The Dictatorship
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.
The Dictatorship
NEXT: MAGA VOWS TO SILENCE FOES

WASHINGTON (AP) — President Donald Trump is escalating threats to crack down on what he describes as the “radical left” following Charlie Kirk’s assassinationstirring fears that his administration is trying to harness outrage over the killing to suppress political opposition.
Without establishing any link to last week’s shooting, the Republican president and members of his administration have discussed classifying some groups as domestic terrorists, ordering racketeering investigations and revoking tax-exempt status for progressive nonprofits. The White House pointed to Indivisible, a progressive activist network, and the Open Society Foundations, founded by George Soros, as potential subjects of scrutiny.
Although administration officials insist that their focus is preventing violence, critics see an extension of Trump’s campaign of retribution against his political enemies and an erosion of free speech rights. Any moves to weaken liberal groups could also shift the political landscape ahead of next year’s midterm elections, which will determine control of Congress and statehouses across the country.
“The radical left has done tremendous damage to the country,” Trump told reporters on Tuesday morning when leaving for a state visit to the United Kingdom. “But we’re fixing it.”
Trump has sometimes made similar threats without following through. But now there’s renewed interest fueled by anger over the killing of Kirk, a conservative activist who was a prominent supporter of Trump and friends with many of his advisers.
More than 100 nonprofit leaders, representing organizations including the Ford Foundation, the Omidyar Network and the MacArthur Foundation, released a joint letter saying “we reject attempts to exploit political violence to mischaracterize our good work or restrict our fundamental freedoms.”
“Attempts to silence speech, criminalize opposing viewpoints, and misrepresent and limit charitable giving undermine our democracy and harm all Americans,” they wrote.
White House blames ‘terrorist networks’
Authorities said they believe the suspect in Kirk’s assassination acted alone, and they charged him with murder on Tuesday.
However, administration officials have repeatedly made sweeping statements about the need for broader investigations and punishments related to Kirk’s death.
Attorney General Pam Bondi blamed “left-wing radicals” for the shooting and said “they will be held accountable.” Stephen Miller, a top policy adviser, said there was an “organized campaign that led to this assassination.”
Miller’s comments came during a conversation with Vice President JD Vance, who was guest-hosting Kirk’s talk show from his ceremonial office in the White House on Monday.
Miller said he was feeling “focused, righteous anger,” and “we are going to channel all of the anger” as they work to “uproot and dismantle these terrorist networks” by using “every resource we have.”
Vance blamed “crazies on the far left” for saying the White House would “go after constitutionally protected speech.” Instead, he said, “We’re going to go after the NGO network that foments, facilitates and engages in violence.”
Asked for examples, the White House pointed to demonstrations where police officers and federal agents have been injured, as well as the distribution of goggles and face masks during protests over immigration enforcement in Los Angeles.
There was also a report that Indivisible offered to reimburse people who gathered at Tesla dealerships to oppose Elon Musk’s leadership of the Department of Government Efficiency. Sometimes cars were later vandalized.
Indivisible’s leadership has said “political violence is a cancer on democracy” and said that their own organization has “been threatened by right-wingers all year.”
Nonprofits brace for impact
Trump’s executive actions have rattled nonprofit groups with attempts to limit their work or freeze federal funding, but more aggressive proposals to revoke tax-exempt status never materialized.
Now the mood has darkened as nonprofits recruit lawyers and bolster the security of their offices and staff.
“It’s a heightened atmosphere in the wake of political violence, and organizations who fear they might be unjustly targeted in its wake are making sure that they are ready,” said Lisa Gilbert, co-president of the government watchdog group Public Citizen.
Trump made retribution against political enemies a cornerstone of his comeback campaign, and he’s mobilized the federal government to reshape law firms, universities and other traditionally independent institutions. He also ordered an investigation into ActBluean online liberal fundraising platform.
Some nonprofits expect the administration to focus on prominent funders like Soros, a liberal billionaire who has been a conservative target for years, to send a chill through the donor community.
Trump recently said Soros should face a racketeering investigation, though he didn’t make any specific allegations. The Open Society Foundations condemned violence and Kirk’s assassination in a statement and said “it is disgraceful to use this tragedy for political ends to dangerously divide Americans and attack the First Amendment.”
Sen. Chris Murphy, a Democrat from Connecticut, wrote on social media that “the murder of Charlie Kirk could have united Americans to confront political violence” but “Trump and his anti-democratic radicals look to be readying a campaign to destroy dissent.”
White House spokeswoman Abigail Jackson said “it is disingenuous and false for Democrats to say administration actions are about political speech.” She said the goal is to “target those committing criminal acts and hold them accountable.”
Republicans back Trump’s calls for investigations
Trump’s concerns about political violence are noticeably partisan. He described people who rioted at the U.S. Capitol on Jan. 6, 2021, as “hostages” and “patriots,” and he pardoned 1,500 of them on his first day back in the Oval Office. He also mocked House Speaker Emerita Nancy Pelosi after an attack on her husband.
When Trump condemned Kirk’s killing in a video message last week, he mentioned several examples of “radical left political violence” but ignored attacks on Democrats.
Asked on Monday about the killing of Minnesota state Rep. Melissa Hortman over the summer, Trump said “I’m not familiar” with the case.
“Trump shrugs at right-wing political violence,” said Ezra Levin, the co-executive director of Indivisible, in a newsletter.
Some conservative commentators have cheered on a potential crackdown. Laura Loomer, a conspiracy theorist with a long record of bigoted comments, said “let’s shut the left down.” She also said that she wants Trump “to be the ‘dictator’ the left thinks he is.”
Katie Miller, the wife of Stephen Miller and a former administration spokeswoman, asked Bondi whether there would be “more law enforcement going after these groups” and “putting cuffs on people.”
“We will absolutely target you, go after you, if you are targeting anyone with hate speech,” Bondi said. “And that’s across the aisle.”
Her comments sparked a backlash from across the political spectrum, since even hate speech is generally considered to be protected under the First Amendment. Bondi was more circumspect on social media on Tuesday morning, saying they would focus on “hate speech that crosses the line into threats of violence.”
Trump is getting more support from Republicans in Congress. Sen. Ted Cruz of Texas and others proposed legislation that would enable the Justice Department to use racketeering laws, originally envisioned to combat organized crime, to prosecute violent protesters and the groups that support them.
Rep. Chip Roy of Texas wants the House to create a special committee to investigate the nonprofit groups, saying “we must follow the money to identify the perpetrators of the coordinated anti-American assaults being carried out against us.”
___
Associated Press writer Bill Barrow in Atlanta contributed to this report.
The Dictatorship
Japan’s exports to the US continue to fall, hit by Trump’s tariffs

TOKYO (AP) — Japan’s exports to the United States plummeted 13.8% in August compared to the same month the previous year, marking the fifth straight month of declines, as auto exports were hit by President Donald Trump’s tariffs.
The Finance Ministry data released Wednesday showed the rate of the drop in exports to the U.S. compared to the previous year worsened from a 10.1% slip in July.
U.S. tariffs on Japanese automobiles and auto parts decreased from 27.5%, the amount Trump initially levied, to 15% this week, but that’s still higher than the original 2.5%.
Wednesday’s data reflect the month of August, when the tariffs were higher. Japan’s overall exports were little changed, slipping 0.1%, as exports grew to Europe and the Middle East.
The provisional data for August showed Japan’s imports from the world fell 5.2% from a year ago. Imports from China grew 2.1%, while exports to China fell 0.5%. Imports from the U.S. grew 11.6%.
Exports to the world grew in food, gaining 18%, as well as in ships, growing by nearly 25%. Imports grew in computers, adding nearly 35% on-year, while aircraft rose 21%.
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Yuri Kageyama is on Threads: https://www.threads.com/@yurikageyama
The Dictatorship
The Fed cuts interest rates by quarter-point after Trump’s pressure campaign


The Federal Reserve on Wednesday cut interest rates for the first time this yearwith policymakers opting for an expected quarter-point cut to the Fed’s benchmark rate.
The announcement comes as President Donald Trump has been pushing for rate cuts while attempting to assert more control over the historically independent central bank. He has sought to fire Biden appointee Lisa Cook from the Federal Reserve Board of Governors, a move that an appeals court temporarily blocked Monday night but could ultimately be resolved soon at the Supreme Court. The Trump administration had argued for kicking her off the board ahead of the Federal Open Market Committee’s two-day meeting that started Tuesday, at which rates and other important matters were discussed.
The Republican-led Senate just this week confirmed a new board governor appointed by Trump, Stephen Miran, who has said he would not resign from his economic adviser position in the Trump White House. Miran replaced Biden appointee Adriana Kugler, who abruptly resigned last month before her term’s expiration in January.
Another”https://www.federalreserve.gov/newsevents/pressreleases/monetary20250917a.htm” target=”_blank”>disagreed with Wednesday’s actionas he preferred a larger cut.
The New York Times previously reported that the projected quarter-point rate cut “won’t have a significant effect on consumers’ financial lives, but it may provide a tiny bit of relief for people carrying credit card debt, while savers may see slightly less generous yields.”
This is a developing story. Check back for updates.
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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