Politics
Trump Aid Cuts End Contraception Access for Millions of Women
The United States is ending its financial support for family planning programs in developing countries, cutting nearly 50 million women off from access to contraception.
This policy change has attracted little attention amid the wholesale dismantling of American foreign aid, but it stands to have enormous implications, including more maternal deaths and an overall increase in poverty. It derails an effort that had brought long-acting contraceptives to women in some of the poorest and most isolated parts of the world in recent years.
The United States provided about 40 percent of the funding governments contributed to family planning programs in 31 developing countries, some $600 million, in 2023, the last year for which data is available, according to KFF, a health research organization.
That American funding provided contraceptive devices and the medical services to deliver them to more than 47 million women and couples, which is estimated to have averted 17.1 million unintended pregnancies and 5.2 million unsafe abortions, according to an analysis by the Guttmacher Institute, a sexual health research organization. Without this annual contribution, 34,000 women could die from preventable maternal deaths each year, the Guttmacher calculation concluded.
“The magnitude of the impact is mind-boggling,” said Marie Ba, who leads the coordination team for the Ouagadougou Partnership, an initiative to accelerate investments and access to family planning in nine West African countries.
The funding has been terminated as part of the Trump administration’s disassembling of the United States Agency for International Development. The State Department, into which the skeletal remains of U.S.A.I.D. was absorbed on Friday, did not reply to a request for comment on the decision to stop funding family planning. Secretary of State Marco Rubio has described the terminated aid projects as wasteful and not aligned with American strategic interest.
Support for family planning in the world’s poorest and most populous countries has been a consistent policy priority for both Democratic and Republican administrations for decades, seen as a bulwark against political instability. It also lowered the number of women seeking abortions.
Among the countries that will be significantly affected by the decision are Afghanistan, Ethiopia, Bangladesh, Yemen and the Democratic Republic of Congo.
The money to support international family planning programs is appropriated by Congress and was extended in the most recent spending bill that keeps the government operating through September. The move by the State Department to cut these and other aid programs is the subject of multiple lawsuits currently before federal courts.
The Trump administration has also terminated American funding for the United Nations’ sexual and reproductive health agency, U.N.F.P.A., which is the world’s largest procurer of contraceptives. The United States was the organization’s largest donor.
Although the United States was not the sole supplier of contraception in any country, the abrupt termination of American funding has created chaos in the system and has already caused clinics to run out of products.
An estimated $27 million worth of family planning products already procured by U.S.A.I.D. are stuck at different points in the delivery system — on boats, in ports, in warehouses — with no programs or employees left to unload them or hand them over to governments, according to a former U.S.A.I.D. employee who was not authorized to speak to a reporter. One plan proposed by the new U.S.A.I.D. leadership in Washington is for remaining employees to destroy them.
Supply chain management was a major focus for U.S.A.I.D., across all areas of health, and the United States paid to move contraceptive supplies such as hormonal implants, for example, from manufacturers in Thailand to the port in Mombasa, Kenya, from where they were taken by trucks to warehouses across East Africa and then to local clinics.
“To put the pieces back together is going to be very difficult,” said Dr. Natalia Kanem, executive director of U.N.F.P.A. “Already this has had a catastrophic impact — it’s literally affecting millions of women and families. The poorest countries don’t have the resilient buffer.”
The United States also paid for data and information systems that helped governments track what was in stock and what they needed to order. None of those systems have operated since the Trump administration sent a stop-work order to all programs that received U.S.A.I.D. grants.
Bellington Vwalika, a professor of obstetrics and gynecology at the University of Zambia, said that contraceptives had already begun to run short in some parts of the country, where the United States supplied a quarter of the national family planning budget.
“The affluent can buy the commodity they want — it is the poor people who have to think, ‘Between food and contraception, what should I get?’” he said.
Even before the United States pulled out of family planning programs, surveys found that globally, about 250 million women of reproductive age wished to avoid pregnancy but did not have access to a modern contraceptive method.
At the same time, there had been great progress. Demand for contraception has been rising steadily — with long-acting methods that offer women greater privacy and secure protection — in Africa, the region of the world with the lowest coverage. Supply has improved with better infrastructure that helped get products to rural areas. And “demand creation” projects, of which the United States was a major funder, used advertisements and social media to inform people about the range of contraceptive choices available and the advantages of spacing or delaying pregnancies. Women’s rising levels of education boosted demand, too.
Thelma Sibanda, a 27-year-old engineering graduate who lives in a low-income community on the edge of the Zimbabwean capital, Harare, two weeks ago received a hormonal implant that will prevent pregnancy for five years, at a free pop-up clinic run by Population Services Zimbabwe, which had a multiyear U.S.A.I.D. grant to deliver free family planning services.
Ms. Sibanda has a 2-year-old son and says she cannot afford more children: She can’t find a job in Zimbabwe’s fractured economy, and neither can her husband. They subsist on the $150 he earns each month from a vegetable stand. She had been relying on “hope and faith and natural methods” to prevent another pregnancy since her son was born, Ms. Sibanda said, and had wished for something more reliable, but it simply wasn’t possible in her family’s budget — until the free clinic came to her neighborhood.
With its U.S.A.I.D. funding, the Zimbabwean organization that provided her implant last year was able to buy six sturdy Toyota vehicles and camping equipment so that an outreach team could travel to the most remote regions of the country, delivering vasectomies and IUDs in pop-up clinics. Since the Trump executive order, they have had to stop using all of that equipment.
The Zimbabwean organization is a branch of the international nonprofit MSI Reproductive Choices, which has stepped in with temporary funds so the teams can continue to provide free care for the women they can reach, such as Ms. Sibanda. MSI can cover the costs only until September.
Ms. Sibanda said her priority was providing the best possible education for her son, and because school fees are costly, that means no more children. But many African women have no way to make this kind of choice. In Uganda, while the national fertility rate is 4.5 children per woman, it’s not unusual to meet women in rural areas with limited education who have eight or 10 children, said Dr. Justine Bukenya, a lecturer in community health and behavioral science at Makerere University in Kampala. These women become pregnant for the first time as teenagers and have little space between pregnancies.
“By the time they are 30 they could have their 10th pregnancy — and these are the women who will be affected,” she said. “We are losing the opportunity to make progress with them. The United States was doing a very strong job here of creating demand for contraception with these women, and mobilizing young men and women to go for family planning.”
Some women who have relied on free or low-cost service through public health systems may now try to buy contraceptives in the private market. But prices of pills, IUDs and other devices will most likely rise significantly without the guaranteed, large-volume purchases from the United States.
“As a result, women who previously relied on free or affordable options through public health systems may now be forced to turn to private sector sources — at prices they cannot afford,” said Karen Hong, chief of U.N.F.P.A.’s supply chain unit.
The next largest donors to family planning after the United States are the Netherlands, which provided about 17 percent of donor government funding in 2023, and Britain, with 13 percent. Both countries recently announced plans to cut their aid budgets by a third or more.
Ms. Ba said the focus in the West African countries where she works was mobilizing domestic resources and figuring out how governments can try to reallocate money to cover what the United States was supplying. Philanthropies such as the Gates Foundation and financial institutions including the World Bank, which are already significant contributors to family planning, may offer additional funding to try to keep products moving into countries.
“We were getting so optimistic — even with all the political instability in our region, we were adding millions more women using modern methods in the last few years,” Ms. Ba said. “And now all of it, the U.S. support, the policies, it’s all completely gone. The gaps are just too huge to fill.”
Politics
Inside Minnesota’s $1B fraud: fake offices, phony firms and a scandal hiding in plain sight
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MINNEAPOLIS, MN – As a massive fraud scheme costing state and federal taxpayers at least $1 billion dollars continues to unfold in Minnesota, Fox News Digital visited several locations that received funding through programs like Feeding Our Future and found several inconsistencies exposing the depth of the scandal.
The now-infamous Griggs-Midway Building housed an “unusual concentration” of fraudulent entities involved in the HSS scheme, according to Acting U.S. Attorney Joseph H. Thompson.
Twenty-two “businesses” connected to the HSS program were registered to this single location. Thompson described these entities as “purely fictitious companies solely created to defraud the system.”
These 22 fraudulent businesses collectively billed Medicaid for a staggering $8 million between January 2024 and May 2025.
OMAR ACCUSED BY GOP OPPONENT OF OPENING UP THE DOOR TO MASSIVE MINNEAPOLIS FRAUD: ‘DEEP, DEEP TIES’
An in-person investigation by Fox News Digital of the building, located in St. Paul, Minnesota, showed huge swaths of the southern side of the building completely abandoned. A black and white banner advertising open spaces in the building was adorned atop the “Griggs-Midway Building” sign.
Several men sat together and engaged in conversation at the building entrance. When approached, the men told Fox News Digital that they did not speak English.
However, the western side of the building housed a number of seemingly legitimate businesses on the first floor, including a hair salon, a financial support and loan service for African immigrants and a property management office.
The Griggs-Midway building has become a focal point of the Minnesota HSS fraud scandal. (Nikolas Lanum/Fox News Digital)
Following extensive FBI searches of the building, the Minnesota Department of Human Services conducted approximately 40 investigations into providers associated with the larger Griggs-Midway building.
Brilliant Minds Services allegedly submitted over $2.3 million of the $8 million in fraudulent claims from the Griggs-Midway location, ranking as one of the state’s highest-billing HSS providers last year.
Four defendants, Moktar Hassan Aden, 30; Mustafa Dayib Ali, 29; Khalid Ahmed Dayib, 26; Abdifitah Mohamud Mohamed, 27, were charged in the fraud case. Mohamed was the owner of one of the other fraudulent businesses implicated, Foundation First Services LLC.
‘HE HAD YEARS TO STOP THIS’: GOP LAWMAKERS BLAST WALZ OVER MASSIVE MINNESOTA FRAUD SCHEME
Another false claim location took Fox News Digital to a second-story walkup above a sushi shop just blocks away from the Mississippi River.
The entryway was locked, and it was unclear whether the fraudster simply utilized the address to keep distance, or if the fraudster was actually located at the unit number listed on the claim.
The second floor showed little sign of life. Though one window displayed a “No Kings, No Fascists” sign facing out onto the snowy city street.
A large uniform reddish-brown brick building known as “Winsor Plaza” was the next destination of Fox News Digital’s trek through a brewing Minnesota snowstorm.
The simple, box-like form of the building was centered by a red canopy protruding from the structure’s primary entrance. A white-water tower with “Roseville” painted in red letters rose in the distance through the fog. Inside, a directory showed dozens of legitimate businesses, including doctors’ offices and wealth management services.
A search through the quiet halls of 1935 W County Road gave way to confusion. Unit 150, the office space listed on the false claim, was nowhere to be found. It appeared that in the building’s current configuration the suite simply did not exist. Not only was the claim fraudulent, so was the address.
A similar situation occurred at 9120 Baltimore St N. The claims report noted that the fraudulent entity was operating out of suite 100. Upon arrival, 9120 was seen affixed to a stone pillar in the center of a business parking lot.
However, there was no conglomerate of office spaces or apartment units, no numbers affixed to different storefronts. Only a singular, operational dental office. Another apparent fraudulent address.
NorthPark Dental in Blaine, Minnesota, appears to be a legitimate, operational business. There is no Unit 100 at this location, suggesting that the alleged fraud entity gave a fake address. (Nikolas Lanum/Fox News Digital)
The trend was broken at the next two locations.
2756 Douglas Dr N is a commercial address in Crystal, Minnesota, housing businesses like Rock Bridge Counseling & Mental Health and All Kind Painting & Cleaning, offering services for teens in crisis and home improvement, respectively.
These two businesses comprise suites A and B of the building but were not the fraudulent entities listed on location claims. A real building, with real businesses, but a fake company that appeared to never exist in that space.
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Another stop, 1541 Como Ave, was found inside a narrow St. Paul, Minnesota alleyway. The address housed a small, rusted garage affixed to the back of a church. The garage appeared vacant, with no mailbox or garbage cans.
A picnic bench just outside the garage door was covered in leaves, snow and other debris.
Several gentlemen inside a nearby local business told Fox News Digital that a man named “John” had used the location for a small pop-up gym and fitness center. He was often seen driving around in a fancy car. There was no indication as to whether this location was the legitimate operation center of the fraudulent claim.
4601 E 54th St, another location tied to the scandal, was visited by Fox News Digital only to find an empty parking lot. The address listed was in the 400s on the street. However, there are no 400s on that street, only 500s.
Another location, 2720 E Lake St, was completely boarded up and covered in graffiti with a homeless individual sleeping out front. The building appeared to have been inoperable for a long period of time.
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“Most of that $500 million hasn’t served a single meal and some of the simple things are if they would have just gone to the facilities, you know, you hear of the thousands of people being served out of an apartment twice a day, all they would have to do is show up and look at it,” Minnesota Republican state Sen. Mark Koran told Fox News Digital about the fraud that was hiding in plain sight in Minneapolis.
“There was an legislative auditor report that showed that 30 property owners where these businesses claim to operate out of, contacted the Department of Education who manage it, who managed that program, and they told them one, the businesses don’t exist in their facilities, so they don’t exist, period, and one of them I think was a city park,” Koran said.
“And so the Department of Education gave that complaint to the nonprofit Feeding Our Future to address those issues and the Department of Education continued to pay millions to those thirty with a blatant, simple process of ‘we’ve been notified they don’t exist’ and they rejected and ignored it.”
Politics
What the Trump administration’s hepatitis B vaccine rollback means for California
For most American infants, the hepatitis B shot comes just before their first bath, in the blur of pokes, prods and pictures that attend a 21st century hospital delivery.
But as of this week, thousands of newborns across the U.S. will no longer receive the initial inoculation for hepatitis B — the first in a litany of childhood vaccinations and the top defense against one of the world’s deadliest cancers.
On Dec. 5, the Centers for Disease Control and Prevention’s powerful vaccine advisory panel voted to nix the decades-old birth-dose recommendation.
The change was pushed by Health and Human Services Secretary Robert F. Kennedy Jr. and his “Make America Healthy Again” movement, which has long sought to rewrite the CDC’s childhood vaccine schedule and unwind state immunization requirements for kindergarten.
California officials have vowed to keep the state’s current guidelines in place, but the federal changes could threaten vaccine coverage by some insurers and public benefits programs, along with broader reverberations.
“It’s a gateway,” said Jessica Malaty Rivera, an infectious disease epidemiologist in Los Angeles. “It’s not just hepatitis B — it’s chipping away at the entire schedule.”
Democratic-led states and blue-chip insurance companies have scrambled to shore up access. California joined Hawaii, Oregon and Washington in forming the West Coast Health Alliance to maintain uniform public policy on vaccines in the face of official “mis- and dis-information.”
“Universal hepatitis B vaccinations at birth save lives, and walking away from this science is reckless,” California Gov. Gavin Newsom said in a statement. “The Trump administration’s ideological politics continue to drive increasingly high costs — for parents, for newborns, and for our entire public-health system.”
The issue is also already tied up in court.
On Tuesday, the Supreme Court sent a lawsuit over New York’s vaccine rules back to the 2nd U.S. Circuit Court of Appeals for review, signaling skepticism about the stringent shots-for-school requirements pioneered in California. On Friday, public health officials in Florida appeared poised to ax their schools’ hepatitis B immunization requirement, along with shots for chickenpox, a dozen strains of bacterial pneumonia and the longtime leading cause of deadly meningitis.
Boosters of the hep B change said it replaces impersonal prescriptions with “shared clinical decision-making” about whether and how to vaccinate, while preserving the more stringent recommendation for children of infected mothers and those whose status is unknown.
Critics say families were always free to decline the vaccine, as about 20% did nationwide in 2020, according to data published by the CDC. It’s the only shot on the schedule that children on Medicaid receive at the same rate as those with private insurance.
Rather than improve informed consent, critics say the CDC committee’s decision and the splashy public fight leading up to it have depressed vaccination rates, even among children of infected mothers.
“Hepatitis B is the most vulnerable vaccine in the schedule,” said Dr. Chari Cohen, president of the Hepatitis B Foundation. “The message we’re hearing from pediatricians and gynecologists is parents are making it clear that they don’t want their baby to get the birth dose, they don’t want their baby to get the vaccine.”
Much of that vulnerability has to do with timing: The first dose is given within hours of birth, while symptoms of the disease might not show up for decades.
“The whole Day One thing really messes with people,” Rivera said. “They think, ‘This is my perfect fresh baby and I don’t want to put anything inside of them.’ ”
U.S. surgeon general nominee Casey Means called the universal birth dose recommendation “absolute insanity,” saying in a post on X last year that it should “make every American pause and question the healthcare system’s mandates.”
“The disease is transmitted through needles and sex exclusively,” she said. “There is no benefit to the baby or the wider population for a child to get this vaccine who is not at risk for sexual or IV transmission. There is only risk.”
In fact, at least half of transmission occurs from mother to child, typically at birth. A smaller percentage of babies get the disease by sharing food, nail clippers or other common household items with their fathers, grandparents or day-care teachers. Because infections are often asymptomatic, most don’t know they have the virus, and at least 15% of pregnant women in the U.S. aren’t tested for the disease, experts said.
Infants who contract hepatitis B are overwhelmingly likely to develop chronic hepatitis, leading to liver cancer or cirrhosis in midlife. The vaccine, by contrast, is far less likely than those for flu or chickenpox to cause even minor reactions, such as fever.
“We’ve given 50 billion doses of the hepatitis B vaccine and we’ve not seen signals that make us concerned,” said Dr. Su Wang, medical director of Viral Hepatitis Programs and the Center for Asian Health at the Cooperman Barnabas Medical Center in New Jersey, who lives with the disease.
Still, “sex and drugs” remains a popular talking point, not only with Kennedy allies in Washington and Atlanta, but among many prominent Los Angeles pediatricians.
“It sets up on Day One this mentality of, ‘I don’t necessarily agree with this, so what else do I not agree with?’” said Dr. Joel Warsh, a Studio City pediatrician and MAHA luminary, whose recent book “Between a Shot and a Hard Place” is aimed at vaccine-hesitant families.
Hepatitis B also disproportionately affects immigrant communities, further stigmatizing an illness that first entered the mainstream consciousness as an early proxy for HIV infection in the 1980s, before it was fully understood.
At the committee meeting last week, member Dr. Evelyn Griffin called illegal immigration the “elephant in the room” in the birth dose debate.
The move comes as post-pandemic wellness culture has supercharged vaccine hesitancy, expanding objections from a long-debunked link between the measles-mumps-rubella vaccine and autism to a more generalized, equally false belief that “healthy” children who eat whole foods and play outside are unlikely to get sick from vaccine-preventable diseases and, if they do, can be treated with “natural” remedies such as beef tallow and cod liver oil.
“It’s about your quality of life, it’s about what you put in your body, it’s about your wellness journey — we have debunked this before,” Rivera said. “This is eugenics.”
Across Southern California, pediatricians, preschool teachers and public health experts say they’ve seen a surge in families seeking to prune certain shots from the schedule and many delay others based on “individualized risk.” The trend has spawned a cottage industry of e-books, Zoom workshops by “vaccine friendly” doctors offering alternative schedules, bespoke inoculations and post-vaccine detox regimens.
CDC data show state exemptions for kindergarten vaccines have surged since the height of the COVID-19 pandemic, with about 5% of schoolchildren in Georgia, Florida and Ohio, more than 6% in Pennsylvania and nearly 7% in Michigan waved out of the requirement last year.
In Alaska and Arizona, those numbers topped 9%. In Idaho, 1 in 6 kindergartners are exempt.
California is one of four states — alongside New York, Connecticut and Maine — with no religious or personal-belief exemptions for school vaccines.
It is also among at least 20 states that have committed to keep the hepatitis B birth dose for babies on public insurance, which covers about half of American children. It is not clear whether the revised recommendation will affect government coverage of the vaccine in other states.
Experts warn that the success of the birth-dose reversal over near-universal objection from the medical establishment puts the entire pediatric vaccination schedule up for grabs, and threatens the school-based rules that enforce it.
Ongoing measles outbreaks in Texas and elsewhere that have killed three and sickened close to 2,000 show the risks of rolling back requirements, experts said.
Hepatitis is not nearly as contagious as measles, which can linger in the air for about two hours. But it’s still fairly easy to pick up, and devastating to those who contract it, experts said.
“These decisions happening today are going to have terrible residual effects later,” said Rivera, the L.A. epidemiologist. “I can’t imagine being a new mom having to navigate this.”
Politics
Republican House leader signals plan to begin contempt proceedings against Bill and Hillary Clinton
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GOP House Oversight Committee Chairman James Comer said he plans to commence contempt of Congress proceedings against Bill and Hillary Clinton for ignoring the committee’s subpoenas related to its ongoing probe into the Jeffrey Epstein scandal.
In July, a bipartisan House Oversight Subcommittee approved motions to subpoena Bill and Hillary Clinton and a slew of other high-profile political figures to aid its investigation looking into how the federal government handled Epstein’s sex trafficking case.
The subpoenas were then sent out in early August, and the Clinton’s were scheduled to testify Dec. 17-18.
“It has been more than four months since Bill and Hillary Clinton were subpoenaed to sit for depositions related to our investigation into Jeffrey Epstein and Ghislaine Maxwell’s horrific crimes. Throughout that time, the former president and former secretary of state have delayed, obstructed, and largely ignored the committee staff’s efforts to schedule their testimony,” Comer said in a press release issued Friday evening.
DOJ CLEARED TO RELEASE SECRET JEFFREY EPSTEIN CASE GRAND JURY MATERIALS
Former Secretary of State Hillary Clinton and her husband, former U.S. President Bill Clinton. (Justin Sullivan/Getty Images)
“If the Clintons fail to appear for their depositions next week or schedule a date for early January, the Oversight Committee will begin contempt of Congress proceedings to hold them accountable.”
Comer’s threats come as Democrats from the House Oversight Committee released a new batch of photos obtained from Epstein’s estate, which included further images of the disgraced financier with powerful figures like President Donald Trump and former President Bill Clinton. Thousands of images were reportedly released, with potentially more to come.
Other high-profile figures subpoenaed by the Oversight Committee include James Comey, Loretta Lynch, Eric Holder, Merrick Garland, Robert Mueller, William Barr, Jeff Sessions and Alberto Gonzales.
FEDERAL JUDGE APPROVES RELEASING GHISLAINE MAXWELL CASE GRAND JURY MATERIAL
House Oversight Committee Chairman James Comer and Jeffrey Epstein. (Tom Williams/CQ-Roll Call, Inc via Getty Images; Neil Rasmus/Patrick McMullan via Getty Images)
In addition to testimony from these individuals, Comer and the Oversight Committee issued subpoenas to the Department of Justice (DOJ) for all documents and communications pertaining to the case against Epstein.
In September, the committee released tens of thousands of pages of Epstein-related records in compliance with the subpoena, and the Oversight Committee indicated the DOJ would continue producing even more records as it works through needed redactions and other measures that must occur before they are released.
U.S. Attorney General Pam Bondi, Jeffrey Epstein and President Donald Trump. (Getty Images)
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