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C.D.C. Suggests Terms Like ‘Race’ and ‘Health Equity’ Are Off-Limits, Then Backtracks

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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.

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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.

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“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.

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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.

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“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.

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Trump ally diGenova tapped to lead DOJ probe into Brennan over Russia probe origins

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Trump ally diGenova tapped to lead DOJ probe into Brennan over Russia probe origins

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The Justice Department is turning to former Trump attorney Joeseph diGenova to spearhead a probe into ex-CIA Director John Brennan and others over the origins of the Trump-Russia investigation, as the department reshuffles leadership of the sprawling inquiry.

Acting Attorney General Todd Blanche has tapped diGenova to serve as counsel overseeing the matter, according to a New York Times report, putting a former Trump attorney in a key role in the high-profile probe. A federal grand jury seated in Miami has been impaneled since late last year.

The Department of Justice did not immediately respond to Fox News Digital’s request for comment.

DOJ ACTIVELY PREPARING TO ISSUE GRAND JURY SUBPOENAS RELATING TO JOHN BRENNAN INVESTIGATION: SOURCES

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Joseph diGenova represented President Donald Trump during special counsel Robert Mueller’s investigation. (Tom Williams/CQ-Roll Call/Getty Images)

DiGenova, a former U.S. attorney in Washington, D.C., who represented Trump during special counsel Robert Mueller’s investigation, has repeatedly accused Brennan of misconduct tied to the origins of the Russia probe—allegations that have not resulted in criminal charges.

He also said in a 2018 appearance on Fox News that Brennan colluded with the FBI and DOJ to frame Trump.

The origins of the Russia investigation have been the subject of ongoing scrutiny by Trump allies, who have argued that intelligence and law enforcement officials improperly launched the probe.

BRENNAN INDICTMENT COULD COME WITHIN ‘WEEKS’ AS PROSECUTORS REQUEST OFFICIAL TRANSCRIPTS

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Joseph diGenova has previously said that ex-CIA chief John Brennan colluded with the FBI and DOJ to frame Trump. (Tom Williams/CQ-Roll Call/Getty Images)

DiGenova’s appointment follows the ouster of Maria Medetis Long, a national security prosecutor in the South Florida U.S. attorney’s office. She had been overseeing the inquiry, including a false statements probe related to Brennan and broader conspiracy-related investigations.

As the investigation continues, federal investigators have issued subpoenas seeking information related to intelligence assessments of Russian interference in the 2016 election.

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John Brennan has denied any wrongdoing related to the Russia investigation. (William B. Plowman/NBC/NBC NewsWire via Getty Images; Alex Wong/Getty Images)

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Brennan has previously denied wrongdoing related to the Russia investigation and has defended the intelligence community’s assessment that Moscow interfered in the 2016 election.

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Supreme Court weighs phone searches to find criminals amid complaints of ‘digital dragnets’

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Supreme Court weighs phone searches to find criminals amid complaints of ‘digital dragnets’

A man carrying a gun and a cellphone entered a federal credit union in a small town in central Virginia in May 2019 and demanded cash.

He left with $195,000 in a bag and no clue to his identity. But his smartphone was keeping track of him.

What happened next could yield a landmark ruling from the Supreme Court on the 4th Amendment and its restrictions against “unreasonable searches.” The court will hear arguments on the issue on April 27.

Typically, police use tips or leads to find suspects, then seek a search warrant from a judge to enter a house or other private area to seize the evidence that can prove a crime.

Civil libertarians say the new “digital dragnets” work in reverse.

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“It’s grab the data and search first. Suspicion later. That’s opposite of how our system has worked, and it’s really dangerous,” said Jake Laperruque, an attorney for the Center for Democracy & Technology.

But these new data scans can be effective in finding criminals.

Lacking leads in the Virginia bank robbery, a police detective turned to what one judge in the case called a “groundbreaking investigative tool … enabling the relentless collection of eerily precise location data.”

Cellphones can be tracked through towers, and Google stored this location history data for hundreds of millions of users. The detective sent Google a demand for information known as a “geofence warrant,” referring to a virtual fence around a particular geographic area at a specific time.

The officer sought phones that were within 150 yards of the bank during the hour of the robbery. He used that data to locate Okello Chatrie, then obtained a search warrant of his home where the cash and the holdup notes were found.

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Chatrie entered a conditional guilty plea, but the Supreme Court will hear his appeal next week.

The justices agreed to decide whether geofence warrants violate the 4th Amendment.

The outcome may go beyond location tracking. At issue more broadly is the legal status of the vast amount of privately stored data that can be easily scanned.

This may include words or phrases found in Google searches or in emails. For example, investigators may want to know who searched for a particular address in the weeks before an arson or a murder took place there or who searched for information on making a particular type of bomb.

Judges are deeply divided on how this fits with the 4th Amendment.

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Two years ago, the conservative U.S. Court of Appeals for the 5th Circuit in New Orleans ruled “geofence warrants are general warrants categorically prohibited by the 4th Amendment.”

Chief Justice John Roberts sided with the court’s liberals in a 4th Amendment privacy case in 2018.

(Alex Wong / Getty Images)

Historians of the 4th Amendment say the constitutional ban on “unreasonable searches and seizures” arose from the anger in the American colonies over British officers using general warrants to search homes and stores even when they had no reason to suspect any particular person of wrongdoing.

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The National Assn. of Criminal Defense Lawyers relies on that contention in opposing geofence warrants.

Its lawyers argued the government obtained Chatrie’s “private location information … with an unconstitutional general warrant that compelled Google to conduct a fishing expedition through millions of Google accounts, without any basis for believing that any one of them would contain incriminating evidence.”

Meanwhile, the more liberal 4th Circuit in Virginia divided 7-7 to reject Chatrie’s appeal. Several judges explained the law was not clear, and the police officer had done nothing wrong.

“There was no search here,” Judge J. Harvie Wilkinson wrote in a concurring opinion that defended the use of this tracking data.

He pointed to Supreme Court rulings in the 1970s declaring that check records held by a bank or dialing records held by a phone company were not private and could be searched by investigators without a warrant.

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Chatrie had agreed to having his location records held by Google. If financial records for several months are not private, the judge wrote, “surely this request for a two-hour snapshot of one’s public movements” is not private either.

Google changed its policy in 2023 and no longer stores location history data for all of its users. But cellphone carriers continue to receive warrants that seek tracking data.

Wilkinson, a prominent conservative from the Reagan era, also argued it would be a mistake for the courts to “frustrate law enforcement’s ability to keep pace with tech-savvy criminals” or cause “more cold cases to go unsolved. Think of a murder where the culprit leaves behind his encrypted phone and nothing else. No fingerprints, no witnesses, no murder weapon. But because the killer allowed Google to track his location, a geofence warrant can crack the case,” he wrote.

Judges in Los Angeles upheld the use of a geofence warrant to find and convict two men for a robbery and murder in a bank parking lot in Paramount.

The victim, Adbadalla Thabet, collected cash from gas stations in Downey, Bellflower, Compton and Lynwood early in the morning before driving to the bank.

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After he was robbed and shot, a Los Angeles County sheriff’s detective found video surveillance that showed he had been followed by two cars whose license plates could not be seen.

The detective then sought a geofence warrant from a Superior Court judge that asked Google for location data for six designated spots on the morning of the murder.

That led to the identification of Daniel Meza and Walter Meneses, who pleaded guilty to the crimes. A California Court of Appeal rejected their 4th Amendment claim in 2023, even though the judges said they had legal doubts about the “novelty of the particular surveillance technique at issue.”

The Supreme Court has also been split on how to apply the 4th Amendment to new types of surveillance.

By a 5-4 vote, the court in 2018 ruled the FBI should have obtained a search warrant before it required a cellphone company to turn over 127 days of records for Timothy Carpenter, a suspect in a series of store robberies in Michigan.

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The data confirmed Carpenter was nearby when four of the stores were robbed.

Chief Justice John G. Roberts, joined by four liberal justices, said this lengthy surveillance violated privacy rights protected by the 4th Amendment.

The “seismic shifts in technology” could permit total surveillance of the public, Roberts wrote, and “we decline to grant the state unrestricted access” to these databases.

But he described the Carpenter decision as “narrow” because it turned on the many weeks of surveillance data.

In dissent, four conservatives questioned how tracking someone’s driving violates their privacy. Surveillance cameras and license plate readers are commonly used by investigators and have rarely been challenged.

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Solicitor Gen. D. John Sauer relies on that argument in his defense of Chatrie’s conviction. “An individual has no reasonable expectation of privacy in movements that anyone could see,” he wrote.

The justices will issue a decision by the end of June.

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Trump renews bridge, power plant threat against Iran in push for deal, mocks ‘tough guy’ IRGC

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Trump renews bridge, power plant threat against Iran in push for deal, mocks ‘tough guy’ IRGC

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President Donald Trump mocked the Islamic Revolutionary Guard on Sunday morning for staking claim to a Strait of Hormuz “blockade” the U.S. military had already put in place.

“Iran recently announced that they were closing the Strait, which is strange, because our BLOCKADE has already closed it,” Trump wrote on Truth Social. “They’re helping us without knowing, and they are the ones that lose with the closed passage, $500 Million Dollars a day! The United States loses nothing. 

“In fact, many Ships are headed, right now, to the U.S., Texas, Louisiana, and Alaska, to load up, compliments of the IRGC, always wanting to be ‘the tough guy!’”

Trump declared Saturday’s IRGC fire was “a total violation” of the ceasefire.

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“Iran decided to fire bullets yesterday in the Strait of Hormuz — A Total Violation of our Ceasefire Agreement!” his post began.

“Many of them were aimed at a French Ship, and a Freighter from the United Kingdom. That wasn’t nice, was it? My Representatives are going to Islamabad, Pakistan — They will be there tomorrow evening, for Negotiations.”

Trump remains hopeful about diplomacy, but is not ruling out a return to force, where he once warned about ending “civilation” in Iran as they know it.

“We’re offering a very fair and reasonable DEAL, and I hope they take it because, if they don’t, the United States is going to knock out every single Power Plant, and every single Bridge, in Iran,” Trump’s stern warning continued. 

“NO MORE MR. NICE GUY! 

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“They’ll come down fast, they’ll come down easy and, if they don’t take the DEAL, it will be my Honor to do what has to be done, which should have been done to Iran, by other Presidents, for the last 47 years. IT’S TIME FOR THE IRAN KILLING MACHINE TO END!”

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