Walmart-owned Sam’s Club tests a future without checkout lines

Sam’s Club is opening a store in the Dallas area that will require customers to go all digital. Shoppers will use a smartphone app to scan and pay for their own purchases rather than standing in a checkout lane.

Sam’s Club

GRAPEVINE, Texas — When shoppers walk into Sam’s Club’s newest store, they’ll soon see a shiny blue Mercedes-Benz SUV, a sectional sofa and zero checkout lanes.

Welcome to the Walmart-owned membership club’s first all-digital store — and a preview of what could be its future.

Inside the club, which will open in mid-October, customers will have to use a smartphone app called Scan & Go to ring up their purchases as they walk through the aisles. In the area typically reserved for cash registers, the company will display online-only items as wide-ranging as a 12-foot Christmas tree and a five-carat lab-grown diamond. Members can scan QR codes and go straight to the items in the app.

Store workers will have about four times more space for preparing customers’ e-commerce orders for curbside pickup and home delivery, according to Sam’s Club executives.

“It’s kind of the physical manifestation of a journey we’re trying to go on as a company,” Sam’s Club CEO Chris Nicholas said, as he showed off the club before its grand opening.

Online-only items will be on display in Sam’s Club’s new location in the Dallas area. The items will range from a 12-foot Christmas tree to a sectional for the living room. Each will have an QR code nearby where shoppers can scan for more information or to make a purchase.

Sam’s Club

Since Walmart founder Sam Walton opened the first Sam’s Club in 1983, the membership-based club has become the more tech-savvy arm of its retail-behemoth parent. The club has spun out several key innovations that its parent company now uses, too, such as Scan & Go. It’s also used digital offerings to try to outmatch its largest rival, Costco.

Sam’s Club is doubling down on that strategy with the Dallas-area store, which is reopening nearly two years after it was damaged by a tornado.

Nicholas said upon its reopening, the location will become a testing ground for Sam’s Club’s newest features and emerging technology.

“The idea is that over time, we will be 100% digital engagement as a business, and you’ve got to prove that things work before you scale them,” he said.

He added that he hopes “it feels like what it’s like to shop in the future.”

Rivaling Costco

Costco has long been “the king of the warehouse club channel,” said Peter Keith, senior research analyst at Piper Sandler. But Sam’s Club has added features to “upgrade the shopping experiences,” he said, such as introducing a permanent station in some of the clubs where a chef makes sushi rolls in front of customers.

And notably, Sam’s Club has differentiated iself by embracing e-commerce offerings and appealing to customers who are seeking easier and faster ways to shop, such as Scan & Go.

“It really eliminates the most painful part of these membership clubs, which is the long lines to check out,” he said.

Sam’s Club and Costco have roughly the same number of U.S. clubs, but Costco pulls in about twice as much annual revenue. Net sales for Sam’s Club totaled $86.2 billion in its most recent fiscal year, compared with $176.63 billion for Costco’s U.S. clubs.

Sam’s Club has made several other key moves to catch up to Costco: It consolidated its private labels from more than 20 different brands into a single one: Member’s Mark. It cut back on the number of unique items it sells, so it focuses on the proven and popular ones. And it recently announced it would raise average hourly wages for nearly 100,000 of its workers ahead of the holiday season.

Sam’s Club also opened The Clubhouse in August, an approximately 37,000-square-foot office building across from the retailer’s headquarters in Bentonville, Arkansas. It includes workshop rooms and tools such as white boards, arts and crafts supplies, and cardboard models that will help the retailer to come up with new ideas, test products and collaborate on projects with cross-department teams.

And it’s in the middle of an aggressive expansion, with plans to open about 30 new clubs over a five-year period.

Sam’s Club’s comparable sales in the U.S., a metric that includes sales from stores and clubs open for the previous 12 months, grew 5.2% in the most recent quarter, which ended July 31, compared with the year-ago period. That included 22% year-over-year e-commerce growth.

The Dallas-area club will have 6,000 square feet to fulfill e-commerce orders — a jump from an average of about 1,500 square feet at other clubs. It will also have cooling plates where employees can store totes of frozen and chilled items.

Sam’s Club

Nicholas said the new clubs, including the one that’s opening in Grapevine, will be designed to better handle higher volume, too.

For example, the club’s cafe will include a pizza robot that will be able to make as many as 100 pizzas in an hour. It will also test a new system that delivers food orders to an assigned cubby after customers order through Scan & Go.

Digital age

Like its parent company, Walmart, Sam’s Club has been attracting customers across a wider range of incomes and ages as it focuses on offering convenient ways to shop. About half of the new members that joined Sam’s Club during the most recent quarter were millennials or Gen Z, according to the company.

The company said 1 in 3 members currently use Scan & Go when shopping in clubs. It has recently rolled out new exit technology that automatically checks customers’ shopping carts and allows them to exit the club without an employee looking at a receipt or auditing their cart. Shoppers walk under an archway that’s powered by computer vision and artificial intelligence. That system functions similarly to Amazon’s Just Walk Out technology that’s begun to take hold at events stadiums in addition to some of the e-commerce giant’s physical storefronts.

But Nicholas, the Sam’s Club CEO, acknowledged some shoppers may be reluctant to embrace new technology or a new routine.

Tiffany Zuniga, a mom and a Lyft driver who lives in the Dallas area, said she’s eager to return to Sam’s Club, but is a little wary of the new technology. Zuniga said she used to turn to the club for easy family dinners or supplies for church events, but switched to Costco when Sam’s Club was closed because of tornado damage.

She’s never used Scan & Go and said she hopes the new technology doesn’t come at the expense of customer service.

“Sometimes it can get a little dicey if you scan the wrong thing or need help,” she said. “Hopefully, they will have enough staff on hand.”

As construction crews finished up work on Sam’s Club in Grapevine, the retailer put up signs at the nearby Sam’s Club gas station and car wash to alert customers to the return of the club and encourage them to download the Scan & Go app.

And when customers walk into the newly reopened club, employees will be ready to help them download the app or to tag along on a shopping trip if they need help learning how to use it, the company said.

Nicholas said there will be no change to the number of store workers in Grapevine, but some will have new roles.

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Big Oil’s green-bashing stokes backlash as campaigners hit out at ‘talking points from the 1970s’

Saudi Aramco President & CEO Amin Nasser speaks during the CERAWeek oil summit in Houston, Texas, on March 18, 2024.

Mark Felix | Afp | Getty Images

Top oil executives have been sharply criticized for pushing back against the viability of the clean energy transition at a U.S. conference, with campaigners denouncing an industry claim that the shift away from fossil fuels is “visibly failing on most fronts.”

Speaking during a panel interview on Monday at the annual CERAWeek energy conference in Houston, Texas, Saudi Aramco chief executive Amin Nasser said that a transition strategy reset was “urgently needed.”

The CEO of the world’s largest energy company proposed that policymakers abandon the “fantasy” of phasing out oil and gas and instead “adequately” invest in fossil fuels to reflect growing demand. Aramco and Saudi ministry officials have previously advocated for ongoing investment in hydrocarbons to avoid energy shortages until renewables can fully meet global energy demands.

Nasser’s comments drew applause from the audience at CERAWeek — an annual energy conference by S&P Global that’s known as the “industry’s Super Bowl.”

Other oil and gas executives at the event echoed Nasser’s views, but spoke less directly about the state of the energy transition.

Shell CEO Wael Sawan said government bureaucracy in Europe was slowing the necessary development of clean energy, according to Reuters. Separately, Exxon Mobil CEO Darren Woods on Monday said that demand for petroleum products is “still very, very healthy.”

“So, I think one of the things the policy to date and a lot of the narrative has been very focused on is the supply side of the equation and hasn’t addressed the demand side of the equation. And the impact that price has on demand,” Woods told CNBC’s “Squawk on the Street.”

“At the same time, the cost of converting and moving to a lower-carbon society, if that cost is too high for consumers to bear, they won’t pay. And we’ve seen that play itself out in Europe, with some of the farm protests and the yellow vest protests a year or so ago,” he added.

Campaigners have hit out at the oil industry’s claims this week.

“The fossil fuel industry continues to make distorted claims about our energy future,” Jeff Ordower, North America director at 350.org — a U.S.-based group focused on the global energy transition — said in a statement on Tuesday.

“They work night and day to torpedo a transition to renewable energy and then have the audacity to critique the slowness of the transition itself,” Ordower said. “CERAWeek should highlight a global vision toward a clean and equitable future, and instead, we get talking points from the 1970s.”

Aramco, Exxon Mobil and Shell were not immediately available to comment when contacted by CNBC on Wednesday.

IEA vs. OPEC

The International Energy Agency has previously said it expects global oil, gas and coal demand to peak by 2030 — a forecast that Aramco’s Nasser rejected at CERAWeek. The energy watchdog said in October last year that the transition to clean energy is not only happening, but is “unstoppable.”

“It’s not a question of ‘if’, it’s just a matter of ‘how soon’ – and the sooner the better for all of us,” IEA Executive Director Fatih Birol said in a statement.

The oil-producing Organization of the Petroleum Exporting Countries, which disagrees with the IEA on its outlook for oil demand growth, said earlier this month that it still expects relatively strong growth in global oil demand for both 2024 and 2025.

Participants are seen at the Innovation Agora of the CERAWeek in Houston, Texas, the United States, on March 18, 2024. CERAWeek, known as a superbowl forum in the global energy industry, kicked off Monday in Houston of the U.S. state of Texas, with topics covering the entire energy spectrum but themed on multidimensional energy transition in four fields: markets, climate, technology and geopolitics.

Xinhua News Agency | Xinhua News Agency | Getty Images

Policymakers have also renewed their focus on energy supply security in the wake of Russia’s full-scale invasion of Ukraine and the Israel-Hamas war.

It is in this context that oil and gas executives have repeatedly sought to fend off climate criticism, claiming that Big Oil is not to blame for the climate crisis and warning that it won’t be possible to keep everyone happy in the shift away from fossil fuels.

The burning of fossil fuels such as coal, oil and gas is the chief driver of the climate crisis.

“It’s no surprise to see misleading claims like this coming at CERAWeek, because fossil fuel companies are the biggest cause of the climate crisis, and their continued political influence is the biggest obstacle to solving it,” David Tong, global industry campaign manager at advocacy group Oil Change International, told CNBC via email.

“Oil and gas companies are deliberately slowing and blocking a rapid fossil fuel phase-out with the types of dangerous distractions they are peddling this week in Houston,” Tong said.

‘There’s really no debate’

Some energy companies have scaled back their greenhouse gas reduction targets in recent months.

Activist investors have put pressure on fossil fuel companies to further align their emission reduction targets with the landmark 2015 Paris Agreement, while some have urged firms to scale back on green pledges and instead lean into their core oil and gas businesses.

“What we are seeing now is a desperate attempt from the oil and gas industry to stay relevant and to double down on their old business model despite knowing the products they’ve sold us for decades are responsible for the climate crisis,” Josh Eisenfeld, corporate accountability campaign manager at Earthworks, an environmental non-profit based in Washington D.C., told CNBC via email.

“They’ve failed to evolve their business into one that is compatible with what science tells us must be done to avoid a climate catastrophe. There’s really no debate — science has made it abundantly clear what needs to be done and paramount to that is a transition away from fossil fuels,” Eisenfeld said. “To think otherwise is delusional,” he added.

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Mapping Billionaire Wealth: Where The Richest Americans Live Now Vs. Two Decades Ago

Billionaires love sunshine and low taxes — but not always.

By Monica Hunter-Hart, Contributor


“California used to be the Golden State. Now it’s rusted and destroyed,” says energy drinks magnate Russ Weiner. In a way, the state’s flush with gold; California is a treasure trove of extreme wealth. But some of its most affluent residents, including Weiner (worth an estimated $4.8 billion as of the date of publishing), have also been moving away, Forbes finds in a 20-year analysis of the annual Forbes 400 list of the richest Americans.

California has consistently been home to more members of The Forbes 400 than any other state, and now has 87. But that’s six fewer than two decades ago. Plenty of California-based tech tycoons moved on and off the list over the years as their fortunes fluctuated with the stock market, but some disappeared because billionaires just up and left. Over the past 20 years, while gaining new Forbes 400 residents, California lost 19 of them to other states, particularly Texas, Nevada and Florida, where Rockstar Energy drink founder Weiner moved in 2009.

What made him want to skip town? “Crime, homelessness, education, taxes,” he says. Oh, and Democrats.

Weiner is far from the only uber-wealthy entrepreneur who’s been chasing both rays and lower taxes. Florida and Texas, which have neither state income tax nor state capital gains tax, both saw dramatic 20-year upticks in residents who made the 400 list. Texas went from 36 to 45, a 25% jump, while Florida — stunningly — doubled from 23 to 46 members of the list. Most of the increase in Florida came from Forbes 400 members moving there. That includes the likes of hedge fund tycoon Ken Griffin, a former longtime resident of Chicago, who also relocated his firm Citadel to Miami because he said it offered a better corporate environment; Paychex founder Tom Golisano, who said he was escaping New York’s high taxes when he moved to Naples in 2009; Charles B. Johnson, who moved to Palm Beach from California after retiring from money management firm Franklin Resources; and Thomas Peterffy of Interactive Brokers, who left Connecticut around 2015, also for Palm Beach.

An outsized number of the last decade’s Florida transplants came from the northeastern elite enclaves of New York, Connecticut and Illinois, and most made their fortunes in finance and investments. A far smaller amount of the list’s new Floridians created fortunes in the Sunshine State from the start, like Nick Caporella, whose National Beverage makes the popular La Croix bubbly water.

The picture is much dimmer in the Midwest, which has been shedding the extremely wealthy. The number of richest Americans there dropped 42% over the past two decades, from 73 to 42, mostly because Heartland billionaires’ fortunes decreased or didn’t keep pace with the rest of the country. (The cutoff to make the Forbes 400 rose from $600 million in 2003 to $2.9 billion in 2023.) But some just moved to warmer pastures, like movie producer Gigi Pritzker (who changed her permanent address from Chicago to California around 2019) or two heirs to the Walmart fortune (from Missouri to Texas and Nevada).

And about 30% of Midwesterners on the 2003 and 2013 Forbes 400 lists have since dropped off because they passed away. In the last few years, that’s included iconic figures like Berkshire Hathaway’s Walter Scott Jr. (a former Omaha resident who was a close friend of Warren Buffett) and Chicago’s Sam Zell (forefather of the modern real estate investment trust), and a bit before them, William Ford Sr, the last grandchild of Henry Ford, who lived in Michigan. The manufacturing industry saw a particularly high number of drop-offs — paralleling the decades-long manufacturing decline in the Midwest — as did media, real estate and retail.

Minnesota has been hit hardest. It ranked No. 9 among states with the most 400 members in 2003, when there were 11, but has now been completely drained out. A single family had an outsized impact on that decline. The clan behind the world’s biggest agriculture company, Cargill, used to be concentrated in the North Star State, where the business is still based. But Cargill’s old guard has died and the richest family members are now scattered across the country in Montana, Wisconsin, Missouri and California.

This scenario — where a company’s big shareholders live far from the company itself — is actually not unusual. And it may be even more common these days in a place like Minnesota, says the Tax Foundation’s Jared Walczak.

“Minnesota does very well with traditional C corporations,” says Walczak. “It’s high taxes, but those high taxes historically have not fallen very heavily on businesses, so it’s been a very competitive place to operate your Fortune 500 company. But you also have a situation where states like this may be unattractive for the C-suites themselves,” perhaps in part because of those higher individual taxes. And in an increasingly mobile environment, he points out, not even high-level executives need to live where they work.

Although taxes matter, Walczak and other analysts stress that it’s far from the only consideration for billionaires when it comes to planning where to live. It often isn’t even the top factor.

“Many state lawmakers overestimate how sensitive rich people are to a few percentage points’ difference in the state tax rate,” says Carl Davis of the Institute on Taxation and Economic Policy. Richard Auxier of the Tax Policy Center agrees: “If you’re in West Virginia or Michigan and you think the taxes are the only thing that’s different about your state and Florida and Texas, I really need you to think a bit harder.”

Instead, the decision of where to live is hyper-personal, they say, noting that being closer to family is a frequent reason why billionaires move. The uber-wealthy also pursue top education systems, keeping in mind both their kids as well as their company workforces. Urban amenities are a big draw. So are safe neighborhoods, good infrastructure and centers of culture.

The culture is what AriZona Iced Tea founder Don Vultaggio, raised in Brooklyn and worth an estimated $5.6 billion, loves about New York City. (Vultaggio now lives outside the city, in the Long Island enclave of Port Washington.) He remembers a conversation he once had with Andrew Cuomo: “‘Governor, businesses don’t mind paying taxes. We like it here. Museums, theater. It’s great.’” Many must agree, as the number of New Yorkers on the 400 shot up 27% over the past two decades, from 49 to 62.

Extreme wealth has been consolidating in the United States. Back in 2003, the 10 states with the most 400 members had 275 of them; today, they have 297. Exactly 60% of the billionaires who made the list this year live in just four states: California, New York, Florida and Texas — the four states with the largest populations, together home to one third of all Americans. “The growing geographic concentration helps explain our populist politics these days,” says Darrell West, author of the 2014 book Billionaires: Reflections on the Upper Crust. “Much of the country is being left behind in terms of economic activity.”

A handful of states — Maine, Delaware, North Dakota, New Mexico and Alaska — haven’t had a resident make The Forbes 400 list in at least two decades. On the other hand, the picture has been getting much rosier in places like Arizona and Georgia, which joined the top 10 states for the first time in 2014 (when the latter was tied with Maryland and Tennessee at 7 list members) and now ranks No. 6 with 10 Forbes 400 residents. Iowa and Kentucky both had no 400 members in 2003 and now each have one: Harry Stine (worth an estimated $8.8 billion, who joined the list in 2014), and Tamara Gustavson ($7.4 billion, 2011), respectively.

This is also a great year for Mississippi, which made the list for only the second time in two decades. Joining the ranks of the richest are Hattiesburg’s Duff brothers, who are behind the holding company Duff Capital Investors, which owns construction, energy and trucking firms.

“Mississippi is a good place to do business, mainly because of our people, who are hard-working, optimistic and dedicated to providing a better future for their families,” says Thomas Duff, who’s worth an estimated $3 billion. “Keeping a Mississippi-based operation for our companies has helped us stay true to our values.”

Sitting at the very bottom of the Forbes wealth ranking is Alaska, which has never had a resident make the 400 list since it was first published in 1982. That does constitute a loss for the Last Frontier.

“You would love to have billionaires living in your state,” says the Tax Policy Center’s Auxier, explaining that the attraction is not just tax revenue but also the companies the wealthy often start or bring. “Someone just sitting on their money, they’ll take them, they don’t want to lose them — but if you talk to someone in these states, what they really want is a billionaire who is participating in the economy and hopefully has businesses in the state.”

Of course, there’s only so much a state can do to court the rich. With great wealth comes great mobility. The Americans with the deepest pockets will go where they want.

MORE FROM FORBES

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Nearly two years after Texas’ six-week abortion ban, more infants are dying | CNN



CNN
 — 

Texas’ abortion restrictions – some of the strictest in the country – may be fueling a sudden spike in infant mortality as women are forced to carry nonviable pregnancies to term.

Some 2,200 infants died in Texas in 2022 – an increase of 227 deaths, or 11.5%, over the previous year, according to preliminary infant mortality data CNN obtained through a public records request. Infant deaths caused by severe genetic and birth defects rose by 21.6%. That spike reversed a nearly decade-long decline. Between 2014 and 2021, infant deaths had fallen by nearly 15%.

In 2021, Texas banned abortions beyond six weeks of pregnancy. When the Supreme Court overturned federal abortion rights the following summer, a trigger law in the state banned all abortions other than those intended to protect the life of the mother.

The increase in deaths could partly be explained by the fact that more babies are being born in Texas. One recent report found that in the final nine months of 2022, the state saw nearly 10,000 more births than expected prior to its abortion ban – an estimated 3% increase.

But multiple obstetrician-gynecologists who focus on high-risk pregnancies told CNN that Texas’ strict abortion laws likely contributed to the uptick in infant deaths.

“We all knew the infant mortality rate would go up, because many of these terminations were for pregnancies that don’t turn into healthy normal kids,” said Dr. Erika Werner, the chair of obstetrics and gynecology at Tufts Medical Center. “It’s exactly what we all were concerned about.”

The issue of forcing women to carry out terminal and often high-risk pregnancies is at the core of a lawsuit filed by the Center for Reproductive Rights, with several women – who suffered difficult pregnancies or infant deaths shortly after giving birth – testifying in Travis County court this week.

Prior to the recent abortion restrictions, Texas banned the procedure after 20 weeks. This law gave parents more time to learn crucial information about a fetus’s brain formation and organ development, which doctors begin to test for at around 15 weeks.

Samantha Casiano, a plaintiff in the suit filed against Texas, wished she’d had more time to make the decision.

“If I was able to get the abortion with that time, I think it would have meant a lot to me because my daughter wouldn’t have suffered,” Casiano said.

When Casiano was 20 weeks pregnant, a routine scan came back with devastating news: Her baby would be stillborn or die shortly after birth.

The fetus had anencephaly, a rare birth defect that keeps the brain and skull from developing during pregnancy. Babies with this condition are often stillborn, though they sometimes live a few hours or days. Many women around the country who face the prospect choose abortion, two obstetrician-gynecologists told CNN.

But Casiano lived in Texas, where state legislators had recently banned most abortions after six weeks of pregnancy. She couldn’t afford to travel out of the state for the procedure.

“You have no options. You will have to go through with your pregnancy,” Casiano’s doctor told her, she claimed in the lawsuit.

In March, Casiano gave birth to her daughter Halo. After gasping for air for four hours, the baby died, Casiano said during her testimony on Wednesday.

“All she could do was fight to try to get air. I had to watch my daughter go from being pink to red to purple. From being warm to cold,” said Casiano. “I just kept telling myself and my baby that I’m so sorry that this had to happen to you.”

Casiano and 14 others – including two doctors – are plaintiffs in the lawsuit. They allege the abortion ban has denied them or their patients access to necessary obstetrical care. The plaintiffs are asking the courts to clarify when doctors can make medical exceptions to the state’s ban.

Casiano and two other plaintiffs testified Wednesday about hoping to deliver healthy babies but instead learning their lives or pregnancies were in danger.

 Plaintiffs Anna Zargarian, Lauren Miller, Lauren Hall, and Amanda Zurawski at the Texas State Capitol after filing a lawsuit on behalf of Texans harmed by the state's abortion ban on March 7 in Austin, Texas.

“This was just supposed to be a scan day,” Casiano told the court. “It escalated to me finding out my daughter was going to die.”

Lawyers representing the state argued Wednesday that the plaintiffs’ doctors were to blame, saying they misinterpreted the law and failed to provide adequate care for such high-risk pregnancies.

“Plaintiffs will not and cannot provide any evidence of any medical provider in the state of Texas being prosecuted or otherwise penalized for performance of an abortion using the emergency medical exemption,” a lawyer said during the state’s opening statement.

Kylie Beaton, another plaintiff, also had to watch her baby die. Beaton, who didn’t testify this week, learned during a 20-week scan that something was wrong with her baby’s brain, according to the suit.

The doctor diagnosed the fetus with alobar holoprosencephaly, a condition where the two hemispheres of the brain don’t properly divide. Babies with this condition are often stillborn or die soon after birth.

Beaton’s doctor told her he couldn’t provide an abortion unless she was severely ill, or the fetus’s heart stopped. Beaton and her husband sought to obtain an abortion out of state. However, the fetus’s head was enlarged due to its condition, and the only clinic that would perform an abortion charged up to $15,000. Beaton and her husband couldn’t afford it.

Instead, Beaton gave birth to a son she named Grant. The baby cried constantly, wouldn’t eat, and couldn’t be held upright for fear it would put too much pressure on his head, according to the suit. Four days later, Grant died.

Amanda Zurawski of Austin, Texas, center, is the lead plaintiff in the lawsuit.

Experts say that abortion bans in states like Texas lead to increased risk for both babies and mothers.

Maternal mortality has long been a top concern for doctors and health-rights activists. Even before the Supreme Court decision, the United States had the highest maternal mortality rate among wealthy nations, one study found.

Amanda Zurawski, the lawsuit’s lead plaintiff, testified Wednesday that her water broke 18 weeks into her pregnancy, putting her at high risk for a life-threatening infection. Zurawski’s baby likely wouldn’t survive.

But the fetus still had a heartbeat, and so doctors said they were unable to terminate the pregnancy. She received an emergency abortion only after her condition worsened and she went into septic shock.

Zurawski described during Wednesday’s hearing how her family visited the hospital, fearing it would be the last time they would see her. Zurawski has argued that had she been able to obtain an abortion, her life wouldn’t have been in jeopardy in the same way.

“I blame the people who support these bans,” Zurawski said.

Zurawski previously said the language in Texas’ abortion laws is “incredibly vague, and it leaves doctors grappling with what they can and cannot do, what health care they can and cannot provide.”

Pregnancy is dangerous, and forcing a woman to carry a non-viable pregnancy to term is unnecessarily risky when it’s clear the baby will not survive, argued Dr. Mae-Lan Winchester, an Ohio maternal-fetal medicine specialist.

“Pregnancy is one of the most dangerous things a person will ever go through,” Winchester said. “Putting yourself through that risk without any benefit of taking a baby home at the end, it’s … risking maternal morbidity and mortality for nothing.”

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Texas woman almost dies because she couldn’t get an abortion | CNN



CNN
 — 

Another woman has come forward with the harrowing details of how the Supreme Court’s decision four months ago to overturn Roe v. Wade put her life in danger.

CNN has told the stories of several women – including one from Houston, one from central Texas and one from Cleveland – and what they had to do to obtain medically necessary abortions.

Now, a woman from Austin, Texas, has come forward because she nearly died when she couldn’t get a timely abortion.

This is her story.

Amanda Eid and Josh Zurawski, both now 35, met in 1991 at Aldersgate Academy preschool in Fort Wayne, Indiana, and dated in high school.

“Josh always tells me he’s been in love with me since we were 4 years old,” Amanda said.

Three years ago, they married in Austin, Texas, where they both work in high-tech jobs.

They tried to have a family but failed. Amanda had fertility treatments for a year and a half and finally became pregnant.

“Very excited to share that Baby Zurawski is expected in late January,” Amanda shared on Instagram in July. The post included a picture of her and her husband in “Mama” and “Dad” hats, Amanda holding a strip of ultrasound photos of their baby girl.

“The fact that we were pregnant at all was a miracle, and we were beside ourselves with happiness,” she said.

But then, 18 weeks – just four months – into her pregnancy, Amanda’s water broke.

The amniotic fluid that her baby depended upon was leaking out. She says her doctor told her the baby would not survive.

“We found out that we were going to lose our baby,” Amanda said. “My cervix was dilating fully 22 weeks prematurely, and I was inevitably going to miscarry.”

She and Josh begged the doctor to see if there was any way to save the baby.

“I just kept asking, ‘isn’t there anything we can do?’ And the answer was ‘no,’ ” Amanda said.

When a woman’s water breaks, she’s at high risk for a life-threatening infection. While Amanda and Josh’s baby – they named her Willow – was sure to die, she still had a heartbeat, and so doctors said that under Texas law, they were unable to terminate the pregnancy.

“My doctor said, ‘Well, right now we just have to wait, because we can’t induce labor, even though you’re 100% for sure going to lose your baby,’ ” Amanda said. “[The doctors] were unable to do their own jobs because of the way that the laws are written in Texas.”

Texas law allows for abortion if the mother “has a life-threatening physical condition aggravated, caused by, or arising from a pregnancy that places the female at risk of death or poses a serious risk of substantial impairment of a major bodily function.”

But Texas lawmakers haven’t spelled out exactly what that means, and a doctor found to be in violation of the law can face loss of their medical license and a possible life sentence in prison.

“They’re extremely vague,” said Katie Keith, director of the Health Policy and Law Initiative at Georgetown University Law Center. “They don’t spell out exactly the situations when an abortion can be provided.”

In September, CNN reached out to 28 Texas legislators who sponsored anti-abortion legislation, asking them for their response to CNN stories about the woman in Houston and the woman in central Texas.

Only one legislator responded.

“Like any other law, there are unintended consequences. We do not want to see any unintended consequences; if we do, it is our responsibility as legislators to fix those flaws,” wrote state Sen. Eddie Lucio, who will be leaving the Senate at the end of the year.

The Zurawskis participated in an ad for Beto O’Rourke’s unsuccessful Texas gubernatorial campaign.

After her water broke, Amanda’s doctors sent her home and told her to watch for signs of infection, and that only when she was “considered sick enough that my life was at risk” would they terminate the pregnancy, Amanda said.

“My doctor said it could take hours, it could take days, it could take weeks,” she remembers.

Once they heard “hours,” they decided there was no time to travel to another state for an abortion.

“The nearest ‘sanctuary’ state is at least an eight-hour drive,” Amanda wrote in an online essay on The Meteor. “Developing sepsis – which can kill quickly – in a car in the middle of the West Texas desert, or 30,000 feet above the ground, is a death sentence.”

So they waited it out in Texas.

On August 26, three days after her water broke, Amanda found herself shivering in the Texas heat.

“We were having a heat wave, I think it was 105 degrees that day, and I was freezing cold, and I was shaking, my teeth were chattering. I was trying to tell Josh that I didn’t feel good, and my teeth were chattering so hard that I could not even get the sentence out,” she said.

Josh was shocked by his wife’s condition.

“To see in a matter of maybe five minutes, for her to go from a normal temperature to the condition she was in was really, really scary,” he said. “Very quickly, she went downhill very, very fast. She was in a state I’ve never seen her in.”

Josh rushed his wife to the hospital. Her temperature was 102 degrees. She was too weak to walk on her own.

Her temperature went up to 103 degrees. Finally, Amanda was sick enough that the doctors felt legally safe to terminate the pregnancy, she said.

But Amanda was so sick that antibiotics wouldn’t stop the bacterial infection raging through her body. A blood transfusion didn’t cure her, either.

About 12 hours after her pregnancy was terminated, doctors and nurses flooded her room.

“There’s a lot of commotion, and I said, ‘what’s going on?’ and they said, ‘we’re moving you to the ICU,’ and I said, ‘why?’ and they said, ‘you’re developing symptoms of sepsis,’ ” she said.

Sepsis, the body’s extreme response to an infection, is a life-threatening medical emergency.

Amanda’s blood pressure plummeted. Her platelets dropped. She doesn’t remember much from that time.

But Josh does.

“It was really scary to see Amanda crash,” he said. “I was really scared I was going to lose her.”

Family members flew in from across the country because they feared it would be the last time they would see Amanda.

Doctors inserted an intravenous line near her heart to deliver antibiotics and medication to stabilize her blood pressure. Finally, Amanda turned the corner and survived.

But her medical ordeal isn’t over.

Amanda’s uterus suffered scarring from the infection, and she may not be able to have more children. She had a surgery recently to fix the scarring, but it’s unclear whether it will be successful.

That leaves the Zurawskis scared – and furious that they might never have a family because of a Texas law.

“[This] didn’t have to happen,” Amanda said. “That’s what’s so infuriating about all of this, is that we didn’t have to – we shouldn’t have had to – go through all of this trauma.”

The Zurawskis say the politicians who voted for the anti-abortion law call themselves “pro-life” – but they don’t see it that way.

“Amanda almost died. That’s not pro-life. Amanda will have challenges in the future having more kids. That’s not pro-life,” Josh said.

“Nothing about [this] feels pro-life,” his wife added.

In many ways, Amanda feels fortunate. She wonders whether she’d be alive today if it weren’t for her husband, who rushed her to the hospital and made sure she got the best care possible. And they have good jobs with good health insurance and they live in a big city with high quality health care.

“All of these things I had going for me, and still, this was the outcome,” she said.

She and Josh worry about women in rural areas, or poor women, or young, single mothers in states like Texas. What would happen to them, considering what happened to Amanda?

“These barbaric laws prevented her from getting any amount of health care when she needed it, until it was at a life-threatening moment,” Josh said.

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Supreme Court Upholds Tribal Adoption Rights, What Horror Is This Leading Up To?

The US Supreme Court on Thursday upheld the law that gives Native American tribes preference in adoption and foster care cases involving Native children, rejecting the argument that it’s racist against white people. In a 7 to 2 decision, the Court let stand the 1978 Indian Child Welfare Act (ICWA), which Congress wrote to address concerns that Native kids were being taken away from their families, a legacy of the US government’s attempts to wipe out Native American tribes through forced assimilation. The ’70s were a crazy time, with the disco and the occasional congressional efforts to provide at least some justice for past discrimination.

Previously

Will Supreme Court ‘Increase Domestic Supply Of Infants’ By Stealing Native American Babies?

You Guys, The Fifth Circuit Ruled *For* The Welfare Of Indian Children

What The Hell Is It With Republicans Crapping On Native Americans?

Under the ICWA, as Vox explainered, if a child is a member of a Native American tribe or even is eligible for membership, then any adoption or foster placement needs to give first preference to the child’s extended family, and then to another Native American family, ideally in their own tribe or if necessary another tribe.

The law aims to keep Native children within Native communities, after over a century of US attempts at genociding Native Americans and, for most of the 20th century, actively attempting to alienate people from their tribal identities — first by taking Native kids from their families to Indian schools that aimed to assimilate them into the dominant Anglo culture, and later by encouraging adoptions of Native kids by white parents.


(A quick note on language here: Federal law and court cases use the term “Indian,” which has very specific meanings in law, so at times we will too, even if in the wider culture it’s no longer the preferred nomenclature, Dude.)

The case, Haaland v. Brackeen, has been making its way through the federal courts for years. It involves a white Texas couple, Jennifer and Chad Brackeen, who in 2016 were appointed as foster parents of a 10-month-old boy whose birth parents were Navajo and Cherokee. God told the Brackeens they needed to adopt the boy, but they found themselves in a legal fight with the Navajo Nation. Eventually they did adopt the boy, but they also wanted to adopt his half-sister, and here we are at the Supreme Court, with the Brackeens and the state of Texas (and a few other plaintiffs) arguing that the 1978 law was unconstitutional because it was an illegal racial preference and discriminated against non-Indian parents, and that by superseding state family law courts, Congress had overreached.

Ultimately, though, the Court, in an opinion written by Justice Amy Coney Barrett, rejected that claim, as the New York Times explains:

The tribes have said that they are political entities, not racial groups. Doing away with that distinction, which underpins tribal rights, they argued, could imperil nearly every aspect of Indian law and policy, including measures that govern access to land, water and gambling.

The majority dismissed the equal protection argument, saying that no party in the case had legal standing. Instead, the justices focused on Congress’s longstanding authority to make laws about tribes. […]

“Our cases leave little doubt that Congress’s power in this field is muscular, superseding both tribal and state authority,” Justice Barrett wrote, adding that its authority touched on subjects as varied as criminal defense, domestic violence, property law, employment and trade. She added, “The Constitution does not erect a firewall around family law.”

The two dissenting justices, Clarence Thomas and Samuel Alito, each wrote their own dissents. Alito griped that the law focused too much on the tribes’ rights and not the right of the child to have the best family, which we presume was shorthand for a white family, because we’re just that mean. Thomas was his usual “government overreach, boo, hiss!” self, contending that the law wasn’t fair because some of the Native kids involved in adoptions regulated by the ICWA “may never have even set foot on Indian lands.”

Justice Neil Gorsuch, who’s been consistently friendly to Tribal interests in federal law, wrote a concurring opinion in which he said the majority opinion “safeguards the ability of tribal members to raise their children free from interference by state authorities and other outside parties.” Gorsuch explained that he agrees completely with the majority, but also wanted to provide “some historical context” with an overview of “how our founding document mediates between competing federal, state, and tribal claims of sovereignty.”

Here’s his introduction, which genuinely makes me want to read the rest this weekend.

The Indian Child Welfare Act did not emerge from a vacuum. It came as a direct response to the mass removal of Indian children from their families during the 1950s, 1960s, and 1970s by state officials and private parties. That practice, in turn, was only the latest iteration of a much older policy of removing Indian children from their families—one initially spearheaded by federal officials with the aid of their state counterparts nearly 150 years ago. In all its many forms, the dissolution of the Indian family has had devastating effects on children and parents alike. It has also presented an existential threat to the continued vitality of Tribes—something many federal and state officials over the years saw as a feature, not as a flaw. This is the story of ICWA.

Well yeah, that’s all impressively true, which led to a very reasonable question from “Southpaw” on Twitter: How the hell is it that Gorsuch is

so attuned to—and frankly eloquent at exposing—structural racism in Indian affairs, but so seemingly indifferent to it in other aspects of American life?

New Republic legal writer Matt Ford suggested that it comes down to Gorsuch’s weird originalism, pointing out that in his concurrence, Gorsuch writes,

Our Constitution reserves for the Tribes a place—an enduring place—in the structure of American life. It promises them sovereignty for as long as they wish to keep it. And it secures that promise by divesting States of authority over Indian affairs and by giving the federal government certain significant (but limited and enumerated) powers aimed at building a lasting peace.

Bummer for anyone else who’s faced systemic discrimination, though. You people should have found a way to get yourselves into the Constitution, and don’t you go saying “the 14th Amendment” because that’s not specific enough. He’s an odd one.

In a statement, President Joe Biden celebrated the Court’s decision, pointing out that he had supported the ICWA when he was in the Senate, he’s so old. Biden also did his own Critical Race Theory, noting that

Our Nation’s painful history looms large over today’s decision. In the not-so-distant past, Native children were stolen from the arms of the people who loved them. They were sent to boarding schools or to be raised by non-Indian families—all with the aim of erasing who they are as Native people and tribal citizens. These were acts of unspeakable cruelty that affected generations of Native children and threatened the very survival of Tribal Nations. The Indian Child Welfare Act was our Nation’s promise: never again.

So now all we have to do is worry what this pretty reasonable decision, combined with one that didn’t strike down the Voting Rights Act in its entirety last week, means for the next bunch of decisions coming from the Court, not that we’re cynical that way. Maybe it’ll decide not only to strike down Biden’s student loan forgiveness program, but also to eliminate student aid going forward because George Washington never got a student loan, now did he?

[AP / NYT / Vox / Haaland v. Brackeen / Photo: Jarek Tuszyński, Creative Commons License 3.0]

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Ebola Fast Facts | CNN



CNN
 — 

Here’s a look at Ebola, a virus with a high fatality rate that was first identified in Africa in 1976.

Ebola hemorrhagic fever is a disease caused by one of five different Ebola viruses. Four of the strains can cause severe illness in humans and animals. The fifth, Reston virus, has caused illness in some animals, but not in humans.

The first human outbreaks occurred in 1976, one in northern Zaire (now Democratic Republic of the Congo) in central Africa: and the other, in southern Sudan (now South Sudan). The virus is named after the Ebola River, where the virus was first recognized in 1976, according to the Centers for Disease Control and Prevention (CDC).

Ebola is extremely infectious but not extremely contagious. It is infectious, because an infinitesimally small amount can cause illness. Laboratory experiments on nonhuman primates suggest that even a single virus may be enough to trigger a fatal infection.

Ebola is considered moderately contagious because the virus is not transmitted through the air.

Humans can be infected by other humans if they come in contact with body fluids from an infected person or contaminated objects from infected persons. Humans can also be exposed to the virus, for example, by butchering infected animals.

Symptoms of Ebola typically include: weakness, fever, aches, diarrhea, vomiting and stomach pain. Additional experiences include rash, red eyes, chest pain, throat soreness, difficulty breathing or swallowing and bleeding (including internal).

Typically, symptoms appear eight to 10 days after exposure to the virus, but the incubation period can span two to 21 days.

Ebola is not transmissible if someone is asymptomatic and usually not after someone has recovered from it. However, the virus has been found in the semen of men who have recovered from Ebola and possibly could be transmitted from contact with that semen.

There are five subspecies of the Ebola virus: Zaire ebolavirus (EBOV), Bundibugyo ebolavirus (BDBV), Sudan ebolavirus (SUDV), Taï Forest ebolavirus (TAFV) and Reston ebolavirus (RESTV).

Click here for the CDC’s list of known cases and outbreaks.

(Full historical timeline at bottom)

March 2014 – The CDC issues its initial announcement on an outbreak in Guinea, and reports of cases in Liberia and Sierra Leone.

April 16, 2014 – The New England Journal of Medicine publishes a report, speculating that the current outbreak’s Patient Zero was a 2-year-old from Guinea. The child died on December 6, 2013, followed by his mother, sister and grandmother over the next month.

August 8, 2014 – Experts at the World Health Organization (WHO) declare the Ebola epidemic ravaging West Africa an international health emergency that requires a coordinated global approach, describing it as the worst outbreak in the four-decade history of tracking the disease.

August 19, 2014 – Liberia’s President Ellen Johnson Sirleaf declares a nationwide curfew beginning August 20 and orders two communities to be completely quarantined, with no movement into or out of the areas.

September 16, 2014 – US President Barack Obama calls the efforts to combat the Ebola outbreak centered in West Africa “the largest international response in the history of the CDC.” Speaking from the CDC headquarters in Atlanta, Obama adds that “faced with this outbreak, the world is looking to” the United States to lead international efforts to combat the virus.

October 6, 2014 – A nurse’s assistant in Spain becomes the first person known to have contracted Ebola outside Africa in the current outbreak. The woman helped treat two Spanish missionaries, both of whom had contracted Ebola in West Africa, one in Liberia and the other in Sierra Leone. Both died after returning to Spain. On October 19, Spain’s Special Ebola Committee says that nurse’s aide Teresa Romero Ramos is considered free of the Ebola virus.

October 8, 2014 – Thomas Eric Duncan, a Liberian citizen who was visiting the United States, dies of Ebola in Dallas.

October 11, 2014 – Nina Pham, a Dallas nurse who cared for Duncan, tests positive for Ebola during a preliminary blood test. She is the first person to contract Ebola on American soil.

October 15, 2014 – Amber Vinson, a second Dallas nurse who cared for Duncan, is diagnosed with Ebola. Authorities say Vinson flew on a commercial jet from Cleveland to Dallas days before testing positive for Ebola.

October 20, 2014 – Under fire in the wake of Ebola cases involving two Dallas nurses, the CDC issues updated Ebola guidelines that stress the importance of more training and supervision, and recommend that no skin be exposed when workers are wearing personal protective equipment, or PPE.

October 23, 2014 – Craig Spencer, a 33-year-old doctor who recently returned from Guinea, tests positive for Ebola – the first case of the deadly virus in New York and the fourth diagnosed in the United States.

October 24, 2014 – In response to the New York Ebola case, the governors of New York and New Jersey announce that their states are stepping up airport screening beyond federal requirements for travelers from West Africa. The new protocol mandates a quarantine for any individual, including medical personnel, who has had direct contact with individuals infected with Ebola while in Liberia, Sierra Leone or Guinea. The policy allows the states to determine hospitalization or quarantine for up to 21 days for other travelers from affected countries.

January 18, 2015 – Mali is declared Ebola free after no new cases in 42 days.

February 22, 2015 – Liberia reopens its land border crossings shut down during the Ebola outbreak, and President Sirleaf also lifts a nationwide curfew imposed in August to help combat the virus.

May 9, 2015 – The WHO declares an end to the Ebola outbreak in Liberia. More than 4,000 people died.

November 2015 – Liberia’s health ministry says three new, confirmed cases of Ebola have emerged in the country.

December 29, 2015 – WHO declares Guinea is free of Ebola after 42 days pass since the last person confirmed to have the virus was tested negative for a second time.

January 14, 2016 – A statement is released by the UN stating that “For the first time since this devastating outbreak began, all known chains of transmission of Ebola in West Africa have been stopped and no new cases have been reported since the end of November.”

March 29, 2016 – The WHO director-general lifts the Public Health Emergency of International Concern related to the 2014-2016 Ebola outbreak in West Africa.

*Includes information about Ebola and other outbreaks resulting in more than 100 deaths or special cases.

1976 – First recognition of the EBOV disease is in Zaire (now Democratic Republic of the Congo). The outbreak has 318 reported human cases, leading to 280 deaths. An SUDV outbreak also occurs in Sudan (now South Sudan), which incurs 284 cases and 151 deaths.

1995 – An outbreak in the Democratic Republic of the Congo (DRC) leads to 315 reported cases and at least 250 deaths.

2000-2001 – A Ugandan outbreak (SUDV) results in 425 human cases and 224 deaths.

December 2002-April 2003 – An EBOV outbreak in ROC results in 143 reported cases and 128 deaths.

2007 – An EBOV outbreak occurs in the DRC, 187 of the 264 cases reported result in death. In late 2007, an outbreak in Uganda leads to 37 deaths, with 149 cases reported in total.

September 30, 2014 – Dr. Thomas Frieden, director of the CDC, announces the first diagnosed case of Ebola in the United States. The person has been hospitalized and isolated at Texas Health Presbyterian Hospital in Dallas since September 28.

July 31, 2015 – The CDC announces that a newly developed Ebola vaccine is “highly effective” and could help prevent its spread in the current and future outbreaks.

December 22, 2016 – The British medical journal The Lancet publishes a story about a new Ebola vaccine that tested 100% effective during trials of the drug. The study was conducted in Guinea with more than 11,000 people.

August 1, 2018 – The DRC’s Ministry of Health declares an Ebola virus outbreak in five health zones in North Kivu province and one health zone in Ituri province. On July 17, 2019, the WHO announces that the outbreak constitutes a public health emergency of international concern. On June 25, 2020, the DRC announces that the outbreak is officially over. A total of 3,481 cases were reported, including 2,299 deaths and 1,162 survivors.

August 12, 2019 – Two new Ebola treatments are proving so effective they are being offered to all patients in the DRC. Initial results found that 499 patients who received the two effective drugs had a higher chance of survival – the mortality rate for REGN-EB3 and mAb114 was 29% and 34% respectively. The two drugs worked even better for patients who were treated early – the mortality rate dropped to 6% for REGN-EB3 and 11% for mAb114, according to Anthony Fauci, director of the National Institute of Allergy and Infectious Diseases and one of the researchers leading the trial.

December 19, 2019 – The US Food and Drug administration announces the approval of a vaccine for the prevention of the Ebola virus for the first time in the United States. The vaccine, Ervebo, was developed by Merck and protects against Ebola virus disease caused by Zaire ebolavirus in people 18 and older.

October 14, 2020 – Inmazeb (REGN-EB3), a mixture of three monoclonal antibodies, becomes the first FDA-approved treatment for the Ebola virus. In December, the FDA approves a second treatment, Ebanga (mAb114).

January 14, 2023 – Ugandan authorities officially declare the end of a recent Ebola outbreak after 42 consecutive days with no new cases.

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Mpox in the United States Fast Facts | CNN

Editor’s Note: This story has been updated to include the WHO’s updated recommendation for what the virus should be called.



CNN
 — 

Here’s a look at mpox, formerly known as monkeypox, in the United States. In 2022, an outbreak was declared a public health emergency of international concern by the World Health Organization (WHO). The virus originated in Africa and is the cousin of the smallpox virus.

In November 2022, WHO renames the monkeypox virus as mpox after working with International Committee on the Taxonomy of Viruses (ICTV) to rename the the virus using non-stigmatizing, non-offensive social and cultural nomenclature.

(Source: Centers for Disease Control and Prevention)

Mpox is a poxvirus. It generally causes pimple- or blister-like lesions and flu-like symptoms such as fever. The disease is rarely fatal.

Mpox spreads through close contact. This includes direct physical contact with lesions as well as “respiratory secretions” shared through face-to-face interaction and touching objects that have been contaminated by mpox lesions or fluids. The virus may also pass to a fetus through the placenta.

Anyone can become ill from mpox, but the US Centers for Disease Control and Prevention (CDC) says that more than 99% of mpox cases in the United States in the 2022 outbreak have been among men who have sex with men. However, mpox is not generally considered a sexually transmitted disease.

Mpox is usually found in West and Central Africa, but additional cases have been seen in Europe, including the United Kingdom, and other parts of the world in recent years. Those cases are typically linked to international travel or imported animals infected with the poxvirus.

CDC Mpox Map and Case Count

WHO Situation Reports

1958 – Mpox is discovered when monkeys kept for research cause two outbreaks in Copenhagen, Denmark.

1970 – The first human case is recorded in Zaire (now the Democratic Republic of Congo).

2003 – An outbreak in the United States is linked to infected pet prairie dogs imported from Ghana and results in more than 80 cases.

July 16, 2021 – The CDC and local health officials in Dallas announce they are investigating a case of mpox in a traveler from Nigeria. “The individual is a City of Dallas resident who traveled from Nigeria to Dallas, arriving at Love Field airport on July 9, 2021. The person is hospitalized in Dallas and is in stable condition,” the Dallas County Department of Health and Human Services says in a statement.

May 17, 2022 – The first confirmed US case of mpox in the 2022 outbreak is reported to the CDC in a traveler who returned to Massachusetts from Canada.

May 19, 2022 – WHO reports that death rates of the outbreak have been between 3% and 6%.

May 23, 2022 – The CDC announces the release of mpox vaccine doses from the nation’s Strategic National Stockpile for “high-risk people.” In the United States, the two-dose Jynneos vaccine is licensed to prevent smallpox and specifically to prevent mpox.

May 26, 2022 – CDC Director Dr. Rochelle Walensky announces that the United States is distributing the vaccine to states with reported cases and recommends vaccination for people at highest risk of infection due to direct contact with someone who has mpox.

June 22, 2022 – The CDC announces a partnership with five commercial laboratories to ramp up testing capacity in the United States.

June 23, 2022 – New York City launches the first mpox vaccination clinic in the United States.

June 28, 2022 – The US Department of Health and Human Services (HHS) and the Biden administration announce an enhanced vaccination strategy and report that more than 9,000 doses of vaccine have been distributed to date.

July 22, 2022 – Two American children contract mpox – a first in the United States. According to the CDC, the two cases are unrelated.

July 23, 2022 – WHO declares mpox a public health emergency of international concern, “an extraordinary event that may constitute a public health risk to other countries through international spread of disease and may require an international coordinated response.”

July 27, 2022 – After weeks of mpox vaccines being in limited supply, more than 786,000 additional doses are made available in the United States, according to HHS.

July 29, 2022 – New York declares a state disaster emergency in response to the mpox outbreak.

August 1, 2022 – California and Illinois declare states of emergency. California has reported more than 800 cases, while Illinois has had more than 500, according to data from the CDC.

August 2, 2022 – An mpox response team is created by the Biden administration. President Joe Biden names Robert Fenton from the Federal Emergency Management Agency (FEMA) as the White House national mpox response coordinator.

August 2, 2022 – A report from Spain’s National Institute for Microbiology indicates two men, ages 31 and 44, who died from mpox in unrelated cases had both developed encephalitis, or swelling of the brain, which can be triggered by viral infections. Encephalitis is a very rare condition known to be associated with mpox. It has been reported in people with mpox in West Africa and in a patient in the United States in 2003 during the small outbreak linked to imported prairie dogs.

August 4, 2022 – The Biden administration declares the mpox outbreak a national public health emergency.

August 5, 2022 – A report published by the CDC finds that 94% of cases were among men who had recent sexual or close intimate contact with another man. Further, 54% of cases were among Black Americans and Latinos.

August 9, 2022 – In an effort to stretch the limited supply of the Jynneos mpox vaccine, federal health officials authorize administering smaller doses using a different method of injection. The new injection strategy allows health-care providers to give shallow injections intradermally, in between layers of the skin, with one-fifth the standard dose size instead of subcutaneously, into the fatty layer below the skin, with the larger dose.

August 18, 2022 – The White House announces the acceleration of the HHS vaccine distribution timeline, with an additional 1.8 million doses of the Jynneos vaccine being made available. Additional vaccines will be distributed to communities hosting large LGBTQI+ events.

August 19, 2022 – Washington’s King County, which includes Seattle, declares mpox a public health emergency, with more than 270 recorded cases.

September 12, 2022 – The first US death due to mpox is confirmed in Los Angeles County, California.

May 11, 2023 – WHO declares the mpox outbreak is no longer a global health emergency.

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A Former And Current Democrat Wrestle Against A Moral Universe

Dr. Martin Luther King Jr. once said, “The arc of the moral universe is long, but it bends toward justice.” It is a favorite quote of former Pres. Barack Obama (who had it woven into his White House rug) and cited by other politicians, often around MLK Day. But despite its good sentiment, some scholars have noted the meaning was taken out of context to excuse inaction all for a dream of “justice” we might never see in this world.

So, let’s keep this debate in mind when we discuss two specific guests on this week’s Sunday shows.

It’s the Kyrsten Sinema Show!

The senior senator from Arizona, part-time reseller and full-time asshole made a rare appearance on a Sunday show to answer some questions. She also made sure it was at the McCain Institute in front of a live audience with CBS’s “Face The Nation” so that she could receive maximum attention while being the feckless senator we all know.


For example, when Sinema criticized the Biden Administration’s border policy, host Margaret Brennan mentions an immigration bill Sinema and Sen. James Lankford of Oklahoma introduced. But when asked about passing it before Title 42 expires, Sinema joked about the uselessness of the Senate.

SINEMA: Oh, God, no, Margaret. This is the United States Senate. (laughter)

BRENNAN: That’s what I was saying.

SINEMA: I don’t think you can get agreement on a restroom break by next Thursday. The United States Senate is functioning at a fairly dysfunctional level right now.

Hahahahaha! Isn’t it truly hilarious that the people elected to govern can’t do a single thing?! And that they not only know they won’t take action to help their constituents but find it a joke??! Just hilarious, Sinema. Hardy Har Har …

Sinema was asked about Republicans holding the full faith and credit of the US hostage for draconian cuts with the debt ceiling and she outlined the real problem — “both sides.”

While Sinema admitted Biden is correct to want a “a clean debt limit to meet the full faith and responsibility of the United States of America,” she blamed him for not prioritizing Kevin McCarthy’s political career over destroying the American people’s lives or the global financial system.

SINEMA: […] Kevin McCarthy, as we all saw, took him a long time to become Speaker. Barely squeaked by with the votes, had to make a lot of concessions to get the job and he has a very, very narrow road to walk. So he has to thread a needle where he can get the votes he needs to pass a debt limit increase and continue to be Speaker. […] Reality is the bill that Kevin and his colleagues passed through the House is not going to be the solution. The votes do not exist in the United States Senate to pass that. But what the president is offering is not a realistic solution either. There’s not going to be just a simple clean debt limit. The votes don’t exist for that. […]

The votes DO exist to pass a clean limit, Sinema. You just need all the House Democratic votes and enough sane Republicans for a majority. But the reason that someone like Sinema or McCarthy can’t see that is because anything that doesn’t advance their careers or risks political power for their constituents is not seen as a solution.

Ironically, Sinema’s Senate career and McCarthy’s speakership might be over soon due to that very calculus.

Dick Durbin: The Susan Collins of Chuck Schumers

Speaking of political inaction, Senate Judiciary chair Dick Durbin was on CNN’s “State of The Union” with Jake Tapper.

Tapper asked Durbin about what Congress can do to solve the gun violence that led to ANOTHER mass shooting in Texas on Saturday.

DURBIN: There is something more that America can do, and it’s called an election.

Oh, fuck you, Dick. Your answer to why Congress can’t meet the demands for action from the majority of Americans tired of gun violence is “vote harder”?? Fuck off! Americans are united. It’s Congress who isn’t.

Even in a Fox news poll.

Record-breaking election turnouts in 2018,2020 and 2022 is why Durbin even has a chairmanship. Voters are doing/have done everything they can only to have their votes “rewarded” by political apathy.

But that’s too much to ask from someone like Durbin. When asked about Clarence Thomas’s recent revelations, Durbin at best could muster mild disappointment.

TAPPER: Some of your fellow Democrats on Capitol Hill say that this seems to go beyond ethical lapses; it rises to the level of corrupt behavior. Is that a word you would use, corrupt?

DURBIN: Well, I can tell you that the conclusion most people would reach is that this tangled web around Justice Clarence Thomas just gets worse and worse by the day. […] The question is whether it embarrasses the Supreme Court and the Chief Justice. […] This is the Roberts court, and history is going to judge him by the decision he makes on this. He has the power to make the difference.

History? You’re the Senate Judiciary Committee chair! It’s YOUR job, you feckless fossil! If you are waiting on history, which if I remember is written by the victors, we are all doomed.

Durbin, who can’t even stand up to end the bullshit blue slips, also made an idle threat about taking action about Thomas on Twitter like a telephone tough guy.

Tapper, who is no progressive, seemed almost as frustrated by this when he asked about Dianne Feinstein’s return to the Senate and let his inner sauciness out on Durbin’s bullshit about Feinstein’s wishes over the needs of the American people.

Republicans are pursuing evil, but politicians like Durbin and Sinema help gatekeep progress through incrementalism instead of fighting hard.

And Dick Durbin should know better.

Have a week.

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State leaders targeting climate investing have quiet stakes in the fossil fuel industry

In October, Scott Fitzpatrick, then-treasurer of Missouri, announced his state would pull $500 million out of pension funds managed by BlackRock.

He said he would move Missouri’s money away from the asset manager because it was “prioritizing” environmental, social and governance investing over shareholder returns. Fitzpatrick, a Republican who won election as the state’s auditor in November, used his office as treasurer to target BlackRock after years of criticizing Wall Street for a perceived turn toward investing focused on climate and social issues.

As he homed in on BlackRock, Fitzpatrick quietly held a financial stake in a massive fossil fuel company that could suffer from the broader adoption of alternative energy. Fitzpatrick and his wife owned a more than $10,000 stake in Chevron during both of 2022 and 2021, according to his latest financial disclosures filed with the state.

Fitzpatrick is among a group of powerful Republican state leaders who have waged similar fights against environmentally conscious investing as they held personal investments in, or saw political support from, the fossil fuel industry.

A handful of state financial officers who have similarly attacked ESG practices owned stock or bonds in oil, gas or other fossil fuel companies in recent years, according to the latest state financial disclosure reports reviewed by CNBC. Some of the state officials have received campaign donations from fossil fuel companies or their executives.

Climate activists with Stop the Money Pipeline hold a rally in New York City to urge companies to end their support for the proposed Line 3 pipeline project and stop funding fossil fuels and forest destruction, April 17, 2021.

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State leaders face possible conflicts of interest when they have a chance to see financial gains from the fossil fuel industry as they use their offices to defend the sector — or in some cases move their state’s dollars away from clean-energy investments, government ethics experts told CNBC. As the officials ramp up their criticism of Wall Street investment practices, a lack of state laws requiring regular stock disclosures makes it difficult for the public to monitor what personal stake their representatives could have in the actions they take in office.

Brandon Alexander, the chief of staff to the Missouri auditor’s office, told CNBC in an emailed statement that Fitzpatrick’s publicly traded securities are either in a trust or qualified retirement accounts that are managed by a financial advisor.

“Other than employer sponsored retirement accounts (the entirety of which are invested in target date funds over which he has no control), all of Auditor Fitzpatrick’s publicly traded securities, are held in a trust or in qualified retirement accounts which are actively managed by a financial advisor to whom he gives no direction,” Alexander said. “He has never ‘had private briefings tied back to the fossil fuel industry’ nor does he personally direct or execute trades himself. Auditor Fitzpatrick stands by his criticism of the ESG movement, especially as it relates to the application of ESG standards in the management of public funds.”

Unlike members of Congress, state financial officers in many cases only have to disclose their stock ownership once a year. In some states, they do not have to divulge their investments at all. In contrast with federal lawmakers, they also do not have to file regular records disclosing their new trades.

None of the officials mentioned in this story engaged in illegal conduct. But the fact that they have investments that could be helped by their high-profile campaigns against ESG investing may create trust issues with the people they represent, says ethics experts.

“This is a problem that we have elected officials at the federal and state level that are simply not willing to avoid personal financial conflicts of interest,” Richard Painter, who was the chief White House ethics lawyer in the George W. Bush administration, told CNBC in an interview. “You could have someone own stock in a company and pursue policy that could benefit that company. What’s good for Exxon Mobil’s stock is not necessarily good for America.”

Painter said that owning such stock is not illegal for state based leaders. Congressional lawmakers are also allowed to own stock but the 2012 STOCK Act disallows members of Congress to use non-public information to gain a profit and prohibits insider trading.

Another government ethics expert also cited an appearance of conflict as an issue for public officials.

“If an official has a financial interest in a company or an industry, it is reasonable to question whether that interest impacts how they approach their government work,” Donald Sherman, a senior vice president and chief counsel for watchdog group Citizens for Responsibility and Ethics in Washington, told CNBC in an interview.

The fight against ESG investment standards has become a core issue for some Republicans at the federal and state level. Many of those officials have used their positions to target companies they believe are too politically active or, in some cases, are hurting certain industries, such as fossil fuels.

In the case of state financial officers, they have the power to shift public assets or pension funds away from certain firms and to other institutions.

Vocal ESG critics have fossil fuel ties

Georgia’s state treasurer, Steve McCoy, was appointed by Republican Gov. Brian Kemp in 2020. He was among state financial officers, including Fitzpatrick in Missouri, who last year co-signed a letter to President Joe Biden opposing policies that promote ESG. The Biden administration has promoted environmentally conscious investing, and the president used his first veto on a measure that would have shot down a Labor Department rule that promoted ESG policies.

The letter said the state officials “believe the White House should be spearheading a call to invest in American energy instead of pursuing ESG initiatives that divide American energy businesses and discourage investment in these reliable energy industries.” The group went on to say that “freedom is the key to addressing climate change. The depth and breadth of American innovation is unparalleled globally, including the development of green technologies. However, oil, gas, coal, and nuclear are currently the most reliable and plentiful baseload power sources for America and much of the rest of the world.”

McCoy is one of the state financial officers who held an investment in fossil fuels. He had a stake in the industry as recently as 2020 — though changes in disclosure rules mean he has not had to disclose his assets more recently.

McCoy disclosed in 2020 that he owns bonds in fracking company Halliburton and a stake in the U.S. Oil Fund, an ETF that tracks the benchmark price of U.S. crude oil. The disclosure says that these stakes are either “more than 5 percent of the total interests in such business or investment, or [have] a net fair market value of more than $5,000.”

The 2020 disclosure was the last time McCoy filed a document showing his investments. Some states, including Georgia, do not require officials who hold key state positions to file full disclosure forms, and require those leaders to publish only a one-page affidavit, according to Haley Barrett, a spokeswoman for Georgia’s Government Transparency and Campaign Finance Commission.

Two of McCoy’s affidavits filed with the state say virtually nothing about his business dealings and stock holdings. McCoy’s most recent affidavit, from 2022, shows his titles as treasurer and as a member of a variety of boards, including the state Depository Board.

McCoy also had to sign a statement to confirm that he has taken “I have taken no official action as a public officer in the previous calendar year which had a material effect on my private, financial or business interests.” That affidavit and a 2021 version of the document does not say whether McCoy currently owns any stocks in the fossil fuel industry.

When asked about what the state ethics commission does to verify if those signed statements are accurate, Barrett said in an email that “once these documents have been filed with our office and reviewed, there is an opportunity to determine if there are any discrepancies in the filings. Investigations can be initiated internally through our office or by a third party complaint.”

McCoy and his office did not return requests for comment.

McCoy is far from the only ESG critic who has a financial or political interest in fossil fuel companies.

Texas’ state comptroller, Glenn Hegar, argued in letters to money managers last year that he believes firms such as BlackRock, HSBC and UBS are boycotting the energy industry, saying in a statement at the time that he believes “environmental crusaders” have created a “false narrative” that the economy can transition away from fossil fuels. Hegar co-signed an open letter in 2021 with other state financial officers that was addressed to the U.S. banking industry and defended the fossil fuel industry.

“We will each take concrete steps within our respective authority to select financial institutions that support a free market and are not engaged in harmful fossil fuel industry boycotts for our states’ financial services contracts,” the letter reads.

He also co-signed the 2022 letter to Biden from a slate of other state financial officers defending the fossil fuel industry.

Hegar has since escalated his campaign against the institutions. Hegar sent letters to fellow state money managers arguing that they have not done enough to cut ties with BlackRock and other firms that he said boycotted the oil and gas industry, Bloomberg reported in February.

In the lead-up to his anti-ESG push, Hegar owned stock in the oil and gas industry. In 2021, the Texas comptroller and his spouse owned between 100 and 499 shares of Devon Energy and up to 99 shares of ConocoPhillips, according to his latest financial disclosure.

His financial records from all of the previous years since he became state comptroller in 2015 do not show any stock in these two companies or in the fossil fuel industry at large.

Hegar’s political ambitions have also seen a boost from the oil and gas industry — a dominating force in Texas. During his 2022 reelection, Hegar received donations from a range of PACs and executives from the oil and gas business.

His campaign received $10,000 last year from Ben “Bud” Brigham, the chairman of oil and gas development company Brigham Exploration, according to state campaign finance records. The PACs of Chevron, ConocoPhillips, Devon Energy, Calpine Corp. and Valero Energy were among Hegar’s fossil fuel donors during his run for reelection last year, according to state records.

Hegar and his office did not return requests for comment.

Jimmy Patronis, Florida’s chief financial officer, has been railing against ESG investment standards since around the time he was reelected to the position in November. Patronis was also among the co-signers of the 2022 letter to Biden defending the fossil fuel industry.

By December, Patronis announced that the Florida Treasury would start divesting $2 billion of assets managed by BlackRock. In an interview on CNBC’s “Squawk Box” in February, Patronis explained the decision.

“The bottom line: I’m seeing dollars are being siphoned off. I’m seeing individuals, like [BlackRock CEO Larry] Fink and others that are using the state of Florida’s money for a social agenda,” he said.

He added: “I just care about returns. And I’m not seeing that.”

Heading into 2022, he also had a financial interest in the fossil fuel industry.

Patronis owned 100 shares combined of Exxon Mobil and Chevron — the two largest gas companies in the world — at the end of 2021, according to his most recent publicly available disclosure.

His personal interest in fossil fuel companies has grown in recent years. In 2018, he disclosed only about 10 shares of Exxon and did not list any Chevron stock.

The document was the first time since 2018 that Patronis listed investments in the sector.

Frank Collins III, the state’s deputy chief financial officer, told CNBC in a statement that Patronis believes ESG efforts are part of a campaign to decimate the oil and gas industry. He said Patronis does not personally make trading or investment decisions for the state’s retirement systems.

“The CFO wants great returns for those in Florida’s retirement funds, nothing else. While the ESG movement has been on a campaign to erase America’s oil and gas industry from the map, those industries were making returns for investors,” Collins said.

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