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Abortion providers 'maxed' in North Carolina, bracing for Florida impact

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Abortion providers 'maxed' in North Carolina, bracing for Florida impact


84,052. That is the number of abortions reported in Florida in 2023, according to the Florida Agency for Health Care Administration.

With a six-week ban on abortions taking effect Wednesday, abortion providers in other states say they’re already bearing the burden of that demand.

Florida abortion data in 2023 by trimester

“It’s not even noon, and we’re absolutely already seeing an impact, especially in requests for appointments,” said Calla Hales, executive director of Preferred Women’s Health Center, which provides abortions and has two clinics in North Carolina. “We’re seeing an influx of calls coming in from patients trying to figure out what the laws are and what they need to do to receive care outside of Florida since they are no longer able to.”

“It's not even noon, and we're absolutely already seeing an impact, especially in requests for...
“It’s not even noon, and we’re absolutely already seeing an impact, especially in requests for appointments,” said Calla Hales, executive director of Preferred Women’s Health Center, which provides abortions and has two clinics in North Carolina.

Abortion is currently banned after 12 weeks in North Carolina. That’s one of the least restrictive bans in the southeastern U.S.

Hales said North Carolina abortion providers have managed an influx of patients since the U.S. Supreme Court overturned Roe v. Wade in its 2022 Dobbs v. Jackson Women’s Health decision..

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“When Dobbs went into effect… the last half of 2022, we were operating at a 167% capacity,” Hales said.

While some of that demand quieted when North Carolina’s current abortion restriction took effect in 2023, Hales said providers in the state are already stretched thin as they brace for the impact of Florida’s new restrictions in the coming weeks and months.

“The unfortunate reality is North Carolina is already maxed,” Hales said. “There’s only so much we can do to continue to expand.”

Other businesses are preparing to absorb the demand as well.

GetStix is a website that sells women’s health products including pregnancy tests, condoms and the morning-after pill.

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“After the Dobbs decision, we found that sales honestly skyrocketed,” the site’s co-founder, Cynthia Plotch, said. “And today with the latest news out of Florida, we expect to see the same.”

Stix shared sales data with WPTV, which shows a 43% increase in sales of its morning-after pill compared with last year.

Stix also reported a 123% increase in sales of the medication to Florida customers since 2022.

To date this year, AHCA reports 14,735 abortions performed in Florida. Ninety percent of those occurred during the first trimester of pregnancy.

Abortions by trimester in Florida in 2024.
Abortions by trimester in Florida in 2024.

One abortion was reported this year during the third trimester. Because Florida abortion providers are required to report the reason for ending a pregnancy to the state, we know it was due to a fatal fetal abnormality.

Florida’s new abortion restriction provide exceptions for abortions to take place between six and 15 weeks into a pregnancy in cases of rape, incest, human trafficking. If a patient claims any of those exceptions, they are required bring legal or medical documentation to the abortion provider.

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In 2023, the AHCA reported 11 pregnancies were terminated in Florida due to incest, 107 were terminated due to rape, and 2 were terminated due to human trafficking.

An exception in the new restriction also provides for abortion between 6 and 15 weeks gestation if “there is a medical necessity for legitimate emergency medical procedures for termination of the pregnancy to save the pregnant woman’s life or avert a serious risk of imminent substantial and irreversible physical impairment of a major bodily function of the pregnant woman other than a psychological condition.”

This exception requires certification from two physicians in writing, unless one physician certifies in writing that a second doctor is unavailable to consult.

The AHCA reports 2,325 pregnancies in 2023 were terminated due to the emotional or psychological health of the mother, 1,334 abortions were performed due to a physical health condition that was not life-threatening for the mother, and 251 were performed due to a condition that threatened the mother’s life.

Scripps Only Content 2024

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NC schools are struggling with segregation 70 years after Brown v. Board, new research shows

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NC schools are struggling with segregation 70 years after Brown v. Board, new research shows


North Carolina schools — and schools across the nation — remain segregated and often are more segregated now than they were just a few decades ago, according to two new studies.

Friday marks the 70th anniversary of the U.S. Supreme Court ruling in Brown v. Board of Education of Topeka, in which the court ruled that laws racially segregating schools were unconstitutional and that separate facilities were inherently unequal.

The state and nation are more diverse now than in the 1990s. But while white students are now a minority of the state’s student traditional public school population, most white students still attend schools that are mostly white. At the same time, the average Black student attends schools that are disproportionately Black.

The changes are in part because of continued residential segregation, rising choices outside of the traditional school system and waning efforts to desegregate in the traditional public school system, researchers note. “Resegregation” of schools, then, is in part because of the loss of white students to other types of schools, like public charter schools.

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“What we see in North Carolina is consistent with what’s happening in other parts of the nation,” said Jenn Ayscue, an assistant professor at North Carolina State University and co-author of one of the new studies that focused specifically on North Carolina. The study was done in partnership with the University of California-Los Angeles. “We did a similar report 10 years ago, and found that schools at that point were becoming more segregated. So in this last decade, it’s gotten even worse.”

The causes of the problem are often also out of the control of schools alone.

“Residential segregation has not gone anywhere in this country,” said Jerry Wilson, director of policy and advocacy at the Center for Racial Equity in Education, a Charlotte-based organization. “It remains and that’s the one that policymakers just seem unwilling to do much about. We’ve tinkered around with schools as a means of desegregating. But ultimately, our society and policymakers have proven unwilling to really address the heart of it, which is residential segregation.”

How segregated schools are can affect academic outcomes for the students who attend them, Ayscue said.

One of the reasons racial integration matters is that race often correlates with other meaningful demographic statistics, Ayscue said. In schools that were “intensely segregated” with students of color in 2021, 82.6% of the students were recipient of free or reduced-price lunch.

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Intensely segregated refers to schools that enrolled 90% to 100% students of color. Students of color statewide comprise about 55% of the student population.

Ayscue said students tend to do better in schools where household incomes tend to be higher, although there are always outliers. More affluent schools tend to have fewer needs, more experienced teachers and less employee turnover.

During the 1989-90 school year, less than 10% of Black students attended a school that was intensely segregated with students of color. But during the 2021-22 school year, just under 30% of Black students did.

But white students are less likely now to attend schools that are intensely segregated with white students. During the 1989-90 school year, 21.6% of schools were intensely segregated with white students. But by 2021-22 school year, that was 1.9% of schools.

Integration is better in more rural school districts, where there aren’t as many schools. A single town might have only one school that all students attend, Ayscue said.

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What can be done

Ayscue and her fellow researchers recommend expanding magnet school programs or other methods of offering a “controlled choice” for families. Magnet schools can take shape a few different ways but are essentially normal public schools with extra programming that outside families can apply to attend. They typically take neighborhood students and outside applicants. Because of that mix, they often are more diverse than other nearby schools.

Magnet schools are relatively rare, mostly concentrated in urban and suburban areas. North Carolina has 226 magnet schools this year, located in 17 school systems. Nearly all of the magnet schools are in Wake, Charlotte-Mecklenburg, Durham, Guilford, Winston-Salem/Forsyth and Cabarrus county school systems. The state has 115 school systems and more than 2,600 schools.

NC State’s researchers found some school systems are working to reduce segregation at their schools. Durham Public Schools next year will start is “Growing Together” student assignment plan, a heavily debated major overhaul that creates sub-districts in which students can attend a neighborhood or magnet school and limits choice options across the system. Winston-Salem/Forsyth County Schools is studying its enrollment and attendance trends before creating a student assignment policy that would attempt to increase socioeconomic diversity at the district’s schools.

A national study from Stanford University and the University of Southern California pointed to charter schools are a reason for the resegregation. Charters can often be heavily segregated — attracting mostly white families in suburban areas or attracting mostly families of color in urban areas. In North Carolina, charter schools tend to be whiter than the statewide average.

The demographics of charter schools have been shifting for several years to close to statewide averages. That’s in part because more of them are using weighted lotteries to admit students. Those lotteries give applicants more weight — and a greater likelihood fo getting into the school — if the applicant is “educationally disadvantaged.” Charter schools create their own rules for weighted lotteries but must include more weight for low-income students.

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But most schools don’t have weighted lotteries and charter schools are still more concentrated in urban areas, said Kris Nordstrom, a senior policy analyst with the Education & Law Project at the left-learning North Carolina Justice Center, which has been critical of charter schools. From what Nordstrom has researched, the demographic disparities between urban charter schools and the counties they are located in are more stark than when simply comparing statewide averages.

The impact on segregation of the expansion of private school vouchers will be hard to measure, Ayscue said. Individual private schools don’t report their demographic data publicly. Demographic data are available on voucher recipients only on a statewide basis.



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In a debut book, a love letter to eastern North Carolina — and an indictment of colonialism as a driver of climate change

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In a debut book, a love letter to eastern North Carolina — and an indictment of colonialism as a driver of climate change


This story was produced in partnership with Covering Climate Now. 

As the planet grapples with the ever-starker consequences of climate change, a debut book by Lumbee citizen and Duke University scientist Ryan Emanuel makes a convincing argument that climate change isn’t the problem — it’s a symptom. The problem, Emanuel explains in On the Swamp: Fighting for Indigenous Environmental Justice, is settler colonialism and its extractive mindset, which for centuries have threatened and reshaped landscapes including Emanuel’s ancestral homeland in what today is eastern North Carolina. Real environmental solutions, Emanuel writes, require consulting with the Indigenous peoples who have both millennia of experience caring for specific places, and the foresight to avoid long-term disasters that can result from short-term material gain. 

Born in Charlotte, North Carolina, in 1977, Emanuel was one of a handful of Native students at school. He spent summers visiting family in Robeson County, North Carolina, the cultural center of the Lumbee Tribe, or People of the Dark Water, where he played outside with other children, occasionally exploring a nearby swamp, one of the many lush waterways that slowly wind through the region, with a cousin. Today, Emanuel visits those swamps to conduct research. He describes them with an abiding, sometimes poetic affection, such as one spring day when he stands calf-deep in swamp water, admiring white dogwood flowers floating on the dark surface as tadpoles dart underneath. 

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But that affection lives with tension. Emanuel describes trying to collect “reeking” floodwater samples from a ditch after 2018’s Hurricane Florence. In Emanuel’s retelling, a nearby landowner — a white farmer who uses poultry waste as fertilizer — threatens to shoot Emanuel. The sampling, the man believes, would threaten his livelihood, which is wrapped up in North Carolina’s extractive animal farming industry — a system of giant, polluting “concentrated animal feed operations” overwhelmingly owned and operated by white people, and exposing mainly racial minorities to dirty air and water. They are a sharp contrast to the small backyard farms and truck crops grown by Emanuel’s aunties and uncles back in Robeson County a generation ago. As the man holds his gun and lectures about environmental monitoring, Emanuel reflects silently that they are standing on his ancestors’ land. Ever the researcher, he later finds deed books from around the Revolutionary War showing Emanuels once owned more than a hundred acres of land in the vicinity. Still, he holds a wry sympathy for the man, who, he notes, is worried that environmental data will jeopardize his way of life in a place his family has lived for generations. 

Eastern North Carolina is a landscape of sandy fields interwoven with lush riverways and swamplands, shaded by knobby-kneed bald cypress trees and soaked with gently-moving waterways the deep brown of “richly steeped tea,” Emanuel writes. In addition to water, the region oozes history: It includes Warren County, known as the birthplace of the environmental justice movement, where local and national civil rights leaders, protesting North Carolina’s decision to dump toxic, PCB-laden soil in a new landfill in a predominantly-Black community, coined the term “environmental racism.” It’s also the mythological birthplace of English colonialism, Roanoke Island. On the Swamp draws a through line from early colonization of the continent to ongoing fights against environmental racism and for climate justice, with detailed stops along the way: Emanuel’s meticulous research illustrates how the white supremacism that settlers used to justify colonialism still harms marginalized communities — both directly, through polluting industries, and indirectly, through climate change — today. 

With convoluted waterways accessible only by small boats, and hidden hillocks of high ground where people could camp and grow crops, the swamplands of eastern North Carolina protected Emanuel’s ancestors, along with many other Indigenous peoples, from genocide and enslavement by settlers. Today, with climate change alternately drying out swamplands or flooding them with polluted water from swine and poultry operations, it’s the swamps that need protection, both as a geographic place, and an idea of home. The Lumbee nation is the largest Indigenous nation in the eastern United States, but because the Lumbee Tribe gained only limited federal recognition during the 1950s Termination Era, its sovereignty is still challenged by the federal government and other Indigenous nations. Today, federal and state governments have no legal obligation to consult with the Lumbee Tribe when permitting industry or development, although the federal government does with Indigenous nations that have full federal recognition, and many industrial projects get built in Robeson County. 

In writing that’s both affectionate and candid, On the Swamp is a warning about, and a celebration of, eastern North Carolina. Though the region seems besieged by environmental threats, Indigenous nations including the Lumbee are fighting for anticolonial climate justice. 

Grist recently spoke with Emanuel about On the Swamp.

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This interview has been edited for clarity and length. 


Q. What motivated you to write this book? 

A. Many years ago, I thought that I wanted to write a feel-good book about celebrating the Lumbee River and the Lumbee Tribe’s connection with it, and talking about all the reasons why it’s beautiful, and amazing, and important to us. So I thought that I would write this essentially nature story, right? But as my work evolved, and as I started thinking more critically about what I actually should be writing, I realized that I couldn’t tell that love story about the river without talking about difficult issues around pollution, climate change, and sustainability, and broader themes of environmental justice and Indigenous rights. 

Q. Could you tell me about your connection to place?

A. I have a relationship to Robeson County that’s complicated by the fact that my family lived in Charlotte, and I went to school in Charlotte, and we went to church in Charlotte. But two weekends every month, and every major holiday, we were in Robeson County. And so I’m an insider, but I’m also not an insider. I’ve got a different lens through which I look at Robeson County because of my urban upbringing, but it doesn’t diminish the love that I have for that place, and it doesn’t keep me from calling it my home. I’ve always called it home. Charlotte was the place where we stayed. And Robeson County was home. 

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I can’t see the Lumbee River without thinking about the fact that it is physically integrating all of these different landscapes that I care about, [and] a truly beautiful place. 

Q. In 2020, after years of protests and legal battles, Dominion Energy and Duke Energy canceled the Atlantic Coast pipeline, which would have carried natural gas 600 miles from West Virginia to Robeson County. In On the Swamp, you note that a quarter of Native Americans in North Carolina lived along the proposed route of the Atlantic Coast Pipeline. What was the meaning of the Atlantic Coast pipeline project for Lumbee people?

A. That was an issue very few Lumbee people paid attention to, until they saw the broader context to the project and realized that such an outsized portion of the people who would be affected by the construction and operation of that pipeline were not only Native American, but were specifically Lumbee. I think that’s what generated a lot of outrage, because for better or for worse, we’re used to being treated like a sacrifice zone. 

The Atlantic Coast pipeline gave us an easy way to zoom out and ask questions like, “OK, who is going to be affected by this project? Who’s making money off of this project?”

It was also a way to engage with larger questions about things like energy policy in the face of climate change and greenhouse gas emissions. [It] brought up philosophical questions of how we feel about the continued use of fossil fuels and the investment in brand new fossil fuel infrastructure that’s going to last 30, 40, or 50 years, at a time when everybody knows we shouldn’t be doing that. 

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Q. At the end of the day, the Atlantic Coast pipeline didn’t happen. What do you think is the main reason?

A. The collective resistance of all of these organizations — tribal nations, committed individuals, grassroots organizations — was enough to stall this project, until the developers realized that they had fallen into the Concorde fallacy. Basically, they got to the point where they realized that spending more money was not going to get them out of the hole they had dug in terms of opposition to this project. 

But as long as [developers] hold on to those [property] easements, there’s certainly a threat of future development.

Q. You write that people can physically stay on their ancestral land and still have the place taken away by climate change, or by development projects. Can you talk a little bit about still having the land but somehow losing the place?

A. The place is not a set of geographic coordinates. It’s an integration of all the natural and built aspects of the environment. And so climate change, deforestation, these other types of industrialized activities, they have the potential to sweep that place out from under you, like having the rug pulled out. All of the things that make a set of geographic coordinates a beloved place can become unraveled, by these unsustainable processes of climate change and unsustainable development. I think that the case studies in [On the Swamp] show some of the specific ways that that can happen. 

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Q. Could you talk about your experiences as a researcher going out in the field, navigating modern land ownership systems, and how that connects to climate change?

A. I don’t know if it’s fair to say that I have to bite my tongue a lot, but I kind of feel that way. When I hear people talk about their ownership of our ancestral lands — I’m a mix of an optimist and a realist, and I understand that we’re not going to turn back the clock. And frankly, I’m not sure I want to, because Lumbee people are ourselves a product of colonial conflict, and we wouldn’t exist as the distinct nation that we are today, if it were not for the colonial violence that we survived. We might exist as our ancestral nations and communities, but we definitely wouldn’t be Lumbee people. So this is a complicated issue for me. 

When we think about the front lines of climate change, we don’t often think about Robeson County, North Carolina. But because our community is so attuned to that specific place, we’re not going to pick up and move if the summers get too hot, or if the droughts are too severe. That’s not an option for us. So I think that some of the urgency that I feel is not too different from the urgency that you hear from other [Indigenous] people who are similarly situated on the front lines of climate change.

Q. Something else that you make a really strong point about in this book is that something can be a “solution” to climate change, but not sustainable, such as energy companies trying to capture methane at giant hog farms in Robeson County. How should people think about climate solutions, in order to also take into account their negatives?

A. The reason why people latch onto this swine biogas capture scheme is if you simply run the numbers, based on the methane and the carbon dioxide budgets, it looks pretty good. 

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But a swine facility is a lot more than just a source of methane to the atmosphere, right? It’s all these other things in terms of water pollution, and aerosols, and even things like labor issues and animal rights. There are all these other things that are attached to that kind of facility. If you make a decision that means that facility will persist for decades into the future operating basically as-is, that has serious implications for specific people who live nearby, and for society more broadly. We don’t tend to think through all those contingencies when we make decisions about greenhouse gas budgets. 

Q. What are some ways that the Lumbee tribe is proactively trying to adapt to climate change?

A. Climate change is not an explicit motivation [for the Lumbee Tribe]. If you go and read on the Lumbee Tribe’s housing programs website, I don’t think you’re going to find any rationale that says, “We’re [building housing] to address climate change.” But they are.

Getting people into higher-quality, well-insulated and energy-efficient houses is a big deal when it comes to addressing climate change, because we have a lot of people who live in mobile homes, and those are some of the most poorly insulated and least efficient places that you could be. And maybe 40 years ago, when our extreme summer heat wasn’t so bad, that wasn’t such a huge deal. But it’s a huge deal now. 

Q. What is the connection between colonialism and climate change for eastern North Carolina, and why is drawing that line necessary? 

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A. The one sentence answer is, “You reap what you sow.” 

The longer answer is, the beginning of making things right is telling the truth about how things became wrong in the first place. And so I really want this book to start conversations on solving these issues. We really can’t solve them in meaningful ways unless we not only acknowledge, but also fully understand, how we got to this point. 






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North Carolina Legislators Want To Ban Masks, Even For Health Reasons

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North Carolina Legislators Want To Ban Masks, Even For Health Reasons


The North Carolina State Senate has voted along party lines this week to ban wearing masks in public.

Seventy years ago some states passed anti-mask laws as a response to the Ku Klux Klan, whose members often hid their identities dressed in robes and hoods.

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The North Carolina bill repeals an exception to the old anti-mask laws that was enacted during the early phase of the Covid-19 pandemic, which allows people to wear masks in public for “health and safety reasons.”

According to The Hill, Republican supporters of the ban said it would help law enforcement “crack down on pro-Palestine protesters who wear masks.” They accuse demonstrators of “abusing Covid-19 pandemic-era practices to hide their identities.”

To reinforce the deterrent, the proposed law states that if a person is arrested for protesting while masked, authorities would elevate the classification of the misdemeanor or felony by one level.

Democrats in North Carolina have raised concerns about the bill, particularly for the immunocompromised or those who may want to continue to wear masks during cancer treatments. And others have also chimed in, including Jerome Adams, former Surgeon General in the Trump Administration, who posted on Twitter that “it’s disturbing to think immunocompromised and cancer patients could be deemed criminals for following medical advice aimed at safeguarding their health.”

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Additionally, there are folks who may have legitimate health reasons for wearing medical masks, including asthma sufferers, people exposed to wildfire and smoke or individuals who want to protect themselves, their families and others from pathogens like Covid-19 and influenza.

Indeed, for decades people across Asia have worn masks for a variety of reasons, as USA Today explained at the outset of the coronavirus epidemic. Japanese often wear masks when sick to curb transmission. Philippine motorcycle riders will put on face coverings to protect from exhaust fumes in heavy traffic. Similarly, citizens of Taiwan use masks to protect themselves from air pollution and airborne germs.

There are exemptions incorporated into the proposed ban, including for Halloween or specific types of work that require face coverings. There’s even an exception that specifically allows members of a “secret society or organization to wear masks or hoods in a parade or demonstration if they obtain a permit,” as WRAL in Raleigh, North Carolina reports.

Upon reading this, a Democratic State Senator in North Carolina, Sydney Batch, asked, “so this bill will protect the Ku Klux Klan to wear masks in public, but someone who’s immunocompromised like myself cannot wear a mask?”

It’s noteworthy that if a group like the KKK were to file for and obtain a permit to demonstrate, under the proposed law they could wear face coverings. And this isn’t a theoretical point. The KKK has a history of organizing rallies in North Carolina, like one they held in 2019. The question is, could pro-Palestinian demonstrators get a similar permit now and be allowed to wear masks or other face coverings? Presumably not.

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The American Civil Liberties Union argues that the law is specifically being used to target those who wear face coverings while protesting the war in Gaza, which in the ACLU’s view amounts to “selective prosecution of a disfavored movement.”

There are other legal aspects that could also be invoked that pertain to the constitutionality of such a ban.

Remember when at the height of the Covid-19 pandemic wearing a mask was mandatory in public places in many jurisdictions as well as federal buildings and property and this provoked an outcry from people on the grounds of freedom of choice? Judges overturned certain mask mandates at both the federal and state levels and did so on constitutional grounds. By the same token, though in a kind of role reversal, it could now be argued that by banning masks people won’t be able to exercise their freedom of choice to protect themselves. It stands to reason that a constitutional law debate could ensue if the North Carolina ban goes into effect.

In the meantime, the bill now moves to the House for the next vote. From there it may head to Governor Roy Cooper’s desk. He’s a Democrat and will likely veto the legislation. But the North Carolina Republican Party has a supermajority and can override a possible veto.





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