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‘Music makes everything better’: A Texas doctor spins vinyl to give patients relief
Dr. Tyler Jorgensen sets “A Charlie Brown Christmas” on a record player at Dell Seton Medical Center in Austin Texas. He uses vinyl records as a form of music therapy for palliative care patients.
Lorianne Willett/KUT News
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Lorianne Willett/KUT News
AUSTIN, TEXAS — Lying in her bed at Dell Seton Medical Center at the University of Texas at Austin, 64-year-old Pamela Mansfield sways her feet to the rhythm of George Jones’ “She Thinks I Still Care.” Mansfield is still recovering much of her mobility after a recent neck surgery, but she finds a way to move to the music floating from a record player that was wheeled into her room.
“Seems to be the worst part is the stiffness in my ankles and the no feeling in the hands,” she says. “But music makes everything better.”
The record player is courtesy of the ATX-VINyL program, a project dreamed up by Dr. Tyler Jorgensen to bring music to the bedside of patients dealing with difficult diagnoses and treatments. He collaborates with a team of volunteers who wheel the player on a cart to patients’ rooms, along with a selection of records in their favorite genres.
“I think of this record player as a time machine,” he said. “You know, something starts spinning — an old, familiar song on a record player — and now you’re back at home, you’re out of the hospital, you’re with your family, you’re with your loved ones.”
Daniela Vargas, a volunteer for the ATX-VINyL program, wheels a record player to the hospital room of a palliative care patient in Austin, Texas.
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The healing power of Country music… and Thin Lizzy
Mansfield wanted to hear country music: Willie Nelson, Merle Haggard, George Jones. That genre reminds her of listening to records with her parents, who helped form her taste in music. Almost as soon as the first record spins, she starts cracking jokes.
“I have great taste in music. Men, on the other hand … ehhh. I think my picker’s broken,” she says.
Other patients ask for jazz, R&B or holiday records.
The man who gave Jorgensen the idea for ATX-VINyL loved classic rock. That was around three years ago, when Jorgensen, a long-time emergency medicine physician, began a fellowship in palliative care — a specialty aimed at improving quality of life for people with serious conditions, including terminal illnesses.
Shortly after he began the fellowship, he says he struggled to connect with a particular patient.
“I couldn’t draw this man out, and I felt like he was really struggling and suffering,” Jorgensen said.
He had the idea to try playing the patient some music.
He went with “The Boys Are Back in Town,” by the 1970s Irish rock group Thin Lizzy, and saw an immediate change in the patient.
“He was telling me old stories about his life. He was getting more honest and vulnerable about the health challenges he was facing,” Jorgensen said. “And it just struck me that all this time I’ve been practicing medicine, there’s such a powerful tool that is almost universal to the human experience, which is music, and I’ve never tapped into it.”
Dr. Tyler Jorgensen plays vinyl records as a form of music therapy for palliative care patients in Austin, Texas. Willie Nelson’s albums are a perennial hit.
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Creating new memories
Jorgensen realized records could lift the spirits of patients dealing with heavy circumstances in hospital spaces that are often aesthetically bare. And he thought vinyl would offer a more personal touch than streaming a digital track through a smartphone or speaker.
“There’s just something inherently warm about the friction of a record — the pops, the scratches,” he said. “It sort of resonates through the wooden record player, and it just feels different.”
Since then, he has built up a collection of 60 records and counting at the hospital. The most-requested album, by a landslide, is Fleetwood Mac’s Rumours from 1977. Willie is also popular, along with Etta James and John Denver. And around the holidays, the Vince Guaraldi Trio’s A Charlie Brown Christmas gets a lot of spins.
These days, it’s often a volunteer who rolls the record player from room to room after consulting nursing staff about patients and family members who are struggling and could use a visit.
Daniela Vargas, the UT Austin pre-med undergraduate who heads up the volunteer cohort, became passionate about music therapy years ago when she and her sister began playing violin for isolated patients during the COVID-19 pandemic. She said she sees similar benefits when she curates a collection of records for a patient today.
“We are usually not in the room for the entire time, so it’s a more intimate experience for the patient or family, but being able to interact with the patient in the beginning and at the end can be really transformative,” Vargas said.
Often, the palliative care patients visited by ATX-VINyL are near the end of life.
Jorgensen feels that the record player provides an interruption of the heaviness those patients and their families are experiencing. Suddenly, it’s possible to create a new, positive shared experience at a profoundly difficult time.
“Now you’re sort of looking at it together and thinking, ‘What are we going to do with this thing? Let’s play something for Mom, let’s play something for Dad.’” he said. “And you are creating a new, positive, shared experience in the setting of something that can otherwise be very sad, very heavy.”
Other patients, like Pamela Mansfield, are working painstakingly toward recovery.
She has had six neck surgeries since April, when she had a serious fall. But on the day she listened to the George Jones album, she had a small victory to celebrate: She stood up for three minutes, a record since her most recent surgery.
With the record spinning, she couldn’t help but think about the victories she’s still pursuing.
“It’s motivating,” she said. “Me and my broom could dance really well to some of this stuff.”
News
2026 Midterms Tracker: The Key Senate and House Races
Control of both chambers of Congress is up for grabs this fall. Democrats’ chances to seize power from the Republicans hinge on a narrow set of battleground seats and states.
There will be elections in every one of the 435 seats in the House of Representatives and 34 in the Senate in November. But only a small fraction are truly competitive. Here are the races expected to decide the midterm elections, according to the most recent ratings by the Cook Political Report.
House
35 competitive races
195 solidly
218 districts
205 solidly
or likely Dem.
for control
or likely Rep.
The magic number to win the majority in the House is 218 seats.
Right now, Democrats would need victories in 11 of the 18 races that Cook rates as tossups to clinch the majority, so long as they also secure seats leaning or likely Democratic. In order for Republicans to keep control, they need to win eight of the tossup races, plus the ones that lean in their favor.
The political environment favors Democrats. They have been winning in special elections — and won governors races last year — by wide margins. President Trump is increasingly unpopular as gas prices remain high and the Iran war drags on.
But the 2026 congressional map has been remade through the nationwide redistricting wars to favor the G.O.P. And the maps remain in flux as some Republican states, especially in the South, are pushing to erase even more Democratic districts.
The most competitive House races
District
Incumbent
Rating ▾
Ariz. 1
None
Polls ›
Ariz. 6
Juan Ciscomani R
Polls ›
Calif. 22
David Valadao R
Polls ›
Colo. 8
Gabe Evans R
Polls ›
Fla. 25
Jared Moskowitz D
Iowa 1
Mariannette Miller-Meeks R
Iowa 3
Zach Nunn R
Mich. 7
Tom Barrett R
Polls ›
N.J. 7
Thomas Kean Jr. R
Polls ›
N.Y. 17
Mike Lawler R
Polls ›
The House battleground is likely to change several times between now and November. Some House races that are less competitive now may become so this fall. And some races currently seen as competitive seats are likely to fall off the map entirely, as incumbents or challengers fade.
Senate
10 competitive races
2 lean R Rep. 2 likely R Rep.
10 solidly
50 seats
15 solidly Rep.
or likely Dem.
and 34 not up
for re-election
for control
and 31 not up
for re-election
Republicans currently hold 53 Senate seats. Democrats would need to flip four states, while defending their two most vulnerable seats in Michigan and Georgia, in order to win the majority.
Democrats would need to win 51 seats because in a 50-50 Senate, Vice President JD Vance would cast the tie-breaking vote for Republicans. It’s a tall task that would require Democrats to win seven of the eight races that Cook rates as tossups or leans, including at least two seats in states that Mr. Trump won by double digits in 2024 — between Alaska, Ohio and Texas.
The most competitive Senate races
The odds are one reason Democrats have pushed to compete for seats in states like Texas, Iowa and Nebraska, even though these races more strongly favor Republicans. In fact, in Nebraska, the party has rallied behind an independent candidate, Dan Osborn, as the best shot to unseat a Republican.
Senate races that could become more competitive
State
Incumbent
Rating ▾
Iowa
None
Polls ›
Neb.
Pete Ricketts R
Polls ›
News
Xi’s last frontier: China’s plan to transform its west
Additional contributions by Haohsiang Ko, Chris Campbell and Annalee Mather.
The location and route of the tunnel system for the hydropower dam are indicative, as official designs have not been made public. While the route shown is approximate, it follows an elevation change consistent with the proposed plans for the facility.
Mehebub Sahana, an environmental geographer at Manchester University, and Ye Huang, a researcher at Global Energy Monitor, assessed possible locations for the facility and reviewed satellite imagery to determine whether recent construction activity was linked to the project.
Images of major infrastructure projects included at the top of the story, in the order in which they appear: China News Service/Getty Images; CFOTO/Sipa USA; Xinhua/Shutterstock; CFOTO/Sipa USA; Reuters; Xinhua/Shutterstock; CFOTO/Sipa USA; CHINE NOUVELLE/SIPA/Shutterstock. Videos from ski resorts in Xinjiang were sourced from China’s Xiaohongshu social media platform.
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One by one, U.S. civil rights agency dismantles tools to fight discrimination
The EEOC was established by Title VII of the Civil Rights Act of 1964 to address entrenched discrimination in employment.
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In 1966, the newly-established Equal Employment Opportunity Commission issued a rule to tackle entrenched discrimination on the job.
Every year, companies with a hundred or more workers would turn over to the government information about the race, ethnicity, sex and job categories of their employees.
This EEO-1 data, as it’s known, has helped the federal agency figure out where people of color and women are not getting hired or promoted. Over decades, the EEOC’s work has led to settlements worth billions.
Now, as part of a realignment of civil rights enforcement under President Trump, the EEOC is seeking to end its annual data collection while also getting rid of a 1979 regulation that allowed employers to take certain steps to address race and gender imbalances revealed by the data.
Together, the moves would mark an about-face in the civil rights agency’s efforts to fulfill its mission.
Andrea Lucas, the Trump-appointed chair of the EEOC, did not respond to NPR’s questions about the two proposals, which have been submitted to the White House for review.
But in interviews and public remarks, Lucas has repeatedly warned that programs or policies aimed at helping specific groups, such as Black people or women, are unlawful under Title VII of the Civil Rights Act of 1964 if they exclude others.
“Regardless of what has happened before, the way to stop discriminating based on race is to stop discriminating based on race. The end. Full stop,” Lucas said at the Fortune Workplace Innovation Summit earlier this month. “I think that that’s a more beautiful vision of our country, and I think it’s consistent with the text of the statute.”
A roadmap for addressing discrimination
The 1979 regulation the EEOC seeks to rescind was issued with this very dilemma in mind: Can a company remedy discrimination by giving special consideration to those who were deprived of opportunities in the past?
The answer back then was yes. The agency gave the go-ahead for mentoring programs and even hiring targets.
“The EEOC says you can take some of these voluntary efforts, even though they will be race- or gender-conscious,” says Chai Feldblum, who served on the commission during the Obama and first Trump administrations. “This is the EEOC giving employers the roadmap of how they can take race and gender into account in a positive way and not violate the law.”
The guidelines, issued in January 1979, made clear that companies first had to document a problem, and then come up with a reasonable and time-limited plan for how to increase the number of minorities or women in their ranks.
Five months later, the Supreme Court embraced that roadmap. In a 5-2 decision known as Weber, the court found that an affirmative action plan to remedy past discrimination was lawful provided it did not “unnecessarily trammel the interests of white employees” and that it was temporary.
In 1987, the court issued another decision, known as Johnson, extending protection to efforts aimed at helping women.
Now known as the Weber-Johnson standard, it’s still the law regardless of what happens with the EEOC’s 1979 regulation, says Feldblum. But for how long, she’s not sure.
“I think the Supreme Court is just waiting for a case that might allow them to overturn those two important cases,” she says.
How data has helped root out discrimination
The more imminent change, assuming the EEOC’s proposals go forward, is the demise of the agency’s annual collection of employee demographics. Usually, the data collection begins in late spring. So far this year, there’s been no word of it.
Since the 1960s, the EEOC has recovered billions of dollars for workers who have suffered discrimination on the job, and in many cases, EEO-1 data played a key role.
“It’s one of the first things that you can look at as you’re trying to learn more,” says Karla Gilbride, who served as the EEOC’s general counsel during the Biden administration.
Protecting U.S. workers from unlawful discrimination — already a hard task — could become significantly harder if the government no longer has that data within arm’s reach, Gilbride says. Having to subpoena data would make enforcement far more laborious and less efficient.
A lawsuit against Bass Pro Shops
Consider the lawsuit against Bass Pro Shops, first filed in 2011.
The EEOC alleged the company, formally known as Bass Pro Outdoor World, discriminated against Black and Hispanic job applicants by not hiring them — not just at one store, but across the country, even in places with sizable Black and Hispanic populations.
“Store by store by store, sort of the same idea, where you had areas that had a significant number of Blacks and Latinos, and either zero or very few at the stores,” says David Lopez, who was the EEOC’s general counsel at the time and now leads the Civil Rights, Migration and Workplace Law Initiative at Arizona State University.
A Bass Pro Shops Outdoor World retail store in Irvine, Calif.
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The EEOC saw that pattern because it had Bass Pro’s demographic data on file. Government investigators could easily compare the outdoor gear shop to other retailers in the same counties. They could also compare Bass Pro’s workforce to the available pool of workers in the surrounding areas.

While the data by itself could not prove discrimination, Lopez says it was a green light to agency investigators to dig further.
“Because they had a reason to investigate, they were able to discover that there were managerial comments that were reflective of discriminatory animus, that they were looking for a certain type of person,” says Lopez.
Someone who was white, according to the government’s complaint.
Bass Pro called the allegations “threadbare” and accused the government of merely relying on “a handful of isolated incidents of alleged inappropriate behavior.”
EEOC investigators later bolstered their case, identifying implicated managers and job applicants by name and compiling a list of dozens of Bass Pro stores with a low representation of Black and Hispanic employees.
Finally, in 2017, the company settled for $10.5 million. Bass Pro did not admit to any wrongdoing, but agreed to appoint a diversity director and to make good-faith efforts to recruit and hire non-white candidates.
Lopez considered the settlement a big win, one of many he oversaw in his time at the EEOC that were built on data.
“You can have a hunch, but there’s nothing like the cold, hard numbers,” he says.
Agency chair says data has been misused
Early indications of the EEOC’s plan to stop gathering data came a year ago.
In announcing the opening of the 2025 data collection period, Lucas posted a message warning employers of their obligations under federal civil rights law.
“You must not use the information collected and reported in your organization’s EEO-1 Component 1 report to justify treating employees differently based on their race, sex, or other protected characteristic,” she wrote.
In an interview with NPR earlier this year, Lucas explained her missive. She said a number of companies have been misusing the data — including in ways that have hurt white people and men.
Lucas believes the only people who should know the gender and race of a company’s employees are its lawyers and human resources staff. Instead, after the 2020 murder of George Floyd by a white police officer, a number of companies published their demographic data as part of public commitments to address the lack of diversity within their ranks.
Equal Employment Opportunity Commission chair Andrea Lucas has served on the commission since 2020, appointed by President Trump.
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Elizabeth Gillis/NPR
Subsequently, she contends, companies began making decisions about whom to hire, promote and interview for jobs based on sex or race, noting some even gave hiring managers financial incentives to hit diversity targets.
That use of demographic data crosses the line, she says. “All it has to do is motivate — in whole or in part — your decision making, and you’re into unlawful territory.”
Lucas declined to single out any company by name, citing the confidentiality of agency investigations. But according to court documents, the EEOC has accused Nike and The New York Times of discrimination against white employees and job applicants. The two companies are among many that published their demographic data along with their diversity-related goals for several years.

A focus on data in select cases
Paradoxically, Lucas has at times talked up the importance of data.
“There is no other way to protect victims of harassment and discrimination unless you collect information about them,” she said while speaking in April at a conference at Harvard organized by the Brandeis Center, an independent civil rights organization.
In that instance, she was defending the EEOC’s subpoena, requiring the University of Pennsylvania to turn over employee information that the agency doesn’t routinely collect: the names, addresses and phone numbers of Jewish employees who may have witnessed antisemitic acts on campus.
The university has, so far, refused to comply with the subpoena, noting in court filings that it echoes terrifying periods of history for Jewish communities.
“Driving a car without a dashboard”
The profound changes underway at the EEOC have kept David Cohen busy. The president of the management consulting firm DCI Consulting has fielded many calls from confused clients, wondering whether the work they’ve been doing to promote equal opportunity should continue.
For now, he’s telling clients that keeping track of their employee demographics is a smart business move, whether the government requires it or not.
Without it, he says, a company has no way of knowing if it has a problem — whether it’s recruiting from too narrow a pool, or has a bad manager somewhere, or is screening out qualified candidates for no good reason.
“It’s like you’re driving a car without a dashboard. You have no idea what’s going [on]. Am I speeding? Am I not speeding? Is my check-engine light on?” he says. “You have nothing.”
He’s been reminding clients that while priorities have shifted at the EEOC, federal civil rights laws haven’t changed.
“Stay within the law, and you will be okay,” he says.
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