The Dictatorship
There’s one way to stop the spread of measles — vaccinations
I’ve been a pediatrician for 20 years. When I learned how to take a pediatric patient’s history, I was taught to ask parents: “Are your child’s immunizations up to date?” At the beginning of my career I’d already be writing down the answer “yes,” without hesitation or uncertainty. Now when I ask that question, I brace myself.
Right now, a measles outbreak is surging in my home state of South Carolina, where there are already more than 900 confirmed casesmost of them unvaccinated children, with hundreds in quarantine and more exposures being reported daily.
That’s hundreds of parents missing work. Kids missing weeks of school. Newborns, seniors and the immunocompromised being forced to gamble their health on their neighbors’ choices. Hospitals and health centers bracing for what comes next.
This was all preventable, and we need to be honest about how we got here.

We have an incredibly safe and effective vaccine for measles. One of the reasons scientists worked with urgency to develop the measles vaccine was because of how contagious the virus is, far more contagious than the flu or Covid-19. Every person with measles infects 20 other people, on average. Someone with measles can walk into a room, cough and leave, and the virus can still be alive in that room for hours. This is why measles doesn’t “fade out” on its own. It spreads like wildfire when community immunity drops.
So no, measles doesn’t spread like this just because a virus is good at its job. It spreads when the systems meant to protect families get replaced with noise, doubt, lies and deliberate confusion.
At the highest levels of our federal government, we have watched medical expertise get shoved aside while conspiracy theories get promoted. The message Americans keep getting is that expertise is suspect, that doubt is bravery and that your Facebook feed is just as good as your doctor’s advice. When the people at the top signal that science is subjective, confusion becomes contagious.
That message has consequences. It becomes the air people breathe. It shapes what a parent believes about vaccinations as they scroll their social media feed in the preschool pickup line. It erodes trust in medicine and threatens the fabric of our nation’s public health system.
The outbreak isn’t the fault of Health and Human Services Secretary Robert F. Kennedy Jr. alone, but we’re kidding ourselves if we pretend leadership doesn’t matter.
Stop letting politicians play games with public health.
Kennedy has been a leading voice in the anti-vaccine movement for decades, which has led communities across the country to slip below the herd immunity threshold for the prevention of outbreaks of infections like measles. Even if you replaced the name on the door at HHS tomorrow (which a responsible Congress would do), trust doesn’t snap back like a rubber band. It takes years to build and minutes to burn.
And the burn is not theoretical. Just this month, the United States withdrew from the World Health Organization, stepping away from the very kind of coordination that helps countries spot outbreaks early and stop them before they spread. Meanwhile, the world is looking back at us: a nation on the brink of losing elimination status for measles, a disease we fully eliminated in 2000.
We are flirting with the return of an old killer, not because the science changed, not because the virus itself changed, but because our politics did.
I didn’t set out to become a politician. I’m a pediatrician and mom of three, which means I understand deeply what it feels like to be responsible for a tiny human you’d do anything to protect. I know how heavy it is to make decisions in a world that feels more chaotic and less trustworthy by the day. And I understand that when politics is injected into public health, parents’ jobs get harder and children suffer. That is why I stepped up to fight on behalf of America’s children and the families who love them.

So here’s my plea, doctor to country, mother to community.
Stop letting politicians play games with public health. Put scientific expertise back where it belongs: in government, in policy and in the language we use when the stakes are life and death.
If you want to stop measles, you should get vaccinated.
If you want to stop the next iteration of this, you stop rewarding people who profit from confusion. You stop letting unserious leaders turn public health into a culture war. You put serious, qualified people back in the rooms where decisions are made.
Measles doesn’t care who you voted for. It cares whether we protect each other. And we still can.
Dr. Annie Andrews is a pediatrician and mom who has dedicated her career to fighting for a brighter future for all children. She’s running for the U.S. Senate in South Carolina.
The Dictatorship
Trump’s white supremacy refugee policy is in full effect
The United States once prided itself on being the final destination of people around the world seeking refuge from war and strife. The State Department reports that America has welcomed a total of more than 3.1 million refugees to its shores since the U.S. refugee program was established in 1980. But President Donald Trump has decimated the number of applicants who were granted refugee status — and those who made it through are overwhelmingly the beneficiaries of an insidious shift in policy to favor white South Africans.
Of the 4,999 refugees admitted, 4,496 were from South Africa; the remaining three newcomers were from Afghanistan.
Last November, the Trump administration announced it would be putting the lowest cap on the number of refugees that would be admitted in the refugee program’s decadeslong history. Only 7,500 applicants will be provided refugee status in fiscal 2026. That’s a 94% drop from the 125,000 cap the Biden administration had in place for each of the two fiscal years before Trump’s second term began.
The latest numbers from the State Department’s Bureau of Population, Refugees, and Migration only add insult to injury. As of March 31, there have been 4,499 refugees admitted to the U.S., more than half the annual cap. Of those, 4,496 were from South Africa; the remaining three newcomers were from Afghanistan.
“The largest share of South African refugees — over 500 — have arrived in Texas, followed by Florida and California,” The Christian Science Monitor reported last week. The bureau’s data doesn’t include race or ethnicity. But the memo in the Federal Register establishing the 7,500-person cap also required that those slots “primarily be allocated among Afrikaners from South Africa … and other victims of illegal or unjust discrimination in their respective homelands.” It’s no great leap then to presume the South African arrivals this year are all white.
While Trump’s war on undocumented immigrants has hogged the spotlight since January 2025, the administration’s campaign against legal immigration has been no less pernicious. The White House’s chief anti-immigration hard-linerdeputy chief of staff Stephen Millerhas been busy both removing protections for those who have already made it to the U.S. and discouraging those who are hoping to gain entry.

The Guardian reported last fall that Miller, who is also the White House homeland security adviser, has made significant inroads into influencing operations at Foggy Bottom. A top anti-immigration ally, Christopher Landau, is second-in-command at the State Department. Much like his past calls haranguing Department of Homeland Security staffers about deportations and arrests, Miller has also reportedly instated daily calls “to drill the diplomats on visa and immigration issues.”
White South Africans have been one major loophole to Miller’s immigration gatekeeping. Trump has been yelling about the supposed plight of the country’s minority for years now, buying fully into far-right claims that a “genocide” is being carried out against Afrikaner farmers. The truth is that white farmers control about 75% of the country’s farmland and still make up the vast majority of senior positions in South African corporations. As the Rev. Nontombi Naomi Tutu wrote for MS NOW last year“If white South Africans are experiencing genocide, then it is truly an enviable genocide.”
Concerned for white South Africans’ imagined hardship, in the face of a new law that replaced an apartheid-era ruleTrump issued an executive order in February 2025 cutting off foreign aid to South Africa. He also directed his government to “prioritize humanitarian relief, including admission and resettlement through the United States Refugee Admissions Program, for Afrikaners in South Africa who are victims of unjust racial discrimination.” Three months later, even while busy stripping parolees awaiting asylum claims of their legal status, the first several dozen white South Africans landed in the U.S.
The cruelty of this racist policy is only exacerbated when you consider the compounded effect of the other actions Trump has taken.
The cruelty of this racist policy is only exacerbated when you consider the compounded effect of the other actions Trump has taken. The administration slashed the foreign aid budget to ribbons, leading to a projected spike in deaths worldwide. Thousands of applicants from the Global South who were told to wait in line have been shunted to the back in favor of an unoppressed minority whose skin just happens to be the right color for this administration.
None of this is meant to directly shame the white South African immigrants who have taken advantage of this policy. The opportunity to emigrate to the U.S. is a dream shared by millions across the world, so it is hard to fault them for taking an opportunity when presented to them. Their new communities should welcome them with open arms, as all newly arrived immigrants should be. It’s hard not to hope, however, that there is a twinge of introspection in the back of their minds when they tell the story of how they came to be so fortunate as to find themselves in America.
Hayes Brown is a writer and editor for MS NOW. He focuses on politics and policymaking at the federal level, including Congress and the White House.
The Dictatorship
Peace talks fail after U.S. warships launch risky Strait of Hormuz action
High-stakes peace negotiations between the United States and Iran resulted in failure to end the war early Sunday morning local time in Islamabad after U.S. military warships crossed the Strait of Hormuz in a risky effort to open the waterway.
Vice President JD Vance, who led the U.S. delegation, announced that American negotiators were leaving Pakistan after giving the Iranians their “final and best offer,” which suggested his team had given Tehran a deadline.
“We’ll see if the Iranians accept it,” the vice president said during a brief news conference. U.S. delegates, he said, “could not get to a situation where the Iranians were willing to accept our terms.”
The failure of the face-to-face talks after 21 hours presented President Donald Trump with a stark choice: He can continue negotiations and play for time as part of an effort to stabilize soaring U.S. energy prices and plummeting markets, or he can wage new air strikes to try to reopen the strait by force.
As the two sides met in a marathon session, the U.S. military announced two of its warships had transited the strait and operated in the Persian Gulf as part of a broader operation to clear the vital trade corridor of sea mines that were laid by Iran’s Islamic Revolutionary Guards Corps.
Iranian forces have threatened to fire on ships that try to transit the strait without their permission. There were no immediate reports of Iranian forces firing on the two U.S. Navy destroyers.
Mark Hertling, a former U.S. Army general and MS NOW contributor, said it appeared the Trump administration was “testing Iran” to see whether its forces would dare fire on U.S. ships during peace talks.
Gregory Brew, a senior Iran and energy analyst with the Eurasia Group, a geopolitical risk consulting firm, said the U.S. military move was dangerous but he predicted, “I don’t think the Iranians will fire on them.”
Vance led the highest-level face-to-face meeting between the two warring adversaries since 1979. Parliamentary Speaker Mohammad Bagher Ghalibaf initially said his country would not negotiate unless two key measures — a ceasefire in Lebanon and the release of Iran’s heavily sanctioned assets — were met first.

Sal Mercogliano, a professor at the U.S. Merchant Marine Academy and Campbell University, said the U.S. demining operation was a key step in restoring confidence among oil tanker owners that they can move through the strait safely.
“It is also an effort to alleviate the security concerns of the crews, ships and owners stuck in the Persian Gulf,” said Mercogliano, who criticized the administration for failing to send enough U.S. ships to protect the strait.
The Islamic Republic regime is seeking to retain full sovereignty over the strait — it’s greatest strategic advantage — and has plans to charge oil tankers with hefty fees for safe passage.
A foreign diplomat inside Tehran who is close to the talks being held in Islamabad told MS NOW that Iranians felt as though they had the upper hand.
Experts agreed. Nicole Grajewski, an assistant professorat Sciences Po in Paris and an associate at the Harvard Kennedy School’s Belfer Center, told MS NOW that the Iranian delegation is pleased Vance is leading the talks because they see him as opposing U.S. wars in the Middle East.
“Iran isn’t expecting much but are pleased about Vance,” Grajewski told MS NOW. She said the Iranian delegation is under pressure to secure an agreement regarding Israel’s attacks on Lebanon and she noted that Ghalibaf, a former commander of Iran’s missile forces, is unlikely to agree to reduce Iran’s missile arsenal, a priority for the U.S. and Israel.

Trump said Friday that the U.S. military was readying warships to strike Iran if the negotiations failed.
Iranian officials have demanded that ships each pay a toll of up to $2 millionto pass safely through the strait, which could generate up to $100 billion a year. The revenue would benefit the Islamic Revolutionary Guard Corps, which operates Iran’s ballistic missile arsenal.
Hundreds of ships trying to pass through the strait remain stranded. After announcing the two-week ceasefire, Trump indicated the U.S. would be willing to ease primary and secondary sanctions on Iran. He had previously floated the idea of joining Iran in collecting tolls from vessels in the strait, but later walked those comments back, telling reporters “we’re not gonna let that happen.”
Israeli Prime Minister Benjamin Netanyahu said he instructed the Israeli Cabinet to begin direct negotiations with Lebanon in Washington next week after Trump instructed him to scale back the assault on Lebanon amid U.S.-Iranian negotiations and a temporary cease-fire agreement reached on Tuesday. The deal was struck after Trump threatened to end Iranian civilizationstirring MAGA revolt.
But heavy Israeli strikes have continued in Lebanon. Israel struck more than 200 Hezbollah targets across Lebanon overnight, according to The Associated Press. Pakistani Prime Minister Shehbaz Sharif asked all warring countries to adhere to the ceasefire amid Israel’s continued bombardment of Lebanon and reports earlier this week of Iranian attacks on countries including Qatar, the UAE and Kuwait.
Vance is joined in Islamabad by special envoy Steve Witkoff and Jared Kushner, the president’s son-in-law, along with Andrew Baker, Trump’s deputy national security advisor, and Michael Vance, the vice president’s national security advisor. Ghalibaf is joined by Iranian Foreign Minister Abbas Araghchi.
Julia Jester and Emily Hung contributed to this report.
Sydney Carruth is a breaking news reporter covering national politics and policy for MS NOW. You can send her tips from a non-work device on Signal at SydneyCarruth.46 or follow her work on X and Bluesky.

David Rohde
David Rohde is the senior national security reporter for MS NOW. Previously he was the senior executive editor for national security and law for NBC News.
Jake Traylor is a White House correspondent for MS NOW.
The Dictatorship
U.S. Vice President JD Vance says talks with Iran ended after 21 hours without reaching agreement
ISLAMABAD (AP) — U.S. Vice President JD Vance said negotiations ended early Sunday between the United States and Iran without a peace deal after the Iranians refused to accept American terms to not develop a nuclear weapon.
The high-stakes talks ended after 21 hours, Vance said, with the vice president in constant communication with U.S. President Donald Trump and others in the administration.
“But the simple fact is that we need to see an affirmative commitment that they will not seek a nuclear weapon, and they will not seek the tools that would enable them to quickly achieve a nuclear weapon,” Vance told reporters. “That is the core goal of the president of the United States. And that’s what we’ve tried to achieve through these negotiations.”
The vice president said he spoke with Trump “a half dozen times, a dozen times, over the past 21 hours” and also spoke with Secretary of State Marco Rubio, Treasury Secretary Scott Bessent and Adm. Brad Cooper, head of the United States Central Command.
“We were constantly in communication with the team because we were negotiating in good faith,” Vance said, speaking at a podium in front of a pair of American flags with special envoy Steve Witkoff and Jared Kushner to his side. “And we leave here, and we leave here with a very simple proposal, a method of understanding that is our final and best offer. We’ll see if the Iranians accept it.”
Trump had said he would suspend attacks against Iran for two weeks. Vance’s comments did not indicate what will happen after that time period expires or if the ceasefire will remain in place.
War enters seventh week
The historic talks ended days after a fragile, two-week ceasefire was announced, as the warthat has killed thousands of people and shaken global markets entered its seventh week. Two Pakistani officials said discussions between the heads of the delegations will resume after a break.
Some technical personnel from both teams are still meeting, said the officials, who spoke on condition of anonymity because they were not authorized to brief the press.
Meanwhile, the U.S. military said two destroyers transited the Iran-gripped Strait of Hormuzahead of mine-clearing work, a first since the war began. Iran’s state media, however, said the joint military command denied that.
“We’re sweeping the strait. Whether we make a deal or not makes no difference to me,” Trump told journalists as talks continued and the time approached 2 a.m. in Islamabad. He called negotiations “very deep.” Iranian state TV noted what it called “serious” differences.
The U.S. delegation led by Vanceand the Iranian one led by Parliament Speaker Mohammad Bagher Qalibafdiscussed with Pakistan how to advance the ceasefire already threatened by deep disagreements and Israel’s continued attacks against the Iranian-backed Hezbollah in Lebanonwhose health ministry said the death toll has surpassed 2,000.
Since the Islamic Revolution in Iran in 1979, the most direct U.S. contact had been in 2013 when President Barack Obama called newly elected President Hassan Rouhani to discuss Iran’s nuclear program. Obama’s secretary of state, John Kerry, and counterpart Mohammad Javad Zarif later met during negotiations toward the 2015 Iran nuclear deal — a process that lasted well over a year.
Now the far broader talks feature Vance, a reluctant to defendof the war who has little diplomatic experience and warned Iran not to “try and play us,” and Qalibaf, a former commander with Iran’s powerful Revolutionary Guard who has issued some of Iran’s most fiery statements since fighting began.
Iran sets ‘red lines’ including compensation for strikes
Iran’s state-run news agency said the three-party talks began after Iranian preconditions, including a reduction in Israeli strikes on southern Lebanon, were met.
Iran’s delegation told state television it had presented “red lines” in meetings with Pakistani Prime Minister Shehbaz Sharif, including compensation for damage caused by U.S.-Israeli strikes that launched the war on Feb. 28 and releasing Iran’s frozen assets.
The war has killed at least 3,000 people in Iran, 2,020 in Lebanon, 23 in Israel and more than a dozen in Gulf Arab states, and caused lasting damage to infrastructure in half a dozen Middle Eastern countries. Iran’s grip on the Strait of Hormuz has largely cut off the Persian Gulf and its oil and gas exports from the global economy, sending energy prices soaring.
Reflecting the high stakes, officials from the region said Chinese, Egyptian, Saudi and Qatari officials were in Islamabad to indirectly facilitate talks. The officials spoke on condition of anonymity to discuss the sensitive matter.
In Tehran, residents told The Associated Press they were skeptical yet hopeful after weeks of airstrikes left destruction across their country of some 93 million people.
“Peace alone is not enough for our country because we’ve been hit very hard, there have been huge costs,” 62-year-old Amir Razzai Far said.
In his strongest words yet, Pope Leo XIV denouncedthe “delusion of omnipotence” fueling the war.
US sending forces to help mine-clearing on the strait
Iran’s closure of the Strait of Hormuz has proved its biggest strategic advantage in the war. Around a fifth of the world’s traded oil had typically passed through on over 100 ships a day. Only 12 have been recorded transiting since the ceasefire.
On Saturday, Trump said on social media that the U.S. had begun “clearing out” the strait.
“Today, we began the process of establishing a new passage and we will share this safe pathway with the maritime industry soon,” U.S. Central Command commander Adm. Brad Cooper later said. The U.S. statement about the destroyers added: “Additional U.S. forces, including underwater drones, will join the clearance effort in the coming days.”
Iranian Foreign Minister Abbas Araghchi had said Tehran was entering negotiations with “deep distrust” after strikeson Iran during previous talks. Araghchi, part of Iran’s delegation in Pakistan, said Saturday that his country was prepared to retaliate if attacked again.
Iran’s 10-point proposal ahead of the talks called for a guaranteed end to the war and sought control over the Strait of Hormuz. It included ending fighting against Iran’s “regional allies,” explicitly calling for a halt to Israeli strikes on Hezbollah.
The United States’ 15-point proposal includes restricting Iran’s nuclear program and reopening the strait.
Israel and Lebanon will have direct negotiations
Israel pressed ahead with strikes in Lebanon after saying there is no ceasefire there. Iran and Pakistan have disagreed.
Negotiations between Israel and Lebanon are expected to begin Tuesday in Washington, Lebanese President Joseph Aoun’s office has said, after Israel’s surprise announcement authorizing talksdespite the countries lack of official relations.
But as thousands in Lebanon protested the planned negotiations on Saturday, Prime Minister Nawaf Salam said he had postponed a planned trip to Washington “in light of the current internal circumstances.” His absence should not affect talks as the first round is expected to be at the ambassadorial level.
Israel wants Lebanon’s government to assume responsibility for disarming Hezbollah, much like was envisaged in a November 2024 ceasefire. But the militant group has survived efforts to curb its strength for decades.
Hezbollah joined the war in support of Iran in the opening days. Israel followed with airstrikes and a ground invasion.
The day the Iran ceasefire deal was announced, Israel pounded Beirut with airstrikeskilling more than 300 people in the deadliest day in Lebanon since the war began, according to the country’s Health Ministry.
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