Morning Briefing
Summaries of health policy coverage from major news organizations
Abortion And Transgender Rights In Spotlight In Closing Days Of Election
The groups promoting ballot measures to add amendments to the constitutions in nine states that would enshrine a right to abortion have raised more than $160 million. That鈥檚 nearly six times what their opponents have brought in, The Associated Press found in an analysis of campaign finance data compiled by the watchdog group Open Secrets and state governments. (Mulvihill, 10/31)
Across the country鈥檚 most competitive House races, Republicans have spent months trying to redefine themselves on abortion, going so far as to borrow language that would not feel out of place at a rally of Vice President Kamala Harris. Many Republicans who until recently backed federal abortion restrictions are now saying the issue should be left to the states. At least a half-dozen Republican candidates have put out direct-to-camera ads declaring their opposition to a federal abortion ban. Instead, they say, they support exceptions to existing state laws and back protections for reproductive health care, such as I.V.F. (McCann and Li, 10/31)
That relationship is now in tatters, and the movement to end abortion in America finds itself struggling not to be written off as a political liability by Trump and the Republican Party, which are facing a public backlash to the rollback of abortion access. Antiabortion groups also have lost seven consecutive ballot referendums and appear on track to lose most of the 10 measures to protect abortion rights that are on state ballots in this election, including in conservative states such as Florida and Missouri.聽(Kusisto, 10/31)
More than 80 percent of abortions in the United States happen before 10 weeks, in the embryonic stage of pregnancy. But in the politics of abortion, the arguments and almost all of the ads focus on the other end, on the much rarer abortions later in pregnancy. This has never been more evident, or consequential, than this year. It鈥檚 the first presidential election year since the Supreme Court overturned Roe v. Wade. Ten states are voting on abortion rights ballot measures, including states that are battlegrounds for the presidency and control of Congress, and polls show that abortion has newly energized Democrats and women. (Zernike, 10/31)
While often overshadowed by Trump鈥檚 emphasis on migrants, his broadsides against LGBTQ people have seemed to grow more frequent and ominous in the campaign鈥檚 final days, intended both to stir his core supporters and coax votes from more moderate voters who may not mesh with Trump on other matters. It鈥檚 part of an overall campaign in which Trump has pushed his own brand of hyper-masculinity, most recently referring several times to CNN anchor Anderson Cooper, who is gay, by a woman鈥檚 name, 鈥淎llison Cooper.鈥 Harris has largely ignored Trump鈥檚 attacks but has pushed back on his characterization of her stances, noting that federal policy giving U.S. military personnel access to gender-affirming medical care and transgender surgery was in place during Trump鈥檚 presidency. (Barrow, 11/1)
Senator JD Vance of Ohio criticized what he called 鈥済ender transition craziness,鈥 spoke dismissively of women he claimed were 鈥渃elebrating鈥 their abortions and said that studies 鈥渃onnect testosterone levels in young men with conservative politics鈥 during a three-hour episode of 鈥淭he Joe Rogan Experience鈥 that was released on Thursday. (Cameron, Levien and Vigdor, 10/31)
As voters in nine states determine whether to enshrine abortion rights in their state constitutions, opponents are using parental rights and anti-transgender messages to try to undermine support for the ballot proposals. (Fernando, 10/31)
Donald Trump is spending more on ads criticizing Kamala Harris鈥 support for transgender rights than he is on any other subject in the campaign鈥檚 closing days 鈥 and down-ballot Republicans are following suit, believing the issue can tip close races. But nationwide, the GOP is finding it鈥檚 easier to oppose trans rights in theory than in reality 鈥 when it means kicking a child off a team or blocking parents from proceeding with medical care recommended by a doctor. Some Republicans are even warning their party鈥檚 stance conflicts with conservative values on individual and parental rights. (Payne, 10/31)
Voters across Maryland will decide if the right to reproductive freedom should be protected in the state's constitution. State ballot question one asks if the ability to prevent, continue or end a pregnancy should be protected. Even though abortion is already legal in Maryland, this question would cement the freedoms in the state. If it is approved by the voters, the state general assembly wouldn't be able to restrict access to reproductive freedoms. "It's just one step further of protection of reproductive rights," Michael Spivey, senior lecturer at the University of Maryland in the department of government and politics, said. (Lynch, 10/31)
In other election news 鈥
A number of states will vote on ballot measures related to substance use, insurance and other health-related issues on Nov. 5 鈥 in addition to the 11 abortion-related measures before voters. The health-related initiatives cover a range of topics. California, South Dakota and Illinois voters will be asked about changes to insurance programs, while New Mexico, Nevada and Washington state will weigh changes related to care facilities. (Hellmann and Cohen, 10/31)
California鈥檚 zealous commitment to direct democracy often enlists voters to weigh in on proposals that commit funding to certain priorities. But rarely have they been invited to do what this year鈥檚 Proposition 35 asks: decide some of the nitty-gritty line items in the state鈥檚 vast Medicaid budget, work that typically takes lawmakers months of tortuous negotiating and debating each year. If Prop 35 passes, voters will hand over the keys to billions of dollars locked into a spending plan first hashed out in private by the state鈥檚 most powerful health care interests. Elected officials would have a much harder time adjusting the formula, allowing for only narrow changes passed by a three-fourths majority. (Bluth, 10/31)
The presidential election is already stressful for most Americans 鈥 and these stressors can trickle down into relationships. A new poll from the American Psychological Association (APA) found that 77% of Americans believe the future of our nation is a "significant source of stress," along with the economy (73%) and the upcoming election (69%). The "Stress in America" online survey, which polled 3,000 U.S. adults of different political affiliations in August 2024, analyzed potential fallout from election results, including in people's relationships. (Stabile, 10/31)