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Dr. Carol Paris of Nashville, Tenn., is president of Physicians for a National Health Program (www.pnhp.org). This morning, in response to the Senate's vote to confirm Rep. Tom Price, R-Ga., as secretary of health and human services, Dr. Paris said the following:
"The Senate's confirmation of Tom Price as health secretary is a body blow to the health and welfare of all Americans. According to this week's Monmouth University poll, Americans' top concern today is with their mounting health care costs, more so than their job security, taxes or other household bills. With Price at the helm of HHS, this concern is only going to escalate.
"Price's vision for reforming U.S. health care would result in millions of Americans losing their existing health insurance coverage, and millions more having to make do with bare-bones policies that offer little to no meaningful protection. He can also be expected to push high-deductible health plans, which already result in millions of people forgoing needed care, and to undermine Medicare, the Medicaid program and safety-net hospitals.
"If Price's policies come to pass, the free-market ideologues who supported them will no longer be able to hide behind false promises like 'universal access.' The results will be laid bare for everyone to see, and elected officials will have to answer to the poor, working-class, elderly, and chronically ill Americans who will suffer needlessly as a result. Studies show that about 43,000 people will die each year if such policies are implemented.
"Congress urgently needs to reverse course and embrace the obvious solution: an improved Medicare for all."
Physicians for a National Health Program is a single issue organization advocating a universal, comprehensive single-payer national health program. PNHP has more than 21,000 members and chapters across the United States.
"Rather than an isolated decision, this is part of a clear and dangerous pattern" in which the Trump administration has attacked working families, said one advocate.
The Trump administration is portraying its decision to slash $10 billion in funding to five Democrat-led states as a response to a scandal in Minnesota, where dozens of people have been convicted of stealing public money through the state's social services system—but advocates and Democratic lawmakers on Tuesday condemned what they called an act of "political retribution" that will punish working families who have nothing to do with the recent fraud cases.
"Rather than an isolated decision, this is part of a clear and dangerous pattern," said Kristen Crowell, executive director of the advocacy group Fair Share America.
Crowell pointed to Medicaid and Supplemental Nutrition Assistance Program cuts in the One Big Beautiful Bill Act that was passed by Republicans last year, and said that along with the cuts announced Monday, "these policies amount to a coordinated attack on working families."
The US Health and Human Services Department (HHS) said the cuts would impact New York, California, Colorado, Minnesota, and Illinois.
About $7 billion in funding for the Temporary Assistance for Needy Families (TANF) program will be impacted, reducing cash assistance that is provided to low-income families with children. The five states will also collectively lose nearly $2.4 billion in assistance for working parents through the Child Care and Development Fund and $870 million for social services grants.
The funding freeze follows the administration's suspension of $185 million in annual aid to childcare centers in Minnesota and a pause it announced on childcare funding for all states until officials could prove verification data about how the money was being spent—a response to what Deputy HHS Secretary Jim O'Neill called "blatant fraud that appears to be rampant in Minnesota and across the country."
A spokesperson for HHS, Andrew Nixon, told CNN Tuesday that the new funding cuts for the five states were moving forward because "for too long, Democrat-led states and governors have been complicit in allowing massive amounts of fraud to occur under their watch. Under the Trump administration, we are ensuring that federal taxpayer dollars are being used for legitimate purposes. We will ensure these states are following the law and protecting hard-earned taxpayer money.”
The administration did not point to any evidence that the five states have used taxpayer money fraudulently in their social services programs.
Senate Minority Leader Chuck Schumer (D-NY) accused President Donald Trump of "playing politics with our children's lives," while Rep. Brittany Pettersen (D-Colo.) posited that Colorado was being targeted once again in retaliation for the state's prosecution of a former county clerk over her involvement in efforts to overturn the 2020 election results.
In addition to responding to Minnesota's fraud scandal by cutting funding for millions of families in four other states, Trump has cited the controversy as a reason to further ramp up immigration enforcement as he's placed blame on Minnesota's entire Somali community of about 80,000 people for the fraud. Members of the Somali diaspora have been charged with defrauding the state government.
Trump said Sunday that "every one of them should be forced to leave this country," referring to all Somalis, and is deploying thousands of federal agents to Minnesota to intensify anti-immigration operations there.
In the case of the childcare funding cuts, the administration's decision will mean "higher costs, fewer slots, and more families forced into impossible choices between caring for their children and keeping a job," said Crowell.
"Beyond the immediate human harm, this agenda undermines foundational elements of our economy: the care infrastructure that makes work possible and the purchasing power of the working class," she added. "When parents can’t afford childcare, when families lose health coverage, when hunger rises, our workforce shrinks, productivity falls, families are forced to go without. This is not fiscal responsibility—it’s economic sabotage, paid for by America’s kids.”
On social media, one commentator pointed to the right-wing policy blueprint Project 2025 as evidence that the administration ultimately aims to gut the childcare industry altogether—ending federal funding for large-scale childcare programs and supporting parents "directly" instead so they can stay home with their children.
"It’s not about fraud. It’s about defunding childcare," they wrote. "While not offering a real financial alternative. While cutting programs like Head Start. While rolling back access to birth control and abortion. That’s not support. That’s coercion."
"Congress must say enough is enough and immediately open an investigation into just how deep the rot at Burgum’s Interior goes," said one critic.
Ethics experts this week raised red flags over a senior US Interior Department official's failure to disclose her family's financial interest in the nation's largest lithium mine, which opponents say was illegally approved by the Trump administration.
In 2018, Frank Falen, husband and former law partner of current Associate Deputy Interior Secretary Karen Budd-Falen—the third-highest ranking Department of Interior (DOI) official—sold the water rights from a family ranch in Humboldt County, Nevada to a subsidiary of Lithium Americas for $3.5 million.
The subsidiary, Lithium Nevada, wanted to build a highly controversial $2.2 billion open-pit lithium mine—Thacker Pass—that required both massive amounts of water and approval from the DOI. Falen's water rights sale also hinged upon DOI approving the mine.
At the time, Budd-Falen worked as the DOI's deputy solicitor for wildlife. In 2019, she sat down for a lunch meeting with Lithium Americas executives in the DOI cafeteria.
“They just happened to mention to me they were going to DC, and I was like, ‘Well, my wife is back there,’” Falen said of the Lithium Americas executives in a New York Times interview. “It was my fault because I just said, ‘Yeah, you should stop by and say hi to my wife.’"
The US Bureau of Land Management (BLM), part of DOI, approved the mine during the final days of Trump's first administration via an expedited process to circumvent lengthy environmental review. Indigenous and conservation groups, working together in the Protect Thacker Pass coalition, subsequently sued over what they argued was the mine's illegal approval.
A Lithium Americas spokesperson told the Times: "We haven’t worked directly with Karen Budd-Falen related to Lithium Americas, nor have we ever met with her in a formal capacity regarding our project.”
However, ethics experts question the financial ties between Falen and Thacker Pass and why Budd-Falen did not publicly disclose her husband's $3.5 million water deal.
“Did she have any oversight of the environmental review process regarding Thacker Pass?" Kyle Roerink, executive director of the Great Basin Water Network, a Nevada conservation group, said during an interview last week with High Country News. “If she didn’t recuse herself, it would fly in the face of the impartial decision-making that Americans expect from government officials.”
Doug Burgum’s third-in-command Karen Budd-Falen made millions after the Trump administration fast-tracked what’s now the nation’s biggest lithium mine. Illegal, conflict of interest, corruption, or whatever you want to call it, there’s a rot in our Interior Department. https://nyti.ms/3LfBVWM
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— Save Our Parks (@saveourparks.us) January 5, 2026 at 1:00 PM
Robert Weissman, co-president of the watchdog group Public Citizen, told the Times: "It’s not clear that Karen Budd-Falen knew she had a conflict, but it’s clear she should have known, and that the public should have known. It’s also clear that she should not have met with Lithium Nevada."
Green groups and Indigenous peoples—including the the Reno-Sparks Indian Colony, Burns Paiute Tribe, and Summit Lake Paiute Tribe—fiercely oppose the mine. Opponents argue the project lacks consent, had a rushed environmental review, and that the mine would threaten wildlife and water and desecrate sacred Indigenous sites.
Thacker Pass, whose name means "rotten moon" to all three tribes, is also the site of an 1865 massacre of dozens and perhaps scores of Northern Paiute men, women, and children by US Cavalry troops. The tribes want it listed on the National Register of Historic Places.
In September, the Trump administration and Lithium Americas reached a deal under which the government will take a 5% equity stake in both the company and the Thacker Pass mine in return for Department of Energy loan money as demand for lithium—a key component of electric vehicle batteries, cellphones, and laptops—is surging worldwide.
The apparent conflict of interest involving Budd-Falen continues a history of corruption at Trump's DOI in both the president's first and current terms. First-term Interior Secretary Ryan Zinke's tenure was plagued by ethics violations and abuse of office. Federal investigators found that Zinke lied to them about his involvement in private land deals while in office, had improper relationships with developers, and improperly used taxpayer funds to pay for chartered aircraft and helicopter flights.
Zinke resigned in 2019. His eventual successor, David Bernhardt, was called a "walking conflict of interest" and "as corrupt as it gets" due to his prior work as a fossil fuel lobbyist.
Budd-Falen could also benefit from the Trump administration's invasion of Venezuela. According to reporting from Public Domain's Jimmy Tobias and Chris D'Angelo, Budd-Falen or her husband hold tens of thousands of dollars worth of stock in fossil fuel companies including ExxonMobil and pipeline firm Enterprise Products Partners.
Responding to Budd-Falen's failure to disclose her family's interest in the Thacker Pass mine, Save Our Parks spokesperson Jayson O’Neill said Monday:
This raises substantial questions about the lack of transparency, clear conflicts of interest, and potential illegal self-dealing at the Interior Department under [Interior Secretary] Doug Burgum. It wasn’t enough for Burgum’s top lieutenant, Karen Budd-Falen, to hold tens of thousands of dollars in Big Oil stocks while advancing their interests at Interior. Now we find out that she worked behind the scenes with Lithium Americas’ representatives and lobbyists, which received fast-track approval, making her and her husband millions.
"This naked corruption and self-dealing is par for the course at Doug Burgum’s Interior Department, which is more focused on self-serving and special interests than the American people and our outdoor heritage," O'Neill added. "Congress must say enough is enough and immediately open an investigation into just how deep the rot at Burgum’s Interior goes.”
"Today's ruling affirms what we have always known: that abortion is essential healthcare," said one advocate.
The first piece of state legislation in the US explicitly banning the use of abortion pills was struck down on Tuesday as Wyoming's state Supreme Court ruled that it, along with the state's near-total abortion ban, violated the state's constitutional right to bodily autonomy.
Both laws were passed in 2023, following the US Supreme Court's overturning of Roe v. Wade. One of them banned abortion in nearly all cases, except when the pregnant patient's life is threatened or in cases of rape or incest—a measure similar to those in several other red states.
But while many states' abortion bans have effectively outlawed the use of abortion drugs like mifepristone and misoprostol, Wyoming's was the first to outlaw the use of these pills in its text.
According to a 2023 study by the Guttmacher Institute, 63% of abortions nationwide are done using medications.
In 2012, Wyoming voters approved a constitutional amendment guaranteeing each competent adult the "right to make his or her own healthcare decisions."
Ironically, the amendment was heavily promoted at the time by conservatives who believed it would protect them from what they viewed as "undue governmental infringement" by former President Barack Obama's Affordable Care Act. But reproductive freedom advocates have since used it as a weapon to protect abortion.
In 2023, Wyoming's only remaining abortion clinic, Wellspring Health Access in Casper; the abortion rights group Chelsea’s Fund; and four women, including two obstetricians, sued the state, arguing that the laws violated this constitutional right.
The state's attorneys attempted to argue that the amendment did not apply to abortion, which they claimed is not "healthcare."
In November 2024, a district judge halted both laws, deeming them unconstitutional. Abortion has since remained legal in the state while the lawsuit went ahead.
In a 4-1 ruling, the Wyoming Supreme Court on Tuesday also sided with abortion rights advocates, ruling that both of these laws conflicted with the state’s constitution.
“A woman has a fundamental right to make her own healthcare decisions, including the decision to have an abortion,” the ruling states.
“The state did not meet its burden of demonstrating the abortion laws further the compelling interest of protecting unborn life without unduly infringing upon the woman’s fundamental right to make her own healthcare decisions,” the court added. “As such, the abortion laws do not constitute reasonable and necessary restrictions on a pregnant woman’s right to make her own healthcare decisions.”
Wyoming’s Supreme Court is the state’s highest judicial authority, meaning that the pair of laws is permanently blocked. However, the court said “lawmakers could ask Wyoming voters to consider a constitutional amendment that would more clearly address this issue.”
Janean Forsyth, the executive director of Chelsea's Fund, said the court's decision "is a landmark victory for reproductive freedom in Wyoming, and we are gratified and heartened by the ruling."
"Today's ruling affirms what we have always known: that abortion is essential healthcare, and Wyoming women have the constitutional right and the freedom to make their own healthcare decisions without government interference," she added.
The ruling is a victory for abortion rights at a time when they have come under systemic attack by the Trump administration during his first year back in power, as the Center for Reproductive Rights documented in a report released Monday.
The administration has withdrawn federal guidance that directed emergency rooms to perform abortions in cases where the mother suffers deadly pregnancy complications, which have increased by as much as 50% in states with abortion bans.
A new policy at the Department of Veterans Affairs (VA), meanwhile, prevented veterans on VA health insurance from receiving abortions, including in cases of rape, incest, or severe risk to personal health.
The massive cuts to Medicaid under last year's Republican budget reconciliation bill have also resulted in the closure of at least 50 Planned Parenthood health centers across the nation, and reduced services at many more.
GOP attempts to restrict mifepristone access are also currently being litigated in Florida, Texas, and Missouri.
Health and Human Services Robert F. Kennedy, Jr said during a Senate hearing in May that the Food and Drug Administration (FDA) is currently reviewing its regulations on mifepristone, which was first approved by the FDA 26 years ago. That review has reportedly been delayed until after the 2026 midterm elections in November.
"Too many people wrongly believe that President Trump is done attacking abortion access, and that overturning Roe v. Wade was his endgame,” said Nancy Northup, president and CEO of the Center for Reproductive Rights. “But in his first year back in office, the Trump administration is not ‘leaving it to the states’ to decide abortion policy, but wielding federal power to go after abortion access even in states where abortion is legal."
She described "the looming fear that the FDA will soon gut access to abortion pills, which have been a lifeline in post-Roe America," adding that "the threat to further limit access to abortion throughout the nation is real and must be met with vigorous opposition.”