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Rival rulings on medication abortion hypercharge the post-Roe legal war | CNN Politics

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Rival rulings on medication abortion hypercharge the post-Roe legal war | CNN Politics



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A pair of conflicting federal courtroom rulings on Friday created arguably essentially the most contentious and chaotic authorized flashpoint over abortion entry because the Supreme Court docket’s ruling final summer time that overturned Roe v. Wade and ended the correct to an abortion nationwide.

Inside lower than an hour, two main rulings got here down in separate, carefully watched circumstances regarding treatment abortion – in lawsuits which can be fully at odds with one another.

In a single case, filed by anti-abortion activists in Texas, a decide stated the FDA’s 2000 approval of mifepristone – one of many medicine used to terminate a being pregnant – ought to be halted. However the courtroom paused its ruling for every week in order that it may be appealed, and that enchantment is already beneath manner.

Within the second case, the place Democratic-led states had sued in Washington to develop entry to abortion tablets, a decide ordered the federal authorities to maintain the drug out there within the 17 states, plus the District of Columbia, that introduced the lawsuit.

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On their face, each circumstances take care of the executive regulation that controls how the US Meals and Drug Administration goes about regulating mifepristone. The disputes didn’t rely immediately on the query of whether or not there’s a proper to an abortion – the query that was on the heart of the Supreme Court docket’s ruling final June. However tucked within the Texas ruling, by US District Choose Matthew Kacsmaryk, was the concept embryos might have particular person rights that courts can contemplate of their rulings.

Each circumstances emerge from a political atmosphere that was unleashed by the Supreme Court docket’s Roe v. Wade reversal and a willingness to push the authorized envelope that the Supreme Court docket ruling created. The abortion situation is now on a path again to the Supreme Court docket, as greater courts are requested to type out the contradictory instructions of Friday evening’s selections.

As a result of the Texas decide has paused his ruling, it has no speedy impression on the provision of treatment abortion medicine. However the subsequent a number of days stand to be a dramatic and flamable authorized battle over the order – a battle ratcheted up by the rival ruling in Washington.

In addition to pausing his ruling for one week, Kacsmaryk – an appointee of former President Donald Trump who sits in Amarillo, Texas – appeared to carry nothing again as he ripped aside the FDA’s approval of mifepristone and embraced wholeheartedly the challengers’ arguments the drug’s dangers weren’t adequately thought-about.

Kacsmaryk, whose anti-abortion advocacy earlier than becoming a member of the federal bench was documented by a latest Washington Put up profile, confirmed a placing hostility to treatment abortion, which is the strategy utilized in a majority of the abortions in the USA.

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Main medical organizations have already condemned his opinion and pushed again on the decide’s evaluation of the security of treatment abortion.

The decide stated that the FDA failed to contemplate “the extraordinary psychological trauma and post-traumatic stress girls typically expertise from chemical abortion,” in what was a repeated invocation of “chemical abortion,” the time period most popular by abortion opponents. Kacsmaryk advised that the FDA’s information was downplaying the frequency with which the drug being mistakenly administered to somebody who had an ectopic being pregnant, i.e. a being pregnant outdoors the cavity of the uterus. He repeated the challengers’ accusations that the FDA’s approval course of had been the topic of improper political stress.

He stated the FDA’s refusal to impose sure restrictions on the drug’s use “resulted in lots of deaths and plenty of extra extreme or life-threatening hostile reactions.”

“Regardless of the numbers are, they seemingly could be significantly decrease had FDA not acquiesced to the stress to extend entry to chemical abortion on the expense of ladies’s security,” he stated.

Jack Resneck Jr., the president of the American Medical Affiliation, stated in a press release that Kacsmaryk’s ruling “flies within the face of science and proof and threatens to upend entry to a secure and efficient drug.”

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“The courtroom’s disregard for well-established scientific info in favor of speculative allegations and ideological assertions will trigger hurt to our sufferers and undermines the well being of the nation,” the AMA president stated.

Kacsmaryk’s opinion paid no heed to the argument made by the FDA’s defenders that reducing off entry to treatment abortion would put the well being of pregnant individuals in danger and that it could pressure abortion seekers to terminate their pregnancies by means of a surgical process as an alternative.

As a substitute, the decide wrote {that a} ruling within the challengers’ favor would guarantee “that ladies and ladies are protected against pointless hurt and that Defendants don’t disregard federal regulation.”

As he defined why the preliminary injunction – which was being handed down earlier than the case might proceed to a trial – was justified, he stated that embryos had their very own rights that might be a part of the evaluation. That assertion goes farther than what the Supreme Court docket stated in its June ruling, referred to as Dobbs v. Jackson Girls’s Well being.

“Parenthetically, stated ‘particular person justice’ and ‘irreparable harm’ evaluation additionally arguably applies to the unborn people extinguished by mifepristone — particularly within the post-Dobbs period,” Kacsmaryk stated Friday.

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Whereas Kacsmaryk had been requested by the challengers in Texas to dam treatment abortion, US District Choose Thomas Owen Rice, who sits in Spokane, Washington, was contemplating whether or not abortion tablets ought to be simpler to acquire.

Rice, an Obama appointee, granted the Democratic attorneys common who introduced the lawsuit a partial win.

That they had requested Rice to take away sure restrictions – referred to as REMS or Danger Analysis and Mitigation Technique – the FDA has imposed on mifepristone, with the blue states arguing the drug was secure and efficient sufficient to make these restrictions pointless.

Whereas Rice is rejecting that bid for now, he granted a request the states additionally made that the FDA be ordered to maintain the medicine in the marketplace. However Rice’s ruling solely applies within the 17 plaintiff states and the District of Columbia.

His resolution maintains the established order for the provision of abortion tablets in these locations and he particularly is obstructing the company from “altering the established order and rights because it pertains to the provision of Mifepristone beneath the present operative January 2023 Danger Analysis and Mitigation Technique.”

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Rice’s opinion was a placing cut up display screen to Kacmsaryk’s. Whereas the Texas decide stated the FDA didn’t adequately take into consideration the drug dangers, Rice confirmed sympathy to the arguments that the foundations for mifepristone’s use had been too strict and that the company ought to be taking a extra lenient method to how the abortion capsule is regulated.

Finally, he stated he wouldn’t grant the Democratic states’ request that he take away a number of the drug restrictions at this preliminary stage within the proceedings, as a result of that will go properly past sustaining the established order whereas the case advances. He famous that if he had granted that request, it could additionally undo a brand new FDA rule that enables pharmacies to dispense abortion tablets. That would scale back its availability and would run “immediately counter to Plaintiffs’ request.”

If Kacsmaryk’s ruling halting mifepristone’s approval is allowed to enter impact, it would run headlong into Rice’s order that mifepristone stay out there in a number of states. Kacsmaryk’s ruling is a nationwide injunction.

The Justice Division and Danco, a mifepristone producer that intervened within the case to defend the approval, each filed notices of enchantment. Each Legal professional Basic Merrick Garland and Danco stated in statements that along with the appeals, they’ll search “stays” of the ruling, that means emergency requests that the choice is frozen whereas the enchantment strikes ahead.

They’re interesting to the US fifth Circuit Court docket of Appeals, which is typically stated to be the nation’s most conservative appeals courtroom. But some authorized students had been skeptical that the fifth Circuit, as conservative as it’s, would let Kacmsaryk’s order take impact.

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Washington, the place the blue states’ lawsuit was filed, is roofed beneath the ninth Circuit, a liberal appellate courtroom. Nevertheless it’s unclear if the ruling from Rice will probably be appealed. Garland stated the Justice Division was nonetheless reviewing the choice out of Washington. A so-called circuit cut up would enhance the chances that the Supreme Court docket would intervene. However given how the sensible impression of the 2 district courtroom rulings contradict one another, the Supreme Court docket could don’t have any selection however to get entangled.

The lawyer for the challengers within the Texas case, anti-abortion treatment associations and medical doctors, stated Friday night that he had not reviewed the Washington resolution, so he couldn’t weigh in on the way it impacted Kacsmaryk’s order that the drug’s approval be halted.

“I’m undecided whether or not there’s a direct battle but and with the Washington state resolution simply because I haven’t learn it but, however there might not be a direct battle,” Erik Baptist, who’s an legal professional with Alliance Defending Freedom, stated. “But when there’s a direct battle then there could also be – it might be inevitably going to the Supreme Court docket, however I’m not satisfied that it’s vital at this level to make that conclusion.”

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China poses ‘genuine and increasing cyber risk’ to UK, warns GCHQ head

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China poses ‘genuine and increasing cyber risk’ to UK, warns GCHQ head

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China poses a “genuine and increasing cyber risk to the UK”, the head of Britain’s signals intelligence agency has said.

The remarks by Anne Keast-Butler, director of GCHQ, follow a slew of alleged China-related espionage activity in the UK, including a suspected cyber attack that targeted the records of thousands of British military personnel.

Keast-Butler told a security conference in Birmingham on Tuesday that while the cyber threats from Russia and Iran were “globally pervasive” and “aggressive” respectively, China was her agency’s top priority.

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“China poses a genuine and increasing cyber risk to the UK,” she said, calling the country “the epoch-defining challenge” in a direct echo of the British government last year.

“In cyber space, we believe that the PRC’s [People’s Republic of China’s] irresponsible actions weaken the security of the internet for all,” said Keast-Butler.

“China has built an advanced set of cyber capabilities and is taking advantage of a growing commercial ecosystem of hacking outfits and data brokers at its disposal,” she added.

Her warnings came a week after a reported cyber attack on private IT contractor SSCL, which has multiple government contracts, accessed the records of up to 272,000 people on the UK Ministry of Defence’s payroll.

Defence secretary Grant Shapps told parliament last week that the attack had been carried out by a “malign actor”. He did not confirm who was behind it, but a person with direct knowledge of the incident said Beijing was thought to be the culprit.

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SSCL, which is owned by Paris-based Sopra Steria, a digital services company, holds the payroll details of most of the British armed forces and 550,000 public servants in total through its other state contracts, including with the Home Office, Ministry of Justice and Metropolitan Police.

The hack is one of a series of recent incidents that has sparked growing concern across Europe and in the US about Chinese cyber and espionage activity.

On Monday, UK Prime Minister Rishi Sunak said Britain faced threats from “an axis of authoritarian states like Russia, Iran, North Korea, and China” as three men appeared in a London court on charges of assisting intelligence services in Hong Kong.

On Tuesday, the UK government summoned China’s ambassador to Britain, Zheng Zeguang, over the case.

John Lee, Hong Kong’s chief executive, on Tuesday said his administration had demanded the British government provide an explanation about the prosecution of one of the three men, Bill Yuen, who was the office manager of the Hong Kong Economic and Trade Office in London.  

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Beijing officials have also repeatedly denied the British accusations, calling them “groundless and slanderous” in what has become a tit-for-tat series of allegations and denials.

Meanwhile, Felicity Oswald, who heads the National Cyber Security Centre, a branch of GCHQ, warned CyberUK conference attendees about the Chinese Communist party’s cyber capability, which she described as “vast in scale and sophistication”.

She said western security agencies had repeatedly raised the alarm about Volt Typhoon, a Chinese hacking network, which FBI director Christopher Wrap said this year had targeted the US electricity grid and water supply.

Oswald added that a Chinese law, introduced in recent years, that required Chinese citizens to report any cyber security vulnerabilities they identified to the government “should worry all of us”.

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Despite state bans, abortions nationwide are up, driven by telehealth

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Despite state bans, abortions nationwide are up, driven by telehealth

Abortion rights activists at the Supreme Court in Washington, D.C. on March 26, the day the case about the abortion drug mifepristone was heard. The number of abortions in the U.S. increased, a study says, surprising researchers.

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Drew Angerer/AFP via Getty Images


Abortion rights activists at the Supreme Court in Washington, D.C. on March 26, the day the case about the abortion drug mifepristone was heard. The number of abortions in the U.S. increased, a study says, surprising researchers.

Drew Angerer/AFP via Getty Images

In the 18 months following the Supreme Court’s decision that ended federal protection for abortion, the number of abortions in the U.S. has continued to grow, according to The Society of Family Planning’s WeCount project.

“We are seeing a slow and small steady increase in the number of abortions per month and this was completely surprising to us,” says Ushma Upadhyay, a professor and public health scientist at the University of California, San Francisco who co-leads the research. According to the report, in 2023 there were, on average, 86,000 abortions per month compared to 2022, where there were about 82,000 abortions per month. “Not huge,” says Upadhyay, “but we were expecting a decline.”

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The slight increase comes despite the fact that 14 states had total abortion bans in place during the time of the research. According to the report, there were about 145,000 fewer abortions in person in those states since the Dobbs decision, which triggered many of the restrictive state laws.

“We know that there are people living in states with bans who are not getting their needed abortions,” says Upadhyay. “The concern we have is that that might be overlooked by these increases.”

Florida, California and Illinois saw the largest surges in abortions, which is especially interesting given Florida’s recent 6-week ban that started on May 1.

Abortion rights opponents demonstrate in New York City, on March 23. Some states’ abortion bans are known as “heartbeat bills,” because they make abortion illegal after cardiac activity starts, usually around six weeks of pregnancy.

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Abortion rights opponents demonstrate in New York City, on March 23. Some states’ abortion bans are known as “heartbeat bills,” because they make abortion illegal after cardiac activity starts, usually around six weeks of pregnancy.

Kena Betancur/AFP via Getty Images

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The latest report also captures for the first time the impact of providers offering telehealth abortions from states with protections for doctors and clinics known as shield laws – statutes that say they can’t be prosecuted or held liable for providing abortion care to people from other states.

Between July and December 2023, more than 40,000 people in states with abortion bans and telehealth restrictions received medication abortion through providers in states protected by shield laws. Abortion pills can be prescribed via telehealth appointments and sent through the mail; the pills can safely end pregnancies in the first trimester.

The report includes abortions happening within the U.S. health care system, and does not include self-managed abortions, when people take pills at home without the oversight of a clinician. For that reason, researchers believe these numbers are still an undercount of abortions happening in the U.S.

Accounting for the increases

A major factor in the uptick in abortions nationwide is the rise of telehealth, made possible in part by regulations first loosened during the coronavirus pandemic.

According to the report, telehealth abortions now make up 19% of all abortions in the U.S. In comparison, the first WeCount report which spanned April 2022 through August 2022 showed telehealth abortions accounted for just 4% of all abortions. Research has shown that telehealth abortions are as safe and effective as in-clinic care.

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“It’s affordable, it’s convenient, and it feels more private,” says Jillian Barovick, a midwife in Brooklyn and one of the co-founders of Juniper Midwifery, which offers medication abortion via telehealth to patients in six states where abortion is legal. The organization saw its first patient in August 2022 and now treats about 300 patients a month.

“Having an in-clinic abortion, even a medication abortion, you could potentially be in the clinic for hours, whereas with us you get to sort of bypass all of that,” she says. Instead, patients can connect with a clinician using text messages or a secure messaging platform. In addition to charging $100 dollars for the consultation and medication – which is well below the average cost of an abortion – Barovick points to the cost savings of not having to take off work or arrange child care to spend multiple hours in a clinic.

She says her patients receive their medication within 1 to 4 business days, “often faster than you can get an appointment in a clinic.”

A study published in JAMA Internal Medicine on Monday followed about 500 women who had medication abortions with the pills distributed via mail order pharmacy after an in-person visit with a doctor. More than 90% of the patients were satisfied with the experience; there were three serious adverse events that required hospitalization.

In addition to expansions in telehealth, there have been new clinics in states like Kansas, Illinois and New Mexico, and there’s been an increase in funding for abortion care – fueled by private donors and abortion funds.

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The impact of shield laws

During the period from October to December 2023, nearly 8,000 people per month in states with bans or severe restrictions accessed medication abortions from clinicians providing telehealth in the 5 states that had shield laws at the time. That’s nearly half of all monthly telehealth abortions.

“It’s telemedicine overall that is meeting the need of people who either want to or need to remain in their banned or restricted state for their care,” says Angel Foster, who founded The MAP, a group practice operating a telehealth model under Massachusetts’ shield laws. “If you want to have your abortion care in your state and you live in Texas or Mississippi or Missouri, right now, the shield law provision is by far the most dominant way that you’d be able to get that care.”

Foster’s group offers medication abortions for about 500 patients a month. About 90% of their patients are in banned or restrictive states; about a third are from Texas, their most common state of origin, followed by Florida.

“Patients are scared that we are a scam,” she says, “they can’t believe that we’re legit.”

Since the WeCount data was collected, additional states including Maine and California have passed shield laws protecting providers who offer care nationwide. The new shield laws circumvent traditional telemedicine laws, which often require out-of-state health providers to be licensed in the states where patients are located. States with abortion bans or restrictions and/or telehealth bans hold the provider at fault, not the patient.

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Existing lawsuits brought by abortion opponents, including the case awaiting a Supreme Court decision, have the potential to disrupt this telehealth surge by restricting the use of the drug mifepristone nationwide. If the Supreme Court upholds an appeals court ruling, providers would be essentially barred from mailing the drug and an in-person doctor visit would be required.

There is also an effort underway in Louisiana to classify abortion pills as a controlled substance.

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Anglo American plans break-up after rejecting £34bn BHP bid

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Anglo American plans break-up after rejecting £34bn BHP bid

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Anglo American plans to break itself up as the embattled mining group tries to win over shareholders following its rejection of a £34bn takeover bid from rival BHP.

In a series of sweeping changes to the 107-year-old mining company, Anglo said on Tuesday that it would sell or demerge its De Beers diamond business, its South African-based Anglo American Platinum operation as well as its coking coal assets.

London-listed Anglo will instead focus on its copper, iron ore and crop nutrients businesses. BHP, the world’s biggest miner, has set its sights on securing Anglo’s copper business, which is expected to boom as the world decarbonises.

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Since rebuffing two approaches from BHP, Anglo’s chief executive Duncan Wanblad has been under intense pressure to set out the group’s future as a standalone group.

Laying out the proposed changes, Wanblad said: “These actions represent the most radical changes to Anglo American in decades.” They will result in “a radically simpler business [that] will deliver sustainable incremental value creation”.

Anglo said it would also pull back on spending on Woodsmith, a flagship project in the UK designed to create a vast underground mine producing a yet-unproven fertiliser. Instead of spending $1bn a year to build the mine by 2027, only $200mn will be spent next year and nothing in 2026.

Shares in Anglo fell 0.5 per cent to £27.03 in early trading on Tuesday. BHP’s improved offer valued Anglo at £27.53, up from approximately £25 in its original bid.

Anglo shareholders have predicted that the group would struggle to sustain its current structure. They have long complained that the value of Anglo’s coveted copper mines in Latin America has been obscured by its other lacklustre operations, particularly its platinum and diamond divisions.

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As part of its bids, BHP has a provision requiring Anglo to spin off its two Johannesburg-listed subsidiaries, Anglo American Platinum and iron ore miner Kumba.

Following Anglo’s announcement on Tuesday, shares in Anglo American Platinum, which produces a range of metals in South Africa, fell 7 per cent. Anglo intends to keep Kumba Iron Ore as part of a “premium” iron ore division that would also include its Minas Rio mine in Brazil.

Alongside dismantling the structure it has maintained for years, Anglo also vowed to cut a further $800mn of costs annually on top of $1bn already earmarked.

Anglo provided few details on where the cost savings would come from, saying it would “need to consider its global workforce arrangements to realise the opportunities for its employees and to ensure delivery of the accelerated strategy”.

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