A 45-year-old got pregnant in a state with a ban on abortions. She flew across the country to get one | CNN



CNN
 — 

When 45-year-old Victoria realized she was five weeks late and the lines showed as positive on two pregnancy tests, the New Orleans resident dreamed up a plan to get an abortion.

Traveling out of state was the only abortion option for Victoria, who asked CNN to withhold her last name out of fear of backlash against her and her family. Louisiana is one of several states that have essentially banned all abortions.

“It was probably one of the hardest things I’ve had to go through, from the moment of discovering that I was pregnant at age 45 to actually having to have to take time off work, travel across the country, do a meeting with a doctor, and then take the pills and then skedaddle back home and then go to work like nothing had happened,” Victoria told CNN of her experience earlier this year.

Victoria’s story about the distance she traveled and the hardships she endured to get an abortion reflects a wider American reality, where women seeking the procedure must navigate through a patchwork of states with varying levels of access.

The average travel time to an abortion facility more than tripled, from less than 30 minutes to more than an hour and a half, after the US Supreme Court overturned Roe v. Wade in 2022, according to a November study in the Journal of the American Medical Association. And for women in Texas and Louisiana, average travel times to the nearest abortion facility were seven hours longer – almost a full workday in travel time to get an abortion.

Victoria says she was grateful she could drop everything and afford to spend $1,000 for the procedure, including same-week airfare with connections both ways and appointment and medication fees.

“It was so hard for me wrap my head around the fact that I was able to do this, but I’m one of the lucky ones and that there are so many women who are in much tighter positions,” Victoria said. “And, God, what are they going to do?”

Victoria says plans materialized quickly once she knew which states seemed more accessible.

She researched the parameters for abortion in a state, how long she would have to take off work, travel options and how soon she could get an appointment. She found abortionfinder.org to be a helpful and reliable source, she says.

“Because the situation is so fluid, it changes from day to day, that was really of paramount importance for me to be able to have a reliable source of information,” she said.

Driving to a neighboring state was not an option, as every state adjoining Louisiana has a similarly restrictive law that bans virtually all abortions. Victoria says she considered close states, like Florida, but she ultimately dismissed them because available appointments were farther out.

“Once I saw that Oregon was so, so protective of reproductive rights, I said, ‘Why would I think about going anywhere else?’” she said. “The second I got the definitive pregnancy result, I was like, ‘OK, let’s book a flight to Oregon. When can we do this?’”

She reached out to a friend from college and asked if she could stay with her, detailing the reason for her visit. She then made an appointment and booked a flight for that week, she says.

The provider sent instructions, including that the patient must be in Oregon for the telehealth appointment, according to documents provided to CNN. They contacted her within an hour of making the appointment to make sure she had proof of travel documents because she had made it from Louisiana, where the procedure is illegal.

Victoria planned to take a day off to fly across the country and work remotely for two days, which fits her hybrid work situation. She says she was grateful to have a supportive, female boss who showed understanding for why she had to take the unexpected time off.

“She was the only person I actually kind of broke down and cried for,” Victoria said. “I think it’s because I had been holding it back all week, and telling her was sort of the last thing that I needed to get in place before I could do everything.”

Victoria says the hardest part of her experience was telling her mother because she didn’t know how her mom would feel about it. Victoria and her siblings were raised Catholic. Her father had a strong faith and her mother was a non-practicing Catholic, her mother says. Victoria’s mom asked not to be named for privacy reasons.

Victoria’s mother says she wanted to support her daughter, even if she does not agree with what her daughter did. Victoria coming to her with tickets purchased and a full plan made it easy for her mother to support her, the mother says.

“I agreed to drive her to the airport and that that was the only thing I could do because this would be a real game-changing thing in her life,” her mother said. “I wanted to support what she wanted to do because she has supported me on several family crises. I just wanted to do it because I love her. “

Victoria said she appreciated her mom for being supportive in a way she didn’t expect. They talked about some of her mother’s friends who had abortions throughout the years, both say. Victoria’s mother even told her about when she tried to get her tubes tied, but her husband found out and she did not pursue it.

“I feel like, if anything, it’s made our relationship stronger,” Victoria said. “We already had a fantastically strong relationship, though. So, it’s another rock in the wall.”

After boarding early on a Wednesday in March, Victoria traveled for eight hours on two flights and landed in Portland, Oregon.

Victoria reunited with her friend, and they did the things that old friends do, from staying up late talking about college memories to talking about why Victoria was there. They both described the situation as surreal.

“The vast majority of reproductive conversations I have with friends at this point are people who are trying desperately to get pregnant,” said her friend, Emily, who asked that CNN not use her last name to keep Victoria’s privacy. “The sort of irony is that there could still be an unplanned pregnancy and it would still be just as devastating as it would have been when we were in our teens and twenties was kind of a shock to me.”

Emily, who has been friends with Victoria for about 25 years, says it took so little effort for her to drive to the airport and let her friend stay with her.

“I felt honored that she trusted me,” she said. “I was really proud of Victoria. I was impressed that she had taken this in stride and that she had reached out to someone she knew – I think a lot of people would have been ashamed or hidden it.”

After the telehealth appointment the next day, Victoria received an overnight package.

Victoria took two medications as part of a medication abortion. She took mifepristone at her friend’s home. The next day she took misoprostol before boarding her flight home – she was careful not to take them in her home state, where it’s illegal.

Misoprostol, taken after mifepristone, is a common combination prescribed for a medication abortion.

“It was like a heavy period,” she said. “I took some Aleve, had to get some extra jumbo pads, and I bled a lot on the flights home, but it was fine.”

Physically, she felt fine – it was more of what was happening psychologically that she noticed, she says.

“I had this feeling that I should be having some kind of deep, psychological moment of reckoning or something, but I didn’t really feel that,” Victoria said of the experience. “I’ve never wanted to have a kid. I wasn’t torn about this decision.”

When Victoria learned she was pregnant, a big part of the shock came from not thinking she could get pregnant at age 45, she says.

“You hear so much culturally out there about you’re in your forties, are told you’re too old to get pregnant and carry a child to term,” she said. “I feel like I had sort of a false sense of security.”

Victoria joked that she’s “careening toward menopause,” but she says she has not been diagnosed as perimenopausal.

Her pregnancy news came several months after she was treated for a uterine fibroid, a benign growth, in July 2022, according to medical records. Victoria also tested positive for a PALB2 gene mutation, which can lead to an increased chance of breast cancer, according to a study in the New England Journal of Medicine. She underwent a preventative double mastectomy and reconstruction earlier in 2022, according to medical records provided to CNN.

She says she got an excellent standard of care around her surgeries, but it felt dissonant with her state’s laws around abortion.

“It felt so surreal to get this really high standard of care around my secondary sexual characteristics, but then to have that freeze, slam shut when it comes to reproductive health, it just felt abrupt,” she said.

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2001 Anthrax Attacks Fast Facts | CNN



CNN
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Here’s a look at the 2001 anthrax attacks, also referred to as Amerithrax.

There are four types of anthrax infection: cutaneous (through the skin), inhalation (through the lungs; the most deadly), gastrointestinal (through digestion) and injection anthrax. Injection anthrax is common in heroin-injecting users in northern Europe. This has never been reported in the United States.

Anthrax can be contracted by handling products from infected animals or by breathing in anthrax spores and by eating undercooked meat from infected animals.

It has been blamed for several plagues over the ages that killed both humans and livestock. It emerged in World War I as a biological weapon.

The Centers for Disease Control and Prevention categorizes anthrax as a Category A agent: one that poses the greatest possible threat for a negative impact on public health; one that may spread across a large area or need public awareness and requires planning to protect the public’s health.

Read more: America’s long and frightening history of attacks by mail

Five people died and 17 people were sickened during anthrax attacks in the fall of 2001; outbreak is often referred to as Amerithrax.

Anthrax was sent via anonymous letters to news agencies in Florida and New York and a congressional office building in Washington, DC.

Of the five victims who died of inhalation anthrax, two were postal workers. The other three victims were an elderly woman from rural Connecticut, a Manhattan hospital worker from the Bronx and an employee at a Florida tabloid magazine who may have contracted anthrax through cross-contamination.

The letters were sent to NBC anchor Tom Brokaw, Sen. Majority Leader Tom Daschle, Sen. Patrick Leahy, and the New York Post offices. The letters were postmarked Trenton, New Jersey.

No arrests were made in the attacks.

The FBI has interviewed more than 10,000 people and issued more than 6,000 subpoenas in the case.

4.8 million masks and 88 million gloves were purchased by the Postal Service for its employees, and 300 postal facilities were tested for anthrax.

Over 32,000 people took antibiotics after possible exposure to anthrax.

Stevens, Bob – photo editor at American Media Inc, died of inhalation anthrax, October 5, 2001

Morris, Thomas Jr. – DC postal worker, died of inhalation anthrax, October 21, 2001

Curseen, Joseph Jr. – DC area postal worker, died of inhalation anthrax, October 22, 2001

Nguyen, Kathy – employee at Manhattan hospital, died of inhalation anthrax, October 31, 2001

Lundgren, Ottilie – Connecticut woman, died of inhalation anthrax, November 22, 2001

October 5, 2001 – Sun photo editor Stevens dies of inhalation anthrax.

October 12, 2001 – NBC News announces that an employee has contracted anthrax.

October 15, 2001 – A letter postmarked Trenton, New Jersey, opened by an employee of Senate Majority Leader Daschle contains white powdery substance later found to be “weapons grade” strain of anthrax spores. More than two dozen people in Daschle’s office test positive for anthrax after the envelope is discovered.

October 19, 2001 – An unopened letter tainted with anthrax is found in the offices of the New York Post. One Post employee is confirmed to have a cutaneous infection and a second shows symptoms of the same infection.

October 21, 2001 – DC postal worker Morris Jr. dies of inhalation anthrax.

October 22, 2001 – DC postal worker Curseen dies of inhalation anthrax.

October 31, 2001 – Nguyen, a stockroom worker for the Manhattan Eye, Ear and Throat Hospital, dies of inhalation anthrax.

November 9, 2001 The FBI releases a behavioral profile of the suspect, who is probably a male loner and might work in a laboratory.

November 16, 2001 – A letter sent to Senator Leahy is found to contain anthrax. The letter is among those at the Capitol that has been quarantined. The letter contains at least 23,000 anthrax spores and is postmarked October 9, in Trenton, New Jersey.

November 22, 2001 – Lundgren, a 94-year-old Connecticut woman, dies of inhalation anthrax.

January 2002 – FBI agents interview former US Army bioweapons scientist Steven Hatfill as part of the anthrax investigation.

June 2002 – Bioweapons researcher Hatfill is named a “person of interest” by the FBI.

June 25, 2002 – The FBI searches Hatfill’s Maryland apartment and Florida storage locker with his consent.

June 27, 2002 The FBI says it is focusing on 30 biological weapons experts in its probe.

August 1, 2002 – The FBI uses a criminal search warrant to search Hatfill’s Maryland apartment and Florida storage locker a second time; anthrax swab tests come back negative.

August 6, 2002 Attorney General John Ashcroft refers to Hatfill as a “person of interest.”

August 11, 2002 – Hatfill holds a press conference declaring his innocence. He holds a second one on August 25, 2002.

September 11, 2002The FBI searches Hatfill’s former apartment in Maryland for the third time.

August 26, 2003 – Hatfill files a civil lawsuit against Attorney General John Ashcroft, the Justice Department and the FBI claiming his constitutional rights have been violated. The suit alleges violations of Hatfill’s Fifth Amendment rights by preventing him from earning a living, violations of his Fifth Amendment rights by retaliating against him after he sought to have his name cleared in the anthrax probe and the disclosure of information from his FBI file. The suit also seeks an undetermined amount of monetary damages.

July 11, 2004 – The former headquarters of American Media, Inc. in Boca Raton, Florida, where Stevens contracted the anthrax is pumped full of chlorine dioxide gas for decontamination. This was the last building exposed to anthrax in the fall of 2001.

June 27, 2008 – The Justice Department reaches a settlement with Hatfill. The settlement requires the Justice Department to pay Hatfill a one-time payment of $2.825 million and to buy a $3 million annuity that will pay Hatfill $150,000 a year for 20 years. In return, Hatfill drops his lawsuit, and the government admits no wrongdoing.

July 29, 2008Bruce Ivins, a former researcher at the Army’s bioweapons laboratory at Fort Detrick, Maryland, dies after overdosing during a suicide attempt on July 27.

August 6, 2008 – Judge unseals and releases hundreds of documents in the 2001 FBI Anthrax investigation that detail Ivins’ role in the attacks.

August 8, 2008The Justice Department formally exonerates Hatfill.

September 25, 2008 – The court releases more documents including emails that Ivins sent to himself.

February 19, 2010 – The Justice Department, FBI and US Postal Inspection Service announce its investigation into the 2001 anthrax mailings is at an end.

March 23, 2011 – A report, entitled The Amerithrax Case, is released through the Research Strategies Network, a non-profit think tank based in Virginia. According to the report, old mental health records suggest Ivins should have been prevented from holding a job at a US Army research facility in Maryland. The report was requested by the US Department of Justice.

October 9, 2011 – The New York Times reports indicate there are scientists questioning the FBI assertions regarding Ivins. Possibly Ivins, if he was involved, worked with a partner. Also, the scientists say the presence of tin in the dried anthrax warrants that the investigation be reopened.

November 23, 2011 – The Justice Department settles for $2.5 million with Stevens’ family. The family originally sued for $50 million in 2003, arguing that the military laboratory should have had tighter security.

December 19, 2014 – The Government Accountability Office releases a 77-page report reviewing the genetic testing used by the FBI during the investigation into the anthrax attacks.

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For nearly 50 years, only Black men caddied The Masters. One day, they all but vanished | CNN



CNN
 — 

History never forgets a champion. When you win one of sport’s biggest titles, you become immortal.

Win multiple times and your legacy is even greater. To think of The Masters is to think of Jack Nicklaus, the most successful champion in the major’s history with six wins, and Arnold Palmer, who donned the winner’s green jacket four times in just six years at Augusta National.

And yet for decades, two former champions with a combined nine wins lay buried in unmarked graves.

Willie Peterson caddied Nicklaus’ first five victories, while Nathaniel “Iron Man” Avery was on the bag for all four of Palmer’s triumphs. Avery’s headstone was only installed at Augusta’s Southview Cemetery, in Georgia, in 2017, 32 years after his death. Three years later, a 10-minute drive away at Cedar Grove Cemetery, Peterson – who died in 1999 – received his.

They were just two of Augusta National’s original caddie corps, all of them Black men who, from the inaugural edition of the tournament in 1934, guided golfers around the fabled course.

Every subsequent year for almost half a century, they would play substantial – sometimes pivotal – roles in the destination of the green jacket.

The stories of the original group of Augusta caddies almost always began in the same place: Sand Hills.

Located just three miles from The Masters venue, the historically Black district lay adjacent to Augusta Country Club. There, local kids between 10 and 12 years old could earn a wage carrying the bag for members.

Around 90% of Augusta National’s original caddie corps grew up in the Sand Hill neighborhood, according to Leon Maben, vice president of the board of directors at Augusta’s Lucy Craft Laney Museum of Black History.

Eventually, many would hop across Rae’s Creek to begin work at Augusta National. Or as Ward Clayton, author of “Men on the Bag: The Caddies of Augusta National,” terms it: they “graduated.”

Palmer looks over his shoulder as he sits with a group of caddies during the 1965 Masters.

“They were just looking for a buck,” Clayton told CNN. “They weren’t aiming at the outset to become the greatest caddies in the world, but they did – that’s what they became.

“It wasn’t as much of an age thing as it was just your ability. You had to learn to how to act around adults, how to read greens, how to tell guys what clubs to hit, what their yardage was, and how to read people.

“You had to become a little bit of an amateur psychologist … you had to read them right away, from the first hole.”

There was strong incentive for graduating. A “good bag” at Augusta National would pay up to $5, Maben said, offering $20 for a particularly lucrative day’s labor.

For Jariah “Jerry” Beard, caddie for 1979 Masters champion Fuzzy Zoeller, it meant he could earn as much in a day as his parents could in a week working at the city’s John P. King mill.

If caddying was an education, then Willie “Pappy” Stokes was its headmaster.

Having grown up on the very grounds Augusta National was built on, a 12-year-old Stokes was hired to provide water to workers constructing the club. During bad weather, the youngster closely studied how rain streamed across the terrain, always trickling towards the course’s lowest point: Rae’s Creek.

That realization formed the basis of Stokes’ ability to read greens with near-perfect accuracy, a knowledge he imparted to budding students at Saturday morning “caddie school.”

At just 17-years-old, Stokes helped Henry Picard to the 1938 Masters title. He would retire after helping four different players to five wins at Augusta and having sealed his status as “The Godfather” of caddies.

Stokes watches on as Ben Hogan edges closer to his first Masters title in 1951. Stokes would caddy again for Hogan when he won his second green jacket in 1953.

Stokes’ knowledge trickled down to those that followed, epitomized by Beard in 1979. To this day, Zoeller remains the only golfer to win The Masters on his first attempt, as Beard steered the debutant around Augusta “like a blind man with a seeing-eye dog.”

And they were Zoeller’s words, not Beard’s, relayed by the American in “Loopers: The Caddie’s Long Walk,” a 2019 film co-produced by Clayton.

Maben often joked with Beard, who died in March aged 82, that Zoeller ought to give him his green jacket.

“These guys were ahead of their time,” Maben said. “They knew Augusta National like the back of their hand and were able to direct a golfer without any type of instrument like today’s caddies (use).

“They didn’t have no book to go by or no instrument to say how the wind was blowing that day, anything like that. They were the best at what they did.”

Beard helps Zoeller line up a putt at the 1979 Masters.

And as with “The Godfather,” caddie nicknames were par for the course.

Tommy “Burnt Biscuits” Bennett, on the bag for Tiger Woods’ first Masters in 1995, got his moniker after an attempt as a child to steal biscuits being baked on his Grandma’s wooden stove ended with him badly scalding himself, according to ESPN.

Then there was John H. “Stovepipe” Gordon, Frank “Marble Eye” Stokes, and Matthew “Shorty Mac” Palmer. Avery’s “Iron Man” title had multiple stories as to its origin, according to Clayton, one being that he inadvertently cut off a finger while playing golf with a hatchet and another that he injured a hand playing around with powerful firecrackers.

John H.

But Clayton has a clear favorite in the nickname department: Willie “Cemetery” Perteet, former caddie for President Dwight D. Eisenhower. The story, as recounted by Clayton, goes as follows.

Caddie by day, jazz band drummer in downtown Augusta by night, Perteet was leaving a gig one evening when he was jumped by a gang brandishing knives. The group had been gathered by the caddie’s ex-girlfriend, who was “terrifically hurt” after he had ended the relationship.

Hospitalized by his injuries, Perteet later returned to consciousness – but not in a hospital bed. Instead, he awoke in a refrigerated bay, staring into the horrified eyes of a mortician.

“The doctor evidently gave him too much medication and they thought he was dead,” Clayton explained.

“So all the caddies give him the nickname ‘Dead Man.’ President Eisenhower, right at the outset, said, ‘I don’t really like that title. We’re just going to call you Cemetery.’”

Though those who worked the bag were often close with the golfers they paired with, there was an enduring divide – social, as caddies, and racial, as Black men in America.

Only allowed to play the course on the days Augusta National was closed to members, caddies were “considered a lower class,” despite the respect for their craft, Clayton said. Maben, having spoken to many of the original caddies, agreed.

“That’s during segregation, Jim Crow period, and Black men was downgraded in society, called boy, n***er and all that,” Maben said.

“The way I analyze it, from a lot of the conversations I had, they knew their place at that time in society.”

In 1990, TV executive Ron Townsend became the first Black member admitted to Augusta National, 15 years after Lee Elder had become the first Black golfer to compete at The Masters.

Elder won four times on the PGA Tour.

By the time Townsend arrived, most of Augusta’s original caddie corps had disappeared. For the first 48 years at The Masters, golfers had to employ the services of the club’s caddies, but from 1983 onwards, they could bring their own.

Part of the reason lay in events at the previous year’s tournament, when a miscommunication led to some caddies missing a morning tee time. Several golfers used the incident as leverage in their bid to persuade The Masters to allow players to bring the caddies they employed year-round on the PGA Tour.

Clayton believes the arrival of Tour caddies was a matter of when, not if. “There’s no doubt that there was still a large, large group of excellent caddies at Augusta National. But the depth of those caddie ranks were not as great as what the players wanted,” he said.

“It would just have been nice if it was done in a more seamless manner versus what occurred.”

Caddies old and new at the 1983 Masters.

Regardless of the cause, the impact was profound. The 1983 Masters saw the first White caddies walk the greens at the major, with just 19 Black caddies on the bag, Clayton said.

Peterson was furious after entering the caddy facility to find his trusty No. 1 locker had been taken by an unknowing “Tour caddie.” The matter was quickly resolved, but the outgoing caddies were distraught – a pain felt both emotionally and financially.

“They felt like their jobs were being taken from them,” Clayton explained. “They didn’t have a lot of time for these guys coming in from the outside.”

Within a decade, less than 10 of the original caddie corps remained, he added.

“It was not nice the way they went out,” Carl Jackson, caddie for Ben Crenshaw, told CNN.

“It was a hard thing for all the guys because many of them were really good caddies and had experience about that golf course. At least 25-30 of those pros should not have let their caddies go.”

Yet Jackson’s story at Augusta National would not end for another 40 years.

Like many others, Jackson had begun working at Augusta Country Club before graduating to Augusta National in 1958 to learn his trade under Stokes. He arrived with the nickname “Skillet” because he supposedly couldn’t throw a baseball hard enough to break an egg.

In 1976, he paired with Crenshaw for the first time. For renowned putter “Gentle Ben” and the soft-spoken Jackson, green-reader extraordinaire, the partnership was a match made in heaven. After finishing runner-up on their first outing together, in 1984 Crenshaw clinched a two-shot victory over Watson to seal his maiden major title.

Jackson and Crenshaw formed a formidable partnership.

Crenshaw and Jackson would celebrate a second green jacket in 1995. It marked a hugely emotional victory for the Texan golfer, whose mentor Harvey Penick had died just before the tournament, leaving him in “shambles,” Jackson said.

When Crenshaw tapped home his winning putt, the duo shared a long hug on the green. Almost 20 years later to the day, the pair would repeat the gesture when – after their 39th outing – they retired together at the 2015 Masters.

The pair’s friendship lies at the heart of a forthcoming documentary on Jackson’s life, “Rise Above.”

“That’s how America ought to be,” Jackson says in the film. “The Black man taking care of the White man and the White man taking care of the Black man.’”

For Jackson, the core message of the documentary is about respect.

“If you’re righteous, you’re righteous. If you’re unrighteous, you’re gonna be a hater anyway.”

Jackson and Crenshaw embrace on the 18th green after their final hole together at The Masters.

Clayton will be at Augusta National this week, overseeing content for Masters.com, keeping a close eye on the men in the white jumpsuits and green hats carrying the clubs of those vying for the 2023 green jacket.

He will do so with as comprehensive a knowledge of the history of the club’s caddies as any in attendance. Yet prior to researching his 2004 book, mythic stories of “The Godfather,” “Cemetery,” and Augusta’s original caddie core were just that to him – myths. And that troubled Clayton.

“That was my effort, to tell their stories,” he said. “Because I thought they played a vital, vital role in making that club what it is and also helping golfers win … they deserved their attention.

“A lot of them aren’t with us any longer. That number is diminishing every year and they should be honored or remembered in a way that tells the story of who they are.”

The legacy of The Masters' original caddies lives on at Augusta National.

Preserving and spreading those stories is an ongoing mission. Clayton helped get the headstones for Avery and Peterson, with Palmer and Nicklaus also involved for their respective caddies.

This year, the Lucy Craft Laney Museum will put the legacy of Augusta’s Black caddies – quite literally – center stage.

Twice a month at the museum, supplementing its regular tours, the “Men on the Bag Experience” will see the stories of three original Augusta caddies – Stokes, Perteet, and Peterson – acted out in a play.

At the end of each performance, at least two original caddies – or “living legends” as Maben refers to them – will emerge from the audience to host an on-stage Q&A. Each will be immortalized in a sports trading card, stylized with their picture, story, and stats, to be signed and distributed to patrons as they leave the show.

Maben rarely calls them caddies. It’s almost always “living legends,” “superstars” or, most commonly of all, “champions.”

And history never forgets a champion.

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Why do Masters champions win a green jacket? | CNN



CNN
 — 

Golfers fall asleep dreaming of securing theirs, Bubba Watson was moved to tears simply reminiscing over his, and one fan was willing to shell out over $680,000 just to own one.

Augusta National’s green jacket – an exclusive prize for Masters champions – is golf’s most coveted fashion statement, and one of sport’s most iconic pieces of clothing.

Sure, the prestige of winning one of the four majors in men’s golf and the trophy, not to mention the prize money, are welcome rewards, but the storied history of the Georgia club’s green member’s jacket earned it a unique reputation among those that pursue it.

The story of Augusta’s green jacket began some 3,900 miles across the Atlantic, in the town of Hoylake in northwest England.

Ahead of hosting its sixth British Open Championship in 1930, Royal Liverpool Golf Club held a players’ reception. In attendance was the most celebrated amateur golfer of the era, American Bobby Jones.

Over dinner, Jones proceeded to pepper former club captain Kenneth Stoker with questions on his red coat, the formal kit of Royal Liverpool captains.

“Mr. Jones, if you’re so fascinated by this, I will give you my coat if you win our Championship this week,” challenged Stoker – according to a CNN interview with club historian Joe Pinnington in 2014.

Naturally, Jones made short work of the wager, clinching the 11th of his 13 career major victories and returning to the US with a trophy – and a red blazer.

After becoming the first and only golfer to complete the original grand slam (Amateur Championship, Open Championship, US Open, US Amateur) months later, Jones stunned the sporting world by announcing his retirement from competitive golf at just 28 years old.

Harboring a passion for course design, Jones had other plans in mind. In 1934, his newly founded Augusta National hosted the first incarnation of The Masters.

Three years later, Augusta members started wearing green jackets to make themselves identifiable to patrons. In 1949 it was decided that year’s victor, Sam Snead, and all the previous champions, would be issued with their own version too.

The heavily bunkered appraoch to the par 5 3rd hole on the Royal Liverpool Golf Course, on June 10, 2004 in Hoylake, England.

How Royal Liverpool Golf Club inspired the Masters green jacket

The green jacket wasn’t a smash hit from the start, though. Originally produced by New York’s Brooks Uniform Company, Augusta members complained that the jackets were overly thick and uncomfortable in hot conditions, leading to a swift change of manufacturer, according to the PGA Tour.

Since 1967, Hamilton Tailoring Company of Cincinnati has held responsibility for making the jacket, the color of which is officially classified as “Pantone 342.”

Production is a month-long process that sees the owners name stitched inside and Augusta National logos emblazoned on both the chest pocket and brass buttons.

As a result, the jacket slipped onto the shoulders of winners on Sunday is simply for presentation, with the real one handed over later.

Yet newly crowned champions can’t simply walk away and find a lifetime spot for their new prize in their wardrobe – terms and conditions apply.

For starters, the jackets cannot be removed from – and can only be worn on – the grounds of Augusta National, though winners are permitted to take theirs home for a year on the condition they bring it back at the next edition of the tournament to hang in the Champions Locker Room.

When the defending champion returns a year later, they – along with a host of former victors – will don their jacket for the Masters Champions Dinner. The reigning winner decides the menu, with Scottie Scheffler serving up cheeseburger sliders, ribeye steak, and chocolate chip cookies for this year’s meal. Their final responsibility is to help the new winner slip into his new jacket during a ceremonial “passing of the torch” presentation outside Butler Cabin.

But what if a champion successfully defends his title? That was a question Masters co-founders Jones and Clifford Roberts hurriedly answered in 1966 when Jack Nicklaus became the first back-to-back champion at Augusta.

The pair decided that “The Golden Bear” should put the jacket on himself, and in the two repeat occasions since – Nick Faldo in 1990 and Tiger Woods in 2002 – the Masters chairman assumed responsibility for helping the golfers into their jackets.

Faldo helps 1997 Masters champion Woods into his green jacket.

There is one infamous exception to the rule of returning your jacket.

When Gary Player became the first international golfer to win The Masters in 1961, he jetted home to South Africa with his green jacket tucked away in his luggage. The following year, when he was defeated by Arnold Palmer in a playoff, he didn’t return it.

“I didn’t know you were supposed to leave it there,” said Player. “Next thing you know, there was a call from Mr. Roberts. And I said, ‘Well, Mr. Roberts, if you want it, why don’t you come and fetch it?’”

Roberts saw the funny side, Player added, and allowed the South African to keep it on the condition that he didn’t wear it in public. “The Black Knight” would go on to win two further Masters in 1974 and 1978.

Player was an honorary starter at the 2017 tournament.

Given how hard it is for the game’s finest to get their hands on a green jacket, it’s borderline impossible for non-golfers to do the same – but that hasn’t stopped a select few from trying.

In 2013, the jacket owned by Horton Smith, winner of the inaugural Masters in 1934, sold for $682,229 to an unnamed buyer at an auction hosted by Green Jacket Auctions.

Smith won The Masters in 1934 and 1936.

In 2017, Augusta National filed a lawsuit to stop the memorabilia company from auctioning another winner’s green jacket, as well as two members’ green jackets, according to the Associated Press.

The champion’s jacket was purported to have belonged to 1966 winner Byron Nelson. His blazer was marked in an inventory check at Augusta in 2009 before going missing, the lawsuit said.

In January 2019, Augusta National and Green Jacket Auctions agreed to drop their legal dispute, according to the Augusta Chronicle.

One jacket auctioned by Green Jacket Auctions was reported to have been first discovered in a Toronto thrift shop. Purchased for a measly $5, the jacket, whose original owner was undisclosed, was sold at auction for $139,349 in April 2017.

From letting friends – and even newborn children – try it on for size, to donning it for barbeques, Masters champions have found various uses for their green jackets during their limited-time home ownership.

“I didn’t take it for granted whatsoever,” 2015 champion Jordan Spieth told reporters upon his return to Augusta the following year.

“I think that I could have taken advantage of having it in my possession more than I did, but you learn and next time I’ll do a little bit better.

“Some of my favorite memories were certainly back home, having a bunch of my friends over and just having the jacket on while you’re grilling out … it was certainly a lot of fun and I don’t want to have to give it back.”

Spieth settles into his green jacket after victory in 2015.

For others, the satisfaction of turning rivals green with envy is enough.

“It’s a great way to give the other guys grief, give them a little jab here or there,” said Phil Mickelson, champion in 2004, 2006, and 2010.

Charl Schwartzel, who mounted a stunning final day charge to seal victory in 2011, said: “To have it with you and to see the people’s faces when you walk in … they always take a second look like, ‘that’s the jacket!’”

Zach Johnson described dressing his four-month-old son in his 2007 winner’s jacket for a picture session, following in the footsteps of Bubba Watson, who did the same with his adopted son after triumph in 2012.

“I wrapped Caleb up in it, that was the only thing I did with it,” a tearful Watson told reporters in 2013.

“Out of respect and honor for Augusta National and one of the greatest clubs we have, one of the greatest tournaments … I didn’t do any of my funny antics that I normally would do.”

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The haunting Masters meltdown that changed Rory McIlroy’s career | CNN



CNN
 — 

Slumped on his club, head buried in his arm, Rory McIlroy looked on the verge of tears.

The then-21-year-old had just watched his ball sink into the waters of Rae’s Creek at Augusta National and with it, his dream of winning The Masters, a dream that had looked so tantalizingly close mere hours earlier.

As a four-time major winner and one of the most decorated names in the sport’s history, few players would turn down the chance to swap places with McIlroy heading into Augusta this week.

Yet on Sunday afternoon of April 10, 2011, not a golfer in the world would have wished to be in the Northern Irishman’s shoes.

A fresh-faced, mop-headed McIlroy had touched down in Georgia for the first major of the season with a reputation as the leading light of the next generation of stars.

An excellent 2010 had marked his best season since turning pro three years earlier, highlighted by a first PGA Tour win at the Quail Hollow Championship and a crucial contribution to Team Europe’s triumph at the Ryder Cup.

Yet despite a pair of impressive top-three finishes at the Open and PGA Championship respectively, a disappointing missed cut at The Masters – his first at a major – served as ominous foreshadowing.

McIlroy shot 74 and 77 to fall four strokes short of the cut line at seven-over par, a performance that concerned him enough to take a brief sabbatical from competition.

But one year on in 2011, any lingering Masters demons looked to have been exorcised as McIlroy flew round the Augusta fairways.

Having opened with a bogey-free seven-under 65 – the first time he had ever shot in the 60s at the major – McIlroy pulled ahead from Spanish first round co-leader Alvaro Quirós with a second round 69.

It sent him into the weekend holding a two-shot cushion over Australia’s Jason Day, with Tiger Woods a further stroke behind and back in the hunt for a 15th major after a surging second round 66.

And yet the 21-year-old leader looked perfectly at ease with having a target on his back. Even after a tentative start to the third round, McIlroy rallied with three birdies across the closing six holes to stretch his lead to four strokes heading into Sunday.

McIlroy drives from the 16th tee during his second round.

The youngster was out on his own ahead of a bunched chasing pack comprising Day, Ángel Cabrera, K.J. Choi and Charl Schwartzel. After 54 holes, McIlroy had shot just three bogeys.

“It’s a great position to be in … I’m finally feeling comfortable on this golf course,” McIlroy told reporters.

“I’m not getting ahead of myself, I know how leads can dwindle away very quickly. I have to go out there, not take anything for granted and go out and play as hard as I’ve played the last three days. If I can do that, hopefully things will go my way.

“We’ll see what happens tomorrow because four shots on this golf course isn’t that much.”

McIlroy finished his third round with a four shot lead.

The truth can hurt, and McIlroy was about to prove his assessment of Augusta to be true in the most excruciating way imaginable.

His fourth bogey of the week arrived immediately. Having admitted to expecting some nerves at the first tee, McIlroy sparked a booming opening drive down the fairway, only to miss his putt from five feet.

Three consecutive pars steadied the ship, but Schwartzel had the wind in his sails. A blistering birdie, par, eagle start had seen him draw level at the summit after his third hole.

A subsequent bogey from the South African slowed his charge, as McIlroy clung onto a one-shot lead at the turn from Schwartzel, Cabrera, Choi, and a rampaging Woods, who shot five birdies and an eagle across the front nine to send Augusta into a frenzy.

Despite his dwindling advantage and the raucous Tiger-mania din ahead of him, McIlroy had responded well to another bogey at the 5th hole, draining a brilliant 20-foot putt at the 7th to restore his lead.

The fist pump that followed marked the high-water point of McIlroy’s round, as a sliding start accelerated into full-blown free-fall at the par-four 10th hole.

His tee shot went careening into a tree, ricocheting to settle between the white cabins that separate the main course from the adjacent par-three course. It offered viewers a glimpse at a part of Augusta rarely seen on broadcast, followed by pictures of McIlroy anxiously peering out from behind a tree to track his follow-up shot.

McIlroy watches his shot after his initial drive from the 10th tee put him close to Augusta's cabins.

Though his initial escape was successful, yet another collision with a tree and a two-putt on the green saw a stunned McIlroy eventually tap in for a triple bogey. Having led the field one hole and seven shots earlier, he arrived at the 11th tee in seventh.

By the time his tee drive at the 13th plopped into the creek, all thoughts of who might be the recipient of the green jacket had long-since switched away from the anguished youngster. It had taken him seven putts to navigate the previous two greens, as a bogey and a double bogey dropped him to five-under – the score he had held after just 11 holes of the tournament.

Mercifully, the last five holes passed without major incident. A missed putt for birdie from five feet at the final hole summed up McIlroy’s day, though he was given a rousing reception as he left the green.

Mere minutes earlier, the same crowd had erupted as Schwartzel sunk his fourth consecutive birdie to seal his first major title. After starting the day four shots adrift of McIlroy, the South African finished 10 shots ahead of him, and two ahead of second-placed Australian duo Jason Day and Adam Scott.

McIlroy’s eight-over 80 marked the highest score of the round. Having headlined the leaderboard for most of the week, he finished tied-15th.

McIroy was applauded off the 18th green by the Augusta crowd after finishing his final round.

Tears would flow during a phone call with his parents the following morning, but at his press conference, McIlroy was upbeat.

“I’m very disappointed at the minute, and I’m sure I will be for the next few days, but I’ll get over it,” he said.

“I was leading this golf tournament with nine holes to go, and I just unraveled … It’s a Sunday at a major, what it can do.

“This is my first experience at it, and hopefully the next time I’m in this position I’ll be able to handle it a little better. I didn’t handle it particularly well today obviously, but it was a character-building day … I’ll come out stronger for it.”

Once again, McIlroy would be proven right.

Just eight weeks later in June, McIlroy rampaged to an eight-shot victory at the US Open. Records tumbled in his wake at Congressional, as he shot a tournament record 16-under 268 to become the youngest major winner since Tiger Woods at The Masters in 1997.

McIlroy celebrated a historic triumph at the US Open just two months after his Masters nightmare.

The historic victory kickstarted a golden era for McIlroy. After coasting to another eight-shot win at the PGA Championship in 2012, McIlroy became only the third golfer since 1934 to win three majors by the age of 25 with triumph at the 2014 Open Championship.

Before the year was out, he would add his fourth major title with another PGA Championship win.

And much of it was owed to that fateful afternoon at Augusta. In an interview with the BBC in 2015, McIlroy dubbed it “the most important day” of his career.

“If I had not had the whole unravelling, if I had just made a couple of bogeys coming down the stretch and lost by one, I would not have learned as much.

“Luckily, it did not take me long to get into a position like that again when I was leading a major and I was able to get over the line quite comfortably. It was a huge learning curve for me and I needed it, and thankfully I have been able to move on to bigger and better things.

“Looking back on what happened in 2011, it doesn’t seem as bad when you have four majors on your mantelpiece.”

A two-stroke victory at Royal Liverpool saw McIlroy clinch the Open Championship in 2014.

McIlroy’s contentment came with a caveat: it would be “unthinkable” if he did not win The Masters in his career.

Yet as he prepares for his 15th appearance at Augusta National this week, a green jacket remains an elusive missing item from his wardrobe.

Despite seven top-10 finishes in his past 10 Masters outings, the trophy remains the only thing separating McIlroy from joining the ranks of golf immortals to have completed golf’s career grand slam of all four majors in the modern era: Gene Sarazen, Ben Hogan, Gary Player, Jack Nicklaus, and Tiger Woods.

The Masters is the only major title to elude McIlroy.

A runner-up finish to Scottie Scheffler last year marked McIlroy’s best finish at Augusta, yet arguably 2011 remains the closest he has ever been to victory. A slow start in 2022 meant McIlroy had begun Sunday’s deciding round 10 shots adrift of the American, who teed off for his final hole with a five-shot lead despite McIlroy’s brilliant 64 finish.

At 33 years old, time is still on his side. Though 2022 extended his major drought to eight years, it featured arguably his best golf since that golden season in 2014.

And as McIlroy knows better than most, things can change quickly at Augusta National.

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Beware the budget butt lift, regulators warn amid social media-inspired boom | CNN

In hindsight, Nikki Ruston said, she should have recognized the red flags.

The office in Miami where she scheduled what’s known as a Brazilian butt lift had closed and transferred her records to a different facility, she said. The price she was quoted – and paid upfront – increased the day of the procedure, and she said she did not meet her surgeon until she was about to be placed under general anesthesia.

“I was ready to walk out,” said Ruston, 44, of Lake Alfred in Central Florida. “But I had paid everything.”

A few days after the July procedure, Ruston was hospitalized due to infection, blood loss, and nausea, her medical records show.

“I went cheap. That’s what I did,” Ruston recalled recently. “I looked for the lowest price, and I found him on Instagram.”

People like Ruston are commonly lured to office-based surgery centers in South Florida through social media marketing that makes Brazilian butt lifts and other cosmetic surgery look deceptively painless, safe, and affordable, say researchers, patient advocates, and surgeon groups.

Unlike ambulatory surgery centers and hospitals, where a patient might stay overnight for observation after treatment, office-based surgery centers offer procedures that don’t typically require an inpatient stay and are regulated as an extension of a doctor’s private practice.

But such surgical offices are often owned by corporations that can offer discount prices by contracting with surgeons who are incentivized to work on as many patients per day as possible, in as little time as possible, according to state regulators and physicians critical of the facilities.

Ruston said she now lives with constant pain, but for other patients a Brazilian butt lift cost them their lives. After a rash of deaths, and in the absence of national standards, Florida regulators were the first in the nation to enact rules in 2019 meant to make the procedures safer. More than three years later, data shows deaths still occur.

Patient advocates and some surgeons – including those who perform the procedure themselves – anticipate the problem will only get worse. Emergency restrictions imposed by the state’s medical board in June expired in September, and the corporate business model popularized in Miami is spreading to other cities.

“We’re seeing entities that have a strong footprint in low-cost, high-volume cosmetic surgery, based in South Florida, manifesting in other parts of the country,” said Dr. Bob Basu, a vice president of the American Society of Plastic Surgeons and a practicing physician in Houston.

During a Brazilian butt lift, fat is taken via liposuction from other areas of the body – such as the torso, back, or thighs – and injected into the buttocks. More than 61,000 buttock augmentation procedures, both butt lifts and implants, were performed nationwide in 2021, a 37% increase from the previous year, according to data from the Aesthetic Society, a trade group of plastic surgeons.

As with all surgery, complications can occur. Miami-Dade County’s medical examiner has documented nearly three dozen cosmetic surgery patient deaths since 2009, of which 26 resulted from a Brazilian butt lift. In each case, the person died from a pulmonary fat embolism, when fat entered the bloodstream through veins in the gluteal muscles and stopped blood from flowing to the lungs.

No national reporting system nor insurance code tracks outcomes and patient demographics for a Brazilian butt lift. About 3% of surgeons worldwide had a patient die as a result of the procedure, according to a 2017 report from an Aesthetic Surgery Education and Research Foundation task force.

Medical experts said the problem is driven, in part, by having medical professionals like physician assistants and nurse practitioners perform key parts of the butt lift instead of doctors. It’s also driven by a business model that is motivated by profit, not safety, and incentivizes surgeons to exceed the number of surgeries outlined in their contracts.

In May, after a fifth patient in as many months died of complications in Miami-Dade County, Dr. Kevin Cairns proposed the state’s emergency rule to limit the number of butt lifts a surgeon could perform each day.

“I was getting sick of reading about women dying and seeing cases come before the board,” said Cairns, a physician and former member of the Florida Board of Medicine.

Some doctors performed as many as seven, according to disciplinary cases against surgeons prosecuted by the Florida Department of Health. The emergency rule limited them to no more than three, and required the use of an ultrasound to help surgeons lower the risk of a pulmonary fat clot.

But a group of physicians who perform Brazilian butt lifts in South Florida clapped back and formed Surgeons for Safety. They argued the new requirements would make the situation worse. Qualified doctors would have to do fewer procedures, they said, thus driving patients to dangerous medical professionals who don’t follow rules.

The group has since donated more than $350,000 to the state’s Republican Party, Republican candidates, and Republican political action committees, according to campaign contribution data from the Florida Department of State.

Surgeons for Safety declined KHN’s repeated interview requests. Although the group’s president, Dr. Constantino Mendieta, wrote in an August editorial that he agreed not all surgeons have followed the standard of care, he called the limits put on surgeons “arbitrary.” The rule sets “a historic precedent of controlling surgeons,” he said during a meeting with Florida’s medical board.

In January, Florida state Sen. Ileana Garcia, a Republican, filed a draft bill with the state legislature that proposes no limit on the number of Brazilian butt lifts a surgeon can perform in a day. Instead, it requires office surgery centers where the procedures are performed to staff one physician per patient and prohibits surgeons from working on more than one person at a time.

The bill would also allow surgeons to delegate some parts of the procedure to other clinicians under their direct supervision, and the surgeon must use an ultrasound.

Florida’s legislature convenes on March 7.

Consumers considering cosmetic procedures are urged to be cautious. Like Ruston, many people base their expectations on before-and-after photos and marketing videos posted on social media platforms such as Facebook, Snapchat, and Instagram.

“That’s very dangerous,” said Basu, of the American Society of Plastic Surgeons. “They’re excited about a low price and they forget about doing their homework,” he said.

The average price of a buttocks augmentation in 2021 was $4,000, according to data from the Aesthetic Society. But that’s only for the physician’s fee and does not cover anesthesia, operating room fees, prescriptions, or other expenses. A “safe” Brazilian butt lift, performed in an accredited facility and with proper aftercare, costs between $12,000 and $18,000, according to a recent article on the American Society of Plastic Surgeons’ website.

Although Florida requires a physician’s license to perform liposuction on patients who are under general anesthesia, it’s common in the medical field for midlevel medical practitioners, such as physician assistants and nurse practitioners, to do the procedure in office settings, according to Dr. Mark Mofid, who co-authored the 2017 Aesthetic Surgery Education and Research Foundation task force study.

By relying on staffers who don’t have the same specialty training and get paid less, office-based surgeons can complete more butt lifts per day and charge a lower price.

“They’re doing all of them simultaneously in three or four different rooms, and it’s being staffed by one surgeon,” said Mofid, a plastic surgeon in San Diego, who added that he does not perform more than one Brazilian butt lift in a day. “The surgeon isn’t doing the actual case. It’s assistants.”

Basu said patients should ask whether their doctor holds privileges to perform the same procedure at a hospital or ambulatory surgery center, which have stricter rules than office surgery centers in terms of who can perform butt lifts and how they should be done.

People in search of bargains are reminded that cosmetic surgery can have other serious risks beyond the deadly fat clots, such as infection and organ puncture, plus problems with the kidneys, heart, and lungs.

Ruston’s surgery was performed by a board-certified plastic surgeon she said she found on Instagram. She was originally quoted $4,995, which she said she paid in full before surgery. But when she arrived in Miami, she said, the clinic tacked on fees for liposuction and for post-surgical garments and devices.

“I ended up having to pay, like, $8,000,” Ruston said. A few days after Ruston returned home to Lake Alfred, she said, she started to feel dizzy and weak and called 911.

Paramedics took her to an emergency room, where doctors diagnosed her with anemia due to blood loss, and blood and abdominal infections, her medical records show.

“If I could go back in time,” she said, “I wouldn’t have had it done.”

KHN (Kaiser Health News) is a national newsroom that produces in-depth journalism about health issues. Together with Policy Analysis and Polling, KHN is one of the three major operating programs at KFF (Kaiser Family Foundation). KFF is an endowed nonprofit organization providing information on health issues to the nation.

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‘Living in despair and hopelessness’: A lack of affordable housing can put people’s health at risk | CNN



KHN
 — 

When Louana Joseph’s son had a seizure because of an upper respiratory infection in July, she abandoned the apartment her family had called home for nearly three years.

She suspected the gray and brown splotches spreading through the apartment were mold and had caused her son’s illness. Mold can trigger and exacerbate lung diseases such as asthma and has been linked to upper respiratory tract conditions.

But leaving the two-bedroom Atlanta apartment meant giving up a home that rented for less than $1,000 a month, a price that is increasingly hard to find even in the nation’s poorest neighborhoods.

“I am looking everywhere,” said Joseph, who is 33. “Right now, I can’t afford it.”

Since then, Joseph, her 3-year-old son, and infant daughter have teetered on the edge of homelessness. They have shuffled between sleeping in an extended-stay motel and staying with relatives, unsure when they might find a permanent place to live.

A nationwide affordable housing crisis has wreaked havoc on the lives of low-income families, like Joseph’s, who are close to the brink. Their struggle to stay a step ahead of homelessness is often invisible.

Rents soared during the pandemic, exacerbating an already-severe shortage of available housing in most U.S. cities. The result will be growing numbers of people stuck in substandard housing, often with environmental hazards that put them at higher risk for asthma, lead poisoning, and other medical conditions, according to academic researchers and advocates for people with low incomes. These residents’ stress levels are heightened by the difficulties they face paying rent.

“People are living in despair and hopelessness,” said Ma’ta Crawford, a member of the Human Relations Commission in Greenville County, South Carolina, who works with families living in extended-stay motels.

Housing instability — such as having trouble paying rent, living in crowded conditions, or moving frequently — can have negative consequences on health, according to the federal Office of Disease Prevention and Health Promotion.

In addition to potentially facing environmental risks, people who struggle with housing insecurity put off doctor visits, can’t afford food, and have trouble managing chronic conditions.

Losing a home can also trigger a mental health crisis. The suicide rate doubled from 2005 to 2010, when foreclosures, including those on rental properties, were historically high, according to a 2014 analysis, published in the American Journal of Public Health, that looked at 16 states.

Rents jumped 18% nationally from the first three months of 2021 to early 2022. And there is no county in the country where a minimum-wage worker could afford a two-bedroom rental home, according to an August report from the National Low Income Housing Coalition. Nationwide, only 36 affordable housing units are available for every 100 people in need, forcing many families to cobble together temporary shelter.

“It’s a vicious cycle,” Crawford said. “Every motel here has a school bus stop.”

In the Southeast, evictions are more common than anywhere else in the nation, says an analysis published this year in the Proceedings of the National Academy of Sciences.

Georgia has 19 evictions for every 100 renter households, according to data from the Eviction Lab at Princeton University. There are 23 evictions for every 100 renter households in South Carolina, and Virginia has 15 evictions per 100 renter households. The national rate is about eight evictions per 100.

Despite President Joe Biden’s promises to address the affordable housing shortage, researchers and activists say inflation — and Democratic deal-making — is only worsening the health threat.

Last year, the Biden administration included billions of dollars in the “Build Back Better” bill to increase the number of Housing Choice vouchers — a difficult-to-get benefit that helps people with low incomes pay rent. Under the voucher program, also known as Section 8, recipients put 30% of their income toward rent, and the federal government pays the remainder. Currently only 1 in 4 people who qualify receive the vouchers because of limited funding.

But lawmakers stripped out the provision that raised the number of vouchers, a compromise to pass the bill that became known as the Inflation Reduction Act.

About 2.3 million households rely on the program to help pay rent. Joseph applied years ago but has yet to receive any benefits.

The day before her son was born in September 2019, Joseph moved into an apartment complex in southwestern Atlanta, one of the poorest sections of the city. A year later, she upgraded to a two-bedroom unit in the same complex that cost $861 a month, far less than the typical apartment in metro Atlanta.

Recently, Joseph returned to the two-bedroom apartment to show KHN its condition. What appeared to be mold surfaced after a pipe burst and the air conditioning broke, but the complex owners did little to fix the situation, Joseph said.

The gray and brown splotches were on her mattress, sofa, and other plastic-wrapped belongings. They covered boxes of diapers stacked on dressers, an Elmo doll lying facedown, a child’s sneaker, and pink onesies.

After a pipe burst and the air conditioning broke in Louana Joseph's apartment, gray and black splotches covered a ventilation grille.

A property manager at Seven Courts Apartments, where Joseph lived, declined to comment when reached by phone. The management company did not respond to repeated requests for comment.

A few months after leaving the apartment, Joseph and her two children moved in with her sister in Orlando, Florida, with their remaining possessions — a car and some clothes.

A lack of affordable housing can force families with low incomes, like Joseph’s, to endure health risks such as mold, vermin, and water leaks, said Alex Schwartz, a housing expert at the New School in New York City. And the trauma of evictions, foreclosures, and homelessness can undermine physical and mental well-being, Schwartz said.

For five years, Nancy Painter lived in an apartment in Greenville, South Carolina, that had mold and cracks in the walls, ceiling, and floor. Sometimes, Painter said, she carried a can of bug killer in both hands to fend off roaches.

An autoimmune disease makes her extremely susceptible to colds and other respiratory illnesses, and arthritis causes her crippling pain. But she stayed in the apartment until last year because the rent was $325 a month. Painter moved out only after the landlord made plans to renovate the unit and raise the rent.

Painter, 64, now lives on about $1,100 in Social Security disability benefits. Her poor health left her unable to keep working in a fast-food job. She pays more than 70% of her income for a room in a house she shares with other adults who can’t find affordable housing.

Such renters should put no more than 30% of their income toward housing so they have enough left over for other basic needs, according to federal government formulas. “My options are so slim,” Painter said. “All I want is a small place where I can have a garden.”

In August, Louana Joseph's son, M.J., developed an upper respiratory infection that his mother suspects was caused by mold that was spreading in their apartment.

The problems are especially acute among Black people and other groups that have been denied good jobs, mortgages, and opportunities long beyond the Jim Crow era, said Dr. Steven Woolf, a professor of population health and health equity at Virginia Commonwealth University. Life expectancy can vary by 15 to 20 years between different neighborhoods in the same city, he said.

Federal lawmakers routinely fail to prioritize the nearly 50-year-old housing voucher program, said Kirk McClure, a professor emeritus of urban planning at the University of Kansas. The U.S. offers less help with housing than do other rich countries, like the United Kingdom and Australia, where voucher programs allow everyone who meets income requirements to get help, McClure said.

“In the wealthiest society in the world, we could give every poor person a voucher,” McClure said. “This doesn’t require anything magical.”

Officials from the U.S. Department of Housing and Urban Development, which oversees the voucher program, did not respond when asked whether the administration planned to push for more housing vouchers.

Joseph’s prospects of finding another home remain dim as rents skyrocket.

The fair-market rent — which is determined annually by the federal government based on a rental home’s size, type, and location — for a two-bedroom home in the U.S. reached $1,194 a month, on average, in 2019, according to a 2020 report from the National Low Income Housing Coalition. A family of four living on poverty-level income could afford $644 a month, the report said. In the city of Atlanta, the median rent for apartments of all sizes is $2,200, up nearly 30% since January 2021, according to the real estate website Zillow.

A lack of child care has kept Joseph from pursuing full-time jobs. But she can’t qualify for one state child care assistance program since she doesn’t have full-time employment, and another state program she sought out won’t have openings until next year.

She sued the Seven Courts Apartments’ owner in small claims court in June for $5,219 to compensate her for the ruined belongings and rent she has already paid. A settlement could allow her to move into a new home.

“I am stuck because I have nowhere else to go,” Joseph said.

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