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The Dictatorship

Trump’s IVF announcement was the final blow to one of his wildest campaign promises

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Trump’s IVF announcement was the final blow to one of his wildest campaign promises

During the 2024 presidential campaignPresident Donald Trump claimed he would make in vitro fertilization free for people in the U.S. His official plan, laid out Thursday, should be a wake-up call for anyone who still believed he’d follow through. Instead, the president’s plan primarily focuses on somewhat reducing the cost of IVF — at the same time that the administration is pursuing policies that will increase what people pay for health insurance.

Starting in August 2024 — only after Kamala Harris became the Democratic nominee — Trump began claiming on the campaign trail that he would make IVF free if he won. “Under the Trump administration, we are going to be paying for that treatment,” he told NBC News. At a Michigan event a day later, he claimed: “Your government will pay for — or your insurance company will be mandated to pay for — all costs associated with IVF treatment.”

Any cost savings from IVF drugs could be eaten up by increasing monthly premiums.

Once in office, Trump signed an executive order in February directing aides to submit within 90 days “a list of policy recommendations on protecting IVF access and aggressively reducing out-of-pocket and health plan costs for IVF treatment.” The 90-day deadline came and went. In August, officials admitted to The Washington Post that the administration had no plans to require insurance coverage of IVF but that it would work to lower costs.

On Thursday, the White House announced that the administration will issue guidance to encourage more employers to cover IVF and that it had negotiated with one drug manufacturer and two specialty pharmaciesCVS Specialty and Express Scripts, to lower costs of prescription fertility drugs used in IVF.

To be clear, the guidance does not make insurers cover IVF. Instead, as Sen. Elizabeth Warren put itthe White House’s idea is to “politely ask companies to add IVF coverage out of the goodness of their own hearts — with zero federal investment and no requirement for them to follow through.” And while 60% of people under 65 have insurance through their jobs, that leaves the remaining 40% who either have public coverage, buy their own plans or go without insurance.

And while getting lower prices for some IVF medications is certainly a good thing, it won’t make the treatment affordable for most people who pay out of pocket for fertility services. That’s because drugs are not the main source of IVF costs, which can run about $15,000 to $20,000 per cycle and include lab visits, genetic testing and an embryo transfer procedure. Per the White House’s own fact sheet, the prescription drugs needed to complete the process make up about 20% of that cost. The administration suggested that, with new discounts, people could save up to $2,200 on the drugs per cyclebut that would still leave people with bills of more than $10,000.

“The Federal government has the power to meaningfully improve IVF access, but the recommendations it announced [Thursday] are not nearly enough,” said Center for Reproductive Rights President Nancy Northup in a statement. Sean Tipton, chief advocacy and policy officer at the American Society for Reproductive Medicine, told The New York Times: “I think it is a whole lot less than he promised in the campaign.”

To make matters worse, Trump announced this plan on Day 16 of a government shutdown, in which a central issue is Republicans’ refusal to extend enhanced subsidies for people who buy their own insurance on the Obamacare marketplace. That means any cost savings from IVF drugs could be eaten up by increasing monthly premiums — if people can afford to purchase health insurance at all.

Even though Trump’s plan doesn’t mandate IVF coverage, anti-abortion leaders were not pleased.

And insurance costs are expected to increase even for people with other kinds of health plans, thanks to the GOP budget law that passed this summer. The bill is designed to kick millions of people off Medicaid, which will result in hospitals taking on more “uncompensated care.” Health policy experts warn that hospitals will raise their rates as a result, and that will increase costs for everyone across the country.

If Trump wanted to require insurers to cover IVF, he could back a bill sponsored by Sen. Tammy Duckworth, D-Ill., a combat veteran who welcomed two children through IVF. Her Right to IVF Act would create a right to access fertility services, including IVF, and would require employer-sponsored plans and public insurance including Medicaid and military TRICARE plans to cover the treatments. Republicans blocked Duckworth’s bill twice in 2024.

Instead, Thursday’s announcement was another example of Trump trying to appease voters who supported him on a pledge to lower costs while also attempting to mollify religious conservatives who strongly oppose abortion and IVF. But even though Trump’s plan doesn’t mandate coverage, anti-abortion leaders were not pleased. Many in that movement oppose IVF because they believe life begins at fertilization and the treatment involves the creation of multiple embryos, genetic testing and routine destruction and storage.

Kristan Hawkins, president of Students for Life, wrote on social media“I’m thankful there’s no new healthcare mandate forcing coverage for the destructive IVF industry, but IVF, as it’s practiced, still destroys countless humans in the embryonic stage.” Hawkins said it was the “second disappointment in two weeks from his team,” referring to the FDA’s approval of a new generic version of the abortion drug mifepristone. Live Action founder Lila Rose was more critical, claiming after Trump’s announcement that “IVF kills more babies than abortion — millions of embryos are frozen, discarded, or destroyed.”

At a press conference Thursday, Trump claimed to be unaware of anti-abortion opposition to IVF. “I’m just looking to do something because, you know, pro-life,” he said. “I think this is very pro-life. You can’t get more pro-life than this.”

It’s worth remembering that Trump only took up the IVF issue during the 2024 campaign after the Alabama Supreme Court ruled that IVF embryos can be considered children for the purposes of wrongful death lawsuits. Trump had repeatedly bragged about nominating three of the Supreme Court justices who helped overturn Roe v. Wade, but that ruling allowed states and judges (like in Alabama) to define life as beginning at fertilizationlimiting access to fertility treatments. Trump didn’t want to be associated with those consequences, so he criticized the ruling — and once Harris entered the race, he made his wild promises. Some voters believed him.

And now here we are with a plan that falls far short of his pledges, barely makes a dent in affordability, and has still angered conservatives. As is so often the case with Trump, everyone loses while he claims victory.

SUSPAN goals

Susan Rinkunas is an independent journalist and co-founder of Autonomy News. Her work has appeared in Jezebel, The New Republic, The Guardian, Slate, The Nation and more.

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The Dictatorship

Polymarket cuts ties with George Santos as regulators probe trades

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Polymarket cuts ties with George Santos as regulators probe trades

NEW YORK (AP) — The online prediction platform Polymarket is ending its paid relationship with George Santos as federal regulators investigate whether the former congressman illegally bet against his own attendance at President Donald Trump’s State of the Union.

Santos placed the bets on another prediction marketplace, Kalshi, after publicly announcing his intention to be at the Feb. 24 speech, according to a person familiar with the investigation. He later blamed a delayed flight for missing the event.

The suspicious trades were detected by Kalshi and referred to the Commodities Futures Trading Commission, a federal regulator that has opened a probe into Santos for possible insider trading, according to a second person familiar with the investigation.

Both spoke to The Associated Press on the condition of anonymity because they were not authorized to discuss the matter publicly.

Santos was released from federal prison last October after Trump granted him clemency in a fraud case.

By the time of the State of the Union address, four months later, he was already working in an influencer capacity for Polymarket, using his substantial online platform to promote the controversial brand.

In response to an inquiry from the AP, a Polymarket spokesperson said the company was in the process of terminating the contract as a result of this week’s revelations.

Santos did not respond to phone calls and text messages from the AP. He wrote on social media Wednesday that the allegation was “preposterous,” adding that his legal team was in touch with the Justice Department.

On his podcast, “Doing Time with George Santos,” the former congressman has suggested that prediction markets are “easily manipulable,” and rife with abuse.

“There’s definitely some space for speculation. There will be investigations. There will be scrutiny,” he said in March. “I just want to make sure that people understand: It is not straightforward. It is not a crime to do prediction market. I don’t think people should be taking this seriously.”

The financial regulator overseeing prediction markets, meanwhile, has pledged to take the issue of insider trading “extremely seriously.”

“There is a myth in the mainstream media and social media that insider trading law doesn’t apply in the prediction markets. That is wrong,” David Miller, the director of enforcement at CFTC, said during a recent talk at New York Law School. “Insider trading in the prediction markets — where there is misappropriated information — is precisely the kind of serious violation that we are going after vigorously.”

That pledge comes as the Trump administration has thrown its support behind the prediction market operators and is actively suing states that have tried to regulate them. The president’s son, Donald Trump Jr., has invested in Polymarket through his venture capital firm and is a strategic advisor for Kalshi. And the CFTC has faced allegations of maintaining a friendly posture toward the industry it is meant to regulate.

Still, some bets have not escaped federal scrutiny.

Last week, prosecutors charged a Google engineer who allegedly used the company’s 2025 “Year in Search” data, before it was published, to enter Polymarket wagers about the most searched people of last year.

A spokesperson for Polymarket said the company had worked closely with the CFTC, along with federal prosecutors, ahead of the insider trading charges.

Experts said Santos’s own alleged actions didn’t appear to meet the same threshold for insider trading, since they would not have been based on stolen information. But the bets — coupled with his public statements — may run afoul of other financial laws.

“What he’s accused of sounds a lot more like market manipulation than insider trading,” said Todd Phillips, the director at Klaros Group and a former Georgia State University professor who has written extensively about prediction market regulation.

The federal regulator could also bring a civil action against Santos, potentially resulting in a steep fine and a ban from trading, he noted. But the rapid rise of online betting platforms has meant there are few similar cases to draw from.

“We didn’t have examples of people trading on contracts involving themselves. That is new, and it allows people to change their behavior in order to profit,” Phillips said. “Until pretty recently, the question of George Santos being at the State of the Union was not something that had ever been traded before.”

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Associated Press reporter Larry Neumeister in New York contributed to this report

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USTR proposing new tariffs of at least 10% for most trading partners

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USTR proposing new tariffs of at least 10% for most trading partners

WASHINGTON (AP) — President Donald Trump is in a hurry to rebuild the tariff wall the Supreme Court tore down less than four months ago.

The administration this week has proposed slapping double-digit tariffs on products from dozens of major U.S. trading partners after an investigation into imports of goods allegedly made with forced labor. And more tariffs are likely coming.

Under the proposal released in Washington late Tuesday, 16 economies — including Canada, Mexico, the European Union, Taiwan and the United Kingdom — would face 10% levies for allegedly failing to enforce bans on forced labor. Another 44 trading partners — including China, Japan, India, South Korea and Switzerland — would be hit with 12.5% import taxes.

The tariffs are part of Trump’s push to replace revenue lost when the U.S. Supreme Court struck down sweeping global tariffs he’d imposed last year. This latest barrage is likely to unsettle key trading partners that have been hit with waves of tariffs since Trump returned to the White House early last year.

“The failure of our most important trading partners to address the importation of goods made with forced labor is unacceptable,” U.S. Trade Representative Jamieson Greer said in a statement. “This creates a dynamic where American workers are forced to compete globally on an unlevel playing field.’’

Greer’s office said failure to prevent such imports is “unreasonable and burdens or restricts U.S. commerce.”

Trump’s tariffs are paid by U.S. importers who usually try to pass along those higher costs to customers.

The administration, mindful that Americans are growing increasingly unsettled by high prices with midterm elections just months away, said that it would limit the impact by exempting from the latest proposed tariffs a long list of products, including aircraft parts, food products (from coffee to beef) and rare earth minerals crucial in the production of smartphones and cars. Also spared would be products from Canada and Mexico covered by a North American trade pact.

The new tariffs would not take effect immediately. They are subject to public comment and review. Public hearings on the proposed duties are due to begin on July 7.

The plan drew immediate pushback. A Chinese government spokesperson denied the forced labor allegation and called for resolving economic issues through dialogue, saying a trade war doesn’t serve anyone’s interests.

“There is no such thing as forced labor in China, and we oppose using it as an excuse to engage in political manipulation,” Foreign Ministry spokesperson Mao Ning said in Beijing.

The U.S. has long said imports of goods that include material from China’s far-western Xinjiang are at risk of using forced labor. Beijing denies allegations of forced labor in the Muslim majority region.

But critics saw the proposed tariffs as a pretext to reinstate tariffs on dozens of countries across the globe that hadn’t passed legal muster.

“Accusing EU of not doing enough against forced labour is absurd,″ Bernd Lange, chair of the European Parliament’s trade committee, posted on social media. “The EU has adopted the world’s most stringent rules against products made with forced labour. This looks very much like trying to make the facts fit a legal justification for tariffs that has already been decided.″

The new maneuver shows how determined the Trump administration is about keeping a wall of tariffs around the American economy, the world’s largest, despite repeated setbacks in court.

In February, the Supreme Court ruled that Trump had overstepped his authority by invoking the 1977 International Emergency Economic Powers Act (IEEPA) to impose double-digit tariffs on almost every country on Earth last year. The justices struck down the tariffs and set the stage for companies who paid them to seek refunds.

After the loss in court, Trump turned to another law to impose temporary 10% tariffs globally. But those stopgap levies expire July 24. And a specialized trade court ruled last month that they, too, were illegal – though the government can continue collecting them while that case works its way through the courts.

Trump’s tariffs have provided tens of billions of dollars in revenue for a federal government that persistently spends more than it collects in taxes. He had been counting on the IEEPA tariffs to make up for some of the revenue lost to his massive 2025 tax cuts.

But tariff collections have begun to fall since the legal defeats. They peaked at more than $31 billion last October but were down to $22 billion in both March and April of this year, according to the Treasury Department.

Trump and Treasury Secretary Scott Bessent have vowed to replace the lost revenue. And they’ve turned to a legal authority that has withstood legal challenges in the past: Section 301 of Trade Act of 1974, which authorizes tariffs and other sanctions against countries found to engage in “unjustifiable,” “unreasonable” or “discriminatory” trade practices. Trump used Section 301 to impose big tariffs on China in his first term.

“What’s somewhat brilliant about this way of approaching 301 is that politically it’s very hard to argue that you shouldn’t go after forced labor and force countries to enforce forced labor laws on the books,’’ said trade lawyer Ryan Majerus, a partner at King & Spalding and a former U.S. trade official.

Canadian Prime Minister Mark Carney said his government will soon introduce legislation on forced labor in supply chains. “Canada has a very strong legislative regime against forced labor in supply chains,” Carney told reporters in Ottawa. “We don’t want any element of forced labor coming in goods and services, and we want to use our influence to eliminate this practice of forced labor and child labor.”

In its nearly 100-page report on forced labor, the USTR said that even if a country enforces a ban on forced labor domestically, importing goods made with forced labor violates the rules of fair trade.

Majerus expects to the new tariffs to be ready by the time the temporary ones expire next month. “The USTR is under enormous pressure to make sure there’s no gap (in tariff revenue), probably from the White House,’’ he said. ”I’m confident, based on the schedule they’re on now, that they will have these done and ready to implement.’’ He noted that the investigation on forced labor is “working at about two times the normal speed’’ of typical 301 cases.

The administration is also pursuing a Section 301 case into whether 16 U.S. trading partners (accounting for 70% of U.S. imports) — including China, the EU and Japan — are overproducing goods, driving down prices and putting U.S. manufacturers at a disadvantage.

And on Monday the administration proposed 25% Section 301 tariffs on Brazilcharging that the world’s 10th-biggest economy with “unreasonable’’ trade practices including lax anti-corruption enforcement and unfair tariffs of its own.

Tuesday’s report defined forced labor as “work or service exacted from a person under the menace of any penalty for its nonperformance and for which the worker does not offer himself voluntarily.”

It cited an estimate by the UN’s International Labor Organization that as of 2021, 27.6 million people were engaged in forced labor.

Rice imported from Myanmar, tobacco from Malawi, beef from Brazil, and cotton and polysilicon from China were among the many products it said are prone to involving forced labor.

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Elaine Kurtenbach reported from Bangkok.

Rob Gillies in Toronto contributed to this story.

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AP source says George Santos reported to prosecutors over suspicious Kalshi trades

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AP source says George Santos reported to prosecutors over suspicious Kalshi trades

NEW YORK (AP) — A prediction market reported former U.S. Rep. George Santos to federal prosecutors after he boasted he’d be going to President Donald Trump’s State of the Union address, then bet against his own attendance, according to a person familiar with the investigation.

Kalshithe online prediction marketplace, referred Santos to the Department of Justice after detecting suspicious trades made by him ahead of Trump’s Feb. 24 speech, the person said. The person spoke to The Associated Press on the condition of anonymity because they weren’t authorized to discuss the matter publicly.

Kalshi also reported the trades to the Commodity Futures Trading Commission, a federal regulatory body that has vowed to crack down on insider trading in prediction marketplaces.

The Justice Department and the CFTC didn’t immediately respond Tuesday to inquiries from the AP.

Santos also did not respond to text messages or phone calls.

The referral was first reported by NPR. Santos told NPR that he wasn’t aware of the investigation. He declined to say whether he had a Kalshi account.

“I’m not saying yes, I’m not saying no,” Santos told NPR.

The convicted ex-congressman had repeatedly discussed his intention to attend the State of the Union, which came just four months after he was granted clemency by Trump in a fraud case that led to his expulsion from the U.S. House.

On the eve of Trump’s speech, Kalshi put the odds of Santos attending at close to 75%.

Then, minutes into the speech, Santos posted on X that he had been waylaid at the airport. Immediately, several social media users accused him of running another scheme.

“Santos talking to his accountant and telling him to open his Kalshi account and bet all his money on No,” one user wrotealongside a meme of Al Pacino counting money in the movie Scarface.

In March, Santos addressed the complaints on his podcast.

“I guess people lost money,” he said. “Some people made unexpected money. That’s to show you how fragile these markets are.”

Santos, who won office as a Republican after inventing a bogus persona as a Wall Street dealmaker, was sentenced to seven years in prison after pleading guilty to fraud and identity theft in 2024.

After serving just 84 days, he was ordered released by Trump, who called Santos a “rogue” but said he didn’t deserve a harsh sentence and should get credit for voting Republican.

Prediction markets, including Kalshi and its chief rival Polymarket, have drawn scrutiny as their businesses have expanded — with some lawmakers urging the platforms to do more to guard against insider trading.

Both companies have said they are reporting suspicious trades to federal regulators. Some investigations have led to criminal charges. In April a soldier involved in the military operation to capture Venezuelan President Nicolás Maduro was charged with using classified information to win more than $400,000 predicting the date of his capture on Polymarket.

In April, the Senate approved a bipartisan resolution to prevent its own members from using prediction markets.

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The story has been updated to correct in the first sentence that Santos is a former congressman, not a current one.

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