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BY Associated Press3 minute read Drones for commercial and recreational use have grown rapidly in popularity, despite restrictions on who can operate them and where they can be flown. No-fly zones are enforced around airports, military installations, nuclear plants, certain landmarks including the Statue of Liberty, and sports stadiums during games. Not everybody follows the rules. Sightings at airports have shut down flights in a few instances. Reported sightings of what appear to be drones flying over New Jersey at night in recent weeks have created anxiety among some residents, in part because it is not clear who is operating them or why. Some state and local officials have called for stricter rules to govern drones. After receiving reports of drone activity last month near Morris County, New Jersey, the Federal Aviation Administration issued temporary bans on drone flights over a golf course in Bedminster, New Jersey, that is owned by President-elect Donald Trump, and over Picatinny Arsenal Military Base. The FAA says the bans are in response to requests from "federal security partners." Who regulates drones? The FAA is responsible for the regulations governing their use, and Congress has written some requirements into law. Who enforces the rules? With a 2018 law, the Preventing Emerging Threats Act, Congress gave certain agencies in the Homeland Security and Justice departments authority to counter threats from unmanned aircraft to protect the safety of certain... Associated Press
US homelessness up 18% as affordable housing remains out of reach for many peopleThe United States saw an 18.1% increase in homelessness this year, a dramatic rise driven mostly by a lack of affordable housing as well as devastating natural disasters and a surge of migrants in several parts of the country, federal officials said Friday. The U.S. Department of Housing and Urban Development said federally required tallies taken across the country in January found more than 770,000 people were counted as homeless — a number that misses some people and does not include those staying with friends or family because they don't have a place of their own. That increase comes on top of a 12% increase in 2023, which HUD blamed on soaring rents and the end of COVID-19 pandemic assistance. The 2023 increase also was driven by people experiencing homelessness for the first time. The numbers overall represent 23 of every 10,000 people in the U.S., with Black people being overrepresented among the homeless population. A man walks past a homeless encampment Oct. 25, 2023, in downtown Los Angeles. "No American should face homelessness, and the Biden-Harris Administration is committed to ensuring every family has access to the affordable, safe, and quality housing they deserve," HUD Agency Head Adrianne Todman said in a statement, adding that the focus should remain on "evidence-based efforts to prevent and end homelessness." Among the most concerning trends was a nearly 40% rise in family homelessness — one of the areas that was most affected by the arrival of migrants in big cities. Family homelessness more than doubled in 13 communities impacted by migrants including Denver, Chicago and New York City, according to HUD, while it rose less than 8% in the remaining 373 communities. Almost 150,000 children experienced homelessness on a single night in 2024, reflecting a 33% jump from last year. Disasters also played a part in the rise in the count, especially last year's catastrophic Maui wildfire, the deadliest U.S. wildfire in more than a century. More than 5,200 people were in emergency shelters in Hawaii on the night of the count. Louisiana Wildlife and Fisheries agents assist state police as they order people living in a homeless encampment to move to a different designated location during a sweep ahead of a Taylor Swift concert in New Orleans. "Increased homelessness is the tragic, yet predictable, consequence of underinvesting in the resources and protections that help people find and maintain safe, affordable housing," Renee Willis, incoming interim CEO of the National Low Income Housing Coalition, said in a statement. "As advocates, researchers, and people with lived experience have warned, the number of people experiencing homelessness continues to increase as more people struggle to afford sky-high housing costs." Robert Marbut Jr., the former executive director of the U.S. Interagency Council on Homelessness from 2019 to 2021, called the nearly 33% increase in homelessness over the past four years "disgraceful" and said the federal government needs to abandon efforts to prioritize permanent housing. "We need to focus on treatment of substance use and mental illness, and bring back program requirements, like job training," Marbut said in an email. The numbers also come as increasing numbers of communities are taking a hard line against homelessness. People living in a homeless encampment pick up belongings Oct. 23 after Louisiana State Police ordered them to move to a different designated location during a sweep ahead of a Taylor Swift concert in New Orleans. Angered by often dangerous and dirty tent camps, communities — especially in Western states — have enforced bans on camping. That follows a 6-3 ruling this summer by the Supreme Court that found outdoor sleeping bans don’t violate the Eighth Amendment. Homeless advocates argued that punishing people who need a place to sleep would criminalize homelessness. There was some positive news in the count, as homelessness among veterans continued to trend downward. Homelessness among veterans dropped 8% to 32,882 in 2024. It was an even larger decrease for unsheltered veterans, declining 11% to 13,851 in 2024. "The reduction in veteran homelessness offers us a clear roadmap for addressing homelessness on a larger scale," Ann Oliva, CEO of the National Alliance to End Homelessness, said in a statement. "With bipartisan support, adequate funding, and smart policy solutions, we can replicate this success and reduce homelessness nationwide. Federal investments are critical in tackling the country's housing affordability crisis and ensuring that every American has access to safe, stable housing." Several large cities had success bringing down their homeless numbers. Dallas, which worked to overhaul its homeless system, saw a 16% drop in its numbers between 2022 to 2024. Los Angeles, which increased housing for the homeless, saw a drop of 5% in unsheltered homelessness since 2023. A rat sniffs the hand of a sleeping man experiencing homelessness Dec. 18 in downtown Los Angeles. California, the most populous state in the U.S., continued to have the nation's largest homeless population, followed by New York, Washington, Florida and Massachusetts. The sharp increase in the homeless population over the past two years contrasts with success the U.S. had for more than a decade. Going back to the first 2007 survey, the U.S. made steady progress for about a decade in reducing the homeless population as the government focused particularly on increasing investments to get veterans into housing. The number of homeless people dropped from about 637,000 in 2010 to about 554,000 in 2017. The numbers ticked up to about 580,000 in the 2020 count and held relatively steady over the next two years as Congress responded to the COVID-19 pandemic with emergency rental assistance, stimulus payments, aid to states and local governments and a temporary eviction moratorium. Homelessness is intertwined with the cost of living, and the high cost of living is hitting older adults fairly hard. A Westat survey for the Department of Health and Human Services found that older adults are the fastest-growing cohort of the homeless population. Emergency housing for seniors can keep that number from climbing higher. Caring.com details how to access it. The number of homeless seniors isn't based solely on people remaining homeless as they age; it also includes those whose first experience with homelessness came after they turned 50. In 2023, The U.S. Department of Housing and Urban Development (HUD) reported that 1 in 5 homeless people were over the age of 55. For seniors and other older adults, fixed incomes make it hard to battle the ever-increasing cost of expenses. Endhomelessness.org cites that 2.35 million older adults are paying over half of their limited income to rent. Based on Caring.com's July 2024 survey of seniors in the workforce , that's exactly why 1 in 15 retired seniors worry about losing their homes. Shelter use in homeless people older than 51 has gone up over 10% from 2007 to 2017, according to the HUD. But luckily, so has the number of shelters. Between 2022 and 2023, the HUD reports that emergency shelters added 28,760 more beds in emergency shelters, though this is a reduction in the amount of beds available during the thick of the COVID-19 pandemic. Emergency homeless assistance, or emergency housing, is a temporary solution. It's designed to provide shelter while those facing housing instability figure out their next step. Emergency housing for homeless seniors gives someone the immediate ability to remain housed and safely sheltered. Local nonprofits are often involved in placing people experiencing homelessness or housing instability into emergency shelters. Low-income seniors, seniors who are low on funds and might not make rent, or seniors who need to leave their homes for other reasons can use emergency housing. Many cities have their own emergency housing programs. There are also nationwide programs that provide emergency housing for seniors. The internet is the fastest tool for locating local emergency housing. Libraries have free internet access, for those who might not have a computer or Wi-Fi to begin their search. The list below leads to websites that include phone numbers for emergency homeless assistance. Seniors in need of immediate assistance and resources should call 2-1-1 or contact the United Way online . The 2-1-1 crisis hotline partners with United Way, which is committed to helping homeless seniors find local shelters or access transitional housing. The service can also connect seniors with other resources, including food, mental health support, or funding for health care expenses. Calling 2-1-1 is often required as a prerequisite before trying to get into a shelter or obtaining other assistance. Because 2-1-1 is for people in crisis, there are no eligibility requirements. However, some programs seniors may access through 2-1-1 do have eligibility requirements. Seniors can simply dial 2-1-1 from nearly anywhere in the U.S. to be put in touch with the programs and resources they need. Designed specifically for seniors, people with disabilities, and low-income families, the Housing Choice Voucher Program is a federal program offering low-income housing options and rent assistance. These vouchers are available through your local public housing agency (PHA). This program enables and encourages participants to choose their own housing. Housing options don't need to be a part of subsidized housing projects, but there are limits on unit size. Typically, participants must pay 30% of their monthly adjusted income towards their rent, and the voucher program pays the remainder. Applicant income and family size help the PHA determine eligibility. Citizenship and eligible immigration status also play a factor. The family's income cannot exceed 50% of the median income for the county or metropolitan area where they're applying to live. Of the vouchers, 75% must go to people whose income is at or less than 30% of their area's median income. Contact your local public housing agency . The Section 202 program helps expand the supply of affordable housing with supportive services for seniors. This program gives low-income seniors options that allow them to live independently, with support for cooking, cleaning, transportation, etc. This program is open to any very low-income household that has at least one person 62 years old or older. Applicants must submit an application in response to a Notice of Funding Availability (NOFA) posted on Grants.gov . The HUD-VASH program was created as emergency homeless assistance for veterans. Its goal is to give homeless veterans access to permanent housing through public housing authorities. Veterans receive rental assistance through the HUD Housing Choice Voucher program and additional case management services through the VA. By December 2023, the HUD had allocated nearly 112,000 vouchers to help house veterans nationwide. To help veterans achieve stability and remain housed, VA case managers may connect veterans with support services such as health care, mental health treatment, and substance use counseling. If you or your loved one is a low-income senior with eligible military service, you may apply. Your local VA can tell you if your service qualifies you for HUD-VASH. Senior veterans may apply online or call (877) 424-3838. Click here to learn more about the emergency housing options for seniors available in your state. Low-income seniors who aren't in assisted living or independent living communities might find themselves facing housing instability. Emergency housing for seniors can help you or your loved one seek shelter. Crisis hotlines and public housing agencies can offer support. Finding emergency housing for seniors depends heavily on your area. The first step is to call the Crisis Hotline at 2-1-1. Finding a shelter takes less time than applying and getting approved for low-income housing voucher programs. The 2-1-1 hotline can direct you to local resources and locators. Yes and no. The duration depends on the type of housing. Shelters have limits that vary. Some shelters allow people to stay for up to six months, though that can vary based on demand. Seniors can remain in Section 202 supportive housing as long as they meet age and income requirements. Yes. Many counties have financial emergency programs that help seniors handle home repairs or short-term financial crises like utility shutoff. These programs allow the senior to focus their funds on their rent or mortgage. This story was produced by Caring.com and reviewed and distributed by Stacker Media. Stay up-to-date on the latest in local and national government and political topics with our newsletter.
AP News Summary at 5:43 p.m. ESTCanadian foreign, finance ministers meet Trump's team on tariffs
Daniel Penny doesn't testify as his defense rests in subway chokehold trialBy ADRIANA GOMEZ LICON FORT LAUDERDALE, Fla. (AP) — President-elect Donald Trump promised on Tuesday to “vigorously pursue” capital punishment after President Joe Biden commuted the sentences of most people on federal death row partly to stop Trump from pushing forward their executions. Related Articles National Politics | Elon Musk’s preschool is the next step in his anti-woke education dreams National Politics | Trump’s picks for top health jobs not just team of rivals but ‘team of opponents’ National Politics | Biden will decide on US Steel acquisition after influential panel fails to reach consensus National Politics | Biden vetoes once-bipartisan effort to add 66 federal judgeships, citing ‘hurried’ House action National Politics | A history of the Panama Canal — and why Trump can’t take it back on his own Trump criticized Biden’s decision on Monday to change the sentences of 37 of the 40 condemned people to life in prison without parole, arguing that it was senseless and insulted the families of their victims. Biden said converting their punishments to life imprisonment was consistent with the moratorium imposed on federal executions in cases other than terrorism and hate-motivated mass murder. “Joe Biden just commuted the Death Sentence on 37 of the worst killers in our Country,” he wrote on his social media site. “When you hear the acts of each, you won’t believe that he did this. Makes no sense. Relatives and friends are further devastated. They can’t believe this is happening!” Presidents historically have no involvement in dictating or recommending the punishments that federal prosecutors seek for defendants in criminal cases, though Trump has long sought more direct control over the Justice Department’s operations. The president-elect wrote that he would direct the department to pursue the death penalty “as soon as I am inaugurated,” but was vague on what specific actions he may take and said they would be in cases of “violent rapists, murderers, and monsters.” He highlighted the cases of two men who were on federal death row for slaying a woman and a girl, had admitted to killing more and had their sentences commuted by Biden. On the campaign trail, Trump often called for expanding the federal death penalty — including for those who kill police officers, those convicted of drug and human trafficking, and migrants who kill U.S. citizens. “Trump has been fairly consistent in wanting to sort of say that he thinks the death penalty is an important tool and he wants to use it,” said Douglas Berman, an expert on sentencing at Ohio State University’s law school. “But whether practically any of that can happen, either under existing law or other laws, is a heavy lift.” Berman said Trump’s statement at this point seems to be just a response to Biden’s commutation. “I’m inclined to think it’s still in sort of more the rhetoric phase. Just, ‘don’t worry. The new sheriff is coming. I like the death penalty,’” he said. Most Americans have historically supported the death penalty for people convicted of murder, according to decades of annual polling by Gallup, but support has declined over the past few decades. About half of Americans were in favor in an October poll, while roughly 7 in 10 Americans backed capital punishment for murderers in 2007. Before Biden’s commutation, there were 40 federal death row inmates compared with more than 2,000 who have been sentenced to death by states. “The reality is all of these crimes are typically handled by the states,” Berman said. A question is whether the Trump administration would try to take over some state murder cases, such as those related to drug trafficking or smuggling. He could also attempt to take cases from states that have abolished the death penalty. Berman said Trump’s statement, along with some recent actions by states, may present an effort to get the Supreme Court to reconsider a precedent that considers the death penalty disproportionate punishment for rape. “That would literally take decades to unfold. It’s not something that is going to happen overnight,” Berman said. Before one of Trump’s rallies on Aug. 20, his prepared remarks released to the media said he would announce he would ask for the death penalty for child rapists and child traffickers. But Trump never delivered the line. One of the men Trump highlighted on Tuesday was ex-Marine Jorge Avila Torrez, who was sentenced to death for killing a sailor in Virginia and later pleaded guilty to the fatal stabbing of an 8-year-old and a 9-year-old girl in a suburban Chicago park several years before. The other man, Thomas Steven Sanders, was sentenced to death for the kidnapping and slaying of a 12-year-old girl in Louisiana, days after shooting the girl’s mother in a wildlife park in Arizona. Court records show he admitted to both killings. Some families of victims expressed anger with Biden’s decision, but the president had faced pressure from advocacy groups urging him to make it more difficult for Trump to increase the use of capital punishment for federal inmates. The ACLU and the U.S. Conference of Catholic Bishops were some of the groups that applauded the decision. Biden left three federal inmates to face execution. They are Dylann Roof, who carried out the 2015 racist slayings of nine Black members of Mother Emanuel AME Church in Charleston, South Carolina; 2013 Boston Marathon bomber Dzhokhar Tsarnaev ; and Robert Bowers, who fatally shot 11 congregants at Pittsburgh’s Tree of Life Synagogue in 2018 , the deadliest antisemitic attack in U.S history. Associated Press writers Jill Colvin, Michelle L. Price and Eric Tucker contributed to this report.
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US homelessness up 18% as affordable housing remains out of reach for many peopleUnrealistic pressure steals childhood: Omar Stresses Need To Protect Youth From ‘Academic Overburden’ Jammu: Chief Minister Omar Abdullah today highlighted the immense pressure faced by the younger generation, particularly the unrealistic expectations of achieving academic excellence, which, he believed, steals their childhood and leaves little room for joy. Speaking at Amar Ujala’s Bhavviya Shatra Samman event held at the Convention Center in Jammu, he called for a balanced approach to life, urging students to embrace learning, engage in physical activities, and prioritize reading beyond textbooks. The event, organized to honor meritorious students from high school and intermediate classes, saw participation from Ministers Javed Ahmad Rana and Satish Sharma, Advisor to the Chief Minister Nasir Aslam Wani, Principal Secretary of School Education, Executive Editor of Amar Ujala Indu Shekhar Pancholi, senior officials, students from various institutions, and their parents. “For us, our time is passing. But life is a continuous journey of learning,” said Omar Abdullah, the chief guest of the event. He emphasized that education is not confined to academic institutions but is also drawn from life’s experiences, urging the youth to learn from others’ mistakes and guidance. He personally handed certificates and medals to the awardees and underscored the importance of resilience. “Nothing in life is permanent—neither bad times nor good times. What truly matters is how we use the present moment. Learn from the past, prepare for the future, and live in the now,” he advised. Touching on societal pressures, Abdullah expressed concern over the extreme academic cut-offs, often exceeding 98%, which, he said, were creating unhealthy expectations. “This unrealistic pressure steals your childhood, something you can never get back. We, the older generation, must ensure we don’t prematurely take away your innocence and joy,” he remarked. The Chief Minister also urged students to find time for playing and outdoor activities, emphasizing its impact on health and academic focus. Encouraging children to inculcate the habit of reading books, he highlighted its role in broadening perspectives and relieving stress. Omar Abdullah did not shy away from pinpointing challenges such as drug addiction among the youth of Jammu and Kashmir. While celebrating the achievements of the awardees, he pointed to the alarming rise in addiction cases. “Addiction is not a habit or a weakness; it is a medically recognized disease. It is only by God’s grace that you have stayed on the right path. But we need your help to save others. If you see someone struggling, encourage them to seek treatment,” he urged. On climate change, the Chief Minister reflected on his childhood memories, contrasting them with the present-day reality of erratic weather patterns. “The world we inherited from our ancestors was far better than the one we’re passing on to you. We have a responsibility to act now, to begin reversing the damage we’ve caused. I hope that when you stand in my place decades from now, you won’t feel the same regret I do,” he said. Concluding his address, Omar Abdullah shared a simple yet powerful lesson: Never give in. “No matter how difficult or dark things may seem, you must persevere,” he advised, sharing examples from his political career to inspire resilience among the students. The event ended on a high note, with the chief minister Omar Abdullah expressing his heartfelt congratulations to the students and their parents for their hard work and achievements, while encouraging them to strive for a balanced, fulfilling life.Trump vows to pursue executions after Biden commutes most of federal death row
The US State and Treasury departments said they hit Georgian Dream party founder and honorary chairman Bidzina Ivanishvili with penalties “for undermining the democratic and Euro-Atlantic future of Georgia for the benefit of the Russian Federation”, according to a statement. The designation of Mr Ivanishvili is the latest in a series of sanctions the US has placed on Georgian politicians and others this year. Those sanctions include freezes on assets and properties those targeted may have in US jurisdictions or that might enter US jurisdictions as well as travel bans on the targets and members of their families. “We strongly condemn Georgian Dream’s actions under Ivanishvili’s leadership, including its ongoing and violent repression of Georgian citizens, protesters, members of the media, human rights activists, and opposition figures,” the State Department said in a statement. “The United States is committed to promoting accountability for those undermining democracy and human rights in Georgia.” Mr Ivanishvili is a billionaire who made his fortune in Russia and served briefly as Georgia’s prime minister. In 2012, he founded Georgian Dream, Georgia’s longtime ruling party. Critics have accused Georgian Dream of becoming increasingly authoritarian and tilted towards Moscow. The party recently pushed through laws similar to those used by the Kremlin to crack down on freedom of speech and LGBT+ rights, prompting the European Union to suspend Georgia’s membership application process indefinitely. In October, Georgian Dream won another term in a divisive parliamentary election that has led to more mass protests. Last month, the country’s prime minister, Irakli Kobakhidze, announced a four-year suspension of talks on Georgia’s bid to join the European Union, fuelling further public outrage.The Prime Minister said his younger brother, who had learning difficulties because of complications at birth, had met “all the challenges life threw at him with courage and good humour”. He died peacefully on Boxing Day, according to the Prime Minister’s spokesman. The Prime Minister had been due to go on holiday with his family on Friday, but it is understood that he will now remain at home, and hopes to join them later. Sir Keir said in a statement: “My brother Nick was a wonderful man. “He met all the challenges life threw at him with courage and good humour. We will miss him very much. “I would like to thank all those who treated and took care of Nick. Their skill and compassion is very much appreciated.” Sir Keir spoke candidly about his brother in a recent biography written by journalist and former Labour Party adviser Tom Baldwin. While growing up in Surrey, the brothers shared a bunk bed in a room with an airing cupboard, and “just enough space for a couple of small desks where we’d do our homework”. The biography recorded how each child of the Starmer family was given a dog for their 10th birthday, and Nick and his twin sister Katy received Jack Russell terriers called Greg and Ben. The book also described how their mother, Jo, had taught Nick to read, but Sir Keir remembered how the school described his brother as “remedial”. Sir Keir, the middle child of four siblings, said: “They had no expectation of him or anything and I’m not sure he even sat exams, so he had nothing to show for coming out of education. “We were a family of six, so it didn’t feel lonely and I shared a room with him, but Nick didn’t have many friends and got called ‘thick’ or ‘stupid’ by other kids.” He added: “Even now I try to avoid using words like that to describe anyone.” Nick worked on scrap cars and scaffolding, earning enough money to rent a home near where he had grown up, according to the book. It said Sir Keir was best man at Nick’s wedding, and the now Prime Minister recalled borrowing a car so his brother was not “driving his bride from the church in his beaten-up minivan, which had all his clothes in the back”. The marriage ended and Nick lived for some time in Yorkshire. In 2022, Sir Keir stepped away from local election campaigning to make several hospital visits to see his brother, who was seriously ill at the time. The Prime Minister also spoke about Nick in his speech at this year’s Labour Party conference in Liverpool. As he described his early encounters with art and culture, and the need to remove social barriers, Sir Keir told delegates: “My brother, who had difficulties learning, he didn’t get those opportunities. “Every time I achieved something in my life, my dad used to say, ‘Your brother has achieved just as much as you, Keir’. “And he was right. I still believe that.” Mr Baldwin, writing for The Times on Friday, recalled the moment in 2023 that he learned from Sir Keir that his brother was dying of lung cancer. He wrote: “This has been a huge part of his life over the past couple of years, during which he made regular trips to Leeds where his brother was in hospital. “Even during the election campaign and since he entered Downing Street, Starmer has continued to visit without a camera crew in sight. “He got to know the staff treating his brother so well that he could recite all their names and they would let him into the hospital through a back door so that there would be no publicity.” Conservative Party leader Kemi Badenoch was among those in the world of politics to offer their condolences. She wrote on X, formerly Twitter: “This is such awful news. Particularly devastating at Christmas time. “My sincere condolences to Keir Starmer and all his family.” Irish premier Simon Harris wrote: “My sincere sympathy to Keir Starmer and his family on such sad news. “They are in my thoughts at this difficult time.”10 tips from experts to help you change your relationship with money in 2025
WASHINGTON — There's a common trait that President-elect Donald Trump is clearly prizing as he selects those to serve in his new administration: experience on television. Rep. Sean Duffy, R-Wis., speaks during a hearing July 18, 2018, on Capitol Hill in Washington. President-elect Donald Trump has nominated Duffy to be Transportation Secretary. Trump loves that "central casting" look, as he likes to call it. Some, like his choices for defense secretary, Pete Hegseth, and transportation secretary, Sean Duffy, were until recently TV hosts on Trump's favorite network, Fox News. Mike Huckabee, his pick for U.S. ambassador to Israel, hosted the Fox show “Huckabee” from 2008 to 2015 after his time as Arkansas governor. Dr. Mehmet Oz, a former syndicated talk show host and heart surgeon, was tapped to head the Centers for Medicare and Medicaid Services, the agency that oversees health insurance programs for millions of older, poor and disabled Americans. He would report to Trump's choice for health and human services secretary, Robert F. Kennedy Jr., himself a regular on the cable news circuit. Mehmet Oz visits the AW Driving School & License Testing Center on Sept. 23, 2022, in Allentown, Pa. Trump, a former reality television star himself, has made no secret of his intention to stack his administration with loyalists after his decisive 2024 election win — including some whose lack of relevant experience has raised concerns among lawmakers. But he's also working to set up a more forceful administration in this term, and in his eyes, many of those people happen to intersect with celebrity. The trend was not lost on Democratic Rep. Jim Himes of Connecticut, who posted on social media after the Oz nomination: “We are becoming the world’s first nuclear-armed reality television show.” For good measure, Himes added: “Just spitballing here, but what if the Attorney General and the Secretary of HHS fight each other in an octagonal cage?” That was a reference to Trump's affinity for the UFC fighters who do battle in the octagon. Choosing TV personalities isn't that unusual for the once-and-future president: A number of his first-term choices — John Bolton, Larry Kudlow, Heather Nauert and Mercedes Schlapp, were all on TV — mostly also on Fox. Omarosa Manigault Newman, a confrontational first-season member of Trump's NBC show “The Apprentice," was briefly at the White House before she was fired. Former New Jersey Gov. Chris Christie, a Republican who ran Trump’s 2016 transition team until he was fired, said that eight years ago, Trump held “Apprentice-like interviews at Bedminster,” summoning potential hires to his club in New Jersey. On a call on Tuesday organized by the Council on Foreign Relations, Christie said this year’s Cabinet choices are different than 2016’s but it’s still “Donald Trump casting a TV show.” “He’s casting,” Christie said. Trump has readily highlighted the media experience of his choices as he's announced them. He said Duffy, a former lawmaker and onetime cast member of MTV’s “The Real World," was “a STAR on Fox News.” Pete Hegseth walks to an elevator for a meeting with President-elect Donald Trump at Trump Tower on Dec. 15, 2016, in New York. Hegseth, a military veteran, “has been a host at FOX News for eight years, where he used that platform to fight for our Military and Veterans,” Trump said. He also noted that Hegseth's book “The War on Warriors” spent nine weeks on The New York Times “best-sellers list, including two weeks at NUMBER ONE.” As for Oz, Trump said: “He won nine Daytime Emmy Awards hosting ‘The Dr. Oz Show,’ where he taught millions of Americans how to make healthier lifestyle choices." It's also true that those seeking positions in Trump's orbit often take to the airwaves to audition for an audience of one. Tom Homan, Trump's choice for “border czar,” is a frequent Fox contributor. Ohio Sen. JD Vance was chosen as Trump's running mate in part because of how well he comes across on air. Trump's choice to lead the Federal Communications Commission, Brendan Carr, upped his profile when he took to Fox News to argue that a pre-election appearance on NBC's “Saturday Night Live” by Democratic nominee Kamala Harris was a violation of the “equal time” rule governing candidate appearances on television. The White House-to-cable news pundit pipeline tends to cut across administrations of both parties, to some extent. President Joe Biden had three MSNBC contributors on his transition team and his former press secretary went to the network after she left the White House. Biden, though, looked to career diplomats, longtime government workers and military leaders for key posts like the Defense Department. Trump's affinity for Fox News is well-documented, though the romance cooled for a time after Fox made an early call of Arizona for Biden in 2020, a move that infuriated Trump and many of the network’s viewers. Trump suggested viewers should migrate to other conservative news outlets. While the Arizona call ultimately proved correct, it set in motion internal second-guessing and led some Fox personalities to embrace conspiracy theories, which ultimately cost the network $787 million to settle a defamation lawsuit by Dominion Voting Systems. But Trump is still an avid watcher — the network provides Trump a window into conservative thinking, with commentary from Republican lawmakers and thinkers who are, often, speaking directly to the president-elect. Among President-elect Donald Trump's picks are Susie Wiles for chief of staff, Florida Sen. Marco Rubio for secretary of state, former Democratic House member Tulsi Gabbard for director of national intelligence and Florida Rep. Matt Gaetz for attorney general. Susie Wiles, 67, was a senior adviser to Trump's 2024 presidential campaign and its de facto manager. Trump named Florida Sen. Marco Rubio to be secretary of state, making a former sharp critic his choice to be the new administration's top diplomat. Rubio, 53, is a noted hawk on China, Cuba and Iran, and was a finalist to be Trump's running mate on the Republican ticket last summer. Rubio is the vice chairman of the Senate Intelligence Committee and a member of the Senate Foreign Relations Committee. “He will be a strong Advocate for our Nation, a true friend to our Allies, and a fearless Warrior who will never back down to our adversaries,” Trump said of Rubio in a statement. The announcement punctuates the hard pivot Rubio has made with Trump, whom the senator called a “con man" during his unsuccessful campaign for the 2016 GOP presidential nomination. Their relationship improved dramatically while Trump was in the White House. And as Trump campaigned for the presidency a third time, Rubio cheered his proposals. For instance, Rubio, who more than a decade ago helped craft immigration legislation that included a path to citizenship for people in the U.S. illegally, now supports Trump's plan to use the U.S. military for mass deportations. Pete Hegseth, 44, is a co-host of Fox News Channel’s “Fox & Friends Weekend” and has been a contributor with the network since 2014, where he developed a friendship with Trump, who made regular appearances on the show. Hegseth lacks senior military or national security experience. If confirmed by the Senate, he would inherit the top job during a series of global crises — ranging from Russia’s war in Ukraine and the ongoing attacks in the Middle East by Iranian proxies to the push for a cease-fire between Israel, Hamas and Hezbollah and escalating worries about the growing alliance between Russia and North Korea. Hegseth is also the author of “The War on Warriors: Behind the Betrayal of the Men Who Keep Us Free,” published earlier this year. Trump tapped Pam Bondi, 59, to be attorney general after U.S. Rep. Matt Gaetz withdrew his name from consideration. She was Florida's first female attorney general, serving between 2011 and 2019. She also was on Trump’s legal team during his first impeachment trial in 2020. Considered a loyalist, she served as part of a Trump-allied outside group that helped lay the groundwork for his future administration called the America First Policy Institute. Bondi was among a group of Republicans who showed up to support Trump at his hush money criminal trial in New York that ended in May with a conviction on 34 felony counts. A fierce defender of Trump, she also frequently appears on Fox News and has been a critic of the criminal cases against him. Trump picked South Dakota Gov. Kristi Noem, a well-known conservative who faced sharp criticism for telling a story in her memoir about shooting a rambunctious dog, to lead an agency crucial to the president-elect’s hardline immigration agenda. Noem used her two terms leading a tiny state to vault to a prominent position in Republican politics. South Dakota is usually a political afterthought. But during the COVID-19 pandemic, Noem did not order restrictions that other states had issued and instead declared her state “open for business.” Trump held a fireworks rally at Mount Rushmore in July 2020 in one of the first large gatherings of the pandemic. She takes over a department with a sprawling mission. In addition to key immigration agencies, the Department of Homeland Security oversees natural disaster response, the U.S. Secret Service, and Transportation Security Administration agents who work at airports. The governor of North Dakota, who was once little-known outside his state, Burgum is a former Republican presidential primary contender who endorsed Trump, and spent months traveling to drum up support for him, after dropping out of the race. Burgum was a serious contender to be Trump’s vice presidential choice this summer. The two-term governor was seen as a possible pick because of his executive experience and business savvy. Burgum also has close ties to deep-pocketed energy industry CEOs. Trump made the announcement about Burgum joining his incoming administration while addressing a gala at his Mar-a-Lago club, and said a formal statement would be coming the following day. In comments to reporters before Trump took the stage, Burgum said that, in recent years, the power grid is deteriorating in many parts of the country, which he said could raise national security concerns but also drive up prices enough to increase inflation. “There's just a sense of urgency, and a sense of understanding in the Trump administration,” Burgum said. Robert F. Kennedy Jr. ran for president as a Democrat, than as an independent, and then endorsed Trump . He's the son of Democratic icon Robert Kennedy, who was assassinated during his own presidential campaign. The nomination of Kennedy to lead the Department of Health and Human Services alarmed people who are concerned about his record of spreading unfounded fears about vaccines . For example, he has long advanced the debunked idea that vaccines cause autism. Scott Bessent, 62, is a former George Soros money manager and an advocate for deficit reduction. He's the founder of hedge fund Key Square Capital Management, after having worked on-and-off for Soros Fund Management since 1991. If confirmed by the Senate, he would be the nation’s first openly gay treasury secretary. He told Bloomberg in August that he decided to join Trump’s campaign in part to attack the mounting U.S. national debt. That would include slashing government programs and other spending. “This election cycle is the last chance for the U.S. to grow our way out of this mountain of debt without becoming a sort of European-style socialist democracy,” he said then. Oregon Republican U.S. Rep. Lori Chavez-DeRemer narrowly lost her reelection bid this month, but received strong backing from union members in her district. As a potential labor secretary, she would oversee the Labor Department’s workforce, its budget and put forth priorities that impact workers’ wages, health and safety, ability to unionize, and employer’s rights to fire employers, among other responsibilities. Chavez-DeRemer is one of few House Republicans to endorse the “Protecting the Right to Organize” or PRO Act would allow more workers to conduct organizing campaigns and would add penalties for companies that violate workers’ rights. The act would also weaken “right-to-work” laws that allow employees in more than half the states to avoid participating in or paying dues to unions that represent workers at their places of employment. Sean Duffy is a former House member from Wisconsin who was one of Trump's most visible defenders on cable news. Duffy served in the House for nearly nine years, sitting on the Financial Services Committee and chairing the subcommittee on insurance and housing. He left Congress in 2019 for a TV career and has been the host of “The Bottom Line” on Fox Business. Before entering politics, Duffy was a reality TV star on MTV, where he met his wife, “Fox and Friends Weekend” co-host Rachel Campos-Duffy. They have nine children. A campaign donor and CEO of Denver-based Liberty Energy, Write is a vocal advocate of oil and gas development, including fracking — a key pillar of Trump’s quest to achieve U.S. “energy dominance” in the global market. Wright also has been one of the industry’s loudest voices against efforts to fight climate change. He said the climate movement around the world is “collapsing under its own weight.” The Energy Department is responsible for advancing energy, environmental and nuclear security of the United States. Wright also won support from influential conservatives, including oil and gas tycoon Harold Hamm. Hamm, executive chairman of Oklahoma-based Continental Resources, a major shale oil company, is a longtime Trump supporter and adviser who played a key role on energy issues in Trump’s first term. President-elect Donald Trump tapped billionaire professional wrestling mogul Linda McMahon to be secretary of the Education Department, tasked with overseeing an agency Trump promised to dismantle. McMahon led the Small Business Administration during Trump’s initial term from 2017 to 2019 and twice ran unsuccessfully as a Republican for the U.S. Senate in Connecticut. She’s seen as a relative unknown in education circles, though she expressed support for charter schools and school choice. She served on the Connecticut Board of Education for a year starting in 2009 and has spent years on the board of trustees for Sacred Heart University in Connecticut. Trump chose Howard Lutnick, head of brokerage and investment bank Cantor Fitzgerald and a cryptocurrency enthusiast, as his nominee for commerce secretary, a position in which he'd have a key role in carrying out Trump's plans to raise and enforce tariffs. Trump made the announcement Tuesday on his social media platform, Truth Social. Lutnick is a co-chair of Trump’s transition team, along with Linda McMahon, the former wrestling executive who previously led Trump’s Small Business Administration. Both are tasked with putting forward candidates for key roles in the next administration. The nomination would put Lutnick in charge of a sprawling Cabinet agency that is involved in funding new computer chip factories, imposing trade restrictions, releasing economic data and monitoring the weather. It is also a position in which connections to CEOs and the wider business community are crucial. Doug Collins is a former Republican congressman from Georgia who gained recognition for defending Trump during his first impeachment trial, which centered on U.S. assistance for Ukraine. Trump was impeached for urging Ukraine to investigate Joe Biden in 2019 during the Democratic presidential nomination, but he was acquitted by the Senate. Collins has also served in the armed forces himself and is currently a chaplain in the United States Air Force Reserve Command. "We must take care of our brave men and women in uniform, and Doug will be a great advocate for our Active Duty Servicemembers, Veterans, and Military Families to ensure they have the support they need," Trump said in a statement about nominating Collins to lead the Department of Veterans Affairs. Karoline Leavitt, 27, was Trump's campaign press secretary and currently a spokesperson for his transition. She would be the youngest White House press secretary in history. The White House press secretary typically serves as the public face of the administration and historically has held daily briefings for the press corps. Leavitt, a New Hampshire native, was a spokesperson for MAGA Inc., a super PAC supporting Trump, before joining his 2024 campaign. In 2022, she ran for Congress in New Hampshire, winning a 10-way Republican primary before losing to Democratic Rep. Chris Pappas. Leavitt worked in the White House press office during Trump's first term before she became communications director for New York Republican Rep. Elise Stefanik, Trump's choice for U.S. ambassador to the United Nations. Former Hawaii Rep. Tulsi Gabbard has been tapped by Trump to be director of national intelligence, keeping with the trend to stock his Cabinet with loyal personalities rather than veteran professionals in their requisite fields. Gabbard, 43, was a Democratic House member who unsuccessfully sought the party's 2020 presidential nomination before leaving the party in 2022. She endorsed Trump in August and campaigned often with him this fall. “I know Tulsi will bring the fearless spirit that has defined her illustrious career to our Intelligence Community,” Trump said in a statement. Gabbard, who has served in the Army National Guard for more than two decades, deploying to Iraq and Kuwait, would come to the role as somewhat of an outsider compared to her predecessor. The current director, Avril Haines, was confirmed by the Senate in 2021 following several years in a number of top national security and intelligence positions. Trump has picked John Ratcliffe, a former Texas congressman who served as director of national intelligence during his first administration, to be director of the Central Intelligence Agency in his next. Ratcliffe was director of national intelligence during the final year and a half of Trump's first term, leading the U.S. government's spy agencies during the coronavirus pandemic. “I look forward to John being the first person ever to serve in both of our Nation's highest Intelligence positions,” Trump said in a statement, calling him a “fearless fighter for the Constitutional Rights of all Americans” who would ensure “the Highest Levels of National Security, and PEACE THROUGH STRENGTH.” Trump has chosen former New York Rep. Lee Zeldin to serve as his pick to lead the Environmental Protection Agency . Zeldin does not appear to have any experience in environmental issues, but is a longtime supporter of the former president. The 44-year-old former U.S. House member from New York wrote on X , “We will restore US energy dominance, revitalize our auto industry to bring back American jobs, and make the US the global leader of AI.” “We will do so while protecting access to clean air and water,” he added. During his campaign, Trump often attacked the Biden administration's promotion of electric vehicles, and incorrectly referring to a tax credit for EV purchases as a government mandate. Trump also often told his audiences during the campaign his administration would “Drill, baby, drill,” referring to his support for expanded petroleum exploration. In a statement, Trump said Zeldin “will ensure fair and swift deregulatory decisions that will be enacted in a way to unleash the power of American businesses, while at the same time maintaining the highest environmental standards, including the cleanest air and water on the planet.” Trump has named Brendan Carr, the senior Republican on the Federal Communications Commission, as the new chairman of the agency tasked with regulating broadcasting, telecommunications and broadband. Carr is a longtime member of the commission and served previously as the FCC’s general counsel. He has been unanimously confirmed by the Senate three times and was nominated by both Trump and President Joe Biden to the commission. Carr made past appearances on “Fox News Channel," including when he decried Democratic Vice President Kamala Harris' pre-Election Day appearance on “Saturday Night Live.” He wrote an op-ed last month defending a satellite company owned by Trump supporter Elon Musk. Scott Turner is a former NFL player and White House aide. He ran the White House Opportunity and Revitalization Council during Trump’s first term in office. Trump, in a statement, credited Turner, the highest-ranking Black person he’s yet selected for his administration, with “helping to lead an Unprecedented Effort that Transformed our Country’s most distressed communities.” Rep. Elise Stefanik is a representative from New York and one of Trump's staunchest defenders going back to his first impeachment. Elected to the House in 2014, Stefanik was selected by her GOP House colleagues as House Republican Conference chair in 2021, when former Wyoming Rep. Liz Cheney was removed from the post after publicly criticizing Trump for falsely claiming he won the 2020 election. Stefanik, 40, has served in that role ever since as the third-ranking member of House leadership. Stefanik’s questioning of university presidents over antisemitism on their campuses helped lead to two of those presidents resigning, further raising her national profile. If confirmed, she would represent American interests at the U.N. as Trump vows to end the war waged by Russia against Ukraine begun in 2022. He has also called for peace as Israel continues its offensive against Hamas in Gaza and its invasion of Lebanon to target Hezbollah. President-elect Donald Trump says he's chosen former acting Attorney General Matt Whitaker to serve as U.S. ambassador to NATO. Trump has expressed skepticism about the Western military alliance for years. Trump said in a statement Wednesday that Whitaker is “a strong warrior and loyal Patriot” who “will ensure the United States’ interests are advanced and defended” and “strengthen relationships with our NATO Allies, and stand firm in the face of threats to Peace and Stability.” The choice of Whitaker as the nation’s representative to the North Atlantic Treaty Organization is an unusual one, given his background is as a lawyer and not in foreign policy. Trump will nominate former Arkansas Gov. Mike Huckabee to be ambassador to Israel. Huckabee is a staunch defender of Israel and his intended nomination comes as Trump has promised to align U.S. foreign policy more closely with Israel's interests as it wages wars against the Iran-backed Hamas and Hezbollah. “He loves Israel, and likewise the people of Israel love him,” Trump said in a statement. “Mike will work tirelessly to bring about peace in the Middle East.” Huckabee, who ran unsuccessfully for the Republican presidential nomination in 2008 and 2016, has been a popular figure among evangelical Christian conservatives, many of whom support Israel due to Old Testament writings that Jews are God’s chosen people and that Israel is their rightful homeland. Trump has been praised by some in this important Republican voting bloc for moving the U.S. embassy in Israel from Tel Aviv to Jerusalem. Trump on Tuesday named real estate investor Steven Witkoff to be special envoy to the Middle East. The 67-year-old Witkoff is the president-elect's golf partner and was golfing with him at Trump's club in West Palm Beach, Florida, on Sept. 15, when the former president was the target of a second attempted assassination. Witkoff “is a Highly Respected Leader in Business and Philanthropy,” Trump said of Witkoff in a statement. “Steve will be an unrelenting Voice for PEACE, and make us all proud." Trump also named Witkoff co-chair, with former Georgia Sen. Kelly Loeffler, of his inaugural committee. Trump asked Rep. Michael Waltz, R-Fla., a retired Army National Guard officer and war veteran, to be his national security adviser, Trump announced in a statement Tuesday. The move puts Waltz in the middle of national security crises, ranging from efforts to provide weapons to Ukraine and worries about the growing alliance between Russia and North Korea to the persistent attacks in the Middle East by Iran proxies and the push for a cease-fire between Israel and Hamas and Hezbollah. “Mike has been a strong champion of my America First Foreign Policy agenda,” Trump's statement said, "and will be a tremendous champion of our pursuit of Peace through Strength!” Waltz is a three-term GOP congressman from east-central Florida. He served multiple tours in Afghanistan and also worked in the Pentagon as a policy adviser when Donald Rumsfeld and Robert Gates were defense chiefs. He is considered hawkish on China, and called for a U.S. boycott of the 2022 Winter Olympics in Beijing due to its involvement in the origin of COVID-19 and its mistreatment of the minority Muslim Uighur population. Stephen Miller, an immigration hardliner , was a vocal spokesperson during the presidential campaign for Trump's priority of mass deportations. The 39-year-old was a senior adviser during Trump's first administration. Miller has been a central figure in some of Trump's policy decisions, notably his move to separate thousands of immigrant families. Trump argued throughout the campaign that the nation's economic, national security and social priorities could be met by deporting people who are in the United States illegally. Since Trump left office in 2021, Miller has served as the president of America First Legal, an organization made up of former Trump advisers aimed at challenging the Biden administration, media companies, universities and others over issues such as free speech and national security. Thomas Homan, 62, has been tasked with Trump’s top priority of carrying out the largest deportation operation in the nation’s history. Homan, who served under Trump in his first administration leading U.S. Immigration and Customs Enforcement, was widely expected to be offered a position related to the border, an issue Trump made central to his campaign. Though Homan has insisted such a massive undertaking would be humane, he has long been a loyal supporter of Trump's policy proposals, suggesting at a July conference in Washington that he would be willing to "run the biggest deportation operation this country’s ever seen.” Democrats have criticized Homan for his defending Trump's “zero tolerance” policy on border crossings during his first administration, which led to the separation of thousands of parents and children seeking asylum at the border. Dr. Mehmet Oz, 64, is a former heart surgeon who hosted “The Dr. Oz Show,” a long-running daytime television talk show. He ran unsuccessfully for the U.S. Senate as the Republican nominee in 2022 and is an outspoken supporter of Trump, who endorsed Oz's bid for elected office. Elon Musk, left, and Vivek Ramaswamy speak before Republican presidential nominee former President Donald Trump at an Oct. 27 campaign rally at Madison Square Garden in New York. Trump on Tuesday said Musk and former Republican presidential candidate Ramaswamy will lead a new “Department of Government Efficiency" — which is not, despite the name, a government agency. The acronym “DOGE” is a nod to Musk's favorite cryptocurrency, dogecoin. Trump said Musk and Ramaswamy will work from outside the government to offer the White House “advice and guidance” and will partner with the Office of Management and Budget to “drive large scale structural reform, and create an entrepreneurial approach to Government never seen before.” He added the move would shock government systems. It's not clear how the organization will operate. Musk, owner of X and CEO of Tesla and SpaceX, has been a constant presence at Mar-a-Lago since Trump won the presidential election. Ramaswamy suspended his campaign in January and threw his support behind Trump. Trump said the two will “pave the way for my Administration to dismantle Government Bureaucracy, slash excess regulations, cut wasteful expenditures, and restructure Federal Agencies.” Russell Vought held the position during Trump’s first presidency. After Trump’s initial term ended, Vought founded the Center for Renewing America, a think tank that describes its mission as “renew a consensus of America as a nation under God.” Vought was closely involved with Project 2025, a conservative blueprint for Trump’s second term that he tried to distance himself from during the campaign. Vought has also previously worked as the executive and budget director for the Republican Study Committee, a caucus for conservative House Republicans. He also worked at Heritage Action, the political group tied to The Heritage Foundation, a conservative think tank. Scavino, whom Trump's transition referred to in a statement as one of “Trump's longest serving and most trusted aides,” was a senior adviser to Trump's 2024 campaign, as well as his 2016 and 2020 campaigns. He will be deputy chief of staff and assistant to the president. Scavino had run Trump's social media profile in the White House during his first administration. He was also held in contempt of Congress in 2022 after a month-long refusal to comply with a subpoena from the House committee’s investigation into the Jan. 6, 2021, attack on the U.S. Capitol. Blair was political director for Trump's 2024 campaign and for the Republican National Committee. He will be deputy chief of staff for legislative, political and public affairs and assistant to the president. Blair was key to Trump's economic messaging during his winning White House comeback campaign this year, a driving force behind the candidate's “Trump can fix it” slogan and his query to audiences this fall if they were better off than four years ago. Budowich is a veteran Trump campaign aide who launched and directed Make America Great Again, Inc., a super PAC that supported Trump's 2024 campaign. He will be deputy chief of staff for communications and personnel and assistant to the president. Budowich also had served as a spokesman for Trump after his presidency. McGinley was White House Cabinet secretary during Trump's first administration, and was outside legal counsel for the Republican National Committee's election integrity effort during the 2024 campaign. In a statement, Trump called McGinley “a smart and tenacious lawyer who will help me advance our America First agenda, while fighting for election integrity and against the weaponization of law enforcement.” Stay up-to-date on the latest in local and national government and political topics with our newsletter.S&P/TSX composite, U.S. markets trade lower Friday morning after holiday break
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The Automotive Embedded Software Development Service Market will Grow at 102.09 USD Billion Market Size by 2032Renuka Rayasam | (TNS) KFF Health News In April, just 12 weeks into her pregnancy, Kathleen Clark was standing at the receptionist window of her OB-GYN’s office when she was asked to pay $960, the total the office estimated she would owe after she delivered. Clark, 39, was shocked that she was asked to pay that amount during this second prenatal visit. Normally, patients receive the bill after insurance has paid its part, and for pregnant women that’s usually only when the pregnancy ends. It would be months before the office filed the claim with her health insurer. Clark said she felt stuck. The Cleveland, Tennessee, obstetrics practice was affiliated with a birthing center where she wanted to deliver. Plus, she and her husband had been wanting to have a baby for a long time. And Clark was emotional, because just weeks earlier her mother had died. “You’re standing there at the window, and there’s people all around, and you’re trying to be really nice,” recalled Clark, through tears. “So, I paid it.” On online baby message boards and other social media forums , pregnant women say they are being asked by their providers to pay out-of-pocket fees earlier than expected. The practice is legal, but patient advocacy groups call it unethical. Medical providers argue that asking for payment up front ensures they get compensated for their services. How frequently this happens is hard to track because it is considered a private transaction between the provider and the patient. Therefore, the payments are not recorded in insurance claims data and are not studied by researchers. Patients, medical billing experts, and patient advocates say the billing practice causes unexpected anxiety at a time of already heightened stress and financial pressure. Estimates can sometimes be higher than what a patient might ultimately owe and force people to fight for refunds if they miscarry or the amount paid was higher than the final bill. Up-front payments also create hurdles for women who may want to switch providers if they are unhappy with their care. In some cases, they may cause women to forgo prenatal care altogether, especially in places where few other maternity care options exist. It’s “holding their treatment hostage,” said Caitlin Donovan, a senior director at the Patient Advocate Foundation . Medical billing and women’s health experts believe OB-GYN offices adopted the practice to manage the high cost of maternity care and the way it is billed for in the U.S. When a pregnancy ends, OB-GYNs typically file a single insurance claim for routine prenatal care, labor, delivery, and, often, postpartum care. That practice of bundling all maternity care into one billing code began three decades ago, said Lisa Satterfield, senior director of health and payment policy at the American College of Obstetricians and Gynecologists . But such bundled billing has become outdated, she said. Previously, pregnant patients had been subject to copayments for each prenatal visit, which might lead them to skip crucial appointments to save money. But the Affordable Care Act now requires all commercial insurers to fully cover certain prenatal services. Plus, it’s become more common for pregnant women to switch providers, or have different providers handle prenatal care, labor, and delivery — especially in rural areas where patient transfers are common. Some providers say prepayments allow them to spread out one-time payments over the course of the pregnancy to ensure that they are compensated for the care they do provide, even if they don’t ultimately deliver the baby. “You have people who, unfortunately, are not getting paid for the work that they do,” said Pamela Boatner, who works as a midwife in a Georgia hospital. While she believes women should receive pregnancy care regardless of their ability to pay, she also understands that some providers want to make sure their bill isn’t ignored after the baby is delivered. New parents might be overloaded with hospital bills and the costs of caring for a new child, and they may lack income if a parent isn’t working, Boatner said. In the U.S., having a baby can be expensive. People who obtain health insurance through large employers pay an average of nearly $3,000 out-of-pocket for pregnancy, childbirth, and postpartum care, according to the Peterson-KFF Health System Tracker . In addition, many people are opting for high-deductible health insurance plans, leaving them to shoulder a larger share of the costs. Of the 100 million U.S. people with health care debt, 12% attribute at least some of it to maternity care, according to a 2022 KFF poll . Families need time to save money for the high costs of pregnancy, childbirth, and child care, especially if they lack paid maternity leave, said Joy Burkhard , CEO of the Policy Center for Maternal Mental Health, a Los Angeles-based policy think tank. Asking them to prepay “is another gut punch,” she said. “What if you don’t have the money? Do you put it on credit cards and hope your credit card goes through?” Calculating the final costs of childbirth depends on multiple factors, such as the timing of the pregnancy , plan benefits, and health complications, said Erin Duffy , a health policy researcher at the University of Southern California’s Schaeffer Center for Health Policy and Economics. The final bill for the patient is unclear until a health plan decides how much of the claim it will cover, she said. But sometimes the option to wait for the insurer is taken away. During Jamie Daw’s first pregnancy in 2020, her OB-GYN accepted her refusal to pay in advance because Daw wanted to see the final bill. But in 2023, during her second pregnancy, a private midwifery practice in New York told her that since she had a high-deductible plan, it was mandatory to pay $2,000 spread out with monthly payments. Daw, a health policy researcher at Columbia University, delivered in September 2023 and got a refund check that November for $640 to cover the difference between the estimate and the final bill. “I study health insurance,” she said. “But, as most of us know, it’s so complicated when you’re really living it.” While the Affordable Care Act requires insurers to cover some prenatal services, it doesn’t prohibit providers from sending their final bill to patients early. It would be a challenge politically and practically for state and federal governments to attempt to regulate the timing of the payment request, said Sabrina Corlette , a co-director of the Center on Health Insurance Reforms at Georgetown University. Medical lobbying groups are powerful and contracts between insurers and medical providers are proprietary. Because of the legal gray area, Lacy Marshall , an insurance broker at Rapha Health and Life in Texas, advises clients to ask their insurer if they can refuse to prepay their deductible. Some insurance plans prohibit providers in their network from requiring payment up front. If the insurer says they can refuse to pay up front, Marshall said, she tells clients to get established with a practice before declining to pay, so that the provider can’t refuse treatment. Related Articles Health | Which health insurance plan may be right for you? Health | California case is the first confirmed bird flu infection in a US child Health | TriCounty Active Adult Center offers monthly ‘Sex & Dating after 50’ series Health | Your cool black kitchenware could be slowly poisoning you, study says. Here’s what to do Health | Does fluoride cause cancer, IQ loss, and more? Fact-checking Robert F. Kennedy Jr.’s claims Clark said she met her insurance deductible after paying for genetic testing, extra ultrasounds, and other services out of her health care flexible spending account. Then she called her OB-GYN’s office and asked for a refund. “I got my spine back,” said Clark, who had previously worked at a health insurer and a medical office. She got an initial check for about half the $960 she originally paid. In August, Clark was sent to the hospital after her blood pressure spiked. A high-risk pregnancy specialist — not her original OB-GYN practice — delivered her son, Peter, prematurely via emergency cesarean section at 30 weeks. It was only after she resolved most of the bills from the delivery that she received the rest of her refund from the other OB-GYN practice. This final check came in October, just days after Clark brought Peter home from the hospital, and after multiple calls to the office. She said it all added stress to an already stressful period. “Why am I having to pay the price as a patient?” she said. “I’m just trying to have a baby.” ©2024 KFF Health News. Distributed by Tribune Content Agency, LLC.
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