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Medical Impact of Roe Reversal Goes Well Beyond Abortion Clinics, Doctors Say

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Medical Impact of Roe Reversal Goes Well Beyond Abortion Clinics, Doctors Say

In Wisconsin, a gaggle of docs and attorneys is attempting to provide you with pointers on find out how to adjust to a newly revived 173-year-old legislation that prohibits abortion besides to save lots of the lifetime of a pregnant girl. They face the daunting activity of defining all of the emergencies and situations that may end in a pregnant girl’s dying, and the truth that docs may very well be punished with six years in jail if a prosecutor disagrees that abortion was mandatory.

An analogous activity drive at an Arizona hospital recommends having a lawyer on name to assist docs decide whether or not a girl’s situation threatens her life sufficient to justify an abortion. Already, the hospital has added inquiries to its digital medical kinds to allow them to be used to argue that sufferers who had abortions would have died with out them.

And in Texas, oncologists say they now look ahead to pregnant girls with most cancers to get sicker earlier than they deal with them, as a result of the usual of care can be to abort the fetus relatively than enable remedies that injury it, however a state legislation permits abortion solely “prone to dying.” Some hospitals have established committees to guage whether or not a being pregnant complication is extreme sufficient to justify an abortion.

Two months after the Supreme Courtroom overturned Roe v. Wade and the constitutional proper to abortion, the medical penalties lengthen far past abortion clinics and ladies in search of to finish undesirable pregnancies. Medical doctors who by no means considered themselves as “abortionists,” to make use of the language of the courtroom’s choice, say the criminalization of abortion is altering how they deal with girls who arrive in emergency rooms and on labor and supply flooring with needed however difficult pregnancies.

Through the 50 years of Roe, abortion grew to become the usual of care in lots of medical conditions. Now, legal guidelines ban it or make it unavailable in about half the states, often with exceptions just for rape and incest or to save lots of the lifetime of the pregnant girl. Whereas a number of states have tried to specify situations that qualify, the legal guidelines are typically imprecise and have didn’t account for each chance. With lawmakers trying to manage medical procedures, medical suppliers say they must suppose like attorneys.

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“A whole lot of us go into emergency drugs due to the crucial to deal with each affected person — the individual with out housing and a C.E.O. — and we’re actually happy with that moral obligation to say, ‘Right here’s the affected person in entrance of me and I’m going to do the whole lot I can for them,’” mentioned Dr. Alison Haddock, an emergency doctor in Houston and chair of the board of the American School of Emergency Physicians. Now, she mentioned, “We’re now not basing our judgment on the scientific wants of the girl, we’re basing it on what we perceive the authorized scenario to be.”

Physicians would extra sometimes speak to hospital attorneys about guardianship when caring for aged or psychiatric sufferers, Dr. Haddock mentioned. Now, when sufferers arrive with ectopic pregnancies, miscarriages or hemorrhaging — all conditions the place abortion has been established as normal care — the questions for the attorneys are extra urgent: “Can we wait till the fetus is certainly lifeless, or is usually lifeless ok?” she requested. “In the event that they’re telling us to attend for the situation to be absolutely emergent, how a lot bleeding is an excessive amount of?”

“Having to seek the advice of a lawyer in an emergent scenario is a complete new ballgame,” she mentioned.

Medical doctors in Texas started coping with the questions even earlier than the Supreme Courtroom overturned Roe with its choice in Dobbs v. Jackson Ladies’s Well being Group. A legislation that took impact a 12 months in the past successfully banned most abortions after six weeks.

Some hospitals have instituted insurance policies requiring one or two further physicians to assessment the choice earlier than an abortion can proceed. In states together with Indiana and Wisconsin, the legislation requires two docs to certify {that a} girl faces life-threatening threat earlier than she will be able to get an abortion.

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Dr. Julie Kwatra, an obstetrician in Scottsdale, Ariz., confronted so many questions from docs and nurses the weekend of the Dobbs choice in June that she and others at her hospital shaped a committee to provide you with pointers to guard sufferers’ well being and docs from legal responsibility. A courtroom has blocked one state legislation banning abortion, and the governor mentioned abortion was nonetheless authorized. However the state’s legal professional common mentioned he supposed to implement a ban that was written earlier than Arizona grew to become a state, so suppliers have nearly solely stopped.

The confusion, Dr. Kwatra mentioned, was “eminently predictable,” given the variety of conditions the place physicians must terminate pregnancies to guard the well being or lifetime of the pregnant girl. However even she was shocked on the quantity and vary of hospital workers who’ve emerged with issues.

Forensic nurses who look after sexual assault victims within the emergency room mentioned they’d now not present morning-after contraception for concern it might be thought of an abortion drug. As a result of the previous legislation punishes those that “help and abet” an abortion, an anesthesiologist nervous that he could be prosecuted for placing a affected person to sleep for an abortion. A neonatologist nervous about legal responsibility for declining to resuscitate a fetus judged now not viable.

“We already work below a cloud of getting sued. That’s what we signed up for,” Dr. Kwatra mentioned. “That is completely different. That is felony legal responsibility, not civil legal responsibility. That is jail time.”

Some anti-abortion docs argue that the issues about not with the ability to present lifesaving abortion care are overblown — “blatantly absurd,” as Dr. Christina Francis, the chair of the American Affiliation of Professional-life Obstetricians and Gynecologists, mentioned at a congressional listening to in July.

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“Not a single state legislation limiting abortion prevents treating these situations,” Dr. Francis argued, as a result of they make exceptions for any life-threatening emergency.

Anti-abortion teams contend that life-threatening situations are uncommon in being pregnant and may be handled by inducing labor or performing a C-section relatively than an abortion. “Even when the newborn doesn’t survive, wrote Dr. Ingrid Skop, an obstetrician and the director of medical affairs on the Charlotte Lozier Institute, an anti-abortion group, “these humane procedures enable a grieving household to point out love and say goodbye.”

A number of high-profile circumstances of ladies denied care have captured headlines and set docs on edge. However docs say these excessive circumstances should not remoted; hospitals are routinely refusing or delaying care. One examine of two Dallas hospitals within the 9 months after the Texas ban took impact discovered that girls needed to wait a median of 9 days for his or her situations to be thought of life threatening sufficient to justify abortion. Many suffered critical well being penalties whereas they waited, together with hemorrhaging and sepsis, and one girl needed to have a hysterectomy consequently.

The Biden administration wrote medical suppliers in July, reminding them that they needed to adjust to a federal legislation often called the Emergency Medical Remedy and Labor Act. The legislation requires emergency rooms to offer stabilizing remedy to any affected person who arrives with an emergency situation or in labor, or switch them to a hospital that may present it. That, the letter mentioned, meant they “should present” an abortion, even in states that ban it, whether it is required to stabilize a girl’s well being.

The Justice Division additionally sued Idaho, saying its new ban on abortion made it unattainable for suppliers to adjust to the federal legislation. A short filed by a coalition of states in assist of the lawsuit enumerated circumstances throughout the nation the place emergency physicians have needed to carry out abortions to save lots of girls’s lives. Nicely past widespread problems like miscarriage or a separated placenta, they included coronary heart situations, kidney issues, sickle cell anemia, acute leukemia and at the least one case of pre-eclampsia so extreme that the girl’s liver started to fail.

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However Texas’ legal professional common, Ken Paxton, sued the administration for its steering on the federal legislation, accusing it of an end-run to “flip hospitals and emergency rooms into walk-in abortion clinics.” Courts within the two states reached completely different conclusions: A federal choose in Texas agreed with the state and quickly blocked implementation of the federal steering on emergency remedy; one in Idaho agreed with the Biden administration and blocked the state legislation.

“There’s such confusion,” mentioned Dr. Allison Linton, an obstetrician in Milwaukee, “and when docs are listening to this threat of a felony cost, they’re erring on the aspect of concern.”

In Wisconsin, an abortion ban on the books since 1849 was blocked whereas Roe was in impact. Now, the governor and legal professional common, who don’t assist the legislation, have requested a courtroom to find out whether or not it may be enforced. Within the meantime, prosecutors say they intend to implement it, so suppliers have stopped abortions.

A affected person not too long ago arrived at Dr. Linton’s hospital with a stillborn fetus. The required process was an induced supply, not abortion, however nonetheless, docs declined to do it, and an alert needed to exit to discover a doctor who was keen. “Sufferers with situations that don’t even fall below the ban are being denied care,” Dr. Linton mentioned.

Even earlier than the Dobbs choice, she mentioned, a committee of attorneys and docs throughout the state started working to attempt to provide you with a listing of what certified as exceptions below the legislation, and indications to assist different docs decide when a girl’s life may be mentioned to be in danger. The American School of Obstetricians and Gynecologists has really helpful that hospitals arrange such activity forces. Nevertheless it additionally warned that it’s “unattainable” and “harmful” to aim to create a finite record of situations to information docs. Drugs is just too advanced, no affected person’s signs or situations are the identical, they usually can deteriorate quickly.

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Roe, which prohibited states from banning abortion earlier than viability, allowed docs to supply sufferers choices of how they needed to be handled. “Now that affected person autonomy has gone away,” mentioned Dr. Abigail Cutler, an obstetrician-gynecologist on the College of Wisconsin-Madison.

“I’m compelled by my conscience to offer abortion care, and I’ve the coaching and the abilities to take action compassionately and properly,” she mentioned. “And so to have my palms tied and never be capable to assist an individual in entrance of me is devastating.”

Feeling squeezed between the legislation and their obligation to look after sufferers, docs have gotten extra outspoken of their opposition. Within the New England Journal of Drugs, two breast most cancers docs in Colorado, Dr. Nicole Christian and Dr. Virginia Borges, argued that as a result of so many therapies can lead to fetal anomalies or stillbirth, breast most cancers sufferers had to have the ability to select abortion. And given their broad influence on drugs, abortion restrictions “needs to be of concern to any doctor who has a affected person who may very well be, may turn out to be, or is pregnant.”

Greater than a dozen medical and public well being associations, together with the American Hospital Affiliation, the American School of Emergency Physicians, and the American Academy of Pediatrics, joined Democracy Ahead, a gaggle aligned with Democratic causes, to file briefs within the Texas and Idaho lawsuits relating to emergency abortion care.

The Idaho ban, one of many briefs argues, “willfully disregards what it means to pregnant sufferers — and their docs — to be advised that, alone amongst all sufferers in search of emergency care and opposite to medical pointers and ethics, they need to wait till their life is in jeopardy to obtain remedy.”

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“Some others have mentioned that these are extremely uncommon conditions,” Dr. Jack Resneck Jr., the president of the American Medical Affiliation, mentioned in an interview. “On the contrary, that is taking place each day, on a regular basis in these states.”

J. David Goodman contributed reporting.

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Ukraine turns to prisons to replenish frontline forces

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Ukraine turns to prisons to replenish frontline forces

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Ukraine is to start recruiting prisoners to fight against Russia under a new law designed to bolster its frontline forces, including with men convicted of murder or fraud.

Using a tactic Moscow has relied on to fill ranks since its full-scale invasion of Ukraine in 2022, Kyiv would begin to offer certain convicts a path to freedom if they are willing to join a combat unit.

The bill, approved on Wednesday by the Ukrainian parliament, is the latest in a series of measures aimed at mobilising more men to replace casualties and soldiers exhausted from long tours on the frontline. It still requires the signature of President Volodymyr Zelenskyy to enter into force.

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The drive to enlist convicts is expected to result in several thousand new recruits from a prison population of about 20,000, according to David Arakhamia, a senior lawmaker. That is a fraction of the hundreds of thousands of fresh soldiers Ukraine says it needs this year to hold back Moscow’s advancing forces.

The Russian army and militias deployed in Ukraine have routinely drawn manpower from prisons, irrespective of the crimes recruits have committed. Examples of convicts reoffending have been numerous, while in service or after returning to Russia, further damaging the reputation of the Russian armed forces.

Though Ukraine’s decision to turn to prisons is borne out of the same manpower needs, Kyiv has included stricter eligibility conditions to distance itself from Russia’s more reckless prison recruitment practices.

Ineligible convicts include serial murderers, drug traffickers and those guilty of sexual violence, corruption and national security crimes, according to Olena Shuliak, an MP from Zelenskyy’s party.

Men convicted of a single murder can sign up but would be automatically excluded if also found guilty of rape. Former high-ranking politicians and ministers who are serving prison terms are also not allowed to enlist.

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Shuliak acknowledged that the law had the potential to “cause a violent reaction from society”, but said that it had been crafted together with the ministries of defence and justice, as well as the armed forces.

“It is only possible to withstand the conditions of a total war against an enemy with more resources by consolidating all [our] forces. This draft law is about our struggle and preservation of Ukrainian statehood,” she wrote on social media.

Ukrainian prisoners who volunteer must undergo a physical and mental health test and have at least three years remaining of their sentence. They will serve in special units for as long as the war continues or until they are demobilised.

Failure to complete their military service or attempting to defect would be punishable by five to 10 years in prison. If they commit another crime while serving, the remainder of their previous sentence will be added on top.

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Nine Things We Learned From TikTok’s Lawsuit Against The US Government

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Nine Things We Learned From TikTok’s Lawsuit Against The US Government

Yesterday, as they promised they would, TikTok and ByteDance filed a lawsuit against the federal government challenging the constitutionality oft the Protecting Americans From Foreign Adversary Controlled Apps Act, known as PAFACA or just “The TikTok Ban Bill.”. The bill, which was passed by Congress and signed into law last month, requires ByteDance to sell TikTok’s U.S. operations by January 19, 2025 or face a ban of the app in the United States.

Most of the arguments in TikTok and ByteDance’s complaint are things that we’ve reported before — including details, acknowledged in the suit by the companies for the first time, but reported exclusively by Forbes last summer, of an ultimately unsuccessful negotiation with the interagency Committee on Foreign Investment in the United States. But here are nine things that were new or noteworthy, and suggest where this fight may be headed next.

1. RIP Project Texas?

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In the complaint, TikTok and ByteDance now allege that they have “invested” more than $2 billion in Project Texas, the legal and technological framework that formed the basis of the companies’ proposal to CFIUS through years of national security negotiations. The ultimate goal of Project Texas was to divorce ownership from control, allowing ByteDance to own TikTok and its algorithm while legally and logistically preventing it from controlling the app’s U.S. operations. But CFIUS rejected Project Texas in March 2023, and the passage of PAFACA shows that Congress, too, thinks it’s not enough.

The $2 billion figure is new, up from a claim by TikTok in early 2023 that the company would spent $1.5 billion on the initiative. Tech companies have for years sought refuge from regulation by portraying themselves as engines of the U.S. economy, and part of TikTok/ByteDance’s strategy here is to project confidence and show that things are business as usual. But continuing to invest in a proposal that the U.S. government has repeatedly rejected may amount to throwing that money away, if the courts say the ban bill can stand.

2. Ghosted By The Government: When The Deal Really Went South

TikTok/ByteDance paint a dramatic picture of CFIUS ghosting them at the negotiating table between August 2022 and March 2023, when CFIUS said that ByteDance would have to sell TikTok or face a ban in the U.S.

“From Petitioners’ perspective, all indications were that they were nearing a final agreement,” the companies write. “After August 2022, however, CFIUS without explanation stopped engaging with Petitioners in meaningful discussions about the National Security Agreement. Petitioners repeatedly asked why discussions had ended and how they might be restarted, but they did not receive a substantive response.”

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A lot happened in the months when CFIUS wasn’t talking to TikTok/ByteDance. It was during those months that Forbes revealed a plan by ByteDance’s Internal Audit and Risk Control department to surveil reporters in an effort to ferret out their sources, and ByteDance conducted an investigation showing that its employees had in fact surveilled journalists. ByteDance fired four employees as a result of what it subsequently referred to as “the misguided effort,” including its chief internal auditor and the Beijing-based executive that he reported to.

3. ByteDance’s Founder Lives In Singapore, Not China

The companies say that ByteDance founder Zhang Yiming, a Chinese citizen, is officially living in Singapore. Yiming, who prefers to go by his given name, has lived part-time on the island nation since 2022, where he rode out much of China’s most draconian COVID restrictions, but this is the first time the companies have described him as legally domiciled in a country other than China.

4. TikTok and ByteDance Finally Admit How Tightly They’re Wound Together

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TikTok/ByteDance are now leaning into a thread that we’ve reported on for years: that the TikTok app is inextricably tied to the rest of ByteDance’s systems, in a way that makes separating them effectively impossible. “Moving all TikTok source code development from ByteDance to a new TikTok owner would be impossible as a technological matter,” the companies argue, before launching into an explanation about TikTok’s “millions of lines of software code that have been painstakingly developed by thousands of engineers over multiple years.”

It’s an ironic pivot away from a prior narrative in which TikTok and ByteDance insisted they were more separate than they really are. They have claimed time and again that US-based execs are running the show, despite extensive reporting showing that this isn’t and hasn’t ever fully been the case.

The companies also say that “to keep the platform running,” TikTok engineers “would need access to ByteDance software tools, which the Act prohibits.”

To be clear: TikTok’s reliance on other, non-TikTok ByteDance tools is one of the reasons lawmakers are worried about it! The companies’ new Project Texas entity, USDS, has reduced its dependency on ByteDance systems like Lark, the company’s all-in-one office suite, and Seal, its VPN. But their acknowledgement that TikTok still needs to run through ByteDance’s pipes eliminates any doubt that TikTok is still not just owned, but very much also controlled, by ByteDance today.

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5. We Don’t Do Punishment By Legislation

PAFACA sets out conditions for how a president can designate an app as a “foreign adversary controlled application.” But it separately places TikTok — and all other ByteDance apps — in this category, without requiring the same presidential designation that is required for any other apps that might someday be covered by the law.

This structure is pretty weird! It likely came about because some lawmakers didn’t want to give the president discretion about whether to designate TikTok or not. By naming a specific app and its parent company in the bill, though, the lawmakers have opened themselves up to one of TikTok and ByteDance’s key claims: that the law is an unconstitutional Bill of Attainder — in layman’s terms, a law that seeks to punish a specific person or entity.

We don’t do punishment by legislation in the U.S.; we do it in the courts. So if TikTok can prove that the intent of this bill was to punish or ban it specifically, then the courts will likely find that the law can’t stand.

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6. The Chinese Government Will Call The Shots On A Sale

TikTok and ByteDance flatly acknowledge in their complaint that the Chinese government would prohibit ByteDance from selling its famous recommendations algorithm. We’ve heard this from nearly every expert out there, but hearing it directly from TikTok/ByteDance makes clear that the Chinese government is the ultimate arbiter of who gets access to TikTok’s secret sauce.

7. Lawmakers Will Have To Eat Their Own Anti-TikTok Rants

We wrote a few weeks back about how lawmakers’ comments about the content on TikTok might come back to bite them in court, making it harder for the government to prove that it wasn’t acting out of hostility toward the substance of the conversation on the app. Our prophecy came true: TikTok/ByteDance argued exactly this point in their complaint.

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8. About That Weird Product Review Carve Out

Lawmakers made a weird carve-out in their law for sites that host product reviews, travel reviews, and business reviews. TikTok and ByteDance say it’s unfair.

The bill is targeted at large platforms where users can create their own posts and view others’ posts — i.e. platforms that enable user-generated content, or UGC. Review apps are technically UGC apps, but they don’t have the same potential influence over discourse and culture as social apps do, so Congress exempted them from the law.

TikTok and ByteDance are now claiming that this exemption favors certain speech (reviews) over other speech (non-reviews). It seems unlikely that legislators were actually trying to privilege one topic of speech over the other, but that may not matter if the courts determine that the exemption effectively does so.

9. Everybody Has Been Gathering Evidence For This Showdown

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Both TikTok/ByteDance and the government have spent years preparing for this moment — one where TikTok/ByteDance will argue that the ban bill is ill informed and overbroad and the government will ruefully shake its head and say, “we tried, but there was no other way.”

The First Amendment will govern most of the arguments raised by TikTok and ByteDance. But the First Amendment isn’t a blanket protection for all speech all the time. The parties will fight about which level of scrutiny applies in this case: whether the government will have to show that the law is substantially related to an important government interest (intermediate scrutiny) – or whether it will have to show that the law is narrowly tailored to achieve a compelling government interest (strict scrutiny). But that legalese is all just gradations of the same basic question: was this really necessary?

TikTok and ByteDance will pull out their last four years of communications with the government to claim that it wasn’t. They will say — they do say, in the complaint — that Project Texas would’ve worked. That a national data privacy law would’ve worked. That there were plenty of narrower things Congress could’ve done and didn’t do, things that were more targeted to their actual concerns. Because Congress didn’t do those things, TikTok and ByteDance say, they didn’t even try to take the narrowest path here.

But the government has almost certainly been amassing evidence too, even if we haven’t seen it yet. Back in 2020, TikTok and ByteDance defeated President Trump’s first attempt to ban the app in part by arguing that the whole thing was rushed. After that, the Biden Administration spent years in negotiations with the company, engaging with the inner workings of TikTok and ByteDance’s systems. Its agencies also spent many months examining the companies — the FBI and DOJ in a criminal investigation and the FTC in an investigation about the companies misleading users about who could access their data.

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TikTok and ByteDance say that PAFACA was rushed just like the Trump ban attempt – from its conception largely in secret to the fact that it was quickly voted on and then appended to an omnibus foreign aid package, all before their lobbyists could get a word in edgewise.

Even if PAFACA was rushed, though, the larger government conversation about TikTok hasn’t been. Years of CFIUS negotiations and agency investigations — as well as classified intelligence — informed the closed-door briefings that members of the House and Senate received before voting on the bill. So we’ll be looking at years’ worth of evidence from both sides as the parties battle it out in Round 2.

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Mexico’s presidential frontrunner defends sweeping legal reforms

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Mexico’s presidential frontrunner defends sweeping legal reforms

The frontrunner in Mexico’s presidential election has defended a proposed constitutional overhaul as business-friendly, arguing that popular votes for top judges will enhance democracy.

Investors “have nothing to worry about”, Claudia Sheinbaum, 61, told the Financial Times while being driven between campaign rallies in the capital in a modest Chevrolet family saloon, as well-wishers pressed against the windows to offer flowers ahead of elections next month.

Proposals by leftist President Andrés Manuel López Obrador, of whom Sheinbaum is a close ally, to open up the choice of top election officials and supreme court judges to a popular vote as part of the overhaul have sparked concerns about the rule of law in Mexico.

But Sheinbaum maintained: “What we want is more democracy in the country. And their investments will be guaranteed.”

Sheinbaum, who holds a commanding lead in the polls, has pledged to continue López Obrador’s “transformation” of Mexico with the aim of bringing greater social justice, improving public services and burying a “neoliberal” economic model that she says brought “atrocious poverty and inequality”.

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The proposal to amend the constitution to let the public vote for supreme court justices and election commissioners has been one of López Obrador’s most contentious reforms, and his alliance lacked the two-thirds majority needed to pass it in the last congress. His Morena party hopes to try again after the June elections, which also include a vote for a new congress.

Only one country, socialist Bolivia, currently elects supreme court judges, according to the Federal Judicial Center.

The opposition believes the changes would destroy Mexico’s judicial independence, and investors have privately expressed concerns about risks to the rule of law. But Sheinbaum said institutional reforms were needed because the supreme court had “acted politically, not in terms of justice”.

Asked whether she believes in checks and balances, a major concern for civil rights groups and investors, she said: “I believe in freedom. I believe in democracy. And that the people should decide.”

Mexico will almost certainly elect its first female president on June 2. Most polls give Sheinbaum, who cut her teeth in student politics and later served as mayor of Mexico City, a double-digit lead over the main opposition candidate, entrepreneur-turned-politician Xóchitl Gálvez.

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Mexican President Andrés Manuel López Obrador’s party has upended Mexican politics since his landslide presidential victory in 2018 © Rashide Frias/AFP/Getty Images

A skilful communicator with an instinctive popular touch, López Obrador — who is standing down after a single six-year term in line with Mexico’s constitution — has greatly expanded welfare programmes and more than doubled the minimum wage. Those measures reduced poverty and inequality, and won him enduring support among Mexico’s less fortunate.

At the same time, the president will hand his successor Mexico’s biggest fiscal deficit since the 1980s, having abandoned austerity in his final year in office. But Sheinbaum played down the gap, projected at 5.9 per cent of GDP this year, as a temporary blip.

“This is a one-year deficit because all the president’s strategic infrastructure projects are being paid for. Next year that will reduce significantly,” she said.

Sheinbaum believes there is scope to raise revenues further through better enforcement and technology. Pressed on whether her flagship promises of better education, health and infrastructure would require higher taxation, she replied “yes” before quickly adding: “But we’re not thinking about it in the first instance. We don’t want to propose a deep fiscal reform until we’ve really looked things over when we take office.”

Mexico’s economy has been transformed over 30 years by its free trade agreement with the US and Canada, and Sheinbaum is keen not to rock the boat, especially when US companies are considering moving production from China to countries such as Mexico.

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“We need to take advantage of the opportunity the trade agreement with the United States and Canada gives us,” she said.

However, she wants the government to take a more active role in planning economic development to ensure that investment reaches poorer regions and that Mexico adds value to manufactured products rather than simply assembling components.

“You can’t just put any kind of company in any place, because different territories have different vocations, especially when it comes to natural resources like water,” she said. “We don’t think investment should just create jobs per se. We believe in well-paid jobs, and jobs with wellbeing.”

Beijing has made big inroads in Latin America this century, displacing the US as the biggest trading partner in most of South America, but Sheinbaum is clear where Mexico’s priorities lie. “We don’t have a free trade agreement with China and I don’t think we should have one,” she said.

With the US election later this year, the candidates are preparing for the possible return of former president Donald Trump, who has lambasted Mexico over trade, migration and fentanyl. Sheinbaum insisted the relationship would be “good”, even if Trump wins.

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She spoke to the Financial Times after a rally in Coyoacán, a middle-class area in the capital’s south, where she gave an assured speech in blazing midday sun.

Recalling Mexico’s defeat of the invading French army in 1862, she painted her Morena party as the heirs of the patriots who defended their country. She denounced the opposition as the corrupt heirs of the traitors who invited a foreign emperor to govern them.

Mexican army personnel in Ciudad Juarez
Mexican army personnel arrive in Ciudad Juarez to reinforce security at the airport. López Obrador has called in the armed forces to perform tasks traditionally handled by civilians, such as building train lines and running airports © Jose Luis Gonzalez/Reuters

“What does Coyoacán want? Transformation or corruption? . . . Patriotism or subservience?” she asked the crowd, who chanted “Presidenta! Presidenta!”

López Obrador’s party has upended Mexican politics since his landslide presidential victory in 2018. It now controls two-thirds of state governorships and, with its allies, holds majorities in both houses of congress. This political dominance worries opponents, who recall that Mexico was ruled by a single party for 71 years until 2000.

Juanita Goebertus, Americas director at Human Rights Watch, said Morena’s proposals threatened judicial independence. “It would make it much easier for any political party that’s in government to control the nomination of judges,” she said.

Mexico is a key exporter of cocaine and fentanyl to the US and the country has become a battleground for rival cartels. Polls show security is a top voter concern but Sheinbaum believes she can bring down violent crime by deploying methods she used as mayor in the capital.

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“We need to strengthen [the policy of] zero impunity in our country. It doesn’t matter who commits murder, murder has to be punished by the law.” She dismissed the opposition’s calls for head-on confrontation with the cartels, saying that in the past they gave security forces a “licence to kill” innocent civilians.

“Our vision is the construction of peace,” she said.

López Obrador has replaced the federal police with a new 130,000-strong National Guard run by the military, and has called in the armed forces to perform tasks traditionally handled by civilians, such as building train lines and running airports, ports and the customs service.

Sheinbaum says she is comfortable with the strategy because the military ultimately answers to the president.

“Maybe people don’t understand it from the outside, but it’s not militarisation,” she said. “The Mexican army comes from the Mexican revolution, it comes from a social revolution, it doesn’t come from the elites.”

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A climate change expert with a doctorate in environmental engineering, Sheinbaum wants to accelerate Mexico’s transition to clean energy, using minority private investment with the state in the driving seat. “I dedicated my whole life, before my public life, to climate change. So obviously when we take office we’re going to push it,” she said.

Famously disciplined, Sheinbaum is keen to make clear that while she has been a loyal disciple of López Obrador during her ascent to power, she will govern in her own style.

Although Mexico has “historically been characterised by very strong machismo”, Sheinbaum believes her probable victory is proof that this is changing.

“I think machismo is being left behind . . . Otherwise, a female president would be unthinkable.”

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