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The Dictatorship

Florence Pugh’s surprise diagnosis highlights the downsides of a patriarchal health system

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Florence Pugh’s surprise diagnosis highlights the downsides of a patriarchal health system

A recent account from Oscar-winning actress Florence Pugh is a sober reminder that even with exceptional levels of fame and resources, women overwhelmingly lack basic tools to understand our own bodies, and overall health.

After experiencing some difficult to place symptoms, Pugh visited a doctor, who suggested she undergo an egg count test — an unusual recommendation for someone who is only 27. The test ultimately led to a diagnosis of both polycystic ovary syndrome (PCOS) and endometriosis. Pugh reportedly was shocked, but also relieved — it finally made sense, she told her physician Dr. Thaïs Aliabadi on the “SHE MD” podcast that Aliabadi hosts with Mary Alice Haney. For years, Pugh had dealt with symptoms like unusual hair growth and acne, which she had attributed to “being a woman” with a “slightly stressful life.” As it turned out, it wasn’t all in her head.

Suddenly, she was forced to think about her future and her fertility, something she had assumed she had nearly a decade to consider.

In the same podcast episode, Pugh described the diagnosis as a “mind-boggling realization.” Suddenly, she was forced to think about her future and her fertility, something she had assumed she had nearly a decade to consider. Advised to freeze her eggs, she followed through and is now sharing her story to encourage other women to take charge of their reproductive health and lives.

When I froze my eggs and documented the process for Armchair Expert’s “Race to 35,” I was struck by how difficult it was to get clear answers about my own body and how much of the responsibility fell on me to figure it all out. I was sent home with a collection of hormones and needles and expected to adhere to a rigorous regimen and mixing schedule, with the warning that a mistake could ruin the entire process. The mental strain of the entire ordeal  felt more taxing than the physical toll it was taking to inject myself everyday and get blood tests and transvaginal ultrasounds every 72 hours.

I remember thinking that if men had to freeze their eggs, the service would include a personal nurse, a therapist, a chef, a driver, and probably a life coach. The potential for errors, and the high stakes attached, was staggering, especially given the often prohibitive cost of the procedure. Why are women expected to know so much with so little support?

Part of it is social conditioning. Women are so often seen as caretakers, not the ones who need to be cared for. The data reflects this patriarchal misconception. Women are more likely to be misdiagnosed than menand their ailments receive less research funding. Endometriosis, the condition affecting Pugh and an estimated 1 in 10 women globallyis a stark example of gender disparities in medical research. A McKinsey report found that erectile dysfunction, despite being far less common, receives six times more research funding than endometriosis. From 2019 to 2023, erectile dysfunction was allocated $1.24 billion, while endometriosis received $44 million. It’s infuriating given that endometriosis has far more life-threatening impacts (it can cause ectopic pregnancies, bowel obstruction and even cancer) and that it impacts a larger portion of the population. Simply put, our priorities don’t reflect our needs.

And let’s be clear — the issue isn’t men; it’s the patriarchy. Women’s symptoms are disproportionately dismissed as psychosomatic, leading to a systemic lack of belief and trust in their own accounts of their health. This bias isn’t confined to male doctors; female doctors can also perpetuate it. Pugh, for instance, said she faced dismissal from a female doctor in the U.K. when she brought up her diagnosis. While studies show women are less likely to die under the care of female doctorsthe reality is that even women in medicine can underestimate or overlook female painreflecting the broader cultural tendency to belittle it. And this is far worse for women of colorwhose pain is ignored at even greater rates and can lead to far graver consequences for them.

So how do we solve this?

According to Dr. Elizabeth Comen, an Associate Professor of Medicine at NYU Langone and author of the book “All in Her Head: The Truth and Lies Early Medicine Taught Us About Women’s Bodies and Why It Matters Today,” the most important step women can take is to find a buddy. “I don’t care if you’re Einstein; you need to have somebody with you to advocate for you,” she told me over the phone. “When you’re worried and anxious, you need that support to help filter the information in context.”

Dr. Comen also emphasized the need to shed the specific, yet universal, shame women often feel about not knowing how to advocate for themselves, despite often being so skilled at advocating for others. “Whether it’s homeless women, royalty, or the heads of hedge funds, every woman has that story. Women can find sisterhood in that shared experience,” she said. “This work cannot happen alone.”

If it happened to Florence Pugh, it can happen to anyone. As we wait for our culture and medical establishment to catch up, women leaning on each other isn’t just support; it’s a quiet revolution.

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The Dictatorship

Trump’s DOJ issues memo on plan to strip citizenship from some naturalized Americans

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Trump’s DOJ issues memo on plan to strip citizenship from some naturalized Americans

As the White House press secretary openly floats the idea of investigating New York City mayoral candidate Zohran Mamdani to possibly strip him of his citizenshipafter a bigoted proposal from Rep. Andy Ogles, R-Tenn., the administration appears to be revving up its denaturalization plans.

NPR reported Monday on a Justice Department memo from June 11which advises prosecutors in the DOJ’s Civil Division to prioritize the denaturalization of various naturalized citizens over alleged infractions ranging from war crimes to “material misrepresentations” in their citizenship applications.

In his first term, Trump expanded former President Barack Obama’s denaturalization policies. An expert told NPR why the new memo’s call to use civil litigation for this effort is particularly disturbing:

The DOJ memo says that the federal government will pursue denaturalization cases via civil litigation — an especially concerning move, said Cassandra Robertson, a law professor at Case Western Reserve University. In civil proceedings, any individual subject to denaturalization is not entitled to an attorney, Robertson said; there is also a lower burden of proof for the government to reach, and it is far easier and faster to reach a conclusion in these cases. Robertson says that stripping Americans of citizenship through civil litigation violates due process and infringes on the rights guaranteed by the 14th Amendment.

On the heels of Friday’s Supreme Court ruling in the birthright citizenship case — which undercut lower courts’ ability to stop the executive branch from pursuing policies of disputed legality — it’s safe to wonder whether and how the administration might wield its powers to target more Americans.

The DOJ memo asserts a broad latitude for interpretation as to what conduct might warrant denaturalization proceedings against a citizen. It lays out a list of transgressions, including torture and human trafficking, but also calls on the DOJ’s Civil Division to target “an individual that either ‘illegally procured’ naturalization or procured naturalization by ‘concealment of a material fact or by willful misrepresentation’” and, rather vaguely, “individuals who pose a potential danger to national security.” The memo also prioritizes the ominously open-ended “any other cases … that the Division determines to be sufficiently important to pursue.”

Given that Trump has labeled critics as the “enemy within,” has falsely framed peaceful demonstrators as accomplices to terrorism and has declared his ambition to deport American citizens to foreign prisonsthe potential for abuse here seems incredibly high.

Ja’han Jones

Ja’han Jones is an BLN opinion blogger. He previously wrote The ReidOut Blog. He is a futurist and multimedia producer focused on culture and politics. His previous projects include “Black Hair Defined” and the “Black Obituary Project.”

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The Dictatorship

Trump’s ‘big, beautiful bill’ faces fierce religious backlash

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Trump’s ‘big, beautiful bill’ faces fierce religious backlash

Donald Trump and the Republican Party are facing furious backlash from faith leaders and parishioners concerned about the devastating impact that their sought-after budget cuts are projected to have on many Americans.

Trump, who has attempted to portray himself as anointed by God, is pushing for a highly unpopular bill that includes steep cuts to nutrition assistance and health care programsalong with tax cuts that would largely benefit the rich. And many literally ordained faith leaders are denouncing his goals.

In a letter to U.S. senators last week, an interfaith coalition of religious leaders from across the country slammed how the bill could potentially strip health care and food benefits from millions of Americans, and for pursuing a mass deportation campaign that could ensnare some of their parishioners — a concern shared by MAGA-friendly leaders of the Southern Baptist Convention, as well.

“In our view, this legislation will harm the poor and vulnerable in our nation, to the detriment of the common good,” the coalition wrote. “Its passage would be a moral failure for American society as a whole.”

The U.S. Conference of Catholic Bishops sent a letter to senators on the same day, praising the bill for seeking to crack down on abortion but denouncing other parts of the legislation:

We are grateful for provisions that promote the dignity of human life and support parental choice in education. These are commendable provisions that have long been sought by the Church. However, we must also urge you to make drastic changes to the provisions that will harm the poor and vulnerable. This bill raises taxes on the working poor while simultaneously giving large tax cuts to the wealthiest. Because of this, millions of poor families will not be able to afford life-saving healthcare and will struggle to buy food for their children. Some rural hospitals will likely close. Cuts will also result in harming our environment.

The bishops also denounced the “enforcement-only approach” to immigration in the Senate version of the bill, calling it “unjust and fiscally unsustainable.”

Meanwhile, Sen. Raphael Warnock, D-Ga., who is a Baptist pastor, helped illustrate the growing religious backlash against the legislation when he brought a contingent of faith leaders with him to pray in the Capitol rotunda on Sunday.

The rotunda has been a site for faith-based resistance to the GOP’s budget for weeks now. In April, the Rev. William Barber II was arrested there alongside fellow faith leaders Jonathan Wilson-Hartgrove and Steven Swayne as they held a prayer in opposition to the legislation. (The arrests resulted in tickets.) Five other faith leaders were arrested there the following week for doing the same thing.

At times, I think it may be easy for some to give in to MAGA’s messianic propaganda that frames Trump — flawed as he is personally — as some sort of spokesperson for religious Americans. But there’s a deep and enduring tradition of faith leaders standing up for liberalism and basic dignity in this country. And Trump’s policies — perhaps, none more than his self-described “big, beautiful bill” — are bringing that tradition to the fore.

Ja’han Jones

Ja’han Jones is an BLN opinion blogger. He previously wrote The ReidOut Blog. He is a futurist and multimedia producer focused on culture and politics. His previous projects include “Black Hair Defined” and the “Black Obituary Project.”

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The Dictatorship

Ask Jordan: Could class-action lawsuits save birthright citizenship?

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Ask Jordan: Could class-action lawsuits save birthright citizenship?

“Please explain why it appears that Justice Barrett’s opinion permits plaintiffs to resubmit their cases as a class action that would protect birthright citizenship nationwide.” — Emily

Hi Emily,

Yes — the court’s opinion in the birthright citizenship casewhich curbed the use of nationwide injunctions, left open the possibility of using class actions. In fact, plaintiff lawyers have already filed for such actions on Friday, the same day that the Supreme Court’s ruling came out.

“The Supreme Court has now instructed that, in such circumstances, class-wide relief may be appropriate,” plaintiff lawyers wrote to one of the trial judges who had previously issued a nationwide injunction.

They cited Justice Brett Kavanaugh’s concurring opinion that said trial courts can “grant or deny the functional equivalent of a universal injunction — for example, by granting or denying a preliminary injunction to a putative nationwide class.” They also cited Justice Sonia Sotomayor’s dissent, where she wrote that parents of children targeted by President Donald Trump’s order “would be well advised to file promptly class-action suits and to request temporary injunctive relief for the putative class pending class certification.”

So, just change the name of the lawsuit and it’s all good, right?

Not so fast. At least, not necessarily.

Indeed, Justice Samuel Alito wrote a concurrence to Justice Amy Coney Barrett’s majority opinion that pre-emptively raised skepticism about the success of class actions here. Joined by Justice Clarence Thomas, Alito worried that “today’s decision will have very little value if district courts award relief to broadly defined classes without following ‘Rule 23’s procedural protections’ for class certification.” (There are federal procedural rules for litigation and Rule 23 deals with class actions.)

Alito further warned that “lax enforcement” of the rules “would create a potentially significant loophole to today’s decision.” He urged federal courts to “be vigilant against such potential abuses of these tools.”

To be sure, that’s not a majority opinion from Alito, even if he tried to implicitly ascribe his views to the majority at the end there. But in practical terms, his concurrence reflects that there are at least two justices prepared to view class-action relief with skepticism. We may not learn what the full majority thinks unless and until the case goes back to them.

But hopefully the court will get to the heart of the matter sooner rather than later and declare what lower-court judges have had an easy time finding: Trump’s attempt to restrict birthright citizenship is unconstitutional.

Recall that the administration took pains to focus on the procedural aspect of the litigation, not seeking a ruling on the merits from a high court that’s been sympathetic to the administration in other cases. That strategic litigation choice appeared to be an admission that the administration thinks it would lose on the merits, if and when the justices reach them.

That made this case all the poorer a choice for the majority to have used to reach a formally unrelated decision about the validity of universal injunctions. The court could’ve taken on the injunction issue in any other number of cases.

Nonetheless, the next step in the birthright citizenship litigation may have to be another round of procedural games — this time on class actions — all while the underlying illegal order remains unremarked upon by the majority.

Jordan Rubin

Jordan Rubin is the Deadline: Legal Blog writer. He was a prosecutor for the New York County District Attorney’s Office in Manhattan and is the author of “Bizarro,” a book about the secret war on synthetic drugs. Before he joined BLN, he was a legal reporter for Bloomberg Law.

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