Connect with us

The Dictatorship

Indiana community fights to keep needle exchange going after Trump order

Published

on

Indiana community fights to keep needle exchange going after Trump order

JEFFERSONVILLE, Ind. (AP) — Inside a storage room at the Clark County Health Department are boxes with taped-on signs reading, “DO NOT USE.” They contain cookers and sterile water that people use to shoot up drugs.

The supplies, which came from the state and were paid for with federal money, were for a program where drug users exchange dirty needles for clean ones, part of a strategy known as harm reduction. But under a July executive order from President Donald Trumpfederal substance abuse grants can’t pay for supplies such as cookers and tourniquets that it says “only facilitate illegal drug use.” Needles already couldn’t be purchased with federal money.

In some places, the order is galvanizing support for syringe exchange programs, which decades of research show are extremely effective at preventing disease among intravenous drug users and getting them into treatment.

In others, it’s fueling opposition that threatens the programs’ existence.

Republican-led Indiana passed a law allowing exchanges a decade ago after the tiny city of Austin became the epicenter of the worst drug-fueled HIV outbreak in U.S. history. Unless lawmakers extend it, that law is scheduled to sunset next year, and the number of exchanges has been dwindling. State officials told remaining programs to comply with Trump’s order — and even to discard federally funded supplies such as cookers and tourniquets.

For now, Clark County health workers have found a way to keep distributing cookers and other items: buy them with private money and package them in “mystery bags,” assembled by employees who aren’t paid with state or federal funds.

Democratic-led California, meanwhile, has continued using state funds for supplies such as pipes and syringes. California is home to a rising number of exchanges, with 70 of the more than 580 listed by the North American Syringe Exchange Network.

Some public health experts lament that syringe services programs have become subject to growing politicization and dissent.

Clark County Health Officer Dr. Eric Yazel says IV drug users will likely inject themselves with or without clean supplies. Exchanges prevent people from sharing needles and spreading disease, he said, “decreasing the public health risk for the whole population.”

But Curtis Hill, a Republican former Indiana attorney generalis among critics who raise the same concern Trump’s order does: “We don’t want to get into a situation where we’re promoting drug use.”

Help without judgment

When participants arrive at the Clark County health department, they look down at a list of services and say they are there for “No. 1.”

They choose from a cart with needles, bandages, sharps containers and the overdose reversal drug naloxone. They can receive testing for HIV and hepatitis C; information on drug treatment; and fliers on food banks, housing, and job placement. There are even handmade knit hats with encouraging notes like, “You’ve got this!”

“We spend a half hour, 45 minutes or so talking to them about where they are, if they want treatment, if they’re ready,” Program Director Dorothy Waterhouse said. “These are our brothers, our sisters, our mothers, our fathers. … We need compassion to make sure they’re getting into treatment.”

It’s the closest exchange to Austin, a 35-minute drive away. Scott County, where Austin is located, already ended its program.

Joshua Gay lived in an apartment across the street when he used the Clark County exchange. He shot up meth daily.

“The addiction, it took away everything. It took away my life. It took away my job, took away my health. I mean, it made my mind so bad that I wouldn’t even shower,” said the 44-year-old, who now lives in Austin. “God was telling me, ‘You need to do something,’ and he led me to the needle exchange.”

He’s sober today. He sought drug treatment at LifeSpring Health Systems after encouragement from health workers and now encourages others in recovery to stay healthy.

He believes the syringe exchange not only saved him, but helped him save someone else, providing the naloxone he used to revive a friend who overdosed on heroin.

Keeping the program going

After Trump’s order — which focused on homelessness — Indiana health officials told exchanges that certain items they provided were now off-limits, citing a letter from the U.S. Substance Abuse and Mental Health Services Administration.

Although Clark County workers have found ways to provide privately funded items for now, they worry about Indiana’s exchange law expiring on July 1. Six counties have exchanges — down from nine in 2020 — despite the programs’ successes.

Statewide, exchanges have made more than 27,000 referrals to drug treatment and provided naloxone that reversed nearly 25,000 overdoses, according to information collected by the nonprofit Damien Center in Indianapolis.

Since its 2017 start, Clark County’s program alone has given out more than 2,000 doses of naloxone; made more than 4,300 referrals to drug treatment; and made more than 4,400 referrals for HIV or hepatitis C testing. Its syringe return rate is 92%.

Local and national public health and addiction experts point to research showing exchanges don’t increase syringe litter, crime or IV drug use — and that every dollar invested returns an estimated $7 in avoided health care costs.

Exchanges are associated with an estimated 50% reduction in the incidence of HIV and hepatitis C, the Centers for Disease Control and Prevention said last year. Scott County — where the HIV outbreak ultimately sickened 235 people — had fewer than five new cases a year in 2020 and 2021, just before that syringe program ended. The numbers have stayed low.

“When these programs first started, I was like, ‘I don’t know.’ I didn’t get it,” Yazel said. “And then I took a deep dive and started to understand the impact.”

Elsewhere, a mix of support and opposition

Indiana is among 43 states with syringe services programs, according to health care research nonprofit KFF.

Support remains strong in many places. This year in Hawaii, for example, legislators passed a law allowing people to get as many clean needles as needed rather than only one for one.

But bills elsewhere, including two introduced in West Virginia this year, propose eliminating syringe programs.

This month, West Virginia’s Cabell-Huntington Health Department stopped giving out needles. Naloxone and fentanyl test strips remain available, along with services such as education, disease testing and links to care.

“The folks who come in to see us are going to get the same smiles and the same hugs,” said Health Officer Dr. Michael Kilkenny. “We’re just not going to be dispensing syringes or the other things that are in disfavor.”

Andrew Nixon, spokesman for the U.S. Department of Health and Human Services, stressed in an email that federal funds can still be used for “life-saving services” like education and naloxone, reflecting a “commitment to addressing the addiction and overdose crisis impacting communities across our nation.”

A murky future

Yazel expects a difficult path ahead in Indiana.

“To be very blunt,” he said, “we have an uphill battle coming up this legislative session.”

Damien Center CEO Alan Witchey, whose organization runs a syringe program, said he and a group of advocates created a website with information and a way to contact lawmakers. They’ve met with elected officials, and a state senator introduced a bill to extend the sunset date to 2036.

“Without these programs, there will be one less tool to address the diseases of substance use disorder, hepatitis C and HIV,” Witchey said. “And that could lead to a very dangerous place for us. We have seen where this leads.”

___

The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute’s Department of Science Education and the Robert Wood Johnson Foundation. The AP is solely responsible for all content.

Read More

Continue Reading
Click to comment

Leave a Reply

Your email address will not be published. Required fields are marked *

The Dictatorship

“60 Minutes” holds off on airing critical piece on Trump deportation policy

Published

on

“60 Minutes” holds off on airing critical piece on Trump deportation policy

An internal CBS News battle over a “60 Minutes” story critical of the Trump administration has exploded publicly, with a correspondent charging it was kept off the air for political reasons and news chief Bari Weiss saying Monday the story did not “advance the ball.”

Two hours before airtime Sunday, CBS announced that the story where correspondent Sharyn Alfonsi spoke to deportees who had been sent to El Salvador’s notorious CECOT prisonwould not be a part of the show. Weiss, the Free Press founder named CBS News editor-in-chief in October, said it was her decision.

The dispute puts one of journalism’s most respected brands — and a frequent target of President Donald Trump — back in the spotlight and amplifies questions about whether Weiss’ appointment was a signal that CBS News was headed in a more Trump-friendly direction.

Alfonsi, in an email sent to fellow “60 Minutes” correspondents said the story was factually correct and had been cleared by CBS lawyers and its standards division. But the Trump administration had refused to comment for the story, and Weiss wanted a greater effort made to get their point of view.

“In my view, pulling it now after every rigorous internal check has been met is not an editorial decision, it is a political one,” Alfonsi wrote in the email. She did not immediately respond to requests for comment from The Associated Press.

Alfonsi said in the email that interviews were sought with or questions directed to — sometimes both — the White House, State Department and Department of Homeland Security.

“Government silence is a statement, not a VETO,” Alfonsi wrote. “Their refusal to be interviewed is a tactical maneuver designed to kill the story. If the administration’s refusal to participate becomes a valid reason to spike a story, we have effectively handed them a ‘kill switch’ for any reporting they find inconvenient.”

“Spike” is a journalist’s term for killing a story. But Weiss, in a statement, said that she looked forward to airing Alfonsi’s piece “when it’s ready.”

Speaking Monday at the daily CBS News internal editorial call, Weiss was clearly angered by Alfonsi’s memo. A transcript of Weiss’ message was provided by CBS News.

“The only newsroom I’m interested in running is one in which we are able to have contentious disagreements about the thorniest editorial matters with respect and, crucially, where we assume the best intent of our colleagues,” Weiss said. “Anything else is completely unacceptable.”

She said that while Alfonsi’s story presented powerful testimony about torture at the CECOT prison, The New York Times and other outlets had already done similar work. “To run a story on this subject two months later, we need to do more,” she said. “And this is ‘60 Minutes.’ We need to be able to get the principals on the record and on camera.”

It wasn’t clear whether Weiss’ involvement in seeking administration comment was sought. She reportedly helped the newscast arrange interviews with Jared Kushner and Steve Witkoff this past fall to discuss Trump’s Middle East peace efforts. Trump himself was interviewed by Norah O’Donnell on a “60 Minutes” telecast that aired on Nov. 2.

Trump has been sharply critical of “60 Minutes.” He refused to grant the show an interview prior to last fall’s election, then sued the network over how it handled an interview with election opponent Kamala Harris. CBS’ parent Paramount Global agreed to settle the lawsuit by paying Trump $16 million this past summer. More recently, Trump angrily reacted to correspondent Lesley Stahl’s interview with Trump former ally turned critic Marjorie Taylor Greene.

“60 Minutes” was notably tough on Trump during the first months of his second term, particularly in stories done by correspondent Scott Pelley. In accepting an award from USC Annenberg earlier this month for his journalism, Pelley noted that the stories were aired last spring “with an absolute minimum of interference.”

Pelley said that people at “60 Minutes” were concerned about what new ownership installed at Paramount this summer would mean for the broadcast. “It’s early yet, but what I can tell you is we are doing the same kinds of stories with the same kind of rigor, and we have experienced no corporate interference of any kind,” Pelley said then, according to deadline.com.

___

David Bauder writes about the intersection of media and entertainment for the AP. Follow him at http://x.com/dbauder and https://bsky.app/profile/dbauder.bsky.social.

Read More

Continue Reading

The Dictatorship

Nicki Minaj praises Trump, Vance at Arizona conservative event

Published

on

Nicki Minaj praises Trump, Vance at Arizona conservative event

Rapper Nicki Minaj on Sunday made a surprise appearance at a gathering of conservatives in Arizona that was memorializing late activist Charlie Kirkand used her time on stage to praise President Donald Trump and Vice President JD Vancecalling them “role models” for young men.

The rap star was interviewed at Turning Point USA’s AmericaFest convention by Erika Kirkthe widow of Charlie Kirk, about her newly found support for Trump — someone she had condemned in the past — and about her actions denouncing violence against Christians in Nigeria.

The Grammy-nominated rapper’s recent alignment with the Make America Great Again movement has caught some interest because of her past criticism of Trump even when the artist’s own political ideology had been difficult to pin down. But her appearance Sunday at the flagship event for the powerful conservative youth organization may shore up her status as a MAGA acolyte.

Minaj mocked California Gov. Gavin Newsomreferring to him as New-scum, a nickname Trump gave him. Newsom, a Democrat, has 2028 prospects. Minaj expressed admiration for the Republican president and Vance, who received an endorsement from Erika Kirk despite the fact he has not said whether he will run for president. Kirk took over as leader of Turning Point.

“This administration is full of people with heart and soul, and they make me proud of them. Our vice president, he makes me … well, I love both of them,” Minaj said. “Both of them have a very uncanny ability to be someone that you relate to.”

Minaj’s appearance included an awkward moment when, in an attempt to praise Vance’s political skills, she described him as an “assassin.”

She paused, seemingly regretting her word choice, and after Kirk appeared to wipe a tear from one of her eyes, the artist put her hand over her mouth while the crowd murmured.

“If the internet wants to clip it, who cares? I love this woman,” said Erika Kirk, who became a widow when Charlie Kirk was assassinated in September.

Last month, the rapper shared a message posted by Trump on his Truth Social network about potential actions to sanction Nigeria saying the government is failing to rein in the persecution of Christians in the West African country. Experts and residents say the violence that has long plagued Nigeria isn’t so simply explained.

“Reading this made me feel a deep sense of gratitude. We live in a country where we can freely worship God,” Minaj shared on X. She was then invited to speak at a panel at the U.S. mission to the United Nations along with U.S. Ambassador Mike Waltz and faith leaders.

Minaj said she was tired of being “pushed around,” and she said that speaking your mind with different ideas is controversial because “people are no longer using their minds.” Kirk thanked Minaj for being “courageous,” despite the backlash she is receiving from the entertainment industry for expressing support for Trump.

“I didn’t notice,” Minaj said. “We don’t even think about them.” Kirk then said “we don’t have time to. We’re too busy building, right?”

“We’re the cool kids,” Minaj said.

The Trinidadian-born rapper is best known for her hits “Super Freaky Girl,” “Anaconda” and “Starships.” She has been nominated for 12 Grammy Awards over the course of her career.

In 2018, Minaj was one of several celebrities condemning Trump’s zero-tolerance immigration policy that split more than 5,000 children from their families at the Mexico border. Back then, she shared her own story of arriving to the country at 5 years old, describing herself as an “illegal immigrant.”

“This is so scary to me. Please stop this. Can you try to imagine the terror & panic these kids feel right now?” she posted then on Instagram.

On Sunday on stage with Erika Kirk, Minaj said, “it’s OK to change your mind.”

Read More

Continue Reading

The Dictatorship

Trump’s first year back in office has been a roller coaster for clean energy

Published

on

Trump’s first year back in office has been a roller coaster for clean energy

There were some highs amid a lot of lows in a roller coaster year for clean energy as President Donald Trump worked to boost polluting fuels while blocking wind and solaraccording to dozens of energy developers, experts and politicians.

Surveyed by The Associated Press, many described 2025 as turbulent and challenging for clean energy, though there was progress as projects connected to the electric grid. They said clean energy must continue to grow to meet skyrocketing demand for electricity to power data centers and to lower Americans’ utility bills.

Solar builder and operator Jorge Vargas said it has been “a very tough year for clean energy” as Trump often made headlines criticizing renewable energy and Republicans muscled a tax and spending cut bill through Congress in July that dramatically rolled back tax breaks for clean energy.

“There was a cooldown effect this year,” said Vargas, cofounder and CEO of Aspen Power. “Having said that, we are a resilient industry.”

Plug Power president Jose Luis Crespo said the developments — both policy recalibration and technological progress — will shape clean energy’s trajectory for years to come.

Energy policy whiplash in 2025

Much of clean energy’s fate in 2025 was driven by booster Joe Biden’s exit from the White House.

The year began with ample federal subsidies for clean energy technologies, a growing number of U.S.-based companies making parts and materials for projects and a lot of demand from states and corporations, said Tom Harper, partner at global consultant Baringa.

It ends with subsidies stripped back, a weakened supply chain, higher costs from tariffs and some customers questioning their commitment to clean energy, Harper said. He described the year as “paradigm shifting.”

Trump called wind and solar power “the scam of the century” and vowed not to approve new projects. The federal government canceled grants for hundreds of projects.

The Republicans’ tax bill reversed or steeply curtailed clean energy programs established through the Democrats’ flagship climate and health care bill in 2022. Wayne Winegarden, at the Pacific Research Institute think tank, said the time has come for alternative energy to demonstrate viability without subsidies. ( Fossil fuels also receive subsidies.)

Many energy executives said this was the most consequential policy shift. The bill reshaped the economics of clean energy projects, drove a rush to start construction before incentives expire and forced developers to reassess their strategies for acquiring parts and materials, Lennart Hinrichs said. He leads the expansion of TWAICE in the Americas, providing analytics software for battery energy storage systems.

Companies can’t make billion-dollar investments with so much policy uncertainty, said American Clean Power Association CEO Jason Grumet.

Consequently, greenhouse gas emissions will fall at a much lower rate than previously projected in the U.S., said Brian Murray, director of the Nicholas Institute for Energy, Environment and Sustainability at Duke University.

A worker does checks on battery storage pods at Orsted's Eleven Mile Solar Center lithium-ion battery storage energy facility Feb. 29, 2024, in Coolidge, Ariz. (AP Photo/Ross D. Franklin, File)

A worker does checks on battery storage pods at Orsted’s Eleven Mile Solar Center lithium-ion battery storage energy facility Feb. 29, 2024, in Coolidge, Ariz. (AP Photo/Ross D. Franklin, File)

Still, solar and battery storage are booming

Solar and storage accounted for 85% of the new power added to the grid in the first nine months of the Trump administration, according to Wood Mackenzie research.

That’s because the economics remain strong, demand is high and the technologies can be deployed quickly, said Mike Hall, CEO of Anza Renewables.

Solar energy company Sol Systems said it had a record year as it brought its largest utility-scale project online and grew its business. The energy storage systems company CMBlu Energy said storage clearly stands out as a winner this year too, moving from optional to essential.

“Trump’s effort to manipulate government regulation to harm clean energy just isn’t enough to offset the natural advantages that clean energy has,” Democratic U.S. Sen. Sheldon Whitehouse said. “The direction is still all good.”

The Solar Energy Industries Association said that no matter the policies in Washington, solar and storage will grow as the backbone of the nation’s energy future.

Nuclear and geothermal had a good year, too

Democrats and Republicans have supported investing to keep nuclear reactors online, restart previously closed reactors and deploy new, advanced reactor designs. Nuclear power is a carbon-free source of electricity, though not typically labeled as green energy like other renewables.

“Who had ‘restart Three Mile Island’ on their 2025 Bingo card?” questioned Baringa partner David Shepheard. The Pennsylvania plant was the site of the nation’s worst commercial nuclear power accident, in 1979. The Energy Department is loaning $1 billion to help finance a restart.

The base of a cooling tower at Constellation's nuclear power plant stands on Three Mile Island near Middletown, Pa., June 25, 2025. (AP Photo/Stephanie Scarbrough, File)

The base of a cooling tower at Constellation’s nuclear power plant stands on Three Mile Island near Middletown, Pa., June 25, 2025. (AP Photo/Stephanie Scarbrough, File)

Everyone loves nuclear, said Darrin Kayser, executive vice president at Edelman. It helps that the technology for small, modular reactors is starting to come to fruition, Kayser added.

Benton Arnett, a senior director at the Nuclear Energy Institute, said that as the need for clean, reliable power intensifies, “we will look back on the actions being taken now as laying the foundation.”

The Trump administration also supports geothermal energy, and the tax bill largely preserved geothermal tax credits. The Geothermal Rising association said technologies continue to mature and produce, making 2025 a breakthrough year.

Offshore wind had a terrible year

Momentum for offshore wind in the United States came to a grinding halt just as the industry was starting to gain traction, said Joey Lange, a senior managing director at Trio, a global sustainability and energy advisory company.

Wind turbines operate at Vineyard Wind 1 offshore wind farm off the coast of Massachusetts, July 19, 2025. (AP Photo/Carolyn Kaster, File)

Wind turbines operate at Vineyard Wind 1 offshore wind farm off the coast of Massachusetts, July 19, 2025. (AP Photo/Carolyn Kaster, File)

The Trump administration stopped construction on major offshore wind farmsrevoked wind energy permits and paused permitting, canceled plans to use large areas of federal waters for new offshore wind development and stopped federal funding for offshore wind projects.

That has decimated the projects, developers and tech innovators, and no one in wind is raising or spending capital, said Eric Fischgrund, founder and CEO at FischTank PR. Still, Fischgrund said he remains optimistic because the world is transitioning to cleaner energy.

More clean energy needed in 2026

An energy strategy with a diverse mix of sources is the only way forward as demand grows from data centers and other sources, and as people demand affordable, reliable electricity, said former Democratic Sen. Mary Landrieu. Landrieu, now with Natural Allies for a Clean Energy Future, said promoting or punishing specific energy technologies on ideological grounds is unsustainable.

Experts expect solar and battery storage to continue growing in 2026 to add a lot of power to the grid quickly and cheaply. The market will continue to ensure that most new electricity is renewable, said Amanda Levin, policy analysis director at the Natural Resources Defense Council.

Hillary Bright, executive director of Turn Forward, thinks offshore wind will still play an important role too. It is both ready and needed to help address the demand for electricity in the new year, which will become increasingly clear “to all audiences,” she said. Turn Forward advocates for offshore wind.

That skyrocketing demand “is shaking up the political calculus that drove the administration’s early policy decisions around renewables,” she said.

BlueWave CEO Sean Finnerty thinks that states, feeling the pressure to deliver affordable, reliable electricity, will increasingly drive clean energy momentum in 2026 by streamlining permitting and the process of connecting to the grid, and by reducing costs for things like permits and fees.

Ed Gunn, Lunar Energy’s vice president for revenue, said the industry has weathered tough years before.

“The fundamentals are unchanged,” Gunn said, “there is massive value in clean energy.”

___

The Associated Press’ climate and environmental coverage receives financial support from multiple private foundations. AP is solely responsible for all content. Find AP’s standards for working with philanthropies, a list of supporters and funded coverage areas at AP.org.

Read More

Continue Reading

Trending