Politics
C.D.C. Suggests Terms Like ‘Race’ and ‘Health Equity’ Are Off-Limits, Then Backtracks
President Trump’s assault on diversity, equity and inclusion efforts is provoking heated debate within his administration — and the public health field more broadly — over whether words like “race,” “equity” and “disparity” are too politically toxic to use.
The latest battle erupted on Monday, inside the domain of Health Secretary Robert F. Kennedy Jr., when employees of the Atlanta-based Centers for Disease Control and Prevention received an email instructing them to avoid using more than a dozen “key words” when writing annual goals for performance evaluations. The disfavored terms, according to copies of the email reviewed by The New York Times, included “health equity,” “race,” “bias,” “disparity,” “culturally appropriate” and “stereotype.”
In Washington, the C.D.C.’s parent agency, the Health and Human Services Department, insisted that there was no “official or unofficial CDC list of banned words,” and accused C.D.C. officials of trying to undermine Mr. Kennedy and Mr. Trump by “intentionally falsifying and misrepresenting guidance they receive.”
The C.D.C. issued a clarifying email saying that the words were still permissible after The Times inquired. But the dispute exposes much deeper tensions, both internal and external, over Mr. Trump’s work to reshape the federal government by rooting out what his allies call “woke ideology.”
Throughout the agency, career scientists and civil servants have been on high alert since Mr. Trump issued a directive for departments to crack down on diversity, equity and inclusion efforts. A big chunk of the C.D.C.’s work is promoting “health equity” by narrowing disparities between different groups.
That work does not necessarily involve reducing disparities between white people and other racial groups; there are all kinds of health disparities, including between rich and poor, or rural and urban, that are driven by factors like income, education and access to good housing.
But in a nation where life expectancy is, on average, nearly five years shorter for Black people than for white people, discussions of race in public health are difficult to ignore. The American Public Health Association has declared that racism is a public health crisis.
“In our country, race is a social construct which drives every aspect of our lives,” said Dr. Georges Benjamin, executive director of the association, which represents more than 25,000 public health professionals. “So when we don’t use words that have such an enormous impact, its difficult for people to understand what you’re talking about.”
But Dr. Sandro Galea, dean of the School of Public Health at Washington University in St. Louis, said it is perhaps time for the C.D.C. and public health officials to rethink terms like race and health equity.
Public health, he said, is concerned with the health of populations, not individuals. The ultimate goal, he said, is “to improve health for all populations” — no matter what you call it.
“I think we have to be careful not to over-invest in words that have become very difficult to have meaningful conversations about, and to take a step back and say, ‘What are we trying to achieve?’” Dr. Galea said.
When “particular expressions are so charged that it is closing people’s minds,” he added, “the way around that is not through endless repetition in a moment when people are not willing to hear.”
Monday’s email, according to two people familiar with it, was intended to comply with Mr. Trump’s series of executive orders aimed at gutting diversity, equity and inclusion programs, which the president views as discriminatory and wasteful. The people spoke on condition of anonymity to avoid reprisal.
Mr. Trump’s policy is a sharp departure from that of his predecessor, President Joseph R. Biden Jr., who took office at the height of the coronavirus pandemic, which took a devastating toll on people of color. Declaring that racial equity would be at the core of his coronavirus response, Mr. Biden installed a health equity officer in the White House.
Civil rights organizations have sued the Trump administration, arguing that the president’s orders are discriminatory and illegal and that they threaten funding for groups that provide critical services to historically underserved groups. Last week, a federal judge in Maryland temporarily blocked the enforcement of some of the initiatives.
In Atlanta, the C.D.C. is clearly wrestling with how far to go in discussing matters like race and equity now that Mr. Trump is president.
The agency’s five-year strategic plan, adopted in 2022, calls for decreasing “health disparities” by 2024. The goal, it says, is to “narrow racial disparities in blood pressure control, focusing initially on Black adults with hypertension, by improving blood pressure control rates in Black adults by 5%.”
But the C.D.C. also has an Office of Health Equity, which defines health equity as “the state in which everyone has a fair and just opportunity to attain their highest level of health.”
The office’s website appears to have been scrubbed of most mentions of race. Its page on National Minority Health Month includes three mentions of Latinos, but no mention of Black or white people.
The omissions are “astounding,” said David Rosner, a medical historian who co-directs the Center for the History of Ethics and Public Health at Columbia University.
“It’s impossible for a public health person to act responsibly without recognizing that African Americans have suffered,” he said, adding, “Every public health student recognizes in the first year of school that race is a determinative factor of health status. Being poor isn’t good, but being Black and poor is terrible — that’s what you learn. You can’t address public health without being aware of that.”
Apoorva Mandavilli contributed reporting.
Politics
Israel believes Iran war could last months, testing U.S. resolve
NEW YORK — U.S. and Israeli officials are privately casting doubt on projections from the Trump administration that the war with Iran could end within a matter of weeks — instead warning that a months-long campaign may be required to destroy the country’s ballistic missile capabilities and install a pliant government, multiple sources told The Times.
The prospect of extended combat creates political risks and uncertainties for President Trump, whose penchant for dramatic, short-term military operations has suddenly given way to a full-scale assault on the Islamic Republic, shocking a MAGA base that for years supported his calls to end forever wars in the Middle East.
One Israeli official told The Times — despite internal guidance among Israeli officials to adhere to the U.S. president’s stated time frame — that the war “definitely could be longer” than the four-week window that Trump repeatedly offered to reporters.
A U.S. official said that in private conversations, top administration officials presume the campaign will require a longer runway now that remnants of Iran’s government have chosen to resist rather than acquiesce to Washington.
Protracted war was always a possibility. Trump was presented with U.S. intelligence assessments gaming out the potential conflict that emphasized how highly unpredictable the results of an attack would be — an analysis the intelligence community believes has borne out on the ground in the chaotic early days of the conflict.
A longer conflict could create diplomatic space between Trump and Israel’s prime minister, Benjamin Netanyahu, who has advocated for the overthrow of the Islamic Republic for over 30 years.
The Israeli leader has succeeded in convincing Trump to take military actions in Iran that American presidents have rejected for decades, from bombing its nuclear facilities to assassinating its leadership, including Ayatollah Ali Khamenei, who was killed in an opening strike over the weekend.
Goal of a change of government fades
Yet, mere days into the war, White House officials have all but ceased references to a democratic spring that could sweep Iran’s government aside.
A set of four U.S. goals for the mission no longer calls for changing the regime itself. Still, Netanyahu’s government remains keen on replacing the government, and the nation’s longest-serving premier sees the current war as his best opportunity to do so, one official said.
Speaking with reporters Tuesday, Trump rejected reports that the Israelis had convinced him to launch the attack.
“No, I might have forced their hand,” Trump said. “Based on the way the negotiations were going, I think they were going to attack first, and I didn’t want that to happen. So if anything, I might have forced Israel’s hand, but Israel was ready, and we were ready, and we’ve had a very, very powerful impact because virtually everything they have has been knocked out.”
In a series of interviews this week, Trump said he had been given projections of a four- or five-week war, while noting he is prepared to go longer if necessary.
Michael Rubin, a former Pentagon official who is Iran expert at the American Enterprise Institute, said that projecting a deadline to the conflict at its start would be a strategic mistake for the Trump administration, as it would in effect give Iran’s remaining leadership an end date to wait out the fighting.
“Successive presidents have shown that America has strategic attention deficit disorder,” Rubin said. “If that was the case in Iraq and Afghanistan, it’s especially true under Trump. He imposed a ceasefire on Gaza that let Hamas survive to fight another day; they still haven’t disarmed.”
The duration of the war will depend, in part, on Iran’s ability to resist and defend its remaining capabilities — but also on the president’s willingness to accept an outcome that leaves the Islamic Republic in place.
That decision has not yet been made by Trump, who has vacillated between calls for a democratic uprising across Iran — and U.S. military options to support resistance groups inside the country — as opposed to a shorter campaign that cripples Iran’s political leadership and Islamic Revolutionary Guard Corps.
“I can go long and take over the whole thing, or end it in two or three days and tell the Iranians, ‘See you again in a few years if you start rebuilding,’” Trump told Axios.
One of Israel’s primary goals is to effectively eliminate the country’s ballistic missile program, and progress on that score is ahead of schedule, another source familiar with the operation said. “Things are going very well at the moment,” the source added. “Great pace.”
An Israeli military source noted to The Times that the stated goal of the mission is to significantly degrade, but not necessarily destroy, Iran’s ballistic missile capabilities, a goal the source said could be accomplished within Trump’s preferred time frame.
“Israel was quite unhappy Trump ordered the [June 2025] 12-day war ended when it did,” said Patrick Clawson, director of the Iran program at the Washington Institute for Near East Policy. He said he expected the current war would “take time” to comprehensively set back Iran’s ballistic missile capabilities, after a series of Israeli missions in 2024 against the missile program failed to set them back by more than a matter of months.
“Some Israelis think before the recent strikes, Iranian production was fully restored,” Clawson said. “So a really comprehensive attack on Iranian missiles is an important Israeli objective.”
The Maduro model
But no one inside the Islamic Republic system has emerged so far to serve in a supplicant role to Trump in the way that Delcy Rodríguez has stepped in as acting president of Venezuela, after U.S. forces captured that country’s strongman president, Nicolás Maduro, in an audacious overnight raid in January.
Since then, the Stars and Stripes have flown alongside the Venezuelan tricolor at government buildings in Caracas, where senior Trump administration officials have been welcomed to discuss lucrative opportunities in Venezuela’s oil industry.
Trump is now looking for an Iranian counterpart to Rodríguez, he said Tuesday, suggesting he is willing to keep the Islamic Republic in place despite encouraging its citizens to rise up against their government.
“Most of the people we had in mind are dead,” Trump said in the Oval Office. “We had some in mind from that group that is dead. And now we have another group. They may be dead also…. Pretty soon we’re not gonna know anybody.”
“I mean, Venezuela was so incredible because we did the attack and we kept the government totally intact,” he added.
Dennis Ross, a veteran diplomat on the Israeli-Palestinian conflict who served in the George H.W. Bush, Clinton and Obama administrations, expressed doubt that Trump would be willing to proceed with a months-long campaign, regardless of Israel’s aspirational objectives.
“I believe President Trump doesn’t define clear objectives so he can decide to end the war at a time of his choosing, and declare the objective at that point, announcing we have achieved what we sought to do,” said Ross, noting that finding a figurehead in Iran as he did in Venezuela was always “a long shot.”
“Unilaterally, he could declare we made the regime pay a price for killing its citizens, and we have weakened Iran to the point that it is not any longer a threat to its neighbors,” Ross added. “He could then say, if Iran continues the war, we will hit them even harder.”
Politics
Fraud-plagued Minnesota sues Trump admin for withholding $243M in Medicaid payments
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Minnesota filed a federal lawsuit Monday against the Trump administration, accusing federal health officials of illegally withholding $243 million in Medicaid payments from the state.
Attorney General Keith Ellison and the Minnesota Department of Human Services sued the Centers for Medicare and Medicaid Services (CMS) and the U.S. Department of Health and Human Services (HHS), arguing the funding freeze violates federal law.
The state is seeking a temporary restraining order to immediately block the action.
The dispute stems from a January notice in which the Trump administration said it would withhold more than $2 billion annually from Minnesota’s Medicaid program over what it described as “noncompliance” with federal regulations, specifically, alleged failures to “adequately identify, prevent, and address fraud in its Medicaid program.”
Minnesota Attorney General Keith Ellison speaks during a Senate Homeland Security Committee hearing on Capitol Hill. (Tom Brenner/AP)
State officials say they have not been told specifically how Minnesota is out of compliance or what changes the administration wants to see.
The lawsuit follows a Feb. 25 announcement from CMS that it was deferring roughly $260 million in quarterly federal Medicaid funding to Minnesota, including about $243 million tied to “unsupported or potentially fraudulent” claims.
CMS said the deferral is part of a broader fraud crackdown and cited unusually high spending and rapid growth in personal care services, home- and community-based services, and other practitioner services.
HEAVILY-REDACTED AUDIT FINDS MINNESOTA MEDICAID HAD WIDESPREAD VULNERABILITIES
Vice President JD Vance looks on as Medicare and Medicaid Administrator Mehmet Oz speaks about combating fraud at the White House complex in Washington, D.C., on Feb. 25, 2026. (Oliver Contreras/AFP via Getty Images)
“For decades, Medicare fraud has drained billions from American taxpayers — that ends now,” HHS Secretary Robert F. Kennedy Jr. said in a statement. “We are replacing the old ‘pay and chase’ model with a real-time ‘detect and deploy’ strategy, using advanced AI tools to identify fraud instantly and stop improper payments before they go out the door.”
Minnesota officials contend the move improperly uses a funding “deferral” mechanism and amounts to denying the state due process before any formal finding of noncompliance.
WALZ SLAMS TRUMP ADMIN FOR TEMPORARILY HALTING MEDICAID FUNDING TO MINNESOTA: ‘CAMPAIGN OF RETRIBUTION’
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The threatened cuts represent about 7% of Minnesota’s quarterly Medicaid funding and could force reductions in health care services for low-income residents, according to Ellison’s office.
“Trump’s M.O. is to cut first, no matter what the law says or who gets hurt, and ask questions later, if at all,” the attorney general said. “These cuts are the latest in a long series of efforts to go around the law to punish Minnesotans — but just as we fought back and won when they illegally tried to cut funding for childcare, hungry families, and our schools, we are suing them again today to make them follow the law.”
Politics
Fearing GOP win, California’s Democratic leader urges unviable party candidates for governor to drop out
Fearing the prospect of a Republican winning California’s gubernatorial race, state Democratic Party Chair Rusty Hicks on Tuesday urged his party’s candidates who lack a viable path to victory to drop out.
“It is imperative that every candidate honestly assess the viability of their candidacy and campaign,” Hicks wrote in an open letter to the politicians vying to replace termed-out Gov. Gavin Newsom. “I recognize my suggestions are hard for many to contemplate and may be even viewed as overly harsh by some.”
Hicks did not name the Democrats he wants out of the race, but such a public admonishment by a party leader is a rarity in California politics.
Even though the odds are relatively low, California cannot risk having a Republican elected as the next governor at a time when President Trump is in the White House, Hicks said.
“[S]o much is at stake in our Nation and so many are counting on the leadership of California Democrats to stand up and speak out at this historic moment,” Hicks wrote. “California’s leadership on the world stage is significantly harder if a Democrat is not elected as our next Governor.”
Hicks urged Democrats languishing at the bottom of the field of candidates to drop out before the Friday deadline to officially file to run for governor — to ensure their names do not appear on the June primary ballot.
Under California’s top-two primary system, the two candidates who receive the most votes in the June primary advance to the November general election, regardless of party.
With nine top Democrats running, the fear is that the candidates will splinter their party’s vote and allow the top two Republicans in the race to finish in first and second place. This is despite Democratic registered voters outnumbering Republicans in the state by almost 2 to 1, and no GOP candidate winning a statewide election since 2006.
Having two Republicans competing in the November election would be devastating to Democratic voter turnout and could hurt party candidates in pivotal down-ballot races.
“The result would present a real risk to winning the congressional seats required and imperil Democrats’ chances to retake the House, cut Donald Trump’s term in half, and spare our Nation from the pain many have endured since January 2025,” Hicks said in his letter. “We simply can’t let that happen.”
A recent poll by the Public Policy Institute of California found that five candidates lead the contest — former Rep. Katie Porter, Rep. Eric Swalwell and hedge fund founder Tom Steyer among Democrats and conservative commentator Steve Hilton and Riverside County Sheriff Chad Bianco, both Republicans. Hilton and Bianco have led all candidates in other polls over the last few months. No other candidate received the support of more than 5% of likely voters.
After Hicks issued his directive, two influential leaders in California Democratic politics said they shared his concerns.
Lorena Gonzalez, the head of the California Federation of Labor Unions, said she worries that Democratic candidates who are drawing low single-digit support in the polls and remain in the race could tilt the election.
“You’re in a situation where a candidate who pulls 2 or 3% could make all the difference whether there’s two Republicans and anti-union folks in the runoff or if there’s not,” she said.
Gonzalez said that while she believes the legislature, where Democrats hold super majorities in both chambers, would be a check if a Republican was elected the state’s leader, that might not be enough protect Californians from Trump’s destructive policies.
“We are seeing with Trump how much damage an executive who wants to ignore normal rules of engagement or the Constitution can do,” she said. “We can’t afford that.”
The federation began its endorsement process last week, and there were difficult conversations with gubernatorial candidates not only about their political beliefs, but also about their viability. The umbrella group of unions is expected to make an announcement about any potential endorsement on March 16.
Jodi Hicks, CEO and president of Planned Parenthood Affiliates of California, said it was imperative to block the “real possibility” of two Republicans advancing to the general election because of the deep cuts that the Trump administration has made to health care, including access to abortion.
“Given the severity of this moment, we urge candidates to consider how continuing their candidacy may put California’s values and reproductive freedom at risk,” Jodi Hicks said. “The stakes are too high for all of us, but especially for immigrant communities, transgender individuals, the over 15 million patients enrolled in Medi-Cal, and the over 25,000 patients a week who access essential health care at Planned Parenthood health centers.”
Discussions about the need for some Democrats to exit the race took place at last weekend’s California Democratic Party convention.
But a politically thorny issue is that nearly all of the Democrats lagging in the polls are people of color, as former U.S. Health and Human Services Secretary Xavier Becerra noted at a candidate forum Monday evening.
“There are people who are calling for candidates to get out of the race,” he said at the gathering hosted by Equality California and the Los Angeles LGBT Center at the Renberg Theatre in Hollywood. “Isn’t it interesting that the candidates they are asking get out of the race are the candidates of color?”
Rusty Hicks, asked about the effect on minority candidates who have spent years or decades of their lives in public service, did not directly answer the question but lauded the field’s accomplishments.
“We have a number of strong candidates. They have incredible stories, and they are reflective of the diversity of our party. That being said, there are some political realities of where we are at at this particular moment,” he said in an interview. “I’m not calling on any specific candidates to move in one direction or the other. I’m just calling on them to assess their campaign and determine if they have a viable [path] and if they don’t, to not file.”
During Monday evening’s gubernatorial forum, Porter said she is concerned about the prospect of two Republicans making the top two.
“I hear people say to me, it could never happen, but everybody said that about Trump too,” she said at the forum. “And I look at how much harm we’re suffering, and I think about all the political risks that people are facing every day, the risk of an immigrant to leave their home and walk on our streets, the risk of a kid who’s trans to try to play sports even in this state. And I just don’t think we can take any more political risks.”
Times staff writer Phil Willon contributed to this report.
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