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Supreme Court Greenlights Republican Crusade to Defund Planned Parenthood
On Thursday, the Supreme Court delivered a decision that could be a death knell for Planned Parenthood health centers across the nation.
In a 6-3 decision authored by Justice Neil Gorsuch, the court’s conservative supermajority decided that the federal Medicaid Act does not give an individual the right to bring a civil rights lawsuit challenging the termination of a specific Medicaid provider from that state’s network.
The Supreme Court’s ruling in Medina v. Planned Parenthood South Atlantic is its latest assault on reproductive health care. The case also marks another victory for the Alliance Defending Freedom, the Christian conservative litigation shop behind the Dobbs decision, in which the high court reversed Roe v. Wade and ended the federal right to an abortion. (ADF lawyers represented the South Carolina Department of Health and Human Services in Medina.)
Supporters of Planned Parenthood have long feared that the case could pave the way for states across the country to kick the largest provider of women’s health care nationwide out of their Medicaid networks too. Now, that seems like a distinct possibility.
Seven years ago — before Roe v. Wade was overturned, before President Donald Trump was elected again, and before a Republican-controlled Congress was poised to approve the largest-ever cuts to federal funding for Planned Parenthood — South Carolina Republican Gov. Henry McMaster sought to kick the organization out of his state’s Medicaid network.
There are two Planned Parenthood health centers in South Carolina; together they serve an estimated 6,000 patients a year. But back in 2018, McMaster issued an executive order directing South Carolina’s Medicaid agency to look for ways to keep Planned Parenthood — which provides birth control, STI testing, and cancer screenings, in addition to abortion services — from receiving any public money at all. “Taxpayer dollars must not directly or indirectly subsidize abortion providers,” he said at the time.
Federal law already bars Medicaid money from going toward abortion care except in the most limited set of circumstances, and abortion is now banned in South Carolina at 6 weeks gestation with very few exceptions, but McMaster continued his crusade — even after court after court ruled against him.
Back in 2018, a South Carolina woman — a Medicaid recipient who received her health care at a Planned Parenthood center — sued, saying that McMaster’s order deprived her of her right to choose her own health care provider, a right that was guaranteed by the federal Medicaid Act. Two years later, in 2020, the woman, Julie Edwards, won and the fight McMaster picked with Planned Parenthood looked to be over.
But, two years after that, a new decision from the Supreme Court revived the case, and on Thursday, the Court’s majority ruled against Planned Parenthood.
In a dissenting opinion, Justice Ketanji Brown Jackson wrote, “Today’s decision is likely to result in tangible harm to real people.” She was joined in her opinion by Justices Elena Kagan and Sonia Sotomayor.
“At a minimum, it will deprive Medicaid recipients in South Carolina of their only meaningful way of enforcing a right that Congress has expressly granted to them,” Jackson added. “And, more concretely, it will strip those South Carolinians — and countless other Medicaid recipients around the country — of a deeply personal freedom: the ‘ability to decide who treats us at our most vulnerable.’”
Thursday’s loss before the Supreme Court was a first for the plaintiffs. Susanna Birdsong, the general counsel and vice president of compliance for Planned Parenthood South Atlantic, tells Rolling Stone that prior to this decision, “We won at every stage of the litigation.” Most recently, the Fourth Circuit re-examined the case and reached its original conclusion: that the federal Medicaid act allows patients to choose their provider — any qualified provider — and the state of South Carolina couldn’t arbitrarily tell a person like Julie Edwards that she cannot choose an otherwise qualified provider.
Now, Birdsong says that Planned Parenthood is “looking at all of our options” — legally and otherwise — “to continue to fight for our patients.”
“While I’m deeply disappointed that the court ruled the way that they did — and I think wrongly decided that the Medicaid Act does not confer this right… There are other potential ways to challenge what the state is trying to do here,” Birdsong adds.
Condemnation of the decision, meanwhile, was swift and loud from reproductive rights advocates across the country.
Destiny Lopez, CEO of the Guttmacher Foundation, a reproductive policy institute, called the decision “a grave injustice.”
“At a time when health care is already costly and difficult to access, stripping patients of their right to high-quality, affordable health care at the provider of their choosing is a dangerous violation of bodily autonomy and reproductive freedom,” Lopez added, citing Guttmacher data that showed that one in three patients who sought out birth control in 2020 received it from a Planned Parenthood.
“Today’s decision favors extremists who’d rather let someone die of cancer than let them get a cancer screening at Planned Parenthood,” Nancy Northup, president and CEO of the Center for Reproductive Rights, said in a statement. “The decision will put fuel on the fire of the multi-year campaign to deny Medicaid patients their right to see Planned Parenthood providers for contraceptives, STI testing, and other non-abortion services. Right now, Congress is seeking to replicate South Carolina’s ban nationwide, putting politics above patients in making health care decisions.”
Planned Parenthood has previously estimated that if South Carolina won the case, nearly 200 of their health centers in 24 states across the country would be threatened with closure, with the vast majority — 90 percent — of those closures to occur in states where abortion is legal.
The state of Texas has already removed Planned Parenthood from both its publicly-funded family planning program and its Medicaid network. The results have been stark. According to a report released earlier this month, the percentage of enrollees accessing care dropped from 90 percent in 2011 to 59 percent in 2023. Over the same 12-year period, the use of birth control accessed through the program declined by 56 percent.
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U.S. launches strikes in Syria targeting Islamic State fighters after American deaths
President Donald Trump and Defense Secretary Pete Hegseth salute as carry teams move the transfer cases with the remains of Iowa National Guard soldiers Sgt. William Nathaniel Howard, 29, of Marshalltown, Iowa, and Sgt. Edgar Brian Torres-Tovar, 25, of Des Moines, Iowa, and civilian interpreter Ayad Mansoor Sakat, who were killed in an attack in Syria, during a casualty return, Wednesday, Dec. 17, 2025 at Dover Air Force Base, Del.
Julia Demaree Nikhinson/AP
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Julia Demaree Nikhinson/AP
WASHINGTON — The Trump administration launched military strikes Friday in Syria to “eliminate” Islamic State group fighters and weapons sites in retaliation for an ambush attack that killed two U.S. troops and an American civilian interpreter almost a week ago.

A U.S. official described it as “a large-scale” strike that hit 70 targets in areas across central Syria that had IS infrastructure and weapons. Another U.S. official, who also spoke on condition of anonymity to discuss sensitive operations, said more strikes should be expected.
“This is not the beginning of a war — it is a declaration of vengeance. The United States of America, under President Trump’s leadership, will never hesitate and never relent to defend our people,” Defense Secretary Pete Hegseth said on social media.
The new military operation in Syria comes even as the Trump administration has said it’s looking to focus closer to home in the Western Hemisphere, building up an armada in the Caribbean Sea as it targets alleged drug-smuggling boats and vowing to keep seizing sanctioned oil tankers as part of a pressure campaign on Venezuela’s leader. The U.S. has shifted significant resources away from the Middle East to further those goals: Its most advanced aircraft carrier arrived in South American waters last month from the Mediterranean Sea.

Trump vowed retaliation
President Donald Trump pledged “very serious retaliation” after the shooting in the Syrian desert, for which he blamed IS. Those killed were among hundreds of U.S. troops deployed in eastern Syria as part of a coalition fighting the militant group.
During a speech in North Carolina on Friday evening, the president hailed the operation as a “massive strike” that took out the “ISIS thugs in Syria who were trying to regroup.”
Earlier, in his social media post, he reiterated his backing for Syrian President Ahmad al-Sharaa, who Trump said was “fully in support” of the U.S. effort.
Trump also offered an all-caps threat, warning IS against attacking American personnel again.
“All terrorists who are evil enough to attack Americans are hereby warned — YOU WILL BE HIT HARDER THAN YOU HAVE EVER BEEN HIT BEFORE IF YOU, IN ANY WAY, ATTACK OR THREATEN THE U.S.A.,” the president added.
The attack was conducted using F-15 Eagle jets, A-10 Thunderbolt ground attack aircraft and AH-64 Apache helicopters, the U.S. officials said. F-16 fighter jets from Jordan and HIMARS rocket artillery also were used, one official added.
U.S. Central Command, which oversees the region, said in a social media post that American jets, helicopters and artillery employed more than 100 precision munitions on Syrian targets.
How Syria has responded
The attack was a major test for the warming ties between the United States and Syria since the ouster of autocratic leader Bashar Assad a year ago. Trump has stressed that Syria was fighting alongside U.S. troops and said al-Sharaa was “extremely angry and disturbed by this attack,” which came as the U.S. military is expanding its cooperation with Syrian security forces.
Syria’s foreign ministry in a statement on X following the launch of U.S. strikes said that last week’s attack “underscores the urgent necessity of strengthening international cooperation to combat terrorism in all its forms” and that Syria is committed “to fighting ISIS and ensuring that it has no safe havens on Syrian territory and will continue to intensify military operations against it wherever it poses a threat.”
Syrian state television reported that the U.S. strikes hit targets in rural areas of Deir ez-Zor and Raqqa provinces and in the Jabal al-Amour area near the historic city of Palmyra. It said they targeted “weapons storage sites and headquarters used by ISIS as launching points for its operations in the region.”
IS has not said it carried out the attack on the U.S. service members, but the group has claimed responsibility for two attacks on Syrian security forces since, one of which killed four Syrian soldiers in Idlib province. The group in its statements described al-Sharaa’s government and army as “apostates.” While al-Sharaa once led a group affiliated with al-Qaida, he has had a long-running enmity with IS.
The Americans who were killed
Trump this week met privately with the families of the slain Americans at Dover Air Force Base in Delaware before he joined top military officials and other dignitaries on the tarmac for the dignified transfer, a solemn and largely silent ritual honoring U.S. service members killed in action.
The guardsmen killed in Syria last Saturday were Sgt. Edgar Brian Torres-Tovar, 25, of Des Moines, and Sgt. William Nathaniel Howard, 29, of Marshalltown. Ayad Mansoor Sakat, of Macomb, Michigan, a U.S. civilian working as an interpreter, also was killed.
The shooting near Palmyra also wounded three other U.S. troops as well as members of Syria’s security forces, and the gunman was killed. The assailant had joined Syria’s internal security forces as a base security guard two months ago and recently was reassigned because of suspicions that he might be affiliated with IS, Interior Ministry spokesperson Nour al-Din al-Baba has said.
The man stormed a meeting between U.S. and Syrian security officials who were having lunch together and opened fire after clashing with Syrian guards.
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Trump’s push to end transgender care for young people opposed by pediatricians
A display at the Gender Health Program of Children’s Minnesota hospital. Under a proposed rule announced Thursday, a hospital will lose all its Medicaid and Medicare funding if it continues to provide gender-affirming care for trans people under age 18.
Selena Simmons-Duffin/NPR
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Selena Simmons-Duffin/NPR
Dr. Kade Goepferd watched the Trump administration’s moves on Thursday to ban gender-affirming care for transgender youth with “a mix of sadness and frustration.”
Goepferd, who is the founder of Children’s Minnesota Gender Health Program, says that for the medical community, nothing has changed about the evidence supporting gender-affirming care that could justify the government’s actions.

“There’s a massive propaganda and disinformation campaign that is selectively targeting this small population of already vulnerable kids and their families,” Goepferd says.
“Men are men”
Federal health officials said many times at Thursday’s announcement that their actions were driven by science and evidence, not politics or ideology. They frequently praised a report published by the Department of Health and Human Services in November. It concluded that clinicians who provide medical care to help youth transition have failed their patients and emphasized the benefits of psychotherapy as an alternative.
At times, health officials cast doubt on the idea that a person could be transgender at all.
“Men are men. Men can never become women. Women are women. Women can never become men,” said Acting CDC Director Jim O’Neill. He added that “the blurring of the lines between sexes” represented a “hatred for nature as God designed it.”
Health Secretary Robert F. Kennedy Jr. said doctors and medical groups had “peddled the lie” that these treatments could be good for children, and that those youth were “conditioned to believe that sex can be changed.”
Doctor groups disagree
The American Academy of Pediatrics, the medical group that represents 67,000 pediatricians across the country, pushed back forcefully on those characterizations.
“These policies and proposals misconstrue the current medical consensus and fail to reflect the realities of pediatric care and the needs of children and families,” said AAP President Dr. Susan J. Kressly in a statement. “These rules help no one, do nothing to address health care costs, and unfairly stigmatize a population of young people.”
AAP’s official position on this medical care is that it is safe and effective for the young people who need it. That view is shared by the American Medical Association, the Endocrine Society, among other medical organizations.
In a statement Thursday, the American Psychological Association wrote: “APA is deeply concerned about recent federal actions that not only challenge the scientific understanding of gender identity but also potentially jeopardize the human rights, psychological health, and well-being of transgender and nonbinary individuals.”
The most significant proposal released by HHS would withhold all Medicare and Medicaid funding from hospitals — a big portion of their budgets — if they provided gender-affirming care to those under age 18.
The Children’s Hospital Association said that rule — if finalized — would set a dangerous precedent. “Today’s proposed conditions make it possible for all kinds of specialized health care treatments to be withheld based on government-mandated rules,” wrote CEO Matthew Cook. “Millions of families could lose access to the care they need.”
After a 60-day comment period, the rules could be finalized and then take effect.
Attorneys general in New York and California have said they will fight these rules and protect the rights of trans people to get care in their states. The ACLU has vowed to sue, and more legal challenges are expected.
“I don’t want to be lost”
According to a CDC survey, about 3% of teenagers aged 13-17 identify as transgender, approximately 700,000 people. A poll from health research organization KFF found that less than a third of transgender people took medication related to their identity and 16% had had surgery.
For young people, medical options most commonly include puberty blockers and hormones. Surgery is very rare for minors. “This is health care that evolves over time, is individualized, tailored to a patient’s needs, often after years of relationship with a trusted health care team,” says Goepferd.
NPR spoke to a transgender 15-year old in California this week about the moves Trump administration officials were making to restrict care. “They think what I’m feeling is a phase and that my family should just wait it out and that it’s better I’m unhappy and never receive care,” he says. NPR agreed not to name him because of fears for his safety.
He says it can be difficult for those who are not transgender to understand that experience, but that, as far as he can tell, these health officials “are not interested in understanding trans people.”
He describes the long and deliberate process he made with his parents and doctors before he began taking testosterone. “The decision to not start gender-affirming care is often just as permanent as a decision to start it,” he says. “Not starting [hormone therapy], for some people, it feels like ruining our body, because there are certain changes we can never have.”
Now, after six months on testosterone, he feels like he’s on the right path, and is worried about the prospect of losing access to his medication if HHS’s efforts to shut down care nationally succeed. “It feels like someone’s throwing me into the bush just off the path I’m on, and that’s kind of terrifying,” he says. “I don’t want to be lost. I want to keep going where I’m going.”
“Deep moral distress”
More than half of states already ban gender-affirming care for young people after a frenzy of laws passed since 2021 in Republican-led states. This week, Republicans in the House led efforts to pass two federal bills that would restrict access to care, including one that could put doctors who provide the care in prison for up to ten years. It’s unclear if the bills will be voted on in the Senate.
Although nothing has officially changed in states where the care is still legal, these efforts to enact national restrictions have doctors and health systems in those states bracing for the possibility that their clinics will have to close down.
Dr. Kade Goepferd takes care of transgender and gender diverse young people at Children’s Minnesota hospital.
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“There’s a deep moral distress when you know that there is care that you can provide to young people that will measurably improve their health and the quality of their life, and you’re being restricted from doing that,” Goepferd of Children’s Minnesota says. “And there’s a moral distress in feeling like — as a hospital or a health care system — you have to restrict care that you’re providing to one population to remain financially viable to provide health care for other kids.”
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Takeaways from an eventful 2025 election cycle
Is there such a thing as an “off year” for U.S. elections? The elections in 2025 were not nearly as all-encompassing as last year’s presidential race, nor as chaotic as what is expected from next year’s midterms. But hundreds of elections were held in dozens of states, including local contests, mayoral races, special congressional elections and two highly anticipated governor’s races.
Many of the elections were seen as early tests of how lasting President Trump’s 2024 gains might be and as a preview of what might happen in 2026.
Here are five takeaways from the 2025 election cycle.
In Elections Seen as Referendums on Trump, Democrats Won Big
Democrats did well in nearly all of this year’s elections, continuing a pattern that has played out across off-year elections for the last two decades: The party that wins the White House routinely loses ground in the next round of elections.
The change in the final margin from the presidential election to the next election for governor
Virginia and New Jersey have historically swung away from the president’s party in governor’s races
Elections in these years are often viewed as referendums on the president’s performance. And Mr. Trump’s approval ratings, after months of holding steady, took a dip in November.
A notable shift came in New Jersey, where the majority-Hispanic townships that swung toward Mr. Trump in 2024 swung back to Democrats in the 2025 governor’s race. That contributed significantly to the victory of Representative Mikie Sherrill, the Democratic candidate, over Jack Ciattarelli, the Trump-backed Republican.
New Jersey’s majority-Hispanic towns snapped back left in 2025
Each line is a township whose width is sized to the number of votes cast in 2025
The leftward swing was viewed by many political commentators as a reaction to Mr. Trump. If that is the case, it remains to be seen how much of it will carry over into 2026.
Progressive and Moderate Democrats Are Both Claiming Victories
Democratic strategists continue to debate whether the party should embrace progressive candidates or more moderate ones. And in 2025, the election results had both sides feeling emboldened.
In New York City, Zohran Mamdani, a democratic socialist who struggled to garner support from the Democratic Party, defeated former Gov. Andrew Cuomo by nine points. A similar story played out in Jersey City, where James Solomon, a progressive, crushed former Gov. James McGreevey of New Jersey in a mayoral runoff. Progressives also prevailed in cities like Detroit and Seattle.
Centrist Democrats, meanwhile, came away with arguably the two biggest wins of the year against Trump-endorsed Republicans. Abigail Spanberger and Ms. Sherrill, both Democrats, outperformed their polling estimates and decisively won the high-profile governor’s races in Virginia and New Jersey.
The debate will continue among Democrats as several 2026 primaries have prominent progressive and moderate candidates going head to head.
In Texas, Representative Jasmine Crockett, a progressive, entered the primary race for a U.S. Senate seat against the more moderate James Talarico. A similar situation has developed in Maine, where Graham Platner has pitched himself as a more progressive alternative to Janet Mills in the party’s attempt to unseat Senator Susan Collins, a Republican. Other progressives, like Julie Gonzales in Colorado and Brad Lander in New York, are challenging incumbent Democrats in primary races.
A Record 14 Women Will Serve as Governors in 2026
Virginians elected Ms. Spanberger as their first female governor. In New Jersey, Ms. Sherrill became the second woman to secure the position. Both women significantly outperformed Vice President Kamala Harris’s margins from the 2024 presidential race, improving on her results by almost 10 points.
Female candidates also did well down the ballot. Eileen Higgins will be the first female mayor in Miami after defeating Emilio González, who had the support of Mr. Trump. And, in Seattle, Katie Wilson defeated the incumbent mayor, Bruce Harrell.
States that will have female governors in 2026
Come 2026, a record 14 women — 10 Democrats and four Republicans — will serve as governors, with six of them expected to run for re-election next year. (More than a dozen states have yet to elect a female governor.)
In New York, it is likely that both candidates will be women: Representative Elise Stefanik, a Republican, began a campaign last month against the incumbent, Kathy Hochul.
Special Elections Are Still Very Special (for Democrats)
Despite not flipping any House seats, Democrats outperformed Ms. Harris’s 2024 results in every House special election this cycle. Their wins, however, offer limited insight into what might happen in 2026.
Special elections, which happen outside of regular election cycles to fill vacated seats, draw fewer voters than those in midterm or presidential years. Special election voters tend to be older and highly engaged politically, and they are more likely to be college educated. That has given Democrats a distinct advantage in recent years, and 2025 was no exception.
Democratic candidates in this year’s special congressional elections outperformed Kamala Harris’s 2024 margins.
Democrats did well in the 2025 special elections
Democratic strength in special elections extended to lower-profile races held this year. In Virginia, Democrats secured 64 out of 100 seats in the House of Delegates. In Georgia, Democrats won two seats on the Georgia Public Service Commission, the first time the party won a non-federal statewide office since 2006. Pennsylvania Democrats swept the major Bucks County contests, electing a Democratic district attorney for the first time. And, in Mississippi, Democrats broke the Republican supermajority in the State Senate.
Odd-Numbered Years Are Still Very Odd (for Election Polls)
Polling in off-year election cycles is challenging because it’s hard to know who will turn out to vote. This year, the polls significantly overestimated the Republicans in the Virginia and New Jersey governor’s races, which both had particularly high turnout for an off year. In 2021, polls had the opposite problem, as they overestimated Democrats.
Each dot is a poll from the relevant governor’s election, positioned according to its polling error in the election.
Polls missed in opposite directions in 2021 and 2025
Polling misses don’t necessarily carry over from cycle to cycle: Despite the leftward bias of the polls in 2021, they performed very well in 2022. After each election, pollsters look at the result and evaluate their performance, and then note where they went wrong. Analysis from groups like the American Association for Public Opinion Research frequently indicates that errors come from an incorrect sense of who shows up to vote. Pollsters then try to adjust for this error in the next election cycle.
The errors of 2025 may prove largely irrelevant, however, as the midterm elections will feature a larger, very different pool of voters with a new set of races, and a new host of lessons for pollsters to learn.
Off years are weird, and the polling errors they produce often are as well.
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