Politics
Health groups call for suspending state plan on maternal deaths, saying it burdens patients
Dozens of maternal health organizations and advocates are urging the California surgeon general to suspend the rollout of a plan aimed at reducing maternal mortality, saying that the recently announced initiative won’t effectively address the crisis and “risks exacerbating existing inequities.”
In a letter shared with The Times, representatives of organizations including the California Black Women’s Health Project, Black Women for Wellness and the California Nurse-Midwives Assn. faulted the plan for “placing undue burden on individuals” and failing to “explicitly name and address racism as a root cause of maternal health inequities.”
The California Maternal Health Blueprint unveiled in September sets out strategies to try to bring down maternal deaths. Among them: Getting Californians of child-bearing age to fill out a new questionnaire to assess their risk of pregnancy complications, even before they become pregnant.
In their Oct. 21 letter to state surgeon general Dr. Diana Ramos, the advocacy groups said that the maternal health blueprint acknowledged racial inequities in maternal mortality rates, but didn’t “ground these disparities in the evidence showing systemic racism as the driving factor.”
Asked for comment on the letter, the state surgeon general’s office issued a statement saying it “is committed to working together with partners across the state … to improve maternal health outcomes, reduce maternal mortality, and save the lives of California moms and pregnant people.”
Black women have suffered a maternal mortality rate more than three times that of white women in California, state data show. The Centers for Disease Control and Prevention has faulted many factors, including differences in healthcare and underlying chronic conditions as well as structural racism and implicit bias.
Studies have shown disparities exist even for Black women who are affluent, spurring maternal health researchers to increasingly focus on racial inequities in healthcare, bias and discrimination experienced by patients, and the physical effects of chronic stress from enduring racism over time.
In an interview in September, Ramos said California had focused primarily on “the healthcare setting” in its previous efforts to prevent maternal deaths, helping it to achieve “the lowest maternal mortality rate in the country.”
As it stands, California has had a much lower rate of deaths related to pregnancy, birth and its aftermath than other parts of the U.S., although maternal mortality surged in recent years amid the COVID-19 pandemic. The state has been held up as a model for its system of reviewing maternal deaths.
“If we keep on doing the same thing — just focusing on the healthcare team — we’re going to get the same results,” Ramos said in September, explaining why the newly announced plan emphasized patients knowing their risk level. “That’s why we’re bringing in the patient.”
The Maternal Health Blueprint sets a goal of having at least 50% of “reproductive age individuals” across the state complete a questionnaire on their risk of pregnancy complications by December 2026.
In the letter objecting to the plan, the coalition of groups said that calling for people to fill out such a questionnaire “gives the impression of personal fault and/or that individual behavior is to blame, burdening the user and discrediting the system’s role in creating this crisis.”
The groups said they knew of no research to back up “personal risk assessment” as a way to improve outcomes for birthing people. Nor does the blueprint clearly spell out the next steps or what will happen to the data, their letter argued.
Dana Sherrod, cofounder and executive director of the California Coalition for Black Birth Justice, said that “by omitting the mention of systemic racism, it is putting the blame back onto patients.” The only time the phrase “systemic racism” appears in the blueprint is in reference to the findings of another state report.
Sherrod said that even when accounting for other factors, “Black women still have worse outcomes.” For instance, one analysis of maternal deaths in California found that Black mothers with the highest incomes had worse rates of pregnancy-related mortality than white mothers with the lowest incomes.
A much earlier study found that Black women didn’t have significantly higher rates of preeclampsia, postpartum hemorrhage and other major complications than white women, yet Black women who had such complications were two to three times more likely to die of them than white women with such conditions.
Even if “they’re a healthy weight, they’re educated, they’re married — the things that are supposed to be protective — even when they do all of these things, we still are seeing poor outcomes,” Sherrod said.
The California plan also calls for medical facilities to use an existing screening tool to gauge the risk levels of pregnant patients. Ramos told The Times that such screening could help guide where patients go for births, ensuring that people at higher risk go to the facilities that are best equipped to support them.
The coalition warned, however, that doing so could “further marginalize high-risk populations and divert resources from struggling facilities while simultaneously overburdening higher-level facilities.” California is already facing “critical shortages in maternity care” as labor and delivery wards have closed, they pointed out.
“It is already very difficult for many individuals to navigate the healthcare system and to understand where to go to receive the best care,” Sherrod said, “and this potentially further complicates that.”
Coalition leaders are seeking a meeting with Ramos and with First Partner Jennifer Siebel Newsom, the wife of Gov. Gavin Newsom, who joined Ramos in announcing the plan in September.
Ramos’ office said in its statement Monday that since their initiative had launched, “Dr. Diana Ramos has met with several partners in the maternal health space and will continue to meet with others, including members of the coalition, to find opportunities to work together.”
Politics
Graham pushes back on Tillis’ criticism of Noem, Miller for labeling man killed by Border Patrol a ‘terrorist’
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Sen. Lindsey Graham, R-S.C., on Tuesday defended Homeland Security Secretary Kristi Noem and Homeland Security Advisor Stephen Miller after Sen. Thom Tillis, R-N.C., criticized the pair for labeling the U.S. citizen killed by Border Patrol agents in Minneapolis as a “domestic terrorist.”
Tillis was the first Senate Republican to call for Noem to be fired after the killing of Alex Pretti, 37, who was shot by federal agents as he was recording immigration enforcement operations in Minneapolis over the weekend.
“What she’s done in Minnesota should be disqualifying. She should be out of a job,” Tillis told reporters earlier on Tuesday. “It’s just amateur-ish. It’s terrible. It’s making the president look bad on policy that he won on. [President Donald Trump] won on a strong message on immigration. Now, nobody’s talking about that. … They’re talking about the incompetence of the leader of Homeland Security.”
Noem and Miller “told the president before they even had an incident report whatsoever that the person who died was a terrorist. That is amateur hour at its worst,” Tillis added.
SENATE GOP CRITICS SAY NOEM ‘NEEDS TO GO’ AMID FALLOUT FROM MINNEAPOLIS SHOOTINGS
Sen. Lindsey Graham defended Homeland Security Secretary Kristi Noem and Homeland Security Advisor Stephen Miller on Tuesday. (AP Photo/Susan Walsh)
Responding to Tillis, Graham said someone “must have a very high opinion of themselves” if they believe they can get President Donald Trump to distance himself from Miller.
“I’ve known Stephen Miller for a very long time. We have our differences, but we have more in common. When the clock strikes midnight for President Trump, there will be very few by his side. One will be Stephen Miller. If you don’t get that, you’ve missed a lot. No one has helped Trump more than Stephen Miller,” Graham told Fox News’ Chad Pergram.
“To convince yourself that you can get Trump to distance himself from Stephen Miller, you must have a very high opinion of themselves,” he continued.
The South Carolina lawmaker added: “To my Republican colleagues, you need to understand that the President’s confidence in Stephen Miller has been rock solid and unshakable. And Miller is part of that group.”
Sen. Thom Tillis was the first Senate Republican to call for DHS Secretary Kristi Noem to be fired after the killing of Alex Pretti. (Tom Williams/CQ-Roll Call, Inc via Getty Images)
Alex Pretti, 37, was shot and killed on Saturday by Border Patrol agents while recording federal immigration operations in Minneapolis. An ICU nurse, Pretti appeared to be attempting to attend to a woman agents knocked down when he was sprayed with an irritant, pushed to the ground and beaten. An agent was seen pulling Pretti’s lawfully owned gun from his waistband before other agents fired several shots and killed him.
Noem was quick to label Pretti a “domestic terrorist,” and Miller characterized him as things such as a “would-be assassin,” both of which are unsubstantiated claims that sparked bipartisan pushback.
The White House has sought to distance itself from the comments by Noem and Miller, with White House press secretary Karoline Leavitt saying she has “not heard the president characterize” Pretti that way.
But despite calls from Democrat and Republican lawmakers to oust Noem over her response to Pretti’s killing, Trump expressed confidence in the secretary to continue leading DHS.
NY POST, WSJ, NY TIMES AND WASHINGTON POST ALIGN AGAINST TRUMP ADMIN OVER ICE OPERATION IN MINNEAPOLIS
President Donald Trump expressed confidence in DHS Secretary Kristi Noem to continue leading the department. (Demetrius Freeman/The Washington Post via Getty Images)
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“I think she’s doing a very good job. The border is totally secure. You know, you forget we had a border that I inherited where millions of people were coming through. Now we have a border where no one is coming through. They come into our country only legally,” Trump told reporters on Tuesday.
Asked if he agreed with Noem and Miller labeling Pretti as a “domestic terrorist” and an “assassin,” the president said he had not heard those remarks.
“Well, I haven’t heard that. He shouldn’t have been carrying a gun,” Trump said.
Trump also said the shooting was a “very sad situation” and he wants a “very honorable and honest investigation” that he wants to see for himself.
Politics
Charter Reform Commission, L.A. City Council look to impose transparency rules
The Los Angeles City Council voted Tuesday to approve a law aimed at boosting transparency at the Charter Reform Commission, by requiring that members of that panel disclose any private talks they have with the city’s elected officials.
The vote comes about two months before the commission, which began its work in July, is scheduled to finish its deliberations and deliver a list of recommendations to the council.
Councilmember Monica Rodriguez, who proposed the ordinance, said she has been trying since August to pass a measure requiring the disclosure of such private conversations, known as “ex parte” communications. That effort was greeted with “nearly six months of stonewalling,” she said.
“While this is an important victory for oversight and transparency, government accountability shouldn’t be this hard to secure,” she said.
The ordinance, which also applies to communications between commissioners and elected officials’ staff, is expected to go into effect in about a month. Meanwhile, the 13-member Charter Reform Commission approved its own policy a week ago requiring the disclosure of private conversations between its members and city elected officials.
Some government watchdogs say the disclosures are needed to prevent council members and other city elected officials from seeking to dictate the details of the recommendations that are ultimately issued by the commission. The volunteer citizens panel is currently looking at such ideas as increasing the size of the council and potentially changing the duties of citywide elected officials.
“If the public is going to trust the outcomes of our charter reform process, it has to be transparent and credible,” Commissioner Carla Fuentes, who pushed for the new disclosure policy at its Jan. 21 meeting.
The commission has not yet voted on a proposal to also require disclosure of communications with elected officials’ staff.
It is also looking at the idea of adopting ranked choice voting, where voters list all of the candidates in order of preference, and switching the city to a multi-year budget process.
Councilmember Bob Blumenfield raised warnings about the council’s vote on Tuesday, saying charter reform is substantively different from the 2021 redistricting process. Council members should be engaging in conversations with its volunteer commissioners, to help them better understand how the city is run, Blumenfield said.
Those communications will ensure the commissioners make an informed decision what to recommend for the ballot later this year.
“I don’t want this message to be that it’s somehow bad for council members and the mayor and elected officials to be engaging in this process,” he said. “To the contrary, I think we need to double down our engagement. We need to speak to those commissioners. They need to learn a lot more about how this city really works for this thing to be effective.”
The commission is scheduled to take up the motion to disclose staffer conversations at its next meeting on Feb. 7.
Rob Quan, an organizer with the group Unrig LA, said he doesn’t want to see a repeat of 2021, when members of the citizens commission on redistricting were regularly contacted by council members’ aides. Those ex parte communications were not disclosed, he said.
“If it didn’t apply to staff, we would simply be reinforcing the power of the staff, which have from Day One been the most problematic aspect of this commission,” said Quan, whose group focuses on government oversight.
He and a group of other transparency activists have proposed a total ban on ex parte communication, which hasn’t been considered by the current commission.
Politics
Democrats demand Kristi Noem be fired or warn impeachment will follow
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House Democrats ramped up pressure on Department of Homeland Security (DHS) Secretary Kristi Noem on Tuesday, calling for her firing and warning that impeachment proceedings would follow if she remains in office, citing deadly actions by federal agents in Minnesota.
The calls came from both House Democratic leadership and Judiciary Committee Democrats, marking a coordinated escalation from public condemnation to formal impeachment threats.
In a joint statement, House Democratic Leader Hakeem Jeffries, Democratic Whip Katherine Clark and Democratic Caucus Chair Pete Aguilar accused the Trump administration of using federal law enforcement to carry out deadly violence.
“Taxpayer dollars are being weaponized by the Trump administration to kill American citizens, brutalize communities and violently target law-abiding immigrant families,” the leaders said. “The country is disgusted by what the Department of Homeland Security has done.”
NOEM SAYS SHE GRIEVES FOR FAMILY AFTER CBP-RELATED SHOOTING IN MINNEAPOLIS, VOWS THOROUGH INVESTIGATION
House Democrats ramped up pressure on DHS Secretary Kristi Noem on Tuesday. ( Al Drago/Getty Images)
The leaders warned that unless Noem is removed, impeachment proceedings would follow.
“Kristi Noem should be fired immediately, or we will commence impeachment proceedings in the House of Representatives,” the statement said.
“We can do this the easy way or the hard way.”
The demands come as Noem faces widespread criticism after federal agents killed two U.S. citizens in Minnesota this month.
Separately, Rep. Jamie Raskin of Maryland, the ranking Democrat on the House Judiciary Committee, called on Judiciary Committee Chairman Jim Jordan, R-Ohio, to immediately begin impeachment proceedings if Noem is not fired or forced to resign.
“Unless Secretary Noem resigns or is fired, the Judiciary Committee’s Chairman, Jim Jordan, should immediately commence House Judiciary Committee impeachment proceedings to remove her from office,” Raskin said.
BORDER PATROL COMMANDER GREGORY BOVINO TO LEAVE MINNESOTA, AS TOM HOMAN TAKES OVER
Federal agents try to clear demonstrators near a hotel, using tear gas during a noise demonstration protest in response to federal immigration enforcement operations in Minneapolis. (Adam Gray/AP Photo)
Raskin accused Noem of overseeing what he described as unlawful killings and a subsequent cover-up.
“Far from condemning these unlawful and savage killings in cold blood, Secretary Noem immediately labeled Renée Good and Alex Pretti ‘domestic terrorists,’ blatantly lied about the circumstances of the shootings that took their lives, and attempted to cover up and blockade any legitimate investigation into their deaths,” he said.
Separately, Sen. John Fetterman, D-Pa., called on Trump to fire Noem directly on Tuesday.
In a post on X, the senator accused Noem of “betraying” the department’s central mission.
In a joint statement with other Democratic leaders, Hakeem Jeffries, D-N.Y., accused the Trump administration of using federal law enforcement to carry out deadly violence. (Roberto Schmidt/Getty Images)
However, President Donald Trump confirmed on Tuesday that he has no plans to ask Noem to step down from her role.
Trump was asked about Noem’s status during a gaggle with reporters outside the White House. He told the press that he still thinks Noem is doing a “great job.”
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“Is Kristi Noem going to step down?” a reporter asked.
“No,” Trump responded bluntly.
He later said he believes she is doing a “very good job,” citing her role in closing down the border.
Fox News’ Anders Hagstrom contributed to this report.
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