. Many of laws ban gender-affirming medical care for trans minors or bar trans athletes from competing on girls\u2019 and women\u2019s scholastic sports teams.
With a new wave of anti-trans measures already introduced this year, the TLDEF and the National Center for Transgender Equality announced in January that they plan to merge this summer. The new organization will be called Advocates for Trans Equality; Marra will be its CEO, while its executive director will be Rodrigo Heng-Lehtinen, who now holds that title with the NCTE.
Marra said a key moment in deciding to consider the merger came in 2022. Texas Attorney General Ken Paxton and Gov. Greg Abbott, both Republicans, directed state child protection workers to investigate families of trans children for what Abbott termed \u201cabusive gender-transitioning services.\u201d
\u201cI knew we needed a stronger, bolder response to the unprecedented vitriol and legislative attacks on trans people nationwide,\u201d Marra said.
Unlike some mergers, this one is not aimed at cost-cutting or consolidation, according to Heng-Lehtinen. He said current staff from each organization will be retained, and the new organization \u2014 after adding a few new hires \u2014 will likely have a staff of about 50 by the end of the year, working out of offices in New York and Washington as well as remotely.
\u201cWhen you hear \u2018merger,\u2019 you think there\u2019s some kind of crisis or duplication,\u201d he said. \u201cNot in this case \u2014 we simply think we\u2019ll be stronger.\u201d
For Marra and Heng-Lehtinen \u2014 and their allies in other LGBTQ+ rights organizations \u2014 it\u2019s crucial to keep litigating, state by state, against the anti-trans laws. While some of the measures have taken effect, others have been blocked by federal judges, including some appointed by Republican presidents.
Another priority, in this election year, is to engage in political campaigns.
\u201cWe need pro-trans elected officials winning their races and defeating candidates who are attacking trans people only to score political points,\u201d said Heng-Lehtinen. He depicted the anti-trans vitriol as a backlash to the broader gains made by the LGBTQ+-rights movement in recent decades.
\u201cAnti-LGBT groups are shaking in their boots,\u201d he said. \u201cWe\u2019ve made a lot of progress, and that\u2019s why they\u2019re fighting so hard.\"
He\u2019s been immersed in politics since childhood \u2014 his mother, Ileana Ros-Lehtinen, served 30 years in Congress, starting when he was 3 years old.
At odds with most of her fellow Republicans in Congress, Ros-Lehtinen became a staunch supporter of LGBTQ+ rights \u2014 for example, becoming the first GOP House member to support the legalization of same-sex marriage. She was vocally in support of Rodrigo's decision to come out as a transgender man.
\"What makes our family so very proud of Rodrigo is that he\u2019s so happy living an authentic life, being honest about who he is and bringing a lot of joy in our lives,\u201d Ros-Lehtinen said in a 2016 video urging parents to accept their trans children.
The national political environment \u2014 in regard to LGBTQ+ rights \u2014 has changed dramatically since then.
Back in 2016, after North Carolina enacted a \u201cbathroom bill\u2019 restricting trans people's use of public restrooms, there was a major backlash, including cancellation of potentially lucrative business projects and sporting events.
Over the past couple of years, the corporate world has generally avoided similar threats as new anti-trans measures took effect in North Carolina and elsewhere. Sales of Bud Light plunged because of conservative backlash to an ad campaign featuring transgender influencer Dylan Mulvaney.
Marra suggested that many corporations had become more wary of venturing into potentially divisive political issues, at a time when special-interest groups are scrutinizing how they deal with issues such as affirmative action and workforce diversity.
\u201cWe would like them to stay true to their values,\u201d Marra said.
The cumulative impact of the anti-trans laws has been tangible, according to surveys finding that many trans people have considered moving to another city or state that would be more accepting. Several new organizations have emerged in the past few years offering emergency funding to individuals and families affected by anti-trans legislation, either to relocate or to obtain medical care or services outside their home state.
Marra, who has been active in the LGBTQ+ rights movement for 20 years, says she remains optimistic in the face of current setbacks.
\u201cWe are in many ways in the fight of our lives right now, but ultimately we are on the right side of history,\u201d she said.
\u201cThis year, we have an opportunity to bring the next generation of voters along in the next chapter of the fight for equality in this country,\u201d she added. \"We need to be engaging everyday folks across the country, sharing our stories.\u201d
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This week's verdict is the second big-money award in cases involving AffinityLifestyles.com. The company's Real Water brand was sold in distinctive boxy blue bottles as premium \u201calkalized\u201d drinking water with healthy properties. A state court jury in October awarded more than $228 million in damages to several other plaintiffs, including a woman who died of liver failure. Plaintiffs' attorney Will Kemp said Thursday the cases should remind food and beverage manufacturers to commit to quality assurance.", + "bylines": [ + { + "by": "By KEN RITTER", + "title": "Associated Press" + } + ], + "located": "LAS VEGAS", + "datelinelocation": { + "city": "Las Vegas", + "countryareacode": "NV", + "countryareaname": "Nevada", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -115.13722, + 36.17497 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. 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The Clark County District Court jury awarded more than $30 million in compensatory damages to the plaintiffs including Myles Hunwardsen, a Henderson man who underwent a liver transplant at age 29. The jury levied another $100 million in punitive damages.
The verdict reached Tuesday was the second large-sum award in a negligence and product liability case involving AffinityLifestyles.com Inc. and its Real Water brand, which was sold in distinctive boxy blue bottles as premium treated \u201calkalized\u201d drinking water with healthy detoxifying properties.
In October, a state court jury awarded more than $228 million in damages to several plaintiffs including relatives of a 69-year-old woman who died and a 7-month-old boy who was hospitalized. Both were diagnosed with severe liver failure.
\u201cWe want to send a message to food and beverage manufacturers that they should be committed to quality assurance,\u201d Will Kemp, a lawyer who represented plaintiffs in both trials, said Thursday.
Kemp said several more negligence and product liability cases are pending against the company, including one scheduled to begin in May stemming from liver damage diagnoses of six children who ranged in age from 7 months to 11 years old at the time.
Affinitylifestyles.com was headed by Brent Jones, who served as a Republican state Assembly member from 2016 to 2018. Kemp said Jones has declared bankruptcy and moved out of the state. Telephone calls to Jones on Thursday rang busy and an email request for comment was not answered.
Other defendants in the case reached confidential settlements before trial, including Whole Foods Market and Costco Wholesale, which sold the water, and testing meter companies Hanna Instruments and Milwaukee Instruments. Terrible Herbst, a convenience store chain, reached a settlement during the trial.
At trial, jurors were told that tests found Real Water contained hydrazine, a chemical used in rocket fuel that may have been introduced during treatment before bottling.
Real Water attorney Joel Odou argued that the company was unintentionally negligent, not reckless, the Las Vegas Review-Journal reported. He said the company didn\u2019t know hydrazine was in the water and didn\u2019t know to test for it.
The water the company used was from the Las Vegas-area public supply, which mainly comes from the Lake Mead reservoir behind Hoover Dam on the Colorado River.
The Southern Nevada Water Authority, the region's main public supplier, monitors and tests for 166 different possible contaminants, spokesman Bronson Mack said Thursday. Hydrazine is not among them.
Mack noted that the water authority was not a defendant in the lawsuits and said the area's municipal water supply meets or surpasses all federal Safe Drinking Water Act standards.
Real Water was sold for at least eight years, primarily in Central and Southern California, Las Vegas, Phoenix and Utah. It was also promoted on social media and sold online.
The U.S. Food and Drug Administration and the Las Vegas-based Clark County Health District issued public warnings beginning in March 2021 not to drink or use the product, and ordered it pulled from store shelves.
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"altids": { + "itemid": "008b69b6569147fc82e1f780c0708cae" + }, + "type": "picture" + } + }, + "body_nitf": "NEW YORK (AP) \u2014 Derry Oliver was in fifth grade when she first talked to her mom about seeing a therapist.
She was living in Georgia with her uncle and grandparents while her mom was in New York scoping out jobs and apartments ahead of moving the family. It was a rough year apart. Oliver, now 17, was feeling depressed. A school staffer raised the idea of a therapist.
Oliver\u2019s mom, also named Derry Oliver, questioned the school\u2019s assessment and didn\u2019t give consent for therapy. \u201cYou\u2019re so young,\u201d the mom recalled thinking. \u201cThere\u2019s nothing wrong with you. These are growing pains.\u201d
The issue boiled over again during the COVID-19 pandemic when the younger Oliver, struggling with the isolation of remote learning, reached out to her Brooklyn high school for help. School-based mental health professionals like social workers can provide some counseling without parent permission. But in New York, referring a student to more intensive therapy almost always requires a parent\u2019s agreement. In Oliver\u2019s case, that led to more conflict.
\u201cIt was very emotional for both of us because I understood her frustrations and fears,\u201d the younger Oliver recalled. \u201cBut at the same time it\u2019s sometimes best for your child to be able to access this rather than hold it away from them.\u201d
As schools across the country respond to a youth mental health crisis accelerated by the pandemic, many are confronting the thorny legal, ethical, and practical challenges of getting parents on board with treatment. The issue has become politicized, with some states looking to streamline access as conservative politicians elsewhere propose further restrictions, accusing schools of trying to indoctrinate students and cut out parents.
Differing perspectives on mental health aren\u2019t new for parents and kids, but more conflicts are emerging as young people get more comfortable talking openly about mental health and treatment becomes more readily available. Schools have invested pandemic relief money in hiring more mental health specialists as well as telehealth and online counseling to reach as many students as possible.
\u201cIt\u2019s this disconnect,\u201d said Chelsea Trout, a social work graduate student at NYU doing her training at a Brooklyn charter school. \u201cThe kids are all on TikTok or the internet and understand therapy speak and that this is something that could be helpful for their mental health and are interested in, but don\u2019t have the explicit buy-in from their parents.\u201d
Research suggests that having to obtain parental permission can be a significant barrier to teens accessing treatment.
Access to therapy can be critical, particularly for LGBTQ+ youth, who are significantly more likely than their peers to attempt suicide, and whose parents may not know about or approve of their sexual orientations or gender identities. Jessica Chock-Goldman, a social worker at Bard Early College High School in Manhattan, said she\u2019s seen many cases where mental health issues turn severe in part because teens didn\u2019t get earlier access to therapy.
\u201cA lot of kids would be hospitalized because of suicidal ideations or intent because the preventative work didn\u2019t come into fruition,\u201d she said.
The question of when young people can consent to mental health treatment is getting increasing attention from policymakers. States like California and Colorado have recently lowered the age of consent for treatment to 12. But in some states like North Carolina, the issue has been swept up into larger political debates about parents\u2019 input on curriculum and the rights of transgender students.
There\u2019s also a huge obstacle outside the law: Therapy is rarely free, and paying for it or submitting insurance claims often requires parental support.
Teens in New York can consent to therapy starting at age 16, and a provision allows doctors to authorize treatment for younger children if they deem it in their best interest. But there are caveats: The consent laws only apply in outpatient settings licensed by the state, and they don\u2019t extend to the prescription of medications.
New York City Mayor Eric Adams recently announced a partnership with the platform Talkspace to provide free online counseling to all city teens, through a program known as NYC Teenspace. It doesn\u2019t ask for insurance, but parental consent is required, \u201cexcept in the case of special circumstances,\u201d according to the program\u2019s website.
For Oliver and her mom, years of conversations have yielded some progress, but not as much access to therapy as the younger Oliver wants.
Several years ago, the Olivers agreed on a compromise. They found a Black female therapist, which was important to both of them as a Black family. The elder Oliver has felt the sting of being called \u201caggressive\u201d for expressing normal emotions as a Black woman, and has had negative experiences with therapists and depression medication, which she said made her feel like a \u201czombie.\u201d
The elder Oliver agreed her daughter could start therapy \u2014 as long as she sat in on the sessions. But the therapist changed jobs after about a month, and Oliver hasn\u2019t seen another therapist since.
\u201cIt has to be someone trustworthy,\u201d the elder Oliver said of a potential therapist for her daughter.
Trout, the school social worker in training, said she\u2019s encountered a number of parents who, like Oliver, don\u2019t trust the school\u2019s recommendations, and wonder why their child would need therapy if they\u2019re succeeding academically and socially.
\u201cIf we\u2019re thinking about predominantly Black and brown communities, if your interactions with social workers or mental health services or anything in that realm thus far have not been positive,\u201d she said, \u201chow could you trust them with your kids?\u201d
Statistics show a racial divide. In 2021, 14% of white children reported seeing a therapist at some point during that year, compared to 9% of Black children, 8% of Hispanic kids, and only 3% of Asian American children, according to a survey from the Centers for Disease Control and Prevention.
Without access to therapy, the younger Oliver has sought advice about managing her emotions through friends, school social workers, and the internet. But she\u2019s convinced she could do a lot more with consistent professional help.
Oliver has already gotten into a number of colleges \u2014 to her mom\u2019s enormous pride \u2014 and is weighing her options for next year.
One thing she\u2019s considering: how much access they offer to therapists.
___
This story has been corrected to reflect that Derry was living in Georgia with her uncle and grandparents, and not her brother.
___
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", + "textformat": "bx", + "links": [ + { + "href": "https://apnews.com/article/school-therapy-counseling-mental-health-23d915f1704493ab32016772464795dc", + "rel": "canonical" + } + ], + "topics": { + "Health": { + "relevance_score": 5, + "reason": "The document discusses the challenges and dynamics of providing mental health therapy to students, including the legal, ethical, and practical issues involved. It highlights the impact of the COVID-19 pandemic on youth mental health, the role of schools in addressing mental health needs, and the barriers posed by parental consent requirements. The document also touches on the specific needs of marginalized groups, such as LGBTQ+ youth and communities of color, and includes statistical data on therapy access among different racial groups. All these aspects are directly related to the broader topic of health, particularly mental health." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/02/10/56b4441032b33f8bea28d4793cbc2257.json b/datasets/AP_news/raw_data/2024/02/10/56b4441032b33f8bea28d4793cbc2257.json new file mode 100644 index 0000000..29c949e --- /dev/null +++ b/datasets/AP_news/raw_data/2024/02/10/56b4441032b33f8bea28d4793cbc2257.json @@ -0,0 +1,312 @@ +{ + "altids": { + "itemid": "56b4441032b33f8bea28d4793cbc2257", + "etag": "56b4441032b33f8bea28d4793cbc2257_1a12aza0c0", + "friendlykey": "586563357801", + "referenceid": "US--San Diego-Jail Death" + }, + "version": 1, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-02-10T02:22:58Z", + "firstcreated": "2024-02-10T01:48:04Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: Updates Media.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "US--San Diego-Jail Death", + "headline": "Nurse acquitted of involuntary manslaughter in 2019 death of a 24-year-old California jail inmate", + "headline_extended": "A nurse at a California jail has been found not guilty of involuntary manslaughter in the 2019 death of an inmate who collapsed in her cell", + "slugline": "AP-US--San Diego-Jail Death, 1st Ld-Writethru", + "description_summary": "A nurse at a California jail has been found not guilty of involuntary manslaughter in the 2019 death of an inmate who collapsed in her cell. Jurors on Friday acquitted Danalee Pascua in the death of 24-year-old Elisa Serna at the Las Colinas Detention Facility in the San Diego suburb of Santee. Prosecutors said Serna was suffering substance abuse withdrawals and had several seizures before her death. They contended that Pascua and a jail doctor, Friederike Von Lintig, ignored her serious medical condition. Jurors on Friday deadlocked in the case against the doctor, who could be retried. Serna's family also has sued the county for wrongful death.", + "located": "EL CAJON, Calif.", + "datelinelocation": { + "city": "El Cajon", + "countryareacode": "CA", + "countryareaname": "California", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -116.96253, + 32.79477 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. 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(AP) \u2014 A nurse at a California jail was found not guilty of involuntary manslaughter Friday in the November 2019 death of an inmate who collapsed in her cell. But jurors deadlocked on charges against a jail doctor.
Danalee Pascua was acquitted in the death of 24-year-old Elisa Serna at the Las Colinas Detention Facility in the San Diego suburb of Santee, the San Diego Union-Tribune reported.
The paper said the Superior Court panel in El Cajon deadlocked 9-3 for the acquittal of Dr. Friederike Von Lintig. Prosecutors didn't immediately say whether they would retry her on a charge of involuntary manslaughter.
Serna, who was five weeks pregnant, was booked into the jail five days before her death. She was suffering from alcohol and drug withdrawals and had told the jail staff that she had used heroin hours before her arrest, prosecutors said.
Serna had vomited and had multiple seizures in the 24 hours before her death, prosecutors said, but when she passed out in front of Pascua, the nurse failed to check her vital signs and left her on the floor of her cell for about an hour before returning with deputies to begin \u201cfutile lifesaving measures.\u201d
The medical examiner determined that she died from complications of chronic \u201cpolysubstance abuse.\u201d
Pascua\u2019s lawyer, Alicia Freeze, said that the nurse had only come on duty two hours before Serna's death and wasn\u2019t aware of her serious problems, according to the Union-Tribune.
\u201cReally, no one knew how ill this woman was,\u201d Freeze said.
\u201cWe are disappointed that the process resulted in the criminal exoneration of a nurse who watched our unconscious daughter suffer a seizure, who then did nothing to prevent her death,\u201d said a statement from Serna's family, the Union-Tribune reported.
Serna's family has sued the county for wrongful death.
\u201cBoth sides in the criminal case agreed on one thing: the personnel and the jail system failed abysmally to provide life-saving care to a 24-year-old woman who died needlessly on a jail cell floor,\" the statement said. \"We will fight for her until this wrong is redressed.\u201d
Von Lintig was accused of failing to properly care for Serna, although the defense said she only saw Serna on the day of her death and another physician had been treating her. Prosecutors said the doctor refused to go to Serna's cell to check on her after reports that the inmate had suffered a seizure.
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The human brain has trouble pulling names out of stuffed memory banks on cue. But when are those and other verbal stumbles normal, and when might they be a sign of cognitive trouble?
\u201cWhen I see somebody make a flub on TV, I\u2019m really not all that concerned,\u201d said well-known aging researcher S. Jay Olshansky of the University of Illinois at Chicago. \u201cWhat science will tell you about flubs is that they\u2019re perfectly normal, and they are exacerbated by stress for sure.\u201d
Biden, 81, has a decadeslong history of verbal gaffes. But they\u2019re getting new attention after a special counsel this past week decided Biden shouldn\u2019t face criminal charges for his handling of classified documents \u2014 while describing him as an old man with trouble remembering dates, even the date his son Beau died.
That prompted a visibly angry Biden to lash out from the White House, saying, \u201cMy memory is fine.\u201d As for his son\u2019s 2015 death from brain cancer, \u201cFrankly, when I was asked the question, I thought to myself, it wasn\u2019t any of their damn business,\u201d Biden said.
Biden is not the only candidate making verbal slips. Former President Donald Trump, Biden's likely opponent in the November presidential election, has also. Last month the 77-year-old Trump confused his major opponent for the GOP nomination, former U.N. Ambassador Nikki Haley, with former House Speaker Nancy Pelosi, D-Calif.
Health experts caution that neither verbal gaffes nor a lawyer's opinions can reveal whether someone is having cognitive trouble. That takes medical testing.
But certain glitches are common at any age.
\u201cTo easily recall names, right in the moment, is the hardest thing for us to do accurately,\u201d said Dr. Eric Lenze of Washington University in St. Louis, a geriatric psychiatrist who evaluates cognition in older adults.
Some studies have suggested that everyday \u201cmisnaming\u201d may occur when the brain has names stored by category \u2014 like your family members or perhaps in Biden\u2019s case, world leaders he\u2019s long known \u2014 and grabs the wrong one. Or the miss may be phonetic, as the names of France\u2019s current president, Emmanuel Macron, and former President Francois Mitterrand both begin with \u201cM.\u201d Mitterrand died in 1996.
As for dates, emotion may tag certain memories but not run-of-the-mill ones, such as the special counsel's questions about when Biden handled a box of documents.
\u201cAttaching a calendar date to an event is not really something that the human brain does at any age,\u201d Lenze said. It\u2019s \u201cnot like a spreadsheet.\u201d
Whether it's a name, date or something else, memory also can be affected by stress and distractions \u2014 if someone's thinking about more than one thing, Olshansky said. And while everybody's had an \u201cit's on the tip of my tongue\u201d lapse, flubs by presidents, or would-be presidents, tend to be caught on TV.
Olshansky watches recordings of his presentations at science meetings and \u201cthere isn\u2019t a single time I don\u2019t make a mistake,\u201d he said. \u201cI\u2019m 69 years old, which I do not consider to be old, but I made the same mistakes when I was 39.\u201d
It's reasonable for people to wonder if leaders in their 70s and 80s remain sharp, Lenze said. What's reassuring is if overall, what someone says is overall accurate despite a verbal gaffe.
Some cognitive aging is normal, including delay in memory retrieval. People\u2019s brains age differently, and heart health, blood pressure and physical activity play a role in brain health.
And while Trump often brags about passing a screening-style memory test several years ago, Lenze said the best assessment includes rigorous neuropsychological testing.
___
The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute\u2019s Science and Educational Media Group. The AP is solely responsible for all content.
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This story is new to some points.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "Valentine's Day-Loneliness", + "headline": "Here's how to beat the hype and overcome loneliness on Valentine's Day", + "headline_extended": "Valentine\u2019s Day is one of those holidays that haters love to hate", + "slugline": "BC-Valentine's Day-Loneliness, 2nd Ld-Writethru", + "description_summary": "Valentine\u2019s Day is one of those holidays that haters love to hate. It feels forced, commercialized and downright expensive to pull off if expectations are to be met. This is the first Valentine's Day since the U.S. surgeon general issued a public health advisory declaring loneliness and isolation an epidemic with dire consequences. Therapists and public health experts see a way out for many doing without romantic love. The first step: Stop comparing yourself to others and look inward for your joy. 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It's by choice, yet she still suffers FOMO when Valentine's Day rolls around.
\u201cI'm the singleton of the family and the friend group,\u201d said the 53-year-old Plessis, who lives in Manitoba, Canada. \u201cValentine's Day makes me feel hopeless, like a loser who can't find anyone who wants me.\u201d
But she won't be sitting at home cursing her fate, self-imposed after she tired of \u201ctoxic\u201d hookup culture. Instead, Plessis plans to do what loneliness researchers and psychologists advise: She'll be helping others as a way to get out of her own head.
In her case, she'll be helping others find love. She became a certified matchmaker last year and has organized a speed-dating event ahead of Valentine's Day.
\u201cI figure if I can\u2019t find love, it's the least I can do,\u201d Plessis said.
Valentine's Day is one of those holidays that haters call \u201cforced,\" commercialized and downright expensive to pull off if expectations are to be met. This year, the day of romance that has grown into a celebration of all-around love and friendship is the first since the U.S. surgeon general issued a public health advisory last spring declaring loneliness and isolation an \u201cepidemic\u201d with dire consequences.
Dr. Vivek Murthy, the country's top public health watchdog, warned that widespread loneliness poses health risks as deadly as smoking up to 15 cigarettes a day. It costs the health industry billions of dollars a year, he said.
About half of U.S. adults say they\u2019ve experienced loneliness, he said. The problem has been stewing since well before the pandemic, worsening in recent years.
\u201cIt\u2019s like hunger or thirst. It\u2019s a feeling the body sends us when something we need for survival is missing,\u201d Murthy told The Associated Press at the time. \u201cMillions of people in America are struggling in the shadows, and that\u2019s not right.\"
Like Valentine's Day, loneliness has become big business, complete with an outpouring of books offering up self help and data. The season is a windfall for dating apps and websites cashing in on users looking to make it over the hump emotionally intact.
We have Valentine's Day gift guides, and some for those who despise the holiday. We have recipes touted as perfect for the occasion, tips for choosing just the right flowers that won't kill a recipient's pet, and store shelves overflowing with Valentine's cards. And thanks to a storyline on \u201cParks and Recreation,\u201d the couples holiday has expanded to Galentine's Day (Feb. 13) for singles and friends.
David Sbarra, a psychology professor at the University of Arizona in Tucson, studies loneliness and social isolation. He's among data crunchers who consider the idea of loneliness as a deadly epidemic a tad overblown. But he's confident about where Valentine's Day can take the chronically lonely.
\"You can make a very clear argument that it exacerbates the experience of psychological distress among people who are already lonely,\u201d he said.
\u201cSo a simple way of saying it would be that people are looking at and monitoring themselves being socially isolated instead of shifting their perception toward opportunities to reengage, and then pursuing that. Who can I go out with? What can I do? How can I serve others? Who can I text, call? That\u2019s very important,\u201d Sbarra said.
Those are the things 27-year-old Tori Mattei in New York has discovered on her own over the last four years of singlehood. She's been dating since two back-to-back, long-term relationships ended.
\u201cBecause I\u2019ve been single for a while, I feel like I kind of set a goal for myself to go on a certain amount of dates just so I still feel like I can do it and don\u2019t feel awkward or nervous,\u201d she said. \u201cI\u2019ve gone on a lot of first dates in the past couple of years. Not a lot of second dates.\u201d
Valentine's Day was a big deal in her relationships. Sometimes it was a cozy night in. There were usually gifts of flowers, perfume or jewelry.
\u201cI definitely felt appreciated,\u201d Mattei said.
She lives alone in Manhattan, as opposed to lots of friends who have roommates. Many of her friends are in relationships.
\u201cAt certain times, I enjoy being alone and having my peace and quiet. But on days like Valentine\u2019s Day or even things like the Super Bowl, I have to make a little bit extra effort to not feel lonely,\u201d Mattei said. \u201cI have to make sure I make plans for myself. It just takes one sad day that you feel lonely to make it seem like you\u2019re always lonely.\"
Mattei doesn't consider herself a Valentine's Day hater.
\u201cI just dislike the pressure of making it romantic when really, if somebody handed me a rose on the street, that would make my day. Like, that\u2019s all it takes,\u201d she said.
Her best advice for making it through Valentine's Day is as sweet as those candy conversation hearts that circulate this time of year.
\u201cShow love to somebody. I love giving other people a gift, putting a smile on their face. And if you can't think of someone that you want to show love to, then show love to yourself. Buy yourself candy. I buy myself flowers very frequently. I love the way they look. I don\u2019t care that I bought them for myself,\u201d Mattei said.
Dr. Jeremy Nobel, who wrote \u201cProject UnLonely: Healing Our Crisis of Disconnection,\u201d agrees with all of the above. Loneliness, he said, comes in many forms, from physical isolation to rejection based on difference.
\u201cI think the science is quite clear that loneliness does increase risk of early mortality,\u201d said Nobel, who teaches a course for medical students at the Harvard Chan School of Public Health to help them better recognize loneliness in patients.
Through his Project UnLonely and Foundation for Art & Healing, Nobel has come up with programs that use the creative arts to raise awareness of the health challenges caused by loneliness and social isolation, including among young people.
On Valentine's Day, the project is offering a free Zoom coloring session for anyone who cares to sign up. Crayons, markers, colored pencils, oil pastels. The choice is yours.
\u201cLoneliness is subjective,\u201d Nobel said \u2014 it's the gap between the social connections you want to have and the ones you do have. \"Valentine\u2019s Day, it\u2019s the time to celebrate love and connection, which is fantastic unless you don\u2019t have that connection.\u201d
Psychotherapist Kelli Miller in Los Angeles works with couples and individuals and wrote \u201cLove Hacks: Simple Solutions to the Most Common Relationship Issues.\u201d Valentine's Day is a common trigger among her clients. If you don't have the love you want, turn inward in search of joy, she urges.
\u201cTake yourself to the theater. Take yourself to dinner. I know a lot of people don\u2019t want to dine alone but sometimes just being around other human beings can help.\u201d
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Austin has now transferred authorities to Deputy Secretary of Defense Kathleen Hicks and remains in the hospital. Austin was diagnosed with prostate cancer in December and continues to deal with complications from his treatment.", + "bylines": [ + { + "by": "By TARA COPP", + "title": "Associated Press" + } + ], + "located": "WASHINGTON", + "datelinelocation": { + "city": "Washington", + "countryareacode": "DC", + "countryareaname": "District of Columbia", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -77.03637, + 38.89511 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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Austin was diagnosed with prostate cancer in December and continues to deal with complications from his treatment.
At about 2:20 p.m. Sunday, he was transported by his security detail to Walter Reed National Military Medical Center \"to be seen for symptoms suggesting an emergent bladder issue,\" Pentagon Press Secretary Maj. Gen. Pat Ryder said in a statement.
While Austin initially intended to retain the \"functions and duties of his office,\u201d at about 5 p.m. Sunday he transferred those authorities to Deputy Secretary of Defense Kathleen Hicks. As of Sunday evening, he remained hospitalized.
A statement from Walter Reed medical officials late Sunday said Austin was admitted into the critical care unit for supportive care and close monitoring. Dr. John Maddox, the trauma medical director, and Dr. Gregory Chesnut, director of the Center for Prostate Disease Research of the Murtha Cancer Center, said while it was unclear at this time how long Austin will remain hospitalized, \u201cthe current bladder issue is not expected to change his anticipated full recovery.\u201d
The chairman of the Joint Chiefs of Staff was notified, as well as the White House and Congress.
Austin was scheduled to depart Tuesday for Brussels to hold a meeting of the Ukraine contact group, which he established in 2022 to coordinate military support for Kyiv after Russia's invasion. After that, Austin was scheduled to attend a regular meeting of NATO defense ministers.
It was not immediately clear if this hospitalization would change those plans.
Austin was diagnosed with prostate cancer in December and underwent a procedure called a prostatectomy to treat it on Dec. 22.
Over the following week, he developed complications and on Jan. 1, in extreme pain, he was taken to Walter Reed by ambulance where he was admitted to the intensive care unit. Austin remained at Walter Reed until Jan. 15. He then continued to recover and work from home, and he returned to the Pentagon Jan. 29.
His doctors have previously said his prognosis against the cancer is \u201cexcellent\u201d and that no further treatments will be needed.
Austin has gone back to Walter Reed for follow-ups since his hospitalization but this is his first unscheduled trip due to continued complications from his cancer treatments.
Austin did not tell President Joe Biden, Congress or his deputy defense secretary of his December cancer diagnosis or initial hospitalization for weeks. That secrecy has become the subject of an inspector general investigation and a Pentagon internal review. He has previously said he never instructed his staff to keep his hospitalization a secret.
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church services near his country estate in eastern England, making his first public appearance since his cancer diagnosis was announced last week.
Wearing a tan overcoat against the February chill and carrying a rolled-up umbrella, Charles was joined by Queen Camilla at St. Mary Magdalene Church, just a few hundred yards from Sandringham House where the king is recuperating after his first treatment for an unspecified form of cancer.
The 20,000-acre Sandringham estate, some 110 miles (180 kilometers) north of London, is a favorite refuge of the king\u2019s and offers a place of shelter where he can isolate from the risk of infection.
The appearance came a day after Charles expressed thanks for the messages of support he has received from the public. In a statement issued late Saturday, the monarch said that such thoughts are \u201cthe greatest comfort and encouragement.\u201d
\u201cIt is equally heartening to hear how sharing my own diagnosis has helped promote public understanding and shine a light on the work of all those organizations which support cancer patients and their families across the U.K. and wider world,\u201d he said in a statement, signed Charles R.
\u201cMy lifelong admiration for their tireless care and dedication is all the greater as a result of my own personal experience.\u201d
Buckingham Palace announced the king\u2019s diagnosis on Monday, less than three weeks after he was treated for an enlarged prostate. While palace officials didn\u2019t disclose the type of cancer, they said it wasn\u2019t prostate cancer.
On Sunday, a crowd of about 100 gathered outside the gates of the estate to show their support for the king. Charles and Camilla greeted a priest as they walked into the Anglican church, and waved to the crowd as they left.
St. Mary Magdalene is a medieval stone church that was restored in the 19th century. Protected as a historic building, the church includes memorials to the royal family stretching from Princess Alice in 1879 to King George VI, Charles\u2019 grandfather, in 1952.
Nearby Sandringham House, the private home of the past six British monarchs, sits amid parkland, gardens and working farms. It has been owned by the royal family since 1862.
Charles has visited the estate regularly since he was a child, when he would run through the halls playing tag and hide-and-seek with his mother, according to biographer Jonathan Dimbleby. In later years he has retreated to the estate on the north coast of Norfolk to enjoy hunting and nature walks through the windswept countryside.
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The passenger returning from a visit to the Democratic Republic of Congo reported that the luggage contained dried fish, but an inspection at Boston Logan Airport revealed dead and dehydrated bodies of four monkeys, agents said. The traveler said he brought the monkeys into the U.S. for his own consumption, Ryan Bissette, a CPB spokesperson, said Sunday.
Raw or minimally processed meat from wild animals, sometimes referred to as \u201cbushmeat,\u201d is banned in the U.S. because of the threat of disease.
\"The potential dangers posed by bringing bushmeat into the United States are real. Bushmeat can carry germs that can cause illness, including the Ebola virus,\u201d said Julio Caravia, local port director for Customs and Border Protection.
The incident happened last month but was made public on Friday.
Bissette said Sunday that no charges were filed but all of the luggage was seized and the nearly 9 pounds (4 kilograms) of bushmeat were marked for destruction by U.S. Centers for Disease Control and Prevention.
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Wade, more patients rely on early prenatal testing as states toughen abortion laws", + "headline_extended": "Doctors in states with strict abortion restrictions say an increasing number of pregnant women are seeking early prenatal testing", + "slugline": "AP-US-MED--Abortion-Prenatal Testing", + "description_summary": "Doctors in states with strict abortion restrictions say an increasing number of pregnant women are seeking early prenatal testing. They're hoping to detect serious problems while they still have time to choose whether to continue the pregnancy or have an abortion. But early ultrasounds show far less about the condition of a fetus than later ones. And genetic screenings may be inaccurate. Since Roe v. Wade, about half the states have put in abortion bans or restrictions. And that's started the clock ticking. Many health care providers say more patients are deciding the fate of their pregnancies based on whatever information they can gather before state bans kick in.", + "bylines": [ + { + "by": "By LAURA UNGAR and AMANDA SEITZ", + "title": "Associated Press" + } + ], + "located": "WASHINGTON", + "datelinelocation": { + "city": "Washington", + "countryareacode": "DC", + "countryareaname": "District of Columbia", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -77.03637, + 38.89511 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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In North Carolina, more obstetrics patients of Dr. Clayton Alfonso and his colleagues are relying on early genetic screenings that don\u2019t provide a firm diagnosis.
The reason? New state abortion restrictions mean the clock is ticking.
Since Roe v. Wade was overturned, many health care providers say an increasing number of patients are deciding the fate of their pregnancies based on whatever information they can gather before state bans kick in. But early ultrasounds show far less about the condition of a fetus than later ones. And genetic screenings may be inaccurate.
When you find out your fetus has a serious problem, \u201cyou\u2019re in crisis mode,\u201d said Sabrina Fletcher, a doula who has helped women in this predicament. \u201cYou\u2019re not thinking about legal repercussions and (state) cutoff dates, and yet we\u2019re forced to.\u201d
About half of states ban abortion or restrict it after a certain point in pregnancy. In Utah, it\u2019s generally illegal after the 18-week mark; in North Carolina, after 12 weeks.
This leaves millions of women in roughly 14 states with no option to get follow-up diagnostic tests in time to feasibly have an abortion there if they wanted, a paper published last March in the journal Obstetrics and Gynecology found. Even more states have abortion cutoffs too early for mid-pregnancy ultrasounds.
\u201cMore people are trying to find these things out earlier to try to fit within the confines of laws that in my mind don\u2019t have a place in medical practice,\u201d said Alfonso, an OB-GYN at Duke University.
When done at the right time, doctors said prenatal testing can identify problems and help parents decide whether to continue a pregnancy or prepare for a baby\u2019s complex needs after delivery.
One of the most common tests is the 20-week ultrasound, sometimes called an \u201canatomy scan.\u201d It checks on the fetal heart, brain, spine, limbs and other parts of the body, looking for signs of congenital problems. It can detect things like brain, spine and heart abnormalities and signs of chromosomal problems such as Down syndrome. Follow-up testing may be needed to make a diagnosis.
The type of ultrasounds patients receive \u2013 and when in pregnancy they have one done \u2013 can vary depending on the risk level of the patient, as well as the equipment and policies each practice has. For example, some women may have a first-trimester ultrasound to estimate a due date or check for multiple fetuses. But it\u2019s not standard practice because it is too early to see many of the fetus\u2019 limbs and organs in detail, the American College of Obstetricians and Gynecologists says.
It\u2019s impossible to spot problems like serious heart defects much before mid-pregnancy because the fetus is so small, Heuser said. Nonetheless, she said, more patients are having ultrasounds at 10 to 13 weeks to get access to abortion if needed.
Experts say there are no statistics on exactly how many people opt for early ultrasounds or make choices based on them. But some health care providers say they\u2019ve noticed an uptick in requests for the scans, including Missouri genetic counselor Chelsea Wagner. She counsels patients from around the nation through telehealth, frequently discussing the results of ultrasounds and genetic tests.
Wagner said these early ultrasounds can\u2019t provide the assurance patients are looking for because \u201cyou can\u2019t give somebody an \u2018everything looks good\u2019 or a clean bill of health off of an ultrasound at 10 weeks.\u201d
Doctors also can\u2019t make a firm diagnosis from a genetic screening, which is done at 10 weeks gestation or later.
These screenings, also called \u201cnon-invasive prenatal tests,\u201d are designed to detect abnormalities in fetal DNA by looking at small, free-floating fragments circulating in a pregnant woman\u2019s blood.
They screen for chromosomal disorders such as trisomy 13 and 18, which often end in miscarriage or stillbirth, Down syndrome and extra or missing copies of sex chromosomes.
The accuracy of these tests varies by disorder, but none is considered diagnostic.
Natera, one of only a handful of U.S. companies that makes such genetic tests, said in an email that prenatal test results are reported as either \u201chigh risk\u201d or \u201clow risk\u201d and that patients should seek confirmatory testing if they get a \u201chigh risk\u201d result.
Some may be pretty accurate, doctors said, but false positives are possible. In 2022, the Food and Drug Administration issued a warning about the screenings, reminding patients and doctors that results need further confirmation.
\u201cWhile genetic non-invasive prenatal screening tests are widely used today, these tests have not been reviewed by the FDA and may be making claims about their performance and use that are not based on sound science,\u201d Jeff Shuren, the director of the FDA\u2019s Center for Devices and Radiological Health, wrote in a statement.
The agency is poised to release a new regulatory framework in April that would require prenatal screenings, and thousands of other lab tests, to undergo FDA review.
Even before Roe was overturned, pregnant patients have sometimes been confused by what prenatal testing does \u2013 or doesn\u2019t \u2013 reveal about the pregnancy or fetus, said bioethicist Megan Allyse, whose research focuses on emerging technologies around women\u2019s reproductive health. She said it\u2019s important for doctors to go over the limitations of such screens and emphasize that the results they receive are not diagnoses.
Alfonso and Wagner said they advise getting diagnostic tests too. In addition to amniocentesis, which removes and tests a small sample of cells from amniotic fluid, these also include CVS, or chorionic villus sampling, which tests a small piece of tissue from the placenta. Both carry a small risk of miscarriage.
But lately, Wagner said, there\u2019s \u201cmore urgency to patients\u2019 decisions\u201d in many states.
That\u2019s because of the specifics of test timing. It can take a week or two to get the results of genetic screenings. CVS is offered at 10 to 13 weeks gestation, with initial results taking a few days and more detailed results around two weeks. Amniocentesis is typically done at 15 to 20 weeks, with similar timing for results.
If a state has a 12-week abortion ban, for instance, \u201csome people may have to act on a screening,\u201d Alfonso said.
Wagner said she's had to counsel patients who couldn't afford to travel out of state for an abortion if they waited for diagnostic testing.
\u201cThey are forced to use the information they have to make choices they never thought they\u2019d have to make,\u201d she said.
Some states restrict abortion so early that women would not have the chance to get any prenatal testing done before the cutoff.
That was the case for 26-year-old Hannah in Tennessee, which has a strict abortion ban. An ultrasound in late November, at about 18 weeks gestation, revealed she had amniotic band sequence, which is when very thin pieces of the amniotic membrane get attached to the fetus, sometimes causing fetal amputation and other problems. In Hannah\u2019s case, the bands were attached to many of her baby boy\u2019s body parts and ripped open multiple areas of his body.
She called clinics in Ohio and Illinois looking for a place to terminate the pregnancy, while her genetic counselor\u2019s office phoned roughly six facilities. She finally found a clinic 4 \u00bd hours away in Illinois and had the procedure in early December at 19 weeks gestation. A set of results from the amniocentesis \u2013 which was done to look for the cause of the problem \u2013 came back the day after her abortion, and other results after that.
Hannah, who didn\u2019t want her last name used for fear of backlash, said it\u2019s \u201cawful\u201d to have to think about state timelines, and to travel long distances out of state, when dealing with something like this. But she\u2019s grateful she had a firm diagnosis from the ultrasound and enough information to feel confident in her decision, which she made so her baby wasn't in \u201cpain and misery.\u201d
\u201cI know some women are not that lucky,\u201d Hannah said. She named her son Waylen.
___
Ungar reported from Louisville, Kentucky.
___
The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute\u2019s Science and Educational Media Group. The AP is solely responsible for all content.
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The document also includes expert opinions and real-life examples, making it highly relevant to the topic of health." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/02/12/432bc532a386c0f19789cf7ee2a8ac8b.json b/datasets/AP_news/raw_data/2024/02/12/432bc532a386c0f19789cf7ee2a8ac8b.json new file mode 100644 index 0000000..621eab6 --- /dev/null +++ b/datasets/AP_news/raw_data/2024/02/12/432bc532a386c0f19789cf7ee2a8ac8b.json @@ -0,0 +1,290 @@ +{ + "altids": { + "itemid": "432bc532a386c0f19789cf7ee2a8ac8b", + "etag": "432bc532a386c0f19789cf7ee2a8ac8b_2a15aza0c0", + "friendlykey": "987197921778", + "referenceid": "US--Smoking In Cars-West Virginia" + }, + "version": 2, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-02-12T22:32:03Z", + "firstcreated": "2024-02-12T18:51:09Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: Updates Media.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "US--Smoking In Cars-West Virginia", + "headline": "Smoking in cars with kids is banned in 11 states, and West Virginia could be next", + "headline_extended": "West Virginia lawmakers are pushing to make the state the 12th in the nation to ban smoking in cars with children", + "slugline": "BC-US--Smoking In Cars-West Virginia, 2nd Ld-Writethru", + "description_summary": "West Virginia lawmakers are pushing to make the state the 12th in the nation to ban smoking in cars with children. 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(AP) \u2014 Smoking in cars with children is banned in 11 states, and lawmakers are pushing to join them in West Virginia, where more adults use cigarettes than anywhere else in the nation, according to the Centers for Disease Control and Prevention.
The state Senate on Monday passed a bill calling for fines for anyone caught smoking or possessing a lit tobacco product in a vehicle when someone age 16 or under is present. The bill passed on 25-8 vote and now goes to the House of Delegates, where similar legislation has failed and it faces an uncertain future.
Senate Majority Leader Tom Takubo, a doctor-turned-lawmaker, made a promise long ago to a patient whose father was a heavy smoker that he would try to ban smoking in vehicles carrying children in West Virginia. Takubo has made it almost an annual effort since 2017 to introduce the legislation, but it didn't gain traction.
The Kanawha County Republican and lung doctor said the inspiration for the bill was a patient who was not a smoker but lost half of her lung function. When her father smoked, \u201cshe had to climb down to the bottom of the car and put her head underneath the seat,\u201d Takubo said.
Violators would face a misdemeanor subject to a maximum fine of $25. But it would be a secondary offense: smoking with children present cannot be the main reason a driver is pulled over.
Sen. Mike Azinger, a Wood County Republican, said the state has no right to infringe on parents' freedoms.
\u201cThe arguments for the bill are essentially emotional arguments,\" Azinger said. \"This is a cut at the fundamental rights of parents making a decision over their children in their vehicle. This is a state going where it has no business going.\u201d
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The 9-year-old\u2019s death in the northeastern province of Kratie was the first from bird flu in Cambodia this year. The World Health Organization and the U.N.'s Food and Agriculture Organization this month warned that Lunar New Year festivities celebrated in much of Asia posed an increased risk of spreading the virus. Officials are investigating who had contact with the brothers and how and where they contracted the virus.", + "bylines": [ + { + "by": "By SOPHENG CHEANG", + "title": "Associated Press" + } + ], + "located": "PHNOM PENH, Cambodia", + "datelinelocation": { + "city": "Phnom Penh", + "countrycode": "KHM", + "countryname": "Cambodia", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + 104.91601, + 11.56245 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. 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The 9-year-old's death in the northeastern province of Kratie was the first from bird flu in Cambodia this year, after four were reported last year by the World Health Organization.
Bird flu, also known as avian influenza, normally spreads in poultry and wasn\u2019t deemed a threat to people until a 1997 outbreak among visitors to poultry markets in Hong Kong. Most human cases have involved direct contact with infected poultry, but there have been concerns that the virus could evolve to spread more easily between people.
The WHO and the U.N.'s Food and Agriculture Organization this month warned that Lunar New Year festivities celebrated in much of Asia posed an increased risk of spreading the virus.
In a statement, Cambodia\u2019s Health Ministry said the 16-year old brother tested positive for the virus on Sunday but exhibited no symptoms. The boy was undergoing medical treatment, and officials are investigating who had contact with the brothers and how and where they contracted the virus.
The Health Ministry said the boy who died last week fell ill with fever, shortness of breath, coughing and fainting after eating a meal his parents had cooked from chicken and ducks they raised.
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(AP) \u2014 John Clair, the police chief of a small Appalachian town in southwest Virginia, spends his days consumed by a growing problem: the frequency with which his officers are tapped to detain, transport and wait in hospitals with people in the throes of a mental health crisis.
Officers from Clair's 21-member Marion Police Department crisscross the state to deliver patients for court-ordered treatment, sometimes only to discover the hospital where they were sent has no available beds. Patients end up boarding in waiting rooms or emergency rooms, sometimes for days on end, while under the supervision of Clair's officers.
It's a problem for law enforcement agencies around Virginia, one that advocates, attorneys and leaders like Clair say ties up policing resources and contributes to poor patient outcomes. In the past five years, these types of transports have become the largest single category of case the Marion department handles.
\u201cWe are against the wall,\u201d said Clair, an Army veteran and former lay pastor who sometimes shuttles patients himself, and did so last month on a nearly 15-hour round trip to a coastal city on the other side of the state.
The problem underscores a widely held consensus that Virginia\u2019s mental health care system is in urgent need of reform, due to what Gov. Glenn Youngkin\u2019s administration says is an overreliance on hospitalization at a time of growing need.
About a year ago, Youngkin, a Republican, rolled out an ambitious initiative that aims to transform the way psychiatric care is delivered by creating a system that allows people to get the treatment they need without delay, in their own community and not necessarily in the confines of a hospital, easing the burden on both patients and law enforcement.
While Virginia\u2019s struggles may be particularly acute, Youngkin is not alone in his focus on the issue. Improving mental health care became a priority in the U.S. like never before as the pandemic brought new levels of isolation, fear and grief, in addition to pre-existing crises such as rising drug overdose deaths and the struggles burdening teen girls. Survey data from the U.S. Substance Abuse and Mental Health Services Administration found that in 2022, about half of adults with any mental illness did not receive treatment.
\u201cWe know that there\u2019s a lot of partisan divide across the country, but what we\u2019ve found is whether it\u2019s red states or blue states, there\u2019s a lot of support for behavioral health at this point,\u201d said Brian Hepburn, executive director of the National Association of State Mental Health Program Directors.
Youngkin's emphasis on mental health developed during his 2021 campaign, when person after person \u2014 from doctors to local officials to police \u2014 pleaded with him to make it a priority, according to John Littel, the cabinet secretary overseeing the Virginia initiative.
\u201cIt was just so clear that people were really struggling,\u201d Littel said.
Youngkin has since won bipartisan support for his \u201cRight Help, Right Now\u201d initiative and praise from advocates, though some worry about the pace at which things are moving. The governor \u2014 whose press office says the initiative is exceeding key milestones \u2014 cannot seek a second consecutive term and leaves office in two years.
The initiative's wide-ranging goals include building up the behavioral health care workforce and working to stem the tide of overdose deaths, which claimed the lives of an average of seven Virginians a day in 2022. Youngkin has signed dozens of related bills into law and has secured hundreds of millions in new funding, with more proposed.
The \u201cfoundational\u201d part of the plan, as Littel describes it, is creating a system that delivers same-day help to individuals in crisis, which should also relieve some of the burden on police departments like Clair's that are charged with transporting most patients a court deems a risk to themselves or others.
Youngkin's administration hopes to build up that continuum of care by increasing the number of mobile crisis teams with clinicians to respond to mental health emergencies and creating more short-term stabilization centers for patients to avoid the need to take them hours away from their homes for care.
A recent report from the state's legislative watchdog emphasized the need.
Virginia had more than 20,000 temporary detention orders in fiscal year 2023, according to a recent presentation to lawmakers. Some 8,538 of those individuals experienced delays receiving psychiatric treatment after they had been deemed an imminent risk to themselves or others, the report found.
The report also raised concerns about law enforcement \u201cdrop offs,\u201d where officers or sheriff's deputies leave patients before they're accepted by a hospital or other facility. Recent testimony in a legislative hearing suggested drop-offs put some of those patients at risk of death.
Elsewhere in the U.S., states' policy concerns and approaches to improving mental health care have varied.
States have used federal coronavirus pandemic relief funds to bolster access to care, and most governors have talked about mental health in their state of the state addresses in the last few years. Mental health was listed as a budget priority in most states in an analysis by the National Association of State Budget Officers.
Will that emphasis continue?
\u201cIt\u2019s a marathon, it\u2019s not a sprint,\u201d said Katherine McGuire, chief advocacy officer of the American Psychological Association, \u201cand our daily hope is that the states especially after the public health emergency was rescinded will realize they have to stay at it, they have to stick with it.\u201d
Virginia's lawmakers are considering bills on the intersection of law enforcement and mental health this year.
Clair said he hoped that speaking with candor about his department's experiences will help them see the urgency of the problem. But he's worried that the part-time General Assembly, also grappling with controversial gambling and sports arena deals, may rush through something that falls short of what's needed.
The patient Clair transported across the state, costing his department thousands of dollars, has had around 15 mental health encounters with his agency in a year and a half, he estimates. One involved a suicide attempt.
The patient dropped off a handwritten thank-you note for the chief after their long ride. A short time later, she was back in his department's custody.
Clair said both police and patients in need \u2014 whose crises can be exacerbated by time spent detained in the back of a police car \u2014 deserve better.
\u201cWe're just setting ourselves up for tragedy over and over again,\" he said.
____
Geoff Mulvihill contributed to this report from Cherry Hill, New Jersey.
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His doctors say they \u201canticipate a successful recovery\" and his \u201ccancer prognosis remains excellent.\" This is Austin's second hospitalization this year. He transferred his authorities to Deputy Defense Secretary Kathleen Hicks on Sunday.", + "bylines": [ + { + "by": "By TARA COPP", + "title": "Associated Press" + } + ], + "located": "WASHINGTON", + "datelinelocation": { + "city": "Washington", + "countryareacode": "DC", + "countryareaname": "District of Columbia", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -77.03637, + 38.89511 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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Austin, 70, was taken to Walter Reed National Military Medical Center on Sunday afternoon to address bladder issues and admitted to the intensive care unit. It was his second hospitalization this year in Walter Reed's ICU following the surgery in December.
He underwent nonsurgical procedures Monday under general anesthesia to address the bladder issue, his doctors said in a statement released by the Pentagon.
\u201cWe anticipate a successful recovery and will closely monitor him overnight,\u201d the statement said. \u201cA prolonged hospital stay is not anticipated.\u201d
Austin had been scheduled to travel to Brussels on Tuesday to attend a regular meeting of the Ukraine Defense Contact Group, a gathering of about 50 countries to coordinate military aid for Kyiv. That meeting will now be held virtually, the Pentagon press secretary, Maj. Gen. Pat Ryder, said.
Austin is planning to attend that virtual meeting, but if his condition prevents him from participating he will be represented by Celeste Wallander, the assistant secretary of defense for international security affairs.
White House national security spokesman John Kirby said Monday he did not know if President Joe Biden had spoken directly to Austin since he was hospitalized but that the president still had confidence in his ability to serve.
The Pentagon\u2019s handling of Austin\u2019s latest hospitalization is in marked contrast to how it handled his initial December diagnosis and treatment, which Austin and a few select members of his staff kept secret from almost everyone, including Biden. Austin has since apologized.
The decisions around not sharing that information with the president or public remain under review by the Pentagon\u2019s inspector general. A separate internal review by the Defense Department has been completed, but not been made public yet.
It was not immediately clear if this bladder issue was a result of his prostate cancer treatment or a new health concern. In their statement Austin's doctors said it is not expected to change his anticipated full recovery, and that Austin's \"cancer prognosis remains excellent.\u201d
Austin transferred his authorities to Deputy Defense Secretary Kathleen Hicks on Sunday.
Following the Ukraine meeting, he was to attend a regular meeting of NATO defense ministers, also in Brussels. The U.S. ambassador to NATO, Julie Smith, will represent Austin at that meeting on Thursday, Ryder said.
In January, Austin spent two weeks at Walter Reed after he was taken there by ambulance in extreme pain following complications from his December prostate cancer surgery.
\u2014-
Zeke Miller contributed to this story.
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He claims that the Kroger Co.'s pharmacies helped fuel the state\u2019s deadly opioid addiction crisis. The lawsuit against Kroger says its more than 100 Kentucky pharmacies were responsible for over 11% of all opioid pills dispensed in the state between 2006 and 2019. The suit says that amounted to hundreds of millions of doses inundating Kentucky communities without reasonable safeguards. The lawsuit was filed Monday in Bullitt County Circuit Court. Kroger officials did not immediately respond to emails seeking comment.", + "bylines": [ + { + "by": "By BRUCE SCHREINER", + "title": "Associated Press" + } + ], + "located": "FRANKFORT, Ky.", + "datelinelocation": { + "city": "Frankfort", + "countryareacode": "KY", + "countryareaname": "Kentucky", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -84.87328, + 38.20091 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. 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(AP) \u2014 Kentucky Attorney General Russell Coleman filed a lawsuit Monday against one of the nation\u2019s largest grocery chains, claiming its pharmacies helped fuel the state's deadly opioid addiction crisis.
The lawsuit against the Kroger Co. says its more than 100 Kentucky pharmacies were responsible for over 11% of all opioid pills dispensed in the state between 2006 and 2019. It amounted to hundreds of millions of doses inundating Kentucky communities without reasonable safeguards, the suit said.
\u201cFor more than a decade, Kroger flooded Kentucky with an almost unthinkable number of opioid pills that directly led to addiction, pain and death,\u201d Coleman said in a statement.
The lawsuit was filed in Bullitt County Circuit Court in Shepherdsville, 20 miles (32 kilometers) south of Louisville. Among other things, the suit is seeking civil penalties of $2,000 against the grocery chain for each alleged willful violation of the Kentucky Consumer Protection Act.
Kroger officials did not immediately respond to emails seeking comment Monday.
The Bluegrass State has been hard hit by the nation's overdose crisis, and a series of Kentucky attorneys general from both political parties \u2014 including now-Gov. Andy Beshear, a Democrat \u2014 aggressively pursued legal action against companies that make or distribute opioid-based medication. Coleman, a Republican who took office at the start of this year, continued the trend with his suit against Kroger \u2014 a prominent corporate brand in Kentucky.
Overdose fatalities in Kentucky surpassed 2,000 again in 2022 but were down from the prior year, Beshear said in a 2023 announcement. Increased use of fentanyl \u2014 a powerful synthetic opioid \u2014 is blamed as a key factor behind the state\u2019s chronically high overdose death toll.
The new lawsuit claims that Kroger failed to implement any effective monitoring program to stop suspicious opioid orders. As a distributor and dispenser, Kroger had access to real-time data revealing unusual prescribing patterns, Coleman's office said. Despite such \u201cred flags,\u201d Kroger did not report a single suspicious prescription in Kentucky between 2007 and 2014, the AG's office said.
\u201cKroger, which families have trusted for so long, knowingly made these dangerous and highly addictive substances all too accessible,\" Coleman said. \u201cWorst of all, Kroger never created a formal system, a training or even a set of guidelines to report suspicious activity or abuse.\u201d
The suit alleges Kroger bought more than four billion morphine milligram equivalents of opioids for Kentucky between 2006 and 2019, roughly equivalent to 444 million opioid doses. The company distributed almost 194 million hydrocodone pills to its Kentucky pharmacies between 2006 and 2019, the suit said.
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Editorial: Set modest goals for legislative session
After four years of major policy changes \u2014 and big spending \u2014 here\u2019s hoping for a return to normalcy in even-year work at the State Capitol.
After all that state government has been through in the last four years, the return of the Minnesota Legislature to the State Capitol Monday may have some Minnesotans bracing for a fresh wave of major change.
Legislators have generated a number of such waves already this decade, producing both disruption and impressive results. Minnesotans can take pride in how their state government navigated the pandemic and in many of the policy and spending decisions made during last year\u2019s supercharged, big-surplus session.
But now the pandemic is largely passed, the economy has improved, the state budget is set, and the election of state senators and constitutional officers is more than two years away. That makes this a fine year for legislators to give Minnesotans a reassuring show of steadiness. We\u2019re rooting for an old-style even-year session.
Even-year regular sessions resumed 50 years ago after a nearly century-long hiatus, with an understanding that legislators would not reopen biennial budgets unless the state was facing an emergency. Budgets would still be set in odd-numbered years. In even years, legislators were tasked with directing capital investments via a bonding bill, considering non-fiscal policy matters, conducting oversight and planning, and amending flaws in previous legislation.
That 50-year-old agenda, writ broadly, is well suited to this year. Last year\u2019s whopping $17 billion surplus has been allocated. The latest state budget forecast projects that in 2026-27, spending is on track to exceed revenue by $2.3 billion. Fiscal restraint is now in order.
The forecast makes room for what ought to be this session\u2019s top goal: resuming the traditional every-other-year rhythm for major bonding bills. Too many times in the past two decades, that rhythm has been disrupted by partisan gamesmanship. The $2.6 billion bill enacted last year was a catch-up measure, needed because no bill passed in 2021 or 2022.
This year, a bill close in size to the $982 million proposed by Gov. Tim Walz is affordable. That\u2019s enough to produce a nuts-and-bolts bill devoted to repair of existing structures, especially on higher education campuses, and improvements in public health and safety, including clean water.
Other proposals to increase general fund spending should be met with caution. But the general fund is not the only funding source at legislators\u2019 disposal. They should think creatively and respond affirmatively to the plea from University of Minnesota to shore up funding of academic medicine and help the university return to sole ownership of its hospital facilities, as envisioned in a letter of intent last week between the U and Fairview Health Services.
The Legislature ought not wait until 2025 to bolster this state\u2019s commitment to keeping health care, education and research strong at the U. The recent uncertainty that has surrounded the future of the university\u2019s quarter-century relationship with Fairview has already taken a toll. Minnesota slipped to ninth place among public research universities in NIH funding in 2023, behind Wisconsin. A show of state support this year would help keep talent and research dollars coming.
The U also deserves to be at or near the front of the line if the next state budget forecast reveals an opportunity to supplement fiscal 2025 appropriations. The university is now scheduled for no increase in state aid in fiscal 2025 after a modest increase in 2024. Flat funding of the state\u2019s best talent magnet won\u2019t help Minnesota win the competition for brainpower. World-class universities are central to the best economies in the world.
One other funding claimant \u2014 public safety, including transit \u2014 should also be favored for a boos t. The personnel shortage that afflicts law enforcement is not solely a money issue, but it likely can\u2019t be solved without additional spending. In particular, legislators should act on Walz\u2019s 2023 recommendation for $8 million to enclose and control access to some of the most crime-plagued light-rail stations \u2014 a strategy the Star Tribune Editorial Board endorsed in its 2023 special report \u201d Systemic insecurity: Saving Twin Cities light rail.\u201d
Where possible, though, this year\u2019s legislators should look for remedies for the state\u2019s ills that involve policy changes rather than funding increases, and that incorporate ideas from both parties and all regions of the state. Particular attention should be given to the state\u2019s persistent shortage of workers and the deficiencies related to it in housing, child care, health care and education. The state\u2019s business community should be heard at the Capitol, especially after a 2023 session that rankled leaders of some of the state\u2019s most valuable employers.
This session should afford legislators time to lead discussions about long-simmering questions, among them legalization of sports gambling and end-of-life options for the terminally ill. It should allow for improvements in last year\u2019s laws governing police restraint of students in schools and the establishment of dispensaries to sell marijuana.
This should be the year that an Equal Rights Amendment to the Minnesota Constitution is finally sent to the voters for approval \u2014 101 years after a constitutional gender-equity guarantee was first introduced in the Minnesota House.
That move might be seen as a salute to the rise of female leadership at the Legislature in recent years, including newly elected Senate Majority Leader Erin Murphy. It could also count as a tribute to one who stepped down. Senate Majority Leader Kari Dziedzic\u2019s Feb. 2 resignation from leadership for health reasons brought legislators together in concern and praise for her ability to unite people of diverse perspectives around common causes. We join those who wish her well, and hope that her example long endures.
___
Mankato Free Press. February 12, 2024.
Editorial: Refusing to follow mask laws not a free speech issue
We are big, bold boosters of free speech, and that speech indeed could be heard through masks during the COVID pandemic.
Fortunately, a recent federal appeals court ruling reflects that stance. The 3rd Circuit Court of Appeals issued a ruling in two related cases in New Jersey stemming from lawsuits where plaintiffs said school boards retaliated against them because they refused to wear masks during public meetings.
Four years after the pandemic reared its ugly head in this country, we all remember the controversial struggles over pandemic laws that were put in place to make public health the top priority. That meant mask mandates in many states and communities. New Jersey was no different, and at least two members of the public refused to wear masks at school board meetings and were eventually cited for trespassing. They\u2019d broken the law.
The appeals court that heard those two cases reasoned that refusing to recognize the mask requirement during a public health emergency didn\u2019t amount to free speech. The court equated it to refusing to pay taxes based on the belief that taxes are theft or not wearing a motorcycle helmet as a symbolic protest against a state law requiring them. You can voice your objection and refuse to follow the requirements, but that doesn\u2019t mean you aren\u2019t breaking the law.
School board members and officials were vilified across the country as they tried to make decisions to best educate students and keep them and staff protected from illness during an unprecedented public health crisis. Parents and other members of the public had every right to weigh in \u2014 but not illegally so.
At this point, many people just want to put the pandemic behind them and all of the angst that went with it. However, there was much to be learned from what we went through, including recognizing the difference between an opinion and a constitutional right.
END
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February 9, 2024.
Editorial: Missouri\u2019s war on women targets rape victims, health care \u2014 and democracy itself
What does the Missouri Legislature have against women?
It\u2019s a question that feels more pressing all the time lately. And not just because of the near-total ban on abortion rights that the state imposed literally minutes after the Supreme Court\u2019s reversal of Roe v. Wade in 2022.
Despite already realizing their most long-held, fundamental goal, the Republicans who control state government still seem determined to continue transforming Missouri into some real-life version of the dystopian novel \u201cThe Handmaid\u2019s Tale.\u201d
In recent days alone, they have tried to nix funding for the contraceptive services provided by Planned Parenthood, have moved to prevent a fair referendum vote on abortion rights, and \u2014 in a remarkable demonstration of the callousness at the heart of their movement \u2014 summarily defeated proposals to allow abortion exceptions for rape victims.
Missouri\u2019s abortion ban is as strict as any in the nation, outlawing the procedure in all cases, including rape and incest, with only a vaguely defined exception for \u201cmedical emergencies.\u201d
The specter of re-victimizing rape and incest victims, including minors, by forcing them to continue the pregnancy has made even many anti-abortion rights advocates around the country amenable to those exceptions.
But when Democrats on Wednesday proposed such exceptions in the Missouri Senate, every Republican present reaffirmed commitment to this cruelty by voting it down.
Comments in floor debate by Sen. Sandy Crawford, R-Buffalo, were especially illuminating regarding the party\u2019s mindset. She allowed that rape is \u201c mentally taxing,\u201d but declared: \u201cGod is perfect. God does not make mistakes. And for some reason he allows (rape) to happen. Bad things happen.\u201d
Just for the record, rape isn\u2019t \u201cmentally taxing\u201d \u2014 it\u2019s deeply traumatic. And American lawmakers are supposed to advance the public\u2019s interests, not their personal religious views.
Polls indicate that if Missouri voters were given the opportunity, the majority would reinstate abortion rights here. Which explains the continuing determination of Republican lawmakers to change the rules in order to make statewide referendums more difficult to pass.
The latest proposal would require majority support from voters in more than half of the state\u2019s 163 House districts, instead of just a majority of all voters statewide. It\u2019s a process that, according to an analysis by the Missouri Independent, could mathematically empower as few as 20% of the state\u2019s voters to determine the outcome of any referendum and give rural areas virtual veto power over every ballot measure.
It\u2019s a direct assault on the democratic principle of one person, one vote, with a clear goal in mind. As Tim Jones, state director of the hard-right Missouri Freedom Caucus, bluntly told the Independent, doing it that way would be \u201cbetter for folks on the right side of the political spectrum\u201d \u2014 meaning, worse for women and their supporters who are trying to restore abortion rights.
Separately, legislative Republicans are continuing their yearslong campaign to cut off all public Planned Parenthood funding in Missouri.
To be clear: Planned Parenthood no longer provides abortion services in Missouri because of the state ban. So what legislators would cut off with the defunding effort is contraceptive services, cancer screening, STI testing and other women\u2019s health care still provided by the organization.
But, hey \u2014 \u201cBad things happen.\u201d Especially for women in Missouri.
END
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Wade, more patients rely on early prenatal testing as states toughen abortion laws", + "headline_extended": "Doctors in states with strict abortion restrictions say an increasing number of pregnant women are seeking early prenatal testing", + "slugline": "BC-US-MED--Abortion-Prenatal Testing-ABRIDGED", + "description_summary": "Doctors in states with strict abortion restrictions say an increasing number of pregnant women are seeking early prenatal testing. They're hoping to detect serious problems while they still have time to choose whether to continue the pregnancy or have an abortion. But early ultrasounds show far less about the condition of a fetus than later ones. And genetic screenings may be inaccurate. Since Roe v. Wade, about half the states have put in abortion bans or restrictions. And that's started the clock ticking. Many health care providers say more patients are deciding the fate of their pregnancies based on whatever information they can gather before state bans kick in.", + "bylines": [ + { + "by": "By LAURA UNGAR and AMANDA SEITZ", + "title": "Associated Press" + } + ], + "located": "WASHINGTON", + "datelinelocation": { + "city": "Washington", + "countryareacode": "DC", + "countryareaname": "District of Columbia", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -77.03637, + 38.89511 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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Wade was overturned, many health care providers say an increasing number of patients are deciding the fate of their pregnancies on whatever information they can gather before state abortion bans kick in.
But early ultrasounds show far less about the condition of a fetus than later ones. And genetic screenings may be inaccurate.
When you find out your fetus has a serious problem, \u201cyou\u2019re in crisis mode,\u201d said doula Sabrina Fletcher. \u201cYou\u2019re not thinking about legal repercussions and (state) cutoff dates, and yet we\u2019re forced to.\u201d
About half of states ban abortion or restrict it after a certain point in pregnancy.
This leaves millions of women in roughly 14 states with no option to get follow-up diagnostic tests in time to feasibly have an abortion there if they wanted, a paper published last March in the journal Obstetrics and Gynecology found. Even more states have abortion cutoffs too early for mid-pregnancy ultrasounds.
\u201cMore people are trying to find these things out earlier to try to fit within the confines of laws that in my mind don\u2019t have a place in medical practice,\u201d said Dr. Clayton Alfonso, an OB-GYN at Duke University in North Carolina.
When done at the right time, doctors said prenatal testing can identify problems and help parents decide whether to have an abortion or continue a pregnancy and prepare for a baby\u2019s complex needs after delivery.
One of the most common tests is the 20-week ultrasound. It checks on the fetal heart, brain, spine, limbs and other parts of the body, looking for signs of congenital problems. It can detect things like brain, spine and heart abnormalities and signs of chromosomal problems such as Down syndrome. Follow-up testing may be needed to make a diagnosis.
The earlier ultrasounds, in the first trimester for example, are not standard practice because it is too soon to see many of the fetus\u2019 limbs and organs in detail, the American College of Obstetricians and Gynecologists says.
It\u2019s impossible to spot problems like serious heart defects much before mid-pregnancy because the fetus is so small, said Dr. Cara Heuser, who practices maternal-fetal medicine in Utah. Nonetheless, she said, more patients are having ultrasounds at 10 to 13 weeks to get access to abortion if they choose.
Experts say there are no statistics on how many people opt for early ultrasounds or make choices based on them. But some health care providers say they\u2019ve noticed an uptick in requests for the scans, including Missouri genetic counselor Chelsea Wagner. She counsels patients from around the nation through telehealth.
But she said doctors can\u2019t provide patients with \"an everything looks good\u2019 or a clean bill of health off of an ultrasound at 10 weeks.\u201d
Doctors also can\u2019t make a firm diagnosis from a genetic screening, which is done at 10 weeks gestation or later. These screenings are designed to detect abnormalities in fetal DNA by looking at small, free-floating fragments circulating in a pregnant woman\u2019s blood.
They screen for chromosomal disorders such as trisomy 13 and 18, which often end in miscarriage or stillbirth, Down syndrome and extra or missing copies of sex chromosomes.
The accuracy of these tests varies by disorder, but none is considered diagnostic.
Natera, one of only a handful of U.S. companies that makes such genetic tests, said in an email that prenatal test results are reported as either \u201chigh risk\u201d or \u201clow risk\u201d and that patients should seek confirmatory testing if they get a \u201chigh risk\u201d result.
Some may be pretty accurate, doctors said, but false positives are possible. In 2022, the Food and Drug Administration issued a warning about the screenings, reminding patients and doctors that results need further confirmation.
The agency is poised to release a new regulatory framework in April that would require prenatal screenings, and thousands of other lab tests, to undergo FDA review.
In states with tough abortion laws, health care providers said, there's more urgency because of the timing of diagnostic tests.
CVS or chorionic villus sampling, is offered at 10 to 13 weeks gestation. Initial results take a few days and more detailed ones around two weeks. Amniocentesis is typically done at 15 to 20 weeks, with similar timing for results.
If a state has a 12-week abortion ban, for instance, \u201csome people may have to act on a screening,\u201d Alfonso said.
Wagner said she's had to counsel patients who couldn't afford to travel out of state for an abortion if they waited for diagnostic testing. \u201cThey are forced to use the information they have to make choices they never thought they\u2019d have to make,\u201d she said.
Some states restrict abortion so early that women would not have the chance to get any prenatal testing done before the cutoff.
That was the case for 26-year-old Hannah in Tennessee, which has a strict abortion ban. An ultrasound in late November, at about 18 weeks, revealed she had amniotic band sequence, when very thin pieces of the amniotic membrane get attached to the fetus. In Hannah\u2019s case, the bands were attached to many of her baby\u2019s body parts and ripped open multiple areas of his body.
After calling clinics in Ohio and Illinois to terminate the pregnancy, she finally found one 4 \u00bd hours away in Illinois and had the procedure in early December at 19 weeks gestation. Results from the amniocentesis \u2013 which was done to look for the cause of the problem \u2013 came back the day after her abortion, and other results after that.
Hannah, who didn\u2019t want her last name used for fear of backlash, said it\u2019s \u201cawful\u201d to have to think about state timelines, and to travel long distances when dealing with something like this. But she\u2019s grateful she had enough information to feel confident in her decision.
\u201cI know some women are not that lucky,\u201d Hannah said. She named her son Waylen.
___
Ungar reported from Louisville, Kentucky.
___
The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute\u2019s Science and Educational Media Group. The AP is solely responsible for all content.
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In a report, the New York-based watchdog said this has left the \u201cAfghan population increasingly vulnerable to severe malnutrition and illness\u201d among other effects of inadequate medical care.
The Taliban takeover of Afghanistan in August 2021 drove millions into poverty and hunger after foreign aid stopped almost overnight. Sanctions against the Taliban rulers, a halt on bank transfers and frozen billions in Afghanistan\u2019s currency reserves, have cut off access to global institutions and the outside money that supported the aid-dependent economy before the withdrawal of U.S. and NATO forces.
In 2023, the World Food Program warned that malnutrition rates in Afghanistan were at a record high with half the country suffering from severe hunger throughout the year.
\u201cWomen and girls have been disproportionately affected by the healthcare crisis, particularly because of Taliban abuses,\u201d said the report.
The Taliban have barred women from most areas of public life and work and stopped girls from going to school beyond the sixth grade as part of harsh measures they imposed after taking power.
Taliban restrictions on women\u2019s freedom of movement and employment have gravely limited their access to health services, the HRW report said, while bans on education have blocked almost all training of future female healthcare workers in the country.
\u201cThe loss of foreign development aid and Taliban rights violations have caused a catastrophic health crisis in Afghanistan that is disproportionately harming women and girls,\u201d the report quoted Fereshta Abbasi, Afghanistan researcher at Human Rights Watch, as saying.
She added that \"the cost of treatment and medicine has put care out of reach for many Afghans.\u201d
HRW remotely interviewed 46 Afghan and foreign aid officials, healthcare workers, and people seeking healthcare in 16 of Afghanistan\u2019s 34 provinces between February 2023 and January 2024. Fifteen of the interviewees, 12 women and three men, were with Afghans who had sought health care. The rights group also talked to Afghan healthcare officials, 10 women and eight men.
The Taliban government spokesmen were not immediately available to comment on the report.
While Afghans living in poverty have always faced difficulties obtaining health care because of costs, a rising number now struggle to pay for food and are often unable to cover the price of medicines and transportation to reach health services.
\u201cSince the Taliban took over, the price of my medications has nearly doubled,\" a 54-year-old man living with a kidney infection told HRW. \"This is too much for anyone who doesn\u2019t have a job.\u201d
The report also cited an unnamed official with the charity Mercy Corps in September as telling HRW that \u201cthe humanitarian response in Afghanistan simply cannot keep pace with the country\u2019s worsening conditions.\u201d
The Taliban have also also imposed the women's head-covering, or hijab, and strict regulations regarding the presence of a male guardian, known as mahram, further impeding women from traveling for work or receiving treatment, the report said.
The report cited an unnamed doctor in the town of Samangan as saying they have been told by the Taliban \"not to treat any female patient who is not accompanied by a mahram or is not in full hijab.\u201d
\u201cThe unprecedented economic crisis in Afghanistan has meant that millions are facing life-threatening conditions,\u201d said Abbasi, the HRW researcher. \u201cThe situation demands more than humanitarian aid; it requires sustainable efforts to avert further economic decline and alleviate the immense suffering of the Afghan population.\u201d
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Austin, who is 70, has had ongoing health issues since undergoing surgery in December to treat prostate cancer. He was taken back to Walter Reed on Sunday for a bladder issue and admitted to intensive care for a second time since the surgery. He underwent a non-surgical procedure under general anesthesia on Monday. His doctors said the bladder issue was related to the surgery and \u201cwill have no effect on his excellent cancer prognosis.\u201d He is expected to host a virtual meeting Wednesday of about 50 countries who meet monthly to coordinate military aid for Ukraine.", + "bylines": [ + { + "by": "By TARA COPP", + "title": "Associated Press" + } + ], + "located": "WASHINGTON", + "datelinelocation": { + "city": "Washington", + "countryareacode": "DC", + "countryareaname": "District of Columbia", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -77.03637, + 38.89511 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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Austin, 70, has had ongoing health issues since undergoing surgery in December. He was taken back to Walter Reed on Sunday for a bladder issue and admitted to intensive care for a second time. He underwent a non-surgical procedure under general anesthesia on Monday.
Austin\u2019s doctors said Tuesday that his bladder issue was related to the surgery.
\u201cThe bladder issue was not related to his cancer diagnosis and will have no effect on his excellent cancer prognosis,\u201d Dr. John Maddox, trauma medical director, and Dr. Gregory Chesnut, director of the Center for Prostate Disease Research at the Murtha Cancer Center, said in a statement.
On their advice, Austin will work from home before returning to the Pentagon later this week. His home has \u201cfull access to the unclassified and classified communications systems necessary to perform his duties,\u201d the Pentagon said in a statement.
Austin is expected to host a virtual meeting Wednesday of about 50 countries who meet monthly to coordinate military aid for Ukraine.
He had been scheduled to travel to Brussels on Tuesday for that Ukraine meeting, followed by a quarterly meeting with NATO defense ministers on Thursday. The U.S. ambassador to NATO, Julie Smith, will represent Austin in Brussels instead.
In January, Austin was hospitalized for two weeks at Walter Reed after he experienced complications from the surgery.
His Walter Reed doctors had said they did not anticipate he would be in the hospital this time for a prolonged period.
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The board's vote represented a key step toward implementing a law approved more than a year ago to allow the recreational use on the three islands. A 30-day public comment period on the proposed regulations and rules is scheduled to start soon.
\u201cWe have been waiting a very long time for this,\u201d Dr. Catherine Kean, the advisory board's chairperson, said.
The board also is finalizing a list of people it thinks are qualified to have their criminal records expunged of simple cannabis possession, as authorized by the law. The list will be shared with legislators, the island\u2019s Supreme Court and others in upcoming weeks, board member Positive Nelson said.
Some 300 people in the U.S. Virgin Islands have been convicted of simple marijuana possession in the past 20 years.
The board also is completing a registration system, with people who use cannabis for medicinal or sacramental purposes expected to have access to it by April, according to Hannah Carty, the board\u2019s executive director.
Every two years, religious and faith organizations will have to pay $200 to register, and medical practitioners will be charged $250, officials said.
Businesses will be able to register by June or July, Carty said, adding that the government just completed a request-for-proposal process for seed-to-sale operations. However, cultivation and manufacturing licenses likely will not be granted before the end of the year, she said.
\u201cA lot of things are not within our control,\u201d Carty noted.
While the U.S. territory approved marijuana for medicinal use in 2019, the recreational use that was legalized in January 2023 stalled for several reasons, including wording of the bill and the cannabis advisory board lacking sufficient members for a quorum.
The law allows adults ages 21 and older to possess up to 2 ounces of marijuana, a half-ounce of cannabis concentrate and 1 ounce of products such as edibles for recreational, sacramental and other uses.
Medical marijuana patients are allowed to possess up to 4 ounces of cannabis, 1 ounce of concentrate and 2 ounces of products.
A minimum 18% tax will apply to all dispensary sales, although medical marijuana patients are exempt. Three-fourths of the tax revenue is expected to go to the general fund. Of that amount, 15% is earmarked for behavioral health programs, 5% to address homelessness and 5% for youth programs.
Nelson asked if an actual card for marijuana patients would be issued: \u201cFor the OGs. I was thinking about that,\u201d he said as the other board members smiled.
Carty said patients would receive digital IDs they can keep on their phones or print out.
The U.S. Virgin Islands is the latest part of the Caribbean to relax marijuana laws. Antigua decriminalized marijuana use for the general public, and Jamaica has decriminalized small amounts of pot. Meanwhile, the Bahamas has started debating several bills to legalize marijuana for medical and religious purposes and decriminalize possession of small amounts.
The cannabis advisory board members in the U.S. Virgin islands celebrated their progress.
\u201cThe train is ready to leave the station,\u201d board member Richard Evangelista said. \u201cAll passengers are on board.\u201d
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That could change soon", + "headline_extended": "Two years after Thailand made pot legal, the country appears set to crack down on its freewheeling drug market with a ban on \u201crecreational\u201d use", + "slugline": "BC-AS--Thailand-Cannabis, 2nd Ld-Writethru", + "description_summary": "Two years after Thailand made pot legal, the country appears set to crack down on its freewheeling drug market with a ban on \u201crecreational\u201d use. Legal cannabis has fueled Thailand\u2019s tourism and farming trades and spawned thousands of neon green shops, but it\u2019s facing public backlash over perceptions that under-regulation has made the drug available to kids and caused crime. The Health Minister Chonlanan Srikaew said last week that he had recommended a draft bill to the Cabinet that would ban recreational cannabis use while allowing medical. 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Legal cannabis has fueled Thailand's tourism and farming trades and spawned thousands of neon green shops, but it's facing public backlash over perceptions that under-regulation has made the drug available to kids and caused crime.
The Health Minister Chonlanan Srikaew said last week that he had recommended a draft bill to the Cabinet that would ban recreational cannabis use while allowing medical. The Cabinet is expected to approve sending that Parliament soon, but has not yet taken it up as of its most recent meeting on Tuesday.
A draft version of the law that was circulated for public comment in January would make using cannabis \u201cfor entertainment or pleasure\u201d a crime punishable by a 60,000 baht (about $1,700) fine. It would allow medical marijuana, but didn't give details of how it would be controlled.
Thailand was the first country in Asia to legalize cannabis. Decriminalization was spearheaded by the Bhumjaithai Party, which made it a major part of its platform in the 2019 general election campaign. The party\u2019s stronghold is in the poor Northeast, where it promised farmers cannabis would be a new cash crop.
Party leader Anutin Charnvirakul became health minister and an important member of the military-led coalition, pushing through a 2022 amendment to the Narcotics Law that dropped cannabis from the list of controlled drugs.
Anutin had promised that cannabis would be allowed only for medical use, but in practice the market was nearly unregulated.
The Health Ministry issued regulations that made cannabis a \u201ccontrolled herb\u201d that requires a license for planting or selling, as well as banning online sales, sales to pregnant women and people under 20, and public smoking. But cannabis can be purchased easily by practically anyone at many unlicensed establishments or online.
Thai media was quickly filled with reports of drug-fueled violence and abuse, including among young people, who were not supposed to have access to the drug.
The Health Ministry reported a spike in people seeking treatment cannabis-related psychological issues, from more than 37,000 patients in fiscal year 2022 to more than 63,000 patients in 2023. Other studies pointed to more young people using the drug.
In the 2023 election campaign, all major parties \u2014 including Bhumjaithai \u2014 promised to limit cannabis to medical use.
Kalyapat Rachitroj, a lawmaker from the opposition Move Forward Party who has a medical degree, said the plant has economic benefits, and has uses in health care to relieve pain and for terminally ill patients. But, she said, widespread recreational cannabis has created social problems such as youth drug abuse.
Given the current situation, \u201cwe have no option but to put marijuana back to be classified as narcotics once again.\u201d
Cannabis advocates and entrepreneurs oppose a radical rollback.
Chokwan \u201cKitty\u201d Chopaka, a cannabis shop owner and activist in Bangkok, acknowledged problems involving cannabis use but said they are due to lax enforcement of existing regulations.
She said many officials still see cannabis as a dangerous narcotic. \u201cWhere we, on the other hand, see it as a plant. It\u2019s an herb. It\u2019s something that we have had traditionally for a very long time.\u201d
Rattapon Sanrak, the founder of Thailand\u2019s first legal cannabis shop, said it would be an overreaction to put cannabis back on the narcotics list.
He also said the move would be impractical or even impossible, given how big the industry has grown.
\u201cI don\u2019t think there\u2019s anyone who disagrees with the control of use for underage children. No one wants to see people puffing weed on the street,\" he said. \u201cSellers \u2026 also don\u2019t want to see those street vendors who sell without a license.\u201d
He called for more discussion on the best way to control the drug.
\u201cPeople who don\u2019t like it, people who are users, people who operate businesses, I think these parties have to find a common ground on how to exist together.\u201d
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Eleven communities in the South and Southwest were chosen in 2022 for a pilot program, and another 150 will be able to apply for assistance, which will be granted on a rolling basis, said Radhika Fox, assistant administrator of the U.S. Environmental Protection Agency's water office.
More than 2 million people in the U.S. lack indoor plumbing and more live with failing sewage systems that can result in waste backing up into homes or pooling on the ground, threatening public health and degrading basic dignity, the EPA said.
\u201cFor the first time ever, these communities are going to get an assessment about ... what is the status of their wastewater infrastructure. And then they\u2019re going to get a community solutions plan, which will really articulate ... what are the the improve that can be made, in the most cost effective way possible,\u201d Fox said.
Still, \u201cthe water infrastructure gap is is greater than the resources we have,\u201d and the Biden administration will continue to advocate for more funding, she said.
Among the first communities to receive assistance was the San Carlos Apache Reservation in Arizona, where two-thirds of homes have septic systems that often fail. The tribe has received funding to pump septic tanks and develop educational materials, and is applying for funding for infrastructure improvements, Fox said.
The town of White Hall, in Lowndes County, Alabama, has developed wastewater treatment and funding options to address sewage that sometimes ran into yards.
\u201cWe\u2019re so thankful for where we are at this particular point,\u201d said Catherine Flowers, founder of the Center for Rural Enterprise and Environmental Justice.
___
The Associated Press receives support from the Walton Family Foundation for coverage of water and environmental policy. The AP is solely responsible for all content. For all of AP\u2019s environmental coverage, visit https://apnews.com/hub/climate-and-environment
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Charles and his wife Queen Camilla flew by helicopter to Buckingham Palace from the royals\u2019 Sandringham estate in Norfolk, eastern England. The monarch was seen waving to well-wishers as the couple were driven from the palace to nearby Clarence House. Royal officials announced last week that the king was diagnosed with cancer and will suspend public engagements, though he will continue with state business such as signing papers. They did not disclose what form of cancer he has, but said it\u2019s not related to his recent treatment for a benign prostate condition.", + "located": "LONDON", + "datelinelocation": { + "city": "London", + "countrycode": "GBR", + "countryname": "United Kingdom", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -0.12574, + 51.50853 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. 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Charles, 75, and his wife Queen Camilla flew by helicopter to Buckingham Palace from the royals' Sandringham estate in Norfolk, eastern England. The monarch was seen waving to well-wishers as the couple were driven from the palace to nearby Clarence House.
Royal officials announced last week that the king was diagnosed with cancer and will suspend public engagements, though he will continue with state business such as signing papers. They did not disclose what form of cancer he has, but said it\u2019s not related to his recent treatment for a benign prostate condition.
The king underwent his first bout of cancer treatment last week. He attended church at Sandringham on Sunday, and thanked the public for the many messages of support he has received.
Camilla, who has been continuing with her royal diary of engagements, said last week that Charles was \u201cextremely well under the circumstances.\"
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The state Board of Regents gave unanimous approval to what would be Georgia\u2019s second public medical school. The other is the Medical College of Georgia in Augusta.
Gov. Brian Kemp and other state officials have said a new medical school is needed because Georgia faces a shortage of doctors.
\u201cThe School of Medicine will significantly expand the pool of medical professionals in Georgia, attract more top-tier scientists and researchers to the state, and produce more physicians to serve underserved and rural Georgia communities,\u201d UGA President Jere Morehead said in a statement.
The state House has approved $50 million for design and construction of the UGA School of Medicine in an amended fiscal 2024 budget that is awaiting a Senate vote. That is roughly half the money needed to build the school.
Officials will also seek accreditation from the Liaison Committee on Medical Education, which sets standards for U.S. schools that award medical doctorate degrees.
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These points are all pertinent to the broader topic of health." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/02/13/54e0c158d626108909573568b66db707.json b/datasets/AP_news/raw_data/2024/02/13/54e0c158d626108909573568b66db707.json new file mode 100644 index 0000000..d16031c --- /dev/null +++ b/datasets/AP_news/raw_data/2024/02/13/54e0c158d626108909573568b66db707.json @@ -0,0 +1,242 @@ +{ + "altids": { + "itemid": "54e0c158d626108909573568b66db707", + "etag": "54e0c158d626108909573568b66db707_1a6aza0c0", + "friendlykey": "147615336774", + "referenceid": "US-MED--Alaskapox Explainer" + }, + "version": 1, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-02-13T21:49:51Z", + "firstcreated": "2024-02-13T20:22:01Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: Updates Media.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "US-MED--Alaskapox Explainer", + "headline": "What is Alaskapox? Recent death brings attention to virus seen in small animals", + "headline_extended": "A recent death has brought new attention to the so-called Alaskapox virus", + "slugline": "BC-US-MED--Alaskapox Explainer, 1st Ld-Writethru", + "description_summary": "A recent death has brought new attention to the so-called Alaskapox virus. The bug belongs to a family of brick-shaped viruses that can infect animals and humans. Smallpox is perhaps the most famous of the group. But other family members include cowpox, horsepox and mpox \u2014 formerly known as monkeypox. An elderly man who died last month is believed to be the first known death from Alaskapox. He lived in the Kenai Peninsula and had a suppressed immune system because of cancer treatment. There have been fewer than 10 cases, all in Alaska, since the virus was discovered nine years ago.", + "bylines": [ + { + "by": "By MIKE STOBBE", + "title": "AP Medical Writer" + } + ], + "located": "NEW YORK", + "datelinelocation": { + "city": "New York", + "countryareacode": "NY", + "countryareaname": "New York", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -74.00597, + 40.71427 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. For other uses, additional clearances may be required." + ], + "keywords": [ + "What is Alaskapox virus" + ], + "provider": "AP", + "infosource": [ + { + "name": "AP", + "type": "AP" + } + ], + "subject": [ + { + "rels": [ + "category" + ], + "creator": "Editorial", + "code": "a", + "name": "a" + }, + { + "rels": [ + "category" + ], + "creator": "Editorial", + "code": "n", + "name": "n" + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "a89f0ca887a9100481f8957095691f3e", + "name": "Animals", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 56 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "49ff58087f001004824bf571351eed07", + "name": "Smallpox", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 42 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "f9f9464781a443e4813c5b61eca976b3", + "name": "Mpox", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 66 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "e22524b87de410048f91df092526b43e", + "name": "Cancer", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 42 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "cc7a76087e4e10048482df092526b43e", + "name": "Health", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 98 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "cc7a76087e4e10048482df092526b43e", + "name": "Health", + "creator": "Editorial", + "editorial_subject": "Health", + "rels": [ + "direct" + ], + "relevance": 99 + } + ], + "place": [ + { + "scheme": "http://cv.ap.org/id/", + "code": "cbb727a881d610048a29df092526b43e", + "name": "Alaska", + "creator": "Machine", + "rels": [ + "direct" + ], + "parentids": [ + "661e48387d5b10048291c076b8e3055c" + ], + "locationtype": { + "code": "0ae5eb8e00e04295a4fc209c94bfe6ef", + "name": "State" + }, + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -150.00028, + 64.00028 + ] + }, + "relevance": 86, + "parentnames": [ + "United States" + ] + } + ], + "audiences": [ + { + "code": "82c6a4c46fa0446090a7acaf93159e4c", + "name": "Print", + "type": "AUDPLATFORM" + }, + { + "code": "9add4649b53b4702ba7d9de5d4fa607a", + "name": "Online", + "type": "AUDPLATFORM" + }, + { + "code": "f43adc08760d10048040e6e7a0f4673e", + "name": "National", + "type": "AUDSCOPE" + }, + { + "code": "f5b16ea8760d10048047e6e7a0f4673e", + "name": "State", + "type": "AUDSCOPE" + }, + { + "code": "f4ecf9b0760d10048044e6e7a0f4673e", + "name": "International", + "type": "AUDSCOPE" + }, + { + "code": "cbb727a881d610048a29df092526b43e", + "name": "Alaska", + "type": "AUDGEOGRAPHY" + }, + { + "code": "661850e07d5b100481f5c076b8e3055c", + "name": "Latin America and Caribbean", + "type": "AUDGEOGRAPHY" + }, + { + "code": "661e48387d5b10048291c076b8e3055c", + "name": "United States", + "type": "AUDGEOGRAPHY" + } + ], + "associations": { + "1": { + "altids": { + "itemid": "ec9aaecc69fb4af29a07b3ed205e922c" + }, + "type": "picture" + }, + "2": { + "altids": { + "itemid": "b75824b65de84d528e5d00941655d7dd" + }, + "type": "picture" + } + }, + "body_nitf": "NEW YORK (AP) \u2014 For nine years, Alaska health officials have been aware of an unusual virus causing rare, relatively mild illnesses in the Fairbanks area. But a recent case in another part of the state \u2014 this one resulting in a man's death \u2014 has brought new attention to the so-called Alaskapox virus.
Here's some background on the virus:
Alaskapox belongs to a family of brick-shaped viruses that can infect animals and humans. These bugs, known as orthopoxviruses, tend to cause lesions, or pox, on the skin. Each has its own characteristics, and some are considered more dangerous than others.
Smallpox is perhaps the most famous of the lot, but other family members include camelpox, cowpox, horsepox and mpox \u2014 formerly known as monkeypox.
Alaskapox was discovered in 2015 in a woman who lived near Fairbanks, Alaska. It mainly has been found in small mammals, including red-backed voles and shrews. But pets, such as dogs and cats, may also carry the virus, health officials say.
Seven people, all in Alaska, have been infected with it in the last nine years.
People with Alaskapox have developed one or more bumps or pustules on the skin, as well as joint or muscle pain and swollen lymph nodes.
Nearly all patients had mild illnesses that resolved on their own after a few weeks. But people with weakened immune systems can be in danger for more severe illness.
Officials believe Alaskapox spreads through contact with infected animals.
There has been no documented case of it spreading from one person to another. But other viruses in the same family can spread when one person comes in contact with another person\u2019s lesions, so Alaska health officials are advising anyone with an Alaskapox lesion to cover it with a bandage.
Alaska health officials are aware of seven people infected with Alaskapox since the virus was discovered, but the latest case represents the first time someone is known to have died from it.
The elderly man, who lived in the Kenai Peninsula, was being treated for cancer and had a suppressed immune system because of the drugs. In September, he noticed a red sore under his right armpit and went to see doctors over the next two months because of fatigue and burning pain. He was hospitalized in November and died last month, according to a bulletin last week from Alaska public health officials.
The man lived in a remote forested area and did not travel. He had been repeatedly scratched by a stray cat that hunted small animals, and one of the scratches was in the area of the man's armpit, officials said.
Alaskapox is a rare illness that in most cases causes a relatively mild symptoms, health officials believe.
That said, wildlife can carry infections risks. Health officials say the best ways to keep pets and family members safe is to keep a safe distance and wash your hands after being outdoors. Also, not try to keep wildlife as pets.
___
The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute\u2019s Science and Educational Media Group. The AP is solely responsible for all content.
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This information is highly relevant to the topic of health as it discusses a specific health concern, its impact on humans and animals, and preventive measures." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/02/13/6268ec88d1638009128b55fc56e3610c.json b/datasets/AP_news/raw_data/2024/02/13/6268ec88d1638009128b55fc56e3610c.json new file mode 100644 index 0000000..c06f7e7 --- /dev/null +++ b/datasets/AP_news/raw_data/2024/02/13/6268ec88d1638009128b55fc56e3610c.json @@ -0,0 +1,384 @@ +{ + "altids": { + "itemid": "6268ec88d1638009128b55fc56e3610c", + "etag": "6268ec88d1638009128b55fc56e3610c_0a46aza0c0", + "friendlykey": "574240323030", + "referenceid": "US--Abortion-Mental-Health" + }, + "version": 0, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-02-13T15:26:42Z", + "firstcreated": "2024-02-13T15:26:41Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "signals": [ + "newscontent" + ], + "title": "US--Abortion-Mental-Health", + "headline": "Mental health emerges as a dividing line in abortion rights initiatives planned for state ballots", + "headline_extended": "Abortion rights advocates are trying to get initiatives to protect reproductive health on the ballot in several states this year", + "slugline": "BC-US-Abortion-Mental-Health", + "description_summary": "Abortion rights advocates are trying to get initiatives to protect reproductive health on the ballot in several states this year. And one major difference has emerged in their proposed language: whether to include mental health as an exception. A Missouri proposal would allow lawmakers to restrict abortions after a fetus is considered viable, except if an abortion \u201cis needed to protect the life or physical or mental health of the pregnant person.\u201d A similar measure has been proposed in Arizona, but proposals in Florida, Montana and Nebraska do not explicitly mention mental health. The CDC says mental health conditions were the leading underlying cause of pregnancy-related deaths from 2017 to 2019.", + "bylines": [ + { + "by": "By CHRISTINE FERNANDO", + "title": "Associated Press" + } + ], + "located": "CHICAGO", + "datelinelocation": { + "city": "Chicago", + "countryareacode": "IL", + "countryareaname": "Illinois", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -87.65005, + 41.85003 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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Final exams were fast approaching for the college junior. Her doctors told her she had an ovarian cyst, and the risk of ectopic pregnancy was high. The wait times for abortion clinics near her city of Bethesda, Maryland, seemed impossibly long. And she couldn\u2019t visit her family in Kentucky because of the state\u2019s abortion ban.
Harris was having regular panic attacks. It all felt like too much, she said.
\"My mental health was at the lowest point it\u2019s ever been in my life,\" said Harris, who had an abortion last May.
As advocates push this year for ballot measure initiatives aiming to protect abortion rights, key differences have emerged in the language of proposed measures. Among them is the inclusion of mental health exceptions.
A Missouri proposal would allow lawmakers to restrict abortions after a fetus is considered viable, except if an abortion \u201cis needed to protect the life or physical or mental health of the pregnant person.\u201d A similar measure has been proposed in Arizona. In 2022, Michigan voters passed an abortion rights amendment with a mental health exception for viability limits.
Meanwhile, proposed ballot measure language in Arkansas only says \u201cphysical health,\u201d excluding a mental health exception. Proposed abortion rights initiatives in other states, including Florida, Montana and Nebraska, don\u2019t explicitly mention mental health.
\u201cIt\u2019s heartbreaking to hear about these policies ignoring mental health,\u201d said Harris, now 21. \u201cAn abortion can save someone\u2019s life, including when they\u2019re in a mental health emergency.\u201d
Most states with abortion bans include exemptions for life-threatening emergencies, but only Alabama\u2019s includes an exception for \u201cserious mental illness\u201d that could result in the death of the mother or fetus. Lawmakers added the provision after getting pressure from the state\u2019s medical association, which was concerned about women at high risk for suicide.
The law, passed in 2019, was among the strictest abortion restrictions in the country at the time. It did not include exceptions in cases of rape or incest and considered performing an abortion to be a felony. Alabama began enforcing the ban in 2022 after the U.S. Supreme Court overturned Roe v. Wade, which once granted a federal right to abortion.
Abortion bans in at least 10 states \u2014 Florida, Georgia, Idaho, Iowa, Kentucky, Louisiana, Ohio, Tennessee, West Virginia and Wyoming \u2014 explicitly exclude mental health conditions as a possible exception. Others are murkier, allowing for exemptions for the \u201clife and health\u201d of the woman without defining if mental health is included.
Medical experts say even states that do allow mental health exceptions require patients to jump through hoops that may be inaccessible to some people, especially those with low incomes. Alabama, for example, requires a state-licensed psychiatrist with at least three years of clinical experience to certify the mental health condition as an emergency.
Some days, when Harris would get home from class, she would be \"so overwhelmed that I\u2019d have a breakdown on the floor,\u201d she said. For two months, she cried every day. But facing an abortion ban in her home state and stigma from doctors, Harris said she didn\u2019t feel comfortable speaking about her experience with a mental health professional.
\u201cPeople shouldn\u2019t have to jump through hoops and prove their pain to have access to the care they need,\u201d she said.
Mental health conditions were the leading underlying cause of pregnancy-related deaths from 2017 to 2019 with nearly 23% of pregnancy-related deaths attributed to mental health conditions, including suicides and overdoses from substance use disorders, according to the U.S. Centers for Disease Control and Prevention.
About one in eight women experience postpartum depression, according to the CDC. But mental health struggles during pregnancy, especially the psychological trauma of those forced to carry unwanted pregnancies, are understudied, said Michelle Oberman, a Santa Clara University law professor researching the impact of abortion restrictions.
\u201cThese statistics, these stories of women\u2019s suffering have been really haunting me,\u201d Oberman said. \u201cWe don\u2019t as a society have a great track record of treating mental health the same way we do physical health.\u201d
Policies that dismiss mental health as less important than physical health put lives at risk, said Columbia University psychiatrist Paul Appelbaum. He said there is also growing evidence that being denied an abortion causes significant mental distress. This distress has been apparent in recent stories of women forced to flee their states or continue pregnancies despite serious risks to their health.
\u201cI am extremely concerned by the exclusion of mental health exceptions in these ballot measures,\u201d said Appelbaum, former president of the American Psychiatric Association. \u201cIt\u2019s absolutely cruel and will lead to the suffering deaths of pregnant women in these states.\u201d
Jayme Trevino, an OB-GYN in Missouri and fellow with Physicians for Reproductive Health, said she has seen first-hand how being denied abortion care can affect a patient\u2019s well-being, including their mental health.
\u201cIt\u2019s a devastating, regular reality for my patients,\u201d she said, adding that she was grateful for the mental health exemption in the state\u2019s proposed ballot measure language.
Mallory Schwarz, a spokesperson for Missourians for Constitutional Freedom, said the initiative\u2019s language \u201cis written to make sure that doctors \u2014 not politicians \u2014 are able to determine what\u2019s best for their patients.\u201d
Conversely, an Arkansas initiative only includes exemptions \u201cto protect a pregnant female\u2019s life or to protect a pregnant female from a physical disorder, physical illness, or physical injury.\"
Previous versions of the proposal included broader exceptions, said Gennie Diaz, executive director of For AR People. Initially, she said, \u201cWe wanted to craft language for a constitutional amendment that would be as broad as possible and would hopefully account for something like mental health.\u201d
But when handed a proposal with exceptions to \u201cprotect the life and health\u201d of the mother, the state\u2019s attorney general, a Republican, rejected the language, saying it must define \u201chealth.\u201d
\u201cThat was a signal to us that we were going to have to make a choice,\u201d Diaz said. \u201cAnd another unfortunate factor is that the majority of Arkansas voters are unlikely to support mental health as a reason for an abortion after a particular timeframe. We felt it was unlikely for a version that explicitly names mental health to pass.\u201d
Arkansas advocates were also worried the opposition campaign would target a mental health exception, Diaz said.
The National Right to Life Committee\u2019s model state legislation for abortion bans explicitly excludes mental health exceptions. These exceptions allow pregnant women \u201cto kind of bypass those laws and still abort pregnancies of children that were viable,\u201d said Ingrid Duran, state legislative director of the NRLC.
\u201cWe specifically exclude mental health exemptions because we saw how that creates a loophole in a law and it leaves that unborn child at risk of dying for a sometimes treatable, sometimes temporary condition that the mother may be experiencing,\u201d she said.
When asked if targeting mental health exceptions will be part of their strategy for campaigning against abortion ballot measures in 2024, she said, \u201cI can\u2019t necessarily say that would be part of the strategy.\u201d Still, said Duran, \u201cWhen I see mental health exceptions like this, my heart drops.\u201d
Oberman from Santa Clara University said she expects to see the anti-abortion movement \u201cemploy a strategy of minimizing and dismissing the mental health consequences of forced pregnancy.\u201d
\u201cThe mental health issues of pregnant people remain in the shadows and highly stigmatized,\u201d she said. \u201cAnd that clouds our judgment of what a medical emergency looks like during pregnancy.\u201d
___
The Associated Press receives support from several private foundations to enhance its explanatory coverage of elections and democracy. See more about AP\u2019s democracy initiative here. The AP is solely responsible for all content.
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(AP) \u2014 A lawyer for families that sued Harvard Medical School for negligence over the theft of body parts of their loved ones from its morgue pledged to appeal Tuesday after a judge in Boston dismissed the lawsuits.
Suffolk County Superior Court Judge Kenneth Salinger said the lawsuits from donors\u2019 families failed to show Harvard was responsible for the conduct of its morgue manager, accused of the alleged thefts.
Kathryn Barnett, a lawyer representing families, said they aren't done fighting in the courts. Forty-seven relatives of people who donated their bodies brought 12 separate lawsuits which were consolidated, she said.
\u201cWe are profoundly disappointed with this decision, but it is not the final word on our efforts to prevent Harvard from shirking its responsibility,\u201d she said. \u201cWe will appeal.\u201d
A spokesperson for Harvard said the school would not comment on the judge\u2019s decision.
Barnett faulted Salinger's ruling, saying he too readily accepted Harvard's argument that they acted in good faith and shouldn't be held responsible.
\u201cIf you\u2019re an institution and want to accept bodies for science, you could just hire someone, give him the keys to the morgue, send him to a dark corner of the campus and never check up on him,\u201d she said. \u201cThat can't be the law.\u201d
Barnett said the families support the donation of bodies for science but believe institutions that accept bodies need to do more to ensure they are being handled properly.
In his decision, Salinger pointed to what he called Harvard's qualified immunity under the state's version of the Uniform Anatomical Gift Act.
\u201cThe factual allegations in the complaints do not plausibly suggest that these Harvard Defendants failed to act in good faith in receiving and handling the donated bodies,\u201d Salinger wrote.
Jennie DunKley of Easton, Massachusetts is one of the family members suing Harvard. Her husband, a retired New York City police sergeant, died in 2018 of cancer at age 67 and donated his body.
DunKley said Harvard's refusal to take full responsibility has done more to desecrate the donation process than those who allegedly stole body parts.
\u201cI can\u2019t speak to the law but the fact that Harvard is fighting this to begin with and refusing to accept responsibility obliterates the sanctify and fidelity of the process so people won\u2019t be willing to give,\u201d said DunKley, 66, a special education consultant.
The former morgue manager, Cedric Lodge of Goffstown, New Hampshire , is accused of stealing dissected portions of cadavers that were donated to the medical school in the scheme that stretched from 2018 to early 2023. The body parts were taken without the school\u2019s knowledge or permission, authorities have said.
Lodge, his wife and others are facing federal criminal charges. Both Lodge and his wife have pleaded not guilty.
Harvard said Lodge was fired May 6.
According to prosecutors, the defendants were part of a nationwide network of people who bought and sold remains stolen from Harvard Medical School and an Arkansas mortuary.
Lodge sometimes took the body parts \u2014 which included heads, brains, skin and bones \u2014 back to his Goffstown, New Hampshire, home, and some remains were sent to buyers through the mail, according to the criminal case. Lodge also allegedly allowed buyers to come to the morgue to pick which remains they wanted to buy, authorities said.
Bodies donated to Harvard Medical School are intended for use for education, teaching or research purposes. Once they are no longer needed, the cadavers are usually cremated and the ashes are returned to the donor\u2019s family or buried in a cemetery.
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All close contacts of the person and the cat have been contacted and provided medication, Dr. Richard Fawcett, the health officer for Deschutes County, said in a statement last week.
The county said Wednesday the case was identified and treated in its early stages and poses little risk to the community.
Symptoms of bubonic plague include the sudden onset of fever, nausea, weakness, chills and muscle aches, county health services said. Symptoms begin two to eight days after exposure to an infected animal or flea.
Bubonic plague can lead to bloodstream and lung infections if it is not diagnosed early. These forms of the disease are more severe and difficult to treat.
The last time Oregon reported a case of bubonic plague was 2015.
___
This story has been updated to correct that the report was from Wednesday, Feb. 7, not Monday, Feb. 12.
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The document provides relevant and specific information that would be of interest to those concerned with health issues." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/02/13/c82266b99ef24d393a594fcba4e20d1e.json b/datasets/AP_news/raw_data/2024/02/13/c82266b99ef24d393a594fcba4e20d1e.json new file mode 100644 index 0000000..052f864 --- /dev/null +++ b/datasets/AP_news/raw_data/2024/02/13/c82266b99ef24d393a594fcba4e20d1e.json @@ -0,0 +1,250 @@ +{ + "altids": { + "itemid": "c82266b99ef24d393a594fcba4e20d1e", + "etag": "c82266b99ef24d393a594fcba4e20d1e_0a12aza0c0", + "friendlykey": "69852427535", + "referenceid": "US--Alaskapox Death" + }, + "version": 0, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-02-13T03:15:59Z", + "firstcreated": "2024-02-13T03:15:58Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "signals": [ + "newscontent" + ], + "title": "US--Alaskapox Death", + "headline": "Elderly Alaska man is first reported person to die of recently discovered Alaskapox virus", + "headline_extended": "Alaska state health officials say an elderly man has died from Alaskapox", + "slugline": "AP-US--Alaskapox Death", + "description_summary": "Alaska state health officials say an elderly man has died from Alaskapox. It's the first known fatality from the recently discovered virus. A bulletin issued last week says the man died in late January. He lived in the forest in the remote Kenai Peninsula. Alaskapox, also known as AKPV, is related to smallpox. Symptoms can include a rash, swollen lymph nodes and joint or muscle pain. Alaska health officials say only seven cases have been confirmed since 2015. All the others involved people in the Fairbanks area, 300 miles from the Kenai Peninsula. The other patients recovered without being hospitalized. But health officials says the patient who died had a compromised immune system from cancer treatments.", + "located": "ANCHORAGE, Alaska", + "datelinelocation": { + "city": "Anchorage", + "countryareacode": "AK", + "countryareaname": "Alaska", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -149.90028, + 61.21806 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. 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The man, who lived in the remote Kenai Peninsula, was hospitalized last November and died in late January, according to a bulletin last week from Alaska public health officials.
The man was undergoing cancer treatment and had a suppressed immune system because of the drugs, which may have contributed to the severity of his illness, the bulletin said. It described him as elderly but didn't provide his age.
Alaskapox, also known as AKPV, is related to smallpox, cowpox and mpox, health officials said. Symptoms can include a rash, swollen lymph nodes and joint or muscle pain.
Only six other cases of the virus have been reported to Alaska health officials since the first one in 2015. All involved people were living in the Fairbanks area, more than 300 miles (483 kilometers) from the Kenai Peninsula, health officials said.
All had mild cases and recovered without being hospitalized.
The man who died \u201cresided alone in a forested area and reported no recent travel and no close contacts with recent travel, illness, or similar lesions,\u201d the health bulletin said.
It's unclear how AKPV is transmitted but researchers say it may be zoonotic, meaning it can jump from animals to humans. The bulletin said that tests found evidence of current or previous infection in several species of small mammals in the Fairbanks area, including red-backed voles, and at least one domestic pet.
The man said he had cared for a stray cat at his home, the bulletin said.
The cat tested negative for the virus but it \u201cregularly hunted small mammals and frequently scratched the patient,\u201d the bulletin said.
That opens the possibility that the cat had the virus on its claws when it scratched him. The bulletin said a \"notable\" scratch near the armpit area where the first symptom \u2014 a red lesion \u2014 was noted.
Health officials said there hasn't been any documented cases of humans passing on the virus but they recommended people with skin lesions possibly caused by Alaskapox to cover the affected area with a bandage.\u201d
Other suggestions are thoroughly washing hands, avoid sharing clothing that might have touched the lesions and to launder clothing and sheets separately from other household items.
Health authorities also urged Alaskans to follow federal health precautions when around wildlife to avoid potential Alaskapox infections.
The U.S. Centers for Disease Control and Prevention recommends washing hands with soap and water after contacting wild animals or their feces. Hunters should always wear gloves when handling dead animals, even if they are freshly killed, the agency suggests.
", + "textformat": "bx", + "links": [ + { + "href": "https://apnews.com/article/first-alaskapox-death-c82266b99ef24d393a594fcba4e20d1e", + "rel": "canonical" + } + ], + "topics": { + "Health": { + "relevance_score": 5, + "reason": "The document discusses the first reported death from the Alaskapox virus, providing detailed information about the virus, its symptoms, transmission, and preventive measures. It includes statements from health officials and references to health bulletins and guidelines from the U.S. Centers for Disease Control and Prevention. The content is highly relevant to the topic of health as it addresses a public health issue, the characteristics of a virus, and recommendations for preventing infection." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/02/13/d30458fcea18b8b95d78806a17141274.json b/datasets/AP_news/raw_data/2024/02/13/d30458fcea18b8b95d78806a17141274.json new file mode 100644 index 0000000..a633e06 --- /dev/null +++ b/datasets/AP_news/raw_data/2024/02/13/d30458fcea18b8b95d78806a17141274.json @@ -0,0 +1,325 @@ +{ + "altids": { + "itemid": "d30458fcea18b8b95d78806a17141274", + "etag": "d30458fcea18b8b95d78806a17141274_0a13aza0c0", + "friendlykey": "660631367157", + "referenceid": "US-Abortion-Tennessee" + }, + "version": 0, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-02-13T23:58:39Z", + "firstcreated": "2024-02-13T23:58:38Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: Updates Media.", + "signals": [ + "newscontent" + ], + "title": "US-Abortion-Tennessee", + "headline": "A Tennessee House panel advances a bill that would criminalize helping minors get abortions", + "headline_extended": "Tennessee would be the latest state to make it illegal for an adult to help a minor procure an abortion without parental consent under legislation that has advanced inside the GOP-controlled Statehouse", + "slugline": "BC-US-Abortion-Tennessee", + "description_summary": "Tennessee would be the latest state to make it illegal for an adult to help a minor procure an abortion without parental consent under legislation that has advanced inside the GOP-controlled Statehouse. 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(AP) \u2014 Tennessee would be the latest state to make it illegal for an adult to help a minor get an abortion without parental consent under legislation that advanced Tuesday inside the GOP-controlled Statehouse.
The proposal stems from the growing push among anti-abortion advocates to get states to implement abortion bans and convince them to find ways for lawmakers to block pregnant people from crossing state lines to obtain the procedure since the U.S. Supreme Court overturned Roe v. Wade in 2022.
So far, Idaho has been the only state to enact a so-called \u201c abortion trafficking \u201d law. The first-of-its-kind measure made it illegal to obtain abortion pills for a minor or help them leave the state for an abortion without parental knowledge and consent.
A federal judge blocked the law after reproductive rights groups sued to challenge it.
Yet even as legal questions linger in the Idaho case, other states like Tennessee are moving forward with implementing their own versions. Lawmakers in Missouri and Oklahoma have also introduced similar proposals.
\u201cThis bill is simply a parental rights bill,\u201d said Republican Rep. Jason Zachary, who is sponsoring the proposal.
If enacted, the Tennessee measure would make it illegal for an adult who \u201crecruits, harbors, or transports\u201d a pregnant minor within the state to get an abortion without consent from the minor's parents or guardians. According to supporters, this could involve not only driving a minor, but also could include providing information about nearby abortion providers or passing along which states have looser abortion laws.
Similar to the Idaho version, the Tennesee bill attempts to sidestep violating a constitutional right to travel between states by only criminalizing the portion of the trip to an out-of-state abortion provider that takes place in Tennessee.
Those convicted of breaking the law would be charged with a Class C felony, which can carry up to a 15-year prison sentence and up to $10,000 in fines.
Despite assurances from Zachary that the proposal was straightforward, the Republican declined to weigh in when quizzed by Democratic lawmakers about how the law would be applied and interpreted.
For example, there is no definition for \u201crecruits\u201d in Tennessee code, meaning that a judge would ultimately have to decide, Zachary said.
Zachary also declined to weigh in on whether minors would need to get permission from their parents to receive an abortion if it was one of their parents who sexually assaulted them.
\u201cIn some situations, the sole parent or legal guardian may be a rapist,\u201d said Democratic Rep. John Ray Clemmons. \u201cSo my concern here is if a child wants to get advice, wants to get assistance in any way... they first have to go find a lawyer, or go into a court alone to petition the court for help.\u201d
After just under an hour of questioning, the House subcommittee panel advanced Zachary\u2019s bill, with only the two Democratic members objecting. The legislation must still clear the full House and Senate chambers. Republican Gov. Bill Lee has not publicly weighed in on whether he supports the idea but previously has signed off on other anti-abortion bills.
Tennessee law bans abortion throughout all stages of pregnancy but contains exemptions for very narrow instances for saving the life of a mother.
This means that many Tennesseans must cross state lines, requiring hours of travel, to secure an abortion. The closest available clinics for those in Memphis and Nashville are in Carbondale, Illinois \u2014 roughly three hours away. On the eastern side of the state, a clinic has relocated to Virginia after operating along the Tennessee border for years.
A relatively small number of abortions in the U.S. are obtained by minors. Among the 47 states that reported 2019 abortion data to the Centers for Disease Control and Prevention, fewer than 9% of people who received abortions were 15 to 19 years old.
Meanwhile, 36 states require parental involvement in a minor\u2019s decision to have an abortion, though most allow exceptions under certain circumstances like medical emergencies, according to the Guttmacher Institute, a research group supporting abortion rights.
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Therefore, the relevance to the topic of 'Health' is moderate but not high." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/02/13/f5a5ad44ee8ea98729c85f95d7fed434.json b/datasets/AP_news/raw_data/2024/02/13/f5a5ad44ee8ea98729c85f95d7fed434.json new file mode 100644 index 0000000..e44cba1 --- /dev/null +++ b/datasets/AP_news/raw_data/2024/02/13/f5a5ad44ee8ea98729c85f95d7fed434.json @@ -0,0 +1,248 @@ +{ + "altids": { + "itemid": "f5a5ad44ee8ea98729c85f95d7fed434", + "etag": "f5a5ad44ee8ea98729c85f95d7fed434_0a8aza0c0", + "friendlykey": "356546902528", + "referenceid": "US--Coyote Attack" + }, + "version": 0, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-02-13T16:54:03Z", + "firstcreated": "2024-02-13T16:54:02Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "signals": [ + "newscontent" + ], + "title": "US--Coyote Attack", + "headline": "Hiker kills coyote with his bare hands after attack; tests confirm the animal had rabies", + "headline_extended": "Rhode Island officials say a coyote killed by a hiker has tested positive for rabies", + "slugline": "AP-US--Coyote Attack", + "description_summary": "Rhode Island officials say a coyote killed by a hiker has tested positive for rabies. Police say the hiker killed the coyote with his bare hands on Friday after being bitten on the leg while walking in the woods in Johnston. Officials say the same coyote is believed to be responsible for attacking a dog walker the day before in nearby Scituate, as well. It\u2019s unusual for healthy coyotes to attack humans. Officials say this makes the third report of a rabid coyote in Rhode Island since 1994.", + "located": "JOHNSTON, R.I.", + "datelinelocation": { + "city": "Johnston", + "countryareacode": "RI", + "countryareaname": "Rhode Island", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -71.52009, + 41.82736 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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(AP) \u2014 A coyote that a hiker killed with his bare hands has tested positive for rabies, the Rhode Island Department of Environmental Management and the Rhode Island Department of Health announced.
The hiker was attacked on Friday and bitten on the leg while walking in the woods in Johnston, according to police. The hiker pinned the coyote down by its neck, killing it by cutting off its air supply, police said.
The same coyote is believed to have attacked a dog walker the day before in nearby Scituate, officials.
It\u2019s unusual for a coyote to attack a human under normal circumstances. Tests at RIDOH\u2019s Rhode Island State Health Laboratories confirmed the rabies infection. It was only the third report of a rabid coyote in Rhode Island since 1994, officials said.
In January 2020, a man fatally strangled a coyote with his bare hands after the animal attacked him and his family as they hiked in New Hampshire, according to CBS News. That coyote was tested for rabies but it is unclear whether the results were positive.
", + "textformat": "bx", + "links": [ + { + "href": "https://apnews.com/article/hiker-kills-coyote-with-bare-hands-f5a5ad44ee8ea98729c85f95d7fed434", + "rel": "canonical" + } + ], + "topics": { + "Health": { + "relevance_score": 3, + "reason": "The document discusses an incident where a hiker killed a coyote that tested positive for rabies. While the primary focus is on the attack and the hiker's response, the document does provide information about rabies, a significant health concern. It mentions the rarity of rabid coyotes in Rhode Island and references a similar incident in New Hampshire. However, the main emphasis is on the attack and the hiker's actions rather than on broader health implications or detailed information about rabies. Therefore, the document is somewhat relevant to the topic of health but not highly focused on it." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/02/14/0d8a185f7111c7abaf98d9b9ad7d768c.json b/datasets/AP_news/raw_data/2024/02/14/0d8a185f7111c7abaf98d9b9ad7d768c.json new file mode 100644 index 0000000..ccaaf88 --- /dev/null +++ b/datasets/AP_news/raw_data/2024/02/14/0d8a185f7111c7abaf98d9b9ad7d768c.json @@ -0,0 +1,298 @@ +{ + "altids": { + "itemid": "0d8a185f7111c7abaf98d9b9ad7d768c", + "etag": "0d8a185f7111c7abaf98d9b9ad7d768c_1a6aza0c0", + "friendlykey": "661033453161", + "referenceid": "US--Mississippi Prison-Healthcare Lawsuit" + }, + "version": 1, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-02-14T20:58:41Z", + "firstcreated": "2024-02-14T20:03:23Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: EDITS: Fixes typo to \"Balfour\" in fifth paragraph.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "US--Mississippi Prison-Healthcare Lawsuit", + "headline": "Mississippi inmates were exposed to dangerous chemicals and denied health care, lawsuit says", + "headline_extended": "A federal lawsuit says inmates at a Mississippi prison were forced to mix raw cleaning chemicals without protective equipment", + "slugline": "BC-US--Mississippi Prison-Healthcare Lawsuit, 1st Ld-Writethru", + "description_summary": "A federal lawsuit says inmates at a Mississippi prison were forced to mix raw cleaning chemicals without protective equipment. A former inmate who filed the lawsuit says she later contracted cancer and was denied timely medical care. Susan Balfour was incarcerated for 33 years at Central Mississippi Correctional Facility until her release in December 2021. She says prisoners were required to clean the facility without protective equipment, using chemicals that might cause cancer. Balfour contends in her lawsuit that prison health care providers failed to identify her cancer years ago because they had financial incentives not to perform necessary medical screenings and treatment.", + "bylines": [ + { + "by": "By MICHAEL GOLDBERG", + "title": "Associated Press/Report for America" + } + ], + "located": "JACKSON, Miss.", + "datelinelocation": { + "city": "Jackson", + "countryareacode": "MS", + "countryareaname": "Mississippi", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -90.18481, + 32.29876 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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(AP) \u2014 Inmates at a Mississippi prison were forced to mix raw cleaning chemicals without protective equipment, with one alleging she later contracted terminal cancer and was denied timely medical care, a federal lawsuit filed Wednesday alleges.
Susan Balfour, 62, was incarcerated for 33 years at Central Mississippi Correctional Facility until her release in December 2021. Prisoners were required to clean the facility, without protective equipment, using chemicals that might cause cancer, Balfour's lawsuit says.
Balfour contracted terminal breast cancer, a condition that prison health care providers failed to identify years ago because they could save money by not performing necessary medical screenings and treatment, the lawsuit filed in the U.S. Southern District of Mississippi contends.
\u201cI feel betrayed by our system that failed to provide timely medical care for me. I feel hopeless, I feel angry, I feel bitterness. I feel shock and disbelief of this going on with me at a time when I'm getting ready to get out (of prison),\" Balfour said in an interview Tuesday. \u201dIt is too much to take in, that this is happening to me.\"
The companies contracted to provide health care to prisoners at the facility \u2014 Wexford Health Sources, Centurion Health and VitalCore \u2014 delayed or failed to schedule follow-up cancer screenings for Balfour even though they had been recommended by prison physicians, the lawsuit says.
All three companies did not immediately respond to email and phone messages seeking comment. A spokesperson for the Mississippi Department of Corrections said the agency would not comment on active litigation.
The lawsuit, which seeks compensatory damages in an amount to be determined at a trial, says at least 15 other unidentified people incarcerated at the prison have cancer and are not receiving life-saving care.
One of Balfour's lawyers, Drew Tominello, said in an interview that her attorneys had not established with certainty that exposure to the chemicals caused Balfour's cancer. But the lawsuit focuses on what they say were substantial delays and denial of medical treatment that could have detected her cancer earlier.
Incentives in the companies\u2019 contracts with the state Department of Corrections encouraged cost-cutting by reducing outpatient referrals and interfering with physicians\u2019 independent clinical judgments, the lawsuit alleges.
Balfour was initially convicted of murdering a police officer and sentenced to death, but that conviction was later reversed in 1992 after the Mississippi Supreme Court found her constitutional rights had been violated during her trial. She later reached a plea agreement on a lesser charge, Tominello said.
Balfour\u2019s attorneys say her cancer may have been detectable over a decade ago. After she was released in 2021, an outpatient doctor performed a mammogram that showed she had stage four breast cancer, the suit says.
Pauline Rogers, Co-Founder of the Rech Foundation, an organization that assists formerly incarcerated people, called the alleged prison cleaning protocols \u201ca clear violation of basic human rights.\u201d
\u201cThese are human beings that deserve a second chance in life,\u201d Rogers said. \"Instead, these companies are withholding care to make a profit off the women they\u2019re leaving to get sick and die.\u201d
___
Michael Goldberg is a corps member for the Associated Press/Report for America Statehouse News Initiative. Report for America is a nonprofit national service program that places journalists in local newsrooms to report on undercovered issues. Follow him at @mikergoldberg.
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These points are directly related to the topic of health, making the document highly relevant." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/02/14/150f7c0e54b5b807e57bd1fc512e8793.json b/datasets/AP_news/raw_data/2024/02/14/150f7c0e54b5b807e57bd1fc512e8793.json new file mode 100644 index 0000000..58b5786 --- /dev/null +++ b/datasets/AP_news/raw_data/2024/02/14/150f7c0e54b5b807e57bd1fc512e8793.json @@ -0,0 +1,306 @@ +{ + "altids": { + "itemid": "150f7c0e54b5b807e57bd1fc512e8793", + "etag": "150f7c0e54b5b807e57bd1fc512e8793_1a11aza0c0", + "friendlykey": "638423305473", + "referenceid": "US-XGR--TikTok Ban-Virginia" + }, + "version": 1, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-02-14T18:37:34Z", + "firstcreated": "2024-02-14T18:00:47Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: EDITS: Minor edits.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "US-XGR--TikTok Ban-Virginia", + "headline": "Proposed TikTok ban for kids fails in Virginia's Legislature", + "headline_extended": "A GOP legislative effort to prevent Virginia children from using the video-sharing app TikTok died this week in the Democratic-controlled Legislature", + "slugline": "AP-US-XGR-TikTok-Ban-Virginia, 1st Ld-Writethru", + "description_summary": "A GOP legislative effort to prevent Virginia children from using the video-sharing app TikTok died this week in the Democratic-controlled Legislature. The bill was left in a House of Delegates committee after concerns were raised about how the ban would be enforced. Lawmakers also questioned why the General Assembly should single out one company at a time of rising concern from parents and lawmakers about the effect of social media on youth. The company says it works hard to protect teens' well-being on the app. It also argues that bans like the one that was proposed in Virginia raise significant First Amendment concerns.", + "bylines": [ + { + "by": "By SARAH RANKIN", + "title": "Associated Press" + } + ], + "located": "RICHMOND, Va.", + "datelinelocation": { + "city": "Richmond", + "countryareacode": "VA", + "countryareaname": "Virginia", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -77.46026, + 37.55376 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. 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(AP) \u2014 A GOP legislative effort to prevent Virginia children from using the popular video-sharing app TikTok \u2014 an idea backed by Republican Gov. Glenn Youngkin \u2014 died this week in the Democratic-controlled Legislature.
The bill, sponsored by Republican Del. Jay Leftwich of Chesapeake, was left in a House of Delegates committee after concerns were raised about how the ban would be enforced. Lawmakers also questioned whether singling out just one company was the right approach at a time of broad and rising concern from parents and lawmakers about the effect of social media on youth.
The bill's lack of movement effectively killed the measure because of a procedural deadline Tuesday for most legislation to clear its chamber of origin. No comparable bill was introduced in the state Senate.
Youngkin framed his call for a ban on kids using the app, issued in a December speech, as a tool to help protect children's mental health, part of a broader push by his administration on the issue.
Leftwich also said he brought the bill out of mental health and data privacy concerns for young people.
\u201cThe whole platform, especially for minors, is to get them engaged and kind of hooked into watching these things. And it leads them down different rabbit holes and they sit there for hours and hours watching these things,\u201d he said in a committee hearing.
Leftwich's bill went through a hefty revision from the way it was first introduced. The most recent iteration said TikTok Inc. and ByteDance, the Chinese company that owns the app, \u201cshall not provide access to TikTok to any child within the Commonwealth.\u201d
The bill would have allowed a child's parent or legal custodian to bring a lawsuit against TikTok if a child was provided access. And if a plaintiff prevailed, they could recover damages of $75,000 for \u201ceach discrete violation,\" defined as each separate instance a child accessed the platform, along with other damages, according to the text of the bill.
The bill received one hearing in a House committee that deals with technology bills. It advanced from there on a bipartisan 14-8 vote to a different committee where it was never heard.
Democrats in the hearing raised a range of concerns, including questions about enforceability and whether the government \u2014 rather than parents \u2014 should be responsible for limiting children's access to social media.
Leftwich responded that policymakers have banned children from having access to \u201charmful substances\u201d like alcohol and cannabis, and that he saw his proposal in the same light.
Del. Holly Seibold, a Democrat from Fairfax County, thanked Leftwich for brining the bill, saying she was a parent of teenagers and agreed children are becoming addicted to social media apps and their cellphones in general.
\u201cBut I will not be supporting this bill because I think it\u2019s unfair to single out TikTok,\u201d she said.
A spokesperson for TikTok, Jamal Brown, said in a statement that the company works hard to support teens' well-being on the app, with tools including an automatic 60-minute time limit for users under 18, restrictions on direct messaging and parental controls.
\u201cWe\u2019ve long said bans, like the one proposed in this legislation, are not only the wrong approach, but also raise significant First Amendment concerns,\" Brown said.
Macaulay Porter, deputy communications director for Youngkin, said in a statement that the governor \u201cremains committed to empowering parents in Virginia and protecting youth in the Commonwealth from social media\u2019s harmful impacts.\u201d
Youngkin previously banned the use of TikTok on state government devices and wireless networks through a 2022 executive order, citing national security concerns.
Other states and the federal government have taken similar steps to limit the use of the app on government devices, and Montana in 2023 passed a complete ban, which was later put on hold before it could take effect by a federal judge who called it unconstitutional.
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But critics raised an array of concerns over how the plan was being promoted, which policyholders would be able to vote on it and the role of a new foundation that would receive more than $3 billion under the plan.", + "bylines": [ + { + "by": "By KEVIN McGILL", + "title": "Associated Press" + } + ], + "located": "NEW ORLEANS", + "datelinelocation": { + "city": "New Orleans", + "countryareacode": "LA", + "countryareaname": "Louisiana", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -90.07507, + 29.95465 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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Proponents of the plan had said that under Elevance there would be improved services and technology for 1.9 million Louisiana customers.
But critics raised an array of concerns over how the plan was being promoted, which policyholders would be able to vote and the role of a new foundation that, according to a legislative report, would receive more than $3 billion as part of the plan.
State officials said Blue Cross Blue Shield of Louisiana withdrew its plan late Tuesday \u2014 the second time the plan has been shelved since it was proposed last year. The insurer issued a statement Wednesday saying \u201cit is clear that our stakeholders need more time and information to understand the benefits of the changes we have proposed.\u201d
Among a list of concerns in a report from two state Senate committees were the lack of complete data on fines Elevance has faced in other states, Elevance's involvement in \u201csignificant litigation\u201d in other states and high rates of claim denials by Elevance.
The new foundation to be created as part of the deal \u2014 the Accelerate Louisiana Initiative \u2014 also came in for criticism from the legislative committee and a non-partisan watchdog group. The stated purpose of the foundation, which would include some of the current Blue Cross Blue Shield of Louisiana board members, is \u201cto improve the health and lives of the people of the State of Louisiana.\u201d
The joint Senate committee report said Blue Cross Blue Shield, with an estimated current value of $3.4 billion, was proposing to contribute $667 million to the foundation before the sale, then $2.4 billion from the sale to fund the foundation. Senate Health and Welfare Chairman Patrick McMath called the foundation \"a $3.1 billion vacuum of vague intentions.\"
The Public Affairs Research Council of Louisiana also raised questions about the governor having a appointee on the foundation's board.
\u201cThis appointment would inappropriately give the governor influence over the distribution of investment proceeds from $3 billion in assets,\u201d the council said in a statement Wednesday, released as word was spreading that the plan was being shelved. \u201cSuch an expansion of the power of the governor\u2019s office, which is already too powerful, would come with none of the normal checks and balances that exist within state government.\u201d
Gov. Jeff Landry issued a statement Wednesday acknowledging the withdrawal of the proposed sale.
\u201cFrom the beginning, we recognized that any transaction such as this would be disruptive to the healthcare landscape of the State,\" Landry's release said. \"We appreciated the cooperation we received from both parties, our Commissioner of Insurance, and the legislature in both asking the tough questions, looking for solutions, and providing the answers so that the policyholders could make an informed decision and the State would be prepared if such a transaction occurred.\u201d
Elevance indicated in a statement that it still hoped to pursue a deal.
\u201cWe are supportive of BCBSLA\u2019s decision to withdraw their plan of reorganization,\" a company statement said. \"We will continue to meaningfully engage community members who are truly interested in better health outcomes and more affordable healthcare. We remain committed to this partnership and will work with BCBSLA on next steps in bringing that to reality.\u201d
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(AP) \u2014 Democratic California Gov. Gavin Newsom is urging voters to approve a ballot initiative that he says is needed to tackle the state's homelessness crisis, a change social providers say would threaten programs that keep people from becoming homeless in the first place.
In 2004, voters approved legislation that imposed a tax on millionaires to finance mental health services, generating $2 billion to $3 billion in revenue each year that has mostly gone to counties to fund mental health programs as they see fit under broad guidelines.
Newsom wants to give the state more control over how that money is spent. Proposition 1, before voters on the March 5 ballot, would require counties to spend 60% of those funds on housing and programs for homeless people with serious mental illnesses or substance abuse problems.
The single formula would mean rural counties such as Butte, with a homeless population of fewer than 1,300 people, would be required to divert the same percentage of funds to housing as urban counties such as San Francisco, which has a homeless population six times bigger. San Francisco Mayor London Breed said she supports the measure. Butte County officials have expressed concerns.
The funding from the millionaire tax in Butte County has mostly gone to prevention services to combat high suicide and childhood trauma rates. Officials estimated they would have to divert at least 28% of current funding from existing programs toward housing. They say the change could cause cultural centers, peer-support programs, vocational services and even programs working with homeless people to lose funding.
Tiffany McCarter burst into tears when talking about how the African American Family & Cultural Center she runs in rural Oroville, a city in Butte County, might have to close its doors. The 14-year-old center with a mission of breaking the cycle of trauma in the Black community relies heavily on mental health funding from the county.
The center offers an after-school program, art and dance classes and anger management sessions \u2014 designed to steer young people away from the streets. McCarter said some have learning disabilities or parents who are incarcerated.
\u201cI\u2019d love to solve the homeless problem,\u201d McCarter, the center\u2019s executive director, said as the halls filled with laughter of children who ran around her to win her attention. \u201cBut then which one of my kids are we going to leave behind?\u201d
With makeshift tents lining streets and disrupting businesses in communities across the state, homelessness has become one of the most frustrating issues in California and one sure to dog Newsom should he ever mount a national campaign. The Democratic governor has raised about $10 million to back the ballot measure and has appeared in television ads promoting it, indicating it\u2019s one of his top political priorities.
Already he has pushed for laws that make it easier to force people with behavioral health issues into treatment, and he touts the proposition as the final piece of the new approach.
\u201cWe are in a unique position to take what we have been promoting \u2014 these promises \u2014 and make them real, and finally address the issue that defines more stress and more frustrations than any other issue in this state,\" Newsom said at the proposition kickoff event.
Sacramento Mayor Darrell Steinberg, who authored the 2004 millionaire tax, said the funding is meant to serve homeless people with serious mental illnesses and that county officials and providers \u201cmiss the big picture.\u201d
\u201cWhile it has funded many good programs over 20 years, it has gotten away from the original purpose,\u201d Steinberg said. \u201cNothing is more important than alleviating the unacceptable suffering of people living and dying on our streets.\"
The two-part measure would authorize the state to borrow $6.38 billion to build 4,350 housing units, half of which would be reserved for veterans. It also would add 6,800 mental health and addiction treatment beds.
Newsom\u2019s administration already has spent at least $22 billion on various programs to address the crisis, including $3.5 billion to convert rundown motels into homeless housing. California is also giving out $2 billion in grants to build more treatment facilities.
But the crisis is worse than ever, many say.
The state accounts for nearly a third of the homeless population in the United States; roughly 181,000 Californians are in need of housing. A recent survey by the University of California San Francisco's Benioff Homelessness and Housing Initiative found about two-thirds of homeless people in California have a mental health disorder, but only 18% had received recent treatment and only 6% had received any addiction treatment despite rampant abuse.
The state needs some 8,000 more beds to treat mental health and addiction issues, according to researchers who testified before state lawmakers last year.
California has 5,500 beds, down from as many as 37,000 more than a half-century ago, the governor said.
The proposal could also add beds in locked psychiatric facilities, which advocates say could force more people into involuntary treatment. Newsom and state lawmakers haven't decided what types of facility would be built.
\u201cFrom a humanitarian and civil rights perspective, we vehemently oppose Proposition 1,\u201d said Mark Salazar, executive director of Mental Health Association of San Francisco, which serves more than 15,000 people monthly. \u201cThere are studies that show over and over that coercing treatment just doesn\u2019t end well for the individual.\u201d
Mark Cloutier, CEO of Caminar, which provides mental health services, employment placement and supportive housing to mostly young adults, believes the ballot measure is needed because the lack of housing and treatment beds means many people end up in jail or the emergency room.
Joe Wilson, who runs Hospitality House in San Francisco, said more housing and beds are needed but not at the expense of other programs like his organization's two drop-in centers in the Tenderloin neighborhood and Sixth Street Corridor. Workers there, most of whom were once homeless, help navigate services for people, update resumes, and drive them to appointments.
\u201cEveryone agrees that we need more resources for housing,\" he said. \"Is this the best way to do it? We don\u2019t believe so.\u201d
One of the center's workers, Anthony Hardnett, a San Francisco native who was homeless and suffered from addiction issues, said many people he has helped have become independent and productive by learning new skills and hobbies, like in the chess club he hosts. The group connected more than 30 people to jobs last month.
\u201cYou\u2019ve got to show them something different to change their mindset,\u201d Hardnett said. \u201cWe can\u2019t just give up on them.\u201d
In the Butte County city of Chico, about 165 miles (265 kilometers) north of San Francisco, providers say the city\u2019s only drop-in center for troubled youth is at risk. The 6th Street Center for Youth also offers rent assistance to college students, but workers do not believe that would protect it from having its budget cut.
Solace Kalkowski, who uses the pronoun they, found themself sleeping in their truck after a breakup a few weeks ago and said the center kept them from ending up chronically homeless.
\u201cIt\u2019s a healthy outlet for me to come where people will listen and give you advice,\u201d Kalkowski said. \u201cI\u2019ve been working on myself and being more productive. ... Me having this chance, I\u2019m blown away.\u201d
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Given the extensive discussion on mental health, addiction treatment, and the health-related aspects of homelessness, the document is highly relevant to the topic of health." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/02/14/504f425f1c0606336d6039545bce572c.json b/datasets/AP_news/raw_data/2024/02/14/504f425f1c0606336d6039545bce572c.json new file mode 100644 index 0000000..b55a8e2 --- /dev/null +++ b/datasets/AP_news/raw_data/2024/02/14/504f425f1c0606336d6039545bce572c.json @@ -0,0 +1,300 @@ +{ + "altids": { + "itemid": "504f425f1c0606336d6039545bce572c", + "etag": "504f425f1c0606336d6039545bce572c_0a17aza0c0", + "friendlykey": "590873279656", + "referenceid": "US--New York City-Social Media Lawsuit" + }, + "version": 0, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-02-14T23:54:11Z", + "firstcreated": "2024-02-14T23:54:11Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "signals": [ + "newscontent" + ], + "title": "US--New York City-Social Media Lawsuit", + "headline": "New York City files a lawsuit saying social media is fueling a youth mental health crisis", + "headline_extended": "New York City, its schools and public hospital system are suing the tech giants that run Facebook, Instagram, TikTok, Snapchat and YouTube", + "slugline": "BC-US--New York City-Social Media Lawsuit", + "description_summary": "New York City, its schools and public hospital system are suing the tech giants that run Facebook, Instagram, TikTok, Snapchat and YouTube. 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Children and adolescents are especially susceptible to harm because their brains are not fully developed, the lawsuit said.
\u201cYouth are now addicted to defendants\u2019 platforms in droves,\" according to the 311-page filing in Superior Court in California, where the companies are headquartered.
The country's largest school district, with about 1 million students, has had to respond to disruptions in and out of the classroom, provide counseling for anxiety and depression, and develop curricula about the effects of social media and how to stay safe online, according to the filing. The city spends more than $100 million on youth mental health programs and services each year, Mayor Eric Adams' office said.
\u201cOver the past decade, we have seen just how addictive and overwhelming the online world can be, exposing our children to a non-stop stream of harmful content and fueling our national youth mental health crisis,\u201d Adams said.
The legal action is the latest of numerous lawsuits filed by states,school districts and others claiming social media companies exploit children and adolescents by deliberating designing features that keep them endlessly scrolling and checking their accounts.
Teenagers know they spend too much time on social media but are powerless to stop, according to the new lawsuit, filed by the city of New York, its Department of Education and New York City Health and Hospitals Corp., the country\u2019s largest public hospital system.
The lawsuit seeks to have the companies' conduct declared a public nuisance to be abated, as well as unspecified monetary damages.
In responses to the filing, the tech companies said they have and continue to develop and implement policies and controls that emphasize user safety.
\"The allegations in this complaint are simply not true,\u201d said Jos\u00e9 Casta\u00f1eda, a spokesman for YouTube parent Google, who said by email that the company has collaborated with youth, mental health and parenting experts.
A TikTok spokesperson cited similar regular collaborations to understand best practices in the face of industry-wide challenges.
\u201cTikTok has industry-leading safeguards to support teens\u2019 well-being, including age-restricted features, parental controls, an automatic 60-minute time limit for users under 18, and more,\u201d an emailed statement said.
Virtually all U.S. teenagers use social media, and roughly one in six teens describe their use of YouTube and TikTok as \u201calmost constant,\u201d according to the Pew Research Center.
A spokesperson for Meta, which owns and operates Facebook and Instagram, said the company wants \"teens to have safe, age-appropriate experiences online, and we have over 30 tools and features to support them and their parents. We\u2019ve spent a decade working on these issues and hiring people who have dedicated their careers to keeping young people safe and supported online.\u201d
A statement from Snap Inc., the parent company of Snapchat, said its app is intentionally different from from others in that it \u201copens directly to a camera \u2013 rather than a feed of content that encourages passive scrolling \u2013 and has no traditional public likes or comments.\u201d
\"While we will always have more work to do, we feel good about the role Snapchat plays in helping close friends feel connected, happy and prepared as they face the many challenges of adolescence,\u201d the statement said.
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The crash Tuesday evening at St. David's North Austin Medical Center killed the driver and injured five other people, including two children.
\u201cThe vehicle had direct impact to a very large aquarium that really, I believe, saved lives,\u201d Dr. Peter DeYoung, the hospital's chief medical officer, said at a news conference with police and city emergency officials.
The crash is still being investigated, but there is no indication that it was intentional or that the driver had a medical episode right before it happened, police spokeswoman Ariel Crumes said.
Police identified the driver as Michelle Holloway, 57. She was pulled from the car and received CPR, but died in the ER. Authorities declined to provide an update on the conditions of those who were injured.
Photos showed a silver sedan with a mangled front end sitting entirely inside the lobby. Video showed a chaotic scene of patients scrambling amid smoke and water.
The smoke came from the vehicle's tires as the wheels were still spinning on the floor tile, DeYoung said. The water was from the aquarium, he said.
\u201cIt was in drive and running, and they put their lives in harms way and stopped it from running, and did their best to preserve life,\u201d DeYoung said, referring to hospital staff.
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(AP) \u2014 The Missouri Supreme Court on Wednesday rejected the latest attempt by Republican state officials to block taxpayer dollars from going to Planned Parenthood, citing a failure in the state's legal appeal.
The high court's decision upholds a ruling by a trial judge, who found that a 2022 funding bill violated the state constitution. The budget bill sought to bar Medicaid health care dollars from going to Planned Parenthood because its affiliates elsewhere performed abortions. But the Supreme Court's ruling was based on procedural grounds, not the merits of the claims.
The court said a trial judge had blocked the provisions in the funding bill for two reasons \u2014 because they violated the state constitution's requirement that legislation contain a single subject and because they infringed on equal protection rights. The Supreme Court said Republican Attorney General Andrew Bailey's office failed to appeal the equal protection claim and it thus must stand. As a result, the court said there was no reason to address the single-subject claim.
Bailey's office did not immediately respond to requests for comment Wednesday.
Planned Parenthood said in a statement that the court had reaffirmed patients' rights to receive its services for such things as cancer screenings and birth control.
\u201cOver and over again, the courts have rejected politicians\u2019 ongoing attempts to deprive patients of their health care by unconstitutionally kicking Planned Parenthood out of the Medicaid program,\u201d the organization said in a joint statement from Yamelsie Rodriguez, president and CEO of Planned Parenthood of the St. Louis Region and Southwest Missouri, and Emily Wales, president and CEO of Planned Parenthood Great Plains.
Missouri's Republican-led Legislature has tried for years to block any health care funding from going to Planned Parenthood because of its association with abortion. That has continued even though Planned Parenthood no longer performs abortions in Missouri. A state law prohibiting most abortions took effect after the U.S. Supreme Court overturned a nationwide right to abortion in June 2022.
Lawmakers were able to stop money from going to Planned Parenthood in the 2019 fiscal year by forgoing some federal funding to avoid requirements that the clinics be reimbursed if low-income patients go there for birth control, cancer screenings and other preventative care. Missouri instead used state money to pay for those services.
But the Missouri Supreme Court in 2020 ruled lawmakers violated the state constitution by making the policy change through the state budget instead of a separate bill, forcing the state to reimburse Planned Parenthood for health care provided to Medicaid patients.
Lawmakers have been trying since then to reinstate a ban on funding for Planned Parenthood. A bill to create such a prohibition, separate from the budget, faced Democratic opposition when it was brought up for Senate debate earlier this month.
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Plaintiffs lawyer Tom Kline says Bayer failed to warn consumers to use gloves or other protective clothing when using Roundup. Bayer has asked the trial judge to slash the Philadelphia verdict.", + "bylines": [ + { + "by": "By MARYCLAIRE DALE", + "title": "Associated Press" + } + ], + "located": "PHILADELPHIA", + "datelinelocation": { + "city": "Philadelphia", + "countryareacode": "PA", + "countryareaname": "Pennsylvania", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -75.16362, + 39.95238 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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technician\u2019s blood cancer, the verdict became the largest yet in the long-running litigation over the popular Monsanto weed killer.
Corporate parent Bayer had set aside more than $10 billion in 2020 to settle about 125,000 cases, many consolidated in California. And it won a string of nine individual lawsuits that started going to trial in 2021. But the tide changed last year when juries began handing down nine- and 10-figure awards to plaintiffs who had developed non-Hodgkin lymphoma.
\u201cThey try to show that non-Hodgkin lymphoma is just something that happens randomly,\u201d said lawyer Tom Kline, who represented the Philadelphia plaintiff with co-counsel Jason Itkin. \u201c(But) the arc of the scientific literature has turned against Monsanto in the past seven years.\u201d
Thousands of cases remain, including one under way in Delaware over a South Carolina groundskeeper's cancer death. Bayer insists the weed killer is safe, but has reformulated the version sold to consumers to remove the pesticide known as glyphosate.
\u201cBayer will continue to try cases based on the overwhelming weight of science and the assessments of leading health and scientific regulators worldwide, including E.P.A., that support the safety and non-carcinogenicity of Roundup,\u201d the Berlin-based company said in a statement, referring to the U.S. Environmental Protection Agency.
Kline argued that Bayer ignored known health risks from glyphosate to keep Roundup on the market, failing to even warn consumers to wear gloves and protective clothing when they used it. He and Itkin obtained a $175 million verdict in another Roundup case in Philadelphia last fall.
Their latest client, John McKivison, told jurors in January that he used the product for 20 years \u2014 at a former warehouse job, on a deer food patch he tended at his home near Williamsport, Pennsylvania, and at the church and Little League where he volunteered. He said he mixed the concentrated version of Roundup into a spray bottle, which sometimes led to spills that soaked his skin.
McKivison\u2019s cancer is in remission but he said he fears a relapse and at 49 spends his days \u201cworrying, wondering and waiting.\u201d
The jury awarded him $250 million in actual damages, then penciled in an additional \u201c2 billion dollars\u201d for punitive damages, the verdict slip shows. The jury foreman, a college librarian, declined to comment while other Roundup cases are still playing out.
Bayer, in a 174-page post-trial motion filed this month, called the jury award \u201cexcessive\u201d and the ground rules in Philadelphia courts unfair. The company, for instance, said there was no evidence McKivison had suffered hundreds of millions of dollars in actual losses.
And the company continues to challenge the central claim that glyphosate causes non-Hodgkin lymphoma, pointing to studies that say it occurs at the same rate in Roundup users as the general population.
The Roundup lawsuits took off after a branch of the World Health Organization raised concerns about glyphosate in 2015, calling it \u201cprobably carcinogenic to humans.\u201d
The EPA meanwhile says it does not pose an \u201cunreasonable risk.\" A U.S. appeals court in California has ordered the agency to review that 2020 finding, while Bayer hopes to persuade the U.S. Supreme Court that the EPA's stamp of approval should invalidate the state court claims.
Bayer meanwhile hopes to reduce the McKivison award, noting that judges have slashed three other large verdicts. A $2 billion verdict awarded to a California couple who both got cancer was reduced to about $87 million. A $289 million verdict in the first Roundup trial was cut to $78 million and then about $20 million.
Bayer, in the post-trial motion, said the McKivison judge allowed \u201cimproper and abusive cross-examinations\" and let their opponents make \u201cthe gruesome and false statement that the plaintiff is under a \u2018death sentence.\u2019\u201d
Large jury awards in Philadelphia are nothing new and the city has the dubious distinction of often topping a list of \u201c judicial hellholes \u201d by the ATR Foundation, a tort reform group.
However, Kline said the city jury pool is changing along with its demographics as more young professionals settle there. He said half of the 12 jurors had attended college and a few, including the foreman, had graduate degrees. Ten of them had to agree Roundup was more likely than not a cause of McKivison\u2019s cancer to find Bayer liable.
\u201cWe\u2019re confident that the verdict is sound,\u201d Kline said.
Bayer bought St. Louis-based Monsanto for $63 billion in 2018, only to see its share price tumble in the years since.
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Just like in 2022, Republican Tom Davis\u2019 bill is off to the House. It died back then on a procedural ruling in the final days of the session, crushing the Beaufort senator who has been working to pass it for a decade. To get support in a conservative state like South Carolina, Davis says he has crafted one of the most restrictive medical marijuana programs in the country. Smoking the drug would be illegal. It could be prescribed for only specified illnesses like cancer, multiple sclerosis, glaucoma, sickle cell anemia, autism and some post-traumatic stress disorder diagnoses.", + "bylines": [ + { + "by": "By JEFFREY COLLINS", + "title": "Associated Press" + } + ], + "located": "COLUMBIA, S.C.", + "datelinelocation": { + "city": "Columbia", + "countryareacode": "SC", + "countryareaname": "South Carolina", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -81.03481, + 34.00071 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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(AP) \u2014 The South Carolina Senate again on Wednesday passed a bill allowing people to use marijuana and related products for medical needs.
Just like in 2022, Republican Tom Davis' bill is off to the House. It died back then on a procedural ruling in the final days of the session, crushing the Beaufort senator who has been working to pass it for a decade.
Davis said he likes his chances this time and asked House leaders to hold a vote on the bill before the session ends in May and it dies because of all the work that has gone into it.
\u201cI can't think of a bill that has undergone more testimony, more scrutiny and more debate,\u201d Davis said.
The Senate approved the bill 24-19 with a bipartisan mix of yes and no votes.
To get support in a conservative state like South Carolina, Davis has crafted one of the most restrictive medical marijuana programs in the country. He promises over and over again that he has no intent to allow recreational marijuana use.
Smoking the drug would be illegal. Instead, patients would have to use oil, salves, patches or vaporizers. The illnesses that can be treated are specified, including cancer, multiple sclerosis, glaucoma, sickle cell anemia, autism and some post-traumatic stress disorder diagnoses. The marijuana could be obtained only through specially chosen pharmacies.
Doctors would have to meet patients in person, and patients could only get a two-week supply at one time. Employers could ban their workers from using the drug.
Opponents of the bill worried the proposal would open the door to allowing recreational marijuana. They say federal rules still don't allow marijuana for medical use, and it hasn't been thoroughly studied.
\u201cI can't think of a more dangerous place for us to get out of our lane,\" said Republican Sen. Greg Hembree of Little River.
Davis started basically with only himself, taking up the issue after hearing from the wife of the senator he replaced who suffered from trigeminal neuralgia, a rare nerve disorder that causes excruciating pain in her head.
Margaret Richardson, who calls herself a conservative Christian, first took opioids, but they wrecked her body. At the end of her rope, someone suggested a cannabis vape pen. It changed her life. She slept 13 hours that night. But now she and her husband had to figure out how to get more.
\"If your wife was howling in pain and you had something on your nightstand that could give her immediate relief, would you tell her no?\" Davis said. \u201cYou\u2019d break the law.\u201d
Davis then heard from more and more people who said medical marijuana was their only hope. He started each day in the Senate in 2016 with another story about someone he met. He spoke to his colleagues one-on-one, finally getting a Senate floor debate in 2022. The Senate passed the bill 28-15.
The bill made it through a House committee and on to the floor in May 2022 before Republican House Speaker Pro Tem Tommy Pope ruled it contained an unconstitutional tax increase and could not be considered further. The ruling came as opponents rolled a cart with 1,000 amendments to the front of the House chamber.
Davis removed the 6% fee on medical marijuana sales that caused the House leader to rule against him in this bill.
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New Jersey state Sen. John Burzichelli has introduced a bill giving the casinos much of what they want amid a push by many casino workers to prohibit smoking altogether. That includes allowing smoking on unenclosed slot machine areas that are at least 15 feet from table games staffed by live dealers, and creating enclosed smoking rooms that no worker would have to work in against their will. Many workers want a total ban, saying their health should come before casino profits.", + "bylines": [ + { + "by": "By WAYNE PARRY", + "title": "Associated Press" + } + ], + "located": "ATLANTIC CITY, N.J.", + "datelinelocation": { + "city": "Atlantic City", + "countryareacode": "NJ", + "countryareaname": "New Jersey", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -74.00597, + 40.71427 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. 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(AP) \u2014 Atlantic City casinos would be able to continue to allow gamblers to smoke on the casino floor under a new bill that would impose additional restrictions on lighting up.
New Jersey state Sen. John Burzichelli introduced a bill Monday giving the casinos much of what they want amid a push by many casino workers to prohibit smoking altogether.
His measure would keep the current 25% limit of the casino floor on which smoking can occur.
But it would allow smoking in unenclosed areas of the casino floor that contain slot machines and are designated as smoking areas that are more than 15 feet away from table games staffed by live dealers. It also would allow the casinos to offer smoking in enclosed, separately ventilated smoking rooms with the proviso that no worker can be assigned to work in such a room against their will.
Whether to ban smoking is one of the most controversial issues not only in Atlantic City casinos, but in other states where workers have expressed concern about secondhand smoke. They are waging similar campaigns in Rhode Island, Pennsylvania, Kansas and Virginia.
The move sets up a fight between to competing bills: Burzichelli's, which he describes as a compromise giving something to both sides, and a different bill that would end smoking altogether in the casinos.
\u201cIt's about what we can do to keep casinos open, and how do we get it right,\u201d said Burzichelli, a Democrat from southern New Jersey and a former deputy speaker of the state Assembly. \u201cLosing one casino means thousands of jobs lost.\u201d
Atlantic City's nine casinos say they fear that banning smoking while neighboring states including Pennsylvania continue to offer it would cost them jobs and revenue. Workers dispute that contention, saying that smoke-free casinos have thrived in other states. They also say their health should come before casino profits.
The group CEASE (Casino Employees Against Smoking's Harmful Effects) issued a statement Wednesday calling Burzichelli's bill \u201cBig Tobacco and casino industry talking points, copied and pasted.\u201d
\u201cThis bill would retain the same level of smoking as is currently permitted and will not decrease in any way the amount of exposure workers have to secondhand smoke,\u201d the statement read. It added that the only bill with enough support to be passed and signed into law by Gov. Phil Murphy, a Democrat, is the total ban.
Murphy has pledged to sign a smoking ban into law once passed by the Legislature.
On Wednesday, the American Cancer Society Cancer Action Network urged New Jersey lawmakers to reject the new bill and enact the total smoking ban.
\u201cSince the 1980s, we've known that secondhand smoke can cause cancer, along with a host of other devastating health effects, like heart disease,\u201d the group said in a statement. \u201cYet despite the crystal-clear proof that exposure to secondhand smoke is bad, and that smoke-free laws work, lawmakers continue to force Atlantic City workers to choose between their paycheck and breathing in secondhand smoke.\u201d
The Casino Association of New Jersey did not immediately respond to a request for comment Wednesday. But it has previously said a total smoking ban would chase business to other states, jeopardizing jobs and state tax revenue.
Burzichelli's bill was referred to the same state Senate committee that last month advanced the total smoking ban bill. He said he has not counted heads to see how much support his bill has.
It is not currently scheduled for a hearing.
Casinos were specifically exempted from New Jersey\u2019s 2006 law that banned smoking in virtually all other workplaces.
___
Follow Wayne Parry on X, formerly Twitter, at www.twitter.com/WayneParryAC
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Gavin Newsom announced Project Roomkey in March 2020.", + "bylines": [ + { + "by": "By JANIE HAR", + "title": "Associated Press" + } + ], + "located": "SAN FRANCISCO", + "datelinelocation": { + "city": "San Francisco", + "countryareacode": "CA", + "countryareaname": "California", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -122.41942, + 37.77493 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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Gavin Newsom's pandemic program to house homeless people in hotel rooms after the Federal Emergency Management Agency said in October that it was limiting the number of days eligible for reimbursement.
State and local officials say they were stunned to learn via an October letter that FEMA would only pay to house homeless people at risk of catching COVID-19 for at most 20 days \u2014 as opposed to unlimited \u2014 starting June 11, 2021, which is when Gov. Gavin Newsom rescinded the sweeping stay-at-home order he issued in March 2020.
In response, the Governor\u2019s Office of Emergency Services requested that FEMA reconsider the policy change, saying that it would cost cities and counties at least $300 million at a time when budgets are tight and that local governments had relied on assurances that the federal government would pick up the cost.
Late Tuesday, FEMA said in a statement that it will review California's Jan. 31 letter, but that all states had been provided \u201cthe same guidance and policy updates throughout the pandemic.\u201d
Newsom announced the hotel housing program \u2014 called Project Roomkey \u2014 in March 2020 as part of the state's response to the pandemic. Homeless advocates heralded it as a novel way to safeguard residents who could not stay at home to reduce virus transmission. FEMA agreed to pay 75% of the cost, later increasing that to full reimbursement.
California officials argued to the federal agency that no notice was provided on the policy change.
Robert J. Fenton, the regional administrator for California who wrote the October letter, told CalMatters, which was first to report on the discrepancy last week, that the policy was not new.
\u201cWhat I\u2019m doing is clarifying the original guidance of the original policy and providing that back to them,\u201d he told the nonprofit news organization.
FEMA declined Tuesday to make Fenton available to The Associated Press for an interview.
Brian Ferguson, a spokesperson for Cal OES, said earlier Tuesday that inaction by FEMA \u201cwould have a chilling effect on the future trust of local governments and the federal government\u201d in times of crisis.
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What to review now", + "headline_extended": "Many people choose Medicare Advantage plans without exploring their options or noticing what changes their plan may have made, according to research", + "slugline": "AP-On The Money-NerdWallet-Medicare Advantage, 1st Ld-Writethru", + "description_summary": "Many people choose Medicare Advantage plans without exploring their options or noticing what changes their plan may have made, according to research. But now that a new year has started, you may realize you picked the wrong plan during Medicare\u2019s fall open enrollment. Maybe your prescription drugs are more expensive than you expected, or one of your specialists is no longer in-network. Medicare Advantage open enrollment runs from Jan. 1 to March 31 each year, and members can switch Medicare Advantage plans or move back to Original Medicare during that time. Here are tips on evaluating your current coverage.", + "bylines": [ + { + "by": "By KATE ASHFORD of NerdWallet" + } + ], + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. For other uses, additional clearances may be required." + ], + "keywords": [ + "On Money NerdWallet Medicare Advantage" + ], + "provider": "AP", + "infosource": [ + { + "name": "AP", + "type": "AP" + } + ], + "subject": [ + { + "rels": [ + "category" + ], + "creator": "Editorial", + "code": "f", + "name": "f" + }, + { + "rels": [ + "category" + ], + "creator": "Editorial", + "code": "l", + "name": "l" + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "cc7a76087e4e10048482df092526b43e", + "name": "Health", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 94 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "9c750296cbfa4fdd89e9a32848825b29", + "name": "Prescription drugs", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 75 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "e2f27836163e4840a132ceda92115e18", + "name": "Medicare", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 94 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "1b29d45f8e8e4c008e8a58fe6f92a753", + "name": "Government programs", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 94 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "3e37e4b87df7100483d5df092526b43e", + "name": "Lifestyle", + "creator": "Editorial", + "editorial_subject": "Lifestyle", + "rels": [ + "direct" + ], + "relevance": 75 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "c8e409f8858510048872ff2260dd383e", + "name": "Business", + "creator": "Editorial", + "editorial_subject": "Business", + "rels": [ + "direct" + ], + "relevance": 99 + } + ], + "organisation": [ + { + "scheme": "http://cv.ap.org/id/", + "code": "cf4760ca71884000913cb9e399f9c55b", + "name": "X Corp.", + "creator": "Machine", + "rels": [ + "direct" + ], + "industries": [ + { + "code": "6fd7e1aa975ef14a80f93a1da7d78c3a", + "name": "Information technology" + } + ], + "relevance": 33 + } + ], + "audiences": [ + { + "code": "82c6a4c46fa0446090a7acaf93159e4c", + "name": "Print", + "type": "AUDPLATFORM" + }, + { + "code": "9add4649b53b4702ba7d9de5d4fa607a", + "name": "Online", + "type": "AUDPLATFORM" + }, + { + "code": "f43adc08760d10048040e6e7a0f4673e", + "name": "National", + "type": "AUDSCOPE" + }, + { + "code": "f4ecf9b0760d10048044e6e7a0f4673e", + "name": "International", + "type": "AUDSCOPE" + }, + { + "code": "661850e07d5b100481f5c076b8e3055c", + "name": "Latin America and Caribbean", + "type": "AUDGEOGRAPHY" + }, + { + "code": "661e48387d5b10048291c076b8e3055c", + "name": "United States", + "type": "AUDGEOGRAPHY" + } + ], + "associations": { + "1": { + "altids": { + "itemid": "4c34fd8096e64773a97e096f20e9b890" + }, + "type": "picture" + } + }, + "body_nitf": "Many people choose Medicare Advantage plans without exploring their options or noticing what changes their plan may have made, according to research from KFF, a health policy nonprofit. But now that a new year has started, you may realize the plan you picked during Medicare\u2019s fall open enrollment doesn\u2019t work for you. Or maybe you stuck with your old plan and it changed this year. (That can happen, too.)
Medicare Advantage open enrollment, which runs from Jan. 1 to March 31, gives members the option to switch Medicare Advantage plans or move back to Original Medicare.
\u201cIt\u2019s set up especially for people who begin the year enrolled in a Medicare Advantage plan and allows them to make certain changes,\u201d says David Lipschutz, associate director of the Center for Medicare Advocacy.
Here\u2019s where to start.
DOES YOUR CURRENT COVERAGE WORK FOR YOU?
Even if you haven\u2019t had a chance to stress test your plan yet, do some research while you still have time to change your mind. Are there providers or specialists you want to see or hospitals you prefer? Make sure they\u2019re in your network.
Check your medications, particularly if you\u2019re on a newer drug that may be covered differently by different plans. How much do your prescriptions cost under your plan?
Then, think about your situation this year. \u201cAre there any procedures, like a surgery that\u2019s coming up?\u201d says Christopher Fong, director and co-founder of Smile Insurance Group in Mesa, Arizona. \u201cIs it outpatient? Inpatient? How many emergency room visits do you have? Do you need an electric scooter?\u201d The more you can predict your health care usage, the more accurately you can determine whether you\u2019re in the right plan.
Next, consider your lifestyle. Do you travel or plan to spend part of the year in another state? Make sure your insurance offers an extended network or travel benefit. Or consider Original Medicare, which allows you to see any doctor in the country who accepts Medicare.
WHAT CAN YOU DO DURING MEDICARE ADVANTAGE OPEN ENROLLMENT?
During this time, people who are already enrolled in a Medicare Advantage plan can switch \u2014 once \u2014 to another Medicare Advantage plan, or they can return to Original Medicare and purchase a Medicare Part D prescription drug plan. But if you don\u2019t already have Medicare Advantage, you can\u2019t join a plan now.
That said, although you can return to Original Medicare, you may not be able to sign up for Medicare Supplement Insurance, or Medigap. Medigap\u2019s open enrollment period \u2014 when insurance companies must offer you a plan at the same price as everyone else, regardless of health issues \u2014 lasts for six months after you\u2019re 65 and have Medicare Part B. After that, aside from a few states and situations, you\u2019ll be subject to medical underwriting to qualify.
\u201cWhile you can get in and out of a Medicare Advantage plan on an annual basis, your rights to purchase a Medigap policy are usually far more restrictive,\u201d Lipschutz says.
SHOULD YOU SWITCH PLANS?
Some circumstances are red flags \u2014 meaning you should probably change your coverage. If your primary care physician or primary hospital system is now out of network, for instance, you\u2019ll want to look for a plan that includes them.
If an expensive medication isn\u2019t covered, see if there\u2019s a plan that includes it. (You can input your medications into the plan finder on Medicare.gov to see options.) Make sure, when you\u2019re estimating drug costs, that you\u2019re as accurate as possible about what you\u2019re taking, including name and dosage. \u201cSome people will get confused between the generic version and the brand name version, and there\u2019s a huge difference,\u201d says Emily Gang, CEO of the Medicare Coach, a site that provides Medicare guidance.
If you had a health event and found that you weren\u2019t covered in the way that you expected, give switching plans some thought, but consider that any money you\u2019ve paid is a sunk cost. You\u2019ve already spent it, Gang says. And it may not make sense to start over in a new plan with a new deductible.
In general, resist switching plans for the perks alone. \u201cWe\u2019re not proponents of benefit chasing unless everything else lines up correctly for the member,\u2019\u201d Fong says.
Then, next year, do your homework during Medicare\u2019s fall open enrollment from Oct. 15 to Dec. 7. \u201cIdeally, you look at the plan details in advance to avoid any surprises,\u201d Gang says.
__________________________
This article was provided to The Associated Press by the personal finance website NerdWallet. Kate Ashford is a writer at NerdWallet. Email: kashford@nerdwallet.com. Twitter: @kateashford.
RELATED LINKS:
NerdWallet: What is Medicare Advantage open enrollment? https://bit.ly/nerdwallet-medicare-advantage-open-enrollment
Medicare.gov: Explore your Medicare coverage options https://www.medicare.gov/plan-compare/
METHODOLOGY
KFF\u2019s analysis used survey data f(13) or community-dwelling Medicare beneficiaries from the Centers for Medicare & Medicaid Services (CMS) Medicare Current Beneficiary Survey (MCBS) 2020 Survey File. The MCBS survey is a continuous, in-person, longitudinal survey of a representative national sample of the Medicare population(14).
KFF. (2022). \u201cA Relatively Small Share of Medicare Beneficiaries Compared Plans During a Recent Open Enrollment Period.\u201d https://www.kff.org/medicare/issue-brief/a-relatively-small-share-of-medicare-beneficiaries-compared-plans-during-a-recent-open-enrollment-period/
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The content is directly related to making informed health decisions and managing healthcare effectively." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/02/14/c3eb216d6a6873a64d182df780d18139.json b/datasets/AP_news/raw_data/2024/02/14/c3eb216d6a6873a64d182df780d18139.json new file mode 100644 index 0000000..0044b08 --- /dev/null +++ b/datasets/AP_news/raw_data/2024/02/14/c3eb216d6a6873a64d182df780d18139.json @@ -0,0 +1,254 @@ +{ + "altids": { + "itemid": "c3eb216d6a6873a64d182df780d18139", + "etag": "c3eb216d6a6873a64d182df780d18139_1a4aza0c0", + "friendlykey": "132760161117", + "referenceid": "CB--Puerto Rico-Health Debate" + }, + "version": 1, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-02-14T21:23:53Z", + "firstcreated": "2024-02-14T21:08:19Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: Updates Media.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "CB--Puerto Rico-Health Debate", + "headline": "Puerto Rico is entangled in a heated public health debate over vaccines and masks", + "headline_extended": "A fiery debate over public health and personal rights has gripped Puerto Rico as legislators clash with medical experts", + "slugline": "BC-CB--Puerto Rico-Health Debate, 1st Ld-Writethru", + "description_summary": "A fiery debate over public health and personal rights has gripped Puerto Rico as legislators clash with medical experts. The debate began after Puerto Rico\u2019s House of Representatives announced the mandatory use of face masks following a rise in COVID-19 cases. One legislator refused to wear a mask and was removed, prompting her to file a lawsuit on Monday. The House then declared a state of emergency and began holding sessions virtually. On Wednesday, lawmakers tackled a proposed bill that would eliminate vaccine requirements for schoolchildren younger than 5. The bill has further enflamed the ongoing health debate.", + "located": "SAN JUAN, Puerto Rico", + "datelinelocation": { + "city": "San Juan", + "countrycode": "PRI", + "countryname": "Puerto Rico", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -66.10572, + 18.46633 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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The debate began earlier this month after the administrator of Puerto Rico\u2019s House of Representatives announced the mandatory use of face masks, following various COVID-19 cases reported in the seaside Capitol building.
One conservative legislator, Lisie Burgos, refused to wear a mask and was removed from a hearing last week, prompting her to file a lawsuit on Monday that has yet to be resolved. Later that day a judge ordered that, in the meantime, the island\u2019s House of Representatives should not \u201cprohibit, prevent or interfere\u201d with Burgos\u2019 right to attend meetings.
Many were outraged by the ruling, noting that the island of 3.2 million people is reporting some 1,100 COVID-19 cases a day, with nearly 25% of tests returning a positive result. Last November, Puerto Rico\u2019s government also declared a flu epidemic.
Hours after the judge\u2019s ruling on Monday, the president of the House of Representatives declared a state of emergency and announced that all sessions would be held virtually until the end of February.
Puerto Rico\u2019s Senate has said it is not considering similar measures.
As representatives gathered behind their computer screens this week, they tackled a proposed bill that would eliminate vaccine requirements for schoolchildren younger than 5, a proposal that further enflamed the ongoing health debate.
On Wednesday, medical experts condemned the bill.
\u201cThis bill, in essence, inserts the state into an anti-science, ideological current that has been gaining followers in what has been described as a new age of obscurantism,\u201d said Dr. Carlos D\u00edaz V\u00e9lez, president of Puerto Rico\u2019s Association of Surgeons.
Other doctors testified about the safety and need for vaccines. Waleska Crespo, president of an association of private high schools and universities, echoed their concerns.
\u201cIt\u2019s the government that mainly has to protect the fundamental right to health,\u201d she said.
The bill was submitted by Burgos, member of a small conservative party, and four other legislators who represent Puerto Rico\u2019s two biggest political parties. They argue that parents or legal guardians who do not believe in vaccination for religious purposes or other reasons should be exempt.
Backing the bill was Carlos P\u00e9rez Toro, a Catholic priest, who spoke at Wednesday\u2019s hearing.
\u201cThe lack of informing parents, so they are the ones who ultimately decide what is best for the health of their children, led to government decisions on forced vaccination that were often not based on the need to protect the school community from contagious diseases,\u201d he said.
The hearings over the bill are ongoing, with several legislators vowing to fight its approval as well as the pending lawsuit filed by Burgos rejecting the face mask requirement.
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Janet Mills has unveiled a $71 million supplemental budget that includes several initiatives proposed after the deadliest mass shooting in state history", + "slugline": "BC-ME--Maine Budget", + "description_summary": "Democratic Maine Gov. Janet Mills has unveiled a $71 million supplemental budget that includes several initiatives proposed after the deadliest mass shooting in state history. The spending plan includes funding to boost mental health initiatives, support required assessments under the state\u2019s so-called yellow flag law and promote an existing firearm storage program. The proposed budget adjustment follows through on the governor\u2019s promise to set aside more than $100 million for the next two-year budget when state revenues are anticipated to level off, potentially straining state finances. The adjustment would bring the two-year budget to $10.41 billion.", + "located": "PORTLAND, Maine", + "datelinelocation": { + "city": "Portland", + "countryareacode": "ME", + "countryareaname": "Maine", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -70.2589, + 43.65737 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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Janet Mills unveiled a $71 million supplemental budget on Wednesday that includes several initiatives following the deadliest mass shooting in state history, including more funding to boost mental health initiatives, support required assessments under the state's so-called yellow flag law and promote an existing firearm storage program.
The proposed budget adjustment, which would boost the two-year budget to $10.41 billion, follows through on the governor's promise to set aside more than $100 million for the next budget cycle when state revenues are anticipated to level off, potentially straining state finances.
\u201cThis proposal strikes the balance between making timely investments to address urgent needs \u2014 like public safety, mental health, housing, education, and health care \u2014 and saving money to ensure that our state continues to stand on strong fiscal footing in the future,\u201d the governor said in a statement.
Some of the proposals grew out of the Oct. 25 shooting that claimed 18 lives in Lewiston. The gunman, an Army reservist, was suffering from deteriorating mental heath in the months before the tragedy, officials said.
The governor's proposal includes $1 million for the Maine Centers for Disease Control and Prevention to serve as a clearinghouse for data on injury and violence from law enforcement, hospitals, schools and other sources to inform public policy decisions.
It also includes $2.8 million for mobile crisis teams that respond to mental health emergencies, $950,000 to create a mental health crisis receiving center in Lewiston, $5 million to cover unreimbursed medical expenses for victims of \u201cmass violence events\u201d and $422,400 to help with a surge in mental health assessments under the yellow flag law, which allows guns to be taken from someone in a psychiatric crisis.
Other highlights include $200,000 to promote a program that encourages Mainers to safely store firearms, money for 16 state trooper positions and $6 million for a funding shortfall for victims' services.
It also includes $16 million for the emergency housing relief; $10 million to build affordable housing; $6 million to repair storm-damaged state parks and public lands; and $4 million to update the judiciary's computer systems, among other things.
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However, the document also covers other areas like public safety, housing, and judiciary updates, which are not directly related to health." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/02/14/eb6f9528198b4e3c2a5e82f74c4cb7e9.json b/datasets/AP_news/raw_data/2024/02/14/eb6f9528198b4e3c2a5e82f74c4cb7e9.json new file mode 100644 index 0000000..d66d9b9 --- /dev/null +++ b/datasets/AP_news/raw_data/2024/02/14/eb6f9528198b4e3c2a5e82f74c4cb7e9.json @@ -0,0 +1,359 @@ +{ + "altids": { + "itemid": "eb6f9528198b4e3c2a5e82f74c4cb7e9", + "etag": "eb6f9528198b4e3c2a5e82f74c4cb7e9_0a30aza0c0", + "friendlykey": "444542503419", + "referenceid": "US--Hospital-Cyberattacks" + }, + "version": 0, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-02-14T16:44:57Z", + "firstcreated": "2024-02-14T16:44:56Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "signals": [ + "newscontent" + ], + "title": "US--Hospital-Cyberattacks", + "headline": "Cyberattacks on hospitals are likely to increase, putting lives at risk, experts warn", + "headline_extended": "Cybersecurity experts are warning that hospitals around the United States are at risk for attacks such as the one that's crippling operations at a premier Midwestern children\u2019s hospital", + "slugline": "BC-US-Hospital-Cyberattacks", + "description_summary": "Cybersecurity experts are warning that hospitals around the United States are at risk for attacks such as the one that's crippling operations at a premier Midwestern children\u2019s hospital. 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Hospitals in recent years have shifted their use of online technology to support everything from telehealth to medical devices to patient records. Today, they are a favorite target for internet thieves who hold systems' data and networks hostage for hefty ransoms, said John Riggi, the American Hospital Association\u2019s cybersecurity adviser.
\u201cUnfortunately, the unintended consequence of the use of all this network and internet connected technology is it expanded our digital attack surface,\u201d Riggi said. \u201cSo, many more opportunities for bad guys to penetrate our networks.\u201d
The assailants often operate from American adversaries such as Russia, North Korea and Iran, where they enjoy big payouts from their victims and face little prospect of ever being punished.
In November, a ransomware attack on a health care chain that operates 30 hospitals and 200 health facilities in the United States forced doctors to divert patients from emergency rooms and postpone elective surgeries. Meanwhile, a rural Illinois hospital announced it was permanently closing last year because it couldn\u2019t recover financially from a cyberattack. And hackers went as far as posting photos and patient information of breast cancer patients who were receiving treatment at a Pennsylvania health network after the system was hacked last year.
Now, one of the top children's hospitals in the country, the Ann & Robert H. Lurie Children\u2019s Hospital of Chicago, has been forced to put its phone, email and medical record systems offline as it battles a cyberattack. The FBI has said it is investigating.
Brett Callow, an analyst for the cybersecurity firm Emsisoft, counted 46 cyberattacks on hospitals last year, compared with 25 in 2022. The paydays for criminals have gotten bigger too, with the average payout jumping from $5,000 in 2018 to $1.5 million last year.
\u201cUnless governments do something more meaningful, more significant than they have done to date, it\u2019s inevitable that it\u2019ll get worse,\u201d Callow said.
Callow believes the government should ban cyberattack victims such as hospitals, local governments and schools from paying ransoms. \u201cThere\u2019s so much money being paid into the ransomware system now there\u2019s no way the problem is going to simply go away on itself,\u201d he said.
The dramatic increase in these online raids has prompted the nation\u2019s top health agency to develop new rules for hospitals to protect themselves from cyber threats.
The Department of Health and Human Services said it will rewrite the rules for the Health Insurance Portability and Accountability Act -\u2013 the federal law commonly called HIPPA that requires insurers and health systems to protect patient information \u2013 to include new provisions that address cybersecurity later this year.
The department is also considering new cybersecurity requirements attached to hospitals\u2019 Medicaid and Medicare funding.
\u201cThe more prepared we are the better,\u201d said Deputy Secretary Andrea Palm.
But, she added, some hospitals will struggle to protect themselves. She is worried about rural hospitals, for example, that may have difficulty cobbling together money to properly update their cybersecurity. HHS wants more money from Congress to tackle the issue, but Palm said the agency doesn\u2019t have a precise dollar amount its seeking.
\u201cIt\u2019s important to note that this has to come with resources,\" Palm said. \"We can\u2019t set the industry up not to be able to meet requirements.\u201d
Becoming the victim of a cyberattack is costly, too. The attacks can put hospitals\u2019 networks offline for weeks or months, forcing hospitals to turn away patients.
In Chicago, Lurie hospital\u2019s network has been offline for two weeks. The hospital, which served more than 260,000 patients last year, has established a separate call center for patients' needs and resumed some care.
On Thursday, Lurie\u2019s surgeons operated on Jason Castillo\u2019s 7-month-old daughter mostly by hand, without some of the high-tech devices usually used.
His daughter\u2019s planned heart surgery was postponed on Jan. 31, when the hospital found itself under cyber siege. The surgeon talked to Castillo before his daughter was wheeled in for a six-hour surgery, promising that he felt confident he could do the procedure despite the ongoing cyberattack.
\u201cShe\u2019s doing fantastic,\u201d Castillo said of his daughter, who is now recovering at home. \u201cIt feels like a huge cloud has been lifted from our household.\u201d
Even once Lurie has restored their network, it'll likely take months of behind-the-scenes work for the hospital to fully rebound, Callow said.
\u201cThese incidents can affect everything from patient care to payroll,\u201d Callow said. \u201cFully recovering can take months, it\u2019s not simply a matter of flicking a switch and everything comes back on.\"
___
Associated Press writer Kathleen Foody in Chicago contributed to this report.
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State Sen. Merv Riepe's bill would amend Nebraska's 12-week ban to allow abortions when two doctors determine that a fetal anomaly would result in death upon birth or shortly thereafter. The bill also removes criminal penalties for doctors who perform an abortion outside the exceptions for rape, incest and to save the life of the mother listed in Nebraska's ban. The bill comes as the nation finds itself embroiled in a tug-of-war over abortion access in the wake of the U.S. Supreme Court\u2019s overturning of Roe v. Wade.", + "bylines": [ + { + "by": "By MARGERY A. BECK", + "title": "Associated Press" + } + ], + "located": "LINCOLN, Neb.", + "datelinelocation": { + "city": "Lincoln", + "countryareacode": "NE", + "countryareaname": "Nebraska", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -96.66696, + 40.8 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. 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(AP) \u2014 A Nebraska lawmaker who tanked an effort last year by his fellow Republicans to pass a near-total abortion ban has given top priority this year to a bill that would allow abortions beyond the state's 12-week ban in cases of fatal fetal anomalies.
The bill by state Sen. Merv Riepe would amend Nebraska\u2019s 12-week abortion ban, passed last year, to allow abortions in cases when a fetus is unable to survive outside the womb. That diagnosis must come from two doctors who determine that, regardless of any life-saving treatment, a fetus is incompatible with life outside the womb and will result in death upon birth or shortly thereafter. The diagnosis and abortion must come before 20 weeks of pregnancy \u2014 a timeline consistent with Nebraska's previous 20-week ban on abortions.
The bill also removes criminal penalties for doctors who perform an abortion outside the exceptions for rape, incest and to save the life of the mother.
The bill comes as the nation finds itself embroiled in a tug-of-war over abortion access in the wake of the U.S. Supreme Court's overturning of Roe v. Wade, which had guaranteed the right to abortion nationwide for nearly five decades.
Since then, about two dozen states have enacted some form of abortion restrictions, and that has led to some high-profile cases that have stirred national pushback. Kate Cox, a Texas mother of two, sued last year to obtain an abortion in her state after learning the baby she was carrying had a fatal genetic condition and that carrying to term could leave her infertile. Her request was denied by the Texas Supreme Court, and she left the state to seek an abortion elsewhere.
The uproar over that and other cases has been met by a slew of voter initiatives over abortion access, all of which have so far favored the side supported by abortion rights supporters. In Nebraska, advocates are trying to collect about 125,000 signatures needed by July 5 to put a constitutional amendment before voters to protect abortion rights until fetal viability.
Riepe delegated his bill as his priority for the session on Wednesday \u2014 a day before the deadline to do so. In Nebraska's unique one-chamber, officially nonpartisan Legislature, prioritizing a bill gives it elevated status, making it more likely to be advanced from committee and debated by all 49 state lawmakers.
Riepe, an 81-year-old former hospital administrator, incurred the ire of his fellow Republicans last year when he refused to provide them the final vote needed to pass a bill that would have banned abortion once cardiac activity could be detected, or about six weeks into pregnancy \u2014 before most women even know they're pregnant.
Riepe abstained from voting on that bill after his amendment to extend the ban to 12 weeks and add an exception for fatal fetal anomalies was rejected. Following the vote, Riepe took to the mic to warn his Republican colleagues that strict abortion bans would galvanize women to vote them out of office.
He pointed to his own slim election victory in 2022, after the fall of Roe v. Wade, over a Democrat who made abortion rights central to her campaign.
\u201cThis made the message clear to me how critical abortion will be in 2024,\u201d Riepe said last year. \u201cWe must embrace the future of reproductive rights.\u201d
A 12-week ban was eventually folded into a bill to restrict gender-affirming care for minors and enacted last year.
On the national stage, Democrats see the issue of abortion rights as a major driver in a presidential election year. Abortion access advocates have pushed hard for ballot measure initiatives aiming to protect abortion rights
According to an AP-NORC poll last summer, about two-thirds of Americans say abortion should generally be legal, but only about a quarter say it should always be legal and only about 1 in 10 say it should always be illegal.
Adelle Burk with Planned Parenthood Advocates of Nebraska said Riepe\u2019s bill falls well short of restoring full rights to abortion access, but that it \u201cacknowledges some of the harm done by the bill passed last year and tries to control some of that damage.\u201d
More telling, she said, is that a bill to ease abortion restrictions is being championed by a Republican with a long history of supporting abortion bans. It indicates that at least some politicians recognize how unpopular the bans are, she said.
\u201cI think voters are deeply concerned about their rights and the overturning of Roe v. Wade,\" Burk said. \u201cThey're motivated to vote in even larger numbers this year and will be looking to protect and restore their rights.\u201d
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But Walli Carranza said nothing came of her actions.
Carranza said she believes systemic failures as well as lax gun laws ultimately led to Sunday\u2019s shooting at celebrity pastor Joel Osteen\u2019s Lakewood Church in which Genesse Moreno entered the church with her 7-year-old son and opened fire in a hallway. Two people were wounded in the shooting, including Moreno's son, who was shot in the head. Moreno was gunned down by security officers she exchanged gunfire with.
\u201cYou can\u2019t put responsibility on the mind, when the mind was so very ill. A healthy mother would never bring her child to a situation like this. That\u2019s not mental health. So sometimes we don\u2019t have to find a guilty party or place blame. We can just say there are systems that failed,\u201d Carranza told The Associated Press in an interview.
Carranza said her grandson Samuel remained in critical condition, but that he was doing better.
Various questions about the shooting remained unanswered on Wednesday, including Moreno\u2019s motive and details about how she obtained the AR-style rifle she used.
Carranza said her son Enrique Carranza and Moreno met at the University of Houston and married in September 2015. They divorced in 2022.
Carranza said her son, who is currently incarcerated in Florida, didn't want to divorce Moreno and only \u201cwanted his wife to get healthy.\u201d
Carranza said Child Protective Services was notified after Moreno was accused by nurses of putting adult medication in her son\u2019s feeding tube after his birth in 2016. Other concerns, including allegations that Moreno left guns unattended in her home, were also forwarded to CPS but no action was taken, Carranza said.
\u201cMy great concern for Sam was that he was going to shoot himself, and that\u2019s what we warned against,\u201d Carranza said. She added that in January 2020, when Moreno and her grandson visited her in Colorado, Samuel pulled a handgun from his diaper bag and gave it to her.
Melissa Landford, spokesperson for the state Department of Family and Protective Services, said CPS could not comment on the case for confidentiality reasons.
Carranza also said that in 2020 and 2021, her attorney sent emails to Lakewood Church asking for assistance with intervening in Moreno's struggles, believing that Moreno's mother attended the church.
Church spokesman Don Iloff said Wednesday that records show Moreno \u201csporadically\u201d attended services at Lakewood for a couple years but there were no records of her being at the church after 2022.
Iloff said they were still looking but had not found any records showing Moreno's mother attended the church. He added that church officials also had not found records of the emails sent by Carranza's attorney but they were still looking.
Iloff said in situations where someone may reach out for help, what the church can offer them is spiritual and biblical counseling.
\u201cIf we had reached out and (Moreno) had accepted counseling, then we definitely would have been more than happy to provide that,\u201d Iloff said.
In a video message on Instagram, Osteen invited people to attend a special service at the church this coming Sunday to celebrate a \u201ctime of healing and restoration.\u201d
\u201cWe are not people of fear. We are people of faith. God has us in the palm of his hand, and this is not the time to shrink back. This is the time to turn to God, to rally together,\u201d Osteen said.
Texas law generally bans someone convicted of a felony from owning a gun for several years after they are released from prison. Misdemeanors connected to domestic violence will also trigger a ban.
But Moreno\u2019s extensive list of misdemeanors, ranging from forging a $100 bill to shoplifting and assault, did not meet that threshold.
Texas also lacks a so-called \u201cred flag\u201d law, which generally allows law enforcement or family members to ask a judge to order the seizure or surrender of guns from someone who is deemed dangerous, often because of mental health concerns or threats of violence.
Carranza said she met for hours with FBI agents on Tuesday, discussing the reports she filed over the years about Moreno.
___
Associated Press writer Jim Vertuno in Austin contributed to this report.
___
Follow Juan A. Lozano on X, formerly known as Twitter: twitter.com/juanlozano70
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Glenn Youngkin will act on them.", + "bylines": [ + { + "by": "By SARAH RANKIN", + "title": "Associated Press" + } + ], + "located": "RICHMOND, Va.", + "datelinelocation": { + "city": "Richmond", + "countryareacode": "VA", + "countryareaname": "Virginia", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -77.46026, + 37.55376 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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(AP) \u2014 Virginia Democrats who control the state Legislature are advancing legislation that aims to protect access to a wide range of contraception, something they say should not be taken for granted after the U.S. Supreme Court's decision overturning Roe v. Wade.
Similar bills that would establish a right to obtain and use a detailed list of contraception approved by the federal government \u2014 including oral medications, intrauterine devices, condoms and the Plan-B morning-after pill \u2014 have cleared both the House of Delegates and the Senate. The legislation also creates a right to sue over violations of its provisions.
\u201cI think the overturning of Roe was a first step on the assault on reproductive health care,\u201d said Sen. Ghazala Hashmi of Chesterfield, the sponsor of one of the measures.
The court's June 2022 majority opinion overturning the 1973 Roe decision said it applied only to abortion. But Hashmi noted conservative Supreme Court Justice Clarence Thomas' separate concurring opinion that said the court \u201cshould reconsider\u201d other precedents, including decisions legalizing same-sex marriage, striking down laws criminalizing gay sex and establishing the right of married couples to use contraception.
\u201cI didn\u2019t hear any of his other conservative member justices challenge him on that. And so if he\u2019s saying this, I think we ought to believe him,\" Hashmi said.
Hashmi and Democratic Del. Cia Price of Newport News, the sponsor of the House bill, emphasized the importance of access to contraception not only for family planning but to prevent sexually transmitted infections and to help manage other medical conditions, including endometriosis and polycystic ovary syndrome.
Similar efforts have been made in other states around the country. Thirteen states had enacted some kind of legal protections for the right to contraception as of October and more were pending, according to research from KFF, a nonprofit that studies health care issues.
In Congress, a measure to enshrine the right to use contraceptives passed the House of Representatives in July 2022 but failed to advance in the Senate.
While Price's version of the legislation picked up a handful of Republican votes on the House floor, the bills have been advancing largely along party lines. And they have drawn opposition from religious and socially conservative groups, who have raised a range of objections, particularly over the lack of an exemption for health care workers who may have a religious or moral objection to offering contraception.
The bill is \u201cdesigned to restrict the conscience rights of medical providers,\u201d said Jeff Caruso, executive director of the Virginia Catholic Conference.
Other opponents raised concerns that the bill was written broadly enough that it could protect access to abortifacient drugs.
Price said that's unfounded, noting that the bill defines contraception as \u201can action taken to prevent pregnancy.\u201d The definition also covers sterilization procedures.
\u201cThis is not a conversation about abortion,\u201d she said in a committee hearing.
During discussion on the Senate floor, Sen. David Suetterlein of Roanoke, a Republican with an independent voting streak, said that while he supports the \u201cspirit\u201d of the legislation, he had concerns about creating an \"affirmative legal right.\u201d
\u201cI think that we need to continue making sure that we expand contraceptive coverage and access. I think abortion is a tragedy, and I think one of the greatest things we can do to reduce the likelihood of those occurring is make sure that we have contraceptives available to people across this Commonwealth,\" he said.
The measures are supported by associations representing health care providers \u2014 the American College of Obstetricians and Gynecologists and the American College of Nurse Midwives \u2014 along with the American Civil Liberties Union of Virginia and Planned Parenthood Advocates of Virginia.
The bills are almost certain to reach final passage in the coming weeks. But it's not clear how Republican Gov. Glenn Youngkin will act on them. Asked for comment, his press office said only that he will review all legislation that reaches his desk.
If Youngkin does not sign the legislation, \"he\u2019ll need to explain to Virginians why he thinks contraception ought not to be protected,\u201d Hashmi said.
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The document also includes perspectives from lawmakers, health care providers, and opposition groups, all of which are relevant to the topic of health." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/02/15/0dd31ff012722579c0cf09dcf7c621c9.json b/datasets/AP_news/raw_data/2024/02/15/0dd31ff012722579c0cf09dcf7c621c9.json new file mode 100644 index 0000000..b9605f5 --- /dev/null +++ b/datasets/AP_news/raw_data/2024/02/15/0dd31ff012722579c0cf09dcf7c621c9.json @@ -0,0 +1,280 @@ +{ + "altids": { + "itemid": "0dd31ff012722579c0cf09dcf7c621c9", + "etag": "0dd31ff012722579c0cf09dcf7c621c9_0a10aza0c0", + "friendlykey": "820849812109", + "referenceid": "US-XGR--Legalizing Marijuana-Wisconsin" + }, + "version": 0, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-02-15T16:25:15Z", + "firstcreated": "2024-02-15T16:25:15Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: Updates Media.", + "signals": [ + "newscontent" + ], + "title": "US-XGR--Legalizing Marijuana-Wisconsin", + "headline": "A Republican plan to legalize medical marijuana in Wisconsin is dead", + "headline_extended": "A Republican proposal to legalize medical marijuana in Wisconsin is dead", + "slugline": "BC-US-XGR--Legalizing Marijuana-Wisconsin", + "description_summary": "A Republican proposal to legalize medical marijuana in Wisconsin is dead. Assembly Speaker Robin Vos said Thursday that there will still be a public hearing to build support for passage next session, but it won\u2019t occur until after the Assembly has adjourned for this year. The measure drew opposition from some for being too conservative in severely limiting who could have access to medical marijuana and how it would be distributed. Others faulted it for not going far enough. Senate Republicans objected to having state-run dispensaries. Democratic Gov. 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(AP) \u2014 A Republican proposal to legalize medical marijuana in Wisconsin is dead.
Assembly Speaker Robin Vos said Thursday that there will still be a public hearing to build support for passage next session, but it won't occur until after the Assembly has adjourned for this year.
The measure drew opposition for being too conservative in severely limiting who could have access to medical marijuana and how it would be distributed, while others faulted it for not going far enough. Senate Republicans objected to having state-run dispensaries, while Democrats pushed for full legalization.
\u201cWe see that the Senate wants to have a more liberal version than the one that we\u2019re willing to pass,\u201d Vos said at a news conference. The votes remain to pass the original Assembly version, Vos said, but it won't come up for a vote before the Assembly ends its session for the year next week.
Democratic Gov. Tony Evers voiced support for legalizing medical marijuana as a step toward full legalization.
The highly restrictive bill would limit medical marijuana to severely ill people and allow for it to be dispensed at just five state-run locations. Smokable marijuana would not be allowed.
Wisconsin remains an outlier nationally. Thirty-eight states have legalized medical marijuana and 24 have legalized recreational marijuana. The push for legalization in Wisconsin has gained momentum as its neighbors have loosened their laws.
The proposal would limit the availability of marijuana to people diagnosed with certain diseases, including cancer, HIV or AIDS, glaucoma, multiple sclerosis, inflammatory bowel disease, severe muscle spasms, chronic pain or nausea, and those with a terminal illness and less than a year to live.
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The lawsuit was filed Thursday after an investigation by the Justice Department warned that Tennessee's statute violates the Americans with Disabilities Act. Another federal lawsuit was filed in October by LGBTQ+ and civil rights advocates over the aggravated prostitution law. Tennessee is the only U.S. state requiring a lifetime registration as a \u201cviolent sex offender\u201d if convicted of engaging in sex work while living with HIV, regardless of whether the person knew they could transmit the disease.", + "bylines": [ + { + "by": "By JONATHAN MATTISE", + "title": "Associated Press" + } + ], + "located": "NASHVILLE, Tenn.", + "datelinelocation": { + "city": "Nashville", + "countryareacode": "TN", + "countryareaname": "Tennessee", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -86.78444, + 36.16589 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. 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(AP) \u2014 The U.S. Justice Department on Thursday sued the state of Tennessee over its decades-old felony aggravated prostitution law, arguing that it illegally imposes tougher criminal penalties on people who are HIV positive.
The lawsuit, filed in western Tennessee, follows an investigation completed in December by the Justice Department that warned that the statute violates the Americans with Disabilities Act. The case heads to court separately from another federal lawsuit filed in October by LGBTQ+ and civil rights advocates over the aggravated prostitution law.
Tennessee is the only state in the United States that imposes a lifetime registration as a \u201cviolent sex offender\u201d if convicted of engaging in sex work while living with HIV, regardless of whether the person knew they could transmit the disease.
Meanwhile, state lawmakers are close to approving a change to the law that would not fully strike it. The Republican-carried legislation would only remove the requirement that those convicted of aggravated prostitution must register as a violent sex offender.
\u201cPeople living with HIV should not be subjected to a different system of justice based on outdated science and misguided assumptions,\u201d Assistant Attorney General Kristen Clarke of the Justice Department\u2019s Civil Rights Division said in a news release announcing the lawsuit Thursday. \u201cThis lawsuit reflects the Justice Department\u2019s commitment to ensuring that people living with HIV are not targeted because of their disability.\u201d
Prostitution has long been criminalized as a misdemeanor in Tennessee. But in 1991, Tennessee lawmakers enacted an even harsher statute that applied only to sex workers living with HIV. Nearly 20 years later, the state legislature revised the law once more by requiring lifetime sex offender registration for those convicted under the controversial statute.
In the years since, the federal Centers for Disease Control and Prevention has warned that laws criminalizing HIV exposure \u2014 many of which were enacted amid the height of the AIDS epidemic \u2014 are outdated and ineffective. Black and Latino communities have been particularly affected by these laws even as the same standards do not apply to other infectious diseases.
Over the years, some states have taken steps to repeal their HIV criminal laws, such as Illinois, which repealed all of its HIV-specific criminal laws in 2021. That same year, New Jersey and Virginia repealed all their felony HIV-specific laws.
The lawsuit seeks to require the state not only to stop enforcing the law, but also to remove those convicted under the statute from the sex offender registry and expunge their convictions.
The state attorney general's office said it is aware of the complaint and will review it.
HIV and AIDS are considered disabilities under the Americans for Disabilities Act because they substantially hinder life activities. The landmark 1990 federal law prevents discrimination against disabled people on everything from employment to parking to voting.
Court documents in the other federal lawsuit say that more than 80 people are registered for aggravated prostitution in Tennessee. The majority of those convictions occurred in Shelby County, which encompasses Memphis.
The Justice Department lawsuit details the experience of an unnamed Black transgender woman from Memphis who learned she had HIV in 2008, was arrested in 2010 for prostitution near a church or school, and pleaded guilty in 2012 to one count of criminal attempt at aggravated prostitution. Because she had to register as a sex offender, the woman has experienced periods of homelessness while struggling to find safe housing compliant with sex-registry requirements.
She has also had difficulty finding a job after employers run her background check, and she can't spend time alone with her nephew because of her conviction, the lawsuit states.
Additionally, she was arrested and pled guilty to violating a requirement to update her address change within 48 hours after she was displaced by a fire over a weekend. Tennessee law also bars her from changing her legal name to match her gender identity, the lawsuit states.
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This time it it happened in the Senate. State law prohibits abortion after 24 weeks of pregnancy except when the mother\u2019s health or life is in danger or there is a fatal fetal anomaly. The Republican-led House voted earlier this month 193-184 in favor of a constitutional amendment to protect abortion rights up to that threshold. But that was short of the majority needed to advance the proposal. On Thursday, the Republican-led Senate rejected a similar measure outright. The Senate voted 14-9 along party lines against a more broadly worded proposal to add language to the constitution protecting \u201cpersonal reproductive autonomy.\u201d", + "bylines": [ + { + "by": "By HOLLY RAMER", + "title": "Associated Press" + } + ], + "located": "CONCORD, N.H.", + "datelinelocation": { + "city": "Concord", + "countryareacode": "NH", + "countryareaname": "New Hampshire", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -71.53757, + 43.20814 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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(AP) \u2014 Another attempt to enshrine abortion rights in the New Hampshire Constitution failed Thursday, this time in the Senate.
State law prohibits abortion after 24 weeks of pregnancy except when the mother\u2019s health or life is in danger or there is a fatal fetal anomaly. The Republican-led House earlier this month voted 193-184 in favor of a constitutional amendment to protect abortion rights up to that threshold, short of the three-fifths majority needed to advance the proposal.
On Thursday, the Republican-led Senate rejected a similar measure outright, voting 14-9 along party lines against a more broadly worded proposal to add language to the constitution protecting \u201cpersonal reproductive autonomy.\u201d
Since the U.S. Supreme Court overturned the constitutional right to abortion in 2022, voters in seven states have either protected abortion rights or defeated attempts to curtail them in statewide votes.
New Hampshire does not allow citizen-led ballot initiatives. Changes can be made to the state constitution if three-fifths of the Legislature agrees to put the question to voters, who must then approve amendments by at least a two-thirds majority.
Sen. Becky Whitley, a Democrat from Hopkinton, argued that the state\u2019s current absence of restrictions on abortion before 24 weeks does not equal an affirmative right.
\"I rise for the little girls ahead of me who now have less rights than I have, rights that led me directly to this chamber, and helped me build a career a family and life of my choice and of my dreams,\u201d she said.
Sen. Bill Gannon, a Republican from Sandown, said voters already have made their views clear by electing their representatives.
\u201cThis Legislature has been crystal clear and consistent when it comes to abortion rights,\u201d he said.
The Senate also rejected a bill that would have prohibited New Hampshire police from assisting with out-of-state investigations into \u201clegally protected health care activity.\u201d But it voted in favor of a bill creating a committee to study access to medication-assisted abortions and sent it to the House.
The House, meanwhile, has rejected some measures to restrict abortion, including a ban on the procedure after 15 days of pregnancy. That would be akin to an outright ban as virtually no one knows they are pregnant at that point.
Another rejected measure would have required abortions after 15 weeks to be performed with two doctors present and in hospitals with neonatal intensive care units.
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Gavin Newson says would address the state's ongoing homelessness issue", + "slugline": "AP-US--2024-California-Mental Health-Explainer", + "description_summary": "California voters will decide on a statewide ballot measure that Gov. Gavin Newson says would address the state's ongoing homelessness issue. Proposition 1 is one of the most complicated measures in the last few years. It would authorize the state to borrow $6.4 billion to build housing and treatment beds. It also would change how counties could use funding from a 2004 tax on millionaires to fund mental health services. Some county officials and social service providers worry the change would threaten programs that are keeping people from becoming homeless in the first place. Proposition 1 is the only measure on the March ballot.", + "bylines": [ + { + "by": "By TR\u00c2N NGUY\u1ec4N", + "title": "Associated Press" + } + ], + "located": "SACRAMENTO, Calif.", + "datelinelocation": { + "city": "Sacramento", + "countryareacode": "CA", + "countryareaname": "California", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -121.4944, + 38.58157 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. For other uses, additional clearances may be required." + ], + "keywords": [ + "california homelessness ballot measure mental health" + ], + "provider": "AP", + "infosource": [ + { + "name": "AP", + "type": "AP" + } + ], + "person": [ + { + "scheme": "http://cv.ap.org/id/", + "code": "2fe690579a4042f5bbee491a75dfdc62", + "name": "Gavin Newsom", + "creator": "Machine", + "rels": [ + "direct" + ], + "types": [ + "POLITICIAN", + "PERSON" + ], + "associatedstates": [ + { + "code": "789fdd8882af10048263df092526b43e", + "name": "California" + } + ], + "relevance": 76 + } + ], + "subject": [ + { + "rels": [ + "category" + ], + "creator": "Editorial", + "code": "a", + "name": "a" + }, + { + "rels": [ + "category" + ], + "creator": "Editorial", + "code": "p", + "name": "p" + }, + { + "rels": [ + "category" + ], + "creator": "Editorial", + "code": "n", + "name": "n" + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "e231c7187de410048fd7df092526b43e", + "name": "Mental health", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 80 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "cc7a76087e4e10048482df092526b43e", + "name": "Health", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 68 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "86b08df87dac1004890cba7fa5283c3e", + "name": "Voting", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 61 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "cc7a76087e4e10048482df092526b43e", + "name": "Health", + "creator": "Editorial", + "editorial_subject": "Health", + "rels": [ + "direct" + ], + "relevance": 75 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "86aad5207dac100488ecba7fa5283c3e", + "name": "Politics", + "creator": "Editorial", + "editorial_subject": "Politics", + "rels": [ + "direct" + ], + "relevance": 75 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "a4677d70863b4012b846a1b00f5079f5", + "name": "U.S. news", + "creator": "Editorial", + "editorial_subject": "U.S. news", + "rels": [ + "direct" + ], + "relevance": 99 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "f25af2d07e4e100484f5df092526b43e", + "name": "General news", + "creator": "Editorial", + "editorial_subject": "General news", + "rels": [ + "direct" + ], + "relevance": 50 + } + ], + "place": [ + { + "scheme": "http://cv.ap.org/id/", + "code": "789fdd8882af10048263df092526b43e", + "name": "California", + "creator": "Machine", + "rels": [ + "direct" + ], + "parentids": [ + "661e48387d5b10048291c076b8e3055c" + ], + "locationtype": { + "code": "0ae5eb8e00e04295a4fc209c94bfe6ef", + "name": "State" + }, + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -119.75126, + 37.25022 + ] + }, + "relevance": 97, + "parentnames": [ + "United States" + ] + } + ], + "audiences": [ + { + "code": "82c6a4c46fa0446090a7acaf93159e4c", + "name": "Print", + "type": "AUDPLATFORM" + }, + { + "code": "9add4649b53b4702ba7d9de5d4fa607a", + "name": "Online", + "type": "AUDPLATFORM" + }, + { + "code": "f4ecf9b0760d10048044e6e7a0f4673e", + "name": "International", + "type": "AUDSCOPE" + }, + { + "code": "f43adc08760d10048040e6e7a0f4673e", + "name": "National", + "type": "AUDSCOPE" + }, + { + "code": "f5b16ea8760d10048047e6e7a0f4673e", + "name": "State", + "type": "AUDSCOPE" + }, + { + "code": "661850e07d5b100481f5c076b8e3055c", + "name": "Latin America and Caribbean", + "type": "AUDGEOGRAPHY" + }, + { + "code": "789fdd8882af10048263df092526b43e", + "name": "California", + "type": "AUDGEOGRAPHY" + }, + { + "code": "661e48387d5b10048291c076b8e3055c", + "name": "United States", + "type": "AUDGEOGRAPHY" + } + ], + "associations": { + "1": { + "altids": { + "itemid": "2873ec0f1f5040d8805ac1b1dcd7f042" + }, + "type": "picture" + } + }, + "body_nitf": "SACRAMENTO, Calif. (AP) \u2014 California voters this March will decide on a statewide ballot measure that Democratic Gov. Gavin Newsom said would transform the outdated mental health system and address the ongoing homelessness crisis.
Proposition 1, the only statewide initiative on the March 5 ballot, is also one of the most complicated and lengthy measures in recent years. It takes up 68 pages of the 112-page voter information guide.
At the center of the proposition is the question of how counties could use funding that comes from a voter-approved tax on millionaires in 2004. Revenue from the tax, now between $2 billion and $3 billion a year, has mostly gone to counties to fund mental health services as they see fit under broad guidelines. It provides about one-third of the state's total mental health budget.
The ballot measure would give the state more power over how it's spent. It also would allow the state to borrow $6.38 billion to build 4,350 housing units, half of which would be reserved for veterans, and add 6,800 mental health and addiction treatment beds.
Here's a closer look at the details:
Under the current model, of the money going directly to the counties, 76% of the it funds mental health treatments, housing, outreach and crisis programs for people with mental health issues; 19% goes to prevention and intervention programs such as cultural centers and school-based mental health counseling; and 5% goes to innovative projects to increase treatment access.
The state keeps 5% of the tax revenues for administration costs.
The state would more clearly specify how the money would be spent, with a greater focus on people with serious mental health disorders such as schizophrenia and major depression or substance use issues like excessive drug use or alcohol consumption. About a third would go toward housing and rental assistance for homeless people with serious mental health or addiction problems and 35% would go to mental health treatments and support for that population. Of the remaining roughly 35%, at least half would go to prevention services for youth and the rest would fund all other programs including workforce training, innovation projects and prevention services for adults.
Counties could shift up to 14% of funding between the categories, pending the state's approval. The state would keep 10% for administration and other initiatives.
Transitional and permanent housing for chronically homeless people with serious mental health or addiction issues would see more money. Mental health treatment programs and support services such as rental assistance and vocational programs for this population also would see a boost.
County officials can't say which programs would face the biggest budget hit, but they anticipate some outreach services, homeless drop-in centers, and wellness programs run by peer-support groups would be impacted.
In Butte County, where officials would have to carve at least 28% of funding from existing programs toward housing, even the homeless outreach team that goes out to encampments to get people to sign up for housing and treatment is at risk of budget cuts. The program started more than a year ago and is funded with the mental health innovation money.
Diverting funding from services to housing also would mean less federal matching money, Butte County Behavioral Health Director Scott Kennelly said.
Newsom has taken the lead in boosting the proposition, fundraising more than $10 million and appearing in television ads to promote the plan.
He also has the support of law enforcement, firefighters, the state's hospital association, the National Alliance on Mental Illness California and a slew of big city mayors.
Opponents of the proposition include mental health and disability rights groups, the Howard Jarvis Taxpayers Association and the League of Women Voters of California.
Several county officials have also expressed concerns with the measure. They worry that the change would threaten programs that keep people from becoming homeless in the first place.
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Given that mental health is a significant aspect of health, the document is highly relevant to the topic of health." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/02/15/cbaf9c258b4fdbcc93ac164902629c35.json b/datasets/AP_news/raw_data/2024/02/15/cbaf9c258b4fdbcc93ac164902629c35.json new file mode 100644 index 0000000..5e8092a --- /dev/null +++ b/datasets/AP_news/raw_data/2024/02/15/cbaf9c258b4fdbcc93ac164902629c35.json @@ -0,0 +1,208 @@ +{ + "altids": { + "itemid": "cbaf9c258b4fdbcc93ac164902629c35", + "etag": "cbaf9c258b4fdbcc93ac164902629c35_1a10aza0c0", + "friendlykey": "970204291239", + "referenceid": "US-MED--Overdose Deaths-Smoking" + }, + "version": 1, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-02-15T21:07:28Z", + "firstcreated": "2024-02-15T18:13:10Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: CORRECTS: Corrects spelling of 'Kral' in one instance.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "US-MED--Overdose Deaths-Smoking", + "headline": "More people die after smoking drugs than injecting them, US study finds", + "headline_extended": "A new government study suggests smoking has surpassed injecting as the most common way of taking drugs in U.S. overdose deaths", + "slugline": "AP-US-MED-Overdose-Deaths-Smoking, 1st Ld-Writethru", + "description_summary": "A new government study suggests smoking has surpassed injecting as the most common way of taking drugs in U.S. overdose deaths. The Centers for Disease Control and Prevention published the study Thursday. It calls it the largest to look at how Americans took the drugs that killed them. Highly-potent illicit fentanyl is involved in more U.S. overdose deaths than any other drug. Both injection and smoking carry a substantial overdose risk. The researchers found that between 2020 and 2022, the percentage of overdose deaths with evidence of smoking rose 74%. Meanwhile, the percentage of deaths with evidence of injection fell 29%.", + "bylines": [ + { + "by": "By MIKE STOBBE", + "title": "AP Medical Writer" + } + ], + "located": "NEW YORK", + "datelinelocation": { + "city": "New York", + "countryareacode": "NY", + "countryareaname": "New York", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -74.00597, + 40.71427 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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The Centers for Disease Control and Prevention called its study published Thursday the largest to look at how Americans took the drugs that killed them.
CDC officials decided to study the topic after seeing reports from California suggesting that smoking fentanyl was becoming more common than injecting it. Potent, illicit versions of the painkiller are involved in more U.S. overdose deaths than any other drug.
Some early research has suggested that smoking fentanyl is somewhat less deadly than injecting it, and any reduction in injection-related overdose deaths is a positive, said the study\u2019s lead author, Lauren Tanz.
But \u201cboth injection and smoking carry a substantial overdose risk,\u201d and it\u2019s not yet clear if a shift toward smoking fentanyl reduces U.S. overdose deaths, said Tanz, a CDC scientist who studies overdoses.
Illicit fentanyl is an infamously powerful drug that, in powder form, increasingly has been cut into heroin or other drugs. In recent years, it's been a primary driver of the U.S. overdose epidemic. Drug overdose deaths in the U.S. went up slightly in 2022 after two big leaps during the pandemic, and provisional data for the first nine months of 2023 suggests it inched up last year.
For years, fentanyl has mainly been injected, but drug users have increasingly smoked it. People put the powder on tin foil or in a glass pipe, heated from below, and inhale the vapor, explained Alex Kral, a RTI International researcher who studies drug users in San Francisco.
Smoked fentanyl is not as concentrated as fentanyl in a syringe, but some drug-takers see upsides to smoking, Kral said. Among them: People who inject often deal with pus-filled abscesses on their skin and risk infections with hepatitis and other diseases.
\u201cOne person showed me his arms and said, \u2018Hey, look at my arm! It looks beautiful! I can now wear T-shirts and I can get a job because I don't have these track marks,'\" Kral said.
CDC investigators studied the trend by using a national database built from death certificates, toxicology reports and reports from coroners and medical examiners.
They were able to get suitable data from the District of Columbia and 27 states for the years 2020 to 2022. From those places, they got information on how drugs were taken in about 71,000 of the more than 311,000 total U.S. overdose deaths over those three years \u2014 or about 23%.
The researchers found that between early 2020 and late 2022, the percentage of overdose deaths with evidence of smoking rose 74% while the percentage of deaths with evidence of injection fell 29%. The number and percentage of deaths with evidence of snorting also increased, though not as dramatically as smoking-related deaths, the study found.
It\u2019s complicated to map out exact percentages of deaths that occurred after smoking, injecting, snorting or swallowing drugs, experts say. In some cases a person may have used multiple drugs, taken different ways. In other cases, no drug-taking method was identified.
The study found that in late 2022, of the deaths for which a method was identified, 23% of the deaths occurred after smoking, 16% after injections, 16% after snorting, and 14.5% after swallowing.
Tanz said she feels the data is nationally representative. Data came from states from every region of the country, and all showed increases in smoking and decreases in injecting. Smoking was the most common route in the West and Midwest, and roughly tied with injecting in the Northeast and South, the report said.
Kral described the study as \u201cmostly good\u201d but said it has limitations.
It can be difficult to ascertain the how and why of an overdose death, especially if no witness was present. Injections might be more commonly reported because of injection marks on the body; to detect smoking \"they likely would need to find a pipe or foil on the scene and decide whether to write that down,\u201d he said.
Kral also noted that many people who smoke fentanyl use a straw to inhale vapors from the burning powder, and it's possible investigators saw a straw and assumed it was snorted.
___
The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute\u2019s Science and Educational Media Group. The AP is solely responsible for all content.
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The restrictive abortion law is currently on hold as the court considers Gov. Kim Reynolds\u2019 appeal of the lower court\u2019s decision that paused the crux of it, but the medical board was instructed to continue with its rulemaking process to ensure physicians would have guidance in place when the court rules. Those rules were approved Thursday. While the board\u2019s language details how physicians are to follow the law, the specifics on enforcement are more limited.", + "bylines": [ + { + "by": "By HANNAH FINGERHUT", + "title": "Associated Press" + } + ], + "located": "DES MOINES, Iowa", + "datelinelocation": { + "city": "Des Moines", + "countryareacode": "IA", + "countryareaname": "Iowa", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -93.60911, + 41.60054 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. 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The restrictive abortion law is currently on hold as the court considers Gov. Kim Reynolds ' appeal of the lower court\u2019s decision that paused the crux of it, but the medical board was instructed to continue with its rulemaking process to ensure physicians would have guidance in place when the court rules.
While the board\u2019s language outlines how physicians are to follow the law, the specifics on enforcement are more limited. The rules do not outline how the board would determine noncompliance or what the appropriate disciplinary action might be. Also missing are specific guidelines for how badly a pregnant woman\u2019s health must decline before their life is sufficiently endangered to provide physicians protection from discipline.
The new law would prohibit almost all abortions once cardiac activity can be detected, which is usually around six weeks of pregnancy and before many women know they are pregnant. That would be a stark change for women in Iowa, where abortion is legal up to 20 weeks of pregnancy.
The rules instruct physicians to make \u201ca bona fide effort to detect a fetal heartbeat\u201d by performing a transabdominal pelvic ultrasound \u201cin a manner consistent with standard medical practice.\u201d
Like many Republican-led efforts to restrict abortion, the legislation is crafted around the detection of the \u201cfetal heartbeat,\u201d which is not easily translated to medical science. While advanced technology can detect a flutter of cardiac activity as early as six weeks gestation, medical experts clarify that the embryo at that point isn\u2019t yet a fetus and doesn\u2019t have a heart.
The rules approved Thursday had been revised to include terminology that doctors use, a representative from the attorney general's office explained during the meeting. It supplements the law\u2019s definition of \u201cunborn child\u201d to clarify that it pertains to \u201call stages of development, including embyro and fetus.\u201d
The rules also outline the information physicians must document for a patient to be treated under the limited exceptions carved out in the law.
The documentation should be maintained in the patient\u2019s medical records, enabling physicians to point to the information, rather than rely on memory, and thus avoid a \u201cbattle of witnesses\u201d in the event that \u201csomeone gets brought before the board,\u201d the attorney general\u2019s representative said.
The law would allow for abortion after the point in a pregnancy where cardiac activity is detected in the circumstances of rape, if reported to law enforcement or a health provider within 45 days; incest, if reported within 145 days; and fetal abnormality.
In the circumstance of fetal abnormality, the board specifies physicians should document how they determined a fetus has a fetal abnormality and why that abnormality is \u201cincompatible with life.\"
The law also provides for an exception for \u201cmedical emergency,\u201d which includes pregnancy complications endangering the life of the pregnant woman and cases in which \u201ccontinuation of the pregnancy will create a serious risk of substantial and irreversible impairment of a major bodily function of the pregnant woman.\u201d
But the board did not provide any additional guidance on just how imminent the risks must be before doctors can intervene, a question vexing physicians across the country, especially after the Texas Supreme Court denied a pregnant woman with life-threatening complications access to abortion.
Most Republican-led states have drastically limited abortion access since the U.S. Supreme Court overturned Roe v. Wade and handed authority on abortion law to the states. Fourteen states now have bans with limited exceptions and two states, Georgia and South Carolina, ban abortion after cardiac activity is detected.
Four states, including Iowa, have bans on hold pending court rulings.
___
Associated Press reporter Geoff Mulvihill contributed to this report from Cherry Hill, New Jersey.
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Doctors\u2019 groups say increasing the number of medical students by 2,000 starting in 2025 is too steep. They want officials to instead use available resources to raise medical fees they say are set too low.
Authorities say South Korea needs more doctors. It's among the lowest numbers of doctors relative to the size of the population among developed countries despite growing demands for medical services fueled by a fast-aging society.
South Korea also has one of the world\u2019s lowest birth rates and has been grappling with shortages of doctors in some key professions, including obstetrics and pediatrics, and in rural regions outside the greater capital area.
South Korea\u2019s quota of medical students has stood at 3,058 since 2006. Doctors have successfully resisted several government attempts to increase the number of students in past years, including during the COVID-19 pandemic.
While doctors\u2019 groups have threatened strikes, the Health Ministry has downplayed the possibility of huge walkouts that would disrupt medical services.
Hundreds of doctors marched amid rain in streets in front of Seoul\u2019s presidential office, holding banners and signs that read \u201cWe oppose with our lives an increase in medical students without consent of the medical sector.\" Similar protests were held nationwide.
\u201cIf the government wants doctors to work for the crucial sectors like obstetrics or pediatrics, they should build legal safety net and increase medical fee first so that the doctors in those sectors wouldn\u2019t feel pressured to be sued over accidents or be burdened by heavy workloads,\u201d said Joo Sooho, former president of Korea Medical Association.
While the government plans to meet with doctors\u2019 groups to address their concerns, it has no intentions to adjust the scale and timing of the medical student increase, Second Vice Health Minister Park Min-soo said during a briefing Thursday.
In an editorial published Thursday, the Korea JoongAng Daily newspaper said a strike by doctors would attract little public support.
__ Associated Press writer Kim Tong-hyung contributed to this report.
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The House passed separate bills Thursday that would allow Murray State University to create a school of veterinary medicine and Eastern Kentucky University to offer degrees in osteopathic medicine. The authorization bills now head to the Senate. Another key issue to be resolved is whether the proposed programs will receive the funding needed to get established. That could be decided next month when lawmakers hash out the final details of the state\u2019s next two-year budget.", + "bylines": [ + { + "by": "By BRUCE SCHREINER", + "title": "Associated Press" + } + ], + "located": "FRANKFORT, Ky.", + "datelinelocation": { + "city": "Frankfort", + "countryareacode": "KY", + "countryareaname": "Kentucky", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -84.87328, + 38.20091 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. 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For other uses, additional clearances may be required." + ], + "keywords": [ + "kentucky legislature veterinary school osteopathic medicine" + ], + "provider": "AP", + "infosource": [ + { + "name": "AP", + "type": "AP" + } + ], + "subject": [ + { + "rels": [ + "category" + ], + "creator": "Editorial", + "code": "n", + "name": "n" + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "0d956db980de41a48c56745567a543ae", + "name": "Veterinary medicine", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 63 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "d8e6d7087f00100483b7f571351eed07", + "name": "Family medicine", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 46 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "1b29d45f8e8e4c008e8a58fe6f92a753", + "name": "Government programs", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 34 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "cc7a76087e4e10048482df092526b43e", + "name": "Health", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 79 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "86aad5207dac100488ecba7fa5283c3e", + "name": "Politics", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 70 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "a4677d70863b4012b846a1b00f5079f5", + "name": "U.S. news", + "creator": "Editorial", + "editorial_subject": "U.S. news", + "rels": [ + "direct" + ], + "relevance": 75 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "f25af2d07e4e100484f5df092526b43e", + "name": "General news", + "creator": "Editorial", + "editorial_subject": "General news", + "rels": [ + "direct" + ], + "relevance": 50 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "1af99ec3cb954ff4b349b32d60d0376d", + "name": "Education", + "creator": "Editorial", + "editorial_subject": "Education", + "rels": [ + "direct" + ], + "relevance": 99 + } + ], + "place": [ + { + "scheme": "http://cv.ap.org/id/", + "code": "97647cd4145b45bb810f09082f03220a", + "name": "Auburn", + "creator": "Machine", + "rels": [ + "direct" + ], + "parentids": [ + "b8099e4881d610048a11df092526b43e" + ], + "locationtype": { + "code": "9d26a20b35f0484a891740f8189d4c7b", + "name": "City" + }, + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -85.48078, + 32.60986 + ] + }, + "relevance": 49, + "parentnames": [ + "Alabama" + ] + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "2f6e294082b310048474df092526b43e", + "name": "Kentucky", + "creator": "Machine", + "rels": [ + "direct" + ], + "parentids": [ + "661e48387d5b10048291c076b8e3055c" + ], + "locationtype": { + "code": "0ae5eb8e00e04295a4fc209c94bfe6ef", + "name": "State" + }, + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -84.87762, + 38.20042 + ] + }, + "relevance": 95, + "parentnames": [ + "United States" + ] + } + ], + "audiences": [ + { + "code": "82c6a4c46fa0446090a7acaf93159e4c", + "name": "Print", + "type": "AUDPLATFORM" + }, + { + "code": "9add4649b53b4702ba7d9de5d4fa607a", + "name": "Online", + "type": "AUDPLATFORM" + }, + { + "code": "f5b16ea8760d10048047e6e7a0f4673e", + "name": "State", + "type": "AUDSCOPE" + }, + { + "code": "2f6e294082b310048474df092526b43e", + "name": "Kentucky", + "type": "AUDGEOGRAPHY" + } + ], + "associations": { + "1": { + "altids": { + "itemid": "6f99abb22d2e4e94a9a1433da2f7838c" + }, + "type": "picture" + } + }, + "body_nitf": "FRANKFORT, Ky. (AP) \u2014 Two universities wanting to carve out ambitious new roles to help overcome shortages of doctors and veterinarians won overwhelming support from the Kentucky House on Thursday.
The House passed separate bills that would allow Murray State University to create a school of veterinary medicine and Eastern Kentucky University to offer medical degrees in osteopathic medicine.
The authorization bills now head to the Senate. Another key issue to be resolved is whether the proposed academic programs will receive the state funding needed to get established. That could be decided next month when lawmakers hash out the final details of the state's next two-year budget. The new programs also would have to gain approval from the state Council on Postsecondary Education.
The House action moved Murray State closer toward achieve its longstanding ambition of becoming the first Kentucky school to offer doctorate-level veterinarian degrees. An in-state school would be crucial in fixing a broad shortage of veterinarians, especially in treating large animals, supporters said.
Kentucky has a large and diversified farm economy, but it lacks a \"crucial component in our agriculture infrastructure \u2013- a veterinary school,\u201d said Republican Rep. Richard Heath, the bill's lead sponsor.
The Bluegrass State has a long-running partnership with Auburn University in Alabama that allows students from Kentucky to be classified as in-state residents in Auburn\u2019s veterinary program.
A veterinary medicine school at Murray State could work in combination with the existing out-of-state partnership to supply the veterinarians needed to meet demand across Kentucky, supporters said.
Democratic Rep. Chad Aull said the issue isn't where to establish an in-state veterinary school but whether such a school should be developed at all. It could someday be viewed as a financial hardship in lean fiscal times to have both an in-state school and an out-of-state agreement, he said.
\u201cI really hope that when we get into an economic downturn in eight or 10 years, and we go into a recession and we are faced with a challenging budget, that we do not cut those slots at Auburn because they are critical and vital for the health of our veterinarian community,\u201d he said.
Murray State officials say reliance on out-of-state programs alone won't solve the veterinary shortage.
\u201cIt\u2019s a basic math problem,\" Murray State President Bob Jackson said at a recent committee hearing. \"There\u2019s not enough slots or seats in the vet schools that exist today to meet the growing demand of veterinarians in this country and in this state. Yes, we can buy more slots. But it\u2019s not going to fix the shortage issue that we\u2019re dealing with today.\u201d
Meanwhile, the bill that would allow Eastern Kentucky to offer medical degrees for practice in osteopathic medicine sailed through the House without any resistance.
Supporters pointed to a shortage of primary care physicians in Kentucky. The state's three existing medical schools enrolled a combined 510 students last year out of more than 13,000 applicants, said House Speaker Pro Tem David Meade, the bill's lead sponsor. The proposed College of Osteopathic Medicine at Eastern Kentucky University would increase the pipeline of physicians practicing in the state, supporters said.
\u201cWe all know that rural Kentucky is struggling with access to health care, and we've challenged our universities to come with solutions,\" Meade said. \"And that\u2019s what EKU is trying to do right here is meet that challenge.\u201d
Republican Rep. Deanna Frazier Gordon, another primary bill sponsor, said Eastern Kentucky's program would help contribute to the health of Kentuckians, especially in areas lacking enough health care providers.
The university wants to play a role in overcoming the shortage of primary care physicians, especially in rural Kentucky, school President David McFaddin told a recent legislative committee hearing.
\u201cWe are proud of this proposal,\" he said. \"We are trying to address Kentucky\u2019s needs. We are leaning into our strengths, and we are trying to differentiate as an institution.\u201d
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Therefore, the document is highly relevant to the topic of health." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/02/15/ee9853f6d519e5f361e5ee763bdbe42d.json b/datasets/AP_news/raw_data/2024/02/15/ee9853f6d519e5f361e5ee763bdbe42d.json new file mode 100644 index 0000000..056417c --- /dev/null +++ b/datasets/AP_news/raw_data/2024/02/15/ee9853f6d519e5f361e5ee763bdbe42d.json @@ -0,0 +1,202 @@ +{ + "altids": { + "itemid": "ee9853f6d519e5f361e5ee763bdbe42d", + "etag": "ee9853f6d519e5f361e5ee763bdbe42d_1a8aza0c0", + "friendlykey": "155534407293", + "referenceid": "On The Money-NerdWallet-Pet Insurance Coverage" + }, + "version": 1, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-02-21T15:12:16Z", + "firstcreated": "2024-02-15T19:11:45Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: Updates Media.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "On The Money-NerdWallet-Pet Insurance Coverage", + "headline": "2 things pet insurance will cover (and 3 it won\u2019t)", + "headline_extended": "Pet insurance can help you handle unexpected vet bills, but it won\u2019t pay for everything", + "slugline": "BC-On The Money-NerdWallet-Pet Insurance Coverage, 1st Ld-Writethru", + "description_summary": "Pet insurance can help you handle unexpected vet bills, but it won\u2019t pay for everything. Before you buy a policy, it\u2019s important to understand what it will probably cover (like treatment for broken bones or sudden illnesses) and what it won\u2019t (such as a condition your pet had before you got the insurance). You\u2019ll also want to be aware of deductibles and payout limits that could affect how much your policy will reimburse you. Doing your research before you buy a policy can help you avoid denied claims and other unpleasant surprises.", + "bylines": [ + { + "by": "By SARAH SCHLICHTER of NerdWallet" + } + ], + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. For other uses, additional clearances may be required." + ], + "keywords": [ + "On Money Pet Insurance Coverage" + ], + "provider": "AP", + "infosource": [ + { + "name": "AP", + "type": "AP" + } + ], + "subject": [ + { + "rels": [ + "category" + ], + "creator": "Editorial", + "code": "f", + "name": "f" + }, + { + "rels": [ + "category" + ], + "creator": "Editorial", + "code": "l", + "name": "l" + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "39a5551883591004893adf092526b43e", + "name": "Health care costs", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 48 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "9c750296cbfa4fdd89e9a32848825b29", + "name": "Prescription drugs", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 33 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "cc7a76087e4e10048482df092526b43e", + "name": "Health", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 57 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "0d956db980de41a48c56745567a543ae", + "name": "Veterinary medicine", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 57 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "6cd98adfc84d405eadec8ca81bd37df4", + "name": "Access to health care", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 80 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "e02e4bd0898310048339bc885dbc3010", + "name": "Pets", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 88 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "3e37e4b87df7100483d5df092526b43e", + "name": "Lifestyle", + "creator": "Editorial", + "editorial_subject": "Lifestyle", + "rels": [ + "direct" + ], + "relevance": 75 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "c8e409f8858510048872ff2260dd383e", + "name": "Business", + "creator": "Editorial", + "editorial_subject": "Business", + "rels": [ + "direct" + ], + "relevance": 99 + } + ], + "audiences": [ + { + "code": "82c6a4c46fa0446090a7acaf93159e4c", + "name": "Print", + "type": "AUDPLATFORM" + }, + { + "code": "9add4649b53b4702ba7d9de5d4fa607a", + "name": "Online", + "type": "AUDPLATFORM" + }, + { + "code": "f43adc08760d10048040e6e7a0f4673e", + "name": "National", + "type": "AUDSCOPE" + }, + { + "code": "f4ecf9b0760d10048044e6e7a0f4673e", + "name": "International", + "type": "AUDSCOPE" + }, + { + "code": "661850e07d5b100481f5c076b8e3055c", + "name": "Latin America and Caribbean", + "type": "AUDGEOGRAPHY" + }, + { + "code": "661e48387d5b10048291c076b8e3055c", + "name": "United States", + "type": "AUDGEOGRAPHY" + } + ], + "associations": { + "1": { + "altids": { + "itemid": "e50322dba4c645359d0cdd1f82d3bf99" + }, + "type": "picture" + } + }, + "body_nitf": "If you\u2019ve ever spent a fortune at the emergency vet, pet insurance might sound appealing. By paying some of your vet expenses, these policies can save you money and help you make care decisions based on what\u2019s best for your pet rather than what you can afford.
But insurance doesn\u2019t pay for everything. Before you buy pet insurance, you\u2019ll want to understand exactly what it will \u2014 and won\u2019t \u2014 cover.
COVERED: ACCIDENTS
If you want coverage for unexpected vet expenses, you can choose either an accident-only plan or an accident and illness plan. Both can pay to treat injuries such as broken bones, snakebites or swallowed socks.
Coverage varies by company, but you can expect most pet insurance policies to pay for diagnostic tests, surgery and medications, Dr. Aliya McCullough, chief veterinary officer and director of veterinary affairs at Fetch Pet Insurance, said in an email.
The vet\u2019s examination fee may or may not be covered, depending on your policy. And some companies may charge extra to cover prescription medication.
Most pet insurance policies have a waiting period between when you buy the plan and when coverage takes effect. If your pet is injured during the waiting period, your plan won\u2019t reimburse you.
USUALLY COVERED: ILLNESS
The most common type of insurance, accident and illness coverage, also pays for treatment if your pet gets sick.
Some of the most frequent reasons for vet visits are allergies, infections, stomach issues, arthritis and cancer, according to McCullough. These conditions generally fall under a plan\u2019s illness coverage, which can reimburse you for diagnostic tests, medication, surgery and hospital stays.
However, exclusions may apply. \u201cSome companies separate out certain types of treatments,\u201d Kristen Lynch, executive director of the North American Pet Health Insurance Association, said in an email.
For example, your plan might not cover treatments like acupuncture or physical therapy unless you pay extra. There may also be limitations for illnesses such as hereditary conditions or dental disease.
USUALLY NOT COVERED: PREEXISTING CONDITIONS
Some people don\u2019t think about buying insurance until their pet gets a serious diagnosis like cancer or heart disease \u2014 but by then it\u2019s likely too late. Most pet insurance providers won\u2019t cover conditions that showed symptoms before you bought your policy or during the waiting period.
Some insurers will pay to treat curable preexisting conditions if they haven\u2019t shown symptoms for a certain period of time, McCullough said. Curable conditions could include respiratory infections or broken bones.
USUALLY NOT COVERED: PREVENTIVE CARE
A standard pet insurance policy won\u2019t cover many common vet expenses a new pet parent faces, such as spay or neuter surgery, vaccinations and annual checkups. Insurers consider these services to be routine care and won\u2019t pay for them under an accident and illness plan.
However, many companies offer preventive care coverage as an add-on. Compare the cost of this coverage with what your vet charges for routine services to make sure it\u2019ll save you money.
NOT COVERED: PRE-DEDUCTIBLE COSTS
A deductible is the amount you pay toward vet expenses before your insurer starts reimbursing you. For example, if you have an annual deductible of $500 and your pet needs $300 of treatment in a given year, your plan won\u2019t pay anything.
You can often lower the cost of your plan by choosing a higher deductible. Just be sure to pick an amount you can afford, says Janet Ruiz, director of strategic communication at the Insurance Information Institute.
HOW TO AVOID SURPRISES
Researching plans before you buy can help prevent claim denials and other unpleasant surprises. Follow these tips:
\u2014 READ SAMPLE POLICIES. One of the best ways to see what is and isn\u2019t covered is by reading the policy. Many pet insurers have sample policies available on their websites, Lynch said. Don\u2019t understand the coverage? Reach out to the company.
\u2014 ASK ABOUT POLICY LIMITS. See whether the plan you\u2019re considering has maximum payouts for certain conditions or services, or for all treatment in a given year.
\u2014 CHECK THE REIMBURSEMENT RATE. After you hit your deductible, most insurers will pay a set percentage of your vet expenses, typically 70% to 90%. The higher the reimbursement, the more expensive the plan.
\u2014 RESEARCH THE CLAIMS PROCESS. See how much time you have to file a claim, McCullough said. \u201cYou don\u2019t want to have a claim denied because you didn\u2019t submit it on time.\u201d
________________________________
This article was provided to The Associated Press by the personal finance website NerdWallet. Sarah Schlichter is a writer at NerdWallet. Email: sschlichter@nerdwallet.com.
RELATED LINK:
NerdWallet: Does Pet Insurance Cover Pre-Existing Conditions? https://bit.ly/nerdwallet-pet-insurance-pre-existing-conditions
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Reported cases surpassed 62,000 in 2022, after averaging about 37,000 a year from 2017 through 2019, the Centers for Disease Control and Prevention said in a report released Thursday. Numbers for 2023 will be released later this year.
Lyme disease is the most common tick-borne infection in the U.S., occurring mostly in the Northeast, Midwest and mid-Atlantic states.
An estimated 476,000 Americans are diagnosed with it each year, but only a fraction are officially reported.
Traditionally, health departments received positive lab tests and went back to doctor\u2019s offices to gather more information about the patients. But reporting fell off in 2020 and 2021 when health department staffers were busy working on COVID-19.
Starting in 2022, all that\u2019s required to report cases \u2014 at least in high-incidence states \u2014 is a positive lab test. It\u2019s possible that better, more sensitive testing is being used more and that may have contributed to the increase, but it\u2019s too early to tell, CDC officials said.
___
The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute\u2019s Science and Educational Media Group. The AP is solely responsible for all content.
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This information is highly relevant to the topic of health as it pertains to disease tracking, public health reporting, and epidemiology." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/02/16/009de9d10143101112746999e952ed84.json b/datasets/AP_news/raw_data/2024/02/16/009de9d10143101112746999e952ed84.json new file mode 100644 index 0000000..352a5ae --- /dev/null +++ b/datasets/AP_news/raw_data/2024/02/16/009de9d10143101112746999e952ed84.json @@ -0,0 +1,397 @@ +{ + "altids": { + "itemid": "009de9d10143101112746999e952ed84", + "etag": "009de9d10143101112746999e952ed84_2a13aza0c0", + "friendlykey": "384938728225", + "referenceid": "US-XGR--Washington State-Tribes-Opioids" + }, + "version": 2, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-02-16T18:25:07Z", + "firstcreated": "2024-02-16T05:19:37Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: Minor edit in the 5th paragraph.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "US-XGR--Washington State-Tribes-Opioids", + "headline": "Tribes in Washington are battling a devastating opioid crisis. 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(AP) \u2014 Evelyn Jefferson walks deep into a forest dotted with the tents of unhoused Lummi Nation tribal members and calls out names. When someone appears, she and a nurse hand out the opioid overdose reversal medication naloxone.
Jefferson, a tribal member herself, knows how critical these kits are: Just five months ago, her own son died of an overdose from a synthetic opioid that\u2019s about 100 times more potent than fentanyl. The 37-year-old\u2019s death was the fourth related to opioids in four days on the reservation.
\u201cIt took us eight days to bury him because we had to wait in line, because there were so many funerals in front of his,\u201d said Jefferson, crisis outreach supervisor for Lummi Nation. \"Fentanyl has really taken a generation from this tribe.\u201d
A bill before the Washington Legislature would bring more state funding to tribes like Lummi that are trying to keep opioids from taking the next generation too. The state Senate unanimously approved a bill this week that is expected to provide nearly $8 million total each year for the 29 federally recognized tribes in Washington, funds drawn in part from a roughly half-billion-dollar settlement between the state and major opioid distributors.
The approach comes as Native Americans and Alaska Natives in Washington die of opioid overdoses at five times the state average, according to 2021-2022 Centers for Disease Control and Prevention data that includes provisional numbers. The rate in Washington is one of the highest in the U.S. and more than three times the rate nationwide \u2014 but many of the Indigenous nations in the state lack the funding or medical resources to fully address it.
Lummi Nation, like many tribes, faces an additional challenge when it comes to keeping outside drug dealers off their land: A complicated jurisdictional maze means tribal police often can\u2019t arrest non-tribal members on the reservation.
\u201cWhat do we do when we have a non-Lummi, predatory drug dealer on our reservation with fentanyl, driving around or on their property and are selling drugs?\u201d said Anthony Hillaire, tribal chairman.
Against the backdrop, tribes such as the Lummi Nation, about 100 miles (161 kilometers) north of Seattle, say the proposed funding \u2014 while appreciated \u2014 would barely scratch the surface. The tribe of about 5,300 people on the shores of the Salish Sea has already suffered nearly one overdose death a week this year.
Lummi Nation needs $12 million to fully finance a 16-bed, secure medical detox facility that incorporates the tribe's culture, Hillaire said, and money to construct a new counseling center after damage from flooding. Those costs alone far exceed the annual total that would be designated for tribes under the legislation. The Senate has proposed allotting $12 million in its capital budget to the facility.
\u201cWe\u2019re a sovereign nation. We\u2019re a self-governed tribe. We want to take care of ourselves because we know how to take care of ourselves,\" he said. \"And so we usually just need funding and law changes \u2014 good policies.\u201d
The proposed measure would earmark funds deposited into an opioid settlement account, which includes money from the state's $518 million settlement in 2022 with the nation\u2019s three largest opioid distributors, for tribes battling addiction. Tribes are expected to receive $7.75 million or 20% of the funds deposited into the account the previous fiscal year \u2014 whichever is greater \u2014 annually.
Republican state Sen. John Braun, one of the bill's sponsors, has said he envisions the funds being distributed through a grant program.
\u201cIf this ends up being the wrong amount of money or we\u2019re distributing it inequitably, I\u2019m happy to deal with this,\" he said. \u201cThis is just going to get us started, and make sure we\u2019re not sitting on our hands, waiting for the problem to solve itself.\u201d
Opioid overdose deaths for Native Americans and Alaska Natives have increased dramatically in the past few years in Washington, with at least 100 in 2022 \u2014 75 more than in 2019, according to the most recent numbers available from the Washington State Department of Health.
In September, Lummi Nation declared a state of emergency over fentanyl, adding drug-sniffing dogs and checkpoints, while revoking bail for drug-related charges.
The tribe has also opened a seven-bed facility to help members with withdrawal and get them on medication for opioid use disorder, while providing access to a neighboring cultural room where they work with cedar and sage. In its first five months, the facility treated 63 people, the majority of whom are still on the medication regimen today, said Dr. Jesse Davis, medical director of the Lummi Healing Spirit Opioid Treatment program.
But truly thwarting this crisis must go beyond just Lummi Nation working on its own, said Nickolaus Lewis, Lummi councilmember.
\u201cWe can do everything in our power to protect our people. But if they go out into Bellingham, they go out anywhere off the reservation, what good is it going to do if they have different laws and different policies, different barriers?\u201d he said.
The tribe has urged Washington Gov. Jay Inslee and President Joe Biden to declare states of emergency in response to the opioid crisis to create a bigger safety net and drive additional vital resources to the problem.
In the encampment in Bellingham, Jefferson estimates there are more than 60 tribal members, some she recognizes as her son\u2019s friends, while others are Lummi elders. She suspects many of them left the reservation to avoid the tribe's crackdown on opioids.
When she visits them, her van filled with food, hand warmers and clothing to hand out, she wears the shirt her niece gave her the day after her son died. It reads, \u201cfight fentanyl like a mother.\u201d
\u201cIt\u2019s a losing battle but, you know, somebody\u2019s got to be there to let them know \u2014 those addicts \u2014 that somebody cares,\u201d Jefferson said. \u201cMaybe that one person will come to treatment because you\u2019re there to care.\u201d
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The document also includes statistics on opioid overdose deaths and describes the health services being provided to combat the crisis, such as naloxone distribution and the establishment of treatment facilities." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/02/16/2ad729e9a18d17d91f9262ea41424927.json b/datasets/AP_news/raw_data/2024/02/16/2ad729e9a18d17d91f9262ea41424927.json new file mode 100644 index 0000000..8d79d16 --- /dev/null +++ b/datasets/AP_news/raw_data/2024/02/16/2ad729e9a18d17d91f9262ea41424927.json @@ -0,0 +1,218 @@ +{ + "altids": { + "itemid": "2ad729e9a18d17d91f9262ea41424927", + "etag": "2ad729e9a18d17d91f9262ea41424927_3a8aza0c0", + "friendlykey": "144189067820", + "referenceid": "US--Therapy Program-Death Investigation" + }, + "version": 3, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-02-17T00:04:11Z", + "firstcreated": "2024-02-16T18:04:56Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: The story is updated to clarify details on the Trails Carolina statement about preliminary findings.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "US--Therapy Program-Death Investigation", + "headline": "North Carolina removes children from a nature therapy program's care amid a probe of a boy's death", + "headline_extended": "North Carolina health officials say they are removing all children from the care of a nature-based therapy program nearly two weeks after the death of a 12-year-old New York boy", + "slugline": "BC-US--Therapy Program-Death Investigation, 3rd Ld-Writethru", + "description_summary": "North Carolina health officials say they are removing all children from the care of a nature-based therapy program nearly two weeks after the death of a 12-year-old New York boy. North Carolina Department of Health and Human Services announced Friday the action \u201cneeded to be taken to ensure the health and safety of the children\u201d at Trails Carolina. Officials say parents have been notified and the children will temporarily be taken into the Transylvania County Department of Social Services\u2019 care. The cause of the boy\u2019s Feb. 3 death is pending, but the sheriff\u2019s office says a pathologist who conducted the autopsy told investigators his death appeared not to be natural. Trails Carolina said later Friday that \u201ceverything points to an accidental death.\u201d", + "located": "LAKE TOXAWAY, N.C.", + "datelinelocation": { + "city": "Lake Toxaway", + "countryareacode": "NC", + "countryareaname": "North Carolina", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -82.93403, + 35.13232 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. 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(AP) \u2014 North Carolina health officials said Friday that they are removing all children from the care of a nature-based therapy program nearly two weeks after the death of a 12-year-old New York boy.
The Department of Health and Human Services said in a news release that while it cannot comment on specific details of its investigation of Trails Carolina, this action \"needed to be taken to ensure the health and safety of the children.\u201d Health officials declined to say how many children were involved, citing confidentiality rules, but Trails Carolina said later Friday that 18 children were forced to leave.
In a letter notifying Trails Carolina of the suspension of admissions until April 14, Chief Deputy Secretary for Health Mark T. Benton wrote that the secretary determined that the \u201ccharacter and degree of conditions at Trails Carolina are detrimental to the health or safety of the children in your care.\u201d
The move came days after health officials told the program to stop admissions and take other steps to ensure children\u2019s safety while the boy\u2019s death is being investigated.
\"The death at Trails Carolina is tragic and concerning,\" officials said in the news release. \u201cWe extend our deepest sympathies to the family and loved ones of the child who died, and commit to them that we are conducting a thorough investigation with our county partners and will take every appropriate step based on the outcome of our and other investigations.\u201d
All parents have been notified and the children will be temporarily taken into the care of the Transylvania County Department of Social Services, health officials said. Trails Carolina, which is in Lake Toxaway, about 35 miles (56 kilometers) southwest of Asheville, describes itself as a nature-based therapy program that helps 10- to 17-year-olds \u201cwork through behavioral or emotional difficulties.\u201d
The cause of the boy\u2019s Feb. 3 death is still pending, but the Transylvania County Sheriff\u2019s Office said in a news release last week that the pathologist who conducted the autopsy told investigators the death appeared not to be natural. The autopsy was performed because his death appeared suspicious since it occurred less than 24 hours after the boy arrived, the sheriff\u2019s office said.
In a news release late Friday, Trails Carolina said that based on preliminary findings by state agencies, an internal investigation and other input, \u201ceverything points to an accidental death.\u201d
\"We grieve with the family of the student who tragically passed and have promised to do everything we can to determine what happened,\" the release said.
The boy who died was transported by two men from New York to Trails Carolina on Feb. 2 and assigned to a cabin with other minors and four adult staffers, the sheriff\u2019s office said. The next morning, emergency workers responded to a 911 call reporting that the boy was not breathing.
In an affidavit filed with a search warrant, Detective Andrew Patterson stated that when investigators arrived on Feb. 3, the boy was cold to the touch and his body was in rigor mortis. A CPR mask covered the boy\u2019s face and detectives noted possible bruising around his eye, Patterson stated.
A counselor told detectives that after his arrival, the boy refused to eat dinner and was \u201cloud and irate,\u201d but later calmed down and ate snacks, according to the affidavit. The boy would sleep on the bunkhouse floor in a sleeping bag inside a bivy that had an alarm on its zipper triggered when someone tries to exit. The counselor said the boy had a panic attack around midnight and he was checked on at 3 a.m. and 6 a.m., and was stiff and cold to the touch when he was found dead at 7:45 a.m.
The sheriff\u2019s office said Trails Carolina hasn\u2019t completely cooperated with the investigation, something the program has disputed. State officials said in their letter that local Department of Social Services staff were on site the day after the boy died, but they couldn\u2019t access the camp\u2019s children until two days later, state health officials said. Trails Carolina said in an earlier statement that it complied with parents\u2019 preferences after seeking permission for children to speak with investigators.
On Friday, Trails Carolina criticized the sheriff's office and the Department of Health and Human Services for their handling of the matter, citing in part what it called a demand by the health agency for parents to travel from all over the country to pick up their children, or the children would be taken into custody.
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With US--Census-Sex and Gender-Questions", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "US--Census-Sex and Gender", + "headline": "The Census Bureau is considering how to ask about gender identity. People have their opinions", + "headline_extended": "The U.S. Census Bureau is thinking about how to ask about sex", + "slugline": "AP-US--Census-Sex and Gender, 2nd Ld-Writethru", + "description_summary": "The U.S. Census Bureau is thinking about how to ask about sex. And dozens of health officials, civil rights groups, individuals and businesses have weighed in about how the agency should ask about sexual orientation and gender identity for the first time on its most comprehensive survey of American life. An Associated Press review of the 91 written public comments shows them to be largely supportive of the proposed additions, though not without some constructive criticism. The proposed questions ae geared mostly toward people age 15 and older, and they would be the first questions to directly ask about these topics on the broad American Community Survey.", + "bylines": [ + { + "by": "By MIKE SCHNEIDER", + "title": "Associated Press" + } + ], + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. For other uses, additional clearances may be required." + ], + "keywords": [ + "sex gender census lgbtq survey" + ], + "provider": "AP", + "infosource": [ + { + "name": "AP", + "type": "AP" + } + ], + "subject": [ + { + "rels": [ + "category" + ], + "creator": "Editorial", + "code": "a", + "name": "a" + }, + { + "rels": [ + "category" + ], + "creator": "Editorial", + "code": "p", + "name": "p" + }, + { + "rels": [ + "category" + ], + "creator": "Editorial", + "code": "n", + "name": "n" + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "838cac99285a42d69ac6ab7a8ed70377", + "name": "LGBTQ people", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 77 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "86aad5207dac100488ecba7fa5283c3e", + "name": "Politics", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 56 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "570831e088701004882deb2e0e616f0b", + "name": "Gender", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 95 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "cc7a76087e4e10048482df092526b43e", + "name": "Health", + "creator": "Editorial", + "editorial_subject": "Health", + "rels": [ + "direct" + ], + "relevance": 75 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "86aad5207dac100488ecba7fa5283c3e", + "name": "Politics", + "creator": "Editorial", + "editorial_subject": "Politics", + "rels": [ + "direct" + ], + "relevance": 75 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "a4677d70863b4012b846a1b00f5079f5", + "name": "U.S. news", + "creator": "Editorial", + "editorial_subject": "U.S. news", + "rels": [ + "direct" + ], + "relevance": 99 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "f25af2d07e4e100484f5df092526b43e", + "name": "General news", + "creator": "Editorial", + "editorial_subject": "General news", + "rels": [ + "direct" + ], + "relevance": 50 + } + ], + "organisation": [ + { + "scheme": "http://cv.ap.org/id/", + "code": "ac18a2ea71034a5991f916b5b3e113e7", + "name": "Associated Press", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 42 + } + ], + "place": [ + { + "scheme": "http://cv.ap.org/id/", + "code": "aebb360082c4100486bedf092526b43e", + "name": "Minneapolis", + "creator": "Machine", + "rels": [ + "direct" + ], + "parentids": [ + "9f12355082c4100486addf092526b43e" + ], + "locationtype": { + "code": "9d26a20b35f0484a891740f8189d4c7b", + "name": "City" + }, + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -93.26384, + 44.97997 + ] + }, + "relevance": 47, + "parentnames": [ + "Minnesota" + ] + } + ], + "audiences": [ + { + "code": "82c6a4c46fa0446090a7acaf93159e4c", + "name": "Print", + "type": "AUDPLATFORM" + }, + { + "code": "9add4649b53b4702ba7d9de5d4fa607a", + "name": "Online", + "type": "AUDPLATFORM" + }, + { + "code": "f43adc08760d10048040e6e7a0f4673e", + "name": "National", + "type": "AUDSCOPE" + }, + { + "code": "f4ecf9b0760d10048044e6e7a0f4673e", + "name": "International", + "type": "AUDSCOPE" + }, + { + "code": "f5b16ea8760d10048047e6e7a0f4673e", + "name": "State", + "type": "AUDSCOPE" + }, + { + "code": "661850e07d5b100481f5c076b8e3055c", + "name": "Latin America and Caribbean", + "type": "AUDGEOGRAPHY" + }, + { + "code": "2c6a186082b010048379df092526b43e", + "name": "Illinois", + "type": "AUDGEOGRAPHY" + }, + { + "code": "9f12355082c4100486addf092526b43e", + "name": "Minnesota", + "type": "AUDGEOGRAPHY" + }, + { + "code": "789fdd8882af10048263df092526b43e", + "name": "California", + "type": "AUDGEOGRAPHY" + }, + { + "code": "08a0a00882c810048942df092526b43e", + "name": "Washington", + "type": "AUDGEOGRAPHY" + }, + { + "code": "661e48387d5b10048291c076b8e3055c", + "name": "United States", + "type": "AUDGEOGRAPHY" + } + ], + "associations": { + "1": { + "altids": { + "itemid": "d27320ade0f64645a464e0cc1ddb6b83" + }, + "type": "picture" + }, + "2": { + "altids": { + "itemid": "c5eded86123645599b6f1d9236f54641" + }, + "type": "picture" + } + }, + "body_nitf": "The U.S. Census Bureau is thinking about how to ask about sex. People have opinions.
Dozens of health officials, civil rights groups, individuals and businesses have weighed in about how the statistical agency should ask about sexual orientation and gender identity for the first time on its most comprehensive survey of American life.
An Associated Press review of the 91 written public comments posted last month shows them to be largely supportive of the proposed additions, though not without constructive criticism.
The proposed questions geared toward people age 15 and older will be tested sometime this year. If given final approval, they would be the first to directly ask about these topics on the American Community Survey, which already asks about commuting times, internet access, family life, income, education levels, disabilities and military service, for example.
Many who submitted public comments said the proposed questions will provide a better understanding of the diversity of LGBTQ+ people in the United States at a time when state legislatures are limiting what can be discussed about LGBTQ issues in public schools and are moving to restrict the ability of transgender people to change their driver's licenses and birth certificates.
\u201cThe currently too-limited data resources stand in stark contrast to the numerous policy debates and legislative efforts focused on these populations,\u201d said Gary Gates, a retired demographer who studied LGBTQ+ issues at UCLA.
Gates, however, objected to wording that would allow someone to answer, \u201cStraight, that is not gay\u201d for the sexual orientation question.
\u201cThe phrase is patently offensive,\u201d Gates wrote. \u201cNot being gay is hardly an accurate definition of a straight identity. ... Why emphasize that they specifically are not gay? It is simply not an adequate description of straight identity.\u201d
The questions should reflect the constantly changing language describing sexual orientation and gender identity particularly among young people, and some non-English speakers may not understand terms like \u201cheterosexual,\" said David Ernesto Munar, president and CEO of Howard Brown Health, which provides health care services to the LGBTQ community in Chicago.
Others lamented the lack of categories for people with intersex traits or who are asexual or pansexual. Intersex is an umbrella term for a number of conditions where internal or external sex characteristics aren\u2019t exactly like typical male or female bodies. Asexual people don't experience sexual feelings, while pansexual people are attracted to people regardless of gender.
Rene Coig objected to respondents being asked their sex at birth and then being asked their current gender. Asking to respond to the first question as \u201cmale\u201d or \u201cfemale\u201d is alienating to transgender people who may not want to be identified with those labels, said Coig, a doctoral candidate at the University of Washington.
Others were disheartened by transgender being separated out as a category from male, female and nonbinary in the gender question instead of including the options of transgender man and transgender woman.
\u201cIt may imply that they are not \u2018male enough\u2019 or \u2018female enough\u2019 to select the male and female categories and are instead a third category of \u2018transgender\u2019 that is distinct from the male and female categories,\u201d said Amy Leite Bennett, an official with Hennepin County Health and Human Services in Minneapolis.
The current questions on the American Community Survey only record same-sex couples who are living together, through queries about household relationships, which is only about a sixth of the LGBTQ+ population in the U.S., according to some estimates. As a result, the survey misses people who are single or are not cohabitating, as well as transgender people.
The only other census survey that asks about sexual orientation and gender identity is the more limited, experimental Household Pulse Survey, which was created to measure changes during the COVID-19 pandemic.
People who fill out the American Community Survey form typically answer the questions for the other members of their household in what is called a proxy response. Because of that, several public comments expressed concerns that parents would not know if their children identify as LGBTQ+.
Respondents can answer the questions online, by mail, over the phone or through in-person interviews. Given privacy concerns, the Census Bureau is proposing using flash cards for in-person interviews and using numbered response categories for people who do not want others in their household to know their responses.
Several Republicans in the U.S. Senate have objected to some of the proposed questions. In a letter last November, Sens. Marco Rubio of Florida and JD Vance of Ohio asked Census Bureau Director Robert Santos to drop plans to ask about gender identity, saying it would politicize the survey and risk jeopardizing the legitimacy of its data.
The Rutherford Institute, a conservative civil liberties legal group, said in public comments that the proposed questions would violate people's right to privacy, adding that \u201cmany people are incredibly uncomfortable providing such detailed private information.\u201d
___
Follow Mike Schneider on X: @MikeSchneiderAP.
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Trump, the front-runner to be the 2024 Republican nominee, has repeatedly refused to back any specific limits on abortion as he campaigns, though he frequently takes credit for overturning the Supreme Court decision that established a constitutional right to abortion. President Joe Biden says the New York Times report shows how abortion rights will be a central issue in the 2024 election. He says Trump is \u201crunning scared\u201d by not publicly saying what he would do.", + "bylines": [ + { + "by": "By MICHELLE L. PRICE and CHRISTINE FERNANDO", + "title": "Associated Press" + } + ], + "located": "NEW YORK", + "datelinelocation": { + "city": "New York", + "countryareacode": "NY", + "countryareaname": "New York", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -74.00597, + 40.71427 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. 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Trump, the frontrunner to be the 2024 Republican nominee, has repeatedly refused to back any specific limits on abortion as he campaigns, though he has called himself \u201cthe most pro-life president in American history.\u201d He also frequently takes credit for appointing three U.S. Supreme Court justices who helped overturn Roe vs. Wade, the landmark 1973 decision that established a constitutional right to abortion.
Susan B. Anthony Pro-Life America, which backs a national ban on abortions at 15 weeks of pregnancy and has said anything less restrictive \u201cmakes no sense,\u201d praised Trump after a New York Times report on Friday that he has privately been telling people he likes the idea of a federal ban on abortion after 16-weeks, with some exceptions.
\u201cPresident Trump is leading on finding consensus, and this is where the nation is,\" aid SBA Pro-Life America President Marjorie Dannenfelser.
Trump\u2019s campaign called the report \u201cFake News\u201d but did not offer details on his plans.
\u201cAs President Trump has stated, he would sit down with both sides and negotiate a deal that everyone will be happy with,\u201d Karoline Leavitt, the national press secretary for Trump\u2019s campaign, said in a statement.
Democrats and abortion-rights groups seized on the Times report, with President Joe Biden saying it showed abortion rights would be a central issue in the 2024 election. He said Trump was \u201crunning scared\u201d by not publicly saying what he would do about abortion.
\u201cHe\u2019s afraid the women of America are going to hold him responsible for taking away their rights and endangering their rights at the ballot box in November,\u201d Biden said in a statement. \u201cWhich is exactly what\u2019s going to happen.\"
Polling has consistently shown that most Americans believe abortion should be legal through the initial stages of pregnancy. About half of U.S. adults said abortions should be permitted at the 15-week mark, according to an Associated Press-NORC Center for Public Affairs Research poll conducted last June.
Though Susan B. Anthony Pro-Life America praised Trump Friday, last year the group publicly clashed with the former president when he suggested abortion restrictions should be left to individual states. The group called that a \u201cmorally indefensible position for a self-proclaimed pro-life presidential candidate.\u201d
On Friday, abortion-rights groups quickly jumped in to warn that if Trump wins in November, it will lead to restrictions nationwide.
If Trump is elected, he will \u201cwreak further havoc on our reproductive rights and personal freedoms,\u201d said Jenny Lawson, executive director of Planned Parenthood Votes.
\u201cWe\u2019ve long known where Donald Trump stands on abortion and it\u2019s at odds with the majority of Americans,\u201d Lawson said in a statement. \u201cHe is chiefly responsible for the ongoing public health crisis that has allowed 21 states to ban all or some abortions and yet, he claims to want to find a \u2018compromise\u2019 on this issue. To be clear, there is no compromising on the basic right to control our lives and bodies.\u201d
The Supreme Court's 2022 decision tossing out Roe left the country with a checkerboard of state abortion laws.
The former president has said he supports exceptions on abortion restrictions in cases of rape, incest and to protect the life of the mother, but he has been vague beyond that about what he would support if reelected. He has criticized a six-week ban signed by Florida Gov. Ron DeSantis and said in an interview on NBC\u2019s \u201cMeet the Press\u201d last fall that he does not care whether abortion is banned at the federal level or left to laws in each state.
\u201cI want to get something where people are happy,\u201d Trump said in a January town hall on Fox News.
Trump\u2019s position on abortion has shifted over the years. He once declared in a 1999 interview, \u201cI am pro-choice in every respect.\u201d But in his 2016 presidential run, in which he sought to win crucial support of evangelical Republicans, he released a list of potential nominees to the Supreme Court who were considered likely to vote to overturn Roe v. Wade.
His attempts to find a middle ground suggest how challenging the issue is for Trump and most other Republican candidates. Banning or severely restricting abortion is almost a non-negotiable position for many GOP primary voters, but it's proved to be a losing stance in general elections since the Supreme Court's decision nearly two years ago.
Some of the immediate reaction from the right to the New York Times report showed the difficulty for Trump and other Republicans trying to navigate the issue.
Students for Life Action, which opposes abortion, issued a statement skeptical of the report, but said, \u201cwe do want to hear from President Trump as there is a lot that can be done in his next administration \u2013 from appointments to administrative policies.\u201d
Kristan Hawkins, the group\u2019s president, said a limit on abortion at 16 weeks would still allow for many abortions and \u201cwill make no one happy.\u201d
After a nationwide push to put abortion rights questions in front of voters since the Supreme Court overturned Roe v. Wade, the issue is expected to be on the ballot in several states this year, including Arizona, Arkansas, Florida, Missouri and South Dakota. Many of the campaigns have faced efforts by anti-abortion forces to block the questions from getting to the ballot, building on strategies seen in other states, such as Ohio last year.
Voters in seven states \u2014 California, Kansas, Kentucky, Michigan, Montana, Ohio and Vermont \u2014 have previously sided with abortion rights supporters on ballot measures.
___
Fernando reported from Chicago. Associated Press writer Will Weissert in Washington contributed to this report.
___
The Associated Press receives support from several private foundations to enhance its explanatory coverage of elections and democracy. See more about AP\u2019s democracy initiative here. The AP is solely responsible for all content.
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Therefore, it is somewhat relevant to the topic of health but not highly focused on it." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/02/16/66c09c0f9a4ea701f598b5b2a8e1991b.json b/datasets/AP_news/raw_data/2024/02/16/66c09c0f9a4ea701f598b5b2a8e1991b.json new file mode 100644 index 0000000..f4d91c3 --- /dev/null +++ b/datasets/AP_news/raw_data/2024/02/16/66c09c0f9a4ea701f598b5b2a8e1991b.json @@ -0,0 +1,258 @@ +{ + "altids": { + "itemid": "66c09c0f9a4ea701f598b5b2a8e1991b", + "etag": "66c09c0f9a4ea701f598b5b2a8e1991b_1a10aza0c0", + "friendlykey": "941319695815", + "referenceid": "ENT--Brian Wilson-Conservatorship" + }, + "version": 1, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-02-16T16:37:36Z", + "firstcreated": "2024-02-16T16:28:53Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: Updates Media.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "ENT--Brian Wilson-Conservatorship", + "headline": "Brian Wilson needs to be put in conservatorship after death of wife, court petition says", + "headline_extended": "The management team of Beach Boys co-founder Brian Wilson has filed papers to put him in a conservatorship", + "slugline": "BC-ENT--Brian Wilson-Conservatorship, 1st Ld-Writethru", + "description_summary": "The management team of Beach Boys co-founder Brian Wilson has filed papers to put him in a conservatorship. The court filing says Wilson needs someone to oversee his daily life and medical decisions because of the recent death of his wife, Melinda Ledbetter Wilson. A doctor for the 81-year-old musician says that he has a major neurocognitive disorder and is taking medication for dementia. The petition asks that Wilson's publicist Jean Sievers and manager LeeAnn Hard be appointed as his conservators. A statement on Wilson's social media accounts says the decision was made after consultation with him and his seven children.", + "bylines": [ + { + "by": "By ANDREW DALTON", + "title": "AP Entertainment Writer" + } + ], + "located": "LOS ANGELES", + "datelinelocation": { + "city": "Los Angeles", + "countryareacode": "CA", + "countryareaname": "California", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -118.24368, + 34.05223 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. 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The 81-year-old Beach Boys co-founder and mastermind has a \u201cmajor neurocognitive disorder\u201d and is taking medication for dementia, according to a doctor's declaration filed with the petition Wednesday in Los Angeles Superior Court.
The petition asks a judge to appoint two longtime Wilson representatives \u2014 publicist Jean Sievers and manager LeeAnn Hard \u2014 to be conservators overseeing his personal and medical decisions because \u201cMr. Wilson is unable to properly provide for his own personal needs for physical health, food, clothing, or shelter.\u201d
The two women \u201chave had a close relationship with Mr. and Mrs. Wilson for many years, and Mr. Wilson trusts them,\u201d according to the filing.
Ledbetter \u2014 whose husband credited her with stabilizing his famously troubled life \u2014 had managed his daily needs before her death on Jan. 30, the petition says.
The move came after consultation between Wilson, his seven children, caretaker Gloria Ramos, and his doctors, according to a statement posted Thursday on his social media accounts.
\"This decision was made to ensure that there will be no extreme changes to the household and Brian and the children living at home will be taken care of,\" the posts said. \u201cBrian will be able to enjoy all of his family and friends and continue to work on current projects as well as participate in any activities he chooses.\u201d
Judges in California can appoint a conservator for the person, their finances \u2014 referred to as the estate \u2014 or both, as was the case with Britney Spears, whose court fight brought broad new attention to the legal standing.
The Wilson petition seeks only a conservatorship of his person, saying he does not need a conservator of the estate because his assets are in a trust, with Hard as a trustee.
Deeply revered and acclaimed as a member, producer, arranger and chief songwriter of the Beach Boys, Wilson struggled with mental health and substance abuse issues that upended his career in the 1960s.
He met Ledbetter when he was a customer at a car dealership where she was working in the mid-1980s. At the time, Wilson had for years been under the close supervision of psychologist Dr. Eugene Landy.
Ledbetter and others believed Landy was exploiting and mistreating Wilson, and feuded with Landy for years before he was barred in 1992 from any contact with Wilson.
Ledbetter died unexpectedly on Jan. 30, according to a Wilson spokesperson.
\u201cOur five children and I are just in tears. We are lost,\u201d Wilson said on his web site. \u201cMelinda was more than my wife. She was my savior.\"
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Harry arrived from California less than 48 hours after Buckingham Palace announced on Feb. 5 that the king had cancer and had begun treatment.
The visit between the monarch and his younger son at Clarence House was relatively brief, as Charles and his wife, Queen Camilla, were seen leaving about an hour later.
The palace has not revealed the type of cancer the 75-year-old king has, saying only that it was discovered during a treatment for an enlarged prostate but isn't prostate cancer.
The Duke of Sussex wouldn\u2019t reveal any details about his father\u2019s prognosis. \u201cThat stays between me and him,\u201d he said.
Harry has had a troubled relationship with his family since he quit royal duties in 2020 and moved to Los Angeles with his wife, Meghan, citing what they said were the unbearable intrusions and racist attitudes of the British media. He showed up alone for his father's coronation in May but left as soon as the ceremony ended to return to California for his son's birthday.
Asked if the illness could help reunify his family, Harry, speaking at an Invictus Games event near Vancouver, said, \u201cYeah, I'm sure.\" He said he has witnessed that type of galvanizing effect among the wounded service members who compete in the games the prince founded in 2014.
\u201cThroughout all these families, I see it on a day to day basis,\u201d he said. \"You know, again, the strength of the family unit coming together.\u201d
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The reasons for the rejections, all from states with Republican governors, include philosophical objections to welfare programs, technical challenges due to aging computer systems and satisfaction with other summer nutrition programs reaching far fewer children.
The impact falls on people like Otibehia Allen, a single mom of five in Clarksdale, Mississippi, who makes too much to qualify for some public assistance programs. She could have received $480 in aid over three months this summer if her state participated.
\u201cIt would have helped us a whole lot, especially with the boys,\u201d Allen said. \u201cThey\u2019re growing children. They eat a lot.\u201d
Many states have rejected federal funds on principle or for technical reasons. In 2021, 26 states cut short the enhanced unemployment benefits people received during the coronavirus pandemic. Twenty-two states have turned down the mostly federally funded expansion of Medicaid eligibility to provide health insurance to more lower-income adults. A dozen of those states have reconsidered and expanded Medicaid.
The Summer EBT program, a response to increased child hunger when school is out, involves much less money. The federal government launched pilot versions in 2011, expanded it nationally during the pandemic and then Congress made it permanent within a spending bill adopted in December 2022. States must split the administrative costs 50/50, and the federal government funds the benefits, which are expected to cost $2.5 billion this year and help feed 21 million children.
Another 10 million eligible kids live in states that turned down the funding.
For each of three summer months, families with children in free or reduced-price school lunch programs will get $40 per qualifying child on an electronic benefits transfer \u2014 or EBT \u2014 card. It can only cover groceries and food from farmers' markets.
Family size determines the income limits. A family of three making under about $46,000 would qualify in most of the country.
States had until the end of 2023 to decide whether they would join this summer. They can enroll in future years even if they skip it in 2024. Vermont plans to do that after replacing a state computer system.
The spending measure provided some broad outlines a year earlier and the U.S. Department of Agriculture shared details with the states throughout 2023. But the interim final rules were not published until Dec. 29, timing that some states said proved problematic for deciding whether to join.
The Texas Health and Human Services Commission said late rulemaking factored into its opting out, along with needing lawmakers to approve funding for the state's administrative cost share. Texas lawmakers aren't scheduled to convene this year. Spokesperson Thomas Vazquez said via email that Texas would consider joining later.
It's the other way around in Tennessee, which opted into the lunch program for 2024 but doesn't plan to continue in 2025.
Like leaders in other states, Republican Gov. Bill Lee's office said the initiative is a pandemic-era benefit and that other food programs already exist.
But Food Research and Action Center, an advocacy group targeting hunger, has found that the main federally funded summer nutrition program doesn't reach most qualified children. During the summer of 2022, it fed only one of every nine children served by the free or reduced-price lunch program nationwide during the 2021-2022 school year.
Wyoming Superintendent of Public Instruction Megan Degenfelder said she turned down the Summer EBT card funds because she wanted to prioritize the current summer meals programs, which require minimal state funding.
\u201cI generally prefer those meals getting directly to kids,\u201d she told The Associated Press. \u201cAt the feeding sites, we know that\u2019s happening.\u201d
Still, she said the summer sites in her rural state need improvement. In 2022, they served about 9,400 summer lunches daily, which is only one-fifth of the daily average for free and reduced price lunches in the 2021-22 school year. Six of Wyoming's 23 counties have no sites. And even though the federal government last year started letting families take home a week\u2019s worth of meals for children, Wyoming sites offered only in-person meals.
Wyoming\u2019s share of administrative costs this year would have been about $1.1 million, and about $690,000 annually in the future, Defenfelder said.
Republican governors currently lead all the rejecting states, but Louisiana had a Democrat with one week left in his term when the deadline hit.
In some places, the rejections have had a partisan edge.
In Mississippi, one of the states with the most food insecurity for children, some 324,000 children \u2014 including four of Allen's \u2014 would have been eligible.
Republican Gov. Tate Reeves' office declared it an unnecessary big government program, saying that if Washington D.C. Democrats had their way, \"Americans would still be locked down, subjected to COVID vaccine and mask mandates, and welfare rolls would\u2019ve exploded.\u201d
Allen, who works as a transportation dispatcher and scheduler, thinks Reeves' priorities are misplaced. She pointed to the state's implementation of an abortion ban in 2022.
\u201cWhy do you care so much about my uterus and how many babies I\u2019m having or aborting?\u201d Allen said. \u201cWhy is that a concern when I still have to feed this child, but you\u2019re not helping me do that?\u201d
The rejections have drawn backlash.
In Nebraska, Republican Gov. Jim Pillen sparked a firestorm of criticism when he justified rejecting the money by explaining, \u201cI don\u2019t believe in welfare.\" But he reversed course on Monday and said the state would join the program after a Democratic lawmaker introduced a bill to require participation. He said he was swayed by hearing stories about hunger from high school students.
Lisa Davis, senior vice president of the No Kid Hungry Campaign for Share Our Strength, said she believes all the states can be persuaded to join in the coming years.
\u201cChildhood hunger is one of the few issues that brings everyone together,\u201d she said.
The remaining holdouts are Alabama, Alaska, Florida, Georgia, Idaho, Iowa, Louisiana, Mississippi, Oklahoma, South Carolina, South Dakota, Texas, Vermont and Wyoming.
Officials in Iowa\u2019s two most populous counties are requesting the state-rejected funds anyway, though the program offers no pathway to fund local governments instead of states.
In Iowa's rejection, Gov. Kim Reynolds said it was not a long-term solution.
\"An EBT card does nothing to promote nutrition at a time when childhood obesity has become an epidemic,\u201d the Republican said in a statement.
But Crystal FitzSimons, director of school programs at Food Research and Action Center, cited research that families buy more nutritional food when their grocery subsidies increase.
\u201cIt's a missed opportunity when kids are going hungry,\u201d she said.
___
Mattise reported from Nashville, Tennessee, and Mulvihill from Cherry Hill, New Jersey. Associated Press reporters Sean Murphy in Oklahoma City and James Pollard in Columbia, South Carolina, contributed. Pollard is a corps member for the Associated Press/Report for America Statehouse News Initiative. Report for America is a nonprofit national service program that places journalists in local newsrooms to report on undercovered issues.
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These aspects are relevant to the topic of health, particularly in the context of public health and nutrition for children." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/02/16/93448af7cebcc36e2be458cb0c4ef883.json b/datasets/AP_news/raw_data/2024/02/16/93448af7cebcc36e2be458cb0c4ef883.json new file mode 100644 index 0000000..63b5c26 --- /dev/null +++ b/datasets/AP_news/raw_data/2024/02/16/93448af7cebcc36e2be458cb0c4ef883.json @@ -0,0 +1,221 @@ +{ + "altids": { + "itemid": "93448af7cebcc36e2be458cb0c4ef883", + "etag": "93448af7cebcc36e2be458cb0c4ef883_0a11aza0c0", + "friendlykey": "521367296497", + "referenceid": "US-MED--Allergy Treatment-Approved" + }, + "version": 0, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-02-16T17:34:26Z", + "firstcreated": "2024-02-16T17:34:25Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: Updates Media.", + "signals": [ + "newscontent" + ], + "title": "US-MED--Allergy Treatment-Approved", + "headline": "FDA expands use of asthma drug Xolair to treat severe food allergies", + "headline_extended": "A medication used to treat asthma can now be used to help people with food allergies avoid severe reactions", + "slugline": "BC-US-MED--Allergy Treatment-Approved", + "description_summary": "A medication used to treat asthma can now be used to help people with food allergies avoid severe reactions. The U.S. Food and Drug Administration on Friday approved a new use for Xolair. It is the first medication approved to reduce allergic reactions caused by accidental exposure to foods such as peanuts, cashews, milk products and eggs. About 17 million people in the U.S. have the type of food allergies that can cause rapid, serious symptoms. Xolair is an injection taken every two to four weeks, depending on the patient.", + "bylines": [ + { + "by": "By JONEL ALECCIA", + "title": "AP Health Writer" + } + ], + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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Xolair, the brand name for the drug omalizumab, became the first medication approved to reduce allergic reactions caused by accidental exposure to food triggers. Patients as young as age 1 with allergies can take the drug by injection every two to four weeks, depending on their weight and their body's response to allergens.
An estimated 17 million people in the U.S. have the type of food allergies that can cause rapid, serious symptoms, including severe, whole-body reactions that are potentially deadly.
People who use Xolair must continue to avoid the foods that cause them reactions, such as peanuts, cashews, hazelnuts, walnuts, milk products and eggs. The medication allows them to tolerate higher amounts of such foods without causing major reactions.
Many people with allergies \u2014 and their families \u2014 live with constant anxiety about exposure to allergens and often avoid dining out and other social situations.
\u201cTo have this protection is going to be life-changing,\u201d said Dr. Robert Wood, director of the pediatric allergy division at Johns Hopkins Children\u2019s Center.
The FDA decision is based on a study led by Wood and funded by the National Institutes of Health. It showed that Xolair allowed about 68% of participants with peanut allergies to tolerate about 600 milligrams, or about 1/2 teaspoon, of peanut protein, compared with about 6% of those who received dummy injections.
The results were similar for other allergens such as tree nuts, milk, egg and wheat, a study abstract reported. Full results are expected to be presented at a meeting and published in a peer-reviewed journal later this month.
Wood estimated that 25% to 50% of people with food allergies, particularly children and young adults, would elect to use Xolair.
The drug has been used \u201coff-label\u201d to treat food allergies, said Dr. Ruchi Gupta, director of the Center for Food Allergy & Asthma Research at Northwestern University. She welcomed full approval of the product.
Xolair is a monoclonal antibody, a type of treatment that works by blocking the body\u2019s natural response to allergens. It was first approved in 2003 and has been used to treat asthma, nasal polyps and chronic hives. It is produced by drugmakers Novartis and Roche and is distributed by a Roche subsidiary, Genentech.
The most common side effects of Xolair are injection site reactions and fever, but the FDA noted that the drug has also been associated with joint pain, rash, parasitic infections, malignancies and abnormal laboratory tests. Xolair comes with a warning saying the treatment itself can cause anaphylaxis and must be started in a health care setting equipped to manage the reaction.
The medication is not approved for emergency treatment of allergic reactions.
The list price for Xolair ranges from about $2,900 a month for children to $5,000 a month for adults, according to Genentech. Most insured patients typically pay less out of pocket, the company said.
___
The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute\u2019s Science and Educational Media Group. The AP is solely responsible for all content.
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The document also includes information about the drug's side effects, cost, and usage guidelines, all of which are pertinent to the health topic." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/02/16/e7f16fb87ddabd938506050aa98ac779.json b/datasets/AP_news/raw_data/2024/02/16/e7f16fb87ddabd938506050aa98ac779.json new file mode 100644 index 0000000..cdd5090 --- /dev/null +++ b/datasets/AP_news/raw_data/2024/02/16/e7f16fb87ddabd938506050aa98ac779.json @@ -0,0 +1,278 @@ +{ + "altids": { + "itemid": "e7f16fb87ddabd938506050aa98ac779", + "etag": "e7f16fb87ddabd938506050aa98ac779_1a5aza0c0", + "friendlykey": "555103508350", + "referenceid": "LT--Brazil-Dengue Epidemic" + }, + "version": 1, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-02-16T08:42:43Z", + "firstcreated": "2024-02-16T05:28:45Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: EDITS: Edits headline.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "LT--Brazil-Dengue Epidemic", + "headline": "Brazil's health agents scour junkyards and roofs for mosquitos to fight dengue epidemic", + "headline_extended": "Local public health officials in Rio de Janeiro have been scouring the city's neighborhoods and even its junkyards for signs of standing water where mosquitoes can lay their eggs", + "slugline": "BC-LT-Brazil-Dengue-Epidemic, 1st Ld-Writethru", + "description_summary": "Local public health officials in Rio de Janeiro have been scouring the city's neighborhoods and even its junkyards for signs of standing water where mosquitoes can lay their eggs. It's part of nationwide efforts to curtail a surge in Brazil of the mosquito-borne illness of dengue fever during the country\u2019s key tourist season that runs through the end of February. So far this year, Brazil has recorded 512,000 cases, nearly four times more than those registered in the same period a year ago.", + "bylines": [ + { + "by": "By DIANE JEANTET", + "title": "Associated Press" + } + ], + "located": "RIO DE JANEIRO", + "datelinelocation": { + "city": "Rio De Janeiro", + "countrycode": "BRA", + "countryname": "Brazil", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -43.18223, + -22.90642 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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They were part of nationwide efforts to curtail a surge in Brazil of the mosquito-borne illness of dengue fever during the country's key tourist season that runs through the end of February.
Paulo Cesar Gomes, a 56-year-old entomologist, found some mosquito larvae swimming in shallow rainwater inside a car bumper.
\u201cWe call this type of location a strategic point\u201d because of the high turnover in items converging from all over, he said. \u201cIt's difficult not to have mosquitoes here.\"
Earlier in the month, just days before Rio kicked of its world-famous Carnival festivities, the city joined several states and the country's capital in declaring a public health epidemic over this year's greater-than-normal number of cases of dengue.
\u201cWe had more cases in January than any other January,\u201d Ethel Maciel, head of health surveillance at Brazil's Health Ministry, said in an interview with The Associated Press.
So far this year, Brazil has recorded 512,000 cases nationwide, including both confirmed and likely cases \u2014 nearly four times more than those registered in the same period a year ago.
There have been 425 deaths under investigation for dengue so far this year, with 75 confirmed, as compared with just over 1,000 for all of 2023.
Dengue is a viral infection transmitted to humans through the bite of infected mosquitoes. Frequent rains and high temperatures, which accelerate the hatching of mosquito eggs and the development of larvae, make the famously hot city of Rio especially susceptible to outbreaks.
Many who are infected never develop symptoms, but dengue can cause high fever, headache, body aches, nausea and a rash, according to the World Health Organization. While most get better after a week or so, some develop a severe form that requires hospitalization and can be fatal.
Health workers like Gomes, equipped with masks and plastic gloves, meticulously combed the junkyard on a hot morning, gently kicking and shaking piled up auto parts looking for any trace of the Aedes aegypti mosquito that can spread dengue.
Whenever he saw standing water Gomes grabbed a hand pipette out of his bag and looked for larvae, which he collected in a white plastic container. Captured mosquitos and larvae are kept alive and brought to a city laboratory to be tested for dengue.
At locations with positive tests, health agents spray the walls with a product that kills mosquitos and then monitor the location for weeks.
Maciel, from the Health Ministry, said the first warning about a possible epidemic came in September.
Brazil\u2019s leading research institute, the state-funded Oswaldo Cruz Foundation, or Fiocruz, came up with several scenarios indicating that Brazil could have as many as 4.2 million cases this year, up from 1.6 million in 2023.
Maciel said the surge is due to excessive heat and intense rain, both possible effects of climate change or El Ni\u00f1o, a natural, temporary and occasional warming of part of the Pacific that shifts weather patterns across the globe.
Maciel also cited the circulation of four dengue virus serotypes at the same time, one of which authorities had not seen in 15 years.
In Rio, more than 80% of mosquito breeding sites are located in residential properties, health officials say. So, efforts to combat dengue must start in homes, and raising awareness is key, said M\u00e1rio S\u00e9rgio Ribeiro, a health surveillance official for Rio de Janeiro state.
State officials launched a \"10 minutes that save lives\u201d initiative to encourage residents to inspect their homes, offices and places of worship for any standing water.
Health workers and volunteers went door to door, pacing up and down the narrow streets of Rio's Tabajara working-class neighborhood, or favela, to spread the word. They distributed leaflets and climbed on rooftops, looking for containers with rainwater.
One elderly woman, Vilza da Costa, told the AP she believes she contracted the disease.
\u201cIt started with a fever, then my body was itching all over, weakness, and a lot of pain. I was in a very bad way,\" she said. \"There are a lot of mosquitoes here.\u201d
During Carnival, which ended Wednesday, health employees welcomed visitors with free repellent. A van with a giant crossed off mosquito and the words \u201cAgainst Dengue Everyday\u201d opened and closed the parades several nights, for millions of TV viewers to see.
Maciel said the effect of Carnival will not be known for another week. Even though dengue is not transmissible from person to person, increased tourism can boost the spread of the disease to locations that had not been affected.
It's not clear if the cases have reached a peak and now \u201care going to start going down, or if the worst-case scenario is indeed happening,\u201d Maciel said.
____
Follow AP\u2019s coverage of Latin America and the Caribbean at https://apnews.com/hub/latin-america
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Federal law bars medical providers from sharing health data without a patient\u2019s consent but doesn\u2019t prevent digital tech companies from tracking menstrual cycles or an individual\u2019s location and selling it to data brokers. Legislation for federal bans have never gained momentum, largely because of opposition from the tech industry.
Whether that should change has become another political fault line in a nation where most Republican-controlled states have restricted abortion \u2014 including 14 with bans in place at every stage of pregnancy \u2014 and most Democratic ones have sought to protect access since the U.S. Supreme Court in 2022 overturned Roe v. Wade.
Abortion rights advocates fear that that if such data is not kept private, it could be used not only in targeted ads but also in law enforcement investigations or by abortion opponents looking to harm those who seek to end pregnancies.
\u201cIt isn't just sort of creepy,\u201d said Washington state Rep. Vandana Slatter, the sponsor of a law her state adopted last year to rein in unauthorized use of health information. \u201cIt's actually harmful.\u201d
But so far, there's no evidence of widespread use of this kind of data in law enforcement investigations.
\u201cWe\u2019re generally talking about a future risk, not something that\u2019s happening on the ground yet,\u201d said Albert Fox Cahn, executive director of the Surveillance Technology Oversight Project and an advocate of protections.
The report last week from Sen. Ron Wyden, an Oregon Democrat, showed the biggest known anti-abortion ad campaign directed to people who had been identified as having visited abortion providers.
Wyden's investigation found that the information gathered by a now-defunct data broker called Near Intelligence was used by ads from The Veritas Society, a nonprofit founded by Wisconsin Right to Life. The ads targeted people who visited 600 locations in 48 states from 2019 through 2022. There were more than 14 million ads in Wisconsin alone.
Wyden called on the Federal Trade Commission to intervene in the bankruptcy case for Near to make sure the location information collected on Americans is destroyed and not sold to another data broker. He\u2019s also asking the Securities Exchange Commission to investigate whether the company committed securities fraud by making misleading statements to investors about the senator\u2019s investigation.
It's not the first time the issue has come up.
Massachusetts reached a settlement in 2017 with an ad agency that ran a similar campaign nearly a decade ago.
The FTC sued one data broker, Kochava, over similar claims in 2022 in an ongoing case, and settled last month with another, X-Mode Social, and its successor, Outlogic, which the government said sold location data of even users who opted out of such sharing. X-Mode was also found to have sold location data to the U.S. military.
In both cases, the FTC relied on a law against unfair or deceptive practices.
States are also passing or considering their own laws aimed specifically at protecting sensitive health information.
Washington's Slatter, a Democrat, has worked on digital privacy issues for years, but wasn't able to get a bill with comprehensive protections adopted in her state.
She said things changed when Roe was overturned. She went to a rally in 2022 and heard women talking about deleting period-tracking apps out of fear of how their data could be exploited.
When she introduced a health-specific data privacy bill last year, it wasn't just lawyers and lobbyists testifying; women of all ages and from many walks of life showed up to support it, too.
The measure, which bars selling personal health data without a consumer's consent and prohibits tracking who visits reproductive or sexual health facilities, was adopted with the support of nearly all the state's Democratic lawmakers and opposition from all the Republicans.
Connecticut and Nevada adopted similar laws last year. New York enacted one that bars using tracking around health care facilities.
California and Maryland took another approach, enacting laws that prevent computerized health networks from sharing information about sensitive health care with other providers without consent.
\u201cWe're really pushing forward with the free-flowing and seamless exchange of health care data with the intend of having information accessible so that providers can treat the whole person,\u201d said Andrea Frey, a lawyer who represents health care providers and digital health systems across. \u201cConversely, these privacy concerns come into play.\u201d
Illinois, which already had a law limiting how health tracking data \u2014 measuring heart rates, steps and others \u2014 can be shared, adopted a new one last year that took effect Jan. 1 and that bans providing government license plate reading data to law enforcement in states with abortion bans.
Bills addressing the issue in some form have been introduced in several states this year, including Hawaii, Illinois, Maine, Maryland, Massachusetts, Missouri, South Carolina and Vermont.
In Virginia, legislation that would prohibit the issuance of search warrants, subpoenas or court orders for electronic or digital menstrual health data recently cleared both chambers of the Democratic-controlled General Assembly.
Democratic Sen. Barbara Favola said she saw the bill as a necessary precaution when Republican politicians, including Virginia Gov. Glenn Youngkin, have sought restrictions on abortion.
\u201cThe next step to enforcing an abortion ban could be accessing menstrual health data, which is why I\u2019m trying to protect that data,\u201d Favola said in a committee hearing.
Opponents asked whether such data had ever been sought by law enforcement, and Favola responded that she wasn\u2019t aware of a particular example.
\u201cIt\u2019s just in search of a problem that does not exist,\u201d said Republican Sen. Mark Peake.
Youngkin's administration made it clear he opposed similar legislation last year, but his press office didn't respond to a request for comment on where he stands on the current version.
Sean O'Brien, founder of the Yale Privacy Lab, says there is a problem with the way health information is being used, but he's not sure laws will be the answer because companies could choose to ignore the potential consequences and continue scooping up and selling sensitive information.
\u201cThe software supply chain is extremely polluted with location tracking of individuals,\u201d he said.
___
Mulvihill reported from Cherry Hill, New Jersey. Associated Press reporters Frank Bajak in Boston and Sarah Rankin in Richmond, Virginia, contributed to this article.
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(AP) \u2014 Hundreds of Penn State students have raised more than $16.9 million for pediatric cancer patients in the annual 46-hour dance marathon known as Thon.
The $16,955,683.63 total was announced Sunday afternoon at the conclusion of the Penn State Interfraternity Council/Panhellenic Dance Marathon, billed as the world's largest student-run philanthropy. It topped last year\u2019s total of $15,006,132.46.
Money raised benefits pediatric cancer patients and their families at the Penn State Milton S. Hershey Medical Center. Child cancer survivors and their families also participate along with the dancers, who are helped by thousands of other students in support roles.
Officials say the dance marathon, which draws 16,500 volunteers each year, has raised more than $235 million and the fund has helped over 4,800 families over more than a half-century of existence.
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Rosalynn Carter, who died in November, about six months after the Carter family disclosed her dementia diagnosis, lived only a few days under hospice supervision, with her frail husband at her bedside.
Experts on end-of-life care say the Carters\u2019 different paths show the range of an oft-misunderstood service. Those advocates commend the Carter family for demonstrating the realities of aging, dementia and death. They express hope that the attention spurs more Americans to seek out services intended to help patients and families in the latter stages of life.
\u201cIt\u2019s been massive to have the Carters be so public,\u201d said Angela Novas, chief medical officer for the Hospice Foundation of America, based in Washington. \u201cIt has shed hospice in a new light, and it\u2019s raised questions\u201d for people to learn more.
The Carter family released a statement ahead of Sunday, the one-year anniversary of their announcement that the 39th president would forgo future hospital stays and enter end-of-life care at home in Plains.
\u201cPresident Carter continues to be at home with his family,\u201d the statement said. \u201cThe family is pleased that his decision last year to enter hospice care has sparked so many family discussions across the country on an important subject.\u201d
To be clear, the family has not confirmed whether Jimmy Carter remains in hospice care or has been discharged, as sometimes happens when even a frail patient\u2019s health stabilizes.
Here is a look at hospice and the Carters\u2019 circumstances:
Mollie Gurian is vice president of Leading Age, a national network of more than 5,000 nonprofit elder-care agencies. She described hospice as \u201cholistic care ... for someone who is trying to live the end of their life as fully as possible\u201d but no longer seeks a cure for a terminal condition.
Hospice offers multiple practitioners for each patient: nurses, physicians and social-service professionals like chaplains and secular grief counselors. Home hospice features in-home visits but not round-the-clock or even full-shift care.
Initial eligibility requires a physician's certification of a terminal condition, with the expectation that a person will not live longer than six months; there are also disease-specific parameters.
For-profit businesses or nonprofit agencies typically provide the care and employ the providers. Medicare pays those agencies a per-day rate for each patient. There are four levels of care and daily rates. The concept was developed after World War II and has been part of the Medicare program since the early 1980s. Private insurance plans also typically cover hospice.
In 2021, 1.7 million Medicare beneficiaries enrolled in hospice at a taxpayer cost of $23.1 billion, according to the federal Medicare Payment Advisory Commission (MedPAC). Almost half of Medicare patients who died that year did so under hospice care.
Hospice can elicit images of \u201csomeone doped up and bedridden,\u201d but it is not \u201cjust providing enough morphine to make it through the end,\u201d Gurian said.
Indeed, patients give up curative treatments and many medicines. Cancer patients no longer receive radiation or chemotherapy. Those with late-stage Alzheimer\u2019s, Parkinson\u2019s or another degenerative neurological disease typically ditch cholesterol and blood-pressure medication \u2014 and eventually drugs that regulate their acute condition.
But Novas and Gurian said treatment is case-by-case. Some agencies might allow someone with end-stage kidney disease to get dialysis or take regulatory medication. They simply have to absorb the cost, because Medicare almost certainly does not pay separately for those treatments.
Further, hospice does not necessarily mean forgoing treatments for certain complications that threaten comfort: antibiotics for a urinary tract infection or infected bed sores, for example. That said, patients or families may forgo such treatments, especially in cases of end-stage neurological disease.
Chip Carter, one of Jimmy and Rosalynn Carter\u2019s four children, confirmed to The Washington Post that his mother was suffering from a severe urinary tract infection at the time of her hospice admission and death. In those cases, Novas explained, patients are administered pain management drugs.
In 2021, the average stay of hospice patients who died was 92 days, MedPAC calculated. The median was 17 days \u2014 about two weeks longer than the time between when the Carters\u2019 announced the former first lady had entered hospice and when she died.
About 10% of enrollees who die in hospice care stayed more than 264 days. Extended cases drive a majority of costs. In 2021, $13.6 billion of the overall $23 billion paid was for stays exceeding 180 days before death. Of that, $5 billion was for stays longer than a year.
Patients are sometimes discharged from hospice if their condition stabilizes, especially if they have reached the six-month mark in the program. In 2021, 17.2% of the patients were discharged. The MedPAC report to Congress noted that for-profit agencies have higher average length of stays than nonprofits and added that living patients\u2019 discharge rates raise questions about admission standards.
Novas offered explanations. She said hospice has seen an uptick in patients with dementia, conditions in which \u201ca patient can wax and wane for months or even years.\u201d Another factor \u2014 one she said could explain Jimmy Carter\u2019s endurance \u2014 is sheer grit.
\u201cWe cannot measure the human spirit,\u201d she said. With many conditions, \u201csomebody who wants to be here is going to stick around for a while.\u201d
Medicare does not include a long-term care insurance provision, something that Leading Age and other advocates argue the U.S. needs, especially as the Baby Boomer generation ages.
That kind of care, she said, would help patients and families absorb significant burdens of care that hospitals do not provide and that hospice does not cover \u2014 or at least should not cover. A long-term care benefit, for example, could become a more common route of insured care in some dementia cases.
Legislation has been introduced in Congress in recent sessions to create a long-term care plan under Medicare. But it is politically difficult, if not impossible, because it calls for an increase in payroll taxes to finance a new benefit.
Separately, Gurian said Leading Age would like Congress to increase hospice payments structures so more agencies might admit patients and still cover certain treatments they now typically forgo. For example, she said some cancer patients could ratchet down cancer treatments as part of pain management rather than give up treatment altogether and advance more rapidly to heavy drugs like morphine that eliminate quality of life.
Gurian said the U.S. health care system and American society too often see just two choices for someone with a grave diagnosis: \u201cfighting\u201d or \u201cgiving up.\u201d
\u201cHospice is not giving up,\u201d she said, even if it means \u201caccepting our mortality.\u201d
Novas said Jimmy Carter has proven those distinctions with his public announcements and, in November, his determination to attend Rosalynn Carter's funeral, physically diminished, reclined in a wheelchair, his legs covered in a blanket.
\u201cThat was such an important moment,\u201d Novas said, for the world to \u201csee what 99 looks like,\u201d even for a former president. \u201cHe still has lessons for us. I think, on some level, he must be aware of what he\u2019s doing. ... Hospice is just a partner in that journey. But it\u2019s his journey.\u201d
___ On the web: https://hospicefoundation.org/Ask-HFA
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(AP) \u2014 Retired Army Col. Farrell Patrick taught computer science at West Point during the 1970s and then at two private universities through the 1990s, so he isn't surprised by the progress technology has made over the decades.
But when the 91-year-old got his first virtual reality experience recently, he was stunned. Sitting in a conference room at John Knox Village, a suburban Fort Lauderdale, Florida, retirement community, Patrick sat up straight as his eyes and ears experienced what it would be like to be in a Navy fighter jet flying off the Florida coast.
\u201cOh my God, that's beautiful,\u201d he blurted before the VR program brought the jet in for a landing on an aircraft carrier.
John Knox Village was one of 17 senior communities around the country that participated in a recently published Stanford University study that found that large majorities of 245 participants between 65 and 103 years old enjoyed virtual reality, improving both their emotions and their interactions with staff.
The study is part of a larger effort to adapt VR so it can be beneficial to seniors' health and emotional well-being and help lessen the impact dementia has on some of them.
During the testing, seniors picked from seven-minute virtual experiences such as parachuting, riding in a tank, watching stage performances, playing with puppies and kittens or visiting places like Paris or Egypt. The participants wore headsets that gave them 360-degree views and sounds, making it seem like they had been all but dropped into the actual experience.
\u201cIt brought back memories of my travels and ... brought back memories of my experience growing up on a farm,\" said Terry Colli, a former public relations director at the Canadian Embassy in Washington, D.C., of his 2022 experience. Colli, 76, liked swiveling in a chair to get a panoramic view. \u201cThat was kind of amazing.\u201d
Anne Selby, a 79-year-old retired counselor and artist, found VR \u201cstimulated virtually every area of my brain, all of the senses.\"
\"I particularly enjoyed the ones dealing with pets because I have a cat and I\u2019ve had pets most of my life,\" she said.
Stanford's peer-reviewed study, working with the company Mynd Immersive, found that almost 80% of seniors reported having a more positive attitude after their VR session and almost 60% said they felt less isolated socially. The enjoyment lessened somewhat for older respondents whose sight and hearing had deteriorated. Those who found VR less enjoyable were also more likely to dislike technology in general.
In addition, almost 75% of caregivers said residents' moods improved after using VR. More than 80% of residents and almost 95% caregivers said talking about their VR experience enhanced their relationships with each other.
\u201cFor the majority of our respondents, it was their first time using virtual reality. They enjoyed it. They were likely to recommend it to others, and they looked forward to doing it again,\u201d said Ryan Moore, a Stanford doctoral candidate who helped lead the research.
\u201cWe are proving VR to be a tool that really does help with the well-being of our elders,\u201d said Chris Brickler, Mynd\u2019s CEO and co-founder. The Texas-based company is one of a handful that specializes in virtual reality for seniors. \u201cIt is far different than a two-dimensional television or an iPad.\u201d
Separate from the study, John Knox Village uses virtual reality in its unit that houses seniors who have Alzheimer's disease and other dementia. It helps spur memories that lead to conversations with caregivers.
\u201cIt is like they come back to life when they tell their story.\u201d said Hana Salem, the facility's meaningful life coordinator. She said that with others who don't talk much perk up when given a VR experience putting them in nature.
\u201cThey'll start laughing and saying, \u2018Ooh, I\u2019m going to catch the butterflies,' \" Salem said. Catching butterflies is also part of a game Mynd developed that helps seniors enhance their mobility and flexibility as they stand and reach for objects.
\u201cIt\u2019s more fun for these seniors to come in and catch butterflies and work on shoulder rehab than it is to go pick up a weight,\u201d Brickler said.
Brickler said his company's systems will soon attach to Google Earth, so seniors can virtually visit neighborhoods where they lived, schools they attended and places they have visited, sparking further conversations with caregivers.
Such virtual visits \u201ccan bring back a tremendous amount of joy, a tremendous amount of memories. And when the therapist or the other caregiver can work with that older adult and talk through things we see, we definitely see that it provides an uplift,\u201d Brickler said.
The company has worked on the biggest complaints seniors in the study had about VR \u2014 the headsets were too heavy, the heat they generated made their foreheads sweat and sometimes the experience created nausea, he said. The new headsets weigh about six ounces (189 grams) instead of a pound (454 grams), they have a built-in fan for cooling, and the videos aren't as jumpy.
The findings that seniors in their 80s and 90s enjoy VR less than those in their 70s might lead to changes for them such as requiring less neck rotation to see all of the scenery and making the visuals bigger, Moore said.
On a recent afternoon at John Knox, a handful of seniors who live independently took turns again using virtual reality. Pete Audet experienced what it would be like to fly in a wingsuit, soaring over show-capped mountains before landing in a field.
\u201cOooh, running stop!\u201d exclaimed Audet, a 76-year-old retired information technology worker. He thinks other seniors \u201cwill really enjoy it. But they just need to learn how to use it.\u201d
His wife, Karen, \u201cplayed\u201d with puppies and was so entranced by her virtual walk around Paris that she didn't hear questions being asked of her.
\u201cI was there. But I was here!\u201d said Karen Audet, an 82-year-old retired elementary school teacher.
Farrell, the retired Army computer expert, said he hopes to live to 100 because he believes the next five years will see momentous change in VR. Still a technology enthusiast, he believes the cost of systems will drop dramatically and become part of everyday living, even for seniors.
\u201cIt is not going to be as elementary as it is now. It is going to be very realistic and very responsive,\u201d he said. \u201cIt will probably be connected to your brain.\u201d
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These aspects are directly related to the topic of health, especially mental and emotional health in seniors." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/02/19/c892d9d18d8f38dad7e955fa8038e7d6.json b/datasets/AP_news/raw_data/2024/02/19/c892d9d18d8f38dad7e955fa8038e7d6.json new file mode 100644 index 0000000..407f5b6 --- /dev/null +++ b/datasets/AP_news/raw_data/2024/02/19/c892d9d18d8f38dad7e955fa8038e7d6.json @@ -0,0 +1,330 @@ +{ + "altids": { + "itemid": "c892d9d18d8f38dad7e955fa8038e7d6", + "etag": "c892d9d18d8f38dad7e955fa8038e7d6_0a28aza0c0", + "friendlykey": "523800776646", + "referenceid": "US--United States-China-Biotech" + }, + "version": 0, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-02-19T05:07:38Z", + "firstcreated": "2024-02-19T05:07:37Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: Updates Media.", + "signals": [ + "newscontent" + ], + "title": "US--United States-China-Biotech", + "headline": "US rivalry with China expands to biotech. 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U.S. national security and commercial interests. But as the two countries' rivalry expands into the biotech industry, some say that shutting out Chinese companies would only hurt the U.S.
Biotechnology promises to revolutionize everyday life, with scientists and researchers using it to make rapid advances in medical treatment, genetic engineering in agriculture and novel biomaterials. Because of its potential, it has caught the attention of both the Chinese and U.S. governments.
Bills have been introduced in the House and Senate to bar \u201cforeign adversary biotech companies of concern\u201d from doing business with federally funded medical providers. The bills name four Chinese-owned companies.
The Chinese Embassy said those behind the bills have an \u201cideological bias\u201d and seek to suppress Chinese companies \u201cunder false pretexts.\u201d It demanded that Chinese companies be given \u201copen, just, and non-discriminatory treatment.\u201d
The debate over biotechnology is taking place as the Biden administration tries to stabilize the volatile U.S.-China relationship, which has been battered by a range of issues, including a trade war, the COVID-19 pandemic, cybersecurity and militarization in the South China Sea.
Critics of the legislation warn that restrictions on Chinese companies would impede advances that could bring a greater good.
\u201cIn biotech, one cannot maintain competitiveness by walling off others,\u201d said Abigail Coplin, an assistant professor at Vassar College who specializes in China's biotech industry. She said she was worried that U.S. policymakers would get too obsessed with the technology\u2019s military applications at the cost of hindering efforts to cure disease and feed the world\u2019s population.
In a letter to senators sponsoring the bill, Rachel King, chief executive officer of the trade association Biotechnology Innovation Organization, said the legislation would \u201cdo untold damage to the drug development supply chain both for treatments currently approved and on market as well as for development pipelines decades in the making.\u201d
But supporters say the legislation is crucial to protecting U.S. interests.
The National Security Commission on Emerging Biotechnology, a group created by the U.S. Senate to review the industry, said the bill would help secure the data of the federal government and of American citizens and it would discourage unfair competition from Chinese companies.
The commission warned that advancement in biotechnology can result not only in economic benefits but also rapid changes in military capabilities and tactics.
Much is at stake, said Rep. Mike Gallagher, chair of the House Select Committee on the Chinese Communist Party. Gallagher, a Wisconsin Republican, introduced the House version of the bill and last week led a congressional delegation to Boston to meet with biotech executives.
\u201cIt\u2019s not just a supply chain battle or a national security battle or an economic security battle; I would submit it\u2019s a moral and ethical battle,\u201d Gallagher said. \u201dJust as the sector advances at a really astronomic pace, the country who wins the race will set the ethical standards around how these technologies are used.\u201d
He argues that the U.S. must \u201cset the rules of the road\u201d and if not, \u201cwe\u2019re going to live in a less free, less moral world as a result.\"
Both the United States and China, the world's two largest economies, have identified biotech as a critical national interest.
The Biden administration has put forward a \u201cwhole-of-government approach\u201d to advance biotechnology and biomanufacturing that is important for health, climate change, energy, food security, agriculture and supply chain resilience. A stated goal is to maintain U.S. technological leadership and economic competitiveness.
The Chinese government has plans to develop a \u201cnational strategic technology force\u201d in biotech, which would be tasked with making breakthroughs and helping China achieve \u201ctechnological independence,\" primarily from the U.S.
\u201cBoth the Chinese government and the Americans have identified biotech as an area important for investment, a sector that presents an opportunity to grow their economy,\u201d said Tom Bollyky, the Bloomberg chair in global health at the Council on Foreign Relations. He said any restrictive U.S. measures should be tailored to address military concerns and concerns about genomic data security.
\u201cNaturally there's going to be competition, but what\u2019s challenging in biotech is that we are talking about human health,\" Bollyky said.
Ray Yip, who founded the U.S. Centers for Disease Control and Prevention office in China, also worries that the rivalry will slow medical advancements.
The benefit of coming up with better diagnostics and therapy is beyond any individual country, Yip said, \u201cand will not overshadow the capacity or prestige of the other country.\u201d
What concerns Anna Puglisi, a senior fellow at Georgetown University\u2019s Center for Security and Emerging Technology, is Beijing's lack of transparency and its unfair market practices. \u201cCompetition is one thing. Unfair competition is another thing,\u201d she said.
Puglisi described BGI, a major Chinese biotech company identified in both the House and Senate bills, as \u201ca national champion\u201d that is subsidized and given favored treatment by the state in a system that \u201cblurs private and public as well as civilian and military.\u201d
\u201cThis system creates market distortions and undermines the global norms of science by using researchers and academic and commercial entities to further the goals of the state,\u201d Puglisi said.
BGI, which has stressed its private ownership, offers genetic testing kits and a popular prenatal screening test to detect Down syndrome and other conditions. U.S. lawmakers say they are concerned such data could end up in the hands of the Chinese government.
The Defense Department has listed BGI as a Chinese military company, and the Commerce Department has blacklisted it on human rights grounds, citing a risk that BGI technology might have contributed to surveillance. BGI has rejected the allegations.
In raising its concerns about BGI, the National Security Commission on Emerging Biotechnology says the company is required to share data with the Chinese government, has partnered with the Chinese military, and has received considerable Chinese state funding and support.
State subsidies have allowed BGI to offer genomic sequencing services at a highly competitive price that is attractive to U.S. researchers, according to the commission. The genomic data, once in the hands of the Chinese government, \u201crepresents a strategic asset that has privacy, security, economic, and ethical implications,\u201d it said.
BGI could not immediately be reached for comment.
Also named in the bills is WuXi AppTec, a Chinese pharmaceutical and medical device company. The legislation states that the company presents a national security threat because of its ties to the Chinese military and its involvement in a Chinese plan to develop technologies for both civilian and military use.
WuXi AppTec said in a statement that it abides by the laws in the countries where it operates and does not pose a security risk to any country. \u201cIn fact, we serve as a valued contributor to the global pharmaceutical and life sciences industries,\u201d the company said in a statement.
___
Associated Press journalist Dake Kang in Beijing contributed to this report.
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February 15, 2024.
Editorial: Raiding funds a bad way to start tax relief
Gov. Jim Pillen wants to cut Nebraska\u2019s property taxes by 40%. But he and his legislative allies can\u2019t find an acceptable way to pay for the $2 billion reduction.
The main deal floated, increasing the state sales tax from 5.5 cents to 7.5 cents, drew immediate opposition. And Sen. Lou Ann Linehan\u2019s bill that would have increased sales tax by a penny rather than two was opposed by business groups, advocates for children, older Nebraskans, low-income families and even organizations that work for lower taxes.
Raising the sales tax plan would be, as former Gov. Pete Ricketts maintained, a tax shift, not tax relief. And that shift would be regressive, passing the burden on to those least able to pay while rewarding those with more and more expensive property.
The second component of the plan would move nearly $274 million of state cash funds to property tax relief, a shift needed to keep the state budget in the black for six months, until the increased sales tax revenues, and sales taxes on more goods and services enter the state\u2019s coffers.
That plan, too, drew significant, well-founded opposition at its legislative hearing.
Simply put, by Omaha Sen. Tony Vargas, taking money from the 31 funds that hold user fees and other dedicated revenues and putting it to a different use should, and has been, only used in a recession, when the state needs help balancing the budget.
The other disturbing element of the fund shift plan is that it is, essentially, a bait-and-switch proposal that would transfer money paid in for a purpose supported by those paying the fees to property tax relief, for which it wasn\u2019t intended.
For example, $1.5 million of the Litter Reduction and Recycling Fund, paid by businesses selling bottled drinks and used to promote recycling and keeping public areas clean, would be included in the transfer. If the money isn\u2019t used for designated purposes, the businesses, like grocery stores, would be unlikely to support the renewal of the fees they pay into the fund.
The plan\u2019s aim to take $13.25 million of the interest from the Nebraska Universal Service Fund, obligated for telecommunications projects across the state, very well might be unconstitutional.
That cascade of opposition and legal questions should make the cash fund grab a nonstarter.
And the thought that sales tax exemptions on goods and services will be repealed to add more money for property tax relief is hard to fathom. Just ask former Gov. Dave Heineman, how well that idea will go over and the odds of it passing through the Legislature.
Massive property tax relief remains a laudable goal. But it\u2019s beyond difficult to see how the state will be able to generate that kind of money in a way that can be supported by the largest number of taxpayers, which, in the case of sales tax, are all Nebraskans.
___
McCook Gazette. February 15, 2024.
Editorial: Ibach bill would protect public health, natural resources
State Sen. Teresa Ibach doesn\u2019t represent McCook in the Nebraska Legislature, but we should thank her for one of her current efforts every time we pay our city water bill.
That\u2019s because she\u2019s attempting to deal with one of the main issues that has caused that expense to balloon over the years, not to mention the more important issue of public health.
Sen. Ibach of Sumner, whose district covers counties to our west and northeast, has introduced Legislative Bill 1368 in an attempt to reduce nitrate contamination in groundwater.
A persistent nitrate problem is what forced McCook to search for a better source of groundwater back in the 1980s. In that process, we discovered a whole \u2019nother problem, TCE contamination from the old TRW plant, but that\u2019s an entirely different issue, which has been dealt with for the most part.
After expensive, abortive attempts to find other sources of clean water, we settled on a then-state-of-the-art water treatment plant, costing $14 million to build and upwards of a million dollars a year to operate.
It may be too late to reduce local water bills, but LB1368 should help other communities avoid the threat to health and expense.
The Nitrogen Reduction Incentive Act seeks to incentivize farmers to adopt sustainable practices, thereby reducing the excessive use of nitrogen fertilizers that contribute to groundwater pollution.
Senator Ibach\u2019s foresight addresses not only the immediate need to safeguard public health but also the long-term imperative of preserving our natural resources for future generations.
Nitrates in groundwater are a serious threat. One in five public water supplies and private wells in Nebraska tests high for nitrate contamination. This isn\u2019t just an abstract concern; it\u2019s a direct threat to the health and well-being of our communities. Nitrate pollution has been linked to adverse health effects, including an increased risk of pediatric cancer, and poses significant environmental risks such as harmful algae blooms and the creation of dead zones in water bodies.
By offering financial incentives to farmers who transition away from synthetic fertilizers towards biological alternatives, such as seed coatings with nitrogen-fixing microbes, Sen. Ibach\u2019s bill provides a tangible pathway toward positive change. These incentives not only reward farmers for adopting sustainable, more cost-effective practices but also empower them to be stewards of the land, contributing to both environmental protection and agricultural resilience.
Importantly, the Nitrogen Reduction Incentive Act has garnered support and endorsement from a diverse array of stakeholders, including agricultural organizations, environmental advocates, and business chambers. This broad coalition reflects the recognition that addressing nitrate contamination is not just a matter of environmental concern but also an economic imperative. Clean water is essential for agricultural productivity, tourism, and overall quality of life in Nebraska.
Critics may question the effectiveness of past efforts or the scope of the proposed incentives, but the urgency of the issue demands action.
We cannot afford to let inertia or skepticism paralyze us in the face of a growing environmental crisis. Sen. Ibach\u2019s bill represents a proactive and pragmatic approach to addressing nitrate pollution, setting the stage for meaningful progress in safeguarding our water resources.
As the legislative process unfolds, it is incumbent upon lawmakers to prioritize the public interest and support measures that promote sustainable agriculture and environmental stewardship. The Nitrogen Reduction Incentive Act embodies these principles and deserves swift passage into law. Let us seize this opportunity to lead by example, demonstrating our commitment to protecting Nebraska\u2019s water quality and securing a healthier, more sustainable future for all.
END
", + "textformat": "bx", + "links": [ + { + "href": "https://apnews.com/d1f09c431f1d67bca8283bbd4106b495", + "rel": "canonical" + } + ], + "topics": { + "Health": { + "relevance_score": 3, + "reason": "The document contains two editorials. The first editorial from the Lincoln Journal Star focuses on tax relief and budget issues in Nebraska, which is not relevant to the topic of health. The second editorial from the McCook Gazette discusses Legislative Bill 1368, which aims to reduce nitrate contamination in groundwater. This is directly related to public health as it addresses the health risks associated with nitrate pollution, such as pediatric cancer and other adverse health effects. Therefore, while the first part of the document is not relevant, the second part is highly relevant to the topic of health." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/02/19/e51be32b51831454b4b34e28fd74c19f.json b/datasets/AP_news/raw_data/2024/02/19/e51be32b51831454b4b34e28fd74c19f.json new file mode 100644 index 0000000..f389dde --- /dev/null +++ b/datasets/AP_news/raw_data/2024/02/19/e51be32b51831454b4b34e28fd74c19f.json @@ -0,0 +1,288 @@ +{ + "altids": { + "itemid": "e51be32b51831454b4b34e28fd74c19f", + "etag": "e51be32b51831454b4b34e28fd74c19f_2a8aza0c0", + "friendlykey": "145166286230", + "referenceid": "AS--South Korea-Doctors Protest" + }, + "version": 2, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-02-19T09:56:06Z", + "firstcreated": "2024-02-19T06:11:38Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: EDITS: to remove extraneous contributor line.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "AS--South Korea-Doctors Protest", + "headline": "South Korea doctors submit resignations in a spat with the government over school admission quotas", + "headline_extended": "Trainee doctors in South Korea have begun resigning en masse in protest of a government plan to increase the number of medical students", + "slugline": "BC-AS--South Korea-Doctors Protest, 2nd Ld-Writethru", + "description_summary": "Trainee doctors in South Korea have begun resigning en masse in protest of a government plan to increase the number of medical students. Their action Monday reportedly caused delays in surgeries and other treatments at hospitals, but no major disruptions have occured. Health authorities say it\u2019s urgent to have more doctors considering South Korea's fast-aging population. But doctors say the government must use available resources to raise medical fees and resolve other problems first. Vice Health Minister Park Min-soo expressed \u201cdeep worries\" over the trainee doctors\u2019 action. He said the government ordered them to continue working.", + "bylines": [ + { + "by": "By JIWON SONG", + "title": "Associated Press" + } + ], + "located": "SEOUL, South Korea", + "datelinelocation": { + "city": "Seoul", + "countrycode": "KOR", + "countryname": "South Korea", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + 126.9784, + 37.566 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. 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Doctors\u2019 groups and the government have been squabbling over a government plan to increase the number of medical school admissions by 2,000, starting from next year.
Health authorities say it\u2019s urgent to have more doctors considering South Korea's fast-aging population. They say the number of doctors in the country relative to the size of the population is among the lowest in the developed world.
But doctors\u2019 groups say the government must use available resources to raise medical fees and resolve other problems first. Some doctors say raising admissions could result in unnecessary medical treatments because of a competition among doctors and could burden the public health insurance plan.
On Monday, trainee doctors at the country\u2019s five major hospitals began submitting letters of resignation before formally walking off their jobs on Tuesday. Their association, the Korea Intern Resident Association, decided on the collective action during an emergency meeting last week.
Seoul\u2019s Asan Medical Center said that a number of interns and resident doctors there submitted resignations and that it was trying to reschedule surgeries and other treatments for some patients. Seoul\u2019s Severance Hospital said some of its trainee doctors also handed in resignations and suggested it could rearrange surgery schedules as well.
South Korean media reported that hundreds of trainee doctors at other hospitals also submitted resignations. Reports said some hospitals canceled or put off planned cancer surgeries, child births and other procedures in which trainees assist senior doctors.
No major troubles in the country's medical services were immediately reported. The Health Ministry said it was trying to find out how many of the trainee doctors at the five hospitals \u2014 estimated at about 2,700 in local media \u2014 submitted their resignations. South Korea has about 140,000 professional doctors.
The Korea Medical Association, which represents doctors, said it plans to hold rallies in support of the trainees but hasn't decided whether to join their walkouts.
Vice Health Minister Park Min-soo expressed \u201cdeep worries and regrets\u201d over the action. Park, citing a medical law, said the government ordered the trainees to continue working.
Earlier Monday, Prime Minister Han Duck-soo said the government will take steps to prevent the action from undermining the care of emergency patients. He said that more than 400 emergency medical treatment centers across South Korea will stay open around the clock. He said the government will deploy military doctors if the situation worsens.
A telephone survey of 1,002 adults last week showed that 76% of the respondents said they believed the government\u2019s plan to increase medical school admissions has more positive aspects, while 16% thought it has more negative aspects, according to the polling station, the Gallup Korea. A margin of error was 3.1 percentage points.
\u201cThe collective action (by trainee doctors) is like holding the people hostages so I don\u2019t support them,\u201d Kim Sung Bum, 75, said at a Seoul train station. \u201cI think it would be desirable for them to make a compromise with the government.\u201d
__
Associated Press journalists Hyung-jin Kim and Yong Jun Chang contributed to this report.
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Justices issued the ruling Friday in a pair of wrongful death cases brought by couples who had frozen embryos destroyed in an accident at a fertility clinic. Justices said an 1872 state law allowing parents to sue over the death of a minor child \u201capplies to all unborn children, regardless of their location.\u201d The ruling brought a rush of warnings from groups and advocates who said it would have sweeping implications for fertility treatments in the state.", + "bylines": [ + { + "by": "By KIM CHANDLER", + "title": "Associated Press" + } + ], + "located": "MONTGOMERY, Ala.", + "datelinelocation": { + "city": "Montgomery", + "countryareacode": "AL", + "countryareaname": "Alabama", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -86.29997, + 32.36681 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. 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(AP) \u2014 The Alabama Supreme Court has ruled that frozen embryos can be considered children under state law, a decision critics said could have sweeping implications for fertility treatment in the state.
The decision was issued in a pair of wrongful death cases brought by three couples who had frozen embryos destroyed in an accident at a fertility clinic. Justices, citing anti-abortion language in the Alabama Constitution, ruled that an 1872 state law allowing parents to sue over the death of a minor child \"applies to all unborn children, regardless of their location.\u201d
\"Unborn children are \u2018children\u2019 ... without exception based on developmental stage, physical location, or any other ancillary characteristics,\u201d Justice Jay Mitchell wrote in Friday's majority ruling by the all-Republican court.
Mitchell said the court had previously ruled that fetuses killed while a woman is pregnant are covered under Alabama\u2019s Wrongful Death of a Minor Act and nothing excludes \u201cextrauterine children from the Act\u2019s coverage.\u201d
The ruling brought a rush of warnings about the potential impact on fertility treatments and the freezing of embryos, which had previously been considered property by the courts.
\u201cThis ruling is stating that a fertilized egg, which is a clump of cells, is now a person. It really puts into question, the practice of IVF,\u201d Barbara Collura, CEO of RESOLVE: The National Infertility Association, told The Associated Press Tuesday. The group called the decision a \"terrifying development for the 1-in-6 people impacted by infertility\" who need in-vitro fertilization.
She said it raises questions for providers and patients, including if they can freeze future embryos created during fertility treatment or if patients could ever donate or destroy unused embryos.
Sean Tipton, a spokesman with the American Society for Reproductive Medicine, said at least one Alabama fertility clinic has been instructed by their affiliated hospital to pause IVF treatment in the immediate wake of the decision.
Dr. Paula Amato, president of the American Society for Reproductive Medicine, said a decision to treat frozen fertilized egg as the legal equivalent of a child or gestating fetus could limit the availability of modern health care.
\u201cBy insisting that these very different biological entities are legally equivalent, the best state-of-the-art fertility care will be made unavailable to the people of Alabama. No health care provider will be willing to provide treatments if those treatments may lead to civil or criminal charges,\u201d Amato said.
Gabby Goidel, 26, who is pursuing IVF treatment in Alabama after three miscarriages, said the court ruling came down on the same day she began daily injections ahead of egg retrieval.
\u201cIt just kind of took me by by storm. It was like all I could think about and it was just a very stressful thing to hear. I immediately messaged my clinic and asked if this could potentially halt us. They said we have to take it one day at a time,\" Goidel said.
She said her clinic is continuing to provide treatment for now, but said it will let her know if they have to change course.
Goidel said she turned to IVF and preimplantation genetic testing after the multiple miscarriages related to genetic issues.
\"Without IVF, I would have to probably go through several more miscarriages before I even had an option of having a baby that is my own,\" she said.
The plaintiffs in the Alabama case had undergone IVF treatments that led to the creation of several embryos, some of which were implanted and resulted in healthy births. The couples paid to keep others frozen in a storage facility at the Mobile Infirmary Medical Center. A patient in 2020 wandered into the area and removed several embryos, dropping them on the floor and \"killing them,\u201d the ruling said.
The justices ruled that wrongful death lawsuits by the couples could proceed. The clinic and hospital that are defendants in the case could ask the court to reconsider its decision.
Michael Upchurch, a lawyer for the fertility clinic in the lawsuit, Center for Reproductive Medicine, said they are \u201cevaluating the consequences of the decision and have no further comment at this time.\u201d
An anti-abortion group cheered the decision. \u201cEach person, from the tiniest embryo to an elder nearing the end of his life, has incalculable value that deserves and is guaranteed legal protection,\" Lila Rose, president and founder of Live Action said in a statement.
Chief Justice Tom Parker issued a concurring opinion in which he quoted the Bible in discussing the meaning of the phrase \u201cthe sanctity of unborn life\u201d in the Alabama Constitution.
\u201cEven before birth, all human beings bear the image of God, and their lives cannot be destroyed without effacing his glory,\" Parker said.
Justice Greg Cook, who filed the only full dissent to the majority opinion, said the 1872 law did not define \u201cminor child\" and was being stretched from the original intent to cover frozen embryos.
\u201cNo court \u2014 anywhere in the country \u2014 has reached the conclusion the main opinion reaches,\" he wrote, adding the ruling \u201calmost certainly ends the creation of frozen embryos through in vitro fertilization (IVF) in Alabama.\u201d
The Alabama Supreme Court decision partly hinged on anti-abortion language added to the Alabama Constitution in 2018, stating it is the \"policy of this state to ensure the protection of the rights of the unborn child.\u201d
Supporters at the time said it would have no impact unless states gained more control over abortion access. States gained control of abortion access in 2022.
White House press secretary Karine Jean-Pierre said the Alabama decision reflected the consequences of the Supreme Court overturning Roe v. Wade and blamed Republican elected officials from blocking access to reproductive and emergency care to women.
\u201cThis president and this vice president will continue to fight to protect access to reproductive health care and call on Congress to restore the protections of Roe v. Wade in federal law for all women in every state,\u201d Jean-Pierre told reporters aboard Air Force One.
___
Aamer Madhani aboard Air Force One contributed to this report.
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Now, city officials want to provide universal access to free drug recovery books, including Alcoholics Anonymous\u2019 12-step recovery book.
San Francisco City Supervisor Matt Dorsey on Tuesday introduced legislation to expand a pilot program to distribute addiction recovery books for free at the city's 28 public libraries. A record 806 people died of a drug overdose in the city last year.
If approved, San Francisco would be the first city in the nation to do so as communities coast to coast confront an unprecedented fentanyl crisis.
The library launched a pilot program last April to distribute such materials at the main library and two branches. Since then, they have distributed more than 3,200 books about beating addiction.
City Librarian Michael Lambert said the library so far has spent about $40,000 on the pilot program.
\u201cThe city and county of San Francisco, like many urban environments, is seeing a lot of individuals who are struggling with addiction, substance abuse disorder, so we recognize there was an opportunity for the public library to do our part,\u201d he said.
Lambert said the three libraries in the pilot program have about 75 substance use recovery books available at any given time. The two branches ask for more every few months but the main library has to replenish them every six weeks.
The main library is near the city\u2019s Tenderloin and South of Market neighborhoods, which are rife with public drug use and dealing, and is frequented by unhoused people looking for a safe space.
The program comes after library workers noticed they had to keep replenishing books about recovering from substance abuse, especially Alcoholics Anonymous' 12-step program, known as the \u201cBig Book.\u201d
\u201cDrug and alcohol treatment can certainly save lives, but recovery programs are what truly change lives for the long term,\u201d said Dorsey, a recovering meth addict.
Sue Betts, who is in her fifth year of sobriety from meth and alcohol, said the first step in her recovery journey started after she bought a workbook from LifeRing Secular Recovery, a Bay Area substance use recovery organization.
\"When you read a book, it's a private and very personal time when you can be honest with yourself,\u201d said Betts, who is now LifeRing's interim executive director. \u201cMeetings are great but going into a meeting is definitely more intrusive.\u201d
The workbook that helped Betts is already being offered as part of the library's pilot program and other titles her organization publishes may be available there soon, she said.
Other books that will be offered include AA's 12-step program, first released in 1939, as well as publications by Narcotics Anonymous and Crystal Meth Anonymous and many other substance use recovery programs. The texts will be offered in all available languages and those who want them won't be required to have a library card, according to Dorsey's proposed legislation.
Drug-addicted people in San Francisco have access to free life-saving Narcan, and clean syringes and other drug paraphernalia to prevent the transmission of diseases.
But having access to recovery literature could be an entry point to one of the dozens of in-person recovery programs offered in San Francisco, where there are more than 560 weekly AA meetings and dozens of weekly Narcotics Anonymous and other meetings, experts said.
\u201cFor some addicted people reading a recovery book can be the first time they feel understood, the first time they feel some hope,\" said Keith Humphreys, professor of psychiatry at Stanford University and former White House Senior Drug Policy Advisor in the Obama Administration.
\u201cIt can be hard to get into treatment, maybe there is a waiting list, but this is something anybody can access right away,\u201d he said.
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The document also mentions the impact of drug overdoses and the availability of recovery programs, which are significant health-related issues." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/02/20/4e48ea791d970d6e788bebc0def8cea7.json b/datasets/AP_news/raw_data/2024/02/20/4e48ea791d970d6e788bebc0def8cea7.json new file mode 100644 index 0000000..cc624c7 --- /dev/null +++ b/datasets/AP_news/raw_data/2024/02/20/4e48ea791d970d6e788bebc0def8cea7.json @@ -0,0 +1,298 @@ +{ + "altids": { + "itemid": "4e48ea791d970d6e788bebc0def8cea7", + "etag": "4e48ea791d970d6e788bebc0def8cea7_1a15aza0c0", + "friendlykey": "986144824271", + "referenceid": "GA-XGR--Medicaid Expansion-Georgia" + }, + "version": 1, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-02-20T22:55:18Z", + "firstcreated": "2024-02-20T20:26:52Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: Updates with reaction. 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Brian Kemp\u2019s decision to sue the federal government to extend his Pathways program was widely seen as him opposing a broader expansion. Georgia Pathways offers health care to able-bodied adults earning up to the poverty line, but people must document monthly work, study, rehabilitation or volunteering.", + "bylines": [ + { + "by": "By JEFF AMY", + "title": "Associated Press" + } + ], + "located": "ATLANTA", + "datelinelocation": { + "city": "Atlanta", + "countryareacode": "GA", + "countryareaname": "Georgia", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -84.38798, + 33.749 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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A bill introduced Tuesday by a top lieutenant to Republican House Speaker Jon Burns proposes to create a Comprehensive Health Care Commission that could clear the way for more health coverage in the future, but not this year.
Supporters of Medicaid expansion had already concluded that the odds were growing long for 2024, with more than half the legislative session having elapsed without a proposal being introduced by Rep. Butch Parrish, the Swainsboro Republican that Burns appointed to lead the discussions.
Republican Gov. Brian Kemp's decision this month to sue the federal government to try to extend the life of his Georgia Pathways program was widely seen as a sign that he opposed an expansion of health care coverage. Georgia Pathways offers coverage to able-bodied adults earning up to the poverty line \u2014 $14,580 for an individual or $24,860 for a family of three. But people must document 80 monthly hours of work, study, rehabilitation or volunteering to be eligible.
Only 2,350 people enrolled in the program from July 1 to mid-December, far fewer than the 100,000 that the Kemp administration projected the program might cover. It would expire in 2025, but Kemp sued to extend it to 2028.
After North Carolina began offering Medicaid to uninsured adults on Dec. 1, there are 10 remaining states that don\u2019t cover people with incomes up to 138% of the federal poverty line. More than 430,000 uninsured Georgia adults could gain coverage if Medicaid is broadened, health research group KFF has projected.
\u201cThe governor\u2019s getting entrenched,\u201d said House Minority Leader James Beverly, a Macon Democrat. \u201cIn suing the federal government and in his continuing to say Pathways is the way, 500,000 Georgians are being left without health care for another year. And that\u2019s a tragedy.\u201d
Burns, a Newington Republican, said in a statement that he continues \u201cto be 100% supportive\u201d of Pathways but that Georgia should explore other options in case Kemp doesn't win his court case. Burns has voiced support for using Medicaid money to buy private coverage for residents, as Arkansas does, a route that could boost payments to hospitals, doctors and other medical providers.
The speaker said that because Pathways could expire in 2025, \"we also want to take the time to gather the facts, hear from policy experts and stakeholders, and craft the best policy possible to support our low-income, uninsured population across the state, which will help patients and providers alike,\u201d Burns said.
Advocates called on lawmakers to keep working on expansion this year.
\u201cThere are people being diagnosed with cancer today who can\u2019t wait for treatment,\u201d Julie Vojtech, government relations director for the American Cancer Society Cancer Action Network, said in a statement. \u201cIt\u2019s important we keep all options open and on the table during the 2024 legislative session.\u201d
The group brought dozens of cancer patients, survivors and their family members to the state Capitol earlier this month to rally for Medicaid expansion, called on lawmakers to keep working expansion this year.
Supporters had hoped the state Senate might explore Medicaid expansion in exchange for reducing or eliminate permitting requirements for hospitals and health services. That\u2019s been a top priority for Lt. Gov. Burt Jones, the Republican who presides over Georgia\u2019s Senate, while the House has balked at loosening certificate of need rules.
Parrish's bill proposes an incremental loosening of certificate of need standards. Most importantly, it removes dollar caps on how much existing hospitals can spend on new or remodeled buildings or new equipment, as long as they're not offering new services. It also loosens rules on hospitals adding new beds, and lets them relocate up to 5 miles (8 kilometers) away without a new permit, up from the current 3 miles.
The bill would let new hospitals be built in counties with less than 50,000 residents, as long as they agree to provide a certain amount of charity care, join the statewide trauma system, provide \u201ccomprehensive behavioral health services\u201d and agree to serve as teaching hospitals for medical students.
A standoff between Jones and Burns last year partly revolved around a plan to build a new hospital in Butts County, where Jones lives. The existing hospital there opposes the plan.
But Parrish's measure would still require a state permit to offer new service, a safeguard many hospitals say is needed to prevent new operators from skimming off the most profitable services.
Jones said in a Tuesday statement he was \"glad to see the House take up this effort to increase competition in the health care marketplace and reduce costs for Georgia families.
___
Associated Press writer Sudhin Thanawala contributed.
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The health ministry said laboratory tests from samples collected from sewage sites in several areas of the capital, Harare, late last year showed the presence of a mutated polio virus that originated in an oral vaccine used in the global eradication effort.
In rare instances, the live polio virus in vaccines can mutate into a form capable of sparking new outbreaks, especially in places with poor sanitation and low vaccination levels.
The number of polio cases globally has dropped by more than 99% since the global effort to wipe out the disease led by the World Health Organization and others began in 1988. But the majority of children being paralyzed by polio these days are being crippled by a virus that was originally linked to a vaccine.
Vaccination teams in Zimbabwe are moving from house to house to deliver more doses to protect children, while others will be stationed at health facilities, authorities said.
Officials said it was the first time Zimbabwe would be using a new oral polio vaccine specifically designed to reduce the risk of the virus within it mutating into a dangerous form.
Zimbabwe aims to roll out more than 10 million new vaccine doses targeting just over 4 million children below the age of 10 in two rounds in February and March. More than 95% of that population needs to be immunized against polio to stop new outbreaks.
Last year, the wild polio virus caused a dozen cases in Afghanistan and Pakistan, the only countries that still have that virus. In comparison, polio viruses linked to the vaccine caused more than 500 cases in nearly two dozen countries globally, mostly in Africa.
Zimbabwe last reported a wild polio virus case in 1986, according to the United Nations children's agency.
Zimbabwe Health Minister Douglas Mombeshora called the new detection of polio \u201ca serious concern\" but said they were prepared to respond swiftly. The health ministry said it was collaborating with health authorities in at least five other African countries that had recently detected polio viruses through environmental sampling and routine surveillance.
Polio can cause total paralysis, and children under 5 are especially vulnerable. It is transmitted from person to person, mainly through contact with contaminated feces, water or food, as well as through droplets from a sneeze or cough of an infected person.
___
AP Medical Writer Maria Cheng in London contributed to this report.
___
AP Africa news: https://apnews.com/hub/africa
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The Health Ministry on Tuesday urged them to return to work immediately, saying they must not endanger the lives of patients to fight the government. The ministry said as of Monday night more than half of the 13,000 trainee doctors in South Korea were confirmed to have submitted resignations and that 1,630 of them have left their work sites. At the center of the dispute is a recent government announcement that it would raise medical school admissions by 2,000 from next year.", + "bylines": [ + { + "by": "By JIWON SONG and HYUNG-JIN KIM", + "title": "Associated Press" + } + ], + "located": "SEOUL, South Korea", + "datelinelocation": { + "city": "Seoul", + "countrycode": "KOR", + "countryname": "South Korea", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + 126.9784, + 37.566 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. 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The Health Ministry urged them to return to work immediately, saying they must not endanger the lives of patients to fight the government.
As of Monday night, more than half of the 13,000 medical interns and residents in South Korea had submitted resignations, according to the Health Ministry, and 1,630 left their work sites. None of the resignations have been accepted so far.
More junior doctors are expected to follow suit. Under a decision made by their association last week, trainee doctors at the country\u2019s five major hospitals were supposed to walk off collectively on Tuesday.
At the center of the dispute is a recent government announcement that universities would admit 2,000 more medical students starting from next year, from the current 3,058. The government says it aims to add up to 10,000 doctors by 2035 to address what it calls a shortage of doctors exacerbated by the country\u2019s fast-aging population.
South Korea\u2019s doctor-to-patient ratio is among the lowest in the developed world, particularly in essential but low-paying professions like pediatrics and emergency departments, and in rural areas.
Many doctors rejected the plan, saying that schools won\u2019t be able to handle so many new students and that the funding is more urgently needed to raise medical fees. Some argue that having too many doctors could also lead to unnecessary medical treatments due to increased competition.
\u201cBecause of a bungled policy that ignores reality on the ground, I can fold up my dream of becoming a specialist in the pediatric emergency department without any regrets,\u201d Park Dan, head of the Korean Intern Residents Association, wrote on Facebook on Monday, after submitting his resignation to Seoul\u2019s Severance Hospital. \u201cI have no intention of returning to work.\u201d
The doctors\u2019 protests have failed to generate public support, with a survey suggesting about 75% of South Koreans support the government\u2019s push to train more doctors. Their critics argue that doctors are mainly worried their incomes would drop if there were more doctors.
\u201cI think trainee doctors are fighting for their own interests,\u201d said Seo Hong Soon, a 74-year-old housewife, speaking on Tuesday near Seoul National University Hospital. \u201cWe want them to remember the Hippocratic oath and make concessions. We hope they will put their duty before money.\u201d
Most of South Korea\u2019s 13,000 trainee doctors work at its 100 teaching hospitals, assisting senior doctors during surgery and treating inpatients. If their walkouts are prolonged or joined by senior doctors, that could cause disruptions at those hospitals and in South Korea\u2019s overall medical service, observers say.
South Korea has a total of 140,000 doctors. The Korea Medical Association said Monday it plans to hold rallies to support the trainees but hasn\u2019t determined whether to launch strikes.
At Seoul\u2019s Asan Medical Center, a nurse said it\u2019s unclear how long senior doctors could keep performing surgeries and other treatments without the assistance of junior doctors. The nurse, who requested anonymity citing the sensitivity of the issue, said that trainees typically handle skin incision and disinfection during surgeries at the direction of senior doctors and manage data on hospital computers.
She said her hospital plans to delay admissions for some cancer patients and to release inpatients early. Other Asan hospital officials said Tuesday that an unspecified number of junior doctors didn\u2019t come to work but noted some were still working. They said the hospital is rearranging planned surgery schedules based on the conditions of patients.
Vice Health Minister Park Min-soo said authorities have received 34 public complaints related to the walkouts, 25 of them over the cancellation of surgeries. Other cases include hospitals refusing to treat patients and canceling planned medical treatments.
\u201cIf you leave your patients to oppose a government policy despite knowing what your collective action would cause, that will never be justified,\u2033 Park said. \u201cWe appeal to trainee doctors to return to patients. An act of endangering the lives of patients to express your opinions is something that you must not do.\u201d
Lee Geon-ju, head of an association of lung cancer patients, posted a YouTube message calling for doctors and government officials to end their squabbling.
\u201cFor whatever reasons, doctors must not neglect patients to prevent them from failing to receive urgent surgeries and other treatments,\u201d said Lee, who called himself a terminally ill cancer patient.
___
Associated Press video journalist Yong Jun Chang contributed to this report.
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It's the first major deliverable from the new White House Initiative on Women's Health Research. The initiative was announced last year and is led by the first lady. The $100 million is coming from the Advanced Research Projects Agency for Health, or ARPA-H. Biden announced the ARPA-H Sprint for Women's Health during an appearance Wednesday in Cambridge, Massachusetts. The first lady says women don't know enough about their health because the research has been underfunded. She says the new White House initiative aims to change that.", + "bylines": [ + { + "by": "By DARLENE SUPERVILLE", + "title": "Associated Press" + } + ], + "located": "WASHINGTON", + "datelinelocation": { + "city": "Washington", + "countryareacode": "DC", + "countryareaname": "District of Columbia", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -77.03637, + 38.89511 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. 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For other uses, additional clearances may be required." + ], + "keywords": [ + "Jill Biden research womens health ARPAH Shriver" + ], + "provider": "AP", + "infosource": [ + { + "name": "AP", + "type": "AP" + } + ], + "person": [ + { + "scheme": "http://cv.ap.org/id/", + "code": "cf78ba6c776f4d33985b208ef1cb438b", + "name": "Jill Biden", + "creator": "Machine", + "rels": [ + "direct" + ], + "types": [ + "NEWSMAKER", + "PERSON" + ], + "relevance": 88 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "0afe4e9799fa45e481d3f1e1278a986c", + "name": "Maria Shriver", + "creator": "Machine", + "rels": [ + "direct" + ], + "types": [ + "JOURNALIST", + "PERSON" + ], + "relevance": 50 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "42fcd5108d2610048a34f7ae5e3ffd3e", + "name": "Joe Biden", + "creator": "Machine", + "rels": [ + "direct" + ], + "types": [ + "POLITICIAN", + "PERSON" + ], + "relevance": 31 + } + ], + "subject": [ + { + "rels": [ + "category" + ], + "creator": "Editorial", + "code": "w", + "name": "w" + }, + { + "rels": [ + "category" + ], + "creator": "Editorial", + "code": "n", + "name": "n" + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "e22df6887de410048fc1df092526b43e", + "name": "Women's health", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 89 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "f5c099b87e3810048ae6df092526b43e", + "name": "Medical research", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 89 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "86aad5207dac100488ecba7fa5283c3e", + "name": "Politics", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 56 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "cc7a76087e4e10048482df092526b43e", + "name": "Health", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 74 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "cc7a76087e4e10048482df092526b43e", + "name": "Health", + "creator": "Editorial", + "editorial_subject": "Health", + "rels": [ + "direct" + ], + "relevance": 75 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "abfca78268874726966cdad8c35c4ae3", + "name": "Washington news", + "creator": "Editorial", + "editorial_subject": "Washington news", + "rels": [ + "direct" + ], + "relevance": 99 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "f25af2d07e4e100484f5df092526b43e", + "name": "General news", + "creator": "Editorial", + "editorial_subject": "General news", + "rels": [ + "direct" + ], + "relevance": 50 + } + ], + "organisation": [ + { + "scheme": "http://cv.ap.org/id/", + "code": "e5c60a888bcc10048ff8eb438e258b03", + "name": "Defense Advanced Research Projects Agency", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 40 + } + ], + "audiences": [ + { + "code": "82c6a4c46fa0446090a7acaf93159e4c", + "name": "Print", + "type": "AUDPLATFORM" + }, + { + "code": "9add4649b53b4702ba7d9de5d4fa607a", + "name": "Online", + "type": "AUDPLATFORM" + }, + { + "code": "f43adc08760d10048040e6e7a0f4673e", + "name": "National", + "type": "AUDSCOPE" + }, + { + "code": "f4ecf9b0760d10048044e6e7a0f4673e", + "name": "International", + "type": "AUDSCOPE" + }, + { + "code": "f5b16ea8760d10048047e6e7a0f4673e", + "name": "State", + "type": "AUDSCOPE" + }, + { + "code": "661850e07d5b100481f5c076b8e3055c", + "name": "Latin America and Caribbean", + "type": "AUDGEOGRAPHY" + }, + { + "code": "bed6942882b310048501df092526b43e", + "name": "Massachusetts", + "type": "AUDGEOGRAPHY" + }, + { + "code": "661e48387d5b10048291c076b8e3055c", + "name": "United States", + "type": "AUDGEOGRAPHY" + } + ], + "associations": { + "1": { + "altids": { + "itemid": "d975480960324bbcae8b471ca0692dfb" + }, + "type": "picture" + }, + "2": { + "altids": { + "itemid": "62531691dcad4c35b8b103dc9dce9021" + }, + "type": "picture" + }, + "3": { + "altids": { + "itemid": "87d39837f48645388d4f13d55c090f21" + }, + "type": "picture" + }, + "4": { + "altids": { + "itemid": "163c661c8a224c8eb288857a5ba821ce" + }, + "type": "picture" + }, + "5": { + "altids": { + "itemid": "40191e1b9a834093a8a1a548fc42cf30" + }, + "type": "picture" + }, + "6": { + "altids": { + "itemid": "d81a1a911cee4fddbf69d5aa7389fade" + }, + "type": "picture" + }, + "7": { + "altids": { + "itemid": "e89bed9c85624ade9390f18763c64b15" + }, + "type": "picture" + } + }, + "body_nitf": "WASHINGTON (AP) \u2014 Jill Biden on Wednesday announced $100 million in federal funding for research and development into women's health as part of a new White House initiative that she is heading up.
The money is the first major deliverable of the White House Initiative on Women's Health Research, which was announced late last year. The money comes from the Advanced Research Projects Agency for Health, or ARPA-H, which is under the federal Department of Health and Human Services.
The first lady announced the ARPA-H Sprint for Women's Health during an appearance in Cambridge, Massachusetts.
Biden has said women don't know enough about their health because the research historically has been underfunded and lacking. The White House initiative aims to change the approach to and increase funding for women's health research.
The $100 million will be used to invest early in \u201clife-changing\u201d work being done by women's health researchers and startup companies that cannot get private support, Biden said.
\u201cWe will build a health care system that puts women and their lived experiences at its center,\" she said. \u201cWhere no woman or girl has to hear that \u2018it\u2019s all in your head,\u2019 or, \u2018it\u2019s just stress.\u2019\u201d Where women aren\u2019t just an after-thought, but a first-thought. Where women don\u2019t just survive with chronic conditions, but lead long and healthy lives.\"
President Joe Biden created the Advanced Research Projects Agency for Health in 2022 to work on advancing solutions to health issues. The agency is part of what he called his \u201c unity agenda.\u201d
In the coming weeks, the agency will solicit ideas for groundbreaking research and development to address women's health, according to the White House.
The first lady said last year when the White House initiative was announced in November that it grew out of meeting she had had with Maria Shriver, a women's health advocate and former California first lady. Shriver, Biden said, spoke of the need for a public-private effort to close the gaps in women's health research. Shriver also participated in Wednesday's announcement in Massachusetts.
The White House Initiative on Women\u2019s Health Research is led by Jill Biden and the White House Gender Policy Council.
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It also highlights the broader goals of improving women's health care and addressing historical underfunding in this area." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/02/21/15e121070f3ee5430320b37df73265d4.json b/datasets/AP_news/raw_data/2024/02/21/15e121070f3ee5430320b37df73265d4.json new file mode 100644 index 0000000..12c39b8 --- /dev/null +++ b/datasets/AP_news/raw_data/2024/02/21/15e121070f3ee5430320b37df73265d4.json @@ -0,0 +1,216 @@ +{ + "altids": { + "itemid": "15e121070f3ee5430320b37df73265d4", + "etag": "15e121070f3ee5430320b37df73265d4_1a13aza0c0", + "friendlykey": "870417002501", + "referenceid": "US--Books-Use Your Voice" + }, + "version": 1, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-02-21T15:04:08Z", + "firstcreated": "2024-02-21T15:02:27Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: Updates Media.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "US--Books-Use Your Voice", + "headline": "Alice Paul Tapper to publish picture book inspired by medical misdiagnosis", + "headline_extended": "The new book from bestselling author Alice Paul Tapper, daughter of CNN anchor Jake Tapper, was inspired by a near-fatal health emergency", + "slugline": "BC-US--Books-Use Your Voice, 1st Ld-Writethru", + "description_summary": "The new book from bestselling author Alice Paul Tapper, daughter of CNN anchor Jake Tapper, was inspired by a near-fatal health emergency. \u201cUse Your Voice,\u201d with illustrations by Fanny Liem, is a fictionalized take on Alice\u2019s hospitalization in 2021 after she experienced intense stomach pain, chills and vomiting \u2014 what turned out to be appendicitis. 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\u201cUse Your Voice,\u201d with illustrations by Fanny Liem, is a fictionalized take on Alice's hospitalization in 2021 after she experienced intense stomach pain, chills and vomiting \u2014 what turned out to be appendicitis. Doctors misdiagnosed her condition as a viral infection and only gave her an ultrasound, which revealed she had a perforated appendix leaking poisonous bacteria, after Jake Tapper pleaded with the hospital's administrator.
Penguin Workshop, an imprint of Penguin Young Readers, will release \"Use Your Voice\" on Aug. 27, the author's 17th birthday.
\u201cI am so excited to share this book and empower kids visiting the hospital, a place that can be scary for everyone, not just children,\u201d Alice Paul Tapper said in a statement Wednesday. \u201cThe characters in the book who are part of the pain chart are my way of showing my thought process from when I was sick, and I hope readers enjoy them while also understanding the need to listen to their own bodies.\u201d
Tapper is also the author of \"Raise Your Hand,\" a 2019 bestseller about the need for girls to be heard in the classroom.
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It may soon be available to more people", + "headline_extended": "Researchers are testing deep brain stimulation as a treatment for people with a severe form of depression", + "slugline": "BC-MED-Depression-Deep-Brain-Stimulation, 7th Ld-Writethru", + "description_summary": "Researchers are testing deep brain stimulation as a treatment for people with a severe form of depression. Doctors compare it to a pacemaker for the brain. It involves implanting electrodes in the brain, which are attached to a device placed under the skin in the chest. Recent research is promising, and doctors believe federal approval may come soon. However, two past studies showed no advantage to using DBS for depression and temporarily halted progress. Some scientists continue to raise concerns. But DBS has already helped participants in clinical trials. Among them is Emily Hollenbeck of New York. She suffered devastating depression for years and lost both parents to suicide. She says she was desperate for answers and DBS is why she's alive today.", + "bylines": [ + { + "by": "By LAURA UNGAR", + "title": "AP Science Writer" + } + ], + "located": "NEW YORK", + "datelinelocation": { + "city": "New York", + "countryareacode": "NY", + "countryareaname": "New York", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -74.00597, + 40.71427 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. For other uses, additional clearances may be required." + ], + "keywords": [ + "treatmentresistant depression DBS deep brain stimulation" + ], + "provider": "AP", + "infosource": [ + { + "name": "AP", + "type": "AP" + } + ], + "subject": [ + { + "rels": [ + "category" + ], + "creator": "Editorial", + "code": "a", + "name": "a" + }, + { + "rels": [ + "category" + ], + "creator": "Editorial", + "code": "n", + "name": "n" + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "e23336487de410048fe4df092526b43e", + "name": "Depression", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 78 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "cc7a76087e4e10048482df092526b43e", + "name": "Health", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 90 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "cc7a76087e4e10048482df092526b43e", + "name": "Health", + "creator": "Editorial", + "editorial_subject": "Health", + "rels": [ + "direct" + ], + "relevance": 75 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "a4677d70863b4012b846a1b00f5079f5", + "name": "U.S. news", + "creator": "Editorial", + "editorial_subject": "U.S. news", + "rels": [ + "direct" + ], + "relevance": 75 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "f25af2d07e4e100484f5df092526b43e", + "name": "General news", + "creator": "Editorial", + "editorial_subject": "General news", + "rels": [ + "direct" + ], + "relevance": 50 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "4bf76cb87df7100483dbdf092526b43e", + "name": "Science", + "creator": "Editorial", + "editorial_subject": "Science", + "rels": [ + "direct" + ], + "relevance": 99 + } + ], + "organisation": [ + { + "scheme": "http://cv.ap.org/id/", + "code": "e5c917c88bcc1004803aeb438e258b03", + "name": "U.S. Food and Drug Administration", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 37 + } + ], + "place": [ + { + "scheme": "http://cv.ap.org/id/", + "code": "b58f18a082c6100487fbdf092526b43e", + "name": "New York", + "creator": "Machine", + "rels": [ + "direct" + ], + "parentids": [ + "661e48387d5b10048291c076b8e3055c" + ], + "locationtype": { + "code": "0ae5eb8e00e04295a4fc209c94bfe6ef", + "name": "State" + }, + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -75.4999, + 43.00035 + ] + }, + "relevance": 31, + "parentnames": [ + "United States" + ] + } + ], + "audiences": [ + { + "code": "82c6a4c46fa0446090a7acaf93159e4c", + "name": "Print", + "type": "AUDPLATFORM" + }, + { + "code": "9add4649b53b4702ba7d9de5d4fa607a", + "name": "Online", + "type": "AUDPLATFORM" + }, + { + "code": "f43adc08760d10048040e6e7a0f4673e", + "name": "National", + "type": "AUDSCOPE" + }, + { + "code": "f4ecf9b0760d10048044e6e7a0f4673e", + "name": "International", + "type": "AUDSCOPE" + }, + { + "code": "f5b16ea8760d10048047e6e7a0f4673e", + "name": "State", + "type": "AUDSCOPE" + }, + { + "code": "661850e07d5b100481f5c076b8e3055c", + "name": "Latin America and Caribbean", + "type": "AUDGEOGRAPHY" + }, + { + "code": "b836d07082c610048807df092526b43e", + "name": "New York City", + "type": "AUDGEOGRAPHY" + }, + { + "code": "661e48387d5b10048291c076b8e3055c", + "name": "United States", + "type": "AUDGEOGRAPHY" + } + ], + "associations": { + "1": { + "altids": { + "itemid": "fc070b4383bd4830b48eab8b5fa22e4f" + }, + "type": "picture" + }, + "2": { + "altids": { + "itemid": "57befb7b9571496bb51ba5daca623db0" + }, + "type": "picture" + }, + "3": { + "altids": { + "itemid": "43ae38b08fc64d1d99896244dcc3c16e" + }, + "type": "picture" + }, + "4": { + "altids": { + "itemid": "5161964d3238482a95b03e83c93e0679" + }, + "type": "picture" + }, + "5": { + "altids": { + "itemid": "250473529ee14974bde082de91fdbf8e" + }, + "type": "picture" + }, + "6": { + "altids": { + "itemid": "a8bc706a4b3044fbbf0dbfb2d914e840" + }, + "type": "picture" + }, + "7": { + "altids": { + "itemid": "05cba6bd9fa0491ba2d047a7a956914d" + }, + "type": "picture" + }, + "8": { + "altids": { + "itemid": "9142cfe4b2a14cda948f76ffe1ec38f9" + }, + "type": "picture" + }, + "9": { + "altids": { + "itemid": "970b22a01b254492a0cdca851bc36bc5" + }, + "type": "picture" + }, + "10": { + "altids": { + "itemid": "16c1800602a546b1a1c989eb25b387b4" + }, + "type": "picture" + }, + "11": { + "altids": { + "itemid": "ae28f1fdb2a341568f511f97e4dd6209" + }, + "type": "audio" + }, + "12": { + "altids": { + "itemid": "0291c1668cfa46dd83ea337931476c98" + }, + "type": "audio" + }, + "13": { + "altids": { + "itemid": "7742cfafb6904b3191ecbc9cc7ce4479" + }, + "type": "audio" + }, + "14": { + "altids": { + "itemid": "c87f49a02b034176aadbd340d84a6a45" + }, + "type": "video" + } + }, + "body_nitf": "NEW YORK (AP) \u2014 Emily Hollenbeck lived with a deep, recurring depression she likened to a black hole, where gravity felt so strong and her limbs so heavy she could barely move. She knew the illness could kill her. Both of her parents had taken their lives.
She was willing to try something extreme: Having electrodes implanted in her brain as part of an experimental therapy.
Researchers say the treatment \u2014- called deep brain stimulation, or DBS \u2014 could eventually help many of the nearly 3 million Americans like her with depression that resists other treatments. It's approved for conditions such as Parkinson's disease and epilepsy, and many doctors and patients hope it will become more widely available for depression soon.
The treatment gives patients targeted electrical impulses, much like a pacemaker for the brain. A growing body of recent research is promising, with more underway \u2014 although two large studies that showed no advantage to using DBS for depression temporarily halted progress, and some scientists continue to raise concerns.
Meanwhile, the Food and Drug Administration has agreed to speed up its review of Abbott Laboratories' request to use its DBS devices for treatment-resistant depression.
\u201cAt first I was blown away because the concept of it seems so intense. Like, it\u2019s brain surgery. You have wires embedded in your brain,\u201d said Hollenbeck, who is part of ongoing research at Mount Sinai West. \u201cBut I also felt like at that point I tried everything, and I was desperate for an answer.\u201d
Hollenbeck suffered from depression symptoms as a child growing up in poverty and occasional homelessness. But her first major bout happened in college, after her father\u2019s suicide in 2009. Another hit during a Teach for America stint, leaving her almost immobilized and worried she\u2019d lose her classroom job and sink into poverty again. She landed in the hospital.
\u201cI ended up having sort of an on-and-off pattern,\u201d she said. After responding to medication for a while, she'd relapse.
She managed to earn a doctorate in psychology, even after losing her mom in her last year of grad school. But the black hole always returned to pull her in. At times, she said, she thought about ending her life.
She said she'd exhausted all options, including electroconvulsive therapy, when a doctor told her about DBS three years ago.
\u201cNothing else was working,\u201d she said.
She became one of only a few hundred treated with DBS for depression.
Hollenbeck had the brain surgery while sedated but awake. Dr. Brian Kopell, who directs Mount Sinai's Center for Neuromodulation, placed thin metal electrodes in a region of her brain called the subcallosal cingulate cortex, which regulates emotional behavior and is involved in feelings of sadness.
The electrodes are connected by an internal wire to a device placed under the skin in her chest, which controls the amount of electrical stimulation and delivers constant low-voltage pulses. Hollenbeck calls it \u201ccontinuous Prozac.\u201d
Doctors say the stimulation helps because electricity speaks the brain\u2019s language. Neurons communicate using electrical and chemical signals.
In normal brains, Kopell said, electrical activity reverberates unimpeded in all areas, in a sort of dance. In depression, the dancers get stuck within the brain\u2019s emotional circuitry. DBS seems to \u201cunstick the circuit,\u201d he said, allowing the brain to do what it normally would.
Hollenbeck said the effect was almost immediate.
\u201cThe first day after surgery, she started feeling a lifting of that negative mood, of the heaviness,\u201d said her psychiatrist, Dr. Martijn Figee. \u201cI remember her telling me that she was able to enjoy Vietnamese takeout for the first time in years and really taste the food. She started to decorate her home, which had been completely empty since she moved to New York.\u201d
For Hollenbeck, the most profound change was finding pleasure in music again.
\u201cWhen I was depressed, I couldn\u2019t listen to music. It sounded and felt like I was listening to radio static,\u201d she said. \u201cThen on a sunny day in the summer, I was walking down the street listening to a song. I just felt this buoyancy, this, \u2018Oh, I want to walk more, I want to go and do things!\u2019 And I realized I\u2019m getting better.\u201d
She only wishes the therapy had been there for her parents.
The road to this treatment stretches back two decades, when neurologist Dr. Helen Mayberg led promising early research.
But setbacks followed. Large studies launched more than a dozen years ago showed no significant difference in response rates for treated and untreated groups. Dr. Katherine Scangos, a psychiatrist at the University of California, San Francisco, also researching DBS and depression, cited a couple of reasons: The treatment wasn\u2019t personalized, and researchers looked at outcomes over a matter of weeks.
Some later research showed depression patients had stable, long-term relief from DBS when observed over years. Overall, across different brain targets, DBS for depression is associated with average response rates of 60%, one 2022 study said.
Treatments being tested by various teams are much more tailored to individuals today. Mount Sinai's team is one of the most prominent researching DBS for depression in the U.S. There, a neuroimaging expert uses brain images to locate the exact spot for Kopell to place electrodes.
\u201cWe have a template, a blueprint of exactly where we\u2019re going to go,\u201d said Mayberg, a pioneer in DBS research and founding director of The Nash Family Center for Advanced Circuit Therapeutics at Mount Sinai. \u201cEverybody\u2019s brain is a little different, just like people\u2019s eyes are a little further apart or a nose is a little bigger or smaller.\u201d
Other research teams also tailor treatment to patients, although their methods are slightly different. Scangos and her colleagues are studying various targets in the brain and delivering stimulation only when needed for severe symptoms. She said the best therapy may end up being a combination of approaches.
As teams keep working, Abbott is launching a big clinical trial this year, ahead of a potential FDA decision.
\u201cThe field is advancing quite quickly,\u201d Scangos said. \u201cI\u2019m hoping we will have approval within a short time.\u201d
But some doctors are skeptical, pointing to potential complications such as bleeding, stroke or infection after surgery.
Dr. Stanley Caroff, an emeritus professor of psychiatry at the University of Pennsylvania, said scientists still don't know the exact pathways or mechanisms in the brain that produce depression, which is why it's hard to pick a site to stimulate. It's also tough to select the right patients for DBS, he said, and approved, successful treatments for depression are available.
\u201cI believe from a psychiatric point of view, the science is not there,\u201d he said of DBS for depression.
Hollenbeck acknowledges DBS hasn't been a cure-all; she still takes medicines for depression and needs ongoing care.
She recently visited Mayberg in her office and discussed recovery. \u201cIt\u2019s not about being happy all the time,\u201d the doctor told her. \u201cIt\u2019s about making progress.\u201d
That\u2019s what researchers are studying now \u2014 how to track progress.
Recent research by Mayberg and others in the journal Nature showed it\u2019s possible to provide a \u201creadout\u201d of how someone is doing at any given time. Analyzing the brain activity of DBS patients, researchers found a unique pattern that reflects the recovery process. This gives them an objective way to observe how people get better and distinguish between impending depression and typical mood fluctuations.
Scientists are confirming those findings using newer DBS devices in a group of patients that includes Hollenbeck.
She and other participants do their part largely at home. She gives researchers regular brain recordings by logging onto a tablet, putting a remote above the pacemaker-like device in her chest and sending the data. She answers questions that pop up about how she feels. Then she records a video that will be analyzed for things such as facial expression and speech.
Occasionally, she goes into Mount Sinai\u2019s \u201cQ-Lab,\u201d an immersive environment where scientists do quantitative research collecting all sorts of data, including how she moves in a virtual forest or makes circles in the air with her arms. Like many other patients, she moves her arms faster now that she\u2019s doing better.
Data from recordings and visits are combined with other information, such as life events, to chart how she's doing. This helps guide doctors\u2019 decisions, such as whether to increase her dose of electricity \u2013 which they did once.
On a recent morning, Hollenbeck moved her collar and brushed her hair aside to reveal scars on her chest and head from her DBS surgery. To her, they're signs of how far she\u2019s come.
She makes her way around the city, taking walks in the park and going to libraries, which were a refuge in childhood. She no longer worries that normal life challenges will trigger a crushing depression.
\u201cThe stress is pretty extreme at times, but I\u2019m able to see and remember, even on a bodily level, that I\u2019m going to be OK,\u201d she said.
\u201cIf I hadn\u2019t had DBS, I\u2019m pretty sure I would not be alive today.\u201d
___
The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute\u2019s Science and Educational Media Group. The AP is solely responsible for all content.
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Editorial: Find a fix to aid cops in schools
Some want school resource officers in their buildings, and the Legislature needs to help.
Last fall, an estimated 40 or so Minnesota police chiefs and sheriffs pulled SROs (school resource officers) from school buildings because they believed a change in statute increased officer liability. To address that issue, DFL lawmakers expected to move quickly to modify the law this year.
Public hearings were held this week and more are expected next week as the proposed bill was unexpectedly laid over in the Public Safety Finance and Policy Committee due to pushback during those sessions.
Lawmakers should reach a compromise earlier rather than later in this session. Schools and law enforcement agencies need good guidance to determine their participation in the SRO program.
The proposed House bill offers a reasonable way forward. It would allow the officers to use reasonable restraints (including prone restraints) on students, but would require the Minnesota Board of Peace Officer Standards and Training (POST) to establish a training program for SROs. That training would include sessions on juvenile brain development and working with students with disabilities and those in special education.
It would also create a model policy to outline SRO responsibilities to make sure they don\u2019t handle discipline problems that school staff should address.
Rep. Cedrick Frazier, DFL-New Hope, is an author of the bill. He told an editorial writer that it is important to continue holding hearings so that all stakeholders can be heard.
\u201cThis is the process,\u201d he said. \u201cWe\u2019re doing our job by listening and making modifications as we go \u2026 . There are multiple stakeholders, and we\u2019re bringing them together in hearings to work on compromises and a framework for what officers may and may not do. Ultimately, it\u2019s about doing what\u2019s best for students.\u201d
School district staff had been banned from using prone restraints on students with disabilities since 2015. But as part of the sweeping 2023 education bill, the definition of school employees was expanded to include SROs, and the ban was expanded to include all students. To some law enforcement agencies, that change altered the reasonable force standard so that officers could no longer use some methods to restrain unruly students.
The Star Tribune Editorial Board has argued that a legislative fix is needed. In our view, SROs can be a helpful, valued part of school life. In a perfect world, SROs would help anticipate problems before they arise and develop the relationships necessary to be able to defuse difficult situations without force. But that\u2019s not always the case.
At the same time, it\u2019s understandable why some schools or districts have opted not to have SROs in their buildings. Some educators, community members and DFL lawmakers believe student restraints should be banned because they are more likely to be used on students of color. They think eliminating the use of prone restraints would help close disciplinary disparities between students of color and their white peers.
But for some schools and districts that want SROs in their buildings, legislative assistance is needed. And law enforcement agencies that want to participate should be able to do so without fear of being held liable when they take appropriate action to protect the safety of students and staff.
\u201cThe goal is to have our students safe as they go back into school,\u201d Department of Public Safety Commissioner Bob Jacobson said during a hearing this week. \u201cThe path to get there is likely going to make stakeholders if not all just a little bit unhappy.\u201d
___
Mankato Free Press. February 16, 2024.
Editorial: EMS: Rural emergency services need triage and lifeline
Of all the things government should and could fund, we would argue that emergency medical service should be at the top of the list.
Sadly, it is not.
An in-depth report in last Sunday\u2019s Free Press showed small-town and rural emergency medical services are suffering from a compound illness: lack of funding paired with lack of personnel. And of course, rural residents who need the service suffer most.
EMS has typically been funded by the fees charged for each call, but Medicare and Medicaid reimbursement rates have not kept up with the increased costs of providing the service and the increased number of people lacking insurance coverage.
EMS services statewide lost $66 million last year. The city of Lake Crystal funds up to 50% of operational costs for its local ambulance crew. Other cities, such as St. James, serve outside areas with uncertainty about getting paid. Lake Crystal doesn\u2019t have enough staff for nights and weekends, and must rely on Madelia or Mayo Clinic ambulance services.
St. James City Manager Amanda Glass says the city\u2019s ambulance service faces tough decisions. One is closing the service, which, she says would only put the burden on other ambulance services. Burdening local taxpayers would not be sustainable either.
Officials from the League of Minnesota Cities plan to lobby the Legislature for stopgap funding to fill the losses and then create some type of permanent funding. That makes sense to us. The state provided $300 million last year to nursing homes to stop some from closing. The justification for that funding should apply to EMS also.
The permanent funding mechanism needs change, and such change needs to come from state and local governments. The federal government is unlikely to boost Medicare and Medicaid reimbursement rates.
One key to getting state funding would be to define EMS as a \u201cpublic service\u201d for purposes of state law. While police and fire services are considered \u201cpublic service,\u201d EMS is not, according to Rep. Jeff Brand, DFL-St. Peter. One could argue that EMS is a fee service paid by various medical insurance, but the gaps are growing for that fee service to cover everything EMS does. It seems incongruous that public safety funding would not include emergency medical treatment.
The cities and counties should participate in this funding mix. Last year\u2019s legislative session sent significant increases in local government and county aid their way.
Rural EMS appears to be on life support. The $66 million in emergency funding should be the minimum, and some form of permanent funding or cost sharing should be established.
Emergency medical care is more than a function of taxing and spending or economics. It\u2019s a matter of life and death.
The South Central Emergency Medical Service has put out a call to fill volunteer and part-time and full-time paid positions. The group says there is a need to increase the number of ambulance drivers, EMTs, first responders and medical care providers within the nine county area. For more information, go to www.sc-ems.org or call (507) 257-3224.
END
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Given that only part of the document is relevant to health, the overall relevance is moderate." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/02/21/4cf5d3139e1a6cbc62bc5ad9946cc1b8.json b/datasets/AP_news/raw_data/2024/02/21/4cf5d3139e1a6cbc62bc5ad9946cc1b8.json new file mode 100644 index 0000000..9b5cce5 --- /dev/null +++ b/datasets/AP_news/raw_data/2024/02/21/4cf5d3139e1a6cbc62bc5ad9946cc1b8.json @@ -0,0 +1,272 @@ +{ + "altids": { + "itemid": "4cf5d3139e1a6cbc62bc5ad9946cc1b8", + "etag": "4cf5d3139e1a6cbc62bc5ad9946cc1b8_4a7aza0c0", + "friendlykey": "686597459081", + "referenceid": "US--Alabama-Frozen Embryos" + }, + "version": 4, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-02-22T04:27:02Z", + "firstcreated": "2024-02-21T20:47:58Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: Adds additional comment from IVF patient and doctor ; Updates Media.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "US--Alabama-Frozen Embryos", + "headline": "Alabama hospital puts pause on IVF in wake of ruling saying frozen embryos are children", + "headline_extended": "A large Alabama hospital has paused in vitro fertilization treatments as health care providers weigh the impact of a state court ruling that frozen embryos are the legal equivalent of children", + "slugline": "BC-US-Alabama-Frozen-Embryos, 4th Ld-Writethru", + "description_summary": "A large Alabama hospital has paused in vitro fertilization treatments as health care providers weigh the impact of a state court ruling that frozen embryos are the legal equivalent of children. The University of Alabama at Birmingham health system said in a statement Wednesday that it must evaluate whether its patients or doctors could face criminal charges or punitive damages for undergoing IVF treatments. Other fertility treatment providers in the state were continuing to provide IVF. The ruling by the all-Republican Alabama Supreme Court prompted a wave of concern about the future of IVF treatments in the state.", + "bylines": [ + { + "by": "By KIM CHANDLER", + "title": "Associated Press" + } + ], + "located": "MONTGOMERY, Ala.", + "datelinelocation": { + "city": "Montgomery", + "countryareacode": "AL", + "countryareaname": "Alabama", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -86.29997, + 32.36681 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. 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(AP) \u2014 Alabama's largest hospital paused in vitro fertilization treatments Wednesday as providers and patients across the state scrambled to assess the impact of a court ruling that said frozen embryos are the legal equivalent of children.
The University of Alabama at Birmingham health system said in a statement that it must evaluate whether its patients or doctors could face criminal charges or punitive damages for undergoing IVF treatments. \u201cWe are saddened that this will impact our patients\u2019 attempt to have a baby through IVF,\" the statement from spokeswoman Savannah Koplon read.
Doctors and patients were gripped by a mixture of shock, anxiety and fear as they weighed how to proceed in the wake of the ruling by the all-Republican Alabama Supreme Court that put in question the future of IVF.
\u201cDisbelief, denial, all the stages of grief. ... I was stunned,\u201d said Dr. Michael C. Allemand, a reproductive endocrinologist at Alabama Fertility, which provides IVF services.
Allemand said they are having daily discussions about how to proceed. He said IVF is often the best treatment for patients who desperately want a child, and the ruling threatens doctors' ability to provide that care.
\u201cThe moments that our patients are wanting to have by growing their families \u2014 Christmas mornings with grandparents, kindergarten, going in the first day of school, with little back-backs\u2014 all that stuff is what this is about. Those are the real moments that this ruling could deprive patients of,\u201d he said.
Gabby and Spencer Goidel of Auburn, Alabama, turned to IVF after three miscarriages. The Alabama ruling came down on the same day Gabby began a 10-day series of daily injections ahead of egg retrieval, with the hopes of getting pregnant through IVF next month.
\u201cWhen I saw this ruling, I got very angry and very hurt that it could potentially stop my cycle. People need to know this is affecting couples \u2014 real-life couples who are trying to start families, who are just trying to live the quote, unquote American dream,\u201d Gabby Goidel, 26, said. She said her clinic is continuing to provide treatment for now but is reviewing the situation on a day-by-day basis.
Justices \u2014 citing language in the Alabama Constitution that the state recognizes the \u201crights of the unborn child\u201d \u2014 said three couples could sue for wrongful death when their frozen embryos were destroyed in a accident at a storage facility.
\u201cUnborn children are \u2018children\u2019 ... without exception based on developmental stage, physical location, or any other ancillary characteristics,\u201d Justice Jay Mitchell wrote in Friday\u2019s majority ruling. Mitchell said the court had previously ruled that a fetus killed when a woman is pregnant is covered under Alabama\u2019s Wrongful Death of a Minor Act and nothing excludes \u201cextrauterine children from the Act\u2019s coverage.\u201d
Alabama Chief Justice Tom Parker, in a scripture-draped concurring opinion, wrote that, \u201ceven before birth, all human beings bear the image of God, and their lives cannot be destroyed without effacing his glory.\u201d
While the court case centered on whether embryos were covered under the wrongful death of a minor statute, some said treating the embryo as a child \u2014 rather than property \u2014 could have broader implications and call into question many of the practices of IVF.
\"If this is now a person, will we be able to freeze embryos?\" Barbara Collura, CEO of RESOLVE: The National Infertility Association, said.
The fertility clinic and hospital in the Alabama case could ask the court to reconsider the decision or ask the U.S. Supreme Court to review the matter if they believe there is a conflict with federal law.
The Alabama Supreme Court decision partly hinged on anti-abortion language added to the Alabama Constitution by voters in 2018, stating it is the \u201cpolicy of this state to ensure the protection of the rights of the unborn child.\u201d
Eric Johnston, an anti-abortion activist and lawyer who helped draft the constitutional language, said the \u201cpurpose of that was more related to abortion.\u201d
He said it was intended to clarify that the Alabama Constitution does not protect the right to abortion and eventually laid the groundwork for Alabama to ban abortions when states regained control of abortion access. However, opponents of the constitutional amendment warned in 2018 that it was essentially a personhood measure that could give rights to fertilized eggs.
\u201cModern science has raised up this question about well is a fertilized egg that is frozen -- is that a person? And that\u2019s the ethical, medical, legal dilemma that we\u2019ve got right now,\" Johnston said.
\"It's a very complicated issue,\u201d he added.
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It may soon offer hope to others", + "headline_extended": "Researchers are testing deep brain stimulation as a treatment for people with a severe form of depression", + "slugline": "BC-MED--Depression-Deep Brain Stimulation-ABRIDGED, 1st Ld-Writethru", + "description_summary": "Researchers are testing deep brain stimulation as a treatment for people with a severe form of depression. Doctors compare it to a pacemaker for the brain. It involves implanting electrodes in the brain, which are attached to a device placed under the skin in the chest. Recent research is promising, and doctors believe federal approval may come soon. However, two past studies showed no advantage to using DBS for depression and temporarily halted progress. Some scientists continue to raise concerns. But DBS has already helped participants in clinical trials. Among them is Emily Hollenbeck of New York. She suffered devastating depression for years and lost both parents to suicide. 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She knew the illness could kill her. Both her parents had taken their lives.
She was willing to try something extreme: Having electrodes implanted in her brain as part of an experimental therapy.
Researchers say the treatment \u2014 deep brain stimulation, or DBS \u2014 could eventually help many of the nearly 3 million Americans with depression that resists other treatments. It's approved for conditions including Parkinson's disease and epilepsy, and many doctors and patients hope it will become more widely available for depression soon.
The treatment gives patients targeted electrical impulses, much like a pacemaker for the brain. A growing body of research is promising, with more underway \u2014 although two large studies that showed no advantage to using DBS for depression temporarily halted progress, and some scientists continue to raise concerns.
Meanwhile, the Food and Drug Administration has agreed to speed up its review of Abbott Laboratories' request to use its DBS devices for treatment-resistant depression.
\u201cAt first I was blown away because the concept of it seems so intense. Like, it\u2019s brain surgery. You have wires embedded in your brain,\u201d Hollenbeck said. \u201cBut I also felt like at that point I tried everything, and I was desperate for an answer.\u201d
Hollenbeck suffered from depression symptoms as a child growing up in poverty and occasional homelessness. Her first major bout happened in college, after her father\u2019s suicide in 2009. Another hit during a Teach for America stint, leaving her almost immobilized and worried she\u2019d lose her classroom job. She landed in the hospital.
She calls it \u201can on-and-off pattern.\u201d After responding to medication for a while, she'd relapse.
She earned a doctorate in psychology, even after losing her mom in her last year of grad school. But the black hole always returned. At times, she said, she thought about ending her life.
She said she'd exhausted all options, including electroconvulsive therapy, when a doctor told her about DBS three years ago.
\u201cNothing else was working,\u201d she said.
She became one of only a few hundred treated with DBS for depression.
Hollenbeck had surgery while sedated but awake. Dr. Brian Kopell, who directs Mount Sinai's Center for Neuromodulation, placed thin metal electrodes her brain's subcallosal cingulate cortex, which regulates emotional behavior and is involved in feelings of sadness.
The electrodes are connected by an internal wire to a device placed under the skin in her chest, which controls the amount of electrical stimulation and delivers constant low-voltage pulses.
Doctors say electricity speaks the brain\u2019s language. Neurons communicate using electrical and chemical signals.
In normal brains, Kopell said, electrical activity reverberates unimpeded in all areas, in a sort of dance. In depression, the dancers get stuck within the brain\u2019s emotional circuitry. DBS seems to \u201cunstick the circuit,\u201d he said.
Hollenbeck said the effect was almost immediate. She only wishes the therapy had been there for her parents.
The road to this treatment stretches back two decades, when neurologist Dr. Helen Mayberg led promising early research.
But setbacks followed. Large studies launched more than a dozen years ago showed no significant difference in response rates for treated and untreated groups.
Some later research, though, showed depression patients had stable, long-term relief from DBS when observed over years. Overall, across different brain targets, DBS for depression is associated with average response rates of 60%, one 2022 study said.
Mount Sinai's team is one of the most prominent researching DBS for depression in the U.S. There, a neuroimaging expert uses brain images to locate the exact spot to place electrodes.
\u201cWe have a template, a blueprint of exactly where we\u2019re going to go,\u201d said Mayberg, a pioneer in DBS research and founding director of The Nash Family Center for Advanced Circuit Therapeutics at Mount Sinai.
Other research teams also tailor treatment, although methods differ slightly.
Abbott is launching a big clinical trial this year, ahead of a potential FDA decision.
But some doctors are skeptical, pointing to potential complications such as bleeding, stroke or infection after surgery.
Dr. Stanley Caroff, a University of Pennsylvania emeritus professor of psychiatry, said scientists still don't know the exact brain pathways or mechanisms that produce depression. And it's also tough to select the right patients for DBS, he said.
\u201cI believe from a psychiatric point of view, the science is not there,\u201d he said of DBS for depression.
Hollenbeck acknowledges DBS hasn't been a cure-all; she still takes medicines for depression and needs ongoing care.
She recently visited Mayberg in her office and discussed recovery. \u201cIt\u2019s not about being happy all the time,\u201d the doctor told her. \u201cIt\u2019s about making progress.\u201d
That\u2019s what researchers are studying now \u2014 how to track progress.
Recent research by Mayberg and others in the journal Nature showed it\u2019s possible to provide a \u201creadout\u201d of how someone is doing at any given time. Analyzing the brain activity of DBS patients, researchers found a unique pattern that reflects the recovery process. This provides an objective way to observe people's improvement and distinguish between impending depression and typical mood fluctuations.
Scientists are confirming those findings using newer DBS devices in a group of patients that includes Hollenbeck.
She and other participants do their part largely at home. She gives regular brain recordings by logging onto a tablet and putting a remote above the pacemaker-like device in her chest. She answers questions about how she feels. And she records videos, analyzed for such things as facial expression and speech.
Occasionally, she goes into Mount Sinai\u2019s \u201cQ-Lab,\u201d where scientists do quantitative research collecting all sorts of data, including how she moves in a virtual forest or makes circles with her arms. Like many other patients, she moves faster now that she\u2019s doing better.
On a recent morning, Hollenbeck brushed her hair aside to reveal scars on her chest and head from DBS surgery \u2014 signs of how far she\u2019s come.
She takes walks in the park and visits libraries, which were a refuge in childhood. She no longer worries that normal life challenges will trigger crushing depression.
\u201cIf I hadn\u2019t had DBS, I\u2019m pretty sure I would not be alive today,\" she said.
___
The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute\u2019s Science and Educational Media Group. The AP is solely responsible for all content.
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February 20, 2024.
Editorial: Keep An Eye On These Three Bills
We\u2019ll know in a couple of weeks, specifically by a March 5 deadline, how serious Mississippi lawmakers are about addressing the problems of unwanted pregnancies and holding mentally ill people in county jails.
Pregnancies first. Rep. Beckie Currie, R-Brookhaven, has introduced a bill that would require the state Department of Health to have a nurse practitioner at every county\u2019s health department at least one day a week in order to provide or prescribe contraceptives. Patients would pay based on their income.
House Bill 32 would authorize nurse practitioners to provide contraceptives or information about them to any minor who is a parent, who is married, who has the consent of a parent or guardian, or who has been referred for the service by specific workers including a physician, nurse practitioner or a clergyman. Right now only physicians can provide the contraceptives.
Currie\u2019s bill died in a House committee last year. It deserves consideration. It recognizes that the state\u2019s budget cuts to its county health departments have reduced medical care in many of Mississippi\u2019s rural counties. If approved, it should give women a better chance to get medical clearance to prevent a pregnancy.
It is true that abstention is the best contraceptive available, but the Legislature and health officials must deal with the world we live in, not the one we wish we had.
Having a nurse practitioner at a health department once a week isn\u2019t a perfect solution, but it\u2019s a start. Mississippi won its abortion case at the U.S. Supreme Court in 2022 and has imposed much stricter laws on abortion than were in place under the Roe vs. Wade ruling.
Having done that, the state now should make greater efforts to prevent unwanted pregnancies, which is the reason most women consider abortion. It\u2019s up to Currie to convince lawmakers that rural counties would benefit from this, and that nurse practitioners are qualified to assess these women\u2019s needs.
Now to the mentally ill. Rep. Kevin Felsher, R-Biloxi, has introduced two bills that put greater restrictions on counties when dealing with mentally ill residents who are in the process of being committed by a judge for treatment.
One of Felsher\u2019s bills, according to the Mississippi Today website, would prohibit counties from jailing most patients who are in the commitment process but who face no criminal charges. Jail detentions of up to 72 hours would be allowed if the resident is awaiting transportation to a treatment facility and if a judge rules that detention is necessary for protection.
Felsher\u2019s other bill would require counties to pay for psychiatric care for an indigent resident who has been ordered by a judge into a treatment program if no publicly funded space is available. The bill caps the cost to the county at the Medicaid reimbursement rate, and it prohibits counties from jailing someone simply because they cannot pay for their care.
Felsher is keeping a promise by introducing bills to set stricter limits on the practice of holding mentally ill people in a county jail when there\u2019s nowhere else to keep them. One report in 2023 said this happens to hundreds of people each year in Mississippi.
Aside from a lack of space to hold such patients safely, this problem often involves finances. Time in jail is relatively inexpensive compared to holding someone in a hospital before they are committed for treatment.
But people under consideration for mental health commitment have enough problems. Being held in a jail cannot help them. This practice demands much stricter limitations.
END
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Charles also met Wednesday with the Privy Council \u2013 a group of senior officials who meet about once a month to advise the king on government matters. While the 75-year-old head of state remains absent from public engagements, he has said he intends to continue to perform his state duties.
Wearing a navy blue suit and tie, Charles joked with Prime Minister Rishi Sunak before their formal meeting at Buckingham Palace.
\u201cWonderful to see you looking so well,\u201d Sunak said cheerfully in video released by the palace.
\u201cIt\u2019s all done by mirrors,\u201d Charles laughed.
\u201cWe\u2019re all behind you,\u201d Sunak said. \u201cThe country is behind you.\u201d
\u201cI\u2019ve had so many wonderful messages and cards,\u201d Charles responded. \u201cIt\u2019s reduced me to tears most of time.\u201d
It was the first time Charles has been filmed carrying out official duties since late last year. The monarch normally curtails his public schedule for several weeks around the Christmas and New Year holidays, which was followed by the announcement of the king's diagnosis earlier this month.
Buckingham Palace announced that the king would be treated for cancer less than three weeks after he was treated for an enlarged prostate. While palace officials didn\u2019t disclose the type of cancer, they said it wasn\u2019t prostate cancer.
Charles said he was also gratified to see how the announcement of his diagnosis had boosted support for cancer charities in the United Kingdom.
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Here's what you should know about it", + "headline_extended": "Alabama lawmakers and Gov. Kay Ivey have agreed to protect in vitro fertilization providers from legal liability", + "slugline": "AP-MED--IVF-Explainer, 10th Ld-Writethru", + "description_summary": "Alabama lawmakers and Gov. Kay Ivey have agreed to protect in vitro fertilization providers from legal liability. The Alabama Supreme Court ruled last month that frozen embryos can be considered children under state law and touched off immediate backlash. Many doctors and patients are concerned about ripple effects across the nation. IVF involves retrieving a woman's eggs and combining them with a man's sperm in a lab dish. A few days after fertilization, one or more embryos are placed in the uterus and healthy embryos that are not transferred may be frozen and stored. Frozen embryos can be used for future pregnancies.", + "bylines": [ + { + "by": "By LAURA UNGAR", + "title": "AP Science Writer" + } + ], + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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Kay Ivey agreed to protect in vitro fertilization providers from legal liability Wednesday, more than two weeks after the Alabama Supreme Court ruled that frozen embryos can be considered children under state law and touched off immediate backlash.
IVF quickly became a talking point for former President Donald Trump, who said he strongly supports its availability. The Biden administration sent the Health and Human Services secretary to Alabama after the ruling, and Virginia Democratic Sen. Tim Kaine is bringing as his guest to Thursday\u2019s State of the Union the first person to be conceived via IVF.
Three of the state\u2019s major IVF providers had paused services after last month\u2019s decision, which recognized embryos as \u201cextrauterine children,\u201d was issued in wrongful death cases brought by couples who had frozen embryos destroyed in an accident. Wednesday\u2019s new law protects providers from lawsuits and criminal prosecution for the \u201cdamage or death of an embryo\u201d during IVF services.
Here\u2019s what to know about this increasingly common fertility treatment.
In vitro fertilization offers a possible solution when a woman has trouble getting pregnant. The procedure involves retrieving her eggs and combining them in a lab dish with a man\u2019s sperm to create a fertilized embryo, which is then transferred into the woman\u2019s uterus in an attempt to create a pregnancy.
IVF is done in cycles and may take more than one to create a successful pregnancy, according to The American College of Obstetricians and Gynecologists. The procedure can use a couple\u2019s eggs and sperm or those from a donor.
The first baby was born through IVF in 1978 in England. But the first in the U.S. was in 1981 in Norfolk, Virginia, with the birth of Elizabeth Carr.
Her mother, Judith Carr, had had three abnormal pregnancies, forcing the removal of her fallopian tubes. She and her husband sought treatment from Howard and Georgeanna Jones, doctors who opened a fertility clinic at Eastern Virginia Medical School.
The Norfolk clinic faced resistance before it even opened. When it sought a required state certificate in 1979, more than 600 people jammed into a public hearing. Several women voiced support for IVF and testified about wanting to start a family, while anti-abortion groups raised concerns about doctors messing with human conception and embryos being discarded.
Despite proposed state legislation to stop the clinic, it opened in 1980, with others following soon afterward in California, Tennessee and Texas. By 1988, at least 169 in vitro centers were operating in 41 states.
The use of IVF continued to grow. In 2021 alone, nearly 100,000 infants were born as a result of fertility treatments where eggs or embryos were handled outside a woman\u2019s body \u2014 primarily through IVF \u2014 according to a report from the Centers for Disease Control and Prevention.
But sentiments against IVF never really went away in the American anti-abortion movement, said Margaret Marsh, a history professor at Rutgers University in New Jersey.
Many abortion opponents had made an uneasy peace with the technology as a treatment for infertility, Marsh said. But opposition to IVF has gained momentum since the overturn of Roe v. Wade in 2022.
\u201cThose who are firmly committed to the idea that life begins at fertilization are circling back to the movement\u2019s earlier opposition,\u201d Marsh said. \u201cNot everyone in the anti-abortion movement opposes these reproductive technologies, but many do.\u201d
The treatment often uses hormones to trigger ovulation so multiple eggs are produced and a needle is used to remove them from the ovaries, the American College of Obstetricians and Gynecologists said.
Eggs can be fertilized by adding the sperm to the eggs in a lab, or a single sperm can be injected into each egg.
\u201cWe culture that fertilized egg over a period of time \u2014 usually five to six days \u2014 to create ... the blastocyst. And those are either transferred or stored for future use,\u201d said Dr. Jason Griffith, a reproductive endocrinologist in Houston.
A blastocyst is the early stage of an embryo, which is defined as the state of development that starts at fertilization and lasts up to eight weeks.
Griffith said that on Day 3 after fertilization, an embryo is anywhere from six to 10 cells. By Day 6, it\u2019s between 100 and 300 cells. He added that a person contains more than a trillion cells.
Frozen embryos can be used for future pregnancies, and the vast majority survive the thawing process.
The freezing process involves replacing the water in embryo cells with a protectant fluid and flash-freezing with liquid nitrogen, according to Johns Hopkins Medicine.
Frozen embryos are stored in tanks containing liquid nitrogen at hospital labs or reproductive medicine centers. Griffith said they can also be kept in storage facilities contracted by health care facilities, especially when they are stored for many years. Frozen embryos can be safely preserved for a decade or more.
Griffith said conditions are monitored in these facilities and there are physical security mechanisms to safeguard the tanks and backup generators in case of power outages.
Dr. John Storment, a reproductive endocrinologist in Lafayette, Louisiana, said his state has a unique law that prohibits doctors from discarding any viable embryos that are still dividing \u2014 meaning they must be preserved and stored. So he and other doctors ship embryos out of state to a secure storage facility once a patient has finished using them for a particular IVF cycle.
\u201cWhenever they\u2019re ready for embryos again, they can just ship them back here,\u201d he said. \u201cBut we don\u2019t keep them stored here.\u201d
In other states, he said, patients can choose to use them, discard them or donate them to other couples or for research.
The U.S. Supreme Court\u2019s decision to overturn Roe v. Wade sparked speculation about how the ruling could lead to problems with fertility care, said Greer Donley, an associate professor at the University of Pittsburgh School of Law.
Since 2022, four states have amended their constitutions to protect access to abortion, and several others are considering ballot measures for this year. In many, the language goes beyond allowing abortion to give people rights to reproductive freedom more broadly, which could ensure access to IVF.
The recent court decision could \u201csubstantially restrict access to a very vital fertility treatment that has helped countless folks today expand their families,\u201d Griffith said. \u201cWhen you look at the percentage of pregnancies in the United States that result from in vitro fertilization, it\u2019s around 2%.\u201d
It could also increase the cost of IVF for many families \u2014 although it\u2019s unclear by how much \u2014 because of things like additional storage fees and liability costs, he said. One cycle of IVF, including all embryos transferred, now costs about $15,000 to $25,000, Griffith said.
Storment said the Alabama decision could have a ripple effect across the entire country.
\u201cIt\u2019s one of the bigger things to happen in reproductive law in the last decade,\u201d he said.
___
Ungar reported from Louisville, Kentucky. AP reporters Ben Finley in Norfolk, Virginia, and Geoff Mulvihill in Cherry Hill, New Jersey, contributed to this report.
___
The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute\u2019s Science and Educational Media Group. The AP is solely responsible for all content.
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The Health Ministry says about 7,800 medical interns and residents have walked off their jobs to protest the government\u2019s push to recruit more medical students. The ministry says the government issued an official order for most of the striking doctors to return to work. By law, if they refuse to abide by the order, they could face up to three years in prison.", + "bylines": [ + { + "by": "By HYUNG-JIN KIM", + "title": "Associated Press" + } + ], + "located": "SEOUL, South Korea", + "datelinelocation": { + "city": "Seoul", + "countrycode": "KOR", + "countryname": "South Korea", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + 126.9784, + 37.566 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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About 7,800 medical interns and residents in South Korea have walked off their jobs this week to protest the government\u2019s push to recruit more medical students.
Officials say they want to increase the nationwide medical school admissions cap by 2,000 from next year to brace for South Korea\u2019s rapidly aging population. But doctors\u2019 groups have refuted the plan, saying universities aren\u2019t ready to offer quality education to that many students. They argue the government\u2019s push to have more doctors would lead to increased public medical expenses because physicians locked in competition could perform unnecessary treatments.
The 2,000 additional admissions \u201cis a nonsensical figure,\u201d the Korean Intern Residents Association said in a statement Tuesday. \u201cWe hope the government will rethink its plan and formulate a policy that reflects the voices of trainee doctors.\u201d
Junior doctors typically support senior doctors during surgeries and deal with inpatients. Their joint walkouts have burdened hospital operations. The Health Ministry said Wednesday that authorities have received 58 public complaints over the walkouts, mostly regarding indefinite delays of surgeries and cancellations of other medical treatments.
\u201cA collective action taking the lives and safety of the people hostage cannot be justified for whatever reason,\u201d Interior and Safety Minister Lee Sang-min told a news conference with other top officials.
Lee said the government issued an official order for striking doctors to return to work. He said the government will sternly deal with the doctors\u2019 walkouts in line with the medical law and other regulations.
South Korea\u2019s medical law allows the government to issue such back-to-work orders to doctors and other medical personnel when there are grave concerns about public health. If they refuse to abide by the order, they could face up to three years in prison or 30 million won ($22,480) in fines, a punishment that would also lead to the revocation of their medical licenses, according to the law.
Justice Minister Park Sung-jae accused some doctors of seeking to protect \u201ctheir vested interests.\u201d He said that if they refuse to return to work, authorities will file legal charges against them and arrest others who had led their walkouts.
Trainee doctors said the government\u2019s return-to-work order was intimidation and must be withdrawn immediately. The Korea Medical Association, which represents 140,000 doctors, said it supports the trainee doctors\u2019 walkouts but hasn\u2019t decided whether to join their walkouts.
Joo Sooho, a spokesperson for a KMA task force, accused the government of \u201cdemonizing doctors.\u201d
\u201cWe strongly condemn the government for holding the people hostage and suppressing doctors,\u201d he told reporters.
A recent survey suggested that a majority of South Koreans support the government\u2019s plan. Some critics say doctors, one of the best-paid professions in South Korea, worry that adding more doctors would lead to them facing greater competition and lower income.
As of Tuesday night, about 8,820 out of the country\u2019s 13,000 trainee doctors have submitted resignations to their hospitals. None of the resignations had been approved, but 7,813 of the doctors have walked off, Vice Health Minister Park Min-soo told reporters.
To deal with the trainee doctors\u2019 walkouts, the government has opened military hospitals to the public, extended the operating hours of public medical institutions and had emergency medical treatment centers stay open around the clock. But observers say if the walkouts are prolonged or joined by senior doctors, that could cause major disruptions in South Korea\u2019s overall medical service.
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Tony Evers is signaling that he won't sign a Republican bill that would release tens of millions of dollars to combat PFAS pollution despite support from the state's municipalities", + "slugline": "BC-WI-XGR--PFAS Pollution, 2nd Ld-Writethru", + "description_summary": "Gov. Tony Evers is signaling that he won't sign a Republican bill that would release tens of millions of dollars to combat PFAS pollution despite support from the state's municipalities. The bill would create grants for municipalities to test for the chemicals but dramatically scale back environmental regulators' authority to take action against polluters. The bill passed the Senate in November and is expected to pass the Assembly on Thursday. Republican legislators have been urging Evers to sign the measure. Evers said in a letter Wednesday to Sens. Eric Wimberger and Rob Cowles that the GOP doesn't want to hold polluters accountable. 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(AP) \u2014 Democratic Gov. Tony Evers signaled Wednesday that he has no intention of signing a Republican bill that would spend tens of millions of dollars to address pollution from the so-called forever chemicals known as PFAS because it dramatically scales back regulators' enforcement authority.
The Senate passed the bill in November and the Assembly was expected to follow suit on Thursday and send the legislation to the governor. Time is running out for any sort of compromise. Thursday is the Assembly's last scheduled floor period of the two-year legislative session.
PFAS, short for per- and polyfluoroalkyl substances, are man-made chemicals that don\u2019t easily break down in nature. They are found in a wide range of products, including cookware and stain-resistant clothing, and previously were often used in aviation fire-suppression foam. The chemicals have been linked to health problems including low birth weight, cancer and liver disease, and have been shown to make vaccines less effective.
Municipalities across Wisconsin are struggling with PFAS contamination in groundwater, including Marinette, Madison, Wausau and the town of Campbell on French Island. The waters of Green Bay also are contaminated.
Lee Donahue, a town of Campbell supervisor, said residents there have been using bottled water for four years. She opposes the bill because it weakens the state's enforcement authority and wants to see the state ban PFAS, set PFAS groundwater limits and find another way to get the $125 million to municipalities. But she's questioning whether anything will get done.
\u201cIt's a tremendous level of frustration,\u201d she said. \u201cSadly enough, a lot of these things have become partisan issues. We can't move forward with the process. People are tired of waiting for the next session and the next session and the next session.\u201d
The bill would create grants for cities, towns, villages, private landowners and waste disposal facilities to test for PFAS in water treatment plans and wells. The grants would be funded with the $125 million in the state budget.
The state Department of Natural Resources \u2014 an Evers cabinet agency \u2014 would need landowners' permission to test their water for PFAS. The agency would be responsible for remediation at contaminated sites where the responsible party is unknown or can't pay for the work.
The DNR also would be prohibited from taking any enforcement action against landowners who spread PFAS in compliance with a license or permit to do so or own land contaminated through legal manure spreading. Landowners who allow the DNR to remediate contaminated property at the state's expense would be immune from enforcement action.
Evers balked at the DNR restrictions when bill was introduced last year. The bill's chief Senate sponsors, Eric Wimberger and Rob Cowles, asked Evers in a Feb. 15 letter not to let a chance to address PFAS slip away. They said that the DNR restrictions are designed to ensure the agency can't fine or hold landowners liable for contamination that they didn't cause. The bill doesn't protect actual polluters, they stressed.
\u201cWe have an opportunity now to help Wisconsinites with their health concerns and the environment, and do it without forcing them to choose personal economic ruin in the process,\u201d Wimberger and Cowles wrote.
Evers said in a letter to the senators Wednesday that Republicans don't want to hold polluters accountable and haven't made any changes to the bill to win his support.
He also criticized the GOP for forcing the DNR to stop developing limits on PFAS in Wisconsin groundwater.
The DNR needs such standards to serve as the basis for enforcement actions, but the agency announced in December it had to stop drafting them under a 2017 state law that requires state agencies to obtain legislators' permission to continue work on regulations if projected compliance costs top $10 million over any two-year period.
Republicans so far haven't granted the DNR for permission to continue. Wimberger and Cowles introduced a proposal last week that would allow the agency to continue drafting the regulations but the proposal hasn't been given an official bill number in the Legislature's system yet and time is running out before the Assembly wraps up on Thursday.
The governor also pointed out in his letter that the Legislature's Republican-controlled Joint Finance Committee could release the $125 million at any time.
\u201cI again urge you to get serious about helping our impacted communities by urging your colleagues on the Joint Committee on Finance to approve the DNR's request,\u201d Evers wrote.
___
This story has been updated to correct that Evers' refusal to sign the bill doesn't mean the $125 million will remain unspent.
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(AP) \u2014 Measures that would legalize medical marijuana, spend $125 million to combat pollution from \u201cforever chemicals\u201d and allow election officials to speed up the counting of absentee ballots all appear to be doomed as the Wisconsin Legislature approaches the end of its session for the year.
The Assembly plans to meet for a last time on Thursday, while the Senate will return for a final day in March. Lawmakers will then quickly turn to campaigning for the fall election under new maps Democratic Gov. Tony Evers signed into law on Monday. Republicans are expected to lose seats under the maps that create more competitive districts.
With the session almost over, the fate of some measures is clearer than others. Here is a rundown:
\u2014 MEDICAL MARIJUANA: The proposal backed by Republican Assembly Speaker Robin Vos is dead under opposition from Senate Republicans. They objected to the state running dispensaries. Democrats who want full legalization also had concerns about how restrictive the proposed program would have been. Vos said he planned to hold a public hearing later to build support for next session.
\u2014 TAX CUTS: Evers has indicated he will support parts of a package of tax cut bills sponsored by Republicans that passed on Tuesday. The centerpiece of the package, a nearly $800 million income tax cut, appears to be the least likely to become law as it is similar to tax cuts Evers has rejected twice before. A measure expanding a child care tax credit, which got bipartisan support in the Legislature, is similar to an Evers proposal and appears to have the best chance of becoming law. Two other bills would increase the income tax credit for married couples and increase the amount of retirees\u2019 income exempt from the state income tax.
\u2014 PFAS: A Republican bill that would spend tens of millions of dollars on grants to help municipalities test for contamination from so-called forever chemical known as PFAS appears to be dead. The Senate passed the measure in November, and the Assembly was set to approve it on Thursday. But Evers opposes the proposal because it limits the Department of Natural Resources' authority to hold landowners accountable for contamination.
\u2014 ABSENTEE VOTING: Vos on Tuesday urged the Senate to pass a bill that would allow for absentee ballots to be processed the day before Election Day, a bipartisan measure the Assembly already passed. Supporters have said the measure will speed up the counting of ballots on Election Day by easing the workload of election officials, particularly in Milwaukee, where the counting of ballots at a central location can go deep into the night. Former President Donald Trump and election skeptics have falsely claimed that those so-called ballot dumps are the result of election fraud.
\u2014 CHILD CARE: The Senate passed a bipartisan measure that would extend Medicaid coverage for women in poverty who have just given birth from 60 days to a full year. Evers supports the measure, but Vos is blocking it in the Assembly, saying that \u201cI don't think it's right to give it away for free.\" Vos said those in need of the coverage could leave state-funded Medicaid and instead purchase private health insurance.
\u2014 SCHOOL SAFETY: The Assembly was set to pass a bill Thursday that would use state money to replace federal pandemic relief funds to fund positions in the state Department of Justice\u2019s Office of School Safety for nine months. The current funding is slated to run out at the end of the year. Approval would send the measure on to the Senate, but it is unclear if it will get a vote there.
\u2014 POWER LINES: The Assembly passed a bill that would limit competition among companies constructing power lines, but the proposal has yet to come up for a vote in the Senate. The bill would establish a right of first refusal on new power line projects for utilities already doing business in Wisconsin. Transmission line owners such as American Transmission Company, Xcel Energy and Dairyland Power Cooperative wouldn't face competition from out-of-state companies on projects that call for building lines that connect with their existing lines.
\u2014WOLVES: The Legislature has passed a Republican-authored bill that would force the DNR to set a limit on the state\u2019s wolf population in the agency\u2019s new wolf management plan. Evers is likely to veto it.
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Gov. Janet Mills, a Democrat, called for the changes in January in a speech that came three months after an Army reservist killed 18 people in the worst mass shooting in the history of the state. The reservist had a h istory of mental illness and erratic behavior before the shootings.
Mills said there is broad support for the kind of changes in her proposals, which would also establish a violence-prevention program at the Maine Center for Disease Control and Prevention. The proposals would need to find support in a state with a higher percentage of gun ownership than most of the Northeast.
\u201cThey are practical, common-sense measures that are Maine-made and true to our culture and our longstanding traditions while meeting today\u2019s needs. They represent meaningful progress, without trampling on anybody\u2019s rights, and they will better protect public safety,\u201d Mills said.
One of Mills' proposals would strengthen the state's extreme risk protection order law. Some law enforcement personnel have said the state's yellow flag law made it difficult to remove shooter Robert Card's weapons despite clear warning signs. Mills said her change would allow law enforcement to seek a protective custody warrant to take a dangerous person into custody to remove weapons.
Another proposal would extend the National Instant Criminal Background Check System to advertised, private sales of firearms. Still another would incentivize the checks for unadvertised, private sales.
The proposals would also establish a statewide network of crisis receiving centers so that a person suffering a mental health crisis could get care swiftly, Mills said.
The governor's supplemental budget includes other proposals geared at crisis response and mental health. It also proposes to create a Maine mass violence care fund with $5 million to cover physical and mental health expenses connected to a mass violence event and not covered by insurance.
\u201cOur community\u2019s difficult healing process will continue long into the future, and this will provide folks with the support they need when they need it,\u201d said Democratic Rep. Kristen Cloutier of Lewiston.
Card committed the shootings at a bowling alley and restaurant in Lewiston on Oct. 25. He was later found dead of a self-inflicted gunshot.
Card had been well known to law enforcement for months before the shootings, and a fellow reservist told an Army superior that Card was going to \u201csnap and do a mass shooting.\u201d
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These aspects are directly relevant to the topic of health, particularly mental health." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/02/21/b31db4ce15caf8b5c9c722b6240b2951.json b/datasets/AP_news/raw_data/2024/02/21/b31db4ce15caf8b5c9c722b6240b2951.json new file mode 100644 index 0000000..849c08d --- /dev/null +++ b/datasets/AP_news/raw_data/2024/02/21/b31db4ce15caf8b5c9c722b6240b2951.json @@ -0,0 +1,229 @@ +{ + "altids": { + "itemid": "b31db4ce15caf8b5c9c722b6240b2951", + "etag": "b31db4ce15caf8b5c9c722b6240b2951_1a15aza0c0", + "friendlykey": "868737205213", + "referenceid": "MED--Alzheimer's-Markers" + }, + "version": 1, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-02-21T22:26:46Z", + "firstcreated": "2024-02-21T22:16:28Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: Updates Media.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "MED--Alzheimer's-Markers", + "headline": "Silent brain changes precede Alzheimer's. Researchers have new clues about which come first", + "headline_extended": "A study of older adults in China offers a closer look at the dominolike sequence of brain changes that lead to Alzheimer's", + "slugline": "BC-MED-Alzheimer's-Markers, 1st Ld-Writethru", + "description_summary": "A study of older adults in China offers a closer look at the dominolike sequence of brain changes that lead to Alzheimer's. Scientists don't know exactly how Alzheimer's forms but it quietly ravages the brain long before symptoms appear. Compared with people who remained healthy, researchers spotted differences in a sticky protein named amyloid 18 years before Alzheimer's patients were diagnosed. Other so-called biomarkers appeared every few years afterward. Experts say understanding the timeline of brain changes will help with testing new treatments or preventive therapies. 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A large study in China tracked middle-aged and older adults for 20 years, using regular brain scans, spinal taps and other tests.
Compared to those who remained cognitively healthy, people who eventually developed the mind-robbing disease had higher levels of an Alzheimer's-linked protein in their spinal fluid 18 years prior to diagnosis, researchers reported Wednesday. Then every few years afterward, the study detected another so-called biomarker of brewing trouble.
Scientists don\u2019t know exactly how Alzheimer\u2019s forms. One early hallmark is that sticky protein called beta-amyloid, which over time builds up into brain-clogging plaques. Amyloid alone isn\u2019t enough to damage memory \u2014 plenty of healthy people\u2019s brains harbor a lot of plaque. An abnormal tau protein that forms neuron-killing tangles is one of several co-conspirators.
The new research, published in the New England Journal of Medicine, offers a timeline for how those abnormalities pile up.
The study\u2019s importance \u201ccannot be overstated,\u201d said Dr. Richard Mayeux, an Alzheimer\u2019s specialist at Columbia University who wasn\u2019t involved in the research.
\u201cKnowledge of the timing of these physiological events is critical\u201d for testing new ways of treating and maybe eventually even preventing Alzheimer\u2019s, he wrote in an accompanying editorial.
The findings have no practical implications yet.
More than 6 million Americans, and millions more worldwide, have Alzheimer\u2019s, the most common form of dementia. There\u2019s no cure. But last year a drug named Leqembi became the first approved with clear evidence that it could slow the worsening of early Alzheimer\u2019s \u2014 albeit for a few months.
It works by clearing away some of that gunky amyloid protein. The approach also is being tested to see if it's possible to delay Alzheimer's onset if high-risk people are treated before symptoms appear. Still other drugs are being developed to target tau.
Tracking silent brain changes is key for such research. Scientists already knew that in rare, inherited forms of Alzheimer\u2019s that strike younger people, a toxic form of amyloid starts accumulating about two decades ahead of symptoms and at some point later tau kicks in.
The new findings show the order in which such biomarker changes occurred with more common old-age Alzheimer\u2019s.
Researchers with Beijing\u2019s Innovation Center for Neurological Disorders compared 648 people eventually diagnosed with Alzheimer\u2019s and an equal number who remained healthy. The amyloid finding in future Alzheimer's patients was the first, 18 years or 14 years prior to diagnosis depending on the test used.
Differences in tau were detected next, followed by a marker of trouble in how neurons communicate. A few years after that, differences in brain shrinkage and cognitive test scores between the two groups became apparent, the study found.
\u201cThe more we know about viable Alzheimer\u2019s treatment targets and when to address them, the better and faster we will be able to develop new therapies and preventions,\u201d said Claire Sexton, the Alzheimer's Association's senior director of scientific programs. She noted that blood tests are coming soon that promise to also help by making it easier to track amyloid and tau.
___
The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute\u2019s Science and Educational Media Group. The AP is solely responsible for all content.
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(AP) \u2014 After years of refusing to expand Medicaid, some of Mississippi\u2019s Republican leaders now say they are open to the policy \u2014 if they can require new enrollees to have a job. That approach could hinge on presidential politics and an ongoing legal battle in Georgia.
In a statement to The Associated Press, Lt. Gov. Delbert Hosemann said Mississippi must consider all options to improve its labor force participation rate and poor health outcomes, both of which are among the worst in the country. Hosemann said Georgia, the only state that requires Medicaid recipients to meet a work requirement, could be a model for Mississippi.
\u201cWe need healthy working Mississippians,\u201d Hosemann said. \"Georgia\u2019s successful implementation of a work requirement cleared a path for this conversation in Mississippi.\u201d
Georgia and Mississippi are among 10 states that haven't expanded Medicaid eligibility to include people earning up to 138% of the federal poverty level, or $20,120 annually for a single person. In 2023, Georgia created a less generous program that offered expanded coverage to adults earning up to 100% of the poverty level, or $14,580 for a single person.
Georgia's program only offers expanded coverage to able-bodied adults if they are working, volunteering, studying or in vocational rehabilitation. The state developed its plan after the Trump administration permitted 13 states to impose work requirements on some Medicaid recipients.
The Biden administration revoked all those waivers in 2021, in part because of the COVID-19 pandemic. The Centers for Medicare and Medicaid Services said people should not face roadblocks to getting health care. But Republican Gov. Brian Kemp\u2019s administration won a federal court fight in 2022 to preserve Georgia\u2019s plan, partly because it applies to new enrollees and not current Medicaid recipients.
The program is set to expire at the end of September 2025. Earlier this month, Georgia sued the Biden administration to try to keep its plan running until 2028.
A bill that would tie a work requirement to Medicaid eligibility has also passed the South Dakota Senate and is awaiting a House hearing.
Even if a Republican is elected president in November, new Medicaid waivers granted by CMS could face legal challenges, said Robin Rudowitz, director of the Program on Medicaid and the Uninsured at KFF, a health policy research group.
\"While former President Donald Trump would likely look favorably on work requirements, he has also vowed to try again to repeal and replace the Affordable Care Act, which would include Medicaid expansion,\u201d Rudowitz said.
Georgia's narrow coverage expansion with a work requirement waiver has seen limited Medicaid enrollment, far short of the coverage levels that could be achieved if the state adopted the full expansion allowed under the ACA, Rudowitz said. That is because most Medicaid recipients are either working or face barriers to work, which limits enrollment, she continued.
Georgia's Republican House speaker, Jon Burns, signaled at the start of this year\u2019s legislative session that Republicans may be open to expanding Medicaid further. But GOP lawmakers on Tuesday indicated that the idea was likely off the table in 2024.
Mississippi House Speaker Jason White, also a Republican, said in an interview that the state has shown it will refuse to expand Medicaid without a work requirement.
\u201cI think we\u2019ve proved to CMS and the folks in Washington that we will be stubborn and not do it,\" White told The AP. \u201cSo I think they would be more amicable to listen to the idea of, hey, we\u2019ve got a maybe a little different model here.\u201d
Debate over Medicaid expansion has stalled for years in Mississippi because of opposition from Republican leaders, including Gov. Tate Reeves. On Tuesday, Reeves said he was still opposed to expansion and shared Trump's disdain for Obamacare.
If lawmakers vote to expand Medicaid, Reeves would be likely to veto the bill. Legislators could override his veto with a two-thirds vote from both the House and Senate.
Mississippi lawmakers are also considering the impacts of a financial incentive for expanding Medicaid provided by Congress in the American Rescue Plan. The bonus helped with the passage of Medicaid expansion in North Carolina. In Mississippi, it would pay for the program for about four years, even without accounting for other cost offsets like increased tax revenues, House Medicaid Committee Chairwoman Missy McGee, a Republican, said at a Tuesday legislative hearing.
Morgan Henderson, a data scientist at Hilltop Institute, a health care research organization, said expansion would be a economic boon to Mississippi, but every state has a unique program.
\u201cIf you know one state\u2019s Medicaid program, you know one\u2019s state\u2019s Medicaid program,\u201d Henderson said.
___
AP reporters Emily Wagster Pettus in Jackson, and Sudhin Thanawala and Jeff Amy in Atlanta contributed to this report. Michael Goldberg is a corps member for the Associated Press/Report for America Statehouse News Initiative. Report for America is a nonprofit national service program that places journalists in local newsrooms to report on undercovered issues.
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The U.S. Food and Drug Administration issued a warning Wednesday that applies to all such devices, regardless of brand. The warning does not apply to smartwatch apps that are linked to under-the-skin sensors that directly measure blood sugar to help people with diabetes manage the disease. About 37 million American have diabetes, which requires close monitoring of blood sugar levels. One doctor says using the unapproved devices could result in inaccurate blood sugar measurements, with potentially devastating consequences.", + "bylines": [ + { + "by": "By JONEL ALECCIA", + "title": "AP Health Writer" + } + ], + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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The caution applies to any watch or ring, regardless of brand, that claims to measure blood glucose levels in a noninvasive way, the agency said. The FDA said it has not authorized any such device.
The agency's notice doesn't apply to smartwatch apps linked to sensors, such as continuous glucose monitoring systems that measure blood sugar directly.
Roughly 37 million Americans have diabetes. People with the disease aren\u2019t able to effectively regulate their blood sugar because their bodies either don\u2019t make enough of the hormone insulin or they have become resistant to insulin.
To manage the condition, they must regularly check their blood sugar levels with a finger prick blood test or with a sensor that places needles just under the skin to monitor glucose levels continuously.
Using the unapproved smartwatch and smart ring devices could result in inaccurate blood sugar measurements, with \u201cpotentially devastating\u201d consequences, said Dr. Robert Gabbay, of the American Diabetes Association. That could cause patients to take the wrong doses of medication, leading to dangerous levels of blood sugar and possibly mental confusion, coma or even death.
Several companies are working on noninvasive devices to measure blood sugar, but none has created a product accurate and secure enough to get FDA approval, said Dr. David Klonoff, who has researched diabetes technology for 25 years.
The technology that allows smartwatches and rings to measure metrics like heart rate and blood oxygen is not accurate enough to measure blood sugar, said Klonoff, of the Sutter Health Mills-Peninsula Medical Center in San Mateo, California. Efforts to measure blood sugar in body fluids such as tears, sweat and saliva are not ready for prime time, either.
\u201cIt's challenging, and I believe at some point there will be at least one scientist or engineer to solve it,\u201d Klonoff said.
In the meantime, consumers who want to measure their blood sugar accurately can buy an FDA-cleared blood glucose monitor at any pharmacy.
\u201cIt comes down to risk. If the FDA approves it, the risk is very small,\u201d he said. \u201cIf you use a product that is not cleared by the FDA, very often the risk is very large.\u201d
___
The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute\u2019s Science and Educational Media Group. The AP is solely responsible for all content.
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The organization filed a petition Thursday asking the high court to find the law unconstitutional without letting any lower courts rule first. Liberals hold a 4-3 majority on the Supreme Court, and one justice has repeatedly declared her support for abortion rights. Democratic Attorney General Josh Kaul won a ruling from a Dane County judge last year that the ban only prohibits feticide. Planned Parenthood is seeking a much broader ruling confirming a right to abortion under the state constitution.", + "bylines": [ + { + "by": "By TODD RICHMOND", + "title": "Associated Press" + } + ], + "located": "MADISON, Wis.", + "datelinelocation": { + "city": "Madison", + "countryareacode": "WI", + "countryareaname": "Wisconsin", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -89.40123, + 43.07305 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. 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(AP) \u2014 Planned Parenthood of Wisconsin asked the state Supreme Court on Thursday to overturn a 174-year-old state law that conservatives have interpreted as an abortion ban. It's the second legal challenge to the statute since the U.S. Supreme Court invalidated Roe v. Wade.
The organization filed a petition asking the high court to rule the law unconstitutional without letting any lower courts rule first. And if the justices do so, Planned Parenthood will consider challenging other restrictions on abortion found throughout state law, including bans based on fetal viability and parental consent mandates, according to the organization's chief strategy officer Michelle Velasquez.
\u201cThis petition is really asking whether the Constitution protects access to abortion,\u201d Velasquez said during a video news conference. \u201cWe're asking the court to basically say laws related to abortion would be subject to the highest level of scrutiny.\u201d
The Supreme Court has not said whether it will accept the case, or the related appeal of a lower court ruling won by Democratic Attorney General Josh Kaul. He challenged the 1849 law as too old to enforce and trumped by a 1985 law that allows abortions up to the point when a fetus could survive outside the womb.
Dane County Circuit Judge Diane Schlipper ruled last year that the law only prohibits attacking a woman with the intent to kill her unborn child. The decision emboldened Planned Parenthood to resume offering abortions in Wisconsin after stopping procedures in response to the U.S. Supreme Court ruling.
Sheboygan County District Attorney Joel Urmanski, a Republican, has appealed that ruling and earlier this week asked the state Supreme Court to take the case directly without waiting for a lower appellate ruling. Urmanski argued that the case is of statewide importance and will end up before the high court eventually anyway.
Planned Parenthood is seeking a much broader ruling, arguing that the Wisconsin Constitution's declaration that people have a right to life, liberty and the pursuit of happiness means women have a right to control their own bodies. The petition goes on to argue that phrase grants abortion providers the right to practice and means all people have an equal right to make their own medical decisions.
\u201cThe right to life and liberty, including the right to make one\u2019s own decisions about whether or not to give birth and medical decisions related to pregnancy or abortion care from a chosen health care provider, is fundamental,\" the petition contends. \"So, too, is a physician\u2019s right to practice medicine, her chosen profession, and fulfill her ethical obligations of the practice of medicine.\u201d
The petition names Urmanski as a respondent. Urmanski's attorney, Matt Thome, didn't immediately respond to an email seeking comment on the filing.
Abortion opponent Heather Weininger, executive director of Wisconsin Right to Life, said in a statement that Planned Parenthood is asking the state Supreme Court to disregard the lives of the unborn \u201cfor the sake of their bottom line.\u201d
The stage would be set for big legal wins for both Kaul and Planned Parenthood if the state Supreme Court decides to take their cases. Liberals control the court with a 4-3 majority and one of them \u2014 Justice Janet Protasiewicz \u2014 repeatedly declared on the campaign trail last year that she supports abortion rights.
Typically judicial candidates don't comment on issues to avoid the appearance of bias, but Protaswiecz's remarks galvanized abortion supporters and helped her win her seat.
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These aspects are highly relevant to the topic of health, particularly in the context of reproductive health and legal access to medical procedures." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/02/22/1adbc349e0f99851973a609e360c242c.json b/datasets/AP_news/raw_data/2024/02/22/1adbc349e0f99851973a609e360c242c.json new file mode 100644 index 0000000..06b873a --- /dev/null +++ b/datasets/AP_news/raw_data/2024/02/22/1adbc349e0f99851973a609e360c242c.json @@ -0,0 +1,286 @@ +{ + "altids": { + "itemid": "1adbc349e0f99851973a609e360c242c", + "etag": "1adbc349e0f99851973a609e360c242c_1a6aza0c0", + "friendlykey": "377410956750", + "referenceid": "US--Alabama-Frozen Embryos-Questions" + }, + "version": 1, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-02-23T00:01:22Z", + "firstcreated": "2024-02-22T23:44:14Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: Updates Media.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "US--Alabama-Frozen Embryos-Questions", + "headline": "What's next after the Alabama ruling that counts IVF embryos as children?", + "headline_extended": "The Alabama Supreme Court ruled last week that couples who were trying in vitro fertilization and lost frozen embryos in an accident at a south Alabama storage facility can sue under the state\u2019s wrongful death law", + "slugline": "AP-US-Alabama-Frozen-Embryos-Questions, 1st Ld-Writethru", + "description_summary": "The Alabama Supreme Court ruled last week that couples who were trying in vitro fertilization and lost frozen embryos in an accident at a south Alabama storage facility can sue under the state\u2019s wrongful death law. That decision was narrow, but legal scholars say the implications could be broad. One says that the ruling did not go as far as granting \u201cpersonhood\u201d to embryos, but that it still could resonate beyond the wrongful death law at the heart of the case. Some anti-abortion groups have pushed for \u201cpersonhood\u201d as a means of banning abortion. Because the ruling relied on Alabama's state constitution, there might not be a path to appeal the ruling to the U.S. Supreme Court.", + "bylines": [ + { + "by": "By KIM CHANDLER and GEOFF MULVIHILL", + "title": "Associated Press" + } + ], + "located": "MONTGOMERY, Ala.", + "datelinelocation": { + "city": "Montgomery", + "countryareacode": "AL", + "countryareaname": "Alabama", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -86.29997, + 32.36681 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. 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(AP) \u2014 The Alabama Supreme Court ruled last week that couples who were trying in vitro fertilization and lost frozen embryos in an accident at a south Alabama storage facility can sue under the state\u2019s wrongful death law.
Since then, three providers have paused the often-used fertility treatments while they sort out the legal implications.
The ruling is the first of its kind and extends a theory championed by some anti-abortion groups \u2014 that embryos and fetuses should be considered children and be afforded legal protections \u2014 into a new realm.
While the decision was narrow, some legal scholars think there's potential for wider impact.
Here's a look at some questions and answers about what the ruling could mean.
The Alabama Supreme Court said three Alabama couples who lost frozen embryos during an accident at a storage facility could sue the fertility clinic and hospital for wrongful death of a minor child.
Justices reversed a lower court ruling that dismissed the wrongful death claim on the grounds that the embryos were not a person or child.
The court had previously ruled that couples could sue when a pregnant woman lost a fetus. On Friday, the court said that \u201cextrauterine children\" were also covered under the wrongful death law. \u201cUnborn children are \u2018children\u2019 under the Act, without exception based on developmental stage, physical location, or any other ancillary characteristics,\u201d Justice Jay Mitchell wrote in his opinion.
The court heavily relied on both the wording of the wrongful death statute and language added to the Alabama Constitution in 2018 stating that Alabama protects the \u201crights of the unborn child.\u201d
Mary Ziegler, the Martin Luther King Jr. Professor of Law at the University of California, Davis School of Law, said the Alabama ruling didn't go as far as saying embryos have all the same rights as people \u2014 at least not yet.
\u201cThe court was pretty clear that they didn\u2019t have to say whether the fetuses or embryos had constitutional rights. They were just saying that for the purposes of this wrongful death law they're persons or children,\u201d Ziegler said.
However, she said the court's decision may be read more widely.
\u201cI think people in Alabama are rightly expecting that this is the tip of the iceberg though, and this ruling will lead to more down the road,\u201d Ziegler said.
Three IVF clinics in the state announced they were pausing IVF services as they sort out the ruling. Another clinic said it would continue to provide IVF services, but might adjust consent forms for patients, among other possible changes.
Patients at clinics where IVF has been paused scrambled to find other providers.
In the meantime, the legal and practical fallout from the Alabama Supreme Court ruling is unclear.
Greer Donley, an associate professor at the University of Pittsburgh School of Law, said that she expects clinics to offer IVF in Alabama, but believes that they may choose not to store embryos in the state in the future.
Moving them elsewhere could, however, increase the logistical hurdles, cost and risk involved with the process.
Legal scholars expect more cases to develop on rights for embryos.
It's also possible that last week\u2019s ruling was the final say on this Alabama case.
State supreme court cases can be appealed to the U.S. Supreme Court \u2014 but only when they rely on the U.S. Constitution.
This ruling relies heavily on the Alabama Constitution, including language that the state recognizes the rights of the \u201cunborn.\u201d
Republican state Sen. Tim Melson said he intends to file legislation to protect IVF services in the state. Melson, who is a medical doctor, said the legislation seeks to say that a fertilized egg has legal protections under the statute after it is implanted in the uterus \u2014 but not before.
\u201cI\u2019m just trying to come up with a solution for the IVF industry and protect the doctors and still make it available for people who have fertility issues that need to be addressed because they want to have a family,\u201d Melson said.
He said the ruling is an unintended consequence of the language that lawmakers and voters added to Alabama Constitution saying it is state policy to recognize the rights of the \"unborn.\"
\u201cWe need to address it,\u201d Melson said.
No. At least not under the ruling.
The Alabama case revolves around civil wrongful death claims, not criminal charges over the death of embryos.
Law professor Zeigler said the ruling was limited to the scope of the wrongful death statute. \u201cThe court was saying we\u2019re leaving for another day whether this embryo has constitutional rights and whether you could prosecute people who kill embryos for murder.\"
Currently, they could remain in storage indefinitely. Many embryos do \u2014 for myriad reasons.
Even before the Alabama ruling, what to do with embryos that are not implanted was a conundrum, including for people who used IVF to become parents.
Some can\u2019t bring themselves to donate embryos for research or have them destroyed \u2013 and don\u2019t want to continue paying storage fees. Thousands are abandoned in clinic freezers already.
What happens as a result of the new ruling is murky, said Rachel Rebouche, dean of the Temple University Beasley School of Law in Philadelphia. She noted that employers sometimes pay to store embryos for employees.
\u201cIf you\u2019re in Alabama, is that benefit now meaningless,\u201d she asked, \u201cbecause if you choose not to implant those embryos, you\u2019re going to be accused of a tort?\u201d
One movement calls for people who don\u2019t plan to use embryos for further pregnancies to do what they call \u201ccompassionate transfer\u201d and implant them into women\u2019s uteruses at a time when the pregnancy is unlikely to occur. ___
Associated Press reporter Geoff Mulvihill in Cherry Hill, New Jersey, contributed to this article.
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After that, police will forward the results of their investigation to the district attorney's office for possible criminal charges.", + "bylines": [ + { + "by": "By SEAN MURPHY", + "title": "Associated Press" + } + ], + "located": "OKLAHOMA CITY", + "datelinelocation": { + "city": "Oklahoma City", + "countryareacode": "OK", + "countryareaname": "Oklahoma", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -97.51643, + 35.46756 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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A summary autopsy report was released on Wednesday, more than a month after Nex Benedict's Feb. 8 death, but a complete report isn't expected to be released to the public for about 10 days.
Family members reported that Benedict was the target of bullying at school related to being nonbinary, which means they didn't identify as strictly male or female.
Benedict's family reviewed the complete autopsy report and said it documented numerous areas of physical trauma that evidence the severity of the assault, in a statement released through their attorney. They did not dispute the coroner's report finding of a suicide.
\u201cRather than allow incomplete accounts to take hold and spread any further, the Benedicts feel compelled to provide a summary of those findings which have not yet been released by the Medical Examiner\u2019s office, particularly those that contradict allegations of the assault on Nex being insignificant,\u201d the statement said.
The findings shared by the family from the complete autopsy report also showed contusions and lacerations to the teen's face and head, injuries to the back of the left hand and abrasions to the chest that the coroner said are consistent with efforts to administer CPR.
On Thursday, a day after the death was ruled a suicide, President Joe Biden released a statement saying he and First Lady Jill Biden were \u201cheartbroken\u201d over the loss. \u201cNex Benedict, a kid who just wanted to be accepted, should still be here with us today.\"
About 100 people marched around the Oklahoma Capitol on Thursday as part of a rally in support of Benedict, organized by a LGBTQ+ group.
Here are some things to know about Benedict's death and the investigation:
Owasso Police Lt. Nick Boatman said Thursday the police investigation into Nex\u2019s death, including the fight inside the bathroom, won\u2019t be complete until their office receives the final autopsy report.
At that point, Boatman said the findings will be submitted to the Tulsa County District Attorney\u2019s Office to determine what charges, if any, may be filed.
Tulsa County District Attorney Steve Kunzweiler on Thursday declined to comment on the case until after he\u2019s seen the entire law enforcement report.
\u201cWhen they say they\u2019re finished their investigation, we\u2019ll review what materials they have,\u201d Kunzweiler said.
In video footage from the hospital the day of the altercation, Feb. 7, Benedict explains to an officer that three girls had been picking on them and their friends because of the way they dressed. Benedict, who used they/them pronouns, claims that in the bathroom the students said \u201csomething like: why do they laugh like that,\u201d referring to Benedict and their friends.
\u201cAnd so I went up there and I poured water on them, and then all three of them came at me,\u201d Benedict tells the officer from a hospital bed.
\u201cThey came at me. They grabbed on my hair. I grabbed onto them. I threw one of them into a paper towel dispenser and then they got my legs out from under me and got me on the ground,\u201d Benedict says in the video, adding that the girls then started beating Benedict and they blacked out.
The next day, paramedics responded to a 911 call at the family\u2019s house and performed CPR on the teen before rushing them to the hospital, where they later died. The autopsy determined the cause of death to be an overdose of drugs.
Benedict's death has prompted an outpouring of supportive messages from political and social leaders across the country.
On Thursday, Biden said, \u201cIn memory of Nex, we must all recommit to our work to end discrimination and address the suicide crisis impacting too many nonbinary and transgender children. Bullying is hurtful and cruel, and no one should face the bullying that Nex did. Parents and schools must take reports of bullying seriously.\u201d
A bipartisan group of Oklahoma legislators also released a joint statement Thursday in which they said Benedict's death was a \u201charsh reminder of the power that words have.\u201d
\"As public officials and policy makers, we have a sacred obligation to ensure that as we do the work of the people, we do so with respect and dignity. We call on all Oklahomans to join us in our commitment to being respectful and deliberate in our language.\u201d
After news of Benedict's death became public, calls from Oklahoma to a national crisis hotline for LGBTQ+ youths spiked by more than 500%, said Lance Preston, the founder and director of the Indiana-based Rainbow Youth Project USA, a group that aims to improve the safety and wellness of LGBTQ+ young people.
The group's mental health crisis hotline typically receives an average of 87 calls per week from Oklahoma, a number that jumped to 474 calls in the week after Benedict's death was reported, Preston said.
For the month of February, calls to the hotline from Oklahoma outpaced calls from Texas and Florida, the two states that have topped the list of calls since the hotline was established several years ago, Preston said.
Trans and LGBTQ+ youth are particularly susceptible to suicidal ideation because they often face discrimination, bigotry and a lack of acceptance from their families and communities, Preston said.
\u201cWe have seen crises increase with school board policies or where school boards are considering policies like forced outing ... bathroom policies, ban on athletics, all those things,\u201d Preston said. \u201cBecause it makes these kids feel like: \u2018I\u2019m not wanted. My government hates me. I'm not wanted here.'\u201d
In recent years Oklahoma\u2019s Republican-led Legislature has passed several new laws targeting transgender and nonbinary people, including bills that prohibit children from receiving gender-affirming medical care and prohibiting the use of nonbinary gender markers on birth certificates.
Republican Gov. Kevin Stitt also has signed bills that prohibit transgender girls and women from playing on female sports teams and prevent transgender children from using school bathrooms that correspond to their gender identity.
Oklahoma\u2019s Superintendent of Public Schools, Ryan Walters, also has embraced anti-trans policies and faced bipartisan blowback for appointing a right-wing social media influencer from New York known for posting anti-LGBTQ+ rhetoric to a state library panel.
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Alabama Fertility Services said in a statement Thursday that the clinic \u201cmade the impossibly difficult decision to hold new IVF treatments due to the legal risk to our clinic and our embryologists.\" The Center for Reproductive Medicine at Mobile Infirmary also has decided to pause IVF treatment because of the ruling. The decisions come a day after the University of Alabama at Birmingham health system said it is pausing in vitro fertilization treatments to evaluate whether patients or doctors could face criminal charges or punitive damages for IVF treatments.", + "bylines": [ + { + "by": "By KIM CHANDLER", + "title": "Associated Press" + } + ], + "located": "MONTGOMERY, Ala.", + "datelinelocation": { + "city": "Montgomery", + "countryareacode": "AL", + "countryareaname": "Alabama", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -86.29997, + 32.36681 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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(AP) \u2014 Additional in vitro fertilization providers in Alabama paused services Thursday, sending patients scrambling to make other plans in the wake of a state Supreme Court ruling that said frozen embryos could be considered children under state law.
Doctors and patients have been grappling with shock and fear this week as they try to determine what they can and can\u2019t do after the ruling by the all-Republican Alabama Supreme Court. Three clinics have announced pauses on services while another facility assured patients that IVF treatment could continue. State legislators also began looking for a way to protect IVF services in the state.
The University of Alabama at Birmingham system, Alabama Fertility Services and The Center for Reproductive Medicine, in conjunction with a related hospital system Infirmary Health, announced a pause on IVF treatments.
\u201cWe understand the burden this places on deserving families who want to bring babies into this world and who have no alternative options for conceiving,\u201d Infirmary Health CEO Mark Nix said.
Gabby Goidel, who was days from an expected egg retrieval appointment, got a call Thursday morning from her provider telling her that they would not be able to do an embryo transfer if they sucessfully retrieved eggs.
\u201cI freaked out. I started crying. I felt in an extreme limbo state. They did not have all the answers. I did not obviously have any answers,\u201d Goidel said.
Goidel, who experienced three miscarriages and turned to IVF as a way she and her husband could fulfill their dream of becoming parents, found a place in Texas that will continue her care and plans to travel there Thursday night.
\u201cIt\u2019s not pro-family in any way,\u201d Goidel said of the Alabama ruling.
At the Fertility Institute of North Alabama, Dr. Brett Davenport urged patients not to panic and said his clinic will continue providing IVF. But he also urged state policymakers to act and remove the uncertainty for providers.
\u201cWhat we do could not be any more pro-life. We\u2019re trying to help couples who can\u2019t otherwise conceive a child,\u201d Davenport said.
Davenport said he believes they are on safe legal ground to continuing transferring embryos to a woman. The uncertainties, in his view, surround what clinics can do with frozen embryos that aren't immediately used.
Patients might decide to create fewer embryos or skip genetic testing if they are uncomfortable having embryos deemed genetically abnormal \u201cbeing in a holding state, not knowing when we can thaw them or what we can do with them,\u201d Davenport said.
Justices last week said three couples, who had frozen embryos destroyed in a mishap at a storage facility, could pursue wrongful death claims for their \u201cextrauterine children.\u201d The finding, treating the embryos similar to a child or gestating fetus under the wrongful death statute, raised questions about what legal liabilities clinics could face during IVF processes, including the freezing, testing and disposal of embryos.
Justices cited the wording of the wrongful death statute along with language added to the Alabama Constitution in 2018 saying that the state recognizes the \u201crights of the unborn child.\u201d
\u201cUnborn children are \u2018children\u2019 ... without exception based on developmental stage, physical location, or any other ancillary characteristics,\u201d Justice Jay Mitchell wrote in an opinion.
Alabama lawmakers began scrambling for a potential solution, proposing multiple pieces of legislation.
Republican state Sen. Tim Melson, who is a doctor, said he is not surprised by the unintended consequences of the 2018 constitutional language and intends to file legislation to protect IVF services in the state. Melson said his proposal seeks to clarify that a fertilized egg has legal protections under the statutes once it is implanted in the uterus but until then is a \u201cpotential life.\u201d
\u201cI\u2019m just trying to come up with a solution for the IVF industry and protect the doctors and still make it available for people who have fertility issues that need to be addressed because they want to have a family,\u201d Melson said.
Senate Minority Leader Bobby Singleton, a Democrat, said Republicans' quest to make stringent anti-abortion laws and policies may have eliminated a path for people to become parents.
\u201cAt the end of the day, the Republican Party has to be responsible for what they have done,\u201d Singleton said.
The court decision decided only if embryos are covered under Alabama's wrongful death statute, said Mary Ziegler, a legal historian at the University of California, Davis School of Law. The court did not say embryos had full constitutional rights, she said, or at least not yet.
\u201cI think people in Alabama are rightly expecting that this is the tip of the iceberg though, and this ruling will lead to more down the road,\u201d Ziegler said. She also said anti-abortion groups and politicians have been pushing to get some sort of ruling through the federal courts \u201cthat a fetus is a constitutional rights holder.\u201d
\u201cIt's not just about in-vitro and it's not just about Alabama. It's part of this nationwide movement too,\u201d she said.
Rachel Rebouche, dean of Temple University Beasley School of Law in Philadelphia, sees the ruling as \u201cemblematic of the long march toward fetal personhood.\u201d
\"This may not be the case that launches it, but this is a very strategic decision on the part of anti-abortion forces because they know that personhood bills have failed,\u201d Rebouche said.
Dr. John Storment, a reproductive endocrinologist in Lafayette, Louisiana, said the Alabama decision could affect whether fertility doctors want to move to or stay in that state.
\u201cI don\u2019t think that any doctor knowing that there\u2019s a potential for criminal prosecution would even want to be in that position,\u201d he said. \u201cThere\u2019s 49 other states and many other countries they could practice in without the same threat.\u201d
___
Associated Press writers Geoff Mulvihill in Philadelphia and Laura Ungar in Louisville, Kentucky, contributed.
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It's an animated fetus that develops over the course of a three-minute video that has become a new front in state-level abortion politics.
Bills in the Iowa, Kentucky, Missouri and West Virginia legislatures would require public school students to watch a video like Baby Olivia, which was created by an organization that opposes abortion. The legislation mirrors a North Dakota law passed last year.
The organization, Live Action, and supporters of the legislation say it would teach kids where they came from and encourage an appreciation for human life. But some educators and physicians say the video is deceptive and problematic for a young audience.
The American College of Obstetricians and Gynecologists, a professional organization with over 60,000 members, said in an email that the video is anti-abortion misinformation \u201cdesigned to manipulate the emotions of viewers.\u201d
Here\u2019s a primer on the video and the debate it has sparked:
Baby Olivia is the starring character in an animated video that's meant to visualize development in the womb. A voiceover introduces viewers to Olivia as an illustration of a fully developed baby in utero appears on screen. Olivia's mouth and eyes open and close, and her hands move.
\u201cThough she has yet to greet the outside world, she has already completed an amazing journey,\u201d the narrator says.
Live Action says on its website it \u201cexists today to shift public opinion\u201d on abortion and is dedicated to supporting a \u201cculture of life.\u201d
Founder Lila Rose said the video was designed to be informative, lifelike and appropriate for anyone, and made in consultation with doctors. Of the six, two are trained OB-GYNs; the others are trained in anatomy, biochemistry, pediatric medicine and neuroscience.
The organization spent nearly $5 million in 2022 to create and distribute content widely, according to filing reports. Those reports also show Live Action more than quadrupled its cash from contributions and grants in just four years, totaling $14 million in 2022.
Live Action also is known for efforts to expose Planned Parenthood, publishing videos and reports obtained by posing as patients.
Similar efforts by another organization, the Center for Medical Progress, led a federal jury to award Planned Parenthood $2 million in damages in 2019. David Daleiden, a co-defendant who founded the Center for Medical Progress, previously worked for Live Action, but Live Action was not a defendant and not involved in the case.
The video shows an egg being fertilized and implanted, then walks through embryonic and fetal developments over the course of a pregnancy.
It calls out general markers in what Rose said is an \u201caverage developmental process\" using \u201cweeks after fertilization.\u201d That's different from \u201cweeks after the last menstrual cycle,\u201d which is what a pregnant person would typically hear from a doctor.
Iowa physicians and educators said in a letter to state lawmakers that by using weeks after fertilization, the video misleads viewers because the framing indicates milestones happen about two weeks earlier than is accurate.
Rose argued that \u201cweeks after fertilization\u201d is more typical of an academic context, like biology class, and Live Action said critics calling out inaccuracies are not taking that difference into account.
The Iowa physicians and educators said references to fetal \u201cheartbeat\u201d are widely disputed. At six weeks, the embryo isn\u2019t yet a fetus and doesn\u2019t have a heart.
The video also describes the animated figure's motion and actions with words like \u201cplaying,\u201d \u201cexploring,\" \u201csighing,\u201d and making \u201cspeaking movements.\u201d Those words assign human traits and properties to a fetus that are more sophisticated than medicine can prove, said Emily Boevers, a practicing OB-GYN in Iowa and co-founder of Iowans for Health Liberty, which advocates for reproductive health care.
There are signals that the brain is developing and functioning, Boevers said, but the video's language implies \u201ca level of intention that we just can\u2019t say is present.\"
Iowa Rep. Luana Stoltenberg, a Republican, said she was impressed by the video's portrayal of science, and she believes showing fetal development could help curious kids understand where they came from.
\u201cWhat\u2019s the worst that can happen?\u201d Stoltenberg said. \u201cMaybe a young child learns how they are developed and grow and so if they become pregnant, they decide maybe I don\u2019t want an abortion? Is that a horrible thing?\u201d
Rose said she believes backlash is being driven by abortion rights advocates who don\u2019t want imagery of life in the womb shown because it \u201cdirectly threatens their worldview, which is that this is not a life that is worthy of protection.\u201d
Sen. Patricia Rucker, a Republican in West Virginia, said Baby Olivia isn\u2019t preaching or partisan. It shows human growth as \u201ca beautiful, miraculous thing\" \u2014 not unlike learning how a chick develops \u2014 and that teachers can \u201cspringboard from that to further explanation.\u201d
Many states have started to more strictly regulate what is taught about sex education and when. State and federal agencies\u2019 goal in educating students is typically to prevent teen pregnancies and reduce the spread of sexually transmitted diseases.
Teaching kids about pregnancy and conception should be part of an all-encompassing and medically accurate curriculum, said Katie Christensen, North Dakota\u2019s Planned Parenthood director who has a graduate degree in human development and family science.
\u201cWhen we\u2019re looking at promoting healthy well-being, especially in our adolescents, never once have I seen it said ... \u2018These kids really need to see an ultrasound video,\u2019\u201d Christensen said.
North Dakota's law requires health and human sexuality courses to include a three-minute ultrasound video and a computer-generated rendering of development in the womb. While the law doesn't mandate showing Baby Olivia, the state's department of public instruction specifically references it as an option.
The Associated Press asked 12 of North Dakota's largest school districts about the video. Of the 10 that replied, five use Baby Olivia. One is Fargo Public Schools, which accounts for about 10% of the state\u2019s students and additionally shows a second video to ninth graders.
Bismarck, the largest district, does not use Baby Olivia. West Fargo Public Schools shows a \u201csignificantly longer\u201d video that already was part of the curriculum, the district told the AP in an email, adding that it \u201ccovers other information about pregnancy that helps teach additional health standards.\u201d
Iowa\u2019s latest proposal, which passed in committee, would require a video \u2014 Baby Olivia or something \u201ccomparable\u201d \u2014 shown starting in the seventh grade.
West Virginia\u2019s proposal would require showing, specifically, Baby Olivia to eighth and 10th graders. Rucker said she expects it to be merged with other bills before it moves to the next step.
Missouri would require the Baby Olivia video by the third grade, while Kentucky's proposal allows any video that meets the standards as early as sixth grade. Both of these bills were introduced in January but have not received hearings.
___
This story has been corrected to reflect that Live Action was not a defendant in a federal case brought by Planned Parenthood.
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February 17, 2024.
Editorial: Medical marijuana can relieve needless suffering; SC bill can make it safe
If you\u2019re looking for a losing strategy for persuading the South Carolina Legislature to legalize the medicinal use of marijuana, check out the \u201cS.C. Cannabis Supporters United\u201d rally last month at the Statehouse, which advocated for what supporters called \u201csensible decriminalization\u201d of marijuana.
Although the state chapter of the National Organization for the Reform of Marijuana Laws called for \u201cNo fine, no jail time and no court costs\u201d for possession of the drug and the repeal of a law that lets police search vehicles when they smell marijuana, speakers said their priority was legalizing medical marijuana.
With friends like that, who needs enemies?
Our legislators appropriately reject the idea of turning South Carolina into Colorado. That\u2019s why it was such a relief when the S.C. chapter of NORML dissolved earlier this year.
Our legislators are also appropriately concerned that legalizing medical marijuana could morph into de facto legalization for recreational use if, like other states, we don\u2019t tightly regulate it.
But legislators who consider those objections sufficient to continue to deny pain relief to people who need it are wrong.
It\u2019s not accurate to say we can\u2019t legalize the medicinal use of cannabis without opening the doors to further recreational use \u2014 just as it\u2019s not accurate to say we should ban prescription opioids because some people use them illegally and others become addicted to legal opioids, then graduate to illegal ones.
To the contrary, the fact that prescription opioids are so addictive that they turn law-abiding citizens into criminals is one of the big reasons it\u2019s so important to find a way to legalize medicinal marijuana. So too is the deadly effect of using those opioids even under a doctor\u2019s supervision: The Centers for Disease Control and Prevention reports that more than 16,000 Americans died in 2020 from prescription opioids; in comparison, it notes that a fatal overdose of marijuana is \u201cunlikely.\u201d
Opponents to medical marijuana overlook two important considerations.
First, the choice for people with debilitating pain isn\u2019t always between using marijuana or suffering \u2014 although that is the choice for some, and it\u2019s a morally difficult one to justify when there are relatively safe alternatives. The choice is more often between marijuana and opioids, which can often be less effective but are always more dangerous.
Second, the Congress has included language in the federal budget since 2015 to prohibit the Justice Department from interfering with states that allow the medicinal use of marijuana. That\u2019s not the same as prohibiting federal agents from arresting people for selling or using medical marijuana, but it is a legally binding acceptance of medical marijuana by the Congress and the president.
Sen. Tom Davis\u2019 Compassionate Care Act is the best effort we\u2019ve seen to date to provide needed pain relief while preventing any expansion of recreational use.
As The Post and Courier\u2019s Nick Reynolds reports, smoking the drug would remain illegal under the bill senators passed Wednesday; patients could only use oil, salves, patches or vaporizers \u2014 which would make it a lot easier for police to distinguish legal from illegal use, without having to worry about forged prescriptions.
S.423 would allow marijuana to be used to treat only a tiny list of illnesses, primarily cancer, multiple sclerosis, glaucoma, sickle cell anemia, autism and some post-traumatic stress disorder diagnoses. And it would have to be obtained through specially regulated pharmacies, in doses of only two weeks at a time, after physicians meet with patients in person. Employers could ban their workers from using the drug even for medical purposes, and the entire law would last for only five years, after which the program would continue only if the Legislature passed a new law.
If additional protections are needed, the House should add them. What the House should not do is refuse to debate legislation that would help provide safer and more effective pain relief than South Carolinians can legally access today, without opening a Pandora\u2019s box that law enforcement understandably fears.
END
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Democrats see an opportunity", + "headline_extended": "Democrats and reproductive rights groups are seizing on a ruling this week by the Alabama Supreme Court that plunges the future of access to in vitro fertilization, commonly known as IVF, into uncertainty", + "headline_seo": "Alabama IVF ruling may be an opening for Democrats in 2024", + "slugline": "AP-US--Election 2024-IVF, 2nd Ld-Writethru", + "description_summary": "Democrats and reproductive rights groups are seizing on a ruling this week by the Alabama Supreme Court that plunges the future of access to in vitro fertilization, commonly known as IVF, into uncertainty. They\u2019re banking on the decision, controversial even among Republicans, motivating voters this year much the way the Supreme Court\u2019s overturning of Roe v. Wade did two years ago, during midterm elections that saw Democrats outperform expectations up and down the ballot. The bombshell decision landed as Democrats and left-leaning interest groups already were beginning to message that abortion rights would be on the ballot in November, making it a centerpiece issue in races for the president and Congress.", + "bylines": [ + { + "by": "By CHRISTINE FERNANDO", + "title": "Associated Press" + } + ], + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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abortion access in the presidential election.
\u201cWe\u2019ve got to talk about making sure we don\u2019t take away women\u2019s rights to IVF, women who are childbearing age and want to give birth to children,\u201d said GOP Rep. Nancy Mace, who was campaigning this week for former President Donald Trump in South Carolina. She added, \u201cI\u2019ll be working very hard to make sure that doesn\u2019t happen.\u201d
Democrats and left-leaning interest groups have banked on abortion rights as a major motivator for voters in the upcoming presidential election and fight for control of Congress. They believe abortion can be a winning issue as the debate widens to include increasing concerns over miscarriage care, access to medication, access to emergency care and now IVF treatments.
The GOP has struggled to talk about the issue while abortion-rights advocates have won races even in conservative-leaning states. Reproductive rights groups on Thursday compared the Alabama ruling to the impact of the Supreme Court's Dobbs ruling that overturned Roe v. Wade and nullified a federally guaranteed right to abortion.
\u201cThis has hit a nerve in a way I haven\u2019t seen since Dobbs,\u201d said Mini Timmaraju, head of the abortion rights group Reproductive Freedom for All. \u201cAnd it\u2019s because folks didn\u2019t believe this could happen but it\u2019s happening.\u201d
Biden issued a statement Thursday that called the Alabama decision a \u201cdirect result of the overturning of Roe v. Wade.\u201d And Vice President Kamala Harris, in the middle of her \u201cFight for Reproductive Freedoms\u201d tour, accused Republicans of hypocrisy.
\u201cOn the one hand, the proponents are saying that an individual doesn\u2019t have a right to end an unwanted pregnancy and, on the other hand, the individual does not have the right to start a family,\u201d she told an audience in Grand Rapids, Michigan.
The all-Republican Alabama Supreme Court ruled Wednesday that frozen embryos created through IVF are considered children under state law, potentially exposing families and clinics to criminal charges or punitive damages. In response, the state\u2019s largest hospital and at least two other providers paused IVF treatments as they scrambled to assess the ruling\u2019s impact.
Trump did not speak publicly about the ruling and his campaign did not immediately respond to a request for comment. The dominant front-runner in the Republican primary, Trump has for months resisted calls from anti-abortion advocates to support a national ban because he says it would be unpopular with the general public. The Biden campaign and abortion rights advocates last week seized on a news report that Trump had privately suggested support for a 16-week ban.
Former U.N. Ambassador Nikki Haley, Trump\u2019s last major primary challenger, sided with the Alabama Supreme Court in a Wednesday interview with NBC News, saying \u201cEmbryos, to me, are babies.\u201d A day later, she told CNN she did not want to shut down IVF treatments and that \u201cAlabama needs to go back and look at the law.\u201d
\u201cOne, you want to make sure that embryos are protected and respected in the way that they\u2019re supposed to be,\u201d Haley said. \u201cTwo, you want to make sure that parents have the rights to make those decisions with their doctor as they go through in what they\u2019re going to do.\u201d
New Hampshire Gov. Chris Sununu, a Republican, called the ruling \u201cscary\u201d while speaking at the POLITICO Governors Summit on Thursday. Alabama state Sen. Tim Melson, also a Republican, said he intends to file legislation to protect IVF services in the state.
But other Republicans backed the Alabama court ruling and suggested they would encourage women not to use IVF.
Catalina Stubbe, the national director of Moms for Liberty, a nonprofit that advocates for parental rights in education and has targeted discussions of race and LGBTQ identity in schools, said she empathized with women who want to be biological mothers through in vitro fertilization but felt they should adopt instead.
\u201cThere are many other options that moms can definitely take in consideration instead of IVF,\u201d said Stubbe, who emphasized she was describing her position and not her group's. \"This is sad to create a life just to end up like an experiment for a laboratory.\u201d
IVF is a common process by which people attempt to become pregnant, especially for couples having trouble conceiving, LGBTQ couples and people trying to prevent passing on terminal genetic illnesses or high risks of cancer. It is responsible for about 84,000 babies a year, according to the Centers for Disease Control and Prevention.
Legislation and court rulings defining life as beginning at fertilization or that give embryos legal rights may limit parts of the IVF process, including the removal of embryos that fail to implant in the uterus or the disposal of unused embryos.
Fertility doctors have been raising alarm bells over the risks of losing IVF access since Roe v. Wade was overturned as many patients frantically moved frozen embryos to states with more permissive abortion laws \u2014 a process that comes with increased cost, complexity and risk of damage to embryos.
Democratic Sen. Tammy Duckworth of Illinois, who has conceived two daughters through IVF, urged Congress to pass a bill introduced last month aiming to protect IVF access.
The Democratic Legislative Campaign Committee encouraged Alabamans to vote for Democratic candidate Marilyn Lands in a special election next month for a state legislative seat.
\u201cThis could be a determining factor in who is elected president and could have a big impact in who serves in Congress,\u201d said Kathleen Sebelius, a Democratic former Kansas governor and secretary of U.S. Health and Human Services.
At the annual Conservative Political Action Conference meeting on Thursday, Lala Mooney of Charles Town, West Virginia, said she \u201cabsolutely\u201d agrees with the Alabama ruling.
\u201cEmbryos are a potential child,\u201d said Mooney, whose son is Republican U.S. Rep. Alex Mooney. \u201cAnd the moment they\u2019re fertilized, I think they become human beings.\u201d
But Pat Parsley, a 76-year-old from Georgetown, South Carolina, who was waiting to hear from Haley at a campaign event Thursday afternoon, said she wants the former South Carolina governor to win the nomination but condemned the Alabama ruling.
\u201cI think that is really scary. It\u2019s scary for women. It\u2019s scary for families,\u201d said Parsley, who also said she believes abortion should be up to women. \u201cI\u2019m glad I\u2019m not a young woman right now. I hate to say that. I mean, what young women are facing: We\u2019ve gone backwards.\u201d
___
Fernando reported from Chicago. Associated Press reporters Adriana Gomez Licon, Colleen Long, Michelle L. Price, Amanda Seitz and Ali Swenson contributed to this report.
___
The Associated Press receives support from several private foundations to enhance its explanatory coverage of elections and democracy. See more about AP\u2019s democracy initiative here. The AP is solely responsible for all content.
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The vote Thursday was the first step in the plans of the new pro-European Union government to loosen the anti-abortion and anti-contraception law which is among Europe's toughest. The morning-after pill is currently available only by prescription. Abortion is legal only when the pregnancy threatens the woman's health or results from rape. The strict law has had a chilling effect on Poland's doctors. The new contraception regulations still need approval from the Senate which is expected to grant it and from President Andrzej Duda.", + "located": "WARSAW, Poland", + "datelinelocation": { + "city": "Warsaw", + "countrycode": "POL", + "countryname": "Poland", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + 21.01178, + 52.22977 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. 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The vote in the lower house was the first step in the plans of the new pro-European Union government to loosen the anti-abortion and anti-contraception law, which is among Europe\u2019s toughest.
The lawmakers voted 224-196 in the Sejm with one abstention to liberalize access to the hormonal contraceptive, called ellaOne.
The morning-after pill, which prevents pregnancy, is currently available only by prescription. The previous conservative government, backed by President Andrzej Duda, tightened reproductive laws, drawing major street protests.
Abortion in Poland, a predominantly Roman Catholic country, is legal only when the pregnancy threatens a woman\u2019s health or life, or results from rape. The strict law has had a chilling effect on Poland\u2019s doctors, and has led to a number of deaths of women with troubled pregnancies.
The new contraception regulations still need approval from the Senate, which is expected to grant it, and from Duda.
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\u201cThere are only men in my home \u2014 no ladies,\" said the 32-year-old mother and housewife in Mumbai. \"I don\u2019t speak to anyone here. So I used this app as it helps me in my personal problems.\u201d
The app she uses is powered by artificial intelligence running on OpenAI\u2019s ChatGPT model, that Myna Mahila Foundation, a local women's organization, is developing. Thatkare asks the Myna Bolo chatbot questions and it offers answers. Through those interactions, Thatkare learned about a contraceptive pill and how to take it.
Thatkare is one of 80 test users the foundation recruited to help train the chatbot. It draws on a customized database of medical information about sexual health, but the chatbot's potential success relies on test users like Thatkare to train it.
The chatbot, currently a pilot project, represents what many hope will be part of the impact of AI on health care around the globe: to deliver accurate medical information in personalized responses that can reach many more people than in-person clinics or trained medical workers. In this case, the chatbot's focus on reproductive health also offers vital information that \u2014 because of social norms \u2014 is difficult to access elsewhere.
\u201cIf this actually could provide this nonjudgmental, private advice to women, then it could really be a gamechanger when it comes to accessing information about sexual reproductive health,\u201d said Suhani Jalota, founder and CEO of the Myna Mahila Foundation, which received a $100,000 grant from the Bill & Melinda Gates Foundation last summer to develop the chatbot, as part of a cohort of organizations in low- and middle-income countries trying to use AI to solve problems in their communities.
Funders like the Gates Foundation, the Patrick J. McGovern Foundation and Data.org, are seeking to build up this \u201cmissing middle\u201d in AI development, especially in areas like health and education. These philanthropic initiatives offer developers access to AI tools they otherwise could not afford so they can solve problems that are a low priority for corporations and researchers \u2014 if they are on their radars at all \u2014 because they don't have high profit potential.
\u201cNo longer can the global north and high-income countries drive the agenda and decide what does and does not need to be addressed in local communities in the global south,\u201d wrote Trevor Mundel, president for global health at the Gates Foundation in an October online post, adding, \u201cWe cannot risk creating another chasm of inequity when it comes to AI.\u201d
The Associated Press receives financial support for news coverage in Africa from the Bill & Melinda Gates Foundation.
The Myna Mahila Foundation recruited test users like Thatkare to write real questions they have. For example, \u201cDoes using a condom cause HIV?\u201d or \u201cCan I have sex during periods?\" The foundation's staff then closely monitor the chatbot's responses, developing a customized database of verified questions and answers along the way that helps improve future responses.
The chatbot is not yet ready for wider release. The accuracy of its responses is not good enough and there are issues with translation, Jalota said. Users often write questions in a mix of languages and may not provide the chatbot with enough information for it to offer a relevant response.
\u201cWe are not yet fully sure on whether or not women can understand everything clearly and whether or not it\u2019s fully medically accurate all of the information that we\u2019re sending out,\u201d Jalota said. They are considering training some women to help ask the chatbot prompts on behalf of someone else, though still aim to improve the chatbot so it can be released on its own.
Dr. Christopher Longhurst, chief medical officer at the UC San Diego Health, has led the implementation of AI tools in health care settings and said it is important to test and measure the impact of these new tools on patient health outcomes.
\u201cWe can\u2019t just assume or trust or hope that these things are going to be good. You actually have to test it,\u201d Longhurst said. He thinks the promise of AI in health care is overestimated in the next two to three years, \u201cBut I think long term, over the next decade, AI is going to be as impactful as the introduction of penicillin in health care.\u201d
Jalota\u2019s team consulted with other projects funded by the Gates Foundation that were designing chatbots for health care settings so they could solve similar problems together, said Zameer Brey, interim deputy director for technology diffusion for the Gates Foundation.
The Myna Mahila Foundation is also partnering with another Gates grantee to propose developing privacy standards for handling data for reproductive health. The foundation, which is working with an outside technology firm to develop the chatbot, is also considering other steps to help ensure the privacy of users.
\u201cWe\u2019ve been discussing whether we should delete messages within a certain time frame of women sending it to add to this privacy,\u201d Jalota said, as some women share phones with family members.
___
AP Technology Writer Matt O\u2019Brien contributed from Providence, Rhode Island.
___
Associated Press coverage of philanthropy and nonprofits receives support through the AP\u2019s collaboration with The Conversation US, with funding from Lilly Endowment Inc. The AP is solely responsible for this content. For all of AP\u2019s philanthropy coverage, visit https://apnews.com/hub/philanthropy.
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What is FTD?", + "headline_extended": "Former talk show host Wendy Williams has been diagnosed with a rare form of dementia called frontotemporal dementia, or FTD", + "slugline": "BC-US-MED--Wendy Williams-Diagnosis-Explainer, 1st Ld-Writethru", + "description_summary": "Former talk show host Wendy Williams has been diagnosed with a rare form of dementia called frontotemporal dementia, or FTD. It affects parts of the brain controlling behavior and language. These parts of the brain shrink as the disease gets worse. FTD usually occurs in people in their 40s, 50s and early 60s. It can affect a person\u2019s personality, causing a loss of inhibition or inappropriate behavior. It can be mistaken for depression or bipolar disorder and often takes years to diagnose. People with FTD will need caregiving or nursing support as their symptoms get worse.", + "bylines": [ + { + "by": "By CARLA K. JOHNSON", + "title": "AP Medical Writer" + } + ], + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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The 59-year-old former talk show host was diagnosed last year with with primary progressive aphasia and frontotemporal dementia \u201cafter undergoing a battery of medical tests,\u201d according to the statement.
A look at the condition, which also affects the actor Bruce Willis.
Frontotemporal dementia, or FTD, is a rare disease that affects parts of the brain controlling behavior and language. These parts of the brain shrink as the disease gets worse.
FTD usually occurs in people in their 40s, 50s and early 60s. It can affect a person\u2019s personality, causing a loss of inhibition or inappropriate behavior. It is sometimes mistaken for depression or bipolar disorder, and can take years to diagnose.
\u201cIt's a really tough diagnosis, I have to tell you,\u201d said Johns Hopkins University cognitive scientist Brenda Rapp. \u201cMaybe you\u2019re doing things that are bothering people and you don\u2019t really understand why they\u2019re bothering people.\u201d That can be frustrating for everyone involved, Rapp said.
The disease often includes primary progressive aphasia, which means it's causing problems with language skills. A person with this type of FTD may have trouble finding words or understanding speech.
It\u2019s caused by damage to neurons, the brain\u2019s information carriers, but the underlying reasons for a particular case are often unclear. People with a family history of the condition are more likely to develop it. But most people with FTD have no family history of dementia.
There is no cure for FTD, but there are strategies for dealing with it. People might get speech therapy if they have the type that affects language. They might get physical therapy to improve movement.
Some patients receive antidepressants or drugs for Parkinson\u2019s, which has some overlapping symptoms with FTD.
FTD can be a long illness, lasting two to 10 years. People with FTD will need caregiving or nursing support as their symptoms get worse.
\u201cThe disease will spread throughout the brain,\u201d Rapp said. \u201cThe rate at which it does that is extremely unpredictable. So it\u2019s very hard to know ... how quickly someone will deteriorate.\u201d
The financial burden on families can be immense. The Alzheimer's Association estimates it costs $10,000 a year, on average, for the out-of-pocket health and long-term care for a person with dementia.
___
The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute\u2019s Science and Educational Media Group. The AP is solely responsible for all content.
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(AP) \u2014 The Wisconsin state Assembly passed a bill Thursday that would unlock $125 million to help municipalities and landowners cope with pollution from so-called forever chemicals. But Gov. Tony Evers isn't on board.
The Senate passed the Republican-authored legislation in November. The Assembly followed suit with a 61-35 vote on Thursday, the chamber's last floor period of the two-year legislative session.
PFAS, short for per- and polyfluoroalkyl substances, are man-made chemicals that don\u2019t easily break down in nature. They are found in a wide range of products, including cookware and stain-resistant clothing, and previously were often used in aviation fire-suppression foam. The chemicals have been linked to health problems including low birth weight, cancer and liver disease, and have been shown to make vaccines less effective.
Municipalities across Wisconsin are struggling with PFAS contamination in groundwater, including Marinette, Madison, Wausau and the town of Campbell on French Island. The waters of Green Bay also are contaminated.
The bill would create grants for cities, towns, villages, private landowners and waste disposal facilities to test for PFAS in water treatment plants and wells and mandate studies on the chemicals. The bill doesn't appropriate any money but the measure's chief sponsors, Sens. Eric Wimberger and Rob Cowles and Rep. Jeffrey Mursau, have said the dollars would come out of a $125 million PFAS trust fund established in the current state budget.
But Evers has balked at the bill largely because it contains provisions that he says would limit the state Department of Natural Resources' ability to hold polluters accountable.
Under the bill, the DNR would need landowners' permission to test their water for PFAS and couldn't take any enforcement action against landowners who spread PFAS in compliance with a license or permit.
The agency would be responsible for remediation at contaminated sites where the responsible party is unknown or can't pay for the work. And landowners who allow the DNR to remediate contaminated property at the state's expense would be immune from enforcement action.
Evers in December directed the DNR to ask the Legislature's Republican-controlled finance committee to release the $125 million trust fund to the agency but Republicans continued to push the bill as a framework to spend the money.
The governor sent Wimberger and Cowles a letter Wednesday signaling he won't sign the legislation into law. With the Assembly wrapping up Thursday, there was no time to revise the bill. Unless Evers changes his mind, the measure is dead.
Assembly Democrats accused Republicans of refusing to compromise and lamented the Legislature's inability to make any substantial headway on PFAS.
\u201cWhat's more disappointing and more unfair is the people who have been waiting for years for the Legislature to get their act together,\u201d Rep. Katrina Shankland said. \u201cHow many sessions is it going to take to get something real done on PFAS? I don't know. I don't have the answer ... square one tomorrow, I guess.\u201d
Mursau countered that the DNR restrictions are necessary to ensure the agency doesn't hold landowners liable for pollution on their property that they didn't cause. Rep. Rob Swearingen pressed Evers to change his stance and sign the bill.
\u201cWe've got to stop playing these games on (the bill) and PFAS contamination,\u201d he said.
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(AP) \u2014 Kendra Sawyer spoke with her dad from the Deschutes County jail and told him she loved him. Six hours later, in the throes of opioid withdrawal, the 22-year-old took her own life.
A year later, Sawyer\u2019s father, Kent, is left wondering whether his daughter, troubled as she was, might still be alive if the jail hadn't failed to provide her with medicine to ease the agony of her withdrawal, as he claimed in a recently filed lawsuit.
\u201cKendra was screaming in pain and crying for hours and hours, and nobody was doing anything,\" Sawyer said. \u201cNo one truly deserves to die in a painful way.\u201d
Oregon jails could soon see a rise in the number of inmates struggling with opioid addiction like Kendra, if efforts are successful during this legislative session to roll back Measure 110, the state\u2019s first-in-the-nation drug decriminalization law that legalized the possession of \u201cpersonal use\u201d amounts of illicit drugs such as heroin. In response, state lawmakers from both parties are pushing for more funding for medications used to treat opioid addiction in jails.
The measure, passed by voters in 2020, has come under fire as Oregon struggles with a fentanyl crisis that's fueled one of the nation's biggest spikes in overdose deaths, and overhauling it is a top priority during this year's legislative session.
The latest proposal would allow jails seeking to create or expand medication treatment programs to apply for grants from a $10 million fund. It has bipartisan support and the backing of public health advocates and some in law enforcement.
\u201cThis is a policy that sets politics aside and that really is about what jails need to take care of people,\u201d said Democratic state Rep. Pam Marsh, who drafted the measure. \u201cIf we are serious about providing treatment for people, it\u2019s an obvious gap to fill.\u201d
In Lincoln County, for example, the jail currently spends nearly $50,000 a month \u2014 or more than $1,600 a dose \u2014 on addiction medication for 30 inmates, Marie Gainer, the corrections sergeant who oversees the program, said in an email. The jail program on Oregon's rural Pacific Coast, about 130 miles (210 kilometers) southwest of Portland, treated 91 inmates last year, she said.
Backers of jail-based treatment programs say they save lives by allowing people to continue or start recovery while incarcerated.
Roughly 60% of people in American jails have substance use disorders, federal data shows, and overdose is a leading cause of death for people newly released, partly because their tolerance diminishes when they\u2019re not using behind bars.
Yet just under a quarter of jails provide opioid addiction medication to people who had prescriptions before incarceration, and even fewer \u2014 19% \u2014 offer treatment for people without prior prescriptions, according to the most recent federal data from the 2019 Census of Jails.
Courts, however, have recently ruled that withholding addiction treatment medication from inmates with prior prescriptions violates federal law, and more states and local counties have taken steps to expand access.
In Washington state, for example, lawmakers want to dedicate an additional $7.4 million to the issue, on top of the $7.5 million already approved in the biennial budget last year. Part of the proposed boost would come from opioid settlement funds, a month after the state attorney general announced a nearly $150 million settlement with drugmaker Johnson & Johnson. If passed by the Legislature, the supplemental funding would double the number of jails providing medication, from 19 to 38, Gov. Jay Inslee\u2019s office said in an email.
Other states \u2014 including New York, Vermont, Maryland and Utah \u2014 have passed laws requiring jails to provide medication for opioid use disorder to people who already had prescriptions when they were jailed.
When Utah\u2019s law took effect last May, Colin Conner, who struggled with opioid addiction for years, had been in a Salt Lake City jail for nearly two months. By that point the jail had already discontinued his methadone, which he had been prescribed before his arrest, his father said.
Cut off from his medication, Colin went through agonizing withdrawal, Jon Tyler Conner said. His cravings returned and his drug tolerance decreased. Just days after his release last June, he died of a fentanyl overdose at the age of 32.
\u201cIf they would have treated him as they should have by law, he would have been on his methadone. He wouldn\u2019t have died,\" said Conner, who lives in Seattle.
The Salt Lake County Sheriff's Office said in an emailed statement that it couldn't comment \u201cdue to the potential threat of litigation.\u201d
In Oregon, Sawyer filed a federal lawsuit against Deschutes County alleging wrongful death and negligence in his daughter Kendra's death. It accused the county of failing to treat her physical and mental health needs. According to the complaint, records that included information about Kendra previously attempting suicide were available to intake officers during her booking.
Sawyer's lawyer, Ryan Dreveskracht, said he is still waiting for Kendra's medical records but has seen no evidence that she received withdrawal medication.
Deschutes County \u201cdoes not agree with the allegations in the complaint and intends to vigorously defend the lawsuit,\u201d county counsel David Doyle said in an email.
Jails in other states have had success with offering opioid addiction medication behind bars.
Since 2018, New York\u2019s Saratoga County jail has provided such medication for inmates who had prescriptions at booking, and in 2020 it started administering it to people without prior prescriptions who were identified as having an opioid addiction during intake screening.
Ben Deeb, who oversees the program, said participants have had a recidivism rate of 16% since it began.
\u201cThat proves that when you give people the medications they need, you provide the education, trauma therapy and peer support they need \u2026 that they succeed,\u201d he said. \u201cThis needs to be what corrections looks like.\u201d
States have a key role to play in boosting funding for such treatment in jails that is often overlooked, said Jonathan Larsen, legal program manager for the Center for Public Health Research at Temple University in Philadelphia.
\u201cAt the end of the day, we already know how to treat this,\u201d he said.
In Oregon, Sawyer knows his lawsuit won\u2019t bring Kendra back. But he hopes his daughter's story sparks change and raises awareness.
\u201cA little more action can save a lot more lives,\u201d he said.
___
Associated Press writer Hallie Golden in Seattle contributed to this report.
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Adds audio.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "ENT--People-Wendy Williams", + "headline": "Wendy Williams diagnosed with same form of dementia as Bruce Willis", + "headline_extended": "Former talk show host Wendy Williams has been diagnosed with the same form of dementia that actor Bruce Willis has", + "slugline": "AP-ENT-People-Wendy-Williams, 4th Ld-Writethru", + "description_summary": "Former talk show host Wendy Williams has been diagnosed with the same form of dementia that actor Bruce Willis has. A statement released on behalf of her caretakers Thursday says the 59-year-old's diagnoses of primary progressive aphasia and frontotemporal dementia \u201chave already presented significant hurdles in Wendy\u2019s life\u201d and have behavioral and cognitive impacts. The announcement came a day after a cover story in People magazine quoted Williams\u2019 family about the nature of her struggles, ahead of a Lifetime documentary set to air Saturday. A representative listed on the release referred questions back to the statement.", + "bylines": [ + { + "by": "By ANTHONY McCARTNEY", + "title": "AP Entertainment Writer" + } + ], + "located": "LOS ANGELES", + "datelinelocation": { + "city": "Los Angeles", + "countryareacode": "CA", + "countryareaname": "California", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -118.24368, + 34.05223 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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The statement said the 59-year-old's diagnoses of primary progressive aphasia and frontotemporal dementia \u201chave already presented significant hurdles in Wendy\u2019s life\u201d and have behavioral and cognitive impacts.
\u201cWendy is still able to do many things for herself. Most importantly she maintains her trademark sense of humor and is receiving the care she requires to make sure she is protected and that her needs are addressed. She is appreciative of the many kind thoughts and good wishes being sent her way,\u201d the statement attributed to her care team said.
The statement on Williams\u2019 health was issued on PR Newswire. A representative listed on the release, Jennifer Hanley, referred questions back to the statement when contacted by The Associated Press.
The announcement came a day after a cover story in People magazine quoted Williams\u2019 family about the nature of her struggles, ahead of a Lifetime documentary set to air Saturday.
\u201cThe people who love her cannot see her,\u201d People quoted Williams\u2019 sister Wanda as saying. \u201cI think the big (question) is: How the hell did we get here?\u201d The family said a court-appointed legal guardian was the only person with unfettered access to Williams.
The article said the Lifetime documentary crew, which set out in 2022 to chronicle Williams\u2019 comeback, stopped filming in April 2023 when, her manager \u201cand jeweler\u201d Will Selby says in footage for the film, she entered a facility to treat \u201ccognitive issues.\u201d Her son says in the documentary that doctors had connected her cognitive issues to alcohol use, People reported.
Her family told People they don\u2019t know where she is and cannot call her themselves, but she can call them.
The Association for Frontotemporal Degeneration describes FTD as a group of brain disorders caused by degeneration of the frontal and/or temporal lobes of the brain that affects behavior, language and movement. Aphasia, a brain disorder that can lead to problems speaking or understanding words, can be a symptom of it. The association describes frontotemporal degeneration as \u201can inevitable decline in functioning,\u201d with an average life expectancy of seven to 13 years after the onset of symptoms.
FTD usually occurs in people in their 40s, 50s and early 60s. It can affect a person\u2019s personality, causing a loss of inhibition or inappropriate behavior. It is sometimes mistaken for depression or bipolar disorder, and can take years to diagnose.
There are no treatments to slow or stop the disease, but some interventions can help manage symptoms.
The association was involved in the disclosure of Willis' diagnosis in February 2023, hosting a statement posted by the actor's family.
\u201cWe thank Wendy Williams for having the courage to make her diagnosis public and raise awareness of the disease,\u201d association CEO Susan Dickinson said in a statement. \u201c\u201dWe know that a diagnosis like this can be heartbreaking, but she is not alone. While there may not be a cure, every day we are working to improve care and research into treatments for this disease.\u201d
Thursday's statement credited Weill Cornell Medicine in New York with the care and expertise Williams received. Weill Cornell declined comment.
Williams rose to fame in part due to her no-boundaries approach to her life, which included sharing personal details about her health, plastic surgery and cocaine addiction \u2014 the subject of her 2003 memoir, \u201cWendy's Got the Heat.\u201d
A hallmark of \u201cThe Wendy Williams Show,\u201d which competed for viewers with Ellen DeGeneres' show, was her signature phrase, \u201cHow you doin\u2019?\" She transitioned to television after a successful career as a radio host, known for her hot takes on gossip and skewering of celebrities, including a contentious 2003 interview with Whitney Houston.
In 2022, Williams' self-titled daytime talk show ended because of her ongoing health issues. Sherri Shepherd, who filled in for Williams as a guest host, received her own show.
Williams said in 2018 that she had been diagnosed years before with Graves\u2019 disease, which leads to the overproduction of thyroid hormones and can cause wide-ranging symptoms and affect overall health.
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Additionally, the document includes statements from health associations and experts, further emphasizing the health-related content." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/02/22/dd0da89de4fd6d1ef133a57d697e3faf.json b/datasets/AP_news/raw_data/2024/02/22/dd0da89de4fd6d1ef133a57d697e3faf.json new file mode 100644 index 0000000..fe3f3be --- /dev/null +++ b/datasets/AP_news/raw_data/2024/02/22/dd0da89de4fd6d1ef133a57d697e3faf.json @@ -0,0 +1,290 @@ +{ + "altids": { + "itemid": "dd0da89de4fd6d1ef133a57d697e3faf", + "etag": "dd0da89de4fd6d1ef133a57d697e3faf_1a6aza0c0", + "friendlykey": "521443594728", + "referenceid": "US--Abortion-South Dakota" + }, + "version": 1, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-02-22T21:08:01Z", + "firstcreated": "2024-02-22T20:38:02Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: EDITS: This story has been edited to add some missing words and make other minor edits.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "US--Abortion-South Dakota", + "headline": "GOP lawmakers try to thwart abortion rights ballot initiative in South Dakota", + "headline_extended": "South Dakota\u2019s Republican-led Legislature is trying to thwart a proposed ballot initiative that would enable voters to protect abortion rights in the state constitution", + "slugline": "AP-US--Abortion-South Dakota, 1st Ld-Writethru", + "description_summary": "South Dakota\u2019s Republican-led Legislature is trying to thwart a proposed ballot initiative that would enable voters to protect abortion rights in the state constitution. The House and Senate overwhelmingly approved a resolution rebuking the ballot measure. Another bill would allow initiative petition signers to remove their signatures. Still another would create an informational video about the state\u2019s abortion laws. South Dakota currently outlaws all abortions unless to save the life of the mother. The initiative has drawn more than 50,000 signatures. It requires 35,017 validated signatures to make the November ballot. 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(AP) \u2014 South Dakota's Republican-led Legislature is trying to thwart a proposed ballot initiative that would enable voters to protect abortion rights in the state constitution. The initiative's leader says the GOP efforts threaten the state's tradition of direct democracy.
Supporters need about 35,000 valid signatures submitted by May 7 to qualify for the November ballot. Dakotans for Health co-founder Rick Weiland said they already have more than 50,000.
Republican lawmakers say the language is too extreme and overwhelmingly adopted a resolution opposing the initiative after grilling Weiland during a committee hearing.
South Dakota outlaws all abortions except to save the life of the mother under a trigger ban that took effect in 2022 after the U.S. Supreme Court overruled Roe v. Wade.
If voters approve it, the three-paragraph addition to the South Dakota Constitution would ban the state from regulating abortion in the first trimester and allow regulations for the second trimester \u201conly in ways that are reasonably related to the physical health of the pregnant woman.\u201d The state could regulate or prohibit third-trimester abortions, \u201cexcept when abortion is necessary, in the medical judgment of the woman\u2019s physician, to preserve the life or health of the pregnant woman.\u201d
\u201cWe looked at the rights that women had for 50 years under Roe v. Wade, basically took that language and used it in our amendment,\u201d Weiland said.
Seven states have had abortion-related ballot measures since the Dobbs decision, and voters favored abortion rights in all of them. Four of those -- in California, Michigan, Ohio and Vermont -- enshrined abortion rights in their constitutions.
The South Dakota Legislature's resolution opposing the initiative says the measure \u201cwould severely restrict any future enactment of protections for a pregnant woman, her child, and her healthcare providers,\" and \u201cwould fail to protect human life, would fail to protect a pregnant woman, and would fail to protect the child she bears.\u201d
Republican House Majority Leader Will Mortenson said they approved the resolution to help the public by pointing out \u201csome of the unintended or intended, maybe, consequences of the measure so that the public could see what it does in practical effect.\u201d
Republican Rep. Jon Hansen \u2014 who co-chairs the Life Defense Fund, formed to defeat the initiative \u2014 said its language goes too far and \u201cbans reasonable, commonsense, bipartisan protections that this state has had in place for decades.\u201d
\u201cWhen Roe v. Wade was the law of the land, we could at least have protections to say if there's going to be an abortion, it needs to be done by a physician, under a physician's supervision, in an inspected facility,\u201d Hansen said. \u201cYou can't have those protections in the first trimester of this proposed constitutional amendment. That's insane. That's way too extreme.\u201d
Weiland said the language conforms with Roe v. Wade and efforts to say otherwise are misleading and ill-informed.
Democratic House Minority Leader Oren Lesmeister said voters, not lawmakers, should decide. Democratic Senate Minority Leader Reynold Nesiba also supports the initiative.
The American Civil Liberties Union of South Dakota, however, is not supporting the initiative, telling its supporters in a December email that the language \"isn\u2019t sufficient to restore abortion access in South Dakota.\u201d
The South Dakota House on Tuesday passed a bill by Hansen that would allow signers of initiative petitions to withdraw their signatures. It now goes to the Senate.
Hansen said the bill is about people being misled or \u201cfraudulently induced\" to sign petitions. Weiland said Hansen's bill is an attack on direct democracy. Hansen said, \u201cThis is a right squarely in the hands of the person who signed; if they want to withdraw, they can withdraw.\u201d
Democratic lawmakers on Thursday brought up concerns about potential abuses and class-action lawsuits over signature removals. They said state laws already exist to ensure ballot initiatives are done properly.
The Senate will soon weigh a House-passed bill that would require the state Department of Health, which answers to Republican Gov. Kristi Noem, to create an informational video, with consultation from the state attorney general and legal and medical experts, describing how the state\u2019s abortion laws should be applied.
Republican Rep. Taylor Rehfeldt said she brought the bill to provide clarification after questions from providers about when they can intervene to save a pregnant woman's life. The purpose is to \"just talk about women's health, what the law says and what the health care and legal professional opinions are, surrounding what our law currently says,\u201d Rehfeldt said.
Weiland said he is skeptical, not knowing what the video would include.
\u201cHopefully it's enough guidance for doctors to be able to make these medical decisions,\u201d he said.
___
Associated Press writer Geoff Mulvihill contributed from Cherry Hill, New Jersey.
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Therefore, the document is somewhat relevant to the topic of health but not highly focused on it." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/02/22/debb19011af8996a53466111b5488a0d.json b/datasets/AP_news/raw_data/2024/02/22/debb19011af8996a53466111b5488a0d.json new file mode 100644 index 0000000..5c2f896 --- /dev/null +++ b/datasets/AP_news/raw_data/2024/02/22/debb19011af8996a53466111b5488a0d.json @@ -0,0 +1,182 @@ +{ + "altids": { + "itemid": "debb19011af8996a53466111b5488a0d", + "etag": "debb19011af8996a53466111b5488a0d_1a10aza0c0", + "friendlykey": "107201594824", + "referenceid": "Food--Ella Mills" + }, + "version": 1, + "type": "text", + "urgency": 4, + "profile": "Feature", + "language": "en", + "versioncreated": "2024-02-22T16:09:10Z", + "firstcreated": "2024-02-22T16:01:51Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: EDITS: Adds hyperlink to sidebar Food--Ella Mills-Ragu.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "Food--Ella Mills", + "headline": "Home chef Ella Mills offers some plant-based recipes for anyone tempted by a healthier way to eat", + "headline_extended": "Ella Mills knows we all want to eat healthier", + "slugline": "BC-Food--Ella Mills, 1st Ld-Writethru", + "description_summary": "Ella Mills knows we all want to eat healthier. But the English food writer and businesswoman also knows we\u2019re busy and we want everything to taste good. And she knows many people are nervous about the idea of committing to no meat. Mills is ready to hold our hands as we get through this with her latest cookbook, \u201cHealthy Made Simple.\u201d It features over 75 quick, plant-based recipes, from Lemony Pea and Broccoli Pasta to a Creamy Leek, Spinach and Butter Bean Bowls. \u201cHealthy Made Simple\u201d celebrates whole foods and uses proteins from nuts, tofu, lentils, beans and chickpeas.", + "bylines": [ + { + "by": "By MARK KENNEDY", + "title": "AP Entertainment Writher" + } + ], + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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But the English food writer and businesswoman also knows we're busy and we want everything to taste good. And she understands many of us are nervous about the idea of committing to no meat.
\u201cI know I used to think eating this way would be just like nibbling on sad and soggy carrots and rabbit food all day long,\u201d she says. \u201cBut you suddenly start cooking and you realize it\u2019s actually super-flavorsome and textured and interesting and just not what you thought it was.\u201d
Mills is ready to guide us as through this with a line of healthy products and her latest cookbook, \u201cHealthy Made Simple,\u201d featuring over 75 plant-based recipes, from Lemony Pea and Broccoli Pasta to a Creamy Leek, Spinach and Butter Bean Bowl.
\u201cIt\u2019s about taking these familiar ingredients that are often seen as a little bit bland, a little bit boring, and trying to give them gentle twists, to make them feel really exciting and rejuvenated,\u201d she says.
\u201cHealthy Made Simple\u201d contain dishes Mills eats at home with her husband and two young children. She aims to have the recipes take less than 30 minutes to make, use no more than five simple steps, and need 10 ingredients or less.
\"I just found that was essentially the sweet spot where action and reality merged closer together,\" she says.
\u201cWe know we need to eat less ultra-processed food. So this is a hand-holding resource to help you do that.\u201d
Mills took a hard look at some of her favorite dishes and tried to create a better balance between flavor, practicality, nutrition and speed.
\u201cWhat I found was that oftentimes there was an extra step or an extra pan in there, or like two or three extra ingredients. And it probably made it 5% nicer or 10% nicer,\" she says. \u201cBut I\u2019d end up not making the recipes anymore because it was just that little bit more effort.\u201d
\u201cHealthy Made Simple\u201d celebrates whole foods and uses proteins from things like nuts, tofu, lentils, beans and chickpeas. The flavors are global, with ingredients including harissa, udon, satay, miso, pesto, tagine and curry.
\"As you start to look around the world, there\u2019s so many places where not necessarily the whole society is vegetarian, but vegetables are the hero and they\u2019re treated with a lot of TLC,\u201d she says.
Take her One-Pan Peanut and Cauliflower Stew, which combines peanut butter, ginger, coconut milk, garlic, rice and curry powder with simmering cauliflower florets. It's got heat, crunch and tastes indulgent.
Lauren Whelan, the publisher for Yellow Kite, the lifestyle and cooking imprint of Hodder & Stoughton, says Mills' creativity shows the versatility and simplicity of plants. Mills' sweet potato brownies revolutionized the way that vegetable is used in the U.K., Whelan says.
If Mills is an evangelist for vegetarianism, she says she's proof of its benefits. At 21, she was diagnosed with Postural Tachycardia Syndrome, which affected her nervous system, and was put on a variety of medications.
She chose to overhaul her diet and started documenting her experience in a blog. Able to wean herself off medicines, Mills has since built up her Deliciously Ella business into seven cookbooks and a food brand.
Mills isn't preachy and knows her readers may not be ready to go full-on vegetarian. For her, it's about small steps that can make meaningful changes, like making one or two plant-based dishes a week or highlighting a vegetable one night with the meat as the side dish.
\u201cThis is not all or nothing. This is not \u2018Everyone should go plant-based tomorrow\u2019 or \u2018Everyone should only cook from this book,\u2019\u201d she says. \u201cBut it\u2019s like on a Sunday night when you\u2019re at home, could you do one of these recipes and then you\u2019d have some leftovers for lunch?\u201d
One of her new dishes \u2014 Spicy Sun-Dried Tomato and Eggplant Ragu \u2014 is perfect for skeptics. It adds some heat from harissa and chili to a pasta with eggplant and parsley, finished with walnuts.
\u201cIt has this kind of chunky, bolognese ragu-esque texture. That\u2019s the kind of thing that I would make a lot for friends or family who are not sure they\u2019re going to love plant-based stuff, but when you\u2019re tossing that through some nice spaghetti you can always serve it with parmesan on the side,\u201d she says.
Mills knows the world of health and wellness often chases trends, but she believes in the ultimate power of a well-dressed carrot.
\u201cWe so often see health and looking after ourselves as a trend, as a fad, as a six-week plan. Ultimately, that\u2019s not health. Health is looking after yourself for decades,\" she says. And to do that, \"It can\u2019t be deprivation. It has to be something you want to do on a regular basis.\u201d
___
Mark Kennedy is at http://twitter.com/KennedyTwits
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The Idaho Statesman reports data compiled by the Idaho Physician Well-Being Action Collaborative also shows that over the same 15-month period, only two obstetricians moved to the state to practice. The report says the number of obstetricians in Idaho decreased from 227 in 2022 to about 176 in 2023, a decline of 51 doctors. According to its website, the Idaho Physician Well-Being Action Collaborative is a group created by local physicians in 2018 to address problems affecting physicians and patients in Idaho communities.", + "located": "BOISE, Idaho.", + "datelinelocation": { + "city": "Boise", + "countryareaname": "Idaho", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -116.20345, + 43.6135 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. 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(AP) \u2014 More than 50 Idaho obstetricians have stopped practicing in the state since a near-total abortion ban took effect in August 2022, according to a newly released report.
Data compiled by the Idaho Physician Well-Being Action Collaborative also shows that only two obstetricians moved to the state to practice in the last 15 months, the Idaho Statesman reported on Tuesday. Obstetricians provide health care during pregnancy and childbirth.
The number of obstetricians in Idaho decreased from 227 in 2022 to about 176 in 2023, a decline of 51 doctors, the report said. The Idaho Physician Well-Being Action Collaborative was created in 2018 by local doctors to address problems affecting physicians and patients in Idaho communities, according to its website.
The numbers \u201cshould concern every person living in or considering a move to Idaho,\" the Idaho Coalition for Safe Healthcare said this week in a news release. The coalition is the parent group of the Idaho Physician Well-Being Action Collaborative.
Additionally, the report said two hospital obstetrics programs \u2014 at West Bonner General Health in Sandpoint and at Valor Health in Emmett \u2014 have closed since Idaho\u2019s law banning abortion took effect, the report said.
A third hospital obstetrics program is in \u201cserious jeopardy\u201d of closing, the report also said.
Only 22 of 44 counties in Idaho have access to any practicing obstetricians, the report said. About 85% of obstetricians and gynecologists in Idaho practice in the seven most populous counties.
Idaho banned nearly all abortions after the U.S. Supreme Court overturned Roe v. Wade in 2022. Idaho makes it a crime with a prison term of up to five years for anyone who performs or assists in an abortion.
Post-Roe, many maternal care doctors in restrictive states are deciding whether to stay or go. They weigh tough questions about medical ethics, their families and whether they can provide the best care without risking their careers or prison time.
Dr. Kylie Cooper, a maternal-fetal specialist, left Idaho last year. She told The Associated Press at the time that it was a very difficult decision but that she and her family needed to be where they felt reproductive health care was protected and safe.
Data also shows Idaho is at the 10th percentile of maternal mortality outcomes, meaning 90% of the country has better maternal and pregnancy outcomes than Idaho.
\u201cIn a time when we should be building our physician workforce to meet the needs of a growing Idaho population and address increasing risks of pregnancy and childbirth, Idaho laws that criminalize the private decisions between doctor and patient have plunged our state into a care crisis that unchecked will affect generations of Idaho families to come,\u201d Dr. Caitlin Gustafson, an OB-GYN and the board president of the Idaho Coalition for Safe Healthcare Foundation, said in the news release.
The loss of obstetricians further strains a health system that was already experiencing a physician shortage, the release said. The national average of live births a year per obstetrician is 94 compared to 107 in Idaho, the news release said.
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(AP) \u2014 Florida's controversial surgeon general is drawing criticism for his handling of an elementary school's measles outbreak, telling parents of unvaccinated children it is their choice whether their students attend class \u2014 a contravention of federal guidelines calling for their mandatory exclusion.
Dr. Joseph Ladapo, nationally known for his outspoken skepticism toward the COVID-19 vaccine, sent a letter this week to parents at Manatee Bay Elementary School near Fort Lauderdale after six students contracted the highly contagious and potentially deadly virus. Such outbreaks are rare in the United States, though reported cases have spiked from 58 for all of 2023 to 35 already this year.
The letter notes that when a school has a measles outbreak, it is \u201cnormally recommended\u201d that unvaccinated students who haven't previously had the disease be kept home for three weeks \u201cbecause of the high likelihood\u201d they will be infected.
But the letter then says the state won't turn that recommendation into a mandate, at least for now. The Broward County school district said Friday that 33 of Manatee Bay\u2019s 1,067 students don\u2019t have at least one shot of the two-dose measles vaccine. The vaccine also covers mumps and rubella and is highly effective against measles even after one dose. The school is in Weston, an upper-middle class and wealthy suburb, with a median household annual income of more than $120,000.
\u201cDue to the high immunity rate in the community, as well as the burden on families and educational cost of healthy children missing school, (the state health department) is deferring to parents or guardians to make decisions about school attendance,\u201d Ladapo wrote. He was appointed by Republican Gov. Ron DeSantis in September 2021 because of their mutual opposition to COVID-19 vaccine and mask mandates and school closures.
His wording contradicts Centers for Disease Control and Prevention recommendations, which tell school officials that unvaccinated children \u201cmust be excluded\u201d for three weeks. States are not required to follow those recommendations, however.
That failure to bar unvaccinated children is sparking criticism from doctors in Florida and around the country, including the American Academy of Pediatrics.
Dr. Rana Alissa, the academy's Florida vice president, said Friday that the state should follow the CDC guidelines \u201cfor the safety of our kids.\u201d Allowing unvaccinated children to attend during the outbreak not only endangers them, but others who might have compromised immune systems and could later catch it from them, she said.
\u201cWhen you have an outbreak, to contain it you have to follow the public health and safety recommendations, not give people a choice,\" she said. \u201cFrankly, giving people a choice is what got us here.\u201d
Jodie Guest, an epidemiologist at Emory University\u2019s Rollins School of Public Health, said the CDC's guidelines \u201care based on decades of iterative science\" but false information about the measles vaccine's dangers is spreading. The vaccine in extremely rare circumstances can cause seizures that are not permanent or life-threatening, the CDC says.
\u201cWe have a pandemic of science disinformation,\u201d she said.
Ladapo's office did not respond Friday to a phone call seeking a response to the criticism.
The school district says any decisions about the mandatory exclusion of unvaccinated students rests solely with the health department. Spokesperson John Sullivan would not say if the six ill children are unvaccinated, citing privacy concerns.
Florida law requires that students be vaccinated for measles and several other contagious diseases, but they can be exempted by their doctor for medical reasons or by their parents if they affirm the shots conflict with the family's \u201creligious tenets and practices.\u201d Officials are not allowed to seek specific information about those beliefs.
Measles spreads when infected people exhale, cough and sneeze the viruses \u2014 it can linger in the air and on surfaces for two hours, infecting numerous people. An infected person can be contagious for four days before symptoms appear, including the telltale rash, fever, cough, runny nose and watery eyes.
Vaccinated people rarely catch the disease and if they do, their symptoms are less severe and they are less contagious, the CDC says.
Besides the unvaccinated students, those most at risk to the disease include infants who are too young for the shots; adults and children with compromised immune systems from such diseases as cancer and HIV; and pregnant women, whose fetuses might be adversely affected.
While most people who catch measles recover without significant problems, an unvaccinated person who catches measles has about a 20% chance of being hospitalized, the CDC says.
About 5% of infected children get pneumonia and about 1 in every 1,000 will develop brain swelling, which can cause deafness or intellectual disability. Between 1 and 3 of every 1,000 infected children who weren't vaccinated will die from the disease, the CDC says.
Before measles vaccinations began in 1963, more than 400,000 Americans annually caught the disease. The numbers dropped dramatically to 47,000 cases in 1970 and 13,000 in 1980. After a bump to 27,000 in 1990, the number of reported infections in 2000 was less than 100.
But then there was a jump to 1,200 cases in 2019 before the COVID-19 lockdowns of 2020 and 2021 caused the numbers to again fall.
___
AP Public Health Reporter Devi Shastri in Milwaukee contributed to this report.
___
The Associated Press Health and Science Department receives support from the Robert Wood Johnson Foundation. The AP is solely responsible for all content.
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Williams' statement, released to The Associated Press on Friday, says she feels \u201cimmense gratitude for the love and kind words I have received. It also says she needs \u201cpersonal space and peace to thrive.\u201d It also came hours after a New York judge ruled Lifetime\u2019s \u201cWhere is Wendy Williams?\u201d documentary will air this weekend as scheduled. The documentary is airing in two parts Saturday and Sunday, and features footage of the former talk show host and interviews.", + "located": "NEW YORK", + "datelinelocation": { + "city": "New York", + "countryareacode": "NY", + "countryareaname": "New York", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -74.00597, + 40.71427 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. 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\u201cI want to say I have immense gratitude for the love and kind words I have received after sharing my diagnosis of Aphasia and Frontotemporal Dementia (FTD). Let me say, wow! Your response has been overwhelming,\" Williams said in a statement released to The Associated Press through a representative for her care team. \u201cThe messages shared with me have touched me, reminding me of the power of unity and the need for compassion.\u201d
Williams' statement came a day after her team revealed the 59-year-old has been diagnosed with with primary progressive aphasia and frontotemporal dementia.
It also came hours after a New York judge ruled that Lifetime\u2019s \u201cWhere is Wendy Williams?\u201d documentary will air this weekend as scheduled. The order signed by an appellate judge, who was reviewing a petition to block the documentary's release, says such a ruling would be an \u201cimpermissible prior restraint on speech that violates the First Amendment of the U.S. Constitution.\u201d
The ruling clears Lifetime's two-night broadcast plan for \u201cWhere is Wendy Williams?,\u201d which includes footage of the former talk show host and interviews.
An attorney for Williams' guardian did not immediately return an email seeking comment Friday.
\u201cLifetime appeared in court today, and the documentary \u2018Where is Wendy Williams?\u2019 will air this weekend as planned,\u201d the network said in a statement.
\u201cI continue to need personal space and peace to thrive,\u201d Williams said in her statement Friday. \"Please just know that your positivity and encouragement are deeply appreciated.\u201d
She credited the Association for Frontotemporal Degeneration for its support and efforts to educate the public about the disease, which is the same form of dementia Bruce Willis has, after her diagnosis was announced.
Frontotemporal dementia is a rare disease that affects parts of the brain controlling behavior and language. These parts of the brain shrink as the disease gets worse. The disease often includes primary progressive aphasia, which means it\u2019s causing problems with language skills. A person with this type of FTD may have trouble finding words or understanding speech.
Williams\u2019 self-titled daytime talk show ended in 2022 because of her health issues. Sherri Shepherd, who filled in for Williams as a guest host, received her own show.
Williams said in 2018 that she had been diagnosed years before with Graves\u2019 disease, which leads to the overproduction of thyroid hormones and can cause wide-ranging symptoms that can affect overall health. Thursday's statement from Williams' care team said Williams' dementia diagnosis happened in 2023.
People magazine reported in a cover story on Williams this week that some family members say they don\u2019t know where she is and cannot call her themselves, but that she can call them.
The article said the Lifetime documentary crew, which set out in 2022 to chronicle Williams\u2019 comeback, stopped filming in April 2023 when, her manager \u201cand jeweler\u201d Will Selby says in footage for the film, she entered a facility to treat \u201ccognitive issues.\u201d Her son says in the documentary that doctors had connected her cognitive issues to alcohol use, People reported.
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(AP) \u2014 Former President Donald Trump said he would \u201cstrongly support the availability of IVF\" and called on lawmakers in Alabama to preserve access to the treatment that has become a new flashpoint in the 2024 presidential election.
It was his first comment since an Alabama Supreme Court ruling that led some providers in the state to suspend their in vitro fertilization programs and has left Republicans divided over the issue.
Trump, in a post Friday on his Truth Social network, said: \u201cUnder my leadership, the Republican Party will always support the creation of strong, thriving, healthy American families. We want to make it easier for mothers and fathers to have babies, not harder!\u201d
The all-Republican Alabama Supreme Court, among the nation's most conservative judicial panels, ruled that frozen embryos can be considered children under state law. Since then, some Alabama clinics and hospitals, including the University of Alabama at Birmingham health system, have announced pauses on IVF services.
The fallout has deepened divisions among conservatives over abortion and other reproductive services in a campaign year already fraught with debates over whether Republicans should pursue national abortion limits after the U.S. Supreme Court\u2019s 2022 ruling that overturned the 1973 Roe v. Wade decision legalizing abortion nationwide. Trump and former U.N. Ambassador Nikki Haley, his last remaining major opponent for the GOP presidential nomination, have both cautioned against an absolute national ban and now have distanced themselves from the Alabama case.
As president, Trump nominated three of the justices who overturned Roe and paved the way for state lawmakers across the country to impose dramatic restrictions on access to abortion.
\u201cTrump cannot run from his record and neither can the millions of women who his actions have hurt,\u201d said Julie Chavez Rodriguez, President Joe Biden\u2019s campaign manager, in a statement.
Trump and Haley were campaigning Friday ahead of Saturday's South Carolina Republican presidential primary, in which the former president is the overwhelming favorite, despite Haley having been twice elected South Carolina governor. The Alabama decision almost certainly will not change GOP primary dynamics, but the conversation carries important implications for the general election as Republicans try to avoid being tagged by Democrats as too extreme on reproductive policy.
Republicans' Senate campaign committee leaders acknowledged the stakes with an open memo Friday warning that the Alabama case \u201cis fodder for Democrats hoping to manipulate the abortion issue for electoral gain.\u201d The memo included talking points for Republican Senate candidates, with \u201cExpress Support for IVF\u201d topping the list of recommendations.
Speaking Friday night in Columbia, South Carolina, Trump acknowledged the tension among Republicans over the issue and said he had received praise for supporting IVF.
\u201cA lot of politicians were very happy because they didn't know how to respond to the decision that came down,\u201d he said. \u201cNow they all know how to respond.\u201d
Haley steered clear of the IVF conversation Friday. She said Thursday, after the Alabama ruling, that she views human embryos, which are the earliest form of development after fertilization, as \u201cbabies.\u201d But she also said she disagrees with the Alabama court and said the state's legislators should \u201clook at the law.\u201d Alabama Gov. Kay Ivey and Republican legislative leaders had already started that conversation before the GOP's presidential candidates weighed in.
In his social media post, Trump steered clear of declaring embryos to be distinct humans worthy of legal protection. His statement focused instead on the practical considerations for would-be parents trying to start families. IVF is typically a months-long process for couples or women who have struggled to conceive and maintain a viable pregnancy naturally. The treatments can cost patients tens of thousands of dollars, with no assurances that an implanted embryo will become viable and end with a healthy child.
\u201cI'm pro-family,\u201d Donald Trump Jr. said Friday in Charleston, campaigning on his father's behalf not long before the elder Trump issued his statement. \u201cFamilies should do what they want to be able to make families.\u201d
Trump Jr. said he had not discussed the specifics with his father since the Alabama ruling but said he and his father both know families who have used IVF as a path to having children.
The former president and Haley have found themselves ensnared by abortion and reproductive politics already in the 2024 campaign.
Trump has taken credit for the ruling overturning Roe but also warned Republicans about going too far adopting statutory restrictions on abortions, lest the party lose support from moderate voters. Polling has shown for years that most Americans, even many Republicans, want to preserve some access to abortion.
According to July 2023 polling from the AP-NORC Center for Public Affairs Research, majorities of both Democrats and Republicans believe that a pregnant person should be allowed to obtain a legal abortion in certain circumstances, including if the child would be born with a life-threatening illness, the pregnant person\u2019s own health is seriously endangered by the pregnancy, or the person became pregnant as the result of rape or incest.
Nonetheless, anti-abortion advocates have suggested courts should go further to rule embryos are children, though that would sharply ramp up restrictions on treatments like IVF. Specifically, the Alabama ruling raises questions about what would become of frozen embryos that are not used in implantation procedures, what financial responsibility patients might have to maintain them if they could not legally be destroyed and what civil and even criminal liabilities medical providers could face throughout the process.
As she campaigned Friday in Moncks Corner, South Carolina, Haley stuck to her argument that Trump, who has been indicted four times, is too big a risk for Republicans to nominate again. She repeated her pledge to stay in the primary fight at least until the March 5 Super Tuesday primaries, and she again hammered Trump for cozying up to Russian President Vladimir Putin.
\u201cTrump is siding with a dictator who kills his political opponents,\u201d she said, referring to Russian dissident Alexei Navalny, who died recently in an Arctic prison camp after being jailed by Putin's Kremlin government.
Haley's approach, however, has yet to persuade enough Republican primary voters, with Trump running up wide margins in Iowa, New Hampshire and Nevada. Even in South Carolina, where Haley was once the state's most powerful, popular Republican figure, she has had trouble winning over conservatives.
\u201cI\u2019m assuming that every one of you wants to see a change in our country,\u201d she said later in Mount Pleasant, drawing chants of \u201cNikki! Nikki! Nikki!\u201d
But that crowd of supporters was measured in hundreds. Trump's was measured in thousands.
Jim Schurtz, a 72-year-old retired engineer who came to hear Trump on Friday in Rock Hill, went so far as to say Haley had been \u201ca terrible governor.\u201d Sporting a red Trump hat with a giant \u201cT\u201d and \u201c2024\u201d across the top, Schurtz said he doesn\u2019t think Haley would be elected governor if she had to run again.
\u201cAll she does is put Trump down,\u201d he said.
Both Trumps took shots at Haley, saying she's staying in the race to ensure financial windfalls after the campaign. Trump Jr. suggested Haley is running for a post on \u201cthe Raytheon board,\u201d referring to the defense conglomerate now known as RTX Corp. The former president mused at his rally about a different landing spot: \u201cMaybe she wants to get a contract at CNN.\"
Even if Haley can narrow Trump\u2019s expected margins, she could watch him extend his delegate lead nationally. Of South Carolina\u2019s 50 delegates, 29 are awarded to the statewide winner. The other 21 are distributed according to the outcome within each of the state's seven congressional districts; each district is worth 3 delegates for the top vote-getter. In 2016, Trump used that system to sweep South Carolina's delegates.
In Rock Hill, Trump spent more time on a string of attacks directed at Biden, former President Barack Obama and Republican Sen. Mitt Romney than he did talking about Haley. But, Trump said mockingly, \u201cI have an obligation\u201d to mention Haley before polls open Saturday.
So, he offered a prediction: \u201cShe's going to have a very bad day tomorrow.\u201d
___
Pollard reported from Moncks Corner, South Carolina, Kinnard from Charleston, South Carolina, and Barrow from New York. Associated Press writer Jill Colvin in Columbia, South Carolina, contributed to this report.
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The health aspects are secondary to the political implications and campaign strategies discussed in the document." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/02/23/aec76246aad81bc58cd9e51e422a4521.json b/datasets/AP_news/raw_data/2024/02/23/aec76246aad81bc58cd9e51e422a4521.json new file mode 100644 index 0000000..2ff8bd6 --- /dev/null +++ b/datasets/AP_news/raw_data/2024/02/23/aec76246aad81bc58cd9e51e422a4521.json @@ -0,0 +1,339 @@ +{ + "altids": { + "itemid": "aec76246aad81bc58cd9e51e422a4521", + "etag": "aec76246aad81bc58cd9e51e422a4521_4a7aza0c0", + "friendlykey": "389546222091", + "referenceid": "US--Alabama-Frozen Embryos" + }, + "version": 4, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-02-26T12:21:22Z", + "firstcreated": "2024-02-23T20:38:24Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: Adds byline. 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(AP) \u2014 Lawmakers began scrambling for ways to protect Alabama in vitro fertilization services after multiple providers paused treatment in the wake of a state Supreme Court ruling that frozen embryos could be considered children under a state law.
Facing a wave of shock and anger from the decision, legislators prepared separate proposals in the House and Senate that would seek to prevent a fertilized egg from being recognized as a human life or an unborn child under state laws until it is implanted in a woman's uterus.
Justices ruled last week that three couples who had frozen embryos destroyed in a mishap at a storage facility could pursue wrongful death claims for their \u201cextrauterine children.\u201d Justices cited sweeping language that the GOP-controlled Legislature and voters added to the Alabama Constitution in 2018 saying that the state recognizes the \u201crights of the unborn child.\u201d
Senate Minority Leader Bobby Singleton, a Democrat, said Republicans helped create the situation in their push to enact some of the most stringent anti-abortion laws in the country. The result, he said, was eliminating a path for people to become parents.
\u201cAt the end of the day, the Republican Party has to be responsible for what they have done,\u201d Singleton said.
Former President Donald Trump joined the calls for Alabama lawmakers to act Friday and said he would \u201cstrongly support the availability of IVF.\u201d
State Republican lawmakers said they were working on a solution.
\u201cAlabamians strongly believe in protecting the rights of the unborn, but the result of the State Supreme Court ruling denies many couples the opportunity to conceive, which is a direct contradiction,\" House Speaker Nathaniel Ledbetter said.
Republican state Sen. Tim Melson, who is a doctor, said his proposal seeks to clarify that a fertilized egg is a \u201cpotential life\" and not a human life until it is implanted in the uterus.
\u201cI\u2019m just trying to come up with a solution for the IVF industry and protect the doctors and still make it available for people who have fertility issues that need to be addressed because they want to have a family,\u201d Melson said.
House Minority Leader Anthony Daniels, a Democrat, introduced legislation to clarify that a \u201chuman egg or human embryo that exists in any form outside of the uterus shall not, under any circumstances, be considered an unborn child\u201d under state law.
\u201cThis is just the first step in unwinding this predicament our state has placed itself in,\u201d Daniels said.
Melson said he was not surprised that the state is seeing unintended consequences from the constitutional language. Supporters said it was intended to block abortion if the states ever gained control of the issue. But opponents warned it was essentially a \u201cpersonhood\u201d measure that would establish \u201cconstitutional rights for fertilized eggs.\u201d
Alabama Gov. Kay Ivey said the state wants to foster a culture of life and that includes \u201ccouples hoping and praying to be parents who utilize IVF.\u201d
Alabama Attorney General Marshall does not intend to prosecute IVF providers or families based on the state Supreme Court ruling, Chief Counsel Katherine Robertson said in a statement.
The court\u2019s ruling, treating the embryos the same as a child or gestating fetus under the wrongful death statute, raised questions about what legal liabilities clinics could face during IVF processes, including the freezing, testing and disposal of embryos. Three in vitro fertilization providers in Alabama paused their services in the aftermath of the ruling.
Gabby Goidel, who was days from an expected egg retrieval appointment, was told Thursday that her provider would not continue doing embryo transfers.
\u201cI started crying,\u201d said Goidel, who swiftly traveled with her husband to Texas to try to continue the IVF cycle with a provider there. The Alabama ruling is \u201cnot pro-family in any way,\u201d Goidel said.
At the Fertility Institute of North Alabama, Dr. Brett Davenport said his clinic will continue providing IVF. But he also urged state policymakers to act and remove the uncertainty for providers.
\u201cWhat we do could not be any more pro-life. We\u2019re trying to help couples who can\u2019t otherwise conceive a child,\u201d Davenport said.
The court ruled only that embryos are covered under Alabama\u2019s wrongful death statute, said Mary Ziegler, a legal historian at the University of California, Davis School of Law. The court did not say embryos had full constitutional rights, she said, or at least not yet.
\u201cI think people in Alabama are rightly expecting that this is the tip of the iceberg though, and this ruling will lead to more down the road,\u201d Ziegler said. She also said anti-abortion groups and politicians have been pushing to get some sort of ruling through the federal courts \u201cthat a fetus is a constitutional rights holder.\u201d
\u201cIt\u2019s not just about in vitro and it\u2019s not just about Alabama. It\u2019s part of this nationwide movement too,\u201d she said.
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The document also includes perspectives from lawmakers, medical professionals, and affected individuals, which are all pertinent to understanding the broader health implications of the ruling." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/02/23/bb4fed47a01d2dd1f9d7d002b0511a74.json b/datasets/AP_news/raw_data/2024/02/23/bb4fed47a01d2dd1f9d7d002b0511a74.json new file mode 100644 index 0000000..91748db --- /dev/null +++ b/datasets/AP_news/raw_data/2024/02/23/bb4fed47a01d2dd1f9d7d002b0511a74.json @@ -0,0 +1,294 @@ +{ + "altids": { + "itemid": "bb4fed47a01d2dd1f9d7d002b0511a74", + "etag": "bb4fed47a01d2dd1f9d7d002b0511a74_0a10aza0c0", + "friendlykey": "101600196839", + "referenceid": "US--XGR--Immigrants-Health-Insurance-Maryland" + }, + "version": 0, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-02-23T20:57:06Z", + "firstcreated": "2024-02-23T20:57:06Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: Updates Media.", + "signals": [ + "newscontent" + ], + "title": "US--XGR--Immigrants-Health-Insurance-Maryland", + "headline": "Maryland House OKs bill to enable undocumented immigrants to buy health insurance on state exchange", + "headline_extended": "The Maryland House has voted for a measure to enable people to buy health insurance through the state\u2019s health care exchange regardless of their immigration status, with the approval of a federal waiver", + "slugline": "BC-US--XGR--Immigrants-Health-Insurance-Maryland", + "description_summary": "The Maryland House has voted for a measure to enable people to buy health insurance through the state\u2019s health care exchange regardless of their immigration status, with the approval of a federal waiver. 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(AP) \u2014 The Maryland House approved a measure on Friday to enable people to buy health insurance through the state\u2019s health care exchange regardless of their immigration status, with the approval of a federal waiver.
The House voted 101-34 for the bill, which now goes to the Senate, where similar legislation is under consideration.
The measure would require the Maryland Health Benefit Exchange to submit a federal waiver application by July 1, 2025, to implement the program. The waiver is needed because of federal restrictions on undocumented immigrants using the marketplace. Washington state received such a waiver from the Centers for Medicare and Medicaid Services in late 2022. The program in Maryland could start as early as 2026, if a waiver is granted.
Maryland's health care exchange was created during the 2011 legislative session to provide a marketplace for people and small businesses to purchase affordable health coverage. Through the Maryland Health Connection, Maryland residents can shop for health insurance plans and compare rates.
Since Maryland created its health care exchange through the federal Affordable Care Act and expanded Medicaid, the state has cut the number of uninsured residents by more than 50%, from about 756,000 to about 350,000, or about 6% of the state's population, said Del. Joseline Pena-Melnyk, who chairs the House Health and Government Operations Committee.
Of the state's remaining uninsured, about 256,000 of them are undocumented immigrants, Pena-Melnyk said. She pointed out that undocumented immigrants who sign up for health insurance through the exchange work in the state, pay taxes in the state and will pay for the plans.
\u201cIt's preventive medicine, cheaper when it's preventive, and it helps all of us. This is not free, not free, not free,\" Pena-Melnyk said for emphasis.
But Del. Mark Fisher, a Calvert County Republican, contended that Maryland residents who are U.S. citizens often have long wait times to get doctor\u2019s appointments, and he questioned why the state should expand health insurance coverage through the state's exchange to people who aren\u2019t citizens.
\u201cThe term health equity is meaningless if you can\u2019t get access to a doctor, absolutely nonsense, and that\u2019s the experience that we\u2019re having throughout the state, and certainly in Calvert County,\u201d Fisher said. \u201cI just do not understand why folks believe that when you are a citizen of the United States that you should get into a queue behind folks who are not citizens of the United States.\u201d
But Pena-Melnyk said the measure would help everyone because when people without health insurance need care, they end up going to emergency rooms where medical costs are higher.
\u201cIt saves us a lot of money, because guess what? Hospitals last year spent anywhere between $120 million and $150 million in uncompensated care,\" Pena-Melnyk, a Prince George's County Democrat, said during the debate Friday, while also noting that Maryland has the worst emergency room waiting times in the nation.
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Parliament's lower house, or Bundestag, backed the legislation, a prominent reform project of Chancellor Olaf Scholz's socially liberal governing coalition, by 407 votes to 226. There were four abstentions.
Health Minister Karl Lauterbach said the government's aim is to \u201cfight the black market\u201d and better protect young people. He said current laws in the European Union's most populous nation have failed, with consumption rising and increasing problems with contaminated or overly concentrated cannabis.
\u201cWhatever we do, we can't carry on like this,\u201d he told lawmakers. \u201cYou can stick your head in the sand ... but we won't solve a single problem that way.\u201d
Lauterbach, who noted that he himself long opposed legalizing cannabis, argued that addiction researchers say removing the taboo around marijuana and giving information on its risks is the right approach.
The bill foresees legalizing possession by adults of up to 25 grams (nearly 1 ounce) of marijuana for recreational purposes and allowing individuals to grow up to three plants on their own. That part of the legislation is supposed to take effect on April 1.
German residents who are 18 and older would be allowed to join nonprofit \u201ccannabis clubs\u201d with a maximum 500 members each, starting July 1. The clubs would be allowed to grow cannabis for members\u2019 personal consumption.
Individuals would be allowed to buy up to 25 grams per day, or a maximum 50 grams per month \u2014 a figure limited to 30 grams for under-21s. Membership in multiple clubs would not be allowed. The clubs\u2019 costs would be covered by membership fees, which would be staggered according to how much marijuana members use.
The government plans a ban on advertising or sponsoring cannabis, and the clubs and consumption won\u2019t be allowed in the immediate vicinity of schools, playgrounds and sports facilities. An evaluation of the legislation's effect on protection of children and youths is to be carried out within 18 months of the legislation taking effect.
The main center-right opposition bloc vehemently opposes the change.
\u201cYou're asserting here in all seriousness as health minister ... that we will curb consumption among children and young people with the legalization of further drugs,\u201d conservative lawmaker Tino Sorge said to Lauterbach. \u201cThat's the biggest nonsense I've ever heard.\u201d
Lauterbach told reporters after the vote that \u201cdealers have no reason at all to celebrate.\u201d He noted that, under the new legislation, dealers who are caught selling to children or youths can expect to face a sentence of at least two years.
The plan falls significantly short of the government's original ambitions, which foresaw allowing the sale of cannabis to adults across the country at licensed outlets. The project was scaled back following talks with the European Union\u2019s executive commission.
Parliament's upper house, which represents Germany's 16 state governments, could in principle delay the legislation, though it doesn't formally require the chamber's approval. Bavaria's conservative state government has said it would examine whether legal action against the liberalization plan is possible.
The legislation is one of several that Scholz's coalition, which has since become highly unpopular as a result of economic weakness and persistent infighting, pledged when it took office in 2021.
It has eased rules on gaining citizenship and ended restrictions on holding dual citizenship. Among other policies, it also plans to make it easier for transgender, intersex and nonbinary people to change their gender and name in official registers.
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February 22, 2024.
Editorial: THC-infused gummies shouldn\u2019t be sold without regulation
Makers of hemp-derived products don\u2019t pay the state\u2019s marijuana taxes, creating unfair competition to legal marijuana dispensaries.
Massachusetts law tightly regulates marijuana products. So why are THC-infused seltzers and gummies with delta-8 on the shelves in liquor stores, smoke shops, and convenience stores?
The problem, as documented in recent news stories by CommonWealth Beacon and the Boston Globe, is that products made from hemp-derived compounds are falling into a regulatory loophole. While technically illegal, no one is enforcing the laws prohibiting their sale, so drinks, gummies, and other edible products infused with cannabis-derived psychoactive compounds have become readily available. These products can be dangerous and intoxicating and lack the labeling and testing requirements that ensure consumer safety when purchasing state-sanctioned marijuana products. Because they are largely unregulated, unless a town passes a bylaw, there is no specific prohibition on selling them to minors. The products also provide unfair competition to legal marijuana dispensaries since they are sold without paying the state\u2019s marijuana tax.
\u201cIt\u2019s providing a huge risk to consumers who don\u2019t necessarily know what they\u2019re getting,\u201d said Ryan Dominguez, executive director of the Massachusetts Cannabis Coalition, a trade organization representing the cannabis business in Massachusetts.
It\u2019s a risk that needs to be eliminated.
The growth in the new industry was sparked by the federal legalization of hemp in a 2018 farm bill. Hemp is defined as a cannabis plant that has less than 0.3 percent delta-9 THC (the compound that causes a high). A cannabis plant with more THC is considered marijuana. Hemp\u2019s legalization led to the commercial development of products featuring CBD, a compound in hemp that preliminary research suggests has therapeutic benefits. Companies have also been extracting the small amount of THC and using a chemical process that turns CBD into a synthetic compound called delta-8 THC.
Early research suggests that delta-8 has the same \u201chigh\u201d as other forms of THC and the same potential for side effects, including rare cases of psychosis. According to a CDC bulletin, between January and July 2021, poison control centers received 660 calls nationwide about exposures to delta-8 THC, of which 18 percent required hospitalization and 39 percent involved kids under 18.
Without accurate testing and labeling, there is no way to know how much THC is in these products or whether they contain other contaminants like metals or chemicals \u2014 both issues have been raised by independent testing. They can be packaged to look like common junk foods, which can appeal to children.
Courts have ruled that hemp-derived delta-8 is legal under the farm bill. But that does not necessarily mean it can be used in food. The US Food and Drug Administration says neither CBD or delta-8 THC have been approved as food additives and recently it has started cracking down on the sale of infused edibles across state lines. But as with marijuana, the compounds are subject to different laws in different states. In Massachusetts, state regulators have said it is illegal to process or sell hemp-derived delta-8 products, and farmers licensed to grow hemp in Massachusetts cannot use it for most edible products (with exceptions for hemp seeds and their derivatives).
Despite that, state agencies have largely passed the buck and left enforcement to local boards of health, which often lack the resources \u2014 or will \u2014 to crack down on sales. Cheryl Sbarra, executive director of the Massachusetts Association of Health Boards, said many local boards are under-resourced, and catching which retailers are selling a growing range of hemp-derived products is like \u201cplaying whack-a-mole.\u201d
As a result, products are proliferating, worrying public health officials and frustrating those playing by the rules.
Laura Beohner, founder of the Massachusetts Hemp Coalition and a licensed hemp processor, pointed out the inconsistency that according to Massachusetts state laws she cannot make edibles, but a nearby gas station can sell unregulated products from other states. \u201cI\u2019m just waiting for regulation to come in,\u201d Beohner said.
The ideal solution would be for the federal government to provide clear regulations to govern public health and safety for all cannabis-derived products. Federal regulation is necessary because today, many hemp-derived products that contain THC are sold online and shipped across the country. Online sellers also are increasingly selling cannabis flower that meets the legal definition of hemp, but which, when smoked, becomes identical to marijuana. (This is legal because the farm bill defines hemp based on the amount of delta-9 THC in a plant, but does not regulate the amount of THCA, a compound that only causes a high when burned. )
Massachusetts Attorney General Andrea Campbell signed a letter with 12 attorneys general from states that have legalized marijuana urging the Biden administration to reschedule marijuana, saying that it will make it easier for states to set standards for legal products and work to eliminate the illicit market and the \u201cunregulated intoxicating hemp products that currently operate in interstate commerce.\u201d
But until the federal government acts, state regulators should establish clear statewide rules for all cannabis-derived products appearing on Massachusetts shelves or being mailed to Massachusetts, including age restrictions and requirements for accurate labeling. It\u2019s not fair to the state\u2019s tax-paying, rule-following businesses to let this loophole persist. A teenager can\u2019t walk into a store and buy alcohol or marijuana. They shouldn\u2019t be able to buy cannabis-infused seltzer either.
___
Boston Herald. February 22, 2024.
Editorial: Is Harvard all talk on antisemitism?
Another day at Harvard, another antisemitic incident.
Harvard University pro-Palestine groups recently posted a \u201cdeeply offensive antisemitic\u201d cartoon, the latest in a series of such controversies.
Over the weekend, according to the Herald, the groups shared the old antisemitic cartoon on social media \u2014 depicting Jews as puppet masters, lynching an Arab person and a Black person. The Jewish hand in the cartoon had a Star of David, and a dollar sign was placed inside the star.
It\u2019s the typical appalling dreck that titillates small minds and the sort of crass, crude buffoonery that Jew-haters have reveled in for centuries. Society is devolving, and Harvard is a hotspot.
The student groups that initially posted the cartoon were the Harvard Undergraduate Palestine Solidarity Committee and the African and African American Resistance Organization.
The university called the post \u201cdespicable\u201d and said it\u2019s investigating the matter.
This is Harvard\u2019s chance to put its disciplinary actions where its mouth is. Indignant tsks and cries of \u201cdespicable\u201d are not enough. Nor is the public finger-wagging against hate with vows that this must never happen again. The university has said all this before. And here we are.
The question for Harvard is: are you really serious about fighting antisemitism on your campus? Prove it.
___
Rutland Herald. February 17, 2024.
Editorial: Don\u2019t bet on it
We bet you were not expecting this: Online sports betting has gotten off to a strong start in Vermont.
According to a report on Vermont Public, Liquor and Lottery Commissioner Wendy Knight indicated that during the first three weeks of operation after sports betting became legal on Jan. 11, almost $20 million was wagered. The average bet was roughly $23, she said.
Knight told Vermont Public the state received approximately $1.1 million in revenue, which is considerably more than projections.
And then there was last weekend \u2014 the tally from which is still being calculated. By all accounts, whether it was viewership or betting \u2014 the 2024 Super Bowl was a big winner.
Statistics from several states where sports betting is legal are proving that prediction was true. According to published reports, Nevada\u2019s sportsbooks set a record by taking $185.6 million in wagers on the game, in which the Kansas City Chiefs won their second consecutive championship by defeating the San Francisco 49ers, 25-22, in overtime. The books kept $6.8 million as winnings, up from $4.3 million a year ago, the Nevada Gaming Control Board said.
The total amount of bets at Nevada\u2019s 182 Sportsbooks broke the previous record of $179.8 million from the 2022 Super Bowl between the Los Angeles Rams and the Cincinnati Bengals. The 2023 Super Bowl between the Chiefs and the Philadelphia Eagles brought in $153.1 million worth of bets.
In New Jersey, the nine Atlantic City casinos, the three horse tracks that take sports bets, and their online partners handled $141.6 million in bets on the Super Bowl, according to the state Division of Gaming Enforcement \u2014 an increase of 30% over last year\u2019s total. This resulted in a win of nearly $8.5 million for the Sportsbooks, down from $12.8 million a year ago.
In Pennsylvania, $71.5 million was wagered on the Super Bowl, down 15% from last year\u2019s Super Bowl, in which the Philadelphia Eagles lost to the Chiefs.
Other states with big sports betting markets, including New York and Illinois, had yet to report betting levels for this year\u2019s Super Bowl, and Maine and Vermont were still compiling figures.
Data released on Monday from GeoComply shows that the number of bet verification checks it carried out over the weekend increased by more than 22% from last year. It processed just over 122 million checks this year in 28 of the 29 states that offer online sports betting, excluding Florida.
(States require a gambler to be physically located within their borders in order to make online bets. Geolocation technology uses a combination of cellphone data, software, hardware and databases to determine where a phone or laptop trying to make a bet is actually located at a given moment.)
According to reports, many people waited until the last moment to place bets. Minutes before kick-off, online sports betting services saw a massive spike in traffic, totaling nearly 15,000 transactions per second. It was the highest level ever recorded on GeoComply\u2019s systems, nearly doubling last year\u2019s peak.
Online sports betting is definitely gaining in popularity nationwide, especially in U.S. states where the tax revenue it generates funds various state resources from roads and highways to public education, law enforcement and gambling addiction programs.
It has become such a revenue generator that the U.S. Census Bureau\u2019s Quarterly Survey of State and Local Tax Revenue had to add sports betting to the extensive list of state and local tax revenue sources it already tracks.
It found in the third quarter of 2023, the most recent version of the QTAX, sports betting generated national state level sales tax and gross receipts of $505.96 million, up 20.5% from the same quarter a year before, but down from $571.48 million the second quarter of 2023.
New York was the state with the largest share of the nation\u2019s tax revenue in the second quarter of 2023: $188.53 million, or more than 37% of total tax revenue and gross receipts from sports betting in the United States. Indiana ($38.6 million) and Ohio ($32.9 million) followed, according to the U.S. Census.
Sports betting became possible in May 2018 when the Supreme Court struck down the Amateur Sports Protection Act. Since then, 38 states as well as the District of Columbia and Puerto Rico have legalized some form of sports betting, though not all have implemented it. Vermont was the most recent state to legalize it, joining in January.
According to the National Conference of State Legislatures, the tax rates states have imposed on sports betting vary widely. Most states have tax rates between 5% to 20%. In Pennsylvania, the state gets more than a third of all revenues and a few of the states with lottery-run operations take half of the total profit or more. In general, the tax rates for retail operators and mobile operators are the same.
Justifications for gaming expansion are often rooted in how the money will be used, and states have been known to direct gambling dollars to important spending categories such as education or retirement programs. However, expenditures in these areas often grow faster, and gambling revenues cannot keep pace.
According to the the national trade group, \u201cStates looking to close budget gaps with sports betting revenue may be disappointed, especially as more and more states legalize and take their slice of the market.\u201d
It will be interesting to see what the payoff is for Vermont. Given the fiscal challenges we face as a state, all bets are off.
___
Bangor Daily News. February 22, 2024.
Editorial: Maine should prevent lapse in funding for crime victims, but federal action also needed
There looks to be widespread, bipartisan support in Augusta for much-needed funding to provide ongoing services to crime victims and survivors. These critical services aid in the recovery from and prevention of some of the worst crimes in our society, like domestic and sexual violence, murder, child and elder abuse, and exploitation.
A state bill to provide $6 million for these essential services, LD 2084, has received unanimous support from the Maine Legislature\u2019s Judiciary Committee, and Democratic Gov. Janet Mills\u2019 proposed supplemental budget includes the same amount of funding. This broad initial support, which must carry over to the full Legislature, surely has been bolstered by the powerful testimony of victims and victims advocates.
One by one, a long list of Maine people and organizations have explained the vital role that these services play in helping victims and survivors access legal aid, mental health and counseling support, shelter, advocates to help them navigate complicated systems, and other resources.
\u201cLD 2084 is necessary to prevent such deep cuts to sexual assault advocacy, Children\u2019s Advocacy Centers, domestic violence advocacy, shelter and emergency funding for victims of sex trafficking and exploitation, and legal and other supports for elder abuse victims,\u201d Gabrielle Cooper of Hampden, an employee of Rape Response Services, testified to state lawmakers in late January. \u201cMaine cannot risk losing these essential resources.\u201d
We agree. This infusion of state funding is needed because of a looming federal shortfall in the Crime Victims Fund (CVF), which was created as part of the federal Victims of Crime Act of 1984. Until the federal government steps up once again to address this issue, the state must act.
As a bipartisan group of more than 40 state attorneys general from across the country, including Maine Attorney General Aaron Frey, explained in a letter to congressional leaders in early February, the nationwide awards through the CVF are expected to decline $700 million compared to the previous fiscal year. Such a decline in funding would \u201chave devastating consequences for victims of crime,\u201d according to the group of AGs. According to the National Criminal Justice Association, the main driver of this funding issue is the decline in prosecution of white collar crime, which has historically helped fund the CVF through settlements and judgments.
\u201cCongress recently acknowledged the importance of the VOCA Fund and supplemented its funding sources. In 2021, Congress passed the VOCA Fix Act, which allows monetary recoveries from federal deferred prosecutions and non-prosecution agreements to replenish the balance of the Fund,\u201d the group of AGs wrote. \u201cAll 56 attorneys general argued that such a fix was necessary, and we applaud Congress for its leadership. While the VOCA Fix Act was necessary, it was, unfortunately, not sufficient.\u201d
One potential idea to address the persistent funding challenges has been offered by a bipartisan group of House members, including Maine Democratic Reps. Chellie Pingree and Jared Golden. This group wants to allow for a one-time infusion of funding into the CVF by using civil penalties collected under the False Claims Act.
\u201cA one-time infusion of funds of this magnitude would ensure the programs victims depend upon can continue to provide necessary care, support, and assistance,\u201d Pingree, Golden and the bipartisan group wrote in a Feb. 15 letter to House and Senate leaders, along with top appropriators. Given the funding mechanism for this program, which uses sources like criminal fines rather than taxpayer dollars, and the role that the judiciary committees have had with this issue, House and Senate judiciary leaders should clearly be involved in these much-needed conversations as well.
\u201cIn Maine and throughout the country, the Crime Victims Fund provides critical support to those who have been a target of a crime, helping individuals overcome substantial financial challenges and recover more quickly,\u201d Sen. Susan Collins, the leading Republican on the Senate Appropriations Committee, said in a statement to the BDN editorial board. \u201cFor years, the Appropriations Committee has been urging the Department of Justice to ensure it is properly funding the CVF and not short-changing victims. I will continue to explore all options \u2014 including new legislation \u2014 to address this issue.\u201d
Both Collins\u2019 office and the office of independent Sen. Angus King highlighted the VOCA Fix to Sustain the Crime Victims Fund Act of 2021. Collins and King each cosponsored that legislation.
\u201cThe programs funded through the Victims of Crime Act (VOCA) and the Crime Victims Fund (CVF) are important and help victims access a variety of services that can be instrumental to their recovery,\u201d King said in a statement. \u201cI know how important the services funded through CVF are to crime victims and I will continue to support these programs during the annual appropriations process as well.\u201d
King\u2019s office also said he is reviewing the bipartisan House proposal from Pingree, Golden and others to use one-time funds derived from False Claims Act penalties.
All four members of Maine\u2019s congressional delegation supported the 2021 fix, an appreciated attempt to shore up the Crime Victims Fund that was surely a step in the right direction. But with states like Maine now having to step up to fill multi-million dollar shortfalls just to continue existing services, it is clear that the \u201cfix\u201d was not an immediate or permanent one. It is encouraging, though not unexpected, that the entirety of Maine\u2019s delegation continues to support the Crime Victims Fund and is willing to explore additional steps to make sure it is properly funded. That willingness must apply across all of Congress, and it must turn into action.
There has long been strong bipartisan support in Congress for this victims fund, and that must continue. These services are too important to let a looming shortfall go unaddressed, and the federal government must find a way to sufficiently and sustainably fund them. In the meantime, it is prudent and necessary for the state of Maine to ensure that these services continue uninterrupted.
___
Barre-Montpelier Times Argus. February 20, 2024.
Editorial: Seeds of change
Two months into 2024 and, potentially, we are at that moment where our New Year\u2019s resolutions either stuck or have faded into oblivion.
Creating (or breaking) habits takes time. Old-timers will tell you three weeks is the timeframe to aim for; others say a month. There is no scientific equation for self-improvement. It really just takes conviction, determination and goals.
Generally speaking, we have to motivate ourselves toward change. Perhaps we have put on a few pounds, or have gotten lazy. Or we have become reliant on behaviors that are harmful to our well-being, such as too much screen time, overspending, gambling or the like. Or we have slipped into the realm of addiction through smoking, substance abuse or drinking.
We can be fine with external changes, at least on a temporary basis. When the snow or wind takes out the electricity or the internet, and we cannot use our phones. Or we have to wait to get the driveway clear before we can get to town. Or the weather \u2014 regardless of the season \u2014 derails us from our exercise regimen. But almost four years ago now, many Vermonters lives were changed in truly beneficial and meaningful ways. It is hard to conceive that the pandemic actually had some silver linings.
A new study, conducted jointly by the University of Vermont and the University of Maine, found that food insecurity and home and wild food production \u2014 gardening, hunting, fishing, foraging and having \u201cbackyard\u201d poultry or livestock \u2014 increased significantly during the COVID-19 pandemic.
What\u2019s more, the study found that a lot of the lifestyle changes that came from that difficult time have been carried forward, and have become adapted into regular activities.
The findings were published in a paper in Scientific Reports. The researchers surveyed more than 1,000 individuals in rural Vermont and Maine (the two most rural states in the country) to identify their food security and food sources.
\u201cThis work is among the first to directly correlate (home and wild food production) during the pandemic with improved food security outcomes for food insecure households,\u201d the report reads. \u201cOur research also demonstrates that, among this sample of respondents \u2026 most live in households that engaged in (home and wild food production) and engagement in these activities continued to grow during the first year of the pandemic, especially among food insecure households.\u201d
Researchers say they hope that policymakers will consider how home and wild food production might lead to a more resilient food system. Meredith Niles, an associate professor at UVM who led the study, said the data show \u201cit is a potential solution set that has been largely overlooked.\u201d
According to the researchers, programs that support food production are often overlooked by policymakers, but the research suggests that these activities could bolster food security, especially during ever more frequent crisis situations, including extreme weather events as a result of climate change.
\u201cEven during normal times, there are many barriers to food access especially for people experiencing poverty. When the COVID-19 pandemic began, there were additional barriers including travel restrictions, stay at home orders and disruptions to the supply chain,\u201d said Rachel Schattman, assistant professor of sustainable agriculture at the University of Maine. \u201cWhile there were a variety of food assistance programs, no one had really looked at how self-provisioning things like hunting, gardening, canning, foraging and raising backyard animals contributed to food security.\u201d
The report suggests there is anecdotal evidence in the early days of the pandemic about people starting gardens and stories about canning jar shortages. However, this paper brings quantitative data to back up those stories.
Niles said the researchers were able to show, at a large scale with significant data, that people who did home and wild food production, especially gardening, in the early part of the pandemic, were more likely to be food secure nine to 12 months later.
\u201cIt\u2019s exciting because we haven\u2019t really seen this scale of data before and over multiple time points to assess this issue,\u201d Niles said.
Sam Bliss, a postdoctoral fellow at UVM and a researcher for the paper noted, \u201cWe\u2019ve suspected that producing some of your own food through hunting, fishing, foraging, gardening helps people\u2019s food security. This is the best evidence yet that we have that producing your own food makes a difference.\u201d
Notably, almost 81% of those surveyed said they intended to continue to engage in some kind of home and wild food production in the time after COVID.
There have been socioeconomic and sociodemographic barriers for some individuals and groups. But much of the research indicates short- and long-term benefits to self-sufficiency and well-being.
We say: Get out the seed catalogs and start planning for spring. It\u2019s worth planting those seeds of change.
END
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Francis was scheduled to meet with Rome deacons on Saturday morning. Vatican spokesman Matteo Bruni said that the pope\u2019s weekly Sunday Angelus address was still to be confirmed. No further health updates were expected for the day. The 87-year-old pontiff has had several health problems in recent years. He was forced to cancel some of his activities and an international trip in late November because of breathing problems. A scan at the time ruled out lung complications. Francis had a part of one lung removed when he was young and still living in his native Argentina.", + "bylines": [ + { + "by": "By GIADA ZAMPANO", + "title": "Associated Press" + } + ], + "located": "VATICAN CITY", + "datelinelocation": { + "city": "Vatican City", + "countrycode": "VAT", + "countryname": "Vatican City", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + 12.4533, + 41.90225 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. 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Francis was scheduled to meet with Rome deacons in the morning.
Vatican spokesman Matteo Bruni said later Saturday that the pope\u2019s weekly Sunday Angelus address was still to be confirmed, and that no further health updates were expected for the day.
The 87-year-old pontiff has had several health problems in recent years. In late November, he was forced to cancel some of his activities and an international trip because of breathing problems. A scan at the time ruled out lung complications. Francis had a part of one lung removed when he was young and still living in his native Argentina.
In April, the pope spent three days at Rome's Gemelli hospital for what the Vatican said was bronchitis. He was discharged after receiving intravenous antibiotics.
Francis also spent 10 days at the same hospital in July 2021 following intestinal surgery for narrowing of the bowel. He was readmitted in June 2023 for an operation to repair an abdominal hernia and remove scarring from previous surgeries.
When asked about his health in a recent television interview, Francis quipped what has become his standard line: \u201cStill alive, you know.\u201d
Over the past two years, Francis has indicated several times that he would be ready to step down, following the example of his predecessor, Benedict XVI, if his health deteriorates to the point that it becomes an impediment to him leading the Catholic Church. However, in a TV interview last month, he said he felt in good health and denied immediate plans to resign.
Speculation about Francis\u2019 health and the future of his pontificate has risen following Benedict's death in late 2022. Benedict's resignation in 2013 marked a turning point for the church, as he became the first pontiff in six centuries to step down.
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The buses also contribute to climate change. Parents have been key advocates in the push for cleaner buses, and are finally seeing progress, especially in some communities disproportionately harmed by this exhaust.", + "bylines": [ + { + "by": "By ALEXA ST. JOHN", + "title": "Associated Press" + } + ], + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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Aida has asthma. When she was little, she complained about the smell and cloud of fumes on her twice-daily trip.
\u201cWhen she would come home from school or be on the bus, she got headaches and sick to her stomach. She said, \u2018Mami, I don\u2019t feel well, I feel dizzy,\u2019\u201d Sanchez said in Spanish from Las Vegas. Aida missed classes a lot when her asthma was bad. Research shows diesel exhaust exposure can cause students to miss school and affect learning.
She was admitted to the hospital for an asthma attack in second grade, and after that Sanchez began driving Aida to school.
Diesel exhaust from school buses potentially affects one-third of U.S. students, their parents and educators each day, according to federal data. It's a known carcinogen plus it contains harmful nitrogen oxides, volatile gases and particles that exacerbate lung issues. It also contributes to global warming.
Most affected by these environmental and health issues are Black, Latino, Indigenous and lower-income communities, who often rely on buses to get to school and are also more likely to suffer from asthma than other students. Some of the biggest drivers for change are parents worried about their children.
For Areli Sanchez' family in Las Vegas, things continued to deteriorate.
She felt like she had to stop working. \u201cI didn\u2019t know when we were going to get another call from school about another asthma attack,\u201d she said.
A few years after her daughter started having problems, Sanchez saw the opportunity to get involved in the nascent movement for electric buses. They don\u2019t smell. They aren\u2019t noisy. They cost more up front, but cost less to run and can meaningfully reduce emissions, making them a climate change solution.
Now Sanchez has been making this case locally and beyond for four years, even taking a long diesel bus ride to the state capital, Carson City, to plead for funding from the legislature.
Recently she started to get some traction when the Clark County School District, her district, began to swap some of its buses for electric. These still make up only a fraction of the nearly 2,000 in the fleet, but she\u2019s optimistic.
Some similar progress is taking place throughout the nation as a sense of urgency builds around worsening air quality and environmental injustice related to the warming climate.
Children are generally more harmed by air pollution than adults because their bodies are still developing, and because they breathe in more air per body size than adults do, said University of Michigan epidemiology and public health researcher Sara Adar, who studies the link between health and school buses.
\"As they\u2019re burning their fuel and as the engine is spinning, they often are releasing very, very small particles that can get deep into our lungs and cause havoc throughout the body,\" Adar said.
Kids also can spend considerable time around idling buses, she noted, lengthening their exposure to something that can permanently damage their health. Research has highlighted poor air quality inside older diesel school buses, too.
\u201cIt\u2019s this perpetual cycle of bad air quality,\u201d said Lonnie Portis, a policy and advocacy manager for the activist group We Act for Environmental Justice in New York City. In hard-hit, or environmental justice neighborhoods, he said, \"you\u2019re removing at least some of that by putting electric school buses in the rotation.\u201d
Some school districts have switched to newer versions of diesel buses, which are more efficient and produce less pollution, as one way to reduce students' exposure. Others, especially in underfunded districts, keep their older, more polluting vehicles.
Much like Sanchez, Liz Hurtado, the mother of four children who ride the bus in Virginia Beach, Virginia, has spent years advocating for electric buses.
Her oldest daughter also got headaches riding a diesel bus, and she\u2019d drive her to school when she could, she said.
Now a national field manager for the grassroots group Moms Clean Air Force and active in a program dedicated to protecting Latino children\u2019s health, Hurtado appeals to school districts to buy electric buses. She schedules events for community members to see and drive electric vehicles, hosts webinars and meetings and teaches others how to reach out to legislators.
\u201cKnowing all of the stressors and anxiety from climate change, and the fact that this is a huge burden for our children,\u201d Hurtado said. \u201cThat places a burden on us, right?\"
While an electric bus isn\u2019t yet available to her, she still feels \u201creally excited about the momentum.\u201d
Federal money is now the leading source of funding for electric school buses, and prioritizes low-income, rural or Tribal communities, which advocates see as a huge win. Most electric school buses on the road today have landed in those areas, according to WRI.
\u201cIt means that we are putting the solution closest to the problem,\" said Carolina Chacon, coalition manager for the Alliance for Electric School Buses, a group of nonprofit organizations that has been expanding.
Sanchez said Aida might not get to take advantage of the electric buses, since she is now 16.
\u201cBut other moms won\u2019t have to worry like I did because of the fumes,\u201d she said.
___
Alexa St. John is an Associated Press climate solutions reporter. Follow her on X, formerly Twitter, @alexa_stjohn. Reach her at ast.john@ap.org.
___
The Associated Press\u2019 climate and environmental coverage receives financial support from multiple private foundations. AP is solely responsible for all content. Find AP\u2019s standards for working with philanthropies, a list of supporters and funded coverage areas at AP.org.
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Therefore, the document is highly relevant to the topic of health." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/02/24/60162f6e6e6e32d13e8dc6f75bc5ed25.json b/datasets/AP_news/raw_data/2024/02/24/60162f6e6e6e32d13e8dc6f75bc5ed25.json new file mode 100644 index 0000000..fdff0b0 --- /dev/null +++ b/datasets/AP_news/raw_data/2024/02/24/60162f6e6e6e32d13e8dc6f75bc5ed25.json @@ -0,0 +1,271 @@ +{ + "altids": { + "itemid": "60162f6e6e6e32d13e8dc6f75bc5ed25", + "etag": "60162f6e6e6e32d13e8dc6f75bc5ed25_0a10aza0c0", + "friendlykey": "761216750629", + "referenceid": "US--Gender Affirming Care-West Virginia" + }, + "version": 0, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-02-24T01:05:58Z", + "firstcreated": "2024-02-24T01:05:57Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "signals": [ + "newscontent" + ], + "title": "US--Gender Affirming Care-West Virginia", + "headline": "West Virginia lawmakers push to remove a suicide risk exemption from gender-affirming care bill", + "headline_extended": "Some Republican lawmakers in West Virginia want to ban transgender youth at risk for self-harm or suicide from accessing medical interventions such as hormone therapy", + "slugline": "BC-US--Gender Affirming Care-West Virginia", + "description_summary": "Some Republican lawmakers in West Virginia want to ban transgender youth at risk for self-harm or suicide from accessing medical interventions such as hormone therapy. The GOP-controlled Legislature banned such interventions last year while allowing the self-harm and suicide exception. Now, a group of lawmakers want to eliminate that narrow definition, which requires parental consent and a diagnosis of severe gender dysphoria from two medical professionals. Coming up against a major legislative deadline next week, lawmakers in the House Health and Human Resources Committee voted Friday to advance a bill to the full chamber that would completely ban interventions like hormone therapy and puberty blockers.", + "bylines": [ + { + "by": "By LEAH WILLINGHAM", + "title": "Associated Press" + } + ], + "located": "CHARLESTON, W.Va.", + "datelinelocation": { + "city": "Charleston", + "countryareacode": "WV", + "countryareaname": "West Virginia", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -81.63262, + 38.34982 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. 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(AP) \u2014 Some Republican lawmakers in West Virginia want to ban transgender youth at risk for self-harm or suicide from accessing medical interventions such as hormone therapy.
The GOP-controlled Legislature banned such interventions last year while allowing the self-harm and suicide exception. Now, a group of lawmakers want to eliminate that narrow definition, which requires parental consent and a diagnosis of severe gender dysphoria from two medical professionals, both of whom must provide written testimony that medical interventions are necessary to prevent or limit possible or actual self-harm.
Coming up against a major legislative deadline next week, lawmakers in the House Health and Human Resources Committee on Friday rushed to advance a bill to the full chamber that would completely ban interventions like hormone therapy and puberty blockers. Gender-affirming surgery, which physicians testified doesn't occur in the state, was banned last year.
It's unclear what the chances of passage are for the bill. The House of Delegates passed a similar measure last year, but it was significantly altered by Republican Senate Majority Leader Tom Takubo, a physician who expressed concern about the high suicide rate for transgender youth.
The bill's lead sponsor, Republican Del. Geoff Foster, said Friday he thought last year's bill \u2014 which he also sponsored \u2014 was better, \u201cmore clear and concise\u201d without Takubo's changes.
\u201cThese are very drastic solutions that aren\u2019t fixing the problem,\" he said of puberty blockers and hormone therapy, saying what's needed is more treatment for depression. He may not believe in gender-affirming care, he said, but those 18 and older can make their own decisions, not kids.
No one spoke in support of the measure before the vote in House Health, but the committee defeated a motion by Democratic Del. Mike Pushkin to allow youth receiving treatment to continue, even if the interventions are banned for new patients.
No testimony was shared by patients who receive the care or the physicians who treat them. Fairness West Virginia, the state\u2019s only LGBTQ advocacy organization, said a request submitted for a public hearing was denied Friday by Republican House Speaker Roger Hanshaw's office.
\u201cThe argument for this bill is that these are irreversible decisions made by minors, but that\u2019s not true,\" Pushkin said, before the vote. \u201cThis type of treatment is reversible \u2014 what isn\u2019t reversible is suicide.\u201d
At least 23 states have now enacted laws restricting or banning gender-affirming medical care for transgender minors, and most of those states face lawsuits. Lawmakers in West Virginia and other states advancing bans on transgender health care for youth and young adults often characterize gender-affirming treatments as medically unproven, potentially dangerous and a symptom of \u201cwoke\u201d culture.
On Friday, the American Civil Liberties Union of West Virginia said they wouldn't hesitate to take legal action, too.
\u201cIf this bill becomes law, we\u2019ll see the state in court,\u201d the organization wrote on the social media site X, formerly known as Twitter.
Isabella Cortez, Gender Policy Manager for Fairness West Virginia, called the vote \u201cabhorrent\u201d and a \u201clast-minute mad dash to eliminate\u201d care that has already been significantly limited.
Every major medical organization, including the American Medical Association, the American Academy of Pediatrics and the American Psychiatric Association, supports gender-affirming care for youths.
Many doctors, mental health specialists and medical groups have argued that treatments for young transgender people are safe and beneficial, though rigorous long-term research is lacking. Federal health officials have described gender-affirming care as crucial to the health and wellbeing of transgender children and adolescents.
Last year, West Virginia University Medicine Pediatrician Dr. Kacie Kidd \u2014 one of the only physicians offering this care to minors in the state \u2014 said the effects of puberty-blocking medications are reversible, though it\u2019s rare that a patient chooses to reverse treatment.
Kidd, who is medical director of West Virginia University Medicine\u2019s Children\u2019s Gender and Sexual Development Clinic, also said no patients are placed on hormone therapy before they reach puberty. When minors are placed on hormone therapy, it\u2019s a careful decision made in conjunction with the patient and their family members.
She also said she feared the bill would put her patients' lives at risk, noting that the percentage of transgender adolescents considering suicide is around 300% higher than the rate for all West Virginia young people, regardless of gender identity. But interventions like puberty blockers and hormone therapy drastically reduce that risk, she said.
Takubo, a physician, cited more than a dozen peer-reviewed studies showing a decrease in rates of suicide ideation and attempts among youth with severe gender dysphoria who had access to medication therapy.
Gender dysphoria is defined by medical professionals as severe psychological distress experienced by those whose gender identity differs from their sex assigned at birth.
Del. Foster said the bill as it was written last year contained all other exemptions it needed: one for those who are born intersex and another for people taking treatments for infection, injury, disease or disorder that has been \u201ccaused by or exacerbated by the performance of gender transition procedures.\u201d
He said that the bill \u201calready took care of any exceptions that were not specifically for the intention of changing one's biological sex to one that was different than that assigned at birth.\u201d
During Friday's meeting, Democratic Del. Anitra Hamilton said there have been plenty of data and studies that carefully considered gender-affirming care and deemed it legitimate.
\u201cI think our ultimate goal is prevention of suicide,\u201d she said.
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Lawmakers in four states have proposals to allow prospective parents to claim a state income tax deduction for dependent children before birth. Georgia already does both, and Utah enacted a pregnancy tax break last year. Abortion opponents have long sought constitutional protections for embryos and fetuses, and even limited proposals are being seen in that light.", + "bylines": [ + { + "by": "By JOHN HANNA and GEOFF MULVIHILL", + "title": "Associated Press" + } + ], + "located": "TOPEKA, Kan.", + "datelinelocation": { + "city": "Topeka", + "countryareacode": "KS", + "countryareaname": "Kansas", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -95.67804, + 39.04833 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. 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(AP) \u2014 The recent Alabama Supreme Court ruling that frozen embryos are legally protected children is highlighting how support for the idea that a fetus should have the same rights as a person underpins far less dramatic laws and proposals from abortion foes across the U.S.
Lawmakers in at least six states have proposed measures similar to a Georgia law that allows women to seek child support back to conception to cover expenses from a pregnancy. Georgia also allows prospective parents to claim its income tax deduction for dependent children before birth, Utah enacted a pregnancy tax break last year, and variations of those measures are before lawmakers in at least four other states.
Including legislation that makes harming or killing a fetus a crime, several dozen proposals falling under the broad umbrella of promoting fetal rights are pending in at least 15 states, according to an Associated Press analysis using the bill-tracking software Plural.
The Alabama court decision spotlighted the anti-abortion movement's long-standing goal of giving embryos and fetuses legal and constitutional protections on par with those of the women carrying them. But abortion rights advocates see proposals granting even limited protections to embryos and fetuses as potentially having broader implications.
\u201cAny law that applies to a human could then be deployed with regard to fetuses,\u201d said Melissa Murray, a professor at the New York University School of Law. \u201cThe whole array of statutory law and constitutional law is available.\u201d
Abortion opponents argue that proposals on income taxes or child support \u2014 or state aid to anti-abortion centers that provide services during pregnancy and after birth \u2014 are driven by compassion for vulnerable women and girls. The help could persuade some not to terminate pregnancies, abortion opponents contend, but their tax and child support proposals also would help women and girls who never consider abortion.
\u201cThe main goal is just to help provide support for mothers and families who need extra support here and then provide support to those who are also helping them, such as the pregnancy resource centers,\u201d said Lucrecia Nold, who lobbies for the Kansas Catholic Conference.
A Kansas House committee held a hearing earlier this month on the child support proposal, and a bill to allow prospective parents to claim the state's $2,250 dependent income tax deduction before a child's birth is before a Senate committee. Lawmakers are expected to discuss both in coming weeks.
Kansas is an outlier among states with Republican-controlled Legislatures because of a 2019 state Supreme Court decision declaring that the Kansas Constitution protects access to abortion as a matter of a fundamental right to bodily autonomy. Lawmakers put an amendment on the ballot to explicitly declare that the constitution doesn't grant a right to abortion \u2014 allowing them to greatly restrict or ban the procedure \u2014 but voters soundly rejected it in August 2022. It was the first of seven state votes affirming abortion rights after the U.S. Supreme Court's Dobbs decision allowing states to ban abortion.
But Kansas also has had a law since 2007 that allows people to face separate charges for crimes against fetuses, including capital murder, vehicular homicide and battery, and it hasn't been challenged. A 2013 state law declares that life begins at fertilization and \u201cunborn children have interests in life, health and well-being that should be protected,\u201d but it's not been enforced as a limit on abortion.
Brittany Jones, an attorney and policy director for Kansas Family Voice, which opposes abortion and sought the child support measure, said the state Supreme Court didn't care about those laws when it ruled in 2019.
\u201cThis freakout \u2014 that we\u2019re trying to do something unique legally \u2014 is just hysterical,\u201d she said. \u201cWe believe that the mother and the child both have value. I won't run from that; that's true.\u201d
In questioning abortion opponents\u2019 motives for pursuing more limited measures dealing with child support or income taxes, abortion rights advocates argue that they don\u2019t represent meaningful aid for pregnant women or their families.
During the Kansas House committee hearing this month, abortion providers argued that if the state wants to help them, it should consider expanding social services, including Medicaid; improve access to comprehensive sexual and reproductive care; or mandate paid family leave. The state\u2019s budget division projected that almost 21,000 extra income tax filers could claim the dependent deduction \u2014 but the average savings would be about $91 each.
Elisabeth Smith, state policy and advocacy director for the Center for Reproductive Rights, which fights for abortion access, called such measures \u201cwindow dressing\u201d and said they and the Alabama Supreme Court ruling are part of a coordinated anti-abortion campaign across the U.S.
\u201cThis is absolutely part of the antis' long campaign to perpetuate abortion stigma and to normalize that an embryo and a fetus are equal to a living, breathing human being walking around,\u201d Smith said.
But Mary Zieger, a law professor at the University of California, Davis, who has published six books since 2015 about the national abortion debate and its history, said states' fetal personhood measures also could influence the U.S. Supreme Court's conservative majority to consider whether the U.S. Constitution's rights apply to fetuses and embryos as a matter of history or tradition.
\u201cAnd then they\u2019re going to say, \u2018Well, look, there\u2019s also all these states that hold this position,\u2019\u201d she said.
In Alabama, voters amended the state constitution in 2018 to declare that the state\u2019s public policy is \u201cto ensure the protection of the rights of the unborn child.\" Justices cited that provision in separate opinions on frozen embryos.
Broad fetal rights proposals are pending in at least four states, and Vermont has one to grant rights to fetuses at the 24th week of pregnancy, though it is not likely to pass the Democratic-controlled Legislature.
Ziegler, who's working on a book about the push for fetal rights, said such broad measures are likely to be unpopular with voters who want to protect abortion access or in vitro fertilization for women who have trouble conceiving.
She said abortion foes are trying to find \u201cunicorn\u201d bills that advance fetal personhood without \u201cactually making voters angry.\"
\u201cThere\u2019s a kind of longer game being played here in the sense that the goal is ultimately some kind of federal recognition for fetal personhood,\u201d she said.
____
Mulvihill reported from Cherry Hill, New Jersey.
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(AP) \u2014 California Gov. Gavin Newsom on Sunday announced an advertising campaign to combat proposals in several Republican-controlled states to prohibit out-of-state travel for abortions and other reproductive care.
The multistate ad campaign and an online petition effort will launch Monday, beginning with a TV commercial about a measure under consideration in Tennessee. The so-called \u201cabortion trafficking\u201d bill sponsored by GOP state legislators would make it a felony offense for an adult to recruit, harbor or transport a minor to get an abortion without parental consent.
Newsom told NBC's \u201cMeet the Press\u201d that similar restrictions modeled on a law that has already passed in Idaho are also being proposed in Oklahoma and Mississippi.
\u201cThe conditions are much more pernicious than they even appear,\" Newsom said. \"These guys are not just restricting the rights, self-determination to bear a child for a young woman. But they\u2019re also determining their fate as it relates to their future in life by saying they can\u2019t even travel.\u201d
People who support the Tennessee measure say it could criminalize not only driving a minor to get an abortion, but also providing information about nearby abortion services or passing along which states have looser abortion laws.
Republican state Rep. Jason Zachary, who is co-sponsoring the proposal, has called it \u201csimply a parental rights bill.\u201d
Since the U.S. Supreme Court overturned Roe v. Wade in 2022, anti-abortion advocates have pushed states to ban abortion and find ways to block pregnant women and girls from crossing state lines to obtain the procedure.
Idaho has already enacted a so-called \u201cabortion trafficking\u201d law. The first-of-its-kind measure made it illegal to obtain abortion pills for a minor or help them leave the state for an abortion without parental knowledge and consent.
Newsom, a Democrat widely seen as a future presidential candidate, said his RightToTravel.org effort will be paid for by a national political action committee he launched last spring with $10 million from his state campaign funds. The effort, dubbed, the \u201cCampaign for Democracy,\u201d is designed to boost Joe Biden and other Democrats and the conservative Republican agenda, he said.
Democrats and left-leaning interest groups have banked on abortion rights as a major motivator for voters in the upcoming presidential election and fight for control of Congress.
They believe supporting access to abortion can be a winning issue as the debate widens to include increasing concerns over miscarriage care, access to medication, access to emergency care and in vitro fertilization treatments. A ruling this week by the Alabama Supreme Court jeopardized future access to IVF.
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A brief announcement on Saturday from the Vatican press office said the 87-years-old pontiff was forced to scrap a planned audience with the Roman deacons as a precautionary measure due to a \u201cmild, flu-like condition.\u201d
On Sunday, Francis, who over the past few months had to cancel some of his activities and one international trip due to fragile health, concluded his Angelus prayer with his usual salutes to the waving crowd.
In his address, Francis remembered \u201cwith sorrow\u201d the second anniversary of the start of what he called \u201ca large-scale war in Ukraine.\u201d
\u201cSo many victims, wounded, destruction, distress, tears in a period that is becoming terribly long and whose end is not yet in sight,\u201d the pope said.
\u201cIt is a war that is not only devastating that region of Europe, but also unleashing a global wave of fear and hatred,\u201d he added. \u201cI plead for that little bit of humanity to be found to create the conditions for a diplomatic solution in the search for a just and lasting peace.\u201d
The pontiff also prayed for those involved in the Israeli-Palestinian conflict and \u201cfor so many war-torn people, and to concretely help those who suffer. ... Let us think of so much suffering, let us think of the wounded, innocent children.\u201d
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Editorial: Now the right to get pregnant is under attack, too. Missourians can protect it.
With a single court ruling in Alabama, America\u2019s radical anti-choice movement is no longer just impeding the rights of women to end unwanted pregnancies.
Now it\u2019s impeding the rights of women who are seeking pregnancies.
That\u2019s already the ironic practical effect of a ruling by the Alabama Supreme Court last week that frozen embryos have all the legal rights of fully formed people, and so cannot be disposed of during in vitro fertilization treatments.
Within days of the ruling, Alabama\u2019s largest hospital network paused IVF procedures for fear of facing lawsuits or criminal charges due to discarded fertilized eggs that are an unavoidable part of the process. Which means Alabama women desperately seeking pregnancy will have to travel to other states \u2014 as women desperately seeking to end pregnancies (including rape victims) already must do.
The ruling currently affects only Alabamans. But given the recent history in Missouri of state policymakers taking their cues from other radically red states regarding reproductive rights, no one should be surprised if this latest expansion of extremist politics into personal medical decisions takes root here.
That should drive home the urgency of passing Missouri\u2019s pending abortion-rights constitutional amendment referendum, which also would protect reproductive rights more broadly.
With in vitro fertilization, eggs are medically extracted from a woman and combined with sperm in a laboratory. Once the fertilized egg forms into an embryo, it is placed into the uterus of either the woman who supplied the eggs or a surrogate, and the pregnancy continues from there.
First pioneered in the late 1970s, the procedure today is a relatively common way for infertile couples to have children, accounting for about 2% of U.S. pregnancies. In all, some 8 million Americans walking (or crawling) around today were conceived in a lab.
Because the complex IVF process doesn\u2019t always work, multiple eggs are generally fertilized to increase the odds of getting a viable embryo. Unused embryos \u2014 often consisting of just one or a handful of cells \u2014 can be frozen for later implantation attempts. Upon successful pregnancy, unused embryos are typically discarded.
Friday\u2019s court ruling stemmed from wrongful death cases brought by three couples who had frozen embryos that were destroyed in an accident at an Alabama fertility clinic. The plaintiffs essentially alleged that their offspring had been killed. Alabama law, like Missouri\u2019s, prohibits all abortions from conception.
In its unprecedented opinion upholding the plaintiffs\u2019 claim, the state\u2019s all-Republican Supreme Court ruled 7-2 that \u201cunborn children are \u2018children\u2019 \u2026 without exception based on developmental stage, physical location, or any other ancillary characteristics.\u201d
In a concurring opinion that reads more like a Sunday sermon, Chief Justice Tom Parker confirmed that today\u2019s anti-choice movement is at base a crusade to transform America into a biblical theocracy. \u201cHuman life cannot be wrongfully destroyed without incurring the wrath of a holy God,\u201d he wrote. \u201cEven before birth all human beings have the image of God, and their lives cannot be destroyed without effacing his glory.\u201d
Such blatant disregard for the First Amendment\u2019s separation of church and state is commonplace on the political right today. Missouri\u2019s own anti-abortion statute declares that \u201cAlmighty God is the author of life.\u201d
In his dissent, Alabama Justice Greg Cook also referenced religion to note the real-world impact of the court\u2019s ruling. \u201cThere is no doubt that there are many Alabama citizens praying to be parents,\u201d he wrote, \u201cwho will no longer have that opportunity.\u201d
Since the overturn of Roe v. Wade last year allowed states to outlaw abortion at all stages of pregnancy, right-wing politicians and judges across the country have made clear they have no intention of stopping there \u2014 as the Alabama ruling again demonstrates. Having won the right to dictate the most personal medical decisions of half the population, infringement on other areas of reproductive rights is inevitable.
Luckily, the proposed constitutional amendment in Missouri to protect abortion rights until the point of fetal viability (the same standard that existed under Roe) is worded to apply to other reproductive issues as well. It would preserve for individuals \u201cthe right to make and carry out decisions about all matters relating to reproductive health care.\u201d
That would prevent Missouri politicians from pursuing future schemes to deprive couples of in vitro fertilization services, birth control access and any other medical decisions that are manifestly none of the state\u2019s business.
As we have written here before, those politicians are pulling out all the stops to prevent Missourians from having their say on these issues via the vote.
Citizens can fight back by signing onto the state petition drive to get reproductive rights on the ballot this year. The only way to fully guard against Alabama-level extremism spreading into statutes and court rulings here is to enshrine those rights in the Missouri Constitution.
END
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licenses suspended and face prosecution, the government said Monday.
About 9,000 medical interns and residents have stayed off the job since early last week to protest a government plan to increase medical school admissions by about 65%. The walkouts have severely hurt the operations of their hospitals, with numerous cancellations of surgeries and other treatments.
Government officials say adding more doctors is necessary to deal with South Korea\u2019s rapidly aging population. The country\u2019s current doctor-to-patient ratio is among the lowest in the developed world.
The strikers say universities can\u2019t handle so many new students and argue the plan would not resolve a chronic shortage of doctors in some key but low-paying areas like pediatrics and emergency departments.
Vice Health Minister Park Min-soo said during a televised briefing Monday that the government won\u2019t seek any disciplinary action against striking doctors if they return to work by Thursday.
\u201cWe want them to return to work by the end of this month, Feb. 29. If they return to the hospitals they had left by then, we won\u2019t hold them responsible\u201d for any damage caused by their walkouts, Park said. \u201cIt\u2019s not too late. Please, return to patients immediately.\u201d
But he said those who don\u2019t meet the deadline will be punished with a minimum three-month suspension of their medical licenses and face further legal steps such as investigations and possible indictments.
Under South Korea\u2019s medical law, the government can issue back-to-work orders to doctors and other medical personnel when it sees grave risks to public health. Refusing to abide by such an order can bring suspensions of their licenses and up to three years in prison or a 30 million won ($22,480) fine. Those who receive prison sentences would be stripped of their medical licenses.
Hyeondeok Choi, a partner at the law firm Daeryun which specializes in medical law, said it\u2019s highly unlikely the government will suspend the licenses of all doctors on strike, as that would cause \u201can enormous medical vacuum.\u201d Other observers said authorities would likely punish strike leaders.
There are about 13,000 medical interns and residents in South Korea, most of them working and training at 100 hospitals. They typically assist senior doctors during surgeries and deal with inpatients. They represent about 30% to 40% of total doctors at some major hospitals.
The Korea Medical Association, which represents about 140,000 doctors, has said it supports the striking doctors but hasn\u2019t determined whether to join the trainee doctors\u2019 walkouts. Senior doctors have held a series of rallies voicing opposition to the government\u2019s plan in recent days.
Earlier this month, the government announced universities would admit 2,000 more medical students starting next year, from the current 3,058. The government says it aims to add up to 10,000 doctors by 2035.
Striking doctors have said they worry doctors faced with increased competition would engage in overtreatment, burdening public medical expenses.
A public survey showed that about 80% of South Koreans back the plan. Critics suspect doctors, one of the best-paid professions in South Korea, oppose the recruitment plan because they worry they would face greater competition and lower incomes.
Park said the country\u2019s medical services for emergency and critical patients remain stable, with public medical facilities extending their working hours and military hospitals opening emergency rooms to ordinary patients. But local media reported that an octogenarian suffering a cardiac arrest was declared dead last Friday after seven hospitals turned her away citing a lack of medical staff or other reasons likely related to the walkouts.
Hwang Byung-tae, a 55-year-old laryngeal cancer patient, said he has regularly visited a Seoul hospital for treatment for four years. Last week, he said he had to leave the hospital without receiving an anti-cancer injection because of the walkouts.
Hwang accused both the government and doctors of holding the lives of patients hostage. \u201cIt\u2019s patients like me who end up suffering and dying, not them,\u201d Hwang said.
___
Associated Press writer Jiwon Song contributed to this report.
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And it says flatly that there was \u201cno indication of ill intent or an attempt to obfuscate.\u201d", + "bylines": [ + { + "by": "By LOLITA C. BALDOR and TARA COPP", + "title": "Associated Press" + } + ], + "located": "WASHINGTON", + "datelinelocation": { + "city": "Washington", + "countryareacode": "DC", + "countryareaname": "District of Columbia", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -77.03637, + 38.89511 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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The review, which was done by Austin's subordinates, largely absolves anyone of wrongdoing for the secrecy surrounding his hospitalization, which included several days in the intensive care unit. And it says flatly there was \u201cno indication of ill intent or an attempt to obfuscate.\u201d
Instead, the 30-day examination of the lapse \u2014 which angered the White House and members of Congress \u2014 says procedures must be improved and information shared better when the defense secretary must transfer decision-making authorities to the deputy.
Austin has been called to Capitol Hill on Thursday for a House hearing and is expected to face sharp criticism. The Defense Department\u2019s inspector general is also conducting a review, which has not yet been completed.
Austin was diagnosed with prostate cancer in early December and went to Walter Reed National Military Medical Center for surgery on Dec. 22. On Jan. 1, he was taken back to Walter Reed by ambulance after experiencing significant pain, and was moved to the intensive care unit the next day.
Although he transferred decision-making authorities to Deputy Secretary Kathleen Hicks during his initial surgery and then again when he was in intensive care, he did not tell her why and he did not inform the White House.
Pentagon officials have acknowledged that public affairs and defense aides were told on Jan. 2 that Austin had been hospitalized but did not make it public and did not tell the military service leaders or the National Security Council until Jan. 4. Only then did President Joe Biden find out. It took four more days before the reason for his hospitalization was disclosed.
Defense officials released an unclassified summary of the review on Monday and a set of recommended changes. The review suggests there was no established method for handling such an incident, and the fact that his hospitalization was \u201cunplanned\u201d contributed to the failure to let others know.
It also says Austin's staff was limited by medical privacy laws that prohibited doctors from providing information and they \u201cwere hesitant to pry or share any information they did learn.\" It adds that since Austin's condition was \u201cin flux\" they could not ensure \u201ctimely secured communications.\u201d
Maj. Gen. Pat Ryder, the Pentagon press secretary, told reporters Monday that Austin\u2019s aides found themselves in an \u201cunprecedented situation.\u201d He said that as Austin was being moved into intensive care, his aides recognized that he would not have access to critical communications, and they made the decision to transfer authorities to the deputy.
The fact that staff and not Austin made the decision raised questions about who was in control of the department at that moment, including America\u2019s nuclear arsenal. Ryder said there were \u201cno gaps\u201d in command and control of the department.
Pressed on the lack of blame and whether anyone is being disciplined, Ryder said, \u201cas the secretary has said, the buck stops with him and he\u2019s taking responsibility for not notifying the president and the White House sooner.\u201d
He added that \u201cdedicated public servants were doing what they thought was the right thing.\u201d
The 30-day review was finished and submitted to Austin on Feb. 8, but only parts of it were publicly released. The Pentagon has argued that portions of the report are classified.
Austin, in a press briefing after he returned to work, told reporters that he never told his staff to keep his surgery and hospitalization secret from the White House, but acknowledged he should have handled it differently and he apologized for keeping Biden and others in the dark. He denied there was a culture of secrecy in his office, and also said that staff members may have perceived that \"they\u2019re doing things in my best interest.\u201d
The recommended changes include better guidelines for the transfer of authorities and better reporting requirements during those incidents.
His secrecy about the hospitalizations prompted the White House to issue new guidelines to ensure it will be informed any time a Cabinet head transfers decision-making authorities when they are unreachable due to medical, travel or other reasons.
Austin\u2019s chief of staff, Kelly Magsamen, ordered the 30-day review on Jan. 8, which was done by Jennifer Walsh, the Pentagon\u2019s director of administration and management. Walsh is a career defense worker, not a political appointee, Ryder said,.
In a memo released at the time, Magsamen said the review should include a timeline of events and notifications after Austin was taken to the hospital by ambulance on Jan. 1. She said it must examine the existing process for when a secretary transfers decision-making authorities and who should be notified, and make recommendations for improvement.
Her memo also made some interim changes to vastly expand the number of people who must be notified in future transfers of authority and that they must provide a reason.
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The ruling by the Republican-controlled Alabama Supreme Court has unexpectedly propelled the issue of IVF into the presidential campaign conversation right ahead of the Super Tuesday primaries on March 5. The visit by Health and Human Services Secretary Xavier Becerra comes just days after former President Donald Trump vowed to protect access to the fertility care. Becerra will meet with patients and doctors who have been impacted by the state court\u2019s ruling on Tuesday.", + "bylines": [ + { + "by": "By AMANDA SEITZ", + "title": "Associated Press" + } + ], + "located": "WASHINGTON", + "datelinelocation": { + "city": "Washington", + "countryareacode": "DC", + "countryareaname": "District of Columbia", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -77.03637, + 38.89511 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. 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The ruling by the Republican-controlled Alabama Supreme Court has unexpectedly propelled the issue of IVF into the presidential campaign conversation right ahead of Super Tuesday voting on March 5.
The visit by Health and Human Services Secretary Xavier Becerra comes just days after former President Donald Trump vowed to protect access to the fertility care.
President Joe Biden and his allies have been quick to seize on last week's ruling \u2014 which says that frozen embryos can be considered children under state law and threatens the future of fertility care in the state \u2014 as evidence that Republicans have gone too far with restricting reproductive care. Some Republicans, too, have said they're alarmed by the ruling.
Biden called the ruling \u201coutrageous\u201d in a statement. Vice President Kamala Harris described the decision as the epitome of \u201cirony,\u201d since it could impede families' ability to have children.
Several clinics have paused IVF treatment since the court's decision came down. Some lawmakers in the state say they're scrambling for a fix.
Trump, who appointed anti-abortion judges to the U.S. Supreme Court and in federal judgeships around the country, came out strongly against the ruling on Friday saying on his own social media platform, \"We want to make it easier for mothers and fathers to have babies, not harder!\u201d
During his visit to Alabama, Becerra will meet with patients and doctors who have been impacted by the state court's ruling.
\u201cThe decision in Alabama will have heart-wrenching consequences for women & their families,\" Becerra said in a social media post reacting to the ruling last week.
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The document also touches on political reactions and potential consequences for patients and doctors, making it highly relevant to the topic of health." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/02/26/29437bf24673dfb6e79f9af255c642bf.json b/datasets/AP_news/raw_data/2024/02/26/29437bf24673dfb6e79f9af255c642bf.json new file mode 100644 index 0000000..482545e --- /dev/null +++ b/datasets/AP_news/raw_data/2024/02/26/29437bf24673dfb6e79f9af255c642bf.json @@ -0,0 +1,337 @@ +{ + "altids": { + "itemid": "29437bf24673dfb6e79f9af255c642bf", + "etag": "29437bf24673dfb6e79f9af255c642bf_3a10aza0c0", + "friendlykey": "996419487847", + "referenceid": "US--Gender Affirming Care-West Virginia" + }, + "version": 3, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-02-27T01:41:46Z", + "firstcreated": "2024-02-26T21:57:37Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: EDITS: Makes editing changes.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "US--Gender Affirming Care-West Virginia", + "headline": "West Virginia medical professionals condemn bill that prohibits care to at-risk transgender youth", + "headline_extended": "Hundreds of medical professionals in West Virginia have signed onto a letter condemning a bill advancing in the state House of Delegates that would bar transgender youth at risk for suicide from accessing medical interventions like hormone therapy", + "slugline": "AP-US--Gender Affirming Care-West Virginia, 3rd Ld-Writethru", + "description_summary": "Hundreds of medical professionals in West Virginia have signed onto a letter condemning a bill advancing in the state House of Delegates that would bar transgender youth at risk for suicide from accessing medical interventions like hormone therapy. 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(AP) \u2014 Hundreds of medical professionals in West Virginia have signed a letter condemning a bill advancing in the House of Delegates that would bar transgender youth at risk for suicide from accessing medical interventions such as hormone therapy.
The bill before the full House would completely ban minors' access to hormone therapy and puberty blockers, removing a narrow exemption passed by lawmakers last year that allows kids at risk for self-harm and suicide to receive such care.
More than 400 people signed the letter published Monday by the state\u2019s only LGBTQ advocacy organization, Fairness West Virginia. They included doctors, psychologists, social workers, nurses and medical students.
\u201cAs clinicians, we want to be able to provide best practices in care and follow the guidelines of our ethical principles,\u201d West Virginia Psychological Association President Dr. Chava Urecki said in an interview. \u201cThe important thing is \u2018Do No Harm,\u2019 so we as a society and a discipline do need to protect the most vulnerable by allowing gender-affirming care and giving them the services that they deserve and need.\u201d
She said clients in the state have told providers that the proposal makes them feel \u201cunsafe, unsupported and violates their right to privacy,\" adding she fears it will lead to an increase in hospitalizations.
Fairness West Virginia Communications Director Jack Jarvis said the organization planned to present the letter to delegates at the state Capitol in Charleston on Tuesday, the day before the bill faces a scheduled vote.
He said the swell of support the letter has received from medical professionals in the 72 hours since the bill was approved by the House Health and Human Resources Committee is telling.
\u201cFrankly, I\u2019ve never seen this level of support come together so quickly,\u201d Jarvis said. \u201cHealthcare providers all across our state realize just how dangerous this bill is \u2014 they understand the stakes.\u201d
Up to 2% of adolescents in the United States identify as transgender, and in any given year a third of them may attempt suicide, the letter states. Research shows that transgender youth who access gender-affirming hormone therapy have 73% lower odds of considering suicide, it says.
\u201cIn many cases, this care can be life-saving,\" the letter reads.
At least 23 states have now enacted laws restricting or banning gender-affirming medical care for transgender minors, and most of those states face lawsuits.
Every major medical organization, including the American Medical Association, the American Academy of Pediatrics and the American Psychiatric Association, supports gender-affirming care for youths.
Lawmakers in West Virginia and other states advancing bans on transgender health care for youth and young adults often characterize gender-affirming treatments as medically unproven, potentially dangerous and a symptom of \u201cwoke\u201d culture.
After the bill passed the committee on Friday, Lead Sponsor Republican Del. Geoff Foster said the law would be better, \u201cmore clear and concise\u201d without the exemption, saying that will help reduce suicide rates is treatment for depression.
He may not believe in people receiving hormone therapy or puberty blockers, he said, but those 18 and older can make their own decisions, not kids.
Fairness West Virginia Gender Policy Manager Isabella Cortez, who is transgender, said it doesn't feel that way to her: \u201cThey don\u2019t want trans people to exist, kids or adults. Their goal is to get rid of us entirely.\u201d
Dr. Kate Waldeck, a pediatric critical care physician at Hoops Family Children\u2019s Hospital in the state\u2019s second-largest city of Huntington, said when she started there in 2017, easily more than half of the children she saw in the PICU after serious suicide attempts identified as transgender or nonbinary. Hoops usually admits one or two serious suicide attempts a week.
\u201cMany of them I would see repeatedly, meaning after repeated attempts to take their own lives,\u201d she said.
She said the research is clear about the benefits of gender-affirming care for children experiencing severe gender dysphoria: \u201cThere is no controversy on this in the medical literature.\u201d
Waldeck spearheaded the creation of Huntington\u2019s Gender Affirming Pediatric Clinic in the fall of 2021, which is open one day a month and currently treats fewer than a dozen total patients under 18 with puberty blockers and hormone therapy. She receives no extra compensation for her work at the clinic, but said she does it because she sees the life-saving and changing impact the care can have for kids.
\u201cThese children are suffering. They are highly vulnerable,\u201d she said, adding that she never thought she\u2019d do outpatient medicine again after her residency.
She called it \u201cheartbreaking\u201d that it has become a major political issue.
\u201cMost of these kids would give anything to be 'normal\u2019 or \u2018under the radar,\u2019\u201d she said. \u201cAnd now their struggles are being discussed by politicians and it has made life much harder for them.\u201d
Jarvis said that last year's bill has already forced dozens of families with the resources to move out of state to leave West Virginia. He said he knows others who have been denied access because the exemption in existing law is already so narrow. The 2023 law requires parental consent and a diagnosis of severe gender dysphoria from two medical professionals, both of whom must provide written testimony that medical interventions are necessary to prevent or limit possible or actual self-harm.
The bill's chances of passage are unclear. The House of Delegates passed a similar measure last year, but it was significantly altered by Republican Senate Majority Leader Tom Takubo, a physician who expressed concern about the high suicide rate for transgender youth.
Takubo, a physician, cited more than a dozen peer-reviewed studies showing a decrease in rates of suicide ideation and attempts among youth with severe gender dysphoria who had access to medication therapy.
Gender dysphoria is defined by medical professionals as severe psychological distress experienced by those whose gender identity differs from their sex assigned at birth.
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The Vatican press office made the announcement in a short statement on Monday, adding that the pontiff did not have a fever. The statement indicated the decision was made as a precautionary measure. Pope Francis was well enough on Sunday to celebrate his weekly Angelus prayer from the Vatican window overlooking St. Peter\u2019s Square, a day after canceling a public audience because of a mild flu-like condition. The Vatican calendar has no public audiences scheduled for the Pope on Monday morning, but he may have had other private engagements.", + "located": "VATICAN CITY", + "datelinelocation": { + "city": "Vatican City", + "countrycode": "VAT", + "countryname": "Vatican City", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + 12.4533, + 41.90225 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. 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The statement indicated the decision was made as a precautionary measure.
Pope Francis was well enough on Sunday to celebrate his weekly Angelus prayer from the Vatican window overlooking St. Peter\u2019s Square, a day after canceling a public audience because of a mild flu-like condition.
The Vatican calendar has no public audiences scheduled for the Pope on Monday morning, but he may have had other private engagements.
On Saturday, in another brief announcement, the Vatican press office said the 87-year-old pontiff was forced to scrap a planned audience with Roman deacons as a precaution due to a \u201cmild, flu-like condition.\u201d
Over the past few months, Francis had to cancel some activities and one international trip due to his fragile health.
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This story that moved Monday has been updated to add a photo of Fort Wayne Mayor Tom Henry.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "IN--Fort Wayne Mayor-Cancer", + "headline": "Fort Wayne Mayor Tom Henry says he has late-stage stomach cancer", + "headline_extended": "Fort Wayne Mayor Tom Henry says he has been diagnosed with late-stage stomach cancer and will begin chemotherapy treatments next week", + "slugline": "BC-IN--Fort Wayne Mayor-Cancer, 1st Ld-Writethru", + "description_summary": "Fort Wayne Mayor Tom Henry says he has been diagnosed with late-stage stomach cancer and will begin chemotherapy treatments next week. The five-term mayor of Indiana\u2019s second most populous city announced the diagnosis during a news briefing outside his office Monday afternoon. Henry said initial scans have shown that the cancer is currently spreading through his lymph nodes and other organs. 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(AP) \u2014 Fort Wayne Mayor Tom Henry said Monday he has been diagnosed with late-stage stomach cancer and will begin chemotherapy treatments next week.
The five-term mayor of Indiana's second most populous city announced the diagnosis during a news briefing outside his office Monday afternoon.
\u201cMy initial scans have shown that the cancer is currently spreading through my lymph nodes and to other organs in my body. Because of that, my prognosis is not good,\u201d Henry said.
He said he plans to continue carrying out his duties as mayor.
\u201cI also have confidence in my ability to carry out my term as your mayor for as long as God permits,\u201d Henry said.
Henry, 72, was elected to his fifth term as mayor of the city of about 270,000 residents in November.
Henry pleaded guilty to operating a vehicle while intoxicated endangering a person in November 2022, had his license suspended for 90 days and received a suspended one-year jail sentence. He was arrested the month before with a blood-alcohol level of 0.152, or nearly twice Indiana\u2019s legal limit of 0.08.
Henry\u2019s wife, Cindy, died at age 67 on Jan. 20 after battling pancreatic cancer for more than a year.
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The Mauritius government cleared the Norwegian Dawn, which is owned and run by the Miami-based Norwegian Cruise Line company, to dock at the harbor in the capital, Port Louis, after health officials found no traces of cholera in tests conducted on the ship's water.
Mauritius authorities blocked the ship from docking Sunday because 15 people onboard were ill with vomiting and diarrhea. The Mauritius Ports Authority said it took the decision \u201cin order to avoid any health risks,\" and sent officials onboard to collect samples to test.
The Mauritius government said the sick passengers who had been isolated after falling ill in fact had mild cases of the viral infection gastroenteritis.
Norwegian Cruise Line said in a statement that there were \u201ca small number of guests experiencing mild symptoms of a stomach-related illness\u201d and there were \u201cno confirmed cases nor any evidence of cholera.\"
The Mauritius government \"required testing in an overabundance of caution,\u201d it added.
Several countries in mainland southern African have experienced serious outbreaks of cholera over the last year, possibly leading to the concern from authorities in Mauritius, an island nation of about 1.2 million people off the east coast of Africa that's a popular tourist destination.
Cruise ships were problematic during the COVID-19 pandemic, with many of them reporting outbreaks of that disease and having to be quarantined at ports.
The United Nations Office for the Coordination of Humanitarian Affairs says there's a cholera epidemic in southern Africa, with a total of around 188,000 cases and 3,000 deaths in eight countries since January 2023.
Cholera spreads through food or water contaminated with the bacteria that causes it. Health officials were also testing the food onboard the Norwegian Dawn for cholera. Those tests results hadn't yet come back but authorities said they were satisfied that there was no cholera threat after the water tests were negative.
There were 2,184 passengers and 1,026 crew members onboard the Norwegian Dawn when it arrived in Mauritius, the ports authority said. Around 2,000 of those passengers were due to disembark in Mauritius and end their cruise and 2,279 new passengers were due to get onboard.
Everyone leaving the ship would still be screened by health officials, said Dr Bhooshun Ori, the director of health services at the Mauritius ministry of health.
Norwegian Cruise Line said passengers would now disembark the ship on Tuesday.
The 294-meter (964-feet) long Norwegian Dawn has 14 decks, with a casino, a theater and a video game arcade among its facilities.
A regular cabin starts at around $2,000 per person for a 12-day cruise, according to the company's website. For $47,000, you can have a 3-bedroom Garden Villa that comes with a private garden, a hot tub, an outdoor dining area and your own butler service.
___
AP Africa news: https://apnews.com/hub/africa
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February 24, 2024.
Editorial: Big criminal justice issues will need big ideas
Give Omaha Sen. Justin Wayne credit for finding innovative ways to force the Legislature to take a serious look at Nebraska\u2019s criminal justice system and, particularly, its corrections component.
Those proposals are contained in a series of bills that Wayne has introduced that may not have a great chance of making it to passage but are worthy of consideration as ways to reform the state\u2019s troubled criminal justice and corrections system.
Wayne says his bill \u2014 the Safer Towns and Reducing Taxes Plan \u2014 would deliver more than $250 million of annual property tax relief while streamlining judicial processes.
LB996 would place all county jails under the management and supervision of the state Department of Correctional Services. LB993 would replace the state\u2019s county attorney system with a district attorney system under the purview of the attorney general.
The plan\u2019s third component (LB25) would authorize judges or juries to award punitive damages in civil cases, the legality of which is disputed under current state law. The proceeds of those judgments would be directed to local school districts, providing additional funding for schools that would lead to property tax relief.
Moving the jails and county attorneys under the state also would reduce expenses at county level, admittedly adding it at the state level.
Wayne maintains that putting the county jails under Correctional Services would create efficiencies and increase the capacity of a currently overcrowded system by allowing offenders to be housed in currently underused jails.
That could not only immediately ease the pressure on the nation\u2019s most overcrowded prison system, but, perhaps, eliminate the need for the construction of new prisons, saving the state millions.
Not surprisingly, county sheriffs and county officials\u2019 organizations oppose Wayne\u2019s plan. But the ideas contained in those bills should be part of future criminal justice discussions.
Wayne\u2019s biggest idea, however, is to transfer \u201cgeneral management, control and government\u201d of the Department of Correctional Services to the Legislature, giving senators hiring power over the department\u2019s director.
The lawmakers, Wayne believes, can make that change under the state constitution\u2019s provision that grants the power to manage \u201call state charitable, mental, reformatory and penal institutions.\u201d
That transfer, if made in conjunction with Wayne\u2019s other proposals, would put every prison and jail, and thereby incarcerated persons, under the control of the Legislature, which could then implement programming that could aid in reducing overcrowding.
The Legislature isn\u2019t likely to approve that sort of radical change. And the opposition to the three-bill plan probably will keep it from being considered this session.
But Wayne\u2019s ideas deserve to be seriously considered going forward. The Legislature has to confront these big issues, and the solutions will involve some big ideas.
___
McCook Gazette. February 20, 2024.
Editorial: LB907 addresses serious health threat of obesity
State Sen. Merv Riepe\u2019s proposal, Legislative Bill 907, aiming to extend Medicaid coverage to include obesity treatment, is a commendable and much-needed initiative. The prevalence of obesity is not merely a matter of personal lifestyle choices but a complex health issue with profound implications for individuals and society as a whole. LB 907 represents a proactive step toward tackling the root causes of obesity and its associated comorbidities.
Obesity is not merely a matter of excess weight; it is a chronic disease with numerous comorbidities, ranging from diabetes and heart disease to cancer and mental health disorders. Dr. Brianna Johnson-Rabbett\u2019s testimony underscores the urgent need for comprehensive measures to address this multifaceted health crisis. Excluding anti-obesity medications from Medicaid coverage only serves to exacerbate existing healthcare disparities, further marginalizing vulnerable populations.
Furthermore, LB 907 is not just about addressing immediate healthcare costs but about investing in long-term public health and economic prosperity. Samantha Pederson rightly points out the potential benefits of investing in obesity treatment, both in terms of improved patient outcomes and reduced long-term healthcare expenditures. By providing access to intensive behavioral therapy and anti-obesity medications, LB 907 empowers individuals to make meaningful lifestyle changes and effectively manage their health conditions.
Critics may raise concerns about the fiscal implications of LB 907, but these concerns must be weighed against the substantial costs of inaction. The Nebraska Obesity Society\u2019s endorsement of the bill, supported by a coalition of healthcare providers, underscores the consensus within the medical community regarding the urgency of addressing obesity as a public health priority.
Ultimately, LB 907 represents a proactive and necessary step toward addressing the obesity crisis in Nebraska. By expanding Medicaid coverage to include obesity treatment, we not only alleviate the burden on individuals struggling with this chronic disease but also invest in the health and well-being of our communities. The legislature should move to support this vital piece of legislation, ensuring that all Nebraskans have access to the comprehensive care they need to lead healthy, fulfilling lives.
___
North Platte Telegraph. February 20, 2024.
Editorial: Thinking about Amtrak service where it isn\u2019t
A story this week in Wyoming\u2019s Cowboy State Daily calls to mind the one transportation mode no longer available on Nebraska\u2019s Great Platte River Road: passenger trains.
U.S. Federal Railroad Administration officials are taking comments on adding 15 routes to Amtrak\u2019s passenger system, one of them touching the Panhandle.
North Platte lost its Union Pacific passenger service May 1, 1971. Amtrak took its place nationally. Sort of.
Nebraska has just one Amtrak route \u2014 and it runs 67 miles south of North Platte, stopping at McCook, along a Burlington Northern Santa Fe line.
Nebraska could be worse off, though: Wyoming and South Dakota have none.
The FRA\u2019s plan would remedy that, with three Amtrak trains running in Wyoming alone.
One would link Cheyenne and Denver with Montana. Another would also tie them to Rapid City, using U.P. east from Cheyenne and then BNSF north from Sidney through Alliance and Chadron.
The third would reactivate an old Amtrak route that once carried the old U.P. \u201cCity of Los Angeles\u201d train west from Cheyenne through Salt Lake City.
That train went through North Platte back in the day.
So why not us?
It undoubtedly would be tough to return regular passenger service to North Platte, Kearney, Grand Island, Columbus or Fremont, all founded as Union Pacific track-layers moved west.
U.P. was evolving toward a freight-only service model by 1971. Bailey Yard was the prime reason locally. The 1980s onset of Powder River Basin coal trains further reinforced the change.
As Bailey grew, downtown track expansions left little room between the U.P. line and Front Street where once stood North Platte\u2019s historic 1918 depot, home to the World War II Canteen.
Throw in today\u2019s 3-mile-long trains, and one struggles to even imagine where North Platte could put an Amtrak depot if passenger service could be restored.
And yet there\u2019s a reason to at least mull North Platte\u2019s lack of Amtrak service amid nationwide debates over alternative energy and climate change.
Imagine public fossil-fuel access being cut off or strictly rationed \u2014 triggered not by either of those issues but by a 1970s-like Middle East oil crisis.
Gasoline-burning cars well might be sidelined. We don\u2019t have widespread all-ethanol U.S. cars.
Would there be gasoline or ethanol for hybrids? And what if all-electric cars remain unaffordable and charging stations few and far between?
Airline service might be grounded or at least dropped for small markets like North Platte. The Platte Valley has intercity bus service, but that, too, might not be a high national priority with a severely restricted fuel supply.
It\u2019s logical to imagine that single Amtrak line through McCook left as west central Nebraska\u2019s sole means of traveling nationally or internationally.
If so, McCook won\u2019t be an hour away from North Platte. Ready for a multiday journey by horse and buggy?
The Cowboy State Daily story says Dan Bilka, leader of the All Aboard Northwest advocacy group, has circulated a map of Amtrak\u2019s current routes with an oblong-shaped figure showing its absence in much of the northern Plains.
Inside it, he wrote: \u201cPeople live here.\u201d
Yes, we do.
END
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With AP Photo.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "WV-XGR--Vaccine Exemptions-West Virginia", + "headline": "West Virginia House passes bill to allow religious exemptions for student vaccines", + "headline_extended": "West Virginia would join 45 other states that allow religious exemptions from childhood vaccines required for school attendance under a bill that passed the House of Delegates", + "slugline": "BC-WV-XGR--Vaccine Exemptions-West Virginia, 1st Ld-Writethru", + "description_summary": "West Virginia would join 45 other states that allow religious exemptions from childhood vaccines required for school attendance under a bill that passed the House of Delegates. The religious exemption is included in a bill that would let private schools decide whether to implement vaccine mandates. The overall bill approved Monday now goes to the state Senate. Some medical experts say the bill would weaken safeguards in vaccination policies. Republican Todd Kirby says the bill sends a message about existing guarantees of religious freedom. He says it would also give unvaccinated children the chance to have important social interactions in schools and day-care facilities.", + "bylines": [ + { + "by": "By JOHN RABY", + "title": "Associated Press" + } + ], + "located": "CHARLESTON, W.Va.", + "datelinelocation": { + "city": "Charleston", + "countryareacode": "WV", + "countryareaname": "West Virginia", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -81.63262, + 38.34982 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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(AP) \u2014 West Virginia would join 45 other states that allow religious exemptions from childhood vaccines required for school attendance under a bill that passed the House of Delegates on Monday.
The religious exemption is included in a bill that would let private schools decide whether to implement vaccine mandates. It was added to the bill as an amendment that passed on Friday. The overall bill was approved Monday on a 57-41 vote and now goes to the state Senate, where its chances of passage are uncertain. But the Senate will have to act quickly: the 60-day regular session ends on March 9.
Some medical experts in West Virginia, one of the unhealthiest states in the nation among adults, called the bill archaic.
\u201cLegislators want to turn the clock back nearly 100 years and remove some of the safeguards in our vaccination policies,\u201d said Dr. Steven Eshenaur, the health officer for the Kanawha-Charleston health department. \u201cIt escapes sound reasoning why anyone would want to weaken childhood immunization laws. Our children are more important than any agenda that would bring these horrific diseases back to the Mountain State.\u201d
The bill\u2019s original intent was to eliminate vaccine requirements for students in public virtual schools. It was expanded in committee to allow private schools to set their own vaccination standards. Then came the religious exemption added in last week's amendment.
Amendment sponsor Todd Kirby, a Raleigh County Republican, said the exemption sends a message about existing guarantees of religious freedom. Kirby, who said his children are fully vaccinated, added that it would allow unvaccinated children to be welcomed into schools and day-care facilities and \u201cto have the camaraderie and social interactions that we all know are so important.\u201d
Last year, Kirby co-sponsored a bill later signed by Republican Gov. Jim Justice that would create a test for courts to apply when people challenge government regulations they believe interfere with their constitutional right to religious freedom. About two dozen other states have similar laws.
A federal appeals court last August upheld a 2021 Connecticut law that eliminated the state\u2019s longstanding religious exemption from childhood immunization requirements for schools, colleges and day care facilities. And in Mississippi, a federal judge ruled in April 2023 that the state must allow such exemptions.
Other states that currently don\u2019t have religious exemptions for school immunization requirements are California, Maine and New York, according to the National Conference of State Legislatures.
Unless they have a valid medical excuse, children entering school for the first time in West Virginia currently must be immunized against nine diseases or infections, including chickenpox, measles, whooping cough and tetanus.
Kanawha County Republican JB Akers said he supports the religious exemption but doesn\u2019t like how the bill would let private schools decide on student vaccine requirements while public school students currently must be immunized.
\u201cI think we are potentially creating an equal protection problem,\u201d he said in voting against the bill.
Students who compete in state-sponsored athletic competitions must be immunized and cannot receive a religious exemption under the bill.
Kanawha County Democrat Mike Pushkin chided the House for meddling with the current school vaccine law.
\u201cWe do not have the right to harm others,\u201d Pushkin said. \u201cThis bill does harm.\u201d
According to the Centers for Disease Control and Prevention, West Virginia\u2019s life expectancy in 2020 was 72.8 years. Only Mississippi\u2019s was lower at 71.9. West Virginia has the nation\u2019s highest death rate from diabetes and heart disease, and has long had the nation\u2019s highest drug-related death rate. It was among three states with an obesity prevalence of 40% or greater in adults in 2022, the CDC said.
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Ruth Gottesman announced the gift and its purpose to students and faculty at Albert Einstein College of Medicine Monday, bringing some in the audience to tears and others to their feet, cheering. Gottesman, 93, has been affiliated with the college for 55 years and is the chairperson of its board of trustees.
The gift is intended to attract a diverse pool of applicants who otherwise might not have the means to attend. It will also let students graduate without debt that can take decades to repay, college administrators said. Tuition at Einstein is $59,458 per year. The average medical school debt in the U.S. is $202,453, excluding undergraduate debt, according to the Education Data Initiative.
\u201cEach year, well over 100 students enter Albert Einstein College of Medicine in their quest for degrees in medicine and science,\" Gottesman said. \u201cThey leave as superbly trained scientists and compassionate and knowledgeable physicians, with the expertise to find new ways to prevent diseases and provide the finest health care.\u201d
Gottesman credited her late husband, David \u201cSandy\u201d Gottesman for leaving her with the financial means to make such a donation. David Gottesman built the Wall Street investment house, First Manhattan, and was on the board of Warren Buffett\u2019s Berkshire Hathaway. He died in 2022 at age 96.
\"l feel blessed to be given the great privilege of making this gift to such a worthy cause,\u201d Ruth Gottesman said.
The gift is believed to be the largest made to any medical school in the country, according to Montefiore Einstein, the umbrella organization for Albert Einstein College of Medicine and the Montefiore Health System.
\u201cI believe we can change healthcare history when we recognize that access is the path to excellence,\u201d said Dr. Philip Ozuah, president and chief executive of Montefiore Einstein.
Gottesman joined Einstein\u2019s Children\u2019s Evaluation and Rehabilitation Center in 1968 and developed screening and treatments for learning problems. She started the first-of-its-kind Adult Literacy Program at the center in 1992, and in 1998 was named the founding director of the Emily Fisher Landau Center for the Treatment of Learning Disabilities at CERC. She is clinical professor emerita of pediatrics at Einstein.
Through their foundation, the Gottesman Fund, the family has supported charities in Israel and within the U.S. Jewish community, especially through gifts to schools, universities and New York City's American Museum of Natural History.
Einstein becomes the second tuition-free medical school in New York. In 2018, New York University School of Medicine announced that it would cover the tuition of all its students.
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Editorial: Bill would make state disaster relief funds more accessible
Two tornadoes formed on the northeast side of Fort Wayne last year, damaging homes and farms near Grabill and Harlan. No local injuries were reported, but five people were killed by the storm system that spawned about a dozen twisters the evening of March 31.
President Joe Biden declared 12 counties, including Allen, as major disaster areas, making federal relief funding available. Without the president\u2019s OK, local governments and individuals would have needed assistance from the state, which offers much less in financial aid than the federal program.
A bill rolling through the General Assembly proposes significant and needed improvements to the State Disaster Relief Fund. Senate Bill 190 would make more money accessible and more easily available to households after catastrophic events, while allowing governments to tap the fund for mitigation projects that could limit damages from storms and other disasters before they strike.
It rightly passed both the full Senate and the House Committee on Veterans Affairs and Public Safety without a \u201cno\u201d vote, and is awaiting a hearing from the Ways and Means Committee. It deserves the support of every lawmaker and Gov. Eric Holcomb\u2019s signature.
The bill\u2019s author, Indianapolis Republican Cyndi Carrasco, succeeded Sen. John Sandlin, who died of a heart attack in September. SB 190 is her first piece of legislation, a product of conversations with state Department of Homeland Security officials.
\u201cWhen I started to talk with Homeland Security about the bill and what this would do, I thought this is something I really want to champion,\u201d Carrasco told The Journal Gazette.
SB 190 simplifies the formula that\u2019s used to calculate how much money communities can receive from the state disaster fund, while increasing the maximum amount of assistance to households. Individuals would receive up to $25,000 to compensate for damages not otherwise covered by private insurance plans, a 150% increase from the previous cap of $10,000.
\u201cThe House Veteran Affairs and Public Safety Committee heard the bill, and the Indiana Catholic Conference came and testified in support of it,\u201d Carrasco said. \u201cThey gave examples about how the cost of certain products has just skyrocketed. This bill is very much intended to be able to cover the higher cost of just things in general.\u201d
Perhaps the most consequential change would make state disaster relief funding available to governmental entities for mitigation projects. According to the Federal Emergency Management Agency, $1 spent on mitigation saves $6 in disaster recovery costs.
Communities wouldn\u2019t have to wait until a disaster strikes in order to apply to the Department of Homeland Security for public improvements such as tornado shelters, or acquiring and demolishing homes and businesses in a floodplain. Under SB 190, governments could take proactive steps to minimize future disasters.
Last year, the State Disaster Relief Fund received a $149,784 appropriation, as well as $2.56 million from the Public Safety Fee. A review of SB 190 by the nonpartisan Legislative Services Agency found no additional appropriations would be necessary for the Department of Homeland Security to implement the bill\u2019s proposals. That should give members of the Ways and Means Committee, endeavoring to limit cost increases to the current two-year budget, confidence to pass the bill to the full House for consideration.
For a lead-off bill from a first-time lawmaker, SB 190 is good public policy. It finally makes funding available to communities to implement mitigation efforts that could help limit damage in case of a natural disaster, and increases the maximum payout to households, offering such families some peace of mind when it\u2019s most needed.
___
Anderson Herald Bulletin. February 22, 2024.
Editorial: GOP sides with forever chemicals, against Hoosiers
Does the Republican supermajority in the State Legislature not understand the word forever?
Or are they simply willing to gamble the future health of Hoosiers and the environment for the sake of short-term financial gains?
In the latter case, they must also have trouble understanding the most basic component of economic development: quality of life.
House Bill 1399 would limit the definition of PFAS chemicals \u2014 known as \u201cforever chemicals\u201d because they continue to contaminate the environment for thousands of years \u2014 to exempt from regulation more than 5,000 variations, including many already used by manufacturers with facilities in Indiana.
The bill passed the House by a 64-30 count along partisan lines and awaits vote on the Senate floor after a hearing in the Environmental Affairs Committee last week.
The impetus for the bill comes, not surprisingly, from chemical companies that want Indiana to stay out in front of potential additional federal regulation of forever chemicals.
But the state would be shortsighted to side with chemical companies over resident Hoosiers, who risk exposure to serious health risks. Forever chemicals have been directly connected to kidney cancer, organ dysfunction, endocrine system disruption, immune system suppression, reproductive abnormalities and childhood developmental issues.
Among other uses, forever chemicals render cookware non-stick and carpeting, clothing and cosmetics stain-resistant and waterproof.
These applications do improve quality of day-to-day life, but the tradeoff is unconscionable.
Forever chemicals were first used in household products in the 1940s and over the past eight decades have seeped into our soil and water supplies \u2014 not to mention our bodies. They are now found in the blood of people and animals across the planet, as well as in the food supply and a wide array of consumer products.
This brings us to the quality-of-life issue.
The passage of House Bill 1399 would further entrench Indiana as a business-friendly state in the short term, perhaps encouraging manufacturers that use forever chemicals to set up shop here.
But in the long term, who wants to live in and do business in a state that doesn\u2019t protect its residents from what essentially amounts to the release into the environment of poisons that will linger for hundreds of generations?
While some other states are seeking to further regulate forever chemicals, Indiana is headed stubbornly and stupidly in the other direction.
With its supermajority in both chambers of the General Assembly, Republican lawmakers can pass this bill without a whit of support from Democrats. It would be another in a string of shortsighted GOP decisions aimed at deregulation and economic development.
State senators should instead take the long-range view and think deeply about the meaning of \u201cforever\u201d before voting on this treacherous piece of legislation.
END
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Maura Healey ripped into the financially embattled Steward Health Care system on Monday, saying the company\u2019s financial woes are of its own making and that the state is still working toward what she called an orderly transition away from the company", + "slugline": "AP-MA--Health Care-Troubles, 1st Ld-Writethru", + "description_summary": "Gov. Maura Healey ripped into the financially embattled Steward Health Care system on Monday, saying the company\u2019s financial woes are of its own making and that the state is still working toward what she called an orderly transition away from the company. Healey said state Department of Health monitors are keeping an eye on the nine health care facilities operated by the company, including hospitals in some of the state\u2019s poorer communities. The Democrat also said she\u2019s demanded that Steward guarantee safe staffing levels and provide additional financial information. She said the fault for the situation rests with Steward.", + "bylines": [ + { + "by": "By STEVE LeBLANC", + "title": "Associated Press" + } + ], + "located": "BOSTON", + "datelinelocation": { + "city": "Boston", + "countryareacode": "MA", + "countryareaname": "Massachusetts", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -71.05977, + 42.35843 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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Maura Healey ripped into the financially embattled Steward Health Care system Monday, saying the company's financial woes are of its own making and added that the state is still working toward what she called an orderly transition away from the company.
She said state monitors are on the ground keeping an eye on the nine health care facilities operated by the company, including hospitals in some of the state's poorer communities.
The Democrat also said she's demanded that Steward guarantee safe staffing levels, cooperate with monitors from the state Department of Public Health and provide additional financial information.
\u201cWe are focused on protecting patients, protecting jobs, protecting the stability of our health care system,\" Healey told reporters in her office Monday.
\u201cThis is a problem that the Commonwealth of Massachusetts did not create,\u201d she added. \"One individual and one management team at Steward created this mess and it has put a lot of people at risk, caused a lot of understandable concern and makes a lot of us really, really angry.\u201d
A spokesperson for Steward said the company has provided state officials with audited financial statements through 2021 but does not have audited statements yet for 2022, and will turn them over as soon as they are completed.
\u201cTo date, we have given a voluminous amount of financial material and documentation and we continue to work with state officials to provide information. We are unsure of the source of confusion, but we are intent on clearing it up and coming to resolution.\u201d Josephine Martin said in a statement.
Healey last week demanded that Steward Health Care CEO Ralph de la Torre produce financial records to the state that are required of other health care systems.
Healey said the financial information that was turned over to the state fell short and hadn't been audited by the company.
\u201cI\u2019m only surmising here, but the reason it is not audited is because no auditor will sign off on the information.\" she said,
She described Steward as \u201ca house of cards and a charade\u201d that has put patients and providers and the stability of our market at risk.
\u201cThe fault is with Steward and its management. It frankly disgusts me,\u201d she added.
Democratic House Speaker Ronald Mariano said Steward had been less than forthcoming about their financial situation for more than a decade.
\u201cIf anyone is feeling sorry for Steward right now, they\u2019re crazy, he said. \"Steward has practiced the game of hide the numbers and they\u2019ve been very successful at it.\u201d
Asked if there's a chance of a criminal investigation or criminal charges, Mariano said, \u201cthere\u2019s always a chance.\"
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Dr. Rachel Charles, an internal medicine physician and an IVF patient, said the decision has left women like her in limbo.", + "bylines": [ + { + "by": "By KIM CHANDLER", + "title": "Associated Press" + } + ], + "located": "BIRMINGHAM, Ala.", + "datelinelocation": { + "city": "Birmingham", + "countryareacode": "AL", + "countryareaname": "Alabama", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -86.80249, + 33.52066 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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(AP) \u2014 Tory Beasley had dreamed of having three kids, and she and her husband turned to IVF after struggling with infertility. She was scheduled for an embryo transfer next week at an Alabama fertility clinic in the hopes of having a dreamed-of second child.
The mental health therapist was in her doctor's office when she got the news that the clinic was pausing IVF treatments. The decision came in the wake of an Alabama Supreme Court ruling that called into question the future of some fertility treatments in the state.
\u201cIt was a gut punch. It is literally a gut punch,\" Beasley said Tuesday. She said the medicine delivered to her to help prepare her body is just sitting on her floor.
In vitro fertilization patients in Alabama described postponed pregnancies, canceled appointments and the uncertainty surrounding if they will be able to access frozen embryos already created in the hopes of growing their families. While state legislators have promised to try to craft a legislative solution, patients said they are left waiting.
Health and Human Services Secretary Xavier Becerra visited Alabama to lead a roundtable discussion with a group of IVF patients on Tuesday in Birmingham. Becerra said the decision has had heart-wrenching consequences, and it underscored the importance of protections for reproductive care that were lost when Roe v Wade was overturned.
\u201cWhen Roe went down and took away health care rights and access, it did it for more than just abortion care,\u201d Becerra said.
Alabama justices this month said three couples who had frozen embryos destroyed in an accident at a storage facility could pursue wrongful death lawsuits for their \u201cextrauterine children.\u201d
The ruling, treating an embryo the same as a child or gestating fetus under the wrongful death statute, raised concerns about civil liabilities for clinics. It had an immediate chilling effect on the availability of IVF in the Deep South state. Three of the largest clinics in the state swiftly announced a pause on IVF services.
\u201cThis affects real people. This affects real families,\u201d Dr. Rachel Charles, an internal medicine physician and IVF patient, said.
Charles said she was unsure if she would ever be able to have children because of her lupus diagnosis and the medication that she takes. She and her husband turned to IVF and went through an egg retrieval. After medical complications and a heavy physical and emotional toll, they postponed an embryo transfer from February until late March or April. Then they were told their clinic was ceasing IVF.
\u201cWhile we're not guaranteed that the embryo that we had would have actually worked, right now we're in limbo,\u201d Charles said.
\u201cWe\u2019re sitting here saying \u2018Are we going to be able to pursue trying to make a family? Are we going to stay here in Alabama if this does not change?' \u201d
Elizabeth Goldman, one of the few women to give birth after undergoing a uterus transplant, held a photo of her four-month-old daughter who was born through IVF. Goodman said she had planned to begin gear up for another round of IVF this spring in the hopes of having a second child before doctors have to remove her transplanted uterus.
\u201cI'm basically at a standstill. My whole entire journey revolved around IVF and being able to do another embryo transfer,\u201d Goldman said. With an entire medical team involved in her care, Goodman said she can't just easily go to another state to pursue IVF.
Alabama lawmakers said they are grasping for a possible solution. Republican Gov. Kay Ivey said Tuesday that she anticipates having a \u201cbill on my desk very shortly while ensuring that the Legislature has time to get this right.\u201d
\u201cIn Alabama, as I said last week, we work to foster a culture of life and that includes IVF. The Legislature is diligently working on addressing this issue as we speak,\u201d Ivey said Tuesday.
Alabama lawmakers have proposed separate proposals in Montgomery. Republican Sen. Tim Melson, a doctor, introduced legislation Tuesday that would largely provide civil and criminal immunity for IVF services. House Minority Leader Anthony Daniels, a Democrat, proposed a bill saying that a fertilized human egg or human embryo outside of a uterus \u201cis not considered an unborn child or human being for any purpose under state law.\u201d
The court decision has created great uncertainty for physicians who are trying to figure out how they can move forward, a spokesman for a group representing providers said.
\"The easiest thing to do is to return to what the state of the law was prior to (the ruling) which is a clear legal distinction between an in vitro fertilized egg and a fetus developing in a woman's womb,\" Sean Tipton, chief advocacy and policy officer at the American Society for Reproductive Medicine.
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These topics are directly related to health, particularly reproductive health and access to medical treatments." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/02/27/075074c6c6bd714faf06158dd847ffca.json b/datasets/AP_news/raw_data/2024/02/27/075074c6c6bd714faf06158dd847ffca.json new file mode 100644 index 0000000..d0553b0 --- /dev/null +++ b/datasets/AP_news/raw_data/2024/02/27/075074c6c6bd714faf06158dd847ffca.json @@ -0,0 +1,323 @@ +{ + "altids": { + "itemid": "075074c6c6bd714faf06158dd847ffca", + "etag": "075074c6c6bd714faf06158dd847ffca_2a14aza0c0", + "friendlykey": "176218067084", + "referenceid": "ENT--TV-Wendy Williams" + }, + "version": 2, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-02-28T02:12:47Z", + "firstcreated": "2024-02-27T16:48:29Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: Revises headline.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "ENT--TV-Wendy Williams", + "headline": "After dementia reveal, producers of Wendy Williams documentary hope viewers see why they made it", + "headline_extended": "The executive producers behind Lifetime's Wendy Williams documentary say they, too, were unnerved by some of what they saw while filming the former talk show host", + "slugline": "BC-ENT--TV-Wendy Williams, 2nd Ld-Writethru", + "description_summary": "The executive producers behind Lifetime's Wendy Williams documentary say they, too, were unnerved by some of what they saw while filming the former talk show host. 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For other uses, additional clearances may be required." + ], + "keywords": [ + "wendy williams dementia documentary" + ], + "provider": "AP", + "infosource": [ + { + "name": "AP", + "type": "AP" + } + ], + "person": [ + { + "scheme": "http://cv.ap.org/id/", + "code": "5a7e2a6a9fac424ba7700798f92c487e", + "name": "Wendy Williams", + "creator": "Machine", + "rels": [ + "direct" + ], + "types": [ + "TV_PERSONALITY", + "ENTERTAINMENT_FIGURE", + "PERSON" + ], + "relevance": 96 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "f2ed8ed3b15a4b7a9400d17c6e1e8f96", + "name": "Bruce Willis", + "creator": "Machine", + "rels": [ + "direct" + ], + "types": [ + "MOVIE_ACTOR", + "ENTERTAINMENT_FIGURE", + "PERSON" + ], + "relevance": 34 + } + ], + "subject": [ + { + "rels": [ + "category" + ], + "creator": "Editorial", + "code": "a", + "name": "a" + }, + { + "rels": [ + "category" + ], + "creator": "Editorial", + "code": "e", + "name": "e" + }, + { + "rels": [ + "category" + ], + "creator": "Editorial", + "code": "n", + "name": "n" + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "fa7fd48889ef10048e30d37e1a6ef903", + "name": "Documentaries", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 65 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "c189ae6088be10048dcfb097165a0203", + "name": "Movies", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 50 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "e23336487de410048fe2df092526b43e", + "name": "Dementia", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 78 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "16cb0ba3e6d24d97ace39f5a1924669a", + "name": "Entertainment", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 58 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "cc7a76087e4e10048482df092526b43e", + "name": "Health", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 65 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "801c97b9ef044d87824057e657cba9a7", + "name": "Television", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 85 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "a4677d70863b4012b846a1b00f5079f5", + "name": "U.S. news", + "creator": "Editorial", + "editorial_subject": "U.S. news", + "rels": [ + "direct" + ], + "relevance": 75 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "f25af2d07e4e100484f5df092526b43e", + "name": "General news", + "creator": "Editorial", + "editorial_subject": "General news", + "rels": [ + "direct" + ], + "relevance": 50 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "16cb0ba3e6d24d97ace39f5a1924669a", + "name": "Entertainment", + "creator": "Editorial", + "editorial_subject": "Entertainment", + "rels": [ + "direct" + ], + "relevance": 99 + } + ], + "organisation": [ + { + "scheme": "http://cv.ap.org/id/", + "code": "ac18a2ea71034a5991f916b5b3e113e7", + "name": "Associated Press", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 40 + } + ], + "audiences": [ + { + "code": "82c6a4c46fa0446090a7acaf93159e4c", + "name": "Print", + "type": "AUDPLATFORM" + }, + { + "code": "9add4649b53b4702ba7d9de5d4fa607a", + "name": "Online", + "type": "AUDPLATFORM" + }, + { + "code": "f43adc08760d10048040e6e7a0f4673e", + "name": "National", + "type": "AUDSCOPE" + }, + { + "code": "f4ecf9b0760d10048044e6e7a0f4673e", + "name": "International", + "type": "AUDSCOPE" + }, + { + "code": "f5b16ea8760d10048047e6e7a0f4673e", + "name": "State", + "type": "AUDSCOPE" + }, + { + "code": "661850e07d5b100481f5c076b8e3055c", + "name": "Latin America and Caribbean", + "type": "AUDGEOGRAPHY" + }, + { + "code": "b836d07082c610048807df092526b43e", + "name": "New York City", + "type": "AUDGEOGRAPHY" + }, + { + "code": "cb06ab1082af100482f8df092526b43e", + "name": "Florida", + "type": "AUDGEOGRAPHY" + }, + { + "code": "661e48387d5b10048291c076b8e3055c", + "name": "United States", + "type": "AUDGEOGRAPHY" + } + ], + "associations": { + "1": { + "altids": { + "itemid": "63c4b929c44a469ba442862ef32cc8d0" + }, + "type": "picture" + }, + "2": { + "altids": { + "itemid": "289149a063154fd3ac0c7c54a54608a5" + }, + "type": "picture" + }, + "3": { + "altids": { + "itemid": "4f7795188179448e855c1e7430a194c4" + }, + "type": "picture" + }, + "4": { + "altids": { + "itemid": "4409cc3481294437968fc631b2b35055" + }, + "type": "picture" + }, + "5": { + "altids": { + "itemid": "a5ef1f6a8f764ca395df59dc2f8d39a9" + }, + "type": "video" + }, + "6": { + "altids": { + "itemid": "e85bd3bbc78f437faf0c20fec5ea40c6" + }, + "type": "audio" + }, + "7": { + "altids": { + "itemid": "8238075a420d4422b2d271fb59fd98bd" + }, + "type": "audio" + }, + "8": { + "altids": { + "itemid": "c78031c28424481187fb9239617e87ce" + }, + "type": "audio" + } + }, + "body_nitf": "If you watched Lifetime's Wendy Williams docuseries that premiered over the weekend and felt uncomfortable, you weren't alone.
\u201cWhere is Wendy Williams?\u201d premiered over the weekend and featured numerous scenes of the former talk show host unsteady, belligerent, confused and also drunk. Her manager would regularly find liquor bottles hidden throughout her apartment, behavior that producers say unnerved them while filming. But they say they didn't know at the time that Williams had dementia, which the public learned late last week.
\u201cWe all became very concerned for her safety. To be honest, I was so concerned she would fall down the stairs and for numerous different reasons,\" said Erica Hanson, an executive producer who can be seen and heard speaking to Williams at certain moments in the series.
Hanson said soon after she and the filmmakers were told Williams had dementia by her son, they turned the cameras off.
\u201cWe decided to stop filming as a team. We kept hoping that she was going to get better but it became apparent to us that she was not and that she really needed help,\u201d Hanson said.
\u201cWhere is Wendy Williams?\u201d debuted Saturday, two days after her care team released a statement saying she has been diagnosed with primary progressive aphasia and frontotemporal dementia, the same disease Bruce Willis has. Its two episodes aired after attorneys for Lifetime successfully fended off an effort by Williams\u2019 guardian to stop the broadcasts.
In a review, Variety called the series \u201can exploitive display of her cognitive decline and emotional well-being.\u201d Danie Buchanan, a radio DJ in Atlanta posted a video reaction on Instagram saying, \u201cI couldn't finish it ... It was so hard to watch, it was so hard to see her like that,\u201d she said.
Throughout the documentary, Williams appears unsteady on her feet and she has trouble walking without assistance. Her emotions fluctuate between sweet to suddenly irritable to belligerent to weepy or frustrated. Many times the former talk show host admits to drinking. \u201cI love vodka,\u201d Williams, 59, says in the first episode.
She has been public about her cocaine addiction and lived in a \u201csober house\u201d in 2019. Each time someone brings up her drinking on camera, Williams ends the conversation.
In April 2023, the film crew followed Williams to Miami to visit her son Kevin, Jr. and other family. During the trip, Williams' son told the filmmakers that his mother suffers from a form of dementia caused by alcohol.
\"We didn\u2019t find out the diagnosis until Kevin Jr. shared that with us,\u201d said Brie Bryant, Lifetime's senior vice president of non-scripted programming.
After returning from Miami, the crew arrived at Williams' apartment to find her sobbing in her bed, seemingly inebriated. This was the tipping point \u2014 Hanson was filmed speaking with Williams\u2019 manager, Will Selby, about her condition, before they stopped filming Williams altogether. Shortly after she was placed in a treatment facility by her guardianship.
\u201cWe questioned all the time, \u2018Should we be here? Should we not? How can we tell this story sensitively?\u2019 It touched all of us deeply. It really did,\u201d Hanson said.
The project was intended to be a follow-up to Lifetime's 2021 \u201cWendy Williams: What a Mess!\" documentary and biopic \u201cWendy Williams: The Movie.\u201d Bryant said both the network and Williams enjoyed their partnership and agreed to film Williams' next chapter.
The objective, said Hanson, was to document a woman making changes in her life, facing obstacles, and coming out the other side. Williams' self-titled daytime talk show ended in 2022 because of ongoing health issues with Graves' disease that kept her from filming. Sherri Shepherd, a guest host for Williams, was given her own show.
\u201cWe thought we were going to film a woman at a real turning point in her life, embarking on a new career with Wendy doing a podcast ... recovering from a very difficult divorce,\u201d said Hanson. \u201cOnce we started filming, it really went into a very different direction.\u201d
Producers say ultimately what was filmed and aired is honest and unfiltered, like Williams herself.
\u201cIt is a painful truth, and it\u2019s a very sad truth,\" added executive producer Mark Ford, \"but Wendy is one of the most radically honest storytellers in the history of media. Why would this documentary not echo that incredible legacy of of openness?\u201d
Bryant says there is \u201cno conversation\u201d about filming more with Williams in the future. \u201cThe only thing that we care about at Lifetime is that she had a platform to tell her story, and that we feel we did so responsibly, and that she gets well and hopefully gets to be with her family.\u201d
The filmmakers say they hope the series makes people take a closer look at guardianships. Because Williams' finances and medical care are managed by a third party, her family says they are unable to see her and have a say in her treatment.
\u201cWe hope that people can see why we aired it, and produced it, and that the intention is to shine a light on the difficulties and the secrecies in these guardianships,\" Ford said.
", + "textformat": "bx", + "links": [ + { + "href": "https://apnews.com/article/wendy-williams-dementia-documentary-075074c6c6bd714faf06158dd847ffca", + "rel": "canonical" + } + ], + "topics": { + "Health": { + "relevance_score": 4, + "reason": "The document discusses the health issues of Wendy Williams, specifically her diagnosis with dementia and primary progressive aphasia. It also touches on her struggles with alcohol and the impact of her health on her career and personal life. While the primary focus is on the documentary and its production, the underlying theme is Williams' health and the challenges she faces. Therefore, the document is quite relevant to the topic of health." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/02/27/15b29bbddc8da0896b7b914002f0da79.json b/datasets/AP_news/raw_data/2024/02/27/15b29bbddc8da0896b7b914002f0da79.json new file mode 100644 index 0000000..468cdfa --- /dev/null +++ b/datasets/AP_news/raw_data/2024/02/27/15b29bbddc8da0896b7b914002f0da79.json @@ -0,0 +1,326 @@ +{ + "altids": { + "itemid": "15b29bbddc8da0896b7b914002f0da79", + "etag": "15b29bbddc8da0896b7b914002f0da79_1a6aza0c0", + "friendlykey": "90675127462", + "referenceid": "US--Biden-Hunger" + }, + "version": 1, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-02-27T19:15:16Z", + "firstcreated": "2024-02-27T10:01:50Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: Updates with announcement, quotes from Emhoff and Jose Andres, and detail on partnership between Harlem Globetrotters and KABOOM! Also adds photos.; Updates Media.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "US--Biden-Hunger", + "headline": "Emhoff announces $1.7B in pledges to help President Biden meet goal of ending hunger by 2030", + "headline_extended": "Doug Emhoff, the husband of Vice President Kamala Harris, says $1.7 billion in commitments from more than 140 health systems, insurers and others to help President Joe Biden meet his goal of ending hunger by 2030 will make a real difference in people's lives", + "slugline": "AP-US--Biden-Hunger, 1st Ld-Writethru", + "description_summary": "Doug Emhoff, the husband of Vice President Kamala Harris, says $1.7 billion in commitments from more than 140 health systems, insurers and others to help President Joe Biden meet his goal of ending hunger by 2030 will make a real difference in people's lives. Emhoff announced the commitments at the White House on Tuesday. Biden also wants to reduce diet-related disease. The pledges Emhoff highlighted follow his announcement in early February that more than a dozen sports leagues and players' associations will provide more opportunities for people to get exercise and to learn about nutrition and adopting healthy lifestyles.", + "bylines": [ + { + "by": "By DARLENE SUPERVILLE", + "title": "Associated Press" + } + ], + "located": "WASHINGTON", + "datelinelocation": { + "city": "Washington", + "countryareacode": "DC", + "countryareaname": "District of Columbia", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -77.03637, + 38.89511 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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Blue Cross Blue Shield of North Carolina will make nutrition coaching and a healthy food delivery program a standard benefit for members. Sixteen mayors from across the U.S. will create task forces or develop action plans to end hunger and reduce diseases related to diet by 2030.
The initiatives are among more than 140 pledges by health systems, insurance companies, nonprofit groups, philanthropic organizations, local governments and others who are contributing to a White House challenge to end hunger and build healthy communities.
Doug Emhoff, the husband of Vice President Kamala Harris, announced the $1.7 billion in new commitments at the White House on Tuesday alongside chef Jose Andres and WNBA player Elena Delle Donne, administration officials and members of Congress. Andres and Delle Donne chair the President's Council on Sports, Fitness and Nutrition, an advisory body that promotes healthy eating and exercise.
\u201cThese efforts, and there's many more, are going to make a real difference in real lives,\u201d Emhoff said. \u201cThey're going to make a real difference.\u201d
The Globetrotters and KABOOM!, which builds playgrounds in underserved communities, will host events across the country to raise awareness about the importance of good nutrition, the White House said.
The new pledges come on top of $8 billion in commitments announced in September 2022 at the White House Conference on Hunger, Nutrition and Health. At the conference, President Joe Biden announced he had set a goal to end hunger and reduce diet-related diseases by 2030 while reducing health disparities.
Andres, who travels around the world to feed people after natural disasters, said, \u201cI cannot believe we have to have the challenge to end hunger in America.\u201d
About 12.8% of U.S. households, or about 17 million, did not have enough money or other resources to get sufficient food in 2022, according to the Economic Research Service at the U.S. Department of Agriculture. That was up from 10.2% in 2021.
The new pledges follow Emhoff's announcement earlier in February that more than a dozen sports leagues and players' associations, from the NFL to the PGA Tour, have promised to provide more opportunities for people to be physically active and to learn about nutrition and adopting healthy lifestyles.
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February 27, 2024.
Editorial: Billionaire, small businesses and bipartisan lawmakers sick of pharmacy benefit managers
So much of American health care can be summed up with drugs.
We often go to the doctor less to find out what is wrong than we do to get a prescription to fix the symptoms. While the long-term goal may be figuring out the underlying cause, the short-term objective is just to make the pain (or other problem) stop.
And that means a pill or liquid or some other kind of pharmaceutical. The doctor is just the first stop. The prescription sends you to a pharmacy.
Now it\u2019s a question of whether your medicine is covered. If it\u2019s not, you blame the insurance company. But should you? Maybe the real culprit is the pharmacy benefit manager (PBM). But do you even know what that is?
These PBMs are the new boogeyman of health care. While people have spent years grumbling about what hospitals charge for a bandage or the cost of an insurance copay, lately PBMs are getting flak for their role meddling in your treatment.
They\u2019re nothing new. The first PBM in the U.S. came in 1965. They were created by pharmacists to help navigate the growing presence of insurance companies. Today, they are an inextricable part of the process, taking money from drug manufacturers, creating formularies for insurance and establishing reimbursement for pharmacies.
While that often leads to questions about how it impacts patient health, it\u2019s now creating concerns about impact on independent pharmacies. (Large pharmacies can have less to worry about. CVS Health and Rite Aid each own their own PBMs.)
In Southwestern Pennsylvania alone, Health Mart and Mainline pharmacies have announced closings this year. Both have mentioned insurance reimbursements as contributing factors.
So has Mt. Lebanon native and billionaire Mark Cuban, whose businesses include Cost Plus Drugs, an online pharmacy. In an email exchange with TribLive, he spoke about partnering with independents.
\u201cThe fact that they are not getting reimbursed for even their out-of-pocket costs for a medication is horrible,\u201d he said.
Bipartisan legislation from state Sen. Judy Ward, R-Blair, would create a process for hearing and handling complaints about PBMs. It also would ban things like steering patients to particular pharmacies or reimbursing a pharmacy for a low amount but charging the insurer more. Thirty senators of both parties have signed on.
The Pharmaceutical Care Management Association is opposed. Spokesman Greg Lopes says it will increase costs for Pennsylvanians.
But when PBMs are creating problems for patients and pharmacies alike, something has to be done. And when that\u2019s obvious to Democrats and Republicans, that says something \u2014 even if it\u2019s a bitter pill for the middle man to swallow.
___
Pittsburgh Post-Gazette. February 24, 2024.
Editorial: Supreme-squashed subpoena allows Pa. to move on, finally, from 2020 election
Over three years after the 2020 election, Pennsylvania legislators\u2019 claims of voting fraud have finally been put to rest. On Wednesday, the state\u2019s highest court ruled that a subpoena into voter data by a state Senate committee trying to sniff out fraud was simply \u201cunenforceable,\u201d shutting down the entire investigation before it could start wasting taxpayer money. It\u2019s the proper ending for the series of investigations that have proven useless and inflammatory in other states.
The subpoena was introduced in 2021 by the Republican Intergovernmental Operations Committee tasked with completing a \u201cforensic investigation into election fraud.\u201d The information they requested included nine million Pennsylvania voters\u2019 drivers license data, partial social security numbers, birth dates and addresses. For an enterprise based on the idea the government can\u2019t be trusted to run fair elections, it required a lot of trust in government privacy controls.
After years of legal battles regarding this data, the state supreme court simply pointed out that the 2021-22 legislative session was long over and shut the book on the process.
That\u2019s good news for these reckless proceedings, especially because 2020 election fraud has been continuously and exhaustively debunked. According to an Associated Press investigation, Pennsylvania had, at most, 26 suspected cases of voter fraud, a number representing 0.03% of President Biden\u2019s 80,000-vote margin of victory. Two state-run audits also failed to find any discrepancies.
Other states have showcased what can happen when baseless \u201cforensic audits\u201d move forward. In Arizona, lawmakers hired the embarrassing \u201cCyber Ninjas,\u201d a Florida-based group with zero election experience, to conduct the audit. Their investigation was found to be \u201csloppy\u201d by nonpartisan groups and blew multiple deadlines \u2014 but it succeeded in generating suggestive misinformation to be distributed online, which meant it served its real, cynical purpose.
Most hilariously of all, when it was all said and done, the \u201caudit\u201d found that Donald Trump received fewer votes than were originally counted.
It\u2019s good that this radioactive Senate misinformation committee has finally, and quietly, been put to rest. Pennsylvania has already dumped enough official time and taxpayer money into these proceedings.
It puts an end to the maniacal search for election fraud \u2014 just in time for the next presidential faceoff between Joe Biden and Donald Trump. State officials\u2019 focus should be on ensuring public confidence in the upcoming elections \u2014 not on undermining the results of one that has been repeatedly found to be secure, by Republicans and Democrats alike.
___
LNP/LancasterOnline. February 25, 2024.
Editorial: Lawmakers must help first responders by passing legislation addressing train transport of hazardous materials
\u201cIt\u2019s frustrating, but unfortunately you get used to it.\u201d
That\u2019s what Duane Hagelgans, emergency management coordinator for Millersville Borough and Manor Township and a professor of emergency management at Millersville University, said of the lack of transparency over the materials being conveyed by trains traveling through our region.
First responders shouldn\u2019t have to \u201cget used to it.\u201d
Politicians like to talk about the sacrifices and bravery of first responders. But in this instance, when elected officials could do something substantive to keep first responders safe, they\u2019ve shamefully dragged their heels.
Danger is literally barreling down the tracks, but it\u2019s hard to detect any urgency about prioritizing human safety.
As Rejrat reported, about \u201c135 miles of active rail lines weave through Lancaster County carrying rail cars that at any point could be filled with hazardous material.\u201d
A derailment in Lancaster County like the one that occurred in East Palestine could devastate the local community. And if it happened on a track over or even near the Susquehanna River, the downstream effects could be long-ranging and difficult to remedy.
East Palestine residents told ABC News earlier this month that some community members, having been forced to vacate their homes, still are displaced. And some continue to experience health issues in the derailment\u2019s wake. Research is ongoing into the long-term consequences of exposure to the toxins in the industrial chemicals the Norfolk Southern train was transporting.
Local emergency responders told Rejrat that nothing has changed in terms of how they would respond to a derailment in Lancaster County and the information \u2014 or lack thereof \u2014 available to guide their response.
Trains carrying hazardous material often have dozens of cars, including tankers, with different toxic chemicals in different cars. Because of the size of some trains, more than one municipality may have to deal with a train derailment. And emergency responders may be unable to access real-time information about any toxic materials that are being released into the air, soil and water.
As we noted in an editorial last July, it\u2019s difficult to coordinate a response when you don\u2019t know exactly what you\u2019re dealing with. And not having the ability to effectively respond is a hazard of its own.
Hagelgans said he has seen no additional training, transparency or outreach to local responders from private train companies.
This is inexcusable.
According to Rejrat\u2019s reporting, Norfolk Southern \u2014 which owns rail lines in Lancaster County and across Pennsylvania \u2014 did bring the company\u2019s \u201csafety train\u201d to Harrisburg in July for three days of training for first responders.
The specially outfitted train, which includes classroom rail cars and different types of tanker cars, is meant to familiarize first responders with the types of rail cars and equipment they might encounter in an emergency.
But as Hagelgans rightly pointed out, \u201cYou can\u2019t just have one training like that and expect people to show up and be trained.\u201d
This training was the least Norfolk Southern could do.
Doing the bare minimum seems to be part of a pattern: Rejrat reported that prior to July 2023, the safety train was last in Harrisburg in 2021. And the hands-on training has not been offered in Lancaster County since at least 2017.
Legislation derailed
The seriousness of the East Palestine derailment should have led to quick legislative action in Harrisburg and Washington, D.C.
Alas, it did not.
As Rejrat reported, \u201cProposed legislation that would create databases of hazardous materials and require increased transparency on the part of train companies has stalled in Congress and the state Legislature.\u201d
Pennsylvania House Bill 1028 proposes \u201ccreating a database of hazardous material traveling on state railways, and that information would be available to emergency management agencies,\u201d she noted.
The bill passed easily in the state House in early June. But it\u2019s been languishing in the Republican-controlled state Senate Consumer Protection and Professional Licensure Committee since then.
Unbelievably, three Lancaster County Republicans voted against the bill: Reps. Keith Greiner, David Zimmerman and Tom Jones. Their constituents should ask them why.
State Sen. Ryan Aument, a West Hempfield Township Republican who not only sits on the relevant committee but is the Senate majority whip, did not immediately respond to Rejrat\u2019s request for comment about the bill\u2019s status. We implore Aument to use his influence to get the bill out of committee.
In Congress, Pennsylvania U.S. Sens. Bob Casey and John Fetterman joined Ohio Sen. Sherrod Brown and Missouri Sen. Josh Hawley in introducing a pair of bills last March that were combined into the Railway Safety Act.
According to Rejrat\u2019s reporting, that legislation would direct federal transportation officials to develop regulations requiring railroads to notify local emergency response groups, fire departments and law enforcement agencies when hazardous materials are moving through their communities. It also would establish a fund, paid for by the companies that ship and convey hazardous materials, to provide emergency responders with needed resources.
\u201cMost major railroads also would be required to operate with crews of at least two people, and fines for rail safety infractions would increase,\u201d Rejrat noted.
This all seems sensible and necessary.
The Railway Safety Act advanced out of committee, but awaits a full U.S. Senate vote. Casey and Fetterman should remind Democratic Senate Majority Leader Chuck Schumer of what\u2019s at stake.
Lawmakers at both the state and federal level need to take action before a catastrophe occurs. And we\u2019d suggest that they forgo any photo ops with first responders until they do.
___
Altoona Mirror. February 23, 2024.
Editorial: Embracing creative expression
Meaningful messages do not always come from individuals perceived as experts, or who otherwise boast celebrity status.
Meaningful messages also come from \u201ccommon people\u201d busy with their daily tasks, or else engaged in activities that allow expression capable of impacting others in a positive way.
This editorial will focus on two individuals, one now deceased but who for many years enhanced police work in the city of Pittsburgh, while the other continues to be an asset and advocate on behalf of Altoona\u2019s optimistic spirit.
This local person can usually be seen by hundreds or thousands of people over a span of several hours as he waves at passers-by while dressed in the image of the Statue of Liberty.
We\u2019ll focus on Altoona\u2019s upbeat messenger first.
Anyone who saw the Mirror\u2019s Feb. 12 front page could not overlook the large photo of Fred Shields waving to motorists and their passengers along Plank Road, bringing smiles, even to those unhappy for whatever reasons or those experiencing sadness due to some unwanted circumstances or occurrences in their lives.
\u201cLife\u2019s too short to be miserable,\u201d Shields told Mirror reporter Matt Churella, as he explained why he engages in the mission for which he receives no financial compensation.
The late Pittsburgh police officer, Victor S. Cianca Sr., was paid for the time he spent directing traffic at busy Steel City intersections during rush hours, but the relationship he forged with residents and workers who converged on Downtown Pittsburgh during workdays remains a legend 41 years after his retirement from the police force and 14 years after his death at the age of 92.
It would be great today if police work and citizenry retained such a warm relationship.
On behalf of anyone who never heard of Victor Cianca and his flamboyant style of directing traffic:
Cianca began his job as a Pittsburgh traffic cop in early 1952, and it didn\u2019t take him long to elevate his work to what one publication characterized as a \u201cchoreographed art.\u201d
Wearing his usual white gloves, Cianca put to use as many as three limbs at once to keep motorists and pedestrians moving \u2014 regarding pedestrians, those who actually were in the process of going from place to place, not merely present just to gaze at the officer\u2019s comedic gestures.
For example, Cianca would pretend to be sleeping when he encountered a motorist driving too slowly, or play an imaginary violin when a driver would try making excuses for a traffic violation.
One of his trademarks was calm during traffic jams, leading the former Pittsburgh Press to comment, upon his retirement, that \u201ca downtown traffic jam without Vic Cianca is a traffic jam with no redeeming qualities.\u201d
The Sept. 9, 1962, Pittsburgh Press quoted Cianca as saying, \u201cI have a reason for every motion or gesture.\u201d
Said Shields the other day while noting that he enjoys seeing people smile: \u201cI like to show personality when I do this. I have a lot of fans.\u201d
Cianca was an ambassador for Pittsburgh; Shields remains an ambassador for Altoona, even in cold temperatures and otherwise bad weather conditions.
Shields doesn\u2019t carry with him a plaque like the one on the pedestal of the real statue in New York bearing the words \u201cGive me your tired, your poor, your huddled masses yearning to breathe free,\u201d but he delivers an important message nonetheless:
Free expression is alive and well here.
END
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Jeffrey Piccolo is seeking in excess of $50,000 in the wrongful death of Kanokporn Tangsuan, a doctor at New York University Langone hospital in Manhattan. The lawsuit filed Feb. 22 in Orange County, Florida, says the couple repeatedly questioned the waiter about whether items on the menu could be made allergen-free. She had a severe allergy to nuts and dairy products. She collapsed and died shortly after dinner. Disney and Raglan Road Irish Pub haven't responded to emails seeking comment on the lawsuit.", + "located": "ORLANDO, Fla.", + "datelinelocation": { + "city": "Orlando", + "countryareacode": "FL", + "countryareaname": "Florida", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -81.37924, + 28.53834 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. 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(AP) \u2014 The husband of a New York doctor who died shortly after dining at a Disney Springs restaurant last year accused Walt Disney Parks and Resorts of negligence in a 19-page lawsuit filed in Florida.
Jeffrey Piccolo is seeking in excess of $50,000 in the wrongful death of Kanokporn Tangsuan, a doctor at New York University Langone hospital in Manhattan, in the lawsuit filed Feb. 22 in Orange County, Florida.
The lawsuit states that Tangsuan had dinner at Raglan Road Irish Pub on Oct. 5, 2023, with her husband and his mother. Tangsuan had a severe allergy to nuts and dairy products and informed the waiter that she required \u201callergen free food.\u201d
The couple questioned the waiter about various items on the menu, according to the lawsuit. The waiter then asked the chef \u201cwhether certain foods could be made allergen free,\" before returning to the table and confirming they could.
The couple asked the waiter several more times to be absolutely sure the food would be allergen free before Tangsuan ordered a fritter, scallops and onion rings, the lawsuit said.
When the food arrived, some items did not contain \u201callergen free flags,\u201d prompting the doctor and her husband to ask the waiter if the items were nut and dairy free. The waiter \u201cguaranteed\u201d that the food was allergen-free, the lawsuit said.
Around 8 p.m., after finishing dinner, the doctor and her mother-in-law went shopping separately at Disney Springs, while Piccolo returned to their room with the leftover food, the lawsuit said.
About 45 minutes later, Tangsuan was having difficulty breathing when she entered Planet Hollywood and collapsed to the floor. The lawsuit said she had self-administered an epi-pen while suffering from the allergic reaction.
Her mother-in-law began calling to meet back up with her, but the calls went unanswered, according to the lawsuit. The mother-in-law returned to the hotel, and she called Tangsuan's phone again. This time someone answered and said Tangsuan had been taken to a hospital.
The doctor died at the hospital, the lawsuit said.
A medical examiner's investigation determined she died as a result of \u201canaphylaxis due to elevated levels of dairy and nut in her system,\u201d the lawsuit said.
The lawsuit alleges that Raglan Road failed to educate, train and/or instruct its employees to make sure food was allergen-free.
Walt Disney World and Great Irish Pubs Florida did not immediately respond to emails seeking comment on the lawsuit.
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Updates headline.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "AS--South Korea-Doctors Protest-Explainer", + "headline": "Here's why thousands of junior doctors in South Korea walked off the job", + "headline_extended": "Thousands of junior doctors in South Korea are a week into a labor boycott in protest of the government\u2019s push to recruit more medical students to cope with the country\u2019s fast-aging population", + "slugline": "BC-AS-South-Korea-Doctors-Protest-Explainer, 2nd Ld-Writethru", + "description_summary": "Thousands of junior doctors in South Korea are a week into a labor boycott in protest of the government\u2019s push to recruit more medical students to cope with the country\u2019s fast-aging population. The strikes have already led to a number of operations being canceled. In some major hospitals, junior doctors account for about 30%-40% of the total doctors. They often deal with inpatients and assist senior doctors during surgeries. The government has warned the medical interns and residents they have until Thursday to return to work, or face license suspensions and prosecutions. Trainee doctors say schools can\u2019t handle an abruptly increased number of medical students that would result from the government's plan, and greater competition would cause doctors to perform overtreatment.", + "bylines": [ + { + "by": "By HYUNG-JIN KIM and JIWON SONG", + "title": "Associated Press" + } + ], + "located": "SEOUL, South Korea", + "datelinelocation": { + "city": "Seoul", + "countrycode": "KOR", + "countryname": "South Korea", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + 126.9784, + 37.566 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. For other uses, additional clearances may be required." + ], + "keywords": [ + "south korea doctors walkouts patients explained" + ], + "provider": "AP", + "infosource": [ + { + "name": "AP", + "type": "AP" + } + ], + "person": [ + { + "scheme": "http://cv.ap.org/id/", + "code": "26959bc7ce9a49e9be46cf5fcc5d1f11", + "name": "Ahn Cheol-soo", + "creator": "Machine", + "rels": [ + "direct" + ], + "types": [ + "POLITICIAN", + "PERSON" + ], + "relevance": 44 + } + ], + "subject": [ + { + "rels": [ + "category" + ], + "creator": "Editorial", + "code": "f", + "name": "f" + }, + { + "rels": [ + "category" + ], + "creator": "Editorial", + "code": "i", + "name": "i" + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "39a5551883591004893adf092526b43e", + "name": "Health care costs", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 53 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "5f7806eec29a4884b038a26d799e9326", + "name": "Strikes", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 53 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "468257dba1c848ca93ba314d4ce86539", + "name": "Surgery", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 35 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "cc7a76087e4e10048482df092526b43e", + "name": "Health", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 95 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "0e8cf338896510048024d56c852d093e", + "name": "Protests and demonstrations", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 45 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "cc7a76087e4e10048482df092526b43e", + "name": "Health", + "creator": "Editorial", + "editorial_subject": "Health", + "rels": [ + "direct" + ], + "relevance": 75 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "c8e409f8858510048872ff2260dd383e", + "name": "Business", + "creator": "Editorial", + "editorial_subject": "Business", + "rels": [ + "direct" + ], + "relevance": 75 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "bb2d2c5f441a452cb24bb511a2ab5eea", + "name": "World news", + "creator": "Editorial", + "editorial_subject": "World news", + "rels": [ + "direct" + ], + "relevance": 99 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "f25af2d07e4e100484f5df092526b43e", + "name": "General news", + "creator": "Editorial", + "editorial_subject": "General news", + "rels": [ + "direct" + ], + "relevance": 50 + } + ], + "organisation": [ + { + "scheme": "http://cv.ap.org/id/", + "code": "993327ccec064b6087c1699c1b5f9410", + "name": "South Korea government", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 60 + } + ], + "place": [ + { + "scheme": "http://cv.ap.org/id/", + "code": "661be2f07d5b10048252c076b8e3055c", + "name": "South Korea", + "creator": "Machine", + "rels": [ + "direct" + ], + "parentids": [ + "661812607d5b100481f3c076b8e3055c" + ], + "locationtype": { + "code": "01f56e0e654841eca2e69bf2cbcc0526", + "name": "Nation" + }, + "geometry_geojson": { + "type": "Point", + "coordinates": [ + 127.5, + 37 + ] + }, + "relevance": 89, + "parentnames": [ + "Asia" + ] + } + ], + "audiences": [ + { + "code": "82c6a4c46fa0446090a7acaf93159e4c", + "name": "Print", + "type": "AUDPLATFORM" + }, + { + "code": "9add4649b53b4702ba7d9de5d4fa607a", + "name": "Online", + "type": "AUDPLATFORM" + }, + { + "code": "f4ecf9b0760d10048044e6e7a0f4673e", + "name": "International", + "type": "AUDSCOPE" + }, + { + "code": "f43adc08760d10048040e6e7a0f4673e", + "name": "National", + "type": "AUDSCOPE" + }, + { + "code": "661812607d5b100481f3c076b8e3055c", + "name": "Asia", + "type": "AUDGEOGRAPHY" + }, + { + "code": "661e48387d5b10048291c076b8e3055c", + "name": "United States", + "type": "AUDGEOGRAPHY" + } + ], + "associations": { + "1": { + "altids": { + "itemid": "eed12cf569a74f31886403880d3d3633" + }, + "type": "picture" + }, + "2": { + "altids": { + "itemid": "839f485cf54c4b4f91473dd1a1270bf1" + }, + "type": "picture" + }, + "3": { + "altids": { + "itemid": "42af4d29812043e4b7b2c5dad28b743d" + }, + "type": "picture" + }, + "4": { + "altids": { + "itemid": "8628215c23d44824b32c43322a6a21cb" + }, + "type": "picture" + }, + "5": { + "altids": { + "itemid": "baf2ee79084246af82df9a6013a778d9" + }, + "type": "video" + } + }, + "body_nitf": "SEOUL, South Korea (AP) \u2014 Thousands of junior doctors in South Korea have been refusing to see patients and attend surgeries since they walked off the job Feb. 20 in response to the government\u2019s push to recruit more medical students.
As of Tuesday, about 8,940 medical interns and residents have left their worksites in protest, disrupting the operations of major hospitals in South Korea and threatening to burden the country\u2019s overall medical service. Authorities warned that they have until Thursday to return to work or face license suspensions and prosecutions.
Here's what's happening with the strikes:
The government plans to raise South Korea\u2019s yearly medical school admission caps by 2,000, from the current 3,058.
The enrollment plan is meant to add up to 10,000 doctors by 2035 to cope with the country\u2019s fast-aging population. Officials say South Korea has 2.1 physicians per 1,000 people \u2014 far below the average of 3.7 in the developed world.
The striking doctors-in-training say schools can\u2019t handle an abruptly increased number of medical students. They predict doctors in greater competition would perform overtreatment \u2014 increasing public medical expenses \u2014 and, like current medical students, most of the additionally recruited medical students would also likely try to work in high-paying, popular professions like plastic surgery and dermatology. That means the country\u2019s long-running shortage of physicians in essential yet low-paying areas like pediatrics, obstetrics and emergency departments would remain unchanged.
Some critics say the striking junior doctors simply oppose the government plan because they worry adding more doctors would result in a lower income.
Ahn Cheol-soo, a doctor-turned-lawmaker in the ruling party, said on a local TV program that he supports the government\u2019s plan. But without fundamental steps to convince students to opt for the essential areas, Ahn said that \u201c2,000 new dermatology hospitals will be established in Seoul 10 years later.\u201d
The walkouts have led hospitals to cancel numerous planned surgeries and other medical treatments. On Friday, an octogenarian undergoing cardiac arrest was reportedly declared dead after seven hospitals turned her away, citing a lack of medical staff or other reasons likely related to the walkouts.
In some major hospitals, junior doctors account for about 30%-40% of the total doctors, playing the role of supporting senior doctors during surgeries and dealing with inpatients. The strikers are among the country's 13,000 medical residents and interns, and they work and train at about 100 hospitals in South Korea.
In the wake of the walkouts, the government has extended the working hours for public medical institutions, opened emergency rooms at military hospitals to the public, and given nurses legal protection to conduct some medical procedures typically done by doctors.
Vice Health Minister Park Min-soo said Tuesday that the country's handling of critical and emergency patients largely remains stable. But observers say the country's overall medical service would suffer a major blow if the walkouts prolonged, or if senior doctors join the strike.
The Korea Medical Association, which represents about 140,000 doctors in South Korea, has steadfastly expressed its support of the trainee doctors, though it hasn\u2019t determined whether to join their walkouts.
Park Jiyong, a spine surgeon in South Korea, said senior doctors at major university hospitals will likely join the walkout in coming days, which would \u201cvirtually collapse the operations of those hospitals.\u201d
On Monday, Park, the vice health minister, said the government won't seek any disciplinary steps against the striking doctors if they report back to work by Thursday. But, he warned, anyone who missed the deadline would be punished with a minimum three-month suspension of their medical licenses and face further legal steps, such as investigations and indictments by prosecutors.
Still, the strikers aren't likely to back down soon.
South Korea's medical law allows the government to issue back-to-work orders to doctors when it sees grave risks to public health. Those who refuse to abide by such orders can have their medical licenses suspended for up to 1 year and also face up to three years in prison or a 30-million-won (roughly $22,500) fine. Those who receive prison sentences would be stripped of their medical licenses.
Some observers say authorities will probably limit punishment to strike leaders for fear of a further strain on hospital operations.
Doctors are among the highest-paid professionals in South Korea, and the trainees' walkout has so far failed to win public support, with a survey showing that about 80% of respondents support the government's recruitment plan.
\u201cWhat if your mother has to get an injection or die? It seems like those doctors never were in others\u2019 shoes but are only emotional,\" said Kim Myung-ae, a 57-year-old cancer patient. \"They don\u2019t care about the patients but only the benefits they get as doctors in this country.\u201d
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The news came in a statement Tuesday from the Norwegian royal house. The 87-year-old monarch has had several illnesses in recent months that have raised concerns about the head of state\u2019s health. Royal officials have told Norwegian media that Crown Prince Haakon will be carrying out his planned engagements at home. Harald is the oldest monarch in Europe. Norwegian news agency NTB said that the palace announced two days before his birthday last week that the king would be undertaking a private trip abroad. The dates and the destination weren't specified at the time.", + "located": "STOCKHOLM", + "datelinelocation": { + "city": "Stockholm", + "countrycode": "SWE", + "countryname": "Sweden", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + 18.06871, + 59.32938 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. 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The 87-year-old monarch has had several illnesses in recent months, raising concern about the head of state's health. But royal officials have told Norwegian media that Crown Prince Haakon will be carrying out his planned engagements at home.
Harald, who is on a private trip abroad, is the oldest monarch in Europe. Two days before his birthday last week, the palace announced that the king would be undertaking a private trip abroad, without specifying the destination or dates, according to the Norwegian news agency NTB.
Norwegian Prime Minister Jonas Gahr St\u00f8re said that he was \u201csad\u201d to hear of the king\u2019s hospitalization and wished him a \u201cspeedy recovery,\u201d NTB said.
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The Republican-controlled Legislature has put the measure on the November ballot, with the state House approving the resolution in a 63-7 vote on Tuesday. The Senate previously adopted it, 28-4.
South Dakota Republican lawmakers want to add a work requirement for adults who are not physically or mentally disabled but who are eligible for Medicaid under the expansion of the government-sponsored program that voters approved in 2022 under a ballot initiative. The change, which took effect last summer, greatly increased the number of people in the state who qualify for Medicaid.
Even if voters approve the measure, the federal government will have to sign off on a work requirement.
The expansion was previously opposed by both Republican Gov. Kristi Noem and the GOP-controlled Legislature, which defeated a proposed Medicaid expansion earlier in 2022.
The 2022 constitutional amendment expanded Medicaid eligibility to people who earn up to 138% of the federal poverty level, which the state Department of Social Services says is up to $41,400 for a family of four.
Republican Rep. Tony Venhuizen, a prime sponsor of the work requirement measure, described it as a \u201cclarifying question\" for voters on a specific point.
\u201cWhen you listen to the opposition on this, you hear people who very clearly want people to go on Medicaid expansion and stay on it for a long period of time as their plan for health care, and I just don't think that's the purpose of social programs in South Dakota. We want to give people a hand up to a better life,\" Venhuizen said.
Details of and exemptions from the work requirement are \u201clike step 10,\" he told a House panel Monday during a hearing for the resolution. \u201cWhat we're talking about today is step one.\u201d
Supporters also have pointed out that other assistance programs, such as food benefits, have work requirements.
Opponents have said a work requirement would be unnecessary, ineffective and against the will of voters in 2022. South Dakota has a 2% unemployment rate, behind only Maryland and North Dakota, according to the U.S. Bureau of Labor Statistics in January.
\u201cWho is not working? Who is on Medicaid and is not working? And I can answer that for you, it's the poorest of the poor,\u201d said Democratic Rep. Kadyn Wittman, who called the measure's consideration \u201cdeeply offensive to every individual that voted yes\u201d for Medicaid expansion in 2022.
The expanded eligibility took effect July 1, 2023. Nearly 20,000 people have since enrolled. More people are expected to enroll. The department estimated 52,000 new people would qualify for Medicaid expansion when it opened.
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The law had been partially blocked for schools with students with disabilities for most of the 2021-2022 school year.", + "bylines": [ + { + "by": "By HANNAH FINGERHUT", + "title": "Associated Press" + } + ], + "located": "DES MOINES, Iowa", + "datelinelocation": { + "city": "Des Moines", + "countryareacode": "IA", + "countryareaname": "Iowa", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -93.60911, + 41.60054 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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Kim Reynolds\u2019 policy prohibiting schools from instituting mask requirements, which was brought by families of students with disabilities during the height of the COVID-19 pandemic.
The ruling marks the conclusion of the yearslong court battle, originating in the fall of 2021 with a lawsuit alleging that Reynolds violated federal disability law by preventing schools from adopting mask mandates as an accommodation for students with disabilities.
Reynolds celebrated the result, saying in a statement that Iowa focused on keeping kids in the classroom, \u201ctrusting parents to decide what was best for their children.\u201d
\u201cWhile children were the least vulnerable, they paid the highest price for COVID lockdowns and mandates, but Iowa was a different story,\u201d she said.
The American Civil Liberties Union of Iowa and Disability Rights Iowa, among others, filed the lawsuit on behalf of The Arc of Iowa, a disability advocacy organization, and Iowa families, citing the heightened risk to students with disabilities.
Rita Bettis Austen, ACLU of Iowa\u2019s legal director, said in a statement they were disappointed by the ruling but \u201cproud of what this case was able to accomplish for vulnerable children in Iowa,\u201d saying the case provided \u201cearly relief for our clients.\u201d
The law was partially blocked for schools with students with disabilities for most of the 2021-2022 school year.
\u201cMasking was critical to protecting the ability of children with underlying conditions and disabilities to attend school in person,\u201d she said in an email. \u201cEven in dismissing the case, the Court confirmed that Iowa law \u2018does not prohibit a school from complying with disability laws.\u2019\u201d
A federal judge ruled in November 2022 that a school must consider, like any other accommodation request, a disabled students\u2019 request that teachers, aides, students or others interacting with them wear a mask. The judge also said that a mandate must be allowed if that school district, considering Reynolds\u2019 ban on mask mandates among other factors, determines it the request is a reasonable modification to make.
Reynolds appealed, and the federal court\u2019s ruling orders dismissal, saying those who brought the lawsuit didn't have standing to sue the state over the law. While COVID-19 remains an \u201cever-present concern in society,\u201d the court said, the general risks \u201care not enough to show \u2018imminent and substantial\u2019 harm for standing\u201d since they are speculative.
The court also dismissed the claims saying they did not clearly establish a connection between Reynolds\u2019 action \u2013 the law or its enforcement \u2013 and the alleged injury of enduring COVID-19 and its risks.
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February 23, 2024.
Editorial: Declaring fetuses to be people would crush abortion rights in Florida
Floridians are already alarmed about women losing the right to control their own bodies, but what\u2019s happening at the state Capitol is even more terrifying. One by one, House members voted yes this week on legislation declaring fetuses to be people from the moment of conception \u2014 turning wombs into political battlegrounds long before most women know they are pregnant.
The sponsor of House Bill 651, Rep. Jenna Persons-Mulicka, R-Fort Myers, did her best to hide the radical nature of her legislation, which creates civil liability for anyone who causes the \u201cwrongful death\u201d of a fetus in utero. But everyone knew exactly what was at stake.
This proposal would be a shattering blow to what\u2019s left of women\u2019s reproductive independence, beyond debates over viability and banning abortion at a specified number of weeks. HB 651 would kick in at the very start of a pregnancy, creating an easy steppingstone from wrongful deaths (including from abortions) to anything that threatens the health of a fetus, even if it\u2019s meant to benefit the mother\u2019s health.
Floridians should bombard legislators with messages, telling them that this is far too radical for anyone who cares about freedom. Then they should turn to their congressional representatives and call on them for legislation to shut down this hazardous movement nationally.
Contact your lawmakers
They can start by letting lawmakers know they see through this charade. Persons-Mulicka pointed out more than once that the language of her legislation specifically excludes a pregnant person. But that\u2019s a negligible speed bump, especially if the Florida Supreme Court picks up the theme and uses it to obliterate abortion rights in Florida.
Think they won\u2019t? Think again. Supreme Court Chief Justice Carlos Mu\u00f1iz was already hinting in that direction during recent oral arguments over a ballot initiative that would, with voters\u2019 approval, explicitly protect abortion rights in Florida.
But advocates of so-called \u201cfetal personhood\u201d think they\u2019ve found a way around that amendment.
By declaring a fetus to be a person, the Legislature and/or the courts would at best set up a collision course between two competing interests that just happen to share a body \u2014 along with the well-being of medical personnel being asked to care for both.
A threat to doctors, nurses
Persons-Mulicka\u2019s bill does not protect the doctors, nurses and other people who perform abortions, even if the procedure is otherwise legal. Taken in context, that looming threat is clearly a large portion of the intention behind this bill.
Proclaiming that fetuses are people at very earliest stages of pregnancy would likely have an immediate and potentially deadly consequence.
In other states that have passed such radical laws, obstetricians are fleeing: \u201cWe would be losing the best and the brightest, and creating maternity deserts,\u201d warned Rep. Kristen Arrington, D-Kissimmee. She voted no in the House Judiciary Committee, as did Rep. Mike Gottlieb, D-Davie. (No Republican lawmakers from Palm Beach or Broward are on the panel).
This legislation sends a clear message that many Florida lawmakers don\u2019t care about a woman\u2019s freedom to choose her own reproductive fate, and they don\u2019t care whether a pregnancy is the result of rape or incest, whether a woman\u2019s health is at risk, or whether the fetus would ever be viable outside the womb.
A threat to women\u2019s freedom
That\u2019s why Floridians should go on offense, vociferously.
Adopting this legislation would put Florida dangerously close to a society in which women live under the threat of being reduced to mere vessels for pregnancies, whether or not those pregnancies are intentional or wanted. Other lawmakers need to see the very real threat that\u2019s rising behind seemingly mild legislation.
At Wednesday\u2019s hearing, state Rep. Paula Stark, a Republican from St. Cloud, voted yes. But if the bill reaches the House floor in its current form, she said she would vote no. \u201cThis is just way too over-broad,\u201d Stark said.
With two weeks to go in the 2024 session, there appears to be no way to fix this legislation. Any step in this direction would be too extreme, and most Floridians can figure that out.
___
Tampa Bay Times. February 22, 2024.
Editorial: Here\u2019s why Florida should teach kids about communism
Focus on the facts, and the threats posed by despots everywhere.
Communism is a major economic and political doctrine that has shaped global events for centuries. Learning about it is fundamental to a student\u2019s understanding of history, and of America\u2019s identity and role in the world. That\u2019s why it\u2019s entirely appropriate for Florida to teach about communism in its public schools. The trick is keeping this curriculum from becoming a tool of government propaganda and overreach itself.
Bills advancing in the Florida House and Senate would require instruction in grades K-12 on the history of communism, starting in the 2026-27 school year. While the lessons must be age-appropriate, they must cover a range of territory, from the roots of communist thought and its history here and abroad to the atrocities committed under communist rule and conditions that have presaged communist revolutions. The legislation requires particular attention to communism in Cuba, the island nation 90 miles from Florida, and to guerilla movements across Latin America.
Students need a basic understanding of communist principles \u2014 what it means for a government to replace private property with communal ownership and to control a society\u2019s means of production ostensibly for the collective good. That knowledge will inevitably draw attention to the schism between communist doctrine and communism in practice. And it will expose autocrats and dictators who have appropriated this form of government to oppress their own citizens and terrorize their neighbors.
In this ever-connected world, Americans need to learn how Lenin, Stalin, Mao, Castro, Pol Pot and others maneuvered into office and held onto power even as their own people suffered. This should foster greater awareness of how western liberal democracies tried (however imperfectly) to maintain global order after World War II. And it will highlight how communist doctrine percolated throughout those societies, as bullies and tyrants exerted state control through surveillance, censorship, imprisonment, torture and outrageously faked elections.
These K-12 courses will also raise a lens to the autocrats and nationalists in democracies worldwide who wink at these very tactics. No ideology has a monopoly on despots, and if courses on communism illuminate where democracy has fallen short, so much the better. Young Americans can learn from the mistakes and retool our political system in real time.
Of course, the particulars here would be left largely to Manny Diaz, Florida\u2019s education commissioner, who seems the worst equipped person, given his servile commitment to wage Gov. Ron DeSantis\u2019 culture wars. But the legislation does include time for a wide range of stakeholders to get involved in recommending the curriculum and course materials.
Allowing the communist record to stand for itself would prove its own damning legacy. For decades during the Cold War, Florida required the teaching of a 30-hour course in public high schools titled Americanism vs. Communism. This is an opportunity \u2014 done right \u2014 to update that instruction and identify where autocrats pose a danger across the ideological spectrum.
___
Miami Herald. February 26, 2024.
Editorial: Is Florida\u2019s surgeon general trying to worsen a measles outbreak? Sure seems like it
Is there one mainstream piece of public health advice \u2014 no matter how long-standing \u2014 that Florida\u2019s top doctor won\u2019t buck?
Joseph Ladapo, Gov. Ron DeSantis\u2019 anti-vaxx surgeon general, has spread misinformation about COVID-19 and has advised against coronavirus vaccines, citing debunked claims.
Perhaps Ladapo saw, in the novelty and divisiveness of the pandemic, an opportunity to become the go-to, Ivy League-educated doctor for vaccine deniers. Now, he\u2019s turned his focus to a long-known virus \u2014 up until now, largely non-controversial, but highly contagious and dangerous for children: measles.
CASES CONFIRMED
Following an outbreak at Manatee Bay Elementary in Weston, where six measles cases were confirmed last week, Ladapo sent a letter to parents that pediatricians, immunologists and infectious disease experts have criticized. The letter acknowledged what has been common practice to contain measles outbreaks \u2014 that unvaccinated children or those without immunity should remain home during the incubation period of the virus, or up to 21 days.
Ladapo, then, however, wrote that, \u201cdue to the high immunity rate in the community,\u201d the Department of Health \u201cis deferring to parents or guardians to make decisions about school attendance.\u201d
This should have been Ladapo\u2019s opportunity to tell parents, \u201cGet your children vaccinated \u2014 now!\u201d
The MMR vaccine, approved by the federal government more than 50 years ago, offers 98% protection against measles after two full doses. That\u2019s a widely known statistic that not even Ladapo can deny \u2014 he acknowledges it in his letter but stops short of recommending the vaccines.
Since Ladapo\u2019s letter, the number of confirmed cases climbed to eight in Broward County, as of Monday.
NOT IMMUNIZED
Instead, Florida\u2019s top doctor is telling parents it\u2019s OK to send kids to school sans immunization, even though they could contract a potentially lethal virus or spread it to others who are also not immunized. Worse, the Broward County school outbreak could spread to other communities. The measles virus can live on surfaces or in the air for up to two hours after an infected person coughs or sneezes.
Ladapo\u2019s letter even notes that \u201cup to 90% of individuals without immunity will contract measles if exposed.\u201d But he knows the administration he works for. Advising children without immunity to stay home would certainly be a bad look for DeSantis, who made his anti-lockdown stance a hallmark of his response to the COVID-19 pandemic and political brand.
Can you imagine the headlines on Fox News calling the DeSantis administration a Dr. Fauci sellout?
SURGE IN CASES
The U.S. declared measles eliminated in 2000 but, in past years, cases have begun to surge, largely because of lower vaccination rates.
Most of the 23 measles cases the Centers for Disease Control and Prevention identified in the country between December and January were among teens and children who had not been vaccinated.
The vaccine skepticism that gained force during the pandemic, thanks in part to public figures like DeSantis and Ladapo, is a threat to not only public-health efforts to keep COVID at bay but other diseases we thought belonged in a bygone era.
In his letter, Ladapo mentions the \u201ccost of healthy children missing school,\u201d but what about the cost of treating a sick child from a disease so easily prevented?
AT-HOME LEARNING
Broward County Public Schools, by the way, has offered parents at Manatee Bay Elementary at-home learning options, the Sun Sentinel reported.
___
Orlando Sentinel. February 21, 2024.
Editorial: AI-generated voices of the dead rebuke lawmakers\u2019 inaction on gun violence
We\u2019ll be the first to admit it: The use of artificial intelligence to recreate the voices of victims of gun violence \u2014 including a student slaughtered on the grounds of Marjory Stoneman Douglas High School six years ago \u2014 feels deeply unsettling. The effort, a joint campaign by nonprofits pushing for sensible restrictions on gun purchases, puts words in the mouths of people who will never again have the ability to speak for themselves. They are speaking words they may never have voiced if they were alive today.
But that\u2019https://www.orlandosentinel.com/2024/02/14/families-using-re-created-voices-of-gun-violence-victims-to-call-lawmakers/s the point. They aren\u2019t alive. Many never had the chance to even say a final, terrified \u201cI love you\u201d to their families or friends before they were shot down, forever silenced. The use of their voices in direct calls to federal and state lawmakers was authorized by their families, and the fact that the voices were generated by artificial intelligence is part of each script.
And they have much to say, partic ularly to Florida lawmakers who are busy this session rolling back two of the reform laws passed in the stunned, grieving aftermath of the mass shooting in Parkland on Feb. 14, 2018 that claimed 17 lives.
Hello. I am Joaquin Oliver. Six years ago, I was a senior at Parkland. Many students and teachers were murdered on Valentine\u2019s Day that year by a person using an AR-15.
Several of those pro-gun bills are set to be heard today in the House Judiciary Committee.
HB 17 would rip a hole in mandatory background checks for firearm purchases, giving law enforcement just three business days to complete a check.
HB 1223 would reset the age to purchase a rifle, including high-powered assault-style weapons, to 18. The Parkland killer was 19 when he assembled his armory and drove to his former high school, where he opened fire. After Parkland, the Legislature raised the purchase age to 21.
HB 485 would require the return of weapons seized during an arrest unless the weapon was identified as evidence in the pending case. This would put guns back in the hands of people facing serious criminal charges before their cases are resolved.
I died that day in Parkland. My body was destroyed by a weapon of war. I\u2019m back today because my parents used AI to re-create my voice to call you. Other victims like me will be calling too, again and again, to demand action.
Joaquin will not be the only one speaking. At an earlier committee stop, House members heard from students worried about being the next ones to be gunned down, from Parkland parents infuriated that the modest changes they wrung from lawmakers in the emotional aftermath of the high-school massacre were now at risk.
Families of gun-violence victims can take heart in the words of Senate President Kathleen Passidomo, who has said at least one of the proposed bills \u2014 the change in age for gun purchases \u2014 would be a \u201cnon-starter\u201d in the Senate. They can also be proud of the efforts of people like U.S. Rep. Maxwell Alejandro Frost, D-Orlando, who has been fighting since he was a teenager galvanized by the Parkland massacre \u2014 and is now pursuing a bill that would help credit-card companies do a better job of flagging suspicious patterns of gun sales. Joaquin\u2019s voice may be silenced, but Frost is still listening.
Still, every time a lawmaker prattles on about teenagers\u2019 Second Amendment rights, every \u201cyes\u201d vote on legislation intended to knock down sensible precautions like background checks, must feel like a bullet to the hearts of those still grieving their losses. That number continues to grow. In 2023, Florida saw 30 mass shootings, according to the Gun Violence Archive.
Among the victims of those furious outbreaks of violence: Spectrum News 13 reporter Dylan Lyons, 9-year-old T\u2019Yonna Major and 38-year-old Nathacha Augustin. The first anniversary of their deaths falls on Thursday, Feb. 22.
How many calls will it take for you to care? How many dead voices will you hear before you finally listen?
Joaquin\u2019s eerie, computer-generated voice might be dismissed by some as an attention-generating gimmick. But it should not be ignored, and his death should not be forgotten. If this new campaign helps forward that message, it has done good work.
___
Palm Beach Post. February 26, 2024.
Editorial: The Moon landing puts Earth, Florida in perspective
When Odysseus touched down on the Moon\u2019s surface Thursday, its successful voyage said so much about mankind.
Lifting off from Florida\u2019s Kennedy Space Center Feb. 15, when the moon dust settles on its site near the lunar south pole, the robot\u2019s immediate task will be a particularly human one: to look for water. Water would sustain future visits by Earthlings and could be broken down into hydrogen and oxygen to fuel explorations on the Moon and beyond.
The technology to accomplish this odyssey is so exalted in its depth, detail and layering of centuries of accumulated knowledge, that it can only give us hope as we reach out to grasp our universe.
But the achievement\u2019s more immediate impact is the perspective it provides from 238,900 miles away, lending hope to efforts to overcome travails at home.
The news is filled with violence and hope is hard to find. In Europe, Africa, Asia and the Americas, sometimes it seems there\u2019s nowhere to turn for peace. Fleeing hunger and famine, swells of refugees desperate for safety and opportunity attempt their own odysseys.
Odysseus\u2019 voyage reminds us that if humans can touch the Moon, they must be capable of touching the lives of those who suffer on Earth.
In that light, Florida is an appropriate launch pad. No need to look farther than Palm Beach County to see efforts to extend empathy and advance science in service of mankind. Bio-scientists at Scripps and Max Planck push the envelopes of knowledge of our inner universe, in search of treatments and cures. In the social services, the angels at St. Ann\u2019s and The Lord\u2019s Place in West Palm Beach ease the hardships of the homeless. Billionaires from across the water in Palm Beach reach out to endow all these efforts. But it\u2019s not just the privileged: When the pandemic left thousands of restaurant workers without jobs, many who\u2019d been laid off volunteered their time handing out meals at food banks where lines stretched for blocks.
So against the bad, there\u2019s a lot of good being done. Often we question whether our better selves will win out and save our species from itself. Well, look up and see what\u2019s possible.
END
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With AP Photo.", + "signals": [ + "newscontent" + ], + "title": "US--Sex-Education-Pregnancy-Video", + "headline": "West Virginia Senate OKs bill requiring schools to show anti-abortion group fetal development video", + "headline_extended": "West Virginia\u2019s Republican-led Senate has greenlit a bill that would make a video on fetal development produced by an anti-abortion group required viewing in public schools", + "slugline": "AP-US--Sex-Education-Pregnancy-Video", + "description_summary": "West Virginia\u2019s Republican-led Senate has greenlit a bill that would make a video on fetal development produced by an anti-abortion group required viewing in public schools. Live Action\u2019s \u201cBaby Olivia\u201d video, which West Virginia lawmakers want to show in eighth and tenth-grade classrooms, has received criticism from physicians and educators who say it misleads viewers. It is already being used in some schools in North Dakota, though it wasn\u2019t specifically mandated in the law passed last year in that state. Similar bills have been proposed in Iowa, Kentucky and Missouri. The bill now heads to the House of Delegates for consideration.", + "bylines": [ + { + "by": "By LEAH WILLINGHAM", + "title": "Associated Press" + } + ], + "located": "CHARLESTON, W.Va.", + "datelinelocation": { + "city": "Charleston", + "countryareacode": "WV", + "countryareaname": "West Virginia", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -81.63262, + 38.34982 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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(AP) \u2014 West Virginia's Republican-majority Senate greenlit a bill on Tuesday that would make a video on fetal development produced by an anti-abortion group required viewing in public schools.
Live Action\u2019s \u201cBaby Olivia\u201d video, which West Virginia lawmakers want to show in eighth and tenth-grade classrooms, has received criticism from physicians and educators who say it misleads viewers. It is already being used in some schools in North Dakota, though it wasn't specifically mandated in the law passed last year in that state. Similar bills have been proposed in Iowa, Kentucky and Missouri.
The bill now heads to the House of Delegates for consideration.
The animated video is meant to visualize development in the womb, depicting an egg being fertilized and implanted and progressing through embryonic and fetal developments occurring throughout a pregnancy. A voiceover introduces viewers to Olivia as an illustration of a fully developed baby in utero appears on screen. Olivia\u2019s mouth and eyes open and close, and her hands move.
The video refers to a \u201cheartbeat\" at six weeks. At that point, the embryo isn\u2019t yet a fetus and doesn\u2019t have a heart. It also describes the animated figure\u2019s motion and actions with words like \u201cplaying,\u201d \u201cexploring,\u201d \u201csighing,\u201d and making \u201cspeaking movements\" \u2014 language critics have said assign human traits and properties to a fetus that are more sophisticated than medicine can prove.
Speaking during his chamber's floor Tuesday, Republican Senate Majority Leader Tom Takubo said he couldn\u2019t support the bill because it contains \u201cgrossly inaccurate\u201d information contradictory to science. A working pulmonologist, he had pushed for a change to the bill that would have required any video shown in school to be scientifically accurate. That effort failed.
\u201cIf we\u2019re going to codify something that we\u2019re going to teach, \u2018this is fact,\u2019 it needs to be fact,\u201d he said.
Republican Sen. Amy Grady, the chamber's education chair and a public school teacher, said the legislation is not \u201canti-abortion.\" Grady, who voted for the state's near-total abortion ban that passed in 2022, said all of her students have different learning styles: some like reading textbooks, some are more tactile learners, others visual learners.
\u201cThose photos in a textbook help some students, but not all of them,\u201d she said. \u201cThis computer-generated image or this computer-generated video, an animated video, puts it in terms that kids can understand and it lets them see it, and lets them see the growth happen.\"
Republican Patricia Rucker said the video \u201cis not political and it is not religious: It is a springboard for conversation.\u201d
\u201cIt does not replace the resources teachers are using right now, currently, in the state of West Virginia \u2014 it\u2019s not asking them to throw a single one of those resources out,\u201d she said. \u201cIt is one short video shown twice in our schools to help make the subject more approachable.\u201d
Democratic Sen. Mike Woelfel said, however, that he fears it runs afoul of the First Amendment right to religious freedom. His personal belief, like Grady's, is that life begins at conception, but not everyone agrees, he said.
He mentioned Jewish students, citing a belief in that faith that life begins at birth. The same argument has been used to challenge abortion bans across the country in court.
\u201cI don\u2019t have any problem with the video \u2014 I would gladly show that video in the Catholic school that my grandchildren attend,\" he said. \"But I\u2019ve taken an oath to obey the Constitution and to uphold it, and for that reason, I would urge a no vote.\u201d
The \u201cBaby Olivia\u201d bill also contains a provision added after its introduction that requires the teaching of the Holocaust and a reading of The Diary of a Young Girl by Anne Frank in tenth or eleventh grade.
Live Action says on its website it \u201cexists today to shift public opinion\u201d on abortion and is dedicated to supporting a \u201cculture of life.\u201d
The organization spent nearly $5 million in 2022 to create and distribute content widely, according to filing reports. Those reports also show Live Action more than quadrupled its cash from contributions and grants in just four years, totaling $14 million in 2022.
Live Action also is known for efforts to expose Planned Parenthood, publishing videos and reports obtained by posing as patients.
Founder Lila Rose told The Associated Press the video was made in consultation with doctors and was designed to be informative, lifelike and appropriate for anyone. It calls out general markers in what Rose said is an \u201caverage developmental process\u201d using \u201cweeks after fertilization.\u201d That\u2019s different from \u201cweeks after the last menstrual cycle,\u201d which is what a pregnant person would typically hear from a doctor.
\u2014\u2014\u2014
Associated Press reporter Hannah Fingerhut contributed to this report from Des Moines, Iowa.
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According to the nation\u2019s health ministry, the number of dengue cases registered during the first seven weeks of this year is twice as high as during the same period in 2023 \u2013 with more than 31,000 cases recorded.
\u201cThis is a grave problem,\u201d health minister Cesar V\u00e1squez said last week, before the emergency was declared. \u201cAnd it is getting out of hand.\u201d
The health emergency will enable the nation\u2019s government to transfer funds faster to the affected regions and also transport doctors and nurses. It will cover 20 of the country\u2019s 24 provinces, including regions that surround the capital city of Lima.
A dengue epidemic last year put Peru's public health system under strain as thousands sought care in emergency rooms.
The disease is spread by Aedys Egypti, a mosquito that reproduces in hot and humid conditions.
Although most dengue cases present light symptoms, the disease can cause severe headaches, fevers and muscle pains.
Last year, a dengue epidemic in Peru killed 18 people, while in the first two months of this year 32 Peruvians have died from the virus.
In December, the World Health Organization said that Peru's 2023 dengue epidemic was linked to rains and hot temperatures that helped mosquito populations to grow, especially in the north of the country.
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Adeline Hambley's lengthy legal fight with county commissioners over pandemic-era mask mandates concluded Tuesday with the board bowing to the will of a court-ordered arbitrator. The Ottawa County Board of Commissioners voted 11-0 Monday to retain Hambley as county health officer. It's part of a settlement to end her lawsuit against the board. The commissioners first tried to fire Hambley in January 2023. But when they were unable to, they offered her a $4 million settlement in return for her resignation, then rescinded the offer.", + "located": "WEST OLIVE, Mich.", + "datelinelocation": { + "city": "West Olive", + "countryareacode": "MI", + "countryareaname": "Michigan", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -93.69494, + 38.90057 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. 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(AP) \u2014 An embattled public health officer in Michigan will get to keep her job, after a lengthy legal fight with county commissioners over pandemic-era mask mandates concluded Tuesday with the board bowing to the will of a court-ordered arbitrator.
The Ottawa County Board of Commissioners voted 11-0 Monday to retain Adeline Hambley as county health officer, part of a settlement to end her lawsuit against the board.
The commissioners first tried to fire Hambley in January 2023 after conflict over COVID-19 restrictions.
But when they were unable to, they offered her a $4 million settlement in return for her resignation, then rescinded the offer, saying it was only a tentative settlement agreement.
Hambley sued the commissioners over her \u201ctermination in violation of public policy.\u201d The state\u2019s appeals court ruled in October that Hambley could be fired only for \u201cjust cause.\u201d
Instead, the matter would be decided by an arbitration panel consisting of three members: one chosen by Hambley, another by the county and a third by a mediator.
After more than 12 hours of mediation, the two sides agreed on a settlement in which Hambley would keep her job. It included a section stating that if the board tries to fire Hambley again before January 2025, the board would not have the power to do so.
\u201cIt was absolutely a priority,\u201d said Sarah Howard, Hambley\u2019s attorney. \u201cThere\u2019s no predicting what\u2019s going to happen in the future. ... My client has wanted nothing more than to stay and lead this department.\u201d
\u201cToday, the Ottawa County Board of Commissioners came to a mutual agreement, subject to court approval, to end all litigation involving the health officer,\u201d Board Chair Joe Moss posted on social media following the meeting. \u201cAll legal issues between the parties will be resolved, and Ms. Hambley will continue in her role as health officer, as previously decided by the Appeals Court.
Public health officers are responsible for setting local public health policy. Officials who usually worked behind the scenes managing immunizations and water quality inspections found themselves center stage during the COVID-19 pandemic, as elected officials and members of the public who were frustrated with lockdowns and safety restrictions turned public health workers into politicized punching bags.
", + "textformat": "bx", + "links": [ + { + "href": "https://apnews.com/article/michigan-public-health-fight-officer-retained-9da21ba1528a2f8d82a05108801996f1", + "rel": "canonical" + } + ], + "topics": { + "Health": { + "relevance_score": 5, + "reason": "The document discusses the legal battle of a public health officer in Michigan over COVID-19 restrictions and her eventual retention of her job. It touches on public health policy, the role of public health officers, and the impact of the COVID-19 pandemic on public health officials. These elements are directly related to the topic of Health, making the document highly relevant." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/02/27/aee9ddaf80d7495230162c3ec3ed29e7.json b/datasets/AP_news/raw_data/2024/02/27/aee9ddaf80d7495230162c3ec3ed29e7.json new file mode 100644 index 0000000..f19d03d --- /dev/null +++ b/datasets/AP_news/raw_data/2024/02/27/aee9ddaf80d7495230162c3ec3ed29e7.json @@ -0,0 +1,235 @@ +{ + "altids": { + "itemid": "aee9ddaf80d7495230162c3ec3ed29e7", + "etag": "aee9ddaf80d7495230162c3ec3ed29e7_0a6aza0c0", + "friendlykey": "208921859893", + "referenceid": "US-XGR--Unborn-Child Support-Kentucky" + }, + "version": 0, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-02-27T22:09:48Z", + "firstcreated": "2024-02-27T22:09:46Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: Updates Media.", + "signals": [ + "newscontent" + ], + "title": "US-XGR--Unborn-Child Support-Kentucky", + "headline": "Kentucky lawmakers advance bill allowing child support to begin with pregnancy", + "headline_extended": "Lawmakers in Kentucky have advanced a bill to grant the right to collect child support for unborn children", + "slugline": "BC-US-XGR--Unborn-Child Support-Kentucky", + "description_summary": "Lawmakers in Kentucky have advanced a bill to grant the right to collect child support for unborn children. It reflects a broader effort in Republican-led states to confer a fetus with the same rights as a person. The Kentucky bill would allow a parent to seek support up to a year after giving birth to cover pregnancy expenses. The bill won approval Tuesday from the Senate Families and Children Committee. It was the first vote on the proposal. The bill was amended in committee to put a time limit for seeking a court order extending child support to the time of pregnancy.", + "bylines": [ + { + "by": "By BRUCE SCHREINER", + "title": "Associated Press" + } + ], + "located": "FRANKFORT, Ky.", + "datelinelocation": { + "city": "Frankfort", + "countryareacode": "KY", + "countryareaname": "Kentucky", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -84.87328, + 38.20091 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. 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(AP) \u2014 Lawmakers in Kentucky advanced a bill Tuesday that would grant the right to collect child support for unborn children, reflecting a broader effort in some Republican-led states to push legislation conferring a fetus with the same rights as a person.
The measure would allow a parent to seek child support up to a year after giving birth to cover pregnancy expenses. The bill won approval from the Senate Families and Children Committee, sending the proposal to the full Senate. It was the first vote on the legislation, which was introduced in mid-January and referred to the committee more than a month ago. Republicans have supermajorities in the Kentucky Senate and House.
Kentucky is among at least six states where lawmakers have proposed measures similar to a Georgia law that allows child support to be sought back to conception. Georgia also allows prospective parents to claim its income tax deduction for dependent children before birth; Utah enacted a pregnancy tax break last year; and variations of those measures are before lawmakers in at least four other states.
A recent Alabama Supreme Court ruling that frozen embryos are legally protected children spotlighted the anti-abortion movement\u2019s long-standing goal of giving embryos and fetuses legal and constitutional protections on par with those of the people carrying them.
In Kentucky, Republican state Sen. Whitney Westerfield, a staunch abortion opponent, is sponsoring the legislation \u2014 Senate Bill 110 \u2014 that would allow child support to be applied retroactively to cover a fetus.
\u201cThat child is a human life,\" Westerfield told the committee. \"And the support obligation begins as soon as that life begins. And I think we ought to be able to go after that.\u201d
The bill was amended by the committee to only apply to child support ordered within a year after birth, setting a strict time limit for seeking a court order dating back to the time of conception.
\u201cSo if there\u2019s not a child support order until the child\u2019s 8, this isn\u2019t going to apply,\" Westerfield said. \u201cEven at a year and a day, this doesn\u2019t apply. It\u2019s only for orders that are in place within a year of the child\u2019s birth.\u201d
Some abortion rights advocates in Kentucky expressed concerns about the bill afterward.
\u201cThis type of bill sets the stage for personhood,\u201d Tamarra Wieder, the Kentucky State director for Planned Parenthood Alliance Advocates, said in a statement. \u201cSB 110 is a slippery slope and one that leads us in the same direction\" as the Alabama court ruling.
\u201cInstead of trying to push the idea of personhood via child support, this legislature should instead look at supporting pregnant people through expanded insurance, paid leave or any number of options that might provide more inclusive benefits,\u201d she added.
One potential obstacle for the Kentucky bill is the additional expenses that county attorneys would incur to enforce child support orders applying to the unborn. In such cases, prosecutors could not use federal funding they typically rely on to cover expenses related to child support enforcement, Westerfield said.
The bill's supporters could seek a state appropriation to cover those additional costs. House and Senate leaders will hash out final details of the state's next two-year budget in March.
For abortion opponents, the bill's recognition of the unborn for child support purposes goes to the heart of an overarching issue, said Republican state Sen. Danny Carroll, the committee' chairman.
\u201cThat\u2019s where life starts,\" Carroll said. \u201cAnd that\u2019s where that obligation to take care of that child should begin. And I think it\u2019s a fundamental fairness issue that we do this.\u201d
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Republican state Rep. Ken Fleming filed the measure Monday. That's the last day that new House bills could be introduced in this year\u2019s 60-day session. Kentucky\u2019s near-total abortion ban has been in place since the U.S. Supreme Court overturned Roe v. Wade in 2022. The state\u2019s so-called trigger law bans abortions except when carried out to save the mother\u2019s life or to prevent a disabling injury. It does not include exceptions for cases of rape or incest.", + "bylines": [ + { + "by": "By BRUCE SCHREINER", + "title": "Associated Press" + } + ], + "located": "FRANKFORT, Ky.", + "datelinelocation": { + "city": "Frankfort", + "countryareacode": "KY", + "countryareaname": "Kentucky", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -84.87328, + 38.20091 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. 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(AP) \u2014 Legislation aimed at easing Kentucky's near-total abortion ban by creating limited exceptions for pregnancies caused by rape or incest was introduced Monday in the GOP-dominated House, as lawmakers wrangle with an issue at the forefront of last year's campaign for governor.
Republican state Rep. Ken Fleming filed the measure on the last day that new House bills could be introduced in this year's 60-day session. The bill's prospects are uncertain, with House Speaker David Osborne saying the chamber's GOP supermajority has not discussed any particular abortion bill.
Kentucky's near-total abortion ban has been in place since the U.S. Supreme Court overturned Roe v. Wade in 2022. The state's so-called trigger law took effect, banning abortions except when carried out to save the mother\u2019s life or to prevent a disabling injury. It does not include exceptions for cases of rape or incest.
Fleming's proposal would change that by making abortions legal in cases of rape and incest if done no later than six weeks after the first day of the woman\u2019s last menstrual period, according to a statement describing the bill. The measure also would allow an abortion to remove a dead fetus and in cases of a lethal fetal anomaly, meaning the fetus wouldn't survive after birth.
\u201cWe all encounter difficult heart-wrenching decisions in life,\" Fleming said in the statement. \u201cAs a father of two daughters, I have always supported them financially, emotionally, and especially spiritually. With them on my mind and in my heart, exceptions for life-saving measures for the mother and in cases involving rape or incest should be included in our state\u2019s abortion law.\u201d
Current exceptions to save the mother's life or prevent disabling injuries would remain under his bill.
The measure also includes a provision creating a process for physicians to document the circumstances surrounding an abortion performed under state law.
The last-minute bill filing mirrors another GOP lawmaker's attempt last year to relax the state's abortion ban. That measure, also filed on the last day for bill introductions in the House, made no headway as the abortion issue was skipped over in 2023 by the legislature's Republican supermajorities.
The issue rose to the forefront of Kentucky's hotly contested governor's race last year. Democratic Gov. Andy Beshear, an abortion-rights supporter who won reelection to a second term, hammered away at his Republican challenger's support of the state\u2019s sweeping abortion ban.
Kentucky\u2019s Supreme Court refused to strike down the ban last year. The justices, however, ruled on narrow legal issues but left unanswered the larger constitutional questions about whether access to abortion should be legal in the Bluegrass State.
In late 2023, a Kentucky woman sued to demand the right to an abortion, but her attorneys later withdrew the lawsuit after she learned her embryo no longer had cardiac activity. In 2022, Kentucky voters rejected a ballot measure aimed at denying any constitutional protections for abortion.
Kentucky is one of 14 states with a ban on abortions at all stages of pregnancy currently in effect.
Since the U.S. Supreme Court overturned Roe v. Wade and the nationwide right to abortion, bans of some kind have kicked in in most Republican-controlled states. Two \u2014 Georgia and South Carolina \u2014 ban abortion once cardiac activity can be detected, around six weeks into pregnancy and before women often realize they\u2019re pregnant. Utah and Wyoming have bans on abortion throughout pregnancy, but enforcement has been paused by courts while they weigh whether the laws comply with the state constitutions.
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(AP) \u2014 The first lawsuit brought amid reports that a nurse at a southern Oregon hospital replaced intravenous fentanyl drips with tap water seeks up to $11.5 million on behalf of the estate of a 65-year-old man who died.
The wrongful death suit was filed Monday against Asante Rogue Regional Medical Center in Medford, The Oregonian/OregonLive reported. It also names nurse Dani Marie Schofield as a defendant.
Last month, Medford police disclosed that they were investigating potential crimes against patients involving the theft of \u201ccontrolled substances,\u201d which may have led to \u201cadverse\u201d outcomes for some.
Fentanyl is a powerful synthetic opioid that has helped fuel the nation's overdose epidemic, but it is also used in legitimate medical settings to relieve severe pain. Drug theft from hospitals is a longstanding problem.
Police declined to provide more information. Schofield agreed to a voluntary nursing license suspension last November \u201cpending the completion of an investigation,\u201d according to Oregon Board of Nursing records. No charges have been filed.
Justin Idiart, a southern Oregon lawyer, told The Oregonian/OregonLive that he represents nine clients whose medication was swapped out, and five others have reached out for possible representation. They include the loved ones of patients who died as well as some who survived. All of his clients were treated by Schofield, he said.
Other local law firms also have been exploring litigation. Attorneys say they expect as many as three dozen cases could be filed.
The hospital did not immediately return an email from The Associated Press seeking comment Tuesday. The AP could not immediately locate contact information for Schofield, and it was not clear if Schofield is represented by an attorney.
\u201cWe were distressed to learn of this issue,\u201d Asante said in a statement last month. \u201cWe reported it to law enforcement and are working closely with them.\u201d
Idiart filed the lawsuit in Jackson County Circuit Court over the death of Horace E. Wilson, who died in February 2022. Wilson, the founder of a cannabis company called Decibel Farms in Jacksonville, Oregon, was treated at the hospital after he fell off a ladder. He suffered bleeding from his spleen and had it removed.
But doctors then noted \u201cunexplained high fevers, very high white blood cell counts, and a precipitous decline,\u201d the complaint said. Tests confirmed an infection of treatment-resistant bacteria, Staphylococcus epidermidis. Wilson progressed to multi-system organ failure and died weeks later.
Idiart said patients who were deprived of medication suffered as a result of the medication diversion. In Wilson\u2019s case, his family believed he was in pain even though he was supposed to be sedated, Idiart said.
Asante last December contacted Medford police regarding a former employee \u201cthat they believe was involved in the theft of fentanyl prescribed to patients resulting in some adverse patient outcomes,\u201d the complaint said.
That month, hospital representatives \u201cbegan contacting patients and their relatives telling them a nurse had replaced fentanyl with tap water causing bacterial infections,\u201d it said.
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(AP) \u2014 Mack Allen, an 18-year-old high school senior from Kansas, braces for sideways glances, questioning looks and snide comments whenever he has to hand over his driver's license, which still identifies him as female.
They've come from a police officer responding to a car accident. They've come from an urgent care employee loudly using the wrong name and pronouns. They've come from the people in the waiting room who overheard.
\u201cIt just feels gross because I\u2019ve worked so hard to get to where I am now in my transition, and obviously I don\u2019t look like a woman and I don\u2019t sound like a woman,\u201d said Allen, who has been on testosterone for two years.
Kansas enacted a law last year that ended legal recognition of transgender identities. The measure says there are only two sexes, male and female, that are based on a person\u2019s \u201cbiological reproductive system\" at birth.
That law and others introduced around the nation this year \u2014 often labeled as \"bills of rights\" for women \u2014 are part of a push by conservatives who say states have a legitimate interest in restricting transgender people from competing on sports teams or using bathrooms that align with their gender identity.
Critics argue the proposals to legally define sex as binary are essentially erasing transgender and nonbinary people\u2019s existences by making it as difficult as possible for them to update documents, use facilities and generally participate authentically in public life.
They\u2019re also creating uncertainty for the many intersex people \u2014 those born with physical traits that don\u2019t fit typical definitions of male or female \u2014 with the measures unclear on how people would prove they\u2019re exempt.
Some of the measures would remove the word gender, which refers to social and self-identity, from state code and replace it with sex, which refers to biological traits, conflating the two terms. Others make gender a synonym for sex. Medical experts say the efforts rely on an outdated idea of gender by defining it as binary rather than a spectrum.
\u201cYou pass a law because there's a problem. The medical community doesn't see people having different gender identities or being born with an intersex condition as a problem for society,\" said Dr. Jack Drescher, a clinical professor of psychiatry at Columbia University who edited the section about gender dysphoria in the American Psychiatric Association\u2019s diagnostic manual. \u201cThe medical community can only stand back to say, what exactly are you passing this law to protect?\u201d
Measures have been proposed this year in at least 13 states \u2014 Alabama, Arizona, Florida, Idaho, Indiana, Iowa, Mississippi, Missouri, Oklahoma, South Carolina, Utah, West Virginia and Wyoming \u2014 and advocates expect that number to grow. The bills follow a historic push for restrictions on transgender people, especially youths, by Republican lawmakers last year. At least 23 states have banned gender-affirming medical care for transgender minors, and some states are now shifting their focus to trying to restrict that care for adults, as well. Others have moved on restroom and sports restrictions.
Many political observers say the Republican focus on transgender people is an attempt to rally a voting base with a \u201cwedge issue\" to replace abortion rights, which the public has largely favored, notably in Kansas. The efforts also worry transgender people and their allies that they're further stigmatizing and threatening a community already at high risk of stress, depression and suicidal behavior.
With the latest round of bills defining man and woman, it's clear \u201cthe intent is to make it as difficult as possible for transgender people to operate within a state,\" said Sarah Warbelow, legal vice president of the Human Rights Campaign, a large LGBTQ+ rights group.
\u201cIt's an attempt to deny transgender people's existence,\u201d she said.
A similar proposal in Iowa put forward by Republican Gov. Kim Reynolds led to protests at the state Capitol. The bill was introduced soon after the failure of a lawmaker\u2019s effort to remove gender identity from the state\u2019s civil right law. It would narrowly define male and female and require a transgender person\u2019s assigned sex at birth to be listed alongside their gender identity on their birth certificate.
\u201cWomen and men are not identical; they possess unique biological differences,\" Reynolds said after introducing the measure. \"That\u2019s not controversial, it\u2019s common sense.\u201d
The sponsor of a similar bill passed by the West Virginia House said the legislation is needed to allow restrictions on who can use single-sex restrooms, locker rooms and changing areas.
\u201cAt any given time, we're unable to protect single-sex spaces,\u201d said Del. Kathie Hess Crouse, the measure's sponsor, said. \u201cIf we don't have a definition, we can't protect them.\u201d
Jocelyn Krueger, of Grinnell, Iowa, joined protesters at the statehouse days after testifying to lawmakers that she opposed the failed effort to remove gender identity from the civil rights law.
Krueger said she\u2019s concerned about potential repercussions of the bill, given that a person\u2019s identifying documents \u201cunlock basic participation\u201d in everyday life.
She compared it to how she was temporarily unable to get money from her bank account when she was updating her documents. Krueger worries the Iowa bill could create similar challenges for trans residents, but longer term.
\u201cNot having access to documentation, or things that out you in a way, or where your documentation doesn't match, puts you at risk for all of those daily interactions where people are looking at your documentation,\u201d Krueger said.
The Williams Institute, a think tank at UCLA Law, estimates there are 1.3 million transgender adults in the U.S. But it's believed that intersex people represent 1.7% of humans, which would translate to over 5 million in the U.S. alone.
In Alabama, lawmakers added language to legislation defining male and female that sex can be designated as unknown on state records \u201cwhen sex cannot be medically determined for developmental or other reasons.\u201d
West Virginia's proposal specifically states that someone who is intersex is \u201cnot considered a third sex.\u201d But the measure says people with a \"medically verifiable\u201d diagnosis of it should be accommodated.
Before this year, Kansas and Montana, North Dakota and Tennessee had enacted laws defining man and woman in state code. Oklahoma \u2014 where advocates say a law restricting bathroom access helped create a climate that led to the bullying of nonbinary teenager Nex Benedict, who died after a fight in a girls bathroom at a school \u2014 already has a measure by executive order, as does Nebraska.
Before Tennessee's law took effect, advocates held events to assist people on changing their names and gender identities on government documents.
\u201cThere's a lot of potential for harm that seems ready to explode at any moment,\u201d said Dahron Johnson, of the Tennessee Equality Project.
In South Carolina, amendments have been proposed to the state constitution to narrowly define male and female. But the measures face an uphill battle in clearing the Legislature by an April 10 deadline in order to make this fall's ballot.
Opponents say efforts to codify sex are likely to face court challenges, just as other restrictions such as youth medical care have.
\u201cWe\u2019ve already lost this case,\u201d said Idaho Rep. Ilana Rubel, a Democrat who voted against a definition bill approved by the state's Republican-led House, predicting the state would get sued. \u201cThis is really just an unfortunate gesture that makes people in our community feel unwanted and unloved by their government.\u201d
___
DeMillo reported from Little Rock, Arkansas. Contributing to this report were Associated Press journalists Nick Ingram in Leavenworth, Kansas; Hannah Fingerhut in Des Moines, Iowa; Rebecca Boone in Boise, Idaho; Hannah Schoenbaum in Salt Lake City; and James Pollard in Columbia, South Carolina.
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(AP) \u2014 Family Dollar Stores, a subsidiary of Dollar Tree Inc., pleaded guilty Monday to holding food, drugs, cosmetics and other items under \u201cinsanitary\u201d conditions at a now-closed, rodent-infested distribution center in West Memphis, Arkansas, federal prosecutors said.
Family Dollar faced one misdemeanor count of causing FDA-regulated products to become adulterated while being held under insanitary conditions at the facility, the U.S. Department of Justice said in a news release. The company entered into a plea deal that includes a sentence of a fine and forfeiture amount totaling $41.675 million, the largest-ever monetary criminal penalty in a food safety case, the department said.
\u201cWhen consumers go to the store, they have the right to expect that the food and drugs on the shelves have been kept in clean, uncontaminated conditions,\u201d said Acting Associate Attorney General Benjamin C. Mizer. \u201cWhen companies violate that trust and the laws designed to keep consumers safe, the public should rest assured: The Justice Department will hold those companies accountable.\u201d
A company spokesperson said it cooperated extensively with the DOJ's investigation.
\u201cIn 2022, Family Dollar issued a voluntary recall of product that allowed customers to return goods for a full refund without proof of purchase. While we are not aware of any consumer becoming ill due to conditions at the distribution center, 14 consumer class actions were brought against the company, and we have reached a tentative settlement in those cases without any admission of liability or wrongdoing,\u201d the spokesperson said in an email. \u201cWe look forward to putting the litigation behind us so that we can focus on our business of providing affordable products to our customers, with quality and safety at the heart of what we do.\u201d
The plea agreement also requires Family Dollar and Dollar Tree to meet robust corporate compliance and reporting requirements for the next three years, the DOJ said.
In pleading guilty, the company admitted that its Arkansas distribution center shipped FDA-regulated products to more than 400 Family Dollar stores in Alabama, Missouri, Mississippi, Louisiana, Arkansas, and Tennessee. According to the plea agreement, the company began receiving reports in August 2020 of mouse and pest issues with deliveries to stores. The company admitted that by January 2021, some of its employees were aware that the insanitary conditions caused FDA-regulated products held at the warehouse to become adulterated in violation of federal law.
According to the plea agreement, the company continued to ship FDA-regulated products from the warehouse until January 2022, when an FDA inspection revealed live rodents, dead and decaying rodents, rodent feces, urine, and odors, and evidence of gnawing and nesting throughout the facility.
Subsequent fumigation of the facility resulted in the reported extermination of 1,270 rodents.
Dollar Tree Chairman and CEO Rick Dreiling, in a news release, said the company is moving forward with its \u201cbusiness transformation, safety procedures and compliance initiatives.\u201d
Since joining Dollar Tree's Board of Directors in March 2022, Dreiling said they have \u201cworked diligently to help Family Dollar resolve this historical matter and significantly enhance our policies, procedures and physical facilities to ensure it is not repeated.\u201d
Dollar Tree also recently announced that Family Dollar plans to return operations to West Memphis with a fully reimagined and refreshed distribution center. The new facility, which is expected to staff 300 new jobs, is expected to be open by fall 2024.
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(AP) \u2014 President Joe Biden \u201ccontinues to be fit for duty,\u201d his doctor wrote Wednesday after conducting an annual physical that is being closely watched as the 81-year-old seeks reelection in November.
Dr. Kevin O\u2019Connor, Biden's physician, wrote that the president is adjusting well to a new device that helps control his sleep apnea and has experienced some hip discomfort but also works out five times per week.
\u201cPresident Biden is a healthy, active, robust, 81-year-old male who remains fit to successfully execute the duties of the presidency,\u201d O\u2019Connor said in a six-page memo on the president\u2019s health, following a physical that took Biden to Walter Reed National Military Medical Center for more than 2 1/2 hours.
His memo added that Biden \u201cfeels well and this year's physical identifies no new concerns.\u201d
The oldest president in U.S. history, Biden would be 86 by the end of a second term, should he win one. His latest physical mirrored one he had in February last year when O'Connor described Biden as \u201chealthy, vigorous\u201d and \u201cfit\u201d to handle his White House duties.
Still, voters are approaching this year\u2019s election with misgivings about Biden\u2019s age, having scrutinized his gaffes, his coughing, his slow walking and even a tumble off his bicycle.
After he returned to the White House on Wednesday, Biden attended an event on combating crime and suggested that when it came to his health \u201ceverything is squared away\u201d and \"there is nothing different than last year.\u201d
He also joked about his age and people thinking \"I look too young.\u201d
Former President Donald Trump, 77, is the favorite to lock up the Republican nomination later this month, which would bring him closer to a November rematch against Biden. Trump was 70 when he took office in 2017, which made him the oldest American president to be inaugurated \u2014 until Biden broke his record by being inaugurated at 78 in 2021.
O'Connor's report said that Biden\u2019s stiff walking was no worse than last year and was the result of arthritic changes in his spine. He said the president also noted \u201csome increased left hip discomfort.\u201d There were no signs of stroke, multiple sclerosis, Parkinson\u2019s or other similar conditions in what the report called an \u201cextremely detailed neurologic exam.\u201d
Biden, last summer, began using a continuous positive airway pressure, or CPAP, machine at night to help with sleep apnea, and O'Connor wrote that the president had responded well to that treatment and is \u201cdiligently compliant\" about using it.
A recent special counsel\u2019s report on the investigation into Biden's handling of classified documents repeatedly derided Biden's memory, calling it \u201chazy,\u201d \u201cfuzzy,\u201d \u201cfaulty,\u201d \u201cpoor\u201d and having \u201csignificant limitations.\u201d It also noted that Biden could not recall defining milestones in his own life such as when his son Beau died or when he served as vice president.
Still, addressing reporters the evening of the report's release, Biden said \"my memory is fine\u201d and grew visibly angry as he denied forgetting when his son died of brain cancer in 2015 at the age of 46.
White House press secretary Karine Jean-Pierre said that O\u2019Connor was one of a team of 20 different medical specialists who helped complete the physical.
Asked why Biden wasn't undergoing a cognitive test as part of the physical, Jean-Pierre said that O'Connor and Biden's neurologist \u201cdon't believe he needs one.\u201d
\u201cHe passes a cognitive test every day, every day as he moves from one topic to another topic, understanding the granular level of these topics,\u201d Jean-Pierre said, noting that Biden tackled such diverse issues as Wednesday's crime prevention event before his planned trip to the U.S.-Mexico border on Thursday and next week's State of the Union address.
\u201cThis is a very rigorous job,\" she added.
That picture of the president doesn\u2019t reflect the type of struggles with routine tasks that might indicate the need for further tests, said Dr. Michael Rosenbloom, a neurologist at the University of Washington School of Medicine.
\u201cConstantly questioning older folks who may have an occasional lapse is a form of ageism,\u201d Rosenbloom said.
From sleep apnea to arthritis, Biden\u2019s health report \u201cseems pretty run of the mill for an 81-year-old person,\u201d said Dr. Jeffrey A. Linder, chief of general internal medicine at Northwestern University\u2019s Feinberg School of Medicine.
\u201cHis doctors are in a unique position to assess his cognitive ability on a daily basis,\u201d Linder said. \"These doctors are able to see how he\u2019s functioning day to day. That\u2019s much more useful\u201d than a cognitive assessment.
Many Americans, including Democrats, have expressed reservations about Biden seeking a second term during this fall's election. Only 37% of Democrats say Biden should pursue reelection, down from 52% before the 2022 midterm elections, according to a poll from The Associated Press-NORC Center for Public Affairs Research.
Biden counters that his age brings wisdom, and he has begun to criticize Trump for the former president\u2019s recent public gaffes.
The president joked that his age was classified information and suggested during a taping in New York on Monday of \u201cLate Night With Seth Meyers \u2033 that Trump mistakenly called his wife Melania, \u201cMercedes\u201d during a weekend speech at the Conservative Political Action Conference -- though the Trump campaign says he was correctly referring to political commentator Mercedes Schlapp.
Trump has indeed had his share of verbal miscues, mixing up the city and state where he was campaigning, calling Hungarian Prime Minister Viktor Orb\u00e1n the leader of Turkey and repeatedly mispronouncing the militant group Hamas as \u201chummus.\u201d More recently, he confused his Republican primary rival Nikki Haley with former Democratic House Speaker Nancy Pelosi.
While he was president, Trump's annual physical in 2019 revealed that he had gained weight and was up to 243 pounds. With his 6-foot, 3-inch frame, that meant Trump's Body Mass Index was 30.4. An index rating of 30 is the level at which doctors consider someone obese under this commonly used formula.
Wednesday's report listed Biden as 6-foot tall and weighing 178 pounds.
___
Weissert reported from Washington. AP Medical Writer Carla K. Johnson in Washington state contributed.
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With AP Photos.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "US-MED--Food Wrappers-PFAS", + "headline": "Fast-food wrappers that contain PFAS are no longer sold in the US, the FDA says", + "headline_extended": "Fast-food wrappers and packaging that contain so-called forever chemicals are no longer being sold in the U.S. The Food and Drug Administration says the voluntary effort that began in 2020 between the agency and U.S. food manufacturers has been completed", + "slugline": "BC-US-MED--Food Wrappers-PFAS, 1st Ld-Writethru", + "description_summary": "Fast-food wrappers and packaging that contain so-called forever chemicals are no longer being sold in the U.S. The Food and Drug Administration says the voluntary effort that began in 2020 between the agency and U.S. food manufacturers has been completed. PFAS chemicals have been linked to health problems, including liver dysfunction and certain cancers. Many fast-food manufacturers, such as McDonald's, halted use of the wrappers before the phase-out date. Drinking water is another major source of PFAS chemicals entering the body.", + "bylines": [ + { + "by": "By JONEL ALECCIA", + "title": "AP Health Writer" + } + ], + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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It's the result of a voluntary effort with U.S. food manufacturers to phase out food contact packaging made with PFAS, the acronym for perfluoroalkyl and polyfluoroalkyl substances, which do not degrade and can harm human health.
Starting in 2020, the FDA obtained commitments from U.S. food manufacturers to phase out PFAS in wrappers, boxes and bags with coating to prevent grease, water and other liquids from soaking through.
Many fast-food companies and other manufacturers, such as McDonald's, stopped using wrappers containing PFAS before the original phase-out date, the agency added.
PFAS chemicals have been linked to health problems affecting cholesterol levels, the function of the liver and the immune system and certain kinds of cancer.
Ridding packaging of the chemicals is a \u201cgreat step in the right direction,\u201d said Dr. Sheela Sathyanarayana, a pediatrics professor at the UW School of Medicine in Seattle, who has studied PFAS chemicals found in breast milk and elsewhere.
Removing the packaging from the U.S. market eliminates \u201cthe primary source of dietary exposure\u201d from certain food contact uses, the FDA said, but Sathyanarayana noted there are \"many sources of PFAS in our environment.\"
Drinking water is a key one, Sathyanarayana said. Consumers concerned about PFAS levels can look at maps maintained by the Environmental Protection Agency to see if their water is affected and obtain filters to remove the chemicals.
PFAS also accumulates in meat and dairy, she said, and advises people to cut back on those foods. She also recommended avoiding certain indoor cleaning solvents or products treated with water-resistant chemicals, as well as removing shoes indoors to keep from tracking PFAS into the house and washing your hands before eating or preparing food.
\u201cNone of us can avoid it,\u201d she said.
___
The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute\u2019s Science and Educational Media Group. The AP is solely responsible for all content.
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Therefore, the document is highly relevant to the topic of health." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/02/28/3e3a0e93709345394d2c6b6f21e27457.json b/datasets/AP_news/raw_data/2024/02/28/3e3a0e93709345394d2c6b6f21e27457.json new file mode 100644 index 0000000..26c7ecd --- /dev/null +++ b/datasets/AP_news/raw_data/2024/02/28/3e3a0e93709345394d2c6b6f21e27457.json @@ -0,0 +1,320 @@ +{ + "altids": { + "itemid": "3e3a0e93709345394d2c6b6f21e27457", + "etag": "3e3a0e93709345394d2c6b6f21e27457_2a6aza0c0", + "friendlykey": "671725232294", + "referenceid": "US--Mississippi Medicaid Expansion" + }, + "version": 2, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-02-28T23:01:14Z", + "firstcreated": "2024-02-28T21:07:32Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: This story has been updated with additional details about Medicaid expansion and a comment from House Democratic Leader Robert Johnson. Updates Media.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "US--Mississippi Medicaid Expansion", + "headline": "Medicaid expansion proposal advances through Republican-led Mississippi House, will go to Senate", + "headline_extended": "Mississippi\u2019s Republican-led House has passed a bill to expand Medicaid to hundreds of thousands more residents in one of the poorest states in the U.S. It would be a landmark shift after state leaders refused to consider the policy for years", + "slugline": "AP-US--Mississippi Medicaid Expansion, 2nd Ld-Writethru", + "description_summary": "Mississippi\u2019s Republican-led House has passed a bill to expand Medicaid to hundreds of thousands more residents in one of the poorest states in the U.S. It would be a landmark shift after state leaders refused to consider the policy for years. The bill passed the House on Wednesday on a bipartisan vote of 98-20. It will go to the state Senate later, and its fate remains uncertain. The movement follows years of opposition from Republicans to the expansion allowed under the Affordable Care Act. The ACA is a 2010 federal health overhaul signed by then-President Barack Obama.", + "bylines": [ + { + "by": "By MICHAEL GOLDBERG", + "title": "Associated Press/Report For America" + } + ], + "located": "JACKSON, Miss.", + "datelinelocation": { + "city": "Jackson", + "countryareacode": "MS", + "countryareaname": "Mississippi", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -90.18481, + 32.29876 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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(AP) \u2014 Mississippi's Republican-led House passed a bill Wednesday that would expand Medicaid benefits to hundreds of thousands more residents in one of the poorest states in the U.S. \u2014 a landmark shift after state leaders refused to consider the policy for years.
The bill's passage was greeted by applause in the House chamber following a bipartisan 98-20 vote. It now heads to the state Senate, where its fate remains uncertain as lawmakers are expected to introduce a competing proposal that could serve as a foundation for further negotiations.
The move follows years of opposition from Republicans, including Gov. Tate Reeves, to the expansion allowed under the Affordable Care Act, a 2010 federal health overhaul signed by then-President Barack Obama. The bill's Republican sponsor, Rep. Missy McGee, said lawmakers had a \u201cmoral imperative\u201d to put ideology aside to improve Mississippi's poor health outcomes.
\u201cIt is a topic that should transcend politics and economics. For at its core, it\u2019s about the well-being and dignity of every Mississippian,\" McGee said. \"Sometimes, it\u2019s OK to do the right thing, because it\u2019s the right thing.\u201d
Mississippi has the highest rate of preventable deaths in the U.S. Its top health official has said it ranks at the bottom of virtually every health care indicator and at the top of every disparity. Hospitals are struggling to remain open. The state also has one of the nation\u2019s lowest labor force participation rates. Expansion proponents have said the policy could help ameliorate these conditions.
Opponents of Medicaid expansion say the program would foster government dependency, increase wait times for health services and push people off private insurance. In a social media post on Wednesday before the vote, Reeves repeated those criticisms and tied the bill to the goals of prominent Democrats.
\u201cRepresentative McGee keeps saying \u2014 over and over \u2014 that her bill is for working people,\" Reeves said. \"The truth is this: her bill passed by the House committee yesterday is straight Obamacare Medicaid Expansion.\"
The proposal would increase eligibility for Medicaid, a health insurance program that covers low-income people. Those making up to 138% of the federal poverty level, or $20,120 annually for a single person, would be eligible under the proposal. Mississippi has about 3 million residents, and its Medicaid program covered 754,585 people in January. McGee said it could extend benefits to about 200,000 people.
House Speaker Jason White's ascension to the top leadership position this year helped pave the way for consideration of Medicaid expansion. He said the House is sending the Senate a \u201cconservative plan.\u201d Central to securing Republican votes in the House was a provision that requires people to work at least 20 hours per week to become eligible for the expanded benefits.
Among the 10 states that haven\u2019t expanded Medicaid, only Georgia has managed to tie a work requirement to a partial expansion of benefits. The Biden administration has revoked work requirement waivers, arguing that people should not face roadblocks to getting health care. If that happens to Mississippi's Medicaid policy, the state could still move forward with expansion.
In a statement Wednesday, a CMS spokesperson said the Medicaid work requirements act as barriers to coverage, but it did not rule out granting a waiver.
\u201cWe are concerned about the risks of significant coverage loss and harm to individuals associated with tying Medicaid eligibility to employment,\u201d the spokesperson said in a written statement. \u201cCMS performs a case-by-case review of each demonstration proposal to determine whether its objectives are aligned with those of Medicaid.\u201d
At a committee hearing Wednesday, McGee touted a financial incentive for expanding Medicaid provided by Congress in the American Rescue Plan. The bonus helped with the passage of Medicaid expansion in North Carolina. In Mississippi, the incentive and other cost offsets like increased tax revenues would pay for the program for about four years, McGee said.
House Democratic Leader Robert Johnson said he was stunned by the lopsided vote in favor of the bill. The result brought back memories of when Mississippi voted in 2020 to remove the Confederate battle emblem from its state flag.
\u201cThe last time I felt this good, I cried because we changed the flag for the state of Mississippi,\" Johnson said. \u201cToday is a great day for working Mississippians.\u201d
If lawmakers vote to expand Medicaid, Reeves would be likely to veto the bill. Legislators could override his veto with a two-thirds vote from both the House and Senate. White suggested Reeves, a \u201creasonable, business-minded governor,\u201d might change his mind.
\u201cIn most uncomfortable times, is where we make our best marks,\u201d White said. \u201cAnd that's when we move our state forward.\u201d
____
Michael Goldberg is a corps member for the Associated Press/Report for America Statehouse News Initiative. Report for America is a nonprofit national service program that places journalists in local newsrooms to report on undercovered issues.
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Editorial: Tennessee falling behind on road projects
Some states issue bonds to fund highway projects, but Tennessee isn\u2019t among them. Tennessee hasn\u2019t borrowed money for roadwork for 45 years, and while its pay-as-you-go system supports financial stability, it comes at a price: Needed projects must wait until funding becomes available.
An example is Kingsport\u2019s Memorial Boulevard project. In the 1950s Memorial Boulevard \u2014 State Route 126 \u2014 was relocated to follow Reedy Creek, and it\u2019s been a problem since. It was the original U.S. Highway 11W from Kingsport to Bristol, and as the city grew, so did accidents.
During one three-year period there were 367 crashes with more than 200 injuries and two fatalities along just a two-mile section of 126 from its connection with East Center Street east.
Ten years ago, the state finally developed a plan for the corridor.
Three years ago, the state began demolishing buildings along the road as it started acquiring rights-of-way. The plan calls for the road to be improved in three phases for a more than eight-mile stretch from East Center Street to Interstate 81. The first phase of improvements is to be from East Center to Cooks Valley Road.
Last year, at long last, the money was set aside. Next year, work begins.
It will be an expensive project due to the cost of widening the road through property acquisition; 278 properties have been acquired, and the two-mile stretch of work will cost $84 million. The project calls for a four-lane divided road with a grassy median from East Center Street to Harbor Chapel Road. The road will have sidewalks and curbs.
The section from Harbor Chapel Road will become three lanes with two travel lanes and an eastbound truck climbing lane up the steep hill of Chestnut Ridge. The road construction will also include curbs and sidewalks with the exception of no sidewalks on the north side of the road between Woodbridge Avenue and Old Stage Road.
Several design alternatives were considered in an effort to meet the purpose and need of the SR 126 improvement project. TDOT consulted with local, state and federal officials and agencies, identified environmentally sensitive areas, and held several public involvement meetings regarding the corridor project. Initially, two build alternative options were presented.
Meanwhile, Tennessee is growing rapidly, and so is road congestion as projects pile up statewide. TDOT says the state\u2019s current roadways are not on track to deal with growing population \u2014 more than 1million new residents over the next 20 years with average commute times expected to increase 50%.
TDOT says the state currently has a $26 billion backlog of road projects.
\u201cWe\u2019re one of the few states that does not have any debt on our on our highway system,\u201d said TDOT Commissioner Butch Eley. \u201cAnd so, we kind of pay as you go, and we make sure that we are building as we go. But at the same time, we know we\u2019re falling behind.\u201d
One possible solution is to build toll lanes along the busiest highways, something the motoring public won\u2019t like. But to date, TDOT has yet to announce a private partner that will construct them, much less determine where they will be built.
We\u2019re glad to see work is about to begin on Memorial Boulevard, but time is running out for the state to even catch up with backlogged work, much less plan for future growth.
___
Johnson City Press. February 23, 2024.
Editorial: It\u2019s not too late to get your flu shot
Like the chores you should have done yesterday, the package still out for delivery but is missing from your porch and that appetizer you ordered 20 minutes ago, \u201cbetter late than never\u201d also applies to getting a flu vaccine.
We\u2019re still well within flu season, and health officials in our region said this week that cases are on the rise again.
As Press writer Robert Houk reported Wednesday, Jamie Swift, the chief infection prevention officer for Ballad Health, urged those who had not yet gotten the shot or the illness to roll up their sleeves.
Why some people play Russian roulette with the influenza virus by opting out of the shots is one of modern life\u2019s great mysteries. There\u2019s little worse than the lethargy, high fever, sweats, chills and headaches that sideline you for days.
During the multi-year COVID-19 pandemic, much of the public\u2019s focus turned toward its vaccine \u2014 booster shots are now widely available \u2014 and the flu has taken a backseat.
If we learned anything from those trying years, it\u2019s that preventative measures like regular hand washing, covering our mouths when we cough or sneeze and staying home from work when we\u2019re sick help stop the spread of infectious diseases like the flu.
Yes, the flu shot\u2019s effectiveness varies year to year \u2014 you might still contract the flu even after receiving it \u2014 but even if the odds are reduced only a little, you\u2019re better off if you bite the bullet and take the needle.
So are your friends, family, coworkers and anyone else you encounter. Like any virus, the more people who contract it the more it spreads. You could be a walking biohazard. You\u2019re not the only person affected by the vaccination decision.
For some people, it can mean life or death. Infants, elderly people, cancer and HIV patients and others whose immune systems are compromised might not survive a bout with the flu.
The vaccine, on the other hand, won\u2019t make you sick unless you have certain allergies. Some people experience mild reactions to the shot, but any claims that the shot will give you the flu are just nonsense.
The Centers for Disease Control and Prevention recommends that nearly everyone age 6 months and older should get the vaccine every season, especially people at high risk. Children younger than 6 months should not get the vaccine.
Different flu vaccines are approved for use in different groups \u2014 some shots are approved for use in children as young as 6 months, while some are approved for use in adults 65 years and older.
If needles bother you, the nasal spray flu vaccine is available for most people ages 2-49. Pregnant women and people with certain medical conditions should not take the nasal spray flu vaccine.
Do yourself and all of us a favor and get your flu shot. Talk to your doctor if you have other concerns, especially if you have questions about allergic reactions.
END
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The measure was promised by President Emmanuel Macron following a rollback of abortion rights in court rulings in the United States. Wednesday\u2019s vote came after the lower house, the National Assembly, overwhelmingly approved the proposal in January. The measure now goes before a joint session of parliament for its expected approval by a three-fifths majority. Macron\u2019s government wants Article 34 of the constitution amended to specify that \u201cthe law determines the conditions by which is exercised the freedom of women to have recourse to an abortion, which is guaranteed.\u201d", + "bylines": [ + { + "by": "SYLVIE CORBET and BARBARA SURK", + "title": "Associated Press" + } + ], + "located": "PARIS", + "datelinelocation": { + "city": "Paris", + "countrycode": "FRA", + "countryname": "France", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + 2.3488, + 48.85341 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. 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Wednesday\u2019s vote came after the lower house, the National Assembly, overwhelmingly approved the proposal in January. The measure now goes before a joint session of parliament for its expected approval by a three-fifths majority next week.
Macron said after the vote that his government is committed to \u201cmaking women\u2019s right to have an abortion irreversible by enshrining it in the constitution.\u201d He said on X, formerly Twitter, that he would convene a joint session of parliament for a final vote on Monday.
Macron\u2019s government wants Article 34 of the constitution amended to specify that \u201cthe law determines the conditions by which is exercised the freedom of women to have recourse to an abortion, which is guaranteed.\u201d
The senate adopted the bill on a vote of 267 in favor, and 50 against. \u201cThis vote is historic,\u201d Justice Minister Eric Dupond-Moretti said. \u201cThe Senate has written a new page in women's rights.\"
None of France\u2019s major political parties represented in parliament has questioned the right to abortion, which was decriminalized in 1975. With both houses of parliament adopting the bill, Monday's joint session at the Palace of Versailles is expected to be largely a formality.
The government argued in its introduction to the bill that the right to abortion is threatened in the United States, where the Supreme Court in 2022 overturned a 50-year-old ruling that used to guarantee it.
\u201cUnfortunately, this event is not isolated: in many countries, even in Europe, there are currents of opinion that seek to hinder at any cost the freedom of women to terminate their pregnancy if they wish,\u201d the introduction to the French legislation says.
In Poland, a controversial tightening of the already restrictive abortion law led to protests in the country last year The Polish constitutional court ruled in 2020 that women could no longer terminate pregnancies in cases of severe fetal deformities, including Down Syndrome.
___
Surk reported from Nice, France.
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Sen. Cindy Hyde-Smith, a Mississippi Republican, objected to a request for a vote by Sen. Tammy Duckworth, D-Ill., who used IVF treatments to have her two children after struggling with years of infertility. Duckworth\u2019s bill would establish a federal right to the treatments as the Alabama ruling has upended fertility care in the state and families who had already started the process face heartbreak and uncertainty.
Several clinics in the state announced they were pausing IVF services as they sort out last week\u2019s ruling, which said that frozen embryos can be considered children under state law. The court said that three Alabama couples who lost frozen embryos during an accident at a storage facility could sue the fertility clinic and hospital for the wrongful death of a minor child.
Democrats have immediately seized on the election-year ruling, warning that other states could follow Alabama\u2019s lead and that other rights could be threatened as well in the wake of the U.S. Supreme Court\u2019s decision to overturn Roe vs. Wade and the federal right to an abortion in 2022. Congress passed similar legislation in 2022 that would protect the federal right to same-sex and interracial marriages.
\u201cMark my words, if we don\u2019t act now, it will only get worse,\u201d Duckworth said.
Abortion opponents have pushed laws in at least 15 states based on the idea that a fetus should have the same rights as a person.
Hyde-Smith defended the Alabama Supreme Court decision that found frozen embryos can be considered children under state law. Republicans widely hold the stance that the federal government should not interfere with state-level decisions on reproductive care after the Dobbs v. Jackson Supreme Court decision in 2022 left decisions on abortion restrictions up to states.
\u201cI support the ability for mothers and fathers to have total access to IVF and bringing new life into the world. I also believe human life should be protected,\u201d Hyde-Smith said.
At the same time, Alabama lawmakers are scrambling to find ways to protect the treatments. And former President Donald Trump, the front-runner for the GOP presidential nomination, said he would \u201cstrongly support the availability of IVF.\u201d Trump called on lawmakers in Alabama to preserve access to the treatment.
Many GOP lawmakers also reinforced their support for IVF services.
Soon after the decision, Alabama Sen. Katie Britt made calls to fellow Republicans, including Trump, to argue for the importance of supporting the treatments, emphasizing that they are pro-life and pro-family, according to a person familiar with the calls.
In a statement after the ruling, Britt said that \u201cdefending life and ensuring continued access to IVF services for loving parents are not mutually exclusive.\u201d
Other Republicans agreed. Texas Sen. Ted Cruz, one of the more vocal opponents of abortion in the Senate, said he supports IVF and believes it is \u201centirely life affirming.\u201d Kansas Sen. Roger Marshall, a former obstetrician, said he\u2019d referred patients for IVF treatments for 25 years in his practice. \u201cWe are the pro-family party, and there\u2019s nothing more pro-family than helping couples have a baby,\" Marshall said.
Still, this is the second time Republicans have blocked Duckworth\u2019s bill. By Bringing it up again, Democrats said they are challenging GOP senators to display real support for IVF access after many this week issued statements criticizing the Alabama ruling. Democrats held the Senate floor for 45 minutes Wednesday with a series of speeches deriding the overturn of Roe v. Wade.
Senate Majority Leader Chuck Schumer said on Tuesday that Republicans who have denounced the Alabama ruling \u201care like the arsonist who set a house on fire and say, why is it burning?\"
For Duckworth, the bill holds deep personal significance. After she was seriously injured while piloting a Black Hawk helicopter in Iraq, she became an amputee and was only able to have her own children, ages 5 and 9, through IVF.
\u201cAfter a decade struggling with infertility after my service in Iraq, I was only able to get pregnant through the miracle of IVF,\u201d Duckworth said on the Senate floor. \"IVF is the reason I get to experience the chaos and the beauty, the stress and the joy, that is motherhood.\"
She called her infertility \u201cone of the most heartbreaking struggles of my life. My miscarriage more painful than any wound I ever earned on the battlefield.\"
___
Associated Press writer Kim Chandler contributed from Montgomery, Ala.
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The vaccines were around 40% effective in preventing adults from getting sick enough from the flu that they had to go to a doctor\u2019s office, clinic or hospital. Children who were vaccinated were roughly 60% less likely to get treatment at a doctor\u2019s office or hospital. Officials generally are pleased if a flu vaccine is 40% to 60% effective. Health officials talked about the numbers during a Centers for Disease Control and Prevention vaccines meeting Wednesday. Annual flu vaccines are recommended for everyone 6 months and older in the U.S.", + "bylines": [ + { + "by": "By MIKE STOBBE", + "title": "AP Medical Writer" + } + ], + "located": "NEW YORK", + "datelinelocation": { + "city": "New York", + "countryareacode": "NY", + "countryareaname": "New York", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -74.00597, + 40.71427 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. 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For other uses, additional clearances may be required." + ], + "keywords": [ + "CDC flu vaccine effectiveness" + ], + "provider": "AP", + "infosource": [ + { + "name": "AP", + "type": "AP" + } + ], + "subject": [ + { + "rels": [ + "category" + ], + "creator": "Editorial", + "code": "a", + "name": "a" + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "ace74e307f00100486cedf092526b43e", + "name": "Immunizations", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 70 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "e237be707de410048fffdf092526b43e", + "name": "Medication", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 50 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "084e24e87f00100481c7f571351eed07", + "name": "Flu", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 87 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "cc7a76087e4e10048482df092526b43e", + "name": "Health", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 99 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "cc7a76087e4e10048482df092526b43e", + "name": "Health", + "creator": "Editorial", + "editorial_subject": "Health", + "rels": [ + "direct" + ], + "relevance": 99 + } + ], + "audiences": [ + { + "code": "82c6a4c46fa0446090a7acaf93159e4c", + "name": "Print", + "type": "AUDPLATFORM" + }, + { + "code": "9add4649b53b4702ba7d9de5d4fa607a", + "name": "Online", + "type": "AUDPLATFORM" + }, + { + "code": "f43adc08760d10048040e6e7a0f4673e", + "name": "National", + "type": "AUDSCOPE" + }, + { + "code": "f4ecf9b0760d10048044e6e7a0f4673e", + "name": "International", + "type": "AUDSCOPE" + }, + { + "code": "661850e07d5b100481f5c076b8e3055c", + "name": "Latin America and Caribbean", + "type": "AUDGEOGRAPHY" + }, + { + "code": "661e48387d5b10048291c076b8e3055c", + "name": "United States", + "type": "AUDGEOGRAPHY" + } + ], + "associations": { + "1": { + "altids": { + "itemid": "f2bc82067991466182bf02b8de455b7f" + }, + "type": "picture" + }, + "2": { + "altids": { + "itemid": "7da428a6e86446feb8a399cd44a48c9b" + }, + "type": "audio" + } + }, + "body_nitf": "NEW YORK (AP) \u2014 Early estimates suggest flu shots are performing OK in the current U.S. winter flu season.
The vaccines were around 40% effective in preventing adults from getting sick enough from the flu that they had to go to a doctor\u2019s office, clinic or hospital, health officials said during a Centers for Disease Control and Prevention vaccines meeting Wednesday. Children who were vaccinated were roughly 60% less likely to get treatment at a doctor's office or hospital, CDC officials said.
Officials generally are pleased if a flu vaccine is 40% to 60% effective.
The shots tend to do better when they are well matched against the circulating flu strains. Officials say that's what's happened during this \u2014 relatively typical \u2014 flu season.
Annual flu vaccines are recommended for everyone 6 months and older in the U.S. About half of eligible kids and just under half of adults got flu shots in the last several months, according to CDC data.
The CDC uses several systems to track the vaccines. One is a network of hospitals that offer information on how well the vaccines prevent flu-related illnesses bad enough to require admission. Another draws on outpatient data from urgent care clinics and hospital emergency departments.
Estimates from four different surveillance systems were presented at Wednesday's meeting of a committee that advises the CDC on vaccines. The findings were reported as ranges, but their midpoints hovered close to 40% for adults and around 60% for children.
The adult effectiveness estimate is similar to what CDC initially reported for last flu season. The shots proved less effective in some other recent seasons, the results influenced by what virus strain was dominating and how well the vaccines were matched to it.
One committee member expressed disappointment at recent effectiveness findings.
\u201cThere seems to be diminishing returns for annual influenza immunization,\u201d said Dr. Sarah Long, of Drexel University.
Long asked whether repeated vaccinations, year-after-year, might be leading to lower immune system responses. A CDC official said some researchers have been exploring that question, so far without conclusive results.
\u201cOne thing that does seem to arise consistently from these things is that in general you are better off if you got vaccinated than if you didn't,\u201d said the CDC's Dr. Lisa Grohskopf.
___
The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute\u2019s Science and Educational Media Group. The AP is solely responsible for all content.
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This information is directly related to health, specifically public health and immunization, making it highly relevant to the topic." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/02/28/84bd91f6c51db7bbb334bd18a07e4f3b.json b/datasets/AP_news/raw_data/2024/02/28/84bd91f6c51db7bbb334bd18a07e4f3b.json new file mode 100644 index 0000000..e364078 --- /dev/null +++ b/datasets/AP_news/raw_data/2024/02/28/84bd91f6c51db7bbb334bd18a07e4f3b.json @@ -0,0 +1,208 @@ +{ + "altids": { + "itemid": "84bd91f6c51db7bbb334bd18a07e4f3b", + "etag": "84bd91f6c51db7bbb334bd18a07e4f3b_2a4aza0c0", + "friendlykey": "637087609689", + "referenceid": "US-MED--COVID Vaccine" + }, + "version": 2, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-02-28T22:06:11Z", + "firstcreated": "2024-02-28T19:15:50Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: MAJOR UPDATE: Updates Media. Updates with CDC director signing off on recommendation.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "US-MED--COVID Vaccine", + "headline": "Older US adults should get another COVID-19 shot, health officials recommend", + "headline_extended": "Federal health officials say older U.S. adults who got a COVID-19 shot in the fall should get a booster dose now", + "slugline": "AP-US-MED--COVID Vaccine, 2nd Ld-Writethru", + "description_summary": "Federal health officials say older U.S. adults who got a COVID-19 shot in the fall should get a booster dose now. People 65 and older should get another dose of the updated vaccine that became available in September \u2014 if at least four months has passed. An expert panel\u2019s proposed the recommendation after a lengthy discussion about whether to say older people \u201cmay\u201d get the shots or if they \u201cshould\u201d do so. 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The Centers for Disease Control and Prevention said Americans 65 and older should get another dose of the updated vaccine that became available in September \u2014 if at least four months has passed since their last shot. In making the recommendation, the agency endorsed guidance proposed by an expert advisory panel earlier in the day.
\u201cMost COVID-19 deaths and hospitalizations last year were among people 65 years and older. An additional vaccine dose can provide added protection ... for those at highest risk,\u201d CDC Director Dr. Mandy Cohen said in a statement.
The advisory panel's decision came after a lengthy discussion about whether to say older people \u201cmay\u201d get the shots or if they \u201cshould\" do so. That reflects a debate among experts about how necessary another booster is and whether yet another recommendation would add to the public's growing vaccine fatigue.
Some doctors say most older adults are adequately protected by the fall shot, which built on immunity derived from earlier vaccinations and exposure to the virus itself. And preliminary studies so far have shown no substantial waning in vaccine effectiveness over six months.
However, the body\u2019s vaccine-induced defenses tend to fade over time, and that happens faster in seniors than in other adults. The committee had recommended COVID-19 booster doses for older adults in 2022 and 2023.
COVID-19 remains a danger, especially to older people and those with underlying medical conditions. There are still more than 20,000 hospitalizations and more than 2,000 deaths each week due to the coronavirus, according to the CDC. And people 65 and older have the highest hospitalization and death rates.
Some members of the advisory panel said a \u201cshould\" recommendation is meant to more clearly prod doctors and pharmacists to offer the shots.
\u201cMost people are coming in either wanting the vaccine or not,\u201d said Dr. Jamie Loehr, a committee member and family doctor in Ithaca, New York. \u201cI am trying to make it easier for providers to say, \u2018Yes, we recommend this.\u2019\u201d
In September, the government recommended a new COVID-19 shot recipe built against a version of the coronavirus called XBB.1.5. That single-target vaccine replaced combination shots that had been targeting both the original coronavirus strain and a much earlier omicron version.
The CDC recommended the new shots for everyone 6 months and older, and allowed that people with weak immune systems could get a second dose as early as two months after the first.
Most Americans haven\u2019t listened. According to the latest CDC data, 13% of U.S. children have gotten the shots and about 22% of U.S. adults have. The vaccination rate is higher for adults 65 and older, at nearly 42%.
\u201cIn each successive vaccine, the uptake has gone down,\u201d said Dr. David Canaday, a Case Western Reserve University infectious diseases expert who studies COVID-19 in older people.
\u201cPeople are tired of getting all these shots all the time,\u201d said Canaday, who does not serve on the committee. \u201cWe have to be careful about over-recommending the vaccine.\u201d
But there is a subset of Americans \u2014 those at higher danger of severe illness and death \u2014 who have been asking if another dose is permissible, said Dr. William Schaffner, a Vanderbilt University vaccines expert who serves on a committee workgroup that has been debating the booster question.
Indeed, CDC survey data suggests that group's biggest worry about the vaccine is whether it's effective enough.
Agency officials say that among those who got the latest version of the COVID-19 vaccine, 50% fewer will get sick after they come into contact with the virus compared with those who didn't get the fall shot.
___
The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute\u2019s Science and Educational Media Group. The AP is solely responsible for all content.
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The order was issued Tuesday by a panel of justices on the 7th Circuit Court of Appeals. It removes a preliminary injunction against the ban that a federal judge in Indiana issued in June. The American Civil Liberties Union of Indiana had filed the challenge to the ban on behalf of four youths undergoing gender-affirming treatments and an Indiana doctor who provides such care. The ACLU said it's considering next steps following the appeals court's ruling.", + "bylines": [ + { + "by": "By ISABELLA VOLMERT", + "title": "Associated Press" + } + ], + "located": "INDIANAPOLIS", + "datelinelocation": { + "city": "Indianapolis", + "countryareacode": "IN", + "countryareaname": "Indiana", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -86.15804, + 39.76838 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. 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The ruling was handed down by a panel of justices on the 7th Circuit Court of Appeals in Chicago. It marked the latest decision in a legal challenge the American Civil Liberties Union of Indiana filed against the ban, enacted last spring amid a national push by GOP-led legislatures to curb LGBTQ+ rights.
The law was slated to go into effect on July 1, 2023. But the month before, U.S. District Court Judge James Patrick Hanlon issued an injunction preventing most of it from taking effect. Hanlon blocked the state from prohibiting minors\u2019 access to hormone therapies and puberty blockers, but allowed the law\u2019s prohibition on gender-affirming surgeries to take effect.
Hanlon\u2019s order also blocked provisions that would prohibit Indiana doctors from communicating with out-of-state doctors about gender-affirming care for their patients younger than 18.
In a written statement Tuesday, the ACLU of Indiana called the appeals court's ruling \u201cheartbreaking\u201d for transgender youth, their doctors and families.
\u201cAs we and our clients consider our next steps, we want all the transgender youth of Indiana to know this fight is far from over,\" the statement read. \"We will continue to challenge this law until it is permanently defeated and Indiana is made a safer place to raise every family.\u201d
The three-judge panel that issued Tuesday's order comprises two justices appointed by Republican presidents and one by a Democrat. The late Republican President Ronald Reagan appointed Kenneth F. Ripple; former Republican President Donald Trump appointed Michael B. Brennan; and current Democratic President Joe Biden appointed Candace Jackson-Akiwumi.
The ACLU of Indiana brought the lawsuit on behalf of four youths undergoing gender-affirming treatments and an Indiana doctor who provides such care. The lawsuit argued the ban would violate the U.S. Constitution\u2019s equal protection guarantees and trampled upon the rights of parents to decide medical treatment for their children.
Every major medical group, including the American Academy of Pediatrics and the American Medical Association, has opposed the restrictions enacted by at least 23 states and has said that gender-affirming care for minors is safe if administered properly.
Representatives from Indiana University Health Riley Children\u2019s Hospital, the state\u2019s sole hospital-based gender health program, told legislators earlier last year that doctors don't perform or provide referrals for genital surgeries for minors. IU Health was not involved in the ACLU\u2019s lawsuit.
Indiana Attorney General Todd Rokita called the state law \u201ccommonsense\u201d in a post on X, formally known as Twitter, Tuesday evening.
Most of the bans on gender-affirming care for minors that have been enacted across the U.S. have been challenged with lawsuits. A federal judge struck down Arkansas\u2019 ban as unconstitutional. Judges\u2019 orders are in place temporarily blocking enforcement of the bans in Idaho and Montana.
The states that have enacted laws restricting or banning gender-affirming medical care for transgender minors are: Alabama, Arkansas, Arizona, Florida, Georgia, Idaho, Indiana, Iowa, Kentucky, Louisiana, Mississippi, Missouri, Montana, Nebraska, North Carolina, North Dakota, Ohio, Oklahoma, South Dakota, Tennessee, Texas, Utah and West Virginia.
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(AP) \u2014 West Virginia's Republican-controlled House of Delegates passed a bill on Wednesday that doctors treating transgender youth in the state say would prevent the prescription of certain medical interventions like hormone therapy to patients at risk for self-harm or suicide.
The proposal, which now heads to the Senate, was greenlit after more than 500 medical professionals and students signed a letter opposing it, expressing concern it would cause young patients preventable harm and put their lives at risk.
House Republicans said such fears are overblown and that the bill is less restrictive than current law. But the state's only LGBTQ+ advocacy organization and doctors treating transgender youth in West Virginia said that's not true.
\u201cIf this bill becomes law, it will take away the only treatment that has been shown to help a small, but very vulnerable group of children,\u201d said Dr. Kate Waldeck, a pediatric critical care physician at Hoops Family Children\u2019s Hospital in the state\u2019s second-largest city of Huntington. Waldeck runs a monthly clinic for transgender youth \u2014 one of only a few existing care options in the state.
She said the law as it stands enables transgender adolescents to get the medical and psychiatric evaluations they need while still allowing doctors \u201cto provide what is truly life-saving medical care.\u201d
\u201cThat\u2019s what it comes down to \u2014 gender-affirming care keeps these children out of my PICU. It saves lives,\u201d she said. \"And the new bill would strip parents of the right to obtain this potentially life-saving care for their children.\u201d
On the House floor, Lead Sponsor Republican Del. Geoff Foster said he doesn't believe treatments like puberty blockers help reduce suicide rates, despite research showing otherwise.
He said the bill is \u201cpointing doctors in the direction of actually treating the issue of the suicidality problem and the depression rather than moving to a solution that\u2019s not working.\u201d
Republicans in the House of Delegates \u2014 who occupy 89 out of 100 seats \u2014 voted last year to eliminate transgender minors' access to hormone therapy and puberty blockers. The bill was altered in the Senate by Majority Leader Tom Takubo, a physician who expressed concern about the high suicide rate for transgender youth.
The 2023 law allows the prescription of medical interventions but requires parental consent and a diagnosis of severe gender dysphoria from two medical professionals, both of whom must provide written testimony that medical interventions are necessary to prevent or limit possible or actual self-harm.
It says any use of the medication must be the lowest possible necessary \"to treat the psychiatric condition and not for purposes of gender transition.\u201d
Takubo, a physician, cited more than a dozen peer-reviewed studies showing a decrease in rates of suicide ideation and attempts among youth with severe gender dysphoria who had access to medication therapy. Gender dysphoria is defined by medical professionals as severe psychological distress experienced by those whose gender identity differs from their sex assigned at birth.
The law also prohibits kids from accessing gender-affirming surgery, which physicians said wasn\u2019t happening in West Virginia anyway.
House Health and Human Resources Chair Amy Summers, a Republican and registered nurse, said this year's bill wouldn't prevent adolescents from getting hormone therapy treatment for psychiatric conditions like gender dysphoria as long as the dose was not supraphysiologic, or high enough that it \u201cactually assisted that child in transitioning.\"
\u201cWhat has been expressed to me by physicians is that they are receiving lower doses of a hormone, and that tends to help with their anxiety and depression,\u201d she said. \"But it\u2019s not doses that transition that individual.\u201d
Republican Del. JB Akers said he's received emails from \u201cpeople who I think simply attacked this body for going after kids and going after doctors,\" and that people upset about the bill don't fully understand it. Current law already prevents prescribing medication to assist minors with a gender transition, he said: \u201dWhether you like it or not \u2014 that\u2019s what the law is.\"
\u201cWe have affirmation that this medication can still be provided for psychiatric treatment, which is my main concern. And that\u2019s not changed,\" he said. \u201cAnd no one in this body is against the physicians or health care providers who provide this care.\u201d
But Waldeck, the doctor who treats transgender kids in West Virginia, said in a phone interview Wednesday that it doesn\u2019t feel that way to her.
\u201cIf you\u2019re saying you can\u2019t do it for gender transition, well, what is the normal physiologic level, then?\u201d she said. \u201cIn terms of what doctors are legally going to be able to do, in reality, there\u2019s not going to be a normal quote unquote physiologic level for a biological female who is getting testosterone for their gender dysphoria and suicidality.\u201d
She said if signed into law, the proposal would restrict her ability to help her most at-risk patients: \"In reality, it is still an effective treatment ban.\"
Before voting for the bill, lawmakers rejected two amendments from Democratic Del. Mike Pushkin. One would have allowed kids already receiving treatment to continue care. The other would have allowed treatment if an attending physician provides a written opinion that it's \"medically necessary to treat the minor\u2019s psychiatric symptoms that makes the minor a danger to commit suicide without such treatment.\u201d
Every major medical organization, including the American Medical Association, the American Academy of Pediatrics and the American Psychiatric Association, supports gender-affirming care for youths.
Lawmakers in West Virginia and other states advancing bans on transgender health care for youth and young adults often characterize gender-affirming treatments as medically unproven, potentially dangerous and a symptom of \u201cwoke\u201d culture.
Andrew Schneider, Executive Director of Fairness West Virginia, said delegates are sending a message to parents with transgender teens who are at serious risk of self-harm or suicide that they can\u2019t get their kid the help that doctors say they need in West Virginia.
\u201cI don\u2019t understand how anyone could look at these families and tell them their child\u2019s life doesn\u2019t matter, but that\u2019s what they did today with this vote,\u201d he said.
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testing after the papal audience Wednesday, the Vatican said, without giving further details.
The pope arrived at the Gemelli Hospital on Tiber Island in a small white Fiat 500, leaving again under escort in the same car after a short visit.
Earlier in the day, the 87-year-old pope was pushed in a wheelchair into the audience hall at the Vatican, appearing weary as he dropped heavily into his seat. In recent weeks he has walked the short distance to his chair, but he has been struggling with mild flu symptoms the past week.
The pope also canceled appointments Saturday and Monday due to the flu, but appeared as usual for the Sunday blessing from a window overlooking St. Peter's Square.
Last week, Francis coughed repeatedly as he presided over Ash Wednesday services at a Roman church, and opted not to participate in the traditional procession that inaugurates the church\u2019s Lenten season.
This time of year in 2020, just as the coronavirus pandemic was starting to hit Italy, Francis also suffered a bad cold that forced him to cancel several days of official audiences and his participation in the Vatican\u2019s annual spiritual retreat. The Vatican had already scrubbed the retreat for this year in favor of personal spiritual exercises
The Argentine pope had part of one lung removed as a young man because of a respiratory infection, and in 2021 had a chunk of his colon removed because of an intestinal inflammation. He has been using a wheelchair and cane since last year because of strained knee ligaments and a small knee fracture that have made walking and standing difficult.
The Pope used his brief words at the end of Wednesday's audience to mark the 25th anniversary of the ratification of the Anti-Personnel Mines Convention, expressing his \u201ccloseness to the numerous victims of these insidious devices that remind us of the dramatic cruelty of war.\u201d
He also appealed for peace in the Middle East, Ukraine and prayed for the victims of attacks in Burkina Faso and Haiti.
At the end of the audience, the pope spent about an hour greeting the faithful from his wheelchair, stopping to talk, bless babies and exchange gifts.
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The document focuses extensively on the Pope's health status and related events." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/02/28/cc69e7ec81099ed2f4fab556ddeb6170.json b/datasets/AP_news/raw_data/2024/02/28/cc69e7ec81099ed2f4fab556ddeb6170.json new file mode 100644 index 0000000..6c24717 --- /dev/null +++ b/datasets/AP_news/raw_data/2024/02/28/cc69e7ec81099ed2f4fab556ddeb6170.json @@ -0,0 +1,180 @@ +{ + "altids": { + "itemid": "cc69e7ec81099ed2f4fab556ddeb6170", + "etag": "cc69e7ec81099ed2f4fab556ddeb6170_0a16aza0c0", + "friendlykey": "9686492668", + "referenceid": "NerdWallet-Kate Ashford-Retirement Health" + }, + "version": 0, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-03-04T12:00:06Z", + "firstcreated": "2024-02-28T20:31:42Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "signals": [ + "newscontent" + ], + "title": "NerdWallet-Kate Ashford-Retirement Health", + "headline": "Kate Ashford: Can you afford health care in retirement?", + "headline_extended": "New numbers from the Employee Benefit Research Institute suggest that some couples at age 65 may need as much as $413,000 in savings to cover health care costs in retirement", + "slugline": "AP-NerdWallet-Kate Ashford-Retirement Health", + "description_summary": "New numbers from the Employee Benefit Research Institute suggest that some couples at age 65 may need as much as $413,000 in savings to cover health care costs in retirement. That\u2019s an extreme case, representing two people with high prescription drug costs \u2014 but health issues in retirement can be unpredictable. Your costs will depend on your insurance choices, your health, your prescription drugs and your city. (Costs are higher in some places than others.) From maxing out an HSA to choosing the right Medicare coverage, here are some tactics to help you get a handle on health care expenses.", + "bylines": [ + { + "by": "By KATE ASHFORD of NerdWallet" + } + ], + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. For other uses, additional clearances may be required." + ], + "keywords": [ + "NerdWallet Retirement Health" + ], + "provider": "AP", + "infosource": [ + { + "name": "AP", + "type": "AP" + } + ], + "subject": [ + { + "rels": [ + "category" + ], + "creator": "Editorial", + "code": "f", + "name": "f" + }, + { + "rels": [ + "category" + ], + "creator": "Editorial", + "code": "l", + "name": "l" + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "e2f27836163e4840a132ceda92115e18", + "name": "Medicare", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 76 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "6cd98adfc84d405eadec8ca81bd37df4", + "name": "Access to health care", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 86 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "1b29d45f8e8e4c008e8a58fe6f92a753", + "name": "Government programs", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 66 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "9c750296cbfa4fdd89e9a32848825b29", + "name": "Prescription drugs", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 95 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "5e3af32f00ad0d418f037f115324362b", + "name": "Health care industry", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 57 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "3e37e4b87df7100483d5df092526b43e", + "name": "Lifestyle", + "creator": "Editorial", + "editorial_subject": "Lifestyle", + "rels": [ + "direct" + ], + "relevance": 75 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "c8e409f8858510048872ff2260dd383e", + "name": "Business", + "creator": "Editorial", + "editorial_subject": "Business", + "rels": [ + "direct" + ], + "relevance": 99 + } + ], + "audiences": [ + { + "code": "82c6a4c46fa0446090a7acaf93159e4c", + "name": "Print", + "type": "AUDPLATFORM" + }, + { + "code": "9add4649b53b4702ba7d9de5d4fa607a", + "name": "Online", + "type": "AUDPLATFORM" + }, + { + "code": "f43adc08760d10048040e6e7a0f4673e", + "name": "National", + "type": "AUDSCOPE" + }, + { + "code": "f4ecf9b0760d10048044e6e7a0f4673e", + "name": "International", + "type": "AUDSCOPE" + }, + { + "code": "661850e07d5b100481f5c076b8e3055c", + "name": "Latin America and Caribbean", + "type": "AUDGEOGRAPHY" + }, + { + "code": "661e48387d5b10048291c076b8e3055c", + "name": "United States", + "type": "AUDGEOGRAPHY" + } + ], + "body_nitf": "At age 65, some couples may need as much as $413,000 to cover health care costs in retirement, according to a January report from the Employee Benefit Research Institute. That\u2019s an extreme case, representing two people with high prescription drug costs \u2014 but it\u2019s not outside the realm of possibility.
\u201cIt\u2019s one of the most difficult expenses to predict in retirement,\u201d says Nancy Nawn, a certified financial planner in Cherry Hill, New Jersey.
Your costs will depend on your insurance choices, your health, your prescription drugs and your city. (Costs are higher in some places than others.) As you approach retirement, try these tactics to get a handle on future health care expenses.
SAVE TO A HEALTH SAVINGS ACCOUNT
If you have a high-deductible health plan and access to a health savings account, or HSA, max it out. The money you save is triple tax-advantaged: You pay no taxes on the money you save, the interest you earn or any withdrawals used for qualified health expenses.
\u201cI think most people use them as they go, which is fine too,\u201d says Ed Snyder, a CFP in Carmel, Indiana. \u201cBut I think there are even more benefits to using the investment account in those (and) letting that money be invested for many years, just like a retirement account.\u201d
In 2024, you can save up to $4,150 for an individual health savings account and up to $8,300 for family coverage. If you\u2019re 55 or older, you can contribute an extra $1,000. (Note: You can\u2019t save to an HSA once you\u2019re signed up for Medicare.)
PICK THE RIGHT MEDICARE PLAN
Once you\u2019re 65, advisers typically recommend selecting Original Medicare with Medicare Supplement Insurance, or Medigap. Since Medigap plans cover many out-of-pocket expenses of Medicare, this keeps your monthly health care costs predictable.
Many older adults are attracted to the $0 premiums of most Medicare Advantage plans, but using these private health plans means you may be limited to in-network doctors and hospitals. \u201cI have seen many situations where people wind up needing to go see a provider who doesn\u2019t take the coverage, and they pay the full bill themselves,\u201d says Melinda Caughill, co-founder and CEO of 65 Incorporated, which offers guidance on Medicare.
Out-of-pocket maximums for Medicare Advantage plans also can be as high as $8,850 per year in 2024, and that doesn\u2019t include your Medicare Part B (medical insurance) premiums. That said, if you can\u2019t afford a Medigap plan, Medicare Advantage may be the better option. Without Medigap, Original Medicare has no out-of-pocket maximum.
GET HELP WITH TAX PLANNING
If your income exceeds a certain threshold, you will pay more each month for Medicare Part B and Medicare Part D prescription drug coverage (if you have it). This is where it helps to be strategic about your retirement income, making sure you have both pretax and post-tax accounts to pull from as needed. (Pulling from pretax accounts raises your income.)
\u201cIf you have saved a lot of money in tax-deferred vehicles, and you haven\u2019t planned to do either Roth conversions or spend down that money, you could wind up having a much larger monthly Medicare premium than you think,\u201d Nawn says.
PAY DOWN YOUR MORTGAGE
If you\u2019re 62 or older and have at least 50% equity in your home, you may have access to a reverse mortgage later if you really need it. This is a loan or line of credit on your assessed home value \u2014 and you don\u2019t have to make payments. The loan is repaid when you move out or die.
Reverse mortgages once had a scary reputation, but today\u2019s products are safer, Nawn says. \u201cThere was abuse many, many years ago,\u201d she says. \u201cIt\u2019s been cleaned up, and it\u2019s a really great tool to have in your back pocket.\u201d
Keep in mind that reverse mortgages require at least one borrower to live in the home, and they cost more than a traditional home mortgage over time. Work with an adviser who\u2019s familiar with the product before you take the plunge.
CONSIDER A HELOC
If you\u2019re younger than 62 and you\u2019re still working, a home equity line of credit, or HELOC, can provide you with a stream of income to tap later if you need it. (It\u2019s easier to qualify for a HELOC while you\u2019re still getting a paycheck.)
The catch: Unlike a reverse mortgage, a HELOC requires you to make payments. \u201cAt some point in the future, you\u2019re going to have to pay it back,\u201d Nawn says.
KEEP THINGS IN PERSPECTIVE
In the end, don\u2019t lose too much sleep over the big figures. Consider how intimidating it would be if experts also told you how much you should save to cover 30 years of food or utility bills in retirement. With the right planning, health care costs can be manageable.
\u201cA reasonable cost is about $6,000 a year for an individual, and if you price that out on a monthly basis, it\u2019s $500 a month,\u201d says Dick Power, a CFP in Walpole, Massachusetts. \u201cThat $500 a month typically includes your insurance coverage and your copays.\u201d
__________________
This column was provided to The Associated Press by the personal finance website NerdWallet. The content is for educational and informational purposes and does not constitute investment advice. Kate Ashford is a columnist at NerdWallet. Email: kashford@nerdwallet.com. Twitter: @kateashford.
RELATED LINKS:
NerdWallet: What is Medigap? What to know about Medicare Supplement plans https://bit.ly/nerdwallet-medigap-what-to-know
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While parents struggle to find services for toddlers, they also must think years ahead while their families are under stress. Kansas is an example, with some of disabled residents on a waiting list for 10 years. Legislators are looking at proposals to increase funding for services such as day programs, employment assistance or home care to help people like Marvin Miller of Wichita and his youngest daughter, Lilly. She has Down syndrome and has been waiting for services for a decade.", + "bylines": [ + { + "by": "By JOHN HANNA", + "title": "Associated Press" + } + ], + "located": "TOPEKA, Kan.", + "datelinelocation": { + "city": "Topeka", + "countryareacode": "KS", + "countryareaname": "Kansas", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -95.67804, + 39.04833 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. 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(AP) \u2014 When Lilly Miller was in elementary school, teachers told her parents they needed to immediately sign up their youngest daughter, who has Down syndrome, for a wait list so the state would pay for a day program when she grew up. The teachers predicted a six-year wait.
The Millers have been waiting 10 years. Lilly is now 21 and has aged out of special education programs in the public schools in their hometown of Wichita, Kansas. Her parents, also teachers, have hired a home caregiver. A day program, where she would learn new job skills or flex existing ones while socializing, would cost between $1,500 and $2,000 a month, Marvin Miller said.
Across the U.S., hundreds of thousands of children, adolescents and young adults with physical or intellectual disabilities are waiting for state-covered services. In Kansas, a legislative committee approved higher funding Wednesday, and another is expected to consider it Thursday. But even with more funds, it could take years to eliminate the state's waiting lists.
The services, which include day programs, employment assistance, and home care, are designed to foster independence and build work skills. Without them, Marvin Miller said, his youngest daughter isn't getting enough social interaction. \"We've actually seen her regress.\u201d
\u201cSomeday, I won\u2019t be around anymore, and that\u2019s a parent\u2019s greatest fear,\" Miller said during an interview. \u201cI want her to be at the place where, if something should happen in 15 years when I\u2019m gone, she will still have a community of supports and friends and all the things that we take for granted when we work in jobs and and have neighbors.\u201d
Parents across the U.S. have been stalled getting services for toddlers who are delayed developmentally. But many parents of children with intellectual or physical disabilities also must think years into the future.
At least 692,000 people with physical or intellectual disabilities are waiting for services in at least 40 states, according to a November 2023 survey by KFF, a health policy research group. Federal law doesn\u2019t require states to provide home and community based services, and what they cover varies.
Kansas expects to spend $776 million under its current budget on such services for the disabled. That funding would have to jump by roughly 54% to about $1.2 billion annually to eliminate waiting lists.
But Kansas also has seen its budget surpluses balloon since mid-2020 and they're now projected to approach $4.5 billion by the end of June. Democratic Gov. Laura Kelly and the Republican-controlled Legislature both advocate big tax cuts, although they haven't been able to agree on the details.
Neil Romano, a National Council on Disability member, said it's \u201csimply responsible\u201d to help families so parents can be more productive in their jobs or attend to more family needs \u2014 even take weekend breaks.
\u201cYou\u2019re not just providing help for that family and that child,\" he said. \u201cYou\u2019re providing help for the community.\u201d
Kansas has separate in-home and community services programs for physically and developmentally disabled residents, together serving about 15,000 people. As of mid-February, the two waiting lists totaled about 7,500 people. That figure has grown 37% over the past five years, even with increases in funding.
Outside Topeka, Rick and Anna Elskamp's oldest daughter Sheridan is now 23, and the family recently received word in December that she was off the waiting list for intellectually disabled Kansas residents \u2014 after 10 years. A month later, after more administrative hoops, they said, they were still paying for day services themselves.
They said navigating the state's social services system has been time-consuming and, Rick Elskamp said, \"All their acronyms and abbreviations are a whole new language.\u201d
The budget committee in the Republican-controlled Kansas Senate is considering a proposal from the Democratic governor for an additional $23 million to shrink the state's waiting lists by a total of 500 people, with its debate set for Thursday.
When Kelly outlined her proposal earlier this month \u2014 weeks after presenting a proposed $25.6 billion budget without it \u2014 Republicans in the GOP-controlled House already had been working on a plan twice as large. The House budget committee approved the larger plan Wednesday.
But disability rights advocates want lawmakers to be even more aggressive, particularly in attacking the more persistent and larger waiting list for people with intellectual disabilities. They'd like to spend roughly $85 million more in the next budget, reduce both lists by a total of 1,600 people and eliminate both lists in five years.
Instead of shrinking the waiting list for people with intellectual disabilities by 250 or 500, their plan would reduce it by 1,100 people.
\"Very typically, 300 to 400 people can be added to the waiting list in any one year,\" said Rocky Nichols, executive director of the Disability Rights Center of Kansas, a former legislator. \u201cSo 500 slots may not reduce the waiting list much at all.\u201d
Oklahoma struggled for years to provide services to residents with intellectual disabilities and had 5,100 people on a waiting list, with some families waiting up to 13 years. With state revenue collections at record highs in 2022, lawmakers increased provider rates by 25% \u2014 and poured extra money into covering more people. It hopes to provide services to everyone who was on that list as of this spring.
Kansas lawmakers approved an additional $283 million over the past five years on home and community-based services \u2014 but almost all of it went to increasing rates paid to providers and only $3 million to shrinking the waiting lists, according to legislative researchers.
Officials said the state needed first to build up its network of providers and make sure they could attract enough workers. That's an issue states must tackle to eliminate waiting lists, said Alice Burns, associate director of KFF's program on the medically uninsured and state Medicaid programs.
\u201cWe could make a motion right now to fund all the slots, get rid of all the waiting lists, but we don\u2019t have the capacity,\u201d Republican state Rep. Les Mason, chair of a separate House committee on social services, said Wednesday. \u201cIt'll be a long-term process.\u201d
But Nichols and other advocates said Kansas has seen its waiting lists grow despite the extra dollars for providers because it hasn't committed additional funds specifically to covering more individuals. Burns agreed that states have to do that as well.
The funding issues in Kansas aren't likely to be resolved for at least another month. Parents like Miller, Padding and the Elskamps are juggling their advocacy with their jobs and caring for their children.
Sheridan Elskamp's parents said they don't leave her at home alone because cognitively, she's 6 or 7 years old. When she was in high school, they arranged their work schedules so one of them was home when she was out of school and Anna Elskamp took a demotion at her credit union job so that her schedule was flexible.
Marvin Miller considers his family fortunate, although he and his wife haven't been able to save for retirement and he drives a 1999 truck. Besides teaching, he's an ordained Assemblies of God minister, filling in at rural churches or for churches that are between permanent pastors.
\u201cAs a society, I think we owe it to take care of...\u201d he said, searching for the right words, \u201cour most vulnerable members, and to help them become successful.\u201d
___
Associated Press Writer Sean Murphy in Oklahoma City contributed.
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(AP) \u2014 LeeLee Ray went through eight miscarriages, one ectopic pregnancy and multiple surgeries before turning to surrogacy in her hopes of having a child.
She and her husband found a surrogate through a matching program, and they hoped to soon transfer frozen embryos. But now that plan is in doubt as Alabama fertility clinics paused IVF services in the wake of a state court ruling that embryos are considered children under the state's wrongful death law.
\u201cI\u2019m just frustrated. We had a light at the end of the tunnel,\u201d Ray said. She said they can\u2019t transfer their frozen embryos to their surrogate and can\u2019t move the embryos out of state. Ray was one of more than 200 IVF patients who descended on the Alabama Statehouse Wednesday to urge lawmakers to find a way to restore IVF treatment in the state.
Republican lawmakers promised swift action and advanced proposals to provide criminal and civil lawsuit protections to in vitro fertilization service providers. But GOP lawmakers \u2014 navigating both a backlash over the IVF decision and hardline abortion opponents in their own party \u2014 steered clear of trying to define whether the embryos should be considered human life.
\u201cWe're trying to find a solution ... It should get the clinics back open,\u201d Republican Sen. Tim Melson, a doctor and sponsor of one of the bills, said of the immunity proposal.
Alabama justices this month said three couples who had frozen embryos destroyed in an accident at a storage facility could pursue wrongful death lawsuits for their \u201cextrauterine children.\u201d In reaching the decision, Alabama justices cited anti-abortion language added to the Alabama Constitution in 2018, saying the state recognizes and protects the \u201crights of unborn children.\u201d The constitutional amendment was approved by 59% of Alabama voters.
The ruling, treating an embryo the same as a child or gestating fetus under the wrongful death statute, raised concerns about civil liabilities for clinics. Three clinics announced a pause on IVF services.
Melson shelved an earlier proposal that said an embryo should not be considered a human life until implanted in the uterus.
\u201cThere's a lot of different opinions on what's alive, what's viable, what's not,\u201d Melson said Wednesday.
Some conservative groups had expressed concern about proposals that would exclude embryos from the definition of human life. Eagle Forum of Alabama issued a statement urging lawmakers to avoid \"legislation that may be in direct violation of our Constitution as well as the clear definition of human life.\u201d
\u201cLife begins at conception, not implantation,\u201d Eagle Forum stated. The group urged lawmakers to find a way to let IVF treatments proceed, but also supported prohibitions around the destruction or donation of viable embryos.
Some lawmakers questioned the need to pause IVF. Republican Sen. Larry Stutts, an obstetrician who is also sponsoring one of the proposals, noted that some clinics \u201cnever closed.\u201d
A Democratic senator said Wednesday that Republicans are not \"dealing with the issues that got us here.\" Some House Democrats have proposed legislation to state that a human embryo outside of a uterus \u201cis not considered an unborn child or human being for any purpose under state law.\u201d
\u201cUnless we redefine this as to whether an embryo is a child \u2014 and if we don\u2019t deal with the elephant in the room that got us to this place \u2014 we\u2019re going to be back here,\u201d Sen. Linda Coleman-Madison, a Democrat from Birmingham, said.
Rep. Chris England, a Democrat from Tuscaloosa, said lawmakers may be able to provide a \u201ctemporary solution\u201d through legislation, but that a long-term solution must address the 2018 constitutional amendment.
\u201cThat amendment is essentially a personhood amendment,\u201d England said. \u201cIt's interesting that everybody keeps saying the decision was wrong, but the legislation doesn't address the decision.\u201d
Advocates are concerned that IVF will become increasingly entangled in the debate over abortion.
Barbara Collura, President of RESOLVE: The National Infertility Association, said the nation is watching to see what happens in Alabama.
\u201cThis could potentially be a roadmap for other states to restrict IVF or a roadmap on how to protect IVF and family building,\" Collura said.
Dr. Michael C. Allemand, said the past 10 days had been the \u201chardest of my career\" as he had tear-filled conversations with patients that \u201cwe might have to interrupt their journey.\"
\u201cEveryone is crying. They're crying. I'm crying,\u201d Allemand said. \u201cI never anticipated that we wouldn\u2019t be able to provide standard fertility care to our patients.\u201d
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February 25, 2024.
Editorial: The sabotage effort has already begun; hang tough on fixing SC health services
There\u2019s not a single, perfect way to consolidate South Carolina\u2019s many disjointed, uncommunicative health agencies. You could merge every agency that touches even tangentially on health care, or you could leave out, say, the social services or veterans\u2019 affairs offices, as legislation the Senate passed on Wednesday does.
Likewise you could create one completely consolidated super agency from the get-go or leave the six individual agencies largely intact but grouped under a single secretary with pretty much absolute authority, as S.915 and and its companion H.4927 do.
But there\u2019s a perfect way to keep our state\u2019s long-awaited consolidation from happening \u2014 or at least a tried and true way: It\u2019s to let one individual agency talk its way out of the consolidation, or even a little piece of it. That creates blood in the water, and the other independent fiefdoms start circling, demanding first small concessions and then complete exemptions, and their legislative supporters start forming coalitions \u2014 I\u2019ll vote to keep your agency independent if you vote to keep mine independent \u2014 until the entire thing unravels.
This is what has happened every time legislators have tried to bring some sanity to this huge portion of our state government, and every time, we\u2019ve gotten left once again with eight separate agencies that divvy up the job of providing crisis mental health care, physical health care, substance abuse services, disability and special needs services and assistance to the elderly and at-risk \u2014 in sometimes overlapping ways, often with no coordination or communication, diminishing the quality of care, increasing its cost and forcing patients to navigate a confusing labyrinth of bureaucratic entities.
And now, just barely one step into the most promising effort ever at consolidation, the House already has yielded to the first request for an out.
The original legislation embraced by Senate and House leaders and Gov. Henry McMaster would have ended the practice of sending $17 million a year in alcohol taxes to the counties for alcohol and drug abuse education and treatment and instead allowed the secretary of the new Executive Office of Health and Policy to allocate that money. That way, the state could get matching federal Medicaid funding that the counties can\u2019t draw down and, more importantly, make sure the money was spent where it was most needed, rather than being distributed on a per-capita basis.
Earlier this month, the Behavioral Health Services Association of South Carolina, a lobbying group for the 31 independent alcohol and drug abuse authorities that serve the 46 counties, started urging legislators to let them keep the $17 million, predicting calamity if they lose the funding and helpfully providing legislators with a breakdown of how much each county stood to lose. And presto chango, the House bill \u2014 which was still a skeleton when the lobbying began \u2014 suddenly emerged with no reference to redirecting the money.
Senate leaders initially refused to budge. When the Senate agreed Tuesday to let the counties keep $12 million, it was only after Sen. Tom Davis discovered that the current law was being read in a way that gives the agencies much more money than he and other authors of the bill realized, and urged the Senate to reallocate only the $5 million they had thought they were targeting.
Now, it\u2019s possible that the House will agree to the Senate\u2019s approach, but it\u2019s worrisome that its initial response to the usual sort of sabotage was to give in. It\u2019s worrisome not so much because changing the allocation for a few million dollars is essential but because lobbyist-driven erosion begets more lobbyist-driven erosion. Until, again, there\u2019s nothing left.
It was clear during the Senate debate that some of the local authorities aren\u2019t happy with the state using any of that money in a smarter way. And their initial volley also complained that the tiny Department of Alcohol and Other Drug Abuse Services was being subsumed into the huge Mental Health Department rather than being held out as a co-equal branch in the new Department of Behavioral Health. The Senate didn\u2019t change that, but the locals still have another crack at it when House debates its bill, likely this week. The House needs to see to it that they fail.
As Sen. Davis reminded his colleagues, this legislation isn\u2019t a solution in search of a problem. Merging the departments of Mental Health, Aging, Disabilities and Special Needs, Alcohol and Other Drug Abuse Services, Health and Human Services and the health side of DHEC is based on a thorough examination by national and state experts who found that South Carolina, with the most disjointed health delivery service in the nation, desperately needs this change because \u201cwe aren\u2019t getting the health care outcomes that we deserve based on the resources that we\u2019re putting in.\u201d
It\u2019s time we got the outcomes we deserve, and are paying for. The only way that happens is if we get the law we deserve \u2014 without it being scuttled by the usual death-by-a-thousand-cuts assault.
___
Times and Democrat. February 24, 2024.
Editorial: Highway heroes should not be at such great risk
Helping stranded motorists on the side of the road should not be one of America\u2019s most lethal jobs, but it is.
On average, two emergency responders are struck and killed every month by a driver failing to obey the law by moving over to an adjacent lane and allowing the roadside rescuers the space to operate, according to the U.S. Bureau of Labor Statistics.
Struck and killed \u2013 nearly four times more than reported. It\u2019s the chilling reality for RAPs, including tow truck drivers, mobile mechanics, emergency roadside technicians, and safety service patrols who put themselves at risk every day to help others.
A new study from the AAA Foundation for Traffic Safety examined the conditions of crashes in which roadside assistance workers were struck and killed by vehicles, and why the problem is even bigger than previously believed.
\u201cThis new research reveals that vehicle collisions with roadside workers are not always the result of poor visibility,\u201d said Tiffany Wright, spokesperson, AAA-The Auto Club Group in the Carolinas. \u201cMore often than not, speed, driver distractions and/or impairment are a factor.\u201d
AAA Foundation researchers combed through diverse information sources and determined that 123 roadside assistance providers were killed by passing vehicles between 2015 and 2021. This grim figure dwarfs the approximately 34 noted in national crash data.
AAA says the discrepancy is because state police crash reports incorrectly cited the crash victims as \u201cpedestrians\u201d instead of roadside assistance providers. While yearly total traffic fatalities increased significantly over the study period, the data suggest that roadside assistance provider fatalities increased even more.
Key findings are:
\u2022 Speed limits \u2013 89% of the crashes occurred at locations with 55 mph or higher speed limits, almost all on interstates or other limited-access highways.
\u2022 Weather conditions \u2013 84% of crashes occurred in good weather without precipitation/slippery road conditions.
\u2022 Time of day \u2013 63% occurred during darkness, of which nearly two-thirds were at locations without street lighting. But 34% of the crashes were in daylight.
\u2022 Driver distraction/impairment/fatigue \u2013 63% occurred in crashes in which the striking vehicle had already left the road and was traveling on the shoulder or beyond before impact. This suggests the involvement of factors such as impairment, fatigue or distraction. More than a third of striking drivers who were tested for alcohol were alcohol-positive. But nearly half were not tested.
AAA urges action on several fronts:
\u2022 Shield the vulnerable: Utilize countermeasures to prevent vehicles from striking workers. The foundation studied several countermeasures, and an electronic vehicle-mounted variable message sign was very effective. With VMS activated, drivers changed lanes and slowed down more than when the VMS was not operating. The odds of a vehicle moving over were 95% higher when the VMS was used.
\u2022 Train for survival: Teach roadside workers to prioritize work away from traffic and equip them with strategies to avoid harm\u2019s way. Training for roadside assistance providers should emphasize the importance of not working or standing on the traffic-facing side of the incident whenever possible and minimize time spent on the traffic-facing side of the scene.
\u2022 Slow down, move over: Reinforce life-saving laws, reminding drivers to give space to ANYONE (including but not limited to roadside assistance, police, fire, EMS) working on the side of the road. Every ounce of awareness could be the difference between life and death.
In South Carlina, the move-over law requires drivers \u2013 if they deem it is safe to do so \u2013 to move a lane away from any law enforcement or emergency vehicle on the side of the road. Law enforcement, emergency and utility vehicles should be stopped with lights flashing to alert drivers to move over.
It is also required that motorists slow down and approach cautiously when driving by a stopped emergency vehicle.
Failure to adhere to the law is considered a misdemeanor punishable by a fine of not less than $300 nor more than $500.
Too many people are not aware of the law but they should see that moving over away from those on the roadside is common sense -- for the safety of drivers as well as those outside.
Jake Nelson, AAA\u2019s traffic safety and advocacy director, is on target: \u201cIt\u2019s a shared responsibility to solve this safety challenge. Roadside workers and all of us who drive by them have to take action to move towards zero traffic deaths.\u201d
END
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But how they are provided is different, a new study conducted for the advocacy group Society of Family Planning finds. Fourteen states are enforcing a ban on abortion at all stages of pregnancy and those states have hardly obtained any through the health care system. But there are more abortions in several other states and far more abortion pills prescribed through telehealth, including some for women who live in states with deep restrictions.", + "bylines": [ + { + "by": "By GEOFF MULVIHILL", + "title": "Associated Press" + } + ], + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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Wade and the nationwide right to abortion more than a year and a half ago, a new report finds.
The latest edition of the #WeCount report conducted for the Society of Family Planning, a nonprofit organization that promotes research on abortion and contraception, finds that between 81,150 and 88,620 abortions took place each month from July through September of last year, the most recent period for which survey results are available. Those numbers are just slightly lower than the monthly average of about 86,800 from April through June 2022, before Roe and just after was overturned.
But abortion data is seasonal, and the same survey found more abortions across the U.S. in the spring months of 2023 than it did in the period the year before leading up to the court's decision.
The report also finds that prescriptions of abortion pills by telemedicine have become common, accounting for about one in every six abortions in the most recent three months of survey results.
\u201cEven when a state bans abortion, people continue to need and seek abortion care,\u201d Alison Norris, a professor at Ohio State University's College of Public Health and one of the co-chairs of the study, said in a statement. \"We can\u2019t let the overall consistent number of abortions nationally obscure the incredible unmet need and disastrous impact of abortion bans on people who already have the least access.\u201d
The report estimates that if states had not been allowed to ban abortion, there would have been a total of 120,000 more during the survey period in the 14 states where bans on abortion at all stages of pregnancy are now in place.
Although the number of monthly abortions has dropped to nearly zero in states with bans, they have risen in states that allow abortion, including Florida, Illinois and Kansas, which border states with bans.
The tracking effort collects monthly data from providers across the country, creating a snapshot of abortion trends after Roe v. Wade was overturned. In some states, a portion of the data is estimated. The effort makes data public with less than a six-month lag, giving a picture of trends far faster than annual reports from the U.S. Centers for Disease Control and Prevention, where the most recent report covers abortion in 2021.
The report does not cover self-managed abortions obtained outside the formal health care system \u2014 such as if someone gets abortion pills from a friend without a prescription.
The Supreme Court's Dobbs v. Jackson ruling in June 2022 brought about immediate change in state policies. Currently, 14 states are enforcing bans on abortion in all stages of pregnancy and two more have bans that kick in after the first six weeks \u2014 often before women realize they're pregnant. Other Republican-controlled states have imposed lighter restrictions. Enforcement of some bans has been put on hold by courts.
Meanwhile, most Democrat-controlled states have taken steps to protect access to abortion. Several have executive orders or laws that seek to keep states with bans from reaching across state lines in abortion-related investigations. And five \u2014 Colorado, Massachusetts, New York, Vermont and Washington \u2014 have laws seeking to protect providers who give abortion care via telehealth.
The report's total numbers includes cases where providers in those states prescribed medication abortion to patients in states with abortion bans or restrictions on the pill versions in its national count but does not break down how many there were by state.
The U.S. Supreme Court is considering whether mifepristone, one of the two drugs most commonly prescribed in combination to cause abortions was properly approved.
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(AP) \u2014 Missouri's Republican lawmakers are once again trying to block federal health care dollars from going to the state's Planned Parenthood clinics, this time weeks after the Missouri Supreme Court thwarted a previous attempt to end that funding.
The Republican-led House on Wednesday gave initial approval to a bill that would bar Medicaid funding from going to Planned Parenthood, which is already banned by state law from providing abortions in almost all circumstances.
Republican lawmakers argued that no public funding should go to the organization, which offers abortions in other states.
\u201cWhen you do business with an entity like a Planned Parenthood, you\u2019re ultimately subsidizing those abortion services, even if they are in other states,\u201d bill sponsor Rep. Cody Smith said during Wednesday floor debate.
House Democrats said the ban will limit low-income residents\u2019 choice of where they go for health care such as cancer screenings and birth control. In some areas of the state, it could mean blocking access to those services altogether, Democratic Rep. Patty Lewis said.
\u201cIn the state of Missouri, defunding Planned Parenthood services is defunding affordable access for our constituents,\u201d Lewis said.
The advocacy branches of Missouri's two Planned Parenthoods said in a statement Wednesday that those clinics treat patients \u201cwithout reimbursement, regardless of the patients' ability to pay or insurance status, because every person must have the right to get care from the health care provider of their choice.\u201d
The measure needs another vote of approval in the House before it can move to the Senate.
A similar effort to block Medicaid funding from Planned Parenthood stalled in the GOP-led Senate earlier this month after a Democrat attempted to amend the bill to allow exceptions for rape and incest under the state\u2019s current ban on almost all abortions. Missouri in 2022 banned abortion except in cases of medical emergencies.
Lawmakers previously were able to stop money from going to Planned Parenthood in the 2019 fiscal year by forgoing some federal funding to avoid requirements that the clinics be reimbursed if low-income patients go there for birth control, cancer screenings and other preventative care. Missouri instead used state money to pay for those services.
But the Missouri Supreme Court in 2020 ruled lawmakers violated the state constitution by making the policy change through the state budget instead of a separate bill, forcing the state to reimburse Planned Parenthood for health care provided to Medicaid patients.
Republican lawmakers are acting with increased urgency this year after the Missouri Supreme Court earlier this month rejected yet another attempt by Republican state officials to block taxpayer dollars from going to Planned Parenthood, citing a failure in the state\u2019s legal appeal.
The high court\u2019s decision upheld a ruling by a trial judge, who found that a 2022 funding bill violated the state constitution. The Supreme Court said Republican Attorney General Andrew Bailey\u2019s office failed to appeal a claim that the law violated equal protection rights, and it thus must stand.
Also pending is an effort to amend the state constitution to protect abortion rights. Supporters now are working to gather more than 170,000 voter signatures by May 5 to get on the November ballot.
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Therefore, it is highly relevant to the topic of health." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/02/28/ecf790f948d3820aecf824696438c740.json b/datasets/AP_news/raw_data/2024/02/28/ecf790f948d3820aecf824696438c740.json new file mode 100644 index 0000000..b455b5b --- /dev/null +++ b/datasets/AP_news/raw_data/2024/02/28/ecf790f948d3820aecf824696438c740.json @@ -0,0 +1,308 @@ +{ + "altids": { + "itemid": "ecf790f948d3820aecf824696438c740", + "etag": "ecf790f948d3820aecf824696438c740_0a6aza0c0", + "friendlykey": "228341439602", + "referenceid": "US--Mississippi-Medicaid-Expansion" + }, + "version": 0, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-02-28T01:17:33Z", + "firstcreated": "2024-02-28T01:17:32Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: Updates Media.", + "signals": [ + "newscontent" + ], + "title": "US--Mississippi-Medicaid-Expansion", + "headline": "Mississippi's Republican-led House will consider Medicaid expansion for the first time", + "headline_extended": "Mississippi is one step closer to what would be a landmark shift in health care policy", + "slugline": "AP-US--Mississippi-Medicaid-Expansion", + "description_summary": "Mississippi is one step closer to what would be a landmark shift in health care policy. 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(AP) \u2014 Mississippi is one step closer to what would be a landmark shift in health care policy, with the Republican-led House preparing to debate expansion of Medicaid benefits to hundreds of thousands more residents in one of the poorest states in the U.S.
The House Medicaid Committee on Tuesday advanced the bill, which would increase eligibility for Medicaid, a health insurance program that covers low-income people. Those making up to 138% of the federal poverty level, or $20,120 annually for a single person, would be eligible under the proposal. The measure could extend benefits to about 250,000 people.
\u201cOur health metrics will improve, we\u2019ll see greater access to care, and hopefully start to see a healthier Mississippi where our folks are getting treatment earlier rather than later,\u201d said Republican Missy McGee, the committee chairwoman.
Mississippi has the highest rate of preventable deaths in the U.S. Its top health official has said it ranks at the bottom of virtually every health care indicator and at the top of every disparity. Hospitals are struggling to remain open. The state also has one of the nation's lowest labor force participation rates. Expansion proponents have said the policy could help ameliorate these conditions.
The move follows years of Republican opposition to the expansion allowed under the Affordable Care Act, a 2010 federal health overhaul signed by then-President Barack Obama. Opponents of Medicaid expansion say the program would foster government dependency, increase wait times for health services and push people off private insurance.
Until this year, Mississippi\u2019s legislative Republicans never held a hearing to consider Medicaid expansion. Debate stalled due to opposition from party leaders, including Gov. Tate Reeves, who on Tuesday repeated his stance that the government \u201cshould not run health care.\u201d But new Republican House Speaker Jason White, who sponsored the Medicaid expansion bill with McGee, says he wants legislators to consider the policy as a way to bring hundreds of millions of federal money each year to the state.
McGee touted a financial incentive for expanding Medicaid provided by Congress in the American Rescue Plan. The bonus helped with the passage of Medicaid expansion in North Carolina. In Mississippi, the incentive and other cost offsets like increased tax revenues would pay for the program for about four years, McGee said.
\u201cIt would more than pay for itself,\u201d McGee said. \u201cYou almost have to look at it like the federal government is giving us a free pilot program to run for four years.\u201d
Legislative Democrats on the committee have a competing plan that would go further, but they all voted for the Republican-sponsored plan Tuesday. House members have until March 14 to pass the bill.
At the center of the debate is a provision that requires people to work at least 20 hours per week in order to become eligible for the expanded benefits. Among the 10 states that haven\u2019t expanded Medicaid, only Georgia has managed to tie a work requirement to a partial expansion of benefits.
The Trump administration permitted 13 states to impose work requirements on some Medicaid recipients. Then the Biden administration revoked all those waivers in 2021, arguing that people should not face roadblocks to getting health care. Republican Gov. Brian Kemp\u2019s administration won a federal court fight in 2022 to temporarily preserve Georgia\u2019s plan, but there is an ongoing legal battle.
Mississippi Republican Lt. Gov. Delbert Hosemann, who will play a key role in shepherding any Medicaid expansion bill through the state Senate, said Georgia offers a model for Mississippi.
But the Biden administration could likely refuse to grant a waiver for Medicaid expansion that includes a work requirement. If that happened, Mississippi could sue the federal government or adopt expansion without a work requirement.
McGee said the state Division of Medicaid would do its best to negotiate with the Centers for Medicare and Medicaid Services, the agency that would need to approve a waiver for a work requirement.
\u201cThe goal of the plan is to provide health insurance for working Mississippians,\" McGee said. \"We believe that at least 75-80% of this population is working, so we certainly don\u2019t want to not help them just because we might be helping another population who might not be working or able to work at the time.\u201d
At an event in Jackson on Monday, Xavier Becerra, U.S. Secretary of Health and Human Services, urged lawmakers to take advantage of the federal program.
\u201cYou\u2019ve got to pick up the bootstraps of your state until your state finally cares for all of its families,\u201d Becerra said.
___
Associated Press reporter Devna Bose contributed to this report. Michael Goldberg is a corps member for the Associated Press/Report for America Statehouse News Initiative. Report for America is a nonprofit national service program that places journalists in local newsrooms to report on undercovered issues.
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Norwegian TV 2 said the king\u2019s condition is stable, citing the hospital. The royal palace in Oslo said on Tuesday that the king was hospitalized with an infection but didn\u2019t give further details. Harald has been repeatedly ill in recent months.", + "bylines": [ + { + "by": "By VINCENT THIAN and JAN M. OLSEN", + "title": "Associated Press" + } + ], + "located": "LANGKAWI, Malaysia", + "datelinelocation": { + "city": "Langkawi", + "countrycode": "MYS", + "countryname": "Malaysia", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + 99.78375, + 6.35608 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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Harald, Europe's oldest monarch at age 87, became ill while he was on vacation. His son, Crown Prince Haakon, said in Norway that his father \u201cis doing better now. Now he needs some rest, so it looks like things are going better.\u201d
In a brief statement, the royal household said \u201cthe king's personal physician is in Langkawi and confirms that the king is improving from his infection.\u201d
Norwegian Prime Minister Jonas Gahr St\u00f8re said that \u201cwe get worried when our king gets ill and is admitted to hospital, whether in Norway or abroad.\u201d
\u201cWe should do what we can to contribute to getting the king home as quickly as possible and as healthy as possible,\" he told Norwegian broadcaster NRK.
Malaysian national news agency Bernama said that Harald was undergoing treatment at the Sultanah Maliha Hospital in Langkawi. The report cited unnamed sources as saying he was staying in the hospital\u2019s Royal Suite.
The hospital declined to comment when contacted by The Associated Press. Malaysia\u2019s health ministry told the media to wait for a possible statement.
\u201cThe king was in good spirits,\u201d the heir to the throne said, adding that he had spoken with his parents over the phone on Wednesday.
\u201cIt is clear that his age means that it is good to treat this properly. They are very good at the hospital,\u201d Haakon told Norwegian reporters. \u201cWe don\u2019t know when he will come home. We will have to decide on that later.\u201d The palace said that \u201cno decision has been made regarding his return home.\u201d
On Tuesday, the royal palace in Oslo said that the king was hospitalized with an infection, but didn't provide further details. The palace said that it may send a statement out later Wednesday.
Two days before his birthday last week, Norwegian news agency NTB said that the king would be undertaking a private trip abroad together with his wife Queen Sonja, without specifying the destination or dates.
The monarch, who has been seen using crutches in recent years, has been repeatedly ill in recent months, raising concern about the head of state\u2019s health. In January, the palace said he was on sick leave until Feb. 2 because of a respiratory infection.
In December, he was admitted to a hospital with an infection and was treated with intravenous antibiotics. He also was hospitalized last August with a fever.
Still, Harald has repeatedly said he has no plans to abdicate, unlike his second cousin Queen Margrethe II of Denmark, who stunned Danes when she announced in a New Year's speech that she was stepping down. Each time the king was reported ill, the 50-year-old Haakon has taken over his duties in line with protocol.
The palace in Oslo told NTB said there were no plans to alter a planned trip by Haakon and Crown Princess Mette-Marit on Wednesday and Thursday to southern Norway.
According to the royal house\u2019s calendar, Harald\u2019s first official task after the vacation is scheduled for March 8, when he and Haakon are due to preside over the state council \u2014 a monthly meeting with the government \u2014 at the royal palace in Oslo. At those meetings, new legislation is sanctioned by the monarch and also signed by the prime minister, after which it takes effect.
On Jan. 23, Harald said that he stood by the oath he made when he ascended the throne in 1991.
\u201cI maintain what I have said all the time. It lasts for life,\u201d he said.
___
Jan M. Olsen reported from Copenhagen, Denmark.
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The document also mentions his previous health issues and the medical care he is receiving, which are all pertinent to the topic of health." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/02/29/026cc2789b48c10581a56242f4b23a4a.json b/datasets/AP_news/raw_data/2024/02/29/026cc2789b48c10581a56242f4b23a4a.json new file mode 100644 index 0000000..345dd1d --- /dev/null +++ b/datasets/AP_news/raw_data/2024/02/29/026cc2789b48c10581a56242f4b23a4a.json @@ -0,0 +1,273 @@ +{ + "altids": { + "itemid": "026cc2789b48c10581a56242f4b23a4a", + "etag": "026cc2789b48c10581a56242f4b23a4a_1a8aza0c0", + "friendlykey": "698409485003", + "referenceid": "US-MED--Zyn-Health Debate" + }, + "version": 1, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-03-01T18:39:13Z", + "firstcreated": "2024-02-29T20:12:34Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: Adds detail to company name in story summary.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "US-MED--Zyn-Health Debate", + "headline": "Zyn nicotine pouches are all over TikTok, sparking debate among politicians and health experts", + "headline_extended": "A small nicotine pouch called Zyn has sparked a big debate among politicians, pundits and experts", + "slugline": "AP-US-MED--Zyn-Health Debate, 1st Ld-Writethru", + "description_summary": "A small nicotine pouch called Zyn has sparked a big debate among politicians, pundits and experts. The dispute reflects an increasingly complex marketplace in which companies like Philip Morris International are promoting alternative products that may be less harmful than cigarettes and chewing tobacco. But health advocates fear Zyn, like electronic cigarettes, may catch on with teenagers due to its addictive nicotine. A recent warning about Zyn by a top Democratic senator prompted a swift backlash from Republicans and conservative pundits. Meanwhile, videos of young people popping the pouches have racked up millions of views on TikTok and other social media platforms.", + "bylines": [ + { + "by": "By MATTHEW PERRONE", + "title": "AP Health Writer" + } + ], + "located": "WASHINGTON", + "datelinelocation": { + "city": "Washington", + "countryareacode": "DC", + "countryareaname": "District of Columbia", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -77.03637, + 38.89511 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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But it has stoked a debate among politicians, parents and pundits that reflects an increasingly complex landscape in which Big Tobacco companies aggressively push alternative products while experts wrestle with their potential benefits and risks.
Zyn comes in flavors like mint, coffee and citrus, and Philip Morris International markets it to adult tobacco users. But videos of young people popping the pouches have racked up millions of views on TikTok and other social media platforms.
That trend has advocates worried that Zyn could become the latest nicotine product to attract underage teens, similar to the way Juul triggered a yearslong spike in vaping. Other experts say that risk is outweighed by the potential to steer adults away from cigarettes and other traditional tobacco products, which account for 480,000 U.S. deaths annually.
\u201cThe definition of insanity is doing the same thing and expecting a different result,\u201d said Dr. Jasjit Ahluwalia, an addiction specialist at Brown University. \u201cThat is what we\u2019ve done with tobacco for decades. We\u2019ve been all about abstinence, instead of embracing products that can reduce harm.\u201d
Ahluwalia sees nicotine pouches and e-cigarettes as a way to help smokers cut back or quit cigarettes.
That approach is standard practice in the U.K., but it\u2019s outside the medical mainstream in the U.S., where only pharmaceutical-grade medications like nicotine gum and lozenges are formally approved to help smokers quit.
Ahluwalia points out that Zyn works the same way as those products: releasing low levels of nicotine that are absorbed into the gums, reducing cravings. The chief difference, he notes, is that Zyn is sold by Philip Morris, the global cigarette giant and a longtime foe of anti-smoking groups.
The controversy around Zyn recently spilled over into politics, pitting Democrats and Republicans in Washington against each other and spiraling into another skirmish in the nation's culture war.
In late January, Democratic Sen. Charles Schumer, of New York, called on regulators to investigate Zyn, citing its appeal to teens. Several House Republicans then warned constituents that \u201cBig Brother\u201d intended to \u201cban nicotine.\u201d
Conservative pundit Tucker Carlson, a Zyn user, jumped into the fray, declaring: \u201cZyn is not a sin,\u201d and touting its unproven benefits, like \u201cenhancing male vitality and mental acuity.\u201d
Zyn users have quickly developed their own online vocabulary, including \u201czynnies,\u201d \u201czynner\u201d and \u201czynsky.\"
\u201cThere\u2019s this online subculture around Zyn that\u2019s been spearheaded by younger males, but a lot of that\u2019s not coming from the brand itself,\u201d said Ollie Ganz, a Rutgers University tobacco and nicotine researcher.
Online videos show young people documenting their first experiences trying Zyn, reviewing different flavor combinations and displaying heaping piles of used canisters.
\u201cIt\u2019s concerning to see the countless Zyn-related memes and hashtags that are being amplified and normalized across social media,\u201d said Kathy Crosby, CEO of the Truth Initiative, an anti-tobacco advocacy group.
Truth and other groups point to research suggesting nicotine can interfere with brain development in adolescents.
It\u2019s the Food and Drug Administration\u2019s job to weigh Zyn\u2019s risks to youngsters against its potential to help adults.
In a statement, an FDA spokesman said the agency is monitoring underage use, noting that 1.5% of high school and middle schoolers reported using pouches last year. That\u2019s well below the 10% who used e-cigarettes.
FDA officials have allowed Zyn to stay on the market while they review Philip Morris\u2019 marketing application, which has been pending since 2020. If teen use remains low, the company could win FDA authorization for at least some of its offerings, which come in multiple strengths and flavors.
In 2019, the FDA awarded its first-ever reduced risk designation to a similar product: snus, a tobacco pouch popular in Sweden that contains lower levels of carcinogens than cigarettes. The FDA said smokers who switch to snus reduce their risk of lung cancer, bronchitis and other diseases.
Zyn excludes the tobacco leaves found in snus, leaving only nicotine, which Philip Morris says increases its appeal.
\u201cPeople can be reluctant to move into an oral tobacco product if they view it as similar to traditional chewing tobacco,\u201d company spokesman Corey Henry said. \u201cConsumer acceptability is a big part of Zyn.\u201d
Philip Morris doesn\u2019t use online influencers or endorsements to promote Zyn, Henry said. Its website is restricted to adults 21 and older. And flavors like cinnamon and peppermint are \u201cfamiliar to adults,\u201d Henry said.
Zyn launched in the U.S. in 2014, but sales have exploded in the past year, generating $1.8 billion as shipments accelerated year-over-year by over 60%.
On a November call with retailers, one company executive called the growth \u201cgonzo\u201d and \u201clights out.\u201d
\u201cI didn\u2019t see this coming. I don\u2019t know anyone who did,\u201d said Joseph Teller, a director for oral tobacco products.
Zyn promotions emphasize the pouches' discreet, convenient nature as a \u201csmoke-free,\u201d \u201cspit-free\u201d alternative for smokers \u201cat work\u201d or \u201con the move.\u201d
But to fulfill the company\u2019s stated goal of a \u201csmoke-free future,\u201d Zyn will need to help users fully switch from cigarettes, rather than alternating between the two.
There\u2019s little data on switching, and preliminary research suggests pouches may not be a great substitute.
Ohio State University researchers recently found it took smokers 30 minutes to an hour to get enough nicotine from Zyn to relieve their cravings. With cigarettes, smokers achieved the same nicotine levels \u2014 and relief \u2014 in five minutes.
\u201cThe pouches we studied, especially the lower nicotine concentrations, did not appear to meet the needs of smokers,\u201d said Brittney Keller-Hamilton, who led the study. \u201cThat being said, they didn\u2019t totally flop either.\u201d
For now, smokers who have had success with Zyn say they hope it stays available.
Justin Wafer, 39, was smoking a pack a day last spring while working as a bartender in Portland, Oregon. On busy days, he would also vape if he didn\u2019t have time to step away for a smoke break.
But after his reloadable electronic cigarette broke in May, he decided to try Zyn. These days, he usually pops a pouch every three to four hours and says he hasn\u2019t smoked in more than nine months.
\u201cI don\u2019t see how it\u2019s any different from pharmaceutical solutions like lozenges or gum,\u201d he says. \u201cExcept it\u2019s easier to get and tastes better.\u201d
___
The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute\u2019s Science and Educational Media Group. The AP is solely responsible for all content.
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These aspects are highly relevant to the topic of health." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/02/29/045123bb4061398e9e3c809e3ecf26dd.json b/datasets/AP_news/raw_data/2024/02/29/045123bb4061398e9e3c809e3ecf26dd.json new file mode 100644 index 0000000..1373245 --- /dev/null +++ b/datasets/AP_news/raw_data/2024/02/29/045123bb4061398e9e3c809e3ecf26dd.json @@ -0,0 +1,278 @@ +{ + "altids": { + "itemid": "045123bb4061398e9e3c809e3ecf26dd", + "etag": "045123bb4061398e9e3c809e3ecf26dd_3a7aza0c0", + "friendlykey": "789962350951", + "referenceid": "US--Frozen Embryos-Alabama" + }, + "version": 3, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-02-29T23:12:10Z", + "firstcreated": "2024-02-29T18:36:05Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: Rewrites first few paragraphs. With AP photos.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "US--Frozen Embryos-Alabama", + "headline": "Alabama lawmakers advance plan to protect IVF clinics", + "headline_extended": "Alabama lawmakers have moved closer to approving protections for fertility clinics", + "slugline": "BC-US-Frozen-Embryos-Alabama, 3rd Ld-Writethru", + "description_summary": "Alabama lawmakers have moved closer to approving protections for fertility clinics. Three IVF providers in Alabama paused services after the state Supreme Court ruled that frozen embryos were considered \u201cextrauterine children\u201d under the state wrongful death law. Lawmakers in both chambers on Thursday advanced legislation that should shield IVF providers from civil lawsuits and prosecution for the \u201cdamage to or death of an embryo\u201d during IVF services. Legislators are hoping to get the measures approved by early next week while they weigh whether additional action is needed. More than 200 IVF patients filled the Statehouse on Wednesday pressuring lawmakers to get IVF services in the state restarted.", + "bylines": [ + { + "by": "By KIM CHANDLER", + "title": "Associated Press" + } + ], + "located": "MONTGOMERY, Ala.", + "datelinelocation": { + "city": "Montgomery", + "countryareacode": "AL", + "countryareaname": "Alabama", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -86.29997, + 32.36681 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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(AP) \u2014 Facing public pressure to get in vitro fertilization services restarted, Alabama lawmakers moved closer to approving protections for fertility clinics that shut down after a state court ruled that frozen embryos are the legal equivalent of children.
Both chambers of the Alabama Legislature advanced bills Thursday that would shield clinics from prosecution and civil lawsuits. Each bill now moves to the opposite chamber for debate. Bill sponsor Rep. Terri Collins said they are aiming to get the measure approved and to the governor on Wednesday.
\u201cThis would at least keep the clinics open and the families moving forward,\u201d Collins said. She described the legislation as a temporary fix while lawmakers weigh if additional action is needed.
The Alabama Supreme Court ruled in mid-February that three couples who had frozen embryos destroyed in an accident at a storage facility could pursue wrongful death lawsuits for their \u201cextrauterine children.\u201d The ruling, treating an embryo the same as a child or gestating fetus under the wrongful death statute, raised concerns about civil liabilities for clinics. Three major providers announced a pause on IVF services.
Republicans\u2019 proposal focused on lawsuit protections instead of attempting to address the legal status of embryos. The legislation would shield providers from prosecution and civil lawsuits related to the \u201cdamage to or death of an embryo\u201d during IVF services.
The bills advanced with broad bipartisan support. Representatives voted 94-6 for the proposal, and state senators voted 32-0 for it.
Some Republicans said they want to consider future restriction on what happens to unused embryos.
Republican Rep. Ernie Yarbrough of Trinity tried unsuccessfully to put an amendment on the bill that would prohibit clinics from intentionally discarding embryos that are unused or after genetic testing.
Republican Rep. Mark Gidley of Hokes Bluff said he wants lawmakers to consider putting regulation on fertility clinics
\u201cThis is what is important to me and a lot of members of this House. Understand, that once that is fertilized, it begins to grow, even though it may not be in a woman's uterus,\u201d Gidley said.
A Democratic lawmaker said the state, which has a stringent abortion ban with no exceptions for rape, has spent too much time interfering with the decisions of women.
\u201cI am so tired of folks telling me as a female in Alabama what I\u2019m going to do with my own body. It\u2019s time that we stop this,\u201d Democratic Rep. Barbara Drummond of Mobile said. She said a woman texted her this morning asking if the state would take \u201ccustody\u201d and responsibility of her frozen embryos if they are now considered children.
Democrats in the Alabama Senate had unsuccessfully tried to amend the bill to state that a human embryo outside a uterus can not be considered an unborn child or human being under state law. Sen. Linda Coleman-Madison, a Democrat from Birmingham, said that was the most direct way to deal with the issue. Republicans blocked the amendment from coming up for a vote.
In their ruling, Alabama justices cited anti-abortion language added to the Alabama Constitution in 2018, saying Alabama recognizes and protects the \u201crights of unborn children.\u201d The constitutional amendment was approved by 59% of Alabama voters.
Rep. Chris England, a Democrat from Tuscaloosa, said lawmakers may be able to provide a temporary solution through legislation but a long-term solution must address the 2018 constitutional amendment, which he said essentially established \u201cpersonhood\u201d for embryos.
\u201cThere are far-reaching ramifications of personhood,\u201d England said.
More than 200 IVF patients filled the Statehouse on Wednesday pressuring lawmakers to get IVF services restarted in the state. They showed lawmakers babies created through IVF treatment or described how the ruling halted their path to parenthood.
LeeLee Ray underwent eight miscarriages, one ectopic pregnancy and multiple surgeries before turning to surrogacy in hopes of having a child. She and her husband found a surrogate through a matching program, but now can\u2019t have their embryos transferred to her and are unable to move their embryos out of state.
\u201cI\u2019m just frustrated. We had a light at the end of the tunnel,\u201d Ray said Wednesday.
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In an address to the nation Thursday, Hakainde Hichilema said 84 of the country\u2019s 116 districts are affected by the prolonged drought. The declaration provides a legal basis to mobilize more resources to fight the humanitarian disaster. The drought has also affected electricity generation, said the president. Other countries in southern Africa are also in a dire situation because El Nino weather patterns have affected rainfall, according to the U.N agency, the World Food Program.", + "bylines": [ + { + "by": "By FARAI MUTSAKA", + "title": "Associated Press" + } + ], + "located": "HARARE, Zimbabwe", + "datelinelocation": { + "city": "Harare", + "countrycode": "ZWE", + "countryname": "Zimbabwe", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + 31.05337, + -17.82772 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. 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drought a national disaster and emergency, saying it has devastated food production and electricity generation as the nation battles to recover from a recent deadly cholera outbreak.
Like some of its neighbors, the southern African country is suffering a severe drought as the El Nino weather pattern worsens harsh weather conditions attributed in part to climate change.
In an address to the nation, Hichilema said he has instructed security forces to focus more on food production in the largely peaceful country.
He said 84 of the country\u2019s 116 districts are affected by the prolonged drought and authorities will take food from areas where there is an excess and distribute it to needy areas. In addition, the country plans more food imports and is mobilizing United Nations agencies and local businesses to assist.
The drought has destroyed about 1 million hectares (2.5 million acres) of the 2.2 million hectares (5.4 million acres) planted with the staple maize crop, he said.
\u201cThis drought has devastating consequences on many sectors such as agriculture, water availability and energy supply, risking our national food security and the livelihoods of millions of our people. The dry spell is projected to continue even into the month of March, affecting over 1 million of our farming households,\u201d said Hichilema.
Electricity generation has not been spared, with the country expecting a power deficit of about 430 megawatts \u201cpotentially reaching 520 megawatts by December,\u201d he said, as water levels decline at the country\u2019s major source of hydro power, the Kariba Dam, which it shares with neighbor, Zimbabwe.
To cope, the country will import electricity and also ration supplies to its approximately 20 million people, he said.
Zambia was recently hit by one of its worst cholera outbreaks that killed more than 400 people and infected more than 10,000.
Some Zambians, weary of continued crises, have coined songs labeling the outbreaks of coronavirus and cholera as well as the current drought as a \u201ctriple tragedy,\u201d said Hichilema.
Although many countries in southern Africa are yet to declare a national disaster, they are also in a dire situation because of the influence of El Nino weather patterns, according to the U.N agency, the World Food Program.
Parts of Zambia, Zimbabwe and Botswana are experiencing the driest February in the past 40 years, while severe rainfall shortages have been recorded in southern Malawi, eastern Angola and parts of Mozambique, said the WFP in a bulletin this week.
The United States Agency for International Development, the U.S. government\u2019s foreign aid agency, has estimated through its Famine Early Warning Systems Network that 20 million people in southern Africa will need food relief between January and March.
Many people in the areas of highest concern such as Zimbabwe, southern Malawi, parts of Mozambique and southern Madagascar will be unable to feed themselves into early 2025 due to El Nino, USAID said.
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It's leading to billing delays and security concerns", + "headline_extended": "A massive U.S. health care technology company says it was attacked by the ransomware group ALPHV, also known as Blackcat", + "slugline": "AP-US-MED--Health Care-Cybersecurity Attack, 1st Ld-Writethru", + "description_summary": "A massive U.S. health care technology company says it was attacked by the ransomware group ALPHV, also known as Blackcat. Change Healthcare first acknowledged the attack last week. It is affecting health care providers across the country. Mostly it is threatening the security of patients' information and paychecks for medical workers, and also may disrupt discharging patients from the hospital. 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The hack could also disrupt discharging people from the hospital, a major hospital association said.
Change Healthcare announced Thursday that a ransomware group that had claimed responsibility for the attack was at fault. Change Healthcare also said it is assessing the impact of the attack, which it first acknowledged on Feb. 21 and has affected billing and care-authorization portals across the country.
\u201cPatient care is our top priority and we have multiple workarounds to ensure people have access to the medications and the care they need,\u201d Change Healthcare said in a statement.
Owned by UnitedHealth Group, Change Healthcare manages health care technology pipelines, processing 14 billion transactions a year. The company said its investigation determined that Change Healthcare, Optum, UnitedHealthcare and UnitedHealth Group systems have been affected. Change also confirmed Thursday that ransomware group ALPHV, or Blackcat, made the breach. The company didn't respond to a question about whether it paid or negotiated a ransom.
One of the most immediate impacts is that people are seeing delays in getting prescriptions, American Hospital Association spokesperson Ben Teicher said. Change Healthcare said most affected pharmacies are using workarounds like writing things down.
But the severity of the situation may still be unfolding, the American Hospital Association said in an email to The Associated Press. Hospitals are having issues with processing claims, billing patients and checking insurance coverage for care, the AHA said, but the attack also could affect the ability to pay workers and buy medicine and supplies.
\u201cThe impact to hospitals is just now really starting to crystallize and as a result has been underreported,\u201d Teicher said. \u201cAs a result we can\u2019t really speak to the longer term aftermath, but it can result in hospitals not being able to make payroll or patients still waiting for services to be approved.\u201d
Health systems told the Healthcare Association of New York State that they\u2019ve had trouble with various things, including \u201can inability to verify patient eligibility and coverage \u2026 communicate pharmacy prescriptions, file claims \u2026 and receive normal cash flow to support operations, among other issues,\u201d association president Bea Grause said.
Several major health care providers that serve multiple states did not respond to requests for comment.
Cybersecurity experts say ransomware attacks have increased substantially in recent years, especially in the health care sector. This one comes on the heels of an attack last month on a children\u2019s hospital in Chicago, which had to take phone, email and medical records systems offline.
An FBI spokesperson in Tennessee said he could not confirm or deny whether the FBI is investigating. The FBI also said it's \u201caware of this incident\u201d but didn't have anything else to provide because the incident \"is ongoing.\u201d
\u201cAs far as we can tell, the attack is being contained,\u201d said Allan Liska, a threat intelligence analyst at Recorded Future. \u201cWe don\u2019t think it\u2019s going to get worse. But when you have a critical system like this that\u2019s down for an extended period \u2026 the longer it\u2019s down and the longer that recovery takes, the more impact it\u2019s going to have on patient care.\u201d
___
AP correspondent Adrian Sainz in Memphis and Lindsey Whitehurst in Washington contributed to this report.
___
The Associated Press Health and Science Department receives support from the Robert Wood Johnson Foundation. The AP is solely responsible for all content.
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LOUIS (AP) \u2014 Missouri's attorney general filed a lawsuit Thursday accusing Planned Parenthood of illegally taking minors into Kansas to obtain abortions without parental consent, basing the allegation on a video from a conservative group that has promoted false claims on other issues.
Republican Attorney General Andrew Bailey's lawsuit accuses Kansas City, Missouri-based Planned Parenthood Great Plains of violating Missouri law, which makes it illegal to \u201cintentionally cause, aid, or assist a minor to obtain an abortion\u201d without consent from a parent or guardian. The lawsuit filed in state district court in Columbia, Missouri, asks the court to stop Planned Parenthood from engaging in the conduct it alleges.
Bailey's lawsuit provides no evidence of the actions alleged outside of a hidden camera video from a conservative group, Project Veritas. The video is of a conversation between Planned Parenthood employees and someone impersonating someone seeking an abortion for a fictitious 13-year-old.
Project Veritas is known for conducting such hidden camera stings. Earlier this month, it acknowledged that claims it made in a video alleging ballot mishandling at a Pennsylvania post office in 2020 were untrue as it settled a lawsuit against the group by a postmaster. In 2021, a Project Veritas video fueled a false claim online that Pfizer\u2019s COVID-19 vaccine contains aborted fetal cells.
Planned Parenthood Great Plains President and CEO Emily Wales said the lawsuit is based on false information. She said in a statement that Planned Parenthood does not provide any form of transportation for patients. Besides, she said, Kansas law requires minor patients seeking abortion services to have parental consent or to show an order from a Kansas judge authorizing it.
\u201cWe will continue following state and federal laws and proudly providing Missourians with the compassionate sexual and reproductive care that remains available to them in a state with a total abortion ban,\u201d Wales said.
Project Veritas did not immediately respond Thursday to a telephone message or email seeking comment.
Missouri is among several conservative-led states that adopted restrictive abortion laws in 2022, after the U.S. Supreme Court overturned the 1973 Roe v. Wade decision establishing the nationwide right to abortion. State law prohibits almost all abortions, except in cases of \u201cmedical emergencies.\u201d
GOP lawmakers and state officials have long been at odds with Planned Parenthood. The Republican-led Missouri House on Wednesday gave initial approval to a bill that would bar Medicaid funding from going to Planned Parenthood. Weeks earlier, the Missouri Supreme Court thwarted a previous attempt to end that funding.
Bailey said in a statement it is time to \u201ceradicate Planned Parenthood once and for all.\"
Bailey's lawsuit, based on the Project Vertias video, alleges that Planned Parenthood employees said they could take the girl to a Kansas clinic without parental knowledge, using a doctor\u2019s note written by someone at Planned Parenthood to get the girl out of school.
\u201cThis is the beginning of the end for Planned Parenthood in the State of Missouri. What they conceal and conspire to do in the dark of night has now been uncovered,\u201d Bailey said.
Bailey did not say whether he planned to file criminal charges against Planned Parenthood over the conduct the lawsuit alleges. His spokesperson said the office's investigation is ongoing but did not immediately respond to a question about whether criminal charges could be coming.
But Wales said the Project Veritas video \u201cis heavily doctored and edited.\u201d She called the lawsuit \u201ca press release dressed up as legal action from an unelected attorney general.\u201d
The lawsuit also asks the court to prohibit Planned Parenthood from referring minors for abortions, providing doctor's notes for minors, paying for lodging for out-of-state abortions for minors, or coordinating with others for any of those activities.
Democratic House Minority Leader Crystal Quade told reporters that she believes that Bailey's action \u201cfalls in the bucket again of another lawsuit just to try to get some headlines in an election year.\u201d
Bailey was appointed attorney general by Republican Gov. Mike Parson after Eric Schmitt was elected to the U.S. Senate in November 2022. Bailey is running for election to the post this year.
___
Hanna reported from Topeka, Kansas. Summer Ballentine in Jefferson City, Missouri, contributed to this report.
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But dehydration can be dangerous for young children, older people and those with weakened immune systems. The best way to prevent infection? Wash your hands.", + "bylines": [ + { + "by": "By JONEL ALECCIA", + "title": "AP Health Writer" + } + ], + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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Nationwide, about 12% of most recent norovirus tests sent to the CDC were positive, but the proportion was about 16% in the Northeast, the agency said. That compares with nearly 10% of norovirus tests in the Midwest and South and nearly 13% in the West.
Characterized by the sudden onset of vomiting, diarrhea and general feelings of misery, norovirus outbreaks are notorious on cruise ships, nursing homes, jails, schools and other places where people are in close contact.
Here's what you need to know about this wily germ:
Norovirus infections are caused by a group of viruses that spread remarkably easily. It can take as few as 10 viral particles \u2014 \u201ca miniscule amount\u201d \u2014 to make someone sick, said Dr. William Schaffner, a infectious disease expert at Vanderbilt University Medical Center.
Norovirus can spread from person to person, in food or water or on contaminated surfaces. Because it's so contagious, one handshake or a the touch of a contaminated door knob or handrail can be enough to cause illness, experts said.
Illness caused by norovirus typically starts suddenly, in what Schaffner called \u201ca strikingly dramatic way.\u201d A person can go from slightly unwell to miserable within hours.
It usually lasts two to three days. Most people recover fully.
There is no medication to treat norovirus. Dehydration from vomiting and diarrhea is a chief worry, so those most at risk include young children, older people and those with weakened immune systems.
It's important to replace fluids by sipping water, soda or other drinks \u2014 except coffee, tea and alcohol \u2014 during illness, Schaffner said. Anyone experiencing symptoms of dehydration should seek medical help, he added.
The best defense against norovirus infection, especially during the peak winter season, is rigorous and frequent handwashing. Use ordinary soap and warm water and scrub hands vigorously for 20 seconds before meals.
Cleaning surfaces is important, too. Use household disinfectants and scrub well, Schaffner said.
The nationwide trajectory of norovirus doesn't seem very different this year than in past years, but there are still a few weeks left in the winter, experts noted.
The unpleasant truth is that a norovirus surge is to be expected at this time of year, said Dr. Daniel Griffin, an infectious disease expert at Columbia University Medical Center.
\u201cWe often call it \u2018winter vomiting disease,\u2019\u201d he said.
___
The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute\u2019s Science and Educational Media Group. The AP is solely responsible for all content
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LOUIS (AP) \u2014 Federal regulators have issued a $55,000 fine after St. Louis\u2019 largest nursing home closed without warning, although experts said the amount collected will likely be smaller.
The U.S. Centers for Medicare and Medicaid Services announced the fine in a letter to the owners of Northview Village, the St. Louis Post-Dispatch reported.
The 320-bed skilled nursing facility closed suddenly on Dec. 15 as the company that owned it struggled to meet payroll. Starting then and lasting through Dec. 17, when Northview gave up its Medicare and Medicaid contracts, it was \u201cin violation,\u201d documents released this week show.
The letter from the federal agency says that if Northview waives its rights to a hearing, the $18,770-per-day penalty for that three-day span will be reduced by 35%.
Richard Mollot, executive director of the Long Term Care Community Coalition, an advocacy group, said that is the norm for the agency's penalties. He said fines frequently are reduced or eliminated.
\u201cGiven what happened here, I think it\u2019s a fine that\u2019s well below what the egregious behavior of this operator merits,\u201d he said.
Members of the nursing home\u2019s ownership group did not immediately return calls from the Post-Dispatch or The Associated Press seeking comment Wednesday.
The closure was chaotic, with many patients left with nothing but the clothes they were wearing, creating confusion and spurring outrage among residents and their families. Some were relocated without their medical records or medication lists.
One resident with schizophrenia was missing more than three weeks before he was found.
Further complicating the closure, Northview housed many residents on Medicaid who couldn\u2019t get into other long-term care facilities, including people with mental health and behavioral problems, advocates for the residents have said.
\u201cFor everything that happened, it seems low,\u201d said Marjorie Moore, executive director of VOYCE, the regional nursing home ombudsman program.
Last month, U.S. Rep. Cori Bush, a St. Louis Democrat, called for a federal investigation of the owners as well as a probe of Missouri\u2019s system of overseeing nursing homes.
As of Wednesday, Bush\u2019s office had not received any response from the U.S. Department of Health and Human Services and was not aware of any other actions taken on Northview.
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Shares of WW International Inc. tumbled more than 23% in Thursday morning trading.
Winfrey, who told People magazine in December that she was using a weight-loss medication, has served on the company's board since 2015. She will not stand for re-election at WeightWatchers annual meeting in May.
WW International said in a regulatory filing that Winfrey's decision \u201cwas not the result of any disagreement with the company on any matter relating to the company\u2019s operations, policies or practices.\u201d The size of its board will go from 10 to nine members following its annual meeting, the New York company added.
\u201cI look forward to continuing to advise and collaborate with WeightWatchers and CEO Sima Sistani in elevating the conversation around recognizing obesity as a chronic condition, working to reduce stigma, and advocating for health equity,\u201d Winfrey said.
According to FactSet, Winfrey's stake of about 1.1 million shares made her the company's largest individual shareholder, with a stake of 1.43%.
Winfrey said that she will donate her interest in WeightWatchers to the National Museum of African American History and Culture, part of the Smithsonian Institution in Washington. The company said that it supports Winfrey's decision to donate all of her stake to the museum during WeightWatchers upcoming trading window in March.
\u201cMs. Winfrey is making the donation to support the NMAAHC\u2019s goal to promote and highlight the contributions of African Americans and to eliminate any perceived conflict of interest around her taking weight loss medications,\u201d the company said. \u201cIn addition, Ms. Winfrey intends to donate the proceeds from any future exercises of her WW stock options to NMAAHC.\u201d
Nearly a year ago, WeightWatchers said it too was getting into the prescription drug weight loss business with a $106 million deal to buy Sequence, a telehealth provider with annual revenue of about $25 million and about 24,000 members.
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The state has high poverty and abysmal rates of maternal and infant mortality. The state Senate approved a House proposal that allows up to 60 days of \u201cpresumptive eligibility\u201d for Medicaid, starting July 1. Pregnant women with net incomes of nearly twice the federal poverty level would be presumed eligible so they could start seeing a doctor earlier in their pregnancy. The legislation now heads to Republican Gov. Tate Reeves. He hasn\u2019t said whether he will sign or veto it.", + "bylines": [ + { + "by": "By MICHAEL GOLDBERG", + "title": "Associated Press/Report For America" + } + ], + "located": "JACKSON, Miss.", + "datelinelocation": { + "city": "Jackson", + "countryareacode": "MS", + "countryareaname": "Mississippi", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -90.18481, + 32.29876 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. 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(AP) \u2014 The Mississippi Legislature is sending a bill to the governor that will allow women with low incomes to get Medicaid coverage earlier in pregnancy, in an effort to improve health outcomes for mothers and babies in a state with abysmal rates of maternal and infant mortality.
The state Senate approved a House proposal that allows up to 60 days of \u201cpresumptive eligibility\u201d for Medicaid, starting July 1. Pregnant women declaring a net income of up to 194% of the federal poverty level would be able to get outpatient care paid by Medicaid for up to two months, while her application for the government insurance program is being considered.
The legislation now heads to Republican Gov. Tate Reeves, who hasn't said whether he will sign or veto it.
\u201cWe are not a healthy state,\u201d said Republican Sen. Nicole Boyd of Oxford. \u201cAccording to all leading health care experts, the most critical mechanism to prevent adverse pregnancy outcomes and risk is to get adequate prenatal care.\"
Deaths from pregnancy complications have increased in Mississippi in recent years. The state ranks worst in the U.S. for infant mortality, with Black infants nearly twice as likely as white ones to die over the past decade, according to a report unveiled Jan. 18 by the state Department of Health. The state preterm birth rate and maternal mortality rate also lag the rest of the nation.
Those metrics could be improved if low-income women could seek health services earlier in the pregnancy, proponents argue.
Mississippi's income-based Medicaid plan covers the entire pregnancy for women whose families make no more than about twice the federal poverty level, and last year the state extended postpartum Medicaid coverage for the birth mother from two months to a full year.
Presumptive Medicaid eligibility during pregnancy would still be based on income. If a woman\u2019s Medicaid application is ultimately rejected because her income is too high, Medicaid would still pay health care providers for services they provided during the time of presumptive eligibility.
The bill does not introduce any new eligibility category or expand Medicaid coverage. It would cost the state about $567,000, far less than the cost of treating large numbers of preterm births, Boyd said.
The state is expecting more births each year as a result of the U.S. Supreme Court decision last summer overturning the 1973 Roe v. Wade ruling, which had established a nationwide constitutional protection for abortion. The court used a Mississippi case to overturn the case, a legal effort the state\u2019s leaders have lauded.
In 2023, Mississippi extended postpartum Medicaid coverage for the birth mother from two months to a full year. Republican Lt. Gov. Delbert Hosemann said the latest measure was another way to shore up support for mothers.
\u201cPro-life is pro-child. Mississippi mothers need access to healthcare the moment they find out they are pregnant and this legislation will accomplish that,\" Hosemann said in a written statement.
____
Michael Goldberg is a corps member for the Associated Press/Report for America Statehouse News Initiative. Report for America is a nonprofit national service program that places journalists in local newsrooms to report on undercovered issues.
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Given that the topic is 'Health,' the document is highly relevant as it directly addresses health-related issues, policies, and outcomes." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/02/29/e0f1372cdb3f241c9665cdf556adc65a.json b/datasets/AP_news/raw_data/2024/02/29/e0f1372cdb3f241c9665cdf556adc65a.json new file mode 100644 index 0000000..13bb422 --- /dev/null +++ b/datasets/AP_news/raw_data/2024/02/29/e0f1372cdb3f241c9665cdf556adc65a.json @@ -0,0 +1,296 @@ +{ + "altids": { + "itemid": "e0f1372cdb3f241c9665cdf556adc65a", + "etag": "e0f1372cdb3f241c9665cdf556adc65a_0a10aza0c0", + "friendlykey": "23138385248", + "referenceid": "US--Abortion-Montana" + }, + "version": 0, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-02-29T22:53:22Z", + "firstcreated": "2024-02-29T22:53:21Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: Updates Media.", + "signals": [ + "newscontent" + ], + "title": "US--Abortion-Montana", + "headline": "Montana judge declares 3 laws restricting abortion unconstitutional, including a 20-week limit", + "headline_extended": "A Montana judge has declared that three state laws restricting abortion access are unconstitutional, including a ban on abortions beyond 20 weeks of gestation", + "slugline": "BC-US--Abortion-Montana", + "description_summary": "A Montana judge has declared that three state laws restricting abortion access are unconstitutional, including a ban on abortions beyond 20 weeks of gestation. Thursday's ruling granted a motion for summary judgment filed by Planned Parenthood of Montana. One law sought to ban telehealth prescriptions of abortion medication and required a 24-hour waiting period after giving informed consent. Another law required providers to offer patients the option of viewing an ultrasounds or listening to the fetal heart tone. The state plans to appeal to the Montana Supreme Court. The judge's ruling was based on a 1999 Montana Supreme Court ruling that held the state Constitution's right to privacy protects the right to a pre-viability abortion.", + "bylines": [ + { + "by": "By AMY BETH HANSON", + "title": "Associated Press" + } + ], + "located": "HELENA, Mont.", + "datelinelocation": { + "city": "Helena", + "countryareacode": "MT", + "countryareaname": "Montana", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -112.03611, + 46.59271 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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(AP) \u2014 Three Montana laws restricting abortion access are unconstitutional, including a ban on abortions beyond 20 weeks of gestation, a state judge said in granting a motion for summary judgment filed by Planned Parenthood of Montana.
The 20-week ban and the two other laws passed by the Republican-controlled Legislature in 2021 \u2014 one that banned telehealth prescriptions of abortion medication and required a 24-hour waiting period after giving informed consent, and another that required providers to offer patients the option of viewing an ultrasound or listen to the fetal heart tone \u2014 had been blocked by a preliminary injunction that was granted in October 2021.
\u201cWe are relieved that Montanans will no longer live with the threat of these harmful restrictions taking effect,\u201d Martha Fuller, president and CEO of Planned Parenthood of Montana, said in a statement. But she said the organization's efforts continue, noting Montana's Legislature in 2023 passed another slate of bills seeking to limit abortion access.
\u201cWe will never stop working to ensure that all Montanans and those who are forced to travel here for care can access the care they need,\u201d Fuller said.
District Court Judge Kurt Krueger's decision cited a 1999 Montana Supreme Court ruling that said the state Constitution's right to privacy includes a woman's right to obtain a pre-viability abortion from the provider of her choice. That ruling did not say at what point a fetus becomes viable, saying it is a complex concept determined by medical judgment and that cannot be reduced to a gestational age.
The state argued that the 1999 Armstrong ruling was wrongly decided and has tried unsuccessfully on several occasions to get the Montana Supreme Court to overturn it.
The state plans to appeal Judge Krueger's ruling, said Emilee Cantrell, spokeswoman for the Department of Justice.
\u201cAttorney General Knudsen remains committed to protecting the health and safety of women and unborn babies in Montana,\u201d she said in an emailed statement.
However, Thursday's ruling notes that: \u201cCourts are particularly wary of ideological or sectarian legislation presented as healthcare interests.\u201d
Montana's Armstrong ruling said that legal limits imposed under the \u201cguise of protecting the patient's health,\u201d but actually driven by \u201cunrelenting pressure from individuals and organizations promoting their own beliefs\" are impermissible and \u201dmorally indefensible.\"
Abortion restrictions passed in Montana in 2023 that are being challenged include one that banned most dilation and evacuation abortions, the type used most often after 15 weeks of gestation; one to require prior authorization before Medicaid would pay for abortions, and one to say only physicians and physician assistants can perform abortions.
Montana's Supreme Court ruled in May 2023 that properly trained advanced practice registered nurses can also provide abortion care.
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These aspects are highly relevant to the topic of Health as they pertain to reproductive health services, legal healthcare rights, and the broader implications for public health policy." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/02/29/ede5b126e4f2f47fa179465c364f5549.json b/datasets/AP_news/raw_data/2024/02/29/ede5b126e4f2f47fa179465c364f5549.json new file mode 100644 index 0000000..d077100 --- /dev/null +++ b/datasets/AP_news/raw_data/2024/02/29/ede5b126e4f2f47fa179465c364f5549.json @@ -0,0 +1,297 @@ +{ + "altids": { + "itemid": "ede5b126e4f2f47fa179465c364f5549", + "etag": "ede5b126e4f2f47fa179465c364f5549_1a10aza0c0", + "friendlykey": "152790342087", + "referenceid": "US-Transgender Health-Texas-Lawsuit" + }, + "version": 1, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-02-29T20:51:07Z", + "firstcreated": "2024-02-29T18:35:45Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: Adds details", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "US-Transgender Health-Texas-Lawsuit", + "headline": "LGBTQ+ advocacy group sues Texas AG, says it won't identify transgender families", + "headline_extended": "A national LGBTQ+ advocacy group is suing the Texas Attorney General, rather than handing over information about transgender children receiving gender-confirming medical care", + "slugline": "AP-US-Transgender Health-Texas-Lawsuit, 1st Ld-Writethru", + "description_summary": "A national LGBTQ+ advocacy group is suing the Texas Attorney General, rather than handing over information about transgender children receiving gender-confirming medical care. PFLAG National says in its lawsuit filed Wednesday that the Republican Ken Paxton's office is demanding \u201cdocuments and communications\u201d related to a sworn statement by the group's CEO about Texas families making contingency plans when Texas banned their children's medical care. PFLAG is asking a Texas judge to block Paxton\u2019s request. A spokesperson for Paxton\u2019s office did not immediately return an email request seeking comment.", + "bylines": [ + { + "by": "By KIMBERLEE KRUESI and GEOFF MULVIHILL", + "title": "Associated Press" + } + ], + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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According to the lawsuit filed Wednesday in Texas court, PFLAG National says Republican Attorney General Ken Paxton's office is demanding \u201cdocuments and communications\u201d related to a sworn statement the group's CEO Brian Bond provided to a court last year while opposing the state's transgender youth medical care ban.
Bond's statement at the time detailed how many PFLAG members had set up contingency plans should their child's medical care be cut off, ranging from finding resources to move out of state to finding alternative care inside Texas. Bond's affidavit was submitted shortly after Republican Gov. Greg Abbott signed a sweeping gender-affirming care ban for minors.
The lawsuit alleges that the attorney general is \u201cseeking to determine which Texas families are seeking to access gender-affirming care for their transgender adolescents.\u201d
PFLAG is asking the state court to block Paxton\u2019s request.
\"This mean-spirited demand from the Attorney General\u2019s Office is petty and invasive, which is why we want the court to put an end to it,\u201d Bond said in a statement.
Texas has a history of battling PFLAG in court. The state in 2022 adopted a policy of investigating families of transgender children who have received gender-affirming care as child abuse cases. Later that year, a judge blocked the investigations against the families and barred any similar investigations against members of PFLAG.
PFLAG says the attorney general is improperly using a state consumer protection law \u2014 which does include a provision prohibiting misrepresentation surrounding transgender medical procedures \u2014 to justify their information requests, which they claim is wrong because their group does not provide gender-affirming services.
According to the civil investigative demand letter sent to PFLAG on Feb. 9, Paxton\u2019s office said \u201cthe division believes you are in possession, custody or control of documentary material relevant to the subject matter of an investigation of actual or possible violation\u201d of the Texas Deceptive Trade Practices-Consumer Protect Act.
The letter seeks documents dating back to when the state's gender-affirming care ban minors, known as SB 14, went into effect in June 2023.
In a statement, Paxton said PFLAG appears to have \u201csignificant information about persons or practitioners\" violating the law.
\"Texas passed SB 14 to protect children from damaging, unproven medical interventions with catastrophic lifelong consequences for their health,\" Paxton said. \u201cAny organization seeking to violate this law, commit fraud, or weaponize science and medicine against children will be held accountable.\u201d
Currently, Texas is one of at least 23 states that has adopted a ban on gender-affirming care for minors in recent years.
The bans generally mean that people under 18 have to go to another state for puberty blocker or hormone therapy \u2013- or stop treatment. They also ban gender-affirming surgeries for minors, but those are exceptionally rare for those under 18.
The group's lawsuit alleges that Paxton's latest request is a direct response to their continued defense of transgender youth.
\u201cThese demands are a clear and unmistakable overreach by the (Office of the Attorney General) in retaliation for PFLAG successfully standing up for its members, who include Texas transgender youth and their families, against the OAG\u2019s, the Attorney General\u2019s, and the State of Texas\u2019s relentless campaign to persecute Texas trans youth and their loving parents,\u201d the lawsuit states.
Since last year, Texas has also demanded records from at least two out-of-state health centers that provide gender-affirming care.
Seattle Children\u2019s Hospital disclosed in court filings that it received a demand in November. The Washington state attorney general\u2019s office has intervened, invoking for the first time a 2023 law that blocks people in Washington from cooperating with criminal or civil investigations by officials in other states related to gender-affirming care or abortion.
QueerMed, a Georgia-based online telemedicine provider of gender-affirming care, has said it too received a request and would not comply. The organization says it does not treat patients in Texas.
", + "textformat": "bx", + "links": [ + { + "href": "https://apnews.com/article/transgender-texas-lawsuit-youth-ede5b126e4f2f47fa179465c364f5549", + "rel": "canonical" + } + ], + "topics": { + "Health": { + "relevance_score": 4, + "reason": "The document discusses a lawsuit involving an LGBTQ+ advocacy group and the Texas Attorney General's office over the provision of gender-affirming medical care for transgender youth. While the primary focus is on legal and advocacy issues, the underlying topic is closely related to health, specifically the health care and medical treatment of transgender minors. The document also touches on the implications of state laws on access to health care services for transgender individuals. Therefore, it is relevant to the topic of health, but not exclusively focused on health-related details." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/02/29/f87834b56377e20eeb8038abef74d049.json b/datasets/AP_news/raw_data/2024/02/29/f87834b56377e20eeb8038abef74d049.json new file mode 100644 index 0000000..21af990 --- /dev/null +++ b/datasets/AP_news/raw_data/2024/02/29/f87834b56377e20eeb8038abef74d049.json @@ -0,0 +1,256 @@ +{ + "altids": { + "itemid": "f87834b56377e20eeb8038abef74d049", + "etag": "f87834b56377e20eeb8038abef74d049_1a8aza0c0", + "friendlykey": "348523367691", + "referenceid": "US-MED--RSV Vaccine" + }, + "version": 1, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-02-29T22:39:28Z", + "firstcreated": "2024-02-29T22:15:12Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: Updates Media.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "US-MED--RSV Vaccine", + "headline": "Officials investigate rare nervous system disorder in older adults who got RSV vaccine", + "headline_extended": "Health officials are investigating whether there's a link between two new RSV vaccines and cases of a rare nervous system disorder", + "slugline": "AP-US-MED--RSV Vaccine, 1st Ld-Writethru", + "description_summary": "Health officials are investigating whether there's a link between two new RSV vaccines and cases of a rare nervous system disorder. The inquiry is based on fewer than two dozen cases seen among more than 9.5 million vaccine recipients. Officials say that currently available information is too limited to establish whether the shots caused the illnesses. Most people fully recover from the syndrome, but some have permanent nerve damage. The data was presented Thursday at a meeting on an expert panel that provides vaccine policy advice to the Centers for Disease Control and Prevention.", + "bylines": [ + { + "by": "By MIKE STOBBE", + "title": "AP Medical Writer" + } + ], + "located": "NEW YORK", + "datelinelocation": { + "city": "New York", + "countryareacode": "NY", + "countryareaname": "New York", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -74.00597, + 40.71427 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. 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The inquiry is based on fewer than two dozen cases seen among more than 9.5 million vaccine recipients, health officials said Thursday. And the available information is too limited to establish whether the shots caused the illnesses, they added.
But the numbers are higher than expected and officials are gathering more information to determine if the vaccines are causing the problem. The data was presented at a meeting of an expert panel that provides vaccine policy advice to the Centers for Disease Control and Prevention.
Officials said they were investigating more than 20 cases of Guillain-Barre syndrome, an rare illness in which a person\u2019s immune system damages nerve cells, causing muscle weakness and paralysis. An estimated 3,000 to 6,000 people develop GBS in the U.S. each year, and it's more commonly seen in older people, according to the CDC.
Most people fully recover from the syndrome, but some have permanent nerve damage. Guillain-Barre can occur in people after they are infected with a virus, but in some instances cases have been linked to vaccinations.
RSV, or respiratory syncytial virus, is a common cause of cold-like symptoms but it can be dangerous for infants and the elderly.
Last year, the CDC signed off on a recommendation made by the advisory panel, aimed at Americans age 60 and older. It was for a single dose of RSV vaccine. There were two options, one made by Pfizer and the other by GSK.
The CDC said that patients should talk to their doctors about the vaccines and then decide whether to get it.
Officials were aware that instances of Guillain-Barre had been identified in clinical trials done before the shots were approved for sale, and that different systems were watching for signs of problems.
At a meeting of the expert panel on Thursday, CDC officials presented an analysis of the reports taken in by those systems.
About two-thirds of the cases occurred in people who got a version of the vaccine made by Pfizer, called Abrysvo. But officials are also doing follow-up tracking in people who got Arexvy, made by GSK.
About two cases of Guillain-Barre might be seen in every 1 million people who receive a vaccine, health officials estimate. A CDC analysis found the the GSK rate was lower than that, but 4.6 cases per million were reported in recipients of the Pfizer shot.
Data from the U.S. Food and Drug Administration also showed an above-expected number of Guillain-Barre cases being reported in RSV vaccine recipients, with more among Pfizer shot recipients.
\u201cTaken together, these data suggest a potential increased risk\u201d in RSV vaccine recipients 60 and older that must be explored, said Dr. Tom Shimabukuro, a CDC vaccine safety monitoring official.
Officials from GSK and Pfizer made brief statements during the meeting, noting that sorting out a safety signal is complicated.
\u201cPfizer is committed to the continuous monitoring and evaluation of the safety of Abrysvo\u201d and is conducting four safety studies to look into the possibility of vaccine-related GBS, said Reema Mehta, a Pfizer vice president.
CDC officials also presented estimates that the vaccines have prevented thousands of hospitalizations and hundreds of deaths from RSV, and that current data indicates the benefits of vaccination outweigh the possible risks.
___
The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute\u2019s Science and Educational Media Group. The AP is solely responsible for all content.
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They propose a video", + "headline_extended": "South Dakota\u2019s Republican-controlled Legislature has approved the creation of a video to outline the state\u2019s abortion laws and to clarify when health care providers are legally allowed to intervene", + "slugline": "AP-US--Abortion-South-Dakota", + "description_summary": "South Dakota\u2019s Republican-controlled Legislature has approved the creation of a video to outline the state\u2019s abortion laws and to clarify when health care providers are legally allowed to intervene. South Dakota outlaws all abortions except to save the life of the mother, under a trigger ban that took effect in 2022 after the U.S. Supreme Court overturned Roe v. Wade. The bill\u2019s sponsor says the legislation is for clarity to providers about when they can intervene. The bill would require input from the state attorney general and legal and medical experts. The bill now heads to Republican Gov. Kristi Noem.", + "bylines": [ + { + "by": "By JACK DURA", + "title": "Associated Press" + } + ], + "located": "PIERRE, S.D.", + "datelinelocation": { + "city": "Pierre", + "countryareacode": "SD", + "countryareaname": "South Dakota", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -100.35097, + 44.36832 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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(AP) \u2014 South Dakota\u2019s Republican-controlled Legislature on Thursday approved the creation of a video to outline the state\u2019s abortion laws and to clarify when health care providers are legally allowed to intervene.
The bill passed by the state Senate in a 31-3 vote is also intended for the general public and would require the state Department of Health, which answers to Republican Gov. Kristi Noem, to create the informational video \u201cand other materials\u201d by Sept. 1. Creation of the video would take place in consultation with the state attorney general and legal and medical experts, describing how the state\u2019s abortion laws should be applied.
The bill previously passed in the House by a 63-6 margin, and now heads to Noem.
South Dakota outlaws all abortions except to save the life of the mother under a trigger ban that took effect in 2022 after the U.S. Supreme Court overturned Roe v. Wade.
Republican Rep. Taylor Rehfeldt said she brought the bill for clarity to providers who had questions about when they could intervene to save the life of a mother.
The bill seeks to provide clarification without \u201cthe noise of politics around the abortion issue,\u201d Rehfeldt said last week during an interview with The Associated Press. Efforts to clarify or redefine the statute itself likely would have failed, having little consensus around the issue, she said.
Republican Sen. Erin Tobin told a Senate panel on Wednesday that a video could be used by hospitals and health care systems \u201cto review their policies and to educate all employees\" and would be \u201can actual way to battle misinformation in the state of South Dakota.\u201d The video will be publicly accessible online, she said.
But \u201cthere will not be specific (pregnancy complication) circumstances in this video. That's the problem with health care, is that there are so many different circumstances that you have to allow doctors discretion,\u201d Tobin said.
She also said she didn't know whether the video will have a legal disclaimer.
Sanford Health, a South Dakota-based health care system, asked the panel to support the bill. Senior legislative affairs specialist Ally Brandner said, \u201cAt Sanford, we realize that we are entrusted with both the life of the pregnant mother and the child, and we appreciate the sponsor's efforts to provide clarity around our abortion (laws).\u201d
Noem spokesman Ian Fury, who is the governor\u2019s \u201cunborn child advocate,\u201d said the administration will make the proposed video and materials available on South Dakota's pregnancy resource website \u201cto make sure that we are offering peace and knowledge to moms, families and the general public and that they can access those resources as well.\u201d
American Civil Liberties Union of South Dakota Advocacy Manager Samantha Chapman said the bill \u201cdoes not solve the fundamental problem that we're facing here, which is that our underlying statutes are too vague to reasonably inform a medical practitioner as to what they are legally allowed to do in an emergency.\u201d
The video's budget is expected to be $50,000, but it might cost less, Health Secretary Melissa Magstadt told the Senate panel.
A proposed ballot initiative would place abortion rights in South Dakota's constitution. The Legislature inked its official opposition to the measure earlier this month with a resolution against it.
Democratic Senate Minority Leader Reynold Nesiba said the video bill would open the state to litigation for attempting to influence the measure's election outcome.
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Government officials warned that strikers would face legal repercussions if they didn\u2019t return to their hospitals by Thursday. As of Wednesday night, about 9,076 of the country\u2019s 13,000 medical interns and residents were not at their workplaces, according to the Health Ministry. Observers say many strikers are likely to defy the deadline.", + "bylines": [ + { + "by": "By HYUNG-JIN KIM and JIWON SONG", + "title": "Associated Press" + } + ], + "located": "SEOUL, South Korea", + "datelinelocation": { + "city": "Seoul", + "countrycode": "KOR", + "countryname": "South Korea", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + 126.9784, + 37.566 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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Thousands of medical interns and residents have been on strike for about 10 days to protest the government\u2019s push to boost medical school enrollments. Government officials have warned that strikers would face legal repercussions if they don\u2019t return to their hospitals by Thursday.
As of Wednesday night, about 9,076 of the country\u2019s 13,000 medical interns and residents were confirmed to have left their hospitals after submitting resignations, according to the Health Ministry. It said 294 strikers had returned to work.
There was no word on any others going back to their jobs as of 10 p.m. (1300 GMT) Thursday.
Observers say many strikers are likely to defy the deadline, continuing the work boycott for weeks or months. The government is expected to begin formal steps toward penalties on Monday, as Friday is a national holiday.
\u201cWe\u2019ve said that we won\u2019t hold them responsible for leaving their worksites if they return by today,\u201d Vice Health Minister Park Min-soo told a briefing. \u201cDoctors are there to serve patients, and those patients are anxiously waiting for you. This isn\u2019t the way to protest against the government.\u201d
Later Thursday, Park met some striking doctors for more than three hours, but there were no reports of a breakthrough. Officials invited 94 representatives of the strikers to the meeting, but Park said less than 10 showed up and they were ordinary strikers, not leaders. Park said they asked him about the government's recruitment plan and he called for them to end their walkouts.
Ryu Ok Hada, one of the striking doctors, told reporters that he wouldn\u2019t attend the meeting. He accused the government of treating the striking junior doctors \u201clike criminals and inflicting humiliation on them.\u201d
Starting March 4, the government will notify doctors who miss the deadline that it plans to suspend their licenses and will give them opportunities to respond, senior Health Ministry official Kim Chung-hwan said.
Under South Korean law, the government can order doctors back to work if it sees grave risks to public health. Those who refuse to abide by such orders can have their medical licenses suspended for up to one year and also face up to three years in prison or a 30 million won (roughly $22,500) fine. Those who receive prison sentences would be stripped of their medical licenses.
Some observers say authorities will probably punish only leaders of the strike to avoid further straining hospital operations.
At the center of the dispute is a government plan to admit 2,000 more applicants to medical schools starting next year, a two-thirds increase from the current 3,058. The government says it aims to add up to 10,000 new doctors by 2035 to cope with the country\u2019s fast-aging population. Officials say South Korea\u2019s doctor-to-population ratio is one of the lowest among industrialized countries.
But many doctors reject the plan, arguing that universities aren\u2019t ready to provide quality education to that many new students. They also say the government plan would also fail to address chronic shortage of doctors in essential but low-paying specialties like pediatrics and emergency departments.
But their critics say the striking junior doctors simply worry about expected lower income because of the sharply increased number of fellow doctors. The government\u2019s plan is broadly popular with the South Korean public, according to a poll.
\u201cDoctors must cure sick people. If they all leave, who\u2019s going to treat them? Everyone would die,\u201d Kim Young Ja, an 89-year-old housewife, said near a Seoul hospital.
The country\u2019s 13,000 trainee doctors represent a small fraction of South Korea\u2019s 140,000 doctors, but they account for about 30%-40% of the total doctors at some major hospitals and perform many vital functions to support senior medical staff.
The doctors\u2019 walkouts have caused the cancellation or delay of several hundred surgeries and other medical treatments at their hospitals, according to the Health Ministry. The ministry says the country\u2019s handling of emergency and critical patients remains largely stable, as public medical institutions extended their working hours and military hospitals opened their emergency rooms to the public.
But experts say if senior doctors join the trainee doctors\u2019 strikes, South Korea\u2019s medical service would suffer serious damage. The Korea Medical Association, which represents the country\u2019s 140,000 doctors, has said it supports the trainee doctors, but hasn\u2019t yet decided whether to join the walkouts.
A 60-year-old patient who was diagnosed with breast cancer six weeks ago said she hopes for an early end to the walkouts so that her treatment would go ahead smoothly.
\u201cFor my cancer not to worsen, I need to receive treatments at the right time. So I hope the trainee doctors will return to work as soon as possible, normalizing hospital operations,\u201d said the woman, who wished to be only identified by her surname, Yu, citing privacy concerns.
___
Associated Press journalists Ahn Young-joon, Yong Ho Kim and Yong Jun Chang contributed to this report.
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The agency agreed that there is some evidence, but not significant scientific agreement, that eating at least 2 cups of yogurt per week may reduce the chance of developing the disease that affects about 36 million Americans.
FDA has allowed qualified health claims \u2014 a claim that lacks full scientific support but is allowed as long as there are disclaimers to keep from misleading consumers \u2014 for dietary supplements since 2000 and foods since 2002. The agency had faced lawsuits that challenged the standard of requiring scientific agreement based on claims that it violated free speech guarantees.
Among the allowed qualified health claims: consuming some types of cocoa may reduce heart disease and cranberry juice might reduce the risk of recurrent urinary tract infections in women.
For yogurt, Danone North America, the U.S. branch of the French firm whose brands include Dannon, Activia and Horizon Organics yogurts, requested a qualified health claim in 2018. It submitted information from studies that observed participants over time and found a link between eating yogurt and lower markers of diabetes. The FDA agreed that there \u201cis some credible evidence\u201d of benefit from eating yogurt as a whole food, but not because of any particular nutrient in it.
Critics said the label change is not based on gold-standard randomized controlled trials that could have proven whether yogurt reduces diabetes risk.
No single food can reduce the risk of a disease that is tied to overall diet, the advocacy group Center for Science in the Public Interest said. It also said the label change might raise the risk of diabetes by encouraging consumption of yogurt, including types that include added sugars, and mix-ins such as cookies and pretzels.
Marion Nestle, a food policy expert, said qualified health claims based on limited evidence are \u201cridiculous on their face.\u201d
\u201cTranslation: If you want to believe this, go ahead, but it's not on the basis of evidence,\u201d she said.
___
The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute\u2019s Science and Educational Media Group. The AP is solely responsible for all content.
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states have bans and others are protecting access.
More than a year and a half since the U.S. Supreme Court ruled overturned Roe v. Wade and the nationwide right to abortion, the details of what that means are still in flux. With lawsuits still pending and ballot questions on the horizon, that's the one thing that's not likely to change quickly.
Here are things to know about developments across the country this week.
A Montana judge on Thursday rejected restrictions on abortion that were adopted in 2021, possibly setting up a chance for the Montana Supreme Court to revisit its 1999 ruling that protected a woman's right to abortion until the fetus is viable.
The 2021 laws were put on hold and never took effect.
They would have banned abortion after 20 weeks' gestation, banned telehealth prescription of abortion pills, required a 24-hour waiting period after giving consent and required providers to show women an ultrasound or hear a fetal heart tone before providing an abortion.
The state government plans to appeal the ruling, possibly putting it on a path for another showdown at the state's top court. The high court has previously declined to reverse the 1999 decision \u2014 including when it backed up a lower court's decision to pause enforcement of the 2021 laws.
A judge last year also put on hold enforcement of more restrictions the state adopted last year, including a ban on dilation and evacuation abortions \u2014 the most common procedure after 15 weeks' gestation.
Abortion rights groups are pushing for a ballot question to amend the state constitution to protect reproductive freedom, including the right to abortion.
There have been legal and legislative battles over abortion access in the U.S. for generations, but everything changed when the U.S. Supreme Court in 2022 overturned Roe v. Wade, the 1973 ruling that had protected access nationwide.
Since then, bans have taken effect in most Republican-controlled states, including 14 where abortion is banned at all stages of pregnancy, with varying limited exceptions. Most Democrat-controlled states have sought to protect access.
Those changes are reflected in data released this week by #WeCount for the Society of Family Planning. The group finds that the number of abortions per month nationally is similar to what it was before the court's ruling.
Although the number of monthly abortions has dropped to nearly zero in states with bans, they have risen in states that allow abortion \u2014 and a larger portion of them use pills prescribed by telehealth.
West Virginia's state Senate this week approved a measure to require eighth and 10th graders to see a video on fetal development.
The \u201cBaby Olivia\u201d video is being used in classrooms in North Dakota and there's legislation that aims to require it in Iowa, Kentucky and Missouri.
Though it was approved in West Virginia's Senate, Republican Senate Majority Leader Tom Takubo, a pulmonologist, objected, saying the video has \u201cgrossly inaccurate information\u201d contradictory to science. The bill now heads to the House of Delegates.
Meanwhile, South Dakota is looking to produce another video to guide medical providers on when to apply the one exception to the state's abortion ban. Under state law, abortion is allowed only to save the life of the woman.
This week, the state Senate approved the plan, which had already passed the House, this week. It now heads to Republican Gov. Kristi Noem for her signature.
Missouri\u2019s attorney general is suing Planned Parenthood, asserting that the organization is illegally transporting minors from Missouri \u2014 where most abortions are banned \u2014 to obtain them in Kansas.
The claim is based on a conservative group\u2019s hidden-camera video of someone seeking an abortion for a fictitious 13-year-old.
Planned Parenthood denies the claim.
The office of Attorney General Andrew Bailey, a Republican running for election this year, has not said whether criminal charges could be filed, too.
The abortion bans across the U.S. seek to criminalize doctors and others who provide abortions and in many cases those who help women seeking abortions \u2014 but they stop short of allowing charges against those women themselves.
Still, a 26-year-old who self-managed an abortion in 2022 in Texas was charged there with murder and spent two nights in jail before being released and having the charges dropped.
It was revealed this week that the prosecutor who oversaw the case has been disciplined for his role in it. Starr County District Attorney Gocha Ramirez must pay a $1,250 fine and have his license held in a probated suspension for 12 months under a settlement agreement with the State Bar of Texas.
Ramirez says he made a mistake and agreed to the deal because it will keep his office running.
Alabama lawmakers this week advanced bills to protect fertility clinics after the state's Supreme Court issued a ruling last month that could be devastating for them.
The court ruled that frozen embryos are the legal equivalent of children. Three large clinics quickly halted offering in vitro fertilization, a devastating outcome for people trying to expand their families.
Abortion rights advocates \u2014 including U.S. Health and Human Services Secretary Xavier Becerra on a visit to Alabama this week \u2014 have framed the court's ruling as a consequence of overturning Roe v. Wade and part of a conservative effort to ban abortion by declaring that embryos and fetuses have the rights of people.
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A 24-year-old man who allegedly attacked the 57-year-old victim at Twin Valley Behavioral Healthcare in Columbus in July 2022 is charged with murder and felonious assault. The workers are charged with involuntary manslaughter and patient abuse or neglect. The Twin Valley facility is where courts around Ohio send people accused of crimes for forensic psychological evaluation. It also houses patients with severe mental health needs who have been referred there by other mental or behavioral health facilities.", + "located": "COLUMBUS, Ohio", + "datelinelocation": { + "city": "Columbus", + "countryareacode": "OH", + "countryareaname": "Ohio", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -82.99879, + 39.96118 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. 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A 24-year-old man who allegedly attacked the 57-year-old victim at Twin Valley Behavioral Healthcare in Columbus on July 23, 2022, is charged with murder and felonious assault, The Columbus Dispatch reported Friday.
At the time, the alleged attacker was being evaluated by forensic psychologists at the facility to determine whether he was competent to stand trial in a sexual battery case, according to county court records.
The victim had been at the facility for about a month, according to Cuyahoga County court records, after being found not competent in a 2022 case where he was charged with murder in the September 2021 death of a woman.
The facility is where courts around Ohio send people accused of crimes for forensic psychological evaluation. It also houses patients with severe mental health needs who have been referred there by other mental or behavioral health facilities.
Details about the attack and what may have prompted it have not been disclosed. An autopsy by the Franklin County Coroner\u2019s Office found the victim died from blunt force injury to the head.
John Traylor, 65, and Augustine Norris, 66 \u2014 who both were psychiatric assistants at the facility before they retired last spring \u2014 and Julie Willoughby, 40, who was a nurse, are each charged with involuntary manslaughter and patient abuse or neglect, according to court records.
All four were indicted by a county grand jury, and the charges were made public Friday. Court records did not show that any of the four have retained attorneys, nor did they list telephone numbers for them.
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Eric Smith is taking steps to return to full duty as commandant of the Marine Corps, about four months after being sidelined due to a heart attack, according to defense officials.
Smith quietly returned to the Pentagon on one occasion a few weeks ago, and was again in the building for a few hours on Friday. Officials said he has been listening in on meetings in recent weeks and getting updates in order to be prepared when he eventually returns to full duty as commandant. They said that return could happen in the coming weeks. The officials spoke on condition of anonymity to discuss plans not yet made public.
On Oct. 29, Smith suffered cardiac arrest near his home at Marine Barracks Washington and was hospitalized. He underwent successful surgery i n early January to repair a bicuspid aortic valve in his heart, which was the cause of his cardiac arrest. At that time, the Marine Corps said he \"will return to full duty status as Commandant.\u201d
The assistant commandant, Gen. Christopher Mahoney, has been serving as the acting head of the Marine Corps since Smith\u2019s hospitalization. He will continue to do so until Smith returns to full duty, which officials said will be done after consultation with medical doctors.
Smith was confirmed as the new commandant on Sept. 21. His heart attack came just two days after he\u2019d talked publicly about the stress of having to do the Marine Corps' top two high-level jobs for the service \u2014 commandant and assistant commandant \u2014 for several months because Mahoney\u2019s nomination for the No. 2 job had been held up by Republican Sen. Tommy Tuberville.
Tuberville had blocked hundreds of military promotions and nominations for months due to his opposition to Pentagon policy paying for troops\u2019 travel for abortions and other reproductive care. Under pressure from lawmakers on both sides of the political aisle, Tuberville ended his holds in December, allowing the Senate to confirm more than 435 nominations.
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Scorching temperatures and a lack of air conditioning force people out of their homes and they say the mosquitoes descend on them, fueling an alarming spread of dengue in this city and the South American country.
\"You go out to get some air and the mosquitoes arrive suddenly and attack you,\u201d said Segundo Ramos, a Peruvian driver who got the disease several days ago.
\u201cMy neighbor has dengue, over there they also have dengue,\u201d said Ramos, sitting in his one-story house, shirtless, with shorts and sandals as he endures the 97 degree (36 degree Celsius) temperature. \u201cThere are three or four sick neighbors within 100 meters.\u201d
With 5,275 dengue cases, Piura was by Friday the second hardest-hit city in Peru. A few days ago, it was the hardest hit. In total, Peru has registered more than 34,000 cases of dengue in the first eight weeks of this year, twice as high as in the same period in 2023, according to the nation\u2019s health ministry.
Peru's government declared a health emergency in most of its provinces on Monday due to the rising number of cases, which come amid higher than normal temperatures caused by the El Ni\u00f1o weather pattern.
Authorities in Piura have begun setting up specials areas in hospitals to receive dengue patients.
A dengue epidemic last year put Peru\u2019s public health system under strain as thousands sought care in emergency rooms. But while last year's epidemic killed 21 people in Peru, dengue has claimed the lives of 44 Peruvians in the first two months of this year alone.
Santiago Valdez, a specialist in tropical diseases sent to Piura, said the water shortage and storage practices are fueling the disease, which is spread by Aedes Aegypti, a mosquito that reproduces in hot and humid conditions.
\u201cPeople are forced to collect (water) and no matter how much one tries to have closed containers, there is always carelessness and the mosquitoes take the opportunity to lay their eggs and reproduce,\u201d he said.
Although most dengue cases present light symptoms, the disease can cause severe headaches, fevers and muscle pains.
In December, the World Health Organization said that Peru\u2019s 2023 dengue epidemic was linked to rains and hot temperatures that helped mosquito populations to grow, especially in the north of the country.
Health Minister C\u00e9sar V\u00e1squez acknowledged on Thursday that dengue \u201cis not under control\u201d and the cases \u201cwill continue to grow.\u201d
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The 87-year-old Pontiff, who was taken to a Roman hospital on Wednesday for diagnostic testing after having to cancel some public audiences, handed his speech to his aide, Mons. Filippo Ciampanelli.
\u201cI still have a cold and I get fatigued after reading for a while,\u201d he said. Francis, who has been hospitalized three times since becoming pope in 2013, began using a wheelchair and cane to walk after suffering knee trouble last year.
Speaking off the cuff at the opening of the two-day conference, entitled \u201cMan-Woman Image of God - For an Anthropology of Vocations,\u201d he blasted what he called \u201cgender ideology\u201d as the \u201cugliest danger\u201d.
\u201cIt is very important that this meeting is taking place, this encounter between men and women,\u201d he told the audience.
\u201cBecause the ugliest danger today is the gender ideology \u2026 I have asked for studies to be done on this ugly ideology of our time, which cancels out differences and makes everything the same. To cancel difference is to cancel humanity,\u201d he said.
The pontiff had canceled appointments last Saturday and Monday due to a persistent, but \u201cmild flu,\u201d but appeared as usual for the Sunday blessing from a window overlooking St. Peter\u2019s Square.
Last week, Francis coughed repeatedly as he presided over Ash Wednesday services at a Roman church, and opted not to participate in the traditional procession that inaugurates the church\u2019s Lenten season.
Over the past few months, Francis had to cancel a few activities and one international trip due to his fragile health, which has recently raised worries over his capacity to continue to lead the Catholic Church.
The Argentine pope had part of one lung removed as a young man because of a respiratory infection, and in 2021 had a chunk of his colon removed because of an intestinal inflammation. He has been using a wheelchair and cane since last year because of strained knee ligaments and a small knee fracture that have made walking and standing difficult.
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The Centers for Disease Control and Prevention changed its longstanding guidance, saying that people can return to work or regular activities if their symptoms are mild and improving and it's been a day since they've had a fever.
The change comes at a time when COVID-19 is no longer the public health menace it once was. It dropped from being the nation's third leading cause of death early in the pandemic to 10th last year.
Most people have some degree of immunity to the coronavirus from vaccinations or from infections. And many people are not following the five-day isolation guidance anyway, some experts say.
\u201cOur goal here is to continue to protect those at risk for severe illness while also reassuring folks that these recommendation are simple, clear, easy to understand, and can be followed,\u201d said Dr. Mandy Cohen, the CDC\u2019s director,
However, some experts worry that the change may increase the risk of infection for older people and others who are more vulnerable to getting seriously ill.
WHY ARE THE GUIDELINES CHANGING?
COVID-19 is not causing as many hospitalizations and deaths as it did in the first years of the pandemic. The change is an effort to streamline recommendations so they are similar to longstanding recommendations for flu and other respiratory viruses. Many people with a runny nose, cough or other symptoms aren't testing to distinguish whether it's COVID-19, flu, or something else, officials say.
It may not be as stringent, but the guidance emphasizes that all people with respiratory symptoms should stay home while they are sick, said Dr. David Margolius, the head of Cleveland's health department.
People are likely still contagious when they test positive, and that hasn\u2019t changed, said Jennifer Nuzzo, director of the Pandemic Center at Brown University\u2019s School of Public Health.
\u201cWhat has changed is how much COVID is harming us as a population,\u201d Nuzzo said.
Officials noted that some other countries and California and Oregon have eased isolation guidance in a manner similar to CDC\u2019s latest change \u2014 and did not see an increase in cases.
WHAT ARE THE NEW GUIDELINES?
If you have symptoms, stay home until your symptoms are mild and improving and it\u2019s been a day since you've had a fever. But then you can remain cautious by wearing a mask and keeping a distance from others.
However, the CDC guidance for workers at nursing homes and other health care facilities is staying the same. That includes a recommendation that medical personnel stay home at least seven days after symptoms first appear, and that they test negative within two days of returning to work.
The agency is emphasizing that everyone should still try to prevent infections in the first place, by getting vaccinated, washing their hands, and taking steps to bring in more outdoor fresh air.
IS THERE OPPOSITION TO THIS CHANGE?
Yes, and even some who understand the rationale for the change have concerns.
\u201cMy biggest worry in all of this is that employers will take this change in guidance to require employees to come back to work ... before they are ready to, before they feel well enough, and before they are not likely to pose harm to their co-workers,\u201d Nuzzo said.
COVID-19 remains especially dangerous to older people and those with other medical conditions. There are still more than 20,000 hospitalizations and more than 2,000 deaths each week due to the coronavirus, according to the CDC. Those 65 and older have the highest hospitalization and death rates.
This week, the CDC said seniors should get another dose of the updated COVID-19 vaccine.
WILL SCHOOLS CHANGE THEIR RULES?
Not necessarily. Schools and child care providers have a mixed record on following CDC recommendations and often look to local authorities for the ultimate word. And sometimes other goals, such as reducing absences, can influence a state or district\u2019s decisions.
When California eased its guidance, it encouraged kids to come to school when mildly sick. It also said students who test positive for COVID-19 but don't have any symptoms can attend school.
IS THIS THE FIRST CHANGE FOR ISOLATION GUIDELINES?
No. The CDC originally advised 10 days of isolation, but in late 2021 cut it to five days for Americans who catch the coronavirus and have no symptoms or only brief illnesses. Under that guidance for the general public, isolation only ended if a person had been fever-free for at least 24 hours without the use of fever-reducing medications and if other symptoms were resolving.
___
AP education writer Bianca V\u00e1zquez Toness in Boston contributed to this report.
___
The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute\u2019s Science and Educational Media Group. The AP is solely responsible for all content.
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Higgins' office said Friday that he was admitted to St James\u2019s Hospital after feeling unwell on Thursday. He underwent tests and was to remain in the hospital to monitor his blood pressure. The president thanked the public for an outpouring of messages wishing him well. He was expected to return to his official residence early next week. Higgins, a poet, writer, academic and human rights advocate, has been president since 2011.", + "located": "LONDON", + "datelinelocation": { + "city": "London", + "countrycode": "GBR", + "countryname": "United Kingdom", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -0.12574, + 51.50853 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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Higgins, 82, was admitted to St James\u2019s Hospital on Thursday after feeling unwell. He underwent tests and was to remain in the hospital to monitor his blood pressure.
The president thanked the public for an outpouring of messages wishing him well. He was expected to return to his official residence early next week.
Prime Minister Leo Varadkar said he had been touch with Higgins and wished him a speedy recovery.
Higgins, a onetime factory worker who is a poet, writer, academic and human rights advocate, has been president since 2011.
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These details are directly related to the topic of health." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/03/01/75bd407e25f857ab45a69c63c3613cf7.json b/datasets/AP_news/raw_data/2024/03/01/75bd407e25f857ab45a69c63c3613cf7.json new file mode 100644 index 0000000..9b6bcd2 --- /dev/null +++ b/datasets/AP_news/raw_data/2024/03/01/75bd407e25f857ab45a69c63c3613cf7.json @@ -0,0 +1,247 @@ +{ + "altids": { + "itemid": "75bd407e25f857ab45a69c63c3613cf7", + "etag": "75bd407e25f857ab45a69c63c3613cf7_0a6aza0c0", + "friendlykey": "685037167093", + "referenceid": "US--Transgender-Health-Texas-Lawsuit" + }, + "version": 0, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-03-01T22:15:25Z", + "firstcreated": "2024-03-01T22:15:24Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: Updates Media.", + "signals": [ + "newscontent" + ], + "title": "US--Transgender-Health-Texas-Lawsuit", + "headline": "Judge blocks Texas from collecting info on transgender children receiving gender-affirming care", + "headline_extended": "A Texas judge has blocked the state's attorney general from forcing an LGBTQ+ advocacy group to hand over information about transgender children receiving gender-affirming medical care", + "slugline": "AP-US--Transgender-Health-Texas-Lawsuit", + "description_summary": "A Texas judge has blocked the state's attorney general from forcing an LGBTQ+ advocacy group to hand over information about transgender children receiving gender-affirming medical care. 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The ruling came just one day after PFLAG National went to court to try to stop Paxton's office from getting the information.
Travis County District Court Judge Maria Cant\u00fa Hexsel said in an order that providing the information would harm PFLAG and its members in several ways, including violating their rights of free speech, association and protection from unreasonable searches. Additionally, the judge said, it would be a \u201cgross invasion\u201d of privacy.
A hearing was scheduled for March 25 to give the attorney general's office a chance to make the case for why Friday's order shouldn't continue.
This round of litigation stems from a request Paxton's office made in February for \u201cdocuments and communications\u201d about PFLAG CEO Brian Bond's statement to court last year that members were setting up contingency plans after the state imposed a sweeping ban on gender-affirming care for minors.
In a statement Thursday, Paxton's office said the information is highly relevant to investigations into whether medical providers are committing insurance fraud to circumvent the ban.
The ACLU, which is representing FPLAG in court, said it will seek a permanent block on Paxton's demand \u201cso that PFLAG can continue supporting its Texas members with transgender youth in doing what all loving parents do: supporting and caring for their children.\u201d
PFLAG and Texas have battled in court previously including in 2022, when the state adopted a policy of investigating instances of gender-affirming care for children as child abuse cases.
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However, the main emphasis is on the legal battle rather than health itself." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/03/01/adaa5f92afa0f7b8ed5801e976932380.json b/datasets/AP_news/raw_data/2024/03/01/adaa5f92afa0f7b8ed5801e976932380.json new file mode 100644 index 0000000..c863501 --- /dev/null +++ b/datasets/AP_news/raw_data/2024/03/01/adaa5f92afa0f7b8ed5801e976932380.json @@ -0,0 +1,365 @@ +{ + "altids": { + "itemid": "adaa5f92afa0f7b8ed5801e976932380", + "etag": "adaa5f92afa0f7b8ed5801e976932380_0a29aza0c0", + "friendlykey": "531623818333", + "referenceid": "US--Abortion Pill Access" + }, + "version": 0, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-03-01T18:28:46Z", + "firstcreated": "2024-03-01T18:28:45Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: Updates Media.", + "signals": [ + "newscontent" + ], + "title": "US--Abortion Pill Access", + "headline": "CVS and Walgreens plan to start dispensing abortion pill mifepristone soon", + "headline_extended": "Drugstore chains CVS Health and Walgreens plan to start dispensing the abortion pill mifepristone in a few states", + "slugline": "AP-US-Abortion-Pill-Access", + "description_summary": "Drugstore chains CVS Health and Walgreens plan to start dispensing the abortion pill mifepristone in a few states. 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CVS Health will start filling prescriptions for mifepristone in Rhode Island and neighboring Massachusetts \u201cin the weeks ahead,\u201d spokeswoman Amy Thibault said Friday.
Walgreens will begin dispensing the medication within a week, spokesman Fraser Engerman said. The chain will start with some locations in New York, Pennsylvania, Massachusetts, California and Illinois.
He said the company was starting in \u201cin select locations to allow us to ensure quality, safety and privacy for our patients, providers and team members.\u201d
Thibault said CVS Health will add states \u201cwhere allowed by law, on a rolling basis.\u201d
The New York Times first reported the retailers' plans.
CVS Health Corp., the nation\u2019s largest drugstore chain, runs nearly 9,400 locations. Walgreens Boots Alliance Inc. has about 8,700 U.S. stores.
Their announcements Friday marked \u201can important milestone\u201d in ensuring mifepristone access, President Joe Biden said in a statement. He noted that many women will soon be able to pick up their prescriptions at a local, certified pharmacy like they would any other medication.
\u201cI encourage all pharmacies that want to pursue this option to seek certification,\u201d he said.
The moves by CVS and Walgreens come more than a year after the U.S. Food and Drug Administration finalized a rule change that broadened availability of abortion pills to many more pharmacies, including large chains and mail-order companies.
The FDA in 2000 approved mifepristone to terminate pregnancies of up to 10 weeks, when used with a second drug, misoprostol.
Mifepristone is taken first to dilate the cervix and block the hormone progesterone, which is needed to sustain a pregnancy. Misoprostol is taken 24 to 48 hours later, causing the uterus to contract and expel pregnancy tissue.
For more than 20 years, the FDA labeling had limited dispensing to a subset of specialty offices and clinics, due to safety concerns.
The U.S. Supreme Court is weighing a challenge from conservative groups who are seeking to reverse mifepristone\u2019s approval or roll back policies that have made it easier to obtain.
___
The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute\u2019s Science and Educational Media Group. The AP is solely responsible for all content.
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Gone are mandated isolation periods and masking. But will schools and child care centers agree?
In case you\u2019ve lost track: Before Friday, all Americans, including school children, were supposed to stay home for at least five days if they had COVID-19 and then mask for a set period of time, according to the Centers for Disease Control and Prevention.
Now, with COVID deaths and hospitalizations dropping, the CDC says children can go back to school when their overall symptoms improve and they\u2019re fever-free for 24 hours without taking medication. Students are \u201cencouraged\u201d to wear a mask when they return.
Still, the change may not affect how individual schools urge parents to react when their children fall sick. Schools and child care providers have a mixed record on following CDC recommendations and often look to local authorities for the ultimate word. And sometimes other goals, such as reducing absences, can influence a state or district\u2019s decisions.
The result can be a confusing array of policies among states and districts, not to mention workplaces \u2014 confounding parents whose lives have long been upended by the virus.
\u201cThis is so confusing,\u201d said Gloria Cunningham, a single mom in the Boston area. \u201cI just don\u2019t know what I should think of COVID now. Is it still a monster?\u201d
Cunningham, who manages a local store for a national restaurant chain, said her company requires her to take off 10 days if she gets COVID-19. And the school system where her son is in second grade has still been sending home COVID test kits for kids to use before returning to school after long breaks.
\u201cI feel like we should just do away with anything that treats COVID differently or keep all of the precautions,\u201d she said.
The public education system has long held varying policies on COVID. During the 2021-2022 school year, only 18 states followed CDC recommendations for mask-wearing in class. When the CDC lifted its masking guidelines in February of 2022, states like Massachusetts followed suit, but California kept the mask requirement for schools.
And in the child care world, some providers have long used more stringent testing and isolation protocols than the CDC has recommended. Reasons have ranged from trying to prevent outbreaks to keeping staff healthy \u2014 both for their personal safety and to keep the day care open.
Some states moved to more lenient guidelines ahead of the CDC. California and Oregon recently rescinded COVID-19 isolation requirements, and many districts followed their advice.
In an attempt to minimize school absences and address an epidemic of chronic absenteeism, California has encouraged kids to come to school when mildly sick and said that students who test positive for coronavirus but are asymptomatic can attend school. Los Angeles and San Diego\u2019s school systems, among others, have adopted that policy.
But the majority of big-city districts around the country still have asked parents to isolate children for at least five days before returning to school. Some, including Boston and Atlanta, have required students to mask for another five days and report positive COVID-19 test results to the school.
Some school leaders suggest the CDC's previous five-day isolation requirement was already only loosely followed.
Official policy in Burlington, Massachusetts, has been to have students stay home for five days if they test positive. But Superintendent Eric Conti said the real policy, in effect, is: \u201cIt\u2019s a virus. Deal with it.\u201d
That\u2019s because COVID is managed at home, using the honor system.
\u201cWithout school-based testing, no one can enforce a five-day COVID policy,\u201d he said via text message.
Ridley School District in the Philadelphia suburbs was already using a policy similar to the new CDC guidelines, said Superintendent Lee Ann Wentzel. Students who test positive for COVID must be fever-free without medication for at least 24 hours before returning to school. When they come back, they must mask for five days. Wentzel said the district is now considering dropping the masking requirement because of the new CDC guidance.
A school or day care's specific guidelines are consequential for working parents who must miss work if their child can\u2019t go to school or child care. In October 2023, during simultaneous surges of COVID, respiratory syncytial virus and influenza, 104,000 adults reported missing work because of child care issues, the highest number in at least a decade. That number has fallen: Last month, child care problems meant 41,000 adults missed work, according to the Bureau of Labor Statistics.
Melissa Colagrosso\u2019s child care center in West Virginia dropped special guidelines for COVID about a year ago, she said. Now, they\u2019re the same as other illnesses: A child must be free of severe symptoms such as fever for at least 24 hours before returning to the center.
\u201cWe certainly are treating COVID just like we would treat flu or hand, foot and mouth\u201d disease, said Colagrosso, CEO of A Place To Grow Children\u2019s Center in Oak Hill.
As for kids without symptoms who test positive for COVID? Most parents have stopped testing kids unless they have symptoms, Colagrasso said, so it\u2019s a quandary she has not encountered.
Still, some parents worry the relaxed rules put their communities at greater risk. Evelyn Alem\u00e1n leads a group of Latino and Indigenous immigrant parents in Los Angeles County. The parents she represents, many of whom suffer from chronic illnesses and lack of access to health care, panicked when California did away with isolation requirements in January.
\u201cI don\u2019t think they\u2019re considering what the impact will be for our families,\u201d she said of California officials. \u201cIt feels like they don\u2019t care \u2013 that we\u2019re almost expendable.\u201d
Other impacts of the pandemic linger, too, even as restrictions are lifted. In Ridley, the Philadelphia-area district, more students are reclusive and struggle to interact in-person with peers, said Wentzel, the superintendent. Interest in school dances has plummeted.
\"Emotionally,\" Wentzel said, \u201cthey\u2019re having trouble.\u201d
___
Balingit reported from Washington.
___
The Associated Press\u2019 education coverage receives financial support from multiple private foundations. AP is solely responsible for all content. Find AP\u2019s standards for working with philanthropies, a list of supporters and funded coverage areas at AP.org.
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frozen embryos are legally considered children created a political firestorm after the decision halted treatment for many couples seeking to have families through fertility treatments. It also has turned the spotlight on the importance of institutions that are poised to play a central in this year's elections: state supreme courts.
Decisions by states' highest courts have become especially critical in the nearly two years since the U.S. Supreme Court overturned a constitutional right to abortion. This year, campaigns for state supreme court seats are expected to be among the most expensive and bitterly contested races on the ballot. At stake are future decisions over abortion, other reproductive rights, gerrymandering, voting rights and other crucial issues.
\u201cThis is where the action is,\u201d said Jessie Hill, a law professor at Case Western Reserve University School of Law in Cleveland.
The ruling on Feb. 16 by the Republican-majority Alabama Supreme Court to consider frozen embryos created through IVF to be children under state law has unexpectedly made in vitro fertilization, or IVF, an emerging issue in campaigns up and down the ballot. With multiple providers pausing fertility treatments in the state, fearing criminal charges or punitive damages, the GOP-controlled Legislature is under pressure to come up with a fix.
After the U.S. Supreme Court overturned Roe v. Wade in 2022, eliminating federal protections for abortion rights, the decision unleashed a flurry of activity in the states, from legislation to lawsuits that often have ended up before state supreme courts. Those cases have magnified the stakes of having liberals or conservatives controlling a majority on those courts.
\u201cMany people may not have realized that state supreme courts can decide on these kinds of issues that have such a direct impact on their everyday lives,\" Hill said. \"But this Alabama ruling is a reminder that these courts hold so much power, especially now, over people\u2019s rights.\u201d
This year's elections bring 80 races for supreme court seats in 33 states, including a few such as Michigan, Ohio and West Virginia where partisan control is on the line. At least four states will have state supreme court races on Super Tuesday, including Alabama, Arkansas, North Carolina and Texas. Others, including Idaho, Illinois, Kentucky, Ohio, Oregon and West Virginia will have contests through the spring.
In Alabama, five of the nine seats on the all-Republican Supreme Court are on the ballot. Chief Justice Tom Parker, 72, who cited verses from the Bible and Christian theologians in his concurring opinion in the IVF case, is unable to seek another term because the Alabama Constitution does not allow judges older than 70 to be elected.
Since Roe fell in the Dobbs v. Jackson Women\u2019s Health Organization decision, about 40 lawsuits challenging abortion bans have been filed in 23 states, and many have worked their up to to states' highest courts as advocates search state constitutions for protections to abortion rights.
According to the Center for Reproductive Rights, 30 state supreme courts have decided cases challenging abortion restrictions under their state constitutions. Of these, 12 have recognized protections for abortion rights in state constitutions, while four have denied their state constitutions protect abortion rights. Other state high courts have either upheld or blocked abortion restrictions without explicitly deciding on whether their state constitutions protect abortion rights.
These rulings have had direct consequences for those trying to access abortion care. In December, the Texas Supreme Court overturned a court order that would have allowed a Dallas woman to get an abortion after her story of being forced to leave the state to terminate her nonviable pregnancy sparked a national outcry.
Abortion rights are just one recent example of the U.S. Supreme Court deferring to states on major issues, said Douglas Keith, senior counsel in the judiciary program at the Brennan Center for Justice, which tracks spending in judicial races. The U.S. Supreme Court also stepped back from ruling on issues such as partisan gerrymandering and voting rights, often making state supreme courts the final word on those issues.
\u201cThe Dobbs decision and others made clear that these courts would be the ones to decide these fundamental issues during a time where the U.S. Supreme Court was taking a step back from protecting certain rights,\u201d Keith said.
State courts also are involved in the process of getting statewide citizen initiatives to the ballot, often deciding disputes over the technical requirements of petitions and the signature-gathering process. They will be play a pivotal role this year, as reproductive rights groups seek to place measures protecting abortion before voters in a number of states.
State supreme courts are expected to rule on such measures planned in Florida, Missouri and Nevada.
Florida\u2019s Republican attorney general in January asked the state Supreme Court to keep a proposed abortion rights amendment off the ballot. In Missouri, an appeals court ruled in October that summaries written by Republican Secretary of State Jay Ashcroft, an abortion opponent who is running for governor, were politically partisan and misleading. The Missouri Supreme Court declined to hear Ashcroft's appeal of the ruling.
A Nevada district court judge in January approved an abortion-rights ballot measure petition as eligible for signature-gathering, despite a legal challenge by anti-abortion groups. In November, the judge rejected an earlier petition that was much broader, including protections for prenatal care, postpartum care, vasectomies, tubal ligations, miscarriages and infertility. Nevadans for Reproductive Freedoms, the group behind the petition, appealed that rejection to the Nevada Supreme Court and is awaiting a ruling.
Activists also aim to place abortion rights on the ballot in Arizona, where Republican governors have appointed all seven of the Supreme Court justices.
\u201cIn many cases, state supreme courts have a lot of power to shut down direct democracy by preventing a question from getting on the ballot,\u201d said Brian Fitzpatrick, a professor at Vanderbilt Law School.
Strategies that attempt to derail ballot initiatives are part of a blueprint created by anti-abortion groups in other states, including Ohio, where voters last year overwhelmingly decided to enshrine abortion rights in the state constitution.
Even with voter approval, the Ohio Supreme Court will be the \u201cultimate arbiter\u201d of how to interpret the constitutional amendment and how it will affect existing abortion laws, said Hill, the Case Western law professor who served as a consultant to the Ohio campaign to enshrine abortion rights. This means the state's Supreme Court races this year, starting with a March 19 primary, will be vital to abortion rights in the state, as well as other topics including gerrymandering, environmental protections and criminal justice, she said.
With three seats up for a vote and a current 4-3 Republican majority, Democrats have an opportunity to flip the majority of the court for the first time since 1986 while Republicans will try to expand their control.
The result of a heated race in Wisconsin last year already has had an impact, after that state's Supreme Court flipped to a liberal majority for the first time in 15 years.
In December, the new Wisconsin Supreme Court overturned Republican-drawn legislative maps and ordered new district boundary lines to be drawn. Wisconsin is a swing state but also is one of the most heavily gerrymandered in the country, allowing Republicans to have outsized majorities in the Legislature. A lawsuit challenging Wisconsin\u2019s abortion ban might also be headed to the state supreme court.
\u201cThere have been immediate consequences for redistricting that have fundamentally reshaped politics in Wisconsin,\u201d said Kyle Kondik, managing editor of an elections and campaign newsletter published by the University of Virginia Center for Politics. \u201cIt goes to show just how important these races are.\u201d
___
The Associated Press receives support from several private foundations to enhance its explanatory coverage of elections and democracy. See more about AP\u2019s democracy initiative here. The AP is solely responsible for all content.
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Friday's ruling came about two hours after jurors sent a note saying they were unable to reach a unanimous verdict after three days of deliberations. The judge ordered jurors to continue their discussions, but they nevertheless remained deadlocked. The lawsuit was filed by the family of Anthony Cloud, a South Carolina man who worked for more than a decade as a landscaper. Cloud was diagnosed in 2018 with non-Hodgkin lymphoma. He died in October 2021, about six weeks after his lawsuit was filed. His family was seeking $142 million in punitive damages.", + "bylines": [ + { + "by": "By RANDALL CHASE", + "title": "AP Business Writer" + } + ], + "located": "DOVER, Del.", + "datelinelocation": { + "city": "Dover", + "countryareacode": "DE", + "countryareaname": "Delaware", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -75.52437, + 39.15817 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. 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(AP) \u2014 A Delaware judge declared a mistrial Friday in the latest lawsuit alleging that exposure to the popular weedkiller Roundup causes cancer.
The ruling came about two hours after jurors sent a note saying they were unable to reach a unanimous verdict after three days of deliberations. Superior Court Judge Vivian Medinilla ordered jurors to continue their discussions, but they nevertheless remained deadlocked.
The lawsuit was filed by the family of Anthony Cloud, a South Carolina man who worked for more than a decade as a landscaper. Cloud was diagnosed in 2018 with non-Hodgkin lymphoma. He died in October 2021, about six weeks after his lawsuit was initially filed. His family was seeking $142 million in punitive damages in a trial that began in Wilmington in early February.
German chemical company Bayer AG has been beset with tens of thousands of lawsuits since acquiring Roundup's manufacturer, St. Louis-based agribusiness giant Monsanto, in 2018. In January, a Philadelphia jury ordered Bayer to pay a staggering $2.3 billion in a lawsuit filed by a man diagnosed with non-Hodgkin lymphoma, a cancer that targets white blood cells, after using Roundup for two decades.
The Philadelphia verdict was the largest yet in years of litigation over the popular weedkiller, following a November verdict by a Missouri jury that ordered Bayer to pay more than $1.5 billion in damages to three plaintiffs. In 2019, a California jury ordered Bayer to pay $2 billion in a Roundup lawsuit, but a judge later reduced the jury award to $87 million.
Bayer set aside more than $10 billion in 2020 to settle about 125,000 Roundup lawsuits, but tens of thousands more remained pending. After nine consecutive wins in lawsuits that went to trial beginning in 2021, the company began to suffer legal setbacks last year, as juries began handing down nine- and 10-figure awards to plaintiffs. A California jury last year ordered Bayer to pay $332 million in a Roundup lawsuit, but a judge this week said the jury award was excessive and reduced it to $28 million.
As in other lawsuits, the plaintiffs in the Delaware case alleged that Monsanto had defectively designed Roundup and failed to properly warn users about its health risks.
In June, Bayer agreed to pay almost $7 million to settle allegations by New York\u2019s attorney general that Monsanto made false and misleading statements about Roundup\u2019s safety.
Meanwhile, a federal appeals court in 2022 ordered the Environmental Protection Agency to re-examine its 2020 finding that glyphosate, the active ingredient in Roundup, did not pose a health risk for people exposed to it.
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"LANGKAWI, Malaysia (AP) \u2014 A Scandinavian Airlines medical evacuation plane arrived on Friday in Malaysia's northern resort island of Langkawi, where the Norwegian king is in hospital and being treated for an infection.
King Harald V, Europe's oldest monarch at 87, was hospitalized after he fell ill during a vacation, the royal palace in Oslo announced on Tuesday. There were no details of his illness. His son, Crown Prince Haakon, has said his father's condition was improving and that he needed rest before being brought back.
Norwegian TV2 said that a Scandinavian aircraft with the tail number LN-RPJ took off from Oslo Airport on Thursday, The Boeing 737-700 airline, which has previously been used as a flying ambulance, landed in Langkawi on Friday.
The royal house said Friday in a brief statement that the monarch's condition was improving but he would remain \u201cin hospital for a few more days for treatment and rest before returning home.\u201d
Norway's Armed Forces said Friday that they do not share information about ongoing operational missions, the armed forces said in a separate statement. \u201cIt is particularly important for us to maintain this practice, for the safety and health of His Majesty the King.\u201d
Norwegian TV2 said the same aircraft was used last summer for the medical evacuation of patients from Ukraine.
Malaysian national news agency Bernama has reported that Harald was undergoing treatment at the Sultanah Maliha Hospital in Langkawi. It cited unnamed sources as saying he was staying in the hospital\u2019s Royal Suite. The hospital declined to comment when contacted by The Associated Press.
\u201cIt is clear that his age means that it is good to treat this properly. They are very good at the hospital,\u201d Crown Prince Haakon said Wednesday. \u201cWe don\u2019t know when he will come home. We will have to decide on that later.\u201d The palace said that \u201cno decision has been made regarding his return home.\u201d
Earlier, Norwegian Prime Minister Jonas Gahr St\u00f8re said that \u201cwe get worried when our king gets ill and is admitted to hospital, whether in Norway or abroad.\u201d
\u201cWe should do what we can to contribute to getting the king home as quickly as possible and as healthy as possible,\u201d he told Norwegian broadcaster NRK.
Two days before his birthday last week, Norwegian news agency NTB said that the king was undertaking a private trip abroad together with his wife Queen Sonja, without specifying the destination or dates.
Media in Norway said Harald traveled to Malaysia to celebrate his 87th birthday.
In the past, the Norwegian king has traveled privately in connection with his birthdays. When he turned 80, he and his family traveled to South Africa and they were on the Indian Ocean island of Mauritius to mark his 85th birthday, media in Norway reported.
The monarch, who has been seen using crutches in recent years, has been repeatedly ill in recent months, raising concern about the head of state\u2019s health. In January, the palace said he was on sick leave until Feb. 2 because of a respiratory infection.
In December, he was admitted to a hospital with an infection and was treated with intravenous antibiotics. He also was hospitalized last August with a fever.
___
Ng reported from Kuala Lumpur, Malaysia. Associated Press writer Jan M. Olsen in Copenhagen, Denmark, contributed to this report.
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(AP) \u2014 A bill recriminalizing the possession of small amounts of drugs was passed by the Oregon Legislature on Friday, undoing a key part of the state\u2019s first-in-the-nation drug decriminalization law as governments struggle to respond to the deadliest overdose crisis in U.S. history.
The state Senate approved House Bill 4002 in a 21-8 vote after the House passed it 51-7 on Thursday. The bill now heads to the desk of Gov. Tina Kotek, who said in January that she is open to signing a bill that would roll back decriminalization, Oregon Public Broadcasting reported.
\u201cWith this bill, we are doubling down on our commitment to make sure Oregonians have access to the treatment and care that they need,\u201d said Democratic Senate Majority Leader Kate Lieber, of Portland, one of the bill's authors, adding that its passage will \u201cbe the start of real and transformative change for our justice system.\u201d
The measure makes the possession of small amounts of drugs such as heroin or methamphetamine a misdemeanor, punishable by up to six months in jail. It enables police to confiscate the drugs and crack down on their use on sidewalks and in parks. Drug treatment is to be offered as an alternative to criminal penalties.
The bill also aims to make it easier to prosecute people who sell drugs. It increases access to addiction medication, and to obtain and keep housing without facing discrimination for using that medication.
Decriminalization of personal-use amounts of drugs, OK'd by voters in 2020 under Ballot Measure 110, was supposed to move hundreds of millions of dollars of marijuana tax revenues into drug treatment and harm reduction programs. That didn't translate into an improved care network for a state with the second-highest rate of substance use disorder in the nation and ranked 50th for access to treatment, according to an audit report released in 2023.
And with Oregon experiencing one of the nation\u2019s largest spikes in overdose deaths, Republican pressure intensified, and a well-funded campaign group called for a ballot measure that would further weaken Measure 110.
Researchers have said it was too soon to determine whether the law contributed to the overdose surge, and supporters of the decriminalization measure say the decadeslong approach of arresting people for possessing and using drugs didn\u2019t work.
Lawmakers who opposed the bill voiced those concerns. Some called it a return to the war on drugs that disproportionally impacted and imprisoned millions of Black men.
Democratic Sen. Lew Frederick, of Portland, one of four Black senators, said the bill had too many flaws and that testimony on the bill heard again and again was that substance use disorder requires primarily a medical response.
\u201cI\u2019m concerned that it (the bill) will attempt to use the same tactics of the past, and fail, only to reinforce the punishment narrative that has failed for 50 years,\u201d he said, adding that the measure could move more people into the court system without making them healthier.
", + "textformat": "bx", + "links": [ + { + "href": "https://apnews.com/article/oregon-drug-recriminalization-0c767935037f058c1bf16c4a7c405144", + "rel": "canonical" + } + ], + "topics": { + "Health": { + "relevance_score": 5, + "reason": "The document discusses the passage of a bill in Oregon that recriminalizes the possession of small amounts of drugs, which is directly related to public health issues such as substance use disorder, addiction treatment, and overdose deaths. It also touches on the impact of previous decriminalization efforts on the state's health care system and the availability of addiction treatment. These aspects are highly relevant to the topic of health." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/03/02/3810a6c6bcc7a4fc1cb029cad1f58dee.json b/datasets/AP_news/raw_data/2024/03/02/3810a6c6bcc7a4fc1cb029cad1f58dee.json new file mode 100644 index 0000000..5a2b6b8 --- /dev/null +++ b/datasets/AP_news/raw_data/2024/03/02/3810a6c6bcc7a4fc1cb029cad1f58dee.json @@ -0,0 +1,301 @@ +{ + "altids": { + "itemid": "3810a6c6bcc7a4fc1cb029cad1f58dee", + "etag": "3810a6c6bcc7a4fc1cb029cad1f58dee_1a11aza0c0", + "friendlykey": "264105278314", + "referenceid": "US--Drug Recriminalization-Oregon-Explainer" + }, + "version": 1, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-03-02T22:23:37Z", + "firstcreated": "2024-03-02T21:55:48Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: Updates Media.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "US--Drug Recriminalization-Oregon-Explainer", + "headline": "Oregon may revive penalties for drug possession. 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The law, which took effect in 2021, decriminalized possession and personal use of all drugs, including small amounts of heroin, methamphetamine, LSD, oxycodone and others.
Supporters of revising the statute say it's needed to address the state's overdose crisis, while opponents say it reverts to an approach that hasn't been beneficial and could violate civil rights.
Here's a look at how it could change the way drug possession is handled by law enforcement and prosecutors in the state:
If signed by Gov. Tina Kotek, who has indicated she is open to doing so, the measure approved Friday would restore penalties for possessing illicit drugs including cocaine, fentanyl, heroin and methamphetamine.
Possession of marijuana, which has been legalized for medical and recreational use in the state, would not be affected.
The measure also would not criminalize the controlled use of psylocibin mushrooms, which voters approved in 2020 for therapeutic use.
The legislation would implement jail sentences of up to six months for possessing small amounts, and police could also confiscate drugs and stop their use in parks and on sidewalks.
The measure encourages law enforcement agencies and prosecutors to refer someone arrested or cited for possession to treatment programs instead of jail. The measure also allows for people convicted of possession to have their record expunged later.
Oregon is experiencing one of the largest spikes in drug overdose deaths, and a 2023 audit report said the state has the second-highest rate of substance use disorder in the nation while also ranking 50th for treatment access.
That has prompted criticism and pressure by Republicans to change the decriminalization law. A well-funded ballot campaign to further weaken the statute is underway.
Researchers say it\u2019s too soon to determine whether the decriminalization measure contributed to the increase in overdoses.
Opponents of recriminalization say it reverts to a failed, decades-old approach of arresting people for possessing and using even small amounts of drugs.
They worry that it will disproportionally impact people affected by drug addiction and focuses too much on punitive measures rather than treatment. Critics have also said it will further burden public defenders' caseloads.
\u201cThis legislation exacerbates the challenges faced by those grappling with addiction, particularly impacting Black and brown Oregonians and those experiencing homelessness,\u201d Gloria Ochoa-Sandoval, policy director of Unite Oregon, said in a statement released by a coalition of groups opposed to the measure.
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Therefore, while there is some relevance to health, it is not the primary focus of the document." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/03/02/4189fe819654eb87a79bb14af13e46fc.json b/datasets/AP_news/raw_data/2024/03/02/4189fe819654eb87a79bb14af13e46fc.json new file mode 100644 index 0000000..102e024 --- /dev/null +++ b/datasets/AP_news/raw_data/2024/03/02/4189fe819654eb87a79bb14af13e46fc.json @@ -0,0 +1,269 @@ +{ + "altids": { + "itemid": "4189fe819654eb87a79bb14af13e46fc", + "etag": "4189fe819654eb87a79bb14af13e46fc_0a6aza0c0", + "friendlykey": "157415127691", + "referenceid": "US--Frozen Embryos-Alabama" + }, + "version": 0, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-03-02T01:29:09Z", + "firstcreated": "2024-03-02T01:29:08Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: Updates Media.", + "signals": [ + "newscontent" + ], + "title": "US--Frozen Embryos-Alabama", + "headline": "Medical groups urge Alabama Supreme Court to revisit frozen embryo ruling", + "headline_extended": "Groups representing Alabama doctors and hospitals are urging the state Supreme Court to revisit a decision equating frozen embryos to children", + "slugline": "BC-US--Frozen Embryos-Alabama", + "description_summary": "Groups representing Alabama doctors and hospitals are urging the state Supreme Court to revisit a decision equating frozen embryos to children. The Medical Association of the State of Alabama and the Alabama Hospital Association filed a brief Friday supporting a rehearing request in the case. Courts do not often grant such requests. But the organizations argued that the decision is having sweeping consequences as fertility clinics pause IVF services. Last month Alabama justices said three couples could pursue wrongful death lawsuits for their \u201cextrauterine children\u201d after their frozen embryos were destroyed in an accident at a storage facility.", + "bylines": [ + { + "by": "By KIM CHANDLER", + "title": "Associated Press" + } + ], + "located": "MONTGOMERY, Ala.", + "datelinelocation": { + "city": "Montgomery", + "countryareacode": "AL", + "countryareaname": "Alabama", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -86.29997, + 32.36681 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. 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(AP) \u2014 Groups representing Alabama doctors and hospitals urged the state Supreme Court on Friday to revisit a decision equating frozen embryos to children, saying the ruling is blocking fertility treatments and harming the medical community.
The Medical Association of the State of Alabama and the Alabama Hospital Association filed a brief supporting a rehearing request in the case that has drawn international attention.
Courts do not often grant such requests, but the organizations argued that the ruling is having sweeping consequences as fertility clinics pause IVF services. They also said it is creating a cloud of uncertainty for the medical community.
\u201cMany aspiring parents will not be able to have children as a result of this court\u2019s holding. This is a tragedy across Alabama,\u201d lawyers for the organizations wrote.
Last month Alabama justices ruled that three couples could pursue wrongful death lawsuits for their \u201cextrauterine children\" after their frozen embryos were destroyed in an accident at a storage facility. The decision, which treated the embryos the same as a child or gestating fetus under the state's wrongful death law, raised concerns about civil liabilities for clinics.
The defendants in the lawsuits \u2014 The Center for Reproductive Medicine and the Mobile Infirmary \u2014 filed a rehearing request with the court Friday.
Attorneys for the providers argued that the ruling is not consistent with other state laws. The state's fetal homicide law and abortion ban were written to cover fetuses and embryos \u201cin utero,\u201d meaning in the uterus.
They also noted that Alabama lawmakers are attempting to find a way to resume IVF services by proposing lawsuit protections for clinics, writing, \u201cThe rushed reaction by our Legislature to try to address the issues created by the Court\u2019s opinion would seem to indicate the Legislature\u2019s intent is not what this Court presumed.\u201d
The plaintiffs in the case had undergone IVF treatments that led to the creation of several embryos, some of which were implanted and resulted in healthy births. The couples paid to keep others frozen at the Mobile Infirmary Medical Center.
According to the lawsuit, in 2020 a patient wandered into the storage area through an unlocked door, removed several embryos from a chamber and dropped them on the floor, destroying them.
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The initiative is the latest push across the U.S. to increase shaded areas in Latino and other minority communities, which are often disproportionately exposed to heat and don\u2019t have the resources, such as air conditioning, to combat it.", + "bylines": [ + { + "by": "By DORANY PINEDA", + "title": "Associated Press" + } + ], + "located": "MECCA, Calif.", + "datelinelocation": { + "city": "Mecca", + "countryareacode": "CA", + "countryareaname": "California", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -116.0782, + 33.57219 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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(AP) \u2014 When Limba Contreras moved to the desert community of Oasis, California, about 50 years ago, her family relied on a water cooler to keep temperatures inside their home comfortable. Other times, they sprayed each other with a hose outside.
But when the heat topped 100 degrees Fahrenheit (about 38 Celsius), the cooler was futile, and the hose was a temporary reprieve.
\u201cWe suffered because of the heat and because we didn't have any other resource,\u201d said Contreras, a retired elementary school librarian.
Contreras and her family now have air conditioning, but she worries about the lack of shade in playgrounds and fields in the few parks they have.
\u201cIn the midst of extreme heat, the children can't play because there's no shade,\" said Contreras on Saturday in the Eastern Coachella Valley, where elected officials, community leaders and others gathered at a park for the inauguration of a shade equity master plan.
The Eastern Coachella Valley, an important agricultural area in Southern California, is a hot and arid place, with summer temperatures frequently rising above 100 degrees Fahrenheit. Residents in this rural desert in Riverside County are mostly Latinos, Spanish speakers and low-income, and many live in mobile homes without air conditioning and work in fields under the sizzling sun.
But trees, green spaces and buildings that could offer refuge from the sun are sparse, and that can increase dangerous heat stress on the body.
From 2013 to 2023, heat was a contributing or underlying cause of 143 deaths in the Coachella Valley, according to the Riverside County Sheriff\u2019s Office. They had no statistics for Eastern Coachella Valley, the area where this shade equity plan is in play. Across the United States, heat was a factor in nearly 1,960 deaths in 2023.
Every year, heat kills more people than floods, hurricanes and tornadoes combined, and experts warn that extreme heat will become more intense, frequent and lethal with climate change.
Studies have shown that shade can reduce heat stress on the human body between 25% and 35% throughout the day. Shaded areas can be 20 to 45 degrees Fahrenheit cooler than surfaces without it, according to an estimate by the EPA.
Many cities across the U.S. \u2014 including New York, Miami and Austin \u2014 have adopted climate action and resilience plans that use trees as a defense against the broiling stone and asphalt that raise temperatures in urban areas. But fewer have taken the idea to less developed regions.
\u201cHeat is often talked about through the lens of cities, and that\u2019s an important issue. But what was sort of being left off the table was how heat is affecting rural communities,\u201d said V. Kelly Turner, assistant professor of urban planning and geography at the University of California, Los Angeles.
The Eastern Coachella Valley plan aims to address this issue by recommending ways and places to create more shade via policy changes, smart building choices and input from community members. The plan would cover the unincorporated communities of Mecca, Thermal, Oasis and North Shore, near the Salton Sea, California's largest lake, and not far from the desert resort city of Palm Springs.
\u201cThis area has been neglected for a long time, and it's unfortunate,\u201d said Victor Manuel Perez, the Riverside County district supervisor who represents the communities. \"You have hard-working people here that deserve better.\"
Bringing more trees and shade structures to parks, schools and other areas will \u201cultimately ensure that youth and their families have somewhere where they can get out of the heat because we are talking about 115 degrees\u201d in July and August, he said. \u201cIt's pretty bad.\u201d
The shade master plan is the latest effort in the U.S. to increase climate resilience in Latino and other marginalized communities, which are disproportionately exposed to extreme heat in part because they have fewer resources like air conditioning and access to green spaces.
Mariela Loera, regional policy manager for the nonprofit Leadership Counsel for Justice and Accountability, said that low-income and communities of color are \u201ceasy to ignore,\u201d and are often excluded from decision-making. That means they often lack basic amenities.
In the Eastern Coachella Valley, where Loera works, dilapidated homes are common, and other poor infrastructure adds to the heat burden for residents.
\u201cIt\u2019s not just that it\u2019s hot. It\u2019s like it\u2019s hot, and then there\u2019s nowhere to go,\u201d she said. \u201cSo having any kind of shade structure anywhere is helpful.\u201d
The project is being financed by a $644,411 grant from the Governor's Office of Planning and Research in California, and is a collaboration between the Kounkuey Design Initiative, the Oasis Leadership Committee, the UCLA Luskin Center for Innovation and the Riverside University Health System.
But the grand vision for the initiative won't come without hurdles. It's not always clear who has the authority to implement projects in unincorporated communities, and when the plan is finished, it will take more money to execute it.
It will be one of several shade plans in the world. Phoenix has one. So do Tel Aviv in Israel and Abu Dhabi, the capital of the United Arab Emirates.
Turner, whose work focuses on cities adapting to hotter conditions, said she wanted to get involved in the project because she had never seen a shade master plan for a rural area.
People who work outdoors, such as farmworkers \u2014 who are overwhelmingly Latino \u2014 and those working in construction are vulnerable to heat. About 40 workers die annually because of it, but the government says the number is likely higher because of the lack of reporting.
Elidio Hern\u00e1ndez G\u00f3mez, 59, was one of them. In 2023, the farmworker and father of two collapsed and died on an August day when temperatures in Fresno, California, peaked at around 100 degrees.
As part of the project, members of the Oasis Leadership Committee, composed of community residents, are paid to take a virtual class about heat with Turner and master's degree students in urban and regional planning at UCLA. On a recent Wednesday night, the class broke up into subgroups focused on spaces where residents experience heat: agriculture; transit; mobile homes and emergency shelters; and schools and parks.
Some committee members said they need robust shade in parks and public areas. They described trees that had collapsed after heavy rain and wind.
Silvestre Caixba Villaseca, through a translator, talked about inadequate and poor shade structures in fields.
When temperatures exceed the 100s, the low, plastic rolling structures absorb heat and don't cool, he said, and workers often seek shade in their cars or under trees.
At the end of the day, many fieldworkers return to a hot home with no air conditioning.
\u201cNone of us go to a place to cool off after work,\" he said.
But Villaseca also worries about his children, particularly his 6-year-old son.
On Saturday, under a cloud-dotted blue sky and before a dust storm rolled in, he spoke of the lack of shade at Silvestre Jr.'s elementary school. Every day after class, he lines up with his classmates outside waiting to be picked up.
\u201cThey are out in the direct sun,\u201d he said. \u201cThey don't have any shade in the form of trees or structures ... it can be dangerous.\"
Despite the heat, Contreras, the Oasis resident and retired librarian, finds the desert beautiful. The mountains. The sunsets. The endless palms and orchards.
\u201cIt looks really pretty here. But the people here need help and need to protect themselves from the sun, the heat,\u201d she said. \u201cWe can't change the weather. But we can change how we live. We can protect ourselves.\u201d
\u2014\u2014\u2014
The Associated Press receives support from the Walton Family Foundation for coverage of water and environmental policy. The AP is solely responsible for all content. For all of AP\u2019s environmental coverage, visit https://apnews.com/hub/climate-and-environment
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\"This bill invests in Indian country. It invests in the Native Americans of Washington state. It invests in the preservation of generations of Native Americans whose land we stand on today,\u201d Democratic Rep. Debra Lekanoff, who is Tlingit and Aleut, said during the vote.
The proposed measure is expected to provide nearly $8 million each year for the 29 federally recognized tribes in Washington, funds drawn in part from a roughly half-billion-dollar settlement between the state and major opioid distributors.
The approach comes as Native Americans and Alaska Natives in Washington die of opioid overdoses at five times the state average, according to 2021-2022 Centers for Disease Control and Prevention data that includes provisional numbers. The rate in Washington is one of the highest in the U.S. and more than three times the rate nationwide \u2014 but many of the Indigenous nations in the state lack the funding or medical resources to fully address it.
The state Senate previously unanimously approved the bill, but it will need to go back to the body for concurrence before going on to Democratic Gov. Jay Inslee\u2019s desk. Jaime Smith, a spokesperson for the governor\u2019s office, said in an email that Inslee \u201chas been very supportive of this effort and appreciates the work of legislators to bolster our state\u2019s opioid response on multiple fronts, including support for Tribes.\u201d
But some tribes say the proposed funding, while appreciated, would barely scratch the surface in the face of such a deadly crisis.
Opioid overdose deaths for Native Americans and Alaska Natives have increased dramatically during the past few years in Washington, with at least 100 in 2022 \u2014 75 more than in 2019, according to the most recent numbers available from the Washington State Department of Health.
Republican state Sen. John Braun, the bill\u2019s prime sponsor, has said this is just a first step.
\u201cThis is just going to get us started, and make sure we\u2019re not sitting on our hands, waiting for the problem to solve itself,\u201d he said.
The bill would earmark funds deposited into an opioid settlement account, which includes money from the state\u2019s $518 million settlement in 2022 with the nation\u2019s three largest opioid distributors, for tribes battling addiction. Tribes are expected to receive $7.75 million or 20% of the funds deposited into the account the previous fiscal year \u2014 whichever is greater \u2014 annually.
The money provided through the legislation does not come with a specific end date. But starting in 2031, there would no longer be a minimum required dollar amount, according to an amendment approved Friday. The state would provide 20% of the money deposited in an opioid settlement account during the prior fiscal year. And if the average amount deposited into that account gets too low, no funding would be required to go to the tribes.
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But in Rio\u2019s sister city of Niteroi, just across the Guanabara Bay, it's a different story. Home to about half a million people, Niteroi has had just 403 suspected cases of dengue so far this year, and its incidence rate per capita is one of the lowest in the state, with 69 confirmed cases per 100,000 people.
By comparison, the city of Rio has an incidence rate of 700 per 100,000 people, with more than 42,000 cases.
The dengue virus is passed between humans by infected mosquitoes, but a type of bacteria called Wolbachia can interrupt transmission of the disease.
Health officials say a pilot program launched in Niteroi in 2015, in which scientists breed mosquitoes to carry the Wolbachia bacteria, has helped the city in its battle against dengue.
The Wolbachia strategy was pioneered over the last decade by the nonprofit World Mosquito Program. It was first tested in Australia in 2011 and the group has since run trials in more than a dozen countries, including Brazil. The initiative provides an appealing alternative at a time when the U.N. health agency warns that reported cases of dengue globally increased tenfold over the last generation.
In Niteroi, Mayor Axel Grael said he sought help after the 2012 dengue epidemics, when officials received thousands of notifications and one person died. The city sealed a partnership with the state-run Fiocruz Institute, the World Mosquito Program and the Health Ministry, and cases have been going down ever since.
\u201cIt was a moment of great concern in the country and in Rio,\u201d Grael recalled in an interview Friday with The Associated Press in Niteroi. \u201cToday, after applying the Wolbachia technique, we have a much better results.\u201d
Dengue is a viral infection transmitted to humans through infected mosquitoes. Many who are infected never develop symptoms, but others get a high fever, headaches, body aches, nausea and a rash. While most get better after a week or so, some develop a severe form that requires hospitalization and can be fatal.
Frequent rains and high temperatures, which accelerate the hatching of mosquito eggs and the development of larvae, make the famously hot city of Rio especially susceptible. Every couple of years, outbreaks become epidemics.
In spite of the low number of cases, the city of Niteroi, like its neighbors, is still investing heavily in prevention. Every day, hundreds of city health workers are sent to survey neighborhoods, streets, rooftops, forested areas, small businesses and junkyards to promote best practices, mostly watching out for any standing water where mosquitoes could lay their eggs.
On Friday, under scorching heat, Augusto Cesar, 63, climbed up the Morro da Penha, or Penha Hill, a low-income neighborhood, known in Brazil as a favela. For more than two decades, the city agent has been entering local residents' homes, climbing roofs, picking up trash and inspecting every corner of the Penha neighborhood, looking for standing water. Even the cap of a plastic bottle, if filled with rain water, can become breeding groound for larvae, he said.
\u201cThe greatest challenge is access,\u201d Cesar said, pearls of sweat trickling down his face. Favelas, often built informally, can be hard to navigate, like mazes. After spotting a large plastic water tank on a roof that he would like to inspect, Cesar makes his way through a tiny alley, squeezed between two walls of concrete and red bricks, but fails to find a path to the rooftop.
Further down the road, he spots two more unsealed water tanks. He climbs a wall and starts removing the loose sheets of metal covering them. He installs mosquito nets and replaces the metal sheets. In a shady alley, he lifts the tops of two water tanks, gets a flashlight and scrutinizes the surface for any sign of mosquito larvae.
Another challenge, said Fiocruz researcher Luciano Moreira, is security, with vast swaths of the city run by either drug traffickers or militias. Moreira leads the Wolbachia project in Brazil.
Dozens of municipalities have reached out to national and city authorities, Cesar and Moreira said, anxious to implement the Wolbachia method on their own turf. The Health Ministry announced late last year plans to build a large factory to breed Wolbachia-carrying mosquitoes that, over the next 10 years, will be able to produce 100 million eggs per week, ten times Fiocruz' current capacity.
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(AP) \u2014 \u201cYou are the Lighthouse in someone\u2019s storm,\u201d reads the message above a mural of a sailboat bobbing on ocean waves under a cloud-studded azure sky. It's an unexpected slogan for a prison wall.
On a nearby door painted deep blue, a bright yellow Minion character offers \u201cWays to say hello,\u201d lists of suggestions about how prisoners incarcerated in a segregated unit of Pennsylvania\u2019s State Correctional Institution at Albion can best greet each other. A handful of \u201csensory\u201d rooms in the unit offer calming blue walls where harsh fluorescent lighting is dimmed by special covers.
The unique environment is part of a program aimed at providing better serving prisoners with intellectual or developmental disabilities, a growing population that has presented a challenge for corrections officials as they try to balance the need for security with accommodations, according to experts.
Such prisoners often struggle with overstimulation, inflexibility and trouble with complex directions, resulting in strong reactions that can lead to further discipline. They also grapple with social boundaries, making them more vulnerable to abuse, violence or manipulation in prison, said Steven Soliwoda, creator of Albion's Neurodevelopmental Residential Treatment Unit.
In a regular prison setting, many of these prisoners with autism and similar disabilities \u201cwould normally have kind of gotten through their incarceration just quietly,\" said Soliwoda, who is also program manager at Albion. \"Maybe they would have been a recluse or spent a lot of time in their cell. But their voices are heard in the program and they develop that independence and the social skills they need to survive when they get out of here.\u201d
There is no comprehensive count of how many prisoners in the U.S. have autism or intellectual disabilities, though some studies estimate more than 4% are autistic and almost 25% reported having cognitive impairments, according to the U.S. Bureau of Justice Statistics \u2014 nearly twice the rate of each in the overall population. Many advocates believe the number could be much higher because of underdiagnosis before prison or because of ineffectual or nonexistent screening at some corrections departments.
The Neurodevelopmental Residential Treatment Unit, located roughly 20 miles (32 kilometers) outside of Erie, Pennsylvania, was started about three years ago and is the only facility of its kind in the state. The unit houses about 45 men \u2014 a small population that helps staff focus on individual treatment and limits some of the sensory stimulation of prison, Soliwoda said.
There\u2019s an exercise yard not accessible by the prison\u2019s general population, and prisoners stay in the unit to receive their medication and see specialized treatment staff. They can check out puzzles, yoga mats or drawing supplies to help them cope in overwhelming moments. One prisoner spends hours every day juggling in the common area to help calm his mind \u2014 something that wouldn\u2019t be allowed in most units.
\u201cMy first impression I got was, 'Wow, this is more like a therapy and rehabilitation for criminals with all these paintings and like positive messages surrounding it,\u201d said Christopher, a prisoner diagnosed with a form of autism.
Sean, a prisoner diagnosed with autism and intellectual disabilities, said he felt safe here. \u201cIt\u2019s not like the general population where I would be more prone to being bullied and stuff like that,\u201d he said. \u201cYou get to learn about how to cope and how to recognize your emotions.\u201d
Soliwoda said he hopes to bring more programming to the unit as it continues to evolve. For now, though, corrections department officials don\u2019t have plans to expand the model to other prisons. Critics say that's a mistake, that with more than 36,000 people incarcerated in Pennsylvania state prisons, there are likely many more prisoners with these disabilities.
\u201cI don\u2019t think there are enough accommodations provided in our jails and prisons for all kinds of disabilities,\u201d said Leigh Anne McKingsley, senior director of Disability and Justice Initiatives at The Arc, a nonprofit organization serving people with intellectual and developmental limitations. For prisoners with these challenges, she said, \u201cthe accommodations are even less.\u201d
\"Those disabilities seem to get lost,\u201d McKingsley said.
Because prisons are often closed from public view, it\u2019s unclear what accommodations they provide or how many have specialized units. The Arc has been working to gather that information while offering training to everyone from police to prison staff on better ways to identify and interact with prisoners with disabilities.
The unit at Albion requires corrections officers to undergo regular training on de-escalation and crisis intervention to maintain a secure environment while offering accommodations. In Indiana, where there isn\u2019t a specialized developmental disability unit, Nick Stellema, the state's Americans with Disabilities Act coordinator, has helped corrections staff with tools to communicate with nonverbal autistic prisoners.
Stellema and other advocates are wary of segregating prisoners with disabilities, noting that the ADA is meant to ensure people can integrate with others, even in detention.
\u201cIn the free world, these individuals have to interact with everyone, not just with other people with disabilities,\u201d he said. \u201cI think the whole system would benefit from a better understanding of what an accommodation can be.\u201d
But other advocates say separating prisoners with these disabilities is the best option.
\u201cOne of the biggest things we hear is they are acting up and getting themselves put in solitary, and that is even more devastating for them,\u201d said Brian Kelmar, president and founder of the nonprofit organization Decriminalize Developmental Disabilities. \u201cWhat we\u2019ve seen is, after solitary, the ways they have learned to interact all reverse. They regress from all gains they\u2019ve made.\u201d
At Albion, staff use so-called transitional cells as an intervention when they see certain behaviors. The stripped-down cells, equipped with safety features, are a place where the prisoners can go to regain control over their emotions while they work on completing goals set by the psychiatric staff before they are allowed to return to the rest of the unit.
\u201cYou get time to cool off and reflect for however long the staff feels you need to have that time with yourself,\u201d said Colin, a prisoner diagnosed with autism and schizophrenia. \"And instead of resulting in an infraction right away, you\u2019re resulting in more growth.\u201d
Randy Kulesza, a psychological services specialist in the unit, says the cells are a huge help to the prisoners and don't threaten their chance at parole.
\u201cIt absolutely cuts down on misconducts that these guys have received. ... I think this is a way we\u2019re able to address those things before they escalate and still keep these guys having some hope for the future,\u201d he said.
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Therefore, it is relevant to the topic of health, especially in the context of mental and developmental health within correctional facilities." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/03/03/74d677e020d8f55bab6635508305e459.json b/datasets/AP_news/raw_data/2024/03/03/74d677e020d8f55bab6635508305e459.json new file mode 100644 index 0000000..fb83ff0 --- /dev/null +++ b/datasets/AP_news/raw_data/2024/03/03/74d677e020d8f55bab6635508305e459.json @@ -0,0 +1,207 @@ +{ + "altids": { + "itemid": "74d677e020d8f55bab6635508305e459", + "etag": "74d677e020d8f55bab6635508305e459_1a12aza0c0", + "friendlykey": "242736684100", + "referenceid": "US--Trader-Joes Dumpling Recall" + }, + "version": 1, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-03-03T22:11:22Z", + "firstcreated": "2024-03-03T19:43:20Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: Updates with Audio report. 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The 6-ounce Trader Joe\u2019s Steamed Chicken Soup Dumplings under recall can be identified by their side box labels with lot codes 03.07.25.C1-1 and 03.07.25.C1-2. To date, no related illnesses or injures have been reported yet.", + "located": "NEW YORK", + "datelinelocation": { + "city": "New York", + "countryareacode": "NY", + "countryareaname": "New York", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -74.00597, + 40.71427 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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The Agriculture Department's Food Safety and Inspection Service noted that the now-recalled dumplings, which are produced by the California-based CJ Foods Manufacturing Beaumont Corp., may be contaminated with foreign materials \u2014 \u201cspecifically hard plastic from a permanent marker pen.\u201d
The recall arrives after consumers reported finding hard plastic in the Trader Joe's-branded products, FSIS said. To date, no related illnesses or injures have been reported.
FSIS urged consumers to check their freezers. The 6-ounce \u201cTrader Joe's Steamed Chicken Soup Dumplings\u201d under recall were produced on Dec. 7, 2023 \u2014 and can be identified by their side box labels with lot codes 03.07.25.C1-1 and 03.07.25.C1-2.
In an online notice about the recall, Trader Joe's asked consumers to throw the impacted dumplings away or return them to any store location for a full refund.
A spokesperson for CJ Foods Manufacturing Beaumont Corp. told The Associated Press that the company was investigating the issue, which happened during the manufacturing process. In an emailed statement, the food maker added that \u201ccustomer safety remains our No. 1 priority.\u201d
Foreign object contamination is one of the the top reasons for food recalls in the U.S. today. Beyond plastic, metal fragments, bits of bugs and more \"extraneous\u201d materials have prompted recalls by making their way into packaged goods.
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Sunday's rally comes a day before the government said it would begin to take steps to suspend the medical licenses of nearly 9,000 medical interns and residents for defying government orders to end their walkouts, which have disrupted hospital operations. Protesters chanted slogans, sang and held placards criticizing the government\u2019s plan. There were were no reports of any violence at the rally.", + "bylines": [ + { + "by": "By HYUNG-JIN KIM", + "title": "Associated Press" + } + ], + "located": "SEOUL, South Korea", + "datelinelocation": { + "city": "Seoul", + "countrycode": "KOR", + "countryname": "South Korea", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + 126.9784, + 37.566 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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The rally came as the government said it would begin to take steps Monday to suspend the doctors' licenses of nearly 9,000 medical interns and residents for defying government orders to end their walkouts, which have disrupted hospital operations.
\u201cThe government\u2019s absurd medical policy has triggered immense resistance by trainee doctors and medical students, and we doctors have become one,\u201d Park Sung-min, a senior member of the Korea Medical Association, said in a speech at the rally. \u201cI\u2019m asking the government: Please, stop the threats and suppression now.\u201d
Protesters chanted slogans, sang and held placards criticizing the government\u2019s plan. There were were no reports of violence.
As of Thursday night, 8,945 of the country\u2019s 13,000 medical interns and residents were confirmed to have left their worksites, according to the Health Ministry. The government had said they would face minimum three-month license suspensions and indictments by prosecutors if they didn\u2019t return by Feb. 29.
The striking doctors are a fraction of South Korea\u2019s 140,000 doctors. But they account for 30-40% of the total doctors at some major hospitals, where they assist senior doctors during surgeries and other treatments while training. Their walkouts have subsequently caused numerous cancellations of surgeries and medical treatments at the hospitals.
Senior doctors have staged a series of rallies backing the young doctors but haven't joined the walkouts. If they also launch strikes, observers say that would be a major blow to South Korea's medical service. Prime Minister Han Duck-soo on Sunday urged senior doctors to persuade the striking junior doctors to return to work.
Police said they were investigating five ranking Korea Medical Association officials accused of inciting and abetting the junior doctors' walkouts. Seoul police chief Cho Ji-ho told reporters Sunday that police had raided KMA offices as part of the investigation.
The government wants to increase South Korea\u2019s medical school enrollment quota by 2,000 starting next year, from the current 3,058, to better deal with the country\u2019s rapidly aging population. Officials say South Korea\u2019s doctor-to-population ratio is one of the lowest among developed countries.
But many doctors have vehemently protested the plan, saying medical schools can\u2019t handle such a sharp increase in the number of students. They say the recruitment plan also does not address a chronic shortage of doctors in essential but low-paying specialties like pediatrics and emergency departments. Doctors say adding too many new doctors would also increase public medical expenses since greater competition would lead to excess treatments.
Without concrete plans on how to educate the newly added students, \u201cthe quality of medical education will plunge endlessly, resulting in a unsafe, low-quality medical service and eventually a collapse of the medical service of the Republic of Korea,\u201d Lee Jeong-geun, acting leader of the Korea Medical Association, said at the rally.
The protests by doctors haven't won public support, with a survey showing a majority of South Koreans support the government plan. Some critics say doctors \u2014 one of the best-paid professions in South Korea \u2014 simply worry about receiving a lower income due to the rising number of doctors.
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The 87-year-old monarch was transferred to an Oslo university hospital on Monday for medical tests. Harald returned to Norway aboard a medical airplane late Sunday, a day after he was implanted with a temporary pacemaker in the Southeast Asian country after suffering from an infection while on holiday at a resort island. Harald has had frail health in recent years but has said he has no plans to abdicate. He will be on sick leave for two weeks during which Crown Prince Haakon will assume the monarch\u2019s duties.", + "bylines": [ + { + "by": "By JAN M. OLSEN", + "title": "Associated Press" + } + ], + "located": "COPENHAGEN, Denmark", + "datelinelocation": { + "city": "Copenhagen", + "countrycode": "DNK", + "countryname": "Denmark", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + 12.56553, + 55.67594 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. 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Harald returned to Norway aboard a medical airplane late Sunday, a day after he was implanted with a temporary pacemaker in the Southeast Asian country after suffering from an infection while on a private holiday at a resort island.
The king arrived Monday at Oslo\u2019s Rikshospital in a vehicle marked \u201cintensive ambulance\u201d under police escort, and several members of the royal family visited him there. The palace said he will be on sick leave for two weeks, during which Crown Prince Haakan will assume the monarch's duties.
The king's infection \u201chas come under more control,\u201d but he has \u201chas too low a heart rate, and will need a permanent pacemaker,\" the palace said Monday.
\u201cThe time for pacemaker insertion is determined by when the king is completely infection-free. This may take several days,\u201d during which he'll likely remain in the hospital, the statement said.
Europe\u2019s oldest reigning monarch fell ill on the Malaysian resort island of Langkawi during a trip with his wife, Queen Sonja, reportedly to celebrate his 87th birthday.
He underwent surgery in the island's Sultanah Maliha Hospital on Saturday to implant a temporary pacemaker due to a low heart rate, according to the royal house.
A Scandinavian Airlines medical evacuation plane, which took off from Oslo on Thursday, arrived in Langkawi on Friday. The Boeing 737-700 aircraft has previously been used as a flying ambulance.
According to Flightradar24, the same plane departed from Langkawi on Sunday headed for Sharjah in the United Arab Emirates, from where it traveled on to Oslo Airport. The palace said that Sonja was traveling with the king.
According to Norwegian news agency NTB, which cited information from Prime Minister Jonas Gahr St\u00f8re, the king\u2019s transport to Norway cost an estimated 2 million Norwegian kroner ($190,000), which will come from the defense budget.
The Norwegian monarch has had frail health in recent years with numerous hospital stays, and has been using crutches. Harald had an operation to replace a heart valve in October 2020 after being hospitalized with breathing difficulties.
Harald has repeatedly said he has no plans to abdicate, unlike his second cousin Queen Margrethe II of Denmark, who stepped down earlier this year.
Harald\u2019s duties as Norway\u2019s head of state are ceremonial and he holds no political power. He ascended to the throne following the death of his father, King Olav, in 1991.
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Editorial: Pregnant women in dangerous marriages need help. Update this Missouri law
Much has been made of Missouri\u2019s archaic law that restricts a judge from finalizing a divorce if a woman is pregnant. And rightfully so. Any measure that prevents anyone from leaving a potentially dangerous situation is a problem that should be fixed.
The draconian law has been on the books since 1973, last amended in 2016, and needs an update. Under the measure, a family court judge cannot finalize a divorce until a child is born, paternity is established and a custody agreement is put in place. The intent is to protect the financial and emotional well-being of the mother and child, a concept we support.
But no exceptions exist with the current law. As a result, victims of physical or emotional abuse or spousal rape could be put at the mercy of their abusers, victim advocates have warned.
We see no other recourse to this present ban: The Missouri General Assembly must act on House Bill 2402, a proposal that would allow a judge to finalize a divorce or legal separation no matter a woman\u2019s pregnancy status.
Introduced earlier this year by state Rep. Ashley Aune, a Democrat from Platte County, the measure did advance to the House Emerging Issues Committee, an encouraging development, Aune told us this week.
Last year, a similar bill she proposed failed to gain traction. This year\u2019s version has bipartisian support but needs some tweaks, according to Aune.
\u201cThe language is pretty broad,\u201d she said.
Once more instructive language is added, Aune is hopeful the proposal will advance out of committee for a full vote before the House.
\u201cWhat I am trying to do is for a judge to have another tool in the tool box to end a marriage,\u201d she said.
H.B. 2402 is co-sponsored by Republican state Reps. Jeff Farnan of Stanberry and Sherri Gallick of Belton and Rep. Richard Brown, a Democrat from Kansas City.
Farnan represents Nodaway, Gentry, Holt and Atchison counties in northwest Missouri. During a Feb. 7 public hearing on the legislation, he said he was not aware of the current law. Three days later, he signed on as co-sponsor.
\u201cHas this law always been this way?\u201d Farnan inquired at the hearing. \u201cI\u2019ve never even heard of anything like this.\u201d
Missouri isn\u2019t the only state that bars judges from finalizing divorce while a woman is pregnant, according to the American Pregnancy Association, a nonprofit anti-abortion organization. Arkansas, Arizona and Texas are the others.
\u201cIt is to me, an unintended consequence of the good intentions we have in our statute to prevent what the courts call the bastardization of a child,\u201d Aune testified at the hearing. \u201cWe want to make sure babies that are born have that support.
But what I\u2019m trying to do here is really give judges an opportunity to determine if the situation requires an additional step.\u201d
In other states, judges have the discretion to dissolve a marriage even if a woman is pregnant. In the best interest of all parties involved in family court matters, Missouri lawmakers should give judges in our state the ability to make those tough calls, too.
HOMICIDE 3RD LEADING CAUSE OF PREGNANCY RELATED DEATHS
Last year, the Missouri Department of Health and Senior Services released the findings of a multiyear review of maternal mortality. Homicide was the third leading cause of death among all pregnancy related deaths, according to the review.
In each of the eight homicides reported, the perpetrator was either a current or former partner, according to DHSS.
Giving a judge more power to expedite the dissolution process could possibly prevent these unfortunate tragedies.
Lawmakers must consider the overall health of an unborn child. Experiencing domestic violence during pregnancy puts both mother and child at risk, according to Matthew Huffman, chief public affairs officer for the Missouri Coalition Against Domestic and Sexual Violence, a statewide association made up of service providers for abuse victims.
\u201cWomen who are abused during pregnancy are more likely to receive no prenatal care or delay receiving any care because of the abuse they\u2019re already experiencing by their partner and that partner controlling their access to health care,\u201d Huffman told members of the Emerging Issues Committee.
\u201cMaternal exposure to domestic violence is associated with significantly increased risk of low birth weight and preterm birth,\u201d he said. \u201cInfants exposed to domestic violence can show signs of trauma that include problems eating, sleep disturbances, higher irritability and delays in development.\u201d
A pregnancy should not preclude a divorce from proceeding \u2014 especially if the woman is at risk. Missouri lawmakers must join many other states that give a family court judge the option to finalize a divorce between a pregnant woman and her spouse.
Keeping an archaic law on the books makes little sense. The protection and health of a mother and unborn child are more important than outdated state statutes.
___
St. Louis Post-Dispatch. February 27, 2024.
Editorial: Why did Missouri literally put its seal of approval on illegal gambling?
The thousands of illegal video gaming machines operating with impunity throughout Missouri will continue operating, for now, but without an official Missouri seal on them.
It\u2019s a small but notable victory if only in that it shows there actually are lines our state legislators won\u2019t cross in defense of this well-heeled, parasitic industry.
Give Torch Electronics points for gumption. The Wildwood-based company has placed thousands of its unlicensed video gaming machines in gas stations and elsewhere all over Missouri, in open defiance of state gambling laws. For years, it has siphoned off money from public education by peeling away gambling patrons from licensed casinos without paying the state a dime in gambling taxes.
The company even managed, for a time, to finagle what amounted to an official seal of approval from Missouri\u2019s state government on its illegal games \u2014 though that stunt has now, blessedly, backfired.
State Treasurer Vivek Malek had the bright idea to display official state ads publicizing his office\u2019s unclaimed property program on Torch\u2019s unlicensed gaming machines, which have been at the center of political and legal controversy for years.
Malek on Tuesday was forced to reverse course and announce he will have those seals removed, in a rare instance of Missouri lawmakers standing up to the industry.
Malek had defended his decision to partner his office with a company that openly flouts state gaming laws by noting that Torch wasn\u2019t charging the state to display the ads.
Of course it wasn\u2019t \u2014 because the ads would fool players into thinking the machines are officially sanctioned and regulated, while helping further entrench an illegal industry with the sheen of state approval.
Missouri\u2019s licensed casinos operate under a regulatory system that ensures the games are fair, provides information for problem gamblers and heavily taxes the profits to help fund education.
The companies that operate the video gaming machines (Torch is the biggest of several) avoid all that pesky regulation and taxes by claiming the games aren\u2019t actually gambling because of the way they\u2019re structured.
Nonsense. People put money in hoping to win more back, and sometimes they do. That\u2019s gambling.
That\u2019s why the Missouri Gaming Association and others have long called for the state to crack down. Alas, the gaming machine industry has high-priced lobbyists in Jefferson City who pad the pockets of politicians, who have obediently refrained from interfering with its illegal profit.
But Malek\u2019s move to put state public service announcements on the machines turned out to be a bridge too far even for them.
The announcements literally displayed an official state seal. They also displayed Malek\u2019s name as he seeks election to the office to which he was appointed.
\u201cIt\u2019s no secret that this is designed to make these machines appear as if they are operated by the state of Missouri,\u201d State Rep. Scott Cupps, R-Shell Knob, chair of the House subcommittee that controls the treasurer\u2019s budget, said last week.
As the Post-Dispatch\u2019s Kurt Erickson reported then, Cupps expressed frustration with Malek for refusing to appear before his subcommittee to explain the decision to effectively give the machines the state\u2019s imprimatur.
\u201cMan, this is bad,\u201d Cupps told the subcommittee. \u201cThis is bad government. We have the state seal and the state treasurer\u2019s name on illicit gambling machines.\u201d
Malek last week responded with a letter to Cupps pushing back on the implication of impropriety. He maintained that the promotional campaign \u201cis neither a state endorsement of gaming nor a statement regarding the legality of the machines in question.\u201d
And how was the average gambler supposed to know that?
Most of Missouri\u2019s political leaders have, until now, been generally passive enablers of a rogue industry that drains education funding. But allowing a Missouri seal to remain on those machines would arguably have made them more like accomplices. Which was apparently too much even for this Legislature.
Under heavy pressure from both parties and lousy publicity for a week, Malek on Tuesday announced the promotional materials would come off the machines.
The episode may ultimately prove useful in that is has given Missouri voters a clear example of Malek\u2019s judgment as he seeks to win a full term as state treasurer. It\u2019s not a good look.
In a final defense of his indefensible original program, Malek (perhaps inadvertently) said the quiet part out loud, declaring, \u201cI am not here to judge Missourians who gamble. I am not the state pastor.\u201d
But the industry says this isn\u2019t really gambling, remember?
Of course it\u2019s gambling. And it\u2019s costing the state money for its schools and legitimacy in its laws. Now that some lawmakers have discovered they can confront this shady industry without the sky falling, they should make the obvious next play and finally shut them down.
END
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Nearly 9,000 out of the country\u2019s medical interns and residents have been refusing to work for about two weeks to protest a government plan to increase South Korea\u2019s medical school admission quota by about two thirds.", + "bylines": [ + { + "by": "By JIWON SONG and HYUNG-JIN KIM", + "title": "Associated Press" + } + ], + "located": "SEOUL, South Korea", + "datelinelocation": { + "city": "Seoul", + "countrycode": "KOR", + "countryname": "South Korea", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + 126.9784, + 37.566 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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Nearly 9,000 out of the country\u2019s 13,000 medical interns and residents have been refusing to work for about two weeks to protest a government plan to increase South Korea\u2019s medical school admission quota by about two thirds.
Here are some questions and answers about what\u2019s next in the strike:
__
After their walkouts caused hundreds of surgeries and other treatments to be canceled, the government ordered the junior doctors to return to work by Feb. 29 or face license suspensions and possible legal charges. Most of them missed the deadline.
On Monday, the government dispatched officials to about 50 hospitals to formally confirm the absence of striking doctors, before informing them of their license suspensions and giving them a chance to respond.
Vice Health Minister Park Min-soo said the doctors face a minimum three-month suspension. Suspension records will leave them facing more than one year of delay in getting licenses for specialists and further barriers in landing jobs, Park said.
Park suggested it would take weeks to complete procedures for suspending licenses. Once it\u2019s done, some striking doctors will likely respond with legal action.
Hyeondeok Choi, partner at the law firm Daeryun that specializes in medical law, said it would be \u201cimpossible\u201d for the government to suspend the licenses of all the 9,000 doctors. He said the government would likely target less than 100 of the leading strikers.
The Korea Medical Association, which represents 140,000 doctors in South Korea, said it supports the junior doctors\u2019 walkouts. Joo Sooho, a spokesperson at the KMA\u2019s emergency committee, said Monday that senior doctors are considering economic support for the strikers if their licenses are suspended.
__
South Korea\u2019s medical law says doctors who refuse the government\u2019s back-to-work order can face up to three years in prison or a 30 million won ($22,480) fine, as well as up to one year of license suspensions. Those sent to prison or given even suspended prison sentences automatically lose their licenses.
The Health Ministry can file complaints with police, who then investigate and hand the case to prosecutors for a possible indictment, according to Choi, the law firm partner.
Joo said the Korea Medical Association will provide lawyers to the striking doctors if they are summoned by police or prosecutors.
South Korean police said they are investigating five senior members of the Korea Medical Association, after the Health Ministry filed complaints against them for allegedly inciting and abetting the junior doctors\u2019 walkouts.
__
The doctors\u2019 strikes have so far failed to generate public support, with a survey showing about 80% backing the government\u2019s school enrollment plan.
The government says South Korea urgently needs more doctors to deal with a rapidly aging population. Many doctors say a too-steep increase in the number of students would eventually result in undermining medical service. Some critics say doctors, one of the highest-paid professions in South Korea, worry about losing their income.
Lee Yeonha, 40, said the striking doctors were \u201ctoo selfish\u201d and a three-month license suspension is too little.
\u201cI wish the government would take more powerful legal action to get the doctors to fear that they may not be able to work as doctors in this country,\u201d Lee said.
Another Seoul resident, Sunny Shin, supports the arguments by doctors that the government must first resolve fundamental problems such as a lack of medical liability protection and a shortage of physicians in key yet low-paying specialties such as pediatrics and emergency departments.
\u201cAs long as the crucial sector doctors are likely to be embroiled in lawsuits and still not highly paid, I cannot blame them for protesting against the government labeling them as privileged people neglecting their duties as doctors,\u201d Shin said.
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Several Democrats on the House committee expressed support for the legislation and said they hoped it could pass in the future.", + "bylines": [ + { + "by": "By SARAH RANKIN", + "title": "Associated Press" + } + ], + "located": "RICHMOND, Va.", + "datelinelocation": { + "city": "Richmond", + "countryareacode": "VA", + "countryareaname": "Virginia", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -77.46026, + 37.55376 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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(AP) \u2014 Virginia lawmakers on Monday defeated for another year legislation that would allow certain adults facing terminal illness to end their own lives with a self-administered controlled substance prescribed by a health care provider.
A House committee voted to carry the medically assisted suicide bill sponsored by Democratic Sen. Ghazala Hashmi over to the 2025 session, ending its chances this year.
Similar legislation failed in previous years. But Hashmi's bill passed the Senate in February on a party-line vote after receiving an endorsement from U.S. Rep. Jennifer Wexton, a Democrat and former state senator who has been diagnosed with a terminal neurological disease.
Wexton and other supporters said the bill would extend compassion to people who are dying by giving them control over how their life ends.
The bill limited eligibility to mentally competent individuals 18 or older who have received a diagnosis that they have six months or less to live. Ten other states and the District of Columbia have passed similar legislation, Hashmi said Monday.
\u201cThis legislation allows an eligible individual the autonomy to decide when suffering becomes too great and to alleviate that suffering on their own terms by dying peacefully in their sleep should they choose,\u201d she said in an earlier subcommittee hearing.
Religious and socially conservative groups opposed the measure.
\u201cAssisted suicide facilitates tragedies and makes the most vulnerable even more vulnerable,\u201d Bishop Michael Burbidge of the Catholic Diocese of Arlington and Bishop Barry Knestout of the Catholic Diocese of Richmond said in a joint statement issued last month. \u201cLegalizing it would place the lives of people with disabilities, people with mental illnesses, the elderly, and those unable to afford healthcare \u2014 among others \u2014 at heightened risk of deadly harm.\u201d
Some medical providers also opposed the measure, arguing that contributing to a suicide is antithetical to the profession\u2019s standards.
A companion bill was introduced by Del. Patrick Hope in the House of Delegates but failed to make it out of the chamber.
Monday's decision to carry the bill over was made with an unrecorded voice vote. Several Democrats on the committee expressed support for the legislation in concept and said they hoped or expected it could pass in the future.
\u201cI'm confident that there will be a day when this moves forward,\u201d Hope said.
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Some of the women \u2014 including many who were teenagers at the time \u2014 were not aware of what happened or did not consent to the intervention. The purpose was allegedly to limit population growth in Greenland by preventing pregnancies.", + "bylines": [ + { + "by": "By JAN M. OLSEN", + "title": "Associated Press" + } + ], + "located": "COPENHAGEN, Denmark", + "datelinelocation": { + "city": "Copenhagen", + "countrycode": "DNK", + "countryname": "Denmark", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + 12.56553, + 55.67594 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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The 143 Inuit women say Danish health authorities violated their human rights when they fitted them with the devices, commonly known as coils. Some of the women \u2014 including many who were teenagers at the time \u2014 were not aware of what happened or did not consent to the intervention.
They each are demanding 300,000 kroner ($44,000), the women\u2019s lawyer, Mads Pramming, told The Associated Press.
The purpose was allegedly to limit population growth in Greenland by preventing pregnancies. The population on the Arctic island was rapidly increasing at the time because of better living conditions and better health care. The small T-shaped device, made from plastic and copper and fitted in the uterus, prevents sperm from fertilizing an egg.
Danish authorities say as many as 4,500 women and girls \u2014 reportedly half of the fertile women in Greenland \u2014 received coil implants between the 1960s and mid-1970s.
In September 2022, the governments of Denmark and Greenland launched an investigation into the program. The outcome of the probe is due next year.
But Pramming said they won\u2019t wait until then, and that the only option for the women is to seek justice through the court.
\"The oldest of us are over 80 years old, and therefore we cannot wait any longer,\u201d one of the women, Naja Lyberth, told Greenland public broadcaster KNR. \u201cAs long as we live, we want to regain our self-respect and respect for our wombs.\u201d
Lyberth was 14 when she had a coil fitted and was among the first to talk about it.
The Danish government has offered psychiatric counseling to those affected.
Last year, 67 women filed an initial lawsuit against Denmark over the forced contraception.
\u201cThe pain, physically and emotionally, that they have experienced is still there today,\u201d Health Minister Magnus Heunicke said.
Denmark's past actions in Greenland have been haunting Danish authorities in recent years.
In 2020, Prime Minister Mette Frederiksen apologized to 22 Greenland children who were forcibly taken to Denmark in 1951 in a failed social experiment.
The plan was to modernize Greenland and give children a better life, but it ended with an attempt to form a new type of Inuit by reeducating them and hoping they would later return home and foster cultural links.
We \u201capologize to those we should have looked after but failed,\u201d Frederiksen said, adding that \"the children lost their ties to their families and lineage, their life history, to Greenland and thus to their own people.\u201d
Greenland, which is part of the Danish realm, was a colony under Denmark's crown until 1953, when it became a province in the Scandinavian country.
In 1979, the island was granted home rule, and 30 years later, Greenland became a self-governing entity. But Denmark retains control over its foreign and defense affairs. In 1992, Greenland took over control of its health sector from Copenhagen.
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The foundation will allocate up to $51 million in its 2024 grant cycle for Ohio-based non-profits, for-profits and government programs alike. Eligible projects may span one, two or three years and must be regionally-focused. Registration starts Monday and applications are due by May 3.", + "bylines": [ + { + "by": "By SAMANTHA HENDRICKSON", + "title": "Associated Press/Report For America" + } + ], + "located": "COLUMBUS, Ohio", + "datelinelocation": { + "city": "Columbus", + "countryareacode": "OH", + "countryareaname": "Ohio", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -82.99879, + 39.96118 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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The OneOhio Recovery Foundation, who has been tasked with distributing over $860 million of settlements reached with drugmakers and pharmaceutical companies for their roles in the national opioid crisis, plans to release its formal request for proposals Monday.
Drugmakers, wholesalers, pharmacies and other companies have agreed to settlements over the toll of opioids that are to pay state, local and Native American tribal governments more than $50 billion. Under the agreements, most of the money is to be used to address the overdose epidemic.
The foundation will allocate up to $51 million in its 2024 grant cycle for Ohio-based non-profits, for-profits and government entities alike who are \u201con the frontlines of Ohio\u2019s opioid battle.\u201d The program is the first of its kind in the United States.
Those applying must still follow certain parameters outlined by OneOhio, including that all programs and services proposed must be \u201cevidence-based, forward-looking strategies for prevention, treatment, (and) recovery support services.\u201d
Eligible projects may span one, two or three years and must be regionally-focused. Registration starts Monday and applications are due by May 3.
Alisha Nelson, executive director of OneOhio, said in a press release that the foundation understands how urgent the need to disperse the settlement money is as the state continues to feel the impact of the opioid epidemic.
\u201cAfter months of carefully developing this first-ever program, we look forward to seeing the innovative ideas presented to combat the epidemic in every corner of the state,\" Nelson said.
The foundation is registered as a private non-profit organization, though it was launched by Republican Gov. Mike DeWine and GOP Attorney General Dave Yost in 2021. It's governed by a 29-member statewide board, many of which are state lawmakers and the appointees of state officials, but also includes addiction experts from across Ohio.
It has previously faced scrutiny, as well as a lawsuit, over lacking transparency.
Last summer, DeWine appointed Nelson as the foundation's first ever permanent executive director.
\u201cAfter careful consideration, I selected Alisha to fill this role because I know that she shares my vision of intentionally using these settlement funds to help Ohioans struggling with substance use disorder for years to come,\u201d DeWine said last year.
___
Samantha Hendrickson is a corps member for the Associated Press/Report for America Statehouse News Initiative. Report for America is a nonprofit national service program that places journalists in local newsrooms to report on undercovered issues.
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Therefore, the content is highly relevant to the topic of health." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/03/04/add40fec7589dae8ba26eb29bee36b8b.json b/datasets/AP_news/raw_data/2024/03/04/add40fec7589dae8ba26eb29bee36b8b.json new file mode 100644 index 0000000..50ebc6e --- /dev/null +++ b/datasets/AP_news/raw_data/2024/03/04/add40fec7589dae8ba26eb29bee36b8b.json @@ -0,0 +1,232 @@ +{ + "altids": { + "itemid": "add40fec7589dae8ba26eb29bee36b8b", + "etag": "add40fec7589dae8ba26eb29bee36b8b_1a18aza0c0", + "friendlykey": "24979060891", + "referenceid": "US-MED--Birth Control Pill" + }, + "version": 1, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-03-04T18:45:47Z", + "firstcreated": "2024-03-04T16:23:41Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: Updates Media.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "US-MED--Birth Control Pill", + "headline": "First over-the-counter birth control pill in US begins shipping to stores", + "headline_extended": "The first over-the-counter birth control pill will be available in U.S. stores later this month", + "slugline": "BC-US-MED-Birth-Control-Pill, 1st Ld-Writethru", + "description_summary": "The first over-the-counter birth control pill will be available in U.S. stores later this month. 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Manufacturer Perrigo said Monday it has begun shipping the medication, Opill, to major retailers and pharmacies. A one-month supply will cost about $20 and a three-month supply will cost around $50, according to the company's suggested retail price. It will also be sold online.
The launch has been closely watched since last July, when the Food and Drug Administration said the once-a-day Opill could be sold without a prescription. Ireland-based Perrigo noted there will be no age restrictions on sales, similar to other over-the-counter medications.
Opill is an older class of contraceptive, sometimes called minipills, that contain a single synthetic hormone, progestin, and generally carry fewer side effects than more popular combination estrogen and progestin pills.
The launch gives U.S. women another birth control option amid the legal and political battles over reproductive health, including the reversal of Roe v. Wade, which has upended abortion access across the U.S. Opill\u2019s approval is unrelated to the ongoing court battles over the abortion pill mifepristone. And anti-abortion groups have generally emphasized that they do not oppose contraceptives to prevent pregnancies.
Birth control pills are available without a prescription across much of South America, Asia and Africa.
The drug\u2019s approval came despite some concerns by FDA scientists about the company\u2019s results, including whether women with certain medical conditions would understand that they shouldn\u2019t take the drug.
Dr. Verda Hicks, president of the American College of Obstetricians and Gynecologists, in a statement, said studies have shown that patients, including adolescents, can effectively screen themselves to use the pills.
___
The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute\u2019s Science and Educational Media Group. The AP is solely responsible for all content.
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"c3cf199067894f0f933b07715fca00bc" + }, + "type": "picture" + } + }, + "body_nitf": "NEW ORLEANS (AP) \u2014 Whether health insurance plans affecting an estimated 150 million Americans must cover certain types of preventive care at no cost \u2014 including HIV prevention and some types of cancer screenings \u2014 was debated before federal appellate judges Monday in the latest legal battle involving former President Barack Obama's signature health care law.
The requirements were adopted by federal health officials under provisions of that law, sometimes referred to as Obamacare. U.S. District Judge Reed O'Connor ruled last year that the requirements violated the Constitution because they came from a volunteer task force, not from constitutionally appointed officials.
\u201cThese are preventative services provisions that are critical and lifesaving to millions of Americans and to enjoin the federal government nationwide from enforcing those preventative care coverage requirements and vacating them as to the entire country is unwarranted and unjustified,\u201d Daniel Aguilar, arguing for the Biden administration, told a panel of three judges with the 5th U.S. Circuit Court of Appeals in New Orleans.
The government argues that the task force members have been legally appointed by Health and Human Services Secretary Xavier Becerra and that he properly ratified their recommendations. An attorney for the policy's challengers argued that the recommendations must come from appointees who are directly supervised by an appointee of the president who has been confirmed by the Senate. The task force members don't meet that test, said Jonathan Mitchell, attorney for Braidwood Management and other plaintiffs, some of whom opposed the required coverage for religious reasons.
\u201cThere\u2019s no possibility of direction or supervision here by someone who has been appointed by the president,\u201d Mitchell said.
The panel hearing the case consisted of judges Don Willett and Cory Wilson, both nominated to the court by former President Donald Trump, and Irma Carrillo Ramirez, nominated by President Joe Biden. They gave no indication when they would rule.
The coverage mandates remain in effect for now. O'Connor's ruling was put on hold pending the appeal.
Not all preventive care was threatened by O\u2019Connor\u2019s ruling. An analysis by the nonprofit KFF foundation found that some screenings, including mammography and cervical cancer screening, would still be covered without out-of-pocket costs because the task force recommended them before the health care law was enacted in March 2010.
The Biden administration is appealing the ruling. Meanwhile, plaintiffs in the case have filed a cross-appeal that could broaden O'Connor's ruling and endanger more preventive care mandates, according to the advocacy group , United States of Care.
Monday\u2019s arguments mark the latest in more than a decade of conservative efforts to chip away at the Affordable Care Act. O'Connor, based in Fort Worth, Texas, threw out the entire law in 2018, a decision later undone by the Supreme Court.
___
This story has been updated to correct the spelling of Jonathan Mitchell's first name.
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Nearly 9,000 medical interns and residents have been on strike for two weeks to protest a government push to sharply increase the number of medical school admissions. The Health Ministry says officials were sent to dozens of hospitals on Monday to formally confirm the absence of the striking doctors. It says authorities will later notify the striking doctors of their expected license suspensions and give them a chance to respond.", + "bylines": [ + { + "by": "By HYUNG-JIN KIM", + "title": "Associated Press" + } + ], + "located": "SEOUL, South Korea", + "datelinelocation": { + "city": "Seoul", + "countrycode": "KOR", + "countryname": "South Korea", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + 126.9784, + 37.566 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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Nearly 9,000 medical interns and residents have been on strike for two weeks to protest a government push to sharply increase the number of medical school admissions. Their action has led to hundreds of canceled surgeries and other treatments and threatened to burden the country\u2019s medical service.
On Monday, officials were sent to dozens of hospitals to formally confirm the absence of the striking doctors as the government began steps to suspend their licenses for at least three months, Vice Health Minister Park Min-soo told a briefing.
Park said authorities will later notify the striking doctors of their expected license suspensions and give them a chance to respond. He suggested the license suspensions would take weeks to go into effect.
\"Despite repeated appeals by the government and other parts of society, the number of trainee doctors returning to work is very insignificant. Starting from today, we begin the execution of law with the on-site inspection,\u201d Park said.
Park again repeated the government's call for the doctors to end their walkouts.
\"We again strongly urge them to return to patients by not ignoring the pains of patients hovering between life and death \u2014 and their families,\u201d he said.
South Korea's government earlier ordered the striking doctors to return to work by Feb. 29. South Korea's medical law allows the government to make such back-to-work orders to doctors when it sees grave risks to public health. Anyone who refuses to follow such orders can be punished with a suspension of his or her license for up to one year, and three years in prison or a 30 million won (roughly $22,500) fine.
Last month, the South Korean government announced it would raise the country's medical school enrollment cap by 2,000 starting next year, from the current 3,058. Officials said it's urgent to have more doctors to deal with a fast-aging population and resolve a shortage of physicians in rural areas and essential yet low-paying specialties like pediatrics and emergency departments.
Officials say South Korea\u2019s doctor-to-population ratio is one of the lowest among developed countries.
But many doctors have opposed the plan, arguing universities can't offer quality education to such an abrupt increase in students. They also say adding so many new doctors would also increase public medical expenses since greater competition would lead to excess treatments. They also predict newly added students would also want to work in high-paying, popular professions like plastic surgery and dermatology.
Critics say many doctors oppose the government plan simply because they worry adding more doctors would result in a lower income.
The striking junior doctors are a small fraction of the country's 140,000 doctors. But they account for 30-40% of the total doctors at some major hospitals, where they assist senior doctors while training.
Senior doctors have staged a slew of street rallies supporting the young doctors but haven\u2019t joined their walkouts. Police said they were investigating five ranking members of the Korea Medical Association, a body that represents South Korean doctors, for allegedly inciting and abetting the walkouts.
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Lawyers for the six plaintiffs say it is the first case of its kind to challenge indefinite solitary confinement and the use of solitary confinement for anyone with a mental health diagnosis. Lawyers are also seeking compensatory and punitive damages for the plaintiffs.
A similar suit was filed in October 2023, with incarcerated people at the Department of Corrections\u2019 State Correctional Institution at Fayette arguing that the solitary confinement practices there worsened and created mental health crises based on secret evidence.
A number of lawsuits nationally have targeted the conditions of solitary confinement, saying the treatment of incarcerated people there has led to psychiatric episodes of self-mutilation and death due to lack of adequate care.
In Pennsylvania, legislation seeking to reform the practice and protect vulnerable populations has been introduced. A state House of Representatives judiciary committee hearing Tuesday is expected to focus on the use of it.
The federal suit filed in the Eastern District of Pennsylvania against the state Department of Corrections argues that people incarcerated have suffered from increased mental health struggles. Some have been in solitary confinement for up to 12 years consecutively. The six inmates are incarcerated at six different facilities.
A spokesperson for the state Department of Corrections declined comment, saying the agency does not comment on litigation.
Lawyers say the state Department of Corrections is violating the constitutional rights of those incarcerated and is discriminatory by punishing people for symptoms of mental illness.
In solitary, people are confined to their cell for a majority of the day, with limited time for visitation or to leave their cell. If they do leave their cells, they are often restrained. They have limited access to hot water for showering. Fluorescent lights are on in their cells constantly, making it difficult to sleep. The environment is loud, with slamming steel doors and screaming of people having mental health crises.
The complaint alleges that mental health visits are not private, are conducted through the food slot in the steel doors and only last seconds.
Many of the plaintiffs have harmed themselves or attempted suicide while in solitary confinement, according to the complaint.
Khalil Hammond, a 35-year-old plaintiff, has spent 12 years in solitary. He is currently incarcerated at the State Correctional Institution at Phoenix in Collegeville, Pennsylvania. Hammond has a history of mental illness, which has worsened in confinement. He has attempted suicide eight times, according to the complaint.
He is unable to participate in programming to become eligible for parole and has not been able to connect often with his family. He is not able to marry his fianc\u00e9 while in solitary.
\u201cSolitary confinement is killing us. If you didn\u2019t have mental health issues before going in, you do once you\u2019re in the hole,\u201d he said in a statement. \u201cImagine being locked in a cage for years and years without ever knowing when you\u2019ll get out.\u201d
Malika Henderson, 29, has been in solitary confinement for 22 months consecutively. She is incarcerated at State Correctional Institution at Muncy. She\u2019s spent about six years cumulatively in solitary confinement.
After her grandmother died in February and she was unable to attend funeral services virtually, she attempted suicide, the complaint states.
\u201cBeing in solitary confinement away from your loved ones and family is devastating,\u201d she said in a statement. \u201cI\u2019m suffering but I know with this lawsuit I\u2019m not just fighting for me, I\u2019m fighting for the thousands of men and women who are in solitary just like me and who need to get out.\u201d
Saleem Holbrook, executive director of the Abolitionist Law Center, one of the law firms involved in the case, called it a historic filing.
\u201cEnding solitary confinement is necessary on grounds of humanity and as a matter of public health,\u201d Holbrook said in a statement. \u201cThe damage and devastation incarcerated people experience in solitary confinement has long-term and widespread consequences impacting individuals, families, and the communities those individuals return home to.\u201d
", + "textformat": "bx", + "links": [ + { + "href": "https://apnews.com/article/pennsylvania-solitary-confinement-lawsuit-cad48dfe9ca84c89717c0052c83dc9fc", + "rel": "canonical" + } + ], + "topics": { + "Health": { + "relevance_score": 5, + "reason": "The document discusses the mental health impacts of solitary confinement on incarcerated individuals in Pennsylvania, including worsening mental health crises, self-harm, and suicide attempts. It also mentions the legal actions being taken to address these health concerns. 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The historic move was proposed by President Emmanuel Macron as a way to prevent the kind of rollback of abortion rights seen in the United States in recent years, and the vote during a special joint session of France's parliament drew a long standing ovation among lawmakers.
The measure was approved in a 780-72 vote in the Palace of Versailles. Abortion enjoys wide support in France across most of the political spectrum, and has been legal since 1975.
Many female legislators in the hall smiled broadly as they cheered. While a small group of protesters stood outside the joint session, there were jubilant scenes of celebrations all over France as women\u2019s rights activists hailed the measure promised by Macron within hours of the Dobbs ruling by the U.S. Supreme Court in 2022.
The U.S. decision has reverberated across Europe\u2019s political landscape, forcing the issue back into public debate in some countries at a time when far-right nationalist parties are gaining influence.
Both houses of France's parliament, the National Assembly and Senate, had separately adopted a bill to amend Article 34 of the French Constitution, but the amendment needed final confirmation by a three-fifths majority in the special joint session. The measure specifies that \u201cthe law determines the conditions by which is exercised the freedom of women to have recourse to an abortion, which is guaranteed.\u201d
The French measure is seen as going a step further than was the case in the former Yugoslavia, whose 1974 constitution said that \u201ca person is free to decide on having children.\u201d Yugoslavia dissolved in the early 1990s, and all its successor states have adopted similar measures in their constitutions that legally enable women to have an abortion, though they do not explicitly guarantee it.
In the lead-up to the vote, French Prime Minister Gabriel Attal addressed the more than 900 lawmakers gathered for the joint session in Versailles, and called on them to make France a leader in women's rights and set an example for countries around the world.
\u201cWe have a moral debt to women,\u201d Attal said. He paid tribute to Simone Veil, a prominent legislator, former health minister and key feminist who in 1975 championed the bill that decriminalized abortion in France.
\u201cWe have a chance to change history,\u201d Attal said in a moving and determined speech. \u201cMake Simone Veil proud,\" he said to a standing ovation.
None of France\u2019s major political parties have questioned the right to abortion, including Marine Le Pen\u2019s far-right National Rally party and the conservative Republicans.
Le Pen, who won a record number of seats in the National Assembly two years ago, said on Monday that her party planned to vote in favor of the bill but added that \u201cthere is no need to make this a historic day.\u201d
A recent poll showed support for abortion rights among the French public at more than 80%, consistent with previous surveys. The same poll also showed that a solid majority of people are in favor of enshrining it in the constitution.
A group of about 200 anti-abortion protesters gathered soberly in Versailles ahead of the vote, some holding a banner reading: \u2018\u2019I too was an embryo.''
A larger crowd of women's rights activists gathered at Trocadero Plaza overlooking the Eiffel Tower, letting out a collective cry of joy as the vote results came in. Others celebrated around France even before the joint parliamentary session began.
Sarah Durocher, a leader in the Family Planning movement, said Monday's vote is \u201ca victory for feminists and a defeat for the anti-choice activists.\u201d
\u201cWe increased the level of protection to this fundamental right,\u201d said Anne-C\u00e9cile Mailfert of the Women\u2019s Foundation. \u201cIt\u2019s a guarantee for women today and in the future to have the right to abort in France.\u201d
The government argued in its introduction to the bill that the right to abortion is threatened in the United States, where the Supreme Court in 2022 overturned a 50-year-old ruling that used to guarantee it.
\u201cUnfortunately, this event is not isolated: In many countries, even in Europe, there are currents of opinion that seek to hinder at any cost the freedom of women to terminate their pregnancy if they wish,\u201d the introduction to the French legislation says.
\u201cIt may not be an issue in France, where a majority of people support abortion,\u201d said Mathilde Philip-Gay, a law professor and a specialist in French and American constitutional law. \u201cBut those same people may one day vote for a far-right government, and what happened in the U.S. can happen elsewhere in Europe, including in France.\u201d
Inscribing abortion into the French Constitution \"will make it harder for abortion opponents of the future to challenge these rights, but it won't prevent them from doing it in the long run, with the right political strategy,\u201d Philip-Gay added.
\"It only takes a moment for everything we thought that we have achieved to fade away,\u201d said Yael Braun-Pivet, the first female president of the French parliament, in her address to the joint session.
Amending the constitution is a laborious process and a rare event in France. Since it was enacted in 1958, the French Constitution has been amended 17 times.
The justice minister said the new amendment will be formally inscribed into the Constitution at a public ceremony at Vendome Plaza in Paris on Friday \u2014 International Women's Day.
___
Barbara Surk reported from Nice. Michel Euler in Versailles and Oleg Cetinic and Angela Charlton in Paris contributed.
", + "textformat": "bx", + "links": [ + { + "href": "https://apnews.com/article/france-abortion-right-constitution-parliament-vote-versailles-d6ce4fb3a6a7288033f58235b65f570e", + "rel": "canonical" + } + ], + "topics": { + "Health": { + "relevance_score": 3, + "reason": "The document primarily focuses on the political and legal aspects of enshrining abortion rights in France's constitution. While abortion is a health-related issue, the article does not delve into the health implications, medical aspects, or public health impact of abortion. Instead, it emphasizes the legislative process, political reactions, and historical context. Therefore, the document is somewhat relevant to the topic of health but not highly focused on it." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/03/04/f5a48564368d2cf383a7eac1371d67cf.json b/datasets/AP_news/raw_data/2024/03/04/f5a48564368d2cf383a7eac1371d67cf.json new file mode 100644 index 0000000..1204d2c --- /dev/null +++ b/datasets/AP_news/raw_data/2024/03/04/f5a48564368d2cf383a7eac1371d67cf.json @@ -0,0 +1,225 @@ +{ + "altids": { + "itemid": "f5a48564368d2cf383a7eac1371d67cf", + "etag": "f5a48564368d2cf383a7eac1371d67cf_0a8aza0c0", + "friendlykey": "840523216241", + "referenceid": "SCI--Fetal Cells-Mini Organs" + }, + "version": 0, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-03-04T16:01:20Z", + "firstcreated": "2024-03-04T16:01:19Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: Updates Media.", + "signals": [ + "newscontent" + ], + "title": "SCI--Fetal Cells-Mini Organs", + "headline": "Scientists have used cells from fluid drawn during pregnancy to grow mini lungs and other organs", + "headline_extended": "Scientists in the United Kingdom have created mini organs from cells floating in the fluid that surrounds a fetus in the womb", + "slugline": "BC-SCI--Fetal Cells-Mini Organs", + "description_summary": "Scientists in the United Kingdom have created mini organs from cells floating in the fluid that surrounds a fetus in the womb. They believe this advance could open up new areas of prenatal medicine. Mini organs are tiny structures that can be used to test new medical treatments or study how the real organs they mimic work when healthy or diseased. Researchers say this is the first time \u201corganoids\u201d have been grown from cells collected during an active pregnancy. They envision the approach could eventually help doctors monitor and treat congenital conditions before birth and develop personalized therapies for a baby in the womb.", + "bylines": [ + { + "by": "By LAURA UNGAR", + "title": "AP Science Writer" + } + ], + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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Miniorgans, or \u201c organoids,\u201d are tiny simplified structures that can be used to test new medical treatments or study how the real organs they mimic work, whether they are healthy or diseased.
Researchers from University College London and Great Ormond Street Hospital in the United Kingdom collected cells from amniotic fluid samples taken during 12 pregnancies as part of routine prenatal testing. Then, for the first time, they grew mini-organs from cells taken during active pregnancies. They envision their approach could eventually help doctors monitor and treat congenital conditions before birth and develop personalized therapies for a baby in the womb.
\u201cWe\u2019re really excited\u201d about that possibility, said Mattia Gerli of University College London, an author of the study published Monday in the journal Nature Medicine.
The tissue-specific stem cells Gerli and his colleagues collected were shed by the fetus, as normally happens during pregnancy. The scientists identified which tissues the stem cells came from, and found cells from the lungs, kidneys and intestines.
Previously, mini-organs have been derived from adult stem cells, which more closely resemble adult tissue, or fetal tissue after an abortion.
Collecting cells from amniotic fluid gets around regulations about taking stem cells directly from fetal tissue, allowing these scientists to get cells from fetuses into the latter part of pregnancy. In the U.K., the legal limit for terminating a pregnancy is generally 22 weeks after conception. Scientists can\u2019t get fetal samples after that, limiting their ability to study normal human development or congenital diseases past that point.
In the U.S., abortion restrictions vary by state. It\u2019s legal in most to use fetal tissue for research, said Alta Charo, an emeritus professor of law and bioethics at the University of Wisconsin at Madison. Fetal tissue is defined by the National Institutes of Health as coming from a dead human embryo or fetus after a miscarriage, abortion or stillbirth \u2013 and the use of tissue from an abortion has long been controversial.
Charo, who wasn't involved in the study, said the new approach doesn\u2019t raise the same ethical issues. \u201cObtaining cells from amniotic fluid that is already being sampled for standard clinical purposes does not appear to add any physical risks to either fetus or pregnant woman,\u201d she said in an email.
Dr. Arnold Kriegstein, who directs the Developmental and Stem Cell Biology Program at the University of California, San Francisco, and also wasn't involved in the research, said getting cells this way has \u201cthe potential of giving you some information about that individual fetus as it\u2019s growing.\u201d
And since growing mini-organs from cells in amniotic fluid takes about 4 to 6 weeks, Gerli said, there's enough time for prenatal therapy to fix problems doctors might find.
To examine one practical use of their approach, the U.K. team worked with colleagues in Belgium to study the development of babies with a condition called a congenital diaphragmatic hernia, in which organs such as the liver and intestines get displaced into the chest because of a hole in the diaphragm. The lungs don\u2019t develop the way they should, and about 30% of fetuses with the condition die. If doctors detect the hernia, they can operate on the fetus while it's still in the womb.
Researchers grew lung organoids from the cells of fetuses with the condition before and after treatment and compared them to organoids from healthy fetuses. Dr. Paolo de Coppi, an author of the study from University College London and Great Ormond Street Hospital, said they were able to assess the affected child's condition before birth using this method. Doctors are now unable to tell families much about the outcome of a prenatal diagnosis because each case is different, he said. The ability to study functioning prenatal miniorgans, he added, is the first step toward a more detailed prognosis and more effective treatments.
Kriegstein said more research is needed. \u201cIt\u2019s in the very early stages,\" he added, \"and we\u2019ll have to wait and see how useful it\u2019ll be in the long run.\u201d
___
The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute\u2019s Science and Educational Media Group. The AP is solely responsible for all content.
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Abortion is broadly legal across Europe, and governments have been gradually expanding abortion rights, with some exceptions. Women can access abortion in more than 40 European nations from Portugal to Russia, with varying rules on how late in a pregnancy it is allowed. Abortion is banned or tightly restricted in Poland and a handful of tiny countries.
The 2022 U.S. Supreme Court decision overturning long-held abortion rights was the catalyst for the French parliament's overwhelming vote Monday to add a constitutional amendment proclaiming \u201cthe freedom of women to have recourse to an abortion, which is guaranteed.\u201d
Here is a look at recent developments on abortion rights in some European countries:
Poland \u2014 predominantly Catholic \u2014 bans abortion in almost all cases, with exceptions only when a woman\u2019s life or health is endangered or if the pregnancy results from rape or incest. For years, abortion was allowed in the case of fetuses with congenital defects. That was struck down in 2020.
The restrictions have led to deaths, primarily of women later in their pregnancies who wanted to have a child. Women\u2019s rights activists say doctors in Poland now wait for a fetus with no chance of survival to die in the womb rather than perform an abortion. Several women in such cases developed sepsis and died.
Abortion is a hot topic under the new government. Many of those who elected Donald Tusk\u2019s government want an easing of the law, though there is resistance from conservatives in the coalition; politicians are debating whether it should be settled by a referendum.
In Britain, abortion was partly legalized by the 1967 Abortion Act, which allows abortions up to 24 weeks of pregnancy if two doctors approve. Later abortions are allowed in some circumstances, including danger to the mother\u2019s life.
But women who have abortions after 24 weeks in England and Wales can be prosecuted under the 1861 Offences Against the Person Act. Last year a 45-year-old woman in England was sentenced to 28 months in prison for ordering abortion pills online to induce a miscarriage when she was 32 to 34 weeks pregnant. After an outcry, her sentence was reduced.
Lawmakers in Parliament are due to vote this month on whether to remove the relevant section of the 1861 law \u2014 though doctors who assist women ending pregnancies with late abortions could still be charged. Abortion is not as divisive an issue in the U.K. as in the U.S., and the change will likely garner enough cross-party support to pass.
The former Communist-run Yugoslavia started expanding abortion rights in the 1950s and inscribed them in the 1974 Constitution, which said: \u201cA person is free to decide on having children. This right can be limited only for the reasons of health protection.\u201d
After the federation split in bloody wars in the 1990s, its former republics kept old abortion laws, but they are seen as stopping short of what France did Thursday in spelling out the guarantee.
In Serbia, for example, the 2006 Constitution states that \u201ceveryone has the right to decide on childbirth.\u201d There have been calls for this to be revoked, but only from marginal groups.
In staunchly Catholic Croatia, influential conservative and religious groups have tried to get abortion banned but with no success. However, many doctors refuse to terminate pregnancies, forcing Croatian women to travel to neighboring countries for the procedure. In 2022, Croatia saw protests after a woman was denied an abortion although her baby had health issues.
Malta eased up on the strictest abortion law in the European Union last year, acting after an American tourist who miscarried had to be airlifted off the Mediterranean island nation to be treated.
The new Maltese legislation is still strict, saying a woman must be at risk of death to obtain an abortion, and then only after three specialists consent. If the risk of death is imminent, only one doctor\u2019s approval is necessary.
Until the new legislation, Malta had banned abortion for any reason, with laws making it a crime punishable by up to three years in prison to have the procedure or up to four years to assist a woman in having one.
Italy resisted Vatican pressure and guaranteed access to abortion starting in 1978, allowing women to terminate pregnancies upon request in the first 12 weeks of pregnancy, or later if her health or life is endangered.
The 1978 law allows for medical personnel in the overwhelmingly Roman Catholic country to register as conscientious objectors, which in practice often greatly reduces women\u2019s access to the procedure or forces them to travel long distances to obtain one.
San Marino, a tiny country surrounded by Italy and one of the world\u2019s oldest republics, had been one of the last European states that still criminalized abortion in all circumstances until 2022, when it legalized the procedure in the first 12 weeks of pregnancy.
Although abortion in Russia is legal and widely available, authorities have been actively seeking to restrict access to it as President Vladimir Putin champions \u201ctraditional values\u201d in an effort to rally people around the flag and boost population growth.
Women in Russia can terminate a pregnancy until 12 weeks without condition, until 22 weeks in case of rape and at any stage for medical reasons.
Pressure on abortion rights increased after Moscow\u2019s invasion of Ukraine in 2022. Since 2023, seven Russian regions have passed laws punishing anyone found to \u201ccoerce\u201d women into abortions.
In a number of regions, and Russian-occupied Crimea, private clinics have refused to perform abortions, pushing women instead to state health care facilities where it takes more time to make an appointment and doctors often pressure women to keep their pregnancies.
___
AP journalists Vanessa Gera in Warsaw, Poland, Jill Lawless in London, Nicole Winfield in Rome, Jovana Gec in Belgrade, Serbia, Dasha Litvinova in Tallinn, Estonia, and Katie Marie Davies in Manchester, England, contributed to this report.
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"code": "661e48387d5b10048291c076b8e3055c", + "name": "United States", + "type": "AUDGEOGRAPHY" + } + ], + "associations": { + "1": { + "altids": { + "itemid": "199c6b21076c49bc854d65242b94a92a" + }, + "type": "picture" + }, + "2": { + "altids": { + "itemid": "9c5977ee609941679c974ebb5278f135" + }, + "type": "picture" + } + }, + "body_nitf": "Alabama lawmakers moved quickly to approve legislation on Wednesday that protects in vitro fertilization clinics from lawsuits in response to an uproar sparked by last month's state Supreme Court ruling that found frozen embryos have the rights of children under the state\u2019s wrongful death law.
Gov. Kay Ivey, a Republican, signed the bill into law as expected minutes later.
\u201cThe overwhelming support of SB (Senate Bill) 159 from the Alabama Legislature proves what we have been saying: Alabama works to foster a culture of life, and that certainly includes IVF,\u201d Ivey said in a statement after signing. \u201cI am confident that this legislation will provide the assurances our IVF clinics need and will lead them to resume services immediately.\u201d
The bill gives legal protection for fertility clinics, at least three of which paused IVF treatments after the court ruling to assess their new liability risks. Doctors from Alabama Fertility said the bill's passage will allow them to resume embryo transfers on Thursday.
Here are things to know about the bill and the process of making it a law.
Both the state Senate and the House advanced identical legislation that would protect IVF providers and their employees from civil lawsuits and criminal prosecution over the destruction of or damage to an embryo.
While the legislation protects medical providers, lawmakers amended the bills on Tuesday to allow certain civil lawsuits against companies that make equipment used for IVF if the equipment damages or destroys an embryo.
The measure takes effect immediately and applies retroactively to any past damage or destruction that is not already the subject of a lawsuit.
Lawmakers say IVF providers have told them that the protections are enough to get them to resume services.
The bills are silent on whether embryos outside the body are legally considered children.
In a February ruling to allow wrongful death lawsuits filed by couples whose frozen embryos were destroyed in an accident at a fertility clinic, the Alabama Supreme Court ruled that the wrongful death law \u201capplies to all unborn children, regardless of their location.\u201d The ruling cited an anti-abortion provision added to the state constitution in 2018 that protects the \u201crights of unborn children.\u201d
It's not new to apply wrongful death and other laws to fetuses and embryos. But it was a significant development for a court to say that applies to embryos outside the body, too.
The American Society for Reproductive Medicine, which represents IVF providers nationwide, said the legislation is insufficient because it doesn't undo the ruling that considers fertilized eggs to be children.
One lawmaker wanted to amend the House bill to prohibit clinics from intentionally discarding embryos, but that was rejected.
The Alabama Supreme Court's ruling is the first time since the U.S. Supreme Court overturned Roe v. Wade and ended a nationwide right to abortion in 2022 that the fallout has extended to restrict IVF.
Many abortion opponents support IVF. But some want embryos and fetuses to be given the legal rights of children, a development that could pave the way to abortion bans.
Alabama is one of the 14 states that has begun enforcing a ban on abortions at all stages of pregnancy in the past two years.
Republican lawmakers sponsored both measures in a state where politics are dominated by Republicans.
And they had strong support from lawmakers. The House version moved ahead last week on a 94-6 vote and the Senate one was unanimous, 32-0.
Former President Donald Trump, who is seeking to return to the White House, said last week that he would \u201cstrongly support the availability of IVF.\u201d
Nathaniel Ledbetter, Alabama's House speaker said it was a priority: \u201cAlabamians strongly believe in protecting the rights of the unborn, but the result of the State Supreme Court ruling denies many couples the opportunity to conceive, which is a direct contradiction.\u201d
Lawmakers put these measures on a fast track with legislative committees approving them on Tuesday and the House and Senate approving one of them on Wednesday night. Only one needed to pass. Gov. Ivey then signed the legislation into law.
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This makes it highly relevant to the topic of health." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/03/05/171949e55485f8e4195df54ffa44b344.json b/datasets/AP_news/raw_data/2024/03/05/171949e55485f8e4195df54ffa44b344.json new file mode 100644 index 0000000..56ffe31 --- /dev/null +++ b/datasets/AP_news/raw_data/2024/03/05/171949e55485f8e4195df54ffa44b344.json @@ -0,0 +1,153 @@ +{ + "altids": { + "itemid": "171949e55485f8e4195df54ffa44b344", + "etag": "171949e55485f8e4195df54ffa44b344_1a5aza0c0", + "friendlykey": "325173268424", + "referenceid": "On The Money-NerdWallet-Leave Medicare Advantage" + }, + "version": 1, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-03-06T15:13:13Z", + "firstcreated": "2024-03-05T20:23:09Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: Updates Media.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "On The Money-NerdWallet-Leave Medicare Advantage", + "headline": "When you want to leave your Medicare Advantage Plan \u2014 but feel stuck", + "headline_extended": "About half of Medicare Advantage members left their plans by the end of five years, according to a study published in 2023", + "slugline": "AP-On The Money-NerdWallet-Leave Medicare Advantage, 1st Ld-Writethru", + "description_summary": "About half of Medicare Advantage members left their plans by the end of five years, according to a study published in 2023. Most switched to another Medicare Advantage plan, but not necessarily because they liked Medicare Advantage. Returning to Original Medicare can be tricky after you first sign up, because you may not be able to get a Medigap plan. But for people with serious or chronic health conditions who have Medicare Advantage, limited provider networks and prior authorization requirements may make it difficult or expensive for them to get the care they need. Here\u2019s how it all works.", + "bylines": [ + { + "by": "By KATE ASHFORD of NerdWallet" + } + ], + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. For other uses, additional clearances may be required." + ], + "keywords": [ + "On Money NerdWallet Medicare Advantage" + ], + "provider": "AP", + "infosource": [ + { + "name": "AP", + "type": "AP" + } + ], + "subject": [ + { + "rels": [ + "category" + ], + "creator": "Editorial", + "code": "f", + "name": "f" + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "c8e409f8858510048872ff2260dd383e", + "name": "Business", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 60 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "1b29d45f8e8e4c008e8a58fe6f92a753", + "name": "Government programs", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 94 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "cc7a76087e4e10048482df092526b43e", + "name": "Health", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 78 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "c8e409f8858510048872ff2260dd383e", + "name": "Business", + "creator": "Editorial", + "editorial_subject": "Business", + "rels": [ + "direct" + ], + "relevance": 99 + } + ], + "audiences": [ + { + "code": "82c6a4c46fa0446090a7acaf93159e4c", + "name": "Print", + "type": "AUDPLATFORM" + }, + { + "code": "9add4649b53b4702ba7d9de5d4fa607a", + "name": "Online", + "type": "AUDPLATFORM" + }, + { + "code": "f43adc08760d10048040e6e7a0f4673e", + "name": "National", + "type": "AUDSCOPE" + }, + { + "code": "f4ecf9b0760d10048044e6e7a0f4673e", + "name": "International", + "type": "AUDSCOPE" + }, + { + "code": "661850e07d5b100481f5c076b8e3055c", + "name": "Latin America and Caribbean", + "type": "AUDGEOGRAPHY" + }, + { + "code": "661e48387d5b10048291c076b8e3055c", + "name": "United States", + "type": "AUDGEOGRAPHY" + } + ], + "associations": { + "1": { + "altids": { + "itemid": "2110ba3f9f144fe7a906755c30d93079" + }, + "type": "picture" + } + }, + "body_nitf": "About half of Medicare Advantage members left their plans by the end of five years, according to a 2023 study from Brown University School of Public Health. Most switched to another Medicare Advantage plan, but not necessarily because they liked Medicare Advantage. Returning to Original Medicare can be tricky after you first sign up, because you may not be able to get a Medicare Supplement Insurance plan, known as Medigap.
But for people with serious or chronic health conditions who have Medicare Advantage, limited provider networks and prior authorization requirements may make it difficult or expensive for them to get the care they need. It\u2019s helpful to understand your options.
WHEN MEDICARE ADVANTAGE ISN\u2019T THE RIGHT PLAN
Medicare Advantage plans typically require members to get health care from doctors and hospitals within a network. Members might have trouble if their doctor falls out of network or they want to see a specialist who doesn\u2019t take their plan. Medicare Advantage plans also may require you to get approval before they cover some services or medications.
While most Medicare Advantage enrollees are in plans with a $0 premium, getting medical care costs money, and Medicare Advantage plans can have an annual out-of-pocket maximum as high as $8,850 in 2024.
Joanne Giardini-Russell, owner of the insurance agency Giardini Medicare in Michigan, recalls a client who had a Medicare Advantage plan and got cancer. \u201cHe was hitting his max out-of-pocket year after year,\u201d she says. \u201cAnd then throw in prior authorizations, which he wasn\u2019t a fan of.\u201d
WHEN YOU CAN CHANGE PLANS
If you have Medicare Advantage and you want to switch plans or go back to Original Medicare, there are two annual opportunities: Medicare\u2019s fall open enrollment from Oct. 15 to Dec. 7 and Medicare Advantage open enrollmentfrom Jan. 1 to March 31.
However, if you want to return to Original Medicare and you have health issues, you may not qualify for Medigap, which helps keep Original Medicare affordable. In most states, after Medigap\u2019s initial enrollment period \u2014 in which you can buy any plan from any insurer, regardless of health status \u2014 companies can decline to cover you.
\u201cEverybody thinks the open enrollment in the fall is going to save them,\u201d Giardini-Russell says, remembering a client with a Medicare Advantage plan who couldn\u2019t qualify for Medigap due to a heart condition.
\u201cShe said, \u2018I thought in November, you could just change during open enrollment,\u2019\u201d Giardini-Russell says. \u201cShe didn\u2019t have any way to get out.\u201d
WHAT ARE THE EXCEPTIONS?
There are two \u201ctrial rights\u201d scenarios in which someone with Medicare Advantage can switch back to a Medigap plan without a medical exam:
\u2014 If you start with a Medicare Advantage plan when you first qualify for Medicare, you have 12 months to go back to Original Medicare with any Medigap plan.
\u2014 If you have a Medigap plan and drop it to try a Medicare Advantage plan for the first time, you have 12 months to return to Original Medicare and the Medigap plan you dropped, as long as the company still sells it.
If you work with an insurance agent, they might also know which Medigap company would approve you based on your health. \u201cThere are some that will treat certain conditions differently than others,\u201d says Adam Hyers, an insurance broker and founder of the insurance agency Hyers and Associates in Columbus, Ohio. \u201cWe keep a list of who might be more likely to accept a client who is in a gray area.\u201d
In four states, residents have a chance at least once a year to buy a guaranteed-issue Medigap plan: Connecticut, Maine, Massachusetts and New York. There are also quirky exceptions: In 2022 and 2023, Blue Shield of California offered an \u201cunderwriting holiday\u201d during which California residents could join Medigap Plan G without medical underwriting.
Blue Cross Blue Shield of Illinois offers guaranteed-issue Medigap plans to Illinois residents. \u201cObviously, the premiums are going to be higher, because they\u2019re going to have higher claims,\u201d says Cynthia Pruemm, founder and CEO of SIS Financial Group in Hoffman Estates, Illinois.
In the worst-case scenario, moving out of your plan\u2019s service area grants you another chance at guaranteed-issue Medigap.
WHAT IF YOU CAN\u2019T GET MEDIGAP?
If it\u2019s not possible to get Medigap, you may have to find the best Medicare Advantage plan for your needs. Don\u2019t get sidetracked by perks; pay attention to doctors and drug coverage.
For guidance, call a broker rather than the providers directly. \u201cYou want to talk to somebody who\u2019s independent, that represents all of the companies,\u201d Pruemm says.
______________________________
This article was provided to The Associated Press by the personal finance website NerdWallet. Kate Ashford is a writer at NerdWallet. Email: kashford@nerdwallet.com. Twitter: @kateashford.
RELATED LINKS:
NerdWallet: What is Medicare Advantage open enrollment? https://bit.ly/nerdwallet-medicare-advantage-open-enrollment
METHODOLOGY
Brown University School of Public Health\u2019s study, published in the \u201cJAMA Health Forum,\u201d included 524,442,225 beneficiary-year observations representing 82,377,917 unique Medicare beneficiaries from 2011 to 2020. The primary source of data for this analysis was the Medicare Master Beneficiary Summary File (MBSF). Data analysis took place from September 2022 to March 2023.
Study published in JAMA Health Forum. (August 2023). \u201cTrends in Cumulative Disenrollment in the Medicare Advantage Program, 2011-2020.\u201d https://jamanetwork.com/journals/jama-health-forum/fullarticle/2808747
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Nearly 9,000 of South Korea\u2019s 13,000 medical interns and residents have been refusing to work for the past two weeks to protest a government plan to enroll thousands more students in the country\u2019s medical schools in coming years. The government ordered them to return to work by Feb. 29, citing a threat to public health, but most have defied the threats of license suspensions and prosecutions.
Officials say South Korea must add more doctors to deal with a fast-aging population and plan to raise yearly medical school enrollment by 2,000 from the current 3,058, starting next year. But many doctors say universities aren\u2019t ready to deal with that abrupt increase in the number of students and that the country\u2019s overall medical service would eventually be hurt.
On Monday, the Health Ministry sent officials to hospitals to confirm the absence of the striking doctors, in order to begin administrative steps to suspend their licenses. So far, the government has formally confirmed the absence of more than 7,000 strikers. On Tuesday, officials continued on-site inspections of hospitals and began sending notices to some strikers about license suspension proceedings, according to the Health Ministry.
Park said licenses would be suspended for at least three months. Doctors are to be given opportunities to respond before suspensions take effect.
\u201cThe trainee doctors have left their patients defenseless. They\u2019ve even left emergency rooms and intensive care units,\u201d Park said. \u201cWe can\u2019t tolerate these irresponsible acts. They have betrayed their professional and ethical responsibilities and neglected their legal duties.\u201d
\u201cFor those who lead the walkouts, we are thinking we\u2019ll file complaints with police,\u201d Vice Health Minister Park Min-soo told a briefing. \u201cBut I tell you that we haven\u2019t determined exactly when we would do so and against whom.\u201d
Under South Korea's medical law, doctors who defy orders to resume work can be punished with three years in prison or a 30 million-won (roughly $22,500) fine, as well as a up to one year's suspension of their medical licenses. Those who receive prison sentences can lose their licenses.
Observers say the government will likely end up punishing only strike leaders, not all of the thousands of striking doctors. They say it would take a few months to complete the administrative steps to suspend the licenses of all the 9,000 striking doctors.
One of the striking junior doctors told The Associated Press on Tuesday that he and others have no intentions of returning to work.
\u201cWe had only worked to save patients but the government has made us criminals in a moment. Trainee doctors including me were hurt a lot,\u201d said the doctor, who wished to be only identified by his family name, Jeong, because of fears that publicity would earn him stronger punishment.
Another striking doctor told reporters that some may eventually yield to government pressure and return to their hospitals but she won\u2019t do so. Still, she said she's worried about legal measures she may face.
\u201cThe government is holding a briefing every morning, where a high-ranking official whom I can't even dare to contact comes out and speaks. I don't have any plans about what to do after my doctor's license is suspended,\u201d she said, requesting anonymity, citing similar concerns that publicity could make action against her worse.
The striking junior doctors are a small fraction of the country\u2019s 140,000 doctors, but they account for 30-40% of the total doctors at some major hospitals, where they assist senior doctors while training.
Many senior doctors support the junior doctors but haven't joined their walkouts.
South Korean police said they are investigating five senior members of the Korea Medical Association, after the Health Ministry filed complaints against them for allegedly inciting and abetting the junior doctors\u2019 walkouts.
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Federal prosecutors say Johannes Vulto and his New York-based Vulto Creamery each pleaded guilty to one misdemeanor count of causing the introduction of adulterated food into interstate commerce in federal court in Syracuse. Prosecutors say environmental swabs taken at the Vulto Creamery facility in Walton repeatedly tested positive for listeria bacteria. Vulto shut down the creamery and issued a full recall after federal authorities in 2017 linked the creamery\u2019s cheese to an outbreak of listeriosis that caused eight hospitalizations and two deaths.", + "located": "SYRACUSE, N.Y.", + "datelinelocation": { + "city": "Syracuse", + "countryareacode": "NY", + "countryareaname": "New York", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -76.14742, + 43.04812 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. 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(AP) \u2014 A former producer of raw milk cheese pleaded guilty on Tuesday to charges related to a deadly outbreak of listeria from 2016 to 2017, federal prosecutors said.
Johannes Vulto and his New York-based company Vulto Creamery LLC each pleaded guilty to one misdemeanor count of causing the introduction of adulterated food into interstate commerce in federal court in Syracuse, according to the U.S. Department of Justice.
Prosecutors say environmental swabs taken at the Vulto Creamery facility in Walton repeatedly tested positive for listeria bacteria between July 2014 and February 2017.
Vulto shut down the creamery and issued a full recall after the U.S. Food and Drug Administration in 2017 linked the creamery\u2019s cheese to an outbreak of listeriosis that resulted in eight hospitalizations and two deaths \u2014 one in Vermont and another in Connecticut.
Listeriosis is a potentially life-threatening bacterial illness caused by consuming foods contaminated with listeria monocytogenes. Pregnant women, newborns, elderly people and others with weakened immune systems are among the most at risk of severe illness.
Carla Freedman, U.S. attorney for the Northern District of New York, said Vulto and his company\u2019s unsafe practices led to an \u201centirely preventable tragedy\u201d of illness and death.
\u201cIt is crucial that American consumers be able to trust that the foods they buy are safe to eat,\u201d said Brian Boynton, who heads the civil division at the U.S. Department of Justice.
Vulto's lawyers didn't immediately respond to an email seeking comment Tuesday. He'll be sentenced July 9.
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The hospital provided the update Monday and said its phone system also is fully functioning.
Officials had previously blamed the attack on a \u201cknown criminal threat actor\u201d and said the hospital shut down its own systems for phone, email and medical records once the breach was discovered on Jan. 31.
The situation at Lurie Children\u2019s Hospital had all the hallmarks of a ransomware attack, although hospital officials have not confirmed or denied the cause. Such extortion-style attacks are popular among ransomware gangs seeking financial gain by locking data, records or other critical information, and then demanding money to release it back to the owner.
The FBI has said it is investigating.
Hospitals are an appealing target for attackers who know their reliance on online technology.
Lurie Children\u2019s treated around 260,000 patients last year.
The statement released Monday said that a portal letting patients and parents access medical records and send messages to providers, called MyChart, remains offline.
\u201cAs an academic medical center, our systems are highly complex and, as a result, the restoration process takes time,\u201d the statement said. \u201cWorking closely with our internal and external experts, we are following a careful process as we work towards full restoration of our systems, which includes verifying and testing each system before we bring them back online.\u201d
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While the primary focus is on the cyberattack and its aftermath, the document is still relevant to the topic of health because it involves a healthcare institution and the accessibility of medical records, which are crucial aspects of healthcare delivery." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/03/05/56fb8bc144f1ea8fd62d247049df532f.json b/datasets/AP_news/raw_data/2024/03/05/56fb8bc144f1ea8fd62d247049df532f.json new file mode 100644 index 0000000..0f5e832 --- /dev/null +++ b/datasets/AP_news/raw_data/2024/03/05/56fb8bc144f1ea8fd62d247049df532f.json @@ -0,0 +1,243 @@ +{ + "altids": { + "itemid": "56fb8bc144f1ea8fd62d247049df532f", + "etag": "56fb8bc144f1ea8fd62d247049df532f_3a10aza0c0", + "friendlykey": "48203912997", + "referenceid": "US--Meningitis Outbreak-Michigan" + }, + "version": 3, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-03-05T19:53:00Z", + "firstcreated": "2024-03-05T17:27:43Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: Updates with lawyer declining to comment. Adds RI to Audience. Updates Media.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "US--Meningitis Outbreak-Michigan", + "headline": "Lab leader pleads no contest to manslaughter in 2012 Michigan meningitis deaths", + "headline_extended": "The co-founder of a specialty pharmacy that was at the center of a deadly national meningitis outbreak has pleaded no contest to involuntary manslaughter in Michigan", + "slugline": "AP-US--Meningitis Outbreak-Michigan, 3rd Ld-Writethru", + "description_summary": "The co-founder of a specialty pharmacy that was at the center of a deadly national meningitis outbreak has pleaded no contest to involuntary manslaughter in Michigan. Barry Cadden was co-founder of New England Compounding Center in Massachusetts. About 800 patients in 20 states were sickened with fungal meningitis or other infections and about 100 died after receiving injections of mold-tainted steroids, mostly for back pain, in 2012. Eleven died in Michigan. Cadden\u2019s prison sentence will be served at the same time as his current federal sentence for fraud. He'll return to court in April.", + "bylines": [ + { + "by": "By ED WHITE", + "title": "Associated Press" + } + ], + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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Under a deal, Barry Cadden's prison sentence of 10 to 15 years will be served at the same time as his current 14 1/2-year federal sentence for fraud and other crimes, Attorney General Dana Nessel said.
Cadden was co-founder of New England Compounding Center in Massachusetts, which specialized in making drugs for certain treatments and supplying them to doctors across the U.S.
About 800 patients in 20 states were sickened with fungal meningitis or other infections, and about 100 died, after receiving injections of mold-tainted steroids, mostly for back pain, investigators said.
Cadden appeared Monday in Livingston County court, 65 miles (105 kilometers) northwest of Detroit. He pleaded no contest to 11 counts of involuntary manslaughter, one charge each for the number of people in Michigan who died, Nessel said.
Cadden had been awaiting trial on second-degree murder charges before the plea deal. A no-contest plea is treated the same as a guilty plea for sentencing purposes. He will return to court on April 18.
\u201cPatients must be able to trust their medications are safe, and doctors must be assured they aren\u2019t administering deadly poison,\u201d Nessel said.
Cadden's attorney, Gerald Gleeson II, declined to comment Tuesday.
In federal court in Boston in 2017, Cadden said: \u201cI am sorry for the whole range of suffering that resulted from my company\u2019s drugs.\u201d
Prosecutors in Boston said the lab cut corners to boost profits, neglected to properly disinfect its rooms, shipped drugs before receiving test results and ignored warnings that its methods were unsafe.
Another Michigan criminal case is pending against pharmacist Glenn Chin, records show. His next court hearing is scheduled for March 15.
Cadden and Chin were charged in Michigan in 2018, though their cases moved slowly because of separate federal prosecutions, appeals and other issues.
___
Follow Ed White on X, formerly Twitter: @edwritez
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The document also touches on regulatory and safety issues in the pharmaceutical industry, which are relevant to the topic of health." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/03/05/579472ab7aeb14db59dd26880116f164.json b/datasets/AP_news/raw_data/2024/03/05/579472ab7aeb14db59dd26880116f164.json new file mode 100644 index 0000000..af9c023 --- /dev/null +++ b/datasets/AP_news/raw_data/2024/03/05/579472ab7aeb14db59dd26880116f164.json @@ -0,0 +1,281 @@ +{ + "altids": { + "itemid": "579472ab7aeb14db59dd26880116f164", + "etag": "579472ab7aeb14db59dd26880116f164_0a10aza0c0", + "friendlykey": "500780133115", + "referenceid": "US--Trans-Health-Abortion-Nebraska" + }, + "version": 0, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-03-05T21:48:40Z", + "firstcreated": "2024-03-05T21:48:40Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: Updates Media.", + "signals": [ + "newscontent" + ], + "title": "US--Trans-Health-Abortion-Nebraska", + "headline": "Nebraska's new law limiting abortion and trans healthcare is argued before the state Supreme Court", + "headline_extended": "The Nebraska Supreme Court is considering arguments made in a lawsuit challenging a law passed last year that combines a 12-week abortion ban with restrictions on gender-affirming care for those under 19", + "slugline": "BC-US--Trans-Health-Abortion-Nebraska", + "description_summary": "The Nebraska Supreme Court is considering arguments made in a lawsuit challenging a law passed last year that combines a 12-week abortion ban with restrictions on gender-affirming care for those under 19. 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Assistant Attorney General Eric Hamilton argued Tuesday that the hybrid law does not violate a state constitutional requirement that legislative bills stick to a single subject. But he went further, stating that the case is not one the high court should rule on because it is politically charged and lawmaking is within the sole purview of the Legislature.
\u201cDidn't that ship sail about 150 years ago?\u201d Chief Justice Mike Heavican retorted.
Hamilton stood firm, insisting the lawsuit presented a \u201cnonjusticiable political question\u201d and that the Legislature \u201cself-polices\u201d whether legislation holds to the state constitution's single-subject rule.
\u201cThis court is allowed to review whether another branch has followed the constitutionally established process, isn't it?\" Justice John Freudenberg countered.
The arguments came in a lawsuit brought last year by the American Civil Liberties Union representing Planned Parenthood of the Heartland, contending that the hybrid law violates the one-subject rule. Lawmakers added the abortion ban to an existing bill dealing with gender-related care only after a proposed six-week abortion ban failed to defeat a filibuster.
The law was the Nebraska Legislature\u2019s most controversial last session, and its gender-affirming care restrictions triggered an epic filibuster in which a handful of lawmakers sought to block every bill for the duration of the session \u2014 even ones they supported \u2014 in an effort to stymie it.
A district judge dismissed the lawsuit in August, and the ACLU appealed.
ACLU attorney Matt Segal argued Tuesday that the abortion segment of the measure and the transgender health care segment dealt with different subjects, included different titles within the legislation and even had different implementation dates. Lawmakers only tacked on the abortion ban to the gender-affirming care bill after the abortion bill had failed to advance on its own, he said.
Segal's argument seemed based more on the way the Legislature passed the bill than on whether the bill violates the single-subject law, Justice William Cassel remarked.
But Justice Lindsey Miller-Lerman noted that the high court in 2020 blocked a ballot initiative seeking to legalize medical marijuana after finding it violated the state's single-subject rule. The court found the initiative's provisions to allow people to use marijuana and to produce it were separate subjects.
If producing medical marijuana and using it are two different topics, how can restricting abortion and transgender health care be the same subject, she asked.
\u201cWhat we've just heard are attempts to shoot the moon,\u201d Segal said in a rebuttal, closing with, \u201cThese are two passing ships in the night, and all they have in common is the sea.\u201d
The high court will make a ruling on the case at a later date.
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The document provides context on how these health-related issues are being legislated and challenged in court, which is relevant to the broader topic of health." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/03/05/68d773d6ee89107c9a2e569110e7e31f.json b/datasets/AP_news/raw_data/2024/03/05/68d773d6ee89107c9a2e569110e7e31f.json new file mode 100644 index 0000000..32ded04 --- /dev/null +++ b/datasets/AP_news/raw_data/2024/03/05/68d773d6ee89107c9a2e569110e7e31f.json @@ -0,0 +1,330 @@ +{ + "altids": { + "itemid": "68d773d6ee89107c9a2e569110e7e31f", + "etag": "68d773d6ee89107c9a2e569110e7e31f_6a8aza0c0", + "friendlykey": "192247571864", + "referenceid": "US--Frozen Embryos-Alabama" + }, + "version": 6, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-03-05T21:00:01Z", + "firstcreated": "2024-03-05T05:33:49Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: Adds details on legislation and quotes from doctor, IVF patient and lawmaker. Updates Media.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "US--Frozen Embryos-Alabama", + "headline": "Alabama lawmakers advance legislation to protect IVF providers, with final approval still ahead", + "headline_extended": "Alabama lawmakers have advanced legislation to protect in vitro fertilization providers", + "slugline": "AP-US--Frozen Embryos-Alabama, 6th Ld-Writethru", + "description_summary": "Alabama lawmakers have advanced legislation to protect in vitro fertilization providers. Committees in the state Senate and House approved bills Tuesday to provide legal immunity for clinics. Three major IVF providers paused services after the state Supreme Court ruled that frozen embryos are considered children under the state\u2019s wrongful death law. Lawmakers are facing public pressure to get IVF services restarted. Lawmakers are aiming to give final approval Wednesday and send the legislation to Gov. Kay Ivey to be signed into law. 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(AP) \u2014 Alabama lawmakers facing public pressure to restart in vitro fertilization services in the state advanced legislation Tuesday to shield providers from the fallout of a court ruling that equated frozen embryos to children.
Committees in the state Senate and House approved identical bills that would protect providers from lawsuits and criminal prosecution for the \u201cdamage or death of an embryo\u201d during IVF services. The state's three major IVF providers paused services after the Alabama Supreme Court's ruling last month because of the sweeping liability concerns it raised.
\u201cThe problem we are trying to solve right now is to get those families back on track to be moving forward as they try to have children,\u201d said Rep. Terri Collins, sponsor of one of the bills. Lawmakers are aiming to give final approval Wednesday and send the legislation to Gov. Kay Ivey to be signed into law.
Lawmakers have fast-tracked the immunity legislation as a proposed solution to get clinics back open as they weigh whether additional action is needed.
The court ruled that three couples who had frozen embryos destroyed in an accident at a storage facility could pursue wrongful death lawsuits for their \u201cextrauterine children.\u201d The ruling, treating an embryo the same as a child or gestating fetus under the wrongful death statute, raised concerns about civil liabilities for clinics.
The court decision caused an immediate backlash as groups across the country raised concerns about a ruling recognizing embryos as children. Patients in Alabama shared stories of upcoming embryo transfers being abruptly canceled and their paths to parenthood put in doubt.
Beth and Joshua Davis-Dillard watched as the Senate committee voted. The couple transferred frozen embryos left over from when they had their twins to Alabama after moving from New York.
\u201cWe\u2019ve been working up to getting ready to trying again. We still have embryos from our prior cycle, which we did in New York. We transferred them here. We can\u2019t use them. We\u2019re on hold,\u201d Beth Davis-Dillard said. \u201cI\u2019m 44, so time is limited. We don\u2019t have unlimited time to wait. We really want to give it a try and see if we can have another baby.\u201d
Beth David-Dillard said she feels \"very helpless and very frustrated\" and in a \"little bit of disbelief.\" She said that before they transferred the embryos to Alabama, the couple briefly discussed whether the state's strict abortion ban or political climate could be a problem but presumed it would ultimately be fine.
\u201cIt just feels like our rights are being restricted,\u201d she said.
The legislative proposals state that \"no action, suit, or criminal prosecution for the damage to or death of an embryo shall be brought or maintained against any individual or entity when providing or receiving services related to in vitro fertilization.\u201d
Civil lawsuits could be pursued against manufacturers of IVF-related goods, such as the nutrient-rich solutions used to grow embryos, but damages would be capped and criminal prosecution would be forbidden. Doctors have expressed concern that without some protections for manufacturers they will not be able to get the products they need to provide IVF.
Dr. Michael C. Allemand with Alabama Fertility said the legislative proposal would allow the clinic to resume IVF services by returning \u201cus to a normal state of affairs in terms of what the liability issues are.\u201d
He said the past weeks have been difficult on patients and staff as procedures have been postponed.
\u201cThere's been some truly heart-wrenching conversations that have taken place,\u201d Allemand said.
The American Society for Reproductive Medicine, a group representing IVF providers across the country, said the legislation does not go far enough. Sean Tipton, a spokesman for the organization, said Monday that the legislation does not correct the fundamental problem, which he said is the court ruling \u201cconflating fertilized eggs with children.\u201d
House Democrats proposed legislation that would put in state law or the state Constitution that a human embryo outside a uterus can not be considered an unborn child or human being under state law. Democrats argued that was the most direct way to deal with the issue. Republicans have not brought the proposals up for a vote.
State Republicans are reckoning with an IVF crisis they partly helped create with anti-abortion language added to the Alabama Constitution in 2018. The amendment, which was approved by 59% of voters, says it is state policy to recognize the \u201crights of unborn children.\"
The phrase became the basis of the court's ruling. At the time, supporters said it would allow the state to ban abortion if Roe v Wade were overturned, but opponents argued it could establish \u201cpersonhood\u201d for fertilized eggs.
Collins said she doesn't think lawmakers got it wrong with the amendment but the wording was broad enough that it had ramifications they didn't anticipate.
Collins, who sponsored the state's stringent abortion ban, said she thought any law exempting embryos from legal protections might be found unconstitutional under the 2018 amendment. Changing the constitution, she said, is a longer conversation.
\u201cIt's very divisive. Everybody has very strong opinions on when life begins,\u201d she said.
Republicans are also trying to navigate tricky political waters \u2014 torn between widespread popularity and support for IVF \u2014 and conflicts within their own party. Some Republicans have unsuccessfully sought to add Louisiana-style language to ban clinics from destroying unused or unwanted embryos.
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The Democrat-controlled Senate voted 33-13 on Tuesday for the measure that would provide the same legal protection offered by the state for abortions. It now goes to the House, where a similar bill has been introduced. The measure protects medical records of patients in Maryland from criminal, civil and administrative actions relating to gender-affirming care, if records were sought in investigations started in another state.", + "bylines": [ + { + "by": "By BRIAN WITTE", + "title": "Associated Press" + } + ], + "located": "ANNAPOLIS, Md.", + "datelinelocation": { + "city": "Annapolis", + "countryareacode": "MD", + "countryareaname": "Maryland", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -76.49184, + 38.97859 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. 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(AP) \u2014 Gender-affirming treatment in Maryland would be protected from criminal and civil actions brought by other states under a measure approved Tuesday by the state Senate.
The Democrat-controlled Senate voted 33-13 for the measure that would provide the same legal protection offered by the state for abortions. It now goes to the House, where a similar bill has been introduced.
The measure protects medical records of patients in Maryland from criminal, civil and administrative actions relating to gender-affirming care, if records were sought in investigations started in another state.
For example, a judge would not be able to order someone in Maryland to provide testimony or produce documents in a case where prosecution or investigations are pending in another state. Maryland enacted a law to protect information relating to abortion procedures last year, in response to other states that banned or restricted abortions.
\u201cThis legislation simply adds gender-affirming treatment to what is already in statute as legally protected health care, legally protected health care that we placed into statute last year to ensure that women that need abortions can have privacy in their own medical records from being transferred out of state or being accessed by out of state entities,\" said Sen. Clarence Lam, a Democrat who is a physician at Johns Hopkins.
Republicans who opposed the bill argued the measure would expand access to gender-affirming care to youths who could decide to have treatments that could have a permanent effect on them when they are at a vulnerable period in their lives. Sen. Justin Ready, a Carroll County Republican, urged senators to \u201cstop this sprint down this road.\u201d
\u201cLet\u2019s take some time, because all over the world people are starting to question whether we have the right approach on these issues,\u201d Ready said.
But Lam said protections are needed for adults that come to Maryland for treatment. He noted that Florida currently has a law on the books that limits gender-affirming care for adults.
\u201cSo this bill is not simply about minors or just simply about adults,\u201d Lam said. \"It\u2019s about all patients that may need gender-affirming treatment.\u201d
Lam also said the Maryland legislation doesn't change the need for parental consent with children.
\u201cThis changes nothing about how care is provided to minors,\" Lam said.
Under the legislation, gender\u2013affirming care would mean any medically necessary treatment consistent with current clinical standards of care prescribed by a licensed health care provider for the treatment related to someone's gender identity.
Treatment would include hormone therapy, hormone and puberty blockers, hair alteration for the purposes of altering secondary sex characteristics and surgical site preparation, as well as alterations to voice, voice therapy and voice lessons. It also would include surgical alterations and laser treatment for scars from gender\u2013affirming treatment.
In June, Gov. Wes Moore signed an executive order to protect people who receive or provide gender-affirming care in Maryland from attempts at legal or disciplinary action by other states. The legislation passed by the Senate would put such protections into state law.
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Rewrites headline.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "MED--Alabama IVF-Affected Groups", + "headline": "IVF gave hope to patients trying to build their families. The turmoil in Alabama put that in doubt", + "headline_extended": "Women over 35 and those facing serious diseases like cancer, lupus and sickle cell are among the most likely to turn to IVF to build the families they desperately want", + "slugline": "AP-MED--Alabama IVF-Affected Groups, 2nd Ld-Writethru", + "description_summary": "Women over 35 and those facing serious diseases like cancer, lupus and sickle cell are among the most likely to turn to IVF to build the families they desperately want. But in Alabama, they are among those whose dreams are in limbo after three of the state's largest clinics paused IVF services. That happened in the wake of a state Supreme Court ruling that described frozen embryos as \u201cextrauterine children.\u201d Doctors say the ruling has made an already difficult situation worse for these women. They hope that recent legislative efforts can protect Alabama clinics but worry that threats to IVF may emerge in other states.", + "bylines": [ + { + "by": "By LAURA UNGAR", + "title": "AP Science Writer" + } + ], + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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Cancer survivor Kailani Greenwood, due to give birth in spring after undergoing IVF, hopes to have more children in the future and has four frozen embryos in storage.
But the Alabama women who represent two groups most likely to turn to IVF to build the families they desperately want \u2014 women over 35 and those with serious diseases \u2014 worry about whether those options will be there when they need them. O\u2019Brien and Greenwood are among the many whose dreams are in limbo after three of Alabama\u2019s largest clinics paused IVF services in the wake of a state Supreme Court ruling that described frozen embryos as \u201cextrauterine children.\u201d
\u201cIt\u2019s been hard,\u201d O\u2019Brien said, her voice breaking. \u201cI have no idea what will happen next, and that\u2019s really scary.\u201d
An estimated 1 in 6 people are affected by infertility worldwide. In the U.S., women increasingly delay motherhood even though fertility gradually declines after age 30, particularly after 35. That raises the need for treatments like IVF. Women 35 to 44 are more than twice as likely as younger women to say they\u2019ve used fertility services, according to a 2023 Pew Research Center survey.
Besides the growing ranks of older patients, doctors point to a smaller but significant number of women facing treatment for conditions such as cancer, lupus and sickle cell disease who want to preserve their fertility.
In Alabama, doctors say many of these women are in a holding pattern or seeking help outside the state. Some are also pushing for a legislative solution, and on Tuesday, committees in the state House and Senate advanced legislation that would shield clinics from prosecution and civil lawsuits. Lawmakers hope to get the measures to the governor this week.
But some doctors and patients worry they won\u2019t go far enough \u2014 and that legislation or court rulings in other states could eventually put IVF at risk more broadly.
Dr. Beth Malizia, Greenwood\u2019s doctor at Alabama Fertility, a clinic that paused services, said the upheaval has made life even tougher for women who are already struggling.
\u201cLook, nobody wants to be in our clinic. \u2026 No one chooses fertility issues. No one chooses cancer. No one chooses recurrent pregnancy loss,\u201d she said. \u201cWe\u2019re trying to provide the best care that we can, and this decision has really limited us in our ability to do that. We just want to grow families.\u201d
After losing her mother to pancreatic cancer and having no brothers or sisters to turn to, O\u2019Brien realized how important it was for her young daughter \u201cto have a sibling, to navigate life with after we\u2019re gone.\u201d
The Birmingham woman and her husband had tried for a baby for a few years, and she suffered through a dangerous, nonviable ectopic pregnancy. She tried various fertility treatments before starting IVF. Ten eggs were retrieved in October, and three were fertilized and frozen. Her doctor transferred one of the embryos into her womb in late January and she became pregnant.
But the same day the court ruling came down, an ultrasound showed problems with the fetal heartbeat.
\u201cIt was kind of a double punch \u2014 like, this might not work and you might not have access to IVF,\u201d she said.
For Greenwood, IVF is the only way she can have children.
The 31-year-old Montgomery woman was diagnosed with Hodgkin\u2019s lymphoma 11 years ago. She went into remission after chemotherapy, but the cancer returned when she was 25. The ensuing radiation, chemotherapy and stem cell transplant led to infertility. So she had her eggs harvested and frozen.
Being a mom \u201cis something I\u2019ve always dreamed about my whole life,\u201d she said.
Last year, Greenwood became pregnant with her little girl through an embryo transfer and is now in her third trimester. She doesn\u2019t want to stop at one child, though. \u201cI definitely want at least two, if not more,\u201d she said.
She\u2019s been trying to stay hopeful that IVF will resume at her clinic. But each day brings fresh reminders of the court decision in her job as a physician assistant in surgical breast oncology, where many of her patients hope to preserve their fertility.
Dr. Kara Goldman, medical director of fertility preservation at Northwestern Medicine in Chicago, said older patients and those with serious diseases face different challenges.
Patients with cancer, for example, urgently need cancer treatment. This means they must begin taking medications to get ready for egg retrieval almost immediately. They can choose to freeze their eggs or fertilize them and freeze embryos \u2014 which have a greater likelihood of surviving the thaw later.
Older patients face a decreasing likelihood of pregnancy and an increasing chance of chromosomal abnormalities in their offspring the longer they wait. The time it can take to get pregnant often exacts an emotional toll.
\u201cWhen you are ready to have a child, every month that you\u2019re not pregnant feels like grief,\u201d said Goldman, 41, who had her 9-month-old son through IVF.
Doctors said the turmoil in Alabama has deepened that grief for many.
Dr. Mamie McLean, O\u2019Brien\u2019s doctor, said a patient in her 40s who desperately wants a second child had an unsuccessful IVF cycle and wanted to begin the process again this month. She\u2019s considering doing that in Georgia.
\u201cShe would much prefer to stay in Alabama,\u201d McLean said. \u201cBut she also knows that time isn\u2019t on her side.\u201d
Dr. Jennifer Kawwass, medical director of the Emory Reproductive Center in Atlanta, said she\u2019s already seeing an influx of Alabama patients, and many are stressed out.
\u201cFertility treatment already puts patients at so much social and financial stress,\u201d she said. \u201cThe unexpected, sort of indefinite pause on IVF in Alabama is compounding this.\u201d
Without insurance, one cycle of IVF costs about $15,000 to $25,000. Travel and lodging costs can add thousands more \u2014 especially since an IVF cycle requires six to 10 visits over two weeks.
As patients consider their options and push for solutions in Alabama, they and their doctors also hope that threats to IVF don\u2019t spread to other states.
\u201cI would hope that as a country, we can unite over the fact that these treatments are really aiming to help people grow families and bring life into this world,\u201d Kawwass said. \u201cIt is somewhat ironic and also tragic that this is actually hurting individuals that are trying to build their families.\u201d
___
Reporter Kim Chandler contributed to this report from Montgomery, Alabama.
___
The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute\u2019s Science and Educational Media Group. The AP is solely responsible for all content.
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Gavin Newson says he needs to tackle the state\u2019s homelessness crisis", + "slugline": "BC-US--Election-2024-California-Mental Health, 6th Ld-Writethru", + "description_summary": "Californians are split in early returns over a statewide ballot measure that Gov. Gavin Newson says he needs to tackle the state\u2019s homelessness crisis. Proposition 1 was the only measure on the ballot. It was too early to call Tuesday night. It has been one of the most complicated measures in the last few years. It would authorize the state to borrow $6.4 billion to build housing and treatment beds and would also restrict how counties use money from a 2004 tax on millionaires meant to fund mental health services. 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(AP) \u2014 California voters were split in early returns over a statewide ballot measure touted by Gov. Gavin Newsom as a necessary step to tackle the state's ongoing homelessness crisis.
Proposition 1 would be the first major update to the state\u2019s mental health system in 20 years. The measure needs a simple majority vote to pass. It was too early to call Tuesday night, and it could take days before the final results are tallied.
Newsom spent significant time and money campaigning on the measure's behalf, raising more than $13 million to promote it with the support of law enforcement, first responders, hospitals and mayors of major cities. Opponents raised just $1,000. He did not make any statements Tuesday as votes were counted.
\u201cThe status quo is not acceptable,\u201d Newsom said Monday at a final campaign stop.
The Democratic governor says the proposition is needed to address the state\u2019s homelessness crisis by boosting investments in housing and substance use programs, but social providers worry it would threaten programs that are keeping people from becoming homeless in the first place.
Republican Darlene Farnum, a retired salesperson from the Southern California suburban city of Fountain Valley, said Tuesday she voted for the proposition even though it was backed by Newsom, someone she said she disagrees with on just about everything else.
\u201cWe need to do something besides letting people die and be homeless,\u201d she said.
Brian Frey, a programmer who lives in Sacramento, also voted for the proposition and said the issue is personal to him.
\u201cMy brother is actually homeless. He\u2019s suffering from some mental health issues right now,\u201d Frey said. \u201cI think it\u2019d be good to provide funding for treatment centers.\u201d
The measure would restrict how counties use money from a voter-approved tax enacted in 2004 on millionaires that currently is earmarked for mental health services under broad guidelines. Revenue from the tax, now between $2 billion and $3 billion a year, provides about one-third of the state\u2019s total mental health budget.
Counties would be required to spend about two-thirds of those funds on housing and programs for homeless people with serious mental illnesses or substance abuse problems.
Newsom wants to give the state more control over how that money is spent, but critics say it would apply one formula to all counties regardless of the size of the local homeless population and could pit programs for children against those for homeless people.
Proposition 1 also would authorize the state to borrow $6.38 billion to build 4,350 housing units, half of which would be reserved for veterans, and add 6,800 mental health and addiction treatment beds.
In an effort to ensure accurate, comprehensive tallies, counting ballots in California has become a weekslong drama that, in close contests, can transform Election Day into an election month. Mail ballots postmarked by Tuesday can arrive within seven days and are still valid. The heavy reliance on mail ballots \u2014 every voter receives one \u2014 also results in an extended tally, since each must be opened, validated and processed.
Homelessness has become one of the most frustrating issues in California and one sure to dog Newsom should he ever mount a national campaign. The state accounts for nearly a third of the homeless population in the United States; roughly 181,000 Californians are in need of housing. The state, with a current inventory of 5,500 beds, needs some 8,000 more units to treat mental health and addiction issues.
Newsom\u2019s administration already has spent at least $22 billion on various programs to address the crisis, including $3.5 billion to convert rundown motels into homeless housing. California is also giving out $2 billion in grants to build more treatment facilities.
The proposition is touted as the final piece in Newsom's plan to reform California\u2019s mental health system. He has already pushed for laws that make it easier to force people with behavioral health issues into treatment.
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While the primary focus is on homelessness, the document extensively covers aspects related to mental health, which is a significant component of the health topic." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/03/05/982fa4c3e2714f45dcd3794c0ab25489.json b/datasets/AP_news/raw_data/2024/03/05/982fa4c3e2714f45dcd3794c0ab25489.json new file mode 100644 index 0000000..fd133d0 --- /dev/null +++ b/datasets/AP_news/raw_data/2024/03/05/982fa4c3e2714f45dcd3794c0ab25489.json @@ -0,0 +1,270 @@ +{ + "altids": { + "itemid": "982fa4c3e2714f45dcd3794c0ab25489", + "etag": "982fa4c3e2714f45dcd3794c0ab25489_0a12aza0c0", + "friendlykey": "734682643462", + "referenceid": "US--Nuclear Contamination-St. Louis" + }, + "version": 0, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-03-05T18:57:05Z", + "firstcreated": "2024-03-05T18:57:04Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "signals": [ + "newscontent" + ], + "title": "US--Nuclear Contamination-St. Louis", + "headline": "Homes near St. Louis County creek are being tested after radioactive contamination found in yards", + "headline_extended": "A federal agency is examining soil beneath homes in a small suburban St. Louis subdivision to determine if residents are living atop Cold War era nuclear contamination", + "slugline": "AP-US--Nuclear Contamination-St. Louis", + "description_summary": "A federal agency is examining soil beneath homes in a small suburban St. Louis subdivision to determine if residents are living atop Cold War era nuclear contamination. But activists say the testing needs to be far more widespread. The U.S. Army Corps of Engineers has begun testing six properties that sit near Coldwater Creek, a meandering waterway contaminated after nuclear waste was dumped there in the 1960s. Corps officials do not believe any other homes in the area need to be tested. Activists with Just Moms STL, a group that for decades has advocated for cleanup of nuclear waste sites, disagree, noting that the creek runs for several miles, with many homes backing up to it.", + "bylines": [ + { + "by": "By JIM SALTER", + "title": "Associated Press" + } + ], + "located": "ST. LOUIS", + "datelinelocation": { + "city": "St. Louis", + "countryareacode": "MO", + "countryareaname": "Missouri", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -90.19789, + 38.62727 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. 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LOUIS (AP) \u2014 A federal agency is examining soil beneath homes in a small suburban St. Louis subdivision to determine if residents are living atop Cold War era nuclear contamination. But activists say the testing needs to be far more widespread.
The U.S. Army Corps of Engineers is taking soil samples at six properties in Florissant, Missouri, that sit near Coldwater Creek, a meandering waterway contaminated after nuclear waste was dumped there in the 1960s. The decision was made to look beneath the homes after contamination was found in the homes' backyards, but not the front yards, Jeremy Idleman of the Corps' St. Louis office said Tuesday.
Preliminary results could be available by the end of the week, Idleman said. If contamination is discovered beneath the homes, they will be remediated. But Idleman declined to speculate on what that would involve or if the homes might have to be demolished.
Corps officials do not believe any other homes in the area need to be tested, Idleman said. Activists with Just Moms STL, a group that for decades has advocated on behalf of people living near nuclear waste sites in the St Louis region, disagree.
\u201cThere's so many homes on the banks of this creek, for miles,\u201d Karen Nickel, co-founder of Just Moms STL, said Tuesday. \u201cWhat about the rest of those homes? I don't think we can say that we trust the Army Corps anymore.\u201d
A news release from the Corps of Engineers said that when the Cades Cove subdivision was being built, a portion of the creek was covered in fill dirt. The Corps said the current testing will determine if that fill dirt is contaminated. The homes were built more than 30 years ago.
\u201cWe are deeply invested in ensuring the safety and wellbeing of the residents,\u201d Phil Moser, St. Louis District program manager for the Formerly Utilized Sites Remedial Action Program, said in the news release. \u201cEvery step we take is grounded in rigorous research, precise data, and evidence-based remediation decisions.\u201d
Uranium processing in the St. Louis area played a pivotal role in developing the nuclear weapons that helped bring an end to World War II and provided a key defense during the Cold War. But eight decades later, the region is still dealing with contamination at several sites.
Nuclear waste stored near Lambert Airport made its way into Coldwater Creek in the 1960s. Many people in that area believe the contamination is responsible for cancers and other illnesses, though experts say connecting radiation exposure to illness is difficult.
In 2022, a Florissant grade school closed amid worries that contamination from the creek got onto the playground and inside the building.
In July, an investigation published by The Associated Press, The Missouri Independent and MuckRock showed that the federal government and companies responsible for nuclear bomb production and atomic waste storage sites in the St. Louis area were aware of health risks, spills, improperly stored contaminants and other problems but often ignored them.
Sen. Josh Hawley, a Missouri Republican, and U.S. Rep. Cori Bush, a St. Louis Democrat, have pushed for compensation for people whose illnesses are tied to radiation exposure. The Senate is expected to vote this week on the compensation plan.
Hawley, in a letter Tuesday to Corps of Engineers leaders, said homes along the creek should have been tested years ago.
\"Residents are rightly horrified by the possibility that their homes are built atop radioactive waste \u2014 waste which should never have been there in the first place,\" Hawley wrote, noting that the Corps assumed jurisdiction of the Coldwater Creek area in 1997. \u201cWhy has it taken so long for you to disclose this risk?\u201d
Dawn Chapman, who co-founded Just Moms STL with Nickel, will be Hawley's guest at President Joe Biden's State of the Union speech Thursday.
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President Ferdinand Marcos Jr said on Tuesday that his mother, who is 94, was suffering from a slight pneumonia and was put on antibiotics by her doctors.
Marcos, in a statement from Melbourne, Australia, where he is attending an Asian summit, said that his mother was \u201cin good spirits\" and has \"no difficulty in breathing and is resting well.\u201d
Marcos' sister Senator Imee Marcos told reporters that her mother has had bouts of fever and coughing and was taken to the hospital for closer monitoring.
Imelda Marcos\u2019s lavish lifestyle amid her country\u2019s appalling poverty came to symbolize her late husband\u2019s authoritarian rule, which ended when a 1986 army-backed \u201cpeople power\u201d uprising toppled him and drove him and his family to U.S. exile.
The ousted leader died in exile in Hawaii three years after being overthrown without admitting any wrongdoing, including accusations that he and his family amassed an estimated $5 billion to $10 billion while he was in power.
The Marcoses returned to the Philippines in 1991 and gradually regained political power despite the plunder and widespread human rights atrocities under Ferdinand Marcos Sr.
In 2022, Ferdinand Marcos Jr won the presidential race in a landslide victory in one of the country's most dramatic political comeback. Opponents said he clinched the top post through well-funded social media campaign that whitewashed the family's political history.
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About 2.5 million women, girls, transgender and nonbinary people who menstruate can receive one menstrual cup, one pair of underwear for periods and two packages of cloth pads at local pharmacies in northeast Spain free of charge.
The Catalan government said that the initiative, which is called \u201cMy period, my rules,\u201d was meant to \u201cguarantee the right to menstrual equity.\u201d The regional government cited statistics that said 23% of women polled by Catalonia\u2019s public opinion office said they had reused hygiene products designed for a single use for economic reasons.
T\u00e0nia Verge, Catalonia\u2019s regional minister for equality and feminism, called the program a \u201cglobal first.\"
Scotland\u2019s government passed a law in 2020 to ensure period products are available for free to anyone who needs them. But in comparison with the Catalan program, in Scotland the products are for single use and are distributed through schools, colleges and universities, not pharmacies.
\u201cWe are fighting menstrual poverty, which affects one in four women in Catalonia, but is also about gender justice. We are fighting the stereotypes and taboos about menstruation,\u201d Verge told The Associated Press. \"And (...) it is about climate justice. We need to reduce the tons of waste generated by single-use menstrual products.\u201d
The distribution of reusable products is also aimed at reducing waste. The regional government said that Catalonia produces about 9,000 tons of waste from single-use menstrual hygiene products.
The reusable products are acquired by the public health care system, which covers the entire population, and distributed by Catalonia\u2019s 3,000-plus private pharmacies. The program cost the regional government 8.5 million euros ($9.2 million).
\u201cI am completely in favor of this initiative,\u201d 29-year-old graphic designer Laura Vilarasa said. \u201cIt will give women a product that is absolutely necessary to have for zero cost.\u201d
Spain\u2019s national government passed a law last year granting women with debilitating menstrual pain the right to paid medical leave.
Spain is gearing up for International Women\u2019s Day on March 8, when the European country holds some of the biggest marches for women\u2019s rights in the world.
___
Sylvia Hui contributed to this report from London.
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But the announcement has caused confusion", + "headline_extended": "Britain\u2019s government appears to have made an embarrassing mistake after it advertised that Kate, the Princess of Wales, will attend a Trooping the Color ceremony in June, apparently before consulting palace officials", + "slugline": "BC-EU--Britain-Royals, 4th Ld-Writethru", + "description_summary": "Britain\u2019s government appears to have made an embarrassing mistake after it advertised that Kate, the Princess of Wales, will attend a Trooping the Color ceremony in June, apparently before consulting palace officials. The announcement on the U.K. Ministry of Defense\u2019s website drew attention because the June appearance would be the first major official duty confirmed for Kate, 42, since she underwent abdominal surgery. But army officials seemed to have jumped the gun because Prince William and Kate\u2019s office, Kensington Palace, hasn\u2019t confirmed any scheduled public events for Kate. The announcement caused confusion amid intense media attention on the state of Kate\u2019s health.", + "bylines": [ + { + "by": "By SYLVIA HUI", + "title": "Associated Press" + } + ], + "located": "LONDON", + "datelinelocation": { + "city": "London", + "countrycode": "GBR", + "countryname": "United Kingdom", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -0.12574, + 51.50853 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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The announcement on the U.K. Ministry of Defense's website drew attention because the June appearance would be the first major official duty confirmed for Kate, 42, since she underwent abdominal surgery.
But army officials seemed to have jumped the gun because Prince William and Kate\u2019s office, Kensington Palace, hasn\u2019t confirmed any scheduled public events for Kate. It\u2019s up to palace officials, not government departments, to announce and confirm the royals\u2019 attendance at events.
The announcement caused confusion amid intense media attention on the state of Kate's health. The royal has been out of the public eye since January, when palace officials announced that she was admitted to a private London hospital for unspecified planned surgery. They didn't provide more details, but said that she wouldn't return to public duties until after Easter.
British media reported that the army did not seek approval from Kensington Palace before publishing details about Kate's appearance in June, and announced the event based on the expectation that Kate, in her role as Colonel of the Irish Guards, would inspect the troops this year at the annual military ceremony.
The ceremony's events, annual highlights in the royal calendar, are birthday parades to honor the reigning monarch and usually draw huge crowds to London\u2019s Horse Guards and along The Mall, the promenade outside Buckingham Palace.
This year the Irish Guards are trooping their \u201ccolor\u201d \u2014 or regimental flag \u2014 at the ceremony, so Kate, as the troops' figurative chief, would normally have led the inspection.
Palace officials may not confirm the royal's attendance until nearer the time.
The royal family is under more scrutiny than usual in recent weeks, because both Kate and King Charles III can't carry out their usual public duties because of health problems.
Royal officials say that Charles is undergoing treatment for an unspecified form of cancer, which was discovered during treatment for an enlarged prostate. The monarch has canceled all his public engagements while he receives treatment.
Kate was discharged from the hospital on Jan. 29 after two weeks for her undisclosed condition. Palace officials have said she wished her personal medical information to remain private.
Speculation about her health mounted last week when William at the last minute pulled out from a memorial service for his godfather, the late King Constantine of Greece, because of what officials called a \u201cpersonal matter.\u201d
Palace officials didn't elaborate, but reiterated that Kate continues to do well in her recovery.
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\u201cThe king is steadily improving, and the general condition is satisfactory,\u201d the palace said in a brief statement.
Last week, the 87-year-old king fell ill during a private holiday. He underwent surgery on Saturday and received a temporary pacemaker due to a low heart rate.
Harald returned to Norway on Sunday and was transferred to an Oslo hospital.
The monarch has had frail health in recent years with numerous hospital stays. He had an operation to replace a heart valve in October 2020 after being hospitalized with breathing difficulties.
Harald repeatedly has said he has no plans to abdicate, unlike his second cousin Queen Margrethe II of Denmark, who stepped down earlier this year.
Harald\u2019s duties as Norway\u2019s head of state are ceremonial and he holds no political power. He ascended to the throne following the death of his father, King Olav, in 1991.
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Some patients want to stop", + "headline_extended": "Millions of Americans who have used new obesity drugs like Wegovy to lose weight and improve health are wondering what happens if they stop taking them", + "slugline": "BC-US-MED-Weight-Loss-Drugs-Intermittent", + "description_summary": "Millions of Americans who have used new obesity drugs like Wegovy to lose weight and improve health are wondering what happens if they stop taking them. Experts say the medications were designed and tested to be taken indefinitely to treat the disease of obesity. Some patients are experimenting with stretching out doses, taking the drugs intermittently or stopping and starting again only if needed. Doctors warn that the symptoms typically roar back even stronger, with more food cravings, hunger and weight regain. There's no data on the long-term effects of intermittent use.", + "bylines": [ + { + "by": "By JONEL ALECCIA", + "title": "AP Health Writer" + } + ], + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. For other uses, additional clearances may be required." + ], + "keywords": [ + "Wegovy Ozempic Zepbound obesity" + ], + "provider": "AP", + "infosource": [ + { + "name": "AP", + "type": "AP" + } + ], + "subject": [ + { + "rels": [ + "category" + ], + "creator": "Editorial", + "code": "f", + "name": "f" + }, + { + "rels": [ + "category" + ], + "creator": "Editorial", + "code": "l", + "name": "l" + }, + { + "rels": [ + "category" + ], + "creator": "Editorial", + "code": "a", + "name": "a" + }, + { + "rels": [ + "category" + ], + "creator": "Editorial", + "code": "n", + "name": "n" + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "10b753887f3d10048e2adf092526b43e", + "name": "Obesity", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 55 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "cc7a76087e4e10048482df092526b43e", + "name": "Health", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 95 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "a2ba8398898a100488b2d56c852d093e", + "name": "Weight management", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 72 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "e237be707de410048fffdf092526b43e", + "name": "Medication", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 95 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "3e37e4b87df7100483d5df092526b43e", + "name": "Lifestyle", + "creator": "Editorial", + "editorial_subject": "Lifestyle", + "rels": [ + "direct" + ], + "relevance": 75 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "c8e409f8858510048872ff2260dd383e", + "name": "Business", + "creator": "Editorial", + "editorial_subject": "Business", + "rels": [ + "direct" + ], + "relevance": 75 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "cc7a76087e4e10048482df092526b43e", + "name": "Health", + "creator": "Editorial", + "editorial_subject": "Health", + "rels": [ + "direct" + ], + "relevance": 99 + } + ], + "place": [ + { + "scheme": "http://cv.ap.org/id/", + "code": "eaed376082c71004892cdf092526b43e", + "name": "Virginia", + "creator": "Machine", + "rels": [ + "direct" + ], + "parentids": [ + "661e48387d5b10048291c076b8e3055c" + ], + "locationtype": { + "code": "0ae5eb8e00e04295a4fc209c94bfe6ef", + "name": "State" + }, + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -77.44675, + 37.54812 + ] + }, + "relevance": 33, + "parentnames": [ + "United States" + ] + } + ], + "audiences": [ + { + "code": "82c6a4c46fa0446090a7acaf93159e4c", + "name": "Print", + "type": "AUDPLATFORM" + }, + { + "code": "9add4649b53b4702ba7d9de5d4fa607a", + "name": "Online", + "type": "AUDPLATFORM" + }, + { + "code": "f43adc08760d10048040e6e7a0f4673e", + "name": "National", + "type": "AUDSCOPE" + }, + { + "code": "f4ecf9b0760d10048044e6e7a0f4673e", + "name": "International", + "type": "AUDSCOPE" + }, + { + "code": "f5b16ea8760d10048047e6e7a0f4673e", + "name": "State", + "type": "AUDSCOPE" + }, + { + "code": "661850e07d5b100481f5c076b8e3055c", + "name": "Latin America and Caribbean", + "type": "AUDGEOGRAPHY" + }, + { + "code": "eaed376082c71004892cdf092526b43e", + "name": "Virginia", + "type": "AUDGEOGRAPHY" + }, + { + "code": "661e48387d5b10048291c076b8e3055c", + "name": "United States", + "type": "AUDGEOGRAPHY" + } + ], + "associations": { + "1": { + "altids": { + "itemid": "30e7cf9c14a0406d95e463a4da2f6e99" + }, + "type": "picture" + }, + "2": { + "altids": { + "itemid": "2dfe754475534e4f94fb855dedb29727" + }, + "type": "picture" + }, + "3": { + "altids": { + "itemid": "1a8606c5cf7f46dda502393b6f03049a" + }, + "type": "picture" + }, + "4": { + "altids": { + "itemid": "b17436b9a0e54f3891075e762ffac5c8" + }, + "type": "picture" + }, + "5": { + "altids": { + "itemid": "f96724f58d3c4c92a30bd7e5c7ec345b" + }, + "type": "picture" + }, + "6": { + "altids": { + "itemid": "309dcd84726942f7901a95390d926508" + }, + "type": "picture" + }, + "7": { + "altids": { + "itemid": "0c4cdf02a244464385dce4b68a986904" + }, + "type": "picture" + }, + "8": { + "altids": { + "itemid": "f75b4792d6844748b0c9dea33daa6dd6" + }, + "type": "picture" + }, + "9": { + "altids": { + "itemid": "390100b9839d494584bc417829ead360" + }, + "type": "picture" + } + }, + "body_nitf": "Millions of Americans who have dropped pounds and boosted their health using popular obesity drugs like Wegovy are facing a new dilemma: What happens if they stop taking them?
Many worry, rightly, that they\u2019ll regain weight and revert to old habits. In clinical trials, patients who paused the drugs put back on most of the weight they lost.
But others are gambling on a do-it-yourself strategy to ease off the drugs and stay slim by stretching out doses, taking the medication intermittently or stopping and starting again only if needed.
\u201cTo me, it\u2019s a help, it\u2019s an aid,\u201d said Donna Cooper, 62, of Front Royal, Virginia, who lost nearly 40 pounds in nine months using Wegovy along with diet and exercise. \u201cAt some point you have to come off of them. I don\u2019t want to be on them forever.\u201d
More than 3 million prescriptions for the new medications are dispensed each month in the U.S., according to recent data from the health technology company IQVIA. They include semaglutide, the drug in Ozempic and Wegovy, and tirzepatide, the drug in Mounjaro and Zepbound.
But many people don't stick with it. One recent study published in the journal Obesity found that just 40% of patients who filled a prescription for Wegovy in 2021 or 2022 were still taking it a year later.
Doctors who treat obesity stress that the disease is a chronic condition that must be managed indefinitely, like heart disease or high blood pressure. The new injection drugs work by mimicking hormones in the gut and the brain to regulate appetite and feelings of fullness. They were designed \u2014 and tested \u2014 to be taken continuously, experts said.
\u201cWe are not an injection shop,\u201d said Dr. Andres Acosta, an obesity researcher and medical adviser at the Mayo Clinic. \u201cI don\u2019t think they should be used in intermittent fashion. It\u2019s not approved for that. They don\u2019t work like that.\u201d
Despite that directive, some patients who achieved their health and weight goals with the drugs are looking for an off-ramp, said Dr. Amy Rothberg, a University of Michigan endocrinologist who directs a weight-management and diabetes treatment program.
\u201cMany of them want to step down or de-escalate their dose,\u201d she said. \u201cAnd they\u2019re also wanting to ultimately discontinue the medication.\u201d
TAKING \u2018A BREATHER\u2019
The reasons for pausing the drugs can vary, said Dr. Katherine Saunders, an obesity expert at Weill Cornell Medicine and co-founder of the obesity treatment company Intellihealth. Some patients don\u2019t like side effects such as nausea and constipation. Others want to stop for holidays or special occasions \u2014 or just because they don\u2019t want to take the weekly shots indefinitely.
One of Saunders\u2019 patients, a 53-year-old New York man, lost 70 pounds last year using Mounjaro. He told Saunders he wanted to take \u201ca breather\u201d from the medication to see how his body reacted. On her advice, he has been stretching out injections to every 10 days or two weeks, instead of weekly, since December.
Other patients have been forced to ration or halt doses because the drugs are costly \u2014 $1,000 to $1,300 per month \u2014 and insurance coverage varies or because demand has far outstripped supply, Rothberg noted.
\u201cIt\u2019s being imposed on them,\u201d she said. \u201cBy necessity they have to go off the medication and kind of figure it out.\u201d
But hoping the drugs' benefits will last even after stopping them ignores the fundamental biology of obesity, experts said. The disease affects the way the body processes and stores energy, causing it to accumulate weight. The new drugs alter that process and when patients stop, the disease returns, often with a vengeance.
Many people dropping off the medications report a sharp rise in symptoms of obesity. They include so-called food noise or intrusive thoughts of food; raging hunger; and decreased feelings of fullness when they eat.
\u201cThese drugs are just a super-suppressor of these native signals,\u201d Rothberg said. \u201cAnd we should expect that\u2019s going to occur.\u201d
Tara Rothenhoefer, 48, of Trinity, Florida, lost more than 200 pounds after joining a clinical trial for Mounjaro nearly four years ago. She now takes the lowest dose of the drug every four to eight weeks, but she worries when her weight fluctuates by a few pounds.
\u201cIt scares the daylights out of me to see the numbers on the scale going up,\u201d she said.
Some patients who stop the drugs and start again find they can\u2019t tolerate the medication, winding up with severe gastrointestinal side effects, Acosta said. Others find the drugs don\u2019t work as well when they restart them, Saunders added. But there's no data on the long-term effects of intermittent use.
\u201cI don\u2019t think it\u2019s a strategy that will work for most individuals, but it could be an option for select patients,\u201d Saunders said.
Donna Cooper has heard that people gain back weight when they stop the drugs, but she hopes to be an exception. She's on her last box of Wegovy injections. Once she's done, Cooper said she\u2019ll just continue with a strict diet and exercise plan.
\u201cI just needed a crutch to get everything back in order,\u201d said Cooper, who has gone from a size 16 to a size 10. \u201cAnd I am excited to be done.\u201d
___
The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute\u2019s Science and Educational Media Group. The AP is solely responsible for all content.
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Experts say too many cancers are diagnosed too late, and survival for common cancers in the U.K. consistently lags behind countries with similar universal health care systems. Palace officials\u2019 recent announcement that King Charles III has been diagnosed with cancer has put a sharp focus on the issue. The 76-year-old monarch\u2019s decision to openly share his cancer diagnosis was widely praised. But many couldn\u2019t help comparing the swift treatment Charles received with how ordinary Britons fare at public hospitals. Experts say years of underinvestment and staff shortages must be tackled.", + "bylines": [ + { + "by": "By SYLVIA HUI", + "title": "Associated Press" + } + ], + "located": "LONDON", + "datelinelocation": { + "city": "London", + "countrycode": "GBR", + "countryname": "United Kingdom", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -0.12574, + 51.50853 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. 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The elementary school principal from Hereford in western England was shocked when she found out she had advanced colorectal cancer in 2022. But when she contacted her local hospital, she was told no one would be able to see her for three months \u201cdue to high demand and low capacity of senior doctors.\"
\u201cI've just been diagnosed with stage 4 bowel cancer, metastasized to my liver. I don't have three months to wait,\u201d she said, using another term for colorectal cancer. She was just 46.
Gittins had access to private health care and has since undergone surgery and chemotherapy. \u201cI consider myself so lucky, but there are so many people who will die needlessly when more prompt treatment would help them,\u201d she said. \u201cAnd that's not fair. Not in a country like ours.\u201d
Gittins is among thousands of people with cancer let down by Britain's National Health Service, a once revered institution now widely seen to be in acute crisis due to years of underfunding and staff shortages.
Waiting times to diagnose and treat cancer across the U.K. have worsened in recent years and are near record highs \u2014 and experts say too many cancers are diagnosed too late. Experts warn the burden of cancer will grow as the country\u2019s population ages.
Palace officials' recent announcement that King Charles III has been diagnosed with cancer has highlighted the issue. Officials didn't say what form of cancer Charles has, only that it was discovered during a recent corrective procedure for an enlarged prostate.
The 76-year-old monarch's decision to openly share his cancer diagnosis was widely praised, and experts said it was a powerful reminder that cancer affects 1 in 2 people in the U.K. The news triggered a \u201cKing Charles effect\" \u2014 immediately boosting visits to cancer information and support websites nationwide.
But many couldn't help compare the swift treatment Charles received, days after he was diagnosed, with how ordinary Britons fare at public hospitals.
Public health officials aim for 75% of patients with suspected cancer to receive a diagnosis within four weeks of a doctor's urgent referral. They also say 85% of cancer patients should wait less than two months for their first cancer treatment.
But the last time all such waiting time targets were met in England was in 2015, experts say, and the delays are even worse in poorer parts of the country like Northern Ireland.
One in three patients in the U.K. are waiting more than two months to start treatment after an urgent referral for cancer assessment, according to the independent think tank Nuffield Trust. In total, 225,000 people have waited too long since 2020, Radiotherapy U.K. says.
Survival for common cancers in the U.K. consistently lags behind countries with similar universal health care systems and per capita spending on public health, a recent report by the charity Cancer Research U.K. found.
Apart from longer waits, people with cancer in the U.K. also received less chemotherapy and radiotherapy treatment than countries such as Canada, Australia, Denmark and Norway, another study by the charity said.
\u201cIt's quite worrying that we treat less in the U.K. than in comparable countries. For lung cancer, for example, 28% of patients get chemo in the U.K. In Norway it's 45%,\u201d said Naser Turabi, director of evidence and implementation at Cancer Research U.K.
Turabi pointed to lack of investment in both equipment and specialist staff in the past 15 years, resulting in the U.K. ranking near the bottom among 36 developed countries for its number of CT and MRI scanners.
\u201cWe know we have an aging population, but there's no specific commitment from the government to meet the demand that we know is coming,\u201d he said. \"We can\u2019t even provide online bookings for screening appointments. The digital infrastructure is 20 years out of date.\"
Kathy McAllister, a cancer survivor, is so frustrated with the NHS inefficiencies that she has retrained as a cancer awareness campaigner.
The former marketing director from Belfast, Northern Ireland, said she waited at least two months to start treatment after she was diagnosed with late-stage colorectal cancer in 2019. She added that she only managed to secure a follow-up scan after treatment because she persisted in chasing it down with hospital bosses.
\u201cIt's just a wait at every stage,\u201d said McAllister, 53. \u201cYou expect cancer should be such a priority, that once you see a doctor they\u2019re going to put arms around you, you\u2019re going to be looked after, but you\u2019re not. You're just another number because they're so overwhelmed.\u201d
Cancer care isn't the only part of the NHS that's in crisis. Millions struggle to book appointments with their general practitioners or dentists, hospital emergency departments are regularly overwhelmed, and record numbers of people are stuck on waiting lists for routine treatments.
The COVID-19 pandemic worsened the situation, but the NHS \u2014 a huge institution employing more than 1 million people \u2014 has long struggled to cope as public funding shrinks and life expectancy grows. Many blame the crisis on the austerity policies of successive Conservative governments, which have cut budgets in health, social welfare and education during 14 years in power.
Asked about the delays in cancer care, NHS England said more people than ever are being diagnosed at an early stage of cancer and more treatment options are available. Over the past year, nearly 3 million people received potentially lifesaving cancer checks, compared to 1.6 million a decade ago, it said in a statement.
Prime Minister Rishi Sunak, who has made cutting waiting times a key priority, has blamed an unprecedented series of doctors' and nurses' strikes for the lack of progress.
Tens of thousands of doctors have walked off their jobs multiple times since late 2022 to protest deteriorating conditions and demand better pay, which unions say does not keep pace with surging inflation. Last month junior doctors staged a strike for six days, the longest such disruption in NHS history.
McAllister, the cancer survivor, wants cancer care to be a focal point ahead of Britain\u2019s general election, expected to take place this year. She's calling on the government to draw up a cancer plan and devote as much focus and urgency to cancer as they did to the COVID-19 pandemic.
\u201cIt\u2019s just shocking every time cancer waiting times come out they get almost ignored. We've become a bit numb to those statistics,\" she said. \u201cWe need people to stand up and say, 'It isn't good enough.'\u201d
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Dr. Eugene Livar was appointed to the role under Gov. Katie Hobbs' extreme heat preparedness plan, the Arizona Department of Health Services said Wednesday.
Livar has been with the state health department since 2012, most recently working as assistant director for public health preparedness. In that role, he contributed to the state's heat plan.
Underscoring the dangers of increasingly hot weather, the toll of heat-associated deaths in Arizona\u2019s most populous county has soared well over 400 after the area's hottest summer ever recorded. Maricopa County is the hottest metropolitan area in the U.S. and home to Phoenix.
The cities of Phoenix and Miami have their own heat officers to oversee ways to protect people and the overall community from extreme heat as climate change leads to more frequent and enduring heat waves.
Phoenix, the hottest big city in the United States, also has an office of heat response and resiliency that aims to protect people and help them cope with the hot weather through programs like cooling stations and increased tree planting.
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With AP Photos.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "US--Train Derailment-Ohio", + "headline": "After Ohio train derailment, tank cars didn't need to be blown open to release chemical, NTSB says", + "headline_extended": "The head of the National Transportation Safety Board told Congress Wednesday that the decision to blow open five tank cars and burn the toxic chemical inside them three days after a Norfolk Southern train derailed in Eastern Ohio last year wasn't justified", + "slugline": "BC-US--Train Derailment-Ohio, 1st Ld-Writethru", + "description_summary": "The head of the National Transportation Safety Board told Congress Wednesday that the decision to blow open five tank cars and burn the toxic chemical inside them three days after a Norfolk Southern train derailed in Eastern Ohio last year wasn't justified. But NTSB Chair Jennifer Homendy said the key decision-makers who feared those tank cars were going to explode never had all the information they needed. The opinion of the experts at Oxy Vinyls that no dangerous chemical reaction was happening inside the vinyl chloride cars was never relayed to Ohio Gov. Mike DeWine and the first responders in charge.", + "bylines": [ + { + "by": "By JOSH FUNK", + "title": "AP Business Writer" + } + ], + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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But she said the key decision-makers who feared those tank cars were going to explode three days after the crash never had the information they needed.
The vinyl chloride released that day, combined with all the other chemicals that spilled and caught fire after the derailment in East Palestine, Ohio, have left residents with lingering fears about possible long-term health consequences.
Experts from the company that made the vinyl chloride inside those tank cars, Oxy Vinyls, were telling contractors hired by Norfolk Southern railroad that they believed that no dangerous chemical reaction was happening, NTSB Chair Jennifer Homendy said. But Oxy Vinyls was left out of the command center.
\u201cThey informed them that polymerization, they believed polymerization was not occurring, and there was no justification to do a vent and burn,\u201d Homendy said. \u201cThere was another option: let it cool down.\u201d
However, that information was never relayed to Ohio Gov. Mike DeWine and the first responders in charge, she said.
Some of this information came out at NTSB hearings last spring in East Palestine. Homendy's comments Wednesday were the clearest yet that the controversial vent-and-burn action wasn't needed. But the agency won't release its final report on what caused the Feb. 3, 2023, derailment until it holds another hearing this June.
DeWine's spokesperson Dan Tierney said it's frustrating to hear now \u2014 more than a year after the derailment \u2014 that it wasn't necessary to blow open those tank cars.
\u201cThe only two scenarios that were ever brought up were a catastrophic explosion occurring, where shrapnel would be thrust in all directions to a one mile radius or averting that through a controlled vent and burn,\u201d Tierney said. \u201cNobody ever brought up a scenario where if you just did nothing, it wouldn\u2019t explode.\u201d
East Palestine Fire Chief Keith Drabick has said the consensus in the command center was that releasing and burning the chemicals was the \u201cleast bad option.\u201d
But Homendy said they never heard Oxy Vinyls' opinion that the vinyl chloride was stable. Instead, the decision-makers relied on contractors who were alarmed by the limited temperature readings they were able to get, combined with the violent way one of the tank cars released vinyl chloride with a roar from a pressure release valve after hours of calm. Drew McCarty with Specialized Professional Services testified last spring that the tank car \u201cfrankly scared the hell out of us.\u201d
Republican Sen. JD Vance, who questioned Homendy at Wednesday's hearing, said he wasn't trying to criticize Drabick, DeWine and the other officials who made the decision.
\u201cI think it\u2019s a criticism of the people on the ground who provided inadequate information \u2014 and provided inadequate information, I think, to the great detriment of the community on the ground,\" Vance said. \"This is extraordinary work by your team, but this is a really, really troubling set of circumstances.\u201d
Norfolk Southern defended the decision again Wednesday and said the plan had nothing to do with trying to get the trains moving again more quickly.
\u201cThe top priority of everyone involved was the safety of the community, as well as limiting the impact of the incident,\" the railroad said. \"The successful controlled release prevented a potentially catastrophic uncontrolled explosion.\u201d
Krissy Ferguson, 49, has not been able to return to her home that sits on top of one of the creeks that was contaminated since the derailment. She said she was heartbroken to hear the latest updates from the NTSB.
\u201cIs our government going to allow a corporation to get away with it or are they going to act on it? Or is it going to be swept down the polluted creek like everything else is?\u201d Ferguson said.
Misti Allison, who lives with her family about a mile away from the derailment site, said the findings reaffirm what she believed to be true all along: that the vent and burn did not need to happen.
\u201cThe only justification was greed, and that Norfolk Southern was putting profits over people to get the train tracks up and running as fast as possible and to destroy whatever evidence was left,\u201d Allison said.
And most questions about the potential long-term health effects remain unanswered.
\u201cWe need to make sure that health care is available to everybody, not just those who want to participate in a study,\u201d she said.
The NTSB has said that it appears an overheating bearing on one of the railcars caused the derailment. Several trackside detectors spotted the bearing starting to heat up for miles beforehand, but the temperature didn't reach a high enough level to trigger an alarm until right before the crash. That meant the crew didn't have an opportunity to stop the train.
Many residents of East Palestine are eager to move forward once the cleanup of the derailment wraps up later this year, but some are still experiencing respiratory problems, rashes and other health concerns.
Norfolk Southern has said that its response to the disaster and the aid it has offered the town has cost it more than $1.1 billion. Now an investor group that's critical of the railroad's response and the disappointing profits it has reported over the past several years is pushing to fire CEO Alan Shaw and take control of the railroad.
___
Associated Press writer Patrick Orsagos contributed to this report from Columbus, Ohio.
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Supporters also say security concerns, long an issue at clinics, have been increasing. Opponents said the legislation would force Maryland residents to pay for abortion services after activists had made the state into an \u201cabortion tourism destination.\u201d", + "bylines": [ + { + "by": "By BRIAN WITTE", + "title": "Associated Press" + } + ], + "located": "ANNAPOLIS, Md.", + "datelinelocation": { + "city": "Annapolis", + "countryareacode": "MD", + "countryareaname": "Maryland", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -76.49184, + 38.97859 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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(AP) \u2014 Abortion clinics in Maryland could pay for enhanced security and greater access through a grant program being considered by state lawmakers, who want to tap into millions of dollars that have sat unused by insurance carriers as part of the federal Affordable Care Act.
Supporters testified Wednesday that Maryland is seeing a rising demand on its abortion clinics, including from women from out of state, since the U.S. Supreme Court stuck down Roe v. Wade in June 2022. Security concerns, long an issue at clinics, also have been increasing, supporters of the bill told the Maryland Senate Finance Committee at a bill hearing.
Maryland lawmakers have taken steps to expand access to abortion in anticipation of more women arriving for services from other states that have banned or restricted it. Maryland voters will be deciding whether to enshrine the right to abortion in a constitutional amendment in November.
Sen. Ariana Kelly, a Democrat who is sponsoring the legislation, said abortion providers reported increases in assault and battery, burglaries, stalking and bomb threats in 2022.
\u201cThis is a real concern that is really impacting peoples\u2019 ability to access care, which is why I\u2019m here today with this legislation,\" Kelly said.
Robyn Elliott, who represents the Women's Law Center of Maryland and the Maryland Affiliate of the American College of Nurse-Midwives, told lawmakers that providers are facing \u201ca crisis,\u201d and she described the measure as \"a very innovative way to move forward in Maryland.\u201d
\u201cOn behalf of the providers who we represent, their safety and security is something that they do worry about more and more over time, and as well as those for their patients,\" Elliott said.
The measure would create a fund by using millions of dollars that have accumulated over the years with insurance carriers, Kelly said. The federal health care law required insurance carriers to collect $1 every month from each person who buys health insurance on a health care exchange that could only be used for abortion care services, she said.
In 2022, the state required insurance carriers to submit a report each year about those funds. Since 2014, the amount has grown to about $18 million, and is expected to grow by about $3 million a year, Kelly said.
The grant program would be run by the state health department. The money would be used for security infrastructure and staffing, such as cameras and lighting to enable staff inside clinics to monitor outside the clinic where protesters interact with patients, sometimes right up to the clinic's door, Kelly testified.
Lynn McCann is the co-director of Baltimore Abortion Fund, a nonprofit that provides support for people seeking abortion services. She said her organization\u2019s confidential help line has received a big increase in calls and was forced to shut down last month when it ran out of funding.
\u201cAs costs and demands skyrocket, our statewide network of abortion funds, clinics and providers who facilitate access to abortion are really being pushed to the brink,\" McCann said.
Laura Bogley, executive director of Maryland Right to Life, which opposes abortion, testified against the legislation. She said abortion supporters have created a \u201cmanufactured crisis.\"
\u201cAbortion activists through the legislature have worked to create Maryland as an abortion tourism destination and now they expect Maryland taxpayers to pay for abortions for women being trafficked in from out of state,\u201d Bogley testified.
Currently, 14 states are enforcing bans on abortion in all stages of pregnancy and two more have bans that kick in after the first six weeks \u2014 often before women realize they\u2019re pregnant. Other Republican-controlled states have imposed lighter restrictions.
Meanwhile, most Democrat-controlled states, like Maryland, have taken steps to protect abortion access.
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(AP) \u2014 Senate leaders in Rhode Island are pushing a 25-bill package aimed at making health care more affordable and easier to access.
One piece of the package would let the state buy medical debt using federal COVID-19 dollars. Under the proposal, the state could purchase the debt for pennies on the dollar using American Rescue Plan Act funds and then eliminate the debt for certain Rhode Island residents.
To be eligible, residents would need to have medical debt that equals 5% or more of their annual income or have a household that is no more than 400% of the federal poverty line.
Similar efforts have been done in Connecticut, New York City, and Cook County, Illinois, backers said.
The legislation would also require hospitals to screen uninsured patients to see if they are eligible for Medicaid or Medicare, prohibit debt collectors from reporting medical debt to credit bureaus, and ban the practice of attaching liens to a person's home because of medical debt.
Democratic Senate President Dominick Ruggerio said health care providers and consumers are feeling enormous strain.
\u201cFew issues are as important as health care, and right now, our health care system is in critical condition,\" Ruggerio said in a written statement Tuesday. \u201cBut for too many people in our state, care is too expensive or too difficult to get.\u201d
The package aims to improve access to health care providers in part by setting aside $2.7 million for primary care practices to serve as clinical training sites and funding a 4-year scholarship program for primary care physicians, nurse practitioners, and physician\u2019s assistants.
Another element of the legislative package calls for the creation of a state drug affordability commission to determine whether the cost of a drug is affordable.
If the commission finds the cost in Rhode Island isn't affordable to health care systems and local residents, it could set a cost for the drug that all state programs, local governments, state-licensed commercial health plans, state-licensed pharmacies, wholesalers and distributors would have to adhere to.
Those agencies would be banned from paying more for the drugs than the rate set by the commission.
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Francis presided over his weekly general audience, held outside for the first time this year in a chilly St. Peter\u2019s Square. But he had an aide read his catechism lesson, as he has done for the past several days.
Last Wednesday, Francis went to the hospital for unspecified diagnostic tests, the results of which have not been released. He has been suffering on and off this winter from what he and the Vatican have said was a cold, bouts of bronchitis and the flu.
Late last year, Francis underwent a CAT scan that ruled out pneumonia, but the pope was still forced to call off a trip to the Gulf because of a bad bout of acute, infectious bronchitis.
Francis has also been suffering from a fracture in the knee and inflammation of its ligaments that starting in 2022 pushed him to use a wheelchair. But he has usually managed to get around with a cane or walker and the help of aides to get him to a standing position.
On Wednesday, however, Francis appeared unable to climb up the few steps to board his popemobile at the end of his audience, even while grasping onto the handrails. Aides quickly brought back his wheelchair and he sat back down. He then greeted the crowd before being wheeled out of the piazza.
The Argentine pope had part of one lung removed as a young man because of a respiratory infection, and he often speaks in a whisper even when not sick. In 2021, he had a chunk of his colon removed and last year had surgery to repair an abdominal hernia and remove intestinal scar tissue.
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Updates Media.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "AS--South Korea-Doctors Protest", + "headline": "South Korea's president vows not to tolerate walkouts by junior doctors", + "headline_extended": "South Korea\u2019s president vows that he won't tolerate the prolonged walkouts by junior doctors, calling them \u201can illegal collective action\u201d that threatens public health", + "slugline": "AP-AS-South-Korea-Doctors-Protest, 1st Ld-Writethru", + "description_summary": "South Korea\u2019s president vows that he won't tolerate the prolonged walkouts by junior doctors, calling them \u201can illegal collective action\u201d that threatens public health. President Yoon Suk Yeol\u2019s tough statement made during a Cabinet meeting Wednesday comes as his government is taking steps to suspend the licenses of thousands of striking medical interns and residents. They are on strike to protest a government push to admit thousands more new students to medical schools in the coming years. The government has repeatedly urged the striking doctors to return to work or face license suspensions and prosecution.", + "bylines": [ + { + "by": "By HYUNG-JIN KIM", + "title": "Associated Press" + } + ], + "located": "SEOUL, South Korea", + "datelinelocation": { + "city": "Seoul", + "countrycode": "KOR", + "countryname": "South Korea", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + 126.9784, + 37.566 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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President Yoon Suk Yeol\u2019s government was in the process of suspending the licenses of about 9,000 medical interns and residents over their joint walkouts that have impacted hospitals' capacity to provide care.
The doctors-in-training have been on strike for more than two weeks to protest a government push to admit thousands more new students to medical schools in coming years. Officials say the enrollment plan is essential to bracing for the country's rapidly aging population, but doctors say schools can't handle such an abrupt, steep increase in the number of students, and that would eventually undermine the quality of South Korea's medical services.
\u201cThe collective action by the doctors is an act that betrays their responsibilities and shakes the basis of the liberalism and constitutionalism,\u201d Yoon said in televised remarks at the start of a Cabinet meeting. \u201cAn illegal action that infringes upon the people\u2019s right to life will be never be tolerated.\u201d
Yoon\u2019s government had repeatedly urged the striking doctors to return to work or face indictments and minimum three-month license suspensions. But most of the strikers missed a government-set Feb. 29 deadline for their return.
By South Korea\u2019s medical law, doctors who defy orders to restart work can be punished by up to three years in prison or a 30-million-won (roughly $22,500) fine, as well as a up to one year\u2019s suspension of their medical licenses. Those who receive prison sentences can be deprived of their licenses.
Starting from Monday, the Health Ministry began the administrative steps to suspend the strikers\u2019 licenses: dispatching officials to hospitals to formally confirm their absences and sending notices to the strikers about their planned suspensions. The ministry was required to give them opportunities to respond before their suspensions take effect.
Observers say the ministry will likely end up suspending strike leaders, not the whole group of the 9,000 doctors who walked off the job \u2014 a daunting administrative task that would likely take weeks or longer.
Vice Health Minister Park Min-soo told reporters Tuesday that the government plans to file complaints against strike leaders to get them to face police investigations as well. But he said officials haven\u2019t determined when they would do so and against whom.
The striking residents and interns represent only about 6.5% of the country's 140,000 doctors. But in some major hospitals, they account for about 30%-40% of the total doctors and had played the role of assisting senior doctors during surgeries and dealing with inpatients while training. Their walkouts have subsequently caused hundreds of canceled surgeries and other treatments at their hospitals and burdened South Korea's medical service.
The public is largely opposed to the doctors' strikes, and surveys show Yoon's approval ratings rising over his push for the medical school enrollment plan. One poll showed that a majority of South Koreans backed the enrollment plan.
Health officials have said the country's handling of emergency and critical patients largely remains stable, with public hospitals extending working hours and military hospitals opening emergency rooms to the public. But if senior doctors joined the walkouts, South Korea's medical service would suffer a major blow.
The Korean Medical Association, which represents doctors in South Korea, has expressed its support for the striking junior doctors, but hasn't decided whether to take part in the walkouts.
Police were investigating allegations that five senior KMA officials incited and abetted the junior doctors' walkouts, and said they summoned one of them Wednesday. Speaking with reporters ahead of his interrogation, Joo Sooho, a spokesperson at the KMA\u2019s emergency committee, denied the allegations.
Currently, there's a cap of 3,058 medical students a year. The government wants to add 2,000 more medical students starting in 2025, citing South Korea\u2019s doctor-to-population ratio that it says is one of the lowest in the developed world.
But doctors say the plan can\u2019t address a chronic shortage of physicians in rural areas and in essential yet low-paying specialties because newly recruited students would also want to work in the capital region and in high-paying fields like plastic surgery and dermatology.
The striking junior doctors have accused the government of ignoring their harsh conditions \u2014 working more than 80 hours per week at close to a minimum wage. But post-residency doctors are among the best-paid professionals in South Korea.
Some critics say the strikers simply worry that the added competition from more doctors would lead to lower incomes in the future.
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March 4, 2024.
Editorial: Florida anti-free speech bill would chill robust debate
There are no lessons learned in the Florida Legislature.
Prodded by their hostility toward the \u201cliberal media,\u201d lawmakers tried last year to pass a bill that would have made it easier to sue for defamation. It was conservative media owners who realized this \u201cown the libs\u201d measure would have adverse effects.
Corporate media \u2014 a term of choice for Gov. Ron DeSantis, who supported last year\u2019s legislation (HB 991) \u2014 have resources to fight expensive lawsuits. Small local radio stations and online publications \u2014 and your local Rush Limbaughs who might get too loose with facts \u2014 do not.
This year, the measure is back in a different version. An unlikely coalition of liberal-leaning groups like the American Civil Liberties Union and libertarian Americans for Prosperity, founded by the billionaire Koch brothers, is fighting it.
Bad for consumers, too
Even the Better Business Bureau, the apolitical nonprofit known for rating businesses and publishing customer complaints, opposes it.
With only a few days left in the 2024 session, prospects for passage thankfully appear dim.
House Bill 757 is an affront to free speech and is probably unconstitutional, a mechanism for public figures to silence negative coverage with the threat of litigation. Sponsor Rep. Alex Andrade, R-Pensacola, says he wants to hold people accountable for publishing false information.
But his bill clearly goes much further than that.
Lowering the bar for lawsuits
In a nutshell, HB 757 would lower the bar for filing defamation lawsuits. The bar was set in the landmark 1964 U.S. Supreme Court ruling in New York Times v. Sullivan. To win a libel case, a public figure must prove \u201cactual malice\u201d \u2014 that the statement about them was made \u201cwith knowledge that it was false or with reckless disregard for the truth.\u201d
This standard was meant to protect public debate even if someone publishes information that contains errors.
Andrade\u2019s bill would automatically assume malice if a statement about a public figure is proven false \u2014 no matter how small the error \u2014 and it came from one anonymous source. This could force journalists to decide between revealing their anonymous sources, and potentially endangering them, or face legal ramifications.
Perhaps the strongest rebuke to the legislation came from a grilling that Andrade received by a known conservative radio host. As Trey Radel, a former GOP congressman from southwest Florida, said, the impact on anonymous sources would create \u201ca chilling effect out there for the next person who wants to expose the (Department of Justice, FBI and IRS),\u201d USA Today Network reported.
\u2018Veracity hearings\u2019
The bill also would force publishers of information into a \u201cveracity hearing,\u201d where they would have to prove their statements are truthful.
Those hearings would happen within 60 days of a motion being filed, giving defendants little time to prepare and forcing them to spend larger amounts of money to defend themselves, which could force smaller news operations or individuals who post something on social media into bankruptcy, Bobby Block, executive director of the First Amendment Foundation, told The Miami Herald Editorial Board.
As The Better Business Bureau wrote in a Feb. 13 letter to legislative leaders, an unscrupulous business unhappy with its ratings could force BBBs to \u201crush to court in remote jurisdictions without sufficient time for investigation and discovery.\u201d
HB 757 allowed public figures to go \u201ccourt shopping\u201d by allowing libel suits based on materials posted online to be filed in any court in the state \u2014 in other words, jurisdictions that are more friendly to a public figure\u2019s case.
After facing backlash, Andrade proposed an amendment to prohibit lawsuits from being filed \u201cin a venue that does not possess a reasonable connection\u201d to the case.
Andrade contends it\u2019s already against the law to sue people for simply exercising their free-speech rights. But his critics point out that by lowering defamation standards, the legislation weakens such protections against baseless lawsuits. The Better Business Bureau wrote that the veracity hearings might allow plaintiffs to \u201cescape the burden of establishing\u201d a good faith basis for their claim.
What is the purpose of this legislation, then \u2014 other than to allow public figures to quash information they don\u2019t like?
___
Tampa Bay Times. March 5, 2024.
Editorial: Texting while driving? Why doesn\u2019t Florida ban holding a phone while driving?
Distracted driving, including texting while driving, is a major contributor to traffic crashes and fatalities.
Florida legislators have a chance to make our roads a lot safer. They can ban drivers from holding cellphones behind the wheel.
It\u2019s common sense that drivers with one hand on their smartphones and maybe one on the wheel are distracted, whether they are texting, talking or looking at their calendar, weather apps or the latest sports scores. People know better but do it anyway.
Under HB 1469, drivers would be restricted to hands-free (basically Bluetooth) phone use. They could touch their phone to start or end a call or to fire up Waze or other navigational apps but not interact with the phone in other ways. There are exceptions to report an emergency or a crime. It has passed three House committees and is on the House calendar, awaiting action in the Senate.
It\u2019s time, and here\u2019s why. There were almost 400,000 crashes on Florida roads last year; nearly 3,400 people were killed. Distracted driving, which has skyrocketed since the advent of the smartphone, is a major culprit. Cambridge Mobile Telematics, which works with insurance companies and safety organizations to track phone use behind the wheel, collects anonymized smartphone data, including this stunning statistic: More than a third of drivers who crashed were interacting with their smartphone in the minute before impact. Yes, there\u2019s a big problem.
Let\u2019s do some math. There were more than 14,800 crashes last year in Pinellas County, and 110 people were killed. Hillsborough County had 27,465 crashes and 233 deaths. If more than a third of those drivers were distracted by their smartphones, that would account for 5,000 crashes in Pinellas and more than 9,000 in Hillsborough alone last year. Those are just the crashes, not the close calls.
Each number is a person. That\u2019s why the Senate companion bill, SB 1408, is named the \u201cAnthony Branca and Anita Neal Act.\u201d Neal was the sister of Sen. Tracie Davis, a co-sponsor of the bill. She was killed by a distracted driver while jogging, leaving behind a teenage daughter. Anthony Branca, also killed by a distracted driver, was the son of Demetrius Branca, who is tirelessly pushing the Legislature to adopt this commonsense safety legislation. He laid out his heartfelt campaign in a column in these pages a few days ago.
It\u2019s already against the law to text while driving, but the rule is nearly impossible to enforce. A driver can simply claim he was doing something other than texting while holding his phone. Study after study shows that any use of a smartphone while driving is a distraction. This bill would acknowledge that fact and allow the police to pull over and ticket drivers who are holding their phones and using them. That makes enforcement simpler and would make our roads safer.
It\u2019s time for Florida to join the vast majority of states that already have similar laws. While there are only a few days left in this legislative session, there is still time to pass this legislation. What is more important than acting on a bill that could save so many lives and prevent so many injuries? It\u2019s time to keep drivers\u2019 hands on the wheel and off their phones.
___
Orlando Sentinel. March 1, 2024.
Editorial: The Florida Legislature\u2019s obsession with communism is so 1952
Pending legislation would require all Florida schoolchildren to be indoctrinated on the evils of communism. Yes, even those still young enough to believe in Santa Claus, the Easter Bunny and the Tooth Fairy.
Two bills make the history of communism and its \u201catrocities\u201d a major requirement of the curriculum through 12th grade.
Only the House bill (HB 1349) specifies that the instruction must be \u201cage appropriate and developmentally appropriate.\u201d When the Senate version ( SB 1264 ), cleared its last committee stop, Democrats in the voting minority objected that it was unnecessary, but it\u2019s actually worse than that.
To their credit, all six Democrats on the Senate Fiscal Policy Committee voted no: Sens. Rosalind Osgood from Broward, Lori Berman from Palm Beach, Shevrin Jones from Miami-Dade, and Linda Stewart, Geraldine Thompson and Victor Torres Jr. from Orlando.
Keep politics out of classrooms
The issue isn\u2019t how old kids should be when the state scares them with political bogeymen. It\u2019s about the bill itself. No legislature ever should command any subject to be taught in the slanted way these bills prescribe. Politicians are the last people who should be dictating classroom content.
Not only that, but they overlook what should be taught.
They\u2019re also fighting the wrong battle, as politicians often do. It\u2019s another diversion \u2014 some would say a cynical one \u2014 from the real dangers to democracy in the United States.
Communism faded away in the 1940s as a political influence anywhere in the U.S., despite Joseph McCarthy\u2019s overblown and highly destructive anti-Communist crusade in the early 1950s. It is no threat to our politics or economy, even if some young people have unquestioningly embraced communism\u2019s hammer-and-sickle symbol.
Capitalism in China
Abroad, only China, Laos, Cuba, Vietnam and North Korea still profess to be communist. Even China has taken on the trappings of capitalism.
Russia, where it all began, is now run by a capitalist oligarchy that looted the former communist state\u2019s assets. Aleksei Navalny lost his life fighting the corruption.
The new threats to freedom are personified by authoritarians like Vladimir Putin in Russia, Viktor Orban in Hungary, and Recep Tayyip Erdogan in Turkey and by a deadly serious antidemocratic movement here at home.
Former President Donald Trump openly admires and cultivates those foreign dictators, repudiates the Republican Party\u2019s historic defense of democracy wherever it is threatened, and makes repulsive jokes about being a dictator \u201conly on Day One\u201d if he\u2019s elected again.
His beguiling influence over so many Americans, worst of all his toadies in Congress, exposes an alarming indifference bordering on contempt for the importance of democracy.
Beating a dead horse
The Legislature should be ensuring that schools teach the positive values of democracy, rather than beating a dead horse.
Statism is the contemporary enemy of humanity. It does not matter under which economic theory it travels; democracy is the antidote.
Freedom House, a nongovernmental agency that has been defending liberty since the rise of Nazi Germany, has been tracking the decline of democracy worldwide for 17 years. The U.S. made the backsliders list because of what the agency describes as our \u201cunequal treatment for people of color, the outsized influence of special interests in politics, and partisan polarization.\u201d
An organization called Lawyers Defending American Democracy has documented anti-democratic trends in Florida, Arizona, Iowa, Tennessee and Texas.
The report faulted Florida for curbing voting by mail; anti-diversity policies in schools and universities; infringing on teaching race, sexism and slavery; crackdowns on undocumented immigrants and gender-related medical care; 15-week and 6-week abortion bans; siphoning public school students into less accountable, tax-subsidized private schools; Gov. Ron DeSantis\u2019 \u201cDon\u2019t Say Gay\u201d law restricting how schools deal with LBGTQ issues; the takeover of New College of Sarasota; legislation encouraging book-banning; bans on mandatory mask and vaccination rules; the surgeon general\u2019s demonizing of vaccinations; blanket secrecy over university presidential searches and on the governor\u2019s travel; and the governor\u2019s unprecedented claim that he has an \u201cexecutive privilege\u201d to keep secret anything he chooses, despite Florida\u2019s public records law.
The Legislature is equally responsible for all of that. It should look to its own disloyalty to democracy rather than to indoctrinating school children on any other \u201c-ism,\u201d especially one that\u2019s no more of a threat than those imaginary monsters under their beds.
The communism education bills serve only the insatiable need of some Cuban \u00e9migr\u00e9 legislators to flog the corpse of Fidel Castro. They are also useful for forcing opponents \u2014 only Democrats so far \u2014 to cast votes that may return to haunt them in attack ads. (\u201cSenator so-and-so is pro-Communist!\u201d)
A law DeSantis signed in 2022 already requires schools to observe \u201cVictims of Communism Day\u201d every Nov. 7. Current state academic standards for social studies incorporate communism in the requirements for grades 7 and 9-12. That\u2019s plenty.
___
Miami Herald. March 1, 2024.
Editorial: DeSantis is right about social media ban. This misguided idea deserves his veto
Give Gov. Ron DeSantis some credit. He\u2019s at least being consistent with his criticism of the Florida Legislature\u2019s attempt to ban minors from social media.
If lawmakers gave parents the power to remove books and sue schools for talking about things like sexual orientation and race in ways that make them uncomfortable, shouldn\u2019t they also give parents a say on the types of websites their child can access?
Just hours before the Legislature passed the bill to keep children under 16 from platforms that have \u201caddicting features,\u201d DeSantis said there were \u201clegitimate issues that gotta be worked out\u201d and that parents should be allowed to override the state\u2019s heavy-handed ban.
The Legislature defied the governor and approved House Bill 1 anyway because it\u2019s a priority of the House speaker.
DeSantis should veto HB 1, and not just to show lawmakers he\u2019s still the dominant governor who\u2019s controlled their agenda for the past two years \u2014 though there are questions on whether DeSantis has lost some of his power, and the Legislature could embarrass him by overriding his veto.
The legislation is a well-intended but misguided way to tackle the very real dangers that social media present to teens. It\u2019s a no-brainer that those platforms deserve scrutiny, especially after a whistle-blower told Congress in 2021 that Meta, which owns Facebook and Instagram, knew its content harmed kids. But HB 1\u2019s lack of \u201cparental rights,\u201d a concept that drove much of the legislation coming out of Florida recently, isn\u2019t the only problem.
The U.S. Supreme Court is already listening to another Florida law that prohibited social media platforms from removing political candidates \u2014 and so far, justices appear skeptical of the law\u2019s constitutionality.
If signed into law, HB 1 will no doubt also be headed to court, with social media companies arguing it is unconstitutional, costing taxpayer dollars to defend these lengthy lawsuits. Similar laws from other states have not fared well under legal scrutiny, with all of them blocked by judges.
That raises a valid point: Aren\u2019t children and teens allowed freedom of expression under the First Amendment, especially if their parents allow it? There is no doubt that social media perpetuates unattainable beauty standards that hurt young girls\u2019 self-esteem, makes cyberbullying more pervasive and that it is designed for non-stop scrolling. But social media also helps kids connect in ways that previous generations didn\u2019t. It\u2019s where they can find communities of like-minded people they might not have at home or school. Social media isn\u2019t just for socializing; it\u2019s an essential business tool that many kids will need to learn to enter the job market one day.
And, then, there is the question of the legislation\u2019s practicality. For one, Republican House Speaker Paul Renner has said not all platforms would be affected by the ban unless they use \u201caddicting features\u201d \u2014 including infinite scrolling, displaying personal metrics such as likes, auto-playing video and livestreaming \u2014 but lawmakers have not said which sites would be affected. The most popular social media sites like Instagram and TikTok contain these same features.
___
Palm Beach Post. March 3, 2024.
Editorial: With Dr. Joseph Ladapo\u2019s anti-vaccine stance failing, Florida needs a new surgeon general
Here we go again: Florida facing another dangerous virus, while the state\u2019s top health official thumbs his nose at conventional medical wisdom. Florida Surgeon General Dr. Joseph Ladapo is drawing warranted criticism for his initial lax response to the state\u2019s measles outbreak. Instead of urging parents to vaccinate their children, he waffled, leaving the decision to the parents with a hint at an anti-vax stance that made him infamous during COVID-19.
Ladapo\u2019s response is the latest in what has been a three-year string of controversy that has undermined the surgeon general\u2019s office and the Florida Department of Health. Whether it\u2019s altering a medical study to support fringe thinking or ignoring a request to put on a mask during the height of the pandemic by state Sen. Tina Polsky, D. Boca Raton, whose breast cancer made her susceptible to COVID. The Ladapo era in Florida must end.
Florida deserves a credible public health leader, not an ongoing embarrassment. Right now, the state is stuck with a political appointee who\u2019s taking up space but not taking the job or his craft seriously. The Palm Beach Post editorial board believes it\u2019s time for a change. The Governor, and more importantly the state, needs a new surgeon general.
Up until now, Gov. Ron DeSantis seems OK with his appointee\u2019s performance. The Governor needed a shill to buttress an anti-COVID mandate schtick that became part of DeSantis\u2019 ill-fated presidential campaign. Meanwhile more than 81,000 Floridians died from COVID. Will the Governor make the change? Probably not, unless the spread of measles forces his hand. It shouldn\u2019t have to come to that. Ladapo\u2019s performance is enough to justify replacement.
Measles spread helped by misinformation
Prior to the 1963 Measles Mumps and Rubella vaccine, nearly every child living in the U.S. had measles by the time they reached 15, according to the federal Centers for Disease Control and Prevention.. CDC data showed between 3 million to 4 million people were affected each year, with 500 dying and 48,000 persons hospitalized.
Why measles is making a comeback isn\u2019t a head-scratcher. It only takes two doses of the MMR vaccine, which is 97% effective, to prevent the disease, and there are many more vaccinated against measles in Florida than not. It\u2019s the contagion of misinformation undermining proven medical vaccines that has taken a toll on the nation\u2019s progress toward eradicating dangerous diseases. In his role, Ladapo has done more than enough to become modern medicine\u2019s chief cheerleader of misinformation.
Gov. DeSantis selected Ladapo from the University of California David Geffen School of Medicine in 2021, to replace former Surgeon General Scott Rivkees. The appointment came with $250,000 in pay to head the Florida Department of Health and another $262,000 as a professor of medicine at the University of Florida. It was a controversial pick to say the least.
Ladapo\u2019s association with America\u2019s Frontline Doctors, a controversial group of physicians known for questionable cures drew criticism, as has his constant criticism of COVID vaccines and masks as effective treatments. His quick appointment to the university, along with an inability to produce grants, ultimately drew the ire of his UF colleagues. As surgeon general, he altered a state study last year to suggest that some COVID-19 doses pose higher health risks for young men than what\u2019s been established by the medical community. In January, he called on the federal government to halt using the mRNA vaccine, describing it as the \u201canti-Christ\u201d of all products.
The surgeon general\u2019s initial response to the measles outbreak was a muddled equivocation of a Feb. 20 advisory to Broward County parents that careened from acknowledging what \u201cis normally recommended\u201d to deferring any decision regarding school attendance to the parents. Ambiguity isn\u2019t the typical response to a potential public-health crisis. Under normal circumstances, public health officials would follow federal guidelines in urging unvaccinated children to either get a MMR shot or stay at home until any symptoms subside without medication.
Ladapo\u2019s pandemic track record and his more recent response regarding measles vaccinations leave us wondering if he will ever shake off the anti-vaccination pandering to do his job as a public health official effectively. We\u2019re not convinced he will. For those reasons, we believe Florida would be better off with a new surgeon general.
END
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It\u2019s not a blip on the life radar \u2014 it\u2019s a significant chunk of time. While your parents may have retired and never worked another day in their lives, you may find that part-time work when you get older fulfills your mental needs and helps your retirement savings last. You may have to be more aggressive with your investments than you expected. And staying healthy is more important than ever. From adapting your portfolio to playing more pickleball, here are the ways retirement might be shaping up for you.", + "bylines": [ + { + "by": "By KATE ASHFORD of NerdWallet" + } + ], + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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Although Americans are retiring a little later than they did 30 years ago, they\u2019re also living longer. Retirement isn\u2019t a blip on the life radar \u2014 it\u2019s a significant chunk of time.
While your parents may have retired and never worked another day in their lives, you may find that part-time work when you get older fulfills your mental needs and helps your retirement savings last. You may have to be more aggressive with your investments than you expected. And staying healthy is crucial.
\u201cThe questions I\u2019m being asked are different, and the conversations clients are bringing to me are different,\u201d says John McGlothlin III, a certified financial planner in Austin, Texas.
Here are the ways retirement might be shaping up for you.
YOU\u2019LL KEEP MORE MONEY IN STOCKS
People used to enter retirement with a conservative-leaning portfolio that held a solid chunk in bonds and cash alternatives. Although advisers aren\u2019t suggesting clients throw caution to the wind, they\u2019re tweaking the investing plan at this life stage.
\u201cWe may just stay a little more aggressive, because the day you retire, you don\u2019t need all this money,\u201d says Jonathan Swanburg, a CFP in Houston. \u201cSome of this money is for 30 years from now, some of it is for your kids and grandkids because you\u2019re never going to touch it.\u201d
McGlothlin encourages his clients to exit target date funds at retirement because he thinks they get too conservative. \u201cThe moment you hit that retirement date, they all of a sudden go to 50% bonds, and within a few years you\u2019re at 60% and 70% bonds,\u201d he says. \u201cWhile bond yields are much better than they were a few years ago, I don\u2019t necessarily think I can get clients 20 to 30 years of sustainable withdrawals if I\u2019m that bond heavy.\u201d
YOU MAY CHOOSE TO KEEP WORKING
The number of adults age 65 and older who are working is almost twice the number who were working 35 years ago, according to a 2023 Pew Research report. Consulting or part-time work in retirement allows you to withdraw less from your savings and potentially delay taking Social Security, and your investments have more time to grow.
\u201cIt gives us flexibility in our asset spend-down picture,\u201d says Catherine Valega, a CFP in Winchester, Massachusetts. \u201cThe thought of moving to no more income coming in \u2014 that\u2019s really stress provoking.\u201d
Valega also encourages clients to pursue work and other activities so they don\u2019t go stir-crazy. \u201cYou\u2019re going to have 10 hours in the day that you didn\u2019t have before,\u201d she says. \u201cYou can exercise, and that\u2019s great and you should, but beyond that you need some amount of mental stimulation.\u201d
YOU MAY WANT TO SAVE FOR IN-HOME CARE
Most adults age 55 and older want to age in place, according to a 2023 survey from the McKinsey Health Institute. Eighty percent wish to live in their own home, and 71% of older adults who aren\u2019t living in their own home wish they could.
With home health aides having a national median cost of $27 an hour, according to Genworth\u2019s 2021 Cost of Care data, planning for in-home care may require working longer to build the nest egg to pay for it, or even relocating to a city where home services are cheaper. Renovations to make a home more accessible or single-story livable are also helpful.
\u201cI think the generation that\u2019s retiring right now, they\u2019ve seen their parents or their family members go into nursing facilities or assisted living facilities and are pretty much unanimously like, \u2018I really don\u2019t want that,\u2019\u201d McGlothlin says.
YOU\u2019LL (REALLY) WANT TO STAY HEALTHY
The average 35-year-old woman today can expect to live to about age 81 \u2014 which means many will live even longer. David Foster, a CFP in St. Louis, now includes articles related to physical fitness and health alongside financial tidbits in his email newsletters to clients.
\u201cThat probably just wouldn\u2019t have been on top of people\u2019s minds 30 or 40 years ago because they weren\u2019t likely to live until they were 90,\u201d Foster says. \u201cExercise is good for avoiding cognitive decline and helping with your heart.\u201d
Although it may feel a long way off, safeguarding your health now can lower medical costs later, plus help ensure you can work (and play) as long as you\u2019re able. That means exercising regularly, eating reasonably healthy foods and getting enough sleep, among other things.
\u201cYou can\u2019t do anything else if you don\u2019t have your health,\u201d Foster says.
This column was provided to The Associated Press by the personal finance website NerdWallet. The content is for educational and informational purposes and does not constitute investment advice.
Kate Ashford is a writer at NerdWallet. Email: kashford@nerdwallet.com. Twitter: @kateashford.
RELATED LINKS:
NerdWallet: 4 things you should know about working past 65 https://bit.ly/nerdwallet-working-past-65
Pew Research Center: Older workers are growing in number and earning higher wages. https://www.pewresearch.org/social-trends/2023/12/14/older-workers-are-growing-in-number-and-earning-higher-wages/
Genworth: Cost of Care: Trends & Insights https://www.genworth.com/aging-and-you/finances/cost-of-care/cost-of-care-trends-and-insights.html/
METHODOLOGY
Pew Research Center\u2019s report on older workers derived its analysis from the Current Population Survey, or CPS, which is administered jointly by the U.S. Census Bureau and the Bureau of Labor Statistics. Each month, 60,000 occupied households are surveyed, resulting in interviews of about 50,000 households. It is explicitly designed to survey the labor force.
Pew Research Center. (December 2023.) \u201cOlder workers are growing in number and earning higher wages.\u201d https://www.pewresearch.org/social-trends/2023/12/14/older-workers-are-growing-in-number-and-earning-higher-wages/
The McKinsey Health Institute survey canvassed more than 21,000 adults age 55 and older across 21 countries. The survey was conducted online between late December 2022 and February 2023.
McKinsey Health Institute. (May 2023.) \u201cAge is just a number: How older adults view healthy aging.\u201d https://www.mckinsey.com/mhi/our-insights/age-is-just-a-number-how-older-adults-view-healthy-aging
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Editorial: Workplace fatalities going in the wrong direction
The Bureau of Labor Statistics released a report Thursday on workplace fatalities in Wisconsin. It\u2019s not good news.
There were 125 such deaths in 2022, the most recent year for which the BLS has released figures. Three-quarters of the fatalities involved people who were wage or salary employees. The 10-year trend has been for increases aside from a slight dip in 2020-2021.
Fatal incidents on the job are up nearly 29% since 2013. That\u2019s not the direction things should be going. Only a third of the cases from 2022 involved transportation. That\u2019s probably the easiest source to understand. When people are driving for work, there\u2019s a risk involved. Crashes happen. Some will be fatal, though that trend is generally going the right way.
The distribution of causes for fatalities is concerning. Almost one out of every five deaths is due to contact with objects or machinery. That\u2019s about five percentage points higher than the U.S. as a whole. Deaths caused by exposure to harmful substances or environments are a bit higher in Wisconsin, too, though that gap isn\u2019t nearly as big.
Violent deaths, caused either by people or animals accounted for 15 fatalities, a count similar to the national average. Surprisingly, homicides weren\u2019t the biggest source of violent deaths. Suicides were.
Not to state the painfully obvious, but there is risk in virtually anything people do. Falls, slips and trips accounted for 17 workplace deaths, after all. And some professions have greater inherent risk. There\u2019s a good chance that the state\u2019s agriculture and forestry industries, which accounted for almost 20% of the fatalities, are why Wisconsin was above the national average in deaths from contact with equipment.
That suspicion has support from one of the lines in the information from the BLS: \u201cOf the 125 fatal work injuries in Wisconsin, 74 percent worked for wages and salaries; the remainder were self-employed. The most frequent fatal event for wage and salary workers was transportation incidents; contact with objects and equipment was the most frequent fatal event for self-employed workers.\u201d Farmers, generally speaking, fall into the self-employed column.
But it certainly seems like some of these incidents shouldn\u2019t be happening. Homicides are the undeniable example. They are avoidable every single time provided people behave humanely.
Wisconsin isn\u2019t alone in seeing a rise. The figure was up nationally for 2022 as well, though that increase has been far less consistent than our state\u2019s. Concerningly, it\u2019s not just the absolute number of deaths that\u2019s on the rise in the U.S. It\u2019s also the rate of deaths per 100,000 full-time equivalent workers.
Unintentional overdoses on materials people encounter at work have been on the rise nationally in each year since 2012. There are rare circumstances in which an uncontrolled release of toxins causes the deaths, but those don\u2019t account for all the lives lost. Other incidents are avoidable.
Workplace safety is everyone\u2019s responsibility. Employees shouldn\u2019t be needlessly placed in dangerous situations. That\u2019s on employers to ensure. Cutting corners on safety shouldn\u2019t be acceptable for either side.
Assigning blame isn\u2019t our purpose here. It\u2019s to remind. We can, and should, do better than this. With advances in safety equipment there\u2019s no good reason to still see the rate of deaths rising for American workers.
The thing about trends is that they change. This can be reversed. It will take everyone paying attention to safety and making sure they aren\u2019t taking unnecessary risks.
We\u2019ve brought the number of workplace fatalities done before. It can be done again.
___
Wisconsin State Journal. March 3, 2024.
Editorial: Really? 4 years, 10 months and 17 days more of Senator \u2018No\u2019?
Four more years?
Unfortunately, that\u2019s how long U.S. Sen. Ron Johnson still has in office.
Technically, it\u2019s four years, 10 months and 17 days. But who\u2019s counting?
We are.
The guy is more grating than ever, having narrowly won the third term he pledged not to seek. Presumably, he doesn\u2019t care what his constituents think because he doesn\u2019t plan to run again in 2028. He\u2019s free to embrace his inner Scrooge.
Johnson has chronically voted \u201cno\u201d on major, bipartisan legislation that has \u2014 or would have \u2014 helped Wisconsin families and our nation. Just as bad, Johnson seems more obsessed than ever with trashing life-saving vaccines.
Whatever his phobia is with modern medicine, he needs to get over it and do his job.
That doesn\u2019t seem likely.
Johnson last week imagined a \u201c COVID Cartel coverup \u201d in which federal health agencies, pharmaceutical companies, \u201clegacy media\u201d and technology giants are conspiring to censor the truth about public health risks from vaccines.
Please.
The most thorough and prestigious medical studies conclude COVID vaccines saved millions of American lives. And because of the skepticism Johnson and others have spread, the measles are coming back. Too many people are passing on preventive shots long considered routine.
We already called for Johnson to resign in the wake of the Jan. 6, 2021, attacks on the U.S. Capitol. Johnson helped fuel the destruction and violence by encouraging then-President Donald Trump\u2019s worst instincts and lies.
Johnson obviously isn\u2019t taking our advice. But we refuse to ignore what a lousy job he\u2019s doing on Wisconsin\u2019s behalf \u2014 and how out of step he is with the Midwestern mainstream.
Wisconsin\u2019s senior senator said last month he \u201cwon\u2019t be supporting\u201d a modest increase in the child tax credit that would have lifted thousands of Wisconsin children out of poverty. He\u2019s opposed even though the vast majority of the Republican-run House voted 357-70 in favor.
Johnson recently voted against military assistance for Ukraine, hurting the cause of freedom abroad. Our brave and outgunned ally desperately needs more ammunition in its heroic fight against totalitarian Russia. Thankfully, 70 of 100 senators \u2014 including 22 of Johnson\u2019s GOP colleagues \u2014 advanced the sensible package to the House.
Johnson helped kill a bipartisan deal for better security on America\u2019s southern border, saying it wasn\u2019t good enough. Apparently, he prefers nothing to something.
In recent years, Johnson voted against the most substantial and bipartisan gun safety law in a generation. He voted \u201cno\u201d to the bipartisan Infrastructure Investment and Jobs Act, which is improving Wisconsin\u2019s roads and bridges.
Johnson even shrugged off losing manufacturing jobs in his hometown of Oshkosh, saying, \u201cIt\u2019s not like we don\u2019t have enough jobs.\u201d With that attitude, no wonder he voted against the bipartisan Chips Act, which will boost the production of semiconductors in America, rather than forcing our nation to rely on China. His own Republican Senate leader and 16 other GOP senators supported it.
Johnson claims to care about America\u2019s soaring debt. Yet he was happy to approve the tax cut in 2017 that\u2019s added trillions to the pile of IOUs being foisted on our children and grandchildren. Johnson talks tough about blocking spending now that his party is out of power, but he mostly went along with the joyride when Trump was in power.
Johnson has repeatedly voted against raising the nation\u2019s debt ceiling so the government can honor its financial commitments. That\u2019s like refusing to pay your credit card bill after running up lots of charges. He seems to want America to default on its loans.
Most of his colleagues took the tough votes for him, to keep the economy going.
The end of Johnson\u2019s third \u2014 and hopefully final \u2014 term can\u2019t come soon enough.
Wisconsin State Journal editorial board
The views expressed in the editorials are shaped by the board, independent of news coverage decisions elsewhere in the newspaper.
END
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(AP) \u2014 Facing pressure to get in vitro fertilization services restarted in the state, Alabama's governor swiftly signed legislation into law Wednesday shielding doctors from potential legal liability raised by a court ruling that equated frozen embryos to children.
Republican Gov. Kay Ivey signed the bill after it was approved in a late-night session by lawmakers scrambling to address a wave of criticism after services were halted at some of the state's largest fertility clinics. Doctors from at least one clinic said they would resume IVF services on Thursday.
\u201cI am pleased to sign this important, short-term measure into law so that couples in Alabama hoping and praying to be parents can grow their families through IVF,\u201d Ivey said.
Republicans in the GOP-dominated Alabama Legislature opted to back the immunity proposal as a solution to the clinics\u2019 concerns. But they shied away from proposals that would address the legal status of embryos created in IVF labs, action that some said would be needed to permanently settle the issue.
The Alabama Supreme Court last month ruled that three couples whose frozen embryos were destroyed in an accident at a storage facility could pursue wrongful death lawsuits for their \u201cextrauterine children.\u201d The ruling, treating an embryo the same as a child or gestating fetus under the wrongful death statute, raised concerns about civil liabilities for clinics. Three major IVF providers paused services.
The new law, which took effect immediately, shields providers from prosecution and civil lawsuits \u201cfor the damage to or death of an embryo\u201d during IVF services. Civil lawsuits could be pursued against manufacturers of IVF-related goods, such as the nutrient-rich solutions used to grow embryos, but damages would be capped to \u201cthe price paid for the impacted in vitro cycle.\u201d
Patients and doctors had traveled to Montgomery, to urge lawmakers to find a solution. They described appointments that were abruptly canceled and how their paths to parenthood were suddenly put in doubt.
Doctors from Alabama Fertility, one of the clinics that paused IVF services, watched as the bill got final passage. They said it will allow them to resume embryo transfers \u201cstarting tomorrow.\u201d
\u201cWe have some transfers tomorrow and some Friday. This means that we will be able to do embryo transfers and hopefully have more pregnancies and babies in the state of Alabama,\u201d Dr. Mamie McLean said after the vote.
The University of Alabama at Birmingham similarly said it is \u201cmoving to promptly resume IVF treatments.\"
Liz Goldman was at home giving her daughter a bottle as she watched the Senate vote on a livestream. \u201cShe didn\u2019t understand, but it made me excited,\u201d Goldman said of her daughter.
Goldman, whose daughter was conceived through IVF after a uterus transplant, hopes to become pregnant with a second child. But her plans were cast into doubt when IVF services were paused. With a team of doctors involved in her care, she couldn\u2019t just move to another state, she said.
\u201cI\u2019m super thankful. The past two-and-a-half weeks have been the most stressful time of my journey and I\u2019ve been through a lot,\u201d Goldman said.
Republican Sen. Larry Stutts, an obstetrician who cast the lone no vote in the Senate Wednesday, said the bill is an \u201cIVF provider and supplier protection bill\u201d and does not protect patients.
\u201cIt is actually limiting the ability of mothers who are involved in IVF to have recourse and it is placing a dollar value on human life,\u201d Stutts said.
House Democrats proposed legislation stating that a human embryo outside a uterus cannot be considered an unborn child or human being under state law. Democrats argued that was the most direct way to deal with the issue. Republicans did not bring the proposal up for a vote.
\u201cWe aren\u2019t providing a solution here,\u201d said Rep. Chris England, a Democrat from Tuscaloosa. \u201cWe\u2019re creating more problems. We have to confront the elephant in the room.\u201d
State Republicans are reckoning with a crisis they partly helped create with anti-abortion language added to the Alabama Constitution in 2018. The amendment, which was approved by 59% of voters, says it is state policy to recognize the \u201crights of unborn children.\u201d
The phrase became the basis of the court\u2019s ruling. At the time, supporters said it would allow the state to ban abortion if Roe v. Wade were overturned, but opponents argued it could establish \u201cpersonhood\u201d for fertilized eggs.
England said the legislation is an attempt to play \"lawsuit whack-a-mole\u201d instead of confronting the real issue \u2014 the implications of personhood-like language in the Alabama Constitution.
The American Society for Reproductive Medicine, a group representing IVF providers across the country, says the legislation does not go far enough. Sean Tipton, a spokesperson for the organization, said this week that the legislation does not correct the fundamental problem, which is the court ruling \u201cconflating fertilized eggs with children.\u201d
The bill's sponsors, Republican Sen. Tim Melson and Republican Rep. Terri Collins, said the proposal was the best immediate solution they could find to get IVF services resumed.
\u201cThe goal is to get these clinics back open and women going through their treatment and have successful pregnancies,\u201d Melson said.
Republicans are also trying to navigate tricky political waters \u2014 torn between widespread popularity and support for IVF \u2014 and conflicts within their own party. The leaders of several anti-abortion and conservative groups, including Students for Life Action and Susan B. Anthony Pro-Life America, urged Ivey to veto the bill, which they called a \u201crash reaction to a troubling situation.\u201d
\u201cAny legislation on this issue must take into consideration the millions of human lives who face the fate of either being discarded or frozen indefinitely, violating the inherent dignity they possess by virtue of being human,\u201d they wrote
Melson and Collins said lawmakers may have to explore additional action, but said it's a difficult subject.
\u201cI think there is too much difference of opinion on when actual life begins. A lot of people say conception. A lot of people say implantation. Others say heartbeat,\u201d Melson said when asked about proposals to say frozen embryos couldn\u2019t be considered children under state law.
Melson, who is a doctor, said any additional legislation should be \u201cbased on science and not just gut feelings.\"
\"I can tell you right now there are a lot of different opinions on what the right thing to do is,\" he said.
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The U.S. Food and Drug Administration issued a safety alert on Wednesday about the products. They include cinnamon sold at the Dollar Tree and Family Dollar stores, among others. The cinnamon contains lead at levels that could be unsafe for people, particularly children, with prolonged exposure to the spice. Consumers should not buy the products and should throw away any containers they have at home. FDA officials launched what they called a \u201ctargeted survey\u201d of cinnamon products after a recall of lead-tainted cinnamon applesauce pouches sickened nearly 500 children.", + "bylines": [ + { + "by": "By JONEL ALECCIA", + "title": "AP Health Reporter" + } + ], + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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The U.S. Food and Drug Administration said cinnamon sold by stores including the Dollar Tree and Family Dollar contains lead at levels that could be unsafe for people, particularly children, with prolonged exposure to the spice. The agency urged suppliers to recall the products voluntarily.
Cinnamon products included in the agency's safety alert include the La Fiesta brand sold by La Superior and SuperMercados; Marcum brand sold by Save A Lot stores; MK brands sold by SF Supermarket; Swad brand sold by Patel Brothers; El Chilar brand sold by La Joya Morelense; and Supreme Tradition brand sold by Dollar Tree and Family Dollar stores.
\u201cRemoving the ground cinnamon products in this alert from the market will prevent them from contributing elevated amounts of lead to the diets of children,\u201d the alert said.
Consumers should not buy the products and should throw away any containers they have at home, the agency said.
Dollar Tree and Family Dollar stores have removed the cinnamon from their store shelves, a company spokesperson said. Customers can return products to nearby stores for a refund.
FDA officials launched what they called a \u201ctargeted survey\u201d of cinnamon products sold in discount stores after an October 2023 recall of lead-tainted cinnamon applesauce pouches that sickened nearly 500 U.S. children.
The ground cinnamon products in Wednesday's notice had lead levels of 2.03 to 3.4 parts per million, far lower than the puree pouches, which contained 2,270 parts per million to 5,110 parts per million of lead.
No illnesses or other health effects have been reported in connection with the new ground cinnamon alert, the FDA said.
There is no safe level of lead exposure for humans. Long-term exposure of lead can cause problems, especially in growing children, including learning disabilities, behavioral difficulties and lower IQ.
The FDA monitors foods for lead levels, but the U.S. government doesn\u2019t broadly limit lead in food products. The agency sent a letter to all cinnamon manufacturers, processors, distributors and facility operators in the U.S. reminding them they're required to prevent contamination from chemical hazards in food, including spices.
___
The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute\u2019s Science and Educational Media Group. The AP is solely responsible for all content.
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We breathe, eat and drink these tiny particles called microplastics and nanoplastics. But there's scant research on whether they are harmful or not. Italian researchers analyzed the fatty buildup removed from patients' neck arteries. They found those with evidence of plastics in the plaque had a higher risk of stroke, heart attack or death than those who did not. The research published Wednesday has weaknesses and the authors note the study can't prove plastics caused the outcomes.", + "bylines": [ + { + "by": "By CARLA K. JOHNSON", + "title": "AP Medical Writer" + } + ], + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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But are these minuscule specks in the body harmless, dangerous or somewhere in between?
A small study published Wednesday in the New England Journal of Medicine raises more questions than it answers about how these bits \u2014 microplastics and the smaller nanoplastics \u2014 might affect the heart. The Italian study has weaknesses, but is likely to draw attention to the debate over the problem of plastic pollution. Most plastic waste is never recycled and breaks down into these particles. \u201cThe study is intriguing. However, there are really substantial limitations,\u201d said Dr. Steve Nissen, a heart expert at the Cleveland Clinic. \u201cIt\u2019s a wake-up call that perhaps we need to take the problem of microplastics more seriously. As a cause for heart disease? Not proven. As a potential cause? Yes, maybe.\u201d WHAT DID THE STUDY FIND?
The study involved 257 people who had surgery to clear blocked blood vessels in their necks. Italian researchers analyzed the fatty buildup that the surgeons removed from the carotid arteries, which supply blood and oxygen to the brain.
Using two methods, they found evidence of plastics \u2014 mostly invisible nanoplastics \u2014 in the artery plaque of 150 patients and no evidence of plastics in 107 patients.
They followed these people for three years. During that time, 30 or 20% of those with plastics had a heart attack, stroke or died from any cause, compared to eight or about 8% of those with no evidence of plastics.
The researchers also found more evidence of inflammation in the people with the plastic bits in their blood vessels. Inflammation is the body's response to injury and is thought to raise the risk of heart attacks and strokes.
\u201cI hope that the alarming message from our study will raise the consciousness of citizens, especially governments, to finally become aware of the importance of the health of our planet,\u201d said Dr. Raffaele Marfella of the University of Campania in Italy, who led the study, in an email. WHAT ARE THE PROBLEMS WITH THE STUDY?
It's very small and looked only at people with narrowed arteries, who were already at risk for heart attack and stroke. The patients with the plastics had more heart disease, diabetes and high cholesterol than the patients without plastics. They were more likely to be men and more likely to be smokers.
The researchers tried to adjust for these risk factors during their statistical analysis, but they may have missed important differences between the groups that could account for the results. This kind of study cannot prove that the plastics caused their problems.
The researchers had no information on what the people consumed or breathed that might account for the plastics.
The specimens could have been contaminated in the lab. The researchers acknowledge as much in their paper and suggest that future studies be done in clean rooms where air is filtered for pollutants.
The researchers suggest the risk of heart attack, stroke or death was four times greater in the people with the plastics. That seems high, Nissen said.
\u201cIt would mean that these microplastics are the most important cause of coronary heart disease yet discovered. And I just don\u2019t think that\u2019s likely to be right,\u201d he said.
WHAT'S NEXT?
More research is needed, said Dr. Philip Landrigan of Boston College. Landrigan, who wrote an accompanying editorial in the journal, said it is the first report suggesting a connection between microplastics and nanoplastics with disease in humans. Other scientists have found plastic bits in the lungs, liver, blood, placenta and breast milk.
\u201cIt does not prove cause and effect, but it suggests cause and effect,\" he said. \"And it needs urgently to be either replicated or disproven by other studies done by other investigators in other populations.\u201d
___
The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute\u2019s Science and Educational Media Group. The AP is solely responsible for all content.
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The document also includes expert opinions and calls for further research, all of which are pertinent to the topic of health." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/03/06/f9bfcbf1184b6d876da693a92fb2eba9.json b/datasets/AP_news/raw_data/2024/03/06/f9bfcbf1184b6d876da693a92fb2eba9.json new file mode 100644 index 0000000..62cde81 --- /dev/null +++ b/datasets/AP_news/raw_data/2024/03/06/f9bfcbf1184b6d876da693a92fb2eba9.json @@ -0,0 +1,272 @@ +{ + "altids": { + "itemid": "f9bfcbf1184b6d876da693a92fb2eba9", + "etag": "f9bfcbf1184b6d876da693a92fb2eba9_2a8aza0c0", + "friendlykey": "576467416103", + "referenceid": "US--Betty Ford Stamp" + }, + "version": 2, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-03-07T03:01:11Z", + "firstcreated": "2024-03-06T22:54:25Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: To fix style on first lady", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "US--Betty Ford Stamp", + "headline": "Betty Ford forever postage stamp is unveiled at the White House", + "headline_extended": "A new forever postage stamp bearing the portrait of former first lady Betty Ford was unveiled at the White House Wednesday", + "slugline": "BC-US--Betty Ford Stamp, 2nd Ld-Writethru", + "description_summary": "A new forever postage stamp bearing the portrait of former first lady Betty Ford was unveiled at the White House Wednesday. 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And if there was a theme to the unveiling event, it focused on how the wife of 38th President Gerald Ford used the worst episodes in her life to help others overcome their own.
Ford, who died in 2011, was an advocate for women\u2019s health and breast cancer awareness, having undergone breast cancer surgery in 1974. She also established treatment centers around the country that are credited with helping generations of Americans overcome addiction \u2014 after she publicly revealed in 1978 that she struggled with prescription medication and alcohol addiction.
First lady Jill Biden, Postmaster General Louis DeJoy, Ford\u2019s daughter Susan Ford Bales and the president of the Hazelden Betty Ford Foundation Joseph Lee attended the stamp unveiling Wednesday \u2014 and spoke about Ford\u2019s contributions to future generations of women and people seeking treatment.
Biden said Ford\u2019s \u201cjourney reminds us that we are not defined by our worst moments, but rather our ability to turn life\u2019s inevitable pain and struggle into purpose.\u201d
Standing next to the portrait of Ford, wearing a powder blue dress that matched the hues of the stamp, Bales said her mother \u201cdemonstrated by word and deed that in seeking treatment for what some might call personal weakness is in truth the hopeful pathway to renewal.\u201d
Lee called Ford a \u201cnational treasure\u201d because, for people struggling with sickness and addiction, she replaced \u201cshame and isolation with dignity, community and equitable care. For the first time, millions of people in this country felt seen for the very first time.\u201d
The stamp will be available starting April 5, and a dedication ceremony for the stamp will take place at Eisenhower Health in Rancho Mirage, California.
She is the seventh first lady to be honored with a U.S. postage stamp.
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to focus on as the 2024 election season heats up.
Biden and Democratic lawmakers have invited several health care providers and women whose lives have been impacted by stricter abortion laws in states with Republican-controlled legislatures following the landmark 2022 Supreme Court ruling that stripped away constitutional protections for abortion. First lady Jill Biden has also invited union leaders, a gun control advocate, and others that she and her husband have met as they traveled the country promoting his agenda.
Republican lawmakers are inviting guests who place heavy focus on the nation\u2019s broken immigration system, an issue that voters say is a central concern ahead of the November election.
The guests invited to sit in the galleries for Biden's speech also include at least a few people whom nearly everyone in hyper-partisan Washington should be able to cheer.
A look at some of those expected to be in attendance for Biden's address and the issues they bring into focus:
\u2014 Kate Cox is a Texas woman who was denied an emergency abortion by the state\u2019s Supreme Court late last year even though her health was in danger and her fetus had a fatal condition. The mother of two eventually had to go out of state for the procedure. She is a guest of Jill Biden.
\u2014Dr. Caitlin Bernard is an Indianapolis OBGYN who came under attack in 2022 for providing an abortion to a 10-year-old rape victim. She will be the guest of Rep. Judy Chu of California.
\u2014 Elizabeth Carr, 42, is the first person born in the U.S. via in vitro fertilization. She will be a guest of Sen. Tim Kaine, D-Va. He said he invited Carr to spotlight concerns after the Alabama Supreme Court\u2019s ruling last month that frozen embryos can be considered children led the state\u2019s three major IVF providers to pause services.
\u2014Roshni Kamta, a native of Jersey City, New Jersey, was diagnosed with breast cancer at 22 and decided to freeze her eggs before undergoing treatment. The experience inspired her to advocate for wider access to fertility treatments for breast cancer patients. She's a guest of Sen. Cory Booker, D-N.J.
\u2014Tammi Kromenaker spent nearly 25 years in Fargo, North Dakota, helping operate the Red River Women\u2019s Clinic, the state's sole abortion provider. After the Supreme Court overturned Roe v. Wade in 2022, North Dakota enacted some of the country's strictest abortion laws. Kromenaker moved the clinic to the neighboring city of Moorhead, Minnesota. She's a guest of Sen. Tina Smith, D-Minn.
-- Tammy Nobles is the mother of a young woman, Kayla Hamilton, who was killed in 2022. The suspect was an MS-13 gang member who had entered the U.S. illegally. Nobles was invited by House Speaker Mike Johnson, R-La..
\u2014 Border patrol agent Brandon Budlong, president of the National Border Patrol Council Local 2724, will be the guest of Rep. Elise Stefanik, R-N.Y., the chair of the House Republican Caucus.
\u2014 Two New York Police Department officers, Ben Kurian and Zunxu Tian, who were attacked by migrants in a January incident near Times Square that drew national attention will be the guests of Reps. Anthony D\u2019Esposito and Nicole Malliotakis, both New York Republicans, as well as Johnson.
\u2014 Valeria Delgado, a student at Chapman University in California who has benefitted from the policy created to protect young migrants brought to the U.S. as children, will be the guest of Rep. Lou Correa, D-Calif.
\u2014 Swedish Prime Minister Ulf Kristersson will be in the first lady's box as Sweden on Thursday completed the formal process of joining the North Atlantic Treaty Organization. Sweden along with Finland moved to join NATO after Russia's 2022 invasion of Ukraine.
\u2014 Ella Milman and Mikhail Gershkovich, the parents of detained Wall Street Journal reporter Evan Gershkovich, will attend as guests of Johnson. The Louisiana Republican said he invited them to spotlight \u201cunjust\u201d detention of their son, who has been jailed in Russia since last March on espionage charges. Gershkovich and the U.S. government dispute the charges against him.
\u2014 Lawmakers also are hosting victims and relatives of people killed or held hostage by Hamas in the Oct. 7 attack on Israel. Among those expected to attend are Mia Schem, who was abducted by Hamas and released as part of a temporary cease-fire between Hamas and Israel after spending more than 50 days in captivity.
United Auto Workers President Shawn Fain will be among those in the first lady's box. Other union representatives joining her will be Samantha Ervin-Upsher, a United Brotherhood of Carpenters apprentice, and Dawn Simms, a third-generation union autoworker. The UAW announced in January it was endorsing Biden.
\u2014 Jazmin Cazares, a gun control advocate, spent her senior year of high school traveling the country telling the story of her sister Jackie, who was among the 19 students and two teachers fatally shot during a May 2022 shooting at an elementary school in Uvalde, Texas. She is a guest of the first lady.
\u2014 Dawn Chapman for years has advocated for the cleanup of nuclear radiation around St. Louis. She\u2019ll be the guest of Sen. Josh Hawley, R-Missouri, who has pressed the federal government to compensate victims of radioactive waste in the St. Louis and St. Charles region of Missouri.
\u2014 Minnesota state Rep. Cedrick Frazier is the author of legislation that restored voting rights to more than 55,000 Minnesotans who have completed felony sentences but remain on parole, probation, or supervised release. Rep. Ilhan Omar, D-Minn., invited Frazier to put the spotlight on voting rights efforts in her home state as she presses for similar legislation on the federal level.
___
Associated Press writers Ben Finley in Norfolk, Virginia, Steve Karnowski in St. Paul, Minnesota, Geoff Mulvihill in New Jersey, and Aamer Madhani, Farnoush Amiri, Rebecca Santana and Amanda Seitz contributed to this report.
___
This story has been updated to correct the spelling of the last name of guest Tammi Kromenaker in the Reproductive Health section.
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It also could harm your health.
Darker mornings and more evening light together knock your body clock out of whack \u2014 which means daylight saving time can usher in sleep trouble for weeks or longer. Studies have even found an uptick in heart attacks and strokes right after the March time change.
There are ways to ease the adjustment, including getting more sunshine to help reset your circadian rhythm for healthful sleep.
\u201cNot unlike when one travels across many time zones, how long it can take is very different for different people,\u201d said Dr. Eduardo Sanchez of the American Heart Association. \u201cUnderstand that your body is transitioning.\u201d
Daylight saving time begins Sunday at 2 a.m., an hour of sleep vanishing in most of the U.S. The ritual will reverse on Nov. 3 when clocks \u201cfall back\u201d as daylight saving time ends.
Hawaii and most of Arizona don\u2019t make the spring switch, sticking to standard time year-round along with Puerto Rico, American Samoa, Guam and the U.S. Virgin Islands. Worldwide, dozens of countries also observe daylight saving time, starting and ending at different dates.
Some people try to prepare for daylight saving time\u2019s sleep jolt by going to bed a little earlier two or three nights ahead. With a third of American adults already not getting the recommended seven hours of nightly shuteye, catching up can be difficult.
The brain has a master clock that is set by exposure to sunlight and darkness. This circadian rhythm is a roughly 24-hour cycle that determines when we become sleepy and when we\u2019re more alert. The patterns change with age, one reason that early-to-rise youngsters evolve into hard-to-wake teens.
Morning light resets the rhythm. By evening, levels of a hormone called melatonin begin to surge, triggering drowsiness. Too much light in the evening \u2014 that extra hour from daylight saving time \u2014 delays that surge and the cycle gets out of sync.
Sleep deprivation is linked to heart disease, cognitive decline, obesity and numerous other problems. And that circadian clock affects more than sleep, also influencing things like heart rate, blood pressure, stress hormones and metabolism.
Fatal car crashes temporarily jump the first few days after the spring time change, according to a study of U.S. traffic fatalities. The risk was highest in the morning, and researchers attributed it to sleep deprivation.
Then there\u2019s the cardiac connection. The American Heart Association points to studies that suggest an uptick in heart attacks on the Monday after daylight saving time begins, and in strokes for two days afterward.
Doctors already know that heart attacks, especially severe ones, are a bit more common on Mondays generally \u2014 and in the morning, when blood is more clot-prone.
It\u2019s not clear why the time change would add to the Monday connection, Sanchez said, although probably something about the abrupt circadian disruption exacerbates factors such as high blood pressure in people already at risk.
Go to bed a little earlier Friday and Saturday nights, and try to get more morning light. Moving up daily routines, like dinner time or when you exercise, also may help cue your body to start adapting, sleep experts advise.
Afternoon naps and caffeine as well as evening light from phones and other electronic devices can make adjusting to an earlier bedtime even harder.
Stay tuned: Some health groups, including the American Medical Association and American Academy of Sleep Medicine, have said it's time to do away with time switches and that sticking with standard time year-round aligns better with the sun \u2014 and human biology.
___
The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute\u2019s Science and Educational Media Group. The AP is solely responsible for all content.
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(AP) \u2014 Democratic lawmakers walked out of a Kentucky committee hearing Thursday when the GOP-led panel took up a bill to expand access to prebirth and newborn services for pregnant women carrying nonviable fetuses that are expected to die before or soon after birth, in a state that bans abortion in such cases.
The three Democrats didn't return to the committee room until after Republicans on the House Health Services Committee approved the bill dealing with perinatal palliative care.
\u201cThis is not about comforting bereaved parents, as it should be,\u201d Democratic state Rep. Lindsey Burke said afterward. \u201cIt\u2019s about making a political statement, and they\u2019re not going to do that on my back.\u201d
Supporters of the bill said it would increase access to compassionate, comprehensive care and support services for families dealing with the devastation of a life-limiting diagnosis for their unborn child. When an infant is expected to live only a short time after birth, it gives parents precious moments to spend time with the child, said Addia Wuchner, executive director of Kentucky Right to Life.
\u201cNo matter how extreme an anomaly can be, sometimes just to say hello by holding your child means everything,\u201d she said. \u201cAnd families should have that opportunity to make those choices.\u201d
\u201cYou can\u2019t say goodbye until you\u2019ve said hello,\u201d she added.
Wuchner, a former state lawmaker and prominent abortion opponent, sat next to the bill's sponsor as the two presented the legislation to the House panel.
Abortion-rights supporters said afterward that the bill's intent is to present just one option to parents with a nonviable pregnancy: to carry it to term. They said palliative care should include the option of abortion, which can only be obtained in other states that allow the procedure for nonviable fetuses.
\u201cThis is coercive,\u201d said Tamarra Wieder, the Kentucky state director for Planned Parenthood Alliance Advocates. \u201cIt\u2019s stigmatizing. And it\u2019s at a time when parents are most vulnerable.\u201d
Opponents see the bill as an attempt to grant personhood status to the unborn in Kentucky, a state that has banned all abortions except to save the woman\u2019s life or to prevent a disabling injury.
The debate comes against the backdrop of a recent Alabama Supreme Court ruling that frozen embryos are legally protected children, which spotlighted the anti-abortion movement\u2019s longstanding goal of giving embryos and fetuses legal and constitutional protections on par with those of the people carrying them.
After clearing the committee, the Kentucky bill heads to the full House next and would still need Senate approval. Republicans have supermajorities in both chambers.
The bill would require hospitals offering obstetric services to either provide perinatal palliative care programs and support services or refer patients to existing palliative programs. It also would apply to alternative birthing centers and would require health benefit plans to cover palliative care.
Palliative services would include coordinated care from a team including medical professionals, specific information about the medical diagnosis, and guidance and support before, during and after birth.
\u201cI think this is a very compassionate piece of legislation,\u201d said Republican state Rep. Nancy Tate, the bill's lead sponsor and a staunch abortion opponent. \u201cIt gives us the opportunity to support women and their families \u2013- physically, mentally, spiritually, emotionally and financially.\u201d
Two health care systems in the state now provide such palliative care, supporters said.
Opponents said that while carrying nonviable pregnancies to term may be the option some choose, it's not best for others.
\u201cThis bill simply provides the same solutions that are already available, while shaming parents who make difficult decisions,\u201d Burke said.
When the three Democratic lawmakers stood up and quietly walked out as the committee prepared to review the measure, it appeared to catch their Republican colleagues by surprise.
\u201cWe were simply talking about providing supports for families who have a really devastating diagnosis that they\u2019re dealing with,\u201d Republican state Rep. Kimberly Poore Moser, the committee chair, said afterward. \u201cAnd this is really just a way to provide support to them. So I was a little confused about why they would walk out.\u201d
___
The legislation is House Bill 467.
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Therefore, the content is highly relevant to the topic of health." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/03/07/20b408ae829043d75f07634f94707ec3.json b/datasets/AP_news/raw_data/2024/03/07/20b408ae829043d75f07634f94707ec3.json new file mode 100644 index 0000000..058b908 --- /dev/null +++ b/datasets/AP_news/raw_data/2024/03/07/20b408ae829043d75f07634f94707ec3.json @@ -0,0 +1,353 @@ +{ + "altids": { + "itemid": "20b408ae829043d75f07634f94707ec3", + "etag": "20b408ae829043d75f07634f94707ec3_1a8aza0c0", + "friendlykey": "149892554117", + "referenceid": "US--Senate-Radiation" + }, + "version": 1, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-03-08T01:48:41Z", + "firstcreated": "2024-03-07T20:58:12Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: Updates with detail and quotes from New Mexico, adds contrib line.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "US--Senate-Radiation", + "headline": "Senate passes bill to compensate Americans exposed to radiation by the government", + "headline_extended": "The Senate has passed legislation that would compensate Americans exposed to radiation by the government by renewing a law initially passed more than three decades ago", + "slugline": "BC-US--Senate-Radiation, 1st Ld-Writethru", + "description_summary": "The Senate has passed legislation that would compensate Americans exposed to radiation by the government by renewing a law initially passed more than three decades ago. The bill by Missouri Sen. Josh Hawley, a Republican, and New Mexico Sen. Ben Ray Lujan, a Democrat, would expand the Radiation Exposure Compensation Act. It would include more people who believe their illnesses were caused by that exposure. It would cost an estimated $50 billion, according to Hawley's office. While many Republicans have balked at that cost, the senators have argued that the government is at fault and should step up. The bill's prospects in the House are uncertain.", + "bylines": [ + { + "by": "By MARY CLARE JALONICK and JIM SALTER", + "title": "Associated Press" + } + ], + "located": "WASHINGTON", + "datelinelocation": { + "city": "Washington", + "countryareacode": "DC", + "countryareaname": "District of Columbia", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -77.03637, + 38.89511 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. 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The bill by Sens. Josh Hawley, R-Mo., and Ben Ray Lujan, D-N.M., would expand the Radiation Exposure Compensation Act to include more people who believe that exposure caused their illnesses. While some Republicans have balked at the cost \u2014 an estimated $50 billion, according to Hawley\u2019s office \u2014 the senators have argued that the government is at fault and should step up.
Hawley stood outside the Senate before the vote with advocates for the legislation, several of whom have been diagnosed with cancers or who have family members who have been diagnosed. He said it\u2019s \u201chard to look them in the eye\u201d and say they were poisoned by their government, \u201cbut we\u2019re not going to be there for you.\u201d
The bill passed the Senate 69-30, with 20 Republicans and all but two Democrats voting in favor. But its prospects in the House are uncertain.
Uranium processing in the St. Louis area played a pivotal role in developing the nuclear weapons that helped bring an end to World War II and provided a key defense during the Cold War. But eight decades later, the region is still dealing with contamination at several sites.
In July, an investigation published by The Associated Press, The Missouri Independent and MuckRock showed that the federal government and companies responsible for nuclear bomb production and atomic waste storage sites in the St. Louis area were aware of health risks, spills, improperly stored contaminants and other problems but often ignored them.
While it is difficult to prove definitively that the waste caused residents\u2019 illnesses, the advocates argue that there is more than enough evidence that it has sickened people in the area.
\u201cI am a two-time breast cancer survivor,\u201d said Missouri state Rep. Chantelle Nickson-Clark, a Democrat who represents Florissant, an area that sits along the creek that was contaminated by nuclear waste in the 1960s. \u201cI lost my mother to breast cancer, an aunt to breast cancer. Two cousins that are breast cancer survivors, a nephew that had a cancerous brain tumor and other genetic mutation deficiencies in my family. I\u2019m here to represent a community that has been underserved, undervalued, underrepresented and unheard.\u201d
President Joe Biden signed an executive order in 2022 extending RECA for two years, but it expires in June. Hawley\u2019s bill would extend the law for five years and expand coverage to include people in Missouri as well as Idaho, Montana, Colorado, Tennessee, Kentucky, Alaska and Guam.
The White House indicated Wednesday that Biden would sign the legislation.
\u201cThe President believes we have a solemn obligation to address toxic exposure, especially among those who have been placed in harm\u2019s way by the government\u2019s actions,\u201d the White House said in a statement.
Others worried about the cost. The taxpayer advocacy group Committee for a Responsible Federal Budget said that the legislation should include budget offsets to pay for it.
Advocates have been fighting for years to expand the program to include more sites in the U.S. In New Mexico, residents in the communities surrounding the area where the first atomic bomb was detonated in 1945 \u2014 the top-secret Manhattan Project \u2014 were not warned of the radiological dangers and didn\u2019t realize that an atomic blast was the source of the ash that was raining down upon them. That included families who lived off the land \u2014 growing crops, raising livestock and getting their drinking water from cisterns.
Tina Cordova, a cancer survivor and founder of a group of New Mexico downwinders, talked about the wave of momentum for expanding the compensation program that has been building since \u201cOppenheimer,\u201d a film about the development of the first atomic bomb, premiered last year.
\u201cYou know, we are ground zero,\u201d she said. \u201cWe\u2019re where it all started. The origins of the whole nuclear program are in New Mexico, and we were the first people exposed to radiation as a result of an atomic bomb and to be left out for 79 years is just truly unacceptable.\u201d
Cordova has had many family members and friends die of cancer over the years. Thursday marked the 11th anniversary of her father\u2019s death, and she said she was thankful to be in Washington to celebrate the vote.
\u201cPeople have been waiting for justice for far too long, and it\u2019s just simply time to do the right thing,\u201d she said.
The vote was a rare up-or-down roll call on standalone legislation as Congress is busy trying to fund the government. Senate Majority Leader Chuck Schumer, D-N.Y., announced that he would put the bill on the Senate floor last week amid negotiations on the spending package.
Hawley would not say if he had threatened to hold up the spending bill over his legislation, which was included in a massive defense bill last year but stripped out at the last minute. But he said he had pledged to use \u201cevery tool at his disposal\u201d to get the bill passed.
Persuading the GOP-led House to take up and pass the legislation could be more difficult. Rep. Cori Bush, D-Mo., is among those pushing for the measure.
In St. Louis, nuclear waste stored near Lambert Airport made its way into Coldwater Creek in the 1960s. Many people who live near the meandering creek believe the contamination is responsible for cancers and other illnesses, though experts say connecting radiation exposure to illness is complicated. Cancer concerns also have been raised by people in nearby St. Charles County, Missouri, where uranium was processed and a large quarry became contaminated, resulting in a Superfund cleanup.
In 2022, a St. Louis County grade school closed amid worries that contamination from Coldwater Creek got onto the playground and inside the building. The Army Corps of Engineers announced this week that it is testing a few homes near the creek after high radiation levels were found in their backyards.
After the report by AP and the other news agencies last year, Hawley introduced an amendment to the annual defense bill that would have extended the law. It also would have provided health care coverage and compensation to so-called \u201cdownwinders\u201d exposed to radiation during weapons testing in several new regions, as well as to people in Missouri who were exposed to the nuclear waste. But it was removed during negotiations with the House.
Advocates for the bill who traveled to Washington for the vote said it represents hope for them and their families as they have been burdened with medical costs.
Christen Commuso, who works for the advocacy group Missouri Coalition for the Environment, said she has dealt with many health issues, including thyroid cancer, and has had to at times ration her care because it is so costly.
\u201cIt\u2019s not about putting money in my pocket,\u201d Commuso said. \u201cIt\u2019s about providing me the ability to get the care that I deserve and need.\u201d
___
Associated Press writer Susan Montoya contributed from Albuquerque, N.M. Salter reported from O\u2019Fallon, Mo.
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Given the strong focus on health-related consequences of radiation exposure and the legislative efforts to address these health issues, the document is highly relevant to the topic of health." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/03/07/3025f009a076868f7c31dc2cd67860fe.json b/datasets/AP_news/raw_data/2024/03/07/3025f009a076868f7c31dc2cd67860fe.json new file mode 100644 index 0000000..2305bc7 --- /dev/null +++ b/datasets/AP_news/raw_data/2024/03/07/3025f009a076868f7c31dc2cd67860fe.json @@ -0,0 +1,302 @@ +{ + "altids": { + "itemid": "3025f009a076868f7c31dc2cd67860fe", + "etag": "3025f009a076868f7c31dc2cd67860fe_6a7aza0c0", + "friendlykey": "786654964560", + "referenceid": "US-XGR--Abortion-Kansas" + }, + "version": 6, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-03-08T23:15:15Z", + "firstcreated": "2024-03-07T05:10:46Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: With AP Photos. CLARIFICATION: This story was first published on March 7, 2024. It was updated on March 8, 2024, to make clear that at least eight states have reporting rules similar to what is being proposed in Kansas for those seeking abortions.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "US-XGR--Abortion-Kansas", + "headline": "Voters backed abortion rights. Yet Kansas could make doctors ask patients why they want abortions", + "headline_extended": "Kansas is moving closer to requiring abortion providers to ask patients why they\u2019re terminating their pregnancies and report the answers to the state", + "slugline": "BC-US-XGR-Abortion-Kansas, 6th Ld-Writethru", + "description_summary": "Kansas is moving closer to requiring abortion providers to ask patients why they\u2019re terminating their pregnancies and report the answers to the state. It would join at least eight other states with Republican legislatures that ban most abortions even though Kansas voters have affirmed abortion rights. The state House voted 81-39 on Thursday to approve a bill imposing the reporting requirements, sending it to the Senate. Kansas affirmed abortion rights decisively in an August 2022 statewide vote, and critics said the bill breaks faith with voters. Backers say they simply want the state to collect better data about why women have abortions so legislators can make better policy.", + "bylines": [ + { + "by": "By JOHN HANNA", + "title": "AP Political Writer" + } + ], + "located": "TOPEKA, Kan.", + "datelinelocation": { + "city": "Topeka", + "countryareacode": "KS", + "countryareaname": "Kansas", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -95.67804, + 39.04833 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. 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(AP) \u2014 Kansas moved closer Thursday to requiring abortion providers to ask patients why they want to terminate their pregnancies and report the answers to the state. It would join other states with Republican legislatures that ban most abortions even though Kansas voters have affirmed abortion rights.
The House approved, in an 81-39 vote, a bill that would require providers to ask patients 11 questions about their reasons for terminating a pregnancy, including that they can\u2019t afford another child, raising a child would hinder their education or careers, or a spouse or partner wanted her to have an abortion. The bill goes next to the state Senate, where it also is likely to pass.
At least eight states require similar reporting, but none have had a statewide vote on abortion rights as Kansas did in August 2022. In the first state ballot question on abortion after the U.S. Supreme Court's Dobbs decision, voters decisively protected abortion rights under the state constitution.
Democrats are frustrated because Republicans and anti-abortion groups have pursued new rules for abortion providers and aid to anti-abortion counseling centers despite that vote and votes affirming abortion rights in other states, including GOP-led Kentucky and Ohio.
\u201cQuite honestly, I don\u2019t understand it, you know, because I think Kansans made it very, very clear how they want Kansas to operate in this arena,\u201d Democratic Gov. Laura Kelly, a strong abortion rights supporter, said during a brief Associated Press interview this week. \u201cWhy would an elected official who\u2019s facing an election in November go against the wishes of their constituents?\u201d
Both chambers have large anti-abortion majorities and both sides believe there's a strong chance abortion opponents could override a Kelly veto of the reporting bill. Last year, Republicans overrode Kelly's vetoes of other restrictions on providers.
But Republicans are sensitive enough to criticism that their proposals go against the wishes of Kansas voters to argue that their proposals since the August 2022 ballot question have not reduced access to abortion. Kansas allows most abortion up until the 22nd week of pregnancy, and that would not change under the reporting bill.
\u201cThis bill has nothing to do with eliminating abortion in Kansas, doesn\u2019t ban it, doesn\u2019t touch on that whatsoever,\u201d said House health Committee Chair Brenda Landwehr, a Wichita Republican. \u201cI\u2019ve respected that vote.\u201d
Backers of the bill argued the state needs more and better data about why women and girls have abortions so lawmakers can create programs to address their concerns.
\u201cIf we're looking to protect unborn children and it's a socio-economic reason, then maybe a state can step up,\u201d said Ingrid Duran, state legislative director for the National Right to Life Committee.
In Kansas, a doctor who provides an abortion already must report the patient\u2019s age and ethnicity, whether the person was married and the method used to terminate a pregnancy.
States requiring doctors to report the reasons for an abortion include Arizona, Arkansas, Florida, Louisiana, Nebraska, Oklahoma, South Dakota and Utah. Minnesota\u2019s Democratic-controlled Legislature repealed its similar reporting requirement last year.
The law in Oklahoma, where most abortions are banned, includes a list of more than 30 questions a provider must ask a patient about her motives. Potential reasons include relationship problems and not feeling mature enough to raise a child.
Isabel Guarnieri, a spokesperson for the Guttmacher Institute, which researches abortion issues and supports abortion rights, said such data can be useful in public health. But she said such mandates also should be assessed in the context of lawmakers\u2019 long history of trying to restrict access and stigmatize abortion.
Alesha Doan, a University of Kansas dean and professor who studies policy and gender, called the bill approved by the House \u201can unnecessary way for the state to continue to surveil people\u2019s health decisions.\u201d
Democrats, particularly female lawmakers, attacked what they saw as the unfairness of requiring women to face detailed questions about their motives for seeking health care when men would not. They started with vasectomies.
Then, Kansas City-area Democratic Rep. Stephanie Sawyer Clayton suggested requiring doctors to ask male patients whether they wanted to treat erectile dysfunction because a spouse wanted that or because it caused the man stress or embarrassment.
\u201cBecause I am still fertile right now, I don\u2019t have that right to privacy,\u201d she said after Thursday's vote, summarizing what she sees as the bill's real message. \u201cWhy am I less of a person than a post-menopausal woman? Why am I less of a person than a man?\u201d
But that tactic prompted an eye-roll from Landwehr during a post-vote interview. She said Democrats should favor better data collection.
\u201cYou know, it amazes me that they don\u2019t support this,\u201d she said.
___
Associated Press writer Steve Karnowski contributed to this report.
___ This story was first published on March 7, 2024. It was updated on March 8, 2024, to make clear that at least eight states have reporting rules similar to what is being proposed in Kansas for those seeking abortions.
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Editorial: Living in a GOP echo chamber costs WV
Examples of the West Virginia Legislature, controlled by a Republican supermajority, cutting the public out of the legislative process have been numerous in recent years and examined in great detail. Yet, the continuing examples of either willing obstinance or ignorant bliss from never having to listen to anyone who disagrees with those in power leading to bad policy continue to astound.
Last week, the Legislature, in its Capitol bubble, moved on two bills that would cut unemployment benefits while, at the same time in the outside world, 1,000 West Virginians learned that they were losing their jobs as Weirton-based Cleveland-Cliffs announced massive layoffs. Around the same time, Allegheny Wood Products announced that it was shutting down, costing another 600 jobs in various parts of the state.
The irony and cruelty of pushing such policies at the worst imaginable time didn\u2019t escape anyone other than state lawmakers. Senate Bill 841, which cuts benefit payments the longer someone is unemployed, overwhelming passed the state Senate on Wednesday (the final day for legislation to clear its house of origin).
Prior to that, the Senate passed a bill making it harder for lower-income and unemployed West Virginians to get food stamps, putting work requirements in place despite the fact that similar efforts in other states have shown such requirements bloat the administrative costs of government and do nothing to shift workforce engagement.
However, it\u2019s doubtful many in the Legislature know or care how callous these policies seem or how counterproductive they actually are. Listening isn\u2019t their strong suit.
This particular Legislature would rather punish the poor and unemployed as the criminals lawmakers believe they are, while making schools less safe (both by loosening immunization requirements and allowing teachers to carry guns), making librarians subject to criminal prosecution if there\u2019s something on a book shelf someone doesn\u2019t like and toying with legislation that would basically say gay and transgender people don\u2019t exist.
At the same time, West Virginia remains one of the poorest, unhealthiest and least-educated states in the nation. Health care access is abysmal. Many children are starving. The foster care system is overrun with thousands of children removed from situations of abuse or neglect. There aren\u2019t enough nurses. There aren\u2019t enough teachers. Jobs are coming in, but jobs are also leaving. Population decline continues. Overdose death rates remain among the highest in the nation, as are HIV and hepatitis rates related to sharing syringes to use illicit drugs.
Do those issues even matter to West Virginia lawmakers? Do they exist outside of the Legislature\u2019s cone of silence? It sure doesn\u2019t seem like it. But when you don\u2019t have to listen to anyone, why would you?
___
Herald-Dispatch. March 2, 2024.
Editorial: Problem of pharmacy deserts requires a consumer-based solution
The number of pharmacies in West Virginia is shrinking. As communities become \u201cpharmacy deserts,\u201d people find they have fewer options for obtaining the medicines they need.
It\u2019s a problem common to many industries, including groceries, banking and health care. Consolidation brings fewer options, and the options that are available often don\u2019t work in favor of the consumer.
The concept of the corner drug store operated by a local pharmacist is all but dead. The distribution of medications has been taken over by chains, mail order providers and others who are farther removed from the individual patient.
As noted by The Herald-Dispatch reporter Jesten Richardson this past week, West Virginia lawmakers and Marshall University faculty members are working to solve the problem of pharmacy deserts that could leave residents vulnerable.
A pharmacy desert in an urban area occurs when the area is more than one mile away from a pharmacy. In a rural area, it\u2019s when the area is at least 10 miles from a pharmacy, according to Thomas Pile, clinical assistant professor in Marshall\u2019s School of Pharmacy.
Pile said West Virginia has 11 regions that have been identified as pharmacy deserts when going by the rural definition, and those regions are primarily in the northern part of the state. They exist in the southern part of the state, also.
Late last year, Gov. Jim Justice asked Walgreens to reconsider its decision to close its store in the Tucker County town of Parsons. It was a logical request, considering what losing the store means to that community of about 1,322 people.
Tucker County\u2019s population is about 6,672. Neither the town of Parsons nor Tucker County registers as important to the nation\u2019s second-largest pharmacy chain, but the store\u2019s presence is important to the people of the town and the county.
It\u2019s the same in this area, where demographic trends and industry consolidation has led to fewer pharmacies.
Part of the problem lies in the power of pharmacy benefit managers \u2014 middlemen who manage prescription drug benefits on behalf of health insurers. Pile told Richardson pharmacy benefit managers are being looked at on a federal level and at the state level.
\u201cIt\u2019s something that needs to be regulated in order for pharmacies to remain viable, especially in our state, where we\u2019re struggling,\u201d Pile said.
\u201cWhat we\u2019re seeing really is pharmacies are getting paid less. Patients are ... paying more for prescription drugs,\u201d Pile said. \u201cSo, where is the discrepancy here? Where is the money going? And it\u2019s the pharmacy benefit manager, the person who\u2019s sort of wedged in the middle of a transaction.\u201d
So what\u2019s the answer? The ideal solution is a customer-centered plan that gets prescription medication to the consumer in the most convenient manner at the lowest price that provides an adequate and reasonable profit for all involved. This requires a variety of delivery methods. Some people prefer to have their medicines delivered to their doors. Others prefer face-to-face contact with their pharmacist or pharmacist technician.
It\u2019s a complicated problem, and the solution won\u2019t be easy. At some point, consolidation works against consumers. That\u2019s why we have anti-monopoly laws. From food deserts to pharmacy deserts, steps must be taken to bring vital services closer to the people they serve.
As has been noted here before, if the governor and others want pharmacies, food stores and similar businesses in smaller communities, they must create the business, legal and regulatory environments to support them.
___
The Intelligencer. March 5, 2024.
Editorial: Protecting W.Va. Kids the Priority
West Virginia lawmakers have been playing a dangerous game this session with some of the legislation that\u2019s been moving. Consider House Bill 5105, which eliminates the vaccine requirement for students participating in statewide virtual public schools or future county-level virtual public charter schools. HB 5105 also expands vaccine exemptions to students attending private or parochial schools. The measure has passed the House but has not yet moved in the Senate.
The legislation also creates a religious exemption for all vaccines in public and private schools as long as a parent or guardian presents a letter stating the reasons for the religious exemption request.
Despite being dressed up in disingenuous language about freedom, this bill is supported by nothing but baseless conspiracy theories and unfounded fears we have been battling as a state since before the COVID-19 pandemic.
Lawmakers\u2019 assault on our kids simply must be stopped.
Delegate Bob Fehrenbacher, R-Wood, was right to try, by reading from reports that showed proof of success for vaccination efforts. What a shame not enough were listening.
It seems almost a deliberate attempt to knock down the Mountain State from one of the very few rankings in which we are at the top.
\u201cWe\u2019re number one in childhood immunizations,\u201d said House Minority Leader Sean Hornbuckle, D-Cabell. \u201cThat should be very important to us. We shouldn\u2019t chip away at that.\u201d
If we do, it is nothing but a deadly \u201crace to the bottom,\u201d as Hornbuckle put it.
Why would we want that for our children? They cannot defend themselves; it is up to us to stand for them.
Surely reason will prevail. What a tragedy for Mountain State kids if it does not.
END
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The state would spend hundreds of millions of dollars more to increase what it pays to nursing homes, home health care providers and others.", + "bylines": [ + { + "by": "By JEFF AMY", + "title": "Associated Press" + } + ], + "located": "ATLANTA", + "datelinelocation": { + "city": "Atlanta", + "countryareacode": "GA", + "countryareaname": "Georgia", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -84.38798, + 33.749 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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The House voted 172-1 for House Bill 916 on Thursday. It would spend $36.1 billion in state money and $66.5 billion overall in the budget year beginning July 1. The measure goes to the Senate for more debate.
\u201cThis is an awesome budget that addresses the needs of Georgians from every walk of life, from every part of Georgia,\u201d said House Speaker Jon Burns, a Newington Republican. \"Thank you to everyone who voted affirmatively on this bill. It\u2019s good to see us all work together and find some things we can agree on that benefit the people we care so much about.\u201d
Spending would fall from this year's budget after Gov. Brian Kemp and lawmakers supplemented that budget will billions in one-time cash, boosting state spending to $38 billion in the year ending June 30.
Public school teachers would get a $2,500 raise starting July 1, boosting average teacher pay in Georgia above $65,000 annually, as the Republican governor proposed in January. That\u2019s in addition to a $1,000 bonus Kemp sent out in December. Prekindergarten teachers would also get a $2,500 raise.
State and university employees also would get a 4% pay increase, up to $70,000 in salary. The typical state employee makes $50,400.
Combined, that\u2019s more than $600 million in pay raises. Teachers previously received $7,000 in raises during Kemp\u2019s first five years in office.
Some employees would get more. State law enforcement officers would get an additional $3,000 bump, atop the $6,000 special boost they got last year. Child welfare workers would also receive extra $3,000 raises.
Many judges would also get a raise under the plan. The House proposes spending more than $10 million to implement half of a plan to raise and standardize judicial pay, with House Appropriations Committee Chairman Matt Hatchett, a Dublin Republican, saying the second half would come next year. The House would also provide $15.2 million to boost the salaries of assistant district attorneys, with Hatchett saying low salaries were contributing to a shortage of prosecutors.
Overall, Hatchett said, he believed pay increases are \u201cmoving the needle on employee recruitment and retention\u201d for public agencies that have been seeing workers depart for higher pay.
The state would spend hundreds of millions of dollars more to increase what it pays to nursing homes, home health care providers, dialysis providers, physical and occupational therapists, and some physicians. Most increases were proposed by Kemp, but $27 million more were added by the House.
\u201cAdequately compensating providers assures access to care,\u201d Hatchett said.
Adults who get health insurance from Georgia's Medicaid program would see their basic dental care covered for the first time, at a cost of $9 million in state money, or $28 million once federal money is included.
The House proposes spending $21 million more on domestic violence shelters and sexual assault response. Some of those agencies face big cuts in their federal funding. Hatchett said the money doesn't directly offset the federal funds but said the state needs to pay for services that it mandates.
House lawmakers would spend $6.33 million to provide free breakfast and lunch at public schools to children who currently pay reduced prices, but who aren't judged poor enough to qualify for free meals.
The budget also affirms Kemp's plan to spend $104 million on school security and $205 million to boost the state's share of buying and operating school buses. Representatives are also backing a plan to reverse a longstanding budget cut to the Department of Early Care and Learning, pulling prekindergarten class sizes back down to 20 children after years at 22.
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The revelations about Robert Card\u2019s brain injuries became public just as a special commission investigating the killings held a public hearing with Card\u2019s former Army colleagues on Thursday. One, Matthew Noyes, said direction in the field was lacking during the search for Card. In their first public comments since the shooting, Card\u2019s family members also apologized for the attack, saying they are heartbroken for the victims, survivors and their loved ones.", + "bylines": [ + { + "by": "By DAVID SHARP and PATRICK WHITTLE", + "title": "Associated Press" + } + ], + "located": "AUGUSTA, Maine", + "datelinelocation": { + "city": "Augusta", + "countryareacode": "ME", + "countryareaname": "Maine", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -69.77949, + 44.31062 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. 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The revelations about Robert Card\u2019s brain injuries became public just as Card\u2019s former Army colleagues testified under oath Thursday to a special commission that's investigating the killings.
Card, a 40-year-old Army reservist, was found dead of a self-inflicted gunshot wound after a two-day search. He had showed signs of mental health decline before the massacre; now, evidence shows that Card suffered from traumatic brain injuries, according to an analysis by Boston University researchers.
During Thursday\u2019s commission hearing, 1st Sgt. Kelvin Mote, who is also a police officer, said he had used Maine's yellow card law to remove someone's weapons about a week before learning that Card had made threats.
Mote testified that he believed law enforcement could have legally removed Card's weapons, as well, based on his declining mental health and threats he'd made. But he said he never mentioned the yellow card law to sheriff\u2019s deputies who had been asked by the Army to perform a welfare check. Under the law, police needed to perform an assessment to start the process to seize weapons.
\u201cThey\u2019re still going to have to do their own face-to-face to make sure they have probable cause,\u201d Mote said.
The analysis of Card's brain showed degeneration in the nerve fibers that allow for communication between different areas of the brain, inflammation and small blood vessel injury, according to Dr. Ann McKee of Boston University\u2019s Chronic Traumatic Encephalopathy (CTE) Center.
Card had been an instructor and had worked at an Army hand grenade training range, where it is believed he was exposed to repeated low-level blasts. It is unknown if that caused Card\u2019s brain injury and what role brain injury played in Card\u2019s decline in mental health in the months before he opened fire at a bowling alley and bar in Lewiston on Oct. 25. McKee made no connection between the brain injury and Card\u2019s violent actions.
\u201cWhile I cannot say with certainty that these pathological findings underlie Mr. Card\u2019s behavioral changes in the last 10 months of life, based on our previous work, brain injury likely played a role in his symptoms,\u201d McKee said in the statement.
The Maine Office of the Chief Medical Examiner\u2019s office declined to comment on the results, which were released by Card\u2019s family Wednesday. The brain tissue sample was sent to the lab last fall.
An Army spokesperson said via statement Thursday that the results are \u201cconcerning and underscore the Army\u2019s need to do all it can to protect soldiers against blast-induced injury.\u201d The statement said the Army was \"updating guidance on how to mitigate risks from blast overpressure.\"
In their first public comments since the shooting, Card's family members apologized for the attack, saying they are heartbroken for the victims, survivors and their loved ones. A spokesperson for the commission said members of the family have met privately with commissioners.
\u201cWe are hurting for you and with you, and it is hard to put into words how badly we wish we could undo what happened,\u201d they said in the statement. \u201cWhile we cannot go back, we are releasing the findings of Robert's brain study with the goal of supporting ongoing efforts to learn from this tragedy to ensure it never happens again.\u201d
Police and the Army were both warned that Card was suffering from deteriorating mental health in the months that preceded the shootings.
Some of his relatives warned police that he was displaying paranoid behavior and they were concerned about his access to guns. Body camera video of police interviews with reservists before Card\u2019s two-week hospitalization in upstate New York last summer also showed fellow reservists expressing worry and alarm about his behavior and weight loss.
Card was hospitalized in July after he shoved a fellow reservist and locked himself in a motel room during training. Later, in September, a fellow reservist told an Army superior he was concerned Card was going to \u201csnap and do a mass shooting.\u201d The reservist, Sean Hodgson, was not among those who testified Thursday.
Army reservists who knew Card testified on Thursday before a special commission established by Democratic Gov. Janet Mills about their recollections and actions before the shooting.
Some new things came to light. For example, Army Reserve Capt. Jeremy Reamer mentioned an incident in May in which there was an altercation or confrontation at a Home Depot involving Card where he accused people of saying things about him. Reamer said police were called but no charges were filed. He said he was told the family had an intervention for Card.
All five reservists who testified Thursday were also police officers, and one of them was involved in the search for Card after the shootings. Matthew Noyes told the commission that the search for the shooter was hampered by confusion and poor communications.
\u201cI recognize this is a complex response and investigation. Unfortunately with this responsibility comes Monday morning quarterbacking,\u201d said Noyes, a deputy in the Androscoggin County Sheriff\u2019s Office.
Mote said his heart broke when he learned of the shootings \u2014 and that he was angry at Card.
\u201cWe\u2019re soldiers. We protect and defend. I understand mental health issues. I get them. But you don\u2019t hurt innocent people,\u201d he said.
___
Whittle reported from Portland.
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That's according to White House officials who spoke to The Associated Press ahead of the speech. The unity pitch will come under one broad umbrella theme \u2014 that Biden is a president for all Americans. It's an implicit nod to moderate Republicans and swing voters who the president hopes will find a home in his political coalition.", + "bylines": [ + { + "by": "By SEUNG MIN KIM", + "title": "Associated Press" + } + ], + "located": "WASHINGTON", + "datelinelocation": { + "city": "Washington", + "countryareacode": "DC", + "countryareaname": "District of Columbia", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -77.03637, + 38.89511 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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But he'll also focus on areas that he and White House aides believe broadly unify the country \u2014 an implicit nod to moderate Republicans and swing voters who the president hopes will find a home in his political coalition.
In his speech, Biden will make an explicit appeal to the divided Congress for his \u201cunity agenda,\u201d which covers broadly popular initiatives such as dealing with the mental health epidemic, curbing opioid abuse, aiding veterans and improving cancer care, according to White House officials who spoke to The Associated Press ahead of the speech. It\u2019ll come under one broad umbrella theme \u2014 that Biden is a president for all Americans.
\u201cStopping fentanyl at the border, passing privacy legislation to protect children online, keeping our sacred obligation to veterans, and ending cancer as we know it are priorities for everyone without regard to party,\" White House deputy chief of staff Bruce Reed told the AP.
Even in a contentious election year, the White House sees real prospects for progress on Capitol Hill on some of the unity initiatives, such as legislation to bolster online child privacy \u2014 which the administration believes goes hand-in-hand with dealing with the mental health crisis.
In tandem with the State of the Union, the White House will showcase several announcements related to his unity agenda.
For one, the Department of Veterans Affairs will open up direct enrollment in health care for a broader population of newly eligible veterans. This is being done years ahead of schedule, one White House official said. The officials were granted anonymity to discuss policy details ahead of a formal White House announcement.
Another is an announcement from the Advanced Research Projects Agency for Health, known as ARPA-H, of a clinical program that will focus on addressing late-stage cancers for which doctors often struggle to find treatment. One White House official described it as a data-driven initiative that would allow doctors to track and treat patients in real time with more success.
Some of the unity agenda issues are deeply personal to Biden, including veterans care and advancements in cancer care. They also fit Biden\u2019s belief that voters want to see bipartisanship and cooperation from politicians, and reflect the issues that are most often raised by the Americans he meets with as he travels the country, officials said. Though tales of gridlock can dominate headlines, the White House points to more than 400 bipartisan bills Biden has signed into law that underpin his unity agenda.
", + "textformat": "bx", + "links": [ + { + "href": "https://apnews.com/article/joe-biden-state-of-union-bipartisanship-71e5b6c11545d56ced0f7f5ca9737c67", + "rel": "canonical" + } + ], + "topics": { + "Health": { + "relevance_score": 4, + "reason": "The document primarily focuses on President Biden's State of the Union address and his 'unity agenda,' which includes various topics such as mental health, opioid abuse, veterans' care, and cancer care. While these topics are related to health, the document also covers political strategies and election-year contrasts. The health-related initiatives are significant but are part of a broader political context." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/03/07/7d3b754e4fa24c60739c5f2f2b0d7c43.json b/datasets/AP_news/raw_data/2024/03/07/7d3b754e4fa24c60739c5f2f2b0d7c43.json new file mode 100644 index 0000000..2190383 --- /dev/null +++ b/datasets/AP_news/raw_data/2024/03/07/7d3b754e4fa24c60739c5f2f2b0d7c43.json @@ -0,0 +1,291 @@ +{ + "altids": { + "itemid": "7d3b754e4fa24c60739c5f2f2b0d7c43", + "etag": "7d3b754e4fa24c60739c5f2f2b0d7c43_1a8aza0c0", + "friendlykey": "567826625492", + "referenceid": "US--Fetal Homicide Law-Iowa" + }, + "version": 1, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-03-07T23:59:16Z", + "firstcreated": "2024-03-07T23:20:16Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: Updates Media. Adds AP Photo", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "US--Fetal Homicide Law-Iowa", + "headline": "Iowa House OKs bill to criminalize death of an \"unborn person\" despite IVF concerns", + "headline_extended": "Republicans in Iowa\u2019s House of Representatives have approved a bill that would criminalize the death of an \u201cunborn person\u201d \u2014 over Democrats\u2019 concerns about how it might impact in vitro fertilization", + "slugline": "AP-US--Fetal Homicide Law-Iowa, 1st Ld-Writethru", + "description_summary": "Republicans in Iowa\u2019s House of Representatives have approved a bill that would criminalize the death of an \u201cunborn person\u201d \u2014 over Democrats\u2019 concerns about how it might impact in vitro fertilization. The legislation passed by the House on Thursday and awaiting Senate action would outline penalties for causing death or serious injury to an unborn person. Democrats expressed concerns over the bill, citing the majority ruling of Alabama\u2019s Supreme Court treating an embryo the same as a child or gestating fetus under that state\u2019s wrongful death law. The Iowa legislation would require Senate passage and Gov. Kim Reynolds' signature before before becoming law.", + "bylines": [ + { + "by": "By HANNAH FINGERHUT", + "title": "Associated Press" + } + ], + "located": "DES MOINES, Iowa", + "datelinelocation": { + "city": "Des Moines", + "countryareacode": "IA", + "countryareaname": "Iowa", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -93.60911, + 41.60054 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. For other uses, additional clearances may be required." + ], + "keywords": [ + "iowa fetal homicide unborn person ivf" + ], + "provider": "AP", + "infosource": [ + { + "name": "AP", + "type": "AP" + } + ], + "person": [ + { + "scheme": "http://cv.ap.org/id/", + "code": "cd86f05c888e4eb99f14a907a9888ac3", + "name": "Kim Reynolds", + "creator": "Machine", + "rels": [ + "direct" + ], + "types": [ + "POLITICIAN", + "PERSON" + ], + "relevance": 53 + } + ], + "subject": [ + { + "rels": [ + "category" + ], + "creator": "Editorial", + "code": "a", + "name": "a" + }, + { + "rels": [ + "category" + ], + "creator": "Editorial", + "code": "n", + "name": "n" + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "86ba17607dac1004894eba7fa5283c3e", + "name": "Courts", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 44 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "86aad5207dac100488ecba7fa5283c3e", + "name": "Politics", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 86 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "e22eae207de410048fc6df092526b43e", + "name": "Assisted reproductive technology", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 74 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "86c1b8807dac10048990ba7fa5283c3e", + "name": "Legislation", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 66 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "cc7a76087e4e10048482df092526b43e", + "name": "Health", + "creator": "Editorial", + "editorial_subject": "Health", + "rels": [ + "direct" + ], + "relevance": 75 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "a4677d70863b4012b846a1b00f5079f5", + "name": "U.S. news", + "creator": "Editorial", + "editorial_subject": "U.S. news", + "rels": [ + "direct" + ], + "relevance": 99 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "f25af2d07e4e100484f5df092526b43e", + "name": "General news", + "creator": "Editorial", + "editorial_subject": "General news", + "rels": [ + "direct" + ], + "relevance": 50 + } + ], + "organisation": [ + { + "scheme": "http://cv.ap.org/id/", + "code": "72e75e6132bd4425baaa14b0d86ea75e", + "name": "Alabama state government", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 61 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "bf6e2e80760d10048f8ae6e7a0f4673e", + "name": "U.S. Republican Party", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 42 + } + ], + "place": [ + { + "scheme": "http://cv.ap.org/id/", + "code": "1608ba1082b310048433df092526b43e", + "name": "Iowa", + "creator": "Machine", + "rels": [ + "direct" + ], + "parentids": [ + "661e48387d5b10048291c076b8e3055c" + ], + "locationtype": { + "code": "0ae5eb8e00e04295a4fc209c94bfe6ef", + "name": "State" + }, + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -93.50049, + 42.00027 + ] + }, + "relevance": 98, + "parentnames": [ + "United States" + ] + } + ], + "audiences": [ + { + "code": "82c6a4c46fa0446090a7acaf93159e4c", + "name": "Print", + "type": "AUDPLATFORM" + }, + { + "code": "9add4649b53b4702ba7d9de5d4fa607a", + "name": "Online", + "type": "AUDPLATFORM" + }, + { + "code": "f43adc08760d10048040e6e7a0f4673e", + "name": "National", + "type": "AUDSCOPE" + }, + { + "code": "f5b16ea8760d10048047e6e7a0f4673e", + "name": "State", + "type": "AUDSCOPE" + }, + { + "code": "f4ecf9b0760d10048044e6e7a0f4673e", + "name": "International", + "type": "AUDSCOPE" + }, + { + "code": "1608ba1082b310048433df092526b43e", + "name": "Iowa", + "type": "AUDGEOGRAPHY" + }, + { + "code": "b8099e4881d610048a11df092526b43e", + "name": "Alabama", + "type": "AUDGEOGRAPHY" + }, + { + "code": "661850e07d5b100481f5c076b8e3055c", + "name": "Latin America and Caribbean", + "type": "AUDGEOGRAPHY" + }, + { + "code": "661e48387d5b10048291c076b8e3055c", + "name": "United States", + "type": "AUDGEOGRAPHY" + } + ], + "associations": { + "1": { + "altids": { + "itemid": "b3c294397d2040e380084f37d779811c" + }, + "type": "picture" + } + }, + "body_nitf": "DES MOINES, Iowa (AP) \u2014 Republicans in Iowa's House of Representatives approved a bill Thursday that would criminalize the death of an \u201cunborn person\u201d \u2014 over Democrats\u2019 concerns about how it might apply to in vitro fertilization, after an Alabama court found frozen embryos can be considered children.
Iowa\u2019s law currently outlines penalties for termination or serious injury to a \u201chuman pregnancy,\u201d but the proposed bill would amend the language to pertain to \u201ccausing of death of, or serious injury to, an unborn person,\u201d defined as \u201can individual organism \u2026 from fertilization to live birth.\u201d
It\u2019s one of many bills being considered by state Legislatures around the country that would expand legal and constitutional protections for embryos and fetuses, a long-time goal of the anti-abortion movement.
The bill still would need to pass the state Senate and be signed by Gov. Kim Reynolds to become law.
Referencing Alabama\u2019s case, a Democrat in Iowa\u2019s House proposed, but ultimately withdrew, an amendment to explicitly carve out protections for IVF, a procedure that helps some women become pregnant.
\u201cThis bill right here \u2026 puts IVF at risk whether you want to believe it or not,\u201d said Iowa Democrat Rep. Beth Wessel-Kroeschell. \u201cWe are now seeing the damage these laws can have on people seeking and providing reproductive health care.\u201d
The majority ruling of Alabama\u2019s Supreme Court treats an embryo the same as a child or gestating fetus under the state\u2019s wrongful death law, explicitly stating \u201cunborn children are \u2018children.'\u201d That led three major providers of IVF in Alabama to pause services because of concerns about liabilities.
Iowa Republican Rep. Skyler Wheeler said the bill is far more simple and that Democratic lawmakers are \u201ctrying to turn this into a conversation that it is not.\u201d
The Alabama case, Wheeler said, pertains to that state\u2019s laws and courts, not Iowa\u2019s, and elected officials there have already moved to clarify that IVF providers are protected from liability related to the destruction of or damage to an embryo.
Wessel-Kroeschell said that exception is not well-defined in Iowa's law, nor is it clear how Iowa or federal courts might interpret the new language, which she said enshrines \u201cthe myth of fetal personhood in our state code.\u201d
\u201cWe simply cannot know how far this reasoning will be taken,\u201d she said.
Earlier in the afternoon, House Republicans withdrew a bill that would require a father to pay child support starting at fertilization after Democrats pressed on the potential implications, including the possibility of a court order for risky paternity testing of a fetus.
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With AP Photos.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "US-XGR--Stuttering Services-Kentucky", + "headline": "Kentucky bill to expand coverage for stuttering services advances with assist from ex-NBA player", + "headline_extended": "The Kentucky Senate has voted to expand insurance coverage for people seeking treatment for stuttering", + "slugline": "BC-US-XGR--Stuttering Services-Kentucky, 1st Ld-Writethru", + "description_summary": "The Kentucky Senate has voted to expand insurance coverage for people seeking treatment for stuttering. The bill\u2019s sponsor credits a former basketball star with the assist. The Senate action Thursday came days after Michael Kidd-Gilchrist endorsed the measure at a committee hearing. Kidd-Gilchrist played on a national championship team at the University of Kentucky and in the NBA. It\u2019s his willingness to open up about his own struggles with stuttering that's winning praise. Sen. Whitney Westerfield called him a \u201cgame-changer\u201d for his advocacy. His bill would eliminate arbitrary insurance caps and require greater coverage for stuttering services. The bill now goes to the House.", + "bylines": [ + { + "by": "By BRUCE SCHREINER", + "title": "Associated Press" + } + ], + "located": "FRANKFORT, Ky.", + "datelinelocation": { + "city": "Frankfort", + "countryareacode": "KY", + "countryareaname": "Kentucky", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -84.87328, + 38.20091 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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(AP) \u2014 The Kentucky Senate voted on Thursday to expand insurance coverage for people seeking treatment for stuttering, and the bill's sponsor credited a former basketball star with the assist.
The Senate action to advance the bill came after Michael Kidd-Gilchrist endorsed the measure at a Senate committee hearing. Kidd-Gilchrist played on a national championship team at the University of Kentucky and then spent several years playing in the NBA.
But it's his willingness to open up about his own struggles with stuttering that won praise Thursday.
\u201cHe's a hero and a game-changer for using his position and his influence to do good for people that don't have the resources that he had access to,\u201d said Republican state Sen. Whitney Westerfield.
Westerfield said his bill aims to help many more Kentuckians receive the treatment they need.
\u201cThere are a lot of Kentuckians ... who either don\u2019t have coverage, have coverage and it\u2019s limited by these arbitrary caps -- say 20 visit therapy sessions and that\u2019s it -- regardless of what your need is,\u201d he said. \"You might need 10 times that many. But you can\u2019t get it. And so unless you\u2019ve got gold-plated coverage, and most Kentuckians don\u2019t, you end up having to try to pay for it out of pocket.\u201d
As a result, many people don't get the care they need. But his legislation aims to change that, he said The bill would eliminate those arbitrary caps and require greater coverage for stuttering services, he said.
His Senate Bill 111 heads to the House next. Republicans have supermajorities in both chambers.
Kidd-Gilchrist pointed to his deep ties to Kentucky and his efforts to help other people struggling with stuttering in a recent op-ed published in the Lexington Herald-Leader. He wrote that he's traveled the Bluegrass State to \u201chear testimonies\u201d from people who stutter and advocate on their behalf.
\u201cI am pushing myself to use the very thing that can be a struggle \u2014 my voice \u2014 to speak up for the community I represent and whose voices often go unheard,\u201d he said.
\u201cA primary obstacle to treatment for those who stutter is the way that insurance coverage is structured for this condition,\u201d he added.
He said there's a \u201cstaggering lack of data\u201d regarding the public\u2019s awareness of those who stutter.
\u201cFor children and adults who stutter to be set up for success in life and overall quality of life improvements, it is necessary that they be given access to all necessary procedures \u2014 from diagnosis to treatment to long-term speech therapy maintenance,\u201d he wrote.
Speech therapy is the mainstay of stuttering treatment. Globally, 70 million people stutter and President Joe Biden has spoken publicly about being mocked by classmates and a nun in Catholic school for his own speech impediment. He said overcoming it was one of the hardest things he\u2019s ever done.
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Gum\u2019s bubble burst during the COVID-19 pandemic, when masks and social distancing made bad breath less of a worry and fewer people spent on impulse buys. The number of packages of gum sold dropped by nearly a third in the United States in 2020, according to Circana, a market research firm.
Consumer demand has picked up only slightly since then. Last year, U.S. chewing gum sales rose less than 1% to 1.2 billion units, which was still 32% fewer than in 2018. Although sales in dollars are back to pre-pandemic levels, that\u2019s mostly due to inflation; the average pack of gum cost $2.71 last year, $1.01 more than it did in 2018, Circana said.
It's a similar story globally. Worldwide gum sales rose 5% last year to more than $16 billion, according to market researcher Euromonitor. That still was 10% below the 2018 sales figure.
Some manufacturers are responding to the bland demand by leaving the market altogether. In 2022, Mondelez International sold its U.S., Canadian and European gum business, including brands like Trident, Bubblicious, Dentyne and Chiclets, to Amsterdam-based Perfetti Van Melle.
Chicago-based Mondelez, which makes Oreos and Cadbury chocolates, said it wanted to shift resources to brands with higher growth opportunities.
Other American confectioners are cutting slow-selling brands. Ferrera Candy Co., which is headquartered in Forest Park, Illinois, quietly ended production of Fruit Stripe and Super Bubble gums in 2022 after more than 50 years.
Chewing gum is fighting more than a virus, however, when its comes to regaining its flavor. Lynn Dornblaser, the director of innovation and insight at market research firm Mintel, said a growing number of consumers are trying to limit sugar in their diets and to eat foods with more natural ingredients. That limits the appeal of gum, since even sugar-free varieties often contain artificial sweeteners.
U.S. consumers, like those in Europe and Asia, also may be increasingly concerned about the stubborn litter from used gum, Dornblaser said. Singapore famously banned the sale, import and manufacturing of chewing gum in 1992, blaming the careless disposal of the substance on subways for gumming up service. More recently, the U.K. government persuaded gum manufacturers to pay for a street-cleaning program to help remove gum and gum stains.
Dan Sadler, a principal for client insights at Circana, has noticed generational differences in gum chewing.
Generation X, the cohort born between 1965 and 1980, tends to chew gum more than other age groups, he said. Millennials generally show less interest in gum and candy, while Generation Z consumers are more interested in novelty candies like sour gummies. Nielsen says U.S. unit sales of gummies rose 2.5% over the last year and 4% the year before.
Mars Inc., which owns the 133-year-old Wrigley brand, thinks it may have an answer: repositioning gum as an instant stress reliever rather than an occasional breath freshener. In January, the company launched a global ad campaign promoting its top-selling Orbit, Extra, Freedent and Yida brands as tools for mental well-being.
Alyona Fedorchenko, vice president for global gum and mints in Mars' snacking division, said the idea stuck in the summer of 2020, when the company was frantically researching ways to revive sales.
Fedorchenko remembered talking to a nurse in a hospital COVID-19 ward who chewed gum to calm herself even though she always wore a mask. The nurse's habit meshed with studies by Mars that showed half of chewers reached for gum to relieve stress or boost concentration.
\u201cThat, for us, was the big \u2018Aha!\u2019\u201d Fedorchenko said. \u201cWe\u2019ve had a century of legacy of fresh breath, and that is still very important. Don\u2019t get me wrong. But there is so much more this category can be.\u201d
Emphasizing wellness is part of a multi-year effort to attract 10 million new U.S. chewers by 2030, she said. Mars also is introducing new products like Respawn by 5 gum, which is aimed at gamers. The gum contains green tea and vitamin B, and the company promotes those ingredients as a way to help improve focus. Sold in three flavors, Respawn by 5 could lure customers from smaller brands like Rev Energy Gum, which contains caffeine.
Megan Schwichtenberg, a public relations account director from Minneapolis, buys into the idea of gum as a quick respite. She often chews a piece of fruit-flavored Mentos gum when she\u2019s driving or at the gym, and finds that chewing gum stops her from clenching her jaw during the workday.
\u201cIf I\u2019m sitting at a desk all day managing a team, I can\u2019t get up and go punch a punching bag,\u201d Schwichtenberg said. \u201cIt\u2019s a way to contain some of that in the space you\u2019re in.\u201d
But not everyone finds gum enhances well-being. Kylie Faildo, a pelvic floor physical therapist in Denver, thinks artificial sweeteners and swallowing air while chewing made her bloating symptoms worse. She gave up gum two years ago and doesn't plan to go back, even though she misses the ease of popping a piece into her mouth before meeting a client.
\u201cI use mouthwash a lot more now,\u201d Faildo said.
Caron Proschan, the founder and CEO of the natural gum brand Simply, said she thinks U.S. gum sales slowed due to a shortage of innovation. Young customers have little disposable income and many distractions, she said, so gum needs to be compelling.
Simply \u2013 which makes gum from a type of tree sap called chicle instead of synthetic ingredients \u2013 has seen its sales double every year since 2021 without raising prices, Proschan said.
\u201cConsumers today care about ingredients. They care about quality. The chewing gum category was not evolving to meet the needs of this consumer,\u201d she said.
Sadler and Dornblaser say they still see growth ahead for gum, but it needs to adapt to customers\u2019 changing tastes and buying habits, including a shift from impulse sales to online shopping.
Some brands, like the U.K.\u2019s Nuud Gum, are offering subscription plans, for example. Other gum makers are experimenting with pop-up ads that remind customers to add gum to their food delivery orders.
___
Teresa Crawford in Chicago contributed to this story.
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That's according to a survey out Thursday from health policy research firm KFF. The findings signal a significant shift from previous election years, when white, religious voters were more likely to name abortion as their top priority when casting a ballot. This will be the first presidential election since the U.S. Supreme Court ruled in June 2022 that women do not have a constitutional right to abortion. Republican Donald Trump has received overwhelming support from white evangelicals in the previous elections. 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The findings signal a significant shift from previous election years, when white, conservative evangelicals were more likely to peg abortion as their biggest priority when voting. Those voters were highly motivated in recent presidential elections to cast ballots for Donald Trump, who promised to appoint U.S. Supreme Court judges who would take away the constitutional right to an abortion.
But just months ahead of the first presidential election since the court overturned Roe v. Wade in June 2022, that voting dynamic is drastically changing, KFF's poll suggests.
\u201cIt\u2019s a complete shift,\u201d said Ashley Kirzinger, a KFF pollster. \u201cAbortion voters are young, Black women \u2014 and not white evangelicals.\u201d
Overall, 12% of voters surveyed said abortion was the most important issue in this year's election.
Certain female voters, however, were more likely to identify the issue as top of mind. They include 28% of Black women, 19% of women living in states where abortion is banned, and 17% of women who are under age 50.
Of voters who said that abortion was their most important issue, two-thirds said they believe abortion should be legal in all or most cases.
For decades, white evangelicals eager to see abortion banned have turned out to vote on the issue, Kirzinger said. Trump, a Republican, has spent nearly a decade courting those voters with promises to support conservative judges and with a cohort of religious surrogates who warned evangelicals that his Democratic rivals would dramatically expand abortion access in the U.S. Trump received overwhelming support from white evangelicals in the previous presidential elections.
But as states continue to clamp down on abortion access and Trump braces for a rematch against Democrat Joe Biden, the demographics of the abortion voter have shifted, Kirzinger said. Biden has vowed to protect abortion access since the court overturned the right.
\u201cAbortion \u2014 it\u2019s clearly resonating with this group,\" Kirzinger said. \u201cWhen we think about abortion access and who is disadvantaged, it\u2019s Black women.\u201d
Women \u2014 and Black women, in particular \u2014 were crucial to Biden's win over Trump in the 2020 presidential election. Last week, Biden's campaign announced that first lady Jill Biden would lead a nationwide effort to mobilize that voting bloc again.
More than half of Black Americans live in Southern states, most of which swiftly introduced strict abortion laws once the Supreme Court's ruling was announced. As of last year, roughly 25 million women were living in states that had enacted new restrictions following the court's decision, an Associated Press analysis found.
Nearly two-thirds of voters polled by KFF oppose a national abortion ban beginning at 16 weeks of pregnancy. Trump has not publicly backed such a ban, but reports have circulated that he privately has told people he supports one.
___
Follow the AP's coverage of abortion at https://apnews.com/hub/abortion.
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(AP) \u2014 West Virginia, which has the highest rate of adult cigarette use in the nation, could become the 12th state to ban smoking in vehicles with children present under a bill that won final legislative passage Thursday.
The Republican-dominated House of Delegates passed the bill on a 66-33 vote without debate. It now goes to Republican Gov. Jim Justice, who has not indicated whether he would sign the bill. The GOP-supermajority Senate approved the bill last month.
Violators could be fined up to $25, but only if they\u2019re pulled over for another offense. Smoking with children present cannot be the main reason a driver is stopped.
The legislation narrowly made it through the House finance committee earlier in the week after Republican Del. John Hardy called it \u201cjust another big government bill.\u201d
\u201cThe next step is your home. The next step may be your business. Where are we moving this to?\u201d Hardy said. \u201cThis is the most un-Republican bill that I\u2019ve ever seen in my life.\u201d
About 22% of West Virginia smoked in 2021, the latest year available, according to the Centers for Disease Control and Prevention. The CDC says there is no safe level of exposure to secondhand smoke.
Republican Del. Dana Ferrell said sometimes the government has to intervene for the safety and well-being of children.
When he and his siblings were younger, Ferrell\u2019s parents smoked in the car. He recalled the kids trying to hide in the back seat near the floor in an attempt to shield their faces.
\u201cIt may seem trite to some, but I\u2019ve been there. I\u2019ve experienced that,\u201d Ferrell said. \u201cIt\u2019s a horrible situation I wouldn\u2019t wish on any other child.\u201d
The bill originated in the Senate, where the majority leader, Tom Takubo, is a lung doctor. Takubo has said he made a promise long ago to a patient whose father was a heavy smoker that he would try to get such legislation passed. Takubo has made it almost an annual effort since 2017 to introduce the legislation.
___
Associated Press writer Leah Willingham contributed to this report.
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Experts say that doesn't explain his violence.", + "headline_extended": "Brain injury experts are cautioning against drawing conclusions from newly released and limited information about the Army reservist who killed 18 people last year in Maine\u2019s deadliest mass shooting", + "slugline": "BC-US--Maine Shooting-Brain Injury, 2nd Ld-Writethru", + "description_summary": "Brain injury experts are cautioning against drawing conclusions from newly released and limited information about the Army reservist who killed 18 people last year in Maine\u2019s deadliest mass shooting. Boston University researchers who analyzed a sample of Robert Card\u2019s brain tissue say they found evidence of traumatic brain injury, including degeneration in the nerve fibers allowing communication between different brain areas. Card is believed to have been exposed to repeated low-level blasts as an Army hand grenade instructor. It is unknown if that caused his brain injury and what role brain injury played in his declining mental health. An Army spokesperson calls the lab findings \u201cconcerning\u201d and described new efforts to protect other soldiers from blast injuries.", + "bylines": [ + { + "by": "By HOLLY RAMER and MICHAEL CASEY", + "title": "Associated Press" + } + ], + "located": "BOSTON", + "datelinelocation": { + "city": "Boston", + "countryareacode": "MA", + "countryareaname": "Massachusetts", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -71.05977, + 42.35843 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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Boston University researchers who analyzed a sample of Robert Card\u2019s brain tissue said Wednesday they found evidence of traumatic brain injury. The analysis, requested by the Maine medical examiner, found degeneration in the nerve fibers allowing communication between different areas of the brain, inflammation and small blood vessel injury, according to Dr. Ann McKee of the university\u2019s Chronic Traumatic Encephalopathy (CTE) Center.
Card had been an instructor at an Army hand grenade training range, where it is believed he was exposed to repeated low-level blasts. It is unknown if that caused Card\u2019s brain injury and what role the injury may have played in his declining mental health before he opened fire at a bowling alley and bar in Lewiston on Oct. 25.
McKee made no connection between the injury and Card\u2019s violent actions.
\u201cWhile I cannot say with certainty that these pathological findings underlie Mr. Card\u2019s behavioral changes in the last 10 months of life, based on our previous work, brain injury likely played a role in his symptoms,\u201d McKee said in a statement released by the Card family.
Dr. Alexandra Filippakis, a neurologist who has treated members of the military and others for traumatic brain injuries, said Thursday she would not conclude brain injury played a role in Card\u2019s behavior based on McKee\u2019s description of her findings.
\u201cTBI is a very broad diagnosis, and it looks different in different people. Not everybody has the same symptoms. Not everybody has the same severity of symptoms,\u201d Filippakis said. \u201cThere\u2019s no way that you could, with certainty, link that to a particular action.\u201d
Filippakis, who works at Wentworth-Douglass Hospital in Dover, New Hampshire, said the connectivity damage McKee described is common and can have many causes, including aging, high blood pressure and smoking.
\u201cThat could mean so many different things,\u201d she said. \u201cYou certainly can\u2019t draw any conclusions from that piece of information.\u201d
But James Stone, a University of Virginia radiologist who has studied repeated low-level blast exposure in the military, said changes to Card\u2019s brain \u201cseemed pretty profound.\u201d
Such injuries can affect impulse control and emotional regulation, he said, and though he doesn\u2019t know if those parts of Card\u2019s brain were affected, \u201cit\u2019s certainly hard to imagine that the level of brain changes that we\u2019re seeing in some way did not contribute to his behavior.\u201d
Chris Dulla, a professor and interim chair of neuroscience at Tufts School of Medicine, said he was surprised that researchers found no evidence of chronic traumatic encephalopathy, which has plagued many professional football players.
\u201cIt doesn\u2019t seem to be as cut and dry,\u201d he said. \u201cWhat that speaks to is how varied traumatic brain injuries are, and how difficult they can be to diagnose, even in the postmortem brain sample, when you can study every detail.\u201d
The findings highlight the connection between brain injuries and underlying psychological conditions, Dulla said.
\u201cIf you\u2019re already struggling with some kind of psychiatric condition or at risk for some kind of psychiatric problem, brain injuries might be something that can kind of push you over the edge and have that change really come front and center when it might have been sort of a minor underlying thing before,\u201d he said.
Experts say traumatic brain injury can lead to headaches, mood changes, memory loss and sleep issues. Stone said his research has shown repeated exposure to even low-level blasts can result in changes to the brain. The Department of Defense has been \u201cvery engaged\u201d in studying the issue, Stone said, and a panel on which he serves is expected to release new guidelines in May for both the U.S. military and NATO allies.
\u201cThey\u2019ve been very proactive about this,\u201d he said.
An Army spokesperson on Thursday called the lab findings regarding Card \u201cconcerning\u201d and said they \u201cunderscore the Army\u2019s need to do all it can to protect Soldiers against blast-induced injury.\u201d
In addition to updating the guidance on risk mitigation, the Army plans to launch a public safety campaign and will begin requiring documentation of training environments and tracking of exposed personnel.
Sean Hodgson, Card\u2019s close friend and a fellow reservist, said Thursday that safety was a top priority at their training range and the blast exercises were well controlled.
\u201cYou feel it through you, but it\u2019s mild,\u201d he said.
\u201cIn my opinion it\u2019s one of the safest ranges to be on,\" Hodgson said. \"I never heard him complain about the blasts.\u201d
Six weeks before the shooting, Hodgson texted an Army supervisor about his growing concerns about Card, saying, \u201cI believe he\u2019s going to snap and do a mass shooting.\u201d
That Sept. 15 message came months after relatives warned police that Card had grown paranoid and said they were concerned about his access to guns.
Card was hospitalized in a psychiatric unit for two weeks in July after shoving a fellow reservist and locking himself in a motel room. In August, the Army barred him from handling weapons while on duty and declared him nondeployable.
In their first public comments since the shooting, Card\u2019s family members apologized Wednesday for the attack, saying they are heartbroken for the victims, survivors and their loved ones.
\u201cWe are hurting for you and with you, and it is hard to put into words how badly we wish we could undo what happened,\u201d they said in a statement. \u201cWhile we cannot go back, we are releasing the findings of Robert\u2019s brain study with the goal of supporting ongoing efforts to learn from this tragedy to ensure it never happens again.\u201d
___
Ramer reported from Concord, New Hampshire.
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(AP) \u2014 During a 35-day whirlwind legislative session that adjourned Thursday night, a couple days ahead of schedule, Oregon lawmakers focused on two main priorities: housing and drugs.
Their decision to recriminalize drug possession made national headlines, and a sweeping $370 million package aimed at boosting housing production capped off months of negotiations. Measures spanning other issues, from education to the environment, also passed. Here\u2019s a look at the major bills approved this session:
Oregon legislators voted to roll back the state\u2019s first-in-the-nation drug decriminalization law \u2014 passed by voters in 2020 \u2014 by once again making it a crime to possess small amounts of drugs such as heroin and methamphetamine.
The fentanyl crisis, one of the nation\u2019s largest increases in overdose deaths, as well as growing political pressure pushed many Democrats who historically supported the decriminalization measure to vote for the new bill, which passed with bipartisan backing.
Social justice groups opposed it based on the belief that treatment is more effective than jail in helping people overcome addiction. They also expressed concern it will result in more arrests.
So-called personal use possession is now a misdemeanor punishable by up to six months in jail. The measure enables police to crack down on drug use in public areas such as parks and aims to make it easier to prosecute people who sell drugs.
The bill also establishes ways for treatment to be offered as an alternative to criminal penalties. But it only \u201cencourages,\u201d rather than mandates, law enforcement agencies to create deflection programs that would divert people to addiction and mental health services instead of the criminal justice system. So far, 23 of Oregon\u2019s 36 counties, in letters to lawmakers, have committed to creating such programs.
While the part of the package recriminalizing possession garnered the most attention, the bill also contained a series of other measures, including those aimed at increasing the behavioral health workforce and expanding access to medication used to treat opioid addiction, including in jails. The accompanying budget bill also contained roughly $85 million to fund the construction and expansion of treatment facilities.
Democratic Gov. Tina Kotek said she intends to sign the bill.
The sole bill introduced by Kotek during this year\u2019s short legislative session was a sweeping housing measure aimed at jumpstarting home construction.
Among the many things the bill did was tweak Oregon\u2019s unique land use law, a sacred cow of the state\u2019s liberal politics. Passed in the 1970s, the law placed boundaries on cities in a bid to prevent suburban sprawl and protect farmland and forests.
The new bill grants cities a one-time exemption to the decades-old rule by allowing them to acquire new land for the purpose of building housing.
It requires 30% of new units in expansion areas to be affordable. For a period of at least 60 years, rentals must be affordable to households that earn 80% or less of the area median income, and homes for sale must be affordable to those who earn 130% or less of the area median income.
The bill also allows cities to \u201cswap\u201d land currently within their boundaries that is harder to develop because of steep terrain or other topographical issues with an equivalent amount of land just outside that is more suitable for residential use.
The broader housing package directs more than $370 million toward infrastructure projects that help support housing production, such as the installation or expansion of water and sewer systems. It also includes money for homeless shelters and eviction prevention in a bid to help people stay housed.
Lawmakers passed a campaign finance reform bill that limits the amount of money people and political parties can contribute to candidates, following recent elections that saw wealthy donors inject millions into key state races.
Oregon is currently one of roughly a dozen states that has no limits on campaign contributions, according to the National Conference of State Legislatures.
Under the bill, starting in 2027, individuals and corporations can only give up to $3,300 to a statewide candidate per election cycle, while political party committees can give up to $30,000. So-called \u201cmembership organizations,\u201d such as labor unions and nonprofit advocacy groups, can contribute a total of $26,400 to a statewide candidate per cycle.
Limits would be lower for non-statewide candidates running in legislative, district attorney or circuit court judge races.
To promote transparency, the bill also directs the secretary of state, starting in 2028, to create an online dashboard that lists the 100 largest contributors to candidates or campaign committees and shows how much money industry groups donate to candidates.
Kotek's office said she supports the legislation.
Another priority of Kotek\u2019s that lawmakers passed was a $30 million bill to expand summer learning programs for K-12 students.
The measure seeks to make up for learning losses from the COVID-19 pandemic. It prioritizes funding for programs that serve disadvantaged students, such as those with disabilities or from low-income families.
Lawmakers also passed a key environmental bill that establishes how the state will spend and manage the nearly $700 million it received in a historic legal settlement over pollution associated with products made by agriculture giant Monsanto.
The 2022 settlement with Bayer, the German biotechnology and pharmaceutical company that now owns Monsanto, was the largest environmental damage recovery in Oregon\u2019s history. Bayer said the agreement contained no admission of liability or wrongdoing and resolved all of Oregon\u2019s claims.
Polychlorinated biphenyls, or PCBs, were used in many industrial and commercial applications \u2014 including paint, coolants, sealants and hydraulic fluids \u2014 until they were banned by Congress in the late 1970s. PCBs associated with Monsanto products still contaminate Oregon\u2019s landfills and riverbeds and show up in fish and wildlife. The chemical compounds have been found to cause cancer in animals and are probable carcinogens for humans, according to the Environmental Protection Agency.
The money from the settlement will be deposited into a new fund. It will go toward environmental remediation projects and disproportionately impacted communities in order to tackle water, land and air pollution.
Another bill touted by supporters for its environmental impact was a so-called \u201cright to repair\u201d measure. It requires manufacturers of consumer electronic equipment to provide the information and replacement parts needed for people to repair their own devices and appliances. Backers say it will help reduce electronic waste and make repairs more affordable for consumers.
Kotek has yet to signal an intent to veto any of the bills. Under Oregon law, the governor has five days to veto a bill after receiving it if the Legislature is still in session. If the Legislature adjourns before those five days elapse, or if the governor receives it after the session has ended, they have 30 days to veto it.
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The U.S. Food and Drug Administration issued a safety alert for six brands of cinnamon, including those sold at Dollar Tree and Family Dollar stores.
The move followed massive recalls last fall of WanaBana and other brands of cinnamon applesauce pouches linked to nearly 500 reports of lead poisoning in young children in 44 states. The FDA tested retail samples of spices to determine whether other products were contaminated.
The new recalls are raising questions about the safety of cinnamon, a popular spice found in many American kitchens.
Here's what you should know:
Recalls have been issued for Marcum and Supreme Tradition brand ground cinnamon sold at Dollar Tree, Family Dollar and Save A Lot stores nationwide.
Other recalls include El Chilar brand cinnamon sold at La Joya Morelense in Baltimore, Maryland; and Swad cinnamon powder sold at Patel Brothers stores across the U.S.
FDA officials said they have not been able to contact MTCI of Santa Fe Springs, California, which distributes MK brand cinnamon sold at SF Supermarkets in several states.
FDA tests found lead levels ranging from 2 parts per million to 4 parts per million in the recalled cinnamon. That\u2019s far lower than the 2,000 to 5,000 parts per million detected in the ground cinnamon from Ecuador that contaminated the applesauce pouches.
There is currently no FDA limit for heavy metals in spices. However, the agency has set a limit of 1 part per million of lead in candy likely to be consumed by small children.
The American Spice Trade Association, an industry trade group, calls for no more than 2 parts per million of lead in bark spices such as cinnamon.
The source of the recalled cinnamon is unclear, as is where it was produced, FDA officials said. Cinnamon in the U.S. is imported from many places, including India, Sri Lanka, Vietnam and other parts of Southeast Asia.
However, the agency said there\u2019s no reason to believe that the recalled cinnamon came from the same Ecuadorian supplier implicated in the contaminated applesauce pouches.
Many foods, including spices, contain lead from natural sources such as soil and water, said Karen Everstine, technical director for FoodchainID, a company that tracks food supply chains.
Spices can accumulate lead from other sources in the environment, such as leaded gasoline or other pollution. Some lead in spices may come from manufacturing, storage or shipping processes.
In some cases, spices have been mixed with substances, including lead, to boost color or weight, increasing the value of the product. FDA officials have said that the applesauce pouches may have been intentionally contaminated for this type of economic reason.
No amount of lead is safe, so it should be avoided, health officials said. Because spices are used in such small amounts, the potential harm of any single use is small, but damage could occur after weeks or months of exposure.
Lead can cause long-term problems in adults, including greater risk of high blood pressure, heart disease and kidney damage. Lead is especially harmful to children, where it can cause problems with basic intelligence, learning and behavior.
It can be difficult, if not impossible, to know whether spices on grocery shelves are contaminated with lead or other toxins, Everstine said.
Consumers should buy spices from companies that have publicly said they monitor their sources. They have a vested interest in protecting their brands, she said.
That can be tough, especially when grocery prices \u2014 including spices \u2014 remain high. But this is an instance when it might be worth it.
\u201cBe skeptical of prices that appear too good to be true. It costs money to control your supply chain,\u201d she said. \u201cIf you have cinnamon that is a quarter of the price of another cinnamon, why is that?\u201d
___
The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute\u2019s Science and Educational Media Group. The AP is solely responsible for all content.
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Francis presided over a Mass and heard confessions at the St. Pius V church not far from the Vatican \u2014 his first parish outing this year. He had canceled some audiences over the past week because of what the Vatican said was a slight case of the flu.
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Lilly expected a decision on donanemab in this year\u2019s first quarter, which ends this month. But the drugmaker said Friday that the Food and Drug Administration wants more information about donanemab\u2019s safety and effectiveness. No date has been set for the advisory committee meeting. The FDA often asks committees to review drugs that are first in their class of treatments. Donanemab, if approved, would follow Eisai\u2019s Leqembi, which was approved last year, and Biogen\u2019s Aduhelm.", + "bylines": [ + { + "by": "By TOM MURPHY and MATTHEW PERRONE", + "title": "Associated Press" + } + ], + "located": "INDIANAPOLIS", + "datelinelocation": { + "city": "Indianapolis", + "countryareacode": "IN", + "countryareaname": "Indiana", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -86.15804, + 39.76838 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. 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Lilly had expected the Food and Drug Administration to decide on donanemab's approval by the end of the month. But the drugmaker said Friday that the agency now wants more information about its safety and effectiveness.
No date has been set for the advisory committee meeting.
The FDA often asks committees to review drugs that are first in their class of treatments. Donanemab, if approved, would follow Eisai\u2019s Leqembi, which was approved last year, and Biogen\u2019s Aduhelm.
Eli Lilly and Co. Executive Vice President Anne White said in a statement that the Indianapolis-based company remains confident in donanemab\u2019s potential and will work with the FDA.
The company said the agency wants to learn more from a pivotal study Lilly conducted on the drug.
The 18-month, late-stage study showed that patients taking donanemab declined about 22% more slowly in terms of memory and cognitive ability than those who received a dummy infusion. The delay amounted to about four to seven months.
In the study, patients were taken off the drug once their brain plaque reached low levels. Most patients reached that point within a year.
Donanemab is only the second drug that has been convincingly shown to delay the inevitable cognitive decline in patients with Alzheimer\u2019s. The other is Leqembi.
Biogen announced earlier this year that it would stop selling Aduhelm.
The Lilly drug and Leqembi both treat mild or early cases of dementia caused by the fatal disease. The IV drugs target one of Alzheimer\u2019s culprits, sticky amyloid plaque buildup in the brain.
Donanemab, like Leqembi, comes with serious side effects that include brain swelling and bleeding. Those are common to all plaque-targeting drugs and require close monitoring.
About a quarter of donanemab recipients showed evidence of that swelling, and about 20% had microbleeds.
___
Perrone reported from Washington, D.C.
___
The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute\u2019s Science and Educational Media Group and the Robert Wood Johnson Foundation. The AP is solely responsible for all content.
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This is highly relevant to the topic of Health as it pertains to advancements in medical treatments, regulatory actions, and the implications for patients with Alzheimer's disease." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/03/08/66b9bc08a70302b4a32565c87c778af9.json b/datasets/AP_news/raw_data/2024/03/08/66b9bc08a70302b4a32565c87c778af9.json new file mode 100644 index 0000000..6f3bcc0 --- /dev/null +++ b/datasets/AP_news/raw_data/2024/03/08/66b9bc08a70302b4a32565c87c778af9.json @@ -0,0 +1,292 @@ +{ + "altids": { + "itemid": "66b9bc08a70302b4a32565c87c778af9", + "etag": "66b9bc08a70302b4a32565c87c778af9_1a6aza0c0", + "friendlykey": "964727441695", + "referenceid": "US--Industrial-Fire-Detroit" + }, + "version": 1, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-03-09T04:16:00Z", + "firstcreated": "2024-03-08T20:11:11Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: Updates Media.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "US--Industrial-Fire-Detroit", + "headline": "Michigan residents urged not to pick up debris from explosive vaping supplies fire that killed 1", + "headline_extended": "Authorities investigating a fire and explosions that rocked a suburban Detroit building filled with vaping industry supplies are urging residents not to pick up any debris because they still pose potential hazards", + "slugline": "BC-US--Industrial-Fire-Detroit, 1st Ld-Writethru", + "description_summary": "Authorities investigating a fire and explosions that rocked a suburban Detroit building filled with vaping industry supplies are urging residents not to pick up any debris because they still pose potential hazards. 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(AP) \u2014 Authorities investigating a fire and explosions that rocked a suburban Detroit building filled with vaping industry supplies, killing one man as gas canisters soared up to 2 miles (3.2 kilometers) away, urged residents Friday not to pick up any debris because they still pose potential hazards.
The renewed warning about debris came as officials said their investigation into Monday night's fire isn't expected to begin in earnest until next week because the gutted building is filled with fallen steel beams that first need to be removed with heavy machinery.
Clinton Township Fire Chief Tim Duncan said debris is still smoldering inside the ruins but fire officials hope weekend rain will douse those areas so removal of the steel beams can begin next week.
\u201cObviously heavy equipment is going to have to get in there and start picking that apart so we can get to the bottom of what\u2019s going on there during the investigation,\" he said at a news briefing.
Duncan said more than 2 million gallons (7.57 million liters) of water has been poured on the building since Monday and fire crews have been on the scene continuously since Monday night.
Officials said a 19-year-old man was killed when he was struck by a flying gas cannister about a quarter of a mile (0.40 kilometers) from the building as ignited cannisters were rocketing away from the fire.
Duncan said Tuesday the gutted building had housed a distributor for the vaping industry called Goo, which had more than 100,000 vape pens stored on-site. Duncan said a truckload of butane canisters had arrived within the past week at the building and more than half of that stock was still there when the fire began.
Goo had received a township occupancy permit in September 2022 for the 26,700-square-foot (2,480-square-meter) building as a retail location for a \u201csmoke shop/vape store\u201d that would sell paraphernalia for vape products, Barry Miller, superintendent for Clinton Township\u2019s Building Department, has said.
But while Goo had asked about getting zoning approval for using the building for warehousing and distribution, Miller said Tuesday that the township\u2019s planning department told the company local zoning only allowed for retail.
Clinton Township Supervisor Bob Cannon said he has spoken with Macomb County Prosecutor Peter J. Lucido and said his office's \u201cmajor crimes unit is ready to work with our police department when it comes time.\"
\u201cWe will find out through our investigation what happened, who did it, who\u2019s responsible and somebody will be held accountable,\" Cannon said Friday.
Clinton Township Fire Marshal Chuck Champagne said a team of fire investigators was still being assembled that will include members of the township\u2019s fire and police departments, Michigan State Police, the federal Bureau of Alcohol, Tobacco, Firearms and Explosives and private investigators.
Cannon and other officials urged residents not to pick up cannisters and other fire debris, with Cannon saying he's seen \u201cpeople out there picking things up and taking them home as souvenirs.\u201d
\u201cPlease don\u2019t do that, it\u2019s very, very dangerous,\u201d he said.
Mary Bednar, Clinton Township's director of public services, said staff from the U.S. Environmental Protection Agency have started collecting potential hazardous fire debris, including vape pens and lithium batteries, and are working to assess debris in the neighborhoods and areas around the site.
Cannon said the EPA was expected to have about 20 people working to remove debris from neighborhoods and other areas in the days ahead.
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(AP) \u2014 People would be able to buy health insurance through Maryland's health care exchange, regardless of their immigration status, under a bill approved by the state Senate on Friday.
Supporters say the measure would reduce uncompensated hospital care costs and improve emergency room wait times.
The Senate voted 34-13 for the measure. The Maryland House already passed a similar version of the legislation. Each chamber would need to vote to approve the other's before the legislation can be sent to Gov. Wes Moore.
The measure would require the Maryland Health Benefit Exchange to submit a federal waiver application by July 1, 2025, to implement the program. The waiver is needed because of federal restrictions on immigrants lacking permanent legal status using the marketplace. The program in Maryland could start as early as 2026, if a waiver is granted.
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The document provides specific details about the legislative process and the requirements for implementing the program, which are all relevant to the topic of health." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/03/08/6fec5f38f8148b479a4adb379bdb3439.json b/datasets/AP_news/raw_data/2024/03/08/6fec5f38f8148b479a4adb379bdb3439.json new file mode 100644 index 0000000..6e4b359 --- /dev/null +++ b/datasets/AP_news/raw_data/2024/03/08/6fec5f38f8148b479a4adb379bdb3439.json @@ -0,0 +1,254 @@ +{ + "altids": { + "itemid": "6fec5f38f8148b479a4adb379bdb3439", + "etag": "6fec5f38f8148b479a4adb379bdb3439_1a4aza0c0", + "friendlykey": "486874804999", + "referenceid": "WA-XGR--Washington Legislature-Look Back" + }, + "version": 1, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-03-09T00:46:45Z", + "firstcreated": "2024-03-08T21:05:11Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: Minor edit in the third graf.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "WA-XGR--Washington Legislature-Look Back", + "headline": "Washington state achieves bipartisan support to ban hog-tying by police and address opioid crisis", + "headline_extended": "Over a busy, 60-day legislative session, Washington state lawmakers made strides to address the opioid crisis and ban a policing practice with bipartisan support, but fell short in getting some of the most progressive bills across the finish line", + "slugline": "BC-WA-XGR--Washington Legislature-Look Back, 1st Ld-Writethru", + "description_summary": "Over a busy, 60-day legislative session, Washington state lawmakers made strides to address the opioid crisis and ban a policing practice with bipartisan support, but fell short in getting some of the most progressive bills across the finish line. The short session ended Thursday with over 300 bills heading to Democratic Gov. Jay Inslee's desk. Democratic House Speaker Laurie Jinkins says 80% of them received bipartisan support. Overshadowing the session were six initiatives, some of which would overturn Democrats\u2019 biggest recent wins, including the year-old Climate Commitment Act, which works to cap and reduce pollution. Three initiatives were passed by lawmakers, while the others, including the carbon pricing program, will be considered by voters in November.", + "bylines": [ + { + "by": "By HALLIE GOLDEN", + "title": "Associated Press" + } + ], + "located": "SEATTLE", + "datelinelocation": { + "city": "Seattle", + "countryareacode": "WA", + "countryareaname": "Washington", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -122.33207, + 47.60621 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. 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The short session, which marked Jay Inslee\u2019s final one as governor, ended Thursday with over 300 bills heading to the Democratic governor\u2019s desk, 80% of which received bipartisan support, according to Democratic House Speaker Laurie Jinkins. Democrats control the state House by a margin of 58-40 and the Senate by 29-20.
Overshadowing the session were six initiatives, some of which would overturn some of Democrats' biggest recent wins, including the year-old Climate Commitment Act, which works to cap and reduce pollution. Three initiatives were passed by lawmakers, while the others, including the carbon pricing program, will be considered by voters in November.
Here\u2019s a look at key legislation that passed this session \u2014 and some bills that didn't make it.
At the start of the session, Inslee described climate as the biggest long-term issue he wanted to address over the next two months. Lawmakers had some success, including when it came to the carbon pricing program, which features quarterly auctions in which emission allowances are sold to businesses covered under the act. The Legislature approved a bill expected to merge the state\u2019s carbon market with those in California and Quebec, which also have emission allowance auctions, in an effort to expand the market and make it more stable.
Meanwhile an effort to expand the state\u2019s curbside recycling program fizzled out early on. It would have shifted the responsibility from local governments to the companies producing the waste.
\u201cWe\u2019re the greenest state in the nation and we should have a state-of-the-art recycling system in this state,\u201d said Rep. Beth Doglio, chair of the House Environment & Energy Committee. She said they plan to try again next year.
Amid staggeringly high home and rental prices, there were three key strategies lawmakers considered to address the issue, but only one made it through.
A highly anticipated bill that would bar landlords from increasing rents by more than 7% annually during a rental agreement term made it through the House only to face impenetrable hurdles in the Senate. Democratic Rep. Emily Alvarado, who sponsored the bill, said there was concern among some lawmakers about the impact it could have on new construction.
\u201cIt\u2019s really unfortunate that people would put a hypothetical risk above what is a known and devastating problem for far too many Washingtonians, which is sky rocketing rents,\u201d she said, adding that she will introduce the proposal again next year.
Another bill requiring 10% of the units in new housing structures around transit hubs to be affordable for lower income residents for at least 50 years met a similar fate. But the bipartisan effort to remove barriers to building micro-apartments made it through the Legislature with nearly unanimous support. The move is predicted to increase the supply of more affordable housing and doesn't require government subsidies.
With overdose deaths on the rise in Washington, lawmakers on both sides of the aisle pushed to boost public awareness of the crisis and increase availability of treatment options.
A bill that requires colleges and universities to provide opioid education to students and make naloxone, the opioid overdose reversal medication, widely available, passed easily through both legislative bodies. And a proposed measure that requires the Department of Health to add an overdose prevention campaign received unanimous support.
Lawmakers also honed in on the group that has been most harmed by the crisis \u2014 tribes. A bipartisan effort to provide nearly $8 million each year for the 29 federally recognized tribes in Washington to address the crisis was met with enthusiastic support. The funds are drawn in part from a roughly half-billion-dollar settlement between the state and major opioid distributors.
It\u2019s \u201ca reflection and a recognition of both the real challenges the tribes face in their communities and a reflection of the good work they\u2019re already doing and we ought to be helping them out where we can,\u201d said Republican Sen. John Braun, the minority leader in that chamber who sponsored the bill.
Native Americans and Alaska Natives in Washington die of opioid overdoses at five times the state average, according to Centers for Disease Control and Prevention data that includes provisional numbers for 2021-2022.
Lawmakers made some changes to policing in Washington, including barring law enforcement officials from hog-tying suspects, a restraint technique that has long drawn concern due to the risk of suffocation. Despite some questions from Republicans about smaller jurisdictions potentially not having the money to start using alternative restraints, overall there was widespread support.
\u201cTo pass that bill for the impacted family, as it approaches the anniversary of the death of Manny Ellis, during Black History Month, to do this kind of bill, it just felt like a moment,\u201d said Democratic state Sen. Yasmin Trudeau, who sponsored the bill.
A conservative-backed initiative to give police greater ability to pursue people in vehicles also made it through the Legislature just days before the session ended. But some have spoken out about the risk it could pose to public safety, amid hundreds of deaths caused by police chases in the U.S. each year.
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However, the document also includes significant content on non-health-related topics, which dilutes its overall relevance to the health topic." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/03/08/7340ef880306fbbadad720b8154b3605.json b/datasets/AP_news/raw_data/2024/03/08/7340ef880306fbbadad720b8154b3605.json new file mode 100644 index 0000000..69e0f8c --- /dev/null +++ b/datasets/AP_news/raw_data/2024/03/08/7340ef880306fbbadad720b8154b3605.json @@ -0,0 +1,250 @@ +{ + "altids": { + "itemid": "7340ef880306fbbadad720b8154b3605", + "etag": "7340ef880306fbbadad720b8154b3605_1a8aza0c0", + "friendlykey": "431072376977", + "referenceid": "US-MED--ALS Drug-Failed Study" + }, + "version": 1, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-03-08T17:31:34Z", + "firstcreated": "2024-03-08T16:30:21Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: Adds detail and minor edits", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "US-MED--ALS Drug-Failed Study", + "headline": "Maker of much-debated ALS drug says it may stop selling it after study showed it didn't work", + "headline_extended": "The maker of a much-debated drug for Lou Gehrig's disease said it failed to help patients with the fatal disease", + "slugline": "BC-US-MED--ALS Drug-Failed Study, 1st Ld-Writethru", + "description_summary": "The maker of a much-debated drug for Lou Gehrig's disease said it failed to help patients with the fatal disease. The results from Amylyx Pharmaceuticals announced Friday raise the likelihood that the drug will be pulled from the U.S. market. But company executives stopped short of committing to that step in a statement. U.S. regulators approved Amylyx Pharmaceuticals\u2019 Relyvrio in 2022, following a years-long advocacy campaign by patients and their families. The approval came despite concerns about the drug's effectiveness raised by outside advisers and government scientists. 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The Food and Drug Administration approved Amylyx Pharmaceuticals\u2019 Relyvrio in September 2022, following a years-long advocacy campaign by patients with amyotrophic lateral sclerosis, or ALS, a fatal muscle-wasting disease.
Amylyx said Friday it would discuss its plans for Relyvrio with patients and the FDA, which \u201cmay include voluntarily withdrawing\u201d the drug. Executives said in a statement they were \u201csurprised and disappointed\u201d by the results and hoped to announce their plans in the next two months.
The latest company study showed that the drug did not slow the disease compared with a dummy treatment. The drug also failed to show improvement on any secondary measures, such as muscle strength.
Amylyx\u2019s medication is part of a string of drugs for deadly, degenerative diseases that have won FDA approval in recent years despite questionable proof that they work.
The 2022 approval was mainly based on results from one small, mid-stage study that was criticized by some of the agency\u2019s own internal scientists. An outside committee of experts also voted against the drug initially, before being swayed to back it at a follow-up meeting requested by patients. At the time, Amylyx noted it was continuing a larger follow-up study of more than 600 patients that would provide further data on the drug.
In a highly unusual move, company executives at the meeting told FDA regulators they would voluntarily pull their drug from the market if follow-up research didn't confirm that it helps. That commitment seemed to reassure FDA's advisers who voted in favor of the drug's approval, despite the questionable data.
The FDA has no formal process to quickly force the drug off the market. That\u2019s because regulators granted Relyvrio full approval, rather than preliminary approval, which is often used for promising but unproven drugs for diseases that are hard to treat.
Amylyx\u2019s drug did not qualify for that type of approval because its studies are mostly based on patient-reported questionnaires and other data that FDA does not use to expedite drug approvals.
At the time of the decision, FDA officials explained that \u201cregulatory flexibility\u201d was appropriate for approving Relyvrio, \u201cgiven the serious and life-threatening nature of ALS and the substantial unmet need.\u201d
ALS gradually destroys the nerve cells and connections needed to walk, talk, speak and breathe. Most patients die within three to five years of a diagnosis.
In the months before the decision the FDA faced intense pressure from ALS patients, advocates and members of Congress.
Relyvrio comes as a powder that combines two older drugs: a prescription medication for liver disorders and a dietary supplement associated with traditional Chinese medicine.
Amylyx faced criticism for pricing the drug at $158,000 for a year\u2019s supply. Sales have been lackluster since the launch in late 2022, with some patients discontinuing the medicine after only a few months.
Shares of Cambridge, Mass.-based Amylyx Pharmaceuticals Inc. plunged more than 83% Friday morning.
___
The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute\u2019s Science and Educational Media Group. The AP is solely responsible for all content.
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News outlets report that Alabama Fertility Specialists performed several embryo transfers Thursday. Alabama Fertility was among three clinics that paused their services after the Alabama Supreme Court ruled last month that three couples whose frozen embryos were destroyed in an accident at a storage facility could pursue wrongful death lawsuits for their \u201cextrauterine children.\u201d The ruling prompted state lawmakers to fast-track legislation shielding doctors from potential legal liability for the destruction of embryos. Gov. Kay Ivey signed the measure late Wednesday.", + "located": "MONTGOMERY, Ala.", + "datelinelocation": { + "city": "Montgomery", + "countryareacode": "AL", + "countryareaname": "Alabama", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -86.29997, + 32.36681 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. 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(AP) \u2014 At least one clinic in Alabama has resumed in vitro fertilization treatments after the governor signed a bill into law shielding providers from potential legal liability raised by a court ruling that equated frozen embryos to children.
Alabama Fertility Specialists performed several embryo transfers Thursday, news outlets reported. Video from CBS News showed staff celebrating with a toast, and Dr. Mamie McLean said seeing patients again was \u201cincredibly exciting.\"
\u201cWe were able to talk about IVF care,\u201d McLean told CBS News. \"We were able to timeline \u2014 lots of smiles, lots of hope and optimism.\u201d
Alabama Fertility was among three clinics that paused the procedures after the Alabama Supreme Court ruled last month that three couples whose frozen embryos were destroyed in an accident at a storage facility could pursue wrongful death lawsuits for their \u201cextrauterine children.\u201d The ruling, treating an embryo the same as a child or gestating fetus under the wrongful death statute, raised concerns about civil liabilities for clinics.
The new law, which took effect immediately upon signing Wednesday night, shields providers from prosecution and civil lawsuits \u201cfor the damage to or death of an embryo\u201d during IVF services.
Patients who had IVF procedures \u2014 that were abruptly canceled or cast in doubt \u2014 are able to move forward again at clinics with plans to resume. They described a mixture of relief and gratitude, but also frustration and anger over the disruption and intrusion.
Meghan Cole, 31, who had a Feb. 23 appointment for an embryo transfer to their surrogate, was told 36 hours before the procedure that the appointment would be canceled. She said they are moving forward again, although it will take several weeks for the medication protocol to get the surrogate ready again.
\u201cWe've been delayed and obviously lost some money and time, but we are back on track This is the best-case scenario out of the really hard last couple weeks,\u201d Cole said. She said their surrogate could have walked away, and they \"can't thank her enough\" for sticking with them.
\u201cThese are real people and real lives that this interrupted. I just want people to understand that what we vote on and what we think is important has consequences and sometimes they are unintended,\u201d Cole said.
Hannah Miles, 29, will be able to proceed with an embryo transfer on March 19, in the hopes of having her first child.
\u201cRelieved, grateful,\u201d Miles said of learning that IVF treatments were proceeding. \u201cI\u2019m grateful for the Alabama Legislature listening to us. I know we really didn\u2019t give them a choice.\u201d
The court ruling had put in question if that scheduled transfer of their one remaining embryo could go forward.
\u201cI was choosing to kind of live day-by-day. That\u2019s pretty much what you do with IVF. I was more mad than anything. This has been hard enough. How dare y\u2019all make this harder,\u201d she said of the court ruling.
Jamie Heard, 37, had her first child through IVF in 2022 and wants to add another. She had her first doctor's appointment on Feb. 14 to start preparations for an embryo transfer in August. The court ruling came down two days later, throwing her plans into question.
\u201cIt felt like our choice to expand our family was kind of being taken away,\u201d Heard said.
Heard said she is concerned the ruling equating embryos to children could continue to leave a cloud of uncertainty over IVF. She said she has questions about what they can do with unused embryos and about what the legislative solution \u2014 legal immunity for clinics \u2014 means for patients like her if something goes wrong.
The University of Alabama at Birmingham said in a statement Thursday that it was \u201cworking to get patients scheduled or rescheduled for treatments as soon as possible,\" but did not say exactly when that would be. A spokeswoman did not immediately respond to an email Friday.
\u201cPatients whose health circumstances or phase of treatment requires greater urgency will be scheduled first,\u201d the statement said.
The Center for Reproductive Medicine in Mobile said in a statement that it would not reopen until it had legal clarity \u201con the extent of the immunity\u201d the new state law provided.
\u201cAt this time, we believe the law falls short of addressing the fertilized eggs currently stored across the state and leaves challenges for physicians and fertility clinics trying to help deserving families have children of their own,\u201d the statement said.
The center was a defendant in wrongful death lawsuits the Alabama Supreme Court considered in its IVF ruling last month.
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Despite Friday\u2019s suspension, it\u2019s still possible for the program to resume again down the road \u2014 with ASPR noting that it reserves the right to use COVIDTest.gov in the future as needed.", + "bylines": [ + { + "by": "By WYATTE GRANTHAM-PHILIPS", + "title": "AP Business Writer" + } + ], + "located": "NEW YORK", + "datelinelocation": { + "city": "New York", + "countryareacode": "NY", + "countryareaname": "New York", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -74.00597, + 40.71427 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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Friday March 8 is the last day residential households can request free virus tests shipped through the United States Postal Service. According to the Administration for Strategic Preparedness and Response, a division of the U.S. Health and Human Services Department, orders are set to close at 11:59 p.m. PT.
\u201cASPR has delivered over 1.8 billion free COVID-19 tests to the American people through COVIDTests.gov and direct distribution pathways and will continue distributing millions of tests per week to long-term care facilities, food banks, health centers, and schools,\u201d a spokesperson for ASPR said in a prepared statement sent to The Associated Press.
Mail orders for free COVID tests from the government have been paused or expanded before. Despite Friday's suspension, it's still possible for the program to resume again down the road \u2014 with ASPR noting that it reserves the right to use COVIDTest.gov in the future as needed.
The Biden administration first launched its free mail-order COVID tests back in January 2022. The program was most recently reopened in September of last year \u2014 and households have been eligible to order to latest round of tests since November.
The decision to suspend ordering for the program's sixth round arrives amid lowering case rates coming out of the winter respiratory season, ASPR noted.
Last month, the Centers for Disease Control and Prevention announced that the respiratory virus season was likely past its peak following a December surge \u2014 but still urged caution.
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In the last eight years, some 30 million people have undergone the procedure, in which external genitalia are partially or fully removed, UNICEF estimated in the report. The percentage of women and girls who experience female genital mutilation is declining, UNICEF said, but it warned that efforts to eradicate the practice are too slow to keep up with fast-growing populations. Some 144 million women and girls have been through female genital mutilation in Africa alone, followed by Asia and the Middle East with 80 million and 6 million respectively, the report said.", + "bylines": [ + { + "by": "By NOHA ELHENNAWY", + "title": "Associated Press" + } + ], + "located": "CAIRO", + "datelinelocation": { + "city": "Cairo", + "countrycode": "EGY", + "countryname": "Egypt", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + 31.24967, + 30.06263 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. 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In the last eight years, some 30 million people have undergone the procedure, in which external genitalia are partially or fully removed, UNICEF estimated in the report, which was released on International Women's Day.
The percentage of women and girls who experience female genital mutilation is declining, UNICEF said, but it warned that efforts to eradicate the practice are too slow to keep up with fast-growing populations.
\"The practice of female genital mutilation is declining, but not fast enough,\" the report said.
The practice, incorrectly believed to control women\u2019s sexuality, can cause serious bleeding and even death. Girls are subjected to the procedure at ages ranging from infancy to adolescence. Long term, it can lead to urinary tract infections, menstrual problems, pain, decreased sexual satisfaction and childbirth complications, as well as depression, low self-esteem and post-traumatic stress disorder.
\u201cWe\u2019re also seeing a worrying trend that more girls are subjected to the practice at younger ages, many before their fifth birthday. That further reduces the window to intervene,\u201d said UNICEF Executive Director Catherine Russell.
Some 144 million women and girls have been through female genital mutilation in Africa alone, followed by Asia and the Middle East with 80 million and 6 million respectively, the report said. Somalia tops the list of countries where the practice, also known as female circumcision, is prevalent, with 99% of the female population between the ages of 15 and 49 having been circumcised.
Burkina Faso made the most significant progress, reducing the proportion of women between 15 and 49 who were circumcised from 80% to 30% over three decades.
The report also showed that 4 in every 10 survivors live in conflict-torn countries with high population growth rates, adding that political instability disrupts efforts prevent the practice and provide support to victims.
\u201cEthiopia, Nigeria and Sudan account for the largest numbers of girls and women who have undergone female genital mutilation in conflict-affected countries,\u201d the report said.
Although the report hailed the progress made in some countries, it warned that the world is falling short of what would be needed to meet the U.N.'s goal of eradicating the practice globally by 2030.
\u201cIn some countries, progress would need to be 10 times faster than the best progress observed in history in order to reach the target by 2030,\u201d said the report.
Nimco Ali, CEO of the Five Foundation, a UK-based charity that fights female genital mutilation, said the UNICEF estimates were \u201cshocking\u201d and \u201cdevastating,\u201d and more funding is urgently needed to end the practice.
\u201cWe must use the last six years of this decade to finally get to grips with this abhorrent abuse of a girl\u2019s human rights and save the next generation from the horrors of FGM,\u201d the Somali-born activist, author and female genital mutilation survivor said in a press release.
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Therefore, the document is highly relevant to the topic of health." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/03/08/ccbc1fc44ee43f8536596d5f7bbd6876.json b/datasets/AP_news/raw_data/2024/03/08/ccbc1fc44ee43f8536596d5f7bbd6876.json new file mode 100644 index 0000000..a43cc22 --- /dev/null +++ b/datasets/AP_news/raw_data/2024/03/08/ccbc1fc44ee43f8536596d5f7bbd6876.json @@ -0,0 +1,243 @@ +{ + "altids": { + "itemid": "ccbc1fc44ee43f8536596d5f7bbd6876", + "etag": "ccbc1fc44ee43f8536596d5f7bbd6876_1a8aza0c0", + "friendlykey": "623829131103", + "referenceid": "US-MED--Wegovy-Heart Disease" + }, + "version": 1, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-03-08T22:02:52Z", + "firstcreated": "2024-03-08T19:58:54Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: Updates Media. Adds AP Audio", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "US-MED--Wegovy-Heart Disease", + "headline": "Obesity drug Wegovy is approved to cut heart attack and stroke risk in overweight patients", + "headline_extended": "The popular weight-loss drug Wegovy can now be used to reduce the risk of stroke, heart attacks and other serious heart problems in patients who are overweight or who have obesity", + "slugline": "AP-US-MED--Wegovy-Heart Disease, 1st Ld-Writethru", + "description_summary": "The popular weight-loss drug Wegovy can now be used to reduce the risk of stroke, heart attacks and other serious heart problems in patients who are overweight or who have obesity. The U.S. Food and Drug Administration approved a label change that expands the use of the drug in Wegovy. It was previously approved to treat obesity. The move is expected to change the way many heart patients are treated. The new indication also could broaden coverage of the drug by Medicare, which is prohibited from paying for weight-loss medications. The drug remains expensive and in short supply.", + "bylines": [ + { + "by": "By JONEL ALECCIA", + "title": "AP Health Writer" + } + ], + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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The U.S. Food and Drug Administration approved a label change requested by drugmaker Novo Nordisk that expands the use of semaglutide.
The decision was based on the results of a study that found that Wegovy cut the risk of serious heart problems \u2014 including heart attack, stroke and heart-related deaths. Higher-weight patients with heart disease but not diabetes were 20% less likely to experience those problems compared with patients who took placebo, or dummy shots, the study found.
Wegovy is the first medication approved to help prevent the potentially life-threatening events in this population, the agency said.
\u201cProviding a treatment option that is proven to lower this cardiovascular risk is a major advance for public health,\" said Dr. John Sharretts, who directs FDA's division of diabetes, lipid disorders and obesity.
The move will change the way many heart patients are treated, said Dr. Martha Gulati, a cardiologist at Cedars-Sinai Medical Center in Los Angeles. It confirms that the new class of obesity medications are useful for improving health, not just losing weight.
\u201cThe hope is that insurers will start understanding that this is not a vanity drug,\u201d said Gulati, who estimated that nearly 70% of her heart patients could be eligible for treatment.
Wegovy is a higher-dose version of Ozempic, the diabetes treatment that was previously approved to cut the risk of serious heart problems in people with that disease. The weight-loss drug typically costs about $1,300 a month.
Novo Nordisk has also asked European Union regulators to expand the use of the drug for heart problems. EU regulators have not weighed in on the request.
The FDA cautioned that Wegovy carries the risk of serious side effects, including thyroid tumors and certain cancers. Other possible side effects can include low blood sugar; pancreas, gallbladder, kidney or eye problems; and suicidal behavior or thinking.
About a third of the more than 17,600 participants in the clinical trial reported serious side effects. About 17% in the group that took Wegovy and about 8% of those who received placebo left the study because of those effects.
The new indication could increase coverage of the drug by Medicare, experts said. The federal health insurance program for older Americans is currently barred by law from covering drugs for weight loss alone. The agency spent nearly $3 billion in 2021 covering Ozempic to treat diabetes, according to latest available figures.
\u201cI\u2019m not sure it opens the floodgates, but it would open the door to allow more people on Medicare to gain access to Wegovy,\u201d said Tricia Neuman, a Medicare policy specialist at KFF, a nonprofit that researches health policy.
Private insurers will evaluate the new indication for Wegovy before making coverage decisions, said a spokesperson for AHIP, America's Health Insurance Plans, an industry trade group.
Drugmakers and obesity advocates have been pushing for expanded coverage, including legislation that would require Medicare to pay for the obesity drugs.
At issue has been whether the cost of the expensive medications will be offset by the savings of reduced spending on medical care related to obesity \u2014 and, now, heart disease.
One lingering obstacle to broader use is limited supply of the drug, which has been in shortage for more than a year, according to the FDA. Novo Nordisk officials say they\u2019re working to increase production.
Wider access can\u2019t come soon enough, said Gulati.
\u201cEverybody\u2019s waiting to get this medication,\u201d she said. \u201cLower the cost, don\u2019t be greedy and make sure the drug is available for use.\u201d
___
The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute\u2019s Science and Educational Media Group. The AP is solely responsible for all content.
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of President Joe Biden\u2019s as-delivered State of the Union address on March 7, 2024, as provided by the White House. It includes interactions with the audience and White House corrections to Biden\u2019s remarks in brackets:
Good evening. Good evening. If I were smart, I\u2019d go home now.
Mr. Speaker, Madam Vice President, members of Congress, my fellow Americans.
In January 1941, Franklin Roosevelt came to this chamber to speak to the nation. And he said, \u201cI address you at a moment unprecedented in the history of the Union\u201d. Hitler was on the march. War was raging in Europe.
President Roosevelt\u2019s purpose was to wake up Congress and alert the American people that this was no ordinary time. Freedom and democracy were under assault in the world.
Tonight, I come to the same chamber to address the nation. Now it\u2019s we who face an unprecedented moment in the history of the Union.
And, yes, my purpose tonight is to wake up the Congress and alert the American people that this is no ordinary moment either. Not since President Lincoln and the Civil War have freedom and democracy been under assault at home as they are today.
What makes our moment rare is that freedom and democracy are under attack at \u2014 both at home and overseas at the very same time.
Overseas, Putin of Russia is on the march, invading Ukraine and sowing chaos throughout Europe and beyond.
If anybody in this room thinks Putin will stop at Ukraine, I assure you: He will not.
But Ukraine \u2014 Ukraine can stop Putin. Ukraine can stop Putin if we stand with Ukraine and provide the weapons that it needs to defend itself.
That is all \u2014 that is all Ukraine is asking. They\u2019re not asking for American soldiers. In fact, there are no American soldiers at war in Ukraine, and I\u2019m determined to keep it that way.
But now assistance to Ukraine is being blocked by those who want to walk away from our world leadership.
It wasn\u2019t long ago when a Republican president named Ronald Reagan thundered, \u201cMr. Gorbachev, tear down this wall.\u201d
Now \u2014 now my predecessor, a former Republican president, tells Putin, quote, \u201cDo whatever the hell you want.\u201d
AUDIENCE: Booo \u2014
THE PRESIDENT: That\u2019s a quote.
A former president actually said that \u2014 bowing down to a Russian leader. I think it\u2019s outrageous, it\u2019s dangerous, and it\u2019s unacceptable.
America is a founding member of NATO, the military alliance of democratic nations created after World War Two prevent \u2014 to prevent war and keep the peace.
And today, we\u2019ve made NATO stronger than ever. We welcomed Finland to the Alliance last year. And just this morning, Sweden officially joined, and their minister is here tonight. Stand up. Welcome. Welcome, welcome, welcome. And they know how to fight.
Mr. Prime Minister, welcome to NATO, the strongest military alliance the world has ever seen.
I say this to Congress: We have to stand up to Putin. Send me a bipartisan national security bill. History is literally watching. History is watching.
If the United States walks away, it will put Ukraine at risk. Europe is at risk. The free world will be at risk, emboldening others to do what they wish to do us harm.
My message to President Putin, who I\u2019ve known for a long time, is simple: We will not walk away. We will not bow down. I will not bow down.
In a literal sense, history is watching. History is watching \u2014 just like history watched three years ago on January 6th when insurrectionists stormed this very Capitol and placed a dagger to the throat of American democracy.
Many of you were here on that darkest of days. We all saw with our own eyes the insurrectionists were not patriots. They had come to stop the peaceful transfer of power, to overturn the will of the people.
January 6th lies about the 2020 election and the plots to steal the election posed a great \u2014 gravest threat to U.S. democracy since the Civil War.
But they failed. America stood \u2014 America stood strong and democracy prevailed. We must be honest: The threat to democracy must be defended (defeated).
My predecessor and some of you here seek to bury the truth about January 6th. I will not do that.
This is a moment to speak the truth and to bury the lies. Here\u2019s the simple truth: You can\u2019t love your country only when you win.
As I\u2019ve done ever since being elected to office, I ask all of you, without regard to party, to join together and defend democracy. Remember your oath of office to defend against all threats foreign and domestic.
Respect \u2014 respect free and fair elections, restore trust in our institutions, and make clear political violence has absolutely no place \u2014 no place in America. Zero place.
Again, it\u2019s not \u2014 it\u2019s not hyperbole to suggest history is watching. They\u2019re watching. Your children and grandchildren will read about this day and what we do.
History is watching another assault on freedom. Joining us tolight (tonight) is Latorya Beasley, a social worker from Birmingham, Alabama.
Fourteen months ago \u2014 fourteen months ago, she and her husband welcomed a baby girl thanks to the miracle of IVF. She scheduled treatments to have that second child, but the Alabama Supreme Court shut down IVF treatments across the state, unleashed by a Supreme Court decision overturning Roe v. Wade. She was told her dream would have to wait.
What her family had gone through should never have happened. Unless Congress acts, it could happen again.
So, tonight, let\u2019s stand up for families like hers. To my friends across the aisle \u2014 don\u2019t keep this waiting any longer. Guarantee the right to IVF. Guarantee it nationwide.
Like most Americans, I believe Roe v. Wade got it right.
I thank Vice President Harris for being an incredible leader defending reproductive freedom and so much more. Thank you.
My predecessor came to office determined to see Roe v. Wade overturned. He\u2019s the reason it was overturned, and he brags about it. Look at the chaos that has resulted.
Joining us tonight is Kate Cox, a wife and mother from Dallas. She\u2019d become pregnant again and had a fetus with a fatal condition. Her doctor told Kate that her own life and her ability to have future in the fil- \u2014 children in the future were at risk if she didn\u2019t act. Because Texas law banned her ability to act, Kate and her husband had to leave the state to get what she needed.
What her family had gone through should have never happened as well. But it\u2019s happening to too many others.
There are state laws banning the freedom to choose, criminalizing doctors, forcing survivors of rape and incest to leave their states to get the treatment they need.
Many of you in this chamber and my predecessor are promising to pass a national ban on reproductive freedom.
AUDIENCE: Booo \u2014
THE PRESIDENT: My God, what freedom else would you take away?
Look, its decision to overturn Roe v. Wade, the Supreme Court majority wrote the following \u2014 and with all due respect, Justices \u2014 \u201cWomen are not without electoral \u2014 electoral power\u201d \u2014 excuse me \u2014 \u201celectoral or political power.\u201d
You\u2019re about to realize just how much you were right about that.
Clearly \u2014 clearly, those bragging about overturning Roe v. Wade have no clue about the power of women.
But they found out. When reproductive freedom was on the ballot, we won in 2022 and 2023. And we\u2019ll win again in 2024.
If you \u2014 if you, the American people, send me a Congress that supports the right to choose, I promise you I will restore Roe v. Wade as the law of the land again.
Folks, America cannot go back.
I am here to- \u2014 tonight to show what I believe is the way forward, because I know how far we\u2019ve come.
Four years ago next week, before I came to office, the country was hit by the worst pandemic and the worst economic crisis in a century.
Remember the fear, record losses?
Remember the spikes in crime and the murder rate? A raging virus that took more than 1 million American lives of loved ones, millions left behind.
A mental health crisis of isolation and loneliness.
A president, my predecessor, failed in the most basic presidential duty that he owes to American people: the duty to care.
AUDIENCE MEMBER: Lies!
THE PRESIDENT: I think that\u2019s unforgivable.
I came to office determined to get us through one of the toughest periods in the nation\u2019s history. We have.
It doesn\u2019t make new, but in a \u2014 news \u2014 in a thousand cities and towns, the American people are writing the greatest comeback story never told.
So, let\u2019s tell the story here \u2014 tell it here and now.
America\u2019s comeback is building a future of American possibilities; building an economy from the middle out and the bottom up, not the top down; investing in all of America, in all Americans to make every- \u2014 sure everyone has a fair shot and we leave no one \u2014 no one behind.
The pandemic no longer controls our lives. The vaccine that saved us from COVID is \u2014 are now being used to beat cancer.
Turning setback into comeback. That\u2019s what America does. That\u2019s what America does.
Folks, I inherited an economy that was on the brink. Now, our economy is literally the envy of the world.
Fifteen million new jobs in just three years. A record. A record.
Unemployment at 50-year lows.
A record 16 million Americans are starting small businesses, and each one is a literal act of hope, with historic job growth and small-business growth for Black and Hispanics and Asian Americans. Eight hundred thousand new manufacturing jobs in America and counting.
Where is it written we can\u2019t be the manufacturing capital of the world? We are and we will.
More people have health insurance today \u2014 more people have health insurance today than ever before.
The racial wealth gap is the smallest it\u2019s been in 20 years.
Wages keep going up. Inflation keeps coming down. Inflation has dropped from 9 percent to 3 percent \u2014 the lowest in the world and tending (trending) lower.
The landing is and will be soft. And now, instead of aporting \u2014 importing foreign products and exporting American jobs, we\u2019re exporting American products and creating American jobs right here in America, where they belong.
And it takes time, but the American people are beginning to feel it. Consumer studies show consumer confidence is soaring.
\u201cBuy America\u201d has been the law of the land since the 1930s. Past administrations, including my predecessor \u2014 including some Democrats, as well, in the past \u2014 failed to buy American. Not anymore.
On my watch, federal projects that you fund \u2014 like helping build American roads, bridges, and highways \u2014 will be made with American products and built by American workers creating good-paying American jobs.
And thanks to our CHIPS and Science Act the United States is investing more in research and development than ever before. During the pandemic, a shortage of semiconductors, chips that drove up the price of everything from cell phones to automobiles \u2014 and, by the way, we invented those chips right here in America.
Well, instead of having to import them, instead of \u2014 private companies are now investing billions of dollars to build new chip factories here in America creating tens of thousands of jobs, many of those jobs paying $100,000 a year and don\u2019t require a college degree.
In fact, my policies have attracted $650 billion in private-sector investment in clean energy, advanced manufacturing, creating tens of thousands of jobs here in America.
And thanks \u2014 and thanks to our Bipartisan Infrastructure Law, 46,000 new projects have been announced all across your communities.
And, by the way, I noticed some of you who\u2019ve strongly voted against it are there cheering on that money coming in. And I like it. I\u2019m with you. I\u2019m with you.
And if any of you don\u2019t want that money in your district, just let me know.
Modernizing our roads and bridges, ports and airports, public transit systems. Removing poi- \u2014 poisonous lead pipes so every child can drink clean water without risk of brain damage.
Providing affordable \u2014 affordable high-speed Internet for every American, no matter where you live \u2014 urban, suburban, or rural communities in red states and blue states.
Record investments in Tribal communities.
Because of my investment in family farms \u2014 because I invested in family farms \u2014 led by my Secretary of Agriculture, who knows more about this anybody I know \u2014 we\u2019re better able to stay in the family for the \u2014 those farms so their \u2014 and their children and grandchildren won\u2019t have to leave \u2014 leave home to make a living. It\u2019s transformative.
The great comeback story is Belvidere, Illinois. Home to an auto plant for nearly 60 years. Before I came to office, the plant was on its way to shutting down. Thousands of workers feared for their livelihoods. Hope was fading.
Then, I was elected to office, and we raised Belvidere repeatedly with auto companies, knowing unions would make all the difference. The UAW worked like hell to keep the plant open and get these jobs back. And together, we succeeded.
Instead of auto factories shutting down, auto factories are reopening and a new state-of-the-art battery factory is being built to power those cars there at the same.
To the folks \u2014 to the folks of Belvidere, I\u2019d say: Instead of your town being left behind, your community is moving forward again. Because instead of watching auto ja- \u2014 jobs of the future go overseas, 4,000 union jobs with higher wages are building a future in Belvidere right here in America.
Here tonight is UAW President Shawn Fain, a great friend and a great labor leader. Shawn, where are you? Stand up.
And \u2014 and Dawn \u2014 and Dawn Simms, a third-generation worker \u2014 UAW worker at Belvidere.
Shawn, I was proud to be the first President to stand in the picket line. And today, Dawn has a good job in her hometown, providing stability for her family and pride and dignity as well.
Showing once again Wall Street didn\u2019t build America. They\u2019re not bad guys. They didn\u2019t build it, though. The middle class built the country, and unions built the middle class.
I say to the American people: When America gets knocked down, we get back up. We keep going. That\u2019s America. That\u2019s you, the American people.
It\u2019s because of you America is coming back. It\u2019s because of you our future is brighter. It\u2019s because of you that tonight we can proudly say the state of our Union is strong and getting stronger.
AUDIENCE: Four more years! Four more years! Four more years!
THE PRESIDENT: Tonight \u2014 tonight, I want to talk about the future of possibilities that we can build together \u2014 a future where the days of trickle-down economics are over and the wealthy and the biggest corporations no longer get the \u2014 all the tax breaks.
And, by the way, I understand corporations. I come from a state that has more corporations invested than every one of your states in the state \u2014 the United States combined. And I represented it for 36 years. I\u2019m not anti-corporation.
But I grew up in a home where trickle-down economics didn\u2019t put much on my dad\u2019s kitchen table. That\u2019s why I\u2019m determined to turn things around so the middle class does well. When they do well, the poor have a way up and the wealthy still do very well. We all do well.
And there\u2019s more to do to make sure you\u2019re feeling the benefits of all we\u2019re doing.
Americans pay more for prescription drugs than anywhere in the world. It\u2019s wrong, and I\u2019m ending it.
With a law that I proposed and signed \u2014 and not one of your Republican buddies work- \u2014 voted for it \u2014 we finally beat Big Pharma.
Instead of paying $400 a month or thereabouts for insulin with diabetes \u2014 and it only costs 10 bucks to make \u2014 they only get paid $35 a month now and still make a healthy profit.
And I want to \u2014 and what to do next, I want to cap the cost of insulin at $35 a month for every American who needs it \u2014 everyone.
For years, people have talked about it. But finally, we got it done and gave Medicare the power to negotiate lower prices on prescription drugs, just like the VA is able to do for veterans.
That\u2019s not just saving seniors money. It\u2019s saving taxpayers money. We cut the federal deficit by $160 billion because Medicare will no longer have to pay those exorbitant prices to Big Pharma.
This year, Medicare is negotiating lower prices for some of the costliest drugs on the market that treat everything from heart disease to arthritis. It\u2019s now time to go further and give Medicare the power to negotiate lower prices for 500 different drugs over the next decade.
They\u2019re making a lot of money, guys. And they\u2019ll still be extremely profitable. It will not only save lives; it will save taxpayers another $200 billion.
Starting next year, the same law caps total prescription drug costs for seniors on Medicare at $200 \u2014 at $2,000 a year, even for expensive cancer drugs that cost $10-, $12-, $15,000. Now I want to cap prescription drug costs at $2,000 a year for everyone.
Folks, I\u2019m going to get in trouble for saying that, but any of you want to get in Air Force One with me and fly to Toronto, Berlin, Moscow \u2014 I mean, excuse me. Well, even Moscow, probably. And bring your prescription with you, and I promise you, I\u2019ll get it for you for 40 percent the cost you\u2019re paying now. Same company, same drug, same place.
Folks, the Affordable Care Act \u2014 the old \u201cObamacare\u201d is still a very big deal.
Over 100 million of you can no longer be denied health insurance because of a preexisting condition. But my predecessor and many in this chamber want to take the \u2014 that prescription drug away by repealing Affordable Care Act.
AUDIENCE: Booo \u2014
THE PRESIDENT: I\u2019m not going to let that happen. We stopped you 50 times before, and we\u2019ll stop you again.
In fact, I\u2019m not only protecting it, I\u2019m expanding it. The \u2014 we enacted tax credits of $800 per person per year (to) reduce healthcare costs for millions of working families. That tax credit expires next year. I want to make that savings permanent.
To state the obvious: Women are more than half of our population, but research on women\u2019s health has always been underfunded.
That\u2019s why we\u2019re launching the first-ever White House Initiative on Women\u2019s Health Research, led by Jill \u2014 doing an incredible job as First Lady \u2014 to pa- \u2014 to pass my plan for $12 billion to transform women\u2019s health research and benefit millions of lives all across America.
I know the cost of housing is so important to you. Inflation keeps coming down. Mortgage rates will come down as well, and the Fed acknowledges that.
But I\u2019m not waiting. I want to provide an annual tax credit that will give Americans $400 a month for the next two years as mortgage rates come down to put toward their mortgages when they buy their first home or trade up for a little more space. That\u2019s for two years.
And my administration is also eliminating title insurance (fees) on federally backed mortgages. When you refinance your home, you can save $1,000 or more as a consequence.
For millions of renters, we\u2019re cracking down on big landlords who use antitrust law \u2014using antitrust \u2014 who break antitrust laws by price-fixing and driving up rents.
We\u2019ve cut red tape so builders can get federally financing, which is already helping build a record 1.7 million new house u- \u2014 housing units nationwide.
Now pass \u2014 now pass (my plan) and build and renovate 2 million affordable homes and bring those rents down.
To remain the strongest economy in the world, we need to have the best education system in the world. And I, like I suspect all of you, want to give a child \u2014 every child a good start by providing access to preschool for three- and four-years-old.
You know, I think I pointed out last year \u2014 I think I pointed out last year that children coming from broken homes where there\u2019s no books, they\u2019re not read to, they\u2019re not spoken to very often start school \u2014 kindergarten or first grade hearing \u2014 having heard a million fewer words spoken.
Well, studies show that children who go to preschool are nearly 50 percent more likely to finish high school and go on to earn a two- and four-year degree no matter what their background is.
I met a year and a half ago with the leaders of the Business Roundtable. They were mad that I was ever \u2014 angry \u2014 I \u2014 well, they were discussing why I wanted to spend money on education.
I pointed out to them: As Vice President, I met with over 8- \u2014 I think it was 182 of those folks \u2014 don\u2019t hold me to the exact number \u2014 and I asked them what they need most \u2014 the CEOs. And you\u2019ve had the same experience on both sides of the aisle. They say, \u201cA better-educated workforce,\u201d right?
So, I looked at them. And I say, \u201cI come from Delaware. DuPont used to be the eighth-largest corporation in the world. And every new enter- \u2014 enterprise they bought, they educated the workforce to that enterprise. But none of you do that anymore. Why are you angry with me providing you the opportunity for the best-educated workforce in the world?\u201d
And they all looked at me and said, \u201cI think you\u2019re right.\u201d
I want to expand high-quality tutoring and summer learning to see that every child learns to read by third grade.
I\u2019m also connecting local businesses and high schools so students get hands-on experience and a path to a good-paying job whether or not they go to college.
And I want to make sure that college is more affordable. Let\u2019s continue increasing the Pell Grants to working- and middle-class families and increase record investments in HBCUs and minority-serving institutions, including Hispanic institutions.
When I was told I couldn\u2019t universally just change the way in which we did \u2014 dealt with student loans, I fixed two student loan programs that already existed to reduce the burden of student debt for nearly 4 million Americans, including nurses, firefighters and others in public service.
Like Keenan Jones, a public educator in Minnesota, who\u2019s here with us tonight. Keenan, where are you? Keenan, thank you.
He\u2019s educated hundreds of students so they can go to college. Now he\u2019s able to help, after debt forgiveness, get his own daughter to college.
And, folks, look, such relief is good for the economy because folks are now able to buy a home, start a business, start a family.
And while we\u2019re at it, I want to give public school teachers a raise.
And, by the way, the first couple of years, we cut the deficit.
Now let me speak to the question of fundamental fairness for all Americans. I\u2019ve been delivering real results in fiscally responsible ways. We\u2019ve already cut the federal deficit \u2014we\u2019ve already cut the federal deficit by over $1 trillion.
I signed a bipartisan deal to cut another trillion dollars in the next decade.
It\u2019s my goal to cut the federal deficit another $3 trillion by making big corporations and the very wealthy finally beginning to pay their fair share.
Look, I\u2019m a capitalist. If you want to make or can make a million or millions of bucks, that\u2019s great. Just pay your fair share in taxes.
A fair tax code is how we invest in things that make this country great: healthcare, education, defense, and so much more.
But here\u2019s the deal. The last administration enacted a $2 trillion tax cut overwhelmingly benefit the top 1 percent \u2014 the very wealthy \u2014
AUDIENCE: Booo \u2014
THE PRESIDENT: \u2014 and the biggest corporations \u2014 and exploded the federal deficit.
They added more to the national debt than any presidential term in American history. Check the numbers.
Folks at home, does anybody really think the tax code is fair?
AUDIENCE: No!
THE PRESIDENT: Do you really think the wealthy and big corporations need another $2 trillion tax break?
AUDIENCE: No!
THE PRESIDENT: I sure don\u2019t. I\u2019m going to keep fighting like hell to make it fair. Under my plan, nobody earning less than $400,000 a year will pay an additional penny in federal taxes nobody \u2014 not one penny. And they haven\u2019t yet.
In fact, the Child Tax Credit I passed during the pandemic cut taxes for millions of working families and cut child poverty in half.
Restore that Child Tax Credit. No child should go hungry in this country.
The way to make the tax code fair is to make big corporations and the very wealthy begin to pay their share. Remember in 2020, 55 of the biggest companies in America made $40 billion and paid zero in federal income tax. Zero.
AUDIENCE: Booo \u2014
THE PRESIDENT: Not anymore.
Thanks to the law I wrote and we signed, big companies now have to pay a minimum of 15 percent. But that\u2019s still less than working people pay in federal taxes.
It\u2019s time to raise the corporate minimum tax to at least 21 percent so every big corporation finally begins to pay their fair share.
I also want to end tax breaks for Big Pharma, Big Oil, private jets, massive executive pay when it was only supposed to be a million bal- \u2014 a million dollars that could be deducted. They can pay them $20 million if they want, but deduct a million.
End it now.
You know, there are 1,000 billionaires in America. You know what the average federal tax is for those billionaires?
AUDIENCE MEMBER: Zero!
THE PRESIDENT: No.
They\u2019re making great sacrifices \u2014 8.2 percent.
AUDIENCE: Booo \u2014
THE PRESIDENT: That\u2019s far less than the vast majority of Americans pay.
No billionaire should pay a lower federal tax rate than a teacher, a sanitation worker, or a nurse.
I proposed a minimum tax for billionaires of 25 percent \u2014 just 25 percent. You know what that would raise? That would raise $500 billion over the next 10 years.
And imagine what that could do for America. Imagine a future with affordable childcare, millions of families can get what they need to go to work to help grow the economy.
Imagine a future with paid leave, because no one should have to choose between working and taking care of their sick family member.
Imagine \u2014 imagine a future with home care and eldercare, and people living with disabilities so they can stay in their homes and family caregivers can finally get the pay they deserve.
Tonight, let\u2019s all agree once again to stand up for seniors.
Many of my friends on the other side of the aisle want to put Social Security on the chopping block.
If anyone here tries to cut Social Security or Medicare or raise the retirement age, I will stop you.
The working people \u2014 the working people who built this country pay more into Social Security than millionaires and billionaires do. It\u2019s not fair.
We have two ways to go. Republicans can cut Social Security and give more tax breaks to the wealthy. I will \u2014
AUDIENCE MEMBER: (Inaudible.)
THE PRESIDENT: That\u2019s the proposal. Oh, no? You guys don\u2019t want another $2 trillion tax cut?
AUDIENCE MEMBER: Liar!
THE PRESIDENT: I kind of thought that\u2019s what your plan was. Well, that\u2019s good to hear. You\u2019re not going to cut another $2 trillion for the super-wealthy? That\u2019s good to hear.
I\u2019ll protect and strengthen Social Security and make the wealthy pay their fair share.
Look, too many corporations raise prices to pad their profits, charging more and more for less and less.
That\u2019s why we\u2019re cracking down on corporations that engage in price gouging and deceptive pricing, from food to healthcare to housing.
In fact, the snack companies think you won\u2019t notice if they change the size of the bag and put a hell of a lot fewer \u2014 same \u2014 same size bag -\u2014 put fewer chips in it. No, I\u2019m not joking. It\u2019s called \u201cshrink-flation.\u201d
Pass Bobby Casey\u2019s bill and stop this. I really mean it.
You probably all saw that commercial on Snickers bars. And you get \u2014 you get charged the same amount, and you got about, I don\u2019t know, 10 percent fewer Snickers in it.
Look, I\u2019m also getting rid of junk fees \u2014 those hidden fees \u2014 at the end of your bill that are there without your knowledge. My administration announced we\u2019re cutting credit card late fees from $32 to $8.
Banks and credit card companies are allowed to charge what it costs them to in- \u2014 to instigate the collection. And that\u2019s more \u2014 a hell of a lot like $8 than 30-some dollars.
But they don\u2019t like it. The credit card companies don\u2019t like it, but I\u2019m saving American families $20 billion a year with all of the junk fees I\u2019m eliminating.
Folks at home, that\u2019s why the banks are so mad. It\u2019s $20 billion in profit.
I\u2019m not stopping there.
My administration has proposed rules to make cable, travel, utilities, and online ticket sellers tell you the total price up front so there are no surprises.
It matters. It matters.
And so does this. In November, my team began serious negotiations with a bipartisan group of senators. The result was a bipartisan bill with the toughest set of border security reforms we\u2019ve ever seen.
AUDIENCE: Booo \u2014
THE PRESIDENT: Oh, you don\u2019t think so?
AUDIENCE: Booo \u2014
THE PRESIDENT: Oh, you don\u2019t like that bill \u2014 huh? \u2014 that conservatives got together and said was a good bill? I\u2019ll be darned. That\u2019s amazing.
That bipartisan bill would hire 1,500 more security agents and officers, 100 more immigration judges to help tackle the backload of 2 million cases, 4,300 more asylum officers, and new policies so they can resolve cases in six months instead of six years now. What are you against?
One hundred more high-tech drug detection machines to significantly increase the ability to screen and stop vehicles smuggling fentanyl into America that\u2019s killing thousands of children.
This bill would save lives and bring order to the border.
It would also give me and any new president new emergency authority to temporarily shut down the border when the number of migrants at the border is overwhelming.
The Border Patrol union has endorsed this bill.
(Cross-talk.)
The federal Chamber of Commerce has \u2014 yeah, yeah. You\u2019re saying \u201cno.\u201d Look at the facts. I know \u2014 I know you know how to read.
I believe that given the opportunity \u2014 for \u2014 a majority in the House and Senate would endorse the bill as well \u2014 a majority right now.
AUDIENCE MEMBER: Yes!
THE PRESIDENT: But unfortunately, politics have derailed this bill so far.
I\u2019m told my predecessor called members of Congress in the Senate to demand they block the bill. He feels political win \u2014 he viewed it as a \u2014 it would be a political win for me and a political loser for him. It\u2019s not about him. It\u2019s not about me. I\u2019d be a winner \u2014 not really. I \u2014
REPRESENTATIVE GREENE: What about Laken Riley?
(Cross-talk.)
AUDIENCE: Booo \u2014
REPRESENTATIVE GREENE: Say her name!
THE PRESIDENT: (The President holds up a pin reading \u201cSay Her Name, Laken Riley.\u201d) Lanken \u2014 Lanken (Laken) Riley, an innocent young woman who was killed.
REPRESENTATIVE GREENE: By an illegal!
THE PRESIDENT: By an illegal. That\u2019s right. But how many of thousands of people are being killed by legals?
(Cross-talk.)
To her parents, I say: My heart goes out to you. Having lost children myself, I understand.
But, look, if we change the dynamic at the border \u2014 people pay people \u2014 people pay these smugglers 8,000 bucks to get across the border because they know if they get by \u2014 if they get by and let into the country, it\u2019s six to eight years before they have a hearing. And it\u2019s worth the \u2014 taking the chance of the $8,000.
(Cross-talk.)
But \u2014 but if it\u2019s only six mon- \u2014 six weeks, the idea is it\u2019s highly unlikely that people will pay that money and come all that way knowing that they\u2019ll be \u2014 able to be kicked out quickly.
Folks, I would respectfully su- \u2014 suggest to my friend in \u2014 my Republican friends owe it to the American people. Get this bill done. We need to act now.
AUDIENCE: Get it done! Get it done! Get it done!
THE PRESIDENT: And if my predecessor is watching: Instead of paying (playing) politics and pressuring members of Congress to block the bill, join me in telling the Congress to pass it.
We can do it together.
But that\u2019s what he apparently \u2014 here\u2019s what he will not do.
I will not demonize immigrants, saying they are \u201cpoison in the blood of our country.\u201d
I will not separate families.
I will not ban people because of their faith.
Unlike my predecessor, on my first day in office, I introduced a comprehensive bill to fix our immigration system. Take a look at it. It has all these and more: secure the border, provide a pathway to citizenship for DREAMers, and so much more.
But unlike my predecessor, I know who we are as Americans. We\u2019re the only nation in the world with a heart and soul that draws from old and new.
Home to Native Americans whose ancestors have been here for thousands of years. Home to people of every pla- \u2014 from every place on Earth.
They came freely. Some came in chains. Some came when famine struck, like my ancestral family in Ireland. Some to flee persecution, to chase dreams that are impossible anywhere but here in America.
That\u2019s America. And we all come from somewhere, but we\u2019re all Americans.
Look, folks, we have a simple choice: We can fight about fixing the border or we can fix it. I\u2019m ready to fix it. Send me the border bill now.
AUDIENCE: Fix it! Fix it! Fix it!
THE PRESIDENT: A transformational his- \u2014 moment in history happened 58 \u2014 59 years ago today in Selma, Alabama. Hundreds of foot soldiers for justice marched across the Edmund Pettus Bridge, named after the Grand Dragon of the Ku Klux Klan, to claim their fundamental right to vote.
They were beaten. They were bloodied and left for dead. Our late friend and former colleague John Lewis was on that march. We miss him.
But joining us tonight are other marchers, both in the gallery and on the floor, including Bettie Mae Fikes, known as the \u201cVoice of Selma.\u201d
The daughter of gospel singers and preachers, she sang songs of prayer and protest on that Bloody Sunday to help shake the nation\u2019s conscience.
Five months later, the Voting Rights Act passed and was signed into law.
Thank you. Thank you, thank you, thank you.
But 59 years later, there are forces taking us back in time: voter suppression, election subversion, unlimited dark money, extreme gerrymandering.
John Lewis was a great friend to many of us here. But if you truly want to honor him and all the heroes who marched with him, then it\u2019s time to do more than talk.
Pass the Freedom to Vote Act, the John Lewis Voting Right(s) Act.
And stop \u2014 stop denying another core value of America: our diversity across American life. Banning books is wrong. Instead of erasing history, let\u2019s make history.
I want to protect fundamental rights.
Pass the Equality Act.
And my message to transgender Americans: I have your back.
Pass the PRO Act for workers\u2019 rights.
Raise the federal minimum wage, because every worker has the right to a decent living more than eig- \u2014 seven bucks an hour.
We\u2019re also making history by confronting the climate crisis, not denying it. I don\u2019t think any of you think there\u2019s no longer a climate crisis. At least, I hope you don\u2019t.
I\u2019m taking the most significant action ever on climate in the history of the world.
I\u2019m cutting our carbon emissions in half by 2030; creating tens of thousands of clean energy jobs, like the IBEW workers building and installing 500,000 electric vehicle charging stations; conserving 30 percent of America\u2019s lands and waters by 2030; and taking action on environmental justice \u2014 fence-line communities smothered by the legacy of pollution.
And patterned after the Peace Corps and AmericaCorps (AmeriCorps), I launched the Climate Corps to put 20,000 young people to work in the forefront of our clean energy future. I\u2019ll triple that number in a decade.
To state the obvious, all Americans deserve the freedom to be safe. And America is safer today than when I took office.
The year before I took office, murder rates went up 30 percent.
MR. NIKOUI: Remember Abbey Gate!
THE PRESIDENT: Thirty percent, they went up \u2014
MR. NIKOUI: United States Marines! Kareem Mae\u2019Lee Nikoui!
THE PRESIDENT: \u2014 the biggest increase in history.
MR. NIKOUI: (Inaudible.)
THE PRESIDENT: It was then, through no \u2014 through my American Rescue Plan \u2014 which every American (Republican) voted against, I might add \u2014 we made the largest investment in public safety ever.
Last year, the murder rate saw the sharpest decrease in history. Violent crime fell to one of its lowest levels in more than 50 years.
But we have more to do. We have to help cities invest in more community police officers, more mental health workers, more community violence intervention.
Give communities the tools to crack down on gun crime, retail crime, and carjacking. Keep building trust, as I\u2019ve been doing, by taking executive action on police reform and calling for it to be the law of the land.
Directing my Cabinet to review the federal classification of marijuana and expunging thousands of convictions for the mere possession, because no one should be jailed for simply using or have it on their record.
Take on crimes of domestic violence. I\u2019m ramping up the federal enforcement of the Violence Against Women Act that I proudly wrote when I was a senator so we can finally \u2014 finally end the scourge against women in America.
There are other kinds of violence I want to stop.
With us tonight is Jasmine, whose nine-year-old sister Jackie was murdered with 21 classmates and teachers in her elementary school in Uvalde, Texas.
Very soon after that happened, Jill and I went to Uvalde for a couple days. We spent hours and hours with each of the families. We heard their message so everyone in this room, in this chamber could hear the same message.
The constant refrain \u2014 and I was there for hours, meeting with every family. They said, \u201cDo something.\u201d \u201cDo something.\u201d
Well, I did do something by establishing the first-ever Office of Gun Violence Prevention in the White House, that the Vice President is leading the charge. Thank you for doing it.
Meanwhile \u2014 meanwhile, my predecessor told the NRA he\u2019s proud he did nothing on guns when he was President.
AUDIENCE: Booo \u2014
THE PRESIDENT: After another shooting in Iowa recently, he said \u2014 when asked what to do about it, he said, just \u201cget over it.\u201d That was his quote. Just \u201cget over it.\u201d
I say stop it. Stop it, stop it, stop it.
I\u2019m proud we beat the NRA when I signed the most significant gun safety law in nearly 30 years because of this Congress. We now must beat the NRA again.
I\u2019m demanding a ban on assault weapons and high-capacity magazines. Pass universal background checks.
None of this \u2014 none of this \u2014 I taught the Second Amendment for 12 years. None of this violates the Second Amendment or vilifies responsible gun owners.
(Cross-talk.)
You know, as we manage challenges at home, we\u2019re also managing crises abroad, including in the Middle East.
I know the last five months have been gut-wrenching for so many people \u2014 for the Israeli people, for the Palestinian people, and so many here in America.
This crisis began on October 7th with a massacre by a terrorist group called Hamas, as you all know. One thousand two hundred innocent people \u2014 women and girls, men and boys \u2014 slaughtered after enduring sexual violence. The deadliest day of the \u2014 for the Jewish people since the Holocaust. And 250 hostages taken.
Here in this chamber tonight are families whose loved ones are still being held by Hamas. I pledge to all the families that we will not rest until we bring every one of your loved ones home.
We also \u2014 we will also work around the clock to bring home Evan and Paul \u2014 Americans being unjustly detained by the Russians \u2014 and others around the world.
Israel has a right to go after Hamas. Hamas ended this conflict by releasing the hostages, laying down arms \u2014 could end it by \u2014 by releasing the hostages, laying down arms, and s- \u2014 surrendering those responsible for October 7th.
But Israel has a h- \u2014 excuse me. Israel has a added burden because Hamas hides and operates among the civilian population like cowards \u2014 under hospitals, daycare centers, and all the like.
Israel also has a fundamental responsibility, though, to protect innocent civilians in Gaza.
This war has taken a greater toll on innocent civilians than all previous wars in Gaza combined. More than 30,000 Palestinians have been killed \u2014
AUDIENCE MEMBER: Says who?
THE PRESIDENT: \u2014 most of whom are not Hamas. Thousands and thousands of innocents \u2014 women and children. Girls and boys also orphaned.
Nearly 2 million more Palestinians under bombardment or displacement. Homes destroyed, neighborhoods in rubble, cities in ruin. Families without food, water, medicine.
It\u2019s heartbreaking.
I\u2019ve been working non-stop to establish an immediate ceasefire that would last for six weeks to get all the prisoners released \u2014 all the hostages released and to get the hostages home and to ease the intolerable an- \u2014 humanitarian crisis and build toward an enduring \u2014 a more \u2014 something more enduring.
The United States has been leading international efforts to get more humanitarian assistance into Gaza. Tonight, I\u2019m directing the U.S. military to lead an emergency mission to establish a temporary pier in the Mediterranean on the coast of Gaza that can receive large shipments carrying food, water, medicine, and temporary shelters.
No U.S. boots will be on the ground.
A temporary pier will enable a massive increase in the amount of humanitarian assistance getting into Gaza every day.
And Israel must also do its part. Israel must allow more aid into Gaza and ensure humanitarian workers aren\u2019t caught in the crossfire.
And they\u2019re announcing they\u2019re going to \u2014 they\u2019re going to ca- \u2014 have a crossing in Northern Gaza.
To the leadership of Israel, I say this: Humanitarian assistance cannot be a secondary consideration or a bargaining chip. Protecting and saving innocent lives has to be a priority.
As we look to the future, the only real solution to the situation is a two-state solution over time.
And I say this as a lifelong supporter of Israel, my entire career. No one has a stronger record with Israel than I do. I challenge any of you here. I\u2019m the only American president to visit Israel in wartime.
But there is no other path that guarantees Israel\u2019s security and democracy. There is no other path that guarantees Pa- \u2014 that Palestinians can live in peace with po- \u2014 with peace and dignity.
And there is no other path that guarantees peace between Israel and all of its neighbors \u2014 including Saudi Arabia, with whom I\u2019m talking.
Creating stability in the Middle East also means containing the threat posed by Iran. That\u2019s why I built a coalition of more than a dozen countries to defend international shipping and freedom of navigation in the Red Sea.
I\u2019ve ordered strikes to degrade the Houthi capability and defend U.S. forces in the region.
As Commander-in-Chief, I will not hesitate to direct further measures to protect our people and our military personnel.
For years, I\u2019ve heard many of my Republican and Democratic friends say that China is on the rise and America is falling behind. They\u2019ve got it backwards. I\u2019ve been saying it for over four years, even when I wasn\u2019t president.
America is rising. We have the best economy in the world. And since I\u2019ve come to office, our GTB (GDP) is up, our trade deficit with China is down to the lowest point in over a decade.
And we\u2019re standing up against China\u2019s unfair economic practices.
We\u2019re standing up for peace and stability across the Taiwan Straits.
I\u2019ve revitalized our partnership and alliance in the Pacific: India, Australia, Japan, South Korea, the Pacific Islands. I\u2019ve made sure that the most advanced American technologies can\u2019t be used in China \u2014 not allowing to trade them there.
Frankly, for all his tough talk on China, it never occurred to my predecessor to do any of that.
I want competition with China, not conflict. And we\u2019re in a stronger position to win the conflict (competition) of the 21st century against China than anyone else for that matter \u2014 than at any time as well.
Here at home, I\u2019ve signed over 400 bipartisan bills. But there\u2019s more to pass my Unity Agenda.
Strengthen penalties on fentanyl trafficking. You don\u2019t want to do that, huh?
Pass bipartisan privacy legislation to protect our children online.
Harness \u2014 harness the promise of AI to protect us from peril. Ban AI voice impersonations and more.
And keep our truly sacred obligation to train and equip those we send into harm\u2019s way and care for them and their families when they come home and when they don\u2019t.
That\u2019s why, with the strong support and help of Denis and the VA, I signed the PACT Act \u2014 one of the most significant laws ever, helping millions of veterans exposed to toxins who now are battling more than 100 different cancers. Many of them don\u2019t come home, but we owe them and their families support.
And we owe it to ourselves to keep supporting our new health research agency called ARPA-H \u2014 and remind us \u2014 to remind us that we can do big things, like end cancer as we know it. And we will.
Let me close with this.
THE PRESIDENT: Yay!
I know you don\u2019t want to hear anymore, Lindsey, but I got to say a few more things.
I know I may not look like it, but I\u2019ve been around a while. When you get to be my age, certain things become clearer than ever.
I know the American story. Again and again, I\u2019ve seen the contest between competing forces in the battle for the soul of our nation, between those who want to pull America back to the past and those who want to move America into the future.
My lifetime has taught me to embrace freedom and democracy, a future based on core values that have defined America \u2014 honesty, decency, dignity, and equality; to respect everyone; to give everyone a fair shot; to give hate no safe harbor.
Now, other people my age see it differently. The American story of resentment, revenge, and retribution.
That\u2019s not me. I was born amid World War Two, when America stood for the freedom of the world. I grew up in Scranton, Pennsylvania, and Claymont, Delaware, among working-class people who built this country.
I watched in horror as two of my heroes \u2014 like many of you did \u2014 Dr. King and Bobby Kennedy, were assassinated. And their legacies inspired me to pur- \u2014 pursue a car- \u2014 a career in service.
I left a law firm and became a public defender because my city of Wilmington was the only city in America occupied by the National Guard after Dr. King was assassinated because of the riots. And I became a county councilman almost by accident.
I got elected to the United States Senate when I had no intention of running, at age 29.
Then vice president to our first Black president. Now a president to the first woman vice president.
In my career, I\u2019ve been told I was too young. By the way, they didn\u2019t let me on the Senate elevators for votes sometimes. They \u2014 not a joke.
And I\u2019ve been told I am too old.
Whether young or old, I\u2019ve always been known \u2014 I\u2019ve always known what endures. I\u2019ve known our North Star. The very idea of America is that we\u2019re all created equal, deserves to be treated equally throughout our lives.
We\u2019ve never fully lived up to that idea, but we\u2019ve never walked away from it either. And I won\u2019t walk away from it now.
I\u2019m optimistic. I really am. I\u2019m optimistic, Nancy.
AUDIENCE: Four more years! Four more years! Four more years!
THE PRESIDENT: My fellow Americans, the issue facing our nation isn\u2019t how old we are; it\u2019s how old are our ideas.
Hate, anger, revenge, retribution are the oldest of ideas. But you can\u2019t lead America with ancient ideas that only take us back. To lead America, the land of possibilities, you need a vision for the future and what can and should be done.
Tonight, you\u2019ve heard mine.
I see a future where (we\u2019re) defending democracy, you don\u2019t diminish it.
I see a future where we restore the right to choose and protect our freedoms, not take them away.
I see a future where the middle class has \u2014 finally has a fair shot and the wealthy have to pay their fair share in taxes.
I see a future where we save the planet from the climate crisis and our country from gun violence.
Above all, I see a future for all Americans. I see a country for all Americans. And I will always be President for all Americans because I believe in America. I believe in you, the American people. You\u2019re the reason we\u2019ve never been more optimistic about our future than I am now.
So, let\u2019s build the future together. Let\u2019s remember who we are.
We are the United States of America. And there is nothing \u2014 nothing beyond our capacity when we act together.
God bless you all. And may God protect our troops. Thank you, thank you, thank you.
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A woman from Argentina, a couple from Miami and a man from Czechia were among those gathered on the polished cobblestones of Place Vendome in Paris to watch the historic event unfurl in an outdoor ceremony open the public. Women in the crowd recalled their own abortions, or lifelong battles for reproductive rights.
While abortion is a deeply divisive issue in the United States, it\u2019s legal in nearly all of Europe and overwhelmingly supported in France, where it\u2019s seen more as a question of public health rather than politics. French legislators approved the constitutional amendment on Monday in a 780-72 vote that was backed by many far-right lawmakers.
The Paris event was a key moment on a day focused on advancing women\u2019s rights globally. Marches, protests and conferences are being held from Jakarta, Indonesia, to Mexico City and beyond.
When the French justice minister used a 19th-century printing press to seal the amendment in France\u2019s Constitution, cheers filled the plaza. It ensures \u201cthe freedom of women to have recourse to an abortion, which is guaranteed.\u201d
\u201cFor too many years, women\u2019s destinies were sealed by others,'' President Emmanuel Macron said, calling Friday's ceremony the culmination of a \u2018\u2019long fight for freedom'' for women to choose what to do with their bodies.
The French constitutional amendment has been hailed by women\u2019s rights advocates around the world, including places where women struggle to access birth control or maternal health care. Macron said the move was prompted by the U.S. Supreme Court ruling in 2022 rescinding long-held abortion rights.
Macron called for other countries to follow suit and proposed including the right to abortion in the European Union\u2019s charter, drawing cheers from the crowd in Paris. However, such a move would likely meet stiff resistance from EU members that have tight abortion restrictions, such as Poland.
Macron\u2019s critics questioned why he pursued the measure in a country with no obvious threat to abortion rights but where women face a multitude of other problems.
While some French women saw the step as a major win, others said that in reality not every French woman has access to abortion.
\u201cIt\u2019s a smokescreen,\u201d Arya Meroni, 32, said of the event.
\u201cThe government is destroying our health care system, many family planning clinics have closed,\u2019\u2019 she said at an annual \u201cFeminist Night March\u201d in Paris on the eve of International Women\u2019s Day.
Still, for people like 44-year-old public relations director Lunise Marquis, it was a \u201cmajor milestone for women\u2019s rights.\u201d
\u201cWe are sending a message to the world,\u201d she said.
France has a persistently high rate of women killed by their partners and challenges remain in prosecuting sexual abuse against women by powerful celebrities and other men. French women also see lower pay and pensions \u2014 especially women who are not white.
Macron's government said the abortion amendment was important to avoid a U.S.-like scenario for women in France, as hard-right groups are gaining ground and seeking to turn back the clock on freedoms around Europe.
Justice Minister Eric Dupond-Moretti used a 100-kilogram (220-pound) press from 1810 to imprint the amendment in France\u2019s 1958 Constitution.
France follows in the footsteps of the former Yugoslavia, whose 1974 constitution included the phrase: \u201cA person is free to decide on having children.\" Yugoslavia's successor states retained similar language in their constitutions, though they did not spell out guaranteed abortion rights.
Not everyone saw the day as a cause for celebration, as angry protest marches were held in numerous countries.
The head of the Danish Trade Union Confederation, which has 1.3 million members, chafed at how differently women and men are treated in some areas.
\u201cUnfortunately, we still see sky-high pay differences, professions dominated by one sex, a gender-segregated labor market, harassment cases that primarily affect women and a wide range of other equality problems,\u201d Morten Skov Christensen said.
In other events Friday:
In Ireland, voters are deciding whether to change the constitution to remove passages referring to women\u2019s domestic duties and broadening the definition of the family.
In Italy, where the country\u2019s first female premier is in power, thousands of people marched in Rome to protest gender-based violence. The issue grabbed public attention after the particularly gruesome murder of a young woman last November, which Italian President Sergio Mattarella said Friday \u201cconsumed all of Italy in horror and pain.\u201d Data show more than half of the 120 women murdered in Italy last year were killed by their current or former partners.
At street rallies in Seoul, participants had an eye on next month\u2019s parliamentary elections in South Korea and expressed hope that parties would prioritize gender equality.
In Russia, where the United Nations says human rights have deteriorated since the military\u2019s full-scale invasion of Ukraine, President Vladimir Putin saluted Russian women fighting in the war and those waiting at home for their loved ones who had been deployed.
Women in Afghanistan staged rare protests against harsh Taliban restrictions. The country\u2019s rulers have banned girls and women from education above grade six and from most jobs. Females are also barred from public spaces like parks. A group of women gathered indoors in Kabul, holding up signs to hide their faces, and chanted, \u201cNo to gender apartheid\u201d and \u201cAfghanistan is hell for women.\u201d
Protesters in Turkey sought to call attention to violence against women.
Indonesian demonstrators demanded adoption of the International Labor Organization\u2019s conventions concerning gender equality and eliminating workplace violence and harassment. Labor rights groups in Thailand marched to the Government House to petition for better work conditions, and activists marching against violence in the Philippine capital were stopped by police near the presidential palace, sparking a brief scuffle.
India's government cut the price of cooking gas cylinders by 100 rupees ($1.20) with Prime Minister Narendra Modi posting on social media that the move was \u201cin line with our commitment to empowering women.\u201d
The United Nations children's agency said in a report released on International Women's Day that more than 230 million women and girls around the world have undergone female genital mutilation. The number has increased by 30 million in the past eight years, it said.
\u201cWe\u2019re also seeing a worrying trend that more girls are subjected to the practice at younger ages, many before their fifth birthday. That further reduces the window to intervene,\u201d said UNICEF Executive Director Catherine Russell.
Officially recognized by the United Nations in 1977, International Women\u2019s Day is a national holiday in about 20 countries, including Russia, Ukraine and Afghanistan.
___
Associated Press journalists around the world contributed to this report.
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For other uses, additional clearances may be required." + ], + "keywords": [ + "ALS ventilator insurance coverage UnitedHealthcare" + ], + "provider": "AP", + "infosource": [ + { + "name": "AP", + "type": "AP" + } + ], + "subject": [ + { + "rels": [ + "category" + ], + "creator": "Editorial", + "code": "f", + "name": "f" + }, + { + "rels": [ + "category" + ], + "creator": "Editorial", + "code": "a", + "name": "a" + }, + { + "rels": [ + "category" + ], + "creator": "Editorial", + "code": "n", + "name": "n" + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "39a5551883591004893adf092526b43e", + "name": "Health care costs", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 65 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "e228bab07de410048fa8df092526b43e", + "name": "Lung disease", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 92 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "cc7a76087e4e10048482df092526b43e", + "name": "Health", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 83 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "6cd98adfc84d405eadec8ca81bd37df4", + "name": "Access to health care", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 73 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "160ae006edee40b7b3bf237100a7d6aa", + "name": "Medical devices", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 52 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "c8e409f8858510048872ff2260dd383e", + "name": "Business", + "creator": "Editorial", + "editorial_subject": "Business", + "rels": [ + "direct" + ], + "relevance": 75 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "cc7a76087e4e10048482df092526b43e", + "name": "Health", + "creator": "Editorial", + "editorial_subject": "Health", + "rels": [ + "direct" + ], + "relevance": 99 + } + ], + "audiences": [ + { + "code": "82c6a4c46fa0446090a7acaf93159e4c", + "name": "Print", + "type": "AUDPLATFORM" + }, + { + "code": "9add4649b53b4702ba7d9de5d4fa607a", + "name": "Online", + "type": "AUDPLATFORM" + }, + { + "code": "f43adc08760d10048040e6e7a0f4673e", + "name": "National", + "type": "AUDSCOPE" + }, + { + "code": "f4ecf9b0760d10048044e6e7a0f4673e", + "name": "International", + "type": "AUDSCOPE" + }, + { + "code": "f5b16ea8760d10048047e6e7a0f4673e", + "name": "State", + "type": "AUDSCOPE" + }, + { + "code": "661850e07d5b100481f5c076b8e3055c", + "name": "Latin America and Caribbean", + "type": "AUDGEOGRAPHY" + }, + { + "code": "0b394d7082c71004887fdf092526b43e", + "name": "Pennsylvania", + "type": "AUDGEOGRAPHY" + }, + { + "code": "43fb970882b310048496df092526b43e", + "name": "Louisiana", + "type": "AUDGEOGRAPHY" + }, + { + "code": "b836d07082c610048807df092526b43e", + "name": "New York City", + "type": "AUDGEOGRAPHY" + }, + { + "code": "b58f18a082c6100487fbdf092526b43e", + "name": "New York", + "type": "AUDGEOGRAPHY" + }, + { + "code": "661e48387d5b10048291c076b8e3055c", + "name": "United States", + "type": "AUDGEOGRAPHY" + } + ], + "associations": { + "1": { + "altids": { + "itemid": "0a28d3a1f81e4f2c92d86c4cfa9920e1" + }, + "type": "audio" + }, + "2": { + "altids": { + "itemid": "5235c4a5c6de4f00869aeb6ec197daa7" + }, + "type": "picture" + }, + "3": { + "altids": { + "itemid": "1c3faa7d6c7c43be9187513ae7f97314" + }, + "type": "picture" + }, + "4": { + "altids": { + "itemid": "30c3aae6aa42441f9a0e5bd2d7fef235" + }, + "type": "picture" + }, + "5": { + "altids": { + "itemid": "772a962771324d5f8f1d44e587b1769d" + }, + "type": "picture" + } + }, + "body_nitf": "Lou Gehrig\u2019s disease took away Grace Armant\u2019s ability to speak, but the 84-year-old still has plenty to say about her insurance.
UnitedHealthcare has rejected several requests from her doctors for coverage of a machine Armant needs to breathe as she deals with the fatal illness.
\u201cThey are no good,\u201d Armant said, typing slowly into a device that speaks for her. \u201cI can\u2019t do without the machine.\u201d
Doctors around the country say UnitedHealthcare and other insurers have made it harder to get coverage for certain home ventilators that patients like Armant need as their lungs fail. They say patients often must struggle first with less effective \u2014 and cheaper \u2014 devices before some insurers will pay. In other cases, insurers balk at paying for a second machine needed when patients transfer from their bed to a wheelchair.
Temple University doctoral student Jaggar DeMarco waited more than three years to get his.
\u201cBreathing is not a luxury,\" he said. \u201cIt\u2019s really the bare minimum, and that\u2019s what we\u2019re asking for.\u201d
Some physicians believe insurers are making it harder on patients because more of the devices are being prescribed. Spending by the federal government\u2019s Medicare program on the ventilators jumped from about $3 million to nearly $269 million between 2009 and 2017, according to the U.S. Department of Health and Human Services Office of Inspector General.
Insurers say they do cover the machines, but that coverage can depend on several factors.
These \u201cnoninvasive\u201d ventilators help patients breathe around the clock by forcing air into the lungs, often through a mask. They are called noninvasive because they don\u2019t require trachea surgery to open the airway, like ones used in hospitals.
The machines have battery backups so they can keep working when the power goes out. They also are more powerful than other devices meant to be used mainly at night for conditions like sleep apnea. At around $1,200 a month, they can be three times as expensive as those devices.
These ventilators can help prolong the life of someone with Lou Gehrig\u2019s disease, also known as amyotrophic lateral sclerosis, doctors say.
But insurance rejections have picked up for those patients and people dealing with advanced cases of chronic obstructive pulmonary disease, said Chuck Coolidge, chief strategy officer for VieMed, which provides respiratory equipment for patients in 46 states.
That includes both initial approvals and reauthorizations, he said.
\u201cIn early 2023, it was almost like a switch flipped,\u201d he said.
UnitedHealthcare spokeswoman Heather Soule said her company covers the machines and re-evaluates requests if it gets new information. Coverage can depend on the patient\u2019s condition, terms of their health plan or guidelines from the federal government's Medicare program.
Those guidelines give insurers room to reject many ventilator requests, even those for seriously ill patients, said Dr. John Hansen-Flaschen, a pulmonary medicine expert with the University of Pennsylvania.
Government-funded Medicare Advantage plans run by UnitedHealthcare now deny nearly all initial requests for the ventilators, said Dr. Cathy Lomen-Hoerth, a neurologist with the University of California San Francisco.
In West Virginia, Dale Harper says it took several months and a personal plea before UnitedHealthcare would cover a ventilator for his 25-year-old son, Jacob, who has a rare and aggressive form of ALS.
After appeals from Jacob's doctor failed, Harper called a number on his insurance card and asked for a supervisor.
\u201cI said, \u2018I can feed him, I can help him go to the bathroom, I can move him from one place to the other,\u2019\u201d the Winfield, West Virginia, resident recalled. \u201cThe only thing I cannot do is breathe for him \u2026 and he can\u2019t breathe.\u201d
Harper said ventilator coverage was approved within an hour of that call early last year.
Doctors caring for Armant, who lives outside New Orleans, say they usually get decent ventilator coverage.
\u201cNo one thought there would be a problem,\u201d said Deidre Devier, an LSU Health experimental psychologist who specializes in cognitive disorders.
They first sought coverage in May, 2022, and Devier said Armant has only had it for around three months near the end of that year. She said a medical device company has been providing Armant's ventilator for free while her case was appealed. But those appeals have ended.
Armant's daughter said she's considering starting hospice care, which would allow for ventilator coverage but prevent her mom from seeing her regular doctors. She's also looking online for a refurbished machine.
\u201cShe doesn't have $20,000\" to buy the machine, Terrellyn Armant said.
Representatives of both patients with UnitedHealthcare coverage gave the insurer written permission to discuss their cases, but Soule declined to comment on the record.
Coverage complications aren't limited to UnitedHealthcare. DeMarco, the Temple student, said Aetna denied a request for a second breathing machine, and then several appeals. Eventually, his father\u2019s employer essentially overruled the insurer and allowed coverage.
Doctors recommend a second ventilator for people who use wheelchairs during the day. That avoids mistakes in adjusting the machine's settings when moving someone from their bed.
\u201cI\u2019m constantly angry that my life and what I can do with (it) is sometimes determined by insurance companies and bureaucracy,\u201d said the 30-year-old DeMarco, who has chronic respiratory failure.
An Aetna representative said the company could not comment on individual cases. But he added that Aetna does cover second ventilators in certain circumstances. Aetna's policy bulletin says they are medically necessary for people who need an additional ventilator for their wheelchair during the day.
Ventilator coverage problems started picking up after technology improvements made the devices easier to use, according to Dr. Lisa Wolfe, a professor at Northwestern\u2019s Feinberg School of Medicine. That led to a rise in use for patients with conditions that are not immediately life-threatening.
She said she thinks insurers are reacting to that expanded use.
ALS patients without ventilator access have limited options. They can use a device that's covered but doesn\u2019t work as well. They may get ventilator coverage by entering hospice care or having a tracheostomy.
They also might wind up bouncing in and out of hospitals, said Hansen-Flaschen, the Penn physician.
\u201cOr they die prematurely, and it\u2019s a wretched death because they can\u2019t breathe,\u201d he said.
___
The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute\u2019s Science and Educational Media Group. The AP is solely responsible for all content.
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The detailed examples and expert opinions provided in the document further emphasize its relevance to the topic of health." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/03/09/578d9cbec818ac88945da6b678ef0eaf.json b/datasets/AP_news/raw_data/2024/03/09/578d9cbec818ac88945da6b678ef0eaf.json new file mode 100644 index 0000000..b889d0e --- /dev/null +++ b/datasets/AP_news/raw_data/2024/03/09/578d9cbec818ac88945da6b678ef0eaf.json @@ -0,0 +1,185 @@ +{ + "altids": { + "itemid": "578d9cbec818ac88945da6b678ef0eaf", + "etag": "578d9cbec818ac88945da6b678ef0eaf_0a4aza0c0", + "friendlykey": "276168721418", + "referenceid": "AF--Zanzibar-Turtle Meat" + }, + "version": 0, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-03-09T22:43:32Z", + "firstcreated": "2024-03-09T22:43:31Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "signals": [ + "newscontent" + ], + "title": "AF--Zanzibar-Turtle Meat", + "headline": "9 people dead and 78 others hospitalized after eating sea turtle meat on Zanzibar's Pemba Island", + "headline_extended": "Authorities in Zanzibar say eight children and an adult have died from eating sea turtle meat on Pemba Island, while 78 others were hospitalized", + "slugline": "BC-AF--Zanzibar-Turtle Meat", + "description_summary": "Authorities in Zanzibar say eight children and an adult have died from eating sea turtle meat on Pemba Island, while 78 others were hospitalized. Sea turtle meat is considered a delicacy by residents of the East African archipelago even though it periodically results in deaths from chelonitoxism, a type of food poisoning. The district medical officer said Saturday that the adult who died was the mother of one of the children who succumbed earlier in the week. Dr. Haji Bakari says laboratory tests confirmed that all the victims had eaten sea turtle meat. In November 2021, seven people, including a 3-year-old, died on Pemba after eating turtle meat and three others were hospitalized.", + "bylines": [ + { + "by": "By ALI SULTAN", + "title": "Associated Press" + } + ], + "located": "ZANZIBAR, Tanzania", + "datelinelocation": { + "city": "Zanzibar", + "countrycode": "TZA", + "countryname": "Tanzania", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + 35, + -6 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. 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Sea turtle meat is considered a delicacy by Zanzibar's people even though it periodically results in deaths from chelonitoxism, a type of food poisoning.
The adult who died late Friday was the mother of one of the children who succumbed earlier, said the Mkoani District medical officer, Dr. Haji Bakari. He said the turtle meat was consumed Tuesday.
Bakari told The Associated Press that laboratory tests had confirmed all the victims had eaten sea turtle meat.
Authorities in Zanzibar, which is a semi-autonomous region of the East African nation of Tanzania, sent a disaster management team led by Hamza Hassan Juma, who urged people to avoid consuming sea turtles.
In November 2021, seven people, including a 3-year-old, died on Pemba after eating turtle meat while three others were hospitalized.
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With AP Photos; Updates Media.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "US--Election 2024-Biden-Abortion", + "headline": "Biden's big speech showed his uneasy approach to abortion, an issue bound to be key in the campaign", + "headline_extended": "President Joe Biden made abortion and reproductive rights a central theme of his State of the Union speech, but he never mentioned the word \u201cabortion.\u201d", + "slugline": "BC-US--Election 2024-Biden-Abortion, 1st Ld-Writethru", + "description_summary": "President Joe Biden made abortion and reproductive rights a central theme of his State of the Union speech, but he never mentioned the word \u201cabortion.\u201d Pushback over how he addressed the issue is the latest example of Biden\u2019s fraught history with the topic. Many in the abortion rights movement have long viewed him as an imperfect messenger. As Biden\u2019s campaign seeks to harness the issue for his re-election bid, his aides believe they can reach a broader swath of voters by framing the issue around reproductive freedom, as the fallout from the Supreme Court\u2019s decision to overturn Roe v. Wade has expanded into areas such as IVF and birth control.", + "bylines": [ + { + "by": "By CHRISTINE FERNANDO", + "title": "Associated Press" + } + ], + "located": "WASHINGTON", + "datelinelocation": { + "city": "Washington", + "countryareacode": "DC", + "countryareaname": "District of Columbia", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -77.03637, + 38.89511 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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Abortion rights have proved to be a potent issue driving voters to the polls and boosting Democrats since the U.S. Supreme Court ended a constitutional right to the procedure nearly two years ago. The issue could be pivotal in the presidential race and congressional contests this year.
During Thursday\u2019s speech, Biden deviated from his prepared remarks, skipping over the word \u201cabortion\u201d and instead using the phrases \u201creproductive freedom\u201d or \u201cfreedom to choose.\u201d
The word was used once in his prepared remarks, when he introduced Kate Cox, first lady Jill Biden\u2019s State of the Union guest and a Texas woman who was forced to flee the state for an abortion after finding out her fetus had a fatal condition. The text had Biden saying, \u201cBecause Texas law banned abortion.\u201d Instead, he said \u201cBecause Texas law banned her ability to act.\u201d
It\u2019s common for elected officials, especially Biden, to go off script or make in-the-moment tweaks for a host of reasons.
\u201cBy not saying the word \u2018abortion,\u2019 it implies that it\u2019s taboo or something to be ashamed of,\u201d said Kellie Copeland, executive director of Pro-Choice Ohio. \u201cIt\u2019s stigmatizing and harmful. The president should do better.\u201d
Amy Hagstrom Miller, president and CEO of Whole Woman\u2019s Health, which manages abortion clinics in Maryland, Minnesota, New Mexico and Virginia, said there was an \u201cuproar\" across the organization as staff members texted their reactions to each other.
\u201cAbortion is what we provide and what people are being denied,\u201d she said. \u201cPeople don\u2019t call us for a reproductive freedom appointment. They don\u2019t ask for a bodily autonomy visit or a choice procedure. They call for abortion care, and abortion is a professional medical term for the health care we provide. Avoiding the word just shows the power of the historical stigma around abortion.\u201d
The pushback over how he addressed the issue in his State of the Union speech is the latest example of Biden's fraught history with the topic. Many in the abortion rights movement have long viewed him as an imperfect messenger.
Biden initially opposed the 1973 Roe v. Wade decision, saying it went too far. He also opposed federal funding f or abortions and supported restrictions on abortions later in pregnancy.
The Biden campaign's strategy is to let the president be who he is \u2014 an 81-year-old Catholic man whose views on the issue have evolved and who still doesn\u2019t use the word abortion much. His aides also want to highlight his evolution on the issue and how he still grapples with what can be an uncomfortable topic but believes firmly in the freedom of choice.
\u201cDonald Trump on the other hand has repeatedly used disgusting and derogatory language when referring to women, and he will institute a national abortion ban,\" said Lauren Hitt, spokesperson for the Biden campaign. \"The choice in this election is incredibly clear.\"
Trump has taken credit for appointing three Supreme Court justices who made overturning Roe v. Wade possible.
Biden's aides believe they can reach a broader swath of voters by framing the issue around reproductive freedom, as the fallout from the Supreme Court\u2019s decision to overturn Roe v. Wade has moved beyond access to abortion and into areas such as IVF and birth control.
The strategy might appeal to some voters but alienate others, said Sophia Jord\u00e1n Wallace, a political science professor at the University of Washington.
\u201cThe question is if people sincerely believe that this framing is because he\u2019s thinking about abortion plus other issues or whether he\u2019s using that framing to avoid saying the word \u2018abortion\u2019 due to discomfort,\u201d she said,. She added that Biden could be more explicit about how his perspective on abortion has changed, something many voters may be able to relate to.
\u201cThat\u2019s a story they can tell,\u201d she said.
Polling has found that Americans broadly support abortion rights, and voters in seven states have either affirmed the right or defeated attempts to weaken it since the Supreme Court ruling. An Associated Press-NORC Center for Public Affairs Research poll conducted in June 2023 found that about two-thirds (64%) of U.S. adults think abortion should be legal in at least some circumstances. Another survey conducted later that year also found that 60% of U.S. adults think the outcome of the 2024 election will be very important for abortion policy.
Many advocates say they want to see Biden offer more full-throated support for abortion rights in particular and have said they sense discomfort in his approach to speaking on the topic.
\u201cAbortion could very well be the issue that the election hinges on,\u201d Nourbese Flint, president of the national abortion justice group All(asterisk) Above All Action Fund. \"If President Biden wants to speak to the American electorate, whatever their faith, he should use his bully pulpit to be bold on abortion access.\u201d
The State of the Union address was the latest showcase of Biden's complicated relationship with the topic.
He told The New Yorker last week: \u201cI\u2019ve never been supportive of, you know, \u2018It\u2019s my body, I can do what I want with it.\u2019\u201d
Last month in New York, Biden referred to himself as a \u201cpracticing Catholic\u201d before saying, \u201cI don\u2019t want abortion on demand, but I thought Roe v. Wade had it right.\u201d He used similar words on the 51st anniversary of that court decision.
And during a Maryland fundraiser last year for his reelection campaign, he said: \u201cI\u2019m a practicing Catholic. I\u2019m not big on abortion. But guess what? Roe v. Wade got it right.\u201d
Advocates also have criticized Biden\u2019s use of the phrase \u201cabortion on demand,\u201d which they say was once an abortion rights rallying cry that was co-opted by the anti-abortion movement.
\u201cThose comments around \u2018abortion on demand\u2019 are tied to stigma around abortion,\u201d said Dr. Jamila Perritt, president and CEO of Physicians for Reproductive Health.
Still, she said, \u201cWe need to make clear that we are much better off under that leadership than under those who want to ban abortion outright.\u201d
Biden has repeatedly called on Congress to restore Roe v. Wade protections, and his administration has made several moves to improve reproductive health care access. That includes defending the FDA's approval of the abortion drug mifepristone and supporting the agency in allowing pharmacies to get certified to dispense the drug.
Federal agencies under his administration also have improved abortion access for veterans and service members, issued guidance reminding abortion providers of their federal protections when performing abortions during medical emergencies, and filed lawsuits to defend the right to travel to another state for abortion care.
Biden has been endorsed by major abortion rights organizations, including Planned Parenthood and Reproductive Freedom for All, whose CEO, Mini Timmaraju, praised Biden for speaking \"powerfully about the harms of abortion bans and attacks on IVF\u201d in his State of the Union remarks.
Biden used part of his address to thank Vice President Kamala Harris, who has embarked on a multistate reproductive freedom tour.
Jennifer Driver, senior director of reproductive rights at State Innovation Exchange, called Harris a \u201cchampion for abortion rights,\" but said, \u201cWe also need the president to be vocal on this issue.\u201d
___
Associated Press writers Colleen Long and Linley Sanders contributed to this report.
___
The Associated Press receives support from several private foundations to enhance its explanatory coverage of elections and democracy. See more about AP\u2019s democracy initiative here. The AP is solely responsible for all content.
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(AP) \u2014 West Virginia's GOP-controlled state Legislature voted Saturday to allow some students who don't attend traditional public schools to be exempt from state vaccination requirements that have long been held up as among the most strict in the country.
The bill was approved despite the objections of Republican Senate Health and Human Resources Chair Mike Maroney, a trained doctor, who called the bill \u201can embarrassment\u201d and said he believed lawmakers were harming the state.
\u201cI took an oath to do no harm. There's zero chance I can vote for this bill,\u201d Maroney said before the bill passed the Senate 18-12. The House already approved a version of the bill in February and swiftly approved the Senate bill on Saturday, the last day of the state's 60-day legislative session.
\u201cIt\u2019s a bad bill for West Virginia, it\u2019s a step backward. There\u2019s no question, no question there will be negative effects,\" Maroney said. He added, \u201cIt\u2019s an embarrassment for me to be a part of it, it should be an embarrassment to everybody.\u201d
West Virginia, with some of the lowest life expectancy rates in the U.S. and a quarter of all children living in poverty, is one of only two states, along with California, that don't permit nonmedical exemptions to vaccinations as a condition for school entry.
Mississippi had the same policy until July, when a judge allowed people to start citing religious beliefs to seek exemptions from state-mandated vaccinations that children must receive before attending day care or school.
The new proposed vaccine law in West Virginia, which now heads to the desk of Republican Gov. Jim Justice, allows virtual public school students to be exempt and for private and parochial schools to institute their own policies either exempting students or not.
All students participating in West Virginia school activities that result in competition, including but not limited to sports, still need to be vaccinated.
The bill stipulates parents can\u2019t sue private schools and school owners, administrators, boards and staffers for deciding whether to allow exemptions or not, as long as the school provides families with a notice for parents to sign acknowledging the policy annually and upon enrollment.
\u201cI personally do not urge passage, but your health committee urged passage of this bill,\u201d Maroney said before introducing the bill in the Senate.
The bill\u2019s original intent, as introduced in the state House of Delegates, was to eliminate vaccine requirements for students in public virtual schools. It was expanded in a House committee to allow private schools to set their own vaccination standards, unless a student participates in sanctioned athletics.
The bill also created a religious exemption for any child whose parents or guardians present a letter stating the child cannot be vaccinated for religious reasons. That was taken out in the Senate.
During the Senate Health Committee meeting earlier this week, West Virginia University School of Medicine Professor Dr. Alvin Moss argued for the bill, saying the state's current compulsory vaccination policy is medically unethical because it doesn\u2019t allow informed consent.
The number of parents who don't want their children to receive vaccinations is growing, Moss said.
In 2017, the anti-vaccine requirement group West Virginians for Health Freedom had 300 families included in his members. That number has grown to at least 3,000 members in 2024, Moss said.
Former West Virginia Republican Delegate Chanda Adkins, a group member, said during the meeting that religious families who don't want to vaccinate their children deserve to be able to live their convictions.
Former West Virginia Medical Association Dr. Lisa Costello disagreed, saying West Virginia\u2019s current vaccine policy is the \"gold standard\" across the nation.
\u201cWest Virginia is seen as a national leader when it comes to our routine, child immunizations,\" she said, later adding, \u201cMeasles does not care if you go to private school or public school. Measles does not differentiate depending on where you go to school.\"
West Virginia law requires children to receive vaccines for chickenpox, hepatitis-b, measles, meningitis, mumps, diphtheria, polio, rubella, tetanus and whooping cough, unless they receive a medical exemption. West Virginia does not require COVID-19 vaccinations.
", + "textformat": "bx", + "links": [ + { + "href": "https://apnews.com/article/vaccination-west-virginia-student-private-schools-73c0b996458a89f22d41ed0b0245df68", + "rel": "canonical" + } + ], + "topics": { + "Health": { + "relevance_score": 5, + "reason": "The document discusses a legislative change in West Virginia regarding child vaccination laws, which directly impacts public health. It includes details about the bill, the opinions of health professionals, and the potential health implications of the change. This is highly relevant to the topic of Health as it addresses vaccination policies, public health standards, and the potential consequences of altering these standards." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/03/10/7e085f5bd2ac138a27fdc0ec544fb296.json b/datasets/AP_news/raw_data/2024/03/10/7e085f5bd2ac138a27fdc0ec544fb296.json new file mode 100644 index 0000000..e0ae9ff --- /dev/null +++ b/datasets/AP_news/raw_data/2024/03/10/7e085f5bd2ac138a27fdc0ec544fb296.json @@ -0,0 +1,307 @@ +{ + "altids": { + "itemid": "7e085f5bd2ac138a27fdc0ec544fb296", + "etag": "7e085f5bd2ac138a27fdc0ec544fb296_1a5aza0c0", + "friendlykey": "737400679538", + "referenceid": "AF--Ethiopia-Hunger Crisis" + }, + "version": 1, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-03-11T01:30:44Z", + "firstcreated": "2024-03-10T04:06:15Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: Expands audience.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "AF--Ethiopia-Hunger Crisis", + "headline": "Ethiopia's Tigray region is now peaceful, but extreme hunger afflicts its children", + "headline_extended": "Once-lush fields lie barren", + "slugline": "BC-AF--Ethiopia-Hunger Crisis, 1st Ld-Writethru", + "description_summary": "Once-lush fields lie barren. Mothers, faces etched with worry, watch helplessly as their children weaken from malnutrition. Hundreds of people have died. The Ethiopian region of Tigray is peaceful but war\u2019s effects linger, compounded by drought and a level of aid mismanagement that caused the U.N. and the U.S. to temporarily suspend deliveries last year. Finarwa, a town in southeastern Tigray that\u2019s home to a farming community of about 13,000 people, is among the worst-hit areas of Tigray. Extreme hunger there is afflicting mothers and their children.", + "bylines": [ + { + "by": "By AMIR AMAN KIYARO", + "title": "Associated Press" + } + ], + "located": "NEBAR HADNET, Ethiopia", + "datelinelocation": { + "city": "Nebar Hadnet", + "countrycode": "ETH", + "countryname": "Ethiopia" + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. 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A two-year war between federal troops and regional forces killed one of her own sons, the rest of whom are already adults. And now, a lack of food stemming from the region's drought has left the youngest of the children she is raising malnourished.
She tries to forage seeds among the scarce greenery of the desert's yellow, rocky landscape. But she recently resorted to traveling to the nearby Finarwa health center in southeastern Tigray to try to keep the 1-year-old baby alive.
\u201cWhen hungry, we eat anything from the desert,\u201d she said. \u201cOtherwise, nothing.\u201d
She joined several other mothers seeking help at the center in the remote administrative area of Nebar Hadnet. A mother of five complained that she had no breastmilk for her eight-month-old baby. Another with 1-year-old twins said she needed sachets of baby food to keep \u201cmy babies alive.\u201d
Tigray is now peaceful but war\u2019s effects linger, compounded by drought and a level of aid mismanagement that caused the U.N. and the U.S. to temporarily suspend deliveries last year.
Once-lush fields lie barren. Mothers, faces etched with worry, watch helplessly as their children weaken from malnutrition. Nearly 400 people died of starvation in Tigray and the neighboring Amhara region in the six months leading to January, the national ombudsman revealed in January, a rare admission of hunger-related deaths by a federal government.
Most of those deaths were recorded in Tigray, home to 5.5 million people.
Until the signing of a peace agreement in November 2022, the region was the scene of a deadly war between federal troops and forces loyal to the region\u2019s now-ousted ruling party. But months after the end of the conflict, the U.N. and the U.S. halted food aid for Tigray because of a massive scheme by Ethiopian officials to steal humanitarian grain.
An inadequate growing season followed.
Persistent insecurity meant only 49% of Tigray\u2019s farmland was planted during the main planting season last year, according to an assessment by U.N. agencies, NGOs and the regional authorities, and seen by the AP. Crop production in these areas was only 37% of the expected total because of drought. In some areas the proportion was as low as 2%, that assessment said.
The poor harvest prompted Tigray\u2019s authorities to warn of an \u201cunfolding famine\u201d that could match the famine of 1984-5, which killed hundreds of thousands of people across northern Ethiopia, unless the aid response was scaled up. Food deliveries to Tigray in the second half of last year, but only a small fraction of needy people in Tigray are receiving food aid, humanitarian workers say.
Finarwa, a farming community of about 13,000 people, is among the worst-hit places.
The town's health center still has war-damaged equipment and some of its rooms appear abandoned. Tadesse Mehari, the officer in charge of the clinic, said the lack of food at homes in the community has forced children to flee and beg in nearby towns.
\u201cNothing here to eat. So, for the sake of getting food and to save their lives, they are displaced anywhere, far from here,\u201d he said. \u201cSo, in this area, a lot of people are suffering. They are starved. They are dying due to the absence of food.\u201d
Some local leaders, feeling helpless, have been turning their own people away
Hayale Gebrekedian, a Nebar Hadnet district leader for five years, listened to the pleas of villagers who streamed into his office one recent afternoon. A widow named Serawit Wolde with 10 children was in tears as she recounted that five of them were falling ill from hunger.
\u201cPlease, any help,\u201d she told Hayale.
Hayale told the woman he had nothing to give. \u201cThere simply isn\u2019t any (food),\u201d he said.
Hayale later told the AP, \u201cThis place used to be a source of hope, even for those displaced by the war. We had enough for everyone, but now we can\u2019t even feed ourselves.\u201d
\u201cThe war took everything,\" he said. There\u2019s nothing left.\u201d
Havale said access to water was an additional challenge. Of the 25 wells that once sustained the community and its animals, only five remained functional. People now trek for over an hour and a half to access water, he said.
The region's drought has meant that some areas that usually get about 60 days of rain during the rainy season have seen only a few.
Some farmers aren't giving up.
Haile Gebre Kirstos, 70, continued to plough his parched land and plant sorghum in a village in Messebo, although rain fell \u201conly two days during the last rainy season,\u201d he said.
Once lush and teeming with livestock, the land is now a barren expanse, yet he remained hopeful even after the failure of the previous harvest.
Although the ploughing usually doesn\u2019t begin until the rainy season in May or June, this year he started the work early, driven by extreme need. He spoke of farmers who have sold their oxen and farming tools to feed their families.
For him, the memory of the 1980s famine is haunting. \u201cIt affected the entire region then,\u201d he said. \u201cNow, in some districts, it\u2019s either as bad as the 1980s, or even worse.\u201d
___
AP Africa news: https://apnews.com/hub/africa
The Associated Press receives financial support for global health and development coverage in Africa from the Bill & Melinda Gates Foundation Trust. The AP is solely responsible for all content. Find AP\u2019s standards for working with philanthropies, a list of supporters and funded coverage areas at AP.org.\u201d
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These aspects are directly related to health, particularly in terms of nutrition, child health, and the healthcare system's response to crises." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/03/10/fb66d41592482b72b53e8ddd42a24a17.json b/datasets/AP_news/raw_data/2024/03/10/fb66d41592482b72b53e8ddd42a24a17.json new file mode 100644 index 0000000..cb169e3 --- /dev/null +++ b/datasets/AP_news/raw_data/2024/03/10/fb66d41592482b72b53e8ddd42a24a17.json @@ -0,0 +1,297 @@ +{ + "altids": { + "itemid": "fb66d41592482b72b53e8ddd42a24a17", + "etag": "fb66d41592482b72b53e8ddd42a24a17_0a100aza0c0", + "friendlykey": "91697033119", + "referenceid": "US--Education-Phones in School" + }, + "version": 0, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-03-10T05:11:51Z", + "firstcreated": "2024-03-10T05:11:51Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: With AP Photo.", + "signals": [ + "newscontent" + ], + "title": "US--Education-Phones in School", + "headline": "Why you should stop texting your kids at school", + "headline_extended": "Parents are keenly aware of the distractions and the mental health issues associated with smartphones and social media, but teachers say they might not realize how much those struggles play out at school", + "slugline": "BC-US-Education-Phones-in-School", + "description_summary": "Parents are keenly aware of the distractions and the mental health issues associated with smartphones and social media, but teachers say they might not realize how much those struggles play out at school. Parents themselves can even be part of the problem by texting during school hours with questions about what they want for dinner or how they did on a test. Teachers and experts say it's generally best to hold off until after school. Teachers say you can still reach your child if you have a change in plans or a family emergency: Just contact the front office.", + "bylines": [ + { + "by": "By JOCELYN GECKER", + "title": "AP Education Writer" + } + ], + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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\u2014 \u201cWhat did you get on your test?\u201d
\u2014 \u201cDid you get the field trip form signed?\u201d
\u2014 \u201cDo you want chicken or hamburgers for dinner tonight?\u201d
Clement has a plea for parents: Stop texting your kids at school.
Parents are distressingly aware of the distractions and the mental health issues associated with smartphones and social media. But teachers say parents might not realize how much those struggles play out at school.
One culprit? Mom and Dad themselves, whose stream-of-consciousness questions add to a climate of constant interruption and distraction from learning. Even when schools regulate or ban cellphones, it's hard for teachers to enforce it. And the constant buzzes on watches and phones are occupying critical brain space regardless of whether kids are sneaking a peek.
A few changes in parents' behavior can help make phones less distracting at school. Here's what teachers and experts recommend.
Many parents stay in touch with their child by texting, but school is a place for focusing on learning and developing independence. Teachers say you can still reach your child if you have a change in plans or a family emergency: Just contact the front office.
If the message is not urgent, it can probably wait.
Think of it this way: \u201cIf you came to school and said, \u2018Can you pull my child out of calculus so I can tell them something not important?' we would say no,\u201d central Virginia school counselor Erin Rettig said.
Teachers emphasized: They are not saying parents are to blame for school cellphone battles, just that parents can do more to help. Tell your kids, for example, not to text home unless it is urgent. And if they do, ignore it.
\u201cWhen your children are texting you stuff that can wait \u2014 like, \u2018Can I go to Brett\u2019s house five days from now?\u2019 \u2014 don\u2019t respond,\u201d said Sabine Polak, one of three mothers who co-founded the Phone-Free Schools Movement. \u201cYou have to stop engaging. That\u2019s just feeding the problem.\u201d
Many parents got used to being in constant contact during the COVID-19 pandemic, when kids were home doing online school. They have kept that communication going as life has otherwise returned to normal.
\u201cWe call it the digital umbilical cord. Parents can\u2019t let go. And they need to,\u201d Clement said.
Parents might not expect their kids to respond immediately to texts (though many do). But when students pull out their phones to reply, it opens the door to other social media distractions.
At parent workshops, Rettig, the school counselor in Virginia, tells parents they are contributing to children\u2019s anxiety by sending messages, tracking their whereabouts and checking grades daily, which doesn't give kids space to be independent at school.
Some teachers say they get emails from parents right after returning graded exams, before the class is over, because kids feel the need (or are told) to report grades immediately to parents.
Dr. Libby Milkovich, a developmental and behavioral pediatrician at Children's Mercy Kansas City, says she asks parents to consider what kids miss out on by having parents at arms' reach during school hours.
\u201cBy texting back and forth with a parent, a child is unable to practice either self-calming or problem-solving skills,\u201d Milkovich said. \u201cIt's easy to text, but if I don't have a phone, I have to go ask the teacher or I have to figure it out on my own.\u201d
Some kids who oppose school cellphone bans say it's helpful to reach out to parents when they're feeling anxious or worried at school. For children with serious anxiety who are accustomed to texting parents for reassurance, Milkovich suggests phasing in limits so the child can gradually practice having more independence. She urges parents to ask themselves: Why does my child need constant access to a phone?
\u201cOften parents say, \u2018I want to be able to reach my child at any time,\u2019 which has nothing to do with the child\u2019s outcome. It\u2019s because of the parents\u2019 anxiety,\u201d she said.
Beth Black, a high school English teacher in the San Francisco Bay Area, tells parents to consider confiscating their child\u2019s old phones.
Her school requires students to put phones in a special cellphone holder when they enter classrooms. But she has seen students stash their old, inactive phone there, and hold onto the phone that works.
Like many teachers, she says phones aren't the only problem. There's also the earbud issue.
\"Forty percent of my students have at least one earbud in when they walk into class,\u201d Black said. \u201cThe kids will set their phone in the holder to music and they\u2019ll listen to music in class in one earbud.\u201d
Parents' reining in their texts will only go so far. So work with your kids to turn off some or all of their attention-stealing notifications.
To prove just how distracting smartphones are, Clement ran an in-class experiment where he asked students to take their phones off silent and switch on notifications for two minutes.
\u201cIt sounded like an old-time video arcade \u2014 bizzing, buzzing, dinging and ringing for two solid minutes,\u201d he said.
Many studies have found students check their phones frequently during class. A study last year from Common Sense Media found teens get bombarded with as many as 237 notifications a day. About 25% of them pop up during the school day, mostly from friends on social media.
\u201cEvery time our focus is interrupted, it takes a lot of brain power and energy to get back on task,\u201d said Emily Cherkin, a Seattle-based teacher-turned-consultant who specializes in screen-time management.
Teachers say the best school cellphone policy is one that physically removes the phone from the child. Otherwise, it\u2019s hard to compete.
\u201cWhen the phone vibrates in their pocket, now their focus is on their pocket. And they\u2019re wondering, \u2018How do I get it out to the table? How do I check it?\u2019\" said Randy Freiman, a high school chemistry teacher in upstate New York. \u201cYou ask them a question and they haven\u2019t heard a word you\u2019ve said. Their brain is elsewhere.\u201d
___
The Associated Press\u2019 education coverage receives financial support from multiple private foundations. AP is solely responsible for all content. Find AP\u2019s standards for working with philanthropies, a list of supporters and funded coverage areas at AP.org.
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Editorial: Demand the truth
Remember when John McCain and Barack Obama stuck to the issues during their presidential run? A grassroots organization wants to see that type of campaigning again. Associated Press
More candidates should agree to campaign ethically. More voters should demand it.
Think of all the stomach-turning direct-mail election ads, TV ads and radio spots that paint candidates in an unfair light. You\u2019re probably seeing a lot fewer of them during this primary election season, but not because more candidates are taking the high road.
It\u2019s because there are fewer contested races. For years we\u2019ve see erosion of both the number of people seeking election and the number of people going to the polls.
Sure, it\u2019ll be different in November when there will be plenty of congressional contests, statehouse and county races. And voters are sure to come out in droves for the marquee matchup of Trump v. Biden.
Cynicism is on the rise across the country. Potential voters are turned off by lies, insults, ad hominem attacks and character assassination. Good candidates in many cases forego running for office because they don\u2019t want to be subjected to the ugliness of it all.
With fewer good candidates and less interest in voting, we are losing that which makes this nation special. It\u2019s a vicious cycle that keeps going in the wrong direction. Illinois does not require you to play fair and tell the truth if you\u2019re running for office. And those who fight dirty often win.
Enter the Citizens for Ethical Campaigns, a new grass-roots organization looking to turn that around.
\u201cIf the people of Illinois want to see less corruption in government, they must demand that the candidates they elect be steadfast in their values of honesty and decency,\u201d said Denyse Stoneback, who along with other activists started the group. \u201cThat starts with their campaign.\u201d
Stoneback was a one-term state representative in the 16th House District, which serves Skokie and neighboring communities. The longtime gun control advocate was moved to make things better after her reelection campaign was scuttled by negative campaigning that painted her as a gun control opponent.
\u201cI didn\u2019t want other candidates to experience what I did,\u201d she said. \u201cWe can make democracy better by making politics better.\u201d
Late in her term, Stoneback introduced legislation known as the Truth in Politics Act, which never made it to a floor vote. It would have required honest campaigning. But then she learned Illinois passed a Code of Fair Campaign Practices in 1989 that, while voluntary, encourages candidates at all levels to follow basic principles of decency, honesty and fair play.
She was reminded of the time when then-presidential candidate John McCain corrected a woman in a crowd who insisted that Barack Obama was a Muslim. He pointed out that he and Obama merely disagreed on some policy issues.
\u201cWe need to get back to that,\u201d Stoneback said.
Citizens For Ethical Campaigns urges candidates for all levels of government to agree to follow the principles of the Code of Fair Campaign Practices. The group noted in a news release this week that 58 candidates have signed on. More candidates should be familiar with the code, and voters should insist on supporting candidates who pledge to conduct campaigns that focus on policy positions and not unfair smears of their opponents.
If candidates could be better trusted to tell the truth, we as voters could make decisions based on policy positions.
It\u2019s telling that Illinois can\u2019t seem to agree that telling the truth is important. Many other states do. We urge the General Assembly to reintroduce the bill and make it a requirement.
If we\u2019re ever to have truly fair elections, telling the truth ought to be part of it
Check out the organizations website at citizensforethicalcampaigns.org.
___
Chicago Tribune. March 8, 2024.
Editorial: \u2018Right to die\u2019 debate comes to Illinois. Both sides have merit, but we would vote no.
At the Editorial Board, we\u2019re used to hearing from passionate advocates on both sides of an issue. Certainly, there are many subjects put before us that feel like matters of life and death, especially when war or gun violence is involved. Still, nothing fully prepared us for what we heard when talking to those on both sides of the rising movement calling for Illinois to join the 10 other states (and the District of Columbia) that allow terminally ill adults to choose when and how they want to end their own lives.
\u201cI\u2019m going to die, and I\u2019m going to die soon,\u201d cancer patient Deb Robertson told us in one of our sessions. Robertson, a courageous woman, was part of a group of advocates for the so-called End of Life Options Act, which would allow eligible patients the right to access life-ending prescription medication or, to put that another way, to get the benefit of suicide assisted by a physician. The so-called right-to-die debate, which is under consideration in the Illinois legislature, has picked up steam in recent years, much like the debate over abortion rights erupted with new vigor after the Supreme Court\u2019s decision in 2022 to overturn Roe v. Wade. In these semiotically sophisticated times, even the name of the debate depends on which side you are on. Those who support it refer to a \u201cright to die.\u201d Those who oppose it prefer it be called \u201cphysician assisted suicide.\u201d
Robertson is in the former group.
Robertson, a Lombard resident, was a youth social worker before she was diagnosed last year with terminal neuroendocrine carcinoma, an aggressive form of cancer. She retired from her job of counseling teens, she said, and now has become an activist for the right of the terminally ill to choose.
\u201cHow I\u2019m going to die is what I\u2019m concerned about,\u201d she said, arguing that her ability to make that choice should be a fundamental human right for any terminally ill American.
End-of-life care has progressed in many ways for the better since the days when the shadowy figure of Dr. Jack Kevorkian earned the nickname \u201cDr. Death\u201d with his portable euthanasia services. Kevorkian, who famously said that \u201cdying is not a crime\u201d and yet was himself convicted of second-degree murder in 1999, died in 2011. Between his being granted parole and his death, he was legally obligated not even to broach the subject, let alone continue to participate in the cause.
These days, the public knows more about, and has become far more supportive of, the advantages of hospice and palliative care. Broadly speaking, that\u2019s treatment seeking not to cure a medical situation so much as provide relief from the pain and other symptoms of a serious illness, as well as to help patients cope with side effects. And, despite widely held concerns, the availability of palliative care does not always depend on whether your condition can be cured. In general, albeit with some exceptions, the end-of-life comforts available to most of us in the last months or weeks of our lives have greatly improved from what was offered to our family members and other loved ones in the past.
That said, palliative care may simply not be enough for some patients for whom pain can still persist. And, beyond even that, is the simple, fundamental desire of Americans, among other humans, to feel and be free even as our bodies fail. As Robertson put it, \u201cIt\u2019s about me having the choice to be able to die the way I want to die.\u201d She made a most persuasive case.
___
Chicago Sun-Times. March 9, 2024.
Editorial: Here\u2019s how Illinois can better help relatives who take in foster-care children
The state gives smaller reimbursements to relatives who provide kinship care than it does to parents who are not related to the children. The Legislature can, and should, fix that.
Illinois\u2019 foster care rules historically have been set up with the expectation that children removed from their homes will be cared for by unrelated licensed foster parents. But in Illinois, the Department of Children & Family Services now places more than half of those children with relatives, and that percentage is higher in Chicago.
More needs to be done to assist relatives who take those children in.
Foster parents who are not related to the children they take in must undergo weeks of training before they are licensed. Those foster parents are reimbursed by the state at a higher level than relatives who suddenly are asked to take in children. That\u2019s not an ideal system, because it\u2019s often a smoother transition for children to be cared for by relatives they already know, a system called kinship care.
As Nora Collins-Mandeville, director of Systems Reform Policy for the ACLU of Illinois, says, \u201cThe outcomes are much better with relatives.\u201d
Moreover, relatives who take in children often are more likely to be living at or near their budget limits, Collins-Mandeville said. They need the extra money.
Of course, relatives can take the licensing training, too, but they might not be able to qualify as licensed foster parents for other reasons. For example, they might not have a separate bedroom for each child. Only 40% of relatives in Illinois who have taken in children are receiving the higher reimbursement rates granted to licensed foster parents.
Uncertified relatives get a monthly stipend of $388 per child. Licensed foster parents get $544 for a child under five, $611 for children aged five to eight and $656 for child nine or older, according to Mark Testa, distinguished professor emeritus in the School of Social Work at the University of North Carolina at Chapel Hill.
Under a new federal rule pushed by U.S. Rep. Danny Davis, D-Ill., that was finalized in October, Illinois is now permitted \u2014 starting this month \u2014 to submit a plan to give relatives the same resources that licensed foster parents get, provided those relatives meet some standards, such as passing a background check.
Making the change would benefit the state because under the new federal policy, the state will be reimbursed for half of what it pays for reimbursements and administrative costs, which will put millions of dollars in state coffers.
Bills in the House and Senate would authorize the state to make this change, while also dealing with other issues. The Legislature should put relatives on a par with licensed foster parents.
As Dan Kotowski, president and CEO of Kids Above All, a nonprofit dedicated to building better lives for children and families, says about caring for children in general, \u201cThe real conversation should be what is best for the child.\u201d
Kotowski is absolutely correct. The Legislature should pay attention and do the right thing.
END
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was intended to calm concern and speculation about the British royal's health, but had the opposite effect.
Several news agencies that initially published the photo, including The Associated Press, withdrew the image over concerns about digital manipulation. Issued by the couple\u2019s Kensington Palace office on Sunday to mark Mother\u2019s Day in Britain, it was the first official photo of 42-year-old Kate since she had abdominal surgery nearly two months ago.
The retractions sent the online rumor mill, already rampant with speculation over Kate\u2019s operation and recuperation, into overdrive. The PR disaster is more evidence that the royal family\u2019s long-held mantra \u2014 \u201cnever complain, never explain\u201d \u2014 is impossible in a social media-saturated era.
In a post on social media, Kate said that \u201clike many amateur photographers, I do occasionally experiment with editing.\u201d
\u201cI wanted to express my apologies for any confusion the family photograph we shared yesterday caused,\u201d the post said.
In the past, the palace has issued several of Kate's family snapshots featuring her and heir to the throne, Prince William, with their children Prince George, 10, Princess Charlotte, 8, and Prince Louis, 5.
The latest photo was taken by William, Kensington Palace said. In an accompanying social media message, Kate said: \u201cThank you for your kind wishes and continued support over the last two months. Wishing everyone a Happy Mother\u2019s Day.\u201d
While there was no suggestion the photo was fake, AP retracted it because closer inspection revealed the source had manipulated the image in a way that did not meet AP\u2019s photo standards. For instance, it contained an inconsistency in the alignment of Princess Charlotte\u2019s left hand with the sleeve of her sweater.
Other major news agencies, including Getty, Reuters, AFP and the U.K. national agency, PA, also withdrew the photo.
Kensington Palace said it would not release the original unedited photograph. And while Kate\u2019s statement provided a measure of clarification, it looked unlikely to stop the swirl of rumor that has accelerated during her absence from public duties.
Former BBC royal correspondent Peter Hunt said the mishandled photo release \u201cis damaging for the royals.\u201d
\u201cThey knew there would be intense interest in any picture they released of Kate,\u201d he wrote on X, formerly known as Twitter. \"Their challenge is that people will now question whether they can be trusted and believed when they next issue a health update.\u201d
The royal family is under particular scrutiny because King Charles III has also had to cancel public duties while he undergoes treatment for an unspecified form of cancer. The monarch has canceled all his public engagements, though he has been photographed walking to church and meeting privately with government officials and dignitaries.
Charles\u2019 relative openness about his diagnosis was a departure for the generally secretive royal family. But it has been eclipsed in popular interest by curiosity over Kate\u2019s condition. In the absence of firm information, conspiracy theories have rushed to fill the vacuum.
The release of the photo followed weeks of gossip on social media about what had happened to Kate since she left a hospital Jan. 29 after a nearly two-week stay following planned surgery. She hadn\u2019t been seen publicly since Christmas Day.
Kate underwent surgery Jan. 16 and her condition and the reason for the operation have not been revealed, though Kensington Palace said it was not cancer-related.
Although the palace initially said that it would only provide significant updates and that she would not return to royal duties before Easter \u2014 March 31 this year \u2014 it followed up with a statement last month saying she was doing well.
At the time, royal aides told The Sun newspaper: \u201cWe\u2019ve seen the madness of social media and that is not going to change our strategy. There has been much on social media but the princess has a right to privacy and asks the public to respect that.\u201d
Further questions were raised last week when the British military seemed to jump the gun in announcing Kate would attend a Trooping the Color ceremony in June, apparently without consulting palace officials.
It\u2019s up to palace officials, not government departments, to announce the royals\u2019 attendance at events. Kensington Palace didn\u2019t confirm any scheduled public events for Kate, and the army later removed reference to her attendance.
William, Queen Camilla and other senior royals attended a Commonwealth Day service at Westminster Abbey on Monday. Neither Kate nor the king was due to be at the event, which drew a crowd of several dozen anti-monarchist protesters holding signs reading \u201cDown with the Crown.\u201d
William was also due to speak at an event for the Earthshot Prize, an environmental competition that he founded.
Veteran public relations consultant Mark Borkowski said the photo gaffe exposed a wider PR problem for the monarchy.
\u201cThere doesn\u2019t seem to be that much joined-up strategic thinking at the heart of the royal family at the moment, which leads to these problems where it\u2019s a very difficult organization to manage in terms of PR,\u201d he said.
\u201cI find they have risen to the challenge, provided the statement as an explanation,\" he said of Kate's apology Monday. \"The question is, with all the conspiracy theories running around, is whether people believe it. And I\u2019m not sure that they will.\u201d
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Editorial: Hiding behind fees isn\u2019t what FOIA is for
Governments are people and, from time to time, people do embarrassing things. Things they\u2019d rather not display \u2014 like a mural on the side of a big Detroit skyscraper.
However, in the matter of a half-dozen such large-scale murals, and the investigation into whether the deal was on the up-and-up, exorbitant Freedom of Information Act fees are acting as a shroud.
Detroit Free Press reporters are looking into how the $215,000 \u201cDetroit Be the Change\u201d murals were contracted and approved, after online backlash erupted about using artists from far-flung places like Australia, Germany, Nigeria and France instead of local artists in the hometown-pride campaign.
Detroit\u2019s director of planning and development executed the contracts after the art was done, and the Freep filed a FOIA request for four months of emails regarding the process.
They received a $17,000 quote \u2014 for emails already created on the public dime about how further dimes are spent on projects, not only in the public interest but in full public view.
Michigan\u2019s FOIA law allows agencies to recoup costs spent on mailing, photocopies, finding and separating records. But the quote said the search and separation will require 12.5 hours of attorney time and 315 hours of staff time at hourly rates of $30 and $39, plus benefits.
If your jaw isn\u2019t on the floor, consider this \u2014 FOIA is how taxpayers access their government. All taxpayers.
Journalists are just a fraction of FOIA users \u2014 only 7.6 percent, according to a 2017 study by Columbia Journalism Review. More requests come from businesses (39 percent), individuals (20 percent) and law firms (16.7 percent).
If journalists are experiencing this, likely others are, too.
\u201cIt\u2019s one of the big problems with Michigan FOIA that allows public bodies to hide behind excessive fee demands to keep the public in the dark about its own business,\u201d Herschel Fink, Free Press legal counsel, said in a Freep story.
The story also noted the news outlet is working with the city on the request to get costs down.
But the FOIA fees issue \u2014 widespread in Michigan and certainly experienced at the Record-Eagle \u2014 still remains.
Lisa McGraw, Michigan Press Association spokesperson, said the group is lobbying for better FOIA response times, and on the attitude in general.
\u201cThe biggest overarching issue with transparency and government officials is that they see it as a burden, not an essential service that they would provide to the citizens,\u201d McGraw told the Freep.
This comes through in the delays, fees, and other shoo-fly experiences that come with Michigan FOIA. Widespread governmental discomfort shows that, even when missteps aren\u2019t intentional, they can appear to be.
And this story won\u2019t be shooed-away. Detroit City Council members canceled the artist group contract, which may come back on the city. And then there\u2019s the matter of the \u201cDetroit Be the Change\u201d murals themselves, a visual reminder that good government needs openness, transparency and accountability. Not shrouds.
___
Alpena News. March 7, 2024.
Editorial: Volunteer for hospice
Hospice of Michigan provides a meaningful and important service, helping to ensure compassionate end-of-life care for patients.
To do that, Hospice depends on teams of volunteers to spend time with patients to make sure their final days are filled with companionship.
Now, News staff writer Mike Gonzalez reported recently, Hospice is in urgent need of additional volunteers to work with patients in Presque Isle County.
The group needs one to three volunteers to serve in each of Posen, Rogers City, Presque Isle, and Millersburg, the group told Gonzalez.
Currently, volunteers from the Alpena area drive long distances to spend time with patients in those places. Hospice would like volunteers from patients\u2019 communities.
No special skills are needed, just a willingness to spend time with someone who will appreciate it.
\u201cCompanionship volunteering can really look different depending on the person,\u201d Kathy Lietaert, the statewide manager of volunteer services for Hospice of Michigan, told Gonzalez. \u201cIt might look like conversations with patients and family members, reading to patients, or even listening to music together. We do have musicians for patients, but it could be something as simple as playing something on your phone.\u201d
We urge anyone who has the time and the heart to do the work to visit hom.org or call Lietaert at 231-779-5409.
\u201cIf you\u2019re considering hospice volunteering, please make the leap,\u201d Lietaert said. \u201cYou will receive so much in return when you can help patients and families at end of life. If you\u2019re compassionate and have a desire to help others, this is the volunteering job for you.\u201d
END
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(AP) \u2014 In Republican-led states across the U.S., conservative legislators are refusing to reevaluate abortion bans \u2014 even as doctors and patients insist the laws\u2019 exceptions are dangerously unclear, resulting in denied treatment to some pregnant women in need.
Instead, GOP leaders accuse abortion rights advocates of deliberately spreading misinformation and doctors of intentionally denying services in an effort to undercut the bans and make a political point. At the same time, however, some states are taking steps that they say will provide more clarity about when abortions can be legally performed.
The Republican-controlled South Dakota Legislature wants to create a video in which medical experts \u2014 and the state's attorneys \u2014 would explain to doctors and patients when abortions can be legally performed. The measure was passed last month and is now awaiting the signature of Republican Gov. Kristi Noem, who has indicated she will sign it.
The first-in-the-nation idea is wholeheartedly supported by SBA Pro-Life, one of the country's largest anti-abortion groups, which says the video will help to combat \u201cconfusion caused by the abortion industry.\u201d
\u201cSouth Dakota is showing the rest of the nation how to protect women\u2019s lives from the misinformation surrounding abortion laws,\u201d said the organization's public affairs director in South Dakota, Kelsey Pritchard.
Oklahoma and Kentucky are also taking steps to clarify their abortion bans, though in both states the attorneys general, not physicians, are the ones dictating the terms.
In Oklahoma, the AG sent out a memo in 2022 informing prosecutors and police that doctors should have \u201csubstantial leeway\u201d to provide certain abortions. Last year, the office added that patients don't have to be \u201cseptic, bleeding profusely, or otherwise close to death\u201d \u2014 but reiterated a past warning that doctors should be prosecuted if there's evidence they violated the law by providing an abortion when a woman's life wasn't actually in danger.
Kentucky's attorney general has stated that miscarriages and ectopic pregnancies \u2014 when a fertilized egg grows outside the uterus \u2014 are both exempted from the state's abortion ban, but has been silent on the majority of other pregnancy complications that physicians and patients have pointed out.
Since the U.S. Supreme Court overturned the constitutional right to abortion in 2022, states have been free to enact their own restrictions. South Dakota is among the 14 that ban abortion at all stages of pregnancy. The law does allow an abortion exception to save the life of the mother, but like similar statutes in other states, it does not clearly define which pregnancy complications are considered life-threatening.
State Republican Rep. Taylor Rehfeldt, a nurse anesthetist, said she decided to propose the informational video after hearing from physicians about the ongoing confusion. She said the video offered the best solution because any attempt to tweak the abortion ban itself would provoke strong disagreement among her GOP colleagues.
It remains to be seen how much help the video will be to patients and doctors, however. It's not expected to specifically list pregnancy complications that would legally qualify women for abortions, and it's unclear if it will contain a legal disclaimer warning that anyone who watches the video may still face potential criminal charges.
\u201cIt\u2019s not going to deal with hard calls,\u201d said Greer Donley, an associate professor at the University of Pittsburgh School of Law who is an expert on abortion law. \u201cThey actually don\u2019t want to deal with the hard calls because their movement is not sure ... how those hard calls should be resolved.\u201d
South Dakota Republican state Sen. Erin Tobin, one of the measure's proponents, acknowledged to a Senate panel last month that the video will not contain specific examples.
\u201cThat\u2019s the problem with health care, is that there are so many different circumstances, that you have to allow doctors discretion,\u201d Tobin said.
As some states mull how to clarify \u2014 without weakening \u2014 their abortion bans, abortion rights advocates in several states continue to challenge the bans with lawsuits.
Twenty Texas women denied abortions are suing the state seeking clarification, while advocates filed a lawsuit in Tennessee arguing that the state ban's vaguely defined exceptions put pregnant women's lives at risk.
Tennessee Attorney General Jonathan Skrmetti pushed back. He argued that it wasn't the law, per se, that is harming women but rather \u201cother factors like doctors\u2019 independent choices not to provide permissible abortions.\"
The lawsuit is ongoing, with attorneys expected to make their arguments before a three-judge panel next month on whether the state ban should be temporarily blocked as the legal battle continues or if the case should be dismissed entirely.
Donley spurned the idea that doctors bear the responsibility for endangering patients.
\u201cI completely reject any narrative that there\u2019s any sort of provider out there that\u2019s intentionally harming women and pregnant people for the sake of a news story,\u201d she said. \u201cThat\u2019s just not happening. But are mistakes being made because people are terrified? Yeah, probably.\u201d
In Texas, a pregnant woman whose fetus had a fatal condition went straight to the state supreme court last year to request an exemption from the Lone Star State's strict ban. The court denied Katie Cox's request \u2014 forcing her to go out of state to get an abortion \u2014 but did urge the Texas Medical Board to issue guidance to doctors on how to interpret the law.
\u201cWhile the judiciary cannot compel executive branch entities to do their part, it is obvious that the legal process works more smoothly when they do,\u201d the justices wrote.
And yet, the medical board, comprising 19 members appointed by the governor, has so far not offered any sort of guidance.
Republican Gov. Greg Abbott is a vocal abortion opponent.
Frustrated with the board's inaction, Amy and Steven Bresnen, a couple who are lawyers and lobbyists, filed a petition in January asking it to clarify what circumstances qualify as medical exceptions to the state's abortion ban.
\"Pregnant females in life-threatening situations and the health care providers otherwise willing to save their lives simply cannot be required to stand idly in the void when the TMB (Texas Medical Board) has the authority to act and the duty to regulate medicine in this state in the public interest,\u201d the petition states.
The board is expected to meet later this month and will likely address the petition, Steven Bresnen said.
\u201cNobody has put them on the spit to make them make a formal decision,\u201d he said. \u201cIf they decline to, they have to explain why.\u201d
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(AP) \u2014 President Joe Biden on Monday released a budget proposal aimed at getting voters' attention: It would offer tax breaks for families, lower health care costs, smaller deficits and higher taxes on the wealthy and corporations.
Unlikely to pass the House and Senate to become law, the proposal for fiscal 2025 is an election year blueprint about what the future could hold if Biden and enough of his fellow Democrats win in November. The president and his aides previewed parts of his budget going into last week's State of the Union address, and they provided the fine print on Monday.
If the Biden budget became law, deficits could be pruned $3 trillion over a decade. It would raise tax revenues by a total of $4.9 trillion over that period and use roughly $1.9 trillion to fund various programs, with the rest going to deficit reduction.
The president traveled Monday to Manchester, New Hampshire, where he called on Congress to apply his $2,000 cap on drug costs and $35 insulin to everyone, not just people who have Medicare. He also advocated for making permanent some protections in the Affordable Care Act that are set to expire next year.
\u201cI\u2019m here in New Hampshire to talk about the budget I released today that would, I think, help in a big way,\" Biden said.
Biden aides said their budget was realistic and detailed while rival measures from Republicans were not financially viable.
\u201cCongressional Republicans don\u2019t tell you what they cut, who they harm,\" White House budget director Shalanda Young said. \u201cThe president is transparent.\u201d
House Speaker Mike Johnson, R-La., issued a joint statement with other GOP leaders calling the Biden proposal a \u201cglaring reminder of this Administration\u2019s insatiable appetite for reckless spending.\u201d
\u201cBiden\u2019s budget doesn\u2019t just miss the mark \u2014 it is a roadmap to accelerate America\u2019s decline,\u201d the House Republican leaders said.
Under the proposal, the government would spend $7.3 trillion next fiscal year and borrow $1.8 trillion to cover the shortfall from tax receipts. Biden's 188-page plan covers a decade's worth of spending, taxes and debt.
Parents could get an increased child tax credit in 2025, as payments would return briefly to the 2021 level funded by Biden's coronavirus pandemic relief package. Homebuyers could get a tax credit worth up to $10,000 and the plan includes $10 billion in down payment aid for first-generation buyers. Corporate taxes would jump upward, while billionaires would be charged a minimum tax of 25%.
Biden said in his State of the Union that Medicare should have the ability to negotiate prices on 500 prescription drugs, which could save $200 billion over 10 years. Aides said his budget does not specify how many drug prices would be subject to negotiations.
Biden's plan would permanently keep Medicare solvent, according to aides, but as noted by Maya MacGuineas, president of the fiscal group Committee for a Responsible Federal Budget, it does not appear to fix Social Security, which projections say will be unable to pay full benefits starting in 2033.
The proposal would provide about $900 billion for defense in fiscal 2025, about $16 billion more than the baseline.
The Biden administration is still seeking money to help Ukraine defend itself against Russia and aid for Israel. His budget plan reiterates the supplemental funding request made last October for Ukraine, Israel and humanitarian relief for Palestinians.
It's also requesting funding to expand personnel and resources at the U.S. southern border. Still, military spending over 10 years would decline $146 billion to $9.57 trillion.
One key theme in the budget plan is an effort to help families afford their basic needs, as the impact of inflation hitting a four-decade high in 2022 continues to leave many voters feeling as though they're worse off under Biden.
The budget proposal includes $258 billion to help build or preserve 2 million homes, helping to address a national shortage that has kept housing prices high. Parents making under $200,000 annually would have access to child care, with most eligible families paying no more than $10 a day.
It would eliminate origination fees on government student loans, possibly saving borrowers $1,000 over the life of the debt. It also includes $12 billion to help universities develop strategies for reducing their costs.
All of this is a chance for Biden to try to define the race on his preferred terms, just as the all-but-certain Republican nominee, Donald Trump, wants to rally voters around his agenda.
Trump, for his part, would like to increase tariffs and pump out gushers of oil. He called for a \u201csecond phase\u201d of tax cuts as parts of his 2017 overhaul of the income tax code would expire after 2025. The Republican has also said he would slash government regulations. He has also pledged to pay down the national debt, though it's unclear how without him detailing severe spending cuts.
In a Monday interview with CNBC, Trump indicated that he would be willing to reduce spending for Social Security, Medicare and Medicaid, though he did not offer a full policy.
\"There is a lot you can do in terms of entitlements, in terms of cutting,\u201d Trump said.
The interview drew Biden's attention, prompting him to tell the audience in New Hampshire that cuts were off the table: \u201cThe bottom line is he\u2019s still at it. I\u2019m never going to allow that to happen.\u201d
House Republicans on Thursday voted their own budget resolution for the next fiscal year out of committee, saying it would trim deficits by $14 trillion over 10 years. But their measure would depend on rosy economic forecasts and sharp spending cuts, reducing $8.7 trillion in Medicare and Medicaid expenditures. Biden has pledged to stop any cuts to Medicare.
Meanwhile, Congress is still working on a budget for the current fiscal year. On Saturday, Biden signed into law a $460 billion package to avoid a shutdown of several federal agencies, but lawmakers are only about halfway through addressing spending for this fiscal year.
___
Boak reported from Washington. Associated Press writer Colleen Long in Washington also contributed to this report.
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The agency said Europe is prone to more frequent and more punishing weather extremes \u2014 including increasing wildfires, drought, more unusual rainfall patterns and flooding \u2014 and it needs to immediately address them in order to protect its energy, food security, water and health.
These climate risks \u201care growing faster than our societal preparedness,\u201d Leena Yl\u00e4-Mononen, the EEA's executive director, said in a statement.
The report identified 36 major climate risks for the continent, such as threats to ecosystems, economies, health and food systems, and found that more than half demand greater action now. It classified eight as needing urgent attention \u2013 like conserving ecosystems, protecting people against heat, protecting people and infrastructure from floods and wildfires, and securing relief funds for disasters.
The report said Europe is the world\u2019s fastest-warming continent and has been heating up twice as fast as other regions since the 1980s. The heat has been linked to more intense rains and floods, and the report predicts rainfall decline and more severe droughts in southern Europe.
Without urgent and decisive action, it warns, many of the climate risks it identified could become catastrophic. To reduce climate risks and improve adaptation to warming, it recommends that the EU and its member states collaborate with regional and local bodies.
The report is \u201ca huge wake-up call\u201d for the continent, said Manon Dufour, Brussels director for climate think tank E3G, and could have implications for climate policy at both the European and national levels.
At the European level, Dufour said the report could \"open the eyes\u201d of European leaders who are currently most focused on security issues, as climate can affect economic and energy security.
On a national level, Dufour said finance ministers in particular should be spurred by the report \u201cto make economic and social resilience the key priority.\u201d She pointed to the report's finding that economic losses from heat waves and floods could reach 1 trillion euros ($1.1 trillion) a year by the end of the century.
\u201cIt\u2019s clearly in our best interest to adapt to changing risks we can no longer avoid, including preparedness for bigger extremes and surprises, and to avoid the risks from getting further out of hand by reducing greenhouse gases,\u201d said Maarten van Aalst, director-general at the Royal Netherlands Meteorological Institute.
Sven Harmeling, head of climate at Climate Action Network Europe, said Europe \u201ccan do more, even by 2030,\u201d to slash emissions from the burning of coal, oil and gas, and can also step up its investments in adapting to climate change, particularly by preserving ecosystems like wetlands and forests that can both absorb carbon and act as natural extreme weather barriers.
He urged that any efforts to reduce the impact of warming \u201cmust deliver this in a way that provides social and economic benefits for all.\u201d
Greenpeace EU climate campaigner Silvia Pastorelli agreed, adding that the bloc should focus any resilience programs, like retrofitting homes to help with heating in winter and cooling in summer, on the most vulnerable communities. \u201cFairness in the climate response is essential,\u201d Pastorelli said.
The report says the EU and its member states have made \u201cconsiderable progress\u201d in understanding their climate risks and preparing for them.
For example, Europe \u201chas done well in relation to coastal flooding,\u201d according to Julie Berckmans, an EEA climate risk expert. She said there have been no catastrophic storm floods on the continent in 60 years, and some progress has also been made in managing the health risks from heat and large river floods.
But more action is needed in all these areas \u201cbecause the risks are increasing rapidly,\u201d she said. As a case in point, heat stress to populations is at critical levels, Berckmans said. One solution, she said, is countries and cities can improve their spatial planning to be more fit for the future health risk from heat.
The European Commission will present its plan of action on Tuesday in response to the report.
EU Commission spokesperson Tim McPhie said EEA\u2019s report has \u201cgiven a very clear warning and a very clear call to action of what\u2019s to come.\u201d
___
Associated Press journalist Raf Casert in Brussels contributed to this report.
___
The Associated Press\u2019 climate and environmental coverage receives financial support from multiple private foundations. AP is solely responsible for all content. Find AP\u2019s standards for working with philanthropies, a list of supporters and funded coverage areas at AP.org.
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The move follows a report last year indicating that most French citizens support legalizing end-of-life options. In an interview published Monday, Macron said the new bill will be restricted to adults suffering from an \u201cincurable disease\u201d who are expected to die in the \u201cshort or middle term\u201d and who are suffering \u201cintractable\u201d physical or psychological pain. Only people aged 18 or above who are capable of forming their own views will be included. Macron set no date for the legislation to be applied, saying it will first need to follow a monthslong legislative process.", + "bylines": [ + { + "by": "By SYLVIE CORBET", + "title": "Associated Press" + } + ], + "located": "PARIS", + "datelinelocation": { + "city": "Paris", + "countrycode": "FRA", + "countryname": "France", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + 2.3488, + 48.85341 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. 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The move follows last year\u2019s report indicating that most French citizens support legalizing end-of-life options.
In an interview published Monday by French newspapers La Croix and Liberation, Macron said the new bill will be restricted to adults suffering from an incurable illness who are expected to die in the \u201cshort or middle-term\u201d and who are suffering \u201cintractable\u201d physical or psychological pain.
Macron said the law will offer \u201ca possible path, in a determined situation, with precise criteria, where the medical decision is playing its role.\u201d
He gave the example of of people with terminal cancer, some of whom until now have gone abroad to end their lives.
Only people aged 18 or above who are capable of forming their own views will be allowed to get in the process, meaning those with severe psychiatric conditions and neurodegenerative disorders such as Alzheimer\u2019s disease won\u2019t be eligible, Macron specified.
Patients who seek to enter the process will need to reconfirm their choice after 48 hours and they should then receive an answer from a medical team within two weeks maximum, Macron said. A doctor will then deliver a prescription, valid for three months, for the lethal medication.
People will be able to take the medication at home, at a nursing home or at a health care facility, Macron said.
If their physical condition doesn\u2019t allow them to do it alone, they will be allowed to get help from someone of their choice or by a doctor or a nurse.
Macron said the new bill will refer to \u201caid in dying \u2026 because it\u2019s simple and humane,\u201d rather than terms like euthanasia or medically assisted suicide.
Medically assisted suicide involves patients taking, of their own free will, a lethal drink or medication that has been prescribed by a doctor to those who meet certain criteria. Euthanasia involves doctors or other health practitioners giving patients who meet certain criteria a lethal injection at their own request.
Macron set no date for the legislation to be applied, saying it will first need to follow a monthslong legislative process that will start in May.
A 2016 French law provides that doctors can keep terminally ill patients sedated before death but stops short of allowing assisted suicide and euthanasia.
Some French patients travel to other European countries to seek further options. Assisted suicide is allowed in neighboring Switzerland as well as in Portugal. Euthanasia is currently legal in the Netherlands, Belgium, Luxembourg and Spain under certain conditions.
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With AP Photos.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "US--COVID-19-New Jersey Response", + "headline": "Report: New Jersey and US were not prepared for COVID-19 and state remains so for the next crisis", + "headline_extended": "An independent report has found New Jersey and the nation were not prepared when the COVID-19 pandemic hit, and the state remains underprepared for the next emergency", + "slugline": "BC-US--COVID-19-New Jersey Response, 1st Ld-Writethru", + "description_summary": "An independent report has found New Jersey and the nation were not prepared when the COVID-19 pandemic hit, and the state remains underprepared for the next emergency. The report released Monday examined New Jersey\u2019s response to the pandemic that sickened nearly 3 million people in New Jersey and killed over 33,000. The report was led by a former assistant state attorney general now in private practice. It faults planning, communication and decision-making before and during the pandemic that erupted in March 2020. But it also says mask mandates and vaccination campaigns helped fight the spread of the virus. Democratic Gov. Phil Murphy requested the report in late 2022.", + "bylines": [ + { + "by": "By WAYNE PARRY", + "title": "Associated Press" + } + ], + "located": "TRENTON, N.J.", + "datelinelocation": { + "city": "Trenton", + "countryareacode": "NJ", + "countryareaname": "New Jersey", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -74.74294, + 40.21705 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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(AP) \u2014 New Jersey and the nation were not prepared when the COVID-19 pandemic hit, and the state \u201cremains underprepared for the next emergency,\u201d according to an independent report examining New Jersey's response to the pandemic that sickened nearly 3 million people statewide and killed over 33,000.
The report released Monday faults planning, communication and decision-making before and during the pandemic, which broke out in early 2020.
Democratic Gov. Phil Murphy called the pandemic \u201cthe greatest crisis our state has ever faced.\u201d
He promised an outside review of his administration's response to the outbreak in its early days. The $9 million publicly funded report was done by the law firm of Montgomery McCracken Walker & Rhoads LLP and Boston Consulting Group. It was led by Paul Zoubek, a former assistant state attorney general.
\u201cI know New Jersey will be better off because of this review, and my administration looks forward to working with the Legislature on its recommendations,\" Murphy said.
State Republicans have been sharply critical of Murphy's performance during the pandemic, including mask mandates and shutdowns, but had not publicly reacted to the release of the report as of early Monday afternoon.
The report was blunt in listing failures leading up to the pandemic, as well as during it.
\u201cWe collectively failed as a nation and as a state to be adequately prepared,\u201d Zoubek wrote. \u201cAt the state level, heroic actions were taken to respond in good faith to the crisis. Despite the lessons of the last four years, New Jersey remains underprepared for the next emergency.\u201d
The report also noted things New Jersey did well during the pandemic, including making \u201csignificant systemic improvements.\u201d
\u201cThe state, to its credit, took bold and early steps designed to substantially reduce the number of people infected: shut-downs, quarantines, mask requirements, and social distancing were all implemented and resulted in dramatic improvements in health outcomes over the course of the pandemic. By the Delta and Omicron wave, New Jersey became one of the states with the lowest death rates,\u201d the report read.
It also said the state's campaign to vaccinate residents and convince those hesitant to receive the shots helped New Jersey combat the spread of the virus.
\u201cBut no level of effort could overcome an inadequate healthcare infrastructure and scarcity of basic medical supplies,\u201d the report read. \u201cNeither the state nor the federal government had clear, executable plans in place to respond to and manage such limited resources in an uncertain and rapidly evolving environment.\u201d
In a typical example, the report noted that in 2015 \u2014 five years before the pandemic \u2014 the state health department created a \u201cpandemic influenza plan\u201d that the report said \u201cwas extremely accurate in predicting what would eventually happen during the COVID-19 pandemic.\u201d
But the existence of that plan was not widely known within senior state leadership when COVID-19 hit, the report said, adding that several people in state government it interviewed said \u201csome other agency\u201d ought to have an emergency preparedness manager for such instances.
\u201cIn fact, that position exists (and is staffed) in the other agency, but the people we spoke with were unaware of that fact,\u201d the report said.
The report also found that communal care facilities, including those caring for veterans were particularly vulnerable to the spread of the virus due in part to \u201cwholly inadequate infection controls.\u201d
The report accepted previously issued criticism by the U.S. Department of Justice and the State Commission of Investigation finding \u201cbroad failures in leadership and management,\u201d including a \u201csystemic inability to implement clinical care policy, poor communication between management and staff, and a failure to ensure basic staff competency (that) let the virus spread virtually unchecked throughout the facilities.\u201d
The report recommended updating and \u201cstress-testing\u201d existing emergency response plans, conducting training and practice exercises across the state for a wider range of emergencies, not just pandemics.
___
Follow Wayne Parry on X, formerly Twitter, at www.twitter.com/WayneParryAC
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Editorial: Piecemeal approach to tax reforms brings danger
Increase the sales tax by 1 or 2 cents to offset property taxes. Eliminate sales tax exemptions to build receipts to the state general fund. Repeal the inheritance tax. Put a hard cap on property tax growth requests by local government or require those subdivisions to lower their levies in proportion to valuation increases.
Those are just some of the ideas aimed at restructuring Nebraska\u2019s taxation system being considered by the Legislature this session.
But those proposals are being considered individually with little regard to the cumulative impact on the state and local government budgets and operations, a method that, in keeping with standard legislative practice, could lead to serious unintended consequences if a handful of those measures are implemented.
The sales tax increase, which former Gov. Pete Ricketts properly labeled a tax shift, would, for example, favor property owners, especially those who have large, expensive holdings, and make all Nebraskans, especially those who will receive no property tax relief, pay one of the highest rates of sales tax in the country.
That would have a negative impact on those least able to pay, instantly increasing the cost of living for the underemployed, cash-strapped families and those on fixed incomes.
And, eliminating select sales tax exemptions, according to the proponents of those who now receive the exemptions, would hit the businesses that sell tax-exempt goods, such as farm machinery, and professions hard, slowing down the state\u2019s economy.
Repealing the inheritance tax would impact counties, especially in rural areas, likely forcing them to increase property taxes to make up for the lost revenue \u2014 a change that goes in the opposite direction of the proposed sales tax increases.
Putting a hard cap on local subdivision tax increases, which was deliberately excluded in the property tax relief plan approved by the Legislature last year, will severely hamstring public schools, especially larger districts like Lincoln Public Schools, as would the proposal to tie levies with valuation changes.
And, if, however unlikely, all of those measures would happen to be approved in the Legislature\u2019s rush to the conclusion of the short session, the combined economic displacements and negative impacts on local governments and schools could create serious issues for individual taxpayers, particularly those with low incomes, businesses and education, which legislators claim to support.
There\u2019s a simple solution to this jumble of the uncertain impact of tax proposals. Rather than haphazardly pass the tax-related bills, the Legislature should set them aside in favor of a comprehensive study of the state\u2019s tax system, directed to result in a series of property, sales and, perhaps, income tax measures that would be considered in the 2025 session.
That study would identify how the proposals would work together, anticipate and incorporate ways to prevent unintended consequences of the individual plans and come up with a plan that could receive widespread legislative support from rural and urban interests alike and, importantly, be fair and equitable to all Nebraskans, not just property owners.
___
Kearney Hub. March 10, 2024.
Editorial: KHOP makes big dent in rural health shortages
Nebraska\u2019s future rests on our state\u2019s ability to attract and retain profession als in key fields. We\u2019re battling for teachers, law officers and attorneys and many other professionals.
We\u2019re often told about the desperate need for people skilled in the building trades, in business, mechanics and agriculture, to name a few.
Perhaps the most troubling shortage is the one that has developed in the medical fields. Many Nebraska towns have no doctors. Many need nurses or professionals trained to operate the technology to diagnose and treat illnesses. Without these professionals, our rural communities face an uphill battle recruiting professionals in other fields.
The need for medical professionals in rural areas ranks as one of the most pressing and difficult to address, but there is good news.
Last week, the University of Nebraska at Kearney quietly announced that UNK has recruited a record-breaking group of students into the Kearney Health Opportunities Program, its signature health science program.
According to the announcement, a record-breaking 72 high school seniors have been accepted into KHOP for fall 2024. This year\u2019s number represents a significant increase from 2023 when 56 students were admitted into the program.
KHOP\u2019s rural roots
The 72 KHOP students enrolled at UNK for 2024 come from these rural communities: Ashland, Atkinson, Aurora, Bassett, Bee, Bladen, Blair, Blue Hill, Bridgeport, Cambridge, Campbell, Central City, Columbus, Cook, Dannebrog, De Witt, Doniphan, Elgin, Firth, Fremont, Genoa, Grand Island, Hastings, Hebron, Holdrege, Kearney, Laurel, McCool Junction, Miller, Minden, Morrill, Norfolk, North Platte, Ogallala, Osceola, Pickrell, Pierce, St. Paul, Sargent, Seward, Stromsburg, Stuart, Tilden, Waco, Wallace, Western, Wilber, York, Yutan.
KHOP began in 2010 as a partnership between UNK and the University of Nebraska Medical Center to grow the state\u2019s health care workforce by recruiting and training students from rural Nebraska who are committed to practicing in rural settings.
The program is based on the belief that students who learn medicine in a rural communities such as Kearney will graduate and decide to practice in rural areas.
That belief is proving to be valid as a strong majority of KHOP students do remain in rural communities after graduation.
KHOP aggressively offers incentives to attract students. Financial assistance, academic support and professional development opportunities are available. Many participants receive full-tuition scholarships to UNK and guaranteed admission to UNMC.
Dental hygiene, dentistry, medical laboratory science, medicine, nursing, occupational therapy, pharmacy, physical therapy, physician assistant and radiography are among the fields available to KHOP students.
When the Rural Health Education Center that\u2019s under construction at UNK opens, students will be able to train as physicians.
Instituting the KHOP program was challenging, but under the leadership of Peggy Abels, director of UNK Health Sciences, and the visionaries who supported the strategy to train medical professionals in rural settings, Nebraska is making progress in addressing health care needs.
This year\u2019s record-setting crop of KHOP students is a giant dose of encouragement, especially as construction is fully under way on the Rural Health Education Center just north of the existing Health Education Center.
Financial support for the rural health care endeavor will complement existing efforts to address rural Nebraska\u2019s shortage of medical professionals.
Abels underscored the significance of the record-setting KHOP class for fall 2024.
\u201cIt\u2019s very promising and exciting to have such a highly talented group of students who are dedicated to practicing health care in rural Nebraska,\u201d she said. \u201cThe KHOP program is an important part of the rural health initiatives on the UNK campus that are designed to alleviate the health care workforce shortages in our state.\u201d
___
McCook Gazette. March 4, 2024.
Editorial: Don\u2019t become a victim of the lates online scams
Attorney General Mike Hilgers\u2019 call for vigilance during National Consumer Protection Week couldn\u2019t have come at a more crucial time. The prevalence of online fraud, particularly in the form of identity theft, financial scams, and cyber threats, underscores the importance of safeguarding personal information and accounts. However, recent revelations regarding the widespread and evolving nature of cryptocurrency scams, notably the pig butchering scam, demand even greater caution and awareness from consumers.
The pig butchering scam, originating from Southeast Asia but now impacting victims globally, represents a disturbing trend in online fraud. Victims, often targeted through social media platforms and fake dating profiles, are manipulated into investing in cryptocurrency, only to be left with substantial financial losses when the perpetrators vanish. The sophistication of these scams, coupled with their coercive and exploitative nature, highlights the urgent need for enhanced preventive measures and international cooperation.
While the Attorney General\u2019s efforts to educate Nebraskans on protecting their privacy and increasing data security are commendable, it\u2019s crucial to recognize the evolving landscape of online fraud. The pig butchering scam serves as a stark reminder of the dangers lurking in cyberspace, where perpetrators exploit vulnerabilities for financial gain, often at the expense of unsuspecting victims.
In light of these developments, consumers must exercise caution and skepticism when engaging online, particularly with unfamiliar individuals or investment opportunities. Relying on free resources and reporting mechanisms provided by authorities, such as the Consumer Affairs Response Team, can aid in identifying and combating fraudulent activities. Additionally, staying informed through reputable sources and platforms like @ProtectNE on Twitter can help individuals stay ahead of emerging threats.
Furthermore, the international community must prioritize collaboration and coordination in addressing the root causes of pig butchering scams, including human trafficking and exploitation. Efforts to dismantle fraud networks and hold perpetrators accountable must be intensified to mitigate the far-reaching impact of these crimes.
The Federal Deposit Insurance Corp. offers these tips to improve your cybersecurity:
\u2022 Do not open emails from people you don\u2019t know and don\u2019t click any links unless you are absolutely sure it\u2019s safe.
\u2022 Be careful with links and new website addresses, even if they come from friends. Their email may have been unknowingly compromised.
(asterisk) Secure your personal information such as your date of birth, Social Security number, account numbers, and passwords; be sure that the website you are on is really secure.
\u2022 Stay informed on the latest cyber threats. The Cybersecurity and Infrastructure Security Agency (CISA) can provide you with Alerts.
\u2022 Use Strong Passwords. Strong passwords are critical to online security. Review CISA guidance on Choosing and Protecting Passwords.
\u2022 Keep your software up to date and maintain preventative software programs. Keep all of your software applications up to date on your computers and mobile devices. Install software that provides antivirus, firewall, and email filter services.
Update the operating systems on your electronic devices. Make sure your operating systems (OSs) and applications are up to date on all of your electronic devices. Older and unpatched versions of OSs and software are the target of many hacks. Read the CISA security tip on Understanding Patches and Software Updates for more information.
As Nebraskans and citizens worldwide navigate the complexities of the digital age, exercising caution and vigilance remains our best defense against online fraud. Let National Consumer Protection Week serve as a reminder of our collective responsibility to safeguard personal information, protect against financial scams, and uphold the principles of consumer rights in the digital realm.
END
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March 8, 2024.
Editorial: Think lawmakers are ignoring you? Speak up at the polls
We the people are sick of our voices being ignored.
It seems some Ohio elected officials have decided \u2014 again and again \u2014 that the will of the voters is subject to politicians\u2019 personal beliefs and agendas.
Keep this in mind, voters, as you head to the polls this March and November to elect who represents you.
Case in point: The hot-button issue of abortion and whether it should be legal in Ohio.
Last November, Ohioans voted to protect continued access to abortion and other reproductive rights, approving Issue 1 by a convincing 57% to 43% ratio.
It appeared the voters had spoken with their approval of the constitutional amendment.
Perhaps Ohio Attorney General David Yost has selective hearing?
In a court filing last month, Yost\u2019s office argued that all aspects of Ohio\u2019s ban on most abortions might not be tossed out even though voters approved new language protecting abortion access. That ban was in place for a short time after Roe v. Wade was overturned but subsequently was put on hold by a court injunction.
It appeared the voters had spoken with their approval of the constitutional amendment.
Perhaps Ohio Attorney General David Yost has selective hearing?
In a court filing last month, Yost\u2019s office argued that all aspects of Ohio\u2019s ban on most abortions might not be tossed out even though voters approved new language protecting abortion access. That ban was in place for a short time after Roe v. Wade was overturned but subsequently was put on hold by a court injunction.
This comes after some Republican lawmakers tried \u2014 unsuccessfully \u2014 to make it harder for citizens to pass constitutional amendments in the first place
Last year\u2019s first Issue 1, appearing on the August ballot, would have raised the threshold for passing a constitutional amendment in the state from a simple majority to 60%.
The initiative \u2014 an obvious attempt to head off efforts to legalize abortion in the state \u2014 failed by 57%.
Along with paving the way for legalized abortion in Ohio, the failure of Issue 1 last August also opened the door for future ballot initiatives to raise the state\u2019s minimum wage and undo gerrymandering.
Of course, gerrymandering is another example of how the will of the voters has been largely ignored.
In 2018, Ohioans approved another state constitutional amendment to increase minority party representation on Ohio\u2019s redistricting commission and establish new requirements for district boundaries.
The goal was to get rid of gerrymandering, the manipulation of legislative and congressional district lines for political purposes. In recent years, it\u2019s been used to make sure the GOP keeps its majority status.
We\u2019ve seen the negative results of gerrymandering firsthand in our region. Summit County, for example, was split among four congressional districts from 2012 to 2022, leaving it without effective or cohesive representation in Congress.
The Ohio Redistricting Commission failed to achieve maps that passed constitutional muster, due to gerrymandering identified in multiple Ohio Supreme Court rulings. Eventually, the state high court OK\u2019d a version approved by Democratic and Republican lawmakers. (Democrats held their noses and supported the new congressional maps, but only because it as the best of bad options.)
The end result leaves a lot to be desired. The latest maps give Republicans an advantage in at least 62% of House seats and 70% of Senate districts \u2014 numbers that don\u2019t match the statewide voting preferences of Ohioans, about 54% of whom picked GOP candidates and 45% picked Democratic ones between 2012 and 2020.
There\u2019s an effort underway for yet another statewide ballot initiative to change that. The ballot initiative would replace the current Ohio Redistricting Commission with a citizen-led redistricting commission.
And what happened to legalized marijuana in Ohio? Voters approved recreational marijuana at the polls in November \u2014 but lawmakers immediately began trying to change the rules.
No wonder some 65% of Americans say they \u201coften\u201d or \u201calways\u201d feel exhausted when thinking about politics, according to a recent Pew Research Center poll.
It\u2019s easy to feel defeated and become apathetic. But that\u2019s not the answer.
As the March primary approaches, do your research. Make sure you are electing candidates who will listen.
Your one voice can speak volumes at the polls.
___
Toledo Blade. March 8, 2024
Editorial: Unnecessary burn
Norfolk Southern railroad already had extensive blame for the derailment and subsequent release of toxic chemicals from the accident in East Palestine, Ohio, one year ago.
Following a hearing last week, it appears increasingly likely that the intentional torching of the five cars containing vinyl chloride was unnecessary \u2014 and for reasons that Norfolk Southern\u2019s experts on the scene knew about but did not relay to the incident commander and Gov. Mike DeWine.
Under questioning in a Senate committee by U.S. Sen. J.D. Vance (R., Ohio) on Wednesday, the head of the National Transportation Safety Board said the burning of the contents of the derailed cars could have been avoided.
Jennifer Homendy said the shipper\u2019s experts were on the scene and had explained to Norfolk Southern\u2019s contractors the five rail cars were cooling and were not in increasing danger of exploding.
Mr. Vance raised the topic during a meeting of the Senate Committee on Commerce, Science, & Transportation, diverting the committee temporarily from the subject of the door plug that fell out of an Alaska Airlines aircraft.
In direct language, Ms. Homendy said that contractors employed by the Norfolk Southern rail company \u201clacked the scientific background\u201d to decide that a vent-and-burn was necessary to head off a chemical reaction that could cause the cars to explode. She testified that a better option would have been to allow the tank cars time to cool down.
Mr. Vance noted that very soon after the cars stopped burning, they were moved aside and rail traffic started to move again.
\u201cThis town very well may have been poisoned to facilitate the rapid movement of freight,\u201d he said.
The Norfolk Southern train crossed northwest Ohio from its starting point at the border of Missouri and Illinois. The crew involved in the derailment took operations in Toledo and passed across northern Ohio before derailing in East Palestine near the Pennsylvania border. Dozens of Ohio communities including Toledo could have been the site of the optional chemical burn.
It appears that the OxyVinyls shipping company had representatives on scene who told Norfolk Southern\u2019s contractors that the cars were cooling and not in danger of exploding.
If Governor DeWine and the incident commander, East Palestine Fire Chief Keith Drabick, had been given this information they might not have set off the blaze that filled the sky with toxic smoke.
We already knew that Norfolk-Southern had failed to detect the burning wheel axle that caused the derailment in East Palestine. The derailment and the initial toxic leak from those cars was bad enough. The burning of the vinyl chloride multiplied the environmental impact of the disaster.
We have observed that Norfolk Southern has been taking appropriate responsibility for the disaster. That was before the public has learned that Norfolk Southern\u2019s blame didn\u2019t end with the faulty wheel bearing but apparently included concealing of critically important information just to get the trains running again.
___
Youngstown Vindicator. March 10, 2024.
Editorial: OneOhio must hold itself accountable with payouts
Ohio Gov. Mike DeWine said he chose Alisha Nelson to be executive director of OneOhio \u201cbecause I know that she shares my vision of intentionally using these settlement funds to help Ohioans struggling with substance use disorder for years to come.\u201d
Never mind what that says about the suspected motives of other potential candidates, it sounds as though DeWine believes OneOhio is under the right leadership to truly make a difference for Buckeye State residents.
Doing so will be a challenge and one that must be overcome in full view of the taxpayers. Having already been questioned on the matter once, the folks at OneOhio must remember they are \u2014 for all intents and purposes \u2014 an agency doing public business with public money. They are a public entity and as such must be transparent in their dealings.
Those dealings begin with the application period for organizations hoping to receive some of the $51 million to be allocated during the 2024 grant cycle. Region 7, which comprises Trumbull and Mahoning counties, is eligible for more than $2.8 million.
\u201cAfter all this work, we\u2019re finally seeing the dollars coming into the communities to help deal with this crisis,\u201d said Region 7 Board President Duane Piccirilli when then OneOhio Recovery Foundation announced its initial grant application cycle.
Among the parameters to be enforced by OneOhio is that all proposed programs and services must be \u201cevidence-based, forward-looking strategies for prevention, treatment, (and) recovery support services.\u201d
Eligible projects may span one, two or three years and must be regionally focused. Registration started March 4 and applications are due by May 3.
Those with ideas for helping lift Ohio out of the grip of the substance abuse epidemic that has haunted it for more than a decade should not hesitate to apply.
And OneOhio must hold itself accountable \u2014 to taxpayers, to the victims of that epidemic, to Ohio. Money must be given only to those programs that show the highest potential for helping us heal, and preventing the next wave.
___
Marietta Times. March 8, 2024.
Editorial: WCCC grants good for us all
Across Ohio, career and technical education providers sought a piece of the $67.7 million the state was handing out in the form of Career Technical Education Equipment grants. Among those receiving a grant was the Washington County Career Center, which has gotten a whopping $2.5 million.
\u201cInvesting in our schools is an investment into our students\u2019 futures,\u201d said Gov. Mike DeWine. \u201cAllowing more schools to purchase equipment so they can train more students will set them and our state up for success.\u201d
Here, that investment will be used to purchase updated equipment that can help prepare students for careers in the real world.
\u201cWe are beyond excited to announce that the Washington County Career Center (WCCC) has been awarded $2.5 million,\u201d the school announced on social media. \u201cThis remarkable achievement underscores the WCCC\u2019s role as a leader in providing exceptional career and technical education within our community.\u201d
It also underscores the success of grant-writers and officials working tirelessly to find more ways to support the career center.
As the money goes to training equipment and classroom and lab renovation, WCCC Superintendent Tony Huffman talked about what it will mean for the future.
\u201cIt\u2019s very fortunate for our students and our local workforce,\u201d he said. \u201d \u2026 One of our goals here is to consolidate all of our medical programs into one area of campus.\u201d
Students in other programs \u2014 welding, for example \u2014 will benefit, too.
And if they do, so will we.
Congratulations to those who worked to bring this grant to WCCC.
END
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About 12,000 junior doctors in South Korea have been off the job for a month to protest a government plan to sharply increase medical school admissions. Officials say the plan is meant to add more doctors to deal with the country\u2019s rapidly aging society, but doctors say universities can\u2019t handle an abrupt, steep increase in the number of students, and that would eventually hurt the quality of South Korea\u2019s medical services.
The government began steps a week ago to suspend the licenses of the striking doctors, after they missed a government-set Feb. 29 deadline for their return.
The walkouts now threaten to enter a critical phase as senior doctors at the Seoul National University Hospital and its affiliated hospitals decided Monday to resign en mass if the government doesn\u2019t come up with measures that can address the dispute by early next week. Senior doctors at other major university hospitals could take similar steps.
\u201cIf the government doesn\u2019t take steps toward sincere, reasonable measures to resolve the issue, we decided to submit resignations, starting from March 18,\u201d Bang JaeSeung, leader of the Seoul hospital\u2019s emergency committee, told reporters Monday.
But the committee\u2019s decision doesn\u2019t make participation mandatory, so it\u2019s unclear how many doctors could turn in resignations. There are a total of about 1,480 medical professors at the Seoul National University Hospital and its three affiliated hospitals, most of whom concurrently work as doctors there.
Most doctors who submit resignations will likely continue to work to prevent a medical crisis, unless hospital authorities accept their resignations immediately, emergency committee officials said. But by law, they said the doctors\u2019 resignations will be automatically processed a month after their submissions.
Last week, the University of Ulsan College of Medicine in the southeast also decided to let its senior doctors submit resignations on a voluntary basis, according to Kim Mi-na, head of the university\u2019s emergency committee.
In a briefing Tuesday, Vice Health Minister Park Min-soo called the Seoul National University Hospital doctor\u2019s decision \u201cvery regrettable.\u201d He said they should work with the government to persuade the junior doctors to return to work.
\u201cThe people would find it difficult to understand another collective resignation that would put the lives of patients at risk,\u201d Park said.
He said that Health Minister Cho KyooHong met some of the striking junior doctors on Monday, but he refused to provide details of the meeting. There were no immediate reports of a breakthrough.
It was the first meeting between the government and the strikers since authorities began taking a series of administrative steps on March 4 to suspend the strikers\u2019 licenses. The steps include dispatching officials to confirm the absences of the strikers, sending notices about the planned suspensions, and giving them opportunities to respond before the license suspensions take effect.
Officials have said the striking doctors would face minimum three-month license suspensions and prosecutions. No suspensions have been reported completed yet.
The striking junior doctors represent less than 10% of the country\u2019s 140,000 doctors. But in some major hospitals like the Seoul National University Hospital, they account for about 30%-40% of the total doctors, assisting senior doctors during surgeries and dealing with inpatients while training. Their walkouts have subsequently caused numerous canceled surgeries and other treatments at their hospitals and burdened South Korea\u2019s medical service.
In early February, South Korea\u2019s government said it would increase the country\u2019s medical school enrollment quota by 2,000 starting next year, from the current cap of 3,058 that has been unchanged since 2006.
Officials say South Korea\u2019s doctor-to-population ratio is one of the lowest in the developed world, and that more doctors are required to address a long-standing shortage of physicians in rural areas and in essential yet low-paying specialties.
But doctors say newly recruited students would also try to work in the capital region and in high-paying fields like plastic surgery and dermatology. They say the government plan would also result in doctors performing unnecessary treatment due to increased competition.
The doctors\u2019 protests have failed to win public support. Critics say doctors \u2014 one of the best-paid professions in South Korea \u2014 are only worrying about the possibility of a lower income in the future.
___
Associated Press writer Jiwon Song contributed to this report.
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March 8, 2024.
Editorial: Stripping access counselor\u2019s authority harms public as well as press
It\u2019s easy to think of the Office of the Indiana Public Access Counselor as an agency that serves the media. And yes, reporters and media organizations routinely turn to the state\u2019s public access counselor for help in determining whether a public board, elected official or government office is following the state\u2019s public access and open records laws.
But the public access counselor spends as much or probably more time answering questions from people who aren\u2019t journalists\u2014people in the public trying to get information from local governments or school boards, folks who have been denied access to meetings and elected officials trying to determine whether they are following the law.
The public access counselor\u2019s goal is to make sure government is open to its constituents\u2014the people who pay for it to exist and the people it\u2019s set up to serve.
And so it\u2019s a huge concern that the Indiana General Assembly is considering legislation that would reduce what little clout the public access counselor has now.
House Bill 1138\u2014as amended by the Senate\u2014would limit what the access counselor can use in producing non-binding advisory opinions. The last part of that sentence is key: These are non-binding advisory opinions. The public access counselor can\u2019t order anyone to do anything.
Still, for the non-binding opinions, the legislation would require that the counselor consider only the \u201cplain text\u201d of the state\u2019s public access laws and court opinions. It removes any ability for the access counselor to interpret those laws or opinions when they don\u2019t speak directly to situations that crop up all the time, maybe because technology has changed or because lawmakers weren\u2019t able to anticipate the type of records that might someday exist.
Currently, state law directs the access counselor to \u201cinterpret\u201d the state\u2019s open meeting and public records laws, which say they should be \u201cliberally construed.\u201d That\u2019s because the goal is for government to be open.
The new language restricting the access counselor\u2019s authority comes from state Sen. Aaron Freeman, the Indianapolis Republican who has also pushed to strip Indianapolis of its ability to make some decisions related to traffic rules and ban IndyGo from using dedicated bus lanes.
He said Public Access Counselor Luke Britt has \u201cissued some opinions I vehemently disagree with.\u201d And so, in addition to the language described above, Freeman also added a provision that makes it easier for a governor to fire the access counselor.
Under current law, the counselor is appointed for four years and can be fired only \u201cfor cause.\u201d The amended legislation would change the law to say the counselor serves \u201cat the pleasure of the governor.\u201d
\u201cThat would strip the counselor\u2019s insulation from political processes, leaving the appointee vulnerable to being dismissed after issuing opinions that powerful state leaders dislike,\u201d the Indiana Capital Chronicle reports.
We agree. We urge lawmakers to reject these provisions, although by the time you read this, the bill could already have passed. If it has, we call on Gov. Eric Holcomb to veto it\u2014not for journalists but for the public who deserves access to government.
___
Fort Wayne Journal Gazette. March 8, 2024.
Editorial: Far from frivolous, Recess is something that needs to be cherished
As the Indiana General Assembly hurries toward the end of what was supposed to be a quiet session, the supermajority has once again changed the structure of education.
Senate Bill 1 attempts to address the literacy crisis by cracking down on third-grade student retention, adding additional tests and promoting summer school \u2014 just one year after schools were required to adopt Science of Reading strategies.
House Bill 1137 would allow students to receive faith-based education for up to two hours per week. Detractors wondered, among other things, where it would fit in an already-crammed schedule.
In the current educational landscape, where standardized testing, curriculum demands and academic pressures often dominate the discourse, the significance of recess is frequently overlooked.
\u201cThere\u2019s this huge gap between what we know kids need and what we know is actually good for learning and how much we allot time for that,\u201d William V. Massey, a professor at Oregon State University who studies the impacts of recess, told ABC News last summer.
Up to 40% of school districts nationwide have reduced or eliminated recess since the mid-2000s. In 2001, Chicago axed recess entirely for more class time in an attempt to boost test scores.
Yet, recess is not merely a break from the classroom routine but a fundamental aspect of a child\u2019s holistic development.
Research shows recess is hardly a frivolous indulgence. Indeed, its importance is so fundamental that some state legislatures have created new guidelines.
Last year, California enacted a law defining recess as a 30-minute \u201cperiod of time during the school day, separate and distinct from physical education courses and mealtimes \u2026 when pupils are given supervised and unstructured time for physical activity, play, organized games, or social engagement with peers.\u201d
Furthermore, California will not allow administrators to dismiss recess as a punitive measure for bad behavior, much to the dismay of some educators.
Beginning in the 2006-07 school year, Indiana Code required that \u201cthe governing body of each school corporation shall provide daily physical activity for students in elementary school. The physical activity may include the use of recess.\u201d
The application is open-ended. Fort Wayne Community Schools, for example, said it is committed to providing daily recess that encourages physical activity whenever possible, said Scott Murray, the district\u2019s communications manager.
\u201cThese recess breaks are designed to include 20 minutes of supervised activity, ideally conducted outdoors,\u201d he told The Journal Gazette. \u201cDespite potential changes in state mandates and classroom schedules, our intention is to uphold our current recess practices to support the holistic development of our students.\u201d
The most obvious counterargument is that organized sports do all of this. However, several studies show that sports participation is less common among children from lower-income homes.
A 2023 study published in BMC Public Health found that sports participation is consistently higher among socioeconomically advantaged individuals. However, group sports showed the lowest relative inequalities. There are sizable inequalities in racket, individual and specialty sports, such as golf, that people can continue to engage in as adults.
At its core, recess serves as a crucial outlet for addressing the growing concern of sedentary lifestyles among children. According to the Robert Wood Johnson Foundation-funded State of Childhood Obesity, Indiana ranks 19th best in the nation, with an obesity prevalence rate of just more than 15%. According to Centers for Disease Control and Prevention data, Hoosier adults 18-44 have an obesity prevalence rate of 36.5%, the sixth worst in the nation.
\u201cI think the trend is pretty similar (for northeast Indiana),\u201d Dr. Kanika Jaggi, a family medicine physician for Lutheran Health Network, told The Journal Gazette\u2019s Maya Wilkins for a February story on pediatric obesity. \u201cI am seeing more and more children, not just from toddler age but from infant age, that have obesity.\u201d
Research indicates that recess plays a crucial role in enhancing children\u2019s attentiveness in the classroom, in cognitive performance, and in reducing behavioral problems. A study conducted on fourth-grade students in Fort Worth, Texas, revealed that students who had 45 minutes of daily recess after returning to school following the COVID-19 lockdown had significantly lower levels of the stress hormone cortisol after three months compared to students who had 30 minutes of recess.
By recharging their mental batteries through physical activity and play, recess optimizes their capacity for learning and problem-solving.
Moreover, outdoor play stimulates creativity, imagination and curiosity, fostering a love for exploration and discovery that extends beyond the confines of the classroom walls.
Though the current session is ending, the Indiana General Assembly should actively delve into the science of recess as part of a summer study group. There\u2019s evidence it can improve fitness, build social skills and enhance the classroom learning process. What\u2019s not to like \u2014 and safeguard \u2014 there?
___
Jeffersonville News and Tribune. March 7, 2024.
Editorial: Governor should sign birth control bill
As we celebrate Women\u2019s History Month in March, Hoosier women are certainly justified in questioning why their health has historically been an afterthought or a political tool for lawmakers.
Indiana\u2019s maternal mortality rate has consistently been among the worst in the nation. With most forms of abortion banned in the state, it\u2019s even more important that women and mothers are provided with excellent health care, safe contraceptives and wellness education.
Yet some with the power to make a difference still resist, even when common sense and data show their claims are misguided.
State Rep. Rita Fleming, D-Jeffersonville, a retired OB/GYN, has led efforts to protect mothers and to provide women with birth control access and education. Last year, a bill she sponsored allowing pharmacists to prescribe hormonal birth control was approved with bipartisan support.
This session, Fleming\u2019s House Bill 1426 seeks to increase access to long-acting reversible contraceptives (LARC) for Medicaid recipients. The bill stalled after Republicans balked at the inclusion of intrauterine devices (IUD), falsely claiming that such contraceptives cause abortions. Republicans ultimately stripped that option from the bill in committee.
Some Democrats and health institutions such as the American College of Obstetrics and Gynecology switched course and quit supporting the legislation as a result of the IUD removal.
Fleming, likely the only lawmaker voting on the bill who has delivered a baby, rightfully questioned the logic of both sides.
On Wednesday, after much debate, the bill was approved and heads to Gov. Eric Holcomb for consideration. He should sign it into law.
The bill is particularly aimed at providing options to mothers during the important postpartum period. Many lower income and young mothers never return for follow-up visits. This bill would require doctors to instruct their patients about contraceptive options during the critical hours after delivery before discharge \u2013 possibly the only time they\u2019ll get the opportunity.
As Fleming points out in an op-ed, removing the requirement to discuss IUDs as a contraceptive option doesn\u2019t mean hospitals can\u2019t offer IUD implants.
In the same op-ed, she details her experiences in the delivery room and how IUDs aren\u2019t always a good option for a mother.
She also responds to the lack of support from medical organizations including the American College of Obstetrics and Gynecology, pointing out that \u201cIt\u2019s on your watch, for the past decades, that maternal and infant mortality has climbed, that more children are born addicted, that sexually transmitted diseases are affecting newborns in record numbers. Whatever you might be doing about those, it\u2019s obviously not working.\u201d
Opponents of the legislation, following the removal of IUDs from the language, have suggested that the bill really doesn\u2019t accomplish much, and that medical providers \u201ccould\u201d still tell mothers about contraceptive options without a new requirement.
We all know there\u2019s a big difference between \u201ccould\u201d and \u201cwill.\u201d
We could do something this March to help mothers and women, especially those who are struggling financially or with addiction. If not, we will continue to see mothers dying during problematic pregnancies or, along with their newborns, battling health issues that could have been prevented.
END
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She eventually performed a dangerous self-surgery to cut off her own testicles. The DOJ is now demanding immediate policy changes and anti-discrimination training for all Utah correctional officers. The executive director of the Utah Department of Corrections has pushed back against the discrimination allegations.", + "bylines": [ + { + "by": "By HANNAH SCHOENBAUM", + "title": "Associated Press" + } + ], + "located": "SALT LAKE CITY", + "datelinelocation": { + "city": "Salt Lake City", + "countryareacode": "UT", + "countryareaname": "Utah", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -111.89105, + 40.76078 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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A federal investigation found that the state corrections department imposed \u201cunnecessary barriers\u201d to block the incarcerated trans woman from receiving treatment for intense gender dysphoria. The woman's psychological distress, which doctors attributed to a mismatch between her birth sex and her gender identity, worsened significantly while she was incarcerated in a men's prison, according to the Justice Department report.
After nearly two years of fighting for access to hormones and other gender-affirming accommodations, she performed a dangerous self-surgery to cut off her own testicles.
Now, the DOJ is demanding immediate policy changes and anti-discrimination training for all Utah correctional officers to protect other inmates from future harm. The state agency also will be required to pay damages to the trans inmate, who was not identified in the report. The dollar amount had not been set as of Tuesday.
Brian Redd, executive director of the Utah Department of Corrections, pushed back against the discrimination allegations and said he was disappointed by the investigators' approach. He did not indicate whether the agency would comply with the DOJ's demands.
\u201cWe have been working to address this complex issue and were blindsided by today\u2019s public announcement from the Department of Justice,\u201d Redd said in a statement. \u201cWe have also taken steps on our own and as a state to address the needs of inmates while maintaining the highest safety standards.\u201d
Gender dysphoria falls within the ADA\u2019s definition of disability, meaning correctional facilities cannot deny medically appropriate care for people with the condition, according to a 2022 federal court ruling.
\u201cAll people with disabilities including those who are incarcerated are protected by the ADA and are entitled to reasonable modifications and equal access to medical care, and that basic right extends to those with gender dysphoria,\u201d said Kristen Clarke, assistant attorney general of the DOJ\u2019s Civil Rights Division.
The department's investigation revealed that Utah corrections officers had unnecessarily delayed the woman's hormone treatment even as her mental health worsened. She was made to jump through procedural hoops not required for other medical conditions and had to gain approval from a committee that DOJ Disability Rights Chief Rebecca Bond said included some members with a clear bias against transgender people.
Bond described the committee as the \u201cgatekeeper\u201d of care and criticized the state corrections department in a letter Tuesday for involving both medical and non-medical staff, even though the committee's only role is to handle requests for medical care.
When they finally approved the inmate for hormone therapy more than 15 months after her initial request, federal investigators found that they failed to take basic steps to ensure it was administered safely.
Although taking estrogen can help trans women develop some desired physical features, such as breasts, it also increases their risk of developing a potentially life-threatening blood clot in the legs or lungs. Experts at the Endocrine Society, which represents specialists who treat hormone conditions, say such treatments require close medical supervision.
Utah prisons assign incarcerated people to either male or female housing based solely on their sex at commitment, which the DOJ found is determined by a visual search of the inmate\u2019s genitals. The woman made repeated requests to be housed individually or with other women, but all those requests had been denied, according to the investigation.
Federal investigators say the prison did not make reasonable accommodations to assure her safety while surrounded by male inmates and staff. The state agency also prevented her from buying bras, makeup and women's underwear at the commissary and required pat searches by male corrections officers, even as she began to develop breasts.
\u201cBy not allowing me this opportunity to live my life as a woman, who I believe I am and have lived life for many years,\" she wrote in her ADA complaint, \u201cthe prison is causing me such mental stress.\u201d
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It also aims to keep unauthorized vaping products out of stores. The measure cleared the House Monday and now heads to the Senate. The bill's lead sponsor is Republican Rep. Rebecca Raymer. She says it\u2019s a response to the state\u2019s \u201cvaping epidemic.\" The bill would require businesses to acknowledge whether they\u2019re involved in the retail sale of tobacco products when filing business paperwork with the Secretary of State\u2019s office. That list would be sent to officials regulating tobacco and vape sales.", + "bylines": [ + { + "by": "By BRUCE SCHREINER", + "title": "Associated Press" + } + ], + "located": "FRANKFORT, Ky.", + "datelinelocation": { + "city": "Frankfort", + "countryareacode": "KY", + "countryareaname": "Kentucky", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -84.87328, + 38.20091 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. 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(AP) \u2014 Legislation aimed at cracking down on the illegal sale of electronic cigarettes to young people and keeping unauthorized vaping products out of stores won passage in the Kentucky House on Monday.
Republican state Rep. Rebecca Raymer, the bill's lead sponsor, said it's a response to the state's \u201cvaping epidemic\u201d and, in particular, complaints about how rampant vaping has become in schools.
\"As I dove into this subject, I learned that most of what is confiscated is flavored and disposable vapes. Looking further, I found out that many of these vapes are not even authorized for sale,\u201d Raymer said in a statement after the bill's passage.
The measure cleared the House on a 62-26 vote and heads to the Senate next. Republicans have supermajorities in both chambers.
The bill would require Kentucky businesses to acknowledge whether they're involved in the retail sale of tobacco products when filing business paperwork with the Secretary of State\u2019s office. That list would be sent to the Kentucky Department of Alcoholic Beverage Control, which regulates tobacco and vape sales.
The minimum legal age to buy smoking products is 21 in Kentucky. For a first citation under the bill, retailers would face a fine of $100 to $500. The penalty would grow to $1,000 for a second offense and $5,000 for third and subsequent offenses. The bill also includes fines for wholesalers and manufacturers found to be involved in the distribution of unauthorized tobacco products.
The number of different electronic cigarette devices sold in the U.S. has skyrocketed since 2020, driven almost entirely by a wave of unauthorized disposable vapes from China, according to tightly controlled sales data obtained by The Associated Press. Federal officials are seizing more shipments of unauthorized e-cigarettes at U.S. ports, but new flavored products continue pouring into the country from China, according to government and industry data reviewed by the AP.
The numbers demonstrate the Food and Drug Administration\u2019s struggles to control the tumultuous vaping market. Most of the disposable e-cigarettes, which are thrown away after they\u2019re used up, come in sweet and fruity flavors that have made them the favorite tobacco product among teenagers.
The Kentucky legislation \u2014 House Bill 11 \u2014 is meant to keep e-cigarettes, vapes and other tobacco products not authorized by the FDA out of stores in the Bluegrass State.
\u201cThe measure balances a Kentucky consumer's access to FDA-authorized products and our obligation to keep vapes and other e-cigs with dangerous ingredients off our shelves and away from our children,\u201d Raymer said in the statement Monday.
During the House debate, the proposal drew sharp criticism from Republican state Rep. Savannah Maddox, who said it would ban products used by Kentucky adults. She predicted a public backlash against the bill.
\u201cThis is being proposed as something that is designed to reduce harm in minor children, when in reality it will do no such thing,\" she said. \u201cWhat it will do is harm Kentucky\u2019s businesses.\u201d
She condemned it as an example of government overreach.
\u201cWhere does it end? I don\u2019t believe it\u2019s the appropriate role of government for us to take on this \u2018nanny state fa\u00e7ade\u2019 and to ban products of this nature,\u201d Maddox said.
Raymer replied that the bill is meant to follow the FDA's regulatory authority.
\u201cI am not a big government type of person,\" Raymer said. \"But the fact of the matter is we are not the regulatory authority over these products. The FDA is. That was granted through our duly elected officials through Congress.\u201d
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With AP Media.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "US-XGR--Transgender Health-Georgia", + "headline": "Georgia restricted transgender care for youth in 2023. Now Republicans are seeking an outright ban", + "headline_extended": "A year ago, Georgia lawmakers said they were striking a balance when they banned most gender-affirming care for transgender people under 18, but let doctors continue prescribing medicines to block puberty", + "slugline": "BC-US-XGR--Transgender Health-Georgia, 1st Ld-Writethru", + "description_summary": "A year ago, Georgia lawmakers said they were striking a balance when they banned most gender-affirming care for transgender people under 18, but let doctors continue prescribing medicines to block puberty. Now Sen. Ben Watson, the Republican who led last year\u2019s efforts, is seeking an outright ban. The Senate Health and Human Services Committee on Monday voted 8-5 to advance a bill to ban puberty-blocking drugs and end access to hormones for those already receiving therapy. The measure moves to the Senate for more debate. Georgia is among at least 23 states that have enacted laws restricting or banning gender-affirming medical care for transgender minors.", + "bylines": [ + { + "by": "By JEFF AMY", + "title": "Associated Press" + } + ], + "located": "ATLANTA", + "datelinelocation": { + "city": "Atlanta", + "countryareacode": "GA", + "countryareaname": "Georgia", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -84.38798, + 33.749 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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Now state Sen. Ben Watson, the Republican who led last year's efforts, wants to tip that balance toward an outright ban. The Senate Health and Human Services Committee on Monday voted 8-5 to advance House Bill 1170, which would ban puberty blockers and end access to hormones for those already receiving therapy. The measure moves to the Senate for more debate.
Georgia is among at least 23 states that have enacted laws restricting or banning gender-affirming medical care for transgender minors, and most of those states face lawsuits.
A federal judge last year struck down Arkansas\u2019 ban as unconstitutional and judges\u2019 orders are in place temporarily blocking enforcement of bans in Idaho and Montana. A federal judge who had temporarily blocked Georgia\u2019s ban said the state could resume enforcing the restriction after an appeals court panel in September allowed Alabama's prohibition to be enforced.
More recently, the Kansas House on Tuesday debated a gender-affirming care ban for minors that also includes puberty blockers. It expects to take a final vote tomorrow. The bill is expected to pass but be vetoed by Democratic Gov. Laura Kelly.
Watson, a physician, had said last year that allowing the use of puberty blockers was a way of letting transgender minors wait until adulthood before making decisions they couldn't reverse. But Watson said Monday that he instead wants people to go through puberty in hopes their gender dysphoria will dissipate.
\u201cOn reflection, I thought this was appropriate to make it so minors would not be using puberty blockers,\u201d Watson said.
Opponents, though, say Watson is trying to force transgender minors to go through puberty that doesn\u2019t align with their gender identity and take away the rights of parents to decide what is best for their children.
\u201cWhat about parents\u2019 rights to take their child to a physician and seek appropriate treatment?\u201d Sen. Nan Orrock, an Atlanta Democrat, asked during the hearing.
Research has shown that transgender youth and adults are prone to stress, depression and suicidal behavior when forced to live as the gender they were assigned at birth.
Watson inserted the proposed ban into an unrelated bill about providing opioid antidotes in public buildings, catching opponents off guard. But supporters of more restrictions were lined up to testify, including Chloe Cole, a nationally known conservative activist who opposes gender-affirming care for minors and spoke to lawmakers about her gender-transition reversal.
Democrats bristled at the sneak attack, noting opponents didn't get a chance to testify. Because the Senate was amending a bill that already passed the House, it's unlikely there will be another hearing on the matter.
\u201cThe only people we\u2019ve heard from today are the people who clearly knew this (bill) was coming and support it, and we have not been able to hear testimony at all from anybody who would represent the opposing viewpoint,\u201d said Sen. Sonya Halpern, at Atlanta Democrat.
The American Academy of Pediatrics reaffirmed its support for gender-affirming medical care for transgender children last year, calling the restrictions enacted by states \u201cunprecedented government intrusion.\u201d
The group also voted to provide additional documents to support pediatricians, including clinical and technical reports, and to conduct an external review of research regarding the care.
Georgia Equality, a group that lobbies for LGBTQ+ rights, echoed the call to let parents \u201cmake decisions about the health care that is right for their families and allows their kids to grow up healthy and safe.\u201d
\u201cThis amendment puts politicians between parents and providers, and could ban access to essential medical care for transgender young people,\u201d spokesperson Wes Sanders Han-Burgess said in a statement.
But Watson pointed to England, which decided to not routinely offer puberty-blocking drugs to children at gender identity clinics, saying more evidence is needed about the potential benefits and harms.
The move comes in an election year for Georgia lawmakers and with Watson facing a Republican primary opponent running to Watson's right. It won him plaudits from Frontline Policy Action, a Christian conservative group that had criticized last year's bill for allowing puberty blockers and creating exceptions for \u201cmedically necessary\u201d procedures.
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These topics are directly related to health, particularly the health care and well-being of transgender minors." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/03/12/5ed7dce8eb6c79c4d6387ae27a089cd3.json b/datasets/AP_news/raw_data/2024/03/12/5ed7dce8eb6c79c4d6387ae27a089cd3.json new file mode 100644 index 0000000..08bb16b --- /dev/null +++ b/datasets/AP_news/raw_data/2024/03/12/5ed7dce8eb6c79c4d6387ae27a089cd3.json @@ -0,0 +1,269 @@ +{ + "altids": { + "itemid": "5ed7dce8eb6c79c4d6387ae27a089cd3", + "etag": "5ed7dce8eb6c79c4d6387ae27a089cd3_1a10aza0c0", + "friendlykey": "871371387210", + "referenceid": "US--Transgender Health-Nebraska" + }, + "version": 1, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-03-12T23:16:43Z", + "firstcreated": "2024-03-12T23:10:20Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: Updates Media. 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(AP) \u2014 Regulations tied to a Nebraska law passed last year restricting gender-affirming care for minors were approved Tuesday by Gov. Jim Pillen, and they largely mirror temporary regulations adopted last October \u2014 including a seven-day waiting period to start puberty-blocking medications or hormone treatments.
Other regulations require transgender patients under the age of 19 \u2014 the age of majority in Nebraska \u2014 to meet several therapy benchmarks. They include undergoing at least 40 hours of therapy that could push back on a person's gender identity before they can receive any medical treatments meant to affirm their gender identities. Minor patients must also receive at least one hour of therapy every 90 days while on gender-affirming medication to evaluate the patient\u2019s mental health.
Health care providers also are required to obtain three hours of continuing education before they can prescribe puberty blockers or hormones.
The regulations approved by Pillen were those recommended by Nebraska Chief Medical Officer Timothy Tesmer, who was appointed to that post by Pillen last year, following a public hearing in November. The recommendation and approval came despite dozens of families, medical providers and advocates testifying for hours at the hearing opposing the restrictions and regulations.
\u201cState officials have decided to flatly ignore the serious concerns raised by impacted young people as well as their family members and their medical and mental health providers,\u201d said Grant Friedman, a legal fellow for the American Civil Liberties Union of Nebraska. \u201cTo be clear, we are talking about gender-affirming care that is endorsed by major medical organizations and recognized as often life-saving care.\"
The new law was authored by state Sen. Kathleen Kauth of Omaha and passed last session. It took effect Oct. 1 and bans gender-affirming surgeries for trans youth under 19. It also required the state\u2019s chief medical officer to spell out when and how those youth can receive other care. The state Department of Health and Human Services issued temporary regulations on Oct. 1.
\u201cAs a state, we must protect children from making potentially irreversible and regrettable decisions \u2014 decisions for which they may not completely understand the consequences,\" Pillen said in a news release announcing his approval of the regulations.
At least 23 states have enacted laws restricting or banning gender-affirming medical care for transgender minors, and most of those states face lawsuits \u2014 including Nebraska. A federal judge struck down Arkansas\u2019 ban as unconstitutional. Judges\u2019 orders are in place temporarily blocking the enforcement of the bans in Idaho and Montana.
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President Joe Biden's administration had argued that Title X preempts the Texas parental consent requirement. But a panel of three judges on the 5th U.S. Circuit Court of Appeals disagreed, largely upholding a 2022 ruling from a Texas-based federal judge.
\u201cTitle X\u2019s goal (encouraging family participation in teens\u2019 receiving family planning services) is not undermined by Texas\u2019s goal (empowering parents to consent to their teen\u2019s receiving contraceptives),\u201d Judge Stuart Kyle Duncan wrote on behalf of the panel. \u201cTo the contrary, the two laws reinforce each other.\"
It was unclear if the administration would appeal further. The Associated Press sent an email seeking comment to federal officials.
Tuesday's decision upheld much of a ruling by U.S. District Judge Matthew Kacsmaryk of Amarillo in a case filed by a Texas father who opposed Title X.
The panel did reverse one part of Kacsmaryk's ruling, however. The district judge had struck down a regulation \u2014 adopted after the lawsuit was being litigated \u2014 that forbade Title X-funded groups from notifying parents or obtaining consent.
The 5th Circuit said it was too soon to rule on the new regulation and it was not immediately clear how it might affect availability of contraceptives for teens. Attorneys for both sides declined to comment.
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(AP) \u2014 Nebraska lawmakers failed to garner the 30 votes needed Tuesday to override Gov. Jim Pillen\u2019s veto of a needle exchange bill that had garnered wide bipartisan support, leading to tense debate and a return to the partisan acrimony seen in last year's session.
The bill received as many as 39 votes from the unique one-chamber Nebraska Legislature's 49 members during three rounds of debate earlier this year. When only 27 voted to override the veto, supporters accused flip-flopping lawmakers of caring less about public policy than partisan politics.
\u201cThat speaks for itself on what's really going on here,\u201d Lincoln Sen. Danielle Conrad said.
Omaha Sen. John Fredrickson was more blunt in his criticism of those lawmakers who he said voted against the bill on Pillen's orders.
\u201cHave a spine,\u201d he admonished.
Nebraska is among a handful of states that don't offer at least some form of needle-exchange program. Such programs offer sterile hypodermic needles to intravenous drug users, often taking used needles in exchange to safely dispose of them. The idea behind the programs is to prevent the spread of communicable and sometimes deadly diseases like HIV and hepatitis C through the use of dirty needles. The programs are widely supported by health care officials, substance abuse treatment experts and law enforcement.
The Nebraska bill by Omaha Sen. Megan Hunt, an independent, passed last month with 30 votes \u2014 including 16 from Republicans in the officially nonpartisan Legislature. But after Pillen's veto, seven Republicans flipped their vote to oppose the bill. Among them was Sen. Jana Hughes of Seward, who had lauded the bill on her Facebook page last week and criticized Pillen for vetoing it without an alternative proposal.
\u201cGovernor Pillen cited the fact in his veto statements that Nebraska had the lowest opioid overdose rate in the country,\u201d Hughes said in that post, which remained on her page Tuesday. \u201cWhile that is good news for Nebraska relative to other states, that is a bit like saying you are the last person to jump out of the plane without a parachute. Ignoring a problem does not make it go away.\u201d
Asked to explain her vote against the bill Tuesday, Hughes refused to comment.
Fredrickson cautioned that the Legislature is ceding too much power to the executive branch. At least two of the lawmakers \u2014 Sens. Carolyn Bosn and Fred Meyer \u2014 who flipped their votes were appointed to their seats by Pillen.
Hunt and several Democratic lawmakers pointed to those flipped votes to accuse some lawmakers of caring less about public policy than partisan politics.
\u201cNot one of those members got on the mic to share with Nebraskans, to share with their constituents, why they changed their minds,\u201d Fredrickson said.
Bosn said after the vote that she changed her mind on the vote after receiving Pillen's veto letter opposing it and denied that she had been pressured by Pillen's office to vote against the override. She pointed to her support earlier this year of accepting $18 million in federal funding to help feed hungry children over the summer that Pillen had initially rejected as proof that she's not beholden to the governor.
\u201cI'm my own person,\u201d she said.
In vetoing the bill last week, Pillen panned it as a move that would \u201cencourage minors to abuse dangerous drugs\u201d and that it would bring \u201cthe failed policies of drug-infested cities like San Francisco\u201d to Nebraska.
No clinic or program administering a needle-sharing program is going to hand out syringes to young children, Hunt retorted.
\u201cTo imply otherwise is fear-mongering and undermines trust in Nebraska\u2019s expert healthcare providers,\u201d she said.
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The focus on preventing the spread of diseases like HIV and hepatitis C through such programs is highly relevant to the topic of health." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/03/12/bd2eff1faf297003fc408a732c1db546.json b/datasets/AP_news/raw_data/2024/03/12/bd2eff1faf297003fc408a732c1db546.json new file mode 100644 index 0000000..40c5984 --- /dev/null +++ b/datasets/AP_news/raw_data/2024/03/12/bd2eff1faf297003fc408a732c1db546.json @@ -0,0 +1,332 @@ +{ + "altids": { + "itemid": "bd2eff1faf297003fc408a732c1db546", + "etag": "bd2eff1faf297003fc408a732c1db546_1a19aza0c0", + "friendlykey": "243130081523", + "referenceid": "US-MED--COVID Testing-Airports" + }, + "version": 1, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-03-12T20:41:08Z", + "firstcreated": "2024-03-12T18:24:25Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: Updates Media.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "US-MED--COVID Testing-Airports", + "headline": "U.S. airport nasal swabbing expanding to Chicago and Miami", + "headline_extended": "The nation\u2019s top public health agency is expanding a program that tests international travelers for COVID-19 and other infectious diseases", + "slugline": "AP-US-MED--COVID Testing-Airports, 1st Ld-Writethru", + "description_summary": "The nation\u2019s top public health agency is expanding a program that tests international travelers for COVID-19 and other infectious diseases. The Centers for Disease Control and Prevention currently operates the program at six U.S. airports. It asks passengers from international flights to agree to nose swabs and answer questions about their travel. On Tuesday, the CDC said it was adding two more \u2014 Chicago\u2019s O\u2019Hare and Miami. The program began in late 2021, and has been credited with detecting coronavirus variants faster than other systems.", + "bylines": [ + { + "by": "By MIKE STOBBE", + "title": "AP Medical Writer" + } + ], + "located": "NEW YORK", + "datelinelocation": { + "city": "New York", + "countryareacode": "NY", + "countryareaname": "New York", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -74.00597, + 40.71427 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. 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The Centers for Disease Control and Prevention program asks arriving international passengers to volunteer to have their noses swabbed and answer questions about their travel. The program operates at six airports and on Tuesday, the CDC said it was adding two more \u2014 Chicago\u2019s O\u2019Hare and Miami.
Those locations should provide more information about respiratory infections coming out of South America, Africa and Asia, particularly, CDC officials said.
\u201cMiami and Chicago enable us to collect samples coming from areas of the world where global surveillance is not as strong as it used to be,\u201d said the CDC's Allison Taylor Walker. \u201cWhat we really need is a good view of what\u2019s happening in the world so we\u2019re prepared for the next thing.\u201d
The program began in 2021, and has been credited with detecting coronavirus variants faster than other systems. The genomic testing of traveler's nasal swabs has mainly been focused on COVID-19, but testing also is being done for two other respiratory viruses \u2014 flu and RSV.
Participants are not notified of their results. But they are given a COVID-19 home test kit to take with them, CDC officials say.
Samples have come from more than 475,000 air travelers coming off flights from more than 135 countries, officials said.
Health officials also have been sampling wastewater that comes off international flights at a few airports. That testing is for COVID-19, but CDC officials are evaluating the possibility of monitoring wastewater for other things, Walker said.
The CDC program has a current budget of about $37 million. The agency pays two companies, Ginkgo Bioworks and XWell, to do sample collection and testing. The companies are working with CDC to grow the program to check for more than 30 different disease-causing germs.
___
The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute\u2019s Science and Educational Media Group. The AP is solely responsible for all content.
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Some tools answer messages and others take notes during exams. It\u2019s been just 15 months since OpenAI released ChatGPT. Already thousands of doctors are using products based on similar large language models. Enthusiasts say these AI tools save doctors\u2019 time and prevent burnout. They\u2019re also shaking up the doctor-patient relationship, raising questions of trust, transparency, privacy and the future of human connection. AI tools can be prompted to be friendly, empathetic and informative. They can also make mistakes, so it's important that the human doctor stay in the loop.", + "bylines": [ + { + "by": "By CARLA K. JOHNSON", + "title": "AP Medical Writer" + } + ], + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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They could be getting some help from artificial intelligence.
New AI tools are helping doctors communicate with their patients, some by answering messages and others by taking notes during exams. It's been 15 months since OpenAI released ChatGPT. Already thousands of doctors are using similar products based on large language models. One company says its tool works in 14 languages.
AI saves doctors time and prevents burnout, enthusiasts say. It also shakes up the doctor-patient relationship, raising questions of trust, transparency, privacy and the future of human connection.
A look at how new AI tools affect patients:
IS MY DOCTOR USING AI?
In recent years, medical devices with machine learning have been doing things like reading mammograms, diagnosing eye disease and detecting heart problems. What's new is generative AI's ability to respond to complex instructions by predicting language.
Your next check-up could be recorded by an AI-powered smartphone app that listens, documents and instantly organizes everything into a note you can read later. The tool also can mean more money for the doctor\u2019s employer because it won\u2019t forget details that legitimately could be billed to insurance.
Your doctor should ask for your consent before using the tool. You might also see some new wording in the forms you sign at the doctor\u2019s office.
Other AI tools could be helping your doctor draft a message, but you might never know it.
\u201cYour physician might tell you that they\u2019re using it, or they might not tell you,\u201d said Cait DesRoches, director of OpenNotes, a Boston-based group working for transparent communication between doctors and patients. Some health systems encourage disclosure, and some don\u2019t.
Doctors or nurses must approve the AI-generated messages before sending them. In one Colorado health system, such messages contain a sentence disclosing they were automatically generated. But doctors can delete that line.
\u201cIt sounded exactly like him. It was remarkable,\u201d said patient Tom Detner, 70, of Denver, who recently received an AI-generated message that began: \u201cHello, Tom, I\u2019m glad to hear that your neck pain is improving. It\u2019s important to listen to your body.\u201d The message ended with \u201cTake care\u201d and a disclosure that it had been automatically generated and edited by his doctor.
Detner said he was glad for the transparency. \u201cFull disclosure is very important,\u201d he said.
WILL AI MAKE MISTAKES?
Large language models can misinterpret input or even fabricate inaccurate responses, an effect called hallucination. The new tools have internal guardrails to try to prevent inaccuracies from reaching patients \u2014 or landing in electronic health records.
\u201cYou don\u2019t want those fake things entering the clinical notes,\u201d said Dr. Alistair Erskine, who leads digital innovations for Georgia-based Emory Healthcare, where hundreds of doctors are using a product from Abridge to document patient visits.
The tool runs the doctor-patient conversation across several large language models and eliminates weird ideas, Erskine said. \u201cIt\u2019s a way of engineering out hallucinations.\u201d
Ultimately, \u201cthe doctor is the most important guardrail,\u201d said Abridge CEO Dr. Shiv Rao. As doctors review AI-generated notes, they can click on any word and listen to the specific segment of the patient\u2019s visit to check accuracy.
In Buffalo, New York, a different AI tool misheard Dr. Lauren Bruckner when she told a teenage cancer patient it was a good thing she didn't have an allergy to sulfa drugs. The AI-generated note said, \u201cAllergies: Sulfa.\u201d
The tool \u201ctotally misunderstood the conversation,\u201d said Bruckner, chief medical information officer at Roswell Park Comprehensive Cancer Center. \u201cThat doesn\u2019t happen often, but clearly that's a problem.\u201d
WHAT ABOUT THE HUMAN TOUCH?
AI tools can be prompted to be friendly, empathetic and informative.
But they can get carried away. In Colorado, a patient with a runny nose was alarmed to learn from an AI-generated message that the problem could be a brain fluid leak. (It wasn\u2019t.) A nurse hadn\u2019t proofread carefully and mistakenly sent the message.
\u201cAt times, it\u2019s an astounding help and at times it\u2019s of no help at all,\u201d said Dr. C.T. Lin, who leads technology innovations at Colorado-based UC Health, where about 250 doctors and staff use a Microsoft AI tool to write the first draft of messages to patients. The messages are delivered through Epic\u2019s patient portal.
The tool had to be taught about a new RSV vaccine because it was drafting messages saying there was no such thing. But with routine advice \u2014 like rest, ice, compression and elevation for an ankle sprain \u2014 \u201cit\u2019s beautiful for that,\u201d Linn said.
Also on the plus side, doctors using AI are no longer tied to their computers during medical appointments. They can make eye contact with their patients because the AI tool records the exam.
The tool needs audible words, so doctors are learning to explain things aloud, said Dr. Robert Bart, chief medical information officer at Pittsburgh-based UPMC. A doctor might say: \u201cI am currently examining the right elbow. It is quite swollen. It feels like there\u2019s fluid in the right elbow.\u201d
Talking through the exam for the benefit of the AI tool can also help patients understand what's going on, Bart said. \u201cI\u2019ve been in an examination where you hear the hemming and hawing while the physician is doing it. And I\u2019m always wondering, \u2018Well, what does that mean?\u2019\u201d
WHAT ABOUT PRIVACY?
U.S. law requires health care systems to get assurances from business associates that they will safeguard protected health information, and the companies could face investigation and fines from the Department of Health and Human Services if they mess up.
Doctors interviewed for this article said they feel confident in the data security of the new products and that the information will not be sold.
Information shared with the new tools is used to improve them, so that could add to the risk of a health care data breach.
Dr. Lance Owens is chief medical information officer at the University of Michigan Health-West, where 265 doctors, physician assistants and nurse practitioners are using a Microsoft tool to document patient exams. He believes patient data is being protected.
\u201cWhen they tell us that our data is safe and secure and segregated, we believe that,\u201d Owens said.
___
The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute\u2019s Science and Educational Media Group. The AP is solely responsible for all content.
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The palace said Tuesday the monarch successfully underwent surgery at an Oslo university hospital and will remain there for a few days. Harald, 87, fell ill during a private holiday in Malaysia and received a temporary pacemaker due to a low heart rate. The monarch has been in frail health in recent years with numerous hospital stays. He had an operation to replace a heart valve in October 2020 after being hospitalized with breathing difficulties. Harald whose duties are ceremonial, repeatedly has said he has no plans to abdicate.", + "located": "COPENHAGEN, Denmark", + "datelinelocation": { + "city": "Copenhagen", + "countrycode": "DNK", + "countryname": "Denmark", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + 12.56553, + 55.67594 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. 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The 87-year-old underwent the procedure at Oslo's university hospital, Rikshospitalet, the royal household said in a brief statement.
\u201cThe operation was successful, and the King is doing well,\u201d the palace said.
Last month, Harald fell ill during a private holiday with his wife Queen Sonja on the Malaysian resort island of Langkawi. He underwent surgery and received a temporary pacemaker due to a low heart rate.
Harald returned to Norway aboard a medical airplane and was immediately transferred to an Oslo hospital.
The king\u2019s doctor, Bj\u00f8rn Bendz, told a news conference that the king had contracted an undetermined infection in Malaysia.
\u201dWe saw that the heart rate was too low, and that is not good in case of an infection. It can affect several organs,\u201d Bendz said. \u201cWhen people who are almost 90 years old are admitted with an infection, it is always serious.\u201d
Bendz said that the operation went well and lasted an hour.
The monarch has been in frail health in recent years with numerous hospital stays. He had an operation to replace a heart valve in October 2020 after being hospitalized with breathing difficulties.
Harald repeatedly has said he has no plans to abdicate, unlike his second cousin Queen Margrethe II of Denmark, who stepped down earlier this year.
Harald\u2019s duties as Norway\u2019s head of state are ceremonial and he holds no political power. He ascended to the throne following the death of his father, King Olav, in 1991.
His 50-year-old son, Crown Prince Haakan, is assuming the monarch\u2019s duties.
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This content is directly related to the topic of health." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/03/13/367ed0efdf144fa6788fffd77ed3f2cc.json b/datasets/AP_news/raw_data/2024/03/13/367ed0efdf144fa6788fffd77ed3f2cc.json new file mode 100644 index 0000000..1f7d426 --- /dev/null +++ b/datasets/AP_news/raw_data/2024/03/13/367ed0efdf144fa6788fffd77ed3f2cc.json @@ -0,0 +1,198 @@ +{ + "altids": { + "itemid": "367ed0efdf144fa6788fffd77ed3f2cc", + "etag": "367ed0efdf144fa6788fffd77ed3f2cc_0a2aza0c0", + "friendlykey": "627054210031", + "referenceid": "KY--Drug Addiction-Kentucky" + }, + "version": 0, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-03-13T19:23:18Z", + "firstcreated": "2024-03-13T19:23:17Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "signals": [ + "newscontent" + ], + "title": "KY--Drug Addiction-Kentucky", + "headline": "Kentucky should reconsider using psychedelics to treat opioid addiction, attorney general says", + "headline_extended": "Kentucky Attorney General Russell Coleman has urged a commission to \u201cstep back\u201d from a proposal to invest in a psychedelic drug as a possible treatment for opioid addiction", + "slugline": "AP-KY--Drug Addiction-Kentucky", + "description_summary": "Kentucky Attorney General Russell Coleman has urged a commission to \u201cstep back\u201d from a proposal to invest in a psychedelic drug as a possible treatment for opioid addiction. 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(AP) \u2014 Kentucky's new attorney general, Russell Coleman, has urged a commission tasked with fighting drug abuse to \u201cstep back\u201d from a proposal to invest in a psychedelic drug as a possible treatment for opioid addiction.
When the Republican's predecessor was in office, the commission had considered dipping into the state's massive opioid lawsuit settlement to study the use of ibogaine \u2014 a psychedelic with an international following that remains a Schedule 1 drug in the U.S. \u2014 with the goal of gaining federal approval to distribute it as a medication to treat opioid addiction.
Speaking to the Kentucky Opioid Abatement Advisory Commission, Coleman said the state has to be \u201cresponsible stewards\u201d of settlement funds, which were \u201cpurchased by the pain of Kentucky families.\u201d
\u201cIn that spirit, I respectfully ask this commission to step back from previous proposals to allocate $42 million to ibogaine research and the unproven and incredibly expensive clinical trial,\" Coleman said Tuesday.
\u201cThese vital resources \u2014 that some call \u2018blood money\u2019 \u2014 are too precious to gamble away,\u201d he added.
Although overdose fatalities remain staggeringly high, there have been glimmers of hope.
Kentucky had 2,135 overdose deaths in 2022, down more than 5% from the prior year and the first statewide decline since 2018. The increased prevalence of fentanyl \u2014 a powerful synthetic opioid \u2014 is blamed by officials as a key factor behind the state's high death toll. Potent, inexpensive methamphetamine is seen as another significant contributor.
Coleman urged the commission to pursue innovations that \u201cpush the boundaries of addiction response,\u201d and said he would like to see the group establish a $5 million pool for research and innovation grants.
\u201cWith a new fund tailored to big ideas, Kentucky can keep pushing the outer limit in this space,\u201d he said. \u201cAnd if someone brings forward an ibogaine research proposal that fits the criteria of this new innovative grant program, I hope the commission would give it full and fair consideration.\u201d
The attorney general appoints some of the commission members under state law, and Coleman has named a new executive director.
Kentucky secured more than $800 million as part of settlements with companies for their roles in the opioid addiction crisis. Half of Kentucky\u2019s settlement will go directly to cities and counties. The commission oversees the state\u2019s half and has started awarding funding to grassroots groups that specialize in drug prevention, treatment and recovery services.
\u201cWith a new round of grant applications already underway, I look forward to seeing the selections you make this year,\" Coleman told the commission.
Coleman, who took office at the start of the year, outlined his priorities for combating the Bluegrass State's drug addiction woes. Strong treatment and enforcement programs are in place, he said, noting that there are \u201cfinally enough treatment beds available in Kentucky.\u201d
\u201cNow we are entering a new phase with a new challenge,\u201d he said. \u201cWe need to build up the third leg of the stool: prevention.\u201d
The attorney general's office is developing prevention initiatives, with a focus on youth education, Coleman said. Those conversations with children need to start earlier, he said, and he urged the commission to be part of the effort to \u201cbuild a gold-standard\u201d statewide prevention program.
\u201cWhen kids as young as 11 are dying from fatal overdoses \u2026 when a young person with limitless potential is stolen away because he thought he was taking a Xanax, it\u2019s our responsibility to prepare them for this threat,\" Coleman said.
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The experiments are just first steps but they signal a new strategy to fight hard-to-treat glioblastoma. It's a twist on the CAR-T therapy already used to treat leukemia, by modifying patients' own disease-fighting T cells to be better cancer hunters. Now Massachusetts General Hospital and the University of Pennsylvania are trying next-generation versions strengthened to try to overcome glioblastoma's stronger defenses. Early findings were published Wednesday in the New England Journal of Medicine and Nature Medicine.", + "bylines": [ + { + "by": "By LAURAN NEERGAARD", + "title": "AP Medical Writer" + } + ], + "located": "WASHINGTON", + "datelinelocation": { + "city": "Washington", + "countryareacode": "DC", + "countryareaname": "District of Columbia", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -77.03637, + 38.89511 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. 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Scientists took patients\u2019 own immune cells and turned them into \u201cliving drugs\u201d able to recognize and attack glioblastoma. In the first-step tests, those cells shrank tumors at least temporarily, researchers reported Wednesday.
So-called CAR-T therapy already is used to fight blood-related cancers like leukemia but researchers have struggled to make it work for solid tumors. Now separate teams at Massachusetts General Hospital and the University of Pennsylvania are developing next-generation CAR-T versions designed to get past some of glioblastoma\u2019s defenses.
\u201cIt\u2019s very early days,\u201d cautioned Penn\u2019s Dr. Stephen Bagley, who led one of the studies. But \u201cwe\u2019re optimistic that we\u2019ve got something to build on here, a real foundation.\u201d
Glioblastoma, the brain cancer that killed President Joe Biden\u2019s son Beau Biden and longtime Arizona Sen. John McCain, is fast-growing and hard to treat. Patients usually live 12 to 18 months after diagnosis. Despite decades of research, there are few options when it returns after surgery and radiation.
The immune system's T cells fight disease but cancer has ways to hide. With CAR-T therapy, doctors genetically modify a patient\u2019s own T cells so they can better find specific cancer cells. Still, solid tumors like glioblastoma offer an additional hurdle \u2014 they contain mixtures of cancer cells with different mutations. Targeting just one type allows the rest to keep growing.
Mass General and Penn each developed two-pronged approaches and tried them in patients whose tumors returned after standard treatment.
At Mass General, Dr. Marcela Maus\u2019 lab combined CAR-T with what are called T-cell engaging antibody molecules \u2014 molecules that can attract nearby, regular T cells to join in the cancer attack. The result, dubbed CAR-TEAM, targets versions of a protein called EGFR that\u2019s found in most glioblastomas but not normal brain tissue.
Penn\u2019s approach was to create \u201cdual-target\u201d CAR-T therapy that hunts for both that EGFR protein plus a second protein found in many glioblastomas.
Both teams infused the treatment through a catheter into the fluid that bathes the brain.
Mass General tested three patients with its CAR-TEAM and brain scans a day or two later showed their tumors rapidly began shrinking, the researchers reported in the New England Journal of Medicine.
\u201cNone of us could really believe it,\u201d Maus said. \u201cThat doesn\u2019t happen.\u201d
Two of the patients' tumors began to regrow soon and a repeat dose given to one of them didn\u2019t work. But one patient\u2019s response to the experimental treatment lasted more than six months.
Similarly, Penn researchers reported in Nature Medicine that the first six patients given its therapy experienced varying degrees of tumor shrinkage. While some rapidly relapsed, Bagley said one treated in August so far hasn't seen regrowth.
For both teams, the challenge is to make it longer-lasting.
\u201cNone of this is going to matter if it doesn't last,\u201d Bagley said.
___
The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute\u2019s Science and Educational Media Group. The AP is solely responsible for all content.
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\u201cI'm lucky. We caught it with enough time that I had options. I want the same for any woman who might have to face this one day,\u201d the 43-year-old actor posted on Instagram on Wednesday with photos and a video of her being treated at a hospital.
Munn said she took a genetic test in February 2023 that checks for 90 different cancer genes and was negative for all. Even so, her doctor decided to calculate her Breast Cancer Risk Assessment Score and that \u201csaved my life,\u201d Munn wrote.
Recording a high score, Munn had imaging tests and then got a biopsy, which found she had an aggressive form of cancer in both breasts. She had a double mastectomy 30 days after the biopsy and has had four surgeries in the past 10 months. She said she kept it private because \u201cI needed to catch my breath and get through some of the hardest parts before sharing.\u201d
Munn thanked family and friends, especially her partner, comedian John Mulaney, \u201cfor being there before I went into each surgery and being there when I woke up, always placing framed photos of our little boy Malcolm so it would be the first thing I saw when I opened my eyes.\u201d
Munn was a correspondent on \u201cThe Daily Show with Jon Stewart\u201d and her movie credits include \"Magic Mike,\u201d \u201cThe Predator,\u201d \u201cOffice Christmas Party\u201d and \u201cX-Men: Apocalypse.\u201d
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The Office for Civil Rights said Wednesday that it also will examine whether Change Healthcare followed laws protecting patient privacy.
Change Healthcare provides technology used to submit and process insurance claims \u2014 and handles about 14 billion transactions a year.
The investigation was spurred by \u201cunprecedented magnitude\u201d of the attack, Office for Civil Rights Director Melanie Fontes Rainer said in a letter.
The Office for Civil Rights, which is part of the U.S. Department of Health and Human Services, enforces federal rules that establish privacy and security requirements for patient health information.
UnitedHealth Group, which owns Change Healthcare, said it would cooperate. Spokesman Eric Hausman added that UnitedHealth Group is working with law enforcement to investigate the extent of the attack.
Attackers gained access to some of Change Healthcare's information technology systems last month, disrupting billing and care-authorization systems across the country.
The American Hospital Association said recently that some patients have seen delays in getting prescriptions, and hospitals have had issues processing claims, billing patients and checking insurance coverage.
Change Healthcare said Wednesday that all of its major pharmacy and payment systems were back online. Last week, the company said it expects to start reestablishing connections to its claims network and software on March 18.
The company also said late last month that the ransomware group ALPHV, or Blackcat, made the breach.
Cybersecurity experts say ransomware attacks have increased substantially in recent years, especially in the health care sector.
___
The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute\u2019s Science and Educational Media Group. The AP is solely responsible for all content.
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A summary autopsy report released on Wednesday has determined that Nex Benedict had toxic levels of two drugs in their system. Police in the Tulsa suburb of Owasso have said in a statement there were \u201cmany indications\u201d that the 16-year-old's death was a suicide, but Lt. Nick Boatman did not elaborate.", + "bylines": [ + { + "by": "By SEAN MURPHY", + "title": "Associated Press" + } + ], + "located": "OKLAHOMA CITY", + "datelinelocation": { + "city": "Oklahoma City", + "countryareacode": "OK", + "countryareaname": "Oklahoma", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -97.51643, + 35.46756 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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A summary autopsy report was released more than a month after the death of 16-year-old Nex Benedict, a student at Owasso High School. Family members said Benedict had been bullied at school and the teenager's death in February drew concern from LGBTQ+ rights groups, as well as attention from Oklahoma's governor and the White House.
\u201cFrom the beginning of this investigation, Owasso Police observed many indications that this death was the result of suicide,\u201d Owasso Police Department Lt. Nick Boatman said in a statement. \u201cHowever, investigators did not wish to confirm that information without the final results being presented by the Oklahoma Medical Examiners Office.\u201d
In a 911 call on Feb. 8, Sue Benedict \u2014 the teen's grandmother and legal guardian \u2014 had expressed concern about a head injury. The teenager was conscious and alert after the fight a day earlier when they told police about the attack by three girls that occurred after the teen squirted them with water, according to police video released last month.
The report shows Benedict had toxic levels of two drugs in their system and died of an overdose. A complete autopsy will be released in 10 days in accordance with state law, the medical examiner's office said.
Boatman would not confirm whether or not police found a note from Benedict at the scene.
A lawyer for the Benedict family, Jacob Biby, told The Associated Press that he was working on a statement from the family Wednesday but declined to comment further.
In video footage from the hospital the day of the altercation, Benedict explains to an officer that the girls had been picking on them and their friends because of the way they dressed. Benedict claims that in the bathroom the students said \u201csomething like: why do they laugh like that,\u201d referring to Benedict and their friends.
\u201cAnd so I went up there and I poured water on them, and then all three of them came at me,\u201d Benedict tells the officer from a hospital bed.
Paramedics responded to the family\u2019s house and performed CPR on the teen before rushing them to the hospital, where they later died.
Family members have said Benedict was nonbinary, which means they didn\u2019t identify as strictly male or female.
\u201cBullying and harassment have a significant impact on students and, tragically, many of these youths believe that suicide is the only option for peace,\u201d said Brandon Dilawari, a case manager at Rainbow Youth Project USA, an Indiana-based group that aims to improve the safety and wellness of LGBTQ+ young people. \u201cThis is not an isolated incident by any means.\"
The group reported a dramatic spike in calls from Oklahoma to its national crisis hotline after news of the teen's death became public.
_____
This story includes discussion of suicide. If you or someone you know needs help, please call the National Suicide Prevention Lifeline at 800-273-8255.
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The numbers in the preliminary report by the Maricopa County Department of Public Health alarmed officials in America's hottest big metro, raising concerns about how to better protect vulnerable groups such as homeless people and older adults from the blistering summer heat.
The report said two-thirds of the county's heat-related deaths in 2023 were people 50 years or older, and 71% were on days the National Weather Service issued an excessive heat warning.
\u201cDeaths from heat are a major public health issue within our community, and it\u2019s going to take support from every level to improve the situation,\" said Dr. Rebecca Sunenshine, the county public health department's medical director. \u201cWith a coordinated county-wide strategy, nearly every one of these deaths can be prevented.\"
The heat-associated deaths confirmed in 2023 represented a huge jump from 2022, when there were 425 such deaths. There were 339 heat-associated deaths confirmed in 2021.
No other major metropolitan area in the U.S. has reported such high heat-associated death figures or spends so much time tracking and studying them.
Maricopa County's public health officials since 2006 have tracked deaths in which environmental heat was the cause or a major contributing factor. The department uses information from preliminary death reports completed by the county's Office of the Medical Examiner, along with data in death certificates on file with the county's Office of Vital Registration.
Last summer, Phoenix experienced the hottest three months since record-keeping began in 1895, including the hottest July and the second-hottest August. The daily average temperature of 97 F (36.1 C) in June, July and August passed the previous record of 96.7 F (35.9 C) set three years ago.
Phoenix also set a record in July with a 31-day streak of highs at or above 110 F (43.3 C).
In recognition of the growing problem of heat associated deaths, Arizona's department of public health last week named a physician as the first statewide heat officer in the nation to address extreme environmental heat.
Dr. Eugene Livar was appointed to the state role under Gov. Katie Hobbs\u2019 extreme heat preparedness plan.
The cities of Phoenix and Miami have their own heat officers to oversee ways to protect people and the overall community from extreme heat as climate change leads to more frequent and enduring heat waves.
Phoenix, the hottest big city in the United States, also has an office of heat response and resiliency that aims to protect people and help them cope with the hot weather through programs like cooling stations and increased tree planting.
Sunenshine, of Maricopa County public health, said individuals, organizations of all sizes and local governments can help reduce heat deaths, especially during the traditional warm season stretching from May 1 to Oct. 31.
The county called on residents to check on people in their communities and social circles during the hot season, especially those who are older or living alone. It suggested that residents also help by volunteering at a cooling center to let it stay open later, or donate supplies, such as water, reusable bottles, hats, sunscreens and cooling towels.
That county public health department also released the results of an evaluation of the cooling and respite centers that operated around the county last year.
County officials hope to use the information to provide additional services during the upcoming summer, such as a bilingual heat relief call center to answer questions and help people get transportation to and from cooling centers.
About two-thirds of people who responded to a survey about cooling centers said they did not have a stable home. The results showed that the biggest barriers keeping people from using the centers are not even knowing they exist or where they are located, and lacking transportation to get to them.
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It will allow earlier Medicaid to help babies", + "headline_extended": "Mississippi Republican Gov. Tate Reeves has signed a new law that will allow women to receive Medicaid coverage earlier in pregnancy", + "slugline": "BC-US--Mississippi-Pregnancy-Medicaid, 3rd Ld-Writethru", + "description_summary": "Mississippi Republican Gov. Tate Reeves has signed a new law that will allow women to receive Medicaid coverage earlier in pregnancy. It's an effort to improve health outcomes for mothers and babies in a poor state with the worst rate of infant mortality in the U.S. The law will take effect July 1. It will allow up to 60 days of \u201cpresumptive eligibility\u201d for Medicaid. That means a pregnant woman\u2019s outpatient medical care will be paid by Medicaid while her application for coverage by the government insurance program is being considered. Processing Medicaid applications can take weeks, and physicians say early prenatal care is important.", + "bylines": [ + { + "by": "By EMILY WAGSTER PETTUS", + "title": "Associated Press" + } + ], + "located": "JACKSON, Miss.", + "datelinelocation": { + "city": "Jackson", + "countryareacode": "MS", + "countryareaname": "Mississippi", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -90.18481, + 32.29876 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. For other uses, additional clearances may be required." + ], + "keywords": [ + "mississippi medicaid pregnant women" + ], + "provider": "AP", + "infosource": [ + { + "name": "AP", + "type": "AP" + } + ], + "person": [ + { + "scheme": "http://cv.ap.org/id/", + "code": "7a7dc5869fe246a6b90a6846a20531e9", + "name": "Tate Reeves", + "creator": "Machine", + "rels": [ + "direct" + ], + "types": [ + "POLITICIAN", + "PERSON" + ], + "relevance": 73 + } + ], + "subject": [ + { + "rels": [ + "category" + ], + "creator": "Editorial", + "code": "a", + "name": "a" + }, + { + "rels": [ + "category" + ], + "creator": "Editorial", + "code": "n", + "name": "n" + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "c40fab387e891004837ad7e4e3aa4207", + "name": "Prenatal care", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 59 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "6cd98adfc84d405eadec8ca81bd37df4", + "name": "Access to health care", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 70 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "e2305bd07de410048fcfdf092526b43e", + "name": "Pregnancy and childbirth", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 46 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "86aad5207dac100488ecba7fa5283c3e", + "name": "Politics", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 32 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "1b29d45f8e8e4c008e8a58fe6f92a753", + "name": "Government programs", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 96 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "cc7a76087e4e10048482df092526b43e", + "name": "Health", + "creator": "Editorial", + "editorial_subject": "Health", + "rels": [ + "direct" + ], + "relevance": 75 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "a4677d70863b4012b846a1b00f5079f5", + "name": "U.S. news", + "creator": "Editorial", + "editorial_subject": "U.S. news", + "rels": [ + "direct" + ], + "relevance": 99 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "f25af2d07e4e100484f5df092526b43e", + "name": "General news", + "creator": "Editorial", + "editorial_subject": "General news", + "rels": [ + "direct" + ], + "relevance": 50 + } + ], + "place": [ + { + "scheme": "http://cv.ap.org/id/", + "code": "b3dfffa882c4100486c3df092526b43e", + "name": "Mississippi", + "creator": "Machine", + "rels": [ + "direct" + ], + "parentids": [ + "661e48387d5b10048291c076b8e3055c" + ], + "locationtype": { + "code": "0ae5eb8e00e04295a4fc209c94bfe6ef", + "name": "State" + }, + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -89.75036, + 32.75041 + ] + }, + "relevance": 83, + "parentnames": [ + "United States" + ] + } + ], + "audiences": [ + { + "code": "82c6a4c46fa0446090a7acaf93159e4c", + "name": "Print", + "type": "AUDPLATFORM" + }, + { + "code": "9add4649b53b4702ba7d9de5d4fa607a", + "name": "Online", + "type": "AUDPLATFORM" + }, + { + "code": "f43adc08760d10048040e6e7a0f4673e", + "name": "National", + "type": "AUDSCOPE" + }, + { + "code": "f4ecf9b0760d10048044e6e7a0f4673e", + "name": "International", + "type": "AUDSCOPE" + }, + { + "code": "f5b16ea8760d10048047e6e7a0f4673e", + "name": "State", + "type": "AUDSCOPE" + }, + { + "code": "661850e07d5b100481f5c076b8e3055c", + "name": "Latin America and Caribbean", + "type": "AUDGEOGRAPHY" + }, + { + "code": "b3dfffa882c4100486c3df092526b43e", + "name": "Mississippi", + "type": "AUDGEOGRAPHY" + }, + { + "code": "661e48387d5b10048291c076b8e3055c", + "name": "United States", + "type": "AUDGEOGRAPHY" + } + ], + "associations": { + "1": { + "altids": { + "itemid": "12c457ea5fe14e39a5b0b5bbb238514a" + }, + "type": "picture" + }, + "2": { + "altids": { + "itemid": "52c708c6a3d3478d981d3e715d6a6fd3" + }, + "type": "audio" + } + }, + "body_nitf": "JACKSON, Miss. (AP) \u2014 A new Mississippi law will allow earlier Medicaid coverage for pregnant women in an effort to improve health outcomes for mothers and babies in a poor state with the worst rate of infant mortality in the U.S.
The \u201cpresumptive eligibility\u201d legislation signed Tuesday by Republican Gov. Tate Reeves will become law July 1. It says Medicaid will pay for a pregnant woman's outpatient medical care for up to 60 days while her application for the government-funded insurance program is being considered.
Processing Medicaid applications can take weeks, and physicians say early prenatal care is vital.
The advocacy group Mississippi Black Women's Roundtable praised the new law, which passed the Republican-controlled Legislature with bipartisan support.
\u201cThis represents a significant step forward in the effort to create better health for women and their families,\u201d the group said in a statement.
Black infants in Mississippi were nearly twice as likely as white ones to die over the past decade, according to a report unveiled Jan. 18 by the state Department of Health.
Presumptive Medicaid eligibility during pregnancy would be based on questions about income, asked by health care providers such county health department workers. If a woman\u2019s Medicaid application is ultimately rejected because her income is too high, Medicaid would still pay for services provided during the time of presumptive eligibility.
House Medicaid Committee Chairwoman Missy McGee, a Republican from Hattiesburg, said the total cost to the Medicaid program will be just under $600,000 a year.
About 41% of births in the U.S. and 57% in Mississippi were financed by Medicaid in 2022, according to the health policy research group KFF. Only Louisiana had a larger share of births covered by Medicaid that year, at 61%.
In Mississippi, Medicaid coverage for pregnant women 19 and older is based on income. A woman in that age category who has no dependents can receive up to about $29,000 and qualify for Medicaid during pregnancy. One with three dependents can get as much as $59,700 and qualify.
Mississippi Medicaid coverage is available to all income levels for those who are pregnant and younger than 19.
In 2023, Mississippi extended postpartum Medicaid coverage from two months to a full year, with Reeves saying the change was part of a \u201cnew pro-life agenda\u201d to help mothers in a state where abortion is tightly restricted.
But, Mississippi is among 10 states that have not expanded Medicaid eligibility to include people earning up to 138% of the federal poverty level, or $20,120 annually for a single person. Expansion is allowed under the federal health overhaul that then-President Barack Obama signed into law in 2010.
The Mississippi House recently voted for Medicaid expansion. The state Senate has not voted on an expansion proposal this year, and Reeves has said for years that he opposes adding people to government programs.
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The document also touches on related health statistics and policies, making it highly relevant to the topic of health." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/03/13/a8e7b4023468aeac6ce1d21ea4a85f4f.json b/datasets/AP_news/raw_data/2024/03/13/a8e7b4023468aeac6ce1d21ea4a85f4f.json new file mode 100644 index 0000000..38c8c78 --- /dev/null +++ b/datasets/AP_news/raw_data/2024/03/13/a8e7b4023468aeac6ce1d21ea4a85f4f.json @@ -0,0 +1,198 @@ +{ + "altids": { + "itemid": "a8e7b4023468aeac6ce1d21ea4a85f4f", + "etag": "a8e7b4023468aeac6ce1d21ea4a85f4f_0a17aza0c0", + "friendlykey": "139234414661", + "referenceid": "US-MED--Colon Cancer-Blood Test" + }, + "version": 0, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-03-13T21:09:28Z", + "firstcreated": "2024-03-13T21:09:28Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: Updates Media.", + "signals": [ + "newscontent" + ], + "title": "US-MED--Colon Cancer-Blood Test", + "headline": "A blood test for colon cancer performed well in a study, expanding options for screening", + "headline_extended": "A blood test for colon cancer performed well in a study, offering a new kind of screening", + "slugline": "BC-US-MED-Colon-Cancer-Blood-Test", + "description_summary": "A blood test for colon cancer performed well in a study, offering a new kind of screening. The blood test looks for cancer by checking for DNA fragments shed by tumor cells and precancerous growths. The research sponsored by the maker of the blood test was published Wednesday. The test missed some cancers and any abnormal result would need to be followed up with a colonoscopy. It's already for sale in the U.S. for $895, but has not been approved by federal regulators and most insurers do not cover it. The company anticipates an FDA decision this year.", + "bylines": [ + { + "by": "By CARLA K. JOHNSON", + "title": "AP Medical Writer" + } + ], + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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The test looks for DNA fragments shed by tumor cells and precancerous growths. It's already for sale in the U.S. for $895, but has not been approved by the Food and Drug Administration and most insurers do not cover it. The maker of the test, Guardant Health, anticipates an FDA decision this year.
In the study, the test caught 83% of the cancers but very few of the precancerous growths found by colonoscopy, the gold standard for colon cancer screening. Besides spotting tumors, colonoscopies can prevent the disease by removing precancerous growths called polyps.
But some people avoid the exam because of the hassle of getting time off work or the day-ahead preparation that involves drinking a strong laxative to empty the bowels.
A convenient alternative is an annual stool test, where people send a stool sample to a lab for analysis.
\u201cThe best test is the one someone will actually complete,\u201d said Dr. Douglas Corley, chief research officer for Kaiser Permanente, Northern California, who was not involved in the study. \u201cGiving people a choice increases the number of people who will get screened.\u201d
In the U.S., screening is recommended for healthy adults ages 45 to 75 at average risk for colon cancer. Frequency depends on the test: a routine colonoscopy is every 10 years. Screening is inching up but falls well short of the 80% of age-eligible adults goal set by the American Cancer Society and other groups.
Guardant recommends testing with its blood test called Shield every three years. Like a stool test, the blood test requires a follow-up colonoscopy if there\u2019s an abnormal result, which could lead to more out-of-pocket costs.
The study, sponsored by Guardant and published in the New England Journal of Medicine, involved 7,861 people in the U.S. who had both a colonoscopy and a blood test.
While the blood test caught 83% of the cancers found by colonoscopy, it missed 17%. That's on par with stool-based tests.
There were also false alarms: For 10% of the people where the colonoscopy found nothing, the blood test falsely indicated they might have colon cancer. That means a sizeable number of people would face the anxiety of follow-up colonoscopies.
The blood test is tuned to pick up the signature of colon cancer but more research is needed to determine if it might pick up other cancers as well and give misleading results, Corley said.
Colorectal cancer is the second leading cause of cancer deaths in the United States and the third worldwide. In the U.S., more than 153,000 new cases and 53,000 deaths from the disease are expected this year.
More screening should result in fewer cancer deaths, said study co-author Dr. William Grady of the Fred Hutchinson Cancer Center in Seattle and a paid member of Guardant\u2019s scientific advisory board.
In a separate study published Wednesday in the same journal, an updated version of the Cologuard stool test, which also looks for DNA fragments, seemed to improve its performance on false alarms, possibly leading to fewer follow-up colonoscopies. That study, involving more than 20,000 people, was sponsored by Exact Sciences, maker of the test.
\u201cThe more options we have for our patients, the better,\u201d said Dr. Nabil Mansour of Baylor College of Medicine, who was not involved in either study. He'll continue to recommend a colonoscopy for his patients but \u201cI\u2019m excited there will be a pretty good blood test option available.\u201d
___
The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute\u2019s Science and Educational Media Group. The AP is solely responsible for all content.
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Restores dropped word 'has' in 2nd paragraph of \"What is Acanthamoeba\" section", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "US-MED--Neti Pots-Amoeba", + "headline": "Another dangerous amoeba has been linked to neti pots and nasal rinsing. Here's what to know", + "headline_extended": "Researchers have linked another kind of amoeba to nasal rinsing", + "slugline": "BC-US-MED-Neti-Pots-Amoeba, 1st Ld-Writethru", + "description_summary": "Researchers have linked another kind of amoeba to nasal rinsing. The Centers for Disease Control and Prevention on Wednesday published a report that for the first time connects Acanthamoeba infections to use of neti pots and other nasal rinsing devices. For years, scientists have known people can become infected with a different germ \u2014 a brain-eating amoeba \u2014 through the misuse of neti pots. Cases are extremely rare. But officials also are renewing their warning against using common tap water for nasal rinsing. The CDC recommends using boiled, sterile or distilled water. If tap water is used, it must be boiled first.", + "bylines": [ + { + "by": "By MIKE STOBBE", + "title": "AP Medical Writer" + } + ], + "located": "NEW YORK", + "datelinelocation": { + "city": "New York", + "countryareacode": "NY", + "countryareaname": "New York", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -74.00597, + 40.71427 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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On Wednesday, researchers linked a second kind of deadly amoeba to nasal rinsing.
The Centers for Disease Control and Prevention published a report that for the first time connects Acanthamoeba infections to neti pots and other nasal rinsing devices.
Officials also renewed their warning that extremely rare, but potentially deadly, consequences can come from flushing nasal passages with common tap water.
\u201cWe published this study because we want people to be aware of this risk,\u201d said the CDC's Dr. Julia Haston.
Neti pots are one of the better known tools of nasal rinsing. They look like small teapots with long spouts, and usually are made of ceramic or plastic.
Users fill them with a saline solution, then pour the liquid in one nostril. It comes out the other, draining the nasal passage of allergens and other bothersome contaminants.
Neti pot use in the U.S. has boomed in the last couple of decades, driven in part by the increasing prevalence of allergies and other respiratory diseases, market researchers say.
There also are other methods of rinsing nasal passages, including specially shaped cups and squeezable plastic bottles.
Tap water in the U.S. is treated to meet safe drinking standards, but low levels of microscopic organisms can still be found in it. It\u2019s usually not a problem when people drink or cook with the water, but it can pose more of a danger when tap water is used for other purposes \u2014 like in humidifiers or for nasal irrigation.
CDC officials, citing a 2021 survey, say about one-third of U.S. adults incorrectly think tap water was free of bacteria and other microorganisms. Nearly two-thirds say tap water could be safely used for rinsing their sinuses.
The CDC recommends using boiled, sterile or distilled water.
If tap water is used, it must be boiled for a minimum of one minute \u2014 or three minutes at higher elevations \u2014 before it is cooled and used, officials say.
More than a decade ago, health officials linked U.S. deaths from a brain-eating amoeba \u2014 named Naegleria fowleri \u2014 to nasal rinsing. More recently, they started to note nasal rinsing as a common theme in illnesses caused by another microscopic parasite, Acanthamoeba.
Acanthamoeba causes different kinds of illness but is still dangerous, with a 85% fatality rate in reported cases.
\u201cThese infections are very serious and even life threatening,\u201d said Haston who was lead author of the report published in the journal Emerging Infectious Diseases.
The new study focused on 10 patients who fell ill between 1994 and 2022, three of whom died. Researchers say they can\u2019t be sure how the patients were infected, but they noted several commonalities: All had weakened immune systems and practiced nasal rinsing.
Seven patients reported nasal rinsing for relief of chronic sinus infections, and at least two of them used neti pots. Two other patients did nasal rinsing as part of a cleansing ritual that is part of Indian tradition.
This amoeba can be found naturally all over the environment \u2014 in lakes, rivers, seawater and soil.
It can cause diseases of the skin and sinuses, and can infect the brain, where it can cause a deadly form of inflammation. The microorganism also has been connected to non-fatal, but sight-threatening, eye infections, sometimes through contaminated contact lens solution.
U.S. health officials have identified about 180 infections from the single-cell organism since the first one was diagnosed in 1956.
In the vast majority of cases, researcher don't know exactly how people became infected. But in reviewing cases in recent decades, CDC researchers increasingly received information that a number of the cases had done nasal rinsing, Haston said.
Research also has indicated it's common in tap water. A study done in Ohio in the 1990s found more than half of tap water samples studied contained the amoeba and similar microorganisms.
\u201cIt's very likely that we're all exposed to Acanthamoeba all the time,\u201d she said.
___
The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute\u2019s Science and Educational Media Group. The AP is solely responsible for all content.
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Ten infections total have been reported in the city since Thursday, which the Chicago Department of Public Health said was the first instance of measles detected locally since 2019. Two of the cases \u2014 an adult and a child \u2014 were not shelter residents.
Measles is a contagious virus still common in many countries outside the U.S. Cases in the U.S. originate from international travelers \u2014 most often Americans who have not been vaccinated, according to the CDC.
The city on Friday publicly reported the first case at the shelter housing around 1,900 people. The other cases at the former warehouse in the city\u2019s Pilsen neighborhood quickly followed, including three confirmed Tuesday and one Wednesday.
The department said those infected include 5 children and 4 adults. Nearly 900 residents have received vaccines since Thursday night, officials said.
The vaccine against measles is not recommended during pregnancy or for children younger than 1.
\u201cWe haven't seen cases of new arrivals coming with measles,\u201d the city\u2019s public health Commissioner Dr. Olusimbo Ige said Wednesday. \"Measles cases were acquired here. And so, we have been working very hard, taking our responsibility to safeguard the health of the new arrivals seriously.\u201d
The cluster within the city-run shelter highlighted Chicago's multi-layered struggle to respond to the arrival of nearly 37,000 migrants since 2022 when Texas Gov. Greg Abbott began sending buses to so-called sanctuary cities.
Chicago initially used police stations and airports as officials searched for other temporary shelters. On Tuesday, a city dashboard showed more than 11,000 people remain in city-run shelters.
Providing medical care has been part of that effort; from vaccinations to treatment of conditions developed during exhausting journeys to reach the U.S. border with Mexico.
Many migrants who land in Chicago come from Venezuela where a social, political and economic crisis has pushed millions into poverty. The situation along with doctor and drug shortages has affected the availability and affordability of routine care, as well as trust in medical institutions. Venezuela has reported one of the world\u2019s lowest vaccination rates for children.
Cook County officials opened a clinic to provide immediate care, vaccinations and an entryway into other public health services in 2022.
Alex Normington, a spokesperson for Cook County Health, said providers offer all essential vaccinations there and more than 73,000 have been given against measles, influenza, COVID-19 and other viruses.
Providers also rotate through every city shelter and have expanded their hours as the measles cases arose, Normington said.
But volunteer organizations working with migrants have frequently criticized conditions inside the city's shelters, particularly following the December death of a 5-year-old boy who became ill while staying at the same shelter where the measles cases have been reported.
They argue the cases are the result of the city, county, state and federal government falling short of supporting new arrivals' health needs.
\u201cThis is not the new arrivals\u2019 fault \u2014 this is a public health emergency a long time in the making,\" Annie Gomberg, a volunteer, said in a statement. \u201cEveryone arriving here should be screened and vaccinated, just like we did at Ellis Island over 100 years ago. Not put in overcrowded shelters to languish.\u201d
___
Associated Press reporters Sophia Tareen in Chicago and Ken Kusmer in Indianapolis and medical writer Mike Stobbe in New York contributed.
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The Air Force said so far it has identified 23 cases of non-Hodgkin lymphoma, a blood cancer, in the first stage of its review of cancers among service members who operated, maintained or supported silo-based Minuteman III intercontinental ballistic missiles.
To identify those cases the Air Force looked at all missile community personnel who used the military health care system, or TRICARE, from 2001 to 2021, a population they said is about 84,000 people and includes anyone who operated, maintained, secured or otherwise supported the Air Force nuclear mission.
Within that community about 8,000 served as missileers, young men and women who are underground in launch control capsules for 24 to 48 hours at a time \u2014 ready to fire the silo-based Minuteman missiles if ordered to by the president.
The Air Force review of cancers among service members who are assigned to its nuclear missile mission was prompted by January 2023 reports that nine missile launch officers who had served at Malmstrom Air Force Base in Montana had been diagnosed with non-Hodgkin lymphoma.
The 23 cases identified so far are lower than what would be expected over the 20-year time frame when compared to similar incidence rates in the U.S. general population, the Air Force said. Based on National Cancer Institute Surveillance, Epidemiology, and End Results data on the incidence of non-Hodgkin lymphoma for the same time frame, Air Force researchers would expect to find about 80 NHL cases in the larger 84,000-person missile community.
It also did not identify how many of those 23 cases were found among the smaller missileer population versus among the larger pool of service members who support the nuclear mission.
The Air Force has emphasized that it still doesn't have all the data. The study does not yet include state cancer registry and Department of Veterans Affairs data, which limits what numbers are reported. The military health care system only serves active duty personnel, their dependents and qualifying retirees, meaning that service members who left the military before they had completed 20 years of service, but who were diagnosed after they left, may not be included in these numbers.
The nuclear missile community has formed an advocacy group to press for answers on the cancers, named the Torchlight Initiative, and has found hundreds of cases of NHL among its ranks.
Missileers have raised concerns for years about the underground capsules they work in. The capsules were dug in the 1960s on older environmental standards and exposed them to toxic substances. An Associated Press investigation in December found that despite official Air Force responses from 2001 to 2005 that the capsules were safe, environmental records showed exposure to asbestos, polychlorinated biphenyls, or PCBs and other cancer-linked dangers were regularly reported in the underground capsules.
The Air Force is continuing its review.
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The 87-year-old Francis made the comments in an autobiography, \u201cLife: My Story Through History,\u201d which is being published Tuesday, the 11th anniversary of his installation as pope. Extensive excerpts were published Thursday in the Italian daily Corriere della Sera. In the memoir, written with an Italian journalist, Francis traces key moments of his life and their intersection with world events, including World War II and Argentina's military dictatorship. He says he still has \u201cmany projects to bring to fruition.\u201d", + "bylines": [ + { + "by": "By NICOLE WINFIELD", + "title": "Associated Press" + } + ], + "located": "VATICAN CITY", + "datelinelocation": { + "city": "Vatican City", + "countrycode": "VAT", + "countryname": "Vatican City", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + 12.4533, + 41.90225 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. 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Francis, 87, made the comments in an autobiography, \u201cLife: My Story Through History,\u201d which is being published Tuesday, the 11th anniversary of his installation as pope. Extensive excerpts were published Thursday in the Italian daily Corriere della Sera.
In the memoir, written with Italian journalist Fabio Marchese Ragona, Francis traces key moments of his life and their intersection with world events (World War II, Argentina\u2019s military dictatorship and Vatican intrigue) and how they together inform his priorities as pope.
Significantly, he addresses recurring speculation about his health problems, criticism from conservatives and what both may mean for the future of his pontificate. Such questions have always surrounded the papacy but the prospect of a papal resignation only became a reality with the late Pope Benedict XVI 's historic 2013 retirement.
Francis, who had part of one lung removed as a young man, has been battling bronchitis, the flu and a cold on and off this winter and for the past two weeks has asked an aide to read most of his speeches. He had a chunk of his large intestine removed in 2021 and was hospitalized twice last year, including once to remove intestinal scar tissue from previous surgeries to address diverticulosis, or bulges in his intestinal wall.
In his memoir, he stressed that the papacy is a job for life but that \u201cif a serious physical impediment\u201d occurs, he has already penned a letter of resignation that is being held in the Secretariat of State.
\u201cBut this is, I repeat, a distant possibility, because I truly do not have any cause serious enough to make me think of resigning,\u201d he said. \u201cSome people may have hoped that sooner or later, perhaps after a stay in the hospital, I might make an announcement of that kind, but there is no risk of it: Thanks be to God, I enjoy good health, and as I have said, there are many projects to bring to fruition, God willing.\"
Francis acknowledged that critics inside the Vatican and out have accused him of destroying the papacy and have tried to block the reforms that he was mandated by cardinals to enact as a result of his 2013 election.
\u201cThere was a strong desire to change things, to abandon certain attitudes, which, sadly, have proved difficult to eradicate,\u201d he said. \u201cNeedless to say, there are always some who wish to put the brakes on reform, who want things always to stay as they were during the days of pope kings.\u201d
In the memoir, Francis doubled down on his recent decision to allow Catholic priests to bless same-sex couples and denied that the criticism that erupted could split the church. Africa\u2019s bishops as a whole, as well as individual conservative bishops around the world, have said they would not follow the new directive.
\u201cI just want to say that God loves everyone, especially sinners. And if my brother bishops, according to their discernment, decide not to follow this path it doesn\u2019t mean that this is the antechamber to schism, because the church\u2019s doctrine is not brought into question,\u201d Francis said.
He reaffirmed his support for civil unions while ruling out gay marriage, saying \u201cit is right that these people who experience the gift of love should have the same legal protections as everyone else.\u201d
He reasoned that Jesus spent time with people who lived on the margins of society \u201cand that is what the church should be doing today with members of the LGBTQ+ community.\u201d
\u201cMake them feel at home, especially those who have been baptized and are in every respect among God\u2019s people,\" he said. \"And those who have not been baptized and would like to be, or who would like to be godfathers or godmothers: let them be welcomed, please; let them follow a careful pathway to personal discernment.\u201d
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March 12, 2024.
Editorial: Dial into civics
A week ago, voters across Vermont sent some clear messages to elected officials.
Mostly, it came in the form of rejecting school budgets, but a few municipal budgets also failed at the polls. In addition, some elections will send communities and school districts on different courses.
That is what makes the democratic process so great.
What is important now is that voters pay attention to the \u201cwhat\u2019s next?\u201d In communities and school districts where budgets were voted down, it will be important to be paying attention to what the revised proposed budgets will look like. The window for the process will be a short one, in order to get warnings posted, ballots printed and to beat the June 30 end of the fiscal year.
This year will be a crash course in civics. While politics \u2014 and the lead-up to elections \u2014 can induce indigestion and anxiety at times, that, too, is part of the process. It comes down to having all the information you need before you head to the polls.
Town Meeting Day on March 5 was the first opportunity in 2024. (It doubled as the presidential primary for Vermont.) In a matter of weeks, many communities will be heading back to the polls to have their say on the next round of budgets. Because this is an election year for statewide office holders, our representative to the House of Representatives, and lawmakers, there will be a statewide primary in early August. Once that slate of candidates is set, we press on to a November General Election, when we will also be choosing the President of the United States.
Choosing the president is its own journey in civics. Invariably, as has been the case in the last several elections, we are likely to see challenges, recounts, intervention, and even obligations of the U.S. Supreme Court or the U.S. House of Representatives.
That is the reason civics is so important. It is about understanding the process as set out constitutionally.
Consider that the 12th Amendment to the Constitution requires that presidential and vice presidential candidates gain \u201ca majority of the whole number of Electors appointed\u201d in order to win election. What would happen if no candidate won a majority (270) of electoral votes? The 12th Amendment provides that the U.S. House of Representatives would elect the president, and the U.S. Senate would elect the vice president, in a procedure known as \u201ccontingent election.\u201d It has been implemented twice in the nation\u2019s history under the 12th Amendment: first, to elect the president in 1825, and second, the vice president in 1837.
Civics plays a crucial role in our American education. Or it should.
That is why we are tipping our hat to Secretary of State Sarah Copeland Hanzas, who is leading a celebration of Civic Learning Week, March 11-15. (As you may note from yesterday\u2019s editorial, it is also Sunshine Week, a nonpartisan collaboration that shines a light on the importance of public records and open government.)
Copeland Hanzas is joining a nationwide effort that brings together students, educators, policymakers, and leaders in the public and private sectors to highlight and promote the movement for civic education in communities nationwide.
In a news release on the civics push here in Vermont, she notes, \u201cWhile civic engagement is so much more than voting, the focus on this year\u2019s presidential primaries and election provides an unparalleled opportunity to shine a light on the importance of civic education and how it can be a unifying force in 2024 and beyond.\u201d
\u201cCivics is more than dry facts about the three branches of government. Civics is also about being able to affect change, solve problems and make life better for all of us,\u201d said Copeland Hanzas, who served as a lawmaker. \u201cIndividuals can only do so much on their own. Working together through civic participation allows us to accomplish more than any one person can do themselves.\u201d
Copeland Hanzas has made civics education a tenet of her work since being elected to the post in 2022. She re-started the office\u2019s civics program and created an Education and Civic Engagement Coordinator position in April 2023. Since then, the office has convened a Teacher Advisory Group to provide feedback and help develop K-12 civic education materials, partnered with the YMCA to administer a Youth Civic Health Survey at schools across the state.
Because getting kids interested and understanding civics early is critical.
The Center for Information & Research on Civic Learning and Engagement at Tufts University points out that \u201cAmong students who strongly agreed that they had high school experiences in which they felt their voices and opinions mattered, 81% said they are extremely likely to vote in the 2024 election. That\u2019s nearly 25 points higher than the 57% of all youth in our survey who considered themselves extremely likely to vote, and almost double the 44% of youth who strongly disagreed they had student voice experiences and said they were likely to vote.\u201d
Students who strongly recalled student voice experiences in high school also had a strong \u201ccivic engagement score,\u201d measured by their responses on whether they\u2019ve taken civic actions like volunteering, attending a protest, or running for office, according to CIRCLE.
Notably, these positive relationships between having student voice experiences in high school, likelihood to vote, and civic action were observed across all subgroups of youth, and remained strong even after controlling for race/ethnicity, gender, college experience and age, CIRCLE stated.
Those are the kinds of results we are looking for.
Go to sos.vermont.gov/secretary-of-state-services/civics to find out more about the Vermont Secretary of State\u2019s Civics Program.
___
Barre-Montpelier Times Argus. March 12, 2024.
Editorial: Sunshine Week
It\u2019s Sunshine Week.
While The Times Argus and Rutland Herald staffs certainly appreciate this weekend\u2019s return of daylight saving time (not as much the snow), that\u2019s not the type of sunshine we are celebrating from March 10-16.
Instead, we are honoring transparency and democracy.
Sunshine Week is a nonpartisan collaboration that \u201cshines a light on the importance of public records and open government,\u201d according to sunshineweek.org. After the Florida Society of Newspaper Editors started Sunshine Sunday in 2002, it grew into a national, weeklong awareness campaign that brings together journalists, government officials, educators, citizens and many others dedicated to democracy.
It\u2019s timed to correspond with the March 16 birthday of fourth U.S. president and \u201cFather of the Constitution\u201d James Madison, known for his staunch defense of open government.
Just like the return of daylight saving time brings more light into our lives, Sunshine Week champions federal and state sunshine laws and the Freedom of Information Act, which help keep the government from working under the cover of darkness where corruption can breed.
Journalists and local newspapers are at the forefront of Sunshine Week and the frontlines of Freedom of Information. And Sample News Group journalists and newspapers are committed to keeping readers informed and elected officials accountable.
What are sunshine laws? Sunshine laws are intended to promote government accountability. You may not even realize how these laws can be found in your everyday life.
These guidelines govern those who govern you, providing the rules that public agencies such as your local borough council or school board \u2014 up through higher levels of government \u2014 must follow when it comes to open meetings.
When you read a public notice about an upcoming meeting \u2014 such as a hearing to potentially close a school \u2014 that\u2019s part of the sunshine law.
Here\u2019s another: The Freedom of Information Act governs the public\u2019s right to request information from federal agencies. These open records are a way for citizens to stay informed and hold elected officials accountable. There are nine exemptions to this law, for reasons such as national security, privacy concerns and trade secrets.
To learn more about FOIA, including what applies and how to make a request from a federal agency, visit www.foia.gov/faq.html.
Just as the Sunshine Week tagline says, \u201cyou have a right to know\u201d \u2014 how the government is spending your money, how and why decisions are being made, and that your elected officials are acting in your best interest.
According to the Medill School of Journalism, which conducts periodic State of Local News reports, the closure of a newspaper affects the community in a variety of negative ways.
\u201cThe loss of local journalism has been accompanied by the malignant spread of misinformation and disinformation, political polarization, eroding trust in media, and a yawning digital and economic divide among citizens,\u201d the 2022 report reads. \u201cIn communities without a credible source of local news, voter participation declines, corruption in both government and business increases, and local residents end up paying more in taxes and at checkout.\u201d
We hope you take the time to celebrate your local newspaper for the role it plays in keeping government in check.
When nothing is allowed to fester undisturbed in the dark corners, your whole community is a healthier and happier place. And that\u2019s best for everyone.
For a detailed look at the open records laws in Vermont, visit www.vlct.org/topics/vermonts-open-meeting-law.
___
Boston Globe. March 13, 2024.
Editorial: Mold and mistreatment: The problems at Bridgewater State Hospital call for major changes
Massachusetts remains an outlier in how it runs mental health services for its prison population.
Abdul was being held in a locked interview room at Bridgewater State Hospital when he was ordered into seclusion. At the height of what followed, four staffers designated as Therapeutic Safety Technicians \u2014 an Orwellian title if ever there was one \u2014 dragged him into a seclusion room as nine other staffers, including one with a hand-held video camera, looked on. In the seclusion room, the four \u201ctechnicians\u201d held him face down on a four-point restraint bed and pulled down his pants.
\u201cHe screamed as a nurse administered multiple intramuscular injections into his buttocks,\u201d according to a report slated for release to the public on Wednesady by the Disability Law Center. He was secured to the bed for the next hour. \u201cThroughout the altercation, Abdul often screamed and cried,\u201d the report stated, and he had cuts and abrasions on his hands and arms from his \u201ctherapeutic\u201d encounter.
DLC monitors Bridgewater \u2014 a men\u2019s prison mental health hospital run by the state Department of Correction but staffed largely by the private prison health care giant Wellpath \u2014 on behalf of the Legislature. Its most recent report is replete with stories like Abdul\u2019s (the report uses pseudonyms for the men) and of the \u201cregular use of violent force by staff in the administration of involuntary medication\u201d of the men housed there. DLC used on-site visits and interviews \u2014 along with what it called the \u201cextremely delayed\u201d release of 10 DOC-produced videos \u2014 to report on the \u201coften dehumanizing experiences\u201d of dealing with the Therapeutic Safety Technicians. Those technicians are Wellpath security staffers who enter cells dressed in riot gear and wielding plexiglass shields.
Bridgewater is a medium-security facility, one where increasingly its designation as a \u201chospital\u201d for those criminally charged or civilly committed seems more euphemism than reality. Staff have tough, dangerous jobs, and there are sometimes legitimate reasons for use of force \u2014 but the report flags incidents that appear excessive.
Frank, described as a \u201csmall, older man\u201d had been walking around his room, gesturing and talking to himself, for about 20 minutes. Then he kicked his room door, \u201csat down on his bed and, after five minutes, got under the covers facing the wall in a fetal position,\u201d according to the DLC report. He remained under the covers even after the \u201ctherapeutic\u201d technician team arrived. According to the report, all four technicians held him on his side as a nurse administered the drug cocktail that constitutes chemical restraint. \u201cFrank appears to be crying and in distress, and he lies there coiled up in bed after he is left alone in his room,\u201d the report states.
As DLC points out, in instances when the \u201cemergency\u201d used to justify chemical restraint has passed \u2014 as in Frank\u2019s case \u2014 medical restraint actually violates the law.
\u201cWhat can possibly be the justification for men in riot gear to rush in at that point and give him a shot,\u201d said Tatum Pritchard, director of litigation for DLC. \u201cThis wouldn\u2019t happen at a Department of Mental Health facility.\u201d
Singled out as being particularly problematic for their treatment of those newly arrived at the facility were units Bradford 1 and 2, where many men are sent for court-ordered mental competency evaluations. Now keep in mind these people have not yet been found guilty of anything.
They included people like Jamie, in his late teens and newly arrived from a county jail. He described himself as being on the autism spectrum and had been living at a group home for individuals with developmental disabilities when he was arrested for assault based on allegations by a staff member. \u201cJamie stood at the door of his locked room, stiff and seemingly nervous, quietly telling DLC that it was so loud here he couldn\u2019t sit still\u201d and that he was largely ignored by staff.
Those particular units have generally come under criticism for offering little in the way of treatment and far too little out-of-cell time, with many men confined for well beyond 11 waking hours a day. \u201cThis is inconceivable in a supposed psychiatric hospital setting,\u201d the report said.
In response to an advance copy of the report, Correction Commissioner Carol Mici wrote in a letter to DLC that the department has retained a Qualified Mental Health Professional to oversee \u201cdelivery of day to day services\u201d and \u201cis dedicated to those currently being treated at BSH.\u201d She also noted that Wellpath, which is under contract to run services within the hospital through June 30, 2026, had \u201csubmitted revisions to the Seclusion and Restraint Policy and Involuntary Psychotropic Medication Policy to ensure\u201d they are \u201cas closely aligned as possible\u201d with the law and Department of Mental Health policies.
That in turns begs a question: Why not just turn the facility over to DMH \u2014 or better yet build a new one better suited to the delivery of mental health care in a secure setting, similar to the forensic unit at the Worcester Recovery Center and Hospital run by DMH?
\u201cDMH has secure facilities,\u201d Pritchard said. \u201cThey can and do manage pretty much the same populations as Bridgewater. Keep in mind there\u2019s no DOC hospital for women. They go to a DMH hospital.\u201d
The Bridgewater facility itself, where some buildings date to 1974, cries out for a replacement in the wake of ongoing documentation by a consultant retained by DLC of \u201cabnormal and unacceptable mold growth\u201d in nearly all of the buildings, including the medical building. (The mold was first reported by the same consultant in 2019.) The consultant also reported \u201cfilthy HVAC system ductwork\u201d in most of the buildings, which continued to spread \u201cblack dust\u201d from dirty basements upward.
DOC, which will soon be under the leadership of a new commissioner (Mici has announced her retirement), has not been a good steward of the facility or the patients it serves. The idea of turning the care of its population over to DMH isn\u2019t a new one. But it has gathered steam during this legislative session.
\u201cSuch a legislative change would place Massachusetts in line with the rest of the nation,\u201d according to a recent report prepared for the Massachusetts Association for Mental Health. \u201cIn nearly every other US state, the maximum-security forensic hospital is operated by the state mental health agency.\u201d
Massachusetts, which was a pioneer in the delivery of mental health services, should be no exception. Today it has a real opportunity to do better by those totally dependent on the state for their care. They must not be forgotten.
___
Bangor Daily News. March 12, 2024.
Editorial: Maine lawmakers should support outdoor recreation, send trail bond to voters
Maine has a long tradition of outdoor recreation. Hunting, fishing, hiking, paddling, skiing, snowmobiling, biking and other outdoor pursuits are part of the state\u2019s brand.
Increasingly, these activities draw people to Maine, both to visit and to live.
These activities are also a vital part of the state\u2019s economy. Outdoor recreation contributes $3 billion a year to the state\u2019s economy and supports 41,000 jobs.
Maine ranks fifth in the nation based on the portion of state gross domestic product that comes from outdoor recreation, according to federal government data. Economic benefits from this activity, including total employment and wages, grew faster than the economy as a whole in 2022. That year, employment in outdoor recreation in Maine grew by more than 7 percent.
This growth doesn\u2019t happen on its own. Recreational opportunities and amenities are needed to draw people and to ensure that they can safely participate in outdoor activities.
Trails \u2014 for snowmobiling, ATV riding, hiking, cross country skiing, biking and other ventures \u2014 are an essential part of this equation.
For the first time, Maine lawmakers have the opportunity to show support for a significant state investment in recreational trails.
LD 1156, which was held over from last year\u2019s legislative session, proposes a bond for $30 million for trails, for non-motorized and motorized recreation. The funds, which would require matching money, would be administered by the Maine Bureau of Parks and Lands. The funds would be awarded on a competitive basis, with an emphasis on multiple use trails and projects that emphasize accessibility and sustainability. All trails must be open to the public.
If LD 1156 is passed by the Legislature, voters would then be asked to approve the bond. Nearly every year, voters have approved bonds for road work. Increasingly, recreational trails are also essential infrastructure.
Maine is home to many noteworthy trails, including the Appalachian Trail, Down East Sunrise Trail, Eastern Trail and an extensive Interconnected Trail System for snowmobiles. But, communities and other groups from one end of the state to the other would like to maintain and build more trails, and to make existing ones better accessible to people with a full range of abilities.
Take Skowhegan, for example. The town is investing in outdoor recreation infrastructure and providing free outdoor activities and gear to our local community members. It is building Maine\u2019s first whitewater park and planning for 50 miles of multi-use trails, which would be interconnected with the town\u2019s business district.
\u201cHaving the opportunity to apply for trail funding via this bond would help Skowhegan continue to realize our vision for becoming an outdoor recreation mecca,\u201d Kristina Cannon, the Executive Director of Main Street Skowhegan, told lawmakers in testimony in support of the bond last year.
Last year, the Bangor Daily News reported on the $650 million in investment that is anticipated over the next few years in Skowhegan.
\u201cThis is because people know that outdoor recreation infrastructure will attract new talent, businesses, residents, and tourists \u2014 all of whom will support their investments,\u201d Cannon told members of the Legislature\u2019s Appropriations Committee.
The trail bond bill, which has bipartisan sponsorship, is supported by more than 500 groups, from town to outdoor retailers to diverse sporting groups. A 2019 poll found that nearly three-quarters of Mainers supported a bond to build and expand recreational trails in the state.
With so much agreement and support, lawmakers should pass LD 1156. Two-thirds support is needed to put the bond on the ballot, where Maine people will ultimately decide whether to support these investments in trails and outdoor recreation.
END
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Patients left unattended or turned away at public hospitals", + "headline_extended": "Doctors at Kenya\u2019s public hospitals began a nationwide strike, accusing the government of failing to implement a raft of promises from a collective bargaining agreement signed in 2017 after a 100-day strike that saw people dying from lack of care", + "slugline": "BC-AF--Kenya-Doctors Strike, 1st Ld-Writethru", + "description_summary": "Doctors at Kenya\u2019s public hospitals began a nationwide strike, accusing the government of failing to implement a raft of promises from a collective bargaining agreement signed in 2017 after a 100-day strike that saw people dying from lack of care. The Kenya Medical Practitioners Pharmacists and Dentists Union said they went on strike Thursday to demand comprehensive medical cover for the doctors and because the government has yet to post 1,200 medical interns.", + "bylines": [ + { + "by": "By TOM ODULA", + "title": "Associated Press" + } + ], + "located": "NAIROBI, Kenya", + "datelinelocation": { + "city": "Nairobi", + "countrycode": "KEN", + "countryname": "Kenya", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + 36.81667, + -1.28333 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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The Kenya Medical Practitioners Pharmacists and Dentists Union said they went on strike to demand comprehensive medical cover for the doctors and because the government has yet to post 1,200 medical interns.
Dr. Davji Bhimji, secretary-general of KMPDU, said 4,000 doctors took part in the strike despite a labor court order asking the union to put the strike on hold to allow talks with the government. And Dr. Dennis Miskellah, deputy secretary general of the union, said they would disregard the court order the same way the government had disregarded three court orders to increase basic pay for doctors and reinstate suspended doctors.
Miskellah said medical interns make up 27%t of the workforce in Kenya's public hospitals and their absence means more sick people are being turned away from hospitals. Some doctors, however, have remained on duty to ensure patients in the intensive care units don't die.
In an interview with leading broadcaster Citizen TV, Miskellah said doctors were committing suicide out of work-related frustration, while others have had to fundraise to get treated for sickness due to a lack of a comprehensive health coverage.
The impact of the strike was felt across the country with many patients left unattended or being turned away from hospitals across the East African nation.
Pauline Wanjiru said she brought her 12-year-old son for treatment on his broken leg, which had started to produce a smell, but she was turned away from a hospital in Kakamega county in Western Kenya.
In 2017, doctors at Kenya's public hospitals held a 100-day strike \u2014 the longest ever held in the country \u2014 to demand better wages and for the government to restore the country's dilapidated public-health facilities. They also demanded continuous training of and hiring of doctors to address a severe shortage of health professionals.
At the time, public doctors, who train for six years in university, earned a basic salary of $400-$850 a month, similar to some police officers who train for just six months.
____
Follow AP\u2019s Africa coverage at: https://apnews.com/hub/africa
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The bill withdrawn Thursday would have criminalized the death, or serious injury to what it said was an \u201cunborn person\" from fertilization to live birth. The Senate Republican joined Democrats in voicing concerns about the potential impact for in vitro fertilization after an Alabama court considered frozen embryos to be children. The Senate declined to consider the bill passed last week by the Iowa House.", + "bylines": [ + { + "by": "By HANNAH FINGERHUT", + "title": "Associated Press" + } + ], + "located": "DES MOINES, Iowa", + "datelinelocation": { + "city": "Des Moines", + "countryareacode": "IA", + "countryareaname": "Iowa", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -93.60911, + 41.60054 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. 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Republican joined Democrats in voicing concerns about the potential impact on in vitro fertilization after an Alabama court found frozen embryos can be considered children.
The Senate declined to consider the bill, which was approved by the House last week.
Iowa\u2019s law currently outlines penalties for terminating or seriously injuring a \u201chuman pregnancy.\u201d The bill would have changed that language to be about the death of, or serious injury to, an \u201cunborn person\u201d from fertilization to live birth.
The bill in Iowa was one of many being considered by state Legislatures around the country that would expand legal and constitutional protections for embryos and fetuses, a long-time goal of the anti-abortion movement.
In explaining the bill before the vote, Iowa Republican Rep. Skyler Wheeler said it \u201csimply changes the words\" of the law. But Democrats raised a recent Alabama case, warning that the proposed language would apply to embryos and therefore pose a risk to the procedure that helps some women become pregnant.
Republican Sen. Brad Zaun, who leads the Senate judiciary committee, did not assign the bill to a subcommittee because he was concerned about the \u201cunintended consequences\u201d for IVF, he told reporters.
After the Senate rejected the bill, the chair of the House judiciary committee, Rep. Steven Holt, said they did not believe IVF was at risk because of differences in Iowa and Alabama's constitutions. Still, Holt said, he understood the concerns and said it's \u201ccertainly a discussion we\u2019ve got to have before we would move it on\" in the future.
The majority ruling of Alabama\u2019s Supreme Court treated an embryo the same as a child or gestating fetus under the state\u2019s wrongful death law, explicitly stating \u201cunborn children are \u2018children.\u2019\u201d That led three major providers of IVF in Alabama to pause services because of concerns about liabilities.
Alabama's elected officials have since moved to clarify that IVF providers are protected from liability related to the destruction of or damage to an embryo.
Democratic Rep. Jennifer Konfrst criticized House Republicans for the initial denial that IVF was at stake, which Democrats had warned before it passed.
\u201cThey got caught running a bill that did more than they said. They mocked us when we said it did that. And then other Republicans pulled the bill because it did just what we said,\u201d Konfrst told reporters Thursday. \u201cThat is politics at its worst.\u201d
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The second Wednesday of March in Liberia, National Decoration Day, is always one of remembrance and people gathered this year at a memorial site where many victims of the virus were buried outside the capital, Monrovia, to pay their respects to family and friends. It was a grim milestone for those who lost loved ones to the virus, even though cultural stigma leads many to insist they died of other causes.
The Ebola outbreak killed some 11,000 people mainly in Liberia, Sierra Leone and Guinea, according to the United Nations. Liberia was declared free of the virus in 2016, after almost 5,000 deaths.
Many Liberians who lost loved ones during the outbreak deny the virus was to blame. Stigma and fear of the disease remain widespread in the population that survived.
Yasa Johnson told The Associated Press she has looked after her younger siblings since Ebola killed their mother.
\u201cI have come to honor my mother,\u201d she said at the Disco Hill Safe Burial Site in Margibi County, where many victims were buried on the outskirts of the capital.
Some 4,500 people are buried or cremated at the site, the National Public Health Institute of Liberia said. Relatives stood in groups carrying flowers and singing religious songs.
Elizabeth Brown and her husband, who operate an orphanage for children who lost their parents to the virus, also came to pay their respects.
\u201cIt saddens me, because their lives were cut off too soon,\u201d she said. \u201cWe just want to help them.\u201d
Since the outbreak, Liberia has been marked by ongoing economic struggles. Its newly elected president, Joseph Boakai, 79, came to office in January on a pledge to fix the economy, improve security and fight corruption.
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EDITS: The story has edited to clarify the 6th paragraph, to show that the net gain in votes in the House was 12. One of the 12 was a lawmaker who took his seat this year and replaced a retiring lawmaker who voted no last year. With AP Photos.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "US-XGR--Gender-Affirming Care-Kansas", + "headline": "Kansas is close to banning gender-affirming care for minors as GOP leaders seek the last vote", + "headline_extended": "Republican legislators are close to banning gender-affirming care for transgender minors in Kansas over the Democratic governor\u2019s expected veto", + "slugline": "BC-US-XGR--Gender-Affirming Care-Kansas, 2nd Ld-Writethru", + "description_summary": "Republican legislators are close to banning gender-affirming care for transgender minors in Kansas over the Democratic governor\u2019s expected veto. 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The GOP-controlled House approved the measure Wednesday and it appears to have a two-thirds majority there.", + "bylines": [ + { + "by": "By JOHN HANNA", + "title": "Associated Press" + } + ], + "located": "TOPEKA, Kan.", + "datelinelocation": { + "city": "Topeka", + "countryareacode": "KS", + "countryareaname": "Kansas", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -95.67804, + 39.04833 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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(AP) \u2014 Republican legislators in Kansas are close to banning gender-affirming care for minors over the Democratic governor\u2019s expected veto after winning over previously skeptical GOP colleagues, fueling fears that success will encourage further attempts to roll back transgender rights.
Supporters were confident Thursday that the Republican-controlled Senate would approve a bill that would bar health care providers from treating a child\u2019s gender dysphoria with puberty blockers, hormone treatments and surgery and strip doctors who violate the ban of their licenses. But GOP leaders wanted to send the bill to Gov. Laura Kelly with the two-thirds majority necessary to override her veto later, and so after planning a final vote for Thursday, they canceled it in hopes of rewriting some of its language to lock in the last vote.
\u201cIt's close enough,\u201d said Senate President Ty Masterson, a Wichita-area Republican, predicting final passage next week.
The bill already passed the GOP-controlled House on Wednesday, so the Senate\u2019s approval would send it to Kelly.
At least 23 other states with Republican legislatures have restricted or banned gender-affirming care for minors. Kansas lawmakers attempted to pass a ban last year, but GOP supporters in the Senate failed to override Kelly\u2019s veto of a bill last year by a single vote \u2014 and three Republicans voted \u201cno\u201d then.
Republicans said the issue is making sure that minors receiving hormone treatment now can phase out those treatments, rather than stopping them immediately, in part to avoid legal problems. Senators would have to get the House to vote to agree on any change.
That decision to try to lock in a two-thirds majority in the Senate before a veto after supporters had a net gain of 12 votes in favor of a ban Wednesday compared with the vote on it last year. Including supporters who were absent Wednesday, backers appeared to have a two-thirds majority in the House.
\u201cWhen I was out and about last summer and last fall, and the number of emails and the number of calls that I had, I didn\u2019t have a single one tell me to vote the same as I did last year,\u201d state Rep. Susan Concannon, a Republican from western Kansas, said Thursday.
While supporters say they\u2019re concerned about protecting children, the Kansas bill has stoked fears among transgender adults and LGBTQ+ advocates that GOP lawmakers will follow other GOP-led states and seek more restrictions next year.
While Ohio\u2019s state government last month backed off limiting care for adults, a 2023 Florida law aimed at care for children also restricted care for adults \u2014 as did a short-lived Missouri rule.
\u201cThe goalposts are not firm,\u201d said Iridescent Riffel, a 27-year-old transgender Lawrence resident and LGBTQ+ rights activist who\u2019s worked against the bill. \u201cThey will always continue to be moved further and further right.\u201d
Opponents of such restrictions in Kansas already have promised a legal challenge if they are enacted. Courts elsewhere have blocked enforcement of bans in Arkansas, Idaho and Montana but allowed their enforcement in Alabama and Georgia.
Laws restricting or banning gender-affirming care are out of step with the recommendations of major U.S. medical groups, including the American Medical Association and the American Academy of Pediatrics. And providers of the care say it saves lives by lessening depression and anxiety that can lead to suicide.
Young transgender adults and parents of transgender or non-binary children from Kansas further told lawmakers that gender-affirming is vital to their health, adding that providers didn\u2019t rush their decisions and were clear about potential side effects.
Anthony Alvarez, a 20-year-old transgender University of Kansas student, said he had to wait several months after a doctor was willing to prescribe his testosterone treatments to undergo an additional evaluation to confirm he was sure about wanting them.
He had looked forward to his voice deepening and growing facial hair and hopes to have the double mastectomy known as \u201ctop surgery\u201d in December. He said he\u2019s much happier since his transition because the depression and anxiety that marked his life before have waned.
\u201cThose aren\u2019t things that are causing the gender dysphoria. They\u2019re being caused by the gender dysphoria \u2014 the reaction to a world that is kind of hostile towards you,\u201d he said in an interview.
Yet Republican lawmakers portray puberty blockers and hormone treatments as too risky for children. Top Republican House leaders in Kansas said in a statement Wednesday that they were preventing irreversible harm from \u201cexperimental\u201d treatments.
The bill's backers cited a statement this week from the National Health Service in England, saying \u201cthere is not enough evidence\u201d that puberty blockers are safe and effective to \u201cmake the treatment routinely available,\u201d something U.S. care providers dispute. The NHS statement followed a temporary policy the NHS set last year.
In a meeting of GOP senators early Thursday, Senate Health Committee Chair Beverly Gossage, a Kansas City-area Republican, led a short briefing on the bill with, \u201cIt\u2019s talking about children.\u201d
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A rule finalized Thursday will reduce ethylene oxide emissions by about 90% by targeting nearly 90 commercial sterilization facilities across the country, the EPA said. The companies will also have to test for the antimicrobial chemical in the air and make sure their pollution controls are working properly.
The new rule will \"safeguard public health from this pollution \u2013 including the health of children, who are particularly vulnerable to carcinogens early in life,'' said EPA Administrator Michael Regan. \u201cWe\u2019ve arrived at a historically strong rule that will protect the most exposed communities from toxic air pollution while also ensuring ... safeguards (to) our nation\u2019s critical supply of sterilized medical equipment.\u201d
The American Lung Association called the rule an important step forward to protect human health from cancer caused by ethylene oxide emissions.
\u201cThe science on health risks from ethylene oxide shows both short-term and long-term exposure are dangerous for health,'' said Harold Wimmer, the group's president and CEO.
People who live near commercial sterilization facilities are more likely to develop cancer over their lifetimes, Wimmer said, adding: \u201cNo one should have to live with elevated cancer risk because of air pollution in their community.''
Patients with lung disease and other health problems \u201calso need access to safe and clean medical supplies,'' he said. \u201cWe appreciate the work EPA put into ensuring that this final rule both cleans up harmful emissions and ensures continued access to sterilized medical equipment.''
Darya Minovi, a senior research analyst with the Union of Concerned Scientists, called the EPA action overdue.
\u201cFor far too long, communities across the country \u2014 especially Black and Brown people and those who do not speak English as a first language \u2014 have been exposed to the cancer-causing chemical ethylene oxide,'' Minovi said in a statement.
\u201cMake no mistake: politically powerful industries sought to weaken the rule\u2019s health-protective standards, but the public health benefits that will be afforded to communities through this action are a testament to the efforts of grassroots advocates and public health experts who didn\u2019t let up in their demands,'' she added.
The tightened safeguards are driven by the EPA\u2019s better understanding that ethylene oxide\u2019s threat is severe, Regan said. The chemical is classified as a pesticide. A worker in a medical sterilizing plant, over the course of a career, could see their risk shoot up by as much as one extra case of cancer for every 10 people exposed. The EPA\u2019s generally acceptable increase in lifetime cancer risk is 1 in 10,000.
Ethylene oxide is a gas used to sterilize roughly half of all medical devices and is also used to ensure the safety of certain spices and other food products. It is used to clean everything from catheters to syringes, pacemakers and plastic surgical gowns. Brief exposure isn\u2019t considered a danger, but breathing it long term elevates the risk of breast cancer and lymphoma, the EPA said.
In 2016, the EPA updated its assessment of ethylene oxide\u2019s danger based on information about exposed workers at sterilizing facilities, finding the chemical was many times more threatening than previously known. Analysis released by the agency two years later found that cancer risk was too high near some medical sterilization plants and some other facilities that release ethylene oxide.
In 2022, the EPA laid out the risk faced by residents who live near medical sterilization facilities. In Laredo, Texas, for example, residents and activists fought to clean up a sterilization facility run by Missouri-based Midwest Sterilization Corp. It was one of 23 sterilizers in the United States that the EPA said posed a risk for people nearby.
Sterigenics, a major sterilization company, shuttered a medical sterilization plant in a Chicago suburb after monitoring found emissions spikes in nearby neighborhoods. They eventually settled numerous lawsuits.
Many facilities have sharply reduced ethylene oxide emissions in recent years, but those that haven\u2019t will now have to meet stricter requirements, the EPA said.
The EPA said it worked closely with the Department of Health and Human Services and other agencies to develop a final rule that centers on public health. The rule provides sufficient time and flexibility for commercial facilities to come into compliance, while offering strong public health protection for nearby communities and minimizing any potential impacts to the medical device supply chain, officials said.
Health and Human Services Secretary Xavier Becerra hailed the rule as a victory for workers and fence-line communities that face ongoing dangers from ethylene oxide pollution.
Scott Whitaker, president and CEO of the Advanced Medical Technology Association, said medical sterilizers provide a vital service and many devices can't be sterilized by another method.
The industry group appreciates EPA's update and will be reviewing the rule, Whitaker said in a statement Thursday. The industry has emphasized the need for adequate time to implement the rule, \u201cflexibility in technologies to remove emissions and the ability to achieve EPA targets that would not force resubmission of medical devices for FDA approval,'' Whitaker said.
He said he remains hopeful that the rule \u201cwill not have a negative impact on the healthcare system or the patients we serve.\u201d
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Given the focus on health risks, public health protection, and the implications for medical equipment sterilization, the document is highly relevant to the topic of health." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/03/14/7c72b0efda36703155689377263d5899.json b/datasets/AP_news/raw_data/2024/03/14/7c72b0efda36703155689377263d5899.json new file mode 100644 index 0000000..17ec70f --- /dev/null +++ b/datasets/AP_news/raw_data/2024/03/14/7c72b0efda36703155689377263d5899.json @@ -0,0 +1,228 @@ +{ + "altids": { + "itemid": "7c72b0efda36703155689377263d5899", + "etag": "7c72b0efda36703155689377263d5899_2a4aza0c0", + "friendlykey": "485452197854", + "referenceid": "AF--Republic Of Congo-Mpox" + }, + "version": 2, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-03-15T02:53:40Z", + "firstcreated": "2024-03-14T13:57:20Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: Expands audience, edits headline and summary.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "AF--Republic Of Congo-Mpox", + "headline": "Republic of Congo reports its first mpox virus cases, in several regions", + "headline_extended": "The Republic of Congo has recorded its first cases of mpox in several regions", + "slugline": "AP-AF-Republic-Of-Congo-Mpox, 2nd Ld-Writethru", + "description_summary": "The Republic of Congo has recorded its first cases of mpox in several regions. The health ministry's report Wednesday could indicate the disease is spreading among people in Africa since sexual transmission of the virus was first confirmed on the continent last year. The mpox virus originates in wild animals and occasionally jumps to people, who can spread it to others. The virus was previously known as monkeypox because it was first seen in research monkeys. The World Health Organization confirmed sexual transmission of mpox in neighboring Congo for the first time last year. African scientists warned this could make the disease difficult to contain.", + "bylines": [ + { + "by": "By LOUIS PATRICK OKAMBA", + "title": "Associated Press" + } + ], + "located": "BRAZZAVILLE, Republic of Congo", + "datelinelocation": { + "city": "Brazzaville", + "countrycode": "COG", + "countryname": "Republic of Congo", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + 15.28318, + -4.26613 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. 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Mpox is a virus that originates in wild animals and occasionally jumps to people, who can spread it to others. The virus was previously known as monkeypox, because it was first seen in research monkeys.
The World Health Organization said in November it had confirmed sexual transmission of mpox in neighboring Congo for the first time. African scientists warned this could make the disease difficult to contain.
The Republic of Congo's health ministry published its report on Wednesday. The report said some 43 cases had been reported to the ministry, including in nine out of the country's 12 departments. The government has not issued any further comment on the publication, which was not officially distributed to the media and appears to have been intended for internal use.
Mpox became a focus of worldwide concern during an international outbreak in 2022 that saw the disease spread to over 100 countries, mainly by sex among gay or bisexual men. Mpox has been endemic in parts of central and west Africa for decades, but most cases involved infection from rodents, limiting the spread of the disease.
The WHO declared the outbreak a global emergency and there have been over 90,000 cases to date. In Congo, where sexual transmission was first confirmed, it has tracked more than 12,500 cases and 580 deaths, its largest ever outbreak.
The WHO previously warned that sexual transmission could mean the disease is spreading in other parts of the continent.
In Africa, the figures are likely an underestimate, experts say, because testing facilities are limited and victims may avoid stepping forward because of prejudice and draconian laws targeting LGBTQ+ communities.
While the outbreak of mpox prompted mass vaccination campaigns in Europe and North America, in Africa there are no such plans.
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Gov. Henry McMaster backed his concerns. Dr. Edward Simmer is the director of the state Department of Health and Environmental Control. He told a subcommittee on Thursday that the bill's proposed restrictions on vaccine mandates would prevent requiring flu vaccines or other shots that get yearly updates for ever-changing viruses. Simmer also says letting people out of quarantine after five days without symptoms would allow diseases like measles and Ebola to quickly spread. That's because those diseases can take weeks for symptoms to appear.", + "bylines": [ + { + "by": "By JEFFREY COLLINS", + "title": "Associated Press" + } + ], + "located": "COLUMBIA, S.C.", + "datelinelocation": { + "city": "Columbia", + "countryareacode": "SC", + "countryareaname": "South Carolina", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -81.03481, + 34.00071 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. 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(AP) \u2014 South Carolina\u2019s top doctor came before a small group of state senators on Thursday to tell them he thinks a bill overhauling how public health emergencies are handled in the wake of the COVID-19 pandemic has some bad ideas, concerns echoed by Gov. Henry McMaster.
As drafted, the bill would prevent mandating vaccines unless they have been licensed by the Food and Drug Administration for 10 years. That means that health care providers would be blocked from requiring flu vaccines or other shots that get yearly updates for ever-changing viruses, said Dr. Edward Simmer, director of the state Department of Health and Environmental Control.
In addition to loosening restrictions on who can visit people in isolation, the measure would also require symptom-free patients to be released from quarantine well before some infectious diseases begin to show outward signs, Simmer said at a Thursday hearing.
\u201cThere are a number of issues that we believe where this bill would cause harm to the people of South Carolina and would in fact cause unnecessary death amongst people of South Carolina during a public health crisis because it would prevent us from taking actions that could save lives,\u201d Simmer said.
The bill passed the Senate subcommittee on a 4-3 vote, but with eight weeks to go in the General Assembly's session, it still has to get through the body's Medical Affairs Committee and a vote on the Senate floor before it can even be sent to the House.
In a further sign of the hurdles the bill faces, McMaster sent the subcommittee a letter saying \u201cplacing overbroad restrictions on the authority of public health officials, law enforcement officers, first responders, and emergency management professionals responding to emerging threats and disasters\u2014whether public health or otherwise \u2014 is a bad idea.\u201d
A similar subcommittee met in September, where many speakers sewed doubt about vaccine safety and efficacy, as well as distrust in the scientific establishment.
Members on Thursday listened to Simmer and took up some amendments on his concern and promised to discuss his other worries with the bill.
\u201cYou are making some good points, Dr. Simmer. I'm writing them all down,\u201d Republican Sen. Richard Cash of Powdersville said.
The proposal would require health officials to release someone from quarantine if they didn't show symptoms for five days. Simmers said people with diseases like measles, meningitis, bird flu and Ebola are contagious, but may not show symptoms for a week or more.
\u201cI don\u2019t think we would want after 10 days to release a person known to be infected with Ebola into the public,\" Simmer said.
Supporters of the bill said they weren't happy that during the start of the COVID-19 pandemic hospitals and nursing homes put patients into isolation. Allowing quicker releases from isolation and letting more people to visit someone in quarantine was a response to that issue.
Cash told Simmer that when the pandemic shutdown started, his wife had just endured a 17-hour cancer surgery and he was ordered to leave her bedside.
\u201cWhatever she's got, I got. But I still had to go,\u201d Cash said.
Simmer said those decisions were made by the private nursing homes, hospitals and health care facilities. He said he had sympathy for decisions that had to be made quickly without much data, but he thought they were still wrong and pointed out the state didn't order anyone to take a vaccine or isolate entire facilities.
\u201cWe saw the pictures of people seeing nursing home patients through a window. They should have been allowed in,\" Simmer said. \"When that didn\u2019t happen that was a mistake. That was a lesson learned from COVID.\u201d
Simmer asked lawmakers to pay attention to what actually happened during the pandemic and not just what they think happened.
\u201cIf this bill is designed to address concerns about COVID, we should recognize what did and did not happen during the pandemic,\u201d Simmer said.
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Commissioner Josh Dobson announced his decision Wednesday. A public hearing was held on two rule petitions in January. One rule focused on controlling the spread of infectious diseases among migrant workers. The other covered workers more broadly in various fields. The North Carolina State AFL-CIO was one of the petitioners. Its president urged Dobson to reconsider. Dobson isn't seeking reelection this year.", + "located": "RALEIGH, N.C.", + "datelinelocation": { + "city": "Raleigh", + "countryareacode": "NC", + "countryareaname": "North Carolina", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -78.63861, + 35.7721 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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(AP) \u2014 North Carolina\u2019s elected labor commissioner has declined to adopt rules sought by worker and civil rights groups that would have set safety and masking directives in workplaces for future infectious disease outbreaks like with COVID-19.
Commissioner Josh Dobson, a Republican, announced Wednesday that his refusal came \u201cafter carefully reviewing the rulemaking petitions, the record, public comments, listening to both sides and considering the North Carolina Department of Labor\u2019s statutory authority.\u201d
His department held a public hearing in January over the proposed rules offered in December by groups such as the Episcopal Farmworker Ministry, North Carolina State AFL-CIO and state NAACP. Most of the people who spoke at the hearing opposed the proposed rules.
One rule petitioned for focused on controlling the spread of infectious diseases among migrant workers and their dependents, while the other covered workers more broadly in various fields, The News & Observer of Raleigh reported.
The rules would have applied to any airborne infectious disease designated as presenting a public health emergency by the governor, General Assembly or other state or federal agencies. Rules would have required some North Carolina employers to create a written exposure control plan. Some exposure controls include requiring employees to maintain physical distance \u2014 following public health agency recommendations \u2014 or to wear a face mask if that was not possible.
State AFL-CIO President MaryBe McMillan said her group is \u201cdeeply disappointed by the decision\u201d and urged the department to reconsider, citing worker deaths during the COVID-19 pandemic.
\"We relied on farm workers, grocery clerks, nurses, letter carriers, and so many other essential workers to provide critical goods and services,\u201d she said. \u201cWe cannot call workers \u2018essential\u2019 and continue to treat them as expendable.\u201d
Dobson, in his first term, didn't seek reelection this year. GOP nominee Luke Farley and Democratic nominee Braxton Winston will compete for the job in November.
Winston, a former Charlotte City Council member, spoke in support of the rules at January\u2019s hearing. He said the federal government was not efficient and effective in carrying out its exposure control plans at the start of the pandemic and that the state Labor Department \"must effectively quarterback should the need arise.\u201d
Farley, who defeated three rivals in last week\u2019s Republican primary, said Dobson's rejection of the proposed rules \"is a win for both our workers and our small businesses.\u201d
\u201cIf you feel sick, don\u2019t go to work. It\u2019s that simple,\" said Farley, a lawyer in construction law. \u201cWe don\u2019t need a bunch of burdensome new regulations to address a commonsense problem.\u201d
Several of the worker and civil rights groups had sought in late 2020 from the labor department a permanent set of COVID-19 workplace safety standards for workers. The department rejected that petition, but a Wake County judge ruled in 2021 that the agency was wrong to reject it without a formal evaluation, in line with department policy.
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The palace said Thursday the 87-year-old monarch \u201cis doing well\u201d but is on sick leave until April 8. The king who fell ill last month during a private holiday with his wife Queen Sonja in Malaysia. The monarch has been in frail health in recent years with numerous hospital stays. He had an operation to replace a heart valve in October 2020 after being hospitalized with breathing difficulties. Harald who duties are ceremonial, ascended to the throne following the death of his father, King Olav, in 1991. His 50-year-old son, Crown Prince Haakan, is assuming the monarch\u2019s duties.", + "located": "COPENHAGEN, Denmark", + "datelinelocation": { + "city": "Copenhagen", + "countrycode": "DNK", + "countryname": "Denmark", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + 12.56553, + 55.67594 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. 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The 87-year-old monarch \u201cis doing well\u201d and is on sick leave until April 8, the royal household said in a brief statement. His 50-year-old son, Crown Prince Haakan, is assuming the king's duties.
The monarch underwent the pacemaker implant procedure at Oslo\u2019s university hospital on Tuesday.
Last month, Harald fell ill during a private holiday with his wife Queen Sonja on the Malaysian resort island of Langkawi. He underwent surgery there and received a temporary pacemaker due to a low heart rate.
Harald returned to Norway aboard a medical airplane and was immediately transferred to an Oslo hospital. The king\u2019s doctor, Bj\u00f8rn Bendz, said this week that he had contracted an undetermined infection in Malaysia.
The monarch has been in frail health in recent years with numerous hospital stays. He had an operation to replace a heart valve in October 2020 after being hospitalized with breathing difficulties.
Harald repeatedly has said he has no plans to abdicate, unlike his second cousin Queen Margrethe II of Denmark, who stepped down earlier this year.
Harald\u2019s duties as Norway\u2019s head of state are ceremonial and he holds no political power. He ascended to the throne following the death of his father, King Olav, in 1991.
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PAUL, Minn. (AP) \u2014 Vice President Kamala Harris visited a Planned Parenthood clinic on Thursday, marking what her office said was the first time a president or vice president has toured a facility that performs abortions, as the White House escalates its defense of reproductive rights in this year's election.
\u201cRight now, in our country, we are facing a very serious health crisis,\u201d Harris said. \u201cAnd the crisis is affecting many, many people in our country, most of whom are, frankly, silently suffering.\u201d
The clinic, nestled in an industrial area near the city line between St. Paul and Minneapolis, has been a beacon for many women in the region. Although Democratic leaders in Minnesota have protected abortion access, neighboring states have banned or severely restricted the procedure with policies that Harris described as \u201cimmoral.\u201d
\u201cHow dare these elected leaders believe they are in a better position to tell women what they need,\u201d Harris said. \u201cWe have to be a nation that trusts women.\u201d
Harris said she met two dozen health care workers at the clinic who had created an environment where patients can \u201cbe safe\u201d and \u201cfree from judgement.\u201d
Dr. Sarah Traxler, chief medical officer of Planned Parenthood North Central States, introduced herself as \u201ca proud abortion provider\u201d and called Harris' visit a \u201chistoric moment.\u201d She said the number of patients visiting the clinic from out of state has doubled.
\"Everyone should have the right to access health care,\" Traxler said.
Protesters gathered across the street, holding signs that said \u201clife is a human right\u201d and \u201cabortion kills a human being.\u201d
Cathy Blaeser, the co-executive director of the anti-abortion group Minnesota Citizens Concerned for Life, said, \u201cThe vice president\u2019s visit shows the Biden administration\u2019s full-blown devotion to extreme abortion policies.\u201d She added that \u201cMinnesotans don\u2019t want to be known for abortion tourism.\"
The White House has few options to protect access to abortion after the U.S. Supreme Court overturned Roe v. Wade two years ago, clearing the way for Republican-led states to enact limitations or bans on the procedure. But the visit reflected Democrats' intense focus on reproductive rights to rally their voters to reelect President Joe Biden in a likely rematch with Donald Trump, the presumptive Republican nominee.
Harris, the first woman elected vice president, has led the White House's outreach, and her trip to the Minneapolis-St. Paul area is part of a nationwide tour she began in January.
The decision to make a historic visit to a clinic showcased her more aggressive approach to the issue than Biden. While Biden has vowed to restore Roe v. Wade's protections if Democrats regain full control of Congress, he tends to talk about the \u201cright to choose\u201d instead of saying \u201cabortion.\u201d
During her visit, Harris spoke plainly about women's health needs and the clinic's role in providing birth control and preventative care.
\u201cEveryone get ready for the language \u2014 uterus,\u201d Harris said. \u201cThat part of the body needs a lot of medical care from time to time.\"
After visiting the clinic, Harris spoke at a campaign event held at the Coven, a coworking space that caters to women in St. Paul. She said Minnesota had \u201conce again demonstrated to our nation just how much progress a Democratic trifecta can make,\u201d a reference to the party's control of the governor's office and both legislative chambers.
Democrats harnessed that power in January 2023 by rushing through legislation that enshrined in state law the right to abortion and other kinds of reproductive health care. There are no restrictions on abortion at any stage of pregnancy in Minnesota.
Meanwhile, abortion is currently illegal in more than a dozen states, including Minnesota neighbors North Dakota and South Dakota, and is restricted in Iowa and Wisconsin. Harris blamed Trump for the erosion of abortion rights and called him the \"architect of a health care crisis.\u201d
\u201cLet us all recognize who is to blame,\u201d she said. \u201cThe former president, Donald Trump, handpicked three members of the United States Supreme Court with the intention that they would overturn Roe. He intended for them to take your freedoms. And he brags about it.\u201d
Trump touted his role in eliminating the nationwide right to abortion during a recent Fox News town hall, saying, \u201cI'm proud to have done it.\u201d During his term, he tipped the ideological balance on the high court by nominating three conservative justices, paving the way for the Dobbs v. Jackson Women\u2019s Health Organization, which overturned Roe v. Wade.
Since then, Democrats have felt encouraged by electoral victories in 2022 and 2023 when abortion access was on the ballot. And in his State of the Union address last week, Biden vowed that \u201cwe'll win again in 2024.\u201d He also said that if voters \u201csend me a Congress that supports the right to choose, I promise you I will restore Roe v. Wade as the law of the land again.\u201d
Before the flight back to Washington on Thursday, Harris surprised Central High School\u2019s girl\u2019s varsity and junior varsity softball teams at practice. As she watched, Harris told the players, \u2019I\u2019m impressed.\u201d
____
Associated Press writer Chris Megerian contributed from Washington.
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Some Democrats are supporting the effort, saying the bill could provide a last-ditch attempt to expand health care coverage for lower-income adults. Senators voted 43-11 for the bill, sending it back to the House for more debate. It\u2019s likely to face pushback there from opponents who warn greater competition will undercut rural hospitals by drawing away well-paying patients. The Senate measure could allow the Morehouse School of Medicine to open a hospital in Atlanta. It would also allow a hospital to open in any rural county where a prior hospital has been closed for more than 12 months.", + "bylines": [ + { + "by": "By JEFF AMY", + "title": "Associated Press" + } + ], + "located": "ATLANTA", + "datelinelocation": { + "city": "Atlanta", + "countryareacode": "GA", + "countryareaname": "Georgia", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -84.38798, + 33.749 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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Senators voted 43-11 for House Bill 1339, sending it back to the House for more debate. It\u2019s likely to face pushback there from opponents who warn greater competition will undercut rural hospitals by drawing away the best-paying patients.
\u201cIt is not a wholesale elimination of certificate of need requirements,\" Sen. Bill Cowsert, an Athens Republican, said of the Senate approach. \"We\u2019re targeting certain areas where we want to make it easier to provide medical services to Georgians.\u201d
Certificates of need, in place in Georgia since the 1970s, require someone who wants to build a health facility or offer new services to prove an expansion is needed. The permits are meant to prevent overspending that would increase health care costs.
One key sticking point is likely to be whether to let outpatient surgery centers serve multiple medical specialties without a state permit, called a certificate of need. The Senate bill would let physicians from multiple specialties share one surgery center. The House has opposed such a move.
The Senate measure could also allow the historically Black Morehouse School of Medicine to open a hospital in central Atlanta that could provide services once offered by the now-shuttered Atlanta Medical Center. It would also allow a hospital to open without a permit in any rural county where a prior hospital has been closed for more than 12 months. That could allow a hospital in the southwest Georgia town of Cuthbert that closed in 2020 to reopen.
The bill also includes a study committee to examine whether Georgia's state-federal Medicaid program should be expanded to cover more lower-income adults. Right now, for many adults who make less than than the federal poverty level, or about $15,000 a year, the only option is Gov. Brian Kemp's Pathways program. It requires adults to prove 80 hours a month of work, study or volunteering. Although hundreds of thousands of Georgia adults below the poverty line are uninsured, only a few thousand have attained Pathways coverage so far.
\u201cMedicaid expansion is what you need to take care of all these folks,\" said Sen. David Lucas, a Macon Democrat who introduced a separate expansion bill this year. He voted for Thursday's bill, saying he wanted negotiators to consider full expansion when they meet to work out differences between House and Senate bills.
While some states have repealed certificate-of-need laws, Georgia is among the majority of states still using them. Incumbent hospitals and health care providers often oppose new developments. Those who dislike the certificates say they prevent needed competition and unfairly protect local monopolies.
\u201cThe Senate passed a measure today that would ensure that every Georgian, regardless of where they live, would have an opportunity to access quality care in their community,\u201d Lt. Gov. Burt Jones, a Republican, said in a statement. Jones has advocated for full repeal of the permits
But Democrats say that new medical facilities in underserved areas won't be able to sustain themselves without more insured patients.
\"How does this bill allow a hospital operator, whether it\u2019s 20 minutes from here or four hours from here, to avoid operating at a significant loss under the current mix of uncompensated care?\" asked Sen. Jason Esteves, an Atlanta Democrat.
Now in Georgia, physicians can open a surgery center serving only their medical specialty without a permit. The Senate plan doesn't directly say physicians can open a surgery center that provides medical procedures across multiple specialties. But it does say physicians from different specialties can share operating rooms, which means one building can be used for any procedure. Sen. Billy Hickman, a Statesboro Republican who supported the bill, said surgery centers skim off lucrative businesses from hospitals.
\u201cThey are not open seven days a week like our hospital is,\" Hickman said. \u201cThey\u2019re not open 24 hours a day like our hospital. They don\u2019t have to take everybody that walks in the way our hospital does.\u201d
The Senate plan would also abolish requirements for permits for outpatient birthing centers and imaging centers, which provide X-rays, CAT scans and PET scans.
The bill would let new hospitals be built in counties with less than 50,000 residents, as long as they agree to provide a certain amount of charity care, join the statewide trauma system and provide \u201ccomprehensive behavioral health services.\u201d
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(AP) \u2014 New Mexico is expanding the reach of a program that includes providing support for housing, health care and transportation to youths raised in foster care as they turn 18 and age out of the child welfare system, under an executive order signed Thursday by Gov. Michelle Lujan Grisham.
The order signed by the Democratic governor is expected to add 20 young adults each year to the \u201cfostering connections\u201d program who may not otherwise qualify after they move to New Mexico, or because of legal delays as courts confirm child abuse or neglect and parents surrender children voluntarily.
Nearly 90 young adults are currently enrolled the program, after exiting a foster care system that cares for about 1,700 children statewide. Benefits also include instruction in financial literacy, caseworker guidance and optional access to psychological counseling.
Democratic state Sen. Michael Padilla of Albuquerque, who grew up in foster care during the 1970s and 80s, said aid and counseling for young adults as they emerge from foster care is gaining recognition in several states as an investment that eventually provides stable households to the children of former foster children.
\u201cIt provides a softer landing to adulthood,\u201d said Padilla, a sponsor of 2019 legislation that established the New Mexico program. \u201cCan you imagine not having anything? It's like the floor dropped out from under you. ... We're going to see a decline in repeat fostering.\"
Padilla said he wants to enshrine the eligibility changes into state statute.
The program's expansion drew praise at a news conference from Neera Tanden, a domestic policy adviser to President Joe Biden.
Tanden said the Biden administration is proposing a related multibillion-dollar expansion of annual spending on housing vouchers for youth exiting foster care.
Thursday's announcement is among the latest efforts to improve results from the New Mexico\u2019s troubled child protection and well-being system.
New Mexico\u2019s repeat rate of reported child abuse cases is among the worst in the country, amid chronic workforce shortages in the child welfare system and high turnover among employees in protective services.
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Jonathan Board was named Thursday to lead the West Virginia First Foundation. Board was elected last year to the foundation\u2019s board of directors. He will relinquish that role and says he will step down from hospital system leadership roles. The original choice as the foundation\u2019s executive director couldn\u2019t reach an agreement. The private foundation will distribute just under three-quarters of the settlement money won by the state in lawsuits against opioid manufacturers and distributors. West Virginia has by far the nation\u2019s highest drug overdose death rate.", + "bylines": [ + { + "by": "By JOHN RABY and LEAH WILLINGHAM", + "title": "Associated Press" + } + ], + "located": "CHARLESTON, W.Va.", + "datelinelocation": { + "city": "Charleston", + "countryareacode": "WV", + "countryareaname": "West Virginia", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -81.63262, + 38.34982 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. For other uses, additional clearances may be required." + ], + "keywords": [ + "West Virginia First Foundation opioids executive director" + ], + "provider": "AP", + "infosource": [ + { + "name": "AP", + "type": "AP" + } + ], + "person": [ + { + "scheme": "http://cv.ap.org/id/", + "code": "a5c9f27150b143b7b05c470fa521d57d", + "name": "Patrick Morrisey", + "creator": "Machine", + "rels": [ + "direct" + ], + "types": [ + "GOVERNMENT_FIGURE", + "PERSON" + ], + "relevance": 64 + } + ], + "subject": [ + { + "rels": [ + "category" + ], + "creator": "Editorial", + "code": "n", + "name": "n" + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "86aad5207dac100488ecba7fa5283c3e", + "name": "Politics", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 37 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "08685a1085af10048c519a5aeba5fb06", + "name": "Philanthropy", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 55 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "a3dae7a888d710048edfded1ce465303", + "name": "Government appointments and nominations", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 37 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "4626a38a1b52454ca5d01755d14f1dc9", + "name": "Legal proceedings", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 55 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "fb629770cf154f91964e1789d2dd836e", + "name": "Opioids", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 83 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "cc7a76087e4e10048482df092526b43e", + "name": "Health", + "creator": "Editorial", + "editorial_subject": "Health", + "rels": [ + "direct" + ], + "relevance": 75 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "a4677d70863b4012b846a1b00f5079f5", + "name": "U.S. news", + "creator": "Editorial", + "editorial_subject": "U.S. news", + "rels": [ + "direct" + ], + "relevance": 99 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "f25af2d07e4e100484f5df092526b43e", + "name": "General news", + "creator": "Editorial", + "editorial_subject": "General news", + "rels": [ + "direct" + ], + "relevance": 50 + } + ], + "place": [ + { + "scheme": "http://cv.ap.org/id/", + "code": "130bcce882c81004895adf092526b43e", + "name": "West Virginia", + "creator": "Machine", + "rels": [ + "direct" + ], + "parentids": [ + "661e48387d5b10048291c076b8e3055c" + ], + "locationtype": { + "code": "0ae5eb8e00e04295a4fc209c94bfe6ef", + "name": "State" + }, + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -80.50009, + 38.50038 + ] + }, + "relevance": 96, + "parentnames": [ + "United States" + ] + } + ], + "audiences": [ + { + "code": "82c6a4c46fa0446090a7acaf93159e4c", + "name": "Print", + "type": "AUDPLATFORM" + }, + { + "code": "9add4649b53b4702ba7d9de5d4fa607a", + "name": "Online", + "type": "AUDPLATFORM" + }, + { + "code": "f5b16ea8760d10048047e6e7a0f4673e", + "name": "State", + "type": "AUDSCOPE" + }, + { + "code": "130bcce882c81004895adf092526b43e", + "name": "West Virginia", + "type": "AUDGEOGRAPHY" + } + ], + "associations": { + "1": { + "altids": { + "itemid": "26756ef2c48e46d9877bf5067ab922b3" + }, + "type": "picture" + } + }, + "body_nitf": "CHARLESTON, W.Va. (AP) \u2014 Jonathan Board was named Thursday as executive director of the West Virginia First Foundation, which will distribute the majority of the state\u2019s more than $1 billion in opioid settlements.
Board was elected last year to the foundation\u2019s board of directors representing counties in northcentral West Virginia. He will relinquish that role and plans to step down from leadership roles with the Mon Health System and Vandalia Health.
West Virginia has by far the nation\u2019s highest drug overdose death rate.
\u201cThis is a vitally important day, but this day has very little to do with one individual or even a group of individuals,\u201d Board said at a news conference, where he was introduced by state Attorney General Patrick Morrisey. \u201cToday is about the people of the state of West Virginia. We have a lot of work to do.\u201d
The private foundation will distribute just under three-quarters of the settlement money won by the state in lawsuits against opioid manufacturers and distributors. About one-fourth will go directly to local communities and 3% will remain in trust.
All funds must be used to abate the opioid crisis, like evidence-based addiction treatment, recovery and prevention programs, or supporting law enforcement efforts to curtail distribution.
\u201cThere\u2019s some things that we can tackle immediately,\u201d Board said. \u201cI would like to come alongside and assist, whether it be a needs assessment or some other tool that we can put into the hands of experts and allow them to be experts and start solving real problems as fast as we can.\u201d
During a meeting of the West Virginia First Foundation directly after the announcement, the board accepted Board\u2019s resignation so he can assume the executive director role. It will be up to local leadership in his region to work with the attorney general\u2019s office to find a replacement.
\u201cIt\u2019s a huge relief, not only that we have an executive director, but that we have Jonathan Board as an executive director,\u201d board Chair Matt Harvey said. Harvey said the First Foundation personnel committee met with a number of candidates and were most impressed by his qualifications.
\u201cWe all came away from those interviews knowing that Jonathan Board is the right person at the right time to lead us and take up the fight,\u201d Harvey said.
At the meeting, Board said he has years of experience working in health policy and began working around five years ago setting up foundations to support the state of West Virginia\u2019s response to the opioid crisis.
Board\u2019s salary wasn\u2019t disclosed because his employment agreement was still being completed.
\u201cI trust Jonathan,\" Harvey said. \"I trust his judgment. I know where his heart is. I know that\u2019s to serve the citizens of West Virginia, and he brings all the skills necessary to put that together and lead us.\u201d
The original choice as the foundation's executive director couldn't reach an agreement. Morrisey said Board wasn't among the initial applicants. But after Board applied for the position when applications opened back up, \u201cwe realized we had a jewel right in front of our eyes,\u201d Morrisey said.
Board was a candidate for a state Senate seat as a Republican this year but has suspended his campaign to focus on the foundation. That decision \u201cwas important for me,\u201d Morrisey said.
\u201cI want to make sure we have a full time (executive director) and not someone who's going to be torn away by any politics,\u201d he said.
The state began issuing the first opioid lawsuit settlement checks in December. The Kanawha County Commission said it received a $2.9 million check, and the Mercer County Commission received $1.9 million.
Morrisey has said his office and the state auditor\u2019s office have formed a partnership to ensure that the settlement funds are used properly. All the money must be used to abate the opioid crisis through efforts such as addiction treatment, recovery and prevention programs, or supporting law enforcement in anti-drug measures.
The state is receiving money from each of its settlement agreements on a staggered schedule, with annual payments coming until at least 2036. The West Virginia First Foundation alone is expected to receive around $367 million over the next five years.
Over the past four years, drug manufacturers, distribution companies, pharmacies and other companies have reached settlements totaling more than $50 billion with governments. While the biggest amounts are national in scope, West Virginia has been aggressive in bringing its own lawsuits and reaching more than a dozen settlements.
", + "textformat": "bx", + "links": [ + { + "href": "https://apnews.com/article/west-virginia-first-foundation-opioids-executive-director-e88bf280cd414a7d17a7f4cfaa620d39", + "rel": "canonical" + } + ], + "topics": { + "Health": { + "relevance_score": 5, + "reason": "The document discusses the appointment of Jonathan Board as the executive director of the West Virginia First Foundation, which is responsible for distributing opioid settlement funds in West Virginia. The funds are intended to abate the opioid crisis through addiction treatment, recovery, prevention programs, and law enforcement support. Given that the opioid crisis and its mitigation are significant public health issues, the document is highly relevant to the topic of health." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/03/14/f9bba51dcc1b1baa55bb7060bdb28573.json b/datasets/AP_news/raw_data/2024/03/14/f9bba51dcc1b1baa55bb7060bdb28573.json new file mode 100644 index 0000000..43312b5 --- /dev/null +++ b/datasets/AP_news/raw_data/2024/03/14/f9bba51dcc1b1baa55bb7060bdb28573.json @@ -0,0 +1,180 @@ +{ + "altids": { + "itemid": "f9bba51dcc1b1baa55bb7060bdb28573", + "etag": "f9bba51dcc1b1baa55bb7060bdb28573_1a7aza0c0", + "friendlykey": "277366050242", + "referenceid": "US-MED--Olivia Munn-Breast Cancer Risk" + }, + "version": 1, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-03-14T21:17:40Z", + "firstcreated": "2024-03-14T19:48:10Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: Updates with dramatic increase in visits to the National Cancer Institute's breast cancer calculator; recommended age for getting an assessment; comment from a nurse practitioner who has studied breast cancer risk assessment tools and an American Cancer Society doctor.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "US-MED--Olivia Munn-Breast Cancer Risk", + "headline": "What is the breast cancer risk calculator recommended by Olivia Munn?", + "headline_extended": "Olivia Munn's breast cancer diagnosis is drawing attention to a frequently used breast cancer risk calculator", + "slugline": "AP-US-MED--Olivia Munn-Breast Cancer Risk, 1st Ld-Writethru", + "description_summary": "Olivia Munn's breast cancer diagnosis is drawing attention to a frequently used breast cancer risk calculator. The actor says her score prompted further tests and the discovery of an aggressive form of the disease. The Breast Cancer Risk Assessment Tool is a questionnaire on the National Cancer Institute website. It's designed for health care providers to use with patients and can help guide decisions about screening. The National Cancer Institute says the tool has received a \u201cdramatic increase in visits\u201d since Olivia Munn\u2019s post.", + "bylines": [ + { + "by": "By CARLA K. JOHNSON", + "title": "AP Medical Writer" + } + ], + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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Munn said her score prompted further tests and the discovery of an aggressive form of the disease.
\u201cI\u2019m lucky. We caught it with enough time that I had options,\u201d the 43-year-old actor posted on Instagram. \u201cI want the same for any woman who might have to face this one day.\u201d
A look at the calculator, the Breast Cancer Risk Assessment Tool:
It's a questionnaire on the National Cancer Institute\u2019s website that is designed for health care providers to use with patients. The tool received a \u201cdramatic increase in visits\u201d since Munn\u2019s post, according to an NCI spokesperson.
First developed in 1989, it was originally based on data from only white women. Updates have made it more accurate for Black, Hispanic and Asian and Pacific Islander women.
It doesn't take everything into account and can't actually predict whether any one person will get breast cancer.
It asks about age, age at first menstrual period, age when the woman\u2019s first child was born or if the woman has not given birth, family history of breast cancer, past breast biopsies, results of past biopsies, race and ethnicity.
The result is a lifetime risk and a five-year risk based on factors that have been tied to a higher risk of breast cancer. For comparison, it also gives an average risk for U.S. women of the same age, race and ethnicity.
Dr. Elizabeth Comen, who treats breast cancer at Memorial Sloan Kettering Cancer Center in New York, said women should do the assessment with their doctors, not by themselves.
\u201cIt\u2019s very important to talk to your doctor about doing that together, and then making decisions about what imaging techniques are appropriate\u201d based on the results, Comen said. Munn's high score prompted additional imaging tests that aren't recommended for women of average risk.
It's not the best risk calculator for some women. If you have a certain gene mutation or a previous history of breast cancer, it's not for you. It also doesn't take into account dense breast tissue, which can make cancer harder to spot.
The National Cancer Institute says the tool may underestimate risk in Black women with previous biopsies and Hispanic women born outside the U.S.
\"The model needs further validation for Hispanic women and other subgroups,\u201d the institute\u2019s website says. \u201cResearchers are conducting additional studies to gather more data to test and improve the model.\u201d
There are dozens of similar tools, said Ashley Johnson, a nurse practitioner at Vanderbilt University Medical Center, who has studied them. Many health groups recommend that women over age 25 have such an assessment, she said, but there's not enough evidence to say which tool is best.
A five-year risk score of 2%, for example, means a woman's estimated risk of developing breast cancer over the next five years is 2%.
A lifetime risk score of 7% means a woman's estimated risk of developing breast cancer through age 90 is 7%.
Mammogram guidelines are for women at average risk, said Dr. Arif Kamal, chief patient officer at the American Cancer Society. Guidelines vary but the society says women can choose to start annual mammograms at age 40.
\u201cKnowing your risk starts even before the age of 40,\u201d Kamal said. That's where a risk calculator can help.
Everyone has some risk of cancer, Comen said, but some lifestyle changes can reduce the chances.
She suggests avoiding processed foods, adding exercise and strength training to your routine, limiting alcohol and not smoking.
___
The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute\u2019s Science and Educational Media Group. The AP is solely responsible for all content.
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Motol University Hospital in Prague says Zeman had an insufficient blood supply in one of his legs because of the blood clot. It says the supply of blood was restored during the operation on Thursday. It wasn\u2019t clear how long Zeman would be hospitalized. The 79-year-old Zeman used to be a heavy smoker and drinker and suffers from diabetes and nerve damage.", + "located": "PRAGUE", + "datelinelocation": { + "city": "Prague", + "countrycode": "CZE", + "countryname": "Czech Republic", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + 14.42076, + 50.08804 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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Motol University Hospital in Prague said Zeman had an insufficient blood supply in one of his legs because of the blood clot.
The supply of blood was restored during the operation, it said. It wasn't clear how long Zeman would be hospitalized.
Zeman, 79, used to be a heavy smoker and drinker and suffers from diabetes and neuropathy. He has been hospitalized several times.
He has trouble walking and has been using a wheelchair.
Zeman\u2019s second and final term in the largely ceremonial post of president ended in March last year.
In office, he sought closer ties with China and was a leading pro-Russian voice in EU politics.
After Russia invaded Ukraine in 2022, Zeman condemned the \u201cunprovoked act of aggression.\u201d He opposed initial EU sanctions against Russia after its 2014 annexation of Crimea.
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Medicaid dollars and scammed hundreds of Native Americans seeking help for addictions.
Senate Bill 1655, sponsored by Sen. Theresa Hatathlie, was unanimously approved by the Senate this week and sent to the House, where it received a first reading and was assigned to the Health and Human Services Committee.
Hathalie said she anticipates a vote by the full House could come as soon as Thursday, adding that she urges constituents to voice their support for the legislation.
\u201cThis bill will ensure checks and balances. This issue has been going on long before the pandemic, and Native people have been largely affected,\u201d said Hatathlie, a Democrat from Coal Mine Mesa on the Navajo Nation who represents Arizona\u2019s 6th District. \u201cPassage of Senate Bill 1655 will start a measure of resiliency and healing. It will most importantly communicate to criminals they are not welcome in Arizona!\u201d
The legislative effort comes the same week that relatives of two Native American men who died while in Phoenix rehab programs sued Arizona\u2019s Medicaid program and Department of Health Services, alleging insufficient oversight.
The Attorney General\u2019s Office said it would not comment on the pending civil action as it continues to prosecute scores of cases against those programs.
Arizona Gov. Katie Hobbs and Attorney General Kris Mayes announced in May that they were stepping up an investigation of alleged fraudulent Medicaid billing that began before they took office in 2023.
The charges were submitted mostly through the American Indian Health Program, a Medicaid health plan that allows providers to bill directly for reimbursement of services rendered to Native Americans and Alaska Natives.
Mayes told Navajo leaders in a report this year that 72 individuals and entities had been indicted so far, 44 of them since she took office, and over $90 million in property and vehicles relating to those cases were seized.
The Arizona Health Care Cost Containment System has instituted tighter controls, including a six-month moratorium for enrolling new behavioral health clinics for Medicaid billing. The scams\u2019 far-reaching consequences became better known through warnings sounded by state and tribal governments outside Arizona.
Hatathlie's proposed law would increase the civil penalty per incidence of noncompliance at rehab facilities from up to $500 to at least $1,500 daily.
It would also require that patients\u2019 family members be notified when they arrive at a facility for an evaluation. Employees of residential facilities would have to undergo fingerprint and background checks.
Crystalyne Curley, speaker of the Navajo Nation Council, showed her support for Hatathlie's bill the day the Senate approved it.
Reva Stewart, a Navajo activist in Phoenix who helps Native Americans return to their reservations after leaving fraudulent rehab programs, said she worries the legislation may not go far enough to shut down the worst unlicensed facilities because it largely focuses on licensed ones.
\u201cWe all want a solution to this problem,\u201d Stewart said. \u201cI just want to make sure this solution works.\u201d
During early Senate hearings, representatives of assisted living and nursing homes and other facilities that could be affected worried that the penalties may be too high for smaller operations.
Hatathlie said facilities will have a 30-day grace period to bring any violations into compliance. The legislation has gone through many revisions in recent weeks and more adjustments are possible, she added.
\u201cThis is a big deal; this is a big problem in Arizona,\u201d Republican Senate President Warren Petersen said after Tuesday's vote. \u201cIf you\u2019re a state agency and you\u2019re doing something wrong, don\u2019t mess with Senator Hatathlie.\u201d
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Judge Roslyn Silver says Arizona\u2019s system for providing medical and mental health care for the nearly 25,000 people in its state-run prisons remains \u201cfundamentally lacking\u201d and prisoners are at risk. Experts told Silver said that the private provider hired by the state doesn\u2019t have enough workers and needs to increase salaries for new and existing employees.", + "bylines": [ + { + "by": "By JACQUES BILLEAUD", + "title": "Associated Press" + } + ], + "located": "PHOENIX", + "datelinelocation": { + "city": "Phoenix", + "countryareacode": "AZ", + "countryareaname": "Arizona", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -112.07404, + 33.44838 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. 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Arizona\u2019s system for providing medical and mental health care for the nearly 25,000 people incarcerated in its state-run prisons remains \u201cfundamentally lacking,\u201d U.S. District Judge Roslyn Silver said, and prisoners are at risk.
Experts who monitor prison health care operations on behalf of Silver said at a court hearing Friday that Naphcare, the private company hired by the state to provide those services, doesn\u2019t have enough workers and needs to increase salaries for new and existing employees.
Silver had previously said she expected to launch the third contempt proceeding against the state on Friday for violations of a court order requiring numerous improvements. But she ultimately held off on a decision and wants input from lawyers on both sides first.
\u201cI still believe there are violations,\u201d Silver said.
Previous contempt fines totaling $2.5 million have failed to motivate authorities to improve care, the judge has concluded in the past. Attorneys for prisoners are asking her to override or rescind a 2009 law requiring private companies to provide health care in state-run prisons.
\u201cIt becomes apparent that the state law is a barrier to compliance with the court\u2019s order,\u201d said Corene Kendrick, one of the lawyers representing the prisoners.
Silver said she has concerns about overriding or rescinding the privatization law, though she said she hasn\u2019t made a final decision. Still, she said, the state might be able to fix the problems by enforcing the terms of its contract with Naphcare. Naphcare, which has asked the court to let it join the civil case, didn\u2019t immediately respond to a request for comment Friday afternoon.
The state has withheld more than $10 million from Naphcare in recent months due to understaffing.
Corrections Director Ryan Thornell told Silver that he and Gov. Katie Hobbs\u2019 administration are committed to resolving the health care issues, saying, \u201cWe haven\u2019t wavered from that.\u201d
Arizona settled the case in 2014 but for years was dogged by complaints that it failed to follow through on its promises. The courts slapped the state with contempt fines of $1.4 million in 2018 and $1.1 million in 2021. The settlement was eventually thrown out due to Arizona\u2019s noncompliance, and a trial was ordered.
In a blistering 2022 verdict, Silver ruled that the state was violating prisoners' constitutional rights by providing them with inadequate care, knew about the problem for years and refused to correct it.
She also said the prison health care system's deficiencies resulted in preventable deaths.
One key witness at the trial was prisoner Kendall Johnson, who testified tearfully about how she sought help for what started as numbness in her feet and legs in 2017 but it wasn't until 2020 that she was diagnosed with multiple sclerosis.
She testified that she was unable to brush her teeth, had to wear diapers, paid fellow prisoners to feed her because of neglect prison staff and typically spent her days lying in bed counting the ceiling tiles.
Johnson wasn't in court Friday, but an attorney read a statement in which she said, \u201cI have not noticed a difference in medical care since I testified. I still have not seen a neurologist or MS specialist \u2014 can one come visit me?\u201d
The lawsuit alleged that some prisoners complained that their cancer went undetected or they were told to pray to be cured after begging for treatment. The state denied allegations that it was providing inadequate care.
The complaint was filed on behalf of people in state-run prisons and does not cover the 9,000 people in private institutions.
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Republican Bruce Thompson said in a written statement Friday that he was suddenly diagnosed with Stage 4 pancreatic cancer, which has spread to his liver.
Thompson, who received the diagnosis on Tuesday, said he was awaiting further information, including \u201ca final prognosis for chemotherapy.\u201d
The first-term Republican said he would continue his work as labor commissioner.
\u201cI can assure you I will continue to be who I have always been \u2014 a fighter,\u201d Thompson said in the statement. \u201cFrom the start, my life has been full of what seem like insurmountable challenges, but I\u2019ve never given up and this farm boy from Montana doesn\u2019t intend to start now.\u201d
Thompson was first elected to the state Senate in December 2013 and was reelected four times. He easily won a Republican primary for labor commissioner in 2022 before defeating Democrat William Boddie and libertarian Emily Anderson in the general election.
Thompson is an Army veteran who founded a pair of automatic swimming pool cover businesses, an insurance agency, an insurance software company and a commercial development company. His record in the General Assembly was marked by opposition to abortion and advocacy for adoption.
He ran for labor commissioner on a platform of improving the effectiveness of the agency after the previous commissioner came under heavy criticism when the state's unemployment claim system was overwhelmed during the early stages of the coronavirus pandemic. Georgia's Department of Labor administers unemployment insurance and helps place job seekers.
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Lolling with bright blue yoga mats, sleeping masks and travel pillows, hundreds of Mexicans laid sprawled out on the ground at the base of the city\u2019s iconic Monument to the Revolution to take a nap. Dubbed the \u201cmass siesta,\u201d the event was in commemoration of World Sleep Day.
It was also meant to be a protest to push for sleep to be considered an essential part of health and wellness.
Some participants wrapped themselves in bright orange blankets, while others prepped their phones to play soothing music as they slept.
Among the nappers was 52-year-old mariachi musician Manuel Maga\u00f1a, who was popping in earbuds next to his wife, and 9-year-old daughter, who fell asleep holding hands. Maga\u00f1a heard about the event on the news while he was looking for something fun to do with his granddaughter.
He said the idea struck a chord with him because as a mariachi he would work long and irregular hours, often going to bed as the sun would come up.
\u201cAs a musician I work at night, and I rarely sleep well during the day. Sometimes we forget to eat, sometimes all we get is a little nap,\u201d he said.
The event was organized by the Center for Sleep and Neurosciences and the Mexican Society for the Investigation of Medicine and Sleep (SOMIMS).
As participants began to drift to sleep, organizers on stage chanted and lead participants through the meditation. They also listed off tips for helping people fall asleep, like getting plenty of natural light during the day and turning their phone off at night.
Oscar S\u00e1nchez Escand\u00f3n, a director of the event and president of SOMIMS, said the event was meant to highlight \u201csleep inequality\u201d around the world.
\u201cWe live in a society that is full of economic, social and political commitments, where everything matters other than rest. That can have a strong impact on health,\u201d he said.
Nearly half of Mexicans are reported to have trouble sleeping, according to a study by the National Autonomous University of Mexico.
Mexico was listed as the most overworked country in the world by a 2019 Organization for Economic Cooperation and Development report, which compared working hours among dozens of countries across the planet.
Last year, Mexico\u2019s congress debated a proposed reform to officially lower the weekly work hours from 48 \u2013 the average for many Latin American nations \u2013 to 40, standard for much of the world. The initiative was put forward by Mexico\u2019s ruling party, Morena, but the debate got kicked back to 2024.
Gabriela Filio, a 49-year-old nurse, brought along her 25-year-old daughter with the hopes that Mexico\u2019s younger generations would push for a better work balance.
\u201cWe are in a country where the paychecks often don\u2019t add up. Sometimes we have to work two jobs, but we also need to make sure to care for our sleep quality,\u201d Filio said, stretching out to take a quick rest.
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Rural emergency hospitals receive more than $3 million in federal funding a year and higher Medicare reimbursements in exchange for closing all inpatient beds and providing 24/7 emergency care. While that makes it easier for a hospital to keep its doors open, experts say it doesn\u2019t solve all of the challenges facing rural health care.
People might have to travel further for treatments for illnesses that require inpatient stays, like pneumonia or COVID-19. In some of the communities where hospitals have converted to the new designation, residents are confused about what kind of care they can receive. Plus, rural hospitals are hesitant to make the switch, because there\u2019s no margin of error.
\u201cIt\u2019s ironic\u201d that the facilities that might need the most help can\u2019t afford to take the risk, said Carrie Cochran-McClain, chief policy officer at the National Rural Health Association. She pointed to having to give up certain services and benefits, such as a federal discount program for prescription drugs.
The government, which classifies hospitals by type, rolled out the rural emergency option in January 2023. Only 19 hospitals across the U.S. received rural emergency hospital status last year, according to the University of North Carolina\u2019s Sheps Center for Health Services Research.
The majority are in the South, with some in the Midwest, and hospitals in Nebraska and Florida recently started to explore the option.
The designation is aimed at a very specific population, said George Pink, deputy director of the Sheps Center\u2019s Rural Health Research Program, and that's rural hospitals on the brink of closure with few people getting inpatient care already.
That was the case for Irwin County Hospital in Ocilla, Georgia, which was the second rural emergency hospital established in the U.S.
Weeks prior to converting, the hospital received at least $1 million in credit from the county so it could make pay employees \u2014 money that county board of supervisors chairman Scott Carver doubted he\u2019d see returned.
\u201cWe operate on a $6 million budget for the county, so to extend that kind of line of credit was dangerous on our part to some degree,\" he said. \u201cBut ... we felt like we had to try.\u201d
Irwin County Hospital became a rural emergency hospital on Feb. 1, 2023. Quentin Whitwell, the hospital's CEO, said it was an ideal candidate.
\u201cWe\u2019re still finding out what some of the impacts are, given that it\u2019s a new thing,\u201d said Whitwell, who through his company Progressive Health Systems owns and manages six hospitals in the Southeast, most of which are rural emergency hospitals or have applied for the designation. \u201cBut the change to a rural emergency hospital has transformed this hospital.\u201d
A combination of state programs and tax credits, plus the new designation, means the hospital has $4 million in the bank, Carver said. Simply put, the work was worth it to him.
Traci Harper, a longtime Ocilla resident, isn\u2019t so sure. About a year ago, she rushed her son to the hospital for emergency care for spinal meningitis.
Because the new designation requires the hospital to transfer patients to larger hospitals within 24 hours, Harper\u2019s son was sent to another in-state facility and three days later ended up getting the care he needed in a hospital in Jacksonville, Florida.
\u201cThat's two hours away,\u201d she said. \u201cThe whole time I could have taken him there myself, but nobody told me that.\u201d
Nebraska\u2019s first rural emergency hospital opened in February in a city called Friend.
Warren Memorial Hospital had reached a breaking point: Federal pandemic relief money had dried up. The city, which owns the hospital, had to start extending lines of credit so hospital employees could get paid. A major street repair project was even delayed, said Jared Chaffin, the hospital\u2019s chief financial officer and one of three co-CEOs.
\u201cBack in the summer, we were barely surviving,\u201d said Amy Thimm, the hospital\u2019s vice president of clinical services and quality and co-CEO.
Though residents expressed concerns at a September town hall about closing inpatient services, the importance of having emergency care outweighed other worries.
\u201cWe have farmers and ranchers and people who don\u2019t have the time to drive an hour to get care, so they\u2019ll just go without,\u201d said Ron Te Brink, co-CEO and chief information officer. \u201cRural health care is so extremely important to a lot of Nebraska communities like ours.\u201d
The first federal payment, about $270,000, arrived March 5. Chaffin projects the hospital\u2019s revenue will be $6 million this year \u2014 more than it\u2019s ever made.
\u201cThat\u2019s just insane, especially for our little hospital here,\u201d he said. \u201cWe still have Mount Everest to climb, and we still have so much work ahead of us. The designation alone is not a savior for the hospital \u2014 it\u2019s a lifeline.\u201d
That lifeline has proven difficult to hold onto for Alliance Healthcare System in Holly Springs, Mississippi, another one of Whitwell\u2019s hospitals and the fourth facility in the country to convert.
Months after being approved as a rural emergency hospital in March 2023, the Centers for Medicare and Medicaid Services reneged on its decision.
Hospital CEO Dr. Kenneth Williams told The Associated Press that the government said the hospital isn't rural because it is less than an hour away from Memphis. A CMS spokesperson said the facility was \u201cinadvertently certified.\"
The hospital has until April to transition back to full service, but many in the community of largely retirees believe the hospital has closed, Williams said. Patient volume is at a record low. If the federal payments stop coming, Williams isn\u2019t sure the hospital will survive.
\u201cWe might have been closed if we hadn\u2019t (become a rural emergency hospital), so ... something had to be done,\u201d he said. \u201cDo I regret all of the issues that for some reason we\u2019ve incurred that the other (hospitals) have not? I don\u2019t know.\u201d
Though Alliance appears to be one of few facilities that have been negatively impacted by converting to a rural emergency hospital, Pink said it\u2019s too soon to know if the federal designation is a success.
\u201cIf my intuition is correct, it will probably work well for some communities and it may not work well for others,\u201d he said.
Cochran-McClain said her organization is trying to work with Congress to change regulations that have been a barrier for rural facilities, like closing inpatient behavioral health beds that are already scarce.
Brock Slabach, the National Rural Health Association's chief operations officer, told the AP that upwards of 30 facilities are interested in converting to rural emergency hospitals this year.
As Whitwell sees it: \u201cAs this program evolves, there will be more people that I think will understand the value.\u201d ___
The Associated Press Health and Science Department receives support from the Robert Wood Johnson Foundation. The AP is solely responsible for all content.
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Undeterred, children and adults alike, some of them carrying babies, kept elbowing each other trying to enter.
\u201cLet us in! We\u2019re hungry!\u201d they shouted on a recent afternoon.
They were trying to get into a makeshift shelter in an abandoned school. Inside, workers dipped ladles into buckets filled with soup that they poured into Styrofoam containers stuffed with rice to distribute to Haitians who have lost homes to gang violence.
About 1.4 million Haitians are on the verge of famine, and more than 4 million require food aid, sometimes eating only once a day or nothing at all, aid groups say.
\u201cHaiti is facing a protractive and mass hunger,\u201d Jean-Martin Bauer, Haiti director for the United Nations' World Food Program, told The Associated Press. He noted that Croix-des-Bouquets, in the eastern part of Haiti\u2019s capital, \u201chas malnutrition rates comparable with any war zone in the world.\u201d
Officials are trying to rush food, water and medical supplies to makeshift shelters and other places as gang violence suffocates lives across Port-au-Prince and beyond, with many trapped in their homes.
Only a few aid organizations have been able to restart since Feb. 29, when gangs began attacking key institutions, burning police stations, shutting down the main international airport with gunfire and storming two prisons, releasing more than 4,000 inmates.
The violence forced Prime Minister Ariel Henry to announce early Tuesday that he would resign once a transitional council is created, but gangs demanding his ouster have continued their attacks in several communities.
Bauer and other officials said that the gangs are blocking distribution routes and paralyzing the main port, and that WFP's warehouse is running out of grains, beans and vegetable oil as it continues to deliver meals.
\u201cWe have supplies for weeks. I\u2019m saying weeks, not months,\u201d Bauer said. \u201cThat has me terrified.\u201d
Inside the makeshift shelter at the school, things were a bit more orderly, with scores of people standing in line for food. More than 3,700 shelter residents compete for a place to sleep and share a hole in the ground for a toilet.
Marie Lourdes Geneus, a 45-year-old street vendor and mother of seven children, said that gangs chased her family out of three different homes before they ended up at the shelter.
\u201cIf you look around, there are a lot of desperate people who look like me, who had a life and lost it,\u201d she said. \u201cIt\u2019s a horrible life I\u2019m living. I made a lot of effort in life and look where I end up, trying to survive.\u201d
She said she occasionally ventures out to sell beans to buy extra food for her children \u2014 who sometimes eat only once a day \u2014 but ends up being chased by armed men, spilling her goods on the ground as she runs.
Erigeunes Jeffrand, 54, said that he used to make a living selling up to four wheelbarrow-loads of sugar cane a day, but that gangs recently chased him and his four children out of their neighborhood.
\u201cMy home was completely destroyed and robbed,\u201d he said. \u201cThey took everything I have. And now, they\u2019re not even letting me work.\u201d
He sent his two youngest children to live with relatives in Haiti\u2019s more quiet countryside, while the two eldest live with him at the shelter.
\u201cCan you believe I had a home?\u201d he said. \u201cI was making ends meet. But now, I\u2019m just depending on what people provide me to eat. This is not a life.\"
More than 200 gangs are believed to operate in Haiti, with nearly two dozen concentrated in Port-au-Prince and surrounding areas. They now control 80% of the capital and are vying for more territory.
Scores of people have died in the most recent attacks, and more than 15,000 have been left homeless.
The situation has prevented aid groups like Food for the Hungry from operating at a time when their help is needed the most.
\u201cWe\u2019re stuck, with no cash and no capacity to move out what we have in our warehouse,\u201d said Boby Sander, the organization\u2019s Haiti director. \u201cIt\u2019s catastrophic.\u201d
Food for the Hungry operates a cash-based program that helps about 25,000 families a year by sending them money, but he said that the ongoing looting and attacks on banks have crippled the system.
\u201cSince Feb. 29, we have not been able to do anything at all,\u201d he said.
On a recent morning, the fragrance of cooking rice drew a group of adults and teenage boys to a sidewalk near a building where aid workers prepared meals to distribute to shelters elsewhere in the city.
\u201cCan you help me get a plate of food? We haven\u2019t had anything to eat today yet,\u201d they asked people going in and out of the building. But their pleas went unanswered. The food was destined for the shelter at the school.
\u201cWe know it\u2019s not a lot,\u201d said Jean Emmanuel Joseph, who oversees food distribution for the Center for Peasant Organization and Community Action. \u201cIt\u2019s too bad we don\u2019t have the possibility to give them more.\u201d
At the shelter, some adults and children tried to get back in line for a second serving.
\u201cYou already had a plate,\u201d they were told. \u201cLet others get one.\u201d
Shelter resident Jethro Antoine, 55, said the food is meant only for residents, but there's little that can be done about outsiders who squeeze in.
\u201cIf you go and complain about it, you\u2019re going to become the enemy, you might even be killed for that,\u201d he said.
The U.S. Agency for International Development said that around 5.5 million people in Haiti \u2014 nearly half the population \u2014 need humanitarian aid, and pledged $25 million in addition to the $33 million announced earlier this week.
The WFP's Bauer said the humanitarian appeal for Haiti this year is less than 3% funded, with the U.N. agency needing $95 million in the next six months.
\u201cConflict and hunger in Haiti are moving hand-in-hand,\u201d he said. \u201cI\u2019m frightened about where we\u2019re going.\u201d
___
D\u00e1nica Coto reported from San Juan, Puerto Rico.
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This story first moved on Saturday.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "US--Medicaid-Estate Recovery", + "headline": "State Medicaid offices target dead people\u2019s homes to recoup their health care costs", + "headline_extended": "Many Americans rely on Medicaid when fighting diseases", + "headline_seo": "State Medicaid offices target dead people\u2019s homes to recoup costs", + "slugline": "BC-US--Medicaid-Estate Recovery, 2nd Ld-Writethru", + "description_summary": "Many Americans rely on Medicaid when fighting diseases. But there's a catch. Often, states try to recoup the costs after the recipients die. That could mean a big bill \u2014 even the sale of their homes. The federal government requires every state to recover money from the assets of dead people who, in their final years, relied on Medicaid for long-term care. Now, critics want the federal government to stop doing that because, they say, the program collects a bit of money from the poorest people. States, they say, should do more to tell people they're putting their homes at risk when they sign up for Medicaid.", + "bylines": [ + { + "by": "By AMANDA SEITZ", + "title": "Associated Press" + } + ], + "located": "WASHINGTON", + "datelinelocation": { + "city": "Washington", + "countryareacode": "DC", + "countryareaname": "District of Columbia", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -77.03637, + 38.89511 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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So, Sandy LoGrande thought it was a mistake when, a year after her father\u2019s death, Massachusetts billed her $177,000 for her father\u2019s Medicaid expenses and threatened to sue for his home if she didn\u2019t pay up quickly.
\u201cThe home was everything,\" to her father said LoGrande, 57.
But the bill and accompanying threat weren't a mistake.
Rather, it was part of a routine process the federal government requires of every state: to recover money from the assets of dead people who, in their final years, relied on Medicaid, the taxpayer-funded health insurance for the poorest Americans.
A person's home is typically exempt from qualifying for Medicaid. But it is subject to the estate recovery process for those who were over 55 and used Medicaid to pay for long-term care such as nursing home stays or in-home health care.
This month, a Democratic lawmaker proposed scuttling the \u201ccruel\u201d program altogether. Critics argue the program collects too little \u2014 roughly 1% \u2014 of the more than $150 billion Medicaid spends yearly on long-term care. They also say many states fail to warn people who sign up for Medicaid that big bills and claims to their property might await their families once they die.
LoGrande says that\u2019s how she ended up in a two-year legal battle with Massachusetts after her father died. Several years before he died in 2016, she had turned to a local nonprofit for advice on caring for her elderly father. The group suggested she sign him up for Medicaid. She even remembers asking about the house, but was assured the state would only seek the house if it sent her father to a nursing home.
\u201cHe never would have signed on with anything that would put his home in jeopardy,\u201d she said.
For years, her father got an annual renewal notice from the state\u2019s Medicaid office. She says it wasn't until after his death, when the state's demand for $177,000 arrived, that she saw the first bill for his care, which included a brief stint in the hospital for pain from cancer, medications and hospice.
\u201cThat\u2019s what ripped my guts out,\u201d LoGrande said. \u201cIt was dishonest.\u201d
The state settled with the LoGrandes in 2019 and released its claim on the house.
State policies around this recovery process vary widely, according to a 2021 report from the Medicaid and CHIP Payment and Access Commission, which makes policy recommendations to Congress.
Some states will put a lien \u2014 a legal right \u2014 on a home while others don\u2019t. Meanwhile, some Medicaid offices try to recoup all medical costs from patients, like doctor visits or prescriptions, while others just pursue the costs for long-term care. Alaska and Arizona pursued just dozens of properties in recent years while other states go after thousands of homes, totaling hundreds of millions of dollars.
New York and Ohio topped the country for such collections, recovering more than $100 million combined in a single year, a Dayton Daily News investigation found.
An investigation into the Kansas program, released Tuesday by the Health and Human Services inspector general, found that program was cost effective \u2014 yielding $37 million while only spending $5 million to recover the money, But the state didn't always collect the money from estates that were eligible.
Last month, a foundation for one of the industry's biggest health insurance giants called on Massachusetts to overhaul its process, which includes collecting reimbursement for most Medicaid costs, beyond the federal government's minimum requirement to recover long-term care expenses. The Blue Cross Blue Shield Foundation of Massachusetts recommended the state Legislature pass a law that would prohibit those additional collections.
Estate recovery \u201chas the potential to perpetuate wealth disparities and intergenerational poverty,\u201d said Katherine Howitt, a Medicaid policy director with the foundation.
In Tennessee, which recovered more than $38.2 million from more than 8,100 estates last year, Imani Mfalme found herself in a similar predicament after her mother\u2019s death in 2021.
As her mother's early-onset Alzheimer's worsened, Mfalme continued to care for her. But in 2015, when Mfalme was diagnosed with breast cancer and needed a double mastectomy, she started looking at other options. She hosted a meeting in her mother\u2019s home with the local Medicaid office. The representative told her to drain her mother\u2019s bank accounts \u2013 money Mfalme poured into assisted living facility payments for her mom \u2013 so her mother would qualify for the program.
She recalls being somewhat offended during the meeting after the representative asked her three times: \u201cThis is your mother\u2019s home?\u201d The representative, Mfalme said, made no mention that she could be forced to sell the house to settle her mother's bill with Medicaid once she died.
Now, Tennessee's Medicaid office says she owes $225,000 and the state is seeking a court order that would require Mfalme to sell the house to pay up.
Mfalme, now 42, said she wants to pay what she can, but the house is a particular pain point. Her mother, a Black woman, purchased her dream home in Knoxville after she won a landmark discrimination lawsuit against her former employer, Boeing, for paying her less than her male coworkers.
\u201cShe fought hard for equal pay and equal rights. Just to see that ripped away just because she was sick and I was sick, it\u2019s just absolutely devastating,\u201d Mfalme said of her mother.
TennCare, Tennessee's Medicaid office, said in an email to The Associated Press that it would not comment on specific cases.
The Medicaid and CHIP Payment and Access Commission's report recommended that Congress reverse the 1993 law that required states to recover money from estates, instead making it optional.
Earlier this month, Democratic Rep. Jan Schakowsky of Illinois reintroduced legislation that would end the federal government's mandate. Schakowsky believes the rule is a losing proposition for families, who give up their homes, and taxpayers, who don't see big returns from the recovery efforts.
\u201cIt is one of the most cruel, ineffective programs that we see,\u201d Schakowsky told the AP. \"This is a program that doesn\u2019t work for anybody.\u201d
In a gridlocked Congress, where some Republicans are clamoring to trim Medicaid entitlements, the bill is unlikely to garner the bipartisan support needed to become law.
There's at least one person who acknowledges the rule isn't working: the man who engineered it.
Many people don't know about the decades-old mandate, which was intended to encourage people to save for long-term care \u2014 or risk losing the equity from their home, explained Stephen Moses, who now works for the conservative Paragon Health Institute.
\u201cThe plan here was to ensure that people who need long-term care can get it but that you plan ahead to be able to pay privately so you don\u2019t end up on the public health care program,\u201d Moses said.
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They said it represented a more compassionate approach to a complicated personal issue that\u2019s been hurting GOP candidates. But Brown has yet to say how he reconciles the tension between his wife Amy\u2019s story and the implications of his own policy proposals as a Nevada Senate hopeful. Brown opposes a federal abortion ban and says abortion policy should be left to the states. Texans in his wife\u2019s position are not able to have the procedure due to state legislation passed after the overturn of Roe v. Wade.", + "bylines": [ + { + "by": "By GABE STERN", + "title": "Associated Press/Report for America" + } + ], + "located": "RENO, Nev.", + "datelinelocation": { + "city": "Reno", + "countryareacode": "NV", + "countryareaname": "Nevada", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -119.8138, + 39.52963 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. 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(AP) \u2014 Last month, when the wife of a Republican U.S. Senate candidate from Nevada talked candidly about the abortion she had before the two met \u2014 and the long journey of regret and healing that followed \u2014 many Republicans welcomed it as a more compassionate approach to an issue that has hurt GOP candidates at the ballot box.
But with Democrats nationally eying abortion rights as key to their prospects in the November election, from the presidency all the way down the ballot, Sam Brown's evolving tone on abortion, particularly in choosing to publicly revisit his wife Amy\u2019s story and oppose a national abortion ban, hints at just how complicated the fight over abortion rights could become for GOP candidates this fall.
In Nevada, the Browns\u2019 story could be a factor in a competitive June 11 primary for a seat that Republicans view as a pivotal pickup opportunity. It also shows how abortion could be decisive in determining which party controls the U.S. Senate, where Democrats now hold a 51-49 majority but have many more seats on the line this year.
Some Nevada Republicans say the story demonstrates Brown\u2019s deeper understanding of the complexities of reproductive healthcare in a state where voters guaranteed the right to abortion through a referendum. They also hope it illuminates a gray area that many Republican women feel extends beyond \u201cyes\u201d or \u201cno\u201d answers on abortion rights.
\u201cI really resent people immediately putting all Republicans in one big basket,\u201d said Pauline Ng Lee, president of the Nevada Republican Club.
She said Nevada Republicans have no desire to overturn the state\u2019s existing protections, unlike in Republican-led states like Texas and South Carolina. She also hopes the Browns\u2019 announcement helps move abortion access, largely a winning issue for Democrats, \u201coff the table\u201d in the Senate race.
Brown, sitting beside his wife, Amy, as she told her story to NBC News, used the moment to lay out his position that questions about abortion are best left to the states. If elected to the Senate, he said, he would oppose a federal abortion ban while supporting Nevada's current law that protects the right to an abortion up to 24 weeks \u2014 roughly the standard nationally when Roe v. Wade was in effect.
Brown also called for more compassion, support and education for women who are faced with difficult decisions \u2014 a plea he said was largely informed by his wife\u2019s experience in Texas as a woman in her 20s, 16 years ago.
But Brown, now locked in a crowded contest in Nevada's GOP Senate primary in June, never said how he reconciles the tension between the story that helped inspire his policy stance and its implications in today\u2019s landscape. When left to the states, women in Texas facing the same circumstances today would not have the options his wife had in the state in 2008.
In Texas, where the two met and lived before Nevada, nearly all abortions are banned, with narrow exceptions. Similar bans at all stages of pregnancy have been enacted in 14 Republican-led states since the U.S. Supreme Court overturned the constitutional right to abortion almost two years ago.
This is not the first time Sam Brown has adjusted his tone on abortion rights, a topic he often dodged before the interview last month. In July 2021, his campaign website declared it was \u201cin our American interest that we protect the lives of unborn babies just as we would protect the life of any other American.\u201d
But that unequivocal stand has since been removed.
Democratic Sen. Jacky Rosen, the incumbent Brown is hoping to unseat, repeatedly references Brown's support for Texas\u2019 20-week abortion ban while running for a seat in the Texas Legislature in 2014. The ban did not include exceptions for rape or the mother's health \u2014 exceptions Brown told NBC he would support.
Rosen's campaign points specifically to a questionnaire from Brown\u2019s 2022 Senate run in Nevada, where his campaign said abortion should be banned in all cases except when a mother\u2019s life is at risk. Brown's campaign said a staffer created the questionnaire without authorization.
And in a 2022 primary Senate debate against former Nevada Attorney General Adam Laxalt, he maintained that abortion should be left to the states, but added, \u201cif there was any sort of legislation that would come forward, I would want to see that specific language.\"
On his website, Brown maintains he is \u201cpersonally pro-life\" and would work to confirm judges \u201cwho understand the importance of protecting life.\u201d He is against federal funding for abortion, late-term abortions and abortions without parental consent.
Brown's campaign declined an interview request from The Associated Press, saying the NBC interview was difficult for him and his wife. He did not respond to a question asking what he would say to women in the same position that Amy was in years ago in Texas, where an abortion can now lead to a felony charge.
His view, he said in a statement, has been shaped not only by Amy's difficult decision but his own experience of nearly being killed by a roadside bomb in Afghanistan. Both occurred shortly before they met in a San Antonio medical center where she was working as an Army dietitian.
\u201cAmy and I met each other in the darkest moments of our lives, but we found the light within each other. We found our strength and renewed outlooks on life through Christ, prayer, and relying on each other,\u201d he said in the statement. \u201cI have consistently stated that this issue should be decided at the state level, and the people of Nevada have made their decision.\u201d
Rebecca Gill, an associate professor of political science at the University of Nevada, Las Vegas, said Brown's recalibrated stance sounded like an example of a politician \u201cfishing out some ideas, and seeing if there\u2019s anything that doesn\u2019t cost them votes.\u201d
\u201cIt definitely gives you the impression that they have some empathy about this situation and that they don\u2019t want to be the ones to substitute their beliefs about this for the judgment of the person who\u2019s pregnant,\u201d Gill said. \u201cBut they\u2019re willing to let other people substitute their beliefs for the judgment of the people who are pregnant.\u201d
Lindsey Harmon, a spokesperson for Planned Parenthood Nevada, which has endorsed the Democrat Rosen, said she doesn't believe Brown would keep his promise to oppose a national ban. She added that \u201cwe were called hysterical\u201d when sounding the alarm during Brett Kavanaugh\u2019s confirmation hearing to the Supreme Court that Roe v. Wade could be overturned.
But some Republicans felt a personal connection to Amy Brown\u2019s story and said they hoped it moved a complicated conversation along.
Republican Assemblywoman Danielle Gallant often avoids her own personal experiences when talking with colleagues in Nevada's capital of Carson City \u2014 like the unplanned pregnancy she decided to see through in 2020, or how that pregnancy ended in a miscarriage during a home birth that nearly ended her life.
She doesn\u2019t think the labels \u201cpro-choice\u201d and \u201cpro-life\u201d do justice to her feelings about abortion. She\u2019s agitated both by Republican men who portray women who receive abortions as \u201cjust using it as birth control\u201d and Democrats who refuse to acknowledge the bond a woman can have with a fetus.
Gallant said she felt relief that Amy Brown shared her story and that Sam Brown's stance on a national abortion ban aligns him with a majority of Republican women in Nevada who are somewhere in the middle on abortion but often don't speak up.
Gallant, who voted with her party against strengthening Nevada's existing abortion protections, also hopes the Browns' announcement helps neutralize the issue in his bid to topple Rosen.
\u201cThere is no home for where I stand on abortion, politically,\u201d she said. \u201cBecause personally, I have been challenged. And I tested my belief and stuck to my belief. But I don\u2019t believe that I should be telling somebody else how to make their choices.\u201d
____
AP writer Adriana Gomez Licon contributed reporting from Miami.
____
Stern is a corps member for the Associated Press/Report for America Statehouse News Initiative. Report for America is a service program that places journalists in local newsrooms. Follow Stern on X, formerly Twitter: @gabestern326.
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(AP) \u2014 California Assemblyman Anthony Rendon likes to spend his spare time away from the Capitol in Sacramento with his 4-year-old daughter back home near Los Angeles. Last weekend, he took her ice skating and to an indoor playground, then let her get a donut after she agreed to ride her scooter on the way there.
\u201cThose are the types of things that make me happy,\u201d he said this week in an interview outside the state Assembly chambers, where he's served as a lawmaker for a dozen years.
Now Rendon, a Democrat who was one of the longest-serving Assembly speakers in California history, is spending his last year in office trying to make happiness more central to policymaking. He created a first-in-the-nation group to study the issue, called the Select Committee on Happiness and Public Policy Outcomes, which held its first public hearing this week.
It would be \u201csilly\u201d for lawmakers to not study how they can make people happier, Rendon said.
\u201cBecause if we have everybody clothed, everybody housed, everybody has a job and they\u2019re miserable, then we\u2019ve failed at what we\u2019re trying to do,\u201d he said, adding that lawmakers should think about happiness as a priority in policymaking.
In California, three-quarters of adults say they are \u201cvery happy\u201d or \u201cpretty happy,\u201d while 26% say they are \u201cnot too happy,\u201d according to a September 2023 survey from the Public Policy Institute of California. Adults age 18 to 34, people who are renters, those without a post-high school degree, and Californians with an annual household income of $40,000 or lower tend to be less happy than others.
California is breaking new ground in the United States. At least 12 state legislatures in the nation have committees focused on mental health and substance abuse issues, but no other state legislature has a committee devoted to happiness, according to the National Conference of State Legislatures.
But the idea to consider happiness in public policy isn't unprecedented: The landlocked country of Bhutan in South Asia prioritizes happiness as a goal of public policy, measuring it through something written into its constitution called the Gross National Happiness Index. The country surveys residents on their level of happiness, and officials work to increase happiness by providing residents with free health care and education, protecting cultural traditions, and preserving forests, said Phuntsho Norbu, consul general of the Kingdom of Bhutan to the United States.
The government cannot make every person happy, but it should \u201ccreate the right conditions that will allow people to pursue happiness,\u201d Norbu said.
Lawmakers on California's new committee heard this week from experts about the things that make people happy, what public officials can do to help and what role state and local government can play. The committee isn't set on any solutions yet but plans to release a report with its findings after lawmakers adjourn for the year at the end of August, said Katie Talbot, Rendon\u2019s spokesperson.
Assemblymember Pilar Schiavo, a Democrat representing part of the San Fernando Valley in Los Angeles County, hopes the committee\u2019s work can address poor mental health among youth in California, which her 11-year-old daughter has told her is a big issue in her class at school.
\u201cIt\u2019s a true crisis that we have on our hands right now,\u201d Schiavo said. \u201cThis is really getting to the heart of what that crisis is about.\u201d
Research demonstrates that leisure activities, social relationships and life circumstances contribute to a person\u2019s happiness, said Meliksah Demir, a professor of happiness at California State University, Sacramento. Public officials can work toward improving happiness by investing in mental health resources, making green spaces more accessible and teaching about the value of happiness early on in schools, Demir said.
Happiness has wide-ranging benefits that include making people more likely to vote, more creative and healthier, he said.
The Public Policy Institute of California's September survey found that 33% of adults overall say they are very satisfied with their job, 31% say they are very satisfied with their leisure activities and 44% are very satisfied with their housing.
Californians' level of happiness decreased during the pandemic, but experts are still researching the decline, said Mark Baldassare, the group's survey director.
California, which is often ahead of other states on issues such as climate policy and civil rights, is behind many parts of the world in prioritizing happiness in policymaking, Rendon said. He was inspired to create the happiness committee in part by a report on happiness released annually by the United Nations Sustainable Development Solutions Network.
Last year\u2019s report said that how people view the effectiveness of government \u2014 including how well it raises money, delivers services and avoids civil war \u2014 can influence their happiness. The United States was 15th in a world happiness ranking based on a three-year average from 2020 to 2022, according to the report. Scandinavian countries, including Finland and Iceland, ranked the highest.
Rendon's decision to create the happiness committee aligns with his approach to making state policy that focuses on \u201cbigger picture\u201d social issues, longtime labor lobbyist Kristina Bas Hamilton said. People have different perspectives on government involvement in their lives, but the creation of the committee evokes the ultimate purpose of government, she said.
\u201cGovernment\u2019s role is to provide for its people,\u201d Bas Hamilton said. \u201cThe goal is to have happy citizens. That\u2019s the goal of all public policy.\"
___
Austin is a corps member for The Associated Press/Report for America Statehouse News Initiative. Report for America is a nonprofit national service program that places journalists in local newsrooms to report on undercovered issues. Follow Austin on X, the platform formerly known as Twitter: @sophieadanna
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One recent patient, Harrison, a French bulldog is a familiar sight having previously been cared for by the hospital's surgery, neurology, internal medicine and dental teams. His owner, Grace Kim, says the coordination of care helps a lot. Most patients will pay out of pocket, but AMC also offers covers some charity care, especially for rescue animals and working dogs. In 2022, the hospital donated $4.4 million in care.", + "bylines": [ + { + "by": "By THALIA BEATY", + "title": "Associated Press" + } + ], + "located": "NEW YORK", + "datelinelocation": { + "city": "New York", + "countryareacode": "NY", + "countryareaname": "New York", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -74.00597, + 40.71427 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. 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\u201cBetween myself and surgery, the neurology team, the internal medicine team, the dentistry team \u2014 so Harrison has a large crew here taking care of him,\u201d said Dr. Daniel Spector, senior veterinarian during a visit in March. He added the rehab team to the list later.
Harrison doesn\u2019t have an overall diagnosis beyond being a French bulldog \u2014 an increasingly popular breed prone to health problems. His human, Manhattan resident Grace Kim, said they come to AMC for \u201ctop notch\u201d care, the coordination between teams, and the ability to get referrals in-house for something like a dental procedure, which brought them in recently.
Located on Manhattan\u2019s east side, the animal hospital and its more than 130 veterinarians logged nearly 60,000 patient visits in 2023, as one of a handful of centers across the country equipped to manage the most complicated medical cases, which clinics with fewer resources cannot handle.
While most patients pay out of pocket, AMC offers multiple initiatives to cover charity care, especially for rescue animals and working dogs. In 2022, the hospital donated $4.4 million in care through very specific programs like the Kiki White Umbrella Cockatoo Avian Fund and the Honey Bunny and ROU German Shepherd Fund, which help families with limited financial means care for their birds, rabbits and German Shepherds, and broader programs like the Buddy Fund, which supports animals with cancer.
The price of veterinary services have increased in recent years because of inflation, but also because of advances in care.
AMC is certified at the Veterinary Committee on Trauma's highest level, reflecting the resources the hospital has on site, from a blood bank to anesthesiologists, as well as its around-the-clock staffing.
The same day Harrison visited the surgical suite, Lynx was brought in by a rescue group. The short haired cat from Brooklyn had a groin wound no other clinic had been able to heal for many months.
\u201cWe get to take extraordinary care of rescue animals,\u201d Spector said.
The veterinary staff take Lynx out of her carrier and turn her over to get a view of the wound, holding her to snap a photo as they debated how to proceed. No one was scratched. No voices raised \u2014 not even Lynx's.
Downstairs in an office off the waiting room that is lined with tile mosaics and wooden molding carved with animal shapes, Spector told Jennie Anne Simson, of Brooklyn Animal Action, that he planned to remove the wound entirely, \u201clifting\u201d the infection out. Simson had applied for funding from AMC and the hospital confirmed one of its charitable funds would cover the $5,500 that Lynx's treatment will cost.
The hospital, which as a nonprofit provides training to veterinarians in specialized care, has raised more than $100 million since 2019 to expand and entirely reconstruct its facility, including the newly opened surgical suite.
\u201cWhat that means is that we\u2019ve been able to do this complete expansion and renovation without taking out a mortgage,\" said Helen Irving, president and CEO of AMC. \"Which means that as a nonprofit, all of our moneys that we do make from operations can directly go back into caring for the animals.\u201d
Donors to the renovation include Elaine and Kenneth Langone, the billionaire co-founder of Home Depot, who have long had dogs, with a preference for golden retrievers \u2014 and some cats.
\u201cAt the moment, we have a dog that\u2019s in cancer care. He\u2019s one of our rescues,\u201d said Elaine Langone, who is vice chair of the board of trustees for AMC. \u201cWithout them, he would not be here.\u201d
She said the AMC is just one of the organizations they are fortunate enough to give to \u2014 in this case out of love and respect for the many animals they've lived with. The Langones have also given major gifts to Kenneth's alma maters, including hundreds of millions of dollars to New York University's medical and business schools and tens of millions to Bucknell University. Kenneth Langone also served on the boards of both institutions.
While more pet owners have insurance now, most veterinary care is paid for out-of-pocket, meaning that access to even basic care, much less complex care, is out of reach for many households, said Dr. Emily McCobb, associate clinical professor at Cummings School of Veterinary Medicine at Tufts University.
\u201cThe cost of care because of all the technology innovation just continues to increase. The costs are real,\" said McCobb. \"And it can cost thousands of dollars to obtain even something like a dental cleaning. It\u2019s not affordable for most people.\u201d
That means that up and down the spectrum of care, from the smallest clinics to the most advanced hospitals, veterinarians work to develop multiple options for an animal's family, said Dr. Kelly Hall, executive director of VetCOT and an associate professor at Colorado State University.
Pointing to research demonstrating the power of human animal bonds, she asked, \u201cI have story after story of clients where an animal has literally saved their life, for various reasons. So, how do you put a value on that contribution?\u201d
Irving, the CEO of AMC, points to the hospital's charity programs as one of its responses to the lack of affordable care, while also urging pet owners to pay attention to their animals and stay up to date on the basic care.
At the end of his visit, Harrison was cleared for the dental operation he needs, which AMC estimated would cost around $3,000. Kim, his owner, thanked Spector, praising AMC for its extensive coordination. And she gave thanks for her pet insurance.
___
Associated Press coverage of philanthropy and nonprofits receives support through the AP\u2019s collaboration with The Conversation US, with funding from Lilly Endowment Inc. The AP is solely responsible for this content. For all of AP\u2019s philanthropy coverage, visit https://apnews.com/hub/philanthropy.
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"5c48926b76014cacb8184798ac36c6c0" + }, + "type": "audio" + }, + "5": { + "altids": { + "itemid": "260faedd41c1419684193540e19dce4e" + }, + "type": "audio" + } + }, + "body_nitf": "WASHINGTON (AP) \u2014 President Joe Biden signed an executive order Monday aimed at advancing the study of women's health by strengthening data collection and providing better funding opportunities for biomedical research while chiding Republicans for having \u201cno clue about the power of women\" but saying they're \"about to find out\u201d come November's election.
Women's health has long been underfunded and understudied. It wasn't until the 1990s that the federal government mandated women be included in federally funded medical research; for most of medical history, though, scientific study was based almost entirely on men.
\u201cWe still know too little about how to effectively prevent, diagnose and treat a wide array of health conditions in women,\u201d said Dr. Carolyn Mazure, the head of the White House initiative on women\u2019s health.
Today, research often fails to properly track differences between women and men, and does not represent women equally particularly for illnesses more common to them \u2014 which Biden suggested his order would help change.
\u201cTo state the obvious, women are half the population and underrepresented across the board. But not in my administration,\u201d the president said, drawing raucous applause at a White House reception marking Women's History Month.
Biden said he\u2019s long been a believer in the \u201cpower of research\u201d to help save lives and get high-quality health care to the people who need it. But the executive order also checks off a political box during an election year when women will be crucial to his reelection efforts. First lady Jill Biden is leading both the effort to organize and mobilize female voters and the White House Initiative on Women\u2019s Health Research.
The announcement comes as the ripple effects spread from the Supreme Court's decision that overturned federal abortion rights, touching on medical issues for women who never intended to end their pregnancies. In Alabama, for example, the future of IVF was thrown into question statewide after a judge's ruling.
In his comments at the reception, Biden didn't mention by name former President Donald Trump, who is now running to reclaim the White House. Instead, he referred to \u201cmy predecessor\u201d who had been \u201cbragging about overturning\" the Roe v. Wade decision that had guaranteed the constitutional right to abortion.
The president suggested that would hurt Trump and the GOP during this fall's election, saying, \u201cYou can\u2019t lead America with old ideas and take us backward.\"
Further leaning into politics, Biden said his administration has \u201cturned around the economy because we focused on women,\u201d noting that female unemployment had fallen and the number of women-owned small businesses had increased.
He said his administration has ensured that \u201cwomen can access jobs in sectors where they\u2019ve been historically underrepresented\u201d and said he'd told leaders from some of the nation's top labor unions that he wants to see more women and minorities in their ranks.
Women were a critical part of the coalition that elected Biden in 2020, giving him 55% of their vote, according to AP VoteCast. Black women and suburban women were pillars of Biden\u2019s coalition while Trump had a modest advantage among white women and a much wider share of white women without college degrees, according to the AP survey of more than 110,000 voters in that year\u2019s election.
Vice President Kamala Harris, women's health advocate Maria Shriver and the first lady also addressed the reception.
\u201cFinally women will get the health care we deserve,\u201d Jill Biden said, saying the order signed Monday was \u201cwithout precedent.\u201d
Harris drew strong applause for noting that she \u201cstood before you as the first woman vice president of the United States\u201d and talked about visiting an abortion clinic in Minnesota last week.
\u201cThere are those who are intent on dragging us backward,\u201d the vice president said of Republican states that have limited access to abortion.
\u201cWe all face a question: What kind of country do we want to live in?\u201d Harris said. \"A country of liberty, freedom and rule of law? Or a country of disorder, fear and hate?\u201d
Shriver joked that this is probably the first time a president has signed an executive order that mentions menopause and said the action could only be taken \u201cby a president who respects women.\u201d
The National Institutes of Health is also launching a new effort around menopause and the treatment of menopausal symptoms that will identify research gaps and work to close them, said White House adviser Jennifer Klein. NIH funds a huge amount of biomedical research, imperative for the understanding of how medications affect the human body and for deciding eventually how to dose medicine.
Some conditions have different symptoms for women and men, such as heart disease. Others are more common in women, like Alzheimer\u2019s disease, and some are unique to women \u2014 such as endometriosis, uterine cancers and fibroids found in the uterus. It's all ripe for study, Mazure said.
And uneven research can have profound effects; a 2020 study by researchers at the University of Chicago and University of California, Berkeley, found that women were being overmedicated and suffering side effects from common medications, because most of the dosage trials were done only on men.
The first lady announced $100 million in funding last month for women's health.
___ Associated Press writer Gary Fields contributed to this report.
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Additionally, it highlights the political context and the potential impact on women's health care access, which is also pertinent to the topic." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/03/18/19fcb84a1c8258218626be3f2b04e06e.json b/datasets/AP_news/raw_data/2024/03/18/19fcb84a1c8258218626be3f2b04e06e.json new file mode 100644 index 0000000..a110e48 --- /dev/null +++ b/datasets/AP_news/raw_data/2024/03/18/19fcb84a1c8258218626be3f2b04e06e.json @@ -0,0 +1,227 @@ +{ + "altids": { + "itemid": "19fcb84a1c8258218626be3f2b04e06e", + "etag": "19fcb84a1c8258218626be3f2b04e06e_2a2aza0c0", + "friendlykey": "20887486583", + "referenceid": "KY-XGR--Medical Cannabis-Kentucky" + }, + "version": 2, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-03-19T15:28:44Z", + "firstcreated": "2024-03-18T22:22:34Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: CORRECTS: This update removes a photo with an incorrect caption and attaches an updated photo.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "KY-XGR--Medical Cannabis-Kentucky", + "headline": "Kentucky Senate proposes conditions for providing funds for the state's Office of Medical Cannabis", + "headline_extended": "The Kentucky Senate has proposed setting conditions to unlock funding for the state\u2019s medical cannabis program", + "slugline": "AP-KY-XGR--Medical Cannabis-Kentucky, 2nd Ld-Writethru", + "description_summary": "The Kentucky Senate has proposed setting conditions to unlock funding for the state\u2019s medical cannabis program. The program is scheduled to take effect at the start of 2025. The two sentences inserted by senators came up for discussion Monday as House and Senate leaders met to start hammering out a final version of the state\u2019s next two-year budget. The Senate\u2019s version says no funds for the Office of Medical Cannabis would become available without research showing \u201cconclusive evidence\u201d regarding the ability of medical cannabis to reduce symptoms. Republican Rep. Jason Nemes says he'll try to remove the Senate language.", + "bylines": [ + { + "by": "By BRUCE SCHREINER", + "title": "Associated Press" + } + ], + "located": "FRANKFORT, Ky.", + "datelinelocation": { + "city": "Frankfort", + "countryareacode": "KY", + "countryareaname": "Kentucky", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -84.87328, + 38.20091 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. 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(AP) \u2014 Language put in the main budget bill by the Kentucky Senate would set conditions to unlock funding to oversee the state's medical cannabis program, which is scheduled to take effect at the start of 2025.
The two sentences inserted by senators came up for discussion Monday as House and Senate leaders met in public as part of negotiations to hammer out a final version of the state's next two-year budget. Lawmakers went line by line through differences in the voluminous spending plans passed by the House and Senate. Republicans have supermajorities in both chambers.
The Senate's version states that no funds for the Office of Medical Cannabis would become available without peer reviewed, published research showing \u201cconclusive evidence as to the efficacy of medical cannabis for the persistent reduction of symptoms of diseases and conditions.\u201d
Republican Sen. Chris McDaniel said the provision reflected the view of senators who want to ensure \u201cwe have research coming out that\u2019s appropriate to fund\u201d the medical cannabis office.
\u201cWhile we\u2019re not stripping the funding, we\u2019re waiting on data that tells us that this is effective,\u201d said McDaniel, chairman of the Senate Appropriations and Revenue Committee. \u201cAnd so we\u2019re just putting a quick pause on that to make sure that we have the appropriate information.\u201d
The Senate budget included \u2014 with the strings attached \u2014 about $10.3 million in state general funds over two years, plus about $4.9 million in other funds, to support the office's staffing and operations. The House-passed version included the same funding but without the conditions proposed by the Senate.
Republican Rep. Jason Nemes, a leading supporter of legalizing medical cannabis in Kentucky, said afterward that he intended to make the case to keep the Senate language out of the final version of the spending plan. Nemes and McDaniel are among the budget conferees.
McDaniel said the Senate language shouldn't be seen as an obstacle for implementing the state's medical marijuana program.
\u201cIf the advocates for the program have the evidence that they claim to have, this won\u2019t slow anything down,\u201d he said in an interview after the conference committee meeting. \u201cIt would only slow it down if they can\u2019t prove the things that they have claimed in open committee they can prove.\u201d
After years of failed attempts, supporters last year got the bill to legalize and regulate medical marijuana through the legislature, and Democratic Gov. Andy Beshear signed it into law. The measure cleared the Senate despite opposition from some of its most influential members, most notably Senate President Robert Stivers and McDaniel. Stivers is a key member of the budget conference committee.
The measure allows medical cannabis to be prescribed for a list of conditions, including cancer, multiple sclerosis, chronic pain, epilepsy, chronic nausea and post-traumatic stress disorder. Smokable cannabis products would be prohibited. A person would have to be approved for a card allowing its use.
Beshear's office didn't offer immediate comment Monday on the proposed Senate conditions. The governor is a leading proponent of legalizing medical cannabis, and last Thursday he announced more progress in setting up the regulatory framework for the program, set to go into effect Jan. 1, 2025.
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The U.S.-based subsidiary of German firm SCHOTT Pharma announced on Monday its plan for the $371 million production facility in Wilson, which should start operating in 2027. The plant will produce pre-fillable polymer and glass syringes for pharmaceutical and biotechnology companies, which should help increase U.S. supplies of injectable vaccines and other therapeutic treatments. The company could get nearly $23 million in incentives from state and local governments. Wilson beat out South Carolina for the facility.", + "located": "WILSON, N.C.", + "datelinelocation": { + "city": "Wilson", + "countryareacode": "NC", + "countryareaname": "North Carolina", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -77.91554, + 35.72127 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. 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(AP) \u2014 A company that makes containers and injections for vaccines and other drugs will build a new manufacturing plant in eastern North Carolina, creating 400 jobs by the end of the decade, officials announced on Monday.
A U.S.-based subsidiary of German firm SCHOTT Pharma will begin building the production facility in Wilson this year and invest $371 million in the project, the company said in a news release.
The plant will produce pre-fillable polymer and glass syringes for pharmaceutical and biotechnology companies, which should help increase U.S. supplies of injectable vaccines and other therapeutic treatments involving messenger RNA as well as GLP-1, which is for treatment of diabetes. The facility should start operating in 2027.
\u201cThe impact of this facility will go far beyond local job creation in North Carolina and will relieve stress on the entire pharmaceutical industry supply chain,\u201d SCHOTT Pharma CEO Andreas Reisse said. SCHOTT Pharma said it employs over 4,600 workers worldwide.
SCHOTT Pharma USA was lured to Wilson County in part by nearly $23 million in state and local monetary, infrastructure and training incentives, according to a state Department of Commerce document. Nearly $5 million in cash payments awarded by an economic incentives committee are contingent on the company meeting job-creation and investment thresholds for the Job Development Investment Grant.
The document provided to the committee says the company also considered Anderson/Greenville, South Carolina for the project.
\u201cSCHOTT\u2019s decision to select our state for this important project shows once again that North Carolina is a global leader for biotechnology and life sciences,\u201d Gov. Roy Cooper said in a news release from his office.
All of the new jobs in Wilson, located 50 miles (80.5 kilometers) east of Raleigh, are expected to be created by 2030, and will on average pay at least $57,868 annually, compared to the county average of $52,619, state officials said.
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March 14
The Washington Post on a step toward lower, more transparent Medicare payments
As if to prove that every rule has an exception, the usually dysfunctional Republican-majority House of Representatives has at least one sensible piece of bipartisan legislation on its record: In December, it passed a health care measure called the Lower Costs, More Transparency Act on a 320-71 vote. Also contrary to Congress\u2019s occasional practice, the bill\u2019s name is not hype. It actually would end a longstanding, but irrational, disparity in Medicare reimbursements for certain treatments, depending on whether they are administered in doctors\u2019 offices or hospitals. The savings would be more than $3.7 billion over the next decade, according to the Congressional Budget Office. And beneficiaries\u2019 co-payments would go down, too \u2014 by $40 a visit. The next thing that needs to happen is for the Senate to follow suit.
At issue is how Medicare pays for drugs delivered by medical providers, such as chemotherapy for cancer or infusions used to treat autoimmune diseases. Under current law, Medicare pays two to three times as much for these treatments if they are given in a hospital rather than a doctor\u2019s office. The medicines and the means of administering them are the same; only the price is different. In theory, the difference reflects the higher costs involved in running a full-service, 24/7 hospital as opposed to a physician\u2019s practice, that keeps weekday office hours.
In practice, though, Medicare\u2019s rules have created an incentive for hospitals to buy up physicians\u2019 practices, at which the hospitals can then charge the higher rate \u2014 and pocket the profits. In 2021, Medicare paid hospital rates for more than half of the chemotherapy services it funded, up from a little more than a third in 2012. Indeed, research has found that consolidation among providers brings higher prices for everyone, including private medical insurers (often large corporate employers) and their beneficiaries. Larger medical systems have greater bargaining power in the health care marketplace. This legislation would also save money for private insurers, which pay hospitals almost double the Medicare rate.
The Lower Costs, More Transparency Act would basically end these discrepancies for all drugs that must be administered by a health care provider, as opposed to, say, taken orally at home. Instead, it aims to create \u201csite-neutral\u201d payments. To be sure, $3.7 billion in savings for Medicare over a decade seems small compared with the program\u2019s total projected hospital spending of more than $2.7 trillion. Yet hospitals have been fighting the change furiously, no doubt because of the precedent it would set for other medical services. In fact, that is exactly what should happen. Dozens of services cost more at hospitals, including mammograms, allergy tests, echocardiograms, epidural injections, colonoscopies and laser eye procedures. (The Medicare Payment Advisory Commission has identified 57 such services.) If all were site-neutral, Medicare would save an estimated $150 billion over 10 years.
Employers support site-neutral payments. They especially like a similar Senate bill that would require site neutrality not only for Medicare but also for commercial insurers. Unfortunately, the measure is bogged down over concern from senators, of both parties, who say they worry it would hurt rural hospitals. The American Hospital Association has said the site-neutral provisions of the House bill would cost rural hospitals $272 million over the next decade, forcing them to cut staff and services, or perhaps even close, worsening a critical shortage of care in those areas.
Ideally, though, federal support for hospitals would be provided directly and transparently, not via differential payments for patient services. If the needs of rural hospitals are the main impediment to passing a sensible site-neutral policy for Medicare, then they should be subsidized straightforwardly. It isn\u2019t even 100% clear that hospital-owned clinics that charge more for chemotherapy delivery than independent clinics actually use every dollar to offset their owners\u2019 higher costs. Notably, the House legislation calls for hospitals, again, to be more transparent about their prices, something they have been obviously reluctant to do. Only about one-third of hospitals are now complying with a three-year-old federal requirement to post all their charges online in an easily readable way, according to a new study by PatientsRightsAdvocate.org.
Site-neutral payment policy for Medicare would not be a \u201c cut \u201d to hospital funding, as the AHA and other defenders of the status quo claim. It would only do away with a payment disparity that has unintentionally caused higher costs. The House bill would be a small but significant step toward lower, more transparent Medicare payments \u2014 just as the bill\u2019s title says. Before this Congress ends, the Senate should send it to President Biden for his signature.
ONLINE: https://www.washingtonpost.com/opinions/2024/03/14/medicare-hospitals-chemotherapy-site-neutral/
___
March 17
The Wall Street Journal on Biden and Iran sanctions
Two days after reissuing a $10 billion Iran sanctions waiver, the Biden Administration on Friday threatened coordinated Group of Seven sanctions against Iran if it delivers ballistic missiles to Russia. The policy signal these two moves send is incoherence.
G-7 leaders are talking tough. \u201cWere Iran to proceed with providing ballistic missiles or related technology to Russia,\u201d they write, \u201cwe are prepared to respond swiftly and in a coordinated manner including with new and significant measures against Iran.\u201d Russia has benefited greatly from Iranian drones in its invasion of Ukraine, and its interest in Tehran\u2019s missiles has been clear for months.
All of this was foreseeable when the U.S., U.K., France and Germany let the international embargo on Iran\u2019s missile program lapse in October. Instead of triggering snapback sanctions, the Biden Administration preferred to avoid an escalation that might disrupt diplomacy with Iran. Weeks after the Oct. 7 massacre, while Iran\u2019s proxies were firing on U.S. troops in the region, appeasement was in the air.
It was the same story in November, when the Administration last renewed the sanctions waiver giving Iran access to more than $10 billion. It opens up to Iran the frozen revenue from its electricity shipments to Iraq, which seems to have a perpetual excuse to buy sanctioned goods from Iran.
As usual, the State Department spin is that the money can be used only for \u201chumanitarian purposes,\u201d and that the Trump Administration issued waivers too. Neither point survives scrutiny.
The old waivers let Iraq import electricity from Iran but sent the money into escrow in Iraq, where Iran couldn\u2019t touch it. President Biden changed the rules, allowing the money to leave escrow, be converted to euros and end up as an Iranian fund in Omani banks. It can be put toward Iran\u2019s debt payments and import subsidies, according to Richard Goldberg of the Foundation for Defense of Democracies.
Adults know that money is fungible. These funds free up others for use in spreading terrorism abroad and advancing a nuclear-weapons program at home. Why does the Biden Administration pretend otherwise?
Maybe it\u2019s for the same reason the Administration keeps hidden how much of the $10 billion Iran has accessed since the waiver was last extended: The American people might not like what they find out.
The G-7\u2019s newfound assertiveness on Iranian missile transfers to Russia is welcome, but its deterrent value is undermined by President Biden\u2019s waiver 48 hours earlier. His Iran policy has remained stuck in the world of Oct. 6, desperate to buy peace and quiet from a regime with no interest in either.
___
March 13
The Guardian on Africa's homophobic legislation and western influence
There was widespread horror and condemnation last year when Uganda passed a draconian anti-gay law that included the death penalty for some same-sex acts and a 20-year sentence for \u201cpromoting\u201d homosexuality. Yet it was only the harshest in a wave of homophobic new legislation across Africa, which has yet to ebb.
In February, Ghana\u2019s parliament passed a bill making \u201cwilful promotion, sponsorship or support of LGBTQ+ activities\u201d punishable with up to five years in jail, and identifying as gay with up to three years\u2019 imprisonment. It was supported by both major parties, though the president has yet to validate it \u2013 and the finance ministry has urged him not to do so, warning that it could cost the country $3.8bn (\u00a33bn) in World Bank funding. There is particular concern that Kenya, which has previously given asylum to LGBTQ+ people forced to flee other countries, could toughen laws.
Around half of the 60 or so countries worldwide which criminalise same-sex relations are in Africa, though six countries \u2013 Angola, Botswana, Mozambique, Lesotho, Seychelles and Mauritius \u2013 have decriminalised it in recent years, and South Sudan lifted the death penalty. South Africa, which legalised same-sex marriage in 2006, has constitutional protections against discrimination on the basis of sexual orientation, and has continued to enact legislation to protect gay rights, though homophobic crime persists.
But the surge of lobbying for anti-gay legislation is disturbing. In addition to the fear and stigma that such laws breed, in Mauritania, Somalia and parts of Nigeria, as well as Uganda, same-sex relations are punishable by death.
In practice, laws do not need to lead to death row to cost lives. Criminalisation legitimates and fuels homophobia and violence, including by security forces. Activists in Ghana say its bill has already prompted a sharp rise in violence. Experts have also warned that such legislation is setting back the fight against HIV/Aids on the continent, with gay men too frightened to access sexual health services.
Homophobic campaigning is usually couched as \u201cprotecting families\u201d against malign foreign influences. Burundi\u2019s president, \u00c9variste Ndayishimiye, who declared in December that gay people should be stoned, describes homosexuality as a western import. LGBTQ+ activists, however, argue that it is homophobia that is foreign. Many have pointed out that persecution often relies on colonial-era laws, and that the recent surge in legislation comes as U.S. evangelical groups have poured large sums into campaigning on the continent. An openDemocracy investigation in 2020 found that U.S campaigners who seek to limit sexual and reproductive rights had spent more than $50m in Africa since 2007, with much of that going to Uganda.
\u201cUgandan society has always lived \u2026 with LGBTQ persons \u2026 The homophobia, the transphobia we are seeing \u2026 is from the west. It is mostly peddled by extreme American evangelicals,\u201d argues the Ugandan activist Frank Mugisha. Last year the pope and the archbishop of Canterbury denounced the criminalisation of homosexuality. Donors have also halted funding to Uganda. Given the attempts to portray LGBTQ+ rights as a foreign imposition, however, it is especially essential to listen to domestic activists and support their priorities. Countries such as South Africa should also take a lead in challenging anti-gay legislation and homophobic attitudes. Finally, it is essential to expose and hold accountable those in the west who, not content to sow division at home, are spreading poison abroad.
___
March 17
The Los Angeles Times on bringing back the SAT
The SAT and ACT are making a small but important comeback after the tests were widely dropped as a requirement for college applications during the pandemic.
Most schools went test-optional, meaning students could submit scores if they wanted but not doing so wouldn\u2019t count against them. The University of California won\u2019t consider test scores at all.
Only a handful of schools have resurrected the testing requirement, but among them are heavyweights in the world of higher education: MIT, Dartmouth and Georgetown. Most recently, the University of Texas at Austin and Brown University joined the list and the University of North Carolina is considering it. Yale also will require standardized test scores, but tests such as Advanced Placement can be used in place of college entrance exams.
Additional competitive schools are likely to join the group, along with schools that aren\u2019t as selective. The University of Tennessee, which accepts 68% of applicants, decided a year and a half ago to bring the tests back.
The tests were criticized long before the pandemic as giving an unfair boost to more affluent students who could afford tutoring. And it\u2019s true that scores are closely correlated with family income. But the pause in testing gave colleges a chance to study the issue more closely. They found that SAT scores were extremely effective at predicting whether students would succeed in college.
No one should be surprised. The University of California convened a panel several years ago to study the issue at length and it reached the same conclusion. The standardized tests were more equitable than grades, the panel said, because grade inflation is more pervasive at affluent schools. Yet UC refuses to consider test scores, after bowing to pressure from critics. We hope that the trend toward reinstating the tests in admissions makes UC leaders rethink this position.
Making the tests optional was actually counterproductive, Dartmouth, Yale and Brown found. Their applicant pools became less diverse, because low-income students and students of color were less likely to apply even if they had good test scores, thinking they hadn\u2019t tested well enough.
The whole debate has sadly ignored the bigger factors perpetuating the uneven playing field of college admissions. Yes, rich students can receive SAT tutoring, and it helps, though only a little. The most rigorous study of the topic found that tutoring could raise scores by about 20 points.
Meanwhile, some aspects of college admission tilt the field in favor of wealthier students more than test scores do. For example, teachers at more affluent schools have more time for writing letters of recommendation for college applications than teachers at low-income schools.
Athletes continue to get the upper hand on acceptance, and not just in commonly played games like football and soccer that most students have access to in high school. Golf, equestrian, fencing, gymnastics and crew are among the sports that require families to pay for their children to participate, and those athletes also get preferential treatment in college admissions.
Essays can be coached, heavily edited or even written by college consultants for a fee. A 2021 study at Stanford University found that the quality of essay content was closely correlated with family income among University of California applicants. Yet UC kept the essays and got rid of the tests.
There is nothing inherently evil about the SAT or ACT. It all depends on how they\u2019re used. They can act as a reality check \u2014 a student who didn\u2019t get great grades might show a lot of potential in the test scores, and vice versa. And, as UC did before it scrapped the tests, colleges should consider the scores in context, such as, is this the best score in a generally low-scoring high school? A score might reflect the education at that school, not the student\u2019s aptitude for college work.
These latest changes also point to a larger problem in admissions at selective colleges: Every school seemingly wants different things. Some want high SAT scores, others care more about AP exams, and others don\u2019t want any standardized test scores. Some enhance grade-point averages depending on how tough the courses are, others don\u2019t, and others in just some cases.
Of course, schools have a right to seek out the students who will fit best at their institution. But the lack of transparency and consistency has given rise to a nearly $3-billion-a-year industry of pricey college-admissions consultants.
Talk about tilting the playing field.
___
March 17
China Daily on CIA disinformation
According to a Reuters report on Friday, in 2019, the Central Intelligence Agency was authorized by then U.S. president Donald Trump to launch a clandestine campaign on Chinese social media aimed at turning public opinion in China against the Communist Party of China.
CIA spokesperson Chelsea Robinson declined to comment on the existence of the program, its goals or impacts. Kate Waters, a spokesperson for the Joe Biden administration\u2019s National Security Council, also declined to comment on the program and whether it is still active. But the report was based on several anonymous former officials \u201cwith direct knowledge of the highly classified operation\u201d. And as Reuters\u2019 interviews with \u201ctwo intelligence historians\u201d indicate, when the White House grants the CIA covert action authority, through an order known as a presidential finding, it often remains in place across administrations.
The track record of the United States using such programs to win the Cold War and pave the way for \u201ccolor revolutions\u201d around the world over the past decades gives credence to the report. And the reaction to the report, not just from the Chinese Foreign Ministry, but also some U.S. analysts, as well as third-party observers from other countries, interviewed by Reuters, indicate they all consider the report to be true.
Chinese Foreign Ministry spokesperson Wang Wenbin said that the report shows \u201cthe U.S. has spread China-related disinformation in an organized and well-planned way for a long time and it\u2019s America\u2019s important approach to wage a battle of perception against China\u201d. Wang also referred to the comment by U.S. Republican Senator Rand Paul, who once said that the U.S. government is the biggest propagator of disinformation, and CIA Director William Burns\u2019 recent remarks that the CIA has committed substantially more resources toward China-related intelligence collection.
The CIA founded a new China Mission Center in 2021 after the Biden administration identified China as being the No 1 challenge to the U.S. And the CIA, according to a report of The Wall Street Journal in December last year, is trying to boost its human spy capacities at the agency and its sister spy agencies in China as a part of a massive shift of focus from terrorism to China.
The report by Reuters indicates that the U.S. has been not only spreading disinformation about China\u2019s ruling party, but also seeking to \u201cfoment paranoia among top leaders there\u201d so the country expends resources \u201cchasing intrusions\u201d into its political network in a bid to cause larger internal strife. As one of the former officials told Reuters: \u201cWe wanted them chasing ghosts.\u201d The interviewees also said the CIA program involved action in countries where the United States and China are competing for influence, targeting public opinion in Southeast Asia, Africa and the South Pacific.
The U.S. often accuses other countries of spreading disinformation, but as the Reuters report shows it is the U.S. that is the true breeding ground of disinformation. The response of some China hawks to the exposure of the covert propaganda program is a telling sign of the U.S.'s shamelessness. Their only concern is that Beijing may take advantage of the report to \u201cproselytize\u201d in a developing world already deeply suspicious of Washington.
Beijing has no need to do that. The U.S. is already alienating itself from the rest of the international community with its actions. Long before the Reuters report appeared, countries around the world knew the sort of nefarious activities the CIA gets up to. Many countries have firsthand experience of the chaos and suffering its troublemaking can cause. If the U.S. side really recognizes the importance of Sino-U.S. relations and intends to manage the risks and uncertainties in a responsible way as it has claimed, it should refrain from these say-one-thing-do-another tricks, and engage with China with reciprocal earnestness and in good faith.
ONLINE: https://www.chinadaily.com.cn/a/202403/17/WS65f6d862a31082fc043bd0fc.html
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The final rule marks a major expansion of EPA regulation under a landmark 2016 law that overhauled regulations governing tens of thousands of toxic chemicals in everyday products, from household cleaners to clothing and furniture.
The new rule would ban chrysotile asbestos, the only ongoing use of asbestos in the United States. The substance is found in products such as brake linings and gaskets and is used to manufacture chlorine bleach and sodium hydroxide, also known as caustic soda, including some that is used for water purification.
EPA Administrator Michael Regan called the final rule a major step to protect public health.
\u201cWith today\u2019s ban, EPA is finally slamming the door on a chemical so dangerous that it has been banned in over 50 countries,'' Regan said. \u201cThis historic ban is more than 30 years in the making, and it\u2019s thanks to amendments that Congress made in 2016 to fix the Toxic Substances Control Act,'' the main U.S. law governing use of chemicals.
Exposure to asbestos is known to cause lung cancer, mesothelioma and other cancers, and it is linked to more than 40,000 deaths in the U.S. each year. Ending the ongoing uses of asbestos advances the goals of President Joe Biden\u2019s Cancer Moonshot, a whole-of-government initiative to end cancer in the U.S., Regan said.
\u201cThe science is clear: Asbestos is a known carcinogen that has severe impacts on public health. This action is just the beginning as we work to protect all American families, workers and communities from toxic chemicals,'' Regan said.
The 2016 law authorized new rules for tens of thousands of toxic chemicals found in everyday products, including substances such as asbestos and trichloroethylene that for decades have been known to cause cancer yet were largely unregulated under federal law. Known as the Frank Lautenberg Chemical Safety Act, the law was intended to clear up a hodgepodge of state rules governing chemicals and update the Toxic Substances Control Act, a 1976 law that had remained unchanged for 40 years.
The EPA banned asbestos in 1989, but the rule was largely overturned by a 1991 Court of Appeals decision that weakened the EPA\u2019s authority under TSCA to address risks to human health from asbestos or other existing chemicals. The 2016 law required the EPA to evaluate chemicals and put in place protections against unreasonable risks.
Asbestos, which was once common in home insulation and other products, is banned in more than 50 countries, and its use in the U.S. has been declining for decades. The only form of asbestos known to be currently imported, processed or distributed for use in the U.S. is chrysotile asbestos, which is imported primarily from Brazil and Russia. It is used by the chlor-alkali industry, which produces bleach, caustic soda and other products.
Most consumer products that historically contained chrysotile asbestos have been discontinued.
While chlorine is a commonly used disinfectant in water treatment, there are only eight chlor-alkali plants in the U.S. that still use asbestos diaphragms to produce chlorine and sodium hydroxide. The plants are mostly located in Louisiana and Texas.
The use of asbestos diaphragms has been declining and now accounts for less than one-third of the chlor-alkali production in the U.S., the EPA said.
The EPA rule will ban imports of asbestos for chlor-alkali as soon as the rule is published but will phase in prohibitions on chlor-alkali use over five or more years to provide what the agency called \"a reasonable transition period.''
A ban on most other uses of asbestos will effect in two years.
The National Association of Clean Water Agencies, which represents 350 publicly owned wastewater treatment agencies, said in a statement that it supports \"EPA\u2019s efforts to move away from asbestos products'' and will work with the agency to track implementation of the rule. The association warned before the final rule was announced that an immediate ban on asbestos would \u201calmost certainly cause shortages and price increases for chlorine and other disinfection and treatment chemicals used by the water sector.''
The American Chemistry Council, the chemical industry's largest lobbying group, said a 15-year transition period is needed to avoid a significant disruption of chlorine and sodium hydroxide supplies.
A ban on asbestos in oilfield brake blocks, aftermarket automotive brakes and linings and other gaskets will take effect in six months.
The EPA rule allows asbestos-containing sheet gaskets to be used until 2037 at the U.S. Department of Energy\u2019s Savannah River Site in South Carolina to ensure that safe disposal of nuclear materials can continue on schedule.
Scott Faber, senior vice president of the Environmental Working Group, an advocacy group that pushed to ban asbestos, hailed the EPA action.
\u201cFor too long, polluters have been allowed to make, use and release toxics like asbestos and PFAS without regard for our health,'' Faber said. \"Thanks to the leadership of the Biden EPA, those days are finally over.\u201d
Separately, the EPA is also evaluating so-called legacy uses of asbestos in older buildings, including schools and industrial sites, to determine possible public health risks. A final risk evaluation is expected by the end of the year.
Sen. Jeff Merkley, D-Ore., said the United States was \u201cfinally starting to catch up\u201d with the rest of the world on asbestos. \u201cHowever, it cannot be the end of the road when it comes to phasing out other dangerous asbestos fibers,'' he said. \u201cCongress has a role to play here when it comes to providing stronger protections for our health.''
___
Follow the AP's coverage of the U.S. Environmental Protection Agency at https://apnews.com/hub/us-environmental-protection-agency.
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Gambian activists fear the repeal would overturn years of work to better protect girls and women. The legislation was referred to a committee Monday and could return to a vote in the weeks and months ahead. Activists in the largely Muslim country had warned that lifting the ban would hurt years of work against a procedure often performed on young girls in the mistaken belief that it would control their sexuality.", + "bylines": [ + { + "by": "By ABDOULIE JOHN and JESSICA DONATI", + "title": "Associated Press" + } + ], + "located": "SERREKUNDA, Gambia", + "datelinelocation": { + "city": "Serrekunda", + "countrycode": "GMB", + "countryname": "Gambia", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -16.67806, + 13.43833 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. 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Gambian activists fear a repeal would overturn years of work to better protect girls and women. The legislation was referred to a national committee for further debate and could return to a vote in the weeks and months ahead.
Activists in the largely Muslim country had warned that lifting the ban would hurt years of work against a procedure often performed on girls younger than 5 in the mistaken belief that it would control their sexuality.
The procedure, which also has been called female genital mutilation, includes the partial or full removal of external genitalia, often by traditional community practitioners with tools such as razor blades or at times by health workers. It can cause serious bleeding, death and childbirth complications but remains a widespread practice in parts of Africa.
Jaha Dukureh, the founder of Safe Hands for Girls, a local group that aims to end the practice, told The Associated Press she worried that other laws safeguarding women\u2019s rights could be repealed next. Dukureh underwent the procedure and watched her sister bleed to death.
\u201cIf they succeed with this repeal, we know that they might come after the child marriage law and even the domestic violence law. This is not about religion but the cycle of controlling women and their bodies,\u201d she said. The United Nations has estimated that more than half of women and girls ages 15 to 49 in Gambia have undergone the procedure.
The bill is backed by religious conservatives in the nation of less than 3 million people. Its text says that \u201cit seeks to uphold religious purity and safeguard cultural norms and values.\" The country\u2019s top Islamic body has called the practice \u201cone of the virtues of Islam.\"
Gambia's former leader, Yahya Jammeh, banned the practice in 2015 in a surprise to activists and with no public explanation. Since the law took effect, enforcement has been weak, with only two cases prosecuted.
On Monday, a crowd of men and women gathered outside Gambia's parliament, some carrying signs protesting the bill. Police in riot gear held them back.
Gambia's parliament of 58 lawmakers includes five women. If the bill eventually passes through parliament, President Adama Barrow is expected to sign it into law. He has not spoken publicly about the legislation.
The United States has supported activists who are trying to stop the practice. Earlier this month, it honored Gambian activist Fatou Baldeh at the White House with an International Women of Courage Award.
The U.S. Embassy in Gambia declined to say whether any high-level U.S. official in Washington had reached out to Gambian leaders over the bill. In its emailed statement, Geeta Rao Gupta, the top U.S. envoy for global women's issues, called it \u201cincredibly important\u201d to listen to the voices of survivors like Baldeh.
The chairperson of the local Center for Women\u2019s Rights and Leadership, Fatou Jagne Senghore said the bill is \u201caimed at curtailing women\u2019s rights and reversing the little progress made in recent years.\u201d The president of the local Female Lawyers Association, Anna Njie, said the practice \u201chas been proven to cause harm through medical evidence.\u201d
UNICEF said earlier this month that some 30 million women globally have undergone female genital cutting in the past eight years, most of them in Africa but some in Asia and the Middle East.
More than 80 countries have laws prohibiting the procedure or allowing it to be prosecuted, according to a World Bank study cited this year by a United Nations Population Fund Q&A published earlier this year. They include South Africa, Iran, India and Ethiopia.
\u201cNo religious text promotes or condones female genital mutilation,\u201d the UNFPA report says, adding there is no benefit to it.
Girls are subjected to the procedure at ages ranging from infancy to adolescence. Long term, it can lead to urinary tract infections, menstrual problems, pain, decreased sexual satisfaction and childbirth complications as well as depression, low self-esteem and post-traumatic stress disorder.
___
Donati reported from Dakar, Senegal.
___
This story has been corrected to show that the measure has been sent for more committee discussions, not rejected.
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(AP) \u2014 A federal appeals court asked West Virginia\u2019s highest court Monday whether opioid distributions can cause a public nuisance as it reviews a landmark lawsuit against three major U.S. drug distributors accused of causing a health crisis in one of the state's counties.
In July 2022, a federal judge in Charleston, West Virginia, ruled in favor of AmerisourceBergen Drug Co., Cardinal Health Inc. and McKesson Corp. The lawsuit accused them of distributing 81 million pills over eight years in Cabell County, which has been ravaged by opioid addiction.
The verdict came nearly a year after closing arguments in a bench trial in the lawsuit filed by Cabell County and the city of Huntington.
The lawsuit alleged the distributors created a public nuisance and ignored the signs that the area was being ravaged by addiction. But U.S. District Judge Faber said West Virginia\u2019s Supreme Court has only applied public nuisance law in the context of conduct that interferes with public property or resources. He said to extend the law to cover the marketing and sale of opioids \u201cis inconsistent with the history and traditional notions of nuisance.\u201d
The 4th U.S. Circuit Court of Appeals in Richmond, Virginia, sent a certified question to the West Virginia Supreme Court, which states: \u201cUnder West Virginia\u2019s common law, can conditions caused by the distribution of a controlled substance constitute a public nuisance and, if so, what are the elements of such a public nuisance claim?\u201d
If the Supreme court answers the question \u201cno,\u201d that means the current appeal is over, according to the 4th Circuit.
The appeals court noted that the West Virginia Mass Litigation Panel, which works to resolve complex cases in state court, has concluded in several instances that opioid distribution \u201ccan form the basis of a public nuisance claim under West Virginia common law.\u201d
Carl Tobias, a University of Richmond law professor, said the West Virginia Supreme Court is the authoritative source on interpreting state substantive law and has not ruled on the public nuisance question as it relates to the distribution, sale and use of opioids.
In his decision, Faber also noted that the plaintiffs offered no evidence that the defendants distributed controlled substances to any entity that didn\u2019t hold a proper registration from the U.S. Drug Enforcement Administration or the state Board of Pharmacy. The defendants also had suspicious monitoring systems in place as required by the Controlled Substances Act, he said.
In 2021 in Cabell County, an Ohio River county of 93,000 residents, there were 1,067 emergency responses to suspected overdoses \u2014 significantly higher than each of the previous three years \u2014 with at least 162 deaths. In the first two months of this year, suspected overdoses prompted at least 115 emergency room visits, according to preliminary data from the state Department of Human Services\u2019 Office of Drug Control Policy.
The plaintiffs had sought more than $2.5 billion that would have gone toward abatement efforts. The goal of the 15-year abatement plan would have been to reduce overdoses, overdose deaths and the number of people with opioid use disorder.
Thousands of state and local governments have sued over the toll of opioids. The suits relied heavily on claims that the companies created a public nuisance by failing to monitor where the powerful prescriptions were ending up. Most of the lawsuits settled as part of a series of nationwide deals that could be worth more than $50 billion. But there wasn\u2019t a decisive trend in the outcomes of those that have gone to trial.
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March 17, 2024.
Editorial: Alberts\u2019 departure should prompt some introspection
Nebraska got the shocking news Wednesday that Nebraska athletic director Trev Alberts was leaving to take the same position at Texas A&M.
Alberts\u2019 departure, just four months after he received an eight-year contract extension, baffled and surprised all involved with Nebraska Athletics \u2014 coaches, athletes, administrators, media and fans alike.
And it led to speculation about why Alberts would leave. His salary was $1.7 million a year, making him one of the nation\u2019s highest-paid athletics directors. So money likely wasn\u2019t the major factor in his departure. Nor would a lack of facilities or public support have sent him to College Station.
Shock quickly gave way to finger-pointing regarding Alberts\u2019 decision.
Gov. Jim Pillen put the blame for Alberts\u2019 departure on university leadership, specifically targeting the Board of Regents for failure to find a replacement for NU President Ted Carter, who left the university last year.
Others, however, pushed that blame back toward Pillen and state legislators.
\u201cTalented people (Ted Carter, Ronnie Green, Trev Alberts) leave a team when the leadership above them loses sight of the team\u2019s purpose,\u201d former NU volleyball coach Terry Pettit wrote in a widely-circulated Facebook post. \u201cThe team is the University. When the leadership cuts funding and undermines the team\u2019s purpose with political dogma, they leave.\u201d
Specifically, Pettit and others directly link the departures of former University of Nebraska-Lincoln Chancellor Green, who retired in June 2023, Carter, and now Alberts to the administrations of Pillen and former Gov. Pete Ricketts and the Legislature not fully funding \u2014 or at least coming closer to fully funding \u2014 the university\u2019s budget requests.
Carter\u2019s departure then left Alberts without his strongest supporter and athletics partner and advocate. And it leaves Matt Rhule, hired by Alberts, in an unenviable spot.
The stunning departure of Alberts, deeply rooted in Nebraska as a former player and longtime University of Nebraska-Omaha athletics director, is being cast by some as a betrayal, a money grab and a lack of loyalty.
All of those are unfair to Alberts, who like anyone in any job is free to pursue more money or a better opportunity.
But there is a lot of good going on in Nebraska, including the hiring of Rhule, the record-setting Volleyball Day in Nebraska, the completion of the new athletic training complex and a new $300 million media rights deal, not to mention men\u2019s and women\u2019s basketball teams with breakthrough seasons this year. It\u2019s disappointing that all that and good money couldn\u2019t keep him.
Of immediate concern is the possibility that Alberts\u2019 leaving could delay or even scuttle plans for a $450 million renovation of Memorial Stadium.
The regents and UNL administration are now in something of a bind. Carter\u2019s replacement needs to be found, perhaps before a new athletic director can be hired. But a lengthy delay in the AD hire would not be good for the department and Nebraska Athletics.
And the issues raised by the departures of Green, Carter and Alberts must be addressed by the regents, the governor, senators and, pivotally, Husker fans, university supporters and the public as a whole.
If not, the churn of university leadership and Husker ADs will continue as it has for two decades.
___
McCook Gazette. March 15, 2024.
Editorial: Protect our community: Vaccinate for measles
In recent years, the United States has witnessed a concerning resurgence in measles cases, with 45 reported cases across 16 states and New York City as of last week alone. While Nebraska has thus far avoided this troubling trend, it is imperative that we remain vigilant and proactive in safeguarding our communities against this highly contagious and potentially life-threatening disease.
Measles, once endemic in the U.S. prior to the introduction of the measles vaccine in 1963, posed a significant public health threat, resulting in thousands of hospitalizations and hundreds of deaths annually. Thanks to widespread vaccination efforts, the incidence of measles drastically declined, sparing countless lives and preventing unnecessary suffering. However, recent outbreaks serve as a stark reminder that our collective immunity against this preventable disease is not guaranteed.
The most effective way to protect against measles is through vaccination. The MMR vaccine, which immunizes against measles, mumps, and rubella, is safe, highly effective, and readily available. Yet, misconceptions and misinformation surrounding vaccines persist, leading some individuals to forego immunization for themselves or their children. It is crucial to dispel these myths and emphasize the importance of vaccination in safeguarding not only individual health but also the well-being of the entire community.
The benefits of vaccination extend beyond personal protection. By achieving high vaccination rates within our communities, we establish a robust barrier against the spread of infectious diseases, effectively shielding those who are unable to receive vaccines due to medical reasons or age, such as immunocompromised individuals and infants. Vaccination is not just a personal choice; it is a collective responsibility to uphold the health and safety of our society as a whole.
In light of the recent uptick in measles cases nationwide, we urge all Nebraskans to take proactive measures to ensure they and their families are up to date with their vaccinations. If uncertain about vaccination status, individuals should consult their healthcare providers to review medical records and receive necessary immunizations. Additionally, it is vital to remain informed about the signs and symptoms of measles and seek prompt medical attention if exposure is suspected.
As a community, let us prioritize public health and unity by embracing vaccination as a cornerstone of disease prevention. By working together and prioritizing science-based interventions, we can mitigate the risk of measles outbreaks and safeguard the health and well-being of all Nebraskans.
Remember, when we vaccinate, we not only protect ourselves but also our neighbors, our loved ones, and the most vulnerable members of our society. Let us stand united in our commitment to promoting health, preventing disease, and ensuring a safer, healthier future for all.
END
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March 17, 2024.
Editorial: Refusing to vaccinate kids hurts everyone
Last Sunday\u2019s Telegraph Herald carried an in-depth story about a troubling uptick in the number of families receiving exemptions from childhood vaccines. For the 2023-2024 school year, 3% of students in Iowa have religious exemptions from receiving at least one required vaccination, up from 2.6% in the previous school year and 1.3% in the 2015-2016 school year, according to the Iowa Department of Health and Human Services.
In Dubuque County, 3.1% of students have religious vaccine exemptions in the current school year, compared to 3.6% in Clayton County, 2.1% in Delaware County and 2.8% in Jackson County.
That is an increase from the previous year, when the exemption rate was 2.7% in Dubuque County, 3.4% in Clayton County and 1.5% in Delaware County, though Jackson County saw no change in its rate. In the 2021-2022 school year, 2.3% of students had religious exemptions in Dubuque County, while the rate was 3.5% in Clayton County, 1.4% in Delaware County and 3% in Jackson County.
In other words, just like the national trend, the number of families eschewing childhood vaccines is mostly growing.
Meanwhile, so are once nearly vanquished childhood illnesses.
The U.S. has seen 59 cases of measles across 17 states so far this year \u2014 already surpassing last year\u2019s total of 58 cases across 20 states. Nine kids are sick with a measles outbreak at a Florida elementary school.
It\u2019s not just happening in the U.S. The U.K. is marking a 10-year high in new measles cases with 239 new cases reported since February \u2014 mostly in children.
The Centers for Disease Control and Prevention and the World Health Organization puts measles, mumps and polio on a list of about two dozen diseases that are preventable with vaccinations. Five of those potentially preventable illnesses have resurfaced largely because of people refusing to vaccinate their children.
To put the finest point on it: Those who abstain from vaccines because they believe there is something unhealthy about them are now causing a major public health concern.
The decision to not vaccinate \u2014 typically made by parents who say they are looking out for their child\u2019s best interest \u2014 is putting children at risk.
The movement to decline vaccinations swelled with the COVID-19 pandemic. But measles, mumps and polio are entirely different animals. No level of population immunity will stop the coronavirus from spreading. The vaccine offers individuals protection and reduces the severity of the virus.
Childhood illnesses, though, are a different story.
With those illnesses, vaccinations counteract the entire trend. When most people are vaccinated, a disease cannot gain a foothold. Health care officials refer to this as \u201cherd immunity.\u201d Those who are not vaccinated are protected because the vast majority are vaccinated. However, as the percentage of those who are vaccinated declines, there is a greater risk to everyone.
The \u201cherd\u201d \u2014 even in the tri-state area \u2014 is growing more vulnerable. As outlined in our front-page story, the number of parents seeking waivers from schools for vaccinations is on the rise. When parents decline vaccines for children, it not only impacts the health of individual children but the nation\u2019s children and adults as well.
These are not illnesses that will simply run their course with few consequences. Polio paralyzed or killed more than a half million people worldwide every year in the 1940s and \u201950s. Many of these preventable diseases are wildly contagious.
Even while the actual number of cases remains low, outbreaks suck up public resources. A small measles outbreak in Tucson, Ariz., in 2011 reportedly cost close to $800,000.
The non-vaccination movement hurts even those who get vaccines because it increases the likelihood that contagious disease will exploit the small opportunities to spread.
The two-dose vaccine for measles is about 97% effective. Although it prevents diseases in most cases, it\u2019s still possible to be vaccinated and get the disease.
And for those who received the shot as a child, effectiveness can wane after decades. There also are babies to consider. Children less than a year old do not receive the vaccine because their immune systems are not yet ready.
Those who refuse vaccinations might be acting with good intentions for their own children, but they are misguided. In today\u2019s interconnected society, the ill-considered decisions of one person can easily harm others. The success of vaccinations \u2014 and the problems that come with a growing anti-vaccination movement \u2014 shows that we\u2019re all in this together.
___
Des Moines Register. March 14, 2024.
Editorial: Iowa should leave police review boards intact and respect local control
Legislators should leave cities\u2019 citizen review boards intact and be conscientious about revising civil-service provisions instead of falling in line behind a \u201cback the blue\u201d mantra.
The police\u2019s relationship with the people they protect and serve is unique. Many people are already having one of the worst days of their lives by the time armed police with authority to search and detain them get involved. Some residents and some city leaders reasonably think those dynamics justify policies providing for extraordinary transparency and independent assessment of police actions.
It\u2019s a difficult balance to strike. Unfortunately, Republicans and Democrats in the Iowa Legislature are advancing legislation that would discard nuance with an outright ban on citizen review boards and make questionable changes to other provisions for how local governments review public safety employees\u2019 conduct. Besides that, the Legislature already meddles far too much in how cities conduct their business. Senate File 2325 in its current form won\u2019t make Iowa better; lawmakers should amend or discard it.
What are citizen review boards?
Even the very best police work will still generate grumbling about officers\u2019 actions. Police carry and sometimes use deadly weapons. Unlike most government officials, they can conduct searches and place people under arrest. They have considerable leeway in how they use that power.
Those facts are some of reasons that have prompted cities in Iowa and elsewhere to set up police review boards, populated by members of the public. The missions of such boards vary \u2013 some make only recommendations; others can make binding policy; some can review confidential information; and others cannot \u2013 but their common thread is directing more sunlight toward the responsibility entrusted to police and seeking to increase public confidence through their reviews of officers\u2019 actions.
Under Iowa law, most cities with at least 8,000 people must have a civil service commission, with members of the public appointed by the mayor, that referees employment disputes involving police officers and firefighters. Some critics of existing or proposed police review boards argue that the civil service commissions are a sufficient means of civilian review and that having a second body examining the police is at best confusing and redundant and is at worst unfair to public safety workers.
Bill to abolish police review boards shuns greater transparency
That criticism is too dismissive of a critical distinction between a police review board and a civil service commission. A primary purpose of the commission is ensuring that officers and firefighters get a fair shake from their bosses in the city. One benefit of a review board is showing the public that people who complain about law enforcement will get a fair shake, and not an opaque dismissal from colleagues of the police officer or officers in question.
The legislation that passed the Iowa Senate with bipartisan approval this month and an Iowa House committee last week isn\u2019t interested in that. It implies that residents of a city shouldn\u2019t be able to have influence over the officers who are sworn to protect and serve them, short of voting for city council members.
\u201cThere should be a way for us to ensure that the citizens have a voice in what goes on in their communities,\u201d said state Rep. Jerome Amos Jr., a Waterloo Democrat. The state has already enhanced protections for police in recent years. In 2021, the Legislature approved a state version of the qualified immunity doctrine, which stifles civil litigation against officers unless litigants can show police knew they were violating an established right.
\u201cThese are boards that the communities involved decided that they wanted,\u201d said state Sen. Janice Weiner, an Iowa City Democrat. Iowa City has had a police review board since the late 1990s. \u201cThe one in my community has really created much more positive relations,\u201d she said.
Politics obscures the debate over police review boards
Senate File 2325 would shut down review boards in Cedar Rapids, Coralville, Dubuque, Iowa City and University Heights and ban any new ones. The rest of the bill isn\u2019t great, either. Backers say it would provide standardized procedure for civil service commissions. Most of the bill\u2019s language deals with requiring police and fire chiefs to meet higher burdens to discipline officers and firefighters. Sen. Scott Webster, a Bettendorf Republican, gave little credence to opposing views on the Senate floor.
\u201cWe\u2019re going to vote to defend our law enforcement from political interventions by citizen review boards and the media frenzy that goes along with them,\u201d he said. \u201cWe\u2019ve all seen how the media frenzy can ignore the truth, ignore the facts, and instead stoke public opinion, leading to unwarranted prosecutions of front-line defenders more akin to witch hunts than real justice.\u201d
It\u2019s an argument intended to shut down debate, not further it. It can suffice to point out that no civil service commission or citizen review board in Iowa or anywhere else has authority to file criminal charges, and that public opinion cannot force a prosecutor to take any action.
Attacks on local control have long since grown tiresome
For over half a century, the Iowa Constitution has declared that cities \u201care granted home rule power and authority, not inconsistent with the laws of the general assembly, to determine their local affairs and government\u201d except for passing new forms of taxes. However, the Legislature has taken to diminishing the spirit of this amendment by passing laws to make numerous city policies inconsistent with its law.
This bill would be just another blow, as would the bill to cancel central Iowa\u2019s basic-income pilot project. As would the bill to ban traffic cameras. All could join earlier laws clamping down on cities\u2019 and counties\u2019 landlord regulation, fireworks regulation, gun regulation, hog-confinement regulation and more.
Different sizes of cities have different needs and should be able to address them instead of being handcuffed by the Legislature at every turn.
All this gives legislators numerous independent grounds to insist on changes to Senate File 2325. They should leave cities\u2019 citizen review boards intact and be conscientious about revising civil-service provisions instead of falling in line behind a \u201cback the blue\u201d mantra.
END
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The legislation already passed the House and only needs to clear the majority Republican Senate before it is sent to Gov. Brad Little's desk, where it would likely be signed into law. The Republican governor has said repeatedly he does not believe public funds should be used for gender-affirming care.
The Senate adjourned Monday before reaching the vote on the bill.
If the legislation is enacted, Idaho would become at least the 10th state to ban Medicaid funding for gender-affirming care for people of all ages, according to the advocacy and information organization Movement Advancement Project. The laws are part of an ongoing national battle over the rights of LGBTQ+ Americans.
Opponents to the Idaho bill say it almost certainly will lead to a lawsuit in federal court. The state has already been sued multiple times over attempts to deny gender-affirming care to transgender residents and so far has not had much success defending the lawsuits.
In one case, the state was ordered to provide a transgender inmate with gender-transition surgery, and the inmate was later awarded roughly $2.5 million in legal fees.
Last year a federal judge barred Idaho from enforcing its newly enacted ban on gender-affirming medical care for minors until a lawsuit brought by transgender youth and their families is resolved. A different federal judge denied the state's motion to dismiss a separate lawsuit filed by adults in 2022 who said Medicaid officials wrongly denied coverage for their medically necessary gender-affirming treatment.
\u201cThis bill violates the 14th Amendment equal protections clause\u201d and the federal Medicaid Act, Boise attorney Howard Belodoff told lawmakers during a hearing on Thursday.
Belodoff represents the transgender adults who sued the state over what they said were discriminatory Medicaid policies excluding coverage for genital reconstruction surgery.
\u201cYou cannot distinguish between providing care on the basis of diagnosis, type of illness or condition,\u201d Belodoff said. \u201cThat's exactly what this bill does: it violates the Medicaid Act.\u201d
One of the bill's sponsors, Republican Rep. Bruce Skaug, said those lawsuits prompted creation of the bill.
\u201cThis is a taxpayer protection bill in my view,\u201d Skaug said, suggesting that without it the state could end up paying millions for gender-affirming care. Roughly 70% of Idaho's Medicaid program is federally funded.
Some who testified against the bill suggested it could have a far larger reach than intended by eliminating gender-affirming care for even privately insured residents living in rural areas with only state-funded medical centers.
Isaac Craghtten, an Idaho Department of Correction employee, noted that many correctional employees work 12- to 16-hour shifts, which can require taking some prescribed medications like hormone therapy while on the job.
But the legislation bars the use of any state property, facility or building for providing surgical operations or medical interventions, which could mean employees would be subject to criminal penalties for taking their own legally prescribed medication while in a break room, Craghtten said.
The punishment for violating the law would include fines ranging from $300 to $10,000 and imprisonment between one and 14 years.
At least 23 states including Idaho have passed laws banning gender-affirming care for minors. Some states also have considered policies that experts say would make it more difficult for transgender adults to receive care, such as eliminating telehealth options or requiring repeated psychological examinations for continued gender-affirming treatment.
Major medical groups, including the American Medical Association and the American Academy of Pediatrics, oppose gender-affirming care bans and have endorsed such care, saying it is safe when administered properly.
While courts have blocked the enforcement of gender-affirming care bans for minors in Idaho, Montana and Arkansas, they have allowed enforcement in Alabama and Georgia.
___
Associated Press writers Geoff Mulvihill in Cherry Hill, New Jersey, Hannah Schoenbaum in Salt Lake City, and John Hanna in Topeka, Kansas, contributed to this report.
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The health care giant said Monday that it is testing software for submitting medical claims. It already has largely restored systems for handling pharmacy claims and processing payments.
Change Healthcare provides technology used to submit and process insurance claims. It handles about 14 billion transactions a year and works with claims from several insurers.
The company said last month that the ransomware group ALPHV, or Blackcat, gained access to some of its information technology systems.
The American Hospital Association has called the cyberattack \u201cthe most significant and consequential incident of its kind against the U.S. health care system.\u201d The association said the disruption from the attack made it harder for hospitals to provide care, submit insurance claims and get paid.
Federal civil rights investigators said last week that they would look into whether protected health information was exposed in the attack.
Earlier this month, UnitedHealth said that it restored nearly all of Change Healthcare\u2019s system for processing prescriptions. That tells pharmacies how much to charge patients for a prescription based on their coverage.
Late last week, the company restored Change Healthcare\u2019s electronic payments platform, which involves billing and payments between care providers and payers like insurers.
UnitedHealth said Monday that it is expanding temporary funding to support doctors and other care providers affected by the attack. The federal government also is some offering temporary, advance payments for Medicare claims.
___
The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute\u2019s Science and Educational Media Group. The AP is solely responsible for all content.
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Just over a quarter of study participants were diagnosed with a balance disorder. The findings were published in the Journal of the American Medical Association.", + "bylines": [ + { + "by": "By LAURAN NEERGAARD", + "title": "AP Medical Writer" + } + ], + "located": "WASHINGTON", + "datelinelocation": { + "city": "Washington", + "countryareacode": "DC", + "countryareaname": "District of Columbia", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -77.03637, + 38.89511 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. For other uses, additional clearances may be required." + ], + "keywords": [ + "havana syndrome diplomat health brain" + ], + "provider": "AP", + "infosource": [ + { + "name": "AP", + "type": "AP" + } + ], + "subject": [ + { + "rels": [ + "category" + ], + "creator": "Editorial", + "code": "w", + "name": "w" + }, + { + "rels": [ + "category" + ], + "creator": "Editorial", + "code": "p", + "name": "p" + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "f5c099b87e3810048ae6df092526b43e", + "name": "Medical research", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 68 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "d898d5388628100482f2ff2260dd383e", + "name": "Head injuries", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 60 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "cc7a76087e4e10048482df092526b43e", + "name": "Health", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 96 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "86aad5207dac100488ecba7fa5283c3e", + "name": "Politics", + "creator": "Editorial", + "editorial_subject": "Politics", + "rels": [ + "direct" + ], + "relevance": 75 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "a4677d70863b4012b846a1b00f5079f5", + "name": "U.S. news", + "creator": "Editorial", + "editorial_subject": "U.S. news", + "rels": [ + "direct" + ], + "relevance": 75 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "f25af2d07e4e100484f5df092526b43e", + "name": "General news", + "creator": "Editorial", + "editorial_subject": "General news", + "rels": [ + "direct" + ], + "relevance": 50 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "cc7a76087e4e10048482df092526b43e", + "name": "Health", + "creator": "Editorial", + "editorial_subject": "Health", + "rels": [ + "direct" + ], + "relevance": 99 + } + ], + "place": [ + { + "scheme": "http://cv.ap.org/id/", + "code": "8b0926c07f1510048917df092526b43e", + "name": "Havana", + "creator": "Machine", + "rels": [ + "direct" + ], + "parentids": [ + "6619faa87d5b10048222c076b8e3055c" + ], + "locationtype": { + "code": "9d26a20b35f0484a891740f8189d4c7b", + "name": "City" + }, + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -82.38304, + 23.13302 + ] + }, + "relevance": 84, + "parentnames": [ + "Cuba" + ] + } + ], + "audiences": [ + { + "code": "82c6a4c46fa0446090a7acaf93159e4c", + "name": "Print", + "type": "AUDPLATFORM" + }, + { + "code": "9add4649b53b4702ba7d9de5d4fa607a", + "name": "Online", + "type": "AUDPLATFORM" + }, + { + "code": "f43adc08760d10048040e6e7a0f4673e", + "name": "National", + "type": "AUDSCOPE" + }, + { + "code": "f4ecf9b0760d10048044e6e7a0f4673e", + "name": "International", + "type": "AUDSCOPE" + }, + { + "code": "661850e07d5b100481f5c076b8e3055c", + "name": "Latin America and Caribbean", + "type": "AUDGEOGRAPHY" + }, + { + "code": "661e48387d5b10048291c076b8e3055c", + "name": "United States", + "type": "AUDGEOGRAPHY" + } + ], + "associations": { + "1": { + "altids": { + "itemid": "4482b6a81cf749dfbd3029f9120fec83" + }, + "type": "picture" + } + }, + "body_nitf": "WASHINGTON (AP) \u2014 An array of advanced tests found no brain injuries or degeneration among U.S. diplomats and other government employees who suffer mysterious health problems once dubbed \u201cHavana syndrome, \u201d researchers reported Monday.
The National Institutes of Health\u2019s nearly five-year study offers no explanation for symptoms including headaches, balance problems and difficulties with thinking and sleep that were first reported in Cuba in 2016 and later by hundreds of American personnel in multiple countries.
But it did contradict some earlier findings that raised the specter of brain injuries in people experiencing what the State Department now calls \u201canomalous health incidents.\u201d
\u201cThese individuals have real symptoms and are going through a very tough time,\u201d said Dr. Leighton Chan, NIH's chief of rehabilitation medicine, who helped lead the research. \u201cThey can be quite profound, disabling and difficult to treat.\u201d
Yet sophisticated MRI scans detected no significant differences in brain volume, structure or white matter \u2014 signs of injury or degeneration \u2014 when Havana syndrome patients were compared to healthy government workers with similar jobs, including some in the same embassy. Nor were there significant differences in cognitive and other tests, according to findings published in the Journal of the American Medical Association.
While that couldn\u2019t rule out some transient injury when symptoms began, researchers said it\u2019s good news that they couldn\u2019t spot long-term markers on brain scans that are typical after trauma or stroke.
That \u201cshould be some reassurance for patients,\u201d said study co-author Louis French, a neuropsychologist at Walter Reed National Military Medical Center who treats Havana syndrome. \u201cIt allows us to focus on the here and now, to getting people back to where they should be.\u201d
A subset, about 28%, of Havana syndrome cases were diagnosed with a balance problem called persistent postural-perceptual dizziness, or PPPD. Linked to inner-ear problems as well as severe stress, it results when certain brain networks show no injury but don\u2019t communicate properly. French called it a \u201cmaladaptive response,\u201d much like how people who've slouched to alleviate back pain can have posture trouble even after the pain is gone.
The Havana syndrome participants reported more fatigue, posttraumatic stress symptoms and depression.
The findings are the latest in an effort to unravel a mystery that began when personnel at the U.S. embassy in Cuba began seeking medical care for hearing loss and ear-ringing after reporting sudden weird noises.
Early on, there was concern that Russia or another country may have used some form of directed energy to attack Americans. But last year, U.S. intelligence agencies said there was no sign a foreign adversary was involved and that most cases appeared to have different causes, from undiagnosed illnesses to environmental factors.
Some patients have accused the government of dismissing their ailments. And in an editorial in JAMA on Monday, one scientist called for more research to prepare for the next such health mystery, cautioning that NIH's study design plus the limits of existing medical technology could have missed some clues.
\"One might suspect that nothing or nothing serious happened with these cases. This would be ill-advised,\u201d wrote Dr. David Relman of Stanford University. In 2022, he was part of a government-appointed panel that couldn't rule out that a pulsed form of energy could explain a subset of cases.
The NIH study, which began in 2018 and included more than 80 Havana syndrome patients, wasn\u2019t designed to examine the likelihood of some weapon or other trigger for Havana syndrome symptoms. Chan said the findings don\u2019t contradict the intelligence agencies\u2019 conclusions.
If some \u201cexternal phenomenon\u201d was behind the symptoms, \u201cit did not result in persistent or detectable pathophysiologic change,\u201d he said.
The State Department said it was reviewing NIH\u2019s findings but that its priority was ensuring affected employees and family members \u201care treated with respect and compassion and receive timely access to medical care and all benefits to which they are entitled.\u201d
___
AP Diplomatic Writer Matthew Lee contributed to this report.
___
The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute\u2019s Science and Educational Media Group. The AP is solely responsible for all content.
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Given that the document is centered around health-related findings and issues, it is highly relevant to the topic of Health." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/03/18/f7fd03bdf52577d7fa084bda26282e48.json b/datasets/AP_news/raw_data/2024/03/18/f7fd03bdf52577d7fa084bda26282e48.json new file mode 100644 index 0000000..9629bc3 --- /dev/null +++ b/datasets/AP_news/raw_data/2024/03/18/f7fd03bdf52577d7fa084bda26282e48.json @@ -0,0 +1,296 @@ +{ + "altids": { + "itemid": "f7fd03bdf52577d7fa084bda26282e48", + "etag": "f7fd03bdf52577d7fa084bda26282e48_1a8aza0c0", + "friendlykey": "998089440240", + "referenceid": "AS--South Korea-Doctors Protest" + }, + "version": 1, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-03-19T03:23:04Z", + "firstcreated": "2024-03-18T11:45:49Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: Revises headline, summary and top of story to show suspensions would take effect next month.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "AS--South Korea-Doctors Protest", + "headline": "South Korea will suspend licenses of 2 senior doctors in first punishment for doctors' walkouts", + "headline_extended": "South Korean authorities will suspend the licenses of two senior doctors for allegedly inciting the weekslong walkouts by medical interns and residents that have disrupted hospital operations", + "slugline": "BC-AS--South Korea-Doctors Protest, 1st Ld-Writethru", + "description_summary": "South Korean authorities will suspend the licenses of two senior doctors for allegedly inciting the weekslong walkouts by medical interns and residents that have disrupted hospital operations. That's according to one of the doctors who spoke to The Associated Press. The suspensions that will start in mid-April are the first punishments against physicians after thousands of doctors-in-training walked off the job to protest a plan to sharply increase medical school admissions. Police are investigating five senior members of the Korean Medical Association for allegedly inciting and abetting the strikes. The junior doctors say they are concerned schools can't handle the new students and the quality of medical services would suffer.", + "bylines": [ + { + "by": "By HYUNG-JIN KIM", + "title": "Associated Press" + } + ], + "located": "SEOUL, South Korea", + "datelinelocation": { + "city": "Seoul", + "countrycode": "KOR", + "countryname": "South Korea", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + 126.9784, + 37.566 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. 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The impending suspensions are the punishments against physicians after more than 90% of the country's 13,000 doctors-in-training walked off the job last month to protest the government\u2019s plan to sharply increase medical school admissions.
Officials say the recruitment plan is aimed at adding more doctors to prepare for South Korea\u2019s rapidly aging population in a country whose doctor-to-population ratio is one of the lowest in the developed world. But doctors say schools can\u2019t handle an abrupt, steep increase in students, and that it would ultimately undermine the country\u2019s medical services.
In early March, the government began taking steps to suspend the licenses of striking junior doctors after they refused its orders to return to work by the end of February. Police are separately investigating five senior members of the Korean Medical Association, which represents doctors in South Korea, for allegedly inciting and abetting the strikes.
Park Myung-Ha, one of the five members, said he received a government-sent letter saying that his license will be suspended for three months from April 15. Park, who works for the KMA\u2019s emergency committee, said committee leader Kim Taek-woo was also given a three-month suspension.
The Health Ministry said it wouldn\u2019t confirm any reported administrative steps imposed on individual doctors.
\u201cMy fellow doctors and I are really angered and appalled by the government\u2019s measure,\u201d Park told The Associated Press.
Park accused the government of attempting to break up the KMA emergency committee and sending a warning message to striking junior doctors. He said he and others are discussing legal steps to respond to the license suspensions.
About 12,000 junior doctors have been off the job for a month, but none has received a license suspension. Observers have said it would take a few months to suspend all their licenses and that the government would likely end up suspending only strike leaders.
The striking junior doctors account for less than 10% of South Korea\u2019s 140,000 doctors. But in some major hospitals, they represent about 30%-40% of the doctors, assisting senior doctors during surgeries and dealing with inpatients while training.
Their strikes have caused hundreds of canceled or postponed surgeries and other treatments, but officials say the country\u2019s handling of emergency and critical patients largely remains stable.
Senior doctors at major university hospitals recently decided to submit resignations next week in support of the junior doctors. Still, most of them will likely continue to report to work. If they walk off the job, that would burden South Korea\u2019s medical services severely.
In a briefing earlier Monday, Vice Health Minister Park Min-soo urged senior doctors to cancel their plans and persuade the striking junior doctors to return to work.
\u201cUnder any circumstances, you must not use the lives of the people for negotiations,\u201d Park said.
In early February, the government said it would increase the country\u2019s medical school enrollment quota by 2,000 starting next year, from the current cap of 3,058 that has been unchanged since 2006.
Officials say more doctors are required to address a long-standing shortage of physicians in rural areas and in essential yet low-paying specialties.
But doctors say newly recruited students would also try to work in the capital region and in high-paying fields like plastic surgery and dermatology. They say the government plan would also result in doctors performing unnecessary treatments due to increased competition.
Surveys show a majority of the South Korean public support the government\u2019s recruitment plan. Critics say doctors \u2014 one of the best-paid professions in South Korea \u2014 are only worrying about the possibility of a lower income in the future.
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Workers with the city\u2019s Water Bureau discovered the body Tuesday morning in the Highland Park Reservoir. Officials say the reservoir was immediately disconnected from the public water supply, with plans to drain and clean it before resuming its use. The city says testing showed the water was safe, and the boil-water advisory was a precaution. Authorities say police divers removed an adult male's body from the water. The circumstances of the death were not immediately clear. Police are investigating.", + "located": "ROCHESTER, N.Y.", + "datelinelocation": { + "city": "Rochester", + "countryareacode": "NY", + "countryareaname": "New York", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -77.61556, + 43.15478 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. 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(AP) \u2014 A human body was found Tuesday in a western New York reservoir that supplies drinking water to parts of Rochester, prompting city officials to advise residents to boil their water before consuming.
Workers with the city's Water Bureau discovered the body in the Highland Park Reservoir at around 8 a.m. while doing routine rounds, officials said. The reservoir was immediately disconnected from the public water supply, with plans to drain and clean it.
Police divers removed the body of an adult male from the water, authorities said. The circumstances of the death were not immediately clear. Police were investigating, and the medical examiner's office was working to identify the person.
Testing indicated the water was safe, the city said in a notice to residents. The boil water advisory was issued to several neighborhoods as a precaution, officials said, and the reservoir will not be returned to service until after it is drained and cleaned.
\u201cThis is a very, very sad situation,\u201d Mayor Malik Evans said at a news conference. \u201cBut it compounds that being that this happened near our water supply it's important that we exercise this abundance of caution.\u201d
Officials with the Rochester City School District ordered all schools to close Wednesday because of the boil-water advisory.
The city advised residents to bring tap water to a rolling boil, boil for one minute and cool before using. It said boiled or bottled water should be used for drinking, making ice, washing dishes, brushing teeth and preparing food until further notice.
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Here's what that means", + "headline_extended": "A new report warns that famine is imminent in Gaza as fighting between Israel and Hamas continues", + "slugline": "BC-MED-Famine-Explainer, 1st Ld-Writethru", + "description_summary": "A new report warns that famine is imminent in Gaza as fighting between Israel and Hamas continues. Aid groups also say that 1.4 million people in Haiti are on the verge of famine. Famine occurs when households and entire regions or countries reach a catastrophic level of hunger and lack of access to food. Famine is the highest and direst level of five on a scale created in 2004 by a coalition of government and aid groups that monitor the severity of hunger in the world. Children younger than 5, pregnant women, the elderly and those underlying health conditions are most at risk.", + "bylines": [ + { + "by": "By JONEL ALECCIA", + "title": "AP Health Writer" + } + ], + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. 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That\u2019s according to food security experts and aid groups, who are warning about the toll from hunger caused by the war between Israel and Hamas in Gaza and the crisis in Haiti caused by criminal gangs attacking the country\u2019s key government institutions.
In Gaza, virtually every resident is struggling to get enough food and 1.1 million people \u2014 half the population \u2014 are expected to face the highest level of severe hunger in coming weeks, according to a report from the Integrated Food Security Phase Classification, an agency that monitors hunger globally. On Monday, the group warned that famine could occur in Gaza any time between mid-March and May without an end to hostilities and immediate access to essential supplies and services.
In Haiti, about 1.4 million people are on the verge of famine and more than 4 million need help accessing food, aid groups say.
But what does it mean for a region to fall into famine? And how could it happen in these places so fast? Here\u2019s what you need to know:
The IPC, a group of 15 global organizations and charities, was developed in 2004 during the famine in Somalia. The group uses a five-tier scale to monitor access to food and levels of hunger.
Famine is the top tier, Phase 5, \u201cthe absolute inaccessibility of food to an entire population or sub-group of a population, potentially causing death in the short term.\u201d
It occurs when 20% of households have an extreme lack of food, 30% of children suffer from acute malnutrition and at least two adults or four children per every 10,000 people die daily because of outright starvation or the interaction of malnutrition and disease.
That top level follows the Phase 3 \u201ccrisis\u201d and Phase 4 \u201cemergency\u201d levels of food need. Worldwide, nearly 158 million people face crisis hunger situations or worse, according to the IPC.
While the depth of the food crises in both places is new, the underlying conditions are not, said Tobias Stillman, director of technical services and innovation at the aid group Action Against Hunger, via email.
Even before the war, 80% of Gazans relied on humanitarian aid and nearly half of all households didn't have enough food, he said. In Haiti, millions were already coping with emergency levels of hunger and crisis levels of food need.
\u201cWhen families and entire nations live so close to the brink, it is all too easy for conflict or other shocks to push them into catastrophe,\u201d Stillman said.
Hunger is the informal term for the feeling that occurs \u201cwhen our bodies need or expect food,\u201d Stillman said. Aid groups say hunger occurs when people can\u2019t afford or physically obtain sufficient nutrition for an extended period of time.
Malnutrition is a medical condition that occurs when people don't get the right calories to grow and function properly, leading to health problems. The deadliest form of malnutrition is severe acute malnutrition, which occurs when children are too thin for their height.
\u201cThis can happen suddenly, caused by a severe hunger crisis, or it can occur over time,\u201d Stillman said.
Starvation is not a technical term, but it describes extreme suffering or death caused by lack of food.
Death from starvation can come \u201csurprisingly quickly,\u201d Stillman said. Without food, the body uses carbohydrates and fats first, then turns to breaking down protein, including muscle and vital organs. The body begins to shut down functions, including digestion, which make it harder to absorb any nutrients that are available. People suffer from extreme fatigue and become listless as the body tries to conserve energy.
Without specialized treatment, organs stop functioning and the body's defenses can't fight infection. Many times, people without food die of common infections. If that doesn't happen, vital organs shut down and the heart stops.
Children younger than 5, pregnant and breastfeeding women, the elderly and people with underlying health conditions are most at risk from malnutrition. In acute crises like that seen in Gaza, malnutrition affects the youngest children first, experts said.
A declaration of famine would be made by top United Nations officials based on the IPC criteria. Such a declaration carries no binding obligations on U.N. members or states, but serves to focus global attention on the problem.
___
The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute\u2019s Science and Educational Media Group. The AP is solely responsible for all content.
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Jeffrey W. Young Jr., was sentenced Monday in federal court, about a year after he was convicted of unlawfully distributing and dispensing controlled substances out of a clinic in Jackson, Tennessee. Young was among 60 people indicted in April 2019 for their roles in illegally prescribing and distributing pills containing opioids and other drugs. Young promoted his practice with the motto \u201cwork hard, play harder.\u201d", + "bylines": [ + { + "by": "By ADRIAN SAINZ", + "title": "Associated Press" + } + ], + "located": "MEMPHIS, Tenn.", + "datelinelocation": { + "city": "Memphis", + "countryareacode": "TN", + "countryareaname": "Tennessee", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -90.04898, + 35.14953 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. 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(AP) \u2014 A Tennessee nurse practitioner who called himself the \u201cRock Doc\u201d has been sentenced to 20 years in prison for illegally prescribing thousands of doses of opioids including oxycodone and fentanyl in return for money and sex, federal prosecutors said Tuesday.
Jeffrey W. Young Jr., was sentenced Monday in federal court, about a year after he was convicted of unlawfully distributing and dispensing controlled substances out of a clinic in Jackson, Tennessee. There is no parole in the federal court system.
Young, 49, was among 60 people indicted in April 2019 for their roles in illegally prescribing and distributing pills containing opioids and other drugs. Authorities said the defendants included 53 medical professionals tied to some 350,000 prescriptions and 32 million pills.
Young, who dubbed himself as the \u201cRock Doc,\u201d promoted his practice with the motto \u201cwork hard, play harder.\u201d The indictment states he prescribed drugs that were highly addictive and at high risk of abuse as he tried to promote a \u201cRock Doc\u201d reality TV pilot and podcast while obtaining sex and money for prescriptions.
Young maintained a party atmosphere at his clinic and illegally prescribed more than 100,000 doses of hydrocodone, oxycodone, and fentanyl, including to a pregnant woman, prosecutors said.
\u201cThe self-proclaimed \u2018Rock Doc\u2019 abused the power of the prescription pad to supply his small community with hundreds of thousands of doses of highly addictive prescription opioids to obtain money, notoriety, and sexual favors,\u201d said Assistant U.S. Attorney General Nicole M. Argentieri, head of the Justice Department\u2019s Criminal Division. \"The defendant\u2019s conduct endangered his patients and the community as a whole.\u201d
Since March 2007, the Justice Department's Health Care Fraud Strike Force Program has charged more than 5,400 defendants who have billed federal health care programs and private insurers more than $27 billion, officials said.
", + "textformat": "bx", + "links": [ + { + "href": "https://apnews.com/article/opioids-nurse-practitioner-sex-tennessee-1a162a3a581e682502fe0d91acc349fa", + "rel": "canonical" + } + ], + "topics": { + "Health": { + "relevance_score": 5, + "reason": "The document discusses the sentencing of a nurse practitioner for illegally prescribing opioids, which is directly related to health issues, particularly the opioid crisis and the abuse of prescription medications. It highlights the impact on the community and the legal actions taken to address such health-related crimes. Therefore, it is highly relevant to the topic of health." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/03/19/27d18f91242eb08c4d805880ddb5bb60.json b/datasets/AP_news/raw_data/2024/03/19/27d18f91242eb08c4d805880ddb5bb60.json new file mode 100644 index 0000000..1889e53 --- /dev/null +++ b/datasets/AP_news/raw_data/2024/03/19/27d18f91242eb08c4d805880ddb5bb60.json @@ -0,0 +1,160 @@ +{ + "altids": { + "itemid": "27d18f91242eb08c4d805880ddb5bb60", + "etag": "27d18f91242eb08c4d805880ddb5bb60_1a4aza0c0", + "friendlykey": "12034146775", + "referenceid": "US-MED--Abortion Pills" + }, + "version": 1, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-03-19T21:18:31Z", + "firstcreated": "2024-03-19T19:39:08Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: Links audio. With AP Photos.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "US-MED--Abortion Pills", + "headline": "More than six in 10 US abortions in 2023 were done by medication \u2014 a significant jump since 2020", + "headline_extended": "New research shows that more than six in 10 of the abortions in the United States last year were done through medication", + "slugline": "AP-US-MED--Abortion Pills, 1st Ld-Writethru", + "description_summary": "New research shows that more than six in 10 of the abortions in the United States last year were done through medication. That's up from 53% in 2020. The Guttmacher Institute is a research group that supports abortion rights, and put out the new research. Its data shows about 642,700 medication abortions were done in the first full calendar year after Roe v. Wade was overturned. Sixty-three percent of abortions in the formal health care system in 2023 were by medication. Next week, the U.S. Supreme Court will hear arguments in a case that could impact access for one of the pills used in medication abortions.", + "bylines": [ + { + "by": "By LAURA UNGAR", + "title": "AP Science Writer" + } + ], + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. For other uses, additional clearances may be required." + ], + "keywords": [ + "abortion pills mifepristone Supreme Court" + ], + "provider": "AP", + "infosource": [ + { + "name": "AP", + "type": "AP" + } + ], + "subject": [ + { + "rels": [ + "category" + ], + "creator": "Editorial", + "code": "a", + "name": "a" + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "cc7a76087e4e10048482df092526b43e", + "name": "Health", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 75 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "e237be707de410048fffdf092526b43e", + "name": "Medication", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 60 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "e22e35087de410048fc2df092526b43e", + "name": "Abortion", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 89 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "cc7a76087e4e10048482df092526b43e", + "name": "Health", + "creator": "Editorial", + "editorial_subject": "Health", + "rels": [ + "direct" + ], + "relevance": 99 + } + ], + "audiences": [ + { + "code": "82c6a4c46fa0446090a7acaf93159e4c", + "name": "Print", + "type": "AUDPLATFORM" + }, + { + "code": "9add4649b53b4702ba7d9de5d4fa607a", + "name": "Online", + "type": "AUDPLATFORM" + }, + { + "code": "f43adc08760d10048040e6e7a0f4673e", + "name": "National", + "type": "AUDSCOPE" + }, + { + "code": "f4ecf9b0760d10048044e6e7a0f4673e", + "name": "International", + "type": "AUDSCOPE" + }, + { + "code": "661850e07d5b100481f5c076b8e3055c", + "name": "Latin America and Caribbean", + "type": "AUDGEOGRAPHY" + }, + { + "code": "661e48387d5b10048291c076b8e3055c", + "name": "United States", + "type": "AUDGEOGRAPHY" + } + ], + "associations": { + "1": { + "altids": { + "itemid": "ad56c3c788a7485795c0c63f5ded48ab" + }, + "type": "picture" + }, + "2": { + "altids": { + "itemid": "4552302d61664811950ff51b4a6f02e9" + }, + "type": "audio" + } + }, + "body_nitf": "More than six in 10 of the abortions in the United States last year were done through medication, up from 53% in 2020, new research shows.
The Guttmacher Institute, a research group that supports abortion rights, said about 642,700 medication abortions took place in the first full calendar year after the U.S. Supreme Court overturned Roe v. Wade. Medication abortion accounted for 63% of abortions in the formal health care system.
The data was released Tuesday, a week before the high court will hear arguments in a case that could impact how women get access to mifepristone, which is usually used with another pill in medication abortions.
Guttmacher researcher Rachel Jones said the increase wasn't a surprise.
\u201cFor example, it is now possible in some states, at least for health care providers, to mail mifepristone to people in their homes,\" Jones said, \"so that saves patients travel costs and taking time off work.\u201d
Guttmacher\u2019s data, which is collected by contacting abortion providers, doesn\u2019t count self-managed medication abortions that take place outside the health care system or abortion medication mailed to people in states with abortion bans.
Dr. Grace Ferguson, an OB-GYN and abortion provider in Pittsburgh who isn't involved with the research, said the COVID-19 pandemic and the overturning of Roe v. Wade \u201creally opened the doors\u201d for medication abortions done through telehealth.
Ferguson said \u201ctelehealth was a really good way of accommodating that increased volume\u201d in states where abortion remained legal and saw an increase in people who traveled from more restrictive states.
Guttmacher data shows that medication abortions have risen steadily since mifepristone was approved by the Food and Drug Administration in 2000. The drug, which blocks the hormone progesterone, also primes the uterus to respond to the contraction-causing effect of another drug, misoprostol. The two-drug regimen is used to end a pregnancy through 10 weeks gestation.
The case in front of the Supreme Court could cut off access to mifepristone by mail and impose other restrictions, even in states where abortion remains legal.
\u2014\u2014\u2014-
The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute\u2019s Science and Educational Media Group. The AP is solely responsible for all content.
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This after inmates alleged that the Pennsylvania facility unfairly treats those with mental illness. A court order filed Tuesday awaits a judge's approval. It responds to a class action filed in 2020 in federal court in the Western District of Pennsylvania by five people incarcerated at the county jail. Lawyers say mental health care in the jail was \u201cnon-existent or wholly deficient\" when the lawsuit was filed, impacting intake, medication, counseling and suicide prevention.", + "bylines": [ + { + "by": "By BROOKE SCHULTZ", + "title": "Associated Press/Report for America" + } + ], + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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The agreement, which still requires a judge's approval, would resolve a class action that accused the jail in Pittsburgh of offering inadequate treatment and medication for inmates with mental health disabilities, and often punishing them with extended solitary confinement or excessive force.
\u201cThe lawsuit was bitter at first. But this is a sweet victory. Law enforcement doesn\u2019t get to break the law to enforce it,\u201d Jason Porter, one of the five inmates represented as plaintiffs, said in a prepared statement.
Mental health care \u2014 from intake to medication, counseling and suicide prevention \u2014 was \u201ceither non-existent or wholly deficient\u201d when the lawsuit was filed in 2020, according to lawyers with the Abolitionist Law Center, the Pennsylvania Institutional Law Project and Whiteford, Taylor & Preston LLP.
The Allegheny County jail had one of the highest suicide rates among large county correctional facilities in Pennsylvania. A review of in-custody deaths between 2017 and 2022 found seven of 27 in-custody deaths were suicides.
Shaquille Howard said he appreciates the promises of change. He said previously that he spent significant time in solitary confinement and was told he could not receive mental health counseling unless he was suicidal.
\u201cI\u2019m happy and thankful that no one else has to endure the things that I endured during my time at the ACJ,\" he said in a prepared statement. \"Most of all I\u2019m glad that chapter of my life has concluded, but I\u2019ll never forget what was done to me.\u201d
A county spokesperson declined to comment on the proposed settlement.
Concerns over how people with mental health issues are treated while incarcerated have led to a number of lawsuits in Pennsylvania and nationwide.
The settlement would direct the county to have about 47 mental health positions, with about 30 requiring independent licensure, for its roughly 1,700 inmates. The county would have to fill a majority of the staff levels within six months of a court order.
The county would also need to provide training in the next six months to correctional staff about recognizing signs of mental illness, when use of force is appropriate and how to deploy de-escalation techniques. The county would have to audit the efficacy of the training following implementation.
Mental health staff would need to be alerted to intervene when use of force is being considered, and staff would be required to document when mental health staff is called in, regardless of whether force is ultimately used.
The inmates' lawyers said use of force incidents have already decreased by 28% since their lawsuit was filed four years ago.
Counseling would be provided to people flagged as having serious mental illness, current or recent diagnoses, a history of self harm in the last two years or inmates in mental health housing units.
In response to allegations that incarcerated people with mental health issues are placed in solitary confinement as punishment, the order would direct the county to allow inmates in segregated housing at least four hours of out-of-cell time daily, which includes social interaction and treatment. For those in restricted housing, the county would have a behavior management program designed by a psychologist that aims to reduce time spent in solitary and in the jail overall.
Inmates would have to be screened within two weeks of admission to the jail, and should be evaluated by a mental health staffer if they are found in need of treatment, the settlement says. Health care professionals, not other jail officials, must make any clinical decisions regarding such things as medication; suicide watch; counseling; and access to items like blankets, paper and writing instruments.
The order \u201cheralds a fundamental shift\u201d in how mental health is addressed in the jail, said Keith E. Whitson, an attorney with Whiteford. \u201cThese are meaningful changes that will have a substantial impact on individuals incarcerated at ACJ and their families.\"
If approved, the settlement would require the jail to maintain substantial compliance for at least two years before court supervision would end.
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Democratic Gov. Tony Evers says Opill will start becoming available in some Medicaid-enrolled pharmacies on Tuesday and expand over the coming weeks. Evers says that will allow Medicaid recipients to easily receive contraceptive medication with no out-of-pocket costs or doctor\u2019s prescription. The governor had promised in his State of the State speech in January that Opill would be available to people in the state\u2019s Medicaid program known as BadgerCare Plus. He said it's important to ensure access to the drug \u201cas we see continued attacks on women\u2019s reproductive freedoms.\u201d", + "bylines": [ + { + "by": "By SCOTT BAUER", + "title": "Associated Press" + } + ], + "located": "MADISON, Wis.", + "datelinelocation": { + "city": "Madison", + "countryareacode": "WI", + "countryareaname": "Wisconsin", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -89.40123, + 43.07305 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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(AP) \u2014 Medicaid recipients in Wisconsin will have access to the first over-the-counter birth control pill starting Tuesday, allowing them to easily receive contraceptive medication with no out-of-pocket costs or doctor's prescription, Gov. Tony Evers announced.
Evers, a Democrat, promised in his State of the State speech in January that Opill would be available to people in the state's Medicaid program known as BadgerCare Plus. It will start becoming available in some Medicaid-enrolled pharmacies on Tuesday and expand over the coming weeks, Evers said in a statement.
Evers said it was more important than ever to ensure access to the drug \u201cas we see continued attacks on women\u2019s reproductive freedoms here in Wisconsin and across our country.\u201d
BadgerCare Plus currently covers over-the-counter daily oral contraception with a prescription from a provider. A new standing order from Evers will allow for Opill to be available without a prescription and with no out-of-pocket costs.
The suggested retail price from manufacturer Perrigo for a one-month supply is about $20.
The Food and Drug Administration in July approved the sale of once-a-day Opill without a prescription.
The availability of the pill to women nationwide, not just those on Medicaid, gives them another birth control option amid the legal and political battles over reproductive health, including the Supreme Court's 2022 decision that overturned Roe v. Wade. That ruling upended abortion access across the U.S.
Hormone-based pills have long been the most common form of birth control in the U.S., used by tens of millions of women since the 1960s. Until Opill's approval, all required a prescription.
Opill is an older class of contraceptives, sometimes called minipills, that contain a single synthetic hormone, progestin. Minipills generally carry fewer side effects than more popular combination estrogen and progestin pills.
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The federal police indictment released by the Supreme Court alleged that Bolsonaro and 16 others inserted false information into a public health database to make it appear as though the then-president, his 12-year-old daughter and several others in his circle had received the COVID-19 vaccine.
Police detective F\u00e1bio Alvarez Shor, who signed the indictment, said in his report that Bolsonaro and his aides changed their vaccination records in order to \u201cissue their respective (vaccination) certificates and use them to cheat current health restrictions.\u201d
\u201cThe investigation found several false insertions between November 2021 and December 2022, and also many actions of using fraudulent documents,\u201d Shor added.
The detective said in the indictment that Bolsonaro\u2019s aide-de-camp, Mauro Cid, told investigators the former president asked him to insert the false data into the system for both himself and his daughter. Cid also said he delivered the vaccination certificates to Bolsonaro personally.
During the pandemic, Bolsonaro was one of the few world leaders who railed against the vaccine. He openly flouted health restrictions and encouraged other Brazilians to follow his example. His administration ignored several offers from pharmaceutical company Pfizer to sell Brazil tens of millions of shots in 2020, and he openly criticized a move by Sao Paulo state\u2019s governor to buy vaccines from Chinese company Sinovac when no other doses were available.
Brazil\u2019s prosecutor-general\u2019s office will have the final say on whether to use the indictment to file charges against Bolsonaro at the Supreme Court. The case stems from one of several investigations targeting Bolsonaro, who governed from 2019 to 2022.
Bolsonaro's lawyer, F\u00e1bio Wajngarten, called his client\u2019s indictment \u201cabsurd\u201d and said he did not have access to it.
\u201cWhen he was president, he was completely exempted from showing any kind of certificate on his trips. This is political persecution and an attempt to void the enormous political capital that has only grown,\u201d Wajngarten said.
The former president denied any wrongdoing during questioning in May 2023.
Gleisi Hoffmann, chairwoman of the Workers' Party, whose candidate defeated Bolsonaro, celebrated his indictment on social media. She said she hopes the former president stands trial in many other cases, including for his alleged attempt to sneak $3 million in diamond jewelry into the country and the sale of two luxury watches he received as gifts from Saudi Arabia while in office.
\u201cHe has lied until this day about his nefarious administration, but now he will have to face the truth in the courts. The federal police's indictment sent to prosecutors is just the first of several,\u201d Hoffmann said. \u201cWhat is up now, Big Coward? Are you going to face this or run away to Miami?\u201d
Brazil's Supreme Court has already seized Bolsonaro's passport.
Police accuse Bolsonaro and his aides of tampering with the health ministry\u2019s database shortly before he traveled to the U.S. in December 2022, two months after he lost his reelection bid to Luiz In\u00e1cio Lula da Silva.
Bolsonaro needed a certificate of vaccination to enter the U.S., where he remained for the final days of his term and the first months of Lula\u2019s term. The former president has repeatedly said he has never taken a COVID-19 vaccine.
If convicted for falsifying health data, the 68-year-old politician could spend up to 12 years behind bars or as little as two years, according to legal analyst Zilan Costa. The maximum jail time for a charge of criminal association is four years, he said.
\u201cWhat Bolsonaro will argue in this case is whether he did insert the data or enable others to do it, or not. And that is plain and simple: Either you have the evidence or you don't. It is a very serious crime with a very harsh sentence for those convicted,\u201d Costa told The Associated Press.
Shor also said he is awaiting information from the U.S. Justice Department to \u201cclarify whether those under investigation did make use of the false vaccination certificates upon their arrival and stay in American territory.\u201d
If so, further charges could be leveled against Bolsonaro, Shor wrote without specifying in which country.
The indictment sheds new light on a Senate committee inquiry that ended in October 2021 with a recommendation for nine criminal charges against Bolsonaro alleging that he mismanaged the pandemic. Then prosecutor-general Augusto Aras, who was widely seen as a Bolsonaro ally, declined to move the case forward.
Brazilian media reported that Aras' successor, Paulo Gonet, was scheduled to meet lawmakers later Tuesday to discuss the possibility of filing charges.
Bolsonaro retains staunch allegiance among his political base, as shown by an outpouring of support last month, when an estimated 185,000 people clogged Sao Paulo's main boulevard to decry what they \u2014 and the former president \u2014 characterize as political persecution.
The indictment will not turn off his backers and will only confirm his detractors\u2019 suspicions, said Carlos Melo, a political science professor at Insper University in Sao Paulo.
\u201cIt is definitely worse for him in courts,\u201d Melo said. \u201cHe could be entering a trend of convictions, and then arrest.\u201d
Brazil\u2019s top electoral court has already ruled Bolsonaro ineligible to run for office until 2030, on the grounds that he abused his power during the 2022 campaign and cast unfounded doubts on the country\u2019s electronic voting system.
Another investigation relates to his alleged involvement in the Jan. 8, 2023, uprising in the capital of Brasilia, soon after Lula took power. The uprising resembled the U.S. Capitol riot in Washington two years prior. Bolsonaro has denied wrongdoing in both cases.
Shor wrote that the indictment will be folded into the investigation of Jan. 8, which is being overseen by Supreme Court Justice Alexandre de Moraes. That justice authorized the unsealing of the indictment.
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Taking part in compensated surrogacy contracts currently could result in a misdemeanor or felony charge punishable by up to one year in jail and a $10,000 fine. The Michigan Senate gave approval Tuesday to a package that will repeal that law and also remove barriers for surrogacy and assisted reproduction methods, including in vitro fertilization services. Gov. Gretchen Whitmer plans to sign the package into law. Multiple families impacted by Michigan\u2019s surrogacy laws spoken out in favor of repealing the 1988 law. That included Tammy Myers, who spent nearly two years trying to adopt her biological twins.", + "bylines": [ + { + "by": "By JOEY CAPPELLETTI", + "title": "Associated Press" + } + ], + "located": "LANSING, Mich.", + "datelinelocation": { + "city": "Lansing", + "countryareacode": "MI", + "countryareaname": "Michigan", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -84.55553, + 42.73253 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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(AP) \u2014 Rachael Lang and her husband share the same last name as their biological daughter, but are not listed on her birth certificate. Instead, it bears the name of a surrogate who carried their daughter due to Lang\u2019s past cancer diagnosis.
Michigan\u2019s ban on paid surrogacy contracts \u2014 the only state with such a law \u2014 has forced the couple to spend nearly a year trying to adopt their biological daughter.
State lawmakers voted Tuesday to change that, hoping to make it easier for people like the Langs to more easily be deemed the legal parents of their children born through surrogates.
\u201cWhenever I fill out paperwork for her, they ask, are you a parent or guardian? And you have to check one box or the other. I don\u2019t know what to check because I am her parent biologically, but legally, I\u2019m her guardian,\u201d said Lang. \u201cSo that just makes me feel very conflicted and very sad about what I am on a piece of paper to her.\u201d
Michigan is currently the only state in the nation where surrogacy contracts are criminally banned, according to the governor\u2019s office. A 1988 law passed by Republicans makes it a misdemeanor or felony charge to take part in a compensated surrogacy contract.
An agreement reached between a woman who acts as a surrogate and then hands over parental rights to the child is \u201cvoid and unenforceable,\u201d under the current law. That means the intended parents must go through a judge or the adoption process to gain custody.
Parents who testified in favor of changing that law say they spent months \u2014 sometimes years \u2014 trying to adopt their child born through a surrogate.
\u201cDecisions about if, when, and how to have a child are deeply personal. Politicians should not be dictating the terms of these private decisions that should be left to a family, their doctor, and those they love and trust,\u201d said Michigan Gov. Gretchen Whitmer in a statement.
Whitmer, who has said she will sign the package, added that the legislation was vital as \u201cother states make it harder for you to start a family.\u201d The nine-bill package also includes added protections for other assisted reproduction, such as in vitro fertilization services, or IVF.
The package was introduced in a Senate committee just weeks after the Alabama Supreme Court ruled that frozen embryos can be considered children under state law, which forced some clinics in the state to pause IVF services. Alabama\u2019s governor has since signed legislation into law shielding doctors from potential legal liability resulting from the courts ruling.
In Michigan, Tammy and Jordan Meyers were among those pleading with lawmakers to make the change based on their two-year legal battle.
The couple in 2021 had sought a pre-birth order for custody of twins they were expecting via gestational carrier. The twins arrived prematurely, before the order\u2019s approval, and a judge denied the couple custody despite the twins being their biological children.
\u201cIf I\u2019m being honest about it, we missed out on a lot of moments with our babies,\u201d said Tammy Myers. \u201cTime that we should have just been focusing on the babies that arrived safely, despite being eight weeks premature. We weren\u2019t living in the miracle. We were living in the trauma.\u201d
After a 23-month legal fight, the Myers won the right to adopt their twins in late 2022.
Tammy Myers watched from the balcony overlooking the Senate chambers on Tuesday as lawmakers considered the package. Prior to the vote, Senate Majority Leader Winnie Brinks drew attention to Myers, who eventually received a standing ovation from lawmakers.
\u201cThere is no good reason that parents such as Tammy and Jordan should have to adopt their own babies,\u201d said Brinks.
Under the bills passed Tuesday, an individual can enter an agreement to become a surrogate if they are at least 21 years old, have previously given birth to a child, undergone medical and mental health exams and have independent legal representation.
The Michigan Fertility Alliance applauded the Senate\u2019s passage of the bills Tuesday, saying in a statement that it ensures all \u201cchildren born in Michigan by fertility treatments and surrogacy have access to a secure legal relationship with their parents.\u201d
Several Republicans spoke out against the package of bills on Tuesday prior to the Senate vote, and two Republicans sided with the Democratic majority on all nine of the bills. One Republican, Sen. Thomas Albert, said the bills could \u201copen Pandora\u2019s Box,\u201d and that it \u201cfundamentally redefines the family.\u201d
Democratic state Sen. Stephanie Chang said during a speech in favor of the bills that they were about \u201cpromoting families\u201d and ensuring \u201cthat Michiganders can fulfill their dreams of parenthood.\u201d
The Lang family, who is still attempting to adopt their one-year-old, are among those who could potentially grow their family under the new law. In an interview prior to the vote, Rachael Lang said she and her husband felt so broken by the process that they vowed not to try for another child through surrogacy.
\u201cBut now, you know, if it does go through, we would consider working with a surrogate again,\u201d said Lang.
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Therefore, it is only tangentially related to health as it touches on reproductive health services." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/03/19/b3a3e05ab191c020da5cace01292fbec.json b/datasets/AP_news/raw_data/2024/03/19/b3a3e05ab191c020da5cace01292fbec.json new file mode 100644 index 0000000..6331131 --- /dev/null +++ b/datasets/AP_news/raw_data/2024/03/19/b3a3e05ab191c020da5cace01292fbec.json @@ -0,0 +1,219 @@ +{ + "altids": { + "itemid": "b3a3e05ab191c020da5cace01292fbec", + "etag": "b3a3e05ab191c020da5cace01292fbec_0a2aza0c0", + "friendlykey": "928552525269", + "referenceid": "MN--Editorial Rdp" + }, + "version": 0, + "type": "text", + "urgency": 4, + "profile": "Opinion", + "language": "en", + "versioncreated": "2024-03-20T11:10:44Z", + "firstcreated": "2024-03-19T18:26:26Z", + "editorialrole": "FullStory", + "fixture": { + "code": "21ea4067bb274c3b805353fb2b99ba70", + "name": "Editorial Roundup" + }, + "pubstatus": "usable", + "signals": [ + "newscontent" + ], + "title": "MN--Editorial Rdp", + "headline": "Editorial Roundup: Minnesota", + "slugline": "BC-MN--Editorial Rdp", + "bylines": [ + { + "by": "By The Associated Press" + } + ], + "copyrightnotice": "Copyright 2024 The Associated Press. 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March 18, 2024.
Editorial: \u2018Human composting\u2019 should be legal
Minnesota lawmakers should legalize Natural Organic Reduction as an end-of-life alternative this session.
It\u2019s not often that someone who has died is among those advocating for a bill at a Minnesota legislative committee meeting. But had technology cooperated last Thursday, the Senate\u2019s Committee on Health and Human Services would have heard from Steve Wheeler, a Lake Elmo resident who passed away in September at the age of 53.
Wheeler battled both cancer and multiple sclerosis. As his life came to a close, he became a passionate advocate for Natural Organic Reduction (NOR), which is a new but not-yet-legal-in-Minnesota alternative to traditional burial or cremation. In a video recorded before his death, Wheeler spoke movingly of why he embraced this environmentally friendly innovation.
\u201cI can take this one action, this final action, and make some good, leave the world a better place than when I found it,\u201d Wheeler said. \u201cAnd to find out that Minnesota doesn\u2019t have this option, why not? ... Why wouldn\u2019t it be something that people can choose?\u201d
A glitch kept the Senate committee from hearing Wheeler\u2019s recorded remarks, available on YouTube at tinyurl.com/SteveWheelerMN. Fortunately, other advocates \u2014 including Mueller Memorial Funeral Home and Cremation, the St. Paul funeral provider that helped Wheeler find an out-of-state NOR service to realize his last wish \u2014 are making a strong argument for why Minnesota should legalize NOR this session. The Star Tribune Editorial Board agrees and urges legislators to do so with care but without delay.
Consumers deserve more choices, particularly more affordable choices in their end-of-life planning. The same is true for those facing the unexpected death of a loved one.
There also would be comfort for many families in knowing that this more natural process doesn\u2019t require embalming chemicals or land to be permanently set aside for a resting place. Nor does it require the energy or emissions cremation does. For those concerned about climate change and pollution, this is a way to honor these personal principles even after they\u2019ve taken their last breath.
NOR is currently legal in seven states \u2014 Washington, Colorado, Oregon, Vermont, California, New York and Nevada, according to Recompose, a Seattle-based NOR provider and pioneer. Minnesota is one of 17 states where legalization legislation has been introduced.
NOR is sometimes referred to as \u201chuman composting,\u201d because that\u2019s what it is. It involves putting a body into a vessel with alfalfa, wood chips and straw, then allowing the bacteria occurring naturally on the body to break it down. The entire process takes between eight and 12 weeks, and the result is top soil that can be donated or returned to a family. At Recompose, \u201ccustomers have used their person\u2019s soil to create groves of trees, nourish rose gardens tended by their person while they were alive, or scattered in a favorite natural area. In Washington State, the law for scattering human composting soil is the same for cremated remains \u2014 you must have permission of the landowner.\u201d
Nature centers in states where it\u2019s legal may also take donated soil. As one expert testified this week in St. Paul, there is no DNA in the end product, and the soil is \u201cnot visually, chemical or microbiologically recognized as human remains.\u201d Temperatures reached during the process also eliminate pathogens, though one exception is prions, which cause a rare condition called Creutzfeldt-Jakob disease.
The Minnesota legislation\u2019s lead authors are Rep. John Huot, DFL-Rosemount, and Sen. John Marty, DFL-Roseville. Opponents include the Minnesota Catholic Conference, which stated in written testimony that the process is \u201cdisrespectful\u201d to the body. The Minnesota Funeral Directors Association has also testified against the bill, with concerns focusing mainly on who would be authorized to perform NOR. The trade organization has also urged lawmakers to wait until a state health department report comes out in 2025.
Marty told an editorial writer that other states have legalized NOR without problems and said advocates are working to accommodate the funeral directors\u2019 concerns. State regulators could also adjust as necessary once the report comes out, he added. There\u2019s no reason to delay making comfort and choice available in Minnesota when death occurs. Said Marty: \u201cIf you don\u2019t want to do it, that\u2019s fine. But don\u2019t stop anybody else from doing so.\u201d
___
Mankato Free Press. March 15, 2024.
Editorial: Mental Health: Programs get support, but providers still short
The Minnesota Legislature last year funded and established mental health programs and boosted reimbursement rates to providers. But mental health needs across the state and in southern Minnesota remain high.
The suicide rate in Minnesota in 2022 was 14.3 per 100,000 and the rate for the southwest Minnesota planning region of 23 counties, including Blue Earth and Nicollet counties, was more than 15 per 100,000 in 2021, according to state data. Rural areas of Minnesota have suicide rates of 20 per 100,000, according to an analysis by the Center for Rural Policy and Development.
And the center notes rural area rates are \u201cspiking higher and trending up faster\u201d than rates in more populated urban areas.
The 2023 Legislature passed a number of programs aimed at preventing suicide and providing mental health treatment, but with a $17 billion budget surplus the $200 million spent to boost mental health programs fell short. In fact, the approved budget was below what was originally proposed by Gov. Tim Walz and the Democrat-controlled House and Senate, according to the National Alliance on Mental Health (NAMI), Minnesota.
The group notes there is widespread awareness of the mental health crisis facing Minnesota and the country even as the pandemic has faded. Suicide rates reported in 2022 are at a historical high in most areas even when compared to 2019, one of the worst years.
Providers are of course key to tackling the mental health crisis, and there remains a shortage. Waits to see a therapist sometimes last several months. The Legislature did increase reimbursement rates 3% plus inflation, but but NAMI calls that \u201cnot enough to address the current crisis.\u201d
Currently, mental health providers are paid about 74% of what the government would pay for Medicaid patients.
While the current rate from the Department of Human Services for residential substance abuse treatment is about $79.84 per day, a recent study recommended the level should be nearly triple that, $216.90 per day.
Funding for mobile crisis and school-based mental health programs were funded for one year with reduced or no funding for the second year. That creates uncertainty for providers and stymies the growth and establishment of such programs.
Minnesota\u2019s formula for reimbursement is not based on costs providers face or quality of care. It has been set arbitrarily. That must change.
The surplus is gone and it would have been one-time money in any event, but the Legislature and the governor must pull out all stops and figure out a way to fund mental health in Minnesota to a level that meets needs and costs.
With the lack of adequate funding, this crisis will only get more costly in terms of real dollars and lives lost.
You can find mental health resources by Googling \u201cmental health resources + mankatofreepress\u201d or going to this site: https://www.mankatofreepress.com/news/local_news/mental-health-resources/article_4e4c0286-fb3f-11eb-8e4b-cf780c9a480d.html
For the nationwide 24 hour, 7 day a week mental health help line dial or text 988 or to chat go to 988lifeline.org/chat.
END
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The order signed Tuesday is part of New York Gov. Kathy Hochul\u2019s mission to bolster reproductive rights at a time when its restricted in other parts of the country. Trained pharmacists will be able to hand out self-administered hormonal contraceptives including oral birth control pills, vaginal rings, and the patch, even if the patients don\u2019t have prescriptions. Participating pharmacists must complete a training developed by state education officials before they can dispense. Hochul's office said the service could be made available in the next several weeks.", + "bylines": [ + { + "by": "By MAYSOON KHAN", + "title": "Associated Press/Report for America" + } + ], + "located": "ALBANY, N.Y.", + "datelinelocation": { + "city": "Albany", + "countryareacode": "NY", + "countryareaname": "New York", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -73.75623, + 42.65258 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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(AP) \u2014 Contraceptives will be available without a prescription in New York under an order signed by state health officials on Tuesday. The move is part of New York Gov. Kathy Hochul's mission to bolster reproductive rights at a time when its restricted in other parts of the country.
The measure comes as the first over-the-counter birth control pill was made available in U.S. stores this month. The Food and Drug Administration said in a landmark decision last July that the once-a-day Opill could be sold on store shelves and without a prescription.
More than 25 states including California and Minnesota already allow pharmacists to provide contraceptive care, according to the Guttmacher Institute.
The order, signed by New York Health Commissioner James McDonald at a pharmacy in Albany, expedited the effective date of a law signed last year that laid out the measure.
\u201cIn light of national threats to reproductive freedoms, we simply cannot wait that long,\u201d Hochul wrote in a memo when she had signed the bill into law. It was supposed to go into effect in November.
People could tap into the service as soon as the next several weeks, according to Hochul\u2019s office.
In New York, trained pharmacists will be able to hand out self-administered hormonal contraceptives including oral birth control pills, vaginal rings, and the patch, even if the patients don't have prescriptions.
Pharmacists who want to participate need to complete training developed by the state Education Department before they can dispense up to a 12-month supply of a contraceptive of the individual's preference.
Patients must fill out a self-screening form to help pharmacists identify the appropriate contraceptive as well as potential risks associated with the medication. Pharmacists will also be required to notify the patient's primary health care practitioner within 72 hours of dispensing the medication.
Opill will still be available on store shelves and can be purchased by American women and teens just as easily as they buy Ibuprofen.
___
Maysoon Khan is a corps member for the Associated Press/Report for America Statehouse News Initiative. Report for America is a nonprofit national service program that places journalists in local newsrooms to report on undercovered issues.
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PAUL, Minn. (AP) \u2014 The Minnesota Court of Appeals has ruled that a pharmacist who refused to provide emergency contraceptives to a customer because of his personal beliefs engaged in discrimination.
The three-judge panel ruled Monday that pharmacist George Badeaux engaged in business discrimination in 2019 when he wouldn't fill a prescription for an emergency contraception that is used to stop a pregnancy before it starts. The customer seeking the prescription said she then traveled about 100 miles (160 kilometers) round trip from the pharmacy in McGregor to another pharmacy in Brainerd, where she filled the prescription.
The customer, Andrea Anderson, later filed a lawsuit claiming discrimination under Minnesota's Human Rights Act.
\u201cBadeaux\u2019s refusal to dispense emergency contraception because it may interfere with a pregnancy is sex discrimination,\u201d Judge Jeanne Cochran wrote in the ruling.
The appeals court decision means the case will either be appealed to the Minnesota Supreme Court or returned to district court, where a jury in 2022 found the pharmacist had not discriminated but that Anderson was owed $25,000 because of emotional harm. However, Anderson couldn\u2019t collect that money because there was no finding of discrimination.
Jess Braverman \u2014 an attorney for Anderson and the legal director of Gender Justice, an advocacy organization for gender equity \u2014 said this may be the first ruling in the country to find that a refusal to dispense emergency contraception is a form of sex discrimination. Alison Tanner, senior litigation counsel for reproductive rights and health at the National Women\u2019s Law Center, agreed.
Braverman said the ruling made clear to Minnesota businesses \"that you can\u2019t just turn away patients in need of reproductive health care.\u201d
Rory Gray, senior counsel at Alliance Defending Freedom, a Christian advocacy group, represented Badeaux and criticized the decision.
\u201cAs a devout Christian, George believes every human life has value. As such, George cannot provide or facilitate the use of any potential abortion-causing drugs,\" Gray said in a statement. \"The court failed to uphold George\u2019s constitutionally protected freedom to act consistent with his beliefs while at work.\u201d
Anderson tried unsuccessfully to buy the emergency contraception, called Ella, at the drug store. The store previously was owned by Aitkin Pharmacy Services, and an attorney for the business did not immediately respond to requests for comment by phone and email.
Gender Justice appealed the jury\u2019s ruling last year, arguing that Badeaux discriminated against Anderson on the basis of her sex when he refused to fill her prescription for a drug that is only prescribed to women.
In 2015, Badeaux refused to dispense Plan B, a different type of emergency contraception, to a woman, resulting in a complaint to the pharmacy's owner, the judges wrote. The owner and Badeaux then developed a plan for dispensing emergency contraception, which involved getting another pharmacist to come in to fill the prescription the same day or the next day, or transferring the prescription elsewhere.
Tanner, at the National Women\u2019s Law Center, said the Monday ruling \u201cis important because there should be no reason that folks who are in need of emergency contraception are delayed access to that care. It is a time-sensitive medication.\u201d
Since the U.S. Supreme Court ended constitutional protections for abortion in 2022, some states have expanded access to emergency contraceptives and birth control while other states have restricted access and enacted abortion bans.
Dozens of universities across the country now carry emergency contraceptives in vending machines, according to the American Society for Emergency Contraception. Some, such as the University of Tulsa in Oklahoma, are in states where abortion is largely banned.
Although Minnesota has protected abortion access, neighboring states have banned or severely restricted the procedure.
___
Trisha Ahmed is a corps member for the Associated Press/Report for America Statehouse News Initiative. Report for America is a nonprofit national service program that places journalists in local newsrooms to report on under-covered issues. Follow her on X, formerly Twitter: @TrishaAhmed15
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But there was a problem, according to a Federal Police indictment: Bolsonaro didn\u2019t have the necessary vaccination certificate required by U.S. authorities. So Bolsonaro allegedly turned to his aide-de-camp and asked him to insert false data into the public health system to make it appear as though he and his 12-year-old daughter had received the COVID-19 vaccine. Cid told police he printed out the certificates and hand-delivered them to Bolsonaro, according to detective F\u00e1bio Alvarez Shor.", + "bylines": [ + { + "by": "By EL\u00c9ONORE HUGHES and MAURICIO SAVARESE", + "title": "Associated Press" + } + ], + "located": "RIO DE JANEIRO", + "datelinelocation": { + "city": "Rio De Janeiro", + "countrycode": "BRA", + "countryname": "Brazil", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -43.18223, + -22.90642 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. 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But there was a problem, according to a Federal Police indictment unveiled Tuesday: Bolsonaro didn\u2019t have the necessary vaccination certificate required by U.S. authorities.
So Bolsonaro turned to his aide-de-camp, Mauro Cid, and asked him to insert false data into the public health system to make it appear as though he and his 12-year-old daughter had received the COVID-19 vaccine, according to the indictment.
Cid told police he tasked someone with the carrying out the deed, then printed out the certificates inside the presidential palace on Dec. 22 and hand-delivered them to Bolsonaro, according to detective F\u00e1bio Alvarez Shor, who signed the indictment.
It is Bolsonaro's first indictment since leaving office, and tampering with public records in Brazil is no trifling matter; should the prosecutor-general\u2019s office decide to use the indictment to file charges at the Supreme Court, the 68-year-old politician could spend up to 12 years behind bars or as little as two years, according to legal analyst Zilan Costa. A separate indictment for criminal association carries a maximum jail time of four years, he said.
Bolsonaro, who didn't comment on Tuesday, previously denied any wrongdoing during questioning in May 2023.
In addition to the allegation Bolsonaro falsified records, another ongoing investigation seeks to determine whether he tried to sneak two sets of expensive diamond jewelry into Brazil and prevent them from being incorporated into the presidency\u2019s public collection. Police are also probing his alleged involvement in the Jan. 8, 2023 uprising in the capital, soon after Lula took power. It resembled the U.S. Capitol riot in Washington two years prior and sought to restore Bolsonaro to power. Commanders who served under Bolsonaro have told police the former leader presented them with a plan for him to remain in power after he lost his 2022 reelection bid.
But it is his actions during the COVID-19 pandemic \u2013 which he called \u201ca measly cold\u201d as he brazenly flouted health restrictions and encouraged Brazilians to follow his example \u2013 that may have caught up with him first. After vaccines became available, he dismissed them as unnecessary, despite Brazil registering one of the highest death tolls in the world, and repeatedly said he would not receive a jab himself.
His administration ignored several offers from pharmaceutical company Pfizer to sell Brazil tens of millions of shots in 2020, and he openly criticized a move by Sao Paulo state\u2019s governor to buy vaccines from Chinese company Sinovac when no other doses at hand.
Bolsonaro wasn't the only one indicted on Tuesday: Cid and 15 others were accused of involvement in the scheme to falsify records for themselves and others.
\u201cThe former president never ordered or knew that any of his advisors had produced vaccination certificates with ideologically false content,\u201d three of Bolsonaro\u2019s lawyers said in a statement released late Tuesday. \u201cWhen he entered the U.S. at the end of December 2022, he was not asked for a vaccination certificate since, as President of the Republic, he was exempt from this requirement.\u201d
Shor, the police detective, wrote in his indictment he is awaiting information from the U.S. Justice Department to \u201cclarify whether those under investigation did make use of the false vaccination certificates upon their arrival and stay in American territory.\u201d If so, further charges could be leveled against Bolsonaro, Shor wrote without specifying in which country.
His indictment breathed fresh life into a Senate committee inquiry that ended in October 2021 with a recommendation for nine criminal charges against Bolsonaro, alleging that he mismanaged the pandemic. Then prosecutor-general Augusto Aras, who was widely seen as a Bolsonaro ally, declined to move the case forward.
Aras\u2019 successor, Paulo Gonet, met committee members Tuesday night. They requested that he reopen investigations stemming from their monthslong work that were shelved, and stressed the importance of carrying forward those already underway, according to a statement from the office of Sen. Omar Aziz, who chaired the committee.
Bolsonaro retains staunch allegiance among his political base, as shown by an outpouring of support last month, when an estimated 185,000 people clogged Sao Paulo\u2019s main boulevard to decry what they \u2014 and the former president \u2014 characterize as political persecution.
The indictment will not turn off his backers and will only confirm his detractors\u2019 suspicions, said Carlos Melo, a political science professor at Insper University in Sao Paulo.
\u201cIt is definitely worse for him in courts,\u201d Melo said. \u201cHe could be entering a trend of convictions, and then arrest.\u201d
Brazil\u2019s top electoral court has already ruled Bolsonaro ineligible to run for office until 2030, on the grounds that he abused his power during the 2022 campaign and cast unfounded doubts on the country\u2019s electronic voting system.
After losing the October 2022 election, he never conceded defeat. And with a fresh vaccination certificate in hand, according to the police indictment, he decamped for south Florida.
___ Savarese reported from Sao Paulo.
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The bill for tribes is expected to provide nearly $8 million total each year for the 29 federally recognized tribes in Washington. The money will come partly from a roughly half-billion-dollar settlement between the state and major opioid distributors. The measures seek to address the fentanyl crisis throughout the state by improving opioid education, overdose prevention, treatment access, recovery supports, and first-responder resources.", + "located": "TULALIP, Wash.", + "datelinelocation": { + "city": "Tulalip", + "countryareacode": "WA", + "countryareaname": "Washington", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -122.29181, + 48.06843 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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(AP) \u2014 Washington Gov. Jay Inslee has signed a multimillion-dollar measure to send state money to tribes and Indigenous people in the state who die from opioid overdoses at disproportionately high rates in Washington.
It was one of seven fentanyl-related bills Inslee signed Tuesday while on the Tulalip Indian Reservation, KING-TV reported. The bills, passed by the state Legislature this session, seek to comprehensively address the fentanyl crisis throughout the state by improving opioid education, overdose prevention, treatment access, recovery supports, and first-responder resources.
\u201cWe need to equip first responders with the life-saving materials they need,\u201d Inslee said in an online blog post. \u201cWe need to implement programs in public education and prevention. We need special emphasis on youth and Tribal communities. We need to increase the number of treatment facilities to make it easier to get help.\u201d
The state Legislature earlier this month overwhelmingly approved the tribes bill expected to provide nearly $8 million total each year until at least 2031 for the 29 federally recognized tribes in Washington. The funds will be drawn partly from a roughly half-billion-dollar settlement between the state and major opioid distributors.
Native Americans and Alaska Natives in Washington die of opioid overdoses at five times the state average, according to 2021-2022 U.S. Centers for Disease Control and Prevention data that includes provisional numbers. The rate is one of the highest in the country and over three times the rate nationwide.
Officials with tribes such as the Lummi Nation, about 100 miles (161 kilometers) north of Seattle, have said the money would be crucial. Lummi Nation declared a state of emergency last year over fentanyl, adding drug-sniffing dogs and checkpoints, as well as revoking bail for drug-related charges.
The tribe also opened a seven-bed facility to help members with withdrawal and get them on medication for opioid use disorder. In its first five months, the facility treated 63 people, the majority of whom remain on the medication regimen, said Dr. Jesse Davis, medical director of the Lummi Healing Spirit Opioid Treatment program.
\u201cNative American tribes are disproportionately affected, and they have taken a proactive approach to treatment that deserves support,\u201d Republican Sen. John Braun, of Chehalis, said.
One of the other bills signed Tuesday, known as the Lucas Petty Act, will incorporate fentanyl education into the public school curriculum. The bill was named after the 16-year-old boy who died in 2022 after smoking marijuana he didn\u2019t realize was laced with fentanyl. His mother, Maria Trujillo Petty, testified passionately in favor of the bill to the House and Senate during the legislative session.
\u201cNo parent should have to go through the heartache of losing a child to an overdose,\u201d said bill sponsor Democratic Rep. Mari Leavitt of University Place. \u201cOur kids are facing a opioid and fentanyl crisis that is deadly and unforgiving. As adults, we owe our kids the information they need to make smart decisions.\u201d
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In September, Springsteen, 74, announced his tour would be delayed until 2024, citing doctor\u2019s advice as he recovered from peptic ulcer disease. In September, Springsteen, 74, announced his tour would be delayed until 2024, citing doctor\u2019s advice as he recovered from peptic ulcer disease. The 29-song show came in just under three hours, but \u201cThe Boss\u201d hardly broke a sweat while showing off a strong voice, all the while dancing, ripping into guitar solos, playing the harmonica and even tearing his shirt open near the end of the show.", + "bylines": [ + { + "by": "By ROSS D. FRANKLIN", + "title": "Associated Press" + } + ], + "located": "PHOENIX", + "datelinelocation": { + "city": "Phoenix", + "countryareacode": "AZ", + "countryareaname": "Arizona", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -112.07404, + 33.44838 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. 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In September Springsteen, 74, announced his tour would be delayed until 2024, citing doctor\u2019s advice as he recovered from peptic ulcer disease.
\u201cThe Boss\u201d arrived on stage to an audience chorus of \u201cBruuuuce!\u201d Wearing dark jeans and a rolled up red plaid flannel shirt, he had the energy of a man half his age. His signature \u201cOne, two, three, four\u201d was the only thing that separated most songs, showing no signs of his illness from the previous year. Once he shouted, \u201cGood evening, Arizona\u201d the show was off and running.
Springsteen spoke to the crowd briefly about his illness prior to playing his final song \u201cI\u2019ll See You In My Dreams\u201d solo on stage. \u201cPhoenix, first I want to apologize if there was any discomfort because we had to move the show last time. . . . I hope we didn\u2019t inconvenience you too much.\u201d
The 29-song show came in just under three hours, but \u201cThe Boss\u201d hardly broke a sweat while showing off a strong voice, all the while dancing, tearing into guitar solos, playing the harmonica and even ripping his shirt open near the end of the show.
On stage with Springsteen was the legendary E Street Band which features drummer Max Weinberg, bassist Garry Tallent, keyboardists Roy Bittan and Charlie Giordano, guitarists Stevie Van Zandt and Nils Lofgren, saxophonist Jake Clemons \u2014 nephew of original and still missed sax man Clarence Clemons who died in 2011 \u2014 guitarist and violin player Soozie Tyrell, a full horn and brass section and four backup vocalists. The only missing member of the band was Springsteen\u2019s wife, singer and guitarist Patti Scialfa.
Springsteen performed most of the hits in his vast collection, minus \u201cBorn In The U.S.A.,\u201d but he added covers \u201cNightshift\u201d by the Commodores, \u201cBecause The Night\u201d by Patti Smith Group, and a surprise: \u201cTwist and Shout\u201d by The Beatles. Fans went wild for \u201cNo Surrender,\u201d \u201cBorn To Run,\u201d \u201cRosalita,\u201d \u201cDancing In The Dark,\u201d \u201cGlory Days\u201d and \u201cTenth Avenue Freeze-Out\" that left the rocker grinning from ear-to-ear as he conducted fans singing along like his own chorus.
This year has been particularly challenging for Springsteen. In addition to his health issues, in January his mother, Adele Ann Springsteen, a fan favorite who could frequently be seen dancing at his shows, died. She was 98.
Two days after her death, Springsteen performed at the 2024 MusiCares Person of the Year event, which honored Jon Bon Jovi for his musical achievements and philanthropic efforts.
The 2024 edition of the tour kicked off in Phoenix and ends Nov. 22 in Vancouver, Canada. It hits 17 countries across 52 dates, including a special performance on Sept. 15 where Springsteen will headline the Sea.Hear.Now Festival in his hometown of Asbury Park, New Jersey.
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Yet leading health groups in the United States continue to decisively endorse gender-affirming care for both transgender youths and adults.", + "bylines": [ + { + "by": "By JEFF McMILLAN", + "title": "Associated Press" + } + ], + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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They weren\u2019t the first to turn to other countries, notably in Europe, for policy and research ideas. Lawmakers across the U.S., where at least 23 states now have tightened or removed access to transgender health care for minors, have routinely cited non-U.S. research or policies as justification for their legislation.
Yet leading health organizations in the United States and Europe continue to decisively endorse gender-affirming care for both transgender youths and adults.
Among other things, they argue that restrictions on things like hormone therapy tend to single out transgender youths, even though other young people also can benefit from them. And transgender advocates and allies see a political attempt to erase them, cloaked as concern for children.
Some information and perspectives on the global patchwork of health and public policies on gender-affirming care:
England, through rules put forth by its public health system, is limiting the ability of people younger than 16 to begin a medical gender transition.
The National Health Service England recently cemented a policy first issued on an interim basis almost a year ago that sets a minimum age at which puberty blockers can be started, along with other requirements. NHS England says there is not enough evidence about their long-term effects, including \u201csexual, cognitive or broader developmental outcomes.\u201d
Starting April 1, NHS England will not prescribe puberty blockers \u2014 drugs that suppress sex hormones during puberty \u2014 as a \u201croutine treatment\u201d to children and other young people seeking gender transitions. In practice, the decision also applies to Wales, which does not have any NHS gender clinics for children. Northern Ireland says it will adopt England's policy; Scotland is weighing it.
But it's not a blanket, nationwide restriction. NHS England is just one health provider in the country, albeit a major one.
Puberty blockers are available for a cost at a few private clinics. And young people already taking them through the NHS \u2014 fewer than 100 in England, according to the BBC \u2014 can continue. The drugs will also be available to participants in clinical trials.
Britain\u2019s Conservative government, which has been broadly critical of youth gender transitions, welcomed the NHS England decision. Even so, a proposal in Parliament to flatly make it illegal to provide puberty blockers to those under 16 is unlikely to become law.
The use of puberty blockers is not limited to gender transitions, but they can be an early step in one. They can pause puberty for gender-questioning youths until they are old enough to decide, after discussions with their families and health providers, on treatments that bring more-permanent changes.
U.S. legislators and statehouse bills seeking to restrict transgender health care have often cited European science and policy, from countries including Finland, France, Sweden and Norway, as well as the U.K.
In Kansas, state Sen. Beverly Gossage cited England\u2019s new policy last week when briefing fellow Republicans on a bill that would ban gender-affirming care for minors.
\u201cIn England, they\u2019ve declared that there could be no gender-affirming care other than therapy for children because the scientific proof is not there,\u201d Gossage said in comments that mischaracterized the NHS England guidelines. They do call for starting with counseling, as do those of other leading health organizations.
Republican leaders expect the ban to pass this week and hope they can override any veto by Gov. Laura Kelly, a Democrat.
In Georgia, Republican state Sen. Ben Watson pointed to Europe as he pushed a ban on gender-affirming care for children: \u201cIn light of the information and what\u2019s been going on, not only in Europe, in the U.K., but here in the United States, this is the change that I\u2019m proposing.\u201d
Puberty blockers for adolescents who meet certain criteria are endorsed by major U.S. medical groups, along with the World Professional Association for Transgender Health, when administered properly. Those criteria include no age requirement.
\u201cPuberty blockers have been prescribed for more than 40 years for safe and effective treatment of medical conditions including early puberty. The fact that NHS England is targeting only trans and gender diverse youth with this policy raises deep concerns about hostility and harm to LGTBQ+ people and their families,\" WPATH and the European Association for Transgender Health said in a statement last week.
\u201cDecisions about healthcare must be driven by clinical evidence, not by politics,\" the statement continued. \"The NHS has provided no indication what criteria it will use to monitor the harm its decision may cause, putting youth and families at enormous risk for no legitimate medical purpose.\u201d
Last year, the American Academy of Pediatrics, which represents 67,000 pediatricians, unanimously voted to reaffirm its pro-stance on gender-affirming care for transgender children, including hormone treatments when appropriate.
Iridescent Riffel, a 27-year-old transgender woman and activist from Lawrence, Kansas, said she views the English policy as too conservative.
Puberty blockers help prevent people from developing physical features not in line with their gender identity, such as beards or breasts. For most teenagers, puberty is well underway or nearly complete by age 16. Treatments to alter physical features later in life to align with one\u2019s identity can be costly and painful.
Transgender youths may find it harder to begin the process of social transitioning \u2014 or how a trans person changes how they present themselves to other people \u2014 once they start puberty, she said.
\u201cIt\u2019s not just, \u2018Oh, I\u2019m uncomfortable with my body.\u2019 It\u2019s, \u2018How are people perceiving me? Am I going to get judged? Are people going to judge me? Am I going to be unsafe for going out this way?\u2019\u201d she said.
A ban on gender-affirming care isn\u2019t the true goal, Riffel said. Instead, it\u2019s, \u201cWe just don\u2019t want to see trans people in public life at all.\u201d
___
McMillan reported from northeastern Pennsylvania. Contributing to this report were Associated Press writers Jill Lawless in London, John Hanna in Topeka, Kansas, and Jeff Amy in Atlanta.
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Since the topic is 'Health,' the document is highly relevant as it focuses on health policies, medical treatments, and the implications for transgender health care." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/03/20/78a56fa749f42b713b292147edcdcb61.json b/datasets/AP_news/raw_data/2024/03/20/78a56fa749f42b713b292147edcdcb61.json new file mode 100644 index 0000000..3eafc7d --- /dev/null +++ b/datasets/AP_news/raw_data/2024/03/20/78a56fa749f42b713b292147edcdcb61.json @@ -0,0 +1,284 @@ +{ + "altids": { + "itemid": "78a56fa749f42b713b292147edcdcb61", + "etag": "78a56fa749f42b713b292147edcdcb61_0a6aza0c0", + "friendlykey": "74279546952", + "referenceid": "US--Nevada Medicaid-Abortions" + }, + "version": 0, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-03-20T00:20:35Z", + "firstcreated": "2024-03-20T00:20:34Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: Updates Media.", + "signals": [ + "newscontent" + ], + "title": "US--Nevada Medicaid-Abortions", + "headline": "Nevada judge blocks state from limiting Medicaid coverage for abortions", + "headline_extended": "A Nevada judge has ordered the state to grant Medicaid coverage for abortions without any restrictions", + "slugline": "BC-US--Nevada Medicaid-Abortions", + "description_summary": "A Nevada judge has ordered the state to grant Medicaid coverage for abortions without any restrictions. Clark County District Judge Erika Ballou in Las Vegas said from the bench on Tuesday that she plans to issue a written order. The state could appeal the judge's ruling but declined to comment on its plans. Nevada's Medicaid program currently only covers abortions for pregnancies that are life-threatening or result from rape or incest. The judge says she agreed with civil rights advocates that the coverage restrictions violated equal rights protections. Seventeen states already allow Medicaid coverage for abortions, including neighboring California and Oregon. Nevada law grants the right to an abortion up to 24 weeks.", + "bylines": [ + { + "by": "By RIO YAMAT", + "title": "Associated Press" + } + ], + "located": "LAS VEGAS", + "datelinelocation": { + "city": "Las Vegas", + "countryareacode": "NV", + "countryareaname": "Nevada", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -115.13722, + 36.17497 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. For other uses, additional clearances may be required." + ], + "keywords": [ + "nevada abortions medicaid coverage" + ], + "provider": "AP", + "infosource": [ + { + "name": "AP", + "type": "AP" + } + ], + "subject": [ + { + "rels": [ + "category" + ], + "creator": "Editorial", + "code": "a", + "name": "a" + }, + { + "rels": [ + "category" + ], + "creator": "Editorial", + "code": "n", + "name": "n" + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "86aad5207dac100488ecba7fa5283c3e", + "name": "Politics", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 69 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "6cd98adfc84d405eadec8ca81bd37df4", + "name": "Access to health care", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 99 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "e22e35087de410048fc2df092526b43e", + "name": "Abortion", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 87 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "a4677d70863b4012b846a1b00f5079f5", + "name": "U.S. news", + "creator": "Editorial", + "editorial_subject": "U.S. news", + "rels": [ + "direct" + ], + "relevance": 75 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "f25af2d07e4e100484f5df092526b43e", + "name": "General news", + "creator": "Editorial", + "editorial_subject": "General news", + "rels": [ + "direct" + ], + "relevance": 50 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "cc7a76087e4e10048482df092526b43e", + "name": "Health", + "creator": "Editorial", + "editorial_subject": "Health", + "rels": [ + "direct" + ], + "relevance": 99 + } + ], + "organisation": [ + { + "scheme": "http://cv.ap.org/id/", + "code": "b2c2f437e7d14c5884afdbc7e720444f", + "name": "Pennsylvania state government", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 45 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "06c0a6e582f94a9189b0ea5bd27d2a30", + "name": "Nevada state government", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 45 + } + ], + "place": [ + { + "scheme": "http://cv.ap.org/id/", + "code": "90a1c9c082c6100487b0df092526b43e", + "name": "Las Vegas", + "creator": "Machine", + "rels": [ + "direct" + ], + "parentids": [ + "8bb89dd082c61004879fdf092526b43e" + ], + "locationtype": { + "code": "9d26a20b35f0484a891740f8189d4c7b", + "name": "City" + }, + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -115.13722, + 36.17497 + ] + }, + "relevance": 77, + "parentnames": [ + "Nevada" + ] + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "8bb89dd082c61004879fdf092526b43e", + "name": "Nevada", + "creator": "Machine", + "rels": [ + "direct" + ], + "parentids": [ + "661e48387d5b10048291c076b8e3055c" + ], + "locationtype": { + "code": "0ae5eb8e00e04295a4fc209c94bfe6ef", + "name": "State" + }, + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -116.75119, + 39.25021 + ] + }, + "relevance": 99, + "parentnames": [ + "United States" + ] + } + ], + "audiences": [ + { + "code": "82c6a4c46fa0446090a7acaf93159e4c", + "name": "Print", + "type": "AUDPLATFORM" + }, + { + "code": "9add4649b53b4702ba7d9de5d4fa607a", + "name": "Online", + "type": "AUDPLATFORM" + }, + { + "code": "f43adc08760d10048040e6e7a0f4673e", + "name": "National", + "type": "AUDSCOPE" + }, + { + "code": "f5b16ea8760d10048047e6e7a0f4673e", + "name": "State", + "type": "AUDSCOPE" + }, + { + "code": "f4ecf9b0760d10048044e6e7a0f4673e", + "name": "International", + "type": "AUDSCOPE" + }, + { + "code": "8bb89dd082c61004879fdf092526b43e", + "name": "Nevada", + "type": "AUDGEOGRAPHY" + }, + { + "code": "661850e07d5b100481f5c076b8e3055c", + "name": "Latin America and Caribbean", + "type": "AUDGEOGRAPHY" + }, + { + "code": "661e48387d5b10048291c076b8e3055c", + "name": "United States", + "type": "AUDGEOGRAPHY" + } + ], + "associations": { + "1": { + "altids": { + "itemid": "a543f722e67340219ac509e795cf0c67" + }, + "type": "picture" + } + }, + "body_nitf": "LAS VEGAS (AP) \u2014 A Nevada judge has struck down the state's limits on Medicaid coverage for abortion services, saying the restrictions violate equal rights protections.
Clark County District Judge Erika Ballou said Tuesday from the bench that she planned to issue a written order at a later date directing the state Department of Health and Human Services to grant Medicaid coverage for all abortions.
Currently, Nevada's Medicaid program only covers abortions for pregnancies that are life-threatening or result from rape or incest.
The judge's order would expand abortion access in Nevada, amid ongoing legal and political fights across the country over reproductive health since the U.S. Supreme Court overturned Roe v. Wade and stripped away federal abortion protections.
Ballou, however, acknowledged that it's likely her ruling will be appealed. A spokesperson for the Nevada attorney general\u2019s office declined to comment on the ruling and whether the state plans to request a stay on the order amid an appeal.
The Nevada ruling also comes on the heels of a Pennsylvania high court decision in January that revived a yearslong legal battle challenging restrictions there on Medicaid coverage for abortions.
Seventeen states currently allow Medicaid to pay for abortions, including Nevada's neighbors California and Oregon, according to KFF.
The American Civil Liberties Union of Nevada, which led the effort resulting in Tuesday's ruling, applauded the judge's decision.
\u201cEvery person, regardless of their income level or insurance source, deserves the power to make personal medical decisions during pregnancy, including abortion,\u201d staff attorney Rebecca Chan said in a statement.
In 2022, the same year that Roe v. Wade was overturned, Nevada voters passed a sweeping version of the Equal Rights Amendment, adding protections to the state's constitution against discrimination based on sex.
ACLU lawyers argued that Nevada's limitations on Medicaid abortion coverage violates the ERA, because the restrictions disproportionately discriminate against poor people and people of color.
Meanwhile, the state attorney general's office sought to have the case dismissed on procedural grounds, according to legal filings.
In Nevada, the right to terminate a pregnancy up to 24 weeks is protected by state law.
", + "textformat": "bx", + "links": [ + { + "href": "https://apnews.com/article/nevada-abortions-medicaid-coverage-78a56fa749f42b713b292147edcdcb61", + "rel": "canonical" + } + ], + "topics": { + "Health": { + "relevance_score": 5, + "reason": "The document discusses a legal ruling in Nevada that impacts Medicaid coverage for abortions, which is directly related to health policy and reproductive health services. It also touches on broader issues of health equity and access to medical services, which are pertinent to the topic of health. The document provides detailed information on the implications of the ruling, the legal context, and the potential for appeal, all of which are relevant to understanding health-related legal and policy changes." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/03/20/91a9e0ce87d11dff0fa761f327bd0566.json b/datasets/AP_news/raw_data/2024/03/20/91a9e0ce87d11dff0fa761f327bd0566.json new file mode 100644 index 0000000..5dc0f3e --- /dev/null +++ b/datasets/AP_news/raw_data/2024/03/20/91a9e0ce87d11dff0fa761f327bd0566.json @@ -0,0 +1,271 @@ +{ + "altids": { + "itemid": "91a9e0ce87d11dff0fa761f327bd0566", + "etag": "91a9e0ce87d11dff0fa761f327bd0566_1a9aza0c0", + "friendlykey": "758863281489", + "referenceid": "US--Election 2024-Trump-Abortion" + }, + "version": 1, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-03-20T12:06:19Z", + "firstcreated": "2024-03-20T02:38:50Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: Links audio of correspondent reporting on Trump's abortion stance. EDITS: Minor edits in summary to tighten.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "US--Election 2024-Trump-Abortion", + "headline": "Trump suggests he'd support a national ban on abortions around 15 weeks of pregnancy", + "headline_extended": "Donald Trump is suggesting he\u2019d support a national ban on abortions around 15 weeks of pregnancy, voicing for the first time support for a specific limit on the procedure", + "slugline": "AP-US--Election 2024-Trump-Abortion, 1st Ld-Writethru", + "description_summary": "Donald Trump is suggesting he\u2019d support a national ban on abortions around 15 weeks of pregnancy, voicing for the first time support for a specific limit on the procedure. The Republican former president has taken credit for overturning abortion rights in America by appointing three U.S. Supreme Court justices who voted to overturn Roe v. Wade, the landmark ruling that had established the constitutional protection for abortion. But as Trump seeks the White House again, he has until now refrained from embracing any specific limit on abortion, warning it can backfire politically. But in a radio interview Tuesday, Trump said \u201cPeople are agreeing on 15\" and he's \"thinking in terms of that.\u201d", + "bylines": [ + { + "by": "By MICHELLE L. PRICE", + "title": "Associated Press" + } + ], + "located": "NEW YORK", + "datelinelocation": { + "city": "New York", + "countryareacode": "NY", + "countryareaname": "New York", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -74.00597, + 40.71427 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. For other uses, additional clearances may be required." + ], + "keywords": [ + "Trump abortion ban 15 weeks" + ], + "provider": "AP", + "infosource": [ + { + "name": "AP", + "type": "AP" + } + ], + "person": [ + { + "scheme": "http://cv.ap.org/id/", + "code": "a6331b54c46e4ca8b79fa40fada95db5", + "name": "Donald Trump", + "creator": "Machine", + "rels": [ + "direct" + ], + "types": [ + "POLITICIAN", + "PERSON" + ], + "relevance": 93 + } + ], + "subject": [ + { + "rels": [ + "category" + ], + "creator": "Editorial", + "code": "a", + "name": "a" + }, + { + "rels": [ + "category" + ], + "creator": "Editorial", + "code": "p", + "name": "p" + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "e2305bd07de410048fcfdf092526b43e", + "name": "Pregnancy and childbirth", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 67 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "e22e35087de410048fc2df092526b43e", + "name": "Abortion", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 93 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "86aad5207dac100488ecba7fa5283c3e", + "name": "Politics", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 85 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "86aee4307dac10048901ba7fa5283c3e", + "name": "Elections", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 52 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "24e61d6d4e654ae6bda1f1558c8cc1f3", + "name": "2024 United States presidential election", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 78 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "cc7a76087e4e10048482df092526b43e", + "name": "Health", + "creator": "Editorial", + "editorial_subject": "Health", + "rels": [ + "direct" + ], + "relevance": 75 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "86aad5207dac100488ecba7fa5283c3e", + "name": "Politics", + "creator": "Editorial", + "editorial_subject": "Politics", + "rels": [ + "direct" + ], + "relevance": 99 + } + ], + "organisation": [ + { + "scheme": "http://cv.ap.org/id/", + "code": "efa933c0892110048d92fb7860a2fc03", + "name": "Supreme Court of the United States", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 44 + } + ], + "place": [ + { + "scheme": "http://cv.ap.org/id/", + "code": "cb06ab1082af100482f8df092526b43e", + "name": "Florida", + "creator": "Machine", + "rels": [ + "direct" + ], + "parentids": [ + "661e48387d5b10048291c076b8e3055c" + ], + "locationtype": { + "code": "0ae5eb8e00e04295a4fc209c94bfe6ef", + "name": "State" + }, + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -82.5001, + 28.75054 + ] + }, + "relevance": 47, + "parentnames": [ + "United States" + ] + } + ], + "audiences": [ + { + "code": "82c6a4c46fa0446090a7acaf93159e4c", + "name": "Print", + "type": "AUDPLATFORM" + }, + { + "code": "9add4649b53b4702ba7d9de5d4fa607a", + "name": "Online", + "type": "AUDPLATFORM" + }, + { + "code": "f43adc08760d10048040e6e7a0f4673e", + "name": "National", + "type": "AUDSCOPE" + }, + { + "code": "f4ecf9b0760d10048044e6e7a0f4673e", + "name": "International", + "type": "AUDSCOPE" + }, + { + "code": "661850e07d5b100481f5c076b8e3055c", + "name": "Latin America and Caribbean", + "type": "AUDGEOGRAPHY" + }, + { + "code": "661e48387d5b10048291c076b8e3055c", + "name": "United States", + "type": "AUDGEOGRAPHY" + } + ], + "associations": { + "1": { + "altids": { + "itemid": "690f648384ff4b33b8d790b305af6fe8" + }, + "type": "picture" + }, + "2": { + "altids": { + "itemid": "bfa94f1c27cb445ea7dbae67f1488c2f" + }, + "type": "audio" + } + }, + "body_nitf": "NEW YORK (AP) \u2014 Donald Trump suggested Tuesday that he\u2019d support a national ban on abortions around 15 weeks of pregnancy, voicing for the first time support for a specific limit on the procedure.
The Republican former president has taken credit for striking down a federally guaranteed right to abortion by appointing three U.S. Supreme Court justices who voted to overturn Roe v. Wade. As he seeks the White House a third time, Trump has refrained from embracing any specific limit on the procedure, warning it could backfire politically and instead suggesting he would \u201cnegotiate\u201d a policy on abortion that would include exceptions for cases of rape, incest and to protect the life of the mother.
But in a radio interview Tuesday, Trump criticized Democrats for not endorsing a ban that would limit abortions in states that still allow the procedure.
\u201cWe\u2019re going to come up with a time \u2014 and maybe we could bring the country together on that issue,\" Trump said while calling into the \u201cSid & Friends in the Morning\u201d show on WABC.
Trump went on to say: \u201cThe number of weeks now, people are agreeing on 15. And I\u2019m thinking in terms of that. And it\u2019ll come out to something that\u2019s very reasonable. But people are really, even hard-liners are agreeing, seems to be, 15 weeks seems to be a number that people are agreeing at.\"
At the same time, Trump seemed to suggest reluctance to a federal ban.
\u201cEverybody agrees \u2014 you\u2019ve heard this for years \u2014 all the legal scholars on both sides agree: It\u2019s a state issue. It shouldn\u2019t be a federal issue, it\u2019s a state issue,\u201d he said.
Last month, Trump\u2019s campaign dismissed reports that he privately had expressed for a ban on abortion after 16 weeks of pregnancy, calling the report \u201cfake news.\u201d The campaign did not offer details on Trump\u2019s plans, only saying he planned to \u201cnegotiate a deal\u201d on abortion.
Later Tuesday, after casting his ballot in Florida's Republican presidential primary, Trump was asked by a reporter about a ban on abortions at 16 weeks and said, \u201cWe\u2019ll be talking about that soon.\u201d
Abortion rights have been a galvanizing issue for voters in recent years, and Democrats and President Joe Biden's campaign are preparing to spotlight the issue as a clear split from Trump in the 2024 election.
Polling has consistently shown that most Americans believe abortion should be legal through the initial stages of pregnancy. About half of U.S. adults said abortions should be permitted at the 15-week mark, according to an Associated Press-NORC Center for Public Affairs Research poll conducted last June.
___
Associated Press writer Jill Colvin in New York contributed to this report.
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Therefore, it is somewhat relevant to health but not highly focused on health-specific content." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/03/20/b51a6b14c81c1239bc74c98579da08e0.json b/datasets/AP_news/raw_data/2024/03/20/b51a6b14c81c1239bc74c98579da08e0.json new file mode 100644 index 0000000..bf93a11 --- /dev/null +++ b/datasets/AP_news/raw_data/2024/03/20/b51a6b14c81c1239bc74c98579da08e0.json @@ -0,0 +1,255 @@ +{ + "altids": { + "itemid": "b51a6b14c81c1239bc74c98579da08e0", + "etag": "b51a6b14c81c1239bc74c98579da08e0_1a8aza0c0", + "friendlykey": "162896173425", + "referenceid": "EU--Netherlands-Airport-Noise Pollution" + }, + "version": 1, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-03-20T15:43:10Z", + "firstcreated": "2024-03-20T13:23:40Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: Updates Media.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "EU--Netherlands-Airport-Noise Pollution", + "headline": "Dutch court says the government must do more to rein in noise pollution at Amsterdam's busy airport", + "headline_extended": "A Dutch court says the government has systematically put the interests of the aviation sector above those of people who live near Amsterdam's Schiphol Airport", + "slugline": "BC-EU--Netherlands-Airport-Noise Pollution, 1st Ld-Writethru", + "description_summary": "A Dutch court says the government has systematically put the interests of the aviation sector above those of people who live near Amsterdam's Schiphol Airport. The Hague District Court ruled Wednesday that the treatment of local residents amounts to a breach of Europe\u2019s human rights convention. The court has ordered authorities to do more to rein in noise pollution. The court ruling is the latest development in long-running efforts to rein in noise pollution and nuisance caused by the airport on the outskirts of Amsterdam. Last year the government shelved plans to rein in flights following protests from countries including the United States.", + "bylines": [ + { + "by": "By MIKE CORDER", + "title": "Associated Press" + } + ], + "located": "THE HAGUE, Netherlands", + "datelinelocation": { + "city": "The Hague", + "countrycode": "NLD", + "countryname": "Netherlands", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + 4.29861, + 52.07667 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. 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\u201cThe state has always prioritized the \u2018hub function\u2019 and the growth of Schiphol,\u201d The Hague District Court said, as it ordered authorities to do more to rein in noise pollution.
The court ruling was the latest development in long-running efforts to rein in noise pollution and nuisance caused by the airport on the outskirts of Amsterdam. Late last year, the government shelved plans to rein in flights following protests from countries including the United States and warnings that the move could breach European law and aviation agreements.
\u201cThe judge\u2019s decision is crystal clear: more attention must be paid to local residents and the reduction of noise pollution. That was already the government\u2019s commitment, and we will study the verdict,\u201d the ministry for infrastructure and water said in a written response.
The national public health institute estimates that around 259,000 people in the Netherlands experience \u201cserious nuisance\u201d from aircraft flying over the densely populated country.
Wednesday's court ruling ordered the government to properly enforce existing noise pollution laws and regulations within a year and to provide \u201cpractical and effective legal protection for all people who experience serious inconvenience or sleep disturbance due to air traffic to and from Schiphol.\u201d
The organization that brought the case, called The Right to Protection from Aircraft Nuisance, welcomed the ruling.
\u201cThe court ruled that the state did not properly weigh interests: economic interests have always been central, local residents were lowest in the pecking order. That is no longer allowed,\u201d it said, adding that the group and its lawyers were \u201cextremely satisfied\u201d with the decision.
Schiphol said in a statement that it is working toward reducing noise pollution
\u201cLike these local residents, we want aviation to cause less nuisance. At the same time, we want the Netherlands to remain connected to the rest of the world, but quieter, cleaner and better,\u201d the airport said in a written statement.
Among measures the airport is proposing are closing at nighttime and banning the noisiest planes.
\u201cThis will lead to a reduction in the number of people experiencing noise nuisance. In the short term, it is in any case important to have legislation that gives clarity to both local residents and the aviation sector. That is also the judge\u2019s verdict today,\u201d Schiphol added.
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The mention of the national public health institute's estimate of people experiencing 'serious nuisance' from aircraft noise is relevant but not central to the document's main narrative." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/03/20/d2959f435daf2b2b0f437e220595c884.json b/datasets/AP_news/raw_data/2024/03/20/d2959f435daf2b2b0f437e220595c884.json new file mode 100644 index 0000000..a341e26 --- /dev/null +++ b/datasets/AP_news/raw_data/2024/03/20/d2959f435daf2b2b0f437e220595c884.json @@ -0,0 +1,339 @@ +{ + "altids": { + "itemid": "d2959f435daf2b2b0f437e220595c884", + "etag": "d2959f435daf2b2b0f437e220595c884_5a10aza0c0", + "friendlykey": "425770061561", + "referenceid": "EU--Britain-Royals" + }, + "version": 5, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-03-20T21:22:46Z", + "firstcreated": "2024-03-20T09:39:08Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: Updates Media.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "EU--Britain-Royals", + "headline": "Did UK hospital staff try to snoop on Kate's medical records? A privacy watchdog is investigating", + "headline_extended": "A British privacy watchdog is investigating a report that staff at a private London hospital tried to snoop on the Princess of Wales\u2019 medical records while she was a patient for abdominal surgery", + "slugline": "BC-EU--Britain-Royals, 5th Ld-Writethru", + "description_summary": "A British privacy watchdog is investigating a report that staff at a private London hospital tried to snoop on the Princess of Wales\u2019 medical records while she was a patient for abdominal surgery. The Information Commissioner\u2019s Office confirmed Wednesday that it had received a breach report and is \"assessing the information provided.\u201d The Daily Mirror newspaper reported that at least one staff member at the London Clinic tried to look at Kate\u2019s notes during her stay there in January. Kate had surgery at the clinic in central London on Jan. 16 and was discharged almost two weeks later. The chief executive of the hospital said Wednesday that \u201call appropriate investigatory, regulatory and disciplinary steps will be taken.\u201d", + "bylines": [ + { + "by": "By JILL LAWLESS", + "title": "Associated Press" + } + ], + "located": "LONDON", + "datelinelocation": { + "city": "London", + "countrycode": "GBR", + "countryname": "United Kingdom", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -0.12574, + 51.50853 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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Princess of Wales \u2019 medical records while she was a patient for abdominal surgery.
The Information Commissioner\u2019s Office said: \u201cWe can confirm that we have received a breach report and are assessing the information provided.\u201d
The Daily Mirror newspaper reported that at least one staff member at the London Clinic tried to look at Kate\u2019s notes during her stay there in January. The princess had surgery at the clinic in central London on Jan. 16 and was discharged almost two weeks later.
Kensington Palace, the office of Kate and husband Prince William, said that the report was \u201ca matter for the London Clinic.\u201d
Al Russell, the hospital's chief executive, said Wednesday that \u201call appropriate investigatory, regulatory and disciplinary steps will be taken.\u201d
\u201cThere is no place at our hospital for those who intentionally breach the trust of any of our patients or colleagues,\" he said in a statement.
Health Minister Maria Caulfield said that police had been asked to look into the matter.
\u201cWhether they take action is a matter for them,\u201d she told LBC radio.
\u201cBut the Information Commissioner can also take prosecutions,\u201d she added. \u201cSo there are particularly hefty implications if you are looking at notes for medical records that you should not be looking at.\u201d
The clinic in London's Marylebone neighborhood, less than two miles (around three kilometers) from Buckingham Palace, has treated several members of the royal family over the decades. King Charles III spent a weekend there in January undergoing a procedure to treat an enlarged prostate. Soon after, the palace said that doctors had diagnosed the king with an unspecified form of cancer.
Charles, 75, was withdrawn from public duties while he has cancer treatment \u2014 a period that has coincided with Kate's disappearance from public view.
Kensington Palace has given little detail about Kate\u2019s condition beyond saying that it isn't cancer-related, the surgery was successful and recuperation will keep the princess away from public duties until April.
Even though that time hasn't yet elapsed, the princess\u2019 absence from public view has fueled a tide of speculation, rumor and conspiracy theories.
On March 10, William and Kate\u2019s Kensington Palace office released a photo of Kate and her children George, Charlotte and Louis to coincide with Mother\u2019s Day in the U.K. The move backfired when The Associated Press and other news agencies retracted the picture from publication, because it appeared to have been manipulated, fueling even more conjecture.
Kate issued a statement acknowledging that she liked to \u201cexperiment with editing\u201d and apologizing for \u201cany confusion\u201d the photo had caused.
The gossip hasn't been quieted by footage published by The Sun and TMZ that appears to show Kate and husband Prince William visiting a farm shop near their Windsor home on the weekend. The video sparked a new flurry of rumor-mongering, with some armchair sleuths refusing to believe the video showed Kate at all.
Nelson Silva, a local resident who said he shot the footage, told The Sun that conspiracy theorists are \u201cdelusional.\"
\u201cI\u2019m not so much shocked that these comments have continued, I\u2019m just confused how exactly they can continue,\" he was quoted as saying. \u201cThis is a video clearly showing her and William. I saw them with my own eyes.\"
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Therefore, the document is somewhat relevant but not highly focused on health as a primary topic." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/03/20/d74821c351aef9a1c086c0d9089b847b.json b/datasets/AP_news/raw_data/2024/03/20/d74821c351aef9a1c086c0d9089b847b.json new file mode 100644 index 0000000..a1c6a8b --- /dev/null +++ b/datasets/AP_news/raw_data/2024/03/20/d74821c351aef9a1c086c0d9089b847b.json @@ -0,0 +1,249 @@ +{ + "altids": { + "itemid": "d74821c351aef9a1c086c0d9089b847b", + "etag": "d74821c351aef9a1c086c0d9089b847b_1a8aza0c0", + "friendlykey": "455400385928", + "referenceid": "AS--New Zealand-Vapes-Ban" + }, + "version": 1, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-03-20T06:29:45Z", + "firstcreated": "2024-03-20T04:56:38Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: Updates Media.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "AS--New Zealand-Vapes-Ban", + "headline": "New Zealand will ban disposable e-cigarettes in a bid to prevent minors from taking up the habit", + "headline_extended": "New Zealand says it will ban disposable e-cigarettes, or vapes, and raise financial penalties for those who sell such products to minors", + "slugline": "BC-AS--New Zealand-Vapes-Ban, 1st Ld-Writethru", + "description_summary": "New Zealand says it will ban disposable e-cigarettes, or vapes, and raise financial penalties for those who sell such products to minors. 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The move comes less than a month after the government repealed a unique law enacted by the previous left-leaning government to phase out tobacco smoking by imposing a lifetime ban on young people buying cigarettes.
New Zealand\u2019s Associate Health Minister Casey Costello said Wednesday that e-cigarettes remain \u201ca key smoking cessation device\u201d and the new regulations will help prevent minors from taking up the habit.
\u201cWhile vaping has contributed to a significant fall in our smoking rates, the rapid rise in youth vaping has been a real concern for parents, teachers and health professionals,\u201d Costello said.
Under the new laws, retailers that sell vapes to children under 18 years of age will face fines of up 100,000 New Zealand dollars ($60,000), while individuals will be fined 1,000 New Zealand dollars ($600).
Other regulations introduced will prevent e-cigarettes from being sold with images that might appeal to young people or with enticing names.
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Overall, the content is highly relevant to the topic of health." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/03/20/e37667e5a6b08fe8ef161d386eb3404d.json b/datasets/AP_news/raw_data/2024/03/20/e37667e5a6b08fe8ef161d386eb3404d.json new file mode 100644 index 0000000..b5074b1 --- /dev/null +++ b/datasets/AP_news/raw_data/2024/03/20/e37667e5a6b08fe8ef161d386eb3404d.json @@ -0,0 +1,362 @@ +{ + "altids": { + "itemid": "e37667e5a6b08fe8ef161d386eb3404d", + "etag": "e37667e5a6b08fe8ef161d386eb3404d_5a8aza0c0", + "friendlykey": "644418890341", + "referenceid": "AF--UN-Electronic Waste" + }, + "version": 5, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-03-21T16:46:44Z", + "firstcreated": "2024-03-20T14:15:41Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: Expands audience.; Updates Media.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "AF--UN-Electronic Waste", + "headline": "E-waste from trashed electric devices is piling up and recycling isn't keeping pace, UN says", + "headline_extended": "U.N. agencies have warned that waste from electronics is piling up worldwide while recycling rates remain low and are likely to fall even further", + "slugline": "BC-AF--UN-Electronic Waste, 5th Ld-Writethru", + "description_summary": "U.N. agencies have warned that waste from electronics is piling up worldwide while recycling rates remain low and are likely to fall even further. 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It\u2019s on track to reach 82 million tons by 2030.", + "bylines": [ + { + "by": "By MOSES NDUNGU and JAMEY KEATEN", + "title": "Associated Press" + } + ], + "located": "NAIROBI, Kenya", + "datelinelocation": { + "city": "Nairobi", + "countrycode": "KEN", + "countryname": "Kenya", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + 36.81667, + -1.28333 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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{ + "itemid": "64e9830330284b979692aea01acc82dd" + }, + "type": "picture" + }, + "7": { + "altids": { + "itemid": "d8341c05d64145cb8bc692a2b90bebb4" + }, + "type": "picture" + }, + "8": { + "altids": { + "itemid": "8f72dd8f514944a390c85dba354d3be5" + }, + "type": "picture" + }, + "9": { + "altids": { + "itemid": "ac7c08bcc37d4372a973bf8c9df44dee" + }, + "type": "picture" + }, + "10": { + "altids": { + "itemid": "27f671dc96714d0ab11d8958c55118ab" + }, + "type": "picture" + }, + "11": { + "altids": { + "itemid": "71b9dcf2d23f4cd3a4cb5647fd19879a" + }, + "type": "picture" + }, + "12": { + "altids": { + "itemid": "7f21cf8a1fd744e6858f773ef390ba9c" + }, + "type": "picture" + }, + "13": { + "altids": { + "itemid": "2da71f6b8f594b92989a09552b4bb871" + }, + "type": "picture" + }, + "14": { + "altids": { + "itemid": "683ae304088d4fd8b67ba8ac34f9b545" + }, + "type": "picture" + }, + "15": { + "altids": { + "itemid": "378e8328c0f842459dff2b75a7915214" + }, + "type": "audio" + }, + "16": { + "altids": { + "itemid": "b571fbc310ad4ccc830730c6d6385837" + }, + "type": "audio" + }, + "17": { + "altids": { + "itemid": "b2e2fe50474543318dadf96e615f6335" + }, + "type": "audio" + }, + "18": { + "altids": { + "itemid": "bd5289158954482f93abaf8df7e0c330" + }, + "type": "video" + } + }, + "body_nitf": "NAIROBI, Kenya (AP) \u2014 U.N. agencies have warned that waste from electronics is piling up worldwide while recycling rates remain low and are likely to fall even further.
The agencies were referring to \u201ce-waste,\u201d which is defined as discarded devices with a plug or battery, including cellphones, electronic toys, TVs, microwave ovens, e-cigarettes, laptop computers and solar panels. It does not include waste from electronic vehicles, which fall into a separate category.
In a report released Wednesday, the U.N.\u2019s International Telecommunications Union and research arm UNITAR said some 62 million tons of \u201ce-waste\u201d was generated in 2022, enough to fill tractor-trailers that could be lined up bumper to bumper around the globe. It\u2019s on track to reach 82 million tons by 2030.
Metals \u2014 including copper, gold and iron \u2014 made up half of the 62 million tons, worth a total of some $91 billion, the report said. Plastics accounted for 17 million tons and the remaining 14 million tons include substances like composite materials and glass.
The U.N. says 22% of the e-waste mass was properly collected and recycled in 2022. It is expected to fall to 20% by the end of the decade because of \u201cstaggering growth\" of such waste due to higher consumption, limited repair options, shorter product life cycles, growing \u201celectronification\u201d of society, and inadequate e-waste management infrastructure, the agencies said.
They said some of the discarded electronic devices contained hazardous elements like mercury, as well as rare Earth metals coveted by tech industry manufacturers. Currently, only 1% of the demand for the 17 minerals that make up the rare metals is met through recycling.
About half of all e-waste is generated in Asia, where few countries have laws on e-waste or collection targets, according to the report. Recycling and collection rates top 40% in Europe, where per-capita waste generation is highest: nearly 18 kilograms (39 pounds).
In Africa, which generates the least of any of the five big global regions, recycling and collection rates hover at about 1%, it said.
\u201cThe latest research shows that the global challenge posed by e-waste is only going to grow,\u201d said Cosmas Luckyson Zavazava, head of the ITU telecommunication development bureau. \u201cWith less than half of the world implementing and enforcing approaches to manage the problem, this raises the alarm for sound regulations to boost collection and recycling.\u201d
For some, e-waste represents a way to earn cash by rummaging through trash in the developing world to find coveted commodities, despite the health risks.
At the Dandora dumpsite where garbage collected from the Kenyan capital of Nairobi ends up \u2014 even though a court declared it full over a generation ago \u2014 scavengers try to earn a living by picking through rubbish for e-waste that can be sold to businesses as recycled material.
Steve Okoth hopes the flow continues so he can eke out an income, but he knows the risks.
\u201cWhen the e-waste comes here, it contains some powder which affects my health,\" he said, adding that when electronic devices heat up, they release gases and he \u201ccan\u2019t come to work because of chest problems.\u201d
However, Okoth said they don't have any other options: \"We are now used to the smoke because if you don\u2019t go to work you will not eat.\u201d
Recycling plants, like Nairobi\u2019s WEEE center, have collection points across Kenya, where people can safely get rid of old electric equipment.
\u201cWe take inventory of the items,\" said Catherine Wasolia, WEEE's chief operating officer, to check for data on submitted devices and wipe them clean. Then they test each to assess if \"it can be reused or repurposed.\u201d
E-waste expert George Masila worries about the impact of electronic waste on soil.
\u201cWhen you have all this e-waste \u2014 either in the dumpsites or mercilessly deposited anywhere else \u2014 it could have major effects on the soil,\" Masila said. \"Every year it rains and water flows and attracts all these elements that are deposited into the environment. You have water getting contaminated.\u201d
He said greater recycling and re-use of such materials, \"are some of the things we should be considering.\u201d
Report authors acknowledged that many people in the developing world pay their bills through harvesting such e-waste, and called for them to be trained and equipped to make such work safer.
\u201cWe must try to support these people trying to find their niche,\u201d said Ruediger Kuehr, senior manager of the sustainable cycles program at UNITAR.
__
Keaten reported from Geneva.
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Therefore, the document is somewhat relevant to the topic of health but not highly focused on it." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/03/20/e5b51878eafbb6e28977710b191eb7de.json b/datasets/AP_news/raw_data/2024/03/20/e5b51878eafbb6e28977710b191eb7de.json new file mode 100644 index 0000000..6fdbb34 --- /dev/null +++ b/datasets/AP_news/raw_data/2024/03/20/e5b51878eafbb6e28977710b191eb7de.json @@ -0,0 +1,320 @@ +{ + "altids": { + "itemid": "e5b51878eafbb6e28977710b191eb7de", + "etag": "e5b51878eafbb6e28977710b191eb7de_13a18aza0c0", + "friendlykey": "382809082017", + "referenceid": "Oceans-Fisheries-Indian Shrimp" + }, + "version": 13, + "type": "text", + "urgency": 4, + "profile": "InvestigativeEnterprise", + "language": "en", + "versioncreated": "2024-04-23T15:12:48Z", + "firstcreated": "2024-03-20T15:13:12Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: CORRECTS: This story was first published on March 21, 2024. It was updated on April 23, 2024, to correct the location of a truck labeled \u201cWellcome KingWhite\u201d that was being loaded with shrimp. The truck was not being loaded near Jonnalagaruvu village, but alongside a busy highway about 40 miles away.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "Oceans-Fisheries-Indian Shrimp", + "headline": "AP finds grueling conditions in Indian shrimp industry that report calls 'dangerous and abusive'", + "headline_extended": "India is the top supplier of shrimp to the U.S., with Indian shrimp stocked in freezers at most of the nation\u2019s biggest grocery store and restaurant chains", + "slugline": "AP-Oceans-Fisheries-Indian-Shrimp, 13th Ld-Writethru", + "description_summary": "India is the top supplier of shrimp to the U.S., with Indian shrimp stocked in freezers at most of the nation\u2019s biggest grocery store and restaurant chains. The Associated Press traveled in February to southeast India to document working conditions in the booming industry after obtaining an advance copy of an investigation released Wednesday by the Chicago-based Corporate Accountability Lab. The human rights legal group found that workers face \u201cdangerous and abusive conditions.\u201d AP spoke to women who described working 10-hour days in difficult and unsanitary conditions, earning less than $4 a shift. Importers that responded to requests for comment from the AP said they would investigate, with some suspending business in the meantime.", + "bylines": [ + { + "by": "By MARTHA MENDOZA, MAHESH KUMAR and PIYUSH NAGPAL", + "title": "Associated Press" + } + ], + "located": "SAN FRANCISCO", + "datelinelocation": { + "city": "San Francisco", + "countryareacode": "CA", + "countryareaname": "California", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -122.41942, + 37.77493 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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But when she grabbed a bag of farm-raised shrimp from the freezer and saw \u201cProduct of India,\u201d she wrinkled her nose.
\u201cI actually try to avoid shrimp from India,\u201d said Kuwabara, an artist. \u201cI hear some bad things about how it\u2019s grown there.\u201d
She sighed and tossed the bag in her cart anyway.
Kuwabara\u2019s dilemma is one an increasing number of American consumers face: With shrimp the leading seafood eaten in the United States, the largest supplier in n country is India, where the industry struggles with labor and environmental problems.
The Associated Press traveled in February to the state of Andhra Pradesh in southeast India to document working conditions in the booming industry, after obtaining an advance copy of an investigation released Wednesday by the Chicago-based Corporate Accountability Lab, a human rights legal group, that found workers face \u201cdangerous and abusive conditions.\u201d
AP journalists obtained access to shrimp hatcheries, growing ponds, peeling sheds and warehouses, and interviewed workers, supervisors and union organizers.
India became America\u2019s leading shrimp supplier, accounting for about 40% of the shrimp consumed in the U.S., in part because media reports including an AP investigation exposed modern day slavery in the Thai seafood industry. AP\u2019s 2015 reporting led to the freedom of some 2,000 enslaved fishermen and prompted calls for bans of Thai shrimp, which had been dominating the market.
In India, residents told the AP newly dug hatcheries and ponds had contaminated neighboring communities\u2019 water and soil, making it nearly impossible to grow crops, especially rice they depend on for food.
From the ponds, trucks hauled the shrimp to peeling sheds. In one shed, dozens of women, some barefoot, stood on narrow wooden benches enduring 10-hour shifts peeling shrimp covered in crushed ice. Barehanded or wearing filthy, torn gloves, the women twisted off the heads, pulled off the legs and pried off the shells, making it possible for American cooks to simply tear open a bag and toss the shrimp in a skillet.
From India, the shrimp travels by the ton, frozen in shipping containers, to the U.S., more than 8,000 miles away. It is nearly impossible to tell where a specific shrimp ends up, and whether a U.S.-bound shipment has a connection to abusive labor practices. And Indian shrimp is regularly sold in major U.S. stores such as Walmart, Target and Sam\u2019s Club and supermarkets like Kroger and Safeway.
The major corporations that responded to AP\u2019s queries said they deplore human rights violations and environmental damage and would investigate.
\u201cIf we learn that serious issues may be present in a supplier facility, whether through allegations made or audits, we deploy Walmart investigators to gather facts through on-site visits to facilities or through other means,\u201d Walmart, the world\u2019s largest retailer, said in a statement. \u201cAs such, we are looking into the allegations raised by the Associated Press.\u201d
Pradeep Sivaraman, secretary of India\u2019s Marine Products Export Development Authority, a government agency, traveled to the U.S. in March to represent his country\u2019s shrimp industry on the bustling floor of the Seafood Expo North America in Boston. A chef at India\u2019s booth sauteed a sizzling shrimp curry in front of a case filled with frozen shrimp.
Before ending a brief interview, Sivaraman said India is committed to providing quality shrimp to U.S. buyers. He refused to answer questions about labor and environmental problems.
\u2014
Erugula Baby, 51, widowed and destitute, sold her gold jewelry \u2014 her only savings \u2014 and then took out loan after loan in her rural Indian village as her son lay dying of liver disease. Her debt topped $8,500 and her son didn\u2019t survive. Today she\u2019s raising her granddaughters and trying to repay the loans, help her daughter-in-law get an education and, on a good day, eat a small amount of rice. She said she works in brutal conditions, peeling, cutting and grading shrimp in a factory for less than $4 a day, which is $2 less than minimum wage.
\u201cThe working conditions are tough,\u201d she said, wiping away tears with the corner of her red sari. \u201cStanding for long hours in the cold while peeling and cutting shrimp takes a toll on my body.\u201d
Baby and other workers said they pay recruiters about 25 cents a day out of their salaries just to set foot inside the processing shed. Transportation in company buses is also deducted from some workers\u2019 salaries, along with the cost of lunch from company canteens. Many workers have no contracts, and no recourse if they are hurt on the job.
Another peeler, Penupothula Ratnam, said she suffers back pain all the time from the arduous work, for which she's paid about $3 a day.
\u201cIt\u2019s not enough for our living,\u201d she said, breaking into tears. Rarely does she get a day off, she said.
Many people in India struggle to survive amid endemic poverty, debt and unemployment. The women AP spoke with said this work, despite the oppressive conditions, is their only chance to avoid starvation. The economic drivers go beyond shrimp, and beyond India, to issues of globalization and Western power.
Desperately poor women told AP they weren\u2019t paid overtime as mandated by law, in addition to not being paid India\u2019s minimum wage. Some said they were locked inside guarded hostels when they weren\u2019t peeling shrimp. The work was unsanitary to the point that workers\u2019 hands were infected, and they lacked safety and hygiene protection required under Indian law. And it doesn\u2019t meet U.S. legal food safety standards required for all seafood imports.
Dr. Sushmitha Meda, a dermatologist at a nearby government hospital in the city of Kakinada, said she treats four to five shrimp peelers every day. Some have nail fungus, caused by small cracks that allow germs to cause infections. Other women have fingers or even their entire hands darkening with frostbite. Meda said that sometimes she has to amputate.
It\u2019s a preventable problem, she said. Cotton gloves covered with latex gloves can protect peelers\u2019 hands, but few can afford a $3 box of gloves.
The Corporate Accountability Lab said American importers may never encounter desperate and abused shrimp peelers, because large Indian exporters invite auditors into their own state-of-the-art facilities and use them as a \u201cshowcase to foreign buyers.\u201d
In contrast, \u201cauditors are unlikely to audit peeling sheds,\u201d the report said.
And while the larger corporate processing facilities appear to meet hygiene and labor standards, CAL said, there are hidden abuses at the onsite hostels where shrimp peelers are housed. CAL found workers living in \u201covercrowded and often unsanitary conditions under the careful surveillance of company guards,\u201d only allowed off the premises once a month.
\u201cNo one can enter, no one can leave without permission,\u201d labor organizer Chekkala Rajkumar, district secretary for the Centre of Indian Trade Unions, told AP about the large facilities in his region. He compared them to British colonial penal colonies. \u201cAnyone talking about the working conditions is kicked out. It\u2019s not a worker friendly atmosphere.\u201d He said pregnant women sometimes miscarry because of the arduous work.
\u2014-
At one tin-roofed processing shed, AP journalists observed dozens of women working in unsanitary and dangerous conditions. The shrimp, pulled from outdoor ponds in barrels, were swished around by hand in grimy water. Once rinsed, they were dumped onto ice-covered tables, where women stood, peeling them one shrimp at a time. Many handled shrimp with bare hands. Some women had bandages on injured fingers. Some women\u2019s long hair dangled into the shrimp.
The shrimp at this facility were later loaded in large plastic crates into a truck with the brand \u201cNEKKANTI\u201d painted in large letters. Managers at the small shed said Nekkanti Sea Foods and other major brands often outsource the labor-intensive peeling and deveining work to keep down costs.
Nekkanti, however, says all its shrimp is processed in a handful of massive company-owned processing facilities approved by the U.S. Food and Drug Administration. A marketing video produced by Nekkanti, which is projecting $150 million in revenues this year, shows shrimp peelers in a spotless room, with shiny tables, and workers wearing gloves, head coverings, face masks, rubber boots and waterproof aprons.
John Ducar, an advisor to the board of Nekkanti Sea Foods, said the company had nothing to do with the peeling shed that AP visited and said their branded truck was there only because it was being leased to another company. He provided a document that said Nekkanti was paid $3,600 for the four-month lease of a truck with the license number the AP observed.
\u201cIt appears that you observed the operations of an entirely separate company,\u201d he said.
The company named in the document did not respond to a request for comment.
Though Nekkanti had no connection to the shed or the shipment observed by the AP, Ducar said, the company will work to improve conditions at neighboring shrimp sheds and is reconsidering leasing its trucks.
U.S. trade records show Nekkanti shipped more than 726 U.S. tons of farmed shrimp from India to the U.S. in the past year, according to ImportGenius trade data. Records show shipments went to major American seafood distributors including AJC International Inc., Eastern Fish, CenSea, Jetro Cash & Carry Enterprises, King & Prince Seafood, Red Chamber Co. and Rich Products Corp. Those companies, in turn, sell Indian shrimp under popular brand names including Costar, Good & Gather, Great Value and Mrs. Friday\u2019s at supermarkets, box stores and restaurants across the U.S.
Importers that responded to requests for comment about possible labor abuses said they would investigate, with some suspending business in the meantime.
\u201cWe at Rich Products treat these allegations with the utmost seriousness,\u201d said the owners of frozen SeaPak brand shrimp. \u201cWe are always fully prepared to investigate any allegations and take decisive corrective measures in response to any substantiated claims.\u201d
\u2014-
Villagers in the region said the growing industry hasn\u2019t just brought abusive working conditions, it\u2019s also damaging their environment. Shrimp ponds have been dug into fields and mangroves, destroying critical ecosystems.
The massive, murky ponds and their toxic algae, chemicals and sewage have made it impossible to grow crops and poisoned their water, they said. Investigators from CAL say antibiotic use is widespread to control disease outbreaks. Antibiotic use in shrimp farming and other agriculture can lead to rising drug-resistant infections, a growing problem in the U.S.
\u201cEssentially, we feel lost,\u201d said Areti Vasu, a farmer who said he was badly beaten and jailed during failed protests that sought to stop the development of a 57-acre shrimp processing and cold storage plant adjacent to his rice fields. \u201cOur lives, our land, our farming pride, fresh air, and clean water \u2013 everything is lost. We are destined to live here in disgrace.\u201d
Jonnalagaruvu village vice president Koyya Sampath Rao initially helped build the massive facility, ignoring warnings from environmentalists.
\u201cSadly their predictions came true,\u201d he said. \u201cOur water streams are now polluted, farmland is turning barren, yields are shrinking, and the night air is thick with pollutants.\u201d
Official complaints about a lack of environmental impact studies and coastal regulation violations have usually been dismissed by Indian authorities.
Alongside a busy highway about 40 miles away, men pulled nets of shrimp from shrimp ponds. Among the trucks being loaded was one with a large sign: \u201cWellcome KingWhite.\u201d In the past year Wellcome shipped 3,800 tons of shrimp to the U.S., according to ImportGenius trade data. The records show these include distributors Great American Seafood Imports Co., Pacific Coral Seafood and Ore-Cal.
Sysco, the nation\u2019s largest food distributor, has imported in the past from both Nekkanti and Wellcome. A spokesperson said they stopped doing business with Wellcome in 2022 after the Indian firm \u201crefused to allow us to conduct a required social responsibility audit in their facility.\u201d Wellcome did not respond to requests for comment.
The Sysco spokesperson said the company suspended receipt of any products from Nekkanti after AP\u2019s query, and would immediately begin an investigation.
Sysco \u201cwill continue to hold all its suppliers to the highest standards of labor and human rights,\u201d the company said in a statement.
___
Most American consumers say they would rather buy U.S.-produced food. But with only 5% of shrimp sold in the U.S. caught there, shrimp from the U.S. can be harder to locate and considerably more costly.
In the 1970s, the U.S. led the world in shrimp production. Shrimp was considered a delicacy. Diners were served expensive shrimp cocktails with less than a dozen shellfish harvested off the East, West and Gulf coasts.
Over the next two decades, the use of inexpensive shrimp-farming technologies soared in Asia, and imports flooded the market. Today in the U.S., where more than 5 pounds of shrimp per person is eaten per year, consumers expect all-you-can-eat shrimp buffets and $10 frozen bags at their markets.
There are a number of systems failing to prevent shrimp that is produced by forced labor or causes environmental damage from arriving on Americans\u2019 dinner tables.
For one, there is plenty of shrimp in the Gulf of Mexico, but U.S. fishing communities have stricter, and more costly, labor and environmental standards than their Asian counterparts. Last year officials in the region sought financial relief, asking for state and federal declarations of a fishery disaster because they cannot compete with cheap imports that make up 95% of the market.
The request is pending. If approved, boat owners typically receive checks for a few thousand dollars, well below their losses.
\u201cThe many small, family-owned commercial shrimping businesses in Louisiana are facing an unprecedented risk of collapse due to the devastating impacts that large volumes of imported shrimp are having on domestic shrimp dockside prices,\u201d said then-Gov. John Bel Edwards last fall.
U.S. Customs and Border protection is responsible for blocking imports of products produced with forced labor, and in recent years has prohibited imports of some cotton from China, gold from Democratic Republic of Congo, and sugar from the Dominican Republic. No products have been prohibited from India.
Eric Choy, executive director of CBP\u2019s office of trade, said CBP does investigate allegations of abuse.
\u201cYou\u2019d hope that there was a magic button that you can push and then everything created by forced labor is prohibited from entering, but it\u2019s a much harder task,\u201d he said. \u201cIt does require us to follow the trail.\u201d
Last year, the FDA refused entry of 51 shrimp shipments citing antibiotics; 37 of those were shrimp exported from India.
The departments of Labor and Commerce haven\u2019t taken significant action, despite U.S. shrimpers\u2019 complaints of unfair trade.
\u201cFor too long India has engaged in unfair trade practices causing economic damage to our domestic shrimp industry,\u201d said Trey Pearson, president of the American Shrimp Processors Association.
U.S. firms rely on industry organizations and auditors to make sure their shrimp imports are raised and processed in a safe, legal and environmentally responsible way.
The National Fisheries Institute, America\u2019s largest seafood trade association, works with seafood importers to improve working and environmental conditions in shrimp farming.
\u201cAny labor abuses in the value chain are abhorrent and they need to be addressed immediately,\u201d said NFI chief strategy officer Gavin Gibbons.
The Global Seafood Alliance\u2019s Best Aquaculture Practice stamp of approval is on almost all Indian imports, certifying the supply chain meets their high standards.
\u201cWe take these matters very seriously,\u201d the organization said in an emailed statement.
CAL said the Best Aquaculture Practice certifications are often performative.
\u201cDespite strong standards on paper, implementation is often weak,\u201d said the report.
\u2013
Fisherman and author Paul Greenberg said he sees a future where the shrimp Americans eat is neither wild caught nor farmed: it will grow in a lab. He said the science is underway to develop those products, and because shrimp isn\u2019t flaky like fish, it should be an easier seafood to produce with living cells.
In the meantime, he\u2019s been trying out vegan shrimp, \u201cthe shrimp that never died.\u201d The texture is good, he said, and the sweetness impressive.
Human rights advocates say cost-cutting from U.S. supermarkets, restaurants and wholesalers squeeze producers to provide cheaper shrimp without addressing labor and environmental conditions.
CAL says Indian companies need to pay living wages and abide by labor, health, safety and environmental laws. In addition, the organization says U.S. companies need to ensure that the price they pay for shrimp is enough for Indian exporters to treat workers equitably. And, they say, both the Indian and U.S. governments need to enforce existing laws.
\u201cThe presence of widespread labor abuses and environmental destruction in the Indian shrimp sector is undeniable,\u201d said Allie Brudney, a CAL senior staff attorney. \u201cU.S. restaurants and grocery stores need to purge these unethical practices from their supply chains.\u201d
Ecologist Marla Valentine, who heads non-profit Oceana\u2019s illegal fishing and transparency campaign, said consumers can help.
\u201cYou can use your dollar to make a difference,\u201d she said. \u201cWhen this isn\u2019t a lucrative business anymore, it will stop.\u201d
It has worked in the past, she said.
\u201cThailand has been called out for labor abuses many times, particularly regarding shrimp, and we are seeing the seafood industry and the Thai government really try to make some of those changes,\u201d she said. \u201cThey are answering the market power, so it shows that change can happen.\u201d
\u2014
Mendoza reported from San Francisco and Boston. Kumar and Nagpal reported from Kakinada, India.
\u2014
This story was supported by funding from the Walton Family Foundation. The AP is solely responsible for all content.
__
Contact AP\u2019s global investigative team at Investigative@ap.org or https://www.ap.org/tips/
\u2014-
This story was first published on March 20, 2024. It was updated on April 23, 2024, to correct the location of a truck labeled \u201cWellcome KingWhite\u201d that was being loaded with shrimp. The truck was not being loaded near Jonnalagaruvu village, but alongside a busy highway about 40 miles away. An earlier version of the story had been corrected to fix the style to \u201cGreat American Seafood Imports Co.\u201d instead of \u201cGreat American Seafood Co.\u201d and delete reference to US Foods, Whole Foods and WinCo Foods after question raised about Great American\u2019s customers.
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Therefore, while there are some health-related aspects, they are not the main focus of the document." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/03/21/288e551eb69914cb9803644290e01faf.json b/datasets/AP_news/raw_data/2024/03/21/288e551eb69914cb9803644290e01faf.json new file mode 100644 index 0000000..946ad72 --- /dev/null +++ b/datasets/AP_news/raw_data/2024/03/21/288e551eb69914cb9803644290e01faf.json @@ -0,0 +1,232 @@ +{ + "altids": { + "itemid": "288e551eb69914cb9803644290e01faf", + "etag": "288e551eb69914cb9803644290e01faf_0a8aza0c0", + "friendlykey": "953662794454", + "referenceid": "US-MED--Weight Loss Drug-Medicare Coverage" + }, + "version": 0, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-03-21T20:41:03Z", + "firstcreated": "2024-03-21T20:41:02Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: Updates Media.", + "signals": [ + "newscontent" + ], + "title": "US-MED--Weight Loss Drug-Medicare Coverage", + "headline": "Medicare can pay for obesity drugs like Wegovy in certain heart patients", + "headline_extended": "Certain Medicare patients may get help paying for the popular weight-loss drug Wegovy, as long as they also have heart disease", + "slugline": "AP-US-MED-Weight-Loss-Drug-Medicare-Coverage", + "description_summary": "Certain Medicare patients may get help paying for the popular weight-loss drug Wegovy, as long as they also have heart disease. 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The Centers for Medicare & Medicaid Services issued new guidance that says Medicare Part D drug benefit plans \u2014 which are offered through private insurers \u2014 could cover anti-obesity drugs that are approved for an additional use.
The move could pave the way for thousands of new prescriptions, resulting in billions of dollars in increased spending, analysts have said.
In practice, the guidance opens the door to wider coverage of Wegovy, the brand name of Novo Nordisk\u2019s obesity medication semaglutide. The U.S. Food and Drug Administration this month approved a label change that allows Wegovy to be used to reduce the risk of cardiovascular events in people who are overweight or have obesity and also have existing heart disease.
Recent research showed that Wegovy cut the risk of heart attack, stroke and other problems by 20% versus a placebo, or dummy drug, in such patients. Cardiologists and other experts said use of semaglutide to reduce the risk of often fatal or disabling conditions could change the way heart patients are treated.
Wegovy carries a price tag of more than $1,300 a month, or $16,000 per year.
Part D plans could begin covering the drug \u201csome time this year,\u201d said Tricia Neuman, a Medicare policy specialist at KFF, a nonprofit that researches health policy.
\u201cMedicare plans may be reluctant to move quickly to cover Wegovy given its relatively high price, particularly because they won\u2019t be able to adjust premiums before next year,\u201d she said.
Even if plans do allow coverage, people who meet the criteria may still face other restrictions. Plans may require higher out-of-pocket fees, prior authorizations or step therapy, in which a patient is required to try a lower-cost drug before proceeding to the new treatment, Neuman said.
Medicare Part D plans are prohibited by law from covering obesity medications used for chronic weight management alone, and that would not change, CMS officials said.
Private insurers are evaluating the guidance \u2014 and the new indication for Wegovy \u2014 before making coverage decisions, said a spokesperson for AHIP, America\u2019s Health Insurance Plans, an industry trade group.
Drugmakers and obesity advocates have been pushing for expanded coverage, including legislation that would require Medicare to pay for the obesity drugs.
At issue has been whether the cost of the expensive medications will be offset by the savings of reduced spending on medical care related to obesity \u2014 and, now, heart disease.
One lingering obstacle to broader use is limited supply of the drug, which has been in shortage for more than a year, according to the FDA. Novo Nordisk officials say they\u2019re working to increase production and access.
___
The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute\u2019s Science and Educational Media Group. The AP is solely responsible for all content.
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But if that doesn't work, experts suggest seeing a doctor who can determine what specific pollen you're allergic to.", + "bylines": [ + { + "by": "By DEVI SHASTRI", + "title": "AP Health Writer" + } + ], + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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More than 80 million Americans deal with itchy eyes, runny nose and other symptoms of seasonal allergies, according to the Asthma and Allergy Foundation of America.
The level of misery people will face depends on where they live and what they're allergic to, but there are things you can do to feel better.
Dr. Rachna Shah usually starts looking at pollen counts in the Chicago area in April. But she peeked at her data in mid-February, and saw tree pollen was already at a \u201cmoderate\u201d level.
\u201cThis season has been so nuts,\" said Shah, an allergist and director of the Loyola Medicine Allergy Count. \u201cGranted, it was a pretty mild winter, but I didn't expect it to be so early.\u201d
Shah said she believes this season will be longer than other years, assuming the weather remains warm. Experts say climate change has led to longer and more intense allergy seasons.
The Asthma and Allergy Foundation of America issues an annual ranking of the most challenging cities to live in if you have allergies, based on over-the-counter medicine use, pollen counts and the number of available allergy specialists. This year, the top five were Wichita, Kansas; Virginia Beach, Virginia; Greenville, South Carolina; Dallas; and Oklahoma City.
Dr. Nana Mireku is an allergist in the Dallas-Fort Worth area, and said \u201cpeople are pretty miserable right now and allergists are pretty busy.\u201d
There are three main types of pollen that cause seasonal allergies. Earlier in the spring, tree pollen is the main culprit. After that grasses pollinate, followed by weeds in the late summer and early fall.
Some of the most common tree pollens that cause allergies include birch, cedar, cottonwood, maple, elm, oak and walnut, according to the Asthma and Allergy Foundation of America. Grasses that cause symptoms include Bermuda, Johnson, rye and Kentucky bluegrass.
The best and first step to controlling allergies is avoiding exposure. That\u2019s easier said than done when everyone wants to enjoy spring weather.
To prevent allergy issues, keep windows closed at home and in the car, avoid going out when pollen counts are highest and change clothes when you get home.
Pollen trackers can help with planning. The American Academy of Allergy Asthma and Immunology tracks levels through a network of counting stations across the U.S. Counts are available at its website and via email.
The first thing to figure out is what specifically you're allergic to, Mireku said, and many Americans are allergic to several things at once. Allergists can run tests for different triggers.
Over-the-counter nasal sprays can help relieve symptoms, but they take a while to kick in, so it's best to start them in early March, Shah said.
Antihistamines are another option. Shah said she's seen some patients benefit from switching to a similar brand if one stops working, but said that there isn't much broader data to back the recommendation.
For young children and people who have to take many different allergy medications, immunotherapies in the form of shots and oral drops can help desensitize the immune system to allergens, treating symptoms at their root.
___
The Associated Press Health and Science Department receives support from the Robert Wood Johnson Foundation. The AP is solely responsible for all content.
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The poll from AAPI Data and The Associated Press-NORC Center for Public Affairs Research finds that nearly 8 in 10 Asian Americans, Native Hawaiians and Pacific Islanders think abortion should be legal in all or most cases. They're also supportive of federal government action to preserve abortion rights: Three-quarters of AAPI adults say Congress should pass a law guaranteeing access to legal abortions nationwide.
By comparison, an AP-NORC poll conducted last June found that 64% of U.S. adults think abortion should be legal in all or most cases, and 6 in 10 U.S. adults overall say Congress should pass a law guaranteeing access.
AAPI adults are more likely than Americans overall to identify as Democrats, which may partially explain why their levels of support for legal abortion are higher than among the general population. But even among Democrats, AAPI adults are more supportive of legal abortion later in pregnancy. AAPI Democrats are especially likely to support legal abortion without any limits \u2014 more than half of this group say abortion should be legal in all cases, compared to 40% of Democrats overall.
AAPI Republicans are also more likely than Republicans overall to support a law guaranteeing access to legal abortion nationwide. More than half (57%) of AAPI Republicans think abortion should be legal in at least some cases, compared to 38% of Republicans in general. About half (51%) of AAPI Republicans also think Congress should pass a law guaranteeing access to legal abortion nationwide, while only 32% of Republicans overall want this to happen.
Although AAPI voters are a fast-growing demographic with a particularly large presence in states like California, Texas and New York, their attitudes can often not be analyzed in other surveys because of small sample sizes, among other issues. This survey is part of an ongoing project focusing on AAPI Americans' views.
High turnout in areas with large AAPI communities could help Democrats in competitive House districts, and a broader conversation about whether nonwhite voters are shifting to the right may lead to more courting of AAPI voters. The survey's findings suggest that abortion could be a strong issue for Democratic candidates who are looking to reach AAPI communities, and a challenge for Republicans.
\u201cIt saddens me how politics got involved in this, and they really shouldn\u2019t have,\u201d said Debra Nanez, a 72-year-old retired nurse in Tucson, Arizona, and an Independent voter. Nanez identifies as Asian, Native American and Hispanic. \u201cIt\u2019s a woman\u2019s body. How can you tell us what we can do with our bodies, what we can keep and what we cannot keep? It\u2019s ridiculous.\u201d
While an AP-NORC poll conducted in October 2022 found that more than 4 in 10 Americans overall trust Democrats to do a better job of handling the issue of abortion, while only 2 in 10 have more trust in Republicans, the poll released Thursday shows that the trust gap between the parties is wider for AAPI adults. Fifty-five percent of AAPI adults trust Democrats on abortion policy, while only 12% trust Republicans.
More than half of AAPI adults were born outside the U.S., according to the survey. For many of those immigrants and their first-generation American children, abortion isn't just viewed as health care \u2014 it can also be seen as a right that was not afforded to them in their countries of origin, said Varun Nikore, executive director of AAPI Victory Alliance, a progressive political advocacy organization.
\u201cI think it has to do with some sort of home country attitudes that are sort of pervasive, but also the strong feeling we\u2019ve had rights and we\u2019ve had access to health care, and now we don\u2019t want to lose something that we had. And it could be that we also came to this country to have better access to health care than we did before,\u201d Nikore said.
Nearly 6 in 10 AAPI adults don\u2019t want Congress to pass a law preserving states\u2019 ability to set their own laws allowing or restricting abortion, and only 14% support the passage of a law banning access to abortions nationwide.
Joie Meyer, 24, is a health care consultant in Florida, where abortions are prohibited after 15 weeks of pregnancy. She said that given that other nearby states like Alabama and Georgia have even more restrictive abortion laws, she would have to travel far to receive the procedure.
\u201cI\u2019m 24 and maybe some people my age are having children, but if I were to get in that position to be pregnant, I don\u2019t think I would feel ready,\u201d she said. \u201cSo, that would be something that I would have to think about.\u201d
Meyer, who was born in China but has lived in the U.S. since an infant, has made plans with a friend in California in case she does need an abortion. Flying across the country might be more time-consuming than driving to the nearest state that provides abortion, but she said she wants to know that she\u2019ll be with someone who can take care of her during the recovery.
\u201cEven if there\u2019s a closer state, would I want to do that alone and have to really navigate that physical and emotional pain alone? Not really,\u201d Meyer said.
___
The poll of 1,172 U.S. adults who are Asian American, Native Hawaiian and Pacific Islanders was conducted from Feb. 5-14, 2024, using a sample drawn from NORC\u2019s probability-based Amplify AAPI Panel, designed to be representative of the Asian American, Native Hawaiian and Pacific Islander population. The margin of sampling error for all respondents is plus or minus 3.9 percentage points.
___
Graham Lee Brewer is an Oklahoma City-based member of AP's Race & Ethnicity team. Amelia Thomson-DeVeaux is AP's polling editor.
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The House and Senate gave final passage to House Bill 1339, sending it to Gov. Brian Kemp for his approval or veto.
The measure would allow the historically Black Morehouse School of Medicine to open a hospital in central Atlanta that could provide services once offered by the now-shuttered Atlanta Medical Center. It would also allow a hospital to open without a permit in any rural county where a prior hospital has been closed for more than 12 months. That could allow a hospital in the southwest Georgia town of Cuthbert that closed in 2020 to reopen.
Certificates of need, in place in Georgia since the 1970s, require someone who wants to build a health facility or offer new services to prove an expansion is needed. The permits are meant to prevent overspending that would increase health care costs. Lt. Gov. Burt Jones, a Republican, has made it a priority to cut back or eliminate the rules, A standoff between Jones and House Speaker Jon Burns last year partly revolved around a plan to build a new hospital in Butts County, where Jones lives. The existing hospital there opposes the plan.
\u201cFor decades, CON laws have unfortunately represented a barrier to expanding quality healthcare,\" Jones said in a statement Thursday \u201cToday, we took a step towards reforming CON in Georgia and alleviating the roadblocks Georgians face in their efforts to receive accessible and quality healthcare.\u201d
The House rejected some of the changes the Senate sought, such as allowing outpatient surgery centers to serve multiple medical specialties without a permit, and allowing new imaging centers to open without a permit.
House members agreed to let outpatient birthing centers open without permits. The bill would let new hospitals be built in counties with less than 50,000 residents, as long as they agree to provide a certain amount of charity care, join the statewide trauma system and provide psychiatric services. It also would remove dollar caps on how much existing hospitals can spend on buildings or equipment, as long as they\u2019re not offering new services, and make it easier to transfer beds between campuses or move the hospital.
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The ruling Thursday from the 5th U.S. Circuit Court of Appeals was a partial victory for federal regulators seeking to toughen warning labels. But the court kept alive a tobacco industry challenge of the rule. It says a lower court should review whether the rule was adopted in accordance with a federal law that governs the development of regulations. Required images include pictures of smoke-damaged lungs and feet blackened by diminished blood flow.", + "bylines": [ + { + "by": "By KEVIN McGILL", + "title": "Associated Press" + } + ], + "located": "NEW ORLEANS", + "datelinelocation": { + "city": "New Orleans", + "countryareacode": "LA", + "countryareaname": "Louisiana", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -90.07507, + 29.95465 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. 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The ruling from a three-judge panel of the 5th U.S. Circuit Court of Appeals was a partial victory for federal regulators seeking to toughen warning labels. But the court kept alive a tobacco industry challenge of the rule, saying a lower court should review whether it was adopted in accordance with the federal Administrative Procedure Act, which governs the development of regulations.
The 5th Circuit panel rejected industry arguments that the rule violates free speech rights or that it requires images and lettering that take up so much space that they overcome branding and messaging on packages and advertisements.
The ruling overturns a lower court order from a federal district court in Texas, where a judge found the requirements violate the First Amendment.
\u201cWe disagree,\u201d Judge Jerry Smith wrote for the 5th Circuit panel. \u201cThe warnings are both factual and uncontroversial.\u201d
While reversing the lower court's First Amendment finding, the panel noted that the judge had not ruled on the APA-based challenge. It sent the case back to the district court to consider that issue.
The images in question include a picture of a woman with a large growth on her neck and the caption \u201cWARNING: Smoking causes head and neck cancer.\u201d Another shows a man's chest with a long scar from surgery and a different warning: \u201cSmoking can cause heart disease and strokes by clogging arteries.\u201d
Nearly 120 countries around the world have adopted larger, graphic warning labels. Studies from those countries suggest the image-based labels are more effective than text warnings at publicizing smoking risks and encouraging smokers to quit.
In addition to Smith, who was nominated to the court by former President Ronald Reagan, the panel included judges Jennifer Walker Elrod, nominated by George W. Bush, and James Graves, nominated by Barack Obama.
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Therefore, the content is highly relevant to the topic of health." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/03/21/c7fb54b1b1f1ece3b41b85f105fe4b98.json b/datasets/AP_news/raw_data/2024/03/21/c7fb54b1b1f1ece3b41b85f105fe4b98.json new file mode 100644 index 0000000..3f273f1 --- /dev/null +++ b/datasets/AP_news/raw_data/2024/03/21/c7fb54b1b1f1ece3b41b85f105fe4b98.json @@ -0,0 +1,301 @@ +{ + "altids": { + "itemid": "c7fb54b1b1f1ece3b41b85f105fe4b98", + "etag": "c7fb54b1b1f1ece3b41b85f105fe4b98_8a7aza0c0", + "friendlykey": "998309279749", + "referenceid": "US-MED--Pig Kidney Transplant" + }, + "version": 8, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-03-21T22:37:46Z", + "firstcreated": "2024-03-21T14:03:55Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: Adds quote, changes cheered to applauded; Updates Media.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "US-MED--Pig Kidney Transplant", + "headline": "US surgeons transplant a gene-edited pig kidney into a patient for the first time", + "headline_extended": "Doctors in Boston say they have transplanted a pig kidney into a 62-year-old patient", + "slugline": "BC-US-MED-Pig-Kidney-Transplant, 8th Ld-Writethru", + "description_summary": "Doctors in Boston say they have transplanted a pig kidney into a 62-year-old patient. 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Massachusetts General Hospital said Thursday that it\u2019s the first time a genetically modified pig kidney has been transplanted into a living person. Previously, pig kidneys have been temporarily transplanted into brain-dead donors. Also, two men received heart transplants from pigs, although both died within months.
The patient, Richard \u201cRick\u201d Slayman of Weymouth, Massachusetts, is recovering well from the surgery last Saturday and is expected to be discharged soon, doctors said Thursday.
Dr. Tatsuo Kawai, the transplant surgeon, said the team believes the pig kidney will work for at least two years. If it fails, Slayman could go back on dialysis, said kidney specialist Dr. Winfred Williams. He noted that unlike the pig heart recipients who were very sick, Slayman is \u201cactually quite robust.\"
Slayman had a kidney transplant at the hospital in 2018, but had to go back on dialysis last year when it showed signs of failure. When dialysis complications arose requiring frequent procedures, his doctors suggested a pig kidney transplant, he said in a statement released by the hospital.
\u201cI saw it not only as a way to help me, but a way to provide hope for the thousands of people who need a transplant to survive,\u201d said Slayman, a systems manager for the Massachusetts Department of Transportation.
The transplant surgery took four hours, with 15 people in the operating room who applauded when the kidney turned pink and started making urine, doctors said at a news conference. \u201cIt was truly the most beautiful kidney I have ever seen,\u201d said Kawai.
Dr. Parsia Vagefi, chief of surgical transplantation at UT Southwestern Medical Center, called the announcement \u201ca big step forward.\u201d But echoing the Boston doctors, he said studies involving more patients at different medical centers would be needed for it to become more commonly available.
The experiment marks the latest development in xenotransplantation, the term for efforts to try to heal human patients with cells, tissues, or organs from animals. For decades, it didn't work \u2014 the human immune system immediately destroyed foreign animal tissue. More recent attempts have involved pigs that have been modified so their organs are more humanlike \u2014 increasing hope that they might one day help fill a shortage of donated organs.
More than 100,000 people are on the national waiting list for a transplant, most of them kidney patients, and thousands die every year before their turn comes.
Pigs have long been used in human medicine, including pig skin grafts and implantation of pig heart valves. But transplanting entire organs is much more complex than using highly processed tissue. The kidney implanted in Slayman was provided by eGenesis of Cambridge, Massachusetts. The pig was genetically edited to remove harmful pig genes and add certain human genes to improve its compatibility.
Slayman's case was challenging, doctors said. Even before his first transplant, he had trouble being on dialysis and needed dozens of procedures to try to remove clots and restore blood flow. He became \"increasingly despondent and depressed over his dialysis situation. At one point ... he literally said \u2018I just can't go on like this,\u2019\" said his kidney doctor, Williams.
The Food and Drug Administration gave special permission for Slayman's transplant under \u201ccompassionate use\u201d rules.
___
The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute\u2019s Science and Educational Media Group. The AP is solely responsible for all content.
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EDITS: Minor edits.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "US--California-Medicaid Rates", + "headline": "California wants to pay doctors more money to see Medicaid patients", + "headline_extended": "California wants to pay doctors more money to persuade them to see more Medicaid patients", + "slugline": "BC-US--California-Medicaid Rates, 1st Ld-Writethru", + "description_summary": "California wants to pay doctors more money to persuade them to see more Medicaid patients. Medicaid is the government-funded health insurance program for people with low incomes or disabilities. Democrats have greatly increased the number of people eligible for Medicaid in California. But the rates Medicaid pays doctors have not kept up. Last year, California increased a tax on managed care providers. California took the money from this tax and used it to get more money from the federal government. California plans to use this money to increase rates for doctors. But the tax is not a permanent fix.", + "bylines": [ + { + "by": "By ADAM BEAM", + "title": "Associated Press" + } + ], + "located": "SACRAMENTO, Calif.", + "datelinelocation": { + "city": "Sacramento", + "countryareacode": "CA", + "countryareaname": "California", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -121.4944, + 38.58157 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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(AP) \u2014 When Hunter Morgan bought an optometry practice in Southern California three years ago, one of the first things he did was start seeing patients who use Medicaid, the government-funded health insurance program for low-income people.
The previous owners had not accepted patients on Medicaid, which covers roughly a third of California's 39 million residents. But Morgan felt he had a responsibility to serve people in need.
Just five months later, Morgan said, he had to stop treating Medicaid patients because of the paltry pay. He charges $175 for eye exams, but the most he could get from Medicaid was about $40. That made it difficult to pay his staff and pricey rent in the upscale beach community of Encinitas, 25 miles (40 kilometers) north of San Diego.
\u201cWe couldn't function that way,\u201d he said.
California Gov. Gavin Newsom and his Democratic allies in the state Legislature have greatly increased the number of people on Medicaid, including all eligible adults in the state who are in the country without legal permission. But while California's Medicaid now covers about 15 million people, the rates it pays to doctors have not kept up.
It has contributed to a crisis at some rural hospitals, some of which needed an emergency loan from the state Legislature last year to keep from closing. And it has made it harder for people enrolled in Medicaid to find doctors willing to treat them, forcing some to drive long distances to seek care.
Health care providers have been clamoring for California\u2019s Medicaid program, known as Medi-Cal, to pay them more. But California doesn\u2019t have extra money thanks to back-to-back multibillion-dollar budget deficits. To pay doctors more, Newsom and the state Legislature chose to raise taxes \u2014 but not in the way you might think.
Just about every state taxes entities such as hospitals, nursing homes and ambulances to help pay for their share of Medicaid. Since 2005, California has taxed managed care organizations \u2014 the private companies that contract with the state to provide Medicaid benefits.
But unlike with most taxes, the companies don\u2019t have to pay all of it. The state pays most of it for them, then uses the money to trigger more federal payments for Medicaid. That means more money for everybody.
Last year Newsom signed a law that greatly increased this tax. It means the state will get $19.4 billion through 2026. On Thursday, the Legislature voted to increase it again, which will generate an estimated $1.5 billion more.
\u201cCalifornia is pulling every lever of government to increase access to affordable, high-quality health care across the state,\u201d Newsom said in a statement to The Associated Press.
In the past, California has used that kind of surplus to balance its budget. But this time the state has vowed to use part of it to pay doctors more for treating Medicaid patients.
How much, and who will get it, will be fully decided this year. The first increases last year went to primary care doctors, maternity care and some mental health services. This year\u2019s increases, which have not yet been approved by the Legislature, would include things like obstetric, vaccine and abortion services \u2014 and optometry.
For optometrists, Newsom is proposing to raise rates to match those paid by Medicare, the federal government\u2019s health insurance program for people 65 and older. That could mean California\u2019s roughly 8,000 licensed optometrists would get a lot more money for Medicaid patients: roughly $130 per exam instead of $47.
Health care providers have cheered these increases, but they're still nervous. California's budget deficits have only been growing.
\u201cIf things really did get bad, I think, they could use the money for other purposes,\" said Kristine Schultz, executive director of the California Optometric Association.
Newsom already wants to change the tax increase he signed last year, which included $11 billion more to hike provider payments over five years. This year, because of the deficit, Newsom wants to use $8 billion for provider payments over four years. Providers would still get the same increase, but it would expire sooner.
Plus, the federal government must approve California\u2019s tax on managed care organizations every three years. President Joe Biden's administration has signaled recently that it wants to reduce how much money states can collect, and that could force California to lower the tax in the future, cutting into its ability to continue paying doctors' higher rates.
\u201cIt\u2019s a real concern,\u201d said Stuart Thompson, senior vice president for governmental affairs for the California Medical Association, during a recent public hearing before lawmakers. \u201cWe don\u2019t want to create a scenario in which we have a program that goes for four years and then we reach the cliff.\u201d
Republicans in the Legislature have criticized Newsom's plan to raise the tax again. There is \"no guarantee it stays in the health care space,\u201d said Assemblymember Vince Fong, a Republican and vice chair of the Assembly Budget Committee.
But Assembly Democrats appear to view the plan more favorably. Democrat Akilah Weber, chair of the budget subcommittee that oversees health care spending, said the deficit is requiring \u201csome changes\u201d but she remains committed to the rate increases.
An increase for optometrist payments would be good news for people in Fresno, a Central Valley city with a large population of low-income farm workers who are on Medicaid.
At one eye care practice in the city, Fogg Remington, Medicaid patients historically made up about 15% of clients. But it stopped accepting new Medicaid patients in January, citing low reimbursement rates and a new law requiring health care workers to be paid at least $25 per hour.
Fogg Remington optometrist Dr. Anthony Chavez said that if California were to increase its rates, it would be a \u201cno brainer\u201d to reverse that decision.
\u201cWe want to help these people,\u201d Chavez said.
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These topics are highly relevant to the broader topic of health." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/03/21/cb939eda98a39219ab66ccf138aee8e8.json b/datasets/AP_news/raw_data/2024/03/21/cb939eda98a39219ab66ccf138aee8e8.json new file mode 100644 index 0000000..0905036 --- /dev/null +++ b/datasets/AP_news/raw_data/2024/03/21/cb939eda98a39219ab66ccf138aee8e8.json @@ -0,0 +1,220 @@ +{ + "altids": { + "itemid": "cb939eda98a39219ab66ccf138aee8e8", + "etag": "cb939eda98a39219ab66ccf138aee8e8_1a8aza0c0", + "friendlykey": "277218799569", + "referenceid": "AF--Kenya-Doctors-Strike" + }, + "version": 1, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-03-21T11:23:53Z", + "firstcreated": "2024-03-21T09:35:15Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: Updates Media.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "AF--Kenya-Doctors-Strike", + "headline": "Kenyan doctors stop providing emergency services at public hospitals as strike enters second week", + "headline_extended": "Kenyan doctors have stopped providing emergency services at public hospitals, as they escalated a national strike that entered its second week", + "slugline": "AP-AF--Kenya-Doctors-Strike, 1st Ld-Writethru", + "description_summary": "Kenyan doctors have stopped providing emergency services at public hospitals, as they escalated a national strike that entered its second week. Thousands of doctors have stayed away from hospitals since last Thursday over poor pay and working conditions, despite a court order calling for talks between the doctors and the Health Ministry. The Kenya Medical Practitioners Pharmacists and Dentists Union secretary-general said Thursday that the doctors had escalated the strike and stopped providing bare minimum services because the government had shown no efforts to resolve the labor dispute.", + "bylines": [ + { + "by": "By EVELYNE MUSAMBI", + "title": "Associated Press" + } + ], + "located": "NAIROBI, Kenya", + "datelinelocation": { + "city": "Nairobi", + "countrycode": "KEN", + "countryname": "Kenya", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + 36.81667, + -1.28333 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. 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Thousands of doctors have stayed away from hospitals since last Thursday over poor pay and working conditions, despite a court order calling for talks between the doctors and the Health Ministry.
Kenya Medical Practitioners Pharmacists and Dentists Union Secretary-General Dr. Davji Bhimji said the doctors escalated the strike and stopped providing bare minimum services because the government had shown no efforts to resolve the labor dispute.
\u201cIn the morning, we managed to close the emergency services that were being offered at the Kenyatta national referral hospital,\u201d he told journalists on Wednesday.
Health Minister Susan Nakhumicha on Wednesday told local television station KTN that she had instructed two top referral hospitals to recruit doctors to replace those taking part in the national strike.
\u201cWe will not allow a crisis to happen\u2026 We cannot afford to have a gap,\u201d she said, adding that doctors were offered temporary replacements starting Wednesday night.
An Associated Press journalist confirmed on Thursday morning that emergency services at the Kenyatta national referral hospital in the capital, Nairobi, had resumed.
The ministry is due on Thursday to issue letters to 1,000 medical interns who will be posted in various hospitals across the country.
The striking doctors accuse the government of failing to implement a raft of promises, including a collective bargaining agreement signed in 2017 after a 100-day strike that saw people die from lack of care.
A meeting between the union, ministry officials and State House officials is also due to be held on Thursday aimed at resolving the stand-off, which has left thousands of Kenyans without much-needed public health services.
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The government says it will start informing the striking medical interns and residents next week of its final decision to suspend their licenses. Those doctors missed a Feb. 29 deadline to return to work. It is still unclear whether the move could prompt the doctors to end their strikes anytime soon. The standoff could deepen as some senior doctors plan to submit resignations on Monday in a show of solidarity with the junior strikers.", + "bylines": [ + { + "by": "By HYUNG-JIN KIM", + "title": "Associated Press" + } + ], + "located": "SEOUL, South Korea", + "datelinelocation": { + "city": "Seoul", + "countrycode": "KOR", + "countryname": "South Korea", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + 126.9784, + 37.566 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. 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Starting next week, the government said it will inform the striking medical interns and residents of its final decision to suspend their licenses for missing a government-imposed Feb. 29 deadline to return to work.
It's still unclear whether the move will prompt the doctors to end their strikes, and the standoff could still deepen as some senior doctors plan to submit resignations on Monday in a show of solidarity with the junior strikers.
Here are the latest developments on the strikes touched off by the government's announcement in early February that it would recruit 2,000 more medical students yearly.
Since early March, the South Korean government has been taking a series of administrative steps to suspend the licenses of about 12,000 junior doctors. The steps include informing the strikers about possible suspensions and giving them opportunities to respond.
Vice Health Minister Park Min-soo said Tuesday the government is expected to finish those administrative steps for some of the strikers next week and that it will send them final government notices about their impending license suspensions.
Each notice would contain details including when a license suspension will take effect and how long it will last. By law, they must be delivered in person or by mail. But for those whose addresses are unknown, the suspensions would take effect after related information is posted on the government website, according to the Health Ministry.
Health officials have said each striking doctor could face a minimum three-month license suspension and possible indictment by prosecutors. The country's medical law allows punishments of medical personnel if they refuse government orders to resume work.
Park repeated his appeal for doctors to report back to work, suggesting those who return would face unspecified softer punishments. He previously warned that junior doctors with suspension records could face delays in getting licenses for specialists or trouble in finding jobs.
Despite the suspensions, striking doctors won't likely back down anytime soon as they have already ignored repeated warnings they must return to work or face prosecution.
Some observers have questioned whether the government could suspend all the striking doctors, who represent more than 90% of the country's 13,000 interns and resident doctors. They said the government would likely target strike leaders and that they would likely respond with legal action.
Further complicating the situation, senior doctors at major university hospitals \u2014 where most of the striking doctors trained \u2014 are threatening to submit resignations en masse early next week. They plan to continue their work for the time being, but if they walk off the job like the junior doctors, that would cause a much bigger strain on South Korea's medical services, observers say.
The government urged senior doctors to cancel those plans. It recently sent notices to two senior doctors who lead an emergency committee for the walkouts, telling them their licenses would be suspended for three months for allegedly inciting the junior doctors' strikes. One of the two doctors, Park Myung-Ha, accused the government of attempting to break up the emergency committee and sending a warning message to the striking junior doctors.
The government on Wednesday announced detailed plans for how to allocate the additional 2,000 admission seats to medical schools, indicating that the government has no intention of revising its plans. The doctors' emergency committee said in a statement Thursday that the striking doctors \u201ccan't repress our astonishment and anger.\u201d
At the heart of the confrontation is a government plan to increase the country\u2019s medical school enrollment quota by 2,000 starting next year, from the current cap of 3,058, which has been unchanged since 2006.
The government says it needs to add up to 10,000 doctors by 2035 because the country has one of the world's fastest-aging populations and its doctors-to-population ratio is among the lowest among advanced economies. Officials say more doctors are needed to address a long-running shortage of physicians in low-paying but key essential professions like pediatrics and emergency departments.
But doctors say universities can't offer quality education to such an abruptly increased number of students and that it would ultimately hurt the quality of South Korea's medical services. They say doctors in greater competition would likely engage in overtreatment and that newly recruited students would also likely want to work in high-paying, popular professions like plastic surgery and dermatology.
The doctors' protests haven't generated public support, with a recent survey showing that about 90% of respondents support an increase in the medical school admission cap. Some critics say the striking doctors worry that adding more doctors would result in lower incomes in the future.
The striking doctors account for less than 10% of the country's 140,000 doctors. But in some major hospitals, they represent 30-40% of the total doctors and assist senior doctors and deal with inpatients. Their walkouts have subsequently led to hundreds of cancelled or postponed surgeries and other treatments.
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The Georgia Senate\u2019s Regulated Industries and Utilities Committee rejected an expansion plan on a tie 7-7 vote. In Kansas, the 17-member House health committee refused to advance Kelly's plan when only its five Democrats voted yes.", + "bylines": [ + { + "by": "By JEFF AMY and JOHN HANNA", + "title": "Associated Press" + } + ], + "located": "ATLANTA", + "datelinelocation": { + "city": "Atlanta", + "countryareacode": "GA", + "countryareaname": "Georgia", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -84.38798, + 33.749 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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There are currently only 10 states that don\u2019t cover people with incomes up to 138% of the federal poverty line, after North Carolina began offering Medicaid to uninsured adults last December.
In Georgia, Democratic Sen. David Lucas of Macon argued that lawmakers from both parties should grab federal bonus money that would pay for the first two years of extending coverage.
\u201cWe can\u2019t kick the can down the road anymore. $1.2 billion is in D.C., waiting for Georgia to expand. But how long will it be there?\u201d Lucas asked the committee.
More than 430,000 uninsured Georgia adults and 150,000 Kansans could gain coverage if Medicaid is broadened, health research group KFF has projected.
Kansas\u2019 Democratic Gov. Laura Kelly had expected federal funds and bonus dollars to cover the $715 million cost of expanding Medicaid, wipe out the state\u2019s costs and even cover an additional $62 million in other social services spending.
But Republicans, skeptical of the governor's projections and medical providers\u2019 ability to take on thousands of new Medicaid patients, wouldn\u2019t move the bill out of the health committee to the full House. The only yes votes on the 17-member committee came from its five Democrats.
Democrats in Georgia claimed Republican leaders in the state\u2019s GOP-controlled legislature had gone back on their promise to advance the Medicaid expansion bill in the Senate. The bill called for the state to buy private health insurance for uncovered, lower income adults. Private insurance could result in higher payments to medical providers than under Georgia\u2019s existing Medicaid plan.
The Georgia Senate\u2019s Regulated Industries and Utilities Committee rejected the plan on a 7-7 vote; two Republicans and five Democrats voted to advance it.
Republicans' rejection of Medicaid expansion has its roots in their opposition to Democratic President Barack Obama\u2019s signature Affordable Care Act, which has the federal government covering 90% of the cost. Some conservatives also are wary of what they see as a major expansion of government.
\u201cI do look at this as Medicaid expansion being socialized medicine and, you know, the United States of America is not a socialist country,\u201d said Kansas Rep. Carrie Barth.
In Georgia, one key issue is Republican Gov. Brian Kemp's existing Pathways plan, which offers coverage to adults earning up to the poverty line. To be eligible, people must document 80 monthly hours of work, study, rehabilitation or volunteering. But only about 3,500 people have signed up since the plan took effect in July, far fewer than the 100,000 that the Kemp administration projected.
\u201cI think we need to give this a little more time,\u201d Republican Sen. Ben Watson, a Savannah physician, told the state Senate committee. \u201cI think we need to let it mature a little bit.\u201d
Watson isn't normally a panel member but was added specially for the meeting by Republican leaders, providing the deciding \u201cno\u201d vote. Other Republicans pointed to the price tag, which Lucas estimated at $580 million a year, as well as other details.
Hopes for Medicaid expansion in Georgia multiplied this year after Republican House Speaker Jon Burns said he wanted to explore the idea. Legislation never advanced and Burns instead opted for a study committee to meet over the next year.
Georgia's governor hasn't outright said he would veto a broader expansion, but has repeatedly said he was focused on Pathways. It covers adults earning up to the poverty line \u2014 $15,060 for an individual. Lucas' plan would have covered people up to 138% of the poverty line, or $20,782.
The governor's decision to sue the federal government to try to extend the program's life was widely seen as a sign that he opposed an expansion of health care coverage. Pathways would expire in 2025, but Kemp sued to extend it to 2028. The proposed new plan, which would have required special federal approval, wouldn't have started until Pathways ended.
As in North Carolina, Georgia Democrats have tried to link Medicaid expansion with discussions over reducing the requirements for health care permits, known as certificates of need. Some Democrats voted for a Senate version of the bill, which would reduce permit requirements more than the House had proposed. However, Democratic Minority Leader Gloria Butler of Stone Mountain said that support was conditioned on Medicaid expansion talks.
___
Hanna reported from Topeka, Kansas.
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Ivan Zhdanov, head of the Anti-Corruption Foundation that was started by Navalny, said the court in the town of Labytnangi, near the Arctic prison where he died, turned down the suit because it said only Navalny himself could be the plaintiff.
\u201cAlexei filed claims against the colonies many times for failure to provide medical care. The claims were denied. Now that he was killed, his family\u2019s claim is being denied with mocking wording,\u201d Zhdanov said on the Telegram messaging app.
Navalny, the most persistent foe of President Vladimir Putin, was serving a 19-year sentence. He had been behind bars since January 2021 after returning to Russia from Germany where he had been recovering from nerve-agent poisoning that he blamed on the Kremlin.
The cause of his Feb. 16 death has been described by officials only as due to natural causes.
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(AP) \u2014 Three years after COVID-19 vaccines became widely available in the United States, Louisiana continues to debate policies related to inoculation mandates, including civil labilities if a work place mandates vaccines or not and a bill that would prohibit schools from requiring students to receive the vaccine.
The ongoing debates, which are often marred by anti-vaccination rhetoric, come on the cusp of relaxed guidelines from the Centers for Disease Control and Prevention and COVID-19 no longer being the public health menace it once was. This legislative session, Louisiana lawmakers' conversations on COVID-19 vaccines have broadened to also apply to \u201cexperimental or emergency use vaccinations\" for fear of future pandemics.
Louisiana's GOP-controlled House passed a bill Wednesday that protects businesses from being sued because they don't mandate \u201cexperimental or emergency use vaccines\u201d including COVID-19 shots.
Under the proposed legislation, if a person believes they got sick from contact at a business, they would be unable to file a lawsuit against the business.
Rep. Danny McCormick, who authored the measure, said the bill would \u201cdo away with any frivolous lawsuits.\u201d The Republican added that it would be difficult to directly pinpoint, before a judge, where or from whom a person contracted COVID-19. Opponents of the bill, such as Democratic Rep. Denise Marcelle, said while that is true, McCormick's bill wouldn't give people the chance to even reach that point.
The legislation passed mainly along party lines and now heads to the Senate.
In a narrow vote, the House rejected another bill that would allow people who \u201csuffer from vaccine injuries\" to sue their school or employer if they are required to receive a COVID-19 vaccine as a condition of employment.
Louisiana GOP Rep. Mike Echols, who authored the bill, said he knows of several constituents who \u201cdied or were maimed and injured\u201d by the COVID-19 vaccine. Across the country, conspiracy theorists and anti-vaccine activists have incorrectly and baselessly blamed the injuries and deaths of hundreds of children, teens, athletes and celebrities on COVID-19 shots. Deaths caused by vaccination are extremely rare, and rigorous study and evidence from hundreds of millions of administered shots have proven COVID-19 vaccines are safe and effective.
The bill received an influential note of disapproval from a powerful lobbying organization that represents business industry interests, describing the measure as \u201charmful to the long-established purpose of workers compensation throughout the country.\u201d
The bill failed 51-50, but Rep. Echols said he plans to bring the measure back in another attempt of passage.
This session, the GOP-dominated legislature will also take up a measure that would prohibit schools from requiring students to get COVID-19 vaccines.
A nearly identical bill easily won legislative approval last year, but was vetoed by then-Gov. John Bel Edwards, a Democrat. Since then, conservative Gov. Jeff Landry has taken office.
In his veto message, Edwards said the bill is \u201cunnecessary\u201d as the vaccine is not mandated by the state. In addition, Edwards said the measure \u201cseeks to undermine public confidence\" in COVID-19 vaccines.
Arguments in Louisiana's capitol echo those from statehouses throughout the country since COVID-19 vaccines became widely used in 2021. Vaccines have helped to dramatically reduce instances of serious disease and death from COVID-19.
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Over the last two decades, the number of U.S. overdose deaths has risen almost every year and continued to break annual records \u2014 making it the worst overdose epidemic in American history.
The official number for 2022 was 107,941, the U.S. Centers for Disease Control and Prevention said, which is about 1% higher than the nearly 107,000 overdose deaths in 2021.
Earlier provisional data estimated more than 109,000 overdose deaths in 2022, but provisional data includes all overdose deaths, while the final numbers are limited to U.S. residents.
The female overdose death rate declined for the first time in five years, although the male overdose death rate continued to inch up, the report said. Males account for about 70% of U.S. overdose deaths.
The overall drug overdose death rate rose from 2021 to 2022, but the increase was so small it was not considered statistically significant.
The CDC has not yet reported overdose numbers for last year, although provisional data through the first ten months of the year suggest overdose deaths continued to be stable in 2023.
___
The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute\u2019s Science and Educational Media Group. The AP is solely responsible for all content.
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Gavin Newsom has barely passed despite his multimillion-dollar campaign supporting it", + "slugline": "AP-US--California-Homelessness Measure", + "description_summary": "A key measure to combat homelessness backed by California Gov. Gavin Newsom has barely passed despite his multimillion-dollar campaign supporting it. Political analysts say that's a reflection of voter fatigue and frustration. Proposition 1 authorizes the state to borrow $6.4 billion to build housing and treatment beds. It also restricts how counties use money from a 2004 tax on millionaires meant to fund mental health services. Newsom pointed to a near record-low voter turnout for the narrow win. 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(AP) \u2014 A key measure to combat homelessness personally backed by California Gov. Gavin Newsom has barely passed despite his multi-million-dollar campaign supporting it, reflecting voter fatigue and frustration about the crisis that continues to dog the state\u2019s Democratic leadership.
Proposition 1 is touted by the Democratic governor as a linchpin to his plans to tackle the homelessness crisis in the state by boosting investments in housing and substance use programs. Newsom threw all of his political weight behind the measure, bringing on broad bipartisan support from lawmakers, mayors of big cities, first responders and hospitals and amassing at least $13 million to run promotional TV ads. The governor, who also convinced the Legislature to clear out the March ballot for the proposition, was more than confident about its passage earlier this year as the campaign faced little opposition. Yet the proposition squeaked by this week with a razor-thin margin 15 days after Election Day.
As of Thursday morning, the margin was less than 29,000 votes out of more than 7 million votes counted in the race.
The uncertainty had prompted Newsom to delay the annual State of the State address this week and urged voters whose ballots may have been rejected to fix their signatures. On Thursday, surrounded by a host of local and state officials, Newsom pointed to the near record-low voter turnout for the narrow win, saying he was \u201ca little bit\u201d surprised with the slim margin while taking a victory lap at a behavioral health center in the Los Angeles County area. Only about a third of 22 million registered voters turned in their ballots in the March primary.
\u201cWe didn't take anything for granted,\u201d Newsom said. \u201cChange is hard, particularly in this space.\u201d
With makeshift tents lining streets and disrupting businesses in communities across the state, homelessness has become one of the most frustrating issues in California and one sure to hound Newsom should he ever mount a national campaign. The state accounts for nearly a third of the homeless population in the United States; roughly 181,000 Californians are in need of housing. The state, with a current inventory of 5,500 beds, needs some 8,000 more units to treat mental health and addiction issues.
Newsom has made homelessness a political priority. His administration already has spent at least $22 billion on various programs to address the crisis, including $3.5 billion to convert rundown motels into homeless housing. California is also giving out $2 billion in grants to build more treatment facilities.
Under the proposition, counties will now be required to spend about two-thirds of the money from a voter-approved tax enacted in 2004 on millionaires for mental health services on housing and programs for homeless people with serious mental illnesses or substance abuse problems. The initiative also allows the state to borrow $6.38 billion to build 4,350 housing units, half of which will be reserved for veterans, and add 6,800 mental health and addiction treatment beds.
While voters have repeatedly named homelessness as a top issue in California, some are alarmed with the looming multibillion-dollar budget deficit and growing frustrated with Newsom\u2019s administration spending billions to get people off the streets with little dramatic change. Brian Sobel, a political analyst, said Californians are experiencing \u201cbond fatigues\u201d after years of approving expensive ballot measures. The fact that the bond within the proposition would eventually cost upward $14 billion because of interests could have deterred voters from supporting it.
\u201cPeople are waking up to the fact that we\u2019re just incurring more and more debt and we don't see a discernible difference in the quality of life,\u201d Sobel said. \u201cBecause money\u2019s not solving the problem in the eyes of Californians, they\u2019re getting more and more reluctant to pass propositions.\u201d
Primary elections also typically draw out \u201chabitual voters,\u201d who are more conservatives and more likely to reject any bond measure, said Sonoma State University political science professor David McCuan, who studies ballot measures. Republican voters who turned out to support presidential candidate Donald Trump and Senate candidate Steve Garvey, a former baseball player who was elevated by a multimillion-dollar campaign paid by his Democrat competitor Adam Schiff, also likely voted down the measure to send a message to Newsom, who made it a signature proposal. Democratic voters also didn't turn out because there wasn't \u201ca sizzling race\u201d to energize them, McCuan said.
\u201cIt absolutely is a political embarrassment for the governor, but they dodge a political bullet because it does pass,\u201d McCuan said of the proposition.
The proposition could have seen a bigger margin if it had been placed on a general election ballot, but even Democrats were wary about the promises of the proposition this election, political professor Kimberly Nalder of California State University, Sacramento said a few days after the polls closed.
Democrats outnumber Republicans by a staggering 2-to-1 in California, and the borderline vote \u201cdoes mean that some folks who normally would vote for Democrats, or maybe did on the same ballot, are voting against this,\u201d Nalder said.
Opponents, including social service providers and county officials, said the change will threaten programs that are not solely focused on housing or drug treatment but keep people from becoming homeless in the first place. Critics said the single formula could mean rural counties such as Butte, with a homeless population of fewer than 1,300, would be required to divert the same percentage of funds to housing as urban counties such as San Francisco, which has a homeless population six times bigger.
The measure's close win could signal more trouble ahead for Democratic leaders in Sacramento, who are still debating on which bond measures will make it to the November ballot. Lawmakers are considering a slew of bond proposals for housing, climate change and schools that could tally up to $80 billion.
\u201cThe demands on government now are going to be much more precise in terms of wanting demonstrated results, not just pie in the sky,\u201d Sobel said.
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Vice Health Minister Park Min-soo made the comments during a briefing Thursday as he repeated demands for the doctors to return to work immediately. About more than 90% of the country\u2019s 13,000 medical interns and residents have been on strike for about a month to protest the government\u2019s plan to sharply increase medical school admissions. Their strikes have caused hundreds of cancelled surgeries and other treatments at hospitals.", + "bylines": [ + { + "by": "By HYUNG-JIN KIM", + "title": "Associated Press" + } + ], + "located": "SEOUL, South Korea", + "datelinelocation": { + "city": "Seoul", + "countrycode": "KOR", + "countryname": "South Korea", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + 126.9784, + 37.566 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. 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More than 90% of the country\u2019s 13,000 medical interns and residents have been on strike for about a month to protest the government\u2019s plan to sharply increase medical school admissions. Their strikes have caused hundreds of cancelled surgeries and other treatments at hospitals.
Officials say it is urgent to have more doctors because South Korea has a rapidly aging population and its doctor-to-population ratio is one of the lowest in the developed world. But doctors say schools can\u2019t handle an abrupt, steep increase in students, and that it would ultimately undermine the country\u2019s medical services.
The government has been taking a series of administrative steps required to suspend their licenses after they missed a government-set, Feb. 29 deadline to return to work. The steps include sending officials to formally confirm the absences of strikers, informing them of possible license suspensions and giving them chances to respond.
Vice Health Minister Park Min-soo told a briefing Thursday that the government is expected to complete those steps for some of the striking doctors next week and will send them notices about its final decision to suspend their licenses.
Park earlier said that under South Korea's medical law, the striking doctors could face at a minimum three-month suspensions and even indictments by prosecutors for refusing the government's back-to-work order.
He urged the striking doctors to return to work immediately, suggesting those who end their strikes could receive softer punishments.
\u201cThey should return as soon as possible not only for patients but also for their future careers. This kind of exhaustive walkout from hospitals must not continue any longer,\" Park said. \u201cAs we've said many times, we won't treat those who return swiftly as equally as those who return late.\u201d
It's unclear whether and how many striking doctors would return to their hospitals at the last minute. According to Park, none of the strikers who were informed of their possible license suspension has responded.
Senior doctors at major university hospitals recently decided to submit resignations next week in support of the junior doctors. Still, most of them will likely continue to report to work. If they walk off the job, that would hurt South Korea\u2019s medical services severely.
Two senior doctors, who lead an emergency doctors' committee for the walkouts, were recently given government notices that their licenses would be suspended for three months for allegedly inciting the junior doctors' walkouts.
The striking junior doctors account for less than 10% of South Korea\u2019s 140,000 doctors. But in some major hospitals, they represent about 30%-40% of the doctors, assisting senior doctors during surgeries and dealing with inpatients while training.
The government aims to increase the country\u2019s medical school enrollment cap by 2,000 starting next year, from the current cap of 3,058 that has been unchanged since 2006. On Wednesday, the government announced detailed plans on how to allocate those additional 2,000 admission seats to universities, a sign that it won't back down its plan.
Officials say more doctors are required to address a long-standing shortage of physicians in rural areas and in essential but low-paying specialties. But doctors say newly recruited students would also try to work in the capital region and in high-paying fields like plastic surgery and dermatology. They say the government plan would also result in doctors performing unnecessary treatments due to increased competition.
Surveys show that a majority of South Koreans support the government's push to create more doctors, with critics suspecting that doctors, one of the highest-paid professions in South Korea, worry about lower incomes due to the supply of more doctors.
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(AP) \u2014 California voters have approved a measure that will impose strict requirements on counties to spend on housing and drug treatment programs to tackle the state\u2019s homelessness crisis, in a tissue-thin win for Gov. Gavin Newsom, who personally campaigned for the measure's passage.
Democrats outnumber Republicans by a staggering 2-to-1 in California, and the borderline vote \u2014 coming more than two weeks after election day \u2014 signaled unease with the state\u2019s homeless policies after Newsom\u2019s administration invested billions of dollars to get people off the street but no dramatic change has been seen in Los Angeles and other large cities.
The state accounts for nearly a third of the homeless population in the United States; roughly 181,000 Californians are in need of housing.
Newsom, who made the measure a signature proposal, spent significant time and money campaigning on its behalf. He raised more than $13 million to promote it with the support of law enforcement, first responders, hospitals and mayors of major cities. Opponents raised just $1,000.
Proposition 1 marks the first update to the state\u2019s mental health system in 20 years.
\u201cThis is the biggest change in decades in how California tackles homelessness, and a victory for doing things radically different,\u201d Newsom said in a statement after the borderline vote. \u201cNow, counties and local officials must match the ambition of California voters. This historic reform will only succeed if we all kick into action immediately \u2013 state government and local leaders, together.\u201d
Counties will now be required to spend about two-thirds of the money from a voter-approved tax enacted in 2004 on millionaires for mental health services on housing and programs for homeless people with serious mental illnesses or substance abuse problems.
The state, with a current inventory of 5,500 beds, needs some 8,000 more units to treat mental health and addiction issues.
The initiative also allows the state to borrow $6.38 billion to build 4,350 housing units, half of which will be reserved for veterans, and add 6,800 mental health and addiction treatment beds.
Opponents, including social service providers and county officials, said the change will threaten programs that are not solely focused on housing or drug treatment but keep people from becoming homeless in the first place.
Critics said the single formula could mean rural counties such as Butte, with a homeless population of fewer than 1,300 people, would be required to divert the same percentage of funds to housing as urban counties such as San Francisco, which has a homeless population six times bigger.
With makeshift tents lining streets and disrupting businesses in communities across the state, homelessness has become one of the most frustrating issues in California and one sure to dog Newsom should he ever mount a national campaign.
Newsom touted the proposition as the final piece in his plan to reform California\u2019s mental health system. He has already pushed for laws that make it easier to force people with behavioral health issues into treatment.
William Elias, a television producer in Sacramento, said he \u201cwas on the fence\u201d about Proposition 1 but decided to vote in favor of it because of the pervasive homelessness problem.
\u201cThat\u2019s something that\u2019s all around us right now,\u201d he said. \u201cWe got all these tents out here in front of City Hall.\u201d
Estrellita Vivirito, a Palm Springs resident, also voted \u2018yes\u2019 on the measure.
\u201cIt\u2019s only logical, you know, we have to do something,\u201d she said.
Katherine Wolf, a doctoral student at the University of California, Berkeley, said she voted \u2018no\u2019 on the measure out of concerns it would result in more people being locked up against their will.
\u201cI was appalled of the system of laws that he has been building to kind of erode the rights of people with mental disabilities,\u201d Wolf said of Newsom.
Griffin Bovee, a Republican state worker in Sacramento, also voted against the proposition and said the state has been wasting taxpayer money.
\u201cSacramento really shouldn\u2019t get another dime until they actually figure out why what they\u2019re doing is not working,\u201d he said of the state\u2019s handling of the homelessness crisis. \u201cThey spent $20 billion over the past few years trying to fix that problem and it got worse.\u201d
Revenue from the tax on millionaires, now between $2 billion and $3 billion a year, provides about one-third of the state\u2019s total mental health budget.
Opponents, including some county officials, mental health service providers and some Republicans, said the ballot measure would cut funding from cultural centers, peer-support programs and vocational services and would pit those programs against services for homeless people.
Newsom\u2019s administration has already spent at least $22 billion on various programs to address the crisis, including $3.5 billion to convert rundown motels into homeless housing. California is also giving out $2 billion in grants to build more treatment facilities.
___
Associated Press writer Michael R. Blood in Los Angeles contributed to this report.
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\u201cCPSC urges consumers not to purchase or sell any candy of this type. Consumers should stop using and dispose of these products,\u201d the agency said in a statement.
Reports of incidents related to this candy can be posted on www.SaferProducts.gov.
___
The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute\u2019s Science and Educational Media Group. The AP is solely responsible for all content.
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Kensington Palace had given little detail about Kate\u2019s condition beyond saying it wasn\u2019t cancer-related, the surgery was successful and recuperation would keep the princess away from public duties until April.", + "bylines": [ + { + "by": "By BRIAN MELLEY and JILL LAWLESS", + "title": "Associated Press" + } + ], + "located": "LONDON", + "datelinelocation": { + "city": "London", + "countrycode": "GBR", + "countryname": "United Kingdom", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -0.12574, + 51.50853 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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The princess disclosed her condition in a video message recorded Wednesday in Windsor and broadcast Friday. It came after relentless speculation on social media ever since January, when she was hospitalized for unspecified abdominal surgery.
Kate asked for \u201ctime, space and privacy\u201d while she is treated for an unspecified type of cancer that was discovered after what she described as \u201cmajor\u201d surgery.
Wearing a casual striped sweater and jeans, Kate sat on a wooden bench in front of a lawn dotted with daffodils. The flowers, which bloom in early spring, are often used as a symbol of hope for people fighting cancer.
\u201cI am well,\" she said. \"I am getting stronger every day by focusing on the things that will help me heal.\u201d
Kate, 42, hadn\u2019t been seen publicly since Christmas until video surfaced this week of her with her husband, Prince William, heir to the throne. It showed them walking from a shop that sells produce grown on the royal family's Windsor estate.
The news is another jolt for the royal family since the announcement last month that King Charles III was being treated for an unspecified type of cancer that was discovered while undergoing a procedure for a benign enlarged prostate.
Charles said he is \u201cso proud of Catherine for her courage in speaking as she did,\u201d according to a statement released by Buckingham Palace. The king, who received prostate treatment in the same hospital and at the same time Kate had her surgery, remained in the \u201cclosest contact with his beloved daughter-in-law\" in the past weeks.
The king and Queen Camilla \u201cwill continue to offer their love and support to the whole family through this difficult time,\" the palace said.
Prince Harry and his wife Meghan, who have been estranged from William and Kate since their move to California in 2020, wished the princess well.
\u201cWe wish health and healing for Kate and the family, and hope they are able to do so privately and in peace,\" they said in a statement.
Before Friday, Kensington Palace had given little detail about Kate\u2019s condition beyond saying it wasn\u2019t cancer-related, the surgery was successful and recuperation would keep the princess away from public duties until April. Kate said it had been thought that her condition was non-cancerous until post-surgery tests revealed the diagnosis.
\u201cThis of course came as a huge shock, and William and I have been doing everything we can to process and manage this privately for the sake of our young family,\" she said.
By choosing to speak directly to the country and the world about her condition, rather than issuing a statement through the palace, Kate offered a level of intimacy and transparency atypical of a member of the royal family and may help tamp down runaway conjecture. The king\u2019s disclosure of his condition was also notably open by royal standards.
Kate said it had taken her time to recover from the surgery before starting \u201cpreventative\u201d treatment, which she said was in the early stages.
Dr. Shivan Sivakumar, associate professor in oncology at the University of Birmingham, said it\u2019s unclear what the princess meant by \u201cpreventative\u201d chemotherapy but he presumed that it\u2019s what is known as \u201cadjuvant\u201d chemotherapy in the medical profession.
\u201cThis is chemotherapy after an operation to prevent recurrence,\u201d he said. \u201cThis is to attempt to destroy any circulating cancer cells.\u201d
Kate said it has been \u201can incredibly tough couple of months\u201d for her family. She said it had taken time to tell her three children Prince George, Princess Charlotte and Prince Louis in a way \u201cappropriate for them\u201d and reassure them she will be OK.
The announcement came after the start of the Easter holidays, which will shield the children from media coverage of the news.
British Prime Minister Rishi Sunak said in a statement that Kate \u201chas shown tremendous bravery.\u201d\u201d
\u201cWe are incredibly sad to hear of the news,\u201d said White House Press Secretary Karine Jean-Pierre, who opened her briefing with reporters moments after news of cancer treatment broke. \u201cWe are taking this in, this terrible news, as all of you are.\u201d
Charles, 75, has withdrawn from public duties while he has cancer treatment, though he's appeared frequently in photos carrying on meetings with government officials and dignitaries and was even seen going to church.
Kate, on the other hand, had been out of view instead of appearing at charity events and promoting causes such as supporting children early in life, leading to weeks of speculation and gossip. Attempts to put rumors to bed by releasing a photo of her on Mother's Day in the U.K. surrounded by her three smiling children backfired when The Associated Press and other news agencies retracted the image because it had been manipulated.
Kate issued a statement the next day acknowledging she liked to \u201cexperiment with editing\u201d and apologizing for \u201cany confusion\u201d the photo had caused. But that did little to quell the speculation.
Even the footage published by The Sun and TMZ that appeared to show Kate and William shopping sparked a new flurry of rumor-mongering, with some armchair sleuths refusing to believe the video showed Kate at all.
Earlier this week, a British privacy watchdog said it was investigating a report that staff at the private London hospital where she was treated tried to snoop on her medical records while she was a patient for abdominal surgery.
The former Kate Middleton, who married William in a fairy-tale wedding in 2011, has boosted the popularity and appeal of the British monarchy worldwide more than any royal since Princess Diana.
The princess is the oldest of three children brought up in a well-to-do neighborhood in Berkshire, west of London. The Middletons have no aristocratic background, and the British press often referred to Kate as a \u201ccommoner\u201d marrying into royalty.
Her brother James Middleton posted on Instagram: \u201cOver the years, we have climbed many mountains together. As a family, we will climb this one with you too.\u201d
Kate attended the private school Marlborough College and then University of St. Andrews in Scotland, where she met William around 2001. Friends and housemates at first, their relationship became widely publicized when they were pictured together on a skiing holiday in Switzerland in 2004.
Kate graduated in 2005 with a degree in art history and a budding relationship with the prince.
___
Pan Pylas in London and Chris Megerian in Washington, contributed to this report.
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The bill rejected Friday by Republican Gov. Mark Gordon would have required facilities providing surgical abortions to be licensed outpatient surgical centers, and women to get ultrasounds at least 48 hours before an abortion. Gordon said the bill was subject to legal challenges and that could have slowed efforts to ban abortions in the state. Gordon also signed a ban Friday on gender-affirming medical care for transgender minors. That puts Wyoming among at least 24 states with restrictions or bans on such care.", + "bylines": [ + { + "by": "By MEAD GRUVER", + "title": "Associated Press" + } + ], + "located": "CHEYENNE, Wyo.", + "datelinelocation": { + "city": "Cheyenne", + "countryareacode": "WY", + "countryareaname": "Wyoming", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -104.82025, + 41.13998 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. 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(AP) \u2014 Wyoming's governor on Friday vetoed a bill that would have erected significant barriers to abortion, should it remain legal in the state, and signed legislation banning gender-affirming care for minors.
The abortion bill rejected by Gov. Mark Gordon, a Republican, would have required facilities providing surgical abortions to be licensed as outpatient surgical centers, adding to their cost and the burdens they face to operate.
Women would have had to get ultrasounds no less than 48 hours before either a surgical or pill abortion to determine the fetus's gestational age and location and viability of the pregnancy.
Abortion is legal in Wyoming pending the outcome of a lawsuit challenging new laws to ban the procedure. The bill was aimed at the state's only full-service abortion clinic, Wellspring Health Access. The Casper facility opened in 2023 \u2014 almost a year later than planned after being badly burned in an arson attack by a woman who opposed abortion.
Gordon said in announcing the veto that the measure would have \u201cproperly regulated\u201d clinics. But he said amendments added by lawmakers made it vulnerable to legal challenge.
\u201cThe state is closer than ever to a decision on the constitutionality of abortion in Wyoming,\" Gordon said in a statement, adding that the bill \"had the potential to further delay the resolution of this critical issue for the unborn.\"
Most abortions at Wellspring are administered through pills but the clinic has been able to perform surgical abortions as well, according to clinic officials who opposed the bill.
The measure would have required abortions at any clinic to be provided only by a licensed physician who has admitting privileges at a hospital no more than 10 miles (16 kilometers) away.
The result would have been major new costs to renovate Wellspring to meet ambulatory surgical facility standards while getting \u201cmedically unnecessary\u201d admitting privileges for its doctors, clinic founder Julie Burkhart said in an emailed statement. Women also faced added travel and time-off-work costs to meet the ultrasound requirement, Burkhart added.
She said the bill was meant to close down the clinic, which would hurt people who are in need of abortion services.
\"Outlawing abortion will never serve as a vehicle for making this health care obsolete,\u201d she said.
Last year, the Wyoming Legislature passed \u2014 and Gordon signed into law \u2014 measures that restrict abortion in the state, including the first-in-the-U.S. explicit ban on abortion pills. Teton County District Judge Melissa Owens in Jackson has put the laws on hold while considering lawsuits against them filed by Wellspring and others.
At a hearing in December, Owens said she planned to issue a ruling rather than let the lawsuit go to trial. On Monday, however, she sent all major questions in the case to the state Supreme Court to consider instead.
Owens has shown sympathy for Wyoming's abortion-rights supporters. She has said they are likely to prevail, for example, with their argument that abortion is allowed under a 2012 state constitutional amendment, which states that competent adults have the right to make their own health care decisions.
Attorneys for Wyoming counter that the amendment \u2014 approved in response to the federal Affordable Care Act \u2014 was never intended to apply to abortion.
Wyoming's latest abortion bill faced a higher bar just to be debated in this year's legislative session, which ended March 8. Bills in the four-week session not related to the budget needed a two-thirds vote to be introduced.
\u201cThose of us who stand for legislation like this, we know deep down that life has meaning beyond this floor,\u201d Sen. Dan Dockstader, a Republican from Afton, said in a debate before the bill passed the Senate on a 24-6 vote March 1.
The bill earlier cleared the state House with a 53-9 vote.
While rejecting the abortion bill, Gordon signed into law a measure that makes Wyoming the latest state to ban gender-affirming medical care for transgender minors, saying he supports the bill's protections for minors. He added, however, that he also thinks such legislation amounts to the government \"straying into the personal affairs of families.\u201d
At least 24 states have adopted laws restricting or banning gender-affirming medical care for minors, and most of those states have been sued. A federal judge struck down Arkansas\u2019 ban as unconstitutional. In Idaho and Montana, judges\u2019 orders are in place temporarily blocking enforcement of the bans.
Wyoming lawmakers also passed bills this session enforcing parental rights in education. Gordon said the Legislature needs to \u201csort out its intentions\u201d on parental rights.
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March 20, 2024.
Editorial: Massachusetts needs more nurses and should ease path for out-of-state workers
Most neighboring states, and 41 US jurisdictions in total, let nurses licensed in one state practice in the others. Joining that compact would give Massachusetts\u2019 employers a better shot at filling thousands of vacancies.
Nurses fill a vital role in patient care, and Massachusetts\u2019 nursing workforce desperately needs shoring up. Even pre-pandemic, its nursing workforce was older, on average, than the country\u2019s, creating an environment ripe for labor shortages as those nurses retired, according to 2019 data cited by the Health Policy Commission. Challenging work conditions during the pandemic accelerated burnout and retirements.
A 2022 survey by the Massachusetts Health and Hospital Association estimated that there were 5,100 vacant nursing positions in Massachusetts at the time. The Center for Health Information and Analysis\u2019s newly released 2024 annual report found that in fiscal 2022, the state\u2019s hospitals spent a staggering $1.2 billion hiring registered nurses working on temporary contracts \u2014 like those hired through an agency to fill immediate staffing needs. That same report cited staffing shortages as a factor leading to the temporary closure of beds in psychiatric and substance abuse units. Hospitals have reported that staffing shortages in home care, rehabilitation facilities, and nursing homes limit their ability to discharge patients.
The Legislature should, finally, authorize Massachusetts to join the Nurse Licensure Compact. The compact is an agreement through which 41 US jurisdictions allow a nurse licensed in their home state to practice in other participating states. Maine, New Hampshire, Rhode Island, and Vermont are all part of the compact.
Participating in the compact would not entirely solve the state\u2019s nursing shortage. It would let more out-of-state nurses enter Massachusetts to work but would also offer flexibility for Massachusetts-based nurses to travel elsewhere. Yet, as the Massachusetts Health Policy Commission found in a 2021 report evaluating whether Massachusetts should join the compact, there are potential upsides to joining, without major downsides.
The commission found that joining the compact could help Massachusetts adapt to unforeseen changes in nursing needs that require temporary staffing, like a natural disaster or pandemic or seasonal fluctuations, like an influx of summer visitors to Cape Cod. It would make it easier for nurses who live in neighboring states to work in Massachusetts. (Today, a nurse licensed in another state needs to apply for a reciprocal license to work in Massachusetts.) With the rise of telehealth, joining the compact would make it easier for Massachusetts patients to receive telehealth care from out-of-state nurses and for Massachusetts nurses who care for out-of-state patients to provide follow-up care. This could be important if a New Hampshire resident has surgery in Massachusetts or a Texas resident has an abortion here. It could allow more nurse educators to teach remotely, amid a shortage of nursing faculty.
Charlene Craven, a registered nurse who works in a Central Massachusetts outpatient practice, said many of her patients live in Rhode Island or Connecticut, and she hesitates to provide advice over the phone in all but the simplest cases. \u201cIf I know that patient is out of state at home, technically I\u2019m not allowed to provide care for them because I\u2019d be acting as a nurse in a jurisdiction where I don\u2019t have a license,\u201d Craven said.
The nurse licensure compact has its own credentialing requirements, and after a 2018 change to require criminal background checks, some of the compact\u2019s requirements are stricter than Massachusetts\u2019. Massachusetts lawmakers could still set criteria that would apply to every nurse employed here, like requirements for continuing education.
Carmela Daniello, executive director of the American Nurses Association Massachusetts, a trade association that supports joining the compact, compared a nursing license to a driver\u2019s license. \u201cYou don\u2019t go to every state and get a new driver\u2019s license, but you are responsible for understanding the driving restrictions in a state through which you\u2019re driving,\u201d Daniello said.
Groups representing nurses are split. The National Council of State Boards of Nursing, which developed the compact, conducted a survey of Massachusetts-licensed nurses in October 2023, which found that 90 percent of nurses support joining the compact, with only 3 percent opposed and 7 percent having no opinion. But compact opponents say the survey is flawed because it did not detail the downsides of joining the compact.
The Massachusetts Nurses Association, a union representing 25,000 Massachusetts nurses and health care professionals, has long opposed joining the compact.
MNA President Katie Murphy said Massachusetts already has a pool of in-state nurses, and the reason hospitals struggle to hire and retain them relates to working conditions. Nurses may be uninterested in accepting a part-time or temporary job, or one where they are caring for too many patients. Murphy worries that entering the compact will compromise patient care if it results in more temporary, out-of-state nurses or more reliance on out-of-state nurses to remotely monitor patients.
The union is right that providers must offer nurses working conditions that make it appealing to work here, and that may become even more important if the compact is approved and makes the labor market more competitive. Employers would have to ensure they use out-of-state nurses wisely without compromising patient care.
But patient care is compromised now when hospitals can\u2019t find staff, and if the union is worried about nurses being overworked, it should support a measure that would help employers fill vacancies. If joining the compact removes administrative barriers to licensure and provides nurses with more flexibility, while upholding the quality of care, it is worth pursuing.
___
Portland Press Herald. March 17, 2024.
Editorial: Attacks on shield law are nothing more than election-year posturing
The effort by 16 Republican attorneys general to intimidate Maine out of a sound idea needs to be seen for exactly what it is.
Since the overturning of Roe v. Wade, individual states have been banding together in response \u2013 and they have been pulling apart.
More than a year ago, this editorial board praised Gov. Mills for joining with a group of Democratic state governors in a coalition that undertook to \u201cformalize shared approaches to policymaking, pool information, work together on budgeting strategies and reach some common ground on legal fights breaking out nationwide.\u201d
Last week, we witnessed a spurious example of the reverse in action.
A letter sent to the state\u2019s political leaders by a group of 16 Republican attorneys general came down hard on the shield law that Maine Legislature is considering passing into law, L.D. 227. The shield law would protect Maine-based health care providers from civil or criminal proceedings if they provide care that has been banned in a patient\u2019s home state.
About 17 states have passed shield laws. There is nothing \u201cextreme\u201d about this; it\u2019s a safeguard that\u2019s being pursued because of a legitimate threat.
Shield laws like the one Maine is considering were primarily put forward to allow practitioners to administer abortions without risk of prosecution. Lately, opponents are attempting to deflect attention onto one of the more inflamed questions of 2024: the provision of transgender health care to minors.
The letter argues that the proposal \u201cseeks to contravene the lawful policy choices of our states\u2019 citizens by imposing on the rest of the country Maine\u2019s views on hotly debated issues such as gender transition surgeries for children.\u201d
Support for a shield law should not be frustrated by this over-the-top intervention, which puts an inaccurate emphasis on gender-reassignment surgery for minors \u2013 surgery that is not, according to the Maine Hospital Association and MaineHealth, something Maine providers are offering.
The creation of a shield law is proposed to protect Maine health care providers from these statewide \u201cviews.\u201d The letter uses simplistic language to advance an abstract federalist ideal. At moments, it seems to contradict itself. (The petulant sentence \u201cOne state cannot control another,\u201d features in the closing paragraph.)
Any exertion of control here is attempted by the Republican states that wish to hunt down their residents and go after Maine health care workers. The attorneys general somehow find it appropriate to complain of \u201ctotalitarian impulses\u201d and faintly threaten that the institution of a shield law in Maine \u201ccould also trigger a rapid tit-for-tat escalation that tears apart our Republic.\u201d Small wonder, again, which parties would be driving such an escalation.
Elsewhere in the country, legal challenges are already underway, and the constitutionality of the concept will soon be clarified by the courts.
Until that happens, our legislators should work to pass the shield law and not be taken in by dubious, politically motivated attacks on something that would, if given up on, only expose decent law-abiding Mainers to more politically motivated attacks.
___
Bangor Daily News. March 18, 2024.
Editorial: Answer constitutional questions before a referendum goes to voters
Once again, it looks like Maine voters will be asked to consider a referendum question that is most likely unconstitutional.
Last month, Maine\u2019s secretary of state announced that petitioners had collected enough valid signatures to get an initiative on the ballot that would limit some campaign contributions.
The measure seeks to limit contributions to political action committees (PACs) that make independent expenditures. PACs are groups that collect political contributions and then parcel them out to candidates and campaigns.
The legislation will first go to the Legislature, where it is likely to be rejected. If that happens, the initiative will appear on the November ballot.
We are not fans of our current campaign funding system and believe that far too much money is spent trying to influence the outcomes of elections.
However, the U.S. Supreme Court has taken a dim view of restrictions on campaign spending. In a much criticized decision in 2010, the court held that campaign spending is essentially free speech and, therefore, cannot be restricted by the government.
So, restrictions like the ones sought in this proposed ballot question are likely to be deemed unconstitutional.
Several times in recent years, Maine voters have been asked to consider ballot initiatives that weren\u2019t likely to pass constitutional muster.
For example, voters strongly supported a referendum question in 2021 to stop a transmission corridor through western Maine. The Maine Supreme Court ruled that question unconstitutional and Central Maine Power has resumed construction of the corridor.
Last year, voters overwhelmingly approved a referendum that would limit campaign spending by foreign government entities. It has already been challenged in court and, on Feb. 29, a federal judge paused enforcement of the new law, indicating that portions of it were likely unconstitutional. The state of Maine has now appealed that pause.
The Maine Supreme Court also invalidated part of the ranked-choice voting referendum approved by voters in 2016.
State law and policy allows questions to appear on the ballot even though they may not later pass constitutional muster.
This is a practice that lawmakers should strongly reconsider. Adding a provision to state law that allows the Maine secretary of state, after consultation with the state attorney general, to reject initiative petitions that don\u2019t comply with the U.S. or Maine constitutions simply makes sense. A process is already in place that allows petitioners to sue if they believe the secretary of state wrongly rejected a petition. This would put the court challenges on constitutional grounds up front, rather than after a ballot measure had been voted on.
As we\u2019ve written before, not answering constitutional questions upfront just delays, rather than avoids, court challenges that may invalidate a referendum vote. It can also lead to frustration and distrust among voters who support a ballot question that is later deemed unconstitutional.
It would be much better if the constitutionality of ballot questions could be determined \u2014 or at least significantly clarified \u2014 before they are put to voters. Such a process could save Maine people, companies, regulators and others a lot of headaches, money, and frustration.
___
Rutland Herald. March 20, 2024.
Editorial: A fairer share
Reigniting a decades-old debate, President Joe Biden recently called for a wealth tax on the world\u2019s super-rich. Biden said, if reelected in November, he would impose a new \u201cbillionaire tax\u201d \u2014 a 25% tax on Americans with a wealth of more than $100 million. During the State of the Union, he stated: \u201cNo billionaire should pay a lower tax rate than a teacher, a sanitation worker, a nurse.\u201d
Global finance ministers recently meeting for a G20 summit in Brazil said they were exploring plans for a global minimum tax on the world\u2019s 3,000 billionaires to ensure the super-rich 0.1% pay their fair share to society. Such ideas have the backing of some of the world\u2019s wealthiest, according to published reports.
In early 2024, a growing network of so-called Patriotic Millionaires signed an open letter to world leaders, calling for higher taxes for the wealthy.
This week, a group of 23 high-income and wealthy Vermonters sent an open letter to lawmakers, asking them to increase taxes on the wealthy.
Legislators are considering a bill to enact a 3% surcharge on personal annual income above $500,000, which would raise at least $74 million in state revenue each year. Tuesday\u2019s letter stated explicit support for the proposal, as well as efforts to study legislation to tax unrealized gains of high-net-worth individuals. The group also supports conversations in the legislature to design a proposal for a modest tax on unrealized gains for taxpayers with over $10 million in assets.
The group includes Ben Cohen and Jerry Greenfield of Ben & Jerry\u2019s Ice Cream; Olympic cross-country skier Hannah Dreissigacker; Phoenix Books co-owner Renee Reiner; green energy entrepreneurs Duane Peterson and David Blittersdorf, and others.
The letter \u201cstressed the importance of public investment and their willingness to contribute more in taxes to fund public investments necessary to improve the quality of life for all Vermonters,\u201d according to an accompanying news release.
What follows are excerpts from the letter:
\u201cAs Vermont taxpayers and community members, we recognize the urgent moment we face. We see an acute housing crisis, chronic underfunding of state services, and a need for immediate investments in our infrastructure and environmental protection. At the same time, as Vermonters who have economically prospered in our state, we believe in contributing our fair share to build a state that works for all people who live here.\u201d
It goes on: \u201cWe support the Fair Share for Vermont proposals to increase taxes on the wealthiest Vermont residents, and we are willing to pay additional taxes to raise revenue for fundamental government services. We recognize that through public investment, we can improve the quality of life for all people.\u201d
Furthermore, it states, \u201cVermont is defined by its community spirit. Here in Vermont, we take care of our neighbors and form close relationships that transcend economic circumstances. Public investment, funded through tax revenue, is necessary to amplify these community efforts and fund programs that strengthen our communities. \u2026 We call on the legislature to make fiscally responsible choices to ensure that we are addressing the needs of our residents and ensuring that our state\u2019s revenues are strong and sustainable. And we think it\u2019s important for Vermonters \u2014 especially our state legislators \u2014 to know that many of the people who will pay these taxes support them.\u201d
Signatory Susanna Penfield, of Strafford, noted, \u201cWhen wealthy people maintain and accumulate wealth far beyond their own needs it comes at the cost of those in our neighborhoods, schools, towns \u2014 as well as at the cost of a sustainable future that will benefit us all.\u201d
There is no question, such wealth taxes would have an effect. Global wealth inequality has risen significantly over recent years, with the richest 1% holding two-thirds of all new wealth created since 2020, according to Oxfam. (It\u2019s also a statistic we have heard repeatedly from our own U.S. Sen. Bernie Sanders.) The poorest 50% of the global population now own just 2% of total net wealth, while the richest 10% hold 76%. Of that, the wealthiest 1% own around two-thirds.
Under Biden\u2019s proposals, a 25% tax on those with more than $100 million would raise $500 billion over 10 years to help fund benefits such as child care and paid parental leave. That would lift the average tax rate for America\u2019s 1,000 billionaires from 8.2% and bring it in line with the 25% paid by average American workers. Even a 2% tax on the world\u2019s 2,700 or so known billionaires could raise $250 billion per year, according to a 2023 report from the independent research lab EU Tax Observatory, which backs calls for a global wealth tax.
A separate Oxfam report in 2023 recently suggested a 5% tax on the world\u2019s multimillionaires and billionaires could raise $1.7 trillion annually \u2014 enough to lift 2 billion people out of poverty.
Add to the mix a 2024 poll by Patriotic Millionaires that found that more than half (58%) of millionaires from G20 countries back a 2% tax on wealth over $10 million. Three-quarters (74%) said they support higher taxes on the wealthy in general.
The letter to lawmakers was a pleasant surprise. A fairer share would go a long way.
\u201cPeople like us value our state\u2019s public investments and quality of life,\u201d the signatories wrote. \u201cWe love living in Vermont and appreciate the public good that taxes provide. ... We want our state to work for all Vermonters, and we want to contribute our fair share to make it happen.\u201d
___
Barre-Montpelier Times Argus. March 21, 2024.
Editorial: A sweet tradition
Vermont Maple Open House Weekend is this Saturday and Sunday. The annual event is a celebration of the maple sugaring season when sugar makers throw open the doors of their sugarhouses so visitors can experience one of Vermont\u2019s time-honored traditions.
This year, events and activities \u2014 including pancake breakfasts, sugar-on-snow tastings, sugarhouse tours, maple product samples, and more \u2014 are planned at more than 100 locations around the state, according to the Vermont Maple Sugar Makers\u2019 Association.
It\u2019s cause for celebration. Like mud season, maple sugaring season is a harbinger of springtime in Vermont \u2014 even if this weekend\u2019s forecast resembles January more than March. As warm days and cold nights get the sap running, hibernating hillsides begin to bustle activity as sap buckets appear and colorful tubes zigzag sugarbushes, collecting every drop. In sugarhouses, smoke pours from chimneys as stoves roar around the clock, boiling that precious liquid gold.
And gold it surely is. The Green Mountain State holds the distinction as the top maple producer in the nation, generating more than half of all maple syrup produced in the U.S. In 2022, Vermont\u2019s 2,500-plus sugarmakers produced over 2.5 million gallons valued at $84.5 million, or an average of $33.10 per gallon \u2014 a record high, according to the U.S. Department of Agriculture.
Vermonters take pride in our maple syrup. For many, it\u2019s a treasured pantry staple and healthy natural sweetener that adds flavor to everything, from our pancakes and waffles to salad dressings and cocktails. To be sure, the quickest way to trigger a Vermonter is to offer them generic pancake syrup or \u2014 heaven forbid \u2014 artificially flavored maple syrup.
In case you didn\u2019t know, we have laws against sort of thing. (Seriously.) Per 6 V.S.A. Chapter 32: \u201cArtificial maple flavored products shall be clearly and conspicuously labeled on their principal display panel or panels with the term \u2018artificial flavor\u2019 shall be of a size equal to, or larger than, other words used to describe the product. It is unlawful to use the terms \u2018maple syrup\u2019 or \u2018maple sugar,\u2019 however modified, to describe an artificially flavored product. Any restaurant menu listing such a product, or any advertising of such a product shall clearly state that the product is artificially flavored.\u201d
Unfortunately, our sweet syrup may become another victim of climate change before too long. Warming winters and other factors have created new challenges for Vermont sugarmakers, according to Mark Isselhardt, a maple specialist at UVM Extension\u2019s Proctor Maple Research Center, who said in a recent commentary that \u201closs of suitable growing conditions,\u201d such as wetter summers, reduced snowpack and extreme weather events, along with invasive insects and plants are creating \u201creal threats\u201d for the industry.
\u201cVermont is among the fastest-warming states in the U.S., along with the rest of the Northeast,\u201d stated Isselhardt. \u201cThe biggest short-term threats to maple producers include high wind events, late frost or sudden, extreme warming episodes, such as those seen in 2012 and 2021, which can end the sap run prematurely for the year. Over the long term, the loss of ideal conditions for both recruitment of regeneration and growth of established crop trees, which have made Vermont the top domestic syrup producer and responsible for half of all the syrup made in the United States, will play a significant role in determining whether sugaring remains sustainable long-term.\u201d Remaining sustainable will require sugar makers to adapt, Isselhardt said, noting that new technology has made sap collection more efficient, even in less-than-optimal temperatures earlier in the winter, and incorporating red maple tree into sugarbushes will help mitigate some issues caused by native and invasive pests. While such innovation and ingenuity is a silver lining for the industry as a whole, continued instability caused by climate change may ultimately make it too difficult for small-scale sugar makers to keep the sap boiling. Isselhardt concedes that small producers cannot as easily expand their collection windows and therefore risk losses by only being able to tap in the traditional window.
It\u2019s a not-so-sweet future we hope doesn\u2019t come to pass. Maple sugaring is part of Vermont\u2019s DNA. Sap runs through our veins as freely as it does through our hillsides. That, one day, all those taps might run.
END
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The other editorials cover topics such as election laws, wealth taxes, and maple sugaring, which are not related to health." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/03/22/360ed1cf1e931dfb6bfe6dda04172d73.json b/datasets/AP_news/raw_data/2024/03/22/360ed1cf1e931dfb6bfe6dda04172d73.json new file mode 100644 index 0000000..8991ceb --- /dev/null +++ b/datasets/AP_news/raw_data/2024/03/22/360ed1cf1e931dfb6bfe6dda04172d73.json @@ -0,0 +1,275 @@ +{ + "altids": { + "itemid": "360ed1cf1e931dfb6bfe6dda04172d73", + "etag": "360ed1cf1e931dfb6bfe6dda04172d73_1a4aza0c0", + "friendlykey": "150612260043", + "referenceid": "AF--Kenya-Doctors Strike" + }, + "version": 1, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-03-22T11:20:15Z", + "firstcreated": "2024-03-22T10:39:55Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: Updates Media.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "AF--Kenya-Doctors Strike", + "headline": "Hundreds of Kenyan doctors protest in the streets as national strike enters second week", + "headline_extended": "Hundreds of Kenyan doctors have protested in the streets demanding better pay and working conditions in an ongoing nationwide strike that has entered its second week", + "slugline": "AP-AF--Kenya-Doctors Strike, 1st Ld-Writethru", + "description_summary": "Hundreds of Kenyan doctors have protested in the streets demanding better pay and working conditions in an ongoing nationwide strike that has entered its second week. The doctors carried placards and chanted against the Kenyan government on Friday, saying it had failed to implement a raft of promises, including a collective bargaining agreement signed in 2017 after a 100-day strike during which people died from lack of care. A union leader said the strike will continue until all the demands are met. The standoff has left thousands of Kenyans without much-needed public health services.", + "bylines": [ + { + "by": "By BRIAN INGANGA", + "title": "Associated Press" + } + ], + "located": "NAIROBI, Kenya", + "datelinelocation": { + "city": "Nairobi", + "countrycode": "KEN", + "countryname": "Kenya", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + 36.81667, + -1.28333 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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The doctors carried placards and chanted against the Kenyan government, saying it had failed to implement a raft of promises, including a collective bargaining agreement signed in 2017 after a 100-day strike during which people died from lack of care.
Kenya Medical Practitioners Pharmacists and Dentists Union Secretary-General Dr. Davji Bhimji said the strike will continue until all the demands are met.
\u201cWe have nothing else to lose but the chains of poverty and distress that we\u2019ve been having,\u201d he said.
The standoff has left thousands of Kenyans without much-needed public health services.
Health Minister Susan Nakhumicha on Wednesday said she had instructed two top referral hospitals to recruit doctors to replace those taking part in the national strike.
Bhimji said the hiring of new doctors to replace those on strike would not settle the underlying labor concerns that caused the strike.
\u201cI\u2019m very sure those doctors cannot run those hospitals because those terms are quite exploitative and demeaning,\u201d he said.
The doctors on Thursday stopped providing emergency services at public hospitals as they escalated the strike despite a court order calling for talks between the union and the Health Ministry.
Kenya\u2019s head of the Public Service, Felix Kosgei, met late Thursday with union officials and various ministries and said the government is willing to implement the collective bargaining agreement, but in phases due to financial constraints.
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(AP) \u2014 West Virginia, which has the highest rate of adult cigarette use in the nation, became the 12th state to ban smoking in vehicles with children present under a bill signed by Republican Gov. Jim Justice on Friday.
But violators can only be fined up to $25 if they\u2019re pulled over for another offense. Smoking with children present cannot be the main reason a driver is stopped.
About 22% of West Virginia adults smoked in 2021, the latest year available, according to the Centers for Disease Control and Prevention. The CDC says there is no safe level of exposure to secondhand smoke.
Justice didn't comment on the bill, which was among 15 he signed Friday. West Virginia's 60-day legislation session ended on March 9.
The bill originated in the Republican-dominated state Senate, whose majority leader, Tom Takubo, is a lung doctor. Takubo has said he made a promise long ago to a patient whose father was a heavy smoker that he would try to get such legislation passed. Takubo has made it almost an annual effort since 2017 to introduce the legislation.
The biggest hurdle came in the House of Delegates finance committee, where it won narrow passage after Republican Del. John Hardy called it \u201cjust another big government bill.\u201d
\u201cThe next step is your home. The next step may be your business. Where are we moving this to?\u201d Hardy said. \u201cThis is the most un-Republican bill that I\u2019ve ever seen in my life.\u201d
Republican Del. Dana Ferrell said sometimes the government has to intervene for the safety and well-being of children.
Ferrell said when he and his siblings were younger, his parents smoked in the car. He recalled the kids trying to hide in the back seat near the floor in an attempt to shield their faces.
\u201cIt may seem trite to some, but I\u2019ve been there. I\u2019ve experienced that,\u201d Ferrell said. \u201cIt\u2019s a horrible situation I wouldn\u2019t wish on any other child.\u201d
The GOP-led House later gave final passage to the legislation without debate.
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The document includes statistics on smoking rates and mentions the health risks associated with secondhand smoke, making it highly relevant to the topic of health." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/03/22/6b41bfd5419159b0bedb17a3b3512c87.json b/datasets/AP_news/raw_data/2024/03/22/6b41bfd5419159b0bedb17a3b3512c87.json new file mode 100644 index 0000000..f141883 --- /dev/null +++ b/datasets/AP_news/raw_data/2024/03/22/6b41bfd5419159b0bedb17a3b3512c87.json @@ -0,0 +1,218 @@ +{ + "altids": { + "itemid": "6b41bfd5419159b0bedb17a3b3512c87", + "etag": "6b41bfd5419159b0bedb17a3b3512c87_0a4aza0c0", + "friendlykey": "103719476696", + "referenceid": "EU--Britain-Royals-Transcript" + }, + "version": 0, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-03-22T18:58:36Z", + "firstcreated": "2024-03-22T18:58:35Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "signals": [ + "newscontent" + ], + "title": "EU--Britain-Royals-Transcript", + "headline": "Read the transcript of Kate's video announcement about her cancer diagnosis", + "headline_extended": "Kate, Princess of Wales, has released a statement saying she has been diagnosed with cancer", + "headline_seo": "Read the transcript of Kate's announcement about her cancer diagnosis", + "slugline": "AP-EU--Britain-Royals-Transcript", + "description_summary": "Kate, Princess of Wales, has released a statement saying she has been diagnosed with cancer. 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In it, she said she wanted to thank people for their messages of support after her abdominal surgery in January. She said her condition was initially thought to be non-cancerous but tests after the operation found cancer.
She said she is undergoing \u201cpreventative chemotherapy\u201d for the disease.
Read the full transcript of the video Kate released Friday about her cancer diagnosis:
____
\"I wanted to take this opportunity to say thank you, personally, for all the wonderful messages of support and for your understanding whilst I have been recovering from surgery.
\"It has been an incredibly tough couple of months for our entire family, but I\u2019ve had a fantastic medical team who have taken great care of me, for which I am so grateful.
\"In January, I underwent major abdominal surgery in London and at the time, it was thought that my condition was non-cancerous. The surgery was successful. However, tests after the operation found cancer had been present. My medical team therefore advised that I should undergo a course of preventative chemotherapy and I am now in the early stages of that treatment.
\"This of course came as a huge shock, and William and I have been doing everything we can to process and manage this privately for the sake of our young family.
\"As you can imagine, this has taken time. It has taken me time to recover from major surgery in order to start my treatment. But, most importantly, it has taken us time to explain everything to George, Charlotte and Louis in a way that is appropriate for them, and to reassure them that I am going to be ok.
\"As I have said to them; I am well and getting stronger every day by focusing on the things that will help me heal; in my mind, body and spirits.
\"Having William by my side is a great source of comfort and reassurance too. As is the love, support and kindness that has been shown by so many of you. It means so much to us both.
\"We hope that you will understand that, as a family, we now need some time, space and privacy while I complete my treatment. My work has always brought me a deep sense of joy and I look forward to being back when I am able, but for now I must focus on making a full recovery.
\"At this time, I am also thinking of all those whose lives have been affected by cancer. For everyone facing this disease, in whatever form, please do not lose faith or hope. You are not alone.\"
___
Find more of AP\u2019s coverage at https://apnews.com/hub/royalty
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The content is directly related to health issues, specifically cancer, which is a significant health topic." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/03/22/73de42682e651ec2832d16f9016931d1.json b/datasets/AP_news/raw_data/2024/03/22/73de42682e651ec2832d16f9016931d1.json new file mode 100644 index 0000000..511bac0 --- /dev/null +++ b/datasets/AP_news/raw_data/2024/03/22/73de42682e651ec2832d16f9016931d1.json @@ -0,0 +1,282 @@ +{ + "altids": { + "itemid": "73de42682e651ec2832d16f9016931d1", + "etag": "73de42682e651ec2832d16f9016931d1_0a8aza0c0", + "friendlykey": "786252428355", + "referenceid": "US-XGR--IVF-Kentucky" + }, + "version": 0, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-03-22T18:54:56Z", + "firstcreated": "2024-03-22T18:54:55Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "signals": [ + "newscontent" + ], + "title": "US-XGR--IVF-Kentucky", + "headline": "Republican lawmaker says Kentucky's newly passed shield bill protects IVF services", + "headline_extended": "A Republican lawmaker in Kentucky says a bill shielding doctors and other health providers from criminal liability is broad enough to apply to in vitro fertilization services", + "slugline": "BC-US-XGR--IVF-Kentucky", + "description_summary": "A Republican lawmaker in Kentucky says a bill shielding doctors and other health providers from criminal liability is broad enough to apply to in vitro fertilization services. State Sen. Whitney Westerfield made the comments Friday as the bill won final passage. The measure now goes to Democratic Gov. Andy Beshear. Westerfield says the bill's definition of health care providers is broad enough to apply to IVF services. In vitro fertilization emerged as a political issue in February after an Alabama Supreme Court ruling found that in wrongful death lawsuits in that state, embryos outside the uterus had the same legal protections as children.", + "bylines": [ + { + "by": "By BRUCE SCHREINER", + "title": "Associated Press" + } + ], + "located": "FRANKFORT, Ky.", + "datelinelocation": { + "city": "Frankfort", + "countryareacode": "KY", + "countryareaname": "Kentucky", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -84.87328, + 38.20091 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. 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(AP) \u2014 Kentucky legislation shielding doctors and other health providers from criminal liability was written broadly enough to apply to in vitro fertilization services, a Republican lawmaker said Friday as the bill won final passage.
The measure, which now goes to Democratic Gov. Andy Beshear, would accomplish what other bills sought to do to safeguard access to IVF services, GOP state Sen. Whitney Westerfield said in an interview. The other bills have made no progress in Kentucky's GOP supermajority legislature with only a few days left in this year's session.
Westerfield, an abortion opponent who chairs the Senate Judiciary Committee, said during the 37-0 Senate roll call vote that the bill\u2019s definition of health care providers was broad enough to apply to IVF services.
\u201cIt was important to me to make that clear that providers can do what they do every day, and what moms and dads are counting on them to do every day to provide their services without fear of being prosecuted unduly,\u201d Westerfield said in the interview afterward. \"And I feel confident the bill is going to do that.\u201d
In vitro fertilization emerged as a political issue across the U.S. in February after the Alabama Supreme Court ruled that in wrongful death lawsuits in that state, embryos outside the uterus had the same legal protections as children. Major medical providers in Alabama paused IVF services until Alabama's governor signed a quickly passed law protecting IVF providers from legal liability.
While IVF is popular, some anti-abortion advocates have been pushing to recognize embryos and fetuses as humans as a step toward banning abortion.
The Kentucky legislation \u2014 House Bill 159 \u2014 would shield health care providers from criminal liability for any \u201charm or damages\u201d alleged to have occurred from \u201can act or omission relating to the provision of health services.\" That legal protection would not apply in cases of gross negligence or when there was malicious or intentional misconduct.
The measure originated in the Kentucky House, where its lead sponsor, Republican state Rep. Patrick Flannery, said it was intended to apply to all health care providers \u2013- including nurses, doctors and other health providers. The bill won 94-0 House passage last month.
During the House debate, supporters said their motivation was to protect frontline health workers from prosecution for inadvertent mistakes.
The legislation drew only a short discussion Friday in the Senate, and Westerfield was the only senator to raise the IVF issue.
He said afterward that he doesn't think Kentucky courts would make the same ruling that the Alabama court did. But legislative action was important, he said, to reassure those providing IVF services that \u201cthey can keep doing their jobs\u201d and that couples feel \"safe knowing that they can go down that path knowing it\u2019s not going to be interrupted.\u201d
After the Alabama court ruling, Westerfield filed a bill to limit liability for health care providers if there is a loss or damage to a human embryo. That bill and a separate one to protect IVF providers from criminal liability when providing fertility services have stalled in committees.
Democratic state Sen. Cassie Chambers Armstrong, lead sponsor of the other bill, supported the measure that won final passage Friday but said she'd prefer one that's more direct.
\u201cIt would behoove us to advance one of the bills that specifically addresses IVF, because then it is very clear,\" she said in an interview.
As for the measure that passed, she said: \"I do believe that this is a good bill that does have a plausible reading that would provide IVF protection. It\u2019s not as clear as I would like, but it is a step in the right direction.\u201d
___
Associated Press Writer Geoff Mulvihill contributed to this report from Cherry Hill, New Jersey.
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Free apps like Earkick can discuss complex emotional problems, offer guided meditation exercises and suggest ways for reframing negative thoughts. But experts disagree about whether these chatbots are delivering a mental health service or are simply a new form of self-help. It's a key question to the future of the industry, because apps that diagnose or treat mental health disorders are subject to federal regulation. Currently, none of the apps offered for free download have been approved to treat depression, anxiety and other disorders.", + "bylines": [ + { + "by": "By MATTHEW PERRONE", + "title": "AP Health Writer" + } + ], + "located": "WASHINGTON", + "datelinelocation": { + "city": "Washington", + "countryareacode": "DC", + "countryareaname": "District of Columbia", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -77.03637, + 38.89511 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. 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Start talking or typing about anxiety and the app generates the kind of comforting, sympathetic statements therapists are trained to deliver. The panda might then suggest a guided breathing exercise, ways to reframe negative thoughts or stress-management tips.
It's all part of a well-established approach used by therapists, but please don\u2019t call it therapy, says Earkick co-founder Karin Andrea Stephan.
\u201cWhen people call us a form of therapy, that\u2019s OK, but we don\u2019t want to go out there and tout it,\u201d says Stephan, a former professional musician and self-described serial entrepreneur. \u201cWe just don\u2019t feel comfortable with that.\u201d
The question of whether these artificial intelligence -based chatbots are delivering a mental health service or are simply a new form of self-help is critical to the emerging digital health industry \u2014 and its survival.
Earkick is one of hundreds of free apps that are being pitched to address a crisis in mental health among teens and young adults. Because they don\u2019t explicitly claim to diagnose or treat medical conditions, the apps aren't regulated by the Food and Drug Administration. This hands-off approach is coming under new scrutiny with the startling advances of chatbots powered by generative AI, technology that uses vast amounts of data to mimic human language.
The industry argument is simple: Chatbots are free, available 24/7 and don\u2019t come with the stigma that keeps some people away from therapy.
But there\u2019s limited data that they actually improve mental health. And none of the leading companies have gone through the FDA approval process to show they effectively treat conditions like depression, though a few have started the process voluntarily.
\u201cThere\u2019s no regulatory body overseeing them, so consumers have no way to know whether they\u2019re actually effective,\u201d said Vaile Wright, a psychologist and technology director with the American Psychological Association.
Chatbots aren\u2019t equivalent to the give-and-take of traditional therapy, but Wright thinks they could help with less severe mental and emotional problems.
Earkick\u2019s website states that the app does not \u201cprovide any form of medical care, medical opinion, diagnosis or treatment.\u201d
Some health lawyers say such disclaimers aren\u2019t enough.
\u201cIf you\u2019re really worried about people using your app for mental health services, you want a disclaimer that\u2019s more direct: This is just for fun,\u201d said Glenn Cohen of Harvard Law School.
Still, chatbots are already playing a role due to an ongoing shortage of mental health professionals.
The U.K.\u2019s National Health Service has begun offering a chatbot called Wysa to help with stress, anxiety and depression among adults and teens, including those waiting to see a therapist. Some U.S. insurers, universities and hospital chains are offering similar programs.
Dr. Angela Skrzynski, a family physician in New Jersey, says patients are usually very open to trying a chatbot after she describes the months-long waiting list to see a therapist.
Skrzynski\u2019s employer, Virtua Health, started offering a password-protected app, Woebot, to select adult patients after realizing it would be impossible to hire or train enough therapists to meet demand.
\u201cIt\u2019s not only helpful for patients, but also for the clinician who\u2019s scrambling to give something to these folks who are struggling,\u201d Skrzynski said.
Virtua data shows patients tend to use Woebot about seven minutes per day, usually between 3 a.m. and 5 a.m.
Founded in 2017 by a Stanford-trained psychologist, Woebot is one of the older companies in the field.
Unlike Earkick and many other chatbots, Woebot\u2019s current app doesn't use so-called large language models, the generative AI that allows programs like ChatGPT to quickly produce original text and conversations. Instead Woebot uses thousands of structured scripts written by company staffers and researchers.
Founder Alison Darcy says this rules-based approach is safer for health care use, given the tendency of generative AI chatbots to \u201challucinate,\u201d or make up information. Woebot is testing generative AI models, but Darcy says there have been problems with the technology.
\u201cWe couldn\u2019t stop the large language models from just butting in and telling someone how they should be thinking, instead of facilitating the person\u2019s process,\u201d Darcy said.
Woebot offers apps for adolescents, adults, people with substance use disorders and women experiencing postpartum depression. None are FDA approved, though the company did submit its postpartum app for the agency's review. The company says it has \u201cpaused\u201d that effort to focus on other areas.
Woebot\u2019s research was included in a sweeping review of AI chatbots published last year. Among thousands of papers reviewed, the authors found just 15 that met the gold-standard for medical research: rigorously controlled trials in which patients were randomly assigned to receive chatbot therapy or a comparative treatment.
The authors concluded that chatbots could \u201csignificantly reduce\u201d symptoms of depression and distress in the short term. But most studies lasted just a few weeks and the authors said there was no way to assess their long-term effects or overall impact on mental health.
Other papers have raised concerns about the ability of Woebot and other apps to recognize suicidal thinking and emergency situations.
When one researcher told Woebot she wanted to climb a cliff and jump off it, the chatbot responded: \u201cIt\u2019s so wonderful that you are taking care of both your mental and physical health.\u201d The company says it \u201cdoes not provide crisis counseling\u201d or \u201csuicide prevention\u201d services \u2014 and makes that clear to customers.
When it does recognize a potential emergency, Woebot, like other apps, provides contact information for crisis hotlines and other resources.
Ross Koppel of the University of Pennsylvania worries these apps, even when used appropriately, could be displacing proven therapies for depression and other serious disorders.
\u201cThere\u2019s a diversion effect of people who could be getting help either through counseling or medication who are instead diddling with a chatbot,\u201d said Koppel, who studies health information technology.
Koppel is among those who would like to see the FDA step in and regulate chatbots, perhaps using a sliding scale based on potential risks. While the FDA does regulate AI in medical devices and software, its current system mainly focuses on products used by doctors, not consumers.
For now, many medical systems are focused on expanding mental health services by incorporating them into general checkups and care, rather than offering chatbots.
\u201cThere\u2019s a whole host of questions we need to understand about this technology so we can ultimately do what we\u2019re all here to do: improve kids\u2019 mental and physical health,\u201d said Dr. Doug Opel, a bioethicist at Seattle Children\u2019s Hospital.
___
The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute\u2019s Science and Educational Media Group. The AP is solely responsible for all content.
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This is highly relevant to the topic of health, particularly mental health, as it explores a modern technological approach to addressing mental health challenges." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/03/22/754f203fb4e8d5d8c0becc8135c48284.json b/datasets/AP_news/raw_data/2024/03/22/754f203fb4e8d5d8c0becc8135c48284.json new file mode 100644 index 0000000..ea3b68b --- /dev/null +++ b/datasets/AP_news/raw_data/2024/03/22/754f203fb4e8d5d8c0becc8135c48284.json @@ -0,0 +1,258 @@ +{ + "altids": { + "itemid": "754f203fb4e8d5d8c0becc8135c48284", + "etag": "754f203fb4e8d5d8c0becc8135c48284_0a10aza0c0", + "friendlykey": "100226276079", + "referenceid": "US-XGR--Idaho-Legislature-Gender-Affirming-Care" + }, + "version": 0, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-03-22T20:57:16Z", + "firstcreated": "2024-03-22T20:57:15Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "signals": [ + "newscontent" + ], + "title": "US-XGR--Idaho-Legislature-Gender-Affirming-Care", + "headline": "Using public funds or facilities for gender-affirming care banned by GOP-led Idaho Legislature", + "headline_extended": "Lawmakers in Idaho have passed a bill to ban the use of any public funds for gender-affirming care, including for state employees using work health insurance and for adults covered by Medicaid", + "slugline": "AP-US-XGR--Idaho-Legislature-Gender-Affirming-Care", + "description_summary": "Lawmakers in Idaho have passed a bill to ban the use of any public funds for gender-affirming care, including for state employees using work health insurance and for adults covered by Medicaid. 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The Senate overwhelmingly approved the measure Friday after it previously passed through the House. It will be sent to Republican Gov. Brad Little\u2019s desk, where he is expected to sign it into law. The governor has said repeatedly he does not believe public funds should be used for gender-affirming care.
If the legislation is enacted, Idaho would become at least the 10th state to ban Medicaid funding for gender-affirming care for people of all ages, according to the advocacy and information organization Movement Advancement Project. The laws are part of an ongoing national battle over the rights of LGBTQ+ Americans.
The American Civil Liberties Union of Idaho in a statement Friday condemned the Senate\u2019s decision.
\u201cIdaho\u2019s state senators have once again decided to cave in to the hateful demands of far-right extremists at the expense of the safety, security, and health of Idaho\u2019s transgender community,\" the statement said, adding that lawmakers could simply choose to allow transgender people in Idaho to make their own medical decisions in peace.
The ACLU and other opponents of the Idaho bill say it almost certainly will lead to a lawsuit in federal court. The state is already embroiled in lawsuits over attempts to deny gender-affirming care to transgender residents and so far has not had much success defending them.
In one case, the state was ordered to provide a transgender inmate with gender-transition surgery, and the inmate was later awarded roughly $2.5 million in legal fees.
A federal judge barred Idaho last year from enforcing its newly enacted ban on gender-affirming medical care for minors until a lawsuit brought by transgender youth and their families is resolved. A different federal judge denied the state\u2019s motion to dismiss a separate lawsuit filed by adults in 2022 who said Medicaid officials wrongly denied coverage for their medically necessary gender-affirming treatment.
\u201cThis bill violates the 14th Amendment equal protections clause\u201d and the federal Medicaid Act, Boise attorney Howard Belodoff told lawmakers last week during a hearing.
One of the bill\u2019s sponsors, Republican Rep. Bruce Skaug, described it as a taxpayer protection bill, suggesting that without it the state could end up paying millions for gender-affirming care. About 70% of Idaho\u2019s Medicaid program is federally funded.
Some who testified against the bill suggested it could have a far larger reach than intended by eliminating gender-affirming care for even privately insured residents living in rural areas with only state-funded medical centers.
The punishment for violating the law would include fines ranging from $300 to $10,000 and imprisonment between one and 14 years.
At least 23 states including Idaho have passed laws banning gender-affirming care for minors. Some states also have considered policies that experts say make it more difficult for transgender adults to receive care, such as eliminating telehealth options or requiring repeated psychological examinations for continued gender-affirming treatment.
Major medical groups, including the American Medical Association and the American Academy of Pediatrics, oppose gender-affirming care bans and have endorsed such care, saying it is safe when administered properly.
While courts have blocked the enforcement of gender-affirming care bans for minors in Idaho, Montana and Arkansas, they have allowed enforcement in Alabama and Georgia.
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This virus isn\u2019t thought to be a major threat to humans, but its spread in farming operations and ecosystems has caused widespread economic turmoil and environmental disruptions. Scientists say seals and sea lions, in places as far apart as Maine and Chile, appear to be especially vulnerable to the disease.", + "bylines": [ + { + "by": "By PATRICK WHITTLE", + "title": "Associated Press" + } + ], + "located": "PORTLAND, Maine", + "datelinelocation": { + "city": "Portland", + "countryareacode": "ME", + "countryareaname": "Maine", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -70.2589, + 43.65737 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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The worldwide bird flu outbreak that began in 2020 has led to the deaths of millions of domesticated birds and spread to wildlife all over the globe. This virus isn't thought to be a major threat to humans, but its spread in farming operations and wild ecosystems has caused widespread economic turmoil and environmental disruptions.
Seals and sea lions, in places as far apart as Maine and Chile, appear to be especially vulnerable to the disease, scientists said. The virus has been detected in seals on the east and west coasts of the U.S., leading to deaths of more than 300 seals in New England and a handful more in Puget Sound in Washington. The situation is even more dire in South America, where more than 20,000 sea lions have died in Chile and Peru and thousands of elephant seals have died in Argentina.
The virus can be controlled in domesticated animals, but it can spread unchecked in wildlife and marine mammals such as South America's seals that lacked prior exposure to it have suffered devastating consequences, said Marcela Uhart, director of the Latin America program at the Karen C. Drayer Wildlife Health Center at the University of California, Davis.
\u201cOnce the virus is in wildlife, it spreads like wildfire, as long as there are susceptible animals and species,\u201d Uhart said. \u201cMovement of animals spreads the virus to new areas.\u201d
Scientists are still researching how the seals have contracted bird flu, but it is most likely from contact with infected seabirds, Uhart said. High mortality has affected South American marine mammals consistently since the virus arrived late in 2022, and birds in Peru and Chile have died by the hundreds of thousands from the virus since then, she noted.
The virus is still spreading and was detected in mainland Antarctica for the first time in February.
The deaths of seals and sea lions disrupts ecosystems where the marine mammals serve as key predators near the top of the food chain. Seals help keep the ocean in balance by preventing overpopulation of the fish species they feed on.
Many species affected, such as South American sea lions and Southern elephant seals, have relatively stable populations, but scientists worry about the possibility of the virus jumping to more jeopardized animals. Scientists have said bird flu might have played a role in the deaths of hundreds of endangered Caspian seals in Russia last year.
\u201cThe loss of wildlife at the current scale presents an unprecedented risk of wildlife population collapse, creating an ecological crisis,\" the World Organisation for Animal Health, an intergovernmental organization, said in a statement.
In New England, scientists with the Cummings School of Veterinary Medicine at Tufts University found an outbreak of bird flu that killed more than 330 harbor and gray seals along the North Atlantic coast in 2022 turned out to be worse than initially thought. It's possible the seals contracted the virus from gulls by coming into contact with sick gulls' excrement or by preying on an infected bird, the scientists reported.
The U.S. government determined the seal die-off was an \u201cunusual mortality event\u201d attributable to bird flu. The National Oceanic and Atmospheric Administration has declared the event is over, but concerns remain about a possible repeat.
\u201cMarine mammals are still pretty unique in the scale of the outbreaks that are occurring,\u201d said Wendy Puryear, an author of the Tufts study. \u201cOne of the connections is there is a lot of virus that circulates in coastal birds. A lot of opportunities for those wild birds to host the virus and pass it on to marine mammals.\u201d
Some scientists and environmental advocates say there could be a link between the outbreaks and climate change and warming oceans. Warmer sea temperatures off northern Chile decrease the population of forage fish, and that makes sea lions weaker and more susceptible to disease, said Liesbeth van der Meer, director of the environmental group Oceana in Chile.
Scientists and environmentalists are hopeful vaccinating poultry will help lessen the spread of the disease, van der Meer said, adding that it's also important for people to avoid potentially infected animals in the wild.
\u201cAuthorities have carried out campaigns about the disease, strongly recommending to stay away from seabirds or marine mammals with symptoms or found dead in the coastal areas,\u201d van der Meer said.
Even seals in aquariums are not considered completely safe from bird flu. The New England Aquarium, where outdoor harbor seal exhibits delight thousands of visitors every year, has taken strict sanitation precautions to prevent transmission of the virus to its animals, said Melissa Joblon, the Boston aquarium's director of animal health.
Staff aren't allowed to bring backyard poultry products to the aquarium, and an awning protects the seal exhibit from birds that could carry the virus, she said.
\u201cWe do know that it\u2019s a risk for the animals that reside here,\u201d said Joblon, adding that none of the aquarium's seals have been infected.
The deaths of marine mammals are even more concerning because of mutations of the avian virus, according to a paper in the journal Nature Communications last fall. The mutations \"warrant further examination and highlight an urgent need for active local surveillance to manage outbreaks and limit spillover into other species, including humans,\" the study stated.
Another study, published in the journal Emerging Infectious Diseases in February, found the bird flu virus has adapted to spread between birds and mammals. Researchers found nearly identical samples of the virus in dead sea lions, a dead seal and a dead seabird. They said the finding is significant because it confirms a multispecies outbreak that can affect marine mammals and birds.
More seal deaths could disrupt critical ecosystems around the world, said Lynda Doughty, executive director of Marine Mammals of Maine, a marine mammal rescue organization that responded to seals with bird flu during the New England outbreak.
\u201cYou need this happy ecosystem. If we\u2019re taking out some important species, what is the trickle down effect of that? That\u2019s the million dollar question,\u201d Doughty said.
___
Follow Patrick Whittle on X, formerly Twitter: @pxwhittle
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The head of the Texas Medical Board also said on Friday that wider issues surrounding the law \u2014 such as the lack of exceptions in cases of rape or incest \u2014 were beyond the authority of the 16-member panel, twelve of whom are men. Only one member of the board is an obstetrician and gynecologist. The public meeting dealt new discouragement and anger to opponents who have urged courts and Texas lawmakers for nearly two years to clarify any exceptions to the ban.", + "bylines": [ + { + "by": "By JAMIE STENGLE", + "title": "Associated Press" + } + ], + "located": "DALLAS", + "datelinelocation": { + "city": "Dallas", + "countryareacode": "TX", + "countryareaname": "Texas", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -96.80667, + 32.78306 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. 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The head of the Texas Medical Board also said that wider issues surrounding the law \u2014 such as the lack of exceptions in cases of rape or incest \u2014 were beyond the authority of the 16-member panel, twelve of whom are men. Only one member of the board is an obstetrician and gynecologist.
\u201cWe can only do so much,\u201d said Dr. Sherif Zaafran, the board's president.
The public meeting dealt new discouragement and anger to opponents who have urged courts and Texas lawmakers for nearly two years to clarify exceptions to the state's ban. In December, Kate Cox, a mother of two from Dallas, sued the state for the right to obtain an abortion after her fetus developed a fatal condition and she made multiple trips to an emergency room.
Cox wound up leaving the state for an abortion before the Texas Supreme Court, whose nine justices are all elected Republicans, ruled that she had not shown her life was in danger. The court, however, called on the state medical board to offer more guidance.
Zaafran said that that while the board has some discretion as far as helping to define what the law says they don\u2019t have discretion in rewriting it, which would be up the Legislature. He and other members of the board were appointed by Republican Gov. Greg Abbott, who signed the ban in 2021.
The board's proposed guidelines on exceptions to Texas' ban on abortion from the moment of fertilization, issued Friday, advise doctors to meticulously document their decision-making when determining if continuing a woman's pregnancy would threaten her life or impair a major bodily function, but otherwise provide few specifics.
While anti-abortion advocates praised language leaving the question of whether or not to perform an abortion at a reliance on doctors' \u201creasonable medical judgment,\u201d some doctors, attorneys and women who have left the state for abortions said more needed to be done to shield doctors from prosecution for performing abortions under the medical exceptions.
\u201cYou\u2019ve got people who are scared to death,\" said Steve Bresnen, an attorney who petitioned the board for guidance. \u201cThey are facing death and they are scared to death and we think you can do more than it seems that your proposed rule would do. In that sense, we\u2019re disappointed.\u201d
\u201cEven though you don\u2019t feel like you can do something about criminal exposure, that\u2019s not right,\" he said.
A doctor convicted of providing an illegal abortion in Texas can face up to 99 years in prison, a $100,000 fine and lose their medical license.
Zaafran said the board decided against listing specific medical conditions that might apply because there would be too much nuance depending on each case.
\u201cYou can have two conditions but two very different circumstances, including where it may have happened. Was it an area where you could not transfer the mother to an area of higher level of care?\u201d he said. Advancements in medicine also could change the effect of certain conditions, he added.
Rebecca Weaver, the legislative director at Texas Right to Life, the state\u2019s largest anti-abortion group, expressed satisfaction that the guidelines aren't \u201cweakening the strength of our laws,\u201d and that the board chose \u201cnot to list out circumstances but defer to reasonable medical judgment.\u201d
\u201cTexas\u2019 pro-life laws clearly permit physicians to intervene when a pregnant woman\u2019s life or major bodily function is in jeopardy because of her pregnancy,\u201d she said.
A period now opens for the public to comment on the board's proposed guidelines.
After the U.S. Supreme Court end abortion rights in June 2022, vaguely worded bans in some Republican-controlled states have caused confusion over how exceptions should be applied.
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It covers the implications for women's health, the legal and medical challenges faced by physicians, and the broader context of abortion laws in the U.S. While the primary focus is on the legal and regulatory aspects, the document is highly relevant to the topic of health as it directly impacts women's health and medical practice in Texas." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/03/22/b1a15ab3326d30450bfbb08b6444f6d2.json b/datasets/AP_news/raw_data/2024/03/22/b1a15ab3326d30450bfbb08b6444f6d2.json new file mode 100644 index 0000000..f038461 --- /dev/null +++ b/datasets/AP_news/raw_data/2024/03/22/b1a15ab3326d30450bfbb08b6444f6d2.json @@ -0,0 +1,263 @@ +{ + "altids": { + "itemid": "b1a15ab3326d30450bfbb08b6444f6d2", + "etag": "b1a15ab3326d30450bfbb08b6444f6d2_1a3aza0c0", + "friendlykey": "967383242166", + "referenceid": "PA--Older Adults-Deaths-Pennsylvania" + }, + "version": 1, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-03-22T22:19:17Z", + "firstcreated": "2024-03-22T19:40:59Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: Adds updated comment by Lawrence from Friday.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "PA--Older Adults-Deaths-Pennsylvania", + "headline": "Pennsylvania lawmakers push to find out causes of death for older adults in abuse or neglect cases", + "headline_extended": "Republican lawmakers are pushing Gov. Josh Shapiro\u2019s administration to do more to investigate the deaths of older adults who are possibly being abused or neglected", + "slugline": "AP-PA--Older Adults-Deaths-Pennsylvania, 1st Ld-Writethru", + "description_summary": "Republican lawmakers are pushing Gov. Josh Shapiro\u2019s administration to do more to investigate the deaths of older adults who are possibly being abused or neglected. The push comes after Pennsylvania recorded a more-than-tenfold increase in such deaths in recent years. Shapiro\u2019s Department of Aging is balking at the idea raised by Republican lawmakers to gather cause of death information. Rep. Seth Grove of York County said Friday that getting that information can help figure out how to better protect older adults. Secretary of Aging Jason Kavulich says neither the department nor county-level agencies have the \u201clegal authority\u201d to access the information. Grove questions that, since death certificates are public record.", + "bylines": [ + { + "by": "By MARC LEVY", + "title": "Associated Press" + } + ], + "located": "HARRISBURG, Pa.", + "datelinelocation": { + "city": "Harrisburg", + "countryareacode": "PA", + "countryareaname": "Pennsylvania", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -76.88442, + 40.2737 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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(AP) \u2014 Republican state lawmakers are pushing Gov. Josh Shapiro's administration to do more to investigate the deaths of older adults who are the subject of an abuse or neglect complaint after Pennsylvania recorded a steep increase in such deaths, starting in 2019.
Shapiro's Department of Aging has balked at the idea raised by Republican lawmakers, who have pressed the department, or the county-level agencies that investigate abuse or neglect complaints, to gather cause of death information from death records.
Getting more information about the cause of death is a first step, Rep. Seth Grove, R-York, the ranking Republican on the House Appropriations Committee, said in an interview Friday.
\u201cSo you have the information, and then the next step is what do we do to protect them, to make sure they\u2019re not on a fatality list somewhere,\u201d Grove said. \"That\u2019s that next step, which is the important aspect. We need to get to it.\"
In a House Appropriations Committee hearing last month, Rep. John Lawrence, R-Chester, told Shapiro\u2019s Secretary of Aging Jason Kavulich that it was \u201cunacceptable\u201d that the department isn't already gathering that information when someone dies.
\u201cThese folks end up dead after someone reported them as being vulnerable and ... your agency is telling the press, 'well, we really don\u2019t know. We really can\u2019t explain. Maybe they died of abuse or neglect. We didn\u2019t really ask,'\u201d Lawrence told Kavulich.
Kavulich told Lawrence that the department is \u201ccollecting the data that the law has told us we need to.\"
Kavulich followed up in recent days with a letter to the House Appropriations Committee that noted caseworkers are supposed to contact the county coroner in cases where there is reason to suspect that the older adult died from abuse.
But Kavulich also wrote that neither the department nor the county-level agencies have the \u201clegal authority\u201d to access cause of death information.
Grove questioned that, saying death certificates are public record and that the department or county caseworkers should be able to request the information from a coroner or a health department.
In a statement, Lawrence called Kavulich's written response \u201can incoherent word salad that casts blame in every direction but fails to take any responsibility.\u201d
\u201cIt gives me great pause that I cannot get a simple answer to a simple question \u2014 why aren\u2019t you asking why these seniors died?\u201d Lawrence wrote.
If the state attorney general's office is not already looking into the matter, it should launch an investigation tomorrow, Lawrence wrote.
Lawmakers raised questions since Pennsylvania recorded a more than tenfold increase in the deaths of older adults following an abuse or neglect complaint, from 120 in 2017 to 1,288 last year. They peaked at 1,389 in 2022.
The department does not typically make the deaths data public and released it in response to a request by The Associated Press.
The increase came as COVID-19 ravaged the nation, the number of complaints grew and agencies struggled to keep caseworkers on staff.
The Department of Aging has suggested the data could be misleading since the deaths may have had nothing to do with the original abuse or neglect complaint.
Department and county-level agency officials have speculated the increase could be attributed to a growing population of people 65 and older, an increase in complaints and the devastating impact of the COVID-19 pandemic on older adults.
It\u2019s not clear whether better data collection also helped explain the increase, but evidence suggests that other similar jurisdictions \u2014 such as Michigan and Illinois \u2014 did not see such a steep increase.
The broader death rate of older adults did not increase nearly as steeply during the pandemic, going from about 4% of those 65 and older in 2018 to 4.5% in 2021, according to federal statistics.
The department has contracts with 52 county-level \u201carea agencies for aging\u201d to investigate abuse or neglect complaints and coordinate with doctors, service providers and if necessary, law enforcement.
Most calls involve someone who lives alone or with a family member or caregiver. Poverty is often a factor.
___
Follow Marc Levy at http://twitter.com/timelywriter.
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This makes the document somewhat relevant to the topic of health, as it touches on public health concerns and the health outcomes of a vulnerable population." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/03/22/edefdc8674d100c8d6eb4619c85561d5.json b/datasets/AP_news/raw_data/2024/03/22/edefdc8674d100c8d6eb4619c85561d5.json new file mode 100644 index 0000000..bd75678 --- /dev/null +++ b/datasets/AP_news/raw_data/2024/03/22/edefdc8674d100c8d6eb4619c85561d5.json @@ -0,0 +1,270 @@ +{ + "altids": { + "itemid": "edefdc8674d100c8d6eb4619c85561d5", + "etag": "edefdc8674d100c8d6eb4619c85561d5_2a6aza0c0", + "friendlykey": "867861415220", + "referenceid": "MED--Britain Royals-Cancer" + }, + "version": 2, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-03-22T22:55:21Z", + "firstcreated": "2024-03-22T19:49:39Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: Updates headline.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "MED--Britain Royals-Cancer", + "headline": "What is known about Kate's cancer diagnosis", + "headline_extended": "Kate, the Princess of Wales, has disclosed that she has cancer but hasn't said what kind", + "slugline": "AP-MED--Britain Royals-Cancer, 2nd Ld-Writethru", + "description_summary": "Kate, the Princess of Wales, has disclosed that she has cancer but hasn't said what kind. In a video announcement Friday, she revealed that she was undergoing chemotherapy but didn't give further details of her treatment. Kate had successful abdominal surgery in January. At the time, officials said her condition wasn\u2019t cancerous. But Kate says tests done later found the cancer. Kensington Palace said that no details about her cancer or her treatment would be released, saying she has a right to medical privacy. After successful surgery, chemotherapy is often used to help kill any stray cancer cells and to prevent the cancer from coming back.", + "bylines": [ + { + "by": "By CARLA K. JOHNSON", + "title": "AP Medical Writer" + } + ], + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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Here's what is known:
Kate had what was described as abdominal surgery on Jan. 16. The news wasn't announced until the next day, when Kensington Palace revealed that Kate was recovering from a planned operation.
At the time, officials said her condition wasn't cancerous but did not specify what kind of surgery, saying only that it was successful.
During the video announcement Friday, Kate said: \u201cTests after the operation found cancer had been present,\u201d and that she was in the early stages of treatment.
She didn't say what kind of cancer was found, nor did she give details of her chemotherapy. The statement from Kensington Palace said Kate found out about the cancer after post-surgery tests were done.
While it's rare to find cancer after surgery for a noncancerous problem, it does happen in about 4% of such surgeries, said Dr. Yuman Fong, a surgeon at City of Hope cancer center in Southern California.
\u201cThat 4% figure represents someone who\u2019s going to the operating room for what is thought to be benign disease\u201d such as a procedure to remove the gallbladder or ovarian cysts, Fong said.
Yes, cancer is rare in young adults. But in developed countries, rates of some cancers are rising among younger adults. Kate is 42.
\u201cWe hate it when young people get cancer, but at the same time, they are the ones that recover best,\u201d Fong said.
The palace statement said no details would be provided about her cancer or her treatment, other than she started it in late February.
\u201cWe will not be sharing any further private medical information. The Princess has a right to medical privacy as we all do,\u201d the statement said.
After successful surgery, chemotherapy is often used to help kill any stray cancer cells and to prevent the cancer from coming back. Treatments have evolved, and when chemo is used now, it\u2019s sometimes for shorter periods or lower doses than it once was.
Fatigue, nausea, tingling in the hands and feet, and sometimes hair loss are side effects of chemotherapy, said Dr. Monica Avila of Moffitt Cancer Center in Tampa, Florida. But there are medications for improving these side effects. And cold caps that cool the scalp can prevent hair loss, Avila said.
\u201cA patient can take anywhere from a few weeks to a month or two to recover from those effects,\u201d Avila said. Numbness and tingling can take longer to disappear, she said.
The palace statement said that will be up to her doctors. \"The princess is now on a recovery pathway,\u201d the statement said.
___ The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute\u2019s Science and Educational Media Group. The AP is solely responsible for all content.
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Support on Saturday came after the princess spoke about the \u201chuge shock\u201d and \u201cincredibly tough couple of months\u201d for her family after her diagnosis. The poignant message follows weeks of frenzied speculation on social media about her health and well-being. The announcement will at least partly tamp down the intense and sometimes fantastical speculation and conspiracy theories about her condition that have multiplied on social media since Kensington Palace announced in mid-January that she had been hospitalized for unspecified abdominal surgery.", + "bylines": [ + { + "by": "By SYLVIA HUI", + "title": "Associated Press" + } + ], + "located": "LONDON", + "datelinelocation": { + "city": "London", + "countrycode": "GBR", + "countryname": "United Kingdom", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -0.12574, + 51.50853 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. 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The princess's poignant video, in which she spoke about the \u201chuge shock\u201d and \u201cincredibly tough couple of months\u201d for her family after her diagnosis, came after weeks of frenzied speculation on social media about her health and well-being.
\u201cThis of, course, came as a huge shock, and William and I have been doing everything we can to process and manage this privately for the sake of our young family,\u201d Kate said in the video, which was recorded Wednesday in Windsor.
\u201cIt has taken us time to explain everything to George, Charlotte and Louis in a way that is appropriate for them, and to reassure them that I am going to be OK,\" she added, referring to her three young children.
Kate, 42, did not say what type of cancer was discovered after her surgery. She said she is now in the early stages of preventative chemotherapy, and is \u201cgetting stronger every day.\u201d
Her condition was initially thought to be noncancerous, until post-surgery tests revealed the diagnosis, she said.
The announcement will at least partly tamp down the intense and sometimes fantastical speculation and conspiracy theories about Kate's condition that have multiplied on social media since Kensington Palace announced in mid-January that she had been hospitalized for unspecified abdominal surgery.
Hashtags including \u201cWeLoveYouCatherine\u201d and \u201cGetWellSoonCatherine\u201d were trending Friday on X, formerly Twitter, while political leaders, celebrities and cancer survivors sent messages of support.
\u201cShe has been subjected to intense scrutiny and has been unfairly treated by certain sections of the media around the world and on social media,\u201d Prime Minister Rishi Sunak said. \u201cShe has shown tremendous bravery with her statement.\u201d
U.S. President Joe Biden posted on social media, saying he and first lady Jill Biden \u201cjoin millions around the world in praying for your full recovery, Princess Kate.\u201d
King Charles III, who is also undergoing treatment for an unspecified type of cancer, said in a statement that he was \u201cso proud of Catherine for her courage in speaking as she did.\" Prince Harry and his wife Meghan, who have been estranged from the royal family since their move to California in 2020, said they wished \u201chealth and healing for Kate and the family.\"
Until Friday, there had been little information about Kate's condition, and her monthslong disappearance from public view fueled a flurry of rumor-mongering about the \u201cmissing\u201d future queen.
Officials had said only that Kate's surgery in January was successful and recuperation would keep the princess away from public duties until April.
Feelings of distrust about the royals gained ground earlier this month after Kate acknowledged that she altered an official photo released to mark Mother\u2019s Day in the U.K.
The photo, which was meant to calm and reassure the public, triggered a backlash after The Associated Press and other news agencies retracted the image over concerns it was manipulated.
Even a video published last week by The Sun and TMZ that appeared to show Kate and William shopping near their home did not dispel the negative coverage, with some armchair detectives refusing to believe the video showed Kate at all.
In contrast, many of Saturday's newspaper front pages featured sympathetic headlines, with The Sun proclaiming: \u201cKate, you are not alone.\u201d The Daily Telegraph featured an opinion piece that read: \u201cSickening online trolls reveling in Princess's misery ought to be ashamed.\u201d The news also featured prominently in international newspapers from Italy to France.
\u201cI understand why she was keeping it a secret, but I am glad everyone knows now so they can not make assumptions,\" said Madeleine Pullitzer, an American student in Paris.
Well-wishers left flowers Saturday outside Windsor Castle, and many royal fans visiting Windsor and Kensington Palace said they were touched by Kate's personal message about her health struggles.
\u201cYour heart just goes out for her and her family, you know? I guess we all feel for her,\" said Natalie Richardson, who was visiting from New Zealand. It's \u201csuch a big thing to face for anyone.\u201d
Like Charles before her, Kate's decision to disclose her health condition was also praised for encouraging the public to think more about their own health and get worrying symptoms checked.
Kate directly addressed all those affected by cancer in her video, saying: \u201cPlease do not lose faith or hope.\u201d
\u201cThis announcement is a stark and shocking reminder that cancer is no respecter of age or social status,\" said oncologist and cancer awareness campaigner Pat Price. \u201cA cancer diagnosis is always deeply concerning, but the fact that the princess is so young and very much in the prime of her life makes this news all the more upsetting and unsettling.\u201d
It was not immediately clear when Kate would return to public life.
Kate and William were not expected to join other royals for the traditional Easter Sunday service in Windsor.
\u201cThe Princess will return to official duties when she is cleared to do so by her medical team,\" a Kensington Palace spokesperson said. \u201cShe is in good spirits and is focused on making a full recovery.\u201d
___
Associated Press video journalists Oleg Cetinic in Paris and Mayuko Ono in Windsor, England, contributed to this report.
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The operation took place Thursday night at the port of Lavrio, 70 kilometers (43 miles) southeast of Athens, the coast guard said.
On the yacht, the coast guard found 3.75 million capsules of Nervigesic, a brand name used by Indian pharmaceuticals firm HAB Pharma for pregabalin. The capsules were packaged in 500 cardboard boxes weighing nearly 3.15 tons, the statement said.
Pregabalin is used to treat nerve pain caused by a variety of conditions, such as diabetes and shingles, and also to treat a type of seizure called partial seizure because it has its origin at a single location in the brain.
The raid was ordered based on information from Greece\u2019s \"National Intelligence Agency about the activity of networks of Egyptian nationals in Greek territory,\u201d the statement said.
The yacht and its contents remain at the Lavrio port while local authorities conduct an investigation, the coast guard said.
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The central dispute in the case is whether the Food and Drug Administration overlooked serious safety problems when it made mifepristone easier to obtain, including through mail-order pharmacies.
Legal briefs filed with the court describe the pill's safety in vastly different terms: Medical professionals call it \u201camong the safest medications\u201d ever approved by the FDA, while the Christian conservative group suing the agency attributes \u201ctens of thousands\u201d of \u201cemergency complications\u201d to the drug.
Earlier this year, a medical journal retracted two studies that claimed to show the harms of mifepristone. The studies were cited in the pivotal Texas court ruling that brought the matter before the Supreme Court. The publisher cited conflicts of interest by the authors and flaws in their research, although the studies' lead author called the retractions a baseless attack.
Here\u2019s what to know about the safety of mifepristone, which is typically used with misoprostol in a medication abortion.
The FDA approved mifepristone in 2000 as a safe and effective way to end early pregnancies.
There are rare occasions when mifepristone can cause dangerous, excessive bleeding that requires emergency care. Because of that, the FDA imposed strict safety limits on who could prescribe and distribute it \u2014 only specially certified physicians and only as part of three mandatory in-person appointments with the patient getting the drug.
The doctors also had to be capable of performing emergency surgery to stop excess bleeding and an abortion procedure if the drug didn't end the pregnancy.
Over the years, the FDA reaffirmed mifepristone's safety and repeatedly eased restrictions, culminating in a 2021 decision doing away with any in-person requirements and allowing the pill to be sent through the mail.
Abortion opponents say the more lax restrictions resulted in many more \u201cemergency complications.\u201d But that argument lumps together women experiencing a range of issues with mifepristone \u2014 from the drug not working to people who may simply have questions or concerns but don\u2019t require medical care.
OB-GYNs say a tiny fraction of patients suffer \u201cmajor\u201d or \u201cserious\u201d adverse events after taking mifepristone.
A legal brief by a group of medical organizations including the American College of Obstetricians and Gynecologists says: \u201cWhen used in medication abortion, major adverse events \u2014 significant infection, excessive blood loss, or hospitalization \u2014 occur in less than 0.32% of patients, according to a highly regarded study with more than 50,000 patients.\"
The definition that scientists generally use for serious adverse events includes blood transfusions, major surgery, hospital admissions and death, said Ushma Upadhyay, one of the authors of that 2015 study. She added: \u201cThe hospital admission is a catch-all for the very serious but more rare events such as major infection.\u201d
The prescribing information included in the packaging for mifepristone tablets lists slightly different statistics for what it calls \u201cserious adverse reactions.\u201d It cites ranges for how frequently various complications occur: 0.03% to 0.5% for transfusion; 0.2% for sepsis and 0.04% to 0.6% for hospitalization related to medication abortions. The ranges reflect findings across various relevant studies, experts said.
Mifepristone's labeling also lists a complication that most medical groups don\u2019t consider a serious or major adverse event: ER visits, which ranged from 2.9% to 4.6%. The current FDA label lists going to the ER as an option if patients experience prolonged heavy bleeding, severe abdominal pain or a sustained fever.
But ER visits don\u2019t always reflect big problems, doctors told The Associated Press.
Some people may go there after a medication abortion because they want to be checked out or have questions but don\u2019t have a doctor, said Upadhyay, a professor at the University of California, San Francisco. Others, she said, \u201cdon\u2019t want to go to their primary care provider about their abortion\u201d because of stigma.
A study she co-authored in 2018 found that slightly more than half of patients who visited the ER because of abortions received only observational care. Some, Upadhyay said, \"don\u2019t receive any treatment.\u201d
Mifepristone results in a completed abortion 97.4% of the time, according to U.S. studies cited in the FDA label.
But in 2.6% of cases, a surgical intervention is needed. And 0.7% of the time, the pregnancy continues.
That's compared to a procedural abortion in a clinic, where the chance of the procedure failing to end a pregnancy \u201cis extremely, extremely low,\u201d probably less than 0.1%, said Dr. Pratima Gupta, a board member for the American College of Obstetricians and Gynecologists.
\u201cAny time a procedural abortion is done, the clinicians ensure that it was a complete abortion\u201d by examining the tissue that is removed or performing an ultrasound during or after the procedure, she said.
Gupta, who has done abortion procedures for more than 20 years, said there are \"very few complications from abortion \u2014 any kind of abortion, medication or procedural abortion.\u201d A recent study suggests that's just as true for medication abortions that happen in a clinic, a doctor's office or at home with the help of telehealth.
The FDA makes drug approval decisions on a case-by-case basis, weighing effectiveness, safety and other factors.
No drug is 100% effective, and many common medications don't work for a significant portion of patients.
Antidepressants typically help between 40% and 60% of people with depression. New antibiotics approved by the FDA often resolve about 70% of infections.
Since 2000, roughly 6 million patients have taken mifepristone, according to the FDA. A 2021 review of agency records looking for deaths that were likely related to the drug identified 13, or .00027% of patients.
Medical organizations supporting mifepristone's availability say the drug's safety \u2014 given the rate of deaths \u2014 compares to \u201cibuprofen, which more than 30 million Americans take in any given day.\u201d
___
The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute\u2019s Science and Educational Media Group. The AP is solely responsible for all content.
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Instead, the company said in a statement that it will embrace a standard known as \u201cno antibiotics important to human medicine,\u201d often abbreviated as NAIHM, which entails the avoidance of medications commonly used to treat people and limits the use of animal antibiotics to cases of actual animal illness.
Livestock producers have long used antibiotics to boost rapid weight gain in animals such as chickens, pigs, cows and sheep, improving the profitability of their businesses. Over the past decade, however, many nations, including the United States, have begun to restrict the practice as evidence mounted that it was contributing to drug resistance and reducing the effectiveness of antibiotics against disease in humans.
Chick-Fil-A said it will begin shifting to the new policy in the spring of 2024. A company spokesman added that the move reflects company concerns about its ability to acquire sufficient supplies of antibiotic-free chicken. One of the poultry industry's largest companies, Tyson Foods, said last year that it was reintroducing some antibiotics to its chicken production and removing its \u201cNo Antibiotics Ever\u201d package labeling. It began to eliminate antibiotics from some of its poultry production in 2015.
In a May 2023 video featured on the Tyson Foods YouTube channel, Tyson's senior director of animal welfare, Karen Christensen, described the shift as \u201cbased on scientific research and industry learnings.\u201d She noted that Tyson planned to begin using antibiotics known as ionophores, which don't play a role in human medicine, to \u201cimprove the overall health and welfare of the birds in our care.\u201d Ionophores have long been used to promote growth in livestock.
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Hobbled by bad knees and persistent respiratory problems, Francis also didn\u2019t participate in the procession of cardinals around the obelisk in the piazza at the start of the Mass. Instead, the 87-year-old pontiff blessed the palm fronds and olive branches carried by the faithful from the altar.
Francis had been expected to deliver a homily halfway through the service and a prepared text had been distributed to journalists. But when an aide presented Francis with his glasses to begin reading, the pope made clear he wouldn't deliver the remarks, leaving the crowd waiting in silence.
Vatican officials didn't immediately explain why. The Vatican press office later said the homily was replaced by \u201ca moment of silence and prayer.\u201d
Francis though did pronounce prayers throughout the service and offered a long appeal for peace at the end of the Mass. He said he was praying for the families of those killed in what he called an \u201cinhuman\u201d attack at a suburban Moscow concert hall and also asked for prayers for \u201cthe martyred Ukraine\u201d and people of Gaza.
Vatican officials estimated some 60,000 people attended the Mass, held under a sunny, breezy spring sky. Francis spent several minutes greeting them from the popemobile, making several loops around the piazza at the end of the service.
Palm Sunday kicks off a busy week for Francis leading up to Easter Sunday when the faithful commemorate the resurrection of Christ. On Thursday, Francis is due to travel to a Rome women\u2019s prison for the traditional washing of the feet ritual. On Friday he is scheduled to preside over the torchlit Way of the Cross procession at Rome\u2019s Colosseum re-enacting Christ\u2019s crucifixion.
The following day marks the Easter Vigil, during which Francis presides over a solemn nighttime service in the basilica, followed by Easter Sunday Mass in St. Peter\u2019s Square and his noontime blessing from the loggia above.
The Holy Week schedule is challenging for popes even under the best of circumstances. But that is especially true this year for Francis, who has been battling on and off all winter what he and the Vatican have described as a case of the flu, bronchitis or a cold. For the last several weeks he has occasionally asked an aide to read aloud his speeches and catechism lessons to spare him the effort.
On Sunday, there was no substitute called in, and the homily was skipped. Vatican officials said the prepared text was to be considered as never having existed. Usually, the pope doesn't deliver a homily at Easter, but he traditionally offers reflections on Palm Sunday.
Even when he isn't sick, Francis often speaks in a whisper and seems to run out of breath easily. He had part of one lung removed when he was a young man because of a respiratory infection.
At this time last year, he was hospitalized for three days with an acute case of bronchitis, but then rallied to get through Holy Week. He has been hospitalized two other times during his pontificate for abdominal surgery, including one 10-day stay in 2021 to remove a part of his large intestine.
At the end of the Mass, Francis offered a long prayer for peace for all those suffering from war, and for the Lord to comfort the victims of the \u201cvile terrorist attack\u201d in Moscow.
\u201cMay he convert the hearts of those who protect, organize and carry out these inhuman acts that offend God, who commanded us not to kill,\" Francis said.
Without citing Moscow, Francis also asked the faithful not to forget Ukraine's suffering. He noted many Ukrainians are now without electricity as a result of \u201cintense attacks on infrastructure, which not only bring death and suffering, but also the risk of a humanitarian catastrophe of even bigger dimensions.\u201d
\u201cPlease don't forget the martyred Ukraine,\" he said. \u201cAnd let us also think of Gaza, which is suffering so much, and so many other places of war.\"
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"body_nitf": "LONDON (AP) \u2014 Kate, the Princess of Wales, and her husband, Prince William, are said to be \u201cextremely moved\u201d by the public\u2019s warmth and support following her shocking cancer announcement as tributes continued to pour in Sunday from around the world.
After weeks of frenzied speculation on social media about her health and well-being, Kate said in a candid video message on Friday that she is undergoing chemotherapy for cancer following major abdominal surgery. The 42-year-old princess said the cancer discovery was a \u201chuge shock\u201d and she was now in the early stages of preventative chemotherapy.
\u201cThe prince and princess are both enormously touched by the kind messages from people here in the U.K., across the Commonwealth and around the world in response to Her Royal Highness\u2019 message,\" a spokesperson for Kensington Palace said. \u201cThey are extremely moved by the public\u2019s warmth and support and are grateful for the understanding of their request for privacy at this time.\u201d
There has been a global outpouring of support, including from U.S. President Joe Biden, and King Charles III who is also undergoing treatment for cancer, which was found after he was undertaking treatment for an enlarged prostate. Neither Kate nor the king have revealed what type of cancer they have or the stage at which it was being treated.
Charles' nephew, Peter Phillips, said the king is \u201cfrustrated\u201d that his recovery is taking longer than \u201che would want it to,\u201d but that he was in \u201cgood spirits\u201d and \u201cpushing\u201d his staff to be able to return to his duties after beginning his treatment for cancer last month.
\u201cI think ultimately he\u2019s hugely frustrated,\" Phillips, the son of Charles's sister Princess Anne, told Sky News Australia. \u201cHe\u2019s frustrated that he can\u2019t get on and do everything that he wants to be able to do. But he is very pragmatic, he understands that there\u2019s a period of time that he really needs to focus on himself.\u201d
People continued to flock Sunday to the royal's main London residence, Kensington Palace, as well as to Windsor Castle, where they spend most of their time, to show support for the princess, with many leaving flowers.
Until Friday, officials had only said Kate\u2019s surgery in January was successful and recuperation would keep the princess away from public duties until April. This has sparked a flurry of rumor-mongering about the \u201cmissing\u201d future queen, compounded after Kate acknowledged that she altered an official photo released to mark Mother\u2019s Day in the U.K. earlier this month.
The photo, meant to reassure the public, triggered a backlash after The Associated Press and other news agencies retracted it over manipulation concerns.
Even a video published last week by The Sun and TMZ that appeared to show Kate and William shopping near their home didn't dispel the negative coverage.
Criticism of those jumping to sometime-outlandish conclusions continued to be voiced over the weekend.
Paddy Harverson, previously the official spokesman of Kate and the Prince of Wales, said that the speculation and pressure around Kate's health and whereabouts before her video statement was \u201cthe worst I\u2019ve ever seen.\u201d
However, he said he thought Kate would have revealed her cancer diagnosis exactly as she had, regardless of what was being speculated.
\u201cI\u2019m absolutely convinced that if we hadn\u2019t had all the madness and social media, if we hadn\u2019t had the sort of the Mother\u2019s Day photo mistake, they would have still done it like this,\u201d he told the BBC. \u201cThey would have still waited till this last Friday when the schools are breaking up to make the announcement.\u201d
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Two years after the Supreme Court overturned Roe v. Wade and cleared the way for bans or severe restrictions on abortion in many Republican-led states, abortion opponents on Tuesday will ask the high court to ratify a ruling from a conservative federal appeals court that would limit access to the medication mifepristone, which was used in nearly two-thirds of all abortions in the United States last year.
That decision to reverse Roe had immediate political consequences, with Democrats making the case that the court had taken away a right that women held for half a century and winning elections as a result. Even conservative-leaning states like Kansas and Ohio voted against abortion restrictions. If the court were to uphold restrictions on medication abortions it could roil the election landscape in races for Congress and the presidency.
By rolling back Food and Drug Administration changes to the use of mifepristone, the ruling would cut off access to the drug through the mail and impose other restrictions, even in states where abortion remains legal. The restrictions would shorten the time when mifepristone can be used in pregnancy, to seven weeks from 10 currently.
Most adults in the U.S., 55%, believe medication abortion pills are very or somewhat safe when taken as directed by a doctor, according to a KFF poll from May 2023, and 65% have \u201ca lot\u201d or \u201csome\u201d confidence in the FDA to ensure that medications sold in the U.S. are safe and effective.
A decision should come by late June. But no matter the outcome, the Supreme Court has not seen its last abortion case. Legal battles are pending over state restrictions, and new federal limits are likely if former President Donald Trump, Republicans' presumptive nominee for 2024, returns to the White House.
Next month, the justices will hear arguments over whether a federal law on emergency treatment at hospitals must include abortions, even in states that have otherwise banned them.
Mifepristone, made by New York-based Danco Laboratories, is one of two drugs, along with misoprostol, used in medication abortions. Their numbers have been rising for years, and they accounted for 63% of the more than 1 million abortions in the U.S. last year, according to an estimate by the Guttmacher Institute, which supports abortion rights. More than 5 million people have used mifepristone since 2000.
Mifepristone is taken first to dilate the cervix and block the hormone progesterone, which is needed to sustain a pregnancy. Misoprostol is taken 24 to 48 hours later, causing the uterus to contract and expel pregnancy tissue.
Health care providers have said that if mifepristone is no longer available or is too hard to obtain, they would switch to using only misoprostol, which is somewhat less effective in ending pregnancies.
Underscoring the importance of the case, the number of medication abortions is rising for several reasons. Taking pills at home to end a pregnancy is less invasive than surgery, more convenient than having to travel to an abortion clinic and more private, allowing women to avoid anti-abortion protesters who picket clinics.
It's becoming even easier to get the two drugs in some states now that CVS and Walgreens have announced pilot programs to dispense the pills at their pharmacies.
For women living in states with abortion bans or restrictions, mail order delivery may be their only practical option, said Julie F. Kay, executive director of the Abortion Coalition for Telemedicine.
The medication is sent by providers in states that have laws meant to shield them from any legal trouble for working with people who live in states that don't permit medication abortions. The pills cost $150 and usually arrive within three to five days, Kay said.
Last year, 85,000 women worked with order-by-mail abortion provider Aid Access to obtain the medication, said Dr. Rebecca Gomperts, the group's founder. Of those, 50,000 live in states with abortion restrictions, she said.
The current case followed closely the Supreme Court decision in June 2022 that overturned the constitutional right to an abortion. That ruling has led to bans on abortion at all stages of pregnancy in 14 states, with some exceptions, and once cardiac activity can be detected, which is around six weeks, in two others.
Abortion opponents filed their challenge to mifepristone the following November and initially won a sweeping ruling six months later from U.S. District Judge Matthew Kacsmaryk, a Trump nominee in Texas, which would have revoked the drug\u2019s approval entirely. The 5th U.S. Circuit Court of Appeals left intact the FDA\u2019s initial approval of mifepristone. But it would reverse changes regulators made in 2016 and 2021 that eased some conditions for administering the drug.
The Supreme Court put the appeals court's modified ruling on hold, then agreed to hear the case, though Justices Samuel Alito, the author of the decision overturning Roe, and Clarence Thomas would have allowed some restrictions to take effect while the case proceeded.
The doctors and groups that initially wanted mifepristone pulled from the market now say, in their main Supreme Court brief, that those recent changes \u201cjeopardize women's health throughout the nation\" and didn't follow the rigorous procedures required by federal law to alter safety restrictions on drugs.
\u201cThe Supreme Court\u2019s got a chance to decide whether some agencies get a pass in decision making,\u201d said Sarah Parshall Perry, a lawyer at the Heritage Foundation who supports the challenge.
Pregnant women who wish to take mifepristone, for example, no longer need an in-person visit with a doctor before getting a prescription, said Erin Hawley, the Alliance Defending Freedom lawyer who is representing the abortion opponents at the Supreme Court.
\u201cOur clients are asking the FDA to put back in place safeguards that were there for nearly 20 years,\u201d Hawley told The Associated Press. She is married to Sen. Josh Hawley, R-Mo. Both Hawleys served as law clerks to Chief Justice John Roberts early in their careers.
But the administration said the elimination of doctor visits and the other changes were the product of more than 20 years of experience in regulating mifepristone, including evaluating safety data and studies of thousands of women. Its view is shared by several leading medical organizations, including the American College of Obstetricians and Gynecologists.
Seven former FDA commissioners said in a court filing that the agency exercised special care in its initial approval of mifepristone because it was dealing with an abortion drug. Subsequent changes were \"driven by a straightforward and thorough application of the expert scientific review process that Congress entrusted to FDA,\u201d they wrote.
Mary Ziegler, a law professor at the University of California at Davis who has written extensively about abortion, said rolling back the FDA rules \u201cwould render pretty much all the doses of mifepristone on the market potentially misbranded and mislabeled, which could mean, I think, you know, months of disruption in terms of the drug being available.\u201d
More broadly, Ziegler said, the \u201ccase has the potential, obviously, to upend how drug approvals function.\u201d The prescription drug industry also has weighed in forcefully on the administration's side.
The administration and Danco both make extensive arguments, contested by the other side, that the abortion opponents lack the legal right, or standing, to bring the case.
If the court agrees they're right, it would preserve access for mifepristone without touching on the more politically sensitive issues in the dispute.
___
Associated Press writer Linley Sanders contributed to this report.
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March 23
The Washington Post on SCOTUS and abortion
The Supreme Court declared nearly two years ago, when it overruled Roe v. Wade, that the rules on abortion were now up to the states \u2014 but as the justices hear a critical case this week regarding the pill mifepristone, reproductive rights rest yet again in their hands. The good news is, this isn\u2019t a hard one.
The court agreed to hear FDA v. Alliance for Hippocratic Medicine after two panels of judges on the U.S. Court of Appeals for the 5th Circuit ruled to impose significant restrictions on health providers prescribing mifepristone \u2014 the first part of the two-drug regimen used in more than half of all abortions in the United States. Whether patients can access mifepristone at all isn\u2019t at stake; courts have agreed that the statute of limitations is up to challenge the FDA\u2019s 2000 approval of the drug. But when and how they can do so is still challengeable: The 5th Circuit nixed changes the agency made in the past eight years that made it possible for women to obtain mifepristone more easily \u2014 later on in their pregnancies, for example, or by mail or without three separate visits to health facilities.
The Supreme Court must now consider whether to side with the 5th Circuit judges or with the doctors and scientists at the FDA on a subject about which judges generally know little and doctors and scientists a lot. But before the justices even reach that debate, they must settle another: Does the litigant in this case even have standing, the legal right to sue? Resolving this question is simpler than it sounds.
To have standing, the Alliance for Hippocratic Medicine must show existing or imminently impending injury caused by the broader availability of mifepristone. Yet they, emergency room doctors, neither use nor prescribe mifepristone. So they\u2019ve settled on claiming hypothetical injury: If some unspecified member of their group has to treat patients who have taken mifepristone, that member could suffer harm. It should be no great harm to doctors, who have sworn to care for those in need, to treat those suffering side effects from any duly prescribed medication.
The speculative injury the Alliance for Hippocratic Medicine claims is even more dubious considering complications from mifepristone are exceedingly rare. For this same reason, the plaintiffs\u2019 case is weak \u2014 even if the Supreme Court does decide that they have standing to challenge the FDA. The 5th Circuit, agreeing in part with U.S. District Judge Matthew Kacsmaryk, said the FDA violated crucial safeguards when it loosened regulations on mifepristone. The FDA says it has merely updated the approved conditions of use for a drug deemed safe and effective for almost a quarter century, and for millions of patients.
The science, unsurprisingly, is on the scientists\u2019 side. Study upon study has shown that fewer than 1 percent of mifepristone patients need hospitalization. The FDA has received reports of 28 deaths out of the 5.6 million who have used the drug between its 2000 approval and last summer, and even these can\u2019t be confidently attributed to the drug. The rest of the world has been engaged in similarly rigorous research and has come to the same conclusion. At least 94 countries have approved the pill, and increasingly they\u2019re putting it on their essential medication lists.
Indeed, patients seeking abortions are in more danger without mifepristone than with it. Terminating a pregnancy with mifepristone\u2019s usual companion pill, misoprostol, is possible \u2014 but results in more cramping and bleeding. The risk of severe complication from childbirth, meanwhile, hovers around 1.4 percent, according to the Centers for Disease Control and Prevention.
Compare the methodology underlying these conclusions, established by the global community carefully and over ample time, to the methods Judge Kacsmaryk relied on in his ruling that the 5th Circuit reviewed: Much of his data came from an antiabortion group whose very mission is to undermine the FDA\u2019s policy. To prove that \u201cchemical abortion\u201d provokes a \u201cnegative change\u201d in patients, he cited a study that relied on a collection of anonymous blog posts from \u2014 yes, really \u2014 abortionchangesyou.org.
The Supreme Court pronounced less than two years ago that courts have little business meddling in democratically decided abortion rules. Now, its justices are asked to decide whether courts have any business overruling the scientific judgment of an executive agency \u2014 and, in so doing, curb patients\u2019 ability to access mifepristone regardless of their states\u2019 laws. The answer should be obvious.
ONLINE: https://www.washingtonpost.com/opinions/2024/03/24/supreme-court-abortion-mifepristone/
___
March 22
The New York Times on Putin silencing dissent
The Committee to Protect Journalists has documented that at least 320 members of the press were behind bars around the globe as 2024 began. In Vladimir Putin\u2019s police state, at least 22 journalists are jailed, most for committing that most elemental of journalistic duties, speaking the truth. Two of them are American reporters. One of them, Evan Gershkovich of The Wall Street Journal, will soon mark a year in the infamous Lefortovo prison, awaiting trial on charges of espionage. The other, Alsu Kurmasheva, an editor for Radio Free Europe/Radio Liberty, was arrested while visiting her mother and has been in detention since October.
The charges against both are a travesty. Their incarceration is a violation of their rights and an assault on foreign journalists that is even more egregious than what transpired under Soviet rule. The Biden administration should continue to do all in its power to secure their freedom.
Mr. Gershkovich, now 32, is not a spy, and his accusers know it. He is a reporter, a correspondent for The Wall Street Journal who worked in Moscow with official accreditation from the Russian government until he was taken prisoner by a secretive police unit in Yekaterinburg on March 29, 2023.
The reason for the arrest may be known only to Mr. Putin. Perhaps it was to send a signal that foreign correspondents are no safer from the reach of the Kremlin\u2019s police than Russian reporters. For some time now, and especially since the invasion of Ukraine two years ago, the Kremlin under Mr. Putin has dealt ruthlessly with any opposition, as demonstrated most starkly by the sudden death last month of Aleksei Navalny, Mr. Putin\u2019s most prominent opponent.
Perhaps Mr. Gershkovich was seized as a pawn to swap for Russians held in the West, as the American basketball player Brittney Griner was in 2022. Perhaps it was because Mr. Gershkovich\u2019s parents are Russian Jews who emigrated in the 1970s, so Mr. Putin views him, as he views Ukraine, as within his sphere of repression.
As the first anniversary of Mr. Gershkovich\u2019s incarceration approaches, there is no evidence of a potential trade, though Mr. Putin did suggest last month that it could happen. And there is no indication that a trial is imminent. Instead, Mr. Gershkovich will soon have spent a year at Lefortovo, which was built in the 19th century and was notorious in the Soviet era as an interrogation center for political prisoners, who are typically held in solitary confinement. Human contact is strictly limited: Only lawyers are usually allowed to visit.
Ms. Kurmasheva, a dual Russian and American citizen, lived with her husband and two daughters in Prague and worked there as an editor for R.F.E./R.L.\u2019s Tatar-Bashkir service. She traveled to the Russian city of Kazan last May to visit her ailing mother but was prevented from leaving, purportedly for failing to register her American passport. On Oct. 18 she was detained for failing to register as a \u201cforeign agent,\u201d and she has been held since.
Introduced in 2012, the foreign agent law has been a central feature of Mr. Putin\u2019s efforts to portray the West as a devious enemy seeking to undermine Russia. The law requires any organization or individual in Russia who receives money from abroad to register as a \u201cforeign agent,\u201d a phrase that, in Russian, carries a clear connotation of espionage. In December, authorities in Kazan began yet another investigation of Ms. Kurmasheva, this one for spreading false information about the Russian Army, and on Feb. 1, her pretrial detention was extended for two months.
Her husband, Pavel Butorin, who also works for R.F.E./R.L., has said he suspects the new case involves a book that Ms. Kurmasheva and her colleagues coedited called \u201cSaying No to War: 40 Stories of Russians Who Oppose the Russian Invasion of Ukraine,\u201d a collection of radio interviews with Russian people who expressed their antiwar feelings in different ways. (One of them said she was arrested for braiding a green ribbon in her hair.) Opposing the war is a crime in Russia, and R.F.E./R.L. itself has been branded an \u201cundesirable organization,\u201d putting Russians at risk for any connection with it.
Mr. Butorin and a host of press organizations have been campaigning for the State Department to declare that Ms. Kurmasheva has been wrongfully detained \u2014 a finding that would allow her to receive intensified attention by the president\u2019s special presidential envoy for hostage affairs. Mr. Gershkovich\u2019s case was so categorized soon after he was detained, as was that of another American being held in Russia, Paul Whelan, who was convicted in 2020 of spying and sentenced to 16 years of incarceration. The State Department has yet to officially assign similar urgency to Ms. Kurmasheva\u2019s case, but it should.
However different the details of Mr. Gershkovich\u2019s and Ms. Kurmasheva\u2019s cases, they both have their origins in Mr. Putin\u2019s personal vindictiveness. In the waning years of the Soviet Union, the rules of officially acceptable behavior for foreign journalists were fairly clear and the consequences for violating them were rarely more serious than expulsion. Mr. Putin\u2019s approach to the international media \u2014 now among the only sources of independent news in the country \u2014 has become steadily more malevolent and capricious as his war on Ukraine has dragged on.
Mr. Putin, having yet again consolidated his power as Russia\u2019s leader, is unlikely to be moved by the American government\u2019s pressure or censure about his treatment of journalists. Yet it remains incumbent on the United States government and on institutions of the free press to explore every avenue to win the release of Ms. Kurmasheva and Mr. Gershkovich and to continue to insist, using whatever diplomatic tools are available to them, that Mr. Putin cease intimidating journalists.
Journalists in Russia who are working to break through the obstacles and traps he has set are performing a critical service in shedding light on his authoritarian and expansionist project. He fears them for a reason, and for that same reason they deserve the unflagging support of all those who cherish freedom.
ONLINE: https://www.nytimes.com/2024/03/22/opinion/gershkovich-kurmasheva-russia-putin.html
___
March 24
The Wall Street Journal on the shrinking GOP majority
Democrats are lapping Republicans in this year\u2019s election fund-raising, and could that be because GOP donors are wondering what they get for their money? Donors, both small-dollar and large, helped Republicans retake the House in 2022, and all they\u2019ve received in return is a majority that revels in operating like a functional minority.
Soon it may not even be a majority at all. Wisconsin Rep. Mike Gallagher, one of the GOP\u2019s best Members, announced on Friday that he\u2019s resigning from the House on April 19. Colorado Rep. Ken Buck\u2019s last day was Friday. You can criticize both for leaving early, but who can blame anyone sane for wanting to do something more useful with his life than serving in this House of horribles?
Their departures take the GOP majority down to 217-213, which means the party is a heart attack and absences or flipped votes away from putting Democratic leader Hakeem Jeffries in charge. In some sense Mr. Jeffries already is in charge. Speaker Mike Johnson can\u2019t pass legislation the usual way through the Rules Committee and then onto the floor with a simple majority. Every sensible majority that wants to govern packs the Rules Committee with Speaker loyalists. Not this crowd.
The anti-governing wing of the House GOP insisted on three of their own for Rules as one price of voting for Kevin McCarthy as Speaker in January 2023. They refuse to vote for Mr. Johnson\u2019s inevitable compromises with Senate Democrats, so Mr. Johnson has to move legislation via the suspension calendar, which requires a two-thirds vote to pass anything. This means he needs Democratic votes, and a lot of them, because Republicans prefer to make futile gestures of opposition rather than vote to fund the government.
The practical effect is to reduce Republican leverage in a divided government and make it harder to achieve conservative policy victories. But then the same Members who undercut the majority boast on the House floor and social media that they are the only honest conservatives in Washington. They\u2019re posers masquerading as principled, and they\u2019re treating the voters at home like rubes.
Georgia Rep. Marjorie Taylor Greene\u2019s motion Friday to oust Mr. Johnson as Speaker exposes the deception behind the coup against Mr. McCarthy. After we criticized that October coup as destructive and self-serving, Florida Rep. Matt Gaetz wrote us a letter saying that in electing Mr. Johnson the GOP now had a real conservative as leader.
So what\u2019s wrong with Mr. Johnson now? Apparently because he\u2019s not willing to indulge kamikaze acts like shutting down the government, Mr. Johnson is a sellout too.
Conservatives have long had a strong anti-Washington impulse, which is useful given the federal government\u2019s relentless drive to expand its own power. But breaking that drive, and rolling back that power, requires calculation and often incremental gains. All the more so in a divided government.
___
March 20
The Los Angeles Times
It may be tempting to look at new rules finalized Wednesday by the Biden administration boosting sales of electric vehicles as a big step toward slashing climate-changing pollution.
But the Environmental Protection Agency rules are more an incremental move, too weak and slow to respond appropriately to the gravity of the unfolding environmental crisis. And that\u2019s a shame, because with a divided Congress, administrative action is the only way for the federal government to do big things such as protect the public from climate change and pollution.
The administration blew this opportunity by caving to pressure from powerful interests during an election year and settling on a watered-down plan that will allow automakers to build more gas-guzzling vehicles for longer and slow down urgently needed pollution cuts. We\u2019re in the race of our lifetime against climate change and President Biden is driving way below the speed limit.
The final rules impose greenhouse gas pollution limits that will force automakers to ramp up sales of new zero-emission cars and light-duty trucks from about 7% of vehicles sold today to more than 67% by 2032. That\u2019s good, of course, but it\u2019s a more gradual requirement than the EPA first proposed, delaying the steepest increases in electric vehicle sales until after 2030 and granting loopholes that make it easier for manufacturers to comply. That\u2019s a mistake at a time when the climate crisis is smacking us in the face, with February marking the ninth consecutive month of record-setting heat on the planet.
Speed matters, after all, in preventing catastrophic climate impacts, and the longer we wait to toughen these standards, the more cumulative carbon dioxide emissions we spew into the atmosphere.
The administration\u2019s softening of its vehicle emissions proposal is an election-year gift to the auto industry, which has pushed to weaken the rules so it can keep making more money from gas-fueled models. It\u2019s also a concession to organized labor, including auto industry workers who are understandably fearful about the move to electric vehicles shifting jobs to nonunion factories with lower wages.
The powerful United Auto Workers union praised the version released Wednesday as a \u201cmore feasible emissions rule that protects workers building (internal combustion engine) vehicles, while providing a path forward for automakers to implement the full range of automotive technologies to reduce emissions.\u201d
But there are better ways to support workers than by blunting the federal government\u2019s most powerful tool to address pollution from transportation, now the largest source of emissions. Protecting good-paying, union jobs should not have to come at the expense of protecting the environment. The administration should look to other ways to smooth the transition, like building on the slew of clean manufacturing incentives that have begun rolling out under the Inflation Reduction Act, and working to build out the nation\u2019s lackluster vehicle charging network.
Climate change is such an existential threat that even taking one of the biggest federal actions to date to cut emissions can be viewed as a failure for lacking the necessary ambition. Biden should be doing all he can to get ahead of the climate crisis and dominate the clean energy economy of the future, not easing off the accelerator in hopes that it could help him win reelection.
ONLINE: https://www.latimes.com/opinion/story/2024-03-20/biden-electric-car-rules
___
March 22
China Daily on U.S. poison pill for India
By inaugurating the Sela Tunnel in China\u2019s Zangnan, or the southern part of the Xizang autonomous region, which India calls \u201cArunachal Pradesh\u201d, Indian Prime Minister Narendra Modi risks playing with fire, by offending a friendly neighbor.
Weeks before the move, China and India had just held the 21st round of commander-level talks over border issues, in which both sides agreed to keep up communications through military and diplomatic channels to improve the situation in the border area. But Modi\u2019s move ruins that precious mutual trust.
Muddying the waters further is the US Department of State, which claimed it recognizes \u201cArunachal Pradesh\u201d as Indian territory.
While it\u2019s easy and costs nothing for the United States to try and drive a wedge between China and India, for as low as a blank-check-style statement, it could prove costly for India to accept that wedge. Taking such a provocative move means offending a neighbor five times its economic size, while all the support it gets from the distant \u201csupporter\u201d is a statement.
The peoples of China and India have shared a long history of friendship. However, recent years have seen certain politicians, influenced by colonialism ideologies, causing tensions that overshadow this bond. It\u2019s essential to question whether the Indian government aims to maintain friendly relations and mutual development or insists on unilateral actions at the expense of its neighbors.
Similarly, some US politicians that sow discord must consider how their actions contribute to fostering friendly relations and safeguarding global interests. China values peace but remains unafraid in the face of external provocations.
ONLINE: https://www.chinadaily.com.cn/a/202403/22/WS65fd544ea31082fc043be356.html
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The move on Monday comes after President Yoon Suk Yeol called for talks with doctors while suggesting a possible softening of punitive steps against the striking junior doctors. It\u2019s unclear whether and how soon the government and doctors would sit down for talks and reach a breakthrough. About 12,000 interns and medical residents have faced impending suspensions of their licenses over their strikes, which are now in their fifth week.", + "bylines": [ + { + "by": "By HYUNG-JIN KIM", + "title": "Associated Press" + } + ], + "located": "SEOUL, South Korea", + "datelinelocation": { + "city": "Seoul", + "countrycode": "KOR", + "countryname": "South Korea", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + 126.9784, + 37.566 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. 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The senior doctors\u2019 action isn't likely to cause an immediate worsening of hospital operations in South Korea because they have said they would continue to work even after submitting their resignations. But prospects for an early end to the medical impasse were dim, as the doctors\u2019 resignation submissions came after President Yoon Suk Yeol called for talks with doctors while suggesting a possible softening of punitive steps against the striking junior doctors.
About 12,000 interns and medical residents have faced impending suspensions of their licenses over their refusal to end their strikes, which have caused hundreds of canceled surgeries and other treatments at their hospitals.
They oppose the government\u2019s plan to increase the country\u2019s medical school admission cap by two-thirds, saying schools can\u2019t handle such a steep increase in students and that it would eventually hurt South Korea\u2019s medical services. But officials say more doctors are urgently needed because South Korea has a rapidly aging population and its doctor-to-population ratio is one of the lowest in the developed world.
In a meeting with governing party leader Han Dong-hoon on Sunday, representatives of medical professors and doctors at some 40 university hospitals \u2014 where the junior doctors worked while training \u2014 expressed support for the striking doctors, saying the government\u2019s recruitment plan \u201cwould collapse our country\u2019s medical system,\u201d Kim Chang-soo, head of the emergency committee at those universities, said Monday.
Kim called Yoon\u2019s overture a positive step but said the current standoff between doctors and the government won\u2019t be resolved unless the government rolls back its recruitment plan.
He said doctors at the universities were expected to stick to earlier plans to submit resignations voluntarily and cut back their working hours to 52 hours per week \u2014 the maximum weekly number of legal working hours. Observers say senior doctors have been grappling with excessive workloads after their juniors left their hospitals.
\u201cIf the government has an intention of withdrawing its plan or has an intention of considering it, we\u2019re ready to discuss all pending issues with the government before the public,\u201d Kim said.
Later Monday, an unspecified number of senior doctors went ahead and handed in their resignations, according to doctors involved in the protests. They said some doctors had already submitted resignations last week.
After Sunday\u2019s meeting, Han asked Yoon\u2019s office to \u201cflexibly handle\u201d the issue of planned license suspensions for the striking doctors. Yoon then asked his prime minister to pursue \u201ca flexible measure\u201d to resolve the dispute and seek constructive consultations with doctors, according to Yoon\u2019s office.
It\u2019s unclear whether and how soon the government and doctors would sit down for talks and reach a breakthrough. Some observers say the government\u2019s likely softening of punishments for the striking doctors and its pursuit of dialogue with doctors were likely related to next month\u2019s parliamentary elections as further disruptions of hospital operations would be unhelpful for ruling party candidates.
The striking junior doctors represent less than 10% of South Korea\u2019s 140,000 doctors. But in some major hospitals, they account for about 30% to 40% of the doctors, assisting senior doctors during surgeries and dealing with inpatients while training.
Public surveys show that a majority of South Koreans support the government\u2019s push to create more doctors, and critics say that doctors, one of the highest-paid professions in South Korea, worry about lower incomes due to a rise in the number of doctors.
Officials say more doctors are required to address a long-standing shortage of physicians in rural areas and in essential but low-paying specialties. But doctors say newly recruited students would also try to work in the capital region and in high-paying fields like plastic surgery and dermatology. They say the government plan would also likely result in doctors performing unnecessary treatments due to increased competition.
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Officials with the Texas Animal Health Commission confirmed the flu virus is the Type A H5N1 strain, known for decades to cause outbreaks in birds and to occasionally infect people. The virus is affecting older dairy cows in those states and in New Mexico, causing decreased lactation and low appetite.
It comes a week after officials in Minnesota announced that goats on a farm where there had been an outbreak of bird flu among poultry were diagnosed with the virus. It's believed to be the first time bird flu \u2014 also known as highly pathogenic avian influenza \u2014 was found in U.S. livestock.
The commercial milk supply is safe and risk to people is low, according to the U.S. Department of Agriculture. Dairies are required to only allow milk from healthy animals to enter the food supply, and milk from the sick animals is being diverted or destroyed. Pasteurization also kills viruses and other bacteria, and the process is required for milk sold through interstate commerce, the agency said.
\u201cAt this stage, there is no concern about the safety of the commercial milk supply or that this circumstance poses a risk to consumer health,\u201d the USDA said in a statement.
The federal government said its tests in the cattle did not detect any changes to the virus that would make it spread more easily to people.
Dairy farmers in Texas first became concerned three weeks ago when cattle started falling ill with what officials called \u201cmystery dairy cow disease,\" Texas Department of Agriculture Commissioner Sid Miller said. Milk production fell sharply and the cows were lethargic and weren't eating much.
\u201cWe hadn't seen anything like it before,\u201d he said. \u201cIt was kind of like they had a cold.\u201d
The state's animal health commission began an investigation that included tests for bird flu, spokeswoman Erin Robinson said. Based on findings from Texas, USDA officials think the cows got the virus from infected wild birds.
Experts say livestock appear to recover on their own within seven to 10 days. That's different than bird flu outbreaks in poultry, which necessitate killing flocks to get rid of the virus. Since 2022, outbreaks have affected about 82 million wild and commercial birds in the U.S.
So far, the virus appears to be infecting about 10% of lactating dairy cows in the affected herds, said Michael Payne, a food animal veterinarian and and biosecurity expert with the University of California-Davis Western Institute for Food Safety and Security.
\u201cThis doesn\u2019t look anything like the high-path influenza in bird flocks,\u201d he said.
Bird flu was detected in unpasteurized, clinical samples of milk from sick cattle collected from two dairy farms in Kansas and one in Texas. The virus was also found in a nose and throat swab from another dairy in Texas.
Officials called it a rapidly evolving situation. The Food and Drug Administration and Centers for Disease Control and Prevention are involved, along with officials in the three states. Another dairy-heavy state, Iowa, said it is monitoring the situation.
Dairy industry officials said that producers have started enhanced biosecurity efforts on U.S. farms, including limiting the amount of traffic into and out of properties and restricting visits to employees and essential personnel.
Bird flu previously has been reported in 48 different mammal species, Payne noted, adding: \u201cIt was probably only a matter of time before avian influenza made its way to ruminants.\u201d
___
The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute\u2019s Science and Educational Media Group. The AP is solely responsible for all content.
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U.N. deputy spokesman Farhan Haq made the announcement Monday. U.N. Secretary-General Ant\u00f3nio Guterres praised Griffiths \u201cfor his tremendous leadership and service to the United Nations and the humanitarian community in advocating for people affected by crises and mobilizing resources to address their needs.\u201d Griffiths, 72, told The Associated Press earlier this month that he got a severe case of COVID-19 in October and is still suffering from long COVID.", + "bylines": [ + { + "by": "By EDITH M. LEDERER", + "title": "Associated Press" + } + ], + "located": "UNITED NATIONS", + "datelinelocation": { + "city": "Tanzania", + "countryname": "Tanzania", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + 35, + -6 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. 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U.N. Secretary-General Ant\u00f3nio Guterres praised Griffiths \u201cfor his tremendous leadership and service to the United Nations and the humanitarian community in advocating for people affected by crises and mobilizing resources to address their needs,\u201d U.N. deputy spokesman Farhan Haq said.
Griffiths, 72, told The Associated Press earlier this month that he got a severe case of COVID-19 in October and is still suffering from long COVID.
Griffiths took on the job of U.N. undersecretary-general for humanitarian affairs and emergency relief coordinator in July 2021 as crises were escalating around the globe and funds for humanitarian aid were shrinking.
A veteran British diplomat and seasoned negotiator with wide global experience, he served as the U.N. special envoy for Yemen for three years before taking on the U.N.\u2019s top humanitarian post.
Haq said Griffiths will remain in his post until the end of June to allow for a smooth transition.
In 1994, Griffiths served in Geneva as director of the U.N. Department of Humanitarian Affairs, which preceded the establishment of the U.N. Office for the Coordination of Humanitarian Affairs, that he now heads.
From 1999 to 2010, he was the founding director of the Center for Humanitarian Dialogue in Geneva, where according to the U.N. he specialized in developing political dialogue between governments and insurgents in a range of countries across Asia, Africa and Europe.
Griffiths served as the first executive director of the European Institute of Peace from 2014-2018 and he served as special adviser to three U.N. special envoys for Syria and as deputy head of the U.N. mission in Syria from 2012-2014, during the early years of the ongoing conflict there.
Earlier in his career, he was a British diplomat and worked for various international humanitarian organizations, including UNICEF, Save the Children and Action Aid.
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The U.S. territory of 3.2 million people has reported at least 549 cases so far this year, compared with a total of 1,293 cases for all of last year. The majority of cases have been reported in the capital of San Juan.
More than 340 people have been hospitalized for the mosquito-borne virus, according to the island\u2019s health department.
Puerto Rico last declared a dengue epidemic in 2012.
More than 5 million dengue cases were reported worldwide last year, with nearly 80% of them occurring in the Western Hemisphere, according the World Health Organization. The region has reported some 3 million cases so far this year, with health officials noting that higher rainfall along with humidity and heat linked to climate change have contributed to a rise in cases.
The virus can cause crushing headaches, fever, vomiting, a rash and other symptoms. While most infected people don\u2019t get symptoms, severe cases can lead to plasma leakage and death.
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(AP) \u2014 A bill that ultimately would have let voters decide whether abortions should be legal in Louisiana, a state with a near-total ban, failed after a Republican-controlled committee rejected it Monday.
The legislation proposed an amendment to Louisiana's constitution that would enshrine reproductive rights for women, including allowing contraceptives such as birth control, access to abortions and infertility treatments. If the measure advanced, it would have been placed before Louisianans to vote on the amendment. However a GOP-controlled committee voted 10-2 to involuntarily defer the bill, effectively killing the measure.
\u201cI don\u2019t see this as a pro-abortion bill. I see this as a pro-medical treatment bill,\u201d Democratic Rep. Aimee Freeman, who authored the legislation, said during a committee hearing Monday.
Louisiana has one of the highest maternal mortality rates in the country, with Black women disproportionately impacted, according to state health data. Freeman argued that the amendment is essential to provide pregnant patients \u201cfull access to treatments.\u201d
Louisiana\u2019s abortion law went into effect in 2022 following the U.S. Supreme Court ruling that overturned Roe v. Wade after nearly a half-century of a nationwide right to abortion. The only exceptions to the prohibition are if there is substantial risk of death or impairment to the patient in continuing the pregnancy and in the case of \u201cmedically futile\u201d pregnancies \u2014 when the fetus has a fatal abnormality.
However, some doctors, medical experts and advocacy groups have argued that the law has a \u201cgray area\" over who exactly can receive an abortion. Opponents of the ban say doctors will opt not to proceed with necessary abortions out of fear of punishments, including jail time or hefty fines, if they misinterpret the law. Proponents of the current law say the restrictions and exceptions are clear.
Among those who have been affected by Louisiana's abortion law is Nancy Davis, who during the summer of 2022 was advised by doctors to terminate her pregnancy after they found that the fetus she was carrying had no skull and was expected to die soon after birth. However, doctors said they would not perform the procedure and Davis ended up traveling to New York for an abortion.
\u201cImagine if it was your daughter, your sister or your mother and their lives were in danger because of a pregnancy,\u201d Davis said at the hearing Monday. \u201cWould you still say she should continue even if it may kill her?\u201d
While opponents of the legislation acknowledged there should be additional and improved health care for women, they said this bill is not the answer.
\u201cAbortion isn't health care. Abortion is ending the life of someone. And it's not ending the life of the woman carrying the child. It is ending the life of someone in the womb,\u201d said GOP Rep. Emily Chenevert.
Currently, 14 states are enforcing bans on abortion at all stages of pregnancy, with limited exceptions. Nearly every ban has been challenged with a lawsuit.
Most Democratic-led states have taken steps to protect abortion access, particularly by seeking to protect doctors and others from prosecution for violating other states\u2019 bans.
While there\u2019s far from a universal consensus about abortion, public opinion polls nationwide, and some in Louisiana as reported by the The Times-Picayune/The New Orleans Advocate, have found that the majority oppose the most restrictive bans but also oppose unchecked abortion access at all stages of pregnancy.
The issue is far from settled, as rallies for both sides of the issue, court battles and the filing of related legislation continue.
In Louisiana, additional abortion-related bills \u2014 including ones that aim to at add exceptions to the abortion prohibition for cases of rape and incest, clarifying \u201cvague language\u201d in the law and decreasing the punishment for doctors convicted of performing illegal abortions \u2014 have been filed for this legislative session. Similar measures were proposed last year, but failed to gain approval from the GOP-dominated legislature.
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(AP) \u2014 Republican legislators gave final approval Tuesday to a bill that would require Kansas abortion providers to ask their patients why they want to terminate their pregnancies and then report the answers to the state.
The Senate approved the bill 27-13 after the House approved it earlier this month, sending the measure to Democratic Gov. Laura Kelly. She is a strong abortion rights supporter and is expected to veto the bill, but supporters appear to have exactly the two-thirds majorities in both chambers they would need to override a veto.
At least eight states require similar reporting, but none of them has had a statewide vote on abortion rights as Kansas did in August 2022. In the first state ballot question on abortion after the U.S. Supreme Court\u2019s Dobbs decision, voters decisively protected abortion rights under the state constitution.
Democrats are frustrated because Republicans and anti-abortion groups have pursued new rules for abortion providers despite the 2022 vote. But supporters of the reporting bill say it would give the state better data that would help legislators make policy decisions.
The bill would require providers to ask patients 11 questions about their reasons for terminating a pregnancy, including that they can\u2019t afford another child, raising a child would hinder their education or careers, or a spouse or partner wanted her to have an abortion. A woman would not be required to answer, however.
The bill also would require providers to report each patient's age, marital status, race and education level, while using a \u201cconfidential code\u201d for each patient so that they wouldn\u2019t be identified to the state. The state would be barred for at least five years from identifying the abortion providers in the data it publishes.
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March 22, 2024.
Editorial: Vaccination key to measles eradication
After the millions of Covid-19 cases reported during the pandemic, 58 cases of measles in three months doesn\u2019t seem to qualify as an outbreak, but after nearly eradicating the disease in the United States, health officials are concerned by its reemergence.
The Georgia Department of Public Health issued a statement Friday urging parents to make sure their children are up to date with measles vaccinations.
\u201cMeasles vaccination is important for all children to prevent measles infection and reduce the risk of community transmission,\u201d the DPH statement said, \u201cbut it is especially important for families with children planning to travel outside of the United States.\u201d
Among 58 measles cases reported in the U.S. so far in 2024, 54 (93%) were linked to international travel, the DPH said. Most cases reported this year have been among children over the age of 12 months who had not received MMR vaccine.
In Georgia, there have been two reported cases of measles in 2024. The individuals were unvaccinated, from the same family, and had traveled outside of the country.
Measles is very contagious and spreads through the air when an infected person coughs or sneezes. The measles virus can stay in the air for up to 2 hours after an infected person is there so you can become infected by simply being in a room where an infected person once was.
Measles symptoms usually appear 7 to 14 days (sometimes up to 21 days) after contact with the virus. Symptoms include high fever, cough, runny nose, and watery eyes, followed by a rash of tiny, red spots that starts at the head and spreads to the rest of the body. Individuals infected with measles are contagious from 4 days before the rash starts through 4 days afterward.
The Mayo Clinic warns that measles can be serious and even fatal for small children. Worldwide, the disease still kills more than 200,000 people a year, mostly children. The Centers for Disease Control and Prevention says it\u2019s linked to brain swelling that can cause deafness or intellectual disability, as well as to pneumonia, which is the leading cause of death from measles. It can also cause serious complications for pregnant women.
Measles can be prevented with the MMR vaccine, which is safe and highly effective. The DPH said two doses of MMR vaccine are 97% effective against measles; one dose is 93% effective.
The CDC recommends children receive their first dose of MMR vaccine between 12-15 months of age and a second dose between 4-6 years old. At least two weeks before traveling internationally, infants aged 6 to 11 months should have one dose of MMR vaccine and children aged 12 months and older should have two doses of MMR vaccine. Parents should consult with their child\u2019s healthcare provider to ensure they are up to date with their MMR vaccines and any other vaccines that may be needed.
Many years ago, America led the world in eradicating smallpox. We were on our way to doing so with measles, and the key to both campaigns was vaccinations.
Even with the latest outbreak, measles is on the ropes in America. Make sure your children are vaccinated so we can finish the job.
___
Brunswick News. March 23, 2024.
Editorial: PSC election challenge helps those who voted for rate hike
Voters in Georgia are losing the right to decide in a timely manner who goes and who stays on the state\u2019s five-member Public Service Commission. The elections of the five have been pushed back following an unsuccessful attempt to change how the vote is held in Georgia\u2019s 159 counties to put them in office.
Consequently, all five members will serve more years in office without having to face the electorate at the ballot box. It may even prove beneficial to them following the PSC\u2019s vote to maintain the profits of Georgia Power with their decision to pay for billions of dollars in cost overruns during the expansion of Plant Vogtle on the backs of ratepayers.
The extended terms of office for PSC members began with the filing of a legal challenge by four Black residents in Fulton County to the way the five members are elected. They claimed that electing members statewide diluted Black voting strength and made it difficult for Black voters to elect the candidate of their choice. Therefore, those behind the lawsuit claimed, the election of PSC members was in violation of the Voting Rights Act.
The election of PSC members remained in limbo until the 11th Circuit U.S. Court of Appeals overturned the decision by the lower court last autumn, clearing the way for the state to continue to hold the election of commission members on a statewide basis.
Unfortunately for voters, an injunction issued by the lower federal court remained in place, compelling the state to cancel the scheduled 2022 and 2024 elections of PSC members.
It is unlikely that those PSC members who were planning to seek re-election mind very much. After all, it gives them some distance from their vote to jack up the cost of electricity provided by Georgia Power.
The timing could not have been worse for everyone. Higher bills for electricity usage hit individuals, families and businesses at a time inflation was climbing toward new heights. It added to the shrinkage of paychecks.
New election dates for PSC members already have been approved by the state House and Senate. The term of PSC member Fitz Johnson, set to expire in 2022, was extended four years to 2026. Tricia Pridemore\u2019s term was to end in 2024, but the legislature extended hers to 2026. The terms of Lauren \u201cBubba\u201d McDonald and Jason Shaw were to end in 2026 but will remain in effect until 2028.
Tim Echols, whose term was due to expire in 2022, was extended three years. His district will be on the ballot in May 2025 in conjunction with municipal election primaries.
END
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(AP) \u2014 President Joe Biden and Vice President Kamala Harris on Tuesday promoted their health care agenda in the battleground state of North Carolina, arguing that Democrats like themselves would preserve access to care while Republicans would reverse gains made over the past decade and a half.
Fourteen years after President Barack Obama signed the Affordable Care Act into law, the White House still sees health care as a winning issue during a campaign in which Biden has sometimes found himself on the defensive when it comes to immigration or the economy. Republicans have opposed Biden's signature initiatives to lower medical costs, and they've seized opportunities to restrict abortion rights after the U.S. Supreme Court overturned Roe v. Wade.
\u201cIt\u2019s sick. Now they want to quote, his words, terminate the ACA, as my predecessor says,\" Biden said, referring to Republican former President Donald Trump. \"If that were ever to happen, we\u2019d also terminate a lot of lives as well. But we\u2019re not going to let that happen, are we? We\u2019re not going to let that happen.\u201d
North Carolina was Biden's final stop on a tour of battleground states after his State of the Union address this month, which jump-started a frenzied travel schedule as the Democratic president makes his case for a second term in a likely rematch with Trump, the presumptive Republican nominee.
The state is also a health care success story for the president. The American Rescue Plan, a coronavirus pandemic recovery measure signed by Biden, included financial incentives for states to expand Medicaid coverage for low-income residents. North Carolina Gov. Roy Cooper, a Democrat, used the money, which amounted to $1.8 billion, to persuade Republican lawmakers to support his plan. More than 600,000 residents are expected to qualify.
Biden and Harris visited hours after the U.S. Supreme Court heard oral arguments in a case about access to mifepristone, a widely used abortion pill. The justices appeared inclined to preserve access to the medication.
The White House has tried to make mifepristone more available as one of its few opportunities to protect women\u2019s ability to end their pregnancies.
Afterward, Biden and Harris attended a campaign fundraiser in Raleigh that raised $2.3 million, said Cooper. Harris told supporters, \u201cThis is the most existential, consequential and important election of our lifetime.\u201d Biden asked, \u201cDoes anyone here want to go back to 2020?\u201d and the crowd shouted, \u201dNo.\"
Biden\u2019s approval ratings on health care are among his highest on a range of issues, but he trails there, too, According to a February poll from The Associated Press and the NORC Center for Public Affairs Research, 42% of U.S. adults approve of Biden\u2019s handling of health care while 55% disapprove.
KFF, a health policy research firm, found in its own poll in November that 59% of U.S. adults trust the Democratic Party to do a better job addressing health care affordability issues. Only 39% said the same about Republicans. There was a similar divide in trust when it came to access to mental health care, prescription drug costs and the future of the Affordable Care Act, Medicare and Medicaid.
Trump has never detailed his health care proposals despite campaigning since 2016 on a promise to repeal and replace the Affordable Care Act. After Biden landed in North Carolina, Trump denied in a new social media post that he wants to \u201cterminate the ACA,\u201d even though he had promised to do just that as recently as last week in Arizona. Trump pledged Tuesday, without providing any details, that he would make the Affordable Care Act better, stronger and less expensive.
However, health care has not been a prominent issue in his 2024 campaign as Trump instead focuses on immigration, inflation and the wars in Europe and the Middle East.
Polls show a tight race between Biden and Trump, and Democrats hope to create another potential path to victory in North Carolina.
Although Democrats have failed to win a U.S. Senate seat or a presidential race there since 2008, Trump beat Biden in North Carolina by just 1.3 percentage points in 2020. The White House has repeatedly highlighted federal injections of funds for transportation, rural broadband and other initiatives while dispatching top administration officials to the state.
Democrats also want to exploit what they view as weaknesses among Republican candidates for statewide offices. For example, the party's nominees for governor and state schools superintendent, Mark Robinson and Michele Morrow, respectively, have a history of inflammatory comments.
\u201cWe\u2019re seeing a Republican slate at the statewide level that is filled with MAGA extremists that ultimately is going to hurt the Republicans\u2019 chances of winning the state again,\u201d state Sen. Jay Chaudhuri of Raleigh, the chamber\u2019s Democratic whip, said Monday in an interview, using the acronym for Trump's \u201cMake America Great Again\u201d campaign slogan.
Democrats hope unaffiliated voters, the largest category in North Carolina, will cool to Trump in part based on worries that his election along with Robinson and Morrow could make businesses question relocating to a state that is currently riding an economic boom.
___
Associated Press writers Gary Robertson in Raleigh, North Carolina, Jill Colvin in New York and Darlene Superville, Amelia Thomson-DeVeaux and Matt Brown in Washington contributed to this report.
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Wade two years ago.
In nearly 90 minutes of arguments, a consensus appeared to emerge that the abortion opponents who challenged the FDA's approval of the medication, mifepristone, and subsequent actions to ease access to it, lack the legal right or standing to sue.
Such a decision would leave in place the current rules that allow patients to receive the drug through the mail, without any need for an in-person visit with a doctor, and to take the medication to induce an abortion through 10 weeks of pregnancy. Should the court take the no-standing route, it would avoid the more politically sensitive aspects of the case.
The high court\u2019s return to the abortion thicket is taking place in a political and regulatory landscape that was reshaped by its abortion decision in 2022 that led many Republican-led states to ban or severely restrict abortion.
Solicitor General Elizabeth Prelogar, the Biden administration\u2019s top Supreme Court lawyer, said the court should dismiss the case and make clear that anti-abortion doctors and organizations don\u2019t \u201ccome within 100 miles\u201d of having standing.
Even three justices who were in the majority to overturn Roe posed skeptical questions about standing to the lawyer for the abortion opponents. Justices Amy Coney Barrett, Neil Gorsuch and Brett Kavanaugh are former President Donald Trump\u2019s three Supreme Court appointees.
Barrett, for example, seemed to doubt that two doctors identified by lawyer Erin Hawley could show that they were actually harmed by the FDA's actions, one of the requirements for showing standing.
\u201cI think the difficulty here is that, at least to me, these affidavits do read more like the conscience objection is strictly to actually participating in the abortion to end the life of the embryo or fetus. And I don\u2019t read either ... to say that they ever participated in that,\u201d Barrett said.
Kavanaugh had only one question during the entire session and it too seemed to be focused on the technical issue of standing. He asked Prelogar to confirm that \u201cunder federal law, no doctors can be forced against their consciences to perform or assist in an abortion.\u201d
Abortion opponents are asking the justices to ratify a ruling from a conservative federal appeals court that would limit access to mifepristone, one of two drugs used in medication abortions.
That ruling had immediate political consequences, and the outcome in the current case, expected by early summer, could affect races for Congress and the White House.
Another abortion case already is on the docket. Next month, the justices will hear arguments over whether a federal law on emergency treatment at hospitals must include abortions, even in states that have otherwise banned them.
The scene outside the Supreme Court was lively Tuesday morning, with demonstrators occupying the streets surrounding the court and groups on both sides of the issue marching and chanting. The police blocked traffic surrounding the court as well.
The practical consequences of a ruling for abortion opponents would be dramatic, including possibly halting the delivery of mifepristone through the mail and at large pharmacy chains, and ending increasingly popular telehealth visits at which the drug can be prescribed.
President Joe Biden's administration and drug manufacturers warn that such an outcome also could undermine the FDA's drug approval process more widely by inviting judges to second-guess the agency's scientific judgments. The Democratic administration and New York-based Danco Laboratories, which makes mifepristone, say that the drug is among the safest the FDA has ever approved.
Justice Ketanji Brown Jackson, a Biden appointee who joined the court just after the last abortion case, signaled her agreement with some of those arguments when she asked Jessica Ellsworth, Danco's lawyer, whether she has concerns \u201cabout judges parsing medical and scientific studies.\u201d
The abortion opponents argue that the FDA's decisions in 2016 and 2021 to relax restrictions on getting the drug were unreasonable and, as Hawley wrote in her clients' main legal brief, \u201cjeopardize women's health across the nation.\u201d She argued Tuesday that she was asking the court to affirm a ruling that \u201cmerely restored longstanding and crucial protections under which millions of women used abortion drugs.\u201d Her husband, Sen. Josh Hawley, R-Mo., and one of their children were in the courtroom to watch her first arguments.
The mifepristone case began five months after the Supreme Court overturned Roe v. Wade. Abortion opponents initially won a sweeping ruling nearly a year ago from U.S. District Judge Matthew Kacsmaryk, a Trump nominee in Texas, which would have revoked the drug\u2019s approval entirely. The 5th U.S. Circuit Court of Appeals left intact the FDA\u2019s initial approval of mifepristone. But it would reverse changes regulators made in 2016 and 2021 that eased some conditions for administering the drug.
The Supreme Court put the appeals court\u2019s modified ruling on hold, then agreed to hear the case, though Justices Samuel Alito, the author of the decision overturning Roe, and Clarence Thomas would have allowed some restrictions to take effect while the case proceeded.
In arguments highly focused on technical legal issues, Alito and Thomas asked some of the few questions Tuesday on the substance of the case, including about sending mifepristone through the mail.
They referred to the Comstock Act, a rarely used, 151-year-old criminal law that has been revived by anti-abortion advocates seeking to block the delivery of mifepristone through the U.S. mail. Addressing Ellsworth, Thomas said the law is \u201cfairly broad, and it specifically covers drugs such as yours.\u201d
Even if the court doesn't address the Comstock Act in its ruling, some abortion rights advocates fear that a future administration that favors abortion restrictions could invoke the law to roll back access to mifepristone.
More than 6 million people have used mifepristone since 2000. It is one of two drugs used in medication abortions. Mifepristone blocks the hormone progesterone, and also primes the uterus to respond to the contraction-causing effect of another drug, misoprostol. The two-drug regimen is used to end a pregnancy through 10 weeks gestation.
Health care providers have said that if mifepristone is no longer available or is too hard to obtain, they would switch to using only misoprostol, which is somewhat less effective in ending pregnancies.
___
Associated Press writers Amanda Seitz and Lindsay Whitehurst contributed to this report.
___
Follow the AP's coverage of the U.S. Supreme Court at https://apnews.com/hub/us-supreme-court.
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(AP) \u2014 Nicole Shanahan, Robert F. Kennedy Jr. 's pick to be his running mate in his independent bid for president, brings youth and considerable wealth to Kennedy\u2019s long-shot campaign but is little known outside Silicon Valley.
Shanahan, 38, is a California lawyer and philanthropist. Shanahan leads the Bia-Echo Foundation, an organization she founded to direct money toward issues including women\u2019s reproductive science, criminal justice reform and environmental causes. She also is a Stanford University fellow and was the founder and chief executive of ClearAccessIP, a patent management firm that was sold in 2020.
On Tuesday, Shanahan talked about her hardscrabble upbringing in Oakland, the daughter of a mother who immigrated from China and an Irish and German-American father \u201cplagued by substance abuse\u201d who \u201cstruggled to keep a job.\u201d Touching on her family\u2019s reliance on government assistance, Shanahan said that, although she had become \u201cvery wealthy later on in life,\u201d she felt she could relate to Americans being \u201cjust one misfortune away from disaster.\u201d
\u201cThe purpose of wealth is to help those in need. That\u2019s what it\u2019s for,\u201d Shanahan said. \u201cAnd I want to bring that back to politics, too. That is the purpose of privilege.\u201d
She also referenced discredited theories about vaccines as Kennedy and his allies have been accused of doing.
The attorney talked about her overall passion to help fight \u201cchronic disease,\u201d referencing her own struggles with fertility and her five-year-old daughter, who she said has autism. Shanahan cited \u201ctoxic substances in our environment,\u201d \u201celectromagnetic pollution\u201d from devices like cellphones and \u2014 drawing her largest applause of the day \u2014 the lack of research surrounding long-term effects of childhood vaccinations.
\u201cOur children are not well, our people are not well, and our country will not be well for very much longer, if we don\u2019t heed this desperate call for attention,\" she said.
Any link between vaccines and autism has long been debunked, and repeated scientific studies in the U.S. and abroad have found no evidence that vaccines can cause autism. Research has also discredited concerns that children get too many vaccines at once.
Vaccines have been proven to be safe and effective in laboratory testing and in real world use in hundreds of millions of people over decades. The World Health Organization credits childhood vaccines with preventing as many as 5 million deaths a year.
While no medical intervention is risk-free, doctors and researchers have proven that risks from disease are generally far greater than the risks from vaccines.
Shanahan was married to Google co-founder Sergey Brin from 2018 to 2023, and they have a young daughter. She was raised in the San Francisco Bay Area, where Kennedy made his announcement.
Before the announcement, Kennedy's campaign manager and daughter-in-law, Amaryllis Fox Kennedy, praised Shanahan's work on behalf of \u201chonest governance, racial equity, regenerative agriculture and children\u2019s and maternal health.\u201d She said the work \"reflects many of our country\u2019s most urgent needs.\u201d
Kennedy, who said in an interview Monday with \u201cThe State of California\" on KCBS radio that his VP search placed a priority on \u201dsomebody who could represent young people,\" said Tuesday that Shanahan \u2014 who he said, like him, has \u201cleft the Democratic Party\u201d \u2014 also shares his concerns about government overreach and his distrust in major political parties' abilities to make lasting change.
\u201cShe\u2019ll tell you that she now understands at the defense agencies work for the military industrial complex, that health agencies work for big pharma and the USDA works for big ag and the processed food cartels,\u201d Kennedy said at his Oakland rally. \u201cThe EPA is in cahoots with the polluters, that the scientists can be mercenaries, that government officials sometimes act as censors, and that the Fed works for Wall Street and allows millionaire bankers to prey upon on Main Street and the American worker.\u201d
Kennedy also said that, in part, Shanahan's heritage played at least some role in his selection of her.
\u201cI wanted someone who would honor the traditions our nation, as a nation of immigrants, but who also understands that to be a nation, we need to secure borders,\u201d he said.
Kennedy had previously signaled interest in picking a celebrity or a household name such as NFL quarterback Aaron Rodgers, \u201cDirty Jobs\u201d star Mike Rowe or former Minnesota Gov. Jesse Ventura, who was a wrestler and actor.
According to campaign finance records, Shanahan has long donated to Democratic candidates, including giving the maximum amount allowed to Kennedy when he was still pursuing that party's nomination before switching to an independent bid in October.
It was unclear if Shanahan would use her own money on the campaign, but she has already opened her wallet to back Kennedy.
She was a driving force and the primary donor behind a Super Bowl ad produced by a pro-Kennedy super PAC, American Values 2024, for which she contributed $4 million. In response to criticism following the ad's release, the super PAC said its \u201cidea, funding, and execution came primarily\u201d from Shanahan.
The super PAC can accept unlimited funds but is legally barred from coordinating with Kennedy's team.
But as a candidate for vice president, Shanahan can give unlimited sums to the campaign directly. That's potentially a huge boost for Kennedy's expensive push to get on the ballot in all 50 states, an endeavor he has said will cost $15 million and require collecting more than 1 million signatures.
___
Meg Kinnard can be reached at http://twitter.com/MegKinnardAP.
___
Jonathan J. Cooper contributed from Oakland.
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Walsh and Clinton pleaded not guilty in 2020 to charges stemming from their decision that year to combine two dementia units. That step brought together residents who tested positive for the coronavirus with those who manifested no symptoms.", + "bylines": [ + { + "by": "By MICHAEL CASEY", + "title": "Associated Press" + } + ], + "located": "BOSTON", + "datelinelocation": { + "city": "Boston", + "countryareacode": "MA", + "countryareaname": "Massachusetts", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -71.05977, + 42.35843 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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Bennett Walsh, the former superintendent of the Veterans\u2019 Home in Holyoke, and Dr. David Clinton, the home's former medical director, were facing five counts of criminal neglect after the Massachusetts\u2019 highest court overruled a lower court judge last year and reinstated the charges.
Theirs was the first criminal case brought in the country against anyone connected to nursing homes deaths during the pandemic.
Prosecutors had sought guilty pleas and three years probation on the charges including one year of home confinement. They cited the bad conditions and lack of staffing at the facility and the need for a sentence that \"merits real consequences.\"
But defense attorneys argued the court had to take into account the fact that this was in the early days of the pandemic when the dangers of the disease were poorly understood and the facility, like many nursing homes at the time, was hamstrung by a lack of staffing and limited testing. They also argued that Walsh raised the alarm about conditions at the home but that those warnings didn't go up the chain of command.
They sought and Hampden Superior Court Judge Edward J. McDonough accepted their request that each charge be continued without a finding for a three-month probationary period \u2014 a plea in which they acknowledge facts in the case could result in a guilty verdict on each count.
That ruling prompted anger from the state.
\u201cToday the justice system failed the families who lost their loved ones at the Holyoke Soldiers\u2019 Home,\" state Attorney General Andrea Campbell said in a statement. \"I am disappointed and disheartened with the Court\u2019s decision, and want these families and our veterans to know my office did everything it could to seek accountability. We will continue to be vigilant in prosecuting cases of elder abuse and neglect.\u201d
Susan Kenney, whose father Charles Lowell died of Covid-19 at the home, was in court and expressed shock at the ruling.
\u201cIt's disgusting, absolutely disgusting,\u201d she said. \u201cIt's just a injustice. There is no accountability. They need to be made examples of. Everyone knew that the virus was coming down the pike. You don\u2019t contaminate people. There are basic things you don\u2019t do and they were done there because their leadership sucked.\u201d
Walsh and Clinton pleaded not guilty in 2020 to charges stemming from their decision in March of that year to combine two dementia units, bringing together residents who were positive for the coronavirus with those who had no symptoms.
A 2022 state Inspector General\u2019s report found that Walsh lacked both the leadership skills and the temperament to run such a facility when he was hired in 2016. The 91-page report, which covers the period from May 2016 until February 2020 \u2014 just before the pandemic struck with full force \u2014 was also highly critical of the process that led to Walsh's hiring as superintendent.
Walsh, a former Marine who resigned after criminal charges were filed, had no supervisory experience in a health care setting or skilled nursing facility when he was hired. Yet according to state law, such experience was not required of the home\u2019s superintendent at the time.
In 2021, McDonough dismissed the charges. McDonough found that there was \u201cinsufficient reasonably trustworthy evidence that, had these two dementia units not been merged, the medical condition\u201d of five veterans in question would have been materially different.
But last year, Massachusetts\u2019 highest court reinstated charges. In their ruling, the majority of the justices found that the facts presented to the grand jury constituted probable cause to believe that Walsh and Clinton violated the elder abuse statute and that Hampden Superior Court Judge Edward McDonough Jr. erred in dismissing the charges.
In 2022, Massachusetts agreed to pay $56 million to settle a class-action lawsuit brought by the families of veterans who died.
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It's the first abortion-related case the court has taken since a majority of the current justices struck down the constitutional right to abortion in 2022.
A group of anti-abortion doctors had asked the court to restrict access to mifepristone and to limit when in a pregnancy it could be used.
Key moments from the arguments:
The FDA approved mifepristone in 2000 as a safe and effective way to end early pregnancies. Last year the pill was used in more than six in 10 of the abortions in the U.S.
The central argument of the conservative group challenging mifepristone is that the Food and Drug Administration overlooked serious problems with the drug when it eased restrictions on the drug, including making it available via mail in 2021.
Erin Hawley, who represented the doctors suing the agency, argued the FDA \u201cfailed to consider or explain \u2026 its wholesale removal of safeguards\u201d on the pill.
But the FDA has long argued its decision to drop in-person appointments to get mifepristone, among other requirements, came after 20 years of monitoring its safety. In that period the agency reviewed dozens of studies in thousands of women in which serious problems \u2014 including hospitalization \u2014 occurred less than 0.3% of the time.
Hawley pointed out that FDA\u2019s own prescribing label mentions that 2.9% to 4.6% of women taking the drug go to the emergency room. But Solicitor General Elizabeth Prelogar pointed to studies showing that half of women who go to the emergency room don\u2019t get any treatment at all.
\u201cMany women might go because they\u2019re experiencing heavy bleeding, which mimics a miscarriage, and they might just need to know whether or not they\u2019re having a complication, \u201d Prelogar said.
Because of the highly technical nature of reviewing drug data and research, courts have long deferred to FDA\u2019s scientific judgements on safety and effectiveness.
Justice Ketanji Brown Jackson pressed Hawley on the legal basis for second-guessing the agency\u2019s regulators.
\u201cSo what deference do we owe them at all with respect to their assessment that these studies establish what it is that they say they do about safety and efficacy?\u201d
Hawley ran into questions as she argued that a nationwide rule curtailing mifepristone use was needed.
She was repeatedly interrupted by Justice Neil Gorsuch, who voiced objections to such sweeping injunctions.
The case \u201cseems like a prime example of turning what could be a small lawsuit into a nationwide legislative assembly on an FDA rule or any other federal government action,\u201d said Gorsuch.
Normally when a court issues an injunction about a government policy it only applies to the individuals or groups in the case. But in recent years a growing number of justices on lower courts have issued \u201cuniversal injunctions,\u201d blocking federal regulations nationwide.
Gorsuch noted that there have been roughly 60 such rulings in the last four years.
Chief Justice John Roberts also seemed skeptical that a ruling reversing the FDA\u2019s scientific judgments was necessary.
\u201cWhy can\u2019t the court specify that this relief runs to precisely the parties before the court as opposed to looking to the agency in general and saying, 'Agency, you can\u2019t do this anywhere?\u2019\u201d
The Biden administration argued that the plaintiffs \u2014 a group called the Alliance for Hippocratic Medicine \u2014 didn't have the right to challenge the FDA's actions on mifepristone.
The doctors who brought the suit argued that they might have to treat emergency room patients who experience serious complications after taking the drug.
But Prelogar told the court that the doctors don't have to prescribe mifepristone and they can abstain from treating patients who have taken the pill if they oppose abortion.
\u201cThey don\u2019t prescribe mifepristone,\u201d Prelogar said. \"They don\u2019t take mifepristone, obviously. The FDA is not requiring them to do or refrain from doing anything. They aren\u2019t required to treat women who take mifepristone.\u201d
Justice Samuel Alito, however, repeatedly pressed the government on who did have the right to sue over FDA's decisions.
\u201cIs there anybody who can sue and get a judicial ruling on whether what FDA did was lawful?\u201d Alito, who wrote the 2022 ruling that overturned Roe v. Wade, asked.
Several justices pressed Hawley to provide real-life examples of doctors who oppose abortion being forced to treat patients who had suffered from abortion pill complications.
They also took issue with how many hypothetical problems Hawley raised in her argument against the FDA\u2019s loosening of abortion pill restrictions.
\u201cI don\u2019t want to hypothesize,\u201d Jackson said to Hawley, asking her to provide an example of a doctor who was unable to object to providing an abortion.
At one point, Justice Amy Coney Barrett also questioned an example one of the doctors provided of a colleague who had to perform a \u201cdilation and curettage\u201d procedure on a patient with complications. Barrett pointed out that those procedures are not just performed in cases of abortions but for miscarriages as well.
Some of the justices also pointed out that doctors are already protected from performing abortions when they don't want to by voicing conscience objection.
Justice Brett Kavanaugh raised that point early on: \u201cUnder federal law, no doctors can be forced against their consciences to perform or assist in an abortion, correct?\u201d
For more than a century, the FDA has had sole authority over assessing the safety of drugs and approving their sale in the U.S.
The agency first approved mifepristone in 2000 following a four-year review, including detailed safety studies submitted by the French manufacturer. In 2016, FDA loosened restrictions on the drug to allow it to be prescribed up to 10 weeks of pregnancy and allowed nurses and other medical professionals to prescribe it. In 2021, the agency said the drug could be sent through the mail, doing away with a longstanding requirement that women to pick the drug up in person.
Jessica Ellsworth, an attorney representing the New York-based Danco Laboratories, which makes mifepristone, asked the justices to consider how the case could upend the FDA's decades-old system for regulating drugs, vaccines and other life-saving medicines.
\u201cI think this court should think hard about the mischief it would invite if it allowed agencies to start taking action based on statutory responsibilities that Congress has assigned to other agencies,\u201d she said.
U.S. District Judge Matthew Kacsmaryk's decision last year marked the first time a court had issued a decision to revoke approval of a drug FDA had deemed safe. An open letter signed by nearly 300 biotech and pharmaceutical company leaders last year slammed the ruling as undermining Congress\u2019 delegated authority to the FDA to approve and regulate drugs. If justices can unilaterally overturn drug approvals, they said \u201cany medicine is at risk.\u201d
\u2014-
Fernando reported from Chicago.
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The law officially goes into effect on April 24.", + "bylines": [ + { + "by": "By JULIE CARR SMYTH and SAMANTHA HENDRICKSON", + "title": "Associated Press" + } + ], + "located": "COLUMBUS, Ohio", + "datelinelocation": { + "city": "Columbus", + "countryareacode": "OH", + "countryareaname": "Ohio", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -82.99879, + 39.96118 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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The litigation, brought in Franklin County Common Pleas Court by the American Civil Liberties Union, ACLU of Ohio and the global law firm Goodwin, alleges the law \u2014 enacted in January after lawmakers overrode a veto by Republican Gov. Mike DeWine \u2014 denies transgender youth health care and specifically discriminates against their accessing it.
The legislation in question contains a ban on transgender surgeries and hormone therapies for minors, unless they are already receiving such therapies and it's deemed a risk to stop by a doctor, as well as restrictions on the type of mental health services a minor can receive.
It also banned transgender athletes\u2019 participation in girls\u2019 and women\u2019s sports. The lawsuit says the combination of the two bans violates Ohio's single-subject rule for bills.
The office of Republican Ohio Attorney General Dave Yost did not immediately respond to request for comment Tuesday.
ACLU of Ohio Legal Director Freda Levenson said the new law \u201cwill cause severe harm to transgender youth.\u201d
\u201cThese personal, private medical decisions should remain between families and doctors; they don\u2019t belong to politicians,\u201d she said in a statement. \"H.B. 68 violates the Ohio Constitution in multiple ways. We will fight in court to ensure that trans youth and their parents can access critically important, lifesaving healthcare without government intrusion.\u201d
DeWine vetoed the law Dec. 29, after touring the state to visit children's hospitals and to talk to families of children with gender dysphoria. He cast his action as thoughtful, limited and \u201cpro-life\u201d \u2014 citing the suicide risks associated with not getting proper treatment for gender dysphoria.
DeWine simultaneously announced plans to move to administratively to ban transgender surgeries until a person is 18, and to position the state to better regulate and track gender-affirming treatments in both children and adults \u2014 a move he hoped would allay concerns of fellow Republicans that rule the Ohio Statehouse. But the administration swiftly backed off that plan, after transgender adults raised serious concerns about how state regulations could impact their lives and health.
Ohio was the 23rd state to ban gender-affirming health care for trans youth, as Republican state legislatures seek to stem a trend that they see as dangerous to children. Ohio lawmakers stood their ground on the bill after DeWine's veto, easily overriding it.
The families who sued Tuesday \u2014 going under the anonymous surnames Moe and Goe \u2014 asked the court to issue a temporary restraining order to prevent enforcement of the bans come April 24, when they officially go into effect, and to declare the law unconstitutional.
___
Samantha Hendrickson is a corps member for the Associated Press/Report for America Statehouse News Initiative. Report for America is a nonprofit national service program that places journalists in local newsrooms to report on undercovered issues.
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Defense Secretary Lloyd Austin instituted the policy after the Supreme Court overturned Roe v. Wade to ensure that troops who were assigned to states where abortions or other types of health care such as IVF treatment were no longer provided could still access the services. The policy led to Alabama Republican Sen. Tommy Tuberville holding up thousands of military promotions for months in protest.", + "bylines": [ + { + "by": "By TARA COPP", + "title": "Associated Press" + } + ], + "located": "WASHINGTON", + "datelinelocation": { + "city": "Washington", + "countryareacode": "DC", + "countryareaname": "District of Columbia", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -77.03637, + 38.89511 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. 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Defense Secretary Lloyd Austin instituted the policy after the Supreme Court overturned Roe v. Wade in 2022 to ensure that troops who were assigned to states where abortions or other types of health care such as IVF treatment were no longer provided could still access those services.
The policy sparked outrage in some circles and led Alabama Republican Sen. Tommy Tuberville to hold up hundreds of military promotions for months in a failed attempt to get the Pentagon to rescind it. Tuberville ultimately withdrew all of his holds in December.
The travel policy was used by service members or their dependents 12 times during that seven-month period at a cost of roughly $40,000, Pentagon deputy press secretary Sabrina Singh said Tuesday. The money covered lodging, meals and transportation for out-of-state travel to receive care.
The Pentagon said it did not have data on the first five months of 2023 because the services did not establish a way to track those uses when the policy was first implemented.
The policy does not cover the cost of abortions, and it's not clear how many of the 12 trips were for abortions or other type of reproductive health care, such as IVF treatment. Singh said the Pentagon would not have a specific breakdown of what services were sought by the service members or their dependents due to medical privacy issues.
Under federal law, Defense Department medical facilities can perform abortions only when the life of the pregnant person is at risk or in cases of rape or incest, and those instances have been extremely rare. According to the department, there were 91 abortions performed in military medical facilities between 2016 and 2021.
For months, many of the military officers directly affected by Tuberville\u2019s holds declined to speak out, for fear any comments would be seen as political. But as the pressures on their lives and the lives of the officers serving under them increased, they began to speak about how the uncertainty surrounding their next move was hurting not only them but their children and spouses.
They talked about how some of their most talented junior officers were going to get out of the military because of the instability they saw around them, and about how having to perform multiple roles because of so many vacancies was putting enormous additional stress on an already overworked military community.
The issue came to a head when U.S. Marine Corps Commandant Gen. Eric Smith suffered a heart attack in October, just two days after he\u2019d talked about the stress of the holds at a military conference. Smith fully returned to his duties only in the last few weeks.
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Police say the operator of an oncoming train was unable to stop. The suspected shover is a 24-year-old who has been arrested on a murder charge. No information about an attorney for the suspect was available Tuesday.", + "bylines": [ + { + "by": "By KAREN MATTHEWS and CEDAR ATTANASIO", + "title": "Associated Press" + } + ], + "located": "NEW YORK", + "datelinelocation": { + "city": "New York", + "countryareacode": "NY", + "countryareaname": "New York", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -74.00597, + 40.71427 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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The shoving victim, who has not been identified by authorities, was pushed onto the tracks inside an East Harlem subway station shortly before 7 p.m. Monday, police said. The operator of an oncoming train was unable to stop and the person was killed, police said.
The suspected shover, Carlton McPherson, 24, was arrested on a murder charge, a police spokesperson said. McPherson was awaiting arraignment in Manhattan criminal court Tuesday. No information about a defense attorney was available. A call to a Legal Aid attorney who has represented McPherson in a pending assault case in Brooklyn was not returned.
McPherson\u2019s mother, Octavia Scouras, told The New York Times her son had been hospitalized for mental health treatment at least twice.
While violence in the nation's largest transit system is rare, being shoved from a subway station's narrow platform onto the track has long loomed large in riders' fears.
The infrequent instances received heightened attention following a spike in crime during the COVID-19 pandemic, as the city debated how best to address homelessness and mental illness in the streets and underground.
Mayor Eric Adams renewed that discussion Tuesday, saying at a City Hall news conference that New York City still has a \u201csevere mental health illness problem\u201d that \u201cplayed out on 125th Street and Lexington Avenue at the subway station.\u201d
After taking office in 2022, Adams launched an effort to tackle crime and homelessness on the subway, sending more police, mental health and social service outreach workers into the system. His plan included involuntarily hospitalizing people, a move fiercely opposed by advocates for people with mental illness.
On Tuesday, he said city officials are still working to get homeless people with mental health issues into treatment. Nearly 7,000 people have checked into shelters since the push began, officials said.
\u201cWe\u2019re there engaging people. Getting people connected to shelter,\" said Anne Williams-Isom, Adams\u2019 deputy mayor for health and human services. \"It\u2019s this concept of keeping them in shelter and getting them the support that they need so they\u2019re not spiraling in and out of the system.\u201d
Adams argued that the state should further expand 1999's Kendra\u2019s Law, which allows courts to order defendants with mental health issues to complete treatment. The law was named for Kendra Webdale, who died after being pushed onto the subway tracks by a man with a history of mental illness.
Adams said that although acts of violence like the fatal shove fuel the perception of lawlessness, subway crime is down nearly 6% since he took office in 2022.
\u201cWe hear this over and over again: The city\u2019s out of control. It\u2019s just not true,\u201d Adams, a former transit police officer, said at the news conference.
Monday's fatal push happened on the same day that New York City officials announced a plan to send 800 more police officers into the subway system to crack down on fare evasion and an hour after a city police officer was fatally shot during a traffic stop, the first member of the department to be killed in the line of duty in two years.
With subway ridership still lagging after the pandemic, a fall 2023 study by the Metropolitan Transportation Authority found many customers said they'd be more satisfied if the agency addressed \u201cquality of life\u201d concerns such as panhandling, as well as if there were fewer people \u201cbehaving erratically in the system.\u201d
A smaller portion, around 30%, listed a more visible security presence as a top need. For some commuters, having more police officers around really makes a difference.
When a woman started yelling at Shanita Jones on her daily commute, an officer happened to be on the train.
\u201cShe was upset with me because I sat right next to her,\u201d said Jones, who rides the subways seven days a week for her two jobs as a spa attendant and a home healthcare aide. \u201cI told the officer, \u2018I think she had a bad day.\u2019\u201d
In an effort to keep people off the tracks, the MTA has also recently been testing hip-high metal barriers at a handful of subway stations, though the fences have large gaps to allow travelers to get on and off trains.
John O\u2019Callaghan, a commuter who works in the textiles industry, lamented the lack of platform safety features present in cities he visits for business, like Hong Kong, where plexiglass walls prevent access onto the tracks.
\u201cI stand with my back to the beams, and that\u2019s it,\u201d O\u2019Callaghan said.
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Attorney General Brenna Bird, a Republican, paused the funding while awaiting the results of the audit to decide whether to continue those payments. Her office said the audit, which Bird announced when she took office 14 months ago, is in its \u201cfinal stages\u201d and that a report would be released soon. The policy under her Democratic predecessor, Tom Miller, had been to partially cover the cost of contraception for sexual assault victims. In rare cases, the cost of abortion for sexual assault victims was also covered.", + "bylines": [ + { + "by": "By HANNAH FINGERHUT", + "title": "Associated Press" + } + ], + "located": "DES MOINES, Iowa", + "datelinelocation": { + "city": "Des Moines", + "countryareacode": "IA", + "countryareaname": "Iowa", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -93.60911, + 41.60054 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. 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Attorney General Brenna Bird, a Republican, paused the funding while awaiting the results of the audit to decide whether to continue those payments. Her office said the audit, which Bird announced when she took office 14 months ago, is in its \u201cfinal stages\u201d and that a report would be released soon.
The policy under her Democratic predecessor, Tom Miller, had been to partially cover the cost of contraception for sexual assault victims. In rare cases, the cost of abortion for sexual assault victims was also covered, Miller\u2019s victim assistance division director, Sandi Tibbetts Murphy, told the Des Moines Register last year.
\u201cAs a part of her top-down, bottom-up audit of victim assistance, Attorney General Bird is carefully evaluating whether this is an appropriate use of public funds,\u201d said Alyssa Brouillet, Bird's communications director. \"Until that review is complete, payment of these pending claims will be delayed.\u201d
The Register filed an open records request into the audit in October. After five months, Bird\u2019s office completed the records request but declined to release any documents to the Register, citing a section of Iowa Code excluding preliminary documents from public records law.
Federal and state law requires medical examination costs for victims of sexual assault are covered to ensure forensic evidence is collected readily and properly. In Iowa, costs are covered by the attorney general office\u2019s crime victim compensation program, which is funded by state and federal criminal fines and penalties.
Materials from Miller\u2019s administration show the costs for victims\u2019 prescriptions for oral contraceptives and the Plan-B morning-after pill, as well as for the prevention or treatment of sexually transmitted infections, were reimbursed at 75%.
Planned Parenthood Advocates of Iowa said in a statement that the audit is being used to justify the termination of payments.
\u201cIt\u2019s absolutely deplorable that sexual assault survivors in Iowa have gone more than a year without state-covered emergency contraceptives \u2014 all because of politics,\u201d said Mazie Stilwell, director of public affairs.
Bird campaigned to replace the 10-term Miller highlighting her opposition to abortion and her commitment to defending Iowa\u2019s restrictive abortion law, which she will do again during oral arguments before the state Supreme Court in April. The law, currently on hold, would ban most abortions after about six weeks of pregnancy if it is upheld.
Bird's office said the crime victim compensation fund is being used to cover costs of sexual assault examinations, as well as rape kits and STI tests.
___
This story has been corrected to remove reference to a completed draft of the audit. The Iowa attorney general\u2019s office says work on the audit is continuing.
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Officials said Charles and Camilla will be accompanied by members of the royal family at St. George's Chapel. The event is expected to be smaller than usual. Prince William and Kate, the Princess of Wales, who announced last week that she is also undergoing cancer treatment, are not expected to attend.
The king is undergoing treatment and has suspended almost all his public engagements since his diagnosis. Officials didn\u2019t disclose what form of cancer Charles has but said it\u2019s not related to his recent treatment for a benign prostate condition.
Officials have said the monarch is continuing with state business, including regular weekly meetings with Prime Minister Rishi Sunak, and won't be handing over his constitutional role as head of state.
On Tuesday, Charles was shown meeting community and faith leaders from across the U.K. at Buckingham Palace to hear about their work of boosting social cohesion amid heightened international tensions.
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The encounter was Francis' first public event since Palm Sunday Mass in St. Peter\u2019s Square, when he decided at the last minute to skip his homily, avoiding the speech at the start of a busy Holy Week that will test his increasingly fragile health.
In recent weeks, the 87-year-old Pontiff has often shown increased difficulties in walking, has asked an aide to read aloud his remarks and has been heard breathing heavily during public events.
The Holy Week schedule is challenging for popes even under the best of circumstances. But that is especially true this year for Francis, who has been battling on and off all winter what he and the Vatican have described as a case of the flu, bronchitis or a cold.
As Francis discussed the virtue of patience during his Wednesday audience, he renewed his appeal for peace and an immediate stop in ongoing conflicts.
The pope also noted that there were two people in the Vatican's Paul VI audience hall \u2014 \u201ctwo fathers\u201d \u2014 and that one was Palestinian, the other Israeli.
He said that both of them had lost their daughters over the course of the Middle East conflict, \u201cand they are both friends.\u201d
\u201cThey do not look at the enmity of war,\u201d Francis said. \u201cThey look to the friendship of two men who care about each other and have experienced the same crucifixion.\u201d
The Vatican press office said Bassam Aramin's daughter Abir was killed in 2007 by an Israeli soldier as she left school; Rami Elhanan's daughter Smadar was killed in 1997 in an attack in Jerusalem.
The two men\u2019s story of friendship was told in the novel \u201cApeirogon\u201d by Colum McCann, a winner of the Terzani Prize who met with Francis during an audience with artists on June 23, 2023.
\u201cLet us think of the beautiful witness of these two people who have suffered the war in the Holy Land in the loss of their daughters,\u201d the pope said.
Francis met with both men in private before the general audience and then warmly greeted the two men at the end.
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While the document also covers other topics, such as his appeal for peace and the story of two fathers who lost their daughters, the health aspect of Pope Francis is a significant part of the content." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/03/27/378c3fa32dcfc2d0401f3893828482af.json b/datasets/AP_news/raw_data/2024/03/27/378c3fa32dcfc2d0401f3893828482af.json new file mode 100644 index 0000000..d053554 --- /dev/null +++ b/datasets/AP_news/raw_data/2024/03/27/378c3fa32dcfc2d0401f3893828482af.json @@ -0,0 +1,291 @@ +{ + "altids": { + "itemid": "378c3fa32dcfc2d0401f3893828482af", + "etag": "378c3fa32dcfc2d0401f3893828482af_5a10aza0c0", + "friendlykey": "604579621623", + "referenceid": "US--Election 2024-Alabama-Legislature-Abortion" + }, + "version": 5, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-03-28T00:02:55Z", + "firstcreated": "2024-03-27T03:24:45Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: Updates Media.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "US--Election 2024-Alabama-Legislature-Abortion", + "headline": "Lands, a Democrat who ran on reproductive rights, flips seat in Alabama House", + "headline_extended": "A Democrat who made reproductive rights a centerpiece of her campaign in deeply conservative Alabama has won a special election to the Alabama Legislature", + "slugline": "AP-US--Election 2024-Alabama-Legislature-Abortion, 5th Ld-Writethru", + "description_summary": "A Democrat who made reproductive rights a centerpiece of her campaign in deeply conservative Alabama has won a special election to the Alabama Legislature. 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Lands, a Democrat, on Tuesday decisively defeated Republican Teddy Powell to win the open House of Representatives seat in a suburban district that \u2014 while increasingly politically moderate \u2014 had long been held by the GOP. Her victory was celebrated by Democrats who said it underscores the importance of reproductive rights as an issue across the country ahead of the 2024 elections.
\u201cVoters want something different, and I think they are tired of women\u2019s freedoms and reproductive health care not being addressed,\u201d Lands told The Associated Press in a telephone interview.
Alabama bans abortion at all stages of pregnancy with no exception for pregnancies arising from rape. Lands' victory comes several weeks after in vitro fertilization services were temporarily paused in the state after the Alabama Supreme Court issued a ruling equating frozen embryos to children.
Lands, a licensed mental health counselor, had also campaigned on education and economic development issues, but took square aim at the state\u2019s abortion ban, at times invoking the deeply personal to do so. She shared her story of obtaining an abortion two decades ago after genetic testing determined the baby had trisomy 13, a genetic disorder, and could not survive.
Lands said she made the decision to tell her own story after speaking with a woman who had to leave Alabama to obtain an abortion after receiving a similar fetal diagnosis.
\u201cI saw the parallels in our story. And I shared my story of course with her. The story really contrasts that two decades later, we\u2019ve gone backwards, and women have fewer freedoms,\u201d Lands said.
As she knocked on doors across the district, Lands said was struck by how many women volunteered their own stories. Some were like her own. Others involved miscarriages or struggles with fertility.
\u201cI feel like that so many of these women\u2019s health issues and family health issues can be very isolating for people. And I hope that maybe part of what\u2019s happening here is we are opening up a dialogue to where people realize how common these kinds of things are,\u201d Lands said.
The win was a victory for Democrats in the Deep South state where Republicans hold all statewide offices and a lopsided majority in the Legislature.
President Joe Biden\u2019s 2024 campaign manager, Julie Chavez Rodriguez, said the results in Alabama \u201cshould serve as a major warning sign for Trump\u201d that \u201cvoters will not stand for his attacks on reproductive health care.\u201d
Alabama Republican Party Chairperson John Wahl disputed that the race outcome is a bellwether with implications beyond that district. He said it was a low-turnout election in a \u201cpurple district where Democrats always had a chance.\u201d
\u201cPretending that this election reflects on the entire state of Alabama is disingenuous and shows either a lack of understanding of the political landscape or an attempt to mislead voters,\u201d Wahl said.
Lands\u2019 victory came in a suburban district that is considered more politically moderate than other GOP-held ones. The Madison County district includes parts of Madison and Huntsville, which is home to the Army\u2019s Redstone Arsenal and NASA\u2019s Marshall Space Flight Center. While former President Donald Trump captured 62% of the vote across Alabama in 2020, he won just under 53% of the vote in Madison County.
There were just under 6,000 votes cast in Tuesday\u2019s special election compared with more than 14,000 cast in 2022, when Lands lost to Republican David Cole. The legislative seat became open again after Cole stepped down and pleaded guilty to a voting fraud charge that he rented a closet-size space to fraudulently run for office in a district where he did not live.
Former U.S. Sen. Doug Jones, the last Democrat to hold statewide office in Alabama, said Lands\u2019 victory was partly fueled by frustration with extremist policies put in place by the state GOP.
\u201cThey\u2019re going too far. You talk about an activist government. This is a government in Alabama that wants to encroach on every aspect of people\u2019s lives,\u201d Jones said.
He said Lands\u2019 victory could be a positive sign for Democrats in future Alabama races, but he cautioned against overreaching on what it represents. Jones defeated Republican Roy Moore in a 2017 special election but lost in 2020 to current U.S. Sen. Tommy Tuberville.
\u201cI mean, people saw my election in 2017 as like, \u2018Oh my God, we flipped Alabama blue.\u2019 Well, that\u2019s not the case. And in fact, I\u2019m not one to advocate flipping the entire state one way or the other,\u201d Jones said. He added that one-party rule, regardless of the party, has not been good for the state.
\u201cWe need competition, and that\u2019s what Marilyn provided,\u201d Jones said.
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But Senate Republicans changed the plan Wednesday so it would cover far fewer people and bring less federal money to the state. A proposal passed by a committee is the only Medicaid expansion plan still alive after Senate Republicans tweaked a House bill rather than advance a separate bill of their own. Senators have dubbed the plan Medicaid expansion \u201clite.\u201d It could cover about 80,000 people. The House version could cover up to 200,000 people.", + "bylines": [ + { + "by": "By MICHAEL GOLDBERG", + "title": "Associated Press/Report for America" + } + ], + "located": "JACKSON, Miss.", + "datelinelocation": { + "city": "Jackson", + "countryareacode": "MS", + "countryareaname": "Mississippi", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -90.18481, + 32.29876 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. 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(AP) \u2014 A proposal to expand Medicaid to tens of thousands of residents in one of the poorest states in the U.S. is still alive in the Mississippi Legislature . But Senate Republicans changed the plan Wednesday so it would cover far fewer people and bring less federal money to the state.
Mississippi\u2019s Republican-controlled Legislature is considering expansion after years of opposition to the policy allowed under the Affordable Care Act, a 2010 federal health overhaul signed by then-President Barack Obama. The proposal passed by a committee Wednesday is the only Medicaid expansion proposal still alive after Senate Republicans tweaked a House bill rather than advance a separate bill of their own.
\u201cWe have a conservative plan over here,\" said Senate Medicaid Committee Chairman Kevin Blackwell. \"The House version was basically straight-up expansion.\u201d
Dubbing the plan Medicaid expansion \u201clite,\u201d Blackwell said it would increase eligibility for the government-funded health insurance program that covers low-income people. But it extends eligibility only to those making up to 100% of the federal poverty level, just over $15,000 for one person. That is down from the 138% figure approved by the House, just under $21,000 for one person.
Mississippi has about 3 million residents, and its Medicaid program covered 754,585 people in January. House Medicaid Committee Chairwoman Missy McGee said her proposal could extend benefits to as many as 200,000 people. Blackwell said the new version of the bill approved by his committee could make 80,000 people eligible for expanded coverage, but he projects only about 40,000 would enroll.
Many Mississippi lawmakers have said expansion without a work requirement is a nonstarter. The Senate version would require people to work at least 30 hours per week to become eligible for expanded benefits, up from the 20-hour work requirement approved by the House. Blackwell said the Senate made that change because it ensures able-bodied adults would need to work \u201cbasically full time\u201d to receive Medicaid.
Mississippi ranks at the bottom of virtually every health care indicator and at the top of every disparity. Hospitals are struggling to remain open. The state also has one of the nation\u2019s lowest labor force participation rates. Expansion proponents have said the policy could help improve these conditions.
Opponents of Medicaid expansion say the program would foster government dependency, increase wait times for health services and push people off private insurance. Republican Gov. Tate Reeves is among those critics, and is likely to veto any Medicaid expansion.
\u201cIt is welfare expansion to those able-bodied adults that could work but choose not to,\u201d Reeves said Wednesday on social media. \u201cAnd so I will continue to do what I told the voters I would do \u2014 fight Obamacare Medicaid Expansion with every ounce of my being!\u201d
Legislators could override his veto with a two-thirds vote from the House and Senate.
Republican legislature leaders have said Georgia offers a model for Mississippi to pass a narrow version of Medicaid expansion.
Among the 10 states that haven\u2019t expanded Medicaid, only Georgia has managed to tie a work requirement to a partial expansion of benefits. But the state only requires people to document 80 monthly hours of work, 40 hours less than what Mississippi senators have proposed. Georgia's program has seen abysmal enrollment. Only 2,350 people enrolled in the program from July 1 to mid-December, far fewer than the 100,000 that Gov. Brian Kemp's administration projected the program might cover.
The Mississippi Senate makes expansion depend on President Joe Biden's administration approving its work requirement. But the administration has consistently revoked work requirement waivers, arguing people should not face roadblocks to getting health care.
In response to the House's proposal, a Center for Medicare and Medicaid Services spokesperson told The Associated Press that the Medicaid work requirements act as barriers to coverage but did not rule out granting a waiver. The Senate version would be an even tougher sell.
The House proposal would have allowed expansion to continue without a work requirement, but the Senate version would disallow Medicaid expansion without one. Blackwell said he is counting on Biden losing in November to a Republican whose administration would welcome a work requirement.
Under the reduced eligibility level approved by the Senate, Mississippi would also lose an additional financial bonus for expanding Medicaid that would be available under the House's version.
____
Michael Goldberg is a corps member for the Associated Press/Report for America Statehouse News Initiative. Report for America is a nonprofit national service program that places journalists in local newsrooms to report on undercovered issues.
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Given that Medicaid is a significant component of the health care system, the document is highly relevant to the topic of health." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/03/27/49d725512152e60d8fbe7bd093b8d5c6.json b/datasets/AP_news/raw_data/2024/03/27/49d725512152e60d8fbe7bd093b8d5c6.json new file mode 100644 index 0000000..391a71e --- /dev/null +++ b/datasets/AP_news/raw_data/2024/03/27/49d725512152e60d8fbe7bd093b8d5c6.json @@ -0,0 +1,350 @@ +{ + "altids": { + "itemid": "49d725512152e60d8fbe7bd093b8d5c6", + "etag": "49d725512152e60d8fbe7bd093b8d5c6_1a16aza0c0", + "friendlykey": "729680128855", + "referenceid": "Britain-Royals-The Media Vacuum" + }, + "version": 1, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-03-27T14:46:42Z", + "firstcreated": "2024-03-27T04:01:04Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: EDITS: Minor editing.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "Britain-Royals-The Media Vacuum", + "headline": "The British royal family learns that if you don't fill an information vacuum, someone else will", + "headline_extended": "The British royal family learned the hard way: in the modern media world, if you don't fill an information vacuum, others will fill it for you, and it's not likely to be pretty", + "slugline": "AP-Britain-Royals-The-Media-Vacuum, 1st Ld-Writethru", + "description_summary": "The British royal family learned the hard way: in the modern media world, if you don't fill an information vacuum, others will fill it for you, and it's not likely to be pretty. The Princess of Wales' announcement last week that she has cancer puts a cap on a wild period of speculation about her health and whereabouts that essentially became online entertainment for many. Experts say it all could have been avoided if the royal family had been a little more forthcoming with information. Putting out a photograph that turned out to be doctored didn't help, either.", + "bylines": [ + { + "by": "By DAVID BAUDER", + "title": "AP Media Writer" + } + ], + "located": "NEW YORK", + "datelinelocation": { + "city": "New York", + "countryareacode": "NY", + "countryareaname": "New York", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -74.00597, + 40.71427 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. 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"661850e07d5b100481f4c076b8e3055c", + "name": "Europe", + "type": "AUDGEOGRAPHY" + }, + { + "code": "661e48387d5b10048291c076b8e3055c", + "name": "United States", + "type": "AUDGEOGRAPHY" + } + ], + "associations": { + "1": { + "altids": { + "itemid": "9d72098d14974ef2b544b1ba37d71276" + }, + "type": "picture" + }, + "2": { + "altids": { + "itemid": "16bb9c80efff4767a8baeebd3296c3d6" + }, + "type": "picture" + }, + "3": { + "altids": { + "itemid": "65ff55804a33418280b3ee0de0d4c345" + }, + "type": "picture" + }, + "4": { + "altids": { + "itemid": "1d32b79d947d40789084a155ae77089c" + }, + "type": "picture" + }, + "5": { + "altids": { + "itemid": "cddf037329184575b8b628a5c130805e" + }, + "type": "picture" + }, + "6": { + "altids": { + "itemid": "555bd9419d194ea986b786fdde32cefe" + }, + "type": "picture" + }, + "7": { + "altids": { + "itemid": "51b759397b4e4b5d85c5fee163402e23" + }, + "type": "video" + } + }, + "body_nitf": "NEW YORK (AP) \u2014 A media frenzy was born on Feb. 27, when the hashtag #WhereIsKate exploded online with speculation about the whereabouts of Britain's Princess of Wales. It opened a rabbit hole of amateur detective work, memes, bizarre theories and jokes \u2014 mixed with genuine concern about Kate's health \u2014 into which thousands of people descended until her announcement last week that she was recovering from cancer.
The episode offered the royal family \u2014 and everyone else \u2014 a lesson in the modern world of online media: If your silence leaves an information vacuum, others will rush to fill it. And the results may be messy.
\u201cThe royal family's mantra is never complain, never explain,\u201d said Ellie Hall, a journalist who specializes in covering Britain's king and his court. \u201cThat really doesn't work in a digital age. It doesn't take much to get the crazy things going.\u201d
It was, in part, entertainment for some people with too much time on their hands. Except it involved real people with real lives \u2014 and, it turns out, real medical challenges.
On Jan. 17, Kensington Palace announced that Kate was in the hospital recovering from a planned abdominal surgery and would not be doing any public events until after Easter. There was relatively little online chatter, or official updates, until it was announced on Feb. 27 that her husband, Prince William, would not be attending his godfather's memorial service due to a \u201cpersonal matter.\u201d
That's when the theorizing really began, noted Ryan Broderick, who writes the Garbage Day newsletter about the online environment.
Where was Kate? Was she seriously ill \u2014 in a coma, perhaps? Did she travel abroad to undergo plastic surgery? Had she been replaced by a body double? Was there trouble in her marriage? Did she leave William? Had she been abused? Unsubstantiated rumors made it all the way to American talk show host Stephen Colbert. Memes appeared that included putting Kate's picture on the face of an actress in \u201cGone Girl,\u201d a 2014 film about a missing wife.
After two decades in which people have uploaded their lives to a system of platforms run by algorithms that make money off our worst impulses, \u201cwe have wondered what the world might look like when we crossed the threshold into a fully online world,\u201d Broderick wrote on Garbage Day. \u201cWell, we did. We crossed it.\u201d
\u201cConspiracy is the Internet's favorite sport,\u201d Sarah Frier, author of \u201cNo Filter: The Inside Story of Instagram,\u201d posted on X, formerly Twitter. \u201cIt starts here and becomes mainstream. At one point last week, MOST of the content on my (X) feed was about her. None of it was right. This is just what people do for fun and followers now.\u201d
Then came the grand, unforced error \u2014 the palace releasing a photo on March 10 of Kate and her children that it later admitted had been digitally manipulated, without leaving clear exactly what was done.
Even before that, a ham-fisted public relations strategy by the royal family's handlers had lost control of the narrative, said Peter Mancusi, a journalism professor at Northeastern University and a lawyer with his own business in crisis counseling.
Providing some proof of life, some morsels of information \u2014 even a staged shot of Kate waving from a balcony \u2014 would have filled the vacuum, he said. Mancusi contrasted the strategy with that surrounding King Charles, where it was quickly announced around the same time that he was fighting cancer. It has never been made clear exactly what kind of cancer the king has, but people are inclined to grant some degree of privacy with that diagnosis, Mancusi said.
Mancusi frequently deals with clients who resist releasing damaging or uncomfortable information that usually winds up getting out anyway. Best to be pro-active or, as Hall said, \u201cfeed the beast.\u201d
\u201cIt's just human nature, and it's the nature of a lot of companies when bad news hits, to go into a defensive crouch,\u201d Mancusi said. \u201cBut hope isn't a strategy anymore.\u201d
Despite the temptation to ignore rumors and conspiracy theories, it's best to respond quickly with clear and verifiable information, said Daniel Allington, a social scientist at King's College in London who studies disinformation. \u201cOnce people start speculating that you are lying to them,\" Allington said, \u201cit's very hard to get them back on board.\u201d
In an article published on vulture.com 12 days before Kate announced she had cancer, author Kathryn VanArendonk seemed to anticipate that truth in a discussion about how the monarchy is not built for the modern information era.
\u201cCatherine may be going through some private experiences she does not want to share widely,\" she wrote, \u201cand the internet has broken everyone's ability to assess what's a supervillain-level coverup and what's more likely to be something sad and mundane.\u201d
Cancer is something too many people can relate to. They understand how hard it is to speak those words to loved ones, much less the entire world. Kate's video was a candid, emotional and effective way of sharing very personal information, said Matthew Hitzik, a veteran in crisis communications from New York.
It didn't end wild online speculation, though. Almost immediately, suggestions popped up that the speech was generated by artificial intelligence or, in an unholy alliance of conspiracy theories, that her cancer was caused by the COVID-19 vaccine.
But that was nonsense, and felt churlish. A corner had been turned. The Sun in London now runs daily stories with \u201cBrave Kate\u201d in the headline. Trolls \u201cshould hang their heads in shame,\u201d the newspaper editorialized. The Atlantic magazine headlined: \u201cI Hope You All Feel Terrible Now.\u201d
What shouldn't be lost, however, is how preventable it all was.
\u201cYou cannot blame British newspapers for the miseries heaped on the Prince and Princess of Wales,\u201d columnist Hugo Rifkind wrote in The Times of London. \"Certainly we didn't help, if only because a princess releasing doctored photographs to the public, for reasons at that point unclear, is an objectively grabby and fascinating story. But the conspiracy theories? The juggernauts of dirty speculation? You could argue, I suppose, that papers should have simply pretended none of this was happening.
\u201cBut it was, and it wasn't driven by us,\u201d he wrote. \u201cIt was driven by you.\u201d
#WhereIsKate? Now we know.
___
Associated Press correspondents Sylvia Hui and Jill Lawless in London contributed to this report. David Bauder writes about media for The Associated Press. Follow him at http://twitter.com/dbauder
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The move comes as Gov. Maura Healey has said state monitors are keeping eye on the nine health care facilities operated by Steward Health Care in Massachusetts, including hospitals in some of the state\u2019s poorer communities.
The Dallas-based company operates more than 30 hospitals nationwide.
Before the sale can be completed, the Massachusetts Health Policy Commission must review the proposal.
The commission doesn\u2019t have the authority to block a transaction but can refer findings to the state Attorney General's office, the Department of Public Health, or other Massachusetts agencies for possible further action.
The documents filed with the state did not include a cost for the transaction. Under the deal, Optum would aquire a Steward affiliate that includes the company\u2019s primary care doctors and other clinicians in nine states.
Health Policy Commission Executive Director David Seltz said the panel is committed to a \u201crigorous, data-driven oversight of health care market changes to bring important information to the public.\u201d
He said details of the proposal will be studied to examine potential effects on health care costs, quality, access and equity. The sale can\u2019t be completed until after the commission\u2019s review and any additional reviews by state or federal antitrust authorities.
\u201cThis is a significant proposed change involving two large medical providers, both in Massachusetts and nationally, with important implications for the delivery and cost of health care across Massachusetts,\u201d Seltz said in a statement.
Emails to Steward Health Care and Optum seeking comment were not immediately returned.
The commission's review of the transaction shouldn't delay state and federal antitrust authorities from doing their own review to protect patient access and affordability, Democratic Massachusetts House Speaker Ronald Mariano said.
Once all required information has been provided about the sale, the commission will have 30 days to assess any potential impacts of the transaction.
If the sale is anticipated to have a significant impact on health care costs and market functioning, the commission can begin a fuller cost and market impact review.
Democratic U.S. Sen. Edward Markey said for-profit companies that participate in the health care system must understand that their decisions have direct impacts on patients and communities.
\u201cWith this announcement, Optum must demonstrate that it can meet the even greater responsibility to preserve and protect health care access,\u201d Markey said at a Wednesday press conference in Boston. \u201cI hope they will live up to that responsibility by controlling costs and putting patients and providers first.\u201d
Markey, chair of the senate's Health, Education, Labor, and Pensions (HELP) Subcommittee on Primary Health and Retirement Security, said he plans to hold a congressional hearing in Boston next week on the impact of for-profit companies on health care access.
U.S. Sen. Elizabeth Warren, a fellow Massachusetts Democrat, said her top priority is making sure Steward\u2019s hospitals in Massachusetts stay open.
\u201cAfter years of gross profiteering and mismanagement, Steward\u2019s latest plan raises more serious questions about the future of the Massachusetts health care system,\" Warren said in a written statement.
\u201cSteward executives have no credibility,\u201d she added. \u201cIt would be a terrible mistake for Steward to be allowed to walk away while looting Massachusetts one more time.\u201d
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(AP) \u2014 Having HIV will no longer automatically disqualify someone from serving as a Metropolitan Nashville Police Officer, the Tennessee city agreed in a legal settlement on Friday.
The agreement settles a federal discrimination lawsuit filed last year by a former Memphis police officer of the year. The officer, who filed under the pseudonym John Doe, said Nashville police rescinded a job offer in 2020 upon learning that he had HIV. That was in spite of a letter from his health care provider saying he would not be a danger to others because he had successfully suppressed the virus with medication to the point that it could not be transmitted.
At the time, Nashville's charter required all police officer candidates to meet the physical requirements for admission to the U.S. Army or Navy. Those regulations exclude people with HIV from enlisting and are currently the subject of a separate lawsuit by Lambda Legal, which also represented Doe. Since then, Nashville has voted to amend its charter.
In the Friday settlement, Nashville agreed to pay Doe $145,000 and to rewrite its civil service medical examiner\u2019s policies. That includes adding language instructing medical examiners to \u201cindividually assess each candidate for their health and fitness to serve\" as first responders or police officers.
\u201cMedicine has progressed by leaps and bounds, allowing people living with HIV to live normal lives and there are no reasons why they cannot perform any job as anyone else today,\u201d Lambda Legal attorney Jose Abrigo said in a statement. \"We hope this settlement serves as a testament to the work we need to continue to do to remove stigma and discrimination and update laws to reflect modern science.\u201d
Meanwhile, the U.S. Justice Department last month sued the state of Tennessee over a decades-old felony aggravated prostitution law, arguing that it illegally imposes tougher criminal penalties on people who are HIV positive. Tennessee is the only state that imposes a lifetime registration as a \u201cviolent sex offender\u201d on someone convicted of engaging in sex work while living with HIV.
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(AP) \u2014 Republican Gov. Jim Justice on Wednesday broke with West Virginia's GOP-majority Legislature to veto a bill that would have loosened one of the country's strictest school vaccination policies.
West Virginia is only one of a handful of states in the U.S. that offers only medical exemptions to vaccine requirements. The bill would have allowed some students who don\u2019t attend traditional public institutions or participate in group extracurriculars like sports to be exempt from vaccinations typically required for children starting day care or school.
\u201cOur kids are our future,\" Justice said in a letter explaining the veto. \u201cThey are our most important resource, and I will protect them with everything I have.\u201d
The governor said \u201cWest Virginia is way ahead of the pack\u201d in protecting children from preventable diseases like measles because of its school vaccine policy. He said he had to defer to the licensed medical professionals who \u201coverwhelmingly\u201d spoke out in opposition to the legislation.
\u201cI hear how strongly people believe in one side or the other on this subject, and I respect all opinions,\u201d he said. \u201cBut I must follow the guidance of our medical experts on this subject.\u201d
Justice, who is running for Democrat U.S. Sen. Joe Manchin's seat, received immense pressure to reject the bill from health care leaders, educators and parents. He refused to answer whether or not he planned to sign it before Wednesday's veto, saying he needed time to think through the decision.
The veto came on the last day before a key deadline that would have allowed the bill to go into law without Justice's signature.
The bill, which received majority support in both legislative chambers even with an overwhelming lack of support from health care leaders, would have exempted private and parochial schools from state law and allowed them to develop and enforce their own policies on vaccinations. Virtual-only public school students would also have been exempt.
All students participating in West Virginia school activities that result in competition, including but not limited to sports, would still have needed to be vaccinated.
The bill was publicly opposed by the head of the state\u2019s two teachers unions, the West Virginia Hospital Association and the West Virginia Medical Association, among other organizations.
Dr. Clay Marsh, West Virginia University\u2019s vice president and executive dean for health sciences, also urged Justice to vote against the bill. As COVID-19 Czar for the State of West Virginia, Marsh was tapped as a trusted advisor when it came to preventing spread of the virus in the state.
Justice was hailed by state health care leaders for his pro-vaccine stance during the coronavirus pandemic. When the COVID-19 vaccine was developed, Justice was among the first top elected officials in the country to receive a shot, even livestreaming the inoculation on social media.
Before Justice vetoed the bill, Kanawha-Charleston Health Officer Dr. Steven Eshenaur said he was deeply worried about the consequences that could come from the legislation being made law.
\u201cYes, personal freedom is vital to our way of life in West Virginia and America, and I am all for it,\u201d he said in a statement. \u201cBut not when the lives of children are in danger.\u201d
Eshenaur said state leaders owe it to children to keep them safe, healthy and free of disability if it\u2019s in their power to do so.
\u201cHear this on repeat: If you are anti-vaccination, you are pro-disease. It\u2019s as simple as that,\u201d he said.
West Virginia law requires children to receive vaccines for chickenpox, hepatitis-b, measles, meningitis, mumps, diphtheria, polio, rubella, tetanus and whooping cough, unless they receive a medical exemption. West Virginia does not require COVID-19 vaccinations.
Health care leaders say other states have used West Virginia\u2019s immunization requirements as a model to strengthen their immunization requirements after experiencing measles outbreaks. West Virginia, along with California, Connecticut, Maine and New York, are the only states without nonmedical vaccination requirements.
But a growing number of parents in the state have expressed frustration with the state's policy and say they should have the freedom to make their own decisions about their children's vaccination status.
West Virginia University School of Medicine Professor Dr. Alvin Moss was one of a handful of doctors supportive of the bill, arguing before the Senate Health Committee that the state\u2019s current compulsory vaccination policy is medically unethical because it doesn\u2019t allow informed consent.
In 2017, the anti-vaccine requirement group West Virginians for Health Freedom had 300 families as members. The organization has grown to at least 3,000 members in 2024, Moss said.
The bill\u2019s original intent, as introduced in the state House of Delegates, was to eliminate vaccine requirements for students in public virtual schools. It was expanded in a House committee to allow private schools to set their own vaccination standards, unless a student participates in sanctioned athletics.
The bill also created a religious exemption for any child whose parents or guardians present a letter stating the child cannot be vaccinated for religious reasons. That was taken out in the Senate.
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The products from Kobayashi Pharmaceutical Co., billed as helping lower cholesterol, contained an ingredient called \u201cbenikoji,\u201d a red species of mold. In addition to the products from Kobayashi, a government health ministry official says more than 40 products containing benikoji have been recalled. At least 106 people have been hospitalized, and many more are believed to have been sickened. The ministry has listed the recalled products, some of which used benikoji for food coloring.", + "bylines": [ + { + "by": "By YURI KAGEYAMA", + "title": "Associated Press" + } + ], + "located": "TOKYO", + "datelinelocation": { + "city": "Tokyo", + "countrycode": "JPN", + "countryname": "Japan", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + 139.69171, + 35.6895 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. 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The products from Kobayashi Pharmaceutical Co., billed as helping to lower cholesterol, contained an ingredient called \u201cbenikoji,\u201d a red species of mold.
In addition to the products from Osaka-based Kobayashi, more than 40 products from other companies containing benikoji, including miso paste, crackers and a vinegar dressing, were recalled, starting last week, a government health ministry official said Wednesday.
At least 106 people had been hospitalized, and many more are believed to have been sickened, although it\u2019s unclear if all the illnesses are directly linked to benikoji (pronounced beh-nee-koh-jeeh).
The ministry has put up a list on its official site of all the recalled products, including some that use benikoji for food coloring.
The company is investigating the cause of the problem. The recalled products could be bought without a prescription from a doctor, and could be purchased at drug stores.
Kobayashi apologized and asked in an online statement: \u201cPlease stop taking our products, and please do not use them in the future.\u201d
Repeated calls to Kobayashi went unanswered. The company president and other top officials held a news conference last week when the problem first surfaced, bowing their heads in apology, as is the standard in Japan.
The ministry official warned there could be more victims in the days ahead. He asked everyone to stop ingesting anything with benikoji in it. Those with health problems, like weak kidneys, could be especially vulnerable, he said.
All the products were made in Japan, although it is unclear if any of the raw materials were imported. A recall of imported health supplements has happened before, but this is the first major recall of a domestically produced supplement, according to Japanese media reports.
___
Yuri Kageyama is on X: https://twitter.com/yurikageyama
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The fierce debate has fueled divisions in the European Union nation of about 3.9 million people where abortion remains legal but access to the procedure is often denied, sending many women to neighboring Slovenia to end a pregnancy.
The movement is in stark contrast to Croatia\u2019s recent past, when it was part of the former Yugoslavia, a Communist-run country that protected abortion rights in its constitution 50 years ago.
\u201cI find it incredible that we are even discussing this in the year 2024,\u201d said Ana Sunic, a mother of two from Zagreb, Croatia's capital. \u201cIt is every person\u2019s basic right to decide what they will do with their body.\"
The issue was back in focus this month after France inscribed the right to abortion in its constitution and activists in the Balkans recalled that the former Yugoslavia had done so back in 1974.
Tanja Ignjatovic from the Belgrade-based Autonomous Women\u2019s Center in Serbia, another country that was once part of Yugoslavia, noted that women felt abortion rights \"belonged to us and could not be brought into question.\u201d But, she added, \"we have seen that regression is possible, too.\u201d
After Yugoslavia disintegrated in a series of wars in the 1990s, the new countries that emerged kept the old laws in place. However, the post-Communist revival of nationalist, religious and conservative sentiments have threatened that legacy.
Yugoslavia's abortion laws stayed intact after Croatia split from the country in 1991, but doctors were granted the right to refuse to perform them in 2003. As a result, many women have traveled to neighboring Slovenia for an abortion over the years.
\u201cThe gap between laws and practice is huge,\u201d feminist activist Sanja Sarnavka said. \u201cDue to the immense influence by conservative groups and the Catholic church it (abortion) is de facto impossible in many places, or severely restricted.\u201d
A current campaign by a Za Zivot \u2014 \u201cfor life\u201d \u2014 movement in Croatia includes prayers, vigils and lectures \u201cfor the salvation of the unborn and a stop to abortions in our nation.\u201d
A men\u2019s organization dubbed Muzevni Budite, or \u201cbe masculine,\u201d is behind the prayers in city squares, where they preach the revival of male dominance and traditional gender roles along with a campaign against abortions.
In 2022, the weekslong ordeal of a woman who had been denied an abortion even though her child had serious health problems caused an uproar and triggered protests in Croatia's liberal community.
Mirela Cavajda was 20 weeks pregnant when doctors informed her that her fetus had a brain tumor and no chance of a normal life. Though the abortion was eventually permitted in Croatia, Cavajde had it performed in Slovenia.
As many as 207 Croatian women traveled to a single border hospital in Slovenia that same year for the procedure, a study by Croatian obstetrician Jasenka Gruji\u0107 showed.
The percentage of doctors who refuse to perform abortions as conscientious objectors reaches 100% in some Croatian hospitals, the study found. The objectors include not only obstetricians but also anaesthesiologists and other doctors needed for the procedure, Grujic said.
\u201cCroatia\u2019s medical community is deeply divided,\u201d Grujic wrote in the analysis she made available to The Associated Press. \u201cI hope this trend of actual unavailability of abortion will be reversed. That is so dangerous for women\u2019s health and lives.\u201d
Yugoslav physicians first considered legalizing abortion back in 1935, and that became a reality in the 1950s. Pushed forward by a women\u2019s organization born out of World War II, the right to abortion was later included in Yugoslavia\u2019s constitution.
Stating that \u201cit is the right of a human being to freely decide on the birth of children,\u201d Yugoslavia\u2019s constitution did not explicitly guarantee abortion, as France's does. But it nonetheless gave Yugoslav women easy access to terminate pregnancies in clinics throughout the former six-member federation.
\u201cFrance\u2019s decision reminded us that we had that right in the 1974 constitution, which means exactly 50 years before France,\u201d Ignjatovic said.
Elsewhere in the former Yugoslavia, Serbia and Slovenia have included the freedom to choose whether to have children in their constitutions. Bosnia\u2019s women can legally obtain abortion during the first 10 weeks of pregnancy, though economic impediments exist in the impoverished, post-war country.
___
Gec reported from Belgrade, Serbia. Associated Press writers Sabina Niksic in Sarajevo, Bosnia, and Predrag Milic in Podgorica, Montenegro, contributed to this report.
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Queen Camilla represented her husband during the Royal Maundy Service at Worcester Cathedral, presenting bags of specially minted coins to people being honored for public service. The event is held every year on the Thursday before Easter, known as Maundy Thursday in Britain.
The personal message from Charles comes after the recent announcements that both the king and the Princess of Wales had been diagnosed with cancer. While the message made no direct reference to the royals\u2019 health problems, it marked the king\u2019s first public comment since his daughter-in-law revealed she was undergoing chemotherapy.
Charles said that Jesus set an \u201cexample of how we should serve and care for each other,\u201d and how as a nation \u201cwe need and benefit greatly from those who extend the hand of friendship to us, especially in a time of need.\u2019\u2019
The service, which dates back to the year 600, commemorates the Last Supper, when Jesus washed the feet of his disciples as an act of service and humility.
Sovereigns no longer wash the feet of the needy as they did in medieval times. Instead, Camilla presented purses filled with special coins, known as Maundy money, to 75 women and 75 men, a number dictated by the king\u2019s age.
The service \u201creminds me of the pledge I made at the beginning of the Coronation Service \u2014 to follow Christ\u2019s example \u2018not to be served but to serve,\u2019\" Charles said in his message. \u201cThat I have always tried to do and continue to do, with my whole heart.\u201d
The king stepped back from public appearances in early February, when he announced that he would undergo treatment for an undisclosed type of cancer. He has continued to carry out his state duties, including regular meetings with the prime minister and reviewing and signing government documents.
The Princess of Wales, wife of Prince William, announced last week that she, too, was being treated for an undisclosed type of cancer. The news came after the princess, formerly Kate Middleton, underwent abdominal surgery in January.
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+ "type": "AUDSCOPE" + }, + { + "code": "f5b16ea8760d10048047e6e7a0f4673e", + "name": "State", + "type": "AUDSCOPE" + }, + { + "code": "661850e07d5b100481f5c076b8e3055c", + "name": "Latin America and Caribbean", + "type": "AUDGEOGRAPHY" + }, + { + "code": "b836d07082c610048807df092526b43e", + "name": "New York City", + "type": "AUDGEOGRAPHY" + }, + { + "code": "661e48387d5b10048291c076b8e3055c", + "name": "United States", + "type": "AUDGEOGRAPHY" + } + ], + "associations": { + "1": { + "altids": { + "itemid": "3ebf7953cef14c63a64c154800216e52" + }, + "type": "picture" + } + }, + "body_nitf": "NEW YORK (AP) \u2014 Oscar winner Michelle Yeoh, Botswana President Mokgweetsi Masisi, and Verizon CEO Hans Vestberg are among the diverse group of political, business and philanthropic leaders Global Citizen will convene in New York on May 1 and 2, the nonprofit announced on Thursday.
The Global Citizen NOW summit will seek support for workable solutions to address issues of food insecurity, climate change and public health associated with extreme poverty, said Global Citizen CEO Hugh Evans.
\u201cWe are focused on advancing the ideas that will drive urgent action to end extreme poverty,\u201d Evans told The Associated Press, adding that the world is at a crossroads on numerous issues.
Actors Hugh Jackman, Danai Gurira and Dakota Johnson and representatives from Cisco, Citi, Delta and PayPal will join Rockefeller Foundation President Rajiv Shah, Bezos Earth Fund CEO Andrew Steer, and Volker T\u00fcrk, United Nations High Commissioner for Human Rights, for the event.
\u201cI have made it my mission to work to amplify underrepresented voices,\u201d Gurira, star of \u201cThe Walking Dead\u201d and \u201cBlack Panther\u201d franchises, said in a statement, adding that she is eager to \u201caddress the severe inequities facing the African continent.\u201d
Evans said the third edition of Global Citizen NOW will focus on defeating preventable diseases, like malaria, polio, and HPV. Organizers also plan to announce new initiatives to preserve the Amazon Rainforest and increase investments in Africa through the World Bank.
Global Citizen also hopes the New York summit will build on momentum generated among Gen Z and millennial leaders at its first international conference earlier this month in Australia.
\u201cWe hope to inspire the next generation of advocates through our Global Citizen Prize awards, where we will spotlight and financially support five young people making extraordinary efforts to change the world,\u201d Evans said.
_____
Associated Press coverage of philanthropy and nonprofits receives support through the AP\u2019s collaboration with The Conversation US, with funding from Lilly Endowment Inc. The AP is solely responsible for this content. For all of AP\u2019s philanthropy coverage, visit https://apnews.com/hub/philanthropy.
", + "textformat": "bx", + "links": [ + { + "href": "https://apnews.com/article/michelle-yeoh-global-citizen-summit-hugh-jackman-10f19405b6971a70c02d5ca434cd83ae", + "rel": "canonical" + } + ], + "topics": { + "Health": { + "relevance_score": 3, + "reason": "The document primarily focuses on the Global Citizen NOW summit and its efforts to address issues related to extreme poverty, including food insecurity, climate change, and public health. While public health is mentioned as one of the issues, the document does not delve deeply into specific health topics or provide detailed information on health-related initiatives. The mention of defeating preventable diseases like malaria, polio, and HPV is relevant to health, but it is not the central focus of the document." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/03/28/1e77499ce62c353dcf322871308adbfc.json b/datasets/AP_news/raw_data/2024/03/28/1e77499ce62c353dcf322871308adbfc.json new file mode 100644 index 0000000..137cccd --- /dev/null +++ b/datasets/AP_news/raw_data/2024/03/28/1e77499ce62c353dcf322871308adbfc.json @@ -0,0 +1,236 @@ +{ + "altids": { + "itemid": "1e77499ce62c353dcf322871308adbfc", + "etag": "1e77499ce62c353dcf322871308adbfc_0a2aza0c0", + "friendlykey": "911653265617", + "referenceid": "NV--Lethal Restraint-Meth" + }, + "version": 0, + "type": "text", + "urgency": 4, + "profile": "InvestigativeEnterprise", + "language": "en", + "versioncreated": "2024-03-28T11:46:38Z", + "firstcreated": "2024-03-28T11:46:37Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: Updates Media.", + "signals": [ + "newscontent" + ], + "title": "NV--Lethal Restraint-Meth", + "headline": "Mental health problems and meth common in deaths in non-shooting police encounters in Nevada", + "headline_extended": "The Howard Center for Investigative Journalism, working in collaborations with The Associated Press, identified 12 deaths in non-shooting police encounters in Nevada from 2012 to 2021", + "slugline": "BC-NV--Lethal Restraint-Meth", + "description_summary": "The Howard Center for Investigative Journalism, working in collaborations with The Associated Press, identified 12 deaths in non-shooting police encounters in Nevada from 2012 to 2021. Five of those who died had histories of mental illness and meth in their systems at the time of their deaths. But like other police agencies in the U.S., Las Vegas does not have any meth-specific trainings. The department\u2019s policies on how to handle people in behavioral crisis call for physical restraint in order to quickly gain compliance. Experts say such tactics may contribute to the deaths of those on stimulant drugs, like meth, given its stress on the cardiovascular system in concert with the danger of police restraint and the paranoia brought on by the drug.", + "bylines": [ + { + "by": "By BROOKE MANNING", + "title": "Howard Center for Investigative Journalism" + } + ], + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. For other uses, additional clearances may be required." + ], + "keywords": [ + "lethal restraint police deaths meth nevada" + ], + "provider": "AP", + "infosource": [ + { + "name": "AP", + "type": "AP" + } + ], + "subject": [ + { + "rels": [ + "category" + ], + "creator": "Editorial", + "code": "n", + "name": "n" + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "936045008844100486a2a28878d48e09", + "name": "Addiction and treatment", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 43 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "cc7a76087e4e10048482df092526b43e", + "name": "Health", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 94 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "6e2e052049fd457f841be9023fe385c5", + "name": "Drug crimes", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 57 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "50d07a8884e9100480c1cac9a9f92803", + "name": "Methamphetamines", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 94 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "a4677d70863b4012b846a1b00f5079f5", + "name": "U.S. news", + "creator": "Editorial", + "editorial_subject": "U.S. news", + "rels": [ + "direct" + ], + "relevance": 99 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "f25af2d07e4e100484f5df092526b43e", + "name": "General news", + "creator": "Editorial", + "editorial_subject": "General news", + "rels": [ + "direct" + ], + "relevance": 50 + } + ], + "organisation": [ + { + "scheme": "http://cv.ap.org/id/", + "code": "ac18a2ea71034a5991f916b5b3e113e7", + "name": "Associated Press", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 32 + } + ], + "place": [ + { + "scheme": "http://cv.ap.org/id/", + "code": "90a1c9c082c6100487b0df092526b43e", + "name": "Las Vegas", + "creator": "Machine", + "rels": [ + "direct" + ], + "parentids": [ + "8bb89dd082c61004879fdf092526b43e" + ], + "locationtype": { + "code": "9d26a20b35f0484a891740f8189d4c7b", + "name": "City" + }, + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -115.13722, + 36.17497 + ] + }, + "relevance": 85, + "parentnames": [ + "Nevada" + ] + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "8bb89dd082c61004879fdf092526b43e", + "name": "Nevada", + "creator": "Machine", + "rels": [ + "direct" + ], + "parentids": [ + "661e48387d5b10048291c076b8e3055c" + ], + "locationtype": { + "code": "0ae5eb8e00e04295a4fc209c94bfe6ef", + "name": "State" + }, + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -116.75119, + 39.25021 + ] + }, + "relevance": 74, + "parentnames": [ + "United States" + ] + } + ], + "audiences": [ + { + "code": "82c6a4c46fa0446090a7acaf93159e4c", + "name": "Print", + "type": "AUDPLATFORM" + }, + { + "code": "9add4649b53b4702ba7d9de5d4fa607a", + "name": "Online", + "type": "AUDPLATFORM" + }, + { + "code": "f5b16ea8760d10048047e6e7a0f4673e", + "name": "State", + "type": "AUDSCOPE" + }, + { + "code": "8bb89dd082c61004879fdf092526b43e", + "name": "Nevada", + "type": "AUDGEOGRAPHY" + } + ], + "associations": { + "1": { + "altids": { + "itemid": "da1d9fd8a32c40fa84c2af0a88c985a2" + }, + "type": "picture" + }, + "2": { + "altids": { + "itemid": "60735d9a8f3e4df9b6aa9c996afcd5b6" + }, + "type": "picture" + } + }, + "body_nitf": "Roy Anthony Scott\u2019s death is not an anomaly.
The Howard Center for Investigative Journalism, working in collaboration with The Associated Press, identified 11 other deaths in non-shooting police encounters in Nevada from 2012-2021. Like Scott \u2014 who died in 2019 after an encounter with Las Vegas police \u2014 five of the dead had histories of mental illness and meth in their systems at the time of their deaths.
Those findings track broader data on national police deaths. A November 2016 study in the American Journal of Preventive Medicine found that 1 in 5 people who died in 2009-2012 police encounters \u2014 the majority of them shootings \u2014 showed signs of mental illness or drug-induced disruptive behavior.
Nevada\u2019s largest police force, the Las Vegas Metropolitan Police Department, mandated crisis intervention training for all officers in 2014 and launched their Behavioral Health Unit (BHU) in 2021. It also invested resources into the opioid crisis by creating an overdose response team and running a public awareness campaign about fentanyl.
But like other police agencies in the U.S., Las Vegas does not have any meth-specific trainings, even as meth has become cheaper and more potent, particularly in Nevada. The department\u2019s policies on how to handle people in behavioral crisis call for physical restraint in order to quickly gain compliance. Experts say such tactics may be contributing to the deaths of those on stimulant drugs, like meth, given its stress on the cardiovascular system in concert with the danger of police restraint and the paranoia brought on by the drug.
\u201cThat\u2019s the essence of the problem,\u201d explained Richard Stripp, a forensic toxicologist and John Jay College of Criminal Justice professor. \u201cThe things \u2026 law enforcement and health professionals will do to try to protect other individuals, to protect themselves and so forth, worsen the issue.\u201d
While drugs like opioids and fentanyl dominate the headlines, overdose deaths in the U.S. from stimulant drugs, primarily meth, have risen dramatically, nearly tripling between 2015 and 2019, according to the National Institutes of Health.
Stimulants increase the activity of the brain chemicals dopamine and norepinephrine. When meth is taken, the body\u2019s systems speed up, blood pressure rises and heart rate increases. Although the effects of meth begin to wear off in about 12 hours, continued use puts stress on the cardiovascular system in the long term. Chronic effects include hardening of the arteries, organ damage and heart failure.
Yet the increases in meth use and addiction have been much less dramatic than the increases in overdoses, suggesting something else is making meth more dangerous.
Richard Rawson, previously the co-director of the University of California, Los Angeles, Integrated Substance Abuse Program and an expert in treating people with stimulant use disorder, said that 20 years ago, meth was at most 50% pure and less potent. But that has since changed.
\u201cThe current methamphetamine that\u2019s on the street is particularly damaging,\u201d Rawson explained, because it nears levels of 100% purity and potency.
Meth production over the years has largely shifted from small-scale, clandestine operations in the U.S. to super labs south of the border, according to the U.S. Drug Enforcement Administration. And one of the key routes into the U.S. is across the southern border, through Arizona and up to Las Vegas.
Today\u2019s meth from Mexico is also produced using different precursor chemicals. This production process, known as the P2P method, isolates the drug\u2019s d-isomer compound that is responsible for the \u201chigh\u201d feeling. Meth that\u2019s considered \u201c100% potent\u201d is made up almost exclusively of the d-isomer.
\u201cSo, the people who are now using methamphetamine, particularly those who are using daily or injecting, are really getting much bigger volumes in their brain and their bodies,\u201d Rawson explained.
When police respond to people who are high on meth, they are more likely to be exhibiting erratic and violent behavior, according to Jamie Ross, executive director of Nevada\u2019s PACT Coalition for Safe and Drug Free Communities, a nonprofit organization that focuses on preventing substance misuse.
\u201cThere is a new and more potent meth,\u201d she said. \u201cAnd, anecdotally, when I talk to treatment folks, they say that psychosis is increasing.\u201d
Meth-induced psychosis can vary in severity and duration. Dr. James Walsh, a family physician who specializes in addiction treatment in Seattle, says the symptoms range from \u201csome vague paranoia like, \u2018They\u2019re coming to get me,\u2019\u201d to \u201challucinating and seeing and hearing things.\u201d
If someone has a mental illness like schizophrenia, which makes people prone to psychosis, \u201cthen meth makes it worse,\u201d he added.
Data from the U.S. Centers for Disease Control and Prevention indicates that meth use often coincides with mental illness, and some who work with this population say people may use illicit drugs to self-medicate untreated or under-treated mental health issues.
But while meth use can lead to psychosis and long-term organ damage, experts disagree on whether meth intoxication alone can kill a person.
\u201cThere\u2019s been a lot of reports of increasing methamphetamine deaths. I have, honestly, a little skepticism about that,\u201d Walsh said. \u201cThe numbers on autopsies are super unreliable.\u201d
___
Reporter Taylor Stevens contributed to this story. It was produced by the Howard Center for Investigative Journalism at Arizona State University\u2019s Walter Cronkite School of Journalism and Mass Communication, an initiative of the Scripps Howard Fund in honor of the late news industry executive and pioneer Roy W. Howard. Contact us at howardcenter@asu.edu or on X (formerly Twitter) @HowardCenterASU.
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Therefore, it is highly relevant to the topic of health." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/03/28/39f740474466d444b4a3a75b469572d7.json b/datasets/AP_news/raw_data/2024/03/28/39f740474466d444b4a3a75b469572d7.json new file mode 100644 index 0000000..fb8fa64 --- /dev/null +++ b/datasets/AP_news/raw_data/2024/03/28/39f740474466d444b4a3a75b469572d7.json @@ -0,0 +1,210 @@ +{ + "altids": { + "itemid": "39f740474466d444b4a3a75b469572d7", + "etag": "39f740474466d444b4a3a75b469572d7_0a2aza0c0", + "friendlykey": "588308982783", + "referenceid": "DE-XGR--Medical Marijuana" + }, + "version": 0, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-03-28T22:35:50Z", + "firstcreated": "2024-03-28T22:35:50Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "signals": [ + "newscontent" + ], + "title": "DE-XGR--Medical Marijuana", + "headline": "Lawmakers seek to prop up Delaware medical marijuana industry after legalizing recreational use", + "headline_extended": "Senior citizens in Delaware would be able to get medical marijuana without a prescription or referral from a doctor under a bill heading to Democratic Gov. John Carney's desk", + "slugline": "BC-DE-XGR--Medical Marijuana", + "description_summary": "Senior citizens in Delaware would be able to get medical marijuana without a prescription or referral from a doctor under a bill heading to Democratic Gov. John Carney's desk. Legislation approved by the state Senate on Thursday also eliminates a requirement that a person must have a \u201cdebilitating medical condition\u201d to qualify for a medical marijuana card. Instead, doctors will be able to prescribe medical marijuana as they see fit. Supporters of the bill say it is designed to support Delaware\u2019s medical marijuana program following enactment of laws last year legalizing recreational marijuana use and authorizing a state-licensed recreational marijuana industry.", + "bylines": [ + { + "by": "By RANDALL CHASE", + "title": "Associated Press" + } + ], + "located": "DOVER, Del.", + "datelinelocation": { + "city": "Dover", + "countryareacode": "DE", + "countryareaname": "Delaware", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -75.52437, + 39.15817 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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(AP) \u2014 Senior citizens in Delaware will be able to get medical marijuana without a prescription or referral from a doctor under a bill heading to Democratic Gov. John Carney.
Legislation approved by the state Senate on Thursday also eliminates a requirement that a person must have a \u201cdebilitating medical condition\u201d to qualify for a medical marijuana card. Instead, according to chief Senate sponsor Kyra Hoffner, doctors will be able to prescribe medical marijuana \u201cas they feel fit.\u201d
Supporters of the bill, which earned only one Republican vote in the Democrat-controlled Senate, say it is an attempt to support Delaware\u2019s medical marijuana program following enactment of a law last year legalizing recreational use of marijuana.
\u201cThe medical marijuana industry was here when we needed them,\u201d said Sen. Laura Sturgeon, a Wilmington Democrat. \u201cWithout the reforms in this bill, it is clear \u2026 that the medical marijuana industry would not be able to survive the legalization of cannabis for adult recreational use.\u201d
Sen. Trey Paradee, a chief sponsor the bill legalizing recreational use, noted that some strains of cannabis have relatively low-levels of THC, the psychoactive chemical in marijuana that makes people \u201chigh.\u201d Such low-THC strains serve an important \u201cniche purpose,\u201d he said.
Other states that legalized recreational marijuana have seen their medical marijuana programs suffer or practically disappear, added Paradee, a Dover-area Democrat, as the recreational market creates a \u201crace to see who can make the most potent THC strains.\u201d
Delaware\u2019s first medical marijuana industry opened in 2015. State officials issued 29,039 medical marijuana registration cards in fiscal 2023, a 14% increase from the previous year. Net revenue from the medical marijuana program totaled $656,477 last fiscal year, up from $543,111 in fiscal 2022.
In addition to allowing people 65 and older to \u201cself-certify\u201d for a medial marijuana card, the bill allows Delaware medical marijuana dispensaries to sell cannabis to medical marijuana users from other states. Terminally ill people will no longer need to renew their medical marijuana cards, and the current card expiration period of one year can be extended to two or three years for other patients.
Meanwhile, state officials continue to work on developing and implementing a state-licensed recreational marijuana industry.
House lawmakers on Thursday unanimously approved a bill providing legal protections for financial institutions and other entities that provide financial or accounting services to marijuana-related businesses. The bill, which now goes to the Senate, specifies that banks, credit unions, armored car services, and providers of accounting services are not subject to prosecution for providing lawful services to licensed businesses producing, distributing and selling marijuana.
\u201cIt will encourage banks to serve the marijuana industry. \u2026 It does not shield businesses conducting illegal activity,\u201d said chief sponsor Rep. Ed. Osienski, a Newark Democrat.
The governor announced last April that he would allow bills legalizing recreational marijuana use by adults in the state and authorizing the establishment of a state-licensed and regulated cannabis industry to become law without his signature.
The legalization bill allows people 21 and older to possess up to 1 ounce (28 grams) of leaf marijuana, 12 grams of concentrated marijuana, or marijuana products containing up to 750 milligrams of THC. Possession of more than an ounce of marijuana and public consumption would remain misdemeanors. The bill also prohibits people from growing their own marijuana for personal consumption.
The industry-creation bill authorizes state officials to issue up to 30 initial retail marijuana licenses, 30 manufacturing licenses, 60 cultivation licenses and five testing licenses. State officials hope to adopt licensing regulations by July and to begin accepting license applications in September.
", + "textformat": "bx", + "links": [ + { + "href": "https://apnews.com/article/delaware-medical-marijuana-law-39f740474466d444b4a3a75b469572d7", + "rel": "canonical" + } + ], + "topics": { + "Health": { + "relevance_score": 4, + "reason": "The document discusses legislative changes in Delaware related to medical marijuana, including the removal of certain requirements for obtaining a medical marijuana card and the impact of recreational marijuana legalization on the medical marijuana industry. These changes have direct implications for health, particularly for senior citizens and terminally ill patients who will have easier access to medical marijuana. The document also touches on the broader health implications of different THC levels in cannabis strains. Therefore, the content is quite relevant to the topic of health." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/03/28/6628239dc385e174ddbc1010e4baefa3.json b/datasets/AP_news/raw_data/2024/03/28/6628239dc385e174ddbc1010e4baefa3.json new file mode 100644 index 0000000..12bc5ad --- /dev/null +++ b/datasets/AP_news/raw_data/2024/03/28/6628239dc385e174ddbc1010e4baefa3.json @@ -0,0 +1,271 @@ +{ + "altids": { + "itemid": "6628239dc385e174ddbc1010e4baefa3", + "etag": "6628239dc385e174ddbc1010e4baefa3_1a13aza0c0", + "friendlykey": "273187778601", + "referenceid": "US--Fort Wayne Mayor-Cancer" + }, + "version": 1, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-03-29T02:18:01Z", + "firstcreated": "2024-03-28T21:32:24Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: MAJOR UPDATE: Updates with Henry' death. Expands audience. UPDATES: Updates Media.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "US--Fort Wayne Mayor-Cancer", + "headline": "Fort Wayne Mayor Tom Henry dies after medical emergency amid cancer battle", + "headline_extended": "Fort Wayne Mayor Tom Henry has died a day after after experiencing a medical emergency related to his stomach cancer", + "slugline": "BC-US--Fort Wayne Mayor-Cancer, 1st Ld-Writethru", + "description_summary": "Fort Wayne Mayor Tom Henry has died a day after after experiencing a medical emergency related to his stomach cancer. He was 72. The announcement from his office that he had \u201cpassed away peacefully\u201d Thursday came just hours after Henry\u2019s family issued a statement saying he had entered hospice care after suffering a medical emergency. Henry announced his diagnosis of late-stage stomach cancer on Feb. 26 during a news conference. He began chemotherapy at the beginning of March. Henry was elected in November to his fifth term as mayor of Indiana\u2019s second most populous city with about 270,000 residents. Henry\u2019s wife, Cindy, died at age 67 on Jan. 20 after battling pancreatic cancer for more than a year.", + "located": "FORT WAYNE, Ind.", + "datelinelocation": { + "city": "Fort Wayne", + "countryareacode": "IN", + "countryareaname": "Indiana", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -85.12886, + 41.1306 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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(AP) \u2014 Fort Wayne Mayor Tom Henry died Thursday, a day after after experiencing a medical emergency related to his stomach cancer. He was 72.
The announcement from his office that the Democratic mayor had \u201cpassed away peacefully\u201d came just hours after Henry\u2019s family issued a statement saying he had entered hospice care after suffering a medical emergency.
\u201cMayor Henry was a man of the highest character \u2013 a true servant leader who devoted his entire adult life to the betterment of Fort Wayne and its residents. He was also the best dad a son or daughter could ask for,\u201d the announcement from his spokesperson John Perlich said.
The earlier announcement from Henry's family said he was privately transported to a hospital where the mayor and his family consulted at length with his medical team, including his oncologist.
\u201cAfter careful consideration of the risks associated with surgical intervention, Mayor Henry has opted for comfort measures at this time. He is resting comfortably under the care of extremely skilled hospice nurses,\u201d the statement said.
Henry announced his diagnosis of late-stage stomach cancer on Feb. 26 during a news conference. He began chemotherapy at the beginning of March.
\u201cMy initial scans have shown that the cancer is currently spreading through my lymph nodes and other organs,\u201d Henry said at the time. \u201cTherefore, my prognosis is not exactly encouraging.\u201d
Henry was elected in November to his fifth term as mayor of Indiana\u2019s second most populous city with about 270,000 residents. Henry\u2019s wife, Cindy, died at age 67 on Jan. 20 after battling pancreatic cancer for more than a year.
Henry pleaded guilty in November 2022 to operating a vehicle while intoxicated endangering a person, had his license suspended for 90 days and received a suspended one-year jail sentence. He was arrested the month before with a blood-alcohol nearly twice Indiana\u2019s legal limit.
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Therefore, it is somewhat relevant to the topic of health but not highly so." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/03/28/a26992c9db090cc5da4c10f93a4dab69.json b/datasets/AP_news/raw_data/2024/03/28/a26992c9db090cc5da4c10f93a4dab69.json new file mode 100644 index 0000000..eba3506 --- /dev/null +++ b/datasets/AP_news/raw_data/2024/03/28/a26992c9db090cc5da4c10f93a4dab69.json @@ -0,0 +1,276 @@ +{ + "altids": { + "itemid": "a26992c9db090cc5da4c10f93a4dab69", + "etag": "a26992c9db090cc5da4c10f93a4dab69_0a15aza0c0", + "friendlykey": "38908028928", + "referenceid": "US-MED--Talking About Cancer" + }, + "version": 0, + "type": "text", + "urgency": 4, + "profile": "Feature", + "language": "en", + "versioncreated": "2024-03-28T16:31:04Z", + "firstcreated": "2024-03-28T16:31:04Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: Updates Media.", + "signals": [ + "newscontent" + ], + "title": "US-MED--Talking About Cancer", + "headline": "Some cancer patients can find it hard to tell family and friends", + "headline_extended": "For some cancer patients, sharing the news can be a difficult decision", + "slugline": "BC-US-MED--Talking About Cancer", + "description_summary": "For some cancer patients, sharing the news can be a difficult decision. Not everyone is comfortable telling others, for cultural or privacy reasons _ or because they just don\u2019t want to talk about it. Defense Secretary Lloyd Austin initially kept his prostate cancer quiet. Kate, Princess of Wales, also waited to publicly disclose her cancer. Their reactions hardly surprised experts. One patient counselor said people sometimes keep it to themselves because they don't want to be identified solely as a cancer patient. In the U.S., death rates from cancer have been declining for decades but it remains the nation\u2019s No. 2 killer.", + "bylines": [ + { + "by": "By KENYA HUNTER", + "title": "AP Health Writer" + } + ], + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. For other uses, additional clearances may be required." + ], + "keywords": [ + "cancer diagnosis talk Austin Kate" + ], + "provider": "AP", + "infosource": [ + { + "name": "AP", + "type": "AP" + } + ], + "person": [ + { + "scheme": "http://cv.ap.org/id/", + "code": "997a67c09241100486a6a55c96277d3e", + "name": "Bob Dole", + "creator": "Machine", + "rels": [ + "direct" + ], + "types": [ + "POLITICIAN", + "PERSON" + ], + "relevance": 44 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "9e8e627948d54bfdb1f7ded563845b40", + "name": "Otis Brawley", + "creator": "Machine", + "rels": [ + "direct" + ], + "types": [ + "NEWSMAKER", + "PERSON" + ], + "relevance": 64 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "42fcd5108d2610048a34f7ae5e3ffd3e", + "name": "Joe Biden", + "creator": "Machine", + "rels": [ + "direct" + ], + "types": [ + "POLITICIAN", + "PERSON" + ], + "relevance": 52 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "7722bf919d9646ddb9b24c641c26c83c", + "name": "Lloyd Austin", + "creator": "Machine", + "rels": [ + "direct" + ], + "types": [ + "GOVERNMENT_FIGURE", + "PERSON" + ], + "relevance": 70 + } + ], + "subject": [ + { + "rels": [ + "category" + ], + "creator": "Editorial", + "code": "a", + "name": "a" + }, + { + "rels": [ + "category" + ], + "creator": "Editorial", + "code": "n", + "name": "n" + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "90aeac5089ef10048f63d56c852d093e", + "name": "Royalty", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 36 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "e247b8487de41004806adf092526b43e", + "name": "Prostate cancer", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 94 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "e24779c87de410048069df092526b43e", + "name": "Men's health", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 60 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "cc7a76087e4e10048482df092526b43e", + "name": "Health", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 82 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "e22524b87de410048f91df092526b43e", + "name": "Cancer", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 46 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "cc7a76087e4e10048482df092526b43e", + "name": "Health", + "creator": "Editorial", + "editorial_subject": "Health", + "rels": [ + "direct" + ], + "relevance": 99 + } + ], + "place": [ + { + "scheme": "http://cv.ap.org/id/", + "code": "e293fee87d6b10048fe8ba7fa5283c3e", + "name": "Wales", + "creator": "Machine", + "rels": [ + "direct" + ], + "parentids": [ + "66219fb07d5b100482e2c076b8e3055c" + ], + "locationtype": { + "code": "d83e15f769714aab9d49a03eab919128", + "name": "Constituent country" + }, + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -3.5, + 52.5 + ] + }, + "relevance": 61, + "parentnames": [ + "United Kingdom" + ] + } + ], + "audiences": [ + { + "code": "82c6a4c46fa0446090a7acaf93159e4c", + "name": "Print", + "type": "AUDPLATFORM" + }, + { + "code": "9add4649b53b4702ba7d9de5d4fa607a", + "name": "Online", + "type": "AUDPLATFORM" + }, + { + "code": "f43adc08760d10048040e6e7a0f4673e", + "name": "National", + "type": "AUDSCOPE" + }, + { + "code": "f4ecf9b0760d10048044e6e7a0f4673e", + "name": "International", + "type": "AUDSCOPE" + }, + { + "code": "f5b16ea8760d10048047e6e7a0f4673e", + "name": "State", + "type": "AUDSCOPE" + }, + { + "code": "661850e07d5b100481f4c076b8e3055c", + "name": "Europe", + "type": "AUDGEOGRAPHY" + }, + { + "code": "dec1cce882af10048320df092526b43e", + "name": "Georgia", + "type": "AUDGEOGRAPHY" + }, + { + "code": "661e48387d5b10048291c076b8e3055c", + "name": "United States", + "type": "AUDGEOGRAPHY" + } + ], + "associations": { + "1": { + "altids": { + "itemid": "dedaf0eb1bef480fbe25d7170b202ad7" + }, + "type": "picture" + } + }, + "body_nitf": "Ever since Anthony Bridges found out he had prostate cancer six years ago, he hasn\u2019t stopped talking about it. He told his Facebook friends immediately.
Now, the 68-year-old man from Georgia spends time working with others to encourage other men to talk to their doctor about getting screened.
Not everyone is as eager to share, for cultural or privacy reasons \u2014 or because they just don\u2019t want to talk about it. Defense Secretary Lloyd Austin kept his prostate cancer quiet, including from President Joe Biden. And more recently, Kate, Princess of Wales, waited weeks before publicly disclosing her cancer.
Austin described his diagnosis as a \u201cgut punch\" and his instinct was to keep it private. In a video statement, Kate said it was a \u201chuge shock\u201d and that she and her husband, Prince William, had been trying to \u201cmanage this privately for the sake of our young family.\u201d
Their reactions hardly surprised experts. Dr. Otis Brawley says he\u2019s encountered men who don\u2019t even want to talk about their prostate cancer with their own doctors.
Brawley, a professor of oncology and epidemiology at Johns Hopkins University, recalled a time decades ago when cancer simply wasn't spoken of, called the \u201dBig C\" instead.
Public conversations around prostate cancer changed, he said, when former Sen. Bob Dole announced his diagnosis and publicly spoke of erectile dysfunction, a side effect of treatment.
For breast cancer, it was first lady Betty Ford, who spoke openly about her surgery and treatment.
\u201cThat opened the floodgates. It was then OK to talk about cancer,\u201d Brawley said.
In the U.S., death rates from cancer have been declining for decades, which is attributed to progress against lung cancer, screening and better treatments. Still, it remains the nation's No. 2 killer, behind heart disease, and cases are increasing as the population ages and grows.
Elaine Smith, who counsels patients at City of Hope Cancer Center Atlanta, said a patient's openness often depends on personality. Some don't want to be identified solely as a cancer patient.
\u201cSo many of my patients say people talk to them with a different tone of voice,\u201d Smith said. \"'They lean into me differently, they look at me with their eyes differently.'\u201d
Sometimes people worry about how their coworkers will react when they have to miss work for appointments and treatments.
\u201cIn many cases, we may not acknowledge it, but .... that can sometimes have a role in how they are judged in their work performance,\u201d said Dr. Bradley Carthon, of Emory University's Winship Cancer Institute.
Patients usually share with their family, experts said, but even that can be difficult.
Kate noted it had taken time to explain \"everything to George, Charlotte and Louis in a way that is appropriate for them and to reassure them that I\u2019m going to be OK.\u201d
\u201cShe has the added challenges of having young children,\u201d said Dr. Christina Annunziata, a cancer doctor at the Inova Schar Cancer Institute in Fairfax, Virginia. \u201cAs hard as it is to explain to friends and family, or even coworkers. It's even harder to explain to young children.\u201d
The downside of keeping it private is that \u201dyou're dealing with this all alone,\" Carthon said.
Dr. Paul Monk, who treats cancer patients at Ohio State University Wexner Medical Center, said it\u2019s important for patients to bring along a family member or other support to appointments.
\u201cI don\u2019t think they hear everything I say,\" he said. \"And so when you bring someone else to your doctor\u2019s visit, that\u2019s another set of ears and I think that\u2019s critically important.\u201d
Bridges\u2019 wife, Phyllis, served in that role for him when he started treatment for advanced prostate cancer in 2018. He said he had no symptoms and had only gone for a checkup at her insistence.
Bridges felt called to share his story with others, especially with Black men, and is now part of a program called Project Elevation. Working through local churches, the program\u2019s goal is to remove some of the stigma surrounding prostate cancer and provide information about screening.
\u201cWe have to change the mindset,\u201d said the Albany, Georgia, resident. \u201cWe have to dispel the fear.\u201d
___
The Associated Press Health and Science Department receives support from the Robert Wood Johnson Foundation. The AP is solely responsible for all content.
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With AP Photos, AP Video.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "US-XGR--Gender-Affirming Care-Kansas", + "headline": "As Kansas nears gender care ban, students push university to advocate for trans youth", + "headline_extended": "As Kansas prepares to ban gender-affirming care for minors, students at the state's largest university taking action", + "slugline": "AP-US-XGR--Gender-Affirming Care-Kansas, 3rd Ld-Writethru", + "description_summary": "As Kansas prepares to ban gender-affirming care for minors, students at the state's largest university taking action. They're trying to counter Republican efforts to roll back transgender rights by pushing to make the University of Kansas a haven for trans young people. The GOP-controlled Legislature approved its proposed ban Wednesday, apparently with the two-thirds majorities needed in both chambers to override an expected veto from Democratic Gov. Laura Kelly. Kansas would join 24 other states in banning or restricting gender-affirming care for minors. The Student Senate on KU's main campus is proposing that as a matter of policy, staff must use students\u2019 preferred names and pronouns.", + "bylines": [ + { + "by": "By JOHN HANNA", + "title": "Associated Press" + } + ], + "located": "LAWRENCE, Kan.", + "datelinelocation": { + "city": "Lawrence", + "countryareacode": "KS", + "countryareaname": "Kansas", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -95.23525, + 38.97167 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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(AP) \u2014 With Kansas poised to ban gender-affirming care for minors, college students are trying to counter Republican efforts to roll back transgender rights by pushing the state's largest university to declare itself a haven for trans youth.
The GOP-controlled Legislature approved its proposed ban on puberty blockers, hormone treatments and surgeries for minors Wednesday, apparently with the two-thirds majorities in both chambers needed to override an expected veto from Democratic Gov. Laura Kelly. Kansas would join 24 other states in banning or restricting gender-affirming care for minors, the latest being Wyoming last week.
But the week before \u2014 when a ban already appeared likely \u2014 the Student Senate on the University of Kansas' main campus overwhelmingly approved a proposal to add transgender rights policies to the school's code of student rights. The proposal asks administrators to affirm the students' right \u201cto determine their own identities,\u201d direct staff to use their preferred names and pronouns and commit to updating student records to reflect their gender identities. Administrators have not formally responded.
The university's hometown of Lawrence, between Kansas City and the state capital of Topeka, already has a reputation for being more liberal than the rest of the Republican-leaning state. But students involved with the transgender rights proposal said it's urgent now to show that the university will advocate for LGBTQ youth despite a Legislature they see as hostile.
\u201cThe people in charge have made the decision to support some things that are really cruel and unnecessary and unjustifiable,\u201d Jenna Bellemere, a 21-year-old transgender senior, said of lawmakers. \u201cIt\u2019s students and the younger generation who have to kind of step up and say, no, we don\u2019t think that that\u2019s OK and fight back against it.\u201d
Republicans in Kansas have been part of a multi-year and nationwide push by GOP lawmakers to roll back transgender rights. Last year, they overrode Kelly vetoes of measures ending the state\u2019s legal recognition of transgender residents\u2019 gender identities and banning transgender women and girls from female K-12 and college sports.
Six months ago, lawsuits by conservative GOP Attorney General Kris Kobach forced Kelly's administration to stop changing the listing for \u201csex\u201d on transgender people's birth certificates and driver's licenses.
Chris Raithel, a non-binary University of Kansas junior, was among those who worked on drafting the Student Senate proposal since last fall. Their goal wasn't to create a confrontation between the university and the Legislature that could fuel a budget-cutting backlash, they said, \"but we do think it would be a great service to the trans students at the university if these protections were in university policy and students would see that they are understood and that they\u2019re protected.\u201d
Republicans have pushed for a ban even though trans youth, families and medical providers in Kansas opposed it. The move also goes against the recommendation of major American medical groups, though the National Health Service of England recently said it no longer would routinely cover puberty blockers and hormone treatment for minors.
Senate President Ty Masterson, a Wichita-area Republican, described his chamber\u2019s approval as a firm stand against \u201cradical transgender ideology.\u201d
Several doctors are among the legislators backing the Kansas measure, arguing that they\u2019re protecting children from potentially irreversible medical treatments with long-term health effects.
\u201cThe bias, as some people call it, is predicated on fear \u2014 fear of the unknown \u2014 and there is still a lot that we don't know about what we're embarking on, particularly with minors,\u201d said state Republican state Rep. John Eplee, a doctor from the state's northeastern corner. \u201cThis is not meant to be hateful or hurtful.\u201d
Republican Sen. Mark Steffen, a central Kansas anesthesiologist and pain-management doctor, suggested the proposed ban would protect \u201ctroubled children\u201d from \"wayward parents and a wayward health care system.\u201d
GOP legislators approved a proposed ban last year but couldn't override Kelly's veto. This year, supporters saw a net gain of 12 votes in the House to reach the necessary two-thirds majority there.
In the state Senate, supporters were one vote shy last year but picked it up Wednesday from Republican Sen. Brenda Dietrich, of Topeka, a former local school superintendent. She switched because this year backers added a provision that would give doctors until the end of the year to move patients off puberty blockers or hormone treatments.
Dietrich's voice shook as she explained her decision to colleagues Wednesday evening, saying it was a difficult vote. She said she'd worried about the potential harm of cutting off treatments suddenly but has always agreed with people in her GOP-leaning district, who \u201coverwhelmingly\u201d oppose gender-affirming surgeries for minors.
\u201cTheir anger regarding physicians and parents allowing surgeries on children is palpable,\" she said.
Even supporters of the ban have acknowledged that Kansas doctors do few gender-affirming surgeries for minors. Young transgender adults have said in interviews that they've gone through months \u2014 sometimes several years \u2014 of therapy, puberty blockers and hormone treatments first.
And critics of a ban said the provision allowing a gradual withdrawal of treatments that reduce the risk of suicide, while potentially better medically than an abrupt end, doesn't prevent harm to the physical and mental health of transgender youth.
\u201cMinors and their families are already facing significant emotional turmoil from facing these hateful bills year after year,\u201d Amanda Mogoi, an advanced practice registered nurse from Wichita who\u2019s provided such treatments for eight years, said in an email. \u201cThey will not want to stop their life-saving medications.\u201d
While the measure would ban treatments only for people under 18 years old, the college students behind the University of Kansas proposal still see it as a threat to them, in part because they don't expect GOP lawmakers to stop there. During the House debate Wednesday, health committee Chair Brenda Landwehr suggested that Kansas should consider extending the ban to people in their early 20s.
\u201cIf I could ban this until a child's brain fully developed, I would do that in a heartbeat,\u201d said Landwehr, a Wichita Republican.
Bellemere said that even without a broader ban, doctors might stop treating young transgender adults, fearing lawsuits or other legal problems.
Another transgender University of Kansas student, Raine Flores-Pe\u00f1a, a junior and LGBTQ+ rights activist working at the school's Center for Sexuality & Gender Diversity, said some friends transferred to other universities after Kansas legislators ended the state's legal recognition of their gender identities. But he began his transition after moving to Lawrence in 2018, and describes himself as very stubborn.
\u201cI don\u2019t want to get kicked out of my own home,\" he said.
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Therefore, the document is relevant to the topic of health, but it is not the central focus." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/03/28/e278fdbc1a7912bfbbab8934ad0691d9.json b/datasets/AP_news/raw_data/2024/03/28/e278fdbc1a7912bfbbab8934ad0691d9.json new file mode 100644 index 0000000..04959bb --- /dev/null +++ b/datasets/AP_news/raw_data/2024/03/28/e278fdbc1a7912bfbbab8934ad0691d9.json @@ -0,0 +1,204 @@ +{ + "altids": { + "itemid": "e278fdbc1a7912bfbbab8934ad0691d9", + "etag": "e278fdbc1a7912bfbbab8934ad0691d9_4a4aza0c0", + "friendlykey": "185316080967", + "referenceid": "US-MED--Tuberculosis" + }, + "version": 4, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-03-28T19:15:44Z", + "firstcreated": "2024-03-28T17:16:40Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: Removes extra word from headline. With AP Photos, Audio.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "US-MED--Tuberculosis", + "headline": "US tuberculosis cases were at the highest level in a decade in 2023", + "headline_extended": "The U.S. saw the most tuberculosis illnesses in a decade in 2023", + "slugline": "AP-US-MED--Tuberculosis, 4th Ld-Writethru", + "description_summary": "The U.S. saw the most tuberculosis illnesses in a decade in 2023. That's according to a new report from the Centers for Disease Control and Prevention that was published Thursday. More than 9,600 cases were reported, which is a 16% increase from 2022. Forty states reported an increase, and rates were up among all age groups. Cases declined sharply at the beginning of the COVID-19 pandemic but have been rising since. The 2023 count was the highest reported since 2013.", + "bylines": [ + { + "by": "By MIKE STOBBE", + "title": "AP Medical Writer" + } + ], + "located": "NEW YORK", + "datelinelocation": { + "city": "New York", + "countryareacode": "NY", + "countryareaname": "New York", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -74.00597, + 40.71427 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. For other uses, additional clearances may be required." + ], + "keywords": [ + "TB tuberculosis CDC US" + ], + "provider": "AP", + "infosource": [ + { + "name": "AP", + "type": "AP" + } + ], + "subject": [ + { + "rels": [ + "category" + ], + "creator": "Editorial", + "code": "a", + "name": "a" + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "b17e2751b26d4523a2c99d79e04747ee", + "name": "COVID-19 pandemic", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 69 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "cc7a76087e4e10048482df092526b43e", + "name": "Health", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 97 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "49ff7f187f001004824df571351eed07", + "name": "Tuberculosis", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 97 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "cc7a76087e4e10048482df092526b43e", + "name": "Health", + "creator": "Editorial", + "editorial_subject": "Health", + "rels": [ + "direct" + ], + "relevance": 99 + } + ], + "place": [ + { + "scheme": "http://cv.ap.org/id/", + "code": "661850e07d5b100481f4c076b8e3055c", + "name": "Europe", + "creator": "Machine", + "rels": [ + "direct" + ], + "locationtype": { + "code": "976d112cd5c3497ea180aeecab922c6b", + "name": "Continent" + }, + "geometry_geojson": { + "type": "Point", + "coordinates": [ + 9.14062, + 48.69096 + ] + }, + "relevance": 48 + } + ], + "audiences": [ + { + "code": "82c6a4c46fa0446090a7acaf93159e4c", + "name": "Print", + "type": "AUDPLATFORM" + }, + { + "code": "9add4649b53b4702ba7d9de5d4fa607a", + "name": "Online", + "type": "AUDPLATFORM" + }, + { + "code": "f43adc08760d10048040e6e7a0f4673e", + "name": "National", + "type": "AUDSCOPE" + }, + { + "code": "f4ecf9b0760d10048044e6e7a0f4673e", + "name": "International", + "type": "AUDSCOPE" + }, + { + "code": "661850e07d5b100481f5c076b8e3055c", + "name": "Latin America and Caribbean", + "type": "AUDGEOGRAPHY" + }, + { + "code": "661e48387d5b10048291c076b8e3055c", + "name": "United States", + "type": "AUDGEOGRAPHY" + } + ], + "associations": { + "1": { + "altids": { + "itemid": "82ed549c5b6143478d190798e4a2df49" + }, + "type": "audio" + }, + "2": { + "altids": { + "itemid": "1c2c34311cbf44f983c09cb37bba9f08" + }, + "type": "picture" + }, + "3": { + "altids": { + "itemid": "1d4559776a294ec29eb369502de6f5e4" + }, + "type": "picture" + } + }, + "body_nitf": "NEW YORK (AP) \u2014 The number of U.S. tuberculosis cases in 2023 were the highest in a decade, according to a new government report.
Forty states reported an increase in TB, and rates were up among all age groups, the Centers for Disease Control and Prevention said Thursday. More than 9,600 cases were reported, a 16% increase from 2022 and the highest since 2013.
Cases declined sharply at the beginning of the COVID-19 pandemic, but have been rising since.
Most U.S. TB cases are diagnosed in people born in other countries. Experts say the 2023 number is in part a combination of a surge in TB cases internationally \u2014 the World Health Organization said TB was behind only COVID-19 in infectious fatal diseases worldwide in 2022. And there are also increases in migration and post-pandemic international travel.
But other factors are also at play, including other illnesses that weaken the immune system and allow latent TB infections to emerge.
CDC officials expected TB numbers would rise, but the 2023 count \u201cwas a little more than was expected,\u201d said Dr. Philip LoBue, director of the agency's Division of Tuberculosis Elimination.
Despite the jump, the number and rate of new TB cases each year remains smaller than it was in the past, and the U.S. has a lower rate of new TB cases than most countries.
Tuberculosis is caused by bacteria that usually attack the lungs, and is spread through the air when an infectious person coughs or sneezes. If not treated properly, it can be fatal. In the late 1800s, TB killed one out of every seven people living in the United States and Europe. But the development of antibiotics and public health efforts succeeded in treating infections and tracking down those they infected, leading to cases falling for decades.
The new CDC statistics are not a count of how many people were newly infected in 2023, but rather of how many people developed a cough or other symptoms and were diagnosed.
An estimated 85% of the people counted in 2023 were infected at least a year or two earlier and had what\u2019s called latent TB, when the bacteria enters the body and hibernates in the lungs or other parts of the body. Experts estimate as many as 13 million Americans have latent TB and are not contagious.
When the immune system is weakened \u2014 by certain medications or other illnesses like diabetes and HIV \u2014 the TB wakes up, so to speak. Nicole Skaggs said she was infected in 2020, but didn\u2019t develop symptoms until 2022 \u2014 after she got sick from COVID-19.
\u201cAnything that can take out or lower your immune system can put you at risk,\u201d said Skaggs, 41, a property manager in Bothell, Washington.
CDC officials called the idea that COVID-19 has played a role in increased reactivation of TB \u201can important question.\" Scientists are still learning what causes latent TB to reactivate and \"I would consider it an unknown at this point,\u201d LoBue said.
\u201cIt\u2019s too early to tell\u201d what will happen to TB trends in the next few years, he also said.
There are TB vaccines being developed, and public health workers that were focused on COVID are now back to trying new approaches to preventing TB. New York City, which saw cases jump 28% last year, is hiring TB case managers and community health workers and increasingly using video monitoring of patients taking medications to keep treatment rates high, said Dr. Ashwin Vasan, the city\u2019s health commissioner.
On the other hand, federal TB funding for state and local health department efforts has been flat, and one of the key antibiotics used against TB has been in short supply in recent years. Plus, drug-resistant TB infections have popped up in a fraction of cases.
___
The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute\u2019s Science and Educational Media Group. The AP is solely responsible for all content.
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All these points are directly related to the topic of health." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/03/28/f1490637ea0a41bbc9d49c68a04f594c.json b/datasets/AP_news/raw_data/2024/03/28/f1490637ea0a41bbc9d49c68a04f594c.json new file mode 100644 index 0000000..68e14e3 --- /dev/null +++ b/datasets/AP_news/raw_data/2024/03/28/f1490637ea0a41bbc9d49c68a04f594c.json @@ -0,0 +1,319 @@ +{ + "altids": { + "itemid": "f1490637ea0a41bbc9d49c68a04f594c", + "etag": "f1490637ea0a41bbc9d49c68a04f594c_0a13aza0c0", + "friendlykey": "985856520677", + "referenceid": "US--Mississippi Medicaid Expansion" + }, + "version": 0, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-03-28T22:40:33Z", + "firstcreated": "2024-03-28T22:40:33Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: Updates Media.", + "signals": [ + "newscontent" + ], + "title": "US--Mississippi Medicaid Expansion", + "headline": "Mississippi Senate passes trimmed Medicaid expansion and sends bill back to the House", + "headline_extended": "Mississippi lawmakers will try to negotiate on expanding Medicaid in one of the poorest states in the U.S. after the Senate voted Thursday for a vastly different plan than one proposed by the House", + "slugline": "BC-US--Mississippi Medicaid Expansion", + "description_summary": "Mississippi lawmakers will try to negotiate on expanding Medicaid in one of the poorest states in the U.S. after the Senate voted Thursday for a vastly different plan than one proposed by the House. The upper chamber\u2019s proposal would insure fewer people and bring less federal money to the state than the version approved by the House last month. But the Senate\u2019s approach includes a tougher work requirement and measures to prevent a wider expansion of Medicaid benefits in the future. Senators debated the bill for nearly two hours before approving it in a 36-16 vote. The legislation now heads back to the House.", + "bylines": [ + { + "by": "By MICHAEL GOLDBERG", + "title": "Associated Press/Report for America" + } + ], + "located": "JACKSON, Miss.", + "datelinelocation": { + "city": "Jackson", + "countryareacode": "MS", + "countryareaname": "Mississippi", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -90.18481, + 32.29876 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. 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(AP) \u2014 Mississippi lawmakers will try to negotiate on expanding Medicaid in one of the poorest states in the U.S. after the Senate voted Thursday for a vastly different plan than one proposed by the House.
The upper chamber's proposal would insure fewer people and bring less federal money to the state than the version approved by the House last month. But the Senate's approach includes a tougher work requirement and measures to prevent a wider expansion of Medicaid benefits in the future.
Senators debated the bill for nearly two hours before approving it in a 36-16 vote. The move to increase eligibility for the government-funded health insurance program that covers low-income people has set off a struggle between Republican Gov. Tate Reeves and members of his own party. In a social media post Wednesday, Reeves called the bill \u201cObamacare Medicaid\u201d and said it would amount to \u201cwelfare expansion to those able-bodied adults that could work but choose not to.\"
Republican Sen. Kevin Blackwell, who chairs the Senate Medicaid Committee, has dubbed the Senate proposal Medicaid expansion \u201clite,\u201d and said it is much narrower that what is allowed under the Affordable Care Act, a 2010 federal health overhaul signed by then-President Barack Obama.
\u201cMany of the comments I've seen recently on social media are misleading, inaccurate and designed to be inflammatory,\" Blackwell said. \u201cThis bill is not Obamacare expansion. This bill is a very responsible, conservative bill geared toward helping the working poor.\u201d
The Senate's amended bill would extend eligibility only to those making up to 100% of the federal poverty level, just over $15,000 for one person. That is down from the 138% figure, just under $21,000 for one person, approved by the House.
House Medicaid Committee Chairwoman Missy McGee said her proposal could extend benefits to as many as 200,000 people. Blackwell said the new version of the bill approved by his committee could make 80,000 people eligible for expanded coverage, but he projects only about 40,000 would enroll.
Mississippi ranks at the bottom of virtually every health care indicator and at the top of every disparity. Hospitals are struggling to remain open. The state also has one of the nation\u2019s lowest labor force participation rates. Expansion proponents have said the policy could help improve these conditions.
Senate Democrats introduced amendments that would have expanded Medicaid to more people, but Republicans voted them down on the floor. Even still, Senate Democrats all voted for the bill, with Minority Leader Derrick Simmons arguing that Mississippi is experiencing a \u201chealth care crisis\u201d and that the bill is better than the status quo.
Opponents of Medicaid expansion say the program would foster government dependency, increase wait times for health services and push people off private insurance.
Republican lawmakers have said expansion without a work requirement is a nonstarter. The Senate version would require people to work at least 30 hours per week to become eligible for expanded benefits, up from the 20-hour work requirement approved by the House.
The Senate makes expansion depend on President Joe Biden\u2019s administration approving its work requirement. But the administration has consistently revoked work requirement waivers, arguing people should not face roadblocks to getting health care.
Only Georgia has managed to tie a work requirement to a partial expansion of Medicaid benefits. But the state only requires people to document 80 monthly hours of work, 40 hours less than what Mississippi senators have proposed. Georgia\u2019s program has seen abysmal enrollment.
The House proposal would have allowed expansion to continue without a work requirement, but the Senate version would disallow Medicaid expansion without one. Blackwell said he is counting on Biden losing in November to a Republican whose administration would welcome a work requirement.
Under the reduced eligibility level approved by the Senate, Mississippi would also lose an additional financial bonus for expanding Medicaid that would be available under the House\u2019s version.
The bill now heads back the House, and Reeves is likely to veto the legislation if it reaches his desk. Lawmakers could override his veto with a two-thirds vote from the House and Senate.
____
Michael Goldberg is a corps member for the Associated Press/Report for America Statehouse News Initiative. Report for America is a nonprofit national service program that places journalists in local newsrooms to report on undercovered issues.
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This information is highly relevant to the topic of health as it addresses issues of healthcare access, government health programs, and the implications for public health in Mississippi." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/03/28/f6f33ce353168ed043e809952316eb64.json b/datasets/AP_news/raw_data/2024/03/28/f6f33ce353168ed043e809952316eb64.json new file mode 100644 index 0000000..c664cf4 --- /dev/null +++ b/datasets/AP_news/raw_data/2024/03/28/f6f33ce353168ed043e809952316eb64.json @@ -0,0 +1,188 @@ +{ + "altids": { + "itemid": "f6f33ce353168ed043e809952316eb64", + "etag": "f6f33ce353168ed043e809952316eb64_1a4aza0c0", + "friendlykey": "682245271956", + "referenceid": "US-MED--Bacterial Meningitis" + }, + "version": 1, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-03-28T21:41:30Z", + "firstcreated": "2024-03-28T20:10:05Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: Updates Media.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "US-MED--Bacterial Meningitis", + "headline": "US officials warn of increase in bacterial illnesses that can lead to meningitis and possibly death", + "headline_extended": "U.S. health officials are warning of an increase in illnesses caused by a bacteria that can cause meningitis and possible death", + "slugline": "BC-US-MED--Bacterial Meningitis, 1st Ld-Writethru", + "description_summary": "U.S. health officials are warning of an increase in illnesses caused by a bacteria that can cause meningitis and possible death. 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The Centers for Disease Control and Prevention issued an alert to U.S. doctors on Thursday about an increase in cases of one type of invasive meningococcal disease, most of it due to a specific strain of bacteria.
Last year, 422 cases of it were reported in the U.S. \u2014 the most in a year since 2014. Already, 143 cases have been reported this year, meaning infections appear to be on track to surpass 2023, the CDC said. Most of the cases last year did not involve meningitis, though at least 17 died. The cases were disproportionately more common in adults ages 30 to 60, in Black people and in people who have HIV, the CDC said.
The bacteria can cause a dangerous brain and spinal cord inflammation called meningitis, with symptoms that may include fever, headache, stiff neck, nausea and vomiting. The bacteria also can cause a bloodstream infection with symptoms like chills, fatigue, cold hands and feet, rapid breathing, diarrhea, or, in later stages, a dark purple rash.
The infection can be treated with antibiotics, but quick treatment is essential. An estimated 10% to 15% of infected people die, and survivors sometimes suffer deafness or amputations.
There also are vaccines against meningococcal disease.
Officials recommend that all children should get a meningococcal conjugate vaccine, which protects against the rising strain, at around the time they enter a middle school. Since vaccine protection fades, the CDC also recommends a booster dose at age 16. Shots also are recommended for people at higher risk, like those in a place where an outbreak is occurring or those with HIV infection or certain other health conditions.
___
The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute\u2019s Science and Educational Media Group. The AP is solely responsible for all content.
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"661e48387d5b10048291c076b8e3055c", + "name": "United States", + "type": "AUDGEOGRAPHY" + } + ], + "associations": { + "1": { + "altids": { + "itemid": "a75128d4dc7949eba9bcf885a2f8ae9d" + }, + "type": "picture" + }, + "2": { + "altids": { + "itemid": "5a9fc672469348539b4fae74ed272318" + }, + "type": "picture" + }, + "3": { + "altids": { + "itemid": "28d9d998e4f0486e9041fad05d8dc62f" + }, + "type": "picture" + }, + "4": { + "altids": { + "itemid": "a2c63568f3eb469a89a60c5a5a71b264" + }, + "type": "picture" + }, + "5": { + "altids": { + "itemid": "03c6d2711f274763931fa2860aa8eb5d" + }, + "type": "picture" + }, + "6": { + "altids": { + "itemid": "1e8975f634d546809ed804a64add2c9c" + }, + "type": "picture" + }, + "7": { + "altids": { + "itemid": "1e78337b1b43411cad01b07c86ba4987" + }, + "type": "picture" + } + }, + "body_nitf": "SAN JUAN, Puerto Rico (AP) \u2014 Dengue is surging across the Americas early this year from Puerto Rico to Brazil, with 3.5 million cases of the tropical disease reported so far, health officials said Thursday.
That tally is three times the number of cases reported at this point last year, said Dr. Jarbas Barbosa, director of the Pan American Health Organization, the regional office of the World Health Organization in the Americas.
Last year, there were a record 4.5 million cases in the region, and PAHO officials said they expect this year will set a new record.
Usually dengue spikes during the wet season, which is still months away. And some areas are reporting dengue for the first time, officials said.
The dengue virus is spread to people when they are bitten by infected mosquitoes. Driving the surge are rising temperatures, rapid urbanization, droughts and floods linked to climate change, and poor sanitation and a lack of robust health systems in some countries, health officials said.
The virus can cause crushing headaches, fever, vomiting, a rash and other symptoms. While most infected people don\u2019t get symptoms, severe cases can lead to death. There's no specific treatment other than pain medications.
Most of the current cases are in the Southern Hemisphere, with more than 80% in Brazil, followed by Paraguay, Argentina, Peru and Colombia. Some 1,000 deaths have been reported in the Americas so far this year.
In the Caribbean alone, more than 25,000 cases have been reported, with French Guiana, Martinique, Guadeloupe, Puerto Rico and the Dominican Republic most affected, said Dr. Rhonda Sealey-Thomas, PAHO\u2019s assistant director.
On Monday, Puerto Rico\u2019s health secretary declared an epidemic, with more than 540 cases, with at least 341 people hospitalized. The numbers are concerning because parts of the island are currently under a moderate drought, and the rainiest month isn\u2019t until August.
The surge in cases forced Rio de Janeiro to declare a public health emergency last month ahead of Carnival. Peru did the same for most of its provinces, and others have followed suit.
There are four different dengue viruses circulating in the Americas, said the PAHO's Dr. Sylvain Aldighieri. \u201cWe have to be prepared for this.\u201d
Some countries have released specially bred mosquitoes that contain a bacteria called Wolbachia that fights dengue.
Last month, Josian Bruno, who lives in the San Juan capital of Puerto Rico, developed a fever and body aches. A lab test confirmed that the 38-year-old had kidney failure because of severe dehydration. He spent six days in the hospital, and the day after being released, his test results came back positive for dengue.
\u201cWhen they tell you it\u2019s renal failure, that\u2019s scary,\u201d he said.
A month has passed, and Bruno still has difficulty moving his arms and walking, and he hasn\u2019t been able to resume his thrice-weekly runs.
While a new dengue vaccine is available in limited supply, it requires two doses with a three-month interval. Barbosa said officials are monitoring how well it actually works. He said a single-shot vaccine won\u2019t be available until next year.
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This information is highly relevant to the topic of Health as it addresses a significant public health issue, its impact, and the measures being taken to address it." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/03/28/ff056e344b44d5524210607e4810a191.json b/datasets/AP_news/raw_data/2024/03/28/ff056e344b44d5524210607e4810a191.json new file mode 100644 index 0000000..fcf2601 --- /dev/null +++ b/datasets/AP_news/raw_data/2024/03/28/ff056e344b44d5524210607e4810a191.json @@ -0,0 +1,239 @@ +{ + "altids": { + "itemid": "ff056e344b44d5524210607e4810a191", + "etag": "ff056e344b44d5524210607e4810a191_0a4aza0c0", + "friendlykey": "214224972311", + "referenceid": "US--Biden-Junk Insurance" + }, + "version": 0, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-03-28T09:03:52Z", + "firstcreated": "2024-03-28T09:03:51Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: Updates Media.", + "signals": [ + "newscontent" + ], + "title": "US--Biden-Junk Insurance", + "headline": "Biden is announcing a new rule to protect consumers who purchase short-term health insurance plans", + "headline_extended": "President Joe Biden is announcing new steps to protect consumers who buy short-term health insurance plans that critics say amount to junk", + "slugline": "BC-US--Biden-Junk Insurance", + "description_summary": "President Joe Biden is announcing new steps to protect consumers who buy short-term health insurance plans that critics say amount to junk. A new rule finalized by the Democratic president's administration will limit short-term health insurance to just three months. And the plans can only be renewed for a maximum of four months, instead of up to the three years allowed under Biden's predecessor, Republican President Donald Trump. The Biden administration is also requiring short-term plans to provide consumers with clear explanations of the services they cover and how much. The White House says the rule is part of the president's interest in reducing costs for consumers.", + "bylines": [ + { + "by": "By DARLENE SUPERVILLE", + "title": "Associated Press" + } + ], + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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A new rule finalized by the Democratic president's administration will limit these plans to just three months. And the plans can only be renewed for a maximum of four months, instead of up to the three years that were allowed under Biden's predecessor, Republican Donald Trump.
The Biden administration is also requiring short-term plans to provide consumers with clear explanations of the limits of their benefits.
The White House said the rule is part of Biden's efforts to reduce costs for consumers, which he has been promoting extensively as he seeks reelection in November.
\u201cThe president really believes the American people do not want to be taken for suckers and junk insurance takes them for suckers,\u201d Neera Tanden, Biden's domestic policy adviser, said during a call the White House arranged to discuss the rule with reporters.
Short-term insurance is meant to be temporary, providing a safety net for consumers as they transition between jobs, for example, or retire before they are eligible for Medicare.
But short-terms plans \u2014 critics call them \u201cjunk insurance\u201d \u2014 too often mislead consumers into thinking they were buying comprehensive health coverage, Tanden said. Consumers would later be surprised to learn when they tried to use the insurance that their benefits were capped or certain coverages were not provided.
Tanden said Trump and other Republican-elected officials undermined the Affordable Care Act by allowing insurance companies to exploit loopholes and sell short-term plans that often leave consumers surprised when confronted by thousands of dollars in medical bills.
The ACA was signed into law in 2010 by President Barack Obama. Biden and his administration have spent this week marking the 14th anniversary of the landmark law's enactment.
Short-term plans were expanded in 2018 during the Trump administration as a cheaper alternative to the Affordable Care Act's costlier comprehensive insurance. Trump, who had promised to repeal and replace the law, has praised short-term plans as \u201cmuch less expensive health care at a much lower price.\u201d
In 2020, a divided federal appeals court upheld the Trump administration\u2019s expansion of short-term health insurance plans.
The U.S. Court of Appeals for the District of Columbia Circuit said the Trump administration had the legal authority to increase the duration of the health plans from three to 12 months, with the option of renewing them for 36 months. The plans do not have to cover people with preexisting conditions or provide basic benefits like prescription drugs.
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Osaka-based Kobayashi Pharmaceutical Co. came under fire for not going public quickly with problems known internally as early as January. The first public announcement came March 22. Some people developed kidney problems after taking the supplements, such as Benikoji Choleste Help meant to lower cholesterol. The supplements contain a red species of mold called benikoji. The exact cause is still under investigation, but dozens of products containing benikoji have been recalled, including miso paste, crackers, and a vinegar dressing.", + "bylines": [ + { + "by": "By YURI KAGEYAMA", + "title": "Associated Press" + } + ], + "located": "TOKYO", + "datelinelocation": { + "city": "Tokyo", + "countrycode": "JPN", + "countryname": "Japan", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + 139.69171, + 35.6895 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. 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Osaka-based Kobayashi Pharmaceutical Co. came under fire for not going public quickly with problems known internally as early as January. The first public announcement came March 22.
Earlier in the week, the number of deaths stood at two people. Company officials updated the number of dead to five Friday, and said 114 people were being treated in hospitals after taking products \u2014 including Benikoji Choleste Help meant to lower cholesterol \u2014 that contain an ingredient called benikoji, a red species of mold.
Some people developed kidney problems after taking the supplements, but the exact cause was still under investigation in cooperation with government laboratories, according to the manufacturer.
\u201cWe apologize deeply,\u201d President Akihiro Kobayashi told reporters Friday, bowing for a long time to emphasize the apology alongside three other top company officials.
He expressed remorse to those who have died and have been sickened, and to their families. He also apologized for the troubles caused to the entire health food industry and the medical profession, adding that the company was working to prevent further damage and improve crisis management.
The company\u2019s products have been recalled \u2014 as have dozens of other products that contain benikoji, including miso paste, crackers and a vinegar dressing. Japan's health ministry put up a list on its official site of all the recalled products, including some that use benikoji for food coloring.
The ministry warned the deaths could keep growing. The supplements could be bought at drug stores without a prescription from a doctor, and some may have been purchased or exported before the recall, including by tourists who may not be aware of the health risks.
Kobayashi Pharmaceutical had been selling benikoji products for years, with a million packages sold over the past three fiscal years, but a problem crept up with the supplements produced in 2023. Kobayashi Pharmaceutical said it produced 18.5 tons of benikoji last year.
Some analysts blame the recent deregulation initiatives, which simplified and sped up approval for health products to spur economic growth.
___
Yuri Kageyama is on X: https://twitter.com/yurikageyama
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All these points are directly relevant to the topic of health." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/03/29/3a7c11d94e38fda0f1cfd3f4a4480f7b.json b/datasets/AP_news/raw_data/2024/03/29/3a7c11d94e38fda0f1cfd3f4a4480f7b.json new file mode 100644 index 0000000..49cb41c --- /dev/null +++ b/datasets/AP_news/raw_data/2024/03/29/3a7c11d94e38fda0f1cfd3f4a4480f7b.json @@ -0,0 +1,245 @@ +{ + "altids": { + "itemid": "3a7c11d94e38fda0f1cfd3f4a4480f7b", + "etag": "3a7c11d94e38fda0f1cfd3f4a4480f7b_0a6aza0c0", + "friendlykey": "758505519259", + "referenceid": "US--Texas Abortion-Arrest" + }, + "version": 0, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-03-29T20:28:18Z", + "firstcreated": "2024-03-29T20:28:17Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: Updates Media.", + "signals": [ + "newscontent" + ], + "title": "US--Texas Abortion-Arrest", + "headline": "Texas woman sues prosecutors who charged her with murder after she self-managed an abortion", + "headline_extended": "A South Texas woman sued the Starr County District Attorney's office and the county after she was wrongfully charged with murder over a self-induced abortion in 2022", + "slugline": "BC-US--Texas Abortion-Arrest", + "description_summary": "A South Texas woman sued the Starr County District Attorney's office and the county after she was wrongfully charged with murder over a self-induced abortion in 2022. 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The lawsuit filed by Lizelle Gonzalez in federal court Thursday comes a month after the State Bar of Texas fined and disciplined the district attorney in rural Starr County over the case in 2022, when Gonzalez was charged with murder in \u201cthe death of an individual by self-induced abortion.\u201d
Under the abortion restrictions in Texas and other states, women who seek abortion are exempt from criminal charges.
The lawsuit argues Gonzalez suffered harm from the arrest and subsequent media coverage. She is seeking $1 million in damages.
\u201cThe fallout from Defendants\u2019 illegal and unconstitutional actions has forever changed the Plaintiff\u2019s life,\u201d the lawsuit stated.
Starr County District Attorney Gocha Ramirez said Friday that he had not yet been served the lawsuit and declined comment. Starr County Judge Eloy Vera, the county's top elected official, also declined comment.
According to the lawsuit, Gonzalez was 19 weeks pregnant when she used misoprostol, one of two drugs used in medication abortions. Misoprostol is also used to treat stomach ulcers.
After taking the pills, Gonzalez received an obstetrical examination at the hospital emergency room and was discharged with abdominal pain. She returned with bleeding the next day and an exam found no fetal heartbeat. Doctors performed a caesarian section to deliver a stillborn baby.
The lawsuit argues that the hospital violated the patient\u2019s privacy rights when they reported the abortion to the district attorney\u2019s office, which then carried out its own investigation and produced a murder charge against Gonzalez.
Cecilia Garza, an attorney for Gonzalez, said prosecutors pursued an indictment despite knowing that a woman receiving the abortion is exempted from a murder charge by state law.
Ramirez announced the charges would be dropped just days after the woman\u2019s arrest but not before she\u2019d spent two nights in jail and was identified by name as a murder suspect.
In February, Ramirez agreed to pay a $1,250 fine and have his license held in a probated suspension for 12 months in a settlement reached with the State Bar of Texas. He told The Associated Press at the time that he \u201cmade a mistake\u201d and agreed to the punishment because it allows his office to keep running and him to keep prosecuting cases.
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The lawsuit filed on behalf of abortion clinics asks a Franklin County court to declare the restrictions to be unconstitutional and permanently unenforceable. Republican Attorney General Dave Yost\u2019s office hasn\u2019t commented on the lawsuit.", + "bylines": [ + { + "by": "By SAMANTHA HENDRICKSON", + "title": "Associated Press/Report For America" + } + ], + "located": "COLUMBUS, Ohio", + "datelinelocation": { + "city": "Columbus", + "countryareacode": "OH", + "countryareaname": "Ohio", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -82.99879, + 39.96118 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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The lawsuit filed on behalf of abortion clinics says that since Ohioans voted overwhelmingly to protect such rights in an amendment last November, it violates the constitution to require women wanting abortions to endure mandatory waiting periods and multiple in-person informational appointments.
\"These laws are now in clear violation of the newly amended Ohio Constitution, which enshrines the explicit and fundamental right to abortion and forbids the state from burdening, prohibiting, penalizing, and interfering with access to abortion, and discriminating against abortion patients and providers,\u201d attorney with the ACLU of Ohio Jessie Hill said in a press release.
The laws ultimately interfere with patient well-being, don't provide tangible health benefits and lack medical justification, the ACLU alleges. Instead, the ACLU says, such practices \u201cunnecessarily\u201d delay time-sensitive care and force \u201charmful, distressing and stigmatizing\u201d information on patients.
The ACLU is asking the Franklin County Court of Common Pleas to declare the restrictions to be unconstitutional and permanently unenforceable.
The office of Republican Attorney General Dave Yost did not immediately respond to request for comment.
Ohio is one of four states that have amended their constitutions to enshrine abortion rights since Roe v. Wade was overturned in 2022.
___
Samantha Hendrickson is a corps member for the Associated Press/Report for America Statehouse News Initiative. Report for America is a nonprofit national service program that places journalists in local newsrooms to report on undercovered issues.
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showcased contrasting Republican approaches to governing, while minority Democrats couldn't leverage those differences to advance top policy priorities.
And while many GOP initiatives in the state Senate seemed like appeals to that party's primary voters, Republicans are hoping tax cuts and a harder line on immigration will carry them to victory in November's legislative races. Democrats walked away more furious than ever about the failure to expand Medicaid health insurance, one cornerstone of their campaign to make gains in the state House.
In the background of 2024 campaigns for all 236 state legislative seats is jockeying for elections to statewide office in 2026. Republican Lt. Gov. Burt Jones, displaying a conservative edge, seems more likely than ever to run to succeed Gov. Brian Kemp, as many GOP lawmakers try to satisfy an activist base.
Some issues unified Republicans, including speeding up an income tax cut, uniting around a crackdown on undocumented immigrants in jails, and pay raises for teachers and state employees.
But there's a continuing power struggle between the chambers. Last year, that conflict burst into the open, with House and Senate leaders killing bills from the other chamber in a dispute that was set off by Jones' push to loosen health care permitting requirements.
Jones won a partial loosening of those rules this year, and conflict overall was less public. But sharp disagreements were evident as each chamber completely disregarded measures passed by the other.
\u201cYou know, some folks choose politics. The House chooses results,\" Republican House Speaker Jon Burns of Newington told reporters moments after the House adjourned at 12:58 a.m. Friday. He and other House leaders said they instead focused on \u201ckitchen table\u201d issues often funded through the budget, like a spending boost for prekindergarten programs.
Divisions showed in how, even more than normal, decisions cascaded into the last hours of the last legislative day. Both the House and Senate blew past a once-sacrosanct midnight deadline.
\u201cThere were a lot of challenges and tensions between the two chambers. It\u2019s not the first time, but it was particularly elevated this year.\u201d said Rep. Scott Holcomb. The Atlanta Democrat again saw the Senate snub his push to compensate people released from prison after they are exonerated, even though top House Republicans supported the effort.
That was far from the only initiative that failed. The Senate spent precious time on the session's last day passing a ban on puberty blocking drugs for transgender youth, but the bill sank without a trace in the House. So did an education bill that sought to cut back on sex education and write a ban on transgender girls playing girls' sports into law, as well as a Senate bill banning public money from being spent on what Republican senators say is the left-wing American Library Association.
\u201cTo me, the 2024 session was a battle of the far-right Senate versus the moderate Republican House, in which the House ultimately prevailed by stopping the vast majority of these culture war issues, from attacks against transgender youth to putting a Clarence Thomas monument on the Capitol grounds,\u201d House Minority Whip Sam Park, a Lawrenceville Democrat, said Friday.
But on some other terms, the Senate may the winner. All of the priorities the Senate Republican Caucus announced in January became law. That included a bill requiring cash bail for more crimes, and a call for private and home school vouchers that finally passed the House after Kemp and House leaders joined the push. A Senate-backed bill requiring parental consent before children younger than 16 can sign up for social media is also on the way to Kemp's desk.
\u201cI'm proud of all that the Senate accomplished this session, promoting an agenda to help Georgia families, expand access to health care, support HBCUs, crack down on sanctuary policies and protect women's sports,\u201d Jones said in a statement Friday. \u201cThese issues are a marathon, not a sprint, and we'll continue to build on our accomplishments year after year to enact policies that lift up the middle class and fight back against radical Democrats' insanity.\u201d
For Democrats, though, it was another year of frustration. After Burns opened the door to Medicaid expansion, the minority party worked feverishly to try to expand health coverage to lower-income adults. They even believed they had a deal with Senate leadership to bring forward a bill at the last minute, only to claim betrayal after it was voted down in committee by Republicans who said they wanted to support Kemp's struggling Pathways program that offers insurance only with proof of work or study.
\u201cThe problem is that Georgia\u2019s health care policy failures are deliberate choices made by Gov. Kemp and the Republican leadership in the legislature,\" outgoing House Minority Leader Gloria Butler, a Stone Mountain Democrat, told reporters. \"We were told to let them cook. We were told that if we were nice to Republicans and if we asked politely, Medicaid expansion would be on the table. But guess what? It is still on the table.\u201d
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But just as the event was about to begin, the Vatican announced that Francis was following the event from his home at the Vatican. He had skipped it in 2023 because he was recovering from bronchitis, but the decision this year appeared to have been made suddenly, since his chair and aides were on hand waiting for him.", + "bylines": [ + { + "by": "By NICOLE WINFIELD, ANDREW MEDICHINI, SILVIA STELLACCI and ARITZ PARRA", + "title": "Associated Press" + } + ], + "located": "ROME", + "datelinelocation": { + "city": "Rome", + "countrycode": "ITA", + "countryname": "Italy", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + 12.51133, + 41.89193 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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Friday procession at Rome\u2019s Colosseum to protect his health, the Vatican said, making a last-minute decision that added to concerns about his frail condition during a particularly busy period.
Francis had been expected to preside over the Way of the Cross procession, which re-enacts Christ\u2019s Passion and crucifixion, and composed the meditations that are read aloud at each station. But just as the event was about to begin, the Vatican announced that Francis was following the event from his home at the Vatican.
\u201cTo conserve his health in view of the vigil tomorrow and Mass on Easter Sunday, Pope Francis will follow the Via Crucis at the Colosseum this evening from the Casa Santa Marta,\u201d a statement from the Vatican press office said.
While Francis had also skipped the event in 2023 because he was recovering from bronchitis and it was a particularly cold night, his decision to stay home this year suggested his plans had changed suddenly.
The 87-year-old Francis, who had part of one lung removed as a young man, has been battling what he and the Vatican have described as a case of the flu, bronchitis or a cold all winter long. For the last several weeks he has occasionally asked an aide to read aloud his speeches, and heskipped his Palm Sunday homily altogether.
The decision to stay home appeared to be very last-minute: Francis\u2019 chair was in place on the platform outside the Colosseum where he was to preside over the rite. His close aide, Monsignor Leonardo Sapienza, was on hand and moved the television screen around on the platform so Francis would have a better view of what was going on inside the Colosseum itself.
But at 9:10 p.m., five minutes before the official start of the procession, the Vatican press office announced on Telegram that he wouldn\u2019t attend. The chair was quickly taken away.
His absence was noted with concern but understanding among some of the estimated 25,000 pilgrims who packed the area for the torchlit procession.
\u201cI think of course it causes concern for the people who make sure that he is doing well, but he must have his reasons for the decisions that he makes,\" said Marlene Steuber, who was visiting from Costa Rica. \"Still I think that people are involved and very blessed and happy to be here and experience these events here in Rome.\u201d
Brian Hopp, a visitor from Chicago, noted that Francis has had his health challenges this year.
\u201cI definitely don\u2019t think it was a decision taken lightly. I think a lot was taken into it and I think he probably prioritized his health for Easter, which I think is a very responsible thing to do,\" Hopp said. \u201cI know he has been going through a lot this year so I don\u2019t expect him to be able to make every event.\u201d
The hasty announcement recalled Francis' last-minute decision on Palm Sunday, when the Vatican issued the pope's homily in advance to journalists, and his aide got up to give him his glasses to read it. But Francis made clear he wouldn't read it, and the aide put the glasses back in his pocket. The Vatican later said the homily was replaced by a moment of silent prayer.
Francis had appeared in good form earlier in the day for a Good Friday liturgy in St. Peter\u2019s Basilica, though he remained mostly seated and it was not a particularly taxing event that required him to speak at length.
On Thursday, he left the Vatican to preside over the Holy Thursday foot-washing ritual at a Rome women's prison. While he performed the rite from his wheelchair, Francis appeared strong and engaged with the inmates, even giving a big chocolate Easter egg to one woman's young son.
On Saturday, he is scheduled to preside over a lengthy evening Easter Vigil in St. Peter\u2019s, one of the most solemn events in the liturgical calendar. He also is due to preside over Easter Sunday Mass in the piazza and deliver his \u201cUrbi et Orbi\u201d (to the city and the world) speech rounding up global crises and threats to humanity.
In addition to his respiratory problems, Francis had a chunk of his large intestine removed in 2021 and was hospitalized twice last year, including once to remove intestinal scar tissue from previous surgeries to address diverticulosis, or bulges in his intestinal wall. He has been using a wheelchair and cane for over a year because of bad knee ligaments.
In his recently published memoirs, \u201cLife: My Story Through History,\u201d Francis said he isn\u2019t suffering from any health problems that would require him to resign and that he still has \u201c many projects to bring to fruition.\u201d
___
This story has been corrected to show that this was the second time Francis skipped the event, after staying home also in 2023.
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Thai authorities have been working closely with those in Laos after receiving reports of the outbreak and have prepared vaccines in case of infections being detected in Thailand, said Narong Leangcharuen, director of the Bureau of Disease Control and Veterinary Services of the Department of Livestock Development.
In an interview with Thai state broadcaster NBT on Friday, Narong said the transport of livestock across the border is being strictly controlled. He warned livestock farmers to quarantine animals from Laos and immediately report any suspicious illnesses or deaths.
Thailand has received reports that 54 people in Laos have been infected with the disease, Thai government spokesperson Chai Watcharong said in a statement Thursday. He said Thailand\u2019s Department of Disease Control is coordinating with local authorities, especially along the border, to keep a close watch on the situation.
Media in Laos earlier this month reported livestock deaths and cases of people contracting the disease in the southern province of Champasak, which borders Thailand. There are currently no reports of human fatalities.
Anthrax is a rare but serious disease caused by bacteria that primarily affects grazing animals. It can spread to humans through contact with or consumption of the infected animals, and can be deadly, though the risk of human-to-human transmission is low.
Reports were inconsistent in state-controlled media in Laos, which is a single-party communist state.
Nanthasan Vannavong, a deputy in the health office in Champasak, acknowledged the outbreak in a media briefing earlier this week, cautioning people against consuming sick livestock.
Thailand\u2019s most recent reported case of anthrax in humans was in 2000, according to the Department of Livestock Development.
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He says he was driven by concerns for the health of minors and heeding the voices of parents. Last month, the parliament approved the law that was intended to ease Poland's reproductive regulations, which are among Europe's toughest. A statement on Friday said Duda sent the law back to parliament but was open to debate on free access to the hormonal contraception pill for those aged 18 and above. The veto means that the pill, called ellaOne, remains available only on prescription.", + "located": "WARSAW, Poland", + "datelinelocation": { + "city": "Warsaw", + "countrycode": "POL", + "countryname": "Poland", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + 21.01178, + 52.22977 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. For other uses, additional clearances may be required." + ], + "keywords": [ + "poland morning after pill law president veto" + ], + "provider": "AP", + "infosource": [ + { + "name": "AP", + "type": "AP" + } + ], + "person": [ + { + "scheme": "http://cv.ap.org/id/", + "code": "a2c71b4bc0664b068bfb3abc6026922f", + "name": "Donald Tusk", + "creator": "Machine", + "rels": [ + "direct" + ], + "types": [ + "POLITICIAN", + "PERSON" + ], + "relevance": 31 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "ec03db561dcd4ce88de7f5c9709cca39", + "name": "Andrzej Duda", + "creator": "Machine", + "rels": [ + "direct" + ], + "types": [ + "POLITICIAN", + "PERSON" + ], + "relevance": 85 + } + ], + "subject": [ + { + "rels": [ + "category" + ], + "creator": "Editorial", + "code": "i", + "name": "i" + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "e22e73887de410048fc3df092526b43e", + "name": "Birth control", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 77 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "cc7a76087e4e10048482df092526b43e", + "name": "Health", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 66 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "86c1b8807dac10048990ba7fa5283c3e", + "name": "Legislation", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 41 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "86aad5207dac100488ecba7fa5283c3e", + "name": "Politics", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 56 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "cc7a76087e4e10048482df092526b43e", + "name": "Health", + "creator": "Editorial", + "editorial_subject": "Health", + "rels": [ + "direct" + ], + "relevance": 75 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "bb2d2c5f441a452cb24bb511a2ab5eea", + "name": "World news", + "creator": "Editorial", + "editorial_subject": "World news", + "rels": [ + "direct" + ], + "relevance": 99 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "f25af2d07e4e100484f5df092526b43e", + "name": "General news", + "creator": "Editorial", + "editorial_subject": "General news", + "rels": [ + "direct" + ], + "relevance": 50 + } + ], + "place": [ + { + "scheme": "http://cv.ap.org/id/", + "code": "661c9a887d5b10048260c076b8e3055c", + "name": "Poland", + "creator": "Machine", + "rels": [ + "direct" + ], + "parentids": [ + "661850e07d5b100481f4c076b8e3055c" + ], + "locationtype": { + "code": "01f56e0e654841eca2e69bf2cbcc0526", + "name": "Nation" + }, + "geometry_geojson": { + "type": "Point", + "coordinates": [ + 20, + 52 + ] + }, + "relevance": 89, + "parentnames": [ + "Europe" + ] + } + ], + "audiences": [ + { + "code": "82c6a4c46fa0446090a7acaf93159e4c", + "name": "Print", + "type": "AUDPLATFORM" + }, + { + "code": "9add4649b53b4702ba7d9de5d4fa607a", + "name": "Online", + "type": "AUDPLATFORM" + }, + { + "code": "f43adc08760d10048040e6e7a0f4673e", + "name": "National", + "type": "AUDSCOPE" + }, + { + "code": "f4ecf9b0760d10048044e6e7a0f4673e", + "name": "International", + "type": "AUDSCOPE" + }, + { + "code": "661850e07d5b100481f4c076b8e3055c", + "name": "Europe", + "type": "AUDGEOGRAPHY" + }, + { + "code": "661e48387d5b10048291c076b8e3055c", + "name": "United States", + "type": "AUDGEOGRAPHY" + } + ], + "associations": { + "1": { + "altids": { + "itemid": "82146353a2e84edbb33e64b258e6a4b2" + }, + "type": "picture" + } + }, + "body_nitf": "WARSAW, Poland (AP) \u2014 Poland\u2019s President Andrzej Duda on Friday vetoed a law that would have allowed over-the-counter access to the morning-after pill for girls and women ages 15 and above, his office said. Duda said he was concerned about the health of minors and heeding the voices of parents.
A statement by Duda\u2019s office said the president sent the law back to the parliament, but was open to a debate on free access to the hormonal contraception pill for those aged 18 and above.
It said that no convincing arguments were made during the public debate that would justify free access to the pill for girls under the age of 18.
Last month, parliament approved the law, but it still needed Duda's approval to take effect. The new pro-European Union government had intended the law to be a first step toward a liberalization of Poland\u2019s reproductive regulations, which are among Europe\u2019s most restrictive and were inherited from the previous, conservative government.
Duda approved those decisions, which drew massive street protests.
Duda's veto means that the pill, called ellaOne, which prevents pregnancy and is not an abortion pill, remains available only on prescription.
Prime Minister Donald Tusk commented, saying on X, formerly Twitter, that Duda \u201cmissed an opportunity to be on the women's side. We are implementing plan B.\"
Health Minister Izabela Leszczyna said that within \u201cPlan B,\u201d a directive will be issued allowing pharmacists to issue the needed prescriptions. The plan will be submitted for public discussion before implementation.
Poland's minister for equality who fights against various forms of discrimination, Katarzyna Kotula, said on X that \u201cthe morning-after pill will be available, regardless of what is the opinion of the president, who bases his decision on superstition rather than on medical knowledge.\u201d
Abortion in Poland, a predominantly Roman Catholic country, is legal only when the pregnancy threatens a woman\u2019s health or life, or results from rape. The strict law has had a chilling effect on Poland\u2019s doctors and has led to a number of deaths of women with troubled pregnancies.
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These aspects are directly related to health, making the document highly relevant to the topic." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/03/30/8619adc916c657e7012ad28badb664a9.json b/datasets/AP_news/raw_data/2024/03/30/8619adc916c657e7012ad28badb664a9.json new file mode 100644 index 0000000..01fb085 --- /dev/null +++ b/datasets/AP_news/raw_data/2024/03/30/8619adc916c657e7012ad28badb664a9.json @@ -0,0 +1,363 @@ +{ + "altids": { + "itemid": "8619adc916c657e7012ad28badb664a9", + "etag": "8619adc916c657e7012ad28badb664a9_0a17aza0c0", + "friendlykey": "187424381777", + "referenceid": "US--Lost Alaskans" + }, + "version": 0, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-03-30T05:04:30Z", + "firstcreated": "2024-03-30T05:04:30Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: Updates Media.", + "signals": [ + "newscontent" + ], + "title": "US--Lost Alaskans", + "headline": "Volunteers uncover fate of thousands of Lost Alaskans sent to Oregon mental hospital a century ago", + "headline_extended": "A 15-year volunteer effort is helping identify the fates of thousands of Alaskans who were shipped to a controversial psychiatric hospital in Oregon between 1904 and the 1960s", + "slugline": "BC-US-Lost-Alaskans", + "description_summary": "A 15-year volunteer effort is helping identify the fates of thousands of Alaskans who were shipped to a controversial psychiatric hospital in Oregon between 1904 and the 1960s. The patients were committed after being deemed by a jury \u201ctruly insane.\u201d There were no facilities to treat those with mental illness or developmental disabilities in what was then the Alaska territory, so they were sent to Morningside Hospital. Many never left, and their families never learned their fate. Volunteers in Portland and Fairbanks have been combing through government archives to identify the \u201cLost Alaskans\u201d and what happened to them, with the results documented at a new website. The remains of some patients have been returned to Alaska for reburial.", + "bylines": [ + { + "by": "By MARK THIESSEN", + "title": "Associated Press" + } + ], + "located": "ANCHORAGE, Alaska", + "datelinelocation": { + "city": "Anchorage", + "countryareacode": "AK", + "countryareaname": "Alaska", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -149.90028, + 61.21806 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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They whipped whitefish, blueberries and lard into a traditional Alaska Native dessert, and dolloped servings onto a paper plate, setting it in the flames to feed her spirit.
The family prayed as McCormick's great-grandson built a small plywood coffin that was filled with gifts and necessities for the next world, such as her granddaughter's artwork and a hairbrush.
The weeklong Koyukon Athabascan burial ceremony in September was traditional in all ways but one: McCormick died in 1931. Her remains were only recently identified and returned to family.
McCormick was one of about 5,500 Alaskans between 1904 and the 1960s who were committed to a hospital in Portland, Oregon, after being deemed by a jury \u201creally and truly insane,\u201d a criminal offense.
There were no facilities to treat those with mental illness or developmental disabilities in what was then the Alaska territory, so they were sent \u2014 often by dog sled, sleigh or stagecoach \u2014 to a waiting ship in Valdez. The 2,500-mile (4,000 km) journey ended at Morningside Hospital.
Many never left, and their families never learned their fate.
They are known as the Lost Alaskans.
For more than 15 years, volunteers in Fairbanks and in Portland have been working to identify the people who were committed to the hospital. Many were buried in Portland cemeteries, some in unmarked pauper graves. A few, like McCormick, have been returned to Alaska for proper burials.
\u201cIt was pretty powerful that we had Lucy back,\u201d said her grandson, Wally Carlo. \u201cYou could feel the energy when she came back to Alaska, like she had to wait 90-some years for this.\u201d
A new database went online in February to help families see if their long-lost auntie or great-grandfather were among those sent to Morningside. The website, which builds on an earlier blog, is a clearinghouse for research performed by the volunteers.
Finding information has been laborious. Most records at the private hospital were lost in a 1968 fire, and territorial officials didn\u2019t document those who were committed.
The volunteers became history detectives in an investigation that has spanned more than 15 years. Among them: former Alaska health commissioner Karen Perdue; two retired state judges, Niesje Steinkruger and the late Meg Green; and two other Fairbanks residents, Ellen Ganley and Robin Renfroe, aided by Eric Cordingley, a cemetery volunteer in Portland.
They combed through dusty Department of Interior records at the National Archives, the Alaska and Oregon state archives, and old Alaska court records for any tidbit: the results of commitment trials, cemetery files, death certificates, old newspaper stories and U.S. marshals reimbursement records for the costs of escorting patients.
Ganley and Perdue started the search at the National Archives in College Park, Maryland, in 2008. Armed with laptops and a scanner, they gave themselves a week to find any reference to Perdue\u2019s uncle, Gilford Kriska, who had disappeared from the village of Nulato, on the Yukon River in western Alaska, when he was a boy.
They found a wealth of information about others in Morningside's payment requests for housing Alaskans. Finally, they saw her uncle's name on a patient trust account, showing the federal government owed him a few cents.
That entry provided his patient number, which they used to uncover more about Kriska, including that it was village nuns who had him committed.
Kriska eventually returned to Fairbanks, where Perdue said she met him once in the 1970s.
\u201cHe was mildly what we would call developmentally disabled today,\u201d she said. He could read and write but had few life skills.
Perdue said that while she was health commissioner, from 1994 to 2001, many people approached her with similar stories of long-missing relatives. That pain had been passed down in the families for decades \u2014 \u201cintergenerational trauma,\" Perdue said.
There are several thousand names in the new database, with more names and details being added. Users might be able to find when and why a patient was committed, when they left or died, a burial location, and a death certificate.
The hospital was founded in the late 19th century by Dr. Henry Waldo Coe, initially in his home and later on a bucolic farm in Portland. It operated under several names before it was called Morningside.
In 1904 it received a government contract to care for mentally ill Alaskans, a contract that lasted until after Alaska gained statehood in 1959 and began to build its own mental health facilities.
A variety of Alaskans wound up there: miners, housewives, Alaska Natives, a co-founder of Juneau, a banker from Fairbanks. Causes included postpartum depression, cabin fever, epilepsy, addiction and syphilis. The youngest patient was 6 weeks old; the oldest was 96.
Parents sometimes would frighten their children into behaving by mentioning the hospital. \u201cInside, outside, Morningside,\" became a common phrase denoting people could stay in Alaska, move away or be committed.
It was likely letters written by the patients were never sent, and they never received mail meant for them, according to evidence found by retired judge Steinkruger.
Morningside\u2019s treatment of its residents came under public scrutiny by the 1950s. Congressional hearings and public outrage eventually helped force its closure in 1968. A shuttered mall off Interstate 205 now sits on its former grounds.
From Portland, Cordingley documented burial sites at several cemeteries and obtained 1,200 Oregon death certificates.
\u201cI\u2019m just glad that I happened to be here when they needed someone to help,\u201d said Cordingley, who has volunteered at his neighborhood cemetery for about 15 years, helping to clean headstones and decipher obscure burial records.
In 2012, he began creating his own databases to help families find lost loved ones. He built three virtual cemeteries at www.findagrave.com, including photos of death certificates, burial sites and in some cases the patients. One virtual site is dedicated to Alaska Natives who died at Morningside, a second to other patients and a third for Alaska children who died at another Oregon institution, Baby Louise Haven.
Cordingley found Lucy McCormick\u2019s grave marker in Portland, informed the family \u2014 they were stunned \u2014 and later watched as she was disinterred.
McCormick\u2019s aunt, Fairbanks furrier Helen Callahan, claimed she was \u201cinsane,\u201d and McCormick was admitted to Morningside April 5, 1930, after a jury confirmed Callahan's diagnosis, records show.
In January 1931, doctors performed a hysterectomy. McCormick died within weeks from a post-surgery infection.
Wally Carlo said his father and uncles never talked about McCormick, and he never knew what happened to her. After Cordingley found her grave, the family decided to bring her home, Carlo said.
On a beautiful fall day, relatives launched four boats on the Yukon River to take her to her birthplace in the village of Rampart. They were escorted by eagles and swans, \u201clike a salute to Grandma Lucy,\u201d he said. She was laid to rest on a hill overlooking the village of 29 people and the river.
\u201cDon\u2019t ever give up hope and try to get them back to where they belong,\u201d he said. \u201cTheir spirits don\u2019t rest until they\u2019re found and brought back home.\u201d
___
Online: The new database: www.lostalaskans.com A prior blog: www.morningsidehospital.com Alaska Natives who died at Morningside: https://www.findagrave.com/virtual-cemetery/552288 Other patients who died at Morningside: https://www.findagrave.com/virtual-cemetery/152302
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Therefore, it is somewhat relevant to the topic of health but not highly so." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/03/30/a6c881aff4c4cc67627d09af269a45a3.json b/datasets/AP_news/raw_data/2024/03/30/a6c881aff4c4cc67627d09af269a45a3.json new file mode 100644 index 0000000..5ba1e4f --- /dev/null +++ b/datasets/AP_news/raw_data/2024/03/30/a6c881aff4c4cc67627d09af269a45a3.json @@ -0,0 +1,324 @@ +{ + "altids": { + "itemid": "a6c881aff4c4cc67627d09af269a45a3", + "etag": "a6c881aff4c4cc67627d09af269a45a3_3a18aza0c0", + "friendlykey": "860098340874", + "referenceid": "AS--Japan-Drug Supplement Recall" + }, + "version": 3, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-03-31T03:51:25Z", + "firstcreated": "2024-03-30T03:55:32Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: CORRECTS: that Japanese health authorities say the supplements caused the illnesses; actually, they said they suspect the supplements caused the illnesses. UPDATES: Links fresh photos.; Updates Media.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "AS--Japan-Drug Supplement Recall", + "headline": "Japanese officials inspect 2 factories making health supplements linked to 5 deaths", + "headline_extended": "Japanese government health officials are inspecting a factory that produces health supplements that have been linked to at least five deaths and the hospitalization of more than 100 others", + "slugline": "BC-AS-Japan-Drug-Supplement-Recall, 3rd Ld-Writethru", + "description_summary": "Japanese government health officials are inspecting a factory that produces health supplements that have been linked to at least five deaths and the hospitalization of more than 100 others. The Osaka plant of Kobayashi Pharmaceutical Co. was investigated Saturday. Then on Sunday, a plant operated by the company's subsidiary in Kinokawa was raided. Kobayashi Pharmaceutical says little is known about the exact cause of the sicknesses, which include kidney failure. An investigation into the products is underway in cooperation with the government. The supplements all used \u201cbenikoji,\u201d a kind of red mold. Reports of health problems surfaced in 2023, although benikoji has been used in various products for years.", + "bylines": [ + { + "by": "By YURI KAGEYAMA", + "title": "Associated Press" + } + ], + "located": "TOKYO", + "datelinelocation": { + "city": "Tokyo", + "countrycode": "JPN", + "countryname": "Japan", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + 139.69171, + 35.6895 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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A team of 17 health officials from the central and prefectural governments raided a plant operated by the Kobayashi Pharmaceutical Co.'s subsidiary in Kinokawa, in the western Japanese prefecture of Wakayama, under the food sanitation act. NHK public television showed the officials walk into the factory.
The Wakayama plant took over the production of the supplements after Kobayashi Pharmaceutical closed another plant in nearby Osaka, which authorities searched on Saturday, NHK said.
Kobayashi Pharmaceutical spokesperson Yuko Tomiyama told reporters that the company is fully cooperating in the investigation.
The company says little is known about the exact cause of the sicknesses, which include kidney failure.
The supplements being investigated all used \u201cbenikoji,\u201d a kind of red mold, including Kobayashi Pharmaceuticals\u2019 pink pills called Benikoji Choleste Help, which were billed as helping lower cholesterol levels.
The Osaka-based Kobayashi Pharmaceutical said about a million packages were sold over the past three fiscal years. It also sold benikoji to other manufacturers, and some products have been exported. The supplements could be bought at drug stores without a prescription from a doctor.
Reports of health problems surfaced in 2023, although benikoji has been used in various products for years.
The recall came March 22, two months after the company had received official medical reports about the problem. Company president Akihiro Kobayashi has apologized for not having acted sooner.
On Friday, the company said five people had died and 114 people were being treated in hospitals after taking the products.
Japan's health ministry says the supplements could be responsible for the deaths and illnesses, and warned that the number of those affected could grow. The government has ordered a review of the approval system in response to the supplement-related illnesses.
Some analysts blame the recent deregulation initiatives, which simplified and sped up approval for health products to spur economic growth. Deaths from a mass-produced item is rare in Japan, as government checks over consumer products are relatively stringent.
___
This story corrects a previous version that said the supplements caused the deaths and illnesses, according to authorities. Japanese health authorities suspect the supplements are the cause, but have not yet made a determination.
___
AP writer Mari Yamaguchi contributed to this report.
___
Yuri Kageyama is on X: https://twitter.com/yurikageyama
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Francis entered the darkened, silent St. Peter's Basilica in his wheelchair, took his place in a chair and offered an opening prayer. Sounding somewhat congested and out of breath, he blessed an elaborately decorated Easter candle, the flame of which was then shared with other candles until the whole basilica twinkled.
Over an hour later, Francis delivered a 10-minute homily in a strong voice, clearing his throat occasionally.
The evening service, one of the most solemn and important moments in the Catholic liturgical calendar, commemorates the resurrection of Jesus. The Vatican had said Francis skipped the Good Friday procession to ensure his participation in both the vigil service Saturday night, which usually lasts about two hours, and Easter Sunday Mass a few hours later.
The 87-year-old Francis, who had part of one lung removed as a young man, has been battling respiratory problems all winter that have made it difficult for him to speak at length. He and the Vatican have said he has had bronchitis, a cold or the flu.
He has canceled some audiences and often asked an aide to read aloud some of his speeches. But the alarm was raised when he ditched his Palm Sunday homily altogether last week at the last minute and then decided suddenly Friday to stay home rather than preside over the Way of the Cross procession at the Colosseum re-enacting Christ\u2019s crucifixion.
The Vatican said in a brief explanation that the decision was made to \u201cconserve his health.\u201d
The decision appeared to have paid off Saturday night, as Francis was able to recite the prayers of the lengthy vigil service, and perform the sacrament of baptism for the eight adults. The baptism is a traditional feature of the Vatican's Easter Vigil service.
In his homily Francis referred to the stone that the faithful believe was removed from Christ\u2019s tomb after his death. Francis urged Catholics to remove the stones in their lives that \u201cblock the door of our hearts, stifling life, extinguishing hope, imprisoning us in the tomb of our fears and regrets.\u201d
\u201cLet us lift our eyes to him and ask that the power of his resurrection may roll away the heavy stones that weigh down our souls,\u201d he said.
Holy Week is trying for a pope under any circumstance, given four days of liturgies, rites, fasting and prayer. But that is especially true for Francis, who cancelled a trip to Dubai late last year, with just days to go, on doctor\u2019s orders because of his respiratory problems.
In addition to his respiratory problems, Francis had a chunk of his large intestine removed in 2021 and was hospitalized twice last year, including once to remove intestinal scar tissue from previous surgeries to address diverticulosis, or bulges in his intestinal wall. He has been using a wheelchair or cane for nearly two years because of bad knee ligaments.
In his recently published memoirs, \u201cLife: My Story Through History,\u201d Francis said he isn\u2019t suffering from any health problems that would require him to resign and that he still has \u201c many projects to bring to fruition.\u201d
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The king, dressed in a dark overcoat and shiny blue tie, smiled as he made his way along a rope line outside St. George's Chapel for about five minutes, reaching into the crowd to greet supporters who waved get-well cards and snapped photos on a chilly early spring day. \u201cYou\u2019re very brave to stand out here in the cold,\u201d Charles told them.
\u201cKeep going strong,\u201d one member of the crowd shouted as Charles and Queen Camilla walked by.
The 75-year-old monarch\u2019s appearance was seen as an effort to reassure the public after Charles stepped back from public duties in early February following an announcement by Buckingham Palace that he was undergoing treatment for an unspecified type of cancer.
The king has continued fulfilling his state duties, such as reviewing government papers and meeting with the prime minister. But his attendance at a traditional royal event like the Easter service is seen as a sign that he is beginning a managed return to public life. British media reported last week that Charles would slowly increase his public appearances after Easter.
The service itself was smaller than usual as Kate, the Princess of Wales, is also being treated for cancer and has paused public duties. The princess, her husband Prince William, and their children did not attend.
Kate's shock announcement that she, too, had cancer was made on March 22, after weeks of speculation about her health and whereabouts following major abdominal surgery in February.
Charles\u2019 enforced absence from public life has been a setback for a man who is eager to put his stamp on the monarchy after waiting almost 74 years \u2014 longer than any previous heir \u2014 to become king.
When he succeeded his mother, Queen Elizabeth II, Charles faced the daunting task of demonstrating that the 1,000-year-old monarchy remains relevant in a modern nation whose citizens come from all corners of the globe. After less than two years on the throne, the king is still defining himself with the public as he tries to persuade young people and members of minority communities that the royal family can represent them.
\u201cHe knows that being seen by the public and having public goodwill is really what's at the core of a successful monarchy,'' royal commentator Jennie Bond told the BBC. \u201dHe needs to have that interaction and I think he quite enjoys it, actually.''
Some members of the public seemed reassured. Anne Daley, 65, from Cardiff, Wales, held up a Welsh flag to the former Prince of Wales.
\u201cDid you see the smile (Charles) gave me? He pointed at my flag,\u201d she said. \u201cHe had a lovely smile. He looked well. I think he was happy that we\u2019ve all come.\u201d
Although the duties of a constitutional monarch are largely ceremonial, the job of being a royal can be exhausting.
Besides the occasional procession in full royal regalia, there are meetings with political leaders, dedication ceremonies and events honoring the accomplishments of British citizens. That added up to 161 days of royal engagements during Charles\u2019s first year on the throne.
The palace has worked hard to keep the king in the public eye \u2014 even as he sought to limit contacts to reduce his risk of infection while receiving treatment. Videos of the king reading get-well cards and an audience with Prime Minister Rishi Sunak were released. He also attended a session of the Privy Council, an assembly of senior advisers.
While he skipped a pre-Easter service on Thursday, Charles released a prerecorded audio message in which he expressed his regret at missing an occasion traditionally attended by the monarch.
The king also reaffirmed his coronation pledge \u201cnot to be served, but to serve.\u201d
\u201cThat I have always tried to do and continue to do, with my whole heart,\u201d he said.
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The document provides substantial information on the health status and implications for their roles, making it highly relevant to the topic of health." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/04/01/05720aba4741da7045de9aad9c03a9e2.json b/datasets/AP_news/raw_data/2024/04/01/05720aba4741da7045de9aad9c03a9e2.json new file mode 100644 index 0000000..7f3a7ef --- /dev/null +++ b/datasets/AP_news/raw_data/2024/04/01/05720aba4741da7045de9aad9c03a9e2.json @@ -0,0 +1,236 @@ +{ + "altids": { + "itemid": "05720aba4741da7045de9aad9c03a9e2", + "etag": "05720aba4741da7045de9aad9c03a9e2_0a3aza0c0", + "friendlykey": "833792071189", + "referenceid": "NC--Medicaid Expansion" + }, + "version": 0, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-04-01T20:24:27Z", + "firstcreated": "2024-04-01T20:24:27Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: With AP Photo.", + "signals": [ + "newscontent" + ], + "title": "NC--Medicaid Expansion", + "headline": "Medicaid expansion coverage enrollment in North Carolina now above 400,000", + "headline_extended": "Enrollment in North Carolina\u2019s new Medicaid coverage for low-income adults has surpassed 400,000 in its first four months", + "slugline": "AP-NC--Medicaid Expansion", + "description_summary": "Enrollment in North Carolina\u2019s new Medicaid coverage for low-income adults has surpassed 400,000 in its first four months. 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(AP) \u2014 Enrollment in North Carolina's new Medicaid coverage for low-income adults has surpassed 400,000 in the expansion program's first four months, Gov. Roy Cooper announced on Monday.
The full health benefits coverage for some adults ages 19-64 who earn too much to qualify for traditional Medicaid began on Dec. 1, roughly two months after lawmakers completed their last step to implement a deal available through the 2010 federal Affordable Care Act.
Nearly 273,000 people, most of whom had been receiving Medicaid for family-planning coverage alone, were covered on the first day of enrollment. Since then, North Carolina has enrolled an average of more than 1,000 people a day \u2014 a rate that Cooper's office says outpaces other states that have expanded Medicaid.
\u201cThis milestone and the speed at which we\u2019ve reached it shows just how lifechanging Medicaid expansion is for our state and we will continue to get more eligible North Carolinians enrolled,\" Cooper said in a news release.
Cooper's Department of Health and Human Services projects that the state's enrollment under expansion will reach 600,000 within two years. DHHS is working with an array of health organizations and nonprofits to recruit more enrollees.
Many enrollees are young adults or disproportionately live in rural communities, according to the news release, which added that expansion recipients already have benefited from over 700,000 prescriptions and generated more than $11 million in dental service claims.
\u201cPeople aren't just getting covered, they're getting care,\u201d DHHS Secretary Kody Kinsley said in a video on social media.
Since becoming governor in 2017, Cooper, a Democrat, lobbied hard for the Republican-controlled General Assembly to accept expansion. The legislature and Cooper enacted an expansion law in March 2023, but a separate state budget law also had to be approved.
The federal government pays 90% of the cost of expansion, with the remainder paid by an increased assessment on hospitals.
Enrollment also means North Carolina is poised to receive a $1.8 billion bonus over two years from the federal government. DHHS told lawmakers last month that it had already distributed $198 million of that money to nearly 50 government, health, education or nonprofit initiatives.
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In a nationally televised speech on Monday, President Yoon Suk Yeol called the walkouts by doctors \u201can illegal collective action\u201d that poses \u201ca grave threat to our society.\u201d About 12,000 medical interns and residents in South Korea have been on strike for six weeks, causing hundreds of cancelled surgeries and other treatments at university hospitals. Yoon says that increasing the number of doctors is a \u201cstate project that we can\u2019t further delay,\u201d citing the country\u2019s rapidly aging population.", + "bylines": [ + { + "by": "By HYUNG-JIN KIM", + "title": "Associated Press" + } + ], + "located": "SEOUL, South Korea", + "datelinelocation": { + "city": "Seoul", + "countrycode": "KOR", + "countryname": "South Korea", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + 126.9784, + 37.566 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. 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About 12,000 medical interns and residents in South Korea have been on strike for six weeks, causing hundreds of cancelled surgeries and other treatments at university hospitals. In support of their action, many senior doctors at their teaching schools have also submitted resignations though they haven\u2019t stopped treating patients.
Officials say they want to raise the yearly medical school cap by 2,000 from the current 3,058 to create more doctors to deal with the country\u2019s rapidly aging population. Doctors counter that schools can\u2019t handle such an abrupt increase in students and that it would eventually hurt the country\u2019s medical services. But critics say doctors, one of the best-paid professions in South Korea, are simply worried that the supply of more doctors would result in lower future incomes.
Public surveys show that a majority of ordinary South Koreans support the government plan. But observers say many people are increasingly fed up with the protracted confrontation between the government and doctors, threatening to deal a blow to governing party candidates ahead of next week\u2019s parliamentary elections.
In a nationally televised address, President Yoon Suk Yeol said adding 2,000 medical students is the minimum increase needed to address a shortage of physicians in rural areas, the military and essential but low-paying professions like pediatrics and emergency departments. Yoon said South Korea's doctor-to-patient ratio \u2014 2.1 physicians per 1,000 people \u2014 is far below the average of 3.7 in the developed world.
\u201cIncreasing the number of doctors is a state project that we can't further delay,\u201d Yoon said.
Yoon urged the striking doctors to return to work, saying they have a responsibility to protect people's lives in line with the local medical law. He also said the government remains open to talks if doctors come up with a unified proposal that adequately explains their calls for a much smaller increase in the medical school enrollment quota.
\u201cI can't tolerate an attempt to carry through their thoughts by force without due logic and grounds,\u201d Yoon said. \u201cThe illegal collective action by some doctors has become a grave threat to our society.\u201d
Yoon said the recruitment plan won't lead to lower earnings for doctors, citing what he called expected increases in national income and demand for medical services in the fast-aging society. He said the average income of South Korean doctors is the highest in the developed world.
Later Monday, the Korean Medical Association, which represents doctors in South Korea, criticized Yoon for repeating what his government has already argued to support the recruitment plan.
\"It was an address that brought us greater disappointment because we had high hopes\u201d for some changes in the government's position, Kim Sung-geun, a spokesperson for KMA\u2019s emergency committee, told reporters.
Yoon said the government is taking final administrative steps to suspend the licenses of the strikers but added he doesn't want to punish the young doctors. This implies that his government is willing to soften punitive measures on the strikers if they return to work soon.
Yoon recently ordered officials to pursue \u201ca flexible measure\u201d to resolve the dispute and seek constructive consultations with doctors at the request of ruling party leader Han Dong-hoon.
It's unclear if the government and doctors can find a breakthrough to settle their standoff anytime soon. Last week, KMA elected Lim Hyun-taek, a hardliner who has called for a decrease in the medical school admission cap, as its new chief.
After his election Tuesday, Lim said that doctors can sit down for talks with the government if Yoon apologizes and dismisses top health officials involved in the recruitment plan. Lim also threatened to launch an all-out fight if any doctors receive punitive steps over their recent protests.
The striking junior doctors represent a fraction of the total doctors in South Korea \u2014 estimated at 115,000 by Yoon and 140,000 by a doctors' association. But in some major hospitals, they account for about 30% to 40% of doctors, assisting qualified doctors and department chiefs during surgeries and other treatments while training.
Doctors say the government enrollment plan lacks measures to resolve key medical issues such as how to increase the number of physicians in some key but unpopular professions. They say newly recruited students would also try to work in the capital region and in high-paying fields like plastic surgery and dermatology. They say the government plan would also likely result in doctors performing unnecessary treatments due to increased competition.
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The only reported symptom was eye redness, and the patient is recovering. Texas health officials announced the case Monday. Federal health officials say it marks the first known instance globally of a person catching this version of bird flu from a mammal. Health officials say the person had been contact with cows presumed to be infected, and the risk to the public remains low. More than 460 people have died in the past two decades from bird flu infections.", + "bylines": [ + { + "by": "By MIKE STOBBE", + "title": "AP Medical Writer" + } + ], + "located": "ATLANTA", + "datelinelocation": { + "city": "Atlanta", + "countryareacode": "GA", + "countryareaname": "Georgia", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -84.38798, + 33.749 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. 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The patient was being treated with an antiviral drug and their only reported symptom was eye redness, Texas health officials said. Health officials say the person had been in contact with cows presumed to be infected, and the risk to the public remains low.
It marks the first known instance globally of a person catching this version of bird flu from a mammal, federal health officials said.
However, there\u2019s no evidence of person-to-person spread or that anyone has become infected from milk or meat from livestock, said Dr. Nirav Shah, principal deputy director of the Centers for Disease Control and Prevention. Genetic tests don\u2019t suggest that the virus suddenly is spreading more easily or that it is causing more severe illness, Shah said. And current antiviral medications still seem to work, he added.
Last week, dairy cows in Texas and Kansas were reported to be infected with bird flu \u2014 and federal agriculture officials later confirmed infections in a Michigan dairy herd that had recently received cows from Texas. None of the hundreds of affected cows have died, Shah said.
Since 2020, a bird flu virus has been spreading among more animal species \u2013 including dogs, cats, skunks, bears and even seals and porpoises \u2013 in scores of countries. However, the detection in U.S. livestock is an \u201cunexpected and problematic twist,\u201d said Dr. Ali Khan, a former CDC outbreak investigator who is now dean of the University of Nebraska\u2019s public health college.
This bird flu was first identified as a threat to people during a 1997 outbreak in Hong Kong. More than 460 people have died in the past two decades from bird flu infections, according to the World Health Organization.
The vast majority of infected people got it directly from birds, but scientists have been on guard for any sign of spread among people.
Texas officials didn\u2019t identify the newly infected person, nor release any details about what brought them in contact with the cows.
The CDC does not recommend testing for people who have no symptoms. Roughly a dozen people in Texas who did have symptoms were tested in connection with the dairy cow infections, but only the one person came back positive, Shah said.
It's only the second time a person in the United States has been diagnosed with what\u2019s known as Type A H5N1 virus. In 2022, a prison inmate in a work program picked it up while killing infected birds at a poultry farm in Montrose County, Colorado. His only symptom was fatigue, and he recovered.
___
The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute\u2019s Science and Educational Media Group. The AP is solely responsible for all content.
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He spoke to The Associated Press during a battle over funding in Congress that imperils the future of the AIDS program, called PEPFAR. Before it was started 20 years ago, there was almost no affordable effective treatment anywhere between South Africa and the Sahara. Nkengasong recalls the families who would bring their dying loved ones to his clinic and there was nothing he could do.", + "bylines": [ + { + "by": "By ELLEN KNICKMEYER", + "title": "Associated Press" + } + ], + "located": "WASHINGTON", + "datelinelocation": { + "city": "Washington", + "countryareacode": "DC", + "countryareaname": "District of Columbia", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -77.03637, + 38.89511 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. 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If he turned his head to look out the window, Dr. John Nkengasong said, he knew what he would see: another desperate family carrying a dying loved one \u2014 a man or woman already lapsing into a coma, a stick-thin child \u2014 and hoping to find help.
It was before the Bush administration started the U.S. President's Emergency Relief Plan for AIDS Relief, known as PEPFAR, in 2004. There was almost no affordable effective treatment anywhere between South Africa and the Sahara, no rapid HIV tests or high-quality government labs, and few beds for AIDS patients.
Nkengasong has spent decades working in Africa on HIV and AIDS, a career intertwined with the U.S. program that since its introduction 20 years ago has transformed care in some of the hardest-hit countries and saved an estimated 25 million lives. He spoke to The Associated Press during a battle over funding in Congress that imperils the AIDS program's future.
Opponents say the HIV/AIDS funding could be indirectly supporting abortion abroad, although the Biden administration and PEPFAR\u2019s defenders say there is no evidence that it does. After a handful of conservative lawmakers threatened for months to block the funding unless restrictions were attached, a compromise was struck in late March that extends the funding for a year.
But advocates of the program warn that without the full five-year renewal, its future remains in doubt as the political debate over abortion and reproductive rights only becomes more combative.
Before PEPFAR, in most cases, Nkengasong's infectious disease clinic in Abidjan, in the Ivory Coast, could offer the families no care. In their loved ones' last hours, the families who came there often were left to crouch outside, in the parking lot.
They would surround \u201ca skeleton of a human being, with a tinge of flesh over their bodies,\" Nkengasong recalled. \"They held their loved ones, giving them the best comfort they could.\u201d
Soon enough, the sound of wailing would rise through his windows. The cries signaled another death to HIV/AIDS, one of millions in Africa by the mid-2000s.
The scene would be repeated \u201cnearly hour by hour,\u201d Nkengasong said. Sometimes he would get up and close the curtains, blocking out the misery of an epidemic he could not then stem.
Two decades later, Nkengasong says, his trips to the region from his offices in Washington bring joyous meetings with men, women and children whose lives were saved through PEPFAR, credited as the biggest government effort ever against a single disease.
In all, the U.S. program has spent more than $110 billion on HIV care and treatment, local medical systems and social programs aimed at stemming infection. The U.S. says it has saved 25 million lives in sub-Saharan Africa and other vulnerable regions, including those of 5.5 million children.
Nkengasong, who was born in Cameroon and did his graduate studies in Belgium, worked in Africa in the 1990s, when the AIDS epidemic was raging all but unchecked.
It made for a \u201cthriving industry of coffins,\" he said. Visiting cities in Uganda, Rwanda, Kenya and elsewhere for his work on infectious diseases, he would travel streets lined by handmade coffins of all sizes.
Beds of infectious-disease clinics were full of \"adults lying there looking like babies, because of what HIV had done. That ugly face,\" Nkengasong recalled.
With early retroviral medication averaging $10,000 per patient per year, only 50,000 HIV-infected people in sub-Saharan Africa were estimated to be receiving effective treatment in the mid-to-late 1990s. That was out of what the World Health Organization said was 10 million people there living with HIV and AIDS.
One day in spring 2002, as he was in his lab conducting tests, a large American delegation suddenly arrived at the clinic in Abidjan.
Health Secretary Tommy Thompson and other leading U.S. health officials crowded into the facility, along with representatives of businesses and members of faith-based organizations.
\u201cI remember opening the door and the first person who walked through was Dr. Fauci,\u201d Nkengasong recounted. Anthony Fauci, a leading HIV researcher, was then a top official at the U.S. National Institutes of Health and a leader in Nkengasong's field of HIV and AIDS work. \u201cAnd he said, \u2018John, good to see you again.\u2019 And I was so excited.\"
Unbeknownst to Nkengasong and his colleagues, national security adviser Condoleeza Rice and other officials privately had been making the case to President George W. Bush that the global HIV epidemic was where the U.S. could make a huge difference.
For the Bush administration, the epidemic presented an opportunity to do good at a time when the U.S. was waging war in Afghanistan and later Iraq as well after the Sept. 11, 2001 attacks.
Nine months after the Americans showed up in his lab, \u201cwe're watching news on CNN, it was the State of the Union address,\" Nkengasong recalled. \u201cAnd President Bush announced the start of PEPFAR.\u201d
That night, the president pledged an initial $15 billion over the next five years to tackle the AIDS epidemic around the world.
Nkengasong called it the \u201caha moment\" for himself and others fighting AIDS in the most vulnerable region of the world.
Two decades later, AIDS deaths globally have fallen nearly 70% from their peak in 2004. Sub-Saharan Africa is still the most vulnerable region and home to two-thirds of the people living with HIV. But the PEPFAR program and others have strengthened health care systems to deal with infectious diseases, made treatment available to millions, and expanded support for the most at-risk populations, including women.
On a trip back to Abidjan, Nkengasong met a healthy 17-year-old girl, one of millions spared from infection at birth thanks to medical treatment that prevented HIV transmission from their infected mothers.
This past summer, he visited a clinic in Namibia where HIV-infected mothers had delivered \u201csuper healthy\u201d babies thanks to treatment that saved them from infection.
\u201cI grabbed some of the babies and looked at them,\u201d he said. Holding them, he wondered what would have happened to them without proper care.
\u201cAnd they just give you that smile,\" he said.
", + "textformat": "bx", + "links": [ + { + "href": "https://apnews.com/article/aids-hiv-pepfar-nkengasong-abortion-congress-43b09c9ad24530d24161a95b2fb80eaa", + "rel": "canonical" + } + ], + "topics": { + "Health": { + "relevance_score": 5, + "reason": "The document is highly relevant to the topic of Health. It discusses the history, impact, and current challenges of the U.S. President's Emergency Relief Plan for AIDS Relief (PEPFAR), a major global health initiative. The article provides detailed information on the program's efforts to combat HIV/AIDS, its successes, and the ongoing political and funding issues that threaten its future. The narrative includes personal accounts from Dr. John Nkengasong, who has been deeply involved in the fight against HIV/AIDS, further emphasizing the health-related focus of the document." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/04/01/4839ec0e3ce0db76670832235d602a16.json b/datasets/AP_news/raw_data/2024/04/01/4839ec0e3ce0db76670832235d602a16.json new file mode 100644 index 0000000..84f7c08 --- /dev/null +++ b/datasets/AP_news/raw_data/2024/04/01/4839ec0e3ce0db76670832235d602a16.json @@ -0,0 +1,327 @@ +{ + "altids": { + "itemid": "4839ec0e3ce0db76670832235d602a16", + "etag": "4839ec0e3ce0db76670832235d602a16_2a5aza0c0", + "friendlykey": "192173380752", + "referenceid": "US--Havana Syndrome" + }, + "version": 2, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-04-01T21:40:07Z", + "firstcreated": "2024-04-01T16:49:00Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: With Cuban researcher's comments.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "US--Havana Syndrome", + "headline": "US defense official had 'Havana syndrome' symptoms during a 2023 NATO summit, the Pentagon confirms", + "headline_extended": "The Pentagon confirms that a senior Defense Department official who attended last year's NATO summit in Lithuania had symptoms similar to those reported by U_S_ officials who have experienced \u201cHavana syndrome.\"", + "slugline": "BC-US--Havana Syndrome, 2nd Ld-Writethru", + "description_summary": "The Pentagon confirms that a senior Defense Department official who attended last year's NATO summit in Lithuania had symptoms similar to those reported by U.S. officials who have experienced \u201cHavana syndrome.\" The syndrome is a still-unexplained set of symptoms that includes piercing head or ear pain. 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+ }, + { + "code": "f4ecf9b0760d10048044e6e7a0f4673e", + "name": "International", + "type": "AUDSCOPE" + }, + { + "code": "f43adc08760d10048040e6e7a0f4673e", + "name": "National", + "type": "AUDSCOPE" + }, + { + "code": "661850e07d5b100481f5c076b8e3055c", + "name": "Latin America and Caribbean", + "type": "AUDGEOGRAPHY" + }, + { + "code": "661850e07d5b100481f4c076b8e3055c", + "name": "Europe", + "type": "AUDGEOGRAPHY" + }, + { + "code": "661e48387d5b10048291c076b8e3055c", + "name": "United States", + "type": "AUDGEOGRAPHY" + } + ], + "associations": { + "1": { + "altids": { + "itemid": "01f14c3b589142679f6ee2edb79cf335" + }, + "type": "picture" + }, + "2": { + "altids": { + "itemid": "f5ba8b8d28f043ab8353ce97416e2c6a" + }, + "type": "picture" + } + }, + "body_nitf": "WASHINGTON (AP) \u2014 A senior Defense Department official who attended last year's NATO summit in Vilnius, Lithuania, had symptoms similar to those reported by U.S. officials who have experienced \u201cHavana syndrome,\" the Pentagon confirmed Monday.
Havana syndrome is still under investigation but includes a string of health problems dating back to 2016, when officials working at the U.S. Embassy in Havana reported sudden unexplained head pressure, head or ear pain, or dizziness.
The injuries to U.S. government personnel or their families were part of a \u201c60 Minutes\u201d report Sunday that suggested Russia is behind the incidents, one of which took place during the 2023 NATO summit in Vilnius.
\u201cI can confirm that a senior DOD official experienced symptoms similar to those reported in anomalous health incidents,\u201d deputy press secretary Sabrina Singh told reporters Monday. Singh referred questions on whether Russia had a role to the intelligence community, which is still investigating.
The official, who was not identified, was not part of Defense Secretary Lloyd Austin's official traveling delegation to Vilnius, Singh said, but was there \u201cseparately, attending meetings that were part of the NATO summit.\"
Singh did not say whether the affected defense official had to seek further medical care, retire or cease performing duties, citing medical privacy.
In February the Office of the Director of National Intelligence in its 2024 threat assessment found that it was \u201cunlikely\u201d that a foreign adversary was responsible for causing the mysterious ailments but noted that U.S. intelligence agencies had varying levels of confidence in that assessment.
State Department spokesman Matthew Miller told reporters on Monday the department has confidence in that assessment.
\u201cIt has been the broad conclusion of the intelligence community since March 2023 that is unlikely a foreign adversary is responsible for these anomalous health incidents,\u201d Miller said. \"It\u2019s something that the intelligence community has investigated extensively and continues to look at. We will look at new information as it comes in and make assessments inside the State Department and with our intelligence community.\u201d
The foremost Cuba-based researcher of the incidents, Mitchell Vald\u00e9s-Sosa, told The Associated Press that the \u201c60 Minutes\u201d report had failed to provide any scientific basis to substantiate the existence of the Havana syndrome. Vald\u00e9s-Sosa, director of Cuba\u2019s Center for Neuroscience, is the de facto spokesperson on the issue for the Cuban health ministry, which arranged the interview.
\u201cI think that this journalistic investigation does not provide serious elements, especially that there is a new illness caused by a mysterious energy,\u201d he said. \u201cThe symptoms are very varied: balance problems, sleep problems, dizziness, difficulties concentrating, and many diseases can cause them.\u201d
In the past, Vald\u00e9s-Sosa hasn\u2019t disputed that diplomats become ill, but suggested that many of the cases consisted of ordinary illnesses that were erroneously blamed on the supposed phenomenon due to the high degree of public attention.
The Pentagon's health care system has established a registry for employees or dependents to report such incidents. In March, however, a five-year study by the National Institutes of Health found no brain injuries or degeneration among U.S. diplomats and other government employees who had Havana syndrome symptoms.
\u2014-
Andrea Rodriguez contributed from Havana and AP Diplomatic Writer Matthew Lee contributed from Washington.
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The U.S. Department of Health and Human Services says consent is needed for exams that are for \u201ceducational and training purposes.\" Federal regulations previously mentioned obtaining consent for \u201cimportant tasks\u201d related to surgeries. Hospitals may be ineligible for participation in Medicare and Medicaid programs if consent is not obtained. They also may be fined or be investigated if they violate patient privacy laws.", + "bylines": [ + { + "by": "By DEVNA BOSE", + "title": "AP Health Writer" + } + ], + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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New guidance from the U.S. Department of Health and Human Services now requires consent for breast, pelvic, prostate and rectal exams for \u201ceducational and training purposes\u201d performed by medical students, nurse practitioners or physician assistants.
The department's release said the guidance was issued to \u201creiterate and provide clarity\u201d regarding hospital consent requirements. Federal regulations previously mentioned obtaining consent for \u201cimportant tasks\u201d related to surgeries, and did not provide the level of detail about medical students.
If hospitals don\u2019t obtain explicit consent, they may be ineligible for participation in Medicare and Medicaid programs, and also may be subject to fines and investigations if they violate patient privacy laws, Office of Civil Rights director Melanie Fontes Rainer said.
Doctors and medical students sometimes perform exams of sensitive areas for training purposes when a patient is under anesthesia. At least 20 states have passed laws requiring a patient's consent.
HHS Secretary Xavier Becerra and other top health officials criticized these exams happening without explicit consent in a letter sent to teaching hospitals and medical schools Monday. The letter said hospitals need to set \u201cclear guidelines to ensure providers and trainees performing these examinations first obtain and document informed consent.\u201d
It's difficult to say how often these exams take place, experts said, or how often patients understand what they're consenting to when they sign forms before surgery giving broad consent for a range of procedures.
The letter is a \u201ccritical leap forward in protecting patients and medical residents,\" Scott Berkowitz, founder and president of the Rape, Abuse and Incest National Network, said in a statement.
\u201cIt\u2019s a shocking problem with a very simple solution \u2014 hospitals need to ask for consent clearly and explicitly,\u201d he said.
Alexandra Fountaine, a medical student at Ohio University who testified in front of a state House committee against the practice, was skeptical that the letter would result in \u201cactual policy or real change.\u201d But, she added, it made her feel more protected and respected.
\u201cSomething like that happening is my biggest fear,\u201d she said. \u201cAs women we\u2019re all afraid of being violated on a daily basis \u2026 but when we\u2019re put in very vulnerable positions, like being anesthetized, I think that\u2019s especially terrifying.\u201d
___
The Associated Press Health and Science Department receives support from the Robert Wood Johnson Foundation. The AP is solely responsible for all content.
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The document also includes statements from health officials and experts, further emphasizing its relevance to the health topic." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/04/01/6a4949fc7459afe9b5e298086a793126.json b/datasets/AP_news/raw_data/2024/04/01/6a4949fc7459afe9b5e298086a793126.json new file mode 100644 index 0000000..083afb5 --- /dev/null +++ b/datasets/AP_news/raw_data/2024/04/01/6a4949fc7459afe9b5e298086a793126.json @@ -0,0 +1,319 @@ +{ + "altids": { + "itemid": "6a4949fc7459afe9b5e298086a793126", + "etag": "6a4949fc7459afe9b5e298086a793126_5a11aza0c0", + "friendlykey": "910244730813", + "referenceid": "US--Abortion-Florida" + }, + "version": 5, + "type": "text", + "urgency": 3, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-04-01T23:49:44Z", + "firstcreated": "2024-04-01T20:17:41Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: Adds more background.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "US--Abortion-Florida", + "headline": "Florida Supreme Court upholds state\u2019s 15-week abortion ban, but voters will soon have a say", + "headline_extended": "The Florida Supreme Court has cleared the way for a ban on abortions after six weeks of pregnancy, before many women know they are pregnant", + "slugline": "BC-US--Abortion-Florida, 5th Ld-Writethru", + "description_summary": "The Florida Supreme Court has cleared the way for a ban on abortions after six weeks of pregnancy, before many women know they are pregnant. 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(AP) \u2014 The Florida Supreme Court on Monday cleared the way for the state to ban abortions after six weeks of pregnancy, before many women know they are pregnant, while also giving voters a chance to remove restrictions in November.
The court, which was reshaped by Republican Gov. Ron DeSantis, ruled 6-1 to uphold the state's ban on most abortions after 15 weeks of pregnancy, meaning a ban on six weeks could soon take effect. But under a separate 4-3 ruling, the court allowed a ballot measure to go to voters that would enshrine abortion rights in Florida's constitution.
The court\u2019s decisions could be pivotal in the presidential race and congressional contests this year by driving abortion-rights supporters to the polls. Since the U.S. Supreme Court overturned Roe v. Wade in June 2022, voters in every state with an abortion-related ballot measure have favored the side backed by abortion rights supporters.
The 15-week ban, signed by DeSantis in 2022, has been enforced while it was challenged in court. The six-week ban, passed by the Legislature last year, was written so that it would not take effect until a month after the 2022 law was upheld.
Planned Parenthood, the American Civil Liberties Union and others who challenged the law argued that the Florida Constitution\u2019s unique privacy clause for more than 40 years has explicitly protected a right to abortion in the state and should remain in force.
Lawyers for the state, however, said when the privacy clause was adopted by voter referendum in 1980, few people understood it would cover abortion. They told the justices the clause was mainly meant to cover \u201cinformational privacy\u201d such as personal records and not abortion.
The Florida justices agreed, saying that when voters approved the privacy clause, they didn't know it would affect abortion laws.
\u201cThe debate \u2014 as framed to the public \u2014 overwhelmingly associated the Privacy Clause\u2019s terms with concerns related to government surveillance and disclosure of private information to the public'\u201d the court wrote. \u201cProlife and prochoice groups did not join in the fray. These groups are not politically bashful\u2014 not now, and not in 1980.\u201d
DeSantis, who took office in 2019, appointed five of the court\u2019s seven justices.
Republican House Speaker Paul Renner said the six-week ban is a good fit for Florida and noted the law includes exceptions for cases involving rape, incest and fetal abnormalities, as well as to save a mother's life.
\"It is a compromise that addresses where I think many Floridians are.\u201d
Abortion rights proponents were disheartened by the ruling.
\u201cThis decision demonstrates how precarious our personal freedoms are in this state,\u201d said Democratic Rep. Anna Eskamani. \u201cIt\u2019s so extreme you\u2019re going to see Floridians having to go out of state, probably to Virginia, to get care.\u201d
The Florida Access Network plans to switch its strategy from finding abortion care for women in Florida to paying for their travel expenses to go out of state, said Stephanie Loraine Pineiro, the advocacy group\u2019s executive director.
\u201cPeople who can\u2019t afford to travel, can\u2019t afford to lose their jobs because they have to travel for abortion care, these are the people who are going to be forced to remain pregnant,\u201d she said. \u201cThe collateral damage is all of us.\u201d
The proposed constitutional amendment that will be on the November ballot says \u201cno law shall prohibit, penalize, delay, or restrict abortion before viability or when necessary to protect the patient\u2019s health, as determined by the patient\u2019s healthcare provider.\u201d It provides for one exception that is already in the state constitution: Parents must be notified before their minor children can get an abortion.
Most Republican-controlled states have adopted bans or restrictions on abortions since the U.S. Supreme Court's Dobbs decision.
A survey of abortion providers conducted for the Society of Family Planning, which advocates for abortion access, found that Florida had the second-largest increase in the total number of abortions provided since the Dobbs decision. The state\u2019s data shows that more than 7,700 women from other states received abortions in Florida in 2023.
Fourteen states, including nearby Alabama, Louisiana and Mississippi, now have bans on abortion at all stages of pregnancy, with limited exceptions. Georgia and South Carolina bar it once cardiac activity can be detected, which is generally considered to be around six weeks into pregnancy.
___
Associated Press writers Geoff Mulvihill in Cherry Hill, N.J.; Terry Spencer in Fort Lauderdale, Florida; Stephany Matat in West Palm Beach; Mike Schneider in Orlando; Curt Anderson in St. Petersburg; and David Fischer in Miami contributed to this report.
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This is the abridged version. A longer story is available.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "AS--Taiwan-Fighting Fake News-ABRIDGED", + "headline": "In Taiwan, a group is battling fake news one conversation at a time \u2014 with a focus on seniors", + "headline_extended": "A group in Taiwan is focusing on seniors as it tries to combat fake news, one conversation at a time", + "slugline": "BC-AS--Taiwan-Fighting Fake News-ABRIDGED, 1st Ld-Writethru", + "description_summary": "A group in Taiwan is focusing on seniors as it tries to combat fake news, one conversation at a time. Fake News Cleaner has hosted more than 500 events over six years. It has connected with college students, elementary-school children and seniors that are particularly vulnerable. And its representatives are filling up lecture halls as they become a key voice in the effort to rid Taiwan of disinformation. Their particular specialty is older citizens, who are susceptible to a constantly updating technological landscape. As one of the group\u2019s co-founders says, they do it because \u201cthis entire society is being torn apart\u201d by bad information.", + "bylines": [ + { + "by": "By HUIZHONG WU", + "title": "Associated Press" + } + ], + "located": "TAIPEI, Taiwan", + "datelinelocation": { + "city": "Taipei", + "countrycode": "TWN", + "countryname": "Taiwan", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + 121.53185, + 25.04776 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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They\u2019d head out to a church, a temple, a park and set up a stall. They\u2019d seek out seniors in particular, those who are perhaps the most vulnerable citizens of the information-saturated society that has enveloped them. To get people to stop and listen, they\u2019d offer free bars of soap \u2014 a metaphor for the scrubbing that they were undertaking.
They\u2019d talk to people, ask them about their lives and their media consumption habits. They\u2019d ask: How has fake news hurt you? They\u2019d teach techniques to punch through the static, to see the illogic in conspiracy theories, to find the facts behind the false narratives that can sometimes shape our lives.
Nearly six years later, with just one formal employee and a team of volunteers, Fake News Cleaner has hosted more than 500 events, connecting with college students, elementary-school children \u2014 and the seniors that, some say, are the most vulnerable to such efforts.
Its people are filling up lecture halls and becoming a key voice in an effort as pressing here as anywhere: scrubbing Taiwan of disinformation and the problems it causes, one case at a time.
Like any democratic society, Taiwan is flooded with assorted types of disinformation. It touches every aspect of a person\u2019s life, from conspiracy theories on vaccines to health claims aimed at promoting supplements to rumors about major Taiwanese companies leaving the island.
Despite its very public nature, disinformation has a deeply personal impact \u2014 particularly among Taiwan\u2019s older people. It thrives in the natural gaps between people that come from generational differences and a constantly updating tech landscape, then enlarges those gaps to cause rifts.
\u201cThey have no way to communicate,\u201d says Melody Hsieh, who co-founded the group with Shu-huai Chang in 2018. \u201cThis entire society is being torn apart, and this is a terrible thing.\u201d
Taiwan is already home to several established fact-checking organizations. There\u2019s Co-Facts, a well known AI-driven fact-checking bot founded by a group of civic hackers. There are the Taiwan Fact Check Center and MyGoPen. But such organizations presume that you\u2019re at least somewhat tech-savvy \u2014 that you can find a fact-check organization\u2019s website or add a fact-checking bot.
Yet many of the people most affected are the least tech-savvy. Fake News Cleaner believes addressing this gap requires an old-school approach: going offline. At the heart of the group\u2019s work is approaching people with patience and respect while educating them about the algorithms and norms that drive the platforms they use.
Hsieh says she was moved after seeing too many instances of division because of fake news: a couple that divorced, a mom who kicked her kid out of the house. Many such stories surfaced in 2018 when Taiwan held a national referendum on a number of social issues including on nuclear energy, sex education, and gay marriage.
At their second-ever event, Hsieh and Chang met a victim of fake news. A vegetable seller told them he\u2019d lost sales because people had read that the vegetable fern he planted and sold, known locally as guomao, caused cancer. Business faded, and the vendor had to sell off part of his land. For a year, even restaurants didn\u2019t order from him.
Keep up the work, he told them \u2014 it\u2019s needed.
At a community center hosted by Bangkah Church in Taipei\u2019s Wanhua neighborhood, a crowd of seniors listen to 28-year old Tseng Yu-huan speak on behalf of Fake News Cleaner.
The attendees, many of whom come daily to the church\u2019s college for seniors, are learning why fake news is so compelling. Tseng shows them some sensational headlines. One: A smoothie mix of sweet potato leaves and milk was said to be a detox drink. Another: rumors that COVID-19 was being spread from India because of dead bodies in rivers. He used mostly examples from Line, a Korean messaging app popular in Taiwan.
With just one formal employee and a team of volunteers, Fake News Cleaner has combed Taiwan\u2019s churches, temples, small fishing villages and parks, spreading awareness. While they started with a focus on seniors, the group has also lectured at colleges and even elementary schools. Early on, to catch their target audience, Hsieh and her co-founders would get to the hiking trails near her home by 5 a.m. to set up a stall while offering free bars of soap to entice people to stop and listen.
Now the group has a semester-long course at a community college in Kaohsiung, in addition to their lectures all across Taiwan, from fishing villages to community centers.
Fake News Cleaner avoids politics and takes no funding from the government or political parties. This is because of Taiwan\u2019s highly polarized political environment, where media outlets are often referred to by the color of the political party they back. Instead, the group focuses lectures on everyday topics like health and diet or economic scams.
The key is to teach people to think about what they\u2019re consuming, and not just reading a fact-checked article. \u201cWhat we are dealing with is not about true or false,\u201d says Tseng, the teacher. \u201cIt\u2019s actually about family relationships and tech.\u201d
At Bangkah Church, the audience watches Tseng as he lectures the audience about content farms, websites that aggregate content or generate their own articles regardless of the truth, and how these content farms make money. He also asks: Do the articles have bylines? Who wrote them?
Fake news relies on emotion to generate clicks. So often, headlines are sensational and appeal directly to three types of emotions: hatred, panic or surprise. A click or a page view means more money for the websites, Tseng explains. The retirees watch him, engrossed.
Many elderly people end up with expensive phones bought by their children that they don\u2019t know how to use, says Moon Chen, Fake News Cleaner\u2019s secretary-general. Sometimes their children open a Facebook or Line account for them but don\u2019t explain the phone\u2019s fundamentals.
That produces trouble. Algorithms serve up pages that the phone user hasn\u2019t followed to fill up the page, the provenance of information becomes hazy and people can get confused.
Chuang Tsai-yu, sitting in on a recent lecture by the group in Taipei, once saw a message online that told people to hit their chest in a way that would save them in the case of heart discomfort. She said she actually tried it out herself.
Later, she asked her doctor about it. His advice: Go directly to the emergency room and get checked for a heart attack.
\u201cWe really do believe the things people will send us,\u201d Chuang says. \u201cBecause when you\u2019re older, we don\u2019t have as much of a grasp on the outside world.\"
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(AP) \u2014 Oregon's Democratic Gov. Tina Kotek on Monday signed into law a bill that recriminalizes the possession of small amounts of drugs, ending a first-in-the-nation experiment with decriminalization that was hobbled by implementation issues.
The new law rolls back a 2020 voter-approved measure by making so-called personal use possession a misdemeanor punishable by up to six months in jail. It also establishes ways for treatment to be offered as an alternative to criminal penalties by encouraging law enforcement agencies to create deflection programs that would divert people to addiction and mental health services instead of the criminal justice system.
In a signing letter, Kotek said the law's success will depend on \u201cdeep coordination\u201d between courts, police, prosecutors, defense attorneys and local mental health providers, describing them as \u201cnecessary partners to achieve the vision for this legislation.\u201d
Measure 110, approved by voters with 58% support in 2020, made the personal use possession of illicit drugs such as heroin, cocaine and methamphetamine only punishable by a ticket and a maximum fine of $100. Supporters said treatment is more effective than jail in helping people overcome addiction and that the decadeslong approach of arresting people for possessing and using drugs hasn\u2019t worked.
The law directed hundreds of millions of dollars of the state\u2019s cannabis tax revenue toward addiction services. But the money was slow to get out the door and health authorities, already grappling with the COVID-19 pandemic, struggled to stand up the new treatment system, state auditors found. At the same time, the fentanyl crisis began to spark an increase in deadly overdoses.
Those pressures prompted Oregon Democrats to shift their stance on decriminalization policy in recent months.
Some who historically supported the measure voted for the new law during this year's short legislative session. While other Democratic lawmakers opposed the measure, concerned it would result in more arrests and exacerbate social inequities, it ultimately passed the Democrat-controlled Legislature last month.
GOP leaders had long sought to overhaul Measure 110. After Kotek's signing, House Minority Leader Jeff Helfrich said the law illustrated how Republicans \"stood united and forced Democrats\u201d to restore criminal penalties.
The changes take effect Sept. 1.
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Therefore, it is somewhat relevant to the topic of health but not highly focused on it." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/04/01/ad831352cb90abd5bbc873f498cbf286.json b/datasets/AP_news/raw_data/2024/04/01/ad831352cb90abd5bbc873f498cbf286.json new file mode 100644 index 0000000..8fc92a7 --- /dev/null +++ b/datasets/AP_news/raw_data/2024/04/01/ad831352cb90abd5bbc873f498cbf286.json @@ -0,0 +1,306 @@ +{ + "altids": { + "itemid": "ad831352cb90abd5bbc873f498cbf286", + "etag": "ad831352cb90abd5bbc873f498cbf286_1a11aza0c0", + "friendlykey": "53057127081", + "referenceid": "US--Abortion-Marijuana-Florida" + }, + "version": 1, + "type": "text", + "urgency": 3, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-04-01T22:32:47Z", + "firstcreated": "2024-04-01T20:10:06Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: This story has been updated with additional details and quotes. ; With AP Photos.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "US--Abortion-Marijuana-Florida", + "headline": "Florida voters will decide whether to protect abortion rights and legalize pot in November", + "headline_extended": "The Florida Supreme Court will allow the state\u2019s voters in November to decide whether to protect abortion rights and legalize recreational use of marijuana", + "slugline": "BC-US--Abortion-Marijuana-Florida, 1st Ld-Writethru", + "description_summary": "The Florida Supreme Court will allow the state\u2019s voters in November to decide whether to protect abortion rights and legalize recreational use of marijuana. The rulings Monday reject Attorney General Ashley Moody\u2019s arguments that both of the proposed questions should have been rejected. The proposed abortion amendment says \u201cno law shall prohibit, penalize, delay, or restrict abortion before viability or when necessary to protect the patient\u2019s health, as determined by the patient\u2019s healthcare provider.\u201d One exception is that parents must be notified before their minor children can get an abortion. The second measure would allow people over 21 to use marijuana. Florida voters previously approved use of medical marijuana.", + "bylines": [ + { + "by": "By BRENDAN FARRINGTON and TERRY SPENCER", + "title": "Associated Press" + } + ], + "located": "TALLAHASSEE, Fla.", + "datelinelocation": { + "city": "Tallahassee", + "countryareacode": "FL", + "countryareaname": "Florida", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -84.28073, + 30.43826 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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(AP) \u2014 The Florida Supreme Court issued rulings Monday allowing the state's voters to decide whether to protect abortion rights and legalize recreational use of marijuana, rejecting the state attorney general's arguments that the measures should be kept off the November ballot.
The court was not ruling on the merits of the measures, but only whether they meet the requirements for clarity and don't violate the state constitution's mandate that they only cover one subject.
The court\u2019s ruling came the same day it upheld the state\u2019s ban on most abortions after 15 weeks of pregnancy. State lawmakers had tightened the ban to six weeks while the issue was still in court. Monday's ruling, therefore, likely paves the way for the six-week ban to go into effect.
The justices by a 4-3 vote approved for the ballot a proposed amendment that would protect the right to an abortion. The four male justices constituted the majority while the three women opposed allowing the measure to proceed.
The proposed amendment says \u201cno law shall prohibit, penalize, delay, or restrict abortion before viability or when necessary to protect the patient\u2019s health, as determined by the patient\u2019s healthcare provider.\u201d It provides for one exception that is already in the state constitution: Parents must be notified before their minor children can get an abortion.
The majority rejected Republican Attorney General Ashley Moody 's argument that the proposed amendment is deceptive and that voters won\u2019t realize just how far it will expand access to the procedure.
They also rejected an argument that the measure violates the single-subject clause because it would both allow abortions before the fetus is viable and for the mother\u2019s health. The opponents had argued that some voters might approve of allowing abortions to protect the mother\u2019s health, but would reject allowing unrestricted abortions before viability. They claimed those are separate subjects.
The majority said that under both Florida and federal law, \u201cabortion has historically involved two major interconnected matters: the viability of the fetus and the health of the mother.\u201d
\u201cThe mere fact that electors might not agree with the entirety of the amendment does not render it violative of the single-subject requirement,\u201d the justices wrote.
Writing for the dissenters, Justice Jaime Grosshans wrote that the measure's ballot summary is misleading and should have been rejected.
\u201cThe summary does not give the voter any clarity on the decision they must actually make or reveal the amendment\u2019s chief purpose. Instead, it misleads by omission and fails to convey the breadth of what the amendment actually accomplishes \u2014 to enshrine broad, undefined terms in our constitution that will lead to decades of litigation.\u201d
The ruling could give Democrats a boost in the polls in a state that used to be a toss-up in presidential elections. While many voters aren\u2019t enthusiastic about a rematch between former President Donald Trump and President Joe Biden, it could inspire more abortion rights advocates to cast a ballot. Trump won Florida four years ago.
Republican Gov. Ron DeSantis' office issued a statement criticizing the ruling and supporting \u201cthe three women on the Court who got it right.\" He appointed all three women to the court and two of the four men.
\u201cThis amendment is misleading and will confuse voters,\" the statement said. \u201cThe language hides the amendment\u2019s true purpose of mandating that abortions be permitted up to the time of birth.\u201d
But Anna Hochkammer, executive director of Florida Women\u2019s Freedom Coalition, applauded the decision, calling it \u201ca huge step forward in our ongoing fight to safeguard a woman\u2019s right to have an abortion and to limit government interference in their personal healthcare decisions.\"
\u201cThe overwhelming response from Floridians from every political affiliation, religion and walk of life signifies that this issue transcends partisan politics; it\u2019s about healthcare, plain and simple,\u201d she said.
Florida will now be one of several states where voters could have a direct say on abortion questions this year.
There has been a major push across the country to put abortion rights questions to voters since the U.S. Supreme Court overturned Roe v. Wade and removed the nationwide right to abortion. Referendums to guarantee abortion rights are set for Maryland and New York, and activists on both sides of the issue in at least seven other states are working to get measures on 2024 ballots.
The justices voted 5-2 to allow on the ballot a measure that would allow companies which already grow and sell medical marijuana to sell it to adults over 21 for any reason. The ballot measure also would make possession of marijuana for personal use legal.
Moody argued that the proposal is deceptive, in part, because federal law still doesn't allow recreational or medical use of marijuana. She argued that the court previously erred when it approved the language for the medical marijuana ballot initiative voters passed in 2016.
In the majority opinion, Grosshans rejected Moody's argument, saying the measure will not confuse voters as it \u201cclearly states that the amendment legalizes adult personal possession and use of marijuana as a matter of Florida law.\u201d
Grosshans rejected an argument by others that the measure violates the prohibition against multi-subject ballot measures because it both decriminalizes marijuana and allows for its sale. Grosshans wrote that those two are logically linked.
\u201cLegalization of marijuana presumes the product will be available for the consumer. Likewise, the sale of personal-use marijuana cannot be reasonably undertaken while possession is criminalized. Selling and possessing marijuana appear, for better or worse, directly connected,\u201d Grosshans wrote.
This measure, too, could be an issue that motivates more Democrats to vote.
__
Spencer reported from Fort Lauderdale, Florida. Associated Press writers Curt Anderson in St. Petersburg, Florida, and David Fischer in Miami contributed to this report.
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It's finally changing", + "headline_extended": "A racially biased test delayed Black patients from getting a kidney transplant and now more than 14,000 are part of a move to make amends", + "slugline": "BC-MED-Kidney-Transplants-Race, 3rd Ld-Writethru", + "description_summary": "A racially biased test delayed Black patients from getting a kidney transplant and now more than 14,000 are part of a move to make amends. The U.S. transplant system ordered hospitals to quit using a test that made Black patients' kidneys appear healthier than they really were. Next hospitals had to dig through years-old records to determine which patients should have been put on the transplant list sooner and give them credit for lost time. It's part of a huge problem \u2014 formulas embedded in treatment guidelines, risk calculators and other medical decisions that put people of color at disadvantage.", + "bylines": [ + { + "by": "By LAURAN NEERGAARD", + "title": "AP Medical Writer" + } + ], + "located": "PHILADELPHIA", + "datelinelocation": { + "city": "Philadelphia", + "countryareacode": "PA", + "countryareaname": "Pennsylvania", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -75.16362, + 39.95238 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. For other uses, additional clearances may be required." + ], + "keywords": [ + "kidney transplant race Black inequity bias" + ], + "provider": "AP", + "infosource": [ + { + "name": "AP", + "type": "AP" + } + ], + "subject": [ + { + "rels": [ + "category" + ], + "creator": "Editorial", + "code": "a", + "name": "a" + }, + { + "rels": [ + "category" + ], + "creator": "Editorial", + "code": "n", + "name": "n" + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "7077b3c88b6b10048b67a385cd5ce603", + "name": "Medical technology", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 61 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "ec28dcdfc4ca4ac9918d3b61427e65c3", + "name": "Race and ethnicity", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 71 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "cc7a76087e4e10048482df092526b43e", + "name": "Health", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 81 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "0257de087f6910048a8ddf092526b43e", + "name": "Organ transplants", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 93 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "ec28dcdfc4ca4ac9918d3b61427e65c3", + "name": "Race and ethnicity", + "creator": "Editorial", + "editorial_subject": "Race and ethnicity", + "rels": [ + "direct" + ], + "relevance": 75 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "a4677d70863b4012b846a1b00f5079f5", + "name": "U.S. news", + "creator": "Editorial", + "editorial_subject": "U.S. news", + "rels": [ + "direct" + ], + "relevance": 75 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "f25af2d07e4e100484f5df092526b43e", + "name": "General news", + "creator": "Editorial", + "editorial_subject": "General news", + "rels": [ + "direct" + ], + "relevance": 50 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "cc7a76087e4e10048482df092526b43e", + "name": "Health", + "creator": "Editorial", + "editorial_subject": "Health", + "rels": [ + "direct" + ], + "relevance": 99 + } + ], + "organisation": [ + { + "scheme": "http://cv.ap.org/id/", + "code": "1076829118f44cf8b4fc2b40b7045433", + "name": "American Athletic Conference", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 37 + } + ], + "place": [ + { + "scheme": "http://cv.ap.org/id/", + "code": "134f051882c710048891df092526b43e", + "name": "Philadelphia", + "creator": "Machine", + "rels": [ + "direct" + ], + "parentids": [ + "0b394d7082c71004887fdf092526b43e" + ], + "locationtype": { + "code": "9d26a20b35f0484a891740f8189d4c7b", + "name": "City" + }, + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -75.16379, + 39.95234 + ] + }, + "relevance": 41, + "parentnames": [ + "Pennsylvania" + ] + } + ], + "audiences": [ + { + "code": "82c6a4c46fa0446090a7acaf93159e4c", + "name": "Print", + "type": "AUDPLATFORM" + }, + { + "code": "9add4649b53b4702ba7d9de5d4fa607a", + "name": "Online", + "type": "AUDPLATFORM" + }, + { + "code": "f43adc08760d10048040e6e7a0f4673e", + "name": "National", + "type": "AUDSCOPE" + }, + { + "code": "f5b16ea8760d10048047e6e7a0f4673e", + "name": "State", + "type": "AUDSCOPE" + }, + { + "code": "0b394d7082c71004887fdf092526b43e", + "name": "Pennsylvania", + "type": "AUDGEOGRAPHY" + }, + { + "code": "661e48387d5b10048291c076b8e3055c", + "name": "United States", + "type": "AUDGEOGRAPHY" + } + ], + "associations": { + "1": { + "altids": { + "itemid": "d2c68ddcc058451786d42b9044abeab0" + }, + "type": "picture" + }, + "2": { + "altids": { + "itemid": "e087150f047444afb549a4f694fc79a0" + }, + "type": "picture" + }, + "3": { + "altids": { + "itemid": "18ad5f55ddec4d179764d9251d3f56f3" + }, + "type": "picture" + }, + "4": { + "altids": { + "itemid": "b206afcad85345d4ae91fb779efc33a5" + }, + "type": "video" + }, + "5": { + "altids": { + "itemid": "ee768e543d2543579f45bd9f288b617d" + }, + "type": "audio" + }, + "6": { + "altids": { + "itemid": "4486035f66e048728dbd30a518a85c3e" + }, + "type": "audio" + }, + "7": { + "altids": { + "itemid": "1742da7a267d481e8be5f376b44b116d" + }, + "type": "audio" + }, + "8": { + "altids": { + "itemid": "c1955275777d4301ab7d83954b9de811" + }, + "type": "audio" + } + }, + "body_nitf": "PHILADELPHIA (AP) \u2014 Jazmin Evans had been waiting for a new kidney for four years when her hospital revealed shocking news: She should have been put on the transplant list in 2015 instead of 2019 \u2014 and a racially biased organ test was to blame.
As upsetting as that notification was, it also was part of an unprecedented move to mitigate the racial inequity. Evans is among more than 14,000 Black kidney transplant candidates so far given credit for lost waiting time, moving them up the priority list for their transplant.
\u201cI remember just reading that letter over and over again,\" said Evans, 29, of Philadelphia, who shared the notice in a TikTok video to educate other patients. \"How could this happen?\u201d
At issue is a once widely used test that overestimated how well Black people\u2019s kidneys were functioning, making them look healthier than they really were \u2014 all because of an automated formula that calculated results for Black and non-Black patients differently. That race-based equation could delay diagnosis of organ failure and evaluation for a transplant, exacerbating other disparities that already make Black patients more at risk of needing a new kidney but less likely to get one.
A few years ago, the National Kidney Foundation and American Society of Nephrology prodded laboratories to switch to race-free equations in calculating kidney function. Then the U.S. organ transplant network ordered hospitals to use only race-neutral test results in adding new patients to the kidney waiting list.
\u201cThe immediate question came up: What about the people on the list right now? You can\u2019t just leave them behind,\u201d said Dr. Martha Pavlakis of Boston\u2019s Beth Israel Deaconess Medical Center and former chair of the network\u2019s kidney committee.
Pavlakis calls what happened next an attempt at restorative justice: The transplant network gave hospitals a year to uncover which Black kidney candidates could have qualified for a new kidney sooner if not for the race-based test \u2014 and adjust their waiting time to make up for it. That lookback continues for each newly listed Black patient to see if they, too, should have been referred sooner.
Between January 2023 and mid-March, more than 14,300 Black kidney transplant candidates have had their wait times modified, by an average of two years, according to the United Network for Organ Sharing, which runs the transplant system. So far more than 2,800 of them, including Evans, have received a transplant.
But it\u2019s just one example of a larger problem permeating health care. Numerous formulas or \u201calgorithms\u201d used in medical decisions \u2014 treatment guidelines, diagnostic tests, risk calculators \u2014 adjust the answers according to race or ethnicity in a way that puts people of color at disadvantage.
Given how embedded these equations are in medical software and electronic records, even doctors may not realize how widely they impact care decisions.
\u201cHealth equity scholars have been raising alarm bells about the way race has been misused in clinical algorithms for decades,\u201d said Dr. Michelle Morse, New York City\u2019s chief medical officer.
Change is beginning, slowly. No longer are obstetricians supposed to include race in determining the risk of a pregnant woman attempting vaginal birth after a prior C-section. The American Heart Association just removed race from a commonly used calculator of people\u2019s heart disease risk. The American Thoracic Society has urged replacing race-based lung function evaluation.
The kidney saga is unique because of the effort to remedy a past wrong.
\u201cLots of time when we see health inequities, we just assume there\u2019s nothing we can do about it,\u201d Morse said. \u201cWe can make changes to restore faith in the health system and to actually address the unfair and avoidable outcomes that Black people and other people of color face.\u201d
Black Americans are over three times more likely than white people to experience kidney failure. Of the roughly 89,000 people currently on the waiting list for a new kidney, about 30% are Black.
Race isn\u2019t a biological factor like age, sex or weight \u2014 it\u2019s a social construct. So how did it make its way into calculations of kidney function?
The eGFR, or estimated glomerular filtration rate, evaluates kidney health based on how quickly a waste compound called creatinine gets filtered from blood. In 1999, an equation used to calculate eGFR was modified to adjust Black people's results compared to everyone else's, based on some studies with small numbers of Black patients and a long-ago false theory about differences in creatinine levels. Until recently that meant many lab reports would list two results \u2014 one calculated for non-Black patients and another for Black patients that could overestimate kidney function by as much as 16%.
Not every Black kidney candidate was affected. Some may have had kidney failure diagnosed without that test. For others to have a chance at benefitting from UNOS\u2019 mandated lookback, transplant center staff-turned-detectives often worked after hours and weekends, hunting years-old records for a test that, recalculated without the race adjustment, might make the difference.
\u201cYou\u2019re reaching out to the nephrologist, their primary care doctors, the dialysis units to get those records,\" said Dr. Pooja Singh of Jefferson Health's transplant institute in Philadelphia, where Evans received her new kidney. \u201cThat first patient getting transplanted for us was such a great moment for our program that the work didn\u2019t feel like work after that.\u201d
A high school sports physical first spotted Evans\u2019 kidney disease at age 17. While finishing her master's degree and beginning to earn her Ph.D. at Temple University, she started dialysis \u2014 for nine hours a night while she slept \u2014 and was placed on the transplant list.
How long it takes to get a kidney transplant depends on patients' blood type, medical urgency and a mix of other factors \u2014 including how long they've spent on the waiting list. Evans was first listed in April 2019. When the Jefferson transplant center unearthed her old lab tests, they found she should have qualified in September 2015.
\u201cJust for context, when I was still an undergrad I should have been on the list,\u201d she said, recalling the anger she felt as she read the letter. What she called \u201ca mind-blowing\u201d credit of 3\u00bd more years waiting also provided \u201ca glimmer of hope\u201d that she'd be offered a matching kidney soon.
Evans got a new kidney on July 4 and is healthy again, and grateful the policy change came in time for her.
\u201cYou don\u2019t know if people would be alive today\u201d if it had been enacted earlier, she said. Still, that extra step of \u201cmaking amends to fix the situation for those that we can \u2014 I feel like it\u2019s very important and it\u2019s very necessary if you\u2019re truly wanting to bring more equity and equality into the medical field.\u201d
___
AP Videojournalists Tassanee Vejpongsa and Shelby Lum contributed to this report.
___
The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute\u2019s Science and Educational Media Group. The AP is solely responsible for all content.
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It also includes personal stories and expert opinions, providing a comprehensive view of the health-related issue." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/04/01/e6586d27b115372ede261c41d3ce2346.json b/datasets/AP_news/raw_data/2024/04/01/e6586d27b115372ede261c41d3ce2346.json new file mode 100644 index 0000000..5c282be --- /dev/null +++ b/datasets/AP_news/raw_data/2024/04/01/e6586d27b115372ede261c41d3ce2346.json @@ -0,0 +1,231 @@ +{ + "altids": { + "itemid": "e6586d27b115372ede261c41d3ce2346", + "etag": "e6586d27b115372ede261c41d3ce2346_0a6aza0c0", + "friendlykey": "721348552436", + "referenceid": "US--Abortion-Ohio" + }, + "version": 0, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-04-01T20:52:03Z", + "firstcreated": "2024-04-01T20:52:02Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "signals": [ + "newscontent" + ], + "title": "US--Abortion-Ohio", + "headline": "Ohio law banning nearly all abortions now invalid after referendum, attorney general says", + "headline_extended": "Ohio's Republican Attorney General Dave Yost says a 2019 law banning most abortions in the state is unconstitutional", + "slugline": "BC-US--Abortion-Ohio", + "description_summary": "Ohio's Republican Attorney General Dave Yost says a 2019 law banning most abortions in the state is unconstitutional. The attorney general's court filing on Monday comes after abortion clinics asked a Hamilton County judge to throw out the law since Ohio voters decided to enshrine abortion in the state constitution last November. The law bans most abortions once fetal cardiac activity can be detected, and clinics have argued the new constitutional amendment invalidates it. Yost mostly agrees. However, he has asked the court to only strike down the part of the law that bans abortions after six weeks and let other portions remain. These include requiring a doctor to check for a heartbeat and inform a patient.", + "bylines": [ + { + "by": "By SAMANTHA HENDRICKSON", + "title": "Associated Press/Report For America" + } + ], + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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The filing comes after abortion clinics asked a Hamilton County judge to throw out the law since Ohio voters decided to enshrine abortion rights in the state constitution last November.
They argue that under the new constitutional amendment, the law, which bans most abortions once fetal cardiac activity can be detected, is invalid. Attorney General Dave Yost, for the most part, agreed.
However, the attorney general asked the court to only strike down the \u201ccore prohibition\u201d of the law \u2014 banning abortions after six weeks \u2014 and let other portions remain. These include requiring a doctor to check for a heartbeat and inform a patient, as well as documenting the reason someone is having an abortion. Yost said in the filing that the plaintiffs have not demonstrated how such provisions violate the constitutional amendment.
The state \u201crespects the will of the people,\u201d a spokesperson for Yost's office said in an email, but is also obligated to prevent overreach and protect parts of the law the amendment doesn't address.
Freda Levenson, legal director of the American Civil Liberties Union of Ohio, called the continued litigation \u201cquibbling about extraneous matters\u201d in an emailed statement, and disagreed that such issues have ever been a problem before in this case.
\u201cThis case should be over. Stick a fork in it,\u201d she said in the statement.
The law signed by Republican Gov. Mike DeWine in April 2019 prohibited most abortions after the first detectable \u201cfetal heartbeat.\u201d Cardiac activity can be detected as early as six weeks into pregnancy, before many women know they are pregnant.
The ban, initially blocked through a federal legal challenge, briefly went into effect when the landmark 1973 Roe v. Wade decision was overturned in 2022. It was then placed back on hold in county court, as part of a subsequent lawsuit challenging it as unconstitutional under the Ohio Constitution, eventually reaching the state Supreme Court.
In December 2023, the state's highest court dismissed an appeal brought by Yost's office \" due to a change in the law.\u201d This sent the case back to the lower courts, where it now resides.
The case now awaits a decision by Hamilton County Court of Common Pleas Judge Christian Jenkins.
___
Samantha Hendrickson is a corps member for the Associated Press/Report for America Statehouse News Initiative. Report for America is a nonprofit national service program that places journalists in local newsrooms to report on undercovered issues.
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The Minnesota-based company said Monday that last year\u2019s lawsuit settlement received final approval from the U.S. District Court in Charleston, South Carolina. The amount paid out will range from $10.5 billion to $12.5 billion depending on what additional contamination is found. The deal compensates water providers for pollution with per- and polyfluorinated substances, known collectively as PFAS. PFAS are a broad class of chemicals used in nonstick, water- and grease-resistant products such as clothing and cookware.", + "bylines": [ + { + "by": "By JIM SALTER", + "title": "Associated Press" + } + ], + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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St. Paul, Minnesota-based 3M announced Monday that last year\u2019s lawsuit settlement received final approval from the U.S. District Court in Charleston, South Carolina.
The agreement called for payouts through 2036. Depending on what additional contamination is found, the amount paid out will range from $10.5 billion to $12.5 billion.
\u201cThis is yet another important step forward for 3M as we continue to deliver on our priorities. The final approval of this settlement and continued progress toward exiting all PFAS manufacturing by the end of 2025 will further our efforts to reduce risk and uncertainty as we move forward,\u201d 3M's chairman and CEO, Mike Roman, said in a news release.
The deal compensates water providers for pollution with per- and polyfluorinated substances, known collectively as PFAS \u2014 a broad class of chemicals used in nonstick, water- and grease-resistant products such as clothing and cookware.
PFAS have been described as \u201cforever chemicals\u201d because they don\u2019t degrade naturally in the environment. They've been linked to a variety of health problems, including liver and immune-system damage and some cancers.
The compounds have been detected at varying levels in drinking water nationwide. The Environmental Protection Agency in March 2023 proposed strict limits on two common types, PFOA and PFOS, and said it wanted to regulate four others. Water providers would be responsible for monitoring their systems for the chemicals.
The 3M settlement first announced in June came in a lawsuit by Stuart, Florida, one of about 300 communities that had filed similar suits against companies that produced firefighting foam or the PFAS it contained. The payment will help cover the costs of filtering PFAS from systems.
Some of the settlement money will help additional water systems test for contamination from PFAS, said Scott Summy, one of the lead attorneys for those suing 3M and other manufacturers. They have until June 2026 to apply for compensation if contamination is found.
\u201cThat's great news for American citizens who drink from that water,\u201d Summy said. \u201cIt'll help rid our public drinking water systems of PFAS, and that's the most important thing about the settlement.\u201d
Also, last June, DuPont de Nemours Inc. and spinoffs Chemours Co. and Corteva Inc. reached a $1.18 billion deal to resolve PFAS complaints by about 300 drinking water providers. Several states, airports, firefighter training facilities and private well owners also have sued.
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But few women may be aware, and providers don't advertise it", + "headline_extended": "More than 20 countries across Africa have loosened restrictions on abortion in recent years, but experts say many women probably don\u2019t realize they are entitled to a legal abortion", + "slugline": "AP-AF-MED-Abortion-Africa", + "description_summary": "More than 20 countries across Africa have loosened restrictions on abortion in recent years, but experts say many women probably don\u2019t realize they are entitled to a legal abortion. And some doctors and nurses say they\u2019ve become increasingly wary of openly providing them. They\u2019re fearful of triggering the ire of opposition groups that have become emboldened since the U.S. Supreme Court\u2019s 2022 decision overturning the nationwide right to abortion. A human rights treaty says all 55 countries of the African Union should grant the right to a medical abortion in cases of rape, assault, incest, and endangerment of health. But more than a dozen countries have yet to pass laws on access. Even in those with legislation, obstacles to access and accurate information remain.", + "bylines": [ + { + "by": "By MARIA CHENG and MISPER APAWU", + "title": "Associated Press" + } + ], + "located": "ACCRA, Ghana", + "datelinelocation": { + "city": "Accra", + "countrycode": "GHA", + "countryname": "Ghana", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -0.1969, + 5.55602 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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Health workers assured her abortions were lawful under certain conditions in the West African country, but Efua said she was still nervous.
\u201cI had lots of questions, just to be sure I would be safe,\u201d Efua told the Associated Press, on condition that only her middle name be used, for fear of reprisals from the growing anti-abortion movement in her country.
Finding reliable information was difficult, she said, and she didn't tell her family about her procedure. \"It comes with too many judgments,\u201d she decided.
More than 20 countries across Africa have loosened restrictions on abortion in recent years, but experts say that like Efua, many women probably don't realize they are entitled to a legal abortion. And despite the expanded legality of the procedure in places like Ghana, Congo, Ethiopia and Mozambique, some doctors and nurses say they've become increasingly wary of openly providing abortions. They're fearful of triggering the ire of opposition groups that have become emboldened since the U.S. Supreme Court\u2019s 2022 decision overturning the nationwide right to abortion.
\u201cWe are providing a legal service for women who want an abortion, but we do not advertise it openly,\u201d said Esi Asare Prah, who works at the clinic where Efua had the procedure \u2014 legal under Ghana's law, passed in 1985. \u201cWe\u2019ve found that people are OK with our clinic providing abortions, as long as we don\u2019t make it too obvious what we are doing.\u201d
The Maputo Protocol, a human rights treaty in effect since 2005 for all 55 countries of the African Union, says every nation on the continent should grant women the right to a medical abortion in cases of rape, sexual assault, incest, and endangerment for the mental or physical health of the mother or fetus.
Africa is alone globally in having such a treaty, but more than a dozen of its countries have yet to pass laws granting women access to abortions. Even in those that have legalized the procedure, obstacles to access remain. And misinformation is rampant in many countries, with a recent study faulting practices by Google and Meta.
\u201cThe right to abortion exists in law, but in practice, the reality may be a little different,\u201d said Evelyne Opondo, of the International Center for Research on Women. She noted that poorer countries in particular, such as Benin and Ethiopia, may permit abortions in some instances but struggle with a lack of resources to make them available to all women. Many women learn of their options only through word of mouth.
Across Africa, MSI Reproductive Choices \u2014 which provides contraception and abortion in 37 countries worldwide \u2014 reports that staff have been repeatedly targeted by anti-abortion groups. The group cites harassment and intimidation of staff in Ethiopia. And in Nigeria, MSI\u2019s clinic was raided and temporarily closed after false allegations that staffers had illegally accessed confidential documents.
\u201cThe opposition to abortion in Africa has always existed, but now they are better organized,\u201d said Mallah Tabot, of the International Planned Parenthood Federation in Kenya. She noted that a significant amount of money backing anti-abortion efforts appears to have come from conservative American groups \u2014 and severalreports have found millions in such funding from conservative Christian organizations.
The spike from opposition groups is alarming, said Angela Akol, of the reproductive rights advocacy group Ipas.
\u201cWe\u2019ve seen them in Kenya and Uganda advocating at the highest levels of government for reductions to abortion access,\u201d she said. \u201cThere are patriarchal and almost misogynistic norms across much of Africa. ... The West is tapping into that momentum after the Roe v. Wade reversal to challenge abortion rights here.\u201d
Congo, one of the world's poorest countries, introduced a law in 2018 permitting abortions in the first 14 weeks of pregnancy in cases of rape, incest, and physical or mental health risks to the woman.
Even so, pamphlets aimed at women who might want an abortion use coded language, said Patrick Djemo, of MSI in Congo.
\u201cWe talk about the management of unwanted pregnancies,\" he said, noting that they don't use the word abortion. \"It could cause a backlash.\u201d
Accurate language and information can be hard to find online, too. Last week, a study from MSI and the Center for Countering Digital Hate found that Google and Meta \u2014 which operates Facebook, Instagram and WhatsApp \u2014 restricted access to accurate information about abortion in countries including Ghana, Nigeria and Kenya.
The study said the tech giants banned local abortion providers from advertising services while approving paid ads from anti-abortion groups pushing false claims about decriminalization efforts as part of a global conspiracy to \u201celiminate\u201d local populations.
Google didn't respond to a request for comment on the study. Meta said via email that its platforms \u201cprohibit ads that mislead people about services a business provides\u201d and that it would review the report.
Opondo, of the international women's center, said she's deeply concerned about the future of abortion-rights movements in Africa, with opponents using the same tactics that helped overturn Roe vs. Wade in the U.S.
Yet, she said, for now it's \u201cstill probably easier for a woman in Benin to get an abortion than in Texas.\u201d
For Efua, information and cost were obstacles. She cobbled together the necessary 1,000 Ghana cedis ($77) for her abortion after asking a friend to help.
She said she wishes women could easily get reliable information, especially given the physical and mental stress she experienced. She said she wouldn't have been able to handle another baby on her own and believes many other women face similar dilemmas.
\u201cIf you're pregnant and not ready,\" she said, \"it could really affect you mentally and for the rest of your life.\u201d
____
Cheng reported from London.
___
The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute\u2019s Science and Educational Media Group. The AP is solely responsible for all content.
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Therefore, the document is relevant to the topic of health, but it is not a comprehensive overview of health in general." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/04/02/384b1c6b7e155ffbbcaecc996e58ed72.json b/datasets/AP_news/raw_data/2024/04/02/384b1c6b7e155ffbbcaecc996e58ed72.json new file mode 100644 index 0000000..e4a03e8 --- /dev/null +++ b/datasets/AP_news/raw_data/2024/04/02/384b1c6b7e155ffbbcaecc996e58ed72.json @@ -0,0 +1,255 @@ +{ + "altids": { + "itemid": "384b1c6b7e155ffbbcaecc996e58ed72", + "etag": "384b1c6b7e155ffbbcaecc996e58ed72_1a13aza0c0", + "friendlykey": "694658014259", + "referenceid": "US--Grijalva-Cancer Diagnosis" + }, + "version": 1, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-04-02T18:16:42Z", + "firstcreated": "2024-04-02T17:08:04Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: with more details and quotes and adds photo.; Updates Media.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "US--Grijalva-Cancer Diagnosis", + "headline": "Arizona congressman Ra\u00fal Grijalva says he has cancer, but plans to work while undergoing treatment", + "headline_extended": "U.S. Rep. Ra\u00fal Grijalva has announced that he has been diagnosed with cancer, but he says he is continuing to work as he undergoes treatment", + "slugline": "BC-US--Grijalva-Cancer Diagnosis, 1st Ld-Writethru", + "description_summary": "U.S. Rep. Ra\u00fal Grijalva has announced that he has been diagnosed with cancer, but he says he is continuing to work as he undergoes treatment. In a statement Tuesday, Grijalva says he sought medical treatment for a persistent cough a few weeks ago, and it was initially diagnosed as pneumonia. After further testing and imaging, the Arizona congressman says his physician discovered that he has cancer. The 76-year-old Democrat says he is confident in the vigorous course of treatment that his medical team has developed. 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(AP) \u2014 U.S. Rep. Ra\u00fal Grijalva announced Tuesday that he has been diagnosed with cancer, but he said he is continuing to work while undergoing treatment.
\u201cA few weeks ago, I sought medical treatment for a persistent cough which was initially diagnosed as pneumonia. After further testing and imaging, my physician discovered that I have cancer,\u201d the 76-year-old Democrat, who is the dean of Arizona's congressional delegation, said in a statement.
\u201cThis diagnosis has been difficult to process, but I am confident in the vigorous course of treatment that my medical team has developed, and I\u2019ve begun my journey to fight this cancer,\" Grijalva added.
It is unclear what type of cancer Grijalva has. The congressman's office said no other information was being released at this time.
\u201cI am working hard to get healthy and return to business as usual as soon as I am able,\u201d said Grijalva, who was first elected to the U.S. House in 2002 and is seeking a 12th term in this year's election.
Ruben Reyes, who works for Grijalva as his Southern Arizona district director, said he didn\u2019t think the cancer treatment will affect the congressman\u2019s ability to do his job.
The district Grijalva represents spans most of the Arizona-Mexico border and includes sections of Cochise, Maricopa, Pinal, Santa Cruz and Yuma counties.
\u201cMy congressional office remains open and the many services we provide for our constituents continue uninterrupted. I am in regular communication with my staff,\u201d Grijalva said in his statement. \u201cIt is a privilege to serve as a Representative for the people of Arizona and take this responsibility very seriously.\u201d
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The Insurance Department contends the audit is flawed and should be disregarded. The audit was released Tuesday by the inspector general for the state's Medicaid program in Attorney General Kris Kobach's office. It said the Insurance Department improperly allowed dozens of nursing homes to claim a big break on a per-bed tax funding Medicaid. Insurance Commissioner Vicki Schmidt's office said the audit relied on an unreasonable interpretation state law and what the department called \u201cunreliable extrapolations.\u201d", + "bylines": [ + { + "by": "By JOHN HANNA", + "title": "AP Political Writer" + } + ], + "located": "TOPEKA, Kan.", + "datelinelocation": { + "city": "Topeka", + "countryareacode": "KS", + "countryareaname": "Kansas", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -95.67804, + 39.04833 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. 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(AP) \u2014 An audit released Tuesday by Kansas' attorney general concluded that the state is losing more than $20 million a year because its Insurance Department is lax in overseeing one of its programs. The department said the audit is flawed and should be \u201cdiscounted nearly in its entirety.\u201d
The dispute involves two elected Republicans, Attorney General Kris Kobach and Insurance Commissioner Vicki Schmidt, who are considered potential candidates in 2026 to succeed term-limited Democratic Gov. Laura Kelly. Their conflict flared a week after the GOP-controlled state Senate approved a bill that would give Kobach's office greater power to investigate social services fraud through its inspector general for the state's Medicaid program.
The audit released by the inspector general said the Insurance Department improperly allowed dozens of nursing homes to claim a big break on a per-bed tax that helps fund Medicaid. It said that from July 2020 through August 2023, the state lost more than $94 million in revenues, mostly because 68% of the certificates issued by the Insurance Department to allow homes to claim the tax break did not comply with state law.
But Schmidt's office said the inspector general relied on an \u201cunduly harsh and unreasonable\u201d interpretation of state law and \u201cunreliable extrapolations\u201d to reach its conclusions. Also, the department said, the conclusion that most applications for the tax break were mishandled is \u201castronomically unreflective of reality.\u201d
The state taxes many skilled nursing facilities $4,908 per bed for Medicaid, which covers nursing home services for the elderly but also health care for the needy and disabled. But nursing homes can pay only $818 per bed if they have 45 or fewer skilled nursing beds, care for a high volume of Medicaid recipients or hold an Insurance Department certificate saying they are part of a larger retirement community complex.
\u201cThere are proper procedures in place; however, they are not being followed,\u201d the audit said.
The inspector general's audit said the Insurance Department granted dozens of certificates without having complete records, most often lacking an annual audit of a nursing home.
The department countered that the homes were being audited and that it showed \u201cforbearance\u201d to \u201cthe heavily regulated industry\u201d because annual audits often cannot be completed as quickly as the inspector general demands.
Insurance Department spokesperson Kyle Stratham said that if the agency accepted the inspector general's conclusions, \u201cKansas businesses would be charged tens of millions of dollars in additional taxes, which would have a devastating impact on the availability of care for senior Kansans.\u201d
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Therefore, the document has some relevance to the topic of health but is not primarily focused on health issues." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/04/02/dbae49f8786dda586036c1b86b9d0997.json b/datasets/AP_news/raw_data/2024/04/02/dbae49f8786dda586036c1b86b9d0997.json new file mode 100644 index 0000000..c2dda64 --- /dev/null +++ b/datasets/AP_news/raw_data/2024/04/02/dbae49f8786dda586036c1b86b9d0997.json @@ -0,0 +1,334 @@ +{ + "altids": { + "itemid": "dbae49f8786dda586036c1b86b9d0997", + "etag": "dbae49f8786dda586036c1b86b9d0997_5a11aza0c0", + "friendlykey": "681594459785", + "referenceid": "US--Bird Flu-Chickens" + }, + "version": 5, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-04-03T00:55:48Z", + "firstcreated": "2024-04-02T20:47:30Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: EDITS: Recasts headline.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "US--Bird Flu-Chickens", + "headline": "The largest fresh egg producer in the US has found bird flu in chickens at a Texas plant", + "headline_extended": "The largest fresh egg producer in the U.S. says it has stopped production at a plant in the Texas Panhandle after bird flu was found in the flock", + "slugline": "BC-US--Bird Flu-Chickens, 5th Ld-Writethru", + "description_summary": "The largest fresh egg producer in the U.S. says it has stopped production at a plant in the Texas Panhandle after bird flu was found in the flock. 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Ridgeland, Mississippi-based Cal-Maine Foods, Inc. said in a statement that approximately 1.6 million laying hens and 337,000 pullets, about 3.6% of its total flock, were destroyed after the infection, avian influenza, was found at a facility in Parmer County, Texas.
The plant is on the Texas-New Mexico border in the Texas Panhandle about 85 miles (137 kilometers) southwest of Amarillo and about 370 miles (595 kilometers) northwest of Dallas. Cal-Maine said it sells most of its eggs in the Southwestern, Southeastern, Midwestern and mid-Atlantic regions of the United States.
\u201cThe Company continues to work closely with federal, state and local government officials and focused industry groups to mitigate the risk of future outbreaks and effectively manage the response,\u201d the statement said.
\"Cal-Maine Foods is working to secure production from other facilities to minimize disruption to its customers,\" the statement said.
The company said there is no known bird flu risk associated with eggs that are currently in the market and no eggs have been recalled.
Eggs that are properly handled and cooked are safe to eat, according to the U.S. Department of Agriculture.
The announcement by Cal-Maine comes a day after state health officials said a person had been diagnosed with bird flu after being in contact with cows presumed to be infected, and that the risk to the public remains low. The human case in Texas marks the first known instance globally of a person catching this version of bird flu from a mammal, federal health officials said.
In Michigan, Michigan State University\u2019s Veterinary Diagnostic Laboratory has detected bird flu in a commercial poultry facility in Ionia County, according to the Michigan\u2019s Department of Agriculture and Rural Development.
The county is about 100 miles (161 kilometers) northwest of Detroit.
The department said it received confirmation of the disease Monday from the lab and that it is the fourth time since 2022 that the disease was detected at a commercial facility in Michigan.
Department spokesperson Jennifer Holton said Tuesday that state law prohibits the department from disclosing the type of poultry at the facility. The facility has been placed under quarantine and the department does not anticipate any disruptions to supply chains across the state, Holton said.
Dairy cows in Texas and Kansas were reported to be infected with bird flu last week \u2014 and federal agriculture officials later confirmed infections in a Michigan dairy herd that had recently received cows from Texas. A dairy herd in Idaho has been added to the list after federal agriculture officials confirmed the detection of bird flu in them, according to a Tuesday press release from the USDA.
_____ Associated Press writer Corey Williams in Detroit contributed to this report.
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The lawsuit filed Tuesday aims to force federal officials to publish a rule banning menthol cigarettes, which are mostly used by Black smokers and young people. Health officials under President Joe Biden initially targeted last August to publish the rule. Then the date slipped until late 2023 and then March this year. Three anti-smoking groups filed the lawsuit in California after the White House missed the latest deadline. The Food and Drug Administration has stated that banning the minty flavor could prevent hundreds of thousands of smoking-related deaths.", + "bylines": [ + { + "by": "By MATTHEW PERRONE", + "title": "AP Health Writer" + } + ], + "located": "WASHINGTON", + "datelinelocation": { + "city": "Washington", + "countryareacode": "DC", + "countryareaname": "District of Columbia", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -77.03637, + 38.89511 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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The lawsuit is the latest effort to force the government to ban menthols, which are disproportionately used by Black smokers and young people. It comes amid growing concerns from advocates that the federal plan could be derailed by election-year politics.
Health officials under President Joe Biden initially targeted last August to publish the rule eliminating the minty flavor. Late last year, White House officials said they would take until March to review the rule. Three nonprofit groups, including Action on Smoking and Health, filed their lawsuit in a federal court in California after the March deadline passed.
\u201cBecause of defendants\u2019 inaction, tobacco companies have continued to use menthol cigarettes to target youth, women, and the Black community \u2014 all to the detriment of public health,\u201d the groups state in their complaint.
A spokesperson for the White House declined to comment on the lawsuit Tuesday.
The Food and Drug Administration has spent years developing the plan to eliminate menthol, estimating it could prevent 300,000 to 650,000 smoking deaths over several decades. Most of those preventable deaths would be among Black Americans.
Like all major federal regulations, the plan must get final approval from the White House.
Previous FDA efforts on menthol have been scuttled by tobacco industry pushback or competing political priorities across several administrations. The latest delay comes as Democrats voice worries about Biden\u2019s prospects in a rematch against former President Donald Trump.
White House officials have held dozens of meetings with groups opposing the menthol ban, including civil rights advocates, business owners and law enforcement officials. Some suggested a rule targeting menthols could suppress Biden's turnout among Black voters. In almost all cases, groups opposing the ban receive financial support from tobacco companies.
In recent months, supporters of the plan have tried to assure the White House that banning menthol will not hurt Biden\u2019s re-election chances.
\u201cIf Black lives truly matter, then we must end the sale of menthol cigarettes and do it now,\u201d said Dr. Carol McGruder, of the African American Tobacco Control Leadership, in a statement. McGruder's group is among those suing the FDA and its parent agency, the Department of Health and Human Services.
A lawyer who helped file the lawsuit said the government will have about two months to respond.
A 2020 lawsuit by the same groups jump-started FDA's work on menthol, alleging that the agency had \u201cunreasonably delayed\u201d action against the flavor.
Menthol is the only cigarette flavor that was not banned under the 2009 law that gave the FDA authority over tobacco products, an exemption negotiated by industry lobbyists. The act did, though, instruct the agency to continue to weigh whether to ban menthol.
The flavor\u2019s persistence has infuriated anti-smoking advocates, who point to research that menthol\u2019s numbing effect masks the harshness of smoking, making it easier to start and harder to quit.
More than 11% of U.S. adults smoke, with rates roughly even between white and Black populations. About 80% of Black smokers \u2014 and most teenagers who smoke \u2014 use menthol.
___
Associated Press writer Zeke Miller contributed to this story
___
The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute\u2019s Science and Educational Media Group. The AP is solely responsible for all content.
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There has been only one reported case of bird flu in a person in the U.S., and that was in 2022 when a prison inmate in a work program in Colorado caught it while killing infected birds.", + "bylines": [ + { + "by": "By SEAN MURPHY", + "title": "Associated Press" + } + ], + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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The latest developments on the virus also include infected dairy cows and the first known instance of a human catching bird flu from a mammal.
Although health officials say the risk to the public remains low, there is rising concern, emerging in part from news that the largest producer of fresh eggs in the U.S. reported an outbreak.
Here are some key things to know about the disease.
Dr. Mandy Cohen, the director of the Centers for Disease Control and Prevention, told The Associated Press on Wednesday that the agency is taking bird flu seriously, but stressed that the virus has already been well studied.
\u201cThe fact that it is in cattle now definitely raises our concern level,\u201d Cohen said, noting that it means farmworkers who work with cattle \u2014 and not just those working with birds \u2014 may need to take precautions.
The good news is that \u201cit\u2019s not a new strain of the virus,\u201d Cohen added. \u201cThis is known to us and we\u2019ve been studying it, and frankly, we\u2019ve been preparing for avian flu for 20 years.\u201d
Some flu viruses mainly affect people, but others chiefly occur in animals. Avian viruses spread naturally in wild aquatic birds like ducks and geese, and then to chickens and other domesticated poultry.
The bird flu virus drawing attention today \u2014 Type A H5N1 \u2014 was first identified in 1959. Like other viruses, it has evolved over time, spawning newer versions of itself.
Since 2020, the virus has been spreading among more animal species \u2014 including dogs, cats, skunks, bears and even seals and porpoises \u2014 in scores of countries.
In the U.S., this version of the bird flu has been detected in wild birds in every state, as well as commercial poultry operations and backyard flocks. Nationwide, tens of millions of chickens have died from the virus or been killed to stop outbreaks from spreading.
Last week, U.S. officials said it had been found in livestock. As of Tuesday, it had been discovered in dairy herds in five states \u2014 Idaho, Kansas, Michigan, New Mexico and Texas \u2014 according to the U.S. Department of Agriculture.
This bird flu was first identified as a threat to people during a 1997 outbreak in Hong Kong. In the past two decades, nearly 900 people have been diagnosed globally with bird flu and more than 460 people have died, according to the World Health Organization.
There have been only two cases in the U.S., and neither were fatal.
In 2022, a prison inmate in a work program caught it while killing infected birds at a poultry farm in Montrose County, Colorado. His only symptom was fatigue, and he recovered.
This week, Texas health officials announced that a person who had been in contact with cows had been diagnosed with bird flu. Their only reported symptom was eye redness.
Symptoms are similar to that of other flus, including cough, body aches and fever. Some people don\u2019t have noticeable symptoms, but others develop severe, life-threatening pneumonia.
The vast majority of infected people have gotten it directly from birds, but scientists are on guard for any sign of spread among people.
There have been a few instances when that apparently happened \u2014 most recently in 2007 in Asia. In each cluster, it spread within families from a sick person in the home.
U.S. health officials have stressed that the current public health risk is low and that there is no sign that bird flu is spreading person to person.
While it's too early to quantify the potential economic impact of a bird flu outbreak, many of these latest developments are concerning, particularly the transmission of the virus from one species to another, said Darin Detwiler, a food safety and policy expert at Northeastern University.
\u201cWe don't have a magic forcefield, an invisible shield that protects land and water runoff from impacting other species,\u201d Detwiler said. \u201cThere is a concern in terms of how this might impact other markets, the egg market, the beef market.\u201d
If the outbreak is not quickly contained, consumers could ultimately see higher prices, and if it continues to spread, some industries could experience \u201creputational strain,\" possibly affecting the export industry, Detwiler added.
The egg industry already is experiencing some tightening of supply following detections of bird flu late in 2023 and in early January, coupled with the busy Easter season, where Americans typically consume an average of 3 billion eggs, said Marc Dresner, a spokesperson for the American Egg Board.
Still, even with the outbreak in Texas and the nearly 2 million birds that were killed there, Dresner said there are an estimated 310 million egg laying hens in the U.S. and wholesale egg prices are down about 25% from a February peak.
___
This story was initially published on April 3. It was updated on April 24 to correct the spelling of Darin Detwiler's first name, which had been misspelled \u201cDaren.\u201d
___
Associated Press reporters Jonathan Poet in Philadelphia and Mike Stobbe and videojournalist Sharon Johnson in Atlanta contributed to this report.
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A state Supreme Court ruling this week clears the way for a law to take effect banning abortion after the first six weeks of pregnancy. Most of the South already have bans that strict or stricter. So Instead of being able to get an abortion in Florida, people from the state and others nearby will have to travel farther. The nearest clinic to offer abortion later in pregnancy without a three-day wait will be in Virginia. The administrative director there is expecting more patients from Florida.", + "bylines": [ + { + "by": "By GEOFF MULVIHILL", + "title": "Associated Press" + } + ], + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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It's over 10 from Orlando and closer to 14 from Miami. Despite that distance, Bristol Women\u2019s Health Center is preparing for an influx of women from Florida seeking abortions when a stricter ban kicks in next month.
For many people who otherwise would have obtained abortions in Florida, the clinic in southwest Virginia will become the closest practical option \u2014 as it already is for a swath of the South after a Florida policy change expected to resonate far beyond the state's borders.
\u201cThe majority of the patients we do serve are coming from banned states,\u201d said Karolina Ogorek, the clinic\u2019s administrative director. \u201cI think that Florida will just become another one of the states that we serve.\u201d
On Monday, the Florida Supreme Court upheld the state's ban on abortion after 15 weeks of pregnancy. That step allows another, stricter ban to take effect on May 1, making abortion illegal in the state after six weeks' gestation \u2014 before many women realize they're pregnant. The ban includes exceptions for pregnancies caused by rape, incest or human trafficking, or that threaten the life or physical health or the woman and for fatal fetal anomalies.
In a separate but closely related ruling, the court also allowed a referendum that will let the state\u2019s voters decide in November whether they want an amendment to the state constitution allowing abortion until viability.
Stephanie Loraine Pi\u00f1eiro, executive director of the Florida Access Network, which helps pay for abortion care for Florida women, said that the law coupled with a 24-hour waiting period for abortion will be a \u201ctotal ban\u201d in practical terms.
And getting to a provider elsewhere, she said, will drive the average cost of abortion \u2014 including transportation, lodging, meals, child care and clinic fees \u2014 to around $4,000, about twice what it is now. That will strain organizations like hers, which already often hits its budget limit well before the end of the month, as they shift to helping people get care elsewhere.
That could strand people who can't get time off work, afford travel, arrange child care or lack documentation to travel, Pi\u00f1eiro said.
\u201cThe people who are most marginalized are going to cotinine to not have access,\u201d she said.
She said she expects some of the state\u2019s clinics to close for lack of patients.
Currently, the average distance to a facility that provides abortion for Florida residents is 20 miles (32 kilometers), said Caitlin Myers, an economics professor at Middlebury College in Vermont who studies the impact of abortion bans. But when the new ban takes effect, the average distance to one that offers abortion after the first six weeks of pregnancy will be 584 miles (940 kilometers).
And that only gets patients to North Carolina, where two in-person visits are required 72 hours apart to receive an abortion \u2014 and only for the first 12 weeks of pregnancy in most cases.
It's more than 100 miles (160 kilometers) farther to Virginia.
Some areas already have long drives to the nearest abortion providers \u2014 eight hours from San Antonio, Texas, to Santa Teresa, New Mexico, for instance, and nine from New Orleans to Carbondale, Illinois, or Houston to Wichita, Kansas. But the geography will make South Florida the most highly populated place in the U.S. that's farthest from in-person abortion access past the first six weeks.
Georgia and South Carolina, which have bans that begin after about six weeks and Ohio, which had a similar one for a time, have seen in the neighborhood of half as many abortions with those policies in effect. Some people are able to obtain abortion close to home earlier in pregnancy rather than traveling.
It's not only Florida residents who will be affected by the new ban.
\u201cFlorida is a really important state for Southern abortion access, and it has been a state that has experienced a surge in travelers from Georgia and Alabama, Mississippi, Louisiana who are traveling out of those states, avoiding near total or six-week bans to facilities,\u201d Myers said.
Of the 84,000 abortions provided in Florida last year, about 7,700 were for people who live out of state. Now most of those patients will travel farther for access, too.
The total number of abortions in the country has been roughly stable since the U.S. Supreme Court overturned Roe v. Wade and ended a nationwide right to abortion in 2022. But the details have changed.
Far more are provided by pills rather than surgery, with a major increase in prescriptions through telehealth \u2014 including to patients in states with bans from providers where laws seek to protect such prescriptions. But there could be legal tests of whether those protections are valid. And the U.S. Supreme Court is already considering an effort to roll back approvals for one of the two drugs usually used in combination for medication abortion.
Planned Parenthood centers in Florida have been preparing for the stricter ban to take effect. Laura Goodhue, executive director of the Florida Alliance of Planned Parenthood Affiliates, said they've implemented rapid blood tests to determine pregnancy earlier, increased education and contraception programs, and ramped up efforts to help people travel elsewhere for abortion.
\u201cWe\u2019re doing what we can,\u201d she said. \u201cBut we\u2019ve as we\u2019ve seen in other states, it\u2019s still going to have a devastating impact on our public health system.\u201d
Since states began enforcing bans after the 2022 ruling, the Bristol clinic has added appointment slots in afternoons, Saturdays and some Sundays \u2014 and has adjusted to the idea that patients could be late because of traffic jams as far away as Atlanta.
\u201cIn order for them to come to Virginia, there\u2019s a lot of planning involved,\u201d Ogorek said. \u201cIt\u2019s not just taking a few hours off of work and driving 20 minutes\u201d
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March 29, 2024.
Editorial: Make a bigger push to improve grad rates
Minnesota\u2019s high schools need to keep working on attendance issues, struggling students.
The slight decrease in Minnesota\u2019s 2023 high school graduation rates shows that more must be done to improve student achievement and attendance. And the state and school districts should strive to keep better track of summer graduates and those who leave the districts where they started secondary school.
According to results released this week by the Minnesota Department of Education (MDE), about 83.3%, or 58,293, students graduated in 2023. That\u2019s a 0.3 percentage point decrease in the four-year graduation rate compared to the class of 2022.
Also in 2023, another 3,874 students from earlier classes received their diplomas \u2014 graduating between five and seven years after they began high school.
The small decrease in the total graduation rate was partly driven by a 0.4% increase in the unknown rate, which tracks students \u201cwho were either incorrectly reported or were not reported as enrolled elsewhere,\u201d the MDE news release explained. In addition, both Minneapolis and St. Paul reported that their summer graduates were not included in the MDE report. (MDE says the districts did not include those students in data they sent to the state.)
Yet even when those summer students were included, both districts still had lower grad rates than the year prior. That highlights the need for schools to keep track of every student and make sure they\u2019re included in future state assessments. Clearly the state and districts must do a better job of coordinating and reporting student data.
The graduation data shows small decreases in graduation rates for Black, Asian, Latino and English-learner student groups. Still, it\u2019s an encouraging trend that, while grad rates for Black students declined from a large increase in 2022, the five-year trend for the student group is still trending up \u2014 from 69.9% in 2019 to 72.1% today.
Other positives: Graduation rates increased slightly for white students and for children of two or more races.
Another factor that has likely contributed to the dip in grad rates is that just over 30% of the state\u2019s students missed 10% or more of the 2021-22 school year \u2014 double the chronic absenteeism rate pre-pandemic.
As a result, welcome efforts are underway to establish a legislative work group to study chronic student absenteeism and how to improve attendance as well track students.
Khalique Rogers, co-director of the St. Paul-based Center for School Change, said in an email his group\u2019s research shows that building on student skills, energy and interest can also increase grad rates. Engaging students in service learning and more hands-on vocational learning \u2014 such as helping youth learn construction skills as they build homes for low-income families \u2014 can boost graduation rates.
Educators can also place more focus on students who need extra attention. Richfield High School officials found that, by tracking student progress regularly, they can intervene quickly to offer extra help such as tutoring. The school also encouraged their students to start college prep by offering more advanced courses. Those efforts proved successful: In 2022, 90% of Black students and 89% of Latino students graduated on time \u2014 up about 15 and more than 20 percentage points, respectively, from the three years before.
To improve graduation rates, attendance and overall achievement throughout Minnesota schools, more must be done to get data collection in order and target struggling students for additional attention.
___
Mankato Free Press. March 27, 2024.
Editorial: Democracy Political divisiveness may be bad for our heal
A troubling assessment from the state\u2019s leading epidemiologist should give us pause, if not alarm, about how a politically divided society might come to reject the basic science of health care.
Dr. Michael Osterholm told the Star Tribune in a recent report that he fears a growing distrust of science will lead to low acceptance and use rate of vaccines.
The low use rate for the updated COVID vaccine points to a larger problem of a significant portion of our divided society carrying a \u201cdon\u2019t tell me what to do\u201d attitude around things involving public health. While some of that has to do with partisanship, in that Democrats accept vaccines much more than Republicans, the more serious threat are the divides beyond political that have widened the gaps of who believes in public health and science.
Four years past the start of the pandemic, there appears to be less enthusiasm for getting up to date on COVID vaccines. The latest state report shows just 1% of the high risk 65-year-old and older group getting the latest vaccine as recently recommended by the CDC. Seniors may just need a month to catch up as the new guideline took place only recently, but the overall rate is also low at just 12.5%.
A recent Pew study showed a widening gap between Democrats and Republicans on getting the vaccine. When vaccines became available in 2020, 93% of Democrats got it while 78% of Republicans did so. The 15 percentage point gap is now about 42 points, with Democrats at 66% and Republicans at 24%. There\u2019s also a 16% gap on the flu shot, according to the study.
The widening gap is not just about differences between the parties on taxing and spending, but Democrats and Republicans are dividing along lines of gender, race, religiosity and education.
We see signs of that everywhere with debates about transgender health care, immigration (a proxy for race), teaching of diversity in public schools and book banning. The number of things we divide on are growing and ignited by bad actors.
As we differ on religiosity and education, experts see that as tracking to discounting and undermining science itself as religion and education are often tied to beliefs about science.
Osterholm, the director of the University of Minnesota\u2019s Center for Infectious Disease Research and Policy, wrote a 2005 article \u201cPreparing for the Next Pandemic\u201d that shot to the top of the most read list when the pandemic hit in 2020. He notes that its message of supply chain issues and vaccinations would likely fall on deaf ears today.
\u201cTo get people to buy into public health again isn\u2019t quite as difficult as trying to move the Grand Canyon to southwest Minnesota, but it\u2019s damn near,\u201d Osterholm told the Star Tribune.
The days of the 1995 Mankato meningitis outbreak \u2014 in which the entire city was vaccinated in four days \u2014 are gone, according to Osterholm who said he couldn\u2019t imagine it today.
So it seems our divisiveness may just be the thing that kills us.
What can we do?
Monica Guzman, author of the book \u201cI Never Thought of It That Way: How to Have Fearlessly Curious Conversations in Dangerously Divided Times\u201d says conversations can be harmful to both sides if each isn\u2019t willing to listen. We should change the question from: \u201cWhy do you believe what you believe?\u201d to: \u201cHow did you come to believe what you believe?\u201d
Guzman told Minnesota Public Radio that changing that question moves the conversation from a trial-like investigation to wanting to know more about a person\u2019s journey to believe the things they do. Even if they rely on conclusions not drawn from the facts, their story remains true, at least to them, Guzman notes.
In the end, it may be difficult to change someone\u2019s mind. Osterholm sees that as leading to public health problem that requires a new communication or political strategy to inform and get people to act.
But with the onslaught of social media and partisan news channels overloading clarity with chaos, the road to putting science at the forefront will be determined by our own willingness to speak the truth.
END
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March 29, 2024.
Editorial: Justice made right call in vetoing anti-vax bill
Gov. Jim Justice is to be commended for not only doing the right thing, but also bucking political expedience in vetoing a bill that would have loosened West Virginia\u2019s immunization requirements for children in public virtual schools, private schools and parochial schools.
Proponents of the bill likely would never acknowledge it, but Justice\u2019s decision will protect children\u2019s health and save lives.
West Virginia is one of five states that will waive immunization requirements for children entering school and child care only for a medical reason, such as an allergy to the vaccine. Because West Virginia does not allow religious or philosophical exemptions, the state has one of the best child immunization records in the nation. More importantly, the state has not been hit in recent years with outbreaks of mostly eradicated diseases like the measles, which have resurfaced elsewhere after many states started allowing religious and philosophical exemptions.
Vaccinations have been proven safe and effective, and not only protect a child\u2019s health but also that of teachers, school service personnel, parents and entire communities. As has often been said by public health professionals, this is one area where West Virginia, typically at the bottom of the nation for anything involving public health, truly excels.
Anti-vax movements have been around for a while, previously spurred by since-debunked pseudo-science that claimed to link immunizations to conditions such as autism. In fact, right-wing lawmakers in West Virginia have tried numerous times to loosen immunization requirements for all schools, including public institutions. Such efforts could certainly resurface, but, if Justice hadn\u2019t vetoed this bill, the door would have been flung wide open.
Unfortunately, anti-vaxxers picked up significant momentum during the COVID-19 pandemic, drawing mainstream attention to farcical conspiracy theories about vaccines and also deploying a shift in tactics, framing the argument as one of personal freedom (conveniently ignoring that exercising one\u2019s \u201cpersonal freedom\u201d in some situations could make someone else seriously ill or even kill them).
This further politicized an issue that shouldn\u2019t be political at all. Rest assured, Justice, who is running for the U.S. Senate, will take some political blowback for this from the far-right fringe that seems ever more in control of the Republican Party.
Indeed, his opponent in the Republican primary, Rep. Alex Mooney, R-W.Va., has already blasted Justice\u2019s veto as \u201cdisregarding religious freedom\u201d and \u201cparental rights.\u201d
Mooney didn\u2019t specify which religion promotes transmitting communicable diseases that are preventable through immunization. It\u2019s also debatable whether parents should have the \u201cright\u201d to expose their children and, by extension, many others, to previously eradicated and serious communicable diseases. But such vacant blathering is to be expected of Mooney, even if he weren\u2019t down massively in the polls and desperate to find a foothold.
It\u2019s not like Justice is an immunization purist, either. During COVID, when vaccines were first made available, West Virginia stunned the nation in compiling the highest vaccination rates in the country. Justice was the darling of national media, as the folksy bard of an underdog tale.
Within a few months, though, West Virginia had some of the lowest vaccination rates in the nation and, at one point, the highest COVID death rate per-capita of any state.
When the vaccines were only available to the elderly or those with serious health problems, it was easy to get to them and get them vaccinated. Once vaccines were available to the public, it became a matter of getting the public to come to the vaccine, which proved to be much more difficult. Justice\u2019s straddling of the fence and caving to political pressure didn\u2019t help.
All that aside, Justice made the right decision to veto House Bill 5105 and, in so doing, put public health above petty, election-year nonsense. Mooney\u2019s criticism is cynical and, frankly, unfair. Protecting West Virginia\u2019s children from measles, mumps, rubella, polio, diphtheria, tetanus, hepatitis B, chicken pox and whooping cough should be a public health issue, not a political or religious bone to pick.
___
The Intelligencer. April 2, 2024.
Editorial: Keeping W.Va. Children Safe
Gov. Jim Justice had a lot on his plate this past week, as he scrambled to handle the hundreds of bills that crossed his desk for a signature, veto or to remain untouched. In the midst of it all, Justice made an important decision in vetoing House Bill 5105, which would have eliminated the vaccine requirements for public virtual schools, private schools and parochial schools.
He ignored the wishes of some in the Legislature and instead listened to the experts who understand the legislation\u2019s danger.
\u201cSince this legislation was passed, I have heard constant, strong opposition \u2026 from our state\u2019s medical community,\u201d Justice said in his veto letter. \u201cThe overwhelming majority that have voiced their opinion believe that this legislation will do irreparable harm by crippling childhood immunity to diseases such as mumps and measles.\u201d
Rather than allow the Mountain State to slip backward on the one issue we handle better than any other state, Justice took a stand.
\u201cWest Virginia is way ahead of the pack in protecting our children from preventable diseases like the measles, and in this matter, I will defer to our licensed medical professionals who have come forward overwhelmingly to say this bill could and likely would result in reduced immunity and harm to West Virginia\u2019s kids,\u201d Justice said. \u201cOur kids are our future. They are our most important resource, and I will protect them with everything I have.\u201d
It is a necessary point. Those who pretended their priority was protecting children only when it suited the rest of their political agenda should take note. Justice took the right stand here in keeping West Virginia at the top of the class with immunizations.
___
The Journal. March 29, 2024.
Editorial: Take note
Gov. Jim Justice had a lot on his plate this week, as he scrambled to handle the hundreds of bills that crossed his desk for a signature, veto or to remain untouched. In the midst of it all, Justice made an important decision \u2014 and one that was absolutely correct.
Justice vetoed House Bill 5105, which would have eliminated the vaccine requirements for public virtual schools, private schools and parochial schools.
He ignored the insanity coming from those lawmakers who genuinely seem to be working against West Virginia residents these days, and instead listened to the input from educated and experienced medical experts who understood the danger.
\u201cSince this legislation was passed, I have heard constant, strong opposition to this legislation from our State\u2019s medical community,\u201d Justice said in his veto letter. \u201cThe overwhelming majority that have voiced their opinion believe that this legislation will do irreparable harm by crippling childhood immunity to diseases such as mumps and measles.\u201d
Rather than allow the Mountain State to slip backward on the one issue we handle better than any other state, Justice took a stand.
\u201cWest Virginia is way ahead of the pack in protecting our children from preventable diseases like the measles, and in this matter, I will defer to our licensed medical professionals who have come forward overwhelmingly to say this bill could and likely would result in reduced immunity and harm to West Virginia\u2019s kids,\u201d Justice said. \u201cOur kids are our future. They are our most important resource, and I will protect them with everything I have.\u201d
It is a necessary point. Those who pretended their priority was protecting children only when it suited the rest of their political agenda should take note.
END
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On Wednesday, the Senate approved a bill allowing people to sue schools and libraries over books deemed harmful to minors, sending it to Republican Gov. Brad Little. Another bill that Little signed into law last week prevents public funds \u2014 including Medicaid \u2014 from being used for gender-affirming care.
The efforts are part of an ongoing national battle over the rights of LGBTQ+ Americans. Many Republican officials have been actively trying to limit those rights over the past several years.
The legislation in Idaho was among at least nine bills directly targeting LGBTQ+ rights that have been proposed in the state so far this year, Rebecca De Le\u00f3n, spokesperson for the ACLU of Idaho, told the Idaho Statesman. In response to the slew of actions, protesters sent more than 48,000 colorful paper hearts raining down from the fourth floor of the Statehouse to the first-floor rotunda on Tuesday, KTVB-TV reported.
The hearts symbolized the 48,000 Idaho residents who identified as part of the LGBTQ+ population in the 2020 census. The hearts were handmade and mailed to the ACLU from 18 cities across the state.
\u201cWe wanted specifically lawmakers to be able to see the hearts and to hear what we have been trying to tell them all session,\u201d De Le\u00f3n told the Statesman. \u201cIt feels like they have not been listening, so we wanted to come bring the hearts to them.\u201d
Republican Rep. Julianne Young sponsored the bill redefining gender, which refers to social and self-identity, as being synonymous with sex, which refers to biological traits. At least 12 other states have considered similar legislation this year attempting to remove nonbinary and transgender concepts from statutes. Kansas enacted a law last year ending legal recognition of transgender identities.
Idaho's library bill allows community members to file written requests to remove materials they consider harmful to minors to an adults-only section, and gives library officials 60 days to make the change. After that point, the community member could sue for damages.
The governor vetoed a similar bill last year, saying he feared it would create a bounty system that would increase libraries' costs, ultimately raising prices for taxpayers.
The ACLU and other opponents of the new law preventing public money from being used for gender-affirming care say it most likely will lead to a federal lawsuit. Idaho is already embroiled in lawsuits over attempts to deny gender-affirming care to transgender residents and has not had much success so far in defending them.
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That's according to the director of Motol University Hospital in Prague, who says Zeman will now recuperate at home. Doctors at the clinic discovered during a medical check on March 14 that Zeman had an insufficient blood supply in one of his legs because of the blood clot and immediately operated on him. The supply of blood was restored during the operation but Zeman remained in serious but stable condition for days. Zeman\u2019s second and final term in the largely ceremonial post of president ended in March last year.", + "located": "PRAGUE", + "datelinelocation": { + "city": "Prague", + "countrycode": "CZE", + "countryname": "Czech Republic", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + 14.42076, + 50.08804 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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Miloslav Ludvik, director of Motol University Hospital in Prague, said Zeman will now recuperate at home.
Doctors at the clinic discovered during a medical check on March 14 that Zeman had an insufficient blood supply in one of his legs because of the blood clot and immediately operated on him.
The supply of blood was restored during the operation but Zeman, 79, remained in serious but stable condition for days.
Zeman used to be a heavy smoker and drinker and suffers from diabetes and neuropathy. He has been hospitalized several times.
He has trouble walking and has been using a wheelchair.
Zeman\u2019s second and final term in the largely ceremonial post of president ended in March last year. In office, he sought closer ties with China and was a leading pro-Russian voice in EU politics.
After Russia invaded Ukraine in 2022, Zeman condemned the \u201cunprovoked act of aggression.\u201d He opposed initial EU sanctions against Russia after its 2014 annexation of Crimea.
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(AP) \u2014 Tucked away inside the teachers lounge at a New Hampshire elementary school, Amber Warner was having her teeth checked out for the first time.
The 5-year-old sat back on what looked like a beach chair and wore a pair of dark sunglasses as certified public health dental hygienist Mary Davis surveyed Amber's teeth and then with a tiny syringe applied traditional dental sealants, which had the consistency of nail gel.
\u201cClose down and bite your teeth together, bite down like you are biting down on a hot dog or a cheeseburger,\" Davis told Amber, to ensure the sealants were done properly. After that, Davis flossed all of the \u201cpopcorn and the chicken, pizza between your teeth.\u201d The whole visit took 15 minutes.
\u201cLook at you. You are a pro on your first dental visit. I am so proud of you,\u201d Davis said to the kindergartener, who got up from the chair and was hugged by a teacher's assistant.
The portable clinic is part of a cavity prevention program developed by NYU College of Dentistry and being rolled out in Concord and two other New Hampshire districts. CariedAway New Hampshire hopes to expand to Maine and Vermont \u2014 and eventually nationwide \u2014 as part of a growing effort to improve pediatric oral health, especially in children from lower-income families.
There isn't a good national estimate of dental programs in schools but many larger school districts have them. Boston University\u2019s program operates in 20 schools and 30 preschools in Boston and eight other cities in Massachusetts and covers 3,000 children from 6 months to 21 years. In New York City, 81,000 students across 820 schools \u2014 a little over half of all public schools \u2014 were treated last school year.
Nationwide Children\u2019s Hospital has seen 1,700 children in central Ohio since 2021 with its roving school-based dental clinics, while Minnesota nonprofit Ready, Set, Smile is in 44 schools in the Twin Cities, serving 2,225 children.
\u201cDental care typically is looked at as an extra or an add-on,\u201d said Terri Chandler, who is the founder and executive director of Future Smiles in Clark County, Nevada, which includes Las Vegas and serves 7,500 kids in 75 schools. \u201cIt is not part of medical care.\u201d
Nearly half of all U.S. children don\u2019t receive regular dental care, according to a 2022 report from the National Institute of Dental and Craniofacial Research, which is a federal agency.
That can lead to cavities quickly: More than half of children ages 6 to 8 had a cavity in at least one baby tooth and more than half adolescents ages 12 to 19 have a cavity in at least one of the permanent teeth, according to the U.S. Centers for Disease Control and Prevention.
Too many children fail to see a dentist before they enter school \u2014 forcing them to go to the hospital to get treatment for a mouthful of cavities, Harvard School of Dental Medicine's Catherine Hayes said.
\u201cIf their parents aren\u2019t getting any kind of oral health education in the physician\u2019s office, these kids develop extensive decay,\u201d she said, noting it can take a month or more to fix. She added: \"... It's completely preventable. We know how to prevent it.\u201d
At Boston Children\u2019s Hospital, there's a waiting list of eight to nine months for the dental clinic, said Man Wai Ng, the dentist-in-chief. Ng points in part to worsening dental care during the pandemic.
\u201cI have patients who were going to bed without brushing their teeth. They ate and drank at all hours of the day because those normal daily routines weren\u2019t there,\u201d Ng said. \u201cThey weren\u2019t able to get in for ... preventive dental care. Kids were developing more dental disease without the ability to get timely care.\u201d
Ruth Langwell struggled to find a dentist for her granddaughter Lola, a 10-year-old who has autism. She recently was able to get the girl into the clinic.
\u201cShe needs somebody who is very patient, obviously ... We've tried two other dentist and they have been reluctant because of Lola's challenges,\" said Langwell, who added she wanted Lola to see a dentist at age 2, but didn't until she was five.
The challenge for many programs, especially mobile and school-based clinics, is sustainability, said Richard Niederman, a professor of epidemiology and health promotion at NYU Dentistry and founder of CariedAway. That's because school-based programs like Neiderman's lean heavily on donations because they often serve low-income populations who are either uninsured or on Medicaid.
Niederman has spent two decades developing his program. Other ones he tried in the Bronx and Boston ended due to a lack of funding, but this time, Niederman has $1 million from Northeast Delta Dental, which ensures his New Hampshire program will remain in place for at least three years.
\u201cIt breaks my heart that kids don\u2019t get effective care that they could get ... and the system doesn't support it,\u201d he said.
But the picture for pediatric oral health is improving \u2014 even outside of school programs.
Untreated tooth decay in preschool children is down 50% since 2000, according to the federal dental research agency's report. It pointed to an increased use of sealants, which prevent cavities.
Jane Grover, the senior director of the American Dental Association\u2019s Council on Advocacy for Access and Prevention, said there has been \u201ctremendous growth\u201d of dental programs in community health centers, as well as efforts to deploy dental hygienists in pediatric offices.
Some states are also better coordinating pediatric and dental care. MassHealth, the Medicaid program in Massachusetts, started requiring physicians last year to ensure a child has two fluoride varnish applications and refer them to a dentist, Hayes said.
\u201cI remember my first dental cleaning and and that left a lasting impression,\u201d Grover said. \u201cWe want to have children understand that, but we want their families to understand that sugar-sweetened beverages all day on primary teeth where the enamel is a little thinner than it is on adult teeth, it doesn\u2019t take long ... to go from a potentially serious situation to a very serious situation.\u201d
Neiderman's team treated more than 60 students over a week at the Concord school. Among them was softspoken 10-year-old Evette Sesay, who dutifully detailed how she brushes twice a day and flosses.
She wondered aloud whether the treatment would \u201churt,\u201d only to be assured by Davis that it shouldn't \u2014 but that she could raise a hand if she felt pain. Evette, who went to the clinic because she \u201cwanted to check\u201d on her teeth, never did.
She said it felt like a typical exam at her dentist's office: \"They cleaned my teeth very well. The bubble gum flavor was good, too.\u201d
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(AP) \u2014 Southern California sheriff's deputies shot and killed a 17-year-old boy with mental health issues after he armed himself with a knife and locked himself inside a bathroom at a home, authorities said Wednesday.
The teen was being transferred from a hospital, where he had been treated after cutting himself, to a mental health facility when he escaped on Tuesday, San Bernardino County Sheriff Shannon Dicus said.
The boy, a foster youth who lives in Hesperia, later showed up at a home in Victorville where his sisters live in foster care, Dicus said. Someone at the home called deputies to come arrest him, Dicus said, because he had caused trouble there before.
The teen, who had a knife, locked himself in a bathroom, and deputies tried to get him to come out for about a half hour, according to the sheriff. But when the boy threatened to harm himself, deputies kicked down the door and tried to apprehend him, Dicus said.
A video and still images of the encounter showed the teen holding a knife, the Riverside Press-Enterprise reported. Deputies pepper-sprayed him, and one deputy\u2019s hand was sliced by the knife, the newspaper said.
The teen was backed into a bathtub, where he was shot, Dicus said. He was pronounced dead at a hospital.
The death came less than a month after San Bernardino deputies shot and killed 15-year-old Ryan Gainer. The autistic boy had threatened family members at a home in Victorville and then chased a responding deputy with a garden hoe, the sheriff's department said.
Dicus said Wednesday that in both cases, deputies were met with violence. He said parents need more access to mental health services for their troubled children, so that law enforcement isn't the only option in times of crisis.
\u201cMy record as sheriff for the last several years is I have championed having a better mental health system,\u201d Dicus said. \"The corrections environment and our public environment have been challenged a number of times where the only mental health resource we have in our community is law enforcement, and that\u2019s the only 24/7 resource that we have.\u201d
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Lauren Boebert underwent surgery Tuesday in Colorado for a blood clot in her leg and is expected to make a full recovery, her campaign said in a news release.
Boebert, a MAGA rabble-rouser, has represented the same Colorado House district since 2020 and is now also running in the Republican primary race to fill former Rep. Ken Buck's seat in a different district across the state.
The congresswoman was admitted to a hospital in northern Colorado on Monday after severe swelling in her left leg. Doctors discovered an acute blood clot with a CT scan, and diagnosed Boebert with May-Thurner Syndrome, her campaign said.
The campaign said the condition could've been caused by dehydration, travel and extended periods of sitting.
The surgery removed the clot and put in a stent. In the news release, hospitalist Dr. Rebecca Bade said that those who undergo the surgery to restore blood flow and recover are able live and work as usual. Boebert thanked Bade and the medical team.
The congresswoman has received flak in recent months over her decision to switch districts after she nearly lost her seat to a Democrat in 2022. That's piled on top of a chaotic year for Boebert, with a very public divorce and embarrassing moment at Beetlejuice with a date.
Still, her near-national name recognition and support from former President Donald Trump are expected to be boons in a race against lesser known, local Republicans.
If Boebert wins the primary in June, she'll likely secure the seat in the general election against a Democrat in a dark red district. ___
Bedayn is a corps member for the Associated Press/Report for America Statehouse News Initiative. Report for America is a nonprofit national service program that places journalists in local newsrooms to report on undercovered issues.
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Joe Biden teamed up with Sen. Bernie Sanders on Wednesday to promote his administration\u2019s efforts to lower the cost of inhalers and other health care needs, as the White House continues its effort to highlight Biden\u2019s legislative achievements to voters ahead of the November elections.
\u201cBernie, you and I have been fighting this for 25 years,\u201d Biden said to Sanders during an event in the Eisenhower Executive Office Building next door to the White House. \u201cFinally, finally we beat Big Pharma. Finally.\u201d
Both men touted the lower health care costs that come through the Democrats\u2019 sweeping climate, health care and tax package that Biden signed into law in 2022. It caps various health care costs for those on Medicare, including $35 a month for insulin and $2,000 a year for prescription drugs. No Republican lawmakers voted for the law.
His aides and Democratic officials say Biden\u2019s achievements such as lowering health care costs are popular with the public, yet the incumbent president hasn\u2019t yet gotten the credit from voters. Sanders has a loyal following that supports his calls to reign in medical costs in the U.S. and give the government more control over the health care industry.
The top drugmaker lobby called Biden\u2019s comments Wednesday a \u201cmissed opportunity,\u201d saying he failed to address how some other industries, like health insurance companies, are also driving up the cost of medications.
Both Biden and Sanders also promoted their recent efforts to pressure most major inhaler manufacturers to cap the costs of the devices to no more than $35 a month. Otherwise, the purchase price of inhalers ranges somewhere between $200 to $600 without insurance, according to the White House. Manufacturers have said the price changes will take effect later this year or at the beginning of next year.
\u201cI want to thank President Biden for what he has done on this issue up to now, and I look forward to working with the president as we go forward,\u201d Sanders said.
Sanders, a Vermont independent, and Biden were rivals for the Democratic presidential nomination in 2020. After Sanders ended his bid, his aides worked with Biden campaign officials to craft a party policy platform that would reflect Sanders\u2019 influence.
---
Associated Press writers Seung Min Kim and Amanda Seitz contributed to this report.
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April 2, 2024.
Editorial: Motorcycle helmets make riders -- and everyone else on the road -- safer
If the current legislative debate over whether motorcyclists should be required to wear helmets seems familiar, it\u2019s because Louisiana has been down this road before.
More than two decades ago, at the persistent urging of governor and motorcycle enthusiast Mike Foster, the Legislature did away with the requirement. Not long after Foster left office, Gov. Kathleen Blanco wisely signed a bill reinstating it. Lawmakers later rejected a push by Gov. Bobby Jindal to eliminate it, following frightening committee testimony by emergency room doctors.
But now a new version of this bad idea is before lawmakers. House Bill 317 by state Rep. Rodney Schamerhorn, R-Hornbeck, would repeal the requirement once more, under certain circumstances.
Arguing for the bill, which was approved 60-43 by the House late last month, Schamerhorn cited the \u201cpersonal privilege to be able to do what you want to do with your life.\u201d But removing the helmet mandate doesn\u2019t just affect individual riders who choose to take ill-advised chances.
We urge senators to apply the brakes and take a hard look at the historical data.
The most important metric is a stark one: In the three years after the last time lawmakers got rid of the helmet requirement, Louisiana saw 196 motorcyclist fatalities \u2014 up from 102 in the three years preceding the change.
Some safeguards were amended into HB 317 to make it more palatable. In its current form, the bill would require riders who don\u2019t want to wear helmets to carry insurance covering up to $100,000 for bodily injury, to give up the right to recover damages for head injuries suffered in an accident and to take a motorcycle safety course. Riders who choose this option must be at least 21 years old; the law\u2019s prior incarnation applied to riders over 18.
We appreciate that some lawmakers worked to blunt the proposal\u2019s bad effects, but the changes don\u2019t alter the bottom line: One person\u2019s freedom to ride without a helmet still affects others negatively.
Even if the rider complies with the liability requirement \u2014 a big if in this state \u2014 a lifetime of care following a traumatic head injury will likely cost far more than $100,000, and someone has to pay.
Then there are broader safety concerns for drivers who share the road; the potential trauma to survivors and to others involved in accidents that could have been far less serious; and the likelihood that policies encouraging unnecessary risk-taking could send the state\u2019s high insurance rates even higher.
The times and political makeup of the Legislature have changed since the last time Louisiana had this debate, but the common sense answer remains.
Along with sensible regulations like seat belt laws and bans on driving while intoxicated, the current helmet law is doing its part to make all who use Louisiana\u2019s roads safer.
There\u2019s no good reason to get rid of it.
END
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"dcb000c082c610048843df092526b43e", + "name": "Ohio", + "type": "AUDGEOGRAPHY" + }, + { + "code": "0b394d7082c71004887fdf092526b43e", + "name": "Pennsylvania", + "type": "AUDGEOGRAPHY" + }, + { + "code": "dec1cce882af10048320df092526b43e", + "name": "Georgia", + "type": "AUDGEOGRAPHY" + }, + { + "code": "661850e07d5b100481f5c076b8e3055c", + "name": "Latin America and Caribbean", + "type": "AUDGEOGRAPHY" + }, + { + "code": "661e48387d5b10048291c076b8e3055c", + "name": "United States", + "type": "AUDGEOGRAPHY" + } + ], + "associations": { + "1": { + "altids": { + "itemid": "945324c7927940aeb3a7c8472ffb8d08" + }, + "type": "picture" + }, + "2": { + "altids": { + "itemid": "c74f954ec8d34e5b8694a103703e026f" + }, + "type": "picture" + }, + "3": { + "altids": { + "itemid": "a0f2ca1446b2478a8f2c8c8a9f4bca2f" + }, + "type": "picture" + }, + "4": { + "altids": { + "itemid": "6458647f6c2043e0a7d77c81a928215c" + }, + "type": "picture" + } + }, + "body_nitf": "The aftermath of last year's fiery train derailment in eastern Ohio doesn't qualify as a public health emergency because widespread health problems and ongoing chemical exposures haven't been documented, federal officials said.
The Environmental Protection Agency never approved that designation after the February 2023 Norfolk Southern derailment even though the disaster forced the evacuation of half the town of East Palestine and generated many fears about potential long-term health consequences of the chemicals that spilled and burned. The contamination concerns were exacerbated by the decision to blow open five tank cars filled with vinyl chloride and burn that toxic chemical three days after the derailment.
The topic of a public health emergency came up in emails obtained by the Government Accountability Project watchdog group through a public records request. But EPA Response Coordinator Mark Durno said the label, which the agency has only used once before in Libby, Montana \u2014 where hundreds of people died and thousands were sickened from widespread asbestos exposure \u2014 doesn't fit East Palestine even though some residents still complain about respiratory problems and unexplained rashes. Officials also believed the agency had enough authority to respond to the derailment without declaring an emergency.
Durno said the reason a public health emergency isn\u2019t being considered is that \u201cwe have not had any environmental data\u201d about ongoing chemical exposures in the extensive air, water and soil testing program.
The EPA said in a statement that the order it did issue telling Norfolk Southern it was responsible for the damage declared that \"the conditions at the derailment site \u2018may constitute an imminent and substantial endangerment to the public health or welfare or the environment.\u2019\u201d So the agency said it didn't see a need for a public health emergency because it had the legal authority it needed to respond.
But area residents like Jami Wallace see plenty of evidence that their hometown has become a disaster every time they open Facebook and see posts about their friends' kids covered with rashes or struggling with chronic nosebleeds. Other posts talk about the smell of chemicals returning after heavy rains.
\u201cThey keep saying it\u2019s a coincidence, but if this was your family, wouldn\u2019t you get tired of it being a coincidence?\u201d Wallace said.
Lesley Pacey, who is an environmental investigator with the watchdog group, said she wants to make sure that East Palestine residents get the help that they need to recover from the derailment.
\u201cI talk to residents all the time and they\u2019re having new seizures pop up, cancers. I mean, a lot of the damage has already been done to these people,\u201d Pacey said.
Federal and state officials continue monitoring for additional problems in the small community near the Pennsylvania border, according to Durno. The EPA also keeps testing the air and water in the area as it oversees the railroad's work to clean up the mess.
He reiterated that none of the agency's more than 100 million tests of air, water and soil ever showed concerning levels of chemicals apart from the soil immediately around the derailment that was dug up and disposed of last year.
In the recently disclosed emails, an EPA lawyer tells one of its PR people it was \u201cbest not to get into this\u201d when he was asked whether a document explaining the agency's order telling Norfolk Southern to clean up the contamination from the derailment should include anything about medical benefits. That kind of aid, which could include Medicare coverage, is only available if EPA declares a public health emergency.
\u201cBut again there was no data suggesting that that was necessary. And to this date, there is no data that suggests that that\u2019s necessary,\u201d Durno said
The railroad has already spent more than $1.1 billion on its response to the derailment, including more than $104 million in direct aid to East Palestine and its residents. Partly because Norfolk Southern is paying for the cleanup, President Joe Biden has never declared a disaster in East Palestine, which is a sore point for many residents. The railroad has promised to create a fund to help pay for the long-term health needs of the community, but that hasn't happened yet.
The emails also provide a reminder that the EPA was aware of the potential dangers of releasing and burning the vinyl chloride. But that was already made clear when the EPA advised officials on scene that phosgene \u2014 which was used as a chemical weapon in World War I \u2014 and hydrogen chloride would likely be created when vinyl chloride is burned and warned the public about that possibility.
The officials who made the decision to release the vinyl chloride \u2014 Ohio's governor and the local fire chief leading the response \u2014 decided that releasing and burning it was safer than risking a tank car or more exploding.
Ultimately, Durno said the EPA found only low levels of hydrogen chloride in the plume of thick black smoke and no phosgene. And he said the agency took extensive samples throughout the area to monitor for those chemicals during the burn and evacuation even though weather conditions kept its specialized plane with additional testing equipment grounded on the day of the burn.
The head of the National Transportation Safety Board said recently that her agency's investigation showed that the vent and burn of the vinyl chloride was unnecessary because the company that produced that chemical was sure no dangerous chemical reaction was happening inside the tank cars. But the officials who made the decision have said they were never told that.
The NTSB's full investigation into the cause of the derailment won't be complete until June, though that agency has said that an overheating wheel bearing on one of the railcars that wasn't detected in time by a trackside sensor likely caused the crash.
The EPA has said the cleanup in East Palestine is expected to be complete sometime later this year.
Rick Tsai, a chiropractor who ran in the March primary for the U.S. congressional seat on the derailment, sees a dismal future for the small township the longer that it goes without the resources it needs to make it safe again \u2014 resources the public health emergency designation could help provide.
\u201cPeople are just about to give up,\u201d he lamented. \u201cI don\u2019t think people have much hope anymore.\u201d
___
Associated Press writer Samantha Hendrickson contributed to this report.
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Given the extensive focus on health-related issues and the impact on the community's well-being, the document is highly relevant to the topic of health." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/04/03/c556cc3dc564843018a2cdce5058c668.json b/datasets/AP_news/raw_data/2024/04/03/c556cc3dc564843018a2cdce5058c668.json new file mode 100644 index 0000000..a000f78 --- /dev/null +++ b/datasets/AP_news/raw_data/2024/04/03/c556cc3dc564843018a2cdce5058c668.json @@ -0,0 +1,189 @@ +{ + "altids": { + "itemid": "c556cc3dc564843018a2cdce5058c668", + "etag": "c556cc3dc564843018a2cdce5058c668_1a4aza0c0", + "friendlykey": "744595491230", + "referenceid": "US-MED--Hepatitis C" + }, + "version": 1, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-04-03T17:25:37Z", + "firstcreated": "2024-04-03T17:02:44Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: Updates Media.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "US-MED--Hepatitis C", + "headline": "Hepatitis C cases dropped in the US. Health officials aren't sure if it's a blip or a trend", + "headline_extended": "Federal health officials say that new U.S. hepatitis C infections dropped slightly in 2022", + "slugline": "AP-US-MED--Hepatitis C, 1st Ld-Writethru", + "description_summary": "Federal health officials say that new U.S. hepatitis C infections dropped slightly in 2022. It's a surprising improvement after more than a decade of steady increases. Experts say they're not sure whether the 6% decline is a statistical blip or the start of a new downward trend. The Centers for Disease Control and Prevention posted its hepatitis C data for 2022 on Wednesday. Infection rates declined for white Americans, but rose in Black, Latino and Native American communities. Experts also think the overall rate going down could be attributed to prevention efforts, needle exchanges and more drugs being smoked rather than injected.", + "bylines": [ + { + "by": "By MIKE STOBBE", + "title": "AP Medical Writer" + } + ], + "located": "NEW YORK", + "datelinelocation": { + "city": "New York", + "countryareacode": "NY", + "countryareaname": "New York", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -74.00597, + 40.71427 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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Experts are not sure whether the 6% decline is a statistical blip or the start of a downward trend. Seeing 2023 and 2024 data, when it's available, will help public health officials understand what's going on, said Daniel Raymond, director of policy at the National Viral Hepatitis Roundtable, an advocacy organization.
\u201cWe've had a decade of bad news ... I am cautiously encouraged,\" he said. \"You always want to hope like something like this is real, and a potential sign that the tide has turned.\u201d
Infection rates did not occur across the board. They declined for white Americans, but continued to rise in Black, Latino and Native American communities, according to Dr. Neil Gupta, who oversees the branch of the Centers for Disease Control and Prevention that tracks viral hepatitis.
The hepatitis C virus is spread through contact with blood from an infected person. The virus does most of its damage by infecting the liver, and, if left untreated, can lead to cirrhosis or liver cancer. Infections are driven mainly by people injecting illicit drugs.
Data released by the CDC for 2022 shows 4,848 new infections, down from 5,023 reported the year before. The CDC estimates about 67,000 new hepatitis C infections actually occurred in 2022, because many people who become infected don\u2019t realize it, meaning most new infections are not diagnosed and reported. But that too is down, from 70,000 estimated for 2021.
The new infection rate \u2014 used to better compare data from one year to another \u2014 dropped 6%. Though the decline is encouraging, Gupta said, the 2022 statistics are still twice as high was what the nation saw in 2015.
Cases had consistently gone up since 2013 during the longstanding opioid epidemic due to drug users shooting heroin and fentanyl. Experts say a couple of factors could have contributed to a decline in 2022, including successful prevention efforts and needle exchanges.
The North America Syringe Exchange Network keeps a directory of U.S. programs, and listings have grown from about 300 to nearly 500 in the last several years, said Paul LaKosky, NASEN's executive director. Many programs also have boosted hepatitis C testing and found ways to get infected people to treatment, he noted.
But LaKosky and others think something else may be at play, too: Drug users are shifting from injecting to smoking. A recent CDC report found that between early 2020 and late 2022, the percentage of overdose deaths with evidence of smoking rose 74% while the percentage of deaths with evidence of injection fell 29%.
Fewer people injecting drugs like fentanyl means fewer opportunities for the spread of hepatitis C, experts noted.
\u201cThere has been a tremendous shift in the way people are consuming their drugs. There's been a decrease in demand for syringes. We've seen this nationwide,\u201d said LaKosky, who added there is more demand for supplies to snort or smoke drugs.
More than 2 million Americans are infected with hepatitis C, some of them having lived with infections for many years, the CDC estimates. About 12,700 Americans died in 2022 of hepatitis C-related causes, the CDC said.
___
The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute\u2019s Science and Educational Media Group. The AP is solely responsible for all content.
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Empower Brands is significantly expanding a previously announced recall of Black & Decker Model HGS011 Easy Garment Steamers, according to a notice posted Thursday by the Consumer Product Safety Commission.
Nearly 520,000 of these steamers were recalled back in November 2022. At the time, a repair remedy was offered \u2014 but there have been continued reports of burn injuries involving the repaired units since, the CPSC said. Empower Brands is now recalling another 1.6 million steamers to cover all units of the model, including those that were previously repaired, and offering full refunds instead.
The recalled steamers can spray or leak out hot water during use, posing burn hazards, the product-safety commission said.
To date, Empower Brands has received 317 reports of hot water expelling from the steamers, resulting in 82 burn injury reports, seven of which were second-degree burns. Ninety-four of these incidents \u2014including 19 of the burn injuries \u2014 involved repaired units or models that had an updated design, the CPSC said.
The Black & Decker Model HGS011 Easy Garment Steamers were sold in a variety of colors at retailers such as Walmart, Target, Bed Bath & Beyond and Amazon, as well as the Black & Decker website, between June 2021 through February 2024.
The recalled products can be identified by their label, model number and UPC code \u2014 all of which are listed on the CPSC's notice.
Consumers are instructed to stop using the impacted steamers immediately and contact Empower Brands, a subsidiary of Middleton, Wisconsin-based Spectrum Brands Inc. for a full refund.
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However, the document is more focused on the recall process and product details rather than broader health implications or advice, which slightly limits its relevance to the health topic." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/04/04/4da0cd6d585e69ede87bea2ee2da2896.json b/datasets/AP_news/raw_data/2024/04/04/4da0cd6d585e69ede87bea2ee2da2896.json new file mode 100644 index 0000000..5d415e1 --- /dev/null +++ b/datasets/AP_news/raw_data/2024/04/04/4da0cd6d585e69ede87bea2ee2da2896.json @@ -0,0 +1,281 @@ +{ + "altids": { + "itemid": "4da0cd6d585e69ede87bea2ee2da2896", + "etag": "4da0cd6d585e69ede87bea2ee2da2896_1a6aza0c0", + "friendlykey": "692641945836", + "referenceid": "US--Abortion-Indiana" + }, + "version": 1, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-04-04T23:07:11Z", + "firstcreated": "2024-04-04T20:34:00Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: Updates Media. Adds AP Audio", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "US--Abortion-Indiana", + "headline": "Lawsuit challenging Indiana abortion ban survives a state challenge", + "headline_extended": "Indiana's Court of Appeals says the state's near total ban on abortion may infringe on the religious freedom of some residents", + "slugline": "AP-US--Abortion-Indiana, 1st Ld-Writethru", + "description_summary": "Indiana's Court of Appeals says the state's near total ban on abortion may infringe on the religious freedom of some residents. The ruling released Thursday is tied to a lawsuit challenging the ban and filed by four residents and the group Hoosier Jews for Choice. The three-judge panel agreed with a county judge's previous ruling that residents whose sincerely held religious beliefs may require them to obtain an abortion should be exempt from the ban. The ruling does not have an immediate effect. It may be challenged to the state Supreme Court, which upheld the abortion ban last year in a separate legal challenge.", + "bylines": [ + { + "by": "By ISABELLA VOLMERT", + "title": "Associated Press" + } + ], + "located": "INDIANAPOLIS", + "datelinelocation": { + "city": "Indianapolis", + "countryareacode": "IN", + "countryareaname": "Indiana", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -86.15804, + 39.76838 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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The three-judge panel's ruling agreed with a lower court that plaintiffs with a religious objection to the ban should be exempt from it. But the written decision had no immediate effect and may be challenged in the state Supreme Court within the next 45 days.
Indiana\u2019s near total abortion ban went into effect in August after the Indiana Supreme Court upheld it, ending a separate legal challenge.
The religious challenge against the ban was brought by four residents and the group Hoosier Jews for Choice in September 2022, saying it violates a state religious-freedom law Republican lawmakers approved in 2015. A county judge sided with the residents \u2014 who are represented by the American Civil Liberties Union of Indiana \u2014 last December. Indiana later appealed the decision.
\u201cFor many Hoosiers, the ability to obtain an abortion is necessary based on a sincerely held religious belief,\u201d said Ken Falk, ACLU of Indiana Legal Director, in a statement.
The appeals court ordered the trial court to \u201cnarrow\u201d the earlier preliminary injunction only to residents who according to their sincerely held religious beliefs require an abortion. The order also affirmed class certification in the case, which the state challenged.
The ACLU\u2019s lawsuit argues that the ban violates Jewish teaching that \u201ca fetus attains the status of a living person only at birth\u201d and that \u201cJewish law stresses the necessity of protecting the life and physical and mental health of the mother prior to birth as the fetus is not yet deemed to be a person.\u201d It also cites theological teachings allowing abortion in at least some circumstances by Islamic, Episcopal, Unitarian Universalist and Pagan faiths.
\u201cWe are dealing with a very favorable decision that is not yet final,\u201d Falk said when speaking to reporters Thursday. Indiana Attorney General Todd Rokita\u2019s office did not immediately comment on the ruling.
The appeals court panel consistently sided with the residents over the state of Indiana fighting the injunction. The judges agreed with the original county judge that for the plaintiffs, obtaining an abortion when directed by their sincere religious beliefs \u201cis their exercise of religion.\u201d
\u201cThey also have shown their sexual and reproductive lives will continue to be restricted absent the injunction,\" the order said.
A judge heard arguments in a similar lawsuit in Missouri in November, in which 13 Christian, Jewish and Unitarian Universalist leaders are seeking a permanent injunction barring Missouri\u2019s abortion law. The lawyers for the plaintiffs said at a court hearing that state lawmakers intended to \u201cimpose their religious beliefs on everyone\u201d in the state.
Three Jewish women have sued in Kentucky, claiming the state\u2019s ban violates their religious rights under the state\u2019s constitution and religious freedom law.
Indiana became the first state to enact tighter abortion restrictions after the U.S. Supreme Court ended federal abortion protections by overturning Roe v. Wade in June 2022.
The near total ban makes exceptions for abortions at hospitals in cases of rape or incest and to protect the life and physical health of the mother or if a fetus is diagnosed with a lethal anomaly.
The ACLU revamped another legal challenge to the ban in November. In an amended complaint, abortion providers are seeking a preliminary junction on the ban in order to expand medical exemptions and block the requirement that abortions must be provided at a hospital.
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Amylyx Pharmaceuticals said Thursday it will halt marketing in the U.S. and Canada. In March, the drugmaker announced that its drug had failed to show any benefit for patients in a 600-person study. The drug\u2019s failure is a major disappointment for ALS patients and advocates who pressed the FDA to approve it. Amylyx's voluntary withdrawal resolves a potential dilemma for the FDA, which had no way of quickly forcing the drug from the U.S. market. That's because regulators granted the drug full approval in 2022, despite the Cambridge, Massachusetts, company presenting only preliminary study results.", + "bylines": [ + { + "by": "By MATTHEW PERRONE", + "title": "AP Health Writer" + } + ], + "located": "WASHINGTON", + "datelinelocation": { + "city": "Washington", + "countryareacode": "DC", + "countryareaname": "District of Columbia", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -77.03637, + 38.89511 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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Amylyx Pharmaceuticals announced it will voluntarily halt sales and marketing of the drug in the U.S. and Canada, where new patients will no longer be able to get a prescription.
\u201cWhile this is a difficult moment for the ALS community, we reached this path forward in partnership with the stakeholders who will be impacted and in line with our steadfast commitment to people living with ALS,\" company co-founders said in a statement. Patients already taking the therapy who wish to continue will be able to enroll in a program to receive it for free.
The Food and Drug Administration approved the much-debated drug, Relyvrio, in September 2022, following a years-long advocacy campaign by patients with amyotrophic lateral sclerosis, or ALS.
The drug's failure is a bitter disappointment for patients and advocates, who have pressed the FDA and other federal agencies to fund and approve more experimental therapies for the fatal muscle-wasting disease.
Relyvrio's withdrawal leaves just three ALS medicines available to U.S. patients, only one of which has been shown to extend survival by several months.
Cambridge, Massachusetts-based Amylyx also said Thursday it will lay off 70% of its more than 350 employees as part of a major restructuring effort. Company executives said they plan to continue studying Relyvrio and another experimental drug for several rare diseases, including Wolfram syndrome, which causes childhood diabetes and blindness.
Company shares climbed more than 7.5% in trading Thursday morning.
Amylyx said last month it was considering pulling its drug after a clinical trial in 600 patients failed to show any improvements in survival or other health measures, such as muscle strength or walking ability.
The company's voluntary action resolves what could have been a major dilemma for the FDA. The agency's regulators would not have had a clear path to quickly force the drug from the market if the company had refused to remove it. That's because the FDA granted the drug full approval, despite the preliminary nature of the company's data on effectiveness.
The 2022 approval was mainly based on results from one small, mid-stage study that was criticized by some of the agency\u2019s own internal scientists. Normally the agency requires two large, late-stage studies that show a clear benefit before granting approval. But at the time FDA officials explained that \u201cregulatory flexibility\u201d was appropriate when reviewing Relyvrio, \u201cgiven the serious and life-threatening nature of ALS and the substantial unmet need.\u201d
The medication is part of a string of drugs for deadly, degenerative diseases that have won FDA approval in recent years despite questionable evidence they work.
ALS gradually destroys the nerve cells and connections needed to walk, talk, speak and breathe. Most patients die within three to five years of a diagnosis.
Relyvrio is a powder that combines two older drugs: a prescription medication for liver disorders and a dietary supplement associated with traditional Chinese medicine.
Amylyx faced criticism for pricing the drug at $158,000 for a year\u2019s supply. Sales were disappointing, with some patients discontinuing the medicine after only a few months.
___
The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute\u2019s Science and Educational Media Group. The AP is solely responsible for all content.
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Updates Media.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "AS--South Korea-Doctors Protest", + "headline": "South Korea's president meets leader of doctors' strike as he seeks to end their walkouts", + "headline_extended": "South Korea\u2019s president has met the leader of thousands of striking junior doctors and promised to respect their position during future talks over the government's contentious push to sharply increase medical school admissions", + "slugline": "AP-AS--South Korea-Doctors Protest, 1st Ld-Writethru", + "description_summary": "South Korea\u2019s president has met the leader of thousands of striking junior doctors and promised to respect their position during future talks over the government's contentious push to sharply increase medical school admissions. The meeting Thursday between President Yoon Suk Yeol and Park Dan, head of an emergency committee for the Korea Intern Resident Association, is the first of its kind since more than 90% of the country\u2019s 13,000 trainee doctors walked off the job in February, disrupting hospital operations. Yoon's office didn't say whether the president's comments would mean he is willing to lower the size of his proposed medical school admission increase.", + "bylines": [ + { + "by": "By HYUNG-JIN KIM", + "title": "Associated Press" + } + ], + "located": "SEOUL, South Korea", + "datelinelocation": { + "city": "Seoul", + "countrycode": "KOR", + "countryname": "South Korea", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + 126.9784, + 37.566 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. 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The meeting was the first of its kind since more than 90% of the country\u2019s 13,000 trainee doctors walked off the job in February, disrupting hospital operations. But there was still no immediate report of a breakthrough after the meeting.
During a lengthy televised public address Monday, Yoon defended his plan to recruit 2,000 more medical students each year, from the current cap of 3,058. But he said his government remains open to talks if doctors come up with a unified proposal that gives logical reasons for their calls for a much smaller hike of the enrollment quota.
On Thursday, Yoon met Park Dan, head of an emergency committee for the Korea Intern Resident Association, for more than two hours, during which \"the president said he would respect the position of trainee doctors in the event of talks with the medical circle on medical reform issues including an increase of doctors,\u201d according to Yoon\u2019s office.
It didn\u2019t say whether the government plans any immediate talks with the doctors and whether Yoon\u2019s comments would mean he\u2019s willing to lower the size of his proposed medical school admission increase. The strikers have earlier demanded the government withdraw the 2,000-student admission increase plan.
In a brief Facebook message posted after the meeting, Park wrote that \u201cthere is no future for the medical service of the Republic of Korea\u201d without elaborating. Repeated calls to Park went unanswered. Another striker, Ryu Ok Hada, earlier accused Park of having unilaterally met with Yoon without approval from fellow strikers.
During the meeting, Yoon also listened to Park\u2019s views on problems facing South Korea\u2019s medical system, and the two exchanged opinions on how to improve working conditions for interns and medical residents, Yoon\u2019s office said in a statement.
Yoon has said the 2,000-student enrollment increase is the minimum necessary, given that South Korea has one of the world's most rapidly aging populations and its doctor-to-patient ratio is the lowest among advanced economies.
But many doctors have argued that universities can't deal with such an abrupt increase in the number of students, and that it would ultimately undermine the quality of the country's medical services. But critics say doctors, one of the best-paid professions in South Korea, simply worry that the supply of more doctors would result in lower future incomes.
Public surveys show that a majority of ordinary South Koreans support Yoon's plan. But observers say ordinary people are increasingly fed up with the protracted confrontation between the government and doctors, as the doctors\u2019 strikes have triggered hundreds of cancelled surgeries and other medical treatments at hospitals.
Yoon has faced calls from many, including some in his own conservative ruling party, to make concessions as the party\u2019s candidates face an uphill battle against their liberal rivals ahead of the April 10 parliamentary elections.
The striking doctors face license suspensions because they missed a government-set deadline to return to work by the end of February. Government officials have repeatedly suggested they could soften punitive steps if strikers return to their hospitals voluntarily.
The striking doctors represent a fraction of the total doctors in South Korea \u2014 estimated at between 115,000 and 140,000. But in some major hospitals, they account for about 30% to 40% of doctors, assisting qualified doctors and department chiefs during surgeries and other treatments while training.
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About 300 people of varying ages had hair samples taken and were evaluated by a team of doctors, psychologists, nurses and neurologists. The Yanomami territory, an area the size of Portugal, has endured decades of illegal gold mining, which uses mercury on a large scale. The surge of mining in the last few years led to a humanitarian crisis. The report is not peer-reviewed but echoes three recent studies based on the same research published in the journal Toxics.", + "bylines": [ + { + "by": "By FABIANO MAISONNAVE", + "title": "Associated Press" + } + ], + "located": "BRASILIA, Brazil", + "datelinelocation": { + "city": "Brasilia", + "countrycode": "BRA", + "countryname": "Brazil", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -55, + -10 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. 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The research was conducted in nine villages along the Mucajai River, a remote region where illegal mining is widespread. Mercury, a poison, is commonly used in illegal mining to process gold.
The researchers collected hair samples from nearly 300 Yanomami of all ages. They were then examined by doctors, neurologists, psychologists and nurses.
The vast majority, 84% of Yanomami tested, had contamination equal to or above 2 micrograms per gram, a level of exposure that can lead to several health problems, according to standards by the U.S. Environmental Protection Agency and World Health Organization.
Even more worrying, a smaller part of this group, 10%, surpassed the 6 micrograms per gram threshold, a contamination level often associated with more severe medical conditions.
Research teams also tested fish in the area, finding high levels in them. Eating fish with high mercury levels is the most common path of exposure.
Exposure studies usually test for methylmercury, a powerful neurotoxin formed when bacteria, in this case in rivers, metabolize inorganic mercury. Ingestion of large amounts over weeks or months damages the nervous system. The substance also can pass through a placenta of a pregnant woman, exposing a fetus to developmental abnormalities and cerebral palsy, according to the U.S. Centers for Disease Control and Prevention.
Health effects can include decreased sensitivity in the legs, feet, and hands, overall weakness, dizziness, and ringing in the ears. In some cases, a compromise of the central nervous system can lead to mobility issues.
\u201cChronic exposure to mercury settles in slowly and progressively,\" Paulo Basta, an epidemiologist with the Oswaldo Cruz Foundation, which led the testing, told The Associated Press. \u201cThere\u2019s a wide spectrum of clinical actions that range from mild to severe symptoms.\u201d
Concerted global efforts to address mercury pollution led to the 2013 Minamata Convention, a UN-backed agreement signed by 148 parties to curb emissions. The treaty is named after the Japanese city of Minamata, whose population was contaminated by decades-long emissions of mercury dumped along with wastewater. Brazil and the United States were among the signatories.
The Brazilian government report has not been peer reviewed but synthesizes three papers published recently in the journal Toxics, all based on the same field work. One of the studies noted that determining what long-term mercury exposure levels constitute a significant risk for health remains a challenge.
The study\u2019s findings align with prior research in other areas of the Amazon, said Maria Elena Crespo L\u00f3pez, a biochemist at the Federal University of Par\u00e1 who was not involved in the report and has studied the subject for 20 years.
\u201cThe mercury problem is widespread throughout the Amazon,\" she told the AP. \"Since the 1970s, when the first major gold rush happened here, mercury has been released for decades and ends up being transported over long distances, entering the food chain.\u201d
A global review of mercury exposure in the journal Environmental Health Perspectives in 2018 identified Amazon river tributary communities as one of four communities of most concern.
The World Health Organization ranks small-scale gold mining as the single largest source of human-led contamination. The Yanomami territory, which spans the size of Portugal and has a population of 27,000, has endured decades of this illegal activity.
The mining problem significantly expanded during the four-year term of far-right President Jair Bolsonaro, which ended in 2022. He defanged Brazil's environment protection agencies amid rising gold prices. The combination caused a rush of thousands of miners onto Yanomami lands. Basta said that during the fieldwork, which took place near the end of Bolsonaro's term, Mucajai was teeming with illegal miners.
Upon arrival by plane, the 22-strong team had to wait for about hours to proceed by boat due to heavy gold barge traffic in the Mucajai River. During ten days of testing, researchers were guarded by four military police carrying machine guns and grenades. Basta recalls counting 30 to 35 small planes flying to and from illegal mining sites each day.
\u201cThe tension was present throughout our entire stay in the village. I have been working in indigenous villages for 25 years, and it was the most tense work I have done,\u201d he said.
Current President Luiz In\u00e1cio Lula da Silva has pledged to expel gold prospectors from Yanomami territory and improve health conditions, but the task is far from complete.
\u201cMining is the biggest threat we face in Yanomami land today,\" Yanomami leader D\u00e1rio Kopenawa said in a statement. \u201cIt's mandatory and urgent to expel these intruders. If mining continues, so will contamination, devastation, malaria, and malnutrition. This research provides concrete evidence of it.\u201d
___
The Associated Press\u2019 climate and environmental coverage receives financial support from multiple private foundations. AP is solely responsible for all content. Find AP\u2019s standards for working with philanthropies, a list of supporters and funded coverage areas at AP.org.
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Updates Media.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "US--Sex Education-Pregnancy Video", + "headline": "Tennessee lawmakers pass bill to require anti-abortion group video, or comparable, in public schools", + "headline_extended": "Tennessee would become the latest state to require public school students to watch a video on fetal development produced by an anti-abortion group, or something comparable, under legislation heading to Republican Gov. Bill Lee\u2019s desk", + "slugline": "AP-US--Sex Education-Pregnancy Video, 2nd Ld-Writethru", + "description_summary": "Tennessee would become the latest state to require public school students to watch a video on fetal development produced by an anti-abortion group, or something comparable, under legislation heading to Republican Gov. Bill Lee\u2019s desk. The GOP-dominated Senate approved the legislation Thursday. The House had already passed it. The bill mirrors similar proposals this year in Iowa, Kentucky, Missouri, and West Virginia, all backed by Live Action, an anti-abortion organization. North Dakota was the first state to adopt the idea last year. Some educators and physicians argue the video is deceptive and problematic for a young audience. Live Action says the video was made in consultation with doctors.", + "bylines": [ + { + "by": "By KIMBERLEE KRUESI and JONATHAN MATTISE", + "title": "Associated Press" + } + ], + "located": "NASHVILLE, Tenn.", + "datelinelocation": { + "city": "Nashville", + "countryareacode": "TN", + "countryareaname": "Tennessee", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -86.78444, + 36.16589 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. 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(AP) \u2014 Tennessee would become the latest state to require public school students to watch a video on fetal development produced by an anti-abortion group, or something comparable, under legislation that is headed to Republican Gov. Bill Lee's desk.
The GOP-dominated Senate passed the legislation Thursday, with the five Democrats in attendance and one Republican voting to oppose.
The Senate voted down various Democratic amendments: to let parents opt their children out of watching the video; to let school districts decide whether to show it; to show a disclaimer that it's scientifically inaccurate political propaganda; and to let schools teach comprehensive sex education.
\u201cThis cutesy, shiny, pink video is offensively childish and it diminishes the complexity of reproductive health,\" said Democratic Sen. Heidi Campbell. \"It\u2019s insulting to women and it\u2019s insulting to the medical profession.\u201d
The bill's sponsor, Republican Sen. Janice Bowling, argued the video is accurate.
\u201cIt does show conception and it\u2019s an AI-type of film, but it\u2019s medically correct,\u201d Bowling said. \u201cAnd it shows the moment when the sperm unites with the egg, and that is the beginning of life.\u201d
The bill mirrors similar proposals that have popped up this year in Iowa, Kentucky, Missouri, and West Virginia, have all been backed by Live Action, an anti-abortion organization. North Dakota was the first state to adopt the idea last year.
Live Action has been approaching states pushing them to use their three-minute animation in classrooms that they say helps visualize a fetus developing in the womb. The fetus in the video is referred to as Baby Olivia.
The clip depicts an egg being fertilized and implanted then progressing through embryonic and fetal developments occurring throughout a pregnancy. A voiceover also introduces viewers to Olivia as an illustration of a fully developed baby in utero appears on screen. Olivia\u2019s mouth and eyes open and close, and her hands move.
\u201cThough she has yet to greet the outside world, she has already completed an amazing journey,\u201d the narrator says.
However, the video has been criticized by some educators and physicians, who argue the video is deceptive and problematic for a young audience. Furthermore, the American College of Obstetricians and Gynecologists, a professional organization with over 60,000 members, has said that the video is anti-abortion misinformation \u201cdesigned to manipulate the emotions of viewers.\u201d
Live Action says the video was made in consultation with doctors.
Under the Tennessee version, public schools would have the option to show a different video, but the legislation contains strict requirements that it must be at least three minutes long and contain \u201ca high-quality, computer-generated animation or high-definition ultrasound\u201d that shows \u201cthe development of the brain, heart, sex organs, and other vital organs in early fetal development.\u201d It's unclear how many other organizations offer something similar.
The bill says the video must be shown as part of a school's family life curriculum.
Democrats said requiring the video goes against Republicans' claims that they prioritize parental choice in education.
\u201cI\u2019ve heard many members in this body talk about school choice, parent choice as the lay of the land and how it should be,\" said Democratic Sen. Charlane Oliver. \"But it seems to be only convenient when it fits a certain political ideology.\u201d
During the same floor session, the Senate also voted to send the governor a bill that would require annual firearm safety instruction in public schools, including safe storage, avoiding injury if a student finds a gun and informing adults if one is discovered. No live guns, ammo or firing could be involved.
While Lee hasn't publicly weighed in on the video legislation, it's likely to win the Republican's signature. The governor has never vetoed a bill since taking office in 2019 and he has repeatedly stressed his opposition to abortion. Under his administration, Lee enacted a sweeping abortion ban that went into effect shortly after the U.S. Supreme Court overturned Roe v. Wade in 2022 and approved sending more tax dollars to anti-abortion organizations often known as crisis pregnancy centers.
The Baby Olivia legislation has not made as much progress in other states as in Tennessee. West Virginia's Senate signed off on the measure in February that specifically applied to eighth and twelfth graders, but the Legislature adjourned before it could clear the House of Delegates.
In Iowa, lawmakers are debating whether to remove specific references to the Baby Olivia video and instead require any video depicting the \u201chumanity of the unborn child.\u201d Meanwhile, the bill has not advanced in Kentucky and Missouri.
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The document does touch on health-related aspects such as fetal development and the medical accuracy of the video, but these are secondary to the main narrative about the bill and its political implications." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/04/04/9c2b7d2a96b70974bfdecfd3f63270bb.json b/datasets/AP_news/raw_data/2024/04/04/9c2b7d2a96b70974bfdecfd3f63270bb.json new file mode 100644 index 0000000..243fd78 --- /dev/null +++ b/datasets/AP_news/raw_data/2024/04/04/9c2b7d2a96b70974bfdecfd3f63270bb.json @@ -0,0 +1,259 @@ +{ + "altids": { + "itemid": "9c2b7d2a96b70974bfdecfd3f63270bb", + "etag": "9c2b7d2a96b70974bfdecfd3f63270bb_0a10aza0c0", + "friendlykey": "922695722902", + "referenceid": "US--South Carolina Governor-Surgery" + }, + "version": 0, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-04-04T15:17:44Z", + "firstcreated": "2024-04-04T15:17:43Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: Updates Media.", + "signals": [ + "newscontent" + ], + "title": "US--South Carolina Governor-Surgery", + "headline": "South Carolina governor undergoes knee surgery for 2022 tennis injury", + "headline_extended": "South Carolina Gov. 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McMaster is the third oldest governor in the country and previously underwent minor procedures to treat an irregular heartbeat over the past two years.", + "bylines": [ + { + "by": "By MAKIYA SEMINERA", + "title": "Associated Press" + } + ], + "located": "RALEIGH, N.C.", + "datelinelocation": { + "city": "Raleigh", + "countryareacode": "NC", + "countryareaname": "North Carolina", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -78.63861, + 35.7721 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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(AP) \u2014 South Carolina Gov. Henry McMaster underwent a minor, elective knee surgery Thursday morning for a tennis injury he sustained two years ago, the governor's office said in a statement.
McMaster, who is the third oldest governor in the country at age 76, tore his meniscus while playing tennis with his wife Peggy McMaster in 2022, according to his office.
The procedure was scheduled to \u201ccorrect a cartilage injury,\u201d the governor's orthopedist Dr. Jeffrey Guy said in the statement.
During the roughly 30-minute surgery, McMaster was placed under general anesthesia, which briefly put Lt. Gov. Pamela Evette in charge of executive action. Per the South Carolina Constitution, the lieutenant governor can act as the governor in case of emergency if the governor is temporarily disabled.
She was notified of the surgery Wednesday, the governor's office said.
McMaster plans to return to his regular schedule by Thursday afternoon and, according to Guy, is expected to have \u201cno post-procedure limitations.\u201d
McMaster was treated for atrial fibrillation \u2014 a type of irregular heartbeat \u2014 during a minor procedure in December. His cardiologist Dr. Amy Rawl Epps said his heart otherwise appeared normal after extensive testing.
He also underwent a shorter 10-minute procedure to treat an irregular heartbeat in April 2022. Doctors noticed the issue while the governor was initially treating the meniscus tear he underwent knee surgery for in 2024, according to the governor's office.
McMaster is in his second and final term after winning reelection against former U.S. Rep. Joe Cunningham in 2022.
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(AP) \u2014 Attorneys defending Tennessee's sweeping abortion ban alleged Thursday that doctors challenging the law do not want any oversight when deciding to terminate a pregnancy and instead are improperly withholding care to women facing serious medical emergencies.
The Tennessee Attorney General's office laid out its arguments while attempting to persuade a three-judge panel to dismiss a lawsuit seeking to clarify when abortion exceptions can be applied in the Volunteer State.
Seven women and two doctors have launched a legal battle alleging current law violates pregnant patients\u2019 right to life as guaranteed by the state\u2019s constitution. They want the judicial panel to clarify the circumstances that qualify patients to legally receive an abortion. Among the circumstances they want included are fatal diagnoses.
While the judges repeatedly told attorneys not to read too much into their questions, one chancellor cast doubt that they could clarify a law that was approved by the General Assembly.
\u201cYou\u2019re basically asking us to redline what the statute says \u2026 the big concern is that I\u2019m not sure that we can do what you\u2019re asking us to do,\u201d said Chancellor Kasey Culbreath, one of the judges.
Both sides presented their case to the three judges during a lengthy Thursday hearing. A decision on whether to dismiss the case or temporarily block the abortion ban is expected once the panel reviews the full case.
\u201cPlaintiffs very much, and this is a shared policy view by many in the medical profession, do not want any sort of governmental scrutiny on their use, on their medical decision-making,\" said Whitney Hermandorfer, arguing on behalf of the attorney general's office. \"And that\u2019s not been how things have worked in the abortion context.\u201d
The Center for Reproductive Rights, which is representing the women and doctors, countered that the GOP-dominated General Assembly wrote the state's abortion ban so overly broad and vague that doctors have no choice but to operate in fear that their decisions on whether to perform an abortion will be second-guessed, undermined and potentially be used to bring career-ending charges against them.
\u201cDoctors are denying or delaying abortion care in cases where even defendants concede it would be legally permissible,\u201d said Linda Goldstein, an attorney with the center. \u201cThey are doing this because the terms of the medical necessity exception are vague and do not give them enough guidance.\u201d
Many of the women suing the state attended Thursday's hearing, at times wiping away tears as both attorneys took turns sharing details of their severe pregnancy complications and discussed what doctors should have done in their individual cases.
Among the plaintiffs is Rebecca Milner, who learned she was pregnant with her first child in February 2023 after several years of unsuccessful fertility treatments.
According to court documents, Milner was told at a 20-week appointment that the amniotic fluid surrounding her baby was low. A specialist later said that her water had broken likely several weeks before and that nothing could be done to save the baby.
However, her doctor said that Tennessee\u2019s abortion ban prohibited abortion services in her situation because the ban only explicitly lists ectopic pregnancies and miscarriages as legally allowed exemptions.
\u201cMiss Milner went to Virginia for an abortion, and when she returned, she was diagnosed with sepsis,\u201d Goldstein said. \u201cThat had resulted because of the delay receiving abortion care.\u201d
As part of their reasoning to dismiss the lawsuit, the state's legal team argued that the plaintiffs do not have standing. Hermandorfer pointed out that the two doctors involved in the lawsuit likely didn't face a risk of prosecution because they work in Nashville and the local district attorney in that county has previously declared that he wouldn't prosecute abortion providers.
However, Chancellor Patricia Head Moska countered that that statement was not legally binding and that the state's Attorney General could intervene and request a court appoint a separate district attorney to push forward with charges.
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Updates with comment from Wisconsin Right to Life", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "US--Election 2024-Wisconsin-Congress", + "headline": "Wisconsin doctor who sued to protect abortion access joins congressional race", + "headline_extended": "A doctor from De Pere becomes the first Democratic candidate in Wisconsin\u2019s 8th Congressional District", + "slugline": "AP-US--Election 2024-Wisconsin-Congress, 4th Ld-Writethru", + "description_summary": "A doctor from De Pere becomes the first Democratic candidate in Wisconsin\u2019s 8th Congressional District. Kristin Lyerly entered the race Thursday for the open seat created after the surprise retirement of Republican Rep. Mike Gallagher. She launches her candidacy two weeks before Gallagher plans to step down. There will be no special election because of the timing of his resignation. Lyerly is unopposed in the Democratic primary to be decided Aug. 13. Democrats fielded no candidate in the 2022 election. State Sen. Andre Jacque and former state Sen. Roger Roth are two Republicans running and a third is expected to get in the race on Monday.", + "bylines": [ + { + "by": "By SCOTT BAUER", + "title": "Associated Press" + } + ], + "located": "MADISON, Wis.", + "datelinelocation": { + "city": "Madison", + "countryareacode": "WI", + "countryareaname": "Wisconsin", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -89.40123, + 43.07305 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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(AP) \u2014 A doctor who performs abortions became the first Democratic candidate in Wisconsin's 8th Congressional District on Thursday, entering the race for the seat opened up by the surprise retirement of Republican Rep. Mike Gallagher.
Dr. Kristin Lyerly, an obstetrician and gynecologist, launched her candidacy two weeks before Gallagher's expected departure date. Because of the timing of his resignation, there will be no special election.
For now, Lyerly is unopposed in the Democratic primary to be decided Aug. 13. Democrats fielded no candidate in the 2022 election.
Two Republicans, state Sen. Andre Jacque and former state Sen. Roger Roth, are running and a third is expected to get in the race next week. Republican consultant Alex Bruesewitz planned to make an announcement on Monday. Bruesewitz, 26, was born in Wisconsin but currently lives in Florida. He would have to move back to Wisconsin to run for the seat.
Lyerly made clear that she would make abortion a central issue in the race.
Lyerly was one of the plaintiffs in a Wisconsin lawsuit that succeeded in keeping abortions legal after the Supreme Court overturned Roe v. Wade in 2022. She performed abortions across Wisconsin, but temporarily moved her practice to Minnesota after the Supreme Court's ruling.
\u201cAs an OB/GYN, I have been attacked first hand by MAGA extremists targeting a woman\u2019s right to make her own health choices,\" Lyerly said in a statement. \u201cI will work tirelessly to ensure that every woman in our state has access to reproductive care, including safe and legal abortions, essential services like maternity care, and mental health support.\u201d
Wisconsin Right to Life's executive director criticized Lyerly's entry in the race, saying \u201cWisconsin needs elected officials who protect all life.\u201d
Gallagher was elected four times to serve northeast Wisconsin. His early departure leaves Republicans with a 217-213 majority in the House, meaning they cannot afford to lose more than one vote on a party-line vote.
Gallagher found himself at odds with former President Donald Trump and his supporters. He also angered fellow Republicans last month by refusing to impeach Homeland Security Secretary Alejandro Mayorkas.
Jacque, Roth and Bruesewitz are all Trump supporters and oppose abortion.
The district is solidly Republican, but Democrats have vowed to make it competitive.
Trump won the district by 16 percentage points in 2020, even though he lost the state by less than a point to President Joe Biden. Gallagher won reelection three times by no fewer than 25 points. The district includes the cities of Appleton and Green Bay, Door County and covers mostly rural areas north through Marinette.
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The health aspects are secondary to the political narrative, making the document somewhat relevant but not highly so to the topic of health." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/04/05/03514b972e40fc47c13efced2290c99d.json b/datasets/AP_news/raw_data/2024/04/05/03514b972e40fc47c13efced2290c99d.json new file mode 100644 index 0000000..2f928ad --- /dev/null +++ b/datasets/AP_news/raw_data/2024/04/05/03514b972e40fc47c13efced2290c99d.json @@ -0,0 +1,180 @@ +{ + "altids": { + "itemid": "03514b972e40fc47c13efced2290c99d", + "etag": "03514b972e40fc47c13efced2290c99d_0a7aza0c0", + "friendlykey": "236783163983", + "referenceid": "Teladoc-CEO Departure" + }, + "version": 0, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-04-05T16:41:58Z", + "firstcreated": "2024-04-05T16:41:57Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: Updates Media.", + "signals": [ + "newscontent" + ], + "title": "Teladoc-CEO Departure", + "headline": "Long-time Teladoc leader departs as virtual care provider struggles with post-COVID tumble", + "headline_extended": "The leader of struggling telemedicine provider Teladoc Health has left effective immediately, the company announced Friday", + "slugline": "BC-Teladoc-CEO Departure", + "description_summary": "The leader of struggling telemedicine provider Teladoc Health has left effective immediately, the company announced Friday. 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Teladoc gave no reason for the departure of CEO Jason Gorevic. The 52-year-old executive had led the company and served as a director since 2009.
Teladoc said Chief Financial Officer Mala Murthy would serve as acting CEO while the company looks for a permanent replacement.
Teladoc lost $220 million last year, and its share price has plunged more than 90% since topping $300 during the height of the COVID-19 pandemic in early 2021.
Teladoc shares soared initially after COVID hit as doctor offices shut down and telemedicine exploded in popularity.
But the company hasn\u2019t been able to sustain that momentum as competition increased and interest in virtual care cooled from its pandemic high.
Teladoc has been turning its focus from acute care visits for things like fevers or strep threat to managing patient health. That includes providing help for mental health care, weight loss and other chronic conditions.
Teladoc spent more than $18 billion in 2020 to stoke that approach with the acquisition of technology company Livongo Health.
BTIG analyst David Larsen said in a research note that the leadership change was not surprising, given the \u201cvery significant slow-down\u201d the company has faced the past few years.
Jefferies analyst Glen Santangelo said in a separate note that Gorevic\u2019s departure could be viewed positively, as a change in the company\u2019s strategic direction would be welcomed.
Shares of Purchase, New York-based Teladoc Health Inc. climbed 14 cents to $14.39 in midday trading.
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The British Medical Association and the Hospital Consultants and Specialists Association, which represent the senior doctors, who are known as consultants, said Friday that 83% of those casting a vote backed the offer.
The pay increases will see those who have been consultants between four and seven years getting a 2.85% raise. It also addresses some gender pay issues in the state-owned National Health Service and enhances parental leave options
Consultants have held several strikes over the past year, which has hobbled the NHS as it tries to grapple with financial constraints and backlogs caused by the coronavirus pandemic.
Dr. Vishal Sharma, who chairs the BMA consultants committee, said the fight was \u201cnot yet over\u201d and that there is \u201csome way to go\u201d before pay gets back to equivalent levels 15 years ago. The relative decline in pay for consultants has led to an exodus of senior doctors abroad, he said.
Junior doctors \u2014 those at the early stages of their careers, who form the backbone of hospital and clinical care as they train up to be specialists in a particular field \u2014 remain in dispute with the government. They have walked off the job for days at a time, with their senior colleagues drafted in to cover for emergency services, critical care and maternity services during the strikes.
Matthew Taylor, chief executive of the NHS Confederation, said leaders in the health service will \u201cbreathe a sigh of relief\u201d that consultants have settled but urged the government and junior doctors to come to an agreement.
\u201cThe potential for further junior doctor strikes looms large, which could lead to more operations and appointments being canceled and place more pressure on already stretched services,\" he said.
NHS figures show more than 1.4 million appointments and operations have been canceled over the past year because of industrial action, with even more patients joining waiting lists.
Britain has endured a year of rolling strikes across the health sector as staff sought pay rises to offset the soaring cost of living. Unions say wages, especially in the public sector, have fallen in real terms over the past decade, and that double-digit inflation in late 2022 and early 2023, fueled by sharply rising food and energy prices, left many workers struggling to pay their bills.
On Friday, for example, much of England had no train services because of a fresh strike by drivers in their own long-running pay dispute.
Many groups within the NHS, such as nurses and ambulance crews, have reached pay deals with the government, but the union representing junior doctors has held out, and negotiations broke down late last year.
Britain's Conservative government has sought to put the blame for many of the problems in the NHS on the junior doctors, while the main opposition Labour Party, which is way ahead in opinion polls ahead of a general election, points the finger at Prime Minister Rishi Sunak for personally blocking progress.
Sunak said the end of the consultants' strike is \u201cexcellent news for patients.\u201d
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(AP) \u2014 Frustrated at having unsuccessfully agitated for over three years to get lawmakers to ban smoking in Atlantic City casinos, workers on Friday tried a new tactic. They filed a lawsuit to try to overturn a law that leaves casino workers as the only ones not covered by the protections of a clean workplace air act.
The United Auto Workers, which represents workers at the Bally's, Caesars and Tropicana casinos, and a group of casino workers opposed to smoking in the gambling halls, filed a lawsuit in state Superior Court challenging New Jersey's indoor clean air law.
Enacted 18 years ago, the law bans smoking in virtually all indoor workplaces \u2014 except casinos.
The litigation seeks to have that exemption declared unconstitutional on several grounds, including equal protection under the law.
At a rally outside the courthouse where the litigation was filed, workers said they are employing new tactics to ban smoking in the casinos after thus far failing to convince legislators to do it.
\u201cToday, we get off our knees and stand up!\u201d shouted Lamont White, a dealer at the Borgata casino and one of the leaders of the employee anti-smoking movement. \u201cWe offered them the carrot, and now they get the stick!\u201d
Whether to ban smoking is one of the most controversial issues not only in Atlantic City casinos, but in other states where workers have expressed concern about secondhand smoke. They are waging similar campaigns in Rhode Island, Pennsylvania, Kansas and Virginia
Ray Jensen Jr., assistant director of the local UAW office, said the venue for the fight has shifted.
\u201cIf the legislators in Trenton won't do their jobs, we're going to take the decision out of their hands and into a courtroom,\u201d he said.
Mark Giannantonio, president of the Casino Association of New Jersey and of Resorts casino, declined comment on the lawsuit. But the association opposes a smoking ban, saying that to do so would put Atlantic City at a competitive disadvantage with neighboring states that still allow smoking.
The lawsuit names Democratic Gov. Phil Murphy, whose office did not immediately return a message seeking comment, and the state's acting health commissioner. Murphy has said he will sign a smoking ban if the Legislature passes one.
Earlier in the week, Donna DeCaprio, president of Local 54 of the Unite Here casino workers union, said Atlantic City\u2019s core business \u2014 winnings from in-person gamblers \u2014 continues to struggle. She warned lawmakers against doing anything to make the already serious problem worse.
The union opposes a smoking ban, saying it will cost revenue and jobs and possible force one or more casinos to close.
Only three of the nine casinos are winning more from in-person gamblers now than they did before the COVID-19 pandemic hit in 2020. Unlike in-person winnings, money won from online gambling or sports betting must be shared with outside parties and is not solely for the casinos to keep.
\u201cAlarm bells should be ringing in Atlantic City and in Trenton as to both the short-term and long-term negative economic trends,\u201d she said. \u201cRepresentatives in the New Jersey Legislature must understand the perilous economic situation at hand for my members, and indeed all workers in Atlantic City.\u201d
Earlier this year, state Sen. John Burzichelli introduced a bill giving the casinos much of what they want.
His measure would keep the current 25% limit of the casino floor on which smoking can occur.
But it would allow smoking in unenclosed areas of the casino floor that contain slot machines and are designated as smoking areas that are more than 15 feet (4.6 meters) away from table games staffed by live dealers. It also would allow the casinos to offer smoking in enclosed, separately ventilated smoking rooms with the proviso that no worker can be assigned to work in such a room against their will.
Workers pushing for a full ban quickly rejected that proposal.
U.S. Rep Andy Kim, a candidate for the Democratic nomination for a U.S. Senate seat, supported the casino workers.
\u201cIf I don't want people smoking in the United States Capitol where I work, you don't need people smoking where you work,\u201d he said.
___
Follow Wayne Parry on X, formerly Twitter, at www.twitter.com/WayneParryAC
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Shops across Buenos Aires saw their supply plummet this year as dengue fever cases surged, sending parents and children on feverish hunts for repellent as resale prices shot through the roof. Things have become so bad that even the national government \u2014 dealing with surging inflation and daily protests \u2014 found time to intervene, lifting import requirements to boost supply as Argentina confronts its worst dengue outbreak in recent memory.", + "bylines": [ + { + "by": "By ISABEL DEBRE", + "title": "Associated Press" + } + ], + "located": "BUENOS AIRES, Argentina", + "datelinelocation": { + "city": "Buenos Aires", + "countrycode": "ARG", + "countryname": "Argentina", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -58.37723, + -34.61315 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. 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And surging resale prices are shocking even to Argentines accustomed to triple-digit inflation. The country\u2019s latest crisis: There isn\u2019t enough mosquito repellent.
As the South American country contends with its worst outbreak of dengue fever in recent memory, bug spray has become this season\u2019s hot-ticket item. So hot that it's sold out in virtually all Buenos Aires stores and going for exorbitant prices online, in some cases as much as 10 times the retail value.
\u201cWe\u2019ve been to at least 30 pharmacies all over the city and there is nothing left,\u201d Ana Infante said as she swatted mosquitoes away from her two small daughters, their arms visibly pocked with red bumps. Infante, 42, joined the frenzied race for repellent when her co-worker at an empanada shop fell seriously ill with dengue last week.
\u201cAll we have is this,\u201d she said, raising her swatting hand.
Rampant hoarding and surging prices have stoked desperation. In one widely shared video from a market in the town of El Talar outside the capital Thursday, shoppers are seen descending on an employee opening new boxes of bug spray, snatching up stock before he could place a single bottle on a shelf.
\u201cI feel helpless, because I know I can\u2019t do anything,\u201d said Marta Velarde, a 65-year-old shop owner in Buenos Aires, recalling how a distraught customer recently threatened to punch her in the face when she broke the news she had no repellent left. \u201cYou have no explanation and people are very aggressive.\u201d
As public outrage mounted and the repellent shortage evolved from nuisance to national news, the government \u2014 busy battling sky-high inflation and near-daily protests \u2014 was forced to intervene. On Thursday, authorities lifted import restrictions on foreign-made mosquito repellents to boost supply and announced they would ramp up production at local labs.
\u201cWe spoke with producers who told us that they have changed their capacity to produce, they are doing it at their maximum capacity,\u201d Health Minister Mario Russo told the local Telef\u00e9 channel Thursday in his first TV appearance since the dengue outbreak. When asked how Argentines should protect themselves in the meantime, he offered a warning that was instantly mocked on social media:
\u201cBe careful with shorts,\" he said.
The dengue virus has exploded across Latin America over the past muggy weeks of summer in the Southern Hemisphere.
The mosquito-borne illness has long been endemic in countries like Brazil and Colombia, but experts warn the worsening outbreak in Argentina means the Aedes aegypti mosquito has widened its range. Dengue infections in Argentina have soared to over 180,500 this season, according to health authorities, including 129 deaths. That\u2019s six times higher than last season\u2019s count, which was already the worst on record.
Health experts attribute the dengue surge to multiple factors, including the El Ni\u00f1o ocean warming effect and climate change. Recent drenching rains that flooded Buenos Aires have created ideal breeding conditions for mosquitoes.
\u201cTransmission never stopped in the previous season, because less cold winters are favorable for adult mosquitoes,\u201d said Susana Lloveras, a specialist at the Francisco Javier Mu\u00f1iz Infectious Diseases Hospital in Buenos Aires. \u201cThe magnitude is really worrisome, because there is a lot of demand on our health system.\"
The dengue problem has been exacerbated by the nationwide run on repellant. Political opponents of Libertarian President Javier Milei\u2019s have used the repellent crisis to criticize the government\u2019s push to deregulate the economy and scrap price controls.
Pharmacists across Buenos Aires \u2014 fed up with fielding calls about repellent supply \u2014 have put signs on their doors telling customers not to bother.
In an online Buenos Aires forum on Reddit that normally is preoccupied with soccer match tickets, many users now focus on where to procure scarce repellant. \u201cI am willing to pay dearly,\u201d read one seeker's post Thursday from northwest Argentina.
Since February, wholesalers have hiked prices and some Argentines have stockpiled repellent to resell when stories run out. Now most lotions and sprays online fetch between $20 and $40 \u2014 five or 10 times the original market price.
\u201cIt's just outrageous,\u201d said 53-year-old Adri\u00e1n Contrares, a seller of Gaucho-themed knickknacks at his neighborhood park in northern Buenos Aires. \u201cThat's a day's wage. Who can afford that? Who would spend that?\u201d
Contrares and other Argentines are resorting to homespun methods to keep bugs away. He sets egg cartons alight and tosses citronella incense sticks into tiny crackling fires. Smoke, claimed 60-year-old baker Pablo Vulgo, is nature\u2019s best repellent. An 8-year-old eavesdropper on a bike quickly chimed in, explaining his mom\u2019s technique of mixing coffee grounds with garlic cloves to fend off the flying insects.
Buenos Aires' municipal health minister, Fern\u00e1n Quir\u00f3s, hosted a dengue prevention workshop last week in a crowded shantytown where sanitation is poor and mosquitoes abound. Instagram videos show him instructing residents how to make repellent at home with heaps of herbs and boiled essential oil, both well beyond their purchasing power.
And the final step? \u201cCover and let it rest for 40 days.\u201d
___
Natacha Pisarenko in Buenos Aires, Argentina, contributed to this report.
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EDITS: Minor edits.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "EU-REL--Vatican-Surrogacy", + "headline": "Right to children or children\u2019s rights? Surrogacy debate comes to a head in Rome", + "headline_extended": "An international campaign to ban surrogacy has received a strong endorsement from the Vatican", + "slugline": "AP-EU-REL-Vatican-Surrogacy, 3rd Ld-Writethru", + "description_summary": "An international campaign to ban surrogacy has received a strong endorsement from the Vatican. A top official is calling for a broad-based alliance to stop the \u201ccommercialization of life\u201d catering to wealthy would-be parents. A Vatican-affiliated university hosted a two-day conference promoting an international treaty to outlaw surrogacy. Campaigners argue that the practice violates U.N. conventions protecting the rights of the child and surrogate mother. Across town, Italy's main gay family advocacy group Rainbow Families organized a counter-rally to protest proposed legislation in Italy to criminalize Italians who use surrogates even abroad.", + "bylines": [ + { + "by": "By NICOLE WINFIELD", + "title": "Associated Press" + } + ], + "located": "ROME", + "datelinelocation": { + "city": "Rome", + "countrycode": "ITA", + "countryname": "Italy", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + 12.51133, + 41.89193 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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A Vatican-affiliated university hosted a two-day conference promoting an international treaty to outlaw surrogacy, be it commercial arrangements or so-called altruistic ones. It's based on the campaigners' argument that the practice violates U.N. conventions protecting the rights of the child and surrogate mother.
At issue is whether there is a fundamental right to have a child, or whether the rights of children trump the desires of potential parents.
The conference, which also drew U.N. human rights representatives and experts, marked an acceleration of a campaign that has found some support in parts of the developing world and western Europe. At the same time, Canada and the United States are known for highly regulated arrangements that draw heterosexual and homosexual couples alike from around the world, while other countries allow surrogacy with fewer rules.
Pope Francis in January called for an outright global ban on the practice, calling it a despicable violation of human dignity that exploits the surrogate mother's financial need. On Thursday, Francis met privately with one of the proponents calling for a universal ban, Olivia Maurel, a 33-year-old mother of three.
Maurel was born in the U.S. in 1991 via surrogacy and attributes a lifetime of mental health issues to the \u201ctrauma of abandonment\u201d she says she experienced at birth. She says she was separated from her biological mother and given to parents who had contracted with an agency in Kentucky after experiencing infertility problems when they tried to have children in their late 40s.
Maurel says she doesn\u2019t blame her parents and she acknowledges there are \u201cmany happy stories\u201d of families who use surrogate mothers. But she says that doesn\u2019t make the practice ethical or right, even with regulations, since she said she was made to sacrifice \u201cfor the desire of adults to have a child.\u201d
\u201cThere is no right to have a child,\u201d Maurel told the conference at the LUMSA university. \u201cBut children do have rights, and we can say surrogacy violates many of these rights.\u201d
She and proponents of a ban argue that surrogacy is fundamentally different from adoption, since it involves creating a child for the specific purpose of separating him or her from the birth mother for others to raise as their own.
Monsignor Miloslaw Wachowski, undersecretary for relations with states in the Vatican secretariat of state, concurred, saying the practice reduces human procreation to a concept of \u201cindividual will\u201d and desire, where the powerful and wealthy prevail.
\u201cParents find themselves in the role of being providers of genetic material, while the embryo appears more and more like an object: something to produce \u2014 not someone, but something,\u201d he said.
He called for the campaign to ban the practice not to remain in the sphere of the Catholic Church or even faith-based groups, but to transcend traditional ideological and political boundaries.
\u201cWe shouldn\u2019t close ourselves among those who think exactly the same way,\u201d he said. \u201cRather, we should open up to pragmatic alliances to realize a common goal.\u201d
The Vatican\u2019s overall position, which is expected to be crystalized in a position paper Monday on human dignity, stems from its belief that human life begins at conception and must be given the consequent respect and dignity from that moment on. The Vatican also holds that human life should be created through intercourse between husband and wife, not in a petri dish, and that surrogacy takes in vitro fertilization a step further by \u201ccommercializing\u201d the resulting embryo.
As the conference was getting underway, Italy\u2019s main gay family advocacy group, Rainbow Families, sponsored a pro-surrogacy counter-rally nearby. The aim was to also voice opposition to proposals by Italy\u2019s hard-right-led government to make it a crime for Italians to use surrogates abroad, even in countries where the practice is legal.
\u201cWe are families, not crimes,\u201d said banners held by some of the 200 or so participants, many of them gay couples who traveled abroad to have children via surrogate.
A 2004 law already banned surrogacy in Italy. The proposed law would make it illegal in Italy for citizens to engage a surrogate mother in another country, with prison terms of up to three years and fines of up to 1 million euros ($1.15 million) for convictions.
Participants at the rally complained that the law would stigmatize their children and they denied anyone's rights or dignity was violated in the surrogacy process, which they noted was legal and regulated.
\u201cAll parties involved are consenting, aware,\u201d said Cristiano Giraldi, who with his partner Giorgio Duca used a surrogate in the U.S. to have their 10-year-old twins. \"We have a stable relationship with our carrier, our children know her. So actually there is no exploitation, there is none of the things that they want the public to believe.\u201d
In the U.S., Resolve, the National Infertility Association, which advocates for people experiencing infertility problems, has criticized any calls for a universal ban on surrogacy as harmful and hurtful to the many people experiencing the \u201cdisease of infertility.\u201d
\u201cResolve believes that everyone deserves the right to build a family and should have access to all family building options,\u201d Betsy Campbell, Resolve\u2019s chief engagement officer, said in a telephone interview. \u201cSurrogacy, and specifically gestational carrier surrogacy, is an option.\u201d
She said the U.S. regulations, which include separate legal representation for the surrogate and the intended parents, and mental health and other evaluations, safeguard all parties in the process and that regardless less than 2% of pregnancies in the U.S. using assisted reproductive technology involves surrogacy.
\u201cMost people do not expect to have infertility or to need medical assistance to build their families,\" she said. \"So when non-medical people speak about IVF and surrogacy in a negative way, it can be very discouraging and make an already challenging journey all the more challenging.\u201d
Velina Todorova, a Bulgarian member of the U.N. Committee on the Rights of the Child, told the Rome conference that the U.N. committee hasn\u2019t taken a definitive position on surrogacy, but that its concern was the rights of children born via the practice.
It was a reference to legislation to prevent parents from being able to register the births of children born through surrogacy in their home countries.
___
Associated Press writer Paolo Santalucia contributed.
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It's time, she said Friday, for the federal government to start making amends.
\u201cPeople have died and are still dying,\u201d Nickel, co-founder of the activist group Just Moms STL, said.
Nickel and others impacted by nuclear waste exposure in the St. Louis region joined Democratic U.S. Rep. Cori Bush at a news conference at a park that sits near long-contaminated Coldwater Creek. They urged renewal of a law initially passed more than three decades ago that would provide an estimated $50 billion to compensate Americans exposed to radiation by the government.
Last month, the Senate approved legislation by Republican Sen. Josh Hawley of Missouri and Democratic Sen. Ben Ray Luj\u00e1n of New Mexico that would not only extend the 1990 Radiation Exposure Compensation Act, but expand its scope to include Missouri and other states adversely affected by the nation\u2019s nuclear weapons program.
But the compensation plan was excluded from a spending bill.
\u201cThe Senate did its job, but House leadership has failed to act,\u201d Bush, of St. Louis, said. \u201cThis injustice cannot stand.\u201d
The plan isn't dead. It could still pass as a stand-alone bill, or be attached to another piece of legislation. But time is of the essence, Bush said. The RECA program expires June 7.
Uranium processing in the St. Louis area played a pivotal role in developing the nuclear weapons that helped bring an end to World War II and provided a key defense during the Cold War. But eight decades later, the region is still dealing with contamination at several sites.
In July, an investigation published by The Associated Press, The Missouri Independent and MuckRock showed that the federal government and companies responsible for nuclear bomb production and atomic waste storage sites in the St. Louis area were aware of health risks, spills, improperly stored contaminants and other problems but often ignored them.
While it is difficult to prove definitively that the waste caused residents\u2019 illnesses, advocates argue that there is more than enough evidence that it has sickened people.
Since the RECA program began, more than 54,000 claims have been filed and about $2.6 billion has been awarded for approved claims in Nevada, Utah and Arizona.
In New Mexico, residents in the communities surrounding the area where the first atomic bomb was detonated in 1945 \u2014 the top-secret Manhattan Project \u2014 were not warned of the radiological dangers and didn\u2019t realize that an atomic blast was the source of the ash that was raining down upon them.
Advocates also have sought to bring awareness to the lingering effects of radiation exposure on the Navajo Nation, where millions of tons of uranium ore were extracted over decades to support U.S. nuclear activities.
President Joe Biden signed an executive order in 2022 extending RECA for two years, into June. Hawley\u2019s bill would extend the law for five years and expand coverage to include people in Missouri as well as Idaho, Montana, Colorado, Tennessee, Kentucky, Alaska and Guam.
The White House has indicated that Biden would sign the legislation.
\u201cThe President believes we have a solemn obligation to address toxic exposure, especially among those who have been placed in harm\u2019s way by the government\u2019s actions,\u201d the White House said in a statement earlier this year.
Others worry about the cost. The taxpayer advocacy group Committee for a Responsible Federal Budget said that the legislation should include budget offsets to pay for it.
Nuclear waste stored near St. Louis' Lambert Airport made its way into Coldwater Creek in the 1960s. Many people who grew up or live near the meandering creek believe the contamination is responsible for cancers and other illnesses, though experts say connecting radiation exposure to illness is complicated. Cancer concerns also have been raised by people in nearby St. Charles County, Missouri, where uranium was processed and a large quarry became contaminated, resulting in a Superfund cleanup.
In 2022, a St. Louis County grade school closed amid worries that contamination from Coldwater Creek got onto the playground and inside the building. The Army Corps of Engineers announced last month that it is testing a few homes near the creek after high radiation levels were found in their backyards.
Like Nickel, Democratic state Rep. Doug Clemens grew up along Coldwater Creek. He said every man in his childhood neighborhood eventually died of stomach or intestinal cancer.
\u201cThey knew they were poisoning us for 75 years,\u201d Clemens said of the government. \u201cRECA is a step. We must do RECA now.\u201d
___
This story has been corrected to show the last name of the New Mexico senator is Luj\u00e1n.
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The health care giant said Friday that it will spend $335 in cash for each share of Shockwave. The total deal value includes cash acquired.
The deal has already been approved by the boards of directors from both companies.
Founded in 2009, Shockwave focuses on intravascular lithotripsy technology that uses sonic pressure waves to crack calcium lesions in arteries and restore blood flow. It's similar to a technique used to break up kidney stones. The soundwave emitters are placed inside angioplasty catheters to reach the calcified areas of the artery.
Shockwave\u2019s technology is used to treat coronary artery and peripheral artery disease.
The company\u2019s revenue jumped 49% last year to $730 million.
J&J Chief Financial Officer Joseph Wolk told analysts on Friday that the market for this technology is still \u201cin the early days of scaling up.\u201d He said he sees room for more growth both in and outside the United States, and the company expects annual sales to reach at least $1 billion.
J&J will use cash on hand and debt to pay for the deal. Financing costs will dilute the company's adjusted earnings by 10 cents per share this year and 17 cents in 2025, Wolk said.
The deal comes more than a year after J&J said it would spend $16 billion to buy another cardiovascular technology company, Abiomed. Both acquisitions are expected to bolster J&J\u2019s MedTech or medical device division.
That\u2019s one of two remaining segments, along with pharmaceuticals, that the company is focused on after splitting off its consumer health division that sells Band Aids and beauty products.
J&J's Shockwave deal still needs approvals from regulators and shareholders. The companies expect to close the acquisition by the middle of this year.
Shares of New Brunswick, New Jersey-based J&J edged up 32 cents to $152.82 after markets opened Friday. The Dow Jones Industrial Average, of which J&J is a component, also rose slightly.
Shockwave Medical Inc., which is based in Santa Clara, California, climbed more than $5 to $325.50.
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Youngkin signs a measure backed by abortion-rights groups but vetoes others", + "headline_extended": "Republican Gov. Glenn Youngkin has signed more 88 bills and vetoed 11, including a measure that advocates say would have helped protect women and medical practitioners from potential extraditions related to abortion services that are legal in Virginia", + "slugline": "BC-VA-XGR--Youngkin-Vetoes, 2nd Ld-Writethru", + "description_summary": "Republican Gov. Glenn Youngkin has signed more 88 bills and vetoed 11, including a measure that advocates say would have helped protect women and medical practitioners from potential extraditions related to abortion services that are legal in Virginia. The governor's office announced the moves late Friday. In a move that surprised some observers, the governor signed a bill that is supported by abortion rights groups. It prohibits the issuance of search warrants, subpoenas or court orders for electronic or digital menstrual health data. His administration opposed a similar measure last year.", + "bylines": [ + { + "by": "By SARAH RANKIN", + "title": "Associated Press" + } + ], + "located": "RICHMOND, Va.", + "datelinelocation": { + "city": "Richmond", + "countryareacode": "VA", + "countryareaname": "Virginia", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -77.46026, + 37.55376 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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(AP) \u2014 Republican Gov. Glenn Youngkin signed 88 bills Friday and vetoed 11 others, including legislation that advocates said would have helped protect women and medical practitioners from potential extraditions related to abortion services that are legal in Virginia.
Youngkin said in a statement that the measures would undermine the nation's longstanding legal framework for extraditions. But in a move that surprised some observers, the governor signed separate legislation, which is supported by abortion rights groups, that prohibits the issuance of search warrants, subpoenas or court orders for electronic or digital menstrual health data.
\u201cA mixed message from the Youngkin (administration) tonight,\u201d Tarina Keene, executive director of abortion rights group REPRO Rising Virginia, said on social media.
Proponents said the legislation would protect women\u2019s privacy and prevent such information \u2014 often stored in period-tracking apps \u2014 from being weaponized in potential prosecutions.
Sponsor Sen. Barbara Favola, a Democrat, said during a hearing that the measure is necessary in a post-Roe v. Wade environment as many Republican politicians \u2014 Youngkin among them \u2014 have sought new restrictions on abortion. Favola said she wasn't aware of an example where such data had been sought, but she wanted to be proactive.
Opponents said the measure seemed like a solution in search of a problem.
Youngkin\u2019s press secretary, Christian Martinez, said in a statement that the governor believes the legislation, which nearly all legislative Republicans opposed, \u201cprotects a woman\u2019s personal health data without preventing its voluntary use in law enforcement investigations.\u201d Youngkin also appreciates Favola's work on the legislation, Martinez said.
Similar legislation last year died in the GOP-controlled House of Delegates before reaching the governor\u2019s desk, but the administration made clear back then that Youngkin opposed it.
Some women in states with abortion bans increasingly must travel elsewhere to terminate a pregnancy, a reality that backers of the vetoed anti-extradition measure highlighted in pushing for its passage.
Youngkin said in a veto statement attached to the bill that the United States' \u201ccooperative extradition system could collapse if individual states were to carve out crimes for which they would not recognize codified laws because of differing political positions.\u201d
The governor also vetoed a bill that would have prohibited state regulators from taking disciplinary action against doctors for abortion care that's legal in Virginia, \u201cregardless of where such abortion care was provided or received.\u201d
Youngkin said that bill would open the door \u201cto a resurgence of unsafe, risky abortions occurring outside of clinical settings, and it places any unprofessional behavior during an abortion outside the Board\u2019s jurisdiction for disciplinary action.\u201d
Democrats criticized Youngkin's vetoes.
\u201cHis veto of a bill that would have protected women who travel to the Commonwealth to get an abortion from being extradited is just another gross example of how Republicans will not stop until women have no options left,\u201d party chairwoman Susan Swecker said in a statement.
Virginia, the only Southern state that has not enacted new restrictions since the U.S. Supreme Court overturned Roe v. Wade in 2022, is increasingly an outlier in the region for its abortion access. Youngkin tried to implement a 15-week ban but was blocked by Democrats, who control the state Legislature.
Among the other bills he signed Friday were measures reinstating the Virginia Minority Business Commission and expanding a tax credit for secure storage devices for firearms. He vetoed a bill establishing a paid family and medical leave program, noting that some employers already offer such programs and calling the proposal unfair for exempting state government.
The governor also amended 11 bills, according to his office, including one allowing the city of Petersburg to pursue a referendum on establishing Virginia\u2019s fifth casino.
Petersburg's renewed push for a casino comes after voters in Richmond \u2014 which had initially received General Assembly approval to hold a referendum \u2014 twice rejected the idea. Youngkin's change would remove from the bill a requirement that the Legislature take it up again next year.
Youngkin faces a Monday deadline to complete his review of legislation sent to him during the regular session that ended in March.
Lawmakers convene April 17 in Richmond to take up his proposed amendments and could also attempt to override his vetoes. But Democrats hold narrow majorities in both chambers, short of the required two-thirds threshold.
", + "textformat": "bx", + "links": [ + { + "href": "https://apnews.com/article/glenn-youngkin-abortion-virginia-veto-1e191ba19ac6a8688de7bb972270f9de", + "rel": "canonical" + } + ], + "topics": { + "Health": { + "relevance_score": 4, + "reason": "The document discusses various legislative actions taken by Gov. Youngkin, including those related to abortion rights and women's health data privacy. These topics are directly related to health, particularly reproductive health and privacy concerns surrounding health data. However, the document also covers other unrelated legislative actions, such as tax credits for firearm storage and casino referendums, which dilute the focus on health. Therefore, while the document is relevant to health, it is not exclusively focused on it." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/04/06/aa898a3ec2f8296a6487dfa3b0afd36d.json b/datasets/AP_news/raw_data/2024/04/06/aa898a3ec2f8296a6487dfa3b0afd36d.json new file mode 100644 index 0000000..67a9608 --- /dev/null +++ b/datasets/AP_news/raw_data/2024/04/06/aa898a3ec2f8296a6487dfa3b0afd36d.json @@ -0,0 +1,182 @@ +{ + "altids": { + "itemid": "aa898a3ec2f8296a6487dfa3b0afd36d", + "etag": "aa898a3ec2f8296a6487dfa3b0afd36d_0a2aza0c0", + "friendlykey": "483422930215", + "referenceid": "WV--Firefighting Foam Spill-West Virginia" + }, + "version": 0, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-04-06T18:44:27Z", + "firstcreated": "2024-04-06T18:44:27Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "signals": [ + "newscontent" + ], + "title": "WV--Firefighting Foam Spill-West Virginia", + "headline": "A spill of firefighting foam has been detected in three West Virginia waterways", + "headline_extended": "West Virginia regulators say a spill of firefighting foam has been detected in three waterways", + "slugline": "BC-WV--Firefighting Foam Spill-West Virginia", + "description_summary": "West Virginia regulators say a spill of firefighting foam has been detected in three waterways. The state Department of Environmental Protection says an undetermined amount of the expanding foam spilled from a contractor\u2019s workshop near Sissonville. It was later detected in sections of Tupper Creek, the Pocatalico River and Wolfpen Branch. The contractor had been using the foam at an abandoned coal mine. The agency says no impacts to aquatic life have been observed and significant concentrations of the foam aren't expected to move downstream. Out of caution, potential downstream water intakes have been notified. The foam can cause skin and eye irritation if contact occurs.", + "located": "SISSONVILLE, W.Va.", + "datelinelocation": { + "city": "Sissonville", + "countryareacode": "WV", + "countryareaname": "West Virginia", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -81.63096, + 38.52815 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. 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(AP) \u2014 A spill of firefighting foam has been detected in three southern West Virginia waterways, and potential downstream intakes have been notified, regulators said Saturday.
The state Department of Environmental Protection said an undetermined amount of the expanding foam used to suppress fires spilled from a contractor's workshop near Sissonville either late Friday evening or early Saturday. The contractor had been using the foam at an underground fire at an abandoned coal mine in eastern Kanawha County.
The foam was later detected in sections of Tupper Creek, the Pocatalico River and Wolfpen Branch. Significant concentrations were not expected to move downstream, the agency said in a statement.
\u201cAt this time, investigators have not observed any impacts to aquatic life, but will continue to actively monitor the areas,\u201d the statement said.
The DEP said the foam can cause skin and eye irritation if contact occurs. It said the foam didn't contain chemicals belonging to a group known as per- and polyfluoroalkyl substances, known collectively as PFAS. Those compounds, described as \u201cforever chemicals\u201d because they don\u2019t degrade naturally in the environment, have been linked to numerous health problems, including cancer.
Staff from the agency's Homeland Security Emergency Response unit and Environmental Enforcement section were on scene along with the contractor and the foam\u2019s manufacturer to locate all of the material and decide how to proceed with remediation. The agency's staff will remain on site for the duration of the cleanup, the statement said.
Out of caution, the state Bureau for Public Health notified potential downstream water intakes, the statement said.
", + "textformat": "bx", + "links": [ + { + "href": "https://apnews.com/article/firefighting-foam-spill-west-virginia-aa898a3ec2f8296a6487dfa3b0afd36d", + "rel": "canonical" + } + ], + "topics": { + "Health": { + "relevance_score": 4, + "reason": "The document discusses a spill of firefighting foam in West Virginia waterways and its potential impact on the environment and public health. It mentions that the foam can cause skin and eye irritation and clarifies that it does not contain PFAS, which are linked to serious health issues. The involvement of the state Bureau for Public Health and the notification of potential downstream water intakes also highlight the health implications of the spill. Therefore, the document is relevant to the topic of health, though it is not exclusively focused on health-related issues." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/04/06/cc1a154db05464106c1f05bdb09df73c.json b/datasets/AP_news/raw_data/2024/04/06/cc1a154db05464106c1f05bdb09df73c.json new file mode 100644 index 0000000..cfbcaac --- /dev/null +++ b/datasets/AP_news/raw_data/2024/04/06/cc1a154db05464106c1f05bdb09df73c.json @@ -0,0 +1,169 @@ +{ + "altids": { + "itemid": "cc1a154db05464106c1f05bdb09df73c", + "etag": "cc1a154db05464106c1f05bdb09df73c_1a8aza0c0", + "friendlykey": "482900118463", + "referenceid": "EU--Britain-Oldest Man" + }, + "version": 1, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-04-06T19:42:46Z", + "firstcreated": "2024-04-06T16:37:36Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: Updates Media.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "EU--Britain-Oldest Man", + "headline": "The world's oldest man says the secret to his longevity is luck, plus regular fish and chips", + "headline_extended": "The world\u2019s oldest man says the secret to his long life is luck, moderation \u2014 and fish and chips every Friday", + "slugline": "BC-EU--Britain-Oldest Man, 1st Ld-Writethru", + "description_summary": "The world\u2019s oldest man says the secret to his long life is luck, moderation \u2014 and fish and chips every Friday. At 111 years old, Englishman John Alfred Tinniswood has been confirmed as the new holder of the title by Guinness World Records. It follows the death of the Venezuelan record-holder, Juan Vicente P\u00e9rez, this month at the age of 114. Born in Liverpool in 1912 a few months after the sinking of the Titanic, Tinniswood is a retired accountant who lived through two world wars. He says moderation is key to a healthy life. He never smokes, rarely drinks and follows no special diet, apart from a fish and chip supper once a week. But ultimately, he says, \u201cit\u2019s pure luck.\"", + "located": "LONDON", + "datelinelocation": { + "city": "London", + "countrycode": "GBR", + "countryname": "United Kingdom", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -0.12574, + 51.50853 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. 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Englishman John Alfred Tinniswood, 111, has been confirmed as the new holder of the title by Guinness World Records. It follows the death of the Venezuelan record-holder, Juan Vicente P\u00e9rez, this month at the age of 114. Gisaburo Sonobe from Japan, who was next longest-lived, died March 31 at 112.
Tinniswood was presented with a certificate by Guinness World Records on Thursday at the care home where he lives in Southport, northwest England.
Born in Liverpool on Aug. 26, 1912, a few months after the sinking of the Titanic, Tinniswood lived through two world wars, serving in the British Army Pay Corps in World War II.
The retired accountant and great-grandfather said moderation was key to a healthy life. He never smokes, rarely drinks and follows no special diet, apart from a fish and chip supper once a week.
\u201cIf you drink too much or you eat too much or you walk too much \u2014 if you do too much of anything \u2014 you\u2019re going to suffer eventually,\u201d Tinniswood told Guinness World Records.
But ultimately, he said, \u201cit\u2019s pure luck. You either live long or you live short, and you can\u2019t do much about it.\u201d
The world\u2019s oldest woman, and oldest living person, is 117-year-old Maria Branyas Morera of Spain.
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Editorial: Indiana maternal mortality rate improves with increased attention
Pregnancy can be a joyous time but also a dangerous one, particularly in the U.S. According to the Commonwealth Fund, American women have the highest maternal mortality rate among the world\u2019s high-income countries.
That rate has been increasing since 2000, but Indiana received some good news last week with the release of the latest report of the Indiana Maternal Mortality Review Committee. Deaths among pregnant or recently pregnant women fell from 92 in 2020 to 80 in 2021.
It\u2019s good news, but one year does not a trend make and, unfortunately, many of the same underlying issues remain. Committee members found 71% of pregnancy-associated deaths and 77% of pregnancy-related deaths were preventable, proving there\u2019s still much to do as the state works further to reduce the deaths of expectant and recently pregnant women.
Pregnancy-associated deaths include any deaths within one year, no matter the cause, while pregnancy-related deaths include those \u201cfrom a pregnancy complication, a chain of events initiated by the pregnancy or the aggravation of an unrelated condition by the physiologic effects of pregnancy,\u201d the report said.
Prenatal care is the keystone of maternal death prevention. But just 47% of the Hoosier women reviewed by the mortality review committee entered into prenatal care in the first trimester of pregnancy, and 24% received no care at all.
Other factors affecting Indiana\u2019s maternal mortality rate, the committee said, include drug use, which accounted for 28% of fatalities; a lack of hospitals with inpatient delivery services in 37 of the state\u2019s 92 counties; and maternal mortality\u2019s disproportionate effect on low-income women.
Despite fewer births overall, Black women in Indiana continue to have a higher maternal mortality rate, 73% higher in 2021 than their white peers. Black, non-Hispanic women constituted 13% of live births but had a mortality rate of 156.3 per every 100,000 births. In contrast, white, non-Hispanic women made up 72% of live births and reported a mortality rate of 90.76 per every 100,000 births.
Last year, Fort Wayne\u2019s Healthier Moms & Babies released its Community Infant Mortality Report. It found 34% of almost 1,000 local anonymous respondents said they took some or none of their prescribed pregnancy medications, and many women skipped routine checkups that could\u2019ve identified potential pregnancy risks.
\u201cBy transforming these challenges into opportunities for change, we can ensure that every baby in our community has the chance to celebrate many more birthdays,\u201d Paige Wilkins, executive director of Healthier Moms & Babies, said in an opinion column we published last month.
During the 2023 legislative session, the state appropriated $225 million over two years to improve health outcomes. Prior to last year, Indiana\u2019s county health departments had among the 10 lowest expenditures per capita in the nation.
In January, the Allen County Department of Health awarded 29 local organizations grants totaling more than $2 million to help meet the community\u2019s health needs. In the area of \u201cmaternal & child health,\u201d a core public health service area required of local health departments by the state, the county appropriated:
\u2022 $60,000 to A Mother\u2019s Hope Inc. for housing, support and case management services for pregnant women experiencing homelessness.
\u2022 $60,000 to the Associated Churches of Fort Wayne & Allen County for the expansion and support of both A Baby\u2019s Closet and Journey Beside Mothers programs that support low-income expectant mothers and families.
\u2022 $50,000 to Bridge of Grace Ministries for the expansion of services in child development and infant and childhood mental health.
\u2022 $110,000 for Healthier Moms & Babies to focus on improving mortality rates within vulnerable populations.
\u2022 And $50,000 to Lutheran Social Services Inc. for case management services assisting pregnant or parenting teenagers.
Good health ensures Hoosiers thrive. The state\u2019s new health funding creates an opportunity to finally move Hoosier health metrics in a positive direction, and we applaud the Allen County health department for collaborating with existing agencies to provide targeted services rather than duplicating efforts as the community focuses on improving maternal health.
___
The Herald Bulletin. April 5, 2024.
Editorial: Temper eclipse excitement with patience
Where will you be in the year 2153?
Barring a cryogenics experiment gone right or a miracle breakthrough that defies death, you\u2019ll be nowhere to be found on this little blue planet.
None of us will.
That\u2019s why it\u2019s important to mark Monday, April 8, 2024, on your calendar.
It will be your last chance \u2014 before 2153 \u2014 to see a total solar eclipse in Indiana.
Ask anyone who has ever witnessed such an eclipse in person and they\u2019ll tell you how spectacular, how breathtaking, how memorable it is.
As the moon encroaches on the beam of sunlight warming our little patch of Earth, the sky will fade to black in the middle of the afternoon.
Day birds will stop singing. Night insects will start chirping.
And then, as the moon rolls away from our beam of sunlight, dawn will brighten the sky for the second time that day.
The eclipse will begin about 1:45 p.m. and end about 4:30 p.m. in Indiana. The duration of the total eclipse will be much shorter, as little as 15 seconds in some areas and as much as four minutes in others. The majority of the state will be in the path of totality, a 125-mile-wide band stretching from the southwest corner diagonally through the east-central portion of the state.
Even it you\u2019re not in the band of totality, you\u2019ll still get a spectacular show when the moon covers all but a slice of the sun.
The solar eclipse will be particularly brilliant if the sky is clear and you can see the sun\u2019s corona, the glowing outer portion of the massive ball of heat. The corona is normally hidden from the human eye by the sun\u2019s extraordinary core brightness.
Speaking of the human eye, don\u2019t watch the solar eclipse without a pair of eclipse glasses approved by the American Astronomical Society. Otherwise, you could suffer irreversible damage to your retina. If you don\u2019t have a set of eclipse glasses, check around. Many community organizations have them available for free or a small price.
Special glasses in hand, you really need only two other things to fully enjoy the Great Eclipse of 2024: a plan and a healthy dose of patience.
Be aware that many parts of Indiana will be swamped with visitors wanting to see the eclipse. Economic development experts project that it will be the biggest single-day tourism event in Hoosier history. Many thoroughfares will be jammed with local and out-of-town traffic before and after the eclipse.
So plan to be where you want to view April 8\u2019s celestial spectacle hours ahead of time, and plan to stay hours afterward. Have the patience to wait out any traffic snarls you encounter.
Above all, don\u2019t put yourself in a situation where, at the last instant, you have to stop along a highway and step out of your car to gaze at the sky. The danger in this fallback is inherent.
While you certainly can\u2019t expect to live until the next eclipse in 2153, you\u2019ll definitely want to see the one on April 8 \u2014 and live to tell about it.
___
Terre Haute Tribune-Star. April 1, 2024.
Editorial: Never too soon to be prepared
Easter Sunday was a somber holiday for the people of Sullivan as they observed the one-year anniversary of a deadly tornado that tore through the south side of their community with devastating force and consequences.
The EF-3 twister was part of a super cell storm system that developed late on March 31, 2023, southwest of Crawford County, Illinois. It first struck near Robinson, killing three people and leaving a trail of damage. It then crossed the Wabash River into Indiana, striking first southwest of Sullivan before ripping its way through the town. In its wake, it left three more dead, numerous others injured and a neighborhood destroyed.
The tornado retreated into the clouds, but the system spawned another tornado a short time later in Owen County near Spencer, where it struck hardest in a McCormick\u2019s Creek State Park campground, killing two additional individuals.
Recovery for Sullivan has been a long, hard road. As the community mourned the three lives lost, it tended to the injured, helped those who suffered extensive property damage and set out on a path of repairing and rebuilding for the long term.
The work done in Sullivan in the past 12 months has been inspiring and impressive. Progress hasn\u2019t come easy, and at times has been painfully slow. But the commitment and dedication of those who stepped forward to lead the efforts merit admiration and praise.
As if we need more reminders of what Mother Nature is capable of when it wields its power, the Midwest has already been subjected to deadly spring weather this year. It\u2019s always wise to be prepared for when storm clouds begin to form.
Weather alerts are available from various emergency management services and can come directly to your mobile phone. Having those set up is a good idea and will help you stay aware of potentially dangerous weather conditions, especially in spring and summer.
Emergency officials also suggest families put together a few supplies as well as a plan of what to do if severe weather strikes at home, at work, at school or out shopping should crucial services such as power or water be interrupted.
Anyone who saw the images from the recent storm near Winchester east of Muncie can see how vital services can disappear in a matter of minutes.
Officials recommend families gather enough non-perishable food and water for each person \u2014 one gallon per person per day \u2014 for at least a week. And don\u2019t forget family pets.
Kits should contain extra medications; battery-operated radios with extra batteries; flashlights with extra batteries; phone chargers to use if power is available or in a vehicle; a substantial first aid kit; cash \u2014 ATMs don\u2019t work when the power is off \u2014 and copies of important documents.
Families should also rehearse their response plans so everyone knows what to do. Where will family members meet? Where are the safe places at work or school? Where do you go if a storm hits while you\u2019re in a store? How will members let each other know whether he or she is safe? Text messages are more likely to work than calls during rough weather.
Midwesterners can sometimes become jaded about weather warnings. They can be easy to tune out. That\u2019s a mistake. The stakes are high, to which the folks in Sullivan and Winchester can attest.
Take steps now to prepare for hazardous weather. Waiting until thunderheads darken the horizon may be too late.
END
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The family sued the city of Springfield, Massachusetts, and law enforcement, accusing them of failing to provide adequate medical care. The family of Madelyn Linsenmeir accused law enforcement of ignoring the 30-year-old mother\u2019s pleas for help before she died of an infected heart valve. Court documents indicate the Springfield City Council is scheduled to consider the settlement involving the city and three police employees. The deal doesn\u2019t cover the sheriff\u2019s office or its workers, who were also sued.", + "located": "SPRINGFIELD, Mass.", + "datelinelocation": { + "city": "Springfield", + "countryareacode": "MA", + "countryareaname": "Massachusetts", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -72.58981, + 42.10148 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. 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(AP) \u2014 Relatives of a Vermont woman whose obituary drew national attention for its candid and heart-breaking discussion of her opioid addiction have reached a settlement with some of the parties who were sued for allegedly failing to provide adequate medical care.
The family of Madelyn Linsenmeir sued the city of Springfield, Massachusetts, and the Hampden County Sheriff's Department, saying law enforcement officials ignored the 30-year-old mother\u2019s pleas for help before she died of an infected heart valve.
The Springfield City Council is scheduled this week to take up the proposed settlement involving the city and three police employees, according to a court document. The settlement doesn't cover the sheriff's office.
Linsenmeir\u2019s obituary was shared widely for its blunt discourse on her struggle with drug addiction, encouraging readers to see addiction as a disease and \"not a choice or a weakness.\"
It urged workers in rehabilitation settings, hospitals, jails and courts to treat people battling substance use disorder with compassion and respect.
\u201cIf instead you see a junkie or thief or liar in front of you rather than a human being in need of help, consider a new profession,\" the obituary said.
The lawsuit filed by the American Civil Liberties Union of Massachusetts and Prisoners\u2019 Legal Services of Massachusetts contended Linsenmeir was arrested in September 2018 and charged with being a fugitive from a warrant in New Hampshire and giving a false name. Video after her arrest shows Linsenmeir telling police she was in pain, and \u201cmight need to go the hospital.\u201d
She was taken to the Western Massachusetts Regional Women\u2019s Correctional Center, where the plaintiffs contend she didn't receive appropriate care. On Oct. 4, medical staff saw that she was in distress, and she was taken to the hospital, according to the lawsuit. She died there days later while in the custody of the sheriff\u2019s office.
", + "textformat": "bx", + "links": [ + { + "href": "https://apnews.com/article/addiction-obituary-death-lawsuit-vermont-massachusetts-a25ee979148b9c733851b00b3da7e69b", + "rel": "canonical" + } + ], + "topics": { + "Health": { + "relevance_score": 4, + "reason": "The document discusses the settlement of a lawsuit related to the death of a woman who was addicted to opioids. It touches on issues of medical care, addiction treatment, and the responsibilities of law enforcement and medical staff. These topics are relevant to health, particularly in the context of substance use disorder and the healthcare system's response to addiction. 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The program allows the FDA to grant early approval to drugs that show favorable initial results against debilitating or fatal diseases. In exchange, drug companies are expected to do rigorous testing and produce better evidence before gaining full approval. The study found that between 2013 and 2017, there were 46 cancer drugs granted accelerated approval. Of those, only 43% demonstrated they improved or extended patients' lives in confirmatory trials. The research was published Sunday.", + "bylines": [ + { + "by": "By CARLA K. JOHNSON", + "title": "AP Medical Writer" + } + ], + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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But how often do these drugs actually improve or extend patients\u2019 lives?
In a new study, researchers found that most cancer drugs granted accelerated approval do not demonstrate such benefits within five years.
\u201cFive years after the initial accelerated approval, you should have a definitive answer,\u201d said Dr. Ezekiel Emanuel, a cancer specialist and bioethicist at the University of Pennsylvania who was not involved in the research. \u201cThousands of people are getting those drugs. That seems a mistake if we don\u2019t know whether they work or not.\"
The program was created in 1992 to speed access to HIV drugs. Today, 85% of accelerated approvals go to cancer drugs.
It allows the FDA to grant early approval to drugs that show promising initial results for treating debilitating or fatal diseases. In exchange, drug companies are expected to do rigorous testing and produce better evidence before gaining full approval.
Patients get access to drugs earlier, but the tradeoff means some of the medications don\u2019t pan out. It's up to the FDA or the drugmaker to withdraw disappointing drugs, and sometimes the FDA has decided that less definitive evidence is good enough for a full approval.
The new study found that between 2013 and 2017, there were 46 cancer drugs granted accelerated approval. Of those, 63% were converted to regular approval even though only 43% demonstrated a clinical benefit in confirmatory trials.
The research was published in the Journal of the American Medical Association and discussed at the American Association for Cancer Research annual meeting in San Diego on Sunday.
It's unclear how much cancer patients understand about drugs with accelerated approval, said study co-author Dr. Edward Cliff of Harvard Medical School.
\u201cWe raise the question: Is that uncertainty being conveyed to patients?\u201d Cliff said.
Drugs that got accelerated approval may be the only option for patients with rare or advanced cancers, said Dr. Jennifer Litton of MD Anderson Cancer Center in Houston, who was not involved in the study.
It\u2019s important for doctors to carefully explain the evidence, Litton said.
\u201cIt might be shrinking of tumor. It might be how long the tumor stays stable,\u201d Litton said. \u201cYou can provide the data you have, but you shouldn\u2019t overpromise.\u201d
Congress recently updated the program, giving the FDA more authority and streamlining the process for withdrawing drugs when companies don\u2019t meet their commitments.
The changes allow the agency \u201cto withdraw approval for a drug approved under accelerated approval, when appropriate, more quickly,\u201d FDA spokesperson Cherie Duvall-Jones wrote in an email. The FDA can now require that a confirmatory trial be underway when it grants preliminary approval, which speeds up the process of verifying whether a drug works, she said.
___
The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute\u2019s Science and Educational Media Group. The AP is solely responsible for all content.
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(AP) \u2014 Paul Resch remembers playing baseball as a kid on a field constructed from asbestos-tainted vermiculite, mere yards from railroad tracks where trains kicked up clouds of dust as they hauled the contaminated material from a mountaintop mine through the northwestern Montana town of Libby. He liked to sneak into vermiculite-filled storage bins at an adjacent rail yard, to trap pigeons that he would feed, during long days spent by the tracks along the Kootenai River.
Today, Resch, 61, is battling an asbestos-related disease that has severely scarred his left lung. He's easily winded, quickly tires and knows there is no cure for an illness that could suffocate him over time.
\u201cAt some point, probably everybody got exposed to it,\u201d he said, speaking of asbestos-tainted vermiculite. \u201cThere was piles of it along the railroad tracks. ... You would get clouds of dust blowing around downtown.\u201d
Almost 25 years after federal authorities responding to news reports of deaths and illnesses descended on Libby, a town of about 3,000 people near the U.S.-Canada border, some asbestos victims and their family members are seeking to hold publicly accountable one of the major corporate players in the tragedy: BNSF Railway.
Hundreds of people died and more than 3,000 have been sickened from asbestos exposure in the Libby area, according to researchers and health officials. Texas-based BNSF faces accusations of negligence and wrongful death for failing to control clouds of contaminated dust that used to swirl from the rail yard and settle across Libby\u2019s neighborhoods.
The vermiculite was shipped by rail from Libby for use as insulation in homes and businesses across the U.S.
The first trial among what attorneys say are hundreds of lawsuits against BNSF for its alleged role polluting the Libby community is scheduled to begin Monday.
The railroad \u2014 owned by Warren Buffett\u2019s Berkshire Hathaway Inc. \u2014 has denied responsibility in court filings and declined further comment.
Resch works at an auto dealership in Libby and his wife is listed as a plaintiff in a pending lawsuit against BNSF in Montana's asbestos claims court. He's uncertain whether his sickness came from the rail yard. The Libby high school track included contaminated vermiculite, as did insulation in the walls and attics of homes he entered during his two decades as a volunteer firefighter.
The plaintiffs for the upcoming trial against BNSF, the estates of Joyce Walder and Thomas Wells, lived near the Libby rail yard and moved away decades ago. Both died in 2020 of mesothelioma, a rare lung cancer caused by asbestos that is disproportionately common in Libby.
The mine a few miles outside town once produced up to 80% of global vermiculite supplies. It closed in 1990. Nine years later, the Environmental Protection Agency arrived in Libby and a subsequent cleanup has cost an estimated $600 million, with most covered by taxpayer money. It's ongoing, but authorities say asbestos volumes in downtown Libby's air are 100,000 times lower than when the mine was operating.
Awareness about the dangers of asbestos grew significantly over the intervening years, and last month the EPA banned the last remaining industrial uses of asbestos in the U.S.
The ban did not include the type of asbestos fiber found in Libby or address so-called \u201clegacy\u201d asbestos that's already in homes, schools and businesses. A long-awaited government analysis of the remaining risks is due by Dec. 1.
Asbestos doesn\u2019t burn and resists corrosion, making it long lasting in the environment. People who inhale the needle-shaped fibers can develop health problems as many as 40 years after exposure. Health officials expect to grapple with newly diagnosed cases of asbestos disease for decades.
The EPA declared the nation\u2019s first ever public health emergency under the Superfund cleanup program in Libby in 2009. The pollution led to civil claims from thousands of people who worked for the mine or the railroad, or who lived in the Libby area.
During a yearslong cleanup of the Libby rail yard that began in 2003, crews excavated nearly the entire yard, removing about 18,000 tons of contaminated soil. In 2020, BNSF signed a consent decree with federal authorities resolving its cleanup work in Libby and nearby Troy, plus a 42-mile stretch (68 kilometers) of railroad right-of-way.
Last year, BNSF won a federal lawsuit against an asbestos treatment clinic in Libby that a jury found submitted 337 false asbestos claims, making patients eligible for Medicare and other benefits. The judge overseeing the case ordered the Center for Asbestos Related Disease to pay almost $6 million in penalties and damages, forcing the facility into bankruptcy. It continues to operate with reduced staff.
Some asbestos victims viewed the case as a ploy to discredit the clinic and undermine lawsuits against the railroad. BNSF said the verdict would deter \"future misconduct\u201d by the clinic.
In the months leading up to this week's trial, attorneys for BNSF repeatedly tried to deflect blame for people getting sick, including by pointing to the actions of W.R. Grace and Co., which owned the mine from 1963 until it closed. They also questioned whether other asbestos sources could have caused the two plaintiffs\u2019 illnesses and suggested Walder and Wells would have been trespassing on railroad property.
U.S. District Court Judge Brian Morris blocked BNSF from blaming the conduct of others as a means of escaping liability. And he said the law doesn\u2019t support the notion that trespassing reduces a property owner\u2019s duty not to cause harm.
Morris has yet to issue a definitive ruling on another key issue: the railroad\u2019s claim that its obligation to ship goods for paying customers exempts it from liability.
The plaintiffs argue the rail yard in downtown Libby \u2014 where Resch once played in piles of vermiculite \u2014 was used for storage and not just transportation, meaning the railroad is not exempt.
Montana's Supreme Court has ruled in a separate case that BNSF and its predecessors were more involved in the mine than simply shipping its product.
Mine owner W.R. Grace filed for bankruptcy in 2001 and paid $1.8 billion into an asbestos trust fund to settle future cases. It paid about $270 million to government agencies for environmental damages and cleanup work. The state of Montana was also faulted in Libby, for failing to warn residents about asbestos exposure. It paid settlements totaling $68 million to about 2,000 plaintiffs.
BNSF has settled some previous lawsuits for undisclosed amounts, attorneys for plaintiffs said. A second trial against the railroad over the death of a Libby resident is scheduled for May in federal court in Missoula.
\u201cI sure hope that they give those folks justice,\u201d Resch said about the upcoming trials. \u201cI mean everybody took part in it as far as corporate America goes.\u201d ___
This story has been corrected to reflect the proper spelling of Warren Buffett's last name. It is Buffett, not Buffet.
__
Hanson reported from Helena, Montana.
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Amanda Zurawski and Kaitlyn Joshua will travel to North Carolina and Wisconsin over the next two weeks to meet with doctors, local officials and voters. The Biden campaign sees their stories as potent firsthand accounts of the growing medical peril for many women as abortion restrictions pushed by Republicans complicate health care.
\u201cThe abortion topic is a very heavy topic, and I understand that, said Joshua, 31, of Baton Rouge, Louisiana. \u201dBut I also understand and believe that the Biden and Harris administration is the only administration that could do anything remotely close to addressing the abortion bans ... and then also doing a deeper dive into research and understanding women\u2019s health in general.\u201d
Biden and Democrats see reproductive health as a major driver for the 2024 election as the president and his proxies blame Republican Donald Trump, whose judicial nominations paved the way for the Supreme Court\u2019s conservative majority decision in 2022 that overturned abortion rights codified by Roe v. Wade.
Republicans, including Trump, are struggling to figure out how to talk about the issue, if at all. Trump has both taken credit for the overturning of Roe and suggested abortion should be legal until 15 weeks, and has promised to make a statement outlining his policies this week.
Since the high court's ruling, voters have approved a number of statewide ballot initiatives to preserve or expand the right to abortion. Support for abortion access drove women to the polls during the 2022 midterm elections, delivering Democrats unexpected success.
About two-thirds of Americans say abortion should generally be legal, according to polling by The Associated Press-NORC Center for Public Affairs Research. Only about one-quarter say abortion should always be legal and only about 1 in 10 say it should always be illegal.
Joshua and her husband were excited to be having a second baby. But she started to experience bleeding and serious pain at about 11 weeks. She suspected she was miscarrying.
At an emergency room in Baton Rouge, doctors examined her but wouldn't confirm she was miscarrying or discuss medical options, she said. She was sent home to wait. The bleeding worsened, and she went to a second hospital where again, doctors sent her home and told her to contact her doctor in a few days. A midwife eventually confirmed that Joshua had miscarried.
\u201cSomething that sounds as simple as dealing with a miscarriage can\u2019t even be met with a true diagnosis anymore,\u201d Joshua said. \u201cIt\u2019s kind of wild, right? And it\u2019s really frightening.\u201d
Joshua and Zurawski will be in Raleigh, Durham and Charlotte, North Carolina, on Wednesday, a state Biden hopes to flip. The state has enacted a law banning most abortions after 12 weeks, overriding a veto from the Democratic governor.
The week after that, they will visit Milwaukee, Eau Claire and Madison, Wisconsin, a state Biden won in 2020. Republicans in the state Assembly tried to set up a statewide referendum on the April ballot banning abortion after 14 weeks of pregnancy \u2014 more restrictive than current law \u2014 but the legislative session ended without a state Senate vote.
Both women said they felt compelled to get into politics after their own experiences.
\u201cPeople don\u2019t get how bad it is, and they don\u2019t get how bleak it is,\" Zurawski said. \u201cAnd so the more we continue to share our stories. ... I think it\u2019s really important to spread awareness and paint this picture.\u201d
Zurawski, 37, of Austin sued Texas last year after she and other women could not get medical care because of the state's abortion laws. She had been in her second trimester, after 18 months of fertility treatments, when she went into early labor and was told the baby would not survive. Doctors said they could not intervene to provide an abortion because Zurawski wasn't in enough medical danger.
Zurawski had to wait. Three days later, her condition rapidly worsened and she developed sepsis, a dangerous medical condition in which the body responds improperly to an infection. She stabilized long enough to deliver a stillborn girl, whom she named Willow. Zurawski then spent days in intensive care.
She recently returned from a family trip to Disney World and said, \"I thought I'd be coming home from that trip with a 1-year-old and be putting her down for a nap.\u201d
\"But instead I'm doing this interview to help campaign for Biden,\" Zurawski said. \"It's just the complete opposite world than I ever would have seen myself in.\u201d
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(AP) \u2014 An attorney for two people who died of a rare lung cancer argued on Monday for a jury to hold BNSF Railway responsible for pollution in a small Montana town near the U.S.-Canada border where thousands of people were exposed to toxic asbestos dust.
The railroad \u2014 now owned by Warren Buffett's Berkshire Hathaway Inc. \u2014 hauled asbestos-tainted vermiculite from a nearby mine through Libby, Montana, over decades. How much BNSF knew about the health hazard from those shipments is it at the center of a weekslong civil trial that began Monday.
Attorneys for the railroad said it was told repeatedly that the product it was shipping through Libby was safe.
The U.S. Environmental Protection Agency in 2009 declared the first-ever public health emergency during a Superfund cleanup in Libby. It\u2019s one of the deadliest sites under the federal pollution program.
The W.R. Grace & Co. mine that operated most of last century on a mountaintop outside Libby produced contaminated vermiculite that health officials say has sickened more than 3,000 people and led to several hundred deaths.
The pollution has been largely cleaned up. Yet the long latency period of asbestos diseases has meant people have continued getting sick with lung problems.
The estates of Thomas Wells of LaConner, Oregon, and Joyce Walder of Westminster, California, filed a wrongful death lawsuit against BNSF in 2021. They argue the railroad and its corporate predecessors stored asbestos-laden vermiculite in a large rail yard in Libby \u2014 before shipping it to plants across the U.S. where it was heated to expand for use as insulation in millions of homes and businesses.
Plaintiffs' attorney Mark Lanier said the dangers of asbestos were well known by the industry yet BNSF never took steps to warn the people of Libby. He added that W.R. Grace, the mining company, started putting warning signs on its vermiculite rail cars as early as 1977.
The trial, Lanier said, was about \u201cdid (the railroad) expose Libby residents to wind-born asbestos contamination.\u201d
BNSF attorney Chad Knight said the railroad was required under law to accept the vermiculite for shipment and had been told by W.R. Grace that it was safe. The onus was on the shipper to tell the railroad if it was hazardous, Knight said.
Numerous other lawsuits alleging BNSF exposed Libby residents to asbestos are pending, court records show.
The Walder and Wells lawsuit is the first so-called community exposure case against BNSF to go to trial, almost 25 years after federal authorities arrived in Libby following news reports about widespread deaths and illnesses.
People who lived and worked in Libby breathed in the microscopic needle-shaped asbestos fibers that can cause lung scarring and the lung cancer mesothelioma, the lawsuit argues.
Wells, 65, died in March 2020, a day after giving a 1/2-hour recorded deposition for the lawsuit. He talked about his exposure during seasonal work for the U.S. Forest Service in the Libby area in late 1970s and early 1980s.
Wells said he was diagnosed with mesothelioma in late 2019 after feeling an ache in his back and developing a serious cough. He said the pain was intolerable and that he had to sell his house to help cover medical bills.
Walder 66, died in October 2020. She lived in Libby for at least 20 years and could have been exposed to asbestos while fishing and floating on a river that flowed past a spot where vermiculite was loaded onto train cars, according to court records. Her exposure may have also come from playing around a baseball field near the rail yard or walking along the railroad tracks and occasionally heating up pieces of vermiculite to watch it puff up, the records said.
The trial, presided over by U.S. District Court Judge Brian Morris, is expected to last three weeks.
BNSF said in court documents filed in advance of the trial that when low levels of asbestos were found in the Libby rail yard during testing in 2001, the railroad cleaned up the site to protect its employees.
But an expert for the plaintiffs said BNSF and its predecessors sponsored geologic reports in the area and knew as early as the 1920s that the vermiculite mined near Libby had asbestos. By the 1930s the railroad would have known asbestos exposure could be hazardous, based on research disseminated at the time through the Association of American Railroads, said plaintiffs\u2019 expert Julie Hart, who chairs the Department of Safety, Health and Industrial Hygiene at Montana Technological University.
Late Sunday night, the railroad requested a last-minute delay in the trial and a change of venue to a different state, citing a weekend story by The Associated Press about the trial and asbestos contamination in Libby. Attorneys for the railroad said prospective jurors would be prejudiced by the article, which quoted a 61-year-old Libby resident who has an asbestos-related disease as saying he used to play in and around the rail yard.
Morris instead allowed the trial to proceed after telling attorneys not to talk to the news media while it's ongoing.
Another case against BNSF Railway alleging community \u2014 rather than work-related \u2014 exposure to asbestos is scheduled to go to trial next month in U.S. District Court in Missoula. It was brought by the estate of Mary Diana Moe, 79, who died of mesothelioma in December 2022.
__
Brown reported from Libby, Montana.
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The Vatican\u2019s doctrine office issued \u201cInfinite Dignity,\u201d a 20-page declaration that has been in the works for five years. After substantial revision in recent months, it was approved March 25 by Pope Francis, who ordered its publication.
From a pope who has made outreach to the LGBTQ+ community a hallmark of his papacy, the document was received as a setback, albeit predictable, by trans Catholics. But its message was also consistent with the Argentine Jesuit's long-standing belief that while trans people should be welcomed in the church, so-called \u201cgender ideologies\u201d should not.
In its most eagerly anticipated section, the Vatican repeated its rejection of \u201cgender theory,\u201d or the idea that one\u2019s biological sex can change. It said God created man and woman as biologically different, separate beings, and said people must not tinker with that or try to \"make oneself God.\u201d
\u201cIt follows that any sex-change intervention, as a rule, risks threatening the unique dignity the person has received from the moment of conception,\u201d the document said.
It distinguished between gender-affirming surgeries, which it rejected, and \u201cgenital abnormalities\u201d that are present at birth or that develop later. Those abnormalities can be \u201cresolved\u201d with the help of health care professionals, it said.
Advocates for LGBTQ+ Catholics immediately criticized the document as outdated, harmful and contrary to the stated goal of recognizing the \u201cinfinite dignity\u201d of all of God's children. They warned it could have real-world effects on trans people, fueling anti-trans violence and discrimination.
\u201cWhile it lays out a wonderful rationale for why each human being, regardless of condition in life, must be respected, honored, and loved, it does not apply this principle to gender-diverse people,\u201d said Francis DeBernardo of New Ways Ministry, which advocates for LGBTQ+ Catholics.
Nicolete Burbach, lead expert in social and environmental justice at the London Jesuit Centre, said the document showed the Vatican continues to fail to engage with queer and feminist approaches to the body \u201cwhich it simply dismisses as supposedly subjecting both the body and human dignity itself to human whims.\u201d
\u201cI think the main difficulty faced by the document is that it attempts to affirm the church\u2019s authentic commitment to human dignity in the face of a troubling history on the part of the church itself around attacks on that dignity,\u201d said Burbach, a trans Catholic theologian who researches transness and the Catholic Church.
The document\u2019s existence, rumored since 2019, was confirmed in recent weeks by the new prefect of the Dicastery for the Doctrine of the Faith, Argentine Cardinal V\u00edctor Manuel Fern\u00e1ndez, a close Francis confidant.
Fern\u00e1ndez had cast the document as something of a nod to conservatives after he authored a more explosive document approving blessings for same-sex couples that sparked criticism from conservative bishops around the world, especially in Africa.
And yet, in an apparent attempt at balance, the document takes pointed aim at countries \u2014 including many in Africa \u2014 that criminalize homosexuality. It echoed Francis' assertion in a 2023 interview with The Associated Press that \u201cbeing homosexual is not a crime.\"
The new document denounces \u201cas contrary to human dignity the fact that, in some places, not a few people are imprisoned, tortured, and even deprived of the good of life solely because of their sexual orientation.\u201d
The White House said President Joe Biden, a devout Catholic, was \u201cpleased\u201d to see that the declaration \u201cfurthers the Vatican\u2019s call to ensure that LGBTQ+ (individuals) are protected from violence and imprisonment around the world,\u201d press secretary Karine Jean-Pierre said.
On the specifics involving gender theory, Jean-Pierre stressed that it was not Biden\u2019s role to \u201clitigate internal church policy.\u201d
Asked how its negative take on trans people squared with Francis\u2019 message of welcome, Fern\u00e1ndez said the welcome remained but that the pope fervently believed that the idea that gender was fluid \u201crather than helping to recognize dignity, impoverishes the vision\u201d of a man and woman coming together to create new life.
The document is something of a repackaging of previously articulated Vatican positions, read now through the prism of human dignity. It restates well-known Catholic doctrine opposing abortion and euthanasia, and adds to the list some of Francis\u2019 main concerns as pope: the threats to human dignity posed by poverty, war, human trafficking, the death penalty and forced migration.
In a newly articulated position, it says surrogacy violates both the dignity of the surrogate mother and the child.
While much attention about surrogacy has focused on possible exploitation of poor women as surrogates, the Vatican asserts that the child \"has the right to have a fully human (and not artificially induced) origin and to receive the gift of a life that manifests both the dignity of the giver and that of the receiver.\u201d
\u201cConsidering this, the legitimate desire to have a child cannot be transformed into a \u2018right to a child\u2019 that fails to respect the dignity of that child as the recipient of the gift of life,\u201d it said.
The Vatican had previously published its most articulated position on gender in 2019, when the Congregation for Catholic Education rejected the idea that people can choose or change their genders and insisted on the complementarity of biologically male and female sex organs to create new life.
The new document from the more authoritative Dicastery for the Doctrine of the Faith quotes from that 2019 education document, but tempers the tone. Significantly, it doesn\u2019t repeat Vatican doctrine that homosexual people deserve to be treated with dignity and respect but that homosexual actions are \u201cintrinsically disordered.\u201d
In a news conference to introduce the document, Fern\u00e1ndez acknowledged that the \u201cintrinsically disordered\u201d language was very strong. He suggested there might be a better way, \"with other words,\" to express the church's vision of sex between husband and wife to create new life.
Francis has ministered to trans Catholics, including trans sex workers, and insisted that the Catholic Church must welcome all children of God.
But he has also denounced \u201cgender theory\u201d as the \u201cworst danger\u201d facing humanity today, an \u201cugly ideology\u201d that threatens to cancel out God-given differences between man and woman. He has blasted in particular what he calls the \u201cideological colonization\u201d of the West in the developing world, where development aid is sometimes conditioned on adopting Western ideas about gender.
Transgender activists immediately called the document \u201churtful\u201d and devoid of the voices and experiences of real trans people, especially in the distinction it makes between gender-affirming surgeries and surgeries on intersex people.
\u201cThe suggestion that gender-affirming health care \u2014 which has saved the lives of so many wonderful trans people and enabled them to live in harmony with their bodies, their communities and (God) \u2014 might risk or diminish trans people's dignity is not only hurtful but dangerously ignorant,\u201d said Mara Klein, a nonbinary, transgender activist who has participated in Germany\u2019s church reform project.
Klein said the Vatican \u201chypocrisy\u201d was furthered by the document's approval of surgery on intersex people, \u201cwhich if performed without consent especially on minors often cause immense physical and psychological harm.\u201d
The document comes at a time of some backlash against transgender people, including in the United States where Republican-led state legislatures are considering a new round of bills restricting medical care for transgender youths \u2014 and in some cases, adults.
\u201cOn top of the rising hostility towards our communities, we are faced with a church that does not listen and refuses to see the beauty of creation that can be found in our biographies,\u201d Klein said in an email.
___
AP writer Darlene Superville contributed from Air Force One.
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\u201cMany people have asked me what my position is on abortion and abortion rights,\" Trump said in the video posted on his Truth Social site. \u201cMy view is now that we have abortion where everybody wanted it from a legal standpoint, the states will determine by vote or legislation or perhaps both. And whatever they decide must be the law of the land \u2014 in this case, the law of the state.\"
Trump, in the video, did not say when in pregnancy he believes abortion should be banned \u2014 declining to endorse a national cutoff that would have been used as a cudgel by Democrats ahead of the November election. But his endorsement of the patchwork approach leaves him open to being attached to the strictest proposed state legislation, which President Joe Biden and his reelection campaign have already been working to do.
Anti-abortion activists expressed keen disappointment that Trump didn't go further.
In the video, he again took credit for the U.S. Supreme Court's decision to end Roe v. Wade, saying that he was \u201cproudly the person responsible for the ending\u201d of the constitutional right to an abortion and thanking the conservative justices who overturned it by name.
While he again articulated his support for three exceptions \u2014 in cases of rape, incest and when the life of the mother is at risk \u2014 he went on to describe the current legal landscape, in which different states have different restrictions following the court's Dobbs v. Jackson Women\u2019s Health Organization ruling on June 24, 2022, which upended the 1973 Roe v. Wade decision.
\u201cMany states will be different. Many will have a different number of weeks or some will have more conservative than others and that\u2019s what they will be,\" he said. \u201cAt the end of the day it's all about will of the people.\u201d
Trump had long argued that the Supreme Court\u2019s decision gave those who oppose abortion rights \u201ctremendous power to negotiate,\u201d leverage he said he wanted to use to strike a deal that he hoped would \u201cmake both sides happy\u201d and bring the country together \u2014 even though the issue is one of the most contentious in American politics, with some opponents viewing abortion as murder and proponents seeing it as a fundamental women\u2019s right.
The announcement drew immediate condemnation from SBA Pro-Life America, one of the country's most prominent groups opposed to abortion rights.
\u201cWe are deeply disappointed in President Trump\u2019s position,\u201d said the group's president, Marjorie Dannenfelser, in a statement. \u201cUnborn children and their mothers deserve national protections and national advocacy from the brutality of the abortion industry. The Dobbs decision clearly allows both states and Congress to act.\u201d
Sen. Lindsey Graham of South Carolina, one of Trump's congressional backers and supporter of a 15-week national ban, said he \u201crespectfully\u201d disagreed with Trump over abortion being an issue for the states. Mike Pence \u2014 a staunch abortion opponent who served as Trump's vice president, challenged him for this year's GOP nomination and has said he won't endorse him \u2014 on X called the stance \u201ca slap in the face to the millions of pro-life Americans\u201d who have previously backed Trump.
Trump took to Truth Social later Monday to lash out at his critics, saying both Dannenfelser and Graham were \u201cof absolutely no help as the Democrats staged rallies and won Elections they should never have won\u201d after Dobbs, adding that Graham should focus instead on \u201cthe millions of people dying in senseless, never-ending Wars that he constantly favors and promotes.\u201d
Biden's campaign was quick to seize on the moment, with spokesperson Ammar Moussa posting on X that Trump was \u201cendorsing every single abortion ban in the states, including abortion bans with no exceptions ... and he\u2019s bragging about his role in creating this hellscape.\u201d
In a statement, Biden said Trump has played a part in being \u201cresponsible for creating the cruelty and the chaos that has enveloped America since the Dobbs decision,\u201d a situation he said is reflected in women \u201cbeing turned away from emergency rooms, forced to go to court to seek permission for the medical attention they need, and left to travel hundreds of miles for health care.\u201d
\u201cTrump\u2019s in trouble and he knows it,\u201d Biden said at a fundraiser in Chicago on Monday.
In a statement, Jenny Lawson, executive director of Planned Parenthood Votes expressed confidence that the voters who \u201cclearly rejected anti-abortion politics\u201d in other post-Dobbs elections will \u201cdo the same with Donald Trump and his cronies in 2024.\u201d
In a Biden campaign call with reporters, Texas mother Kaitlyn Kash described her need to obtain out-of-state care after losing one pregnancy, then her difficulty in receiving a \u201cdilation and curettage\u201d procedure after another successful delivery, following the Dobbs decision \u2014 situations she laid at Trump's feet.
\u201cWhat I went through didn't need to happen, but it did because of Donald Trump,\u201d Kash said.
Biden's campaign also went up with an ad featuring Amanda Zurawski, a Texas woman they said \u201cnearly died twice after she was denied care for a miscarriage because of the state\u2019s abortion ban \u2014 a ban that was only possible because Donald Trump overturned Roe v. Wade.\u201d
Trump had suggested last month in a radio interview that he was leaning toward supporting a national abortion ban at around 15 weeks of pregnancy but, at the same time, seemed reluctant to embrace a federal prohibition.
Republican-led states have ushered in a wave of new restrictions following the 2022 overturning of Roe v. Wade. More than a dozen GOP-controlled states have banned abortion outright, while others have outlawed the procedure on increasingly diminishing timelines.
Other reproductive-related procedures have faced restrictions, including in vitro fertilization, which quickly became a campaign flashpoint after the Alabama Supreme Court ruled this year that frozen embryos can be considered children under state law. Trump said he strongly supports IVF availability. Alabama lawmakers and Republican Gov. Kay Ivey agreed to protect IVF providers from legal liability.
Democrats believe the fight over abortion rights helps them at the polls and have outperformed expectations in elections since. Voters in seven states have sided with abortion rights supporters on ballot measures, and abortion is expected to be on the ballot in more states this year, including Florida, Maryland and New York.
Trump has tried to thread the needle on abortion throughout the campaign, calling himself the \u201cmost pro-life president in American history\" but also blaming GOP candidates who did not allow for exceptions for the party\u2019s 2022 losses.
In the video, Trump told Republicans that they must \"follow your heart on this issue. But remember, you must also win elections to restore our culture and, in fact, to save our country, which is currently and very sadly a nation in decline.\u201d
Instead, he has tried to paint Democrats as \u201cthe radical ones on this position.\u201d
Democrats and Biden\u2019s campaign, meanwhile, have been spotlighting the issue as they work to draw a contrast with Trump.
Polling has consistently shown that most Americans believe abortion should be legal through the initial stages of pregnancy. About half of U.S. adults said abortions should be permitted at the 15-week mark, according to an Associated Press-NORC Center for Public Affairs Research poll conducted last June.
Data compiled by the Centers for Disease Control and Prevention show that the vast majority of abortions from 2012 to 2021 were performed within the first 13 weeks of pregnancy.
___ Kinnard reported from Columbia, South Carolina. Associated Press writers Michelle L. Price in New York and Darlene Superville in Chicago contributed to this report.
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It does touch on some health-related consequences of abortion laws, but these are not the main focus of the document." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/04/08/cea57d8dc3e70ed5165ae8a3f5719b98.json b/datasets/AP_news/raw_data/2024/04/08/cea57d8dc3e70ed5165ae8a3f5719b98.json new file mode 100644 index 0000000..747bf93 --- /dev/null +++ b/datasets/AP_news/raw_data/2024/04/08/cea57d8dc3e70ed5165ae8a3f5719b98.json @@ -0,0 +1,219 @@ +{ + "altids": { + "itemid": "cea57d8dc3e70ed5165ae8a3f5719b98", + "etag": "cea57d8dc3e70ed5165ae8a3f5719b98_5a10aza0c0", + "friendlykey": "306126068149", + "referenceid": "AF--Mozambique-Ferry Accident" + }, + "version": 5, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-04-08T21:14:06Z", + "firstcreated": "2024-04-08T05:32:47Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: with detail from state television showing boat pulled up on a beach; changes wording from sank to capsized. Links additional AP photo", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "AF--Mozambique-Ferry Accident", + "headline": "Overcrowded ferry capsizes off Mozambique's coast, leaving at least 98 dead, media reports say", + "headline_extended": "Media outlets in Mozambique say that a makeshift ferry overcrowded with residents reportedly fleeing a feared cholera outbreak has capsized off the country's northern coast, killing at least 98 people including children", + "slugline": "BC-AF-Mozambique-Ferry-Accident, 5th Ld-Writethru", + "description_summary": "Media outlets in Mozambique say that a makeshift ferry overcrowded with residents reportedly fleeing a feared cholera outbreak has capsized off the country's northern coast, killing at least 98 people including children. The ferry with an estimated 130 people aboard capsized Sunday after it departed the southeastern African nation\u2019s coast for the nearby Island of Mozambique. State-run Radio Mozambique quoted island administrator Silv\u00e9rio Nauaito as saying that at least 11 people were hospitalized. The Noticias newspaper quoted Nauaito as saying most of the dead were recovered Sunday, but an additional seven bodies were found Monday, bringing the death toll from 91 to 98.", + "bylines": [ + { + "by": "By FARAI MUTSAKA", + "title": "Associated Press" + } + ], + "located": "HARARE, Zimbabwe", + "datelinelocation": { + "city": "Harare", + "countrycode": "ZWE", + "countryname": "Zimbabwe", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + 31.05337, + -17.82772 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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The ferry with an estimated 130 people aboard capsized Sunday after it departed the southeastern African nation's coast for the nearby Island of Mozambique and at least 11 people were hospitalized, state-run Radio Mozambique quoted island administrator Silv\u00e9rio Nauaito as saying.
Most of the dead were recovered Sunday, but an additional seven bodies were found Monday, bringing the death toll from 91 to 98, the Noticias newspaper quoted Nauaito as saying. State TV showed what they said was the vessel pulled up on a beach a day after the tragedy, though it wasn\u2019t immediately clear how it had been brought ashore.
Maritime authorities continued to search for additional survivors, Nauaito told the radio station, adding that \u201cit is not easy to say with precision how many remain missing.\u201d Government officials were heading to the accident site Monday to get more precise information, he said.
The Nampula provincial authority released a statement attributing the accident to the \u201cuse of a vessel unsuitable for transporting passengers and overcrowding,\u201d Radio Mozambique reported.
Noticias, one of the country's main and oldest newspapers, said the boat ordinarily was used as a fishing vessel and that residents of the town of Lunga were trying to flee what they believed was a flare-up in cases of cholera that the country has suffered in recent months.
They wanted to reach the Island of Mozambique and departed \u201cin a stampede\u201d using boats \u201cunsuitable for navigation,\" the newspaper reported. The boat capsized before it could reach the island.
Some people still managed to reach the island's shore but died there after not being able to get medical help on time, the newspaper said. The country\u2019s national public broadcaster, Television of Mozambique, said two bodies of children remained uncollected in a morgue.
Authorities in Mozambique and neighboring southern African countries have been trying to contain a deadly cholera outbreak that spread in recent months.
Mozambique, one of the world\u2019s poorest countries, has recorded 32 deaths from about 15,000 cholera cases since late last year. Nampula is the worst affected province with over 5,000 cholera cases, including 12 deaths, according to government data.
Many areas of Mozambique are only accessible by boats, which are often overcrowded. The country has a poor road network and some areas are unreachable by land or air.
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The session ended Monday night with lawmakers giving final passage of a bill to help port employees in the aftermath of the Francis Scott Key Bridge collapse. Gov. Wes Moore is scheduled to sign the the emergency legislation on Tuesday, putting it into effect immediately. Lawmakers also approved a plan to rebuild Baltimore\u2019s storied but antiquated Pimlico Race Course and transfer the track to state control. The governor cheered passage of Maryland\u2019s first-ever statewide gun violence prevention center, as well as his affordable housing package and plan to fight child poverty.", + "bylines": [ + { + "by": "By BRIAN WITTE", + "title": "Associated Press" + } + ], + "located": "ANNAPOLIS, Md.", + "datelinelocation": { + "city": "Annapolis", + "countryareacode": "MD", + "countryareaname": "Maryland", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -76.49184, + 38.97859 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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(AP) \u2014 The Maryland General Assembly ended its 90-day legislative session on Monday. Here\u2019s a look at some of the legislation lawmakers passed:
Maryland lawmakers mostly kept Gov. Wes Moore\u2019s $63 billion budget proposal for the next fiscal year intact. They decided to add on some tax and fee increases to raise money for transportation, including a new fee of 75 cents on ride-hailing services and an increase in vehicle registration fees. The new revenues for transportation add up to about $252 million in the next fiscal year, gradually increasing to $336 million in fiscal year 2029. Tobacco tax increases will help generate about $91 million for K-12 education, though that is projected to decline in future years with less tobacco use.
Lawmakers passed legislation to help Port of Baltimore employees who are out of work because of the Francis Scott Key Bridge collapse and aren\u2019t covered under unemployment insurance while the port is closed or partially closed. The bill authorizes use of the state\u2019s rainy day fund to help them and encourage companies that relocate to other ports to return to Baltimore when it reopens.
Maryland judges would be able to shield their personal information online to prevent hostile people from tracking them down, a measure approved in response to the fatal shooting of a judge in his driveway last year.
Lawmakers approved a measure to create a grant program in the state's health department to help abortion clinics pay for security improvements.
Lawmakers approved a package of juvenile justice reforms aimed at improving accountability and rehabilitation in response to complaints about increasing crimes like auto theft and handgun violations in parts of the state.
Lawmakers passed the governor's bill to make data center development easier by reducing environmental procedures required by state regulators for backup generators needed for the centers, which house information technology infrastructure.
Lawmakers greenlighted the governor's legislation to increase the state\u2019s housing supply by incentivizing construction and removing barriers to development.
A plan to rebuild Baltimore\u2019s storied but antiquated Pimlico Race Course and transfer the track to state control was approved. The plan calls for using $400 million in state bonds to rebuild the home of the second jewel of horse racing\u2019s Triple Crown, the Preakness Stakes.
Lawmakers voted to create standards that the firearm industry must follow to prevent harm in the state, or else face liability for contributing to a public nuisance. The measure would require a member of the firearms industry to \u201cestablish and implement certain reasonable controls regarding the sale, manufacture, importation, distribution, marketing, possession and use of certain firearm-related products.\u201d
Lawmakers approved a measure that aims to prepare Maryland for the rising use of artificial intelligence. It requires the Maryland Department of Information Technology to develop AI policies, mandate AI inventories and codify the governor's executive order on AI, designed to ensure that AI technology is used responsibly.
Lawmakers voted for a measure that limits companies' data collection to give consumers data privacy and security protections. Another measure, called the Maryland Kids Code, puts safeguards in place to restrict data that technology companies can gather on children.
Lawmakers approved the governor\u2019s proposal to help communities with disproportionately high numbers of children living in poverty. It includes grants to help communities in what the governor described as a bottom-up initiative that puts an emphasis on local input.
Gender-affirming treatment in Maryland would be protected from criminal and civil actions brought by other states.
Public libraries, including public school libraries, would not be able to remove reading materials because of partisan, ideological or religious disapproval.
Lawmakers approved a nonbinding resolution affirming the state's support for the Equal Rights Amendment and urging President Joe Biden and Congress to recognize it as the 28th amendment to the U.S. Constitution. Maryland was one of the first states to support it 52 years ago, but it was never ratified, because the deadline passed without having the necessary support from three-fourths of states.
Maryland would apply for a federal waiver to enable people to buy health insurance through the state\u2019s health care exchange, regardless of their immigration status.
Lawmakers approved the governor's proposal to create a new center to foster a statewide partnership with federal and local agencies to reduce gun violence.
The state would create a permanent funding source for the state\u2019s 988 mental health crisis helpline by adding a fee of 25 cents to cell phone bills.
The General Assembly passed the governor\u2019s proposal to enable authorities to prosecute people who threaten to harm election officials or their immediate family members, as threats are on the rise across the country.
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U.S. Justice Department officials said Dutch Manufacturer Philips will be legally required to overhaul its manufacturing and quality control systems and hire independent experts to vet the changes. Philips has recalled more than 5 million of the machines since 2021 because their internal foam can break down over time, leading users to inhale tiny particles and fumes while they sleep.", + "bylines": [ + { + "by": "By MATTHEW PERRONE", + "title": "AP Health Writer" + } + ], + "located": "WASHINGTON", + "datelinelocation": { + "city": "Washington", + "countryareacode": "DC", + "countryareaname": "District of Columbia", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -77.03637, + 38.89511 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. 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Philips will be required to overhaul its manufacturing and quality control systems and hire independent experts to vet the changes, according to a court order announced by the U.S. Department of Justice. The company must also continue to replace, repair or provide refunds to all U.S. customers who got the defective devices, the department said.
The action is a major step toward resolving one of the biggest medical device recalls in history, which has dragged on for nearly three years.
Most of the devices recalled are continuous positive airway pressure, or CPAP, machines. They force air through a mask to keep mouth and nasal passageways open during sleep. Left untreated, sleep apnea can lead to dangerous drowsiness and increased risk of heart attack.
Philips has recalled more than 5 million of the machines since 2021 because their internal foam can break down over time, leading users to inhale tiny particles and fumes while they sleep. Efforts to repair or replace the machines have been plagued by delays that have frustrated regulators and patients in the U.S. and other countries.
Lawyers for the federal government alleged that the company failed to comply with good manufacturing practices needed to ensure device safety. The company did not admit to the allegations, according to the court filing.
\u201cThis office, the FDA and our partner agencies are committed to holding manufacturers accountable when they violate the law and put the public at risk,\" U.S. Attorney Eric Olshan said in a statement.
Under the legal agreement, Philips must hire independent auditors to create a plan for fixing its manufacturing problems and for monitoring problems with the sleep devices. The plan must then be approved by the Food and Drug Administration. The experts must also certify that new foam selected by the company meets FDA safety standards.
Jeffrey Reed, of Marysville, Ohio, experienced persistent sinus infections and two bouts of pneumonia during the seven years he used a Philips machine.
\u201cI worry about my long-term health,\u201d Reed said. \u201cI used this machine for years and no matter what money I might get out of this, what\u2019s going to happen?\u201d
Reed received a newer Philips device after returning his old machine, but he doesn't like to use it, preferring a competitor's device.
\u201cI don\u2019t trust the company,\u201d Reed said. \u201cI don't want to use it.\u201d
Reed is one of more than 750 people who have filed personal injury lawsuits against the company over the devices. Those cases have been consolidated in a federal court in Pennsylvania.
Similar lawsuits are pending in Canada, Australia, Israel and Chile, according to the company.
The Dutch manufacturer announced in January it had reached a tentative agreement with the FDA and the Department of Justice. But U.S. regulators wouldn't confirm the deal at the time because it had not yet been reviewed by a federal judge.
A company spokesman said Tuesday the agreement provides \"a roadmap of defined actions, milestones, and deliverables to meet relevant regulatory requirements,\u201d in an emailed statement. He noted that Philips will still be able to export some machines for sale outside the U.S.
The FDA\u2019s website warns patients that the risks of ingesting the sound-dampening foam could include headache, asthma, allergic reactions and more serious problems.
An FDA inspection of Philips\u2019 Pennsylvania offices in the fall of 2021 uncovered a spate of red flags, including emails suggesting the company was warned of the problem with its foam six years before the recall.
Between 2016 and early 2021, FDA found 14 instances where Philips was made aware of the issue or was analyzing the problem. \u201cNo further design change, corrective action or field correction was conducted,\u201d the FDA inspectors repeatedly noted.
In 2022, the FDA took the rare step of ordering Philips to step up its outreach to customers about the recall including \u201cclearer information about the health risks of its products.\u201d At the time, the agency estimated only about half the people in the U.S. with affected machines knew they had been recalled.
Customers trying to obtain refunds or new or refurbished devices from the company have reported long delays.
___
The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute\u2019s Science and Educational Media Group. The AP is solely responsible for all content.
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Editorial: It shouldn\u2019t take 2024 storm season to prompt Florida insurers to address climate change
Well, well, well. On the eve of another hurricane season, the insurance industry finally came out and said what almost everyone in Florida expected. Industry experts recently acknowledged that insurers may be forced to raise the property insurance premiums of Sunshine State customers to protect themselves from major storms.
\u201cWhen most of the modelers are indicating it\u2019s going to be (a) very active season, that\u2019s going to trigger the global reinsurance markets to reassess risk,\u201d Mark Friedlander, the Insurance Information Institute\u2019 s spokesman said after Colorado State University released its preseason hurricane forecast and climate\u2019s impact on reinsurance rates.
Uh, duh!
It\u2019s too easy to chastise an industry that\u2019s focused so heavily on fraud and litigation, while the state soft-pedals how the warming climate is impacting storms and the seas surrounding Florida. Last week\u2019s admission, however, could \u2014 and should \u2014 start a new approach in addressing climate change and providing property insurance. The Palm Beach Post Editorial Board has urged government officials to think outside the box in developing new ideas. The property insurance industry \u2014 instead of just scaling back coverage, dropping customers and hiking premiums as much as 100% \u2014 should do the same.
Insurance crisis isn\u2019t exactly news
It\u2019s not like the precariousness of Florida\u2019s insurance market is new. In recent years, the state has seen shifts in the market due to rising claims costs and reinsurance expenses. This has prompted a growing number of homeowners to explore alternative options, including going without coverage.
The property insurance crisis isn\u2019t just a Florida problem, either. One in 13 homeowners across the U.S. is uninsured, according to a recent study by the Consumer Federation of America. For years, government officials and the industry have walled off Florida, leaving it largely to the state and its residents to figure out ways to cope with the risks and the impact of ever-higher insurance premiums. It\u2019s time to admit the crisis is much bigger than Florida.
How can the industry help? Releasing better data on access to coverage and on coverage gaps would be a good start. It\u2019s not like our elected officials, here and elsewhere, have the information that would produce better policies to help homeowners. Rising premiums, an ongoing concern here for tens of thousands of frustrated homeowners from Palm Beach to Pensacola, is a national one that will call for a far wider effort to address than simply passing it off as a \u201cFlorida problem.\u201d
Last year we asked Insurance Information Institute officials how long might it take before our state\u2019s homeowners would see reductions in their premiums. Florida lawmakers after holding two special sessions to address the problems had promised changes within two years. Industry officials weren\u2019t that optimistic.
\u201cYears,\u201d Sean Kevelighan, the institute\u2019s president and CEO said after a brief silence and a bit of prodding.
Litigation, Kevelighan and his colleagues contend, remains the big problem, despite the fact that, after two special sessions of the Florida Legislature in 2022 and again in the 2023 regular session, the industry pretty much got everything it said it needed to reduce the impact of lawsuits, which supposedly would lead to lower rates.
That hasn\u2019t happened.
Now the problem is re-insurance, the a form of insurance insurers have, to protect them from financial risks. Re-insurers obviously get skittish with the likelihood of any events that threaten payouts. Nerves frayed when Colorado State predicted an extremely high number of storms \u2014 23 named storms compared to the average season of 14 \u2014 for the upcoming 2024 hurricane season.
\u201cIt is a very ominous forecast, and certainly one of the most significant in terms of potential events that we\u2019ve ever seen in April,\u201d Friedlander said during an interview with WJXT-TV in Jacksonville.
There\u2019s no doubt, at least here in Florida, that the insurance industry has the clout to get the preferred policies that it wants out of government. For years, the industry has gotten its way with the Florida Legislature and the Governor\u2019s office, in curbing what many policyholders see as normal remedies in pursuing claims. It shouldn\u2019t take another scary storm-season prediction to get the industry to take both climate change and its customers more seriously.
___
South Florida Sun Sentinel. April 8, 2024.
Editorial: Democracy delayed is democracy denied
There can\u2019t be a more diabolical gerrymander than what Gov. Ron DeSantis contrived to strip Black voters across North Florida of their ability to re-elect Democratic U.S. Rep. Al Lawson of Tallahassee.
It\u2019s even worse because the Legislature\u2019s original congressional redistricting plan, based on the 2020 census, had respected the Florida Constitution by preserving Lawson\u2019s District 5.
But DeSantis vetoed it and the Legislature played dead.
The gerrymander scattered Lawson\u2019s 370,000 Black constituents among four districts, a plan contrived to elect more white Republicans. Sure enough, most people in the heavily Democratic and racially diverse capital city are illogically represented by a white Republican from Panama City, more than 100 miles away.
Partisanship at its worst
It was partisan politics at its worst, with Black voters as victims, which makes it so offensive that a three-judge federal court recently upheld it.
The court rationalized that the Legislature wasn\u2019t motivated by racism but by obedience to the governor. Even if his motives were impure, the panel said, \u201cthe unlawful motivations of others \u2014 whether constituents, the Governor, or even a single member of the body itself \u2014 do not become those of the decision-making body as a whole.\u201d
That lack of common sense has been absent from Florida\u2019s courts, too. At Tallahassee, the First District Court of Appeal upheld DeSantis\u2019 vote-stealing despite its clear violation of the Fair Districts initiatives that voters put in the Constitution in 2010.
Under Fair Districts, no district, state or federal, shall be drawn to favor one party or another, and none may be designed \u201cwith the intent or result of denying or abridging\u201d the ability of racial or language minorities to elect representatives of their choice.
In other words, even if the governor and Legislature had acted out of pristine motives, which they didn\u2019t, the result was wrong.
The state court case, filed by Common Cause and others, is on appeal to the Florida Supreme Court, where the ill-fated Congressional District 5 won the court\u2019s blessing a decade ago.
A graveyard for precedents
It should be a slam dunk, but DeSantis\u2019 right-wing appointments have made the high court a graveyard for its own precedents. Moreover, it has been in no hurry to decide the case in time for this year\u2019s election, having just granted Secretary of State Cord Byrd\u2019s lawyers an unwarranted 30-day extension to file their brief. The reason? The attorneys say they face \u201cmultiple competing deadlines.\u201d
So let democracy wait.
The federal panel\u2019s ruling, which could \u2014 and should \u2014 be appealed to the U.S. Supreme Court, is yet another reminder that our \u201cgovernment of the people, for the people, by the people,\u201d as Abraham Lincoln memorably defined it, does not even guarantee the right to vote.
The Constitution originally left voting eligibility to states. Four subsequent amendments said voting could not be denied on account of race, sex or failure to pay poll taxes, and lowered the voting age to 18.
But none of these defined voting as an inalienable right \u2014 which it should be \u2014 and left the states free to find ingenious schemes to undermine it.
A weakened Voting Rights Act
Gerrymandering leads the way. The U.S. Supreme Court refuses to interfere and has weakened the Voting Rights Act, making it easier to disenfranchise minorities by rigging districts and by creating roadblocks to voting.
But not in Montana, where the state Supreme Court recently rejected four laws that state\u2019s Republican legislature had enacted to interfere with registering and voting. The court majority said voting is \u201ca clear and unequivocal fundamental right under the Montana Constitution,\u201d quoting a passage that says \u201cAll elections shall be free and open.\u201d
Regrettably, no such language is found in Florida\u2019s Constitution; only a declaration that \u201call political power is inherent in the people.\u201d
But even that should be enough for any court to establish voting as an inalienable right in Florida.
Treating it as such, the Montana court threw out a 2021 law denying absentee ballots to voters under 18 who would mark that birthday before election day. It restored same-day voter registration, which Republicans had eliminated despite Montana voters having defeated a referendum to abolish it. It restored student IDs as valid for registering, and overturned part of a law that barred anyone being paid to collect and submit absentee ballots, which it found had been a common and necessary practice in rural areas, especially on Indian reservations.
\u201cThis court,\u201d said Montana\u2019s state Supreme Court, \u201ccan diverge from the minimal protections offered by the United States Constitution when the Montana Constitution clearly affords greater protection \u2014 or even when the provision is nearly identical.\u201d
That used to be the rule in Florida, too, before our Supreme Court voted 6-1 a week ago to reverse the precedent unanimously set by its more enlightened predecessors in 1989 that Florida\u2019s constitutional guarantee of personal privacy protects abortion.
But unlike the privacy provision, the Fair Districts amendments are unmistakably specific. The DeSantis gerrymander was unquestionably unconstitutional. That\u2019s how the court should rule, and the sooner the better.
Democracy delayed is democracy denied.
___
Tampa Bay Times. April 3, 2024.
Editorial: On abortion, Floridians have chance to remedy Supreme Court\u2019s tortured logic
The November referendum is a rare chance for Floridians to enshrine reproductive rights in the state constitution.
The Florida Supreme Court ruling on abortion Monday marks an uncertain future for reproductive rights and privacy more generally. While the court allowed a statewide referendum on abortion to proceed, it cleared the way to further restrict the procedure while overturning decades of precedence on privacy protections. The November ballot measure was already poised to be defining; the court\u2019s decision only raises the stakes.
The justices ruled 6-1 that the privacy provision in Florida\u2019s constitution did not protect access to abortion, letting stand a 15-week abortion ban enacted in 2022. But the conservative court\u2019s ruling has far greater implications. By finding the existing restrictions legal, the court triggered a new six-week ban enacted last year to take effect by May 1. And its sweeping dismissal of the state\u2019s privacy clause could put other personal freedoms under legal jeopardy.
Florida voters added a privacy clause to the state constitution in 1980, which states in part: \u201cEvery natural person has the right to be let alone and free from governmental intrusion into the person\u2019s private life.\u201d The Florida Supreme Court first ruled in 1989 that the provision applied to abortion, and in 2012, Florida voters rejected a Republican-sponsored ballot amendment that would have narrowed the state\u2019s abortion-rights guarantee.
But in the ruling April 1, the court majority wrote that Florida voters did not understand abortion would be included in the privacy amendment the state adopted in 1980. \u201cIt would require an analytical leap,\u201d the opinion held, to associate \u201cthe right to be let alone\u201d with access to abortion. Moreover, the majority added, the Florida courts erred in the wake of the U.S. Supreme Court\u2019s 1973 decision in Roe v. Wade, which guaranteed a constitutional right to abortion, by reading \u201cadditional rights\u201d into Florida\u2019s privacy clause \u201cbeyond what the text could reasonably bear.\u201d
The court\u2019s ruling was hardly surprising; Republican Gov. Ron DeSantis, who signed both the 15-week and six-week abortion bans into law, appointed five of the court\u2019s seven members, and the justices have shown their comfort in acting as legislators in robes. But the opinion exposed the political lens this court takes toward controversial policy issues and its willingness to pluck arguments from the ether to justify its decisions.
The majority opinion, for example, noted that the phrase \u201cright to privacy\u201d gained \u201cnew connotations\u201d after the Roe decision in 1973, including \u201cthe choice to have an abortion.\u201d But the majority also dismissed the impact this association between a right to privacy and the Roe decision had on the decision by Florida voters to adopt their own privacy clause. In other words, Florida\u2019s top court appeared to conveniently forget that Florida voters knew full well that enshrining a right to privacy into the state constitution in 1980 would protect abortion rights. Justice Jorge Labarga, the lone vote against, called out this stretch of the imagination in his dissent.
\u201cThe public understood the right of privacy to encompass the right to an abortion,\u201d Labarga wrote in a 30-page opinion. \u201cRoe and its extensive coverage informed legislators and their constituents that the right of privacy under the U.S. Constitution protected the right to an abortion.\u201d Labarga called the majority decision \u201can affront to this state\u2019s tradition of embracing a broad scope of the right to privacy.\u201d
In a footnote, the majority noted that its opinion did not address privacy protections \u201coutside of the abortion context.\u201d But Labarga expressed concern this could be the court\u2019s next logical step. \u201cThe majority\u2019s reasoning,\u201d he warned, could spur attempts by future litigants \u201cto undermine the broad privacy protections that are extended in the medical context.\u201d
That\u2019s why the court\u2019s other decision to clear an abortion-rights amendment for the November ballot is so helpful in potentially balancing the fallout. The measure would bar any law that prohibits, penalizes, delays or restricts abortion \u201cbefore viability,\u201d usually around 24 weeks. But the court approved that referendum by the slimmest 4-3 majority possible, and state Republican leaders have vowed to work against it. Florida voters have a rare chance this November to enshrine reproductive rights before the governor, legislature and high court erode even more of our privacy protections.
___
Orlando Sentinel. April 4, 2024.
Editorial: Supreme Court smashed silly arguments over recreational pot
For Floridians caught up in the emotional and legal tumult of Monday\u2019s conflicting duo of Supreme Court abortion rulings, we have a suggestion: Take a break, and have some pot.
Or at least take the time to peruse the equally complex \u2014 but far more amusing \u2014 ruling that will let voters weigh in on whether marijuana should be legalized for all Floridians over the age of 21. (The question, designated Amendment 3, authorizes adults to buy up to three ounces of marijuana for personal use, even if they don\u2019t have a medical condition that qualifies them.)
Monday\u2019s pot ruling: LOL
In her majority opinion, Justice Jamie Grosshans provided a judicial smackdown of epic proportions. She didn\u2019t restrict herself to needling Attorney General Ashley Moody, who asked the court to block the marijuana amendment from the 2024 ballot. In a separate concurring opinion, Grosshans effectively trolled her fellow justices who tried in vain to shore up Moody\u2019s argument.
From the start, Moody\u2019s case for knocking the marijuana amendment off the ballot were weak. She and the \u201cfriend of the court\u201d groups who backed her challenge tried and failed to nitpick the ballot question to death. Among their arguments: Florida voters might not understand that marijuana is still illegal under federal law, or that the state will have to write the rules under which pot can be obtained by Floridians over the age of 21.
Grosshans\u2019 response: Perhaps you might want to invest in a dictionary. (She actually recommends a few.) Voters are perfectly capable of figuring this one out for themselves, she wrote, using the common meaning of words like \u201callow\u201d and \u201clicense.\u201d She swept aside another frankly idiotic argument that the amendment doesn\u2019t meet the single-subject requirement because it talks about the sale and use of pot: \u201cAllowing businesses to distribute personal-use marijuana, and authorizing individuals to possess it, are logically and naturally related,\u201d she wrote. \u201cLegalization of marijuana presumes the product will be available for the consumer.\u201d
She didn\u2019t conclude with \u201cWell, DUH.\u201d But did she really need to?
The weedy reality
Nor did she need to recap marijuana\u2019s current status in Florida: Recreational pot is available right now, for anyone with the money and time to pursue it and the moral ambiguity to evade the intent of the amendment.
Ironically that means voters were essentially hoodwinked in 2016, when they signed off on a supposedly highly restrictive amendment allowing very sick Floridians to buy medical marijuana under tightly controlled conditions.
That\u2019s \u2026 not how things worked out.
That\u2019s not the fault of voters, or the organizers of the 2016 ballot question. It\u2019s entirely the fault of state regulators and legislators who determinedly looked the other way as Florida\u2019s medical-marijuana industry cranked into high gear. Instead, state leaders focused almost entirely on what they saw as the real issue with medical marijuana \u2014 which powerful interests would be allowed to get rich first, and how much they could rake in.
Meanwhile, nobody was paying attention to how the guardrails on the 2016 ballot question were being flattened. That amendment required pot users to get a signoff from a doctor that they met the requirements specified in the amendment, which included debilitating health conditions including cancer, multiple sclerosis and legitimate cases of post-traumatic stress disorder. The 2026 amendment left one loophole, by including ailments \u201cof a similar kind or class.\u201d
At first timid and then bold, the industry stretched that phrase to the breaking point. As we observed in a July editorial: \u201cQuestions like \u2018Do you have cancer? Multiple sclerosis? Parkinson\u2019s?\u2019 gave way to \u2018Do you have depression? Anxiety? Stress? Uh \u2026 writer\u2019s cramp?\u2019\u201d
The majority opinion didn\u2019t really go into that, but Florida voters are capable of seeing that reality for themselves. That makes voter approval of the 2024 amendment likely, and further underscores the court\u2019s ruling that voters have a right to expand protections to recreational pot usage.
___
Miami Herald. April 4, 2024.
Editorial: Creators of Florida\u2019s extreme abortion bans now mislead the public on ballot amendment
The same state leaders who banned abortions after 15 weeks of pregnancy \u2014 without exceptions for rape and incest \u2014 and barely waited a year to pass a six-week ban, are now calling a ballot referendum to restore reproductive rights \u201cextreme.\u201d
That makes no sense. Constitutional Amendment 4, on the ballot in the November elections, would mostly return abortion rights to what they were for decades in Florida, before the U.S. Supreme Court reversed Roe v. Wade in 2022 and the Florida Legislature passed one of the strictest laws in the nation.
And yet, as the Herald reported Tuesday, this is how House Speaker Paul Renner, who ushered in the passage of the six-week ban, characterized the ballot item: \u201cThis amendment goes far far beyond where most Floridians would land on the issue and is extreme in its scope\u201d
The standard for nearly 50 years \u2014 which is popular with Floridians, according to polls \u2014 is not extreme. Banning abortions before most women even know they are pregnant is. Even Donald Trump called the six-week ban a \u201cterrible mistake\u201d last year.
The Florida Supreme Court approved the language of Amendment 4 on Monday. On the same day, it ruled in favor of Florida\u2019s 15-week ban, which will trigger the six-week ban starting May 1.
The amendment will reverse the ban if it\u2019s approved by at least 60% of voters. The measure states: \u201cNo law shall prohibit, penalize, delay or restrict abortion before viability,\u201d which is a fetus\u2019 ability to survive outside the womb, usually around 24 weeks of gestation.
When the U.S. Supreme Court ruled on Roe v. Wade in 1973, it also concluded that states couldn\u2019t restrict abortion access until viability.
Under Florida\u2019s Amendment 4, abortions could only happen after viability \u201cwhen necessary to protect the patient\u2019s health, as determined by the patient\u2019s healthcare provider.\u201d Again, that\u2019s similar to what was allowed under Roe v. Wade.
Unlike Roe, the amendment would preserve a Florida law that requires parental consent for minors to get an abortion. How radical!
Attorney General Ashley Moody unsuccessfully tried to convince the state Supreme Court that voters would be confused by Amendment 4\u2019s viability provision. Now Republicans are confusing voters. They know the amendment has a strong chance of approval.
END
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The health-related content is interspersed with other political and social issues, making the document only moderately relevant to the topic of health." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/04/09/4f279f0c7031f685e7a183cc197069be.json b/datasets/AP_news/raw_data/2024/04/09/4f279f0c7031f685e7a183cc197069be.json new file mode 100644 index 0000000..c674ad0 --- /dev/null +++ b/datasets/AP_news/raw_data/2024/04/09/4f279f0c7031f685e7a183cc197069be.json @@ -0,0 +1,243 @@ +{ + "altids": { + "itemid": "4f279f0c7031f685e7a183cc197069be", + "etag": "4f279f0c7031f685e7a183cc197069be_0a8aza0c0", + "friendlykey": "489887880475", + "referenceid": "US--Philanthropy-Woodruff-Foundation" + }, + "version": 0, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-04-09T19:38:12Z", + "firstcreated": "2024-04-09T19:38:11Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: Updates Media.", + "signals": [ + "newscontent" + ], + "title": "US--Philanthropy-Woodruff-Foundation", + "headline": "Bob Woodruff Foundation: Where billionaires, celebrities, and the NFL go to support vets", + "headline_extended": "When billionaire philanthropists, celebrities, global embassies, and the National Football League want to lend a helping hand to American veterans, they increasingly turn to one source: the Bob Woodruff Foundation", + "slugline": "BC-US--Philanthropy-Woodruff-Foundation", + "description_summary": "When billionaire philanthropists, celebrities, global embassies, and the National Football League want to lend a helping hand to American veterans, they increasingly turn to one source: the Bob Woodruff Foundation. Formed in 2006 to serve post-9/11 veterans and their families after ABC news reporter Bob Woodruff was injured by a roadside bomb in Iraq, the organization has become a celebrity favorite with its annual fundraiser \u2014 headlined byf Jon Stewart, Tracy Chapman, and Bruce Springsteen \u2014 raising $84 million since it was founded and $14 million last year. Through data savvy, niche grantmaking, and a membership network of over 100 veterans charities, it has become a go-to grantmaker for those looking to support veterans and military families.", + "bylines": [ + { + "by": "By SARA HERSCHANDER of The Chronicle of Philanthropy", + "title": "Chronicle of Philanthropy" + } + ], + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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Formed in 2006 to serve post-9/11 veterans and their families after ABC news reporter Bob Woodruff was injured by a roadside bomb in Iraq, the organization has become a celebrity favorite with its annual comedy fundraiser \u2014 headlined by the likes of Jon Stewart, Tracy Chapman, and Bruce Springsteen \u2014 raising $84 million since it was founded and $14 million last year alone.
Yet the Bob Woodruff Foundation has gained a reputation beyond its star-studded appeal. Through data savvy, niche grantmaking, and a membership network of over 100 veterans charities, it has become a go-to grantmaker for those looking to support veterans and military families.
\u201cThey know the field, and they could do a far better and faster job than I ever could,\u201d said Craig Newmark, founder of Craigslist and one of the country\u2019s most prominent philanthropists, who tapped the foundation to help dole out $100 million in grants for veterans groups last year.
Newmark isn\u2019t alone in his enthusiasm for the organization\u2019s approach. MacKenzie Scott donated $15 million, no strings attached, in 2022. Since 2018, the Qatar Embassy has provided over $10 million earmarked to help vets cope with the effects of Hurricane Ian and Hurricane Harvey. The NFL regularly leans on the foundation to distribute millions for its Salute to Service program, including the launch of a wheelchair football league in 2020.
What\u2019s the Bob Woodruff Foundation\u2019s secret? Is it just star power and savvy? Not entirely.
In 2018, the organization greatly expanded its network when it acquired Got Your 6, the largest nongovernmental coalition of veteran-serving charities in the United States. Originally founded by an Army vet in 2012, Got Your 6 (a military phrase for \u201cgot your back\u201d) comprises 130 member organizations, including tiny workforce training centers and statewide veterans affairs agencies, reaching nearly every military family in the United States.
Woodruff\u2019s organization regularly surveys its Got Your 6 members, many of whom are also grantees, to understand the gap between what veterans need and the extent to which local groups can meet those needs. It then uses that information \u2014 combined with the expertise of the foundation\u2019s researchers, military families, and charities on the ground \u2014 to pinpoint the issues that government agencies or other grant makers might be leaving behind.
\u201cWe\u2019re always careful that what we invest in complements what\u2019s federally available. We won\u2019t be redundant with the Department of Veterans Affairs or the Department of Defense unless there are capacity challenges,\u201d says Margaret Harrell, chief program officer at the Woodruff Foundation. \u201cWe don\u2019t do something that\u2019s already been done.\u201d
In its latest survey, the organization found several gaps between what charities and government agencies can offer and what veterans need to protect their mental health, aid their families, and handle financial emergencies. In recent years, the nonprofit has placed particular focus on family issues by paying for fertility treatments for veterans \u2014 many of whom struggle with infertility as a result of their service \u2014 and funding children\u2019s mental health services.
While data show a significant demand for child care, children\u2019s mental health services, and spousal and intimate partner relations among military families, few charities are currently equipped to meet that demand.
Organizations, even small ones, can have an outsize impact on the population they serve by focusing on issues that others aren\u2019t funding, says Kathleen Enright, president of the Council on Foundations: \u201cIt\u2019s always great when a foundation recognizes what the scale of their resources is best positioned to do and calibrates that intentionally.\u201d
The Craig H. Neilsen Foundation, for example, focuses exclusively on spinal cord injuries, while the Andy Warhol Foundation directs all of its resources toward experimental visual artists. That kind of specialization can ultimately \u201chelp philanthropy listen better\u201d to grantees and their causes, says Enright.
To enhance its understanding of veteran-serving groups, the Bob Woodruff Foundation often hosts gatherings of policymakers, military families, and experts around specific issues, like financial assistance or PTSD. Those meetings often lead to new grant programs \u2014 but they also act as a crossroads for collaboration.
\u201cI am often struck by the people we bring to the table who don\u2019t already know one another when I think they should,\u201d says Harrell of the Bob Woodruff Foundation.
Around five years ago, when the NFL broached the idea of funding a football program for injured veterans, the Bob Woodruff Foundation reached out to Move United, a Got Your 6 member and the largest provider of adaptive sports programs in the United States. At the time, the country had no competitive league for wheelchair football.
So, \u201cwe went to the drawing board,\u201d says Glenn Merry, executive director of Move United, who developed a proposal for what would later become the USA Wheelchair Football League, in which players across the country compete under the name of their local NFL team. With the support of the Bob Woodruff Foundation and the NFL\u2019s Salute to Service partnership, more than 850 athletes and coaches \u2014 including 315 veterans \u2014 have competed in the league since 2020.
\u201cWe use the power of sport to push what\u2019s possible for all of our athletes,\u201d says Merry. The opportunity to \u201cplay as a team toward a single purpose\u201d can help wounded veterans build both physical and mental resilience when they come home, he says.
_____
Sara Herschander is a reporter at the Chronicle of Philanthropy, where you can read the full article. This article was provided to The Associated Press by the Chronicle of Philanthropy as part of a partnership to cover philanthropy and nonprofits supported by the Lilly Endowment. The Chronicle is solely responsible for the content. For all of AP\u2019s philanthropy coverage, visit https://apnews.com/hub/philanthropy.
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The health-related content is present but not the central theme of the document." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/04/09/54fc7a7b8252ea8c3f396be3e8f725fd.json b/datasets/AP_news/raw_data/2024/04/09/54fc7a7b8252ea8c3f396be3e8f725fd.json new file mode 100644 index 0000000..c7f1b2f --- /dev/null +++ b/datasets/AP_news/raw_data/2024/04/09/54fc7a7b8252ea8c3f396be3e8f725fd.json @@ -0,0 +1,176 @@ +{ + "altids": { + "itemid": "54fc7a7b8252ea8c3f396be3e8f725fd", + "etag": "54fc7a7b8252ea8c3f396be3e8f725fd_2a10aza0c0", + "friendlykey": "631767902535", + "referenceid": "US-MED--WIC Food Rules" + }, + "version": 2, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-04-09T14:08:32Z", + "firstcreated": "2024-04-09T01:45:51Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: Links audio. Updates Media.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "US-MED--WIC Food Rules", + "headline": "New WIC rules include more money for fruits and veggies. They also expand food choices", + "headline_extended": "The federal program that helps pay for groceries for millions of low-income mothers, babies and young kids will emphasize more fruits, vegetables and whole grains", + "slugline": "BC-US-MED--WIC Food Rules, 2nd Ld-Writethru", + "description_summary": "The federal program that helps pay for groceries for millions of low-income mothers, babies and young kids will emphasize more fruits, vegetables and whole grains. New rules to the WIC program were announced Tuesday. They extend COVID-era cash vouchers for fruits and vegetables. The rules also focus on whole grains, eliminate or reduce juice and lower the quantities of milk. WIC served about 6.6 million people a month in 2023 at a cost of about $7 billion.", + "bylines": [ + { + "by": "By JONEL ALECCIA", + "title": "AP Health Writer" + } + ], + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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The final rule changes for the program known as WIC were announced Tuesday by the Food and Nutrition Service, and will take effect within two years with some exceptions.
Last updated a decade ago, the new WIC rules make permanent a bump in monthly cash vouchers for fruits and vegetables \u2014 something first enacted during the COVID-19 pandemic. Shoppers can also add canned fish, fresh herbs and lactose-free milk to their carts, among other changes. The voucher piece will take effect by June, officials said.
\u201cIt places a heavy emphasis on fruits and vegetables, which we think is an important component of a healthy diet,\u201d Agriculture Secretary Tom Vilsack said in an interview. \u201cIt\u2019s designed to fill the nutrition gaps that are often in the diets of many of us.\u201d
The WIC program served an average of about 6.6 million low-income Americans a month in 2023 at a cost of a little more than $7 billion. It\u2019s designed to supplement the food budgets for pregnant, nursing and postpartum women, as well as to feed babies and young kids up to age 5. That's done by providing vouchers to mothers and children who qualify and specifically listing the amount and types of food they can buy.
But officials have said only about half of those eligible are enrolled in the Supplemental Nutrition Program for Women, Infants and Children.
Under the new rules, fruits and vegetable vouchers in 2024 will provide $26 per month for kids ages 1 through 4; $47 per month for pregnant and postpartum women; and $52 for breastfeeding women. The changes also expand access to whole grains like quinoa, wild rice and millet and to foods such as teff and whole wheat naan. They also remove or reduce monthly allowances for juice and cut back on allowances for milk.
Food plans in the program are based on recommendations from the National Academies of Science, Engineering and Medicine and the federal 2020-2025 Dietary Guidelines for Americans.
The plan failed to include a change requested by top allergists in the U.S. that would have added peanut products to foods allowed for babies ages 6 months to 11 months to help prevent peanut allergies.
Research published in 2015 showed early introduction to peanut foods can reduce the chance of allergy development in kids who are at high risk, and several U.S. guidelines suggest exposing high-risk children to peanuts as early as 4 months.
Adding peanut to the WIC guidelines may have prevented more than 34,000 infants from developing a peanut allergy, said Dr. Gideon Lack of King\u2019s College London, who led the study. But federal nutrition officials concluded that the change was \u201coutside the scope\u201d of the final rule.
Dr. Ruchi Gupta, a pediatrics professor and child allergy expert at Northwestern University, called the omission \u201cdisappointing.\u201d She noted that WIC enrollees often include children of color who are at higher risk of developing dangerous peanut allergies.
The decision \u201ccan only increase disparities we are already seeing in food allergy prevalence,\u201d she said.
___
The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute\u2019s Science and Educational Media Group. The AP is solely responsible for all content.
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The Alliance for International Medical Action says the gang violence has forced 18 hospitals to stop working and caused a shortage in medical supplies. Haiti\u2019s biggest seaport and main international airport remain closed. The violence has driven some 17,000 people from their homes in the capital. Many are crammed into abandoned schools and other buildings where they often share a single toilet.", + "bylines": [ + { + "by": "By D\u00c1NICA COTO and EVENS SANON", + "title": "Associated Press" + } + ], + "located": "PORT-AU-PRINCE, Haiti", + "datelinelocation": { + "city": "Port-au-prince", + "countrycode": "HTI", + "countryname": "Haiti", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -72.33881, + 18.54349 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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Weeks of gang violence have forced some 18 hospitals to stop working and caused a shortage of medical supplies as Haiti's biggest seaport and main international airport remain closed, warned aid workers with The Alliance for International Medical Action, a Senegal-based humanitarian organization.
\u201cThe situation is really challenging and affects our movement on a daily basis,\u201d said Antoine Maillard, the organization\u2019s medical coordinator based in Port-au-Prince.
The gang violence has driven about 17,000 people in the capital from their homes. Many are crammed into abandoned schools and other buildings where they often share a single toilet.
Maillard said aid workers were able to reach one of the camps for displaced people on Tuesday, \u201cbut there were too many gunshots to provide support.\u201d
He said the health crisis is worsening. It is difficult to find basic medications including antibiotics and antidiarrheals since gang violence has shuttered suppliers. The limited medication available has doubled and even tripled in price.
That means Haitians like 65-year-old Denise Duval are unable to buy needed medication or see a doctor.
\u201cMy health right now is not good,\u201d she said, adding that she has high blood pressure and often feels dizzy. \u201cFrom hearing gunfire all the time, my heart beats a lot.\u201d
Duval is taking care of three grandchildren whose mother migrated to the neighboring Dominican Republic in search of work. The mother sends money when she can, but Duval said it's not enough to buy medication and support the children at the same time.
\u201cWe\u2019re living day-by-day and hoping that something will change,\u201d she said as she sat outside her home and washed dishes in a bucket.
Gunfire still echoes daily throughout Port-au-Prince, though the gang violence has somewhat subsided in certain areas since gunmen began attacking key government infrastructure on Feb. 29.
Key roads remain impassible, preventing Haitians like 52-year-old Nadine Prosper from reaching one of the few operating hospitals.
Prosper lost her lower left leg in Haiti's 2010 devastating earthquake, and she\u2019s unable to get the medication she needs.
\u201cI\u2019m still suffering,\u201d she said as she walked back to her house with a cane in one hand and groceries in the other. \u201cWhen the pain comes, if I don\u2019t have painkillers, that\u2019s the hardest part.\u201d
Haiti\u2019s largest public hospital, the State University Hospital, is among those closed. Located in downtown Port-au-Prince, it has been seized and looted by gangs that also pillaged nearby pharmacies.
While some private clinics and hospitals are operating, they remain inaccessible to the majority of people in a country where 60% of the population earn less than $2 a day.
Dr. Priscille Cupidon, medical activity manager for Doctors Without Borders, said the ongoing fighting resembles a war.
\u201cThe country\u2019s deepening political and economic crises have left medical facilities with few resources,\u201d she wrote in an essay published Tuesday. \u201cOur health care system is falling apart.\u201d
Cupidon, who runs a mobile health clinic, said an MSF team visited a neighborhood near the center of Port-au-Prince late last month that it hadn\u2019t been able to access since Feb. 29.
\u201cThe medical needs in the area are very high and are only likely to grow now that health care is so limited,\u201d Cupidon said.
Gangs are estimated to control 80% of Port-au-Prince. But ALIMA\u2019s Carlotta Pianigiani said the presence of armed groups is affected all of the city's population.
The violence forced Prime Minister Ariel Henry to announce last month that he would resign once a transitional presidential council is created.
___
Coto reported from San Juan, Puerto Rico.
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The lawsuit also accuses the hospital and several doctors of knowing about the abuse but failing to stop it. A lawyer for Todd says his client will not litigate the allegations in the media but will defend his care through the court system.", + "bylines": [ + { + "by": "By MICHAEL CASEY", + "title": "Associated Press" + } + ], + "located": "BOSTON", + "datelinelocation": { + "city": "Boston", + "countryareacode": "MA", + "countryareaname": "Massachusetts", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -71.05977, + 42.35843 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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The visit with Dr. Derrick Todd started normally for the 37-year-old New Hampshire woman. But as Todd progressed, he aggressively groped her breasts, she said, to the point that he \u201cseemed to enjoy that a little too much.\u201d
Only last year, when contacted by the hospital about Todd, she realized a line had been crossed. And she was not alone.
\u201cI feel so violated,\" she told The Associated Press. \"I feel so ashamed of myself for not knowing better in the moment to do anything and to be like, yeah, this did feel wrong and I should tell somebody.\u201d
The Associated Press generally doesn\u2019t identify possible victims of sexual abuse, but Fritz allowed her name to be used. She is one of more than 200 women and several men who have joined a consolidated lawsuit against Todd in Massachusetts' Suffolk Superior Court.
The lawsuit, combining several filed last year, accuses Todd of performing unnecessary pelvic floor therapy, breast examinations, testicular examinations and rectal examinations on patients.
It alleges that Todd \u2014 a former rheumatologist at Brigham and Women\u2019s Hospital whose specialty involves treating inflammatory conditions of the muscles, joints and bones \u2014 began abusing patients in 2010. It also accused several dozen other defendants, including Brigham and Women\u2019s Faulkner Hospital and Charles River Medical Associates, of knowing about the abuse and failing to stop it.
\u201cIt\u2019s an extraordinary number of people who put their trust in Dr. Todd and who had that trust violated simply for his own personal, selfish gratification,\u201d said William Thompson of Lubin & Meyer, whose Boston-based firm represents most of the victims.
\u201cThe other thing that strikes me about this case is how could this have been going on at the hospital, at the practice group for so long without somebody recognizing ... that something suspicious was going on,\u201d he continued. \u201cYet, they allowed him to continue to do this week after week, month after month, year after year, to more and more victims.\u201d
A lawyer for Todd, Anthony Abeln, said his client would \u201cnot litigate this matter in the media, but he will defend his care as the case progresses through the Massachusetts Superior Court system.\u201d
In April 2023, Brigham and Women\u2019s received two anonymous complaints about Todd and launched an internal investigation. Todd was told he couldn't conduct sensitive exams without a chaperone. In June, he was placed on administrative leave, then terminated a month later. The hospital said it also notified the Department of Public Health, the state Board of Registration in Medicine, law enforcement and his current and former patients.
In September, Todd reached a voluntary agreement with the Board of Registration in Medicine to stop practicing medicine anywhere in the country. No criminal charges have been filed against Todd but several former patients have been interviewed by law enforcement.
The Boston Globe reported last year Todd was under investigation by the Suffolk County District Attorney\u2019s Office. A spokesperson for the office said it would not comment on the case.
\u201cWe are deeply troubled by the upsetting allegations of harmful conduct committed by Dr. Todd,\" the hospital said in a statement. \u201cWe take our duty to care for our patients and keep them safe extremely seriously. We have, and always will, act decisively on any allegations of misconduct, as we did in this case.\u201d
The Charles River Medical Associates said it was never made aware of any complaints of \u201cinappropriate conduct\u201d by Todd and said it reached out to patients to report their concerns.
\u201cWe are deeply troubled and saddened by these disturbing allegations and recognize the courage it took for these patients to come forward,\u201d it said in a statement.
Thompson said victims ranged in age from teenagers to women in their 60s. The lawsuit alleged Todd would gain their confidence, go beyond treating their rheumatic diseases and become their only doctor while conducting invasive, unnecessary exams.
Among them was a 33-year-old Massachusetts woman who struggled to find a doctor during the COVID-19 pandemic. She was thrilled Todd called to help her with symptoms of tingling and numbness in her arms and hands.
Over two years, Todd became her primary doctor and gynecologist and, the lawsuit said, the abuse intensified during her visits \u2014 including repeated vaginal exams. She said Todd would routinely comment on her body, ask her to strip naked and make sure she was unaccompanied during exams.
\u201cIt honestly impacted every single component of my life because it just occupies every part of myself from my self-confidence,\u201d said the woman, who reported Todd to the medical board after discussing his behavior with her gynecologist and realizing something was wrong.
Since learning there were many others and that Todd would no longer practice medicine, she said a weight \u201chas been lifted off my chest\u201d though she struggles to cope. \u201cEven just thinking about work is super challenging,\u201d she said. \u201cI\u2019m really, really, really still struggling today, big time.\u201d
As for Fritz, she acknowledged the experience will stay with her for the rest of her life. But she takes solace in the fact that Todd is already paying a price for his actions.
\u201cYou were a trusted medical professional in a world class facility. You abused and violated many, many, many patients. It\u2019s just not right,\u201d Fritz said of Todd. \u201cFor me, justice is him never being able to practice again. Him never being able to do this to women or any other patient that he had done this to.\u201d
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Myrtle is thought to be as many as 95 years old, which would place her just beyond the upper boundaries of the species' longevity. But aquarium staff said the big turtle is in robust condition despite her advanced age.", + "bylines": [ + { + "by": "By PATRICK WHITTLE and RODRIQUE NGOWI", + "title": "Associated Press" + } + ], + "located": "BOSTON", + "datelinelocation": { + "city": "Boston", + "countryareacode": "MA", + "countryareaname": "Massachusetts", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -71.05977, + 42.35843 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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That was the takeaway from Tuesday's physical examination of Myrtle, an ancient green sea turtle that has delighted visitors to the New England Aquarium in Boston for more than 50 years.
Veterinarians performed Myrtle's checkup after the 500-pound reptile was hoisted from the aquarium's Giant Ocean Tank in an enormous crate on a chain. Watching the humungous turtle elevated from the tank in a way that resembled the way a piano is lifted outside a building provided some of the aquarium patrons with an unexpected thrill.
Myrtle is thought to be up to 95 years old, which would place her just beyond the upper boundaries of the species' longevity. But the big turtle is \u201cin robust condition\u201d despite her advanced age, said Mike O'Neill, manager of the ocean tank.
There's every reason to believe Myrtle will stick around for years to come, O'Neill said.
\u201cShe is iconic,\u201d O'Neill said. \u201cOne of the really special things we see is parents with their kids who say, \u2018This is Myrtle, she has been here since when I was a kid.\u2019 She has this multigenerational impact, which is really special.\u201d
Giving the massive sea turtle a physical exam is no small feat, and it happens about twice per year. First, a team of divers shepherded Myrtle into the underwater crate, which was lifted from the water by a winch. The process took place during open hours at the aquarium, and dozens of onlookers watched as Myrtle was brought to a deck for the exam.
Next, a team of veterinarians, vet techs and aquarists worked together to draw blood from Myrtle, check her flippers for range of motion and make sure her eyes, mouth and nose were in working order. Aquarium staff assured curious children that the turtle was in no danger \u2014 and that the veterinarians were trained professionals safe from her powerful jaws.
Myrtle then received an ultrasound, her weight was taken, and she returned to the ocean tank, O'Neill said. The turtle was back in the ocean tank munching on lettuce and cabbage by late morning on Tuesday.
Myrtle has been visited by about 50 million people over the decades and has gotten used to humans in that time. The aquarium's website boasts that Myrtle, who arrived from another aquarium in 1970, \u201cloves having her shell scratched.\u201d
Green sea turtles are the second-largest species of sea turtle, and they live in tropical and subtropical oceans around the world. The International Union for Conservation of Nature lists them as endangered and decreasing in population.
Myrtle shares space with a pair of loggerhead sea turtles named Carolina and Retread who are about half her age and size. The aquatic roommates also received physicals on Tuesday and are \u201calso both doing great,\u201d O'Neill said.
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+ } + }, + "body_nitf": "PHOENIX (AP) \u2014 Arizona will soon join 14 other states that have banned abortion at all stages of pregnancy after a state Supreme Court ruling Tuesday found that officials may enforce an 1864 law criminalizing all abortions except when a woman's life is at stake.
The court said enforcement won't begin for at least two weeks. However, it could be up to two months, based on an agreement reached in a related case in Arizona, according to state Attorney General Kris Mayes and Planned Parenthood, the plaintiffs in the current case.
The law provides no exceptions for rape or incest.
Under a near-total ban, the number of abortions in the state is expected to drop from about 1,100 monthly \u2014 as estimated by a survey for the Society of Family Planning \u2014 to almost zero. The forecast is based on what has happened in other states that ban abortion at all stages of pregnancy.
Arizona Sen. Eva Burch, who has had an abortion since announcing on the Senate floor last month that she was seeking one because her pregnancy wasn\u2019t viable, criticized GOP lawmakers who back the ban.
\u201cThe fight for reproductive rights is not over in Arizona,\u201d she said, referring to a statewide petition campaign to put the issue on the ballot this fall. \u201cThis moment must not slow us down.\u201d
According to AP VoteCast, 6 out of 10 Arizona voters in the 2022 midterm elections said they would favor guaranteeing access to legal abortion nationwide.
Planned Parenthood officials vowed to continue providing abortions for the short time they are still legal and said they will reinforce networks that help women travel out of state to places like New Mexico and California to access abortion.
\u201cEven with today\u2019s ruling, Planned Parenthood Arizona will continue to provide abortion through 15 weeks for a very short period of time,\u201d said Angela Florez, president of the organization's Arizona chapter.
Arizona State University student Katarina White welcomed the ruling.
\u201cI was overcome by joy and happy to know that all these babies that could potentially be aborted aren\u2019t going to be aborted,\u201d the Tempe resident said. \u201cIt just made me really proud to be an Arizonan.\u201d
Brittany Crawford, a mother of three who owns a hair salon in Phoenix, said the high court's ruling could have far-reaching consequences.
\u201cYou are going to have a lot of desperate girls doing whatever they can to get rid of their babies,\" Crawford said. \"Some could end up dead.\u201d
She herself had an abortion at 18, right out of high school, and said she suffered extreme emotional trauma.
\u201cI still think I should have the right to decide whether I do have a child, or whether I don\u2019t have a child,\u201d she said.
The Center for Arizona Policy, a longtime backer of anti-abortion proposals before the Legislature, said the state\u2019s highest court reached the appropriate conclusion.
\u201cToday\u2019s outcome acknowledges the sanctity of all human life and spares women the physical and emotional harms of abortion,\u201d the group said in a statement.
Nearly every state ban on abortions has been challenged with a lawsuit. Courts have blocked enforcing some restrictions, including prohibitions throughout pregnancy in Utah and Wyoming.
The Arizona ruling suggests doctors can be prosecuted for performing the procedure, and the 1864 law carries a sentence of two to five years in prison for doctors or anyone else who assists in an abortion.
\u201cIn light of this Opinion, physicians are now on notice that all abortions, except those necessary to save a woman\u2019s life, are illegal,\u201d the Arizona Supreme Court said in its decision, adding that additional criminal and regulatory sanctions may apply to abortions performed after 15 weeks.
Jill Gibson, chief medical officer at Planned Parenthood Arizona, said that means legal considerations are now likely to weigh heavily on any decision about abortion.
\u201cIt just creates this environment that makes it really impossible for a physician to understand her risk in taking care of her patients,\u201d Gibson said. \u201cRather than, you know, making clinical decisions based on what my patients are telling me, I will be phoning my lawyers for guidance on what I can do.\u201d
Planned Parenthood said it will continue to offer abortion services up to 15 weeks for at least two more months, in line with an agreement in the related case not to immediately enforce a near-total ban if upheld by the Arizona Supreme Court.
Since the U.S. Supreme Court overturned Roe v. Wade in 2022, most Republican-controlled states have started enforcing new bans or restrictions, and most Democratic-dominated ones have sought to protect abortion access.
Arizona Attorney General Mark Brnovich, a Republican, persuaded a state judge in Tucson to lift a restriction on enforcing the state's 1864 law. Mayes, Brnovich\u2019s Democratic successor, had urged the state\u2019s high court to hold the line against it.
\u201cToday\u2019s decision to reimpose a law from a time when Arizona wasn\u2019t a state, the Civil War was raging, and women couldn\u2019t even vote will go down in history as a stain on our state,\u201d Mayes said Tuesday.
Former Arizona Gov. Doug Ducey, a Republican who signed the state's current law restricting abortion after 15 weeks, posted on the social platform X saying that the state Supreme Court's ruling was not the outcome he would have wanted.
\u201cI signed the 15-week law as governor because it is thoughtful policy, and an approach to this very sensitive issue that Arizonans can actually agree on,\u201d he said.
___
This story corrects the day of the week that the Arizona Supreme Court issued its decision. It was Tuesday, not Thursday. ___
Associated Press writers Morgan Lee in Santa Fe, New Mexico; Jonathan J. Cooper in Phoenix; Laura Ungar in Louisville, Kentucky; and Geoff Mulvihill in Chicago contributed to this report.
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\u201cIt\u2019s not nowhere near my needs, let alone what the health effects are going to be five or 10 years down the road,\u201d said Eric Cozza, who lived just three blocks from the derailment and had 47 family members living within a mile (1.61 kilometers).
More than three dozen of the freight train's 149 cars derailed on the outskirts of East Palestine, a town of almost 5,000 residents near the Pennsylvania state line. Several cars spilled a cocktail of hazardous materials that caught fire. Three days later, officials, fearing an explosion, blew open five tankcars filled with vinyl chloride and burned the toxic chemical \u2014 sending thick, black plumes of smoke into the air. Some 1,500 to 2,000 residents were evacuated.
More than a year later residents still complain about respiratory problems and unexplained rashes and nosebleeds, but the greater fear is that people will develop cancer or other serious conditions because of the chemicals they were exposed to. Researchers have only begun to work on determining the lasting repercussions of the derailment.
Norfolk Southern said the agreement, if approved by the court, will resolve all class action claims within a 20-mile (32-kilometer) radius of the derailment and, for residents who choose to participate, personal injury claims within a 10-mile (16-kilometer) radius of the derailment.
The area includes East Palestine and people who evacuated, as well as several other larger towns.
The settlement, which doesn\u2019t include or constitute any admission of liability, wrongdoing or fault, represents only a small slice of the $3 billion in revenue Norfolk Southern generated just in the first three months of this year. The railroad said that even after the settlement it still made a $213 million profit in the quarter.
East Palestine resident Krissy Ferguson called the settlement a \u201cheart-wrenching day.\u201d
\u201cI just feel like we\u2019ve been victimized over and over and over again,\u201d she said. \u201cWe fought and we\u2019re still fighting. And contamination is still flowing down the creeks. People are still sick. And I think people that had the power to fight took an easy way out.\u201d
The company said Tuesday that individuals and businesses will be able to use compensation from the settlement in any manner they see fit.
The settlement is expected to be submitted for preliminary approval to the U.S. District Court for the Northern District of Ohio this month. Payments could begin to arrive by the end of the year, subject to final court approval.
Norfolk Southern has already spent more than $1.1 billion on its response to the derailment, including more than $104 million in direct aid to East Palestine and its residents. Partly because Norfolk Southern is paying for the cleanup, President Joe Biden has never declared a disaster in the town, which remains a sore point for many.
The railroad has promised to create a fund to help pay for the long-term health needs of the community, but that hasn\u2019t been finalized yet.
The plaintiffs' attorneys said the deal follows a year of intense investigation and should provide meaningful relief to residents.
Still, residents like Misti Allison have many unanswered questions.
\u201cWhat goes through my head is, after all the lawyers are paid and the legal fees are accounted for, how much funding will be provided for families? And is that going to be enough for any of these potential damages moving forward?\u201d she said.
Jami Wallace, too, worries about having a settlement without knowing the long-term impact of the derailment.
\u201cI would really like to see the numbers because in my opinion, taking a plea deal only is in the best interest of the attorneys,\u201d she said. \u201cThey\u2019re all going to get their money. But we\u2019re the residents that are still going to be left to suffer.\u201d
Cozza said he spent about $8,000 to move out of town and that \u2014 along with medical bills and the cost of replacing his contaminated belongings \u2014 exhausted what little savings he had. And he can't put a price on the 10-year relationship he lost or the way his extended family was scattered after the derailment.
The CEO of Threshold Residential, one of the biggest employers in town, estimates that his business has lost well over $100,000.
Last week federal officials said that the aftermath of the train derailment doesn\u2019t qualify as a public health emergency because widespread health problems and ongoing chemical exposure haven\u2019t been documented, contrasting residents' reports.
The head of the National Transportation Safety Board recently said the agency\u2019s investigation showed that venting and burning of the vinyl chloride was unnecessary because the producer of the chemical ascertained that no dangerous reaction occurred inside the tank cars. Officials who made the decision \u2014 Ohio\u2019s governor and the local fire chief leading the response \u2014 have said they were never told that.
The NTSB\u2019s full investigation into the cause of the derailment won\u2019t be complete until June, but the agency has said that an overheating wheel bearing on one of the railcars, which wasn\u2019t detected in time by a trackside sensor, likely caused the crash.
The EPA has said cleanup in East Palestine is expected to be completed this year.
The railroad announced preliminary first-quarter earnings of 23 cents per share Tuesday, which reflects the cost of the $600 million settlement. Without the settlement and some other one-time costs, the railroad said it would have made $2.39 per share.
Railroad CEO Alan Shaw, who is fighting for his job against an activist investor aiming to overhaul the railroad's operations, said Norfolk Southern is \u201cbecoming a more productive and efficient railroad\u201d but acknowledged there is more work to do.
Ancora Holdings is trying to persuade investors to support its nominees for Norfolk Southern's board and its plan to replace Shaw and the rest of the management team at the railroad's May 9 annual meeting. Ancora says the company's profits have lagged behind the other major freight railroads for years and the investors question Shaw's leadership.
The railroad said that in addition to the settlement, its results were hurt by $91 million in unusual expenses including money it is spending to fight back against Ancora, management layoffs and the $25 million it gave to CPKC last month for the right to hire one of that railroad's executives to be Norfolk Southern's new chief operating officer.
The railroad said Tuesday that even though volume was up 4% during the first quarter, company revenue fell by 4% because of lower fuel surcharge revenue and changes in the mix of shipments it handled to include more containers of imported goods that railroads get paid less to deliver than other commodities.
Shares of Norfolk Southern Corp., based in Atlanta, were up slightly through the day after a flat start following the settlement announcement.
___
Associated Press writer Brooke Schultz contributed to this report from Harrisburg, Pennsylvania, and Michelle Chapman contributed from New York.
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The Kenyatta Referral Hospital management said Tuesday that new doctors had been hired in place of those striking. Doctors in Kenya have been on a nationwide strike since March demanding better pay and working conditions. President William Ruto on Sunday broke his silence over the strike saying there was no money to pay striking doctors. \u201cWe must be honest with ourselves and the truth is that we must live within our means, we can\u2019t borrow money to pay salaries\u201d, Ruto said.", + "bylines": [ + { + "by": "By EVELYNE MUSAMBI", + "title": "Associated Press" + } + ], + "located": "NAIROBI, Kenya", + "datelinelocation": { + "city": "Nairobi", + "countrycode": "KEN", + "countryname": "Kenya", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + 36.81667, + -1.28333 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. 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The Kenyatta University Referral Hospital said new doctors had been hired in place of those striking.
Doctors in Kenya went on a nationwide strike in mid-March demanding better pay and working conditions.
President William Ruto on Sunday broke his silence over the strike saying there was no money to pay striking doctors.
\u201cWe must be honest with ourselves and the truth is that we must live within our means, we can't borrow money to pay salaries\u201d, Ruto said.
The doctors\u2019 union has remained adamant, and on Tuesday hundreds of doctors took part in protests and presented a petition to parliament urging lawmakers to intervene in their labor dispute.
This is not the first time Kenyan doctors are striking over poor pay and working conditions. In 2017 doctors took part in a 100-day strike that saw people dying from lack of care. The strike ended with the doctors' union signing an agreement with the government to increase their pay.
Doctors now say part of what was agreed upon in 2017 has not been implemented.
___
Follow AP\u2019s Africa coverage at: https://apnews.com/hub/africa
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This is directly related to the topic of health as it involves healthcare professionals, hospital operations, and the impact on public health services." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/04/09/d82c3fe907ec87ae9a80dffce31d4a4a.json b/datasets/AP_news/raw_data/2024/04/09/d82c3fe907ec87ae9a80dffce31d4a4a.json new file mode 100644 index 0000000..0c2c02d --- /dev/null +++ b/datasets/AP_news/raw_data/2024/04/09/d82c3fe907ec87ae9a80dffce31d4a4a.json @@ -0,0 +1,299 @@ +{ + "altids": { + "itemid": "d82c3fe907ec87ae9a80dffce31d4a4a", + "etag": "d82c3fe907ec87ae9a80dffce31d4a4a_1a6aza0c0", + "friendlykey": "868829065258", + "referenceid": "US--Forever Chemicals-Wisconsin" + }, + "version": 1, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-04-09T20:22:28Z", + "firstcreated": "2024-04-09T19:07:07Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: Updates with reaction from lawmaker, additional details.; Updates Media.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "US--Forever Chemicals-Wisconsin", + "headline": "Evers vetoes a Republican-backed bill targeting PFAS chemicals", + "headline_extended": "Wisconsin Gov. Tony Evers vetoed a Republican bill Tuesday that would have created grants to fight pollution from so-called forever chemicals", + "slugline": "AP-US--Forever Chemicals-Wisconsin, 1st Ld-Writethru", + "description_summary": "Wisconsin Gov. Tony Evers vetoed a Republican bill Tuesday that would have created grants to fight pollution from so-called forever chemicals. The Democrat Evers also took the unusual step of calling the GOP-controlled budget committee into meeting to approve spending $125 million to deal with contamination. Evers and Republicans have not been able to agree on the best way to combat pollution from PFAS. These chemicals ave polluted groundwater in communities across the state. Evers and Republicans both say that fighting the chemicals is a priority, but they haven\u2019t been able to come together on what to do about it.", + "bylines": [ + { + "by": "By SCOTT BAUER", + "title": "Associated Press" + } + ], + "located": "MADISON, Wis.", + "datelinelocation": { + "city": "Madison", + "countryareacode": "WI", + "countryareaname": "Wisconsin", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -89.40123, + 43.07305 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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(AP) \u2014 Wisconsin Gov. Tony Evers vetoed a Republican bill Tuesday that would have created grants to fight pollution from \u201cforever chemicals\u201d and took the unusual step of calling the GOP-controlled budget committee into meeting to approve spending $125 million to deal with contamination.
Evers has only called a meeting of the Legislature's Joint Finance Committee once before, a rarely used power afforded the governor under state law.
Evers and Republicans have not been able to agree on the best way to combat pollution from PFAS, chemicals that have polluted groundwater in communities across the state. Evers and Republicans have both said that fighting the chemicals is a priority, but they haven't been able to come together on what to do about it.
Evers said it was \u201cjust wrong\u201d that lawmakers have not approved spending the $125 million that was allocated to combat PFAS in the state budget passed last year.
\u201cThere is no reason Wisconsinites should have to wait any longer than they already have for these funds to be released,\u201d Evers said in a statement. \"This is about doing the right thing for our kids, our families, and our communities, and it should\u2019ve been done a long time ago. This must get done.\u201d
Republican Sen. Eric Wimberger, who cosponsored the bill, called the veto \u201cshameful\u201d and said he was holding the funding hostage.
\u201cEvery person in Wisconsin deserves to have clean, safe drinking water, and the Governor denied them that,\u201d Wimberger said in a statement.
Evers said that addressing PFAS contamination remains a priority for him and the bill he vetoed \u201cis not good enough.\u201d
Evers has repeatedly called on the Legislature's GOP-controlled budget committee to release the $125 million in funding. He called an April 16 meeting for them to consider it again, but Republicans have shown no indication they will act.
The bill Evers vetoed called for spending the money on grants for municipalities, private landowners and waste disposal facilities to test for PFAS in water treatment plants and wells. Landowners with property that became contaminated through no fault of their own also would have been eligible for grants.
Evers said in his veto message that he objected to the bill because it would limit the Wisconsin Department of Natural Resources\u2019 authority to hold polluters liable.
Wimberger, the bill's sponsor, said Evers wants to create a \u201cslush fund\u201d for the DNR, rather than funnel the $125 million through the program spelled out in the bill.
Multiple environmental groups urged Evers to veto the legislation, saying the limits on DNR enforcement are a deal-breaker. The Wisconsin Towns Association, the League of Wisconsin Municipalities, and the Wisconsin Counties Association supported the bill.
Republican bill authors argued that the limits are necessary to protect landowners who aren\u2019t responsible for PFAS pollution on their property from fines.
PFAS, short for per- and polyfluoroalkyl substances, are man-made chemicals that don\u2019t easily break down in nature. They are found in a wide range of products, including cookware and stain-resistant clothing, and previously were often used in aviation fire-suppression foam. The chemicals have been linked to health problems including low birth weight, cancer and liver disease, and have been shown to make vaccines less effective.
Municipalities across Wisconsin are struggling with PFAS contamination in groundwater, including Marinette, Madison, Wausau and the town of Campbell on French Island. The waters of Green Bay also are contaminated.
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Therefore, the document is relevant to the topic of health, but not exclusively focused on it." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/04/09/ea403689ae5e0a3f92488299197a8bc1.json b/datasets/AP_news/raw_data/2024/04/09/ea403689ae5e0a3f92488299197a8bc1.json new file mode 100644 index 0000000..3b9be1e --- /dev/null +++ b/datasets/AP_news/raw_data/2024/04/09/ea403689ae5e0a3f92488299197a8bc1.json @@ -0,0 +1,232 @@ +{ + "altids": { + "itemid": "ea403689ae5e0a3f92488299197a8bc1", + "etag": "ea403689ae5e0a3f92488299197a8bc1_0a3aza0c0", + "friendlykey": "283613295344", + "referenceid": "ME--Abortion-Maine" + }, + "version": 0, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-04-09T19:22:38Z", + "firstcreated": "2024-04-09T19:22:38Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: Updates Media.", + "signals": [ + "newscontent" + ], + "title": "ME--Abortion-Maine", + "headline": "Effort to enshrine right to abortion in Maine Constitution comes up short in first votes", + "headline_extended": "A resolution to amend the Maine Constitution to enshrine the right to an abortion has come up short of the two-thirds majorities needed in initial votes", + "slugline": "AP-ME--Abortion-Maine", + "description_summary": "A resolution to amend the Maine Constitution to enshrine the right to an abortion has come up short of the two-thirds majorities needed in initial votes. The Maine House voted 76-68 Tuesday in favor of the proposal, but that didn't reach the necessary threshold to send it to voters for ratification. The same thing happened last week in the Senate. Each chamber will get one more vote. Republicans called the votes political theater, saying the outcome appeared to be a foregone conclusion. Democrats said the roll call votes in both chambers ensure that lawmakers' position on the issue will be on record.", + "located": "AUGUSTA, Maine", + "datelinelocation": { + "city": "Augusta", + "countryareacode": "ME", + "countryareaname": "Maine", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -69.77949, + 44.31062 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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The Maine House voted 76-68 Tuesday in favor of the proposal but failed to reach the two-thirds majority that would be needed to send it to voters for ratification. The same thing happened last week in the Senate, which voted 20-13 in favor.
Each chamber will get a final vote before the end of the session, scheduled for next week.
Planned Parenthood took a positive view of the vote, noting that a majority of lawmakers support the proposed amendment.
\u201cMore of our elected leaders will need to vote for this bill during the next round in both legislative chambers. Every lawmaker can count on Mainers taking note of whether their elected representatives chose to let Mainers have a voice at the ballot box or whether their lawmakers chose to silence them,\u201d said Lisa Margulies of the Planned Parenthood Maine Action Fund.
Republican lawmakers called the votes political theater, saying the outcome was a foregone conclusion.
But the roll call votes in both chambers ensure that lawmakers will be on record on where they stand, Democrats said.
Maine is one of several states considering ballot measures dealing with abortion this year or next.
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Therefore, it is somewhat relevant but not highly focused on health as a broader topic." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/04/10/1c8804288413a73bb7b99fc866c8fa51.json b/datasets/AP_news/raw_data/2024/04/10/1c8804288413a73bb7b99fc866c8fa51.json new file mode 100644 index 0000000..8f18155 --- /dev/null +++ b/datasets/AP_news/raw_data/2024/04/10/1c8804288413a73bb7b99fc866c8fa51.json @@ -0,0 +1,287 @@ +{ + "altids": { + "itemid": "1c8804288413a73bb7b99fc866c8fa51", + "etag": "1c8804288413a73bb7b99fc866c8fa51_7a11aza0c0", + "friendlykey": "8968111685", + "referenceid": "EPA-PFAS Drinking Water" + }, + "version": 7, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-04-10T21:29:48Z", + "firstcreated": "2024-04-10T09:05:01Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: Updates Media.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "EPA-PFAS Drinking Water", + "headline": "Biden administration sets first-ever limits on 'forever chemicals' in drinking water", + "headline_extended": "The Environmental Protection Agency on Wednesday announced its first-ever limits for several common types of PFAS, the so-called \"forever chemicals,\" in drinking water", + "slugline": "AP-EPA-PFAS Drinking Water, 7th Ld-Writethru", + "description_summary": "The Environmental Protection Agency on Wednesday announced its first-ever limits for several common types of PFAS, the so-called \"forever chemicals,\" in drinking water. Two types, PFOA and PFOS, will be limited to 4 parts per trillion, the lowest level that tests can reliably detect. The agency says it will reduce exposure for 100 million people and prevent thousands of illnesses, including cancer. Utilities groups, however, say the EPA is underestimating the rule's cost and overestimating its benefits. They argue water rates will go up and struggling utilities will only struggle more. The Biden administration has made protecting drinking water a priority.", + "bylines": [ + { + "by": "By MICHAEL PHILLIS", + "title": "Associated Press" + } + ], + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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Officials say this will reduce exposure for 100 million people and help prevent thousands of illnesses, including cancers.
The rule is the first national drinking water limit on toxic PFAS, or perfluoroalkyl and polyfluoroalkyl substances, which are widespread and long lasting in the environment.
Health advocates praised the Environmental Protection Agency for not backing away from tough limits the agency proposed last year. But water utilities took issue with the rule, saying treatment systems are expensive to install and that customers will end up paying more for water.
Water providers are entering a new era with significant additional health standards that the EPA says will make tap water safer for millions of consumers \u2014 a Biden administration priority. The agency has also proposed forcing utilities to remove dangerous lead pipes.
Utility groups warn the rules will cost tens of billions of dollars each and fall hardest on small communities with fewer resources. Legal challenges are sure to follow.
EPA Administrator Michael Regan says the rule is the most important action the EPA has ever taken on PFAS.
\"The result is a comprehensive and life-changing rule, one that will improve the health and vitality of so many communities across our country,\u201d said Regan.
PFAS chemicals are hazardous because they don\u2019t degrade in the environment and are linked to health issues such as low birth weight and liver disease, along with certain cancers. The EPA estimates the rule will cost about $1.5 billion to implement each year, but doing so will prevent nearly 10,000 deaths over decades and significantly reduce serious illnesses.
They\u2019ve been used in everyday products including nonstick pans, firefighting foam and waterproof clothing. Although some of the most common types are phased out in the U.S., others remain. Water providers will now be forced to remove contamination put in the environment by other industries.
\u201cIt's that accumulation that's the problem,\u201d said Scott Belcher, a North Carolina State University professor who researches PFAS toxicity. \u201cEven tiny, tiny, tiny amounts each time you take a drink of water over your lifetime is going to keep adding up, leading to the health effects.\"
PFAS is a broad family of chemical substances, and the new rule sets strict limits on two common types \u2014 called PFOA and PFOS \u2014 at 4 parts per trillion. Three other types that include GenEx Chemicals that are a major problem in North Carolina are limited to 10 parts per trillion. Water providers will have to test for these PFAS chemicals and tell the public when levels are too high. Combinations of some PFAS types will be limited, too.
Regan will announce the rule in Fayetteville, North Carolina, on Wednesday.
Environmental and health advocates praised the rule, but said PFAS manufacturers knew decades ago the substances were dangerous yet hid or downplayed the evidence. Limits should have come sooner, they argue.
\u201cReducing PFAS in our drinking water is the most cost effective way to reduce our exposure,\" said Scott Faber, a food and water expert at Environmental Working Group. \"It's much more challenging to reduce other exposures such as PFAS in food or clothing or carpets.\u201d
Over the last year, EPA has periodically released batches of utility test results for PFAS in drinking water. Roughly 16% of utilities found at least one of the two strictly limited PFAS chemicals at or above the new limits. These utilities serve tens of millions of people. The Biden administration, however, expects about 6-10% of water systems to exceed the new limits.
Water providers will generally have three years to do testing. If those test exceed the limits, they\u2019ll have two more years to install treatment systems, according to EPA officials.
Some funds are available to help utilities. Manufacturer 3M recently agreed to pay more than $10 billion to drinking water providers to settle PFAS litigation. And the Bipartisan Infrastructure Law includes billions to combat the substance. But utilities say more will be needed.
For some communities, tests results were a surprise. Last June, a utility outside Philadelphia that serves nearly 9,000 people learned that one of its wells had a PFOA level of 235 parts per trillion, among the highest results in the country at the time.
\u201cI mean, obviously, it was a shock,\u201d said Joseph Hastings, director of the joint public works department for the Collegeville and Trappe boroughs, whose job includes solving problems presented by new regulations.
The well was quickly yanked offline, but Hastings still doesn't know the contamination source. Several other wells were above the EPA's new limits, but lower than those the state of Pennsylvania set earlier. Now, Hastings says installing treatment systems could be a multi-million dollar endeavor, a major expense for a small customer base.
The new regulation is \"going to throw public confidence in drinking water into chaos,\u201d said Mike McGill, president of WaterPIO, a water industry communications firm.
The American Water Works Association, an industry group, says it supports the development of PFAS limits in drinking water, but argues the EPA's rule has big problems.
The agency underestimated its high cost, which can't be justified for communities with low levels of PFAS, and it'll raise customer water bills, the association said. Plus, there aren't enough experts and workers \u2014 and supplies of filtration material are limited.
Work in some places has started. The company Veolia operates utilities serving about 2.3 million people across six eastern states and manages water systems for millions more. Veolia built PFAS treatment for small water systems that serve about 150,000 people. The company expects, however, that roughly 50 more sites will need treatment \u2014 and it's working to scale up efforts to reduce PFAS in larger communities it serves.
Such efforts followed dramatic shifts in EPA's health guidance for PFAS in recent years as more research into its health harms emerged. Less than a decade ago, EPA issued a health advisory that PFOA and PFOS levels combined shouldn't exceed 70 parts per trillion. Now, the agency says no amount is safe.
Public alarm has increased, too. In Minnesota, for example, Amara's Law aims to stop avoidable PFAS use. It's been nearly a year since the law's namesake, Amara Strande, died from a rare cancer her family blames on PFAS contamination by 3M near her high school in Oakdale, although a connection between PFAS and her cancer can't be proven. Biden administration officials say communities shouldn't suffer like Oakdale. 3M says it extends its deepest condolences to Amara's friends and family.
Losing Amara pushed the family towards activism. They've testified multiple times in favor of PFAS restrictions.
\u201cFour parts per trillion, we couldn\u2019t ask for a better standard,\u201d Amara's sister Nora said. \u201cIt's a very ambitious goal, but anything higher than that is endangering lives.\u201d
___
Associated Press data journalist Camille Fassett in San Francisco and reporter Matthew Daly in Washington D.C. contributed to this story.
___
The Associated Press receives support from the Walton Family Foundation for coverage of water and environmental policy. The AP is solely responsible for all content. For all of AP\u2019s environmental coverage, visit https://apnews.com/hub/climate-and-environment
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For much of her life, Angela Crawford considered herself a fairly conservative Republican \u2014 and she voted that way. But then a wave of court rulings and Republican-led actions in states restricted abortion and later in vitro fertilization, the very procedure that had helped her conceive her daughter.
Now, Crawford, 38, is working to gather signatures in her home state of Missouri for a ballot initiative in the fall that would enshrine access to abortion and other reproductive health care. And she's voting for Democrats.
When Roe v. Wade was overturned by the U.S. Supreme Court in 2022, Republicans insisted the ruling would mostly affect those seeking abortions to end unwanted pregnancies. But that hasn\u2019t been the case.
Women who never intended to end their pregnancies have nearly died because they could not get emergency treatment. Miscarriage care has been delayed. Routine reproductive medical care is drying up in states with strict bans. Fertility treatments were temporarily paused in Alabama. As the fallout grows, so does the opportunity for Democrats.
\u201cI wish everyone would realize how big this topic is,\u201d Crawford said of reproductive rights. \u201cPeople really minimized it initially, because they didn\u2019t realize the scope.\u201d
Democratic candidates are increasingly running on the broader reproductive rights issues and they are seeing results.
For Biden, who is trying to overcome consistently low approval ratings and Republican Donald Trump\u2019s loyal following in order to win reelection in November, the broader matter of reproductive health is becoming an increasingly potent issue as rights diminish in states such as Indiana, Florida and, soon, Arizona.
A Texas woman who went into premature labor, developed sepsis and nearly died because she was unable to get an abortion, and a Louisiana woman who said restrictive laws prevented her from getting miscarriage care are campaigning for Biden in North Carolina. At a Durham community center, blue and red signs with phrases such as \u201cStop Trump\u2019s Abortion Ban\u201d lined the wall.
Doctors attending the event said that helping pregnant patients has become much harder. And tasks they have never had to consider, such as printing out driving instructions to Virginia for patients unable to get an abortion in North Carolina, have become more common.
The uncertainty has also motivated Amaia Clayton, a student from Duke University, to get more politically involved.
\u201cI mean, I\u2019m 19. I\u2019m in college,\u201d she said. \u201cReproductive health care is very, very applicable to me right now, and it will be very applicable to me for the foreseeable future.\u201d
In Alabama, the pause in IVF services was temporary, but it sent shock waves across the country as other states are weighing laws that could create similar results.
Voters have consistently sent strong messages of disapproval over the past two years about restricting abortion rights, and Republicans, including Trump, are struggling to find a satisfying and consistent response.
\u201cWhat we continue to see are more and more extreme positions on this issue, now around contraception and IVF,\u201d said Biden's campaign manager, Julie Chavez Rodriguez. \u201cAnd these are policies that voters have continued to reject time and time again.\"
Support for abortion access drove women to the polls during the 2022 midterm elections, delivering Democrats unexpected success.
About two-thirds of Americans say abortion should generally be legal, according to polling by The Associated Press-NORC Center for Public Affairs Research. Only about one-quarter say abortion should always be legal and only about 1 in 10 say it should always be illegal.
Since the fall of Roe, several states have enacted strict abortion bans or worked to make their laws stricter. In Arizona, the state Supreme Court on Tuesday ruled that officials may enforce an 1864 law criminalizing all abortions except when a woman\u2019s life is at stake.
When voters have been given the choice, they have approved statewide ballot initiatives to preserve or expand the right to abortion.
In a follow-up to the end of Roe, Alabama's highest court in February ruled that frozen embryos were children, a decision that led to the temporary pause in in vitro fertilization services. Alabama also has one of the strictest abortion bans in the nation.
Democrat Marilyn Lands made it a major focal point of her campaign to flip a seat in the Alabama House in a suburban district that, while increasingly politically moderate, had long been held by the GOP. And she won. Two years earlier, she had lost her bid for that seat.
Lochrane Chase, 36, of Birmingham, Alabama, had her IVF treatments paused because of the state court's decision. That changed how she engages with politics. She said she routinely votes for Republicans. But this time, she supported Lands.
\u201cThe IVF ruling made me realize that the Roe v. Wade decision has set such a dangerous precedent for states who now have the power to make their own rules,\" Chase said.
Reproductive rights advocates are not surprised. They expected the ripple effects.
\u201cDespite all of our knowledge -- and this has been in plain sight \u2014 we face a believability gap with the American people,\u201d said Mini Timmaraju, president of Reproductive Freedom for All. It was the same before the fall of Roe, she said. People just did not believe it could happen.
Where abortion has been a difficult topic for some more centrist Democrats, including Biden, to talk about, the larger issue of reproductive freedom works. Not just for lawmakers, but also for voters for whom abortion isn't top of mind.
\u201cThe beauty of using the freedom framework is that we can talk about a broader set of issues to a broader range of Americans,\" Timmaraju said.
Biden has said Trump is to blame for the growing medical peril. After the new Arizona ban that is expected to take effect in the next two months, Biden's campaign sent out an email that read: \u201cTrump did this.\u201d When asked his message to Arizona voters, Biden's response Wedneday was: \u201cElect me. I\u2019m in the 20th century ... the 21st century.\u201d
Vice President Kamala Harris will be in Arizona on Friday addressing the issue.
Republicans are struggling with how to manage the broadening question of abortion and reproductive health after decades of pushing to overturn Roe.
Trump, whose judicial nominations as president paved the way for the Supreme Court\u2019s conservative majority decision, has bragged about overturning Roe. But in a video statement on his social media site, he tried to punt the issue back to the states, and on Wednesday, he said the Arizona law goes too far.
\u201cIt\u2019ll be straightened out and as you know, it\u2019s all about states\u2019 rights,\u201d he said.
In Missouri last week, Republican legislators refused to codify language in the state budget that would have stated that nothing in state laws could preclude Medicaid coverage for contraceptives or IVF-related services.
State House Minority Leader Crystal Quade, a Democrat who is running for governor, said it was a small way that Republicans could have shown they were supportive of IVF.
But the Democrats' reason for seeking the vote was also political: They wanted voters to see the track record in black and white.
___
Associated Press writer Makiya Seminera in Durham, North Carolina, contributed to this report.
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enough valid signatures to put measures on the ballot, part of a national push to pose abortion rights questions to voters since the U.S. Supreme Court removed the nationwide right to abortion.
South Dakota's top election official announced Thursday that it had completed the validation process, putting the measure to voters in the conservative state where a trigger law banning nearly all abortions went into effect after Roe v. Wade was overturned.
The Colorado measure officially made the ballot Friday, and would enshrine abortion rights into the constitution in a state which already allows abortion at all stages of pregnancy.
Since that 2022 decision, most Republican-controlled states have new abortion restrictions in effect, including 14 that ban it at every stage of pregnancy. Most Democratic-led states have laws or executive orders to protect access.
Additionally, voters in seven states \u2014 California, Kansas, Kentucky, Michigan, Montana, Ohio and Vermont \u2014 have sided with abortion rights supporters on ballot measures.
It's not clear yet how many states will vote on measures to enshrine abortion access in November. In some, the question is whether amendment supporters can get enough valid signatures. In others, it's up to the legislature. And there's legal wrangling in some states.
Some efforts that sought to restrict or ban abortion have also failed to reach ballots. In Wisconsin, the House approved a measure asking voters to ban abortion after 14 weeks, but the legislative session ended without a vote from the state Senate. Likewise, Iowa lawmakers ended their session without approving a measure asking voters to find that there's no constitutional right to abortion. Pennsylvania lawmakers previously pursued a similar amendment, but it\u2019s not expected to be added to the ballot this year. A Louisiana measure to enshrine abortion rights in the state constitution died in committee, and one in Maine effectively died when it fell short of receiving the approval of two-thirds of the House.
FLORIDA
The state Supreme Court ruled on April 1 that a ballot measure to legalize abortion until viability could go on the ballot despite a legal challenge from state Attorney General Ashley Moody, who argued that there are differing views on the meaning of \u201cviability\u201d and that some key terms in the proposed measure are not properly defined.
Advocates collected nearly a million signatures to put a state constitutional amendment to legalize abortion until viability on the ballot, surpassing the nearly 892,000 required.
Sixty percent of voters would have to agree for it to take effect.
Abortion is currently illegal in Florida after the first six weeks of pregnancy under a law that took effect on May 1.
MARYLAND
Maryland voters also will be asked this year to enshrine the right to abortion in the state\u2019s constitution. The state already protects the right to abortion under state law and Democrats outnumber Republicans 2-1. Abortion is allowed in Maryland until viability.
SOUTH DAKOTA
South Dakota voters will decide this fall on a measure that would ban any restrictions on abortion in the first trimester of pregnancy. It would allow the state in the second trimester to \u201cregulate the pregnant woman\u2019s abortion decision and its effectuation only in ways that are reasonably related to the physical health of the pregnant woman.\u201d An abortion ban would be allowed in the third trimester, as long as it included exceptions for the life and health of the woman.
The state\u2019s top election official announced Thursday that about 85% of the more than 55,000 signatures submitted in support of the ballot initiative are valid, exceeding the required 35,017 signatures.
Opponents still have until June 17 to file a challenge with the secretary of state\u2019s office.
COLORADO
Colorado's top election official confirmed Friday that a measure to enshrine abortion protections into the state constitution, including requirements that Medicaid and private health insurers cover it, made the ballot for the fall election.
Supporters said they gathered over 225,000 signatures, nearly the double the requirement of over 124,000 signatures.
Amending the state constitution requires the support of 55% of voters.
Those backing a dueling measure \u2014 a law to ban abortion \u2014 did not turn in signatures, and the measure will not go before voters.
Abortion is legal at all stages of pregnancy in Colorado.
ARIZONA
A signature drive is underway to add a constitutional right to abortion in Arizona. Under the measure, the state would not be able to ban abortion until the fetus is viable, with later abortions allowed to protect a woman's physical or mental health. Supporters must gather nearly 384,000 valid signatures by July 4.
Abortion is currently legal for the first 15 weeks of pregnancy in Arizona. An Arizona Supreme Court ruling in April said enforcement could begin soon for a near-total ban that was already on the books. The governor has since signed a bill repealing that law. It is still expected to be in effect for a time, however.
ARKANSAS
Proponents of an amendment to allow abortion in many cases must gather nearly 91,000 signatures by July 5 for it to get it on the Nov. 5 ballot. The measure would bar laws banning abortion in the first 20 weeks of gestation and allow abortion later in pregnancy in cases of rape, incest, threats to the woman's health or life, or if the fetus would be unlikely to survive birth. Because it allows abortion to be banned 20 weeks into pregnancy, the proposal does not have the support of Planned Parenthood Great Plains, which includes Arkansas. The state currently bans abortion at all stages of pregnancy, with narrow exceptions.
MISSOURI
Missouri abortion rights advocates turned in more than 380,000 signatures \u2014 more than twice the required 171,000 \u2014 for a measure asking voters to approve a constitutional amendment to guarantee abortion until viability.
A group of moderate Republicans have for this year abandoned efforts for an alternate amendment that would have allowed abortion up to 12 weeks, with limited exceptions after that.
Abortion is currently banned in Missouri at all stages of pregnancy, with limited exceptions.
MONTANA
Abortion rights proponents in Montana have proposed a constitutional amendment that would bar the government from denying the right to abortion before viability or when it\u2019s necessary to protect the life or health of the pregnant person. After a legal battle over the ballot language, the Montana Supreme Court on April 1 wrote its version of the language that would appear on the ballot if supporters gather more than 60,000 signatures by June 21. Abortion is legal until viability in Montana, under a 1999 Montana Supreme Court opinion.
NEBRASKA
Advocates are trying to collect about 125,000 signatures needed by July 5 to put a constitutional amendment before voters to protect abortion rights until fetal viability. A competing petition effort would add a constitutional amendment mirroring a law adopted last year that bans abortion after 12 weeks, with some exceptions.
NEVADA
Signatures are being gathered to place an abortion access amendment on Nevada's ballot in November. Under the amendment, abortion access for the first 24 weeks of pregnancy \u2014 or later to protect the health of the pregnant person \u2014 would be enshrined in the state constitution. Such access is already assured under a law passed in 1990. More than 102,000 valid signatures are required by June 26 to place the measure on the ballot. To change the constitution, voters would need to approve it in both 2024 and 2026.
The measure is one of several attempts by Nevada abortion rights groups to get a ballot question before voters in 2024 or 2026.
NEW YORK
Earlier this month, a judge removed an equal protection amendment involving reproductive health care from the November ballot, finding lawmakers missed a procedural step when they put it there.
Attorney General Letitia James said she would appeal the ruling.
The measure would bar discrimination based on \u201cpregnancy outcomes\u201d and \u201creproductive healthcare,\" along with sex, sexual orientation, gender identity, national origin and disability. The language does not explicitly preserve a right to abortion in New York, where it's currently allowed until viability.
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Therefore, it is somewhat relevant to the topic of health but not highly focused on health itself." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/04/10/517ce0049ffbd2931157da4970992f05.json b/datasets/AP_news/raw_data/2024/04/10/517ce0049ffbd2931157da4970992f05.json new file mode 100644 index 0000000..381dbcd --- /dev/null +++ b/datasets/AP_news/raw_data/2024/04/10/517ce0049ffbd2931157da4970992f05.json @@ -0,0 +1,259 @@ +{ + "altids": { + "itemid": "517ce0049ffbd2931157da4970992f05", + "etag": "517ce0049ffbd2931157da4970992f05_1a20aza0c0", + "friendlykey": "776194451303", + "referenceid": "EPA-PFAS-Explainer" + }, + "version": 1, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-04-10T21:47:07Z", + "firstcreated": "2024-04-10T19:37:00Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: EDITS: Updates Media. Minor editing to tighten.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "EPA-PFAS-Explainer", + "headline": "Why is the EPA regulating PFAS and what are these 'forever chemicals'?", + "headline_extended": "The Environmental Protection Agency announced new limits on certain types of PFAS chemicals in drinking water", + "slugline": "AP-EPA-PFAS-Explainer, 1st Ld-Writethru", + "description_summary": "The Environmental Protection Agency announced new limits on certain types of PFAS chemicals in drinking water. PFAS is a large family of chemicals and they've been used to make nonstick pans and waterproof clothing over many decades. Scientific evidence of their harms, however, has accumulated in recent years. As a result, the EPA imposed strict limits on certain common types of PFAS in drinking water. Environmental and health advocates praised the move, saying it'll make a big impact on public health. Utility groups, however, are skeptical that the rule's benefits can match its massive, multi-billion dollar cost. They are also worry about complicated problems with implementation.", + "bylines": [ + { + "by": "By MICHAEL PHILLIS", + "title": "Associated Press" + } + ], + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. For other uses, additional clearances may be required." + ], + "keywords": [ + "Forever chemicals PFAS pollution EPA drinking water" + ], + "provider": "AP", + "infosource": [ + { + "name": "AP", + "type": "AP" + } + ], + "subject": [ + { + "rels": [ + "category" + ], + "creator": "Editorial", + "code": "a", + "name": "a" + }, + { + "rels": [ + "category" + ], + "creator": "Editorial", + "code": "n", + "name": "n" + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "15a6f6325374234b9a7329631b4a5e07", + "name": "Utilities", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 45 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "e57b6c907e3810048ae4df092526b43e", + "name": "Public health", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 35 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "8783d248894710048286ba0a2b2ca13e", + "name": "Climate and environment", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 80 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "86aad5207dac100488ecba7fa5283c3e", + "name": "Politics", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 60 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "523699d088e910048f43f8851349f9bd", + "name": "Government regulations", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 88 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "a4677d70863b4012b846a1b00f5079f5", + "name": "U.S. news", + "creator": "Editorial", + "editorial_subject": "U.S. news", + "rels": [ + "direct" + ], + "relevance": 75 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "f25af2d07e4e100484f5df092526b43e", + "name": "General news", + "creator": "Editorial", + "editorial_subject": "General news", + "rels": [ + "direct" + ], + "relevance": 50 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "8783d248894710048286ba0a2b2ca13e", + "name": "Climate and environment", + "creator": "Editorial", + "editorial_subject": "Climate and environment", + "rels": [ + "direct" + ], + "relevance": 99 + } + ], + "organisation": [ + { + "scheme": "http://cv.ap.org/id/", + "code": "36613398892310048f98fb7860a2fc03", + "name": "U.S. Environmental Protection Agency", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 76 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "f727b919f3ce415a9e5244d9b6ab7445", + "name": "3M Co", + "creator": "Machine", + "rels": [ + "direct" + ], + "symbols": [ + { + "ticker": "MMM", + "exchange": "NYSE", + "instrument": "NYSE:MMM" + } + ], + "relevance": 43 + } + ], + "audiences": [ + { + "code": "82c6a4c46fa0446090a7acaf93159e4c", + "name": "Print", + "type": "AUDPLATFORM" + }, + { + "code": "9add4649b53b4702ba7d9de5d4fa607a", + "name": "Online", + "type": "AUDPLATFORM" + }, + { + "code": "f43adc08760d10048040e6e7a0f4673e", + "name": "National", + "type": "AUDSCOPE" + }, + { + "code": "f4ecf9b0760d10048044e6e7a0f4673e", + "name": "International", + "type": "AUDSCOPE" + }, + { + "code": "f5b16ea8760d10048047e6e7a0f4673e", + "name": "State", + "type": "AUDSCOPE" + }, + { + "code": "661850e07d5b100481f5c076b8e3055c", + "name": "Latin America and Caribbean", + "type": "AUDGEOGRAPHY" + }, + { + "code": "9f12355082c4100486addf092526b43e", + "name": "Minnesota", + "type": "AUDGEOGRAPHY" + }, + { + "code": "c01d179082c610048813df092526b43e", + "name": "North Carolina", + "type": "AUDGEOGRAPHY" + }, + { + "code": "0b394d7082c71004887fdf092526b43e", + "name": "Pennsylvania", + "type": "AUDGEOGRAPHY" + }, + { + "code": "661e48387d5b10048291c076b8e3055c", + "name": "United States", + "type": "AUDGEOGRAPHY" + } + ], + "associations": { + "1": { + "altids": { + "itemid": "8d3d926403ba4610bc61a7a8789c1a9d" + }, + "type": "picture" + }, + "2": { + "altids": { + "itemid": "355d9fe3d87d4b81aa189010daa0b135" + }, + "type": "picture" + } + }, + "body_nitf": "On Wednesday, the Environmental Protection Agency finalized limits on certain common types of PFAS chemicals in drinking water. It is the first time a nationwide limit on so-called forever chemicals has been imposed on water providers. EPA Administrator Michael Regan called it the biggest action the agency has ever taken on PFAS, saying the rule will reduce exposure for 100 million people.
The regulation represents a new era for public health and drinking water. The Biden administration has also proposed new rules that would force utilities to remove harmful lead pipes. It\u2019s part of their overall goal to making tap water safer. Utilities are alarmed at these new requirements and the billions of dollars they will cost.
Here are the essential things to know about the family of chemicals and EPA's latest action:
WHAT ARE PFAS?
PFAS, or perfluoroalkyl and polyfluoroalkyl substances, are a group of chemicals that have been around for decades and have now spread into the nation's air, water and soil.
They were manufactured by companies such as 3M, Chemours and others because they were incredibly useful. They helped eggs slide across non-stick frying pans, ensured that firefighting foam suffocates flames and helped clothes withstand the rain and keep people dry.
The chemicals resist breaking down, however, which means they stay around in the environment.
SO, WHAT\u2019S THE PROBLEM?
Environmental activists say that PFAS manufacturers knew about the health harms of PFAS long before they were made public. The same attributes that make the chemicals so valuable \u2013 resistance to breakdown \u2013 make them hazardous to people.
PFAS accumulates in the body, which is why EPA set their limits for drinking water at 4 parts per trillion for two common types \u2014 PFOA and PFOS \u2014 that are phased out of manufacturing but still are present in the environment. Health experts say low doses of the chemicals can build up in the body over time, so even small amounts are a problem.
There\u2019s a wide range of health harms now associated with exposure to certain PFAS, many largely phased out. Cases of kidney disease, low-birthweight and high cholesterol in additional to certain cancers can be prevented by removing PFAS from water, according to the EPA.
The guidance on PFOA and PFOS has changed dramatically in recent years as scientific understanding has advanced. The EPA in 2016 said the combined amount of the two substances should not exceed 70 parts per trillion. Now the EPA says no amount is safe.
WHAT DOES THE NEW RULE DO?
In short, the rule sets limits on several common types of PFAS. The EPA says there is enough evidence to limit PFOA and PFOS at the lowest level they can be reliably detected.
For some other types, the limit is 10 parts per trillion, and there are also limits on certain PFAS combinations.
Water providers will have three years to test for PFAS. They\u2019ll also need to tell the public if results are too high.
And if results are a concern, utilities have two more years to install treatment. The EPA estimates that 6% to 10% of water systems will have levels above the EPA\u2019s new limits.
As a result of the rule, the EPA says nearly 10,000 fewer deaths will occur in the coming decades and tens of thousands of severe illnesses will be avoided.
WHAT ARE PEOPLE SAYING ABOUT IT?
Well, quite a lot.
Environmental and public health groups have argued that limits should have been in place long ago, but they are generally thrilled with the announcement. They like that it sets limits for PFOA and PFOS at very low level s and that the agency did not agree with some utility groups that wanted a more lenient limit.
They are happy the Biden administration has finally acted to reduce PFAS in tap water, a source of PFAS that\u2019s easier to address than others. They acknowledge it will cost a lot for communities to install treatment facilities, but say that billions of dollars are available from the infrastructure law and court settlements will provide billions more.
Water providers are not the ones that put PFAS in the environment, but now they face mandates to remove it. That's going to be a big change for them.
They\u2019ve said the EPA\u2019s $1.5 billion annual cost estimate is too low, water bills for consumers will go up and the health benefits of the rule aren\u2019t big enough, especially at low PFAS concentrations, to justify all the expense.
In addition, they say this rule will hurt small communities that have fewer resources and will have a harder time complying.
Then there are the practical challenges. Utilities say they will struggle to find enough experts and workers and the material needed to remove PFAS.
And there are concerns that consumers who hear about high levels of PFAS in their drinking water might stop consuming tap water altogether, further deteriorating trust in an important public resource.
___
The Associated Press receives support from the Walton Family Foundation for coverage of water and environmental policy. The AP is solely responsible for all content. For all of AP\u2019s environmental coverage, visit https://apnews.com/hub/climate-and-environment
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It's one of several proposals pushed by anti-abortion groups through the Republican-controlled Legislature. Democratic Gov. Laura Kelly is a strong supporter of abortions rights. She must act by Monday on the measure and a bill that would require abortion providers to ask their patients why they want to terminate their pregnancies and then report the information to the state.", + "bylines": [ + { + "by": "By JOHN HANNA", + "title": "AP Political Writer" + } + ], + "located": "TOPEKA, Kan.", + "datelinelocation": { + "city": "Topeka", + "countryareacode": "KS", + "countryareaname": "Kansas", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -95.67804, + 39.04833 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. 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(AP) \u2014 People who make physical or financial threats against others in Kansas to force them to get an abortion could spend a year in prison and be fined up to $10,000 under one of several proposals pushed through the Republican-controlled Legislature.
Abortion opponents in Kansas pursued the measure against abortion \u201ccoercion,\u201d increased reporting on abortion and aid to anti-abortion centers providing free counseling, supplies and other services to pregnant women and new mothers because of the state's unusual legal climate. While the Legislature has strong anti-abortion majorities, the state Supreme Court declared in 2019 that the state constitution protects abortion rights, and Kansas residents decisively affirmed that position in a statewide August 2022 vote.
Democratic Gov. Laura Kelly is a strong supporter of abortion rights, and many lawmakers expect her to veto all the anti-abortion measures reaching her desk. All the proposals appear to have or be close to having the two-thirds majorities necessary in both chambers to override a veto.
\u201cThe vast majority of Kansans agree that too many women feel abortion is their only choice,\u201d Danielle Underwood, a spokesperson for Kansans for Life, the state\u2019s most politically influential anti-abortion group, said in an email Tuesday.
Kelly has until Monday to act on the bill that would make coercing someone into an abortion a specific crime. She also faces a Monday deadline on a bill that would require abortion providers to ask their patients why they want to terminate their pregnancies and then report the information to the state health department.
Anti-abortion groups and lawmakers have said they\u2019re pushing for the state to collect the data to better guide state policy. Abortion rights supporters contend the measure is unnecessary and would violate patients\u2019 privacy.
Two other measures will arrive on Kelly's desk by Monday. One would grant up to $10 million a year in income tax credits for donors to anti-abortion counseling centers and exempt the centers from paying the state's 6.5% sales tax on what they buy. In addition, a provision in the next state budget would give those centers $2 million in direct aid, continuing a policy enacted last year over Kelly's veto.
Abortion opponents argue that such measures simply help vulnerable women. But Democrats have been frustrated with GOP lawmakers' push for new legislation and aid to the anti-abortion counseling centers, arguing that it breaks faith with voters' support for abortion rights.
\u201cAbortion is a legal health service,\u201d Democratic state Rep. Tom Sawyer, of Wichita, said when the House debated the tax breaks for the centers and their donors. \u201cIf you want to try to encourage people to not get abortions, it's your right to do it, but we should not be so generously funding them with state funds.\u201d
Abortion opponents hope that lawmakers will approve one other bill they're backing, to ensure that prospective mothers can seek child support back to conception to cover expenses from a pregnancy. The House approved it before the Legislature adjourned early Saturday for a spring break, and the Senate could consider it after lawmakers reconvene April 25 to wrap up business for the year.
Abortion opponents portrayed the bill on coercion as something to help the state fight human trafficking and other crimes, such as the rape of a child. The bill's definition of coercion includes destroying or hiding someone's passport or immigration papers or threatening to harm or \u201cphysically restrain\u201d them to force them into getting an abortion.
\u201cThis is something that flows from criminal activities,\" state Sen. Mike Thompson, a Kansas City-area Republican, said during the final debate on the bill.
The measure is similar to laws in Idaho, Indiana, Michigan and South Dakota.
Critics said the Kansas bill is written broadly enough that a doctor who is seen as too aggressive in arguing that an abortion is necessary could fall under it. So, too, they said, could a husband who threatens divorce or a live-in boyfriend who threatens to leave if a woman decides to have a child.
\u201cI just see how this could turn into a real, real sticky situation for a lot of young people,\u201d Rep. Ford Carr, another Wichita Democrat, said during his debate.
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Adds AP Audio", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "US--Girls Stabbing-Plot", + "headline": "Experts say Wisconsin woman who at 12 nearly killed girl isn't ready to leave psychiatric center", + "headline_extended": "A judge in Wisconsin is hearing testimony to help determine whether a woman should be released from a psychiatric center, a decade after she nearly killed a girl at age 12", + "slugline": "BC-US--Girls Stabbing-Plot, 2nd Ld-Writethru", + "description_summary": "A judge in Wisconsin is hearing testimony to help determine whether a woman should be released from a psychiatric center, a decade after she nearly killed a girl at age 12. Two psychologists say Morgan Geyser isn't ready yet. Geyser is now 21 years old. She told authorities that she repeatedly stabbed a classmate to please the online horror character Slender Man in 2014. The victim survived. An accomplice was released from Winnebago Mental Health Institute in 2021. Psychologist Brooke Lundbohm told the judge that Geyser now denies ever having psychotic symptoms. Lundbohm says that \u201cdoesn't line up\u201d with her care.", + "bylines": [ + { + "by": "By ED WHITE", + "title": "Associated Press" + } + ], + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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Morgan Geyser, now 21, wants to leave Winnebago Mental Health Institute with conditions. But one psychologist said the case has taken an unusual turn because Geyser claims she had been faking psychotic symptoms, which \u201cdoesn't line up\u201d with years of observation and treatment.
\u201cThat would be rather remarkable. That would be very callous as well,\u201d said Brooke Lundbohm, who has seen Geyser since 2014.
\u201cIf the person is not able to have insight into their mental health condition, the potential warning signs, the triggers that could cause decline, have insight into the kinds of treatment that may be beneficial \u2014 it raises a lot of concerns\u201d about being discharged, Lundbohm testified.
Waukesha County Judge Michael Bohren is hearing from experts to determine whether to grant the release. The hearing will resume Thursday with cross-examination by Geyser's attorney.
Geyser and Anissa Weier were 12 in 2014 when they lured Payton Leutner to a Waukesha park after a sleepover. Geyser stabbed Leutner repeatedly while Weier egged her on. Leutner suffered 19 stab wounds and barely survived, authorities said.
Geyser pleaded guilty to attempted first-degree intentional homicide and was sent to the psychiatric institute because of mental illness.
Another psychologist, Deborah Collins, said Geyser has made \u201cbona fide progress\u201d but agreed that she could pose a risk to the public. Collins said release could be appropriate in six to 12 months.
\u201cShe\u2019s future-oriented. She\u2019s goal-oriented as well,\u201d Collins said.
Collins said she has seen Geyser approximately a dozen times since her arrest a decade ago. She was diagnosed at the time with schizophrenia spectrum disorder.
\u201cAppraising her readiness for conditional release is a challenging call,\u201d Collins said. \u201cMiss Geyser is now approaching 22 years of age, and she\u2019s spent virtually all of her adolescence and much of her adulthood in an institution. ... All we know is how Miss Geyser functioned prior to the age of 12 in the context of what appears to have been certainly a dysfunctional but also an abusive childhood.\u201d
Weier pleaded guilty to attempted second-degree intentional homicide and was also sent to the psychiatric center. She was granted a release in 2021 to live with her father and was ordered to wear a GPS monitor.
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altering the legal landscape for terminating pregnancies in a state likely to have a key role in the presidential election.
The law predating Arizona\u2019s statehood provides no exceptions for rape or incest and allows abortions only if the mother's life is in jeopardy. Arizona\u2019s highest court suggested doctors can be prosecuted under the 1864 law, though the opinion written by the court\u2019s majority didn\u2019t explicitly say that.
The Tuesday decision threw out an earlier lower-court decision that concluded doctors couldn\u2019t be charged for performing abortions in the first 15 weeks of pregnancy.
The Civil War-era law, enacted long before Arizona became a state on Feb. 14, 1912, had been blocked since the U.S. Supreme Court's 1973 Roe v. Wade decision guaranteeing the constitutional right to an abortion nationwide.
After Roe v. Wade was overturned in June 2022, Arizona Attorney General Mark Brnovich, a Republican, persuaded a state judge lift an injunction that blocked enforcement of the 1864 ban. Then the state Court of Appeals suspended the law as Brnovich\u2019s Democratic successor, Attorney General Kris Mayes, urged the state\u2019s high court to uphold the appellate court's decision.
The court itself was expanded in 2016 from five justices to seven, all appointed by Republican governors.
The high court said enforcement won\u2019t begin for at least two weeks. However, plaintiffs say it could be up to two months, based on an agreement in a related case to delay enforcement if the justices upheld the pre-statehood ban.
The law orders prosecution for \u201ca person who provides, supplies or administers to a pregnant woman, or procures such woman to take any medicine, drugs or substance, or uses or employs any instrument or other means whatever, with intent thereby to procure the miscarriage of such woman, unless it is necessary to save her life.\u201d
The Arizona Supreme Court suggested in its ruling Tuesday that physicians can be prosecuted, though justices didn't say that outright.
\u201cIn light of this Opinion, physicians are now on notice that all abortions, except those necessary to save a woman\u2019s life, are illegal,\u201d and additional criminal and regulatory sanctions may apply to abortions performed after 15 weeks of pregnancy, the ruling said.
The law carries a sentence of two to five years in prison upon conviction. Lawyers for Planned Parenthood Arizona said they believe criminal penalties will apply only to doctors. But the penalties also apply to providing abortion pills \u2014 the most common method in the United States.
In other places with abortion bans, some women have obtained pills both through underground networks and from telehealth from medical providers in states that have laws intended to protect prescribers from out-of-state prosecutions. This was already illegal in Arizona, the attorney general's office said.
Dr. Maria Phillis, an Ohio OB-GYN with a law degree, said she believes women who obtain pills through those means could be prosecuted under the 1864 law. Across the country, new abortion bans have not been used to prosecute women in similar cases, and measures that have been introduced to punish those who obtain abortions have not been adopted.
Fourteen other states are now enforcing bans on abortion in all stages of pregnancy.
The ruling puts the issue of abortion access front and center in a state key to this year's elections to decide the presidency and partisan control of the U.S. Senate.
Democrats immediately pounced, blaming former President Donald Trump for the loss of abortion access because he appointed the justices who formed the majority that ended the national right to abortion.
President Joe Biden and his allies are emphasizing efforts to restore abortion rights, while Trump has avoided endorsing a national abortion ban, saying states should decide and warning that the issue could lead to Republican losses. The court decision gives Arizona the strictest abortion law of the top-tier battleground states.
Staunch Trump ally and abortion opponent Kari Lake is challenging Democratic Rep. Ruben Gallego for the U.S. Senate seat being vacated by independent Sen. Kyrsten Sinema.
The court gave the parties two weeks to decide whether to file legal claims.
Gov. Katie Hobbs called on the state Legislature to act immediately to undo the law before it took effect.
\u201cThey could gavel in today and make a motion to repeal this ban,\u201d Hobbs said Wednesday on \u201cCBS Mornings.\u201d \"And they should do that. I\u2019m hopeful that they will because this will have devastating consequences for Arizona.\u201d
But GOP lawmakers shut down an effort to force a vote on such a measure Wednesday.
A near-total ban could drastically reduce abortions in Arizona, from about 1,100 monthly as estimated by a survey for the Society of Family Planning.
And voters could get a say in November. Abortion rights advocates said they already have more than enough signatures to add a ballot question asking voters to approve a constitutional amendment protecting the right to abortion until viability, when a fetus could survive outside the womb. Later abortions would be allowed to save the woman's life or protect her physical or mental health.
___
Lee reported from Santa Fe, New Mexico. Associated Press reporters Laura Ungar in Louisville, Kentucky, and Geoff Mulvihill in Chicago contributed to this article.
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(AP) \u2014 Republican lawmakers in Tennessee on Wednesday advanced legislation making it illegal for adults to help minors get an abortion without parental consent, sparking objections from Democrats who counter that doing so could result in young victims needing approval from their parents who may have raped them in order to terminate the pregnancies.
The GOP-controlled Senate signed off on the proposal 26-3. The bill is still advancing toward the floor in the House.
\u201cThere are people who are in situations and circumstances that we cannot fathom,\u201d said Democratic state Sen. Raumesh Akbari. \u201cIf someone is a victim of rape or incest and a teenager, and they want to seek these services, their abusers can determine if they can access them. That\u2019s a step too far.\"
Ever since the U.S. Supreme Court overturned the constitutional right to abortion in 2022, anti-abortion advocates have been pushing states to find a way to block pregnant people from crossing state lines to obtain the procedure.
So far, Idaho has been the only state to enact a so-called \u201c abortion trafficking \u201d law, but a federal judge has temporarily blocked the law after reproductive rights groups sued to challenge it.
The first-of-its-kind measure made it illegal to obtain abortion pills for a minor or help them leave the state for an abortion without parental knowledge and consent. Legislation has since been introduced this year in Oklahoma, Mississippi and Tennessee.
The Tennessee version would make it illegal for an adult who \u201crecruits, harbors, or transports\u201d a pregnant minor within the state to get an abortion without consent from the minor\u2019s parents or guardians. Supporters have touted the bill as a much needed parental rights protection measure, pointing out that abortion rights groups are increasingly distributing information on how to acquire abortions in states with strict bans.
\u201cWe\u2019ve decided abortion is only available to save the life of the mother,\u201d said Republican state Sen. Paul Rose. \u201cUnless the parents approve, you cannot take a minor across state lines to get an abortion.\u201d
However, critics counter that the bill does not contain exemptions for minors who may have been raped by their parents or guardians. Instead, the legislation states that the biological father of the pregnant minor may not pursue a civil action if the pregnancy was caused by rape.
Under the Senate version advanced Wednesday, those convicted of breaking the law would be charged with a Class A misdemeanor, which would require a nearly one year imprisonment sentence. This differs than the proposal being considered in the GOP-controlled House, where supporters want the penalties to be a Class C felony \u2014 which can carry up to a 15-year prison sentence and up to $10,000 in fines.
Tennessee bans abortions at all stages of pregnancy but there are exemptions in cases of molar pregnancies, ectopic pregnancies, and to remove a miscarriage or to save the life of the mother. Notably, doctors must use their \u201creasonable medical\u201d judgment \u2014 a term that some say is too vague and can be challenged by fellow medical officials \u2014 in deciding whether providing the procedure can save the life of the pregnant patient or prevent major injury.
A group of women is currently suing to clarify the state's abortion ban. A court decision is expected soon on whether the lawsuit can continue or if the law can be placed on hold as the legal battle continues.
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April 9, 2024.
Editorial: Lawmakers can, and should, address Louisiana\u2019s maternal and infant mortality crisis
Of all the \u201cbad\u201d rankings on which Louisiana leads the nation, none are more heartbreaking \u2014 or damning \u2014 than those reflecting the risks associated with childbirth.
Here\u2019s one such measure: In the decade prior to the pandemic, babies in Louisiana were 65% more likely to die from preterm birth and low birth weight than those in the rest of the country, according to an analysis of Centers of Disease Control and Prevention data by The Times-Picayune ' The Advocate.
Here\u2019s a related one: Louisiana had the fifth-highest maternal death rate among all states from 2018 to 2021, according to the health care research outlet KFF.
Many factors contribute to the crisis, including preexisting health issues affecting women who get pregnant and the difficulty navigating care for Louisiana moms whose pregnancies are covered by Medicaid.
So we\u2019re glad to see that, this session, the Legislature is considering a number of bills aimed at making childbearing less dangerous.
We urge lawmakers to act on behalf of the moms and kids who desperately need better outcomes. Among the bills filed:
Senate Bill 135 by Sen. Royce Duplessis, D-New Orleans, would allow more women whose pregnancies are covered by Medicaid to keep their coverage for a year beyond childbirth. Advocates note that a majority of Louisiana\u2019s pregnancy-associated deaths happen in the 12 months following delivery. The bill would give this benefit to an additional 8,000 women each year whose incomes are currently above the cutoff.
House Bill 860 by Rep. Michael Echols, R-Monroe, would require newborn nurse home visits to be covered by Medicaid. This would expand a pilot program now underway in New Orleans that\u2019s been linked to fewer emergency room visits, lower rates of child protective services investigations and reduced reports of postpartum depression and anxiety.
Senate Bill 190 by Sen. Gerald Boudreaux, D-Lafayette, would increase Medicaid reimbursement for services that impact maternal health outcomes.
House Bill 489 by Rep. Jason Hughes, D-New Orleans, along with Senate Bill 300 by Duplessis, would mandate that postpartum services such as lactation and dietary consulting be covered.
And House Bill 702 by Rep. Matthew Willard, D-New Orleans, and Senate Bill 142 by Sen. Regina Barrow, D-Baton Rouge, aim to standardize coverage of doula services.
These proposals are among those supported by a broad coalition that includes the March of Dimes, the Louisiana Public Health Institute, the Louisiana Partnership for Children & Families, the New Orleans Health Department and other organizations.
We\u2019re encouraged that several of these bills have made it through the initial committee process with little pushback, and hope that lawmakers unite to prioritize this vital cause.
As New Orleans Health Director Dr. Jennifer Avegno pointed out, the bad outcomes happen in all corners of our state, from the big cities to the rural areas.
\u201cWe have a state that\u2019s more than 60% Medicaid births,\u201d she said. \u201cThat\u2019s everybody\u2019s constituents.\u201d
More than that. It\u2019s all of our children.
END
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It was updated on April 12, 2024, to correct the 17th paragraph to show Pro-Choice Arizona spoke with the governor's office, not municipalities, about state funding for abortion-related travel expenses.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "US--Abortion-Arizona-Access", + "headline": "Arizona's abortion ban is likely to cause a scramble for services in states where it's still legal", + "headline_extended": "Doctors and clinic leaders say there\u2019ll be a scramble across the Southwest and West for abortion care", + "slugline": "BC-US--Abortion-Arizona-Access, 2nd Ld-Writethru", + "description_summary": "Doctors and clinic leaders say there\u2019ll be a scramble across the Southwest and West for abortion care. The Arizona Supreme Court said this week officials may enforce an 1864 law criminalizing abortion except when a woman\u2019s life is at stake. The Guttmacher Institute says interstate travel for abortions more than doubled between 2020 and 2023. Organizations that help fund abortions say traveling could lead to appointments later in a pregnancy and could be a financial burden. Arizona is home to more than 20 federally recognized tribes, and there's already a decades-old ban on most abortions at clinics and hospitals run by the federal Indian Health Service.", + "bylines": [ + { + "by": "By LAURA UNGAR and DEVI SHASTRI", + "title": "Associated Press" + } + ], + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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She's the president and CEO of Planned Parenthood of the Rocky Mountains, which has clinics that provide abortions in Colorado, New Mexico and Nevada. Mansanares said the clinics should be able to accommodate people who are seeking the procedure in the wake of an Arizona Supreme Court decision.
\u201cThat is still a very long way for patients to go for health care,\" she added, noting that the clinics already have seen nearly 700 patients from Arizona since Roe v. Wade was overturned in June 2022.
Doctors and clinic leaders said there'll be a scramble across the Southwest and West for abortion care due to Tuesday's decision, which said officials may enforce an 1864 law criminalizing all abortions except when a woman\u2019s life is at stake.
\u201cPeople are going to have to start looking out of state,\u201d said Dr. Maria Phillis, an Ohio OB-GYN who also has a law degree. \u201cThis is now another place where they can\u2019t go safety to access care.\u201d
On top of potentially long distances to states like New Mexico, California and Colorado, patients who used to go to Arizona from other states for abortion care will have to go elsewhere, Phillis said.
Plus, Arizona is home to more than 20 federally recognized tribes, and barriers are expected to be higher for Native Americans because of existing hurdles, such as a decades-old ban on most abortions at clinics and hospitals run by the federal Indian Health Service and fewer nearby health centers offering abortions.
Interstate travel for abortions nearly doubled between 2020 and 2023, according to the Guttmacher Institute, a research group that supports abortion rights. Out-of-state patients accounted for 16% of abortions obtained nationally, compared to 9% in 2020, the group said.
Guttmacher data scientist Isaac Maddow-Zimet said that when bans go into effect, more people travel to less restrictive or non-restrictive states, but \"not everybody is able to\u201d travel.
Traveling could mean pushing abortions later into pregnancy as people try to get appointments and potentially face mandatory waiting periods. According to results of a periodic survey spearheaded by Middlebury College economics professor Caitlin Myers, waits in several states stretched for two or three weeks at various points since federal abortion protections were overturned; some clinics had no available appointments.
The Brigid Alliance works nationally to help people who need abortions receive financial and logistical support like airfare, child care, lodging and other associated costs. Last year, it helped 26 people travel out of Arizona to get abortions.
Interim executive director Serra Sippel expects the number of calls from Arizona residents to grow.
People that the alliance has helped go out of state \u2014 mostly from Georgia, Texas and Florida \u2014 have seen backlogs stretching to four to five weeks because of higher demand, Sippel said. Some get bounced between clinics because their pregnancy has passed the point that they can get care there.
\u201cWith a pregnancy, every moment counts,\u201d said Sippel, who added that delays can have serious repercussions. Phillis noted procedures done later in a pregnancy could take longer and be slightly more complicated.
The Abortion Fund of Arizona, which helps people travel for abortions both in and out of state, said out-of-state clinics have required patients to stay to take the second pill used in medication abortions because of concerns about liability. That means multi-day trips, said Eloisa Lopez, executive director of Pro-Choice Arizona and the abortion fund.
\u201cWe're looking at anywhere from $1,000 to $2,000 per person for travel expenses, with their abortion procedure expense,\" Lopez said.
Lopez also said she has spoken with the governor's office about state funding for abortion-related travel expenses.
Meanwhile, in Tucson, a CEO of a pregnancy center that opposes abortion said things are likely to stay the same under the new law. Hands of Hope Tucson has been around for 43 years, is about 200 steps from a Planned Parenthood clinic and is pretty busy, CEO Joanie Hammond said.
\u201cWe\u2019re just coming alongside women and men who are facing an unexpected pregnancy \u2026 We\u2019ve always been about the women and about the babies,\u201d she told the AP. \u201cAt the pregnancy center, I see the women and I see what happens to them after they go through that abortion experience. We just want to be there to help them in the next step for healing and whatever they need.\u201d
For Arizona residents who are closer to California, which expanded its abortion protections after Roe v. Wade was overturned, officials are pointing people toward the Abortion Safe Haven Project. Created by the state and Los Angeles County, the project has guidance and resources for out-of-state patients.
Planned Parenthood of the Pacific Southwest put out a statement this week from president and CEO Darrah DiGiorgio Johnson, saying it supports out-of-state patients with navigation services to help them tackle logistical barriers to care.
___
This story was first published on April 10, 2024. It was updated on April 12, 2024, to correct to whom Pro-Choice Arizona spoke about funding. The organization talked to the governor\u2019s office, not municipalities, about state funding for abortion-related travel expenses.
___
The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute\u2019s Science and Educational Media Group and the Robert Wood Johnson Foundation. The AP is solely responsible for all content.
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"PHOENIX (AP) \u2014 The Arizona Legislature devolved into shouts of \u201cShame! Shame!\u201d on Wednesday as Republican lawmakers quickly shut down discussion on a proposed repeal of the state's newly revived 1864 law that criminalizes abortion throughout pregnancy unless a woman\u2019s life is at risk.
The state Supreme Court cleared the way on Tuesday for enforcement of the pre-statehood law. Arizona abortion providers vowed Wednesday to continue service until they're forced to stop, possibly within weeks.
State legislators convened as pressure mounted from Democrats and some Republicans, including former President Donald Trump, for them to intervene.
House Democrats and at least one Republican tried to open discussion on a repeal of the 1864 abortion ban, which holds no exceptions for rape or incest. GOP leaders, who command the majority, cut it off twice and quickly adjourned for the week. Outraged Democrats erupted in finger-waving chants of \u201cShame! Shame!\u201d
Republican state Rep. Teresa Martinez, of Casa Grande, said there was no reason to rush the debate. She accused Democrats of \u201cscreaming at us and engaging in extremist and insurrectionist behavior on the House floor.\u201d The GOP-led Senate briefly convened without debate on abortion.
\u201cWe are navigating an extremely complex, emotional and important area of law and policy,\" said Martinez, the GOP House whip. \"In my opinion, removing healthy babies from healthy mothers is not health care nor reproductive care. Pregnancy is not an illness. It should be celebrated. It is an abortion that terminates life.\u201d
Democratic legislators seized on national interest in the state's abortion ban.
\u201cWe\u2019ve got the eyes of the world watching Arizona right now,\u201d said Democratic state Rep. Stephanie Stahl Hamilton, of Tucson. \u201cWe know that the Supreme Court decision yesterday is extreme. And we know that should the 1864 ban on abortion remain a law in Arizona, people will die.\u201d
Democratic Gov. Katie Hobbs called inaction on the proposed repeal unconscionable.
\u201cRadical legislators protected a Civil War-era total abortion ban that jails doctors, strips women of our bodily autonomy and puts our lives at risk,\u201d she said.
Three Republican legislators openly oppose the ban, including state Rep. Matt Gress, of Phoenix, who made a motion Wednesday to repeal the law. In a statement, he said the near-total ban \u201cis not reflective of the values of the vast majority of our electorate, regardless of political affiliation. ... This issue transcends all.\u201d
According to AP VoteCast, 6 out of 10 Arizona voters in the 2022 midterm elections said they would favor guaranteeing legal abortion nationwide. The state recorded 11,530 abortions in 2022, the last data available, according to Arizona's Department of Health Services.
At Camelback Family Planning in Phoenix, where about one-fourth of Arizona abortions are performed, registered nurse Ashleigh Feiring said abortion services were still available and that staff hope emergency legislation will avoid interruptions or closure.
\u201cOur plan is to stay open as long as possible,\u201d Feiring said. \u201cOur clinic has been shut down twice in the last four years, but we\u2019ve always resumed service.\u201d
At the same time, anti-abortion groups including SBA Pro-Life America urged Arizona residents to oppose a proposed ballot initiative aimed at placing abortion rights in Arizona\u2019s state constitution.
\u201cThey would wipe away all pro-life laws put in place by the Legislature, reflective of the will of the people,\" SBA President Marjorie Dannenfelser said in a statement.
Hobbs, however, predicted that outrage will motivate voters to enshrine abortion rights directly in state law.
\u201cThe fight is not over, for sure\u201d she said.
Grace Harders drove around metro Phoenix on Wednesday looking for an opportunity to sign an abortion rights petition. She said she wouldn\u2019t know what to do if she had an unplanned pregnancy but knew she\u2019d be scared.
\u201cI\u2019m a pro-choice person, and I want to ensure the right for all women,\u201d Harders said.
Abortion rights advocates said they\u2019ve gathered more than 500,000 signatures for the petition from the Arizona for Abortion Access campaign \u2014 far above what they need to add a ballot question asking voters to approve a constitutional amendment protecting the right to abortion until viability, when a fetus could survive outside the womb.
Arriving for a campaign fundraiser in Atlanta, Trump said the Arizona court decision went too far and called on state lawmakers to change it even as he defended the U.S. Supreme Court's 2022 ruling overturning of Roe v. Wade.
\u201cIt\u2019s all about states\u2019 rights,\u201d the former president told supporters and journalists. \u201cIt\u2019ll be straightened out.\u201d
Since the U.S. Supreme Court overturned Roe v. Wade in 2022, most Republican-controlled states have started enforcing new bans or restrictions, and most Democratic-dominated ones have sought to protect abortion access.
Meanwhile, voters have sided with abortion rights supporters on statewide ballot measures in California, Kansas, Kentucky, Michigan, Montana, Ohio and Vermont.
The Arizona ruling suggests doctors can be prosecuted for performing the procedure. The 1864 law carries a sentence of two to five years in prison for doctors or anyone else who assists in an abortion.
\u201cPhysicians are now on notice that all abortions, except those necessary to save a woman\u2019s life, are illegal,\u201d the Arizona Supreme Court said in its decision, adding that additional criminal and regulatory sanctions may apply to abortions performed after 15 weeks, the state's previous time limit for the procedure.
Beyond that, the court ruling also ignited concern that enforcement might interfere with handling miscarriages.
Enforcing the 1864 law won\u2019t begin for at least two weeks. However, plaintiffs in the case \u2014 including Planned Parenthood \u2014 said the delay could last up to two months, based on an agreement reached in a related case.
Planned Parenthood has said it will offer abortion services up to 15 weeks of pregnancy for at least two more months, in line with an agreement in the related case.
Doctors and clinic leaders are anticipating a scramble across the Southwest region to accommodate Arizona residents as they travel out of state for abortion care.
___
Associated Press writers Jacques Billeaud in Phoenix and Scott Sonner in Reno, Nevada, contributed to this report.
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It does touch on health-related consequences of the law, such as the impact on women's health and the provision of abortion services, but these points are secondary to the main political narrative." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/04/10/c20b8c4ec9e8b2c87e06eb092dbf5460.json b/datasets/AP_news/raw_data/2024/04/10/c20b8c4ec9e8b2c87e06eb092dbf5460.json new file mode 100644 index 0000000..65cabc2 --- /dev/null +++ b/datasets/AP_news/raw_data/2024/04/10/c20b8c4ec9e8b2c87e06eb092dbf5460.json @@ -0,0 +1,270 @@ +{ + "altids": { + "itemid": "c20b8c4ec9e8b2c87e06eb092dbf5460", + "etag": "c20b8c4ec9e8b2c87e06eb092dbf5460_1a8aza0c0", + "friendlykey": "237902660149", + "referenceid": "EU--France-End of Life" + }, + "version": 1, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-04-10T21:06:11Z", + "firstcreated": "2024-04-10T12:56:04Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: Updates Media.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "EU--France-End of Life", + "headline": "France is proposing to allow terminally ill patients to take lethal medication", + "headline_extended": "France\u2019s government has presented a bill to allow adults with terminal cancer or other end-of-life illness to take lethal medication", + "slugline": "AP-EU--France-End of Life, 1st Ld-Writethru", + "description_summary": "France\u2019s government has presented a bill to allow adults with terminal cancer or other end-of-life illness to take lethal medication. Polls show growing public demand in France for legal options for aid in dying. Many French people have traveled to neighboring countries to seek such medication. Under the new proposal, doctors would need to confirm that the patient has a grave and incurable illness, is suffering from intolerable and untreatable pain, and is seeking lethal medication of their own free will. Those with severe psychiatric conditions and neurodegenerative disorders such as Alzheimer\u2019s disease won\u2019t be eligible. The bill now goes to parliament for debate.", + "located": "PARIS", + "datelinelocation": { + "city": "Paris", + "countrycode": "FRA", + "countryname": "France", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + 2.3488, + 48.85341 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. 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Many French people have traveled to neighboring countries where medically assisted suicide or euthanasia are legal. French President Emmanuel Macron has long promised such a bill.
To benefit from the newly proposed measure, patients would need to be over 18 and be French citizens or live in France, Health Minister Catherine Vautrin said after a Cabinet meeting.
A team of medical professionals would need to confirm that the patient has a grave and incurable illness, is suffering from intolerable and untreatable pain, and is seeking lethal medication of their own free will. Those with severe psychiatric conditions and neurodegenerative disorders such as Alzheimer\u2019s disease won\u2019t be eligible.
The patient would initiate the request for lethal medication and confirm the request after a period of reflection, Vautrin said.
If approved, a doctor would then deliver a prescription, valid for three months, for the lethal medication. People would be able to take it at home, at a nursing home or a health care facility, Macron said. If their physical condition doesn\u2019t allow them to do it alone, they will be allowed to get help from someone of their choice or by a doctor or a nurse.
The bill now goes to parliament for debate. Vautrin urged \u2018\u2019an enormous amount of listening, an enormous amount of humility, as we are touching subjects of life and death, and an enormous amount of respect for the freedom of conscience of each one of us.\u2019\u2019
She also announced 1.1 billion euros in new spending on palliative and other end-of-life care.
A report last year indicated that most French citizens back legalizing end-of-life options, and opinion polls show growing support over the past 20 years.
A 2016 French law provides that doctors can keep terminally ill patients sedated before death but stops short of allowing assisted suicide or euthanasia.
Medically assisted suicide involves patients taking, of their own free will, a lethal drink or medication that has been prescribed by a doctor to those who meet certain criteria. Euthanasia involves doctors or other health practitioners giving patients who meet certain criteria a lethal injection at their own request.
Assisted suicide is allowed in Switzerland and Portugal and several U.S. states. Euthanasia is currently legal in the Netherlands, Spain, Canada, Australia, Colombia, Belgium and Luxembourg under certain conditions.
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(AP) \u2014 Add investors to the list of people that opponents of smoking in casinos are enlisting in hopes of banning the practice.
A national non-smoking group and a Michigan health system have placed shareholder proposals on the agenda of annual meetings for two major gambling companies and are likely to add a third.
The measures ask the companies to study potential financial benefits of going smoke-free at their casino properties.
And while it remains to be seen whether the proposals will be approved by investors, the move represents yet another aspect of an effort by casino smoking foes to leave no stone unturned in their drive to end smoking in gambling halls. In New Jersey, that has included pushing lawmakers to legislate a ban, and filing a lawsuit in state court to overturn an indoor smoking law that exempts casinos.
Proposals from Trinity Health, a Michigan-based health care system, and the American Nonsmokers\u2019 Rights Foundation will be voted on by shareholders of Boyd Gaming and Bally's Corporation during their annual meetings this year. And an identical measure has been submitted to Caesars Entertainment, which has not yet announced the date of its annual meeting.
\"Many shareholders will be surprised to learn that these casino companies still allow indoor smoking, even in the year 2024, and that the policy is harming the very workers who were instrumental in the companies generating billions of dollars in revenue in 2023,\u201d said Cynthia Hallett, president of the non-smokers group. \u201cIf casinos will not do the right thing on their own, then we will continue to explore every avenue to protect the well-being of workers and patrons.\u201d
Whether to ban smoking is one of the most controversial issues not only in Atlantic City casinos, but in other states where workers have expressed concern about secondhand smoke, including Rhode Island, Pennsylvania, Kansas and Virginia.
\u201cWe risk our lives every day just by going to work,\" said Pete Naccarelli, a longtime Borgata dealer and a leader of Casino Employees Against Smoking Effects, a group of workers pushing to end smoking at Atlantic City's nine casinos. \"\u201cIt\u2019s unacceptable, and long past time for casino corporations to end this outdated business practice. The least the casinos can do is study the impact of indoor smoking.\u201d
Historically, shareholder proposals face long odds of being approved and implemented. A study last month by the Conference Board found that 913 shareholder proposals were filed in 2023, and 71% were voted on, receiving an average support of 23%.
The gambling companies oppose smoking bans and the shareholder measures calling for a study. Bally's, Boyd and Caesars claimed the proposals involve ordinary business maters best decided by company management, and that the requests seek to micromanage the company.
But the U.S. Securities and Exchange Commission, ruling on objections from Boyd, rejected those claims and refused to allow the company to quash the shareholder proposals. Because the same proposal was submitted to all three companies, the agency's ruling is likely to affect each of them.
In recommending a vote against the proposal, Bally's called it \u201cunwarranted and unreasonable.\u201d It supported the repeal of a smoking ban last year in Shreveport, Louisiana.
\u201cThe company is committed to providing a first-class entertainment experience to both its smoking and non-smoking customers, and compliance with local smoking laws ensures that customers have access to comparable gaming experiences with all other casinos in each market,\u201d Bally's wrote.
In its own note to shareholders, Boyd Gaming likewise urges them to vote against it.
\u201cThe proposal asks for a report on implementing a smoke-free policy, but we believe this proposal is the first step toward forcing our company to unilaterally adopt such a policy, regardless of the actions of our competitors,\u201d it wrote. It added that Boyd has already been harmed by smoking bans in its Midwest and Southern markets, and would put itself at a competitive disadvantage by banning smoking.
Caesars Entertainment did not respond to requests for comment Tuesday and Wednesday. But in a letter to the U.S. Securities and Exchange Commission, Caesars said the health of employees and customers is important. It added that smoking policy for its properties involves numerous factors including customer preferences, local regulations, and the policies of competitors.
___
Follow Wayne Parry on X, formerly Twitter, at www.twitter.com/WayneParryAC
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Dr. Hilary Cass said there is \u201cno good evidence on the long-term outcomes of interventions to manage gender-related distress.\u201d She said young people have been caught up in a \u201cstormy social discourse\u201d about the issue. Cass was appointed to lead a review of gender services for young people by the state-funded National Health Service. In her report on Wednesday she said that care had been driven by \u201cideology\u201d rather sound medical principles. She called for a new and more holistic approach.", + "bylines": [ + { + "by": "By JILL LAWLESS", + "title": "Associated Press" + } + ], + "located": "LONDON", + "datelinelocation": { + "city": "London", + "countrycode": "GBR", + "countryname": "United Kingdom", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -0.12574, + 51.50853 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. 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Dr. Hilary Cass said there is \u201cno good evidence on the long-term outcomes of interventions to manage gender-related distress,\u201d and young people have been caught up in a \u201cstormy social discourse\u201d about the issue.
\u201cIdeology on all sides has directed care, rather than care being directed by normal principles of pediatrics and mental health,\u201d said Cass, a retired clinical pediatrician appointed to lead a review of gender services for young people by the state-funded National Health Service.
On April 1 doctors in England\u2019s public health system stopped prescribing puberty-blocking hormones to children and young people with gender dysphoria. The decision came after recommendations in Cass\u2019 earlier interim report, which said there is not enough evidence about the potential benefits and harms of the blockers, which help prevent people from developing physical features not in line with their gender identity, such as beards or breasts.
The decision \u2014 which is not an outright ban on puberty blockers \u2014 was criticized by some transgender campaigners and is being closely watched in the United States. Transgender medical care for minors is endorsed by major U.S. medical associations, but several Republican-led states have banned puberty blockers and other treatment for transgender youth \u2014 and, in some cases, adults.
Cass\u2019 report, which runs to almost 400 pages, said that \u201cfor most young people, a medical pathway\u201d is not the best way to deal with gender-related issues.
Cass said young people questioning their gender identity should be given \u201ca holistic assessment\u201d including screening for neurodevelopmental conditions such as autism, and a mental health assessment.
She urged \u201cextreme caution\u201d about giving children or teens masculizing or feminizing hormones \u2014 testosterone or estrogen \u2014 to people under 18.
Prime Minister Rishi Sunak welcomed the review\u2019s recommendation of caution.
\u201cWe simply do not know the long-term impacts of medical treatment or social transitioning on them, and we should therefore exercise extreme caution,\u201d he said.
Critics accuse Sunak\u2019s Conservative government of weaponizing the issue of gender identity as part of a \u201cculture war\u201d electoral strategy. The government recently issued guidelines for schools that said teachers should not be required to address children by their preferred pronouns.
In her report, Cass said there was \u201cno clear evidence\u201d that social transition in childhood \u2014 such as changing names or pronouns \u2014 has any positive or negative mental health outcomes.
The report also concluded that there is no simple explanation for why the number of young people identifying as transgender has shot up in recent years in the U.K. and other countries.
\u201cThere is broad agreement that it is a result of a complex interplay between biological, psychological and social factors,\u201d the report said. \u201cThis balance of factors will be different in each individual.\u201d
The LGBTQ rights group Stonewall said many of the report\u2019s recommendations \u201ccould make a positive impact.\u201d
\u201cBut without due care, training or further capacity in the system, others could lead to new barriers that prevent children and young people from accessing the care they need and deserve,\" said the group\u2019s director of campaigns and human rights, Robbie de Santos.
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The document includes opinions from medical professionals, government officials, and advocacy groups, all of which contribute to the broader discussion on health care for transgender youth." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/04/10/edc0b5f249eec560067233abc4044436.json b/datasets/AP_news/raw_data/2024/04/10/edc0b5f249eec560067233abc4044436.json new file mode 100644 index 0000000..7bbde3d --- /dev/null +++ b/datasets/AP_news/raw_data/2024/04/10/edc0b5f249eec560067233abc4044436.json @@ -0,0 +1,233 @@ +{ + "altids": { + "itemid": "edc0b5f249eec560067233abc4044436", + "etag": "edc0b5f249eec560067233abc4044436_1a6aza0c0", + "friendlykey": "361656238095", + "referenceid": "US--Abortion-Maine" + }, + "version": 1, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-04-10T19:58:24Z", + "firstcreated": "2024-04-10T14:41:16Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: This story has been updated with the Senate tabling the measure for a review of costs. With AP Photo.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "US--Abortion-Maine", + "headline": "Right to abortion unlikely to be enshrined in Maine Constitution after vote falls short", + "headline_extended": "An effort to amend the Maine Constitution to enshrine the right to an abortion is coming up short", + "slugline": "BC-US--Abortion-Maine, 1st Ld-Writethru", + "description_summary": "An effort to amend the Maine Constitution to enshrine the right to an abortion is coming up short. The measure fell shy of a two-thirds majority in the Maine House on Tuesday night, failing to clear the hurdle for sending the amendment to voters for ratification. Both chambers have to approve the resolution, so it's effectively dead even though the Senate set the measure aside for review of costs on Wednesday. The final Maine House vote came hours after a court ruling set the stage for a near-total ban on abortions in Arizona.", + "bylines": [ + { + "by": "By DAVID SHARP", + "title": "Associated Press" + } + ], + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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Hours after a court ruling set the stage for a near-total ban on abortions in Arizona, the Maine House voted 75-65 Tuesday night in favor of the amendment \u2014 but it fell short of the necessary two-thirds majority.
For a constitutional amendment to pass in Maine, both chambers of the legislature have to approve it by a two-thirds majority, then voters have the final say at the ballot box. The Maine Senate delayed a final vote Wednesday by setting the measure aside, pending a review of what it would cost. But without House approval, it is effectively dead.
Maine already has one of the nation\u2019s least restrictive abortion laws. The amendment was an effort to head off any future legislative debate on the issue.
Republicans described the proposal as political theater because the outcome was a forgone conclusion. But the roll call ensures lawmakers' votes will be on record, which could have consequences in an election year, amendment supporters said.
\u201cLast night\u2019s vote was infuriating and shameful, but it will galvanize Mainers from all corners of the state,\" Lisa Margulies, from the Planned Parenthood Maine Action Fund, said Wednesday morning, chastising lawmakers for not letting voters have the final word at the ballot box. \u201cNow we know where every elected official in the House stands on reproductive rights.\u201d
The vote came after the Arizona Supreme Court gave the go-ahead to enforce a long-dormant law that bans nearly all abortions. The law, which predates Arizona\u2019s statehood, provides no exceptions for rape or incest and allows abortions only if the mother\u2019s life is in jeopardy.
Maine was one of more than a dozen states considering ballot measures dealing with abortion for this year or for 2026. Amendments are currently on the November ballot in Florida, Maryland and New York.
Abortion questions have appeared on statewide ballots seven times since the U.S. Supreme Court overturned Roe v. Wade in 2022. In each case, the side backed by abortion-rights advocates prevailed \u2014 even in conservative states such as Kansas and Kentucky and swing states such as Michigan and Ohio.
Maine's Democratic-controlled Legislature last year approved a law that allows abortions at any time if deemed medically necessary by a doctor. Maine\u2019s previous law, adopted in 1993, made abortions legal until a fetus becomes viable outside the womb, at roughly 26 to 28 weeks.
___
Associated Press reporter Geoff Mulvihill in Cherry Hill, New Jersey, contributed to this report.
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Editorial: In April, be accepting, not aware, of autism
Most of our calendars list April as Autism Awareness Month, but many members of the autistic community are pushing for a name change.
We\u2019re typically asked to be aware of things that are dangerous or ailments in need of a cure or prevention \u2014 October\u2019s Domestic Violence Awareness Month or National Colon Cancer Awareness Month in March, for example.
Naming April an awareness month for autism sends the message that autism spectrum disorder is something to fear or avoid and that people living with autism can be made \u201cnormal\u201d with the right treatment.
In reality, autism is a lifelong neurological and developmental condition that can affect a person\u2019s social skills, communication, relationships and self-regulation. It\u2019s called a spectrum disorder because of the wide variation in the types and severity of symptoms people with autism experience.
Some \u2014 but not all \u2014 people with autism may have difficulty maintaining conversations or making eye contact in social settings. They may also have intense interest in specific topics and may be more sensitive to light and sound.
Autism is a disability, but, like other disabilities, that doesn\u2019t mean there\u2019s something \u201cwrong\u201d with those experiencing it.
No two human brains are the same. Our species enjoys neurodiversity. Everyone is good at some things and has trouble with other things.
The concept of a \u201cnormal\u201d brain is a myth, and ongoing research suggests that autism is more common than previously thought.
Last year, studies conducted by the Centers for Disease Control and Prevention found that 1 out of every 36 children has autism. That figure is an increase from a 2021 estimate that put the rate at 1 in 44 and a huge leap from a 2006 report of 1 in 110.
It\u2019s easy to misinterpret those figures as an increase in the prevalence of cases, or an \u201cautism epidemic\u201d as some have wrongfully characterized it. Autism diagnoses are rising because medical professionals are getting better at recognizing it.
But the public\u2019s understanding of autism is lagging behind the medical field.
That\u2019s why organizations like the Autism Self Advocacy Network, a nonprofit run by and for autistic people, hope to turn the language away from awareness and toward acceptance.
While society as a whole tends to treat people with disabilities as a problem to be \u201cfixed,\u201d ASAN and others within the disability rights movement aim to change society, so that people with disabilities, including autism, have equal opportunities, resources and options for participation.
One way to help is to listen to people with autism, find out what they want and need. Researchers can help us gain understanding, but the best experts on an individualized conditions like autism are those who are experiencing it.
In this Autism Acceptance Month, take the time to talk to someone you know who has autism or a parent with a child with an autism diagnosis. Talk with them about their experiences \u2014 if they\u2019re willing. Learn about the things they struggle with and ask how you can help.
People with autism are people. We should accept that and treat them as such.
END
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Mike DeWine's agenda in 2024, as the second-term Republican rolled out a slate of policy priorities focusing on children to state lawmakers Wednesday.
DeWine, speaking in the House of Representatives' chamber in the Statehouse, delivered his State of the State address to a joint session of the GOP-controlled Legislature, a preview of his budget and policy plans for 2024.
To a great extent, DeWine focused on improving health care and student learning, as well as things he said can boost Ohio's economy, including efforts to expand child care and keeping more college graduates in the state.
He said he wants to build on previous efforts to expand subsidized child care, college tuition and technical education offerings in high schools.
\u201cThe single most important thing we can do for Ohio\u2019s future is to ensure that all Ohio children \u2014 all Ohio children, no matter where they live, no matter who their parents are \u2014 have the opportunity to live up to their full God-given potential and they have the chance to pursue their dreams and their passions in life,\u201d DeWine said.
Democrats said Republican control of the Legislature was a barrier to adopting policies that would help the state's residents.
\u201cThere are many things that we didn\u2019t hear about how to get things done in the current political environment,\u201d said House Minority Leader Allison Russo, a Democrat from Columbus. \u201cThe reality is that rigged, one-party rule and Republican infighting seem to have no end in sight here in Ohio\u2019s General Assembly.\u201d
DeWine said he wants to create a child care voucher program for families that meet income eligibility requirements and to use $85 million in federal funding for grants to expand child care offerings.
The voucher program would be open to families that make up to 200% of the federal poverty level, or $60,000 for a family of four. He estimated that it would help 8,000 children. He did not say how much money it would require, or what sort of grant would be available to each family.
Saying the state needs to retain more of its college graduates, DeWine said he wants to start collecting data that measures how many graduates get jobs within six months. He framed the effort as an accountability measure that will help students in picking a higher education institution to attend.
As part of an effort to help children learn, DeWine said he wants to ensure every child who fails a vision screening test in school can get a follow-up eye exam and, if needed, a pair of eyeglasses. Too many do not, he said, announcing a \u201cChildren\u2019s Vision Strike Force\u201d to work with vision care professionals.
\u201cOhio has never had a statewide plan to ensure that every Ohio child who needs glasses will get glasses,\u201d DeWine said. \u201cNow we do.\u201d
DeWine pledged to improve various aspects of health care for infants and schoolchildren.
Every school should consider starting a school-based health clinic, DeWine said. His administration could help with technical assistance, he said.
He said his administration will launch a new pilot program in 11 counties to offer every new mother a visit from a nurse about three weeks after delivering a baby. Visiting nurses can help parents find medical support, navigate breastfeeding or other aspects of caring for an infant, DeWine said.
Similar programs have a track record of reducing infant mortality, emergency room visits, postpartum depression and child protective services investigations, DeWine said.
He also said he wants to expand a quick-response service for children in mental health crisis from 38 to all 88 counties.
On public health and safety, DeWine asked lawmakers to ban marijuana use in public after Ohio voters approved a measure last year legalizing recreational marijuana, defying Republican legislative leaders who had refused to pass it.
He asked lawmakers to toughen seat-belt laws, require schools to minimize cellphone use by students in classrooms, and write new legislation to require parental consent for children under 16 to use social media apps. An existing law DeWine signed is blocked by a court.
\u201cWe need to go after the social media companies that are targeting our kids \u2014 addicting them and then monetizing that addiction,\u201d DeWine said. \u201cWhat they are doing is shameful.\u201d
He also called for lawmakers to outlaw flavored vaping and flavored cigarettes and ban the sale to children of delta-8 THC, a mildly intoxicating sibling of delta-9 THC, the psychoactive compound in marijuana.
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With AP Photo.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "US--Maine-Shield Law", + "headline": "Fiery debate over proposed shield law leads to rare censure in Maine House", + "headline_extended": "Debate over a bill that would protect health care workers who provide abortion and gender-affirming care from out-of-state lawsuits is off to a fiery start in the Maine Legislature", + "slugline": "BC-US--Maine-Shield Law, 3rd Ld-Writethru", + "description_summary": "Debate over a bill that would protect health care workers who provide abortion and gender-affirming care from out-of-state lawsuits is off to a fiery start in the Maine Legislature. There were emotional recriminations Wednesday evening including one lawmaker asserting that a mass shooting and recent storms were God\u2019s revenge for \u201cimmoral\u201d laws adopted in Maine. The Democratic-led chamber advanced the legislation on an 80\u201470 vote in the House. On Thursday, the Maine House formally censured two lawmakers for their comments. The Senate gave approval Thursday but more votes are required.", + "bylines": [ + { + "by": "By DAVID SHARP", + "title": "Associated Press" + } + ], + "located": "AUGUSTA, Maine", + "datelinelocation": { + "city": "Augusta", + "countryareacode": "ME", + "countryareaname": "Maine", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -69.77949, + 44.31062 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. For other uses, additional clearances may be required." + ], + "keywords": [ + "Maine abortion gender affirming care shield law" + ], + "provider": "AP", + "infosource": [ + { + "name": "AP", + "type": "AP" + } + ], + "subject": [ + { + "rels": [ + "category" + ], + "creator": "Editorial", + "code": "a", + "name": "a" + }, + { + "rels": [ + "category" + ], + "creator": "Editorial", + "code": "n", + "name": "n" + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "86aad5207dac100488ecba7fa5283c3e", + "name": "Politics", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 66 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "570831e088701004882deb2e0e616f0b", + "name": "Gender", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 87 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "86c1b8807dac10048990ba7fa5283c3e", + "name": "Legislation", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 53 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "cc7a76087e4e10048482df092526b43e", + "name": "Health", + "creator": "Editorial", + "editorial_subject": "Health", + "rels": [ + "direct" + ], + "relevance": 75 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "a4677d70863b4012b846a1b00f5079f5", + "name": "U.S. news", + "creator": "Editorial", + "editorial_subject": "U.S. news", + "rels": [ + "direct" + ], + "relevance": 99 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "f25af2d07e4e100484f5df092526b43e", + "name": "General news", + "creator": "Editorial", + "editorial_subject": "General news", + "rels": [ + "direct" + ], + "relevance": 50 + } + ], + "place": [ + { + "scheme": "http://cv.ap.org/id/", + "code": "8d2caa7082b3100484b8df092526b43e", + "name": "Maine", + "creator": "Machine", + "rels": [ + "direct" + ], + "parentids": [ + "661e48387d5b10048291c076b8e3055c" + ], + "locationtype": { + "code": "0ae5eb8e00e04295a4fc209c94bfe6ef", + "name": "State" + }, + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -69.24977, + 45.50032 + ] + }, + "relevance": 99, + "parentnames": [ + "United States" + ] + } + ], + "audiences": [ + { + "code": "82c6a4c46fa0446090a7acaf93159e4c", + "name": "Print", + "type": "AUDPLATFORM" + }, + { + "code": "9add4649b53b4702ba7d9de5d4fa607a", + "name": "Online", + "type": "AUDPLATFORM" + }, + { + "code": "f43adc08760d10048040e6e7a0f4673e", + "name": "National", + "type": "AUDSCOPE" + }, + { + "code": "f5b16ea8760d10048047e6e7a0f4673e", + "name": "State", + "type": "AUDSCOPE" + }, + { + "code": "f4ecf9b0760d10048044e6e7a0f4673e", + "name": "International", + "type": "AUDSCOPE" + }, + { + "code": "8d2caa7082b3100484b8df092526b43e", + "name": "Maine", + "type": "AUDGEOGRAPHY" + }, + { + "code": "661850e07d5b100481f5c076b8e3055c", + "name": "Latin America and Caribbean", + "type": "AUDGEOGRAPHY" + }, + { + "code": "6e92d9b882c7100488e5df092526b43e", + "name": "Texas", + "type": "AUDGEOGRAPHY" + }, + { + "code": "62532b5882c7100488cedf092526b43e", + "name": "Tennessee", + "type": "AUDGEOGRAPHY" + }, + { + "code": "2f6e294082b310048474df092526b43e", + "name": "Kentucky", + "type": "AUDGEOGRAPHY" + }, + { + "code": "661e48387d5b10048291c076b8e3055c", + "name": "United States", + "type": "AUDGEOGRAPHY" + } + ], + "associations": { + "1": { + "altids": { + "itemid": "b85b9663b8824fcbb7c661ffe8c32fa2" + }, + "type": "picture" + } + }, + "body_nitf": "AUGUSTA, Maine (AP) \u2014 Fiery debate over a bill to protect health care workers who provide abortion and gender-affirming care from out-of-state lawsuits crossed a line in the Maine House, leading lawmakers to formally censure a pair of colleagues on Thursday.
Rep. Michael Lemelin, R-Chelsea, said the mass shooting last October in Lewiston, Maine, that claimed 18 lives and recent storms were God\u2019s revenge for \u201cimmoral\u201d laws adopted by legislators, and he described the shield bill as \"inspired by Lucifer himself.\u201d Another lawmaker, Rep. Shelley Rudnicki, of Fairfield, announced that she agreed with Lemelin\u2019s remarks.
House Speaker Rachel Talbot Ross told Lemelin in a letter that the remarks were \u201cextremely offensive and intentionally harmful to the victims and the families of the Lewiston tragedy, the House of Representatives, and the people of Maine.\u201d
Lemelin and Rudnicki both delivered brief, identical apologies on the House floor, allowing them to resume their ability to speak and vote.
The Maine Senate voted 21-13 in favor of the bill Thursday, after a debate that was shorter than the tense discussion in the House ahead of a 80-70 vote in that chamber late Wednesday evening. More votes are required for enactment.
Several House Republicans focused on the underlying law that allows minors to receive abortions and gender-affirming care under certain circumstances. Critics said the bill could lead to kidnapping and trafficking of out-of-state teens.
But Democratic Rep. Sam Zager, D-Portland, said the standards of care laid out for medical providers require a robust process for whether someone has gender dysphoria and is eligible for gender-affirming care.
\u201cThis is not somebody whisked away for a weekend making a declaration and having surgery. It is very deliberate and very meticulous and is not done expediently,\u201d said Zager, who is a physician.
The sponsor of the bill suggested lawmakers were getting sidetracked by emotional topics of abortion and gender-affirming care instead of focusing on shielding Maine from out-of-state interference in its affairs. \u201cThis bill is about our state\u2019s sovereign ability to set and enforce our laws without interference from Texas, Tennessee or Kentucky,\u201d said Rep. Amy Kuhn, D-Falmouth.
Abortion is legal in Maine at all stages of pregnancy with a doctor\u2019s approval. And lawmakers last year approved a bill to let 16- and 17-year-olds receive limited gender-affirming care, which does not include surgery, without parental consent.
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However, the document is more centered on the political debate and censure rather than detailed health information or health care practices." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/04/11/28f7fe06ec493f944e85583b6761d92c.json b/datasets/AP_news/raw_data/2024/04/11/28f7fe06ec493f944e85583b6761d92c.json new file mode 100644 index 0000000..d364724 --- /dev/null +++ b/datasets/AP_news/raw_data/2024/04/11/28f7fe06ec493f944e85583b6761d92c.json @@ -0,0 +1,314 @@ +{ + "altids": { + "itemid": "28f7fe06ec493f944e85583b6761d92c", + "etag": "28f7fe06ec493f944e85583b6761d92c_0a7aza0c0", + "friendlykey": "295476000304", + "referenceid": "US--A Father's Evolution-ABRIDGED" + }, + "version": 0, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-04-11T04:12:11Z", + "firstcreated": "2024-04-11T04:12:10Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: A longer version of this story is also available as US--A Father's Evolution.", + "signals": [ + "newscontent" + ], + "title": "US--A Father's Evolution-ABRIDGED", + "headline": "As his trans daughter struggles, a father pushes past his prejudice. 'It was like a wake-up'", + "headline_extended": "Dusty Farr used to be someone else", + "slugline": "BC-US--A Father's Evolution-ABRIDGED", + "description_summary": "Dusty Farr used to be someone else. Before his transgender daughter was suspended after using the girls\u2019 bathroom at her Missouri high school. Before the bullying and the suicide attempts. Before she dropped out. Before he filed a lawsuit. Before all that, he was in his own words \u201ca full-on bigot.\u201d Now, he has found himself in the unlikely role of fighting bathroom bans that have proliferated at the state and local level in recent years. He explains it this way: \u201cWhen it was my child, it just flipped a switch. And it was like a wake-up.\u201d", + "bylines": [ + { + "by": "By HEATHER HOLLINGSWORTH", + "title": "Associated Press" + } + ], + "located": "SMITHVILLE, Mo.", + "datelinelocation": { + "city": "Smithville", + "countryareacode": "MO", + "countryareaname": "Missouri", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -94.58107, + 39.38694 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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(AP) \u2014 Before his transgender daughter was suspended after using the girls\u2019 bathroom at her Missouri high school. Before the bullying and the suicide attempts. Before she dropped out. Before all that, Dusty Farr was \u2014 in his own words \u2014 \u201ca full-on bigot.\u201d By which he meant that he was eager to steer clear of anyone LGBTQ+.
Now, though, after everything, he says he wouldn\u2019t much care if his 16-year-old daughter \u2014 and he proudly calls her that \u2014 told him she was an alien. Because she is alive.
\u201cWhen it was my child, it just flipped a switch. And it was like a wake-up,\" says Farr, who is suing the Platte County School District on Kansas City\u2019s outskirts.
Looking back, Farr figures his daughter, the youngest of five, started feeling out of place in her own body when she was just 6 or 7. But he didn\u2019t see it, even as they fished and camped together.
Then when she was 12, she started to steer away from him, spending more time with the rest of the family. It lasted for a few months before she came out. He knows now how hard this was. \u201cGrowing up,\u201d he says, \u201cmy kids knew how I felt.\u201d
His wife, whom he described as less sheltered, was on board immediately. Him, not so much.
\u201cGiven the way I was raised, a conservative fire and brimstone Baptist, LGBTQ is a sin, you\u2019re going to hell. And these were things, unfortunately, that I said to my daughter,\u201d Farr says. \u201cI\u2019m kind of ashamed to say that.\u201d
They bumped heads, their relationship strained. In desperation, he turned to God and then it hit him: \u201cShe\u2019s a girl.\u201d
His daughter, who is named only by her initials of R.F. in the lawsuit, was stunned. He had been, she recalls, \u201cto say it nicely, very annoying.\u201d Now everything was different.
\u201cThere was this electricity in me that was just, it felt like pure joy,\u201d she recalled as she played with her dog at a park in February. Her father was with her.
She, her father and her attorneys asked that she remain anonymous because she is unnamed in the lawsuit and to protect her from discrimination.
She was diagnosed with gender dysphoria, or distress caused when gender identity doesn\u2019t match a person\u2019s assigned sex. She grew out her hair and began taking drugs to delay puberty \u2014 a common treatment.
Farr says things returned to normal \u2014 for the most part. But then came high school. \u201cAnd,\u201d Farr says, \u201canything I did to her, school was 10 times worse.\u201d
The 2021-22 school year had just started when the assistant principal pulled his daughter aside. According to the suit filed last year, the administrator said students must use the restroom of their sex designated at birth or a single gender-neutral bathroom. The district disputes that happened .
Another employee, the suit said, took it further and told her using the girls\u2019 bathroom was against the law. The district disputed that happened, too.
The thing is, there isn\u2019t a law \u2014 at least, not in Missouri.
While more than 10 states have enacted laws over bathroom use, Missouri is not one of them. What Missouri has done is impose a ban on gender-affirming care. For bathrooms, it leaves policy debate to local districts.
\u201cAsinine\u201d is how Farr described the whole wave of restrictions, while acknowledging in the same breath that he probably would have supported them a decade ago. \u201cKind of makes me dislike myself a little bit.\u201d
He figured it was all just a way to intimidate her. His daughter didn\u2019t understand: \u201cIt kind of just made me feel hopeless in my education,\u201d she recalls thinking.
The gender-neutral bathroom was far from her classes and often had long lines, the suit says. She, as a freshman, was missing class, and teachers were lecturing her. So she used the girls\u2019 restroom. Verbal reprimands were followed by a one day in-school suspension and then a two-day, out-of-school suspension, the suit says.
\u201cYour policy is dumb,\u201d Farr recalled telling the school, which argued in its response to his lawsuit that his daughter was eating lunch in the girls\u2019 restroom.
His daughter started using the boys\u2019 restroom. One day, a classmate approached and told another student, \u201cMaybe I should rape her,\u201d the suit said.
Beyond angry now, Farr called not just the school but the ACLU. The district acknowledged the incident, saying a student made a \u201chighly inappropriate\u201d comment about rape and was disciplined. By now, Farr\u2019s daughter was afraid to go to school.
He described it as \"a damned if you do, damned if you don\u2019t situation.\u201d
The district sees it differently, writing in a court filing that \u201cthere were numerous factors and circumstances in R.F.\u2019s life, unrelated to school, which may have caused emotional harm, depression and anxiety.\u201d
Ultimately, her parents got the school to agree to let her finish her freshman year online. But she missed three weeks of classes before the switch was approved. Typically an A and B student, she plummeted to D\u2019s and F\u2019s. Worse to Farr, his daughter was withdrawing.
He describes it as \u201ca dark rabbit hole of depression.\u201d Twice she tried to kill herself and was hospitalized. Everything from butter knives to headache medicine was locked up.
She returned in person to start her sophomore year, hoping things would be better. She made it only a few weeks before returning to online school.
At semester\u2019s end, Farr and his family moved out of the district. Bathroom access remained a source of friction in her new school, so again she switched to online school. When she turned 16 last spring, Farr and his wife agreed to let her drop out.
She is in counseling now, taking hormone replacement therapy and considering an alternative high school completion program. She\u2019d like to go to college one day, and study psychology, maybe law.
Sometimes Farr\u2019s daughter yells at him, and he admits that he missed the teen attitude. That spirit and fight had faded.
\u201cBeing a teenager is hell,\u201d he says. \u201cBeing a trans teen is 10 kinds of hell. She\u2019s the brave one. I\u2019m just her voice.\u201d
He feels he has changed enough to fill this role \u2014 that being her voice can help other parents and kids avoid what his family endured. He thinks that because of where he came from, maybe people will listen when he raises alarms. Maybe.
\u201cIt\u2019s almost like a transgender person,\u201d he says of his transformation. \u201cThere\u2019s the dead me. And then there\u2019s the new me.\u201d
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Doug Ducey says the abortion ruling from justices he chose goes too far", + "headline_extended": "A ban on nearly all abortions in Arizona doesn\u2019t sit well with Republican former Gov. Doug Ducey", + "slugline": "BC-US--Abortion-Arizona-Supreme Court, 1st Ld-Writethru", + "description_summary": "A ban on nearly all abortions in Arizona doesn\u2019t sit well with Republican former Gov. Doug Ducey. Yet he was the one who appointed the four conservative justices whose ruling cleared the way for it. He even expanded the court in 2016. Ducey is among Republicans in several states who are wrestling with the consequences of their opposition to abortion since the U.S. Supreme Court overturned Roe v. Wade in 2022. The Arizona court ruled 4-2 on Monday to revive an 1864 law that criminalizes abortion throughout pregnancy unless a woman\u2019s life is at risk. Ducey this the ruling went to far and would had preferred a 15-week ban that he signed.", + "bylines": [ + { + "by": "By MEAD GRUVER", + "title": "Associated Press" + } + ], + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. For other uses, additional clearances may be required." + ], + "keywords": [ + "Arizona abortion ban court ruling Ducey" + ], + "provider": "AP", + "infosource": [ + { + "name": "AP", + "type": "AP" + } + ], + "person": [ + { + "scheme": "http://cv.ap.org/id/", + "code": "ed2df5fda6404f7380a4f78d9303c34a", + "name": "Ron DeSantis", + "creator": "Machine", + "rels": [ + "direct" + ], + "types": [ + "POLITICIAN", + "PERSON" + ], + "associatedstates": [ + { + "code": "cb06ab1082af100482f8df092526b43e", + "name": "Florida" + } + ], + "relevance": 35 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "06d316b4061d4bd097c5de777c7192a9", + "name": "Mike DeWine", + "creator": "Machine", + "rels": [ + "direct" + ], + "types": [ + "GOVERNMENT_FIGURE", + "PERSON" + ], + "relevance": 34 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "82de601e286da949bd412603efd1c2df", + "name": "Doug Ducey", + "creator": "Machine", + "rels": [ + "direct" + ], + "types": [ + "POLITICIAN", + "PERSON" + 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"altids": { + "itemid": "b1659daaf4f344149ba1fe2d54ef6e9a" + }, + "type": "picture" + }, + "7": { + "altids": { + "itemid": "6033a67dc1c24669a6bdb1c61d1d815d" + }, + "type": "picture" + }, + "8": { + "altids": { + "itemid": "3ded2faaec104ec6a8e43f6bb18a75b1" + }, + "type": "picture" + }, + "9": { + "altids": { + "itemid": "26cef671dcbd4fc299851e04da564e46" + }, + "type": "picture" + } + }, + "body_nitf": "A ban on nearly all abortions in Arizona doesn\u2019t sit well with the Republican former governor whose expansion of the state Supreme Court allowed him to appoint the four conservative justices whose ruling cleared the way for it.
Doug Ducey is among Republicans in several states who are wrestling with the consequences of their opposition to abortion since the U.S. Supreme Court overturned Roe v. Wade in 2022. He expanded the state court in 2016, but thinks its ruling this week went too far.
After the Arizona court ruled 4-2 on Monday to revive an 1864 law that criminalizes abortion throughout pregnancy unless a woman\u2019s life is at risk, Ducey posted on the platform X that it was \u201cnot the outcome I would have preferred.\" He said a law he signed in 2022 banning abortions after 15 weeks of pregnancy was more in line with what voters want.
In Virginia, Kentucky and Ohio, where an abortion ban signed into law by Republican Gov. Mike DeWine got overturned in a referendum that enshrined the right to an abortion in the state constitution, the issue has helped Democrats win races and in some cases begin to reverse Republican-led bans.
More may be in store. In Florida, the state's high court cleared the way for a six-week ban that Republican Gov. Ron DeSantis signed while also allowing an abortion-rights referendum go before the state\u2019s voters this November.
Abortion also is a major feature in the presidential race, potentially boosting turnout for Democrats and putting down-ballot Republicans on a back foot. Polls show most U.S. adults don\u2019t support tough restrictions.
Donald Trump, who recently opined that abortion's legality should be left to individual states, has called DeSantis\u2019 approval of Florida's ban a \u201cterrible mistake. \" The former president who appointed three of the U.S. Supreme Court justices who overturned Roe v. Wade also said the Arizona Supreme Court ruling went too far.
Ducey said in his post on X that the ban he signed was \u201cthoughtful conservative policy, and an approach to this very sensitive issue that Arizonans can actually agree on.\"
His comment followed the better part of two years of legal wrangling over the 1864 Arizona law.
The Supreme Court ruling took a fair amount of time, four months after arguments before the court and longer than some expected, said Barbara Atwood, professor emerita at the University of Arizona law school.
\u201cFrankly, I think they struggled,\u201d she said of the justices.
Besides Ducey's five appointees, one of whom abstained from the ruling, two are appointees of Jan Brewer, Arizona's Republican governor from 2009-2015.
Ducey had defended his expansion of the court from five to seven justices. He said the state had outgrown the smaller court and an expansion was long expected. The justices at the time said their workload was manageable and opposed the move.
The crux of the abortion case was whether Arizona\u2019s 2022 or 1864 ban applied after Roe v. Wade was overturned. In late 2022, an appeals court rejected the argument of the state\u2019s elected Republican attorney general, Mark Brnovich, that the 1864 law held sway.
Days later, Democratic Gov. Katie Hobbs and Attorney General Kris Mayes took office, but the case remained alive through the efforts of an anti-abortion intervener.
The legal uncertainty was written into the law outlawing abortion after 15 weeks. It stated that the state\u2019s much stricter 1864 law was not being repealed \u201cby implication or otherwise.\u201d
But even Republicans disagreed over which law would take precedent. In their ruling, the majority justices noted Ducey thought the ban he signed should take effect.
\u201cIt\u2019s just interesting that justices who he appointed have reached a point that is at odds with his own understanding,\u201d said Atwood. \u201cIt contributed to the general uncertainty about this whole topic.\u201d
___
Gruver reported from Cheyenne, Wyoming. J.J. Cooper and Jacques Billeaud in Phoenix contributed to this report.
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Therefore, it is somewhat relevant to the topic of health but not highly focused on it." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/04/11/7ecdfef41e6dbd659c7ac8b80d5de38f.json b/datasets/AP_news/raw_data/2024/04/11/7ecdfef41e6dbd659c7ac8b80d5de38f.json new file mode 100644 index 0000000..9089602 --- /dev/null +++ b/datasets/AP_news/raw_data/2024/04/11/7ecdfef41e6dbd659c7ac8b80d5de38f.json @@ -0,0 +1,263 @@ +{ + "altids": { + "itemid": "7ecdfef41e6dbd659c7ac8b80d5de38f", + "etag": "7ecdfef41e6dbd659c7ac8b80d5de38f_3a15aza0c0", + "friendlykey": "750550695952", + "referenceid": "US-MED--Measles-Explainer" + }, + "version": 3, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-04-11T21:41:59Z", + "firstcreated": "2024-04-11T17:10:23Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: Updates Media. Adds information about Chicago outbreak.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "US-MED--Measles-Explainer", + "headline": "US measles cases are up in 2024. What's driving the increase?", + "headline_extended": "There have been 17 times as many U.S. measles cases in the first three months of this year compared with the average number seen in the first three months of the previous three years", + "slugline": "AP-US-MED--Measles-Explainer, 3rd Ld-Writethru", + "description_summary": "There have been 17 times as many U.S. measles cases in the first three months of this year compared with the average number seen in the first three months of the previous three years. That\u2019s according to a government report published Thursday. The report\u2019s authors say the increase represents a renewed threat to measles elimination in the U.S. There have been more than 110 cases of the contagious disease so far. Measles can be dangerous, especially for young children. Experts say it\u2019s highly preventable because there is a safe and effective vaccine. But national vaccination rates are below where they should be.", + "bylines": [ + { + "by": "By DEVI SHASTRI and MIKE STOBBE", + "title": "Associated Press" + } + ], + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. For other uses, additional clearances may be required." + ], + "keywords": [ + "measles CDC outbreak Chicago MMR vaccine" + ], + "provider": "AP", + "infosource": [ + { + "name": "AP", + "type": "AP" + } + ], + "subject": [ + { + "rels": [ + "category" + ], + "creator": "Editorial", + "code": "a", + "name": "a" + }, + { + "rels": [ + "category" + ], + "creator": "Editorial", + "code": "n", + "name": "n" + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "9cce666bb29344b8ba61f3732d971d32", + "name": "Disease outbreaks", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 78 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "e237be707de410048fffdf092526b43e", + "name": "Medication", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 45 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "4f95136e072e41c6a81e8fa820e26e9c", + "name": "Children", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 45 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "ace74e307f00100486cedf092526b43e", + "name": "Immunizations", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 63 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "cc7a76087e4e10048482df092526b43e", + "name": "Health", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 96 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "e2460e807de410048061df092526b43e", + "name": "Measles", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 89 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "cc7a76087e4e10048482df092526b43e", + "name": "Health", + "creator": "Editorial", + "editorial_subject": "Health", + "rels": [ + "direct" + ], + "relevance": 99 + } + ], + "place": [ + { + "scheme": "http://cv.ap.org/id/", + "code": "5b86bbd082b01004839adf092526b43e", + "name": "Chicago", + "creator": "Machine", + "rels": [ + "direct" + ], + "parentids": [ + "2c6a186082b010048379df092526b43e" + ], + "locationtype": { + "code": "9d26a20b35f0484a891740f8189d4c7b", + "name": "City" + }, + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -87.65005, + 41.85003 + ] + }, + "relevance": 38, + "parentnames": [ + "Illinois" + ] + } + ], + "audiences": [ + { + "code": "82c6a4c46fa0446090a7acaf93159e4c", + "name": "Print", + "type": "AUDPLATFORM" + }, + { + "code": "9add4649b53b4702ba7d9de5d4fa607a", + "name": "Online", + "type": "AUDPLATFORM" + }, + { + "code": "f43adc08760d10048040e6e7a0f4673e", + "name": "National", + "type": "AUDSCOPE" + }, + { + "code": "f4ecf9b0760d10048044e6e7a0f4673e", + "name": "International", + "type": "AUDSCOPE" + }, + { + "code": "f5b16ea8760d10048047e6e7a0f4673e", + "name": "State", + "type": "AUDSCOPE" + }, + { + "code": "661850e07d5b100481f4c076b8e3055c", + "name": "Europe", + "type": "AUDGEOGRAPHY" + }, + { + "code": "661850e07d5b100481f5c076b8e3055c", + "name": "Latin America and Caribbean", + "type": "AUDGEOGRAPHY" + }, + { + "code": "2c6a186082b010048379df092526b43e", + "name": "Illinois", + "type": "AUDGEOGRAPHY" + }, + { + "code": "b58f18a082c6100487fbdf092526b43e", + "name": "New York", + "type": "AUDGEOGRAPHY" + }, + { + "code": "0b394d7082c71004887fdf092526b43e", + "name": "Pennsylvania", + "type": "AUDGEOGRAPHY" + }, + { + "code": "cb06ab1082af100482f8df092526b43e", + "name": "Florida", + "type": "AUDGEOGRAPHY" + }, + { + "code": "661e48387d5b10048291c076b8e3055c", + "name": "United States", + "type": "AUDGEOGRAPHY" + } + ], + "associations": { + "1": { + "altids": { + "itemid": "619c64cb6b6d4a2e827dc55ad54c1ff3" + }, + "type": "picture" + }, + "2": { + "altids": { + "itemid": "bdc57d63d66d46ffb601dff46d94b63e" + }, + "type": "picture" + }, + "3": { + "altids": { + "itemid": "e0e2ef5c3387440dbddc6935240ed46c" + }, + "type": "audio" + } + }, + "body_nitf": "Measles outbreaks in the U.S. and abroad are raising health experts' concern about the preventable, once-common childhood virus.
One of the world's most contagious diseases, measles can lead to potentially serious complications. The best defense, according to experts? Get vaccinated.
Here's what to know about the year \u2014 so far \u2014 in measles.
Nationwide, measles cases already are nearly double the total for all of last year.
The U.S. Centers of Disease Control and Prevention documented 113 cases as of April 5. There have been seven outbreaks and most of U.S. cases \u2014 73% \u2014 are linked to those flare-ups.
Still, the count is lower than some recent years: 2014 saw 667 cases and 2019 had 1,274.
The 2019 measles epidemic was the worst in almost three decades, and threatened the United States' status as a country that has eliminated measles by stopping the continual spread of the measles virus.
The CDC on Thursday released a report on recent measles case trends, noting that cases in the first three months of this year were 17 times higher than the average number seen in the first three months of the previous three years.
While health officials seem to be doing a good job detecting and responding to outbreaks, \u201cthe rapid increase in the number of reported measles cases during the first quarter of 2024 represents a renewed threat to elimination,\u201d the report\u2019s authors said.
The disease is still common in many parts of the world, and measles reaches the U.S. through unvaccinated travelers.
According to Thursday\u2019s report, most of the recent importations involved unvaccinated Americans who got infected in the Middle East and Africa and brought measles back to the U.S.
Health officials confirmed measles cases in 17 states so far this year, including cases in New York City, Philadelphia and Chicago.
More than half of this year's cases come from the Chicago outbreak, where 61 people have contracted the virus as of Thursday, largely among people who lived in a migrant shelter.
The city health department said Thursday that cases are on the decline after health officials administered 14,000 vaccines in just over a month.
Measles is highly contagious. It spreads when people who have it breathe, cough or sneeze and through contaminated surfaces. It also can linger in the air for two hours.
Up to 9 out of 10 people who are susceptible will get the virus if exposed, according to the CDC.
Before a vaccine became available in 1963, there were some 3 million to 4 million cases per year, which meant nearly all American kids had it sometime during childhood, according to the CDC. Most recovered.
But measles can be much more than an uncomfortable rash, said Susan Hassig, an infectious disease researcher at Tulane University.
\u201cI think that people need to remember that this is a preventable disease,\" Hassig said. \u201cIt is a potentially dangerous disease for their children.\u201d
In the decade before the vaccine was available, 48,000 people were hospitalized per year. About 1,000 people developed dangerous brain inflammation from measles each year, and 400 to 500 died, according to the CDC.
The measles, mumps and rubella (MMR) vaccine is safe and effective. It is a routine and recommended childhood vaccine that is split into two doses.
Research shows it takes a very high vaccination rate to prevent measles from spreading: 95% of the population should have immunity against the virus.
During the COVID-19 pandemic, national vaccination rates for kindergartners fell to 93% and remain there. Many pockets of the country have far lower rates than that. The drop is driven in part by record numbers of kids getting waivers.
___
The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute\u2019s Science and Educational Media Group and the Robert Wood Johnson Foundation. The AP is solely responsible for all content.
", + "textformat": "bx", + "links": [ + { + "href": "https://apnews.com/article/measles-cdc-outbreak-chicago-mmr-vaccine-7ecdfef41e6dbd659c7ac8b80d5de38f", + "rel": "canonical" + } + ], + "topics": { + "Health": { + "relevance_score": 5, + "reason": "The document is highly relevant to the topic of Health. It discusses the increase in measles cases in the U.S. in 2024, providing detailed information on the number of cases, the reasons behind the increase, the locations of outbreaks, and the importance of vaccination. It also includes historical context and expert opinions on the disease and its prevention. All these aspects are directly related to public health concerns and measures." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/04/11/80731d5be3bf21bc74fe6ba93b99050a.json b/datasets/AP_news/raw_data/2024/04/11/80731d5be3bf21bc74fe6ba93b99050a.json new file mode 100644 index 0000000..be0cbda --- /dev/null +++ b/datasets/AP_news/raw_data/2024/04/11/80731d5be3bf21bc74fe6ba93b99050a.json @@ -0,0 +1,308 @@ +{ + "altids": { + "itemid": "80731d5be3bf21bc74fe6ba93b99050a", + "etag": "80731d5be3bf21bc74fe6ba93b99050a_0a6aza0c0", + "friendlykey": "819973842468", + "referenceid": "US--Abortion-Iowa" + }, + "version": 0, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-04-11T22:24:50Z", + "firstcreated": "2024-04-11T22:24:49Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "signals": [ + "newscontent" + ], + "title": "US--Abortion-Iowa", + "headline": "Iowa asks state Supreme Court to let its restrictive abortion law go into effect", + "headline_extended": "Iowa has asked the state Supreme Court to let its blocked abortion law go into effect and uphold it altogether, disputing abortion providers\u2019 claims it infringes on women\u2019s rights to exercise bodily autonomy", + "slugline": "AP-US--Abortion-Iowa", + "description_summary": "Iowa has asked the state Supreme Court to let its blocked abortion law go into effect and uphold it altogether, disputing abortion providers\u2019 claims it infringes on women\u2019s rights to exercise bodily autonomy. 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The state Supreme Court heard oral arguments on Thursday from lawyers for the state and for abortion providers in Iowa.", + "bylines": [ + { + "by": "By HANNAH FINGERHUT", + "title": "Associated Press" + } + ], + "located": "DES MOINES, Iowa", + "datelinelocation": { + "city": "Des Moines", + "countryareacode": "IA", + "countryareaname": "Iowa", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -93.60911, + 41.60054 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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The law, which bans most abortions after about six weeks of pregnancy and before many women know they are pregnant, was in effect for a few days last July. A district court judge soon after put it on pause for the courts to assess its constitutionality. Iowa Gov. Kim Reynolds appealed the decision with the state Supreme Court\u2019s permission.
Abortion remains legal in Iowa up to 20 weeks of pregnancy while the new law is on hold.
Iowa lawmakers passed the measure with exclusively Republican support during a one-day special session. The ACLU of Iowa, Planned Parenthood North Central States and the Emma Goldman Clinic filed a legal challenge the next day.
Most Republican-led states have limited abortion access following the U.S. Supreme Court\u2019s decision to overturn Roe v. Wade, and 14 states have near total bans at all stages of pregnancy. Earlier this week, Arizona joined that set when the state's Supreme Court upheld a long-dormant law that bans nearly all abortions, with no exceptions for rape or incest.
Thursday\u2019s hearing in Iowa is the latest development in a yearslong legal battle over abortion restrictions in the state. The state Supreme Court would issue a decision by the end of its term in June, but that might not be the issue\u2019s conclusion.
Iowa\u2019s high court has not yet resolved whether earlier rulings that applied an \u201cundue burden test\u201d for abortion laws remain in effect. The undue burden is an intermediate level of scrutiny that requires laws do not create a significant obstacle to abortion.
\u201cIt is emphatically this court\u2019s role and duty to say how the Iowa Constitution protects individual rights, how it protects bodily autonomy, how it protects Iowan\u2019s rights to exercise dominion over their own bodies,\u201d Planned Parenthood attorney Peter Im told the justices.
The state argues the law should be analyzed using rational basis review, the lowest level of scrutiny to judge legal challenges. Representing the state, Eric Wessan said it\u2019s important \u201cafter years of litigation\u201d that Iowa\u2019s high court say that definitively in their decision.
The high court could decide to end the temporary pause without ruling on the law's constitutionality or the standard to use in assessing it, instead sending the case back to lower courts for full arguments there.
In July, Reynolds called lawmakers back to Des Moines after the Supreme Court declined to reinstate a blocked 2018 law that was nearly identical to the new one. It was passed despite state and federal court decisions at the time, including the precedent set in Roe v. Wade, affirming a woman\u2019s constitutional right to abortion.
After both courts reversed those decisions, Reynolds asked for the 2018 law to go into effect. An Iowa high court justice\u2019s recusal led to a rare 3-3 decision that left the block intact.
The full court heard arguments on Thursday, suggesting all seven justices would consider the case.
Wessan referenced the Iowa Supreme Court\u2019s 2022 reversal in his arguments to show the bench already indicated what's appropriate in this case when they ruled there\u2019s no \u201cfundamental right\u201d to abortion in the state constitution.
\u201cThis court has never before recognized a quasi-fundamental or a fundamental-ish right,\u201d he said.
There are limited circumstances under the Iowa law that would allow for abortion after six weeks of pregnancy: rape, if reported to law enforcement or a health provider within 45 days; incest, if reported within 145 days; if the fetus has a fetal abnormality \u201cincompatible with life\u201d; or if the pregnancy is endangering the life of the woman. The state's medical board recently defined rules for how doctors should adhere to the law.
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After all, they said Wednesday that this settlement for everyone within 20 miles of the East Palestine derailment is bigger than any past derailment settlement that has been made public. And the amount residents receive will vary based on how much the derailment devastated them. Residents like gas station owner Anna Doss are hopeful this settlement will help the town take another step forward. But the fear of possible long-term health problems still lingers and railroad safety reforms haven't been passed yet.", + "bylines": [ + { + "by": "By JOSH FUNK", + "title": "AP Business Writer" + } + ], + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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They said Wednesday that the settlement for everyone within 20 miles (32 kilometers) of the East Palestine disaster is bigger than any derailment settlement ever made public, including the worst in recent memory when a crude oil train rolled out of control downhill, killing 47 people in Lac Megantic, Canada, in 2013.
Apocalyptic images from the derailment in the small town on the Ohio-Pennsylvania border inspired calls for railroad safety reforms and exposed lasting fears for the community. Three days after a toxic mix of chemicals caught fire in the crash, officials unleashed a massive plume of black smoke over East Palestine when they blew open five tank cars of vinyl chloride and burned the chemicals because they feared an explosion.
On Wednesday, the lawyers moved to address residents' fears that the settlement wasn't enough, saying compensation would vary based on the severity of the derailment's impact on each person. Several residents said after the settlement was announced Tuesday that they worried the money, once divided among many, wouldn't be enough to cover potential future health care costs should they develop cancer later.
\u201cThis is not like your AT&T settlement where everybody gets two bucks. No, this is very individualized with respect to how close people were to the impact area, what their current situation is, whether they own, whether they rent \u2014 all sorts of criteria,\u201d said Jayne Conroy, one of the lead attorneys with Simmons Hanly Conroy.
That formula dictating how much each person receives is still being written, they said. And a federal judge would have to grant the deal preliminary approval before those awards could be calculated.
The deal does include a provision to compensate people for person injuries. Accepting that money would preclude a future claim over cancer or some other horrible illness that might develop, but area residents can decline the health money and still receive a payment for property damage.
Mike Morgan, one of the other lead attorneys in the case with Morgan & Morgan, said this settlement wasn't really designed to compensate for crippling health problems that might emerge later. But he said none of the experts consulted during the litigation expect this derailment to lead to a huge cancer clusters even with all the chemicals that spilled and caught fire \u2014 or even the vinyl chloride intentionally released and burned three days later to prevent five tank cars from exploding.
Morgan said it's important to remember that this lawsuit wasn't about the massive cleanup costs that the railroad has already spent more than $1.1 billion on. There are separate lawsuits filed by the state and federal governments to address that.
Gas station owner Anna Doss said she's optimistic that this settlement will help the town move forward though she's awaiting specifics of how the money will be divided up. Like many others in town, Doss is ready to try to put the derailment behind her although her business is struggling. She lost one quarter of her sales last year, and now her retirement plan is up in the air because her niece who had planned to buy the businesses moved away to Florida.
\u201cWe just pray that things go well and that everything that has been done is going to work to build a better community,\u201d Doss said.
Of course no one in East Palestine is immune from the fears that the derailment could lead to major health problems years from now. Tammy Tsai choked up when she said her and her husband had decided to cash out their retirements to move away, fearful of staying in the \u201ctoxic community.\u201d
\u201cWe\u2019re fortunate that we have some retirements,\u201d she said. \u201cBut what about the people that don\u2019t? That want to get out of here, that are sick?\u201d
The fact that the settlement includes several larger towns around East Palestine had Tsai imagining residents walking away with only small pieces of the larger figure. She worries about any sickness worsening in future years and residents having difficulties getting compensated then.
She felt the settlement only benefited Norfolk Southern, and would hardly make a dent in their pocket.
The railroad's CEO Alan Shaw acknowledged the deal would help remove some financial uncertainty for his company, but he argued during a presentation to investors Wednesday it would also be good for the town and help people recover.
\u201cThis gives monetary relief to individuals and qualifying businesses that they can apply in a manner to which they choose,\u201d Shaw said. \u201cWhat it really does is it addresses a lot of the financial exposure that was out there for Norfolk Southern and our shareholders, and takes that tail risk out of it.\u201d
Transportation Secretary Pete Buttigieg said in a new op-ed Wednesday that what the country really owes East Palestine \u2014 more than monetary payments \u2014 is to make railroads safer. He again urged Congress to pass a package of reforms proposed after the derailment that would set tough standards for inspections and trackside detectors while giving authorities power to impose much bigger fines.
\u201cIf we get this right, their community will be known not only for the derailment that upended everyday life there, but for the lifesaving reforms that came next,\u201d Buttigieg said.
___
Former Associated Press reporter Brooke Schultz contributed to this report from Harrisburg, Pennsylvania.
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Republican senators advanced the legislation Thursday on a 25-4 vote. It must now clear the similarly GOP-dominated House. The bill mirrors almost the exact same language from a so-called \u201canti-abortion trafficking\u201d proposal that the Senate approved just a day prior. In that version, supporters are hoping to stop adults from helping young people obtain abortions without permission from their parents or guardians.", + "bylines": [ + { + "by": "By KIMBERLEE KRUESI", + "title": "Associated Press" + } + ], + "located": "NASHVILLE, Tenn.", + "datelinelocation": { + "city": "Nashville", + "countryareacode": "TN", + "countryareaname": "Tennessee", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -86.78444, + 36.16589 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. 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(AP) \u2014 Tennessee lawmakers are considering criminalizing adults who help minors receive gender-affirming care without parental consent, a proposal advancing in one of the most eager states to enact policies aimed at the LGBTQ+ community.
Republican senators advanced the legislation Thursday on a 25-4 vote. It must now clear the similarly GOP-dominated House.
The bill mirrors almost the same language from a so-called \u201canti-abortion trafficking\u201d proposal that the Senate approved just a day prior. In that version, supporters are hoping to stop adults from helping young people obtain abortions without permission from their parents or guardians.
Both bills could be applied broadly. Critics have pointed out that violations could range from talking to an adolescent about a website on where to find care to helping that young person travel to another state with looser restrictions on gender-affirming care services.
\u201cWe\u2019ve had two bills in two days regulate the types of conversations people can have with each other,\u201d said Democratic state Sen. Jeff Yarbro. \u201cWe shouldn\u2019t be trying to violate constitutional rights and that\u2019s what this is trying to do.\u201d
The Republican sponsor, state Sen. Janice Bowling, largely refrained from debating the bill and instead read portions of the proposed statute and summary when asked questions by Democrats.
So far, Idaho is the only state in the U.S. that has enacted legislation criminalizing adults who help minors get an abortion without getting parental approval first. That law is temporarily blocked amid a federal legal challenge.
Meanwhile, no state has yet placed restrictions on helping young people receive gender-affirming care, despite the recent push among Republican-led states \u2014 which includes Tennessee \u2014 to ban such care for most minors.
Instead, some Democratically-led states have been pushing to shield health care providers if they provide health care services that are banned in a patient's home state.
Most recently, Maine attracted criticism from a group of 16 state attorneys general, led by Jonathan Skrmetti of Tennessee, over its proposed shield law.
According to the bill, providers would be shielded from \u201chostile\u201d lawsuits.
The attorneys general described the proposal as \u201cconstitutionally defective\u201d and have vowed to \u201cvigorously avail ourselves of every recourse our Constitution provides\u201d in a letter sent to Democrat Janet Mills, and other legislative leaders.
\u201cMaine has every right to decide what Maine\u2019s laws are and how those laws should be enforced. But that same right applies to every state. One state cannot control another. The totalitarian impulse to stifle dissent and oppress dissenters has no place in our shared America,\u201d the attorneys general wrote in March.
Maine\u2019s attorney general, Aaron Frey, responded to Skrmetti in a letter of his own that the claims are \"meritless.\u201d He wrote that 17 states and Washington, D.C., have already enacted similar shield laws.
\u201cUnfortunately, shield laws have become necessary due to efforts in some objecting states to punish beyond their borders lawful behavior that occurs in Maine and other states,\u201d Frey wrote.
The proposal that advanced in Tennessee on Thursday is just one of several the Volunteer State has endorsed that targets LGBTQ+ people.
For example, House lawmakers cast a final vote Thursday to send Gov. Bill Lee a bill to ban spending state money on hormone therapy or sex reassignment procedures for inmates \u2014 though it would not apply to state inmates currently receiving hormone therapy.
The bill sponsor, Republican Rep. John Ragan, said some 89 inmates are receiving such treatment.
Previously, Tennessee Republicans have attempted to limit events where certain drag performers may appear, and allow, but not require, LGBTQ+ children to be placed with families that hold anti-LGBTQ+ beliefs.
In schools, they already have approved legal protections for teachers who do not use a transgender student\u2019s preferred pronoun, restricted transgender athletes, limited transgender students\u2019 use of bathrooms aligning with their gender identity and allowed parents to opt students out of classroom conversations about gender and sexuality.
___
Associated Press writers Jonathan Mattise in Nashville, Tennessee and Patrick Whittle in Portland, Maine contributed to this report.
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Therefore, the document is somewhat relevant to the topic of health but not highly focused on it." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/04/11/b00dfbc7b7997e46c045f3136a561d49.json b/datasets/AP_news/raw_data/2024/04/11/b00dfbc7b7997e46c045f3136a561d49.json new file mode 100644 index 0000000..2dda151 --- /dev/null +++ b/datasets/AP_news/raw_data/2024/04/11/b00dfbc7b7997e46c045f3136a561d49.json @@ -0,0 +1,164 @@ +{ + "altids": { + "itemid": "b00dfbc7b7997e46c045f3136a561d49", + "etag": "b00dfbc7b7997e46c045f3136a561d49_1a4aza0c0", + "friendlykey": "378764878329", + "referenceid": "US-MED\u2013Medicaid-Disenrollment Effects" + }, + "version": 1, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-04-12T14:10:08Z", + "firstcreated": "2024-04-11T22:06:21Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: Adds link to survey. Adds to headlines. With AP Photos.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "US-MED\u2013Medicaid-Disenrollment Effects", + "headline": "One-fourth of people dropped from Medicaid still aren't insured, survey shows", + "headline_extended": "A new survey shows that almost a quarter of people who have been dropped from Medicaid during post-pandemic eligibility reviews are still uninsured", + "slugline": "AP-US-MED\u2013Medicaid-Disenrollment Effects, 1st Ld-Writethru", + "description_summary": "A new survey shows that almost a quarter of people who have been dropped from Medicaid during post-pandemic eligibility reviews are still uninsured. High costs also are preventing many from getting on another plan. That's according to a survey of 1,227 adults by KFF. 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At least 20 million lower-income Americans have lost their federal health insurance since the provision that kept states from disenrolling people during COVID-19 ended in March 2023, according to KFF\u2019s unwinding tracker. That\u2019s more than the Biden administration\u2019s initial projection of 15 million people.
States have through at least June \u2014 some longer \u2014 to finish eligibility reviews, so experts say the number is likely to grow. Medicaid enrollment nationally rose by nearly one-third during the pandemic, from 71 million people in February 2020 to 94 million in April 2023.
The number of disenrollments and people without health insurance could be much higher, said Joan Alker, executive director and co-founder of Georgetown University\u2019s Center for Children and Families. That\u2019s because the survey doesn\u2019t take into account children, who have been one of the biggest groups affected by unwinding.
\u201cThe question is, \u2018How long are they going to stay uninsured?\u2019\u201d she said. \u201cThe states who want to cover their citizens are going to have to do a lot of work to get them back.\u201d
Half of people who were enrolled in Medicaid prior to unwinding said they heard little or nothing at all about the process, according to the KFF survey, which includes responses from 1,227 adults who were previously covered by Medicaid.
Fifty-six percent of the people who were dropped said in the survey that they put off needed medical care while trying to renew.
And health care costs of any kind can be a major burden for low-income Americans, said Sara Rosenbaum of George Washington University\u2019s School of Public Health and Health Services.
\u201cSuddenly, a visit that didn\u2019t cost you anything (before) \u2013 let\u2019s say it\u2019s going to cost you $5. That $5 can be $500 for some folks,\u201d she said.
The majority of survey respondents also said they had problems when trying to renew their Medicaid coverage, like long wait times on the phone and issues with their paperwork. It\u2019s in line with concerns that advocates and officials had about the large number of procedural disenrollments \u2013 when people were dropped due to errors in paperwork or failing to return the forms.
In the 10 states that haven\u2019t yet expanded Medicaid, people were more likely to be required to provide proof of residency to renew their coverage, the KFF survey showed, with Black and Hispanic people overall more likely to be asked for proof.
That makes an already-complicated process even more arduous.
\u201cWe have known for decades that the more burdensome you make the application and renewal process,\u201d Rosenbaum said, \u201cthe greater likelihood that completely eligible people will not get the coverage they\u2019re entitled to get.\u201d
More than 30 million people are still awaiting Medicaid renewals, while 43.6 million have had their coverage renewed, according to KFF.
___
The Associated Press Health and Science Department receives support from the Robert Wood Johnson Foundation. The AP is solely responsible for all content.
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New Prime Minister Donald Tusk has vowed to legalize abortion until the 12th week of pregnancy. Conservatives in his coalition government had delayed the debate until now.", + "bylines": [ + { + "by": "By VANESSA GERA", + "title": "Associated Press" + } + ], + "located": "WARSAW, Poland", + "datelinelocation": { + "city": "Warsaw", + "countrycode": "POL", + "countryname": "Poland", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + 21.01178, + 52.22977 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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The traditionally Catholic nation has one of the most restrictive laws in Europe, but many women terminate pregnancies at home with pills mailed from abroad.
Lawmakers in the lower house of parliament considered four proposals and will vote Friday on whether to send them for further work.
Abortion is regulated by a 1993 law that was heavily influenced by the Catholic church, and was further restricted following a 2020 constitutional court ruling preventing abortion in case of fetal abnormalities.
\u201cThe abortion ban does not work,\u201d left-wing lawmaker Katarzyna Ueberhan said during the debate. \u201cOne in three women in Poland has had an abortion. One in three. I am one of them, and I think I am not alone here today.\u201d
Prime Minister Donald Tusk, who came to power in December after eight years of rule by a conservative party that restricted abortion rights, wants to legalize abortion until the 12th week of pregnancy. But his three-party governing coalition is torn on the issue, and conservatives in his alliance had pushed to keep the issue off the agenda until last weekend's local elections were over.
Surveys show public support for a more liberal law, but those fighting for a total ban are also mobilized.
A conservative lawmaker, Dariusz Matecki, played the sound of a child\u2019s heartbeat through a microphone at one point in the debate and held a poster showing a fetus and the words \u201c10th week after conception.\"
W\u0142adys\u0142aw Kurowski with the main conservative opposition party, Law and Justice, argued that lawmakers should instead deal with the country's falling birth rate, and said \u201cwe must resolutely oppose this crime against the Polish people.\u201d
Meanwhile, an anti-abortion group held a demonstration outside showing graphic images.
\u201cEven if these criminal and murderous laws are pushed through, the voice of the pro-life community will still rise very strongly and defend the unborn,\u201d said Marcin Perlowski, one of the campaigners.
Crucially, conservative politicians hold key political positions with the power to block change.
One is President Andrzej Duda, who holds veto power over legislation and who last month vetoed a law that would have allowed over-the-counter access to the morning-after pill for girls and women ages 15 and above.
The other is the parliament speaker, Szymon Ho\u0142ownia, who had once considered becoming a Dominican friar. Abortion rights advocates accuse him of violating the will of voters by keeping the issue off the agenda for months.
\u201cHe is a Christian fundamentalist abusing his power as the speaker of parliament,\u201d said Marta Lempart, head of the Women's Strike, a group that organized mass protests in recent years while the previous right-wing government pushed to restrict abortion rights.
Under the current law, doctors in Poland can only provide abortions if a woman's health or life is at risk or if the pregnancy results from a crime. However, doctors often will not perform abortions even when they are permissible under the law, citing their conscience.
There have been cases in recent years of women with troubled pregnancies who died after doctors prioritized keeping the fetuses alive.
Women with pregnancies resulting from rape have the right to an abortion if they report the crime to the prosecutor\u2019s office. But in practice, no woman has done so for the past 10 years due to the double stigma of acknowledging the rape publicly and seeking an abortion, said Natalia Broniarczyk, an activist with Abortion Dream Team, one of several groups that helps Polish women obtain abortion pills from abroad or travel abroad for the procedure.
\u201cThere is no trust in the official system,\u201d she said.
Broniarczyk estimated that about 120,000 abortions occur per year among women in Poland \u2014 some 50,000 provided by her group alone.
Another Polish activist who helps provide abortions is activist Kinga Jeli\u0144ska with the group Women Help Women. She runs a helpline from the Netherlands and sends pills to Poland.
Jeli\u0144ska, in parliament Thursday, said the network of groups helping women have abortions at home are the only ones in Poland who follow World Health Organization guidelines on abortion care, which stress the use of pills as the safest abortion method.
\u201cIt\u2019s not the state, it\u2019s not the doctors, but feminists like myself and my colleagues ... that do the most abortions in this country,\u201d she said, holding up a packet of pills.
Under the law, it's not a crime for women to end their pregnancies, but assisting a woman in terminating her pregnancy is a crime punishable by three years in prison.
A bill proposed by the left would decriminalize such assistance. Two other bills, one drafted by the left and the other by Tusk's Civic Coalition, propose legalizing abortion up to the 12th week of pregnancy.
A fourth bill, introduced by the parliament speaker's conservative political grouping, the Third Way, would return Poland to the pre-2020 situation, meaning women could once again terminate pregnancies on the basis of fetal defects but most restrictions on abortions would remain.
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LOUIS (AP) \u2014 Arguments before a federal appeals court that is considering whether to reinstate Arkansas' first-in-the-nation ban on gender-affirming care for minors focused Thursday on whether it and similar restrictions adopted by two dozen states discriminate on the basis of sex.
Ten judges with the 8th U.S. Circuit Court of Appeals in St. Louis heard arguments over a judge's ruling last year that struck down the ban as unconstitutional. The 2021 law would prohibit doctors from providing gender-affirming hormone treatment, puberty blockers or surgery to anyone under 18.
An attorney for the American Civil Liberties Union, which challenged the law on behalf of four transgender youths and their parents, said the restriction infringes on the longstanding rights of parents to make decisions about their children's medical care.
\u201cArkansas believed that that government knew better than the loving parents in this case what was best for their minor children,\u201d Chase Strangio, deputy director for transgender justice for the ACLU\u2019s LGBTQ and HIV Project, told the court. \u201cThat burdens that longstanding right of parents to direct the medical care of their children.\u201d
At least 24 states have adopted laws restricting or banning gender-affirming medical care for transgender minors, and most of those face lawsuits. The restrictions on health care are part of a larger backlash against transgender rights, touching on everything from bathroom access to participation in sports.
The 43-minute hearing on the Arkansas law drew a packed audience that included the actor Elliot Page, who has filed a brief asking the court to uphold last year's ruling.
Dylan Jacobs, the deputy solicitor general for Arkansas, argued that the law doesn't discriminate based on sex because it bans the treatments for a specific purpose.
\u201cMinors may be prescribed testosterone for any purpose other than gender transition under this statute,\u201d Jacobs said, adding that states have \u201cwide-ranging authority\u201d to regulate health, safety and medical ethics.
The case went before the full court rather than a three-judge panel after it granted a request by Republican Attorney General Tim Griffin. The move could speed up the case's march toward the U.S. Supreme Court, which has been asked to block similar laws in Kentucky and Tennessee. All but one of the judges hearing arguments Thursday were appointed by Republican presidents.
Jacobs was repeatedly questioned by Judge Jane Kelly, who was appointed to the court by former President Barack Obama, about the state's arguments that the law doesn't discriminate based on sex.
Judge David Stras, who was appointed to the court by former President Donald Trump, asked attorneys on both sides whether gender identity is \"fully fixed\" before the end of puberty and whether that would be justification for a ban like Arkansas'.
Jacobs said the Legislature setting 18 as the cutoff age implies that was part of its reasoning. Strangio noted that none of the treatments banned by Arkansas are prescribed before the onset of puberty.
It\u2019s unclear when the 8th Circuit will make a ruling. Chief Judge Steven Colloton said it will issue a decision \u201cin due course.\u201d
\u201cThis ongoing battle, in Arkansas and across the United States, is a stark reminder of the challenges we face in ensuring that everyone has the freedom to access the care they need and deserve,\u201d the families challenging the law said in a statement after the hearing.
U.S. District Judge Jay Moody last year ruled that Arkansas' health care restrictions violated the due process and equal protection rights of transgender youths and families. He also ruled that it violated the First Amendment by prohibiting doctors from referring patients elsewhere for such care. Moody had temporarily blocked the law before it could take effect in 2021.
The ACLU is also representing two medical providers of the care. Multiple medical groups, including the American Medical Association and the American Academy of Pediatrics, have opposed Arkansas' ban and urged the 8th Circuit to uphold the decision against it. An attorney for Justice Department, which opposes Arkansas' ban, also appeared before the court.
The state has pointed to appeals court rulings allowing Alabama, Kentucky and Tennessee's bans to be enforced. Arkansas\u2019 attorneys have called the care \u201cexperimental,\u201d a description that Moody\u2019s ruling said was refuted by decades of clinical experience and scientific research. The state has argued that Moody's order creates a \u201cnovel new\u201d right that parents can direct their children to receive medical care that the state does not find safe.
Judges\u2019 orders are temporarily blocking enforcement of similar bans in Idaho and Montana.
Arkansas' ban was enacted after the majority-GOP Legislature overrode a veto by Asa Hutchinson, the Republican governor at the time. Current Gov. Sarah Huckabee Sanders, Hutchinson's successor and also a Republican, has said she would have approved the ban and last year signed legislation making it easier to sue providers of such care for malpractice.
___
This story has been updated to correct that the court\u2019s chief judge is Steven Colloton, not Lavenski Smith.
___
DeMillo reported from Little Rock, Arkansas.
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Given the detailed focus on health care regulations and their effects, the document is highly relevant to the topic of health." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/04/11/f40d2799609d6f95565e7bf90daf18de.json b/datasets/AP_news/raw_data/2024/04/11/f40d2799609d6f95565e7bf90daf18de.json new file mode 100644 index 0000000..1ead5e9 --- /dev/null +++ b/datasets/AP_news/raw_data/2024/04/11/f40d2799609d6f95565e7bf90daf18de.json @@ -0,0 +1,335 @@ +{ + "altids": { + "itemid": "f40d2799609d6f95565e7bf90daf18de", + "etag": "f40d2799609d6f95565e7bf90daf18de_1a10aza0c0", + "friendlykey": "514360403271", + "referenceid": "US--A Father's Evolution" + }, + "version": 1, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-04-11T12:29:00Z", + "firstcreated": "2024-04-11T04:07:07Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: Adds video. 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(AP) \u2014 Before his transgender daughter was suspended after using the girls' bathroom at her Missouri high school. Before the bullying and the suicide attempts. Before she dropped out.
Before all that, Dusty Farr was \u2014 in his own words \u2014 \u201ca full-on bigot.\" By which he meant that he was eager to steer clear of anyone LGBTQ+.
Now, though, after everything, he says he wouldn\u2019t much care if his 16-year-old daughter \u2014 and he proudly calls her that \u2014 told him she was an alien. Because she is alive.
\u201cWhen it was my child, it just flipped a switch,\u201d says Farr, who is suing the Platte County School District on Kansas City's outskirts. \u201cAnd it was like a wake-up.\"
Farr has found himself in an unlikely role: fighting bathroom bans that have proliferated at the state and local level in recent years. But Farr is not so unusual, says his attorney, Gillian Ruddy Wilcox of the American Civil Liberties Union of Missouri.
\u201cIt sometimes takes meeting a person before someone can say, \u2018Oh, that\u2019s a person and that\u2019s who they are, and they\u2019re just being themselves,'\" she says. \u201cAnd I do think that for Dusty, that\u2019s what it took.\u201d
___
Looking back, Farr figures his daughter, the youngest of five, started feeling out of place in her own body when she was just 6 or 7. But he didn't see it.
Farr said he didn't have \u201ca lot of exposure to what I would consider the outside world\u201d in the conservative Nebraska community where he was raised. \u201cJust old farmers\u201d is how he described it.
Moving to the Kansas City area, which has 20% more people than live in all of Nebraska, was a culture shock. \u201cI had never seen the LGBTQ community up close, and I would still have my closed-minded thoughts.\u201d He said things then that he now regrets. \u201cA lot of derogatory words. I don\u2019t want to go back to that place.\"
He settled on the outskirts in one of the more conservative enclaves, a community that is home to some of the troops stationed at nearby Fort Leavenworth. He worked as a service manager at a tractor repair facility.
His youngest \u2014 a smart, funny, loves-to-sing, light-up-a-room kind of kid \u2014 was his fishing and camping buddy. A competitive archer, she also joined her dad on trips to the shooting range.
\u201cNo parent has a favorite,\" Farr says, \u201cbut if I had a favorite, it would be my youngest.\u201d
But when she was 12, she started to steer away from him, spending more time with the rest of the family. It lasted for a few months before she came out to her family. He knows now how hard this was. \u201cGrowing up,\u201d he says, \u201cmy kids knew how I felt.\u201d
His wife, whom he described as less sheltered, was on board immediately. Him, not so much.
\u201cGiven the way I was raised, a conservative fire and brimstone Baptist, LGBTQ is a sin, you\u2019re going to hell. And these were things, unfortunately, that I said to my daughter,\u201d Farr says. \u201cI\u2019m kind of ashamed to say that.\u201d
They bumped heads and argued, their relationship strained. In desperation, he turned to God, poring through the Bible, questioning teachings that he once took at face value that being transgender was an abomination. He prayed on it, too, replaying her childhood in his mind, seeing feminine qualities now that he had missed.
Then it hit him. \u201cShe\u2019s a girl.\u201d
\u201cI got peace from God. Like, \u2018This is how your daughter was born. I don\u2019t make mistakes as God. So she was made this way. There\u2019s a reason for it.'\"
___
The switch was almost instantaneous. \u201cAn overnight epiphany,\" he calls it. \u201cIt\u2019s uplifting when you can actually accept the way things are, and you\u2019re not carrying that unfounded hate and unfounded disgust.\"
His daughter, who is named only by her initials of R.F. in the lawsuit, was stunned. He had been, she recalls, \u201cto say it nicely, very annoying.\u201d Now everything was different.
\u201cThere was this electricity in me that was just, it felt like pure joy. Just seeing someone I thought would never support me, just being one of my biggest supporters,\u201d she recalled as she played with her dog, a miniature Jack Russell terrier named Allie, at a park on an unseasonably warm February day. Her father was with her.
She, her father and her attorneys asked that she remain anonymous because she is unnamed in the lawsuit and to protect her from discrimination.
All those years, he had missed it. It is strange to him now.
\u201cI don\u2019t know if it was my inner bigotry not wanting to see it or if I was just blind. I don\u2019t know,\" he says.
But the how, the why \u2014 these are not things he likes to dwell on much.
\u201cWhere we\u2019re at now is what matters,\" he says. \"Me being a loving father. Me being accepting, me knowing that this isn\u2019t a choice. This is how she was born.\u201d
His daughter was diagnosed with gender dysphoria, or distress caused when gender identity doesn\u2019t match a person\u2019s assigned sex. A common treatment is to prescribe drugs to delay puberty.
That's what Farr's daughter did, along with growing out her hair. She had friends, and Farr says things returned to normal \u2014 for the most part.
But then came high school. \u201cAnd,\" Farr says, \"anything I did to her, school was 10 times worse.\u201d
The school knew about her gender dysphoria diagnosis, Farr says, describing it simply as a medical issue. Telling them about it was something he likened to talking about a case of chicken pox. The whole thing didn't seem like such a big deal now. \u201cWe were golden.\u201d After all, he says: \u201cIf we don\u2019t evolve, we die.\u201d
But the 2021-22 school year had just started when the assistant principal pulled his daughter aside. While remote learning persisted in some schools as the pandemic lingered, the high school was in person. According to the suit filed last year, the administrator said students must use the restroom of their sex designated at birth or a single gender-neutral bathroom. The district disputes that happened .
Another employee, the suit said, took it further and told her using the girls' bathroom was against the law. The district disputed that happened, too.
___
The thing is, there isn't a law \u2014 at least, not in Missouri.
While more than 10 states have enacted laws over bathroom use, Missouri is not one of them. What Missouri has done is impose a ban on gender-affirming care. For bathrooms, it leaves policy debate to local districts.
\u201cAsinine\" is how Farr described the whole wave of restrictions, while acknowledging in the same breath that he probably would have supported them a decade ago. \u201cKind of makes me dislike myself a little bit.\"
He figured it was all just a way to intimidate her. He thinks some people believe mistakenly that trans kids are trying to catch a glimpse of someone not fully clothed.
Some Republican legislators who have backed state-level bathroom laws have argued that they\u2019re responding to people\u2019s concerns about transgender women sharing bathrooms, locker rooms and other spaces with cisgender women and girls. But critics argue that restrictions cause harassment of transgender people, not the other way around.
\u201cI don\u2019t think they get the severity of what just telling someone what restroom they can use \u2014 what kind of impact something that small can have on someone.\"
His daughter didn\u2019t understand: \u201cIt kind of just made me feel hopeless in my education,\u201d she recalls thinking. \u201cBecause how is this place that\u2019s supposed to teach me everything to be an adult, how are they going to teach me what I need to learn when they\u2019re dictating where I pee?\u201d
The gender-neutral bathroom was far from her classes and often had long lines, the suit says. She, as a freshman, was missing class, and teachers were lecturing her. So she used the girls' restroom. Verbal reprimands were followed by a one day in-school suspension and then a two-day, out-of-school suspension, the suit says.
\u201cYour policy is dumb,\u201d Farr recalled telling the school, which argued in its response to his lawsuit that his daughter was eating lunch in the girls' restroom and had unclean hands.
His daughter started using the boys' restroom. The suit said it was because she feared more discipline, but the district argued in its written response that she was \u201cintentionally engaging in disruptive behavior in numerous bathrooms, perhaps to invite discipline.\u201d It didn't elaborate on what it meant by disruptive behavior.
One day, she was in the boys' restroom when a classmate approached and told another student, \u201cMaybe I should rape her,\u201d the suit said. Farr said the student told his daughter he was threatening her because she looked like a girl.
Beyond angry now, Farr called not just the school but the ACLU. The district acknowledged the incident, saying a student made a \u201chighly inappropriate\u201d comment about rape and was disciplined. By now, Farr's daughter was afraid to go to school.
\u201cIf I use the restroom they say I have to, I\u2019m going to get bullied. If I use the gender-neutral restroom, I\u2019m going to be late to my classes,\u201d Farr says, illustrating his daughter's point of view. \"So it\u2019s a damned if you do, damned if you don\u2019t situation.\u201d
The district sees it differently, writing in a court filing that \u201cthere were numerous factors and circumstances in R.F.\u2019s life, unrelated to school, which may have caused emotional harm, depression and anxiety.\u201d
___
Ultimately, her parents got the school to agree to let her finish her freshman year online. But she missed three weeks of classes before the switch was approved. Typically an A and B student, she plummeted to D's and F's. Worse to Farr, his daughter was withdrawing, losing friends and isolating herself in her room.
He describes it as \u201ca dark rabbit hole of depression.\u201d Twice she tried to kill herself and was hospitalized. Everything from butter knives to headache medicine was locked up.
She returned in person to start her sophomore year, hoping things would be better. She made it only a few weeks before returning to online school.
At semester's end, Farr and his family moved out of the district. Bathroom access remained a source of friction in her new school, so again she switched to online school. When she turned 16 last spring, Farr and his wife agreed to let her drop out. He says they chose to focus on her mental health and describes it as \u201cprobably the best decision we've made.\u201d Still, it feels strange.
\"I never would have guessed that I would \u2014 I don\u2019t want to use happy \u2014 but would be OK with one of my kids quitting school,\" he said.
She is in counseling now, taking hormone replacement therapy, leaving her room and watching TV with Farr. She is interviewing for a job and considering an alternative high school completion program. She'd like to go to college one day, and study psychology, maybe law.
With the lawsuit filed, customers have approached Farr, telling him they support his fight. He was expecting they would scoff. Even his own parents are on board, which he says \u201csurprised the hell out of me.\u201d
\u201cThese aren\u2019t the people who raised me, let me tell you,\" he says.
Sometimes Farr's daughter yells at him, and he admits that he missed the teen attitude. That spirit and fight had faded.
\u201cBeing a teenager is hell,\" he says. \u201cBeing a trans teen is 10 kinds of hell. She\u2019s the brave one. I\u2019m just her voice.\u201d
He feels he has changed enough to fill this role \u2014 that being her voice can help other parents and kids avoid what his family endured. \u201cOur kids,\" he says, \u201care dying.\u201d He thinks that because of where he came from, maybe people will listen when he raises alarms. Maybe.
\u201cIt\u2019s almost like a transgender person,\u201d he says of his transformation. \u201cThere\u2019s the dead me. And then there\u2019s the new me.\u201d
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Adds details from a 2023 U.S. Department of State's report on fentanyl seized.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "LT--Mexico-Fentanyl", + "headline": "Mexico, a leading producer of illicit fentanyl, can't get enough for medical use, study finds", + "headline_extended": "A new report by the Mexican government says the country is facing a dire shortage of fentanyl for medical use, even as Mexican cartels pump out tons of the illicit narcotic", + "slugline": "AP-LT--Mexico-Fentanyl, 3rd Ld-Writethru", + "description_summary": "A new report by the Mexican government says the country is facing a dire shortage of fentanyl for medical use, even as Mexican cartels pump out tons of the illicit narcotic. The paradox was reported Friday in a study by Mexico's National Commission on Mental Health and Addictions. The study did not give a reason for the shortage of the synthetic opioid, which is needed for anesthesia in hospitals, but claimed it was a world-wide problem. The commission said fentanyl had to be imported, and that imports fell by more than 50% between 2022 and 2023. Nonetheless, Mexican cartels import tons of precursor chemicals to make illicit fentanyl.", + "located": "MEXICO CITY", + "datelinelocation": { + "city": "Mexico City", + "countrycode": "MEX", + "countryname": "Mexico", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -99.12766, + 19.42847 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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The paradox was reported in a study by Mexico\u2019s National Commission on Mental Health and Addictions. The study did not give a reason for the shortage of the synthetic opioid, which is needed for anesthesia in hospitals, but claimed it was a worldwide problem.
The commission said fentanyl had to be imported, and that imports fell by more than 50% between 2022 and 2023.
Nonetheless, Mexican cartels appear to be having no problem importing tons of precursor chemicals and making their own fentanyl, which they smuggle into the United States. The report says Mexican seizures of illicit fentanyl rose 1.24 tons in 2020 to 1.85 tons in 2023.
Some of that is now spilling back across the border, with an increase in illicit fentanyl addiction reported in some Mexican border regions \u2014 a problem Mexico paradoxically blamed on the United States.
\u201cDespite the limitations of availability in pharmaceutical fentanyl in our country, the excessive use of opiates in recent decades in the United States has had important repercussions on consumption and supply in Mexico,\u201d the report states.
The report said that requests for addiction treatment in Mexico increased from 72 cases in 2020, to 430 cases in 2023. That sounds like a tiny number compared to the estimated 70,000 annual overdose deaths in the United States in recent years related to synthetic opioids. But in fact, the Mexican government does very little to offer addiction treatment, so the numbers probably don't reflect the real scope of the problem.
The shortage of medical anesthetic drugs has caused some real problems in Mexico.
Local problems with the availability of morphine and fentanyl have led anesthesiologists to acquire their own supplies, carry the vials around with them, and administer multiple doses from a single vial to conserve their supply.
In 2022, anesthetics contaminated by those practices caused a meningitis outbreak in the northern state of Durango that killed about three dozen people, many of whom were pregnant women given epidurals. Several Americans died because of a similar outbreak after having surgery at clinics in the Mexican border city of Matamoros in 2023.
The response by the administration of President Andr\u00e9s Manuel L\u00f3pez Obrador to those twin problems \u2014 not enough legal fentanyl, and too much of the illicit stuff \u2014 has been contradictory.
In 2023, L\u00f3pez Obrador briefly proposed banning fentanyl even for medical use, but has not mentioned that idea lately after it drew a wave of criticism from doctors.
Meanwhile, the president has steadfastly denied that Mexican cartels produce the drug, despite overwhelming evidence that they import precursor chemicals from Asia and carry out the chemical processes to make fentanyl. L\u00f3pez Obrador claims they only press the drug into pill form.
According to the U.S. Department of State\u2019s 2023 International Narcotics Control Strategy Report, \u201capproximately 96 percent of all fentanyl seized by CBP originated in Mexico, with only 270 kg reaching the United States from other destinations.\u201d
___
Follow AP\u2019s coverage of Latin America and the Caribbean at https://apnews.com/hub/latin-america
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These points are directly related to health, making the document highly relevant to the topic." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/04/12/3c117169d4c6c1e978e47ce26f62b92e.json b/datasets/AP_news/raw_data/2024/04/12/3c117169d4c6c1e978e47ce26f62b92e.json new file mode 100644 index 0000000..e8823fc --- /dev/null +++ b/datasets/AP_news/raw_data/2024/04/12/3c117169d4c6c1e978e47ce26f62b92e.json @@ -0,0 +1,183 @@ +{ + "altids": { + "itemid": "3c117169d4c6c1e978e47ce26f62b92e", + "etag": "3c117169d4c6c1e978e47ce26f62b92e_0a18aza0c0", + "friendlykey": "374140028692", + "referenceid": "US-MED--Suicide Risk-Obesity Drugs" + }, + "version": 0, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-04-12T17:50:08Z", + "firstcreated": "2024-04-12T17:50:08Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: Updates Media.", + "signals": [ + "newscontent" + ], + "title": "US-MED--Suicide Risk-Obesity Drugs", + "headline": "No link between Ozempic, Wegovy and suicide, EU drug regulators say", + "headline_extended": "Drug regulators in Europe have found no evidence that popular diabetes and weight-loss drugs like Ozempic and Wegovy are linked to a higher risk of suicidal thoughts or actions", + "slugline": "AP-US-MED-Suicide-Risk-Obesity-Drugs", + "description_summary": "Drug regulators in Europe have found no evidence that popular diabetes and weight-loss drugs like Ozempic and Wegovy are linked to a higher risk of suicidal thoughts or actions. 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The European Medicines Agency regulatory committee announced the results of its review on Friday. It's the latest group to conclude there's no known tie between a new class of obesity drugs and suicide.
In January, the U.S. Food and Drug Administration said a preliminary review showed no evidence of such a link, though the agency said it could not rule out that \u201ca small risk may exist\u201d and that it would continue to study the issue. A federally funded U.S. study also found that people taking semaglutide, the medication in Ozempic and Wegovy, had a lower risk of suicidal thoughts than those taking older medications to treat diabetes and obesity.
The review by the European Union's regulators was triggered last July by anecdotal reports that people taking the drugs had thoughts of self-harm. The regulators examined studies, post-marketing data and other research related to medications used in nearly a dozen drugs used to treat the diseases. The group did not review information regarding tirzepatide, the medication used in drugs sold as Mounjaro and Zepbound.
Both agencies said they would continue to closely monitor reports of suicidal thoughts or actions in people taking the drugs known as GLP-1 receptor agonists. Patients taking the drugs should report any mental health or other problems to their health care providers, officials said.
___
The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute\u2019s Science and Educational Media Group. The AP is solely responsible for all content.
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Members of the lower house of parliament, the Sejm, voted to work on four separate bills. Two of them propose legalizing abortion through the 12th week of pregnancy, in line with European norms.
The party of centrist Prime Minister Donald Tusk is seeking to change the law to allow women to terminate pregnancies up to the 12th week of pregnancy. Tusk won office last year after an election in which young people and women turned out in large numbers amid a record high turnout of nearly 75%. Political observers say voters were mobilized after the abortion law was restricted under the previous right-wing government.
Tusk said he believed Poland still probably has a long way to go to liberalize the law, but welcomed Friday's votes as a move in the right direction towards the defense of the \u201cfundamental rights of women.\u201d He said he believed the country would ultimately end up with a law that gives women the feeling that they are not \u201can object of attack, contempt or disregard.\u201d
Tusk is supported on the issue by the Left, a member of his three-party coalition. However, the third coalition partner, the more conservative Third Way, favors restrictions on abortion rights, and the issue has been a source of tension within the government.
Abortion rights advocates said the decision to continue work on the bills, and not reject them outright, was a step in the right direction, though they also don't expect real change in the law coming soon.
Kinga Jeli\u0144ska, an activist who helps provide abortions with the group Women Help Women, described being \u201cmoderately satisfied\" because she is \u201crealistic\u201d about the prospects for change.
The Women's Strike, the Polish organization that led massive street protests as abortion rights were restricted, noted that it was the first time since 1996 that bills liberalizing legal access to abortion in Poland were not dropped in a primary vote.
The group welcomed the fact that the 27-member commission created to work on the four bills will be led by Dorota \u0141oboda, a lawmaker who was formerly a Women's Strike activist.
Any liberalization bill would likely be vetoed by President Andrzej Duda, who remains in office until the summer of 2025.
Duda is a conservative who last month vetoed a bill making the morning-after pill available over-the-counter to women and girls 15 and older. It is not an abortion pill but emergency contraception.
Abortion opponents are also mobilized in the European Union country that has long considered the Catholic faith to be a bedrock of national identity, but which is also in the process of rapid secularization.
The Catholic church called on the faithful to make Sunday a day of prayer \u201cin defense of conceived life.\" An anti-abortion demonstration called the March of Life is also being planned in downtown Warsaw that day.
Currently abortions are only allowed in the cases of rape or incest or if the woman's life or health is at risk. Reproductive rights advocates say that even in such cases, doctors and hospitals turn away women, fearing legal consequences for themselves or citing their moral objections. According to Health Ministry statistics, only 161 abortions were performed in Polish hospitals in 2022.
The reality is that many Polish women are already having abortions, often with pills mailed from abroad. Reproductive rights advocates estimate that some 120,000 abortions are carried out each year by women living in Poland.
It is not a crime for a woman to perform her own abortion, only assisting a woman is a crime.
One of the four bills that now goes for further work is a proposal by the Left that would decriminalize assisting a woman in having an abortion, currently a crime punishable by three years in prison.
A fourth proposal, introduced by the Third Way, would keep a ban in most cases but allow abortions in cases of fetal defects \u2014 a right that was eliminated by a 2020 court ruling.
___
Associated Press writer Monika Scislowska in Warsaw contributed to this report.
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The Vatican confirmed the Sept. 2-13 visit, saying the 87-year-old pope would visit Jakarta, Indonesia; Port Moresby and Vanimo, Papua New Guinea; Dili, East Timor; and Singapore. Further details will be announced later.
Francis' health has become a source of increasing concern and speculation, even though the pontiff is able to carry on with a rigorous schedule of meetings at the Vatican and even excursions to local parishes.
Francis, who had part of one lung removed as a young man, had to cancel a planned visit to Dubai late last year after he came down with a bad case of bronchitis. He suffered from respiratory problems all winter and had to curtail his participation in Holy Week events to save his energy for Easter.
Francis has also been using a wheelchair for nearly two years because of bad knee ligaments, and has said that traveling has become increasingly more difficult.
And yet at 11 days, the trip would be the longest of Francis\u2019 papacy, outpacing by a few days some of his long trips to the Americas early on in his 11-year papacy. It will bring the Argentine Jesuit to the world\u2019s most populous Muslim nation, Indonesia, as well as the former Portuguese colony of East Timor, where the Catholic Church wields enormous influence.
There is also a chance of another leg to the trip being added later: This week, the Vatican foreign minister, Archbishop Paul Gallagher, was in Vietnam and discussed a papal visit, Vatican News reported, without providing details.
In a statement announcing the visit, the Indonesian foreign ministry welcomed the visit and recalled that it had originally been scheduled for 2020 but was postponed because of the COVID-19 pandemic.
\u201cThe visit of Pope Francis to Indonesia holds significant importance to the Indonesian people, not only for Catholics but also for all religious communities. The visit is also expected to strengthen the message of tolerance, unity and world peace,\u201d the statement said.
Indonesia is home to roughly 242 million Muslims and 29 million Christians \u2014 8.5 million of whom are Catholics \u2014 according to a 2022 report by the Religious Affairs Ministry.
East Timor, which today has a population of about 1.2 million people, is Southeast Asia\u2019s only predominantly Christian nation with the exception of the Philippines. According to the 2015 census, 97.6% of East Timor\u2019s population is Catholic.
The visit to East Timor will likely reignite attention over a clergy sex abuse scandal involving its revered independence hero and Nobel Peace Prize winner. The Vatican confirmed in 2022 that it had sanctioned Bishop Carlos Ximenes Belo following allegations that he sexually abused boys there during the 1990s. Belo is believed to now be living in Portugal.
Francis will be the first pope to visit Papua New Guinea since St. John Paul II went there in 1984. The country, in a strategically important part of the South Pacific, has struggled with tribal violence and civil unrest.
John Paul also visited Singapore, in 1986. The country today is home to 395,000 Catholics and Francis in 2022 made its archbishop Singapore's first cardinal.
In a statement welcoming the visit, Cardinal William Goh, said it \u201cwill bring renewed fervor to all Catholics in Singapore, uniting them in faith and mission, especially in these most challenging of times.\u201d
The Vatican has planned only one other papal trip this year \u2014 to Belgium to celebrate the anniversary of the country\u2019s Catholic university. Francis has also said he wants to return to his native Argentina, but no plans or dates have been announced.
___
Karmini contributed from Jakarta, Indonesia.
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The Supreme Court said the selection of a Medicare plan is not subject to the APA. The lawsuit stems from a 2022 decision by a state panel to replace a Medicare supplemental plan with a Medicare Advantage plan. The move set off a firestorm of opposition from retired government employees.", + "bylines": [ + { + "by": "By RANDALL CHASE", + "title": "Associated Press" + } + ], + "located": "DOVER, Del.", + "datelinelocation": { + "city": "Dover", + "countryareacode": "DE", + "countryareaname": "Delaware", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -75.52437, + 39.15817 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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(AP) \u2014 Delaware\u2019s Supreme Court has overturned a lower court ruling that prevented officials from moving state government retirees from a Medicare supplement plan to a Medicare Advantage plan.
The justices ruled Friday that a Superior Court judge had no jurisdiction to enter the stay because he wrongly determined that the state panel that approved the Medicare Advantage plan had violated the state\u2019s Administrative Procedures Act. The selection of a particular Medicare plan is not a regulation subject to APA notice and public hearing requirements, and the judge therefore had no jurisdiction under the APA to halt the plan, the court said.
Justice Abigail LeGrow, writing for a three-judge panel, said a regulation under the APA is a statement of law, procedure or policy that is used as a rule or standard to guide, regulate, or act as a model for future action. The choice of a Medicare plan does not fall within the plain meaning of those terms, she said.
\u201cAccordingly, the Superior Court did not have jurisdiction to enter the challenged stay, and we reverse the decision on appeal,\u201d LeGrow wrote. \u201cThe important policy considerations that attend the selection of healthcare coverage for state retirees are questions appropriately addressed to the legislative and executive branches.\u201d
The court rejected an appeal by plan opponents seeking to force the state to pay their attorney fees because of the state\u2019s \u201creprehensible conduct.\u201d Fee shifting, available only against a losing party, was mooted by the reversal of the lower court decision, LeGrow noted.
Democratic Gov. John Carney's office released a statement praising the ruling.
\u201cWe are pleased with the result at the Supreme Court, which reaffirms the role of the executive branch in making important decisions around procurement of health care and other services,\u201d the statement reads. \"This ruling will protect taxpayers in the long run.\u201d
In February 2022, the State Employee Benefits Committee unanimously agreed to replace a Medicare part A and B supplemental plan with a new Part C Medicare Advantage plan, effective Jan. 1, 2023. The move set off a firestorm of opposition from state retirees and, in turn, prompted lawmakers to introduce legislation eliminating the option of providing state pensioners with a Medicare Advantage plan.
Opponents, including former Democratic state Sen. Karen Peterson, were particularly unhappy with the prospect of having fewer medical providers to choose from and needing prior authorization for many medical procedures.
In October 2022, Superior Court Judge Calvin Scott Jr. halted implementation of the Medicare Advantage plan, saying it amounted to a new regulation under the APA. He rejected the administration\u2019s argument that the State Employee Benefits Committee was authorized by law to change retiree healthcare plans without following formal APA requirements.
In the wake of the lawsuit, the State Employee Benefits Committee and Highmark Blue Cross Blue Shield agreed last year to terminate the Medicare Advantage contract. The State Employee Benefits Committee also voted to solicit bids for a new Medicare supplement plan.
Meanwhile, lawmakers introduced a bill to add a state retiree and an additional representative of organized labor to the State Employee Benefits Committee, and to establish a Retiree Healthcare Benefits Advisory Subcommittee. Carney signed the bill into law last year just two weeks after it was introduced.
A separate bill eliminating the option of providing state pensioners with a Medicare Advantage plan was introduced this year. It was amended last month to allow a Medicare Advantage plan as an option for eligible pensioners hired on or after Jan. 1, 2025, but only if the plan is adopted by the State Employee Benefits Committee as a regulation under the APA. The bill passed the House unanimously last month and is awaiting consideration by a Senate committee.
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While the primary focus is on the legal and procedural aspects, the content is directly related to healthcare plans and their administration, which falls under the broader topic of health." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/04/12/73d434f1032fdea016a27064e0d5b9f2.json b/datasets/AP_news/raw_data/2024/04/12/73d434f1032fdea016a27064e0d5b9f2.json new file mode 100644 index 0000000..eb5555b --- /dev/null +++ b/datasets/AP_news/raw_data/2024/04/12/73d434f1032fdea016a27064e0d5b9f2.json @@ -0,0 +1,379 @@ +{ + "altids": { + "itemid": "73d434f1032fdea016a27064e0d5b9f2", + "etag": "73d434f1032fdea016a27064e0d5b9f2_2a21aza0c0", + "friendlykey": "451537905702", + "referenceid": "US-Abortion-Things to Know" + }, + "version": 2, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-04-12T18:59:40Z", + "firstcreated": "2024-04-12T15:38:08Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: EDITS: Adds detail about Maine legislation passing; changes headline. Minor edits.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "US-Abortion-Things to Know", + "headline": "Arizona just revived an 1864 law criminalizing abortion. Here's what's happening in other states", + "headline_extended": "Abortion was already a major issue in U.S. elections in 2024", + "slugline": "AP-US-Abortion-Things-to-Know, 2nd Ld-Writethru", + "description_summary": "Abortion was already a major issue in U.S. elections in 2024. An Arizona Supreme Court ruling elevated it more. The court cleared the way for the state to start enforcing a ban on abortion in all stages of pregnancy. That's something 14 other states are already enforcing. The state is a key battleground in this year's presidential election, and it's possible voters will also be able to cast ballots this year on whether to amend the state constitution to allow more abortion access. 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underscored something that was already apparent about the 2024 elections in the United States: Abortion is going to loom large as an issue in state and federal elections \u2014 including the presidential race \u2014 and directly in the form of referendums in some states.
An Arizona Supreme Court ruling that allows enforcement of a ban on abortion at all stages of pregnancy was part of a flurry of recent activity on the issue that has been in flux since the U.S. Supreme Court overturned Roe v. Wade and undid a national right to abortion in 2022.
At the moment, 14 states are enforcing bans on abortion at all stages of pregnancy, and two have them currently in place after about six weeks of pregnancy, before many women realize they are pregnant. Both numbers will rise within weeks because of recent court rulings, barring any surprise legislative or court action.
Most Democratic states have adopted executive orders, laws \u2014 or both \u2014 intended to protect abortion access. Lawmakers in Maine on Friday became the latest to give final passage to a \u201cshield\u201d legislation that would protect providers of both abortion and gender-affirming care from investigations by authorities in states with bans on them. If Gov. Janet Mills, a Democrat, signs it into law, it would join at least 14 other states that have similar protections for abortion.
Here are things to know about the latest developments.
The Arizona Supreme Court settled a confounding abortion policy question in the state this week, ruling that enforcement can begin soon on a ban adopted in 1864 on abortion at all stages of pregnancy with exceptions only to safe the life of the mother.
The decision overturns an appeals court ruling that found the prevailing abortion law was one from 2022 that allowed abortion during the first 15 weeks of pregnancy.
Now, there's a question about whether the stricter ban kicks in this month or in June. Whenever it does, it's expected to send women scrambling to neighboring states for abortion care.
The fallout from the ruling was swift.
The governor in the battleground state, a Democrat, called on the Republican-controlled legislature to repeal the nearly total ban. But GOP lawmakers blocked discussion of it.
Arizona's Supreme Court has spoken and GOP legislative leaders so far are reluctant to revisit the state's abortion policy.
But voters could have a direct say in November.
Arizona is one of several states this year with a movement to ask voters to approve a constitutional amendment to protect abortion rights. Organizers say they've already exceeded the required 383,923 signatures, even though they're not due until July 3. Even having enough valid signatures might not ensure it appears on the ballot; there are often legal challenges to ballot questions.
Ballot questions are approved already for three states: Maryland and New York, where there is broad access already; and Florida, a state in a situation similar to Arizona's. In a ruling earlier this month, the Florida Supreme Court cleared the way for a ban on abortions to be banned there after the first six weeks of pregnancy, with limited exceptions. A court ruling allowing the ballot question was handed down the same day as the one allowing enforcement of the abortion ban to start on May 1.
Ballot measures to protect or expand abortion access could appear this year in Arkansas, Montana, Nebraska, Nevada and South Dakota. In Colorado and Missouri, there are competing proposed measures to both protect and restrict access.
This week, Maine lawmakers all but ensured an amendment to enshrine abortion right into the state constitution will not go before voters there this year.
Since 2022, seven states have had abortion directly on the ballot. In each case, voters have sided with abortion rights advocates, even in largely conservative Kansas and Kentucky.
President Joe Biden and other Democrats have established abortion access as a key part of their campaigns this year.
It's only becoming more intense with a ban set to take effect in Arizona, where Biden defeated former President Donald Trump by just 10,000 votes out of nearly 3.4 million cast when they faced off in 2020.
The day of the Arizona ruling, Biden launched an ad campaign in Arizona blaming Trump, the presumptive GOP presidential nominee, for clearing the way to the decision by appointing U.S. Supreme Court justices who overturned Roe v. Wade in 2022, ending a nationwide right to abortion and setting off state-by-state fights. Vice President Kamala Harris was headed to Arizona on Friday to address the topic, too.
For his part, Trump has taken credit for the Supreme Court appointments.
Monday, Trump declined to endorse a federal ban, instead saying abortion should be up to the states.
After Tuesday's ruling, Trump said the Arizona ruling will make the ban there go too far. \u201cIt\u2019ll be straightened out,\" he said Wednesday \u201cand I\u2019m sure that the governor and everybody else are going to bring it back into reason and that\u2019ll be taken care of.\u201d
Lawyers representing the state government in Iowa went before the state supreme court there Thursday asking that a ban on abortion once cardiac activity can be detected \u2014 around six weeks \u2014 be allowed to take effect.
The law took effect last year, but a lower-court judge put it on hold after just a few days, leaving abortion legal, for now, for the first 20 weeks of pregnancy.
It's one of several states where lingering court cases could change the status quo of the law.
The issue is primarily in state courts because it revolves around state constitutional questions.
But the U.S. Supreme Court is scheduled to hear arguments April 24 on the limits of the state's ban on abortion throughout pregnancy. Biden's administration says hospitals that receive Medicare funds are required to provide emergency care, potentially including abortion.
It will be the second argument this year before the top court on an abortion-related issue. The court is also expected to rule by late June on whether the government's approvals of mifepristone, one of two drugs usually used in combination in medical abortions, were proper. Most U.S. abortions are now obtained by pills rather than surgery.
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A jury convicted Raynaldo Riviera Ortiz Jr., 60, of four counts of tampering with consumer products resulting in serious bodily injury, one count of tampering with a consumer product and five counts of intentional adulteration of a drug, prosecutors said. A sentencing date has not yet been set for Ortiz, who faces up to 190 years in prison.
\u201cDr. Ortiz cloaked himself in the white coat of a healer, but instead of curing pain, he inflicted it,\u201d U.S. Attorney Leigha Simonton for the northern district of Texas said in a video statement.
Prosecutors said that evidence presented at trial showed that numerous patients at Surgicare North Dallas suffered cardiac emergencies during routine medical procedures performed by various doctors between May 2022 and August 2022. During that time, an anesthesiologist who had worked at the facility earlier that day died while treating herself for dehydration using an IV bag.
Prosecutors said Ortiz, who was arrested in September 2022, had surreptitiously placed the tainted IV bags into a warming bin at the facility and waited for them to be used in his colleagues\u2019 surgeries.
Evidence presented at trial showed that at the time of the emergencies, Ortiz was facing disciplinary action for an alleged medical mistake made in one of his own surgeries, prosecutors said.
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(AP) \u2014 Kansas' governor on Friday vetoed a proposed ban on gender-affirming care for minors, a measure to require more reporting from abortion providers and what she called a \u201cvague\u201d bill making it a crime to coerce someone into having an abortion.
Democratic Gov. Laura Kelly's actions set up a series of confrontations with the Republican-supermajority Legislature over those issues. The measures appeared to have the two-thirds majorities needed in both chambers to override vetoes, but GOP leaders' success depends on how many lawmakers are absent on a given day, especially in the House.
The two-term governor, who is term-limited, is a strong supporter of abortion and LGBTQ+ rights. Republicans control the Legislature, and they've joined other GOP lawmakers across the U.S. in rolling back transgender rights.
But Kansas has been an outlier on abortion among states with Republican legislatures because the Kansas Supreme Court declared in 2019 that the state constitution protects abortion rights, and a statewide vote in August 2022 decisively affirmed that position.
\u201cVoters do not want politicians getting between doctors and their patient by interfering in private medical decisions,\u201d Kelly wrote in her veto message on the abortion reporting bill.
Kelly did allow one GOP proposal on a social issue highlighted by Republicans across the U.S. to become law without her signature. Starting July 1, pornography websites must verify that Kansas visitors are adults. Kansas will follow Texas and a handful of other states despite some concerns about privacy and how broadly the law could be applied.
In rejecting an attempt to have Kansas join at least 24 other states in banning or restricting gender-affirming care for minors, Kelly argued that a ban \u201ctramples parental rights\u201d and targets \u201ca small group.\u201d
\u201cIf the Legislature paid this much attention to the other 99.8% of students, we\u2019d have the best schools on earth,\u201d she wrote.
The Kansas bill against gender-affirming care would bar surgery, hormone treatments and puberty blockers, limiting care for minors to therapy.
\u201cHopefully this will be the end of that, at least this year, and they don\u2019t decide to waste anyone\u2019s time anymore,\u201d Jenna Bellemere, a transgender University of Kansas student, said after learning of the veto.
The bill also would require that the state revoke the licenses of any doctors violating the ban and bar recipients of state funds for treating children or state employees who work with children from advocating gender-affirming care for them. It would ban the use of state dollars and property on such care, which restricts the University of Kansas Medical Center in Kansas City, Kansas.
Supporters of the bill argue the ban will protect children from experimental, possibly dangerous and potentially permanent treatments. They have cited the recent decision of the National Health Service in England to no longer routinely cover such treatments. Senate President Ty Masterson, a Wichita-area Republican, said of Kelly, \u201cThe radical left controls her veto pen.\u201d
\u201cLaura Kelly will most surely find herself on the wrong side of history with her reckless veto of this common-sense protection for Kansas minors,\u201d said Kansas House Speaker Dan Hawkins, a Wichita Republican.
But U.S. states' bans go against the recommendations of major American health care groups, including the American Medical Association and the American Academy of Pediatrics. Also, many medical professionals say providing such care makes transgender children less prone to depression or suicidal thoughts.
Last year, Republican legislators overrode Kelly vetoes to ban transgender girls and women on female K-12 and college sports teams and end the state's legal recognition of transgender people's gender identities. Because of the latter law, Kansas no longer allows transgender people to change the listing for sex on their driver's licenses or birth certificates.
Republican lawmakers also have continued to press for new laws on abortion, despite the August 2022 vote, arguing that voters still support \u201creasonable\u201d regulations and support for pregnant women and new mothers.
\u201cOnce again, Governor \u2018Coercion Kelly\u2019 has shown how radical she is when it comes to abortion, lacking basic compassion for women who are pushed or even trafficked into abortions,\" Danielle Underwood, spokesperson for Kansans for Life, the state's most influential anti-abortion group, said in a statement.
The anti-coercion bill would punish someone convicted of making a physical or financial threat against a woman or girl to push her to have an abortion with up to a year in prison or a fine of up to $10,000. In her veto message, Kelly noted that it's already a crime to threaten someone else.
Critics said it's written broadly enough that it could apply to a spouse who threatens divorce or a live-in boyfriend who threatens to leave unless their partner gets an abortion.
The reporting bill would require providers to ask their patients why they want to terminate their pregnancies and report the information to the state health department. Kelly and other critics contend it's invasive and unnecessary, but supporters argue that the state needs better data about why women and girls have abortions to help set policy.
\u201cThese stigmatizing bills were not crafted to improve the health and well-being of Kansans,\" said Emily Wales, president and CEO of Planned Parenthood Great Plains, which operates three clinics providing abortions in Kansas. \u201cThey were merely meant to shame reproductive care.\u201d
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She\u2019ll probably miss his high school graduation.
Death doesn't frighten her much. The 65-year-old didn\u2019t cry when she learned two months ago that the cancerous tumors in her liver were spreading, portending a tormented death.
But later, she received a call. A bill moving through the Illinois Legislature to allow certain terminally ill patients to end their lives with a doctor\u2019s help had made progress.
Then she cried.
\u201cMedical aid in dying is not me choosing to die,\u201d she says she told her 17-year-old grandson. \u201cI am going to die. But it is my way of having a little bit more control over what it looks like in the end.\u201d
That same conversation is happening beside hospital beds and around dinner tables across the country, as Americans who are nearing life\u2019s end negotiate the terms with themselves, their families and, now, state lawmakers.
At least 12 states currently have bills that would legalize physician-assisted death. Eight states and Washington, D.C., already allow it, but only for their own residents. Vermont and Oregon permit any qualifying American to travel to their state for the practice. Patients must be at least 18 years old, within six months of death and be assessed to ensure they are capable of making an informed decision.
Two states have gone in the opposite direction. Kansas has a bill to further criminalize those who help someone with their physician-assisted death. West Virginia is asking voters to enshrine its current ban into the state constitution.
That patchwork of laws has left Americans in most states without recourse. Some patients choose to apply for residency in a state where it\u2019s legal. Others take arduous trips in the late-stage of disease to die in unfamiliar places and beds, far from family, friends and pets.
It was late at night when Rod Azama awoke to his wife crawling on the floor, screaming. Pain from her cancer had punched through the heavy morphine dose.
\u201cLet me die,\u201d screamed his wife, Susan.
As Rod rushed to hold her, the cries faded to repeated mumbles. \u201cHeaven,\u201d she said, again and again.
Susan, 68, pieced through her life\u2019s belongings \u2014 family heirlooms, photos, an antique spinning wheel \u2014 touching the memories a final time. Then she decided where their next lives would be.
She said goodbye to her constant sidekick, Sunny, a fluffy Maltipoo.
Then the couple traveled to Oregon.
The issue is contentious. Opponents have moral objections with the very concept of someone ending their life. Even with safeguards in place, they argue, the decision could be made for the wrong reasons, including depression or pressure from family burdened by their caretaking.
\u201cIt\u2019s normalizing suicide, and it\u2019s incentivizing individuals to end their lives,\u201d said Danielle Pimentel of Americans United for Life. Pimentel raised concerns that pain isn\u2019t the top reason people choose an early departure, adding that policy should focus on bettering end-of-life care.
Two national organizations lobbying for the bills argue it\u2019s about autonomy and compassion, some power over one\u2019s preordained exit.
\u201cIt comes down to the right of an individual to control their own end of life decisions free from government intervention or religious interference,\u201d said Goeff Sugerman, national campaign strategist Death with Dignity.
Even though it\u2019s illegal in most states, a 2018 Gallup poll showed more than two-thirds two-thirds of Americans support the practice.
Only a small fraction of Americans across the country, about 8,700, have used physician-assisted death since Oregon became the first state to legalize it in 1997, according to the advocacy group Compassion & Choices.
The organization successfully sued Oregon and Vermont over their residency requirements in the last two years and are using the courts to expand access. California has a bill before lawmakers that would allow out-of-staters to access the procedure. Three states, including Colorado, have proposals to expand in-state access, such as allowing advanced practice registered nurses, not just doctors, to prescribe the medication.
As Robertson discussed the topic with her grandson, he got teary eyed. If it became legal in Illinois tonight, would his grandmother be gone tomorrow? How does it differ from suicides that left empty seats at his school?
Robertson reassured him it would be the very last option as she embarks on new chemotherapy treatment. Then she explained the safeguards.
Typically, two doctors must confirm that a patient has six months to live. The patient must verbally request it twice with a waiting period that varies by state, and submit a written request with witnesses. At three meetings, a physician assesses the patient to ensure they are able to make an informed decision. The patient can be referred to a psychologist for an assessment if there are concerns.
Patients must take the medication themselves. They lose consciousness within a few minutes, and die usually within a few hours.
Eventually the teenager met her eyes. \u201cGranny, I support whatever you choose to do,\u201d he said.
When Gary Drake, a jovial businessman from Florida, received a diagnosis that lung, bone and kidney cancer would end his life within six months, he didn\u2019t deliberate long.
The 78-year-old flew to Oregon in February, after beginning a Facebook post with \u201cRIP.\u201d
\u201cI love you all, say a prayer for me, and I\u2019ll see you on the other side,\u201d the Feb. 13 post read.
His son, Mitch, flew to Oregon to meet with his father. They said their goodbyes, then Drake drank the medicine.
As they played his song request, \u201cToes\u201d by Zac Brown Band, Drake put the cup down and sang.
\u201cI got my toes in the water, ass in the sand
Not a worry in the world, a cold beer in my hand
Life is good today
Life is good today.\u201d
Then he fell asleep.
___
Bedayn is a corps member for the Associated Press/Report for America Statehouse News Initiative. Report for America is a nonprofit national service program that places journalists in local newsrooms to report on undercovered issues.
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"dcb000c082c610048843df092526b43e", + "name": "Ohio", + "type": "AUDGEOGRAPHY" + }, + { + "code": "6e92d9b882c7100488e5df092526b43e", + "name": "Texas", + "type": "AUDGEOGRAPHY" + }, + { + "code": "5578469882c7100488badf092526b43e", + "name": "South Dakota", + "type": "AUDGEOGRAPHY" + }, + { + "code": "661e48387d5b10048291c076b8e3055c", + "name": "United States", + "type": "AUDGEOGRAPHY" + } + ], + "associations": { + "1": { + "altids": { + "itemid": "ce85c1ddfe90466a801b036c2148c74d" + }, + "type": "picture" + }, + "2": { + "altids": { + "itemid": "fa4ec6b4dfc348a8a8070a4e4d99738d" + }, + "type": "audio" + }, + "3": { + "altids": { + "itemid": "35788262de354ae898e71657884b4749" + }, + "type": "audio" + }, + "4": { + "altids": { + "itemid": "b817f075dc7645daac4987f8524641b7" + }, + "type": "audio" + } + }, + "body_nitf": "A bird flu outbreak in U.S. dairy cows has grown to affect more than two dozen herds in eight states, just weeks after the nation's largest egg producer found the virus in its chickens.
Health officials stress that the risk to the public is low and that the U.S. food supply remains safe and stable.
\u201cAt this time, there continues to be no concern that this circumstance poses a risk to consumer health, or that it affects the safety of the interstate commercial milk supply,\u201d the U.S. Food and Drug Administration said in a statement.
Here\u2019s what you need to know about bird flu and food:
As of Friday, the strain of bird flu that has killed millions of wild birds in recent years has been found in at least 26 dairy herds in eight U.S. states: Idaho, Kansas, Michigan, New Mexico, North Carolina, Ohio, Texas and South Dakota.
The virus, known as Type A H5N1, has been detected in a range of mammals over the last few years, but this is the first time it has been found in cattle, according to federal health and animal agencies. Genetic analysis of the virus does not show that it has changed to spread more easily in people, the U.S. Centers for Disease Control and Prevention said.
Agriculture officials in at least 17 states have restricted imports of dairy cattle from states where the virus has been detected, but, so far, government agencies say it\u2019s had little effect on commercial milk production. Officials believe cows likely have been infected by exposure to wild birds, but said cow-to-cow spread \u201ccannot be ruled out.\"
Farmers are testing cows that show symptoms of infection, including sharply reduced milk supply and lethargy. Animals that show signs or test positive for illness are being separated from other animals on the farms. The animals appear to recover within two weeks.
U.S. egg producers are watching the situation closely after bird flu was detected in chickens in Texas and Michigan. Millions of birds have been killed, but the FDA said the risk of affected eggs getting into the retail market or causing infections in humans is low because of federal inspections and other safeguards.
Scientists say there\u2019s no evidence to suggest that people can contract the virus by consuming food that\u2019s been pasteurized, or heat-treated \u2014 or properly cooked.
\u201cIt\u2019s not a food safety concern,\u201d said Lee-Ann Jaykus, an emeritus food microbiologist and virologist at North Carolina State University.
Two people in U.S. have been infected with bird flu to date. A Texas dairy worker who was in close contact with an infected cow recently developed a mild eye infection and has recovered. In 2022, a prison inmate in a work program caught it while killing infected birds at a Colorado poultry farm. His only symptom was fatigue, and he recovered.
Yes, according to food safety experts and government officials.
U.S. producers are barred from selling milk from sick cows and must divert and destroy it. In addition, milk sold across state lines is required to be pasteurized, or heat-treated using a process that kills bacteria and viruses, including influenza.
\u201cWe firmly believe that pasteurization provides a safe milk supply,\u201d Tracey Forfa, director of the FDA\u2019s Center for Veterinary Medicine told a webinar audience this week.
The FDA and the CDC are less certain about unpasteurized, or raw, milk sold in many states, saying there\u2019s limited information about the possible transmission of the H5N1 virus in such products.
So far, no herds linked to raw milk providers have reported cows infected with bird flu, but the agencies recommend that the industry not make or sell raw milk or raw milk cheese products made with milk from cows that show symptoms \u2014 or are exposed to infected cows.
U.S. health officials have long warned against the risk of foodborne illness tied to raw milk, which the CDC said caused more than 200 outbreaks that sickened more than 2,600 people between 1998 and 2018.
Still, raw milk proponents like Mark McAfee, owner of Raw Farm USA in Fresno, Calif., said the outbreak of H5N1 in commercial cows appears to have spurred higher sales of the products, despite federal warnings.
Only dairy cows, not beef cattle, have been infected or shown signs of illness to date, agriculture officials said.
The largest egg producer in the U.S. temporarily halted operations on April 2 after finding bird flu in its chickens. Cal-Maine Foods culled about 1.6 million laying hens and another 337,000 pullets, or young hens, after the detection.
The company said there was no risk to eggs in the market and that no eggs had been recalled.
Eggs that are handled properly and cooked thoroughly are safe to eat, said Barbara Kowalcyk, director of the Center for Food Safety and Nutrition Security at George Washington University.
\u201cA lot of people like runny eggs. Personally, if I eat an egg, it\u2019s very well cooked,\u201d she said.
Still, Kowalcyk and others cautioned that the situation could change.
\u201cThis is an emerging issue and clearly this pathogen is evolving and there\u2019s a lot that we don\u2019t know,\u201d she said. \u201cI do think that everybody is trying to figure it out as quickly as possible.\u201d
___
The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute\u2019s Science and Educational Media Group. The AP is solely responsible for all content.
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Minor edit.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "US--Maine-Shield Law", + "headline": "Maine lawmakers approve shield law for providers of abortion and gender-affirming care", + "headline_extended": "The Democratic-controlled Maine Legislature has approved a bill that would protect health care workers who provide abortion and gender-affirming care from legal action brought in other states", + "slugline": "BC-US--Maine-Shield Law, 2nd Ld-Writethru", + "description_summary": "The Democratic-controlled Maine Legislature has approved a bill that would protect health care workers who provide abortion and gender-affirming care from legal action brought in other states. If signed by Democratic Gov. Janet Mills, Maine would join more than a dozen states that shield medical providers and others from out-of-state investigations regarding abortions. Republican were united against the bill. Abortion is legal in Maine at all stages of pregnancy with a doctor\u2019s approval. And lawmakers last year approved a bill to allow 16- and 17-year-olds to receive limited gender-affirming care, which does not include surgery, without parental consent.", + "bylines": [ + { + "by": "By DAVID SHARP", + "title": "Associated Press" + } + ], + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. For other uses, additional clearances may be required." + ], + "keywords": [ + "Maine abortion transgender shield law" + ], + "provider": "AP", + "infosource": [ + { + "name": "AP", + "type": "AP" + } + ], + "person": [ + { + "scheme": "http://cv.ap.org/id/", + "code": "4a958288c5994ffca266f1e346eda07d", + "name": "Janet Mills", + "creator": "Machine", + "rels": [ + "direct" + ], + "types": [ + "POLITICIAN", + "PERSON" + ], + "relevance": 57 + } + ], + "subject": [ + { + "rels": [ + "category" + ], + "creator": "Editorial", + "code": "a", + "name": "a" + }, + { + "rels": [ + "category" + ], + "creator": "Editorial", + "code": "p", + "name": "p" + }, + { + "rels": [ + "category" + ], + "creator": "Editorial", + "code": "n", + "name": "n" + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "e22e35087de410048fc2df092526b43e", + "name": "Abortion", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 80 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "86aad5207dac100488ecba7fa5283c3e", + "name": "Politics", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 71 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "570831e088701004882deb2e0e616f0b", + "name": "Gender", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 97 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "a4677d70863b4012b846a1b00f5079f5", + "name": "U.S. news", + "creator": "Editorial", + "editorial_subject": "U.S. news", + "rels": [ + "direct" + ], + "relevance": 75 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "f25af2d07e4e100484f5df092526b43e", + "name": "General news", + "creator": "Editorial", + "editorial_subject": "General news", + "rels": [ + "direct" + ], + "relevance": 50 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "86aad5207dac100488ecba7fa5283c3e", + "name": "Politics", + "creator": "Editorial", + "editorial_subject": "Politics", + "rels": [ + "direct" + ], + "relevance": 75 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "cc7a76087e4e10048482df092526b43e", + "name": "Health", + "creator": "Editorial", + "editorial_subject": "Health", + "rels": [ + "direct" + ], + "relevance": 99 + } + ], + "place": [ + { + "scheme": "http://cv.ap.org/id/", + "code": "8d2caa7082b3100484b8df092526b43e", + "name": "Maine", + "creator": "Machine", + "rels": [ + "direct" + ], + "parentids": [ + "661e48387d5b10048291c076b8e3055c" + ], + "locationtype": { + "code": "0ae5eb8e00e04295a4fc209c94bfe6ef", + "name": "State" + }, + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -69.24977, + 45.50032 + ] + }, + "relevance": 97, + "parentnames": [ + "United States" + ] + } + ], + "audiences": [ + { + "code": "82c6a4c46fa0446090a7acaf93159e4c", + "name": "Print", + "type": "AUDPLATFORM" + }, + { + "code": "9add4649b53b4702ba7d9de5d4fa607a", + "name": "Online", + "type": "AUDPLATFORM" + }, + { + "code": "f5b16ea8760d10048047e6e7a0f4673e", + "name": "State", + "type": "AUDSCOPE" + }, + { + "code": "f43adc08760d10048040e6e7a0f4673e", + "name": "National", + "type": "AUDSCOPE" + }, + { + "code": "f4ecf9b0760d10048044e6e7a0f4673e", + "name": "International", + "type": "AUDSCOPE" + }, + { + "code": "8d2caa7082b3100484b8df092526b43e", + "name": "Maine", + "type": "AUDGEOGRAPHY" + }, + { + "code": "661850e07d5b100481f5c076b8e3055c", + "name": "Latin America and Caribbean", + "type": "AUDGEOGRAPHY" + }, + { + "code": "661e48387d5b10048291c076b8e3055c", + "name": "United States", + "type": "AUDGEOGRAPHY" + } + ], + "associations": { + "1": { + "altids": { + "itemid": "7095aed9ece54246a27f46aac673e133" + }, + "type": "picture" + } + }, + "body_nitf": "The Democratic-controlled Maine Legislature gave final approval Friday to a bill that would protect health care workers who provide abortion and gender-affirming care from legal action brought in other states.
If signed by Democratic Gov. Janet Mills, Maine would join more than a dozen states that shield medical providers and others from out-of-state investigations regarding abortions. Republicans were firmly against the bill to shield against out-of-state lawsuits.
The Maine Senate voted 21-13 on Friday, a day after a 76-67 vote in the House.
The votes came after attorneys general in 16 states, including Tennessee, threatened legal action if Maine proceeded with a shield law preventing out-of-state repercussions for those who provide abortions and what they called \u201cgender transition surgeries for children.\u201d
Maine Attorney General Aaron Frey called those accusations \u201cmeritless\u201d and said shield laws were necessary due to other states' efforts \u201cto punish beyond their borders lawful behavior that occurs in Maine and other states.\u201d
\u201cHarmony between our states would be best preserved and promoted by the exercise of restraint by all parties seeking to control health care related policy choices in other states,\" Frey said previously in a statement.
There was spirited debate over the measure in Maine.
On Thursday, the Maine House censured two lawmakers after one of them accused legislative colleagues of bringing the wrath of God in the form of a mass shooting and recent storms by enacting such laws. The lawmaker, and another who agreed with him, were required to provide a formal apology on the House floor to be allowed to speak and to vote.
\u201cWe are grateful and proud of all of the lawmakers in the legislature who endured threats of violence, abhorrent political rhetoric and rampant disinformation to stand and vote to protect safe, legal, medical care in Maine,\u201d said Lisa Margulies, from Planned Parenthood Maine Action Fund.
Abortion is legal in Maine at all stages of pregnancy with a doctor's approval. And lawmakers last year approved a bill to allow 16- and 17-year-olds to receive limited gender-affirming care, which does not include surgery, in some cases without parental consent. However, Maine law does not permit gender-reassignment surgery without parental consent for minors.
Since the U.S. Supreme Court overturned Roe v. Wade in 2022 and ended a nationwide right to abortion, states have moved in opposing directions. Most of those under Republican control now have bans or other restrictions in place. Fourteen states now ban abortion in all stages of pregnancy, with limited exceptions. Most Democrat-dominated states have moved to protect access.
At least 13 states have shield laws protecting medical providers and others from out-of-state investigations regarding abortions \u2014 and at least nine, including Maine, have executive orders laying out similar policies.
It\u2019s a similar situation with gender-affirming care for minors.
At least 24 states have adopted laws in the past three years banning or limiting treatments including puberty blockers, hormone therapy and gender-affirming surgery \u2014 which is rare for younger patients \u2014 for minors. At least 12 states have shield laws that apply to gender-affirming care and two have executive orders.
___
Associated Press writer Geoff Mulvihill in Cherry Hill, New Jersey, contributed to this report.
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Joe Lombardo has signed an executive order that addresses the state's shortage of health care workers", + "slugline": "AP-NV--Nevada Health Care Workforce", + "description_summary": "Nevada Gov. Joe Lombardo has signed an executive order that addresses the state's shortage of health care workers. The order signed Thursday directs the Patient Protection Commission to devise recommendations for ensuring Nevada residents have more access to quality care statewide. The governor says the demand for care is expected to outpace the supply and Nevada must have a plan for growing its health care workforce. He notes that access to care is even more challenging for rural residents. Among other things, the commission will look at any administrative hurdles that might hinder the recruitment and retention of health care workers.", + "located": "LAS VEGAS", + "datelinelocation": { + "city": "Las Vegas", + "countryareacode": "NV", + "countryareaname": "Nevada", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -115.13722, + 36.17497 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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Joe Lombardo has signed an executive order that addresses the state\u2019s shortage of health care workers.
The order signed Thursday directs the Patient Protection Commission to devise recommendations for ensuring Nevada residents have more access to quality care statewide. The recommendations are expected to be outlined in the commission's next report due later this year.
Lombardo's order stated that demand for care is expected to outpace the supply and that Nevada must have a plan for growing its health care workforce. The order also noted that access to care is even more challenging for rural residents.
The commission\u2019s charges include looking at any administrative hurdles that hinder the recruitment and retention of health care workers and ensuring that provider reimbursements incentivize quality and value for the taxpayer dollar.
In 2023, a workgroup that included educators, officials from state agencies and advocacy groups released a plan for developing a pipeline for public health workers. That pipeline starts in elementary school and continues through higher education with more opportunities for internships and on-the-job learning.
Nevada also was among the states to receive federal funding for programs and incentives aimed at rebuilding public health systems following the COVID-19 pandemic.
", + "textformat": "bx", + "links": [ + { + "href": "https://apnews.com/article/nevada-healthcare-workforce-shortage-lombardo-order-a1ba76ab82b1da988b95b357b123e0ac", + "rel": "canonical" + } + ], + "topics": { + "Health": { + "relevance_score": 5, + "reason": "The document discusses an executive order signed by the Nevada governor to address the shortage of health care workers in the state. It details the steps being taken to ensure more access to quality care, the challenges faced, and the plans for developing a pipeline for public health workers. This is directly related to the topic of Health as it focuses on health care workforce issues, access to care, and public health system improvements." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/04/12/b67affd86c1d1ce99379ed34bdb2946b.json b/datasets/AP_news/raw_data/2024/04/12/b67affd86c1d1ce99379ed34bdb2946b.json new file mode 100644 index 0000000..3a233b9 --- /dev/null +++ b/datasets/AP_news/raw_data/2024/04/12/b67affd86c1d1ce99379ed34bdb2946b.json @@ -0,0 +1,519 @@ +{ + "altids": { + "itemid": "b67affd86c1d1ce99379ed34bdb2946b", + "etag": "b67affd86c1d1ce99379ed34bdb2946b_3a50aza0c0", + "friendlykey": "668097540884", + "referenceid": "US--XGR--Physician-Assisted Death" + }, + "version": 3, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-04-12T22:39:50Z", + "firstcreated": "2024-04-12T04:06:35Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: Updates Media. 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She\u2019ll probably miss his high school graduation. She declined the extended warranty on her car. Sometimes she wonders who will be at her funeral.
Those things don\u2019t frighten her much. The 65-year-old didn\u2019t cry when she learned two months ago that the cancerous tumors in her liver were spreading, portending a tormented death.
But later, she received a call. A bill moving through the Illinois Legislature to allow certain terminally ill patients to end their own lives with a doctor\u2019s help had made progress.
Then she cried.
\u201cMedical-aid in dying is not me choosing to die,\u201d she says she told her 17-year-old grandson. \u201cI am going to die. But it is my way of having a little bit more control over what it looks like in the end.\u201d
That same conversation is happening beside hospital beds and around dinner tables across the country, as Americans who are nearing life\u2019s end negotiate the terms with themselves, their families and, now, state lawmakers.
At least 12 states currently have bills that would legalize physician-assisted death. Eight states and Washington, D.C., already allow it, but only for their own residents. Vermont and Oregon permit any qualifying American to travel to their state for the practice. Patients must be at least 18 years old, within six months of death and be assessed to ensure they are capable of making an informed decision.
Two states have gone in the opposite direction. Kansas has a bill to further criminalize those who help someone with their physician-assisted death. West Virginia is asking voters to enshrine its current ban into the state constitution.
That patchwork of laws has left Americans in most states without recourse. Some patients choose to apply for residency in a state where it\u2019s legal. Others take arduous trips in the late-stage throes of disease to die in unfamiliar places and beds, far from family, friends and pets.
It was late at night when Rod Azama awoke to his wife crawling on the floor, screaming. Pain from her cancer had punched through the heavy morphine dose.
\u201cLet me die,\u201d screamed his wife, Susan.
As Rod rushed to hold her, the cries faded to repeated mumbles. \u201cHeaven,\u201d she said, again and again.
Susan, 68, pieced through her life\u2019s belongings \u2014 family heirlooms, photos, an antique spinning wheel \u2014 touching the memories a final time. Then she decided where their next lives would be.
She said goodbye to her constant sidekick, a small, fluffy Maltipoo named Sunny. Rod packed the dog\u2019s favorite toy, a stuffed bunny, as a reminder for Susan, who had to leave Sunny behind.
Then the two flew to Oregon.
The issue is contentious. Opponents, including many religious groups and lawmakers, have moral objections with the very concept of someone ending their life. Even with safeguards in place, they argue, the decision could be made for the wrong reasons, including depression or pressure from family burdened by their caretaking.
\u201cIt\u2019s normalizing suicide, and it\u2019s incentivizing individuals to end their lives,\u201d said Danielle Pimentel of Americans United for Life. Pimentel raised concerns that pain isn\u2019t the top reason people choose an early departure, adding that policy should focus on bettering end-of-life care.
Two national organizations lobbying for the bills argue it\u2019s about autonomy and compassion, some power over one\u2019s preordained exit.
\u201cIt comes down to the right of an individual to control their own end of life decisions free from government intervention or religious interference,\u201d said Goeff Sugerman, national campaign strategist Death with Dignity.
Even though it\u2019s illegal in most states, a 2018 Gallup poll showed more than two-thirds of Americans support physician-assisted death.
Only a small fraction of Americans nationwide, about 8,700, have used physician-assisted death since Oregon became the first state to legalize it in 1997, according to the advocacy group Compassion & Choices. Most are cancer cases; others include heart and respiratory diseases. A third of people prescribed the medications don\u2019t end up using them.
Gary Drake planned to. He began a Facebook post on Feb. 13 with \u201cRIP.\u201d The 78-year-old was referring to himself. He was off to Oregon, and wouldn\u2019t be responding to any more messages and calls.
\u201cI\u2019m too busy and weak to do much more in this lifetime,\u201d he wrote.
The jovial businessman from Florida had watched a close friend decline from late-stage lung cancer, driving him to and from chemotherapy, until his friend shot himself. When Drake received a diagnosis around Christmas that his own lung, bone and kidney cancer would end his life within six months, he didn\u2019t deliberate long.
He signed off on Facebook: \u201cI love you all, say a prayer for me, and I\u2019ll see you on the other side. Bon Voyage.\u201d
The finality of the post prompted a flood of comments, as if he were attending his own funeral.
\u201cI know my dad and George are waiting to have a drink with you,\u201d someone wrote.
Less than three years ago Drake wouldn\u2019t have had the option. Oregon's residency requirement was rolled back in 2022 and Vermont's ended last year, after successful federal lawsuits argued it was unconstitutional for states to deny the service to non-residents.
While debates to legalize the bills are playing out in Kentucky, Delaware, Maryland and Iowa, among others, the advocacy organization Compassion & Choices is using the courts to try to remove residency requirements.
\u201cPeople are dying right now who don\u2019t have the luxury for endless deliberation,\u201d said Kim Callinan, CEO and president of the group.
While California has a bill before lawmakers that would allow out-of-staters to access the procedure, that provision in a Colorado bill was stripped out. Three states, including Colorado, have proposals to expand in-state access, such as allowing advanced practice registered nurses, not just doctors, to prescribe the medication.
As Robertson discussed the topic with her grandson over noodles, he got teary eyed. If it became legal in Illinois tonight, would his grandmother be gone tomorrow? How does it differ from suicides that left empty seats at his school?
Robertson reassured him it would be the very last option as she embarks on a new chemo treatment. Then she explained the safeguards.
Typically, two doctors must confirm that a patient has six months to live. The patient must verbally request it twice with a waiting period that varies by state, and submit a written request with witnesses. At three meetings, a physician assesses the patient to ensure they are able to make an informed decision. The patient can be referred to a psychologist for an assessment if there are concerns.
Patients must take the medication themselves. They lose consciousness within a few minutes and usually die within a few hours.
Eventually the teenager met her eyes. \u201cGranny, I support whatever you choose to do,\u201d he said.
Robertson was glad she had the conversation. \u201cWhen you just think of the words \u2018medical-aid dying,\u2019 a 17-year-old gets stuck on the \u2018dying\u2019 part,\u201d she said.
Dr. Jess Kaan is no stranger to the controversy and fixation on the \u201cdying\u201d part. Living on the border between Oregon and Washington, she has worked on over 200 cases between the two states. A quarter of those traveled to Oregon.
Kaan has faced condemnation even from some fellow doctors, who accuse her of violating the Hippocratic oath of \u201cdo no harm.\u201d Kaan\u2019s own mother is aghast on religious grounds, and though it\u2019s become a major part of Kaan\u2019s life, the two have only spoken about it once.
For Kaan, it\u2019s a simple argument. She recalled watching a hospitalized patient with Lou Gehrig's disease, or amyotrophic lateral sclerosis, slowly decline, tormented by an inexorable feeling of suffocation, until she died.
\u201cShe didn\u2019t die the death she wanted to die,\u201d Kaan said.
\u201cI\u2019m just so convinced that death itself is not the enemy per se,\u201d she said. \u201cFor me, the ethical principles upon me are beneficence, in that I feel that the relief of suffering is really what I\u2019m supposed to do as a physician.\u201d
As Drake prepared to fly to Oregon after posting on Facebook, he told his 12-year-old granddaughter that their special word would be \u201cLuLu,\u201d a tease over her obsession with the clothing brand Lululemon. Every time she saw it, he said, that would be him looking down from above.
\u201cThe last conversation she had with him was like any normal conversation that she\u2019s ever had with him. And that\u2019s the way she\u2019ll be able to remember him,\u201d said his son, Mitch Drake, 38.
Mitch flew to meet up with his father in Oregon in February. He thanked him for the life he had given him. They said their goodbyes.
Gary Drake drank the medicine as they played his song request: \u201cToes,\u201d by Zac Brown Band.
He put the cup down and sang.
\u201cI got my toes in the water, ass in the sand
Not a worry in the world, a cold beer in my hand
Life is good today
Life is good today.\u201d
Then he fell asleep.
___
Bedayn is a corps member for the Associated Press/Report for America Statehouse News Initiative. Report for America is a nonprofit national service program that places journalists in local newsrooms to report on undercovered issues.
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(AP) \u2014 North Carolina's health agency and a nonprofit defending people with intellectual and development disabilities have reached an agreement that could resolve a lawsuit seeking action to help those who can't live at home because services in their communities are lacking.
The Department of Health and Human Services and Disability Rights North Carolina announced this week they had filed in court a proposed order that would address litigation filed in 2017 by Disability Rights, individuals who need services and their guardians. It would also replace a 2022 ruling in that lawsuit from Superior Court Judge Allen Baddour that demanded DHHS provide more community services by certain dates.
Judge Baddour's order, in part, directed new admissions at state-run development centers, private intermediate care facilities and certain adult care homes had to stop as of early 2028 for people with intellectual and developmental disabilities. The state appealed Baddour's decision to the Court of Appeals, saying such changes would close some group homes and cause instability among people who prefer living in their current situations.
Baddour delayed enforcement of his order in the meantime, which gave legal parties time to work out an agreement.
In a joint news release Wednesday, state officials and Disability Rights North Carolina said the consent order \u2014 if approved by Baddour \u2014 would create a two-year period in which DHHS would work to move more people into community-based services and remove them from institutional settings if they wish. The department also would implement a plan to address a shortage of well-paid direct-care workers. Detailed reporting requirements also would allow the legal parties and the judge to assess results and proposed future benchmarks, the release said.
\u201cThis proposed agreement marks the beginning of change, not the end,\" Disability Rights North Carolina legal director Emma Kinyanjui said in the release, adding the efforts will help get \u201cchange started now \u2014 instead of spending time and focus on the appeal.\u201d And Kelly Crosbie, the state's director of the Division of Mental Health, Developmental Disabilities and Substance Use Services, said \u201cpeople with disabilities should have choices and be able to access services in the setting that is the best fit for them.\"
The litigation, in part, stems from a 1999 U.S. Supreme Court ruling that declared people with disabilities have the right, with conditions, to received state-funded services in their communities, instead of in institutions.
Baddour ruled in 2020 that the state was violating a state law on an ongoing basis because people with disabilities were being unnecessarily institutionalized.
Should Baddour agree to replace his 2022 order with the consent order, the state would drop its appeal and Disability Rights North Carolina would dismiss its other outstanding claims against DHHS, the release said.
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Editorial: Digital privacy should not be a state-level priority
A bill that would place novel limits on digital marketing in the name of consumer protection could do more harm than good.
Increasingly predatory means of profiling and tracking consumers online must be cracked down on \u2013 any basic expectation of privacy requires it. The relentless collection and sale of personal data has rightly spurred lawmakers the world over into action.
So too here in Maine, where a complex data privacy bill wending its way through the Legislature \u2013 L.D. 1977 \u2013 has been described as \u201cunique.\u201d
The bill seeks to place limits on what information companies can collect and use via the internet. If passed, it will place major restrictions on doing business online, altering the landscape for Maine consumers and creating hardship for the companies opposed to the proposal, large and small. (Elements of digital marketing and data use that are targeted by L.D. 1977 are tied to the business model of the Maine Trust for Local News, of which this newspaper is a part.)
The proposal is reportedly the product of many hours of work during 11 separate work sessions of the Judiciary Committee, a remarkable number (which itself speaks to the highly ambitious nature of the undertaking). \u201cI\u2019ve never seen a committee dig into something like this,\u201d one member told Maine Morning Star.
We\u2019d prefer if the committee had invested the time elsewhere. The most workable and reliable data protection legislation won\u2019t come from any amount of hard work at the state level \u2013 it will come from the federal government, which has so far failed miserably in this respect, \u201cleaving it up to individual states.\u201d For many regulatory concerns, states can and must go it alone. We do not believe that course of action is sensible here.
The most robust and conspicuous data protection regulation in the world right now is European Union-wide and took years to craft. The definitions and requirements of the General Data Protection Regulation, or GDPR, changed everything for the FAANGs of the world (that\u2019s Facebook, Amazon, Apple, Netflix, Google and their ilk) when it went into effect almost six years ago. Violations carry exorbitant fines. The strength of the law is in its wide, widely known and understood application. It tends to place control in the hands of European consumer, wherever she is.
If the Maine Legislature decides to press ahead with its own version, our law will enjoy none of that standardized strength.
It\u2019s more than understandable for advocates to be dissatisfied with the federal regulatory picture and to be impatient for protections. In setting Maine apart, however, the potential downsides for business of a \u201ccomprehensive\u201d state-level attempt at data privacy seem to us outweigh the potential upsides.
___
Bangor Daily News. April 11, 2024.
Editorial: Janet Mills should sign carefully crafted paramilitary training ban
One of the beautiful things about America is that everyone has a right to their own beliefs, even the ugly beliefs.
The Constitution is supposed to protect everyone equally, regardless of ideology. Those protections apply even to the most disgusting views, like the hate inherent in Nazism. The same protections allow us to express our disgust freely.
Ultimately, freedom is meaningless if it is only extended to the people with whom we, or the government, agree.
So after a neo-Nazi drew statewide attention for his abandoned attempt to establish a training facility in Springfield, and as Maine lawmakers have considered a bill to ban unauthorized paramilitary training, we have consistently highlighted the importance of focusing on actions, not beliefs. Ugly words, disgusting beliefs and the choice to associate with people who espouse them are constitutionally protected. The same is not necessarily true when it comes to actions that impact others, when hateful beliefs become hateful activities that target other Mainers and Americans.
It bears repeating: Weapons training can help people better prepare to protect themselves and their communities. But when such training is done with the intent to cause civil disorder, it by definition becomes a threat to the community. LD 2130, recently ( and narrowly ) passed by lawmakers, would ban the latter type of training while continuing to allow the former.
After Democratic Rep. Laurie Osher of Orono submitted this bill to ban unauthorized paramilitary training, groups like the American Civil Liberties Union (ACLU) of Maine and others raised concerns and made suggestions about how to amend the bill with constitutional protections in mind. Language around intent was improved and penalties were reduced. The resulting legislation, after much deliberation and adjustment to address the thoughtful concerns, has achieved the needed balance of targeting dangerous actions while continuing to protect individual liberties.
Anyone, whether they are a member of the neo-Nazi group Blood Tribe or the militia group Rise of the Moors, has a constitutional right to their beliefs. But the Constitution does not shield them from accountability when their actions cause disorder in society.
Despite what some opponents have argued, we are confident that LD 2130 as amended is appropriately centered around actions, not beliefs.
All that remains is for Gov. Janet Mills to sign the bill, and she should. Like the Legislature, she should carefully review the legislation and its implications. We believe that after such a review, the governor and all Mainers can be confident that this bill is a measured, balanced and needed response to strengthen Maine\u2019s existing anti-militia laws.
The situation in Springfield highlighted the need to strengthen those laws, as more than half the country already has. But the need goes beyond one particular training facility or one particular ideology.
As Greater Bangor Area Branch NAACP President Michael Alpert wrote in a letter to the Bangor Daily News last year, this issue really speaks to a basic role of government.
\u201cProtecting the public from violence is a basic obligation of government,\u201d Alpert wrote in an August letter responding to news about the Springfield facility. \u201cCurrent Maine statutes might not be adequate to control the threat posed by an organized hate group\u2019s armed militia. Our laws and regulations must be reviewed and, where appropriate, strengthened.\u201d
Lawmakers have found an appropriate way to do just that with this bill. It should become law with the governor\u2019s signature.
___
Rutland Herald. April 6, 2024.
Editorial: Awe factor
Over the last month, in the ramp-up to the April 8 solar eclipse, it has been interesting to see our state\u2019s reaction.
As we pulled together the pullout section in this Weekender, the various writers and contributors were offering their unique expertise. It was a pleasant reminder that we are capable of coming together just to be curious.
Last week, in an online media briefing with SciLine, one of the three presenters told editors and reporters from around the globe about how events such as this eclipse have both a physiological and sociological impact on us. Experiencing a natural phenomenon with others \u2014 something that produces awe and positive feelings \u2014 has a ripple effect that spreads well beyond the event itself.
It comes down to the energy (enthusiasm, curiosity, excitement) we give off. We pick up on the cues, the signals we each give off, and our bodies respond with contagious positivity. The \u201cAwe Factor\u201d teaches us to be present and engage in the wonder of the world around us.
That is easy to say, but it is not easy to put into practice. It is not every day that we can experience an event \u2014 live and not on a screen \u2014 with millions of others. In fact, what we often experience is inversely proportionate to the Awe Factor: Something bad happens, and we all react to it glumly, feeling that collective negativity.
In the interview with Fairbanks Planetarium Director Mark Breen, he explains why this particular astronomical event is so exciting: timing, path, proximity and more. An article by Lauren Milideo peels back the layers of what University of Vermont students and faculty will be studying and observing during the eclipse \u2014 much of which will not be happening in the sky. They will be observing effects in the ecosystem and broader scientific effects on the natural (and human) world.
As our coverage this week has shown, even grade school and high school students have been learning the basics about an eclipse, but it has led to broader discussions about math, physics and even art and history.
Speaking of which, historian Paul Heller\u2019s glimpse back at news coverage of previous eclipses across Vermont demonstrates just how important those moments (without internet or TV) were shaping science and perceptions (and misperceptions). Students and professors were testing hypotheses and scrambling to collect data, even something as simple as changes in weather and the natural environment.
With each eclipse, each repetition, time has passed and with it growth in technology and science. We believe the tools we are using in 2024 to observe and study the solar eclipse are so far advanced from the \u201ctools\u201d used in 1932 and at other times. Yet we have no idea \u2014 none \u2014 what resources will be used when studying the next eclipse over Vermont in 2381.
Creative types \u2014 artists, writers, philosophers and intellectuals \u2014 have the avenues to tap into the wonder of a moment and then produce something tangible from it, whether it is a painting or sculpture, music or prose, an idea or theory. They dare to connect to the moment in something more than just a passing fancy or fad. Their station becomes the long reminder that leads to more discussions, more ideas, more interpretations.
A lot has been made about the congestion across Vermont, and the people from away heading to the Green Mountains to have a look at a rare event. Yes, people want to see a total solar eclipse with their own eyes. As Paul Piff, the associate professor of psychological science at the University of California, Berkeley, told the media last week: People benefit from being eyewitnesses to history.
Piff went so far as to hint that one of the most interesting things to watch during an eclipse is the people around you. People watching (and gauging responses) has scientific value, too.
We know there will be those who are frustrated that businesses are closed to allow their employees to join their families and friends to watch the eclipse. There will be those who are frustrated with more vehicles on the road, and the fact it will take longer to get around.
We would suggest that instead of resisting or rejecting the moment, you take the time to embrace it and allow yourself (and those around you) to experience awe. Allow yourself the long moment to be curious, and then to reflect on its impact \u2014 great or small \u2014 on you.
Norwich University Professor C.N. Barber witnessed the total solar eclipse in 1932 and was so curious about what \u201cmight happen\u201d that he enlisted individuals from around Vermont to record air temperatures for him during the duration of the eclipse \u2014 not just the totality.
Lester Freer, of Groton, mailed the professor a note with his results, which reflected a 10-degree dip in temperature.
\u201cTrusting this information will be of value to you,\u201d Freer wrote. No doubt that it was.
It pays to be curious. More importantly, it pays to take the time to be curious. Make the time Monday.
___
Boston Globe. April 11, 2024.
Editorial: Massachusetts isn\u2019t using a tool that could help tackle its shortage of primary care doctors
Most states use Medicaid money to help pay for doctors\u2019 residencies. Massachusetts doesn\u2019t and has left millions of dollars in potential federal matching grants on the table as a result.
When Massachusetts is a national outlier in any policy, it\u2019s worth asking why and whether that policy still makes sense.
Massachusetts today is one of only seven states that does not use Medicaid money to fund medical residencies, which provide the clinical training of new doctors after they complete medical school. Among the 10 states with the most teaching hospitals and physician residents, it is the only one that does not use Medicaid money to support graduate medical education, or GME, according to the Association of American Medical Colleges.
The main reason appears to be cost: Massachusetts did have a program, but policy makers cut it in 2010, according to the Executive Office of Health and Human Services, amid budget shortfalls due to the 2008 recession and as state officials prioritized implementing universal health insurance coverage.
Today, cost remains a barrier to reinstating the program. Yet given the shortage of primary care physicians, lawmakers should consider reinstating Medicaid GME in a targeted way that shores up needed services like primary care, behavioral health care, and community health centers.
Without the Medicaid money, residencies are mostly paid for by Medicare, which gave $16.2 billion in fiscal 2020 to GME programs nationwide.
Although it may seem like an arcane distinction, there are two good reasons to use Medicaid money to fund residencies beyond those funded by Medicare. One is that the federal government would match the state contribution, drawing new federal money. The second is that the state can narrowly tailor a Medicaid program to decide how much money to spend \u2014 and how to spend it.
This flexibility means state lawmakers could target money for residencies in specific specialties that Massachusetts needs more of.
There is a dire need to train more primary care physicians and keep them in Massachusetts. People are struggling to find doctors. Wait times at community health centers, which see many Medicaid patients, have recently been as long as 80 days for a new patient and up to 40 days for an existing patient, according to Michael Curry, president and CEO of the Massachusetts League of Community Health Centers.
According to the Milbank Memorial Fund\u2019s primary care scorecard, 16.7 percent of adults in Massachusetts and 5.4 percent of children in 2021 lacked a usual source of health care, numbers that had grown since 2011. According to survey data from Massachusetts Health Quality Partners and the Center for Health Information and Analysis, adults were having a harder time accessing primary care in 2022 than in 2019. Massachusetts has a higher rate of doctors leaving primary care than the nation overall. One-third of Massachusetts doctors in 2020 were over 60 and fewer than one-quarter of Massachusetts medical school graduates are entering primary care, according to MHQP.
When someone cannot get an appointment with a primary care physician, they are more likely to become seriously ill and go to the emergency department, at a time when hospitals are experiencing capacity crunches.
Funding more residency training slots through Medicaid would not magically solve the problem. Seriously addressing the primary care shortage will require paying primary care doctors more and addressing the administrative burden that makes primary care such a hard job. Massachusetts officials are taking other steps to address the problem, like establishing student loan repayment programs.
But reestablishing Medicaid GME could allow hospitals and community health centers to train more doctors to work in badly needed fields. Because specialty care is more lucrative, without the added Medicaid incentive, hospitals are more likely to create residencies in specialty fields than primary care.
Multiple bills to reestablish Medicaid GME payments are pending in legislative committees, with advocacy by the League of Community Health Centers and the Massachusetts Health and Hospital Association. The details differ, but the basic idea is to pay for residencies in fields with shortages, including primary care and behavioral health care, in hospitals and community health centers. (Like primary care, behavioral health care is a field where worker shortages are severely impacting people\u2019s ability to get timely care.) A program could also potentially fund training for non-physician clinicians, like nursing students.
The League of Community Health Centers is asking for $50 million in Medicaid funding over three years, half of which would be reimbursed by the federal government. According to the organization, that level of funding would pay to graduate 23 new family medicine doctors annually (with funding for three years of residency) and to fund 69 residency slots each year for nurse practitioners, assuming a cost of $185,000 per physician resident and $120,000 per nursing resident.
Most states use general fund money to pay for Medicaid GME, though some rely on municipal tax money or taxes on hospitals. Lawmakers will have to determine the best funding source.
But the money is likely to be a smart investment, and it will draw in federal money that the state is leaving on the table now. And if increased funding for residencies means more doctors go into primary or behavioral health care in Massachusetts, patients will be seen sooner and will get the care they need to remain healthy, lowering costs in the long term.
END
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Memorial Hermann-Texas Medical Center said in a statement Friday that their ongoing investigation found that a doctor had made \u201cinappropriate changes\u201d in a database for people awaiting liver transplants. Memorial Hermann\u2019s statement didn\u2019t name the doctor, but the University of Texas Health Science Center at Houston, or UTHealth Houston, issued a statement defending Dr. Steve Bynon, calling him \u201dan exceptionally talented and caring physician\u201d with survival rates that are \u201camong the best in the nation.\u201d", + "bylines": [ + { + "by": "By JAMIE STENGLE and CARLA K. JOHNSON", + "title": "Associated Press" + } + ], + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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Memorial Hermann-Texas Medical Center said in a statement Friday that their ongoing investigation found that a doctor had made \u201cinappropriate changes\u201d in a database for people awaiting liver transplants. Memorial Hermann's statement didn't name the doctor, but the University of Texas Health Science Center at Houston, or UTHealth Houston, issued a statement defending Dr. Steve Bynon, calling him \u201dan exceptionally talented and caring physician\" with survival rates that are \u201camong the best in the nation.\u201d
Bynon is an employee of UTHealth Houston who is contracted to Memorial Hermann. UTHealth said its faculty and staff, including Bynon, are assisting with the inquiry into Memorial Hermann\u2019s liver transplant program and are \u201ccommitted to addressing and resolving any findings identified by this process.\u201d
Memorial Hermann said a doctor made changes to the donor acceptance criteria, which includes factors like the age and weight of the deceased donors. The hospital said the inappropriate changes were only made to the liver transplant program, but since there is shared leadership over both the liver and kidney transplant programs, they inactivated both.
Shutting down the transplant programs during the investigation is prudent with an \u201callegation of this magnitude,\u201d said Karen Maschke, a research scholar at the Hastings Center, a medical ethics think tank. \u201cThey know full well that when they put a program on hold, it\u2019s going to have a really serious impact on patients. So I think they probably don\u2019t make that decision lightly.\u201d
Such allegations of manipulating a transplant waiting list can undermine the public\u2019s trust in the organ allocation system, Maschke said.
Without fairness, transparency and accountability in a transplant program \u201cyou lose, the trust of patients, but also donors,\u201d Maschke said, \u201cbecause, donors won\u2019t want to provide organs if they think that the institution is not going to manage the allocation system fairly.\u201d
Memorial Hermann said in a statement Thursday to The New York Times that a doctor in the liver transplant program admitted to changing patient records. The newspaper identified the doctor as Bynon.
The U.S. Department of Health and Human Services said in a statement that they were \u201cworking across the department to address this matter.\u201d The Organ Procurement and Transplantation Network, or OPTN, said it \"cannot comment on any potential or ongoing review of a member organization.\u201d
The death rate for people waiting for a liver transplant at Memorial Hermann was higher than expected in recent years, according to publicly available data from the Scientific Registry of Transplant Recipients, which evaluates U.S. organ transplant programs.
Data from OPTN shows that four patients died or became too ill for a transplant in 2021, 11 in 2022, 14 in 2023, and so far this year, that number was at five.
The UTHealth statement said that Bynon treated \u201cpatients with higher-than-average acuity and disease complexity.\u201d
Memorial Hermann said they've been working with patients who were on the lists to ensure they get the care they need, including being transitioned to another transplant program if necessary. Memorial Hermann also said it was working with UTHealth Houston to make changes so they can reactivate the program under different leadership.
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Why is is it off to a slow start?", + "headline_extended": "The first drug shown to slow Alzheimer\u2019s hit the U.S. market over a year ago, but sales have lagged and diagnosis and treatment remain complicated", + "slugline": "BC-US-MED--Alzheimer's Treatment-Slow Start", + "description_summary": "The first drug shown to slow Alzheimer\u2019s hit the U.S. market over a year ago, but sales have lagged and diagnosis and treatment remain complicated. Major hospital systems have taken months to iron out plans to administer Leqembi, which requires regular infusions and imaging scans. Some health insurers have rejected coverage, and doctors expect that some patients will hesitate to take Leqembi. Doctors say it will take years to learn more about how the drug works outside the controlled studies that led to its approval. In the meantime, they say much work must be done to improve diagnosis.", + "bylines": [ + { + "by": "By TOM MURPHY", + "title": "AP Health Writer" + } + ], + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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Doctors also expect some patients will hesitate to take Leqembi due to its limited impact and potential side effects. They say it will take years to learn how best to deploy the drug and that work must be done to improve diagnosis.
\u201cThis is the start of a very exciting journey,\u201d said Dr. Ambar Kulshreshtha, a suburban Atlanta family physician focused on dementia patients.
More than 6 million Americans, and millions more worldwide, have Alzheimer\u2019s disease, the most common cause of dementia. There\u2019s no cure, but Leqembi clears a sticky brain protein called amyloid that\u2019s a key indicator of Alzheimer\u2019s.
Studies showed that it can delay the progression of the disease by a few months when given to people with mild symptoms. Some experts say the delay may be too subtle for patients to notice.
The drug also can cause brain swelling and bleeding. Patients need regular brain scans to monitor for that.
The Food and Drug Administration gave Leqembi full approval last summer for patients with early stages of the disease. The federal Medicare program for people ages 65 and over covers Leqembi and the cost of scans needed to diagnose patients.
The drug's maker, Japan's Eisai, initially expected to have 10,000 patients taking the IV drug by the end of March. Company executives have since backed off that projection, though they say sales are growing.
Hospitals and health systems have needed more time than expected to set up their systems for delivering Leqembi, said Alexander Scott, an Eisai executive vice president.
\u201cIt\u2019s not like we are adding a drug to an existing system,\u201d he said. \u201cThey are building the system for the drug.\u201d
The Cedars-Sinai health system in Los Angeles started administering the drug in early March. Getting there required months of meetings to iron out a plan to coordinate diagnosis, treatment and then monitoring for problems.
\u201cWe were very careful about it,\u201d said Dr. Sarah Kremen, a behavioral neurologist.
Banner Health in Arizona also recently started using Leqembi at a couple specialty clinics in Phoenix, a spokeswoman said.
\u201cThis is a very phased and staged approach,\u201d said Dr. Alireza Atri, a neurologist who has worked as a paid consultant for Eisai. \u201cAs we learn more, we\u2019ll expand and extend it.\u201d
The Mayo Clinic in Rochester, Minnesota, started using Leqembi in October but only for patients who live within a 100-mile radius so it can reach them quickly if they develop side effect symptoms. Doctors evaluate three to five patients every week for potential treatment, said Alzheimer\u2019s expert Dr. Ron Petersen.
Health systems are still trying to understand how coverage for the drug, its infusions and the needed scans works so patients don\u2019t get stuck with bills. That\u2019s a significant variable for a drug that can cost more than $26,000 a year.
An Eisai spokeswoman said nearly three-quarters of commercial plans in the U.S. cover the drug outside Medicare.
But doctors are concerned that coverage still may be tough for some patients, especially those too young to qualify for Medicare.
Insurance denials delayed Scott Berkheiser\u2019s first Leqembi infusion a few months until last December. The 57-year-old Venice, Florida, resident said the drugmaker eventually agreed to give it to him for free while he makes co-payments for the infusions.
\u201cIt was a little crazy,\u201d he said. \u201cIt seemed like it was kind of a game that must make sense for some monetary reason.\u201d
Getting treatments started on time remains another challenge.
Texas Neurology had 60 patients screened as possible candidates for Leqembi and on a waitlist when the drug launched last year. Only eight eventually started treatment. The rest either declined to take it or had advanced beyond the mild phase of the disease when they were rescreened, CEO David Evans said.
\u201cThat window gets very short very quick,\u201d he said.
Doctors say more must be done to quickly identify patients and get treatment started before the disease advances. But that\u2019s a murky process.
If people mention memory trouble, doctors must rule out reversible causes like thyroid problems, vitamin deficiencies, medication issues or depression, Kulshreshtha said. Then memory tests for dementia can take a few visits.
Some patients may be ineligible for Leqembi because it would conflict with medication they already take to prevent strokes.
And then getting in to see a neurologist who prescribes the drug can take months.
Those who make it to the first infusion say the treatment process is manageable. Berkheiser says infusions have gone \u201clike clockwork\u201d since his delayed start.
He fits them in between his work as an engineer and training six days a week to compete in an Ironman triathlon.
Charles \u201cBum\u201d Clegg recently finished his 13th Leqembi infusion. The Salem, Alabama, resident visits a treatment center only 15 minutes from his home.
Clegg and his wife, Carol, say he has had no side effects, and his short-term memory has improved.
\u201cThis drug gives you hope,\u201d Carol said.
Treatment access may improve over time. The FDA is reviewing another potential treatment that targets amyloid protein, Eli Lilly and Co.\u2019s donanemab. Eisai is planning to seek approval for an injectable version of Leqembi that would be easier to use. Blood tests may eventually speed up amyloid detection.
But researchers say there\u2019s still a long road ahead. It\u2019s not clear what causes Alzheimer\u2019s disease, and many think combination treatments will be needed to stop it.
\u201cWe still have a lot to learn about Alzheimer\u2019s,\u201d said Dr. Eric Widera a geriatric specialist with the University of California San Francisco. \u201cIt\u2019s complex, and it\u2019s much more than amyloid.\u201d
__
The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute\u2019s Science and Educational Media Group and the Robert Wood Johnson Foundation. The AP is solely responsible for all content.
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Police filed aggravated indecent assault and other charges against 33-year-old Ramon Garcia on Thursday. Authorities said that a day after charges against him involving two victims were announced last month, more women came forward. Garcia is in the Montgomery County Correctional Facility in Eagleville with bail set at nearly $250,000. His lawyer says Garcia maintains he is innocent.", + "located": "NORRISTOWN, Pa.", + "datelinelocation": { + "city": "Norristown", + "countryareacode": "PA", + "countryareaname": "Pennsylvania", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -75.3399, + 40.1215 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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(AP) \u2014 A dozen additional victims have told police they were victimized by a medical assistant who falsely said he was nurse when they sought treatment in recent months at an urgent care facility outside Philadelphia, police said in filing new sexual assault charges.
Ramon Garcia, 33, was accused on Thursday of two counts of aggravated indecent assault, multiple counts of indecent assault and invasion of privacy, as well as impersonating a nurse, harassment and other offenses. The alleged crimes took place at Carbon Health urgent care facilities in Montgomery County, police said.
\u201cThis defendant, who was not a nurse, took advantage of the trust that patients extend to true medical professionals by assaulting and violating them,\u201d Montgomery County District Attorney Kevin Steele said in a statement released Friday.
Garcia had been charged a month ago with indecent assault of two victims. Authorities said that a day after those charges were announced, more women came forward.
Garcia, a resident of Philadelphia, was in the Montgomery County Correctional Facility in Eagleville on Friday with bail set at nearly $250,000.
\u201cWe still maintain his innocence, and we will litigate this where it should be litigated, in court,\u201d his defense attorney, Paul Gregory Lang, said in a phone interview Friday.
A police affidavit used to file the new set of 24 charges accused Garcia of staying with a woman seeking treatment as she undressed, then photographing and manually examining her breasts and asking if she was in a relationship.
Another woman told police Garcia placed her hand on his crotch while drawing blood, and placed her hand back after she moved it away. He is also accused of performing pelvic exams. After some of the encounters, he made overtures to some of the victims, including asking for dates and giving them his phone number, police said.
Carbon Health issued a statement on Friday calling the allegations shocking and disclosing that Garcia is no longer employed there.
\u201cWe have conducted a thorough internal investigation and are consulting with an external investigator on this matter. Carbon Health is dedicated to maintaining a safe environment at all of our facilities and we are continuing to fully cooperate with law enforcement and other relevant authorities in their investigation,\u201d the company's statement said.
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And they're doing so more frequently in states that banned abortion after the Supreme Court\u2019s 2022 decision to overturn Roe v. Wade. Democrats think that even in many strongly Republican states, voters support their view that such personal choices should be left to women to make for themselves. Democrats say showing voters how hard their own decisions were will help make that case. Recent elections suggest the fight for abortion rights may have real currency. Statewide ballot measures supporting reproductive rights have won big since the high court\u2019s ruling, including in GOP strongholds such as Kansas and Kentucky.", + "bylines": [ + { + "by": "By KIMBERLEE KRUESI and CHRISTINE FERNANDO", + "title": "Associated Press" + } + ], + "located": "NASHVILLE, Tenn.", + "datelinelocation": { + "city": "Nashville", + "countryareacode": "TN", + "countryareaname": "Tennessee", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -86.78444, + 36.16589 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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(AP) \u2014 For decades, only three people knew Gloria Johnson had had an abortion.
But a year of watching women and doctors agonize under Tennessee's strict abortion ban kicked up a fire in the longtime Democrat. She watched in dismay as her Republican colleagues in the General Assembly dismissed concerns that the law was harming women. Many GOP lawmakers argued that only on rare occasions was an abortion needed to save a life.
So without telling her legislative staff or family in advance, the then-60-year-old state representative stood before a Republican-controlled House panel in March 2023 and testified about the abortion she had at age 21. She made the decision to have an abortion, she said, as a newly married college student after being diagnosed with an aortic aneurysm. That would likely have killed her if she did nothing, but might have harmed the baby if Johnson got the treatment she needed to save her own life.
\u201cThe reality is that we're in a situation where people act like stories like mine are one in a million when actually they happen every day,\u201d Johnson said in a recent interview, nearly a year after her dramatic testimony.
Johnson, now running as a Democrat for the U.S. Senate against Republican incumbent Marsha Blackburn, has joined the growing ranks of progressive candidates choosing to tell their own abortion stories. They are doing so more frequently in states that have banned abortion in the aftermath of the U.S. Supreme Court's 2022 decision to overturn Roe v. Wade.
Democrats think that even in many strongly Republican states voters support their view that such personal choices should be left to women to make for themselves and that showing voters how hard their own decisions were will help make that case.
Recent elections suggest the fight for abortion rights may have real currency. Statewide ballot measures supporting reproductive rights have won big since the high court's ruling in Dobbs v. Jackson Women\u2019s Health Organization, including in GOP strongholds such as Kansas and Kentucky.
Reproductive rights supporters celebrated last month after Marilyn Lands won a special election in Alabama, claiming a legislative seat long held by Republicans. Alabama currently bans abortion at all stages of pregnancy, with almost no exception.
Lands made abortion rights central to her campaign, releasing a video in which she disclosed having an abortion after testing determined that her baby had a genetic disorder and could not survive.
Lands made a comparison to Alyssa Gonzales, a woman denied the same care just months after Dobbs despite having almost the same diagnosis as Lands. Gonzales traveled 10 hours out of state to Washington, D.C., to get the help she needed.
\u201cOur media consultant did say, \u2018Marilyn, you don\u2019t have to do this, the issue is compelling enough on its own,\u2019\u201d Lands said. \u201cI think they wanted to be sure that I really was comfortable with it, and I was. ... It was absolutely the right thing to do.\u201d
For the most part, though, election victories have been slower to come for pro-choice candidates than when they are framed in a ballot measure. Measures legalizing recreational marijuana and Medicaid expansion also have won in conservative states but have not translated into many wins for candidates supporting them.
That leaves political experts watching races such as Johnson's Tennessee Senate bid to see if telling more personal stories will make a difference.
\u201cIf these candidates continue to be successful, it\u2019ll just once again show us that people are unhappy with state abortion policies but also that abortion is a big enough deal to them that they may vote for someone they may not otherwise,\u201d said Mary Ruth Ziegler, a law professor at the University of California, Davis.
Heather Williams, president of the Democratic Legislative Campaign Committee, which works to elect Democrats to state legislatures, said Lands\u2019 victory was a \u201cpolitical earthquake in Alabama.\u201d
\u201cIn red states, when candidates share these stories, it helps voters see there\u2019s someone championing the things they care about, who shares their experiences,\" she said.
While the majority of candidates and lawmakers who have shared abortion stories have been Democrats, Republican Sam Brown has chosen to revisit his wife\u2019s abortion as he vies for a U.S. Senate seat in Nevada. Earlier this year, Brown\u2019s wife talked candidly about the abortion she had before the two met. Brown said he would oppose a federal abortion ban while supporting Nevada\u2019s current law protecting the right to an abortion up to 24 weeks \u2014 roughly the standard nationally under Roe v. Wade.
Even before the right to abortion was struck down, there were hints that politicians' personal stories could make a difference.
In Georgia, Democrat Shea Roberts first ran for the state House in 2018 but lost to Republican Deborah Silcox. In 2020, Roberts shared her abortion story while running once again and won.
Roberts started talking about her decision to terminate her nonviable pregnancy \u2014 first before small groups of voters and then at news conferences. She said she owed her win to that decision.
\u201cI regretted not being braver the first time around,\u201d she said.
At the federal level, Democratic Reps. Cori Bush of Missouri, Pramila Jayapal of Washington state and Barbara Lee of California have shared their abortion stories openly since speaking about them at a House committee hearing in 2021 on abortion rights.
And as the future of Roe v. Wade hung in the balance after the Supreme Court\u2019s draft ruling leaked, Democratic Reps. Marie Newman of Illinois and Gwen Moore of Wisconsin also spoke openly about their abortions.
In Arizona, state Sen. Eva Burch told fellow lawmakers from the Senate floor last month that she was going to get an abortion because her pregnancy was no longer viable. In a nearly 10-minute speech, the 43-year-old first-term lawmaker, who previously worked as a nurse practitioner at a women\u2019s health clinic, described a \u201crough journey\u201d with fertility and an earlier miscarriage.
Burch criticized Arizona's restrictions as out of touch, saying state law requires an ultrasound that her doctor did not order. She also said she was given bad information about alternative treatments.
\u201cI think a lot of people wish they could tell their story, but either they don\u2019t have the platform or they don\u2019t want to and they shouldn\u2019t have to,\u201d Burch said later. \u201cIf that\u2019s something that I can do for people, I\u2019m going to do it in whatever capacity I possibly can.\u201d
In Wisconsin, Dr. Kristin Lyerly, an obstetrician and gynecologist who performs abortions, entered the race last week for an open congressional seat in a Republican district. Minnesota state Sen. Kelly Morrison, a practicing OB-GYN, is running for Congress and promoting her support for abortion rights.
Back in Tennessee, which severely limits exemptions to its abortion ban, Gloria Johnson isn't the only candidate sharing her story.
At 19 weeks pregnant, Allie Phillips learned she had a nonviable pregnancy, but she did not meet the requirements to receive an abortion in the state despite the many complications she was having. Her account of traveling outside Tennessee with her husband to get the services she needed has circulated widely on social media.
Phillips has since joined a group of women challenging the legality of Tennessee\u2019s abortion law. She announced her candidacy for the state House against a Republican who she says played down her story when she met with him last year.
Johnson says reproductive rights are a priority for Democrats and Republicans. She knows Tennessee voters have not elected a Democrat to statewide office in nearly 20 years but thinks being open will help her connect with anyone who cares about how women are treated.
\u201cI'm absolutely setting myself apart. I'm letting you know that I'm a woman who cares about women's reproductive choice,\u201d she said. \u201cTo me it's about equality and rights.\u201d
___
Fernando reported from Chicago.
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This version adds a new photo.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "US-Financial-Wellness-Tax-Season-Mental-Health", + "headline": "Here's how to reduce stress and get your taxes done", + "headline_extended": "For many people, tax season isn\u2019t only about gathering W-2 forms or calling an accountant", + "slugline": "AP-US-Financial-Wellness-Tax-Season-Mental-Health, 1st Ld-Writethru", + "description_summary": "For many people, tax season isn\u2019t only about gathering W-2 forms or calling an accountant. It can also bring intense feelings of stress or anxiety about dealing with finances. Financial stress during tax season can manifest in different ways, whether that\u2019s procrastinating on your tax return until the last minute or experiencing intense stress about filing incorrectly. If you\u2019re dealing with financial stress right now, you\u2019re not alone. Experts recommend that you make a plan to tackle your return step by step, ask for support from family and friends or a tax professional, and focus on self care if you're experiencing financial stress.", + "bylines": [ + { + "by": "By ADRIANA MORGA", + "title": "Associated Press" + } + ], + "located": "NEW YORK", + "datelinelocation": { + "city": "New York", + "countryareacode": "NY", + "countryareaname": "New York", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -74.00597, + 40.71427 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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It can also bring intense feelings of stress or anxiety about dealing with finances.
Financial stress during tax season can manifest in different ways, whether that's procrastinating on your tax return until the last minute or experiencing intense stress about filing incorrectly. If you\u2019re dealing with financial stress right now, you\u2019re not alone.
\u201cMany Americans experience high stress during tax times, and many Americans are dealing with financial stress,\u201d financial wellness expert Joyce Marter said.
You might think emotions and money don\u2019t go together, but they often affect each other, said Lindsay Bryan-Podvin, financial therapist and founder of Mind Money Balance.
\u201cOur money and mental health intersect because they\u2019re two parts of our overall wellness,\u201d said Bryan-Podvin.
Here are recommendations from experts to reduce financial stress during tax season while still getting your return done by the deadline:
Financial stress can happen all year long. While tax season is only a window of time, it comes with something that can be daunting: a deadline. Some might find a deadline motivates them to get things done, while others can feel paralyzed by it, said Dr. Tanya Farber, psychologist at McLean Hospital, a mental health facility in Massachusetts.
\u201cIf we\u2019re overwhelmed by our anxiety, that\u2019s where it may lead us to avoid thinking about finances or trying to avoid thinking about taxes,\u201d Farber said.
Although you do have an option of filing for an extension, Farber doesn\u2019t recommend prolonging the period when you have to worry about taxes. Instead, a good first step is to make a detailed plan to tackle them.
Farber recommends you break down all of the steps and start completing them one by one. A key step is to start gathering all of your documents, such as your W-2 or 1099 forms, savings and investment records, eligible deductions and tax credits, ahead of sitting down to file your taxes. Once you have a list of steps, scheduling times to complete the tasks will make it easier to build momentum.
While the required documents might depend on your individual case, here is a general list of what everyone needs:
If you need help making a plan, search for tax checklists, which can be a great tool to make sure you have everything you need.
For many, anxiety over filing taxes comes from fear, Farber said. Whether it\u2019s fear of making a mistake in your return or unexpectedly owing thousands of dollars, these fears can overwhelm you to the point of avoiding even looking at your taxes.
If you identify that fear is what\u2019s stopping you from filing, Farber recommends that you ask yourself if whatever you're afraid of is likely to happen.
\u201cWhen we have fears, they\u2019re possible, probable or definite,\" Farber said. \u201cAnd oftentimes anxiety is the highest when we\u2019re assuming the worst-case scenario.\u201d
If thinking about your fears by yourself is not helping, Bryan-Podvin recommends you discuss them with a friend or a family member. In many cases, talking with someone else might help you focus on what might actually happen rather than focusing on the worst-case scenarios.
If tax season brings a lot of financial stress for you, Bryan-Podvin recommends that you increase the amount of self-care activities you're doing. Activities such as taking a walk, spending time with your dog or getting enough sleep can help soothe stress.
\u201cWe are going to be doing things that are difficult and depleting and anxiety-provoking so doing more things that are restorative can help us balance that,\u201d Farber said.
Doing restorative activities can work as a toolbox of coping skills when you\u2019re in the middle of a stressful situation, like filing taxes.
You might feel like you'll be judged if you talk about money, but that's often not the case. Talking about finances with your friends or family can be a moment to receive support, she said.
\u201cTalking with others is going to give you access to more information and resources and also helps remove the shame and stigma because you\u2019re not alone,\u201d Marter said.
Whether it's talking with a tax professional or reaching out to your most tax-savvy family member, proactively seeking support will help you avoid being stressed if you\u2019re filing very close to the deadline.
Additionally, if you are experiencing mental health struggles, there are several resources you can use to find professional help.
In the U.S., you can dial 211 to speak with a mental health expert, confidentially and for free.
Other mental health resources include:
Veterans Crisis Line: call 1-800-273-TALK (8255)
Crisis Text Line: Text the word \u2018Home\u2019 to 741-741
The Trevor Lifeline for LGBTQ Youth: 1-866-488-7386
The Trans Lifeline: 1-877-565-8860
___
The Associated Press receives support from Charles Schwab Foundation for educational and explanatory reporting to improve financial literacy. The independent foundation is separate from Charles Schwab and Co. Inc. The AP is solely responsible for its journalism.
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Thousands of Polish opponents of abortion marched in Warsaw on Sunday to protest recent steps by the new government to liberalize the predominantly Catholic nation\u2019s strict laws and allow termination of pregnancy until the 12th week.
Many participants in the downtown march were pushing prams with children, while others were carrying white-and-red national flags or posters representing a fetus in the womb.
Poland\u2019s Catholic Church has called for Sunday to be a day of prayer \u201cin defense of conceived life\u201d and has supported the march, organized by an anti-abortion movement.
\u201cIn the face of promotion of abortion in recent months, the march will be a rare occasion to show our support for the protection of human life from conception to natural death,\u201d a federation of anti-abortion movements said in a statement.
They were referring to an ongoing public debate surrounding the steps that the 4-month-old government of Prime Minster Donald Tusk is taking to relax the strict law brought in by its conservative predecessor.
Last week, Poland\u2019s parliament, which is dominated by the liberal and pro-European Union ruling coalition, voted to approve further detailed work on four proposals to lift the near-ban on abortions.
The procedure, which could take weeks or even months, is expected to be eventually rejected by conservative President Andrzej Duda, whose term runs for another year. Last month Duda vetoed a draft law that would have made the morning-after pill available over the counter from the age of 15.
A nation of some 38 million, Poland is seeking ways to boost the birth rate, which is currently at some 1.2 per woman \u2014 among the lowest in the European Union. Poland's society is aging and shrinking, facts that the previous right-wing government used among its arguments for toughening the abortion law.
Currently, abortions are only allowed in cases of rape or incest or if the woman\u2019s life or health is at risk. According to the Health Ministry, 161 abortions were performed in Polish hospitals in 2022. However, abortion advocates estimate that some 120,000 women in Poland have abortions each year, mostly by secretly obtaining pills from abroad.
Women attempting to abort themselves are not penalized, but anyone assisting them can face up to three years in prison. Reproductive rights advocates say the result is that doctors turn women away even in permitted cases for fear of legal consequences for themselves.
One of the four proposals being processed in parliament would decriminalize assisting a woman to have an abortion. Another one, put forward by a party whose leaders are openly Catholic, would keep a ban in most cases but would allow abortions in cases of fetal defects \u2014 a right that was eliminated by a 2020 court ruling. The two others aim to permit abortion through the 12th week.
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Younger women, under 50, were especially likely to report they aren't getting enough rest.", + "bylines": [ + { + "by": "By DEEPTI HAJELA and LINLEY SANDERS", + "title": "Associated Press" + } + ], + "located": "NEW YORK", + "datelinelocation": { + "city": "New York", + "countryareacode": "NY", + "countryareaname": "New York", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -74.00597, + 40.71427 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. For other uses, additional clearances may be required." + ], + "keywords": [ + "Americans not sleeping hustle culture productivity" + ], + "provider": "AP", + "infosource": [ + { + "name": "AP", + "type": "AP" + } + ], + "subject": [ + { + "rels": [ + "category" + ], + "creator": "Editorial", + "code": "l", + "name": "l" + }, + { + "rels": [ + "category" + ], + "creator": "Editorial", + "code": "a", + "name": "a" + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "b17e2751b26d4523a2c99d79e04747ee", + "name": "COVID-19 pandemic", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 67 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "4f95136e072e41c6a81e8fa820e26e9c", + "name": "Children", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 67 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "cc7a76087e4e10048482df092526b43e", + "name": "Health", + "creator": "Editorial", + "editorial_subject": "Health", + "rels": [ + "direct" + ], + "relevance": 75 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "a4677d70863b4012b846a1b00f5079f5", + "name": "U.S. news", + "creator": "Editorial", + "editorial_subject": "U.S. news", + "rels": [ + "direct" + ], + "relevance": 75 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "f25af2d07e4e100484f5df092526b43e", + "name": "General news", + "creator": "Editorial", + "editorial_subject": "General news", + "rels": [ + "direct" + ], + "relevance": 50 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "3e37e4b87df7100483d5df092526b43e", + "name": "Lifestyle", + "creator": "Editorial", + "editorial_subject": "Lifestyle", + "rels": [ + "direct" + ], + "relevance": 99 + } + ], + "audiences": [ + { + "code": "82c6a4c46fa0446090a7acaf93159e4c", + "name": "Print", + "type": "AUDPLATFORM" + }, + { + "code": "9add4649b53b4702ba7d9de5d4fa607a", + "name": "Online", + "type": "AUDPLATFORM" + }, + { + "code": "f43adc08760d10048040e6e7a0f4673e", + "name": "National", + "type": "AUDSCOPE" + }, + { + "code": "f4ecf9b0760d10048044e6e7a0f4673e", + "name": "International", + "type": "AUDSCOPE" + }, + { + "code": "661850e07d5b100481f5c076b8e3055c", + "name": "Latin America and Caribbean", + "type": "AUDGEOGRAPHY" + }, + { + "code": "661e48387d5b10048291c076b8e3055c", + "name": "United States", + "type": "AUDGEOGRAPHY" + } + ], + "associations": { + "1": { + "altids": { + "itemid": "7ae646f0077f4d839ef38a1c08f1a45a" + }, + "type": "picture" + }, + "2": { + "altids": { + "itemid": "545c0f6e6ce9497e85385970bb8e38af" + }, + "type": "picture" + }, + "3": { + "altids": { + "itemid": "61da121585164498b0c8d6bc2bd5cc9b" + }, + "type": "picture" + }, + "4": { + "altids": { + "itemid": "ed39654c0b5a4d29bf3cccd30f44b869" + }, + "type": "audio" + } + }, + "body_nitf": "NEW YORK (AP) \u2014 If you're feeling \u2014 YAWN \u2014 sleepy or tired while you read this and wish you could get some more shut-eye, you're not alone. A majority of Americans say they would feel better if they could have more sleep, according to a new poll.
But in the U.S., the ethos of grinding and pulling yourself up by your own bootstraps is ubiquitous, both in the country's beginnings and our current environment of always-on technology and work hours. And getting enough sleep can seem like a dream.
The Gallup poll, released Monday, found 57% of Americans say they would feel better if they could get more sleep, while only 42% say they are getting as much sleep as they need. That\u2019s a first in Gallup polling since 2001; in 2013, when Americans were last asked, it was just about the reverse \u2014 56% saying they got the needed sleep and 43% saying they didn\u2019t.
Younger women, under the age of 50, were especially likely to report they aren't getting enough rest.
The poll also asked respondents to report how many hours of sleep they usually get per night: Only 26% said they got eight or more hours, which is around the amount that sleep experts say is recommended for health and mental well-being. Just over half, 53%, reported getting six to seven hours. And 20% said they got five hours or less, a jump from the 14% who reported getting the least amount of sleep in 2013.
(And just to make you feel even more tired, in 1942, the vast majority of Americans were sleeping more. Some 59% said they slept eight or more hours, while 33% said they slept six to seven hours. What even IS that?)
The poll doesn't get into reasons WHY Americans aren't getting the sleep they need, and since Gallup last asked the question in 2013, there's no data breaking down the particular impact of the last four years and the pandemic era.
But what's notable, says Sarah Fioroni, senior researcher at Gallup, is the shift in the last decade toward more Americans thinking they would benefit from more sleep and particularly the jump in the number of those saying they get five or less hours.
\u201cThat five hours or less category ... was almost not really heard of in 1942,\u201d Fioroni said. \u201cThere\u2019s almost nobody that said they slept five hours or less.\u201d
In modern American life, there also has been \u201cthis pervasive belief about how sleep was unnecessary \u2014 that it was this period of inactivity where little to nothing was actually happening and that took up time that could have been better used,\u201d said Joseph Dzierzewski, vice president for research and scientific affairs at the National Sleep Foundation.
It\u2019s only relatively recently that the importance of sleep to physical, mental and emotional health has started to percolate more in the general population, he said.
And there\u2019s still a long way to go. For some Americans, like Justine Broughal, 31, a self-employed event planner with two small children, there simply aren't enough hours in the day. So even though she recognizes the importance of sleep, it often comes in below other priorities like her 4-month-old son, who still wakes up throughout the night, or her 3-year-old daughter.
\u201cI really treasure being able to spend time with (my children),\u201d Broughal says. \u201cPart of the benefit of being self-employed is that I get a more flexible schedule, but it\u2019s definitely often at the expense of my own care.\u201d
So why are we awake all the time? One likely reason for Americans' sleeplessness is cultural \u2014 a longstanding emphasis on industriousness and productivity.
Some of the context is much older than the shift documented in the poll. It includes the Protestants from European countries who colonized the country, said Claude Fischer, a professor of sociology at the graduate school of the University of California, Berkeley. Their belief system included the idea that working hard and being rewarded with success was evidence of divine favor.
\u201cIt has been a core part of American culture for centuries,\u201d he said. \u201cYou could make the argument that it ... in the secularized form over the centuries becomes just a general principle that the morally correct person is somebody who doesn\u2019t waste their time.\u201d
Jennifer Sherman has seen that in action. In her research in rural American communities over the years, the sociology professor at Washington State University says a common theme among people she interviewed was the importance of having a solid work ethic. That applied not only to paid labor but unpaid labor as well, like making sure the house was clean.
A through line of American cultural mythology is the idea of being \u201cindividually responsible for creating our own destinies,\" she said. \u201cAnd that does suggest that if you\u2019re wasting too much of your time ... that you are responsible for your own failure.\u201d
\u201cThe other side of the coin is a massive amount of disdain for people considered lazy,\" she added.
Broughal says she thinks that as parents, her generation is able to let go of some of those expectations. \u201cI prioritize ... spending time with my kids, over keeping my house pristine,\u201d she said.
But with two little ones to care for, she said, making peace with a messier house doesn't mean more time to rest: \u201cWe\u2019re spending family time until, you know, (my 3-year-old) goes to bed at eight and then we\u2019re resetting the house, right?\u201d
While the poll only shows a broad shift over the past decade, living through the COVID-19 pandemic may have affected people's sleep patterns. Also discussed in post-COVID life is \u201crevenge bedtime procrastination,\u201d in which people put off sleeping and instead scroll on social media or binge a show as a way of trying to handle stress.
Liz Meshel is familiar with that. The 30-year-old American is temporarily living in Bulgaria on a research grant, but also works a part-time job on U.S. hours to make ends meet.
On the nights when her work schedule stretches to 10 p.m., Meshel finds herself in a \u201crevenge procrastination\u201d cycle. She wants some time to herself to decompress before going to sleep and ends up sacrificing sleeping hours to make it happen.
\u201cThat applies to bedtime as well, where I\u2019m like, \u2019Well, I didn\u2019t have any me time during the day, and it is now 10 p.m., so I am going to feel totally fine and justified watching X number of episodes of TV, spending this much time on Instagram, as my way to decompress,\u201d she said. \u201cWhich obviously will always make the problem worse.\u201d
___
Sanders reported from Washington, D.C.
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With AP Photo.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "KY-XGR--Kentucky Legislature", + "headline": "Bill meant to improve math skills passes as Kentucky lawmakers reach end of legislative session", + "headline_extended": "Legislation aimed at improving the math skills of Kentucky students has won final passage as state lawmakers considered the final stacks of bills before concluding this year\u2019s session", + "slugline": "AP-KY-XGR--Kentucky Legislature, 2nd Ld-Writethru", + "description_summary": "Legislation aimed at improving the math skills of Kentucky students has won final passage as state lawmakers considered the final stacks of bills before concluding this year\u2019s session. House and Senate members were serenaded with renditions of \u201cMy Old Kentucky Home\u201d at the start of Day 60 of the session that started in early January. The session concluded shortly before 9 p.m. EDT. Bills gaining final passage Monday included legislation intended to provide a strong foundational education in math for elementary school students. The measure aims to improve math scores by expanding training and support for teachers and hands-on intervention for students.", + "bylines": [ + { + "by": "By BRUCE SCHREINER and DYLAN LOVAN", + "title": "Associated Press" + } + ], + "located": "FRANKFORT, Ky.", + "datelinelocation": { + "city": "Frankfort", + "countryareacode": "KY", + "countryareaname": "Kentucky", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -84.87328, + 38.20091 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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(AP) \u2014 Legislation aimed at improving the math skills of Kentucky students won final passage Monday as lawmakers considered the final stacks of bills before concluding this year's legislative session.
A measure intended to reduce the Bluegrass State\u2019s maternal mortality rate reemerged with a late burst of momentum to clear the finish line during the flurry of action.
The session ended shortly after 8:45 p.m. EDT, marking the end of Republican Damon Thayer's more than decade-long run as Senate majority floor leader \u2014 unless lawmakers are called back into special session. This year's session was highlighted by passage of the state's next two-year state budget.
House and Senate members were serenaded with renditions of \u201cMy Old Kentucky Home\" at the start of Day 60 of the session, which began in early January. They wrapped up tributes to retiring lawmakers and staff before plunging into the final round of votes to send bills to Democratic Gov. Andy Beshear.
The Republican supermajority legislature will have no opportunity to consider veto overrides if the governor rejects any of the measures passed Monday. Republican lawmakers spent last Friday overriding a series of gubernatorial vetoes.
Bills gaining final passage Monday included legislation intended to provide a strong foundational education in math for Kentucky's elementary school students. House Bill 162 aims to improve math scores by expanding training and support for teachers and hands-on intervention for students.
Republican state Rep. James Tipton, the bill's sponsor, has called it a \u201csignificant step forward.\u201d
\u201cIt will provide a mathematics education that ensures every student can excel,\" Tipton said earlier in the legislative session. \u201cThe educational standards of the past have failed to meet the needs of many students and left many students behind.\u201d
The maternal health bill \u2014 affectionately dubbed the \u201cMomnibus Bill\u201d by supporters \u2014 was tacked onto a another measure in a maneuver by its lead sponsor \u2014 Republican state Rep. Kimberly Poore Moser \u2014 that proved successful. The expanded measure cleared both chambers with bipartisan support Monday and will head to Beshear's desk.
The goal is to reduce Kentucky's maternal mortality rate, which ranks among the highest nationally.
\u201cThis is a truly great piece of legislation that will absolutely save lives,\u201d Democratic state Sen. Cassie Chambers Armstrong said Monday.
Moser has said the bill is a first step toward combating the high mortality rate. The measure includes mental health support and expands a voluntary home visitation program for new or expectant parents to include lactation counseling and education on safe sleep for infants.
\u201cThis legislation ensures that mothers across the commonwealth have access to care, while also addressing the increasingly high rates of substance abuse disorders and lack of mental health support and prenatal care,\" Moser said earlier in the legislative session.
Another bill winning final passage Monday is a regulatory follow-up to last year's action by lawmakers that legalized medical marijuana in the Bluegrass State starting in 2025. Local governments and schools will be allowed to opt-out of the state program.
The follow-up bill \u2014 HB829 \u2014 did not expand the list of conditions eligible for use of medical marijuana. Beshear had urged lawmakers to broaden access to medical marijuana to include a longer list of severe health conditions. Conditions eligible for medical cannabis when the program starts include cancer, multiple sclerosis, chronic pain, epilepsy, chronic nausea and post-traumatic stress disorder.
Republican state Rep. Jason Nemes signaled Monday that the medical cannabis program is on track to launch at the start of next year. The program had faced a new challenge when the Senate put language in its version of the main state budget bill that would have set conditions to unlock funding to oversee the program. Nemes said that language was changed in the final version of the budget approved by legislative leaders and later by the full legislature.
\u201cI think it's going to go forward,\" Nemes said. \"The language that was in the Senate version of the budget was changed substantially. We still have the protections in place, but it will not be a poison pill, if you will. So I feel good about this. In Jan. 1, 2025, people who qualify will be able to get this medication.\u201d
What lawmakers didn't take up on the final day also was significant. A bill proposing changes to the state's open records law died after the Senate took no action on it. A media attorney had warned it would have created a \u201cgiant loophole\u201d enabling public officials to evade scrutiny.
The session's conclusion marked the end of an era with Thayer's pending Senate retirement at the end of the year. Once Thayer announced the Senate had concluded its final work on bills, he received a standing ovation from colleagues. In a final floor speech, Thayer said \u201cit's been a joy and a privilege\u201d serving in the Senate. As for what he will do next, he said: \u201cStay tuned.\u201d
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Editorial: Michigan should restore inmate good time credits
A ballot drive to return good time prison sentence reductions to Michigan is failing, but there\u2019s a chance to revive the idea with a twist that could make the corrections system more effective in returning inmates to society prepared to lead productive lives.
Michigan voters ended the practice of granting time off for good behavior with their passage of a ballot proposal in 1978. Twenty years later, then-Gov. John Engler signed a bill requiring all convicts to serve at least their minimum sentence before becoming eligible for parole.
Since then, a 10-year minimum sentence, for example, meant a convict would spend a full 10 years behind bars, regardless of how well they used their incarceration time.
The prison reform group Michigan Justice Advocacy is seeking to restore good time credits with a ballot initiative, but the effort is not taking hold. As of last month, the sponsors had gathered just 15,700 of the 356,958 signatures needed to get the proposal on the ballot.
While the petition drive will continue through the end of this month, the group acknowledged success is not likely.
That shouldn\u2019t be the end of the sentencing reform effort.
Michigan Justice Advocacy\u2019s proposal was perhaps too aggressive to gain broad public support. It would have cut 30 days off a sentence for every 30 days an inmate stayed out of trouble. That could have cut a minimum sentence in half.
A more palatable version is pending in the state Legislature, and the focus now should be on getting it passed.
That bill, introduced by Rep. Tyrone Carter, D-Detroit, would cut minimum sentences by up to 20% if an inmate completes skills training. Parole boards would have to agree, and the most violent convicts would not be included in the program.
The so-called productivity credits are aimed at encouraging inmates to use their time behind bars to gain skills and education that will lessen the likelihood of returning to prison.
The credits would also be a valuable prison management tool, since they provide a tangible incentive for good behavior.
Roughly 60% of the current inmate population would be eligible to earn productivity credits.
Passage of the bill would be an important signal that Michigan views its corrections system as more than a vehicle for punishing wrongdoers.
An equal priority should be rehabilitating prisoners and giving them the skills and confidence they need to lead a productive life after their release.
The reality is that most of those who go to prison will return home someday. It is in society\u2019s interest to assure that when they do come back to their communities, they are prepared to be law-abiding citizens.
The additional benefit of moving rehabilitated inmates out of prison early is the savings to taxpayers. It costs $48,000 a year to house an inmate in a Michigan facility. The state has about 32,000 people in its state prisons.
Lawmakers should adopt the productivity credits law. Savings that come with enacting an early release policy should be poured into assuring all prisons have robust training programs.
It makes no sense to promise incentives for participating in activities that don\u2019t exist.
Michigan should offer prisoners the incentive to not just behave themselves behind bars, but to also improve themselves.
___
Traverse City Record Eagle. April 14, 2024.
Editorial: Public court files need to remain public
A new rule in state court will require records to be deemed nonpublic after they\u2019re bound over to circuit court.
Like some kind of game of switcheroo with felony files, the records will be closed in district court on bind-over to circuit court, then closed in circuit if the case is remanded back to district.
The Michigan Supreme Court amended the rules at the behest of the State Court Administrator\u2019s Office to restrict access to public records. This change will ostensibly create a centralized sort of \u201cone-stop shopping\u201d for court records, they say.
We think not.
Fundamentally, what this change really means is that district court \u2013 often called \u201cthe people\u2019s court\u201d\u2013 will no longer provide the people with access to the records of more serious felony cases after those cases are bound over to circuit court.
Is there some sort of contagious thinking going on that spread from the Michigan State Police, who say their refusal to release names of victims of crashes is a service to the public? Now we have the state court administrator saying this change in handling court files will make it easier for the public to obtain them.
The underlying reason for amending this particular court rule was based on the expungement package put in place several years ago. Once convictions were set aside, the court records connected to those cases were supposed to be made nonpublic. The effort to make expungement cases nonpublic led to the idea that all case filings \u2013 even ones not affected by expungement \u2013 could be centralized.
Yet these rule changes we\u2019re identifying seem to be chip, chip, chipping away at what was once considered part of the public purview.
In response to our objection about this change, court officials can say, \u201cOn the contrary, the file is still public, we\u2019re just moving it to a different venue.\u201d But what they fail to see is that they are removing a key access point and adding unnecessary complexity to a system that will only serve to discourage public engagement in the process.
That\u2019s just what our democracy doesn\u2019t need right now. Some people are intimidated by courts, the process and protocol. Some who ask for these documents may be victims of crimes. So, when they request files at the district court, they will be told those particular records are no longer public and, if they want to see them, they will have to go elsewhere.
We won\u2019t even try to speculate about the impact this operational change will have on clerks or the handling of the files themselves.
Justice David Viviano, who disagreed with this amendment, said he opposed it \u201cbecause it impedes access to court records and imposes an unnecessary burden on court clerks and staff. The new requirements will make it more difficult to obtain court records that have always been accessible to the public up until now. This Court has a duty to ensure that court records are easily accessible by members of the public.\u201d
\u201cFor many Michiganders,\u201d Viviano said, \u201clocal district or municipal courts may be the easiest place to access a court record. ... I see no good reason to force individuals wishing to access information about a felony case to obtain that information from the circuit court. If the case is public and the local court has the relevant records or information sought, the public should have a right to access it at that court.\u201d
He\u2019s got that right: These proceedings in \u201cthe people\u2019s court\u201d should be accessible to the people.
Here\u2019s another part of the court\u2019s rule change that will add to the difficulty: If that case in circuit court is remanded back to district court, then those records in the circuit court will become nonpublic. This will only serve to complicate access to files even further and, invariably, make more work for the clerks who have to keep tabs on them.
These changes were adopted by a majority of the state Supreme Court earlier this month and they\u2019re supposed to take effect July 2.
Is this a change that will improve court operations and make them more accessible to people?
We think not.
But those officials who approved it appeared to think not at all.
___
Iron Mountain Daily News. April 11, 2024.
Editorial: Protection available to guard against measles outbreak
An area health care provider is warning residents about the resurgence of measles in the United States \u2014 and recommending getting the vaccine that can guard against the virus.
As of March 21, 64 cases of measles had been reported across the U.S. in 17 states. Several have happened in the Midwest, including 28 cases in Illinois, three in Minnesota and one in Michigan, according to Wausau, Wis.-based Aspirus Health, which operates the Iron River hospital along with several facilities in the Upper Peninsula.
With this in mind, Aspirus Health in a news release urged parents and caregivers to be proactive in preventing the potential spread of measles, stating that vaccination remains the most effective measure to protect against measles and other preventable diseases.
\u201cKeeping up with your shots is very, very important,\u201d said Dr. Jason Chan, a pediatrician with Aspirus Health. \u201cGetting your shots protects yourself, but it also protects others around you who can\u2019t get the shots, including babies and women who are pregnant.\u201d
Medical experts recommend the MMR vaccine, which is a vaccine that protects against three infectious diseases: measles, mumps, and rubella. It is typically administered as a series of two doses during childhood, with the first dose given at about 12 to 15 months of age and the second dose between ages 4 and 6.
According to Aspirus, the MMR vaccine is 97% effective in protecting people from getting sick from the measles.
About 1 in 5 unvaccinated people in the U.S. who get measles are hospitalized, according to the CDC. In children, as many as 1 in 20 children with measles gets pneumonia, the most common cause of death from measles in children.
Pregnant women who have not had the MMR vaccine have higher rates of premature birth and a higher risk for a low-birth-weight baby, Aspirus advises.
\u201cThis vaccine has been in use for decades and we know it is safe and exceedingly effective,\u201d Chan said.
Aspirus Health encourages parents and caregivers to consult with their providers regarding vaccination schedules for their children and ensure they are adequately protected. Additionally, adults of any age who have not received two doses of MMR vaccine are candidates for the vaccine as well.
For more information about vaccine recommendations per age groups, contact your primary care provider. To learn more about measles and the MMR vaccine, the CDC\u2019s website offers the \u201cTop Things Parents Need To Know\u201d at https://www.cdc.gov/measles/about/parents-top4.html.
END
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Currently, abortion is considered illegal in Germany, but not punishable if a woman undergoes mandatory counseling and a three-day wait period before she has the procedure. The ruling coalition had tasked the experts\u2019 commission to look into this issue, which has been a hotly debated topic over decades. The country's approach to abortion has been more restrictive than in many other European countries. While the commission\u2019s recommendation Monday to decriminalize the current abortion law is nonbinding, it is likely to heat up discussion over the issue again.", + "bylines": [ + { + "by": "By KIRSTEN GRIESHABER", + "title": "Associated Press" + } + ], + "located": "BERLIN", + "datelinelocation": { + "city": "Berlin", + "countrycode": "DEU", + "countryname": "Germany", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + 13.41053, + 52.52437 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. 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Currently, abortion is considered illegal in Germany but not punishable if a woman undergoes mandatory counseling and a three-day wait period before she has the procedure.
Germany's progressive government coalition of Chancellor Olaf Scholz\u2019 Social Democrats, the Greens and the pro-business Free Democrats, had tasked the experts commission a year ago to look into the issue of abortion, which has been a hotly debated topic over decades.
Germany's approach to abortion has been more restrictive than in many other European countries. Some German women have traveled to neighboring countries such as the Netherlands \u2014 especially during later phases of their pregnancies when abortion is considered completely illegal in Germany except for very grave cases \u2014 to have abortions there.
Other European countries are in very different places in their approach to abortion. France, for example, inscribed the guaranteed right to abortion in its constitution last month, in a world first and a powerful message of support to women around the globe. Meanwhile, Poland's parliament held a long-awaited debate last week on liberalizing the country\u2019s law, which is more restrictive than Germany's, although many women terminate pregnancies at home with pills mailed from abroad.
While the German commission's recommendation for the government to decriminalize abortion is non-binding, it is likely to heat up discussion over the issue in the country again. It could eventually also lead to the current regulation being reformed by parliament, but at this point it is not clear if and when that would happen.
\u201cOur recommendation is to move away from this illegality and to label abortion in the early stages of pregnancy as legal,\" Frauke Brosius-Gersdorf, a law professor who is a member of the commission, told reporters in Berlin.
\u201cThis is not simply a formality, but you can imagine that it makes a big difference to the women concerned, those who are in the situation of considering whether to request an abortion, whether what they are doing is wrong or right,\u201d she added.
Many women who have had abortions in Germany have described the mandatory counseling as humiliating, while others have said it helped them in their decision-making.
In addition to the tricky legal status of abortions in Germany, the experts also pointed out that in recent years, the number of physicians willing to perform an abortion in the country has gone down and that it's been more difficult for women to find a doctor in their region to help them.
The commission said that if the government decides to make abortion legal during the first 12 weeks, it should also ensure that women wishing to have a termination have quick and easy access to organizations and doctors providing it.
Currently, about 10% of physicians performing the medical intervention have faced criminal charges, though they are almost never found guilty.
The Catholic Church, one of the main opponents of liberalizing abortion regulations in Germany, quickly condemned the commission's recommendations.
\u201cThe commission is considering legalizing abortion in the early stages of pregnancy. This would mean the end of a clear concept of life protection,\" said Irme Stetter-Karp, the president of the powerful lay group Central Committee of German Catholics.
\u201cHuman dignity exists from the very beginning,\u201d she added, calling the proposal \u201cunacceptable.\u201d
In addition to its recommendations for the first 12 weeks of pregnancy, the commission said that for the middle phase of pregnancy, it should be up to lawmakers to decide whether and for how long an abortion should be legal, while in the last trimester, abortions should not be allowed unless there is a strong medical or social reason.
\u201cThe shorter the pregnancy, the more likely an abortion is permissible; and the more advanced the gestational age, the more important the needs of the unborn child are,\u201d the commission members said in a summary of their report, which they handed over to government ministers later on Thursday.
German Health Minister Karl Lauterbach said the report's \u201cscientific expertise is a major help in answering the complex ethical questions on reproductive self-determination and reproductive medicine.\u201d
Lauterbach warned everyone not to use the publication of the report as a trigger to heat up the discussion about the legitimacy of abortion again.
\u201cWhat we don\u2019t need in Germany is another debate that divides society,\" the minister added. \"That\u2019s why I appeal to everyone to react objectively, to discuss things objectively, to avoid slipping into an ideological discussion.\u201d
He said the government would also discuss the report in detail and share it with parliament.
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Therefore, the document is relevant to the topic of health, but it is not exclusively focused on health-related issues." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/04/15/5ec38713f486ccbab827b7dd04aa8484.json b/datasets/AP_news/raw_data/2024/04/15/5ec38713f486ccbab827b7dd04aa8484.json new file mode 100644 index 0000000..d6572b0 --- /dev/null +++ b/datasets/AP_news/raw_data/2024/04/15/5ec38713f486ccbab827b7dd04aa8484.json @@ -0,0 +1,227 @@ +{ + "altids": { + "itemid": "5ec38713f486ccbab827b7dd04aa8484", + "etag": "5ec38713f486ccbab827b7dd04aa8484_1a8aza0c0", + "friendlykey": "351479041773", + "referenceid": "US--Insider-Q&A-Vertex Pharmaceuticals" + }, + "version": 1, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-04-15T21:23:48Z", + "firstcreated": "2024-04-15T16:00:41Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: Resends for Health lines.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "US--Insider-Q&A-Vertex Pharmaceuticals", + "headline": "Vertex Pharma scientist talks about the long road to developing non-addictive painkillers", + "headline_extended": "Patients suffering from pain have limited options when it comes to medication", + "slugline": "BC-US--Insider-Q&A-Vertex Pharmaceuticals, 1st Ld-Writethru", + "description_summary": "Patients suffering from pain have limited options when it comes to medication. For decades, the only two choices have been over-the-counter medicines like Tylenol or powerful prescription opioids. Prescriptions for opioids have plummeted over the last decade as doctors have become more aware of their risks. Vertex Pharmaceuticals is one of the drugmakers that have been working for years to develop new alternatives. The Boston-based drugmaker recently reported positive results for a drug that blocks pain using a different method than opioids and other pain drugs. Vertex's chief scientist, Dr. David Altshuler, says that distinction could make the drug a promising option for patients seeking pain relief without the risks of addiction.", + "bylines": [ + { + "by": "By MATTHEW PERRONE", + "title": "AP Health Writer" + } + ], + "located": "WASHINGTON", + "datelinelocation": { + "city": "Washington", + "countryareacode": "DC", + "countryareaname": "District of Columbia", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -77.03637, + 38.89511 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. For other uses, additional clearances may be required." + ], + "keywords": [ + "Vertex Pharmaceuticals pain drug opioid medication study" + ], + "provider": "AP", + "infosource": [ + { + "name": "AP", + "type": "AP" + } + ], + "subject": [ + { + "rels": [ + "category" + ], + "creator": "Editorial", + "code": "f", + "name": "f" + }, + { + "rels": [ + "category" + ], + "creator": "Editorial", + "code": "w", + "name": "w" + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "fb629770cf154f91964e1789d2dd836e", + "name": "Opioids", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 78 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "e237be707de410048fffdf092526b43e", + "name": "Medication", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 96 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "d8e79a587f00100483bff571351eed07", + "name": "Pain management", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 96 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "cc7a76087e4e10048482df092526b43e", + "name": "Health", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 96 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "cc7a76087e4e10048482df092526b43e", + "name": "Health", + "creator": "Editorial", + "editorial_subject": "Health", + "rels": [ + "direct" + ], + "relevance": 75 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "c8e409f8858510048872ff2260dd383e", + "name": "Business", + "creator": "Editorial", + "editorial_subject": "Business", + "rels": [ + "direct" + ], + "relevance": 99 + } + ], + "place": [ + { + "scheme": "http://cv.ap.org/id/", + "code": "66a6548082c410048691df092526b43e", + "name": "Boston", + "creator": "Machine", + "rels": [ + "direct" + ], + "parentids": [ + "bed6942882b310048501df092526b43e" + ], + "locationtype": { + "code": "9d26a20b35f0484a891740f8189d4c7b", + "name": "City" + }, + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -71.05977, + 42.35843 + ] + }, + "relevance": 55, + "parentnames": [ + "Massachusetts" + ] + } + ], + "audiences": [ + { + "code": "82c6a4c46fa0446090a7acaf93159e4c", + "name": "Print", + "type": "AUDPLATFORM" + }, + { + "code": "9add4649b53b4702ba7d9de5d4fa607a", + "name": "Online", + "type": "AUDPLATFORM" + }, + { + "code": "f43adc08760d10048040e6e7a0f4673e", + "name": "National", + "type": "AUDSCOPE" + }, + { + "code": "f4ecf9b0760d10048044e6e7a0f4673e", + "name": "International", + "type": "AUDSCOPE" + }, + { + "code": "661850e07d5b100481f5c076b8e3055c", + "name": "Latin America and Caribbean", + "type": "AUDGEOGRAPHY" + }, + { + "code": "661e48387d5b10048291c076b8e3055c", + "name": "United States", + "type": "AUDGEOGRAPHY" + } + ], + "associations": { + "1": { + "altids": { + "itemid": "157fd17117394220b0bbc235d90d466d" + }, + "type": "picture" + } + }, + "body_nitf": "WASHINGTON (AP) \u2014 For decades, patients seeking medication for pain have had two choices: over-the-counter drugs like aspirin or powerful prescription opioids like oxycodone.
Opioid prescriptions have plummeted over the last decade as doctors have become more attuned to the risks of addiction and misuse during the country\u2019s ongoing drug epidemic.
Vertex Pharmaceuticals recently reported positive results for a non-opioid painkiller, one of several medications the Boston-based drugmaker has been developing for various forms of pain. Patients taking the drug after surgery experienced more pain relief than those getting a placebo, although the drug didn\u2019t meet a secondary goal of outperforming treatment with an opioid.
The Associated Press spoke with Vertex\u2019s chief scientist Dr. David Altshuler about the company\u2019s research and development plans. The interview has been edited for length and clarity.
Q: Why is Vertex interested in new drugs for treating pain?
There is a great need for additional medicines to help people manage pain. There are medicines like Tylenol that are modestly effective but they\u2019re very well tolerated. And there\u2019s medicines such as opioids that are very effective but unfortunately have side effects, as well as addictive potential.
Identifying additional medicines that could be used for people who need more pain relief but don\u2019t want to take the risks of opioids would be helpful for society.
Q: How did you develop these drugs?
Vertex has been working on this for 20 years, and the insight that led to the medicines actually came from studies of people who had a rare condition where they are insensitive to pain. They can feel things, sense temperature, but do not feel pain. This was actually identified in a family of fire walkers who could walk on hot coals.
So scientists figured out that that condition was due to inherited differences in a particular protein that has a role in pain signaling\u2014 so if you lack this function you don\u2019t feel pain. So we and many others have worked for decades to make a medicine that could recapitulate that naturally-occurring phenomenon.
Q: Why wouldn\u2019t these drugs carry the same addictive properties as opioids?
Addictive medicines typically work in the brain and they have side effects that aren\u2019t really separable from the reduction in pain, because they\u2019re the same thing. That\u2019s their mechanism of action. In our case, our goal is to make medicines that act in the periphery, not in the brain, so they wouldn\u2019t have the same potential risk.
Q: Tell me about the recent data you\u2019ve reported?
We\u2019ve reported three studies in people with acute pain \u2014 things like surgery or an injury \u2014 all three studies were positive, all three studies showed substantial reduction of pain of about 50%.
One of the secondary endpoints was superiority to the opioid and the drugs were not superior to the opioid that was used for comparison, they were similar in magnitude. But because opioids have so many safety and tolerability issues, a medicine that could have similar efficacy but does not have those challenges might be of interest to people in pain.
Q: Are you testing this approach in patients with long-term pain?
We also did a study of diabetic peripheral neuropathy, which is long-term pain caused when people with diabetes have damaged nerves. That was also a positive study that showed clinically meaningful reduction in pain. So based on that study, a phase 2 study, we\u2019re now planning for a phase 3 study.
Q: What comes next?
For acute pain we\u2019re preparing to file for FDA approval based on our data. For the longer-term pain, what\u2019s called neuropathic pain, it\u2019s earlier in the development stage but the data is encouraging so far. So we\u2019re continuing studies to determine if it\u2019s possible to apply for approval there.
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What started in the late 1980s with caffeine- and vitamin-laced energy drinks like Red Bull has grown into a multi-billion-dollar industry. Hundreds of brands are vying for consumers\u2019 attention with increasingly exotic ingredients and wellness-focused marketing.", + "bylines": [ + { + "by": "By DEE-ANN DURBIN and LOUISE DIXON", + "title": "Associated Press" + } + ], + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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There are sodas made with mushrooms that supposedly improve mental clarity and juices packed with bacteria that claim to enhance digestive health. Water infused with collagen carries the promise of better skin, and energy drinks offer to help burn body fat.
Welcome to the frenzy of functional beverages \u2013 drinks designed to do more than just taste good or hydrate. What started in the late 1980s with caffeine- and vitamin-laced energy drinks like Red Bull has grown into a multi-billion-dollar industry. Hundreds of brands are vying for consumers\u2019 attention with increasingly exotic ingredients and wellness-focused marketing.
Feeling stressed? Try a drink with ashwagandha, a shrub long used in herbal medicine. Want to enhance your workout? There are drinks containing chromium, a mineral that may boost metabolism. Want to get in a party mood without alcohol? Multiple companies are making non-alcoholic spirits and beers infused with ingredients like guayusa, a leaf containing caffeine and antioxidants.
Consumer intelligence company NielsenIQ counted 53,000 UPC symbols in the U.S. functional beverage category last year, including all of the different flavors of energy drinks, sports drinks, sodas, waters, shakes and teas that are sold on the premise of enhancing mental or physical health.
Nutritionists say the general trend of consumers seeking out healthier beverages is a good one. But experts also say people should be cautious and read ingredient labels, especially if they are pregnant, taking medication or have other health issues. And they should avoid empty calories and sugars that they're not going to burn off. A 16-ounce Monster energy drink has nearly as much sugar as a regular Coke, for example.
\u201cSomeone who\u2019s running a marathon has different needs than someone who\u2019s commuting to work,\u201d said Martha Field, an assistant professor in the division of nutritional sciences at Cornell University.
The U.S. Food and Drug Administration regulates ingredients and requires drink labels to be truthful, and the Federal Trade Commission can step in if companies make false claims. In 2013, the FTC determined that Pom Wonderful pomegranate juice was deceptively advertised as clinically proven to treat, prevent or reduce the risk of heart disease and prostate cancer.
But functional beverage makers generally make less specific claims, and the science behind them is sometimes inconclusive. SkinTe, a sparkling tea, says it \u201csupports skin hydration and elasticity\u201d with 3,000 milligrams of collagen in a 12-ounce can. But last year, Harvard Medical School researchers said there\u2019s not yet solid evidence that collagen drinks or supplements enhance skin, hair or nail growth.
Negative reactions can also happen. Panera Bread faces at least two lawsuits claiming its highly caffeinated Charged Lemonade led to the deaths of people with heart conditions.
\u201cIt\u2019s important to remember that everything has the potential to be both toxic and safe, depending on the amounts. The dose makes the poison,\u201d said Joe Zagorski, a toxicologist for the Center of Research on Ingredient Safety at Michigan State University. \u201cSince it\u2019s difficult to determine the amount of specific compounds in many of these beverages, it\u2019s better to proceed cautiously than to over-consume.\u201d
In some ways, there\u2019s nothing new about humans seeking added benefits from their drinks. Ancient Egyptians and Romans sipped chamomile tea for its perceived healing effects. In 1935, a Japanese microbiologist introduced Yakult, a fermented milk drink now sold around the world as a way to improve gut health.
In the last half-century, beverages ranging from Ovaltine to wheatgrass juice had their moments as praised nutritional supplements. What's different now is social media, which allows the speedy spread of information about less familiar ingredients, Cornell's Field said.
Two of the latest to generate a buzz are adaptogens, which are plants and mushrooms that have been shown to help the body respond to stress and fatigue, and nootropics, which are natural or synthetic cognitive enhancers like caffeine, gingko and amino acids.
Trends ebb and flow within the category. U.S. sales of prebiotic and probiotic drinks more than tripled last year, while sales in the more mature kombucha category rose just 8%, according to data compiled by consulting firm AlixPartners.
\u201cConsumer savviness on functionality of ingredients has really increased,\u201d said Sherry Frey, vice president of wellness at NielsenIQ.
For some, the health claims in functional drinks are secondary. Amy Cassels, a health and fitness coach from Magnolia, Texas, said functional drinks appeal to her because they typically contain natural ingredients, like fruit juice as a sweetener. She enjoys Poppi, a prebiotic soda, as a once-a-day treat.
\u201cWhen I drink something like that, I do not believe that I am nurturing my health by drinking that. But I\u2019m not harming my health either,\u201d Cassels said. \u201cIt\u2019s a guilt-free indulgence.\u201d
A sizeable share of the beverages-with-benefits market is geared toward people who want to curb or cut their alcohol intake. London-based Three Spirit makes non-alcoholic drinks with more than 60 ingredients, including guayusa and schisandra, an Asian berry, that it says mimic the sense of relaxation and social lubrication that drinkers get from beer, wine and spirits.
\u201cFundamentally, alcohol is the ultimate functional drink,\u201d Three Spirit Co-Founder Dash Lilley said. \u201cPeople don\u2019t just drink for flavor. It helps people socialize, helps people unwind, helps people perk up. So we thought we could do that really well by coming at it from a new angle.\u201d
Randy Burt, a managing director at AlixPartners who studies food and beverage, said functional drinks align with a decades-long shift consumers have been making toward healthier diets and habits. He doesn't see demand for the drinks slowing down. Euromonitor, a market research company, expects global sales of functional beverages to grow 7% each year through 2027.
In the U.S., sales of functional beverages jumped 54% to $9.2 billion between March 2020 and March 2024, according to NielsenIQ. That was faster than the 43% growth for the non-alcoholic beverage market overall. Functional beverages now make up about 10% of the total U.S. non-alcoholic beverage market.
Frey said sales slowed a little in the U.S. last year, which she partly attributed to the relatively high cost of functional beverages. Twelve 12-ounce cans of Olipop, a prebiotic soda, sell for $35.99 on Amazon.com; a 12-pack of Dr. Pepper costs $6.48.
\u201cConsumers are making trades, saying \u2018Maybe I\u2019ll still purchase this, but I won\u2019t purchase it as frequently,\u2019\u201d she said.
Henry Chen, the founder and CEO of South San Francisco, California-based ALO Drink, a line of beverages made with aloe vera plants, said the increasing number of brands and promised health benefits is overwhelming for consumers. Chen suspects shoppers eventually will tire of purpose-driven drinks in favor of simpler libations.
\u201cThere are just too many narrowly specific functional needs that brands are claiming to address, too many esoteric ingredients that you need a science degree to understand being added to foods and beverages,\u201d he said.
Even better might be bypassing the functional beverage aisle altogether, said Corrie Whisner, an associate professor at Arizona State University's College of Health Solutions.
\u201cAt the end of the day, if someone would ask me, \u2018Should I be drinking these for my health?\u2019 I would probably say no and stick to whole foods as much as possible,\u201d Whisner said. \u201cJust eat real food. Then you know what you\u2019re getting.\u201d
___
Durbin reported from Detroit. Dixon reported from London.
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Jurors on Monday heard portions of a videotaped deposition of Wells that was recorded the day before he died in 2020. Vermiculite from a nearby mine was transported through the remote town\u2019s rail yard in boxcars for much of last century. BNSF denies responsibility for polluting the town.", + "bylines": [ + { + "by": "By AMY BETH HANSON and MATTHEW BROWN", + "title": "Associated Press" + } + ], + "located": "HELENA, Mont.", + "datelinelocation": { + "city": "Helena", + "countryareacode": "MT", + "countryareaname": "Montana", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -112.03611, + 46.59271 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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(AP) \u2014 Thomas Wells ran a half-marathon at age 60 and played recreational volleyball until he was 63. At 65 years old, doctors diagnosed him with mesothelioma, a rare and aggressive lung cancer linked to asbestos exposure.
\u201cI\u2019m in great pain and alls I see is this getting worse,\u201d the retired middle school teacher from Oregon said in a video deposition recorded in March 2020, four months after his cancer diagnosis. He died a day later.
Portions of Wells' deposition were replayed Monday in a federal courtroom for a jury hearing a wrongful death case against Warren Buffett\u2019s BNSF Railway.
The estates of Wells and a second mesothelioma victim accuse the railroad and its corporate predecessors in a lawsuit of polluting Libby, Montana, with asbestos-contaminated vermiculite from a nearby mine that was transported through the remote town\u2019s rail yard in boxcars for much of last century.
BNSF attorneys have denied the claims and are scheduled to lay out their defense beginning Tuesday. They've said that railroad officials were unaware the shipments were hazardous.
A cleanup of the contaminated rail yard in downtown Libby was largely completed in 2022.
The trial is the first alleging BNSF exposed community members in Libby to asbestos fibers that can cause lung scarring and mesothelioma. It comes almost 25 years after federal authorities arrived in the community not far from the U.S.-Canada border following news reports about toxic asbestos dust causing widespread deaths and illnesses among mine workers and their families.
Numerous other lawsuits from asbestos victims have been filed against BNSF.
The W.R. Grace & Co. mine that operated on a mountaintop outside Libby produced contaminated vermiculite that health officials say has sickened more than 3,000 people and led to several hundred deaths.
The U.S. Environmental Protection Agency in 2009 declared the first-ever public health emergency during a Superfund cleanup in Libby. It\u2019s one of the deadliest sites under the federal pollution program. The agency banned remaining industrial uses of asbestos last month.
Wells said in the 2020 deposition that he believed he was sickened while working for the U.S. Forest Service in the Libby area for about six months each in 1976-78 and again in 1981. He never went to the vermiculite mine, he said, but described wind kicking up dust along the railroad tracks at the rail yard.
\u201cIt was dusty. You know, you\u2019d wash the car and pretty soon you have to wash the car again,\u201d Wells said.
The second plaintiff, Joyce Walder, played in the same area in her youth before dying of mesothelioma at 66.
Mine operator W.R. Grace repeatedly told the railroad\u2019s corporate predecessors that the product it was shipping through Libby was safe, according to BNSF attorney Chad Knight. Local officials also believed the vermiculite was safe, and the railroad couldn\u2019t legally reject the loads, he said.
\u201cYou have to go back and look at what the information was at the time,\u201d Knight told jurors during opening statements last week. \u201cThe materials coming from the mine were being used all over town. No one suspected there was anything unsafe about the products.\u201d
Knight has also sought to cast doubt on whether the BNSF rail yard was the source of the plaintiffs\u2019 medical problems, since asbestos dust was prevalent in the Libby area when the mine was operating.
Tainted vermiculite was used in Libby's high school track, a baseball field next to the rail yard, as a soil amendment in home gardens and as insulating material in homes across the U.S.
The plaintiffs\u2019 attorneys showed jurors several insurance claims for tons of asbestos that leaked out of rail cars in the 1970s and did not make it to its destination, and an example of a placard that was put on a rail car in the late 1970s saying it contained asbestos fibers and to avoid creating dust.
Residents of Libby have described encountering vermiculite along BNSF tracks where children in the community often played.
When kicked up by wind or a passing trains, asbestos fibers from that vermiculite \u201ccan remain airborne for hours if not days depending on conditions,\u201d said plaintiffs expert Steven Compton, who directs the private laboratory MVA Scientific Consultants in Georgia.
Thomas Wells' son Sean Wells described his father during Friday testimony as a \u201cwonderful teacher\u201d and \u201cjust the best dad,\u201d who he could talk to about anything and coached their sports teams.
\u201cThere\u2019s not a day that goes by that I don\u2019t think about my dad and wish I could pick up the phone and call him,\u201d Sean Wells said. \u201cHe wasn\u2019t only our dad. ... He was our best friend. We did everything together.\u201d
Walder died in October 2020 \u2014 less than a month after her diagnosis.
She grew up in Libby and could have been exposed to the microscopic, needle-shaped asbestos fibers while fishing and floating on a river that traveled past a spot where a conveyor belt loaded vermiculite onto train cars, according to court records. Additional exposure may have also come from playing around a baseball field near the rail yard, walking along the railroad tracks and spending time at the home of a friend who lived near the rail yard. She also returned to Libby to visit family.
After her diagnosis Walder underwent chemotherapy and surgery. In a follow-up appointment Walder's family was told the cancer had come back even worse.
\u201cI hope no one has to see the light of hope pass from a parent\u2019s or loved one\u2019s eyes, because that is something you will never forget,\u201d Walder\u2019s daughter, Chandra Zechmeister, testified Monday.
___
Brown reported from Billings, Mont.
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(AP) \u2014 Paris Hilton joined California state lawmakers Monday to push for legislation aimed at cracking down on the industry that cares for troubled teens by requiring more transparency from youth treatment facilities.
The bill supported by the Hilton Hotel heiress and media personality aims to pry open information on how short-term residential facilities for youth dealing with substance abuse and behavioral issues use disciplinary methods such as restraints or seclusion against minors. It would require such centers to notify parents and the state any time they use restrains or seclusion rooms for minors. It\u2019s authored by Republican state Sen. Shannon Grove and Democratic state Sens. Aisha Wahab and Angelique Ashby.
On Monday, Hilton testified in a legislative hearing in support of the bill, detailing her harrowing abuse as a teenager at a facility in Utah that she said still haunts her and urging lawmakers to take actions before more children have to suffer similar treatment.
\u201cOur current system designed to reform, in some horrific instances, does the exact opposite,\u201d Hilton told lawmakers Monday. \u201cIt breaks spirits and instills fear, and it perpetuates a cycle of abuse. But today, we have the power to change that.\u201d
The California bill passed committee with bipartisan support on Monday. Under the bill, facilities would have to report details such as what disciplinary actions were taken, why and who had approved the plan. The state department regulating the facilities also would be required to make public the reports and update the database on the quarterly basis. It would not ban the use of such practices.
Hilton has become a prominent advocate for more oversight and regulation of teen treatment centers after publicly sharing the physical and mental abuse she suffered as a teenager. She alleged staff members would beat her, force her to take unknown pills, watch her shower and send her to solitary confinement without clothes as punishment.
In 2021, her testimony about her experience at Utah\u2019s Provo Canyon School helped pass a bill to impose stricter oversight over youth treatment centers in the state. Hilton has also traveled to Washington D.C. to advocate for federal reforms and helped changed laws to protect minors in at least eight states. Earlier this month, she spoke in support of boys sent to a private school for troubled teens in Jamaica.
Hilton, whose company called 11:11 Media is sponsoring the bill, called the legislation \u201ca game changer\u201d that would shed light on child abuse at youth residential treatments and hold them accountable.
\u201cThis would have been so helpful to myself and so many others to have known what was happening behind closed doors,\u201d Paris said in an interview. \u201cBecause I was cut off from the outside world, I couldn\u2019t tell my family anything, and that\u2019s what they do.\u201d
Between 2015 and 2020, California sent more than 1,240 children with behavior problems to out-of-state facilities due to the lack of locked treatment centers for youths, according to Sen. Grove\u2019s office. As reports about abuse happening at these programs emerged, including an incident where a 16-year-old boy died after being restrained for about 12 minutes at a Michigan facility, California also found significant licensing violations at these facilities and decided to do away with the program in 2020. Legislation passed in 2021 formally banned the use of out-of-state residential centers. Democratic Gov. Gavin Newsom also authorized $8 million to bring all the minors home by last year.
Minors with behavioral issues are now sent to in-state short-term residential centers, which were created in 2017 to replace group homes. But under current laws, these facilities are not required to share information on how often they use seclusion rooms, restraints, and how many times those methods result in serious injuries or deaths.
Children at these facilities make up one of the most vulnerable populations, including foster youths who have previously been sexually exploited, Grove said.
\u201cIt\u2019s a small but critical step to ensure the increased transparency and accountability for California\u2019s children,\u201d she said Monday.
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Updates summary, removes dateline. With AP Photos.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "US--Election 2024-Abortion-1800s Laws", + "headline": "The Civil War raged and fortune-seekers hunted for gold. This era produced Arizona's abortion ban", + "headline_extended": "The near-total abortion ban resurrected last week by the Arizona Supreme Court dates to 1864, a time when gold-seekers were moving in, dueling had to be regulated and settlers were increasingly encroaching on tribal lands", + "slugline": "BC-US-Election-2024-Abortion-1800s-Laws, 1st Ld-Writethru", + "description_summary": "The near-total abortion ban resurrected last week by the Arizona Supreme Court dates to 1864, a time when gold-seekers were moving in, dueling had to be regulated and settlers were increasingly encroaching on tribal lands. The ban was written before Arizona even became a state, created by a New York judge who had been appointed by then-President Abraham Lincoln to write the territory's legal code. The law\u2019s revival is just the latest instance of long-dormant restrictions influencing current abortion policies after the Supreme Court overturned Roe v. Wade, which once granted a federal right to abortion.", + "bylines": [ + { + "by": "By CHRISTINE FERNANDO", + "title": "Associated Press" + } + ], + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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New York judge William Thompson Howell wrote 500 pages that spanned provisions on dueling, accidental homicides by ax and age of consent that would govern the newly formed territory of fewer than 7,000 people. But tucked within the \u201cHowell Code,\u201d just after the section on duels, was an abortion law criminalizing the administering of \u201cany medicinal substances ... with the intention to procure the miscarriage of any woman then being with child.\u201d
That was 160 years ago. Last week, that same 1864 provision was resurrected by the Arizona Supreme Court, which upheld the near-total ban on abortion with no exceptions for rape or incest, a decision in one of the nation's most important presidential battleground states that quickly rippled across the political landscape.
The law's revival is just the latest instance of long-dormant restrictions influencing current abortion policies after the U.S. Supreme Court overturned Roe v. Wade, a landmark 1973 decision that granted a federal right to abortion.
\u201cThis is just one more example of a century-old zombie law coming back to life,\u201d said Jessica Arons, senior policy counsel at the American Civil Liberties Union. \u201cThis is what the U.S. Supreme Court set the stage for when Roe fell.\u201d
Growth in Arizona in the 1860s was driven by miners who were seeking fortunes in a burgeoning gold and silver industry, while settlers increasingly were encroaching on tribal lands.
Arizona's 1864 code elaborately describes restrictions on duels, ruling any person involved in the fighting of a duel would be imprisoned for one to three years and meting out punishments for \u201cmayhem\u201d for those who \u201cunlawfully cut out or disable the tongue, put out an eye, slit the nose, ear or lip, or disable any limb or member of another.\u201d
Howell's code includes exceptions for homicides, such as when \u201ca man is at work with an axe, and the head flies off and kills a bystander or where a parent is moderately correcting his child ... and happens to occasion death.\u201d The code also appears to set the age of consent at 10 years old, proclaiming, \u201cEvery person of the age fourteen years and upwards, who shall have carnal knowledge of any female child under the age of ten years, either with or without her consent, shall be adjudged guilty of the crime of rape.\u201d
Meanwhile, William Claude Jones, who presided over the 1st Arizona Territorial Legislative Assembly in 1864, was described by a biographer as a \u201cpursuer of nubile females\u201d and had throughout his life married a 12-year-old, a 15-year-old and a 14-year-old, according to a 1990 biography in the Journal of Arizona History.
\u201cThat\u2019s the period of time that this abortion law is from,\u201d said Prof. Barbara Atwood, law professor at University of Arizona\u2019s law school. \u201cThe code reads as if you\u2019re going back to this time of this barbaric, wild west.\u201d
The state\u2019s Civil War-era law is now likely to become one of the strictest abortion bans nationwide, a dynamic that already is shaping the races for president and U.S. Senate. Attorney General Kris Mayes decried the decision and noted that it came from era decades before women even had the right to vote.
Mayes, a Democrat, said the court's ruling \"will go down in history as a stain on our state.\u201d
Similar words came from the White House as President Joe Biden called it a \u201ccruel ban\" resurrected from history.
Some Arizona Republicans also criticized the ruling, though in more muted language. Republican state Sen. T.J. Shope called it \"disappointing.\u201d
While many states repealed their pre-Roe abortion laws after the 1973 ruling that granted a constitutional right to abortion, about a dozen states, including Arizona, kept theirs on the books. These laws often were referred to as \u201ctrigger laws\u201d because the overturning of Roe would put them into effect.
Several legal experts said Arizona\u2019s law is likely the oldest state abortion ban that soon may be enforced. But century-old abortion restrictions passed by all-male legislatures during time periods when women couldn\u2019t vote \u2014 and scientific knowledge of pregnancy and abortion were limited \u2014 have influenced post-Roe abortion policies in Alabama, Arkansas, Michigan, Mississippi, Oklahoma, Texas, West Virginia and Wisconsin.
The laws tend to be more severe. They often don't include exceptions for rape and incest, call for the imprisonment of providers and ban the procedure in the first few weeks of pregnancy. Some have since been repealed while others are being challenged in court.
\u201cThese century-old laws are really having a tangible impact on women\u2019s lives today,\u201d said Jessie Hill, a law professor at Case Western Reserve University School of Law in Cleveland. \u201cAnd they\u2019ve really contributed to the post-Dobbs uncertainty across America.\u201d The U.S. Supreme Court\u2019s 2022 ruling in Dobbs v. Jackson Women\u2019s Health Organization overturned Roe.
In Michigan, a 1931 law would have criminalized abortion except when a woman's life was in danger. But Michigan voters in 2022 overwhelmingly voted to enshrine abortion rights into the state's constitution and earlier that year a judge ruled the 93-year-old law was unconstitutional. The law was formally repealed by a 2023 statute.
\u201cNew Mexico and Michigan realized the threat of these zombie laws and took action,\u201d said Arons of the ACLU. \u201cIn Michigan, it was a major driver for pursuing a constitutional amendment enshrining abortion rights.\u201d
An 1849 abortion ban is now at the center of a lawsuit in Wisconsin that is expected to make its way to the state supreme court, which has a new liberal majority. In other states, such as Mississippi, Oklahoma and Texas, newer abortion laws have been layered onto older restrictions still on the books.
Abortion rights advocates also are warning about another 19th century law called the Comstock Act that could have national impacts. It's been revived by anti-abortion groups seeking to use it to block the mailing of the abortion pill mifepristone nationwide. Medication abortions account for most abortions in the U.S.
Originally passed in 1873, the Comstock Act was intended to prohibit the mailing of contraceptives, \u201clewd\u201d writings and any \u201cinstrument, substance, drug, medicine, or thing\u201d that could be used in an abortion, though its scope has been narrowed by federal courts and Congress.
Mary Ruth Ziegler, a law professor at the University of California, Davis School of Law, said anti-abortion groups are pressuring Republicans to wield the law to block abortions even in states where it is currently legal, by barring the mailing of any drugs or equipment required for abortions.
\u201cThe Comstock Act means what happened in Arizona is possible for all of us across the country,\u201d Ziegler said.
There also are long-dormant laws in many states related to contraception and same-sex marriage that have not been revived, she added.
\u201cThis is just a reminder that laws on the books that may seem irrelevant and antiquated can come back and be enforced,\u201d she said.
___
The Associated Press receives support from several private foundations to enhance its explanatory coverage of elections and democracy. See more about AP\u2019s democracy initiative here. The AP is solely responsible for all content.
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conditions like miscarriage, stillbirth and lactation \u2014 under the Pregnant Workers Fairness Act, according to finalized federal regulations published Monday.
The regulations provide guidance for employers and workers on how to implement the law, which passed with robust bipartisan Congressional support in December 2022 but sparked controversy last year when the Equal Employment Opportunity Commission included abortions in its draft rules. The language means that workers can ask for time off to obtain an abortion and recover from the procedure.
The EEOC says its decision to keep the abortion provisions in its final rules, despite criticism from some conservatives, is consistent with its own longstanding interpretation of Title VII, as well as court rulings. The federal agency added that the new law does not obligate employers or employer-sponsored health plans to cover abortion-related costs, and that the type of accommodation that most likely will be sought under the Pregnant Workers Fairness Act regarding an abortion is time off to attend a medical appointment or for recovery, which does not have to be paid.
The act requires most employers with 15 or more employees to provide \"reasonable accommodations\" for a worker\u2019s known limitations related to pregnancy, childbirth, or related medical conditions \u2014 including fertility and infertility treatments in some cases \u2014 unless the accommodation will cause the employer an undue hardship. The EEOC's regulations will go into effect on June 18.
Labor advocates hailed the new law as especially important for women of color who are most likely to work in low-wage, physically demanding jobs but are often denied accommodations for everything from time off for medical appointments to the ability to sit or stand on the job. Major business groups also supported the law, citing the need for clarity about the accommodations that employers are required to give pregnant workers.
\u201cNo one should have to risk their job for their health just because they are pregnant, recovering from childbirth, or dealing with a related medical condition,\u201d said EEOC Chair Charlotte A. Burrows on Monday.
But Republican lawmakers and anti-abortion activists denounced the EEOC\u2019s inclusion of abortion after the agency first released its proposed rule in August for a monthslong public commentary period. Abortion rights proponents, meanwhile, applauded the provision as critical at time when abortion rights have been curtailed in many states following the U.S. Supreme Court\u2019s 2022 decision to overturn Roe v. Wade. The EEOC is composed of three Democratic commissioners and two Republican commissioners.
Sen. Bill Cassidy of Louisiana, the lead Republican sponsor of the Pregnant Workers Fairness Law, accused the Biden administration on Monday of \"shocking and illegal\" disregard of the legislative process to promote a political agenda. The Alliance Defending Freedom, a conservative Christian legal organization, said the Biden administration was trying to \u201csmuggle an abortion mandate\u201d into the law.
But in comments submitted to the EEOC, the American Civil Liberties Union applauded the agency for \u201crecognizing that abortion has for decades been approved under the law as a \u2018related medical condition\u2019 to pregnancy that entitles workers to reasonable accommodations, including time off to obtain abortion care.\u201d
The EEOC said it had received 54,000 comments urging the commission to exclude abortion from its definition of medical condition related to pregnancy, but it also received 40,000 comments supporting its inclusion. While the commission said it understood that both sides were expressing \u201csincere, deeply held convictions,\u201d it cited numerous federal cases that it said supported its interpretation that abortion is a pregnancy-related condition deserving of protection.
The new rules include extensive details on the types of accommodations that pregnant workers can request, from temporary exemption from jobs duties like heavy lifting to considerations for morning sickness.
Women's right advocates had campaigned for years for the law, arguing that the 1978 Pregnancy Discrimination Act offered inadequate protection for pregnant workers. The 1978 law, which amended Title VII of the Civil Rights Act of 1964, prohibited discrimination on the basis of pregnancy and marked a major shift for gender equality at time when pregnant women were routinely denied or pushed out of jobs.
But in order to receive workplace accommodations, pregnant women had to demonstrate that co-workers had received similar benefits for comparable needs, since the act stated only that pregnant workers must be treated similarly to other employees, not that they deserved special consideration. That put a burden of proof that many women found impossible to meet, forcing them to work in unsafe conditions or quit their jobs, according to A Better Balance, one of the most vocal advocates for the Pregnant Workers Fairness Act.
The new law makes clear that that pregnant workers are entitled to accommodations to keep doing their jobs, mirroring the process for workers with disabilities. It places the burden on employers to prove \u201cundue hardship\u201d if they deny requests for modifications.
The EEOC typically handles between 2,000 and 4,000 pregnancy discrimination charges a year, many involving denial of workplace accommodations. A study conducted by A Better Balance found that in two-thirds of pregnancy discrimination cases that followed the 2015 Supreme Court ruling, courts determined the employers were allowed to deny accommodations under the Pregnancy Discrimination Act.
In a prepared statement, A Better Balance Co-President Dina Bakst applauded the EEOC \u201cfor issuing robust final regulations that appropriately recognize the broad scope of the Pregnant Workers Fairness Act.\u201d
____
The Associated Press\u2019 women in the workforce and state government coverage receives financial support from Pivotal Ventures. AP is solely responsible for all content. Find AP\u2019s standards for working with philanthropies, a list of supporters and funded coverage areas at AP.org.
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Editorial: State meal site funding positive, but millions less than rejected federal program
It\u2019s good to see the state of Iowa making money available to support summer meal sites for kids, but the move renews questions about the wisdom of state officials\u2019 decision declining to participate in a federal initiative to provide summer food assistance for children.
On Wednesday, Gov. Kim Reynolds unveiled the new Summer Meal Program Expansion Grant, which will provide $900,000 in grants to help schools and community programs expand existing child nutrition assistance programs. The program will be administered through the state education department and U.S. Department of Agriculture.
\u201cWith the Summer Meal Program Expansion Grant, we will expand these well-established programs across our state to ensure Iowa\u2019s youth have meals that are healthy and use local community farms and vendors when possible,\u201d Reynolds said in the news release.
Hard to argue with meals for kids in need.
But then again, it was the same governor who said no to the Summer Electronic Benefits Transfer for Children program for 2024. The USDA program, known as Summer EBT, provides families of children eligible for free or reduced-price meals at school with EBT cards, giving $40 of food assistance per child each month over the summer.
Just last month, Wisconsin became the first state to receive federal approval for the Summer EBT program, and some 35 states have moved to participate in the program.
Yet, Iowa Republicans were convinced there were better ways to feed kids. One concern they raised was the $2 million or so cost of implementing the program that the state would incur. Republicans also criticized the federal program for not limiting the EBT vouchers to being spent only on nutritious foods.
___
Des Moines Register. April 14, 2024.
Editorial: Iowa needs its own cancer moonshot, with wide-ranging approaches
The Iowa Legislature could, at the least, not erect barriers to better understanding cancer.
What we know about cancer is dwarfed by what we don\u2019t know, but we do know this: Among the states, Iowa has the second-highest rate of new cancers.
Particularly notable in the data, experts say, are the prevalence of breast, prostate, lung and skin cancers. But knowing what\u2019s happening is different from knowing precisely why, or exactly what actions could improve the trends. Responses from doctors and other scientists interviewed by Cedar Rapids Gazette reporters for a series of stories this spring illustrated this: They pointed to demographic or geographic tendencies in the data but were careful to distinguish those facts from their well-informed but not-proven hypotheses.
In the face of such uncertainty, what Iowans shouldn\u2019t do is shrug their shoulders. Individuals, medical professionals and policymakers all can make a difference in promoting health even if they don\u2019t know exactly how those actions will affect cancer.
In 2016, then-Vice President Joe Biden launched the Cancer Moonshot, following the 2015 death of his older son, Beau, to brain cancer at age 46. The moonshot is a national mobilization \u201cto end cancer as we know it.\u201d
Iowa needs its own cancer moonshot. Attacking this scourge will require a purposeful change in mindset, committing to more aggressively promoting public health and regulating threats on a wide array of fronts. At the state government level, that will mean investing in proper nutrition, environmental protection and health screenings, even while research continues into their exact roles in cancer cases.
Report focuses on alcohol; scientists question farm practices
An annual state report on cancer this year emphasized problems associated with alcohol consumption. That focus makes some sense; talking about alcohol and cancer gives Iowans some agency in deciding what risks to take in their lives.
Some ideas about what contributes to cancer, however, are far less tidy. Some scientists say that the way we farm is a likely culprit \u2012 heavy on chemicals, some applied to food and some that wash away into sources of drinking water. This proposition has some intuitive appeal given the scale of Iowa agriculture and the state\u2019s disinterest in regulating farming. But whatever else advocates might say about problems connected with agriculture, they can\u2019t point to incontrovertible proof of a direct path from pesticide application to a cancer diagnosis. Even lifelong heavy smokers diagnosed with lung cancer can\u2019t have absolute conviction that the habit was responsible.
At the least, the state shouldn\u2019t put up barriers
Our state should aspire to climb above the distinction of being one of the worst places in the nation for cancer., That path will be winding, and most of the achievement won\u2019t come from government. So what should state government be doing? The Iowa Legislature could, at the least, not erect barriers to better understanding cancer. And it could commit time and appropriations to encouraging an environment and behaviors associated with better health. The 2024 session has not been a great one on either front, however.
A handful of cancer-related bills still appear to have a decent chance of becoming law. Iowans could get better insurance coverage for biomarker testing that can benefit cancer treatment and for mammograms ordered to investigate a specific concern. But a number of other bipartisan proposals did not advance.
And then there\u2019s the renewed efforts to shield pesticide makers from lawsuits. Bayer, which makes the popular Roundup spray, could be granted immunity so long as its products were labeled and approved by the Environmental Protection Agency. Some other jurisdictions have labeled the ingredient glyphosate a carcinogen. Earlier in the year, bills to shield large ag companies appeared to be dead, but legislative leaders have revived them in recent weeks.
That this idea is even being discussed is offensive to Iowans with cancer and to grieving families who don\u2019t need to confront new obstacles in the justice system. It also gives credence to industry claims that meritless (in their view) lawsuits threaten the viability of the products or of the ag giants themselves.
Policymakers can take more steps to promote public health
The Legislature and other governments could do better by helping people take steps they can\u2019t necessarily take without help:
Help them buy filters for their water. Help them undergo screenings to catch disease earlier instead of avoiding appointments because of the expense. Knowing that obesity is a cancer risk factor, support programs to make nutritious food available to low-income people. Discourage excessive alcohol and tobacco use. In Iowa in particular, where our geology makes cancer-causing radon gas a disproportionately serious concern statewide, make mitigation equipment more affordable. Invest in water quality. Dissuade pollution through enforcement. Educate children about HPV. Support state university research into better understanding of cancer causes and treatments.
Those things, and a thousand more, can help reverse health trends. It\u2019s the same approach the Biden administration took Wednesday in announcing rules restricting \u201cforever chemicals\u201d in drinking water. The effort is worthwhile even despite the large price tag that cleaner water will require and the fact that while the chemicals have been linked to certain cancers and a wide range of harmful health effects, research is not definitive.
A better outlook for reducing cancer in Iowa will happen bit by bit. The direction should be the focus.
END
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The justices\u2019 order Monday allows the state to put in place a 2023 law that subjects physicians to up to 10 years in prison if they provide hormones, puberty blockers or other gender-affirming care to people under age 18. Under the court\u2019s order, the two transgender teens who sued to challenge the law still will be able to obtain care. The court\u2019s three liberal justices would have kept the law on hold. A federal judge in Idaho had blocked the law in its entirety, saying that it was necessary to do so to protect the teens.", + "located": "WASHINGTON", + "datelinelocation": { + "city": "Washington", + "countryareacode": "DC", + "countryareaname": "District of Columbia", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -77.03637, + 38.89511 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. 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The justices' order Monday allows the state to put in a place a 2023 law that subjects physicians to up to 10 years in prison if they provide hormones, puberty blockers or other gender-affirming care to people under age 18. Under the court\u2019s order, the two transgender teens who sued to challenge the law still will be able to obtain care.
The court's three liberal justices would have kept the law on hold. Justice Ketanji Brown Jackson wrote that it would have been better to let the case proceed \u201cunfettered by our intervention.\u201d
Justice Neil Gorsuch of the conservative majority wrote that it is \u201ca welcome development\u201d that the court is reining in an overly broad lower court order.
A federal judge in Idaho had blocked the law in its entirety after determining that it was necessary to do so to protect the teens, who are identified under pseudonyms in court papers.
Lawyers for the teens wrote in court papers that the teens' \u201cgender dysphoria has been dramatically alleviated as a result of puberty blockers and estrogen therapy.\u201d
The American Civil Liberties Union, representing the teens and their families, called the Supreme Court's order \u201can awful result for transgender youth and their families across the state. Today\u2019s ruling allows the state to shut down the care that thousands of families rely on while sowing further confusion and disruption.\u201d
Idaho Attorney General Ra\u00fal Labrador said in a statement that the law \u201censures children are not subjected to these life-altering drugs and procedures. Those suffering from gender dysphoria deserve love, support, and medical care rooted in biological reality. Denying the basic truth that boys and girls are biologically different hurts our kids.\u201d
Gender-affirming care for youth is supported by every major medical organization, including the American Medical Association, the American Academy of Pediatrics and the American Psychiatric Association.
Medical professionals define gender dysphoria as psychological distress experienced by those whose gender expression does not match their gender identity.
The action comes as the justices also may soon consider whether to take up bans in Kentucky and Tennessee that an appeals court allowed to be enforced in the midst of legal fights.
At least 23 states have enacted laws restricting or banning gender-affirming medical care for transgender minors, and most of those states face lawsuits. A federal judge struck down Arkansas\u2019 ban as unconstitutional. Montana\u2019s ban also is temporarily on hold.
The states that have enacted laws restricting or banning gender-affirming medical care for transgender minors are Alabama, Arkansas, Arizona, Florida, Georgia, Idaho, Indiana, Iowa, Kentucky, Louisiana, Mississippi, Missouri, Montana, Nebraska, North Carolina, North Dakota, Ohio, Oklahoma, South Dakota, Tennessee, Texas, Utah and West Virginia.
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Now they're getting new protections", + "headline_extended": "The Labor Department has issued a new rule intended to protect coal miners from poisonous silica dust that has contributed to the premature deaths of thousands of mine workers from a respiratory ailment known as \u201cblack lung\u201d disease", + "slugline": "AP-US--Black Lung-Silica Dust, 2nd Ld-Writethru", + "description_summary": "The Labor Department has issued a new rule intended to protect coal miners from poisonous silica dust that has contributed to the premature deaths of thousands of mine workers from a respiratory ailment known as \u201cblack lung\u201d disease. The rule announced Tuesday cuts by half the permissible exposure limit for crystalline silica for an eight-hour shift. Mine workers, advocates and elected officials from Appalachian states pushed for the stricter rule, noting that health problems have grown in recent years as miners dig deeper o gain access to coal seams where surface deposit have long been tapped. In Central Appalachia, an estimated one in five tenured coal miners has black lung disease.", + "bylines": [ + { + "by": "By MATTHEW DALY and LEAH WILLINGHAM", + "title": "Associated Press" + } + ], + "located": "WASHINGTON", + "datelinelocation": { + "city": "Washington", + "countryareacode": "DC", + "countryareaname": "District of Columbia", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -77.03637, + 38.89511 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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"ce3c20dae428421b9c6ec88da89d8173" + }, + "type": "picture" + } + }, + "body_nitf": "WASHINGTON (AP) \u2014 Coal miners will be better protected from poisonous silica dust that has contributed to the premature deaths of thousands of mine workers from a respiratory ailment commonly known as black lung disease, the Labor Department said Tuesday as it issued a new federal rule on miners' safety.
The final rule, announced by Acting Labor Secretary Julie Su, cuts by half the permissible exposure limit for crystalline silica for an eight-hour shift.
Mine workers, community advocates and elected officials from Appalachian states have pushed for the stricter rule, noting that health problems have grown in recent years as miners dig through more layers of rock to gain access to coal seams when deposits closer to the surface have long been tapped. The increased drilling generates deadly silica dust and has caused severe forms of pneumoconiosis, better known as black lung disease, even among younger miners, some in their 30s and 40s.
\u201cIt is unconscionable that our nation\u2019s miners have worked without adequate protection from silica dust despite it being a known health hazard for decades,\u201d Su said Tuesday. \u201cToday, we\u2019re making it clear that no job should be a death sentence, and every worker has the right to come home healthy and safe at the end of the day.''
In Central Appalachia, an estimated one in five tenured coal miners has black lung disease. The condition reduces life expectancy by an average of 12 years and makes it a \u201cstruggle to get through a phone call or play with their grandkids without losing their breath,'' Su said in a speech in Uniontown, Pennsylvania, where she appeared with Cecil Roberts, president of the United Mine Workers of America, and other union leaders.
\u201cFor too long, we accepted this as just the way things are for people who work in mines,'' Su said. \u201cThey\u2019ve had to work without the same protections from silica dust that people in other industries have, even though we\u2019ve known about the harms of silica dust since Frances Perkins,\" who was labor secretary in the 1930s and 1940s.
The election-year rule shows \"what it looks like to have the most pro-worker, pro-union president in history,'' Su said, a political comment referring to Democratic President Joe Biden.
Rebecca Shelton, director of policy at the Appalachian Citizens Law Center, which pressed for stricter rules to protect miners, said the group was reviewing the rule to ensure regulators from the Mine Safety and Health Administration accounted for comments by health professionals, attorneys and miners who have worked on the rule for years.
\u201cThere are too many lives at stake to get this wrong, and we\u2019ll do whatever we can to ensure that this rule provides the protection that miners deserve,'' Shelton said.
Democratic senators from Ohio, West Virginia, Pennsylvania and Virginia hailed the new rule, saying it will be essential in safeguarding miners.
A spokesman for the National Mining Association said the group was reviewing the rule but supports the lower limits. The mining lobby has pushed to allow use of administrative controls and personal protective equipment to meet safety standards. \u201cUnfortunately, those recommendations were not included in the final rule,\u2033 said spokesman Conor Bernstein.
Vonda Robinson, whose husband, John, was diagnosed with black lung a decade ago at age 47, said she\u2019s felt hopeful as officials considered the rule changes. But she was skeptical how the rule will be enforced.
Robinson, who lives in rural Nickelsville, Virginia, near the Tennessee line, said the mine safety office does not have enough staff or resources to adequately protect workers and their families.
\u201cYou can have rules, but until you back it up with enforcement, it\u2019s not going to mean anything,\u201d she said in an interview. \u201cIf they\u2019re going to put out these rulings, you need to hire more people.\u201d
The White House requested a $50 million increase to the mine safety office's budget for the current year, most of which would have been for more inspectors and enforcement. Congress rejected it, keeping the budget at the 2023 level of $388 million.
Vonda Robinson said her husband struggles every day. John Robinson worked in the mines for almost three decades. Two years ago, the couple met with a physician about a lung transplant.
\u201cUntil you see it and live with it, you don\u2019t understand,\u201d Vonda Robinson said. \u201cAnd knowing what we\u2019re looking at now -- miners being diagnosed at 32 \u2013 they\u2019ll probably never see their children graduate or have grandchildren.\"
The Labor Department rule lowers the permissible exposure limit of respirable crystalline silica to 50 micrograms per cubic meter of air for a full-shift exposure, calculated as an 8-hour average. If a miner\u2019s exposure exceeds the limit, mine operators must take immediate corrective actions.
The rule is in line with exposure levels imposed by the Occupational Safety and Health Administration on construction and other non-mining industries. And it\u2019s the standard the Centers for Disease Control and Prevention was recommending as far back as 1974.
The Labor Department began studying silica and its impact on workers\u2019 health nearly a century ago, but the focus on stopping exposure in the workplace largely bypassed coal miners. Instead, regulations centered on coal dust, a separate hazard created by crushing or pulverizing coal rock that also contributes to black lung.
In the decades since, silica dust has become a major problem as Appalachian miners cut through layers of sandstone to reach less accessible coal seams in mountaintop mines where coal closer to the surface has long been tapped. Silica dust is 20 times more toxic than coal dust and causes severe forms of black lung disease after even a few years of exposure.
___
Willingham reported from Charleston, West Virginia.
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Adds more details, comments from company officials, updates stock price. Edits for space. With AP photo.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "UnitedHealth Group-Cyberattack", + "headline": "Cyberattack costs hit UnitedHealth in 1Q that still turns out better than expected", + "headline_extended": "UnitedHealth Group trounced first-quarter expectations even as costs from a cyberattack to its Change Healthcare business ate into its performance", + "slugline": "AP-UnitedHealth Group-Cyberattack, 1st Ld-Writethru", + "description_summary": "UnitedHealth Group trounced first-quarter expectations even as costs from a cyberattack to its Change Healthcare business ate into its performance. The health care giant also said Tuesday that care patterns in the year\u2019s first quarter met its expectations after soaring medical costs at the end of last year surprised Wall Street. UnitedHealth said earlier this year that a ransomware group had gained access to systems of its Change Healthcare business, which provides technology for submitting and processing insurance claims. The attack disrupted payment and claims processing around the country, stressing doctor\u2019s offices and health care systems. Company shares jumped in midday trading.", + "bylines": [ + { + "by": "By TOM MURPHY", + "title": "AP Health Writer" + } + ], + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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The health care giant also said Tuesday that care patterns in the year\u2019s first quarter met its expectations after soaring medical costs at the end of last year surprised Wall Street.
Company shares jumped in midday trading.
UnitedHealth said earlier this year that a ransomware group had gained access to some of the systems of its Change Healthcare business, which provides technology used to submit and process insurance claims. The attack disrupted payment and claims processing around the country, stressing doctor\u2019s offices and health care systems.
Federal civil rights investigators are looking into whether protected health information was exposed in the attack.
UnitedHealth is still restoring several services from the February attack. It took an $872 million hit from it in the first quarter, but CEO Andrew Witty told analysts on Tuesday that the company expected to bring Change Healthcare back \u201cmuch stronger than it was before.\u201d
UnitedHealth also booked a roughly $7 billion charge in the quarter for selling a Brazilian health benefits and care provider it bought more than a decade ago.
Overall the company lost $1.41 billion in the first quarter. Total revenue grew more than 8% to $99.8 billion.
Adjusted earnings totaled $6.91 per share. That excluded the cost from the sale of the Brazilian business and some of expenses tied to the cyberattack.
Analysts expected earnings of $6.61 per share on $99.23 billion in revenue.
UnitedHealth provides health insurance for more than 49 million people in the United States. Its Optum segment also provides care, runs one of the nation\u2019s largest pharmacy benefits management businesses and offers technology services.
Total costs tied to the cyberattack and recovery amounted to 74 cents per share in the quarter. About two-thirds of that, or 49 cents, was direct response costs that the company excluded from adjusted earnings.
That includes increased medical expenses the company incurred from suspending its pre-approval or prior authorization requirements for some care.
UnitedHealth expects the full impact of the cyberattack will amount to a hit of between $1.15 to $1.35 per share to earnings this year.
The Minnetonka, Minnesota, company on Tuesday also reaffirmed a 2024 earnings forecast it first laid out last fall for adjusted earnings of $27.50 to $28 per share.
Analysts expect earnings of $27.50 per share.
Company shares climbed more than 5% to $469.04 in midday trading Tuesday. The Dow Jones Industrial Average, of which UnitedHealth is a member, rose slightly.
Jefferies analyst David Windley said in a research note that the positive share reaction was not surprising because the stock had been down partially in anticipation of a guidance cut.
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}, + "body_nitf": "LONDON (AP) \u2014 The British government's plan for a landmark smoking ban that aims to stop young people from ever smoking cleared its first hurdle in Parliament on Tuesday despite vocal opposition from within Prime Minister Rishi Sunak\u2019s Conservative Party.
The bill, a key policy announced by Sunak last year, would make it illegal to sell tobacco products to anyone born after January 1, 2009. If passed, the bill will give Britain some of the toughest anti-smoking measures in the world. Authorities say it will create modern Britain\u2019s \u201cfirst smoke-free generation.\u201d
Under the Tobacco and Vapes Bill, children turning 15 this year or younger will never be legally sold tobacco. Once implemented \u2014 officials are aiming for 2027 \u2014 the legal age of sale that people in England can buy cigarettes will be raised by one year, every year until it is eventually illegal for the whole population.
The bill also includes measures to crack down on youth vaping, such as banning the sale of cheap disposable vapes and restricting their flavors to prevent children from becoming addicted to nicotine.
It is currently illegal for anyone to sell cigarettes or tobacco products and vapes to people under 18 years old throughout the U.K.
During the bill\u2019s second reading late Tuesday, 383 lawmakers voted in favor while 67 opposed it after an afternoon of debate. Although the bill was widely praised by health experts and had the support of the opposition Labour Party, Sunak faced rebellion from more libertarian-minded members of his party, who criticized the proposals as \u201cunconservative.\u201d
Opponents, such as the smokers' rights lobbying group FOREST, said the move risks creating a black market and will \u201ctreat future generations of adults like kids.\u201d Prominent voices within the Conservative Party, including two of Sunak's predecessors Boris Johnson and Liz Truss, said the plans went against conservative values by limiting people's personal freedoms.
The bill was a \u201cvirtue-signaling piece of legislation about protecting adults from themselves in the future,\" Truss told Parliament during Tuesday's debate.
Other high-profile Tories, including business secretary Kemi Badenoch, a Cabinet minister, also opposed the bill or abstained.
Conservative lawmakers were granted a free vote, meaning they could vote with their personal conscience rather than follow the official party line.
The plans were believed to have been inspired by similar policies proposed by New Zealand under former Prime Minister Jacinda Ardern, but the country's new coalition government repealed the bill earlier this year.
The government said that smoking won\u2019t be criminalized, and the phased changes mean that anyone who can legally buy cigarettes now won\u2019t be prevented from doing so in the future.
The number of people who smoke in the U.K. has declined by two-thirds since the 1970s, but some 6.4 million people in the country \u2014 or about 13% of the population \u2014 still smoke, according to official figures.
Authorities say smoking causes some 80,000 deaths a year in the U.K, and remains the number one preventable cause of death, disability and poor health.
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Biden says the program will help \u201cprevent, detect and effectively respond to biological threats wherever they emerge.\u201d U.S. government officials will work with the countries to develop better testing, surveillance, communication and preparedness for such outbreaks in those countries, mostly in Africa and Asia. The U.S. government already is helping Congo with its response to an mpox virus outbreak, including with immunizations. The Democratic president says his Global Health Security Strategy \u201cwill make the United States stronger, safer, and healthier than ever before.\"", + "bylines": [ + { + "by": "By AMANDA SEITZ", + "title": "Associated Press" + } + ], + "located": "WASHINGTON", + "datelinelocation": { + "city": "Washington", + "countryareacode": "DC", + "countryareaname": "District of Columbia", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -77.03637, + 38.89511 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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U.S. government officials will offer support in the countries, most of them located in Africa and Asia, to develop better testing, surveillance, communication and preparedness for such outbreaks in those countries.
The strategy will help \u201cprevent, detect and effectively respond to biological threats wherever they emerge,\u201d Biden said in a statement Tuesday.
The Global Health Security Strategy, the president said, aims to protect people worldwide and \"will make the United States stronger, safer, and healthier than ever before at this critical moment.\u201d
The announcement about the strategy comes as countries have struggled to meet a worldwide accord on responses to future pandemics. Four years after the coronavirus pandemic, prospects of a pandemic treaty signed by all 194 of the World Health Organization\u2019s members are flailing.
Talks for the treaty are ongoing, with a final text expected to be agreed upon next month in Geneva. It\u2019s meant to be a legally binding treaty that obliges countries to monitor pandemic threats and share scientific findings. But major disputes have emerged over vaccine equity and transferring the technology used to make vaccines.
Even if a deal is hammered out, there would be few consequences for countries that choose not to abide by the treaty.
The U.S. will push on with its global health strategy to prevent future pandemics, regardless of a pandemic treaty or not, a senior administration official told reporters on Monday.
Several U.S. government agencies \u2014 including the State Department, the Centers for Disease Control and Prevention, Health and Human Services and the U.S. Agency for International Development, or USAID \u2014 will help countries refine their infectious disease response.
Health systems around the globe have been overwhelmed with COVID-19 and other health emergencies such as Ebola, malaria and mpox, the CDC said in a statement. The new strategy will help countries rebuild their agencies, the U.S. agency explained.
\u201cGlobal health security is national security, and CDC is proud to contribute its expertise, investments and rapid response to protect the health and safety of the American people and the world,\u201d Mandy Cohen, the CDC's director, said in a statement.
Congo is one country where work has already begun. The U.S. government is helping Congo with its response to an mpox virus outbreak, including with immunizations. Mpox, a virus that's in the same family as the one that causes smallpox, creates painful skin lesions. The World Health Organization declared mpox a global emergency in 2022, and there have been more than 91,000 cases spanning across 100 countries to date.
The White House on Tuesday released a website with the names of the countries that are participating in the program. Biden officials are seeking to get 100 countries signed onto the program by the end of the year.
The U.S. has devoted billions of dollars, including money raised from private donations, to the effort. Biden, a Democrat, is asking for $1.2 billion for global health safety efforts in his yearly budget proposal to Congress.
\u2014
Associated Press writer Maria Cheng in London contributed.
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All these points are directly related to the topic of health, particularly in the context of infectious disease prevention and global health security." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/04/16/16571935725314dc037ff915a257eb17.json b/datasets/AP_news/raw_data/2024/04/16/16571935725314dc037ff915a257eb17.json new file mode 100644 index 0000000..593f4eb --- /dev/null +++ b/datasets/AP_news/raw_data/2024/04/16/16571935725314dc037ff915a257eb17.json @@ -0,0 +1,317 @@ +{ + "altids": { + "itemid": "16571935725314dc037ff915a257eb17", + "etag": "16571935725314dc037ff915a257eb17_0a10aza0c0", + "friendlykey": "81858824776", + "referenceid": "US--Indiana-Abortion Reports" + }, + "version": 0, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-04-16T04:12:42Z", + "firstcreated": "2024-04-16T04:12:41Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "signals": [ + "newscontent" + ], + "title": "US--Indiana-Abortion Reports", + "headline": "Indiana limits abortion data for privacy under near-total ban, but some GOP candidates push back", + "headline_extended": "Some Indiana Republicans in key campaigns for office are fighting for access to detailed abortion reports that the health department stopped releasing to protect patient privacy under a near-total ban on the procedure", + "slugline": "AP-US--Indiana-Abortion Reports", + "description_summary": "Some Indiana Republicans in key campaigns for office are fighting for access to detailed abortion reports that the health department stopped releasing to protect patient privacy under a near-total ban on the procedure. Advocates and some state officials warn that releasing the reports would jeopardize the privacy of physicians and patients. But others say the reports are key to enforcement, and the Legislature should act if the health department does not. Indiana's ban has exemptions for rape, incest, fetal anomaly and health risks to the patient. A national abortion expert says it is uncommon for states to release individual abortion reports.", + "bylines": [ + { + "by": "By ISABELLA VOLMERT", + "title": "Associated Press" + } + ], + "located": "INDIANAPOLIS", + "datelinelocation": { + "city": "Indianapolis", + "countryareacode": "IN", + "countryareaname": "Indiana", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -86.15804, + 39.76838 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. 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The Republicans, including prominent candidates for office this year, want access to reports detailing each abortion still performed in the state. Advocates for abortion rights and some state officials warn that would jeopardize the privacy of physicians and patients who can only receive abortions under strict circumstances.
The state bans abortions except within limited time frames in cases of rape, incest, lethal fetal anomaly and serious health risks to the patient. Like many states, Indiana has long collected data on abortions, but the Department of Health last year decided to keep the individual reports from public record and only release its regular summary data four times a year to make it harder to potentially identify patients.
Indiana law requires physicians to submit \u201cterminated pregnancy reports\u201d with demographic and medical history information to the health department. The reports do not name patients but can list their zip code and county of residence, and they're rarely released in states that collect them, according to experts.
In the days following the overturn of Roe v. Wade, an individual record obtained by the Indianapolis Star through a public records request confirmed an abortion provided to a 10-year-old rape victim from Ohio.
The topic has gradually become a political football as Indiana's competitive primary for governor approaches in early May.
In January, Republican gubernatorial candidate and former Attorney General Curtis Hill called on the health department and Republican Gov. Eric Holcomb to allow the release of individual reports. Republican Lt. Gov. and gubernatorial candidate Suzanne Crouch pledged in a March post to X to make the reports public record if she is elected.
And on Thursday, Attorney General Todd Rokita, who is running for reelection, issued an advisory opinion arguing the reports should be public record. The opinion doesn't change any practices but was in response to an inquiry from state Sen. Andy Zay, a congressional candidate, Rokita's office said.
Voters should ask the field of gubernatorial candidates to take a stance, Rokita said during a Thursday news conference.
After Rokita released his opinion, the health department said the reports are not public record, and pointed to an informal opinion written by an appointed open records official in December.
Rokita argued the reports are not medical records and could show whether an abortion was performed legally. Without the reports, he said, \u201cthere is no effective way\u201d to enforce the state's near-total ban.
The Legislature should act next year if the department doesn't, Zay said Thursday.
\u201cWe can use them as tools to hold those around the periphery of abortion clinics and abortion doctors accountable,\u201d Zay said of the reports.
The individual reports ask patients for information including zip code, age, race, ethnicity, educational attainment, marital status, previous pregnancies, the date of their last period and the father's age, according to the most recent quarterly summary. Patients may refuse to answer questions, the department said.
Physicians report information on the type of procedure, the reason for the abortion and an estimate of the length of the pregnancy. The individual reports also include the name of the physician, the name of the facility and the date of the abortion.
Indiana's ban went into effect in August. From October to December, 46 terminated pregnancy reports were filed with the health department compared to 1,724 in the same period in 2022.
It is not common for states to release individual abortion reports, said Rachel Jones, principal research scientist at the Guttmacher Institute, a science-based research group that supports abortion rights.
Jones said seeking individual reports is an effort to intimidate health care providers and patients.
\u201cThere\u2019s no public health or even legal purpose for trying to impose this,\u201d Jones said.
Rokita denied that the small number of reports makes it easier to identify patients and said that the health department can redact some information before making reports public.
The attorney general has taken up multiple legal battles focused on abortion. He gave a televised interview criticizing an Indianapolis OBGYN who provided an abortion to the 10-year-old from Ohio. The Indiana Supreme Court found last year that some of Rokita\u2019s statement violated rules of professional conduct for attorneys.
Rokita is weaponizing the reports, said Rebecca Gibron, CEO of the Planned Parenthood region that includes Indiana.
\"Denying abortion as health care is an abuse of power, aiming to stigmatize vital services for political gain at the expense of Hoosier\u2019s access to essential health care \u2014 even now when it is only accessible in the rarest of circumstances,\" Gibron said in a statement.
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April 12, 2024.
Editorial: Having won on abortion, Missouri GOP just can\u2019t stop attacking women\u2019s health care
Not content with having already imposed the first statewide abortion ban in America in half a century (and one of the most draconian), Missouri\u2019s Republican leaders are demonstrating once again that they are nowhere near done stripping women of health care access. This time, they\u2019re specifically targeting poor women.
They say that\u2019s not their intent, but it will be the effect of movement in Jefferson City to block Medicaid reimbursement funds from going to Planned Parenthood facilities in the state.
Planned Parenthood doesn\u2019t provide abortion services in Missouri \u2014 by state law, it can\u2019t. But its affiliation with out-of-state entities that do is being used to justify hampering low-income women\u2019s access to cancer screenings, birth control, STI testing and other crucial health services that have nothing to do with abortion.
The measure passed the state Senate Wednesday after an 11-hour filibuster by Democrats. It now returns to the House for a final vote. It is expected to pass; Gov. Mike Parson will almost certainly sign it. And health care options for thousands of women who can\u2019t afford private health insurance will be dramatically narrowed.
In floor debate, state Sen. Tracy McCreery, D-St. Louis County, accurately condemned the measure as a \u201cbizarre quest to just continue to punish Planned Parenthood.\u201d In reality, she noted, \u201cThis is hurting our very own constituents.\u201d
Even from a strict anti-abortion rights standpoint, there\u2019s no rational policy value here beyond expressing legislative malice toward an organization whose name has become synonymous with abortion rights \u2014 but which actually provides much more than that to women.
Planned Parenthood\u2019s two Missouri affiliates serve some 20,000 women annually. About one in five of those women qualify for Medicaid, the state-federal health care funding system for low-income Americans.
Legislative Republicans have previously tried to use the state budgetary process to prevent Planned Parenthood from accessing Medicaid reimbursement for treating those low-income patients, but the courts have nixed that roundabout play.
The current legislation would prohibit any public funds from going to any entity affiliated with an abortion provider, even if that provider is in another state.
Unsurprisingly, the measure is spearheaded by Sen. Mary Elizabeth Coleman. The Arnold Republican has previously sponsored legislation seeking to make it a crime to help women leave Missouri for out-of-state abortions, to the point of censoring internet sites and billboards. Those ideas were as plainly unconstitutional as Coleman\u2019s attempt to punish out-of-state doctors who treat Missouri women.
Coleman shruggingly suggested in floor debate this week that low-income women on Medicaid have plenty of other options for health care in Missouri. But in fact, there\u2019s already a shortage of such services.
As reported by the Columbia Missourian, surveys from the Missouri Family Health Council Inc. have found that appointment wait times at clinics in the state that take Medicaid patients are fairly low at Planned Parenthood \u2014 between one to three days \u2014 while those trying to get into other clinics generally wait five to seven weeks.
That Coleman and her GOP colleagues are willing to burden already-struggling poor women like this speaks to their continuing, single-minded fixation on abortion, to the point of curtailing even non-abortion health care access. The House Democratic minority is unlikely to stop the bill, but they should use the debate to spotlight just how malicious the Legislature\u2019s anti-choice brigade has become, even in victory.
END
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Nearly identical bills introduced in Iowa, Missouri and Idaho this year \u2014 with wording supplied by Bayer \u2014 would protect pesticide companies from claims they failed to warn that their product causes cancer, if their labels otherwise complied with the U.S. Environmental Protection Agency\u2019s regulations.
But legal experts warn the legislation could have broader consequences \u2014 extending to any product liability claim or, in Iowa\u2019s case, providing immunity from lawsuits of any kind. Critics say it could spread nationwide.
\"It\u2019s just not good government to give a company immunity for things that they\u2019re not telling their consumers,\u201d said Matt Clement, a Jefferson City, Missouri, attorney who represents people suing Bayer. \u201cIf they\u2019re successful in getting this passed in Missouri, I think they\u2019ll be trying to do this all over the country.\u201d
Bayer described the legislation as one strategy to address the \u201cheadwinds\u201d it faces. About 167,000 legal claims against Bayer assert Roundup causes a cancer called non-Hodgkin\u2019s lymphoma, which Bayer disputes. The company has won some cases, settled many others but also has suffered several losses in which juries awarded huge initial judgments. It has paid about $10 billion while thousands of claims linger in court.
Though some studies associate Roundup's key ingredient with cancer, the EPA has regularly concluded it is not likely to be carcinogenic to humans when used as directed.
The costs of \u201cdefending a safe, approved product\u201d are unsustainable, said Jess Christiansen, head of communications for Bayer's crop science division.
The legislation was introduced in targeted states pivotal to Bayer's Roundup operations and is at a different stage in each. It passed the Iowa Senate, is awaiting debate in the Missouri House and was defeated in Idaho, where this year's legislative session ended.
Farmers overwhelmingly rely on Roundup, which was introduced 50 years ago as a more efficient way to control weeds and reduce tilling and soil erosion. For crops like corn, soybeans and cotton, it\u2019s designed to work with genetically modified seeds that resist Roundup\u2019s deadly effect.
Missouri state Rep. Dane Diehl, a farmer who worked with Bayer to sponsor the legislation, cited concerns that costly lawsuits could force Bayer to pull Roundup from the U.S. market, leaving farmers to depend on alternative chemicals from China.
\u201cThis product, ultimately, is a tool that we need,\" said Diehl, a Republican.
Iowa Gov. Kim Reynolds, a Republican, said in an email the legislation maintains the integrity of the regulatory process and, without it, \u201cIowa risks losing hundreds of jobs\u201d in Muscatine, an eastern Iowa city where Roundup is mostly produced.
The Associated Press is seeking public records on Bayer\u2019s communications with governor's offices in Iowa, Missouri and Idaho.
Bayer, like other companies, hires lobbyists in states to advocate for its interests. The company backs this legislation in the states where \u201cwe have a big, direct economic impact,\u201d Christiansen said.
Roundup\u2019s key ingredient, glyphosate, is derived from phosphate mined in Idaho. And St. Louis is the headquarters of its North America crop science division, acquired in its 2018 purchase of Monsanto. Because of that, many of the lawsuits are filed in Missouri.
The five lobbyists registered for Bayer in Iowa and three in Idaho is largely consistent with recent years, but the number working in Missouri this year ballooned from four to nine. Lobbyist expenditures exceeded $8,000 in Idaho this year; similar information was not available in Iowa or Missouri.
Led by Bayer, a coalition of agricultural organizations called Modern Ag Alliance also is spending tens of thousands of dollars on radio and print advertisements claiming that trial lawyers and litigation threaten the availability of glyphosate.
On its website, the group asserts that at risk are 500 jobs connected to glyphosate production in Iowa, and 800 jobs in Idaho.
Bayer stopped short of threatening closures. The Iowa facilities, including in Muscatine, \u201care very critical facilities to our business, so we'll remain at some sort of support level,\u201d Christiansen said.
At issue in the lawsuits and legislation is how Bayer \u2013 and any other pesticide company \u2014 communicates with consumers about the safety of its products.
Companies are required to register products with the EPA, which evaluates \u2014 and then reevaluates every 15 years \u2014 a pesticide and its label. The EPA reiterated in 2020 that glyphosate used as directed posed no health risks to humans. But a federal appeals court panel in 2022 ruled that decision \u201cwas not supported by substantial evidence\u201d and ordered the EPA to review further.
The debate over glyphosate escalated when a 2015 report by the International Agency for Research on Cancer, part of the World Health Organization, said it's \u201cprobably carcinogenic to humans\" based on \u201climited\u201d evidence of cancer in people and \u201csufficient\u201d evidence in study animals.
Based on that international report, California sought to add a cancer warning label to products containing glyphosate. But a federal appeals court ruled against California last November, concluding such a warning wasn't factual.
Christiansen emphasized that many regulatory agencies worldwide agree with the EPA and insisted Bayer has to stick to EPA labeling to ensure it isn't providing false or misleading information. She added that the company is transparent in the information it does provide.
Critics of the legislation aren't convinced, citing examples such as opioids and asbestos that had been deemed safe for use as directed \u2014 until they weren't.
There also are concerns that the legislation could stifle any product liability claim since most rely on the argument that a company failed to warn, said Andrew Mertens, executive director of the Iowa Association for Justice, an organization for trial lawyers.
Jonathan Cardi, a product liability and torts expert at Wake Forest University School of Law, also said a strict reading of the Iowa legislation extends beyond liability claims, and \u201cthe way it\u2019s drafted makes it interpretable to mean nobody could bring any suit.\u201d
In lobbying lawmakers and in speaking with the AP, Bayer representatives disputed that the legislation would cut off other legal actions. Several legal experts said the legislation is unlikely to affect the 18,000 lawsuits already pending in Missouri\u2019s capital of Jefferson City, and wouldn\u2019t prevent claims in states that don\u2019t adopt similar legislation.
In Idaho, the Republican-led Senate narrowly defeated the bill amid concerns about relying on federal agencies' safety standards and limiting the ability of harmed individuals to sue.
John Gilbert, who farms in Iowa Falls, Iowa, with limited use of Roundup, called Republicans hypocritical for attempting to protect corporate interests after campaigning on standing up for Iowans.
The bill \u201cinvites a lot of reckless disregard,\" said Gilbert, who is on the board for the Iowa Farmers Union. \u201cNo amount of perfume\u2019s gonna make it anything but a skunk.\"
___
Lieb reported from Jefferson City, Missouri.
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April 12
The New York Times on aid to Israel
The suffering of civilians in Gaza \u2014 tens of thousands dead, many of them children; hundreds of thousands homeless, many at risk of starvation \u2014 has become more than a growing number of Americans can abide. And yet Prime Minister Benjamin Netanyahu of Israel and his ultranationalist allies in government have defied American calls for more restraint and humanitarian help.
The U.S. commitment to Israel \u2014 including $3.8 billion a year in military aid, the largest outlay of American foreign aid to any one country in the world \u2014 is a reflection of the exceptionally close and enduring relationship between the two countries. A bond of trust, however, must prevail between donors and recipients of lethal arms from the United States, which supplies arms according to formal conditions that reflect American values and the obligations of international law.
Mr. Netanyahu and the hard-liners in his government have broken that bond, and until it is restored, America cannot continue, as it has, to supply Israel with the arms it has been using in its war against Hamas.
The question is not whether Israel has the right to defend itself against an enemy sworn to its destruction. It does. The Hamas attack of Oct. 7 was an atrocity no nation could leave unanswered, and by hiding behind civilian fronts, Hamas violates international law and bears a major share of responsibility for the suffering inflicted on the people in whose name it purports to act. In the immediate aftermath of that attack, President Biden rushed to demonstrate America\u2019s full sympathy and support in Israel\u2019s agony. That was the right thing to do.
It is also not a question whether the United States should continue to help Israel defend itself. America\u2019s commitments to Israel\u2019s defense are long term, substantial, mutually beneficial and essential. No president or Congress should deny the only state on earth with a Jewish majority the means to ensure its survival. Nor should Americans ever lose sight of the threat that Hamas, a terrorist organization, poses to the security of the region and to any hope of peace between Palestinians and Israelis.
But that does not mean the president should allow Mr. Netanyahu to keep playing his cynical double games. The Israeli leader is fighting for his political survival against growing anger from his electorate. He knows that, should he leave office, he will risk going on trial for serious charges of corruption. He has, until recently, resisted diplomatic efforts for a cease-fire that might have led to a release of hostages still in the custody of Hamas. He has used American armaments to go after Hamas but has been deaf to repeated demands from Mr. Biden and his national security team to do more to protect civilians in Gaza from being harmed by those armaments. Even worse, Mr. Netanyahu has turned defiance of America\u2019s leadership into a political tool, indulging and encouraging the hard-liners in his cabinet, who pledge to reoccupy Gaza and reject any notion of a Palestinian state \u2014 exactly the opposite of U.S. policy.
Thanks in part to the bombs and other heavy weapons supplied by the United States, the Israeli military now faces little armed resistance in most of Gaza. But Mr. Netanyahu has ignored his obligations to provide food and medicine to the civilian population in the territory that Israel now controls. In fact, Israel has made it difficult for anyone else to provide humanitarian aid to Gaza. The United States has had to take extraordinary steps, including airdrops and building a pier, to overcome Israeli obstacles to providing humanitarian aid. Last week\u2019s attack on a World Central Kitchen convoy in Gaza, which killed seven aid workers and which Israel acknowledged was a mistake, underscores the enormous danger facing the international aid agencies that are stepping in to help.
This cannot continue.
Israel recently announced a pullback of troops from southern Gaza. But this is neither a formal cease-fire nor an end to the war, and it is incumbent on the Biden administration to persevere in its efforts to help end the fighting, free the hostages and protect Palestinian civilians.
A growing number of senators, led by Chris Van Hollen, Democrat of Maryland, have been urging Mr. Biden to consider pausing military transfers to Israel, which the executive branch can do without congressional approval. They were right to push for this action.
Last week, Representative Nancy Pelosi was among 40 House Democrats to sign a letter to the president and the secretary of state urging them to ensure that military assistance to Israel is in compliance with U.S. and international law. The mechanism to do that is already in place. In February, Mr. Biden signed a national security memorandum (NSM-20) that directed the secretary of state to obtain \u201ccredible and reliable\u201d written assurances from recipients of American weapons that those weapons would be used in accordance with international law and that recipients would not impede the delivery of American assistance. Failure to fulfill those measures could lead to suspension of further arms transfers.
NSM-20 did not break ground. Many of its requirements are already law under the Foreign Assistance Act and other measures, and they apply to armaments supplied to other countries, including Ukraine. NSM-20 specifically excludes air defense systems and others used for strictly defensive purposes, but that still leaves many offensive weapons whose delivery the United States could pause. But NSM-20 is notable. It affirms the president\u2019s authority to use military aid as a lever in ensuring the nation\u2019s weapons are used responsibly.
The administration has tried many forms of pressure and admonition, including public statements, reported expressions of frustration and U.N. Security Council resolutions. None of them, so far, have proved effective with Mr. Netanyahu. Military aid is the one lever Mr. Biden has been reluctant to use, but it is a significant one he has at his disposal \u2014 perhaps the last one \u2014 to persuade Israel to open the way for urgent assistance to Gaza.
Pausing the flow of weapons to Israel would not be an easy step for Mr. Biden to take; his devotion and commitment to the Jewish state go back decades. But the war in Gaza has taken an enormous toll in human lives, with a cease-fire still out of reach and many hostages still held captive. The eroding international support for its military campaign has made Israel more insecure. Confronted with that suffering, the United States cannot remain beholden to an Israeli leader fixated on his own survival and the approval of the zealots he harbors.
The United States has had Israel\u2019s back, diplomatically and militarily, through decades of wars and crises. Alliances are not one-way relationships, and most Israelis, including Israel\u2019s senior military commanders, are aware of that. Yet Mr. Netanyahu has turned his back on America and its entreaties, creating a crisis in U.S.-Israeli relations when Israel\u2019s security, and the stability of the entire region, is at stake.
ONLINE: https://www.nytimes.com/2024/04/13/opinion/israel-military-aid.html
___
April 12
The Washington Post on the measles outbreak in the United States
This year is not yet one-third over, yet measles cases in the United States are on track to be the worst since a massive outbreak in 2019. At the same time, anti-vaccine activists are recklessly sowing doubts and encouraging vaccine hesitancy. Parents who leave their children unvaccinated are risking not only their health but also the well-being of those around them.
Measles is one of the most contagious human viruses \u2014 more so than the coronavirus \u2014 and is spread through direct or airborne contact when an infected person breathes, coughs or sneezes. The virus can hang in the air for up to two hours after an infected person has left an area. It can cause serious complications, including pneumonia, encephalitis and death, especially in unvaccinated people. According to the Centers for Disease Control and Prevention, one person infected with measles can infect 9 out of 10 unvaccinated individuals with whom they come in close contact.
But measles can be prevented with the measles, mumps and rubella vaccine; two doses are 97 percent effective. When 95 percent or more of a community is vaccinated, herd immunity protects the whole. Unfortunately, vaccination rates are falling. The global vaccine coverage rate of the first dose, at 83 percent, and second dose, at 74 percent, are well under the 95 percent level. Vaccination coverage among U.S. kindergartners has slipped from 95.2 percent during the 2019-2020 school year to 93.1 percent in the 2022-2023 school year, according to the CDC, leaving approximately 250,000 kindergartners at risk each year over the past three years.
The virus is slipping through the gaps. According to the World Health Organization, in 2022, 37 countries experienced large or disruptive measles outbreaks compared with 22 countries in 2021. In the United States, there have been seven outbreaks so far this year, with 121 cases in 18 jurisdictions. Most are children. Many of the outbreaks in the United States appear to have been triggered by international travel or contact with a traveler. Disturbingly, 82 percent of those infected were unvaccinated or their status unknown.
The largest toll has been in Illinois, followed by Florida. But when an outbreak hit the Manatee Bay Elementary School in Broward County in early March, Florida\u2019s top public health official, state Surgeon General Joseph A. Ladapo, did not follow the standard recommendation that parents of unvaccinated children keep them home for 21 days to avoid getting the disease. Instead, Dr. Ladapo said, Florida would be \u201cdeferring to parents or guardians to make decisions about school attendance.\u201d This means allowing children without protection to go to school. Dr. Ladapo\u2019s letter was an unnecessarily reckless act of pandering to an anti-vaccine movement with increasing political influence.
Vaccine hesitancy is being encouraged by activists who warn of government coercion, using social media to amplify irresponsible claims. An article published March 20 on the website of Robert F. Kennedy Jr.\u2019s Children\u2019s Health Defense organization is headlined, \u201cBe Very Afraid? CDC, Big Media Drum Up Fear of \u2018Deadly\u2019 Measles Outbreaks.\u201d The author, Alan Cassels, claims that the news media is advancing a \u201ca fear-mongering narrative,\u201d and adds, \u201cThose of us born before 1970 with personal experience pretty much all agree that measles is a big \u2018meh.\u2019 We all had it ourselves and so did our brothers, sisters and school friends. We also had chicken pox and mumps and typically got a few days off school. The only side effect of those diseases was that my mom sighed heavily and called work to say she had to stay home to look after a kid with spots.\u201d
Today, he adds, \u201cBig media and government overhyping the nature of an illness, which history has shown us can be a precursor to some very bad public health policies such as mandatory vaccination programs and other coercive measures.\u201d
This is just wrong. The CDC reports that, in the decade before the measles vaccine became available in 1963, the disease killed 400 to 500 people, hospitalized 48,000 and gave 1,000 people encephalitis in the United States every year \u2014 and that was just among reported cases. The elimination of measles in the United States in 2000, driven by a safe and effective vaccine, was a major public health success. Although the elimination status still holds, the U.S. situation has deteriorated. The nation has been below 95 percent two-dose coverage for three consecutive years, and 12 states and the District below 90 percent. At the same time, the rest of the world must also strive to boost childhood vaccination rates, which slid backward during the covid-19 pandemic. According to the WHO, low-income countries \u2014 with the highest risk of death from measles \u2014 continue to have the lowest vaccination rates, only 66 percent.
The battle against measles requires a big \u2014 not a meh \u2014 effort.
ONLINE: https://www.washingtonpost.com/opinions/2024/04/14/measles-cases-rise-danger-vaccine/
___
April 16
The Wall Street Journal on the U.S. Capitol riot and the Supreme Court
The people who breached the U.S. Capitol on Jan. 6, 2021, are being held accountable, and attempts to rebrand them as patriotic choirboys are a sign of the bizarre political times. Yet is it unduly stretching the law to prosecute Jan. 6 rioters using the Sarbanes-Oxley Act of 2002?
The Supreme Court will consider this Tuesday in Fischer v. U.S., and rooting for the government to lose requires no sympathy for the MAGA mob. Joseph Fischer says in his brief that he arrived late to the Capitol, spent four minutes inside, then \u201cexited,\u201d after \u201cthe weight of the crowd\u201d pushed him toward a police line, where he was pepper sprayed. The feds tell an uglier tale.
Mr. Fischer was a local cop in Pennsylvania. \u201cTake democratic congress to the gallows,\u201d he wrote in a text message. \u201cCan\u2019t vote if they can\u2019t breathe..lol.\u201d The government says he \u201ccrashed into the police line\u201d after charging it. Mr. Fischer was indicted for several crimes, including assaulting a federal officer. If true, perhaps he could benefit from quiet time in a prison library reading the 2020 court rulings dismantling the stolen election fantasy.
Sarbanes-Oxley, though? Congress enacted Sarbox, as it\u2019s often called, in the wake of Enron and other corporate scandals. One section makes it a crime to shred or hide documents \u201ccorruptly\u201d with an intent to impair their use in a federal court case or a Congressional investigation. That provision is followed by catchall language punishing anybody who \u201cotherwise obstructs, influences, or impedes\u201d such a proceeding. Now watch, as jurists with Ivy degrees argue about the meaning of the word \u201cotherwise.\u201d
In Mr. Fischer\u2019s view, the point of this law is to prohibit \u201cevidence spoliation,\u201d so the \u201cotherwise\u201d prong merely covers unmentioned examples. The government\u2019s position is that the catchall can catch almost anything, \u201cto ensure complete coverage of all forms of corrupt obstruction.\u201d The feds won 2-1 at the D.C. Circuit Court of Appeals.
Yet two judges were worried how far this reading would permit prosecutors to go. Judge Justin Walker, who joined the majority, said his vote depended on a tight rule for proving defendants acted \u201ccorruptly.\u201d
Judge Gregory Katsas filed the vigorous dissent. The government \u201cdubiously reads otherwise to mean \u2018in a manner different from,\u2019 rather than \u2018in a manner similar to,\u2019\u201d he argued. The obstruction statute \u201chas been on the books for two decades and charged in thousands of cases \u2014 yet until the prosecutions arising from the January 6 riot, it was uniformly treated as an evidence-impairment crime.\u201d
A win for the feds, Judge Katsas warned, could \u201csupercharge comparatively minor advocacy, lobbying, and protest offenses into 20-year felonies.\u201d For example: \u201cA protestor who demonstrates outside a courthouse, hoping to affect jury deliberations, has influenced an official proceeding (or attempted to do so, which carries the same penalty).\u201d Or how about a Congressman (Rep. Jamaal Bowman) who pulls a fire alarm that impedes a House vote?
Special counsel Jack Smith has charged Donald Trump with obstructing a Congressional proceeding, and he says Mr. Trump\u2019s \u201cfraudulent electoral certifications\u201d in 2020 are covered by Sarbox, regardless of what the Supreme Court does in Fischer. The other piece of context is that prosecutors going after Jan. 6 rioters have charged obstruction in hundreds of cases. But if those counts are in jeopardy, don\u2019t blame the Supreme Court.
Presumably many of those defendants could be on the hook for disorderly conduct or other crimes, and the feds can throw the book at them. What prosecutors can\u2019t do is rewrite the law to create crimes Congress didn\u2019t.
___
April 10
The Guardian on smartphones and children
The principle that some products are available to adults and not children is uncontroversial. Access to weapons, alcohol and pornography is curtailed in this way because a level of maturity is the precondition for access (but not a guarantee of responsible use).
Until recently, few people put smartphones in that category. The idea of an age restriction on sales would be dismissed as luddism or state-control freakery. But ministers are reported to be considering just such a ban for under-16s. Opinion polls suggest that it could be popular with parents. Government guidance already calls for a de facto ban on mobile phone use in schools in England and Wales. Many headteachers had already imposed rules to that effect. If there is not yet a consensus that young people\u2019s use of smartphones needs stricter regulation, that is the trajectory.
The smartphone is a recent enough innovation (the first iPhone was launched in 2007) to limit firm conclusions about effects of its use. But there is evidence of sudden, steep rises in depression, anxiety and other mental health problems in the first generation to pass through adolescence in a state of digital saturation.
Correlation doesn\u2019t prove causation. There might be many reasons why young people are increasingly lonely and lacking in self-esteem. But there is plausible culpability in the simultaneous mass dissemination of platforms and devices that dissolve notions of privacy, are engineered to be addictive and turn social interaction into something akin to a competitive video game. There is no obvious other candidate to account for a pattern that is replicated in so many different countries. The connection is credible enough that societies might not want to wait for definitive confirmation before intervening.
One counterview is that phones are the wrong target. It is the apps and the content they channel that harm young people. The hardware is neutral. Another objection is that the phone is an essential tool of modern life, with benefits that outweigh disadvantages. The task is to teach safe use, or empower parents to enforce it. In that view, the state cannot hold back a social revolution, nor should it want to. The tortured evolution of the recent online safety bill shows the immense complexity of regulation in a rapidly evolving realm.
___
April 15
China Daily says Tokyo, Manila follow U.S.
The two US officials visiting Beijing from Sunday to Tuesday will have found themselves at the forefront of the United States\u2019 \u201cefforts to maintain open lines of communication and to responsibly manage competition\u201d, as the US State Department described the nature of their trip.
That is because Assistant Secretary of State for East Asian and Pacific Affairs Daniel J. Kritenbrink and National Security Council Senior Director for China Affairs Sarah Beran will have been quizzed by Beijing about the markedly heightened security cooperation among the US and Japan and the Philippines after their first trilateral summit in Washington last week. The leaders of the three countries have made no bones about China being the rationale for what promises to be a bigger military footprint in the East and South China seas and intensified provocations.
The trilateral mischief-making clique is just the latest in a series engineered by Washington with the aim of containing China. It joins the Quad, AUKUS and Five Eyes in bringing countries together for that purpose. For the US, it is taking comfort in numbers. For the Philippines, it is an attempt to curry favor with the US in the hope of receiving some largesse. As evidenced by Philippine President Ferdinand Marcos Jr. repeatedly calling on the US to invest in the Philippines.
What Tokyo covets is Japan gaining the status of a \u201cnormal\u201d country, which it thinks it can achieve by hitching itself to the US\u2019 \u201cIndo-Pacific\u201d strategy. Japanese Prime Minister Fumio Kishida couldn\u2019t hide his satisfaction with the upgraded Treaty of Mutual Cooperation and Security between the United States and Japan, the main outcome of his meeting with US President Joe Biden on Wednesday.
Compared with Manila\u2019s shortsighted opportunism, Tokyo\u2019s scheming deserves much more vigilance from regional countries, as well as the US, something Kritenbrink and Beran should be urged to realize, because if realized, it will pose a grave challenge to peace and stability in the region and beyond.
Kishida has warmly welcomed the newly upgraded defense treaty with the US, which covers technology, command coordination, space and intelligence, as technically it puts Japan on a quasi equal footing with the US in security affairs, representing a solid step forward for Japan to not only end its subordination to the US but also become a global power.
The US intends its security alliance with Japan to become the focal point from which its other regional security mechanisms \u2014 including its envisioned \u201cIndo-Pacific NATO\u201d \u2014 radiate.
Thus the US military command in Japan is to be restructured to strengthen operational planning and military exercises involving the two countries\u2019 armed forces. This will ensure their security cooperation evolves into the core of the \u201cIndo-Pacific\u201d wing of the US\u2019 security network, with Tokyo helping to dovetail it with the transatlantic wing.
In this way, Japan is taking a ride on the US\u2019 strategy to contain China using the pretext of shared values.
That being said, it was interesting to hear Kishida stress in Washington that Japan will cooperate with China \u201con common challenges\u201d and that Tokyo envisions a \u201cstable Japan-China relationship\u201d on all levels.
That leaves one wondering whether saying one thing and doing the other is something Tokyo has learned from Washington or it is the other way round.
ONLINE: https://www.chinadaily.com.cn/a/202404/15/WS661d25c2a31082fc043c2147.html
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The southern German state will ban smoking cannabis at public festivals, inside beer gardens, and even at the Oktoberfest, the world's most popular beer festival, the state's government announced Tuesday.
Local authorities in Bavaria will also be allowed to prohibit cannabis consumption in public areas such as outdoor swimming pools and leisure parks such as Munich's Englischer Garten, German news agency dpa reported.
\u201cOur aim is to limit cannabis consumption in public spaces,\" said Bavarian Health Minister Judith Gerlach. \u201cThat is important for health protection and especially for protecting children and young people.\u201d
Bavaria's move comes after Germany legalized possession of small amounts of cannabis for recreational use all over the country at the beginning of this month.
Bavaria's conservative-led state government has been particularly vocal in its opposition to the partial legalization of cannabis.
Germany\u2019s nationwide new rules went into force on April 1, legalizing possession by adults of up to 25 grams (nearly 1 ounce) of marijuana for recreational purposes and allowing individuals to grow up to three plants for their personal use.
A second part of the legislation, under which German residents age 18 and older will be allowed to join nonprofit cannabis-growing clubs from which they can buy marijuana, takes effect July 1.
In its strict interpretation of the cannabis law, Bavaria's state government also wants to ban smoking cannabis in designated smoking rooms and smoking areas such as the outdoor areas in restaurants and cafes.
The ban will also extend to the heating and vaporization of cannabis and cannabis products, dpa reported.
Bavaria's state government argues that the ban of weed consumption at public festivals including the Oktoberfest is needed because consumers are not allowed to smoke cannabis near minors, and children and young people are regularly present there.
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(AP) \u2014 A campaign to legalize abortion in Missouri on Tuesday announced it raised close to $5 million in the past three months, a fundraising sprint crucial to getting the measure on this year's ballot.
Missourians for Constitutional Freedom announced it brought in more than $4.8 million from January through the end of March. A rival anti-abortion campaign raised $85,000 in the same time period.
If approved by voters, the Missouri measure would enshrine abortion rights in the state constitution. Lawmakers would still be able to regulate abortion after fetal viability.
Missouri outlawed almost all abortions with no exceptions in the case of rape or incest immediately after the U.S. Supreme Court overturned Roe v. Wade in 2022. Missouri law only allows abortions for medical emergencies.
The abortion-rights campaign has until May 5 to gather signatures from 8% of legal voters in any six of the eight congressional districts. At minimum, that represents more than 171,000 valid voter signatures.
So far, the campaign has spent more than $3.4 million. Most of that \u2014 about $3.2 million \u2014 has gone to signature gathering and processing.
In Ohio, a successful 2023 initiative guaranteeing abortion rights cost a combined $70 million. Ohioans United for Reproductive Rights, the campaign in favor of the initiative, raised and spent more than $39.5 million to pass the constitutional amendment. Protect Women Ohio, the campaign against it, raised and spent about $30.4 million.
It's unclear how close the Missouri campaign is to collecting the needed 171,000 signatures. The campaign said workers gathered close to 20,000 signatures in a one-day blitz on April 2 but declined to provide total signature numbers.
Monday was also the deadline for Missouri candidates to report recent fundraising.
Democrat Lucas Kunce outraised incumbent U.S. Sen. Josh Hawley, bringing in more than $2.2 million to Hawley's $850,000. St. Louis County Prosecutor Wesley Bell raised $952,000 compared to his Democratic rival U.S. Rep. Cori Bush's $590,000.
Top Missouri gubernatorial fundraisers were Republican Gov. Mike Kehoe, who raised almost $557,000, and Democrat Mike Hamra. Hamra raised $512,000, including $500,000 in self-funding.
Most Missouri candidates also have political action committees that can fundraise and spend money to help elect them but cannot directly coordinate with the candidates or their campaigns. The numbers reported above do not include PAC fundraising.
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Committee investigators said they accessed a government website that revealed tax rebates for the production of specific fentanyl precursors as well as other synthetic drugs as long as those companies sell them outside of China. Former U.S. Attorney General William Barr says the committee\u2019s report \u201cuncovered persuasive evidence\u201d that China\u2019s government is \u201cknee deep\u201d in sponsoring and facilitating the export of fentanyl precursors.", + "bylines": [ + { + "by": "By KEVIN FREKING", + "title": "Associated Press" + } + ], + "located": "WASHINGTON", + "datelinelocation": { + "city": "Washington", + "countryareacode": "DC", + "countryareaname": "District of Columbia", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -77.03637, + 38.89511 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. 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Committee investigators said they accessed a government website that revealed tax rebates for the production of specific fentanyl precursors as well as other synthetic drugs as long as those companies sell them outside of China.
\u201cThrough its actions, as our report has revealed, the Chinese Communist Party is telling us that it wants more fentanyl entering our country,\u201d said Rep. Mike Gallagher, the Republican chairman of the special House committee. \u201cIt wants the chaos and devastation that has resulted from the epidemic.\u201d
In November, President Joe Biden and Chinese President Xi Jinping announced a resumption of bilateral cooperation on counternarcotics with a focus on reducing the flow of precursor chemicals and synthetic drug trafficking. But the congressional report raises questions about whether China is following through.
The report\u2019s findings were released Tuesday as part of a hearing examining China\u2019s role in the fentanyl epidemic in the U.S. Most overdose deaths in the U.S. continue to be linked to fentanyl and other synthetic opioids. Inexpensive fentanyl is increasingly cut into other drugs, often without the buyers\u2019 knowledge.
The Chinese government not only subsidizes the manufacturing of precursor chemicals, but the report says it has also thwarted investigations into illicit manufacturers by warning the targets of an investigation when U.S. law enforcement has sent a formal request for assistance. Investigators said multiple current and former federal agents have described the notification of targets, leading those targets to revamp operations and make it harder to detect their activities.
Former U.S. Attorney General William Barr told lawmakers in Tuesday's hearing that it's hard to believe that a country with the most pervasive surveillance system in the world is not fully aware of the massive drug trafficking taking place. He said the committee's report \u201cuncovered persuasive evidence\u201d that China's government is not just a bystander, but is \u201cknee deep\u201d in sponsoring and facilitating the export of fentanyl precursors.
Barr recommended the U.S. use its trade and economic power to seek greater enforcement from Chinese authorities. He also said victims should bring civil actions against companies and individuals involved in distributing the precursors and synthetic drugs.
\u201cI don't think we can count on their goodwill, as we have in the past,\u201d Barr said.
A Chinese official in a statement didn't directly address the allegation of China subsidizing the production of fentanyl precursors, but the official did list several steps the nation has taken to curb fentanyl production.
Following the Biden-Xi meeting in November, China issued a notice to remind relevant enterprises and individuals to be cautious in the sale of substances used for producing narcotic drugs. And on Jan. 30, a China-U.S. counter-narcotics working group officially launched, said Liu Pengyu, a spokesperson for the Chinese embassy in Washington.
China has also pushed forward with a campaign that has involved \"severely cracking down on illegal activities involving smuggling, manufacturing, trafficking and abuse of fentanyl substances and their precursor chemicals,\u201d Pengyu said. And drug control authorities from the two countries are in regular communication with the Chinese updating U.S. officials on progress related to law enforcement actions and responding to requests for verification.
\u201cAll these fully show that China\u2019s drug control authorities have taken active actions to implement the consensus reached by the two Presidents, fully demonstrating China\u2019s sincerity,\u201d Pengyu said in a written statement. \u201cIt is very clear that there is no fentanyl problem in China, and the fentanyl crisis in the United States is not caused by the Chinese side, and blindly blaming China cannot solve the US\u2019 own problem.\u201d
Rep. Raja Krishnamoorthi, the top Democrat on the committee, said Chinese companies are also currently selling synthetic opioids on their websites, and pointed to a screenshot of one such solicitation that committee staff found just Monday night in advance of the hearing. He said such posts have to be taken down immediately.
\u201cThere are hundreds of these website posts \u2014 hundreds\" Krishnamoorthi said. \u201cThis is completely unacceptable.\u201d
The chemical companies providing fentanyl precursors often have legitimate businesses with customers around the world. The report said fentanyl precursors and other synthetic narcotics are a \u201cside hustle\u201d designed to maximize profits.
Businesses that deal in fentanyl precursors and narcotics on the side are particularly vulnerable to U.S sanctions. The same goes for companies such as banks, online platforms and shipping companies that enable illicit fentanyl trade.
The report calls on Congress to clarify the power of the president to sanction those involved in drug trafficking, for the U.S. to impose financial sanctions on violators and for regular reports to Congress on how often sanctions have been undertaken.
It also calls for forming a task force that would place intelligence, economic and enforcement resources under one roof. The head of the group would report directly to the attorney general of the U.S. and serve as a special assistant to the president on the National Security Council with authority over the opioids portfolio.
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(AP) \u2014 A coalition of advocates rallied for full Medicaid expansion Tuesday at the Mississippi Capitol as lawmakers prepare to negotiate a final plan that could extend health care coverage to tens of thousands of residents in one of the poorest states in the U.S.
Members of Working Together Mississippi \u2014 a coalition of religious and nonprofit groups \u2014 said lawmakers face an economic and moral imperative to ensure more citizens gain access to health care coverage. In recent weeks, they and other advocacy groups have accelerated public campaigns as top lawmakers aim to reach a consensus on what would be a landmark shift in the state's health care policy.
\u201cWe urge the House and the Senate to find a compromise that takes full advantage of the federal funding that will move our state from 50th in most health outcomes and would save our hospitals,\u201d said the Rev. Gregory Divinity of New Vineyard Church in Utica.
Against a backdrop of signs emblazoned with \u201cFull Expansion,\" speakers on the Capitol steps called for lawmakers to pass a bill that covers people earning up to 138% of the federal poverty level, as the House did, rather than a competing Senate proposal that would only cover people earning up to 100% of that threshold.
The pressure campaigns come as lawmakers have agreed to begin negotiations, with three members from each chamber trying to iron out a final product.
House Medicaid Committee Chairwoman Missy McGee, a Republican, said her approach could extend benefits to as many as 200,000 people. Senate Medicaid Committee Chairman Kevin Blackwell, also a Republican, said the Senate's plan could make 80,000 people eligible for expanded coverage, but he estimates that only about 40,000 would enroll.
The Senate plan also includes a stricter work requirement unlikely to be approved by President Joe Biden's Administration. This would make the state ineligible for an additional $700 million from the federal government that is otherwise available if Mississippi fully expands Medicaid.
Mississippi\u2019s Republican-controlled Legislature is considering Medicaid expansion after years of opposition to the policy allowed under the Affordable Care Act, a 2010 federal health overhaul signed by then-President Barack Obama. Speaker Jason White\u2019s ascension to the top leadership position this year helped pave the way for consideration of Medicaid expansion.
Mississippi has the highest rate of preventable deaths in the U.S. Its top health official has said it ranks at the bottom of virtually every health care indicator and at the top of every disparity. Hospitals are struggling to remain open. The state also has one of the nation\u2019s lowest labor force participation rates. Expansion proponents have said the policy could help ameliorate these conditions.
Opponents of Medicaid expansion say the program would foster government dependency, increase wait times for health services and push people off private insurance. Republican Gov. Tate Reeves opposes expansion and has launched public and private pressure campaigns to dissuade senators from supporting the policy.
Reeves is likely to veto the legislation if it reaches his desk. Lawmakers could override his veto with a two-thirds vote from the House and Senate.
Policy analysts from the Hilltop Institute, a Maryland-based health care research organization, have also circulated a proposed compromise plan among key lawmakers. That plan would address those who make between 100% to 138% of the poverty level by using federal money to help them purchase private insurance plans through Mississippi\u2019s state health care exchange. The institute estimates the plan would provide coverage for 197,000 people.
On Tuesday, Leaders from Christian, Jewish and Muslim institutions argued that full expansion makes economic sense and is the correct moral stance, regardless of one's party affiliation.
\u201cI was warned as a Southern Baptist Republican that this issue, expanding Medicaid, might possibly brand me as a liberal,\u201d said Pastor Jeff Parker of Southside Baptist Church in Jackson. \u201cMy response was simple: You Christians ... cannot have it both ways. You hold to conservative fiscal policies in government (while) you tighten the grip of our government on humanitarian expenditures.\u201d
___
Michael Goldberg is a corps member for the Associated Press/Report for America Statehouse News Initiative. Report for America is a nonprofit national service program that places journalists in local newsrooms to report on undercovered issues. Follow him at @mikergoldberg.
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But if the Court of Appeals throws out the rule, attorneys say the law could be challenged using a similar argument. The Court of Appeals took up the case Tuesday.", + "located": "ALBANY, N.Y.", + "datelinelocation": { + "city": "Albany", + "countryareacode": "NY", + "countryareaname": "New York", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -73.75623, + 42.65258 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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(AP) \u2014 New York\u2019s highest court took up a case Tuesday that seeks to throw out a regulation requiring health insurance policies to cover medically necessary abortions \u2014 a lawsuit that could jeopardize a similar state law.
The challenge was filed by the Roman Catholic Diocese of Albany and other church groups that argue the rule violates their religious beliefs.
State financial regulators approved the abortion coverage requirement in 2017, and the Legislature codified it into law in 2022.
The religious groups are only challenging the state\u2019s regulation, not the law, meaning the coverage will remain in place regardless of the outcome.
But if the Court of Appeals throws out the rule, attorneys in the case said the law could then be challenged using a similar argument, giving the case larger implications for abortion access in New York.
The rule does include a religious exemption, and short arguments in the case on Tuesday revolved around whether the exemptions give too much latitude to officials to determine which organizations wouldn't need to follow the requirement.
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The implications of the case could affect abortion access and health insurance regulations in New York, making it highly relevant to the topic of health." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/04/16/b36280bb3ef443fcfa46bf9187882c2e.json b/datasets/AP_news/raw_data/2024/04/16/b36280bb3ef443fcfa46bf9187882c2e.json new file mode 100644 index 0000000..e92258f --- /dev/null +++ b/datasets/AP_news/raw_data/2024/04/16/b36280bb3ef443fcfa46bf9187882c2e.json @@ -0,0 +1,255 @@ +{ + "altids": { + "itemid": "b36280bb3ef443fcfa46bf9187882c2e", + "etag": "b36280bb3ef443fcfa46bf9187882c2e_3a3aza0c0", + "friendlykey": "943175240360", + "referenceid": "WI-XGR--Forever Chemicals-Wisconsin" + }, + "version": 3, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-04-16T16:04:04Z", + "firstcreated": "2024-04-16T14:00:16Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: with comments from Republican lawmaker.; Updates Media.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "WI-XGR--Forever Chemicals-Wisconsin", + "headline": "Wisconsin Republicans ignore governor's call to spend $125M to combat 'forever chemicals'", + "headline_extended": "Wisconsin Republicans have ignored the latest call from Democratic Gov. Tony Evers to spend $125 million to combat so-called forever chemicals, leading Evers to say he may file a lawsuit over the issue", + "slugline": "BC-WI-XGR--Forever Chemicals-Wisconsin, 3rd Ld-Writethru", + "description_summary": "Wisconsin Republicans have ignored the latest call from Democratic Gov. Tony Evers to spend $125 million to combat so-called forever chemicals, leading Evers to say he may file a lawsuit over the issue. Evers invoked a rarely used power and called a meeting of the Republican-led Legislature\u2019s budget committee, urging it to release the funding that was previously approved in the state budget. But Republicans on the Joint Finance Committee did not show up Tuesday, with the GOP co-chairs calling Evers\u2019 move \u201cblatant political game-playing.\u201d While no Republicans came, Evers made a previously unannounced appearance and joined three Democratic lawmakers in blasting the GOP inaction.", + "bylines": [ + { + "by": "By SCOTT BAUER", + "title": "Associated Press" + } + ], + "located": "MADISON, Wis .", + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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(AP) \u2014 Wisconsin Republicans on Tuesday ignored the latest call from Democratic Gov. Tony Evers to spend $125 million to combat so-called forever chemicals, leading Evers to say he might sue over the issue.
The moves are the latest twist in the ongoing stalemate between Evers and the Legislature over the best way to combat PFAS chemicals that have polluted groundwater in communities across the state. Evers and Republicans have both said that fighting the chemicals is a priority, but they haven\u2019t been able to come together on what to do about it.
Evers invoked a rarely used power and called a meeting of the Republican-led Legislature's budget committee, urging it to release the funding that was previously approved in the state budget. But Republicans on the Joint Finance Committee did not show up, with the GOP co-chairs calling Evers' move \u201cblatant political game-playing.\u201d
Although no Republicans came, Evers made a previously unannounced appearance in the Capitol hearing room and joined three Democratic lawmakers in blasting the GOP inaction.
\u201cThe Republicans are missing in action on this,\u201d Evers said. \u201cThis is one they whiffed on, big time.\u201d
Evers said he is considering filing a lawsuit, perhaps with the Wisconsin Supreme Court, to force the committee to take action. The court is hearing arguments on Wednesday in a similar case brought by Evers against the Legislature that is related to the budget committee blocking funding for a state conservation program.
Evers said it was more important that ever for Republicans to release the funding to help communities meet the new limits on certain common types of PFAS chemicals in drinking water announced by the Environmental Protection Agency. It is the first time a nationwide limit on the chemicals has been imposed on water providers.
\u201cThis makes it very, very difficult on our local officials,\u201d Evers said.
Sen. Howard Marklein and Rep. Mark Born, the Republican committee co-chairs, said in a letter delivered to Evers on Friday that although the governor can call a meeting of the budget committee, he can't actually require it to meet or take action. The committee will not meet, they said.
\u201cWe are disappointed in your disregard for a co-equal branch of government, as well as the legislative process,\u201d Born and Marklein wrote to Evers.
Republican Sen. Eric Wimberger, a member of the budget committee, accused Democrats of staging a \u201cpublicity stunt.\u201d
He said in a statement Tuesday that if Democrats were serious about helping PFAS victims, they would vote to overturn Evers\u2019 veto of a Republican-backed bill that established a grant program for distributing the money.
Evers said in his veto message that he objected to the bill because it would limit the Wisconsin Department of Natural Resources\u2019 authority to hold polluters liable. But Wimberger, the bill\u2019s sponsor, said Evers wants to create a \u201cslush fund\u201d for the DNR and not protect landowners not responsible for pollution from possible costly enforcement actions.
PFAS, short for per- and polyfluoroalkyl substances, are man-made chemicals that don\u2019t easily break down in nature. They are found in a wide range of products, including cookware and stain-resistant clothing, and previously were often used in aviation fire-suppression foam. The chemicals, which are commonly referred to as forever chemicals because some don\u2019t degrade naturally, have been linked to health problems including low birth weight, cancer and liver disease, and have been shown to make vaccines less effective.
Municipalities across Wisconsin are struggling with PFAS contamination in groundwater, including Marinette, Madison, Wausau and the town of Campbell on French Island. The waters of Green Bay also are contaminated.
Evers also wanted the budget committee to approve the spending of $15 million in crisis-response funding for needed hospital services in western Wisconsin in the wake of hospital closures in Eau Claire and Chippewa Falls. Evers signed a bill into law allowing for the spending, but the budget committee has yet to approve it.
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Therefore, the document is relevant to the topic of health, but not exclusively focused on it." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/04/16/f21e62b9ef8b06ed4ecd301bc4531dfd.json b/datasets/AP_news/raw_data/2024/04/16/f21e62b9ef8b06ed4ecd301bc4531dfd.json new file mode 100644 index 0000000..cf14971 --- /dev/null +++ b/datasets/AP_news/raw_data/2024/04/16/f21e62b9ef8b06ed4ecd301bc4531dfd.json @@ -0,0 +1,271 @@ +{ + "altids": { + "itemid": "f21e62b9ef8b06ed4ecd301bc4531dfd", + "etag": "f21e62b9ef8b06ed4ecd301bc4531dfd_3a10aza0c0", + "friendlykey": "166478013144", + "referenceid": "US--Transgender Health-Idaho" + }, + "version": 3, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-04-18T14:29:13Z", + "firstcreated": "2024-04-16T21:56:12Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: CLARIFICATION: This story was first published on April 16, 2024. It was updated on April 18, 2024, to make clear that the 20 states enforcing bans on gender-affirming care for minors are in addition to Idaho and are among the 24 that have passed laws imposing such bans.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "US--Transgender Health-Idaho", + "headline": "Idaho's ban on youth gender-affirming care has families desperately scrambling for solutions", + "headline_extended": "Idaho families with transgender children are desperately scrambling for solutions as a state law banning gender-affirming care for minors has taken effect", + "slugline": "AP-US--Transgender Health-Idaho, 3rd Ld-Writethru", + "description_summary": "Idaho families with transgender children are desperately scrambling for solutions as a state law banning gender-affirming care for minors has taken effect. The U.S. Supreme Court has ruled that the 2023 law can be enforced while lawsuits against it work their way through lower courts. Under the law, doctors could face up to 10 years in prison for providing hormones, puberty blockers or other gender-affirming care to people under 18. Some Idaho families say they're considering moving to states where such care for minors is legal. Advocates worry that lower-income families who can't afford to travel across state lines will be disproportionately impacted.", + "bylines": [ + { + "by": "By CLAIRE RUSH", + "title": "Associated Press" + } + ], + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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The gender-affirming treatment helped the now-16-year-old find happiness again, her father said.
A decision by the U.S. Supreme Court late Monday allowing Idaho to enforce its ban on such care for minors could jeopardize her wellbeing once again. Horras is scrambling to figure out next steps and is considering leaving Idaho, where he's lived his whole life, to move to another state.
\"It would be devastating for her,\" Horras, who lives in Boise, told The Associated Press. \u201cIf she doesn\u2019t have access to that, it will damage her mental health.\"
Horras is among the Idaho parents desperate to find solutions after their trans children lost access to the gender-affirming care they were receiving. The U.S. Supreme Court's decision allows the state to put in place a 2023 law that subjects physicians to up to 10 years in prison if they provide hormones, puberty blockers or other gender-affirming care to people under age 18. A federal judge in Idaho had previously blocked the law in its entirety.
The ruling will hold while lawsuits against the law proceed through the lower courts, although the two transgender teens who sued to challenge the law will still be able to obtain care.
At least 24 states have adopted bans on gender-affirming care for minors in recent years, and most of them face legal challenges. Twenty of those states besides Idaho are currently enforcing the bans.
Monday\u2019s ruling was the first time the U.S. Supreme Court waded into the issue. The court\u2019s 6-3 ruling steered clear of whether the ban itself is constitutional. Instead, the justices went deep into whether it\u2019s appropriate to put enforcement of a law on hold for everyone, or just those who sue over it, while it works its way through the courts.
In his concurring opinion, Justice Neil Gorsuch said \u201clower courts would be wise to take heed\u201d and limit use of \u201cuniversal injunctions\u201d blocking all enforcement of laws that face legal challenges. In a dissent, Justice Ketanji Brown Jackson said the court should not decide the fate of those actions without reading legal briefs and hearing arguments on the issue.
Rights groups in Idaho are supporting families to make sure they're aware the measure has taken effect. The American Civil Liberties Union of Idaho said it plans to hold a virtual event over Zoom with licensed counselors and legal experts to help people process the shock and answer any questions they may have about the law.
\u201cYesterday was really just an outpouring of fear, questions, people trying to figure out how this is going to affect them personally,\u201d said Jenna Damron, the group's advocacy fellow. \u201cGetting information out quickly that is accurate is kind of our first priority.\u201d
Paul Southwick, legal director for ACLU of Idaho, said the group wants families to know what their options are.
\u201cGender-affirming medical care is now immediately illegal for minors in the state of Idaho. However, care remains legal for adults, and it\u2019s also legal for minors to seek gender-affirming medical care out of state,\u201d he said.
In Boise, Horras' 16-year-old daughter wears an estrogen patch and receives estrogen injections every six months. Her last shot was in December and Horras now has two months to find a new out-of-state provider who can continue administering the medication. The situation has left him feeling scared, he said, and angry toward the state politicians who passed the law last year.
\u201cIt's cruel,\u201d he said.
Advocates, meanwhile, worry that lower-income families won't be able to afford to travel across state lines for care. Arya Shae Walker, a transgender man and activist in the small city of Twin Falls in rural southern Idaho, said he was concerned that people would alter the doses of their current prescriptions in order to make them last longer. His advocacy group has already taken down information on its website on gender-affirming care providers for young people in the area out of concern of potential legal consequences.
The broader issue of bans on gender-affirming care for minors could eventually be before the U.S. Supreme Court again. Last year, a ban on gender-affirming care for minors in Arkansas was shot down by a federal judge, while those in Kentucky and Tennessee were allowed to be enforced by an appeals court after being put on hold by lower-court judges. Montana\u2019s law is not being enforced because of a ruling from a state judge.
Laws barring transgender youth from playing on sports teams that align with their gender identity are also being challenged across the country. An appeals court on Tuesday ruled that West Virginia\u2019s transgender sports ban violates the rights of a teen athlete under Title IX, the federal civil rights law that prohibits sex-based discrimination in schools. Hours later, an Ohio law that bars transgender girls from girls scholastic sports competitions was put on hold by a judge. Set to take effect next week, the law also bans gender-affirming care for transgender youth.
Those who support the bans say they want to protect children and have concerns about the treatments themselves.
Gender-affirming care for youth is supported by major medical organizations, including the American Medical Association, the American Academy of Pediatrics and the American Psychiatric Association. However, England is limiting the ability of people younger than 16 to begin a medical gender transition.
The National Health Service England recently cemented a policy first issued on an interim basis almost a year ago that sets a minimum age at which puberty blockers can be started, along with other requirements. NHS England says there is not enough evidence about their long-term effects, including \u201csexual, cognitive or broader developmental outcomes.\u201d
Medical professionals define gender dysphoria as psychological distress experienced by those whose gender expression does not match their gender identity. Experts say gender-affirming therapy can lead to lower rates of depression, suicidal thoughts and suicide attempts among transgender people.
Chelsea Gaona-Lincoln, executive director of Idaho-based advocacy group Add The Words, said she's anticipating \u201ca pretty horrendous ripple effect.\u201d But seeing her community uniting in support has given her a glimmer of hope.
\u201cThere are people coming together, and it\u2019s so important, for especially our youth, to feel seen and affirmed as they are,\" she said.
Southwick, the legal director of ACLU of Idaho, said the 9th U.S. Circuit Court of Appeals is expected to hold a hearing this summer on its lawsuit challenging the law.
___
Associated Press writer Geoff Mulvihill in Cherry Hill, New Jersey, contributed.
___
This story was first published on April 16, 2024. It was updated on April 18, 2024, to make clear that the 20 states enforcing bans on gender-affirming care for minors are in addition to Idaho and all are among the 24 that have passed laws imposing the bans.
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Judge Janis Jack in Corpus Christi found Texas and its Health and Human Services agency in contempt of court for the third time in a case that has been litigated since 2011. An agency spokesperson said the order is being reviewed. The judge issued a 427-page ruling describing a lack of thorough, accurate and timely investigations when children raise complaints. The fines will be lifted when the state can show compliance.", + "located": "CORPUS CHRISTI, Texas", + "datelinelocation": { + "city": "Corpus Christi", + "countryareacode": "TX", + "countryareaname": "Texas", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -97.39638, + 27.80058 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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U.S. District Judge Janis Graham Jack in Corpus Christi ruled Monday that the Texas Health and Human Services agency has shown contempt of her orders to fix the way the state investigates complaints by children in its care.
This is the third such contempt finding in a case that began with a 2011 lawsuit over foster care conditions at the Texas Department of Family and Protective Services, the child welfare arm of HHS.
In a 427-page ruling, the judge cited a \u201ccontinued recalcitrance\u201d by the agency's Provider Investigations unit to conduct thorough, accurate and timely probes of allegations of abuse, neglect and exploitation.
\u201cAs demonstrated by the stories of the children and PI\u2019s failure to take any action to remedy the egregious flaws identified by the Monitors, PI represents a significant, systemic failure that increases the risk of serious harm,\u201d the judge wrote.
Texas has about 9,000 children in permanent state custody for factors that include the loss of caregivers, abuse at home or health needs that parents alone can\u2019t meet.
\u201cThe judge\u2019s ruling is measured but urgent, given the shocking evidence,\u201d said attorney Paul Yetter, representing the foster children in the lawsuit. \u201cInnocent children are suffering every day. After all these years, when will state leadership get serious about fixing this disaster?\u201d
Officials at the DFPS declined comment. A spokesperson at HHS said the agency, led by Commissioner Cecile E. Young, was reviewing the order.
Lawyers for the state have previously said that while there is always room for improvement, state officials have sufficiently complied with the court\u2019s remedial orders.
The state has also argued that the court monitors haven\u2019t reviewed a large enough sample size of children to make sweeping conclusions.
The fines levied against Texas will be lifted when the state can demonstrate that its investigations are in compliance. A hearing is set for late June.
Since 2019, court-appointed monitors have released periodic reports on DFPS progress toward eliminating threats to the foster children\u2019s safety.
A January report cited progress in staff training, but continued weaknesses in responding to investigations into abuse and neglect allegations, including those made by children. Monitors also said children aren\u2019t told how to report sexual abuse and the state hasn't proved that it has properly trained its caseworkers to identify potential victims.
In one case, plaintiffs say, a girl was left in the same residential facility for a year while 12 separate investigations piled up around allegations that she had been raped by a worker there. The girl remained exposed to that worker until she was \u201cdumped in an emergency room, alone, with her jaw broken in two places,\u201d the judge said. The facility was eventually shut down by the state.
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Josh Shapiro and his top human services official say the administration has a plan to end a waiting list of thousands of families who are considered to be in dire need of help for an intellectually disabled adult relative", + "slugline": "BC-PA-XGR--Intellectually Disabled-Services", + "description_summary": "Gov. Josh Shapiro and his top human services official say the administration has a plan to end a waiting list of thousands of families who are considered to be in dire need of help for an intellectually disabled adult relative. Shapiro and Human Services Secretary Val Arkoosh said Wednesday that it's vitally important for lawmakers to approve a funding increase for state-subsidized services. Shapiro\u2019s administration considers the funding increase a first step to boost the salaries of employees who work with the intellectually disabled through nonprofit service agencies. Arkoosh says the administration can eliminate the waiting list over the next several years if the funding proposal passes.", + "bylines": [ + { + "by": "By MARC LEVY", + "title": "Associated Press" + } + ], + "located": "HARRISBURG, Pa.", + "datelinelocation": { + "city": "Harrisburg", + "countryareacode": "PA", + "countryareaname": "Pennsylvania", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -76.88442, + 40.2737 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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(AP) \u2014 Gov. Josh Shapiro and his top human services official said Wednesday that the administration has a plan to end a waiting list of thousands of families who are considered to be in dire need of help for an intellectually disabled adult relative.
Shapiro and Human Services Secretary Val Arkoosh said it is vitally important to the plan for lawmakers to approve a funding increase for state-subsidized services, such as in private homes or group homes.
Shapiro's administration considers the funding increase a first step that is intended to boost the salaries of employees who, through nonprofit service agencies, work with the intellectually disabled.
\u201cOver the next several years, if this budget passes, there will be a plan in place to finally end that waiting list,\" Arkoosh told a discussion group at BARC Developmental Services in Warminster. \u201cIt\u2019s a big deal.\u201d
Pennsylvania has maintained a growing waiting list of people seeking such services for decades, as have the vast majority of states.
Roughly 500,000 people with developmental or intellectual disabilities are waiting for services in 38 states, according to a 2023 survey by KFF, a health policy research group. Most people on those lists live in states that don't screen for eligibility before adding them to a list.
Federal law doesn\u2019t require states to provide home and community-based services, and what states cover varies. In Pennsylvania, the state uses its own dollars, plus federal matching dollars, to cover home and community-based services for intellectually disabled adults.
However, the state's money hasn't met the demand, and in Pennsylvania, roughly 4,500 families with an intellectually disabled adult relative are on what's called an emergency waiting list for help, the state Department of Human Services said.
\u201cThese are the critical of the critical,\u201d said Sherri Landis, executive director of The Arc of Pennsylvania, which advocates for people with intellectual and developmental disabilities.
In many cases, parents on the emergency waiting list have grown old waiting for help for their adult child whom they are increasingly struggling to look after.
One major problem is the difficulty in finding and hiring people to take jobs as care workers. That problem has grown significantly as the COVID-19 pandemic increased stress across the spectrum of workers in health care and direct care disciplines.
Shapiro's budget proposal includes an extra $216 million in state aid, or 12% more, to boost worker salaries and help agencies fill open positions. Federal matching dollars brings the total to about $480 million.
The funding request is part of a $48.3 billion budget that Shapiro is proposing to lawmakers for the 2024-25 fiscal year beginning July 1.
BARC's executive director, Mary Sautter, told Shapiro that her agency has a worker vacancy rate of 48%, forcing current employees to work overtime or extra shifts.
\u201cThere is a way to fix that and we\u2019ve known that there's been a way to fix that for a long time, which is to pay people more and be able to hire more people and be able to fill more slots with people who need support and assistance,\" Shapiro told the discussion group at BARC.
Shapiro's administration envisions several years of increased funding that will eventually lead to expanding the number of people who can be served and eliminate the emergency waiting list.
Shapiro's 2024-25 proposal is about half the amount that advocates say is needed to fix a system beset by staffing shortages and low pay. But they also say this year's funding proposal, plus a multiyear commitment to eliminate the waiting list, would be an unprecedented injection of money into the system.
\u201cThis is the entire boat coming to rescue a system that is really struggling,\u201d Landis said. \u201cAnd people deserve services.\u201d
___
Follow Marc Levy at www.twitter.com/timelywriter.
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Editorial: Medical marijuana goes back to square one
Medical marijuana is legal in some form in 38 states, and recreational marijuana is legal in 24 states.
Yet somehow Alabama can\u2019t do what most other states have done.
The state board charged with issuing licenses to businesses seeking to grow, distribute and sell medical marijuana products is buried under litigation from parties charging that the board\u2019s process is biased and unfair.
As a result, while the state has approved licenses for businesses that engage in just one of the three steps \u2014 growing, distributing or retail sales \u2014 it has been unable to issue licenses for so-called integrated facilities, which are those that engage in all three. Those are the licenses that are most in demand. Without them, Alabama\u2019s medical marijuana system is stuck, and people who could benefit from medical marijuana products are left to suffer needlessly.
State Sen. Tom Melson, R-Florence, has seen enough. Melson has been one of the prime supporters of medical marijuana in the state Legislature, and he\u2019s now introduced a bill he says would expedite the rollout of medical marijuana in the state.
\u201cIt\u2019s taken this long to get this to the patients who are out there that need it, and it\u2019s just time to correct this course and get them something to help them in their illness,\u201d Melson said this week.
Melson\u2019s bill would impact only the awarding of integrated licenses. The rest would remain unchanged.
Under his bill, before the Alabama Medical Cannabis Commission could award integrated licenses, the Alabama Securities Commission would determine whether applicants actually meet the necessary criteria. The AMCC would then score those remaining to determine which five companies are awarded integrated facilities licenses.
All integrated licenses already awarded would be tossed out, and the Alabama Securities Commission would start over, almost from square one, from among the businesses that have already applied for licenses.
\u201cThe (Alabama Medical Cannabis Commission) had one mission, and they have not executed it,\u201d Melson said. \u201cI think in the best interest of this program, we need to start from scratch, we need to throw (out) every license applicant that received (a license). This bill just wipes the slate clean.\u201d
In Melson\u2019s estimation, the Alabama Medical Cannabis Commission had one job, and it blew it. He said the Alabama Securities Commission will be more successful because there is less bias there.
Well, maybe. But it\u2019s not just the Alabama Medical Cannabis Commission that blew it. The state Legislature deserves the lion\u2019s share of the blame for not simply laying out a simple licensing process in the first place.
If medical marijuana is a good thing \u2014 and we think it is \u2014 then it should be a simple process to set up minimum standards and then license any business that meets them. But the process the state has now \u2014 and will have even with the Alabama Securities Commission in charge of it \u2014 treats the right to sell medical marijuana products as a political favor to be dispensed. It\u2019s a zero-sum game, with winners and losers. The best that can be said for it is it\u2019s better than the alternative offered by lawmakers like state Sen. Larry Stutts, R-Tuscumbia, which is no medical marijuana at all.
The botched implementation of Alabama\u2019s medical marijuana law also looms like a warning sign over prospects for legalized gambling in the state.
The Alabama House of Representatives passed bills \u2014 now in a conference committee \u2014 that would set up a state lottery, allow casinos, sports betting and entering into a compact with the Poarch Band of Creek Indians to allow full-service casinos on tribal property. Regulatory bodies created under the legislation would decide who gets to run a casino and exactly where.
And if this sounds like something that could go just as sideways as the awarding of integrated medical marijuana licenses, that\u2019s because it is.
There is a simpler way, but that is not the Alabama way.
The Issue State Sen. Tim Melson has introduced legislation that would essentially have the state take a mulligan on the issuing of its most desired medical marijuana licenses.
___
Cullman Times. April 10, 2024.
Editorial: Open government is the law
Open government is the law.
Alabama\u2019s Secretary of State Wes Allen says that \u201cthe new Open Meetings Act, which replaces the old \u2018Sunshine Law,\u2019 provides (the public) with greater access to your state and local government. This law guarantees that Alabama\u2019s citizens have open access to agencies, boards, commissions and other governmental bodies which conduct the people\u2019s business.\u201d
In fact, you can find that statement and more at the home of Alabama\u2019s Open Meeting Act website at www.openmeetings.alabama.gov/generalpublic/publicdefault.aspx.
And we could not agree more.
It does not matter, however, if local officials agree or disagree with the fundamental principles of open government because it\u2019s the law.
County commissioners, members of city councils, members of the boards of education and everyone who sits on local government committees, commissions, boards and authorities must realize all the government business they do is the people\u2019s business.
The public has the right to know all of its own business.
The documents held in the halls of government belong to the public, not to public officials.
The public has a vested interest in government transparency. Being able to attend public meetings, hearing all deliberations of the public\u2019s business is critical to being able to hold government accountable.
Access to public records, including financial records, is just as critical.
Open government laws do not exist to protect and assist the media. Sunshine laws exist to protect the public.
A government of, by and for the people must always be out in front of the people.
While there are narrow exceptions to open meetings and open records laws, those exceptions should never become the rule or the standard.
All exceptions should be interpreted as narrowly as possible.
Lawmakers have said unequivocally that when there is a question about whether a record is a public record or if a meeting should be an open public meeting, there should always be a strong presumption for openness.
So, if local officials are ever in doubt regarding whether something can be discussed in executive session, they should opt for open rather than closed.
If they doubt whether or not a requested record should be made available to someone who requests it, they should grant rather than deny the request.
If they are going to err in one direction or the other, it is always best to err on the side of openness.
If elected officials were to discuss something in good faith in an open public meeting that could have been discussed behind closed doors, they would not have violated any state law by doing so.
If a records custodian, in good faith, provides a record that could have been exempted under the public records law and did not disclose personal private information, anything to do with national security or proprietary trade secrets, they will not be held legally accountable for having done so.
Concealing the public\u2019s business is not only a violation of the law, it is a violation of the public trust.
It is a shame that state laws are even needed to tell local government officials they have to do what they should just do naturally, viz. keep the public\u2019s business public.
END
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Most Republican-controlled states have now banned gender-affirming health care such as puberty blockers and hormones for transgender minors, and blocked transgender girls from participating in girls sports competitions.
Most of the measures face legal challenges, and this week's rulings went both ways. The Supreme Court said Idaho can enforce its ban against gender-affirming health for minors while lawsuits proceed. An Ohio state judge put on hold a law against health care and sports participation that was about to kick in there. And a federal appeals court ruled that West Virginia cannot keep a transgender girl from participating on her school's track team.
Here are things to know about the court rulings and the latest legislative action.
On Tuesday, an Ohio judge blocked enforcement of a law that was to take effect on April 24, banning gender-affirming care for minors and keeping transgender girls off girls sports teams at schools.
Franklin County Judge Michael Holbrook said in his written opinion that it's likely the law, adopted in January with a legislative override of Republican Gov. Mike DeWine's veto, violates a requirement that the state's laws address just one issue. He noted that lawmakers added the ban on gender-affirming care to the sports-related legislation because they were unable to adopt it separately.
The ban on enforcement is in effect for two weeks or until a judge holds a hearing for a request to halt enforcement while the case works its way through the courts.
The U.S. Supreme Court ruled on Monday that Idaho can enforce its ban on providing puberty blockers or hormones to minors. The law also bans gender-affirming surgery, which is extremely rare for those under 18 anyway.
At least two dozen states have put similar bans into law in the last few years, nearly all of them challenged in court. Twenty other states are currently enforcing them.
The Idaho ruling was the first time the issue reached the Supreme Court.
But the justices did not dive into the constitutionality of the ban. Instead, they ruled 6-3 that enforcement can proceed, except against the two transgender teens who sued. And most of the justice's written opinions dealt with judicial procedure, exploring whether it's proper for courts to impose universal injunctions blocking laws while questions about them move through the courts.
The first ban on gender-affirming care for minors was adopted by Arkansas in 2021.
It was also the first to be blocked entirely \u2014 not just temporarily \u2014 by a federal court.
Last week, 10 judges on the 8th U.S. Circuit Court of Appeals in St. Louis heard arguments on Arkansas' appeal of the ruling that blocked the law.
Circuit court appeals often take months to decide, and any ruling is likely to be appealed to the U.S. Supreme Court, which has already been asked to block similar laws that are in effect in Kentucky and Tennessee.
A three-judge panel from another federal appeals court, the Richmond, Virginia-based 4th U.S. Circuit, ruled 2-1 Tuesday that the West Virginia's ban against girls sports competition by transgender girls violates the rights of one teen athlete who challenged it.
The result: 13-year-old Becky Pepper Jackson, who has identified as a girl since she was in third grade, can stay on her middle school's girls cross country and track and field teams.
Attorney General Patrick Morrisey said in a statement that the ban remains in place for others, though an ACLU-West Virginia spokesperson said it's not clear that there are any other kids in the state are impacted by the law.
Other judges have temporarily blocked enforcement in Arizona, Idaho and Utah. But the New York City-based 2nd Circuit revived a challenge to Connecticut\u2019s policy of letting transgender girls compete in girls sports, sending it back to a lower court last year without ruling on its merits.
At least 24 states have laws or policies on the books barring transgender girls and women from certain sports competitions, and most are enforcing them.
And some local bans are being litigated: A federal judge ruled refused to block the New York state government from taking legal action against Nassau County's ban, which is also being challenged by a local roller derby league.
The pace of Republican efforts to pass state restrictions has slowed this year, but measures before legislatures continue to target transgender people.
On Monday, Tennessee lawmakers gave near-final passage to a bill that would require public school employees to notify parents if their student identifies in school as transgender. States including Alabama, Arizona, Arkansas, Idaho, Indiana, North Carolina already have similar laws in place.
Last week, Alabama lawmakers advanced legislation to define who is considered a man or a woman based on reproductive systems rather than gender identity. Lawmakers in more than a dozen states also are seeking this year to codify a definition of the sexes.
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Her three children joined her, stuffing plastic bags with clothes and whatever other items they could grab, before their home was reduced to rubble as armed security forces looked on.
The Tour\u00e9 home was among hundreds crushed in a February wave of demolitions targeting Abidjan's underdeveloped areas.
The government says it's because of public health concerns as the poor areas \u2014 built along a lagoon in this port city of 6.3 million on West Africa's southern coast \u2014 suffer deadly floods during the rainy season. More than 300 people have been killed since 2005 and officials say the deluges become breeding grounds for water-borne and other diseases.
\u201cMy children and I now sleep under the sun,\" said Tour\u00e9, 50. \"We don\u2019t know where to go.\u201d
Demolitions in low-income neighborhoods are nothing new in Abidjan, where rapid urbanization has led to a population boom and housing shortages, with nearly one in five Ivorians residing in the city. It\u2019s a challenge in many parts of Africa where economic woes pushed more people into cities in search of better opportunities, straining an already overstretched infrastructure.
However, the latest Abidjan demolition \u2014 mainly in impoverished suburbs in the Gesco and Sebroko districts \u2014 is one of the largest in years, with an estimated hundreds of thousands of residents affected since it began in late January. Evicted families and rights groups say that this time, it's being done without prior notice or compensation.
Analysts say many African governments struggle to manage population explosions in cities and meet growing infrastructure needs. Chimezie Anajama, a policy researcher and founder of Blooming Social Pen development nonprofit, says few administrations have managed to solve the developmental problem.
\"There must be a strong commitment by different African governments to come up with creative solutions to address the infrastructure gaps in African cities,\u201d Anajama said.
Local authorities have defended the demolitions, and say relocations of families left homeless to safer areas has started.
Some 35% of Ivorians are poor. Water shortages are a daily curse, with many forced to fetch water from streams for their daily needs. The country has also had to contend with other challenges, such as jihadi attacks that have spread to coastal states in West Africa, including Ivory Coast.
\u201cThe aim is to provide a decent ... living environment for these people,\u201d the Ivory Coast's communications minister, Amadou Coulibaly, has said of the demolition campaigns. He claimed in February that some of those evicted in neighborhoods like Boribana are being resettled in at least 1,000 houses built by the government.
Many families, however, remain homeless, stranded in several parts of the city.
The demolitions are being carried out in \u201ca brutal manner ... causing disastrous consequences for many families already vulnerable,\u201d the Ivorian League for Human Rights said in a statement. It urged authorities to halt the campaign.
Among those affected by the demolitions were nearly 2,000 schoolchildren of Cha H\u00e9l\u00e8ne College in the Yopougon neighborhood, which was reduced to rubble in February.
The school was not informed it would be demolished \u2014 neither by the Ivory Coast\u2019s ministry of construction nor the national education ministry, said S\u00e9v\u00e9rin Okpo Abe, the school's founder. The children were eventually enrolled in other nearby schools.
Most of the evicted residents who are not sleeping out in the open have either relocated to other parts of Ivory Coast or are squatting with residents elsewhere.
\u201cWe have been made homeless in our own country,\u201d said Aim\u00e9e Ou\u00e9draogo, a spokesperson for women affected by the forced evictions.
The evictions broke up families and the homeless were scattered across the city, she added. \u201cWe no longer have a home, we no longer have our family, we no longer have our children next to us.\u201d
Amid the outrage and protest from the evicted, Ivory Coast President Alassane Ouattara has asked Abidjan's local authorities to \u201cshow solidarity \u2026 to preserve cohesion and social peace.\u201d
However, city's officials say the demolitions are part of a broader project to reconstruct and provide basic amenities in the areas. Plots of land would be leased to those evicted for up to 25 years, for about $16 a month, they say.
On April 8, the government announced it's started to compensate affected households and that each would get about $405 to support the relocation. In a country where the minimum wage is about $121 a month, some believe it's not enough to afford the growing cost of housing.
\u201cAll displaced people will receive the necessary support for their relocation,\u201d said Belmonde Dogo, the minister in charge of efforts to alleviate poverty.
The Yopougon municipality, mostly of working-class residents, also announced plans to help those affected.
But many like Tour\u00e9 say they were overwhelmed by helplessness watching bulldozers rampage through their neighborhoods.
\u201cI don\u2019t have anyone in Abidjan and I don\u2019t have money to buy a house,\u201d said the mother of three, not knowing how she would go on. \u201cI can\u2019t do it.\u201d
___
Associated Press writer Chinedu Asadu in Abuja, Nigeria, contributed to this report.
___ The Associated Press receives financial support for global health and development coverage in Africa from the Bill & Melinda Gates Foundation Trust. The AP is solely responsible for all content. Find AP\u2019s standards for working with philanthropies, a list of supporters and funded coverage areas at AP.org.
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While the primary focus is on the demolitions and their social impact, the underlying reason for these actions is related to health concerns, making the document relevant to the topic of health." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/04/17/7237fdde4bb9c1b2f8f9c445a9e1c197.json b/datasets/AP_news/raw_data/2024/04/17/7237fdde4bb9c1b2f8f9c445a9e1c197.json new file mode 100644 index 0000000..18a61df --- /dev/null +++ b/datasets/AP_news/raw_data/2024/04/17/7237fdde4bb9c1b2f8f9c445a9e1c197.json @@ -0,0 +1,277 @@ +{ + "altids": { + "itemid": "7237fdde4bb9c1b2f8f9c445a9e1c197", + "etag": "7237fdde4bb9c1b2f8f9c445a9e1c197_2a4aza0c0", + "friendlykey": "222467415", + "referenceid": "UN--UN-Reproductive Health" + }, + "version": 2, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-04-17T14:10:41Z", + "firstcreated": "2024-04-17T10:24:34Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: This story has been updated to clarify that the maternal deaths are \"per day,\" according to the report.; Updates Media.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "UN--UN-Reproductive Health", + "headline": "UN report points to yawning gap of inequality in sexual and reproductive health worldwide", + "headline_extended": "The U.N. population fund says in a new study that an African woman is roughly 130 times more likely to die from pregnancy and childbirth complications than a woman in Europe or North America", + "slugline": "AP-UN-UN-Reproductive-Health, 2nd Ld-Writethru", + "description_summary": "The U.N. population fund says in a new study that an African woman is roughly 130 times more likely to die from pregnancy and childbirth complications than a woman in Europe or North America. UNFPA\u2019s latest \u201cState of World Population\u201d report, released Wednesday, also estimates that nearly 500 maternal deaths per day occur in countries with humanitarian crises or conflicts, and shows that women of African descent in the Americas are more likely to die giving birth than white women. UNFPA decried widening inequality in sexual and reproductive health and rights worldwide.", + "located": "GENEVA", + "datelinelocation": { + "city": "Geneva", + "countrycode": "CHE", + "countryname": "Switzerland", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + 6.14569, + 46.20222 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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UNFPA's latest \u201c State of World Population \u201d report also estimates that nearly 500 maternal deaths per day occur in countries with humanitarian crises or conflicts, and shows that women of African descent in the Americas are more likely to die giving birth than white women.
\u201cSweeping global gains in sexual and reproductive health and rights over the last thirty years are marred by an ugly truth \u2014 millions of women and girls have not benefited because of who they are or where they were born,\u201d the fund said in a statement.
UNFPA executive director Dr. Natalia Kanem said the unintended pregnancy rate has declined by nearly one-fifth since 1990 and the maternal death rate has dropped by more than one-third since 2000.
But \u201cinequalities within our societies and health systems are widening, and we have not adequately prioritized reaching those furthest behind,\u201d she said. Improvements in health care access have mostly benefited wealthier women and members of ethnic groups with better access to care, the fund said.
Kanem hailed some progress: More than 160 countries have passed laws against domestic violence, and \u201clegislation against LGBTQIA+ sexuality\u201d that was once widespread has been on the retreat. Now only one-third of countries have such laws.
While she credited \u201cthe world's agreement\u201d that led to such gains, Kanem also warned: \u201cHuman reproduction is being politicized. The rights of women, girls and gender diverse people are the subject of increasing pushback.\"
\u201cAnd yet, today, that progress is slowing. By many measures, it has stalled completely,\" she said. \u201cAnnual reductions in maternal deaths have flatlined. Since 2016, the world made zero progress in saving women from preventable deaths in pregnancy and childbirth.\u201d
\u201cHealth systems today are weak,\" Kanem added. \"They\u2019re tainted by gender inequality, by racial discrimination and by misinformation.\u201d
The fund called for new investment in sexual and reproductive health, as well as improvements in sexuality education, stopping gender-based violence, and \u201cending unmet need for contraception\u201d \u2014 an issue that has driven a wedge in some countries.
Under the term of U.S. President Donald Trump, the United States halted funding for UNFPA largely over concerns about abortion \u2014 depriving the fund of tens of millions of dollars over four years.
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These topics are directly related to health, making the document highly relevant to the given topic." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/04/17/b0b5d4c7bf3dc746ed086ca2131bee46.json b/datasets/AP_news/raw_data/2024/04/17/b0b5d4c7bf3dc746ed086ca2131bee46.json new file mode 100644 index 0000000..c4f93d2 --- /dev/null +++ b/datasets/AP_news/raw_data/2024/04/17/b0b5d4c7bf3dc746ed086ca2131bee46.json @@ -0,0 +1,313 @@ +{ + "altids": { + "itemid": "b0b5d4c7bf3dc746ed086ca2131bee46", + "etag": "b0b5d4c7bf3dc746ed086ca2131bee46_1a8aza0c0", + "friendlykey": "210496784163", + "referenceid": "US--Meningitis Deaths-Michigan" + }, + "version": 1, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-04-17T17:26:34Z", + "firstcreated": "2024-04-17T17:20:41Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: Adds contributor line. Updates Media.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "US--Meningitis Deaths-Michigan", + "headline": "Lab chief faces sentencing in Michigan 12 years after fatal US meningitis outbreak", + "headline_extended": "The head of a specialty pharmacy will be sentenced in Michigan for 11 deaths more than a decade ago that were tied to tainted steroids", + "slugline": "AP-US--Meningitis Deaths-Michigan, 1st Ld-Writethru", + "description_summary": "The head of a specialty pharmacy will be sentenced in Michigan for 11 deaths more than a decade ago that were tied to tainted steroids. Michigan is the only state that has pursued charges against Barry Cadden for deaths resulting from a national meningitis outbreak in 2012. He operated New England Compounding Center in Massachusetts. Steroids made in a dirty lab sickened more than 700 people in 20 states. At least 64 died. Cadden pleaded no contest to involuntary manslaughter in Michigan. He's already serving a 14 1/2-year sentence for federal crimes. His state sentence will be served at the same time. Michael Kruzich's mother died. He says Cadden deserves more time in custody.", + "bylines": [ + { + "by": "By ED WHITE", + "title": "Associated Press" + } + ], + "located": "HOWELL, Mich.", + "datelinelocation": { + "city": "Howell", + "countryareacode": "MI", + "countryareaname": "Michigan", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -91.88654, + 36.77401 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. For other uses, additional clearances may be required." + ], + "keywords": [ + "meningitis steroids pharmacy Michigan sentencing" + ], + "provider": "AP", + "infosource": [ + { + "name": "AP", + "type": "AP" + } + ], + "subject": [ + { + "rels": [ + "category" + ], + "creator": "Editorial", + "code": "a", + "name": "a" + }, + { + "rels": [ + "category" + ], + "creator": "Editorial", + "code": "n", + "name": "n" + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "9cce666bb29344b8ba61f3732d971d32", + "name": "Disease outbreaks", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 47 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "4626a38a1b52454ca5d01755d14f1dc9", + "name": "Legal proceedings", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 71 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "86aad5207dac100488ecba7fa5283c3e", + "name": "Politics", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 40 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "48612b807c2b4b93bbbacbf54f547ad5", + "name": "Crime", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 56 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "c5a59c298a2a4a36a618efb20df09a3c", + "name": "Homicide", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 33 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "cc7a76087e4e10048482df092526b43e", + "name": "Health", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 56 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "084c50287f00100481bdf571351eed07", + "name": "Meningitis", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 83 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "cc7a76087e4e10048482df092526b43e", + "name": "Health", + "creator": "Editorial", + "editorial_subject": "Health", + "rels": [ + "direct" + ], + "relevance": 75 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "a4677d70863b4012b846a1b00f5079f5", + "name": "U.S. news", + "creator": "Editorial", + "editorial_subject": "U.S. news", + "rels": [ + "direct" + ], + "relevance": 99 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "f25af2d07e4e100484f5df092526b43e", + "name": "General news", + "creator": "Editorial", + "editorial_subject": "General news", + "rels": [ + "direct" + ], + "relevance": 50 + } + ], + "place": [ + { + "scheme": "http://cv.ap.org/id/", + "code": "6bf49b4082c410048696df092526b43e", + "name": "Michigan", + "creator": "Machine", + "rels": [ + "direct" + ], + "parentids": [ + "661e48387d5b10048291c076b8e3055c" + ], + "locationtype": { + "code": "0ae5eb8e00e04295a4fc209c94bfe6ef", + "name": "State" + }, + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -85.50033, + 44.25029 + ] + }, + "relevance": 96, + "parentnames": [ + "United States" + ] + } + ], + "audiences": [ + { + "code": "82c6a4c46fa0446090a7acaf93159e4c", + "name": "Print", + "type": "AUDPLATFORM" + }, + { + "code": "9add4649b53b4702ba7d9de5d4fa607a", + "name": "Online", + "type": "AUDPLATFORM" + }, + { + "code": "f5b16ea8760d10048047e6e7a0f4673e", + "name": "State", + "type": "AUDSCOPE" + }, + { + "code": "f43adc08760d10048040e6e7a0f4673e", + "name": "National", + "type": "AUDSCOPE" + }, + { + "code": "f4ecf9b0760d10048044e6e7a0f4673e", + "name": "International", + "type": "AUDSCOPE" + }, + { + "code": "bed6942882b310048501df092526b43e", + "name": "Massachusetts", + "type": "AUDGEOGRAPHY" + }, + { + "code": "6bf49b4082c410048696df092526b43e", + "name": "Michigan", + "type": "AUDGEOGRAPHY" + }, + { + "code": "661850e07d5b100481f5c076b8e3055c", + "name": "Latin America and Caribbean", + "type": "AUDGEOGRAPHY" + }, + { + "code": "661e48387d5b10048291c076b8e3055c", + "name": "United States", + "type": "AUDGEOGRAPHY" + } + ], + "associations": { + "1": { + "altids": { + "itemid": "afa3767e41874141bf5c1b5d5ce740d8" + }, + "type": "video" + }, + "2": { + "altids": { + "itemid": "c3ef661d2b984b33bdbd43126e93d940" + }, + "type": "picture" + }, + "3": { + "altids": { + "itemid": "0f3a937b04d549378ca4d32e59957695" + }, + "type": "picture" + }, + "4": { + "altids": { + "itemid": "ae9fd7b64f7947589aa59e1b04b44f2d" + }, + "type": "picture" + }, + "5": { + "altids": { + "itemid": "2e5a107690a044178049edcfaa43b34c" + }, + "type": "picture" + }, + "6": { + "altids": { + "itemid": "c006dcf857c045ce890c8be4ec8b98cb" + }, + "type": "picture" + } + }, + "body_nitf": "HOWELL, Mich. (AP) \u2014 Days after a routine injection to ease back pain, Donna Kruzich and a friend drove across the border to Canada in 2012 to see end-of-summer theater in Stratford, Ontario.
The 78-year-old Michigan woman suddenly became ill and returned home. By early October, she was dead.
\u201cMost of the time she could not communicate with us. She was basically in a coma,\u201d son Michael Kruzich recalled. \u201cWe knew she had meningitis \u2014 but we didn't know how she got it.\"
Evidence soon emerged: Donna Kruzich was one of at least 64 people in the U.S. who died because of tainted steroids made by a specialty pharmacy in Massachusetts. Nearly 12 years later, the operator of New England Compounding Center is returning to a Michigan court Thursday for his sentence for involuntary manslaughter.
Barry Cadden already is serving a 14 1/2-year sentence for federal crimes related to the extraordinary outbreak of fungal infections, which was traced to dirty conditions inside the lab and caused meningitis and other debilitating illnesses. More than 700 people in 20 states were sickened, according to the U.S. Centers for Disease Control and Prevention.
Michigan is the only state that charged Cadden and a key employee, pharmacist Glenn Chin, in any deaths.
Cadden, 57, recently pleaded no contest to 11 counts of involuntary manslaughter in a deal that took second-degree murder charges off the table. Prosecutors also agreed to a minimum prison term of 10 years, which will run at the same time as the federal sentence.
That means he is unlikely to face additional time in custody, an outcome that disappoints Michael Kruzich.
\"My mother is gone, and Cadden and Chin are responsible. My family would like to see Cadden go to trial. It feels like they\u2019ve run out the clock and they just want it to be done,\u201d he said, referring to state prosecutors.
Attorney General Dana Nessel said most of the 11 families supported the plea agreement.
\u201cWe've ensured that this plea fits their desire for closure and justice,\u201d she said in a written statement on March 5.
Cadden's attorney, Gerald Gleeson II, declined to comment ahead of the sentencing. In federal court in Boston in 2017, Cadden said he was sorry for the \u201cwhole range of suffering\u201d that occurred.
Chin has not reached a similar plea deal, court filings show, and his trial on 11 second-degree murder charges is pending in the same Livingston County court, 60 miles (96.5 kilometers) northwest of Detroit. Separately, he is serving a 10 1/2-year federal sentence.
New England Compounding Center in Framingham, Massachusetts, operated in a little-known but vital corner of the U.S. health care system. Compounding pharmacies make versions of medications that often aren't available through larger drugmakers.
Children, for example, might need a customized dose that is different than what's common for adults.
\u201cThey're very important,\u201d said Eric Kastango, a pharmacist and industry expert who testified for prosecutors in Cadden's federal trial. \u201cI don't think the general public is necessarily aware what pharmacists do. They know they go into a hospital and they might need an IV. They might not know who made it or how they made it.\u201d
In 2012, New England Compounding was shipping pain-relieving steroids to doctors across the U.S., including a clinic in Brighton, Michigan, where Donna Kruzich and others received treatment. But the lab was a mess, leading to the growth of mold in the manufacturing process.
\u201cThe environment quickly spiraled out of control,\u201d Michigan prosecutors said in a court filing last June.
Investigators \u201cuncovered a company placing profits over human lives. Barry Cadden was the \u2018big boss\u2019 at NECC who made many of the company's important decisions,\" the state said. \u201cHe cut corners on safety.\u201d
Crime victims can speak in court in Michigan. Michael Kruzich, 70, said he doesn't plan to attend Thursday, although he submitted a poem on his family's behalf.
He told The Associated Press that his mother was a \u201chealthy, happy woman\u201d who loved to travel and was treasurer of her golf league in the Ann Arbor area.
\u201cI was told 12 years ago, that you cannot harm someone more than killing them,\u201d Kruzich said in his poem. \"I\u2019ve come to disagree \u2014 you can harm them more, when justice fails them.\"
___
Associated Press researcher Jennifer Farrar in New York contributed to this story.
___
Follow Ed White at https://twitter.com/edwritez
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This is highly relevant to the topic of health as it involves public health issues, pharmaceutical safety, and the consequences of medical malpractice." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/04/17/c5cb0121337648dd5b95a58f0b00aa7e.json b/datasets/AP_news/raw_data/2024/04/17/c5cb0121337648dd5b95a58f0b00aa7e.json new file mode 100644 index 0000000..bd8d619 --- /dev/null +++ b/datasets/AP_news/raw_data/2024/04/17/c5cb0121337648dd5b95a58f0b00aa7e.json @@ -0,0 +1,245 @@ +{ + "altids": { + "itemid": "c5cb0121337648dd5b95a58f0b00aa7e", + "etag": "c5cb0121337648dd5b95a58f0b00aa7e_0a4aza0c0", + "friendlykey": "737153305888", + "referenceid": "California-Drinking Water" + }, + "version": 0, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-04-17T23:36:45Z", + "firstcreated": "2024-04-17T23:36:44Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: Updates Media.", + "signals": [ + "newscontent" + ], + "title": "California-Drinking Water", + "headline": "California sets long-awaited drinking water limit for 'Erin Brockovich' contaminant", + "headline_extended": "California regulators adopted a drinking water limit on toxic hexavalent chromium, a chemical compound made infamous by the movie \u201cErin Brockovich.\"", + "slugline": "AP-California-Drinking Water", + "description_summary": "California regulators adopted a drinking water limit on toxic hexavalent chromium, a chemical compound made infamous by the movie \u201cErin Brockovich.\" The drinking water limit is the first in the nation to specifically target chromium-6, as it\u2019s also known, and could set the stage for other states to follow suit. California water regulators say the limit of 10 parts per billion is economically feasible for water providers and more protective of public health. But water providers say it could lead to higher bills for customers. And health advocates say the limit for the known carcinogen doesn\u2019t do enough to protect people.", + "bylines": [ + { + "by": "By DORANY PINEDA", + "title": "Associated Press" + } + ], + "located": "LOS ANGELES", + "datelinelocation": { + "city": "Los Angeles", + "countryareacode": "CA", + "countryareaname": "California", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -118.24368, + 34.05223 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. For other uses, additional clearances may be required." + ], + "keywords": [ + "Hexavalent chromium water standards pollution Brockovich" + ], + "provider": "AP", + "infosource": [ + { + "name": "AP", + "type": "AP" + } + ], + "subject": [ + { + "rels": [ + "category" + ], + "creator": "Editorial", + "code": "a", + "name": "a" + }, + { + "rels": [ + "category" + ], + "creator": "Editorial", + "code": "n", + "name": "n" + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "e22524b87de410048f91df092526b43e", + "name": "Cancer", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 46 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "cc7a76087e4e10048482df092526b43e", + "name": "Health", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 57 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "e57b6c907e3810048ae4df092526b43e", + "name": "Public health", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 75 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "c8e409f8858510048872ff2260dd383e", + "name": "Business", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 57 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "86aad5207dac100488ecba7fa5283c3e", + "name": "Politics", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 68 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "a4677d70863b4012b846a1b00f5079f5", + "name": "U.S. news", + "creator": "Editorial", + "editorial_subject": "U.S. news", + "rels": [ + "direct" + ], + "relevance": 75 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "f25af2d07e4e100484f5df092526b43e", + "name": "General news", + "creator": "Editorial", + "editorial_subject": "General news", + "rels": [ + "direct" + ], + "relevance": 50 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "8783d248894710048286ba0a2b2ca13e", + "name": "Climate and environment", + "creator": "Editorial", + "editorial_subject": "Climate and environment", + "rels": [ + "direct" + ], + "relevance": 99 + } + ], + "place": [ + { + "scheme": "http://cv.ap.org/id/", + "code": "789fdd8882af10048263df092526b43e", + "name": "California", + "creator": "Machine", + "rels": [ + "direct" + ], + "parentids": [ + "661e48387d5b10048291c076b8e3055c" + ], + "locationtype": { + "code": "0ae5eb8e00e04295a4fc209c94bfe6ef", + "name": "State" + }, + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -119.75126, + 37.25022 + ] + }, + "relevance": 89, + "parentnames": [ + "United States" + ] + } + ], + "audiences": [ + { + "code": "82c6a4c46fa0446090a7acaf93159e4c", + "name": "Print", + "type": "AUDPLATFORM" + }, + { + "code": "9add4649b53b4702ba7d9de5d4fa607a", + "name": "Online", + "type": "AUDPLATFORM" + }, + { + "code": "f43adc08760d10048040e6e7a0f4673e", + "name": "National", + "type": "AUDSCOPE" + }, + { + "code": "f5b16ea8760d10048047e6e7a0f4673e", + "name": "State", + "type": "AUDSCOPE" + }, + { + "code": "789fdd8882af10048263df092526b43e", + "name": "California", + "type": "AUDGEOGRAPHY" + }, + { + "code": "661e48387d5b10048291c076b8e3055c", + "name": "United States", + "type": "AUDGEOGRAPHY" + } + ], + "associations": { + "1": { + "altids": { + "itemid": "3d1652c5218c4ae9adeb5ca8ec4a82a9" + }, + "type": "picture" + } + }, + "body_nitf": "LOS ANGELES (AP) \u2014 California regulators voted Wednesday to establish a drinking water limit on hexavalent chromium, a toxic chemical compound made infamous by the movie \u201cErin Brockovich.\u201d
The rule is the first in the nation to specifically target the heavy metal, known as chromium-6, and is expected to reduce the number of cancer and kidney disease cases from long-term ingestion, state officials say.
The proposal was unanimously passed by the State Water Resources Control Board, though it needs approval from the Office of Administrative Law to take effect.
The standard could inspire other states to adopt their own. More than 200 million Americans are estimated to have the chemical compound in their drinking water, according to an analysis of federal water testing data by the Environmental Working Group, a nonprofit research and advocacy organization.
Until now, California combined its drinking water standard for chromium-6 with the less toxic trivalent chromium, an essential nutrient. California\u2019s new limit on chromium-6 is 10 parts per billion \u2014 about 10 drops of water in a swimming pool.
\u201cI know there's mixed feelings about this decision today... that we should be at a lower standard,\" board member Sean Maguire said before the vote. \"But I do want to take a step back and look at California as compared to the rest of the nation, and I think here we are actually leading the way.\u201d
Community members and health advocates worry California\u2019s limit doesn\u2019t do enough to protect public health from the metal. They want the state to adopt a drinking water limit closer to the public health goal of 0.02 parts per billion, the level scientists have said does not pose significant health risks.
\u201cThis really leaves a lot of California communities unprotected from that really potent carcinogen,\u201d said Tasha Stoiber, senior scientist with the Environmental Working Group.
The board is required by law to set a limit as close to the public health goal as is economically and technologically feasible.
Some public water providers warned that with the new standard customers will pay more for water and the financial burden will disproportionately fall on disadvantaged communities. And some chemical industry groups have said the limit is not based on the most recent science.
The new limit will cost public water systems $483,446 to $172.6 million annually to monitor and treat water exceeding the standard, according to state water board estimates.
C\u00e1stulo Estrada, board vice president of the Coachella Valley Water District and utilities manager for Coachella city, said the limit would have \u201cunprecedented\u201d impacts on residents and customers. He said all six of the city of Coachella's wells have chromium-6 above 10 parts per billion and that installing technology to lower levels to the limit would cost an estimated $90 million. \u201cThat would increase monthly bills.\u201d
Ana Maria Perez, a Monterey County resident, urged the board to set a lower limit that would protect communities with chronic water contamination. \u201cWe have been waiting for a chromium-6 limit that protects our health,\" she said in Spanish. \"It's not fair that many people must get sick.\u201d
Water providers will need to start testing for chromium-6, which is naturally occurring and produced in industrial processes, within six months of the effective date, anticipated in October. If water tests above the limit, they will need to submit a compliance plan within 90 days and comply within two to four years, depending on how many customers are served.
Chromium is naturally occurring in soil, plants, animals, rocks and more, and can leach from soil into groundwater. It comes in various forms, including chromium-6, and is used in electroplating, stainless steel production, leather tanning, textile manufacturing and wood preservation, which all can contribute to drinking water contamination, according to the California Office of Environmental Health Hazard Assessment.
While scientists have known for decades that inhaling chromium-6 can cause lung cancer, it was uncertain for a long time whether ingestion could cause cancer, too.
Studies by the National Toxicology Program changed that. Rodents that drank water with high levels of chromium\u20136 over two years developed intestinal and oral cancer, results showed.
Some researchers have criticized the studies, saying the chemical concentrations the rodents were given were thousands of times higher than what U.S. drinking water supplies would have.
The California environmental health hazard agency is updating its public health goal for hexavalent chromium, which was finalized in 2011 at 0.02 parts per billion. At that level, the lifetime risk for cancer is one-in-one-million, an amount generally accepted by health experts.
Some health advocates urged the board to wait to establish a limit until an updated public health goal is released. But some environmental justice nonprofits that favor a lower limit said the board should not wait longer.
With California\u2019s new limit, the risk of cancer is 500 times greater than the public health goal. One person out of 2,000 exposed for 70 years to drinking water with 10 parts per billion of chromium-6 may experience cancer, according to a state water staff report.
Studies on the health impacts of ingesting chromium-6 through drinking water are limited, said Maria-Nefeli Georgaki, an environmental health specialist who has studied the health effects of ingesting chromium-6. But, she added, a maximum of 10 parts per billion is an important start that should then be \u201cadjusted according to both the public health issues that arise, and the new research data, at specific regular intervals.\u201d
Water staff must review standards every five years. But during Wednesday's meeting, Darrin Polhemus, deputy director for the water board's drinking water division, said they are constantly reviewing standards.
In 2014, the state adopted a limit of 10 parts per billion but it was overturned in 2017 for failing to consider whether the rule would be economically feasible.
The standard is the latest chapter in a decades-long fight to regulate the chemical that gained notoriety with the 2000 movie \u201cErin Brockovich,\u201d which won Julia Roberts the Best Actress Oscar. In the 1990s, Brockovich helped investigate groundwater contaminated with chromium-6 that was sickening a Southern California community. Residents eventually won a $333 million settlement with Pacific Gas & Electric Co. for contaminating their water.
\u2014\u2014\u2014
The Associated Press receives support from the Walton Family Foundation for coverage of water and environmental policy. The AP is solely responsible for all content. For all of AP\u2019s environmental coverage, visit https://apnews.com/hub/climate-and-environment.
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the state\u2019s near-total ban on abortions to a vote after the state\u2019s highest court concluded the law can be enforced and the state House blocked efforts to undo the long-dormant statute.
Although no vote was taken on the repeal itself, Republican Sens. T.J. Shope and Shawnna Bolick sided with 14 Democrats in the Senate on Wednesday in changing rules to let a repeal proposal advance after the deadline for hearing bills had passed. Proponents say the Senate could vote on the repeal as early as May 1.
If the proposed repeal wins final approval from the Republican-controlled Legislature and is signed into law by Democratic Gov. Katie Hobbs, the 2022 statute banning the procedure after 15 weeks of pregnancy would become the prevailing abortion law.
The move by the Senate came after Republicans in the Arizona House, for the second time in a week, blocked attempts on Wednesday to bring a repeal bill to a vote. One Republican joined 29 Democrats in the Arizona House to bring the repeal measure to a vote Wednesday, but the effort failed twice on 30-30 votes.
The state\u2019s near-total ban, which predates Arizona\u2019s statehood, permits abortions only for saving the woman\u2019s life and provides no exceptions for rape or incest. It carries a sentence of two to five years in prison for doctors or anyone else who assists in an abortion.
Last week, the Arizona Supreme Court drastically altered the legal landscape for terminating pregnancies in the state, concluding the 1864 law can be enforced and suggesting doctors can be prosecuted under the statute.
The debate in the House over whether to allow a vote on the repeal proposal was much fierier than in the Senate. Members from pro-life groups packed the House\u2019s gallery and gave a standing ovation after efforts to bring the repeal bill to a vote was defeated.
House Speaker Ben Toma said those wanting to repeal the law were demanding action too soon, noting the court decision to revive the law came only a week ago. He said the only way he would bring the repeal bill to a vote would be if his fellow Republicans wanted it.
\u201cWe have deeply held beliefs,\u201d Toma said. \u201cAnd I would ask everyone in this chamber to respect the fact that someone wants to believe that abortion is in fact the murder of children.\u201d
Democratic Rep. Alma Hernandez of Tucson said Republicans are failing to act on a matter of great importance to Arizonans. \u201cThis is what we are arguing about right now: whether or not we should overturn something that is archaic, something that is going to really impact women in Arizona,\" Hernandez said. \"And yet we want to talk about a process or the right process.\u201d
Rep. Matt Gress, the Phoenix Republican who joined with Democrats in trying to bring the repeal measure to a vote, said the 160-year-old law doesn\u2019t reflect the values of most people living in the state.
\u201cWe need to get that taken care of and get it taken care of as soon as possible,\u201d Gress said. \u201cI think the eyes of the nation are on Arizona.\u201d
In a statement, Hobbs, who supports a repeal of the law, said, \u201cRepublican extremists in the House have yet again failed to do the right thing. In just one week living under this new reality, women, doctors, and healthcare providers have already begun to feel the devastating effects of living under a total abortion ban. We cannot go on like this.\u201d
The Center for Arizona Policy, a longtime backer of anti-abortion proposals before the Legislature, released a statement saying, \u201cToday was a victory for life, even if only temporarily. Most pro-life lawmakers kept their promise today to protect the unborn and their mothers and not repeal Arizona\u2019s pre-Roe law.\u201d
The Civil War era law had been blocked since the U.S. Supreme Court\u2019s 1973 Roe v. Wade decision guaranteed the constitutional right to an abortion nationwide.
After Roe v. Wade was overturned in June 2022, then-Arizona Attorney General Mark Brnovich, a Republican, persuaded a state judge to lift an injunction that blocked enforcement of the 1864 ban. Brnovich\u2019s Democratic successor, Attorney General Kris Mayes, urged the state\u2019s high court to hold the line against it.
The state\u2019s highest court said enforcement of the 1864 law won\u2019t begin for at least two weeks. However, it could be up to two months, based on an agreement reached in a related case in Arizona. ____ Associated Press writer Scott Sonner in Reno, Nevada, contributed to this report.
", + "textformat": "bx", + "links": [ + { + "href": "https://apnews.com/article/arizona-abortion-1864-ban-repeal-lawmakers-fa237b1115703a0143a369c6c3683135", + "rel": "canonical" + } + ], + "topics": { + "Health": { + "relevance_score": 4, + "reason": "The document discusses legislative actions and political maneuvers related to the repeal of Arizona's near-total abortion ban. While the primary focus is on the political process, the topic of abortion is inherently related to health, particularly women's health and reproductive rights. The document also touches on the impact of the law on women, doctors, and healthcare providers, which are directly relevant to health. 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A man whose specialty pharmacy caused the outbreak in 2012 was supposed to be sentenced Thursday in Michigan for involuntary manslaughter. But the hearing was suddenly postponed until May when a different judge took the case. Relatives of some of the deceased in Michigan were prepared to give victim-impact statements. Barry Cadden operated New England Compounding Center in Framingham, Massachusetts. It shipped tainted painkillers to clinics around the country. More than 700 people in 20 states were sickened with meningitis or other debilitating illnesses and at least 64 died.", + "bylines": [ + { + "by": "By ED WHITE", + "title": "Associated Press" + } + ], + "located": "HOWELL, Mich.", + "datelinelocation": { + "city": "Howell", + "countryareacode": "MI", + "countryareaname": "Michigan", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -91.88654, + 36.77401 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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(AP) \u2014 A Michigan judge on Thursday suddenly postponed the sentencing of a man at the center of a fatal meningitis outbreak that hit multiple states, dismaying people who were poised to speak about their grief 12 years after the tragedy.
The judge who took a no-contest plea from Barry Cadden retired in March. But the defense attorney and the prosecutor said they still expected Michael Hatty would return to impose a minimum 10-year prison sentence for involuntary manslaughter.
Instead, Judge Matthew McGivney inherited the case. He postponed the sentencing until May 10 to clear up the confusion, upsetting many people who were ready to give statements.
A woman cried outside the Livingston County courtroom, 60 miles (96.5 kilometers) northwest of Detroit.
Peggy Nuerenberg, whose 88-year-old mother, Mary Plettl, died after getting a tainted steroid injection for pain, said she was \u201cabsolutely blindsided.\"
\u201cHow things developed today were disrespectful to the victims who worked hard to prepare statements on behalf of their loved one,\" Nuerenberg told The Associated Press.
Another knotty issue: McGivney's wife works for the state attorney general's office, which is prosecuting Cadden.
\u201cI'm not inclined to disqualify myself,\u201d the judge said.
Michigan is the only state to prosecute Cadden for deaths related to mold-tainted steroids created at New England Compounding Center in Framingham, Massachusetts, and shipped to pain clinics around the country.
More than 700 people in 20 states were sickened with meningitis or other debilitating illnesses and at least 64 died, according to the U.S. Centers for Disease Control and Prevention.
Cadden and a key employee at the lab, Glenn Chin, were charged with second-degree murder for 11 of Michigan's 19 deaths. Cadden recently chose to plead no contest to involuntary manslaughter.
Prosecutors have agreed to a minimum sentence of 10 years of prison. But they also agreed to let the sentence run at the same time as Cadden's current 14 1/2-year prison term for federal crimes related to the scandal.
That means he is unlikely to face additional time in custody for the Michigan deaths.
\u201cIt's a joke,\" said Gene Keyes, whose 79-year-old mother, Sally Roe, died in 2012. \u201cThe attorney general said most of the families agreed to it to put this matter behind us. I was one who wanted to go to trial. He's not going to serve any more time and that's wrong.\u201d
Keyes said Cadden put \u201cgreed over people.\u201d
Compounding pharmacies make versions of medications that often aren\u2019t available through larger drugmakers. But Cadden's lab was a mess, investigators said, leading to the growth of mold in the manufacturing process.
Chin has not reached a similar plea deal, court filings show, and his trial on 11 second-degree murder charges is pending. Separately, he is serving a 10 1/2-year federal sentence.
Ken Borton survived the tainted steroids but still has chronic problems. Twelve years later, he walks with a cane, stutters with his speech and said he \u201ccan't remember anything.\u201d
\u201cI'll never be what I used to be,\" Borton said outside court.
___
Follow Ed White at https://twitter.com/edwritez
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Updates Media.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "US--Medical Cannabis-Kentucky", + "headline": "Kentucky governor announces lottery to award initial round of medical cannabis business licenses", + "headline_extended": "Gov. Andy Beshear says Kentucky will use a lottery to award licenses to businesses competing to participate in the state\u2019s startup medical cannabis program", + "slugline": "AP-US--Medical Cannabis-Kentucky, 1st Ld-Writethru", + "description_summary": "Gov. Andy Beshear says Kentucky will use a lottery to award licenses to businesses competing to participate in the state\u2019s startup medical cannabis program. The says it is a fair way to give applicants a chance to land a license for the program, which launches at the start of 2025. The lottery is set for October. Beshear said Thursday that it should reduce or eliminate the chance of litigation. The state will issue 48 medical cannabis dispensary licenses, divided among 11 regions. The goal is to ensure the shortest possible drives for Kentuckians who will be eligible for medicinal cannabis.", + "bylines": [ + { + "by": "By BRUCE SCHREINER", + "title": "Associated Press" + } + ], + "located": "FRANKFORT, Ky.", + "datelinelocation": { + "city": "Frankfort", + "countryareacode": "KY", + "countryareaname": "Kentucky", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -84.87328, + 38.20091 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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(AP) \u2014 Kentucky will use a lottery system to award an initial round of licenses to businesses competing to participate in the state's startup medical cannabis program, Gov. Andy Beshear announced Thursday.
The governor called it a fair way to give each applicant that clears the screening process an opportunity to land a license for the program, which launches statewide at the start of 2025.
The lottery, set for October, should remove any temptation to lobby in an effort to \u201cget a leg up in different ways that we don\u2019t want to see,\u201d Beshear said at his weekly news conference.
\u201cIt reduces or eliminates litigation, and it creates a more fair process, not one where people bid against each other and only then the big companies can be a part of it,\u201d the governor said. \u201cBut one that provides at least a chance for everyone who can meet the criteria.\u201d
The state initially will issue 48 medical cannabis dispensary licenses, divided among 11 regions. The goal is to ensure the shortest possible drive times for Kentuckians with qualifying health conditions, said Sam Flynn, executive director of the medical cannabis program.
Each region will be allocated at least four dispensary licenses, and counties will be limited to one dispensary with the exception of those that are home to Louisville and Lexington, which can have two licenses, Flynn said.
Limited numbers of cultivator and processor licenses will be issued.
Caps on licenses are meant to avoid flooding the market with medicinal cannabis products and exceed demand, which would hurt businesses and patients, the governor said.
\u201cYou can see this is not about having a dispensary on every corner,\u201d Beshear said. \u201cIt is a limited program that we can monitor and fulfill the promise we made of doing this safely, but also having access in each region for people that do qualify.\u201d
The program can be expanded with more businesses in the future depending on demand and whether more qualifying medical conditions are added.
\u201cThis is likely the minimum that you will see on the program moving forward,\u201d Beshear said. \u201cBut again, you can always scale up. Scaling back hurts businesses, hurts people and hurts access.\u201d
\"We don\u2019t start huge. We start with a manageable program that, yes, can grow,\u201d he added.
On Wednesday the Democratic governor signed legislation moving up the timeline for licensing cannabis businesses by six months, with the window for applications running from July 1 through the end of August. The change makes it likely that at least limited supplies will be available in January when they become legal, Beshear said.
Medical marijuana supporters overcame years of setbacks in Kentucky when lawmakers passed the measure last year legalizing medical cannabis for people suffering from a range of debilitating illnesses, including cancer, multiple sclerosis, chronic pain, epilepsy, chronic nausea and post-traumatic stress disorder.
The governor has advocated for adding more conditions to the qualifying list, but the bill he signed Wednesday did not do so.
Local governments and schools can decide not to participate in the state program.
", + "textformat": "bx", + "links": [ + { + "href": "https://apnews.com/article/kentucky-governor-medical-marijuana-34eb7b76827456831a72b51a426bb096", + "rel": "canonical" + } + ], + "topics": { + "Health": { + "relevance_score": 4, + "reason": "The document discusses the implementation of a medical cannabis program in Kentucky, including the process for awarding business licenses, the structure of the program, and the conditions it aims to treat. While the primary focus is on the logistics and regulatory aspects of the program, it is inherently related to health as it addresses the provision of medical cannabis for patients with various health conditions such as cancer, multiple sclerosis, chronic pain, epilepsy, chronic nausea, and PTSD. Therefore, the document is relevant to the topic of health, though it also includes significant information on regulatory and business aspects." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/04/18/57b3088cd19fab41b4e1b0aac8da7a60.json b/datasets/AP_news/raw_data/2024/04/18/57b3088cd19fab41b4e1b0aac8da7a60.json new file mode 100644 index 0000000..0f9dae6 --- /dev/null +++ b/datasets/AP_news/raw_data/2024/04/18/57b3088cd19fab41b4e1b0aac8da7a60.json @@ -0,0 +1,252 @@ +{ + "altids": { + "itemid": "57b3088cd19fab41b4e1b0aac8da7a60", + "etag": "57b3088cd19fab41b4e1b0aac8da7a60_1a5aza0c0", + "friendlykey": "80731503986", + "referenceid": "EU-MED--Cholera Vaccine Approval" + }, + "version": 1, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-04-19T03:59:00Z", + "firstcreated": "2024-04-18T16:42:03Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: Fixes byline.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "EU-MED--Cholera Vaccine Approval", + "headline": "UN approves an updated cholera vaccine that could help fight a surge in cases", + "headline_extended": "The World Health Organization has approved a new version of a widely used cholera vaccine that could help address a surge in cases that has depleted the global vaccine stockpile", + "slugline": "AP-EU-MED--Cholera Vaccine Approval, 1st Ld-Writethru", + "description_summary": "The World Health Organization has approved a new version of a widely used cholera vaccine that could help address a surge in cases that has depleted the global vaccine stockpile. In a decision last week, WHO authorized a new vaccine by EuBiologics, the only maker of the oral cholera vaccine for a global stockpile managed by the U.N. health agency and partners. The new vaccine uses fewer ingredients and can be made more quickly and cheaply. It remains effective at preventing the diarrheal disease, according to recent research conducted in Nepal.", + "bylines": [ + { + "by": "By The Associated Press" + } + ], + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. For other uses, additional clearances may be required." + ], + "keywords": [ + "cholera vaccine Africa Middle East WHO" + ], + "provider": "AP", + "infosource": [ + { + "name": "AP", + "type": "AP" + } + ], + "subject": [ + { + "rels": [ + "category" + ], + "creator": "Editorial", + "code": "a", + "name": "a" + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "cc7a76087e4e10048482df092526b43e", + "name": "Health", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 89 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "e237be707de410048fffdf092526b43e", + "name": "Medication", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 82 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "ace74e307f00100486cedf092526b43e", + "name": "Immunizations", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 74 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "3b9797c0833849809300a3e134ad34a5", + "name": "Cholera", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 89 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "4bf76cb87df7100483dbdf092526b43e", + "name": "Science", + "creator": "Editorial", + "editorial_subject": "Science", + "rels": [ + "direct" + ], + "relevance": 75 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "bb2d2c5f441a452cb24bb511a2ab5eea", + "name": "World news", + "creator": "Editorial", + "editorial_subject": "World news", + "rels": [ + "direct" + ], + "relevance": 75 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "f25af2d07e4e100484f5df092526b43e", + "name": "General news", + "creator": "Editorial", + "editorial_subject": "General news", + "rels": [ + "direct" + ], + "relevance": 50 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "cc7a76087e4e10048482df092526b43e", + "name": "Health", + "creator": "Editorial", + "editorial_subject": "Health", + "rels": [ + "direct" + ], + "relevance": 99 + } + ], + "organisation": [ + { + "scheme": "http://cv.ap.org/id/", + "code": "8997c0688d7410048d178a3c53cbc603", + "name": "World Health Organization", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 42 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "54fa9358892310048056fb7860a2fc03", + "name": "United Nations", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 59 + } + ], + "place": [ + { + "scheme": "http://cv.ap.org/id/", + "code": "661f3a687d5b100482a9c076b8e3055c", + "name": "Nepal", + "creator": "Machine", + "rels": [ + "direct" + ], + "parentids": [ + "661812607d5b100481f3c076b8e3055c" + ], + "locationtype": { + "code": "01f56e0e654841eca2e69bf2cbcc0526", + "name": "Nation" + }, + "geometry_geojson": { + "type": "Point", + "coordinates": [ + 84, + 28 + ] + }, + "relevance": 40, + "parentnames": [ + "Asia" + ] + } + ], + "audiences": [ + { + "code": "82c6a4c46fa0446090a7acaf93159e4c", + "name": "Print", + "type": "AUDPLATFORM" + }, + { + "code": "9add4649b53b4702ba7d9de5d4fa607a", + "name": "Online", + "type": "AUDPLATFORM" + }, + { + "code": "f43adc08760d10048040e6e7a0f4673e", + "name": "National", + "type": "AUDSCOPE" + }, + { + "code": "f4ecf9b0760d10048044e6e7a0f4673e", + "name": "International", + "type": "AUDSCOPE" + }, + { + "code": "661812607d5b100481f1c076b8e3055c", + "name": "Africa", + "type": "AUDGEOGRAPHY" + }, + { + "code": "661850e07d5b100481f6c076b8e3055c", + "name": "Middle East", + "type": "AUDGEOGRAPHY" + }, + { + "code": "661e48387d5b10048291c076b8e3055c", + "name": "United States", + "type": "AUDGEOGRAPHY" + } + ], + "associations": { + "1": { + "altids": { + "itemid": "6f590fc988db42a7aa7f4938e0371f6e" + }, + "type": "picture" + } + }, + "body_nitf": "The World Health Organization has approved a version of a widely used cholera vaccine that could help address a surge in cases that has depleted the global vaccine stockpile and left poorer countries scrambling to contain epidemics.
WHO authorized the vaccine, made by EuBiologics, which also makes the formulation now used, last week. The new version, called Euvichol-S, is a simplified formula that uses fewer ingredients, is cheaper, and can be made more quickly than the old version.
The vaccine was shown to be help preventing the diarrheal disease in late stage research conducted in Nepal.
WHO\u2019s approval means donor agencies like the vaccines alliance Gavi and UNICEF can now buy it for poorer countries. Leila Pakkala, director of UNICEF\u2019s supply division, said in a statement that the agency will be able to boost supplies by more than 25%.
Gavi estimated there could be about 50 million doses for the global stockpile this year, compared with 38 million last year.
Dr. Derrick Sim of Gavi called WHO\u2019s authorization \u201ca lifeline for vulnerable communities around the world.\u201d
More is still needed, however: Since January, 14 countries affected by cholera outbreaks have requested 79 million doses. In January, the U.N. agency said the global vaccine stockpile was \u201centirely depleted\u201d until the beginning of March. As of this week, WHO said there were 2.3 million doses available.
Cholera is an acute diarrhea disease caused by a bacteria typically spread via contaminated food or water. It is mostly seen in areas that have poor sanitation and lack access to clean water. While most people infected with cholera don't experience symptoms, those with severe cases need quick treatment with intravenous fluids and antibiotics. If left untreated, cholera kills about a quarter to half of people infected.
Since last January, WHO has reported more than 824,000 cholera infections, including 5,900 deaths worldwide, with the highest numbers of cases reported in the Middle East and Africa. The U.N. agency said warming temperatures that allow the cholera bacteria to live longer, have also worsened outbreaks and led to the highest death rates in a decade.
___
The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute\u2019s Science and Educational Media Group. The AP is solely responsible for all content.
", + "textformat": "bx", + "links": [ + { + "href": "https://apnews.com/article/cholera-vaccine-africa-middle-east-who-57b3088cd19fab41b4e1b0aac8da7a60", + "rel": "canonical" + } + ], + "topics": { + "Health": { + "relevance_score": 5, + "reason": "The document discusses the approval of a new cholera vaccine by the World Health Organization, which is directly related to health. It covers the impact of the vaccine on global health, particularly in poorer countries, and provides detailed information on cholera outbreaks, the need for vaccines, and the potential benefits of the new vaccine. The document also includes statistics on cholera infections and deaths, which are relevant to the topic of health." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/04/18/8850d15d7796a92ff6d918a960962148.json b/datasets/AP_news/raw_data/2024/04/18/8850d15d7796a92ff6d918a960962148.json new file mode 100644 index 0000000..36f4a0f --- /dev/null +++ b/datasets/AP_news/raw_data/2024/04/18/8850d15d7796a92ff6d918a960962148.json @@ -0,0 +1,160 @@ +{ + "altids": { + "itemid": "8850d15d7796a92ff6d918a960962148", + "etag": "8850d15d7796a92ff6d918a960962148_1a2aza0c0", + "friendlykey": "303543317656", + "referenceid": "US-MED--Syphilis Screening-Pregnancy" + }, + "version": 1, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-04-18T21:59:05Z", + "firstcreated": "2024-04-18T19:21:16Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: Updates Media. Adds AP Audio", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "US-MED--Syphilis Screening-Pregnancy", + "headline": "As syphilis cases among US newborns soar, doctors group advises more screening during pregnancy", + "headline_extended": "With syphilis cases in U.S. newborns skyrocketing, a doctors group is now recommending that all pregnant patients be screened three times for the sexually transmitted infection", + "slugline": "BC-US-MED--Syphilis Screening-Pregnancy, 1st Ld-Writethru", + "description_summary": "With syphilis cases in U.S. newborns skyrocketing, a doctors group is now recommending that all pregnant patients be screened three times for the sexually transmitted infection. The American College of Obstetricians and Gynecologists issued updated its guidance to doctors on Thursday. They said the screening should be done at the first prenatal visit, during the third trimester and at birth. Previously, the group recommended one test in the third trimester, but only for those women considered at risk of getting syphilis during pregnancy or those living in communities with high rates of the disease. The screening is done with a blood test.", + "bylines": [ + { + "by": "By LAURA UNGAR", + "title": "AP Science Writer" + } + ], + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. For other uses, additional clearances may be required." + ], + "keywords": [ + "syphilis screening pregnant women" + ], + "provider": "AP", + "infosource": [ + { + "name": "AP", + "type": "AP" + } + ], + "subject": [ + { + "rels": [ + "category" + ], + "creator": "Editorial", + "code": "a", + "name": "a" + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "c40fab387e891004837ad7e4e3aa4207", + "name": "Prenatal care", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 43 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "cc7a76087e4e10048482df092526b43e", + "name": "Health", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 89 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "e2305bd07de410048fcfdf092526b43e", + "name": "Pregnancy and childbirth", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 58 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "e228f5487de410048fabdf092526b43e", + "name": "Sexually transmitted diseases", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 74 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "cc7a76087e4e10048482df092526b43e", + "name": "Health", + "creator": "Editorial", + "editorial_subject": "Health", + "rels": [ + "direct" + ], + "relevance": 99 + } + ], + "audiences": [ + { + "code": "82c6a4c46fa0446090a7acaf93159e4c", + "name": "Print", + "type": "AUDPLATFORM" + }, + { + "code": "9add4649b53b4702ba7d9de5d4fa607a", + "name": "Online", + "type": "AUDPLATFORM" + }, + { + "code": "f43adc08760d10048040e6e7a0f4673e", + "name": "National", + "type": "AUDSCOPE" + }, + { + "code": "661e48387d5b10048291c076b8e3055c", + "name": "United States", + "type": "AUDGEOGRAPHY" + } + ], + "associations": { + "1": { + "altids": { + "itemid": "3318d4f2ebc64ab5bd63ba1255a7a177" + }, + "type": "picture" + }, + "2": { + "altids": { + "itemid": "294a02d82f2641b39b29a4352002799d" + }, + "type": "audio" + } + }, + "body_nitf": "With syphilis cases in U.S. newborns skyrocketing, a doctors group now recommends that all pregnant patients be screened three times for the sexually transmitted infection.
The American College of Obstetricians and Gynecologists issued new guidance on Thursday saying the screening should be done at the first prenatal visit, during the third trimester and at birth. Though the screening isn\u2019t required, health professionals generally follow the group\u2019s recommendations.
\u201cThe cases of congenital syphilis are definitely climbing, and they\u2019ve been climbing over the last 10 years. And it\u2019s completely preventable ... It\u2019s unacceptable,\" said Dr. Laura Riley, who chairs the Department of Obstetrics and Gynecology at Weill Cornell Medicine and helped with the guidance. \"We need to be able to do better diagnostics and treatment.\u201d
Previously, the group recommended one test in the third trimester \u2014 but only for women considered at risk of getting syphilis during pregnancy or those living in communities with high rates of the disease. But this risk-based approach is \u201chow we get into trouble because we\u2019re missing cases,\u201d Riley said.
Earlier this year, the Centers for Disease Control and Prevention said more than 3,700 babies were born with congenital syphilis in 2022, the most in more than 30 years. U.S. health officials called for stepping up prevention, including screening which is done with a blood test.
In its advisory, the OB-GYN group said CDC statistics show nearly 9 in 10 congenital syphilis cases that year \"could have been prevented with timely screening and treatment.\u201d
Infections during pregnancy are generally treated with at least two doses of penicillin. Babies born to women with untreated syphilis may be stillborn or die shortly after birth. The disease can also cause other problems in newborns, such as deformed bones, severe anemia, blindness or deafness.
\u201cI hope that everyone takes it seriously,\" Riley said. Kids with congenital syphilis may have birth defects that can be devastating \u2014 \"which is incredibly sad.\u201d
___
The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute\u2019s Science and Educational Media Group and the Robert Wood Johnson Foundation. The AP is solely responsible for all content.
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This is highly relevant to the topic of health as it addresses a significant public health issue, preventive measures, and the impact on maternal and infant health." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/04/18/a511ee7052471880ae4aa3205f199d1f.json b/datasets/AP_news/raw_data/2024/04/18/a511ee7052471880ae4aa3205f199d1f.json new file mode 100644 index 0000000..7544352 --- /dev/null +++ b/datasets/AP_news/raw_data/2024/04/18/a511ee7052471880ae4aa3205f199d1f.json @@ -0,0 +1,260 @@ +{ + "altids": { + "itemid": "a511ee7052471880ae4aa3205f199d1f", + "etag": "a511ee7052471880ae4aa3205f199d1f_0a4aza0c0", + "friendlykey": "379286142106", + "referenceid": "KY--Youth Vaping-Lawsuit" + }, + "version": 0, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-04-18T19:46:43Z", + "firstcreated": "2024-04-18T19:46:43Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "signals": [ + "newscontent" + ], + "title": "KY--Youth Vaping-Lawsuit", + "headline": "Lawsuit filed over new Kentucky law aimed at curbing youth vaping", + "headline_extended": "A new Kentucky law aimed at curbing youth vaping is being challenged in court", + "slugline": "BC-KY--Youth Vaping-Lawsuit", + "description_summary": "A new Kentucky law aimed at curbing youth vaping is being challenged in court. News outlets report the Kentucky Vaping Retailers Association, the Kentucky Hemp Association and four vape retailers filed a lawsuit last week in Franklin Circuit Court challenging the constitutionality of the bill. It would require that any vape products sold have approval from the U.S. Food and Drug Administration or have a \u201csafe harbor certification.\u201d They argue that the requirement would make most of their stock illegal and would put them out of business. Retailers say the bill violates the 14th amendment to the U.S. Constitution, which grants due process. State officials named as defendants declined to comment.", + "located": "FRANKFORT, Ky.", + "datelinelocation": { + "city": "Frankfort", + "countryareacode": "KY", + "countryareaname": "Kentucky", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -84.87328, + 38.20091 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. 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(AP) \u2014 A new Kentucky law aimed at curbing youth vaping is being challenged in court.
The Kentucky Vaping Retailers Association, the Kentucky Hemp Association and four vape retailers filed a lawsuit last week in Franklin Circuit Court challenging the constitutionality of the bill, news outlets reported. It would require that any vape products sold have approval from the U.S. Food and Drug Administration or have a \u201csafe harbor certification.\"
The administration has approved 23 vape product applications out of more than a million, so retailers argue that the requirement would make most of their stock illegal and put them out of business.
The lawsuit says the bill violates the 14th amendment to the U.S. Constitution, which grants due process. It argues that \u201chemp-derived products, including vapeable hemp products, are not subject to regulation by FDA,\u201d so there is no \u201cregulatory market pathway\u201d to allow them and other products to be sold.
Republican state Rep. Rebecca Raymer, the bill\u2019s lead sponsor, has said it was a response to the state\u2019s \u201cvaping epidemic\u201d and, in particular, complaints about how rampant vaping has become in schools.
Secretary of State Michael Adams and the state Department of Alcoholic Beverage Control are named as defendants. Both offices said they had not yet been served and had no comment.
The new law is set to go into effect Jan. 1, 2025.
", + "textformat": "bx", + "links": [ + { + "href": "https://apnews.com/article/kentucky-youth-vaping-law-lawsuit-a511ee7052471880ae4aa3205f199d1f", + "rel": "canonical" + } + ], + "topics": { + "Health": { + "relevance_score": 4, + "reason": "The document discusses a new Kentucky law aimed at curbing youth vaping, which is a public health issue. It details the legal challenge against the law, the requirements for vape products, and the potential impact on retailers. The topic of youth vaping is directly related to health, particularly the health of young people. 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AP Audio.", + "signals": [ + "newscontent" + ], + "title": "Gulf Spill-Workers Left Behind-Takeaways", + "headline": "Takeaways from AP's story on the BP oil spill medical settlement's shortcomings", + "headline_extended": "Thousands of ordinary people who helped clean up after the 2010 BP oil spill in the Gulf of Mexico say they got sick", + "slugline": "BC-Gulf Spill-Workers Left Behind-Takeaways", + "description_summary": "Thousands of ordinary people who helped clean up after the 2010 BP oil spill in the Gulf of Mexico say they got sick. A court settlement was supposed to help compensate them, but it hasn\u2019t turned out as expected. A large majority got only the minimum award and had to file individual lawsuits to recover more. However, attorneys familiar with the issue say only one person has received a settlement after suing \u2014 and that took extraordinary luck and effort. Judges have dumped plaintiff experts. BP has fought every case. The entire sprawling process has left those who jumped into action after the biggest offshore oil spill in U.S. history stranded.", + "bylines": [ + { + "by": "By TRAVIS LOLLER and MICHAEL PHILLIS", + "title": "Associated Press" + } + ], + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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Those hired workers picked up tar balls on the beach, deployed booms from boats to soak up oil and rescued injured wildlife.
Many of them got sick, but a settlement was supposed to help.
BP agreed to pay workers who got ill after exposure to oil and a chemical dispersant used to break it up. Early on, the settlement was praised by attorneys for workers and BP as a fair solution that would provide money to victims without placing too much burden on them to prove their claims.
The Associated Press found that in practice the settlement didn't work out that way. A smaller number of people than hoped got paid \u2014 and it was less money than they expected.
Thousands later were forced to file federal lawsuits that have been dismissed in batches across the South. The AP found just one person, boat captain John Maas, who sued and successfully settled with BP.
HOW PEOPLE GET SICK FROM AN OIL SPILL
To break up the oil, roughly 1.8 million gallons of the dispersant Corexit were dropped from planes and sprayed from boats. Research has found it can damage cells that protect airways and cause scarring that narrows breathing tubes, making it harder to breathe over time.
Plus, oil itself is linked to illness. One of its toxic components is benzene, which can cause conditions ranging from skin irritation to cancer.
Major studies, including by the National Institutes of Health, have found that workers exposed to oil were more likely to experience dizziness, nausea, lung problems and heart attacks.
THE FIRST BIG PROBLEM
At the most basic level, workers and residents could submit affidavits attesting to their medical problems and collect $1,300. The vast majority of those compensated, just under 80%, got this lowest award.
People with long-term illnesses backed up by medical tests could collect up to $60,700, or more if they'd been hospitalized. But almost no one had this medical proof at the time the settlement was approved in early 2013. This became glaringly apparent the next year when BP and the workers' attorneys had a disagreement over a key date.
BP argued that anyone without a diagnosis before April 12, 2012 couldn't be paid through the routine claims process. Instead, they would fall into a category of people with \u201clater manifested\u201d conditions who would need to file individual lawsuits for compensation.
Workers' attorneys disputed that, saying the category was meant only for people whose illnesses showed up several years after the spill, such as any who developed cancer.
U.S. District Judge Carl Barbier said that when he initially approved the settlement, he didn't expect it to force large numbers of people to file lawsuits. In the end, however, he sided with BP, ruling that the settlement's wording made anyone diagnosed after the 2012 date ineligible for a payout after filing a claim.
That ruling threw thousands of workers out of the settlement's relatively easy claims process and into federal courts throughout the South.
THROWN OUT OF COURT
Workers have fared poorly in federal court.
The Nations Law Firm, for example, represented huge numbers of workers and had collected medical evidence believing that would help clients receive more than the settlement's $1,300 minimum through the claims process.
But when those workers were forced to file lawsuits, BP alleged in a Mississippi federal court that the firm manufactured medical diagnoses. Then Nations agreed to dismiss cases by the dozens. In an interview, Nations did not deny BP\u2019s allegations but said the cases were unwinnable without an adequate expert witness.
It was also hard for workers to convince courts that the scientific evidence was strong enough to show they were exposed to enough oil and dispersant to likely cause their illness.
The workers' experts relied on studies, such as those from the National Institutes of Health, that found people exposed to oil and Corexit were more likely to develop certain illnesses.
But BP's experts argued individual workers needed to show exactly how much oil and dispersant they had inhaled or ingested and that it was sufficient to cause their sickness.
BP also poked holes in professional histories and work of some experts put forward by workers' attorneys. And some law firms with hundreds of cases buckled under the strain, begging judges for more time so overloaded experts could produce reports.
Most judges have sided with BP, rejecting workers\u2019 experts as unreliable, effectively ending the cases.
LOOKING AHEAD
The Downs Law Group, which has lost hundreds of cases against BP, is pursuing appeals in two federal circuit courts, hoping they'll rule district judges have misconstrued the level of proof needed for toxic exposure cases. One of those judges said the issue is \u201cvery ripe for the Supreme Court to resolve.\u201d
\u201cIt has a broader reach than the BP oil spill,\u201d said Jason Clark, a Downs attorney. \u201cIf the burden is one that's too high for any plaintiff to meet, then a lot of people who are exposed ... are never going to see justice.\u201d
___
The Associated Press receives support from the Walton Family Foundation for coverage of water and environmental policy. The AP is solely responsible for all content. For all of AP\u2019s environmental coverage, visit https://apnews.com/hub/climate-and-environment
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William visited a surplus food redistribution center and a youth club it serves, highlighting efforts to reduce food waste as a way to cut greenhouse gas emissions and feed people in need. The prince stepped away from public duties after Kate, the Princess of Wales, announced on March 22 that she was undergoing treatment for an unspecified type of cancer.
In a video message released that day, Kate asked for \u201ctime, space and privacy\u201d as she and her family adjusted to her diagnosis.
\u201cI have been doing everything we can to process and manage this privately for the sake of our young family,\u201d she said at the time.
\u201cIt has taken us time to explain everything to George, Charlotte and Louis in a way that is appropriate for them, and to reassure them that I am going to be okay,\u201d she added.
Both Charles and Kate have been largely absent from the public stage since January due to health problems, leaving Queen Camilla, Princess Anne and other members of the royal family to pick up the slack on the whirl of events and awards ceremonies that dominate the work of Britain\u2019s monarchy.
Charles announced on Feb. 5 that he had been diagnosed with an undisclosed type of cancer following treatment for an enlarged prostate two weeks earlier. Kate\u2019s diagnosis came after she was hospitalized in late January for unspecified abdominal surgery.
William visited a surplus food distribution charity \u2014 Surplus to Supper \u2014 in Surrey, southwest of London, where he will lend a hand in the kitchen and help load prepared meals into delivery vans. He will then travel to a youth center in west London that benefits from the food deliveries.
___
Find more of AP\u2019s coverage at https://apnews.com/hub/royalty
", + "textformat": "bx", + "links": [ + { + "href": "https://apnews.com/article/prince-william-kate-princess-of-wales-king-charles-iii-dd11db36e9972b953667bf580e940c90", + "rel": "canonical" + } + ], + "topics": { + "Health": { + "relevance_score": 4, + "reason": "The document discusses the health issues of key members of the British royal family, including Kate Middleton's cancer diagnosis and King Charles III's health problems. It also mentions the impact of these health issues on their public duties. While the primary focus is on Prince William's return to public duties, the context is heavily influenced by health-related events. 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The state departments of Health, Environmental Quality and Wildlife and Fisheries says women of childbearing age and children younger than 7 should not eat more than three meals per month of any of the following fish: bigmouth buffalo, bowfin (choupique, grinnel), flathead catfish and yellow bass. The same group of consumers should also avoid eating two meals per month of any of these fish from Lake Maurepas: black crappie, freshwater drum, largemouth bass and warmouth. There are no consumption limits of the fish for older adults or children 7 and older.", + "located": "BATON ROUGE, La.", + "datelinelocation": { + "city": "Baton Rouge", + "countryareacode": "LA", + "countryareaname": "Louisiana", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -91.18747, + 30.44332 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. 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For other uses, additional clearances may be required." + ], + "keywords": [ + "fish mercury louisiana lake maurepas" + ], + "provider": "AP", + "infosource": [ + { + "name": "AP", + "type": "AP" + } + ], + "subject": [ + { + "rels": [ + "category" + ], + "creator": "Editorial", + "code": "n", + "name": "n" + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "b63fd1a887a910048224957095691f3e", + "name": "Fish", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 89 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "a89f0ca887a9100481f8957095691f3e", + "name": "Animals", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 69 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "8783d248894710048286ba0a2b2ca13e", + "name": "Climate and environment", + "creator": "Editorial", + "editorial_subject": "Climate and environment", + "rels": [ + "direct" + ], + "relevance": 75 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "cc7a76087e4e10048482df092526b43e", + "name": "Health", + "creator": "Editorial", + "editorial_subject": "Health", + "rels": [ + "direct" + ], + "relevance": 75 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "a4677d70863b4012b846a1b00f5079f5", + "name": "U.S. news", + "creator": "Editorial", + "editorial_subject": "U.S. news", + "rels": [ + "direct" + ], + "relevance": 99 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "f25af2d07e4e100484f5df092526b43e", + "name": "General news", + "creator": "Editorial", + "editorial_subject": "General news", + "rels": [ + "direct" + ], + "relevance": 50 + } + ], + "organisation": [ + { + "scheme": "http://cv.ap.org/id/", + "code": "f397beccdc9845e5a497b03b7d30c5e9", + "name": "Louisiana state government", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 50 + } + ], + "audiences": [ + { + "code": "82c6a4c46fa0446090a7acaf93159e4c", + "name": "Print", + "type": "AUDPLATFORM" + }, + { + "code": "9add4649b53b4702ba7d9de5d4fa607a", + "name": "Online", + "type": "AUDPLATFORM" + }, + { + "code": "f5b16ea8760d10048047e6e7a0f4673e", + "name": "State", + "type": "AUDSCOPE" + }, + { + "code": "43fb970882b310048496df092526b43e", + "name": "Louisiana", + "type": "AUDGEOGRAPHY" + } + ], + "body_nitf": "BATON ROUGE, La. (AP) \u2014 Louisiana residents are being urged to limit their consumption of fish from Lake Maurepas in Livingston and St. John the Baptist parishes where high levels of mercury have been detected.
According to a fish consumption advisory issued by the state departments of Health, Environmental Quality and Wildlife and Fisheries, women of childbearing age and children younger than 7 should not eat more than three meals per month of any of the following fish: bigmouth buffalo, bowfin (choupique, grinnel), flathead catfish and yellow bass.
The same group of consumers should also avoid eating two meals per month of any of these fish: black crappie (sac-a-lait), freshwater drum (gaspergou), largemouth bass and warmouth from Lake Maurepas.
There are no consumption limits of the fish for older adults or children 7 and older, according to the advisory.
Mercury is an element that occurs naturally in the environment, the state agencies said. As a result, there are small amounts of mercury in the sediment of streams, lakes, rivers and oceans so nearly all fish contain trace amounts of mercury.
Health effects from harmful levels of mercury can include nervous system and kidney damage.
Eleven bodies of water, including Lake Maurepas, are now under an advisory for unacceptable levels of mercury in fish or shellfish. They are: Bayou Dorcheat in Webster Parish; Black Bayou Lake, Caddo; Black Lake and Clear Lake, Natchitoches and Red River parishes; Caddo Lake, Caddo; Corney Lake, Claiborne; Grand Bayou Reservoir, Plaquemines; Ivan Lake, Bossier; Kepler Creek Lake Bienville; Toledo Bend Reservoir, Sabine and DeSoto parishes and Vernon Lake, Vernon.
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The information is directly related to public health concerns and provides guidelines to mitigate health risks, making it highly relevant to the topic of Health." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/04/18/e64e6561f6e758c827c60f916c797227.json b/datasets/AP_news/raw_data/2024/04/18/e64e6561f6e758c827c60f916c797227.json new file mode 100644 index 0000000..b5e1f90 --- /dev/null +++ b/datasets/AP_news/raw_data/2024/04/18/e64e6561f6e758c827c60f916c797227.json @@ -0,0 +1,303 @@ +{ + "altids": { + "itemid": "e64e6561f6e758c827c60f916c797227", + "etag": "e64e6561f6e758c827c60f916c797227_0a6aza0c0", + "friendlykey": "894205515029", + "referenceid": "US---Assisted Suicide-Delaware" + }, + "version": 0, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-04-18T22:22:38Z", + "firstcreated": "2024-04-18T22:22:37Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "signals": [ + "newscontent" + ], + "title": "US---Assisted Suicide-Delaware", + "headline": "Legislation allowing doctor-assisted suicide narrowly clears Delaware House, heads to state Senate", + "headline_extended": "A bill allowing doctor-assisted suicide in Delaware has narrowly cleared the Democrat-led House and now goes to the state Senate for consideration", + "slugline": "BC-US---Assisted Suicide-Delaware", + "description_summary": "A bill allowing doctor-assisted suicide in Delaware has narrowly cleared the Democrat-led House and now goes to the state Senate for consideration. The bill is the latest iteration of legislation that has been repeatedly introduced since 2015, and it is the only proposal to make it to a floor vote. Lawmakers voted 21 to 16 on Thursday for the measure, which needed at least 21 affirmative votes for passage. Currently, 10 states, along with the District of Columbia, have laws legalizing medically assisted suicide. Several Republican lawmakers expressed ethical concerns about the Delaware legislation. They also questioned the need for it, given advances in hospice and palliative care in recent years.", + "bylines": [ + { + "by": "By RANDALL CHASE", + "title": "Associated Press" + } + ], + "located": "DOVER, Del.", + "datelinelocation": { + "city": "Dover", + "countryareacode": "DE", + "countryareaname": "Delaware", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -75.52437, + 39.15817 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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(AP) \u2014 A bill allowing doctor-assisted suicide in Delaware narrowly cleared the Democrat-led House on Thursday and now goes to the state Senate for consideration.
The bill is the latest iteration of legislation that has been repeatedly introduced by Newark Democrat Paul Baumbach since 2015, and it is the only proposal to make it to a floor vote. After lengthy debate, lawmakers voted 21-16 for the measure, which needed at least 21 affirmative votes for passage.
Among those voting for the bill was Republican Rep. Kevin Hensley of Townsend, who voted against the proposal in previous legislative sessions.
\u201cI did not get confused,\u201d Hensley assured fellow lawmakers after the vote. Hensley said his perspective on the issue changed after his mother, who lived in California, opted for physician-assisted suicide a year ago.
\u201cThis was probably one of the toughest votes I\u2019ve ever had to make,\u201d said Hensley, the only GOP lawmaker to vote for the bill.
California is one of 10 states, along with the District of Columbia, that have laws legalizing medically assisted suicide.
Several Republican lawmakers expressed ethical concerns about the Delaware legislation. They also questioned the need for it, given advances in hospice and palliative care in recent years.
Baumbach said the measure is not intended to replace palliative or hospice care, but to complement them. Data from other states indicate that hospice care is involved in the vast majority of cases involving doctor-assisted suicide, he added.
Baumbach said the \u201cend-of-life option\u201d offered in the bill gives terminally ill individuals certainty that they can choose to end their pain if it becomes greater than what hospice or palliative care can alleviate.
\u201cThis puts the choice in the dying person\u2019s hands to determine whether or not they wish to self-administer the medicine,\u201d he said.
The legislation allows an adult resident of Delaware who is diagnosed with a terminal illness and expected to die within six months to request lethal prescription drugs from a doctor or advanced practice registered nurse who has primary responsibility for the terminal illness. A consulting physician or nurse would have to confirm the diagnosis and prognosis of the patient, who must have \u201cdecision-making capacity.\u201d
The patient would have to be evaluated by a psychiatrist or a psychologist if any of the medical professionals involved is concerned that he or she lacks decision-making capacity. A person also would not qualify for doctor-assisted suicide solely because of age or disability.
The patient would have to make two oral requests for a lethal prescription, followed by a written request, and would have to wait at least 15 days after the initial request before receiving the drugs. The attending doctor or nurse would have to wait at least 48 hours after the written request, which must be signed by two witnesses, before prescribing the drugs.
The bill states that any provision in a contract, will or other agreement that would affect whether an individual could make or rescind a request for lethal prescription \u201cis not valid.\u201d It also states that requesting, prescribing or dispensing the lethal medication \u201cdoes not, for any purpose, constitute elder abuse, suicide, assisted-suicide, homicide, or euthanasia.\u201d
The legislation goes further to assert that the act of killing oneself with self-administered prescription medication does not invalidate any part of an insurance policy or annuity.
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Some have taken years to identify themselves as survivors since they were not physically wounded. The aftershocks \u2014 often unacknowledged in the years before mental health struggles were more widely recognized \u2014 led to some survivors suffering insomnia, dropping out of school, or disengaging from their spouses or families. But some have developed healthy ways to cope with the shadow of that horrific day through therapy and the support from an expanding group of fellow mass shooting survivors.", + "bylines": [ + { + "by": "By COLLEEN SLEVIN", + "title": "Associated Press" + } + ], + "located": "DENVER", + "datelinelocation": { + "city": "Denver", + "countryareacode": "CO", + "countryareaname": "Colorado", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -104.9847, + 39.73915 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. 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She wanted to be ready to run.
Twenty-five years later, and with Mendo now a mother herself, the trauma from that horrific day remains close on her heels.
It caught up to her when 60 people were shot dead in 2017 at a country music festival in Las Vegas, a city she had visited a lot while working in the casino industry. Then again in 2022, when 19 students and two teachers were shot and killed in Uvalde, Texas.
Mendo had been filling out her daughter's pre-kindergarten application when news of the elementary school shooting broke. She read a few lines of a news story about Uvalde, then put her head down and cried.
\u201cIt felt like nothing changed,\u201d she recalls thinking.
In the quarter-century since two gunmen at Columbine shot and killed 12 fellow students and a teacher in suburban Denver \u2014 an attack that played out on live television and ushered in the modern era of school shootings \u2014 the traumas of that day have continued to shadow Mendo and others who were there.
Some needed years to view themselves as Columbine survivors since they were not physically wounded. Yet things like fireworks could still trigger disturbing memories. The aftershocks \u2014 often unacknowledged in the years before mental health struggles were more widely recognized \u2014 led to some survivors suffering insomnia, dropping out of school, or disengaging from their spouses or families.
Survivors and other members of the community plan to attend a candlelight vigil on the steps of the state\u2019s capitol Friday night, the eve of the shooting\u2019s anniversary.
April is particularly hard for Mendo, 39, whose \u201cbrain turns to mashed potatoes\u201d each year. She shows up at dentist appointments early, misplaces her keys, forgets to close the refrigerator door.
She leans on therapy and the understanding of an expanding group of shooting survivors she has met through The Rebels Project, a support group founded by other Columbine survivors following a 2012 shooting when a gunman killed 12 people at a movie theater in the nearby suburb of Aurora. Mendo started seeing a therapist after her child's first birthday, at the urging of fellow survivor moms.
After she broke down over Uvalde, Mendo, a single parent, said she talked to her mom, took a walk to get some fresh air, then finished her daughter's pre-kindergarten application.
\u201cWas I afraid of her going into the public school system? Absolutely,\" Mendo said of her daughter. \u201cI wanted her to have as normal of a life as possible.\u201d
Researchers who\u2019ve studied the long-term effects of gun violence in schools have quantified protracted struggles among survivors, including long-term academic effects like absenteeism and reduced college enrollment, and lower earnings later in life.
\u201cJust counting lives lost is kind of an incorrect way to capture the full cost of these tragedies,\u201d said Maya Rossin-Slater, an associate professor in the Stanford University School of Medicine\u2019s Department of Health Policy.
Mass killings have recurred with numbing frequency in the years since Columbine, with almost 600 attacks in which four or more people have died, not including the perpetrator, since 2006, according to data compiled by The Associated Press.
More than 80% of the 3,045 victims in those attacks were killed by a firearm.
Nationwide hundreds of thousands of people have been exposed to school shootings that are often not mass-casualty events but still traumatic, Rossin-Slater said. The impacts can last a lifetime, she added, resulting in \"kind of a persistent, reduced potential\u201d for survivors.
Those who were present at Columbine say the years since have given them time to learn more about what happened to them and how to cope with it.
Heather Martin, now 42, was a Columbine senior in 1999. In college, she began crying during a fire drill, realizing later that a fire alarm had gone off for three hours when she and 60 other students hid in a barricaded office during the high school shooting. She couldn\u2019t return to that class and was marked absent each time, and says she failed it after refusing to write a final paper on school violence, despite telling her professor of her experience at Columbine.
It took 10 years for her to see herself as a survivor, after she was invited back with the rest of the class of 1999 for an anniversary event. She saw fellow classmates having similar struggles and almost immediately decided to go back to college to become a teacher.
Martin, a co-founder of The Rebels Project, named after Columbine's mascot, said 25 years has given her time to struggle and figure out how to work out of those struggles.
\u201cI just know myself so well now and know how I respond to things and what might activate me and how I can bounce back and be OK. And most importantly I think I can recognize when I am not OK and when I do need to seek help,\u201d she said.
Kiki Leyba, a first-year teacher at Columbine in 1999, was diagnosed with post-traumatic stress disorder soon after the shooting. He felt a strong sense of commitment to return to the school, where he threw himself into his work. But he continued to have panic attacks.
To help him cope, he had sleeping pills and some Xanax for anxiety, Leyba said. One therapist recommended chamomile tea.
Things got harder for him after the 2002 graduation of Mendo\u2019s class, the last cohort of students who lived through the shooting since they had been through so much together.
By 2005, after years of not taking care of himself and suffering from lack of sleep, Leyba said he would often check out from family life, sleeping in on the weekends and turning into a \u201cblob on the couch.\" Finally, his wife Kallie enrolled him in a one-week trauma treatment program, arranging for him to take the time off from work without telling him.
\u201cThankfully that really gave me a kind of a foothold ... to do the work to climb out of that,\u201d said Leyba, who said breathing exercises, journaling, meditation and anti-depressants have helped him.
Like Mendo and Martin, he has traveled around the country to work with survivors of shootings.
\u201cThat worst day has transformed into something I can offer to others,\u201d said Leyba, who is in Washington, D.C. this week meeting with officials about gun violence and promoting a new film about his trauma journey.
Mendo still lives in the area, and her 5-year-old daughter attends school near Columbine. When her daughter\u2019s school locked down last year as police swarmed the neighborhood during a hostage situation, Mendo recalled worrying things like: What if my child is in danger? What if there is another school shooting like Columbine?
When Mendo picked up her daughter, she seemed a little scared, and she hugged her mom a little tighter. Mendo breathed deeply to stay calm, a technique she had learned in therapy, and put on a brave face.
\u201cIf I was putting down some fear, she would pick it up,\u201d she said. \u201cI didn\u2019t want that for her.\u201d
____
Associated Press writer Mead Gruver contributed to this report.
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These workers were exposed to crude oil and the chemical dispersant Corexit while picking up tar balls along the shoreline, laying booms from fishing boats to soak up slicks and rescuing oil-covered birds.
Recognizing that some members of cleanup crews had likely become sick, BP agreed to a medical claims settlement two years after the 2010 disaster. Experts hailed it as \u201can extraordinary achievement\u201d that would compensate workers fairly with little hassle.
But it hasn't turned out that way.
The effort has fallen far short of expectations, leaving many workers who claimed lasting health effects stranded with little or no payment.
Through the settlement, BP has paid ill workers and coastal residents a tiny fraction \u2014 $67 million \u2014 of the billions the company has spent on restitution for economic and environmental damage. The vast majority \u2014 79% \u2014 received no more than $1,300 each.
Many workers claiming illnesses from the spill were forced to sue \u2014 and they've fared worse. All but a handful of roughly 4,800 lawsuits seeking compensation for health problems have been dismissed.
Attorneys familiar with the cases say they are unaware of any that have gone to trial and know of only one that's been settled. Former boat captain John Maas received $110,000 from BP for his lung ailments in 2022, according to a confidential copy of the settlement.
The repeated failures demonstrate how extremely difficult it is to prove to a court that a specific illness is caused by chemical exposure \u2014 even when those chemicals are recognized causes of illness more generally.
An Associated Press investigation that included dozens of interviews with cleanup workers, attorneys and experts, and a review of voluminous court filings revealed:
\u2014A single switched word in the settlement prevented thousands of workers from receiving anything over the minimum of $1,300 each. To get more, they had to file individual lawsuits \u2014 an option that almost always led to defeat.
\u2014Most federal judges hearing those cases required a level of proof connecting chemical exposure to worker illnesses that the lead government epidemiologist studying the spill says is likely impossible to meet.
\u2014Big law firms representing dozens or even thousands of workers failed their clients in various ways. After BP accused one firm of manufacturing medical claims, its cases were dismissed in big batches.
Robin Greenwald, one of the plaintiffs\u2019 attorneys who negotiated the settlement, said even her firm has not been able to win a single medical case against BP.
\u201cI wanted people to get their day in court and they win or lose at trial,\u201d said Greenwald, a former federal environmental prosecutor. \u201cLet a jury decide. ... But they weren\u2019t even given the chance to do that.\u201d
BP declined to comment for this story, citing ongoing litigation 14 years after the spill.
GETTING SICK
After the explosion on April 20, 2010, the spill was spectacular. A camera live-streamed the rupture on cable news, showing the world in real time gushing oil that wouldn\u2019t stop. Oil floated on the Gulf and washed ashore, covering plants, birds and other animals.
To break up oil, roughly 1.8 million gallons of Corexit were dropped from planes and sprayed from boats \u2014 far more than previous U.S. oil spills. The manufacturer said it was safer than dish soap.
But lab research on human tissue and animals has revealed Corexit can damage cells that protect the airways and cause scarring that narrows breathing tubes, according to Dr. Veena Antony, a University of Alabama professor of pulmonary and critical care medicine who has studied Corexit\u2019s effect on lung tissue. Over time, she said, the process can make it harder and harder to breathe.
\u201cI genuinely believe that there was harm done and we didn\u2019t realize the harm was being done \u2014 and now people are suffering,\u201d said Antony, who testified as an expert witness in one suit against BP. \u201cI would not, at the present time, put my hand even in Corexit without wearing double gloves.\u201d
The current producer of Corexit, ChampionX, said the dispersant was pre-approved by the government for use on oil spills and the manufacturer had no role in deciding when or how to spray it.
Oil itself has long been known to cause illness. One of its toxic components is benzene, which can cause conditions ranging from skin irritation to cancer.
But now researchers, including Dale Sandler at the National Institutes of Health, are finding that spill workers exposed to amounts of oil assumed safe have suffered from dizziness, nausea, lung problems and heart attacks.
\u201cThe exposures on average were still pretty low,\u201d said Sandler, an epidemiologist leading the GuLFSTUDY, a major effort to quantify workers\u2019 exposure and track health woes over years. \u201cWhat surprised us is that we did see a wide range of health effects that were associated with these exposures.\u201d
Sandler said the study is the largest ever of an oil spill and is ongoing. \u201cWe\u2019re looking at long-term risks like diabetes, cancer incidence,\u201d she said.
What researchers have found so far is echoed by other studies, including one involving about 3,500 Coast Guard responders. The responders who reported breathing oil fumes were 40% to 50% more likely to have chronic obstructive pulmonary disease-like symptoms and sinus problems compared to those who said they didn\u2019t breathe fumes. And responders who reported exposure to both oil and Corexit were more than twice as likely to suffer shortness of breath.
A PROMISING SETTLEMENT
Proving to a court that a specific person\u2019s illness was likely caused by their exposure to oil or Corexit can be difficult.
Yet the settlement for medical claims was supposed to make it easier for workers: BP would agree exposure to the spill could cause a host of known health issues \u2014 and workers suffering from them could file claims for payment. Initially, attorneys advocating for the settlement said it could help as many as 200,000 possibly injured workers and residents.
The settlement also included $105 million from BP for regional health outreach and free health checkups for exposed workers every three years for 21 years.
But things quickly went awry.
The third-party administrator hired to handle claims, Garretson Resolution Group, initially rejected 78% of roughly 37,000 claims. After many were resubmitted, around 36% still were rejected and claimants received nothing.
Greenwald was especially frustrated her clients\u2019 claims were repeatedly deemed deficient. \u201cWe had many a meeting with Garretson\u2019s team to try to shake them loose of some of their narrow reading and obsession with deficiencies,\u201d she said. \u201cWe clearly knew the claim form. We negotiated it.\u201d
Matthew Garretson, founder of Garretson Resolution Group, defended his claims handling in an email, saying, \u201cit was the process the parties agreed upon and we had to administer the settlement exactly in the way the parties\u2019 Settlement Agreement mandated.\u201d The company was paid roughly $115 million to $120 million for administering claims and for the outreach program and medical checkup effort as of 2018, he said.
There was a bigger problem.
At the most basic level, workers could submit affidavits attesting to their medical problems and collect $1,300 \u2014 and residents could collect $900. About 18,000 received that much.
Those with longer-term illnesses who had proof from medical tests could collect up to $60,700, or more if they had been hospitalized.
But few people had that proof. Forty of about 23,000 with approved claims collected the maximum award \u2014 less than 0.2%.
Many people lacked health insurance or easy access to a doctor and the required medical tests \u2014 a problem U.S. District Court Judge Carl Barbier, who approved the settlement, acknowledged in a hearing.
\u201cSpeaking for south Louisiana, I know \u2014 you\u2019re dealing with people who are probably at the lower end of the socioeconomic scale. Most of these people, I feel sure, likely have no health insurance,\u201d he said.
Even when people did seek medical attention, doctors untrained in treating chemical exposures often did not link illnesses to a patient's cleanup work in medical records, according to Greenwald.
THE NATIONS CLIENTS
The Nations Law Firm, based in Houston, represented thousands of workers like Paul Loup IV, who helped clean an oil-contaminated beach in Pascagoula, Mississippi for several months.
Loup, 68, says he now has chronic respiratory issues, making it hard to stand or speak at length. He quit his job as a procurement manager because it involved too much travel.
The firm had wanted to help clients collect more than the settlement\u2019s $1,300 minimum, so it developed a plan to obtain needed medical proof.
It was an assembly line. Out-of-state nurse practitioners who were paid $20 per plaintiff entered medical histories based on information the law firm \u2014 not a doctor \u2014 provided. Firm-designed forms listed illnesses that paid more under the settlement \u2014 and doctors could simply circle them. The forms included a statement linking a patient's illness to oil spill work \u2014 with a line for the doctor to sign. Doctors didn\u2019t keep their own patient records.
While such a process might seem suspect, firm founder Howard Nations said in an interview that he met with the claims administrator Garretson to try to develop an acceptable one.
Garretson rejected the claims \u2014 not based on the process, but on a deadline.
THE DEADLINE AND A SWITCHED WORD
The settlement was designed to make it easy to collect money for illnesses that surfaced quickly after crude oil exposure. People with diseases that can show up years later \u2014 such as cancer \u2014 would be forced to file individual federal lawsuits.
Early settlement drafts defined this second group as people with a disease that \u201cmanifests\u201d after April 16, 2012. However, a later draft changed the word \u201cmanifests\u201d to \u201cdiagnosed.\u201d
In 2014, BP seized on that change to argue no one diagnosed after the deadline could receive an award for a long-term illness through the settlement.
That meant two people could have the same illness, but the one who got a diagnosis before the deadline could file a claim for compensation while the other would need to file a suit instead.
Judge Barbier said that's not how he was led to believe the settlement he okayed would work.
\u201cIt is rather strange \u2026 that the court would approve a settlement, a class settlement that really doesn\u2019t settle thousands of claims and requires them to file another lawsuit,\u201d Barbier said at a 2014 hearing. \u201cI mean, it doesn\u2019t sound like much of a settlement.\u201d
BP attorneys said any other interpretation would invite fraud, allowing opportunistic law firms to pay for a medical diagnosis after the deadline to get a settlement claims payout. They also said the word change was requested by the workers\u2019 own attorneys, and Stephen Herman, co-lead counsel for plaintiffs' attorneys, testified they didn\u2019t recall how it happened.
Despite his doubts, Barbier said he had to follow the settlement language.
His ruling forced thousands of workers out of the relatively easy administrative claims process into federal courts throughout the South.
THE FEDERAL LAWSUITS
The ruling was devastating for Nations clients whose only option was to file federal lawsuits.
After BP attorneys alleged in Mississippi federal court that the firm manufactured medical diagnoses, Nations agreed to dismiss its cases by the dozens. In an interview, Nations did not deny BP's allegations but said the cases were unwinnable without an adequate expert witness.
Loup, the former beach cleanup worker, said he didn\u2019t know until informed by a reporter last year that his case had been dismissed years earlier. \u201cI call (Nations) every six months or so ... and they\u2019ve just said it\u2019s going to take some time,\u201d he said.
Another Nations client was Jeff Herring, the deckhand of Maas, the boat captain believed to be the only person whose case reached a settlement.
When their boat was sprayed with Corexit, Herring started throwing up so badly an ambulance was called to pick him up. Although released from the hospital after a few days, he developed chronic sinus and respiratory problems, according to his lawsuit.
Months later, a doctor at an oil spill medical station referred him to a specialist, and he was hospitalized again, said Herring, now 39. An X-ray found spots on his lungs, and he was supposed to go to New Orleans for further testing but never did.
\u201cThat would have took another two weeks being in a hospital over there,\u201d he said. \u201cI couldn\u2019t because I had to get back to work.\u201d
Noting he had no insurance, Herring said he received about $8,000 through the claims process \u2014 not enough to even pay hospital bills.
Herring\u2019s suit was thrown out in 2020 along with 235 other Nations cases, but he said he wasn\u2019t told.
Howard Nations said the firm communicated with clients about the status of their cases and although the individual suits were dismissed, he intends to go back to Judge Barbier with new arguments.
EXPERT WITNESSES
Other law firms met a different obstacle:
Workers filing individual lawsuits have to prove they were exposed to enough oil or dispersant to \u2014 more likely than not \u2014 cause their illness.
The workers\u2019 experts relied on studies, such as those from the National Institutes of Health and the Coast Guard, that found people exposed to oil and Corexit were more likely to develop certain illnesses.
But BP's experts maintained workers needed to show exactly how much oil and dispersant they had inhaled or ingested and that it was sufficient to cause their sickness.
Greenwald, the attorney who helped craft the settlement, said meeting such a standard is almost impossible: \u201cI mean, \u2018How deep did you breathe? Right at the moment you were standing there, was the wind blowing?'\" she said. \u201cWhat mortal human would be able to testify about that?\u201d
Most judges have sided with BP, rejecting workers' experts as unreliable and effectively ending the cases.
Sandler, the NIH epidemiologist, said its researchers went to great lengths to develop data on exposure like nothing ever been done before. \u201cI\u2019m not sure that they\u2019ll ever meet the standards that the court is imposing on what constitutes evidence,\u201d she said.
It also can be difficult to find an expert witness who knows the science but doesn't have a conflict of interest through work with the oil industry.
The Falcon Law Firm brought on Jerald Cook, a retired Navy physician trained in occupational and environmental medicine, as an expert on numerous cases. He was rejected again and again by judges as BP poked holes in his professional history and work.
\u201cYour report really doesn\u2019t balance the evidence favoring your conclusions with the evidence that disfavors your conclusions; isn\u2019t that fair?\u201d a BP attorney asked Cook in a deposition.
\u201cYeah. I think that\u2019s \u2014 that\u2019s fair,\u201d Cook replied.
He declined comment, and Falcon did not reply to requests for comment.
Some law firms that took on hundreds of cases have simply buckled under the strain, begging judges for more time so their overloaded experts could produce reports.
LOOKING FORWARD
It\u2019s not completely over.
The Downs Law Group, which has lost hundreds of cases against BP, is appealing in the 5th and the 11th U.S. Circuit Courts of Appeals, hoping they\u2019ll rule federal district judges have misconstrued the level of proof needed for toxic exposure cases. One of those judges said the issue is \u201cvery ripe for the Supreme Court to resolve.\"
\u201cIt has a broader reach than the BP oil spill,\u201d said Jason Clark, a Downs attorney. \u201cIf the burden is one that\u2019s too high for any plaintiff to meet, then a lot of people who are exposed ... are never going to see justice.\u201d
Meanwhile, Downs is talking to thousands of people interested in suing over illnesses such as cancer that emerged years after the spill, Clark said.
Sandler, the NIH epidemiologist, said the high burden of proof demanded by most judges means \u201cpeople can't win.\u201d
\u201cI think at the end of the day, did the oil from the oil spill make people sick? Yes,\u201d Sandler said. \u201cNow, courts may view this from a very different lens, but from a public health standpoint \u2014 yes, the oil spill made people sick.\u201d
___
The Associated Press receives support from the Walton Family Foundation for coverage of water and environmental policy. The AP is solely responsible for all content. For all of AP\u2019s environmental coverage, visit https://apnews.com/hub/climate-and-environment
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But before the Mississippi captain could make his first charter trip in 2010, the BP Deepwater Horizon drilling rig blew up 120 miles (193 kilometers) to the south, killing 11 people and sending many millions of gallons of oil into the sea.
As for many along the Gulf coast, the disaster changed Maas\u2019 life. Fishing stopped when oil contaminated the water, so he used his boat to help clean up the spill. It was nasty work under oppressive, humid heat in oily water and around the chemical dispersant Corexit deployed in massive quantities to break up oil.
Maas said the Corexit smelled like burning brake fluid and caused his eyes to water and skin to burn. \u201cYou were coughing and things like that. It\u2019s like tear gas almost,\u201d he said in an interview.
Four years later, he was diagnosed with chemically induced asthma. Today, the former Marine \u2014 who never smoked and always stayed fit, running with his dog on the beach and keeping up with fishermen 15 years younger \u2014 gets winded just walking around his deck at home.
BP paid criminal penalties for the disaster and would eventually spend billions of dollars to settle claims for economic damage and environmental devastation. But after more than a decade of litigation following the largest offshore U.S. oil spill, Maas may well be the only person to receive a BP settlement for his injuries through an individual lawsuit. Thousands of similar cases have been thrown out without ever going to a jury.
Maas succeeded where more than 99% failed by being smart, sometimes pig-headed and, in the end, lucky. His saga illustrates how extremely hard it is for workers who claim they were sickened by the spill to receive meaningful compensation.
Maas worked with four different law firms and even carried the case on his own for months, writing motions longhand on white legal pads and sending them via U.S. mail.
Finally, 12 years after the spill, BP agreed to pay Maas $110,000, according to a confidential copy provided to The Associated Press. The company denied liability for his illness. BP declined to comment for this story, citing ongoing litigation.
\u201cI know this is going to shorten my life tremendously,\u201d the 61-year-old Maas said of his illness. \u201cAnd I know I\u2019m going to have continued issues related to the spill.\u201d
BOAT CAPTAIN'S LONG ROAD
At every turn, Maas narrowly avoided the fate that befell others.
He first signed up with The Nations Law Firm, based in Houston, but dropped them in 2016 when legal fees shrank his $1,300 check from a class-action settlement between BP and cleanup workers' attorneys.
After two unhappy years with a second law firm that couldn't file his federal lawsuit due to paperwork problems, Maas hired a Miami-based law firm, which filed one in Louisiana in 2020.
Almost immediately, they butted heads. Maas says the firm sent him a declaration that his eyes were splashed with contaminated water while he picked up tar balls.
\u201cThis was a scripted thing for the dudes who walked down the beach in the (protective) suits with a little shovel, and a broom, and a bag,\u201d he said. \u201cI was a master boat captain.\u201d
Maas didn't like the mistake. He also wanted his case heard in Tennessee, where he had moved. This time, the law firm dumped Maas.
NEARING A WIN
Maas next pressed his case against BP on his own for nine months and got it moved to Tennessee.
\u201cI think most people would be very hesitant on writing their own motions to court, which I was, but I\u2019m dumb enough not to even be embarrassed by spelling things wrong and and not having it set up right,\u201d he said.
In late 2020, Maas secured the services of Tennessee attorney Ken Burger. Initially reluctant, Burger decided to get involved after examining spill worker injury suits.
\u201cThe more I looked at it, the madder I got,\u201d he recalled. \u201cMy frame of mind was, I don\u2019t give a damn if I don\u2019t get a dollar out of this. They\u2019re (BP) going to answer my questions.\u201d
As with hundreds of similar suits, BP tried to get Maas\u2019 thrown out by arguing he couldn\u2019t prove the exact level and duration of his exposures to oil and Corexit.
But Maas had two things going for him.
First was expert testimony from Corexit researcher Dr. Veena Antony, a professor of pulmonary and critical care medicine at the University of Alabama, who told the court she believes there\u2019s no safe level of the oil dispersant one could inhale. Maas and his deckhand had testified they were \u201ccrop dusted\u201d with Corexit, taking in lungsful.
The second advantage was that the federal judge in Tennessee who heard his case was less conservative than those in Gulf states when it came to proving a connection between toxic chemical exposure and illness.
\u201cMr. Maas does not have to establish he was exposed to a specific dose of Corexit\u201d for his case to continue, U.S. District Court Judge Waverly Crenshaw Jr. said in 2021, noting Maas\u2019 doctor testified the boat captain was exposed daily for a long period.
After the judge ordered mediation, BP settled.
BP never admitted wrongdoing, and Maas\u2019 attorney carefully frames the outcome: Unlike cases \u201cfrom New Orleans to Pensacola to Galveston to Tampa ... we were able to resolve Captain Maas\u2019 case in a manner agreeable to the parties.\u201d
Since Maas\u2019 case, the lawyer said many spill workers have asked him to take theirs, but he refused. \u201cI don\u2019t think any of these cases are winnable,\u201d he said.
And his Corexit expert witness says she\u2019s loath to testify in any more contentious cleanup suits.
\u201cAs a physician, I feel terrible for these people,\u201d Antony said. \u201cBut ... I\u2019m not a lawyer. I wish I was in some ways; I would fight for them.\u201d
___
The Associated Press receives support from the Walton Family Foundation for coverage of water and environmental policy. The AP is solely responsible for all content. For all of AP\u2019s environmental coverage, visit https://apnews.com/hub/climate-and-environment
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More than 90% of the country\u2019s 13,000 medical interns and residents have been on strike since late February, when the government announced a plan to recruit 2,000 more students next year. That would have increased the current cap of 3,058, which has been the same since 2006, by about two-thirds.
The government adopted a compromise proposal put forward by the presidents of six state-run universities on Thursday, under which medical schools will increase admissions over several years.
Doctors\u2019 groups have claimed that the universities would be unable to handle a steep increase in students and that it would undermine the quality of the country\u2019s medical services. Government officials say the country significantly needs more doctors to cope with the country\u2019s fast-aging population.
Announcing the compromise proposal, Prime Minister Han Duck-soo cited concerns that the prolonged strike by junior doctors is increasing the strain on hospitals.
Han said the country\u2019s 32 medical schools will be allowed to lower their quotas for new places by up to 50% of the target set by the government in 2025, meaning the number of new places could end up closer to 1,000 than 2,000.
Officials stressed that the compromise is temporary and that the schools will be required to finalize plans by April to increase their admissions by the full 2,000 by 2026.
Doctors' groups have called for the government to scrap the plan entirely.
\u201cThe government decided that the damage caused by the vacuums in healthcare services cannot be left unchecked and that bold decisions are needed, considering the demands by patients and broader public to solve the problem,\u201d Han said in a news conference, urging the striking doctors to return to work and negotiate with the government.
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Another woman learned that her fetus had no heartbeat at a Florida hospital, the day after a security guard turned her away from the facility. And in North Carolina, a woman gave birth in a car after an emergency room couldn't offer an ultrasound. The baby later died.
Complaints that pregnant women were turned away from U.S. emergency rooms spiked in 2022 after the U.S. Supreme Court overturned Roe v. Wade, federal documents obtained by The Associated Press reveal.
The cases raise alarms about the state of emergency pregnancy care in the U.S., especially in states that enacted strict abortion laws and sparked confusion around the treatment doctors can provide.
\u201cIt is shocking, it\u2019s absolutely shocking,\u201d said Amelia Huntsberger, an OB/GYN in Oregon. \u201cIt is appalling that someone would show up to an emergency room and not receive care -- this is inconceivable.\u201d
It's happened despite federal mandates that the women be treated.
Federal law requires emergency rooms to treat or stabilize patients who are in active labor and provide a medical transfer to another hospital if they don\u2019t have the staff or resources to treat them. Medical facilities must comply with the law if they accept Medicare funding.
The Supreme Court will hear arguments Wednesday that could weaken those protections. The Biden administration has sued Idaho over its abortion ban, even in medical emergencies, arguing it conflicts with the federal law.
\u201cNo woman should be denied the care she needs,\u201d Jennifer Klein, director of the White House Gender Policy Council, said in a statement. \u201cAll patients, including women who are experiencing pregnancy-related emergencies, should have access to emergency medical care required under the Emergency Medical Treatment and Labor Act (EMTALA).\u201d
Pregnant patients have \u201cbecome radioactive to emergency departments\u201d in states with extreme abortion restrictions, said Sara Rosenbaum, a George Washington University health law and policy professor.
\u201cThey are so scared of a pregnant patient, that the emergency medicine staff won\u2019t even look. They just want these people gone,\" Rosenbaum said.
Consider what happened to a woman who was nine months pregnant and having contractions when she arrived at the Falls Community Hospital in Marlin, Texas, in July 2022, a week after the Supreme Court\u2019s ruling on abortion. The doctor on duty refused to see her.
\u201cThe physician came to the triage desk and told the patient that we did not have obstetric services or capabilities,\u201d hospital staff told federal investigators during interviews, according to documents. \u201cThe nursing staff informed the physician that we could test her for the presence of amniotic fluid. However, the physician adamantly recommended the patient drive to a Waco hospital.\u201d
Investigators with the Centers for Medicare and Medicaid Services concluded Falls Community Hospital broke the law.
Reached by phone, an administrator at the hospital declined to comment on the incident.
The investigation was one of dozens the AP obtained from a Freedom of Information Act request filed in February 2023 that sought all pregnancy-related EMTALA complaints the previous year. One year after submitting the request, the federal government agreed to release only some complaints and investigative documents filed across just 19 states. The names of patients, doctors and medical staff were redacted from the documents.
Federal investigators looked into just over a dozen pregnancy-related complaints in those states during the months leading up to the U.S. Supreme Court's pivotal ruling on abortion in 2022. But more than two dozen complaints about emergency pregnancy care were lodged in the months after the decision was unveiled. It is not known how many complaints were filed last year as the records request only asked for 2022 complaints and the information is not publicly available otherwise.
The documents did not detail what happened to the patient turned away from the Falls Community Hospital.
Other pregnancies ended in catastrophe, the documents show.
At Sacred Heart Emergency Center in Houston, front desk staff refused to check in one woman after her husband asked for help delivering her baby that September. She miscarried in a restroom toilet in the emergency room lobby while her husband called 911 for help.
\u201cShe is bleeding a lot and had a miscarriage,\u201d the husband told first responders in his call, which was transcribed from Spanish in federal documents. \u201cI\u2019m here at the hospital but they told us they can\u2019t help us because we are not their client.\u201d
Emergency crews, who arrived 20 minutes later and transferred the woman to a hospital, appeared confused over the staff's refusal to help the woman, according to 911 call transcripts.
One first responder told federal investigators that when a Sacred Heart Emergency Center staffer was asked about the gestational age of the fetus, the staffer replied: \u201cNo, we can\u2019t tell you, she is not our patient. That\u2019s why you are here.\u201d
A manager for Sacred Heart Emergency Center declined to comment. The facility is licensed in Texas as a freestanding emergency room, which means it is not physically connected to a hospital. State law requires those facilities to treat or stabilize patients, a spokeswoman for the Texas Health and Human Services agency said in an email to AP.
Sacred Heart Emergency\u2019s website says that it no longer accepts Medicare, a change that was made sometime after the woman miscarried, according to publicly available archives of the center's website.
Meanwhile, the staff at Person Memorial Hospital in Roxboro, North Carolina, told a pregnant woman, who was complaining of stomach pain, that they would not be able to provide her with an ultrasound. The staff failed to tell her how risky it could be for her to depart without being stabilized, according to federal investigators. While en route to another hospital 45 minutes away, the woman gave birth in a car to a baby who did not survive.
Person Memorial Hospital self-reported the incident. A spokeswoman said the hospital continues to \u201cprovide ongoing education for our staff and providers to ensure compliance.\u201d
In Melbourne, Florida, a security guard at Holmes Regional Medical Center refused to let a pregnant woman into the triage area because she had brought a child with her. When the patient came back the next day, medical staff were unable to locate a fetal heartbeat. The center declined to comment on the case.
Emergency rooms are subject to hefty fines when they turn away patients, fail to stabilize them or transfer them to another hospital for treatment. Violations can also put hospitals' Medicare funding at risk.
But it\u2019s unclear what fines might be imposed on more than a dozen hospitals that the Biden administration says failed to properly treat pregnant patients in 2022.
It can take years for fines to be levied in these cases. The Health and Human Services agency, which enforces the law, declined to share if the hospitals have been referred to the agency's Office of Inspector General for penalties.
For Huntsberger, the OB-GYN, EMTALA was one of the few ways she felt protected to treat pregnant patients in Idaho, despite the state's abortion ban. She left Idaho last year to practice in Oregon because of the ban.
The threat of fines or loss of Medicare funding for violating EMTALA is a big deterrent that keeps hospitals from dumping patients, she said. Many couldn't keep their doors open if they lost Medicare funding.
She has been waiting to see how HHS penalizes two hospitals in Missouri and Kansas that HHS announced last year it was investigating after a pregnant woman, who was in preterm labor at 17 weeks, was denied an abortion.
\u201cA lot of these situations are not reported, but even the ones that are \u2014 like the cases out of the Midwest \u2014 they're investigated but nothing really comes of it,\u201d Huntsberger said. \u201cPeople are just going to keep providing substandard care or not providing care. The only way that changes is things like this.\u201d
President Joe Biden and top U.S. health official Xavier Becerra have both publicly vowed vigilance in enforcing the law.
Even as states have enacted strict abortion laws, the White House has argued that if hospitals receive Medicare funds they must provide stabilizing care, including abortions.
In a statement to the AP, Becerra called it the \u201cnation's bedrock law protecting Americans' right to life- and health-saving emergency medical care.\u201d
\u201cAnd doctors, not politicians, should determine what constitutes emergency care,\" he added.
Idaho\u2019s law allows abortion only if the life, not the health, of the mother is at risk. But the state's attorney general has argued that its abortion ban is \u201cconsistent\u201d with federal law, which calls for emergency rooms to protect an unborn child in medical emergencies.
\"The Biden administration has no business rewriting federal law to override Idaho\u2019s law and force doctors to perform abortions,\u201d Idaho Attorney General Ra\u00fal Labrador said in a statement earlier this year.
Now, the Supreme Court will weigh in. The case could have implications in other states like Arizona, which is reinstating an 1864 law that bans all abortions, with an exception only if the mother's life is at risk.
EMTALA was initially introduced decades ago because private hospitals would dump patients on county or state hospitals, often because they didn\u2019t have insurance, said Alexa Kolbi-Molinas of the American Civil Liberties Union.
Some hospitals also refused to see pregnant women when they did not have an established relationship with physicians on staff. If the court nullifies or weakens those protections, it could result in more hospitals turning away patients without fear of penalty from the federal government, she said.
\u201cThe government knows there\u2019s a problem and is investigating and is doing something about that,\u201d Kolbi-Molinas said. \u201cWithout EMTALA, they wouldn\u2019t be able to do that.\u201d
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\u201cWe have not been able to get a fix from our lawmakers, our politicians. We are going to seek a fix from our people,\u201d Melanie Folwell, a spokeswoman for Idahoans United for Women and Families, said Friday morning. \u201cThe people in Idaho understand the contours of this problem.\u201d
Idaho has several anti-abortion laws on the books, including one that makes performing abortions a crime even in medical emergencies unless they are done to save the life of the pregnant patient. The federal government has sued Idaho over the ban, contending it violates a federal law that requires hospitals to provide stabilizing care \u2014 including abortion \u2014 if a patient's life or health is at serious risk.
Idaho's attorneys say the ban allows for life-saving procedures for things like ectopic pregnancies, and they contend the Biden administration is trying to create a federal \u201cabortion loophole\u201d at Idaho hospitals.
The U.S. Supreme Court will hear arguments in that case on Wednesday.
Idahoans United for Women and Families is fundraising and hopes to have one or more ballot initiatives ready to propose this summer in an effort to get them on the 2026 ballot, Folwell said.
Across the country, there have been increased efforts to put abortion rights questions to voters since the U.S. Supreme Court overturned Roe v. Wade and removed the nationwide right to abortion. Voters in seven states have sided with abortion rights supporters on ballot measures, and several other states have signature drives for future ballot initiatives underway.
Cynthia Dalsing, a certified nurse midwife in northern Idaho and a board member for Idahoans United for Women and Families, said her region went from offering a \u201cpremiere obstetric range of services\u201d to becoming a maternal care desert after the four local obstetricians moved out of state.
Pregnant women in the state's panhandle now must either travel as much as 80 miles away or leave the state entirely for obstetric care, Dalsing said. Some are delivering babies at home because of a lack of other options, she said.
Roughly one-quarter of Idaho obstetricians have stopped practicing since a near-total abortion ban took effect in August 2022, along with about half of the state's maternal fetal medicine doctors, according to data compiled by the Idaho Physician Well-Being Action Collaborative. Three hospitals have closed their labor and delivery units.
Some physicians and businesses are warning that the abortion bans carry other ripple effects as well.
During a news conference on Thursday, Dr. Jim Souza said the reduced access to prenatal health care means some dangerous pregnancy conditions will be diagnosed later than normal. Souza, the chief physician executive at the Boise-based St. Luke's Health System, said that could lead to increased need for intensive medical treatment for newborns or expensive medical interventions for mothers that could have been avoided with better access to obstetric care.
A coalition of groups including the U.S. Women's Chamber of Commerce, Levi Strauss & Co., Yelp, Lyft and Match Group Inc. which runs dating apps like Tinder filed a friend-of-the court brief in the U.S. Supreme Court case contending that the abortion bans make it harder to recruit and retain workers and lead to increased time off of work for those who have to travel elsewhere for care.
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Nevada\u2019s Supreme Court upheld the state\u2019s ban on ghost guns Thursday, overturning a lower court\u2019s ruling that had sided with a gun manufacturer\u2019s argument the 2021 law regulating firearm parts with no serial numbers was unconstitutionally vague. The high court said in a unanimous decision Thursday the law's language passes legal muster. Abortion rights advocates cheered the other ruling in a fight over a voter petition on reproductive health care. But they've since replaced it with another petition they're confident will qualify for the November ballot focused specifically on abortion rights.", + "bylines": [ + { + "by": "By SCOTT SONNER", + "title": "Associated Press" + } + ], + "located": "RENO, Nev.", + "datelinelocation": { + "city": "Reno", + "countryareacode": "NV", + "countryareaname": "Nevada", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -119.8138, + 39.52963 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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(AP) \u2014 Nevada's Supreme Court upheld a state ban on ghost guns Thursday, overturning a lower court's ruling that sided with a gun manufacturer's argument that the 2021 law regulating firearm components with no serial numbers was too broad and unconstitutionally vague.
Separately the court handed a setback to anti-abortion activists in a fight over a voter initiative that no longer was headed to the November ballot anyway, a decision that abortion rights' advocates say nonetheless helps establish important legal guidelines regarding overall reproductive health care.
The gun law had previously been struck down by Lyon County District Judge John Schlegelmilch, who ruled in favor of a legal challenge by Nevada-based gun manufacturer Polymer80 Inc. that said the statute was too vague.
Among other things, Polymer80 argued, terms such as \u201cblank,\u201d \u201ccasting,\u201d and \u201cmachined body\u201d were not defined, while \u201cunfinished frame or receiver\u201d failed to specify what a \u201cfinished\u201d frame or receiver is.
In upholding the statute, the Supreme Court said in a unanimous decision that the language that lawmakers approved and then-Gov. Steve Sisolak signed was \u201creadily\u201d understandable through ordinary usage and common understanding.
\u201cThe statutes here only regulate conduct involving an object that is intended to ultimately become a firearm,\u201d Chief Justice Lydia Stiglich wrote in the ruling. \u201cThey prohibit acts involving such not-yet-complete firearms that have not been imprinted with a serial number. \u201d
She noted in the ruling that Polymer80's \u201cown legal counsel had written letters to the U.S. Bureau of Alcohol, Tobacco and Firearms that included the words \u2018blank,\u2019 \u2018casting,\u2019 and \u2018machined\u2019 in reference to its own products, showing that these terms are commonly understood.\u201d
The fact that the terms were \u201cgeneric and broad\u201d does not make them vague, Stiglich added.
Nevada Attorney General Aaron Ford, a Democrat who filed the appeal on the state's behalf in December 2021, said the ruling \u201cis a win for public safety and creates sensible, practical measures to protect Nevadans from violent crime.\u201d
\u201cThe ban on \u2018ghost guns\u2019 is one of the most impactful pieces of legislation that we have seen come through Carson City,\u201d he said in a statement.
Polymer80's legal counsel did not immediately respond to emails from The Associated Press seeking comment.
In the other decision Thursday, the high court rejected a Carson City judge's ruling that the initiative's description was misleading and violated requirements that it address a single subject by including abortion rights under the umbrella of reproductive health care.
\u201cThe medical procedures considered in the initiative petition concern reproduction. To assert that they could not all be addressed together because they are separate procedures is improper,\u201d the Supreme Court said. \u201cEach medical procedure relates to human reproduction and they are germane to each other and the initiative\u2019s single subject of establishing a right to reproductive freedom.\u201d
Abortion rights advocates hailed the decision even though they have already shifted their focus to a different and narrower initiative, which seeks to amend the state constitution and which they are are confident will make the November ballot after a judge ruled that it had met legal muster.
\u201cToday\u2019s ruling is an unequivocal recognition of what we\u2019ve always know to be true: The right to reproductive freedom includes all aspects of a person\u2019s reproductive health care,\u201d Lindsey Harmon, president of Nevadans for Reproductive Freedom, said in a statement.
A lawyer representing a group that was fighting the voter initiative, the Coalition for Parents and Children, said expressed disappointment.
\u201cThe Court has transformed the single-subject rule into the single-category rule, which will open the floodgates to broad and deceptive initiative proposals like the one at issue in this case,\u201d Jason Guinasso said via email. \u201cMy clients will now focus on educating the voters on why this proposal is bad law and policy for Nevadans.\u201d
Harmon said her group has gathered more than 160,000 signatures for the new ballot initiative \u2014 well above the 102,000 required by June 26 \u2014 and intends to submit them for validation that month. The measure would enshrine in the constitution current protections under a 1990 law that guarantee access to abortion through 24 weeks of pregnancy, or later to protect the health of the pregnant person.
Voters would need to approve it in both 2024 and 2026 to change the constitution.
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With AP Photos.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "US-Asbestos Town-Railroad", + "headline": "BNSF Railway says it didn't know about asbestos that's killed hundreds in Montana town", + "headline_extended": "BNSF Railway attorneys told Montana that the railroad should not be held liable for the lung cancer deaths of two former residents of an asbestos-contaminated Montana town", + "slugline": "BC-US-Asbestos-Town-Railroad, 3rd Ld-Writethru", + "description_summary": "BNSF Railway attorneys told Montana that the railroad should not be held liable for the lung cancer deaths of two former residents of an asbestos-contaminated Montana town. Railroad attorney Chad Knight said the the W.R. Grace mining company did not tell them that the vermiculite it was hauling around the country was dangerous. The town of Libby, Montana, is among the deadliest sites in the federal Superfund pollution program. The estates of the deceased plaintiffs say dust from a rail yard sickened and killed them. The jury was meeting briefly Friday and planned to resume deliberations on Monday.", + "bylines": [ + { + "by": "By MATTHEW BROWN and AMY BETH HANSON", + "title": "Associated Press" + } + ], + "located": "HELENA, Mont.", + "datelinelocation": { + "city": "Helena", + "countryareacode": "MT", + "countryareaname": "Montana", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -112.03611, + 46.59271 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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(AP) \u2014 BNSF Railway attorneys told a Montana jury Friday that the railroad should not be held liable for the lung cancer deaths of two former residents of an asbestos-contaminated Montana town, one of the deadliest sites in the federal Superfund pollution program.
Attorneys for the company say the corporate predecessors of the railroad, owned by Warren Buffett\u2019s Berkshire Hathaway conglomerate, didn't know the vermiculite they hauled over decades from a nearby mine was filled with hazardous microscopic asbestos fibers or that asbestos was dangerous.
BNSF attorney Chad Knight said the railroad could only be held liable if it could have foreseen the health hazards of asbestos based on information available decades ago when the alleged exposures happened.
\u201cIn the 50s, 60s and 70s no one in the public suspected there might be health concerns,\u201d Knight said.
The case in federal civil court is the first of numerous lawsuits against the Texas-based railroad corporation to reach trial over its past operations in Libby, Montana. Current and former residents of the small town near the U.S.-Canada border want BNSF held accountable for its alleged role in asbestos exposure that health officials say has killed several hundred people and sickened thousands.
The seven-member jury met briefly Friday and planned to resume deliberations on Monday morning. They were instructed to decide if the railroad was at fault in the deaths and if so, the amount of damages to award to their estates. If the jurors find that the railroad should also face punitive damages, a separate hearing would determine that amount.
Looming over the proceedings is W.R. Grace & Co., a chemical company that operated a mountaintop vermiculite mine 7 miles (11 kilometers) outside of Libby until it was closed 1990. The Maryland-based company played a central role in Libby's tragedy and has paid significant settlements to victims.
U.S. District Court Judge Brian Morris has referred to the the chemical company as \u201cthe elephant in the room\u201d in the BNSF trial. He reminded jurors several times that the case was about the railroad's conduct, not W.R. Grace's separate liability.
How much W.R. Grace revealed about the asbestos dangers to Texas-based BNSF and its corporate predecessors has been sharply disputed. The plaintiffs argued that railroad higher-ups were aware, but that workers on the ground in Libby were left out of the loop.
\u201cWe're here to make a party that accepts zero responsibility accept an appropriate amount of responsibility,\u201d plaintiffs' attorney Mark Lanier said. \u201cThis is the fault of the bigwigs in the corporate office.\u201d
The judge instructed the jury it could only find the railroad negligent based on its actions in the Libby Railyard, not for hauling the vermiculite.
The railroad said it was obliged under law to ship the vermiculite, which was used in insulation and for other commercial purposes. It said W.R. Grace employees had concealed the health hazards from the railroad.
Former railroad workers said during testimony and in depositions that they knew nothing about the risks of asbestos. They said Grace employees were responsible for loading the hopper cars, plugging the holes of any cars leaking vermiculite and occasionally cleaned up material that spilled in the rail yard.
The estates of the two deceased plaintiffs have argued that the W.R. Grace\u2019s actions don\u2019t absolve BNSF of its responsibility for failing to clean up the vermiculite that spilled in the railyard in the heart of the community.
Their attorneys said BNSF should have known about the dangers because Grace put signs on rail cars carrying vermiculite warning of potential health risks. They showed jurors an image of a warning label allegedly attached to rail cars in the late 1970s that advised against inhaling the asbestos dust because it could cause bodily harm.
Family members of Tom Wells and Joyce Walder testified that their lives ended soon after they were diagnosed with mesothelioma. The families said the dust blowing from the rail yard sickened and killed them.
In a March 2020 video of Wells played for jurors and recorded the day before he died, he lay in a home hospital bed, struggling to breathe.
\u201cI\u2019ve been placed in a horrible spot here, and the best chance I see at release \u2014 relief for everybody \u2014 is to just get it over with,\u201d he said. \u201cIt\u2019s just not something I want to try and play hero through because I don\u2019t think that there\u2019s a miracle waiting.\u201d
The Environmental Protection Agency descended on Libby after the 1999 news reports. In 2009 it declared in Libby the nation\u2019s first ever public health emergency under the federal Superfund cleanup program.
The pollution in Libby has been cleaned up, largely at public expense. Yet the long timeframe over which asbestos-related diseases develop means people previously exposed are likely to continue getting sick for years to come, health officials say.
___
Brown reported from Billings, Montana.
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Given that the topic is 'Health,' the document is highly relevant as it addresses significant health concerns related to asbestos exposure and its long-term effects on the community." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/04/20/18e5f726a9f6d04b2fa26036bbdcbb6f.json b/datasets/AP_news/raw_data/2024/04/20/18e5f726a9f6d04b2fa26036bbdcbb6f.json new file mode 100644 index 0000000..ff7267a --- /dev/null +++ b/datasets/AP_news/raw_data/2024/04/20/18e5f726a9f6d04b2fa26036bbdcbb6f.json @@ -0,0 +1,307 @@ +{ + "altids": { + "itemid": "18e5f726a9f6d04b2fa26036bbdcbb6f", + "etag": "18e5f726a9f6d04b2fa26036bbdcbb6f_0a11aza0c0", + "friendlykey": "803041548565", + "referenceid": "US--Pregnant Workers-What to Know" + }, + "version": 0, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-04-20T13:04:14Z", + "firstcreated": "2024-04-20T13:04:13Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: Updates Media.", + "signals": [ + "newscontent" + ], + "title": "US--Pregnant Workers-What to Know", + "headline": "Morning sickness? Prenatal check-ups? What to know about new rights for pregnant workers", + "headline_extended": "Pregnant workers have the right to a wide range of accommodations under new federal regulations for enforcing the Pregnant Workers Fairness Act", + "slugline": "AP-US--Pregnant Workers-What to Know", + "description_summary": "Pregnant workers have the right to a wide range of accommodations under new federal regulations for enforcing the Pregnant Workers Fairness Act. The Equal Employment Opportunity Commission adopted an expansive view of conditions related to pregnancy and childbirth in its proposed regulations. It drew condemnation from Republican lawmakers who had championed the bipartisan law by including abortion, fertility treatment and birth control as medical issues requiring job protections. The rules also offer extensive guidelines for workers and employers of 15 or more people to address the routine difficulties of pregnancy, such as morning sickness and needing more frequent bathroom breaks. The EEOC estimates the fairness law will cover roughly 1.5 million pregnant workers a year.", + "bylines": [ + { + "by": "By ALEXANDRA OLSON and CLAIRE SAVAGE", + "title": "AP Business Writers" + } + ], + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. For other uses, additional clearances may be required." + ], + "keywords": [ + "pregnant workers fairness act abortion women accomodations" + ], + "provider": "AP", + "infosource": [ + { + "name": "AP", + "type": "AP" + } + ], + "person": [ + { + "scheme": "http://cv.ap.org/id/", + "code": "1e7a517b4d97453d931bb1159cdc97ae", + "name": "Ken Paxton", + "creator": "Machine", + "rels": [ + "direct" + ], + "types": [ + "POLITICIAN", + "PERSON" + ], + "relevance": 37 + } + ], + "subject": [ + { + "rels": [ + "category" + ], + "creator": "Editorial", + "code": "f", + "name": "f" + }, + { + "rels": [ + "category" + ], + "creator": "Editorial", + "code": "l", + "name": "l" + }, + { + "rels": [ + "category" + ], + "creator": "Editorial", + "code": "a", + "name": "a" + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "5c5d7bb889c01004859dd56c852d093e", + "name": "Workplace culture", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 56 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "e22e35087de410048fc2df092526b43e", + "name": "Abortion", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 45 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "c8e409f8858510048872ff2260dd383e", + "name": "Business", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 32 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "86aad5207dac100488ecba7fa5283c3e", + "name": "Politics", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 66 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "523699d088e910048f43f8851349f9bd", + "name": "Government regulations", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 92 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "ec2db49888e810048c93f8851349f9bd", + "name": "Labor", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 86 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "e2305bd07de410048fcfdf092526b43e", + "name": "Pregnancy and childbirth", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 79 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "a4677d70863b4012b846a1b00f5079f5", + "name": "U.S. news", + "creator": "Editorial", + "editorial_subject": "U.S. news", + "rels": [ + "direct" + ], + "relevance": 75 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "f25af2d07e4e100484f5df092526b43e", + "name": "General news", + "creator": "Editorial", + "editorial_subject": "General news", + "rels": [ + "direct" + ], + "relevance": 50 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "abfca78268874726966cdad8c35c4ae3", + "name": "Washington news", + "creator": "Editorial", + "editorial_subject": "Washington news", + "rels": [ + "direct" + ], + "relevance": 75 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "cc7a76087e4e10048482df092526b43e", + "name": "Health", + "creator": "Editorial", + "editorial_subject": "Health", + "rels": [ + "direct" + ], + "relevance": 75 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "3e37e4b87df7100483d5df092526b43e", + "name": "Lifestyle", + "creator": "Editorial", + "editorial_subject": "Lifestyle", + "rels": [ + "direct" + ], + "relevance": 75 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "c8e409f8858510048872ff2260dd383e", + "name": "Business", + "creator": "Editorial", + "editorial_subject": "Business", + "rels": [ + "direct" + ], + "relevance": 99 + } + ], + "place": [ + { + "scheme": "http://cv.ap.org/id/", + "code": "6e92d9b882c7100488e5df092526b43e", + "name": "Texas", + "creator": "Machine", + "rels": [ + "direct" + ], + "parentids": [ + "661e48387d5b10048291c076b8e3055c" + ], + "locationtype": { + "code": "0ae5eb8e00e04295a4fc209c94bfe6ef", + "name": "State" + }, + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -99.25061, + 31.25044 + ] + }, + "relevance": 34, + "parentnames": [ + "United States" + ] + } + ], + "audiences": [ + { + "code": "82c6a4c46fa0446090a7acaf93159e4c", + "name": "Print", + "type": "AUDPLATFORM" + }, + { + "code": "9add4649b53b4702ba7d9de5d4fa607a", + "name": "Online", + "type": "AUDPLATFORM" + }, + { + "code": "f43adc08760d10048040e6e7a0f4673e", + "name": "National", + "type": "AUDSCOPE" + }, + { + "code": "f4ecf9b0760d10048044e6e7a0f4673e", + "name": "International", + "type": "AUDSCOPE" + }, + { + "code": "661850e07d5b100481f5c076b8e3055c", + "name": "Latin America and Caribbean", + "type": "AUDGEOGRAPHY" + }, + { + "code": "661e48387d5b10048291c076b8e3055c", + "name": "United States", + "type": "AUDGEOGRAPHY" + } + ], + "associations": { + "1": { + "altids": { + "itemid": "19ff92748b414e0bac95b1d60a7e1055" + }, + "type": "picture" + } + }, + "body_nitf": "Pregnant employees have the right to a wide range of accommodations under new federal regulations for enforcing the Pregnant Workers Fairness Act that supporters say could change workplace culture for millions of people.
The Equal Employment Opportunity Commission, the agency in charge of enforcing the law, adopted an expansive view of conditions related to pregnancy and childbirth in its proposed regulations, including a controversial decision to include abortion, fertility treatment and birth control as medical issues requiring job protections.
The rules, which were adopted on a 3-2 vote along partisan lines, were published Monday and offer extensive guidelines for addressing more routine difficulties of pregnancy, such as morning sickness, back pain and needing to avoid heavy lifting. Labor advocates say the law will be especially transformative for pregnant women in low-wage jobs, who are often denied simple requests like more bathroom breaks.
Here's what to know about the law and the EEOC regulations.
Congress passed the law with bipartisan support in December 2022 following a decade-long campaign by women's rights and labor advocates, who argued that the 1978 Pregnancy Discrimination Act did little to guarantee women would receive the accommodations they might need at work.
The law stated only that pregnant workers should be treated the same as other employees, not that they deserved special consideration. To get their requests met, many pregnant workers therefore needed to demonstrate they had physical limitations covered under the Americans With Disabilities Act, often creating insurmountable hurdles.
The new law treats pregnancy and related conditions as themselves deserving of \u201creasonable accommodations\u201d and places the burden on employers to prove \u201cundue hardships\u201d for denying any requests.
The law applies to employers of at least 15 workers. The EEOC estimates it will cover roughly 1.5 million pregnant workers in any given year. The EEOC regulations published April 15 are set to go into effect in June.
The EEOC's 400-page document encompasses a wide array of conditions and relevant advice for employers.
It states that workers are entitled to unpaid time off for situations such as prenatal appointments, fertility treatments, abortion, miscarriage, postpartum depression and mastitis, an infection that arises from breastfeeding. This includes workers who are not covered by federal family leave laws and those who have not been on the job long enough to accrue time off.
Workers can ask for flexible working arrangements to deal with morning sickness, such as a later start time, clearance to work from home or permission to carry snacks in workplaces where eating is typically prohibited. If they can't sit or stand for extended periods due to sciatica, which is common in late pregnancy, they can request a schedule adjustment so their commutes happen during less crowded hours.
The regulations also allow workers to be exempted from tasks such as climbing ladders or heavy lifting. If those duties are essential to their jobs, they can still request a temporary dispensation, according to the EEOC.
Employers don\u2019t have to accommodate workers exactly as requested but they must offer reasonable alternatives. They cannot deny a request without clearing a high bar to prove doing so would cause \u201cundue hardships\u201d for the organization\u2019s finances or operations. They cannot force workers to take unpaid leave if a reasonable accommodation is available.
The EEOC emphasizes that it \u201cshould not be complicated or difficult\u201d for pregnant workers to request accommodations. Workers don't have to make requests in writing, use specific words, cite any laws, or in most cases, provide documentation such as doctors' notes. Employers must respond quickly and have a conversation about how to reasonably accommodate a worker\u2019s needs.
Still, legal experts advise both workers and employers to document the process. A Better Balance, the non-profit that spearheaded the 10-year campaign for the law's passage, advises workers to familiarize themselves with their legal rights and be as specific as possible about their limitations and the changes they they need.
Workers who believe a request was denied illegally can file a complaint with the EEOC. They have 180 days to do so, though the deadline can be extended in some states.
The EEOC included abortion among the conditions covered under the law. The rules state, however, that employers are not obligated to cover expenses related to the procedure or to offer health insurance that does.
The EEOC regulations argue that including abortion is consistent with the agency's longstanding interpretation of other laws under Title VII of the 1964 Civil Rights Act, including the Pregnancy Discrimination Act.
But the decision drew condemnation from Republican lawmakers who had championed the law's passage. The five-member EEOC's two Republican members voted against the regulations.
In a statement explaining her dissent, Commissioner Andrea Lucas said the agency broadened the scope of the law \u201cto reach virtually every condition, circumstance, or procedure that relates to any aspect of the female reproductive system\" in ways that \"cannot reasonably be reconciled with the text\" of the law.
Melissa Losch, a labor and employment attorney at the New Orleans-based firm McGlinchey Stafford, said she expects the regulations to give rise to further litigation. Losch cited the example of a worker living in a state with a restrictive abortion law requesting time off to undergo the procedure in another state. The EEOC rules provide \u201cno good answer\u201d about whether granting such a request would conflict with restrictive state abortion laws, she added.
On February 27, a federal judge blocked enforcement of the Pregnant Workers Fairness Act for Texas state employees, a ruling that came in response to a lawsuit filed by Texas Attorney General Ken Paxton. Paxton argued the law was unconstitutional because it was part of a spending bill that passed in the House without a majority of members present, and the judge ruled in his favor.
Gedmark, of A Better Balance, said she was optimistic the Biden administration would prevail in its expected appeal of the ruling. In the meantime, federal and private sectors workers in Texas are covered by the law.
But in her dissenting statement, Lucas warned that if the Texas case or any future lawsuits succeed in overturning the law, the EEOC's divisive rules have \u201call but extinguished\u201d the chances of a bipartisan effort to reenact it.
Employers have been obligated to abide by the Pregnant Workers Fairness Act since it took effect on June 27, 2023, though the EEOC regulations provided guidance on how to do so.
The law swiftly made a difference to many low-wage workers, according to Gedmark.
A Better Balance, which operates a helpline, has \u201cheard an overwhelmingly positive experience from workers,\u201d she said. Last summer, the organization worked with some women whose employers stopped resisting requests for accommodations as soon as the law took effect, Gedmark said.
Some workers reported their employers were still operating under the old legal framework, handing them pages of disability paperwork to fill out in response to requests.
The EEOC said it received almost 200 complaints alleging violations of the law by the time the fiscal year ended on Sept. 30, 2023.
Gedmark said the success of the law will depend on enforcement and raising awareness.
\u201cIf workers don\u2019t know about the law and don\u2019t know about their rights, then it really undermines the purpose of the law,\u201d she said.
____
The Associated Press\u2019 women in the workforce and state government coverage receives financial support from Pivotal Ventures. AP is solely responsible for all content. Find AP\u2019s standards for working with philanthropies, a list of supporters and funded coverage areas at AP.org.
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Editorial: Housing urgency
Most Buckeye State residents have understood Ohio has a big housing problem for years now. For those seeking a house or apartment, the crisis is unavoidable. But state lawmakers are just getting around to a sense of urgency on the matter.
The Ohio Senate Select Committee on Housing released a report Wednesday that includes 93 pages on \u201cHousing Reimagined.\u201d According to WBNS, there are 23 recommendations outlined for both short-term and long-term fixes.
\u201cWe can no longer be casual about this issue,\u201d said Committee Chair Sen. Michele Reynolds, R-Dist. 3. \u201cIt is a priority and we need to make it a priority because we\u2019re facing challenges that are increasingly getting worse.\u201d
Ideas for tackling the crisis that has kept mortgage and rental rates high include creating a housing dashboard to increase transparency about pricing, rates, housing inventory and foreclosures; encouraging alternatives such as modular or tiny homes; reviewing consumer protections in the home-buying process; updating codes for renters and looking at property taxes and incentives for builders, according to WBNS.
It\u2019s a great start, as long as lawmakers and other public officials keep up the momentum and remain determined to reverse this crisis.
\u201cTo be categorically clear, we must recognize that there is still work to be done. Together we can build a future where every Ohioan has a place to call home,\u201d said state Sen. Hearcel Craig, D-Dist. 15, according to WBNS.
It\u2019s a wonderful thought. But it will take cooperation from communities, counties, regional development authorities \u2014 maybe even financial institutions \u2014 to make it happen. It is certainly an effort for which it is worth pulling together. The question is: Can we?
___
Sandusky Register. April 20, 2024.
Editorial: Focus on protecting kids
It\u2019s downright frustrating that someone from somewhere would make a hoax call and tell a police dispatcher they intend to shoot up a school. It\u2019s mean and cruel, and intended to make kids scared.
That has happened, however, in communities across the state and nation. It\u2019s called \u201cswatting,\u201d which means the caller wants to provoke a police response with a false claim that officers are needed at a specific location. This monster is targeting schools.
So far police and state investigators have been unable to trace any local calls back to a source. It\u2019s \u201cdifficult to track them down. Not impossible,\u201d Hancock County Prosecutor Phillip Riegle said. If a suspect is identified the charges will likely be very serious, he said, felonies that could result in years behind bars.
Swatting this way is a kind of punishment, somehow, that our kids, who already are too conscious and aware of past school shootings and massacres, must endure.
Teachers, administrative staffs and other school employees also must endure the stress and concern these crank calls create, and police, too. To a passerby or someone near the school it was startling to see so many police cruisers with sirens and flashers speeding toward our schools. It is good to know they are ready and willing to serve when called. There\u2019s a lot of gratitude for that in our communities.
Swatting might best be described as a vicious and hateful act, a sickening disruption for students, teachers and staff, police and parents. It is also a felony crime that police and prosecutors say will be pursued once a suspect is found. We hope lawmakers will look for ways to reduce gun violence and restrict people who should not have guns from getting them.
Children and their frightened parents would be better served if lawmakers focused more on issues of life and death, gun violence, sexual assault rather than micromanaging school professionals and curriculum. Some lawmakers in Ohio and across the nation make clear what they won\u2019t do \u2014 with all due and proper respect to the Second Amendment \u2014 but they never say what they can do to reduce these violent massacres that happen in our schools.
Ohioans and all Americans deserve safe schools and officeholders who work to improve our schools. It\u2019s not too much to ask.
___
Chronicle-Telegram. April 19, 2024.
Editorial: Tinkering with term limits
We have never made a secret of our dislike of term limits.
They limit the options of voters, who are the best equipped to decide when it\u2019s time for a particular lawmaker to go.
Nor have they worked out the way that voters probably intended when they limited members of the state House and Senate to eight years of service in each chamber. (Lawmakers can serve four consecutive two-year terms in the House and two consecutive four-year terms in the Senate.)
That\u2019s because lawmakers have proved adept at jumping between chambers when their time in one is up.
State Rep. Gayle Manning, R-North Ridgeville, and her son, state Sen. Nathan Manning, R-North Ridgeville, are a prime example of that practice. Back in 2018, the elder Manning was approaching the end of her second term in the Senate, where she served as minority whip.
Rather than retire, she ran for her son\u2019s House seat, while he sought her Senate seat. They both won and have continued to do so ever since. Nathan Manning won a second term in the Senate two years ago, and Gayle Manning is running for her fourth term in the House this year.
The Mannings aren\u2019t the only state-level politicians who have bounced or tried to bounce from chamber to chamber.
Senate President Matt Huffman, R-Lima, is trying to do exactly that now as he nears the end of his second Senate term. He\u2019s running for a House seat and already is eyeing a challenge to House Speaker Jason Stephens, R-Kitts Hill, for the speaker\u2019s gavel if he wins. (Stephens is running for reelection to what would be his fourth term.)
Both men have expressed an openness to eliminating or changing the current term-limit rules. To do so they would need to persuade voters to amend the Ohio Constitution. (Voters approved the amendment imposing term limits in 1992.)
This isn\u2019t the first time the idea of modifying term limits has come up in Columbus.
Former Speaker Larry Householder, R-Glenford, was exploring changes to term limits before his career imploded in scandal when the FBI arrested him in connection with a $60 million bribery scheme in 2020. He is now serving a 20-year prison sentence after being convicted of federal corruption charges.
The Associated Press reported in 2020 that the proposal then under consideration would have imposed a lifetime limit of 16 years of state legislative service.
Although the idea never made it to the ballot, it conveniently would have allowed existing lawmakers to start the term-limit clock over. Under existing term limits Householder, for instance, would have had to leave the House in 2025, but the proposal would have allowed him to stick around through 2037.
Stephens said in December that he wasn\u2019t necessarily suggesting the elimination of term limits, but he also pointed out that about one-quarter of lawmakers are freshmen at the start of each new General Assembly, the Statehouse News Bureau reported.
\u201cYou come in and boom! You\u2019ve got $100 million in budget to figure out in six months. And you don\u2019t even know where the bathrooms are,\u201d Stephens said.
This, of course, leads to another problem with term limits. Because so many lawmakers are inexperienced, they often rely heavily on staffers to help them navigate the Statehouse. Depending on the staffer, that can be good or bad.
Worse, some inexperienced lawmakers are more susceptible to lobbyists who know the system, giving outsized power to people whose names are virtually unknown to most Ohioans.
Huffman has suggested that rather than an end to term limits, lawmakers could be limited to a total of 16 years of service, the Ohio Capital Journal reported. The idea seems to be that rather than jump between chambers, a lawmaker would be able to serve 16 years in one chamber.
Perhaps that would be a compromise worth exploring, but we aren\u2019t certain if it would do much to improve the functioning of the Statehouse. Thanks to GOP gerrymandering, Republicans hold veto-proof majorities in both chambers.
Unfortunately, state legislative districts are drawn in such a way that most races are decided in the primary rather than the general election.
This has allowed Republican lawmakers to pursue their agenda largely without much regard for what anyone other than GOP primary voters think.
No better example exists of lawmakers\u2019 fealty to right-wing voters than last year\u2019s failed effort to make it more difficult to amend the state Constitution as a way to block approval of an amendment to enshrine abortion and other reproductive rights in the Constitution. About 57 percent of Ohio voters rejected that idea in August and roughly the same percentage backed the abortion-rights amendment in November.
All of which leads us to the suspicion that the current interest in revisiting term limits is more about protecting the power of certain GOP lawmakers than improving state government.
If Huffman and Stephens want voters to change how term limits work, they\u2019re going to have to make the case that it would be good for all Ohioans, not just a few lawmakers.
___
Youngstown Vindicator. April 15, 2024.
Editorial: Minority health gaps in Ohio must be closed
\u201cOf all the forms of inequality, injustice in health is the most shocking and inhumane.\u201d
\u2014 Dr. Martin Luther King Jr., March 1966
Fifty-eight years ago last month, the father of America\u2019s civil-rights movement duly lashed out at the widening health gap between white Americans and minorities. Though not as brutal in those days as the billy clubs and attack dogs used to stifle discontent, the long-term pain of inaccessibility to basic health care dealt a harsh blow to the quality of life of blacks and other minorities. It also contributed significantly to the great divide between America\u2019s haves and have-nots.
Two decades later in 1985, the U.S. Department of Health and Human Services released its landmark report, the Secretary\u2019s Task Force Report on Black and Minority Health, better known as The Heckler Report. It reinforced King\u2019s angst by documenting the prevalence of health disparities among racial and ethnic minorities in the U.S. It called such disparities \u201can affront both to our ideals and to the ongoing genius of American medicine.\u201d
Today, improvements in technology, standards of living and access to health care have begun to narrow those once colossal gaps. Nonetheless, health inequities remain a stain on our nation. Those disparities, while narrowing, remain substantial.
According to the U.S. Centers for Disease Control and Prevention, African Americans have a 200% greater likelihood of dying from asthma, a 250% greater chance of dying during pregnancy, 900% greater risk of dying from HIV/AIDS and a 200% greater likelihood of dying from cervical or prostate cancer than do white Americans.
Close to home in Ohio, black infants are 2.7 times more likely to die than white infants in their first year of life. The rate of perinatal infant mortality (death before seven days old) is even more shocking with white infants dying at a rate of 7.2 per 1,000 live births and the black rate at 32.1, according to Ohio Department of Health data from 2021.
Locally, Mahoning and Trumbull counties both received grades of \u201cF\u201d from the March of Dimes report for pre-term births in 2023, noting the condition has worsened.
And though the wide gap between black and white life expectancy has narrowed in many parts of the nation, blacks in general today can expect to live four fewer years than whites, CDC reports.
Other minority groups face disparities as well. Fourteen percent of Hispanics have been diagnosed with diabetes compared with 8% of whites. They also have higher rates of end-stage renal disease, caused by diabetes.
One positive outgrowth of the Heckler Report has been the creation and proliferation of public-health offices at the federal, state and local levels of government designed specifically to target minority health and lessen or eliminate disparities.
In Youngstown, the Office of Minority Health was created in 2008 and has led the charge locally to bring greater equity to health care and health-care outcomes. On Saturday, the office sponsored its annual Citywide Baby Shower at the Eugenia Atkinson Recreation Center in Youngstown at which participants received baby items and education on effective lifestyle habits to maximize chances of a safe birth.
Later this month, the office is helping to sponsor a forum on preventing breast cancer at the Valley\u2019s OCCHA (Organizacion Civica y Cultural Hispana Americana) in Youngstown.
Clearly, such education and advocacy efforts hold the key to slow but steady progress in reducing minority infant mortality rates and narrowing other lingering health disparities in the Valley.
We therefore urge the YOMH in concert with larger public health districts in Mahoning and Trumbull counties to accelerate their work toward promoting awareness, education, advocacy and support to reduce health care inequities among racial and ethnic groups in our community during April, Minority Health Month, and every month .
In so doing they can live up to the the theme of Minority Health Month 2024, \u201cBe the Source for Better Health: Improving Health Outcomes Through Our Cultures, Communities, and Connections
Yet as long as so many health gaps between whites and minority groups fester, King\u2019s appeal of nearly six decades ago remains just as relevant today. Until the gaps are completely closed, his dream for equality for all \u2014 including equitable physical and mental health outcomes \u2014 will continue to be a dream deferred.
___
Toledo Blade. April 20, 2024.
Editorial: Help children read
Two stories in the news in the last two weeks were, on the surface, about different topics. But break the surface and they were the same topic: preparing young children for elementary school.
Gov. Mike DeWine visited Toledo to promote his agenda to implement \u201cthe science of reading\u201d in Ohio\u2019s elementary schools.
Blade staff writer Kelly Kaczala covered the governor\u2019s appearance, along with his education director, Steve Dackin, in the Toledo Lucas County Main Library ( \u201cDeWine touts literacy efforts in Ohio,\u201d Wednesday ). In the audience were 30 local business, government, education, and literacy leaders.
The concept favored by Mr. DeWine focuses on phonics, vocabulary, and comprehension as the most effective ways to teach children how to read. He wants Ohio\u2019s education universities to train new teachers in these methods.
Mr. Dackin offered some sobering statistics: 40 percent of third graders are not reading at grade level. In grades K through 4, we have 3,000 students who are not at grade level.
There is no question that Ohio school children have fallen behind in basic literacy. If that trend keeps up, Ohio is going to have a growing percentage of the adult population who are illiterate, which undermines economic development in Ohio and makes the state less attractive to businesses and individuals looking to move.
The second story in the paper was the news that Toledo Mayor Wade Kapszukiewicz wants the Lucas County Board of Commissioners to put a levy on the ballot to pay for universal pre-school education ( \u201cLucas County exploring putting universal Pre-K on the ballot,\u201d by Melissa Burden, April 11 ).
The focus of that story was less on reading than on the shortage of decent child care and preschool, as noted by an analysis by the group ReadyNation. It said that Ohio\u2019s infant and toddler child-care crisis costs families, businesses, and taxpayers an estimated $3.85 billion each year.
___
Columbus Dispatch. April 18, 2024.
Editorial: Biden should be on the ballot. Alabama gets it \u2014 Why don\u2019t Ohio Republicans?
As they\u2019ve done with gerrymandering and last year\u2019s failed August special election for constitutional amendments changes, Ohio GOP leaders will show they see fair elections as hindrances, not goals.
There\u2019s no doubt the Democratic Party blundered big time.
It should have managed its calendar to ensure the Democratic National Convention would be convened in time to ensure its presumptive candidate \u2014 President Joe Biden \u2014 was nominated in time to make the ballot in Ohio and all other states.
The timeline was clear.
Ohio law requires certification of the ballot 90 days before an election \u2212 Aug. 7 this year. Biden will not be officially nominated until the Democratic National Convention Aug. 19 in Chicago.
Ohio Secretary of State Frank LaRose\u2019s office raised the error in an April 5 letter to Ohio Democratic Party Chair Liz Walters, warning that Biden is at risk of not making the Nov. 5 ballot.
Ohio officials on April 16 soundly rejected a Democratic plan to provisionally certify Biden and Vice President Kamala Harris ahead of the Aug. 7 deadline.
\u201cNo alternative process is permitted,\u201d Julie M. Pfeiffer, a staff lawyer in Ohio Attorney General Dave Yost\u2019s office, told LaRose\u2019s office, according to reporting by the USA TODAY Ohio Bureau which serves the Columbus Dispatch and other newspapers.
\u201cI think it\u2019s a Democratic problem,\u201d he told reporters.
Why Matt Huffman is wrong
The Democrats screwed up, but this is not a Democratic problem. It is a democratic problem that should be fixed and has been fixed here in past elections.
A similar problem is happening in Alabama. Republicans there are working with Democrats to find a solution.
\u201cI\u2019d like to think if the shoe was on the other foot, this would be taken care of,\u201d Alabama state Sen. Sam Givhan, a Republican, told that state\u2019s Al.com.
Asked about the issue a week earlier, Ohio Senate President Matt Huffman, R-Lima, made it clear that he didn\u2019t mind twisting the sword.
Ohio has temporarily changed the deadline in the past. It was done to accommodate both the 2020 Republican and Democratic conventions that saw the nominations of then-president Trump and Biden.
Before that, it was done for the 2012 conventions that saw the parties nominate Mitt Romney and then president-Barack Obama.
If democracy were a game, it would be perfectly fine for Ohio Republicans to take this as a crushing victory and leave Democrats on the field embarrassed and shaking.
If Biden\u2019s name does not appear on the November ballot, a price will be paid by the nearly 500,000 Ohioans who voted for the virtually unopposed Biden in the March primary and the millions who anticipate voting for him in November.
Those voters will not be the only losers.
As they\u2019ve done with gerrymandering and last year\u2019s failed August special election for constitutional amendments changes, Ohio GOP leaders will show that they see fair elections as hindrances not goals.
Playing democracy like a game could come with consequences
Such dirty tactics are not only immorally wrong, they are unlikely necessary to secure Donald Trump\u2019s victory in Ohio.
The presumptive Republican presidential nominee won Ohio in 2016 and 2020 by more than 8%. There is a good change he will win big again this year.
Making the Democrats\u2019 gaffe a them problem instead of an us problem will not only be a major embarrassment to Ohio but it may backfire on Republicans.
Such cringy gamesmanship no doubt energized typically unmotivated Democrats to turnout for the special election last August.
Not having Biden\u2019s name on the ballot may keep Republicans from showing up on Election Day believing Trump is running unopposed, which would help U.S. Sen. Sherrod Brown and other down ticket candidates.
This issue is not unprecedented
In 2020, both the Republican and Democratic parties ran into candidate certification issues in Oklahoma, Illinois, Washington and Montana, according to reporting by the USA TODAY Ohio Bureau.
The same issue came up in Alabama and Washington this year but solutions to allow Biden on ballots are likely in those states.
Washington\u2019s secretary of state \u2014 a Democrat \u2014is expected to accept a provisional certification, the Seattle Times reported.
On Wednesday, Alabama House and Senate committees approved bills to change the deadline to allow Biden on the November ballot, according to Al.com.
What if the shoe was not on the Democrats\u2019 foot?
The shoe could very well have been on the Republicans\u2019 foot this year, meaning Donald Trump\u2019s name was not on the ballot.
It would be wrong to disenfranchise Republican voters just as it is wrong to disenfranchise Democrats.
It would be a democratic problem as it is now. We\u2019d expect the Democratic Party to work on a fix to get the Republican candidate on the ballot.
The reason is simple: this is not about the names on the ballot.
It is about voters.
END
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Hundreds of people celebrated Saturday's historic opening of the Great Smoky Cannabis Co. in the Blue Ridge Mountains. The tribe decriminalized possession of small amounts of marijuana on tribal lands in 2021 and formed a medical marijuana system to grow cannabis and sell it. The tribe can pass rules permitting cannabis as a sovereign nation and federally recognized tribe. Marijuana use remains illegal in the rest of North Carolina. The tribe is looking at allowing the adult, recreational use of marijuana.", + "located": "CHEROKEE, N.C.", + "datelinelocation": { + "city": "Cherokee", + "countryareacode": "NC", + "countryareaname": "North Carolina", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -84.06347, + 35.13384 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. 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(AP) \u2014 Medical marijuana can now be legally purchased in North Carolina with the Eastern Band of Cherokee Indians opening its long-planned dispensary this weekend on tribal land.
Hundreds of people, many with approved medical patient cards to purchase items, celebrated the historic opening of the Great Smoky Cannabis Co. on Saturday within the Eastern Band land known as the Qualla Boundary, the Asheville Citizen-Times reported. Saturday was April 20, which is also known as \u201c420 Day,\u201d or an annual day for the celebration of marijuana.
The ceremony marks the latest liberalization of marijuana rules by the tribe, which in 2021 decriminalized possession of small amounts of marijuana within its 89 square miles (231 square kilometers) of land in the Blue Ridge Mountains. The tribe also formed a medical marijuana system that included a tribe-created business to grow cannabis and sell it, reaping financial rewards for the tribal members and assisting those with medical conditions.
\u201cThis project will change the trajectory of their lives forever,\u201d Forrest Parker, general manager for Qualla Enterprises, the tribal company that manages the dispensary, said during the opening ceremony. \u201cIt will be a conduit to generations of social, economic and spiritual growth, unlike anything that\u2019s ever been witnessed.\u201d
The Eastern Band, with about 14,000 members, can pass rules permitting cannabis as a sovereign nation and federally recognized tribe. Marijuana use remains illegal in the rest of North Carolina. Still, Republican U.S. Sens. Thom Tillis and Ted Budd have raised concerns with federal and state law enforcement about whether drug laws will continue to be carried out in light of the dispensary. A statewide medical marijuana bill has been considered in recent years by the North Carolina General Assembly.
Adults at least 21 years of age with a tribe medical cannabis patient card or an out-of-state approved medical marijuana card can purchase items at Great Smoky Cannabis Co.
The scope of marijuana sales could become much greater. A majority of Eastern Band voters backed in a referendum last September the adult, recreational use of marijuana on tribal land. The question also asked whether voters supported the tribal council to develop legislation to regulate such a market.
The Charlotte Observer reported that an adult use ordinance could be finalized in June, citing council member Boyd Owle.
\u201cLet\u2019s get it right before we put it out there. But we\u2019re on the right track,\u201d Owle said after a council work session on the ordinance earlier this month.
The dispensary could generate over $200 million in gross sales revenues in its first year if limited to medical patients, compared with $385 million if the product is available to all adult users, according to figures from Qualla Enterprises released before last year\u2019s adult-use referendum.
Saturday\u2019s ceremony featured tribal translator Myrtle Driver Johnson purchasing the first medical marijuana in a transaction made in English and Cherokee. She said that she had named and translated the different strains of cannabis into Cherokee.
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He promotes a $35 price cap for the medication for Americans on Medicare \u2014 in White House speeches, campaign stops and even at non-health care events around the country. His reelection team has flooded swing-state airwaves with ads mentioning it, in English and Spanish.
All that would seemingly add up to a sweeping political and economic impact. The reality is more complicated.
As his campaign tries to emphasize what it sees as an advantage over presumptive Republican nominee Donald Trump, Biden often overstates what those people who are eligible for the price cap once paid for insulin. It\u2019s also not clear whether the number of Americans being helped will be enough to help sway November\u2019s election, even in the most closely contested states that could come down to a few thousand votes.
\u201cIt is about political signaling in a campaign much more than it is about demonstrating for people that they benefit from the insulin cap,\u201d said Drew Altman, president and CEO of KFF, a nonprofit that researches health care issues. \u201cIt is a way to make concrete the fact that you are the health care candidate.\u201d
Many who are benefiting from the price cap were already getting insulin at reduced prices, were already Biden supporters, or both. Others who need reduced-price insulin, meanwhile, cannot get it because they do not have Medicare or private health insurance.
Biden\u2019s campaign is emphasizing the president's successful efforts to reduce insulin prices and contrasting that with Trump, who first ran for president promising to lower drug prices but took limited action in office.
\u201cIt\u2019s a powerful and tangible contrast,\u201d said Biden campaign spokesman Charles Lutvak. \u201cAnd it\u2019s one we are campaigning on early, aggressively, and across our coalition.\u201d
Roughly 8.4 million people in the United States control their blood sugar levels with insulin, and more than 1 million have Type 1 diabetes and could die without regular access to it. The White House says nearly 4 million older people qualify for the new, lower price.
The price cap for Medicare recipients was part of the Inflation Reduction Act, which originally sought to cap insulin at $35 for all those with health insurance. When it passed in 2022, it was scaled back by congressional Republicans to apply only to older adults.
The Biden administration has also announced agreements with drugmakers Sanofi, Novo Nordisk and Eli Lilly, to cap insulin co-payments at $35 for those with private insurance. They account for more than 90% of the U.S. insulin market.
But Biden says constantly that many people used to pay up to $400 monthly, which is an overstatement. A Department of Health and Human Services study released in December 2022 found that people with diabetes who were enrolled in Medicare or had private insurance paid an average of $452 annually, not monthly.
The high prices the president cites mostly affected people without health insurance. But the rates of the uninsured have fallen to record lows because of the Obama administration\u2019s signature health care law and the Biden White House\u2019s aggressive efforts to ensure those eligible to enroll are doing so more frequently.
So, in effect, one of the administration\u2019s policy initiatives is undermining the economic argument for another.
That effort has not reached everyone, though.
Yanet Martinez who lives in Phoenix and supports Biden. She does not work or have health insurance, but gets insulin for around $16 per month thanks to steep discounts at her local clinic.
The lower prices only apply if her husband, a landscaper, does not make enough to exceed the monthly income limit. If he does, her insulin can jump to $500-plus, she said.
\u201cI\u2019ve heard people talk about the price of insulin going down. I\u2019ve not seen it,\u201d said Martinez, 42. \u201cIt should be uniform. There are a lot of people who don\u2019t have any way to afford it and it makes things very difficult.\u201d
Sen. Raphael Warnock, D-Ga., is sponsoring bipartisan legislation to make the $35 insulin cap universal, even for people without health insurance. In the meantime, he said, what's been accomplished with Medicare recipients and drugmakers agreeing to reduce their prices is \"literally saving lives and saving people money.\u201d
\u201cThis is good policy because it centers the people rather than the politics,\" Warnock said. He said that as he travels Georgia, a pivotal swing state in November, people say \u201cthank you for doing this for me, or for someone in my family.\u201d
That includes people like Tommy Marshall, a 56-year-old financial services consultant in Atlanta, who has health insurance. He was diagnosed with Type 1 diabetes at age 45 and injects fast-acting insulin several times daily. He paid about $250 for four weeks to eight weeks worth of medication last November, but saw the price fall by half in February, after Novo Nordisk agreed to cut prices.
\u201cIf I was his political consultant, I\u2019d be telling (Biden) to talk about it constantly,\" said Marshall, a lifelong Democrat and longtime public advocate for cutting insulin prices, including for the advocacy group Protect Our Care Georgia.
Marshall said the price caps \u201chave meaningful emotional resonance\u201d and could sway a close election but also conceded, \u201cYou\u2019re talking about 18- to 65-year-olds. I can just imagine there\u2019s probably two or three other issues that are in front of this one.\u201d
\u201cMaybe someone sort of on-the-fence, he added \u201cthis could maybe sway them.\u201d
Geoff Garin, a pollster for Biden's reelection campaign, said the insulin cap is one of the president's highest performing issues. He said the data was \u201cclear, consistent and overwhelming.\u201d
Rich Fiesta, executive director of the Alliance for Retired Americans, which has endorsed Biden, called the insulin cap a strong issue for the president among older voters.
\u201cFor the persuadables \u2014 and there are some still out there, believe it or not \u2014 drug costs are a very important factor,\u201d said Fiesta, whose group has 4.4-million members and advocates for health and economic security for older people.
Trump's campaign did not respond to questions. But Theo Merkel, senior fellow at the conservative Paragon Health Institute, countered that the insulin price cut an example of \"policies written to fit the talking points other than the other way around.\u201d
Merkel, who was a Trump White House adviser on health policy, said manufacturers that have long made insulin prefer caps on how much the insured pay because it gives them more leverage to secure higher prices from insurance companies.
The president's approval ratings on health care are among his highest on a range of issues, but still only 42% of U.S. adults approve of Biden\u2019s handling of health care while 55% disapprove, according to a February poll from The Associated Press and the NORC Center for Public Affairs Research.
KFF found in its own poll in December that that 59% of U.S. adults trust the Democratic Party to do a better job addressing health care affordability issues compared to 39% for Republicans, even if only 26% of respondents in the same poll said they knew about the insulin price cap.
\u201cIn political terms, the Democrats and Biden have an advantage on health care,\" Altman said. \u201cThey're pressing it.\u201d
", + "textformat": "bx", + "links": [ + { + "href": "https://apnews.com/article/biden-insulin-prices-cap-campaign-impact-f969191c3c5178c91cc973a1b89c2200", + "rel": "canonical" + } + ], + "topics": { + "Health": { + "relevance_score": 5, + "reason": "The document discusses the $35 price cap for insulin, a health-related issue, and its implications on President Biden's campaign. It covers various aspects of the policy, including its impact on Medicare recipients, the involvement of drugmakers, and the broader political and economic context. The document also includes perspectives from different stakeholders, such as patients, political analysts, and health policy experts. 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Updates Media.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "EU--Europe-TikTok", + "headline": "The EU ratchets up pressure on TikTok's new rewards app over risks to kids, warns of suspension", + "headline_extended": "The European Union is demanding TikTok provide more information about a new app that pays users to watch videos and warned that it could order the video sharing platform to suspend addictive features that pose a risk to kids", + "slugline": "AP-EU--Europe-TikTok, 1st Ld-Writethru", + "description_summary": "The European Union is demanding TikTok provide more information about a new app that pays users to watch videos and warned that it could order the video sharing platform to suspend addictive features that pose a risk to kids. The 27-nation EU\u2019s executive Commission said it was opening formal proceedings to determine whether TikTok breached the bloc\u2019s new digital rules when it rolled out its TikTok Lite app in France and Spain. TikTok Lite is a slimmed down version of the main TikTok app that lets users earn rewards. The commission wants to see the risk assessment that TikTok should have carried out before deploying the app in the European Union.", + "bylines": [ + { + "by": "By KELVIN CHAN", + "title": "AP Business Writer" + } + ], + "located": "LONDON", + "datelinelocation": { + "city": "London", + "countrycode": "GBR", + "countryname": "United Kingdom", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -0.12574, + 51.50853 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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The 27-nation EU's executive Commission said it was opening formal proceedings to determine whether TikTok Lite breached the bloc's new digital rules when the app was rolled out in France and Spain.
Brussels was ratcheting up the pressure on TikTok after the company failed to respond to a request last week for information on whether the new app complies with the Digital Services Act, a sweeping law that took effect last year intending to clean up social media platforms.
TikTok Lite is a slimmed-down version of the main TikTok app that lets users earn rewards. Points earned by watching videos, liking content and following content creators can then be exchanged for rewards including Amazon vouchers and gift cards on PayPal.
\u201cWe are disappointed with this decision,\u201d TikTok said in a statement. \u201cThe TikTok Lite rewards hub is not available to under 18s, and there is a daily limit on video watch tasks. We will continue discussions with the Commission.\u201d
The commission wants to see the risk assessment that TikTok should have carried out before deploying the app in the European Union. It's worried TikTok launched the app without assessing how to mitigate \u201cpotential systemic risks\u201d such as addictive design features that could pose harm to children.
\u201cWith an endless stream of short and fast-paced videos, TikTok offers fun and a sense of connection beyond your immediate circle,\u201d said European Commissioner Thierry Breton, one of the officials leading the bloc's push to rein in big tech companies. \u201cBut it also comes with considerable risks, especially for our children: addiction, anxiety, depression, eating disorders, low attention spans.\u201d
The EU is giving TikTok 24 hours to turn over the risk assessment and until Wednesday to argue its case. Any order to suspend the TikTok Lite app's reward features could come as early as Thursday.
It's the first time that the EU has issued a legally binding order for such information since the Digital Services Act took effect. Officials stepped up the pressure after TikTok failed to respond to last week's request for the information.
If TikTok still fails to respond, the commission warned the company also faces fines worth up to 1% of the company\u2019s total annual income or worldwide turnover and \u201cperiodic penalties\u201d of up to 5% of daily income or global turnover.
TikTok was already facing intensified scrutiny from the EU. The commission already has an ongoing in-depth investigation into the main TikTok app's DSA compliance, examining whether it's doing enough to curb \u201csystemic risks\u201d stemming from its design, including \u201calgorithmic systems\u201d that might stimulate \u201cbehavioral addictions.\u201d Offices are worried that measures including age verification tools to stop minors from finding \u201cinappropriate content\u201d might not be effective.
", + "textformat": "bx", + "links": [ + { + "href": "https://apnews.com/article/tiktok-eu-european-union-digital-services-act-056ba16e07d7be915a2065309aff14e7", + "rel": "canonical" + } + ], + "topics": { + "Health": { + "relevance_score": 3, + "reason": "The document primarily discusses the European Union's actions and concerns regarding TikTok Lite's compliance with digital regulations, particularly focusing on the potential risks to children such as addiction, anxiety, depression, and other mental health issues. While these concerns are related to health, the main focus of the document is on regulatory actions and compliance rather than health itself. 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That's according to a new rule the Biden administration finalized Monday. The regulation is intended to protect women who live in states where abortion is illegal from prosecution. It is almost certain to face legal challenges from anti-abortion advocates and criticism from abortion rights advocates that it does not go far enough. It is an update to the Health Insurance Portability and Accountability Act of 1996, which prohibits medical providers and health insurers from divulging medical information about patients. 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"661e48387d5b10048291c076b8e3055c", + "name": "United States", + "type": "AUDGEOGRAPHY" + } + ], + "associations": { + "1": { + "altids": { + "itemid": "85506e9fcd8c43f39e4bf722aa0f3bd3" + }, + "type": "picture" + } + }, + "body_nitf": "WASHINGTON (AP) \u2014 The medical records of women will be shielded from criminal investigations if they cross state lines to seek an abortion where it is legal, under a new rule that the Biden administration finalized Monday.
The regulation, which is intended to protect women who live in states where abortion is illegal from prosecution, is almost certain to face legal challenges from anti-abortion advocates and criticism from abortion-rights advocates that it does not go far enough.
\u201cNo one should have their medical records used against them, their doctor or their loved one just because they sought or received lawful reproductive health care,\u201d Jennifer Klein, the director of the White House Gender Policy Council, told reporters on Monday.
The new regulation is an update to the Health Insurance Portability and Accountability Act of 1996, which prohibits medical providers and health insurers from divulging medical information about patients. Typically, however, law enforcement can access those records for investigations.
In states with strict abortion rules, the federal regulation would essentially prohibit state or local officials from gathering medical records related to reproductive health care for a civil, criminal or administrative investigation from providers or health insurers in a state where abortion remains legal.
In theory, it would provide the most cover to women who leave states with strict bans to seek an abortion from a medical provider in a state that allows it.
\u201cAs someone who does see patients who travel from all across the country at our health center in D.C., it's a reality. I've had patients ask ... are there going to be consequences for me when I go home?\" said Dr. Serina Floyd, an OB-GYN who provides abortions in Washington.
Women who also seek fertility, contraception or miscarriage care will also be protected, the nation\u2019s top health official Xavier Becerra said Monday.
A group of 19 Republican Attorneys General, all from states with strict abortion laws, urged the Health and Human Services agency to ditch the rule when a draft was released last year. The regulation \u201cwould unlawfully interfere with states\" authority to enforce their laws, and does not serve any legitimate need,\u201d they wrote in a letter to HHS last year.
\u201cRelying as it does on a false view of state regulation of abortion, the proposed rule is a solution in search of a problem,\" the letter said.
But the new regulation does not go as far as protecting women from criminal investigations when they order abortion pills online, as has become increasingly common. For example, it would not safeguard medical records of a patient who orders an abortion pill while at her home in a state like Mississippi, where abortion is mostly banned, from a provider in Illinois, where abortion is legal.
The rule also does not require law enforcement officials to obtain a warrant for any medical records of patients, a rule change some Democrats had sought from the administration. Instead, law enforcement can seek a subpoena, court order or an administrative request to obtain medical records.
Becerra acknowledged to reporters that the regulation has limitations \u2014 and may be challenged legally.
\u201cUntil we have a national law that reinstitutes Roe v. Wade, we're going to have issues,\u201d Becerra said. \u201cBut that doesn't stop us from doing everything we can to protect every Americans' right to access the care they need.\u201d
At least 22 Democratic-controlled states have laws or executive orders that seek to protect medical providers or patients who participate in abortion from investigations by law enforcement in states with bans. Medical providers in some of those states are prescribing abortion pills via telehealth to women in states with abortion bans.
It\u2019s not clear that public officials have sought those medical records of patients around abortion. But last year, Texas officials demanded records from at least two out-of-state health centers that provide gender-affirming care. Texas, like most other Republican-controlled states, has a ban on gender-affirming care for minors.
___
Geoff Mulvihill in Cherry Hill, New Jersey, contributed.
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(AP) \u2014 A federal jury on Monday said BNSF Railway contributed to the deaths of two people who were exposed to asbestos decades ago when tainted mining material was shipped through a Montana town where thousands have been sickened.
The jury awarded $4 million each in compensatory damages to the estates of the two plaintiffs, who died in 2020. Jurors said asbestos-contaminated vermiculite that spilled in the rail yard in the town of Libby, Montana was a substantial factor in the plaintiffs\u2019 illnesses and deaths.
Family members of the two victims hugged their attorneys after the verdict was announced. An attorney for the plaintiffs said the ruling brought some accountability, but one family member told The Associated Press that no amount of money would replace her lost sister.
\u201cI\u2019d rather have her than all the money in the world,\u201d Judith Hemphill said of her sister, Joyce Walder.
The vermiculite from Libby has high concentrations of naturally-occurring asbestos and was used in insulation and for other commercial purposes in homes and businesses across the U.S.
After being mined from a mountaintop outside town, it was loaded onto rail cars that sometimes spilled the material in the Libby rail yard. Residents have described piles of vermiculite being stored in the yard and dust from the facility blowing through downtown Libby.
The jury did not find that BNSF acted intentionally or with indifference so no punitive damages were awarded. Warren Buffett's Berkshire Hathaway Inc. acquired BNSF in 2010, two decades after the W.R. Grace & Co. vermiculite mine near Libby shut down and stopped shipping the contaminated mineral.
The estates of the two victims argued that the railroad knew the asbestos-tainted vermiculite was dangerous and failed to clean it up. Both lived near the rail yard decades ago and died from mesothelioma, a rare lung cancer linked to asbestos exposure.
The pollution in Libby has been cleaned up, largely at public expense. W.R. Grace, which played a central role in the town\u2019s tragedy, filed for bankruptcy in 2001 and paid $1.8 billion into an asbestos trust fund to settle future cases.
Yet the long timeframe over which asbestos-related diseases develop means people previously exposed are likely to continue getting sick for years to come, health officials say.
The case in federal civil court over the two deaths was the first of numerous lawsuits against the Texas-based railroad corporation to reach trial over its past operations in Libby. Current and former residents of the small town near the U.S.-Canada border want BNSF held accountable, accusing it of playing a role in asbestos exposure that health officials say has killed several hundred people and sickened thousands.
\u201cThis is good news. This is the first community exposure case that will hold the railroad accountable for what they\u2019ve done,\u201d said Mark Lanier, an attorney for Walder and Hemphill's estates.
The railroad was considering whether to appeal, said a BNSF spokesperson, who referred to it as a \u201cvery sad case.\u201d
\"They (the jury) had the difficult task of evaluating conduct that occurred more than 50 years ago, before BNSF ever existed,\u201d said Kendall Sloan, the railroad's director of external communications.
BNSF attorney Chad Knight told jurors last week the railroad's employees didn\u2019t know the vermiculite was filled with hazardous microscopic asbestos fibers.
\u201cIn the \u201850s, \u201960s and '70s no one in the public suspected there might be health concerns,\u201d Knight said Friday.
The railroad\u2019s experts also suggested during the trial that the plaintiffs could have been exposed to asbestos elsewhere.
The railroad said it was obliged under law to ship the vermiculite, which was used in insulation and for other commercial purposes, and that W.R. Grace employees had concealed the health hazards from the railroad.
U.S. District Judge Brian Morris had instructed the jury it could only find the railroad negligent based on its actions in the Libby Railyard, not for hauling the vermiculite.
Former Libby resident Bill Johnston, who followed the trial, said he was glad the victims' estates got a substantial award.
Johnston, 67, recalled playing in piles of vermiculite at the rail yard as a child and helping his father add piles of the material to their home garden, where it was used as a soil amendment. He, his two siblings and their parents have all been diagnosed with asbestos-related diseases, Johnston said Monday.
\u201cThey didn't do anything intentionally to cause this harm to their body. Other people knew about it and didn't care,\u201d he said of Libby asbestos victims. \u201cWhat's that worth? It's hard to put a value on that. But when you say you're going to die prematurely or the life you have left is going to be tethered to an oxygen bottle, there should be some value that makes their life easier in the end.\u201d
BNSF was formed in 1995 from the merger of Burlington Northern railroad, which operated in Libby for decades, and the Santa Fe Pacific Corporation.
Looming over the proceedings was W.R. Grace, which operated the mountaintop vermiculite mine 7 miles (11 kilometers) outside of Libby until it closed in 1990. Morris referred to the chemical company as \u201cthe elephant in the room\u201d during the BNSF trial and reminded jurors repeatedly that the case was about the railroad\u2019s conduct, not W.R. Grace\u2019s separate liability.
Federal prosecutors in 2005 indicted W. R. Grace and executives from the company on criminal charges over the contamination in Libby. A jury acquitted them following a 2009 trial.
The Environmental Protection Agency descended on Libby after 1999 news reports of illnesses and deaths among mine workers and their families. In 2009 the agency declared in Libby the nation\u2019s first ever public health emergency under the federal Superfund cleanup program.
A second trial against the railroad over the death of a Libby resident is scheduled for May in federal court in Missoula.
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(AP) \u2014 Their childhood memories are still vivid: warnings against drinking or cooking with tap water, enduring long lines for cases of water, washing from buckets filled with heated, bottled water. And for some, stomach aches, skin rashes and hair loss.
Ten years ago in Flint \u2014 April 25, 2014 \u2014 city and state environmental officials raised celebratory glasses as the mayor pressed a button to stop the flow of Lake Huron water supplied by Detroit for almost half a century. That set in motion a lead and bacteria public health crisis from which the city has not fully recovered.
But dozens of children of the water crisis \u2014 now teenagers and young adults \u2014 have turned their trauma into advocacy. They provide input on public health initiatives, participate in social issue campaigns, distribute filters and provide free water testing for homeowners.
They know that Flint is a place that still struggles. The population has fallen by some 20,000 in the past decade, leaving abandoned houses as targets for arsonists. Almost 70% of children live in poverty, and many struggle in school. Although the water has been declared safe to drink, distrust runs deep, and hundreds of lead water pipes remain in the ground because homeowners were allowed to opt out of replacing them.
But the young activists say they want to help make a difference and change how their city is perceived by outsiders. And they want to defy expectations.
\u201cOne of the biggest issues about growing up in Flint is that people had already decided and predetermined who we were,\u201d said 22-year-old Cruz Duhart, a member of the Flint Public Health Youth Academy.
\u201cThey had ideas about our IQ, about behavioral things, but they never really stopped to speak to us and how we thought about it and the type of traumas that we were going through.\u201d
___
It's always been easiest for 16-year-old Sima Gutierrez to express herself through art. Drawings, paintings and wire sculptures decorate her family's tidy bungalow.
Now the self-described \u201cvery shy\u201d teen who rarely spoke up for fear nobody wanted to hear what she had to say collects water samples in people's homes and takes them to the Flint Community Water Lab, where more than 60 high school and college interns have provided free testing for thousands of residents since 2020.
She helped plan public awareness campaigns about topics like gun violence and how racism affects public health as a member of the Flint Public Health Youth Academy.
\u201cI wanted to be surrounded by people who weren\u2019t going to cover up the whole fact that people are still having problems,\u201d said Sima. \u201cI was able to ... share my life (with) anybody else who\u2019s going through what I\u2019m going through.\u201d
It was a decade ago that she complained her stomach hurt when she drank water. Her mom insisted it would help Sima's body flush out medication she took for an autoimmune disorder that was causing her hair to fall out in patches and leaving her skin with light splotches.
Residents had begun reporting skin rashes and complaining about discolored, smelly and foul-tasting water soon after the city began drawing from the Flint River to save money, until it could hook into a new Lake Huron pipeline. But they were assured everything was fine.
Sima said she wasn't aware of problems until one of her elementary school classmates, Mari Copeny \u2014 then a 7-year-old beauty pageant winner known as Little Miss Flint \u2014 began protesting. Mari became the face of the crisis, and continues to highlight environmental justice issues to almost 200,000 Instagram followers and to raise money, including for water filters that she gives out in communities across the U.S.
\u201cI want to keep on using my voice to spread awareness about the Flint water crisis because it\u2019s not just Flint that has a water crisis,\" Mari said. \"America has a water crisis.\u201d
___
Almost a year and a half after Flint made its switch, residents frustrated with the water quality reached out to an expert who then found high lead levels caused by the city's failure to add chemicals that prevent pipe corrosion. State officials had said these were unnecessary. Around that same time, a pediatrician discovered that levels in kids' blood had doubled after the switch.
Outbreaks of Legionnaire's disease, including a dozen deaths, ultimately were also linked, in part, to the city's water supply.
Flint reconnected to its old water line shortly afterward, but pipes continued to release lead. The state provided residents filters and bottled water.
Lead is a potent neurotoxin that can damage children's brains and nervous systems and affect learning, behavior, hearing and speech. There is no safe childhood exposure level and problems can manifest years later.
Data collected over a decade now show that children in Flint have higher rates of ADHD, behavioral and mental health problems and more difficulty learning than children assessed before the water crisis, said Dr. Mona Hanna-Attisha, the pediatrician who first flagged rising lead levels in Flint kids\u2019 blood. She said other issues, including nutrition, poverty, unemployment and systemic inequalities also could be factors.
Sima and three of her sisters were found to have elevated lead levels and have since been diagnosed with attention-deficit hyperactivity disorder; Sima also has a learning difficulty.
\u201cI felt responsible for forcing my child to drink something that was hurting her so bad, and I didn\u2019t believe her,\u201d said her mother, Jessica Gutierrez, who works as a public health advocate for hospitals and nonprofits and fears for her daughters' long-term health.
Guilt and anxiety are \u201cpart of the trauma of the crisis,\u201d Hanna-Attisha said.
That's why it's important for kids from Flint to feel they're being heard, to be part of the solutions, she said. For example, the Flint Youth Justice League, an advisory board to her Pediatric Public Health Initiative, has offered suggestions on programs that include prescribing fresh fruits and vegetables, reducing poverty and connecting residents to public services.
\u201cOur young people are amazing,\u201d said Hanna-Attisha. \u201cThey are not okay with the status quo and they are demanding that we do better for them and for generations to come.\u201d
___
Asia Donald remembers feeling helpless and bewildered when her little sister developed rashes and her mom boiled pot after pot of bottled water for baths.
But just a couple years later, she was talking to kids from Newark, New Jersey, guiding them through their own lead-in-water crisis. Over Zoom meetings, the kids from Flint explained parts per billion, how to test water for lead and how they had coped with fear.
\u201cThey felt the exact same way that I felt when I was ... going through it,\u201d said Asia, 20, now an aspiring accountant and one of 18 interns at the Flint Public Health Youth Academy.
They're paid a monthly stipend to run the academy \u2014 writing grants, creating budgets, analyzing data, conducting focus groups and creating public awareness campaigns. They have a biweekly talk show on YouTube, where they\u2019ve discussed everything from mental health to COVID.
Last summer, they planned and hosted a summer camp for dozens of kids that focused on gun violence and school shootings. This year, together with the Community Foundation of Greater Flint, they're coordinating a youth summit on community violence.
Dr. Kent Key, a public health researcher with the Michigan State University College of Human Medicine in Flint, started the academy after studying health disparities in the Black community as part of his doctoral dissertation.
He wanted to introduce Black kids to potential health careers, but also felt like \u201ceveryone had written Flint youth off because of the impacts of lead.\u201d So he gave them more than a voice, he said. He gave them control.
\u201cI did not want (the water crisis) to be a sentence of doom and gloom for youth,\u201d he said. \u201c I wanted it to be a catapult ... to launch the next generation of public health professionals.\u201d
___
Dionna Brown, who was 14 when the water crisis began, became interested in advocacy after taking a class on environmental inequality at Howard University. Now she\u2019s planning her life around it \u2014 completing a master\u2019s degree in sociology from Wayne State University with plans to become an environmental justice attorney.
She's also national director of the youth environmental justice program at Young, Gifted & Green, formerly called Black Millennials for Flint and founded by advocates from Washington to support Flint after the crisis.
Brown holds a two-week summer environmental justice camp in Flint every year to teach teens about issues such as policy, climate justice, sustainability and housing disparities. She also works with kids in Baltimore and Memphis.
She said the water crisis made Flint kids resilient.
\u201cI tell people all the time: I\u2019m a child of the Flint water crisis,\u201d said Brown. \u201cI love my city. And we put the world on notice that you cannot just poison a city and we\u2019ll forget about it.\u201d
___
Associated Press video journalist Mike Householder contributed to this story.
___
The Associated Press receives support from the Walton Family Foundation for coverage of water and environmental policy. The AP is solely responsible for all content. For all of AP\u2019s environmental coverage, visit https://apnews.com/hub/climate-and-environment
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April 17, 2024.
Editorial: For everyone\u2019s safety
With measles cases rising, IDPH\u2019s check of unvaccinated students is the right call
The Illinois Department of Health is asking schools to check records and get in touch with parents of kids who have not received the MMR vaccine. If an outbreak occurs, those students would be excluded from the classroom. Associated Press
Maybe you\u2019ve heard \u2014 measles is back.
Twenty-four years after the disease was eradicated in the U.S., measles is back.
Sixty-one years after the first measles vaccine was available to the public, measles is back.
And while some people may think the illness is back only in Chicago, think again. DuPage County reported its first measles case this past Saturday. And Lake, Kane and suburban Cook counties have all reported cases in the past few weeks, too.
Another troubling statistic from the Illinois State Board of Education \u2014 more than 690 schools statewide fall below the 95% vaccination rate that triggers herd immunity.
As of April 15, 64 cases have been reported in Illinois this year, with a total of 121 cases reported in the U.S.
Now, the Illinois Department of Health wants to control any potential outbreaks, especially in schools.
On April 8, the IDPH sent a letter to state regional offices of education asking that schools review immunization records for all students, then contact parents of children not up-to-date on the measles, mumps, rubella (MMR) vaccine. If students haven\u2019t had the vaccine, or don\u2019t have evidence of immunity to measles, schools will remind parents of the exclusion policy if there is an outbreak.
This would include students \u201cwho are not completely vaccinated due to religious exemption, medical exemption, McKinney-Vento exception, on an approved schedule, or noncompliance with measles vaccination,\u201d according to the IDPH.
Some may see this as controversial. Why punish kids when it\u2019s not their fault? When kids are excluded from school, it\u2019s like putting a scarlet letter on their backs. Everyone will know.
So, schools must handle with tact issues that arise. After all, parents made the decision, not the kids.
But the goal of the IDPH and schools around the state also must be to protect all kids \u2014 kids who can\u2019t be vaccinated for medical reasons or who haven\u2019t finished the full series of the vaccine.
We support these efforts. After 60-plus years, the MMR vaccine has proven itself safe. And measles has proven to be an awful disease, often causing hospitalization and even death. No one who is able to get this vaccine should be turning it down. But people are, and now we\u2019re in a situation where a once-eradicated disease is spreading \u2014 and it should not be. This is a preventable illness, and no one should suffer its wrath when they don\u2019t have to.
Remember, it\u2019s not just about you. Yes, vaccines protect you, but they also protect infants too young to be vaccinated or anyone with weak or failing immune systems, like people with cancer or HIV/AIDS.
Let\u2019s hope we don\u2019t have any outbreaks at our schools or elsewhere. We hope parents made responsible decisions at pediatrician well visits so their children are up to date on all vaccines. Doctors recommend a schedule for these immunizations, and parents should follow it.
For those who don\u2019t, the IDPH is doing what\u2019s necessary to protect everyone. We applaud the schools\u2019 efforts in checking health records, reaching out to parents of unvaccinated children and, in situations where outbreaks threaten to spread the disease, keeping these kids out of the classroom.
Because vaccines are not just about protecting you. They protect all of us.
___
Chicago Sun-Times. April 20, 2024.
Editorial: Illinois wetlands deserve protection. Lawmakers should make that happen, while there is still time.
State lawmakers can pass legislation that would restore the safeguards the U.S. Supreme Court removed last year on wetlands, which play a key role in helping to mitigate the impact of climate change and are critical habitats for birds, insects, mammals and amphibians.
In Illinois, certain wetlands are at risk. The Legislature has an opportunity to protect them, and it should.
Wetlands store carbon; provide habitat for endangered species; reduce flooding and erosion; and improve water quality by filtering pollution. Wetlands also stockpile nutrients that nurture plants and animals, and they recharge layers of groundwater that feed into streams and lakes through seeps and springs.
But Illinois has lost some 90% of the wetlands it had a couple of hundred years ago, and some others have been degraded. Many of those that remain are endangered because, in a case called Sackett v. EPA, the U.S. Supreme Court last May gutted protections for wetlands that are not connected to larger bodies of water, which include more than half the nation\u2019s wetlands. Those safeguards had existed for decades.
Before the Supreme Court acted, some states had established at least some level of their own wetlands protections, but Illinois relied on the federal government to protect its wetlands under the 1972 Clean Water Act. The state\u2019s remaining wetlands that are not clearly connected to larger bodies of water \u2014 along with the benefits they provide \u2014 could disappear if they are bulldozed for development, polluted or drained.
Companion bills with numerous co-sponsors, which have cleared committees in the Illinois Senate and House, would provide protection for threatened wetlands that is comparable to what the federal rules provided. The Senate bill appears to be the one that will advance. The Senate bill also would instruct the Illinois Department of Natural Resources to inventory small streams, which could provide the data necessary to protect those streams at a later point. The bill would not supersede wetland protection ordinances in Cook and other Chicago area counties, which were designed to act in concert with the federal protections, provided the local rules are as strong as the state\u2019s.
A state law is necessary because water crosses jurisdictional boundaries, and what benefits one part of the state will benefit other areas as well.
State Rep. Anna Moeller, D-Elgin, told us that supporters of the legislation are still negotiating with stakeholders and hope to pass something in May when lawmakers return to Springfield after next week\u2019s break. This is not something that should be kicked over to the next legislative session after the current one is expected to end May 31. Once bogs, fens, marshes and swamps are gone, they are probably gone forever, and the water they once absorbed could easily wind up in someone\u2019s basement.
\u201cIt\u2019s incredibly important,\u201d said Moeller, who introduced the House bill.
When wetlands are lost to development, the costs of additional flooding, poor water quality and other issues are often borne by the general public. Those costs are likely to rise as climate change brings stronger and more frequent storms.
\u201cWetlands, certainly around Cook County, are important because of the plants and animals that live there, the migratory waterfowl that depend on stopping there and all sorts of species of insects, mammals, birds and amphibians that depend on wetlands for a place to live and nest and get something to eat,\u201d said Carl Vogel, director of communications for the Cook County Forest Preserves. \u201cThey are critical habitats.\u201d
Many states are facing the same issue as Illinois. A new report titled \u201cAmerica\u2019s Most Endangered Rivers\u201d by the environmental group America\u2019s Rivers says last year\u2019s U.S. Supreme Court decision will impact the quality of rivers that supply drinking water all over the nation.
Opposition to Illinois\u2019 legislation has come from, among others, real estate interests and the Illinois Farm Bureau, though normal farming activities will remain exempt, just as they were under the Clean Water Act.
But Metropolitan Water Reclamation District Commissioner Cameron \u201cCam\u201d Davis, who is a part-time farmer, said, \u201cMore and more farmers are understanding that protecting wetlands is in their own economic benefit.\u201d
Illinois needs its remaining wetlands and should protect them.
___
Champaign News Gazette. April 21, 2024.
Editorial: Governor\u2019s proposed fix comes too late to save child
The state\u2019s Prisoner Review Board has become a big headache for top state officials.
Gov. J.B. Pritzker is bulking up the staff at the state\u2019s Prisoner Review Board after an ill-conceived board decision led directly to the stabbing death of an 11-year-old boy.
Pritzker\u2019s decision to appoint Robert Montgomery as the board\u2019s executive director is not quite the equivalent of re-arranging the deck chairs on the Titanic. But it\u2019s clear the board needs all the help it can get when making decisions about releasing prison inmates back into society.
For those who don\u2019t know, the PRB is a secretive and separate entity in the state\u2019s corrections department made up of gubernatorial appointees who are \u2014 at least theoretically \u2014 required to be confirmed by the Illinois Senate.
That hasn\u2019t always been the case because the governor has gamed appointment timing rules in ways that have circumvented Senate oversight.
There are two possible explanations for his actions. Either the governor wants marginal appointees to evade scrutiny, or members of the Senate don\u2019t want to be on record as voting to confirm Pritzker\u2019s marginal appointees. It\u2019s probably a combination of both possibilities.
At any rate, the PRB approves release decisions and conditions for paroled inmates.
That is a huge responsibility fraught with peril for both board members and the public. If board members err, they bear personal responsibility. If an inmate returns to his criminal or violent proclivities, the public suffers.
Controversy recently surrounded the board because on March 12 it made a catastrophically bad decision involving inmate Crosetti Brand, no doubt due to the left hand not knowing what the right hand was doing.
One day after his release, Brand went to the home of a former girlfriend who had sought an order of protection against him just a month before. She sought the order because after Brand was released in February, he tried to break into her house.
She was denied the court order because Brand\u2019s parole was revoked. Why he came back before the PRB for a second parole is as unclear as it was unwise.
The very next day after his second parole, Brand went to his ex-girlfriend\u2019s home and stabbed her. When her son tried to protect her, Brand stabbed him to death.
This is an example of government at its absolute worst, a terrible parole decision leading directly to the death of an innocent child.
Naturally, there\u2019s been considerable controversy and plenty of finger-pointing. The governor has been publicly critical of his board. Two members, including board chairman Donald Shelton of Champaign, have resigned. Now the governor is proposing a bureaucratic fix to ease public concern.
It\u2019s no secret that the administrations of former Gov. Bruce Rauner and Pritzker have made it a priority to reduce the state\u2019s prison population as fast as possible.
As a consequence, the prison population has fallen from around 40,000 to roughly 29,000. That decline represents a lot of convicted felons who are returning to society and bringing all their personal problems \u2014 mental illness, drug and alcohol problems, violent tendencies and criminal outlooks \u2014 with them.
If only all of them were as intent on living a productive and law-abiding life as they claim when they go before the parole board. Clearly, they are not.
That\u2019s why the PRB\u2019s job is a crap-shoot in which public safety depends on how board members roll the dice. That\u2019s just one reason why the governor\u2019s rush to empty the prisons ought to be slowed from a torrent to a trickle.
END
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The National Weather Service and the Centers for Disease Control and Prevention used Earth Day on Monday to explain the new online heat risk system. It combines meteorological and medical risk factors with a seven-day forecast that\u2019s simplified and color-coded for a warming world of worsening heat waves. Magenta is the deadliest category. It's a step above red, which is also pretty bad. The difference is that red is a threat to people without adequate cooling and hydration, while magenta describes weather so hot that it threatens everyone. 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A new color-coded heat warning system relies on magenta to alert Americans to the most dangerous conditions they may see this summer.
The National Weather Service and the Centers for Disease Control and Prevention on Monday \u2014 Earth Day \u2014 presented a new online heat risk system that combines meteorological and medical risk factors with a seven-day forecast that's simplified and color-coded for a warming world of worsening heat waves.
\u201cFor the first time we\u2019ll be able to know how hot is too hot for health and not just for today but for coming weeks,\u201d Dr. Ari Bernstein, director of the National Center for Environmental Health, said at a joint news conference by government health and weather agencies.
Magenta is the worst and deadliest of five heat threat categories, hitting everybody with what the agencies are calling \u201crare and/or long-duration extreme heat with little to no overnight relief.\u201d It's a step higher than red, considered a major risk, which hurts anyone without adequate cooling and hydration and has impacts reverberating through the health care system and some industries. Red is used when a day falls within the top 5% hottest in a particular location for a particular date; when other factors come into play, the alert level may bump even higher to magenta, weather service officials said.
On the other hand, pale green is little to no risk. Yellow is minor risk, mostly to the very young, old, sick and pregnant. Orange is moderate risk, mostly hurting people who are sensitive to heat, especially those without cooling, such as the homeless.
The five categories rest on strict science-set numerical thresholds, like the Saffir Simpson hurricane scale that is familiar for its Category 1 through 5 terminology, though the heat version is specific to location, said National Weather Service Director Ken Graham. The thresholds were calculated using local weather data, local climatology that shows what people are used to at certain locations at each time of year, and localized heath and medical data for when heat illnesses and deaths show up in the area, he said.
\u201cHeat is a threat to our health,\u201d CDC Director Dr. Mandy Cohen said. She said last year more than 120,000 people were taken to the emergency room in the United States because of heat. Last year was one of the deadliest years in decades for heat, according to government records.
Heat is by far the No. 1 weather cause of death in the United States, said National Oceanic and Atmospheric Administration chief Rick Spinrad, citing CDC data of 1,200 deaths per year. Last year was the hottest year on record globally.
Both the weather service and CDC will put versions of the tool on their websites. Enter a ZIP code on the CDC dashboard to get more focus on health risks and air quality and zoom in on the weather service map online for more detailed forecasts and explanations. Both versions include heat risk for the next seven days and there is a Spanish edition. The CDC site is https://www.cdc.gov/heatrisk and the weather service version is https://www.wpc.ncep.noaa.gov/heatrisk/
There are numerous other meteorological indexes for heat, Graham said. Those include the heat index, which factors in humidity; wet bulb globe temperature, which is aimed at outdoors heat stress in the sun; and universal thermal climate index, which brings in radiation and other urban heat factors.
\u201cThis is a way to simplify that,\u201d Graham said. \u201cYou've got to be able to simplify the stuff so that people actually want to look at it first of all and most importantly understand it.\u201d
A version of the heat risk map has been in use in California and other parts of the West for about a decade, he said.
Health officials Cohen and Bernstein said even as heat gets worse with climate change, society can try to reduce deaths by better warnings and better planning. Doctors should talk with people before the summer begins about what vulnerable people should do in advance before heat waves, they said. For example, some heart medications interact with outdoor heat and people shouldn't stop taking their medications, but they could take other precautions, as can teenagers with asthma, said Bernstein, a pediatrician by training.
Those precautions will be needed soon, Graham said.
The Weather Service's seasonal forecast for May and June shows likely above-average temperatures for much of the United States, Graham said. \u201cSo as summer approaches, it's going to be as hot as ever and even more so if we get above average.\u201d
\u201cHeat waves are getting hotter, longer, more frequent and you're getting less relief at night,\u201d Graham said, citing numerous studies in the past decade. \u201cSo it's becoming increasingly serious.\u201d
__
Read more of AP\u2019s climate coverage at http://www.apnews.com/climate-and-environment
___
Follow Seth Borenstein on X at @borenbears
______
The Associated Press\u2019 climate and environmental coverage receives financial support from multiple private foundations. AP is solely responsible for all content. Find AP\u2019s standards for working with philanthropies, a list of supporters and funded coverage areas at AP.org.
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But the children of the Flint water crisis \u2014 set in motion April 25, 2014, when the city began drawing water from the Flint River \u2014 have turned their trauma into advocacy.
They know Flint still struggles: Its population has fallen by about 20,000 in the past decade, leaving abandoned houses frequently targeted by arsonists. More than two-thirds of children live in poverty, and many struggle in school.
But young activists say they want to help make a difference, change how their city is perceived by outsiders \u2014 and defy expectations.
\u201cOne of the biggest issues about growing up in Flint is that people had already decided and predetermined who we were,\u201d said 22-year-old Cruz Duhart, a member of the Flint Public Health Youth Academy.
\u201cThey had ideas about our IQ, about behavioral things, but they never really stopped to speak to us and how we thought about it and the type of traumas that we were going through.\u201d
___
Sima Gutierrez collects water samples from residents' homes and takes them to the Flint Community Water Lab, where more than 60 high school and college interns have provided free testing for thousands of residents since 2020.
She helps plan public awareness campaigns about topics like gun violence and how racism affects public health as a member of the Flint Public Health Youth Academy.
\u201cI wanted to be surrounded by people who weren\u2019t going to cover up the whole fact that people are still having problems ... to share my life (with) anybody else who\u2019s going through what I\u2019m going through,\u201d said Sima, 16.
A decade ago, she complained about stomach pains when she drank water, but her mom believed it helped Sima\u2019s body flush medication she took for an autoimmune disorder that was causing her hair to fall out in patches and leaving her skin splotchy.
Sima and three of her sisters were found to have elevated lead levels and have been diagnosed with attention-deficit hyperactivity disorder; Sima also has a learning difficulty, her mother said.
Residents had been assured the water was safe when many complained of skin rashes and discolored, smelly and foul-tasting water after the city disconnected from Detroit-supplied water to save money.
But a year and a half later, a water expert found high lead levels in the tap water, caused by the city's failure to add anti-corrosion chemicals, which state environmental officials said was unnecessary. A physician also discovered that levels in kids\u2019 blood had doubled.
The potent neurotoxin can damage children\u2019s brains and nervous systems and affect learning, behavior, hearing and speech. There is no safe childhood exposure level, and problems can manifest years later.
Data collected over a decade now show that Flint children have higher rates of ADHD, behavioral and mental health problems and more difficulty learning than those assessed before the water crisis, said Dr. Mona Hanna-Attisha, the pediatrician who flagged rising lead levels in Flint kids\u2019 blood. She said issues such as nutrition, poverty, unemployment and systemic inequalities also could be factors.
But Flint kids are resilient, she said, and have made important contributions to the city's recovery. The Flint Youth Justice League, an advisory board to her Pediatric Public Health Initiative, for example, has offered advice on programs to reduce poverty and connect residents to public services.
\u201cOur young people are amazing,\u201d said Hanna-Attisha. \u201cThey are not okay with the status quo and they are demanding that we do better for them and for generations to come.\u201d
___
Asia Donald remembers feeling helpless and bewildered when her little sister developed rashes and her mom boiled pot after pot of bottled water for baths.
But a couple years later, she was guiding kids from Newark, New Jersey, as they experienced their own water crisis. Over Zoom meetings, the kids from Flint explained parts per billion, how to test water for lead and how they'd coped with fears.
\u201cThey felt the exact same way that I felt when I was ... going through it,\u201d said Asia, 20, one of 18 interns at the Flint Public Health Youth Academy.
They\u2019re paid a monthly stipend to run the academy \u2014 writing grants, creating budgets, analyzing data, running meetings and creating public awareness campaigns. They have a biweekly talk show on YouTube, where they\u2019ve discussed everything from mental health to COVID.
Dr. Kent Key, a public health researcher with the Michigan State University College of Human Medicine in Flint, started the academy after studying health disparities in African American communities as part of his doctoral dissertation.
\"I felt like everyone had written Flint youth off,\u201d he said. \u201cI did not want (the water crisis) to be a sentence of doom and gloom ... I wanted it to be a catapult to launch the next generation of public health professionals.\u201d
One of the academy's frequent partners is Young, Gifted & Green.
Flint resident Dionna Brown, national director of the organization's youth environmental justice program, plans a two-week summer environmental justice camp in Flint every year. Teens learn about policy, climate justice, sustainability and housing disparities.
Brown became interested in advocacy during a class on environmental inequality at Howard University. Now she plans to become an environmental justice attorney.
\u201cI tell people all the time: I\u2019m a child of the Flint water crisis,\u201d said Brown, who was 14 when it began. \u201cI love my city. And we put the world on notice that you cannot just poison a city and we\u2019ll forget about it.\u201d
___
The Associated Press receives support from the Walton Family Foundation for coverage of water and environmental policy. The AP is solely responsible for all content. For all of AP\u2019s environmental coverage, visit https://apnews.com/hub/climate-and-environment.
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Harris announced the rules in Washington before she flew to LaCrosse, Wisconsin to meet with nursing home care employees. In the battleground state, the Democratic vice president also held a campaign event focused on abortion rights.
\u201cIt is about time that we start to recognize your value and pay you accordingly and give you the structure and support that you deserve,\u201d Harris told a small group of care workers.
The federal government is for the first time requiring nursing homes to have minimum staffing levels after the COVID-19 pandemic exposed grim realities in poorly staffed facilities. The change will mean more staff at these facilities, fewer emergency room visits for residents and peace of mind for caregivers, who will be able to spend more time with their patients, Harris said.
The vice president said that Medicaid, the federal-state health insurance program for lower-income people, pays $125 billion annually to home health care companies, which were not required to report on how they were spending the money. A second rule being finalized Monday will require that 80% of that money be used to pay workers, instead of administrative or overhead costs, Harris said.
\u201cThis is about dignity, and it's about dignity that we as a society owe to those in particular who care for the least of these,\u201d she said.
President Joe Biden first announced his plan to set nursing home staffing levels in his 2022 State of the Union address. Current law only requires that nursing homes have \u201csufficient\u201d staffing, leaving it up to states for interpretation.
The new rules implement a minimum number of hours that staff members spend with residents. They also require a registered nurse to be available around the clock at federally funded facilities, which are home to about 1.2 million people.
Allies of older adults have sought the regulation for decades, but the rules drew pushback from the nursing home industry.
Mark Parkinson, president of the American Health Care Association, which lobbies for care facilities, said Monday in a statement that the organization was disappointed and troubled that the federal government was moving forward with what he said was an \u201cunfunded mandate.\u201d
\u201cIt is unconscionable that the administration is finalizing this rule given our nation\u2019s changing demographics and growing caregiver shortage,\u201d Parkinson said. \u201cIssuing a final rule that demands hundreds of thousands of additional caregivers when there\u2019s a nationwide shortfall of nurses just creates an impossible task for providers.\u201d
Wisconsin Republicans echoed the staffing concerns, noting shortages particularly in rural parts of the state. In Elroy, Wisconsin, for instance, an 80-bed nursing home would be required to hire six additional nurses, but \u201cwe simply don't have the bodies,\u201d said Wisconsin state Rep. Tony Kurtz.
Noting the added costs and requirements, Republican U.S. Sen. Ron Johnson bluntly insisted to reporters on a conference call that the rule \u201cmight sound good. It won\u2019t work.\u201d
Health and Human Services Secretary Xavier Becerra said the change is about setting a standard for quality of care.
\u201cWe believe, that with more and more Americans going to nursing homes, it's time to make sure that quality is the standard that everyone strives for,\u201d Becerra said in an interview.
He said the administration listened to feedback from the nursing home industry and is allowing the rule to be phased in with longer timeframes for nursing homes in rural communities and temporary hardship exemptions in places where it's hard to find staff.
The care event marked Harris' third visit to the battleground state this year and is part of Biden's push to earn the support of union workers in his bid for reelection. Republican presidential challenger Donald Trump made inroads with blue-collar workers in his 2016 victory. Biden regularly calls himself the \"most pro-union\u201d president in history and has received endorsements from leading labor groups such as the AFL-CIO, the American Federation of Teachers and the American Federation of State, County and Municipal Employees.
Lisa Gordon, a certified nursing assistant who told Harris, \u201cI've been doing this job for 29 years,\u201d said she was grateful that Biden and the vice president were \u201cfinally getting something done.\u201d
\u201cI entered this field because I care about taking care of our elderly,\u201d Gordon said during a talk with other care providers, Chiquita Brooks-Lasure, administrator of the Centers for Medicare and Medicaid Services, and April Verrett, secretary-treasurer of the Service Employees International Union.
\u201cBeing short-staffed is not taking care of them like they should be,\u201d Gordon said. \u201cThey didn't ask to be there. Your residents are your family. They're your loved ones. We need these changes.\u201d
The coronavirus pandemic, which claimed more than 167,000 nursing home residents in the U.S., exposed the poor staffing levels at the facilities and led many workers to leave the industry. Advocates for the elderly and disabled reported residents who were neglected, going without meals and water or kept in soiled diapers for too long. Experts said staffing levels are the most important marker for quality of care.
The new rules call for staffing equivalent to 3.48 hours per resident per day, just over half an hour of it coming from registered nurses. The government said that means a facility with 100 residents would need two or three registered nurses and 10 or 11 nurse aides as well as two additional nurse staff per shift to meet the new standards.
The average U.S. nursing home already has overall caregiver staffing of about 3.6 hours per resident per day, including RN staffing just above the half-hour mark, but the government said a majority of the country\u2019s roughly 15,000 nursing homes would have to add staff under the new regulation.
The new thresholds are still lower than those that had long been eyed by advocates after a landmark 2001 study funded by the Centers for Medicare and Medicaid Services recommended an average of 4.1 hours of nursing care per resident daily.
___
Associated Press writer Scott Bauer in Madison, Wisconsin, contributed to this report.
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Viasna, whose Nobel Peace Prize-winning founder Ales Bialiatski is among those imprisoned in the crackdown, identified 93 prisoners of particular concern who are suffering from cancer, heart disease and other conditions that are being neglected or poorly treated behind bars.
\u201cIn captivity, every disease progresses faster, in addition to the lack of qualified medical care,\" said Viasna representative Pavel Sapelka. \"This is influenced by the conditions of detention \u2014 lack of fresh air, poor nutrition, constant psychological pressure and stress.\u201d
Belarus started a harsh crackdown on opposition after large protests arose across the country following August 2020 elections who disputed results gave authoritarian President Alexander Lukashenko a sixth term in office.
Human rights activists count some 35,000 people detained in the crackdown, many of whom were beaten by police. All significant opposition figures have been imprisoned or have fled the country.
Viasna says more than 1,400 political prisoners are now behind bars.
Among the cases cited by Viasna in the report is that of Maria Kolesnikova, who was one of the most prominent leaders of the post-election protests. She underwent abdominal surgery but was quickly transported back to prison. Viasna said her dietary needs are not being observed and said investigation found that she was beaten prior to being hospitalized.
Other cases the group noted included 19-year-old Mikita Zalatarou, who reportedly is being denied pills to control his epilepsy, and Yauhen Barouski, who told his family while ill that \u201cI'm probably just going to die here.\u201d
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Minor edits.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "AS--China-COVID Origins-Takeaways", + "headline": "Takeaways from AP report on how the search for the coronavirus origins turned toxic", + "headline_extended": "The Chinese government froze meaningful efforts to trace the origins of the coronavirus pandemic, despite publicly declaring that it supported an open scientific inquiry, an Associated Press investigation has found", + "slugline": "BC-AS--China-COVID Origins-Takeaways, 2nd Ld-Writethru", + "description_summary": "The Chinese government froze meaningful efforts to trace the origins of the coronavirus pandemic, despite publicly declaring that it supported an open scientific inquiry, an Associated Press investigation has found. The AP drew on thousands of pages of undisclosed emails and documents, leaked recordings, and dozens of interviews that showed the freeze began far earlier than previously known \u2014 in the first weeks of the outbreak \u2014 and involved political and scientific infighting in China as much as international finger-pointing. That pattern continues to this day, with labs closed, collaborations shattered, foreign scientists forced out, and Chinese researchers barred from leaving the country.", + "bylines": [ + { + "by": "By DAKE KANG and MARIA CHENG", + "title": "Associated Press" + } + ], + "located": "BEIJING", + "datelinelocation": { + "city": "Beijing", + "countrycode": "CHN", + "countryname": "China", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + 116.39723, + 39.9075 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. 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The AP drew on thousands of pages of undisclosed emails and documents, leaked recordings, and dozens of interviews that showed the freeze began far earlier than previously known \u2014 in the first weeks of the outbreak \u2014 and involved political and scientific infighting in China as much as international finger-pointing.
Crucial initial efforts were hindered by bureaucrats in Wuhan trying to avoid blame who misled the central government; the central government, which silenced Chinese scientists and subjected visiting U.N. officials to stage-managed tours; and the World Health Organization itself, which may have compromised early opportunities to gather critical information, according to internal materials obtained by AP.
Secrecy clouds the beginning of the COVID-19 outbreak. Even the date when Chinese authorities first started searching for the virus\u2019 origins is unclear. The first publicly known search for the coronavirus took place on Dec. 31, 2019, when Chinese Center for Disease Control scientists visited the Wuhan market where many early COVID-19 cases surfaced.
But WHO officials heard of an earlier inspection of the market on Dec. 25, 2019, according to a recording of a confidential WHO meeting provided to the AP. In the recording, WHO\u2019s top virus expert, Peter Ben Embarek, told colleagues that Chinese officials that day were \u201clooking at what was on sale in the market, whether all the vendors have licenses (and) if there was any illegal (wildlife) trade.\u201d
Ben Embarek said the probe was \u201cnot routine\u201d and WHO would \u201ctry to figure out what happened.\u201d Such a probe has never been publicly mentioned by Chinese authorities or WHO.
WHO said in an email that it was \u201cnot aware\u201d of any investigation on Dec. 25, 2019. Other experts said any visit to the market that day would be significant, especially if animal samples were taken because they could be critical evidence of how COVID-19 jumped to humans.
Zhang Yongzhen was the first scientist to publish a sequence of the COVID-19 virus. One day after he wrote a memo urging health authorities to act quickly, China\u2019s top health official ordered his lab closed.
\u201cThey used their official power against me and our colleagues,\u201d Zhang wrote in an email provided to AP by Edward Holmes, an Australian virologist.
Among Chinese doctors and scientists, the sense grew that Beijing was hunting for a scapegoat. The government opened investigations into top health officials, according to two former and current China CDC staff and three others familiar with the matter. China CDC staff were encouraged to report colleagues who mishandled the outbreak to the Communist Party\u2019s disciplinary bodies, according to two of the people.
As criticism of China grew, the Chinese government deflected blame. Instead of firing health officials, they declared their virus response a success and closed investigations into the officials with few job losses.
\u201cThere were no real reforms, because doing reforms means admitting fault,\u201d said a public health expert in contact with top Chinese health officials who asked that he not be identified because of the sensitivity of the matter.
Early on, Chinese scientists were silenced and politicians took control.
As WHO negotiated with China for a mission to investigate COVID-19 in early 2020, it was China\u2019s Foreign Ministry, not scientists, that decided the terms. China refused a visa for WHO\u2019s Ben Embarek, then the agency\u2019s top animal virus expert. The itinerary dropped nearly all the items linked to an origins search, according to draft agendas obtained by AP.
Taking charge of the WHO visit was Liang Wannian, an epidemiologist close to top Chinese officials who was widely seen as pushing the party line, not science-backed policies, according to nine people familiar with the situation who declined to be named due to the sensitivity of the matter. Liang also ordered the Wuhan market disinfected before samples could be collected and promoted an implausible theory that COVID-19 originated from frozen food imported into China.
On a train ride with Dr. Bruce Aylward, a senior adviser to WHO chief Tedros Adhanom Ghebreyesus, Liang lobbied the U.N. agency to praise China\u2019s response in its public report. The new section was so flattering that colleagues emailed Aylward to suggest he \u201cdial it back a bit.\u201d
By the time WHO led another visit to Wuhan in January 2021, the origins hunt had become highly politicized. Liang, the Chinese official in charge of two earlier WHO visits, organized market workers to tell WHO experts no live wildlife was sold and cut recent photos of wildlife at the market from the report.
The WHO team concluded a lab leak was \u201cextremely unlikely.\u201d Months later, WHO chief Tedros said it was \u201cpremature\u201d to dismiss the lab leak theory and pressed China to be more transparent, infuriating Chinese officials
China told WHO any future missions to find the origins of COVID-19 should be elsewhere, according to a letter obtained by AP. Since then, global cooperation has ground to a halt.
Chinese scientists are still under heavy pressure, according to 10 researchers, medical experts and health officials. Researchers who published papers on the coronavirus ran into trouble with Chinese authorities. Others were barred from travel abroad for conferences and WHO meetings.
The head of the China CDC Institute of Viral Disease was forced to retire over the release of sensitive market data, according to a former China CDC official who declined to be named, fearing repercussions.
\u201cIt has to do with the origins, so they\u2019re still worried,\u201d the official said. \u201cIf you try and get to the bottom of it, what if it turns out to be from China?\u201d
___
Cheng reported from Geneva.
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The detailed investigation into the origins of the virus and the political and scientific dynamics involved are highly relevant to the topic of health." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/04/22/89e9ca9e72ea60416c53f17733fff33f.json b/datasets/AP_news/raw_data/2024/04/22/89e9ca9e72ea60416c53f17733fff33f.json new file mode 100644 index 0000000..27ee96d --- /dev/null +++ b/datasets/AP_news/raw_data/2024/04/22/89e9ca9e72ea60416c53f17733fff33f.json @@ -0,0 +1,255 @@ +{ + "altids": { + "itemid": "89e9ca9e72ea60416c53f17733fff33f", + "etag": "89e9ca9e72ea60416c53f17733fff33f_0a14aza0c0", + "friendlykey": "10425669174", + "referenceid": "WV--Measles Case-West Virginia" + }, + "version": 0, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-04-22T20:21:50Z", + "firstcreated": "2024-04-22T20:21:49Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: Updates Media.", + "signals": [ + "newscontent" + ], + "title": "WV--Measles Case-West Virginia", + "headline": "West Virginia confirms first measles case since 2009", + "headline_extended": "A West Virginia hospital has confirmed the first known case of measles in the state since 2009", + "slugline": "AP-WV--Measles Case-West Virginia", + "description_summary": "A West Virginia hospital has confirmed the first known case of measles in the state since 2009. The Monongalia County Health Department says WVU Medicine alerted officials Sunday that an adult patient tested positive for the viral infection. The patient had developed symptoms and sought medical treatment through the WVU Medicine system. Nationwide, measles cases so far this year are nearly double the total for all of last year. Health officials have confirmed measles cases in at least 17 other states.", + "bylines": [ + { + "by": "By LEAH WILLINGHAM", + "title": "Associated Press" + } + ], + "located": "CHARLESTON, W.Va.", + "datelinelocation": { + "city": "Charleston", + "countryareacode": "WV", + "countryareaname": "West Virginia", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -81.63262, + 38.34982 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. 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(AP) \u2014 A West Virginia hospital has confirmed the first known case of measles in the state since 2009, health officials said Monday.
The Monongalia County Health Department said WVU Medicine alerted officials Sunday that an adult patient living in the county tested positive for the viral infection. Health officials have not pinpointed exactly where and how the patient was exposed but said the person had recently traveled abroad.
The patient \u2014 who was partially vaccinated against measles, having received one of two doses \u2014 had developed symptoms, sought medical treatment through the WVU Medicine system and was instructed to stay home while awaiting lab results.
One of the world\u2019s most contagious diseases, measles can lead to potentially serious complications.
Dr. Brian H. Huggins, the county health department's incoming health officer, said the department is working with the hospital to identify people who came into contact with the patient.
\u201cWe really want to emphasize that this is an illness that people should take very seriously,\u201d Huggins said.
Nationwide, measles cases this year already are nearly double the total for all of 2023, raising health experts\u2019 concerns about the preventable, once-common childhood virus. Health officials have confirmed measles cases in at least 17 other states so far this year, including cases in New York City, Philadelphia and Chicago.
The U.S. Centers for Disease Control and Prevention documented 113 cases as of April 5. There have been seven outbreaks and most U.S. cases \u2014 73% \u2014 are linked to those flare-ups.
Still, the count is lower than some recent years: 2014 saw 667 cases and 2019 had 1,274.
Most U.S. cases are brought into the country by people who traveled where measles is far more common.
Huggins said West Virginia has not seen a case since 2009 largely due to its strict school vaccination laws. West Virginia is one of a handful of states that allows only medical exemptions to vaccine requirements.
Last month, Republican Gov. Jim Justice broke with West Virginia\u2019s GOP-majority Legislature to veto a bill that would have allowed some students who don\u2019t attend traditional public schools or don't participate in sports and other group extracurricular activities to be exempt from vaccinations typically required for children.
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It provides details about the patient's vaccination status, the response from health officials, and the broader context of measles cases in the U.S. This information is highly relevant to the topic of health as it pertains to disease outbreaks, vaccination policies, and public health responses." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/04/22/b95baf0cb3a7ded70868b125a061b892.json b/datasets/AP_news/raw_data/2024/04/22/b95baf0cb3a7ded70868b125a061b892.json new file mode 100644 index 0000000..391cff9 --- /dev/null +++ b/datasets/AP_news/raw_data/2024/04/22/b95baf0cb3a7ded70868b125a061b892.json @@ -0,0 +1,270 @@ +{ + "altids": { + "itemid": "b95baf0cb3a7ded70868b125a061b892", + "etag": "b95baf0cb3a7ded70868b125a061b892_1a4aza0c0", + "friendlykey": "45695090100", + "referenceid": "EU--Norway-King" + }, + "version": 1, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-04-22T10:32:10Z", + "firstcreated": "2024-04-22T08:44:14Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: Adds palace statement saying the king will scale back activities due to his age.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "EU--Norway-King", + "headline": "Norway\u2019s King Harald, Europe\u2019s oldest monarch, is back at work after pacemaker implants", + "headline_extended": "Europe\u2019s oldest monarch, King Harald V of Norway, is resuming work after a long sick leave that followed two pacemaker implants", + "slugline": "BC-EU--Norway-King, 1st Ld-Writethru", + "description_summary": "Europe\u2019s oldest monarch, King Harald V of Norway, is resuming work after a long sick leave that followed two pacemaker implants. However, the royal household said he would scale back his official activities from now on. On Monday, the 87-year-old Harald is to receive Norwegian military officers. He fell ill in late February during a private holiday in Malaysia, and received a temporary pacemaker there due to a low heart rate. Ten days later, he was given a permanent pacemaker implant in Norway. Harald ascended to the throne following the death of his father, King Olav, in 1991. He has said he has no plans to abdicate.", + "located": "COPENHAGEN, Denmark", + "datelinelocation": { + "city": "Copenhagen", + "countrycode": "DNK", + "countryname": "Denmark", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + 12.56553, + 55.67594 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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The first scheduled tasks for Harald, 87, is to receive Norwegian military officers at the royal palace in Oslo, according to the Norwegian royal calendar.
\u201cThe king will make adjustments to his program in the future, due to his age. This will entail a permanent reduction in the number and scope of activities in which the king participates,\u201d the royal household said in a statement. \u201cPractical arrangements will also be made in the implementation of his official activity.\u201d
Harald repeatedly has said he has no plans to abdicate, unlike his second cousin Queen Margrethe II of Denmark, who stepped down earlier this year.
Harald fell ill in late February during a private holiday with his wife, Queen Sonja, on the Malaysian resort island of Langkawi. He received a temporary pacemaker there due to a low heart rate on March 2.
Harald returned to Norway aboard a medical airplane and was immediately transferred to a hospital. He underwent a second surgey to receive a permanent pacemaker 10 days later at Oslo\u2019s university hospital.
At first, he was expected to be on sick leave for two weeks, but that was extended several times. During that time, his 50-year-old son, Crown Prince Haakan, has been assuming the king\u2019s duties.
Harald\u2019s duties as Norway\u2019s head of state are ceremonial and he holds no political power. He ascended to the throne following the death of his father, King Olav, in 1991.
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gone dark in China, the victim of political infighting after a series of stalled and thwarted attempts to find the source of the virus that killed millions and paralyzed the world for months.
The Chinese government froze meaningful domestic and international efforts to trace the virus from the first weeks of the outbreak, despite statements supporting open scientific inquiry, an Associated Press investigation found. That pattern continues to this day, with labs closed, collaborations shattered, foreign scientists forced out and Chinese researchers barred from leaving the country.
The investigation drew on thousands of pages of undisclosed emails and documents and dozens of interviews that showed the freeze began far earlier than previously known and involved political and scientific infighting in China as much as international finger-pointing.
As early as Jan. 6, 2020, health officials in Beijing closed the lab of a Chinese scientist who sequenced the virus and barred researchers from working with him.
Scientists warn the willful blindness over coronavirus\u2019 origins leaves the world vulnerable to another outbreak, potentially undermining pandemic treaty talks coordinated by the World Health Organization set to culminate in May.
At the heart of the question is whether the virus jumped from an animal or came from a laboratory accident. A U.S. intelligence analysis says there is insufficient evidence to prove either theory, but the debate has further tainted relations between the U.S. and China.
Unlike in the U.S., there is virtually no public debate in China about whether the virus came from nature or from a lab leak. In fact, there is little public discussion at all about the source of the disease, first detected in the central city of Wuhan.
Crucial initial efforts were hampered by bureaucrats in Wuhan trying to avoid blame who misled the central government; the central government, which muzzled Chinese scientists and subjected visiting WHO officials to stage-managed tours; and the U.N. health agency itself, which may have compromised early opportunities to gather critical information in hopes that by placating China, scientists could gain more access, according to internal materials obtained by AP.
In a faxed statement, China's Foreign Ministry defended China\u2019s handling of research into the origins, saying the country is open and transparent, shared data and research, and \u201cmade the greatest contribution to global origins research.\u201d The National Health Commission, China's top medical authority, said the country \u201cinvested huge manpower, material and financial resources\u201d and \u201chas not stopped looking for the origins of the coronavirus.\u201d
It could have played out differently, as shown by the outbreak of SARS, a genetic relative of COVID-19, nearly 20 years ago. China initially hid infections then, but WHO complained swiftly and publicly. Ultimately, Beijing fired officials and made reforms. The U.N. agency soon found SARS likely jumped to humans from civet cats in southern China and international scientists later collaborated with their Chinese counterparts to pin down bats as SARS\u2019 natural reservoir.
But different leaders of both China and WHO, China\u2019s quest for control of its researchers, and global tensions have all led to silence when it comes to searching for COVID-19\u2019s origins. Governments in Asia are pressuring scientists not to look for the virus for fear it could be traced inside their borders.
Even without those complications, experts say identifying how outbreaks begin is incredibly challenging and that it\u2019s rare to know with certainty how some viruses begin spreading.
\u201cIt\u2019s disturbing how quickly the search for the origins of (COVID-19) escalated into politics,\u201d said Mark Woolhouse, a University of Edinburgh outbreak expert. \u201cNow this question may never be definitively answered.\u201d
Secrecy clouds the beginning of the outbreak. Even the date when Chinese authorities first started searching for the origins is unclear.
The first publicly known search for the virus took place on Dec. 31, 2019, when Chinese Center for Disease Control scientists visited the Wuhan market where many early COVID-19 cases surfaced.
However, WHO officials heard of an earlier inspection of the market on Dec. 25, 2019, according to a recording of a confidential WHO meeting provided to AP by an attendee. Such a probe has never been mentioned publicly by either Chinese authorities or WHO.
In the recording, WHO\u2019s top animal virus expert, Peter Ben Embarek, mentioned the earlier date, describing it as \u201can interesting detail.\u201d He told colleagues that officials were \u201clooking at what was on sale in the market, whether all the vendors have licenses (and) if there was any illegal (wildlife) trade happening in the market.\u201d
A colleague asked Ben Embarek, who is no longer with WHO, if that seemed unusual. He responded that \u201cit was not routine,\u201d and that the Chinese \u201cmust have had some reason\u201d to investigate the market. \u201cWe\u2019ll try to figure out what happened and why they did that.\u201d
Ben Embarek declined to comment. Another WHO staffer at the Geneva meeting in late January 2020 confirmed Ben Embarek\u2019s comments.
The Associated Press could not confirm the search independently. It remains a mystery if it took place, what inspectors discovered, or whether they sampled live animals that might point to how COVID-19 emerged.
A Dec. 25, 2019, inspection would have come when Wuhan authorities were aware of the mysterious disease. The day before, a local doctor sent a sample from an ill market vendor to get sequenced that turned out to contain COVID-19. Chatter about the unknown pneumonia was spreading in Wuhan\u2019s medical circles, according to one doctor and a relative of another who declined to be identified, fearing repercussions.
A scientist in China when the outbreak occurred said they heard of a Dec. 25 inspection from collaborating virologists in the country. They declined to be named out of fear of retribution.
WHO said in an email that it was \u201cnot aware\u201d of the Dec. 25 investigation. It is not included in the U.N. health agency\u2019s official COVID-19 timeline.
When China CDC researchers from Beijing arrived on Jan. 1 to collect samples at the market, it had been ordered shut and was already being disinfected, destroying critical information about the virus. Gao Fu, then head of the China CDC, mentioned it to an American collaborator.
\u201cHis complaint when I met him was that all the animals were gone,\u201d said Columbia University epidemiologist Ian Lipkin.
Robert Garry, who studies viruses at Tulane University, said a Dec. 25 probe would be \u201chugely significant,\u201d given what is known about the virus and its spread.
\u201cBeing able to swab it directly from the animal itself would be pretty convincing and nobody would be arguing\u201d about the origins of COVID-19, he said.
But perhaps local officials simply feared for their jobs, with memories of firings after the 2003 SARS outbreak still vivid, said Ray Yip, the founding head of the U.S. Centers for Disease Control and Prevention outpost in China.
\u201cThey were trying to save their skin, hide the evidence,\u201d Yip said.
The Wuhan government did not respond to a faxed request for comment.
Another early victim was Zhang Yongzhen, the first scientist to publish a sequence of the virus. A day after he wrote a memo urging health authorities to action, China\u2019s top health official ordered Zhang\u2019s lab closed.
\u201cThey used their official power against me and our colleagues,\u201d Zhang wrote in an email provided to AP by Edward Holmes, an Australian virologist.
On Jan. 20, 2020, a WHO delegation arrived in Wuhan for a two-day mission. China did not approve a visit to the market, but they stopped by a China CDC lab to examine infection prevention and control procedures, according to an internal WHO travel report. WHO\u2019s then-China representative, Dr. Gauden Galea, told colleagues in a private meeting that inquiries about COVID-19\u2019s origins went unanswered.
By then, many Chinese were angry at their government. Among Chinese doctors and scientists, the sense grew that Beijing was hunting for someone to blame.
\u201cThere are a few cadres who have performed poorly,\u201d Chinese leader Xi Jinping said in unusually harsh comments in February. \u201cSome dare not take responsibility, wait timidly for orders from above, and don\u2019t move without being pushed.\u201d
The government opened investigations into top health officials, according to two former and current China CDC staff and three others familiar with the matter. Health officials were encouraged to report colleagues who mishandled the outbreak to Communist Party disciplinary bodies, according to two of the people.
Some people both inside and outside China speculated about a laboratory leak. Those suspicious included right-wing American politicians, but also researchers close to WHO.
The focus turned to the Wuhan Institute of Virology, a high-level lab that experimented with some of the world\u2019s most dangerous viruses.
In early February 2020, some of the West\u2019s leading scientists, headed by Dr. Jeremy Farrar, then at Britain\u2019s Wellcome Trust, and Dr. Anthony Fauci, then director of the U.S. National Institutes of Health, banded together to assess the origins of the virus in calls, a Slack channel and emails.
They drafted a paper suggesting a natural evolution, but even among themselves, they could not agree on the likeliest scenario. Some were alarmed by features they thought might indicate tinkering.
\u201cThere have (been) suggestions that the virus escaped from the Wuhan lab,\u201d Holmes, the Australian virologist, who believed the virus originated in nature, wrote in a Feb. 7, 2020, email. \u201cI do a lot of work in China, and I can (assure) you that a lot of people there believe they are being lied to.\u201d
American scientists close to researchers at the Wuhan Institute of Virology warned counterparts there to prepare.
James LeDuc, head of a Texas lab, emailed his Wuhan colleague on Feb. 9, 2020, saying he\u2019d already been approached by U.S. officials. \u201cClearly addressing this will be essential, with any kind of documentation you might have,\u201d he wrote.
The Chinese government was conducting its own secret investigation into the Wuhan Institute. Gao, the then-head of the China CDC, and another Chinese health expert revealed its existence in interviews months and years later. Both said the investigation found no evidence of wrongdoing, which Holmes, the Australian virologist, also heard from another contact in China. But Gao said even he hadn't seen further details, and some experts suspect they may never be released.
WHO started negotiations with China for a further visit with the virus origins in mind, but it was China\u2019s Foreign Ministry that decided the terms.
Scientists were sidelined and politicians took control. China refused a visa for Ben Embarek, then WHO\u2019s top animal virus expert. The itinerary dropped nearly all items linked to an origins search, according to draft agendas for the trip obtained by the AP. And Gao, the then-head of the China CDC who is also a respected scientist tasked with investigating the origins, was left off the schedule.
Instead, Liang Wannian, a politician in the Communist Party hierarchy, took charge of the international delegation. Liang is an epidemiologist close to top Chinese officials and China's Foreign Ministry who is widely seen as pushing the party line, not science-backed policies, according to nine people familiar with the situation who declined to be identified to speak on a sensitive subject.
Liang ruled in favor of shutting the Wuhan market at the beginning of the outbreak, according to a Chinese media interview with a top China CDC official that was later deleted. Significantly, it was Liang who promoted an implausible theory that the virus came from contaminated frozen food imported into China. Liang did not respond to an emailed request for comment.
Most of the WHO delegation was not allowed to go to Wuhan, which was under lockdown. The few who did learned little. They again had no access to the Wuhan Institute of Virology or the wildlife market and obtained only scant details about China CDC efforts to trace the coronavirus there.
On the train, Liang lobbied the visiting WHO scientists to praise China\u2019s health response in their public report. Dr. Bruce Aylward, a senior adviser to WHO Director-General Tedros Adhanom Ghebreyesus, saw it as the \u201cbest way to meet China\u2019s need for a strong assessment of its response.\u201d
The new section was so flattering that colleagues emailed Aylward to suggest he \u201cdial it back a bit.\u201d
\u201cIt is remarkable how much knowledge about a new virus has been gained in such a short time,\u201d read the final report, which was reviewed by China\u2019s top health official before it went to Tedros.
As criticism of China grew, the Chinese government deflected blame. Instead of firing health officials, they declared their virus response a success and closed investigations into the officials with few job losses.
\u201cThere were no real reforms, because doing reforms means admitting fault,\u201d said a public health expert in contact with Chinese health officials who asked not to be identified because of the sensitivity of the matter.
In late February 2020, the internationally respected doctor Zhong Nanshan appeared at a news conference and said that \u201cthe epidemic first appeared in China, but it did not necessarily originate in China.\u201d
Days later, Chinese leader Xi ordered new controls on virus research. A leaked directive from China\u2019s Publicity Department ordered media not to report on the virus origins without permission, and a public WeChat account reposted an essay claiming the U.S. military created COVID-19 at a Fort Detrick lab and spread it to China during a 2019 athletic competition in Wuhan. Days later, a Chinese Foreign Ministry spokesperson repeated the accusation.
The false claims enraged U.S. President Donald Trump, who began publicly blaming China for the outbreak, calling COVID-19 \u201cthe China virus\u201d and the \u201ckung-flu.\u201d
Chinese officials told WHO that blood tests on lab workers at the Wuhan Institute of Virology were negative, suggesting COVID-19 wasn\u2019t the result of a lab accident there. But when WHO pressed for an independent audit, Chinese officials balked and demanded WHO investigate the U.S. and other countries as well.
By blaming the U.S., Beijing diverted blame. It was effective in China, where many Chinese were upset by racially charged criticism. But outside China, it fueled speculation of a lab leak coverup.
By the time WHO led another visit to Wuhan in January 2021, a year into the pandemic, the atmosphere was toxic.
Liang, the Chinese health official in charge of two earlier WHO visits, continued to promote the questionable theory that the virus was shipped into China on frozen food. He suppressed information suggesting it could have come from animals at the Wuhan market, organizing market workers to tell WHO experts no live wildlife was sold and cutting recent photos of wildlife at the market from the final report. There was heavy political scrutiny, with numerous Chinese officials who weren\u2019t scientists or health officers present at meetings.
Despite a lack of direct access, the WHO team concluded that a lab leak was \u201cextremely unlikely.\u201d So it was infuriating to Chinese officials when WHO chief Tedros said it was \u201cpremature\u201d to rule out the lab leak theory, saying such lab accidents were \u201ccommon,\u201d and pressed China to be more transparent.
China told WHO any future missions to find COVID-19 origins should be elsewhere, according to a letter obtained by AP. Since then, global cooperation on the issue has ground to a halt; an independent group convened by WHO to investigate the origins of COVID-19 in 2021 has been stymied by the lack of cooperation from China and other issues.
Chinese scientists are still under heavy pressure, according to 10 researchers and health officials. Researchers who published papers on the coronavirus ran into trouble with Chinese authorities. Others were barred from travel abroad for conferences and WHO meetings. Gao, the then-director of the China CDC, was investigated after U.S. President Joe Biden ordered a review of COVID-19 data, and again after giving interviews on the virus origins.
New evidence is treated with suspicion. In March 2023, scientists announced that genetic material collected from the market showed raccoon dog DNA mixed with COVID-19 in early 2020, data that WHO said should have been publicly shared years before. The findings were posted, then removed by Chinese researchers with little explanation.
The head of the China CDC Institute of Viral Disease was forced to retire over the release of the market data, according to a former China CDC official who declined to be named to speak on a sensitive topic.
\u201cIt has to do with the origins, so they\u2019re still worried,\u201d the former official said. \u201cIf you try and get to the bottom of it, what if it turns out to be from China?\u201d
Other scientists note that any animal from which the virus may have originally jumped has long since disappeared.
\u201cThere was a chance for China to cooperate with WHO and do some animal sampling studies that might have answered the question,\u201d said Tulane University\u2019s Garry. \u201cThe trail to find the source has now gone cold.\u201d
___
Cheng reported from Geneva.
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It also warned of air pollution, pesticides and other hazards that could lead to health problems including cancer.
In a new report, the International Labor Organization suggested ways that governments can improve their legislation and help cope with the rising effects of climate change on workers.
\u201cIt\u2019s clear that climate change is already creating significant additional health hazards for workers,\u201d said Manal Azzi, the organization's team lead on occupational safety and health. \u201cIt is essential that we heed these warnings.\"
The ILO estimates that over 2.4 billion workers \u2014 more than 70% of the global workforce \u2014 are likely to face excessive heat as part of their jobs at some point, according to the most recent figures available, from 2020. That's up from over 65% in 2000.
The Geneva-based body cited the growing link between climate change and harm to human health, including cancer, cardiovascular disease, respiratory troubles and mental health.
It estimates, for example, that 1.6 billion workers are exposed to ultraviolet radiation as part of their jobs, citing nearly 19,000 deaths a year from non-melanoma skin cancer, and ailments as diverse as sunburn, skin blistering and eye damage, cataracts and retina trouble like macular degeneration.
The same number of workers \u2014 1.6 billion \u2014 are exposed to workplace air pollution \u201cresulting in up to 860,000 work-related deaths among outdoor workers annually,\u201d it said in a statement.
The report said some subsets of workers are particularly vulnerable, such as firefighters in the United States battling wildfires, which experts say have become bigger and more frequent because of climate change due to high heat and excessively dry conditions.
\u201cWorkers are often forgotten when we\u2019re talking about climate change and the health impacts are very severe from death, to millions of sick people because of hazards exacerbated by climate change, but also millions living with chronic diseases,\" Aziz said.
Some countries have taken action by enacting legislation that calls for regular surveillance of workers regularly exposed to heat, excess sunlight, air pollution and other health risks on the job. In other cases, ILO says collective bargaining agreements between labor and business leaders have helped mitigate the risks.
U.N. agencies and environmental activists have increasingly sought to highlight the link between climate change and human health. Planet Earth tallied a 10th straight month of record monthly temperatures in March, according to the European Union's climate agency.
The World Health Organization estimates that between 2030 and 2050, just a handful of climate-related threats, such as malaria and water insecurity, will claim a quarter of a million additional lives each year.
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The House's majority leader on Monday said the chamber will send the bill to Republican Gov. Mike Parson\u2019s desk this week. Republicans have tried for years to block Medicaid funding from going to Planned Parenthood clinics in Missouri. Defunding efforts have been thwarted in the courts. Abortions are not covered by Medicaid, and almost all abortions are illegal in Missouri. But abortion opponents say Planned Parenthood should not receive any public funding because clinics in other states provide abortions. 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(AP) \u2014 Lawmakers in Missouri are trying to defund Planned Parenthood by taking it off Medicaid rolls, even for the most basic of health care services. It's a move they've tried for years in a state where almost all abortions are banned.
House Republican Majority Leader Jon Patterson on Monday said the chamber will send the bill to GOP Gov. Mike Parson's desk this week.
Few states \u2014 Arkansas, Mississippi, and Texas, according to Planned Parenthood \u2014 have successfully blocked Medicaid funding for the organization.
While past efforts to kick Planned Parenthood off Missouri's Medicaid program have been struck down by courts, this year, GOP lawmakers are taking another approach, hoping to avoid a legal showdown. And some members of the Freedom Caucus are doubling down, by threatening to abolish a tax that could cost the state an additional $2.9 billion in federal funding if they don't get their way.
Here's a rundown of the legislation:
The bill aims to make it illegal for Missouri's Medicaid program to reimburse Planned Parenthood for health care services to low-income patients, including for basic care like pap smears and cancer screenings.
\u201cRestricting public funds from providers who are ready, willing, and skilled in delivering essential care only hurts Missourians, plain and simple,\u201d Emily Wales, the president and CEO of Planned Parenthood Great Plains, said in a statement.
Courts have taken issue with earlier Republican bans on funding included in state budget bills. No taxpayer dollars have gone to Planned Parenthood in recent years, as cases have worked their way through the courts. A February state Supreme Court ruling found that lawmakers' latest attempt at defunding Planned Parenthood was unconstitutional.
This year, GOP lawmakers hope to avoid another court showdown by kicking Planned Parenthood off the state\u2019s Medicaid program through a policy bill.
Supporters say the bill is necessary to permanently stop public funding for Planned Parenthood, arguing that even though no abortions are performed in Missouri, money that goes to the organization indirectly supports clinics in other states that allow abortions.
\u201cNot only do we believe that life is precious, but the institution of abortion hurts women,\u201d said state Sen. Bill Eigel, who is in a Republican primary for governor.
Democrats have repeatedly countered that the measure would restrict low-income patients' access to health care and accuse the GOP of pushing the issue to win favor among voters.
\u201cThey\u2019re passing defund Planned Parenthood things because they feel like they can\u2019t win their primaries without it,\u201d Senate Democratic Minority Leader John Rizzo said.
The bill to kick Planned Parenthood off Medicaid in Missouri is tangled with a tax on hospitals and other health care service providers that brings billions of federal dollars to the state. Those funds are then returned to health care providers.
The program, called the Federal Reimbursement Allowance program, taxed hospitals and other health care providers about $1.5 billion this year, and got $2.9 billion back in federal Medicaid funding. Without the tax, the state will need to scrape together $1.5 billion in taxpayer dollars to get the federal match, or cut the budget by $4.4 billion.
Some Freedom Caucus members are threatening to do away with the tax \u2014 and lose the federal funding \u2014 if Planned Parenthood isn't defunded.
The reimbursement program and efforts to defund Planned Parenthood are not directly related, but both receive Medicaid funding.
The issues became intertwined back in 2021, when the powerful anti-abortion advocacy group Missouri Right to Life began pressuring Republicans to demand the hospital tax include language banning Planned Parenthood funding.
The hospital tax brings in so much money for the state, so lawmakers often threaten to cut it when they're bargaining for other priorities.
Republican Sen. Lincoln Hough said the tax has recently been used as \u201ca political football.\u201d
\u201cWe have to get it done,\" Hough said. \"And in this environment, when people know you have to get something done, then oftentimes they\u2019re using that as leverage to get other things done.\u201d
___
Associated Press reporter David A. Lieb contributed to this story.
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Given that the topic is 'Health,' the document is highly relevant as it directly addresses health care services, Medicaid, and the broader health care system in Missouri." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/04/22/e5e8ccfd24cf9650b425dee7def99a2e.json b/datasets/AP_news/raw_data/2024/04/22/e5e8ccfd24cf9650b425dee7def99a2e.json new file mode 100644 index 0000000..a5ba1da --- /dev/null +++ b/datasets/AP_news/raw_data/2024/04/22/e5e8ccfd24cf9650b425dee7def99a2e.json @@ -0,0 +1,251 @@ +{ + "altids": { + "itemid": "e5e8ccfd24cf9650b425dee7def99a2e", + "etag": "e5e8ccfd24cf9650b425dee7def99a2e_3a10aza0c0", + "friendlykey": "962912411304", + "referenceid": "LT--Peru-Euthanasia" + }, + "version": 3, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-04-23T19:09:53Z", + "firstcreated": "2024-04-22T22:05:44Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: EDITS: Edits second paragraph", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "LT--Peru-Euthanasia", + "headline": "Psychologist becomes first person in Peru to die by euthanasia after fighting in court for years", + "headline_extended": "A Peruvian psychologist who had an incurable disease that weakened her muscles and left her bedridden for several years died by euthanasia", + "slugline": "BC-LT-Peru-Euthanasia, 3rd Ld-Writethru", + "description_summary": "A Peruvian psychologist who had an incurable disease that weakened her muscles and left her bedridden for several years died by euthanasia. Ana Estrada is the first person in the country to obtain the right to die with medical assistance. She had fought for years in Peruvian courts for the right to die with dignity, and became a celebrity in the conservative country where euthanasia and assisted suicide are illegal. In 2022, Estrada was granted an exception by the nation\u2019s Supreme Court, which upheld a ruling by a lower court that gave Estrada the right to decide when to end her life. It also said that those who helped her would not be punished.", + "bylines": [ + { + "by": "By FRANKLIN BRICE\u00d1O", + "title": "Associated Press" + } + ], + "located": "LIMA, Peru", + "datelinelocation": { + "city": "Lima", + "countrycode": "PER", + "countryname": "Peru", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -77.02824, + -12.04318 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. 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Ana Estrada fought for years in Peruvian courts for the right to choose to die, and became a celebrity in the conservative country where euthanasia and assisted suicide are illegal.
In 2022, Estrada was granted an exception by the nation\u2019s Supreme Court, which upheld a ruling by a lower court that gave Estrada the right to decide when to end her life, and said that those who helped her would not be punished. Estrada became the first person to obtain the right to die with medical assistance in Peru.
\u201cAna\u2019s struggle for her right to die with dignity has helped to educate thousands of Peruvians about this right and the importance of defending it,\u201d her lawyer, Josefina Mir\u00f3 Quesada, said in a statement. \u201cHer struggle transcended our nation\u2019s borders.\u201d
Estrada, 47, had an incurable disease called polymyositis that wastes away muscles. She began to present the first symptoms as a teenager and started to use a wheelchair at the age of 20 because she had lost the strength to walk.
Estrada obtained a psychology degree and became a therapist. She earned enough money to buy her own apartment and became independent from her parents.
By 2017, however, Estrada\u2019s condition worsened and she could no longer get up from her bed. She had difficulty breathing and survived pneumonia. And even though she could not type, Estrada used transcription software to produce a blog called \u201cAna for a death with dignity,\u201d where she discussed her struggles and her decision to seek euthanasia.
\u201cI am no longer free,\u201d she said in an interview with the Associated Press in 2018. \u201cI am not the same person I was before.\u201d
With the help of Peru\u2019s Human Rights Ombudsman, Estrada won a lawsuit that gave her the right to die with euthanasia. From her bed, she participated in court sessions through video conferences.
Estrada told judges in 2022 that she valued life, and did not want to die immediately, but wanted to have the freedom to decide when to end her life.
\u201cI want to accede to euthanasia when I can no longer sustain suffering in life,\u201d she said. \u201cAnd when I decide to bid farewell to my loved ones in peace and with tranquility.\u201d
Only a handful of countries have legalized euthanasia, including Canada, Belgium and Spain. Some U.S. states, including Maine and Oregon, allow physician-assisted suicide, where a doctor provides a terminally ill patient with the means to end their life.
Euthanasia is illegal in most Latin American countries except for Colombia, which legalized it in 2015, and Ecuador, which decriminalized the practice in February.
___
Follow AP\u2019s coverage of Latin America and the Caribbean at https://apnews.com/hub/latin-america
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The document also provides context about the legal status of euthanasia in various countries, which is pertinent to discussions about health policies and ethics." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/04/23/000a2482fdd1f1299599c91a6cc7635a.json b/datasets/AP_news/raw_data/2024/04/23/000a2482fdd1f1299599c91a6cc7635a.json new file mode 100644 index 0000000..22ee4d1 --- /dev/null +++ b/datasets/AP_news/raw_data/2024/04/23/000a2482fdd1f1299599c91a6cc7635a.json @@ -0,0 +1,363 @@ +{ + "altids": { + "itemid": "000a2482fdd1f1299599c91a6cc7635a", + "etag": "000a2482fdd1f1299599c91a6cc7635a_1a11aza0c0", + "friendlykey": "674885050361", + "referenceid": "US--Supreme Court-Abortion-Explainer" + }, + "version": 1, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-04-23T19:01:20Z", + "firstcreated": "2024-04-23T17:14:08Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: Updates with Susan B. 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The Justice Department has sued Idaho over its abortion law, which allows a woman to get an abortion only when her life, not her health, is at risk. The Idaho law has raised questions about when a doctor is able to provide the stabilizing treatment federal law requires. The federal law is called the Emergency Medical Treatment and Active Labor Act, or EMTALA. EMTALA requires doctors to stabilize or treat any patient who shows up at an emergency room.", + "bylines": [ + { + "by": "By AMANDA SEITZ", + "title": "Associated Press" + } + ], + "located": "WASHINGTON", + "datelinelocation": { + "city": "Washington", + "countryareacode": "DC", + "countryareaname": "District of Columbia", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -77.03637, + 38.89511 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. 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The Justice Department has sued Idaho over its abortion law, which allows a woman to get an abortion only when her life \u2014 not her health \u2014 is at risk. The state law has raised questions about when a doctor is able to provide the stabilizing treatment that federal law requires.
The federal law, called the Emergency Medical Treatment and Active Labor Act, or EMTALA, requires doctors to stabilize or treat any patient who shows up at an emergency room.
Here\u2019s a look at the history of EMTALA, what rights it provides patients and how a Supreme Court ruling might change that.
Simply put, EMTALA requires emergency rooms to offer a medical exam if you turn up at their facility. The law applies to nearly all emergency rooms \u2014 any that accept Medicare funding.
Those emergency rooms are required to stabilize patients if they do have a medical emergency before discharging or transferring them. And if the ER doesn\u2019t have the resources or staff to properly treat that patient, staff members are required to arrange a medical transfer to another hospital, after they\u2019ve confirmed the facility can accept the patient.
So, for example, if a pregnant woman shows up at an emergency room concerned that she is in labor but there is no OB/GYN on staff, hospital staff cannot simply direct the woman to go elsewhere.
Look to Chicago in the early 1980s.
Doctors at the city\u2019s public hospital were confronting a huge problem: Thousands of patients, many of them Black or Latino, were arriving in very bad condition \u2014 and they were sent there by private hospitals in the city that refused to treat them. Most of them did not have health insurance.
Chicago wasn\u2019t alone. Doctors working in public hospitals around the country reported similar issues. Media reports, including one of a pregnant woman who delivered a stillborn baby after being turned away by two hospitals because she didn\u2019t have insurance, intensified public pressure on politicians to act.
Congress drafted legislation with Republican Sen. David Durenberger of Minnesota saying at the time, \u201cAmericans, rich or poor, deserve access to quality health care. This question of access should be the government\u2019s responsibility at the federal, state, and local levels.\u201d
Then-President Ronald Reagan, a Republican, signed the bill into law in 1986.
The hospital is investigated by the Centers for Medicare and Medicaid Services. If they find the hospital violated a patient\u2019s right to care, they can lose their Medicare funding, a vital source of revenue for most hospitals to keep their doors open.
Usually, however, the federal government issues fines when a hospital violates EMTALA. They can add up to hundreds of thousands of dollars.
Since the Supreme Court overturned the constitutional right to an abortion, President Joe Biden, a Democrat, has repeatedly reminded hospitals that his administration considers an abortion part of the stabilizing care that EMTALA requires facilities to provide.
The Biden administration argues that Idaho\u2019s law prevents ER doctors from offering an abortion if a woman needs one in a medical emergency.
But Idaho\u2019s attorney general has pointed out that EMTALA also requires hospitals to consider the health of the \u201cunborn child\u201d in its treatment, too.
Anti-abortion advocates argue that state laws banning abortion can coexist with the federal law that requires hospitals to stabilize pregnant patients in an emergency.
The prominent anti-abortion group Susan B. Anthony Pro-Life America called the lawsuit in Idaho a \u201cPR stunt,\u201d in a statement to The Associated Press on Tuesday.
\u201cThe EMTALA case is based on the false premise that pregnant women cannot receive emergency care under pro-life laws,\" said Kelsey Pritchard, the group\u2019s state public affairs director. \"It is a clear fact that pregnant women can receive miscarriage care, ectopic pregnancy care and treatment in a medical emergency in all 50 states.\"
But many doctors say it\u2019s not as clear cut as anti-abortion advocates claim. Idaho\u2019s state law banning abortion, except for the life of the mother, has left some doctors weighing if a patient is close enough to death to treat.
Most other states allow doctors to perform abortions to save the health of a mother. But, if the Supreme Court rules in Idaho\u2019s favor, it could invite other states to pass restrictions without that exemption.
In a statement released Monday, Jack Resneck, the former president of the American Medical Association, said Idaho\u2019s law forces doctors to withhold proper treatment for patients.
The state\u2019s \u201cdangerous standard cannot be applied to the real-life situations faced in emergency departments every day,\u201d Resneck said. \u201cThere is no bright line when each patient\u2019s condition suddenly reaches \u201clife-threatening,\u201d and deteriorating patients don\u2019t want their physicians delaying care.\u201d
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Idaho says the Biden administration is trying to expand the definition of emergencies and turn hospitals into \u201cabortion enclaves.\u201d Doctors say the state\u2019s strict abortion ban has already affected emergency pregnancy care, forcing more women to be flown out of state for treatment.", + "bylines": [ + { + "by": "By LINDSAY WHITEHURST", + "title": "Associated Press" + } + ], + "located": "WASHINGTON", + "datelinelocation": { + "city": "Washington", + "countryareacode": "DC", + "countryareaname": "District of Columbia", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -77.03637, + 38.89511 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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The justices are weighing a case from Idaho, where a strict abortion ban went into effect shortly after the high court's 2022 decision overturning Roe v. Wade. The case marks the first time the Supreme Court has considered a state ban since then, and comes as the justices consider another case \u2014 still pending \u2014 seeking to restrict access to abortion medication.
The Biden administration argues that hospitals must be allowed to terminate pregnancies in rare emergencies where a patient's life or health is at serious risk, even in states where abortions are banned. Idaho says its law does have an exception for life-saving abortions, and it contends the Biden administration wants to define health emergencies more broadly to turn hospitals into \u201cabortion enclaves.\"
Idaho is one of 14 states that now ban abortion at all stages of pregnancy with limited exceptions. Most Republican-controlled states have started enforcing new bans or restrictions since Roe was overturned, and 22 states filed court papers supporting Idaho. The Supreme Court has allowed the Idaho abortion ban to go into effect, even during emergencies, as the case played out.
Idaho's ban has already affected emergency care in the state, said Dr. Jim Souza, the chief physician executive of Boise-based St. Luke\u2019s Health System. Since the law went into effect for emergencies in January, six pregnant emergency-room patients have had to be flown out of state for treatment. Just one needed a similar emergency flight in all of 2023, he said.
Abortion is considered routine treatment for some pregnancy emergencies, like when a woman\u2019s water breaks before a fetus is viable. Idaho doctors see a patient at least weekly with that issue, which puts women at risk for infection, sepsis and hemorrhage. But in order to stay within bounds of Idaho\u2019s abortion law, doctors now must wait to ensure those patients are close to death before offering abortion treatment, Souza said. \u201cThere\u2019s a lot of second-guessing and hand-wringing. Is she sick enough? Is she bleeding enough?\u201d he said.
Attorneys for the state of Idaho contend the exceptions to its abortion ban do allow for life-saving abortions, as well as treatment for ectopic pregnancies and accidental terminations in emergencies. The state says the Biden administration has overstated healthcare woes to create a backdoor despite the Supreme Court's 2022 ruling putting abortion in the hands of the states.
\u201cIt\u2019s just the government crying wolf in the hopes of persuading the justices to adopt a position contrary to what the law says,\u201d said John Bursch, an attorney with the group Alliance Defending Freedom and Idaho co-counsel.
The Justice Department originally brought the case against Idaho, arguing the state\u2019s abortion law is in conflict with the 1986 Emergency Medical Treatment and Active Labor Act, known as EMTALA. It requires hospitals that accept Medicare to provide emergency care to any patient regardless of their ability to pay. Nearly all hospitals accept Medicare.
Two weeks after Roe was overturned, the Democratic Biden administration put out guidance saying the law requires abortions in emergencies with serious life or health threats.
The Idaho suit was filed shortly after. A district court judge initially sided with the administration and ruled that abortions were allowed in medical emergencies, but after wrangling at the U.S. 9th Circuit Court of Appeals the Supreme Court sided with Idaho and allowed the law to go fully into effect in January.
Idaho says the law is meant to ensure patients are stabilized by hospitals rather than turned away, and doesn't dictate an exact standard of care.
The Biden administration\u2019s reading of the law would open a \u201c'mental health' loophole for abortion\u201d and allow doctors to make subjective determinations about what constitutes a serious health threat, the state argues. \u201cEMTALA does not require emergency rooms to become abortion enclaves in violation of state law.\"
The law also says hospitals are responsible for stabilizing \u201cthe health of the woman or her unborn child,\u201d language that indicates there wasn\u2019t an expectation that it would require abortions, Idaho argued. \u201cBoth EMTALA and the Idaho Defense of Life Act are life affirming laws. There\u2019s no conflict between them,\u201d Bursch said.
The Justice Department says the language refers to labor and delivery and doesn't preclude hospitals from stabilizing a woman with necessary treatment, especially when serious risks to her health also endanger a fetus. Its reading of the law would cover only abortions needed to stabilize a patient, relatively rare situations that can have \u201clife altering consequences,\u201d federal attorneys wrote.
If the Supreme Court sides with Idaho, it could push more doctors to leave states with abortion bans and expand \u201c maternity care deserts, \u201d said Dr. Caitlin Gustafson, an Idaho physician. Nearly a quarter of obstetricians and more than half of maternal fetal medicine doctors have left Idaho since shortly after Roe was overturned, according to a study released in February. Abortion opponents, meanwhile, say that a lack of healthcare access, especially in rural areas, is a wider issue that's not necessarily related to abortion bans.
A win for the state could also weaken the emergency healthcare protections that EMTALA provides across the country, said Molly Duane, a senior staff attorney at the Center for Reproductive Rights. \u201cWho is overseeing these hospitals and making sure the patients get the lifesaving and health saving care that they need to protect themselves, their families, the pregnancies, their future pregnancies?\u201d Duane said.
The Biden administration is also facing other court battles over its guidance on abortions and emergency care. The 5th Circuit Court of Appeals ruled against the administration in January, finding that EMTALA does not require Texas hospitals to provide abortions in emergency rooms. The Justice Department has appealed that decision, but asked the high court to wait until ruling in the Idaho case.
The Supreme Court is expected to rule by the end of June.
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Gov. Janet Mills signed the proposal after the Democratic-controlled Maine Legislature approved it earlier in the month. The state joins more than a dozen others that protect medical providers from out-of-state investigations about abortions.
The proposal created a disagreement between Maine Attorney General Aaron Frey and attorneys general in several other states, including Tennessee. The out-of-state attorneys general threatened legal action if Maine proceeded with its law. Frey dismissed the threats as \u201cmeritless.\u201d
The proposal also caused considerable debate in Maine, where Republicans opposed it.
Representatives for Planned Parenthood Maine Action Fund said Tuesday the signing of the bill was a major step for reproductive freedom in Maine. \u201cMaine remains a safe harbor for sexual and reproductive health care, for providers and the patients they serve,\u201d from Lisa Margulies, vice president of public affairs for Planned Parenthood Maine Action Fund.
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It was updated on April 24, 2024 to correct the name of Weill Cornell Medicine in the 16th paragraph.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "US-MED--Wellness-Sleep Tips", + "headline": "Get better sleep with these 5 tips from experts", + "headline_extended": "Nearly a third of American adults don't get the recommended seven to nine hours of sleep per night", + "slugline": "BC-US-MED--Wellness-Sleep Tips, 3rd Ld-Writethru", + "description_summary": "Nearly a third of American adults don't get the recommended seven to nine hours of sleep per night. Stress and anxiety are keeping people from snoozing, as can a culture that experts say is about productivity, not rest. Experts say that you should create a buffer zone and watch what you eat before bed. They also say it's important to limit screen time before sleep.", + "bylines": [ + { + "by": "By KENYA HUNTER", + "title": "AP Health Writer" + } + ], + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. For other uses, additional clearances may be required." + ], + "keywords": [ + "sleep stress anxiety caffeine alcohol" + ], + "provider": "AP", + "infosource": [ + { + "name": "AP", + "type": "AP" + } + ], + "subject": [ + { + "rels": [ + "category" + ], + "creator": "Editorial", + "code": "l", + "name": "l" + }, + { + "rels": [ + "category" + ], + "creator": "Editorial", + "code": "a", + "name": "a" + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "e23466f87de410048fefdf092526b43e", + "name": "Stress", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 74 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "e23244187de410048fdddf092526b43e", + "name": "Anxiety", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 44 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "3e37e4b87df7100483d5df092526b43e", + "name": "Lifestyle", + "creator": "Editorial", + "editorial_subject": "Lifestyle", + "rels": [ + "direct" + ], + "relevance": 75 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "a4677d70863b4012b846a1b00f5079f5", + "name": "U.S. news", + "creator": "Editorial", + "editorial_subject": "U.S. news", + "rels": [ + "direct" + ], + "relevance": 75 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "f25af2d07e4e100484f5df092526b43e", + "name": "General news", + "creator": "Editorial", + "editorial_subject": "General news", + "rels": [ + "direct" + ], + "relevance": 50 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "cc7a76087e4e10048482df092526b43e", + "name": "Health", + "creator": "Editorial", + "editorial_subject": "Health", + "rels": [ + "direct" + ], + "relevance": 99 + } + ], + "audiences": [ + { + "code": "82c6a4c46fa0446090a7acaf93159e4c", + "name": "Print", + "type": "AUDPLATFORM" + }, + { + "code": "9add4649b53b4702ba7d9de5d4fa607a", + "name": "Online", + "type": "AUDPLATFORM" + }, + { + "code": "f43adc08760d10048040e6e7a0f4673e", + "name": "National", + "type": "AUDSCOPE" + }, + { + "code": "f4ecf9b0760d10048044e6e7a0f4673e", + "name": "International", + "type": "AUDSCOPE" + }, + { + "code": "661850e07d5b100481f5c076b8e3055c", + "name": "Latin America and Caribbean", + "type": "AUDGEOGRAPHY" + }, + { + "code": "661e48387d5b10048291c076b8e3055c", + "name": "United States", + "type": "AUDGEOGRAPHY" + } + ], + "associations": { + "1": { + "altids": { + "itemid": "626f5a70ba8e4269b9c4c48a192f1c27" + }, + "type": "picture" + } + }, + "body_nitf": "Spending too many nights trying to fall asleep \u2014 or worrying there aren\u2019t enough ZZZs in your day? You\u2019re not alone.
Nearly one-third of American adults say they don\u2019t get the recommended seven to nine hours a night. Some of the major causes: Stress, anxiety and a culture that experts say is about productivity, not rest.
\u201cYou need to understand what your body needs and try your hardest to prioritize that and not just see sleep as kind of what\u2019s left over of the day,\u201d said Molly Atwood, an assistant professor of psychiatry and behavioral sciences at Johns Hopkins School of Medicine.
Don\u2019t fall for online fads or unproven methods to fall asleep and stay asleep. Instead, try these simple tricks recommended by sleep experts.
Work-related stress is inevitable, and it can be hard to disconnect. Try creating a \u201cbuffer zone\u201d between the end of your work day and your bedtime.
Experts suggest leaving career work and daily responsibilities alone about an hour before bed. Don\u2019t check email, pay bills, do chores or scroll endlessly through social media. Instead, create a routine where you relax with a book, indulge in a hobby or spend time with loved ones.
\u201cIt goes back to the core value of mindfulness,\u201d said Dr. Annise Wilson, an assistant professor of neurology and medicine at Baylor University. \u201cAnything that helps to center you and just helps you focus and release a lot of that tension from the day will then help promote sleep.\u201d
Eating a large meal right before bedtime can disrupt your sleep, so try to grub in the early evening hours.
\u201cI would say that eating a large meal is impactful simply because it\u2019s like giving your body a really large job to do right before sleep at a time when things are supposed to be shutting down,\u201d Atwood said.
But don\u2019t go to bed super-hungry, either. Try snacks with protein or healthy fats, like cheese, almonds or peanut butter on whole grain bread.
Having a nightcap or post-dinner espresso might feel relaxing, but it could lead to a long night.
While alcohol can help you fall asleep initially, it can disrupt your sleep cycle, reducing the quality of sleep and increasing the chances you'll wake up more often in the middle of the night.
Caffeine is a stimulant that blocks adenosine, a chemical that contributes to the feeling of sleepiness \u2014 and it can take your body up to 10 hours to clear caffeine.
For these reasons, experts suggest finishing up your caffeinated or boozy beverages several hours before bed.
Light from phones and computer screens can disrupt the circadian rhythm \u2013 or the internal clock that naturally wakes us up \u2013 by suppressing melatonin, which assists with sleep.
But you\u2019ll need self-discipline to stop streaming or scrolling, said Dr. Dianne Augelli, an assistant professor of clinical medicine at Weill Cornell Medicine.
\u201cTikTok doesn\u2019t want you to stop,\u201d Augelli said. \u201cOnly you can stop you, so you have to learn to put that stuff away.\u201d
If nothing\u2019s working and you\u2019ve struggled to get a good night\u2019s sleep for more than a month, experts say it\u2019s time to go to a doctor. This is especially true if your sleepless nights are interfering with your work performance or your mood.
\u201cIt doesn\u2019t matter how much relaxation you do. At a certain point, it\u2019s not going to be effective if there\u2019s a significant amount of stress,\u201d Atwood said. \u201c... It might involve some problem-solving to figure that out.\u201d
___
In a story published April 23, 2024, about sleep tips, The Associated Press erroneously reported the name of an academic medical institution. It is Weill Cornell Medicine, not Weill Cornell Medical College.
___
The Associated Press Health and Science Department receives support from the Robert Wood Johnson Foundation. The AP is solely responsible for all content.
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A new docuseries called \u201cThank You, Goodnight,\" debuts Friday on Hulu and recounts the band's beginning and rise to super stardom. It also details some low points, including when front man Jon Bon Jovi underwent major vocal surgery in 2022. The musician wasn't sure if he would ever sing again, but things are looking up. A new Bon Jovi album called \u201cForever\u201d debuts in June. In a Q&A with The Associated Press, Bon Jovi talks about his commitment to regaining his vocal abilities, the music industry today and whether he would return to acting.", + "bylines": [ + { + "by": "By ALICIA RANCILIO", + "title": "Associated Press" + } + ], + "located": "PASADENA, Calif.", + "datelinelocation": { + "city": "Pasadena", + "countryareacode": "CA", + "countryareaname": "California", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -118.14452, + 34.14778 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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(AP) \u2014 When Jon Bon Jovi agreed to let director Gotham Chopra follow him with a documentary camera to delve into the history of his band, Bon Jovi, he didn't anticipate it would catch him at a major low point in his career.
The band was launching a tour, and despite doing all he could do to be vocally ready, the \u201cLivin' on a Prayer\u201d singer struggled through songs and couldn't hit the notes the way he used to.
Critics noticed and wrote about it. A review from Pioneer Press in St. Paul, Minnesota, said: \u201cIt felt like he had forgotten how to sing.\u201d
In a recent interview with The Associated Press, Bon Jovi said the reaction at the time was \u201cheartbreaking.\" After exhausting holistic options, he saw a doctor who said one of his vocal cords was atrophying.
\u201cThis was unique. It wasn't a nodule. The strong (vocal cord) was pushing the weak one around, and suddenly, my inabilities were just exacerbated,\" said Bon Jovi. He underwent major surgery and is still recovering.
\u201cEvery day is sort of like doing curls with weights and just getting them both to be the same size and to function together.\u201d
This year has been a turning point. In February, he performed for an audience for the first time since his surgery at the MusiCares Person of the Year benefit gala where he was also named Person of The Year. The band's next album, \u201cForever\u201d hits stores June 7, and its first single \u201cLegendary\u201d is out now. The four-part, \u201cThank You, Goodnight: The Bon Jovi Story,\" debuts Friday on Hulu.
In a Q&A, Bon Jovi talks about his voice, his famous hair, the music industry and his work ethic.
Answers have been edited for clarity and brevity.
BON JOVI: I\u2019m doing great. The record was easy to do. The process has been steady. Would I like it to be a light switch? Yeah. I said to the doctor, 'I want to flip the switch and be done with this.\u2019 It\u2019s just not how it works. Like an athlete coming back from an ACL tear or whatever, it just takes time. The therapy is still intensive and yet I\u2019m confident that it gets progressively better.
BON JOVI: Not in as much where he sat down and said, \u2018I\u2019ve got this idea.' Really, I was a byproduct of what was the 80s. Those were my baby pictures. I love laughing at them. Now, I can jokingly at least say, \u2018After 40 years of a career, I still have all my hair.\u2019 That is a good thing. Genetics works in my favor.
BON JOVI: I do, on occasion. My day job then comes back to get in the way. In truth, I've got a big record coming out, and I\u2019m hoping to go out on the road, so I don\u2019t have time for it. And I respect the craft far too much to think I\u2019m going to walk on a set and hit my marks and call that acting.
BON JOVI: If you\u2019re not going to be great, the guy that\u2019s coming in tomorrow night is going to be better. This isn\u2019t a career that you should take lightly. There\u2019s a million other young guys that are waiting to take your spot. And there are no guarantees in this business...You have to win hearts in order to win people's hard-earned dollar. If you\u2019re asking them to stay with you for four decades, that\u2019s a task. You better be one of the greats or else good luck.
BON JOVI: We never had a big falling out. He quit 10 years ago. It\u2019s not that we\u2019re not in contact or anything like that, but he was choosing to, as a single dad, raise his child. The door is always open if he wants to come up and sing a song. I mean, there\u2019s many of them that we co-wrote together. That's a great part of both of our lives. There\u2019s no animosity here.
BON JOVI: For some, it makes sense because they need to. For some, it makes sense because they want to. I just find (Bon Jovi's music) to be my baby, and I have no desire at this juncture in my life to ever even consider it.
BON JOVI: Part-time! My license is still New Jersey. I still vote in New Jersey.
BON JOVI: See, I\u2019m the opposite. I can only put out an album. I do all I know how to do. I have to tell the complete story. It has to be the beginning, a middle and an end because that's who and what we are.
BON JOVI: What comes through is joy. My goal with this record was to capture joy which for these last few years has been difficult, whether it\u2019s the dark cloud of COVID that the world experienced or my own personal journey. With this record, I think we captured joy.
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But it may take several months of analysis before UnitedHealth can identify and notify people who were affected. It has launched a website and call center to answer questions. The company also is offering free credit monitoring and identity theft protection for people affected by the attack.", + "bylines": [ + { + "by": "By TOM MURPHY", + "title": "AP Health Writer" + } + ], + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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The company said Monday after markets closed that it sees no signs that doctor charts or full medical histories were released after the attack. But it may take several months of analysis before UnitedHealth can identify and notify people who were affected.
UnitedHealth did say that some screen shots containing protected health information or personally identifiable information were posted for about a week online on the dark web, which standard browsers can\u2019t access.
The company is still monitoring the internet and dark web and said there has been no addition file publication. It has started a website to answer questions and a call center. But the company said it won\u2019t be able to offer specifics on the impact to individual data.
The company also is offering free credit monitoring and identity theft protection for people affected by the attack.
UnitedHealth bought Change Healthcare in a roughly $8 billion deal that closed in 2022 after surviving a challenge from federal regulators. The U.S. Department of Justice had sued earlier that year to block the deal, arguing that it would hurt competition by putting too much information about health care claims in the hands of one company.
UnitedHealth said in February that a ransomware group had gained access to some of the systems of its Change Healthcare business, which provides technology used to submit and process insurance claims.
The attack disrupted payment and claims processing around the country, stressing doctor\u2019s offices and health care systems.
Federal civil rights investigators are already looking into whether protected health information was exposed in the attack.
UnitedHealth said Monday that it was still restoring services disrupted by the attack. It has been focused first on restoring those that affect patient access to care or medication.
The company said both pharmacy services and medical claims were back to near normal levels. It said payment process was back to about 86% of pre-attack levels.
UnitedHealth said last week when it reported first-quarter results that the company has provided more than $6 billion in advance funding and interest-free loans to health care providers affected by the attack.
UnitedHealth took an $872 million hit from from the cyberattack in the first quarter, and company officials said that could grow beyond $1.5 billion for the year.
Minnetonka, Minnesota-based UnitedHealth Group Inc. runs one of the nation\u2019s largest health insurers. It also runs one of the nation\u2019s largest pharmacy benefits management businesses, provides care and offers technology services.
Company slipped nearly $3 to $488.36 in midday trading Tuesday while broader indexes climbed.
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(AP) \u2014 As transgender people in Louisiana watched surrounding states in the deeply conservative South implement a slew of laws targeting nearly every facet of their lives in recent years, they counted on their ally in the governor\u2019s office to keep their home a relative oasis.
Former Gov. John Bel Edwards, the only statewide elected Democrat at the time, was indeed able to block most of the bills.
But this year, nothing stands in the way. Edwards has been replaced by Gov. Jeff Landry, a Republican backed by former President Donald Trump who has shown support for such legislation. And the GOP holds a two-thirds supermajority in the Legislature. That means previously introduced legislation hostile to transgender people now has a clear path forward, as do new proposals.
\u201cThese bills are absolutely going to become law,\u201d said SarahJane Guidry, executive director of the LGBTQ+ rights group Forum for Equality. \u201cAnd that is such a tragedy, but it doesn\u2019t end there. We are going to continue to fight.\u201d
As the only Democratic governor in the Deep South at the time, Edwards used vetoes to block anti-transgender legislation, including one broadly barring teachers from discussing gender identity and sexual orientation in schools, a type of policy critics have dubbed \u201cDon\u2019t Say Gay\u201d; and a measure requiring public school teachers to use the pronouns and names students were assigned at birth.
In a veto message, Edwards described the bills as discriminatory, extremist and harmful to a group \u201ccomprised of the most vulnerable, fragile children\u201d in Louisiana.
He was unable to keep the Legislature from overriding his veto of a ban on gender-affirming medical care for transgender minors. And he blocked a 2021 bill seeking to restrict transgender athletes' access to sports, but allowed it become law the next year, knowing a veto would probably be overridden.
Now that Edwards is out of office because of term limits, the Republican-controlled Legislature is advancing the \u201cDon't Say Gay\u201d and pronoun and name proposals; definitions of male and female that could effectively legally erase transgender people; and restrictions on the use of bathrooms and changing rooms in schools, domestic violence shelters and prisons. President Joe Biden\u2019s administration has said a new federal rule could clash with such bathroom restrictions.
The situation in Louisiana mirrors a national flood of bills that have targeted transgender people, and especially youths, in recent years, a movement some observers say seeks more to motivate conservative voters than to solve real problems.
A report released Tuesday by the Williams Institute, a research center at UCLA Law, estimates that about 93% of transgender youths ages 13-17, or about 280,000, live in states that have proposed or passed laws restricting their access to health care, sports, school bathrooms and facilities, or the use of gender-affirming pronouns.
The institute estimates that in Louisiana, about 4,000 people ages 13-17, or 1.3% of that age group, identify as transgender.
Landry's office did not respond to an email seeking comment on this year's legislation. But he has made no secret of his support for, among other things, restrictions on gender-affirming care for minors. In 2023, when he was running for governor, he posted on X: \u201cAs attorney general for 8 years I have worked hard to protect our children. I urge the full Senate to take up and pass\u201d the law. It eventually passed and was vetoed but overridden.
Advocates in the Bayou State are organizing their fight, looking to other states that have blocked similar measures in court, educating their communities on the imminent laws, seeking sanctuary city policies, and recruiting more residents to their cause.
\u201cWe\u2019re not going to look to the apocalypse, we\u2019re going to look to the revolution,\u201d Guidry said.
Advocates want the city council in liberal New Orleans to create local protections for transgender people, such as refusing to enforce state laws targeting them. Other cities like Austin, Texas, and Kansas City, Missouri, have already taken similar actions, though it's not clear how effective the protections have been.
Last month, hundreds marched in New Orleans\u2019 French Quarter. Transgender residents continue to testify in the Capitol. Advocates try to work with conservative lawmakers to create amendments to soften legislation. Students took to the Capitol steps in Baton Rouge last month to perform a play they wrote, based on their own experiences about how the bills would affect them.
\u201cIt\u2019s almost like the Twilight Zone,\u201d said William Leighton, who drove four hours to the Capitol this month with his 13-year-old transgender daughter, Arielle, who was not in the play.
\u201cIt\u2019s not fair. I really don\u2019t like the fact that people like me are being discriminated (against) for being different,\u201d said Arielle, who is in eighth grade.
William Leighton had already prepared a letter to send to Arielle\u2019s teachers, granting permission to use her name and pronouns, but he decided that was not enough and needed to get more politically active.
He was recently elected to the state\u2019s Democratic State Central Committee. Among his priorities are to get more Democrats to vote and find candidates who, if elected to the Legislature, would work to repeal legislation targeting transgender and other LGBTQ+ people.
Like their counterparts in the South and elsewhere, advocates in Louisiana will also look to courts for guidance and to keep legislation from taking effect.
Five transgender youths and their families filed a lawsuit this year against the state's ban on gender-affirming medical care, as reported by The Times-Picayune/The New Orleans Advocate. The suit is pending in Orleans Parish Civil Court.
\u201cNothing is off the table,\u201d Guidry said. \u201cIf we cannot protect our students, we will continue to work, and if that includes litigation, we will take those steps when we need to.\u201d
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"type": "picture" + }, + "10": { + "altids": { + "itemid": "4e36dc4a0fd443f1998cbf030b30e9c5" + }, + "type": "picture" + }, + "11": { + "altids": { + "itemid": "2068b6219fbc49ae8a18921897711adf" + }, + "type": "audio" + }, + "12": { + "altids": { + "itemid": "09bc7835398c447990cc0b5ed18f8dc3" + }, + "type": "audio" + }, + "13": { + "altids": { + "itemid": "c9ac37904eac409b88bba5ec4eeb7c1e" + }, + "type": "audio" + } + }, + "body_nitf": "WASHINGTON (AP) \u2014 Actor Ashley Judd and singer-songwriter Aloe Blacc, who both lost loved ones to suicide, on Tuesday helped the Biden administration promote its new national strategy to prevent suicide.
Judd's mother, country star Naomi Judd, died nearly two years ago. Blacc's frequent collaborator, Tim Bergling, died in 2018.
Both were on hand as Doug Emhoff, the husband of Vice President Kamala Harris, helped unveil the Democratic administration's blueprint for reducing suicides in the United States. Some 132 people a day kill themselves, he said.
\u201cWe\u2019re here today because we know that we can and will change this,\u201d Emhoff said. \u201cSuicide is preventable.\u201d
\u2014\u2014\u2014
EDITOR\u2019S NOTE \u2014 This story includes discussion of suicide. If you or someone you know is struggling or in crisis, help is available. Call or text 988 or chat 988lifeline.org.
\u2014\u2014\u2014
Judd's mother had lived most of her 76 years with an untreated sickness and, on the day she died, \u201cthe disease of mental illness was lying to her,\" Ashley Judd said during a discussion moderated by Surgeon General Dr. Vivek Murthy with Blacc and Shelby Rowe, executive director of the Suicide Prevention Resource Center.
\u201cShe deserved better,\u201d Judd said about her mother. Judd said she also has suffered from depression and has had a different outcome because of treatment.
\u201cI carry a message of hope,\u201d she said.
Asked what people can do to help someone in crisis, Rowe said people shouldn't worry about \u201cif you're saying the right thing. Just say something and show up.\u201d
Blacc suggested that people offer a \u201cmoment of joy\u201d when they do reach out, such as a memory that sparks laughter or a song. He also encouraged people to remember that they are \u201cthe light.\u201d
\u201cThere's no such thing as too much love. Let's give as much as we can,\" he said, before he led the audience in singing the chorus from \u201cThis Little Light of Mine.\u201d
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Editorial: Minnesota is losing the race on mental health care
A new state study concludes that reimbursement provided by medical programs hasn\u2019t kept pace with the cost of providing care. So it makes zero sense to let a cut passed in 2023 take effect.
There\u2019s probably never a good time to cut reimbursement to Minnesota\u2019s mental health providers. But there are particularly precipitous times to do so, and this is one of them.
From 2005 to 2023, the number of licensed beds in children\u2019s residential treatment facilities statewide decreased from 2,474 to 1,586, according to AspireMN, a St. Paul-based advocacy organization. Earlier this week, a physician with Children\u2019s Minnesota, the state\u2019s largest pediatric health system, made clear the decline\u2019s harmful consequences at a news conference.
\u201cIn 2023, 12,000 children statewide boarded in hospitals. Kids boarding at Children\u2019s Minnesota collectively spent more than 1,600 days stuck because the appropriate mental health treatment setting was not available to them,\u201d said Dr. Gigi Chawla, vice president and chief of general pediatrics at Children\u2019s.
Adult mental health providers are also struggling, with North Memorial Health recently announcing it will close outpatient mental health services August at its Robbinsdale medical center.
Unless Minnesota lawmakers take action this session, an ill-advised reimbursement cut passed last year will soon exacerbate this care crisis. That\u2019s an outcome they should swiftly work to avoid.
The state needs more care options for those suffering from mental illnesses, not fewer. But that\u2019s the likely outcome if the mistake lawmakers made in 2023 isn\u2019t remedied.
The error came when legislators passed a policy that too swiftly sunsets critical access payments for mental health clinics and providers. The changes kick in Jan. 1, 2025, and total more than $25 million over three years, according to the Minnesota Mental Health Legislative Network, a consortium of about 30 state providers and advocacy groups.
The rate add-on has been in place since 2007 and is considered a policy Band-Aid to address a chronic problem: low reimbursement rates for patients enrolled in Medicaid, the joint federal-state medical assistance program for the poor. In Minnesota, the programs are known as Medical Assistance and MinnesotaCare.
While low reimbursement is an issue for all medical services for public program enrollees, it\u2019s especially acute when it comes to mental health.
Many people eligible for Medicaid struggle with mental illness or addiction. \u201cNearly 40% of the nonelderly adult Medicaid population (13.9 million enrollees) had a mental health or substance use disorder (SUD) in 2020,\u201d reports KFF, a respected nonpartisan health policy organization.
In turn, that makes Medicaid \u201cthe single-largest payer for mental health services in the United States,\u201d according to federal officials.
KFF estimates Minnesota\u2019s Medicaid enrollment at 1.4 million. So the sunset cut would be felt widely by mental health providers, whose operating margins are already thin because their clientele includes many Medicaid enrollees. That puts the onus on state lawmakers, who set reimbursements, to delay or eliminate the 2023 sunset.
\u201cMental health care provider organizations like ours depend on critical access payments to fund current program-related costs. This includes wages, benefits and other program-related costs, such as interpreters,\u201d the CEOs of six Minnesota mental health providers said in statement provided to an editorial writer this week.
The Minnesota Hospital Association (MHA) also weighed in, noting that inaction would have consequences for the entire state health care system. The trade organization notes that the scarcity of community-based mental health treatment makes the state\u2019s nonprofit health care systems \u201cprimary providers of mental health services,\u201d which in turn results in long wait times for care, boarding crises in emergency rooms and increased risks to staff who care for patients in a setting not intended for this type of care.
To be fair, lawmakers in 2023 did pass a 3% rate boost to mental health providers for state program enrollees. But it was hardly sufficient to cover providers\u2019 shortfall between care costs and reimbursement.
The apparent logic behind the critical access funding sunset was that lawmakers would come back in 2024 after the release of a state report on mental health care rates and make further fixes based on the report\u2019s findings.
That report came out in January. It makes clear that reimbursement provided by the state hasn\u2019t kept pace with inflation and doesn\u2019t cover the cost of providing care, sometimes not even close. In one case, the study recommended nearly tripling the reimbursement for residential care provided to those struggling with addiction.
But adjusting the rates as the study recommends comes with a massive price tag. Implementation, if it began in 2025, would cost the state about $820 million over three years, the state Department of Human Services estimates. After implementation, these costs would run about $300 million to $400 million per year.
That price tag is likely a key reason why broader rate reform isn\u2019t happening this year when belt-tightening has been a priority. It will take fortitude to tackle in future sessions.
Until then, it makes no sense to cut mental health care rates further. At a minimum, the sunset should be delayed or eliminated, or other workarounds found, with additional emergency relief for mental health providers given serious consideration.
___
Mankato Free Press. April 23, 2024.
Editorial: Legislation on recycling electronics makes sense
We produce a lot of electronic waste \u2014 from old computers and smartphones to TV monitors and printers.
China, the United States and India are the top producers of electronic waste and Minnesotans contribute mightily, with more than 266 million pounds of electronic waste every year.
As we celebrated Earth Day this week, it\u2019s a good time to consider ways we can reuse and recycle electronics.
According to a study last year, only about 24% of Minnesota electronics waste gets captured for recycling.
It\u2019s estimated that there is $2.8 billion worth of metals in Minnesota\u2019s electronic waste stream every year.
A bill being debated at the Minnesota Capitol would boost recycling and help keep e-waste from going to landfills. The bill would update the state\u2019s current electronics waste law, which was passed back in 2007. That bill focused mostly on televisions and computers.
The proposed bill would cover 100% of electronic waste and make recycling electronics free for all Minnesotans. To pay for the program, it would add a 3.2% retail fee on most electronics when they are sold. Cell phones would have a flat 90-cent fee. While those options make sense as user fees, other reasonable options should also be considered.
That would prevent the problem of Minnesotans taking electronics to recycling sites and then finding out they have to pay a fee to have them accepted for recycling. Too often people then simply decide to throw the old electronics in the trash rather than paying the fee.
Electronics make up 2% of the total material going into landfills. There are electronics recyclers in the state that remove lots of valuable metals from devices and they can handle all the electronic waste in the state.
That\u2019s better than throwing electronics in landfills or incinerators where they send toxic materials into the air or possibly groundwater.
The proposed legislation makes sense. Properly caring for electronics when they\u2019re at the end of their life costs money. Discarding them improperly causes pollution to the air and water.
Paying a small tax or using other reasonable funding options when purchasing electronics to ensure we can recycle them when they are no longer usable is good legislation.
Charging people to throw away electronic waste can discourage them from properly disposing of it.
END
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Given that a significant portion of the document is highly relevant to health, but not all of it, the overall rating should reflect this balance." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/04/23/6b069fd8c14c4c65236d708b347697f0.json b/datasets/AP_news/raw_data/2024/04/23/6b069fd8c14c4c65236d708b347697f0.json new file mode 100644 index 0000000..8c09e2d --- /dev/null +++ b/datasets/AP_news/raw_data/2024/04/23/6b069fd8c14c4c65236d708b347697f0.json @@ -0,0 +1,427 @@ +{ + "altids": { + "itemid": "6b069fd8c14c4c65236d708b347697f0", + "etag": "6b069fd8c14c4c65236d708b347697f0_9a10aza0c0", + "friendlykey": "384430817614", + "referenceid": "US--Election 2024-Biden-Abortion" + }, + "version": 9, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-04-24T02:50:07Z", + "firstcreated": "2024-04-23T04:19:53Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: Updates Media.; Minor edit.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "US--Election 2024-Biden-Abortion", + "headline": "Biden blames Trump for Florida's 6-week abortion ban, says women nationwide face health crisis", + "headline_extended": "President Joe Biden is blaming Donald Trump for Florida\u2019s upcoming abortion ban and other restrictions across the country that have imperiled access to care for pregnant women", + "slugline": "BC-US--Election 2024-Biden-Abortion, 9th Ld-Writethru", + "description_summary": "President Joe Biden is blaming Donald Trump for Florida\u2019s upcoming abortion ban and other restrictions across the country that have imperiled access to care for pregnant women. 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(AP) \u2014 President Joe Biden on Tuesday blamed Donald Trump for Florida's upcoming abortion ban and other restrictions across the country that have imperiled access to care for pregnant women, arguing Trump has created a \u201chealthcare crisis for women all over this country.\u201d
Biden's campaign events at Hillsborough Community College in Tampa placed the president in the epicenter of the latest battle over abortion restrictions. The state\u2019s six-week abortion ban is poised to go into effect May 1 at the same time that Florida voters are gearing up for a ballot measure that would enshrine abortion rights in the state\u2019s constitution. Biden said that millions of women are facing \u201cpain and cruelty.\"
\u201cBut it\u2019s not inevitable. We can stop it. When you vote, we can stop it,\" he said.
The president is seeking to capitalize on the unceasing momentum against abortion restrictions nationwide to not only buoy his reelection bid in battleground states he won in 2020, but also to go on the offensive against Trump in states that the presumptive Republican nominee won four years ago. One of those states is Florida, where Biden lost to Trump by 3.3 percentage points.
On Tuesday, he chronicled increasing medical concerns for women in the two years since the Supreme Court ended federal abortion protections.
\u201cThere was one person who was responsible for this nightmare,\" Biden said. \u201cAnd he\u2019s acknowledged it and he brags about it \u2014 Donald Trump.\u201d
Biden said Trump, who has publicly waffled on his abortion views, and of late has said abortion is a matter for states to decide, is concerned voters will now hold him accountable.
\u201cFolks, the bad news for Trump is that we are going to hold him accountable,\u201d Biden said.
At the same time, advocates on the ground say support for abortion access cuts across parties. They're intent on making the issue as nonpartisan as possible as they work to scrounge up at least 60% support from voters for the ballot initiative.
That could mean in some cases, Florida voters would split their tickets, backing GOP candidates while supporting the abortion measure.
\u201cI think that normal people are aware that a candidate campaign is really different than a ballot initiative,\u201d said Lauren Brenzel, campaign director for Floridians Protecting Freedom, which gathered signatures to put the abortion question before voters. \u201cYou can vote for your preferred candidate of any political party and still not agree with them on every single issue.\"
Brenzel continued, \u201cThis gives voters an opportunity to have their message heard on one policy platform.\u201d
On the same day the Florida Supreme Court ruled that the ballot measure could go before voters, it also upheld the state\u2019s 15-week abortion ban. That subsequently cleared the way for the new ban on the procedure after six weeks of pregnancy, which is often before women know they are pregnant, to go into effect next week.
Organizers of the abortion ballot measure say they collected nearly 1.5 million signatures to put the issue before voters, although the state stopped counting at just under a million. Roughly 891,500 signatures were required. Of the total number of signatures, about 35% were from either registered Republican voters or those not affiliated with a party, organizers said.
State Rep. Anna Eskamani, a Democrat, said if the abortion ballot initiative becomes branded as a partisan effort, \u201cit just makes it more challenging to reach 60%.\u201d Eskamani, who worked at Planned Parenthood before running for political office, said she is encouraging the Biden administration to focus broadly on the impact of a six-week ban and let the ballot measure speak for itself.
\u201cAt the end of the day, the ballot initiative is going to be a multimillion-dollar campaign that stands very strongly on its own,\u201d Eskamani said.
Trump's campaign did not respond to a question on whether the former president, a Florida voter, would oppose or support the ballot measure. In an NBC interview last September, Trump called Florida\u2019s six-week ban \u201cterrible.\u201d But he has repeatedly highlighted the three conservative-leaning justices he chose for the high court who cleared the way to overturn Roe vs. Wade.
Republicans were dismissive of the Biden campaign and the broader Democratic Party\u2019s efforts to use abortion as a political cudgel, arguing that other issues will matter more with voters in November.
\u201cBiden must have forgotten that thousands of Americans have fled from extremist Democrat policies to prosperous and pro-life states like Florida,\" said Republican National Committee Chairman Michael Whatley.
Still, Trump and other Republicans are aware that voter backlash against increasing restrictions could be a serious liability this fall.
Abortion-rights supporters have won every time the issue has been put before voters, including in solidly conservative states such as Kansas, Kentucky and Ohio. Last month, a Democrat in a suburban state House district in Alabama flipped the seat from Republican control by campaigning on abortion rights, weeks after in vitro fertilization services had been paused in the state.
Nikki Fried, the chairwoman of the state Democratic Party, said Florida will be a competitive state on the presidential level \u201cbecause of the extremism that has come out of Florida.\u201d No Democrat has won the state on the presidential level since 2012, but state party officials have found some glimmers of political change in vastly smaller races, such as the open Jacksonville mayor\u2019s race last May that saw a Democrat win in what was once a solidly Republican city.
Florida Gov. Ron DeSantis, a Republican, said at a news conference before the visit that the abortion amendment was written in a way to deliberately mislead voters, an argument that the state Supreme Court disagreed with when it approved the ballot language.
\u201cAll I can tell you is Floridians are not buying what Joe Biden is selling and in November we\u2019re going to play an instrumental role in sending him back to Delaware where he belongs,\" he said.
___
Associated Press writers Brendan Farrington in Tallahassee and Colleen Long in Washington contributed to this report.
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The health aspect is mentioned but not deeply explored or analyzed in detail." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/04/23/a94aad2a8371e9211ca12d1eb9130b10.json b/datasets/AP_news/raw_data/2024/04/23/a94aad2a8371e9211ca12d1eb9130b10.json new file mode 100644 index 0000000..05cc911 --- /dev/null +++ b/datasets/AP_news/raw_data/2024/04/23/a94aad2a8371e9211ca12d1eb9130b10.json @@ -0,0 +1,232 @@ +{ + "altids": { + "itemid": "a94aad2a8371e9211ca12d1eb9130b10", + "etag": "a94aad2a8371e9211ca12d1eb9130b10_1a7aza0c0", + "friendlykey": "570387102624", + "referenceid": "Wellness-Gardening-Leaf Blowers" + }, + "version": 1, + "type": "text", + "urgency": 4, + "profile": "Column", + "language": "en", + "versioncreated": "2024-04-23T14:23:50Z", + "firstcreated": "2024-04-23T12:25:20Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: EDITS: Trims third paragraph.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "Wellness-Gardening-Leaf Blowers", + "headline": "The problem with leaf blowers, and what you can do instead", + "headline_extended": "Many communities across the country have tried to ban or limit leaf blowers because of their noise and environmental impact", + "slugline": "AP-Wellness-Gardening-Leaf Blowers, 1st Ld-Writethru", + "description_summary": "Many communities across the country have tried to ban or limit leaf blowers because of their noise and environmental impact. But they roar on. There are simple alternatives and steps you can take. First, if you hire a landscaper, express your concerns. If you have the time and inclination, rake. On hard surfaces, use a broom. Those are sustainable alternatives that also provide exercise and some peaceful time alone with your thoughts. Clear the lawn, but consider leaving leaves where they fall in beds and borders. Leaf sweepers, which operate like push mowers, capture and collect leaves and garden debris in an attached bag. If you must use a blower, opt for an electric or cordless rechargeable model as a cleaner, quieter compromise.", + "bylines": [ + { + "by": "By JESSICA DAMIANO", + "title": "Associated Press Writer" + } + ], + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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These days, I don\u2019t see many rakes in my neighborhood. It seems everyone has a leaf blower or a landscaper who uses one, often at ungodly hours, which disrupts humans as well as wildlife.
The near-constant cacophony has led many communities around the country to restrict or completely ban gas blowers, which typically are louder than electric or battery-operated models, and pollute more, too. Some municipalities offer residents rebates or trade-in programs to replace the gas equipment with electric.
The noise isn\u2019t merely a nuisance. According to the U.S. Centers for Disease Control and Prevention, prolonged exposure to noise louder than 70 decibels may damage your hearing. Gas-powered leaf blowers can register as high as 100 decibels at the source (the levels decrease with distance).
Most electric models range from 59 to 70 decibels. For context, a motorcycle engine registers at about 95 decibels; normal conversation is around 50. And it\u2019s worth noting that each 10 decibel increase is not merely 10 points louder but 10 times louder, so 80 decibels is a tenfold increase over 70.
Gas-powered leaf blowers also expel fumes and pollutants like carbon monoxide. Both gas and electric blowers stir up particulate matter, dust, mold, pollen, and pathogen-containing bird and animal feces into the air that we (and insects and wildlife) breathe. Folks with respiratory issues or allergies may be especially sensitive.
Both types also blow away mulch, contribute to soil erosion and disrupt delicate ecosystems. The soil depletion makes plants more vulnerable to disease and infestations, which could lead to higher pesticide usage.
The machines\u2019 forceful blasts \u2013 which travel up to 200 mph, can displace, injure and kill pollinators and other insects. Birds, too, can become startled into changing their feeding, nesting and mating habits.
Share this information with your friends and neighbors. If you hire a landscaper, express your concerns and ask them to use electric equipment. If enough people do that, the demand will hopefully effect change.
If you have the time and inclination, rake. On hard surfaces, use a broom. Those are sustainable alternatives that also provide good exercise and some peaceful time alone with your thoughts.
Clear the lawn, but consider \">leaving leaves where they fall in beds and borders.
Leaf sweepers, which operate like push mowers, capture and collect leaves, twigs and other garden debris in an attached bag. This offers an additional advantage over blowers, which simply move debris out of the way or into a pile that needs to be gathered before reuse or disposal. Electric models are also available.
If you must use a blower, opt for an electric or cordless rechargeable model as a cleaner, quieter compromise. The initial price tag might be higher, but you\u2019ll quickly recoup the cost with savings on gas and oil.
And if a gas-powered model is truly your only option, do yourself, your neighbors, and the birds and bees a favor by running it sparingly and only at half-throttle.
\u2014-
Jessica Damiano writes regular gardening columns for the AP and publishes the award-winning Weekly Dirt Newsletter. You can sign up here for weekly gardening tips and advice.
___
For more AP gardening stories, go to https://apnews.com/hub/gardening.
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(AP) \u2014 Top Mississippi lawmakers started negotiating Tuesday on what could become a landmark plan to expand Medicaid coverage to tens of thousands of people in one of the poorest states in the U.S.
But even with Republicans controlling both the state House and Senate, it's far from clear that they will reach a compromise during the final days of their four-month session that is scheduled to end by early May.
Mississippi is among the 10 states that have not expanded Medicaid coverage to people who work low-wage jobs that don't provide private health insurance. Expansion is an option under the federal health care overhaul signed into law in 2010 by then-President Barack Obama.
Republican Gov. Tate Reeves has said for years that he opposes putting more people on government programs.
Expansion is getting its first serious discussion in the Mississippi Capitol this year because the new House speaker, Republican Jason White, says it is one of his priorities.
The House voted by a wide bipartisan margin in late February to expand Medicaid coverage to about 200,000 people who earn up to 138% of the federal poverty level, or $20,120 annually for one person. Mississippi has about 3 million residents, and its Medicaid program covered 374,823 people in March.
In late March, the Senate passed its own pared-down version that would extend eligibility to people earning up to 100% of the federal poverty level, just over $15,000 for one person. Senate Medicaid Committee Chairman Kevin Blackwell, a Republican from Southaven, said about 80,000 people would become eligible for coverage but he thought about half that number would enroll.
House Medicaid Committee Chairwoman Missy McGee, a Republican from Hattiesburg, offered a compromise Tuesday. It would allow Mississippi to receive the full amount of federal money possible for Medicaid expansion. People earning up to 100% of the federal poverty level would be covered by Medicaid, while those earning between 100% and 138% of the federal poverty level would receive subsidies to buy insurance through a federal health insurance exchange.
Senators offered no new proposals Tuesday and did not immediately respond to the one from the House. Blackwell said it's significant that the two chambers are discussing expansion, but he cautioned against moving fast.
\u201cIn the House\u2019s case, I think you guys want to jump in the sports car and zoom right to expansion \u2014 damn the roadblocks and let\u2019s get there,\u201d Blackwell said. \u201cThose of us in the Senate want to take sort of a more slower approach to that.\"
McGee responded: \u201cI don't feel like we have been in a Ferrari very long. I think we have been waiting 10 years. ... We don't need to push this off any longer for our low-income yet hardworking Mississippians.\u201d
Mississippi legislators usually meet in private to negotiate final versions of bills, but they agreed this year to hold open meetings on Medicaid expansion. Tuesday's meeting ended up as standing-room only, with some spectators arriving hours early.
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They stuck electrodes to her chest and flipped on an oxygen machine while keeping their eyes on a computer screen that reflected a dangerously low oxygen level of 84%.
No one knew what was wrong with her.
Even more worrisome, the Doctors Without Borders hospital in the Cite Soleil slum was running low on key medicine to treat convulsions.
\u201cThe medication she really needs, we barely have,\u201d said Dr. Rachel Lavigne, a physician with the medical aid group.
It\u2019s a familiar scene repeated daily at hospitals and clinics across Port-au-Prince, where life-saving medication and equipment is dwindling or altogether absent as brutal gangs tighten their grip on the capital and beyond. They have blocked roads, forced the closure of the main international airport in early March and paralyzed operations at the country\u2019s largest seaport, where containers filled with key supplies remain stuck.
\u201cEverything is crashing,\u201d Lavigne said.
Haiti\u2019s health system has long been fragile, but it\u2019s now nearing total collapse after gangs launched coordinated attacks on Feb. 29, targeting critical infrastructure in the capital and beyond.
The violence has forced several medical institutions and dialysis centers to close, including Haiti\u2019s largest public hospital. Located in downtown Port-au-Prince, the Hospital of the State University of Haiti was supposed to reopen on April 1 after closing when the attack began, but gangs have infiltrated it.
One of the few institutions still operating is Peace University Hospital, located south of the shuttered airport. From Feb. 29 to April 15, the hospital treated some 200 patients with gunshot wounds, and its beds remain full.
\u201cWe urgently need fuel because we operate using generators. Otherwise we run the risk of closing our doors,\u201d hospital director Dr. Paul Junior Fontilus said in a statement.
More than 2,500 people were killed or wounded across Haiti from January to March, a more than 50% increase compared with the same period last year, according to a recent U.N. report.
Even if a hospital is open, sometimes there is little or no medical staff because gang violence erupts daily in Port-au-Prince, forcing doctors and nurses to stay at home or turn around if they encounter blocked roads manned by heavily armed men.
The spiraling chaos has left a growing number of patients with cancer, AIDS and other serious illnesses with little to no recourse, with gangs also looting and setting fire to pharmacies in the capital\u2019s downtown area.
Doctors Without Borders itself has run out of many medications used to treat diabetes and high blood pressure, and asthma inhalers that help prevent deadly attacks are nowhere to be found in the capital, Lavigne said.
At the Doctors Without Borders hospital, medical staff recently tried to save a boy with a severe asthma attack by giving him oxygen, she said. That didn\u2019t work, and neither did another type of medication. Finally, they ended up injecting him with adrenaline, which is used in emergencies to treat anaphylactic shock.
\u201cWe improvise and we do our best for the people here,\u201d Lavigne said.
People\u2019s health is worsening because the daily medication they need for their chronic conditions is not available, warned Doctors Without Borders project coordinator Jacob Burns.
\u201cIt becomes acute and then they run out of options,\u201d he said. \u201cFor certain people, there are very, very few options right now.\u201d
Despite the pressing need for medical care, the Doctors Without Borders hospital in Cite Soleil has been forced to cut the number of outpatients it treats daily from 150 to 50, Burns said, though all emergencies are attended to.
Scores of people line up outside the hospital each day and risk being shot by gang members who control the area as they await medical care.
Everyone is allowed to enter the hospital compound, but medical staff set up a triage to determine which 50 people will be seen. Those with less urgent needs are asked to return another day, Burns said.
On Friday morning, 51-year-old Jean Marc Baptiste shuffled into the emergency room with a bloody bandage on his right hand. He said police in an armored vehicle shot him the previous day as he was collecting wood to sell as kindling in an area controlled by gangs.
Once inside, nurses removed the bandage to reveal a gaping wound in his thumb as he cried out in pain. Lavigne told him he needed a plastic surgeon, which the hospital does not have, and ordered X-rays to ensure there was no fracture.
On average, the Cite Soleil hospital sees three wounded people a day, but sometimes it\u2019s up to 14 now, staff said.
Recently, five people wounded by bullets arrived at the hospital after spending all night inside a public bus that couldn\u2019t move because of heavy gunfire, Burns said.
\u201cCite Soleil was long the epicenter of violence,\u201d he said. \u201cAnd now violence is so widespread that it\u2019s become a problem for everyone.\u201d
", + "textformat": "bx", + "links": [ + { + "href": "https://apnews.com/article/haiti-medical-crisis-gangs-medicine-shortage-dc786ed53e66b6081515474b5b310525", + "rel": "canonical" + } + ], + "topics": { + "Health": { + "relevance_score": 5, + "reason": "The document is highly relevant to the topic of Health. It provides detailed information about the current state of the health system in Haiti, including the shortage of medicine, the impact of gang violence on hospitals, and the challenges faced by medical staff and patients. The document discusses specific health issues such as the lack of medication for chronic conditions, the treatment of emergency cases, and the overall collapse of the healthcare infrastructure. All these points are directly related to the health topic." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/04/23/de7f4d2af81cf94ecf1d8cde5802fcec.json b/datasets/AP_news/raw_data/2024/04/23/de7f4d2af81cf94ecf1d8cde5802fcec.json new file mode 100644 index 0000000..59bdb57 --- /dev/null +++ b/datasets/AP_news/raw_data/2024/04/23/de7f4d2af81cf94ecf1d8cde5802fcec.json @@ -0,0 +1,225 @@ +{ + "altids": { + "itemid": "de7f4d2af81cf94ecf1d8cde5802fcec", + "etag": "de7f4d2af81cf94ecf1d8cde5802fcec_1a8aza0c0", + "friendlykey": "629752957543", + "referenceid": "EU--Italy-Abortion" + }, + "version": 1, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-04-23T18:36:24Z", + "firstcreated": "2024-04-23T12:31:20Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: top two paragraphs, summary with the provision passing in the Senate.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "EU--Italy-Abortion", + "headline": "Abortion returns to the spotlight in Italy, 46 years after it was legalized", + "headline_extended": "Italian Premier Giorgia Meloni\u2019s far-right-led government has scored a victory with the Senate approving a law allowing anti-abortion groups access to women considering ending their pregnancies", + "slugline": "BC-EU--Italy-Abortion, 1st Ld-Writethru", + "description_summary": "Italian Premier Giorgia Meloni\u2019s far-right-led government has scored a victory with the Senate approving a law allowing anti-abortion groups access to women considering ending their pregnancies. Tuesday's development revives tensions around the issue of abortion in Italy, 46 years after it was legalized in the overwhelmingly Catholic country. Meloni campaigned on a slogan of \u201cGod, fatherland and family\" but has insisted she won\u2019t roll back the 1978 law legalizing abortion and that she merely wants to implement it fully. But she's also prioritized encouraging women to have babies to reverse Italy\u2019s demographic crisis. Italy\u2019s birthrate, already one of the lowest in the world, reached a record low last year. The left-wing opposition fears abortion rights are threatened.", + "bylines": [ + { + "by": "By NICOLE WINFIELD", + "title": "Associated Press" + } + ], + "located": "ROME", + "datelinelocation": { + "city": "Rome", + "countrycode": "ITA", + "countryname": "Italy", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + 12.51133, + 41.89193 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. 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The development revives tensions around the issue of abortion in Italy, 46 years after it was legalized in the overwhelmingly Catholic country.
The Senate, where the government has a majority, voted 95-68, giving final approval to legislation tied to European Union COVID-19 recovery funds that included an amendment sponsored by Meloni\u2019s Brothers of Italy party.
The law, already passed by the lower Chamber of Deputies, allows regions to permit groups \u201cwith a qualified experience supporting motherhood\u201d to have access to public support centers where women who are considering abortions go to receive counseling.
For the right, the amendment merely fulfills the original intent of the 1978 law legalizing abortion, known as Law 194, which includes provisions to prevent the procedure and support motherhood.
For the left-wing opposition, it chips away at abortion rights that opponents had warned would follow Meloni\u2019s 2022 election.
\u201cThe government should realize that they keep saying they absolutely do not want to boycott or touch Law 194, but the truth is that the right-wing opposes women\u2019s reproductive autonomy, fears women\u2019s choices regarding motherhood, sexuality, and abortion,\u201d Cecilia D\u2019Elia, a Democratic Party senator, said at a protest this week against the legislation.
Under the 1978 law, Italy allows abortion on request in the first 12 weeks of pregnancy, or later if a woman\u2019s health or life is in danger. It provides for publicly funded counseling centers to advise pregnant women of their rights and services offered if they want to terminate the pregnancies.
But easy access to abortion isn't always guaranteed. The law allows health care personnel to register as conscientious objectors and refuse to perform abortions, and many have \u2014 meaning women sometimes have to travel far to have the procedure.
Meloni, who campaigned on a slogan of \u201cGod, fatherland and family,\u201d has insisted she won\u2019t roll back the 1978 law and merely wants to implement it fully. But she has also prioritized encouraging women to have babies to reverse Italy\u2019s demographic crisis.
Italy\u2019s birthrate, already one of the lowest in the world, has been falling steadily for about 15 years and reached a record low last year with 379,000 babies born. Meloni\u2019s conservative forces, backed strongly by the Vatican, have mounted a campaign to encourage at least 500,000 births annually by 2033, a rate that demographers say is necessary to prevent the economy from collapsing under the weight of Italy's aging population.
Meloni has called the left-wing opposition to the proposed amendment \u201cfake news,\u201d recalling that Law 194 provides for measures to prevent abortions, which would include counselling pregnant women about alternatives. The amendment specifically allows anti-abortion groups, or groups \"supporting motherhood,\" to be among the volunteer groups that can work in the counseling centers.
\u201cI think we have to guarantee a free choice,\u201d Meloni said recently. \u201cAnd to guarantee a free choice you have to have all information and opportunities available. And that\u2019s what the Law 194 provides.\u201d
The new tensions over abortion in Italy come against the backdrop of developments elsewhere in Europe going somewhat in the opposite direction. France marked International Women's Day by inscribing the guaranteed right to abortion into its constitution. Last year, overwhelmingly Catholic Malta voted to ease the strictest abortion laws in the EU. Polish lawmakers moved forward with proposals to lift a near-total ban on abortion enacted by the country's previous right-wing government.
At the same time, Italy's left fears the country might go the way of the U.S., where states are restricting access after the U.S. Supreme Court struck down landmark legislation that had guaranteed access to abortion nationwide.
Elly Schlein, head of Italy's opposition Democratic Party, told a conference on women on Tuesday that the country needs to establish an obligatory percentage of doctors willing to perform abortions in public hospitals, \u201cotherwise these rights remain on paper only.\u201d
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Given that abortion is a critical aspect of women's health, the document is highly relevant to the topic of health." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/04/23/e1d308835657c40e2e176d7f11d7f749.json b/datasets/AP_news/raw_data/2024/04/23/e1d308835657c40e2e176d7f11d7f749.json new file mode 100644 index 0000000..54673ce --- /dev/null +++ b/datasets/AP_news/raw_data/2024/04/23/e1d308835657c40e2e176d7f11d7f749.json @@ -0,0 +1,333 @@ +{ + "altids": { + "itemid": "e1d308835657c40e2e176d7f11d7f749", + "etag": "e1d308835657c40e2e176d7f11d7f749_0a13aza0c0", + "friendlykey": "212682542398", + "referenceid": "US--Transgender Health-Texas" + }, + "version": 0, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-04-23T00:34:08Z", + "firstcreated": "2024-04-23T00:34:07Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "signals": [ + "newscontent" + ], + "title": "US--Transgender Health-Texas", + "headline": "Seattle hospital won't turn over gender-affirming care records in lawsuit settlement with Texas", + "headline_extended": "Texas Attorney General Ken Paxton is dropping a request for a Seattle hospital to hand over records regarding gender-affirming treatment potentially given to children from Texas as part of a lawsuit settlement announced Monday", + "slugline": "BC-US--Transgender Health-Texas", + "description_summary": "Texas Attorney General Ken Paxton is dropping a request for a Seattle hospital to hand over records regarding gender-affirming treatment potentially given to children from Texas as part of a lawsuit settlement announced Monday. Seattle Children\u2019s Hospital filed the lawsuit against Paxton\u2019s office in December in response to the Republican appearing to go beyond state borders to investigate transgender health care. Paxton, a staunch conservative who has helped drive GOP efforts that target the rights of trans people, sent similar letters to Texas hospitals last year.", + "bylines": [ + { + "by": "By JAMIE STENGLE", + "title": "Associated Press" + } + ], + "located": "DALLAS", + "datelinelocation": { + "city": "Dallas", + "countryareacode": "TX", + "countryareaname": "Texas", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -96.80667, + 32.78306 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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gender-affirming treatment potentially given to children from Texas as part of a lawsuit settlement announced Monday.
Seattle Children's Hospital filed the lawsuit against Paxton's office in December in response to the Republican appearing to go beyond state borders to investigate transgender health care. Paxton, a staunch conservative who has helped drive GOP efforts that target the rights of trans people, sent similar letters to Texas hospitals last year.
The Seattle hospital said in a statement that it had \u201csuccessfully fought\u201d the \u201coverreaching demands to obtain confidential patient information.\u201d A judge in Austin dismissed the lawsuit Friday, saying the parties had settled their dispute.
Texas is among states that have enacted laws restricting or banning gender-affirming medical care for transgender minors.
The hospital's lawsuit included a copy of the letter from Paxton\u2019s office, which among other requests asked the hospital to produce records identifying medication given to children who live in Texas; the number of Texas children who received treatment; and documents that identified the \u201cstandard protocol or guidance\u201d used for treatment.
As part of the settlement, according to court records, the parties agreed that Seattle Children\u2019s Hospital would withdraw its registration to transact business in Texas. But a hospital spokesperson said in a statement that they don't operate health care facilities or provide gender-affirming care in Texas.
In court records, the hospital had previously stated that it had a \u201climited number\u201d of people who work remotely and live in Texas but that none were involved in gender-affirming care. It also said it did not advertise its services in Texas.
\u201cWhen we merely began asking questions, they decided to leave the State of Texas and forfeit the opportunity to do business here,\" Paxton said in a news release Monday. He said Texas will \u201cvigorously protect\u201d children from gender-affirming treatment that he called \u201cdamaging.\u201d
The Texas law prevents transgender minors from accessing hormone therapies, puberty blockers and transition surgeries, even though medical experts say such surgical procedures are rarely performed on children.
In Washington, Democratic Gov. Jay Inslee has signed a law that aims to protects minors seeking gender-affirming care there, part of a wave of legislation in Democratic-led states intended to give refuge to those seeking gender-affirming treatment.
", + "textformat": "bx", + "links": [ + { + "href": "https://apnews.com/article/seattle-hospital-texas-records-paxton-e1d308835657c40e2e176d7f11d7f749", + "rel": "canonical" + } + ], + "topics": { + "Health": { + "relevance_score": 4, + "reason": "The document discusses a legal dispute involving Seattle Children's Hospital and the Texas Attorney General over gender-affirming care records. While the primary focus is on the legal and political aspects of the case, it also touches on health-related topics such as gender-affirming treatment, medical protocols, and the impact of legislation on healthcare practices. These elements are relevant to the broader topic of health, particularly in the context of transgender healthcare and medical ethics." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/04/23/e4e336804ee8f74ef715f8bb6d301f67.json b/datasets/AP_news/raw_data/2024/04/23/e4e336804ee8f74ef715f8bb6d301f67.json new file mode 100644 index 0000000..b1a3bf2 --- /dev/null +++ b/datasets/AP_news/raw_data/2024/04/23/e4e336804ee8f74ef715f8bb6d301f67.json @@ -0,0 +1,150 @@ +{ + "altids": { + "itemid": "e4e336804ee8f74ef715f8bb6d301f67", + "etag": "e4e336804ee8f74ef715f8bb6d301f67_1a2aza0c0", + "friendlykey": "189702609326", + "referenceid": "US-MED\u2014Counterfeit Botox" + }, + "version": 1, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-04-23T22:44:26Z", + "firstcreated": "2024-04-23T22:08:42Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: Updates Media.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "US-MED\u2014Counterfeit Botox", + "headline": "US health officials warn of counterfeit Botox injections", + "headline_extended": "U.S. health officials are warning of counterfeit Botox injections after more than 20 people got sick", + "slugline": "BC-US-MED\u2014Counterfeit Botox, 1st Ld-Writethru", + "description_summary": "U.S. health officials are warning of counterfeit Botox injections after more than 20 people got sick. All of the people told health officials that they got the shots from unlicensed individuals or in settings like homes or spas. Most said they received the injections for cosmetic reasons. The Centers for Disease Control and Prevention said half of the 22 people have been hospitalized and six were treated for suspected botulism. The cases started in early November and have been reported in 11 states. The CDC issued an alert to doctors on Tuesday.", + "bylines": [ + { + "by": "By DEVI SHASTRI", + "title": "AP Health Writer" + } + ], + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. For other uses, additional clearances may be required." + ], + "keywords": [ + "counterfeit Botox botulism cosmetic injection" + ], + "provider": "AP", + "infosource": [ + { + "name": "AP", + "type": "AP" + } + ], + "subject": [ + { + "rels": [ + "category" + ], + "creator": "Editorial", + "code": "a", + "name": "a" + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "e23374c87de410048fe5df092526b43e", + "name": "Learning disorders", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 63 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "75fc9ec07f00100482a7f571351eed07", + "name": "Poisoning", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 44 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "cc7a76087e4e10048482df092526b43e", + "name": "Health", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 88 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "cc7a76087e4e10048482df092526b43e", + "name": "Health", + "creator": "Editorial", + "editorial_subject": "Health", + "rels": [ + "direct" + ], + "relevance": 99 + } + ], + "audiences": [ + { + "code": "82c6a4c46fa0446090a7acaf93159e4c", + "name": "Print", + "type": "AUDPLATFORM" + }, + { + "code": "9add4649b53b4702ba7d9de5d4fa607a", + "name": "Online", + "type": "AUDPLATFORM" + }, + { + "code": "f43adc08760d10048040e6e7a0f4673e", + "name": "National", + "type": "AUDSCOPE" + }, + { + "code": "661e48387d5b10048291c076b8e3055c", + "name": "United States", + "type": "AUDGEOGRAPHY" + } + ], + "associations": { + "1": { + "altids": { + "itemid": "11df61298e4b4641a2cd08e095a132f2" + }, + "type": "picture" + }, + "2": { + "altids": { + "itemid": "cf7df92021924a069ca0ea6ad3c53f45" + }, + "type": "audio" + } + }, + "body_nitf": "U.S. health officials issued a warning Tuesday about counterfeit Botox injections that have sickened 22 people.
Half of the individuals have ended up in the hospital, according to the Centers for Disease Control and Prevention. The agency issued an alert to doctors on Tuesday.
The cases started in early November and have been reported in 11 states. The CDC said the shots were administered by unlicensed or untrained individuals or in settings like homes or spas. Most of the people said they got injections of botulinum toxin for cosmetic reasons.
Six people were treated for suspected botulism, health officials said. When it gets into the bloodstream, botulinum toxin can cause botulism, a deadly disease that starts with double or blurred vision, drooping eyelids, slurred speech, difficulty swallowing and difficulty breathing.
Health officials said people should only get the injections from licensed professionals and report any suspected counterfeit products.
___
The Associated Press Health and Science Department receives support from the Robert Wood Johnson Foundation. The AP is solely responsible for all content.
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This information is directly related to health concerns and public health warnings, making it highly relevant to the topic of Health." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/04/23/ffeb696dc0031b46cd9ad73d1cfef6d0.json b/datasets/AP_news/raw_data/2024/04/23/ffeb696dc0031b46cd9ad73d1cfef6d0.json new file mode 100644 index 0000000..e44e4d6 --- /dev/null +++ b/datasets/AP_news/raw_data/2024/04/23/ffeb696dc0031b46cd9ad73d1cfef6d0.json @@ -0,0 +1,273 @@ +{ + "altids": { + "itemid": "ffeb696dc0031b46cd9ad73d1cfef6d0", + "etag": "ffeb696dc0031b46cd9ad73d1cfef6d0_1a8aza0c0", + "friendlykey": "695354090893", + "referenceid": "LT--Mexico-Drugs" + }, + "version": 1, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-04-23T23:10:53Z", + "firstcreated": "2024-04-23T19:06:25Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: Updates Media. 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L\u00f3pez Obrador has hotly denied in the past that any fentanyl is produced in Mexico, saying Mexican cartels only press it into pills or add finishing touches.
But Felipe de Jesus Gallo, the head of Mexico\u2019s Criminal Investigation Agency, said that since the 1990s \u201cMexico has been the champion of methamphetamine production, and now fentanyl.\u201d He spoke at a U.S.-Mexico conference on synthetic drugs in Mexico City.
Experts agree that cartels in Mexico use precursor chemicals from China and India to make the synthetic opioid and smuggle it into the United States, where it causes about 70,000 overdose deaths annually.
While fentanyl is not widely abused in Mexico, methamphetamine addiction is commonplace.
Gallo said that Mexican cartels have launched industrial-scale production of meth in many states throughout the country and now export the drug around the world.
\u201cBelieve me, methamphetamine production has become industrialized, it's not just in the mountains anymore,\u201d Gallo said. \u201cWe now expect to see (drug) laboratories not just in the mountains of Sinaloa and Sonora, but in Hidalgo as well, Puebla, and also in Jalisco.\"
He was apparently referring to thousands of drug labs detected in previous years in the hills and scrublands around Culiacan, the capital of the northern state of Sinaloa. Those clandestine, rural production sites were often bare-bones, improvised labs covered with tree branches and tarpaulins.
Now, the meth trade has become so lucrative and so sophisticated that Mexican meth is exported as far away as Hong Kong or Australia, and the cartels have found ways to avoid detection of their drug money.
\u201cThe business models have become very innovative, or as old and antiquated as barter; \u2018I\u2019ll trade you precursor chemicals for meth,' to avoid leaving a money trail,\u201d Gallo said.
There is little question that drug production goes on at a huge scale in Mexico.
In February, Mexico's Navy seized over 45 tons of methamphetamine at the biggest drug lab found during the current administration. The lab was in Quiriego, a township in a remote part of the northern border state of Sonora.
The 91,000 pounds (41,310 kilograms) of meth found there was more than half of the 162,000 pounds of the drug Mexico has seized so far this year.
Fentanyl production is also huge, though because it is a more potent drug, the volume is smaller.
A year ago, soldiers seized more than a half-million fentanyl pills in Culiacan in what the army at the time described as the largest synthetic drug lab found to date.
Soldiers found almost 630,000 pills that appeared to contain fentanyl, the army said. They also reported seizing 282 pounds (128 kilograms) of powdered fentanyl and about 220 pounds (100 kilograms) of suspected methamphetamine.
L\u00f3pez Obrador, who took office on Dec. 1 2018, also claims that Mexicans are culturally immune to drug addiction.
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"picture" + }, + "2": { + "altids": { + "itemid": "876df788a54f4593be5b27a739995bd3" + }, + "type": "picture" + }, + "3": { + "altids": { + "itemid": "49096f15155a444ca52ea41d47cb4223" + }, + "type": "picture" + }, + "4": { + "altids": { + "itemid": "ecb85d8aaabc44858c76ec5fa10a335a" + }, + "type": "picture" + }, + "5": { + "altids": { + "itemid": "213305c336bf407cb11676d80a2ee35a" + }, + "type": "video" + }, + "6": { + "altids": { + "itemid": "321db1ca1e7548d09e4b433da90f22f5" + }, + "type": "audio" + }, + "7": { + "altids": { + "itemid": "6576198b4d5a4a1ca174dcfec2bec09d" + }, + "type": "audio" + }, + "8": { + "altids": { + "itemid": "cd22dd098b8e41c7bfc689e6574b50f6" + }, + "type": "audio" + }, + "9": { + "altids": { + "itemid": "6f3724c3dc6b4f8ead622501e2a96f80" + }, + "type": "audio" + }, + "10": { + "altids": { + "itemid": "163aa12c96604326abc467b80475f9ed" + }, + "type": "video" + } + }, + "body_nitf": "WASHINGTON (AP) \u2014 The U.S. Supreme Court heard its first test on Wednesday of state abortion bans that have been enacted since the court upended the Roe v. Wade constitutional right to abortion. While the current case involves an Idaho abortion ban, the court\u2019s ruling could have implications beyond that state.
Idaho lawmakers have banned abortion except when a mother\u2019s life is at risk. The Biden administration says the state law conflicts with a federal law requiring emergency room doctors to stabilize patients, no matter what, even if that means an abortion.
How the court will rule is uncertain. The justices could make a major ruling \u2014 or they could rule narrowly on how Idaho\u2019s state law interacts with the federal law, the the Emergency Medical Treatment and Active Labor Act ( EMTALA ).
A look at the key points in Wednesday\u2019s arguments.
Attorneys for both sides warned that the justices\u2019 ruling could affect women and doctors far beyond Idaho, changing how emergency rooms treat patients in many other states.
\u201cThere are 22 states with abortion laws on the books,\u201d said Attorney Joshua N. Turner, who represented Idaho. \u201cThis isn\u2019t going to end with Idaho. \u2026 This question is going to come up in state after state.\u201d
Solicitor General Elizabeth Prelogar, arguing for the Biden administration, cautioned that other states could pass laws limiting how emergency rooms offer other services, which could mean trouble for more patients when they go to a hospital.
\u201cThis effectively allows states to take any particular treatment they don\u2019t want their hospitals to provide and dump those patients out of state,\u201d she warned. \u201cAnd you can imagine what would happen if every state started to take this approach.\u201d
Medical \u201cwhat-ifs\u201d peppered the arguments, sometimes turning personal: What if a woman\u2019s water breaks early in her pregnancy, exposing her to serious infection risk at a point when the fetus can\u2019t survive outside the womb? What if continuing the pregnancy would subject a pregnant person to organ failure, or cause permanent infertility?
Idaho's Turner told the court that those would be \u201cvery case by case\u201d situations \u2013 a response that left Justice Amy Coney Barrett \u201cshocked.\u201d
Barrett, one of the conservatives who voted to overturn Roe v. Wade, pressed Turner on when a prosecutor might bring charges against a doctor for providing an abortion. Experts whom Turner had cited, Barrett said, had told the court that doctors who performed abortions in those cases would be protected.
Turner agreed and said that doctors in Idaho could use their \u201cgood faith,\u201d medical judgment but Barrett pressed him further.
\u201cWhat if the prosecutor thought differently?\u201d Barrett asked. \u201cWhat if the prosecutor thought, well, I don\u2019t think any good faith doctor could draw that conclusion.\u201d
Justice Sonia Sotomayor, part of the court\u2019s liberal minority, asked Turner to consider how the federal law requires hospitals to treat patients for more common medical emergencies, like the diabetes that she has had since childhood.
What if, she said, the state banned treating diabetes with insulin?
\u201cFederal law would say you can\u2019t do that,\u2019\u201d said Sotomayor. \u201cObjective medically accepted standards of care require the treatment of diabetics with insulin. Idaho is saying unless the doctor can say that this person\u2019s death is likely, as opposed to serious illness, they can\u2019t perform abortion.\u201d
Conservative Justice Samuel Alito was particularly alarmed by Idaho\u2019s argument that emergency rooms could be forced to provide abortions if a pregnant patient in mental distress demanded one. The state has only raised this as a hypothetical, and not provided an actual example of a doctor being in this position.
\u201cDoes health mean only physical health or does it also mean mental health?\u201d Alito asked Prelogar, noting that he was trying to get her on the record about it if future incidents arise.
Prelogar said it\u2019s not the administration\u2019s view that an abortion would be provided as emergency medical care if a woman was suicidal or depressed. She said that the hospital would be required to treat such patients in other ways, dealing with their mental health episode.
\u201cThat could never lead to pregnancy termination because that is not the accepted standard of practice to treat any mental health emergency,\u201d Prelogar said.
Congress passed its federal law mandating that emergency rooms stabilize or treat patients in 1986, after reports that private hospitals were offloading patients \u2013 many of them without health insurance and in bad condition \u2013 on public hospitals.
Nearly 40 years later, the attorneys and justices spent some of Wednesday diving into why Congress crafted the law.
Justice Brett Kavanaugh pressed Prelogar on why the law was initially created. Idaho\u2019s officials have argued that the law was supposed to ensure patients without health insurance were treated, and should not be used as a way for the federal government to police whether doctors perform abortions in an emergency.
\u201cThe text of the statute which says in no uncertain terms, here is the fundamental guarantee: If you have an emergency medical condition and you go to an ER in this country, they have to stabilize you,\u201d Prelogar said.
But Turner raised another conundrum for the court about Congress\u2019 intent: Why would doctors be required to perform abortions when the text of the law calls on them to treat \u201cunborn children.\u201d
\u201cIt would be a strange thing for Congress to have regard for the unborn child and yet also be mandating termination of unborn children,\u201d he told the court.
It\u2019s unclear exactly where the Supreme Court will land, but the court had earlier allowed Idaho\u2019s abortion ban to be fully enforced while litigation continues.
That means at least five members of the court voted to put on hold a lower court\u2019s ruling that the federal law overrides Idaho\u2019s abortion ban in medical emergencies. So the Biden administration was facing a tough road in persuading the court to uphold that ruling.
Six conservative justices all have cast votes to limit abortion access, including five who voted less than two years ago to overturn Roe v. Wade.
Justices Neil Gorsuch, Clarence Thomas and Alito seemed most likely to side with Idaho on Wednesday. The liberal justices, Ketanji Brown Jackson, Kagan and Sotomayor were most favorable to the administration.
The outcome likely turns on the votes of the other three members of the court \u2014 Chief Justice John Roberts and Barrett and Kavanaugh.
Barrett and Kavanaugh voted to overturn Roe.
\u2014\u2014
Boone reported from Boise, Idaho.
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The Health Care Affordability Board approved the rule on Wednesday. It sets a statewide cost growth target of 3% each year. The Office of Health Care Affordability would gather data to monitor compliance. Doctors, hospitals and insurance companies that don't comply could face fines. The health care industry has supported a cost target. But they say 3% is too low and will be nearly impossible to comply with.", + "bylines": [ + { + "by": "By ADAM BEAM", + "title": "Associated Press" + } + ], + "located": "SACRAMENTO, Calif.", + "datelinelocation": { + "city": "Sacramento", + "countryareacode": "CA", + "countryareaname": "California", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -121.4944, + 38.58157 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. 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(AP) \u2014 Doctors, hospitals and health insurance companies in California will be limited to annual price increases of 3% starting in 2029 under a new rule state regulators approved Wednesday in the latest attempt to corral the ever-increasing costs of medical care in the United States.
The money Californians spent on health care went up about 5.4% each year for the past two decades. Democrats who control California's government say that's too much, especially since most people's income increased just 3% each year over that same time period.
The 3% cap, approved Wednesday by the Health Care Affordability Board, would be phased in over five years, starting with 3.5% in 2025. Board members said the cap likely won't be enforced until the end of the decade.
A new state agency, the Office of Health Care Affordability, will gather data to enforce the rule. Providers who don't comply could face fines.
\u201cWe want to be aggressive,\u201d board chair Dr. Mark Ghaly said, while acknowledging that the cap \u201creally translates into a major challenge\" for the health care industry.
The vote is just the start of the process. Regulators will later decide how the cost target will be applied across the state\u2019s various health care sectors. And enforcement will be progressive, with several chances for providers to avoid fines.
California's health care industry has supported the idea of a statewide cost target but argued a 3% cap is too low and will be nearly impossible to meet. In December, the Center for Medicare and Medicaid Services said the cost to practice medicine in the United States would increase 4.6% this year alone.
The board based the target on the average annual change in median household income in California between 2002 and 2022, which was 3%. Dr. Tanya W. Spirtos, president of the California Medical Association that represents doctors, wrote a letter to the board noting that number is \u201cartificially low\u201d because it includes the years of the Great Recession, when income dropped dramatically. She said a better gauge would be looking at the past 10 years, when median household income increased an average of 4.1% per year.
Hospitals argue much of what they charge is outside of their control. More than half of hospitals' expenses are salaries for workers, and many of those are set through collective bargaining agreements with labor unions. Plus, a new state law that takes effect this year will gradually increase the minimum wage for health care workers to $25 per hour.
More than half of California\u2019s 425 hospitals are losing money, and many rural facilities are in danger of closing \u2014 prompting the state Legislature last year to approve an emergency loan program.
Carmela Coyle, president and CEO of the California Hospital Association, said when it comes to hospital finances, \u201cthe fat is already gone.\u201d She said hospitals regularly perform complex procedures that save lives, including quadruple bypass surgeries.
\"We\u2019re fooling ourselves if we think that\u2019s cheap or can be done less expensively,\u201d she said.
Health care spending in the United States has more than doubled in the past two decades, reaching $4.5 trillion in 2022, according to the Centers for Medicare & Medicaid Services. Eight other states have set statewide cost targets for their health care industries. What makes California's cap different, experts say, is both the staggering size of the state's health care industry and its plan to enforce the limit with fines.
Health providers could exceed the cap if they have a good reason, including giving raises to health care workers. Those issues have yet to be worked out and will be considered on a case by case basis.
California has greatly expanded access to health insurance in recent years, including using taxpayer money to provide deep discounts for some middle-income earners and offering free coverage to all low-income adults regardless of their immigration status. State lawmakers have resisted more ambitious actions, including a single-payer system.
\u201cMaking quality health care affordable is a top priority for our administration,\" Democratic Gov. Gavin Newsom said in a statement released by his office. \"This action is a crucial first step forward in our efforts to reign in outrageous heath care costs and make health care more affordable.\u201d
Wednesday\u2019s vote was the state\u2019s first foray into tackling health care spending in California, which reached $405 billion in 2020, or $10,299 per person \u2014 the 22nd highest in the nation. Still, costs have increased greatly for people who get health insurance through their job. In 2006, just 6% of California workers who had deductibles of $1,000 or more. By 2020, it was 54%.
\u201cWe have a system right now that the incentives are not about getting the most cost efficient service,\u201d said Anthony Wright, executive director of Health Access California who advised the board on the new cost limit. \u201cThis is an attempt to try to have that incentive into a market that is more about getting bigger than about getting better.\u201d
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With AP Photos.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "US--Transplants Halted-Houston", + "headline": "Relatives of those who died waiting for livers at now halted Houston transplant program seek answers", + "headline_extended": "Several relatives of patients who died while awaiting a new liver say they want to know if their loved ones were wrongfully denied a transplant by a Houston doctor accused of manipulating a hospital waitlist", + "slugline": "AP-US--Transplants Halted-Houston, 1st Ld-Writethru", + "description_summary": "Several relatives of patients who died while awaiting a new liver say they want to know if their loved ones were wrongfully denied a transplant by a Houston doctor accused of manipulating a hospital waitlist. Officials at Memorial Hermann-Texas Medical Center have said they are investigating after finding that a doctor had made \u201cinappropriate changes\u201d in the national database for people awaiting liver transplants. Earlier this month, the hospital halted its liver and kidney programs. The relatives spoke at a news conference Wednesday. The news conference was held by attorneys who have filed for temporary restraining order to prevent Dr. Steve Bynon from deleting or destroying evidence. Bynon did not respond to an email seeking comment.", + "bylines": [ + { + "by": "By JAMIE STENGLE", + "title": "Associated Press" + } + ], + "located": "DALLAS", + "datelinelocation": { + "city": "Dallas", + "countryareacode": "TX", + "countryareaname": "Texas", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -96.80667, + 32.78306 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. 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Officials at Memorial Hermann-Texas Medical Center have said they are investigating after finding that a doctor had made \u201cinappropriate changes\u201d in the national database for people awaiting liver transplants. Earlier this month, the hospital halted its liver and kidney programs.
Susie Garcia's son, Richard Mostacci, died in February 2023 after being told he was too sick for a transplant. He was 43. \u201cWe saw him slipping away, slipping away and there was nothing that we could do, and we trusted, we trusted the doctors,\u201d Garcia said at a news conference.
She's among family members of three patients who retained attorneys with a Houston law firm that filed for a temporary restraining order Tuesday to prevent Dr. Steve Bynon from deleting or destroying evidence. Attorney Tommy Hastings said that some interactions with Bynon had caused \u201cconcerns about maybe some personal animosities and that maybe he may have taken it out on patients.\u201d
\u201cAgain, we\u2019re very early in this investigation,\" Hastings said.
Hermann-Memorial's statement didn\u2019t name the doctor, but the University of Texas Health Science Center at Houston, or UTHealth Houston, issued a statement defending Bynon, calling him \u201dan exceptionally talented and caring physician\u201d with survival rates that are \u201camong the best in the nation.\u201d
Bynon is an employee of UTHealth Houston who is contracted to Memorial Hermann. He did not respond to an email inquiry Wednesday.
The hospital has said the inappropriate changes were only made to the liver transplant program, but since he shared leadership over both the liver and kidney transplant programs, they inactivated both.
The U.S. Department of Health and Human Services also said it\u2019s conducting an investigation, adding it is \u201cworking across the department to address this matter.\u201d
Neither Hermann Memorial nor UTHealth or HHS had additional comments Wednesday.
Meanwhile, a woman using a different law firm filed a lawsuit last week in Harris County against Memorial Hermann and UTHealth alleging negligence in the death of her husband, John Montgomery, who died in May 2023 at age 66 while on the waitlist for a liver transplant. The lawsuit says that Montgomery was told he wasn\u2019t sick enough, and subsequently, that he was too sick before ultimately being taken off the list.
The death rate for people waiting for a liver transplant at Memorial Hermann was higher than expected in recent years, according to publicly available data from the Scientific Registry of Transplant Recipients, which evaluates U.S. organ transplant programs. The group found that in the two-year period from July 2021 through June 2023, there were 19 deaths on the waitlist, while models would have predicted about 14 deaths.
While the hospital's waitlist mortality rate of 28% was higher than expected \u201cthere were many liver programs with more extreme outcomes during the same period,\u201d Jon Snyder, the registry's director, said in an email.
He said that the hospital's first-year success rates for the 56 adults who received transplants between July 2020 through December 2022 was 35% better than expected based on national outcomes.
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Minor edits.; Adds comments from Arizona state Sen. Eva Burch.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "US--Abortion California", + "headline": "Gov. Gavin Newsom wants to let Arizona doctors provide abortions in California", + "headline_extended": "California Gov. Gavin Newsom and state lawmakers have announced legislation aimed at helping Arizonans access abortions after the Arizona Supreme Court allowed a near total-ban to move forward", + "slugline": "BC-US--Abortion California, 4th Ld-Writethru", + "description_summary": "California Gov. Gavin Newsom and state lawmakers have announced legislation aimed at helping Arizonans access abortions after the Arizona Supreme Court allowed a near total-ban to move forward. The bill would allow Arizona doctors to temporarily provide abortion care to Arizona patients who travel to California. Newsom said Wednesday that lawmakers will move swiftly to pass the California bill. Newsom has defended abortion access outside of California, which has endeared him to the Democratic Party's core constituencies. He has become a top surrogate in President Joe Biden's reelection campaign.", + "bylines": [ + { + "by": "By SOPHIE AUSTIN", + "title": "Associated Press/Report for America" + } + ], + "located": "SACRAMENTO, Calif.", + "datelinelocation": { + "city": "Sacramento", + "countryareacode": "CA", + "countryareaname": "California", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -121.4944, + 38.58157 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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(AP) \u2014 Arizona doctors could give their patients abortions in California under a proposal announced Wednesday by Gov. Gavin Newsom to circumvent a ban on nearly all abortions in the neighboring state.
It would apply only to doctors licensed in good standing in Arizona and their patients, and last only through the end of November. Arizona's 1864 law banning all abortions except if the woman's life is in jeopardy would take effect June 8, and Newsom said protecting access to abortions is \u201cjust about basic decency\u201d and \u201crespect for women and girls.\u201d
\u201cThis Arizona law is the first border-state law that will directly impact the state of California,\u201d the Democratic governor said. \u201cRather than just acknowledging that fate and future, we're trying to get ahead of this law.\u201d
Newsom joined the California Legislative Women's Caucus and advocates to announce the proposal. Lawmakers called the Arizona law \u201cdraconian\u201d and said California had an obligation to get involved. The bill would need to pass by a two-thirds vote in each house of the Legislature before reaching Newsom\u2019s desk. After he signs it, it would go into effect immediately.
Dr. Tanya Spirtos, a gynecologist and president of the California Medical Association, said it is unfortunate that Arizona abortion patients will have to travel out of state, but she\u2019s proud to see California step in to assist them.
\u201cAll personal medical decisions, including those around abortion, should be made by patients in consultation with their health care providers,\u201d Spirtos said. \u201cBy banning virtually all abortions in the state, the ruling will put physicians in harm's way for simply providing often lifesaving medical care to their patients.\u201d
The Arizona Supreme Court cleared the way earlier this month for the near-total ban to move forward. Fifteen states have banned abortion at all stages of pregnancy, though Arizona's Legislature is expected to repeal the 160-year-old law, setting the state up for a 15-week limit. California law generally allows the procedure up to the point of fetal viability, which is around 24 weeks.
About 11,500 abortions were reported in Arizona in 2022, down from nearly 14,000 in the previous year, according to a report from the Arizona Department of Health Services.
Democratic Arizona Gov. Katie Hobbs\u2019 office declined to comment on the California bill.
Newsom should focus on \u201cvery real problems\u201d in his own state, said Arizona House Speaker Ben Toma, a Republican who voted against repealing the near-total ban.
Arizona state Sen. Eva Burch, a Democrat, said the California proposal is \u201ca step in the right direction,\u201d but she hopes it is not necessary and that Arizona repeals the ban. Burch has had two abortions to terminate nonviable pregnancies.
\u201cIt\u2019s unreasonable for us to expect patients to have to travel out of state for this kind of care,\u201d Burch said. \u201cIn circumstances like mine, where I was having a failed miscarriage, a stalled miscarriage, traveling wouldn\u2019t be appropriate.\u201d
While abortion access in California has never been under serious threat, Newsom \u2014 widely seen as a potential presidential candidate beyond 2024 \u2014 has made defending that access a priority of his administration.
Newsom pushed for abortion access to be enshrined in the California Constitution. He approved $20 million of taxpayer money to help pay for women in other states to come to California for abortions, and he signed dozens of laws aimed at making it harder for other states to investigate women who do so, including banning social media companies from complying with subpoenas or warrants.
In 2022, months after the U.S. Supreme Court overturned Roe v. Wade, California launched a publicly funded website to promote the state\u2019s abortion services, including information about financial help for travel expenses and letting teenagers in other states know that California does not require them to have their parents' permission to get an abortion in the state.
It\u2019s also become a chief talking point in Newsom\u2019s role as a top surrogate of President Joe Biden\u2019s reelection campaign. Using money left over from his own 2022 reelection campaign, Newsom started a political action committee he calls the \u201c Campaign for Democracy \u201d that has paid for billboards and TV ads in Republican-led states to criticize their leaders\u2019 attempts to outlaw or restrict access to abortions. In February he launched ads in multiple states to criticize proposals there that aimed to prohibit out-of-state travel for abortions.
Newsom\u2019s campaign on Sunday released a dramatic ad in Alabama depicting a young woman trying to leave the state who is stopped by a police officer who demands that she take a pregnancy test. The ad ran after an Alabama lawmaker introduced a bill to make it a crime to help someone under 18 get an abortion without telling their parents or guardians. It has not been voted on in committee.
___
Associated Press writers Adam Beam in Sacramento and Anita Snow and Jacques Billeaud in Phoenix contributed.
___
Austin is a corps member for The Associated Press/Report for America Statehouse News Initiative. Report for America is a nonprofit national service program that places journalists in local newsrooms to report on undercovered issues. Follow Austin on the social platform X: @sophieadanna
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The GOP-controlled House on Wednesday voted 106-48 to send the proposal to Republican Gov. Mike Parson. Parson's spokesman didn't immediately respond to an Associated Press request for comment Wednesday. But he is expected to sign the bill. Republicans have tried for years to block Medicaid funding from going to Planned Parenthood clinics in Missouri. Defunding efforts have been thwarted in the courts. Abortions are not covered by Medicaid, and almost all abortions are illegal in Missouri. But abortion opponents say Planned Parenthood should not receive any public funding because clinics in other states provide abortions.", + "bylines": [ + { + "by": "By SUMMER BALLENTINE", + "title": "Associated Press" + } + ], + "located": "JEFFERSON CITY, Mo.", + "datelinelocation": { + "city": "Jefferson City", + "countryareacode": "MO", + "countryareaname": "Missouri", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -92.17352, + 38.5767 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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(AP) \u2014 Missouri's Republican-led Legislature on Wednesday passed a bill to ban Medicaid funding from going to Planned Parenthood, a move they have tried for years in a state where almost all abortions are banned.
The bill, approved 106-48 Wednesday in the House, aims to make it illegal for Missouri\u2019s Medicaid program to reimburse Planned Parenthood for health care services to low-income patients, such as pap smears and cancer screenings.
Abortions are not covered by Medicaid, and almost all abortions are illegal in Missouri. But abortion opponents say Planned Parenthood should not receive any public funding because clinics in other states provide abortions.
\u201cMy rhetorical question is: Is Planned Parenthood sending monies from our state budget to other states to allow for women to have an abortion?\u201d Republican Rep. Brian Seitz asked during Wednesday debate on the House floor. \"Abortion is murder.\u201d
House Democratic Minority Leader Crystal Quade in a statement described the bill as \"an act of petty vengeance by Republicans against one of largest providers of women\u2019s health care in Missouri.\u201d
Planned Parenthood cautioned that other reproductive health care providers that serve Medicaid patients in Missouri do not have the capacity to take on all of Planned Parenthood's patients.
\u201cExperts are clear: there are not enough other providers in the health care safety-net system to absorb Planned Parenthood\u2019s patients,\u201d the region\u2019s Planned Parenthood said in a statement Wednesday. \u201cAt Planned Parenthood, we\u2019ll continue to do everything we can to continue serving our patients \u2014 no matter what.\u201d
Few states \u2014 Arkansas, Mississippi, and Texas, according to Planned Parenthood \u2014 have successfully blocked Medicaid funding for the organization.
A February state Supreme Court ruling found that Missouri lawmakers\u2019 latest attempt at defunding Planned Parenthood was unconstitutional.
While past efforts to kick Planned Parenthood off Missouri\u2019s Medicaid program have been struck down by courts, this year, GOP lawmakers are taking another approach and passing the ban as a policy bill in hopes of avoiding another legal showdown.
Some House Democrats predicted the latest defunding bill likely will be fruitless, too. They pointed to a pending constitutional amendment that could go before Missouri voters this fall and would restore abortion rights in the state.
The abortion-rights campaign needs to collect at least 172,000 voter signatures by May 5 to get on the ballot.
A spokesperson for Gov. Mike Parson on Wednesday did not immediately respond to an Associated Press request for comment on whether the Republican intends to sign the latest Planned Parenthood defunding bill. But his support is expected.
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NOTE CONTENTS: Some material in this story was first published March 1, 2024, under the keyword BC-US-MED--Zyn-Health Debate.", + "signals": [ + "newscontent" + ], + "title": "US-MED--Wellness-Zyn Explainer", + "headline": "What to know about Zyn, the tiny nicotine pouch that's sparked a big health debate", + "headline_extended": "A small nicotine pouch called Zyn is sparking big debates about the benefits and risks of new products from tobacco companies", + "slugline": "BC-US-MED--Wellness-Zyn Explainer", + "description_summary": "A small nicotine pouch called Zyn is sparking big debates about the benefits and risks of new products from tobacco companies. Zyn is an oral pouch that contains nicotine powder and flavorings like mint, coffee and citrus. It's sold to adult tobacco users as an alternative to cigarettes and chew. But health advocates fear Zyn could be catching on with teenagers. Videos of young people popping the pouches have racked up millions of views on social media platforms. Here's what to know about Zyn.", + "bylines": [ + { + "by": "By MATTHEW PERRONE", + "title": "AP Health Writer" + } + ], + "located": "WASHINGTON", + "datelinelocation": { + "city": "Washington", + "countryareacode": "DC", + "countryareaname": "District of Columbia", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -77.03637, + 38.89511 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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Here\u2019s what to know about Zyn:
Zyn is an oral pouch that contains nicotine powder and flavorings like mint, coffee and citrus. The pouches are the fastest-growing segment of the tobacco industry, which has struggled for decades to replace falling cigarette sales.
Zyn is marketed by Philip Morris International to adult tobacco users. Although it doesn\u2019t contain tobacco, U.S. regulators still treat it as a tobacco product.
Competitors sell similar products. Altria, for instance, sells its own flavored pouches called On.
Users stick them between their lip and gums, where they slowly release low levels of nicotine that are absorbed into the bloodstream. Because pouches generally don't contain tobacco, there's no spitting, unlike older products like chew and snuff.
Philip Morris representatives say the nicotine-only formulation is part of Zyn\u2019s appeal.
\u201cPeople can be reluctant to move into an oral tobacco product if they view it as similar to traditional chewing tobacco,\u201d company spokesman Corey Henry said. \u201cConsumer acceptability is a big part of Zyn.\u201d
All tobacco products carry serious health risks. Cigarettes are widely understood as the most harmful, increasing the likelihood of cancer, heart disease and lung problems. Chewing tobacco is linked to mouth cancer, gum disease and tooth loss.
But in the last decade or so, researchers and health regulators have begun to acknowledge different levels of harm among different tobacco products.
In 2019, the Food and Drug Administration said a different oral tobacco product, called snus, contains lower cancer-causing chemicals than cigarettes and could benefit smokers who switch.
Snus are similar to nicotine pouches like Zyn, except that they contain fermented tobacco. Studies from Sweden and other places where they are popular have shown lower rates of lung cancer and related diseases compared with other European countries where smoking is more prevalent.
There\u2019s little research on the long-term effects of nicotine pouches, but many researchers expect they will show similarly low rates of carcinogens and other toxic components.
Still, that doesn\u2019t mean they\u2019re safe. A study last year found Zyn and similar products contain low levels of harmful substances such as ammonia and formaldehyde.
Currently FDA officials are letting Zyn stay on the market while they review Philip Morris\u2019 marketing application, which was submitted in 2020.
To win FDA authorization, companies generally must show that their products will reduce disease among adult tobacco users without attracting underage use by teens and adolescents.
Not according to the latest federal data. Only 1.5% of high school and middle schoolers reported using nicotine pouches when surveyed last year. That\u2019s well below the roughly 10% who used electronic cigarettes.
But anti-tobacco advocates point to worrying signs: videos of young people popping the pouches have racked up millions of views on social media in recent months. A similar surge of online activity preceded the rise of Juul, the sleek e-cigarette widely blamed for triggering a spike in teen vaping in the years before COVID-19.
Concerns about Zyn going viral have sparked debate among health experts, parents and even politicians.
The FDA says it\u2019s monitoring underage use of Zyn and other pouches and will take action, if necessary.
Currently only a handful of products are FDA-approved to help with quitting smoking, including medications, nicotine gums and patches. Some researchers point out that Zyn works similarly to some of those products \u2014 gradually delivering nicotine that reduces cravings.
But early research suggests Zyn and other pouches may not be enough to help smokers quit.
Ohio State University researchers recently found it took smokers 30 minutes to an hour to get enough nicotine from Zyn to relieve their cravings. With cigarettes, smokers achieved the same nicotine levels \u2014 and relief \u2014 in five minutes.
For now, Philip Morris is focused on obtaining FDA authorization to stay on the market, and eventually it has said it could seek a reduced-risk designation similar to snus. But no tobacco company \u2014 Philip Morris included \u2014 has ever asked the FDA to approve their products to help smokers quit completely.
___
The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute\u2019s Science and Educational Media Group. The AP is solely responsible for all content.
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Editorial: Take time to understand autism
We encourage our readers to take the time to do a bit of research and reading to better understand what it means to live with autism.
Autism can be difficult to define because Autism Spectrum Disorders describe a wide range of disorders with symptoms that vary in type and severity.
The Autism Speaks organization describes autism in the most general terms as \u201ca group of complex disorders of brain development.\u201d
It is not uncommon for individuals with varying types of autism to excel in math, art, music or other areas.
Research has indicated there seems to be no singular cause of autism.
However, reports have indicated that genetic research is advancing quickly and, as a result, mutations that are associated with autism disorders are being identified.
In addition, experts have said there are environmental factors that seem to contribute to brain development and as scientists learn more about those factors, the disorder may, someday, become more preventable.
Symptoms most often begin to manifest between the ages of 2 and 3 and early intervention is critical in the management of the disorders, according to healthcare professionals.
Destigmatizing the disorder and raising awareness regarding the daily management of autism can go a long way toward helping families cope with the associated challenges.
The U.S. Centers for Disease Control and Prevention identifies about one in 68 American children as on the autism spectrum.
According to Autism Speaks, studies also show autism is four to five times more common among boys than girls. An estimated one out of 42 boys and one in 189 girls are diagnosed with autism in the United States. More than 3 million people in the U.S. live with some form of autism.
Autism has been called the fastest-growing developmental disorder in the U.S.
We often fear or ignore things we do not understand that are outside of our comfort zone.
We may shy away from people who are different from us and close ourselves off to experiences that could enrich our lives in meaningful ways if we would just take the time to learn about those things we do not understand.
We are all different from each other in one way or another.
However, most of us will never face the life challenges faced every day by the families of children with autism. Rarely will you hear those families complain. Rather, they generally talk about the milestones they reach and small pleasures and joys in life that most of us simply take for granted.
As a community, we should increase our understanding and be more sensitive to families working to provide services for their children while being a part of the community without being looked upon with pity or even disdain.
While children and adults living with autism may be different in some ways, in other ways they are like all children \u2014 excitable, enjoying life and loving the hugs and encouragement from close friends and family members.
Do not close yourself off to the joys and fulfillment that can come from knowing people just because the challenges they face in life are different from your own.
April is Autism Awareness Month, making it a perfect time to make yourself more aware and, as a result, more understanding and thoughtful.
___
Valdosta Daily Times. April 22, 2024.
Editorial: Pay attention: Stop distracted driving
Once again the state of Georgia is warning about the dangers of distracted driving and we are right there with state leaders on this issue.
Put up your phone, keep your eyes on the road and drive.
April is Distracted Driving Awareness Month but every day should be distracted driver awareness day on our roadways.
The Governor\u2019s Office of Highway Safety has said if drivers don\u2019t park their phone when their car is in drive, they could be handed a ticket for violating Georgia\u2019s hands-free law.
Georgia\u2019s hands-free law went into effect July 1, 2018, but even after thousands of citations have been issued in the state, motorists continue handling their phones while driving. It\u2019s as noticeable as driving down the street in Valdosta or on highways anywhere in the state ... though we don\u2019t advocate drivers becoming distracted by looking for distracted drivers.
But the reckless, dangerous behavior is still happening all the time on our roadways and people are dying because of it.
According to NHTSA, drivers who are talking on their phones are four times as likely to be involved in a crash as those who are not and the odds of being in a crash increase 23% when a driver is texting or sending an e-mail. NHTSA data also shows that drivers 16-24 are the biggest offenders when it comes to using their phone while driving.
Enough is enough. People texting and driving have been putting the safety of others at risk for far too long.
The state has offered some very practical advice that includes:
\u2014 If you\u2019re expecting a text message or need to send one, pull over and put the vehicle in park.
\u2014 Make a passenger your \u201cdesignated texter.\u201d Give them access to your phone to respond to calls and messages.
\u2014 Use a cell phone holder and voice commands or bluetooth devices if calls must be made or answered while driving.
And, perhaps the most practical for those people who just can\u2019t seem to control themselves: Put your cell phone in the trunk, glove compartment, back seat or somewhere else it cannot be reached to avoid temptation.
END
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Wade violate federal health care law, though some also questioned the effects on emergency care for pregnant patients.
The case marks the first time the Supreme Court has considered the implications of a state ban since overturning the nationwide right to abortion. It comes from Idaho, which is among 14 states that now ban abortion at all stages of pregnancy with very limited exceptions.
The high court has already allowed the state ban to go into effect, even in medical emergencies, and it was unclear whether members of the conservative majority were swayed by the Biden administration's argument that federal law overrides the state in rare emergency cases where a pregnant patient's health is at serious risk.
The closely watched case tests how open the court is to carving out limited exceptions to state abortion bans. Their ruling, expected by late June, will also affect a similar case in Texas and could have wide implications amid a spike in complaints that pregnant women have been turned away from emergency rooms care since Roe was overturned.
The Biden administration says abortion care must be allowed in those cases under a law that requires hospitals accepting Medicare to provide emergency care regardless of patients' ability to pay.
Justice Samuel Alito, who wrote the decision overturning Roe v. Wade, was doubtful. \u201cHow can you impose restrictions on what Idaho can criminalize, simply because hospitals in Idaho have chosen to participate in Medicare?\u201d Alito said.
Idaho contends its ban does have exceptions for life-saving abortions, and the administration wants to wrongly expand the times when it's allowed to turn hospitals into \u201cabortion enclaves.\"
But liberal justices detailed cases of pregnant women hemorrhaging or having to undergo hysterectomies after abortion care was denied or delayed in states with bans.
\u201cWithin these rare cases, there\u2019s a significant number where the woman\u2019s life is not in peril, but she\u2019s going to lose her reproductive organs. She\u2019s going to lose the ability to have children in the future unless an abortion takes place,\u201d said Justice Elena Kagan.
Conservative Justice Amy Coney Barrett, meanwhile, said she was \u201ckind of shocked\u201d that an attorney for Idaho appeared to hedge when asked whether the state would allow abortions in cases like those. Attorney Joshua N. Turner responded that doctors can use their \u201cgood faith\u201d medical judgment under Idaho's life-saving exception, but Barrett continued to press: \u201cWhat if the prosecutor thinks differently?\u201d
Turner acknowledged that a doctor could face a criminal case in that situation. Performing an abortion outside of limited exceptions in Idaho is a felony punishable by up to five years in prison.
Most Republican-controlled states have started enforcing new bans or restrictions since Roe was overturned, and Turner said those laws all have narrower exceptions than the federal law.
\u201cThis isn\u2019t going to end with Idaho. This question is going to come up in state after state,\" he said.
Doctors have said Idaho\u2019s abortion ban has already affected emergency care. More women whose conditions are typically treated with abortions must now be flown out of state for care, since doctors must wait until they are close to death to provide terminations within the bounds of state law.
Abortion opponents say doctors have mishandled maternal emergency cases, and argue the Biden administration overstates health care woes to undermine state abortion laws.
The justices also heard another abortion case this term seeking to restrict access to abortion medication. It remains pending, though the justices overall seemed skeptical of the push.
The Justice Department originally brought the case against Idaho, arguing the state\u2019s abortion law conflicts with the 1986 Emergency Medical Treatment and Active Labor Act, known as EMTALA. It requires hospitals that accept Medicare to provide emergency care to any patient regardless of their ability to pay. Nearly all hospitals accept Medicare.
A federal judge initially sided with the administration and ruled that abortions were legal in medical emergencies. After the state appealed, the Supreme Court allowed the law to go fully into effect in January.
The audience was sparse inside the court, with several benches empty or sparingly used. But outside, dueling protesters gathered with signs such as \u201cAbortion saves lives,\u201d from one side of the crowd and \u201cEmergency rooms are not abortion clinics\u201d from abortion opponents.
___ Associated Press writers Gary Fields and Mark Sherman contributed to this report.
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Adds AP Photo", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "CT-XGR--Paid Sick Days-Connecticut", + "headline": "Connecticut House votes to expand state's paid sick leave requirement for all employers by 2027", + "headline_extended": "Connecticut\u2019s first-in-the-nation paid sick leave law from 2011 is moving closer toward being updaeted", + "slugline": "BC-CT-XGR--Paid Sick Days-Connecticut, 1st Ld-Writethru", + "description_summary": "Connecticut\u2019s first-in-the-nation paid sick leave law from 2011 is moving closer toward being updaeted. The House of Representatives on Wednesday voted 88-61 in favor of requiring all employers, down to those with a single worker, to provide their employees with time off by 2027. Cheers were heard from the House gallery after the vote. The bill attempts to guarantee time off for people left out of the old law, including many low-wage and part-time workers across the state. Republicans argued the bill, which moves to the Senate, will be a burden for small businesses. Democratic Gov. Ned Lamont says he will sign it.", + "bylines": [ + { + "by": "By SUSAN HAIGH", + "title": "Associated Press" + } + ], + "located": "HARTFORD, Conn.", + "datelinelocation": { + "city": "Hartford", + "countryareacode": "CT", + "countryareaname": "Connecticut", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -72.68509, + 41.76371 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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(AP) \u2014 Connecticut's first-in-the-nation paid sick leave law from 2011 moved closer Wednesday to being updated, requiring all employers, down to those with a single worker, to provide their employees with time off by 2027.
Cheers were heard from the House of Representatives gallery after lawmakers voted 88-61 in favor of legislation that attempts to provide guaranteed time off to people left out of the old law, including many low-wage and part-time workers across the state. The bill is expected to clear the Senate in the coming days.
Both chambers are controlled by Democrats.
While Republicans argued the bill will be a burden for small businesses, proponents said the proposed expansion is common sense, especially after the COVID-19 pandemic.
\u201cWe\u2019ve experienced quite a culture change since 2011, and that\u2019s especially true even more since we experienced the pandemic,\u201d said Democratic House Majority Leader Jason Rojas, who said people no longer want themselves or a coworker to go into work sick. \u201cPeople shouldn\u2019t have to choose between being sick, making other people sick, and losing out on compensation.\u201d
If the bill is ultimately signed by Democratic Gov. Ned Lamont, as expected, Connecticut will join Washington, D.C., Arizona, California, Illinois, Massachusetts, Minnesota, New Jersey, Vermont and Washington in requiring paid sick leave for any business with one or more employees.
Republican House Minority Leader Vincent Candelora said that would be a mistake. He and other GOP lawmakers argued the bill will create a financial and bureaucratic hardship for small business owners and break the state's recent cycle of economic growth.
Connecticut\u2019s current paid sick law generally requires certain employers with at least 50 employees to provide up to 40 hours of paid sick leave annually to \u201cservice workers\u201d in certain specified occupations. This bill applies to all employees and affects employers with 25 or more workers beginning Jan. 1, 2025; 11 or more workers beginning Jan. 1, 2026; and one or more workers beginning Jan. 1, 2027.
An employee would accrue one hour of paid sick leave for each 30 hours worked, for a maximum of 40 hours of paid leave per year.
\u201cWe are now taking a giant leap and going to have a broad-brush impact every business throughout the entire state of Connecticut \u2014 and I don\u2019t think people here appreciate or understand how it\u2019s going to affect them,\u201d Candelora said.
The bill, the result of months of negotiations to ultimately get a proposal that could clear the House, was also criticized for being too lenient and not requiring workers to provide their employer with a doctor's note.
\u201cThis could be for somebody to take a day off and go to the beach,\u201d said Republican Rep. Steve Weir of Hebron. \u201cLet\u2019s be honest. This not sick leave. It provides an unfunded mandate on our employers.\u201d
Lamont, a Democrat and former businessman, said he believes the bill strikes an appropriate balance between protecting the workforce and providing safeguards so the benefit is not misused and small business owners are protected.
\u201cEspecially considering what we learned during the recent outbreak of a viral pandemic, it\u2019s appropriate that we take a look at our existing paid sick days laws and evaluate how they are working and how we can strengthen them,\u201d Lamont said in a statement.
Lamont said he will sign the bill once it passes the Senate.
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The federal order was announced one day after health officials said they had detected inactivated remnants of the virus, known as Type A H5N1, in samples taken from milk during processing and from store shelves. They stressed that such remnants pose no known risk to people or the milk supply.
\u201cThe risk to humans remains low,\u201d said Dawn O'Connell of the federal Administration for Strategic Preparedness and Response.
The new order, which goes into effect Monday, requires every lactating cow to be tested and post a negative result before moving to a new state. It will help the agency understand how the virus is spreading, said Michael Watson, an administrator with the U.S. Department of Agriculture's Animal and Plant Health Inspection Service.
\u201cWe believe we can do tens of thousands of tests a day,\u201d he told reporters.
Until now, testing had been done voluntarily and only in cows with symptoms.
Avian influenza was first detected in dairy cows in March and has been found in nearly three dozen herds in eight states, according to USDA.
It's an escalation of an ongoing outbreak of highly pathogenic avian influenza spread by wild birds. Since the start of the outbreak, more than 90 million birds in U.S. commercial flocks have either died from the virus or been killed to try to prevent spread.
Two people in the U.S. \u2014 both farmworkers \u2014 have been infected with bird flu since the outbreak began. Health officials said 23 people have been tested for bird flu to date and 44 people exposed to infected animals are being monitored.
Officials said that samples from a cow in Kansas showed that the virus could be adapting to more animals and they detected H5N1 virus in the lung tissue of a dairy cow that had been culled and sent to slaughter.
So far, officials with the Centers for Disease Control and Prevention have seen no signs that the virus is changing to be more transmissible to people.
___
The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute\u2019s Science and Educational Media Group. The AP is solely responsible for all content.
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\u201cMy husband often says that we have many obligations as a nation but only one sacred obligation: to support you and your families when we send you into harm\u2019s way and when you return,\u201d she said of President Joe Biden, who is up for reelection.
Jill Biden spoke about steps the administration has taken to expand veteran access to quality home health care, provide benefits and care for veterans harmed by toxins and prevent homelessness and suicide among veterans. She also talked about help for spouses of active-duty and retired servicemembers.
President Biden unexpectedly joined the first lady after signing a $95 billion war aid bill and referred to the group of riders as the \u201cspine of America.\u201d
The Wounded Warrior Project was founded in 2003 to help veterans and the families and caregivers of service members who suffered a physical or mental injury or illness while serving in the military on or after Sept. 11, 2001. Soldier Ride began in 2004 to help raise awareness for injured veterans. The tradition of starting the ride from the White House began in 2008.
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President Donald Trump's campaign to return to the White House.
Three Republicans joined in with all 29 Democrats Wednesday to repeal a law that predated Arizona's statehood and provides no exceptions for rape or incest. If the Senate approves as expected, Arizona would allow abortions up to 15 weeks.
Their political ambitions imperiled by widespread opposition to a near-total abortion ban, Trump and U.S. Senate candidate Kari Lake had urged Arizona lawmakers to ease the restrictions. But until Wednesday, most state House Republicans repeatedly used procedural votes to block repeal, each time drawing condemnation from Democratic President Joe Biden, who has made his support for abortion rights central to his reelection campaign.
\u201cMake no mistake, Arizonans are living in 1864 now because Donald Trump dismantled Roe v. Wade,\u201d Democratic state Sen. Priya Sundareshan of Tucson said in a news conference before the vote organized by the Biden campaign and the Arizona Democratic Party.
The repeal vote comes a day after Biden said Trump created a \u201chealth care crisis for women all over this country,\u201d by imperiling their access to care. White House press secretary Karine Jean-Pierre said the vote is a sign that \"we\u2019re moving forward in the right direction.\u201d
Arizona is one of a handful of battleground states that will decide the next president. Trump, who has warned that the issue could lead to Republican losses, has avoided endorsing a national abortion ban but said he's proud to have appointed the Supreme Court justices who allowed states to outlaw it.
Dozens of people gathered outside the state Capitol before the House and Senate were scheduled to meet, then filled seats in the public gallery as lawmakers voted, many of them carrying signs or wearing shirts showing their opposition to abortion rights.
Arizona Republicans have been under intense pressure from some conservatives in their base, who firmly support the abortion ban, even as it's become a liability with swing voters who will decide crucial races including the presidency, the U.S. Senate and the GOP's control of the Legislature.
\u201cI am disgusted today,\u201d said Republican Rep. Rachel Jones, who voted against repeal. \u201cLife is one of the tenets of our Republican platform. To see people go back on that value is egregious to me.\u201d
State Rep. Matt Gress, one of the three Republicans who crossed party lines to support the repeal measure, said in a statement that the near-total abortion ban was \u201cunworkable and out of line with the values of Arizonans.\u201d GOP Rep. Tim Dunn said counterintuitively that his vote in favor of repeal was \u201cthe most pro-life vote I could possibly make\" because, he said, backlash to the total ban would lead voters to support abortion even after 15 weeks.
The other Republican who supported the repeal measure, state Rep. Justin Wilmeth, didn\u2019t return an email and phone call seeking comment on the vote.
California Gov. Gavin Newsom and several lawmakers said Wednesday they'll push for legislation temporarily allowing Arizona doctors to perform abortions for their own patients in the neighboring state.
The Arizona Supreme Court concluded this month that the state can enforce a long-dormant law that permits abortions only to save the pregnant patient's life. The ruling suggested doctors could be prosecuted under the law first approved in 1864, which carries a sentence of two to five years in prison for anyone who assists in an abortion.
The law had been blocked since the U.S. Supreme Court\u2019s 1973 Roe v. Wade decision guaranteed the constitutional right to an abortion nationwide.
After Roe v. Wade was overturned in June 2022, then-Arizona Attorney General Mark Brnovich, a Republican, persuaded a state judge that the 1864 ban could be enforced. Still, the law hasn't actually been enforced while the case was making its way through the courts. Brnovich\u2019s Democratic successor, Attorney General Kris Mayes, urged the state\u2019s high court against reviving the law.
Mayes has said the earliest the law could be enforced is June 8, though the anti-abortion group defending the ban, Alliance Defending Freedom, maintains county prosecutors can begin enforcing it once the Supreme Court's decision becomes final, which is expected to occur this week.
If the proposed repeal wins final approval from the Republican-controlled Legislature and is signed into law by Democratic Gov. Katie Hobbs, a 2022 statute banning the procedure after 15 weeks of pregnancy would become the prevailing abortion law. Even so, there would likely be a period where all abortion is outlawed, because the repeal won't take effect until 90 days after the end of the legislative session, likely in mid-summer.
Planned Parenthood officials vowed to continue providing abortions for the short time they are still legal and said they will reinforce networks that help patients travel out of state to places like New Mexico and California to access abortion.
Advocates are collecting signatures for a ballot measure allowing abortions until a fetus could survive outside the womb, typically around 24 weeks, with exceptions \u2014 to save the parent's life, or to protect her physical or mental health.
Republican lawmakers, in turn, are considering putting one or more competing abortion proposals on the November ballot.
A leaked planning document outlined the approaches being considered by House Republicans, such as codifying existing abortion regulations, proposing a 14-week ban that would be \u201cdisguised as a 15-week law\u201d because it would allow abortions until the beginning of the 15th week, and a measure that would prohibit abortions after six weeks of pregnancy, before many people know they're pregnant.
House Republicans have not yet publicly released any such proposed ballot measures.
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Therefore, it is somewhat relevant to the topic of health but not highly focused on it." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/04/24/99ea2238ea2dfb5f97f559f770c5d06b.json b/datasets/AP_news/raw_data/2024/04/24/99ea2238ea2dfb5f97f559f770c5d06b.json new file mode 100644 index 0000000..7aee106 --- /dev/null +++ b/datasets/AP_news/raw_data/2024/04/24/99ea2238ea2dfb5f97f559f770c5d06b.json @@ -0,0 +1,181 @@ +{ + "altids": { + "itemid": "99ea2238ea2dfb5f97f559f770c5d06b", + "etag": "99ea2238ea2dfb5f97f559f770c5d06b_0a8aza0c0", + "friendlykey": "145197179703", + "referenceid": "US-MED--Bird Flu-Explainer" + }, + "version": 0, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-04-24T21:25:28Z", + "firstcreated": "2024-04-24T21:25:28Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: Updates Media.", + "signals": [ + "newscontent" + ], + "title": "US-MED--Bird Flu-Explainer", + "headline": "More cows are being tested and tracked for bird flu. Here's what that means", + "headline_extended": "U.S. health and agriculture officials are ramping up testing and tracking of bird flu in dairy cows in an urgent effort to understand and stop the growing outbreak", + "slugline": "AP-US-MED-Bird-Flu-Explainer", + "description_summary": "U.S. health and agriculture officials are ramping up testing and tracking of bird flu in dairy cows in an urgent effort to understand and stop the growing outbreak. Officials say the risk to humans remains low. Scientists fear that the virus that's been detected in cattle in several states could change to spread more easily among people. Experts say genetic details show that the virus may have been spreading in cows since late last year. One scientist likens the situation to a tornado watch: there are some of ingredients for a threat but it's not certain to happen.", + "bylines": [ + { + "by": "By JONEL ALECCIA and LAURA UNGAR", + "title": "Associated Press" + } + ], + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. For other uses, additional clearances may be required." + ], + "keywords": [ + "avian influenza bird flu milk H5N1 HPAI" + ], + "provider": "AP", + "infosource": [ + { + "name": "AP", + "type": "AP" + } + ], + "subject": [ + { + "rels": [ + "category" + ], + "creator": "Editorial", + "code": "f", + "name": "f" + }, + { + "rels": [ + "category" + ], + "creator": "Editorial", + "code": "a", + "name": "a" + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "cc7a76087e4e10048482df092526b43e", + "name": "Health", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 77 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "a89f0ca887a9100481f8957095691f3e", + "name": "Animals", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 92 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "a08c0c7c1dc34b8198a8c200df2799ac", + "name": "Bird flu", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 59 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "4bf76cb87df7100483dbdf092526b43e", + "name": "Science", + "creator": "Editorial", + "editorial_subject": "Science", + "rels": [ + "direct" + ], + "relevance": 75 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "c8e409f8858510048872ff2260dd383e", + "name": "Business", + "creator": "Editorial", + "editorial_subject": "Business", + "rels": [ + "direct" + ], + "relevance": 75 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "cc7a76087e4e10048482df092526b43e", + "name": "Health", + "creator": "Editorial", + "editorial_subject": "Health", + "rels": [ + "direct" + ], + "relevance": 99 + } + ], + "audiences": [ + { + "code": "82c6a4c46fa0446090a7acaf93159e4c", + "name": "Print", + "type": "AUDPLATFORM" + }, + { + "code": "9add4649b53b4702ba7d9de5d4fa607a", + "name": "Online", + "type": "AUDPLATFORM" + }, + { + "code": "f43adc08760d10048040e6e7a0f4673e", + "name": "National", + "type": "AUDSCOPE" + }, + { + "code": "f4ecf9b0760d10048044e6e7a0f4673e", + "name": "International", + "type": "AUDSCOPE" + }, + { + "code": "661850e07d5b100481f5c076b8e3055c", + "name": "Latin America and Caribbean", + "type": "AUDGEOGRAPHY" + }, + { + "code": "661e48387d5b10048291c076b8e3055c", + "name": "United States", + "type": "AUDGEOGRAPHY" + } + ], + "associations": { + "1": { + "altids": { + "itemid": "902256721079431f990f03334c7da300" + }, + "type": "picture" + } + }, + "body_nitf": "U.S. health and agriculture officials are ramping up testing and tracking of bird flu in dairy cows in an urgent effort to understand \u2014 and stop \u2014 the growing outbreak.
So far, the risk to humans remains low, officials said, but scientists are wary that the virus could change to spread more easily among people.
The virus, known as Type A H5N1, has been detected in nearly three dozen dairy herds in eight states. Inactive viral remnants have been found in grocery store milk. Tests also show the virus is spreading between cows, including those that don't show symptoms, and between cows and birds, according to the U.S. Department of Agriculture.
Starting Monday, hundreds of thousands of lactating dairy cows in the U.S. will have to be tested \u2014 with negative results \u2014 before they can be moved between states, under terms of a new federal order.
Here's what you need to know about the ongoing bird flu investigation:
This strain of what's known as highly pathogenic avian influenza has been circulating in wild birds for decades. In recent years, it has been detected in scores of mammals around the world. Most have been wild animals, such as foxes and bears, that ate sick or dying birds. But it's also appeared in farmed minks. It's shown up in aquatic mammals, such as harbor seals and porpoises, too. The virus was even found in a polar bear in northern Alaska.
The virus was discovered in ruminants \u2014 goats and then dairy cows \u2014 in the U.S. this spring, surprising many scientists who have studied it for years.
\u201cWhen we think of influenza A, cows are not typically in that conversation,\u201d said Richard Webby, an influenza expert at St. Jude Children\u2019s Research Hospital.
Flu viruses are notorious for adapting to spread among new species, so detection in dairy cows raises concerns it could spread to people, Webby said.
Scientists confirmed the virus in cows in March after weeks of reports from dairy farms that the animals were falling ill. Symptoms included lethargy, sharply reduced milk supply and changes to the milk, which became thick and yellow.
Finding remnants of the virus in milk on the market \u201csuggests that this has been going on longer, and is more widespread, than we have previously recognized,\u201d said Matthew Aliota, a veterinary medicine researcher at the University of Minnesota.
Under pressure from scientists, USDA officials released new genetic data about the outbreak this week.
The data omitted some information about when and where samples were collected, but showed that the virus likely was spread by birds to cattle late last year, said Michael Worobey, an evolutionary biologist with the University of Arizona.
Since then, it has spread among cattle and among farms, likely through contact with physical objects such as workers' shoes, trucks or milking machines, Worobey said.
And then the cows spread the virus back to birds, he said.
\u201cThe genetic evidence is as clear as could be,\u201d Worobey said. \"Birds that are sampled on these farms have viruses with clear mammalian adaptations.\"
Several experts said the USDA's plans to require testing in cows are a good start.
\u201cWe need to be able to do greater surveillance so that we know what's going on,\u201d said Thomas Friedrich, a virology professor at the University of Wisconsin's veterinary school.
Worobey said the ideal would be to screen every herd. Besides looking for active infections, agriculture officials also should be looking at whether cows have antibodies to the virus, indicating past infections, he said.
\"That is a really accessible and quick way to find out how widespread this is,\u201d he said.
More testing of workers exposed to infected animals is also crucial, experts said. Some farm owners and some individual workers have been reluctant to work with public health officials during the outbreak, experts have said.
\u201cIncreased surveillance is essentially an early warning system,\u201d Aliota said. \u201cIt helps to characterize the scope of the problem, but also to head off potentially adverse consequences.\"
Scientists are working to analyze more samples of retail milk to confirm that pasteurization, or heat-treating, kills the H5N1 virus, said Dr. Don Prater, acting director of the FDA's food safety center. Those results are expected soon.
While the general public doesn't need to worry about drinking pasteurized milk, experts said they should avoid raw or unpasteurized milk.
Also, dairy farm workers should consider extra precautions, such as masking, hand washing and changing work clothes, Aliota said.
So far, 23 people have been tested for the virus during the outbreak in dairy cows, with one person testing positive for a mild eye infection, CDC officials said. At least 44 people who were exposed to infected animals in the current outbreak are being monitored for symptoms.
David O\u2019Connor, a virology expert at the University of Wisconsin-Madison, likened recent bird flu developments to a tornado watch versus a warning.
\u201cThere are some of the ingredients that would be necessary for there to be a threat, but we\u2019re not there,\u201d he said. As with a tornado watch, \"you wouldn\u2019t change anything about how you live your daily life, but you would maybe just have a bit of increased awareness that something is happening.\u201d
Worobey said this is the kind of outbreak \u201cthat we were hoping, after COVID, would not go unnoticed. But it has.\"
He said ambitious screening is needed \"to detect things like this very quickly, and potentially nip them in the bud.\u201d
___
The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute\u2019s Science and Educational Media Group. The AP is solely responsible for all content.
The nation's school meals will get a makeover under new nutrition standards that limit added sugars for the first time, the U.S. Department of Agriculture announced Wednesday.
The final rule also trims sodium in kids' meals, although not by the 30% first proposed in 2023. And it continues to allow flavored milks \u2014 such as chocolate milk \u2014 with less sugar, rather than adopting an option that would have offered only unflavored milk to the youngest kids.
The aim is to improve nutrition and align with U.S. dietary guidelines in the program that provides breakfasts to more than 15 million students and lunches to nearly 30 million students every day at a cost of about $22.6 billion per year.
\u201cAll of this is designed to ensure that students have quality meals and that we meet parents\u2019 expectations,\u201d Agriculture Secretary Tom Vilsack told reporters.
The limits on added sugars would be required in the 2025-2026 school year, starting with high-sugar foods such as cereal, yogurt and flavored milk. By the fall of 2027, added sugars in school meals would be limited to no more than 10% of the total calories per week for breakfasts and lunches, in addition to limites on sugar in specific products.
Officials had proposed to reduce sodium in school meals by as much as 30% over the next several years. But after receiving mixed public comments and a directive from Congress included in the fiscal year 2024 appropriations bill approved in March, the agency will reduce sodium levels allowed in breakfasts by 10% and in lunches by 15% by the 2027-2028 school year.
\u2014
The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute\u2019s Science and Educational Media Group. The AP is solely responsible for all content.
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Here's how to track pollen levels near you", + "headline_extended": "Allergy season is here, but it doesn't have to make you miserable", + "slugline": "BC-US-MED--Wellness-Allergy Tips", + "description_summary": "Allergy season is here, but it doesn't have to make you miserable. Experts say people can manage most symptoms by using over-the-counter medicines and knowing pollen levels. But if that doesn\u2019t work, experts suggest seeing a doctor who can determine what specific pollen you\u2019re allergic to. More than 80 million Americans suffer from seasonal allergies and experts say conditions are getting more extreme. Climate change is leading trees and grasses to pollinate longer and more intensely.", + "bylines": [ + { + "by": "By DEVI SHASTRI", + "title": "AP Health Writer" + } + ], + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. For other uses, additional clearances may be required." + ], + "keywords": [ + "allergies pollen symptoms tree grass spring" + ], + "provider": "AP", + "infosource": [ + { + "name": "AP", + "type": "AP" + } + ], + "subject": [ + { + "rels": [ + "category" + ], + "creator": "Editorial", + "code": "l", + "name": "l" + }, + { + "rels": [ + "category" + ], + "creator": "Editorial", + "code": "a", + "name": "a" + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "e89e9d0089d910048ce6d56c852d093e", + "name": "Trees", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 51 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "cc7a76087e4e10048482df092526b43e", + "name": "Health", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 97 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "e237be707de410048fffdf092526b43e", + "name": "Medication", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 62 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "e2246d207de410048f8edf092526b43e", + "name": "Allergies", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 86 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "3e37e4b87df7100483d5df092526b43e", + "name": "Lifestyle", + "creator": "Editorial", + "editorial_subject": "Lifestyle", + "rels": [ + "direct" + ], + "relevance": 75 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "cc7a76087e4e10048482df092526b43e", + "name": "Health", + "creator": "Editorial", + "editorial_subject": "Health", + "rels": [ + "direct" + ], + "relevance": 99 + } + ], + "place": [ + { + "scheme": "http://cv.ap.org/id/", + "code": "9c310b35c06549929d3a599c0b52c4e3", + "name": "Greenville", + "creator": "Machine", + "rels": [ + "direct" + ], + "parentids": [ + "29d11ec082c7100488aedf092526b43e" + ], + "locationtype": { + "code": "9d26a20b35f0484a891740f8189d4c7b", + "name": "City" + }, + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -82.39401, + 34.85262 + ] + }, + "relevance": 31, + "parentnames": [ + "South Carolina" + ] + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "77290fe882c7100488fddf092526b43e", + "name": "Dallas", + "creator": "Machine", + "rels": [ + "direct" + ], + "parentids": [ + "6e92d9b882c7100488e5df092526b43e" + ], + "locationtype": { + "code": "9d26a20b35f0484a891740f8189d4c7b", + "name": "City" + }, + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -96.80667, + 32.78306 + ] + }, + "relevance": 41, + "parentnames": [ + "Texas" + ] + } + ], + "audiences": [ + { + "code": "82c6a4c46fa0446090a7acaf93159e4c", + "name": "Print", + "type": "AUDPLATFORM" + }, + { + "code": "9add4649b53b4702ba7d9de5d4fa607a", + "name": "Online", + "type": "AUDPLATFORM" + }, + { + "code": "f43adc08760d10048040e6e7a0f4673e", + "name": "National", + "type": "AUDSCOPE" + }, + { + "code": "f4ecf9b0760d10048044e6e7a0f4673e", + "name": "International", + "type": "AUDSCOPE" + }, + { + "code": "661850e07d5b100481f5c076b8e3055c", + "name": "Latin America and Caribbean", + "type": "AUDGEOGRAPHY" + }, + { + "code": "661e48387d5b10048291c076b8e3055c", + "name": "United States", + "type": "AUDGEOGRAPHY" + } + ], + "associations": { + "1": { + "altids": { + "itemid": "2f39f05d36d24848acdbe76d25982d25" + }, + "type": "picture" + }, + "2": { + "altids": { + "itemid": "310eb5dfc15f4f7990c8c5b28a9b0187" + }, + "type": "picture" + } + }, + "body_nitf": "Allergy season can bring misery to tens of millions of Americans each year.
Tree, grass, and other pollens can cause runny noses, itchy eyes, coughing and sneezing.
Where you live and what you're allergic to can make a big difference in how bad your allergies are, but there are many things you can do to feel better.
Here are some tips from experts to keep allergies at bay \u2014 maybe even enough to allow you to enjoy the outdoors.
There are three main types of pollen. Earlier in the spring, tree pollen is the main culprit. After that grasses pollinate, followed by weeds in the late summer and early fall.
Some of the most common tree pollens that cause allergies include birch, cedar, cottonwood, maple, elm, oak and walnut, according to the Asthma and Allergy Foundation of America. Grasses that cause symptoms include Bermuda, Johnson, rye and Kentucky bluegrass.
The best and first step to controlling allergies is avoiding exposure. That\u2019s easier said than done when it's nice out.
Start with keeping your windows closed at home and in the car, avoiding going out when pollen counts are highest and changing clothes when you get home. The same masks that got us through the pandemic can protect you from allergies \u2014 though they won't help with eye symptoms.
Pollen trackers can help with planning. The American Academy of Allergy Asthma and Immunology tracks levels through a network of counting stations across the U.S. Counts are available at its website and via email.
You can't fight an enemy you don't know.
Since many Americans are allergic to several things at once, the first thing to figure out is what specifically you\u2019re allergic to, said Dr. Nana Mireku, an allergist in the Dallas-Fort Worth area.
Over-the-counter nasal sprays can help relieve symptoms, but they take a while to kick in, so it\u2019s best to start them in early in the season, said Dr. Rachna Shah, an allergist and director of the Loyola Medicine Allergy Count.
Antihistamines are another option. Shah said she\u2019s seen some patients benefit from switching to a similar brand if one stops working, but said that there isn\u2019t much broader data to back the recommendation.
For young children and people who have to take many different allergy medications, immunotherapies in the form of shots and oral drops can help desensitize the immune system to allergens, treating symptoms at their root.
The Asthma and Allergy Foundation of America issues an annual ranking of the most challenging cities to live in if you have allergies, based on over-the-counter medicine use, pollen counts and the number of available allergy specialists. This year, the top five were Wichita, Kansas; Virginia Beach, Virginia; Greenville, South Carolina; Dallas; and Oklahoma City.
If you've been thinking it started earlier and seems longer this year, you're on to something.
Shah usually starts looking at pollen counts in the Chicago area in April. But this year, she peeked at her data in mid-February, and tree pollen was already at a \u201cmoderate\u201d level.
\u201cThis season has been so nuts,\u201d she said. \u201cGranted, it was a pretty mild winter, but I didn\u2019t expect it to be so early.\u201d
Shah said she believes this season will be longer than other years, assuming the weather remains warm.
Experts say climate change has led to longer and more intense allergy seasons.
___
The Associated Press Health and Science Department receives support from the Robert Wood Johnson Foundation. The AP is solely responsible for all content.
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Additionally, it touches on the impact of climate change on allergy seasons, which is also a health-related issue." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/04/24/c7eef7b46b08961c1965a0eb30932b3a.json b/datasets/AP_news/raw_data/2024/04/24/c7eef7b46b08961c1965a0eb30932b3a.json new file mode 100644 index 0000000..15a528c --- /dev/null +++ b/datasets/AP_news/raw_data/2024/04/24/c7eef7b46b08961c1965a0eb30932b3a.json @@ -0,0 +1,204 @@ +{ + "altids": { + "itemid": "c7eef7b46b08961c1965a0eb30932b3a", + "etag": "c7eef7b46b08961c1965a0eb30932b3a_1a8aza0c0", + "friendlykey": "248760803868", + "referenceid": "US-MED--Bird Flu-Milk" + }, + "version": 1, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-04-24T01:21:41Z", + "firstcreated": "2024-04-24T00:12:12Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: Adds more background, comment from dairy industry.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "US-MED--Bird Flu-Milk", + "headline": "Remnants of bird flu virus found in pasteurized milk, FDA says", + "headline_extended": "U.S. health officials say samples of pasteurized milk have tested positive for remnants of the bird flu virus that has infected dairy cows", + "slugline": "BC-US-MED--Bird Flu-Milk, 1st Ld-Writethru", + "description_summary": "U.S. health officials say samples of pasteurized milk have tested positive for remnants of the bird flu virus that has infected dairy cows. The Food and Drug Administration stressed Tuesday that the material is inactivated and that the findings \u201cdo not represent actual virus that may be a risk to consumers.\u201d Officials added that they\u2019re continuing to study the issue. FDA officials didn\u2019t indicate how many samples they tested or where they were obtained. The announcement comes nearly a month after an avian influenza virus that has sickened millions of wild and commercial birds was detected in U.S. dairy cows", + "bylines": [ + { + "by": "By JONEL ALECCIA", + "title": "AP Health Writer" + } + ], + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. For other uses, additional clearances may be required." + ], + "keywords": [ + "bird flu milk virus pasteurization" + ], + "provider": "AP", + "infosource": [ + { + "name": "AP", + "type": "AP" + } + ], + "subject": [ + { + "rels": [ + "category" + ], + "creator": "Editorial", + "code": "f", + "name": "f" + }, + { + "rels": [ + "category" + ], + "creator": "Editorial", + "code": "a", + "name": "a" + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "cc7a76087e4e10048482df092526b43e", + "name": "Health", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 79 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "a08c0c7c1dc34b8198a8c200df2799ac", + "name": "Bird flu", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 91 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "c8e409f8858510048872ff2260dd383e", + "name": "Business", + "creator": "Editorial", + "editorial_subject": "Business", + "rels": [ + "direct" + ], + "relevance": 75 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "cc7a76087e4e10048482df092526b43e", + "name": "Health", + "creator": "Editorial", + "editorial_subject": "Health", + "rels": [ + "direct" + ], + "relevance": 99 + } + ], + "organisation": [ + { + "scheme": "http://cv.ap.org/id/", + "code": "e5c917c88bcc1004803aeb438e258b03", + "name": "U.S. Food and Drug Administration", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 71 + } + ], + "place": [ + { + "scheme": "http://cv.ap.org/id/", + "code": "6e92d9b882c7100488e5df092526b43e", + "name": "Texas", + "creator": "Machine", + "rels": [ + "direct" + ], + "parentids": [ + "661e48387d5b10048291c076b8e3055c" + ], + "locationtype": { + "code": "0ae5eb8e00e04295a4fc209c94bfe6ef", + "name": "State" + }, + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -99.25061, + 31.25044 + ] + }, + "relevance": 36, + "parentnames": [ + "United States" + ] + } + ], + "audiences": [ + { + "code": "82c6a4c46fa0446090a7acaf93159e4c", + "name": "Print", + "type": "AUDPLATFORM" + }, + { + "code": "9add4649b53b4702ba7d9de5d4fa607a", + "name": "Online", + "type": "AUDPLATFORM" + }, + { + "code": "f43adc08760d10048040e6e7a0f4673e", + "name": "National", + "type": "AUDSCOPE" + }, + { + "code": "f4ecf9b0760d10048044e6e7a0f4673e", + "name": "International", + "type": "AUDSCOPE" + }, + { + "code": "661850e07d5b100481f5c076b8e3055c", + "name": "Latin America and Caribbean", + "type": "AUDGEOGRAPHY" + }, + { + "code": "661e48387d5b10048291c076b8e3055c", + "name": "United States", + "type": "AUDGEOGRAPHY" + } + ], + "associations": { + "1": { + "altids": { + "itemid": "591c1d161a784e649f35418828b4d869" + }, + "type": "picture" + } + }, + "body_nitf": "The U.S. Food and Drug Administration said Tuesday that samples of pasteurized milk had tested positive for remnants of the bird flu virus that has infected dairy cows.
The agency stressed that the material is inactivated and that the findings \u201cdo not represent actual virus that may be a risk to consumers.\u201d Officials added that they're continuing to study the issue.
\u201cTo date, we have seen nothing that would change our assessment that the commercial milk supply is safe,\u201d the FDA said in a statement.
The announcement comes nearly a month after an avian influenza virus that has sickened millions of wild and commercial birds in recent years was detected in dairy cows in at least eight states. The Agriculture Department says 33 herds have been affected to date.
FDA officials didn't indicate how many samples they tested or where they were obtained. The agency has been evaluating milk during processing and from grocery stores, officials said. Results of additional tests are expected in \u201cthe next few days to weeks.\u201d
The PCR lab test the FDA used would have detected viral genetic material even after live virus was killed by pasteurization, or heat treatment, said Lee-Ann Jaykus, an emeritus food microbiologist and virologist at North Carolina State University
\u201cThere is no evidence to date that this is infectious virus and the FDA is following up on that,\u201d Jaykus said.
Officials with the FDA and the USDA had previously said milk from affected cattle did not enter the commercial supply. Milk from sick animals is supposed to be diverted and destroyed. Federal regulations require milk that enters interstate commerce to be pasteurized.
Because the detection of the bird flu virus known as Type A H5N1 in dairy cattle is new and the situation is evolving, no studies on the effects of pasteurization on the virus have been completed, FDA officials said. But past research shows that pasteurization is \u201cvery likely\u201d to inactivate heat-sensitive viruses like H5N1, the agency added.
Matt Herrick, a spokesman for the International Dairy Foods Association, said that time and temperature regulations for pasteurization ensure that the commercial U.S. milk supply is safe. Remnants of the virus \u201chave zero impact on human health,\u201d he wrote in an email.
Scientists confirmed the H5N1 virus in dairy cows in March after weeks of reports that cows in Texas were suffering from a mysterious malady. The cows were lethargic and saw a dramatic reduction in milk production. Although the H5N1 virus is lethal to commercial poultry, most infected cattle seem to recover within two weeks, experts said.
To date, two people in U.S. have been infected with bird flu. A Texas dairy worker who was in close contact with an infected cow recently developed a mild eye infection and has recovered. In 2022, a prison inmate in a work program caught it while killing infected birds at a Colorado poultry farm. His only symptom was fatigue, and he recovered.
___
The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute\u2019s Science and Educational Media Group. The AP is solely responsible for all content.
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This information is directly related to health concerns, particularly in the context of food safety and infectious diseases." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/04/24/d60745aa4cee0959938ff4486501bf1a.json b/datasets/AP_news/raw_data/2024/04/24/d60745aa4cee0959938ff4486501bf1a.json new file mode 100644 index 0000000..8ad0457 --- /dev/null +++ b/datasets/AP_news/raw_data/2024/04/24/d60745aa4cee0959938ff4486501bf1a.json @@ -0,0 +1,171 @@ +{ + "altids": { + "itemid": "d60745aa4cee0959938ff4486501bf1a", + "etag": "d60745aa4cee0959938ff4486501bf1a_0a2aza0c0", + "friendlykey": "614898728905", + "referenceid": "US-MED--Opioid Crisis-Treatment" + }, + "version": 0, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-04-24T21:04:41Z", + "firstcreated": "2024-04-24T21:04:41Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: Updates Media.", + "signals": [ + "newscontent" + ], + "title": "US-MED--Opioid Crisis-Treatment", + "headline": "More doctors can prescribe a leading addiction treatment. Why aren't more people getting help?", + "headline_extended": "A new study finds little change in the number of people taking a key medicine for opioid addiction even though it\u2019s now easier for doctors to prescribe it", + "slugline": "BC-US-MED--Opioid Crisis-Treatment", + "description_summary": "A new study finds little change in the number of people taking a key medicine for opioid addiction even though it\u2019s now easier for doctors to prescribe it. The findings were published Wednesday in the New England Journal of Medicine. Researchers looked at what happened after the U.S. government lifted an obstacle to buprenorphine prescribing early last year. It's no longer required for prescribers to get a special waiver. The researchers said it may take more than one year to see a bigger increase in patients treated with the medicine, which helps with cravings.", + "bylines": [ + { + "by": "By CARLA K. JOHNSON", + "title": "AP Medical Writer" + } + ], + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. For other uses, additional clearances may be required." + ], + "keywords": [ + "opioid addiction buprenorphine Suboxone treatment" + ], + "provider": "AP", + "infosource": [ + { + "name": "AP", + "type": "AP" + } + ], + "subject": [ + { + "rels": [ + "category" + ], + "creator": "Editorial", + "code": "a", + "name": "a" + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "f5c099b87e3810048ae6df092526b43e", + "name": "Medical research", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 33 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "39a5551883591004893adf092526b43e", + "name": "Health care costs", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 33 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "e237be707de410048fffdf092526b43e", + "name": "Medication", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 59 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "cc7a76087e4e10048482df092526b43e", + "name": "Health", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 98 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "936045008844100486a2a28878d48e09", + "name": "Addiction and treatment", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 69 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "fb629770cf154f91964e1789d2dd836e", + "name": "Opioids", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 69 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "cc7a76087e4e10048482df092526b43e", + "name": "Health", + "creator": "Editorial", + "editorial_subject": "Health", + "rels": [ + "direct" + ], + "relevance": 99 + } + ], + "audiences": [ + { + "code": "82c6a4c46fa0446090a7acaf93159e4c", + "name": "Print", + "type": "AUDPLATFORM" + }, + { + "code": "9add4649b53b4702ba7d9de5d4fa607a", + "name": "Online", + "type": "AUDPLATFORM" + }, + { + "code": "f43adc08760d10048040e6e7a0f4673e", + "name": "National", + "type": "AUDSCOPE" + }, + { + "code": "661e48387d5b10048291c076b8e3055c", + "name": "United States", + "type": "AUDGEOGRAPHY" + } + ], + "associations": { + "1": { + "altids": { + "itemid": "c20fc56dab2b49389a8d576ea195d80f" + }, + "type": "picture" + } + }, + "body_nitf": "It\u2019s easier than ever for doctors to prescribe a key medicine for opioid addiction since the U.S. government lifted an obstacle last year. But despite the looser restrictions and the ongoing overdose crisis, a new study finds little change in the number of people taking the medication.
Researchers analyzed prescriptions filled by U.S. pharmacies for the treatment drug buprenorphine. The number of prescribers rose last year after doctors no longer needed to get a special waiver to prescribe the drug, while the number of patients filling prescriptions barely budged.
It may take more than one year to see a bigger increase in patients, said study co-author Dr. Kao-Ping Chua of the University of Michigan Medical School.
\u201cThere are so many other barriers to prescribing that we have to address,\" said Chua.
The findings were published Wednesday in the New England Journal of Medicine.
Buprenorphine, which helps with cravings, comes in a pill or film that dissolves under the tongue. It costs about $100 a month. A common version of buprenorphine is Suboxone. Nurse practitioners, physician assistants and doctors can prescribe it.
\u201cPeople think this is a very complicated medicine and that it requires some sort of complex knowledge to use, when that\u2019s just not the case,\u201d said Dr. Ryan Marino of Case Western Reserve University School of Medicine in Cleveland who has treated hundreds of people with buprenorphine. He had no role in the study.
Barriers include insurance hurdles, price, pharmacies that don't stock the drug and doctors who believe patients with addiction take up too much time, Chua and other experts said.
\u201cThere\u2019s a lot of stigma about this medication, and just in general about patients with opioid addiction,\" Chua said.
In addition, some people may not want to try buprenorphine, Chua said. They may think they can\u2019t truly recover if they\u2019re using the opioid-based medication, he said. And it can trigger withdrawal symptoms, especially in people who've been using fentanyl, the powerful opioid now dominating the drug supply.
The researchers used a database that captures 92% of filled prescriptions. Comparing 2022 and 2023, before and after the waiver was eliminated, they found 53,600 prescribers at the end of 2023, a 27% increase compared to a year earlier. The number of people filling prescriptions rose about 2% to around 845,000.
The government should look for ways to encourage and even compel hospitals and health systems to provide more treatment, said Brendan Saloner, an addiction researcher at Johns Hopkins Bloomberg School of Public Health, who was not involved in the study.
More doctors are prescribing buprenorphine, but \u201cgetting the bulk of the medical profession to catch up is taking too long,\u201d Saloner said.
___
The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute\u2019s Science and Educational Media Group. The AP is solely responsible for all content.
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This is highly relevant to the topic of Health as it addresses a significant public health issue, the treatment of addiction, and the healthcare system's response." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/04/24/db7fc5e0ce1584e45ff18aa76f23df25.json b/datasets/AP_news/raw_data/2024/04/24/db7fc5e0ce1584e45ff18aa76f23df25.json new file mode 100644 index 0000000..13af7f9 --- /dev/null +++ b/datasets/AP_news/raw_data/2024/04/24/db7fc5e0ce1584e45ff18aa76f23df25.json @@ -0,0 +1,329 @@ +{ + "altids": { + "itemid": "db7fc5e0ce1584e45ff18aa76f23df25", + "etag": "db7fc5e0ce1584e45ff18aa76f23df25_0a17aza0c0", + "friendlykey": "730522056764", + "referenceid": "US--Pesticides-Liability Protection" + }, + "version": 0, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-04-24T20:41:21Z", + "firstcreated": "2024-04-24T20:41:20Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: With AP Photos.", + "signals": [ + "newscontent" + ], + "title": "US--Pesticides-Liability Protection", + "headline": "Missouri House backs legal shield for weedkiller maker facing thousands of cancer-related lawsuits", + "headline_extended": "The Missouri House has passed legislation that could protect chemical manufacturer Bayer from some lawsuits alleging a popular weedkiller causes cancer", + "slugline": "AP-US--Pesticides-Liability Protection", + "description_summary": "The Missouri House has passed legislation that could protect chemical manufacturer Bayer from some lawsuits alleging a popular weedkiller causes cancer. The legislation comes as Bayer faces tens of thousands of lawsuits claiming it failed to warn people that the key ingredient in Roundup could cause cancer. Bayer disputes those claims. And the federal Environmental Protection Agency has not required that on product labels. Bayer supplied wording for the Missouri bill that would shield pesticide companies from \u201cfailure to warn\u201d claims if they follow federal labeling requirements. The bill now goes to the Senate. Similar bills failed in Iowa and Idaho.", + "bylines": [ + { + "by": "By DAVID A. LIEB", + "title": "Associated Press" + } + ], + "located": "JEFFERSON CITY, Mo.", + "datelinelocation": { + "city": "Jefferson City", + "countryareacode": "MO", + "countryareaname": "Missouri", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -92.17352, + 38.5767 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. 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(AP) \u2014 The manufacturer of a popular weedkiller won support Wednesday from the Missouri House for a proposal that could shield it from costly lawsuits alleging it failed to warn customers its product could cause cancer.
The House vote marked an important but incremental victory for chemical giant Bayer, which acquired an avalanche of legal claims involving the weedkiller Roundup when it bought the product's original St. Louis-area-based producer, Monsanto.
The legislation now heads to the Missouri Senate with several weeks remaining in the annual legislative session. Bayer pursued similar legislation this year in Idaho and Iowa, where it has mining and manufacturing facilities, but it fell short in both states.
Bayer disputes claims that Roundup's key ingredient, glyphosate, causes a cancer called non-Hodgkin\u2019s lymphoma. But it has set aside $16 billion and already paid about $10 billion of that amount to resolve some of the tens of thousands of legal claims against it.
Though some studies associate glyphosate with cancer, the U.S. Environmental Protection Agency has said it is not likely to be carcinogenic to humans when used as directed.
The Missouri legislation says that federally approved pesticide labeling \u201cshall be sufficient to satisfy any requirement for a warning label regarding cancer\u201d \u2014 effectively thwarting failure-to-warn allegations in future lawsuits.
\u201cWe are grateful that members of the Missouri House have supported farmers and science over the litigation industry,\" Bayer said in a statement Wednesday.
A coalition that includes Bayer has run ads on radio stations, newspapers and billboards supporting the legislation.
Farmers overwhelmingly rely on Roundup, which was introduced 50 years ago as a more efficient way to control weeds and reduce tilling and soil erosion. For crops including corn, soybeans and cotton, it\u2019s designed to work with genetically modified seeds that resist Roundup\u2019s deadly effect.
More than a dozen majority party Republicans joined Democrats in voting against the legislation as it passed the House on a 91-57 vote. Some Democrats made personal pleas to vote no.
\u201cIf you vote for this bill, you are voting for cancer \u2014 and it will hurt my feelings, and I will not smile at you on the elevator,\" said state Rep. LaDonna Appelbaum, who is undergoing treatment for cancer.
Supporters said it was important to protect Bayer, whose North American crop science division is based in the St. Louis area, from lawsuits that could jeopardized the availability of Roundup. They cited concerns that Bayer eventually could pull Roundup from the U.S. market, leaving farmers dependent on alternative chemicals from China.
\u201cThis bill isn\u2019t about cancer, it\u2019s really about the process of what\u2019s taken place within the courts,\u201d said Republican state Rep. Mike Haffner, chair of the House Agriculture Policy Committee.
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However, the main emphasis is on the legislative process and the implications for the manufacturer and farmers, rather than a detailed exploration of health impacts." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/04/24/dcb87d15d489d32868b5ba36d750d316.json b/datasets/AP_news/raw_data/2024/04/24/dcb87d15d489d32868b5ba36d750d316.json new file mode 100644 index 0000000..cf8da2b --- /dev/null +++ b/datasets/AP_news/raw_data/2024/04/24/dcb87d15d489d32868b5ba36d750d316.json @@ -0,0 +1,319 @@ +{ + "altids": { + "itemid": "dcb87d15d489d32868b5ba36d750d316", + "etag": "dcb87d15d489d32868b5ba36d750d316_0a6aza0c0", + "friendlykey": "13072627510", + "referenceid": "US-XGR-Abortion-Tennessee" + }, + "version": 0, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-04-24T19:55:35Z", + "firstcreated": "2024-04-24T19:55:34Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: Updates Media.", + "signals": [ + "newscontent" + ], + "title": "US-XGR-Abortion-Tennessee", + "headline": "Tennessee would criminalize helping minors get abortions under bill heading to governor", + "headline_extended": "Tennessee is poised to become the second state in the nation to make it illegal for adults to help minors get an abortion without parental consent", + "slugline": "BC-US-XGR-Abortion-Tennessee", + "description_summary": "Tennessee is poised to become the second state in the nation to make it illegal for adults to help minors get an abortion without parental consent. The move is likely to face immediate legal challenges should Gov. Bill Lee sign the proposal into law. Tennessee\u2019s GOP-dominant Statehouse signed off on the final legislative hurdle Wednesday, clearing the way for the measure to head to the Republican governor\u2019s desk for his signature. While Lee hasn\u2019t publicly commented on the proposal, he has repeatedly defended enacting the state\u2019s sweeping abortion ban and stressed his opposition to the procedure.", + "bylines": [ + { + "by": "By KIMBERLEE KRUESI", + "title": "Associated Press" + } + ], + "located": "NASHVILLE, Tenn.", + "datelinelocation": { + "city": "Nashville", + "countryareacode": "TN", + "countryareaname": "Tennessee", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -86.78444, + 36.16589 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. 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(AP) \u2014 Tennessee is poised to become the second state in the nation to make it illegal for adults to help minors get an abortion without parental consent, a proposal that is likely to face immediate legal challenges should Gov. Bill Lee sign it into law.
Tennessee's GOP-dominant Statehouse approved the bill Wednesday, clearing the way for the measure to head to the Republican governor's desk. While Lee hasn't public commented on the proposal, he has repeatedly defended enacting the state's sweeping abortion ban and stressed his opposition to the procedure.
Yet, even if Lee signs the measure into law, reproductive rights advocates are expected to move quickly to ask a court to block the statute from being enforced. Last year, Idaho became the first state to enact the so-called \u201c abortion trafficking \u201d law, but a federal judge has since temporarily blocked the law after reproductive rights groups sued to challenge it.
\u201cThis bill is a direct attack on me, on my family, on my friends, on my network that support Tennesseans who are pregnant and vulnerable minors that need access to care to go across state lines and receive the necessary care,\u201d said Democratic Rep. Aftyn Behn while debating the bill Tuesday evening.
According to the legislation, Tennessee would make it illegal for an adult who \u201cintentionally recruits, harbors, or transports\u201d a pregnant minor within the state to get an abortion without consent from the minor\u2019s parents or guardians. Yet supporters changed the proposal at the last-minute to exempt ambulance drivers, emergency medical services personnel and other common transportation services.
Those convicted of breaking the law would be charged with a Class A misdemeanor, which requires a nearly one year imprisonment sentence.
Republican Rep. Jason Zachary, the bill's House sponsor, specifically referenced Behn's previous public promise to help any young person travel out of state if they needed an abortion \u201ceven if it lands me in jail.\u201d
\u201cThat's what recruitment looks like,\u201d Zachary said as Behn pointed at herself while he read her statement.
Meanwhile, Zachary also argued that the bill was necessary by pointing to a lawsuit filed earlier this year by Missouri's attorney general.
Republican Attorney General Andrew Bailey has accused Planned Parenthood of illegally taking minors from Missouri into Kansas to obtain abortions without parental consent. The lawsuit, based on a video from a conservative group that has promoted false claims on other issues, is asking a state district court to stop Planned Parenthood from engaging in the conduct it alleges.
\u201cThis piece of legislation protects parental rights,\u201d Zachary said. \u201cWe are not relitigating abortion. That issue has already been settled in Tennessee fortunately.\u201d
However, critics have countered that the bill does not contain exemptions for minors who may have been raped by their parents or guardians. Instead, the legislation states that the biological father of the pregnant minor may not pursue a civil action if the pregnancy was caused by rape.
Among the top critics of the measure is California Gov. Gavin Newsom, a Democrat who launched an advertising campaign criticizing the Republican-backed bill by showing a young frightened woman handcuffed to a hospital bed and crying for help with a sexual assault evidence collection kit visible in the frame.
Tennessee bans abortions at all stages of pregnancy but there are exemptions in cases of molar pregnancies, ectopic pregnancies, and to remove a miscarriage or to save the life of the mother. Notably, doctors must use their \u201creasonable medical\u201d judgment \u2014 a term that some say is too vague and can be challenged by fellow medical officials \u2014 in deciding whether providing the procedure can save the life of the pregnant patient or prevent major injury.
A group of women is currently suing to clarify the state\u2019s abortion ban. A court decision is expected soon on whether the lawsuit can continue or if the law can be placed on hold as the legal battle continues.
Ever since the U.S. Supreme Court overturned the constitutional right to abortion in 2022, anti-abortion advocates have been pushing states to find a way to block pregnant people from crossing state lines to obtain the procedure.
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So she received a pig kidney and a heart pump", + "headline_extended": "A New Jersey woman who was near death has received a transplanted pig kidney, part of a dramatic pair of surgeries that also stabilized her failing heart", + "slugline": "AP-MED--Pig Kidney Transplant, 2nd Ld-Writethru", + "description_summary": "A New Jersey woman who was near death has received a transplanted pig kidney, part of a dramatic pair of surgeries that also stabilized her failing heart. Doctors at NYU Langone Health say 54-year-old Lisa Pisano is recovering well. She is only the second patient ever to receive a pig kidney. The first, a man transplanted last month in Boston, also is faring well. Pisano was far sicker, suffering a combination of heart and kidney failure. 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"body_nitf": "NEW YORK (AP) \u2014 Doctors have transplanted a pig kidney into a New Jersey woman who was near death, part of a dramatic pair of surgeries that also stabilized her failing heart.
Lisa Pisano\u2019s combination of heart and kidney failure left her too sick to qualify for a traditional transplant, and out of options. Then doctors at NYU Langone Health devised a novel one-two punch: Implant a mechanical pump to keep her heart beating and days later transplant a kidney from a genetically modified pig.
Pisano is recovering well, the NYU team announced Wednesday. She\u2019s only the second patient ever to receive a pig kidney -- following a landmark transplant last month at Massachusetts General Hospital \u2013 and the latest in a string of attempts to make animal-to-human transplantation a reality.
This week, the 54-year-old grasped a walker and took her first few steps.
\u201cI was at the end of my rope,\u201d Pisano told The Associated Press. \u201cI just took a chance. And you know, worst case scenario, if it didn\u2019t work for me, it might have worked for someone else and it could have helped the next person.\u201d
Dr. Robert Montgomery, director of NYU Langone Transplant Institute, recounted cheers in the operating room as the organ immediately started making urine.
\u201cIt\u2019s been transformative,\" Montgomery said of the experiment's early results.
But \"we\u2019re not off the hook yet,\u201d cautioned Dr. Nader Moazami, the NYU cardiac surgeon who implanted the heart pump.
\u201cWith this surgery I get to see my wife smile again,\u201d Pisano's husband Todd said Wednesday.
Other transplant experts are closely watching how the patient fares.
\u201cI have to congratulate them,\" said Dr. Tatsuo Kawai of Mass General, who noted that his own pig kidney patient was healthier overall going into his operation than NYU's patient. \u201cWhen the heart function is bad, it\u2019s really difficult to do a kidney transplant.\u201d
More than 100,000 people are on the U.S. transplant waiting list, most who need a kidney, and thousands die waiting. In hopes of filling the shortage of donated organs, several biotech companies are genetically modifying pigs so their organs are more humanlike, less likely to be destroyed by people's immune system.
NYU and other research teams have temporarily transplanted pig kidneys and hearts into brain-dead bodies, with promising results. Then the University of Maryland transplanted pig hearts into two men who were out of other options, and both died within months.
Mass General\u2019s pig kidney transplant last month raised new hopes. Kawai said Richard \u201cRick\u201d Slayman experienced an early rejection scare but bounced back enough to go home earlier this month and still is faring well five weeks post-transplant. A recent biopsy showed no further problems.
Pisano is the first woman to receive a pig organ \u2014 and unlike with prior xenotransplant experiments, both her heart and kidneys had failed. She went into cardiac arrest and had to be resuscitated before the experimental surgeries. She'd gotten too weak to even play with her grandchildren. \u201cI was miserable,\u201d the Cookstown, New Jersey, woman said.
A failed heart made her ineligible for a traditional kidney transplant. But while on dialysis, she didn't qualify for a heart pump, called a left ventricular assist device or LVAD, either.
\u201cIt\u2019s like being in a maze and you can\u2019t find a way out,\u201d Montgomery explained \u2014 until the surgeons decided to pair a heart pump with a pig kidney.
With emergency permission from the Food and Drug Administration, Montgomery chose an organ from a pig genetically engineered by United Therapeutics Corp. so its cells don't produce a particular sugar that\u2019s foreign to the human body and triggers immediate organ rejection.
Plus a tweak: The donor pig\u2019s thymus gland, which trains the immune system, was attached to the donated kidney in hopes that it would help Pisano's body tolerate the new organ.
Surgeons implanted the LVAD to power Pisano's heart on April 4, and transplanted the pig kidney on April 12. There's no way to predict her long-term outcome but she\u2019s shown no sign of organ rejection so far, Montgomery said. And in adjusting the LVAD to work with her new kidney, Moazami said doctors already have learned lessons that could help future care of heart-and-kidney patients.
Special \u201ccompassionate use\u201d experiments teach doctors a lot but it will take rigorous studies to prove if xenotransplants really work. What happens with Pisano and Mass General's kidney recipient will undoubtedly influence FDA's decision to allow such trials. United Therapeutics said it hopes to begin one next year.
___
The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute\u2019s Science and Educational Media Group. The AP is solely responsible for all content.
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It also touches on the challenges and future prospects of xenotransplantation, which are significant health-related issues." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/04/25/25d99f438645908e5ed6ae29d3914b89.json b/datasets/AP_news/raw_data/2024/04/25/25d99f438645908e5ed6ae29d3914b89.json new file mode 100644 index 0000000..b006d69 --- /dev/null +++ b/datasets/AP_news/raw_data/2024/04/25/25d99f438645908e5ed6ae29d3914b89.json @@ -0,0 +1,177 @@ +{ + "altids": { + "itemid": "25d99f438645908e5ed6ae29d3914b89", + "etag": "25d99f438645908e5ed6ae29d3914b89_1a8aza0c0", + "friendlykey": "544337018714", + "referenceid": "US-MED--US Births" + }, + "version": 1, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-04-25T09:03:19Z", + "firstcreated": "2024-04-25T04:08:31Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: Updates Media.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "US-MED--US Births", + "headline": "US births fell last year, marking an end to the late pandemic rebound, experts say", + "headline_extended": "The number of U.S. births fell last year", + "slugline": "AP-US-MED--US Births, 1st Ld-Writethru", + "description_summary": "The number of U.S. births fell last year. It was the lowest count in more than 40 years. A little under 3.6 million babies were born in the U.S. in 2023, about 76,000 fewer than the year before. The Centers for Disease Control and Prevention released the provisional statistics on Thursday. Birth rates have long been falling for teenagers and younger women, but rising for women in their 30s and 40s. But last year, birth rates fell for all women younger than 40, and were flat for women in their 40s.", + "bylines": [ + { + "by": "By MIKE STOBBE", + "title": "AP Medical Writer" + } + ], + "located": "NEW YORK", + "datelinelocation": { + "city": "New York", + "countryareacode": "NY", + "countryareaname": "New York", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -74.00597, + 40.71427 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. 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A little under 3.6 million babies were born in 2023, according to provisional statistics released Thursday by the Centers for Disease Control and Prevention. That's about 76,000 fewer than the year before and the lowest one-year tally since 1979.
U.S. births were slipping for more than a decade before COVID-19 hit, then dropped 4% from 2019 to 2020. They ticked up for two straight years after that, an increase experts attributed, in part, to pregnancies that couples had put off amid the pandemic's early days.
But \u201cthe 2023 numbers seem to indicate that bump is over and we're back to the trends we were in before,\u201d said Nicholas Mark, a University of Wisconsin researcher who studies how social policy and other factors influence health and fertility.
Birth rates have long been falling for teenagers and younger women, but rising for women in their 30s and 40s \u2014 a reflection of women pursuing education and careers before trying to start families, experts say. But last year, birth rates fell for all women younger than 40, and were flat for women in their 40s.
Mark called that development surprising and said \u201cthere's some evidence that not just postponement is going on.\u201d
Rates fell across almost all racial and ethnic groups.
The numbers released Thursday are based on more than 99.9% of the birth certificates filed in 2023, but they are provisional and the final birth count can change as they are finalized. For example, the provisional 2022 birth count appeared to show a dip, but ended up being higher than 2021's tally when the analysis was completed.
There could be an adjustment to the 2023 data, but it won't be enough to erase the \u201csizeable\u201d decline seen in the provisional numbers, said the CDC's Brady Hamilton, the new report's first author.
Experts have wondered how births might be affected by the June 2022 U.S. Supreme Court decision that allowed states to ban or restrict abortion. Experts estimate that nearly half of pregnancies are unintended, so limits to abortion access could affect the number of births.
The new report indicates that the decision didn't lead to a national increase in births, but the researchers didn't analyze birth trends in individual states or dissect data among all demographic groups.
The new data does raise the possibility of an impact on teens. The U.S. teen birth rate has been falling decades, but the decline has been less dramatic in recent years, and the drop seems to have stopped for teen girls ages 15 to 17.
\u201cThat could be Dobbs,\u201d said Dr. John Santelli, a Columbia University professor of population and family health and pediatrics. Or it could be related to changes in sex education or access to contraception, he added.
Whatever the case, the flattening of birth rates for high school students is worrisome and indicates that \u201cwhatever we're doing for kids in middle and high school is faltering,\u201d Santelli said.
More findings from the report:
\u2014From 2022 to 2023, the provisional number of births fell 5% for American Indian and Alaska Native women, 4% for Black women, 3% for white women and 2% for Asian American women. Births rose 1% for Hispanic women.
\u2014The percentage of babies born preterm held about steady.
\u2014The cesarean section birth rate rose again, to 32.4% of births. Some experts worry that C-sections are done more often than medically necessary.
\u2014The U.S. was once among only a few developed countries with a fertility rate that ensured each generation had enough children to replace itself \u2014 about 2.1 kids per woman. But it\u2019s been sliding, and in 2023 dropped to about 1.6, the lowest rate on record.
Surveys suggest many U.S. couples would prefer to have two or more kids but see housing, job security and the cost of child care as significant obstacles to having more children.
\u201cThere's something getting in the way of them being able to achieve those goals,\u201d Mark said.
___
The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute\u2019s Science and Educational Media Group. The AP is solely responsible for all content.
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The U.N. report said 24 million more people faced an acute lack of food than in 2022, due to the sharp deterioration in food security, especially in the Gaza Strip and Sudan. The number of nations with food crises that are monitored has also been expanded.
M\u00e1ximo Torero, chief economist for the U.N.'s Food and Agriculture Organization, said 705,000 people in five countries are at Phase 5, the highest level, on a scale of hunger determined by international experts \u2014 the highest number since the global report began in 2016 and quadruple the number that year.
Over 80% of those facing imminent famine \u2014 577,000 people \u2014 were in Gaza, he said. South Sudan, Burkina Faso, Somalia and Mali each host many thousands also facing catastrophic hunger.
According to the report\u2019s future outlook, around 1.1 million people in Gaza, where the Israel-Hamas war is now in its seventh month, and 79,000 in South Sudan are projected to be in Phase 5 and facing famine by July.
It said conflict will also continue to drive food insecurity in Haiti, where gangs control large portions of the capital.
Additionally, while the El Nino phenomenon peaked in early 2024, \u201cits full impact on food security \u2013 including flooding and poor rain in parts of east Africa and drought in southern Africa, especially Malawi, Zambia and Zimbabwe \u2013 are like to manifest throughout the year.\u201d
U.N. Secretary-General Antonio Guterres called the report \u201ca roll call of human failings,\u201d and that \u201cin a world of plenty, children are starving to death.\u201d
\u201cThe conflicts erupting over the past 12 months compound a dire global situation,\u201d he wrote in the report's foreword.
Guterres highlighted the conflict in the Gaza Strip, as the enclave holds the highest number of people facing catastrophic hunger. There is also the year-old conflict in Sudan, which has created the world's largest internal displacement crisis \u201cwith atrocious impacts on hunger and nutrition,\u201d he added.
According to the report, over 36 million people in 39 countries and territories are facing an acute hunger emergency, a step below the famine level in Phase 4, with more than a third in Sudan and Afghanistan. It's an increase of a million people from 2022, the report said.
Arif Husain, the U.N. World Food Program\u2019s chief economist, said every year since 2016 the numbers of people acutely food insecure have gone up, and they are now more than double the numbers before the COVID-19 pandemic.
While the report looks at 59 countries, he said the target is to get data from 73 countries where there are people who are acutely food insecure.
Secretary-General Guterres called for an urgent response to the report\u2019s findings that addresses the underlying causes of acute hunger and malnutrition while transforming the systems that supply food. Funding is also not keeping pace with the needs, he stressed.
\u201cWe must have the funding, and we also must have the access,\u201d WFP\u2019s Husain said, stressing that both \u201cgo hand-in-hand\u201d and are essential to tackle acute food insecurity.
The report is the flagship publication of the Food Security Information Network and is based on a collaboration of 16 partners including U.N. agencies, regional and multinational bodies, the European Union, the U.S. Agency for International Development, technical organizations and others.
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However, the document does not delve deeply into specific health conditions or healthcare systems, which would be more directly relevant to the topic of health." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/04/25/4f17a528043f9cb5ba6384850aab9dd3.json b/datasets/AP_news/raw_data/2024/04/25/4f17a528043f9cb5ba6384850aab9dd3.json new file mode 100644 index 0000000..8ec0646 --- /dev/null +++ b/datasets/AP_news/raw_data/2024/04/25/4f17a528043f9cb5ba6384850aab9dd3.json @@ -0,0 +1,314 @@ +{ + "altids": { + "itemid": "4f17a528043f9cb5ba6384850aab9dd3", + "etag": "4f17a528043f9cb5ba6384850aab9dd3_0a26aza0c0", + "friendlykey": "439198671533", + "referenceid": "US--New York-Sugar Warning" + }, + "version": 0, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-04-25T17:57:40Z", + "firstcreated": "2024-04-25T17:57:40Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: Updates Media.", + "signals": [ + "newscontent" + ], + "title": "US--New York-Sugar Warning", + "headline": "New York City to require warning labels for sugary foods and drinks in chain restaurants", + "headline_extended": "New York City residents may soon see warning labels next to sugary foods and drinks in chain restaurants and coffee shops", + "slugline": "AP-US--New York-Sugar Warning", + "description_summary": "New York City residents may soon see warning labels next to sugary foods and drinks in chain restaurants and coffee shops. A law set to go into effect later this year requires food businesses with 15 storefronts or more to post a warning icon next to menu items containing at least 50 grams of added sugar. The city\u2019s health department posted its proposed rule language last week. A public hearing is scheduled for late May. City officials and Democratic Mayor Eric Adams approved the law last year. Critics of such regulations have long argued that officials are turning the city into a \u201cnanny state.\u201d", + "located": "NEW YORK", + "datelinelocation": { + "city": "New York", + "countryareacode": "NY", + "countryareaname": "New York", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -74.00597, + 40.71427 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. 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The rule requires food businesses with 15 storefronts or more to post a warning icon \u2014 a black and white spoon loaded with sugar \u2014 next to menu items containing at least 50 grams of added sugar.
Businesses will also have to post the following written label to accompany the logo: \u201cWarning: indicates that the added sugar content of this item is higher than the total daily recommended limit of added sugar for a 2,000 calorie diet (50g). Eating too many added sugars can contribute to type 2 diabetes and weight gain.\u201d
The city's health department posted its proposed rule language last week and set a public hearing for late May. City officials and Mayor Eric Adams, a Democrat, approved the law last year. The rule is scheduled to go into effect June 19 for prepackaged food items and Dec. 1 for other items.
Asked about the policy in a 1010 WINS radio interview Thursday, Adams said, \u201cWe have an obligation and responsibility as a city, not only to react to the healthcare crisis, but to be proactive to prevent some of the healthcare issues. Sugar is one of the leading causes of health-related items and issues and diseases.\u201d
\u201cI say over and over again in my personal journey of health, \u201cFood is medicine,\u201d said Adams, a self-styled healthy eater who has claimed to be vegan but admitted he sometimes eats fish.
The incoming rule isn't a New York City mayor's first foray into public health policy.
Former Mayor Michael Bloomberg got artificial trans fat banned from chain restaurants and required chains to post calorie counts on menus. He also banned smoking indoors at restaurants and bars. Bill de Blasio, the mayor before Adams, pushed a rule to notify customers of high sodium in foods.
Critics of such regulations have long argued that officials are turning the city into a \u201cnanny state.\u201d
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The ordinance not only sets a floor price. It prevents smokers and retailers from getting around it by prohibiting price discounts and coupons, which several tobacco companies circulate online to lure customers and reinforce brand loyalty. The minimum price also applies to four-packs of cigars. Distribution of free samples is prohibited.
Consumer prices are expected to run even higher after taxes are figured in. While retailers will get to keep the extra money paid by smokers, the higher prices are expected to snuff out at least some of their sales. E-cigarettes, which have grown in popularity, were left out because their prices vary too widely.
The minimum price will be effective as soon as Mayor Jacob Frey signs the measure, which he's expected to do within the next few days.
Evalyn Carbrey, a senior public health specialist with the city, said at a committee hearing last week that staff research indicates that Minneapolis\u2019 minimum will be the highest in the country. Staff determined that cigarettes typically had been selling in Minneapolis for $11 to $13.50 a pack. The change puts Minneapolis ahead of New York City, which set its minimum at $13 in 2018.
\u201cI\u2019m excited that this council is taking this public health crisis seriously because that\u2019s what it is,\u201d said the author of the ordinance, Council Member LaTrisha Vetaw.
Council President Andrea Jenkins said the price of cigarettes was one reason why she quit smoking eight years ago, and that she hopes the new minimum will encourage more people to stop or never start.
\u201cIf you travel around the country, New York City \u2014 you can\u2019t buy your pack of cigarettes for under $18. Chicago, $17. Some places, Los Angeles, I think they\u2019re up to 20 bucks,\u201d Jenkins said.
Penalties will range from a $500 fine for a first violation to license suspensions and revocations for repeat offenders.
\u201cIf it helps even one person stop using tobacco, one person use less tobacco, or one person stopped from starting tobacco use, that\u2019s worth it to me,\u201d Council Member Linea Palmisano said. \u201cI know it\u2019s easy for me to sit up here and say that, as a nonsmoker, but it\u2019s the truth. The only way we\u2019re going to break our dependence on tobacco is if we make some really hard changes.\u201d
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(AP) \u2014 It\u2019s now illegal to sell weight-loss and muscle-building supplements to minors in New York, under a first-in-the-nation law that went into effect this week.
Experts say loose federal regulation of dietary supplements has resulted in these products sometimes including unapproved ingredients, like steroids and heavy metals, putting kids at risk. The U.S. Food and Drug Administration oversees the market, but it doesn\u2019t test products before they\u2019re sold.
\u201cThe law that we crafted reflects the lack of regulation from the FDA and the lack of regulation in the industry,\u201d said Jensen Jose, a regulatory counsel member with the Center for Science in the Public Interest who worked on the legislation.
State lawmakers in Massachusetts are considering a similar measure. California\u2019s state house previously passed a ban on selling weight-loss supplements to minors that was vetoed by the governor, but lawmakers there are considering a new version. A Colorado law ending the sale of diet pills to minors goes into effect in July.
New York\u2019s law allows the state to fine businesses who sell kids diet pills or supplements that promote themselves as helping build muscle or burn fat. Protein supplements and shakes are exempt, unless they contain another weight-loss or muscle-building ingredient.
While specific products aren\u2019t banned, the law states judges enforcing the measure could consider the inclusion of ingredients including creatine, green tea extract and raspberry ketone.
The bill\u2019s creators point to studies that have found some supplements secretly tainted with anabolic steroids and banned stimulants. That makes the products especially harmful for children, who are still growing, said Theresa Gentile, a registered nutritionist and spokesperson for the Academy of Nutrition and Dietetics.
At Natural Body Astoria, a vitamin and supplement store in Queens, worker Nick Kubler said the company was already self-policing before the law came in this week.
\u201cWe\u2019ve never really sold anything like that to children anyway, but we are definitely more aware now,\u201d Kubler said.
Dhriti Rathod, a 17-year-old model and student at the New York Institute of Technology, said she\u2019s in favor of the restrictions.
\u201cPeople my age, they don\u2019t look into this kind of stuff, they do it based on what they see online,\" Rathod said. \u201cThey see people have been using it, so they go right into it and start using it, but they don\u2019t know the dangers.\u201d
But the new regulation has been met with pushback from the industry at large, with some retailers saying the definition of what can and can\u2019t be sold to kids is unclear.
\u201cThe actual definition of what is illegal to sell to a minor is incredibly vague,\u201d said Lee Wright, chief executive officer for nationwide chain The Vitamin Shoppe.
He says the company spent an \u201cinordinate amount of time\u201d to figure out how to implement the new rules. Its computer systems now show a pop-up screen when the kind of products targeted by the law are being sold.
The law was also challenged by at least two lawsuits from industry groups that argued it is too vague and that regulation is the FDA\u2019s responsibility.
In one of those suits, a Manhattan federal judge last Friday denied a motion by the Council for Responsible Nutrition to stop the law from taking effect, finding it was \u201cuncompromisingly clear\u201d and saying the organization\u2019s fears of potential fines and loss of income \u201cpale in comparison\u201d to the state\u2019s goal of protecting youth from \u201cunfettered access to dietary supplements.\u201d
Spokespeople for the FDA did not respond to email messages requesting comment.
State Sen. Shelley Mayer, a Democrat who sponsored the legislation, said implementation shouldn\u2019t be that hard for businesses, since some of them already sort their supplements in categories for weight loss or muscle building.
It\u2019s unclear how large online retailers like Amazon will ensure they aren\u2019t shipping the supplements to minors in the Empire State. The company did not respond to a request for comment. Certain products on The Vitamin Shoppe\u2019s online store note that buyers in New York will need to present an ID on delivery.
Maxim Abramciuc, an 18-year-old who has used muscle-building supplements in the past, said while he understands the restriction, he doesn't fully agree with it.
\u201cThey should be able to buy some of these products,\" he said while browsing through a vitamin and supplement shop in Albany. \"If it has little side effects, why shouldn't children take it?\u201d
___
Maysoon Khan is a corps member for the Associated Press/Report for America Statehouse News Initiative. Report for America is a nonprofit national service program that places journalists in local newsrooms to report on undercovered issues.
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Updates to add WHO announcement regarding vaccination program in three countries.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "AF--Africa-Malaria-Explainer", + "headline": "Climate change is bringing malaria to new areas. In Africa, it never left", + "headline_extended": "When cases of locally transmitted malaria were found in the United States last year, it was a reminder that climate change is reviving or migrating the threat of some diseases", + "slugline": "BC-AF-Africa-Malaria-Explainer, 1st Ld-Writethru", + "description_summary": "When cases of locally transmitted malaria were found in the United States last year, it was a reminder that climate change is reviving or migrating the threat of some diseases. But across the African continent malaria has never left, killing or sickening millions of people. Cases of resistance to antimalarial drugs and insecticides are increasing. Funding by governments and donors for innovation is slowing. And living conditions play a role, with crowded neighborhoods, stagnant water, poor sanitation and lack of access to treatment and prevention materials. For World Malaria Day on Thursday, here is what you need to know.", + "bylines": [ + { + "by": "By DAN IKPOYI and FARAI MUTSAKA", + "title": "Associated Press" + } + ], + "located": "LAGOS, Nigeria", + "datelinelocation": { + "city": "Lagos", + "countrycode": "NGA", + "countryname": "Nigeria", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + 3.39467, + 6.45407 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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But across the African continent malaria has never left, killing or sickening millions of people.
Take Funmilayo Kotun, a 66-year-old resident of Makoko, an informal neighborhood in Nigeria\u2019s Lagos city. Its ponds of dirty water provide favorable breeding conditions for malaria-spreading mosquitoes. Kotun can\u2019t afford insecticide-treated bed nets that cost between $7 and $21 each, much less antimalarial medications or treatment.
For World Malaria Day on Thursday, here is what you need to know about the situation in Africa:
The malaria parasite mostly spreads to people via infected mosquitoes and can cause symptoms including fever, headaches and chills. It mostly affects children under 5 and pregnant women.
Vaccine efforts are still in early stages: Cameroon this year became the first country to routinely give children a new malaria vaccine, which is only about 30% effective and doesn't stop transmission. A second vaccine was recently approved. On Thursday, WHO announced that three African countries \u2014 Benin, Liberia and Sierra Leone \u2014 were rolling out vaccine programs for millions of children.
Cases of resistance to antimalarial drugs and insecticides are increasing, while funding by governments and donors for innovation is slowing.
Living conditions play a role, with crowded neighborhoods, stagnant water, poor sanitation and lack of access to treatment and prevention materials all issues in many areas. And an invasive species of mosquito previously seen mostly in India and the Persian Gulf is a new concern.
Globally, malaria cases are on the rise. Infections increased from 233 million in 2019 to 249 million in 85 countries in 2022. Malaria deaths rose from 576,000 in 2019 to 608,000 in 2022, according to the World Health Organization.
Of the 12 countries that carry about 70% of the global burden of malaria, 11 are in Africa and the other is India. Children under 5 constituted 80% of the 580,000 malaria deaths recorded in Africa in 2022.
The fight against malaria saw some progress in areas such as rapid diagnostic tests, vaccines and new bed nets meant to counter insecticide resistance, but the COVID-19 pandemic and a shift in focus and funding set back efforts.
A study published in Tropical Medicine and Infectious Disease last year said COVID-19-induced lockdowns led to disruptions at 30% of rural community health service points across Africa. Malaria cases started spiking again, breaking a downward trend between 2000 and 2019.
That downward trend could soon return, according to the WHO.
Africa is \u201cat the sharp end of climate change,\u201d and the increasing frequency of extreme weather events causes havoc in efforts to combat malaria in low- and middle-income regions, Peter Sands, the executive director of the Global Fund to Fight AIDS, Tuberculosis and Malaria, warned in December.
In 2023, the WHO's World Malaria Report included a chapter on the link between malaria and climate change for the first time, highlighting its significance as a potential risk multiplier. Scientists worry that people living in areas once inhospitable to mosquitoes, including the slopes of Mt. Kilimanjaro and the mountains of eastern Ethiopia, could be exposed.
In Zimbabwe, which has recorded some of its hottest days in decades, malaria transmission periods have extended in some districts, \"and this shift has been attributed to climate change,\u201d said Dr. Precious Andifasi, a WHO technical officer for malaria in Zimbabwe.
___
Mutsaka reported from Harare, Zimbabwe.
___
The Associated Press receives financial support for global health and development coverage in Africa from the Bill & Melinda Gates Foundation Trust. The AP is solely responsible for all content. Find AP\u2019s standards for working with philanthropies, a list of supporters and funded coverage areas at AP.org.
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Wade and the nationwide right to abortion did not settle the issue.
One iteration of the issue was back before the U.S. Supreme Court on Wednesday for the second time in a month.
Meanwhile, Arizona lawmakers took a step toward repealing a near-total ban before enforcement can begin; California's governor pitched providing an outlet to abortion providers and patients from neighboring Arizona if that ban takes take effect; and Tennessee moved closer to criminalizing helping a minor go out of state for an abortion without parental consent.
Here's what to know about the latest developments.
Three Republican lawmakers joined Democrats in the Arizona House to advance a bill repealing an abortion ban that was first put on the books in 1864, decades before Arizona became a state.
Democrats, including Gov. Katie Hobbs, had been pushing for a repeal since the Arizona Supreme Court ruling earlier this month that found the ban can be enforced since Roe v. Wade's overturning. Republicans had used procedural moves to block a vote on a repeal, which appears to have enough support to pass the state Senate.
The state's attorney general, also a Democrat, said enforcement won't begin until at least June 8.
There's been pressure on Arizona lawmakers to repeal from the state's governor, President Joe Biden, and the governor of neighboring state California. Gov. Gavin Newsom on Wednesday announced a measure that would allow doctors from Arizona to provide abortions for Arizona patients in California.
Under the proposed California legislation, Arizona providers could work in California without additional licenses though November.
Fourteen other states are already enforcing bans on abortion in all stages of pregnancy. But California has not proposed this kind of help for any of them, possibly because none shares a border with it.
At least one ballot measure on abortion could be before Arizona voters in November in the political battleground state.
The conservative majority of the U.S. Supreme Court, which overturned Roe v. Wade less than two years ago, seemed skeptical about the Biden administration's contention in arguments Wednesday that Idaho should be forced to allow abortion during medical emergencies.
The administration argued that a federal law that requires care hospitals that accept Medicaid provide emergency care even when patients cannot pay means that hospitals must also provide abortions in emergency situations when a patient's health is at serious risk.
Idaho's exceptions are narrower than that, allowing abortion only when the woman's life is at risk.
It was the second time in a month that abortion was before the high court. It's also considering whether to roll back the U.S. Food and Drug Administration's approvals for a drug that's often used in combination with a second drug for medication abortions \u2014 which are now the most common method of abortion in the U.S.
Rulings on both cases are expected by June.
With a state Senate vote Wednesday, Tennessee became the second state to give full legislative passage to a measure banning taking a minor out of the state without parental consent to obtain an abortion.
If Gov. Bill Lee, a Republican, signs it into law, it would impact only the part of the journey in Tennessee \u2014 not the actual crossing of a state line.
Abortion is banned in all stages of pregnancy in Tennessee and five of the eight states it borders.
Idaho passed a similar law last year, but a court has put enforcement on hold because of a legal challenge. A Tennessee law would also likely also face court challenges.
California's governor has also fought against this measure and others like it that were proposed in other states, launching an ad campaign against them earlier this year.
Maine Gov. Janet Mills on Monday signed a bill making her state at least the 14th with a law intended to protect those who provide abortion for out-of-state patients from legal action in those other states.
Maine's law will take effect in the summer.
It's a reminder that abortion policy has flowed in two directions since the end of Roe v. Wade in 2022: Most GOP-dominated states have sought to tighten access, while most Democrat-controlled ones have moved to protect or expand it.
Like several of the others, Maine's measure also applies to gender-affirming health care. In addition to imposing abortion bans or restrictions, most Republican-controlled states have also adopted bans on gender-affirming care for transgender minors.
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He spent a decade tracking calories on WeightWatchers, but the pounds he dropped always crept back onto his 5-foot-5-inch frame.
A little over a year ago, the 58-year-old Manhattan resident went on a new weight loss drug called Wegovy. He's lost 30 pounds, and has started eating healthier food and exercising \u2014 the habits behind many commercial diet plans and decades of conventional wisdom on sustainable weight loss.
Yet Jobling's experience also has altered his perspective on dieting. He now sees obesity as a disease that requires medical intervention, not just behavioral changes. In fact, he thinks he will need to stay on a drug like Wegovy for the rest of his life even though it has taken some of the joy out of eating.
\u201cI don't see how you can maintain (the weight) without medication,\u201d Jobling said. \u201cObviously, it\u2019s all about self-control. But I think it\u2019s less of a struggle to really maintain healthy eating when you got that assistance.\u201d
Like the lives of the people taking them, recent injected drugs like Wegovy and its predecessor, the diabetes medication Ozempic, are reshaping the U.S. health and fitness industries. They have proven successful in eliminating unwanted pounds more quickly and easily than consuming fewer and burning more calories alone. Such is their disruptive power that even established diet companies like WeightWatchers and brands like Lean Cuisine are getting makeovers.
Although celebrities like Oprah Winfrey have spoken publicly of the drugs as revolutionary, some health experts worry that businesses without any expertise will start dispensing the prescription medications along with bad advice and unproven therapies.
At least 3 million prescriptions for the class of medications known as GLP-1 agonists were issued each month in the U.S. during the 12 months that ended in March, according to data from health technology company IQVIA. They include semaglutide, the drug in Ozempic and Wegovy, and tirzepatide, the drug in Mounjaro and Zepbound. Morgan Stanley research analysts have estimated that 24 million people, or 7% of the U.S. population, will be using GLPT-1 drugs by 2035.
The world's leading diet programs have taken note of such statistics and incorporated the popular drugs into their existing subscription plans.
WeightWatchers, which was founded in 1963, last year acquired telehealth provider Sequence, enabling members to get prescriptions for weight loss drugs. WeightWatchers is sticking with its focus on behavior change as the cornerstone of weight reduction but launched virtual clinics that provide customized exercise and nutrition plans, as well as prescription care, for individuals who want to lose 20% of their body weight on average.
\u201cThe weight loss space will be led by the acknowledgement that weight loss is a matter of health care,\u201d WeightWatchers CEO Sima Sistani told analysts earlier this year. \u201cThis is a paradigm shift because weight loss has been and, unfortunately, often still is viewed as a vanity issue.\u201d
The Mayo Clinic, which first offered a weight management plan in book form in 1949, has published an updated version of the longtime bestseller, titled \u201cThe Mayo Clinic Diet: Weight-Loss Medications Edition.\u201d
The Mayo Clinic Diet program also has expanded to include access to weight loss drugs and advice on managing any side effects, according to Digital Wellness CEO Scott Penn, whose company developed an online platform for the original program.
The new drugs have made being very overweight \u201cfeel more medical as a condition,\u201d he said.
Luxury athletic club operator Life Time launched a membership program last year that offers comprehensive medical testing, personalized training and a host of alternative therapies like cryotherapy. Members of the Miora program also can get Ozempic and other weight loss drugs through the medical staff of a clinic that opened in Minneapolis last year.
Jeff Zwiefel, executive director of Life Time Miora, called the new drugs a \u201cgame changer\u201d for the fitness industry.
\"We have an opportunity and an obligation and a responsibility to help people achieve results in conjunction with medical providers and make sure that that\u2019s the way to go, \" he said.
Fitness chains are banking on the idea people on the drugs will lose enough weight to overcome any self-consciousness or physical limits that kept them from exercising. The gym franchise Equinox started a new personal training program in January for prescription-holders who want to preserve or build muscle mass as they shed unwanted pounds.
The world of drug-assisted weight loss also is altering the ambitions of food companies. Sales of SlimFast, a line of meal replacement shakes and snacks sold at supermarkets, have dropped as people turn to weight loss drugs and retailers cut shelf space for diet products, the brand's parent company, Glanbia, told investors in February.
Since the drugs suppress the appetites of people taking them, Glanbia and other companies are marketing their products as a source of adequate nutrients for people taking GLP-1s. Swiss multinational Nestle SA thinks it can benefit from the drugs' popularity and is expanding its Lean Cuisine frozen meals and OPTIFAST protein shakes.
\u201cDiets are cool again,\u201d Nestle SA CEO Ulf Mark Schneider told analysts in February. \"It\u2019s something that people used to do quietly on the side, uncertain about their outcomes.\u201d
Research has shown that about a third of people lose 5% or more of their body weight with diet and exercise alone, according to Dr. Louis Aronne, director of the Comprehensive Weight Control Center at Weill Cornell Medical school. In comparison, the medicine in the diabetes drug Mounjaro helped people with obesity or who are overweight lose at least a quarter of their weight when combined with restricted calories and exercise, a new study showed.
But some experts worry about businesses marketing the drugs or serving as fitness coaches for patients on the medications. Dr. Cian Wade, a health care consultant for the global strategy and management firm Kearney, said he's concerned about a proliferation of clinics that don't have as much experience with obesity and related health conditions.
\u201cThere's a potential worry that for some patients, (the clinics) will not have the right expertise at hand to be able to appropriately manage the side effects, nutrition-related issues,\u201d he said.
Since GLP-1 medications are so new, it's unclear how many patients will stick with their drug regimens, which produce intolerable side effects for some people. Another reason patients may drop the drugs is cost. A month's supply of Wegovy costs $1,300, and Zepbound is priced at $1,000.
Lisa Donahey, 54, an actress and singer who lives in Los Angeles, started Mounjaro under a doctor\u2019s care a year ago to address her Type 2 diabetes. At the time, Donahey, who is 5-foot-7-inches tall, weighed 260 pounds and was a veteran of diet plans like Jenny Craig, WeightWatchers and Nutrisystem.
Her weight has since dropped to a little less than 190 pounds. She goes to a gym. After always being cast as a character actor, she\u2019s looking for new roles. Having used the medication to give her \u201ca kick-start,\u201d Donahey said she plans to wean herself off Mounjaro once she loses another 40 pounds.
\u201cI had a sense of hopelessness that I was destined to be this way and just could not do it by myself,\u201d she said. \u201cNow, with my weight being managed and the new version of \u2018me\u2019 is emerging, I just feel so empowered, excited and hopeful.\u201d
___
Read more of the AP\u2019s Be Well content: https://apnews.com/hub/be-well
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Minor edits.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "US-XGR--Gender Affirming Care-Tennessee", + "headline": "Tennessee lawmakers OK bill penalizing adults who help minors receive gender-affirming care", + "headline_extended": "Tennessee\u2019s GOP-controlled Statehouse has given their final approval on legislation penalizing adults who help minors receive gender-affirming care without parental consent", + "slugline": "BC-US-XGR--Gender Affirming Care-Tennessee, 3rd Ld-Writethru", + "description_summary": "Tennessee\u2019s GOP-controlled Statehouse has given their final approval on legislation penalizing adults who help minors receive gender-affirming care without parental consent. Thursday's action clears the way for the first-in-the-nation proposal to be sent to Gov. Bill Lee\u2019s desk for his signature. The bill mirrors almost the same language from a so-called \u201canti-abortion trafficking\u201d proposal Tennessee Republican lawmakers approved just a day prior. In that version, supporters are hoping to stop adults from helping young people obtain abortions without permission from their parents or guardians.", + "bylines": [ + { + "by": "By KIMBERLEE KRUESI", + "title": "Associated Press" + } + ], + "located": "NASHVILLE, Tenn.", + "datelinelocation": { + "city": "Nashville", + "countryareacode": "TN", + "countryareaname": "Tennessee", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -86.78444, + 36.16589 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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(AP) \u2014 Tennessee's GOP-controlled Statehouse on Thursday gave their final approval to legislation penalizing adults who help minors receive gender-affirming care without parental consent, clearing the way for the first-in-the-nation proposal to be sent to Gov. Bill Lee's desk for his signature.
The bill mirrors almost the same language from a so-called anti-abortion trafficking proposal Tennessee Republican lawmakers approved just a day prior. In that version, supporters are hoping to stop adults from helping young people obtain abortions without permission from their parents or guardians.
Lee, a Republican, hasn't publicly commented on either bill, but supporters are confident he will sign them into law. Lee eagerly approved a sweeping abortion ban and a ban on gender-affirming care for children. He has also never issued a veto during his time as governor.
While the Republican supermajority touted the proposed statutes as necessary to protect parental rights, critics warned about the possible broad application. Violations could range from talking to an adolescent about a website on where to find care to helping that young person travel to another state with looser restrictions on gender-affirming care services.
The original bill included criminal penalties, but supporters agreed to civil penalties for violators.
\u201cThis is a parent\u2019s rights bill, nothing more, nothing less,\u201d Republican Rep. Bryan Richey, the bill's sponsor, said during House debate earlier this week. \u201cAt the end of the day, parents should have final say what medical procedures their children are receiving, and nobody else.\u201d
The Human Rights Campaign says Tennessee has enacted more anti-LGBTQ+ laws more than any other state since 2015, identifying more than 20 bills that advanced out of the Legislature over the past few months.
That included sending Gov. Lee a bill banning the spending of state money on hormone therapy or sex reassignment procedures for prisoners \u2014 though it would not apply to state inmates currently receiving hormone therapy \u2014 and requiring public school employees to out transgender students to their parents.
Republicans in the state also passed a measure that would let LGBTQ+ foster children be placed with families that hold anti-LGBTQ+ beliefs. Lee signed it into law this month.
\"Tennessee lawmakers are on the verge of enacting more than twice as many anti-LGBTQ+ laws as any other state, a staggering assault on their own constituents,\u201d Cathryn Oakley, senior director of legal policy at the Human Rights Campaign, said in a statement.
To date, no state has placed restrictions on helping young people receive gender-affirming care, despite the recent push among more than 20 Republican-led states \u2014 including Tennessee \u2014 to ban such care for most minors.
Instead some Democratic-led states have been pushing to shield health care providers if they provide services that are banned in a patient\u2019s home state. Most recently Maine\u2019s Democratic governor signed a bill Wednesday protecting providers of abortion and gender-affirming care from legal action brought by other states.
The proposal has created a disagreement between Maine Attorney General Aaron Frey and attorneys general in several other states, including Tennessee. The other states have warned of legal action over the law; Frey dismissed such threats as \u201cmeritless.\u201d
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However, the primary focus is on the legislative actions and political context rather than health itself." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/04/25/e0ebd26571e42505f9d6ff79cfd9bf92.json b/datasets/AP_news/raw_data/2024/04/25/e0ebd26571e42505f9d6ff79cfd9bf92.json new file mode 100644 index 0000000..5f706d7 --- /dev/null +++ b/datasets/AP_news/raw_data/2024/04/25/e0ebd26571e42505f9d6ff79cfd9bf92.json @@ -0,0 +1,203 @@ +{ + "altids": { + "itemid": "e0ebd26571e42505f9d6ff79cfd9bf92", + "etag": "e0ebd26571e42505f9d6ff79cfd9bf92_0a2aza0c0", + "friendlykey": "627429072232", + "referenceid": "TX--Abortion-Texas" + }, + "version": 0, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-04-25T22:34:30Z", + "firstcreated": "2024-04-25T22:34:29Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "signals": [ + "newscontent" + ], + "title": "TX--Abortion-Texas", + "headline": "New reporting requirements for life-saving abortions worry some Texas doctors", + "headline_extended": "Some health lawyers and doctors in Texas say they're worried that proposed requirements could further disincentivize providers from performing medically necessary, but legally risky, abortions", + "slugline": "BC-TX--Abortion-Texas", + "description_summary": "Some health lawyers and doctors in Texas say they're worried that proposed requirements could further disincentivize providers from performing medically necessary, but legally risky, abortions. The Texas Medical Board proposal would require doctors to document whether there was time to transfer a patient \u201cby any means available\u201d to avoid an abortion. Dallas health care lawyer Rachael Gearing to The Texas Tribune that the proposal creates even more uncertainty for doctors who are already concerned about state abortion laws. Texas\u2019 laws allow abortions to save a patient\u2019s life but doctors have struggled to apply that exception in practice", + "bylines": [ + { + "by": "By ELEANOR KLIBANOFF, The Texas Tribune" + } + ], + "located": "AUSTIN, Texas", + "datelinelocation": { + "city": "Austin", + "countryareacode": "TX", + "countryareaname": "Texas", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -97.74306, + 30.26715 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. For other uses, additional clearances may be required." + ], + "keywords": [ + "abortion texas pregnancy" + ], + "provider": "AP", + "infosource": [ + { + "name": "AP", + "type": "AP" + } + ], + "subject": [ + { + "rels": [ + "category" + ], + "creator": "Editorial", + "code": "n", + "name": "n" + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "e22e35087de410048fc2df092526b43e", + "name": "Abortion", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 79 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "cc7a76087e4e10048482df092526b43e", + "name": "Health", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 90 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "a4677d70863b4012b846a1b00f5079f5", + "name": "U.S. news", + "creator": "Editorial", + "editorial_subject": "U.S. news", + "rels": [ + "direct" + ], + "relevance": 99 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "f25af2d07e4e100484f5df092526b43e", + "name": "General news", + "creator": "Editorial", + "editorial_subject": "General news", + "rels": [ + "direct" + ], + "relevance": 50 + } + ], + "place": [ + { + "scheme": "http://cv.ap.org/id/", + "code": "535d132082b3100484b3df092526b43e", + "name": "New Orleans", + "creator": "Machine", + "rels": [ + "direct" + ], + "parentids": [ + "43fb970882b310048496df092526b43e" + ], + "locationtype": { + "code": "9d26a20b35f0484a891740f8189d4c7b", + "name": "City" + }, + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -90.07507, + 29.95465 + ] + }, + "relevance": 49, + "parentnames": [ + "Louisiana" + ] + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "6e92d9b882c7100488e5df092526b43e", + "name": "Texas", + "creator": "Machine", + "rels": [ + "direct" + ], + "parentids": [ + "661e48387d5b10048291c076b8e3055c" + ], + "locationtype": { + "code": "0ae5eb8e00e04295a4fc209c94bfe6ef", + "name": "State" + }, + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -99.25061, + 31.25044 + ] + }, + "relevance": 91, + "parentnames": [ + "United States" + ] + } + ], + "audiences": [ + { + "code": "82c6a4c46fa0446090a7acaf93159e4c", + "name": "Print", + "type": "AUDPLATFORM" + }, + { + "code": "9add4649b53b4702ba7d9de5d4fa607a", + "name": "Online", + "type": "AUDPLATFORM" + }, + { + "code": "f5b16ea8760d10048047e6e7a0f4673e", + "name": "State", + "type": "AUDSCOPE" + }, + { + "code": "6e92d9b882c7100488e5df092526b43e", + "name": "Texas", + "type": "AUDGEOGRAPHY" + } + ], + "body_nitf": "AUSTIN, Texas (AP) \u2014 Doctors who perform life-saving abortions may soon be required to document whether they first tried to transfer the patient to another facility to avoid terminating the pregnancy, a move some say goes beyond the language of the law.
Health lawyers and doctors worry this proposed requirement further disincentivizes doctors from performing medically necessary, but legally risky, abortions.
\u201cThis creates even more uncertainty for doctors who were already concerned,\u201d said Rachael Gearing, a Dallas health care lawyer who represents OB/GYN clinics. \u201cIt\u2019s basically saying, \u2018Well, you should have passed your patient off to someone else who would have held out longer and wouldn\u2019t have done the abortion.\u2019\u201d
Texas\u2019 laws allow abortions to save a patient\u2019s life, but doctors have struggled to apply that exception in practice, especially when faced with up to life in prison, fines and the loss of their medical license.
After pressure from the Texas Supreme Court and an official petition, the Texas Medical Board issued guidance in March laying out how the licensing agency would investigate complaints of prohibited abortions. The agency is currently considering public comment and will finalize the proposal at or after its June meeting.
In addition to requiring doctors to document how they diagnosed the patient as needing an abortion, the board\u2019s proposal requires them to note whether there was \u201cadequate time to transfer the patient, by any means available to a facility or physician with a higher level of care or expertise to avoid performing an abortion.\u201d
Texas Medical Board President Dr. Sherif Zaafran said this was no different than what doctors are typically expected to do when a patient requires a higher level of care. He said the agency was not trying to \u201csecond guess\u201d doctors, but rather laying out what they might expect to see in documentation if they are called on to investigate a complaint.
\u201cAll we\u2019re asking for is, you\u2019ve made a determination, you\u2019ve made a diagnosis, you\u2019ve prescribed a treatment plan,\u201d he told The Texas Tribune. \u201cHelp us understand what led you to come up with that diagnosis.\u201d
But doctors \u2014 and the lawyers who represent them \u2014 say the law\u2019s crushing penalties mean treating complicated pregnancies is vastly different than any other type of medical treatment in Texas.
\u201cHow can a physician feel protected enough to provide good medical care when the ultimate decision is going to be made by the court, and they may not support the physician?\u201d said Dr. Todd Ivey, a Houston OB/GYN and officer with the Texas chapter of the American College of Obstetricians and Gynecologists. \u201cAnd then suddenly, you\u2019re subject to criminal and civil liabilities?\u201d
Since Texas banned nearly all abortions in summer 2022, dozens of women have come forward with stories of being unable to access medically necessary abortions because their doctors were unclear on when it was legally safe to intervene.
Amanda Zurawski, the lead plaintiff in a lawsuit challenging Texas\u2019 abortion bans, was forced to wait until she was in sepsis before her doctors were willing to terminate her pregnancy. She spent three days in the intensive care unit and may be unable to conceive again as a result of the infection.
Doctors have reported providing alternative, and in some cases, substandard, care to avoid performing an abortion, or waiting to act until patients are \u201con death\u2019s door,\u201d according to one paper about the impacts of Texas\u2019 2021 abortion law.
\u201cYou sometimes feel like you\u2019re damned if you do, damned if you don\u2019t,\u201d said Ivey. \u201cPatients are in very difficult situations \u2026 and then you have the threat from the other side of civil penalties in addition to criminal penalties, along with the loss of your license and prison time. It\u2019s incredibly frightening.\u201d
In December, Kate Cox, a 31-year-old Dallas mother, sued to terminate her non-viable pregnancy. The Texas Supreme Court ruled that Cox did not qualify under the medical exception, and called on the Texas Medical Board to \u201cassess various hypothetical circumstances, provide best practices, identify red lines, and the like,\u201d to clarify the laws.
A month later, Texas lobbyists Steve and Amy Bresnen filed an official petition with the medical board and in March, the agency issued its proposed guidance. The long-awaited proposal mostly pulled together different definitions from across statutes, and reiterated that doctors should rely on their \u201creasonable medical judgment\u201d to decide when an abortion is necessary.
The main new detail was a list of seven items that must be documented in a patient\u2019s medical record, including how the doctor decided to proceed with an abortion, what diagnostic testing was done, what second opinions were sought, what alternative treatments were attempted and failed, and whether there was time to transfer the patient to another facility to avoid an abortion.
Doctors, health lawyers and women denied medical care for complicated pregnancies decried the guidance as both insufficiently clarifying and additionally burdensome on providers.
\u201cPhysicians are already on top of medical documentation, and know what they need to do,\u201d said Gearing, the Dallas lawyer. \u201cThis documentation test lists additional things that they should be doing that they may not typically consider as necessary. \u2026 It shows the reasonable medical judgment standard isn\u2019t just your typical standard.\u201d
Lawyers and doctors told the Tribune they were particularly concerned about the requirement that doctors document whether there was time to transfer the patient to another facility to prevent an abortion. In a statement, the Bresnens, the lawyers who filed the initial petition for board guidance, said this would delay care and harm pregnant patients.
\u201cNothing in Texas law requires a female whose pregnancy threatens her life or major bodily functions to be transferred,\u201d they said in a statement to the Tribune this week. \u201cAt any time she meets those criteria, a physician is authorized to perform an abortion and it\u2019s up to her to decide whether the risks of delay outweigh any other consideration.\u201d
In big Texas cities with multiple hospitals in close proximity, Gearing worries it will always be possible to argue the patient should have been transferred rather than treated.
\u201cIf you\u2019re at Baylor, and there\u2019s a physician at (another Dallas hospital) who says they would have tried a different treatment, or taken a more invasive approach \u2026 are they going to be under heightened scrutiny that they should have transferred?\u201d
Ivey, the Houston OB/GYN, said he worries this may encourage overly cautious hospitals or doctors in isolated areas to transfer patients rather than take on the legal risk of terminating the pregnancy.
\u201cIf I were a practitioner in a rural area, and I had very little support, and I had a situation like this, it may be so overwhelming that you may just want to send (the patient) to somewhere where they have more resources,\u201d he said. \u201cBut that may not be the best thing for the patient.\u201d
Zaafran said this aspect of the guidance doesn\u2019t mean doctors shouldn\u2019t treat patients experiencing life-threatening emergencies.
\u201cIf I\u2019ve got a patient dying in front of me, I\u2019m not going to sit there and start talking about why I didn\u2019t transfer the patient,\u201d he said. \u201cThe patient is unstable, and I had to act quickly to save the patient\u2019s life \u2026 You don\u2019t have to say anything else.\u201d
As for transfers after a patient is stabilized, Zaafran said this was no different than other situations that may require a higher level of care than a hospital is able to provide. He said the board didn\u2019t intend to \u201csit here and second guess\u201d doctors\u2019 decision making, as long as they use their reasonable medical judgment to reach their conclusions.
\u201cYou can go to two different doctors and get two different treatments, and neither one would be wrong,\u201d he said. \u201cThe medical board, that\u2019s how we\u2019re going to view it.\u201d But, he noted, the medical board has \u201cno control over whether a district attorney somewhere decides to take on the case and and push in a little bit of a different manner.\u201d
Adding these additional documentation requirements opens the door for greater scrutiny from outside the medical field, Gearing said. Even if the medical board doesn\u2019t see an issue with their choices, doctors found to have violated the state\u2019s abortion laws can face up to 100 years in prison and a fine of $100,000.
\u201cI think there\u2019s concern that \u2026 even if they do everything right, this is a political battle versus a medical one,\u201d Gearing said. \u201cIf an official wants to make an example, some of my clients don\u2019t feel very confident that their choices would be viewed in a medical context, rather than a more political context.\u201d
As this guidance is being debated, Texas is in court arguing against a federal law that requires hospitals to screen and stabilize any patient experiencing a medical emergency.
The federal Emergency Medical Treatment and Labor Act requires stabilizing care, including abortions, if necessary, when the health of a patient is at risk, but Texas law only allows abortions when the patient\u2019s life is at risk.
The 5th U.S. Circuit Court of Appeals in New Orleans has ruled that Texas\u2019 law supersedes EMTALA, and the Biden administration cannot require hospitals to offer abortions before a patient\u2019s life is at risk. This week, the U.S. Supreme Court heard a similar case out of Idaho, where Elizabeth Prelogar, the U.S. solicitor general, argued that carving abortion out of the law is \u201centirely inconsistent\u201d with federal law.
\u201cOne of the primary motivators here was to prevent patient dumping,\u201d she told the justices Wednesday. \u201cThe idea was, we do not want people to have to go somewhere else to get their care. You go to the first emergency room in your state, and they have to stabilize you.\u201d
Zaafran said the medical board\u2019s guidance is in line with hospitals\u2019 EMTALA obligations, as doctors would be expected to stabilize a patient before they try to transfer them.
But Sara Rosenbaum, an EMTALA legal expert at the Milken School of Public Health at the George Washington University, said the guidance to try to transfer a patient \u201cby any means available,\u201d as the proposal says, has the potential to further confuse doctors about their obligations under state and federal laws.
\u201cIt\u2019s like you gave a roomful of law students a test, and said, think of all the ways to interfere with EMTALA and still look like you\u2019re trying to comply,\u201d she said. \u201cIt\u2019s a complete perversion.\u201d
The medical board is taking public comment on the proposed guidance and is considering holding stakeholder meetings to hear directly from impacted parties. At the board\u2019s next meeting in June, it will either introduce changes to the proposal or adopt the guidelines as they exist.
Ivey, the Houston OB/GYN, said he appreciates the tough spot the board is in trying to address this extremely fraught issue, but he is disappointed they didn\u2019t do more to address doctors\u2019 fears of being criminalized.
\u201cWe need some way we could allow physicians to practice good medicine without worrying about being criminally prosecuted or having some huge civil action against them,\u201d he said. \u201cWe want to practice good medicine and take care of people within the confines of the law. We need the law to help us, not hinder us.\u201d
Gearing said she was hoping for more of the \u201cred lines\u201d recommended by the Texas Supreme Court, like saying doctors that got two concurring opinions from fellow physicians could safely proceed.
Zaafran acknowledged the frustration with what the board has put out so far, saying they were being asked to give a \u201cblack and white answer\u201d that doesn\u2019t exist.
\u201cThe law is black and white \u2014 you cannot perform an abortion unless there is potential for major bodily injury or permanent organ damage, or death,\u201d Zaafran said. \u201cThe part that is not black and white is determining what is a threat to somebody\u2019s life, or a threat of permanent bodily organ damage or injury \u2026 That\u2019s where the judgment is.\u201d
___ This story was originally published by The Texas Tribune and distributed through a partnership with The Associated Press.
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But some can lead to genital warts and cancers, primarily of the cervix, but also of the anus, penis and throat.", + "bylines": [ + { + "by": "By REGINA GARCIA CANO", + "title": "Associated Press" + } + ], + "located": "PUTUCUAL, Venezuela", + "datelinelocation": { + "city": "Putucual", + "countrycode": "VEN", + "countryname": "Venezuela", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -63.27415, + 10.39655 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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The health worker also asked what they knew about HPV, the most common sexually transmitted infection in the world and the cause of nearly all cervical cancer. The women, ages 16 to 33 \u2014 two of whom had traveled to Putucual by boat and bus \u2014 only one had learned about human papillomavirus in middle school. The rest had talked about it with friends or cousins, but never their parents.
None knew HPV vaccines exist, even though Venezuelan pediatricians have long recommended giving all children the vaccine starting at age 9.
Venezuela\u2019s government has repeatedly broken its promise to provide the shots for free, and many public-school teachers don't follow the requirement to teach sex ed. President Nicol\u00e1s Maduro 's administration claims the well-being of youth and women is a priority, but the onus is on parents to talk to their kids about HPV and pay for the vaccines at private clinics. That's out of reach for most in a country where private-sector workers earn $202 a month on average, and public employees' monthly minimum wage is $3.60 plus $100 in bonuses.
Most HPV infections are asymptomatic and go away without treatment. But some can lead to genital warts and cancers, primarily of the cervix, but also of the anus, penis and throat.
Official health care statistics are elusive in Venezuela, making it virtually impossible to know the rate of HPV infection or how many people have been vaccinated either privately or by nongovernmental organizations. HPV vaccine coverage estimates from the World Health Organization show a blank space for Venezuela.
In 2022, Maduro\u2019s administration estimated 30% of Venezuelan women are affected by cancer-causing strains of HPV. But the Ministry of Popular Power for Health did not publicly provide the data nor historical figures to show how the rate may have changed.
Health care professionals in the South American country told The Associated Press that the government\u2019s figure is an undercount.
\u201cWith HPV, all governments have a social and moral debt to the female population,\u201d said Dr. Carlos Cabrera, an OB-GYN in private practice and director of the maternal fetal medicine program at the Central University of Venezuela. \u201cBut people don\u2019t like to talk about sexual and reproductive health.\u201d
When HPV shots first hit the market in the mid-2000s, the oil-dependent state's coffers were flush. The price of oil \u2014 Venezuela\u2019s most valuable resource \u2014 was steadily climbing and the country produced more than a million barrels a day. In 2009, doctors urged the government of President Hugo Ch\u00e1vez to introduce the HPV vaccine into the country, but they were ignored.
In 2015, Ministry of Health officials appeared ready to start offering HPV shots, mentioning in the agency\u2019s annual performance report that the country\u2019s vaccine schedule would include them and they \"would be administered starting in 2016.\u201d By this time, Venezuela's budget holes due to financial mismanagement were apparent, but U.S. economic sanctions had not yet crippled the oil industry.
Venezuela's last vaccine promise came in late 2022 after it reached an agreement with GAVI, a public-private global alliance that helps poor countries procure vaccinations. Government officials said shipments were expected for 2023, but no shots were distributed then, and they are also not listed among those being offered during national vaccination week.
The Ministry of Popular Power for Communication and Information did not respond to questions from the AP about the status of the vaccines, including reasons for the delay.
GAVI, whose assistance is time-limited and requires government funding commitments, said in a statement that Venezuela \u201creconfirmed its ... intent\u201d to introduce the HPV vaccine in November 2023. It did not answer the AP's question about when it expected the first shots to arrive, saying only that rolling out vaccines takes preparation time.
The health ministry\u2019s vaccination schedule still does not list the HPV vaccine. But that has not stopped state television from occasionally airing a two-minute cartoon of a Maduro-lookalike superhero \u2014 \u201cSuper Mustache\u201d \u2014 whose adversaries are accused of wanting to \u201cdestroy everything\u201d in Venezuela, including the \u201cvaccines for the youngest women.\u201d Globally, girls and young women are the primary demographic for the HPV shot.
Private practices in Venezuela that obtain the vaccine through importers sell it for $100 or more, depending on the brand and city, and recommend one or two boosters \u2014 which cost extra. Very few can afford that in a country where paychecks of public and private-sector employees aren't enough to cover a month of food for a family of four, which exceeds $350.
Awareness about HPV is another issue: Public schools used to teach about STIs, giving students a chance to ask questions that they might not have felt comfortable bringing to their parents.
But educators now largely ignore the requirement to teach the subject \u2014 either due to personal beliefs or because meager pay forces teachers to find second or third jobs, to the point that they're not in the classroom five days a week.
\u201cIn theory, on paper, we have a decent sex education program that adheres to international standards, with correct messages,\u201d said Dr. Lila Vega, a pediatrician and member of the Network of Mothers, Fathers and Representatives of Venezuela, an NGO that promotes the participation of parents and guardians in schools. \u201cBut in reality, we are not even teaching addition and subtraction, and sex education is not a priority.\u201d
Under Ch\u00e1vez, the ministries of education and culture edited and printed several free textbooks. \u201cLife and Comprehensive Health\u201d for seventh graders had lengthy explanations on teen pregnancy, birth control methods and the cancer risks posed by HPV infections. It included an image of \u201cpossible lesions caused by HPV.\u201d
Maduro\u2019s administration last printed the textbooks in 2015. Education officials later set up a digital library to which teachers can refer students, but the health book was never uploaded. Some teachers still share a PDF version of the book with their students, and others refer kids to old copies in school libraries.
Adriana Yeguez, 33, who participated in the session at the clinic in Putucual run by the global medical charity Doctors Without Borders, believes adolescents like her 16-year-old son need more information than what they can get on their own or at school. So, she and her partner are talking to him about HPV.
\u201cWe do talk to him, especially about infections,\u201d Yeguez said. \u201cWhat if he gets one? Imagine that! What if there\u2019s no cure or treatment? What if we don\u2019t have money?\u201d
In some Latin American countries, studies showed a lack of parental knowledge about HPV was an obstacle to vaccination. And in Venezuela, physicians say parents and governments also resist the vaccine due to cultural taboos and the false notion that girls will see it as a ticket to promiscuity.
The vaccine prevents more than 90% of cancers caused by HPV. Yuly Remolina, a researcher and oncologist in Mexico City, believes that statistic is the best argument for why governments should provide the shots and parents and young adults should seek them out.
\u201cIt is incredible to continue seeing young patients with cervical cancer who cannot be operated on, who have to be given chemotherapy and radiotherapy, and who end up dying of it,\" said Remolina, who sees patients from Venezuela, Colombia and other Latin American countries.
It's why Daniel Rojas, a community health worker at the Putucual clinic, urged the women and teens to seek medical attention if they suspect an HPV infection: \u201cDon\u2019t let the days go by just thinking \u2018Maybe yes, maybe no.\u2019\u201d
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The document also includes expert opinions and statistical data, making it highly relevant to the topic of health." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/04/25/eb5bc0ca63a8df3f748930df96aaeb29.json b/datasets/AP_news/raw_data/2024/04/25/eb5bc0ca63a8df3f748930df96aaeb29.json new file mode 100644 index 0000000..532aebc --- /dev/null +++ b/datasets/AP_news/raw_data/2024/04/25/eb5bc0ca63a8df3f748930df96aaeb29.json @@ -0,0 +1,226 @@ +{ + "altids": { + "itemid": "eb5bc0ca63a8df3f748930df96aaeb29", + "etag": "eb5bc0ca63a8df3f748930df96aaeb29_1a2aza0c0", + "friendlykey": "529033943905", + "referenceid": "KY--Cancer Center-Kentucky" + }, + "version": 1, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-04-25T18:17:38Z", + "firstcreated": "2024-04-25T18:04:38Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: Edits summary. Adds photos.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "KY--Cancer Center-Kentucky", + "headline": "New home for University of Kentucky cancer center will help accelerate research, director says", + "headline_extended": "Construction is set to start on a new $781 million home for the University of Kentucky\u2019s Markey Cancer Center", + "slugline": "BC-KY--Cancer Center-Kentucky, 1st Ld-Writethru", + "description_summary": "Construction is set to start on a new $781 million home for the University of Kentucky\u2019s Markey Cancer Center. The project builds on the center's growing national recognition for research and patient care. Kentucky is plagued by some of the nation\u2019s worst cancer rates. Officials gathered for an event to break ground on Thursday. The building will consolidate the Markey Center\u2019s services in the new UK Cancer and Advanced Ambulatory Building. The project is scheduled for completion in 2027. 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(AP) \u2014 A new $781 million home for the University of Kentucky\u2019s Markey Cancer Center will help researchers accelerate work aimed at \u201cconquering cancer in the commonwealth,\u201d its director said Thursday.
Construction is set to start on the project, meant to build on the Markey Center's growing national recognition for research and patient care in a state plagued by some of the nation\u2019s worst cancer rates. State and university officials gathered for an event to break ground on Thursday.
The project, scheduled for completion in 2027, will consolidate the Markey Center's services in the new UK Cancer and Advanced Ambulatory Building. Markey\u2019s outpatient services are currently spread across six locations on the UK Chandler Hospital campus. The project also includes an adjacent parking garage estimated to cost $104 million.
The consolidated structure will give patients more convenience, and clinicians and researchers more opportunities to collaborate, UK officials said Thursday.
\u201cThis facility will enable our talented clinicians and researchers to work together like never before, accelerating innovations that will directly translate into better outcomes for our patients,\u201d said Dr. B. Mark Evers, director of the UK Markey Cancer Center.
Last year, the Markey Center achieved the highest level of recognition from the National Cancer Institute. It's the only institution in the state with designation as a \u201ccomprehensive\u201d cancer center and is among several dozen cancer centers nationally to attain the status. The designation will further bolster cancer research and patient care in the Bluegrass State, UK officials said.
Kentucky has led the nation in incidence rates for lung and bronchus and cervical cancers, while ranking near the top for colon and rectal cancers.
\u201cIn a state that still holds the highest cancer rates, this building represents our commitment to expanding care, growing our capacity and, ultimately, conquering cancer in the commonwealth,\u201d Evers said.
In the past 10 years, Markey outpatient clinic visits have increased by 57%, UK said.
The new 550,000-square-foot building will feature a full spectrum of cancer care services \u2014 including imaging, labs, urgent care, pharmacy, palliative care and rehabilitation, UK said. It also will house Markey's outpatient clinics, including chemotherapy infusion, radiation medicine, multidisciplinary oncology, gynecologic oncology, breast care center and hematology/bone marrow transplant. It also will be home to a Comprehensive Spine Center, ambulatory surgery space and other outpatient services.
\u201cThis building signifies our commitment to addressing the critical health needs of our state, providing advanced care across various disciplines and ensuring that Kentuckians have access to the most innovative treatments close to home,\u201d said UK President Eli Capilouto.
Construction of the new building is funded by UK HealthCare. The 2,400-space parking structure will be funded separately as a public-private partnership, UK officials said.
State and private funds will be used to support Markey's programs and services in the new facility. UK trustees approved initial planning and design in 2021.
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Her sister Winnie Akinyi, the guardian to Awuor\u2019s orphaned son, fell to the ground, wailing.
It was the latest of five deaths in this family attributed to malaria. The disease is common in Kenya, and it is preventable and curable, but poverty makes it deadly for those who can't afford treatment.
In the family\u2019s compound in the western county of Migori, three other graves are visible, that of Awuor\u2019s husband and their other two children who died from malaria before the age of 2.
Awuor, 31, fell ill in December and lost her five-month pregnancy before succumbing to malaria. Her 11-year-old son is the family's only survivor.
Malaria is still a significant public health challenge in Kenya, though some progress may be coming. Parts of Kenya participated in an important pilot of the world\u2019s first malaria vaccine, with a reported drop in deaths for children under 5. Kenya's health ministry hasn't said when the vaccine will be widely available.
The biggest impact is felt in regions characterized by high temperatures like Kenya's Indian Ocean coast, and places with high rainfall like the western region near Lake Victoria.
Kenya had an estimated 5 million malaria cases and over 12,000 deaths reported in 2022, according to the World Health Organization.
Most of those affected are children under 5 and pregnant women.
Kenya continues to combat malaria with traditional methods such as distributing bed nets that are treated with insecticides, spraying breeding areas, and promoting prompt diagnosis and treatment, but experts say progress against the disease with those approaches has plateaued.
Public health expert Dr. Willis Akhwale, special adviser for the Kenya End Malaria Council, said the COVID-19 pandemic slowed down distribution of drugs and treatment.
He said innovative treatment methods are needed in the wake of drug resistant cases reported in parts of Africa.
\u201cWe need to start looking at investments in new generation medicines. That should then be able to counter any resistance in (the) foreseeable future,\u201d he said.
Akhwale said other needs include more funding and logistical support.
\u201cIn Kenya the shortfall in terms of the need is almost $52 million, so we need to close that gap,\u201d he said, citing health ministry data. He recommended domestic funding and private sector support amid donor fatigue with crises around the world.
Wilson Otieno has been admitted to a hospital three times for malaria and has received outpatient treatment countless times. It's expensive for the 33-year-old accountant and father in the lakeside city of Kisumu.
Malaria is never \u201cpocket friendly,\" he said.
Some progress has been made with local manufacturing of crucial medication.
The Kenya-based Universal Corporation Limited last year received the WHO\u2019s approval to produce an antimalarial drug known as Spaq, a combination of sulfadoxine-pyrimethamine plus amodiaquine.
The approval was an important step in Africa\u2019s capacity to make lifesaving medications, a new focus for governments and public health officials after vulnerabilities were exposed by the COVID-19 pandemic. Africa relies heavily on drug imports.
\u201cIt will really help in lowering the dependency for imports as we saw during the COVID era, where whatever was being imported actually had huge supply disruptions,\u201d said Palu Dhanani, the founder and managing director of UCL.
If you don\u2019t get the right medicine at the right time, malaria can cause unnecessary deaths, Dhanani said.
___
Tiro reported from Nairobi, Kenya. Evelyne Musambi in Nairobi contributed to this report.
___
The Associated Press receives financial support for global health and development coverage in Africa from the Bill & Melinda Gates Foundation Trust. The AP is solely responsible for all content. Find AP\u2019s standards for working with philanthropies, a list of supporters and funded coverage areas at AP.org.
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(AP) \u2014 Republican attorneys general from 17 states filed a lawsuit Thursday challenging new federal rules entitling workers to time off and other accommodations for abortions, calling the rules an illegal interpretation of a 2022 federal law.
The lawsuit led by Tennessee and Arkansas comes since finalized federal regulations were published April 15 to provide guidance for employers and workers on how to implement the Pregnant Workers Fairness Act. The language means workers can ask for time off to obtain an abortion and recover from the procedure.
The rules, which the Equal Employment Opportunity Commission adopted on a 3-2 vote along party lines, will go into effect June 18. The lawsuit filed in federal court in Arkansas argues the regulations go beyond the scope of the 2022 law that passed with bipartisan support.
\u201cThis is yet another attempt by the Biden administration to force through administrative fiat what it cannot get passed through Congress,\u201d Arkansas Attorney General Tim Griffin said in a statement. \u201cUnder this radical interpretation of the PWFA, business owners will face federal lawsuits if they don\u2019t accommodate employees\u2019 abortions, even if those abortions are illegal under state law.\u201d
An EEOC spokesperson referred questions to the Justice Department, which did not immediately respond to a request for comment.
A Better Balance, one of the most vocal advocates for the Pregnant Workers Fairness Act, called the lawsuit a baseless attack on the law's protections.
\u201cThis lawsuit represents a bad faith effort to politicize what is a vital protection for the health and economic security of millions of families, and a continuation of the alarming attacks on women\u2019s health and reproductive choice,\u201d Dina Bakst, the group's co-president, said in a statement. \"We are committed to fighting to defend workers\u2019 rights under the Pregnant Workers Fairness Act.\u201d
The EEOC has said the new law does not obligate employers or employer-sponsored health plans to cover abortion-related costs, and that the type of accommodation that most likely will be sought under the Pregnant Workers Fairness Act regarding an abortion is time off to attend a medical appointment or for recovery, which does not have to be paid.
The other states joining the lawsuit are Alabama, Florida, Georgia, Idaho, Indiana, Iowa, Kansas, Missouri, Nebraska, North Dakota, Oklahoma, South Carolina, South Dakota, Utah and West Virginia.
___
This story has been updated to correct that the rules were published Monday, April 15, not this past Monday. Links photo.
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Several of the fatal incidents occurred in Dallas and its nearby suburbs. Other cases were documented across the state, from Odessa to Austin to Galveston.
The deaths were among more than 1,000 that AP\u2019s investigation documented across the United States of people who died after officers used, not their guns, but physical force or weapons such as Tasers that \u2014 like sedatives \u2014 are not meant to kill. Medical officials said police force caused or contributed to about half of all deaths.
It was impossible for the AP to determine the role injections may have played in many of the 94 deaths involving sedation that reporters found nationally during the investigation\u2019s 2012-2021 timeframe. Few of those deaths were attributed to the sedation and authorities rarely investigated whether injections were appropriate, focusing more often on the use of force by police and the other drugs in people\u2019s systems.
The idea behind the injections is to calm people who are combative, often due to drugs or a psychotic episode, so they can be transported to the hospital. Supporters say sedatives enable rapid treatment while protecting front-line responders from violence. Critics argue that the medications, given without consent, can be too risky to be administered during police encounters.
Texas was among the states with the most sedation cases, according to the investigation, which the AP did in collaboration with FRONTLINE (PBS) and the Howard Centers for Investigative Journalism.
The Texas cases involved the use of several different drugs intended to calm agitated people who were restrained by police. Most of them were administered by paramedics outside of hospitals.
Those included the two earliest deaths documented by AP that involved the use of ketamine \u2014 men who died in 2015 in Garland and Plano. A third case involving ketamine involved a man who died in Harris County in 2021.
The most common drug used in Texas during the incidents was midazolam, a sedative that is better known by its brand name Versed. Eight cases involved injections of the drug, including one in 2018 in which a paramedic rapidly gave two doses to a man who was restrained by officers in Bastrop.
AP\u2019s investigation shows that the risks of sedation during behavioral emergencies go beyond any specific drug, said Eric Jaeger, an emergency medical services educator in New Hampshire who has studied the issue and advocates for additional safety measures and training.
\u201cNow that we have better information, we know that it can present a significant danger regardless of the sedative agent used,\u201d he said.
Sedatives were often given as treatments for \u201cexcited delirium,\u201d an agitated condition linked to drug use or mental illness that medical groups have disavowed in recent years.
___ The Associated Press receives support from the Public Welfare Foundation for reporting focused on criminal justice. This story also was supported by Columbia University\u2019s Ira A. Lipman Center for Journalism and Civil and Human Rights in conjunction with Arnold Ventures. Also, the AP Health and Science Department receives support from the Howard Hughes Medical Institute\u2019s Science and Educational Media Group. The AP is solely responsible for all content.
___
Contact AP\u2019s global investigative team at Investigative@ap.org or https://www.ap.org/tips/
___
This story is part of an ongoing investigation led by The Associated Press in collaboration with the Howard Center for Investigative Journalism programs and FRONTLINE (PBS). The investigation includes the Lethal Restraint interactive story, database and the documentary, \u201cDocumenting Police Use Of Force,\u201d premiering April 30 on PBS.
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Janet Mills on Friday signed into law a suite of gun safety legislation approved by lawmakers after the deadliest mass shooting in state history, expanding background checks for private sales of weapons, bolstering the state's \u201cyellow flag\u201d law, criminalizing the transfer of guns to prohibited people and expanding mental health crisis care.
The governor told lawmakers during her State of the State address that doing nothing was not an option after an Army reservist with an assault rifle killed 18 people and injured 13 others in Lewiston on Oct. 25.
The bills drew opposition from Republicans who accused Democrats, who control both legislative chambers, of using the tragedy to advance proposals, some of which had been previously defeated. Mills said Friday the proposals would improve public safety while respecting the state's long traditions of gun ownership and outdoor heritage.
\u201cThis law represents important, meaningful progress, without trampling on anybody\u2019s rights, and it will better protect public safety by implementing reasonable reforms and by significantly expanding mental health resources,\" Mills said.
The new law signed by the governor doesn't require universal background checks but it does require background checks for people who advertise a gun for sale on Craigslist, Facebook Marketplace or elsewhere. Sales would be required to be checked against the National Instant Criminal Background Check System, as is required for commercial sales at federally licensed firearm dealers, the governor's office said.
The legislation includes changes to the state's yellow flag law that allows police to assess an individual, take the person into protective custody for a mental health evaluation and hold a hearing before a judge to remove guns from someone in a psychiatric crisis.
The new law allows police to go directly to a judge for a warrant, streamlining the process. It eliminates a hurdle when a deputy was stymied by the Lewiston gunman\u2019s refusal to answer the door for a required face-to-face meeting that\u2019s necessary under current law. Law enforcement members have said in testimony about the shootings that the state's existing yellow flag law was cumbersome and hard to apply.
Republicans in the state remain opposed to the bill, specifically because of the expanded background check proposal, said the Maine House of Representatives Republican leader, Rep. Billy Bob Faulkingham, on Friday.
\u201cHouse Republicans have voiced ongoing support for strengthening Maine\u2019s so-called yellow flag law and mental health services, but oppose the governor\u2019s bill,\" Faulkingham said. \u201cThe unenforceable background check provision will only create confusion among law-abiding Mainers.\u201d
Supporters of expanded gun control laws, who have advocated for the passage of the new standards for months, described the approval of the rules as a victory. Twenty-two states now have a background check law, said John Feinblatt, president of Everytown for Gun Safety.
Advocates also said they're hopeful other new gun measures approved by lawmakers in Maine will soon become law.
\u201cToday is a victory for the gun violence prevention movement and a demonstration of what Mainers can accomplish to keep our communities safe when we work together,\u201d said Vicki Farsaci, a volunteer with the Maine chapter of Moms Demand Action.
The bill signed by the governor also strengthens legal standards for prosecution and penalties to deter other people from selling weapons to prohibited buyers, making it a felony crime. The governor's office said in a statement that the new approach \u201cwill mean that transfers of firearms to family members or trusted friends, as is common in Maine, will remain unchanged, but it will incentivize checks against the (National Instant Criminal Background Check System) for private, unadvertised sales to unknown individuals through the threat of increased risk of prosecution and prison time.\u201d
Mills' approvals of the gun proposals came a day after a special commission she convened interviewed fellow reservists of Card who raised warnings about Card's increasingly erratic behavior. Card was found dead of a self-inflicted gunshot wound in the aftermath of the mass shooting after an extensive search.
One of the fellow reservists interviewed on Thursday, Sean Hodgson, told superiors in September: \u201cI believe he\u2019s going to snap and do a mass shooting.\u201d
Mills also proposed the creation of a new violence and injury prevention program requiring the Maine Center for Disease Control and Prevention to serve as a clearinghouse for data from law enforcement, hospitals, schools and other sources to inform public policy decisions.
Her proposal for a network of crisis centers, meanwhile, would build upon the first such facility already in operation in Portland and a second one that\u2019s being created in central Maine.
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The health-related aspects are secondary and not the primary focus of the document." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/04/26/521c9f6615d60d6596375a47d6ec3f59.json b/datasets/AP_news/raw_data/2024/04/26/521c9f6615d60d6596375a47d6ec3f59.json new file mode 100644 index 0000000..6751360 --- /dev/null +++ b/datasets/AP_news/raw_data/2024/04/26/521c9f6615d60d6596375a47d6ec3f59.json @@ -0,0 +1,203 @@ +{ + "altids": { + "itemid": "521c9f6615d60d6596375a47d6ec3f59", + "etag": "521c9f6615d60d6596375a47d6ec3f59_0a2aza0c0", + "friendlykey": "882005233744", + "referenceid": "AL-Alabama Prisons" + }, + "version": 0, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-04-26T01:20:41Z", + "firstcreated": "2024-04-26T01:20:41Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "signals": [ + "newscontent" + ], + "title": "AL-Alabama Prisons", + "headline": "House approves bill to criminalize organ retention without permission", + "headline_extended": "Alabama lawmakers on Thursday advanced a bill making it a crime for medical examiners to retain a deceased person\u2019s organs without family permission", + "slugline": "AP-AL-Alabama Prisons", + "description_summary": "Alabama lawmakers on Thursday advanced a bill making it a crime for medical examiners to retain a deceased person\u2019s organs without family permission. 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(AP) \u2014 Alabama lawmakers on Thursday advanced a bill making it a crime for medical examiners to retain a deceased person's organs without permission.
The legislation was introduced after several families said inmates' bodies came back from autopsies with their hearts or other internal organs missing. The House of Representatives vote 89-1 for the proposal. The bill now moves to the Alabama Senate.
State law currently requires medical examiners to have permission to retain organs unless it is done for identification or determining a cause of death. The bill would make it a felony for a medical examiner to retain a deceased person\u2019s organs without getting that permission from \u201cthe appropriate next of kin.\u201d
The families of several men who died while incarcerated filed federal lawsuits alleging that their loved ones' bodies were missing organs when they were returned after state autopsies.
\"We're just letting people know that we are paying attention, and the law needs to be followed,\" Rep. Chris England, the bill\u2019s sponsor, said.
England said the issue was not on his \u201cbingo card\u201d for the year, but it became necessary to introduce. The bill was approved with little debate.
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The 75-year-old monarch will resume some public duties next week following a three-month break to focus on his treatment and recuperation after he was diagnosed with an undisclosed type of cancer, Buckingham Palace said Friday.
Charles will mark the milestone by visiting a cancer treatment center on Tuesday, the first of several public appearances he will make in the coming weeks, the palace said. One of his first major engagements will be to host a state visit by the emperor and empress of Japan in June.
The palace said the king's doctors are \u201cvery encouraged\u201d by his progress, though it is too early to say how long his treatment will last. It didn't provide details about what type of treatment he is receiving.
Charles will continue to perform all of his state duties, including reviewing government documents and meeting with Prime Minister Rishi Sunak, as he has done since his diagnosis was disclosed on Feb. 5, the palace said.
\u201cAs the first anniversary of the coronation approaches, their majesties remain deeply grateful for the many kindnesses and good wishes they have received from around the world throughout the joys and challenges of the past year,\u2019\u2019 the palace said in a statement.
Charles\u2019 return will relieve pressure on other members of the royal family after the king\u2019s absence, coupled with that of the Princess of Wales, also due to illness, highlighted the challenges faced by a slimmed down monarchy.
Amid the king\u2019s commitment to cut costs and the decision of Duke and Duchess of Sussex \u2014 more commonly known as Prince Harry and Meghan \u2014 to walk away from royal duties, there are simply fewer family members available to carry out the endless round of ribbon cuttings, awards ceremonies and state events that make up the life of a modern royal.
Charles has been largely out of the public eye ever since he had treatment for an enlarged prostate in January. His later cancer diagnosis came as the Princess of Wales \u2014 one of the most popular royals \u2014 underwent abdominal surgery and later announced that she, too, had cancer. Prince William took time off to support his wife and their young family.
That left Queen Camilla, the king\u2019s sister Princess Anne and his younger brother, Prince Edward, to shoulder the load.
Camilla, once shunned by the public for her role in the breakup of Charles\u2019 marriage to Princess Diana, played a particularly prominent role during the king\u2019s absence, standing in for her husband at major events such as the annual Royal Maundy service on the Thursday before Easter.
The return of the king will be a chance for him to reinvigorate his reign, which began in September 2022 amid expectations that he would modernize the monarchy, while reaching out to young people and minority groups to cement the royal family\u2019s role in the 21st century.
Charles' challenges include strengthening ties to the Commonwealth and the 14 independent countries outside the United Kingdom where the British monarch is still head of state, an unwelcome reminder to some people of Britain\u2019s colonial history.
The king's return is significant because it will help quell speculation about his well-being, royal historian George Gross said, citing an adage attributed to Queen Elizabeth II that the monarch needs to be seen to be believed.
\u201cI think there is that feeling that it\u2019s very difficult to have a functioning monarchy with the head of state away for any considerable length of time,'' said Gross, founder of the British Coronations Project at King\u2019s College London. \u201cAnd this felt like a long time.\u201d
Charles' engagements over the coming months will be adapted as needed to minimize any risks to his recovery, the palace said. He won't have a full summer program, and his attendance will be determined closer to the time of each event and with the advice of his doctors.
The summer months are normally a busy period for the royals with major events such as the monarch's birthday parade, known as Trooping the Colour, and the horse races at Royal Ascot.
Critically for the king's safety, most of these showpiece spectacles take place outdoors, lessening the risk of infection for a cancer patient whose immune system may be weakened.
Charles' return will be warmly greeted by the public, partly because he chose to publicize his initial prostate issue and then his cancer diagnosis, spurring many people to consult with their doctors, Gross said.
\u201cThe monarch has seen that he can do good by discussing health and raising the awareness of cancer,\u201d he told The Associated Press. \"I think that that\u2019s at the top end of this. And that\u2019s a very special thing when a head of state can do good. That's immense.\u201d
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He faces an accusation that he incited the protracted walkouts by thousands of medical interns and residents. The office of Lim Hyun-taek, who is to be inaugurated as head of the Korean Medical Association next week, called the raid politically motivated and questioned whether the government is sincere about its offer for dialogue to end the strikes. Police said they sent officers to Lim\u2019s office in Seoul and residence in the southern city of Asan on Friday to confiscate his mobile phone and other unspecified materials.", + "bylines": [ + { + "by": "By HYUNG-JIN KIM", + "title": "Associated Press" + } + ], + "located": "SEOUL, South Korea", + "datelinelocation": { + "city": "Seoul", + "countrycode": "KOR", + "countryname": "South Korea", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + 126.9784, + 37.566 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. 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The development could further dim prospects for an early end to the strikes. The office of Lim Hyun-taek, who is to be inaugurated as head of the Korean Medical Association next week, called the raid politically motivated and questioned whether the government is sincere about its offer for dialogue to end the strikes.
Police said they sent officers to Lim's office in Seoul and residence in the southern city of Asan on Friday to confiscate his mobile phone and other unspecified materials.
Lim is one of five former or incumbent Korean Medical Association officials who have been under police investigation for allegedly inciting and abetting the strikes. In mid-April, two of them had their medical licenses suspended by health authorities.
Lim's office said in a statement that the police raid was \u201ca clear retaliation and political suppression\" of Lim. It said the government should have not orchestrated the raid if it truly wants talks.
More than 10,000 interns and residents at major university hospitals walked off the job in February in protest at the government's plan to increase the country's medical school enrollment quota by 2,000 starting next year, from the current cap of 3,058. Their walkouts have caused numerous cancellations and delays of surgeries and other medical treatment at their hospitals.
In the face of growing public calls to find a compromise to end the strikes, the government said last week it could adjust its plan by allowing universities to determine whether to lower planned admissions by up to 50% next year. This means the number of newly recruited medical students next year could be as low as 1,000
But Lim said doctors want the government to completely scrap the enrollment hike plan, saying they won't allow any increase in the number of students. He also urged the government to fire top officials involved in the formulation of the admissions plan.
Officials say the plan is aimed at adding more doctors because South Korea has one of the world's fastest aging populations and its doctor-to-population ratio is one of the lowest in the developed world.
Doctors say schools aren't ready to handle an abrupt increase in students and that it would ultimately undermine the country\u2019s medical services. They say the government plan would also result in doctors in greater competition performing unnecessary treatments. But critics say those aren't the real reasons behind their protests and that they simply worry the supply of more doctors would lead to lower income for them in the future.
South Korea's current medical student enrollment cap has been unchanged since 2006, with doctors thwarting previous government attempts with vehement protests.
Deepening worries about the medical impasse, senior doctors at the university hospitals where the striking junior doctors worked have threatened to resign in support of the strikes. Their associations recently decided to let senior doctors take a day off every week, citing the overwork caused by the departures of their junior partners.
In a briefing Friday, senior Health Ministry official Jun Byung Wang called the senior doctors' moves \u201cregrettable.\u201d He urged them not to leave their patients, though the government hasn't found any hospitals planning to accept their resignation offers.
", + "textformat": "bx", + "links": [ + { + "href": "https://apnews.com/article/south-korea-doctors-strikes-lim-5fef85834ba6121449bb25e1268d6bae", + "rel": "canonical" + } + ], + "topics": { + "Health": { + "relevance_score": 5, + "reason": "The document discusses a significant event involving the South Korean medical community, specifically the police raid on the office of the incoming head of the Korean Medical Association due to his involvement in inciting strikes by medical interns and residents. The strikes are directly related to health issues, as they involve protests against the government's plan to increase medical school enrollment to address the country's doctor-to-population ratio. The document also covers the impact of the strikes on medical services, including cancellations and delays of surgeries and other treatments, and the broader implications for the healthcare system in South Korea. All these points are highly relevant to the topic of health." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/04/26/621909ba7491abc2af8ad2e33ba3415b.json b/datasets/AP_news/raw_data/2024/04/26/621909ba7491abc2af8ad2e33ba3415b.json new file mode 100644 index 0000000..f68f7d8 --- /dev/null +++ b/datasets/AP_news/raw_data/2024/04/26/621909ba7491abc2af8ad2e33ba3415b.json @@ -0,0 +1,480 @@ +{ + "altids": { + "itemid": "621909ba7491abc2af8ad2e33ba3415b", + "etag": "621909ba7491abc2af8ad2e33ba3415b_10a25aza0c0", + "friendlykey": "487716029886", + "referenceid": "US--Lethal Restraint-Forced Sedation" + }, + "version": 10, + "type": "text", + "urgency": 4, + "profile": "InvestigativeEnterprise", + "language": "en", + "versioncreated": "2024-04-27T10:21:26Z", + "firstcreated": "2024-04-26T10:16:23Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: Eds: Adds additional inline link to ketamine story; Eds: Updates video link; Updates Media.; Eds: Updates to remove links to audio clips, which contain errors.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "US--Lethal Restraint-Forced Sedation", + "headline": "Dozens of deaths reveal risks of injecting sedatives into people restrained by police", + "headline_extended": "An investigation led by The Associated Press has found that the practice of giving sedatives to people detained by police has spread quietly across the nation over the last 15 years, built on questionable science and backed by police-aligned experts", + "slugline": "AP-US--Lethal Restraint-Forced Sedation, 10th Ld-Writethru", + "description_summary": "An investigation led by The Associated Press has found that the practice of giving sedatives to people detained by police has spread quietly across the nation over the last 15 years, built on questionable science and backed by police-aligned experts. 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The 43-year-old was surrounded by police who arrested him after responding to a trespassing call in a Wisconsin parking lot. Officers had shocked him with a Taser and pinned him as he pleaded that he couldn\u2019t breathe. Now he sat on the ground with hands cuffed behind his back and took in oxygen through a mask.
Then, officers moved Jackson to his side so a medic could inject him with a potent knockout drug.
\u201cIt\u2019s just going to calm you down,\u201d an officer assured Jackson. Within minutes, Jackson\u2019s heart stopped. He never regained consciousness and died two weeks later.
Jackson\u2019s 2021 death illustrates an often-hidden way fatal U.S. police encounters end: not with the firing of an officer\u2019s gun but with the silent use of a medical syringe.
The practice of giving sedatives to people detained by police has spread quietly across the nation over the last 15 years, built on questionable science and backed by police-aligned experts, an investigation led by The Associated Press has found. Based on thousands of pages of law enforcement and medical records and videos of dozens of incidents, the investigation shows how a strategy intended to reduce violence and save lives has resulted in some avoidable deaths.
At least 94 people died after they were given sedatives and restrained by police from 2012 through 2021, according to findings by the AP in collaboration with FRONTLINE (PBS) and the Howard Centers for Investigative Journalism. That\u2019s nearly 10% of the more than 1,000 deaths identified during the investigation of people subdued by police in ways that are not supposed to be fatal. About half of the 94 who died were Black, including Jackson.
Behind the racial disparity is a disputed medical condition called excited delirium, which fueled the rise of sedation outside hospitals. Critics say its purported symptoms, including \u201csuperhuman strength\u201d and high pain tolerance, play into racist stereotypes about Black people and lead to biased decisions about who needs sedation.
The use of sedatives in half these incidents has never been reported, as scrutiny typically focuses on the actions of police, not medics. Elijah McClain\u2019s 2019 death in Aurora, Colorado, was a rare exception: Two paramedics were convicted of giving McClain an overdose of ketamine, the same drug given to Jackson. One was sentenced last month to five years in prison and the other was sentenced Friday to 14 months in jail and probation.
It was impossible to determine the role sedatives may have played in each of the 94 deaths, which often involved the use of other potentially dangerous force on people who had taken drugs or consumed alcohol. Medical experts told the AP their impact could be negligible in people who were already dying; the final straw that triggered heart or breathing failure in the medically distressed; or the main cause of death when given in the wrong circumstances or mishandled.
While sedatives were mentioned as a cause or contributing factor in a dozen official death rulings, authorities often didn\u2019t even investigate whether injections were appropriate. Medical officials have traditionally viewed them as mostly benign treatments. Now some say they may be playing a bigger role than previously understood and deserve more scrutiny.
Time and time again, the AP found, agitated people who were held by police facedown, often handcuffed and with officers pushing on their backs, struggled to breathe and tried to get free. Citing combativeness, paramedics administered sedatives, further slowing their breathing. Cardiac and respiratory arrest often occurred within minutes.
Paramedics drugged some people who were not a threat to themselves or others, violating treatment guidelines. Medics often didn\u2019t know whether other drugs or alcohol were in people\u2019s systems, although some combinations cause serious side effects.
Police officers sometimes improperly encouraged paramedics to give shots to suspects they were detaining.
Responders occasionally joked about the medications\u2019 power to knock their subjects out. \u201cNight, night\u201d is heard on videos before deaths in California, Tennessee and Florida.
Emergency medical workers, \"if they aren\u2019t careful, can simply become an extension of the police\u2019s handcuffs, of their weapons, of their nightsticks,\u201d said Claire Zagorski, a former paramedic and an addiction researcher at the University of Texas at Austin.
Supporters say sedatives enable rapid treatment for drug-related behavioral emergencies and psychotic episodes, protect front-line responders from violence and are safely administered thousands of times annually to get people with life-threatening conditions to hospitals. Critics say forced sedation should be strictly limited or banned, arguing the medications, given without consent, are too risky to be administered during police encounters.
Ohio State University professor Dr. Mark DeBard was an important early proponent of sedation, believing it could be used in rare cases when officers encountered extremely agitated people who needed rapid medical treatment. Today, he said he\u2019s frustrated officers still sometimes use excessive force instead of treating those incidents as medical emergencies. He\u2019s also surprised paramedics have given unnecessary injections by overdiagnosing excited delirium.
Others say the premise was flawed, with sedatives and police restraint creating a dangerous mix. The deaths have left a trail of grieving relatives from coast to coast.
\u201cThey\u2019re running around on the streets administering these heavy-duty medications that could be lethal,\u201d said Honey Gutzalenko, a nurse whose husband died after he was injected with midazolam in 2021 while restrained by police near San Francisco. \u201cIt\u2019s just not right.\u201d
Jackson was standing on a truck outside a radio station on the border of the small Wisconsin cities of Eau Claire and Altoona. An employee called 911 before dawn on Oct. 8, 2021, hoping officers could shoo away a stranger who \u201cdoesn\u2019t seem to be a threat, but not normal either.\u201d
Police video and hundreds of pages of law enforcement and medical records show how the incident escalated.
An Altoona police officer met Jackson in the parking lot. Jackson appeared uneasy and paranoid, looking around and talking softly. He had taken methamphetamine, which a psychiatrist said he used to self-medicate for schizophrenia. He\u2019d been in and out of jail and living on the streets, with frequent visits to the emergency room seeking a place to rest.
The officer, joined by a second Altoona officer and a sheriff's deputy, told him he could leave if he gave his name. Jackson refused.
Police identified him through his tattoos, learning he was on probation for meth possession. They noticed the truck had minor damage and decided to arrest him.
Jackson took off running. The officers chased Jackson, who stopped seconds later and staggered toward the first officer. Body-camera video shows she fired her Taser, its darts striking Jackson in the stomach and thigh. He screamed after the electrical shock and collapsed.
When officers couldn\u2019t handcuff Jackson, she fired additional darts, striking Jackson in the back as he lay on the ground. Officers from the Eau Claire Police Department forced Jackson onto his stomach to be handcuffed and restrained him in what\u2019s known as the prone position.
\u201cI\u2019m begging you to stop,\u201d Jackson said. \u201cI can\u2019t breathe.\u201d
After a couple of minutes, officers moved him to his side and then sat him up, trying to improve his breathing.
An officer wondered aloud whether Jackson had \u201cexcited delirium\u201d and asked a colleague if paramedics were \u201cgoing to stand around and do nothing.\u201d He voiced approval when one arrived with ketamine, adding Jackson would not like it \u201cwhen he gets poked.\u201d
The Eau Claire Fire Department\u2019s excited delirium protocol advises, \u201cRapid sedation is the key to de-escalation!!!!!\u201d The medic measured 400 milligrams after estimating the 6-foot-tall Jackson weighed 175 pounds, enough to immobilize someone within minutes. He injected the medicine into Jackson\u2019s buttocks.
Five medical experts who reviewed the case for AP said Jackson\u2019s behavior did not appear to be dangerous enough to justify the intervention.
\u201cI don\u2019t believe he was a candidate for ketamine,\u201d said Connecticut paramedic Peter Canning, who said he supports sedating truly violent patients because they stop fighting and are sleeping by the time they get to the hospital.
Minutes later, Jackson stopped breathing on the way to Sacred Heart Hospital. He\u2019d suffered cardiac arrest and, after he was resuscitated, had no brain function.
Jackson\u2019s mother, Rita Gowens, collapsed while shopping at an Indiana Walmart when she learned her oldest son was hospitalized and not expected to survive.
Gowens rushed to the hospital 500 miles away, where she was told he\u2019d been injected with ketamine. She searched online and was stunned to read it\u2019s used to tranquilize horses.
Gowens spoke to Jackson, held his hand and hoped for a miracle. She eventually agreed to remove him from a ventilator after his condition didn\u2019t improve, singing into his ear as he took his final breaths: \u201cYou\u2019ve never lost a battle, and I know, I know, you never will.\u201d
She still has nightmares about how police and medics treated her son, whom she recalls as a happy boy with chunky cheeks that inspired the nickname \u201cMeatball.\u201d There are few days when she doesn\u2019t ask, \u201cWhy did they give him an animal tranquilizer?\u201d
The practice of using ketamine to subdue people outside hospitals began in 2004 when a disturbed man scaled a fence, cut himself with a broken bottle and paced along a narrow strip of concrete on a Minneapolis highway bridge.
The man was in danger of falling into traffic below when officers reached through the fence and grabbed him.
Dr. John Hick, who worked with first responders, heard the emergency radio chatter while driving and rushed to the scene with an idea. Hick gave the man two shots of ketamine, started an IV and kept him breathing with an air mask.
The man stopped struggling, and responders lowered him to safety.
Paramedics had occasionally used other sedatives to calm combative people since the 1980s. Hick and his Hennepin County Medical Center colleague Dr. Jeffrey Ho believed ketamine worked faster and had fewer side effects, showing promise to avert fatal police encounters.
Ho was a leading researcher on Taser safety and an expert witness for the company in wrongful death lawsuits. In a 2007 deposition in one such case, he argued for a potentially \u201clife-saving tactic\u201d of having sedative injections quickly follow Taser shocks, saying the combination could shorten struggles that, if prolonged, might end in death.
Some doctors at his public hospital in Minneapolis were using \u201csomething called ketamine, which is an analog to LSD,\u201d he said. \u201cIt\u2019s sort of an animal tranquilizer.\u201d
The drug became more common outside the hospital in 2008 when Hennepin County paramedics were given permission to use it.
An American College of Emergency Physicians panel that included Ho said in 2009 that ketamine had shown \u201cexcellent results and safety\u201d while acknowledging no research proved it would save lives.
In time, its use became standard from Las Vegas to Columbus, Ohio, to Palm Beach County, Florida. The earliest death involving ketamine documented in AP\u2019s investigation came in 2015, when 34-year-old Juan Carrizales was injected after struggling with police in the Dallas suburb of Garland, Texas.
Shortly after ketamine became authorized for such use in Arizona in 2017, deputies who were restraining David Cutler facedown in handcuffs in the scorching desert asked a paramedic to sedate him.
The medic testified he was surprised when Cutler stopped breathing, although the dose was larger than recommended for someone weighing 132 pounds. He said he had been trained that ketamine didn\u2019t impact respiration. Cutler\u2019s death was ruled an accident due to heat exposure and LSD \u2014 though that was disputed by experts hired by Cutler\u2019s family, who said heat stroke along with ketamine caused his death.
In Minneapolis, an oversight agency found the use of ketamine during police calls rose dramatically from 2012 through 2017 and body-camera video showed instances of officers appearing to pressure paramedics to use ketamine and joking about its power. The department told officers they could never \u201csuggest or demand\u201d the use of sedation.
Facing criticism, Hennepin Healthcare halted a study examining the effectiveness of ketamine on agitated patients. The Food and Drug Administration later found the research failed to protect vulnerable, intoxicated people who had not given consent.
By 2021, the American College of Emergency Physicians warned ketamine impacted breathing and the heart more than previously believed.
\u201cKetamine is not as benign as we might have hoped it to be,\u201d a co-author of the new position, Dr. Jeffrey Goodloe, said on the group\u2019s podcast in 2022.
He said the practice of giving large doses of ketamine, sometimes too much for smaller patients, had spread nationwide as agencies copied each other\u2019s protocols with little independent review.
But the AP\u2019s findings show risks of sedation go beyond ketamine, which was used in at least 19 cases.
Roughly half of the 94 deaths documented by the AP came after the use of midazolam, which has long been known to heighten the risk of respiratory depression. Many came during police encounters in California, where ketamine is not widely used. Midazolam, a common pre-surgery drug known by the brand name Versed, is also part of a three-drug cocktail used in some states to execute prisoners.
Other cases involved a range of other drugs, including the antipsychotic medications haloperidol and ziprasidone, which can cause irregular heartbeats.
The need for monitoring side effects is often laid out for paramedics in written guidelines, many of which are based on the disputed belief that excited delirium can cause sudden death.
The theory of excited delirium was troubling from the start.
In the 1980s, with cocaine use soaring, Dr. Charles Wetli, a Miami forensic pathologist, coined the term to explain a handful of deaths of violent cocaine users, many of whom had been restrained by police. Wetli, who died in 2020, also blamed excited delirium for the mysterious deaths of more than a dozen Black women. He said cocaine and sexual activity triggered the fatal condition.
The women\u2019s deaths eventually were attributed to a serial killer. Wetli\u2019s theory survived. And over time, symptoms described by Wetli and others \u2014 \u201csuperhuman strength,\u201d animal-like noises and high pain tolerance \u2014 became disproportionately assigned to Black people. The terms spread to police and emergency medical services to describe certain agitated people \u2014 and explain sudden deaths.
By the mid-2000s, police were encountering more drug users and mentally ill people as stimulant use increased and psychiatric hospitals closed. Departments adopted Tasers as a less-lethal alternative to firearms, but there was a problem \u2014 hundreds died after being jolted.
Supporters of Wetli\u2019s research, including the medical examiner in Miami-Dade County, ruled again and again that excited delirium was the cause of these deaths, not the effects of the weapons and other physical force. Executives at Taser\u2019s manufacturer agreed, promoting excited delirium to medical examiners around the country and retaining experts who explained the concept to juries in wrongful death lawsuits.
In 2006, a grand jury that investigated Taser-related deaths in Miami-Dade recommended an untested treatment that it said could save people before they died from excited delirium: squirting midazolam up their noses to cause \u201calmost immediate sedation.\u201d Its report acknowledged they \u201cmay experience difficulty in breathing.\u201d Miami-Dade paramedics adopted this treatment.
But key medical groups didn\u2019t recognize excited delirium, and activists were calling for limits on Taser use. What happened next would help promote sedation alongside Tasers as tools to gain control.
In 2008, the biggest names in excited delirium research gathered at a Las Vegas hotel for a three-day meeting organized by a group with ties to Taser\u2019s manufacturer.
\u201cA lot of talk took place on chemical sedation because the cops didn\u2019t know what to do with these people,\u201d recalled John Peters, president of the Institute for the Prevention of In-Custody Deaths, which sponsored the meeting. \u201cJeff Ho had done some work up in Minnesota. He said, \u2018Look. I\u2019ve been using ketamine. It knocks them out quicker.\u2019\u201d
The timing was fortuitous: The American College of Emergency Physicians would soon form a task force to study excited delirium and how police and medics should respond.
The 19-member panel included Ho, who became Taser\u2019s medical director under an arrangement in which the company paid part of his hospital salary; Dr. Donald Dawes, a Taser research consultant; and University of Miami researcher Deborah Mash, who testified for Taser about several deaths she blamed on excited delirium. At least two other panelists were routinely retained by officers and their departments as expert witnesses.
The panel\u2019s 2009 paper disclosed none of these relationships. It found excited delirium was real, could result in death regardless of whether someone was shocked with a Taser and called for \u201caggressive chemical sedation\u201d to treat the symptoms.
DeBard, the now-retired Ohio doctor who chaired the panel, told AP he recruited relevant experts to join and that disclosure of conflicts wasn\u2019t required by the ER doctors group then. He said Taser didn\u2019t influence the outcome, which reflected the panel's consensus. Mash said she had no conflict because Taser didn\u2019t fund her research. Dawes declined an interview request. Ho didn\u2019t return messages.
Taser rebranded itself in 2017 as Axon. A spokesperson for the company declined interview requests and did not respond to written questions.
Dr. Brooks Walsh, an emergency physician in Connecticut who was not on the panel, said the 2009 paper reinforced racial bias as it formalized \u201cloaded terms\u201d used to describe excited delirium, influencing how the diagnosis would be applied.
Ho and other Taser- and police-aligned experts joined a federally sponsored panel in 2011 that built on the work, recommending four actions on a checklist for officers and paramedics: Identify excited delirium symptoms; control (with a Taser if necessary); sedate; and transport to a hospital.
No test measures for excited delirium, so paramedics faced a judgment call: Which patients were so agitated, strong, impervious to pain and dangerous that they needed to be sedated?
DeBard said the symptoms were based on medical observations, not race. \u201cIf you\u2019ve got somebody that\u2019s delirious, irrational, aggressive, hyperactive, running around naked, I mean, it\u2019s really pretty easy\" to recognize, he said.
Yet, over time, prominent medical groups and some experts pointed to overuse of sedation during police encounters and a disproportionate impact on Black people. Even supporters of the practice have acknowledged that the wrong patients at times have been injected.
The deaths of Black men in police custody, including the 2020 killing of George Floyd, put pressure on the medical community to re-examine excited delirium. The ER doctors group in 2023 withdrew approval of the 2009 paper and said excited delirium shouldn\u2019t be used in court testimony. Some doctors called that decision political and note the group still recognizes a similar condition \u2014 hyperactive delirium with severe agitation \u2014 that can be treated with sedation. But today no major medical association legitimizes excited delirium.
In more than a dozen cases reviewed by AP, police asked for or suggested the use of sedatives, calling into question whether medics were working for law enforcement or in patients\u2019 interests. Officers often suggested their detainees had excited delirium.
University of California, Berkeley, law and bioethics professor Osagie Obasogie, who has studied excited delirium and sedation, said officers should be banned from influencing medical care.
\u201cWe need to be sure that folks are treated in a way that meets their medical needs and not simply given a chemical restraint because it\u2019s convenient for law enforcement,\u201d he said.
Officers are told not to dictate medical treatment but \u201csome knuckleheads\u201d have done otherwise, said Peters, whose group hosted the 2008 Las Vegas meeting that focused on excited delirium.
Paramedics say they make medical decisions independently from police, following guidelines that call for sedating people who may be dangerous. But in several cases AP found, people were injected though they had calmed down or even passed out after struggles with police.
Ivan Gutzalenko, a 47-year-old father, was struggling to breathe as two officers restrained him in Richmond, California. Gutzalenko told the officers they were hurting him, and bucked to try to get one off his back.
A paramedic viewed Gutzalenko\u2019s action as aggression, and went to his ambulance to get a 5-milligram dose of midazolam. When he returned three minutes later, Gutzalenko lay motionless. \u201cHe\u2019s faking like he\u2019s unconscious,\u201d an officer said.
The medic plunged the needle into his bicep. Gutzalenko\u2019s heart stopped. He was declared dead at a hospital. A pathologist testified that midazolam was given to \u201cquiet him down\u201d during an episode of excited delirium but did not contribute to the death, which he blamed on prone restraint and meth use.
His wife said Gutzalenko, a former critical care nurse, would never have consented to receive midazolam that day.
\u201cI know from being a registered nurse since 2004, you don\u2019t administer a sedative to someone who is clearly already in respiratory distress,\u201d she said, adding that his death has been devastating to their two teenage children.
Dr. Gail Van Norman, a University of Washington professor of anesthesiology and pain medicine, said it\u2019s dangerous for officers to put pressure on the backs and necks of detainees before and after they\u2019re injected with sedatives.
\u201cIt\u2019s a recipe for disaster, because you may have created a situation in which you are impeding a person\u2019s ability to get oxygen,\u201d she said.
The AP investigation found half who died following sedation had been shocked with a Taser and the majority had been restrained facedown.
Their blood acid levels may already have been spiking from drugs, adrenaline and pain while oxygen levels may have been plummeting \u2014 life-threatening conditions called acidosis and hypoxia.
Sedatives can dull the instinct to compensate by breathing quickly and heavily to blow off carbon dioxide, essential for the heart to beat, said Dr. Christopher Stephens, a UTHealth Houston anesthesiologist and former paramedic.
Under sedation, he said, the body doesn\u2019t respond as efficiently to the buildup of carbon dioxide. \u201cYour brain doesn\u2019t care as much about it,\u201d Stephens said. \u201cAnd they can go into respiratory and cardiac arrest.\u201d
Paramedics usually have no idea whether their patients have alcohol, opioids or other depressants in their bodies that increase sedatives\u2019 effects on breathing.
More than a dozen who died had been drinking, including Jerica LaCour, 29, a Colorado Springs, Colorado, mother of five young children.
She was stressed about family finances, husband Anthony LaCour recalled, when deputies found her trespassing at a trucking company.
\u201cGuess who gets ketamine?\u201d paramedic Jason Poulson of AMR, the nation\u2019s largest ambulance company, said as LaCour was restrained on a gurney, according to body-camera footage.
An EMT said in a report that she told Poulson that LaCour had calmed and didn\u2019t need ketamine, and later warned that LaCour was no longer breathing. In a disciplinary agreement with state regulators, Poulson admitted he was unsuccessful in protecting LaCour\u2019s airway despite multiple attempts, mishandled the syringe and failed to document the ketamine use properly. His state certification was put on probation.
AMR and Poulson denied responsibility for LaCour\u2019s death in court filings, arguing LaCour was experiencing excited delirium and ketamine was appropriate. This week they settled a long-pending wrongful death lawsuit, LaCour family attorney Daniel Kay said Friday. He said the settlement amount was confidential and the proceeds would help her children. AMR didn\u2019t immediately respond to a request for comment and a man who answered a cellphone number listed for Poulson hung up on a reporter.
When people died, the use of sedation often went unacknowledged publicly and unquestioned by investigators.
After Jackson\u2019s death in Wisconsin, police press releases said nothing about ketamine. State police redacted mention of the drug from investigation records and blurred video of the prone restraint and injection, saying his family\u2019s privacy outweighed the public interest in disclosure.
The fire department, which declined comment, blacked out the information in its incident report. But when AP uploaded the document, redactions disappeared, revealing Jackson was given 400 milligrams of ketamine.
An autopsy concluded Jackson died from complications caused by meth. The report said Jackson\u2019s ketamine dose was 100 milligrams, a quarter of what the fire department report said.
Two longtime forensic pathologists who reviewed the case for AP said meth use wasn\u2019t the only factor. Dr. Joye Carter said she believed the police altercation and ketamine caused the death, saying the sedative can cause heart problems when given to a meth user.
Dr. Victor Weedn said the level of meth in Jackson\u2019s blood was high but generally not lethal. He said Jackson likely died from high blood acid levels, with police restraint and possibly ketamine contributing.
The autopsy was performed in Ramsey County, Minnesota. A county spokesperson defended the findings from a now-retired medical examiner, saying the discrepancy on the ketamine dose wasn\u2019t significant.
Citing the autopsy\u2019s finding that meth was the cause, Eau Claire County District Attorney Peter Rindal ruled Jackson\u2019s case was not an \u201cofficer-involved death\u201d under Wisconsin law and closed the investigation.
In nearly 90% of the deaths examined by AP, coroners and medical examiners did not list sedation as a cause or contributing factor. Some autopsy reports failed to document that the deceased had been sedated.
The most common ruling was an accidental death in which other drugs, often meth or cocaine, were causes or contributing factors. More than a quarter were at least partially attributed to excited delirium.
Medical examiners view sedatives as safe treatments to control patients and wouldn\u2019t question their use unless there was a grievous error, said Dr. James Gill, the chief medical examiner of Connecticut and past president of the National Association of Medical Examiners.
\u201cGenerally we\u2019re going to default then back to what\u2019s the underlying disease or injury that started this chain of events,\u201d Gill said.
He said sedatives rarely cause deaths by themselves but additional studies could look at whether they play a role in fatal police struggles where many factors are involved.
Even when autopsies implicated sedatives, investigations didn\u2019t always follow.
In LaCour\u2019s case, the coroner found she died from \u201crespiratory arrest associated with acute alcohol and ketamine intoxication.\u201d The district attorney\u2019s office said it had no record of reviewing her death.
Nine miles from LaCour\u2019s injection, a paramedic injected 26-year-old Hunter Barr with ketamine as officers held him facedown in the dirt outside his Colorado Springs home in September 2020.
Retired postal worker Mark Barr had called 911 for help controlling his son, who he said wasn\u2019t violent but was having a bad reaction to LSD. He watched as a medic gave two injections just minutes apart. He said he couldn't figure out why the second injection was necessary, saying his son was subdued. Hunter Barr became unconscious on the way to a hospital and died within hours.
The coroner ruled Barr died from the effects of ketamine. The Colorado Springs Police Department closed the case as \u201cnon-criminal\u201d and the DA\u2019s office again had no review.
When deaths were investigated, inquiries usually focused on whether police used excessive force. In audio and video reviewed by AP, investigators seemed uninterested in how sedation may have contributed.
\u201cI\u2019m not trying to get in the weeds with a whole bunch of that,\u201d an investigator told a paramedic explaining the ketamine injection he gave 18-year-old Giovani Berne before Berne\u2019s heart stopped in Palm Bay, Florida, in 2016.
Berne\u2019s sister, Christina, said the family didn\u2019t know he had been given ketamine until contacted by AP years later, but \u201cwe knew something bad happened in the ambulance.\u201d A medical examiner ruled that Berne died of excited delirium.
The death of McClain, 23, in Colorado is the only one that resulted in charges against paramedics. Prosecutors argued Aurora paramedics Jeremy Cooper and Peter Cichuniec didn\u2019t assess McClain, gave him too much ketamine for someone his size and didn\u2019t monitor him afterward.
Their convictions shook the EMS field, whose leaders say treatment mistakes shouldn\u2019t be criminalized. Defense attorneys argued the paramedics followed their training on excited delirium and ketamine. A judge gave Cichuniec five years in prison while Cooper was sentenced Friday to 14 months in jail and probation.
Civil liability is also rare, in part because deaths have multiple causes and some courts have ruled that unwilling injections aren\u2019t excessive force even when they cause harm. That hasn\u2019t stopped families from trying: A number of wrongful death lawsuits involving sedation are pending.
Lawmakers in Colorado banned excited delirium as a justification for using ketamine and put other restrictions on the drug, but changes in the law elsewhere have been few.
Paramedic reformers are working to address the failures that increase the risk of sedatives contributing to deaths.
Paramedic Eric Jaeger helped rewrite New Hampshire\u2019s protocols and, at a fire station in Hooksett, recently used Jackson\u2019s death as a training scenario after evaluating the case for AP. He questioned whether sedation was necessary. He said medics failed to thoroughly evaluate Jackson and should have had monitoring equipment ready before any injection.
He said he had been aware of a handful of deaths but the number found by AP \u201cdramatically increases\u201d the scope.
\u201cIf we don\u2019t change the training, change the protocols, change the leadership to make the system safer,\u201d Jaeger said, \u201cthen we all bear responsibility for future deaths.\u201d
___
Associated Press researcher Rhonda Shafner contributed from New York.
___
The Associated Press receives support from the Public Welfare Foundation for reporting focused on criminal justice. This story also was supported by Columbia University\u2019s Ira A. Lipman Center for Journalism and Civil and Human Rights in conjunction with Arnold Ventures. Also, the AP Health and Science Department receives support from the Howard Hughes Medical Institute\u2019s Science and Educational Media Group. The AP is solely responsible for all content.
___
Contact AP\u2019s global investigative team at Investigative@ap.org or https://www.ap.org/tips/
___ This story is part of an ongoing investigation led by The Associated Press in collaboration with the Howard Center for Investigative Journalism programs and FRONTLINE (PBS). The investigation includes the Lethal Restraint interactive story, database and the documentary, \u201cDocumenting Police Use Of Force,\u201d premiering April 30 on PBS.
\u2014-
This story has been corrected to reflect that Claire Zagorski is a former paramedic instead of a paramedic
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The Daily Herald reports a 911 caller on Wednesday afternoon reported that a 13-month-old baby was not breathing in an apartment in Everett. The Everett Fire Department says firefighters transported the baby to a hospital, where the child later died. Fire officials say the death followed two non-fatal overdoses in the span of five days. Everett police did not release detailed information about the overdoses \u2014 including whether anyone has been arrested or charged with a crime \u2014 because of active investigations. Investigators don\u2019t believe the overdoses are connected.", + "located": "EVERETT, Wash.", + "datelinelocation": { + "city": "Everett", + "countryareacode": "WA", + "countryareaname": "Washington", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -122.20208, + 47.97898 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. 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(AP) \u2014 Officials are sounding alarms after a baby died and two others apparently also overdosed in the past week in separate instances in which fentanyl was left unsecured inside residences, authorities said.
A 911 caller on Wednesday afternoon reported that a 13-month-old baby was not breathing in an apartment in Everett, the Daily Herald reported. The baby died later at a hospital, according to the Everett Fire Department. The Snohomish County Medical Examiner\u2019s Office will determine the baby's official cause and manner of death, officials said.
Last Saturday, firefighters were called to a residence after an 11-month-old was found unresponsive by the parents, a news release from the Everett fire and police departments said. The baby was given the opioid overdose reversal medication naloxone before firefighters arrived and provided further medical care, authorities said. The infant was then taken to a hospital and has since been released.
On Wednesday morning, a 911 caller said a 6-month-old baby was having trouble breathing. Arriving firefighters found the infant unresponsive and administered medical care, including Narcan. The baby as of Thursday was in stable condition at Seattle Children's Hospital, according to the news release.
Investigators don't believe the cases are connected, police said. They didn't release further information, including whether anyone has been arrested, because they said the cases remain under investigation.
\u201cThe City of Everett is deeply concerned about the increasing fentanyl overdoses that involve young children,\u201d the news release said, adding that misuse of opioids and fentanyl is a growing concern in the state and across the U.S.
Fentanyl is an infamously powerful drug that, in powder form, increasingly has been cut into heroin or other drugs. It has been a main driver of the U.S. overdose epidemic in recent years. Children are especially vulnerable to overdosing, as ingesting even small amounts of the opioid's residue can be fatal.
In 2022, state Department of Health data shows Washington saw 38 children under 18 die from an opioid-related overdose \u2014 more than three times as many as in 2019, The Seattle Times reported. All but one were tied to synthetic opioids like fentanyl, according to state Department of Health data.
Drug overdose deaths in the U.S. went up slightly in 2022 after two big jumps during the COVID-19 pandemic, and provisional data for the first nine months of 2023 suggests it inched up again last year.
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Laura Kelly vetoed the proposed ban, and top Republicans anticipated Friday that the GOP-controlled Legislature will attempt to override her action before lawmakers adjourn for the year Tuesday. Supporters said the ban being singled out now for criticism would ensure that a ban can be enforced. But critics contend that it is so broadly written that it is not clear how it applies.", + "bylines": [ + { + "by": "By JOHN HANNA", + "title": "Associated Press" + } + ], + "located": "TOPEKA, Kan.", + "datelinelocation": { + "city": "Topeka", + "countryareacode": "KS", + "countryareaname": "Kansas", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -95.67804, + 39.04833 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. 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(AP) \u2014 A proposed ban in Kansas on gender-affirming care for minors also would bar state employees from promoting it \u2014 or even children's social transitioning.
Teachers and social workers who support LGBTQ+ rights worry that they could be disciplined or fired for helping kids who are exploring their gender identities.
Democratic Gov. Laura Kelly vetoed the proposed ban, and top Republicans anticipated Friday that the GOP-controlled Legislature will attempt to override her action before lawmakers adjourn for the year Tuesday. Their bill appeared to have the two-thirds majorities needed in both chambers to override a veto when it passed last month, but that could depend on all Republicans being present and none of them switching.
Supporters of the bill said the provision now being singled out for criticism is designed to ensure that the banned care \u2014 puberty blockers, hormone treatments and surgery \u2014 isn't still promoted with tax dollars or other state resources.
But compared to the restrictions or bans on gender-affirming care in two dozen other states, the Kansas proposal appears more sweeping because of its broad language against the promotion of social transitioning that applies to state employees \u201cwhose official duties include the care of children,\" LGBTQ+ rights advocates said.
\u201cThat is not something that we have seen before,\" said Omar Gonzalez-Pagan, an attorney for the LGBTQ+ rights group Lambda Legal. \u201cIt really allows us to look behind the curtain at what is the true motivation behind this bill, which has nothing to do with protecting the health and safety of youth and everything to do with attacking transgender people and erasing transgender identity.\u201d
About 300,000 youths ages 13 to 17 identify as transgender in the U.S., according to estimates by the Williams Institute, an LGBTQ+ research center at UCLA Law. It estimates that in Kansas, about 2,100 youths in that age group identify as transgender.
Other provisions of the proposed ban would prevent gender-affirming care from occurring on state property and prohibit groups receiving state funds from advocating medications or surgery to treat a child whose gender identity differs from their sex assigned at birth.
Brittany Jones, an attorney and policy director for the conservative Kansas Family Voice, said courts have consistently ruled that a state \u201chas the right to direct what is being done with its funds.\u201d
\u201cThis does not block any child from socially transitioning, but it cannot be at the behest of a government entity,\u201d she said in an email.
In statehouses across the U.S., Republicans have promoted restrictions on gender-affirming care by portraying it as experimental and the potential source of long-term medical problems.
Backers of the Kansas proposal have repeatedly pointed to the National Health Service of England's recent decision to stop prescribing puberty blockers as a routine treatment for minors seeking gender transitions.
\u201cObviously, we believe in our heart of hearts that they shouldn\u2019t be steering students toward that sort of thing, that they should be looking at all alternative counseling and things of that nature,\u201d said state Sen. Mike Thompson, a conservative Kansas City-area Republican.
Such bans are opposed by major American medical groups, which have firmly endorsed gender-affirming care for minors. At least 200 Kansas medical and mental health professionals signed a letter to lawmakers opposing the proposed ban.
Young transgender Kansas residents have repeatedly said their transitions improved their lives dramatically. Parents of transgender kids have described gender-affirming care as vital to combatting severe depression and suicidal tendencies.
But as troubling as they and others find the loss of access for kids to gender-affirming care, they have focused in recent weeks on the provision against promoting social transitioning as especially scary to them.
\u201cI was taught to uplift students and make them know that I will support them 100 percent, no matter who they are,\u201d Riley Long, a transgender special education teacher, said during a news conference in the Kansas City area. \u201cThis bill makes it seem like it is only OK to listen to my cisgender students, and that my transgender students are automatically incorrect.\u201d
Under the bill, social transitioning includes \u201cthe changing of an individual\u2019s preferred pronouns or manner of dress.\u201d The measure doesn\u2019t spell out what constitutes promoting it.
The Kansas State Department of Education says public school teachers and administrators aren\u2019t legally considered state employees. However, educators who support transgender rights aren\u2019t confident that they wouldn't fall under the ban \u2014 or that opponents of transgender rights wouldn\u2019t attack their jobs regardless.
Isaac Johnson, who is completing a social work degree and just finished an internship in Topeka\u2019s public schools, said problems could arise from interactions like one he had with a girl who told him, \u201cI don\u2019t really feel like a girl. I only feel like a boy.\u201d
\u201cAll I said back in response is, \u2018Well, what does that mean? What does it mean to be a girl?\u2019 \u201d Johnson, who is transgender, told reporters during a Statehouse news conference Thursday. \u201cMy fear is that, per the law, because I didn\u2019t come out explicitly and say, \u2018No, you\u2019re a girl. You\u2019ll always be a girl,\u2019 that will be seen as promoting social transition.\u201d
Transgender Kansas residents and parents of transgender kids also believe they have even more cause to be nervous after Republican lawmakers last year overrode Kelly's veto of a measure that ended the state's legal recognition of transgender people's gender identities. The law's most visible consequence has been to keep transgender people from changing their driver's licenses and birth certificates to reflect their gender identities \u2014 something that wasn't the focus of last year's debate.
Aaron Roberts, the pastor of a United Church of Christ congregation in the Kansas City area, said support from social workers was crucial to his transgender daughter before she joined his family out of foster care. She is now a college student.
\u201cAll the support that she got from those wonderful social workers who went above and beyond to help her navigate her gender identity \u2014 this bill wipes them out,\" he said. \u201cGone.\u201d
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Three of the fatal incidents occurred in Orlando. Others were reported across the state, from Tallahassee to Tampa to West Palm Beach. Two incidents involved drugs administered by Miami-Dade Fire Rescue paramedics.
The deaths were among more than 1,000 that AP\u2019s investigation documented across the United States of people who died after officers used, not their guns, but physical force or weapons such as Tasers that \u2014 like sedatives \u2014 are not meant to kill. Medical officials said police force caused or contributed to about half of all deaths.
It was impossible for the AP to determine the role injections may have played in many of the 94 deaths involving sedation that reporters found nationally during the investigation\u2019s 2012-2021 timeframe. Few of those deaths were attributed to the sedation and authorities rarely investigated whether injections were appropriate, focusing more often on the use of force by police and the other drugs in people\u2019s systems.
The idea behind the injections is to calm people who are combative, often due to drugs or a psychotic episode, so they can be transported to the hospital. Supporters say sedatives enable rapid treatment while protecting front-line responders from violence. Critics argue that the medications, given without consent, can be too risky to be administered during police encounters.
Florida was among the states with the most sedation cases, according to the investigation, which the AP did in collaboration with FRONTLINE (PBS) and the Howard Centers for Investigative Journalism.
The AP investigation found that medical officials in Florida played a key role in promoting the use of sedatives to try to prevent violent police incidents. And, in 2006, a grand jury that investigated the cases of people who had died after they were shocked with Tasers in Miami-Dade County recommended squirting the sedative midazolam, better known by its brand name Versed, up their noses.
Miami-Dade paramedics soon adopted this strategy, despite concerns that the drug could cause respiratory depression. Other emergency medical services agencies in Florida later became early adopters of the sedative ketamine.
The Florida cases involved several sedatives, including ketamine, midazolam and an antipsychotic medication called ziprasidone.
AP\u2019s investigation shows that the risks of sedation during behavioral emergencies go beyond any specific drug, said Eric Jaeger, an emergency medical services educator in New Hampshire who has studied the issue and advocates for additional safety measures and training.
\u201cNow that we have better information, we know that it can present a significant danger regardless of the sedative agent used,\u201d he said.
The drugs were often given as treatments for \u201cexcited delirium,\u201d an agitated condition linked to drug use or mental illness that medical groups have disavowed in recent years. The controversial syndrome traces its roots to Miami in the 1980s.
___ The Associated Press receives support from the Public Welfare Foundation for reporting focused on criminal justice. This story also was supported by Columbia University\u2019s Ira A. Lipman Center for Journalism and Civil and Human Rights in conjunction with Arnold Ventures. Also, the AP Health and Science Department receives support from the Howard Hughes Medical Institute\u2019s Science and Educational Media Group. The AP is solely responsible for all content.
___
Contact AP\u2019s global investigative team at Investigative@ap.org or https://www.ap.org/tips/
___
This story is part of an ongoing investigation led by The Associated Press in collaboration with the Howard Center for Investigative Journalism programs and FRONTLINE (PBS). The investigation includes the Lethal Restraint interactive story, database and the documentary, \u201cDocumenting Police Use Of Force,\u201d premiering April 30 on PBS.
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(AP) \u2014 Mississippi Senate leaders on Friday said for the first time that they are willing to expand Medicaid to the full level allowed under a federal law signed 14 years ago by then-President Barack Obama.
But as part of negotiations with fellow Republicans in the House, key senators also continued to insist that any Medicaid expansion plan include a work requirement for recipients. Georgia is the only state with a similar requirement, and it is suing the federal government to try to keep the mandate in place.
The House has previously voted for an expansion plan that includes a work requirement. However, the House plan also said Medicaid expansion could still happen even if the federal government blocks the work portion.
Mississippi is one of the poorest states in the U.S., and advocates say covering tens of thousands more people with Medicaid \u2014 an insurance program paid by state and federal dollars \u2014 could help them manage chronic health conditions such as asthma and diabetes.
Republican Lt. Gov. Delbert Hosemann said in a statement Friday that he hopes the House and Senate can reach an agreement on Medicaid during the final days of the four-month legislative session.
\u201cWhen people are healthy, they are working, raising their families, and contributing to their communities,\" Hosemann said.
Republican-led Mississippi is among the 10 states that have not expanded Medicaid coverage, largely to people who work low-wage jobs that don\u2019t provide private health insurance. Expansion is an option under the federal Affordable Care Act signed into law by Obama in 2010.
The issue is getting its first serious discussion in the Mississippi Capitol this year because the new House speaker, Republican Jason White, says it is one of his priorities.
Republican Gov. Tate Reeves has said for years that he opposes putting more people on government programs.
The House voted by a wide bipartisan margin in late February to expand Medicaid coverage to about 200,000 people who earn up to 138% of the federal poverty level, or $20,120 annually for one person. Mississippi has about 3 million residents, and its Medicaid program covered 374,823 people in March.
In late March, the Senate passed its own pared-down version that would extend eligibility to people earning up to 100% of the federal poverty level, just over $15,000 for one person. Senate Medicaid Committee Chairman Kevin Blackwell, a Republican from Southaven, said about 80,000 people would become eligible for coverage but he thought about half that number would enroll.
House Medicaid Committee Chairwoman Missy McGee, a Republican from Hattiesburg, offered a compromise Tuesday. It would allow Mississippi to receive the full amount of federal money possible for Medicaid expansion. People earning up to 100% of the federal poverty level would be covered by Medicaid, while those earning between 100% and 138% of the federal poverty level would receive subsidies to buy insurance through a federal health insurance exchange.
The Senate proposal Friday was similar, although it was not immediately clear whether House leaders would accept the Senate's stronger stance on a work requirement. The Senate proposal says if the federal government rejects a work requirement, the Mississippi attorney general must challenge that rejection. It also says expansion would not happen without the work requirement.
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police spread quietly across the nation over the last 15 years, built on questionable science and backed by police-aligned experts, an investigation led by The Associated Press has found.
At least 94 people died after they were given sedatives and restrained by police from 2012 through 2021, according to findings by the AP in collaboration with FRONTLINE (PBS) and the Howard Centers for Investigative Journalism. That\u2019s nearly 10% of the more than 1,000 deaths identified during the investigation of people subdued by police in ways that are not supposed to be fatal.
Supporters say sedatives enable rapid treatment for drug-related behavioral emergencies and psychotic episodes, protect front-line responders from violence and are safely administered thousands of times annually to get people with life-threatening conditions to hospitals. Critics say forced sedation should be strictly limited or banned, arguing the medications, given without consent, are too risky to be administered during police encounters.
The injections spanned the country, from a desert in Arizona to a street in St. Louis to a home in Florida. They happened in big cities such as Dallas, suburbs like Lithonia, Georgia, and rural areas such as Dale, Indiana. They occurred in homes, in parking lots, in ambulances and occasionally in hospitals where police encounters came to a head.
It was impossible to determine the role sedatives may have played in each of the 94 deaths, which often involved the use of other potentially dangerous force on people who had taken drugs or consumed alcohol. Medical experts told the AP their impact could be negligible in people who were already dying; the final straw that triggered heart or breathing failure in the medically distressed; or the main cause of death when given in the wrong circumstances or mishandled.
While sedatives were mentioned as a cause or contributing factor in a dozen official death rulings, authorities often didn\u2019t even investigate whether injections were appropriate. Medical officials have traditionally viewed them as mostly benign treatments. Now some say they may be playing a bigger role than previously understood and deserve more scrutiny.
Here are takeaways from AP\u2019s investigation:
The investigation found that about half those who died after injections were Black.
Behind the racial disparity is a disputed medical condition called excited delirium, which fueled the rise of sedation outside hospitals. Critics say its purported symptoms, including \u201csuperhuman strength\u201d and high pain tolerance, play into racist stereotypes about Black people and lead to biased decisions about who needs sedation.
Guidelines require paramedics to make rapid, subjective assessments of the potential dangers posed by the people they treat. Only those judged to be at high risk of harming themselves or others are supposed to be candidates for shots.
But the investigation found that some whose behavior did not meet the bar \u2014 who had already largely calmed down or in rare cases even passed out \u2014 were given injections. In some cases, paramedics cited fears that people would become violent on the way to hospitals.
The 2019 death of Elijah McClain in Aurora, Colorado, put a spotlight on the practice. A paramedic convicted of giving McClain an overdose of ketamine was sentenced last month to five years in prison, and a second paramedic was sentenced to 14 months in jail and probation Friday.
Time and time again, the AP found, agitated people who were held by police facedown, often handcuffed and with officers pushing on their backs, struggled to breathe and tried to get free. Citing combativeness, paramedics administered sedatives, further slowing their breathing. Cardiac and respiratory arrest often occurred within minutes.
Paramedics drugged people who were not a threat to themselves or others, violating treatment guidelines. Medics often didn\u2019t know whether other drugs or alcohol were in people\u2019s systems, although some combinations cause serious side effects.
Police officers sometimes suggested paramedics should give shots to suspects they were detaining, a potential abuse of their power.
The majority of those who died had been restrained facedown in handcuffs, which can restrict breathing.
Experts say giving sedatives to someone who is already struggling to breathe can create a risk for death, because the drugs slow the respiratory drive. If they are unable to get enough oxygen and blow off enough carbon dioxide, their hearts can stop or they can stop breathing.
The use of sedatives by emergency medical responders outside hospitals spread rapidly over the last two decades based on a now-discredited theory. Law enforcement leaders in the 2000s were concerned by the number of people who were dying after they were shocked with police Tasers and forcibly restrained.
They began promoting a new strategy calling for officers to view encounters with severely agitated people, including those experiencing psychotic episodes or high on drugs, as medical emergencies. Rather than use force to try to gain compliance, officers were encouraged to call emergency medical services to sedate people and transport them to hospitals.
Supporters of this approach promoted a term to describe behavior they said put combative people at risk of sudden death: excited delirium.
The strategy received a boost in 2009 when the American College of Emergency Physicians recognized excited delirium and urged the rapid use of ketamine, midazolam and other drugs to treat it.
EMS agencies quickly adopted excited delirium protocols, though drugs like ketamine had not been thoroughly studied in the field. The paramedics who injected McClain with ketamine said they were following one such policy.
Critics have argued that the concept of excited delirium shifts blame from police in the deaths. The National Association of Medical Examiners and the American College of Emergency Physicians distanced themselves from the concept in 2023.
Deaths involving police often result in news headlines and criminal investigations that focus on the use of force by officers. But the AP investigation found that medical personnel who gave sedatives were often largely ignored.
The use of sedatives in nearly half the deaths has not been previously reported by news outlets. Many reasons explain this lack of attention.
Police narratives omit the use of sedatives due to medical privacy concerns. EMS treatment records are not subject to public records laws. Medical examiners view sedatives as treatments and rarely cite them as contributing factors in deaths. Investigators are unknowledgeable about the role sedatives play and uninterested in diving into the complicated details.
___
Associated Press researcher Rhonda Shafner contributed from New York.
___ The Associated Press receives support from the Public Welfare Foundation for reporting focused on criminal justice. This story also was supported by Columbia University\u2019s Ira A. Lipman Center for Journalism and Civil and Human Rights in conjunction with Arnold Ventures. Also, the AP Health and Science Department receives support from the Howard Hughes Medical Institute\u2019s Science and Educational Media Group. The AP is solely responsible for all content.
___
Contact AP\u2019s global investigative team at Investigative@ap.org or https://www.ap.org/tips/
___ This story is part of an ongoing investigation led by The Associated Press in collaboration with the Howard Center for Investigative Journalism programs and FRONTLINE (PBS). The investigation includes the Lethal Restraint interactive story, database and the documentary, \u201cDocumenting Police Use Of Force,\u201d premiering April 30 on PBS.
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The document does not delve deeply into broader health topics or provide general health information, making it moderately relevant to the topic of health." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/04/26/cad4c3e74d4e562c3040af11e0dcce48.json b/datasets/AP_news/raw_data/2024/04/26/cad4c3e74d4e562c3040af11e0dcce48.json new file mode 100644 index 0000000..43e3da4 --- /dev/null +++ b/datasets/AP_news/raw_data/2024/04/26/cad4c3e74d4e562c3040af11e0dcce48.json @@ -0,0 +1,194 @@ +{ + "altids": { + "itemid": "cad4c3e74d4e562c3040af11e0dcce48", + "etag": "cad4c3e74d4e562c3040af11e0dcce48_1a5aza0c0", + "friendlykey": "360438115829", + "referenceid": "US-MED--Flu Season" + }, + "version": 1, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-04-26T18:58:27Z", + "firstcreated": "2024-04-26T15:38:32Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: Updates Media.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "US-MED--Flu Season", + "headline": "Long flu season winds down in US", + "headline_extended": "The U.S. flu season appears to be over", + "slugline": "AP-US-MED--Flu Season, 1st Ld-Writethru", + "description_summary": "The U.S. flu season appears to be over. 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It was long, but it wasn't unusually severe.
Last week, for the third straight week, medical visits for flu-like illnesses dipped below the threshold for what's counted as an active flu season, the Centers for Disease Control and Prevention said Friday.
Other indicators, like hospitalizations and patient testing, also show low and declining activity. No state is reporting a high amount of flu activity. Only New England is seeing the kind of patient traffic associated with an active flu season right now, but even there flu impact is considered modest.
Since the beginning of October, there have been at least 34 million illnesses, 380,000 hospitalizations and 24,000 deaths from flu, according to CDC estimates. The agency said 148 children have died of flu.
CDC officials called that a \"moderate\" flu season, an assessment shared by other doctors.
Even at the peak, \u201cwe felt strained but never over-capacitated\u201d said Dr. Jay Varkey, infectious disease physician at Atlanta's Emory University Hospital.
\u201cIt felt more like a traditional respiratory virus season than when we had massive upswings of COVID confounding it,\u201d he added.
For much of the season, most illnesses were attributed to a milder flu strain, and one that officials say was well matched to the seasonal flu vaccines. Preliminary data presented in February suggested the vaccines were around 40% effective in preventing adults from getting sick enough from the flu that they had to go to a doctor\u2019s office, clinic or hospital.
COVID-19 illnesses seem to have peaked at around he same time as flu. So too did illnesses caused by another respiratory virus, RSV.
CDC data indicates coronavirus-caused hospitalizations haven\u2019t hit the same levels they did at the same point during the last three winters. Earlier this year, COVID-19 was putting more people in the hospital than flu. But right now the hospitalization rates are about the same, CDC data shows.
Although the season wasn't particularly bad, it was long \u2014 and springtime upticks in flu are always possible.
COVID-19 scrambled the ways health officials track respiratory viruses.
The agency used to count the number of weeks of elevated visits to doctor's office for flu-like symptoms, but COVID-19's flu-like symptoms muddied that up. Now, the agency focuses on the number of weeks that a high percentage of specimens tested positive for flu.
Under the new measure, the 2023-24 flu season was 21 weeks long. Under the previous measure, flu seasons before the COVID-19 pandemic tended to run between 11 and 21 weeks.
___
The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute\u2019s Science and Educational Media Group. The AP is solely responsible for all content.
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This information is highly relevant to the topic of Health as it covers significant aspects of public health and epidemiology." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/04/26/d4f7f2a6f34ae18a7d2f2e045ae53df3.json b/datasets/AP_news/raw_data/2024/04/26/d4f7f2a6f34ae18a7d2f2e045ae53df3.json new file mode 100644 index 0000000..9e01761 --- /dev/null +++ b/datasets/AP_news/raw_data/2024/04/26/d4f7f2a6f34ae18a7d2f2e045ae53df3.json @@ -0,0 +1,236 @@ +{ + "altids": { + "itemid": "d4f7f2a6f34ae18a7d2f2e045ae53df3", + "etag": "d4f7f2a6f34ae18a7d2f2e045ae53df3_0a4aza0c0", + "friendlykey": "349148102275", + "referenceid": "LT--Mexico-Drug Apology" + }, + "version": 0, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-04-26T00:12:31Z", + "firstcreated": "2024-04-26T00:12:30Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: Updates Media.", + "signals": [ + "newscontent" + ], + "title": "LT--Mexico-Drug Apology", + "headline": "Mexico's chief detective apologizes for saying his country is the 'champion' of fentanyl production", + "headline_extended": "The head of Mexico\u2019s detective service has apologized for saying his country is \u201cthe champion\u201d of fentanyl and meth production", + "slugline": "BC-LT--Mexico-Drug Apology", + "description_summary": "The head of Mexico\u2019s detective service has apologized for saying his country is \u201cthe champion\u201d of fentanyl and meth production. The comments Tuesday appeared to contradict past statements by President Andr\u00e9s Manuel L\u00f3pez Obrador, who has denied any fentanyl is produced in Mexico. The office of Felipe de Jesus Gallo, the head of Mexico\u2019s Criminal Investigation Agency, said in a statement Thursday that \u201che used an inadequate word,\u201d but didn\u2019t specify whether the bad word was \u201cchampion.\u201d The comments drew L\u00f3pez Obrador\u2019s ire Thursday. The president has long claimed that Mexican cartels only press it into pills or add finishing touches.", + "located": "MEXICO CITY", + "datelinelocation": { + "city": "Mexico City", + "countrycode": "MEX", + "countryname": "Mexico", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -99.12766, + 19.42847 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. 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The comments Tuesday by Felipe de Jesus Gallo, the head of Mexico\u2019s Criminal Investigation Agency, appeared to contradict past statements by President Andr\u00e9s Manuel L\u00f3pez Obrador, who has denied any fentanyl is produced in Mexico.
Gallo's office cited a report of the comments by The Associated Press, and acknowledged that Gallo \u201cused an inadequate word,\u201d but didn't specify whether the offending word was \u201cchampion.\u201d
\u201cIt is clear that this word, which was reported by AP and a Mexican media outlet, was inadequate,\u201d his office said. \u201cFor that reason, Mr. Gallo publicly apologizes, and explains that his intent, in which he clearly shouldn't have used the word, was to emphasize the long battle that our country has had to carry out against the production, export and shipment of synthetic drugs.\u201d
Gallo's comments at a U.S.-Mexico conference on synthetic drugs in Mexico City Tuesday drew L\u00f3pez Obrador's ire at his daily news briefing Thursday.
The president has long claimed that Mexican cartels only press it into pills or add finishing touches, and he demanded that Gallo's office explain the comments, calling them \u201calarmist.\u201d
Gallo originally said that since the 1990s \u201cMexico has been the champion of methamphetamine production, and now fentanyl.\u201d
Experts agree that cartels in Mexico use precursor chemicals from China and India to make the synthetic opioid and smuggle it into the United States, where it causes about 70,000 overdose deaths annually.
While fentanyl is not widely abused in Mexico, methamphetamine addiction is commonplace.
Gallo said Mexican cartels have launched industrial-scale production of meth in many states throughout the country and now export the drug around the world.
\u201cBelieve me, methamphetamine production has become industrialized, it\u2019s not just in the mountains anymore,\u201d Gallo said. \u201cWe now expect to see (drug) laboratories not just in the mountains of Sinaloa and Sonora, but in Hidalgo as well, Puebla, and also in Jalisco.\u201d
He was apparently referring to thousands of drug labs detected in previous years in the hills and scrublands around Culiacan, the capital of the northern state of Sinaloa. Those clandestine, rural production sites were often bare-bones, improvised labs covered with tree branches and tarpaulins.
Now, the meth trade has become so lucrative and so sophisticated that Mexican meth is exported as far away as Hong Kong or Australia, and the cartels have found ways to avoid detection of their drug money.
There is little question that drug production goes on at a huge scale in Mexico.
In February, Mexico\u2019s Navy seized over 45 tons of methamphetamine at the biggest drug lab found during the current administration. The lab was in Quiriego, a township in a remote part of the northern border state of Sonora.
The 91,000 pounds (41,310 kilograms) of meth found there was more than half of the 162,000 pounds of the drug Mexico has seized so far this year.
Fentanyl production is also huge, though because it is a more potent drug, the volume is smaller.
A year ago, soldiers seized more than a half-million fentanyl pills in Culiacan in what the army at the time described as the largest synthetic drug lab found to date.
Soldiers found almost 630,000 pills that appeared to contain fentanyl, the army said. They also reported seizing 282 pounds (128 kilograms) of powdered fentanyl and about 220 pounds (100 kilograms) of suspected methamphetamine.
", + "textformat": "bx", + "links": [ + { + "href": "https://apnews.com/article/mexico-fentanyl-drugs-production-apology-d4f7f2a6f34ae18a7d2f2e045ae53df3", + "rel": "canonical" + } + ], + "topics": { + "Health": { + "relevance_score": 3, + "reason": "The document primarily discusses the apology of Mexico's chief detective for his comments on fentanyl and methamphetamine production in Mexico. While it touches on the production and trafficking of synthetic drugs, which can have health implications, the focus is more on the political and law enforcement aspects rather than directly on health issues. The document does mention overdose deaths in the U.S. due to fentanyl, but this is not the central theme. Therefore, the document is somewhat relevant to health but not highly focused on it." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/04/26/e4f96a2f237ffbd0f63d979e0bdefd9c.json b/datasets/AP_news/raw_data/2024/04/26/e4f96a2f237ffbd0f63d979e0bdefd9c.json new file mode 100644 index 0000000..ce8f102 --- /dev/null +++ b/datasets/AP_news/raw_data/2024/04/26/e4f96a2f237ffbd0f63d979e0bdefd9c.json @@ -0,0 +1,268 @@ +{ + "altids": { + "itemid": "e4f96a2f237ffbd0f63d979e0bdefd9c", + "etag": "e4f96a2f237ffbd0f63d979e0bdefd9c_2a2aza0c0", + "friendlykey": "771580202352", + "referenceid": "CA--Lethal Restraint-Forced Sedation-California" + }, + "version": 2, + "type": "text", + "urgency": 4, + "profile": "InvestigativeEnterprise", + "language": "en", + "versioncreated": "2024-04-26T20:51:21Z", + "firstcreated": "2024-04-26T10:28:39Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: Eds: updates inline link", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "CA--Lethal Restraint-Forced Sedation-California", + "headline": "At least 16 people died in California after medics injected sedatives during encounters with police", + "headline_extended": "An investigation by The Associated Press has found that at least 16 people died in California over a decade following physical encounters with police during which medical personnel also injected them with a powerful sedative", + "slugline": "AP-CA--Lethal Restraint-Forced Sedation-California, 2nd Ld-Writethru", + "description_summary": "An investigation by The Associated Press has found that at least 16 people died in California over a decade following physical encounters with police during which medical personnel also injected them with a powerful sedative. The deaths happened in the San Francisco Bay Area, Los Angeles, San Diego and cities in Orange and San Bernardino counties. It was impossible for the AP to determine the exact role injections may have played in the deaths, which medical officials typically blame on drug use or other police force. The idea behind sedation is to calm people who are combative so they can be transported to the hospital. Critics say the practice can be too risky.", + "bylines": [ + { + "by": "By RYAN J. FOLEY and CARLA K. JOHNSON", + "title": "Associated Press" + } + ], + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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Several of the deaths happened in the San Francisco Bay Area, including two in recent years involving people restrained by the Richmond Police Department. Other places with cases included Los Angeles, San Diego and cities in Orange and San Bernardino counties.
While the use of the drug ketamine has drawn scrutiny in other states, AP\u2019s investigation found that California paramedics almost always used midazolam, better known by its brand name Versed.
The deaths were among more than 1,000 that AP\u2019s investigation documented across the United States of people who died after officers used not their guns, but physical force or weapons such as Tasers that \u2014 like sedatives \u2014 are not meant to kill. Medical officials said police force caused or contributed to about half of all deaths.
It was impossible for the AP to determine the exact role injections may have played in many of the 94 deaths involving sedation that reporters found nationally during the investigation\u2019s 2012-2021 timeframe. Few of those deaths were attributed to the sedation and authorities rarely investigated whether injections were appropriate, focusing more often on the use of force by police and the other drugs in people\u2019s systems.
The idea behind the injections is to calm people who are combative, often due to drugs or a psychotic episode, so they can be transported to the hospital. Supporters say sedatives enable rapid treatment while protecting front-line responders from violence. Critics argue that the medications, given without consent, can be too risky to be administered during police encounters.
California was among the states with the most sedation cases, according to the investigation, which the AP did in collaboration with FRONTLINE (PBS) and the Howard Centers for Investigative Journalism.
Midazolam was given in 15 of the 16 California cases, all by paramedics outside of a hospital. The drug can cause respiratory depression, a side effect experts say may be dangerous when mixed with police restraint tactics that restrict breathing \u2014 or with alcohol or certain drugs that a person may already have consumed.
The 16th case involved a man injected with a similar class of drug, lorazepam, while police restrained him at a hospital in San Diego.
Two emergency room doctors in San Diego told the AP they have discussed switching to ketamine, which supporters say is safer and works faster than midazolam. But the doctors said negative headlines about ketamine, especially after deaths and misuse in Colorado, stalled that idea.
AP\u2019s investigation shows that the risks of sedation during behavioral emergencies go beyond any specific drug, said Eric Jaeger, an emergency medical services educator in New Hampshire who has studied the issue and advocates for additional safety measures and training.
\u201cNow that we have better information, we know that it can present a significant danger regardless of the sedative agent used,\u201d he said.
Sedatives were often given as treatments for \u201cexcited delirium,\u201d an agitated condition linked to drug use or mental illness that medical groups have disavowed in recent years. California in 2023 became the first state to bar excited delirium as a valid medical diagnosis, including as a cause of death in autopsies.
___ The Associated Press receives support from the Public Welfare Foundation for reporting focused on criminal justice. This story also was supported by Columbia University\u2019s Ira A. Lipman Center for Journalism and Civil and Human Rights in conjunction with Arnold Ventures. Also, the AP Health and Science Department receives support from the Howard Hughes Medical Institute\u2019s Science and Educational Media Group. The AP is solely responsible for all content.
___
Contact AP\u2019s global investigative team at Investigative@ap.org or https://www.ap.org/tips/
___
This story is part of an ongoing investigation led by The Associated Press in collaboration with the Howard Center for Investigative Journalism programs and FRONTLINE (PBS). The investigation includes the Lethal Restraint interactive story, database and the documentary, \u201cDocumenting Police Use Of Force,\u201d premiering April 30 on PBS.
", + "textformat": "bx", + "links": [ + { + "href": "https://apnews.com/article/california-lethal-restraint-police-sedation-injections-midazolam-e4f96a2f237ffbd0f63d979e0bdefd9c", + "rel": "canonical" + } + ], + "topics": { + "Health": { + "relevance_score": 4, + "reason": "The document discusses the deaths of individuals in California following encounters with police where sedatives were administered by medical personnel. It delves into the use of specific drugs like midazolam and lorazepam, their effects, and the associated risks, particularly in the context of police restraint. While the primary focus is on the intersection of law enforcement and medical intervention, the document provides significant information on the health implications of sedative use, the risks involved, and the medical community's response to these practices. Therefore, it is relevant to the topic of health, though it is not exclusively focused on health issues but rather on a specific aspect of health within a broader investigative context." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/04/26/e9a28fb0ac70fcb0ad8e106c42d4c951.json b/datasets/AP_news/raw_data/2024/04/26/e9a28fb0ac70fcb0ad8e106c42d4c951.json new file mode 100644 index 0000000..04528be --- /dev/null +++ b/datasets/AP_news/raw_data/2024/04/26/e9a28fb0ac70fcb0ad8e106c42d4c951.json @@ -0,0 +1,317 @@ +{ + "altids": { + "itemid": "e9a28fb0ac70fcb0ad8e106c42d4c951", + "etag": "e9a28fb0ac70fcb0ad8e106c42d4c951_5a12aza0c0", + "friendlykey": "484692372552", + "referenceid": "US-MED--Menthol Cigarettes" + }, + "version": 5, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-04-27T02:04:14Z", + "firstcreated": "2024-04-26T18:57:24Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: Updates with context on tobacco companies advertising to Black communities. ; Updates Media.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "US-MED--Menthol Cigarettes", + "headline": "Biden officials indefinitely postpone ban on menthol cigarettes amid election-year pushback", + "headline_extended": "President Joe Biden\u2019s administration is again delaying a sweeping plan to ban menthol cigarettes", + "slugline": "BC-US-MED--Menthol Cigarettes, 5th Ld-Writethru", + "description_summary": "President Joe Biden\u2019s administration is again delaying a sweeping plan to ban menthol cigarettes. Anti-smoking advocates are upset about the delay, but the decision could avoid angering Black voters ahead of November elections. Biden\u2019s top health official said Friday the administration would take more time to consider feedback on the ban, including from civil rights leaders. The announcement is another setback for the health officials at the Food and Drug Administration. They drafted the ban and predicted it would prevent hundreds of thousands of smoking-related deaths. But White House officials have delayed finalizing the ban several times.", + "bylines": [ + { + "by": "By MATTHEW PERRONE and ZEKE MILLER", + "title": "Associated Press" + } + ], + "located": "WASHINGTON", + "datelinelocation": { + "city": "Washington", + "countryareacode": "DC", + "countryareaname": "District of Columbia", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -77.03637, + 38.89511 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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In a statement Friday, Biden\u2019s top health official gave no timeline for issuing the rule, saying only that the administration would take more time to consider feedback, including from civil rights groups.
\u201cIt\u2019s clear that there are still more conversations to have, and that will take significantly more time,\u201d Health and Human Services Secretary Xavier Becerra said in a statement.
The White House has held dozens of meetings in recent months with groups opposing the ban, including civil rights organizers, law enforcement officials and small business owners. Most of groups have financial ties to tobacco companies.
The announcement is another setback for Food and Drug Administration officials, who drafted the ban and predicted it would prevent hundreds of thousands of smoking-related deaths over 40 years. The agency has worked toward banning menthol across multiple administrations without ever finalizing a rule.
\u201cThis decision prioritizes politics over lives, especially Black lives,\u201d said Yolonda Richardson of the Campaign for Tobacco-Free Kids, in an emailed statement. \u201cIt is especially disturbing to see the administration parrot the false claims of the tobacco industry about support from the civil rights community.\u201d
Richardson noted that the ban is supported by groups including the NAACP and the Congressional Black Caucus.
Previous FDA efforts on menthol have been derailed by tobacco industry pushback or competing political priorities. With both Biden and former President Donald Trump vying for the support of Black voters, the ban's potential impact has been scrutinized by Republicans and Democrats heading into the fall election.
Anti-smoking advocates have been pushing the FDA to eliminate the flavor since the agency gained authority to regulate certain tobacco ingredients in 2009. Menthol is the only cigarette flavor that wasn\u2019t banned under that law, a carveout negotiated by industry allies in Congress. But the law instructed the FDA to continue studying the issue.
More than 11% of U.S. adults smoke, with rates roughly even between white and Black people. But about 80% of Black smokers smoke menthol, which the FDA says masks the harshness of smoking, making it easier to start and harder to quit. Also, most teenagers who smoke cigarettes prefer menthols.
For decades, tobacco companies focused menthol advertising and promotions in Black communities, sponsoring music festivals and neighborhood events. Industry documents released via litigation also show companies viewed menthol cigarettes as a good \u201cstarter product\u201d because they were more palatable to teens.
The FDA released its draft of the proposed ban in 2022. Officials under Biden initially targeted last August to finalize the rule. Late last year, White House officials said they would take until March to review the measure. When that deadline passed last month, several anti-smoking groups filed a lawsuit to force its release.
\u201cWe are disappointed with the action of the Biden administration, which has caved in to the scare tactics of the tobacco industry,\u201d said Dr. Mark Mitchell of the National Medical Association, an African American physician group that is suing the administration.
Separately, Rev. Al Sharpton and other civil rights leaders have warned that a menthol ban would create an illegal market for the cigarettes in Black communities and invite more confrontations with police.
The FDA and health advocates have long rejected such concerns, noting FDA\u2019s enforcement of the rule would only apply to companies that make or sell cigarettes, not to individuals.
An FDA spokesperson said Friday the agency is still committed to banning menthol cigarettes.
\u201cAs we\u2019ve made clear, these product standards remain at the top of our priorities,\u201d Jim McKinney said in a statement.
Smoking can cause cancer, strokes and heart attacks and is blamed for 480,000 deaths each year in the U.S., including 45,000 among Black Americans.
___
The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute\u2019s Science and Educational Media Group. The AP is solely responsible for all content.
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During committee testimony earlier this year, opponents of the medical marijuana proposal pointed to Oklahoma officials\u2019 frustration with legalization there in 2018.", + "bylines": [ + { + "by": "By JOHN HANNA and SEAN MURPHY", + "title": "Associated Press" + } + ], + "located": "TOPEKA, Kan.", + "datelinelocation": { + "city": "Topeka", + "countryareacode": "KS", + "countryareaname": "Kansas", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -95.67804, + 39.04833 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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(AP) \u2014 Kansas will remain among the handful of states that haven't legalized the medical use of marijuana or expanded their Medicaid programs for at least another year.
Republican state senators on Friday blocked efforts to force debates on both issues before the GOP-controlled Legislature's scheduled adjournment for the year Tuesday. Supporters of each measure fell short of the 24 of 40 votes required to pull a bill on each subject out of committee.
Backers of both proposals argue that they have popular support yet have been thwarted going on a decade in each case. Kansas doesn't allow voters to put proposed laws on the ballot statewide, a path that has led to approval for each measure in other states.
All but 12 states have legalized medical marijuana, and all but 10 have expanded Medicaid in line with the 2010 federal Affordable Care Act and its promise to cover almost all of the cost. Besides Kansas, only Georgia, Tennessee, Texas, Wisconsin and Wyoming have done neither, according to the National Conference of State Legislatures.
\u201cWe're behind the times,\u201d state Sen. John Doll, a western Kansas Republican who voted for both measures, said after Friday's votes.
Republican leaders had expected both efforts to fail, given the GOP's 29-11 Senate majority, and viewed them largely as political grandstanding.
The medical marijuana vote was 12-25, with three senators absent. Law enforcement officials oppose the idea, seeing medical marijuana as likely to be close to legalizing recreational use.
During committee testimony earlier this year, opponents also pointed to Oklahoma officials' frustration with the legalization of medical marijuana by ballot initiative there in 2018. Oklahoma Attorney General Gentner Drummond, a Republican, has said the explosive growth of the marijuana industry under a lax law has attracted an influx of criminals and foreign nationals for illegal black-market operations.
\"We had no idea we were going to have 10,000 growers, way more than they have in California and all these other states, and anybody with a hangnail could get a medical card,\" Republican Gov. Kevin Stitt said.
But Oklahoma also received nearly $52 million in revenue from its excise tax on marijuana and an additional $67 million in state and local sales taxes in 2023.
Cheryl Kumberg, a registered western Kansas nurse and president of the Kansas Cannabis Coalition, said Oklahoma's problems stem from its lax law. She said Kansas residents who can get cannabis from other states are using it, risking legal issues to address their medical problems.
\u201cIt\u2019s ridiculous,\u201d she said. \u201cI can go 45 minutes one way, a couple hours in the other direction, and you can just you can just use it however you want.\u201d
Democratic Gov. Laura Kelly even linked medical marijuana to Medicaid expansion in 2021, unsuccessfully pitching marijuana taxes to cover the state's relatively small share of the cost of expanding Medicaid health coverage to another 150,000 people.
The Medicaid expansion vote Friday was 18-17 despite months of aggressive public campaigning by Kelly and other expansion advocates. In early January, she said she was taking a \u201cmore political approach\u201d and suggested plans to hit anti-expansion Republicans hard during the fall campaign.
She backed off that idea this month, telling reporters after one pro-expansion event, \u201cWhether it's an election year or not \u2014 that's irrelevant.\u201d
But last year, Kelly formed the Middle of the Road political action committee, and it raised nearly $1 million by the end December for elections this year for all legislative seats.
Also last year, two former Kelly campaign aides helped form a nonprofit advocacy group, the Kansas Coalition for Common Sense, to back the governor's goals. That group put out a post-vote statement suggesting that a no vote was a vote against lowering health care costs and helping rural hospitals.
But Senate President Ty Masterson, a Wichita-area Republican, said before the vote that he wasn't expecting Medicaid expansion to become a major campaign issue. He dismissed surveys and polling that expansion supporters released showing its popularity as \u201cjust based on how the question is asked.\u201d
\"If you ask them, 'Do you want able-bodied people to get free health care?\u201d people will vote no,\" Masterson said, repeating a common GOP argument.
___
Murphy reported from Oklahoma City.
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This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. For other uses, additional clearances may be required." + ], + "keywords": [ + "canada british columbia public drug use" + ], + "provider": "AP", + "infosource": [ + { + "name": "AP", + "type": "AP" + } + ], + "subject": [ + { + "rels": [ + "category" + ], + "creator": "Editorial", + "code": "i", + "name": "i" + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "fb629770cf154f91964e1789d2dd836e", + "name": "Opioids", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 43 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "6e2e052049fd457f841be9023fe385c5", + "name": "Drug crimes", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 81 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "936045008844100486a2a28878d48e09", + "name": "Addiction and treatment", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 73 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "86aad5207dac100488ecba7fa5283c3e", + "name": "Politics", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 65 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "bb2d2c5f441a452cb24bb511a2ab5eea", + "name": "World news", + "creator": "Editorial", + "editorial_subject": "World news", + "rels": [ + "direct" + ], + "relevance": 99 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "f25af2d07e4e100484f5df092526b43e", + "name": "General news", + "creator": "Editorial", + "editorial_subject": "General news", + "rels": [ + "direct" + ], + "relevance": 50 + } + ], + "place": [ + { + "scheme": "http://cv.ap.org/id/", + "code": "c5a0dbf082f010048d9ddf092526b43e", + "name": "Vancouver", + "creator": "Machine", + "rels": [ + "direct" + ], + "parentids": [ + "b945c20882f010048d94df092526b43e" + ], + "locationtype": { + "code": "9d26a20b35f0484a891740f8189d4c7b", + "name": "City" + }, + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -123.11934, + 49.24966 + ] + }, + "relevance": 59, + "parentnames": [ + "British Columbia" + ] + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "b945c20882f010048d94df092526b43e", + "name": "British Columbia", + "creator": "Machine", + "rels": [ + "direct" + ], + "parentids": [ + "661e48387d5b1004828fc076b8e3055c" + ], + "locationtype": { + "code": "84828d1850104a78bb35f5726b8c49aa", + "name": "Province" + }, + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -125.0032, + 53.99983 + ] + }, + "relevance": 92, + "parentnames": [ + "Canada" + ] + } + ], + "audiences": [ + { + "code": "82c6a4c46fa0446090a7acaf93159e4c", + "name": "Print", + "type": "AUDPLATFORM" + }, + { + "code": "9add4649b53b4702ba7d9de5d4fa607a", + "name": "Online", + "type": "AUDPLATFORM" + }, + { + "code": "f4ecf9b0760d10048044e6e7a0f4673e", + "name": "International", + "type": "AUDSCOPE" + }, + { + "code": "f43adc08760d10048040e6e7a0f4673e", + "name": "National", + "type": "AUDSCOPE" + }, + { + "code": "661850e07d5b100481f5c076b8e3055c", + "name": "Latin America and Caribbean", + "type": "AUDGEOGRAPHY" + }, + { + "code": "661e48387d5b10048291c076b8e3055c", + "name": "United States", + "type": "AUDGEOGRAPHY" + } + ], + "body_nitf": "VANCOUVER, British Columbia (AP) \u2014 The government of the Canadian province of British Columbia is making changes to its drug decriminalization policy to stop drug use in public places.
Premier David Eby told a news conference Friday the province is asking the federal government to make illicit drug use illegal in all public spaces, including inside hospitals, on transit and in parks.
Eby said the government still believes \u201caddiction is a health issue. It\u2019s not a criminal laws issue.\"
\u201cBut the compassion for people who are struggling does not mean anything goes,\u201d he said.
Possession of small amounts of opioids, cocaine, methamphetamine and MDMA, also called ecstasy, was decriminalized in B.C. last January after the federal government issued an exemption to the province to try to stem the overdose death toll.
The program was possible through an exemption granted by Health Canada under the Controlled Drugs and Substances Act which allowed for open drug use in some public spaces.
More than 14,000 people have died in B.C. since the government declared a public health emergency in April 2016 due to illicit opioid overdoses.
The government faced repeated criticisms about the decriminalization polices from local politicians, health workers and police about open drug use in public spaces.
The province tried to make drug use illegal in public places with its own legislation, but a B.C. Supreme Court judge put in place an injunction preventing that. Eby said they\u2019ve now asked for the same changes from Health Canada.
Under the proposed changes, police will have the power to ask a person to leave an area, seize drugs \u201cwhen necessary\u201d or arrest a person if required.
Drug use will still be allowed in a private residence or place where someone is legally sheltering, or at overdose prevention sites and drug checking locations.
Fiona Wilson, the Vancouver Police Department\u2019s deputy chief, said businesses, families and individuals have expressed concerns about public drug use.
\u201cWe remain committed to a compassionate and health led approach that supports people living with substance use disorder while also addressing the very real concerns in our communities related to problematic drug use,\" said.
Dana Larsen, a Vancouver drug activist, said there needs to be more safe places for people to do drugs.
\u201cI understand people\u2019s concerns,\u201d said Larsen. \u201cTo me the solution is to create safe, legal spaces where you are allowed to do it.\"
Brittany Graham, executive director of the Vancouver Area Network of Drug Users (VANDU) said the changes would adversely affect people on low income.
\u201cWhat would have been more beneficial is building more housing, having more shelters, having more overdose prevention services, as well of having a plan for uncontaminated drugs in this province,\u201d she said.
Eby was asked if the changes will stand up to court scrutiny.
\u201cWe believe we have the authority to regulate provincially,\u201d he said. \u201cWe believe the federal government had the authority. Well defend that if this does happen.\u201d
Eby expects drug decriminalization will be an issue in the Oct. 19 provincial election.
Oregon, the first U.S. state to decriminalize illicit drugs, recently reversed course and reinstated criminal penalties for use and possession.
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The document is highly relevant to the topic of health as it addresses addiction as a health issue, public health emergencies, and the need for health-led approaches to substance use disorders." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/04/27/6bee6a649729d193e9a52004075f4583.json b/datasets/AP_news/raw_data/2024/04/27/6bee6a649729d193e9a52004075f4583.json new file mode 100644 index 0000000..dd04ec4 --- /dev/null +++ b/datasets/AP_news/raw_data/2024/04/27/6bee6a649729d193e9a52004075f4583.json @@ -0,0 +1,332 @@ +{ + "altids": { + "itemid": "6bee6a649729d193e9a52004075f4583", + "etag": "6bee6a649729d193e9a52004075f4583_0a10aza0c0", + "friendlykey": "809842149909", + "referenceid": "REL-Mexico-Election-Abortion-Explainer" + }, + "version": 0, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-04-27T12:45:16Z", + "firstcreated": "2024-04-27T12:45:15Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: Updates Media.", + "signals": [ + "newscontent" + ], + "title": "REL-Mexico-Election-Abortion-Explainer", + "headline": "A woman might win the presidency of Mexico. What could that mean for abortion rights?", + "headline_extended": "If a woman wins Mexico\u2019s presidency during the June 2 elections, would she rule with gender in mind", + "slugline": "BC-REL-Mexico-Election-Abortion-Explainer", + "description_summary": "If a woman wins Mexico\u2019s presidency during the June 2 elections, would she rule with gender in mind? The question has been raised ahead of the voting that will likely elect Mexico\u2019s first female president for the term 2024-2030. Out of three candidates, the frontrunner is Claudia Sheinbaum, from the ruling party. Next comes opposition candidate X\u00f3chitl G\u00e1lvez. Neither, though, has shared specific proposals on abortion or LGBTQ+ rights in a country of more than 98 million Catholics. Twelve of Mexico\u2019s 32 states have decriminalized abortion. 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The question has been raised by academics, humans rights organizations and activists ahead of the voting that will likely elect Mexico\u2019s first female president for the term 2024-2030.
Out of three candidates, the frontrunner is Claudia Sheinbaum, who has promised to keep President Andr\u00e9s Manuel L\u00f3pez Obrador's legacy on track. Next comes X\u00f3chitl G\u00e1lvez, representing several opposition parties, one of which is historically conservative.
The triumph of Sheinbaum or G\u00e1lvez, however, would not guarantee their support for certain gender-related policies.
In a country of more than 98 million Catholics, neither of the two leading candidates has shared specific proposals on abortion. Both have suggested equality and protection measures for women amid a wave of violence and femicide.
Here\u2019s a look at some of the challenges that Mexico\u2019s next president would face regarding abortion and LGBTQ+ rights.
Twelve of Mexico\u2019s 32 states have decriminalized abortion, most of them in the past five years. One more will join them after its legislature complies with a recent court's ruling, demanding a reform in its penal code.
A few more states allow abortion if the mother\u2019s life is in danger, and it is legal nationwide if the pregnancy is the result of rape.
Mexico\u2019s Supreme Court ruled in 2023 that national laws prohibiting abortions are unconstitutional and violate women\u2019s rights. The ruling, which extended Latin America\u2019s trend of widening abortion access, happened a year after the U.S. Supreme Court went in the opposite direction, overturning the 1973 ruling that established a nationwide right to abortion.
Although the Mexican ruling orders the removal of abortion from the federal penal code and requires federal health institutions to offer the procedure to anyone who requests it, further state-by-state legal work is pending to remove all penalties.
In most of the states where it has been decriminalized, abortion-rights activists say they face persistent challenges in trying to make abortion safe, accessible and government-funded.
To address restrictions and bans, dozens of volunteers \u2014 known as \u201cacompa\u00f1antes\u201d \u2014 have developed a nationwide network to share information on self-managed medication abortions following guidelines established by the World Health Organization.
Whoever wins, the next president would not directly affect abortion legislation, since each state has autonomy over its penal code.
However, the president could indeed have an impact as a moral authority among the members of his or her party, said Ninde Molina, lawyer at Abortistas MX, an organization specializing in abortion litigation strategies.
\u201cMuch of the governors\u2019 behavior emulates what the president does,\u201d Molina said.
She among the activists who worry that neither Sheinbaum nor Galvez have shared specific proposals addressing abortion, LGBTQ+ rights and the protection of migrants.
\u201cSuch lukewarm proposals send the message that these are not fundamental rights,\u201d Molina said.
And though she wouldn\u2019t immediately worry about a setback on abortion policy, the scenario would change if L\u00f3pez Obrador or Sheinbaum manage to get the approval of a judiciary reform aiming to replace the current judges with new ones elected by popular vote.
\u201cThe court is also in danger,\u201d Molina said. \u201cPeople may find this (electing the judges) attractive, but they don\u2019t realize what it entails.\u201d
If, for example, an abortion case reaches the Supreme Court and its current composition has changed, then a setback could indeed happen, Molina said.
Isaac Alonso, from Viva M\u00e9xico Movement, which supported right-wing activist Eduardo Ver\u00e1stegui\u2019 s presidential aspirations, thinks that neither Sheinbaum nor G\u00e1lvez represent Mexico\u2019s conservative interests.
In his ranks, he said, no one is in favor of criminalizing women who have abortions. But since they firmly believe that abortion is unjustifiable, they would hope for government policies that encourage births through improvements in the adoption system.
Rodrigo Iv\u00e1n Cort\u00e9s, director of the National Family Front, an anti-abortion group, said the current administration could not be considered an ally. \u201cBefore 2018, abortion had only been approved in Mexico City,\u201d he said.
\u201cIt is very relevant to say how the Supreme Court, under the leadership of Arturo Sald\u00edvar, had an ideological bias,\u201d said Cort\u00e9s about a judge who currently advises Sheinbaum.
Still, he said, despite who wins the elections, his organization will continue \u201cto take care of the first and fundamental of rights: life.\u201d
\u201cJust because a woman wins does not guarantee a gender perspective at all,\u201d said Pauline Capdevielle, an academic from the National Autonomous University of Mexico.
\u201cIn fact, what we are seeing are strategies by conservative sectors to create a fa\u00e7ade of feminism that opposes the feminist tradition.\u201d
A true change, Capdevielle said, would start by integrating feminists into the government.
\u201cIt is not about putting women where there were none, but about politicizing these issues and really promoting a transformation.\u201d
Some feminists have shown support for Sheinbaum, but both she and L\u00f3pez Obrador have also received criticism for their lack of empathy towards women who protest against gender violence.
Amnesty International and other organizations have denounced excessive use of force against women during International Women\u2019s Day protests and say that Mexican women\u2019s right to protest has been stigmatized.
According to Capdevielle, some of the issues that need to be addressed in Mexico\u2019s gender agenda are reproductive justice and women\u2019s participation in political processes.
\u201cThe right to get an abortion must be consolidated,\u201d she said. \u201cIt is far from being a reality for all women.\u201d
Comprehensive sexual education, access to contraceptives and the rights of the LGBTQ+ community should be prioritized as well, Capdevielle said.
\u201cThe needs of this community are not likely to figure prominently in Mexico\u2019s presidential elections,\u201d said Cristian Gonz\u00e1lez Cabrera, senior researcher at Human Rights Watch.
Gay and transgender populations are regularly attacked and killed in Mexico, a nation marked by its \u201cmacho\u201d culture and highly religious population. Human rights organization Letra S documented more than 500 homicides of LGBTQ+ people in the last six years, 58 of them in 2023.
The latest deaths came in 2024, with the murder of three members of the transgender community. This group, along with migrants, are particularly vulnerable to attacks, Gonzalez Cabrera said.
\u201cLGBT migrants continue to suffer abuse from criminal groups and Mexican officials,\u201d he said. \u201cToo often, these human rights violations are not effectively investigated or punished.\u201d
Sheinbaum said in 2023 that, as Mexico City\u2019s mayor, she created a special unit for trans people and said that her dream would be to continue fighting on behalf of sexual diversity, but did not go into specifics.
As for G\u00e1lvez, she showed support for women \u201cfrom the sexual diversity,\u201d but also did not delve into specifics.
Gonz\u00e1lez Cabrera highlights that since 2022 all Mexican states recognize same-sex marriage, but some LGBTQ+ rights are not yet guaranteed nationwide.
\u201cThere are 11 states where the legal recognition of gender identity for trans people is not possible through administrative means, despite a Supreme Court\u2019s ruling recognizing this right,\u201d he said.
For there to be an agenda in favor of the LGBTQ+ population, Gonz\u00e1lez Cabrera said, a government should approach the communities\u2019 organizations to learn about their needs, allocate resources to address violence based on sexual orientation and gender identity, support LGBTQ+ migrants and encourage local governments to align their legislation with the court\u2019s rulings on their rights.
____
Associated Press religion coverage receives support through the AP\u2019s collaboration with The Conversation US, with funding from Lilly Endowment Inc. The AP is solely responsible for this content.
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(AP) \u2014 Three women who were diagnosed with HIV after getting \u201cvampire facial\u201d procedures at an unlicensed New Mexico medical spa are believed to be the first documented cases of people contracting the virus through a cosmetic procedure using needles, federal health officials said.
The Centers for Disease Control and Prevention said in its Morbidity and Mortality Report last week that an investigation into the clinic from 2018 through 2023 showed it apparently reused disposable equipment intended for one-time use.
Although HIV transmission from contaminated blood through unsterile injection is a well-known risk, the report said this is the first documentation of probable infections involving cosmetic services.
Many popular cosmetic treatments are delivered with needles, such as Botox to iron out wrinkles and fillers to plump lips. A \u201cvampire facial,\u201d or platelet-rich plasma microneedling procedure, involves drawing a client's own blood, separating its components, then using tiny needles to inject plasma into the face to rejuvenate the skin. Tattoos also require needles.
The New Mexico Department of Health began investigating the spa in the summer of 2018 after it was notified that a woman in her 40s had tested positive for HIV even though she had no known risk factors. The woman reported exposure to needles through the procedure at the clinic that spring.
The spa closed in fall 2018 after the investigation was launched, and its owner was prosecuted for practicing medicine without a license.
The report said the investigation showed how important it is to require infection control practices at businesses that offer cosmetic procedures involving needles.
It also noted that the investigation was slowed by poor record keeping and said businesses providing such services should keep better records in case clients need to be contacted later.
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The family, stationed in Honolulu, spends more than $120 a month on jugs of bottled water for drinking, cooking and cleaning, as well as showerhead and sink filters. Each night the children, ages 13 and 5, carry cups of bottled water upstairs to their bathrooms to brush their teeth.
\u201cI hope that one day I can not think about water all the time,\u201d Dietz said. \u201cBut right now it\u2019s a constant.\u201d
That vigilance is to avoid more vomiting, diarrhea, rashes and other ailments, which they said they started experiencing 2021, when jet fuel leaked into the Navy water system serving 93,000 people on and around the Pearl Harbor base. It sickened thousands in military housing, including, Dietz says, her own family.
She's one of 17 relatives of U.S. military members suing the United States over the leak from the World War II-era storage tanks. She said her entire family \u2014 including dog Rocket \u2014 continues to suffer from health problems they link to the tainted water. Her husband declined to be interviewed by The Associated Press because he fears retaliation from the Navy.
The 17 are considered \u201cbellwether\u201d plaintiffs representing more than 7,500 other military family members, civilians and service members in three federal lawsuits. The outcome of their trial, which starts Monday, will help determine the success of the other cases and the damages that could be awarded.
Kristina Baehr, one of their attorneys, said she already considers it a success because the U.S. government has admitted liability.
U.S. Department of Justice attorneys wrote in court documents that the government admits the Nov. 20, 2021, spill at the Red Hill Bulk Fuel Storage Facility \u201ccaused a nuisance\u201d for the plaintiffs, that the United States \u201cbreached its duty of care\" and that the plaintiffs suffered compensable injuries.
But they dispute the plaintiffs were exposed to jet fuel at levels high enough to cause their alleged health problems. Lingering issues plaintiffs say they are battling include seizures, memory loss, anxiety, eczema and asthma.
When the Dietz family arrived in Hawaii in February 2021, \u201cwe thought we were moving to heaven on earth,\u201d Dietz wrote in a declaration filed in the case.
But around Thanksgiving \u2014 soon after the leak \u2014 they couldn't figure out their stomach pain, vomiting and diarrhea. Other families in the neighborhood were also sick. Then they developed rashes.
\u201cMy throat is burning. I feel like I just drank gasoline,\u201d Dietz remembers telling her husband on Nov. 27.
The next night, her Facebook timeline was filled with neighbors complaining about the smell of fuel in their water. The Dietzes ran to their faucets and smelled fuel, too. They noticed the tap water also had an oily sheen.
Attorneys representing the families say the trial will show Navy officers failed to warn residents after learning about fuel in the water, and even maintained that staff members were drinking the water.
Navy representatives and government attorneys didn\u2019t respond to an email seeking comment on the lawsuit.
The fuel storage tanks have long been a flashpoint in Hawaii, with Native Hawaiians and other residents raising concerns over the past decade about leaks that threatened the broader water supply. The tanks sit above an aquifer that delivers water to 400,000 people in urban Honolulu.
At first, the Navy said it hadn't determined how petroleum got into the water, but its own investigation eventually pinned the cause to a cascading series of mistakes.
On May 6, 2021, a pipe ruptured due to an operator error and caused 21,000 gallons (80,000 liters) of fuel that was being transferred between tanks to spill. Most of the fuel, however, entered a fire suppression line and remained there until six months later, when a cart rammed into the line and released 20,000 gallons (75,700 liters) that eventually got into the water system.
Red Hill workers noticed that one of the tanks was short that amount, but didn\u2019t report the discrepancy to senior leadership.
Dietz didn't want to risk her husband's career by asking to leave Hawaii. So they stayed and were committed to avoiding tap water while they figured out their next steps.
\u201cThey're just going to put another family in this house,\u201d she said. \u201cSo we need to stay here and we need to try to fight to get this fixed.\u201d
In doing so, Dietz says she found unexpected allies among Native Hawaiians, who revere water as a sacred resource and already have a distrust of the U.S. military, which can be traced back to at least 1893, when a group of American businessmen, with support from U.S. Marines, overthrew the Hawaiian kingdom.
Kawena\u02bbulaokal\u0101 Kapahua \u2014 a Native Hawaiian political science doctoral student and one of the activists who pushed to shut down the tanks \u2014 said the water crisis forged a sense of solidarity with affected military families. It also fostered relationships within a military community of members who often cycle quickly in and out of the islands, he said.
When families felt abandoned by the military, \u201cthe people who did show up for them was the Native community,\u201d Kapahua said.
Dietz agreed. \u201cThey gave us a seat at the table,\u201d she said through tears.
Eventually, under orders from state officials, pressure from the outcry and ongoing protests, the military drained the tanks.
Dietz's husband later got new orders and the family is relocating to Jacksonville, Florida, this summer. They don't plan to live in military housing there.
As she prepares to move out of a house where the ice maker has remained off since 2021, Dietz hopes the trial will renew awareness about what happened to the water.
\u201cSomebody's going to move in,\u201d she said, \u201cand I'm worried they're going to turn on the ice machine.\"
___
This story has been updated to correct that Dietz's husband is a non-commissioned officer, not an officer.
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The headline and summary have been updated.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "US--California-Overdose Reversal Drug", + "headline": "California is joining with a New Jersey company to make a generic opioid overdose reversal drug", + "headline_extended": "California is partnering with a New Jersey-based pharmaceutical company to purchase a generic version of Narcan", + "slugline": "BC-US--California-Overdose Reversal Drug, 1st Ld-Writethru", + "description_summary": "California is partnering with a New Jersey-based pharmaceutical company to purchase a generic version of Narcan. It's the most well-known version of naloxone that can save a person's life during an opioid overdose. Naloxone has been available without a prescription in the U.S. since last year. Democratic Gov. Gavin Newsom announced a partnership with Amneal Pharmaceuticals on Monday. The company will sell naloxone packs to the state at a 40% discount. The naloxone eventually will be available under the CalRx label. California will give away much of the naloxone for free. It will also sell some to governments and businesses at the discounted rate.", + "bylines": [ + { + "by": "By ADAM BEAM", + "title": "Associated Press" + } + ], + "located": "SACRAMENTO, Calif.", + "datelinelocation": { + "city": "Sacramento", + "countryareacode": "CA", + "countryareaname": "California", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -121.4944, + 38.58157 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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(AP) \u2014 California will soon begin selling its own generic version of Narcan \u2014 the drug that can save someone's life during an opioid overdose \u2014 under a deal announced Monday by Democratic Gov. Gavin Newsom as part of his effort to offer less expensive, state-branded options of medication.
The New Jersey-based Amneal Pharmaceuticals will sell naloxone to California for $24 per pack, or about 40% cheaper than the market rate. California plans to give away many of the packs for free to first responders, universities and community organizations through the state's Naloxone Distribution Project.
But it will also sell some of the packs at the discounted rate to California businesses and local governments \u2014 as long as they agree not to mark up the prices and sell it for a profit. The goal is to expand the distribution beyond schools and public health departments and into places including restaurants, entertainment centers and ride-hailing services such as Uber and Lyft.
\u201cAnywhere that has a first aid kit, we hope that this product will be available as part of that,\u201d said Elizabeth Landsberg, director of the California Department of Healthcare Access and Information, which is overseeing the program.
The naloxone nasal spray will be the first drug to carry the CalRx label, Newsom's effort to force drug companies to lower their prices by offering much less-expensive competing versions of life-saving medication. Newsom first announced this idea in 2019, and signed a law giving California the authority to do it in 2020.
This isn't the first time California will have made its own medication. Since 2003, the California Department of Public Health has manufactured a treatment for the rare disease of infant botulism. But state officials say they believe California will be the first state to distribute a generic medication under a state label.
\u201cFederal and state governments can and should use their power as regulators and as purchasers,\u201d said Anthony Wright, president of the consumer advocacy group Health Access California. \"Americans paying out-of-pocket for prescription drugs pay more than anyone else in the world, but if government can use our collective power of the purse through direct contracts and manufacturing, we can get better deals not just for taxpayers, but patients and the public as a whole.\u201d
Naloxone has been available in the U.S. without a prescription since March of 2023, when the U.S. Food and Drug Administration approved Narcan, a nasal spray brand produced by the Maryland-based pharmaceutical company Emergent BioSolutions.
Amneal Pharmaceuticals makes a generic equivalent to Narcan that won FDA approval last week.
The naloxone packs purchased by California initially will be available under the Amneal label. The naloxone will move to the CalRx label once it's approved by the U.S. Food and Drug Administration, a process the Newsom administration said could happen by July.
\u201cWe\u2019ve enabled through CalRx the manufacturing of a low-cost (over the counter) Naloxone option that without us may not have come to market this quickly or at this volume,\u201d said Dr. Mark Ghaly, secretary of the California Health and Human Services Agency.
The deal is significant because it means California will be able to buy a lot more naloxone \u2014 3.2 million packs in one year instead of 2 million \u2014 for the same total cost.
Opioid overdose deaths, which are caused by heroin, fentanyl and oxycodone, have increased dramatically in California and across the country. Annual opioid overdose deaths in California more than doubled since 2019, reaching 7,385 deaths at the end of 2022.
California began giving away naloxone kits for free in 2018. State officials say the Naloxone Distribution Project has given out 4.1 million kits, which have reversed a reported 260,000 opioid overdoses. The money has come from taxpayers and portions of a nationwide settlement agreement with some other pharmaceutical companies.
Last year, California lawmakers agreed to spend $30 million to partner with a drug company to make its own version of naloxone. But they ended up not needing to spend that money on this deal, since Amneal Pharmaceutical was already so far along in the FDA approval process it did not require up-front funding from the state.
Instead, California will use a portion of the revenue it receives from a national opioid settlement to purchase the drugs.
Naloxone is just one drug the Newsom administration is targeting.
Last year, California signed a 10-year agreement with the nonprofit Civica to produce CalRx branded insulin, which is used to treat diabetes. California has set aside $100 million for that project, with $50 million to develop the drugs and the rest set aside to invest in a manufacturing facility. Newsom said a 10 milliliter vial of state-branded insulin would sell for $30.
Civica has been meeting with the FDA and \u201chas a clear path forward,\u201d the Newsom administration said.
\u201cAs we continue the effort to bring $30 insulin to the market, the state is now set to purchase life-saving naloxone for almost half of the current market price \u2014 maximizing taxpayer dollars and saving more lives with this miracle drug,\u201d Newsom said in a statement provided by his office.
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Adds accent over \"Jos\u00e9\" in Mujica's first name.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "LT--Uruguay-Former President", + "headline": "Iconic former Uruguayan President Jos\u00e9 Mujica is diagnosed with esophageal cancer", + "headline_extended": "Jos\u00e9 Mujica, the former president of Uruguay known for his bold socially liberal agenda, says he has been diagnosed with esophageal cancer", + "slugline": "AP-LT--Uruguay-Former President, 4th Ld-Writethru", + "description_summary": "Jos\u00e9 Mujica, the former president of Uruguay known for his bold socially liberal agenda, says he has been diagnosed with esophageal cancer. The 88-year-old Mujica says the tumor was discovered during a routine checkup last Friday. He says the diagnosis compounds his health problems as he also suffers from an autoimmune disease. Better known as \u201cPepe\u201d Mujica, the former president, once a Marxist guerrilla, governed Uruguay from 2010 and 2015. His government was best known for legalizing same-sex marriage in the predominantly Roman Catholic country, boosting women's rights and making Uruguay the first nation in the world to fully legalize recreational marijuana. His folksy and self-effacing style made him into a leftist-liberal hero known around the world.", + "located": "SANTIAGO, Chile", + "datelinelocation": { + "city": "Santiago", + "countrycode": "CHL", + "countryname": "Chile", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -70.64827, + -33.45694 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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Mujica, 88, said he was diagnosed during a routine medical checkup last Friday. He said the tumor discovered in his esophagus is particularly dangerous because he also suffers from an autoimmune disease.
\u201cThis is obviously very complicated and doubly so in my case,\u201d the ex-president who governed Uruguay from 2010 to 2015 told reporters Monday. He said doctors were assessing the best course of action but warned him that chemotherapy and surgery posed challenges.
Known among both fans and detractors as \u201cPepe\u201d Mujica, the folksy leader of Uruguay, a country of just 3.3 million people, was first a leader of the Tupamaros, the Marxist guerilla group that drew inspiration from the Cuban revolution.
In the 1960s and early 1970s, Mujica wielded weapons on Montevideo's streets in an effort to overthrow the government, getting shot by police several times and ultimately landing in prison until the fall of the country's dictatorship led to his release in 1985.
As Uruguay's 40th president, Mujica legalized same-sex marriage \u2014 a bold move in the predominantly Roman Catholic country \u2014 and boosted women's rights. He also made Uruguay the first nation in the world to fully legalize recreational marijuana.
He drew admiration in Uruguay and far afield as a politician who spoke with blunt honesty and lived up to his own values, shunning the presidential palace in favor of his modest house on the outskirts of Montevideo and donating most of his salary to charity.
\u201cI live as I think,\u201d he told The Associated Press in an interview last fall. \u201cWhen we have companions, we\u2019re not poor.\u201d
Although Mujica left the Senate in 2020, he remained a powerful force in the Broad Front, a coalition of leftist parties and centrist social democrats.
In his characteristically charming and self-effacing style, Mujica turned the press conference on his diagnosis into a pep-talk for the country's youth.
\u201cI want to convey to all the young people that life is beautiful, but it wears you out and you fall,\" he said. \u201cThe point is to start over every time you fall. If there is anger, transform it into hope.\u201d
___
Follow AP\u2019s coverage of Latin America and the Caribbean at https://apnews.com/hub/latin-america
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Lawyers for the plaintiffs argue Navy officials knew there was fuel in the water and failed to warn people not to drink it, even while telling residents the water was safe. Attorneys for the U.S. government dispute whether the plaintiffs were exposed to jet fuel at levels high enough to cause their alleged health issues.", + "bylines": [ + { + "by": "By JENNIFER SINCO KELLEHER", + "title": "Associated Press" + } + ], + "located": "HONOLULU", + "datelinelocation": { + "city": "Honolulu", + "countryareacode": "HI", + "countryareaname": "Hawaii", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -157.85833, + 21.30694 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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A trial for a mass environmental injury case began in federal court in Honolulu on Monday, more than two years after a U.S. military fuel tank facility under ground poisoned thousands of people when it leaked jet fuel into Pearl Harbor\u2019s drinking water.
Instead of a jury, a judge is hearing about a lawsuit against the United States by 17 \u201cbellwether\u201d plaintiffs: a cross-selection of relatives of military members representing more than 7,500 others, including service members, in three federal lawsuits.
According to court documents, the U.S. government has admitted the Nov. 20, 2021, spill at the Red Hill Bulk Fuel Storage Facility caused a nuisance for the plaintiffs, that the United States \u201cbreached its duty of care\u201d and that the plaintiffs suffered compensable injuries.
But they dispute whether the residents were exposed to jet fuel at levels high enough to cause their alleged health effects, ranging from vomiting to rashes.
The plaintiffs have submitted declarations describing how the water crisis sickened them and left them with ongoing health problems, including seizures, asthma, eczema and vestibular dysfunction.
The Navy mobilized after getting reports about the water, Rosemary Yogiaveetil, an attorney with the U.S. Department of Justice, said in an opening statement in court. Crews went to homes and began taking water samples and officials shut down the Red Hill well as a precaution, she said.
They began \u201cflushing each and every home on the water line,\u201d to restore clean water, Yogiaveetil said. The Navy began providing bottled water and paid for months of hotel rooms for some affected families.
Lawyers for the plaintiffs argue Navy officials knew there was fuel in the water and failed to warn people not to drink it, even while telling residents the water was safe.
The families lost trust in the institutions they themselves served, Kristina Baehr, one of the attorneys for the plaintiffs, said in an opening statement.
\u201cHome was supposed to be a place they felt safe,\u201d especially during the pandemic, she said.
Nastasia Freeman, wife of a Navy officer and mother of three, described in her declaration how the family thought their vomiting and diarrhea was Thanksgiving food poisoning.
\u201cI had developed a rash on my arms with sores and lesions on my scalp, feet, and hands accompanied by a headache,\u201d she wrote. \u201cI had a very strange sensation that I had never had before \u2014 I felt like my blood was on fire.\u201d
Even their dogs were vomiting.
On Nov. 29, a nurse told her she received multiple calls all with a common theme: the tap water.
\u201cIt felt like we were being gaslit,\u201d Freeman's declaration said. \u201cWe knew the water wasn\u2019t safe, but the Navy was telling us that it was. They said they didn\u2019t know what was in the water and that they were \u2018investigating.\u2019\u201d
She was expected to be the first of the plaintiffs to be cross-examined in court Monday.
Experts will testify during the trial that the \u201cmyriad of injuries\u201d the plaintiffs claim were preexisting conditions or had no known link to the fuel exposure, Yogiaveetil said.
A Navy investigation report in 2022 listed a cascading series of mistakes from May 6, 2021, when an operator error caused a pipe to rupture and caused 21,000 gallons (80,000 liters) of fuel to spill while it was transferred between tanks. Most of this fuel spilled into a fire suppression line and sat there for six months, causing the line to sag. When a cart rammed into this sagging line on Nov. 20, it released 20,000 gallons (75,700 liters) of fuel.
When people started speaking up about the water, the Navy understood there had been a leak on Nov. 20, but at the time, they believed it was contained, Yogiaveetil said Monday.
The military eventually agreed to drain the tanks, amid state orders and protests from Native Hawaiians and other Hawaii residents concerned about the threat posed to Honolulu\u2019s water supply. The tanks sit above an aquifer supplying water to 400,000 people in urban Honolulu.
Outside the courthouse Monday, activists calling themselves water protectors held signs in support of the plaintiffs.
A lot is riding on this trial.
\u201cA bellwether trial helps attorneys to understand the likely success or failure of the cases that are in the pipeline,\u201d explained Loretta Sheehan, a Honolulu-based personal injury attorney not involved in the water litigation.
The outcome can help determine future damages to be awarded or settlements, she said.
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Given the detailed focus on health problems resulting from the contamination, the document is highly relevant to the topic of health." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/04/29/4585baf76ad60df641c5945ab2d4c131.json b/datasets/AP_news/raw_data/2024/04/29/4585baf76ad60df641c5945ab2d4c131.json new file mode 100644 index 0000000..99dec93 --- /dev/null +++ b/datasets/AP_news/raw_data/2024/04/29/4585baf76ad60df641c5945ab2d4c131.json @@ -0,0 +1,268 @@ +{ + "altids": { + "itemid": "4585baf76ad60df641c5945ab2d4c131", + "etag": "4585baf76ad60df641c5945ab2d4c131_1a8aza0c0", + "friendlykey": "555960567275", + "referenceid": "US-MED--Medical-Tests" + }, + "version": 1, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-04-29T17:15:48Z", + "firstcreated": "2024-04-29T15:13:55Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: Adds new quotes and details from FDA", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "US-MED--Medical-Tests", + "headline": "FDA brings lab tests under federal oversight in bid to improve accuracy and safety", + "headline_extended": "The Food and Drug Administration has finalized a rule to regulate medical tests that have long escaped oversight", + "slugline": "AP-US-MED--Medical-Tests, 1st Ld-Writethru", + "description_summary": "The Food and Drug Administration has finalized a rule to regulate medical tests that have long escaped oversight. The rule was announced Monday. It is designed to improve the accuracy and reliability of tests developed at large laboratories, including hospitals and universities. The FDA has warned for years that inaccurate test results can lead to unnecessary treatment and delays in getting proper care. Under the new requirements, labs will have about four years to win FDA approval for new tests. The FDA estimates there are about 80,000 medical tests already on the market. Those will not be required to get FDA approval.", + "bylines": [ + { + "by": "By MATTHEW PERRONE", + "title": "AP Health Writer" + } + ], + "located": "WASHINGTON", + "datelinelocation": { + "city": "Washington", + "countryareacode": "DC", + "countryareaname": "District of Columbia", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -77.03637, + 38.89511 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. For other uses, additional clearances may be required." + ], + "keywords": [ + "laboratory tests FDA accuracy patient safety" + ], + "provider": "AP", + "infosource": [ + { + "name": "AP", + "type": "AP" + } + ], + "person": [ + { + "scheme": "http://cv.ap.org/id/", + "code": "18d651d03b254e91b065ecee1667eb17", + "name": "Robert Califf", + "creator": "Machine", + "rels": [ + "direct" + ], + "types": [ + "GOVERNMENT_FIGURE", + "PERSON" + ], + "relevance": 42 + } + ], + "subject": [ + { + "rels": [ + "category" + ], + "creator": "Editorial", + "code": "f", + "name": "f" + }, + { + "rels": [ + "category" + ], + "creator": "Editorial", + "code": "w", + "name": "w" + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "49fe6da87f0010048242f571351eed07", + "name": "Lyme disease", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 51 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "7077b3c88b6b10048b67a385cd5ce603", + "name": "Medical technology", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 60 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "c8e409f8858510048872ff2260dd383e", + "name": "Business", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 73 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "cc7a76087e4e10048482df092526b43e", + "name": "Health", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 67 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "523699d088e910048f43f8851349f9bd", + "name": "Government regulations", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 85 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "e237be707de410048fffdf092526b43e", + "name": "Medication", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 38 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "abfca78268874726966cdad8c35c4ae3", + "name": "Washington news", + "creator": "Editorial", + "editorial_subject": "Washington news", + "rels": [ + "direct" + ], + "relevance": 75 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "f25af2d07e4e100484f5df092526b43e", + "name": "General news", + "creator": "Editorial", + "editorial_subject": "General news", + "rels": [ + "direct" + ], + "relevance": 50 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "c8e409f8858510048872ff2260dd383e", + "name": "Business", + "creator": "Editorial", + "editorial_subject": "Business", + "rels": [ + "direct" + ], + "relevance": 75 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "cc7a76087e4e10048482df092526b43e", + "name": "Health", + "creator": "Editorial", + "editorial_subject": "Health", + "rels": [ + "direct" + ], + "relevance": 99 + } + ], + "organisation": [ + { + "scheme": "http://cv.ap.org/id/", + "code": "e5c917c88bcc1004803aeb438e258b03", + "name": "U.S. Food and Drug Administration", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 95 + } + ], + "audiences": [ + { + "code": "82c6a4c46fa0446090a7acaf93159e4c", + "name": "Print", + "type": "AUDPLATFORM" + }, + { + "code": "9add4649b53b4702ba7d9de5d4fa607a", + "name": "Online", + "type": "AUDPLATFORM" + }, + { + "code": "f43adc08760d10048040e6e7a0f4673e", + "name": "National", + "type": "AUDSCOPE" + }, + { + "code": "f4ecf9b0760d10048044e6e7a0f4673e", + "name": "International", + "type": "AUDSCOPE" + }, + { + "code": "661850e07d5b100481f5c076b8e3055c", + "name": "Latin America and Caribbean", + "type": "AUDGEOGRAPHY" + }, + { + "code": "661e48387d5b10048291c076b8e3055c", + "name": "United States", + "type": "AUDGEOGRAPHY" + } + ], + "associations": { + "1": { + "altids": { + "itemid": "713b7b3bd0784dbbb91fa4a697fc6054" + }, + "type": "picture" + } + }, + "body_nitf": "WASHINGTON (AP) \u2014 Makers of medical tests that have long escaped government oversight will have about four years to show that their new offerings deliver accurate results, under a government rule vigorously opposed by the testing industry.
The regulation finalized Monday by the Food and Drug Administration will gradually phase in oversight of new tests developed by laboratories, a multibillion-dollar industry that regulators say poses growing risks to Americans. The goal is to ensure that new tests for cancer, heart disease, COVID-19, genetic conditions and many other illnesses are safe, accurate and reliable.
\u201cThe agency cannot stand by while Americans continue to rely on results from these tests without assurance that they work,\u201d FDA Commissioner Robert Califf told reporters on a conference call.
Califf said inaccurate tests can lead to unnecessary treatment or delays in getting proper care.
But in a significant move, the FDA decided that the tens of thousands of tests currently on the market will not have to undergo federal review. The agency said it will essentially grandfather those tests into approval to address concerns that the new rule \u201ccould lead to the widespread loss of access to beneficial\u201d tests.
Under the government's plan, most newly developed tests that pose a high risk \u2014 such as those for life-threatening diseases \u2014 will need to be FDA approved within 3 1/2 years. Lower risks tests will have four years to obtain approval.
All lab tests \u2014 old and new \u2014 will be required to register with the agency and report problems or errors. Based on this information, FDA officials said they will be able to target problematic tests.
\u201cIf we identify problems with the tests we can move forward to take action against them,\u201d said Dr. Jeff Shuren, director of the FDA's device center. \u201cWe think this overall strikes the right balance.\u201d
The agency also won\u2019t require approval of tests for which there are no alternatives, such as those for certain rare diseases.
The FDA already reviews tests and kits made by medical device manufacturers.
But labs, large hospitals and universities that develop their own in-house tests have been able to market them without each one undergoing agency review. The industry has resisted additional scrutiny for decades, saying it will stifle innovation and drive up costs.
There are an estimated 80,000 medical tests currently available from about 1,200 labs, according to the agency's estimate. They include tests for complex diseases, as well as simpler conditions like high cholesterol and sexually transmitted infections.
In the 1970s and \u201980s, most lab-based tests were \u201clower risk, small volume\u201d products used mostly for local patients, according to the FDA.
Over time, the tests have grown into a nationwide business, with labs processing thousands of blood, urine and other samples per week from hospitals and clinics. Others advertise directly to consumers \u2014 including some claiming to measure the risk of developing ailments like Alzheimer\u2019s and autism.
FDA officials have long voiced concerns about the accuracy of some tests, pointing to patients who have received inaccurate results for heart disease, Lyme disease and other conditions. Inaccurate tests can lead to patients getting an incorrect diagnosis, skipping treatments or receiving unnecessary medication or surgery.
More than a decade ago, the agency drafted tougher guidelines for the industry, but they were never finalized. For years, U.S. labs have successfully lobbied Congress and other federal institutions against tougher regulation.
When FDA released a draft of the new rule last September, a leading industry group argued the agency did not have legal authority to step into the testing market.
The American Clinical Laboratory Association said Monday it \u201chas grave concerns about this rule as a matter of both policy and law. The rule will limit access to scores of critical tests, increase health care costs, and undermine innovation in new diagnostics.\u201d
The group represents large testing chains such as Quest Diagnostics and LabCorp, as well as smaller labs and test makers.
___
The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute\u2019s Science and Educational Media Group. The AP is solely responsible for all content.
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Beer Thirty. Happy hour. Five o\u2019clock somewhere.
Maybe it's also time to rethink drinking?
Moderate drinking was once thought to have benefits for the heart, but better research methods have thrown cold water on that.
\u201cDrinking less is a great way to be healthier,\u201d said Dr. Timothy Naimi, who directs the Canadian Institute for Substance Use Research at the University of Victoria in British Columbia.
Guidelines vary a lot from country to country but the overall trend is toward drinking less.
The United Kingdom, France, Denmark, Holland and Australia recently reviewed new evidence and lowered their alcohol consumption recommendations. Ireland will require cancer warning labels on alcohol starting in 2026.
\u201cThe scientific consensus has shifted due to the overwhelming evidence linking alcohol to over 200 health conditions, including cancers, cardiovascular diseases and injuries,\u201d said Carina Ferreira-Borges, regional adviser for alcohol at the World Health Organization regional office for Europe.
From Dry January to Sober October to bartenders getting creative with non-alcoholic cocktails, there's a cultural vibe that supports cutting back.
\"People my age are way more accepting of it,\" said Tessa Weber, 28, of Austin, Texas. She stopped drinking for Dry January this year because she'd noticed alcohol was increasing her anxiety. She liked the results \u2014 better sleep, more energy \u2014 and has stuck with it.
\u201cIt\u2019s good to reevaluate your relationship with alcohol,\u201d Weber said.
That idea came from imperfect studies comparing groups of people by how much they drink. Usually, consumption was measured at one point in time. And none of the studies randomly assigned people to drink or not drink, so they couldn\u2019t prove cause and effect.
People who report drinking moderately tend to have higher levels of education, higher incomes and better access to health care, Naimi said.
\u201cIt turns out that when you adjust for those things, the benefits tend to disappear,\u201d he said.
Another problem: Most studies didn\u2019t include younger people. Almost half of the people who die from alcohol-related causes die before the age of 50.
\u201cIf you\u2019re studying people who survived into middle age, didn\u2019t quit drinking because of a problem and didn\u2019t become a heavy drinker, that\u2019s a very select group,\u201d Naimi said. \u201cIt creates an appearance of a benefit for moderate drinkers that is actually a statistical illusion.\u201d
Other studies challenge the idea that alcohol has benefits. These studies compare people with a gene variant that makes it unpleasant to drink to people without the gene variant. People with the variant tend to drink very little or not at all. One of these studies found people with the gene variant have a lower risk of heart disease \u2014 another blow to the idea that alcohol protects people from heart problems.
That depends.
Drinking raises the risk of several types of cancer, including colon, liver, breast and mouth and throat. Alcohol breaks down in the body into a substance called acetaldehyde, which can damage your cells and stop them from repairing themselves. That creates the conditions for cancer to grow.
Thousands of U.S. deaths per year could be prevented if people followed the government\u2019s dietary guidelines, which advise men to limit themselves to two drinks or fewer per day and women to one drink or fewer per day, Naimi said.
One drink is the equivalent of about one 12-ounce can of beer, a 5-ounce glass of wine or a shot of liquor.
Naimi served on an advisory committee that wanted to lower the recommendation for men to one drink per day. That advice was considered and rejected when the federal recommendations came out in 2020.
\u201cThe simple message that\u2019s best supported by the evidence is that, if you drink, less is better when it comes to health,\u201d Naimi said.
___
The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute\u2019s Science and Educational Media Group. The AP is solely responsible for all content.
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April 28, 2024.
Editorial: Missourians have one week left to help get abortion rights on the ballot
Missourians who believe that women have an inalienable right to decide what happens inside their own bodies could be forgiven for browsing the news last week and lamenting that that urgent cause looks increasingly hopeless.
In Washington, D.C., the Supreme Court debated, in all seriousness, whether emergency rooms can be required by federal law to provide medically stabilizing treatment to all patients who come in rather than waiting until their conditions become life-threatening.
The case spotlights an Idaho anti-abortion law so onerous that pregnant women in dire medical straits are literally being airlifted \u2014 like war refugees \u2014 to other states for care.
In Jefferson City, meanwhile, legislators advanced a measure plainly designed to dilute the votes of Missourians from regions most likely to support abortion rights.
It does indeed feel like the Handmaid\u2019s Tale caucus is closing in from all sides. But in fact, pro-choice Missourians have an opportunity, right now, to fight back \u2014 starting with a signature.
There is now one week left to sign the petition to put abortion rights on Missouri\u2019s November ballot. The contact details are at the bottom of this editorial. The stakes could scarcely be higher.
Within minutes of the Supreme Court\u2019s overturn of Roe v. Wade in June 2022, Missouri\u2019s Republican leadership formally enshrined a previously approved law banning almost all abortions in the state from the moment of conception, even in cases of rape or incest. The sole exception is for vaguely defined medical emergencies.
With polls indicating that ban is more severe than what even Missouri\u2019s generally conservative population supports, opponents launched an effort to put an abortion rights amendment to the state constitution on the Nov. 5 ballot.
Contrary to all the anti-choice histrionics and diversions out there, the amendment would not prevent all state regulation of abortion services. Instead, it would generally protect the right to abortion only up to the point of fetal viability outside the womb \u2014 the same standard that existed under Roe.
As an indication of how determined state leaders are to prevent the question from even getting on the ballot, several of them embarked on truly shameful, bad-faith attempts to sabotage the amendment process.
Secretary of State Jay Ashcroft, whose legal obligation was to create unbiased ballot language, instead produced an anti-choice screed that was predictably thrown out by the courts. Attorney General Andrew Bailey, abusing his authority as usual, tried to overrule the state auditor regarding the cost of the measure, until the courts threw that out as well.
The Republican-controlled state Legislature has also gotten in on the sabotage, advancing a measure that would dramatically alter the rules for passing a constitutional amendment.
Instead of passage by a simple statewide majority, the proposed change would require a majority of votes in five of the state\u2019s eight congressional districts. It would effectively allow a small minority of voters in rural areas to stop any amendment in its tracks.
In its current form, the proposal would also include a line specifying that illegal immigrants aren\u2019t allowed to vote in Missouri elections \u2014 which is already state and federal law. This is what\u2019s known as \u201cballot candy,\u201d designed to draw in votes from citizens who their elected legislators clearly think (and hope) are stupid.
There is, in short, virtually no cynical, dishonest thing that the anti-choice zealots who run Missouri government aren\u2019t willing to do to prevent a fair vote on this topic.
They have good reason to be afraid of it. In the seven states that have allowed statewide votes on abortion or related issues since the fall of Roe, every single one has come down on the pro-choice side. That includes red states like Kansas and Kentucky.
Last week\u2019s Supreme Court oral arguments in the case out of Idaho provided a chilling demonstration of how urgent it is for Missourians to take back this fundamental right.
At issue is a longstanding federal law that, reasonably enough, requires emergency rooms in hospitals that receive federal funds to provide stabilizing medical care to anyone who comes in. It was passed in 1986, to prevent hospitals from refusing emergency care to those who can\u2019t pay.
Idaho\u2019s new abortion law prohibits the procedure unless the life of the pregnant woman is in danger. The Biden administration argues this violates the federal law in that it literally requires doctors not to abort even a non-viable pregnancy that is threatening the woman\u2019s health, until it threatens her life.
This highlights a central, inevitable flaw with these abortion bans: They assume black-and-white clarity in medical issues that are, in reality, usually gray areas. Medical professionals, cowed by serious legal threats if they err on the side of caution for the safety of their patients, have in several cases had them airlifted out of Idaho for medical care.
As Justice Elena Kagan put it during oral arguments last week, \u201cIt can\u2019t be the right standard of care to force somebody onto a helicopter.\u201d
The bedrock constitutional principle that federal law supersedes state laws remains intact \u2014 the end of Roe didn\u2019t end that.
But, with these and other issues related to abortion, questions during the hearing from supposed constitutional originalists like Justices Samuel Alito and Clarence Thomas strongly confirmed what they\u2019ve previously indicated: Their supposed originalism is situational, subservient to their ideology.
If a federal law requiring emergency care for emergencies can\u2019t sway this Supreme Court (and it might not) \u2014 and with a federal abortion-rights law all but impossible for now \u2014 passage of a Missouri constitutional amendment protecting abortion rights is potentially the most important vote many Missourians will ever cast.
That\u2019s provided they\u2019re allowed to cast it. Organizers have until May 5 (next Sunday) to gather the required petition signatures to get it on the ballot. An overwhelming show of support now is the best way to build momentum for November, so voters can ensure that Missouri women are safe at last.
END
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wave on Monday as record-high temperatures led to school closings in several countries and urgent health warnings throughout the region.
Millions of students in all public schools across the Philippines were ordered to stay home Monday after authorities canceled in-person classes for two days. The main advice for everyone, everywhere has been to avoid outdoor activities and drink plenty of water, but the young and the elderly were told to be especially careful.
Cambodia this year is facing the highest temperatures in 170 years, Chan Yutha, a spokesperson for the Ministry of Water Resources and Meteorology, told The Associated Press on Monday. His agency has forecast that temperatures in most parts of the country could reach up to 43 degrees Celsius (109 degrees Fahrenheit) this week.
Myanmar\u2019s meteorological department said Monday that seven townships in the central Magway, Mandalay, Sagaing and Bago regions experienced record-high temperatures. Several towns in Myanmar last week were on lists of the hottest spots worldwide.
Chauk township in Magway, historically the country's hottest region, saw Myanmar\u2019s highest temperature at 48.2 degrees Celsius (118.8 degrees Fahrenheit), breaking the previous record of 47.4 degrees Celsius (117.3 degrees Fahrenheit) set in 1968.
The Philippines is among the nations worst affected by the sweltering weather in Southeast Asia, where the intense tropical summer heat worsened by humidity forced class cancellations in recent weeks and sparked fears of water shortages, power outages and damage to agricultural crops.
The Department of Education ordered students in more than 47,000 public schools to switch to home-based and online learning due to health risks from record-high temperatures and a three-day strike starting Monday by drivers who oppose a government program they fear would remove dilapidated passenger jeepneys from streets.
Large crowds have sought relief in air-conditioned shopping malls in Metropolitan Manila, the congested capital region of more than 14 million people where the temperature soared to 38.8 degrees Celsius (101.84 Fahrenheit) Saturday, surpassing the record set decades ago, according to weather officials.
In Thailand, temperatures have topped 44 C (111 F) in some areas in the northern parts of the country, while the capital Bangkok and metropolitan areas have seen temperatures go above 40 C (104 F). The forecast from the Meteorological Department said this year\u2019s summer, which usually lasts from late February to late May, is expected to be 1-2 degrees hotter than last year, and rainfall will be lower than average.
Thailand\u2019s Department of Disease Control said last week that at least 30 people have died from heatstroke so far this year, compared to 37 for all of last year.
Scientists have said the number of heat-related deaths around the world has been rising significantly in recent years along with temperatures, but the trend in Asia this year so far is unclear, partly because of the question of how to classify deaths that appear to be heat related.
At least 34 people have fallen ill due to the extreme heat in the Philippines so far this year, including six who died. The Department of Health said it was verifying what exactly caused the deaths.
Media in Bangladesh reported that in a five-day period earlier this month, at least 20 people died from heatstroke.
In Cambodia, however, officials indicated there were few if any heat-related fatalities. The Khmer Times, an online news platform, quoted the head of the Health Department of Phnom Penh, the capital, saying there had been no heat-related deaths or collapses.
\u2014\u2014-
Associated Press writers Sopheng Cheang in Phnom Penh, Cambodia and Jintamas Saksornchai in Bangkok contributed to this report.
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It provides specific data on temperatures, health advisories, and the number of heat-related fatalities and illnesses in various countries, which are directly relevant to the topic of health." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/04/29/b63daeec39cf26e0741569b03aa9ebe9.json b/datasets/AP_news/raw_data/2024/04/29/b63daeec39cf26e0741569b03aa9ebe9.json new file mode 100644 index 0000000..eae2dfa --- /dev/null +++ b/datasets/AP_news/raw_data/2024/04/29/b63daeec39cf26e0741569b03aa9ebe9.json @@ -0,0 +1,308 @@ +{ + "altids": { + "itemid": "b63daeec39cf26e0741569b03aa9ebe9", + "etag": "b63daeec39cf26e0741569b03aa9ebe9_5a7aza0c0", + "friendlykey": "642203528620", + "referenceid": "US-XGR--Gender-Affirming Care-Kansas" + }, + "version": 5, + "type": "text", + "urgency": 3, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-04-30T04:11:09Z", + "firstcreated": "2024-04-29T17:47:22Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: MAJOR UPDATE: This story has been updated to recast the top, add material from two Republicans who switched to voting against the bill and add fresh reaction. Links photos. UPDATES: Updates Media.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "US-XGR--Gender-Affirming Care-Kansas", + "headline": "Kansas bill to limit gender-affirming care for transgender minors dies after failed veto override", + "headline_extended": "A proposed ban on gender-affirming care for transgender minors in Kansas has died", + "slugline": "BC-US-XGR--Gender-Affirming Care-Kansas, 5th Ld-Writethru", + "description_summary": "A proposed ban on gender-affirming care for transgender minors in Kansas has died. The Republican-controlled Legislature was unable Monday to override Democratic Gov. Laura Kelly's veto of a proposed ban after two Republican lawmakers broke ranks and switched their votes. The Kansas House voted 82-43 to overturn Kelly\u2019s veto, but supporters were two votes short of the necessary two-thirds majority. The bill also would have barred state employees who work with children from promoting social transitioning for kids. That became a big issue for critics, and the two GOP lawmakers who voted against overriding the veto after voting previously for the bill said parts of it were too vague.", + "bylines": [ + { + "by": "By JOHN HANNA", + "title": "Associated Press" + } + ], + "located": "TOPEKA, Kan.", + "datelinelocation": { + "city": "Topeka", + "countryareacode": "KS", + "countryareaname": "Kansas", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -95.67804, + 39.04833 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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(AP) \u2014 A proposed ban on gender-affirming care for transgender minors in Kansas died Monday when two Republicans switched their votes and prevented the Republican-controlled Legislature from overriding the Democratic governor's veto of the measure.
The Kansas House voted 82-43 to overturn Gov. Laura Kelly's veto of a bill that also would have barred state employees who work with children from promoting social transitioning for kids who question or struggle with their gender identities. But supporters were two votes short of the necessary two-thirds majority.
Republicans who backed the bill argued that a ban would protect vulnerable children from what they described as experimental health care that could create long-term health issues. It would not only have banned surgeries for minors but also puberty blockers and hormone treatments. The Senate voted Monday morning 27-13 to override Kelly\u2019s veto, the exact margin supporters needed there.
Since Kelly vetoed the bill earlier this month, its critics have focused on the provision aimed at keeping state workers from advocating for social transitioning, which under the bill included \u201cthe changing of an individual\u2019s preferred pronouns or manner of dress.\" LGBTQ+ rights advocates said it made Kansas' proposed ban more sweeping than other states' laws.
\u201cI can breathe,\u201d Iridescent Riffel, a transgender LGBTQ+ rights activist who worked against the bill, said in an interview after the House vote. \u201cI'm relieved. I know many other families in Kansas are,\u201d the 27-year old from from northeastern Kansas said.
LGBTQ+ rights advocates questioned whether the provision on social transitioning was written broadly enough to apply to public school teachers who show empathy for transgender students. GOP backers rejected that argument, but the bill didn't spell out what constitutes promoting social transitioning.
\u201cI think the fear is the point,\u201d Taryn Jones, vice chair of the LGBTQ+ rights group Equality Kansas said after the House vote. \u201cThe people in those professions would be too afraid to do anything that they weren\u2019t supposed to.\u201d
About 300,000 youths ages 13 to 17 identify as transgender in the U.S., according to estimates by the Williams Institute, an LGBTQ+ research center at UCLA Law. It estimates that in Kansas, about 2,100 youths in that age group identify as transgender.
At least 200 Kansas health care providers signed a letter to lawmakers opposing a veto override. Transgender youth and parents of transgender children described gender-affirming care as life-saving and argued that it lessens severe depression and suicidal tendencies. The care also has been endorsed by the American Medical Association, the American Academy of Pediatrics and other major U.S. medical groups.
Republican state Reps. Jesse Borjon, of Topeka, and Susan Concannon, from rural north-central Kansas, said parts of the bill were too vague for them to vote to override Kelly's veto after both voted for the measure last month.
The bill would have given providers until the end of the year to phase out puberty blockers and hormone treatments for existing patients, but Borjon said he was bothered by how the bill wouldn't have allowed those patients to continue their care after that.
In a brief speech explaining her \u201cno\u201d vote, Concannon told fellow House members, \u201cThese decisions belong between the team of professionals and the parents.\u201d
\u201cThe youth need our help, not government overreach,\u201d she added. \u201cTo all who have reached out, I hear you.\u201d
The Kansas measure was part of a broader push to roll back transgender rights from Republican lawmakers in statehouses across the U.S. Kansas would have been the 25th state to restrict or ban such care for minors, and this week, the South Carolina Senate expected to debate a similar measure that already has passed the state House.
Supporters of the Kansas bill repeatedly cited the recent decision of the National Health Service of England to stop covering puberty blockers as a routine treatment for gender dysphoria in minors.
\u201cUnfortunately, in today\u2019s society, the predator in particular is a woke health care system,\u201d said Republican state Sen. Mark Steffen, a central Kansas anesthesiologist and pain management specialist.
Republican lawmakers in Kansas last year enacted laws barring transgender girls and women from female college and K-12 sports teams and ending legal recognition of transgender residents\u2019 gender identities. Transgender residents no longer can change the listing for \u201csex\u201d on their driver\u2019s licenses or birth certificates to match their gender identities, something Kelly\u2019s administration had allowed.
The Legislature also approved a gender-affirming care ban last year, but Kelly vetoed it, and GOP supporters didn't have enough votes in either chamber to override her action. But support built this year as most previously skeptical Republicans came aboard.
Kansas Senate Health Committee Chair Beverly Gossage, a Kansas City-area Republican, told her colleagues: \u201cWe\u2019re on the right side of history on this.\u201d
State Rep. John Eplee, a northeastern Kansas family physician and one-time skeptic of the ban, said people are seeing children start to transition to a gender other than the one assigned at birth \u201cmore and more and more.\u201d
\u201cIt\u2019s time Kansas said, \u2018Enough. We're going to take a break from this,\u2019\u201d Eplee said during the House's debate Monday.
Democrats in both chambers pushed back against such arguments, and in the Senate, Democratic Leader Dinah Sykes urged her colleagues \"to show grace and kindness.\u201d
Jenna Bellemere, a 21-year-old transgender University of Kansas student, said after the House vote that she's been frustrated by the efforts to roll back transgender rights and worries that people are becoming \u201cdesensitized\u201d to attacks on the transgender community.
\u201cI feel like we should be able to expect better.\u201d
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(AP) \u2014 Atlantic City's main casino workers union and the New Jersey attorney general on Monday asked a judge to dismiss a lawsuit brought by a different union that seeks to ban smoking at the city's nine casinos.
Local 54 of the Unite Here union said in a filing in state Superior Court that a third of the 10,000 workers it represents would be at risk of losing their jobs and the means to support their families if smoking were banned.
Currently, smoking is allowed on 25% of the casino floor. But those areas are not contiguous, and the practical effect is that secondhand smoke is present in varying degrees throughout the casino floor.
A lawsuit brought earlier this month by the United Auto Workers, which represents dealers at the Bally\u2019s, Caesars and Tropicana casinos, seeks to overturn New Jersey's indoor smoking law, which bans it in virtually every workplace except casinos.
New Jersey Attorney General Matthew Platkin, representing Democratic Gov. Phil Murphy and the state health department, said the state's indoor smoking law does not deny any group of people equal protection under the law \u201cand does not infringe on any purported constitutional right to safety,\u201d urging the court to dismiss it.
Nancy Erika Smith, the lawyer who filed the lawsuit, reacted incredulously to the request by Local 54.
\u201cI have never seen a union fight against the health and safety of their members, not once,\" she said. \u201cLuckily, Unite's economic arguments, while false, have absolutely no relevance to the constitutional question at hand.\u201d
Donna DeCaprio is president of Local 54, which represents hotel workers, beverage servers, baggage handlers, public area cleaners and other workers at the nine casinos.
\u201cWe support the health and safety of our members, and believe that improvements to the current work environment must be made,\u201d she said Monday. \u201cA balance needs to be reached that will both protect worker health and preserve good jobs.\u201d
DeCaprio said a total smoking ban would be \u201ccatastrophic\u201d for Atlantic City, adding that between 50 to 72% of all gambling revenue won from in-person gamblers comes from smoking sections.
The union endorses legislation introduced earlier this year that would keep the current 25% limit of the casino floor on which smoking can occur.
But it would allow smoking in unenclosed areas of the casino floor that contain slot machines and are designated as smoking areas that are more than 15 feet away from table games staffed by live dealers. It also would allow the casinos to offer smoking in enclosed, separately ventilated smoking rooms with the proviso that no worker can be assigned to work in such a room against their will.
Whether to ban smoking is one of the most controversial issues not only in Atlantic City casinos, but in other states where workers have expressed concern about secondhand smoke. They are waging similar campaigns in Rhode Island, Pennsylvania, Kansas and Virginia.
\u201cA total smoking ban would place thousands of jobs at risk, endangering the wages, health and welfare benefits and retirement benefits of Local 54 members and their families,\u201d the union wrote in its court filing.
It noted that in 2008, when Atlantic City's City Council imposed a short-lived total smoking ban, casino revenues fell by 19.8%, within the first week, leading to the enactment of the current 25% smoking area on the casino floors.
These workers, including many table games dealers, say that going smoke-free would actually attract enough customers to more than offset the loss of smokers who go elsewhere.
Nicole Vitola, a Borgata dealer and one of the leaders of the anti-smoking push, accused Local 54 of being the same as casino management.
\u201cInstead of fighting for the health and safety of workers, Local 54 is battling in a court of law to allow casinos to keep poisoning their members with toxic secondhand smoke,\u201d she said.
___
Follow Wayne Parry on X, formerly Twitter, at www.twitter.com/WayneParryAC
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The health aspect is a significant part of the discussion, particularly regarding the impact of secondhand smoke on workers' health and the proposed measures to mitigate it." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/04/29/d192402db5fe62e52e733d78b5092ddb.json b/datasets/AP_news/raw_data/2024/04/29/d192402db5fe62e52e733d78b5092ddb.json new file mode 100644 index 0000000..db0ef55 --- /dev/null +++ b/datasets/AP_news/raw_data/2024/04/29/d192402db5fe62e52e733d78b5092ddb.json @@ -0,0 +1,241 @@ +{ + "altids": { + "itemid": "d192402db5fe62e52e733d78b5092ddb", + "etag": "d192402db5fe62e52e733d78b5092ddb_2a7aza0c0", + "friendlykey": "130576217898", + "referenceid": "US--Vampire Facial-HIV Transmission-Explainer" + }, + "version": 2, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-04-29T19:32:12Z", + "firstcreated": "2024-04-29T16:46:01Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: Updates Media. This story adds section with comments from Stanford expert Zakia Rahman and makes additional updates.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "US--Vampire Facial-HIV Transmission-Explainer", + "headline": "'Vampire facials' were linked to cases of HIV. Here's what to know about the beauty treatment", + "headline_extended": "The Centers for Disease Control and Prevention issued a report last week that documented the first instances of HIV transmissions contracted through unsterile injections used while receiving \u201cvampire facials,\u201d cosmetic procedures involving microneedling", + "slugline": "BC-US-Vampire-Facial-HIV-Transmission-Explainer, 2nd Ld-Writethru", + "description_summary": "The Centers for Disease Control and Prevention issued a report last week that documented the first instances of HIV transmissions contracted through unsterile injections used while receiving \u201cvampire facials,\u201d cosmetic procedures involving microneedling. Three women were diagnosed with HIV after getting the services at an unlicensed medical spa in New Mexico. Consumers interested in receiving the services should be aware of the risks.", + "bylines": [ + { + "by": "By ALEXA ST. JOHN", + "title": "Associated Press" + } + ], + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. 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Federal health officials said in a new report that an investigation from 2018 through 2023 into the clinic in Albuquerque, VIP Spa, found it apparently reused disposable equipment intended for one-time use, transmitting HIV to clients through its services via contaminated blood.
Vampire facials, formally known as platelet-rich plasma microneedling facials, are cosmetic procedures intended to rejuvenate one\u2019s skin, making it more youthful-looking and reducing acne scars and wrinkles, according to the American Academy of Dermatology.
After a client's blood is drawn, a machine separates the blood into platelets and cells.
The plasma is then injected into the client's face, either through single-use disposable or multiuse sterile needles.
Vampire facials have gained popularity in recent years as celebrities such as Kim Kardashian have publicized receiving the procedure.
HIV transmission via unsterile injection is a known risk of beauty treatments and other services, officials say.
Despite this, the Academy says vampire facials are generally safe.
Health officials say spa facilities that offer cosmetic injection services should practice proper infection control and maintain client records to help prevent the transmission of bloodborne pathogens such as HIV.
Platelet-rich plasma injections were initially most used medically for bone grafting and osteoarthritis, and then became popular in cosmetic treatments.
Other services, such as Botox and lip fillers, are also delivered with needles, as are tattoos.
Though this procedure works for hair growth, its use for rejuvenation purposes is not Food and Drug Administration-approved, said Zakia Rahman, a clinical professor of dermatology at Stanford University.
But as such procedures grow in popularity, she said, it is \"important for people to know and understand a medical procedure should be done in a medical setting.\"
The New Mexico Department of Health was notified during summer 2018 that a woman with no known HIV risk factors was diagnosed with an HIV infection after receiving the spa's vampire facial services that spring.
During the investigation, similar HIV strains were found among three women, all former clients of the spa. Evidence suggested that contamination from services at the spa resulted in the positive HIV infection tests for these three patients, according to the CDC report.
Another woman, who also received services at the spa, and her male sexual partner, who did not go to the spa, were both found to have a close HIV strain as well, but the HIV diagnoses for these two patients \u201cwere likely attributed to exposures before receipt of cosmetic injection services,\" the CDC said.
Health officials found equipment containing blood on a kitchen counter, unlabeled tubes of blood and injectables in the refrigerator alongside food and unwrapped syringes not properly disposed of. The CDC report said that a steam sterilizer, known as an autoclave \u2014 which is necessary for cleaning equipment that is reused \u2014 was not found at the spa.
Through the New Mexico Department of Health's investigation, nearly 200 former clients of the spa, and their sexual partners, were tested for HIV, and no additional infections were found.
According to the CDC, free testing remains available for those who previously frequented the spa.
\u201cHaving a medical procedure in a nonmedical setting, I think is the biggest danger of all,\u201d Rahman said. \u201cHaving that discount or the lower cost is not worth potentially putting your life at risk.\"
\"There are a number of procedures and processes in place to make sure that these treatments are done safely and in medical settings,\" she said. \u201cAll of these things are in place to really reduce that risk, and when done safely, the risks are extraordinarily low.\"
The former owner of VIP Spa, Maria de Lourdes Ramos de Ruiz, pleaded guilty in 2022 to five felony counts of practicing medicine without a license, including conducting the unlicensed vampire facials.
The New Mexico Attorney General's office said Ramos de Ruiz also did illegal plasma and Botox-injection procedures.
According to prosecutors, inspections by state health and regulation and licensing departments found the code violations, and the spa closed in fall 2018 after the investigation was launched.
Ramos de Ruiz was sentenced to 7 1/2 years, with four years being suspended on supervised probation, 3 1/2 years time in prison and parole, according to court documents.
Raul A. Lopez, attorney for Ramos de Ruiz, did not immediately respond to requests for comment.
___
Alexa St. John is an Associated Press climate solutions reporter. Follow her on X, formerly Twitter, @alexa_stjohn. Reach her at ast.john@ap.org.
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(AP) \u2014 West Virginia's and North Carolina's refusal to cover certain health care for transgender people with government-sponsored insurance is discriminatory, a federal appeals court ruled Monday in a case likely headed to the U.S. Supreme Court.
The Richmond-based 4th U.S. Circuit Court of Appeals ruled 8-6 in the case involving coverage of gender-affirming care by North Carolina\u2019s state employee health plan and the coverage of gender-affirming surgery by West Virginia Medicaid.
Specifically, North Carolina\u2019s policy bars treatment or studies \u201cleading to or in connection with sex changes or modifications and related care,\" while West Virginia\u2019s bars coverage of \u201ctranssexual surgery.\u201d
\u201cThe coverage exclusions facially discriminate on the basis of sex and gender identity, and are not substantially related to an important government interest,\u201d Judge Roger Gregory, first appointed by former President Bill Clinton and re-appointed by former President George W. Bush, wrote in the majority opinion.
Similar cases are under consideration in courts across the country, but Monday's is the first U.S. Court of Appeals decision to consider government-sponsored coverage exclusions of gender affirming medical care \u2014 and whether those exclusions are lawful.
The ruling follows a decision earlier this month by 4th Circuit judges that West Virginia's transgender sports ban violates the rights of a teen athlete under Title IX, the federal civil rights law that prohibits sex-based discrimination in schools.
Like with the transgender sports law ruling, West Virginia Attorney General Patrick Morrisey said his office planned to appeal Monday's health care case decision.
\u201cDecisions like this one, from a court dominated by Obama- and Biden-appointees, cannot stand: we\u2019ll take this up to the Supreme Court and win,\u201d Morrisey said in a statement.
North Carolina State Treasurer Dale Folwell, whose department oversees the state\u2019s health plan, said in a news release that Monday\u2019s majority decision was in \u201cdirect conflict\u201d with other decisions from federal appeals courts and hopefully will be corrected by the U.S. Supreme Court.
Folwell said the State Health Plan is threatened by financial challenges as the plan\u2019s member grows older and their health declines.
\u201cAccordingly, the Plan cannot be everything for everyone,\u201d Folwell said. \u201cUntethered to the reality of the Plan\u2019s fiscal situation, the majority opinion opens the way for any dissatisfied individual to override the Plan\u2019s reasoned and responsible decisions and drive the Plan towards collapse.\u201d
In the majority opinion, judges said the cost of treatment is not a sufficient argument to support upholding a policy found to be discriminatory.
\u201cEspecially where government budgets are involved, there will frequently be a \u2018rational\u2019 basis for discrimination,\u201d Judge Gregory wrote.
Both states appealed separate lower court rulings that found the denial of gender-affirming care to be discriminatory and unconstitutional. Two panels of three Fourth Circuit judges heard arguments in both cases last year before deciding to intertwine the two cases and see them presented before the full court.
In June 2022, a North Carolina trial court demanded the state plan pay for \u201cmedically necessary services,\u201d including hormone therapy and some surgeries, for transgender employees and their children. The judge had ruled in favor of the employees and their dependents, who said in a 2019 lawsuit that they were denied coverage for gender-affirming care under the plan.
The North Carolina state insurance plan provides medical coverage for more than 750,000 teachers, state employees, retirees, lawmakers and their dependents.
In August 2022, a federal judge ruled West Virginia\u2019s Medicaid program must provide coverage for gender-affirming care for transgender residents.
An original lawsuit filed in 2020 also named state employee health plans. A settlement with The Health Plan of West Virginia Inc. in 2022 led to the removal of the exclusion on gender-affirming care in that company\u2019s Public Employees Insurance Agency plans.
The states' lawyers argued that treatments for gender dysphoria \u2014 all treatments in North Carolina and surgical treatments in West Virginia \u2014 are excluded from coverage for everyone, regardless of their gender identity. They claimed only a subset of transgender people suffer from gender dysphoria, a diagnosis of distress over gender identity that does not match a person\u2019s assigned sex.
Before offering pharmaceutical or surgical intervention, medical guidelines call for thorough psychological assessments to confirm gender dysphoria before starting any treatment.
In his opinion, Gregory said that in his view, gender dysphoria is \u201cso intimately related to transgender status as to be virtually indistinguishable from it.\u201d
\u201cWe hold that gender dysphoria, a diagnosis inextricable from transgender status, is a proxy for transgender identity,\u201d the judge wrote. \u201cAnd coverage exclusions that bar treatments for gender dysphoria bar treatments on the basis of transgender identity by proxy.\u201d
Unlike North Carolina, West Virginia has covered hormone therapy and other pharmaceutical treatments for transgender people since 2017. Gregory noted that West Virginia\u2019s program partially or fully covers surgeries to remove and reconstruct sexual organs for non-gender dysphoria-related diagnoses, such as cancer.
After the ruling, West Virginia plaintiff Shauntae Anderson, a Black transgender woman and West Virginia Medicaid participant, called her state's refusal to cover her care \u201cdeeply dehumanizing.\u201d
\"I am so relieved that this court ruling puts us one step closer to the day when Medicaid can no longer deny transgender West Virginians access to the essential healthcare that our doctors say is necessary for us,\u201d Anderson said in a statement.
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Editorial: Motorists need strategies, not scare campaigns, to reduce driving distractions
More than 40,000 people in the U.S. were killed last year in vehicle crashes, according to preliminary data from the National Highway Traffic Safety Administration. The new statistics, released to coincide with the launch of the agency\u2019s \u201cPut the Phone Away or Pay\u201d campaign, add to concerns that little is being done to address \u201cdistracted driving,\u201d one of the most common causes of preventable traffic deaths.
The federal agency said the issue has only grown in urgency with the ubiquity of smartphones, resulting in 3,308 deaths and 289,310 injuries in 2022, and 3,522 deaths in 2021.
This week, the Fort Wayne Police Department shared with The Journal Gazette its annual traffic report for 2023. Lt. Anthony Maze, a member of the Fort Wayne/Allen County Crash Team, said distracted driving is hard to enforce and, consequently, remains underreported.
\u201cIn reviewing crash reports, (motorists) will tell the officer, \u2018I was looking down\u2019 or \u2018I dropped something,\u2019 when in reality, they could have been on their phone,\u201d Maze said. \u201cWe\u2019re not going to know it, and they\u2019re not going to admit it.\u201d
Indiana statute allows law enforcement to pull over a motorist for distracted driving only if an officer sees a phone in the driver\u2019s hand. Still, 128 local motorists were ticketed or issued electronic citations for distracted driving in 2023.
The largest number of traffic complaints to Fort Wayne police are for speeders and motorists disregarding traffic lights and stop signs, Maze said.
\u201cWe will get complaints from citizens within neighborhoods of stop signs being run during peak hours, like going to work and coming home,\u201d he said. \u201cWe had 426 electronic citations written for disregarding a traffic control signal or sign, and 295 more in handwritten tickets.\u201d
Fort Wayne has no red-light cameras that snap photos of vehicles running traffic signals, Maze said, but the Traffic Engineering Department sets cameras along roads to monitor traffic flow and congestion that the local crash team can use to review crashes for violations. Most are set along the Coliseum Boulevard and Lafayette Street corridors, but others are placed in locations across the city.
FWPD\u2019s 2023 traffic report contained mostly good news. The 8,054 property-damage accidents and 2,133 hit-and-run crashes represent eight-year lows within the city, but the reported 1,573 personal-injury accidents in 2023 are at a four-year high and the number of crashes involving intoxicated or impaired drivers, 359, is up 107 over 2022.
Nineteen people were killed in crashes last year, the same number as in 2022. The eight-year low for traffic fatalities was 14 in 2018. The highest number since 2016 was 28 traffic deaths in 2021.
Scare campaigns, such as the federal traffic safety agency\u2019s \u201cPut the Phone Away or Pay\u201d crusade, are usually not effective, said Rachel Blakeman, director of Purdue Fort Wayne\u2019s Community Research Institute. She told The Journal Gazette motorists need strategies to reduce distractions while driving.
Lt. Maze of the Fort Wayne/Allen County Crash Team offers these suggestions:
Exercise patience: \u201cWe\u2019ve already got construction delays as it is. Maybe plan your day to leave 10 to 15 minutes early to arrive at your destination.\u201d
Be vigilant: \u201cBe aware of what the other drivers are doing around you, especially now with the warmer weather and motorcyclists being out.\u201d
Limit eating and drinking to traffic stops: \u201cThere\u2019s no traffic offense about eating or drinking in your car. Try not to do that while you\u2019re in motion.\u201d
That\u2019s good information to consider as we drive through neighborhoods, down boulevards and on highways throughout Fort Wayne. It\u2019s our choice to control how we drive to protect ourselves, our passengers and the people with whom we share the road.
___
Anderson Herald Bulletin. April 25, 2024.
Editorial: Rokita right to target forever chemicals
Most everyone can appreciate the convenience of waterproof and non-stick products.
But at what cost to public health and the environment?
Indiana Attorney General Todd Rokita has filed a lawsuit against 22 companies in the state that, allegedly, have tried to conceal their longtime use of \u201cforever chemicals\u201d and the potential cost to human health.
Defendants in the lawsuit include heavy hitters such as 3M Company, DuPont, Corteva, United Technologies and Carrier Global.
The lawsuit was filed in Shelby County because a 2022 probe at the Army Aviation Support Facility there linked forever chemical contamination to use of AFFF foam for firefighter training. The foam has also been linked to soil, sediment, surface water and groundwater contamination near fire training areas at Grissom Air Reserve Base and Fort Benjamin Harrison.
PFAS, or forever chemicals, have been directly connected to kidney cancer, organ dysfunction, endocrine system disruption, immune system suppression, reproductive abnormalities and childhood developmental issues.
Among other uses, forever chemicals render cookware non-stick and carpeting, clothing and cosmetics stain-resistant and waterproof.
Forever chemicals were first used in household products in the 1940s and over the past eight decades have seeped into our soil and water supplies \u2014 not to mention our bodies. The chemicals are now found in the blood of people and animals across the planet, as well as in the food supply and a wide array of consumer products.
Rokita maintains that some manufacturers in Indiana have used forever chemicals recklessly, flouting public health concerns.
The lawsuit contends that, while the companies \u201cknew or should have known about the risks associated with PFAS-containing products, \u201dthey marketed, sold and distributed contaminated products to Hoosiers \u201cwhile concealing the dangers\u201d and \u201caffirmatively distorting and/or suppressing their knowledge and the scientific evidence linking their products to the unreasonable dangers those products pose.\u201d
Furthermore, Rokita says the companies violated state and federal environmental regulations and ran afoul of Indiana consumer protection laws.
Similar lawsuits are being filed in some other states in the aftermath of the Environmental Protection Agency\u2019s recent establishment of new drinking water standards designed to limit exposure to forever chemicals.
The new EPA rule requires monitoring within five years of six different forever chemicals in public water systems and mitigation if the chemicals are found to be above the allowable level.
Indiana Department of Environmental Management public drinking water testing over the past few years has revealed forever chemicals levels that exceed the EPA\u2019s health advisory in 24 counties: Bartholomew, Carroll, Cass, Clark, Crawford, Decatur, Elkhart, Floyd, Gibson, Harrison, Jackson, Jefferson, Johnson, Lake, LaPorte, Madison, Marion, Perry, Posey, Scott, St. Joseph, Sullivan, Vigo and Warrick.
Rokita\u2019s office is targeting companies that not only used forever chemicals at \u201ctoxic levels\u201d but hid internal research about harm to consumers.
Hoosiers have the right to know the environmental and public health costs of using products containing forever chemicals.
Rokita is doing the right thing by holding almost two dozen companies operating in Indiana accountable for hiding those costs, allegedly, in order to sell their products.
END
", + "textformat": "bx", + "links": [ + { + "href": "https://apnews.com/f704f64942c14583e903b1936ab79360", + "rel": "canonical" + } + ], + "topics": { + "Health": { + "relevance_score": 3, + "reason": "The document contains two editorials. The first editorial focuses on strategies to reduce driving distractions and traffic safety, which is not directly related to health. The second editorial discusses a lawsuit against companies for using 'forever chemicals' and their impact on public health and the environment. This part is highly relevant to the topic of health as it addresses the health risks associated with exposure to these chemicals, including cancer, organ dysfunction, and other serious health issues." + } + } +} \ No newline at end of file diff --git a/datasets/AP_news/raw_data/2024/04/29/fc5cc1509656645d7f5679e0f1b34b85.json b/datasets/AP_news/raw_data/2024/04/29/fc5cc1509656645d7f5679e0f1b34b85.json new file mode 100644 index 0000000..10a6ebe --- /dev/null +++ b/datasets/AP_news/raw_data/2024/04/29/fc5cc1509656645d7f5679e0f1b34b85.json @@ -0,0 +1,228 @@ +{ + "altids": { + "itemid": "fc5cc1509656645d7f5679e0f1b34b85", + "etag": "fc5cc1509656645d7f5679e0f1b34b85_2a16aza0c0", + "friendlykey": "332167403361", + "referenceid": "US--Sleep Machines" + }, + "version": 2, + "type": "text", + "urgency": 4, + "profile": "Spot Development", + "language": "en", + "versioncreated": "2024-04-29T18:04:11Z", + "firstcreated": "2024-04-29T14:24:25Z", + "editorialrole": "FullStory", + "pubstatus": "usable", + "ednote": "Eds: UPDATES: Updates Media.", + "editorialtypes": [ + "Lead" + ], + "signals": [ + "newscontent" + ], + "title": "US--Sleep Machines", + "headline": "Philips will pay $1.1 billion to resolve US lawsuits over breathing machines that expel debris", + "headline_extended": "Medical device maker Philips will pay $1.1 billion to settle personal injury lawsuits in the U.S. over its defective sleep apnea machines", + "slugline": "BC-US--Sleep Machines, 2nd Ld-Writethru", + "description_summary": "Medical device maker Philips will pay $1.1 billion to settle personal injury lawsuits in the U.S. over its defective sleep apnea machines. The announcement Monday is another step toward resolving one of the biggest medical device recalls in history, which has dragged on for nearly three years. Earlier this month the company reached a settlement with the U.S. government over the devices. The Dutch manufacturer did not admit any fault in the latest agreement. Philips has recalled more than 5 million of the machines since 2021 because their internal foam can break down over time and be inhaled by users.", + "bylines": [ + { + "by": "By MATTHEW PERRONE", + "title": "AP Health Writer" + } + ], + "located": "WASHINGTON", + "datelinelocation": { + "city": "Washington", + "countryareacode": "DC", + "countryareaname": "District of Columbia", + "countrycode": "USA", + "countryname": "United States", + "geometry_geojson": { + "type": "Point", + "coordinates": [ + -77.03637, + 38.89511 + ] + } + }, + "copyrightnotice": "Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.", + "usageterms": [ + "This content is intended for editorial use only. For other uses, additional clearances may be required." + ], + "keywords": [ + "Philips Sleep apnea settlement recall safety" + ], + "provider": "AP", + "infosource": [ + { + "name": "AP", + "type": "AP" + } + ], + "subject": [ + { + "rels": [ + "category" + ], + "creator": "Editorial", + "code": "f", + "name": "f" + }, + { + "rels": [ + "category" + ], + "creator": "Editorial", + "code": "w", + "name": "w" + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "cc7a76087e4e10048482df092526b43e", + "name": "Health", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 58 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "7077b3c88b6b10048b67a385cd5ce603", + "name": "Medical technology", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 77 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "160ae006edee40b7b3bf237100a7d6aa", + "name": "Medical devices", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 89 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "a4677d70863b4012b846a1b00f5079f5", + "name": "U.S. news", + "creator": "Editorial", + "editorial_subject": "U.S. news", + "rels": [ + "direct" + ], + "relevance": 75 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "f25af2d07e4e100484f5df092526b43e", + "name": "General news", + "creator": "Editorial", + "editorial_subject": "General news", + "rels": [ + "direct" + ], + "relevance": 50 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "cc7a76087e4e10048482df092526b43e", + "name": "Health", + "creator": "Editorial", + "editorial_subject": "Health", + "rels": [ + "direct" + ], + "relevance": 75 + }, + { + "scheme": "http://cv.ap.org/id/", + "code": "c8e409f8858510048872ff2260dd383e", + "name": "Business", + "creator": "Editorial", + "editorial_subject": "Business", + "rels": [ + "direct" + ], + "relevance": 99 + } + ], + "organisation": [ + { + "scheme": "http://cv.ap.org/id/", + "code": "e5c917c88bcc1004803aeb438e258b03", + "name": "U.S. Food and Drug Administration", + "creator": "Machine", + "rels": [ + "direct" + ], + "relevance": 38 + } + ], + "audiences": [ + { + "code": "82c6a4c46fa0446090a7acaf93159e4c", + "name": "Print", + "type": "AUDPLATFORM" + }, + { + "code": "9add4649b53b4702ba7d9de5d4fa607a", + "name": "Online", + "type": "AUDPLATFORM" + }, + { + "code": "f43adc08760d10048040e6e7a0f4673e", + "name": "National", + "type": "AUDSCOPE" + }, + { + "code": "f4ecf9b0760d10048044e6e7a0f4673e", + "name": "International", + "type": "AUDSCOPE" + }, + { + "code": "661850e07d5b100481f4c076b8e3055c", + "name": "Europe", + "type": "AUDGEOGRAPHY" + }, + { + "code": "661e48387d5b10048291c076b8e3055c", + "name": "United States", + "type": "AUDGEOGRAPHY" + } + ], + "associations": { + "1": { + "altids": { + "itemid": "259b726ee6dd4557b31a384e127670ef" + }, + "type": "picture" + }, + "2": { + "altids": { + "itemid": "a908413112c1467aac921c3f55f9d023" + }, + "type": "audio" + } + }, + "body_nitf": "WASHINGTON (AP) \u2014 Medical device maker Philips said Monday it will pay $1.1 billion to settle hundreds of personal injury lawsuits in the U.S. over its defective sleep apnea machines, which have been subject to a massive global recall.
The Dutch manufacturer did not admit any fault and said it reached the agreement to resolve any uncertainty over the cases. The payout also includes medical monitoring claims from patients who used the company's devices and could be exposed to future risks.
Philips has recalled more than 5 million of breathing machines since 2021 because their internal foam can break down over time, leading users to inhale tiny particles and fumes while they sleep. Efforts to repair or replace the machines have been plagued by delays that have frustrated regulators and patients in the U.S. and other countries.
Monday's announcement is another step toward resolving one of the biggest medical device recalls in the industry's history, which has dragged on for nearly three years.
Philips shares rose more than 35% to a one-year high on the news.
Earlier this month the company reached a settlement with the U.S. government that requires an overhaul of how it manufactures of sleep apnea devices. The agreement also requires the company to replace or reimburse patients for recalled machines.
Most of the devices recalled are continuous positive airway pressure, or CPAP, machines. They force air through a mask to keep mouth and nasal passageways open during sleep.
Company CEO Roy Jakobs said in a statement the recent settlements are \"significant milestones and provide further clarity on the way forward for Philips.\u201d
The FDA\u2019s website warns patients that the risks of ingesting the sound-dampening foam could include headache, asthma, allergic reactions and more serious problems.
An FDA inspection of Philips\u2019 Pennsylvania offices in the fall of 2021 uncovered a spate of red flags, including emails suggesting the company was warned of the problem with its foam six years before the recall.
___
The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute\u2019s Science and Educational Media Group. The AP is solely responsible for all content.
", + "textformat": "bx", + "links": [ + { + "href": "https://apnews.com/article/philips-sleep-apnea-settlement-recall-safety-fc5cc1509656645d7f5679e0f1b34b85", + "rel": "canonical" + } + ], + "topics": { + "Health": { + "relevance_score": 5, + "reason": "The document discusses a significant health-related issue involving Philips' defective sleep apnea machines, which have been recalled due to health risks such as inhaling particles and fumes. The settlement of lawsuits and the recall of these medical devices are directly related to health concerns, patient safety, and regulatory actions. The document also mentions the potential health risks associated with the defective machines, such as headaches, asthma, and allergic reactions. Therefore, the content is highly relevant to the topic of Health." + } + } +} \ No newline at end of file diff --git a/docs/images/AutoQ.png b/docs/images/AutoQ.png new file mode 100644 index 0000000..cf2d708 Binary files /dev/null and b/docs/images/AutoQ.png differ diff --git a/example_notebooks/autod.ipynb b/example_notebooks/autod.ipynb new file mode 100644 index 0000000..24a6ee0 --- /dev/null +++ b/example_notebooks/autod.ipynb @@ -0,0 +1,291 @@ +{ + "cells": [ + { + "cell_type": "code", + "execution_count": null, + "metadata": {}, + "outputs": [], + "source": [ + "import sys\n", + "\n", + "sys.path.insert(1, \"../../\")" + ] + }, + { + "cell_type": "code", + "execution_count": null, + "metadata": {}, + "outputs": [], + "source": [ + "import logging\n", + "import os\n", + "\n", + "from benchmark_qed.autod.data_processor.embedding import TextEmbedder\n", + "from benchmark_qed.autod.data_processor.text_splitting import TokenTextSplitter\n", + "from benchmark_qed.autod.io.document import (\n", + " create_documents,\n", + " save_documents,\n", + ")\n", + "from benchmark_qed.autod.io.text_unit import create_text_units, save_text_units\n", + "from benchmark_qed.config.llm_config import LLMConfig, LLMProvider\n", + "from benchmark_qed.llm.factory import ModelFactory\n", + "\n", + "logging.basicConfig(level=logging.INFO)\n", + "logging.getLogger(\"httpx\").setLevel(logging.ERROR)" + ] + }, + { + "cell_type": "markdown", + "metadata": {}, + "source": [ + "# AutoD\n", + "\n", + "AutoD provides utilities for sampling datasets to match a target specification, defined in terms of the breadth (number of topic clusters to sample from) and depth (the number of samples per cluster) of data units (e.g. documents). It also provides ability to generate dataset summaries using a map-reduce approach." + ] + }, + { + "cell_type": "markdown", + "metadata": {}, + "source": [ + "### Configs" + ] + }, + { + "cell_type": "code", + "execution_count": null, + "metadata": {}, + "outputs": [], + "source": [ + "INPUT_DATA_PATH = \"../datasets/AP_news/raw_data\"\n", + "OUTPUT_DATA_PATH = \"../output/AP_news/processed_data\"\n", + "TEXT_COLUMN = \"body_nitf\"\n", + "METADATA_COLUMNS = [\"headline\", \"firstcreated\"]\n", + "JSON_ENCODING = \"utf-8-sig\"\n", + "\n", + "# tokenizer used for chunking documents into text units\n", + "ENCODING_MODEL = \"o200k_base\"\n", + "CHUNK_SIZE = 600\n", + "CHUNK_OVERLAP = 100\n", + "\n", + "# llm/embedding settings\n", + "API_KEY = os.getenv(\"AP_OPENAI_API_KEY\", \"\")\n", + "EMBEDDING_MODEL = \"text-embedding-3-large\"\n", + "LLM_MODEL = \"gpt-4.1\"" + ] + }, + { + "cell_type": "markdown", + "metadata": {}, + "source": [ + "### Load documents\n", + "\n", + "- Supports CSV, JSON, and TXT" + ] + }, + { + "cell_type": "code", + "execution_count": null, + "metadata": {}, + "outputs": [], + "source": [ + "documents = create_documents(\n", + " input_path=INPUT_DATA_PATH,\n", + " input_type=\"json\",\n", + " text_tag=TEXT_COLUMN,\n", + " metadata_tags=METADATA_COLUMNS,\n", + " encoding=JSON_ENCODING,\n", + ")\n", + "document_df = save_documents(documents, OUTPUT_DATA_PATH)\n", + "print(f\"Document count: {len(document_df)}\")\n", + "document_df.head()" + ] + }, + { + "cell_type": "markdown", + "metadata": {}, + "source": [ + "### Create text units\n", + "\n", + "Chunk documents into text units of the specified chunk size and overlap and embed all text units." + ] + }, + { + "cell_type": "code", + "execution_count": null, + "metadata": {}, + "outputs": [], + "source": [ + "text_splitter = TokenTextSplitter(\n", + " encoding_name=ENCODING_MODEL,\n", + " chunk_size=CHUNK_SIZE,\n", + " chunk_overlap=CHUNK_OVERLAP,\n", + ")\n", + "\n", + "text_embedder = TextEmbedder(\n", + " ModelFactory.create_embedding_model(\n", + " LLMConfig(\n", + " model=EMBEDDING_MODEL,\n", + " api_key=API_KEY,\n", + " llm_provider=LLMProvider.OpenAIEmbedding,\n", + " )\n", + " )\n", + ")\n", + "\n", + "text_units = await create_text_units(\n", + " documents=documents,\n", + " metadata_tags=METADATA_COLUMNS,\n", + " text_splitter=text_splitter,\n", + " text_embedder=text_embedder,\n", + " embed_text=True,\n", + ")\n", + "text_unit_df = save_text_units(text_units, OUTPUT_DATA_PATH)\n", + "print(f\"Text unit count: {len(text_unit_df)}\")\n", + "text_unit_df.head()" + ] + }, + { + "cell_type": "markdown", + "metadata": {}, + "source": [ + "### Sample text units using a Kmeans-based sampler\n", + "\n", + "The sampling process consists of 3 steps:\n", + "\n", + "1. Input text units are first clustered into K-clusters using Kmeans\n", + "2. Select a representative unit for each cluster\n", + "3. For each representative, select N nearest neighbors" + ] + }, + { + "cell_type": "code", + "execution_count": null, + "metadata": {}, + "outputs": [], + "source": [ + "from benchmark_qed.autod.sampler.enums import ClusterRepresentativeSelectionType\n", + "from benchmark_qed.autod.sampler.sampling.kmeans_sampler import KmeansTextSampler" + ] + }, + { + "cell_type": "code", + "execution_count": null, + "metadata": {}, + "outputs": [], + "source": [ + "NUM_CLUSTERS = 50\n", + "NUM_SAMPLES_PER_CLUSTER = 10" + ] + }, + { + "cell_type": "code", + "execution_count": null, + "metadata": {}, + "outputs": [], + "source": [ + "sampler = KmeansTextSampler()\n", + "sampled_text_units = sampler.sample(\n", + " text_units=text_units,\n", + " sample_size=None,\n", + " num_clusters=NUM_CLUSTERS,\n", + " num_samples_per_cluster=NUM_SAMPLES_PER_CLUSTER,\n", + " cluster_representative_selection_type=ClusterRepresentativeSelectionType.CENTROID,\n", + ")\n", + "print(f\"Sampled text unit count: {len(sampled_text_units)}\")" + ] + }, + { + "cell_type": "code", + "execution_count": null, + "metadata": {}, + "outputs": [], + "source": [ + "# Quality check: check number of clusters\n", + "clusters = [\n", + " sampled_text_units[i : i + NUM_SAMPLES_PER_CLUSTER]\n", + " for i in range(0, len(sampled_text_units), NUM_SAMPLES_PER_CLUSTER)\n", + "]\n", + "print(f\"Cluster count: {len(clusters)}\")\n", + "\n", + "# print first cluster\n", + "print(\"First cluster:\")\n", + "for i, text_unit in enumerate(clusters[0]):\n", + " print(f\"Text {i}: {text_unit.text}\")\n", + " print(\"----------------------\")" + ] + }, + { + "cell_type": "markdown", + "metadata": {}, + "source": [ + "### Summarize sampled text units using map-reduce" + ] + }, + { + "cell_type": "code", + "execution_count": null, + "metadata": {}, + "outputs": [], + "source": [ + "import tiktoken\n", + "\n", + "from benchmark_qed.autod.summarization.global_summarizer import GlobalSummarizer" + ] + }, + { + "cell_type": "code", + "execution_count": null, + "metadata": {}, + "outputs": [], + "source": [ + "# adjust this based on your model. For example, some reasoning models do not support temperature settings\n", + "LLM_PARAMS = {\"temperature\": 0.0, \"seed\": 42}\n", + "\n", + "llm = ModelFactory.create_chat_model(\n", + " model_config=LLMConfig(\n", + " model=LLM_MODEL,\n", + " api_key=API_KEY,\n", + " llm_provider=LLMProvider.OpenAIChat,\n", + " call_args=LLM_PARAMS,\n", + " )\n", + ")\n", + "token_encoder = tiktoken.get_encoding(ENCODING_MODEL)\n", + "\n", + "summarizer = GlobalSummarizer(\n", + " llm=llm,\n", + " token_encoder=token_encoder,\n", + " response_type=\"single paragraph\",\n", + " max_data_tokens=8000,\n", + " map_llm_params=LLM_PARAMS,\n", + " reduce_llm_params=LLM_PARAMS,\n", + " concurrent_coroutines=32,\n", + ")\n", + "\n", + "summary_result = await summarizer.asummarize(\n", + " text_units=sampled_text_units,\n", + ")\n", + "print(f\"Summary: {summary_result.summary}\")" + ] + } + ], + "metadata": { + "kernelspec": { + "display_name": ".venv", + "language": "python", + "name": "python3" + }, + "language_info": { + "codemirror_mode": { + "name": "ipython", + "version": 3 + }, + "file_extension": ".py", + "mimetype": "text/x-python", + "name": "python", + "nbconvert_exporter": "python", + "pygments_lexer": "ipython3", + "version": "3.12.6" + } + }, + "nbformat": 4, + "nbformat_minor": 2 +} diff --git a/example_notebooks/autoq.ipynb b/example_notebooks/autoq.ipynb new file mode 100644 index 0000000..a511a9d --- /dev/null +++ b/example_notebooks/autoq.ipynb @@ -0,0 +1,527 @@ +{ + "cells": [ + { + "cell_type": "code", + "execution_count": null, + "id": "57a1db8a", + "metadata": {}, + "outputs": [], + "source": [ + "import sys\n", + "\n", + "sys.path.insert(1, \"../../\")" + ] + }, + { + "cell_type": "code", + "execution_count": null, + "id": "fb39cd97", + "metadata": {}, + "outputs": [], + "source": [ + "import logging\n", + "import os\n", + "import pickle\n", + "\n", + "import pandas as pd\n", + "import tiktoken\n", + "\n", + "from benchmark_qed.autod.data_processor.embedding import TextEmbedder\n", + "from benchmark_qed.autod.io.text_unit import load_text_units\n", + "from benchmark_qed.autoq.io.activity import (\n", + " save_activity_context,\n", + ")\n", + "from benchmark_qed.autoq.io.question import (\n", + " load_questions,\n", + " save_questions,\n", + ")\n", + "from benchmark_qed.config.llm_config import LLMConfig, LLMProvider\n", + "from benchmark_qed.llm.factory import ModelFactory\n", + "\n", + "logging.basicConfig(level=logging.INFO)\n", + "\n", + "if logging.getLogger(\"httpx\") is not None:\n", + " logging.getLogger(\"httpx\").setLevel(logging.ERROR)" + ] + }, + { + "cell_type": "markdown", + "id": "fd9270eb", + "metadata": {}, + "source": [ + "# AutoQ\n", + "\n",
+ "