Are humans a cancer on the planet? A physician argues that civilization is truly carcinogenic

Salon

Are humans a cancer on the planet? A physician argues that civilization is truly carcinogenic

Troy Farah – August 5, 2023

Aerial View City in the US; Cancer Cell Photo illustration by Salon/Getty Images
Aerial View City in the US; Cancer Cell Photo illustration by Salon/Getty Images

Humans have existed on this planet for a relatively short time, yet we’ve had a major impact on it, dramatically altering its biodiversity and shifting its global climate in only a few centuries. The burning of fossil fuels has cooked the globe so much that ecosystems are threatening to fall completely out of balance, which could accelerate the ongoing mass extinctions caused by our predilection for exploiting nature.

There’s a very distinct possibility we could trigger our own extinction or, at the very least, greatly reduce our population while completely altering the way we currently live. Little things like going outside during daylight hours or growing food in the dirt could become relics of the past, along with birds, insects, whales and many other species. War, famine, pestilence and death — that dreaded equine quartet — threaten to topple our dominance on this planet. We are destroying our own home, sawing off the very branch we rest on.

Those who refute this reality, or climate change deniers, misinterpret the same sets of data showing a clear anthropological cause as being part of the “natural” cycle of the planet. Things are warming, they argue, and that is normal. Only, it really isn’t normal.

Climatologists and scientists have been sounding the alarm for decades: Global temperatures and planetary homeostasis are spiraling out of control, and we’re to blame. The climate crisis is no longer a hypothetical future. It’s the tangible present, and the evidence is clear in every grueling heatwavenot-so-uncommon “freak” storm and raging wildfire.

On the opposite extreme is a vocal minority, the accelerationists and nihilists who accept that humanity is overwhelmingly destructive to nature, but argue our extinction would be a welcome relief. I received many such comments on social media after interviewing Peter Ward, a paleontologist and professor at the University of Washington, about his “Medea hypothesis,” a theory that life is not a benevolent force and often causes its own extermination. Many species in Earth’s history became so successful that they wiped themselves out — and we could do the same.

In response to that article, many readers said something such as, “Humans are a virus and should be eradicated.” Obviously, inducing human extinction is an outcome for which only a very cynical personality would advocate. But what about the first part of that statement? Are humans really like a virus, a pathogen, a cancer?

Dr. Warren Hern, a Colorado-based physician and author of the new book “Homo Ecophagus: A Deep Diagnosis to Save the Earth,” argues that human civilization indeed has many similarities with cancer. This isn’t a metaphor, but rather a literal diagnosis — and it can be addressed in the same way that an actual cancer diagnosis can be the first step to treatment.

Salon recently spoke with Hern about his new book, which acts partially as a memoir, textbook, dire diagnosis and poetic ode to a disintegrating planet, discussing the implications for such an urgent prognosis, a new name for the human species that reflects our true nature and how we can still fix this crisis.

This interview has been condensed and lightly edited for clarity.

My opinion is that humans are part of nature — we are not separate from it. After I came across your book, I began asking myself, “Are humans really a cancer on the planet?” I thought, “Aren’t we part of this whole ecosystem?” I initially set out to disprove what you’re saying, but the argument you make is so extremely convincing. I know from your writing that when you were first conceptualizing the notion that humans are a cancer on the planet, it was very unpopular. But now it seems like this idea has earned some mainstream acceptance. Is that true?

This is a fundamental scientific and philosophical question. And, first of all, I agree with you that we are part of nature. We evolved in a natural ecosystem, and we have obviously very intimate close ties with other species, other animals. Humans are unique in that they have culture, although we’re learning that other animals have certain levels of culture also, like whales. So, we are really not unique in that sense, but we have a different and higher level of culture that allows us to dominate other species and ecosystems.

These are cultural adaptations that allow us to survive, but they have become malignant maladaptations because they are now threatening our survival and millions of other species. We have essentially made a decision at this point as a species to go extinct. That’s what we’re doing — we’re eliminating our biosphere and our planetary support system. Consciously or not, and I think mostly unconsciously.

When I first came onto this in the late ’60s, I was horrified. It’s not an analogy; nobody ever died from an analogy. It’s a diagnosis, and that’s different. The diagnosis is the same as the hypothesis. The guy comes into the emergency room with a sore belly, and he has right lower quadrant pain. Your diagnosis is appendicitis until proven otherwise. But that’s a hypothesis because he might have some other disease, or if it’s a woman, they might have an ovarian cyst.

I work with the idea from Karl Popper that science is not advanced by proving anything, but by disproving false hypotheses. The purpose of a hypothesis is to explain reality and predict events. This hypothesis [humans as a cancer] explains what we see going on in reality around us —  and has for a long time —  and it predicts what is going to happen. And that means the prognosis, in medical terms, for cancer is death. The cancer continues until the host organism dies.

The difference between us and a cancer — the only difference — is we can think, and we can decide not to be a cancer. If the diagnosis is correct, things will continue until we are extinct. The biosphere can’t go extinct; it can’t die, but we can alter it to the point that we can no longer survive. And that will take out millions of other organisms. Clearly, plenty of organisms are going to survive that process. They might even be more intelligent than us. I don’t know.

That’s sort of the general picture. And whether people accept this or want to even listen to it is another thing. For example, in the book, I talk about the guy who took over the anthropology section at AAAS [American Association for the Advancement of Science] back in the early ’90s. He didn’t like this idea, and he wanted them to drop it from the schedule because his wife had cancer and he was very offended by it. I told him, “Well, I’m really sorry that your wife has cancer, and I certainly hope she recovers. This doesn’t have anything to do with your wife’s cancer.”

I hope people can see that because it’s such a good diagnosis. I mean, it really does fit the bill. You look at maps of cities and tumors, and you can see how they kind of grow similarly. But the similarities don’t end there.

The basic premise is that humans have the capacity of developing culture, and that has millions of manifestations, everything from language and speech and mathematics to constructing shelters, building weapons and having medical care to keep us alive. These adaptations have allowed us to go from a few separate species of skinny primates wandering around in Africa a couple of million years ago to being the dominant ecological force on the planet to the point we’re changing the entire global ecosystem.

These cultural adaptations have now become maladaptive. They do not have survival value. And they are, in fact, malignant maladaptations because they’re increasing in a way that cancer increases. So, this means that the human species now has all of the major characteristics of a malignant process. When I was in medical school, we had four of them that were identified: rapid, uncontrolled growth; invasion and destruction of adjacent normal tissues — in this case, ecosystems; metastasis, which means distant colonization; and dedifferentiation, which you see very well in the patterns of cities.

That’s only one example. We now have 10 or 15 other new characteristics of cancer, and the human species fits all of them. And so the disturbing thing about this? If you have any two of the first four characteristics of cancer, it’s cancer until proven otherwise. And cancer does not stop until the host organism has ceased to function, which for our purposes is the biosphere.

Now, I have given the book the name “Homo Ecophagus.” That is my new name for the human species, which currently has the scientific name of Homo sapiens sapiens, or wise, wise man, which makes us the most misnamed species on the planet. Homo ecophagus means the man who devours the ecosystem — and that’s what we are doing.

We are in the process of converting all plant, animal, organic and inorganic material on the planet into human biomass and its adaptive adjuncts or support systems. The evidence for that is all around us.

So, that’s the basic idea in a nutshell, and then the rest of the book is simply manifestations of this malignancy and an explanation of the analysis. And so, the next question is: Can we do anything about this? Should we do something about this? It’s very hard under the circumstances, for example, to think about Vladimir Putin sitting down with Zelensky if they can fix the ecosystem in Ukraine.

Right, it’s a very, very difficult problem. It’s the biggest problem our society faces right now. Literally, nothing else matters if we don’t address this problem.

That’s the point: It’s an existential crisis. Yes.

I have to say that it seems like we’re not going to solve this problem. I don’t want to be negative and despair that we’re all simply going to die from climate change. I recently made a move across the country from California to Illinois. Everywhere you go, you get that dedifferentiation that you speak of, where everything looks the same. Every freeway has the same strip malls. You see all these people in these giant pickup and semi trucks and all this overconsumption. I just don’t see people giving it up. I just don’t see it happening. Not fast enough, at least.

This is what I call the “ecophasic imperative.” Robert Ardrey, a brilliant anthropologist, about 40 or 50 years ago wrote a number of outstanding books. One is called “The Territorial Imperative,” which is about how humans have an imperative need to have and expand their territories.

One of the most lurid manifestations of what we have right now is Donald Trump. Another one is Putin and the war on Ukraine, but humans have been doing this forever. And now our malignant melanoma patients have been put in a position where we are devouring the Earth. We are devouring the ecosystem. We have an imperative to do that. Look at the open pit mines that we have of various kinds. The whole alternative energy programs depend on destroying certain ecosystems to get the rare metals that we need to do that stuff.

I do not want to be negative, either. I’m basically an optimistic and positive person. I’ve been my whole life. The Intergovernmental Panel on Climate Change gives us a list of horribles, and it gets more horrible every year. But what’s the underlying dynamic? I say this is a malignant process going on for hundreds of thousands of years.

This is not new. When the Australian Aborigines arrived on the continent of Australia, they started changing the ecosystem in very dramatic ways, and a lot of species went extinct. My colleague here at the University of Colorado, Giff Miller, has been one of the people showing that it happened in North America. It happened in the Pacific Islands. It happens every place. Humans have made other species extinct wherever they show up.

Of course, it takes individual actions. The obvious side to that is people can make changes in their lives. I’m in Boulder, Colo, for example, where they have a lot of recycling going on, and people are very conscious of that. But, at the same time, you have China putting in a coal-fired power generation plant every week. So, it’s very hard to see how all these individual actions can really have that effect that we want.

Do you have hope for the future, or maybe feel despair about everything? I often get a little bit paralyzed and feel like there’s no point to anything, like we’re all just going to go off the cliff. I’m hoping something will change, that something will shift on a major level, that we’ll all kind of come together on this issue. But I feel like I’ve been waiting for that moment for years.

It’s hard to know how to answer your question when you ask me, “Is there hope?” One of my main answers — which is true — is that young people like you give me hope, people who are looking at this stuff and thinking about it and figuring out what to do. When I look at the current political scene in the United States, it’s very hard to be optimistic because we have a violent fascist movement that occupies the attention of at least a third, if not more, of the population, supporting a man who is a sociopathic criminal.

I think that we make the decisions about these situations — the environment and our survival — through our political process. I want to be optimistic. Let me just share a little example of something with you. A week ago, I went to New Mexico to attend a special memorial service for Dave Foreman.

Dave Foreman started the organization Earth First! with a couple other people. He was what we call a radical environmentalist, and he was associated with Edward Abbey, who wrote “The Monkey Wrench Gang.” And part of their idea was you throw a monkey wrench into this process to stop it. OK, very romantic idea. Very exciting, but how much did they accomplish with that?

The meeting was held in a campground outside of Los Alamos, and we were a scruffy-looking bunch of backpackers and tree huggers. I felt right at home with these wonderful people, who were some of the hardcore environmentalists of this country, and people who really, really were dedicated, spent their lives working on protecting the environment. We’ve been talking about people with advanced degrees, with PhDs in ecology and biology, wolf conservation, I don’t know what else.

They were an impressive bunch of people. I enjoyed meeting them, and I participated in this meeting. I admire Dave, who was a friend of mine. And I have his books, and they’re worth reading. OK, this is a highly energetic, wonderful, dedicated, altruistic group in this country. What’s been happening since they started Earth First!? Things are a lot worse than they were.

And it’s very hard to see how that has really influenced the broad scale of things, even though they’ve had a lot of very specific local victories. More people need to understand that we are in an impending extinction crisis for ourselves and for the rest of the ecosystem and other species. We are destroying the planet as we speak — as rapidly as possible — and that must stop. We must find ways to do things differently, and that’s going to make big changes in our lives.

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Ahead of Ohio abortion vote, Republicans try to change the rules

BBC News

Ahead of Ohio abortion vote, Republicans try to change the rules

Holly Honderich – in Washington – August 5, 2023

A Republican wears a shirt supporting Issue 1
An upcoming referendum in Ohio has become a proxy fight for abortion

A pro-abortion referendum looked poised to win in the conservative state of Ohio this November. Now, Republican state legislators are accused of moving the goalposts.

Last summer, just like every summer for the past 22 years, Michael Curtin spent his days on the assorted baseball fields of central Ohio, acting as umpire for high school and college games.

Mr Curtin, retired after a 38-year career in journalism and another four in state politics, loves the game. But this summer, Mr Curtin’s umpire equipment has been neglected, shoved somewhere in the basement of his Columbus home so he could focus on the rules of Ohio politics instead.

“I’m not doing one game,” he said. “And I miss it. But this fight’s too important to lose.”

The fight in question is over Issue 1, a deceivingly dull and procedural-sounding referendum on the minimum threshold required to pass constitutional amendments.

The premise is simple: voters will decide on 8 August whether that threshold should remain at 50% plus one, or be raised to 60%.

But Ohio’s vote has become a proxy war over abortion, one of the many state-wide battles that have broken out since the US Supreme Court rescinded the nationwide right to abortion last June.

That’s because Issue 1 is not the only referendum looming. In November, Ohioans will vote on another constitutional amendment, one that would protect abortion access up until foetal viability, around 24 weeks of pregnancy.

The proponents of issue 1 claim that Tuesday’s vote is simply to protect the state’s constitution from outside influence.

But its opponents – a diverse coalition featuring political wonks like Mr Curtin, a retired Supreme Court judge and all of Ohio’s past living governors – have called foul. They claim Issue 1 is a backhanded attempt to change the rules mid-game, raising the voter threshold just in time to thwart the abortion vote.

“Look, everybody knows what’s going on here. Everybody knows,” Mr Curtin said. “This was just bad faith.”

Frank LaRose talks to Republican voters
Issue 1 has been championed by Ohio’s secretary of state Frank LaRose

Since Roe v Wade was overturned last June, the country’s abortion fight has increasingly played out in state ballot initiatives. There have been six so far, each one a win for abortion rights.

If Ohio’s vote is passed, it will be the most sweeping affirmation of reproductive rights in a state controlled by a firm Republican majority, said Mary Ziegler, a law professor at the University of California, Davis and a leading authority on the US abortion debate. “It will confirm that there’s some sort of consensus around abortion rights, even in conservative states.”

And according to recent surveys, if all Ohioans were to show up for the vote now, abortion would win. The constitutional amendment is supported by 58% of Ohioans, with 32% opposed, according to a July poll from USA Today and Suffolk University.

But if Issue 1 is passed first, and the threshold is raised to 60%, the abortion rights amendment may be finished.

“They [anti-abortion campaigners] very clearly looked at this and said: we cannot win if we don’t change the rules,” said Kellie Copeland, executive director of Pro-Choice Ohio.

Issue 1 has had the full-throated support of Ohio’s chief election official, secretary of state Frank LaRose.

“To allow a bare majority of 50% plus one to change the very ground rules that the state operates on is just not good public policy,” he told the BBC.

A sign in Ohio against Issue 1
Issue 1’s opponents include all four of the state’s living former governors

Mr LaRose, 44, is a veteran of the US Special Forces and now an enthusiastic envoy for the Republican Party, crisscrossing the state for more than 65 pro-Issue 1 events. He is charming, conservative and politically ambitious. In November – at the same time the abortion referendum is held – Mr LaRose will be on the ballot for the US Senate.

In public, Mr LaRose has kept the focus squarely on the constitution. But at a fundraising dinner in May, Mr LaRose made explicit the importance of Issue 1 for the anti-abortion movement.

“I’m pro-life. I think many of you are as well,” Mr LaRose said, in a video recorded by Scanner Media. “This is 100% about keeping a radical pro-abortion amendment out of our constitution. The left wants to jam it in there this coming November.”

In an interview with the BBC, Mr LaRose acknowledged that the “looming abortion amendment” helped bring the Issue 1 vote forward. “But that’s not the only reason,” he said.

To his opponents, Mr LaRose had been caught saying the quiet part out loud.

“There’s an old standard that our grandparents taught us that bears repeating: if you want any credibility in life… never deny the obvious,” Mr Curtin said. “Here is Mr LaRose denying the obvious.”

There have been other accusations of hypocrisy. Earlier this year, Republicans passed a law eliminating nearly all August elections, citing their high cost and low turnout. Then, in an apparent u-turn, they put Issue 1 on the calendar for 8 August.

Even some of Mr LaRose’s fellow Republicans have spoken out against Issue 1.

“You’re talking about changing a part of the Ohio constitution that has been in effect for well over 100 years,” said former Ohio Governor Bob Taft, a Republican. “And it’s worked, it’s worked well, the system is not broken.”

In the 111 years since Ohio first granted voters the power to introduce citizen-led amendments, just 19 of 71 proposed measures have passed. Ohio’s current policy requiring a simple majority is in line with most of the 17 US states that allow citizen-initiated amendments. And in 2015, Ohioans added a new restriction, passing an amendment that prohibited anyone from changing the constitution for their own financial benefit.

“This is an elaborate scheme to suppress the vote of Ohioans… It’s unconscionable,” said former Ohio Supreme Court Chief Justice Maureen O’Connor, also a Republican.

Whatever Mr LaRose’s motivations, Issue 1 has been embraced by Ohio’s anti-abortion lobby. Mike Gonidakis, president of Ohio Right to Life, said he “led efforts” to get signatures from state politicians to put the measure on the ballot.

“In speaking with Frank LaRose I said ‘now’s our time to do this’,” he told the BBC.

Mr Gonidakis, like Mr LaRose, rejected criticism that Issue 1 was underhanded. “It’s not changing the goalposts if Ohioans weigh in and vote on it,” he said.

Experts said they see Ohio’s Issue 1 as part of a broader tactic employed by anti-abortion advocates to circumvent public opinion in service of their ultimate goal, outlawing abortion entirely – a goal that is unsupported by most Americans.

“They think if voters had a straight up and down decision on abortion it wouldn’t go their way, so they’re trying to do what they can to prevent that from happening,” said the University of California’s Ms Ziegler.

As a result, anti-abortion leaders and their Republican allies have found paths around popular support – either relying on the court system or on politicians willing to promote abortion policy regardless of voters’ wishes.

These manoeuvres are possible, Ms Ziegler said, because in so many cases Republican politicians fear the anti-abortion lobby more than their own constituents.

And the strategy suits the movement’s internal logic, in which banning abortion is seen as the worthiest cause.

“There’s a sense in which winning is more important than democracy,” she said.

‘Morning Joe’ Skewers Lindsey Graham for Saying Judge in Jan. 6 Indictment ‘Hates Trump’: ‘So Embarrassing’

The Wrap

‘Morning Joe’ Skewers Lindsey Graham for Saying Judge in Jan. 6 Indictment ‘Hates Trump’: ‘So Embarrassing’

Dessi Gomez – August 4, 2023

“Morning Joe” co-hosts Joe Scarborough and Mika Brzezinski slammed Republican Sen. Lindsey Graham for his words about former President Donald Trump’s latest indictment as well as the judge involved and the broader judicial system of the United States.

“It is so disgusting. Lindsey knows better. He obviously knows better, but he’s slandering the judge. He’s attacking the jury system and it’s very interesting. The judge, who’s gonna actually be overseeing the case, was unanimously confirmed by the Senate in 2013 by a vote of 95 to zero,” Scarborough said. “She was unanimously confirmed by the Senate. It’s just like the Republicans used to defend the FBI. They were the ones defending the FBI against attacks from progressives. The second the FBI actually investigated Donald Trump… well, suddenly they hate the FBI. Suddenly they hate the military. They hate military leaders. They slander the chairman of the Joint Chiefs. We can go on and on.”

Graham appeared on Fox News after Trump was arraigned Thursday.

“Any conviction in DC against Donald Trump is not legitimate. So they’re charging him with the crime of taking bad legal advice. That’s what this is about. They’re trying to criminalize the attorney-client relationship,” Graham said. “They’re trying to criminalize exercising of the First Amendment. The judge in this case hates Trump. You could convict Trump of kidnapping Lindbergh’s baby in DC. You need to have a change of venue. We need a new judge and we need to win in 2024 to stop this crazy crap.”

Brzezinski called the senator’s words “so embarrassing.”

“Lindsey Graham’s attacking the jury, we know and they know, the bedrock, the bedrock of our judicial system. ‘We the People,’ that’s how Madison had it set up. Our former party, from Election Day 2020 through January the 6th, trashed American democracy, told Americans and the world you can’t trust fair and free elections if our side doesn’t win,” Scarborough added. “Fox News paid like close to a billion dollars for the lies that they spread about the election and they’re gonna probably have to pay close to another billion dollars. We turn the page. What lesson is learned from that? Absolutely nothing. Because now they’re trashing the judicial system, which I would say is, it’s Madison’s crown jewel. It’s the great leveler of Madisonian democracy. But now they’re trashing that again, for Donald Trump.”

Scarborough then turned to Charlie Sykes, an American political commentator, to ask if he agreed with what Atlantic staff writer Anne Applebaum tweeted on X Thursday.

“If the Republican Party responds to the Trump indictment solely by attacking courts and judges, and if its leaders continue to work to de-legitimize the legal system, I am not sure how we recover.”

‘It’s a crisis’: Maternal health care disappears for millions

Politico

‘It’s a crisis’: Maternal health care disappears for millions

Alice Miranda Ollstein and Megan Messerly – August 1, 2023

Rogelio V. Solis/AP Photo

Access to maternal health care is evaporating in much of the country, as hospitals close and obstetricians become harder to find for millions of pregnant people.

New data from the nonpartisan health advocacy group March of Dimes shows that the U.S. — which already has the worst maternal mortality rate among developed nations — saw a 4 percent decline in hospitals with labor and delivery services between 2019 and 2020.

But the raw figure masks the inequities playing out across the country, according to the report. Alabama and Wyoming lost nearly one-quarter of their birthing hospitals in that time period, while Idaho, Indiana and West Virginia lost roughly 10 percent.

“It’s a crisis,” said Stacey Brayboy, the senior vice president of public policy and government affairs at March of Dimes. “Women are struggling to access care, and that’s before and during and after their pregnancies, and we’ve seen an increase in terms of maternal and infant deaths.”

Access to care is also likely to worsen in the coming years, according to several public health experts, as obstetrics units struggle to stay financially afloat, more people become uninsured and new anti-abortion laws limit the number of physicians willing to practice in several states.

Nationally, about 5.6 million women live in counties with no access to maternity care, according to March of Dimes. Far more, 32 million, are at risk of poor health outcomes because of a lack of care options nearby. March of Dimes considers more than a third of all U.S. counties maternal care deserts, with no access to reproductive health services. States with large rural populations — Alaska, Nebraska, North Dakota, Oklahoma and South Dakota — are especially prone to shortages.

The scarcity of maternal health care is particularly acute in areas with higher instances of underlying health problems that are risk factors for maternal mortality — such as hypertension and diabetes — and where states have not expanded Medicaid, leaving hundreds of thousands uninsured.

The declining access to maternal care is one reason maternal mortality rates in the U.S are so high and rising, Brayboy said.

In 2021, roughly 33 people died for every 100,000 live births in the U.S., according to the CDC, up 40 percent from 2020. That’s roughly 10 times the mortality rate of other industrialized nations such as Spain, Germany, Australia or Japan. The maternal mortality rate for non-Hispanic Black people was 69.9, two-and-a-half times the rate of non-Hispanic whites, according to the CDC.

The report relies on data from 2020 and 2021 — before the Supreme Court overturned Roe v. Wade — and the full impact of state abortion bans on maternal care has yet to be documented. But Tuesday’s report reveals most states that have restricted abortion access since then, or where the procedure remains in limbo pending a court ruling, have seen access to obstetric care decline in recent years.

“Abortion providers, OB-GYNs, nurse practitioners are being pushed out of certain parts of the country that do have these restrictive abortion laws. That’s having a spillover effect for those that want to continue their pregnancies,” said Jamila Taylor, president and CEO of the National WIC Association.

There isn’t, however, a clean red state-blue state divide in the data. A few states with near-total abortion bans saw an improvement in access to birthing hospitals in recent years — including Arkansas, North Dakota and Mississippi — and a few states where abortion remains legal saw access worsen, including California, Maryland, and Washington state.

The situation is particularly dire in Alabama, where the number of hospitals with labor and delivery services decreased by 24 percent between 2019 and 2020, and where many more could soon go out of business. The Alabama Hospital Association warned earlier this year that half of the state’s remaining hospitals are “operating in the red,” and are “likely on a collision course with disaster.”

“Many of them are just teetering on the edge, almost not able to cover payroll,” Farrell Turner, the president of the Alabama Rural Health Association, said in an interview. “There are at least seven more, according to my calculations, that are at very high risk of closing before the year is out.”

One factor fueling the obstetric unit closures across the country is the financial mismatch facing hospitals — maternal care is expensive to provide and reimbursements are low, particularly from Medicaid, which pays for more than 40 percent of births. That’s a particular challenge for rural hospitals, which have a higher proportion of patients on government-run health insurance than their urban counterparts.

March of Dimes found that nearly a third of women in Alabama already have no birthing hospital within a 30-minute drive and for some residents, the nearest hospital is more than 70 minutes away — factors the group said raised the risk for “maternal morbidity and adverse infant outcomes, such as stillbirth and NICU admission.” More than a third of the state is considered a maternal care desert, and more than 18 percent of people giving birth received inadequate prenatal care or none at all.

“People have to drive quite some distance in order to deliver, and to obtain prenatal care leading up to that time,” Turner said. “And many folks either lack transportation or can’t afford the gas to get to the care they need. There are some telehealth options out there, but a lot of people lack access to broadband, so the uptake and implementation has been slow.”

The problem is similar in Wyoming, where five of the state’s 23 counties are maternity care deserts and more than 15 percent of residents have no hospital with labor and delivery services within 30 minutes. The state’s vastness poses particular challenges to accessing care, with people living in counties with the highest travel times spending nearly 90 minutes on average to reach the nearest hospital with obstetric care.

Abortion remains legal in Wyoming because a judge temporarily blocked the state’s new pill ban in June, and the state’s trigger ban remains enjoined. But Dr. Giovannina Anthony, an OB-GYN in Jackson, Wyo., said those laws are already affecting access to maternal health care.

“Abortion bans just create one more deterrent to anyone who might want to practice obstetrics and gynecology in Wyoming,” Anthony said.

Even in North Carolina, which has fewer maternity care deserts than the national average, access to obstetric care is headed in the wrong direction. The number of hospitals with labor and delivery services in the state decreased by 1.9 percent between 2019 and 2020, and the March of Dimes report found that 13.4 percent of people in North Carolina had no birthing hospital within 30 minutes.

“These rural communities where the maternity care deserts are, these individuals tend to be sicker. They can have chronic hypertension. They can have diabetes,” said Karen Sheffield-Abdullah, a certified nurse-midwife who has a doctorate in nursing from the University of North Carolina at Chapel Hill. “These are individuals who are coming in with what we call these comorbidities, and yet there aren’t providers for an hour away? Absolutely maternal morbidity and mortality goes up.”

Sheffield-Abdullah said access to maternity care in the state is likely to worsen because of a new law banning abortion after the first trimester.

“If we look at the most recent ban, getting more restrictive in the types of care that we provide to perinatal individuals is not going to improve our outcomes,” she said. “It only makes it more difficult for minoritized populations to get the care that they need.”

Hospitals are also struggling to recruit and retain OB-GYNs and other maternal health providers. Two Idaho hospitals, for example, shut down their labor and delivery services earlier this year, citing staffing woes exacerbated by the state’s near-total abortion ban, which went into effect last summer.

Dr. Stacy Seyb, a maternal fetal medicine specialist who has practiced for 23 years in Idaho, told POLITICO that two of his colleagues have left the state in the last few months, with several more also considering a move, and applications for medical residencies have plummeted.

“It’s hurting our ability to find doctors for a state that’s already severely underserved,” he said of the state’s abortion ban, which threatens medical providers with felony charges if they perform an abortion or help someone obtain one. “It’s hard to take care of patients while looking over your shoulder. So residents and young doctors are saying: ‘Why would I go there and deal with that?’”

Idaho saw a 12.5 percent decrease in the number of birthing hospitals in the state between 2019 and 2020, and nearly 30 percent of the state is considered a maternal health desert, according to March of Dimes. More than 27 percent of counties have both a high rate of chronic health conditions and high rate of preterm births.

Idaho providers fear the situation will further deteriorate now that abortion is banned in the state, but warn the public might remain in the dark because officials dissolved the state’s maternal mortality review committee in July.

“It’s scary for sure,” said Dr. Kylie Cooper, a former leader of the state’s chapter of the American College of Obstetricians and Gynecologists who left Idaho after the abortion ban went into effect. “Most states have the ability to track data and trends for why people are dying in pregnancy and post-partum, but now I don’t know how that will be tracked at all in Idaho.”

The big idea: is it too late to stop extremism taking over politics?

The Guardian – The Big Idea Books

The big idea: is it too late to stop extremism taking over politics?

Bizarre conspiracy thinking has infiltrated the mainstream in many western democracies. How can we push back?

Julia Ebner – July 31, 2023

Elia Barbieri

Illustration: Elia Barbieri/The Guardian

Welcome to the 2020s, the beginning of what history books might one day describe as the digital middle ages. Let’s briefly travel back to 2017. I remember sitting in various government buildings briefing politicians and civil servants about QAnon, the emerging internet conspiracy movement whose adherents believe that a cabal of Satan-worshipping elites runs a global paedophile network. We joked about the absurdity of it all but no one took the few thousand anonymous true believers seriously.

Fast-forward to 2023. Significant portions of the population in liberal democracies consider it possible that global elites drink the blood of children in order to stay young. Recent surveys suggest that around 17% of Americans believe in the QAnon myth. Some 5% of Germans believe ideas related to the anti-democratic Reichsbürger movement, which asserts that the German Reich continues to exist and rejects the legitimacy of the modern German state. Up to a third of Britons believe that powerful figures in Hollywood, government and the media are secretly engaged in child trafficking. Is humanity on the return journey from enlightenment to the dark ages?

I am often asked why the UK doesn’t have a successful far-right populist party. My answer is: Because it doesn’t need to

As segments of the public have headed towards extremes, so has our politics. In the US, dozens of congressional candidates, including the successfully elected Lauren Boebert, have been supportive of QAnon. The German far-right populist party Alternative für Deutschland is at an all-time high in terms of both its radicalism and its popularity, while Austria’s xenophobic Freedom party is topping the polls. The recent rise to power of far-right parties such as Fratelli d’Italia and the populist Sweden Democrats bolster this trend.

I am often asked why the UK doesn’t have a successful far-right populist party. My answer is: because it doesn’t need to. Parts of the Conservative party now cater to audiences that would have voted for the BNP or Ukip in the past. A few years ago, the far-right Britain First claimed that 5,000 of its members had joined the Tory party. Not unlike the Republicans in the US, the Tories have increasingly departed from moderate conservative thinking and lean more and more towards radicalism.

In 2020, Conservative MP Daniel Kawczynski was asked to apologise for attending the National Conservatism conference in Rome. The event is well known for attracting international far-right figures such as Italy’s Giorgia Meloni, Hungary’s Viktor Orbán, former Fox News host Tucker Carlson and the hard-right US presidential candidate Ron DeSantis. This year, an entire delegation of leading Conservatives attended the same conference in London. It might be hard for extreme-right parties to rise to power in Britain, but there is no shortage of routes for extremist ideas to reach Westminster.

‘Invasion on our southern coast’ … UK home secretary Suella Braverman.
‘Invasion on our southern coast’ … UK home secretary Suella Braverman. Photograph: AP

Language is a key indicator of radicalisation. The words of Conservative politicians speak for themselves: home secretary Suella Braverman referred to migrants arriving in the UK as an “invasion on our southern coast”, while MP Miriam Cates gave a nod to conspiracy theorists when she warned that “children’s souls” were being “destroyed” by cultural Marxism. Using far-right dog whistles such as “invasion” and “cultural Marxism” invites listeners to open a Pandora’s box of conspiracy myths. Research shows that believing in one makes you more susceptible to others.

I sometimes wonder what a QAnon briefing to policymakers might look like in a few years. What if the room no longer laughs at the ludicrous myths but instead endorses them? One could certainly imagine this scenario in the US if Donald Trump were to win the next election. In 2019 – before conspiracy myths inspired attacks on the US Capitol, the German Reichstag, the New Zealand parliament and the Brazilian Congress – I warned in a Guardian opinion piece of the threat QAnon would soon pose to democracy. Are we now at a point where it is it too late to stop democracies being taken over by far-right ideologies and conspiracy thinking? If so, do we simply have to accept the “new normal”?

There are various ways we can try to prevent and reverse the spread of extremist narratives. For some people who have turned to extremism over the past few years, too little has changed: anger over political inaction on economic inequality is now further fuelled by the exacerbating cost of living crisis. For others, too much has changed: they see themselves as rebels against a takeover by “woke” or “globalist” policies.

What they have in common is a sense that the political class no longer takes their wellbeing seriously, and moves to improve social conditions and reduce inequality would go some way towards reducing such grievances. But beyond that, their fears and frustrations have clearly been instrumentalized by extremists, as well as by opportunistic politicians and profit-oriented social media firms. This means that it is essential to expose extremist manipulation tactics, call out politicians when they normalize conspiracy thinking and regulate algorithm design by the big technology companies that still amplify harmful content.

If the private sector is part of the problem, it can also be part of the solution. Surveys by the Edelman Trust Barometer found that people in liberal democracies have largely lost trust in governments, media and even NGOs but, surprisingly, still trust their employers and workplaces. Companies can play an important role in the fight for democratic values. For example, the Business Council for Democracy tests and develops training courses that firms can offer to employees to help them identify and counter conspiracy myths and targeted disinformation.

Young people should be helped to become good digital citizens with rights and responsibilities online, so that they can develop into critical consumers of information. National school curricula should include a new subject at the intersection of psychology and internet studies to help digital natives understand the forces that their parents have struggled to grasp: the psychological processes that drive digital group dynamics, online engagement and the rise of conspiracy thinking.

Elia Barbieri

Ultimately, the next generation will vote conspiracy theorists in or out of power. Only they can reverse our journey towards the digital middle ages.

 Julia Ebner is the author of Going Mainstream: How Extremists Are Taking Over (Ithaka Press).

Further reading

How Democracies Die by Daniel Ziblatt and Steven Levitsky (Penguin, £10.99)

How Civil War Starts by Barbara F Walter (Penguin, £10.99)

Pastels and Pedophiles: Inside the Mind of QAnon by Mia Bloom and Sophia Moskalenko (Redwood, £16.99)

Supreme Court Justice Samuel Alito gives a middle finger to Congress

Insider

Supreme Court Justice Samuel Alito gives a middle finger to Congress: ‘No provision in the Constitution gives them the authority to regulate the Supreme Court — period.’

Madison Hall and Azmi Haroun – July 28, 2023

samuel alito
U.S. Supreme Court Associate Justice Samuel AlitoChip Somodevilla/Getty Images
  • Supreme Court Justice Samuel Alito spoke to The Wall Street Journal about congressional oversight.
  • “No provision in the Constitution gives them the authority to regulate the Supreme Court,” he said.
  • The statement comes after months of news reports of ethical impropriety by members of the high court.

After months of news reports documenting instances of Supreme Court justices breaking judicial ethical standards and Democratic lawmakers pushing for a code of conduct to be implemented, conservative Supreme Court Justice Samuel Alito revealed in an interview that he doesn’t believe that Congress has any authority to tell the court what to do.

“Congress did not create the Supreme Court,” Alito said in an interview with The Wall Street Journal. “I know this is a controversial view, but I’m willing to say it. No provision in the Constitution gives them the authority to regulate the Supreme Court — period.”

He added that while he can’t speak for the other justices, he thinks it’s “something we have all thought about.”

The comments perturbed at least two Democratic members of Congress.

Following the article’s publication, Rep. Ted Lieu took to Twitter to remind Alito that Congress does have some oversight of the Supreme Court.

“Dear Justice Alito: You’re on the Supreme Court in part because Congress expanded the Court to 9 Justices,” Lieu tweeted. “Congress can impeach Justices and can in many cases strip the Court of jurisdiction. Congress has always regulated you and will continue to do so. You are not above the law.”

Sen. Sheldon Whitehouse also noted on Twitter that he believes that Alito is part of what he called a “captured court.”

One of the authors of the article who interviewed Alito, David B. Rivkin, is litigating a tax case, Moore v. US, in front of SCOTUS during the court’s next term.

SCOTUS did not immediately return Insider’s request for comment.

In April, GOP mega-donor Harlan Crow and SCOTUS Justice Clarence Thomas first faced scrutiny related to the 20 years worth of undisclosed trips Crow is accused of gifting to Thomas, per ProPublica. The outlet later reported that Crow purchased Thomas’ mother’s house and allowed her to live there without paying rent.

In response, Thomas — who asked for an extension to file his financial disclosure forms this year — said that at the time he wasn’t aware that he was meant to disclose the trips with Crow.

Crow claimed to the Dallas Morning News that the revelations about his relationship with Thomas were a “political hit job.”

In June, ProPublica unearthed that Alito had taken a luxury fishing trip with GOP billionaire Paul Singer, who later had cases before the court. Alito claimed that they never discussed cases on the trip, on which he boarded Singer’s private plane.

Congress has probed Crow’s and Thomas’s relationship, as well as Alito’s dealings, asking for a detailed disclosure of the gifts bestowed to Supreme Court justices.

A group of judges, the Committee on Financial Disclosure, is investigating Thomas and SCOTUS disclosure rules, while Senate Democrats have mounted a separate attempt to investigate Thomas and impose a code of ethics on the court.

Ex-Labor Secretary Robert Reich Exposes The Republican Art Of Distraction

HuffPost

Ex-Labor Secretary Robert Reich Exposes The Republican Art Of Distraction

Lee MoranUpdated – July 26, 2023

Former Labor Secretary Robert Reich in his latest video takes Republicans to task over five “totally made-up crises” he says they are using to distract Americans.

The GOP talking points seek to divert attention away from growing economic inequality, the climate crisis and right-wing efforts to undermine democracy, the former Clinton Cabinet secretary argued.

They are the conservative war on “woke,” attacks on the transgender community, freak-outs over critical race theory, slurring of welfare recipients and claims of out-of-control government spending.

All five “disguise what’s really going on,” Reich warned.

11 Republicans affirmed Donald Trump won in Arizona. What to know about the fake electors

AZ Central – The Arizona Republic

11 Republicans affirmed Donald Trump won in Arizona. What to know about the fake electors

Robert Anglen, Arizona Republic – July 26, 2023

They convened at the Arizona Republican Party headquarters two weeks before Christmas in 2020 and put their names to a lie.

Eleven top party officials, lawmakers and candidates avowed they were the state’s “duly elected and qualified electors” and cast their votes for then-President Donald Trump.

None of it was true.

Electors in Arizona are required by law to follow the will of the people. In 2020, legitimate electors designated by the Democratic Party cast their votes for Joe Biden, who had won Arizona by a 10,457-vote margin.

The 11 Republicans weren’t qualified electors for the 2020 election, Trump didn’t win Arizona, and their votes were not official. They celebrated anyway, immortalizing the moment in a Twitter video.

In all, 84 people — including elected officials, candidates, former officeholders and Republican party leaders — from groups in seven swing states falsely claimed to be alternate electors in a coordinated plot to keep Trump in office.

Jump ahead two years. Arizona Attorney General Kris Mayes has launched an investigation into the state’s fake electors, after similar probes by federal and state prosecutors in Nevada, Georgia and Michigan.

And the 11 Arizonans who applauded eagerly at the time are unwilling to talk about their decisions, declining interview requests, hanging up on calls and retreating from questions.

Here is what you need to know about the GOP’s slate of fake electors.

Tyler Bowyer

Bowyer, 37, is the chief operating officer at Turning Point USA, a nonprofit that advocates for conservative politics on high school, college and university campuses.

Bowyer’s biography on Turning Point’s website touts his “strong desire to combat Marxist-Leninist philosophy from entering the American political mainstream.” He describes himself as a seventh-generation Arizonan.

Republican Gov. Jan Brewer appointed Bowyer as a student regent on the Arizona Board of Regents in 2011. He has worked for the Republican National Committee and served as chairman of the Maricopa County Republican Party from 2015-2017.

In July 2015, Bowyer helped to convene a rally at the Phoenix Convention Center that served as an early national sign of the future president’s appeal.

Bowyer has declined recent interview requests about the electors. In 2022, he told The Arizona Republic he didn’t know “all the details and facts” but emphasized his role as an elector.

“I was an elector − I want to make sure we’re clear here − I was an elector for the Republican Party.”

Tyler Bowyer, COO of Turning Point USA, speaks during the Arizona GOP biennial statutory meeting at Dream City Church on Saturday, Jan. 28, 2023, in Phoenix.
Tyler Bowyer, COO of Turning Point USA, speaks during the Arizona GOP biennial statutory meeting at Dream City Church on Saturday, Jan. 28, 2023, in Phoenix.
Nancy Cottle

Nancy Cottle, 71, of Mesa, chaired the Arizona Trump electors.

Cottle was subpoenaed by House Select Committee investigating the riot at the U.S. Capitol for her “role and participation in the purported slate of electors casting votes for Donald Trump and, to the extent relevant, your role in the events of January 6, 2021.”

Cottle, has served on the Arizona GOP Executive Committee and the Maricopa County Republicans Committee. She led the Pledge of Allegiance at a Jan. 15, 2022,Trump rally in Florence, ending with the rallying cry, “Let’s Go Brandon.”

She describes herself on Twitter as a “political junkie” and an “ultra MAGA.” Her LinkedIn page lists her as a “strong consulting professional” with a background in business planning. Cottle is the owner of The Branded Image.

She has a master’s degree in operational management from the University of Phoenix and a bachelor’s in health, physical education and speech from Kent State University, according to her bio.

Cottle has not responded to multiple interview requests.

State Sen. Jake Hoffman

State Sen. Jake Hoffman, R-Queen Creek, chairs the Legislature’s conservative Freedom Caucus.

On Jan. 5, 2021, Hoffman sent a letter to Vice President Mike Pence asking him not to accept the state’s official electoral votes. Although Hoffman had not yet taken office, the letter was sent on official state letterhead and had a return address of the state Capitol.

Hoffman has proposed and supported so-called election integrity bills, including one that would trigger an automatic redo of an election in which voters had to wait in line more than 90 minutes and another to break up Maricopa County into four counties. Both of those failed.

Hoffman, 38, is the married father of five, according to online biographies. He previously served on the Higley School Board and the Queen Creek Town Council. He was a communications director with Turning Point USA and runs several conservative digital marketing companies.

In 2020, a company he operated called Rally Forge was accused of operating a troll farm for a Turning Point affiliate and was banned from Facebook and suspended from Twitter. The company paid teens to set up bogus accounts and flood social media with posts sowing distrust in mail-in ballots and downplaying COVID-19.

Another of Hoffman’s companies, 1Ten, received $2.1 million from a political action committee that used spoof donors to boost the campaign of failed gubernatorial candidate Kari Lake. The owners of California businesses who were listed as the source of funds said they had never heard of the PAC − or Lake.

Hoffman has avoided questions about the fake electors. In a brief interview outside the Capitol in 2022, he told The Arizona Republic electors wanted to provide Congress and Pence with “dueling opinions” before walking away.

He dodged questions again in June. When asked about investigations, Hoffman retreated to a members-only stairwell at The Capitol.

Rep. Jake Hoffman, R-Queen Creek, speaks as the House votes on bills related to the budget at the Arizona Capitol in Phoenix on June 24, 2021.
Rep. Jake Hoffman, R-Queen Creek, speaks as the House votes on bills related to the budget at the Arizona Capitol in Phoenix on June 24, 2021.
State Sen. Anthony Kern

State Sen. Anthony Kern, R-Glendale, is an ardent Trump supporter who spoke at “Stop the Steal” rallies and was at the U.S. Capitol when it was sacked by rioters. He has given conflicting accounts about where he was that day, but photos and videos show him on the Capitol steps.

Kern, 61, predicted in speeches he gave before the riot that Jan. 6 would be a “big day,” frothing up crowds by asking if this was “a revolution.” He told The Republic in 2022 what happened at the Capitol was a partisan hoax.

Kern in 2005 was hired as a civilian code enforcement officer for The El Mirage Police Department. He was fired in 2014 for lying to a supervisor after a string of disciplinary problems. The department also put Kern on the Brady list, a database of officers accused of dishonesty.

Kern was elected to Arizona’s House of Representatives in 2015. He falsely claimed on financial disclosure forms that he was a certified law enforcement officer. In 2019, he tried to pass a law to overhaul the Brady List without acknowledging he would directly benefit by getting his name removed. He lost his seat in the 2020 election.

After swearing an oath of fealty to Trump in 2020, Kern was tapped to help count and inspect ballots during the Arizona Senate’s “audit” of Maricopa County election results led by Cyber Ninjas. Contractors ousted Kern after several days later because of “optics.”

Kern has repeatedly declined to discuss his role as a Trump elector. During a June interview, he brushed off questions and said he didn’t need a lawyer.

Only people who have done something wrong or had something to hide would need to hire a lawyer, he said.

Republican state Sen. Anthony Kern leads a protest across the street from the Washington Elementary School District office on March 9, 2023, in Glendale.
Republican state Sen. Anthony Kern leads a protest across the street from the Washington Elementary School District office on March 9, 2023, in Glendale.
Jim Lamon

Jim Lamon ran for U.S. Senate in 2022 and lost in the Republican primary.

Lamon, 67, of Paradise Valley, is married with two children. He grew up on a farm in Alabama before joining the U.S. Army. He was stationed in Germany in the Cold War and served as an airborne officer.

Lamon earned a bachelor’s degree in civil engineering from the University of Alabama in 1979.

He describes himself on LinkedIn as a Fortune 500 executive. Lamon is the founder of Scottsdale-based Depcom Power, a solar engineering and construction company that employed 1,600 across the nation when he sold it.

Before entering politics, Lamon was known as a reliable donor to Republican causes and candidates, including Trump. He was a behind-the-scenes player in the Arizona Senate’s “audit” and helped bankroll security.

Lamon made immigration and border security a cornerstone of his platform and sought to restore Trump-era policies that returned asylum seekers to Mexico while awaiting court hearings. He was also critical of the Biden Administration’s COVID-19 relief package.

Despite pouring millions of his own money into his campaign, Lamon lost to Republican challenger Blake Masters, who was defeated by Democrat Mark Kelly.

Lamon has not responded to interview requests about the electors. In 2022, while he was running for Senate, he appeared on KTVK-TV’s “Politics Unplugged” and claimed the electors were part of a backup plan in case Trump succeeded in his election fraud challenges.

“The Republican electors put forth a valid document that said, in the event that the election certification was overturned, there would be no excuse not to recognize those electors,” Lamon said.

The signed document, however, had no such proviso.

Jim Lamon speaks to a crowd of Republican voters at the party's primary debate for the U.S Senate in Phoenix on June 23, 2022.
Jim Lamon speaks to a crowd of Republican voters at the party’s primary debate for the U.S Senate in Phoenix on June 23, 2022.
Robert Montgomery

Robert Montgomery is the former chair of the Cochise County Republican Committee. He was unseated by a surprise challenger in December and resigned from the committee in response.

Montgomery, 72, of Hereford, pushed for hand counts of votes as committee chair and before the 2022 election told Cochise County Supervisors they should ignore warnings about it from then-Secretary of State Katie Hobbs.

He told the supervisors to throw Hobbs’ letter “in the bucket somewhere” and argued a full hand-count would be “easy to do,” according to a report by Votebeat.

Montgomery said former State Rep. Mark Finchem − an election denier and conspiracy theorist − would support hand counts if he won his bid for secretary of state. Finchem lost in a landslide to his Democratic challenger.

The Cochise County Board of Supervisors in September appointed Montgomery to the Palominas Fire District board. The decision came despite protests from some Sierra Vista residents who said Montgomery’s role as a fake elector should disqualify him. They complained Montgomery should not be rewarded for trying to overturn the election.

He is also on the county’s planning and zoning commission.

Montgomery has repeatedly declined to discuss his role as a fake elector. He did not respond to messages left at his home or at the fire district in July.

Samuel Moorhead

Samuel Moorhead is the elected vice president of the Gila County Community College District governing board, which he joined in 2012.

He was serving as the second vice chair of the Gila County Republican Party when he signed as a Trump elector.

According to online biographies, Moorhead, 78, of Globe, is married and has four children and five grandchildren. He was born in Pennsylvania and served as a Navy corpsman for 14 years, doing multiple tours in Vietnam.

Moorhead has a bachelor’s degree in education from Edinboro State University in Pennsylvania and earned a master’s degree in special education and teaching from New Mexico State University in 1999. He is listed as a consultant on his LinkedIn page.

He taught at schools in New Mexico and Arizona. Moorhead also was a commercial driver for Werner Enterprises until his retirement in 2007.

Moorhead has not responded to calls and messages about his role as a Trump elector.

Lorraine Pellegrino

Loraine Pellegrino, 65, of Phoenix, was secretary for the Arizona Trump electors.

Pellegrino is one of four electors subpoenaed by House Select Committee investigating the Jan. 6, 2021, riot at the U.S. Capitol.

She has an extensive background in Arizona Republican politics. Pellegrino is past president of the Arizona Federation of Republican Women and is a founding member of the Ahwatukee Republican Women’s Club.

Her online biography highlights her election as a delegate to Republican National Committee conventions in 2012, 2016 and 2020. She has served three terms on the Arizona GOP Executive Committee. She lists the recruitment of Republican women to run for office as one of her personal achievements.

Pellegrino has lived in Arizona for 25 years. She was born and raised in Connecticut and has a bachelor’s degree in media studies from Sacred Heart University. She is married and has one son.

Pellegrino in a January 2022 interview said the electors met as a contingency “in case there was a change in the decision here in the state.” She couldn’t say how the plan came together but bristled at the characterization of the group as “alternate” electors.

“We were electors for Trump and we were hoping things would change,” she said. “Just in case, we signed our paperwork to be ready in the event that something was overturned.”

Pellegrino told The Republic in May 2022 nothing had come of subpoenas from the Jan. 6 committee.

Pellegrino hung up when contacted in July about the attorney general’s investigation.

Greg Safsten

Greg Safsten was executive director of the Arizona Republican Party when he signed as a Trump elector.

Safsten, 35, of Gilbert, was hired as a campaign consultant in 2022 by U.S. Senate candidate Blake Masters, who was defeated in the general election. He had previously worked as an adviser and director for Rep. Andy Biggs and Rep. Matt Salmon.

According to his Legistorm biography, Safsten got his start in 2012 as a field director for Salmon’s campaign and was later hired as his legislative assistant. In 2016, he went to work for the Biggs campaign and ultimately rose to the position of deputy chief of staff.

Police and court records show in 2022 he was arrested and pleaded guilty to extreme DUI.

According to a March 2022, search warrant affidavit filed in Maricopa County Superior Court, a Gilbert police officer saw Safsten speed away from a Taco Bell restaurant “losing control of his vehicle as it fishtailed” and nearly collided with another vehicle.

The officer said Safsten kept going when he initially tried to pull him over, driving at a high rate of speed and weaving between lanes until finally pulling over about a half-mile later. He failed a field sobriety test, records show.

Safsten was fined and sentenced in January to 60 months’ probation, records show.

Safsten’s LinkedIn page has no employment information after August 2022. He bills himself as a “seasoned public relations, communications, public policy & political executive.”

“I work to be the leader and teammate I’d want on my own team,” he writes on his page. “Having formed and led teams in various conditions for over a dozen years, I know what it takes to win.”

Safsten was born and raised in Mesa. He attended Mountain View High School and obtained a bachelor’s degree in international studies from Arizona State University in 2007. He also studied clinical laboratory science at Weber State University in Utah.

Safsten did not respond to an interview request.

Kelli Ward

Kelli Ward is the past chair of the Arizona GOP. She helped to organize the signing of the fake electors, sat at the head of the table during the “signing” video and boasted about the moment on Twitter.

“Oh, yes we did!” Ward wrote in a Dec. 14, 2020 post. “We are the electors who represent the legal voters of Arizona! #Trump2020 #MAGA.”

Ward, 54, of Lake Havasu City, was among those subpoenaed by the Jan. 6 committee and the Department of Justice over the slate of fake electors. Her attorney said in 2022 Ward was engaging in First Amendment-protected activity.

In testifying before the Jan. 6 committee, Ward exercised her Fifth Amendment right against self-incrimination more than 200 times.

Ward is an osteopathic physician turned politician. She was elected to the Arizona Senate in 2013. She resigned to go after John McCain’s U.S. Senate seat in 2016, losing in the Republican primary, 39% to McCain’s 51%. She tried again for U.S. Senate in 2018 and lost in the Republican primary to Martha McSally.

Ward became party chair in 2019 and after the 2020 election became one of Trump’s most ardent supporters, launching several unsuccessful lawsuits to overturn Arizona’s election.

Ward promoted various voter fraud conspiracies and championed the Arizona Senate’s “audit,” delivering frequent YouTube updates as the ballot count unfolded, which turned into a fundraising bonanza for the party’s candidates and causes.

The party took in more cash during the first four months of 2021 than it had during full election cycles.

Ward is married and has three children. She was born in West Virginia. She earned a bachelor’s degree in psychology from Duke University and a doctorate from West Virginia School of Osteopathic Medicine. She has a master’s degree in public health from A.T. Still University, according to her legislative biography.

She practiced emergency medicine in Lake Havasu City and Kingman.

Ward was replaced as party chair in 2023. She and her husband announced on YouTube they bought a 44-foot catamaran and were starting a charter business called Sail American Honey.

Ward has not responded to interview requests about the electors.

Kelli Ward speaks during the Arizona GOP biennial statutory meeting at Dream City Church on Saturday, Jan. 28, 2023, in Phoenix.
Kelli Ward speaks during the Arizona GOP biennial statutory meeting at Dream City Church on Saturday, Jan. 28, 2023, in Phoenix.
Michael Ward

Michael Ward is Kelli Ward’s husband and a GOP activist. He, too, has been subpoenaed by the Department of Justice for his role as a Trump elector.

Ward, 58, of Lake Havasu City, is an emergency physician and is the state air surgeon in the Arizona Air National Guard, according to his LinkedIn page. He formerly worked at Havasu Regional Medical Center.

Ward first enlisted in the US Air Force in 1983 and began his military medical career. He joined the reserves and was commissioned to active duty in 1992, according to a listing on America’s Mighty Warriors, a veteran’s support group.

Ward earned a doctorate in osteopathic medicine in 1995 from A.T. Still University, where he met Kelli, according to her biography. They were married in 1995. Ward served as his wife’s campaign manager from 2011-2015.

He was accused in 2019 of spitting in the eye of one of his wife’s former volunteers. Police records indicate the alleged incident happened at the Arizona Republican Party’s general election night gala in Paradise Valley.

The former volunteer said Michael Ward was angry because the volunteer was supporting Kelli Ward’s political opponent, Martha McSally, according to police reports. Michael Ward emailed the Paradise Valley police and denied the allegations. He told police his accuser was an attention seeker and known storyteller.

Michael Ward also had a reputation for confronting people on his wife’s behalf. He was accused of bullying a staffer of Sen. John McCain at a Tea Party event in 2016. The moment was captured on video.

Michael Ward did not respond to an interview request about the attorney general’s investigation into the Trump electors.

Kelli Ward gets a kiss from her husband, Dr. Michael Ward, before greeting supporters at a primary election night party at Embassy Suites Scottsdale on Aug. 28, 2018.
Kelli Ward gets a kiss from her husband, Dr. Michael Ward, before greeting supporters at a primary election night party at Embassy Suites Scottsdale on Aug. 28, 2018.
Arizona’s second slate of fake electors

Arizona spawned a second group of fake electors in 2020 who certified that it, too, had cast the state’s votes for Trump.

The lesser-known Trump loyalists called themselves “The Sovereign Citizens of the Great State of Arizona” and sent the National Archives in Washington, D.C., notarized documents that carried the state seal on their letterhead. The signers were:

  • Federico Buck, a real estate professional.
  • Cynthia Franco.
  • Sarai Franco.
  • Stewart A. Hogue.
  • Jamie Hunsaker, a Trump enthusiast.
  • Carrie Lundell.
  • Christeen Taryn Moser.
  • Danjee J. Moser.
  • Jessica Panell.
  • Donald Paul Schween, who was active in Republican Party politics.
  • Peter Wang.

Arizona Republic reporters Ryan Randazzo and Richard Ruelas contributed to this story.

Robert Anglen is an investigative reporter for The Republic. 

Nearly 28,000 Iowans have been disenrolled from Medicaid. Here’s why:

The Des Moines Register

Nearly 28,000 Iowans have been disenrolled from Medicaid. Here’s why:

Michaela Ramm, Des Moines Register – July 26, 2023

Nearly 28,000 Iowans have been disenrolled from Medicaid this year as part of Iowa’s redetermination process — a consequence of continuous coverage no longer being guaranteed.

The latest data from the state’s Health and Human Services Department shows 27,744 Iowans were disenrolled from the safety net health insurance program since April, when Iowa began “unwinding” expanded eligibility.

About 30% of those Iowans — 8,401 — were disenrolled for procedural reasons, including failing to return paperwork.

The remaining 19,343 were deemed ineligible for further coverage, state data shows.

Since April, the state has been reviewing the eligibility of 900,000 Iowans who receive Medicaid and CHIP (the Children’s Health Insurance Program) benefits to determine if they still qualify under pre-pandemic regulations.

More: Did you lose your Medicaid coverage? Here’s what you need to know.

Federal health officials and other advocates have raised alarms about the number of people disenrolled for procedural reasons, which refers to those who did not return their paperwork or otherwise failed to complete the renewal process.

They say people may not be aware they’re up for renewal or recently changed addresses and didn’t receive the paperwork.

“What we’re seeing across the country from the first two months is that whilst people have done a lot to prepare, at the same time there are a lot of people losing their coverage,” said Dan Tsai, director of the Center for Medicaid and CHIP Services. “A really high number of folks are losing coverage for what we call procedural reasons.”

State officials managing the redetermination process, however, say the current rate of disenrollment, including procedural drop-offs, was expected. Iowa Medicaid Director Liz Matney said the department’s data show the majority of those kicked off the program have health insurance coverage elsewhere.

“It’s not surprising. If somebody gets renewal paperwork and they say they don’t need Medicaid anymore, why would they submit paperwork?” Matney told the Des Moines Register. “So when the team has been looking at the individuals who are disenrolled for any reason, but particularly for those who are disenrolled for not returning their paperwork, we can tell in our system who has other health insurance.”

That data has not been made publicly available on the state’s dashboard.

Still, officials with the Centers for Medicare and Medicaid Services have called on Iowa and other states to simplify the process. In addition to keeping individuals who qualify on Medicaid, states also need to connect low-income residents with other coverage options, Tsai said.

“We’re looking for states to also do everything in their power, way beyond what the federal minimums are, to try to make it easier for eligible people to keep their coverage,” Tsai told the Register. “If you’re not eligible for Medicaid, we want you on your employer-sponsored coverage. We want you on the ACA plans. We don’t want you uninsured, and that’s the bottom-line focus for us from a federal standpoint.”

More: More than 100k Iowans will lose expanded Medicaid soon. What you need to know:

What is Medicaid redetermination?

Typically, Iowans on Medicaid undergo a redetermination process every year to check their eligibility to see whether they still qualify.

But as part of the federal government’s response to the coronavirus pandemic starting in March 2020, states were required to maintain coverage for individuals on Medicaid, even if they no longer qualified. In exchange, states received enhanced federal funding to manage the health insurance program.

In Iowa, more than 168,000 individuals maintained coverage during the three-year pause on Medicaid redeterminations, state data shows.

That requirement to maintain continuous coverage ended in March 2023, when federal officials ended the national public health emergency.

As a result, the state’s health and human services department is checking the eligibility of hundreds of thousands of Iowans on Medicaid and CHIP, a massive undertaking that must be completed by May of 2024. Matney said state employees are processing close to 70,000 new applications every month, a “huge increase” from the typical redetermination process pre-pandemic.

Early estimates showed about 136,000 Iowans would be disenrolled from Iowa Medicaid, the state’s $7 billion privatized program, by the end of the 12-month unwinding period.

The state agency has worked to automate as much as possible and has launched a public messaging campaign to spread the word to members to turn in their paperwork. The managed care organizations that administer Medicaid benefits also have engaged in direct outreach to members, including knocking on the doors of some members to help them fill out their application, Matney said.

How many Iowans have renewed their coverage?

As of June, 854,791 people were enrolled in Iowa Medicaid and CHIP. That’s 39,053 fewer than in April.https://flo.uri.sh/visualisation/14502335/embed

In the first three months of the “unwinding” process, 105,401 enrollees renewed their coverage under the Iowa Medicaid program, according to state data.

Of those, about half — 51,940 — were renewed on an “ex parte basis” or automatically renewed based on information the state has on the enrollee. The remaining 53,461 enrollees who renewed their coverage filled out and returned the redetermination paperwork sent by the state.

Federal officials call on states to do more. What is Iowa saying?

As the redetermination process continues for the next several months, Matney said she expects the number of individuals disenrolled, including for procedural reasons, will level off.

State officials had flagged enrollees who were likely ineligible for continued coverage, and frontloaded their reviews early in the redetermination process. As a result, Matney said, the rate of procedural dropoffs from April through July will be higher than the remaining months of the unwinding process.

Matney said enrollee data shows as much as 85% of individuals disenrolled from Medicaid have insurance elsewhere, such as an employer-sponsored plan. It also shows most of those who were disenrolled are adults.

The remaining portion is likely still eligible for Medicaid, which is why the state implemented a 90-day grace period to allow members to reapply for coverage, even if they missed the deadline, Matney said.

“If they get their paperwork in within that 90 days, we’ll backdate to the date that they last covered, so there’s no gap,” Matney said.

Members will most likely find out they no longer have Medicaid coverage when they pick up prescriptions. Matney said a possible solution could come in the form of partnerships with pharmacies, allowing those providers to complete presumptive eligibility determinations and help members get back on Medicaid quickly.

However, she said many states are finding pharmacies are not signing on to help with that work.

CMS has recently taken steps to address the number of Americans kicked off Medicaid coverage during this process, even pausing redetermination efforts in some states that have violated federal regulations, according to a press briefing from last week. Federal officials did not list the states involved.

Tsai said CMS officials are continuing to call on states, especially those with higher rates of procedural dropoffs, to utilize federal waivers offered by CMS for states’ redetermination efforts. These temporary policy changes are structured to help ease the process for members and ensure the nation’s uninsured rate doesn’t spike.

Among those waivers is extending postpartum coverage for Medicaid recipients to a year, a policy that has not been adopted in Iowa. Currently, the state provides members with 60 days of postpartum coverage.

“Under that, there definitely is more room for Iowa to be able to take up more of those,” Tsai said.

Matney said at this stage in the unwinding process, she doesn’t see any need to use additional policies offered by federal health officials to ease the process.

“We’ve gone through the list and really done the analysis of what we’re already doing versus what would be more administratively complicated,” Matney said. “The juice isn’t worth the squeeze in some such situations, and so right now, we’re still in the same spot. But we’ll be evaluating that, and if we feel additional waivers are important and necessary to help ease the process for ourselves and for Medicaid members and Iowans in general, we’ll certainly pursue that.”

Michaela Ramm covers health care for the Des Moines Register. 

How right-wing news powers the ‘gold IRA’ industry

The Washington Post

How right-wing news powers the ‘gold IRA’ industry

Jeremy B. Merrill and Hanna Kozlowska – July 25, 2023

Dedicated viewers of Fox News are likely familiar with Lear Capital, a Los Angeles company that sells gold and silver coins. In recent years, the company’s ads have been a constant presence on Fox airwaves, warning viewers to protect their retirement savings from a looming “pension crisis” and “dollar collapse.”

One such ad caught the attention of Terry White, a disabled retiree from New York. In 2018, White invested $174,000 in the coins, according to a lawsuit by the New York attorney general – only to later learn that Lear charged a 33 percent commission.

Over several transactions, White, 70, lost nearly $80,000, putting an “enormous strain” on his finances, said his wife, Jeanne, who blames Fox for their predicament: “They’re negligent,” she said. A regretful White said he thought Fox “wouldn’t take a commercial like that unless it was legitimate.”

While the legitimacy of the gold retirement investment industry is the subject of numerous lawsuits – including allegations of fraud by federal and state regulators against Lear and other companies – its advertising has become a mainstay of right-wing media. The industry spends millions of dollars a year to reach viewers of Fox, Newsmax and other conservative outlets, according to a Washington Post analysis of ad data and financial records, as well as interviews with industry insiders. Former Fox News host Bill O’Reilly and former New York mayor Rudy Giuliani have promoted the coins, while ads for Lear’s competitors have appeared on a podcast hosted by Sen. Ted Cruz (R-Tex.) and Newsmax broadcasts of former president Donald Trump’s political rallies.

An analysis by The Post of political newsletters, social media, podcasts and a national database of television ads collected by the company AdImpact found that pitches to invest in gold coins are a daily presence in media that caters to a right-wing audience and often echo conservative talking points about looming economic and societal collapse. The Post found no similar ads for gold retirement investments in mainstream or left-wing media sources in the databases.

These so-called “gold IRA” companies are not publicly traded, so their revenue, profits and ad budgets largely cannot be determined. Court documents filed by Lear say the company has about $200 million in annual revenue; Dale Whitaker, the former chief financial officer at another company, Augusta Precious Metals, said overall industry revenue likely approaches $1 billion a year.

Over the past decade, more than 30 customers in 20 states have sued a dozen gold IRA companies, including Lear. Federal regulators have sued four companies – two in the past year alone – claiming investors were systematically charged as much as triple the coins’ value.

None of the cases have gone to trial; some are still pending. Of those that have been resolved, most have settled or been sent to arbitration, where outcomes are not made public. The companies have not admitted wrongdoing in any of the cases and say their customers have been adequately informed of the details of their purchases.

Joe Rotunda, enforcement director at the Texas State Securities Board, said the industry is extraordinarily difficult to police because selling gold, even as a retirement investment, is “extremely thinly regulated.”

Experts on commercial speech say Fox and other media outlets have no obligation to spurn advertising from gold IRA companies, despite the allegations. “Courts are very hesitant to impose liability on publishers,” said Harvard law professor Rebecca Tushnet, an expert in First Amendment and advertising law, who said the law is designed primarily to compel truthfulness by advertisers.

Tushnet added that “it might be reasonable, if you found out about the lawsuits, [to] contact the advertiser” and ask questions about the claims before running the ads. But if an advertiser blames their legal troubles on “the woke mob,” she said, “you’re often allowed to believe them.”

Fox News declined to comment. In a statement, Newsmax spokesman Bill Daddi said the network does not see allegations against the gold IRA companies as “a cause to block them from advertising.” Daddi compared them to some major financial firms that have been sued by customers or regulators, and whose ads continue to be accepted by mainstream outlets. For example, Wells Fargo paid $3 billion in 2020 to settle potential charges related to opening fake accounts in customers’ names.

In a statement, Lear Capital spokesperson Tracy Williams defended the company’s operations, saying most of Lear’s customers would have made a profit if they had sold at a recent market high. Williams said that White, the New York retiree, had acknowledged the company’s fee in a recorded call.

Last year, Lear settled New York’s 2021 lawsuit involving White without admitting wrongdoing. However, the company agreed to repay some customers and to disclose its fees more clearly. Lear now gives customers 24 hours to pull out of purchases, Williams said, putting the company at the “vanguard of disclosure … within its industry.”

Lear declined to say how much it spends to advertise on Fox News, but Williams said the network is not Lear’s primary source of customers. Nor is Lear likely to make up a significant share of Fox’s total ad revenue, which exceeds $1 billion a year, according to securities filings.

Fox is a logical place for Lear to advertise because “purchasing physical assets appeals to persons who have concerns regarding … topics often discussed on that platform,” Williams said. She added: “U.S. monetary policy is inseparable from U.S. political dynamics and themes.”

For years, gold IRA industry advertising has echoed accusations against Democratic politicians commonly found in news segments on conservative outlets. The ads tout the coins as a safe haven from economic uncertainty and social upheaval.

Most of the coins are manufactured by the Royal Canadian Mint, which says they’re bullion, a kind of coin whose value is determined by the underlying metal. As such, they meet IRS rules for retirement investments.

Unlike most bullion coins, however, the gold IRA industry’s coins are typically exclusive to the companies who sell them, usually with markups far higher than those charged by mainstream coin retailers, regulators and coin experts say. Alex Reeves, a spokesman for the Royal Canadian Mint, said the mint has no control “over sales practices further down the chain of distribution.”

“They are priced like collectibles, but collectible coins aren’t typically sold in bulk,” said Everett Millman, a precious metals specialist at coin dealer Gainesville Coins. “If a customer spent the same amount of money on products that are more standard, like [Canadian] Silver Maple Leafs, they would end up with a lot more ounces per dollar.”

With the exclusive coins, Millman said, “They’re simply torching money.”

“No one in their right mind would pay the premiums that these guys are charging,” added Ken Lewis, CEO of online coin dealer Apmex, who reviewed several customer invoices at The Post’s request.

The ads explain none of that. Instead, they focus on news events, such as a spate of recent bank failures and “everything that’s happening in the economy right now … with all the talk of inflation,” Rotunda said.

For example, an email ad for Augusta, sent to a Newsmax mailing list last July, warned that “The Biden administration’s economic policies are ‘declaring war’ on retirement savers.” In December, American Hartford Gold Group sent an email ad with the subject line: “Bill O’Reilly Warns: Retirement Funds at Risk From a Biden Recession.” The email is signed by O’Reilly, who did not respond to a request for comment.

Another ad for Hartford sent to the Newsmax mailing list in March warned of “Biden and Yellen’s Secret Plan to Steal your Hard-Earned Money and Bail Out Their Wall Street Buddies.”

Trump rallies are particularly big events for Hartford. On July 1, Newsmax aired a live broadcast of a Trump speech in Pickens, S.C., on a split screen with an ad for Hartford, which also sends “Trump Rally Special” email ads via Newsmax.

Since October 2020, email newsletters distributed by Newsmax have included more than 1,100 ads for gold IRA companies – nearly a quarter of all Newsmax email ads reviewed by The Post. At $1,000 to $5,000 each, according to Augusta financial records from 2016 reviewed by The Post, the ads likely generate more than $1 million a year in revenue.

Daddi, the Newsmax spokesman, said gold IRA companies represent “a small percentage of the total advertisers on Newsmax across all platforms.”

Some conservative figures offer explicit endorsements. Giuliani has called Hartford “the experts I trust most” on his podcast “Common Sense.” The “Verdict with Ted Cruz” podcast has featured ads for Hartford for at least a year, and a recent segment touted Augusta, urging listeners “to protect your dollars … with a gold IRA.” Neither Giuliani nor Cruz responded to requests for comment.

Two media dealmakers who have been involved in negotiations between conservative media figures and the gold IRA industry said revenue from the companies can amount to as much as 10 percent of total earnings for some personalities. The dealmakers spoke on the condition of anonymity to protect their business relationships; one said the biggest personalities stand to earn millions of dollars a year.

Hartford spokesman Steven Goldberg said it runs ads “where we believe it will create the most value.” Among the company’s chosen venues: a “prophetic” evangelical Christian email newsletter, two right-wing TV channels, and more than a dozen conservative radio shows and podcasts, including Giuliani’s and Cruz’s.

One of Hartford’s ads caught the attention of Ed DeSanto, 65, a semiretired Florida medical coder and an avid right-wing radio fan. He invested a $100,000 lump-sum payout from his pension in a Hartford IRA in 2019.

DeSanto said he doesn’t remember exactly where he heard the Hartford ad, but “if you listen to those radio shows, they play those commercials all the time.” He said he believed he was being careful: He picked Hartford because it scored well in a ranking of gold IRA companies he found online. (Such rankings often include disclosures noting that the authors are paid by the gold IRA companies.)

DeSanto’s $100,000 investment netted him just $53,000 worth of gold and silver, according to a Post analysis of his invoices – meaning the coins had been marked up 92 percent over the value of the metal. DeSanto blames himself.

“I did a little bit of research, but evidently not enough,” DeSanto said. “When I found the invoice, it was a big shock.”

In 2018 and 2019, another retiree, John Mathys of Illinois, claimed a Hartford salesman persuaded him to invest his $569,000 retirement savings by “bombarding him” with calls and emails for months, according to a federal lawsuit Mathys filed against Hartford in 2020. The lawsuit was sent to arbitration. Neither Mathys nor his lawyer responded to requests for comment.

Mathys, who was 83 at the time of the lawsuit, is one of three customers who sued Hartford in the past six years accusing the company of fraud. The other two lawsuits settled.

Hartford declined to comment on any of the cases. “We are fully transparent with our clients about the pricing of the products they purchase and the potential range of markup for those products,” Goldberg said in a statement, adding that the company operates “with a steadfast commitment to doing business legally and ethically.”

“We deny the allegation that we’ve misled or otherwise acted improperly,” Goldberg said.

In February and April, DeSanto sold back some of his gold coins to Hartford. Although gold prices had climbed an average of 32 percent since his 2019 purchase, he lost money on the sales, according to a Post analysis of his invoices.

The gold IRA industry’s ties to right-wing media date to the Great Recession, when the price of gold was rising rapidly and Fox commentator Glenn Beck was one of the most popular hosts on TV. Beck recorded ads for Goldline, a gold dealer that also offered IRAs, and interviewed its CEO on his show.

“We could be facing recession, depression or collapse. Nothing left!” Beck told viewers in 2009, urging them to rely on “God, Gold and Guns.” After segments promoting gold investments, Beck’s show would sometimes cut to commercials featuring gold sellers like Goldline, according to a 2010 congressional report.

The gold companies were loyal advertisers: After Beck claimed in 2009 that President Barack Obama was “racist” and had “a deep-seated hatred for White people or the White culture,” many big advertisers dropped his show. Gold sellers were among the few who stayed on, according to reporting at the time.

Goldline soon came under scrutiny, first in congressional hearings, then by Santa Monica, Calif., prosecutors, who charged the company with misdemeanor grand theft, elder theft and conspiracy in 2011. Though Goldline defended its business practices as fully transparent and never admitted wrongdoing, the company later agreed to pay up to $4.5 million to settle the charges.

Beck faded from prominence after departing Fox News in 2011 to start his own channel. He still endorses Goldline on the company’s website. Neither Beck nor Goldline executives responded to requests for comment.

The controversy sent Goldline employees scrambling for safer harbors. Some got jobs at Merit Financial, according to interviews and public records. Merit, whose offices were just a few blocks from Goldline’s in Santa Monica, also sold coins by phone and ran ads on Fox. (Merit’s former owner declined to comment publicly.)

In 2014, Santa Monica prosecutors accused Merit of “an aggressive, nationwide fraud scheme.” The company denied the allegations but went out of business and settled as the case approached trial.

Several Goldline and Merit salesmen then struck out on their own, founding many of the companies that exist today, according to staff lists and interviews with 21 current and former industry employees.

A former Merit salesman founded Augusta Precious Metals, which has been accused of defrauding its customers by Whitaker, its former CFO. Whitaker filed a whistleblower complaint to the Commodity Futures Trading Commission, which has not taken public action. Augusta has denied the allegations, and CEO Isaac Nuriani said in a statement that Whitaker “never had any visibility into Augusta’s business operations.”

Other former Goldline and Merit employees founded Metals.com, the founders said in depositions. That company recruited customers on Facebook, where it faked an endorsement from Fox News host Sean Hannity, a court filing by Georgia securities regulators alleged.

Facebook data reviewed by The Post shows that many Metals.com ads targeted people 59 or older. One 87-year-old customer received daily phone calls from a Metals.com broker who eventually flew to Alabama for a weekend to meet her, regulators alleged. She ultimately invested nearly $90,000, they said – most of which was lost.

The FBI raided Metals.com in 2020. A judge ordered the company shut down after 31 states and the CFTC filed suit, alleging a $185 million commodities fraud, as well as violations of rules about investment advice. Company founders have denied the allegations, saying their company “strived for transparency” and disclosed that it charged a premium. They have also said in court filings that they are under criminal investigation. Company executives did not respond to requests for comment submitted to their lawyer.

After Metals.com closed, some salesmen went to work at Safeguard Metals, according to one of the salesmen, who spoke on the condition of anonymity for fear of retaliation. In February 2022, the Securities and Exchange Commission, CFTC and 27 states sued that company, too. Safeguard recently settled the SEC’s case without admitting liability; the CFTC’s suit is still pending. Safeguard’s lawyers did not respond to a request for comment.

Lear Capital also hired several salesmen from Goldline’s ranks and bought Merit’s database of customers, according to court records and staff lists submitted to California regulators and obtained by The Post through public records requests. Williams, the Lear spokesperson, said “Merit’s liquidation was an opportunity to acquire a customer and prospect base to service and market to in the future” and that Lear performed background checks on everyone it hired.

Lear recently exited bankruptcy reorganization after resolving investigations from dozens of states. It remains in business.

Hartford’s CEO also worked at both Goldline and Merit before starting that company. Goldberg, the Hartford spokesman, declined to comment when asked whether the company was under investigation by state or federal regulators.

DeSanto said he has complained to both the Florida attorney general and the CFTC about his experience with Hartford. He said he spoke twice with CFTC investigators in 2020, but the agency has not taken public action.

In February, DeSanto also called Hartford to try to sell back his coins. He said he was flabbergasted to learn that the salesman who handled his purchase was still employed there. And he was shocked to find O’Reilly’s photo still featured on the company’s website.

“Everything is the same there,” DeSanto marveled. Of O’Reilly, he added: “I would think, for his reputation, he’d want to get away from a company like them.”

Kozlowska is a freelance writer based in New York. The Washington Post’s Sarah Ellison and Dan Morse contributed reporting. Raz Nakhlawi contributed research.