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An Accountable.US review of Q1 2025 SEC filings posted this week for Cantor Fitzgerald – billionaire Trump Commerce Secretary Howard Lutnick’s family-run financial services firm – reveals that while Lutnick was playing a leading role in President Trump’s national Bitcoin reserve effort, Lutnick’s family business empire dramatically deepened its investment in Microstrategy (now called Strategy), the largest corporate holder of Bitcoin in the world. From Q4 2024 to Q1 2025, Lutnick’s family-run Cantor Fitzgerald increased its holding of regular Strategy stock by $304 million, to a total of $1.3 billion, even amid being publicly criticized for the egregious conflict of interest. Including puts and calls, Accountable.US found Cantor boosted its total investment by over $568 million to over $2.1 billion, representing 44.5% of the firm’s portfolio.
“President Trump’s billionaire Commerce Secretary has been playing the ultimate Washington insider game to pad his family’s riches,” said Accountable.US Executive Director. “From the White House, Howard Lutnick has played a leading role in orchestrating Trump’s Bitcoin reserve policy at the same time his family company was pumping hundreds of millions of dollars into the biggest corporate Bitcoin holder in the game – pushing up their stake by at least $300 million. While both the Lutnick and Trump families seem to be self enriching from positions of power with their massive crypto interests, their bumbling tariff policies and harsh budget plans stand to leave millions of working people with less health and financial security.”
Accountable.US has previously documented billions of dollars of interests Cantor Fitzgerald is involved in that could directly benefit from Lutnick’s role as Commerce Secretary – including urging a national television audience to “buy Tesla” stock in March while his family-run firm Cantor Fitzgerald reported holding nearly $840 million in Tesla Inc. in its most recent holdings report. Conveniently, Lutnick’s appeal to would-be average investors came on the same day Cantor Fitzgerald analysts upgraded Tesla to a “buy” rating.
Accountable.US is a nonpartisan watchdog that exposes corruption in public life and holds government officials and corporate special interests accountable by bringing their influence and misconduct to light. In doing so, we make way for policies that advance the interests of all Americans, not just the rich and powerful.
"It’s not safe to be an OB-GYN in red states, so they are turning to robots to care for pregnant woman. This is not an innovation success story."
Alabama is among the states that have seen a significant drop in the number of obstetrician-gynecologists working there since Roe v. Wade was overturned and cleared the way for states to ban abortion, resulting in doctors being unable to provide standard care and in a number of cases, placing patients in serious and even deadly danger.
On Friday, at a White House roundtable on healthcare in rural areas—some of the hardest-hit by the lack of OB-GYN care in states with abortion bans—one of President Donald Trump's top health officials suggested the exodus of doctors from Alabama and other crises in healthcare access have resulted in positive innovations as care is outsourced to "robots."
Dr. Mehmet Oz, administrator for the Centers for Medicare and Medicaid Services (CMS), said that since Alabama "has no OB-GYNs in many of their counties," the state is "doing something pretty cool."
"They're actually having robots do ultrasounds on these pregnant moms," said Oz.
Dr Oz: "Alabama has no OBGYNs in many of their counties, so they're doing something pretty cool. They're actually having robots do ultrasounds on these pregnant moms." pic.twitter.com/sEwd4OJss9
— Aaron Rupar (@atrupar) January 16, 2026
CMS, which oversees the new Office of Rural Health Transformation, recently highlighted in a report about rural healthcare Alabama's Maternal and Fetal Health Initiative, which it said "provides digital maternity care by using telerobotic ultrasound devices and labor and delivery carts to rural hospitals."
Oz asserted that robotic ultrasounds will help to reduce Alabama's maternal mortality rate, which is the highest in the United States, as medical centers will be able to detect health issues and abnormalities.
But observers said that praising an outcome of the dearth of maternal healthcare in the state—which has been at least partially caused by Trump's push to overturn Roe and Republicans' efforts to ban abortion—was "horrific."
"The severe lack of OB-GYNs," said the labor-focused media group More Perfect Union, "is a crisis, especially in rural America."
Melanie D'Arrigo, executive director of the Campaign for New York Health, added: "It’s not safe to be an OB-GYN in red states, so they are turning to robots to care for pregnant woman. This is not an innovation success story. It’s a dystopian horror story."
A 2024 analysis by the Association of American Medical Colleges found that in the year following the US Supreme Court's Dobbs v. Jackson Women’s Health Organization decision, applicants for OB-GYN residency programs plummeted 21.2%.
The ruling allowed Alabama's near-total abortion ban—which has only one ostensible "exception" for cases in which a pregnant person faces a serious health risk—to go into effect. Rights groups said that the law, one of the most extreme bans in the US, had been passed by the state's Republican legislature as part of an effort to force the court to reconsider Roe.
Robin Marty, executive director of WAWC Healthcare in the state, told the Alabama Reflector in 2024 that "when it comes to, especially, OB-GYN residencies, nobody wants to come out here because we can’t fulfill all of the requirements, which include being able to do abortions and manage miscarriage."
There had also been a 13.1% drop in applicants for OB-GYN programs in 2019-20 after the approval of the state's Sanctity of Life Act, which recognized “the sanctity of unborn life and the rights of unborn children, including the right to life."
“Legislative interference that imposes restrictions on full-scope reproductive healthcare, including abortion care, discourages medical students from pursuing residency training in states with restrictions, directly hurting patients by reducing the physician workforce in the communities that often need clinicians the most,” AnnaMarie Connolly, chief of education and academic affairs of the American College of Obstetricians and Gynecologists (ACOG), told the Alabama Reflector.
In addition to the state's abortion ban, the worsening lack of prenatal care in rural Alabama has also driven the state's decision to turn to robotics to provide some aspects of healthcare.
Since 2020, more than 100 rural hospitals across the nation have stopped delivering babies; at least three of them have been in Alabama, where just 30% of rural health centers have labor and delivery units. Hospitals have cited staffing shortages and low Medicaid reimbursement payments—which were worsened by the Republicans' One Big Beautiful Bill Act—as reasons for closing obstetric care units. Closures have left many families traveling an hour or more to receive prenatal care, and can worsen maternal mortality rates.
Regarding the robotic ultrasounds heralded by Oz, political analyst Drew Savicki said: "That is interesting but it represents a very small fraction of what an OB-GYN does. What is an ultrasound robot going to do for a woman who is coming in for her post-childbirth examination?"
In his comments, Oz unwittingly described the crisis the Trump administration has helped to make worse: "We have the best healthcare, if you can get to it."
One observer suggested Trump's healthcare officials "explain why no OB-GYNs want to work in Alabama, rather than bragging about robots."
"A billionaire tax is not radical. It is a necessary response to a crisis made worse by federal decisions."
A broad coalition of labor organizations and community advocates are coming together to launch a campaign aimed at raising taxes on the ultrawealthy.
In a press briefing on Thursday, organizers outlined their plan to pressure state governments to enact a "Tax the Rich" agenda aimed at mitigating the harms done by the Republicans' One Big Beautiful Bill Act, which in the coming years is set to take an axe to funding for programs such as Medicaid and the Supplemental Nutrition Assistance Program (SNAP), while showering corporations and the wealthy with more tax cuts.
The coalition is planning to lobby states to pass laws similar to the so-called "millionaires tax" in Massachusetts that has raised billions in revenue to fund schools, mass transit, and other important public goods.
Max Page, president of the Massachusetts Teachers Association, said during the press briefing that the Bay State's law has proven to be such a success that it should be a model for states across the US.
"In 2022 we won a constitutional amendment that allows a four penny surtax on annual income over $1 million," said Page. "This past year alone, Fair Share brought in $3 billion from just 25,000 households in a state of 8 million people. That is how concentrated wealth is in the state of Massachusetts."
Campaigners noted that laws similar to the Massachusetts law are now being proposed in Rhode Island, Michigan, and California, and they planned to push other states to follow their lead in the coming year to avoid facing major revenue shortages caused by the GOP's budget law.
Liz Perlman, executive cirector of AFSCME 3299, argued that California in particular could benefit from such a law, which has drawn opposition from Democratic California Gov. Gavin Newsom.
"California has about 200 people who hold roughly $2.1 trillion in wealth," said Perlman. "That is about a quarter of all billionaire wealth in the United States, concentrated in a single state. A billionaire tax is not radical. It is a necessary response to a crisis made worse by federal decisions."
Vonda McDaniel, President of the Central Labor Council of Nashville and Middle Tennessee, argued that Democratic strongholds such as California and Massachusetts shouldn't be the only ones pushing for tax hikes on the ultrawealthy, arguing that GOP-led states such as Tennessee should be adopting them as well.
"A working mother in Memphis faces a combined sales tax on groceries that can approach or exceed 9%," McDaniel explained. "Meanwhile, the Tennessee Department of Revenue has reported more than 60% of corporations are paying zero in state corporate income tax."
Democratic US Senate candidate Graham Platner on Tuesday held a town hall event in Portland, Maine to help promote legislation written by Democratic state Rep. Ann Matlack (43) to change the state's income brackets to place more burden on the wealthiest households.
“For us to build the future that we want, it begins with a more equitable tax system," Platner said during the event, according to local news station WMTW. "And it begins with us thinking about healthcare as a public good and not as something that deserves the profit motive."
"People across Pennsylvania did not put time, money, and energy into supporting his campaign just to elect a Democrat who votes against our interests time and time again," said a campaigner for the Working Families Party.
The Pennsylvania Working Families Party rolled out an online "hub" on Friday to support a primary challenger to the state's US senator, John Fetterman.
The WFP, an independent party that often supports Democrats with a populist economic agenda, backed Fetterman's 2022 Senate bid when he ran in the general election as a champion of many progressive causes. But the group now says he "sold out working Pennsylvanians" after pivoting hard to the right on key issues.
It launched the campaign to oust him in November after he voted with Republicans to reopen the government without an extension of Affordable Care Act (ACA) subsidies, which is expected to spike health insurance premiums for over 22 million Americans this year.
“While Sen. John Fetterman (D-Pa.) is supporting Trump’s use of American tax dollars to ‘run’ Venezuela or buy Greenland, 500,000 Pennsylvanians are about to see their healthcare premiums rise because of the Republican budget bill he supported,” said Nick Gavio, mid-Atlantic communications director for the Working Families Party and a former Fetterman staffer. “People across Pennsylvania did not put time, money, and energy into supporting his campaign just to elect a Democrat who votes against our interests time and time again. We need new leadership.”
The website provides past Fetterman donors who feel betrayed by the senator with a form letter to "request a refund" of past contributions from the campaign. It also contains a "Sell-out Tracker," which seeks to "track every bad position" he has taken.
In addition to his vote to reopen the government, the group notes that Fetterman has voted to confirm 50% of Trump's Cabinet picks. He was the only Democrat who voted to confirm Attorney General Pam Bondi and Ambassador to Israel Mike Huckabee, and one of the very few to vote in favor of Secretary of Homeland Security Kristi Noem.
It also accuses him of "betraying vulnerable people" by supporting Republican legislation that eliminates due process for undocumented immigrants, cheering US Immigration and Customs Enforcement (ICE) amid its mass deportation crusade, and giving full-throated support to Israel's genocidal war in Gaza and Trump's strikes on Iran.
The site also highlights Fetterman's tendency to neglect the basic duties of his job as a senator, which he has admitted he skips to spend more time with his family and because he finds them “overwhelmingly procedural.”
Fetterman has one of the worst attendance records in the Senate, having missed over 100 votes since April 2024 and skipped 44 out of 45 meetings for committees he was assigned to between January and May 2025.
He has also said he hosts very few town halls in order to avoid protesters, who have shown up to voice their discontent with his support for Israel, among other controversial positions.
As the site points out, while some other Democrats fought tooth and nail in a losing effort to stop Republicans from passing massive safety-net cuts in this summer's budget reconciliation package, Fetterman told Politico, "I just want to go home" and complained that he'd missed his family's trip to the beach.
So far, no prominent Pennsylvania Democrats have offered themselves up as potential primary challengers for Fetterman, who comes up for reelection in 2028.
Top names, including former Rep. Conor Lamb, who ran against Fetterman in the 2022 Democratic primary, and Philadelphia area Rep. Madeleine Dean have said they would not challenge Fetterman if he ran for another term.
Meanwhile, Rep. Brendan Boyle (D-Pa.), who called Fetterman "Trump's favorite Democrat" last year, told NOTUS he'd be open to running against him.
The Pennsylvania Working Families Party said it is collecting donations that it will use to help "identify, recruit, and elect a real working class champion to replace Fetterman in the US Senate."
The group told NBC News that it has already amassed more than 425 people interested in either running against Fetterman themselves or volunteering their time or donating to help the effort to unseat him.