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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

Elon Musk says President Donald Trump has ‘agreed’ USAID should be shut down

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Elon Musk says President Donald Trump has ‘agreed’ USAID should be shut down

WASHINGTON (AP) — The U.S. Agency for International Development is on the cusp of being shuttered, according the Trump administration’s billionaire adviser and Tesla CEO Elon Musk — who has been wrestling for control of the agency in recent days.

Early Monday, Musk held a live session on X Spaces, previously known as Twitter Spaces, and said that he spoke in detail about USAID with the president. “He agreed we should shut it down,” Musk said.

“It became apparent that its not an apple with a worm it in,” Musk said. “What we have is just a ball of worms. You’ve got to basically get rid of the whole thing. It’s beyond repair.” “We’re shutting it down.”

His comments come after the administration placed two top security chiefs at USAID on leave after they refused to turn over classified material in restricted areas to Musk’s government-inspection teams, a current and a former U.S. official told The Associated Press on Sunday.

Members of Musk’s Department of Government Efficiencyknown as DOGE, eventually did gain access Saturday to the aid agency’s classified information, which includes intelligence reports, the former official said.

Musk’s DOGE crew lacked high enough security clearance to access that information, so the two USAID security officials — John Voorhees and deputy Brian McGill — believed themselves legally obligated to deny access.

The current and former U.S. officials had knowledge of the incident and spoke on condition of anonymity because they were not authorized to share the information.

Musk on Sunday responded to an X post about the news by saying, “USAID is a criminal organization. Time for it to die.” He followed with additional posts on X about the aid agency.

Kate Miller, who serves on an advisory board for DOGE, said in a separate post that no classified material was accessed “without proper security clearances.”

It comes a day after DOGE carried out a similar operation at the Treasury Departmentgaining access to sensitive information including the Social Security and Medicare customer payment systems. The Washington Post reported that a senior Treasury official had resigned over Musk’s team accessing sensitive information.

Musk formed DOGE in cooperation with the Trump administration with the stated goal of finding ways to fire federal workerscut programs and slash federal regulations.

USAID, whose website vanished Saturday without explanation, has been one of the federal agencies most targeted by the Trump administration in an escalating crackdown on the federal government and many of its programs.

“It’s been run by a bunch of radical lunatics. And we’re getting them out,” Trump said to reporters about USAID on Sunday night.

The Trump administration and Secretary of State Marco Rubio have imposed an unprecedented freeze on foreign assistance that has shut down much of USAID’s humanitarian, development and security programs worldwide — compelling thousands of layoffs by aid organizations — and ordered furloughs and leaves that have gutted the agency’s leadership and staff in Washington.

The U.S. is by far the world’s largest donor of humanitarian aid, with USAID administering billions of dollars in humanitarian, development and security assistance in more than 100 countries.

Peter Marocco, a returning political appointee from Trump’s first term, was a leader in enforcing the shutdown. USAID staffers say they believe that agency outsiders with visitors badges asking questions of employees inside the Washington headquarters are members of Musk’s DOGE team.

Democratic Sen. Elizabeth Warren said in a post on Sunday that Trump was allowing Musk to access people’s personal information and shut down government funding.

“We must do everything in our power to push back and protect people from harm,” the Massachusetts senator said, without giving details.

___

Associated Press writers Michelle L. Price in New York, Matthew Lee in Panama City and Fatima Hussein in Washington contributed to this report.

___ This story has been updated to correct the surname name of one of the USAID security officials. He is John Voorhees, not John Vorhees.

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The Dictatorship

‘Serial disappointer’ Sen. Collins indicates she’ll vote for Tulsi Gabbard

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‘Serial disappointer’ Sen. Collins indicates she’ll vote for Tulsi Gabbard
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The Dictatorship

There’s a lot of craziness in D.C. right now. But you can safely ignore these stunts.

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There’s a lot of craziness in D.C. right now. But you can safely ignore these stunts.

When I took a job years ago managing a website about Congress, I was shocked to discover that the most-searched bill was an obscure piece of legislation called the Blair Holt Act.

The bill, which would require gun licenses and background checks, was going nowhere. It had two sponsors in the House — one of whom was a nonvoting member representing the Virgin Islands. It didn’t have a companion bill in the Senate. It was what people in Washington call a “messaging bill” designed to signal to voters that the lawmaker takes a particular issue seriously. But every month, it was at the top of our Google Analytics.

In this case, the bill had inadvertently provoked another group of voters — gun owners who believed the Blair Holt Act was the first sign that the government was coming for their firearms. They were sharing the legislation on message boards and in conspiracy theory-minded emails, panicking over a bill that was never going to be signed into law.

As the president has signed executive orders right and left, some lawmakers seem to feel left out.

Now this dynamic is playing out in a novel fashion in President Donald Trump’s chaotic first two weeks in office. Normally members of Congress reserve messaging bills for closer to the next election. But as the president has signed executive orders right and left, some lawmakers seem to feel left out. They’re turning to messaging bills earlier to draw attention and getting more extreme than we’ve seen in the past. The worst of these aren’t so much messaging bills as the legislative equivalent of what people euphemistically call “trashposting” on the internet. And some of the president’s critics are falling for it.

In January, Rep. Anna Paulina Luna, R-Fla., filed a bill to direct the interior secretary to “arrange for the carving of the figure of President Donald J. Trump on Mount Rushmore.” The bill, which has no co-sponsors, was dutifully referred to a House committee, where it will die a quiet death. But in the meantime, Trump might hear about it and think nicely of Luna, or she can tout it on social media posts about triggering the libs.

That same month, Rep. Andy Ogles, R-Tenn., proposed a constitutional amendment to allow presidents to serve third terms — as long as their other two terms weren’t consecutive, a loophole that appears designed to give Trump a pass while keeping, say, Barack Obama, on the sidelines.

The bill, which also has zero co-sponsors, is about as serious as the Mount Rushmore proposal. If anything, it’s an even heavier lift than carving into the side of a mountain in South Dakota. A constitutional amendment requires approval by two-thirds of both chambers and ratification by three-fourths of states. That’s just not going to happen, much less in time for an 82-year-old Trump to run again in 2028.

In Ogles’ case, he might have another motive for trying to score points with Trump. A week after he filed his bill, federal prosecutors in Nashville withdrew from a criminal investigation into why Ogles misrepresented how much money he lent his campaign on federal forms. That case will now be handled entirely from the Justice Department’s Washington headquarters, which Trump has vowed to exert more control over.

Other lawmakers seem emboldened by Trump’s dramatic proposals to remake the federal government, and, to be honest, it’s understandable if the average voter can’t tell if they are serious or not. Here are a few more examples:

Rep. Andy Biggs of Arizona proposed a bill to abolish the Occupational Safety and Health Administration, which handles workplace safety (no co-sponsors).

Rep. Marjorie Taylor Greene of Georgia proposed two bills to “expunge” Trump’s first-term impeachments (10 co-sponsors each).

And Rep. Earl “Buddy” Carter of Georgia proposed a bill to abolish the IRS and enact a national sales tax (11 co-sponsors).

These bills aren’t going to pass. They’re interesting as a sign of the current thinking among the outer reaches of today’s Republican Party, but you don’t need to ever think about them again.

Amid the uncertainty of Trump’s second term, it’s important to take a breath, check the sources and make sure we’re not getting riled up over a messaging bill going nowhere. First, is it dramatic and easy to explain? Second, does it have almost no co-sponsors? If the answer to both questions is yes, then it’s a trashposting bill.

There are a lot of unnerving things going on in Washington these days. It’s important to save your attention — and your outrage — for the ones that are real.

Ryan Teague Beckwith

Ryan Teague Beckwith is a newsletter editor for BLN. He has previously worked for such outlets as Time magazine, Bloomberg News and CQ Roll Call. He teaches journalism at Georgetown University’s School of Continuing Studies.

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