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As Democrats meet in Chicago, Illinois' role in abortion access is in the spotlight

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As Democrats meet in Chicago, Illinois' role in abortion access is in the spotlight

In this file photo, Vice President Harris speaks at an event in Manassas, Va., on Jan. 23, 2024, to campaign for abortion rights. Harris will commemorate her historic nomination in Chicago this week as Democrats hold their convention against the backdrop of a state that has become a hub for abortion access.

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The NPR Network will be reporting live from Chicago throughout the week bringing you the latest on the Democratic National Convention.

At Hope Clinic in Granite City, Ill., Dr. Erin King and her staff have rearranged the waiting room for patients who’ve been traveling here from across the country. There are spaces for children to play and for families to relax or watch TV.

β€œMost of our patients have kids, and so if they’re able to come, they can bring their kids with them,” King says.

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There’s also a supply closet stocked with diapers, snacks and hygiene supplies that patients and their families might need during their trip. King describes it as a β€œlittle, mini 7-Eleven β€” but all free.”

The supply closet containing snacks, diapers, and hygiene supplies for patients traveling to Hope Clinic in Ill.

The supply closet containing snacks, diapers and hygiene supplies for patients traveling to Hope Clinic in Illinois.

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Democrats are holding their nominating convention this week in Illinois, a state that’s become a critical access point for patients seeking abortion since the Supreme Court overturned Roe v. Wade just over two years ago. Abortion is a major campaign issue for Democrats this year, and the party is trying to remind voters that former President Donald Trump and the GOP are responsible for new abortion restrictions that have taken effect around the country.

Hope Clinic is in western Illinois β€” near the border with Missouri, where most or all abortions are now illegal. The situation is similar for most of Illinois’ neighboring states. In recent years, Hope and other clinics across Illinois have increased hours and staffing to accommodate an influx of patients from outside the state.

But getting here often isn’t easy, King says. She remembers a patient who faced one obstacle after another.

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Dr. Erin King is Chief Medical Officer at Hope Clinic.

Dr. Erin King is chief medical officer at Hope Clinic.

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β€œShe had a partner that was trying to block her from coming. She had child care issues β€” which kind of was wrapped up in the partner, because he was also the person she needed to care for her children. Her work was not giving her time off,” King said. β€œAnd then on top of that, she felt like she couldn’t get the money together.”

Getting the money together is a major challenge for many patients. The Guttmacher Institute, a research group that supports abortion rights, says that nationwide, patients are traveling longer distances and in greater numbers as a result of the Supreme Court ruling.

Megan Jeyifo is executive director of the Chicago Abortion Fund, which helps with the cost of abortion and related travel for patients across the Midwest and beyond.

β€œIt’s changed everything,” she said of the Dobbs v. Jackson Women’s Health Organization decision. It triggered what she describes as a β€œmind-boggling” increase in requests for help.

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β€œThe sheer scale is not like anything we could have imagined,” Jeyifo explained.

The fund gets hundreds of calls each week, with call volumes up 80% in just the last year.

As Illinois hosts the Democratic convention in Chicago, the issue of abortion β€” and the state’s role as a hub for patients seeking the procedure β€” will be on display.

Prior to the Dobbs decision, Illinois’ Democratic-controlled state government repealed existing abortion restrictions and passed laws designed to protect access, including shielding providers and patients from prosecution in other states.

For example, says Gov. JB Pritzker, under state law, Illinois officials will not release records from the state’s tollways to out-of-state prosecutors seeking information about patient travel.

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β€œThat’s how deep we’ve gotten into protecting women who come here because Illinois is an oasis.” Pritzker said in an interview with NPR. β€œPeople are coming from all over the country, it seems, to exercise their rights and know that they will be protected if they come to our state.”

An old sign for the Hope Clinic hangs in one of the clinic’s rooms. The facility recently dropped β€œfor Women” from its name in an effort to include transgender patients.

An old sign for the Hope Clinic hangs in one of the clinic’s rooms. The facility recently dropped β€œfor Women” from its name in an effort to include transgender patients.

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More than Roe

But some abortion rights activists in Illinois like would like to see Democrats do more β€” and move beyond the promise of the Biden-Harris administration to β€œrestore” or β€œcodify” Roe v. Wade in federal law.

As vice president, and now as the party’s presidential nominee, Harris has promoted that position, and has taken a leading role in the administration on abortion rights.

Dr. Colleen McNicholas, an Illinois abortion provider, has met twice β€” once in person and once virtually β€” with the vice president to discuss the state of abortion access.

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β€œWe are at a place where we have some real opportunity to let go of the system that we were handcuffed to before and were forced to defend β€” which is the Roe framework β€” and really build back something better,” McNicholas says.

McNicholas is a co-author of the β€œAbortion Justice Now” memo, which describes Roe as inadequate.

The memo notes that under Roe, states were permitted to set gestational limits on abortion β€” particularly later in pregnancy β€” something the authors of the memo oppose. They’ve also called for removing limits on federal funding for abortion for low-income people.

Illinois Rep. Robin Kelly, a former chair of the state Democratic Party, says the first priority should be restoring the rights that were lost with the Dobbs decision.

β€œYou know what [Vice President] Harris seems to be saying: We initially want to get back to Roe; let’s do that first. Let’s make sure we are back to where we were,” Kelly says. β€œThen let’s look at what else we need to do.”

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Most Americans opposed overturning Roe v Wade. But many voters support some restrictions on abortion later in pregnancy.

Kelly says Democrats should focus on winning the presidency and down-ticket races.

β€œAt the end of the day, even people that want more, they are not gonna get the more out of Donald Trump,” Kelly says.

Exterior view of Hope Clinic in Granite City, Ill.

Exterior view of Hope Clinic in Granite City, Ill.

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At Hope Clinic, Dr. Erin King says she’s proud of what she and other abortion providers in Illinois have been able to accomplish in the past couple of years.

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β€œIllinois is a great example that if you are purposeful and put things in place to protect patients and protect access, you can be a safe haven, or a beacon, or a place for patients to come to,” King says. β€œBut this is not a long-term solution. This is a Band-Aid on a much bigger issue.”

As Democrats gather in Chicago, Planned Parenthood will be providing medication abortion β€” and vasectomies β€” at a mobile health unit set up not far from the convention center, and highlighting the ways providers in Illinois have been adapting to the increasingly challenging landscape around them.

NPR’s Megan Lim contributed to this story.

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Brass bands in Beijing make way for sticker shock at home as Trump returns to escalating inflation

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Brass bands in Beijing make way for sticker shock at home as Trump returns to escalating inflation

WASHINGTON (AP) β€” President Donald Trump returned from the spectacle of a Chinese state visit to a less than welcoming U.S. economy β€” with the military band and garden tour in Beijing giving way to pressure over how to fix America’s escalating inflation rate.

Consumer inflation in the United States increased to 3.8% annually in April, higher than what he inherited as the Iran war and the Republican president’s own tariffs have pushed up prices. Inflation is now outpacing wage gains and effectively making workers poorer. The Cleveland Federal Reserve estimates that annual inflation could reach 4.2% in May as the war has kept oil and gasoline prices high.

Trump’s time with Chinese leader Xi Jinping appears unlikely to help the U.S. economy much, despite Trump’s claims of coming trade deals. The trip occurred as many people are voting in primaries leading into the November general election while having to absorb the rising costs of gasoline, groceries, utility bills, jewelry, women’s clothing, airplane tickets and delivery services. Democrats see the moment as a political opportunity.

β€œHe’s returning to a dumpster fire,” said Lindsay Owens, executive director of Groundwork Collaborative, a liberal think tank focused on economic issues. β€œThe president will not have the faith and confidence of the American people β€” the economy is their top issue and the president is saying, β€˜You’re on your own.’”

The president’s trip to Beijing and his recent comments that indicated a tone-deafness to voters’ concerns about rising prices have suggested his focus is not on the American public and have undermined Republicans who had intended to campaign on last year’s tax cuts as helping families.

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Trump described the trip as a victory, saying on social media that Xi β€œcongratulated me on so many tremendous successes,” as the U.S. president has praised their relationship.

Trump told reporters that Boeing would be selling 200 aircraft β€” and maybe even 750 β€œif they do a good job” β€” to the Chinese. He said American farmers would be β€œvery happy” because China would be β€œbuying billions of dollars of soybeans.”

β€œWe had an amazing time,” Trump said as he flew home on Air Force One, and told Fox News’ Bret Baier in an interview that gasoline prices were just some β€œshort-term pain” and would β€œdrop like a rock” once the war ends.

Inflationary pain is not a factor in how Trump handles Iran

Trump departed from the White House for China by saying the negotiations over the Iran war depended on stopping Tehran from developing nuclear weapons. β€œI don’t think about Americans’ financial situation. I don’t think about anybody. I think about one thing: We cannot let Iran have a nuclear weapon,” Trump said.

That remark prompted blowback because it suggested to some that Trump cared more about challenging Iran than fighting inflation at home. Trump defended his words, telling Fox News: β€œThat’s a perfect statement. I’d make it again.”

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The White House has since stressed that Trump is focused on inflation.

Asked later about the president’s words, Vice President JD Vance said there had been a β€œmisrepresentation” of the remarks. White House spokesman Kush Desai said the β€œadministration remains laser-focused on delivering growth and affordability on the homefront” while indicating actions would be taken on grocery prices.

But as Trump appeared alongside Xi, new reports back home showed inflation rising for businesses and interest rates climbing on U.S. government debt.

His comments that Boeing would sell 200 jets to China caused the company’s stock price to fall because investors had expected a larger number. There was little concrete information offered about any trade agreements reached during the summit, including Chinese purchases of U.S. exports such as liquefied natural gas and beef.

β€œForeign policy wins can matter politically, but only if voters feel stability and affordability in their daily lives,” said Brittany Martinez, a former Republican congressional aide who is the executive director of Principles First, a center-right advocacy group focused on democracy issues.

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β€œMidterms are almost always a referendum on cost of living and public frustration, and Republicans are not immune from the same inflation and affordability pressures that hurt Democrats in recent cycles,” she added.

Democrats see Trump as vulnerable

Democratic lawmakers are seizing on Trump’s comments before his trip as proof of his indifference to lowering costs. There is potential staying power of his remarks as Americans head into Memorial Day weekend facing rising prices for the hamburgers and hot dogs to be grilled.

β€œWhat Americans do not see is any sympathy, any support, or any plan from Trump and congressional Republicans to lower costs – in fact, they see the opposite,” Senate Democratic leader Chuck Schumer of New York said Thursday.

Vance faulted the Biden administration for the inflation problem even though the inflation rate is now higher than it was when Trump returned to the White House in January 2025 with a specific mandate to fix it.

β€œThe inflation number last month was not great,” Vance said Wednesday, but he then stressed, β€œWe’re not seeing anything like what we saw under the Biden administration.”

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Inflation peaked at 9.1% in June 2022 under Biden, a Democrat. By the time Trump took the oath of office, it was a far more modest 3%.

Trump’s inflation challenge could get harder

The data tells a different story as higher inflation is spreading into the cost of servicing the national debt.

Over the past week, the interest rate charged on 10-year U.S. government debt jumped from 4.36% to 4.6%, an increase that implies higher costs for auto loans and mortgages.

β€œMy fear is that the layers of supply shocks that are affecting the U.S. economy will only further feed into inflationary pressures,” said Gregory Daco, chief economist at EY-Parthenon.

Daco noted that last year’s tariff increases were now translating into higher clothing prices. With the Supreme Court ruling against Trump’s ability to impose tariffs by declaring an economic emergency, his administration is preparing a new set of import taxes for this summer.

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Daco stressed that there have been a series of supply shocks. First, tariffs cut into the supply of imports. In addition, Trump’s immigration crackdown cut into the supply of foreign-born workers. Now, the effective closure of the Strait of Hormuz has cut off the vital waterway used to ship 20% of global oil supplies.

β€œWe’re seeing an erosion of growth,” Daco said.

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Top Drug Regulator Is Fired From the F.D.A.

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Top Drug Regulator Is Fired From the F.D.A.

Dr. Tracy Beth Hoeg, the Food and Drug Administration’s top drug regulator, said she was fired from the agency Friday after she declined to resign.

She said she did not know who had ordered her firing or why, nor whether Health Secretary Robert F. Kennedy Jr. knew of her fate. The Department of Health and Human Services did not immediately respond to a request for comment.

The departure reflected the upheaval at the F.D.A., days after the resignation of Dr. Marty Makary, the agency commissioner. Dr. Makary had become a lightning rod for critics of the agency’s decisions to reject applications for rare disease drugs and to delay a report meant to supply damaging evidence about the abortion drug mifepristone. He also spent months before his departure pushing back on the White House’s requests for him to approve more flavored vapes, the reason he ultimately cited for leaving.

Dr. Hoeg’s hiring had startled public health leaders who were familiar with her track record as a vaccine skeptic, and she played a leading role in some of the agency’s most divisive efforts during her tenure. She worked on a report that purportedly linked the deaths of children and young adults to Covid vaccines, a dossier the agency has not released publicly. She was also the co-author of a document describing Mr. Kennedy’s decision to pare the recommendations for 17 childhood vaccines down to 11.

But in an interview on Friday, Dr. Hoeg said she β€œstuck with the science.”

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β€œI am incredibly proud of the work we were doing,” Dr. Hoeg said, adding, β€œI’m glad that we didn’t give in to any pressures to approve drugs when it wasn’t appropriate.”

As the director of the agency’s Center for Drug Evaluation and Research, she was a political appointee in a role that had been previously occupied by career officials. An epidemiologist who was trained in the United States and Denmark, she worked on efforts to analyze drug safety and on a panel to discuss the use of serotonin reuptake inhibitors, the most widely prescribed class of antidepressants, during pregnancy. She also worked on efforts to reduce animal testing and was the agency’s liaison to an influential vaccine committee.

She made sure that her teams approved drugs only when the risk-benefit balance was favorable, she said.

The firing worsens the leadership vacuum at the F.D.A. and other agencies, with temporary leaders filling the role of commissioner, food chief and the head of the biologics center, which oversees vaccines and gene therapies. The roles of surgeon general and director of the Centers for Disease Control and Prevention are also unfilled.

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Supreme Court is death knell for Virginia’s Democratic-friendly congressional maps

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Supreme Court is death knell for Virginia’s Democratic-friendly congressional maps

The U.S. Supreme Court

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The U.S. Supreme Court refused Friday to allow Virginia to use a new congressional map that favored Democrats in all but one of the state’s U.S. House seats. The map was a key part of Democrats’ effort to counter the Republican redistricting wave set off by President Trump.

The new map was drawn by Democrats and approved by Virginia voters in an April referendum. But on May 8, the Supreme Court of Virginia in a 4-to-3 vote declared the referendum, and by extension the new map, null and void because lawmakers failed to follow the proper procedures to get the issue on the ballot, violating the state constitution.

Virginia Democrats and the state’s attorney general then appealed to the U.S. Supreme Court, seeking to put into effect the map approved by the voters, which yields four more likely Democratic congressional seats. In their emergency application, they argued the Virginia Supreme Court was “deeply mistaken” in its decision on “critical issues of federal law with profound practical importance to the Nation.” Further, they asserted the decision “overrode the will of the people” by ordering Virginia to “conduct its election with the congressional districts that the people rejected.”

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Republican legislators countered that it would be improper for the U.S. Supreme Court to wade into a purely state law controversy β€” especially since the Democrats had not raised any federal claims in the lower court.

Ultimately, the U.S. Supreme Court sided with Republicans without explanation leaving in place the state court ruling that voided the Democratic-friendly maps.

The court’s decision not to intervene was its latest in emergency requests for intervention on redistricting issues. In December, the high court OK’d Texas using a gerrymandered map that could help the GOP win five more seats in the U.S. House. In February, the court allowed California to use a voter-approved, Democratic-friendly map, adopted to offset Texas’s map. Then in March, the U.S. Supreme Court blocked the redrawing of a New York map expected to flip a Republican congressional district Democratic.

And perhaps most importantly, in April, the high court ruled that a Louisiana congressional map was a racial gerrymander and must be redrawn. That decision immediately set off a flurry of redistricting efforts, particularly in the South, where Republican legislators immediately began redrawing congressional maps to eliminate long established majority Black and Hispanic districts.

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