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The Dictatorship

Trump pulls nomination for surgeon general nominee Casey Means

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Trump pulls nomination for surgeon general nominee Casey Means

WASHINGTON (AP) — President Donald Trump said Thursday he’s nominating radiologist and former Fox News Channel contributor Dr. Nicole Saphier for surgeon general after Dr. Casey Means’ path forward stalled in the Senate over questions about her experience and her stance on vaccines.

In a social media post, Trump said he would nominate Saphier, whom he called “a STAR physician who has spent her career guiding women facing breast cancer through their diagnosis and treatment.” Health Secretary Robert F. Kennedy Jr. complimented the nomination, calling Saphier “a long-time warrior for the MAHA movement.”

But at least in one instance, she hasn’t been in lockstep with Trump’s thoughts on health policy, telling The Associated Press in September that his cautions about pregnant women taking Tylenol were oversimplistic and “patronizing.”

Means’ withdrawal came after her tense exchanges with lawmakers of both parties threw into question whether she could secure enough votes to advance out of the Senate health committee.

Ranking member Sen. Bernie Sanders I-Vt. questions Dr. Casey Means during a Senate Health, Education Labor and Pension Committee confirmation hearing for U.S. Surgeon General on Capitol Hill Wednesday, Feb. 25, 2026, in Washington. (AP Photo/Tom Brenner)

Ranking member Sen. Bernie Sanders I-Vt. questions Dr. Casey Means during a Senate Health, Education Labor and Pension Committee confirmation hearing for U.S. Surgeon General on Capitol Hill Wednesday, Feb. 25, 2026, in Washington. (AP Photo/Tom Brenner)

In an interview Thursday, Means said her nomination fell apart after a “yearlong smear campaign against me,” which she said was a larger effort to impugn the MAHA movement and its focus on reforming food and healthcare.

She said she will continue to “help with progress on this movement how I can.”

Means pitched ideas popular with MAHA

In nominating Means last May, Trump sought to hire a close Kennedy ally as the nation’s doctor. The 38-year-old Means, a Stanford-educated physician who became disillusioned with the health care system and pivoted to a career as an author and entrepreneur, promotes ideas popular with the MAHA movement, including that Americans are overmedicalized and that diet and lifestyle changes should be at the center of efforts to end widespread chronic disease.

But Means, who did not finish her surgical residency program and doesn’t currently have an active medical license, also had faced scrutiny for her lack of experience and potential conflicts. On top of those concerns, senators grilled her in February about Kennedy’s effort to pull back vaccine recommendations — leading to some contentious moments as Means toed the line between support for vaccines and calling them a decision best made by patients and their doctors.

In her confirmation hearing, Means was repeatedly asked about the birth dose of the hepatitis B vaccine, which the U.S. Centers for Disease Control and Prevention stopped recommending for all children late last year in a move criticized by scientific and medical groups nationwide and currently blocked during a lawsuit. Means has raised doubts about the birth dose, posting on social media in 2024 that giving the vaccine to a newborn whose parents don’t have hepatitis B was “absolute insanity.”

Dr. Casey Means takes her seat at the start of a Senate Health, Education Labor and Pension Committee confirmation hearing for U.S. Surgeon General on Capitol Hill, Feb. 25, 2026, in Washington. (AP Photo/Tom Brenner, File)

Dr. Casey Means takes her seat at the start of a Senate Health, Education Labor and Pension Committee confirmation hearing for U.S. Surgeon General on Capitol Hill, Feb. 25, 2026, in Washington. (AP Photo/Tom Brenner, File)

Means’ nomination had languished since the late February confirmation hearing, even as activists from the MAHA movement orchestrated a push to support her bid by surging phone calls to Republican senators Lisa Murkowski of Alaska and Susan Collins of Maine. They had both indicated reservations with the pick.

Means told The Associated Press her understanding was that Murkowski wasn’t going to vote for her, and Collins had serious reservations.

“I think there was some talking past each other,” Means said of her conversations with the senators, noting they seemed focused on vaccines when she “wasn’t coming in with any agenda to impact the vaccine conversation.”

In post Thursday, Trump called Means “a strong MAHA Warrior” and also criticized the “intransigence and political games” from GOP Sen. Bill Cassidy of Louisiana, the chair of the Senate health committee, who is facing a tough reelection this year and who interrogated Means about vaccines during the hearing.

Means’ brother, Calley Means, a health adviser to the Trump administration, blamed Cassidy in a social media post, claiming his “constant delay tactics” sank the nomination because he didn’t bring Means’ nomination to a committee vote. Kennedy later piled on with his own post claiming Cassidy “did the dirty work for entrenched interests seeking to stall the MAHA movement.” Cassidy didn’t respond to a request for comment.

Now Trump will try to fill the post a third time

Means is the second U.S. surgeon general pick whose nomination has been withdrawn in Trump’s second term. Trump withdrew his first nominee, Fox News medical contributor Janette Nesheiwat, after questions were raised about her academic credentials.

Saphier is director of breast imaging at Memorial Sloan Kettering Monmouth, according to her profile on the New York-based institution’s website. She has a doctor of medicine degree from Ross University School of Medicine in Barbados along with fellowships at the Mayo Clinic, the profile said.

Like Means, Saphier has questioned whether every child needs to get the hepatitis B vaccine at birth.

“I don’t necessarily think it’s necessary,” she said on a podcast in September. “My opinion is if a woman recently tested negative for hepatitis B and they’re living a low-risk lifestyle, no IV drug use, not a sex worker, they don’t have a hepatitis B positive person living in the home, then the newborn probably doesn’t need this vaccine and we can have a conversation about whether or not they should get the vaccine later in life.”

She also has criticized COVID vaccine booster requirements, arguing on a radio show in September that they were not always rooted in evidence.

Saphier used the phrase “Make America Healthy Again” years before Kennedy popularized it. It was the title of a book she wrote in 2020 that criticized government handling of health care and the Affordable Care Act.

In at least one case, Saphier has diverted from Trump’s medical messaging. Last year, as Trump advised pregnant women, “Don’t take Tylenol” — promoting unproven and in some cases discredited ties between the medication, vaccines and autism — Saphier said that while pregnant women generally are advised to take acetaminophen only under medical supervision, when necessary and at the lowest effective dose, equally important was that untreated fever or severe pain can also pose serious risks to mothers and babies. She noted that part was missing from Trump’s message, delivered at a press conference with top U.S. health officials.

“For decades, women have endured a paternalistic tone in medicine. We’ve moved past dismissing symptoms as ‘hysteria,’” Saphier wrote in an email to the AP at the time. “The President’s recent comments on Tylenol in pregnancy are a prime example. Advising moderation was sound; delivering it in a patronizing, simplistic way was not.”

On a podcast at the time, Saphier said the press conference was “full of hyperbole” and “really painful to watch.”

Saphier did not respond to a request for comment.

___ Kinnard reported from Columbia, S.C.

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The Dictatorship

A new ICE facility could speed up deportations for families and kids

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A new ICE facility could speed up deportations for families and kids

NEW ORLEANS (AP) — The Trump administration plans to open a 528-bed holding facility for migrant families and unaccompanied children next to an airport hub, positioning itself to speed up deportations.

The location in Alexandria, Louisiana, would remove logistical headaches caused by wrangling children from foster homes and shelters across the country and not having anywhere to put them during final preparations for flight. Those obstacles were apparent last year when Guatemalan children were awoken at night and given almost no time to get to Harlingen, Texas, where they waited on an airport tarmac for hours.

A federal judge prevented their deportation, but the chaotic episode illustrated the challenges authorities face because they don’t have anywhere to put families and children near the airport. U.S. Immigration and Customs Enforcement is calling the Alexandria facility a “staging area,” not a detention center, and says people would only be there a few days at most.

However, several immigration advocates expressed concern that children could be held at the new facility for weeks or months, which happened at other federal immigration holding sites. These advocates are also concerned about oversight, and say the facility represents a departure from how the government manages those children.

“It’s an expansion of the deportation system in ways we haven’t seen before,” said Leecia Welch, chief legal counsel at the nonprofit Children’s Rights. “There’s just so much that could go wrong with this facility.”

ICE has tapped a private prison company to run the deportation facility

Unaccompanied children who are in the U.S. without parents or close relatives are not taken to facilities overseen by ICE. Instead, the law says they must be swiftly placed in the care of state-licensed shelters and foster care programs.

Those are run by the Office of Refugee Resettlement in the Department of Health and Human Services. However, that agency isn’t involved in the Alexandria facility’s operation, according to a spokesperson at the airfield where it’s being built.

Instead, the facility would be run by a nonprofit arm of LaSalle Corrections, a private prison contractor, according to Ralph Hennessy, executive director of the England Airpark Authority. He said it could be operational as early as August.

ICE officials signed a contract late last month to build the facility at the former military base near Alexandria International Airport, roughly 175 miles (280 kilometers) northwest of New Orleans, Hennessy said.

It would operate as a 72-hour holding center for migrants awaiting deportation, according to records obtained by The Associated Press.

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Compass Connections, a Texas-based nonprofit that runs shelters for unaccompanied immigrant children, had originally been tapped to help operate the facility and laid out plans during a public presentation in February.

But the company’s president, Sonya Thompson, told the AP last week that it was no longer involved. She did not elaborate.

Officials have said the facility is for ‘self-deporting’ families

In public board meetings, airpark officials said the facility is a “humanitarian effort” for families that are “self-deporting.” Immigration advocates say families and unaccompanied children sometimes make that decision under pressure or because they don’t understand their options.

“These are people that are volunteering to go back home and they’re going back home as a family unit,” Hennessy told the AP.

The facility would sit next to the nation’s largest hub for deportations. More than 4,400 immigration enforcement flights came into and out of the Alexandria International Airport in 2025, according to data from the ICE Flight Monitor, an initiative of Human Rights First. ICE planning documents say families and children at the facility “are in the legal custody of ICE and can only be released at the direction of ICE.”

The agency has instructed contractors that families at the facility cannot be referred to as prisoners, detainees or inmates, records show. The agency ordered contractors to not use bars or cages when transporting families and unaccompanied children. The facility will not be required to engage in headcounts and should allow families to “wear their own clothes,” the agency added.

The private prison company runs other ICE detention centers

Louisiana-based LaSalle Corrections runs a range of private prisons and federal immigration detention centers throughout the South, including the “Louisiana Lockup” inside the state’s maximum-security prison in Angola.

The official contractor for the new ICE holding facility will be the company’s nonprofit arm, the LaSalle Family Foundation. According to its tax recordsthe nonprofit provides chaplain services and educational programming in correctional facilities.

However, LaSalle Corrections itself will be involved in operating the holding facility and ensuring compliance, the company’s chief financial officer, Tim Kurpiewski, wrote in an email reviewed by the AP.

LaSalle spokesperson Scott Sutterfield declined to comment.

The deaths of two detainees have been reported since April at a LaSalle-run ICE facility in the state.

Winn Correctional Center was also found in June to have violated standards governing environmental health and safety, food service, use-of-force, medical care and other subjects, according to the Department of Homeland Security’s Office of Inspector General.

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TRUMP CARD: WORLD CUP CHEATS FOR USA?

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TRUMP CARD: WORLD CUP CHEATS FOR USA?

SEATTLE (AP) — U.S. President Donald Trump intervened on behalf of star U.S. forward Folarin Balogun, whose red-card suspension was lifted in a decision that allows him to play in a World Cup match against Belgium on Monday.

A single red card can completely change a World Cup match. Here’s why it’s the most feared punishment in soccer. Produced by Nandini Gupta

Balogun, the American leader with three goals in the tournament, received a red card for stepping awkwardly on the right ankle of Tarik Muharemović of Bosnia-Herzegovina in a 2-0 round of 32 win on Wednesday, triggering an automatic one-game suspension.

FIFA announced Sunday that the suspension had been lifted for the round of 16 match, an extraordinary move that triggered praise from Trump and outrage from Belgium’s team. It appeared to be the first time since 1962 that a red card during a World Cup didn’t result in a suspension.

Trump called FIFA president Gianni Infantino after the game asking FIFA review the red card, according to a person familiar with the call who spoke on condition of anonymity because the person was not authorized to speak publicly about the matter.

“Thank you to FIFA for doing what was right, and reversing a great injustice!” Trump said in a statement on social media.

The Royal Belgian Football Association (RBFA) said it was “astonished,” and Belgium coach Rudi Garcia mocked FIFA’s action.

“I didn’t know that in the offices of FIFA the fifth of July was the first of April in Europe,” Garcia said through a translator in an April Fools’ Day comparison. “The Belgian federation does not defend itself, it does not protect the national team. She defends football in general, she defends her integrity, her ethics. I think it’s the first time in the history of the World Cup that there is this kind of decision.”

Garcia wouldn’t respond when asked about a possible appeal to the Court of Arbitration for Sport or whether he thought Trump impacted FIFA’s action.

“In order to safeguard the legitimate rights of all participating teams and to protect the fundamental principles of fair play in our sport, both at this FIFA World Cup and at future editions of the tournament, the RBFA is investigating all potential options,” the Belgian federation said in a statement.

American players learned of Balogun’s availability when social media posts started popping up during the 10-minute bus ride Sunday morning from their hotel to training at the University of Washington’s Husky Soccer Stadium, where they were greeted by Dubs II, the university’s Alaskan Malamute.

Balogun’s red card had been one of the World Cup’s most controversial and consequential decisions. Brazilian referee Raphael Claus didn’t initially signal a card but showed Balogun red after a video review.

“If you look at the foul, it was just zero intent at all,” U.S. star Christian Pulisic said. “I felt like there was much worse ones that went on this tournament.”

The U.S. Soccer Federation learned of FIFA’s action in a message sent by FIFA in its portal at 10:31 a.m. EDT.

“The implementation of the match suspension is suspended for a probationary period of one year,” FIFA announced. “If Folarin Balogun commits another infringement of a similar nature and gravity during the probationary period, the suspension shall be revoked and the sanction enforced without prejudice to any additional sanction imposed for the new infringement.”

U.S. coach Mauricio Pochettino applauded FIFA’s move.

“We were punished enough against Bosnia-Herzegovina to play with 10 men (for) 30 minutes in a decision that was completely unfair,” he said.

Pochettino, who played for Argentina in the 2002 World Cup, was not surprised Trump decided to call Infantino.

“I came from a culture, Argentina or Europe, that football, soccer is a religion, more than the religion,” he said. “If we go keep going, pushing on, maybe one step more tomorrow you will see that the sport is magic, that the sport is amazing, is so powerful, unite people, unite a country like us.”

England coach Thomas Tuchel wondered whether more decisions going forward could be challenged, whether yellow cards could be overturned for England’s Declan Rice and France’s Michael Olise.

“We can now debate endlessly: I think it’s not a yellow card,” he said. “Where does this end? Where does it stop?”

Balogun’s three goals included a go-ahead strike against Bosnia. He matched Landon Donovan in 2010 for the second-most goals by an American in a World Cup, behind only Bert Patenaude’s four in the initial tournament in 1930.

A 25-year-old who plays for Monaco, Balogun scored 13 Ligue 1 goals last season and has 12 goals in 30 international appearances. He was born in Brooklyn to Nigerian parents who were living in London and in 2023 opted to change his national team affiliation from Englandwhich he had represented at the under-21 level.

“He strikes fear into a lot of defenders,” Richards said.

The host U.S. is seeking to reach the quarterfinals for the first time since 2002. The Americans lost in the round of 16 to Ghana in 2010, Belgium in 2014 and the Netherlands in 2022. They failed to advance from the group stage in 2006 and didn’t qualify for the 2018 tournament.

The USSF didn’t make Balogun available for comment Sunday, but Balogun posted on social media a picture of himself in front of U.S. fans and overlaid with music of Michael Jackson’s pop single “Bad.”

On Friday, Balogun said he thought a yellow card instead of red “would have been fair.”

FIFA said its decision relied on Article 27 of disciplinary committee rules.

“The judicial body may decide to fully or partially suspend the implementation of a disciplinary measure,” the rule states. “By suspending the implementation of the sanction, the judicial body subjects the person sanctioned to a probationary period of one to four years.”

FIFA in November deferred the final two games of a three-match ban for Portugal’s Cristiano Ronaldo for a red card against Ireland in a World Cup qualifier, allowing him to play at the start of the World Cup.

Argentine defender Nicolás Otamendi and Ecuadoran midfielder Moisés Caicedo in April had one-game bans deferred for red cards in qualifiers, also allowing them to be available for World Cup openers.

Brazilian midfielder Garrincha received a red card in the 83rd minute of the 1962 semifinal against host Chile for kicking an opponent but was allowed to play in the final against Czechoslovakia after a lobbying campaign that included support from Chile President Jorge Alessandri. Brazil won the final for its second straight title.

“What about the next red card? What happens then?” Norway coach Ståle Solbakken said. “Is there going to be some committee somewhere that is going to take that card away? It’s a bad, bad, bad, bad, bad decision that will hurt the World Cup.”

___

Price reported from Washington, D.C.

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AP Soccer Writer James Robson in Atlanta and AP Sports Writers Andrew Destin in Seattle, Jim Vertuno in Austin, Texas, and Stephen Whyno in East Rutherford, New Jersey, contributed to this report.

___

See more of AP’s World Cup coverage here

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How the White House Rose Garden and its plantings have changed over the past century

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How the White House Rose Garden and its plantings have changed over the past century

President Donald Trump’s two makeovers of the White House Rose Garden, including converting its lawn into a patiohave drawn recent attention to one of the nation’s most iconic gardens.

The garden has seen many changes over the years; presidents and first ladies have planted, removed, redesigned and even fully revamped it. Here’s a look at how the Rose Garden and its plantings have evolved.

Ellen Wilson and then Jackie Kennedy make changes

This undated image provided by the Library of Congress shows the original White House rose garden in Washington, designed by George E. Burnap in 1913 and planted in 1914 during the Woodrow Wilson administration. (Library of Congress via AP)

This undated image provided by the Library of Congress shows the original White House rose garden in Washington, designed by George E. Burnap in 1913 and planted in 1914 during the Woodrow Wilson administration. (Library of Congress via AP)

The Rose Garden was established by President Woodrow Wilson’s wife, Ellen Wilson, who worked closely with landscape architect George Burnap, in 1913. It replaced Edith Roosevelt’s Colonial Garden, planted 11 years earlier. Before that, greenhouses occupied the space.

The original Rose Garden remained close to its roots for nearly half a century until 1961, when President John F. Kennedy and first lady Jacqueline Kennedy brought in their friend and Cape Cod, Massachusetts, neighbor, Rachel “Bunny” Mellon, to oversee a redesign.

Mellon, a horticulture expert, worked closely with landscape architect Perry Wheeler and White House Head Gardener Irwin Williams on plans for the new Rose Garden, aiming to create an outdoor room where press conferences, meetings with dignitaries and ceremonies could be held. It was installed the following year.

The space included an expansive central lawn, inspired by the croquet-match passage in Lewis Carroll’s “Alice in Wonderland,” with magnolia trees planted at each corner. Roses, interplanted with culinary herbs, spring-blooming bulbs, seasonal annuals and young Katherine crabapple trees, flanked the lawn in 12-foot-deep borders.

Since then, the space has hosted many historic events and has become known as a place where presidents deliver important speeches to the American people.

The garden evolves with new plants

Flowers bloom in the rose garden of the White House in Washington on April 19, 1963. (AP Photo/JR)

Flowers bloom in the rose garden of the White House in Washington on April 19, 1963. (AP Photo/JR)

Mellon’s style favored classic, muted tones, reflected in the roses she selected. But the crabapples turned out to be a misstep. As they matured, they became so large that they shaded the sun-loving roses they were intended to complement.

In 2003, some of those trees were removed to allow sunlight to reach the failing roses. Over the years, various perennials were added and replaced. Dying roses were removed, and the remaining trees continued to grow.

Boxwood shrubs bordering the beds became threatened by boxwood blight disease, and the lawn developed drainage issues that prompted frequent replacements.

The remaining trees’ roots had grown so large that it became difficult to plant annuals in the borders without disturbing them. In addition, as walkway repairs became necessary, portions had been replaced, piecemeal, with various slabs.

A 2020 restoration brings new roses and various upgrades

Marine One, with President Barack Obama aboard, is framed by flowers in the Rose Garden of the White House in Washington, on April 9, 2010. (AP Photo/Susan Walsh, File)

Marine One, with President Barack Obama aboard, is framed by flowers in the Rose Garden of the White House in Washington, on April 9, 2010. (AP Photo/Susan Walsh, File)

Then in 2020, first lady Melania Trump commissioned two architectural firms, Perry Guillot, Inc., of Southampton, New York, and Oehme van Sweden & Associates of Washington, D.C., to work with the Committee for the Preservation of the White House and the National Park Service to address those concerns and return the garden to its 1962 aesthetic.

They removed and relocated the remaining crabapple trees, and replaced the dwindling plantings with pastel-colored roses, including the white, tall shrubby “White House Rose,” the cream-colored “JFK Rose,” the white hybrid tea rose “Pope John Paul II,” and the “Peace Rose,” a smaller tea rose with a pale yellow center and light pink edges.

The team also upgraded the garden’s infrastructure, adding electricity for TV appearances and uniform, 36-inch-wide limestone walkways to accommodate wheelchair access and comply with the Americans with Disabilities Act.

The shrubs were replaced with blight-resistant NewGen boxwoods.

Pavers replace the grass

President Donald Trump, far right, joins a luncheon on the patio in the Rose Garden of the White House in Washington on May 8, 2026. (AP Photo/Jacquelyn Martin, File)

President Donald Trump, far right, joins a luncheon on the patio in the Rose Garden of the White House in Washington on May 8, 2026. (AP Photo/Jacquelyn Martin, File)

In 2025, President Trump revamped the space again, this time replacing the central lawn with a white limestone patio. He added solar-powered lighting, tables and umbrellas, and bronze statues of George Washington, Benjamin Franklin and Alexander Hamilton.

He has hosted dinners on the patio, and has called the space the Rose Garden Club.

And on the perimeter, the roses continue to bloom.

___

Jessica Damiano writes regular gardening columns for The Associated Press. She publishes the Weekly Dirt Newsletter. Sign up here for weekly gardening tips and advice.

___

For more AP gardening stories, go to https://apnews.com/hub/gardening.

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