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D.C. Diagnosis: Why is Kamala Harris headed to Texas?

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D.C. Diagnosis: Why is Kamala Harris headed to Texas?


You’re reading the web edition of D.C. Diagnosis, STAT’s twice-weekly newsletter about the politics and policy of health and medicine. Sign up here to receive it in your inbox on Tuesdays and Thursdays.

MAHA moment canceled — momentum still going 

President Trump canceled his plan Tuesday to talk with Robert F. Kennedy Jr. about chronic illnesses and their causes under the “Make America Healthy Again” banner. A spokesperson told STAT that it was due to scheduling conflicts. (Trump rallied Tuesday night in Greensboro, NC; the virtual town hall with RFK was slated for the afternoon).

But that doesn’t mean Trump’s throwing distance between himself and the MAHA world, to some former officials’ chagrin. The former president will tape an interview with Joe Rogan, host of the extremely popular “Joe Rogan Experience” podcast, on Friday. Rogan this month also interviewed Calley Means, one-half of a sibling duo that has risen as public voices of the MAHA movement.

At the HLTH conference in Las Vegas, STAT’s Nicholas St. Fleur moderated a panel on longevity featuring the other half of that duo, Casey Means. She’s the founder of the metabolic health tracking company Levels. On stage, St. Fleur asked Means about her connections with Kennedy, Trump, and MAHA.

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“I am so absolutely thrilled and heartened that at the presidential level — I don’t care who’s talking about it, Bobby Kennedy, Trump or Kamala — that these conversations are now making it into the mainstream,” Means said, praising in particular Kennedy’s views on regenerative agriculture, environmental toxins, PFAS, and phthalates.

After Kennedy halted his presidential campaign and moved to Trump’s team, he said that Casey and Calley Means are the type of people he would suggest putting in charge of the nation’s health agencies. When asked if she would take a Trump administration position, Casey said: “My greatest hope is…that we put chronic disease at the center of American health care policy. And if I can have a small part in that I’d be thrilled to do so.”

Harris heads to Texas. Why?

Vice President Harris will take the stage in Houston tomorrow night with Texas Senate candidate Colin Allred. It’s a state she’s projected to lose, though Allred is deadlocked with incumbent Sen. Ted Cruz. But it’s also a reminder of the stakes she wants to keep in front of voters: Abortion bans and the impact they’re having on health care.

This isn’t a last-ditch effort to turn Texas blue, but a bid at reigniting urgency in states she could actually swing, her surrogates say. (“We’re diverting out of the battlegrounds because we think it’ll help us in battlegrounds,” senior campaign adviser David Plouffe told AP).

There are already questions about how much Democrats’ reproductive rights arguments resonate with voters juggling the range of Harris’ and Trump’s political platforms. While many Americans seem to back abortion rights, they aren’t always voting for the Democrats championing them. Harris is clearly hoping to change that: Ahead of her Houston visit, she launched an ad Wednesday that tells the story of a Texas couple who lost their pregnancy at 16 weeks but were refused abortion care.

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What to expect in a Harris presidency 

So, what would a Harris presidency look like? DCD co-writer Rachel Cohrs Zhang delves into it with a breakdown of her platform on high drug costs, strengthening ACA, and broadening Medicaid coverage, to name a few.

In many ways, these are goals that Democrats couldn’t quite complete during President Biden’s tenure. But others — like canceling medical debt — are newer targets. Rachel expands on what Harris has said and how she might get it done here. (And expect a Trump edition soon!)

Health care issues to watch on Election Day 

With less than two weeks until Election Day, it’s no surprise that Vice President Harris and former President Trump’s policy stances are dominating the headlines. But there is a lengthy list of health care proposals and down-ballot races that could heavily shape health policy in the coming years.

More than a dozen states are voting on health care ballots and pivotal races for congressional control. I wrote a rundown of key ballot measures and races that could transform state and federal health care and ignite new debates, from what happens to 340B to more legal psychedelics.

Lame duck cheat sheet

A lot of what happens on health care policy during the lame duck and the next Congress depends on election outcomes. But that doesn’t mean you can’t prepare now by reading John Wilkerson’s cheat sheet on the health care policies to watch following the election. 

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Health care policies that could be in play during the lame duck include telehealth, Chinese biotech restrictions, Medicare payments for hospitals, and PBM reforms.

No matter what happens, or doesn’t happen, before newly elected officials take office in January, expect a major fight next year over expanded Affordable Care Act premium subsidies and Trump’s 2017 tax cuts, both of which expire at the end of 2025. 

State Medicaid programs coming around on GLP-1s

Most state Medicaid programs don’t cover the new class of drugs for obesity — but half of those holdouts are considering it, per a new KFF report

The potential for expanded coverage of Wegovy and Zepbound under Medicaid comes as private plans are starting to aggressively crack down on covering the medications for obesity. Medicare prohibits coverage of the drugs for that indication, Tara Bannow writes.

Currently, just 13 state Medicaid programs cover GLP-1s for obesity; most others cite the drugs’ high cost. The report notes increased spending on the class of drugs starting in 2021. Dive into the findings.

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Meet the new CDRH director

It’s official: Michelle Tarver will be the new leader of the FDA’s medical devices center, STAT’s Lizzy Lawrence scooped this week.

Tarver has temporarily served in the role since veteran devices head Jeffrey Shuren announced his departure in July. The agency conducted a nationwide search for Shuren’s replacement, but Tarver quickly seemed to be the top pick, shadowing Shuren at conferences and town halls, Lizzy writes.

Tarver joined the center in 2009, eventually becoming the director of the Office of Transformation and helping to launch the agency’s patient engagement advisory committee. Read more.

Jill Biden calls on industry to support women’s health

Addressing a packed main stage hall on the last day of the HLTH conference, Jill Biden touted her husband’s track record on womens’ health — and called on industry to investigate and fund key gaps in medical knowledge about womens’ health care.

“The potential in this space is too great to ignore,” Biden said.

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As of Wednesday, Joe Biden-founded health agency ARPA-H has awarded $110 million — more than it had originally pledged — to a few dozen projects, the White House announced in conjunction with HLTH.

What we’re reading

  • Frustrated with Change Healthcare breach, senators propose removing limits on HIPAA fines, STAT
  • “Not Medically Necessary”: Inside the company helping America’s biggest health insurers deny coverage for care, ProPublica
  • Opinion: Primary care physicians should receive abortion training, STAT
  • CDC told McDonald’s about potential E. coli outbreak late last week, CNBC

 





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More severe weather possible in North Texas on Friday

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More severe weather possible in North Texas on Friday


Severe storms are moving across North Texas Wednesday night with strong winds and hail in parts of Kaufman and Wise counties. A brief break arrives on Thursday before a higher threat for large hail, damaging winds, and isolated tornadoes returns Friday.



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Democrat James Talarico wins Senate primary in Texas

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Democrat James Talarico wins Senate primary in Texas


AUSTIN, Texas (AP) — James Talarico did not mention Donald Trump when he greeted exuberant supporters at his primary night celebration.

But the newly minted Democratic U.S. Senate nominee in Texas is now a front man for the political opposition to the Republican president, not just in his own state but around the country. With his victory over U.S. Rep. Jasmine Crockett, the state lawmaker from Austin will test whether a smiling message of unity and change is enough to answer voters’ frustrations amid discord at home and now a war abroad.

READ MORE: What to watch in the consequential Senate primaries in Texas

“We are not just trying to win an election,” Talarico told supporters in the Texas capital early Wednesday. “We are trying to fundamentally change our politics, and it’s working.”

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The campaign provided “Love thy Neighbor” signs to people in the crowd.

The question for Talarico as he heads into the general election campaign is whether he can generate enthusiasm from voters who opted for Crockett because they saw her as the more aggressive fighter against Trump. Crockett conceded to Talarico on Wednesday morning, saying that “Texas is primed to turn blue and we must remain united because this is bigger than any one person.”

Talarico will need all the help he can get in a Republican-dominated state where Democrats have gone decades without winning a statewide race. He will face either U.S. Sen. John Cornyn or state Attorney General Ken Paxton, who advanced to a Republican runoff on Tuesday.

Conventional political wisdom has it that Talarico was the stronger Democratic candidate in November, especially if Republicans nominate Paxton, a conservative firebrand who has weathered allegations of corruption and infidelity over the years.

WATCH: What’s at stake for Democrats and Republicans in the Texas Senate primaries

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Although Democrats are often choosing between moderate and progressive candidates in primaries, they faced a largely stylistic choice in Texas.

Talarico, 36, is a Presbyterian seminarian who quotes Scripture and rarely raises his voice. Crockett, 44, is an unapologetic political brawler who hammers Trump and other Republicans with acidic flourish.

Both have been reliably progressive votes in their current roles and telegenic faces across cable news and social media. Both represent generational change for a party with aging leadership. Each called for a more equitable economy and society. Each talked about bringing sporadic voters into their coalitions.

But Talarico’s broader argument is one that he could have made regardless of whether Trump was in the White House. Talarico’s campaign, he said often, is about addressing a country whose fundamental divide is not partisan but “top vs. bottom.” He regularly assails the rise in Christian nationalism. A former teacher, he has advocated for public education –- and against Texas conservatives’ policies to restrict curriculum and reshape how U.S. history is taught.

“He’s just a good friend and he’s a serious advocate for the disenfranchised and a serious policymaker,” said Lea Downey Gallatin, 40, an Austin resident who became friends with Talarico when they interned together for a congressman.

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Crockett promised Democrats that she could increase turnout within the party’s base, while Talarico campaigned on the theory that he could pull new people into the party’s tent.

“I can’t tell you how many have come up to me, whispering that they’re not a Democrat,” Talarico said as he campaigned in San Antonio in the closing days of the primary campaign. “I can’t tell you how many young people have said it’s the first time that they’ve ever voted, and that they are participating for the first time.”

As he strolled through the city, Talarico posed for pictures and greeted the singer of a Tejano band playing nearby. He later spoke to hundreds of people at the historic Stable Hall, a 130-year-old circular structure built for showing horses and now a converted event center. Hundreds more, unable to get into the full event, wound around the corner and along the sidewalk for blocks.

Inside, Lori Alvarez, a 39-year-old who works for a disaster relief nonprofit, said she supported Talarico because “he really listens to what we need.”

“I think he’s going to be able to make change in Washington for us,” said the married mother of three young girls.

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Yet that was not what attracted so many voters to Crockett.

Troy Burroughs, a 61-year-old Navy retiree, called Crockett “rugged” and “the only one I see fighting for us.”

He added: “I like how she doesn’t back down from anybody.”

Burroughs said some voters probably saw Talarico as more electable because he is more soft-spoken. But, he said, “We’ve got to get into the gutter with these folks, because that’s where they are.”

Talarico, meanwhile, keeps fighting his own way.

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“Tonight, the people of our state gave this country a little bit of hope,” he said Tuesday, “and a little bit of hope is a dangerous thing.”

Barrow reported from Atlanta, Figueroa from Austin, Texas, and Beaumont from San Antonio.

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Big top, bigger mission: Inclusive Omnium Circus makes Texas debut in Garland

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Big top, bigger mission: Inclusive Omnium Circus makes Texas debut in Garland


Garland is about to witness a different kind of big top spectacle when Omnium Circus’ new show “I’m Possible” rolls into town for its first Texas performance on March 16 and 17 at the Atrium in Garland.

This inclusive circus was founded in 2020 by founder and executive director Lisa B. Lewis. She is no stranger to the circus world. Lewis grew up attending the circus with her grandfather, who was a Shriner. She would then later begin her own circus career at the Ringling Bros. and Barnum & Bailey’s Clown College.

A performer in a black suit rides inside a cyr wheel
against a stage lit in red. The letters of the OMNIUM
sign are in the background.

The idea for an inclusive circus came to her during one of her first experiences working as a clown. Lewis says that during her performance, she saw a row of grumpy teenagers.

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“They had their arms folded like they were mad and grumpy, and then my partner, whom I was working with, began telling jokes in sign language,” Lewis said. “How he knew they were deaf, I don’t know. The group of teenagers immediately started laughing, and the energy of the entire section shifted.”

Lewis said that in that moment, something clicked in her head, and she realized the power of inclusion.

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She would then go on to spread joy through the art of circus to special-needs kids. And then later, she created Omnium Circus.

“Circus elevates our belief in ourselves; it allows us to see the best of what humanity has to offer,” Lewis said.

A female with blue hair facing a man with a red hat
between them is a large bubble with...

A female with blue hair facing a man with a red hat
between them is a large bubble with smaller bubbles
inside of it. There is a golden light coming from
behind the bubbles.

Maike Schulz

Omnium is a Latin word meaning of all and belonging to all. The circus’ mission is to create joy and entertainment for all no matter the body you inhabit or the skin that you’re in.

The hour-long show in Garland will feature many inclusive acts, such as deaf singer-songwriter Mandy Harvey, an America’s Got Talent finalist and Golden Buzzer winner.

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The show will feature two ringmasters: deaf ringmaster Malik Paris will conduct the sign-language portion of the show, while ringmaster Johnathan Lee Iverson will handle the vocal portion. Iverson is the first Black ringmaster for a major U.S. circus, the Ringling Bros. and Barnum & Bailey Circus.

A juggler wearing red and black gazes at his pins in
the air while cast members around him...

A juggler wearing red and black gazes at his pins in
the air while cast members around him look on in
amazement. The letters of the OMNIUM sign are in
the background behind the performers.

The show will also feature the six-time Paraclimbing World Cup champion, the world’s fastest female juggler, clowns from Dallas, plus more.

Details: March 16 at 7 p.m. and March 17 at 10:30 a.m. and 1:30 p.m.at the Atrium, 300 N. 5th Street, Garland. Tickets are $21.99 for youth and $27.19 for adults.



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