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Elon Musk Takes Twitter, and Tech Deals, to Another Level

Forget about the endless drama, the bots, the abrupt reversals, the spectacle, the alleged risk to the Republic and all we hold dear. Here is the most important thing about Elon Musk’s buying Twitter: The moguls have been unleashed.

In the old days, when a tech tycoon wanted to buy something big, he needed a company to do it. Steve Case used AOL to buy Time Warner. Jeff Bezos bought Whole Foods for Amazon. Mark Zuckerberg used Facebook to buy Instagram and WhatsApp and Oculus and on and on. These were corporate deals done for the bottom line, even if they might never have happened without a famous and forceful proprietor.

Mr. Musk’s $44 billion takeover of Twitter, which finally became a reality on Thursday, six months after he agreed to the deal, is different. It is an individual buying something for himself that 240 million people around the world use regularly. While he has other investors, Mr. Musk will have absolute control over the fate of the short-message social media platform.

It’s a difficult deal to evaluate even in an industry built on deals, because this one is so unusual. It came about whimsically, impulsively. But, even by the standards of Silicon Valley, where billions are casually offered for fledging operations — and even by the wallet of Mr. Musk, on most days the richest man in the world — $44 billion is quite a chunk of change.

the midterm elections’ most prominent campaign contributor, pumping tens of millions of dollars into right-wing congressional candidates. Two of his former employees are the Republican nominees for senator in Ohio and Arizona.

Richard Walker, a professor emeritus of economic geography at the University of California, Berkeley and a historian of Silicon Valley, sees a shift in the locus of power.

“In this new Gilded Age, we’re being battered by billionaires rather than the corporations that were the face of the 20th century,” he said. “And the tech titans are leading the way.”

bought The Washington Post for $250 million. Marc Benioff of Salesforce owns Time magazine. Pierre Omidyar of eBay developed a homegrown media empire.

Deals have been a feature of Silicon Valley as long as there has been a Silicon Valley. Often they fail, especially when the acquisition was made for technology that either quickly grew outdated or never really worked at all. At least one venerable company, Hewlett-Packard, followed that strategy and has practically faded away.

$70 billion-plus acquisition of Activision Blizzard, which is pending, has garnered a fraction of the attention despite being No. 2.

said in April after sealing the deal. “I don’t care about the economics at all.”

He cared a little more when the subsequent plunge in the stock market meant that he was overpaying by a significant amount. Analysts estimated that Twitter was worth not $44 billion but $30 billion, or maybe even less. For a few months, Mr. Musk tried to get out of the deal.

This had the paradoxical effect of bringing the transaction down to earth for spectators. Who among us has not failed to do due diligence on a new venture — a job, a house, even a relationship — and then realized that it was going to cost so much more than we had thought? Mr. Musk’s buying Twitter, and then his refusal to buy Twitter, and then his being forced to buy Twitter after all — and everything playing out on Twitter — was weirdly relatable.

Inescapable, too. The apex, or perhaps the nadir, came this month when Mr. Musk introduced a perfume called Burnt Hair, described on its website as “the Essence of Repugnant Desire.”

“Please buy my perfume, so I can buy Twitter,” Mr. Musk tweeted on Oct. 12, garnering nearly 600,000 likes. This worked, apparently; the perfume is now marked “sold out” on its site. Did 30,000 people really pay $100 each for a bottle? Will this perfume actually be produced and sold? (It’s not supposed to be released until next year.) It’s hard to tell where the joke stops, which is perhaps the point.

Evan Spiegel.

“What was unique about Twitter was that no one actually controlled it,” said Richard Greenfield, a media analyst at LightShed Partners. “And now one person will own it in its entirety.”

He is relatively hopeful, however, that Mr. Musk will improve the site, somehow. That, in turn, will have its own consequences.

“If it turns into a massive home run,” Mr. Greenfield said, “you’ll see other billionaires try to do the same thing.”

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Why Am I Seeing That Political Ad? Check Your ‘Trump Resistance’ Score.

The advent of computer modeling helped automate voter targeting, making it more efficient.

In the 1960s, a market researcher in Los Angeles, Vincent Barabba, developed a computer program to help political campaigns decide which neighborhoods to target. The system overlaid voting precinct maps with details on individuals’ voting histories along with U.S. census data on household economics, ethnic makeup and family composition.

In 1966, political consultants used the system to help Ronald Reagan’s campaign for governor of California identify neighborhoods with potential swing voters, like middle-aged, white, male union members, and target them with ads.

Critics worried about the technology’s potential to influence voters, deriding it as a “sinister new development dreamt up by manipulative social scientists,” according to “Selling Ronald Reagan,” a book on the Hollywood actor’s political transformation.

By the early 2000s, campaigns had moved on to more advanced targeting methods.

For the re-election campaign of President George W. Bush in 2004, Republican consultants classified American voters into discrete buckets, like “Flag and Family Republicans” and “Religious Democrats.” Then they used the segmentation to target Republicans and swing voters living in towns that typically voted Democrat, said Michael Meyers, the president of TargetPoint Consulting, who worked on the Bush campaign.

In 2008, the Obama presidential campaign widely used individualized voter scores. Republicans soon beefed up their own voter-profiling and targeting operations.

A decade later, when Cambridge Analytica — a voter-profiling firm that covertly data-mined and scored millions of Facebook users — became front-page news, many national political campaigns were already using voter scores. Now, even local candidates use them.

This spring, the Government Accountability Office issued a report warning that the practice of consumer scoring lacked transparency and could cause harm. Although the report did not specifically examine voter scores, it urged Congress to consider enacting consumer protections around scoring.

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Who Gets the Last Word on Steve Jobs? He Might.

Jacqueline Kennedy Onassis meticulously curated the memory of her husband after he was assassinated, reimagining President John F. Kennedy as a fallen King Arthur in a modern-day Camelot.

Now some historians wonder if Laurene Powell Jobs is also trying to frame the legacy of her late husband, Steve Jobs, a complicated and transformational figure who was shadowed by his flaws as a father and belligerence as a boss.

Last month, Ms. Powell Jobs introduced the Steve Jobs Archive. It aspires to reinvent the personal archive much as Mr. Jobs, in his years running Apple, remade music with the iPod and communication with the iPhone.

Rather than offering up a repository of personal correspondence, notes and items for public research and inquiry, as other influential figures have done, Ms. Powell Jobs, who did not respond to requests for comments, said at a conference last month that the Steve Jobs Archive would be devoted to “ideas.” Those ideas are primarily Mr. Jobs’s philosophies about life and work.

Harvard Business School’s 25 greatest business leaders of the 20th century left behind personal archives that are open to the public in libraries or museums, including Henry Ford, Thomas Edison and Asa Candler, who built Coca-Cola.

Other iconic business founders such as Walt Disney, Sam Walton and Ray Kroc entrusted their papers to the companies they built, allowing those collections to become the cornerstone of corporate archives.

Walt Disney Company, make personal correspondence, notes, speeches and other items available to authors for research.

“We don’t censor,” said Becky Cline, director of the Walt Disney archives. “We just vet.”

The new Jobs archive debuted with a minimalist website containing eight pieces of video, audio and writing that express what the archive calls Mr. Jobs’s “driving motivations in his own words.” The items, three-quarters of which were already public, can be accessed by clicking through maxims made famous by Mr. Jobs, including “make something wonderful and put it out there” and “pursue different paths.”

The next steps for the archive are shrouded in the kind of mystery associated with the way Mr. Jobs ran Apple. About all that’s been publicly disclosed is that Ms. Powell Jobs hired a documentary filmmaker to gather hundreds of oral histories about Mr. Jobs from former colleagues. Where that material will be stored and who will have access to it has not been revealed.

She married Mr. Jobs in 1991, two years after meeting him as a graduate student at Stanford. Since his death, she has used her estimated $16 billion fortune to fund the Emerson Collective, a philanthropic and commercial operation that owns The Atlantic magazine and funds an organization trying to reduce gun violence in Chicago.

During his life, Mr. Jobs admired and encouraged historians to preserve the history of his Silicon Valley predecessors such as Robert Noyce, who co-founded the chip maker Intel. But he put little value on his own history, and Apple has seldom commemorated product anniversaries, saying it focuses on the future, not the past.

Stanford spent years cataloging items such as photos of a barefoot Mr. Jobs at work, advertising campaigns and an Apple II computer. That material can be reviewed by students and researchers interested in learning more about the company.

Silicon Valley leaders have a tradition of leaving their material with Stanford, which has collections of letters, slides and notes from William Hewlett, who founded Hewlett-Packard, and Andy Grove, the former chief executive of Intel.

Mr. Lowood said that he uses the Silicon Valley archives to teach students about the value of discovery. “Unlike a book, which is the gospel and all true, a mix of materials in a box introduces uncertainty,” he said.

After Mr. Jobs’ death in 2011, Mr. Isaacson, the author, published a biography of Mr. Jobs. Some at Apple complained that the book, a best seller, misrepresented Mr. Jobs and commercialized his death.

Mr. Isaacson declined to comment about those complaints.

Four years later, the book became the basis for a film. The 2015 movie, written by Aaron Sorkin and starring Michael Fassbender, focused on Mr. Jobs being ousted from Apple and denying paternity of his eldest daughter.

according to emails made public after a hack of Sony Pictures, which held rights to the film. She and others who were close to Mr. Jobs thought any movie based on the book would be inaccurate.

“I was outraged, and he was my friend,” said Mike Slade, a marketing executive who worked as an adviser to Mr. Jobs from 1998 to 2004. “I can’t imagine how outraged Laurene was.”

In November 2015, a month after the movie’s release, Ms. Powell Jobs had representatives register the Steve Jobs Archive as a limited liability company in Delaware and California. She later hired the documentary filmmaker, Davis Guggenheim, to gather oral histories about Mr. Jobs from former colleagues and friends. She also hired Ms. Berlin, who was Stanford’s project historian for its Apple archives, to be the Jobs Archive’s executive director.

Mr. Guggenheim gathered material about Mr. Jobs while also working on a Netflix documentary about Bill Gates, “Inside Bill’s Brain.” Mr. Slade, who worked for both Mr. Jobs and Mr. Gates, said he sat for an interview about one executive, stopped to change shirts and returned to discuss the other one.

Ms. Berlin assisted Ms. Powell Jobs in gathering material. They collected items such as audio of interviews done by reporters and early company records, including a 1976 document that Mr. Jobs and Steve Wozniak, Apple’s co-founder, called their declaration of independence. It outlined what the company would stand for, said Regis McKenna, who unearthed the document in his personal collection gathered during his decades as a pioneer of Silicon Valley marketing and adviser to Mr. Jobs.

Ms. Powell Jobs also assembled a group of advisers to inform what the archive would be, including Tim Cook, Apple’s chief executive; Jony Ive, Apple’s former chief design officer; and Bob Iger, the former chief executive of Walt Disney and a former Apple board member.

Mr. Cook, Mr. Ive and Mr. Iger declined to comment.

Apple, which has its own corporate archive and archivist, is a contributor to the Jobs effort, said Ms. Berlin, who declined to say how she works with the company to gain access to material left by Mr. Jobs.

The archive’s resulting website opens with an email that Mr. Jobs sent himself at Apple. It reads like a journal entry, outlining all the things that he depends on others to provide, from the food he eats to the music he enjoys.

“I love and admire my species, living and dead, and am totally dependent on them for my life and well being,” he wrote.

The email is followed by a previously undisclosed audio clip from a 1984 interview that Mr. Jobs did with Michael Moritz, the journalist turned venture capitalist at Sequoia. During it, Mr. Jobs says that refinement comes from mistakes, a platitude that captures how Apple used trial and error to develop devices.

“It was just lying in the drawer gathering dust,” Mr. Moritz said of the recording.

It’s clear to those who have contributed material that the archive is about safeguarding Mr. Jobs’s legacy. It’s a goal that many of them support.

“There’s so much distortion about who Steve was,” Mr. McKenna said. “There needed to be something more factual.”

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Beazer Homes USA, Inc. to Webcast Its Fourth Quarter and Full Year Fiscal 2022 Financial Results Conference Call on November 10, 2022

ATLANTA–(BUSINESS WIRE)–Beazer Homes (NYSE: BZH) (www.beazer.com) has scheduled the release of its financial results for the quarter ended September 30, 2022 on Thursday, November 10, 2022 after the close of the market. Management will host a conference call on the same day at 5:00 PM ET to discuss the results.

The public may listen to the conference call and view the Company’s slide presentation on the “Investor Relations” page of the Company’s website, www.beazer.com. In addition, the conference call will be available by telephone at 800-475-0542 (for international callers, dial 517-308-9429). To be admitted to the call, enter the pass code “8571348.” A replay of the conference call will be available, until 10:00 PM ET on November 18, 2022 at 888-566-0411 (for international callers, dial 203-369-3041) with pass code “3740.”

About Beazer Homes

Headquartered in Atlanta, Beazer Homes (NYSE: BZH) is one of the country’s largest homebuilders. Every Beazer home is designed and built to provide Surprising Performance, giving you more quality and more comfort from the moment you move in – saving you money every month. With Beazer’s Choice Plans™, you can personalize your primary living areas – giving you a choice of how you want to live in the home, at no additional cost. And unlike most national homebuilders, we empower our customers to shop and compare loan options. Our Mortgage Choice program gives you the resources to easily compare multiple loan offers and choose the best lender and loan offer for you, saving you thousands over the life of your loan.

We build our homes in Arizona, California, Delaware, Florida, Georgia, Indiana, Maryland, Nevada, North Carolina, South Carolina, Tennessee, Texas, and Virginia. For more information, visit beazer.com, or check out Beazer on Facebook, Instagram and Twitter.

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Amazon Labor Union, With Renewed Momentum, Faces Next Test

The Amazon Labor Union has built momentum leading up to an election this week at an 800-person warehouse near Albany, N.Y.

A federal labor official recently endorsed the union’s election victory at a Staten Island warehouse in April, which Amazon has challenged, while workers’ frustrations over pay and safety have created an opportunity to add supporters and pressure the company to bargain.

But the union faces questions about whether it can translate such opportunities into lasting gains. For months after its victory at the 8,000-person warehouse on Staten Island, the union appeared to be out of its depths. It nearly buckled under a crush of international media attention and lost a vote at a second Staten Island warehouse in May.

At times, it has neglected organizing inside the original warehouse, known as JFK8, where high turnover means the union must do constant outreach just to maintain support — to say nothing of expanding. Christian Smalls, the union’s president and a former JFK8 employee, seemed distracted as he traveled widely. There was burnout and infighting in the group, and several core members left or were pushed out.

attempt to overturn its victory, which consumed time and resources, as supporters and leaders testified in hearings that dragged across 24 business days beginning in mid-June. The union delayed plans to train more workers as organizers. A national organizing call was put on hold.

a party in Hollywood and decided that the Amazon Labor Union “understood where we were coming from,” she recalled in an interview.

could spend years appealing the election result on Staten Island, and the company still has enormous power over JFK8 workers. After workers protested Amazon’s response to a fire at the site last week, the company suspended more than 60 of them with pay while, it said, it investigated what had occurred. The union filed unfair-labor-practice charges over the suspensions; Amazon said most of the workers had returned to work.

unusually high injury rates, among other safety issues. The facility was evacuated after a cardboard compactor caught fire last week, two days after the JFK8 fire, which was similar.

“The timeline to fix things is before something tragic happens,” Ms. Goodall said.

She accused Amazon of running an aggressive anti-union campaign, including regular meetings with employees in which it questions the union’s credibility and suggests that workers could end up worse off if they unionize.

Mr. Flaningan, the company spokesman, said that while injuries increased as Amazon trained hundreds of thousands of new workers in 2021, the company believed that its safety record surpassed that of other retailers over a broader period.

“Like many other companies, we hold these meetings because it’s important that everyone understands the facts about joining a union and the election process itself,” he said, adding that the decision to unionize is up to employees.

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Strong Dollar Is Good for the US but Bad for the World

The Federal Reserve’s determination to crush inflation at home by raising interest rates is inflicting profound pain in other countries — pushing up prices, ballooning the size of debt payments and increasing the risk of a deep recession.

Those interest rate increases are pumping up the value of the dollar — the go-to currency for much of the world’s trade and transactions — and causing economic turmoil in both rich and poor nations. In Britain and across much of the European continent, the dollar’s acceleration is helping feed stinging inflation.

On Monday, the British pound touched a record low against the dollar as investors balked at a government tax cut and spending plan. And China, which tightly controls its currency, fixed the renminbi at its lowest level in two years while taking steps to manage its decline.

Somalia, where the risk of starvation already lurks, the strong dollar is pushing up the price of imported food, fuel and medicine. The strong dollar is nudging debt-ridden Argentina, Egypt and Kenya closer to default and threatening to discourage foreign investment in emerging markets like India and South Korea.

the International Monetary Fund.

Japanese yen has reached a decades-long high. The euro, used by 19 nations across Europe, reached 1-to-1 parity with the dollar in June for the first time since 2002. The dollar is clobbering other currencies as well, including the Brazilian real, the South Korean won and the Tunisian dinar.

the economic outlook in the United States, however cloudy, is still better than in most other regions.

loss of purchasing power over time, meaning your dollar will not go as far tomorrow as it did today. It is typically expressed as the annual change in prices for everyday goods and services such as food, furniture, apparel, transportation and toys.

A fragile currency can sometimes work as “a buffering mechanism,” causing nations to import less and export more, Mr. Prasad said. But today, many “are not seeing the benefits of stronger growth.”

Still, they must pay more for essential imports like oil, wheat or pharmaceuticals as well as for loan bills due from billion-dollar debts.

debt crisis in Latin America in the 1980s.

The situation is particularly fraught because so many countries ran up above-average debts to deal with the fallout from the pandemic. And now they are facing renewed pressure to offer public support as food and energy prices soar.

Indonesia this month, thousands of protesters, angry over a 30 percent price increase on subsidized fuel, clashed with the police. In Tunisia, a shortage of subsidized food items like sugar, coffee, flour and eggs has shuttered cafes and emptied market shelves.

New research on the impact of a strong dollar on emerging nations found that it drags down economic progress across the board.

“You can see these very pronounced negative effects of a stronger dollar,” said Maurice Obstfeld, an economics professor at the University of California, Berkeley, and an author of the study.

central banks feel pressure to raise interest rates to bolster their currencies and prevent import prices from skyrocketing. Last week, Argentina, the Philippines, Brazil, Indonesia, South Africa, the United Arab Emirates, Sweden, Switzerland, Saudi Arabia, Britain and Norway raised interest rates.

World Bank warned this month that simultaneous interest rate increases are pushing the world toward a recession and developing nations toward a string of financial crises that would inflict “lasting harm.”

Clearly, the Fed’s mandate is to look after the American economy, but some economists and foreign policymakers argue it should pay more attention to the fallout its decisions have on the rest of the world.

In 1998, Alan Greenspan, a five-term Fed chair, argued that “it is just not credible that the United States can remain an oasis of prosperity unaffected by a world that is experiencing greatly increased stress.”

The United States is now facing a slowing economy, but the essential dilemma is the same.

“Central banks have purely domestic mandates,” said Mr. Obstfeld, the U.C. Berkeley economist, but financial and trade globalization have made economies more interdependent than they have ever been and so closer cooperation is needed. “I don’t think central banks can have the luxury of not thinking about what’s happening abroad.”

Flávia Milhorance contributed reporting from Rio de Janeiro.

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They Were Entitled to Free Care. Hospitals Hounded Them to Pay.

In 2018, senior executives at one of the country’s largest nonprofit hospital chains, Providence, were frustrated. They were spending hundreds of millions of dollars providing free health care to patients. It was eating into their bottom line.

The executives, led by Providence’s chief financial officer at the time, devised a solution: a program called Rev-Up.

Rev-Up provided Providence’s employees with a detailed playbook for wringing money out of patients — even those who were supposed to receive free care because of their low incomes, a New York Times investigation found.

nonprofits like Providence. They enjoy lucrative tax exemptions; Providence avoids more than $1 billion a year in taxes. In exchange, the Internal Revenue Service requires them to provide services, such as free care for the poor, that benefit the communities in which they operate.

But in recent decades, many of the hospitals have become virtually indistinguishable from for-profit companies, adopting an unrelenting focus on the bottom line and straying from their traditional charitable missions.

focused on investments in rich communities at the expense of poorer ones.

And, as Providence illustrates, some hospital systems have not only reduced their emphasis on providing free care to the poor but also developed elaborate systems to convert needy patients into sources of revenue. The result, in the case of Providence, is that thousands of poor patients were saddled with debts that they never should have owed, The Times found.

provide. That was below the average of 2 percent for nonprofit hospitals nationwide, according to an analysis of hospital financial records by Ge Bai, a professor at the Johns Hopkins Bloomberg School of Public Health.

Ten states, however, have adopted their own laws that specify which patients, based on their income and family size, qualify for free or discounted care. Among them is Washington, where Providence is based. All hospitals in the state must provide free care for anyone who makes under 300 percent of the federal poverty level. For a family of four, that threshold is $83,250 a year.

In February, Bob Ferguson, the state’s attorney general, accused Providence of violating state law, in part by using debt collectors to pursue more than 55,000 patient accounts. The suit alleged that Providence wrongly claimed those patients owed a total of more than $73 million.

Providence, which is fighting the lawsuit, has said it will stop using debt collectors to pursue money from low-income patients who should qualify for free care in Washington.

But The Times found that the problems extend beyond Washington. In interviews, patients in California and Oregon who qualified for free care said they had been charged thousands of dollars and then harassed by collection agents. Many saw their credit scores ruined. Others had to cut back on groceries to pay what Providence claimed they owed. In both states, nonprofit hospitals are required by law to provide low-income patients with free or discounted care.

“I felt a little betrayed,” said Bev Kolpin, 57, who had worked as a sonogram technician at a Providence hospital in Oregon. Then she went on unpaid leave to have surgery to remove a cyst. The hospital billed her $8,000 even though she was eligible for discounted care, she said. “I had worked for them and given them so much, and they didn’t give me anything.” (The hospital forgave her debt only after a lawyer contacted Providence on Ms. Kolpin’s behalf.)

was a single room with four beds. The hospital charged patients $1 a day, not including extras like whiskey.

Patients rarely paid in cash, sometimes offering chickens, ducks and blankets in exchange for care.

At the time, hospitals in the United States were set up to do what Providence did — provide inexpensive care to the poor. Wealthier people usually hired doctors to treat them at home.

wrote to the Senate in 2005.

Some hospital executives have embraced the comparison to for-profit companies. Dr. Rod Hochman, Providence’s chief executive, told an industry publication in 2021 that “‘nonprofit health care’ is a misnomer.”

“It is tax-exempt health care,” he said. “It still makes profits.”

Those profits, he added, support the hospital’s mission. “Every dollar we make is going to go right back into Seattle, Portland, Los Angeles, Alaska and Montana.”

Since Dr. Hochman took over in 2013, Providence has become a financial powerhouse. Last year, it earned $1.2 billion in profits through investments. (So far this year, Providence has lost money.)

Providence also owes some of its wealth to its nonprofit status. In 2019, the latest year available, Providence received roughly $1.2 billion in federal, state and local tax breaks, according to the Lown Institute, a think tank that studies health care.

a speech by the Rev. Dr. Martin Luther King Jr.: “If it falls your lot to be a street sweeper, sweep streets like Michelangelo painted pictures.”

Ms. Tizon, the spokeswoman for Providence, said the intent of Rev-Up was “not to target or pressure those in financial distress.” Instead, she said, “it aimed to provide patients with greater pricing transparency.”

“We recognize the tone of the training materials developed by McKinsey was not consistent with our values,” she said, adding that Providence modified the materials “to ensure we are communicating with each patient with compassion and respect.”

But employees who were responsible for collecting money from patients said the aggressive tactics went beyond the scripts provided by McKinsey. In some Providence collection departments, wall-mounted charts shaped like oversize thermometers tracked employees’ progress toward hitting their monthly collection goals, the current and former Providence employees said.

On Halloween at one of Providence’s hospitals, an employee dressed up as a wrestler named Rev-Up Ricky, according to the Washington lawsuit. Another costume featured a giant cardboard dollar sign with “How” printed on top of it, referring to the way the staff was supposed to ask patients how, not whether, they would pay. Ms. Tizon said such costumes were “not the culture we strive for.”

financial assistance policy, his low income qualified him for free care.

In early 2021, Mr. Aguirre said, he received a bill from Providence for $4,394.45. He told Providence that he could not afford to pay.

Providence sent his account to Harris & Harris, a debt collection company. Mr. Aguirre said that Harris & Harris employees had called him repeatedly for weeks and that the ordeal made him wary of going to Providence again.

“I try my best not to go to their emergency room even though my daughters have gotten sick, and I got sick,” Mr. Aguirre said, noting that one of his daughters needed a biopsy and that he had trouble breathing when he had Covid. “I have this big fear in me.”

That is the outcome that hospitals like Providence may be hoping for, said Dean A. Zerbe, who investigated nonprofit hospitals when he worked for the Senate Finance Committee under Senator Charles E. Grassley, Republican of Iowa.

“They just want to make sure that they never come back to that hospital and they tell all their friends never to go back to that hospital,” Mr. Zerbe said.

The Everett Daily Herald, Providence forgave her bill and refunded the payments she had made.

In June, she got another letter from Providence. This one asked her to donate money to the hospital: “No gift is too small to make a meaningful impact.”

Following a Script ‘Like Robots’

In 2019, Vanessa Weller, a single mother who is a manager at a Wendy’s restaurant in Anchorage, went to Providence Alaska Medical Center, the state’s largest hospital.

She was 24 weeks pregnant and experiencing severe abdominal pains. “Let this just be cramps,” she recalled telling herself.

Ms. Weller was in labor. She gave birth via cesarean section to a boy who weighed barely a pound. She named him Isaiah. As she was lying in bed, pain radiating across her abdomen, she said, a hospital employee asked how she would like to pay. She replied that she had applied for Medicaid, which she hoped would cover the bill.

After five days in the hospital, Isaiah died.

Then Ms. Weller got caught up in Providence’s new, revenue-boosting policies.

The phone calls began about a month after she left the hospital. Ms. Weller remembers panicking when Providence employees told her what she owed: $125,000, or about four times her annual salary.

She said she had repeatedly told Providence that she was already stretched thin as a single mother with a toddler. Providence’s representatives asked if she could pay half the amount. On later calls, she said, she was offered a payment plan.

“It was like they were following some script,” she said. “Like robots.”

Later that year, a Providence executive questioned why Ms. Weller had a balance, given her low income, according to emails disclosed in Washington’s litigation with Providence. A colleague replied that her debts previously would have been forgiven but that Providence’s new policy meant that “balances after Medicaid are being excluded from presumptive charity process.”

Ms. Weller said she had to change her phone number to make the calls stop. Her credit score plummeted from a decent 650 to a lousy 400. She has not paid any of her bill.

Susan C. Beachy and Beena Raghavendran contributed research.

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Low Water Levels At Hoover Dam, Glen Canyon Dam Threaten Power Supply

Water and power supplies for tens of millions of American are being threatened as Lake Powell and Lake Mead water levels continue to drop.

America’s two largest reservoirs are in trouble. The Colorado River feeds Lake Powell and Lake Mead and both are at near-record lows, which is threatening the water and power supply for tens of millions of Americans.

“Between 2 and 4 million acre-feet of additional conservation is needed just to protect critical levels in 2023,” Bureau of Reclamation Commissioner Camille Touton said.

The two-decade-long mega-drought is drying out the west.

“Less of the precipitation that feeds the river actually makes it into the river,” water policy researcher Jeff Lukas said.

You don’t have to tell Robert Gripentog. His family has owned the Las Vegas Boat Harbor since the 1950s.

“It costs us a lot of money because we have to chase the water down,” he said. “We have to move the marina.”

He’s stayed open as the water levels have dropped more than 40 feet in just the last two years and he’s lost about 40% of his business.

“We need to come up considerably from where we’re at right now,” Gripentog continued.

In July, Lake Mead hit its lowest level since it was created — just 1,040 feet.

There was some short-term good news this summer, though. A strong monsoon season in the southwest pushed the depth up four feet. However, that doesn’t come close to solving the problem.

As the water keeps dropping year after year, there’s less drinking and irrigation water for 40 million people across the region. And there’s concerns about the two dams’ production of hydro-electric power.

When the water drops below 950 feet, the massive Hoover Dam can’t generate any more power. But it doesnt’ have to get that low to cause problems. Its power output is already down 36% due to the current water level and there’s a chance it could drop too low to make power in the next three years.

The Glen Canyon Dam on Lake Powell is facing the same problem. The Bureau of Reclamation expects it to be just 32 feet above the minimum pool power level by January 1. There’s a 10% chance it could drop below the cut-off level by next year and a 30% change by 2024.

The Hoover Dam powers the lives of more than 1.3 million people and more than half the power goes to Southern California.

Jim McCarthy is the president of the Electric Vehicle Association of Southern California.

“We need to realize we’re going to have less hydro power, at least in the near term,” he said.

The state is home to almost half of all electric cars in the country.

The heat wave earlier this month threatened the state’s power grid. Officials asked electric car owners not to recharge their EVs.

If the state loses the Hoover Dam’s hydro power, the drive for consistent clean energy to support clean energy cars becomes less clear.

“If we lose a lot of hydro power, it will be a problem,” McCarthy continued. “We need to upgrade now. But if you drive an EV, at least you can power on your own.”

The group responsible for grid integrity says the western grid is at risk of an energy emergency because of falling hydro-power levels.

Last fall, the drought dried up Lake Orville in Northern California, forcing that hydro plant to shut-down for the first time since the 1960s.

Hydro power is the “black-start” power used to jump-start the country’s power grid after blackouts.

The Department of Energy says hydro is critical to grid reliability because it consistently flows, except when it doesn’t.

: newsy.com

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McCarthy Unveils House GOP’s Midterm Agenda In Pennsylvania

House Republican leader Kevin McCarthy on Friday directly confronted President Joe Biden and the party in power, choosing battleground Pennsylvania to unveil a midterm election agenda with sweeping Trump-like promises despite the House GOP’s sometimes spotty record of delivering and governing in Congress.

McCarthy, who is poised to seize the speaker’s gavel if Republicans win control of the House in the fall, hopes to replicate the strategy former Speaker Newt Gingrich used to spark voter enthusiasm and sweep House control in a 1994 landslide.

The House GOP’s “Commitment to America” gives a nod to that earlier era but updates it for Trump, with economic, border security and social policies to rouse the former president’s deep well of supporters in often-forgotten regions like this rusty landscape outside Pittsburgh.

“What we’re going to roll out today is a ‘Commitment to America’ in Washington — not Washington, D.C., but Washington County, Pennsylvania,” McCarthy said at a manufacturing facility. “Because it’s about you, it’s not about us.”

On Friday, the House Republican leader stood with a cross-section of other lawmakers to roll out the GOP agenda, offering a portrait of party unity despite the uneasy coalition that makes up the House minority — and the Republican Party itself.

The GOP has shifted from its focus on small government, low taxes and individual freedoms to a more populist, nationalist and, at times, far-right party, essentially still led by Trump, who remains popular despite the deepening state and federal investigations against him.

Propelled by Trump’s “Make America Great Again” voters, the Republicans need to pick up just a few seats to win back control of the narrowly-split House, and replace Speaker Nancy Pelosi. But even so, McCarthy’s ability to lead the House is far from guaranteed.

While Republicans and Trump did pass tax cuts into law, the GOP’s last big campaign promise, repealing and replacing the Affordable Care Act, also known as Obamacare, collapsed in failure. A long line of Republican speakers, including Gingrich, John Boehner and Paul Ryan, have been forced from office or chose early retirement, often ground down by party infighting.

“House Republicans are really good at running people out of town,” said Matt Schlapp, chairman of the Conservative Political Action Coalition, or CPAC.

McCarthy, first elected to office in 2006, is among the remaining political survivors of those House Republican battles, and he’s a new style of leader who has shown more ability to communicate than to legislate.

A key architect of the Republican “tea party” takeover in 2010, the California Republican personally recruited the newcomers to Congress — many who had never served in public office and are long gone. McCarthy was an early Trump endorser, and has remained close to the former president, relying on his high-profile endorsements to propel GOP candidates for Congress. He abandoned an earlier bid to become speaker when support from his colleagues drifted.

The “Commitment to America” reflects the strength of McCarthy’s abilities, but also his weaknesses. He spent more than a year pulling together the House GOP’s often warring factions — from the far-right MAGA to what’s left of the more centrist ranks — to produce a mostly agreed upon agenda.

But the one-page “commitment” preamble is succinct, essentially a pocket card, though it is expected to be filled in with the kind of detail that is needed to make laws.

“They talk about a lot of problems,” said House Majority Leader Steny Hoyer. “They don’t have a lot of solutions.”

In traveling to battleground Pennsylvania, a state where President Biden holds emotional ties from his early childhood, McCarthy intends to counter the president’s fiery Labor Day weekend speech, in which he warned of rising GOP extremism after the Jan 6, 2021, attack on the Capitol, with a more upbeat message.

The event is billed as more of a conversation with the GOP leader and lawmakers rather than a stirring address in a uniquely contested state.

Along with as many as five House seats Republicans believe they can pick up in Pennsylvania in November, the state has one of the most watched Senate races, between Democrat John Fetterman and Trump-backed Mehmet Oz, that will help determine control of Congress. Top of the ticket is the seismic governor’s matchup between the GOP’s Doug Mastriano, who was seen outside the Capitol on Jan. 6, and Democrat Josh Shapiro.

“If you are a hardline, populist, and you really want anger, Kevin’s a little frustrating because he’s not going to be angry enough for you,” Gingrich said. “On the other hand, if what you want is to have your values implemented and passed in the legislation, he is a really good leader and organizer.”

Gingrich has been working with McCarthy and his team to craft the style and substance of the proposal. The former speaker, who has been asked by the Jan. 6 committee investigating the Capitol attack for an interview, was on hand Thursday in Washington, joining McCarthy as he unveiled the plans privately to House Republicans, who have been mixed on the approach.

Mostly, the GOP pocket card hits broad strokes — energy independence, security and an end to liberal social policies, particularly in schooling.

Conservative Republicans complain privately that McCarthy isn’t leaning hard enough into their priorities, as he tries to appeal to a broader swath of voters and hold the party together.

Many are eager to launch investigations into the Biden administration and the president’s family, with some calling for impeachment. Legislatively, some House Republicans want to fulfill the party’s commitment to banning abortion, supporting Sen. Lindsey Graham’s bill prohibiting the procedure after 15 weeks of pregnancy.

In a sign of the pressures ahead for McCarthy, dozens of House GOP lawmakers signed on to plans from Trump-aligned Rep. Marjorie Taylor Greene to prevent many gender reassignment procedures for minors, celebrating the Georgian as courageous for taking such a hardline approach.

She and others were invited to join Friday’s event, as McCarthy seeks their backing.

Republican Rep. Chip Roy of Texas, a member of the conservative Freedom Caucus, has advocated for withholding federal funds as leverage for policy priorities, the tactic that engineered past government shutdowns.

“Putting out like, you know, principles about, ‘Well, we’ll secure the border.’ I mean, okay, but what are we gonna do about it?” Roy said. “The end of the day, I want specific actionable items that’s going to show that we’re going to fight for the American people.”

It’s notable that McCarthy alone has proposed a plan if Republicans win control of the House chamber. In the Senate, Republican leader Mitch McConnell has declined to put forward an agenda, preferring to simply run against President Biden and Democrats in the midterm election.

“Kevin’s done a very good job of being in position to become the speaker. And then the question is, what do you do with that? Schlapp said. “This helps as a road map.”

Additional reporting by The Associated Press.

: newsy.com

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California Takes Steps To Further Legalize Weed

California workers won’t have to worry about being fired, or not hired, for off-the-clock marijuana use.

A new phase of California’s weed legalization begins, as the state prepares to make it illegal for a company to fire, or not hire, someone simply for their off-the-clock marijuana use.

California is the seventh state to do it, but a potentially pivotal one for the national attitude toward weed.

At the very least it’s an emboldening step for the millions of California adults who report using marijuana.

At a cannabis store near San Diego, it could mean a tax boom.

The elimination of job risk helps boost usage numbers.

“There were a lot of myths and stigma associated with cannabis and with having a cannabis store in the community. So it’s nice to see that none of those myths came true and a lot of that stigma is starting to disappear,” said David Dallal, a California cannabis store manager.

Cannabis industry insiders and even some law enforcement hope that destigmatizing weed will push more weed users to shop at legitimate dispensaries.

It could be a potentially life-saving choice as fentanyl-laced drugs flow over the southern border and end up on the black market.

But the stigma around marijuana is still a challenge for people like Dr. David Berger, who’s trying to battle a new restriction in Florida that limits the amount of medical marijuana a person can get in a day.

“Some of my patients for instance, because of their medical needs, they might need to have more milligrams than what the state is allowing for,” said Berger.

Florida is allowing doctors to appeal the limit for those who need it. But that takes time — a potentially-serious wait for users who need the drug.

“If a person is out of their medicine they could be out of their medicine for a good week or almost two and really have no way of accessing it,” said Berger.

It’s a deep contrast to the new reality in California, where lawmakers hope making marijuana irrelevant to employability will set a new standard for the country.

: newsy.com

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