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D.C. Diagnosis: Why is Kamala Harris headed to Texas?

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D.C. Diagnosis: Why is Kamala Harris headed to Texas?


You’re reading the web edition of D.C. Diagnosis, STAT’s twice-weekly newsletter about the politics and policy of health and medicine. Sign up here to receive it in your inbox on Tuesdays and Thursdays.

MAHA moment canceled — momentum still going 

President Trump canceled his plan Tuesday to talk with Robert F. Kennedy Jr. about chronic illnesses and their causes under the “Make America Healthy Again” banner. A spokesperson told STAT that it was due to scheduling conflicts. (Trump rallied Tuesday night in Greensboro, NC; the virtual town hall with RFK was slated for the afternoon).

But that doesn’t mean Trump’s throwing distance between himself and the MAHA world, to some former officials’ chagrin. The former president will tape an interview with Joe Rogan, host of the extremely popular “Joe Rogan Experience” podcast, on Friday. Rogan this month also interviewed Calley Means, one-half of a sibling duo that has risen as public voices of the MAHA movement.

At the HLTH conference in Las Vegas, STAT’s Nicholas St. Fleur moderated a panel on longevity featuring the other half of that duo, Casey Means. She’s the founder of the metabolic health tracking company Levels. On stage, St. Fleur asked Means about her connections with Kennedy, Trump, and MAHA.

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“I am so absolutely thrilled and heartened that at the presidential level — I don’t care who’s talking about it, Bobby Kennedy, Trump or Kamala — that these conversations are now making it into the mainstream,” Means said, praising in particular Kennedy’s views on regenerative agriculture, environmental toxins, PFAS, and phthalates.

After Kennedy halted his presidential campaign and moved to Trump’s team, he said that Casey and Calley Means are the type of people he would suggest putting in charge of the nation’s health agencies. When asked if she would take a Trump administration position, Casey said: “My greatest hope is…that we put chronic disease at the center of American health care policy. And if I can have a small part in that I’d be thrilled to do so.”

Harris heads to Texas. Why?

Vice President Harris will take the stage in Houston tomorrow night with Texas Senate candidate Colin Allred. It’s a state she’s projected to lose, though Allred is deadlocked with incumbent Sen. Ted Cruz. But it’s also a reminder of the stakes she wants to keep in front of voters: Abortion bans and the impact they’re having on health care.

This isn’t a last-ditch effort to turn Texas blue, but a bid at reigniting urgency in states she could actually swing, her surrogates say. (“We’re diverting out of the battlegrounds because we think it’ll help us in battlegrounds,” senior campaign adviser David Plouffe told AP).

There are already questions about how much Democrats’ reproductive rights arguments resonate with voters juggling the range of Harris’ and Trump’s political platforms. While many Americans seem to back abortion rights, they aren’t always voting for the Democrats championing them. Harris is clearly hoping to change that: Ahead of her Houston visit, she launched an ad Wednesday that tells the story of a Texas couple who lost their pregnancy at 16 weeks but were refused abortion care.

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What to expect in a Harris presidency 

So, what would a Harris presidency look like? DCD co-writer Rachel Cohrs Zhang delves into it with a breakdown of her platform on high drug costs, strengthening ACA, and broadening Medicaid coverage, to name a few.

In many ways, these are goals that Democrats couldn’t quite complete during President Biden’s tenure. But others — like canceling medical debt — are newer targets. Rachel expands on what Harris has said and how she might get it done here. (And expect a Trump edition soon!)

Health care issues to watch on Election Day 

With less than two weeks until Election Day, it’s no surprise that Vice President Harris and former President Trump’s policy stances are dominating the headlines. But there is a lengthy list of health care proposals and down-ballot races that could heavily shape health policy in the coming years.

More than a dozen states are voting on health care ballots and pivotal races for congressional control. I wrote a rundown of key ballot measures and races that could transform state and federal health care and ignite new debates, from what happens to 340B to more legal psychedelics.

Lame duck cheat sheet

A lot of what happens on health care policy during the lame duck and the next Congress depends on election outcomes. But that doesn’t mean you can’t prepare now by reading John Wilkerson’s cheat sheet on the health care policies to watch following the election. 

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Health care policies that could be in play during the lame duck include telehealth, Chinese biotech restrictions, Medicare payments for hospitals, and PBM reforms.

No matter what happens, or doesn’t happen, before newly elected officials take office in January, expect a major fight next year over expanded Affordable Care Act premium subsidies and Trump’s 2017 tax cuts, both of which expire at the end of 2025. 

State Medicaid programs coming around on GLP-1s

Most state Medicaid programs don’t cover the new class of drugs for obesity — but half of those holdouts are considering it, per a new KFF report

The potential for expanded coverage of Wegovy and Zepbound under Medicaid comes as private plans are starting to aggressively crack down on covering the medications for obesity. Medicare prohibits coverage of the drugs for that indication, Tara Bannow writes.

Currently, just 13 state Medicaid programs cover GLP-1s for obesity; most others cite the drugs’ high cost. The report notes increased spending on the class of drugs starting in 2021. Dive into the findings.

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Meet the new CDRH director

It’s official: Michelle Tarver will be the new leader of the FDA’s medical devices center, STAT’s Lizzy Lawrence scooped this week.

Tarver has temporarily served in the role since veteran devices head Jeffrey Shuren announced his departure in July. The agency conducted a nationwide search for Shuren’s replacement, but Tarver quickly seemed to be the top pick, shadowing Shuren at conferences and town halls, Lizzy writes.

Tarver joined the center in 2009, eventually becoming the director of the Office of Transformation and helping to launch the agency’s patient engagement advisory committee. Read more.

Jill Biden calls on industry to support women’s health

Addressing a packed main stage hall on the last day of the HLTH conference, Jill Biden touted her husband’s track record on womens’ health — and called on industry to investigate and fund key gaps in medical knowledge about womens’ health care.

“The potential in this space is too great to ignore,” Biden said.

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As of Wednesday, Joe Biden-founded health agency ARPA-H has awarded $110 million — more than it had originally pledged — to a few dozen projects, the White House announced in conjunction with HLTH.

What we’re reading

  • Frustrated with Change Healthcare breach, senators propose removing limits on HIPAA fines, STAT
  • “Not Medically Necessary”: Inside the company helping America’s biggest health insurers deny coverage for care, ProPublica
  • Opinion: Primary care physicians should receive abortion training, STAT
  • CDC told McDonald’s about potential E. coli outbreak late last week, CNBC

 





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USC squanders late lead, falls to Texas State in NCAA regional opener

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USC squanders late lead, falls to Texas State in NCAA regional opener


After spending most of Friday night wasting scoring opportunities, Adrian Lopez and his USC teammates headed into the ninth inning with plenty of confidence. Unfortunately for the Trojans, Texas State wasn’t done yet.

Lopez gave the Trojans the lead in the eighth inning with a home run at Blue Bell Park, but USC couldn’t close out the opener of the NCAA tournament’s College Station Regional.

Texas State’s Chase Mora greeted USC closer Adam Troy with a monstrous two-run home run to left field in the top of ninth, propelling the Bobcats to 5-4 upset before a crowd of 6,956.

“To take the lead right there late, we’re riding high feeling real good and confident going into the ninth,” Lopez said. “I think … the ball fell how it fell. It is what it is. But we’re pretty stoked and excited going into the ninth with the lead.”

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Texas State coach Steve Trout mused that it felt as though the Bobcats were “on the ropes” all night. As trite as that might sound, he’s right.

Unfortunately for the Trojans, they never could deliver the knockout punch. Texas State wasn’t as forgiving. Mora was sitting on Troy’s fastball, and he pounced for his 11th home run of the year.

“Sure enough,” Mora said, “I got the pitch I was sitting on and made a good swing.”

Troy’s blown save was a major part of the story. He arguably wasn’t the biggest reason USC lost, though. The Trojans had plenty of chances. They wasted most of them, leaving 13 men on base on a night they struck out 12 times.

Moreover, the Trojans wasted a major bases-loaded scoring opportunity when Isaac Cadena was picked off at second base for the second out of the fifth. Walter Urbon then flew out to right to end the threat.

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“We got picked off there at second base with one out,” USC coach Andy Stankiewicz said. “That was kind of a gut shot. We have to be better on the bases. We have to be a little more aware when we get off the bag there.

“I thought we executed fine to get runners where we needed to get them. The second part is we got to get them across home plate. That’s the part we didn’t do as well tonight.”

The Bobcats’ shaky defense spotted USC two unearned runs. The Trojans will surely lament, however, stranding runners in scoring position in each of the first seven innings.

The Trojans will now prepare to face Lamar University, which blew a five-run lead in a 7-5 loss to host Texas A&M earlier Friday.

If Stankiewicz’s Trojans return to the College World Series for the first time since 2001, the 12-time national champions must do it out of the losers’ bracket.

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“We’re just going to battle our tails off to keep showing up,” said Abbrie Covarrubias, who gave the Trojans a 3-1 lead with a home run in the fourth inning. “We’re in the fire, so we’re just going to battle our way through and pour our hearts out really.”

USC right-hander Grant Govel, an All-Big Ten First Team selection, settled for a no-decision after giving up three runs on four hits with two walks and six strikeouts over 5 ⅔ innings.

He was relieved by freshman left-hander Sax Matson with one on and two outs in the top of the sixth. Matson escaped unscathed in the sixth, but he was relieved by right-hander Andrew Johnson with one on and two outs in the seventh.

The Trojans, who reached the Big Ten Tournament semifinals, have lost four of their last five games.

“We left some runners in scoring position,” Stankiewicz said. “I’d like to have those back. But they made some pitches when they needed to.”

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Stankiewicz, Adrian Lopez and Covarrubias are adamant that they believe in Troy, who has a team-leading 12 saves this season. No other Trojan has more than three saves.

“He’s been our guy, like coach said,” Lopez said of Troy. “He has a number … of saves. We trust him with everything we have. I wouldn’t want anyone else throwing the last couple pitches of the game. Going tomorrow, everyone’s available. If he’s back in that same situation, I’m just as confident as ever.”



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Why are Mississippi State softball fans wearing broccoli shirts vs Texas at WCWS?

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Why are Mississippi State softball fans wearing broccoli shirts vs Texas at WCWS?


OKLAHOMA CITY — Mississippi State softball is playing in an elimination game at the Women’s College World Series.

The Bulldogs (43-20) are facing No. 2 seed Texas (47-12) at Devon Park on May 29 (6 p.m. CT, ESPN).

Mississippi State and its fans are doing everything they can to muster up some good luck, including using broccoli, which has become the team’s rally prop throughout the NCAA Tournament.

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Some fans and parents of the players are even wearing T-shirts with images of broccoli on them that read “Broccoli Power.”

Here’s what to know about the shirts and why MSU is wearing them.

Why are Mississippi State fans wearing broccoli shirts?

Broccoli became MSU’s good luck charm after a fan known as Broccoli Guy started cheering them on at the Eugene Regional.

He used broccoli as pom-poms while dancing in the stands. For the regional final, MSU brought broccoli for players to hold in the dugout for good luck.

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This trend continued during the super regionals, with MSU bringing broccoli on the bus, holding it in the dugout and posting pictures and videos of it on social media ahead of Game 3 against Oklahoma. Broccoli Guy also showed up to support the Bulldogs again.

Now, with the Bulldogs facing elimination at the WCWS, fans, parents and players are hoping the broccoli shirts, along with their physical stalks of broccoli, will help power them to a win over the Longhorns.

2026 Women’s College World Series schedule

All times CT

  • May 28
    • Game 1: Texas Tech 8, Mississippi State 0
    • Game 2: Tennessee 6, Texas 3
    • Game 3: Alabama 6, UCLA 3
    • Game 4: Nebraska 5, Arkansas 3
  • May 29
    • Game 5: Mississippi State vs Texas (6 p.m., ESPN)
    • Game 6: UCLA vs Arkansas (8:30 p.m., ESPN)
  • May 30
    • Game 7: Texas Tech vs Tennessee (2 p.m., ABC)
    • Game 8: Alabama vs Nebraska (6 p.m., ESPN)
  • May 31
    • Game 9: Game 5 winner vs Game 8 loser (2 p.m., ABC)
    • Game 10: Game 6 winner vs Game 7 loser (6 p.m., ESPN2)
  • June 1
    • Game 11: Game 7 winner vs Game 9 winner (11 a.m., ESPN)
    • Game 12 (if necessary): Game 7 winner vs Game 9 winner (1:30 p.m., ESPN)
    • Game 13: Game 8 winner vs Game 10 winner (6 p.m., ESPN2)
    • Game 14 (if necessary): Game 8 winner vs Game 10 winner (8:30 p.m., ESPN2)
  • June 3
    • Finals Game 1 (7 p.m., ESPN)
  • June 4
    • Finals Game 2 (7 p.m., ESPN)
  • June 5
    • If necessary, finals Game 3 (7 p.m., ESPN)

Tia Reid covers Jackson State sports for the Clarion Ledger. Email her at treid@usatodayco.com and follow her on X @tiareid65.



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Can data center project help Texas town pay for repairs?

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Can data center project help Texas town pay for repairs?

The Waco Bridge is a nonprofit local news organization supported by The Texas Tribune, reporting on Waco government, education and community. Sign up for the Bridge’s free newsletter here.

Audio recording is automated for accessibility. Humans wrote and edited the story. See our AI policy, and give us feedback.

Jim Wallingsford drove his white Chevy truck one morning last month down North Walnut Street in Lacy Lakeview, dodging potholes on his way to inspect a repair project on a sewer lift station.

As public works director for this Waco suburb of 8,000 residents, Wallingsford is always triaging the city’s needs: Cracked and cratered streets, aging pipes and pump stations and the old water tower, which needs a $1 million facelift.

The Connally Lift Station under repair on April 16. The lift station pumps sewage from deeper underground to a higher elevation. “You know the shape that our streets are in, our water and sewer mains are in the same shape. We replace when we can and repair when we have to,” Wallingsford said. Justin Hamel/The Waco Bridge/CatchLight Local/Report for America

“I want to be a good steward of the City of Lacy Lakeview with the money I’m given to spend,” he said. “So I give everything a weighted scale and I base it off of the likelihood and consequences of failure.”

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Out of two water towers in Lacy Lakeview, this one needs significant repairs, including a new catwalk and paint. In the meantime Wallingsford said “I wouldn’t send anyone up there.”
Out of two water towers in Lacy Lakeview, this one needs significant repairs, including a new catwalk and paint. In the meantime Wallingsford said “I wouldn’t send anyone up there.” Justin Hamel/The Waco Bridge/CatchLight Local/Report for America

Lacy Lakeview, population 8,000, is typical of many small Texas towns that lack the resources to keep up with streets and pipes that are wearing out. Most of that infrastructure in Lacy Lakeview was installed more than 50 years ago. And the longer maintenance is deferred, the faster it deteriorates.

Water from the City of Waco is pumped into the storage tank on the right, before being pressurized with compressed air from the smaller tank, and pumped into the Lacy Lakeview’s water system.
Water from the City of Waco is pumped into the storage tank on the right, before being pressurized with compressed air from the smaller tank, and pumped into the Lacy Lakeview’s water system. Justin Hamel/The Waco Bridge/CatchLight Local/Report for America

Mayor Chuck Wilson has pointed to the city’s maintenance backlog to justify the pursuit of a data center. He wants to partner with Infrakey to develop and annex a proposed $10 billion data center north of town near Ross.

That development represents tax base that would increase Lacy Lakeview’s tax base enough to increase city tax revenues from $6.5 million to $50 million a year. But the project has drawn a backlash from neighbors of the Infrakey site, as well as from some Lacy Lakeview residents, who just elected data center opponent Amy Gage to the City Council.

Cars often crash into raised manhole covers along Route 77 in Lacy Lakeview. The city would replace or relocate the manholes with additional tax revenue from the proposed Infrakey data center.
Cars often crash into raised manhole covers along Route 77 in Lacy Lakeview. The city would replace or relocate the manholes with additional tax revenue from the proposed Infrakey data center. Justin Hamel/The Waco Bridge/CatchLight Local/Report for America

As Wallingsford sees it, the city needs new development, or the existing taxpayer and utility ratepayers will be on the hook for improvements.

“Everything that we purchase is going up, literally,” he said. “The only other solution is that we have to have a rate increase just to be able to keep up.”

Wallingsford said a dump truck will be the first pieces of equipment replaced once more funding is secured. “We’re going to have to get at least one dump truck,” Wallingsford said. “ I’d like to get two in this next year’s budget because, you know, these dump trucks are 25 years old.” The current maintenance outweighs the cost of the current fleet.
Wallingsford said a dump truck will be the first pieces of equipment replaced once more funding is secured. “We’re going to have to get at least one dump truck,” Wallingsford said. “ I’d like to get two in this next year’s budget because, you know, these dump trucks are 25 years old.” The current maintenance outweighs the cost of the current fleet. Justin Hamel/The Waco Bridge/CatchLight Local/Report for America

Wallingsford stopped his truck at the Meyers water pump station, which was under repair after it was observed to be leaking.

“The consequence of them failing is pretty high but their issues aren’t critical and they continue to operate,” he said. “The city only needs one pump to operate and we have three, so there’s a backup.

The Meyers Pump Station in Lacy Lakeview is outdated and in need of upgrade as of April 16. The pumps leak, even when they aren’t running.
The Meyers Pump Station in Lacy Lakeview is outdated and in need of upgrade as of April 16. The pumps leak, even when they aren’t running. Justin Hamel/The Waco Bridge/CatchLight Local/Report for America

“At the end of the day when something fails, we go back and work off of the plan.”

Wallingsford, a former city of Waco staffer, said utility infrastructure like this typically has a 50-year lifespan, and the ideal practice in public works is to set aside 2% of the system’s cost each year for replacement.

“I haven’t worked for a city that’s ever done that,” he said.

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Even more visible is the wear and tear on Lacy Lakeview’s 30 miles of city streets. Asked which ones need to be repaved, he didn’t hesitate.

“All of them,” he said. “They all need to be done. I’d say we have about 15 critical streets” that need to be repaved.

South Barbara Street is the first street on the list to be repaired in Lacy Lakeview in 2026. The city currently has a 30-mile backlog of streets that need significant work.
South Barbara Street is the first street on the list to be repaired in Lacy Lakeview in 2026. The city currently has a 30-mile backlog of streets that need significant work. Justin Hamel/The Waco Bridge/CatchLight Local/Report for America
A view down Avenue B at its intersection with South Barbara Street shows the contrast of before and after. Avenue B was rehabilitated last year using the city’s “zipper” recycling machine, while South Barbara Street, seen at center, awaits its fix.
A view down Avenue B at its intersection with South Barbara Street shows the contrast of before and after. Avenue B was rehabilitated last year using the city’s “zipper” recycling machine, while South Barbara Street, seen at center, awaits its fix. Justin Hamel/The Waco Bridge/CatchLight Local/Report for America

The city is now repairing and reconstructing streets using a $9.5 million bond issue that voters approved in 2024. To save money, the city is using its own workers and equipment to grind up and recycle pavement, which is then compacted and resealed.

Among the most critical projects is Walnut Street, which is being reconstructed along with replacement of water, sewer, fiber optic and gas utilities under the street. That project is to be completed in February 2027.

Wallingsford explained: “That is what our guys do probably eight months out of the year. They use this zipper machine here to eat up the old asphalt. Then we compact it with a rolling machine over there, and then we come back and chip seal the existing roads. It’s a cheaper way of getting the potholes out of the roads and giving the citizens a smoother surface to drive on.” The equipment was purchased in a bond election to save the city money by paying outside contractors to repave the city’s streets. Previously the maintenance department was only able to fill potholes.
Wallingsford explained: “That is what our guys do probably eight months out of the year. They use this zipper machine here to eat up the old asphalt. Then we compact it with a rolling machine over there, and then we come back and chip seal the existing roads. It’s a cheaper way of getting the potholes out of the roads and giving the citizens a smoother surface to drive on.” The equipment was purchased in a bond election to save the city money by paying outside contractors to repave the city’s streets. Previously the maintenance department was only able to fill potholes. Justin Hamel/The Waco Bridge/CatchLight Local/Report for America

This article first appeared on The Waco Bridge.



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