1.7 million Texas households are set to lose monthly internet subsidy

The Texas Tribune

1.7 million Texas households are set to lose monthly internet subsidy

Pooja Salhotra – April 2, 2024

A colonia, unincorporated neighborhoods that lack basic services such as street lights, proper drainage, paved roads or waste management, is seen near Edinburg on March 25, 2020.
A colonia, unincorporated neighborhoods that lack basic services such as street lights, proper drainage, paved roads or waste management, is seen near Edinburg on March 25, 2020. Credit: Verónica G. Cárdenas for The Texas Tribune

The $30 per month Daisy Solis has saved off of her internet bill for the past two years stretched a long way.

Those dollars covered new shoes for her three, growing children, dinners out at the Chick-fil-A that popped up in her town of Peñitas in South Texas, and part of a higher-than-usual electricity bill.

Now, Solis worries she might have to sacrifice on her internet speed because a federal subsidy that has helped her pay for her internet plan is set to expire at the end of April.

The Affordable Connectivity Program provides a $30 monthly subsidy to help low-income households pay for internet service, and up to $75 per month for households on tribal lands. The $14.2 billion program was part of the 2021 Bipartisan Infrastructure Law and has helped 23 million households in the U.S — including 1.7 million in Texas — save money on their internet bills. The program’s funding is slated to dwindle at the end of April, though, potentially cutting millions off from the internet. In May, limited remaining funding in the program will allow eligible households to receive a partial discount; there won’t be any benefits after May.

“It has really helped me in that I don’t have to stress out about the bill,” said Solis, 27. “Even though it’s $30, $30 goes a long way.”

The program’s termination will disproportionately impact South Texas, where counties along the Texas-Mexico border had higher than average rates of participation. Overall, 1 in 7 Texans used the program. But in some border counties, including Hidalgo County, about half of its residents used the subsidy, according to data from the Federal Communications Commission.

“Some people have told me they might not get internet if [the subsidy] goes away,” said Marco Lopez, a community organizer at La Unión del Pueblo Entero, a nonprofit organization that supports low-income neighborhoods in the Valley. “I don’t know what to tell them because it’s not just cutting off their internet; it’s cutting off their opportunities for jobs, for school, for telehealth.”

A bipartisan group of lawmakers has introduced a bill that would extend funding for the Affordable Connectivity Program through the end of 2024. But the bill has not moved and faces considerable pushback from Republican lawmakers who claim the Biden administration has spent “recklessly.”

In a December letter to the chair of the FCC, a group of lawmakers, including U.S. Sen. Ted Cruz, disputed that the broadband program was necessary. The lawmakers said that most households using the subsidy already had broadband subscriptions. But that’s likely untrue. According to an FCC survey, 47% of respondents reported having either zero connectivity or relying on mobile service before enrolling in the federal program.

On Tuesday, FCC Chair Jessica Rosenworcel sent a letter to Congress urging them to fund the program until the end of the year. She said the funding has been particularly critical for vulnerable populations, including veterans, seniors, and students.

“We know that nearly half of ACP households are led by someone over the age of 50,” she wrote. “The ACP and the broadband service it supports is ‘need to have’ for many seniors, who depend on the program for managing their health and maintaining access to their medical teams.”

The program’s termination comes as the state and federal government pump historic sums of money to expand broadband infrastructure and close the so-called digital divide. Texas is poised to receive more than $3.3 billion federal dollars to help connect the roughly 7 million Texans who lack access to affordable internet. The state will bolster those funds with an additional $1.5 billion that voters approved in November.

Some advocates worry that terminating the Affordable Connectivity Program at this juncture could jeopardize the success of future broadband investments.

“If we build the infrastructure but then all these people lose internet access, we are going to be taking one step forward and two steps back,” said Kelty Garbee, executive director of Texas Rural Funders, a nonprofit focused on rural philanthropy. “It is important to take a long view.”

Rural areas lag behind their urban counterparts when it comes to broadband access. The combination of low population density and remoteness make such areas unattractive to internet service providers, who are hesitant to invest in expensive infrastructure without a guaranteed pool of customers. Garbee worries that ending the government subsidies could shrink the rural customer base and make those areas even less attractive to internet companies.

Jordana Barton-Garcia, who focuses on broadband investments for nonprofit organization Connect Humanity, said that while the termination of ACP will be a significant loss for high poverty areas, the program is a “Band-Aid” solution. She said the subsidy doesn’t address the root of the problem: that the economics of broadband do not work in rural, low-income areas.

“Instead of being ruled by profit-maximizing major corporations, we need other models to serve low and moderate income communities,” she said. “We need to be able to serve without maximizing profits and instead serve for the public good.”

Some communities have found innovative ways to provide broadband to their rural constituents at a low cost. The city of Pharr in Hidalgo County, for example, created a municipal internet service program that offers plans for as low as $25 per month, the price residents in the border community said they could afford. Barton-Garcia said Pharr won’t be affected by the termination of government subsidies because the city has already secured its own funding. Pharr used grant money, a municipal bond as well as American Rescue Plan dollars to create a municipally-run internet service.

Large internet providers such as Comcast said they will continue to support low-income customers with an affordable plan. Comcast offers eligible customers a plan called internet essentials for $9.95 and a slightly higher-speed plan for $29.95.

For smaller providers in rural Texas, though, a low-cost plan is not financially feasible without government support. Charlie Cano, CEO of ETex Telephone Cooperative, said his lowest cost option is $62 per month.

“Anything lower than that is going to jeopardize our business model,” Cano said. “I’m nervous about what we are going to do about that low-cost option.”

In order to qualify as a grantee for the Broadband Equity Access and Deployment Program — the main broadband program created by the bipartisan infrastructure law — providers must offer a low-cost option to low-income customers. Providers like Cano worry this requirement may make it difficult for companies like his to win federal grant dollars.

Disclosure: Comcast has been a financial supporter of The Texas Tribune, a nonprofit, nonpartisan news organization that is funded in part by donations from members, foundations and corporate sponsors. Financial supporters play no role in the Tribune’s journalism. Find a complete list of them here.

Biden administration points finger at Republicans for internet bill hikes

CNN

Biden administration points finger at Republicans for internet bill hikes

Brian Fung, CNN – April 2, 2024

Spencer Platt/Getty Images

Tens of millions of Americans could see skyrocketing internet bills this spring or may be abruptly kicked off their plans — and it will be congressional Republicans who are to blame, the Biden administration said Tuesday.

The accusation reflects a last-ditch pressure campaign to save a federal program that has helped connect more than 23 million US households to the internet, many for the first time. Without it, those households will be forced to pay hundreds of dollars more per year to stay online.

By the end of the month, funding for the Affordable Connectivity Program (ACP) will run out, jeopardizing the monthly discounts on internet service benefiting an estimated 59 million low-income people, including veterans, students and older Americans.

Many ACP subscribers would be forced to choose between paying for groceries and paying for internet service if the program is shut down, CNN has previously reported.

Although popular with users from across the ideological spectrum, the ACP’s future is in doubt as legislation to extend the program has stalled. Now, as the Federal Communications Commission has begun winding it down, the Biden administration is ramping up pressure on the GOP for standing in the way of a critical lifeline for accessing health care, jobs and education.

“President [Joe] Biden has been calling on Congress to pass legislation that would extend the benefit through 2024. And we know Democratic members and senators have joined him in that effort,” a senior administration official told reporters. “But unfortunately, Republicans in Congress have failed to act.”

Biden has called on Congress to approve $6 billion to continue the ACP. A bill introduced in January by a bipartisan group of lawmakers in the House and Senate would authorize $7 billion. That legislation has 216 co-sponsors in the House, including 21 Republicans, and three in the Senate, including two Republicans.

But policy experts have said it is unlikely Republican House Speaker Mike Johnson will let the bill onto the House floor as GOP leaders have decried government spending, despite the program being used in virtually every congressional district nationwide.

“It is clear the program would be extended if the speaker would allow a vote,” said Blair Levin, an analyst at the market research firm New Street Research. “So far, he has not said anything about it, but it appears he will not allow the House to vote on the legislation. He has not, to my knowledge, said anything substantive about the legislation or the program.”

Levin added that support by Republican Sens. J.D. Vance of Ohio and Kevin Cramer of North Dakota also suggest the bill would pass the Senate, making the House “the biggest obstacle.”

Spokespeople for Johnson and for Senate Majority Leader Chuck Schumer didn’t immediately respond to a request for comment.

The result is a stalemate that, if left unresolved, will lead to the collapse of the ACP by early May.

Administration officials declined to say whether Biden or Vice President Kamala Harris have personally discussed the ACP with congressional Republicans. But the officials told reporters there is currently no Plan B if Congress fails to extend the program.

“There are really no good options in a world in which Congress leaves us without any funding,” said another senior administration official. “There are certainly no easy answers for us to move forward if this program ends. So we want to work as hard as possible to make sure we avoid that possibility.”

Some lawmakers had hoped that money for the ACP could have been included in the recent bipartisan spending deal intended to keep the government open, but those hopes were ultimately left unfulfilled.

On Tuesday, FCC Chairwoman Jessica Rosenworcel sent a letter to Congress outlining the impact that the ACP’s disruption would cause.

“The end of the ACP will have broad impact,” Rosenworcel wrote. “But it is worth noting that they will have special impact on certain vulnerable populations, including senior citizens. We know that nearly half of ACP households are led by someone over the age of 50.”

More than 4 million military households are signed up for the ACP, Rosenworcel added, while 3.4 million households within the ACP program reported using school lunch or breakfast programs, indicating that many program subscribers are parents of children whose ability to do homework assignments may be interrupted by the loss of the ACP. To qualify for the ACP, users are required to meet certain income limits or be a participant in one of a number of other federal aid programs, such as the National School Lunch Program.

Rosenworcel called on Sen. Maria Cantwell and the panel she chairs, the Senate Committee on Commerce, Science, and Transportation, to quickly advance legislation to extend the ACP. But the bill’s future remains foggy.

Cancer is the second leading cause of death for Americans. Here are 11 ways to reduce your risk.

Yahoo! Life

Cancer is the second leading cause of death for Americans. Here are 11 ways to reduce your risk.

Priscilla Blossom – March 1, 2024

Experts share ways to reduce your cancer risk. (Getty Images)
Experts share ways to reduce your cancer risk. (Getty Images) (ljubaphoto via Getty Images)

Chances are you or someone you know has been affected by one of the many types of cancer. According to the Centers for Disease Control and Prevention, it is the second leading cause of death for Americans, and projections from the American Cancer Society show there will be more than 2 million new cancer cases in the U.S. this year.

What’s more, a recent government-funded study of 17 National Cancer Institute registries shows cancer is on the rise among younger Americans, particularly women (who saw a 4.4% increase), Hispanic and Asian or Pacific Islander populations. The research also shows that gastrointestinal (GI) cancers are the fastest-growing type of cancer among younger people.

That said, it’s important to understand that many cancers are known as “preventable cancers” and that very few (up to 10%) of cancers are inherited. “Cancers that are preventable are ones that we can take adequate steps to reduce the risk,” Heather Thompson Mackey, a nurse and senior director of cancer prevention for the Prevent Cancer Foundation, tells Yahoo Life.

While certain immutable factors — such as race, age or genetic predisposition — can influence cancer diagnosis and survival rates, there are lifestyle changes that can improve one’s chances. “About 40% of cancers overall can be related to modifiable risk factors,” Mackey says. Here, she and other experts share ways to cut one’s risk.

Cut alcohol consumption

As the CDC notes, drinking alcohol is associated with an increased risk of getting a number of different types of cancer, including liver, prostate and pancreatic. “It’s best for cancer prevention to not drink at all,” says Mackey. However, she acknowledges that if people do drink, they should stick to no more than one drink (for women) or two (for men) per day.

Don’t smoke

According to the CDC, cigarette smoking is the No. 1 risk factor for lung cancer, with statistics showing that smokers are 15 to 30 times more likely to develop or die from lung cancer than non-smokers. But it’s not just lung cancer smokers should worry about.

“There are multiple other cancers that smoking impacts,” Dr. Andrew Hertler, an oncologist and chief medical officer for Evolent, tells Yahoo Life. “Everything from bladder cancer, to cancer of the head and neck region, to esophageal cancer and pancreatic cancer.” (For tips on quitting, look here.)

Know your body

Dr. April Spencer, surgical oncologist and founder of Dr. Spencer’s Global Breast Health and Wellness Center, tells Yahoo Life that people should stay aware of their bodies. Report any changes — such as a mole that’s changed shape or color, a mysterious lump or differences in how the breasts look or feel — to a doctor.

Practice safe sun exposure

While too much UV radiation is associated with increased risk of skin cancer, there are benefits to soaking up the sun — safely, oncologist Dr. Katie Deming tells Yahoo Life. “Vitamin D deficiency is correlated with certain types of cancer, including breast cancer,” says Deming, who recommends the Dminder app for calculating the optimal amount of sun you need. “Safe sun exposure is the best way to boost vitamin D levels.”

To stay safe and avoid burning, Mackey advises wearing sunscreen that is SPF 30 or higher whenever outside and avoiding intense periods of sun exposure between the hours of 10 a.m. and 2 p.m.

Stay up-to-date on vaccinations

Certain vaccines can help reduce your risk of certain cancers. “Over 90% of cases of cervical cancer are associated with HPV [human papillomavirus], and so HPV vaccination has been a game-changer,” says Mackey. She also recommends making sure you have a hepatitis B vaccine. This vaccine has been named the first “anti-cancer” vaccine by the FDA as it can prevent chronic hepatitis B infections, which help prevent liver cancers caused by the virus.

Eat a healthy diet

It sounds simple, but putting nutrition first can help. “Increase the intake of fruits and vegetables, and reduce the intake of red meat and processed foods and beverages high in sugar,” says Spencer.

Additionally, Mackey suggests avoiding lots of cured or smoked meats due to the ways in which they are processed, which increases your exposure to carcinogens.

Document your family medical history

“Knowing your family history, sharing it with your primary care doctor and determining if you’re someone who should undergo more aggressive screening or genetic testing is very important,” Hertler says. For example, if there’s a history of colon cancer in your family, it’s worth talking to your doctor about getting a colonoscopy before the recommended age of 45 and learning about other preventative measures.

“It’s important to know the types of cancer, and at what age those family members were diagnosed,” says Mackey. “Have that conversation with your doctor, even starting in your 20s.”

For those with a known history of cancer in the family, it’s also important to have conversations about which cancers you might be at risk for. While Hertler says he doesn’t always recommend genetic testing, which can help evaluate an individual’s cancer risk, there are algorithms doctors can use that help estimate a patient’s particular risk and whether or not it’s worth moving forward with genetic testing.

Additionally, prophylactic surgeries — in which an organ or gland is removed before any signs of cancer appear, such as a preventative mastectomy to get ahead of breast cancer — can decrease your odds of developing those particular cancers to about 99%. However, Hetler warns it’s not something that is always recommended and that it isn’t something to go into lightly.

“All of these are tough procedures for patients to go through psychologically and physically, and the alternative is always very aggressive screening programs,” he explains. “I’d emphasize that it’s always an individual decision as to whether to have prophylactic surgery.”

Stay active

A sedentary lifestyle is associated with an increased risk for various cancers. Meanwhile, research shows that getting at least 30 minutes of physical activity per day reduces the risk of colorectal, endometrial and postmenopausal breast cancers. The Department of Health and Human Services Physical Activity Guidelines for Americans also recommends 150 minutes to 300 minutes of moderate-intensity aerobic activity, 75 minutes to 100 minutes of vigorous aerobic activity, or an equivalent combination each week, along with muscle-strengthening exercises twice a week and balance training to reduce the risk of chronic conditions including cancer. And our experts agree: The more movement, the better.

Release emotional trauma

Our minds matter. “Studies show that children with emotional trauma are at a higher risk of developing cancer and other illnesses later in life,” says Deming. In fact, adverse childhood experiences can increase unhealthy behaviors as well as increase chronic inflammation, which causes wear and tear on the body, leaving it at an increased risk of cancer.

“Working through emotional trauma is one way to mitigate this increased risk of cancer,” she adds. Keeping children safe from adverse childhood experiences is also recommended.

Do your best to avoid pollutants and carcinogens

The National Toxicology Program (NTP) has identified a large number of chemical substances that are known to be human carcinogens, including formaldehyde, soot, coal tar and coal tar pitch, asbestos and aflatoxins. While Hertler notes that “we all are exposed all the time to pollutants and carcinogenic chemicals,” there are ways to limit that exposure. One way is test your home for exposure to radon, asbestos or lead, suggests Mackey.

“We talk a lot about testing for radon to make sure that you don’t have that chemical exposure and increase your risk of lung cancer,” says Mackey. Other things you can do are test for asbestos and lead in your home. Deming also advises checking for contaminants in your local drinking water or using a filtration system. And be mindful of the ingredients included in the products you’re shopping for, adds Spencer. “Only buy personal care products with minimal preservatives and that are free of possible carcinogenic toxins like parabens, BPAs and phthalates,” she says.

Get cancer screenings as recommended

From mammograms to colonoscopies, cancer screenings are essential in preventing the development of more advanced cancers, and in improving survival rates. Age and frequency recommendations vary — from age 21 for Pap smear to detect cervical cancer to age 50 for a prostate exam — and are subject to change given a person’s risk factors. How soon and how often you screen for certain cancers often depends on family history; the earlier your relatives were diagnosed, the more likely your providers will recommend screening at an earlier age.

Why is prevention key?

While there’s never any guarantee that someone won’t get ever get cancer, staying on top of one’s health can achieve better outcomes and make it more likely that, in the event of a diagnosis, the cancer is caught early. “The earlier it’s diagnosed, the greater the overall survival rates,” says Hertler, who has practiced oncology for over 40 years and has seen advancements in the screenings being developed.

Thinking about the rising cancer rates in the U.S. can feel pretty overwhelming, Mackey says, but she stresses the importance of being proactive.

“This is something that can be very frightening, but there’s a lot you can do to really empower yourself to take steps to reduce your cancer risk,” says Mackey. “We may not be able to prevent all types of cancer, but we can live the healthiest life we can … to reduce our risk.”

Our Trump reporting upsets some readers, but there aren’t two sides to facts: Letter from the Editor

Cleveland Plain Dealer

Our Trump reporting upsets some readers, but there aren’t two sides to facts: Letter from the Editor

Chris Quinn, Editor, Cleveland Plain Dealer – March 30, 2024

Trump Biden collage
Some readers complain that we have different standards involving Donald Trump and Joe Biden. (AP Photo, File)AP

A more-than-occasional arrival in the email these days is a question expressed two ways, one with dripping condescension and the other with courtesy:

Why don’t our opinion platforms treat Donald Trump and other politicians exactly the same way. Some phrase it differently, asking why we demean the former president’s supporters in describing his behavior as monstrous,insurrectionist and authoritarian. I feel for those who write. They believe in Trump and want their local news source to recognize what they see in him.

The angry writers denounce me for ignoring what they call the Biden family crime syndicate and criminality far beyond that of Trump. They quote news sources of no credibility as proof the mainstream media ignores evidence that Biden, not Trump, is the criminal dictator.

The courteous writers don’t go down that road. They politely ask how we can discount the passions and beliefs of the many people who believe in Trump.

This is a tough column to write, because I don’t want to demean or insult those who write me in good faith. I’ve started it a half dozen times since November but turned to other topics each time because this needle hard to thread. No matter how I present it, I’ll offend some thoughtful, decent people.

The north star here is truth. We tell the truth, even when it offends some of the people who pay us for information.

The truth is that Donald Trump undermined faith in our elections in his false bid to retain the presidency. He sparked an insurrection intended to overthrow our government and keep himself in power. No president in our history has done worse.

This is not subjective. We all saw it. Plenty of leaders today try to convince the masses we did not see what we saw, but our eyes don’t deceive. (If leaders began a yearslong campaign today to convince us that the Baltimore bridge did not collapse Tuesday morning, would you ever believe them?) Trust your eyes. Trump on Jan. 6 launched the most serious threat to our system of government since the Civil War. You know that. You saw it.

The facts involving Trump are crystal clear, and as news people, we cannot pretend otherwise, as unpopular as that might be with a segment of our readers. There aren’t two sides to facts. People who say the earth is flat don’t get space on our platforms. If that offends them, so be it.

As for those who equate Trump and Joe Biden, that’s false equivalency. Biden has done nothing remotely close to the egregious, anti-American acts of Trump. We can debate the success and mindset of our current president, as we have about most presidents in our lifetimes, but Biden was never a threat to our democracy. Trump is. He is unique among all American presidents for his efforts to keep power at any cost.

Personally, I find it hard to understand how Americans who take pride in our system of government support Trump. All those soldiers who died in World War II were fighting against the kind of regime Trump wants to create on our soil. How do they not see it?

The March 25 edition of the New Yorker magazine offers some insight. It includes a detailed review of a new book about Adolf Hitler, focused on the year 1932. It’s called “Takeover: Hitler’s Final Rise to Power” and is by historian Timothy W. Ryback. It explains how German leaders – including some in the media — thought they could use Hitler as a means to get power for themselves and were willing to look past his obvious deficiencies to get where they wanted. In tolerating and using Hitler as a means to an end, they helped create the monstrous dictator responsible for millions of deaths.

How are those German leaders different from people in Congress saying the election was stolen or that Jan. 6 was not an insurrection aimed at destroying our government? They know the truth, but they deny it. They see Trump as a means to an end – power for themselves and their “team” – even if it means repeatedly telling lies.

Sadly, many believe the lies. They trust people in authority, without questioning the obvious discrepancies or relying on their own eyes. These are the people who take offense to the truths we tell about Trump. No one in our newsroom gets up in the morning wanting to make a segment of readers feel bad. No one seeks to demean anyone. We understand what a privilege it is to be welcomed into the lives of the millions of people who visit our platforms each month for news, sports and entertainment. But our duty is to the truth.

Our nation does seem to be slipping down the same slide that Germany did in the 1930s. Maybe the collapse of government in the hands of a madman is inevitable, given how the media landscape has been corrupted by partisans, as it was in 1930s Germany.

I hope not.

In our newsroom, we’ll do our part. Much as it offends some who read us, we will continue to tell the truth about Trump.

What to know about the ‘oat-zempic’ weight loss trend growing on social media

Good Morning America

What to know about the ‘oat-zempic’ weight loss trend growing on social media

Jessica Mendoza – April 1, 2024

With the use of drugs like Ozempic, Wegovy and Mounjaro growing in popularity for weight loss, some people are trying to get similar results using a lower-cost and easily accessible option, dry oats.

Experts say this trend does not mimic the way these drugs used for weight loss work and could have negative health impacts.

Anita Soth of California told “Good Morning America” she decided to try a meal replacement drink known as “oat-zempic” in order to lose weight for an upcoming trip.

“I’ve been struggling with my weight loss journey for a little while,” Soth said. “I have a trip in a couple weeks so I needed to lose a little extra pounds, so I just said, ‘I’m going to give it a try.'”

Soth told “GMA” she lost around four pounds in several days by following the “oat-zempic” routine along with intermittent fasting, or time-restricted feeding, where you limit the times during which you eat, typically only in an eight-hour time period.

The meal replacement drink known as “oat-zempic” is made by blending a mix of oats, lime and water with a sprinkle of cinnamon.

PHOTO: A video shared by TikTok user @withlove.renita shows her making an 'oat-zempic' meal replacement drink. (@withlove.renita/TikTok)
PHOTO: A video shared by TikTok user @withlove.renita shows her making an ‘oat-zempic’ meal replacement drink. (@withlove.renita/TikTok)

Brandy Frasier, a mom of three, told “GMA” she has found that combining the drink with low-calorie, high-protein meals each day has helped get her closer to her goal weight.

“I needed a pick-me-up because often when losing weight, it’s very slow. And when you don’t see progress on the scale, you get discouraged,” Frasier said, adding that the weight loss she’s seen has given her “energy back.” “And I’m able to walk longer, my knees are not hurting as much. So hopefully that all will continue.”

Ozempic, Mounjaro and Wegovy and other drugs used for weight loss can cost more than $1,000 a month without insurance coverage.

MORE: Doctor shares warning on dangerous ‘budget Ozempic’ weight loss trend

Both Ozempic and Mounjaro are approved by the U.S. Food and Drug Administration to treat Type 2 diabetes, but some doctors prescribe the medication “off-label” for weight loss, as is permissible by the U.S. Food and Drug Administration.

PHOTO: An Ozempic injection pen is seen on a kitchen table, Aug. 6, 2023, in Riga, Latvia. (Arriens/NurPhoto via Getty Images, FILE)
PHOTO: An Ozempic injection pen is seen on a kitchen table, Aug. 6, 2023, in Riga, Latvia. (Arriens/NurPhoto via Getty Images, FILE)

Wegovy, a medication that contains the same main ingredient as Ozempic, semaglutide, is FDA-approved for weight loss.

In November, the FDA approved Zepbound as a weight loss management treatment for people with obesity, or those who are overweight with at least one related underlying condition, such as high blood pressure — the same prescribing guidance as Wegovy. As a diabetes drug, Zepbound is sold under the brand name Mounjaro, as the two medications contain the same active ingredient, tirzepatide.

The medications work by slowing down movement of food through the stomach and curbing appetite, which can lead to weight loss.

Side effects of the drugs can include severe nausea and constipation.

MORE: Woman says she got pregnant while on Mounjaro: What to know about weight loss drugs and pregnancy

When it comes to “oat-zempic” as a substitution for a medication like Ozempic, Maya Feller, a registered dietitian and nutritionist, said people should not be confused.

“It absolutely does not mimic what Ozempic gives you,” Feller said Monday on ‘GMA.” “This is a drink based in oats, water, a squeeze of lime juice and perhaps a dash of cinnamon. It is not a medication and it does not mimic Ozempic.”

Feller noted that oats have important nutritional benefits, but she said, as a whole, the ingredients in the “oat-zempic” drink do not have all the nutritional benefits of a meal.

PHOTO: Stock Photo (Wagner Soares/WS Studio/AdobeStock)
PHOTO: Stock Photo (Wagner Soares/WS Studio/AdobeStock)

Feller said that people should seek the advice of a healthcare provider before starting a meal replacement drink to lose weight.

“If you’re looking for a meal replacement, it needs to be done under clear medical supervision,” she said. “I would not use this because you’re not going to get all the nutrients that your body needs. You’re essentially starving your cells of what they want so they can function optimally. It’s simply not worth it.”

Feller also said she encourages people to think of their “why” when it comes to losing weight and avoid following a crash diet to quickly lose pounds.

“I understand that folks out there really want to engage in weight loss. I get it,” Feller said. “But we have to be thoughtful about how we do it and not go to the extreme.”

They came for Florida’s sun and sand. They got soaring costs and a culture war.

NBC News

They came for Florida’s sun and sand. They got soaring costs and a culture war.

Shannon Pettypiece – March 31, 2024

One of the first signs Barb Carter’s move to Florida wasn’t the postcard life she’d envisioned was the armadillo infestation in her home that caused $9,000 in damages. Then came a hurricane, ever present feuding over politics, and an inability to find a doctor to remove a tumor from her liver.

After a year in the Sunshine State, Carter packed her car with whatever belongings she could fit and headed back to her home state of Kansas — selling her Florida home at a $40,000 loss and leaving behind the children and grandchildren she’d moved to be closer to.

“So many people ask, ‘Why would you move back to Kansas?’ I tell them all the same thing — you’ve got to take your vacation goggles off,” Carter said. “For me, it was very falsely promoted. Once living there, I thought, you know, this isn’t all you guys have cracked this up to be, at all.”

Florida has had a population boom over the past several years, with more than 700,000 people moving there in 2022, and it was the second-fastest-growing state as of July 2023, according to Census Bureau data. While there are some indications that migration to the state has slowed from its pandemic highs, only Texas saw more one-way U-Haul moves into the state than Florida last year. Mortgage application data indicated there were nearly two homebuyers moving to Florida in 2023 for every one leaving, according to data analytics firm CoreLogic.

But while hundreds of thousands of new residents have flocked to the state on the promise of beautiful weather, no income tax and lower costs, nearly 500,000 left in 2022, according to the most recent census data. Contributing to their move was a perfect storm of soaring insurance costs, a hostile political environment, worsening traffic and extreme weather, according to interviews with more than a dozen recent transplants and longtime residents who left the state in the past two years.

A demonstrator holds a placard reading
A demonstrator holds a placard reading

“It wasn’t the utopia on any level that I thought it would be,” said Jodi Cummings, who moved to Florida from Connecticut in 2021. “I thought Florida would be an easier lifestyle, I thought the pace would be a little bit quieter, I thought it would be warmer. I didn’t expect it to be literally 100 degrees at night. It was incredibly difficult to make friends, and it was expensive, very expensive.”

Cummings expected she’d have extra money in her paycheck working as a private chef in the Palm Beach area since the state doesn’t have an income tax. But the high costs of car insurance, rent and food cut into that additional take-home pay. After six months of dealing with South Florida’s heat and traffic, she began planning a move back to the Northeast.

“I had been so disenchanted with Florida so quickly,” Cummings said. “There was this feeling of confusion and guilt about wanting to leave, of moving there then realizing this is not anything like I thought it would be.”

A window air conditioning unit during a heat wave in Miami (Eva Marie Uzcategui  / Bloomberg via Getty Images)
A window air conditioning unit during a heat wave in Miami (Eva Marie Uzcategui / Bloomberg via Getty Images)

While costs have been rising across the country, some areas of Florida have been hit particularly hard. In the South Florida region, which includes Miami, Fort Lauderdale and Palm Beach, consumer prices in February were up nearly 5% over the prior year, compared to 3.2% nationally, according to the most recent data from the Bureau of Labor Statistics.

Homeowners insurance rates in Florida rose 42% last year to an average of $6,000 annually, driven by hurricanes and climate change, and car insurance in Florida is more than 50% higher than the national average, according to the Insurance Information Institute. While once seen as an affordable housing market, Florida is now among the more expensive states to buy a home in, with prices up 60% since 2020 to an average of $388,500, according to Zillow.

For Carter, who made the move in 2022 from Kansas to a suburb of Orlando for the weather, beaches and to be closer to her grandchildren, the costs began to quickly pile up. She purchased a manufactured home and initially expected the lot rent in her community to be $580 a month. But when she arrived she learned her monthly bill was actually $750, and by the time she left it had jumped to $875 a month. Along with the $9,000 in repairs from the armadillos, her car insurance doubled and Hurricane Ian destroyed her home’s roof on her 62nd birthday.

A aerial view of a man wading through a flooded street. (Bryan R. Smith / AFP via Getty Images)
A aerial view of a man wading through a flooded street. (Bryan R. Smith / AFP via Getty Images)

There were also the ever-present conversations and disagreements over politics that started to wear on her. Carter, who describes herself as a “middle of the road” Republican, said she learned to keep her opinions to herself.

“You cannot engage in a conversation there without politics coming up, it is just crazy. We’re retired, we’re supposed to be in our fun time of life,” she said. “I learned quickly, just keep your mouth shut, because I saw people in my own community break up their friendships over it. I don’t like losing friends, and especially over politics.”

A supporter of President Joe Biden faces supporters of Donald Trump outside of the courthouse in Fort Pierce, Fla., where Trump attended a hearing in his classified records case on March 14. (Joe Raedle / Getty Images)
A supporter of President Joe Biden faces supporters of Donald Trump outside of the courthouse in Fort Pierce, Fla., where Trump attended a hearing in his classified records case on March 14. (Joe Raedle / Getty Images)

But she said the final straw was when she couldn’t find a surgeon to remove a 6-inch tumor from her liver that doctors warned could burst at any moment and lead to life-threatening sepsis. After being passed among doctors, she finally found one willing to remove the tumor. But when she called to schedule the surgery, her calls went unanswered and her messages weren’t returned. After months of trying and fearing for her life, she returned to Kansas to have the procedure done.

“It just seemed like one challenge after another, but I kept with it until there was literally a lifesaving event that I needed to get handled and I wasn’t able to do it there,” she said. “I think it was the most difficult year of my life.”

No state has had more residents relocate to Florida in recent years than New York, with 90,000 New Yorkers moving there in 2022, according to census data. Among all out-of-state mortgage applicants, nearly 9% were from New York in 2023, slightly lower than the previous two years but similar to 2019, according to CoreLogic. One of those New York transplants was Louis Rotkowitz. He lasted less than two years in Florida.

“Like every good New Yorker, this is where you want to go,” he said by phone while driving the last of his belongings out of the state to his new home in Charlotte, North Carolina. “It’s a complete fallacy.”

After years working in emergency medicine, and nearly dying from a Covid-19 infection he contracted at work, Rotkowitz said he and his wife were looking for a more pleasant, affordable lifestyle and warmer weather when they decided to buy a house in the West Palm Beach area in 2022. He got a job there as a primary care physician and his wife took a teaching position.

But he said he quickly found the Florida he’d moved to wasn’t the one he’d experienced on regular visits there over the years. His commute to work often took more than an hour each way, he struggled to get basic services like a dishwasher repair, and the cost of his homeowners association fees doubled.

“I had a good salary, but we were barely making ends meet. We had zero quality of life,” said Rotkowitz.

Along with the rising costs, Rotkowitz said he generally felt unsafe in the state between the erratic traffic — which resulted in a number of his patients being injured by vehicles — and a state law passed in 2023 that allowed people to carry a concealed weapon without a license.

A handgun is inventoried at store that sells guns in Delray Beach (Joe Raedle / Getty Images file)
A handgun is inventoried at store that sells guns in Delray Beach (Joe Raedle / Getty Images file)

“Everyone is walking around with guns there,” he said. “I consider myself a conservative guy, but if you want to carry a gun you should be licensed, there should be some sort of process.”

Veronica Blaski, who moved to Florida from Connecticut, said rising costs drove her out of the state after less than three years. When at the start of the pandemic her husband was offered a job in Florida making more money as a manager for a landscaping company, Blaski envisioned warm weather and a more comfortable lifestyle.

The couple, both in their 40s, sold their home in Connecticut and were starting to settle into their new community when Blaski said they were hit with a “bulldozer” of costs at the start of 2023.

Her homeowners insurance company threatened to drop her coverage if she didn’t replace her home’s 9-year-old roof, a $16,000 to $30,000 project, and even with a new roof, she was expecting her home insurance rates to double — one neighbor saw their insurance go from $600 a month to $1,200 a month.

She was also facing rising property taxes as the value of her home increased, her homeowners association fees went from $326 a month to $480, and her insurance agent warned that her car insurance would likely double when it was time to renew her policy. Her husband had to get a second job on weekends to cover the higher costs.

While Florida has an unemployment rate below the national average, Blaski and others said wages weren’t enough to keep up with their expenses. The median salary in Florida is among the lowest in the country, according to payroll processor ADP. To afford a home in one of Florida’s more affordable metro areas, like Jacksonville, a homebuyer would need to earn $109,000 a year, around twice as much income as a buyer would have needed just four years ago, according to an analysis by Zillow.

“My little part-time job making $600, $700 a month went to paying either car insurance or homeowners insurance, and forget about groceries,” said Blaski, who was working in retail. “There are all these hidden things that people don’t know about. Make sure you have extra money saved somewhere because you will need it.”

A woman looks at bottle of juice. (Joe Raedle / Getty Images file)
A woman looks at bottle of juice. (Joe Raedle / Getty Images file)

When her husband’s former boss in Connecticut reached out to see if he’d be willing to return, the couple leaped at the chance.

The reverse migration out of Florida isn’t just among newcomers, but also among longtime residents who said they can no longer afford to live there and are uncomfortable with the state’s increasingly conservative policies, which in recent years have included a crackdown on undocumented immigrants, a ban on transgender care for minors, state interventions in how race, slavery and sexuality are taught in schools, and a six-week ban on abortions.

After more than three decades in the Tampa Bay area, Donna Smith left the state for Pennsylvania in December, with politics and rising insurance costs playing a major role in her decision to leave.

“It breaks my heart, it really does, because Florida was really a pretty great place when I first moved there,” Smith said.

Having grown up in Oklahoma, Smith considered herself a Republican, but as Florida’s politics shifted to the right, she said she began to consider herself a Democrat. It wasn’t until the past several years, though, that politics started to encroach on her daily life — from feuds between neighbors and friends to neo-Nazis showing up at a Black Lives Matter rally in her small town.

“When I first moved to Florida, it was a live-and-let-live sort of beach feel. You met people from all over, everybody was relaxed. That’s just gone now, and it’s shocking. It’s just gone,” said Smith, 61, who works as a graphic designer and illustrator. “Instead, it’s just a constant stressful atmosphere. I feel as though it could ignite at any point, and I’m not a fearmonger. It’s just the atmosphere, the feeling there.”

She was already considering a move out of the state when she was told by her homeowners insurance company that she would need to replace her home’s roof because it was older than four years or her insurance premium would be going up to $12,000 a year from $3,600, which was already double what she had been paying. Even with a new roof, she was told her premium would be $6,900 a year. Before she could make a decision about what to do, her insurance policy was canceled.

Shortly after, Smith ended up moving to the Lancaster, Pennsylvania, area, where she is closer to her adult children. While the majority of voters in her new county chose Donald Trump in the last election, she said politics is no longer such a heavy presence in her everyday life.

“I don’t feel it is as oppressive. People don’t wear it on their sleeve like they did in Florida,” she said. “When you walk in a room, you don’t overhear a conversation all the time where people are saying ‘Trump is the best’ or ‘I went to that last rally,’ and they’re telling total strangers while you’re just waiting for your car or something. It was just everywhere.”

A supporter of Donald Trump wears a Trump bust jewelry. (Chandan Khanna / AFP - Getty Images)
A supporter of Donald Trump wears a Trump bust jewelry. (Chandan Khanna / AFP – Getty Images)

Costs and politics were also enough to cause Noelle Schmitz to leave the state after more than 30 years, despite her son having a year left in high school, and relocate to Winchester, Virginia. She said the politics became ever-present in her daily life — one former neighbor had a massive Trump banner in front of their house for years, and another had Trump written in big letters across their yard. When she put out a Hillary Clinton sign in 2016, it was stolen and her house was egged.

“I saw my neighbors and co-workers become more radicalized, more aggressive and more angry about politics. I’m thinking, where is this coming from? These are not the people I remember,” Schmitz said. “I was finally like, we need to get the hell out of here, things are not going well.”

For some Florida newcomers though, politics is the main draw to the state, said John Desautels, who has sold real estate in Florida for decades. While politics never used to be a topic for homebuyers, Desautels said it is now a regular subject his clients bring up. Rather than asking about schools or amenities in a community, prospective buyers are asking him about the political affiliations of a certain neighborhood.

“One of the first things they say is, ‘I don’t want to be in one of them X or Y political party neighborhoods,’” Desautels said. “I spend hours listening to people vent to me about fleeing the communist government of XYZ and they want to come to freedom or whatever. So the politics have been the biggest issue when we get the call.”

Even home showings have become a politically sensitive issue. He recalled showing an elderly woman one property where there were Confederate flags at the gate and swastikas on the fish tank.

But while politics are a lure to people arriving in the state, he said they’re also among the reasons sellers tell him they’re leaving, and the state’s politics have deterred some of his gay or nonwhite clients from moving there.

“The problem is, when we alienate protected classes, it sounds like a good sound bite, but you’ve got to remember those are people who spend money in our community,” he said. “For this pro-business, free state, I’m feeling it in the wallet, bad.”

In Kansas, Carter says it’s good to be home. She moved into a 55-plus community in a small town about 10 miles from Wichita. While in Florida she was paying nearly $900 in lot rent for her manufactured home, she now pays just $520 in rent for a cottage-style apartment — a place she estimates would have cost her $1,800 a month in Florida.

With the money she’s saving in Kansas, she can afford to visit Florida.

“People call me the modern-day Dorothy,” she said. “There’s no place like home.”

An aerial view of a vehicle driving along a flooded street. (Miguel J. Rodriguez Carrillo  / AFP via Getty Images)
An aerial view of a vehicle driving along a flooded street. (Miguel J. Rodriguez Carrillo / AFP via Getty Images)

New report finds striking parallels between tobacco, gas stove campaigns: ‘This is intentional; it’s by design’

The Cool Down

New report finds striking parallels between tobacco, gas stove campaigns: ‘This is intentional; it’s by design’

Ben Stern – March 22, 2024

For decades, tobacco companies misled the public about the dangers of their products, engaging in multipronged PR campaigns and spreading disinformation.

Today, nicotine and smoking are widely acknowledged to be addictive, and cigarettes are known to cause cancer. But it took years to expose these truths, all while massive tobacco corporations profited from the harm they caused.

In a striking new report titled “Cooking with Smoke: How the Gas Industry Used Tobacco Tactics to Cover up Harms from Gas Stoves,” the Public Health Law Center has revealed how Big Tobacco’s playbook of deception was also used to convince the public that gas stoves are safe.

The beginning of the gas stove fight

While news coverage on the potential dangers of gas stove pollution has recently picked up, researchers have been trying to sound the alarm since at least the 1970s.

Early studies conducted by the Environmental Protection Agency were primarily focused on investigating the health impacts of nitrogen dioxide (NO2) pollution from gas stoves.

After it was determined that such NO2 exposure could cause or worsen asthma and other respiratory problems, the American Gas Association (AGA), fearing public outcry, began to fund its own research claiming that gas stoves weren’t associated with respiratory issues.

Yet the current scientific consensus is that gas stoves are burdening the public with health issues, specifically our children. One peer-reviewed study from the nonprofit think tank RMI found that more than one in eight cases of childhood asthma in America is associated with a gas stove in the home.

The full health impacts of exposure to gas stove pollution are unfortunately not yet known. Pediatrician Dr. Lisa Patel, the Executive Director of the Medical Society Consortium on Climate and Health, believes it’s critical to learn more about gas stoves’ potential dangers sooner rather than later.

“Because the oil and gas industry has been so successful in pulling the wool over our eyes, suppressing the research, we’re still figuring out which of the pollutants [from stoves] is the ‘worst’ in terms of risk,” Dr. Patel told The Cool Down.

Cooking with smoke

The Public Health Law Center’s new report lays out how eerily similar the disinformation campaigns of the gas and tobacco industries are.

Cooking with Smoke” describes seven of the deceptive tactics used by both the tobacco and gas industries to mislead the American public.

One such tactic is hiring the same scientists and research labs to provide biased or partial information pointing to desired results — namely, downplaying the health impacts of tobacco products and gas stoves. The AGA has hired the exact same laboratory as the Council for Tobacco Research, a tobacco industry trade group, for its sponsored research.

Last year, a New York Times exposé revealed that not only did the AGA hire a toxicologist to obscure the relationship between gas stoves and health impacts, but that same toxicologist was hired by the cigarette company Philip Morris to provide testimony claiming that Marlboro Lights were “safer for smokers.”

Another strategy utilized by both industries is the marketing of deceptive media to children. As outlined in the report, gas companies have used social media influencers to promote gas stoves to young people. Within the past two years, the gas industry has also sent coloring books to schools, telling children that “natural gas [is] your invisible friend,” as the report noted.

We deserve better

Due to decades of industry disinformation, the health harms caused by gas stoves have largely gone unnoticed or misunderstood by the American public. But just as Big Tobacco couldn’t hide the truth about cigarettes, the gas industry won’t be able to successfully hide the dangers of its stoves from the public forever.

“The gas industry wants us to accept health harms that we don’t have to. This is intentional; it’s by design,” Joelle Lester, Executive Director of the Public Health Law Center, told The Cool Down. “That’s where the gas industry is similar to Big Tobacco. They will continue to resist regulation and restriction to protect their profits.”

Change is coming

Both Lester and Dr. Patel believe that more information about the true health risks of gas stoves will inevitably emerge. When it does, change will follow.

“Jurisdictions will make changes [to transition away from gas stoves],” Lester told The Cool Down, “and once the sky doesn’t fall, and the health benefits can be measured, it will be so powerful.”

And according to Dr. Patel, “in the end, science and wanting to take care of each other will always win out.”

Actions you can take now

For those worried about the impacts of gas stoves, waiting on policy fixes isn’t necessary. The best way for an individual to eliminate the health risks of a gas stove is to replace it with an induction or electric range.

Induction cooktops have already proven to be the superior option in many ways, cooking food more quickly, evenly, efficiently, and safely than gas stoves.

While replacing your gas stove may seem daunting, the federal government, through the Inflation Reduction Act, will offer up to $840 to those who make the switch.

Even renters will be able to take advantage of this point-of-sale rebate by purchasing plug-in induction cooktops.

Some landlords may also be amenable to electrification projects, like installing induction stoves, once they find out how much more energy-efficient the devices are. The nonprofit Rewiring America has an in-depth guide for talking to your landlord about upgrading.

Of course, even with an $840 upfront discount, not every family will be able to make the switch. For those families, many options still exist to protect their respiratory health. Dr. Patel told The Cool Down: “If they can’t get that gas cooktop out, using electric appliances, opening windows, [or] using an overhead vent helps.”

‘Humbling, and a bit worrying’: Scientists fail to fully explain record global heat

Los Angeles Times

‘Humbling, and a bit worrying’: Scientists fail to fully explain record global heat

Hayley Smith – March 27, 2024

HUNTINGTON BEACH, CALIF. - DEC. 6, 2023. Beachgoers are framed against the setting sun at the end of a warm day in Huntington Beach. Scientists say that Novemeber was the sixth straight month to set a heat record. (Luis Sinco / Los Angeles Times)
The sun sets over Huntington Beach at the end of a hot December day in 2023. (Luis Sinco / Los Angeles Times)

Deadly heat in the Southwest. Hot-tub temperatures in the Atlantic Ocean. Sweltering conditions in Europe, Asia and South America.

That 2023 was Earth’s hottest year on record was in some ways no surprise. For decades, scientists have been sounding the alarm about rapidly rising temperatures driven by humanity’s relentless burning of fossil fuels.

But last year’s sudden spike in global temperatures blew far beyond what statistical climate models had predicted, leading one noted climate scientist to warn that the world may be entering “uncharted territory.”

“It’s humbling, and a bit worrying, to admit that no year has confounded climate scientists’ predictive capabilities more than 2023 has,” wrote Gavin Schmidt, director of NASA’s Goddard Institute for Space Studies, in a recent article in the journal Nature.

Now, he and other researchers are scrambling to explain why 2023 was so anomalously hot. Many theories have been proposed, but “as yet, no combination of them has been able to reconcile our theories with what has happened,” Schmidt wrote.

A young boy raises his hands and opens his mouth as mist sprays from a series of nozzles.
Misters spray water on a young boy at Kauffman Stadium in Kansas City, Mo., as as temperatures approached 100 degrees in June 2023. (Charlie Riedel / Associated Press)

Last year’s global average temperature of 58.96 degrees Fahrenheit was about a third of a degree warmer than the previous hottest year in 2016, and about 2.67 degrees warmer than the late 1800s pre-industrial period against which global warming is measured.

While human-caused climate change and El Niño can account for much of that warming, Schmidt and other experts say the extra three or four tenths of a degree is harder to account for.

Theories for the increase include a 2020 change in aerosol shipping regulations designed to help improve air quality around ports and coastal areas, which may have had the unintended consequence of enabling more sunlight to reach the planet.

The 2022 eruption of the Hunga Tonga-Hunga Ha‘apai volcano also shot millions of tons of water vapor into the stratosphere, which scientists say helped to trap some heat. What’s more, a recent uptick in the 11-year solar cycle may have contributed about a tenth of a degree of additional warning.

Read more: Earth reaches grim milestone: 2023 was the warmest year on record

But these factors alone cannot explain what’s happening, Schmidt said.

“Even after taking all plausible explanations into account, the divergence between expected and observed annual mean temperatures in 2023 remains about 0.2 °C — roughly the gap between the previous and current annual record,” he wrote in his report.

Heat ripples from hot asphalt as two women cross a street.
Heat ripples from hot asphalt in downtown Phoenix in July 2023. (Matt York / Associated Press)

Reached by phone, Schmidt said he thinks one of three things could be going on.

It’s possible that 2023 was a “blip” — a perfect storm of natural variables and Earth cycles lining up to create one freakishly hot year. Should that prove to be the case, “it won’t have huge implications for what we’re going to see in the future, because it would have been just such a rare and unlikely thing that is not going to happen again anytime soon,” he said.

However, he indicated that’s unlikely, as those elements “have never lined up to give us a blip this large.”

Another possibility is that scientists have misunderstood the driving forces of climate change. While greenhouse gases, volcanic eruptions and aerosols are known to affect global temperatures, perhaps the full extent of their effects have been underestimated or miscalibrated. Should that be the case, he said, research and data sets will hopefully catch up soon.

The last explanation he offered is that the system itself is changing — and changing in ways that are faster and less predictable than previously understood.

“That would be worrying because science is really all about taking information from the past, looking at what’s going on, and making predictions about the future,” Schmidt said. “If we can’t really trust the past, then we have no idea what’s going to happen.”

Read more: The planet is dangerously close to this climate threshold. Here’s what 1.5°C really means

Not everyone agrees with his assessment, however. Michael Mann, a professor in the Department of Earth and Environmental Science at the University of Pennsylvania, said the premise that 2023’s warmth cannot be explained — or that it is inconsistent with model simulations — is “simply wrong.”

“The situation is extremely similar to what we saw during the 2014-2016 period as we transitioned from several years of La Niña conditions to a major El Niño event, and then back to La Niña,” Mann said in an email.

In fact, he said some recent modeling shows the global temperature spike in 2016 was even more of an outlier than that of 2023.

“The plot shows that the surface warming of the planet is proceeding almost precisely as predicted,” Mann said. “And the models show that the warming will continue apace as long as we continue to burn fossil fuels and generate carbon pollution.”

When asked about this interpretation, Schmidt said it’s true that the 2014 to 2016 period was similarly anomalous. But there is a key difference between then and now, he said.

The 2016 temperature spike came on the heels of an El Niño event, with the biggest anomalies in February, March and April of the year following its peak, he said. He noted that similar patterns occurred after previous El Niños in 1998 and 1942.

Conversely, last year’s spike arrived in August, September, October and November — before the peak of El Niño — “and that has never happened before,” Schmidt said. “It never happened in the temperature record that we have. It doesn’t happen in the climate models.”

Read more: Scientists warn that a crucial ocean current could collapse, altering global weather

Alex Hall, a professor of atmospheric and oceanic sciences at UCLA, said he largely agrees with Schmidt’s assessment that the hypothesized factors alone can’t account for the large temperature anomaly experienced in 2023 and early 2024. He likened it to the emergence of megafires, or extreme wildfires, in the last decade, which wasn’t entirely foreseen.

“What we’ve learned is that there’s an aspect of this that isn’t fully predictable — that we don’t fully understand — and that we are tempting fate here a little bit by continuing to interfere with the climate system,” Hall said. “It’s going to do things that we don’t understand, that we don’t anticipate, and those are going to have potentially big impacts.”

Hall said the rapid transition from a persistent La Niña to a strong El Niño last summer likely played a role, as did the change in aerosol regulations.

He also posited that the rapid loss of Antarctic sea ice in 2023 — itself an outcome of the warmer planet and oceans — could have created a kind of feedback loop that contributed to more warming. Ice and snow are reflective, so when they melt, it can result in a darker ocean that absorbs more heat and sunlight. (Antarctic sea ice coverage dropped to a record low in 2023, according to the National Oceanic and Atmospheric Administration.)

“It’s sort of a planetary emergency for us to figure out what’s going on when we see these types of changes,” Hall said. “There should be large teams of people working on it to try to understand it, and we don’t really have those kinds of efforts, so I think there’s lessons, too, for the need for focus on this particular topic.”

Tourists visiting the Acropolis of Athens gather around the Parthenon temple.
Tourists seek shade and water while visiting the Acropolis of Athens during a heat wave in July 2023. (Petros Giannakouris / Associated Press)

While he and other scientists may not agree on just how extraordinary 2023 was — or what was behind its exceptional warmth — they all acknowledged the clear signs of a planet being pushed to its limits.

“I think it’s unfortunate that so much has been made of the El Niño-spiked 2023 global temperatures, where in my view there is nothing surprising, or inconsistent with model predictions, there,” said Mann. “There are much better, scientifically-sound reasons to be concerned about the unfolding climate crisis — particularly the onslaught of devastating weather extremes, heat waves, wildfires, floods, drought, which by some measures are indeed exceeding model predictions.”

Last year was marked by extreme weather events, with more billion-dollar disasters in the United States than any other year, according to NOAA. Among them were the Lahaina wildfire in Hawaii in August; Hurricane Idalia in Florida that same month; and severe flooding in New York in September.

Already this year, January and February have continued the global hot streak, marking nine consecutive months of a record-breaking temperatures.

In his Nature article, Schmidt said the inexplicable elements of the recent warming have revealed an “unprecedented knowledge gap” in today’s climate monitoring, which drives home the need for more nimble data collection that can keep up with the pace of change.

He noted it may take researchers months or even years to unpack all the factors that could have played a part in the sizzling conditions.

“We need answers for why 2023 turned out to be the warmest year in possibly the past 100,000 years,” he wrote. “And we need them quickly.”

Though El Niño is expected to wane this summer, there is still a 45% chance that this year will be warmer than 2023, according to NOAA.

It is a near certainty however that 2024 will rank among the five hottest years on record — so far.

The Unimaginable Horror of a Trump Restoration

Slate

The Unimaginable Horror of a Trump Restoration

David Faris – March 26, 2024

It is an overcast, unseasonably warm morning on Wednesday, Nov. 6, and the world has woken up in shock as Donald Trump has emerged as the winner of the U.S. presidential election. America’s cities are once again full of mute, stunned liberals avoiding eye contact with one another on the morning commute, as the grim reality of what Trump might do with this power begins to set in. At his victory speech just after 2 a.m., when the networks called Wisconsin, and thus the election for him, Trump took the stage and declared, “Judgment Day is coming for America’s enemies, and no Marxist, Harvard leftist, gender-radical, illegal, or criminal thug in our great country will be safe come January.” And in some ways that bleak morning might represent the high point of the next four—or 40—years, given what Trump and his allies have in store for us.

This is a worst-case scenario. But it’s far from impossible. A Trump restoration is in the works—and it should feel like an existential threat to everyone who cares about liberal democracy and the incomplete but tangible social, racial, and economic progress that has been made since the New Deal era.

And yet, President Joe Biden’s manifest flaws are dangerously obscuring the scale of the threat of a second Trump term. There is no sense in denying it: Biden looks and sounds very old, and his speaking style, never particularly inspirational, has deteriorated to the point that he is a clear political liability. While he brought what passes for his A-game to the State of the Union, he will need to sustain that level of energy and coherence through an eight-month-long slog to the election to improve his chances of winning.

His decision to run for a second term has not only jeopardized his many achievements but put the very existence of U.S. democracy at much more serious risk. His administration’s staunch support of Israel, a defensible posture in the aftermath of the unconscionable Hamas attacks on Oct. 7, has become a genuinely baffling study in Biden’s inability to pivot or use America’s considerable leverage to do the right thing. The White House hasn’t settled on a winning strategy to address the lingering consequences of post-pandemic inflation, preferring to boast about the very real low unemployment numbers and robust GDP growth that simply have not moved the needle politically. And the Biden administration has remained curiously inert in the face of growing public frustration with the migrant crisis, preferring to blame Congress for refusing to fix it.

Nevertheless, allowing Donald Trump and his friends to plunge our country into a dystopian nightmare of authoritarianism will not help anyone in Gaza, in the grocery store, or at the border. It will worsen, not rectify, America’s history of writing blank checks to far-right governments in Israel. It will not lead to humane policy options for asylum-seekers but instead deliver them into the hands of morally bankrupt demagogues. Electing Trump would merely add more considerable suffering and trauma to theirs, and deprive us all of the ability to do anything about it.

Much has been made of the far-right Project 2025—a blueprint for radically restructuring and reorienting executive-branch policymaking, created by a network of right-wing think tanks and pressure groups—and its terrifying implications for U.S. democracy. But that document concerns only the threats Trump’s reelection poses to executive-branch agencies (and contains many unresolvable contradictions between dismantling and wielding the “administrative state”). Myriad public dangers emanating from the Trump and GOP legislative agenda, as well as the possibility of an even harder-right Supreme Court, are getting far less attention. That needs to change.

Let’s start with the court. That Sonia Sotomayor, who will turn 70 this year, is still sitting on the Supreme Court means that Democrats have yet to grasp how strategic retirements work in the new hyperpartisan political order. Unlike Democrats, who still seem to view a Supreme Court seat as a personal sinecure bestowed upon the righteous for a lifetime of achievement, the leaders of the far-right judicial movement understand the stakes and will place enormous pressure on the oldest Republican appointees to retire under a second Trump term. Clarence Thomas, who has been on the court since 1991, turns 76 this year, and Samuel Alito turns 74. Even John Roberts, who would turn 70 just after Trump’s inauguration, might go.

Think about it this way: If Republicans replace this trio with three early-middle-age ideologues like Amy Coney Barrett, the court will be in the GOP’s hands until everyone reading this article is dead or nearing retirement. If Trump gets to replace Sotomayor, who suffers from a health problem (Type 1 diabetes) that significantly reduces life expectancy, the far right would have an unassailable 7–2 majority with which to remake American society for a generation.

Very little that liberals or progressives care about is likely to survive another 20 or 30 years of reactionary control of the Supreme Court. Although much of the focus has justifiably been on Dobbs, and the looming threat to Obergefellbirth control, and IVF, a conservative supermajority would also likely gut a century of jurisprudence around taken-for-granted features of the American political and economic order, including bargaining rights for organized labor, the constitutionality of federal programs like Social Security and Medicare, and—it nearly goes without saying—the Affordable Care Act. We will effectively return to the early 20th century’s Lochner era, when the Supreme Court repeatedly struck down worker protections and rights for more than 30 years until FDR threatened it with court packing.

Sure, “Vote for Biden so the conservative supermajority can’t get younger and larger” is tough to fit on a bumper sticker, and no one in the party from Biden on down seems to have the stomach for the necessary escalation or a political vision for the court that can be communicated to voters. But unless you want to spend the rest of your lives watching Brett Kavanaugh and his friends upend your lives one right and benefit at a time, you have to hold the line here.

SCOTUS is, of course, also right now at the very center of Trump’s threat to American democracy. The court’s galling decision to repeatedly delay Trump’s trial for the 2020 post-election coup attempt and the Jan. 6 insurrection means that he probably won’t face justice until after he could conceivably win reelection. Most concerningly, this off-the-rails Supreme Court has bafflingly decided to take up the question of a president’s absolute immunity after Trump’s team argued that he should be free from any consequences of anything he did as president. Though cooler heads may in the end prevail over the Thomas-Alito wing, the fact that this is up for debate at all is incredibly alarming.

Much has been made of reports that Trump plans to deploy the military to quell post-election protests under the Insurrection Act. But a Trump unchained from any conceivable repercussions for his decisions in his office is a far worse threat than just that. Imagine for a moment what would happen if the Supreme Court ruled in Trump’s favor: First of all, the effort to hold him accountable for trying to overthrow the American system of government would be over—instantly. Even more problematically, what conceivable limits would there be on a President Trump beginning in 2025 if SCOTUS has just ruled that his efforts to perpetrate a coup in broad daylight were well within the ambit of his presidential authority?

Who or what exactly would stop Trump from, say, creating a new security apparatus, abducting leftists and political enemies—as he has pledged—and dropping them out of helicopters over the Pacific like the Latin American dictators the far right still worships once did? He could order the hits, then preemptively pardon the people who carry out his orders. That might seem melodramatic and far-fetched. But if the Supreme Court grants him immunity as president, no one could touch him for it legally. And if Republicans simultaneously controlled both chambers of Congress, there would be no impeachment option either. We’ve learned the hard way, far too many times, that a critical mass of elected Republicans will do Trump’s bidding no matter how grotesque his actions.

Maybe he’ll stop short of creating an American Stasi. But a president who is unbound by the law could order the DOJ to gin up investigations of leading journalists, prominent Democrats, professors, activists, and nonprofit leaders. Independent media outlets could be “acquired” by allies or buried under lawsuits and government harassment, as they have been in Trump’s favorite quasi-authoritarian regime in Hungary. Troops could be deployed to garrison blue cities, to not only find and deport immigrants but also chill and repress any dissident fervor that develops in the aftermath of his takeover. He would say he’s merely fighting crime, “illegals,” and election fraud, but Trump could conceivably place the cities he fears and despises, where his political adversaries wield most of their power and influence, under what amounts to an open-ended military occupation.

It gets worse. If Donald Trump wins the 2024 election, he is highly likely to do so while bringing Republican control of the House and Senate with him. With Mitch McConnell out of the way as party leader, there is a very good chance that the new GOP Senate leadership will nuke the filibuster and govern with a simple majority. And that means that the toxic, vengeful politics of Texas and Florida will go national. Trump showed time and again during his first term that he was not just willing but eager to subcontract his domestic policymaking to the right-wing think tanks that write most state-level legislation for Republicans. National Republicans no longer pretend to have a written or informal platform, but Trump has a campaign website with policy plans called “Agenda 47” that can be read alongside Project 2025, as well as the actual policy record of state Republicans, to give us a pretty clear sense of what they have planned.

Trump continues to spin and deflect, but under unified Republican control, Congress could obviously try to pass a national abortion ban, and he would sign it. House Republicans are already gunning for a nationwide ban on gender-affirming care, and electing a Republican trifecta this November will mean that, practically speaking, it could soon be either illegal or impossible to be transgender in the United States. The proof is in the hundreds of red-state anti-trans bills introduced and the dozens passed just since 2023, including Florida’s ban on gender reassignment surgery for minors, which also gives the state the right to kidnap children from parents who pursue gender-affirming care. Agenda 47 claims that the Trump administration will “investigate Big Pharma and the big hospital networks to determine whether they have deliberately covered up horrific long-term side-effects of ‘sex transitions’ in order to get rich at the expense of vulnerable patients.” As Masha Gessen once said, “Believe the autocrat.”

The enemies list doesn’t stop there. Trump’s promised militarized mass-deportation effort could be just the beginning of the crackdown on both legal and illegal immigration; we could also see an effort to end birthright citizenship, a move that, if it succeeds, would result in millions being suddenly stripped of their status as Americans. You will find this not in Project 2025 but in Trump’s online platform and the ugly words that frequently spill out of his mouth, like in May 2023, when he posted a video in which he argued, “I will sign an executive order making clear to federal agencies that under the correct interpretation of the law, going forward the future children of illegal aliens will not receive automatic U.S. citizenship.” Whether you believe the “going forward” part of that promise is up to you.

And get ready for a flurry of moves against the remaining redoubts of liberalism and democracy, particularly in secondary and higher education. Radicalized Republicans in Congress will try to bar federal loans and grants from being used at any universities with policies that support inclusion and diversity. This is not speculation: Rep. Dan Crenshaw introduced a bill in the House last year to prevent public funds from being used at schools with DEI policies, based on existing Texas legislation.

They won’t stop there. Republicans would eventually try to block funding for schools with any kind of race or gender studies programs, as the state of Florida tried to do last year, and before long every syllabus in the country could be scrutinized for evidence of anti-patriotic crimes, until anyone who isn’t a right-wing ideologue is driven from the academy altogether. Trump’s Agenda 47 promises to establish a new national “American Academy” by “by taxing, fining, and suing excessively large private university endowments”—i.e., strip-mining them for cash. A Trump administration, in other words, would effectively end American higher education as we know it.

That’s to say nothing of how, under GOP rule, every public school librarian and schoolteacher in America could suddenly find themselves under siege by cranks and culture warriors like their counterparts today in Texas and Florida. Agenda 47 threatens to create a new “credentialing body” that would “certify teachers who embrace patriotic values,” to eliminate teacher tenure, and to rescind funding “for any school or program pushing Critical Race Theory, gender ideology, or other inappropriate racial, sexual, or political content.” And like Hungary’s Viktor Orban, Trump would surely relish the opportunity to sign legislation banning public school teachers from going on strike.

This radical agenda would surely be accompanied by an assault on Democrats’ ability to ever win another free and fair election. Congress would pursue a national voter ID law, a ban on ballot harvesting, harsh new restrictions on mail-in balloting, the elimination of same-day voter registration, and new ways to purge Democrats from voter lists—all plans that are already in the “American Confidence in Elections Act,” which has been introduced in the House. What’s left of the Voting Rights Act would be set aside or perhaps repealed. Maniacs exercising their “constitutional carry” rights would patrol outside polling stations across the country with AR-15s, and Democratic voters would be subjected to endless legal challenges. Any Democratic effort to retake a chamber of Congress in 2026 or win the presidency in 2028 would have to run through President Trump’s formidable election conspiracy machine, the army of aspiring petty autocrats who will be put in charge of the nation’s election machinery, and the elected leaders who will come under enormous pressure not to turn power over to Democrats should those Democrats win.

At that point, the vaunted separation of powers that some analysts still cling to as our last great hope won’t be of much help. With as many as seven Trump judges on the Supreme Court and a federal judiciary that will once again be stocked with his allies and true believers, even many of the brazenly unconstitutional orders and laws that are in the works will have a good chance of standing up in court. And all the while, demoralized Democrats will be pointing fingers at one another for their catastrophic loss, which—knowing Dems—could easily be pinned on Biden’s more progressive policies like the Inflation Reduction Act, whose historic climate provisions would also be reversed almost immediately. Efforts to highlight the contributions of his age and Gaza policies to this disaster would run straight into the same narrative-makers who pinned the disappointing scale of Democrats’ 2020 victory on progressive activists chanting “Defund the Police” rather than on Biden’s overcautious campaign and reliance on appealing to disenchanted Republicans.

It’s not hyperbole to say that the America that a second Trump term would create might be an almost unrecognizable realm of economic insecurity, political persecution, racist hatred, and gender tyranny, a Christian nationalist hellscape that would be virtually impossible to dismantle once it is put into place.

Joe Biden may not be the ideal man standing between us and this horror show, but he is a seasoned politician with a strong track record and a plenty competent team. (Plus, he’s all there is unless he decides to step aside.) He and every Democrat in the White House and Congress must do everything they can to shift the focus from Biden’s age and unpopularity to Trump’s very public laundry list of malevolent plans, and national media organizations must continue to do the relatively easy work of telling readers and viewers about Trump’s reactionary agenda. Readers may be completely burned out on learning about Trump’s crimes, but the alternative—that Trump gets into office and perpetrates more of them—is truly unthinkable.

“Hastening his deterioration”: Dr. John Gartner on impact of court trials on “Trump’s fragile brain”

Salon – Opinion

“Hastening his deterioration”: Dr. John Gartner on impact of court trials on “Trump’s fragile brain”

Chauncey DeVega – March 26, 2024

Donald Trump brain scans Photo illustration by Salon/Getty Images
Donald Trump brain scans Photo illustration by Salon/Getty Images

Donald Trump’s already abominable behavior has been getting much worse in these last few weeks – and there may be a physiological component to it. In a series of conversations here at Salon, Dr. John Gartner, who is a prominent psychologist and contributor to the bestselling book “The Dangerous Case of Donald Trump: 27 Psychiatrists and Mental Health Experts Assess a President”, has been warning that Trump appears to be suffering from serious cognitive challenges as manifest by his speech, memory, and other behavior. In an attempt to raise public awareness about Donald Trump’s apparent cognitive challenges and the extreme danger they represent to the nation if he were to take back the White House, and in essence be a type of mad king dictator, Gartner has started a petition at Change.org called “We diagnose Trump with probable dementia: A petition for licensed professionals only.”

Unfortunately, the American mainstream media – especially the elite agenda-setting news media – has largely continued to ignore Donald Trump’s apparent cognitive and other mental and emotional health challenges. The Washington Post appears to be slowly creeping towards a more direct engagement with Trump’s apparent cognitive challenges. Last week, the Post featured a story about Donald Trump’s father who was afflicted with Alzheimer’s:

Trump’s long fixation on mental fitness followed years of watching his father’s worsening dementia — a formative period that some associates said has been a defining and little-mentioned factor in his life, and which left him with an abiding concern that he might someday inherit the condition. While much remains unknown about Alzheimer’s, experts say there is an increased risk of inheriting a gene associated with the disease from a parent.“Donald is no doubt fearful of Alzheimer’s,” said a former senior executive at the Trump Organization, who worked for years with Trump and saw him interact with Fred Trump Sr., and who spoke on the condition of anonymity to describe a confidential relationship. “He’s not going to talk about and not going to admit to it. But it’s relevant because every day he is hitting Biden with whether or not he is capable mentally of doing the job.”Trump’s father’s condition also drove a wedge into his family, which fell into years of lawsuits that alleged in part that Donald Trump sought to take advantage of his father’s dementia to wrest control of the family estate — litigation that introduced reams of medical records detailing Fred Trump Sr.’s condition.

This failure to consistently and boldly speak truth to power about Donald Trump’s apparent cognitive challenges contributes to the larger crisis in credibility that the American news media as an institution is experiencing. Any reasonable person can see that something is wrong with Donald Trump’s behavior. Many Americans have direct experience with relatives, friends, and other people they care about who have been or are afflicted with some type of brain disease related to aging. For the American news media and other gatekeepers and agenda-setters to deny the obvious about Donald Trump is a willful decision to ignore the facts and reality.

Continuing with our ongoing conversation about Trump’s apparent cognitive challenges, I spoke with Dr. Gartner several days ago via email about the failures of the American news media, the MAGA people and their devotion to their Dear Leader, and what will likely happen next if Trump’s behavior continues to trend in the same direction.

This interview has been lightly edited for clarity and length:

At a rally in Ohio, Donald Trump again exhibited symptoms of something apparently being wrong neurologically. Trump ties to turn it all into a joke by claiming he is being intentional and it is part of his performance. But at this point such deflections have no credibility, even given the ex-president’s “challenging” relationship with the truth and reality. You and your colleagues’ warnings and predictions appear to be proven correct almost every week.

Our Trump dementia-watch weekly round-up is becoming a regular ritual for one simple reason: Trump can’t go a full week without displaying gross signs of what appears to be dementia. This week he said “Joe Biden beat Barack Hussein Obama. Ever heard of him?” Donald Trump is disoriented. He doesn’t know who the president is, who he’s running against in the primary, or whether E. Jean Carrol is his wife. (I’m not trying to be funny, but it reminds me of the Oliver Sacks book, “The Man Who Mistook his Wife for a Hat.”) In my opinion, this is brain damage. There is no medically credible explanation for these occurrences that doesn’t not involve brain damage, most probably dementia. These telltale signs used to be more intermittent, but his apparent dementia is progressing at an accelerating rate, as is normal for the illness. But at some point, these patients fall off a cognitive cliff and become suddenly incapable of independent living. Given the accelerating rate of Trump’s apparent decline, it’s almost certain he would become incapacitated while in office. The man with the nuclear codes would be wandering around the White House in an angry agitated fog of confusion.

We’d like to believe his vice president and Cabinet would step in and invoke the 25th Amendment for the good of the country should this occur. But would they? The kind of corrupt officials Trump attracts, including those representing foreign interests, would benefit from a demented president they could wheel around in public and manipulate in private.

I thought electing a malignant narcissist who idolizes dictators and appears to be loyal to Vladimir Putin was the worst conceivable outcome for our country, but I was wrong. A demented malignant narcissist who basically works for Russia is a hundred times worse. In the Middle Ages they had a saying: “A bad king is better than no king. And no king is better than a child king.” We would have a child king, or at least one with the brain and character of a child.

Your petition at Change.org is gaining momentum. What is happening?

This subject was once forbidden in the press. If you searched online for Trump and dementia, as I began to do ten times a day, you wouldn’t find one article asking, Does Trump have dementia? The words dementia and Trump never appeared in the same sentence, anywhere. Instead, there were articles about President Biden’s memory and whether he was “too old.” Or pieces that quoted doctors saying we can’t know anything about either candidate’s cognitive health from what we see on TV.

But thanks to the petition, we’re breaking through. Newsweek has reported on it. And for the second week in a row, Jennifer Rubin praised Salon in her Washington Post column for breaking this story: “Salon, one of the few outlets to take Trump’s cognitive decline seriously, displayed this headline: “‘Experts are desperate to warn the public’: Hundreds sign Dr. John Gartner’s Trump dementia petition.” The article’s description reads, “They see the signs of Trump’s cognitive decline through the eyes of years of training and experience.” That succinctly spelled out the basic facts surrounding a petition signed by hundreds of mental health professionals, pointing to obvious signs of Trump’s mental dysfunction.”

The petition has filled a desperate unmet public need to hear from experts about Trump’s cognitive health. We’re up to 500 validated licensed professional signers: But far more persuasive than the numbers are their voices. I put together a tweet thread of their comments, that I add to daily, because I want America to hear in their own words, they offer their credentials and experience, explain the diagnostic criteria for dementia, give examples from Trump’s behavior, and explain why they felt compelled to sign. The petition, despite the risk to their careers or personal lives, to say in public: “our diagnostic impression of Donald Trump is probable dementia.”

The public is desperate to hear the truth from real experts about the state of Trump’s cognitive health. Don’t they deserve that? Especially when all of our lives may depend on it. As people of conscience, we are defying this absurd professional gag order, to speak the truth about Trump’s probable dementia before it’s too late.

Given what we know about Trump’s personality, how will he respond if and when he is confronted by the obvious facts about the apparent problems with his brain and thinking?

It is important that people understand that dementia worsens all personality disorders, including malignant narcissism, which is one of the worst personality disorders a human being can have. It’s difficult for us to even imagine a Trump ten times more paranoid, agitated, and impulsive than he already is. His judgment was always terrible, but Trump is heading towards a cognitive cliff where he will lose the capacity to form a coherent judgment of any kind. The White House may become a kind of nursing home where they need to medicate him at sundown.

If Donald Trump’s behavior continues to decline in an obvious way to the point where it can no longer be denied, will his MAGA followers leave him? Will seeing their personal superhero and god made mortal break the psychological adhesion?

I don’t think it will separate him from his followers. Their cultish idealization of him is an addictive drug. As long as Trump can spew hate, and do a funny little dance on stage, his followers will be satisfied, even if he’s so disoriented that he doesn’t actually know where he is. The people who can be influenced are independents and Republicans who voted for Nikki Haley. The election may come down to their gut feeling about which candidate is “stronger.” Trump gives the appearance of strength with his hypomanic bluster and braggadocio, but he is cognitively weak and closer than you might think to being completely disabled.

What do you think happens next with Donald Trump given all the pressure he is under, and specifically with his property potentially being seized in New York and elsewhere?

Every bit of stress is going to deepen the cracks in Trump’s fragile brain, hastening his deterioration. If the press deigns to show them to us, we’ll see evermore flagrant displays of cognitive decline, and more often. He can’t get through a single rally without displaying a tell that looks a lot like a symptom of dementia. I’m sure this time next week, they’ll be more fodder for discussion. But will you read about it in the New York Times or see it on CBS News? Likely not.