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Health groups call for suspending state plan on maternal deaths, saying it burdens patients

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Health groups call for suspending state plan on maternal deaths, saying it burdens patients

Dozens of maternal health organizations and advocates are urging the California surgeon general to suspend the rollout of a plan aimed at reducing maternal mortality, saying that the recently announced initiative won’t effectively address the crisis and “risks exacerbating existing inequities.”

In a letter shared with The Times, representatives of organizations including the California Black Women’s Health Project, Black Women for Wellness and the California Nurse-Midwives Assn. faulted the plan for “placing undue burden on individuals” and failing to “explicitly name and address racism as a root cause of maternal health inequities.”

The California Maternal Health Blueprint unveiled in September sets out strategies to try to bring down maternal deaths. Among them: Getting Californians of child-bearing age to fill out a new questionnaire to assess their risk of pregnancy complications, even before they become pregnant.

In their Oct. 21 letter to state surgeon general Dr. Diana Ramos, the advocacy groups said that the maternal health blueprint acknowledged racial inequities in maternal mortality rates, but didn’t “ground these disparities in the evidence showing systemic racism as the driving factor.”

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Asked for comment on the letter, the state surgeon general’s office issued a statement saying it “is committed to working together with partners across the state … to improve maternal health outcomes, reduce maternal mortality, and save the lives of California moms and pregnant people.”

Black women have suffered a maternal mortality rate more than three times that of white women in California, state data show. The Centers for Disease Control and Prevention has faulted many factors, including differences in healthcare and underlying chronic conditions as well as structural racism and implicit bias.

Studies have shown disparities exist even for Black women who are affluent, spurring maternal health researchers to increasingly focus on racial inequities in healthcare, bias and discrimination experienced by patients, and the physical effects of chronic stress from enduring racism over time.

In an interview in September, Ramos said California had focused primarily on “the healthcare setting” in its previous efforts to prevent maternal deaths, helping it to achieve “the lowest maternal mortality rate in the country.”

As it stands, California has had a much lower rate of deaths related to pregnancy, birth and its aftermath than other parts of the U.S., although maternal mortality surged in recent years amid the COVID-19 pandemic. The state has been held up as a model for its system of reviewing maternal deaths.

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“If we keep on doing the same thing — just focusing on the healthcare team — we’re going to get the same results,” Ramos said in September, explaining why the newly announced plan emphasized patients knowing their risk level. “That’s why we’re bringing in the patient.”

The Maternal Health Blueprint sets a goal of having at least 50% of “reproductive age individuals” across the state complete a questionnaire on their risk of pregnancy complications by December 2026.

In the letter objecting to the plan, the coalition of groups said that calling for people to fill out such a questionnaire “gives the impression of personal fault and/or that individual behavior is to blame, burdening the user and discrediting the system’s role in creating this crisis.”

The groups said they knew of no research to back up “personal risk assessment” as a way to improve outcomes for birthing people. Nor does the blueprint clearly spell out the next steps or what will happen to the data, their letter argued.

Dana Sherrod, cofounder and executive director of the California Coalition for Black Birth Justice, said that “by omitting the mention of systemic racism, it is putting the blame back onto patients.” The only time the phrase “systemic racism” appears in the blueprint is in reference to the findings of another state report.

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Sherrod said that even when accounting for other factors, “Black women still have worse outcomes.” For instance, one analysis of maternal deaths in California found that Black mothers with the highest incomes had worse rates of pregnancy-related mortality than white mothers with the lowest incomes.

A much earlier study found that Black women didn’t have significantly higher rates of preeclampsia, postpartum hemorrhage and other major complications than white women, yet Black women who had such complications were two to three times more likely to die of them than white women with such conditions.

Even if “they’re a healthy weight, they’re educated, they’re married — the things that are supposed to be protective — even when they do all of these things, we still are seeing poor outcomes,” Sherrod said.

The California plan also calls for medical facilities to use an existing screening tool to gauge the risk levels of pregnant patients. Ramos told The Times that such screening could help guide where patients go for births, ensuring that people at higher risk go to the facilities that are best equipped to support them.

The coalition warned, however, that doing so could “further marginalize high-risk populations and divert resources from struggling facilities while simultaneously overburdening higher-level facilities.” California is already facing “critical shortages in maternity care” as labor and delivery wards have closed, they pointed out.

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“It is already very difficult for many individuals to navigate the healthcare system and to understand where to go to receive the best care,” Sherrod said, “and this potentially further complicates that.”

Coalition leaders are seeking a meeting with Ramos and with First Partner Jennifer Siebel Newsom, the wife of Gov. Gavin Newsom, who joined Ramos in announcing the plan in September.

Ramos’ office said in its statement Monday that since their initiative had launched, “Dr. Diana Ramos has met with several partners in the maternal health space and will continue to meet with others, including members of the coalition, to find opportunities to work together.”

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Graham’s death ignites GOP scramble for Senate seat as Trump hints he already has a favorite

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Graham’s death ignites GOP scramble for Senate seat as Trump hints he already has a favorite

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Sen. Lindsey Graham’s, R-S.C., sudden death from an undisclosed illness has triggered a two-pronged approach to replace him, and President Donald Trump will likely be a focal point in the process.

Graham’s passing overnight comes at a time when Republicans in the upper chamber need every vote they can get. The Senate GOP now holds a 52-seat majority, and with the timetable for Sen. Mitch McConnell’s, R-Ky., absence still unclear, that majority is now effectively 51 votes.

That will up the pressure, and drama, to find a replacement for the longtime South Carolina lawmaker.

LINDSEY GRAHAM, SOUTH CAROLINA SENATOR WHO ROSE FROM SMALL-TOWN ROOTS TO GOP POWER BROKER, DIES AT 71

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Sen. Lindsey Graham speaks with reporters aboard Air Force One with President Donald Trump and Secretary of Commerce Howard Lutnick on the way back to Washington, D.C., on Jan. 4, 2026. (Jim Watson/AFP via Getty Images)

Trump, during an appearance on NBC’s “Meet the Press” on Sunday, said, “I have somebody that I think would be great.”

“But I don’t want to say it now because it’s just, it’s too soon with Lindsey,” Trump said. “I don’t wanna even talk about anybody, but I do have somebody that I think is really good.”

It’s a process guided by the Constitution and state law. The first step will require South Carolina Gov. Henry McMaster, a Republican, to appoint a replacement for Graham on a temporary basis.

McMaster, a close ally of Trump, can appoint a temporary replacement as soon as he wants. That pick will serve until the next special or general election.

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MCCONNELL FACES FRESH CALLS TO COME CLEAN ABOUT HEALTH ISSUES

Fox News Digital did not immediately hear back from McMaster’s office on when he would make the announcement, or who he was considering for the seat.

Graham was already in-cycle running for a fifth term in the upper chamber, and he easily cruised to a primary victory early last month. That means that whoever McMaster taps would serve until the end of the year to finish off the remainder of Graham’s fourth term.

The second prong is finding his long-term successor.

The candidate filing period for that special election to win the GOP nomination opens July 21. The election is slated for Aug. 11, according to South Carolina law.

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That race could see several familiar faces in South Carolina GOP politics jumping in, including McMaster himself, who is termed out as governor.

TRUMP’S ENDORSEMENT POWER FACES ANOTHER GOP TEST IN SOUTH CAROLINA AFTER ALAN WILSON ADVANCES

Rep. Nancy Mace, R-S.C., departs the U.S. Capitol after a series of House votes on funding for Homeland Security and a War Powers resolution on Iran on March 5, 2026, in Washington, D.C. (Andrew Harnik/Getty Images)

Trump heaped praise on McMaster, noting that he endorsed his first bid for the White House in 2016.

“Henry’s been a great governor, you know now he’s termed out, but he’s going to do the right thing,” Trump said. “I think Henry will be fantastic.”

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There are six members of South Carolina’s GOP congressional delegation who could toss their hats into the mix. Rep. Nancy Mace, R-S.C., who recently lost a bid for the GOP gubernatorial nomination, is eyeing jumping into the special election.

A person familiar with Mace’s plans told Fox News Digital, “Congresswoman Mace is considering a bid to run.”

Then there’s Rep. Joe Wilson, R-S.C., the longest-serving Republican member of the Palmetto State’s delegation. He quickly snuffed speculation about whether he’d leap into the fray.

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“I was grateful to speak with President Trump today reminiscing about our mutual friend, Senator Lindsey Graham,” Wilson said on X. “I assured him my goal is to remain in the House to keep his two-vote majority for the American people!!!”

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Then there’s the remaining four: South Carolina Republican Reps. Ralph Norman, who also lost out on scoring the GOP nomination for governor, Russell Fry, William Timmons and Sheri Biggs, none of whom, so far, have signaled that they would jump into the battle for Graham’s seat.

Meanwhile, South Carolina Lt. Gov. Pamela Evette could also be in the mix.

A source familiar told Fox News Digital that Evette is receiving “tons of encouragement from all across the state and from around the country” to serve as the temporary caretaker for Graham’s seat.

The source said that Evette is also being encouraged to run to seek a full six-year term in the Senate.

Evette, a top South Carolina ally of Trump’s and McMaster’s, was endorsed by both as she finished first in South Carolina’s Republican gubernatorial primary in this year’s race to succeed McMaster. 

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But after Trump also endorsed her  GOP rival in the runoff, State Attorney General Alan Wilson, she was trounced by Wilson a few weeks ago in the runoff election

Fox News Digital did not immediately receive responses to requests for comment from possible contenders in the House. 

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On birthright citizenship, the Supreme Court ‘originalists’ split on history and Trump

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On birthright citizenship, the Supreme Court ‘originalists’ split on history and Trump

The Supreme Court’s conservative justices say they decide cases based on the words and original history of the Constitution — and not on their personal or political views.

Following the lead set by the late Justice Antonin Scalia, they say they see history and “originalism” as a guiding principle to prevent judges from changing the Constitution to adjust to new and changing times.

This text-and-history approach is said to contrast with an evolving or “living Constitution” favored by progressives and liberal activists.

But this year saw a flip of sorts on birthright citizenship.

The foremost conservatives agreed with President Trump that the surge of illegal immigration called for reconsidering the promise of citizenship at birth set out in the 14th Amendment of 1868.

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“The number of illegal immigrants in this country exploded” in recent years, Justice Samuel A. Alito Jr. wrote in dissent. The rule of citizenship at birth provides “a powerful incentive to enter or remain in this country illegally,” he added.

“The Constitution is an enduring document,” wrote Justice Brett M. Kavanaugh, but its rules and meaning must adjust to “modern situations that were unknown or unanticipated by the Constitution’s Framers.”

In a concurring opinion, he said that “significant illegal immigration into the United States is a new circumstance that was largely unknown as of 1868.”

There were no federal immigration laws in the mid-19th century, but it was an era when a surge of Irish immigrants had settled on the East Coast and large numbers of Chinese immigrants came to California.

Under the law, their children were deemed to be citizens at birth.

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Among the conservative originalists, only Justice Amy Coney Barrett signed the majority opinion that was written by Chief Justice John G. Roberts Jr. and joined by the three liberals.

The opening words of the 14th Amendment of 1868 say: “All persons born or naturalized in the United States and subject to the jurisdiction thereof are citizens of the United States.”

In 1898, the Supreme Court upheld the rule of citizenship at birth in the case of Wong Kim Ark, who was born in San Francisco to Chinese parents.

In an executive order, Trump proposed to end birthright citizenship for the newborns whose parents were in the country illegally or temporarily.

Writing for the court, the chief justice said the words of the 14th Amendment were clear and were clearly understood at the time. He dismissed the “dramatically revisionist view” that has been cited recently.

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Kavanaugh voted with the majority to block Trump’s order from taking effect. He did so because Congress had adopted birthright citizenship in a 1952 law.

“Consistent with the 14th Amendment, Congress could … enact new legislation establishing exceptions to birthright citizenship,” he wrote.

Justices Clarence Thomas and Alito wrote long dissents arguing that the framers of the 14th Amendment did not or would not have favored birthright citizenship.

They pointed to recent scholarship by law professors that raised questions about the accepted understanding of the 14th Amendment and the citizenship rule.

Thomas said citizenship of the child should turn on whether the parents were “domiciled” in this country. Black people who were enslaved were undoubtedly domiciled here, but the same is not true of temporary visitors.

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Justice Neil M. Gorsuch agreed in part with Thomas and questioned whether the newborns of temporary visitors should be deemed as citizens at birth.

Many court commentators were surprised by the close 5-4 divide on the constitutional issue.

“Given how clear the language was, I expected it to be 7 to 2,” said Melissa Murray, a New York University law professor. “I really gasped when I saw it was 5-4. This is not settled. We’re not done with this debate.”

Sarah Isgur, a podcaster and SCOTUSblog analyst, said that “originalism is getting more and more muddled. Either the history matters or it doesn’t.”

However, she agreed with Kavanaugh’s approach of leaving it to Congress to reconsider the issue.

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Not all originalists are conservative.

Yale Law Professor Akhil Amar, a constitutional historian, argued that the history of birthright citizenship is clear and not subject to revisionist thinking. He said the Reconstruction Congress adopted this principle of citizenship at birth and stated their intent in clear words in the 14th Amendment.

“When a baby is born on American soil and an American flag flies above, that baby is a birthright citizen, as the Reconstruction Republicans across the land understood,” he wrote in February. This rule “has virtually nothing to do with the baby’s parents.”

Last week, he was mostly cheered by the court’s ruling.

“It’s a triumph, but it should have been 9-0,” Amar said on a review of the court term sponsored by SCOTUSblog. “Shame on the dissenters. They didn’t even the address the statute” and its wording.

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But the majority led by Roberts “clearly affirmed the plain meaning of the constitutional text and its history. And that’s a win,” he said.

History has a recurring role at the Supreme Court.

Isgur noted the court will hear arguments in the fall on whether the 2nd Amendment of 1791 gives gun owners a right to have “assault weapons” like AR-15 rifles.

She said the court will decide then between history and changed circumstances.

At issue is whether these modern rapid-fire rifles fit within the history of the gun rights protected by the 2nd Amendment or instead represent a new and dangerous threat to public safety that was unknown in 1791.

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Scalia’s opinion upholding gun rights in 2008 is often cited as a model of originalism, but it too emerged from a court divided 5-4.

The 2nd Amendment says, “A well-regulated Militia, being necessary to the security of a free state, the right of the people to keep and bears Arms, shall not be infringed.”

For decades, the Supreme Court had all but ignored the 2nd Amendment, viewing it as a somewhat outdated provision involving militias, akin to the 3rd Amendment. It forbids having soldiers “quartered in any house … in time of peace.”

Four liberal dissenters in 2008 said the court should stand by that understanding of history.

Justice John Paul Stevens said the 2nd Amendment was added to the Constitution to protect state militias from federal interference. Moreover, the reference to “bear arms” suggests it was about militias, he said.

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But Scalia’s opinion stands as the landmark precedent, and he said the dissenters had the history all wrong.

The right to have guns for self-defense arose in England and came to the American colonies. “By the time of the founding, the right to have arms had become fundamental for English subjects,” he wrote.

The 2nd Amendment did not establish a new right, he said. Rather, it “codified a pre-existing right [of] having and using arms for self-preservation and [defense],” he wrote.

“There seems to us no doubt, on the basis of both text and history,” Scalia wrote, “that the 2nd Amendment conferred an individual right to keep and bear arms.”

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Sen. Lindsey Graham dead at 71 after ‘brief and sudden’ illness, office says

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Sen. Lindsey Graham dead at 71 after ‘brief and sudden’ illness, office says

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Sen. Lindsey Graham, R-S.C., died Saturday evening following a “brief and sudden” illness, according to a statement from his office.

“On the evening of Saturday, July 11, U.S. Senator Lindsey Graham passed away from a brief and sudden illness,” his office said.

“Senator Graham’s family appreciates prayers at this time and asks for privacy during this incredibly difficult period,” it continued.

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Sen. Lindsey Graham, R-S.C., speaks with reporters about aid to Ukraine, on Capitol Hill, Wednesday, March 10, 2022, in Washington. (AP Photo/Alex Brandon)

This is a breaking story; check back for updates.

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