Science
Doctors saw younger men seeking vasectomies after Roe vs. Wade was overturned
Kori Thompson had long wrestled with the idea of having a child.
The 24-year-old worried about the world a kid would face as climate change overtook the globe, fearing the environmental devastation and economic strain that could follow. He had been thinking about getting a vasectomy ever since he learned about the sterilization procedure from a television show.
But “the thing that actually triggered it was the court decision,” Thompson said.
After the Supreme Court overturned Roe vs. Wade nearly two years ago, paving the way for states to usher in new restrictions on abortion, doctors started seeing more young adults seeking vasectomies or getting their tubes tied, emerging research has found.
An analysis by University of Utah researchers, released as an abstract in the Journal of Urology, found that after Dobbs vs. Jackson Women’s Health Organization, a rising share of vasectomy patients were under the age of 30.
That percentage went from 6.2% to 9.8% after the Supreme Court decision, based on their analysis of a national database that includes hundreds of millions of patients.
Among the young patients who pursued the procedure is Thompson, who decided to get a vasectomy in the aftermath of the court ruling. In Georgia where he lives, abortion is illegal roughly six weeks into a pregnancy — a point before some people may learn that they are pregnant.
“If it’s effectively illegal,” Thompson said, “then I felt that this was necessary.” His girlfriend also disliked the effects of hormonal birth control, “so now I’ve decided to go on permanent birth control. It’s way easier.”
The University of Utah researchers found that before the Supreme Court ruling, vasectomy rates were consistently higher in states categorized as “hostile” or “illegal” for abortion by the Center for Reproductive Rights, compared to states that were not as restrictive. The same was true after the ruling.
Yet researchers also found an overall uptick in vasectomy rates after the Dobbs decision — both in states where abortion is heavily restricted and those where it is not.
In California, where state leaders have vowed to protect abortion rights, the rate of men getting vasectomies rose after the court decision, from roughly 7 to 13 per 100,000 potential patients, the Utah team found.
“We’re just seeing an overall increase in vasectomies — regardless of political climate” in each state, said Dr. Jessica Schardein, a urologist at the University of Utah. Schardein said the Supreme Court ruling and increased marketing for vasectomies may have gotten more people thinking about the procedure.
“People in general, even if they don’t have a uterus, are taking responsibility for their reproductive health,” Schardein said.
Her team also examined tubal sterilizations — a medical procedure often called “getting your tubes tied,” performed on the fallopian tubes connected to the uterus — and found that after the court decision, there was an increase in the percentage of patients ages 18 to 30 among those undergoing the procedure.
In Riverside County, Jacob Snow decided to get a vasectomy after the birth of his third child, concluding it was a safer option than his wife had for sterilization. “There’s no reason why all the blame and stress and trying to stop a pregnancy should be placed on the female when I can stop it at my end,” the 28-year-old said.
Even though Snow was already a parent, the doctor balked because of his age, he said. “They said I might change my mind in the future,” Snow recalled. “They flat out just refused.”
Vasectomies are intended to be permanent. The surgery may be able to be reversed with other procedures, but physicians caution that doing so is not a guaranteed option.
Snow ultimately found another doctor to do the procedure. Besides the pushback from the first physician, Snow said some men have been aghast when he tells them he had a vasectomy, saying it would make them feel like less of a man. But Snow said he doesn’t “feel that reproducing is how I need to prove that I’m a man.”
The University of Utah findings, presented at the annual meeting of the American Urological Assn., have been echoed in other recent research.
Last month, researchers from the University of Pittsburgh School of Public Health and Boston University published findings in JAMA Health Forum showing “an abrupt increase” in vasectomies and tube tying following Dobbs, with a sharper increase in tubal ligation.
The difference “likely reflects the fact that young women are overwhelmingly responsible for preventing pregnancy and disproportionately experience the health, social and economic consequences of abortion bans,” University of Pittsburgh assistant professor Jacqueline Ellison said in a statement.
Another analysis in the Journal of Urology that included multiple medical centers around the country — including UCLA — found that after the Dobbs decision, the typical patient seeking a vasectomy was younger than before. Researchers also found that an increased share were childless.
There was also a rise in the number of patients consulting doctors about the medical procedure, said Dr. Kara Watts, a urologist at Montefiore Medical Center in New York City — and longer waits to get the surgery after a consultation. If wait times weren’t an issue, Watts said, “the numbers would probably be even more dramatic.”
Researchers detected a similar trend in the UC San Diego health system, where there was a rise in men seeking consultations about vasectomies after the Dobbs decision, as well as increased rates of patients going through with the procedure after their consultations, according to another review presented at the urology meeting.
Even though California has enshrined abortion rights in its state constitution, “I think that vasectomy consultations and completion rates still increased due to the national media coverage on the Supreme Court ruling,” said Dr. Vi Nguyen, one of the authors of the analysis.
And at Ohio State University, urologists surveyed patients about why they chose to get vasectomies and found that after the Dobbs decision, they were more likely to cite concerns about abortion access or say that “they did not want to bring children into the current political climate.”
Other reasons for wanting a vasectomy, such as health concerns, did not change after Dobbs, the survey found. Dr. Jessica Yih, an assistant professor of urology at the Ohio State University, wasn’t surprised.
“Immediately after the Dobbs ruling, many people were extremely concerned about their reproductive rights,” Yih said in an email. “We had a threefold increase in referrals of patients who were wanting to be scheduled to discuss vasectomies and the number of vasectomies performed around this time increased dramatically.”
Abortion has been a sharply contested issue in Ohio, where a law banning abortion after six weeks of pregnancy initially went into effect after the Dobbs ruling. That ban was later put on hold in court, and Ohio voters have since backed protections for abortion access in its state constitution.
“Many patients told us at our clinics that they wanted their vasectomies done as soon as possible due to concerns about restrictions in abortion access,” Yih said.
Science
What a Speech Reveals About Trump’s Plans for Nuclear Weapons
Within hours of the expiration last week of the final arms control treaty between Moscow and Washington, the State Department sent its top arms diplomat, Thomas G. DiNanno, to Geneva to lay out Washington’s vision for the future. His public address envisioned a future filled with waves of nuclear arms buildups and test detonations.
The views of President Trump’s administration articulated in Mr. DiNanno’s speech represent a stark break with decades of federal policy. In particular, deep in the speech, he describes a U.S. rationale for going its own way on the global ban on nuclear test detonations, which had been meant to curb arms races that in the Cold War had raised the risk of miscalculation, and war.
This annotation of the text of his remarks aims to offer background information on some of the specialized language of nuclear policymaking that Mr. DiNanno used to make his points, while highlighting places where outside experts may disagree with his and the administration’s claims.
What remains unknown is the extent to which Mr. DiNanno’s presentation represents a fixed policy of unrestrained U.S. arms buildups, or more of an open threat meant to spur negotiations toward new global accords on ways to better manage the nuclear age.
Read the original speech.
New York Times Analysis
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1
Established in 1979 as Cold War arsenals grew worldwide, the Conference on Disarmament is a United Nations arms reduction forum made up of 65 member states. It has helped the world negotiate and adopt major arms agreements.
2
In his State Department role, working under Secretary of State Marco Rubio, Mr. DiNanno is Washington’s top diplomat for the negotiation and verification of international arms accords. Past holders of that office include John Bolton during the first term of the George W. Bush administration and Rose Gottemoeller during Barack Obama’s two terms.
3
This appears to be referring to China, which has 600 nuclear weapons today. By 2030, U.S. intelligence estimates say it will have more than 1,000.
4
Here he means Russia, which is conducting tests to put a nuclear weapon into space as well as to develop an underwater drone meant to cross oceans.
New York Times Analysis
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5
In this year’s federal budget, the Trump administration is to spend roughly $90 billion on nuclear arms, including basic upgrades of the nation’s arsenal and the replacement of aging missiles, bombers and submarines that can deliver warheads halfway around the globe.
6
A chief concern of many American policymakers is that Washington will soon face not just a single peer adversary, as in the Cold War, but two superpower rivals, China and Russia.
New York Times Analysis
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7
The 1987 Intermediate-Range Nuclear Forces Treaty or I.N.F. banned all weapons capable of traveling between 500 and 5,500 kilometers, or 310 and 3,420 miles, whether armed with nuclear or conventional warheads. The Trump administration is now deploying a number of conventionally armed weapons in that range, including a cruise missile and a hypersonic weapon.
8
The destructive force of the relatively small Russian arms can be just fractions of the Hiroshima bomb’s power, perhaps making their use more likely. The lesser warheads are known as tactical or nonstrategic nuclear arms, and President Vladimir V. Putin of Russia has repeatedly threatened to use them in Ukraine.
9
Negotiators of arms control treaties have mostly focused on long-range weapons because the delivery vehicles and their deadly warheads are considered planet shakers that could end civilization.
New York Times Analysis
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10
This underwater Russian craft is meant to cross an ocean, detonate a thermonuclear warhead and raise a radioactive tsunami powerful enough to shatter a coastal city.
11
The nuclear power source of this Russian weapon can in theory keep the cruise missile airborne far longer than other nuclear-armed missiles.
12
Russia has conducted test launches for placing a nuclear weapon into orbit, which the Biden administration quietly warned Congress about two years ago.
13
The term refers to the five permanent members of the United Nations Security Council—China, France, Russia, the United Kingdom and the United States.
New York Times Analysis
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14
A top concern of American officials is that Beijing and Moscow might form an alliance to coordinate their nuclear forces. Their joint program to develop fuel for atom bombs is seen as an indication of this emerging threat.
15
This Trump administration plan is dated November but was made public in December.
16
Released last year, this Chinese government document sought to portray Beijing as a leader in reducing the global threat of nuclear weapons.
17
Typically, arms control treaties have not required countries to destroy warheads so their keepers put them into storage for possible reuse. The United States retains something on the order of 20,000 small atom bombs meant to ignite the larger blasts of hydrogen bombs.
18
An imminent surge centers on the nation’s Ohio-class submarines. The Trump administration has called for the reopening of submarine missile tubes that were closed to comply with the New START limits. That will add as many 56 long-range missiles to the fleet. Because each missile can hold multiple arms, the additional force adds up to hundreds more warheads.
19
This refers to weapons meant for use on a battlefield or within a particular geographic region rather than for aiming at distant targets. It is often seen as synonymous with intermediate-range weapons.
20
Here, the talk turns to the explosive testing of nuclear weapons for safety, reliability and devising new types of arms. The United States last conducted such a test in 1992 and afterwards adopted a policy of using such nonexplosive means like supercomputer simulations to evaluate its arsenal. In 1996, the world’s nuclear powers signed a global ban on explosive testing. A number of nations, including the United States and China, never ratified the treaty, and it never officially went into force.
21
In new detail, the talk addresses what Mr. Trump meant last fall when he declared that he had instructed the Pentagon “to start testing our Nuclear Weapons on an equal basis” in response to the technical advances of unnamed foreign states.
22
Outside experts say the central issue is not whether China and Russia are cheating on the global test ban treaty but whether they are adhering to the U.S. definition. From the treaty’s start in 1996, Washington interpreted “zero” explosive force as the compliance standard but the treaty itself gives no definition for what constitutes a nuclear explosion. Over decades, that ambiguity led to technical disputes that helped block the treaty’s ratification.
23
By definition, all nuclear explosions are supercritical, which means they split atoms in chain reactions that become self-sustaining in sufficient amounts of nuclear fuel. The reports Mr. DiNanno refers to told of intelligence data suggesting that Russia was conducting a lesser class of supercritical tests that were too small to be detected easily. Russian scientists have openly discussed such small experiments, which are seen as useful for assessing weapon safety but not for developing new types of weapons.
24
This sounds alarming but experts note that the text provides no evidence and goes on to speak of preparations, not detonations, except in one specific case.
New York Times Analysis
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25
The talk gave no clear indication of how the claims about Russian and Chinese nuclear testing might influence U.S. arms policy. But it repeated Mr. Trump’s call for testing “on an equal basis,” suggesting the United States might be headed in that direction, too.
26
The talk, however, ended on an upbeat but ambiguous note, giving no indication of what Mr. DiNanno meant by “responsible.” Even so, the remark came in the context of bilateral and multilateral actions to reduce the number of nuclear arms in the world, suggesting that perhaps the administration’s aim is to build up political leverage and spur new negotiations with Russia, China or both on testing restraints.
Science
Notoriously hazardous South L.A. oil wells finally plugged after decades of community pressure
California Gov. Gavin Newsom announced this week that state oil and gas regulators have permanently closed one of the most infamous drill sites in Los Angeles, bringing an end to a decades-long community campaign to prevent dangerous gas leaks and spills from rundown extraction equipment.
A state contractor plugged all 21 oil wells at the AllenCo Energy drill site in University Park, preventing the release of noxious gases and chemical vapors into the densely populated South Los Angeles neighborhood. The two-acre site, owned by the Archdiocese of Los Angeles, is located across the street from several multifamily apartment buildings and less than 1,000 feet from St. Vincent School.
For years, residents and students had repeatedly complained about acrid odors from the site, with many suffering chronic headaches and nosebleeds. The health concerns prompted a community-driven campaign to shut down the site, with some residents even pleading (unsuccessfully) with the late Pope Francis to intervene.
AllenCo, the site’s operator since 2009, repeatedly flouted environmental regulations and defied state orders to permanently seal its wells.
This month, the California Department of Conservation’s Geologic Energy Management Division (CalGEM) finished capping the remaining unplugged wells with help from Biden-era federal funding.
“This is a monumental achievement for the community who have endured an array of health issues and corporate stalling tactics for far too long,” Newsom said in a statement Wednesday. “I applaud the tireless work of community activists who partnered with local and state agencies to finish the job and improve the health and safety of this community. This is a win for all Californians.”
The land was donated to the Catholic Archdiocese of Los Angeles in the 1950s by descendants of one of the city’s early oil barons. Over the decades, the archdiocese leased the land to several oil companies including Standard Oil of California.
Much of the community outcry over the site’s management occurred after AllenCo took over the site in 2009. The company drastically boosted oil production, but failed to properly maintain its equipment, resulting in oil spills and gas leaks.
In 2013, U.S. Environmental Protection Agency officials became sick while inspecting the site. The federal investigators encountered puddles of crude oil on the facility grounds, as well as caustic fumes emanating from the facility, resulting in violations for air quality and other environmental infractions.
In 2020, CalGEM ordered AllenCo to plug the wells after if determined the company had essentially deserted the site, leaving the wells unplugged and in an unsafe condition. AllenCo ignored the order.
In perhaps the most remarkable events in the site’s history, CalGEM officials in 2022 arrived on the site with a court order and used bolt cutters to enter the site to depressurize the poorly maintained oil wells.
The AllenCo wells were prioritized and plugged this week as part of a CalGEM program to identify and permanently cap high-risk oil and gas wells. Tens of thousands of unproductive and unplugged oil wells have been abandoned across California — many of which continue to leak potentially explosive methane or toxic benzene.
Environmental advocates have long fought for regulators to require oil and gas companies to plug these wells to protect nearby communities and the environment.
However, as oil production declines and fossil fuel companies increasingly become insolvent, California regulators worry taxpayers may have to assume the costs to plug these wells. Federal and state officials have put aside funding to deal with some of these so-called “orphaned” wells, but environmental advocates say it’s not enough. They say oil and gas companies still need to be held to account, so that the same communities that were subjected to decades of pollution won’t have to foot the bill for expensive cleanups.
“This is welcome news that the surrounding community deserves, but there is much more work to be done at a much faster pace,” said Cooper Kass, attorney at the Center for Biological Diversity’s Climate Law Institute. “There are still thousands of unplugged and hazardous idle wells threatening communities across the state, and our legislators and regulators should force polluters, not taxpayers, to pay to clean up these dangerous sites.”
Science
Newsom tells world leaders Trump’s retreat on the environment will mean economic harm
SACRAMENTO — Gov. Gavin Newsom told world leaders Friday that President Trump’s retreat from efforts to combat climate change would decimate the U.S. automobile industry and surrender the future economic viability to China and other nations embracing the transition to renewable energy.
Newsom, appearing at the Munich Security Conference in Germany, urged diplomats, business leaders and policy advocates to forcefully stand up to Trump’s global bullying and loyalty to the oil and coal industry. The California governor said the Trump administration’s massive rollbacks on environmental protection will be short-lived.
“Donald Trump is temporary. He’ll be gone in three years,” Newsom said during a Friday morning panel discussion on climate action. “California is a stable and reliable partner in this space.”
Newsom’s comments came in the wake of the Trump administration’s repeal of the endangerment finding and all federal vehicle emissions regulations. The endangerment finding is the U.S. government’s 2009 affirmation that planet-heating pollution poses a threat to human health and the environment.
Environmental Protection Agency administrator Lee Zeldin said the finding has been regulatory overreach, placing heavy burdens on auto manufacturers, restricting consumer choice and resulting in higher costs for Americans. Its repeal marked the “single largest act of deregulation in the history of the United States of America,” he said.
Scientists and experts were quick to condemn the action, saying it contradicts established science and will put more people in harm’s way. Independent researchers around the world have long concluded that greenhouse gases released by the burning of gasoline, diesel and other fossil fuels are warming the planet and worsening weather disasters.
The move will also threaten the U.S.’s position as a leader in the global clean energy transition, with nations such as China pulling ahead on electric vehicle production and investments in renewables such as solar, batteries and wind, experts said.
Newsom’s trip to Germany is just his latest international jaunt in recent months as he positions himself to lead the Democratic Party’s opposition to Trump and the Republican-led Congress, and to seed a possible run for the White House in 2028. Last month Newsom traveled to the World Economic Forum in Davos, Switzerland, and in November to the U.N. climate summit in Belém, Brazil — mocking and condemning Trump’s policies on Greenland, international trade and the environment.
When asked how he would restore the world’s confidence in the United States if he were to become president, Newsom sidestepped. Instead he offered a campaign-like soliloquy on California’s success on fostering Tesla and the nation’s other top electric vehicle manufacturers as well as being a magnet for industries spending billions of dollars on research and development for the global transition away from carbon-based economies.
The purpose of the Munich conference was to open a dialogue among world leaders on global security, military, economic and environmental issues. Along with Friday’s discussion on climate action, Newsom is scheduled to appear at a livestreamed forum on transatlantic cooperation Saturday.
Andrew Forrest, executive chairman of the Australia-based mining company giant Fortescue, said during a panel Friday his company is proof that even the largest energy-consuming companies in the world can thrive without relying on the carbon-based fuels that have driven industries for more than a century. Fortescue, which buys diesel fuel from countries across the world, will transition to a “green grid” this decade, saving the company a billion dollars a year, he said.
“The science is absolutely clear, but so is the economics. I am, and my company Fortescue is, the industrial-grade proof that going renewable is great economics, great business, and if you desert it, then in the end, you’ll be sorted out by your shareholders or by your voters at the ballot box,” Forrest said.
Newsom said California has also shown the world what can be done with innovative government policies that embrace electric vehicles and the transition to a non-carbon-based economy, and continues to do so despite the attacks and regressive mandates being imposed by the Trump administration.
“This is about economic prosperity and competitiveness, and that’s why I’m so infuriated with what Donald Trump has done,” Newsom said. “Remember, Tesla exists for one reason — California’s regulatory market, which created the incentives and the structure and the certainty that allowed Elon Musk and others to invest and build that capacity. We are not walking away from that.”
California has led the nation in the push toward EVs. For more than 50 years, the state enjoyed unique authority from the EPA to set stricter tailpipe emission standards than the federal government, considered critical to the state’s efforts to address its notorious smog and air-quality issues. The authority, which the Trump administration has moved to rescind, was also the basis for California’s plan to ban the sale of new gasoline-powered cars by 2035.
The administration again targeted electric vehicles in its announcement on Thursday.
“The forced transition to electric vehicles is eliminated,” Zeldin said. “No longer will automakers be pressured to shift their fleets toward electric vehicles, vehicles that are still sitting unsold on dealer lots all across America.”
But the efforts to shut down the energy transition may be too little, too late, said Hannah Safford, former director of transportation and resilience at the White House Climate Policy Office under the Biden administration.
“Electric cars make more economic sense for people, more models are becoming available, and the administration can’t necessarily stop that from happening,” said Safford, who is now associate director for climate and environment at the Federation of American Scientists.
Still, some automakers and trade groups supported the EPA’s decision, as did fossil fuel industry groups and those geared toward free markets and regulatory reform. Among them were the Independent Petroleum Assn. of America, which praised the administration for its “efforts to reform and streamline regulations governing greenhouse gas emissions.”
Ford, which has invested in electric vehicles and recently completed a prototype of a $30,000 electric truck, said in a statement to The Times that it appreciated EPA’s move “to address the imbalance between current emissions standards and consumer choice.”
Toyota, meanwhile, deferred to a statement from Alliance for Automotive Innovation president John Bozzella, who said similarly that “automotive emissions regulations finalized in the previous administration are extremely challenging for automakers to achieve given the current marketplace demand for EVs.”
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