World
Republicans once maligned Medicaid. Now some see a program too big to touch
WASHINGTON (AP) — Every time a baby is born in Louisiana, where Republican House Speaker Mike Johnson handily won reelection last year, there’s more than a 60% chance taxpayers will finance the birth through Medicaid.
In Republican Rep. David Valadao ’s central California district, 6 out of 10 people use Medicaid to pay for doctor visits and emergency room trips.
And one-third of the population is covered by Medicaid in GOP Sen. Lisa Murkowski’s Alaska, one of the nation’s costliest corners for health care.
Each of these Republicans — and some of their conservative colleagues — lined up last week to defend Medicaid, in a departure from long-held GOP policies. Republicans, who already have ruled out massive cuts to Social Security and Medicare, are turning their attention to siphoning as much as $880 billion from Medicaid over the next decade to help finance $4.5 trillion in tax cuts.
But as a deadline to avoid a partial government shutdown nears, hesitation is surfacing among Washington’s Republican lawmakers — once reliable critics of lofty government social welfare programs such as Medicaid — who say that deep cuts to the health care program could prove too untenable for people back home.
“I’ve heard from countless constituents who tell me the only way they can afford health care is through programs like Medicaid,” Valadao said on the House floor. “And I will not support a final reconciliation bill that risks leaving them behind.”
And on Wednesday, President Donald Trump, too, made his position on Medicaid clear: “We’re not going to touch it.”
States and the federal government jointly pay for Medicaid, which offers nearly-free health care coverage for roughly 80 million poor and disabled Americans, including millions of children. It cost $880 billion to operate in 2023.
Johnson has ruled out two of the biggest potential cuts: paying fixed, shrunken rates to states for care and changing the calculation for the share of federal dollars that each state receives for Medicaid. Just a few years ago, Johnson spearheaded a report that lobbied for some of those changes during the first Trump administration.
Johnson insisted in a CNN interview that the focus will instead be ferreting out “fraud, waste and abuse, in Medicaid, although it’s unlikely to deliver the savings Republicans seek.
GOP pressure over Medicaid is mounting, with some state party leaders joining the calls to preserve the program. States are already struggling with the growing cost of sicker patients and could be left to cover more if the federal government pulls back. In some states, the federal government picks up over 80%.
More than a dozen Minnesota GOP lawmakers wrote the president recently warning that “too deep of a cut is unmanageable in any instance.” Gov. Joe Lombardo, R-Nev., told Congress in a letter that “proposed reductions would put lives at risk.” In Alaska, state Senate Majority Leader Cathy Giessel, a Republican and nurse, cited “huge concerns” during a floor speech.
Nationally, 55% of Americans said the government spends too little on Medicaid, according to a January poll from The Associated Press-NORC Center for Public Affairs Research.
“It’s now a very popular program that touches a very broad cross-section of American society,” said Drew Altman, president of the health care research firm KFF. “Roughly half of the American people say that they or a family member have at one time been served by the program.”
Significant changes to Medicaid are still on the table. They have to be for Republicans get the savings they need to pay for tax cuts.
Work requirements, which could save as much as $109 billion over the next decade, seem to have solid support among GOP members, with some individual Republican-led states already moving to implement them.
Republicans also could consider cuts in benefits or coverage, as well as eliminating a provider tax that states use to finance Medicaid, Altman added.
Democrats warn that reductions are inevitable and could be dire.
Starting Monday, TV ads will caution people across 20 congressional districts that hospitals are at risk of closing and millions of people could lose coverage if Republicans cut Medicaid “to fund massive tax cuts for Elon Musk and billionaires.” The Democratic super political action committee House Majority Forward has launched the seven-figure campaign.
Trump and Republicans have for years called to lower government spending on health care, but they have struggled to formulate a serious plan that gains traction. Trump, for example, has spent nearly a decade arguing for an overhaul of the Affordable Care Act. His efforts to repeal the Obama-era national health care law failed during his first term and in his most recent presidential campaign he offered only “concepts of a plan” to adapt the program.
Michael Cannon, a director of health studies at libertarian Cato Institute, believes Medicaid needs an overhaul because it is a significant part of the federal budget and a contributor to the nation’s growing debt.
But Republicans, he said, are not looking at serious ways to drive down the cost of health care.
“The only reason for the cuts right now is to pay for the tax cuts,” Cannon said. “None of them are talking about the need to do better health reform.”
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Associated Press writer Becky Bohrer in Juneau, Alaska and AP Congressional Correspondent Lisa Mascaro contributed to this report.
World
Photos: Khamenei funeral procession under way in Tehran
Published On 6 Jul 2026
The funeral procession for late Iranian Supreme Leader Ali Khamenei has begun in Tehran as authorities prepare for crowds that could rival those that turned out for his predecessor nearly four decades ago.
After lying in state for two days at Tehran’s Grand Mosalla religious complex, the body of Khamenei, who was killed on the first day of the United States-Israel war on Iran, began its journey on Monday through the capital, accompanied by large crowds of mourners, state broadcaster IRIB reported.
Authorities are hoping to avoid a repeat of the chaos that marred the 1989 funeral of Khamenei’s predecessor, Ruhollah Khomeini, which drew an estimated 10 million people, according to the state news agency IRNA.
Crowd surges during Khomeini’s funeral killed more than 10 people and injured over 10,000.
Thousands filled the Grand Mosalla on Sunday to pay their respects to Khamenei and his four family members who were killed with him on February 28 in air strikes on his office in Tehran.
Monday’s procession will be followed by similar events in the clerical hub of Qom on Tuesday and in Iraq’s holy cities of Najaf and Karbala on Wednesday, culminating in Khamenei’s burial in his hometown of Mashhad in northeastern Iran on Thursday.
World
Ukraine Is Bringing the War With Russia to Crimea, Strike After Strike
Celebrating his seizure of Crimea in 2014, President Vladimir V. Putin later called the peninsula an “unsinkable aircraft carrier,” hailing Russia’s return there as a symbol of revanchist ambition.
Now the Ukrainian military is hammering Crimea with swarming drone attacks, seeking to transform it from a Russian-occupied fortress into a nightmare for the Kremlin to manage.
All of this has shaken life in Crimea to the greatest extent since Russia illegally annexed the peninsula in 2014. It has also caused some Russian forces along the southern front to shift into defensive operations, according to Kostiantyn Mashovets, a Ukrainian military analyst.
Overnight Wednesday into Thursday, Russia bombarded Kyiv, Ukraine’s capital, killing at least 30, according to Ukrainian emergency services, in a deadly show of force after weeks of Ukrainian attacks.
Moscow has spent years fortifying Crimea, tripling its troop presence, deploying advanced air defenses and coastal batteries, and studding the land with missile launch systems. Fighter jets and bombers packed airfields, new vessels joined the Black Sea Fleet, and the $3.7 billion Kerch Strait Bridge gave Russia direct access to Crimea.
None of that could change geography.
Crimea juts out into the sea, leaving it initially vulnerable to Ukraine’s maritime drones. In the first years of the war, Ukraine targeted Russia’s naval headquarters in Sevastopol, drove its warships from Crimean ports and turned the peninsula’s waters into a hunting ground.
Its efforts to strike at Crimea, though, were limited by the weapons Ukraine had at the time. Now Ukrainian officials say their ever-evolving arsenal can inflict more pain, potentially enough, they hope, to bring Moscow back to the negotiating table.
“There’s no place to hide in Crimea,” said Lt. Gen. Ben Hodges, a retired commanding general of U.S. Army Europe. “The Ukrainians have the ability to touch every single place where there’s an air defense weapon or a logistics hub or an airfield or headquarters.”
Swarming Russia’s Air Defenses
The current Ukrainian campaign on Crimea at the outset targeted Russia’s air defense network.
In June alone, Ukraine claimed to target 31 air defense systems and radars, the most frequent military targets for its drone strikes.
The biggest success of these strikes, according to Ukraine, was what it called the destruction of the $100 million Neva-B radar system, an asset capable of tracking targets up to 370 miles away. A drone video posted by the Ukrainian military showed the attack on June 25. The New York Times could not independently verify if it was damaged, but military analysts said it appears it is not operational.
The attacks have exposed significant vulnerabilities in Russia’s defenses, which were originally built for traditional missiles and aircraft, not fleets of drones.
Pounding Roads and Bridges
With air defenses weakened, Ukraine then went after supply lines.
After strikes on ships and the halt of ferry operations, Russia now depends solely on narrow land and bridge corridors. Ukrainian forces are trying to cut them off.
The attacks on bridges have created a cat-and-mouse dynamic, with Russia rushing to repair the damage and Ukraine striking again.
Ukraine damaged one such bridge, the Chonhar Bridge connecting Crimea to Ukraine’s southern Kherson region, on June 7. Russia quickly set up a temporary pontoon bridge; days later, Ukrainian drones struck the temporary bridge.
Over the past two weeks, Russia appears to have built a causeway, which could be harder for drones to take out, alongside the damaged bridge. Construction vehicles could be seen working on the causeway in images taken by Vantor, a satellite imaging company.
Along with bridges and railways, Ukrainian drones targeted cargo trucks, fuel tankers and trains throughout the month. The burning husks of large trucks transporting fuel and derailed train cars were filmed and photographed by civilians and Ukrainian military drones, highlighting supply chain disruptions.
Ukrainian military units posted numerous videos in June touting their strikes across Crimea. These clips, showing first-person views from drones striking military and logistical sites, have become a pillar of Ukraine’s wartime propaganda efforts to illustrate battlefield successes against Russia. The Times collected these videos, verified their locations and cross-referenced the strike locations with satellite imagery. The Times could not verify the full extent of the damage to Ukraine’s claimed targets.
Kateryna Stepanenko, an analyst at the Institute for the Study of War, said Russian forces were increasingly trying to counteract Ukrainian drone strikes by patrolling critical southern routes with drones and interceptor units.
“But they need more mobile air defense to blunt the impact of Ukrainian strikes,” she said.
Ukrainian commanders expect Russian troops to adapt, but said they would shift their tactics in turn.
“Adaptation can take days, weeks or months, but we consistently find new ways to strike in any direction, at any depth, with whatever assets we have,” said Artem Bielienkov, the chief of staff of Ukraine’s 412th Unmanned Systems Brigade.
Knocking Out the Grid
Strikes on fuel facilities and the energy grid have caused widespread blackouts in Crimea, leading the local authorities to declare a state of emergency. Gas stations have run out of fuel, and thousands of people have fled the peninsula since Ukraine’s latest strikes began.
Throughout June, The Times verified Ukrainian strikes on oil and gas storage facilities, compression stations and power plants.
One of the Ukrainian attacks targeted an oil terminal at a port in the city of Kerch, creating smoke that could be seen miles away.
On the same day, Ukraine hit an oil storage facility at the port of Kavkaz on the other side of the Kerch strait, striking a blow to Russia’s ability to transport oil between Crimea and Russia.
Another Ukrainian drone video from June 19 shows a strike on a gas storage facility near Dozorne.
Though the attacks have pushed some Russian forces into a defensive posture, Mr. Mashovets, the military analyst, cautioned that it could take weeks or months to degrade Russia’s combat capabilities to the point where they might be forced to pull back from positions in southern Ukraine.
“To achieve the final objective, this blockade must be intensified,” he said. “This situation must be maintained for a sufficiently long period of time.”
Nevertheless, Crimea’s faltering grid “exposed the peninsula’s systemic vulnerability,” said Hennadii Riabtsev, a Ukrainian energy analyst. “The occupiers’ attempts to fix the damage to key facilities — like the Tavria and Balaklava thermal power plants, major substations and fuel terminals — are running into complex technical and logistical problems,” he said.
The Ukrainian attacks have had a compounding effect, Mr. Riabtsev said, threatening to turn the peninsula into “a giant logistical mousetrap.”
World
Australian healing with ‘beautiful messages’ after losing arm to shark attack
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Leah Stewart, an Australian mother and teacher who lost an arm after a shark attack at Sydney’s Coogee Beach, has been reading messages from supporters around the world during sleepless nights as she continues her long recovery, her family said.
“We’ve been sharing some of the beautiful messages we’ve received with Leah and she’s loved them, finding inspiration from the care and love you’ve all shared,” her brother, Joshua Stewart, wrote in a GoFundMe update on Sunday.
“Leah has had some challenging days but has found real strength from your kindness and support,” he added.
Leah Stewart has struggled with sleep in her recovery and has leaned on the wave of support from family, friends and strangers.
AUTHORITIES IDENTIFY WOMAN KILLED IN ALLIGATOR ATTACK WHILE SWIMMING WITH FRIENDS IN CENTRAL FLORIDA
“Since the incident Leah has had difficulty sleeping, and on those nights she’s been reading back through your messages, not only from her family and community in Australia and her whānau in New Zealand, but also from people all across the world,” he wrote, using the Maori word for family. “They’ve given her real comfort and strength.”
Stewart, mother to a 1-year-old daughter and passionate teacher, was attacked June 13 while on a morning swim close to shore and within the flags at Coogee Beach, according to her family. She suffered life-threatening injuries, including multiple bites across her arms and legs, lacerations, fractures and extreme blood loss.
She was placed on life support, put under a medically induced coma and underwent multiple surgeries in the days after the attack. Her treatment required the amputation of one arm, and the family said more surgeries were scheduled as doctors worked to save her life and stabilize her condition.
Stewart, who woke up from her 10-day coma after doctors reduced her sedation, told her mother and partner, Fernando, “I love you.” Her brother said at the time that her first thoughts were with her young daughter, August.
SHARK ATTACK SURVIVOR WAKES FROM 10-DAY COMA AND SHARES FIRST WORDS WITH FAMILY AT HER HOSPITAL BEDSIDE
“Leah has a long road ahead,” Joshua Stewart wrote after she briefly woke, calling the moment a hopeful first step in her recovery.
Joshua Stewart said the family wanted to apologize for delays in responding to supporters, explaining they have had issues with the GoFundMe messaging system.
“Leah is beyond overwhelmed at the amazing support she has received and that her story has resonated with so many people,” he wrote. “Thank you!”
The fundraiser was launched to help Stewart, her partner and their young daughter through what her family described as a heartbreaking situation. The money will support her recovery, prosthetics, rehabilitation, ongoing care and the major adjustments she will need as she works toward returning to life as a mother.
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Her family also thanked the lifesavers, first responders, helicopter crew and medical team at St. Vincent’s Hospital who helped care for Stewart after the attack.
“As a family we are shocked and devastated that this could happen to our beloved partner, daughter and mother who is so full of life and energy,” Joshua Stewart wrote.
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