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.”

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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Experts Are Expecting High Flu Numbers This Year

Doctors and health officials are recommending that you get your flu shot early this year — especially for kids.

Health experts are warning this flu season might be worse than a few years ago. Is that a good indicator?

“It was Australia’s worst flu season in 5 years and came earlier than any other flu season with the exception of the ’09 pandemic,” said Dr. Andrew Pekosz, a professor at Johns Hopkins Bloomberg School of Public Health.  

In the past two flu seasons, COVID protocols like mask wearing, hand washing and lockdowns have protected us from the flu virus. Now that restrictions have been lifted, people are traveling more. We’re more than likely to come into contact with the virus.  Another reason is there were fewer people who got the flu, which means less natural immunity.  

Dr. Bruce Y. Lee is a journalist at CUNY Graduate School of Public Health.

“But now that that many people aren’t maintaining a lot of those precautions and also the fact that people haven’t been exposed to the flu over the past couple of years leave people a lot more susceptible,” said Lee.  

Experts recommend getting the flu shot — or getting both a COVID booster and flu shot at the same time. 

“Both of those are needed, both of those should be scheduled as soon as possible and ideally at the same time, so that one doesn’t fall into the trap of getting one and forgetting to get back to get the other,” said Pekosz. 

But others are choosing not to get the flu vaccine, like an Omaha resident who says she’s never gotten the flu.  

“I’ll wait and see if I get it, I just try to eat healthy live healthy, stay healthy, clean and neat,” said Theresa Gart. 

“The influenza vaccine won’t prevent you from getting influenza but it dramatically decreases your illness and dramatically decreases your risk of hospitalization,” said Dan Fick, a doctor at the University of Iowa Hospitals and Clinics.  

This holds particularly for the elderly and children who are the most vulnerable. A NIH 2020 study found vaccines reduced flu-related hospitalizations for children by 41% and ER visits by 51%.  

“The best thing you can do to get your child ready to stay healthy and in school, is to get them vaccinated and boosted. It is a lot. ‘As a parent of three kids I can’t take them all together because then they all scream.’ I know this pain. But it is really important to keep your child healthy and in school,” said Keri Alhoff, a researcher at Johns Hopkins Blomberg School of Public Health. 

Ultimately, it’s also about preventing a strain on our medical system as we go through another winter season of the pandemic and flu.  

“What we always say is we don’t do it for us, we are doing it for other people so we want to make sure if we are around babies or around older people we are looking out for them,” said Jessica Charlsen, who took all three of her kids to get a flu shot. 

: newsy.com

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Iowa Teen Sentenced, Ordered To Pay $150K For Killing Accused Rapist

By Associated Press
September 14, 2022

17-year-old Pieper Lewis’ sentence came after she pleaded guilty to involuntary manslaughter in the fatal stabbing of her accused rapist.

A teenage human trafficking victim who was initially charged with first-degree murder after she stabbed her accused rapist to death was sentenced Tuesday in an Iowa court to five years of closely supervised probation and ordered to pay $150,000 restitution to the man’s family.

Pieper Lewis, 17, was sentenced Tuesday after she pleaded guilty last year to involuntary manslaughter and willful injury in the June 2020 killing of 37-year-old Zachary Brooks of Des Moines. Both charges were punishable by up to 10 years in prison.

Polk County District judge David M. Porter on Tuesday deferred those prison sentences, meaning that if Lewis violates any portion of her probation, she could be sent to prison to serve that 20-year term.

As for being required to pay the estate of her rapist, “this court is presented with no other option,” Porter said, noting the restitution is mandatory under Iowa law that has been upheld by the Iowa Supreme Court.

Lewis was 15 years old when she stabbed Brooks more than 30 times in a Des Moines apartment. Officials have said Lewis was a runaway who was seeking to escape an abusive life with her adopted mother and was sleeping in the hallways of a Des Moines apartment building when a 28-year-old man took her in before forcibly trafficking her to other men for sex.

Lewis said one of those men was Brooks and that he had raped her multiple times in the weeks before his death. She recounted being forced at knifepoint by the 28-year-old man to go with Brooks to his apartment for sex. She told officials that after Brooks had raped her yet again, she grabbed a knife from a bedside table and stabbed Brooks in a fit of rage.

Police and prosecutors have not disputed that Lewis was sexually assaulted and trafficked. But prosecutors have argued that Brooks was asleep at the time he was stabbed and not an immediate danger to Lewis.

Iowa is not among the dozens of states that have a so-called safe harbor law that gives trafficking victims at least some level of criminal immunity.

Lewis, who earned her GED while being held in juvenile detention, acknowledged in a statement prior to her sentencing that she struggled with the structure of her detention, including “why I was treated like fragile glass” or wasn’t allowed to communicate with her friends or family.

“My spirit has been burned, but still glows through the flames,” she read from a statement she had prepared. “Hear me roar, see me glow, and watch me grow.”

“I am a survivor,” she added.

The Associated Press does not typically name victims of sexual assault, but Lewis agreed to have her name used previously in stories about her case.

Prosecutors took issue with Lewis calling herself a victim in the case and said she failed to take responsibility for stabbing Brooks and “leaving his kids without a father.”

The judge peppered Lewis with repeated requests to explain what poor choices she made that led up to Brooks’ stabbing and expressed concern that she sometimes did not want to follow rules set for her in juvenile lockup.

“The next five years of your life will be full of rules you disagree with, I’m sure of it,” Porter said. He later added, “This is the second chance that you’ve asked for. You don’t get a third.”

Iowa does have an affirmative defense law that gives some leeway to victims of crime if the victim committed the violation “under compulsion by another’s threat of serious injury, provided that the defendant reasonably believed that such injury was imminent.”

Prosecutors argued Tuesday that Lewis waived that affirmative defense when she pleaded guilty to manslaughter and willful injury.

Additional reporting by The Associated Press.

: newsy.com

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Elected Officials, Police Chiefs On Leaked Oath Keepers List

The Oath Keepers is a loosely organized conspiracy theory-fueled group that recruits current and former military, police and first responders.

The names of hundreds of U.S. law enforcement officers, elected officials and military members appear on the leaked membership rolls of a far-right extremist group that’s accused of playing a key role in the Jan. 6, 2021, insurrection at the U.S. Capitol, according to a report released Wednesday.

The Anti-Defamation League Center on Extremism pored over more than 38,000 names on leaked Oath Keepers membership lists and identified more than 370 people it believes currently work in law enforcement agencies — including as police chiefs and sheriffs — and more than 100 people who are currently members of the military.

It also identified more than 80 people who were running for or served in public office as of early August. The membership information was compiled into a database published by the transparency collective Distributed Denial of Secrets.

The data raises fresh concerns about the presence of extremists in law enforcement and the military who are tasked with enforcing laws and protecting the U.S. It’s especially problematic for public servants to be associated with extremists at a time when lies about the 2020 election are fueling threats of violence against lawmakers and institutions.

“Even for those who claimed to have left the organization when it began to employ more aggressive tactics in 2014, it is important to remember that the Oath Keepers have espoused extremism since their founding, and this fact was not enough to deter these individuals from signing up,” the report says.

Appearing in the Oath Keepers’ database doesn’t prove that a person was ever an active member of the group or shares its ideology. Some people on the list contacted by The Associated Press said they were briefly members years ago and are no longer affiliated with the group. Some said they were never dues-paying members.

“Their views are far too extreme for me,” said Shawn Mobley, sheriff of Otero County, Colorado. Mobley told the AP in an email that he distanced himself from the Oath Keepers years ago over concerns about its involvement in the standoff against the federal government at Bundy Ranch in Bunkerville, Nevada, among other things.

The Oath Keepers, founded in 2009 by Stewart Rhodes, is a loosely organized conspiracy theory-fueled group that recruits current and former military, police and first responders. It asks its members to vow to defend the Constitution “against all enemies, foreign and domestic,” promotes the belief that the federal government is out to strip citizens of their civil liberties and paints its followers as defenders against tyranny.

More than two dozen people associated with the Oath Keepers — including Rhodes — have been charged in connection with the Jan. 6 attack. Rhodes and four other Oath Keeper members or associates are heading to trial this month on seditious conspiracy charges for what prosecutors have described as a weekslong plot to keep then-President Donald Trump in power. Rhodes and the other Oath Keepers say that they are innocent and that there was no plan to attack the Capitol.

The Oath Keepers has grown quickly along with the wider anti-government movement and used the tools of the internet to spread their message during Barack Obama’s presidency, said Rachel Carroll Rivas, interim deputy director of research with the Southern Poverty Law Center’s Intelligence Project. But since Jan. 6 and Rhodes’ arrest, the group has struggled to keep members, she said.

That’s partly because Oath Keepers had been associated so strongly with Rhodes that the removal of the central figure had an outsized impact, and partly because many associated with the group were often those who wanted to be considered respectable in their communities, she said.

“The image of being associated with Jan. 6 was too much for many of those folks,” she said.

Among the elected officials whose name appears on the membership lists is South Dakota state Rep. Phil Jensen, who won a June Republican primary in his bid for reelection. Jensen told the AP he paid for a one-year membership in 2014 but never received any Oath Keepers’ literature, attended any meetings or renewed his membership.

Jensen said he felt compelled to join because he “believed in the oath that we took to support the US Constitution and to defend it against enemies foreign and domestic.” He wouldn’t say whether he now disavows the Oath Keepers, saying he doesn’t have enough information about the group today.

“Back in 2014, they appeared to be a pretty solid conservative group, I can’t speak to them now,” he said.

ADL said it found the names of at least 10 people who now work as police chiefs and 11 sheriffs. All of the police chiefs and sheriffs who responded to the AP said they no longer have any ties to the group.

“I don’t even know what they’re posting. I never get any updates,” said Mike Hollinshead, sheriff of Idaho’s Elmore County. “I’m not paying dues or membership fees or anything.”

Hollinshead, a Republican, said he was campaigning for sheriff several years ago when voters asked him if he was familiar with the Oath Keepers. Hollinshead said he wanted to learn about the group and recalls paying for access to content on the Oath Keepers’ website, but that was the extent of his involvement.

Benjamin Boeke, police chief in Oskaloosa, Iowa, recalled getting emails from the group years ago and said he believes a friend may have signed him up. But he said he never paid to become a member and doesn’t know anything about the group.

Eric Williams, police chief in Idalou, Texas, also said in an email that he hasn’t been a member or had any interaction with the Oath Keepers in over 10 years. He called the storming of the Capitol “terrible in every way.”

“I pray this country finds its way back to civility and peace in discourse with one another,” he said.

Additional reporting by The Associated Press.

: newsy.com

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How Pharmacy Work Stopped Being So Great

If any group of workers might have expected their pay to rise last year, it would arguably have been pharmacists. With many drugstores dispensing coronavirus tests and vaccines while filling hundreds of prescriptions each day, working as a pharmacist became a sleep-deprived, lunch-skipping frenzy — one in which ornery customers did not hesitate to vent their frustrations over the inevitable backups and bottlenecks.

“I was stressed all day long about giving immunizations,” said Amanda Poole, who left her job as a pharmacist at a CVS in Tuscaloosa, Ala., in June. “I’d look at patients and say to them, ‘I’d love to fill your prescriptions today, but there’s no way I can.’”

Yet pay for pharmacists, who typically spend six or seven years after high school working toward their professional degree, fell nearly 5 percent last year after adjusting for inflation. Dr. Poole said her pay, about $65 per hour, did not increase in more than four years — first at an independent pharmacy, then at CVS.

data collected by a team of economists at the University of California, Berkeley.

The gap is part of a long-term trend made worse by a slowdown in pay gains for middle- and upper-middle-income workers in the 2000s. “If you’re going to a hedge fund or investment bank or a tech company, you’ve done enormously well,” said Lawrence Katz, a labor economist at Harvard. Typical college graduates, he said, “have not done that great.”

The stagnation appears to have moved up the income ladder in the last few years, even touching those in the top 10 percent.

In some cases, the explanation may be a temporary factor, like inflation. But pharmacists illustrate how slow wage growth can point to a longer-term shift that renders once sought-after jobs less rewarding financially and emotionally.

wages in the profession surged as the country faced a pharmacist shortage driven by an aging population and a rise in chronic conditions.

typically take two or three years of college-level prerequisites before earning a four-year professional degree.)

But by the 2010s, the market for pharmacists was cooling thanks to some of the same factors that have weighed on other middle-class professions. Large chains such as Walgreens and CVS were buying up competitors and adjacent businesses like health insurers.

Consolidation among benefit managers gave them more leverage over pharmacies to drive prices lower. (CVS merged with a large benefits manager in 2007.)

Big drugstore chains often responded by trying to rein in labor costs, according to William Doucette, a professor of pharmacy practice at the University of Iowa. Several pharmacists who worked at Walgreens and CVS said the formulas their companies used to allocate labor resulted in low levels of staffing that were extremely difficult to increase.

According to documents provided by a former CVS pharmacist, managers are motivated by bonuses to stay within these aggressive targets. CVS said it made staffing decisions to ensure “the safe and accurate filling of prescriptions.”

The day that Dr. Poole began seriously reconsidering her CVS job in Tuscaloosa came in May 2021 when, nearly eight months pregnant, she fainted at work.

The loss of consciousness was nothing serious in itself — she and the baby were unharmed, and an adjustment to her blood-pressure medication solved the problem. Much more alarming to her was what the episode said about working conditions: Despite the additional responsibilities of the pandemic, like coronavirus vaccines and catering to Covid-19 patients, there was no co-worker around to notice that she had hit the deck.

contract signed in March by a union of Chicago-area Walgreens pharmacists reflected a similar approach. It provided maximum base pay of $64.50 per hour, the same as the previous contract, but lowered the starting wage from $58 per hour to $49.55 per hour by September. (Like many retail pharmacists, the union members also receive bonuses.)

CVS and Walgreens said they had made hiring pharmacists a priority during the pandemic — CVS said it employed nearly 6 percent more pharmacists today than it did in early 2020; Walgreens declined to provide a figure. CVS said its compensation was “very competitive” for pharmacists, and Walgreens cited “ongoing phased wage increases”; both chains have offered signing bonuses to recruit pharmacists. The Chicago union said Walgreens had recently offered to raise pay for about one-quarter of its lowest-paid members.

To explain the wage stagnation of upper-middle-class workers during the pandemic, some economists have suggested that affluent workers are willing to accept lower wage growth for the ability to work from home. Dr. Katz, of Harvard, said the wages of many affluent workers might simply be slower to adjust to inflation than the wages of lower-paid workers.

But Marshall Steinbaum, an economist at the University of Utah, said the fact that upper-middle-class workers were not able to claim a larger share of last year’s exceptionally high corporate profits “speaks to the disempowerment of workers at all levels of status.”

change in state regulations would allow pharmacy technicians to administer shots. “They expected the techs to transition into that role,” Dr. Knolhoff said.

Overall, the industry added more than 20,000 technicians — an increase of about 5 percent — from 2020 to 2021. In that time, prescription volume increased roughly the same percentage, according to data from Barclays.

The effective replacement of higher-paid workers with lower-paid workers has also occurred in other sectors, such as higher education. But at drugstores, where pharmacists must sign off on every prescription, this shift has left little margin for error.

In August 2020, Dr. Wommack, the Walgreens pharmacist in Missouri, got Covid. A colleague covered her first two days out but couldn’t cover the third, at which point the store simply closed because there was no backup plan.

Several pharmacists said they were especially concerned that understaffing had put patients at risk, given the potentially deadly consequences of mix-ups. “It was so mentally taxing,” said Dr. Poole, the Tuscaloosa pharmacist. “Every day, I was like: I hope I don’t kill anyone.”

Asked about safety and staffing, CVS and Walgreens said they had made changes, like automating routine tasks, to help pharmacists focus on the most important aspects of their jobs.

Many pharmacists contacted for this article quit rather than face this persistent dread, often taking lower-paying positions.

Still, none had regrets about the decision to leave. “I was 4,000 pounds lighter the moment I sent my resignation email in,” said Dr. Wommack, who left the company in May 2021 and now works at a small community hospital.

As for the medication she had taken for depression and anxiety while at Walgreens, she said, “Shortly after I stopped working there, I stopped taking those pills.”

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Pence Says He Didn’t Leave Office With Classified Material

By Associated Press
August 20, 2022

The disclosure comes after FBI agents seized classified and top secret information from his former boss’s Florida estate on Aug. 8.

Former Vice President Mike Pence said Friday that he didn’t take any classified information with him when he left office.

The disclosure — which would typically be unremarkable for a former vice president — is notable given that FBI agents seized classified and top secret information from his former boss’s Florida estate on Aug. 8 while investigating potential violations of three different federal laws. Former President Donald Trump has claimed that the documents seized by agents were “all declassified.”

Pence, asked directly if he had retained any classified information upon leaving office, told The Associated Press in an interview, “No, not to my knowledge.”

Despite the inclusion of material marked “top secret” in the government’s list of items recovered from Mar-a-Lago, Pence said, “I honestly don’t want to prejudge it before until we know all the facts.”

Pence was in Iowa on Friday as part of a two day-trip to the state, which hosts the leadoff Republican presidential caucuses. It comes as the former vice president has made stops in other early voting states as he takes steps toward mounting a 2024 White House campaign.

Pence also weighed in on Republican U.S. Rep. Liz Cheney’s primary defeat earlier in the week to a rival backed by Trump. Cheney, who is arguably Trump’s most prominent Republican critic, has called the former president “a very grave threat and risk to our republic” and further raised his ire through her role as vice chair of the House committee investigating the Jan. 6, 2021, insurrection at the U.S. Capitol.

“My reaction was, the people of Wyoming have spoken,” said Pence, who was targeted at the Capitol that day by angry rioters, including some who chanted, “Hang Mike Pence!” “And, you know, I accept their judgment about the kind of representation they want on Capitol Hill.”

Pence said he has “great respect” for Cheney’s father, former Vice President Dick Cheney, who served two terms under President George W. Bush.

“And I appreciate the conservative stance Congresswoman Cheney has taken over the years,” Pence continued. “But I’ve been disappointed in the partisan taint of the Jan. 6 committee from early on.”

Pence’s aides said the committee contacted his legal team months ago to see if he would be willing to testify. Although Pence has said he would give “due consideration” to cooperating, he was adamant that the historic nature of such participation must be warranted and agreed upon.

“Beyond my concerns about the partisan nature of the Jan. 6 committee, there are profound constitutional issues that have to be considered,” he said. “No vice president has ever been summoned to testify before the Congress of the United States.”

Speaking further about the search of Mar-a-Lago, the former vice president raised the possibility, as he has previously, that the investigation was politically motivated and called on Attorney General Merrick Garland to disclose more details on what led authorities to conduct the search.

“The concern that millions of Americans felt is only going to be resolved with daylight,” Pence said Friday. “I know that’s not customary in an investigation. But this is unprecedented action by the Justice Department, and I think it merits an unprecedented transparency.”

The Jan. 6 insurrection marked the first in a number of public breaks between Trump and his once devout No. 2. But Pence has been careful not to alienate Republicans who have supported Trump but might be looking for another candidate in the 2024 election. Despite his reluctance to criticize the former president, Pence has occasionally spoken out against Trump, criticizing the attack at the U.S. Capitol and more recently urging his fellow Republicans to stop lashing out at the FBI over the search of Mar-a-Lago.

“The Republican Party is the party of law and order,” Pence said Wednesday at a political breakfast in New Hampshire. “Our party stands with the men and women who stand on the thin blue line at the federal and state and local level, and these attacks on the FBI must stop.”

Pence said Friday that he would make a decision early next year about whether to run for the White House, a move that his aides have said will be independent of what Trump decides to do.

Having visited the Iowa State Fair on Friday afternoon, Pence also headlined a fundraiser earlier in the day for Republican Sen. Chuck Grassley and was scheduled to speak to a Christian conservative group and a northern Iowa county Republican Party fundraiser before leaving Saturday.

Additional reporting by the Associated Press.

: newsy.com

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Kansans Are Voting To Alter The Language Of Abortion In The State

Kansas is the first state to vote on altering the language of the state constitution on abortion, since the Supreme Court overturned Roe v. Wade.

Elections in ruby red Kansas don’t normally have much drama. But that’s not the case this time. Tuesday voters will decide who should decide the state’s abortion rights — and it could have rippled effects across the country.  

Vania Soto, a muralist, spends her evenings creating murals all over the Kansas City area to remind people  of what’s at stake. 

“It’s very stressful to think that that freedom is on the line. It’s heartbreaking to think that we’re going backwards,” Soto said.  

Kansans are voting to alter the language of the state constitution — making it the first state to vote on abortion since the Supreme Court overturned Roe v. Wade. 

“I want them to take this as an empowerment and to know that they’re not alone. There’s a whole community, even businesses that are not afraid to speak out loud or to put something as dramatic as a uterus in their windows to let their customers know that they’re with us,” Soto said. 

The question voters will answer on the ballot is a bit confusing. A yes vote means there is no constitutional right to an abortion. A no vote means there is. If it passes, the veto-proof, Republican-controlled legislature can write laws about abortion. And while advocates for the measure are downplaying what they’ll do, Sandy Brown, the president of the Kansas Abortion Fund, says legislators have made it pretty clear. 

“Who can trust their word at this point? We’ve already seen the language. We’ve already seen what is ready to be drawn up. It’s just a matter of time if we lose,” Brown said. 

This amendment didn’t just spring up in light of the Supreme Court’s decision – it’s been in the works for about three years. The Kansas Supreme Court ruled in 2019 that the state constitution’s Bill of Rights “affords protection of the right of personal autonomy, which includes the ability to control one’s own body.”  

Brittany Jones says that decision impacted this issue beyond the sunflower state. 

“Because of that ruling, we were even more a destination for abortion. And that’s why it’s even more important that we passed this, to protect our state from becoming another unlimited, unregulated destination state,” Jones said.  

And it’s only been exacerbated by the overturning of Roe. Missouri and Oklahoma have already outlawed abortion, and women in Iowa and Nebraska will likely see restrictions soon. 

“Missouri, Oklahoma, Arkansas, Texas, all of those patients are now coming to Kansas. There are only so many doctors who can provide abortion care. There’s a there’s a scarcity of medical staff. And many of those patients are coming from other states. And they’re stretched thin,” Brown continued. 

While Kansans haven’t sent a Democrat to Washington in almost nine decades, a recent poll shows Kansans are sharply divided on this issue. 49% agree with the recent Supreme Court decision, compared with 46% who don’t — and that number is reflected in polling on this amendment. About a third of Kansans believe there should be no restrictions on abortion.  

The vote is expected to be close. Both sides including the Catholic Archdiocese of Kansas City, have poured millions into these campaigns, and it appears to have worked. Voter registration and early voting turnout skyrocketed in what normally would be a quiet primary cycle.  

“This is a case where every single vote counts, every one,” Brown said.  

: newsy.com

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Cyclists Cross Iowa In The 49th Annual RAGBRAI Experience

The annual bike ride across Iowa known as RAGBRAI is kicking off its 49th tour.

They say one can sum up the RAGBRAI experience in two words: Iowa nice.

It’s the open air, the corn fields and above all the small communities and their uniquely midwestern hospitality along the way.

For roughly 20,000 participants, it’s an epic 450-mile adventure stretching for eight days, from one side of Iowa to the other. 

This year is the ride’s 49th edition, and it starts in Sergeant Bluff. 

Teams of riders often come with a truck so a designated driver can transport the gear from one overnight town to the next.  

Tom Kurth is a 77-year-old RAGBRAI veteran.

“You got to have a system to this,” Kurth said. “This is the 36th in a row. Every day, every mile, every hill.” 

The route changes ever year, so nearly all of Iowa has participated.

“My son made this up, and it shows every route that I’ve been on, 35 of them,” Kurth said.

RAGBRAI is steeped in tradition. For some, that includes playing drinking games along the way. 

“I like to drink the beers, and I like to enjoy my friends,” Tyrone Nichols said. “I know so many people from Iowa now since I’ve been here so many times.”

For 15 years, Nichols has been coming to RAGBRAI from Tulsa, Oklahoma. This year he brought in his girlfriend, a rookie.   

“He’s promised to change all my flat tires,” Nancy Fairchild said.

One stop, called a meeting town, is located right in the middle of the route. Anthon, Iowa — with a population of 545 — has been preparing for months to host one of the largest crowds it’s ever seen as a selected RAGBRAI meeting town. It’s where 20,000 people are regrouping and enjoying food and drinks from local vendors.

Anthon city clerk Jeni Umbach is in charge of the day’s events. 

“We want people to see what our little town can do, even though we’re few but mighty,” Umbach said.

She has been working day and night to set everything up, including a display of her town’s ultimate pride. Anthon was once home to the world’s tallest man and the man with the longest hiccups.

“When you look around and see everybody laughing, holding a beverage, eating a sandwich, you know, not leaving,” RAGBRAI director Matt Phippen said. “You know you’ve done it right.” 

Each year in January, RAGBRAI selects a few overnight towns from a pool of applicants.  

From there, other towns along the way, like Anthon, are added to the route. 

It all started in 1973 with two Des Moines-registered journalists who decided to bike across the state and invite readers along. 

It’s now a massive event. But Phippen says the focus remains the same: the people of Iowa.  

That includes state troopers, like Sergeant Alex Dinkla, who help guide the riders  and turn up the beat. 

Dinkla says it’s the same troopers who follow RAGBRAI for eight days, so they feel like part of the community. 

“We see different people that we’ve met year after year. They recognize us. They come up and hang out with us under our tents, talk to us for a while. And so that that means a lot and it makes our day go by much faster,” Dinkla said.  

After 53 miles on the road and many glorious stops, riders finally reached day one’s final destination: Ida Grove. 

Now here in Ida Grove, you get the ultimate RAGBRAI experience. It’s one of eight overnight towns where locals and riders come together for one giant open air party.   

When the party is over, riders can sleep at a nearby campground or in residents’ homes and backyards. 

Karen Maricle and Dan Knop welcome 70 riders into their home, garage and yard — and they’re cooking for everyone. 

“We decided we’d open up our backyards and let whoever needed a spot,” Knop said.  

In typical midwestern fashion, they also keep it humble. 

“They’re the ones paddling, and we don’t have to do anything,” Knop said.  

Tomorrow morning the riders will be gone and back on the road.  

They’ll create so many memories over eight days, they’ll lose count. 

But one thing they’ll never forget: the people of Iowa and their boundless hospitality. 

: newsy.com

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Gunman Kills 3 Family Members At Iowa State Park; Shooter Also Dead

By Associated Press
July 22, 2022

Police responded to reports of the shooting at the the Maquoketa Caves State Park Campground before 7 a.m.

Three people were killed in a shooting at a state park in eastern Iowa Friday morning and the suspected gunman is also dead, police said.

Police responded to reports of the shooting at the the Maquoketa Caves State Park Campground before 6:30 a.m., Mike Krapfl, special agent in charge of the Iowa Division of Criminal Investigation, said in a statement.

Krapfl said officers responding to reports of shooting found three people dead at the scene, but he did not specify how they died and has not released their identities.

He said officers searching the campground later found the body of a Nebraska man who had died from a self-inflicted gunshot wound. Authorities identified him as 23-year-old Anthony Sherwin.

The campground was evacuated in the wake of the shooting. A children’s summer camp on site called Camp Shalom said in a Facebook post that parents had been notified and that it had established a pick-up site for campers.

Camp Shalom officials said they have accounted for all campers.

Krapfl said the park remains closed but that there is no longer a threat to the public.

Additional reporting by The Associated Press.

: newsy.com

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The Fight Over Truth Also Has a Red State, Blue State Divide

To fight disinformation, California lawmakers are advancing a bill that would force social media companies to divulge their process for removing false, hateful or extremist material from their platforms. Texas lawmakers, by contrast, want to ban the largest of the companies — Facebook, Twitter and YouTube — from removing posts because of political points of view.

In Washington, the state attorney general persuaded a court to fine a nonprofit and its lawyer $28,000 for filing a baseless legal challenge to the 2020 governor’s race. In Alabama, lawmakers want to allow people to seek financial damages from social media platforms that shut down their accounts for having posted false content.

In the absence of significant action on disinformation at the federal level, officials in state after state are taking aim at the sources of disinformation and the platforms that propagate them — only they are doing so from starkly divergent ideological positions. In this deeply polarized era, even the fight for truth breaks along partisan lines.

a nation increasingly divided over a variety of issues — including abortion, guns, the environment — and along geographic lines.

a similar law in Florida that would have fined social media companies as much as $250,000 a day if they blocked political candidates from their platforms, which have become essential tools of modern campaigning. Other states with Republican-controlled legislatures have proposed similar measures, including Alabama, Mississippi, South Carolina, West Virginia, Ohio, Indiana, Iowa and Alaska.

Alabama’s attorney general, Steve Marshall, has created an online portal through which residents can complain that their access to social media has been restricted: alabamaag.gov/Censored. In a written response to questions, he said that social media platforms stepped up efforts to restrict content during the pandemic and the presidential election of 2020.

“During this period (and continuing to present day), social media platforms abandoned all pretense of promoting free speech — a principle on which they sold themselves to users — and openly and arrogantly proclaimed themselves the Ministry of Truth,” he wrote. “Suddenly, any viewpoint that deviated in the slightest from the prevailing orthodoxy was censored.”

Much of the activity on the state level today has been animated by the fraudulent assertion that Mr. Trump, and not President Biden, won the 2020 presidential election. Although disproved repeatedly, the claim has been cited by Republicans to introduce dozens of bills that would clamp down on absentee or mail-in voting in the states they control.

memoirist and Republican nominee for Senate, railed against social media giants, saying they stifled news about the foreign business dealings of Hunter Biden, the president’s son.

massacre at a supermarket in Buffalo in May.

Connecticut plans to spend nearly $2 million on marketing to share factual information about voting and to create a position for an expert to root out misinformation narratives about voting before they go viral. A similar effort to create a disinformation board at the Department of Homeland Security provoked a political fury before its work was suspended in May pending an internal review.

In California, the State Senate is moving forward with legislation that would require social media companies to disclose their policies regarding hate speech, disinformation, extremism, harassment and foreign political interference. (The legislation would not compel them to restrict content.) Another bill would allow civil lawsuits against large social media platforms like TikTok and Meta’s Facebook and Instagram if their products were proven to have addicted children.

“All of these different challenges that we’re facing have a common thread, and the common thread is the power of social media to amplify really problematic content,” said Assemblyman Jesse Gabriel of California, a Democrat, who sponsored the legislation to require greater transparency from social media platforms. “That has significant consequences both online and in physical spaces.”

It seems unlikely that the flurry of legislative activity will have a significant impact before this fall’s elections; social media companies will have no single response acceptable to both sides when accusations of disinformation inevitably arise.

“Any election cycle brings intense new content challenges for platforms, but the November midterms seem likely to be particularly explosive,” said Matt Perault, a director of the Center on Technology Policy at the University of North Carolina. “With abortion, guns, democratic participation at the forefront of voters’ minds, platforms will face intense challenges in moderating speech. It’s likely that neither side will be satisfied by the decisions platforms make.”

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