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katyshannon

House passes visa waiver reform bill with strong bipartisan support - The Washington Post - 0 views

  • As Republicans squabbled over Donald Trump’s controversial proposal to bar all Muslims from traveling to the United States, the House on Tuesday overwhelmingly passed a bill imposing new restrictions on a visa waiver program that currently welcomes roughly 20 million people into the country each year.
  • The bill, which was approved on a 407 to 19 vote, would increase information sharing between the United States and the 38 countries whose passport-holders are allowed to visit the country without getting a visa, while also attempting to weed out travelers who have visited certain countries where they may have been radicalized.
  • The strong vote in the House could put momentum behind efforts to include changes to the program in the omnibus spending package – a must-pass bill that lawmakers are trying to finalize before government funding expires on Friday
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  • there are key differences between the House bill and a measure from Sens. Dianne Feinstein (D-Calif.) and Jeff Flake (R-Ariz.), which has not yet been scheduled for a vote.
  • House-passed measure received the backing of the U.S. Travel Association, despite initial concerns that Congress would go too far in tightening the waiver program’s security requirements following the Paris terror attacks.
  • The visa waiver program was launched in the 1980s as a way of boosting business travel and tourism to the United States and hundreds of millions of people have taken advantage of the initiative.
  • Democrats and Republicans have sparred over stepped-up security proposals made in the wake of the Paris and San Bernardino, Calif. terror attacks.
  • While an earlier vote to suspend Syrian and Iraqi refugee admissions “showed the country and this body at its worst,” said Rep. Zoe Lofgren (D-Calif.), the ranking member of the Judiciary Committee’s subcommittee on Immigration and Border Security, “Today’s bill makes sensible improvements to the security of the visa waiver program.”
  • The House and Senate bills would require countries participating in the waiver program to issue passports with embedded chips containing biometric data, report information about stolen passports to Interpol and share information about known or suspected terrorists with the United States.
  • The House measure also seeks to prevent Syrian and Iraqi nationals, as well as any passport holder of a waiver country who has traveled to Syria, Iraq, Iran or Sudan since March 1, 2011 – the start of the Syrian civil war – from taking advantage of the program. These individuals would instead be required to submit to the traditional visa approval process, which requires an in-person interview at a U.S. embassy or consulate.
  • The Senate bill would prevent individuals who traveled to Iraq or Syria from using the program for five years. Both bills give the Department of Homeland Security secretary the authority to take countries out of the waiver system.
katyshannon

How the Every Student Succeeds Act Will Really Change No Child Left Behind-Era Schools - The Atlantic - 0 views

  • How does the Every Student Succeeds Act reverse the course of K-12 education in the United States? The headlines say it all: It “Restores Local Education Control.” It “continues a long federal retreat from American classrooms.” It “shifts power to states.”
  • According to a Wall Street Journal editorial, it represents “the largest devolution of federal control to the states in a quarter-century.”
  • But for all the breathless hype, the legislation seems unlikely to produce many changes that are actually visible on the ground.
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  • The Senate on Wednesday approved the Every Student Succeeds Act, the bill that will reauthorize the nation’s 50-year-old omnibus education law and make the “pretty-much-universally despised” No Child Left Behind obsolete.
  • The legislation, which has already gotten the Obama administration’s tacit approval, is being touted by observers and policymakers from both the right and left as a product of rare bipartisan compromise.
  • The most conspicuous manifestation of that bipartisan give-and-take is what’s being highlighted by news outlets and pundits across the country: Schools will still be held accountable for student performance, but states can determine the nuances of how that will take place.
  • They’ll have to use “college-and-career ready” standards and intervene when those expectations aren’t met, but states will get to design their own standards and intervention protocol.
  • They’ll still be required to administer annual testing in certain grades, ensure at least 95 percent of students participate, and disaggregate data based on students’ race, income, and disability status, but they can use other factors on top of testing to assess student performance, and the details of how the testing happens and how the scores are interpreted are up to states.
  • The overthrow of No Child Left Behind, which has been up for reauthorization for years, is certainly cause for excitement. The George W. Bush-era law required schools to administer annual tests in certain grades in an effort to identify and elevate the achievement of underperforming youth.
  • It was also loathed for its one-size-fits-all approach to education reform, its promotion of teaching-to-the-test, and its harsh system of sanctions. Republicans grew to despise it for how much it allowed the Department of Education to micromanage states and school districts (especially when Obama rose into office).
  • And given how little power the Every Student Succeeds Act gives to the federal government, it may feel, particularly among those on the right, as if the nation’s schools are about to experience a major makeover—as if the next era of public education will mark a major, much-anticipated divergence from the status quo.
  • But in reality, schools may not see much on-the-ground change. Forty-two states and the District of Columbia already have waivers from No Child Left Behind’s “most troublesome and restrictive requirements”—flexibility granted several years ago by the Obama administration in exchange for states’ commitment to “setting their own higher, more honest standards for student success.”
  • This means that most of the country’s students have already been learning under a system that eschewed much of No Child Left Behind’s most obvious and onerous aspects—and looks a lot like the system envisioned in Every Student Succeeds.
  • States with waivers were essentially allowed to set their own goals for raising achievement, come up with their own strategies for turning around struggling schools, and design their own methods of measuring student progress.
  • In many ways, what most conservatives seem to be rejoicing about the Every Student Succeeds Act is that it’s replacing Obama’s waiver system. At a Senate Health, Education, Labor, and Pensions Committee hearing in early 2013, Alexander was quoted as saying: “This simple waiver authority has turned into a conditional waiver with the [Education] Secretary having more authority to make decisions that in my view should be made locally by state and local governments.”
  • Indeed, some of the most controversial elements being overturned or prohibited by the Every Student Succeeds Act were implemented not under No Child Left Behind but through the waiver system. It was through the waivers (and the Race to the Top grant program) that the Obama administration mandated test-score-based teacher evaluations. And it was through the waivers (and the Race to the Top grant program) that the administration all but required participating states to adopt the Common Core. (The Every Student Succeeds Act makes it clear that the federal government can’t mandate teacher evaluations or standards.)
izzerios

Top Ethics Officer Challenges Trump Over Secret Waivers for Ex-Lobbyists - The New York Times - 0 views

  • federal government’s top ethics officer is challenging the Trump administration’s issuance of secret waivers that allow former lobbyists to handle matters they recently worked on
  • latest sign of rising tension between Mr. Shaub and the Trump White House. Mr. Shaub has tried several times to use his limited powers to force Mr. Trump to broadly honor federal ethics rules
  • Office of Government Ethics — a tiny operation that has just 71 employees but that supervises an ethics program covering 2.7 million civilian executive branch workers — has maintained a low profile
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  • Created in 1978 after the Watergate scandal
  • pressing Mr. Trump for more information on former lobbyists or employees of corporations working in the president’s administration.
  • Mr. Shaub asked every executive branch agency — including the White House — to give him, by June 1, a copy of any waivers issued to political employees allowing them to ignore any part of the executive branch’s ethics policies
  • waivers are typically issued when the administration wants to allow a new political employee to work on an issue
  • For example, Ernest J. Moniz, the energy secretary in the Obama administration, was allowed to work on matters that involved General Electric, even though Mr. Moniz, as a nuclear physicist, had served on a General Electric advisory board
  • Mr. Trump eliminated a prohibition imposed by President Barack Obama in 2009 on the hiring of staff members who in the previous two years had lobbied the agency they now wanted to work for
  • Mr. Trump has chosen to keep the waivers secret
  • The combined result — eliminating the ban on hiring former lobbyists and keeping secret any waivers granted to new hires — means the public has no way of knowing if Mr. Trump’s staff members are complying with the rules
  • Michael Catanzaro, who until recently worked as a lobbyist for companies like Devon Energy and for the American Fuel and Petrochemical Manufacturers association, is now in charge of White House environmental policy
  • “However, in the meantime we would like to reiterate our position that the White House and the White House Ethics Office are fully compliant with ethical obligations set forth in the standards of conduct,”
  • He has quietly escalated his battle with the White House
  • Mr. Shaub called Mr. Trump’s steps “wholly inadequate,” even though Mr. Shaub did not have the power to order Mr. Trump to take additional steps.
  • Stefan C. Passantino, the top White House ethics lawyer, argued that Mr. Shaub does not have jurisdiction over the White House staff at all because the White House is not formally a federal agency.
  • But he may not be able to force the White House to provide similar information, even if Democrats in Congress join in urging the White House to respond to the request, which is likely.
  • “the American people deserve a full accounting of all waivers and recusals to better understand who is running the government and whether the administration is adhering to its promise to be open, transparent, and accountable.”
Javier E

5 Big Banks Expected to Plead Guilty to Felony Charges, but Punishments May Be Tempered - NYTimes.com - 0 views

  • For most people, pleading guilty to a felony means they will very likely land in prison, lose their job and forfeit their right to vote.
  • The Justice Department negotiations coincide with the banks’ separate efforts to persuade the S.E.C. to issue waivers from automatic bans that occur when a company pleads guilty. If the waivers are not granted, a decision that the Justice Department does not control, the banks could face significant consequences.
  • Most if not all of the pleas are expected to come from the banks’ holding companies, the people said — a first for Wall Street giants that until now have had only subsidiaries or their biggest banking units plead guilty.
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  • The Justice Department is also preparing to resolve accusations of foreign currency misconduct at UBS. As part of that deal, prosecutors are taking the rare step of tearing up a 2012 nonprosecution agreement with the bank over the manipulation of benchmark interest rates, the people said, citing the bank’s foreign currency misconduct as a violation of the earlier agreement.
  • The guilty pleas, scarlet letters affixed to banks of this size and significance, represent another prosecutorial milestone in a broader effort to crack down on financial misdeeds. Yet as much as prosecutors want to punish banks for misdeeds, they are also mindful that too harsh a penalty could imperil banks that are at the heart of the global economy, a balancing act that could produce pleas that are more symbolic than sweeping.
  • While the S.E.C.’s five commissioners have not yet voted on the requests for waivers, which would allow the banks to conduct business as usual despite being felons, the people briefed on the matter expected a majority of commissioners to grant them.
  • In reality, those accommodations render the plea deals, at least in part, an exercise in stagecraft. And while banks might prefer a deferred-prosecution agreement that suspends charges in exchange for fines and other concessions — or a nonprosecution deal like the one that UBS is on the verge of losing — the reputational blow of being a felon does not spell disaster.
  • The action against UBS underscores the threats that Justice Department officials issued in recent months about voiding past deals in the event of new misdeeds, a central tactic in a plan to address the cycle of corporate recidivism. Leslie Caldwell, the head of the Justice Department’s criminal division, recently remarked that she “will not hesitate to tear up a D.P.A. or N.P.A. and file criminal charges where such action is appropriate.”
  • But when five of the world’s biggest banks plead guilty to an array of antitrust and fraud charges as soon as next week, life will go on, probably without much of a hiccup.
  • For example, some banks may be seeking waivers to a ban on overseeing mutual funds, one of the people said. They are also requesting waivers to ensure they do not lose their special status as “well-known seasoned issuers,” which allows them to fast-track securities offerings. For some of the banks, there is also a concern that they will lose their “safe harbor” status for making forward-looking statements in securities documents.
  • it seemed probable that a majority of the S.E.C.’s commissioners would approve most of the waivers, which can be granted for a cause like the public good. Still, the agency’s two Democratic commissioners — Kara M. Stein and Luis A. Aguilar, who have denounced the S.E.C.’s use of waivers — might be more likely to balk.
  • Senator Elizabeth Warren, Democrat of Massachusetts, and other liberal politicians have criticized prosecutors for treating Wall Street with kid gloves. Banks and their lawyers, however, complain about huge penalties and guilty pleas.
  • lingering in the background is the case of Arthur Andersen, an accounting giant that imploded after being convicted in 2002 of criminal charges related to its work for Enron. After the firm’s collapse, and the later reversal of its conviction, prosecutors began to shift from indictments and guilty pleas to deferred-prosecution agreements. And in 2008, the Justice Department updated guidelines for prosecuting corporations, which have long included a requirement that prosecutors weigh collateral consequences like harm to shareholders and innocent employees.
  • “The collateral consequences consideration is designed to address the risk that a particular criminal charge might inflict disproportionate harm to shareholders, pension holders and employees who are not even alleged to be culpable or to have profited potentially from wrongdoing,” said Mark Filip, the Justice Department official who wrote the 2008 memo. “Arthur Andersen was ultimately never convicted of anything, but the mere act of indicting it destroyed one of the cornerstones of the Midwest’s economy.”
  • After years of deferred-prosecution agreements, the pendulum swung back in favor of guilty pleas in 2012
  • In pursuing cases last year against Credit Suisse and BNP Paribas, prosecutors confronted the popular belief that banks had grown so important to the economy that they could not be charged
  • Yet after prosecutors announced the deals, the banks’ chief executives promptly assured investors that the effect would be minimal.“Apart from the impact of the fine, BNP Paribas will once again post solid results this quarter,” BNP’s chief, Jean-Laurent Bonnafé, said.Brady Dougan, Credit Suisse’s chief at the time, said the deal would not cause “any material impact on our operational or business capabilities.”
yehbru

Big Pharma launches campaign against Biden over Covid vaccine patent waiver - 0 views

  • The lobbying group that represents several top pharmaceutical companies last month quietly launched a campaign against President Joe Biden and his decision to back waiving intellectual property protections for Covid-19 vaccines.
  • Late last month it started running a digital ad campaign on Facebook and Google targeting Biden’s decision
  • Proponents of waiving patent protections say it allows poorer nations to ramp up production of the Covid vaccine.
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  • “Biopharmaceutical research companies are committed to achieving equitable access around the world to COVID-19 vaccines, and that is why we’re educating policymakers and the public about our ongoing efforts to increase vaccine supply for global demand, the risks of waiving intellectual property protections, and the need to address the real issues driving vaccine inequity.”
  • Another PhRMA post cites a Hill-HarrisX poll that shows that 57% of registered voters who took the survey are against the waiver.
  • Facebook’s ad library shows that PhRMA spent over $245,000 since late April and throughout May on digital spots
  • PhRMA spent just over $8.5 million on lobbying over the course of the first three months of 2021.
anniina03

Ohio Teen Cross Country Athlete Disqualified Over Hijab | Time - 0 views

  • The association that oversees high school sports in Ohio said Thursday that it’s considering changing its rules after a high school runner was disqualified from a cross country meet because she didn’t have a waiver allowing her to wear a hijab.
  • Noor Abukaram said she felt humiliated after being disqualified last weekend following a race in which she posted her best time for the season. “My heart dropped, I felt like something horrible had happened,”
  • The Ohio High School Athletic Association’s rulebook doesn’t specifically mention hijabs but does ban most head coverings and caps. It also says anyone requiring an exception because of religious or other reasons must get a waiver. The athletic association previously discussed dropping the waiver requirement for religious headwear, but the disqualification has now brought the issue to the forefront
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  • Similar issues have come up in other states in recent years. The Pennsylvania Interscholastic Athletic Association voted last year to drop its waiver requirement after a high school basketball player in Philadelphia was forced to leave a game because she was wearing a hijab.
ecfruchtman

The Trump Jerusalem Waiver - 0 views

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    Way back in 1995, Congress passed a law requiring the State Department to move the U.S. Embassy in Israel to Jerusalem from Tel Aviv. On Thursday Donald Trump became the latest in a long line of Presidents to issue a waiver to put the move off.
katherineharron

Health care: Here are 7 Trump measures that Biden will likely overturn - CNNPolitics - 0 views

  • When it comes to health policy, President Donald Trump made it his mission to undo many measures his predecessor put in place.
  • In their four years in office, the Trump administration made sweeping changes that affected the Affordable Care Act, Medicaid, abortion and transgender rights, in many cases reversing the efforts of the Obama administration.
  • Biden's health officials will likely be active, as well, but it will take time for all their actions to take effect.
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  • "They don't have a massive eraser pen. They've got to go through the rule-making process," said Allison Orris, a former Obama administration official and counsel with Manatt Health, a professional services firm. "They are going to have to think about what comes first, second and third and be realistic about timing."
  • Plus, the Biden administration may opt to keep and continue several Trump administration efforts, including shifting to value-based care, rather than paying doctors for every visit and procedure, and increasing access to telehealth,
  • The two administrations also share common views on some measures to lower drug pricing, including basing Medicare payments on the cost of prescription medications in other countries and importing drugs from abroad. But Trump officials have not actually put these proposals in place.
  • While Trump focused on dismantling the Affordable Care Act, Biden will emphasize expanding the law and access to health coverage.
  • The Trump administration took the historic step in early 2018 of allowing states to require certain Medicaid recipients to work in order to receive benefits. Eight states have received approval, seven have pending requests and four had their waivers set aside in court, according to the Kaiser Family Foundation.
  • Biden's Health and Human Services secretary would be able to unwind the approvals, but it is a complicated task, said Joan Alker, executive director of the Center for Children and Families at Georgetown University. The secretary would have to determine whether to withdraw permission for the entire waiver or just certain features.
  • Several of these waivers included other provisions that could make it harder for low-income Americans to retain Medicaid coverage, such as lockouts for non-payment of premiums.
  • One executive order Trump repeatedly points to is expanding short-term health plans, which typically have lower premiums, but provide less comprehensive coverage and don't have to adhere to the Affordable Care Act's protections for people with pre-existing conditions.
  • "The short-term plans have important symbolic significance because they restrict coverage to people with pre-existing conditions, which was a prominent political issue in the campaign," said Larry Levitt, executive vice president for health policy at the Kaiser Family Foundation.
  • In its first year in office, the Trump administration slashed funds to promote Obamacare open enrollment and to assist consumers with selecting plans by 90% and 84%, respectively.
  • The Biden administration is expected to reverse all these measures to curtail Obamacare.
  • Biden has promised to revoke the Trump administration rule barring federally funded health care providers in the Title X family planning program from referring patients for abortions.
  • Biden has vowed to reverse the so-called Mexico City Policy, a ban on funding for foreign nonprofits that perform or promote abortions, which Trump reinstated and expanded during his tenure.
  • The Trump administration reinstated the measure -- which had previously impacted only family planning assistance -- in 2017 by presidential memorandum and extended it to all applicable US global health funding under the "Protecting Life in Global Health Assistance."
  • The Biden administration is also expected to reinstitute a directive that states cannot bar Medicaid funds from going to qualified providers that separately provide abortions, such as Planned Parenthood.
  • Trump also signed a bill in 2017 allowing states to withhold federal money from organizations that provide abortion services, including Planned Parenthood.
  • The Trump administration has been particularly hostile toward transgender Americans. Among its most criticized moves was an effort earlier this year to rollback an Obama-era regulation prohibiting discrimination in health care against patients who are transgender.
  • Biden's LGBTQ policy plan also says he will work to expand funding for mental health services for LGBTQ Americans and that his administration plans to automatically enroll low-income LGBTQ people in the public option, once it's created, if they live in rural areas in states that didn't expand Medicaid.
saberal

Biden Asks Congress to Grant Waiver for 'Cool Under Fire' Defense Pick - The New York Times - 0 views

  • President-elect Joseph R. Biden Jr., on Wednesday praised Lloyd J. Austin III, his choice for secretary of defense, as “a leader of extraordinary courage, character, experience and accomplishment,”
  • “He’s loved by the men and women of the armed forces, feared by our adversaries, known and respected by our allies,” Mr. Biden said at an event in Wilmington, Del. “And he shares my deeply held belief in the values of America’s alliances.”
  • He said he and Mr. Biden had “gotten to know each other under some intense and high-pressure situations” and pledged to give Mr. Biden “the same direct and unvarnished counsel” that he had during the Obama administration, when he oversaw the U.S. troop withdrawal from Iraq and then the military campaign against the Islamic State.
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  • General Austin called the younger Mr. Biden, who died in 2015, “a very special person, and a true patriot, and a good friend to all who knew him,”
  • To be confirmed, however, General Austin will need to win a congressional exemption from a 1947 law requiring that military veterans be retired from active duty for at least seven years before leading the Defense Department. General Austin retired from the Army in April 2016.
  • But a vote by both chambers of Congress can waive the requirement, as has happened twice before
  • On Tuesday, Speaker Nancy Pelosi, also declared her support for General Austin in a statement that did not address his recent retirement.
  • But many Democrats still have qualms.“As Democrats, we just spent four years watching these kinds of rules be violated,” said Representative Tom Malinowski, Democrat of New Jersey and a former State Department official. “It really does feel as if a waiver would turn the exception into a rule.”
  • General Austin’s intended nomination won ringing endorsements on Wednesday from two leading national security figures who served in both Republican and Democratic administrations.
marleymorton

Trump administration to allow 872 refugees into U.S. this week - 0 views

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    The U.S. government has granted waivers to let 872 refugees into the country this week, the Department of Homeland Security said Tuesday. The waivers, granted by the State Department and DHS, came amid worldwide protests against President Trump's executive order which bans all Syrian refugees indefinitely, halts refugee entries for 120 days, and restricts for three months immigrants from Libya, Iran, Iraq, Somalia, Sudan, Syria and Yemen - Muslim-majority countries with a combined population of 212 million.
oliviaodon

The Iran Nuclear Deal Is on an Unpredictable Course - The Atlantic - 0 views

  • It now seems likely that Trump will end U.S. compliance with the nuclear deal on May 12, when the next deadline for extending sanctions waivers comes up. It is of course still possible that Trump will take advantage of European gestures—like an agreement to sanction ballistic-missile activity, vigorously enforce inspections, and seek a follow-on agreement—to claim to have “improved” the deal thanks to his negotiating prowess, but that remains a long shot. It was always fanciful to imagine that the Europeans were going to agree to make fundamental changes to the nuclear deal (as if it were somehow in their power to unilaterally revise it without the support of the other parties to the agreement, namely Russia, China, and Iran), which is why that approach always seemed to me to be a ploy to kill the deal and blame others for its demise.
  • There are scenarios being discussed in which Washington abandons the deal in May but it somehow survives.  For example, Trump could refuse to sign the sanctions waivers up for renewal, but agree to go easy on implementation, or give exemptions to firms in European countries who have signaled a willingness to work on a new deal.  I suppose anything is possible, but it’s hard to see how that works. Whatever public or private pledges Trump makes, few European companies are going to invest in Iran or buy Iranian oil if U.S. law requires them to be sanctioned for doing so, and it is hard to see Iran abiding by the deal indefinitely if it accepts all of its constraints but gets none of the benefits.
  • There’s also the risk that countries like China or India—or even some in the EU—ignore the new sanctions and continue to buy Iranian oil, which would mean that we’d have to risk a major international trade clash to try to enforce them, at a time when potential trade wars are already looming. And even if Trump surprises us and extends sanctions for another few months and the deal survives on life support, we would soon be back in the same place we are today, faced with a binary choice between accepting an unchanged deal and blowing it up. If anyone thinks Iran will just come back to the table to accept a “better deal” after the United States, alone, walks away from the current one, they have more faith in Tehran’s political flexibility than I do.
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  • One possible solution is that the credible threat of force can persuade Iran not to resume its nuclear program if the deal is killed. Bolton has of course explicitly advocated using military force to stop an Iranian bomb, and Pompeo as a member of Congress asserted it would not be difficult to take out Iran’s nuclear capabilities with military strikes. If Iran does resume its suspended nuclear activities or kick out inspectors, will they conclude the use of force is necessary?
  • Finally, there is the question of regime change, since that’s what many Iran hawks really think is necessary to solve not just the nuclear program but to ensure security in the Middle East.
runlai_jiang

Iran nuclear deal: Trump's high-stakes balancing act - BBC News - 0 views

  • Advertisement US & Canada US & Canada Iran nuclear deal: Trump's high-stakes balancing act
  • President Donald Trump has extended sanctions relief for Iran one last time, says the White House. What does it mean?The announcement puts a question mark over the future of the nuclear accord signed by Iran and six world powers in 2015.
  • What are the waivers? For years, economic sanctions were imposed by the US on Iran to try to curb its nuclear programme. These measures cut Iran off from the global financial system.
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  • What is recertification? Recertification of the nuclear deal is a two-part process. Verifying that Iran is in compliance with the nuclear deal is part of it. However, the second part involves the White House certifying that the nuclear deal remains in the US national security interest.
  • Why does Trump dislike the deal?Mr Trump's repeated excoriation of the JCPOA as the "worst deal ever" while electioneering sought to depict the Obama administration as weak.When he refused in October to continue to recertify the deal, the p
  • What next?The waiver suspends sanctions on Iran for 120 days. Meanwhile, Treasury Secretary Steven Mnuchin said his department is weighing further sanctions in light of the protests.
malonema1

Work Requirements Won't Improve Medicaid. A Jobs Guarantee Might. - The Atlantic - 0 views

  • The Trump administration has been signaling for months that it plans to  implement conservative reforms to core federal welfare programs, including by allowing states to have work requirements for Medicaid. So it was no surprise on Thursday when the Centers for Medicare and Medicaid Services issued guidance for “state efforts to test incentives that make participation in work or other community engagement a requirement for continued Medicaid eligibility.”
  • So far, it’s unclear how widely adopted work requirements will be and how exactly states will implement them under CMS’s new guidance. On Friday, Kentucky was the first state to have its 1115 waiver creating work requirements approved by CMS. On Thursday, Verma noted that nine other states had already submitted waivers asking the federal government to approve incentives or requirements for some Medicaid beneficiaries. In addition to allowing strict job mandates, CMS will also allow requirements for “other community-engagement activities,” including volunteering, job training, and caregiving. (These rules only apply to specific adults; CMS carves out people with disabilities, the elderly, children, and pregnant women.)
  • Yet if states want work requirements to increase the health and self-sufficiency of Medicaid beneficiaries—their stated goal—most available data suggest they’ll fall short. As the Kaiser Family Foundation reported in 2017, most people on Medicaid who can work do work. Around 60 percent of adult enrollees have a job, and for the most part those who don’t report impediments in their ability to work. Even those who are not officially disabled often attest to having debilitating conditions—like severe back problems—that make full-time jobs difficult or impossible. Others may be in school, work as primary caretakers for loved ones, or may have retired.
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  • If those effects were repeated in Medicaid, it could prove disastrous for the health of the program’s beneficiaries. Especially in states that expanded Medicaid under Obamacare, work requirements could create a new underclass of people ineligible for any health insurance. That includes a large contingent of people with disabilities who don’t qualify for Supplemental Security Income and vulnerable populations like young men with felonies. Caught in a vicious cycle, those people would then be less healthy and less financially secure, and thus less likely to be able to work and make it out of poverty
  • Such a program would have its most drastic effects on wages, productivity, and reducing racial and class-based wealth inequality if it were implemented as a universal program. But it could probably achieve CMS’s goals of long-term health benefits and poverty reduction if it were instituted solely for current Medicaid beneficiaries. If the 4.4 million non-elderly adults who aren’t working; aren’t caregivers, retired, or students; and don’t qualify for disability insurance are used as a floor, providing jobs for them would cost a little more than Lowrey’s total of $158 billion, around 30 percent of Medicaid’s annual budget of over $550 billion. If people who self-report as ill or disabled are excluded from that number, Medicaid would need to pay for a maximum of 880,000 jobs, or $35 billion a year, 6 percent of the annual Medicaid budget.
  • A Medicaid jobs guarantee could serve to amplify both of those roles. It could essentially set a wage floor for Medicaid enrollees, who often work near the bottom of the wage scale and often barely crack the poverty line even while working full-time hours (or more). Integrating Medicaid into bespoke job structures for people with disabilities could provide transportation and rehabilitation, and further increase the accessibility of those positions, thus creating more synergy between health and employment.
  • Similar to how employer-sponsored insurance has become a backbone to the economic growth of the middle class, a jobs guarantee for Medicaid would take the largest health-insurance program in America and transform it into a nexus of anti-poverty policy and health equity. Put more simply: The easiest way to make sure people receive the health benefits of employment could be to employ them.
anonymous

White House Marijuana Policy Under Scrutiny After Staffers' Firing : NPR - 0 views

  • The White House says five employees were let go from their jobs related to past marijuana use, even though personnel policies were updated so that past pot use would not automatically bar people from working there.
  • White House press secretary Jen Psaki said Friday on Twitter: "The bottom line is this: of the hundreds of people hired, only five people who had started working at the White House are no longer employed as a result of this policy."
  • Psaki pointed to a recent NBC report on the new guidelines, which were negotiated because marijuana use is legal in some places in the United States but remains illegal under federal law.
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  • the White House would grant waivers on a case-by-case basis to people who smoked marijuana on a "limited" basis and don't need a security clearance. The waiver requires employees to stop all pot use and agree to drug testing.
  • "dozens of young White House staffers have been suspended, asked to resign, or placed in a remote work program due to past marijuana use," citing anonymous sources "familiar with the matter."
  • "In some cases, staffers were informally told by transition higher-ups ahead of formally joining the administration that they would likely overlook some past marijuana use, only to be asked later to resign,"
  • Psaki said, "While we will not get into individual cases, there were additional factors at play in many instances for the small number of individuals who were terminated."
anonymous

Colorado officials resume review of ketamine program after Elijah McClain's death - CNN - 0 views

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  • Colorado health officials will resume their review of a program allowing ketamine to be administered outside of hospital settings, an investigation initially announced after the death of Elijah McClain in police custody. The 23-year-old Black man died in August 2019 after paramedics administered the powerful anesthetic during a confrontation with police. A grand jury investigation into McClain's death was announced earlier this month.
  • The Colorado Department of Public Health and Environment (CDPHE) first announced the ketamine program review last summer, about a year after McClain's death,
  • Without reviewing individual cases, the CDPHE said it would evaluate authorization for "ketamine use in Colorado, in the prehospital setting and associated outcomes at a statewide level." "This more clearly defined scope will allow us to do a review that examines the health outcomes of ketamine administration by EMS providers in the field, broadly,
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  • Ketamine has been used illegally as a club drug. The medication, which is used in hospitals primarily as an anesthetic, generates an intense high and dissociative effects. EMS providers in Colorado need a waiver from the CDPHE to use ketamine in the field. The drug is allowed to be administered for patients "with a presumptive diagnosis or excited delirium,"
  • Paramedics administered ketamine to McClain after he was stopped one night in August 2019 by three White Aurora police officers as he walked home from a convenience store. A 911 called had reported a "suspicious person," according to a police news release that said McClain "resisted contact" with officers before a struggle ensued. McClain is heard in footage from an officer's body camera telling the officers, "I'm an introvert, please respect the boundaries that I am speaking."
  • Paramedics arrived and administered ketamine, the letter said. McClain was taken to a hospital but suffered a heart attack on the way, and he was declared brain dead three days later, the letter said.
  • The report noted McClain's history of asthma and the carotid hold, though the autopsy did not determine whether it contributed to McClain's death. The concentration of ketamine in his system was at a "therapeutic level," the report said.
  • The district attorney declined to file criminal charges at the time, but the case attracted renewed attention last summer after the police killings of George Floyd and Breonna Taylor. As protests took place across the country, demonstrations in the Denver suburb focused on McClain and his family's calls for justice, and Gov. Jared Polis tapped Colorado Attorney General Phil Weiser to review the case. Weiser announced this month he was opening a grand jury investigation into McClain's death
Javier E

Covid hospital bills arrive for patients as insurers restore deductibles and copays - The Washington Post - 0 views

  • Nationally, covid hospitalizations under insurance contracts on average cost $29,000, or $156,000 for a patient with oxygen levels so low that they require a ventilator and ICU treatment,
  • The calculus in place in 2020 changed with the advent of vaccines, which now makes most hospitalizations preventable,
  • Hospitals along the Connecticut River, the border between Vermont and New Hampshire, draw patients from both states. Vermont health plans are waiving deductibles and co-pays into 2022. In New Hampshire, where Anthem Blue Cross Blue Shield has a dominant presence, insurance companies have reinstated cost-sharing.
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  • Marvin Mallek, a doctor who treats covid patients from both sides of the river at Springfield Hospital in Vermont, said New Hampshire covid patients are now facing business as usual from insurers, suffering the same sort of financial stress that routinely affects patients with cancer, heart disease and other serious ailments.
  • “The inhumanity of our health-care system and the tragedies it creates will now resume and will now cover this one group that was exempted,'' he said. “The U.S. health-care system is sort of like a game of musical chairs where there are not enough chairs, and some people are going to get hurt and devastated financially.”
  • Hospitals also are in the position of having to resume billings and collections for individuals who may have been laid off because of the pandemic or been too sick to work, experts said.
  • “These waivers ended in January as we all had gained a better understanding of the virus, and people and communities became more familiar with best practices and protocols for limiting COVID-19 exposure and spread,” the company said in a statement. “Also, at this time vaccines, which are proven to be the safest and most effective way to protect oneself from COVID-19, were starting to become readily available.”Anthem took in $4.6 billion in profits in 2020, compared to $4.8 billion in 2019.
  • The reintroduction of cost-sharing mainly affects people with private or employer-based insurance. Patients with no insurance can have 100 percent of their expenses covered by the federal government, under a special program set up by the government for the pandemic, with hospitals reimbursed for care at Medicare rates.
  • Covid patients with Medicaid, the government plan for lower-income people that is paid for by states and the federal government, continue to be protected from cost-sharing, insurance specialists said
  • Patients on Medicare, the federal plan for the elderly, could face out-of-pocket costs if they do not have supplemental insurance.
  • Last year, according to the Kaiser Family Foundation, 88 percent of people covered by private insurance had their co-pays and deductibles for covid treatment waived. By August 2021, only 28 percent of the two largest plans in each state and D.C. still had the waivers in place, and another 10 percent planned to phase them out by the end of October,
  • general, a person with Azar’s type of plan would have an in-network deductible of $1,500 and an in-network out-of-pocket maximum of $4,000,
  • “We still don’t know where the numbers will land because the system makes the family wait for the bills,” s
  • Bills related to her stay at the out-of-network rehab hospital in Tennessee could climb as high as $10,000 more, her relatives have estimated, but they acknowledged they were uncertain this month what exactly to expect, even after asking UnitedHealthcare and the providers.
  • In 2020, as the pandemic took hold, U.S. health insurance companies declared they would cover 100 percent of the costs for covid treatment, waiving co-pays and expensive deductibles for hospital stays that frequently range into the hundreds of thousands of dollars.But this year, most insurers have reinstated co-pays and deductibles for covid patients, in many cases even before vaccines became widely available.
izzerios

James Mattis Calls Iran 'Biggest Destabilizing Force' in Region - The New York Times - 0 views

  • President-elect Donald J. Trump’s choice for defense secretary, Gen. James N. Mattis
  • The retired Marine general provided his written responses on an array of policy questions to the Senate Armed Services Committee, which is meeting Thursday morning to take up his nomination for defense secretary, as well as to consider the legal waiver that would be needed so that he could serve in the Pentagon’s top civilian job.
  • The document is intended to serve as a guide to lawmakers who will be questioning General Mattis, and it will become part of the permanent hearing record.
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  • On some issues, General Mattis appeared to take a starker view of the dangers faced by the United States than Mr. Trump
  • he asserted that the United States needed to maintain its influence there long after Mosul was captured from the Islamic State, also known as ISIS or ISIL. “Our principal interest in Iraq is to ensure that it does not become a rump state of the regime in Tehran,”
  • he described the fighting as a major threat to American national security interests, offering a more alarming view of the crisis than the Obama administration and, at times, than Mr. Trump.
  • “The brutal civil war in Syria has destabilized the Middle East, contributed to the destabilization of Europe and threatened allies like Israel, Jordan and Turkey, all while ISIS, Iran and Russia have profited from the chaos
  • “Challenges posed by Russia include alarming messages from Moscow regarding the use of nuclear weapons; treaty violations; the use of hybrid warfare tactics to destabilize other countries; and involvement in hacking and information warfare,”
  • Mr. Trump said during the campaign that it might be necessary to “take out” terrorists’ families to win the war against the Islamic State. General Mattis categorically opposes such an approach. “The killing of noncombatants in a war against a nonstate enemy violates Common Article 3 of the Geneva Conventions,” he wrote.
  • he opposed military exchanges or security cooperation with Raúl Castro’s Cuba.
  • “We all remember what it felt like on 9/11 and 9/12,” he wrote. “We should do what is necessary to prevent such an attack from occurring again.”
  • General Mattis said he saw Iran as an increasing threat. “Iranian malign influence in the region is growing,”
  • He said the alliance “enormously” benefits American security. “The alliance must harness renewed political will to confront and walk back aggressive Russian actions,”
  • “Legal questions aside, it is my view that such actions would be self-defeating and a betrayal of our ideals.”
  • “Having demonstrated 40 years of loyalty to the principle of civilian control and to the U.S. Constitution, I know what to expect from the uniformed leadership,”
  • “Furthermore, I understand what is required of the civilians tasked with leading our military services.”
Javier E

U.S. detains and nearly deports French Holocaust historian - The Washington Post - 2 views

  • PARIS — Henry Rousso is one of France’s most preeminent scholars and public intellectuals. Last week, as the historian attempted to enter the United States to attend an academic symposium, he was detained for more than 10 hours — for no clear reason.
  • On Wednesday, Rousso arrived at Houston’s George Bush Intercontinental Airport after an 11-hour flight from Paris, en route to Texas A&M University in College Station. There, he was to speak Friday afternoon at the Hagler Institute for Advanced Study.
  • But things did not go according to plan: Rousso — an Egyptian-born French citizen — was “mistakenly detained” by U.S. immigration authorities, according to Richard Golsan, director of the Glasscock Center for Humanities Research at Texas A&M.
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  • “When he called me with this news two nights ago, he was waiting for customs officials to send him back to Paris as an illegal alien on the first flight out,” Golsan said Friday at the symposium, according to the Eagle, a newspaper that covers the College Station area.
  • The university then sprang into action, the Eagle reported, with President Michael Young reaching out to law professor Fatma Marouf,
  • He confirmed his experience Saturday on Twitter: “I have been detained 10 hours at Houston Itl Airport about to be deported. The officer who arrested me was ‘inexperienced.’”
  • It remains unclear what about Rousso was identified as suspect by immigration authorities.
  • Egypt — from which Rousso and his family were exiled in 1956, after a slew of anti-Semitic measures imposed by the administration of President Gamal Abdel Nasser, according to the Israeli newspaper Haaretz — was not among the seven nations in the travel ban, which had been suspended by the time he arrived in the United States.
  • France is a beneficiary of the U.S. visa waiver program, which permits French citizens to enter the United States without a visa. All that is required is an online ESTA application before departure.
  • “It seems like there’s much more rigidity and rigor in enforcing these immigration requirements and technicalities of every visa,” she told the Eagle.
  • “Thank you so much for your reactions,” Rousso posted Saturday evening on Twitter in response. “My situation was nothing compared to some of the people I saw who couldn't be defended as I was.”
  • “It is now necessary to deal with the utmost arbitrariness and incompetence on the other side of the Atlantic,” Rousso wrote Sunday in the French edition of the Huffington Post. “What I know, in loving this country forever, is that the United States is no longer quite the United States.”
Javier E

With Fears About Safety, Football Faces Uncertain Evolution - NYTimes.com - 0 views

  • Hall of Fame quarterback Terry Bradshaw said he believed that concern over head injuries would cause football to be eclipsed in popularity by soccer and other sports within 10 years.
  • “Football is really on the verge of a turning point here. We may see it in 15 years in pretty much the same place as boxing or ultimate fighting.” In other words, less a lucrative American colossus and more a niche sport beloved for its brutality.
  • there is a growing sentiment among those who love the sport and those who loathe it that football has come to a critical juncture.
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  • “Football is resting on this foundation of parental and cultural and masculinity-issued support that could be pushed to the background once people start to realize that taking the chance of brain damage isn’t worth proving that you’re a particular kind of man,” Coakley said. “We’re beginning to see the erosion of that support.”
  • He also advocated flag football as a worthy substitute for young players, who can learn rules and fundamentals in a controlled environment where the risk of head injury would be significantly diminished. He deflected the concern that children who start playing late are at a disadvantage, saying that talent is the ultimate determining factor.
  • “There’s plenty of ways to get exercise without risking not only head injuries, but the accompanying orthopedic problems that come with playing football.”
  • “It’s really a serious discussion and a secret fear that I think all of us feel. We’ve accepted the knees and the other ailments, but we really never thought about the deterioration of your brains as a result of concussions in football.”
  • If the suit goes to trial, he predicted, data that would be made public would prompt some parents to not allow their children to play football.
  • Entities from Pop Warner to high school could require parents to sign waivers preventing officials or the league itself from being sued.
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