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Oregon ER doctors win a ‘David and Goliath’ battle against a national company
A national physician staffing firm tried to take over the contract held by Eugene Emergency Physicians to work in local hospitals. The local physicians used a new state law to oppose the move.
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In between shifts in the emergency room, Dr. Dan McGee was in an Oregon courtroom. He was fighting for his practice — Eugene Emergency Physicians (EEP). The group of more than 40 doctors and physician assistants work at multiple emergency departments; it was being replaced by a national company.
“This was big time, David and Goliath stuff,” McGee said. “You see 14 of their lawyers sitting there and you see three of ours.”
Those lawyers argued that ApolloMD, the national company, violated Oregon’s corporate practice of medicine law. The 2025 law bans corporations from taking control of a medical practice’s operations and finances.
The case garnered national interest because Oregon’s new law targets the loopholes large staffing firms have been employing to circumvent state corporate medicine laws.

Money for control
Most states have laws requiring that doctors own medical practices, not corporations. These rules aim to put patient interests ahead of profit motives. Over the last several years, companies have used a model where a doctor technically owns the local practice, but as Erin Fuse Brown, a professor at Brown University, explains, those physician owners are often not involved in care and cede hiring, firing and other operational functions to the corporation.
Fuse Brown said these arrangements are attractive to hospitals because these companies often promise more revenue and take over the responsibilities that come with running an ER.
“There’s worry that these investors or these corporate management companies should not be totally controlling the operations and the clinical decisions of those who are trained to deliver patient care,” Fuse Brown said.
The connection to patient care concerned Dr. Jonas Pologe, who works for Eugene Emergency Physicians, in the Eugene, Ore., area. ApolloMD offered local doctors jobs, but Pologe worried that if he pushed back on decisions ApolloMD made, he could lose work hours.
“There’s certainly a chance that if you make enough of a stink, you think that something needs to change, they can just stop giving you shifts,” said Pologe.

ApolloMD’s CEO, Dr. Yogin Patel, said the group doesn’t infringe on the way its doctors practice. He says the company is being unfairly lumped in with broader concerns over physicians’ feelings of disempowerment at the hands of corporate medical takeovers.
A closely watched experiment
Fuse Brown, policy experts and independent physicians theorized that updating state corporate medicine laws could be a fix to limit the control management companies can exert over medical doctors.
Oregon’s the first state to try this, and the case brought by the Eugene doctors group is the first test of that law. McGee, who leads the Eugene physicians group, says colleagues at other hospitals around the state were literally tuning in to their case.
“You could hear it almost like background music on an elevator,” McGee says he was told. “At key moments, all of a sudden the nurses would break out in a cheer.”
Before any ruling, the hospital system dropped its plan to work with ApolloMD and struck a deal to stick with McGee’s local group of doctors.
“This is a big victory for independent physician groups over corporate medicine,” McGee said. “This is a game changer.”
The American Academy of Emergency Medicine (AAEM) supported the Eugene doctors as part of the organization’s strategy to protect independent practices. The AAEM president, Dr. Vicki Norton, said Oregon has the strongest law in the country.
“This signals that that law works and we need it replicated in other states to really strengthen their corporate practice laws,” said Norton.
California and Vermont have passed similar legislation to Oregon, and lawmakers in other states, including Rhode Island and New Mexico, are considering related bills.
In Virginia, an independent group of ER doctors who were replaced by a large staffing firm is meeting with state legislators to try to change their laws.
Impact on Oregon physicians
Back in Oregon, the open question is about how the law may impact the physician practice market.
A few of the largest companies, Envision Healthcare, TeamHealth and USACS, declined to answer NPR’s questions about whether this case or the new law changed their outlook on investing in Oregon practices.
Opponents of the legislation warned lawmakers that many physician groups depend on outside investment to survive.
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US congressman says he was detained by armed Israeli settlers in occupied West Bank
The US congressman Ro Khanna says armed Israeli settlers detained him during a visit to the Israel-occupied West Bank recently, describing the experience as a first-hand view of the realities faced by Palestinians living under occupation.
In an interview with Reuters on Thursday from a Palestinian village, the progressive US House Democrat from California said his detention happened the previous day while his delegation visited an area of the southern West Bank that has experienced repeated attacks by Israeli settlers.
Khanna recounted how settlers carrying US-made M4 rifles surrounded the group’s van.
“We were at a village that Israeli settlers had destroyed – they had destroyed the school, they had destroyed that village, and we were just looking at it,” Khanna said.
Referring to the Israel Defense Forces, which is funded in part by US military aid, Khanna continued: “And these hoodlums … detain us. They block off the road. And then they call the IDF and the IDF is on their side, not on the side of the Americans.”
Khanna also told Reuters, “I saw the arrogance in the eyes of those settlers, 21- and 22-year-olds with guns, laughing that they had detained us, the arrogance of those young IDF soldiers that my tax dollars are funding – having no respect for the fact that they were detaining Americans, no respect that there was an American congressperson in that bus, and laughing when our translator told them that there are Americans there and the American embassy is concerned.”
Khanna aide Cameron Kasky wrote on X that he was there when the congressman’s group was detained, saying: “The IDF showed up to back up the settlers, not the US congressman.”
Khanna added that the encounter illustrated “the arrogance of power – of a power that has had no accountability, total impunity – and it’s created a toxic culture of oppression”.
The New York Times first reported Khanna’s account on Saturday morning. He told the outlet: “I felt powerless in that situation, which is not an easy thing, as I have a lot of privilege in life.
“Imagine how people feel every day, Palestinians under the occupation, if they could make an American congressperson feel powerless for 90 minutes.”
Khanna said he and his group were ultimately able to continue traveling after contacting the US embassy and Israeli police.
The Israeli military said troops and police responded after receiving a report that settlers were obstructing vehicles near Khirbet Zanuta, according to Reuters.
Khirbet Zanuta is a Palestinian hamlet whose residents were forced to leave in the wake of violent settler raids after the Hamas attacks on Israel in October 2023.
Asked by Reuters whether he intends to run for president, Khanna replied: “I’m strongly considering it. And I’m more resolved to consider it after this trip.”
More than 700,000 Israelis reside in settlements across the occupied West Bank including East Jerusalem. The United Nations considers Israeli settlements in the West Bank to be illegal, and Israel has faced repeated criticism over violence and other actions by settlers in the territory.
Since Israel took control of the West Bank in 1967, restrictions imposed there have prevented the territory from developing a self-sustaining economy. Those restrictions intensified significantly after the deadly 7 October 2023 Hamas attacks on Israel.
Nearly 300,000 Palestinians have lost employment in the West Bank and Israel.
A June report issued by a UN independent international commission of inquiry concluded that “Israeli authorities and security forces have deliberately targeted Palestinian children resulting in genocide, crimes against humanity, and war crimes in the Gaza Strip and war crimes in the West Bank”.
According to data from human rights organisation Yesh Din, no Israeli has been indicted for the killing of a Palestinian since October 2023.
Khanna has been one of the most outspoken critics in the US Congress of the war in Gaza and the occupation of the West Bank, often clashing with his own party’s establishment. In May, he released a video criticizing the Democratic National Committee’s incomplete postmortem report on the defeat that the party suffered at the hands of Donald Trump in the 2024 presidential election.
The postmortem did not mention Gaza. In his video, Khanna said: “As someone who campaigned in Michigan and Wisconsin, let me tell you – one of the reasons we lost is our blank check to Israel and [prime minister Benjamin] Netanyahu while they committed genocide in Gaza.
“We must speak and confront hard truths if this party is to win” the 2028 presidential election, he added.
Reuters contributed reporting
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How a Beer Hall Keeps Up With a World Cup Crowd
The fans see the games, the crowds, the food and the beer. But behind every World Cup watch party is a team working long before kickoff and well after the final whistle. We go behind the scenes at a beer hall in Brooklyn to see what it takes to serve a room full of soccer fans on game day.
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With the white nationalist group Patriot Front, what you see is not what you get
Members of the group Patriot Front ride the subway as a commuter looks on, in Washington, D.C., on July 4.
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The sight of hundreds of masked men roaming the streets of Washington, D.C., on July Fourth weekend, wearing khakis, blue shirts and uniform patches, was chilling to some of the city’s residents.
For many Americans, it was the first they heard about Patriot Front, a white nationalist organization that was born out of the deadly 2017 Unite the Right rally in Charlottesville, Va. A now-viral Reuters photo prompted reflections on the experience of a lone African American woman who was photographed in a Metro subway car, surrounded by white supremacists.
The planned demonstration of force was timed to bring a fringe group of extremists into public view as the nation marked 250 years of its independence. Indeed, the stunt succeeded in earning the group media coverage across mainstream outlets, amplifying its brand and potential to reach new recruits. On this occasion, the members refrained from engaging in violence and property damage, projecting an image of law-abiding, orderly activism.
But those who are closely familiar with Patriot Front’s history and operations warn: Don’t believe what you see.
“That is not who they are in private,” said Len Kamdang, director of the Criminal Justice Project at the Lawyers’ Committee for Civil Rights Under Law. “Although they were on their best behavior [last] weekend, this is a dangerous group that commits acts of violence all over the country.”
Patriot Front’s history of violence and property damage
Kamdang’s organization sued members of Patriot Front for vandalizing a public mural dedicated to the tennis legend and Black activist Arthur Ashe in Richmond, Va., in 2021. Ashe, who was inducted into the International Tennis Hall of Fame in 1985, was born in Richmond and his legacy is a continuing source of pride to members of that community.
“A couple of Patriot Front members showed up under cover of night and vandalized the mural,” Kamdang said. “They painted white stencils all over. … They literally tried to whitewash him and they put their symbols of hate all over — their stencils, their slogans. And all the while they were caught on video. And that video leaked using some of the most horrible language that you can imagine.”
In many jurisdictions, law enforcement can seek additional hate crime charges or sentencing enhancements in cases where illegal acts appear to have been motivated by racial bias. But in this case, Kamdang said, Patriot Front members faced no criminal charges and their identities were only revealed when online activists later infiltrated the group and leaked internal records.


In another civil case, Patriot Front was ordered to pay almost $2.76 million to an African American musician whom they assaulted in Boston in 2022, at another July flash rally they staged. Despite a police detective concluding that the attack “appeared to be more likely than not motivated in whole or in part by Anti-Black bias,” nobody was criminally prosecuted.
Neo-Nazi ideology in patriotic colors
In 2020, Kristofer Goldsmith said that a fellow veteran invited him to partner up on infiltrating Patriot Front. Goldsmith, who later established the Task Force Butler Institute to recruit Army veterans to counter fascist groups through open source online research, was not closely familiar with the group at the time.
“Frankly, when my friend used the term ‘neo-Nazi,’ I thought he was using hyperbole,” Goldsmith said. “It wasn’t until I saw them doing things like debating the merits of national socialism versus fascism versus monarchy that I truly understood that neo-Nazi was not hyperbole, that these people actually praise Hitler. … These people have dedicated their lives to promoting white nationalist, fascist and genocidal ideology.”
Patriot Front’s founder, Thomas Rousseau, was formerly a leader of a group called Vanguard America, which was prominent in planning and a presence at the 2017 Unite the Right rally. That gathering, the largest public white nationalist event in generations, turned fatal when one extremist drove a car through a crowd of counterprotesters, killing Heather Heyer. Ultimately, Goldsmith said that rally further smeared public perception of the white nationalist movement as violent and un-American — lessons that Rousseau took to heart.
“Rousseau needed to rebrand Vanguard America,” Goldsmith said. “So he basically stole all of its assets, its digital assets … and made it into Patriot Front and literally painted everything in red, white and blue so that it would be more attractive.”
The group has also shown up at natural disaster sites, namely in Central Texas last summer, ostensibly to assist local residents. Goldsmith said these missions and the group’s outward aesthetic are meant to project an idea of patriotism and service. He said the group maintains a strict code of conduct. Among other things, they do not display swastikas or give Hitler salutes in public.
“The goal of their propaganda, of their public actions like this, is to beat MAGA and conservatives and Republicans into defending them and to saying, ‘I don’t see anything wrong with this group. They clearly love America,’” he said.
Patriot Front described as a “cult” and a “pyramid scheme”
The show of force in D.C. has raised questions about the group’s financing, and whether members’ travel was sponsored by outside individuals or groups. In fact, Goldsmith and Kamdang said that members of Patriot Front appear almost entirely to shoulder the cost of operations and Rousseau’s lifestyle. They said it’s most likely that those who traveled to D.C. had to cover their costs themselves.
“All of them funnel resources to the top,” Kamdang explained about the group’s general financial structure. “In order to be a Patriot Front member, you have to engage in acts of what they call ‘activism.’ And usually what that means is vandalism: putting up banners, spreading the slogans of hate all over the country. And in order to do that, they will have stickers, stencils, branding. All of that has to be approved from the top down, and all of it has to be purchased from the top down. So all the members who do this multiple times a month send cash to Thomas Rousseau for essentially stickers and stencils.”

Goldsmith said that from his time infiltrating the group, the costs could run up to hundreds of dollars a month per member. Kamdang, who said that attorneys are actively seeking to collect judgment in the settlement over the Arthur Ashe mural, noted that Rousseau appears not to hold any additional paying jobs.
“This seems to be what he’s doing full time,” Kamdang said. “So he appears to be being propped up full time by his members.”
Goldsmith likened the financial operation to a pyramid scheme. But he said even more substantial than the financial investment that Patriot Front members are required to make to retain membership is the control they give up over their time and personal choices.
“I describe it as a cult, not to be offensive, but because it is like Rousseau needs to have complete control of all of his members,” Goldsmith said. “[The group] requires its members to give up all of their lives, all of their relationships. All of their priorities in life need to be focused towards growing the organization or continuing the organization [and] enriching its leadership. So, it’s costly.”
NPR reached out to Patriot Front for comment. The group did not respond by deadline.
Goldsmith also noted that Rousseau often gives lengthy speeches that members are expected to listen to, via online platforms.
To Kamdang, the publicity that Patriot Front earned through the group’s D.C. stunt presents a danger: It amplified a presentation of the group that was deliberately crafted to make Patriot Front appear orderly and patriotic.
“I think the reason why it got a lot of attention is because Patriot Front was very careful in their language,” he said. “They try to mask their replacement theory, the white supremacy and in ‘Americana’ terms and patriotism. But that is not who these guys are.”
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