Borowitz — “What Happens Now?”

Nixon’s landslide victory in 1972 made him appear invulnerable. He wasn’t. (Cindy Yamanaka/MediaNews Group/The Riverside Press-Enterprise via Getty Images)

Maybe you’ve been asking yourself:

1. “How could Donald Trump have won 51 percent of the popular vote?”

2. “How hard is it to immigrate to New Zealand?”

3. “What the actual fuck?”

Fair questions.

Let’s try a thought experiment. Could Tuesday’s election results have been any worse?

Well, what if, instead of 51 percent, the Republican nominee had won 59 percent? Or 61 percent? And what if he had won 49 states?

Those aren’t hypotheticals. Those were the results of the 1972 and 1984 landslides that reelected Richard Nixon and Ronald Reagan.

With thumping victories like those, what could possibly go wrong for the winners?

If history’s any guide, some nasty surprises await Donald Trump.


In 1972, the Democratic presidential nominee, George McGovern, won just 37.5 percent of the vote, carrying only Massachusetts and the District of Columbia for a total of 17 Electoral College votes. He didn’t even win his home state, South Dakota.

In 1984, Democrat Walter Mondale did carry his native Minnesota, but that was as good as it got for him. In the Electoral College, he fared even worse than McGovern, with a whopping 13 votes.

In the aftermath of these thrashings, the Democratic Party lay in smoldering ruins, and Republicans looked like indestructible conquerors.

Now, some might argue that those GOP victories, though statistically more resounding than Trump’s, weren’t nearly as alarming, because he’s a criminal and wannabe autocrat.

But Trump’s heinousness shouldn’t make us nostalgic for Nixon and Reagan. They were also criminals—albeit unindicted ones. And they were up to all manner of autocratic shit—until they got caught.

The Watergate scandal was only one small part of the sprawling criminal enterprise that Nixon directed from the Oval Office in order to subvert democracy. For his part, Reagan’s contribution to the annals of presidential crime, Iran-Contra, broke myriad laws and violated Constitutional norms.

The hubris engendered by both men’s landslides propelled them to reckless behavior in their second terms—behavior that came back to haunt them. Nixon was forced to resign the presidency; Reagan was lucky to escape impeachment. (continued on page 2)

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A dose of delight

Thanks to Mary M.

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Don’t take it so hard

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Why Does No One Understand the Real Reason Trump Won?

It wasn’t the economy. It wasn’t inflation, or anything else. It was how people perceive those things, which points to one overpowering answer.

Michael Tomasky in the New Republic (thanks to Bob P.)

I’ve had a lot of conversations since Tuesday revolving around the question of why Donald Trump won. The economy and inflation. Kamala Harris didn’t do this or that. Sexism and racism. The border. That trans-inmate ad that ran a jillion times. And so on.

These conversations have usually proceeded along lines where people ask incredulously how a majority of voters could have believed this or that. Weren’t they bothered that Trump is a convicted felon? An adjudicated rapist? Didn’t his invocation of violence against Liz Cheney, or 50 other examples of his disgusting imprecations, obviously disqualify him? And couldn’t they see that Harris, whatever her shortcomings, was a fundamentally smart, honest, well-meaning person who would show basic respect for the Constitution and wouldn’t do anything weird as president?

The answer is obviously no—not enough people were able to see any of those things. At which point people throw up their hands and say, “I give up.”

But this line of analysis requires that we ask one more question. And it’s the crucial one: Why didn’t a majority of voters see these things? And understanding the answer to that question is how we start to dig out of this tragic mess.

The answer is the right-wing media. Today, the right-wing media—Fox News (and the entire News Corp.), Newsmax, One America News Network, the Sinclair network of radio and TV stations and newspapers, iHeart Media (formerly Clear Channel), the Bott Radio Network (Christian radio), Elon Musk’s X, the huge podcasts like Joe Rogan’s, and much more—sets the news agenda in this country. And they fed their audiences a diet of slanted and distorted information that made it possible for Trump to win. (continued on Page 2)

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Despair is self-fulfilling

My Manifesto for Despairing Democrat By Nicholas Kristof in the NYT (thanks to Mary Jane F.)

So what do we do now?

For those who think as I do, the election feels devastating. My country has elected a felon whose former top aides have described him as a fascist and “the most dangerous person to this country.” Yet in an election that wasn’t even close, voters not only chose him but also picked a Republican Senate to empower him further.

This will be a test of our country and of each of us, so let me offer a manifesto for how ordinary Americans of my ilk can respond.

1. I accept Donald Trump’s victory. If we are to stand up to Trump, we must first resist the impulse to be like Trump. We lost. We were outvoted. In a democracy, the majority rules, and that was not us. Yes, there is a contradiction when a democratic election elevates someone working to undermine democracy, but our first obligation is still to respect the voters’ choice.

2. I will be a watchdog, not a lap dog. Accepting Trump as president-elect does not mean surrendering to authoritarianism. In particular, I will be extra vigilant about attempts to abuse the legal system to go after Trump’s critics, and I will support institutions that are the backbone of democracy, such as the legal system, journalism and the civil service. I may hug a lawyer.

3. I will back organizations fighting to uphold human values. During Trump’s first term, the ACLU did heroic work battling family separation at the border. Planned Parenthood fought to preserve access to reproductive health. So many other organizations stepped up to assist the vulnerable. Let’s support them.

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4. I will subscribe to a news organization. This is self-serving and God knows that we in journalism make mistakes all the time, but it remains true that journalism is critical to hold officials accountable. Oversight from news organizations will be particularly crucial if Republicans end up controlling both houses of Congress. As the corollary for that subscription: Hold us in the news business accountable for holding Trump accountable. We journalists shouldn’t dispassionately observe a journey to authoritarianism; we shouldn’t be neutral about upholding democracy.

5. I will try to understand why so many Americans disagree with me. Too many Democrats reflexively assume that any person backing Trump must be a bigot or an idiot. But let’s beware of invidious stereotypes, for finger-wagging condescension alienates centrist voters; it’s difficult to win support from people you’re calling idiots and racists. Many working-class Americans have been left behind economically and have reason to feel angry. And Democrats aren’t going to win elections as long as they seethe at a majority of voters.

6. I will keep my cool. Conservatives regularly accused liberals like me of suffering “Trump derangement syndrome,” and perhaps they had a point. When he was president, Trump pushed us liberals leftward on issues like immigration and policing, with some Democrats calling to abolish the police or to eliminate U.S. Immigration and Customs Enforcement, or ICE. That may have felt noble, but the outcome was more support for Trump.

7. I will care for my mental health. There’ll be many, many times in the next four years when we’ll be irritated, anxious and alarmed, probably with good reason, so we need to find a way to relax and mellow out. For me, that’s backpacking and wine- and cider-making. In my day job, I shout at the world, and it pays no attention, so it’s a relief to raise grapes and apples and have them listen to me. And remember that sometimes the best therapist has four legs. A few years ago, many families got a pandemic dog, and for some this may be time to get a Trump dog.

8. I will be alert to gender nastiness. This campaign saw Trump gleefully engaging in vulgarity and misogyny, and one result was a widening gender divide. I suspect we may see more such nastiness targeting feminists, and it will be important — particularly for men — to uphold norms and push back at this tide of degradation.

9. I will help Ukrainians. One of the big winners of this election is Vladimir Putin, and one of the big losers is Ukraine. This will be a brutal winter for Ukrainians not just because of the cold and the North Korean troops joining Russian forces but also because America may soon abandon Ukraine. So consider supporting an organization that helps Ukraine, such as Razom.

10. I will back humanitarians around the world. Trump is likely to cut funds for the U.N. Population Fund and other reproductive health organizations, as he did before. The Trump administration may cut support for the U.N. agency providing education and assistance to Palestinians, UNRWA, and it is much less likely to speak out about Israeli abuses in Gaza and the West Bank. It will be less likely to work for peace in Sudan, now probably the world’s worst humanitarian crisis. One way to fight back against isolationism and indifference is to support organizations with a global humanitarian mission.

11. I will push for blue places to govern themselves better. Trump isn’t the only one we should hold accountable; we must also hold ourselves accountable. The truth is that some blue cities out west have fumbled issues like homelessness and public order: San Francisco and Portland are now Republican talking points. And even if liberal policies are stymied at the national level, federalism still allows Democratic cities and states to experiment and devise new approaches to improve education, chip away at poverty and increase the housing supply. Let’s take that opportunity seriously.

12. I will temper my strong views with humility. The challenge is to unflinchingly proclaim our values even as we appreciate that we are fallible and may eventually be proven wrong. Accepting that contradiction curbs the tendency toward arrogance and self-righteousness, which in any case are utterly unhelpful in promoting those values.

13. I will share Thanksgiving with relatives, even if I think they’re nuts. There’s too much division in America, and we hang out too much with people who think just as we do. So if you’re debating whether to break bread with family members whose politics you can’t stand, go for it. Don’t let Trump get between you and your family or friendships.

14. I will start planning for recovery. It’s time to start working for the 2026 congressional elections. That will mean more focus on winning elections nationwide. Too often, Democrats in safe districts in New York or California stake out far-left positions that hurt Democrats in Ohio or Georgia, damaging the causes we believe in. America is a centrist nation, and just because Trump takes extreme stances does not mean we should.

15. Instead of despairing, I will find purpose. For four decades, I’ve reported on pro-democracy activists struggling against dictatorships. I saw them massacred in 1989 at Tiananmen in China, and I’ve had too many friends tortured and imprisoned in other countries, but I also saw democracy come to Eastern Europe, South Korea and South Africa. What I’ve learned from people like Archbishop Desmond Tutu is that despair — even a quite reasonable despair — is self-fulfilling, while democratic activists with a sense of purpose can sometimes, unpredictably and imperfectly, make unexpected progress. To avoid being crushed over the next four years, that sense of purpose must be our north star guiding us forward.

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What should Trump’s opponents do next?

by David French in the NYT (thanks to Put B.)

There is no mystery about what happened Tuesday night. Unlike 2016, when the anticipation of Hillary Clinton’s victory turned into the shock of defeat, every smart analyst I know not only thought Donald Trump could win in 2024, they also knew he could potentially win in a blowout. In every election, he’s outperformed his polling, and we knew it could happen again.

There’s also no mystery as to why this happened. Even before Joe Biden took office, it was clear that Trump retained his hold on the Republican Party. After Jan. 6, it was Mike Pence’s approval rating that plunged among Republicans, not Trump’s. Once Trump escaped conviction in the Senate for a second time, he was always in the driver’s seat to be the next Republican nominee.

That meant he was the only alternative option for voters who were still dealing with the consequences of inflation or alarmed by the surge of migrants at the border or concerned about wars abroad. Warnings about democracy or consternation over the state of international alliances were just too downstream from their lives.

They also remembered better days from the first part of Trump’s first term. The combination of that memory and Trump’s projections of authority and confidence appealed to them. Democracies are always vulnerable to demagogues, never more so than when they’re tested by economic uncertainty at home or chaos abroad.

But I’m less interested in why Trump won than I am in exploring what opponents of Trump should do next. I’m already seeing evidence of despair. There’s a combination of exhaustion (it’s been more than nine years since Trump announced his first run for president) and a feeling of futility (Trump is stronger than ever before).

There’s a temptation to retreat. If you have a stable job, a good family and good friends, you can check out of politics. After all, politics can be painful. It’s not just the pain of loss, but also the pain of engagement itself. MAGA is extraordinarily cruel to its political opponents.

But despair is an elite luxury that vulnerable communities cannot afford. If Trump was telling the truth about his intentions — and there is no good reason to think he wasn’t — then he will attempt a campaign of retribution and mass deportation that will fracture families, create chaos in American communities and potentially even result in active-duty troops being deployed to our cities.

He may betray the men and women who are fighting and dying in the face of Russian aggression in Ukraine. He will pardon Jan. 6 rioters and pursue his political enemies. He will exempt himself from the rule of law, and order his attorney general to drop the criminal cases against him. And he will flood the public square with lies and deception.

As I was thinking through the election results, two imperatives came to mind: defend the vulnerable and speak the truth.

Trump’s plans are not self-executing. From mass deportation to punitive legal actions, there will be numerous opportunities to challenge him. America is still a Madisonian democracy, and the other branches of government will have their say. There is a role for legislative resistance, even in a Republican-dominated Congress. The filibuster still exists.

And no one should think that the federal courts will simply rubber-stamp Trump’s worst abuses. Although I’ve disagreed with the Supreme Court’s rulings on Trump’s eligibility for the presidency and presidential immunity, it’s also true that they’ve rejected MAGA legal arguments time and again.

In addition, thanks to the Supreme Court’s ruling in Loper Bright v. Raimondo, federal courts are required to give less deference to Trump’s executive actions. Many liberals were angry at the decision, believing that it needlessly hamstrings executive agencies. But now that same decision will help keep Trump in check. He actually has less legal discretion to put his policies in place through the regulatory state than he did during his first term.

But it’s not enough to delegate the defense of the vulnerable to lawyers and legislators. The United States is in the midst of an epistemological crisis. The combination of partisan blindness and online algorithmic curation means that millions of Americans now live in their own bespoke realities. Millions of Americans are engaging in politics awash in conspiracy.

A key reason Trump retained his hold on the Republican Party, for example, is that he persuaded Republicans to believe that the 2020 election was stolen. That lie was his only chance for a comeback after his loss. Otherwise, he’d fade from political relevance like other one-term presidents before him. He leaned into the lie, Republicans believed it and now his comeback is complete.

At the same time, we’re awash in animosity. As we saw in the closing days of the campaign — especially in the rally at Madison Square Garden — Trump and the MAGA base viscerally detest Trump’s political opponents. One reason Republicans are so susceptible to conspiracies is that they’ve been taught for years that Democrats are fundamentally evil, that they are capable of anything in their pursuit of power.

Telling the truth means combating deception and misinformation, but it also means publicly defending the dignity and humanity of the people and communities who are the object of Trump’s wrath. It means resisting malice when we encounter it in our churches and communities.

Telling the truth also requires knowing the truth. And that means being open to hearing difficult facts. It took too long — way too long — for much of the Democratic Party to understand the incredible difficulty of absorbing the migrant surge of Biden’s first term. Too many Democrats scolded Americans for raising concerns about the obvious effects of Joe Biden’s age.

Also, while it’s important to counter Trump’s lies about crime rates and the economy, it’s also important to empathize with people who are facing genuine economic hardship or facing dangerous disorder in their communities and be responsive to their needs.

To oppose Trump does not mean defending or embracing the status quo. Ever since Trump secured his hold on the Republican Party, his opponents have faced a terrible dilemma. Criticize the establishment, and you strengthen the only viable political alternative, Donald Trump. Yet if you focus your fire only on Trump, you communicate to millions of Americans that you don’t see many of the problems that are making their lives more difficult.

On the Sunday before the election, I wrote a piece arguing that no matter the outcome — even if Harris won — the present moment was a reminder that the progress of American democracy and justice was not guaranteed. America has made immense strides toward fulfilling the promises of its founding, but it’s also proven to be capable of decades of terrible backsliding. We are not guaranteed to live in times of progress.

Early Wednesday morning, when I was considering how to respond to Trump’s victory, a single sentence came to my mind — shorten the darkness. It comes from Apple TV’s adaptation of Isaac Asimov’s famous “Foundation” series, and it teaches us that there is still great purpose even in the face of chaos and defeat.

The election is over, but our democracy endures. The end of the campaign signaled the beginning of the next phase of the fight to preserve the American experiment. We can grieve the loss, but the period of mourning should be short.

There is work to be done.

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Everything is waiting for you

Thanks to Pam P.

Ed note: For many, this is a time of learning–learning how to cope with loss. Please send in your thoughts, poems, and anything you think might help.

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One minute of serenity

Thanks to Mary M.

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Prolonged Grief Disorder

Thanks to Doug T.

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The all-female mobile health team working against the odds in Afghanistan

From the International Rescue Committee in August 2022 (after the Taliban took over in 2021)

Despite countless hurdles, all-women teams of medical doctors are braving long distances and treacherous terrain to bring health care to the remotest villages in Afghanistan, reaching women who lack access to health services, some for up to 50 years.

Dr. Najia Tareq, a gynecologist with years of experience in public health, felt anxious the day the Taliban entered Kabul a year ago. “The political transition was very difficult for us,” she says. “We were concerned about our futures and thinking, what will happen to us?”

Dr. Naija stands in front of a tent and a group of women.

Dr. Najia Tareq runs IRC mobile medical units that provide health care to Afghanistan’s remote areas, which often lack basic infrastructure.

Photo: Oriane Zerah for the IRC

Dr. Najia’s family had encouraged her to become a doctor from a young age. When she began her studies, she soon discovered the dire need for female specialists in Afghanistan. 

She remembers better times for women in her country, recalling her student days at Kabul Medical University. “It was a good environment for women and girls back then,” she says. “Everyone could study in Afghanistan or abroad.” (continued)

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Voting for the Light

The religious imagineer (thanks to Mary Jane F.)

Pablo Picasso, La Minotauromachie (1935).

Picasso’s turbulent etching from the eve of the Spanish Civil War seems a timely image of my own country in this harrowing election season. The monstrous beast towers over his victim—the wounded female matador lying unconscious on the back of her tormented horse. From a high window, two other women, with doves of peace, witness the predator’s violence with both anger and sorrow. The cowardly male fleeing up the ladder takes no side, offers no resistance. Only the brave young girl, with her candle and flowers, stands firm against the Minotaur, whose hand tries to block the light of truth. Her calm and steady presence is unperturbed by the monster’s agressive rage. She knows something he will never understand. Even in the darkest hour, there is a light which refuses to be extinguished.

Here’s to the truth-tellers, activists, organizers, public servants, door-knockers, and phone-bankers whose candles shine so brightly in these challenging days. And for my own candle on Election Eve, let me offer the words of Abraham Lincoln, who summoned our better angels in his 1862 address to a divided nation:

“Can we do better?” The dogmas of the quiet past are inadequate to the stormy present. The occasion is piled high with difficulty, and we must rise with the occasion. As our case is new, so we must think anew and act anew. We must disenthrall ourselves, and then we shall save our country.

Fellow-citizens, we can not escape history. We of this Congress and this Administration will be remembered in spite of ourselves. No personal significance or insignificance can spare one or another of us. The fiery trial through which we pass will light us down in honor or dishonor to the latest generation … We shall nobly save or meanly lose the last best hope of earth.

Frederic Edwin Church, Our Banner in the Sky (1861), painted at the outbreak of the American Civil War.

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Personhood

Thanks to Mary Jane F.

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“Turkeys, I’ll take care of them”

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How fragile are we?

Thanks to Ed M.

Massive and sweeping change will come and it will come swiftly. Whether or not it is healing and conclusive depends  on us…. The end of our country has loomed many times before. American is not as fragile as it seems

Richard Godwin

Quoted in Unfinished Love Affair 

by Doris Kearns Goodwin

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It’s Time to Shop for Medicare, and 2025 Brings Big Changes

By Mark Miller in the NYT

Americans on Medicare will see big, and welcome, changes next year. The program’s prescription drug insurance will be much stronger — and easier to understand — as a result of the Inflation Reduction Act of 2022.

But the changes make it all the more important to review your coverage options during Medicare’s annual enrollment period, which is happening now and runs through Dec. 7.

Prescription drug and Medicare Advantage plans are revising their offerings more than usual for 2025 because of changes required by the Act. The legislation strengthens prescription drug coverage substantially by imposing a hard $2,000 cap on total out-of-pocket spending for drugs covered by your plan.

The law will provide thousands of dollars in relief to beneficiaries who take high-cost drugs for conditions like cancer and multiple sclerosis, and it will give seniors greater predictability in planning their health care spending.

But the plan you’re in for 2024 may not be the best fit next year. Your premium and deductible might actually rise as insurance companies react to the changing rules, and a plan’s list of covered drugs might change.

If you are enrolled in traditional Medicare Part A (which covers hospitalizations) and Part B (outpatient visits) and have a supplemental Medigap policy, there’s no need to review that coverage. But stand-alone Part D prescription plans should be re-evaluated. And if you have chosen Medicare Advantage as an alternative to traditional Medicare, it makes sense to re-evaluate this coverage, too, since many of these plans include drug coverage.

“People need to be on high alert this year for changes to whatever type of private Medicare plan coverage they have,” said Philip Moeller, author of the book, “Get What’s Yours for Medicare.”

“Everyone needs to be especially vigilant,” he said.

The 2025 changes join other cost-containment provisions of the Inflation Reduction Act that have already been phased in, including a $35 monthly cap on the cost of insulin for diabetes patients and, for low-income seniors, free vaccines and expanded eligibility for financial assistance with Part D costs.

Here’s a look at how private plan offerings will change in 2025, and what to look out for as you shop for coverage. (continued on page 2)

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Charlie Chaplin’s greatest speech

Thanks to Pam P.

But before that comes this scene.  I’m looking at Putin.

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The will of the people

“Fellow-citizens,” Lincoln reminded his colleagues, “we cannot escape history. We…will be remembered in spite of ourselves.”  

Commentary by Heather Cox Richardson

I’m home tonight to stay for a bit, after being on the road for thirteen months and traveling through 32 states. I am beyond tired but profoundly grateful for the chance to meet so many wonderful people and for the welcome you have given me to your towns and your homes.

I know people are on edge, and there is maybe one last thing I can offer before this election. Every place I stopped, worried people asked me how I have maintained a sense of hope through the past fraught years. The answer—inevitably for me, I suppose—is in our history.

If you had been alive in 1853, you would have thought the elite enslavers had become America’s rulers. They were only a small minority of the U.S. population, but by controlling the Democratic Party, they had managed to take control of the Senate, the White House, and the Supreme Court. They used that power to stop the northerners who wanted the government to clear the rivers and harbors of snags, for example, or to fund public colleges for ordinary people, from getting any such legislation through Congress. But at least they could not use the government to spread their system of human enslavement across the country, because the much larger population in the North held control of the House of Representatives. 

Then in 1854, with the help of Democratic president Franklin Pierce, elite enslavers pushed the Kansas-Nebraska Act through the House. That law overturned the Missouri Compromise that had kept Black enslavement out of the American West since 1820. Because the Constitution guarantees the protection of property—and enslaved Americans were considered property—the expansion of slavery into those territories would mean the new states there would become slave states. Their representatives would work together with those of the southern slave states to outvote the northern free labor advocates in Congress. Together, they would make enslavement national. 

America would become a slaveholding nation. 

Enslavers were quite clear that this was their goal. 

South Carolina senator James Henry Hammond explicitly rejected “as ridiculously absurd, that much lauded but nowhere accredited dogma of Mr. Jefferson, that ‘all men are born equal.’” He explained to his Senate colleagues that the world was made up of two classes of people. The “Mudsills” were dull drudges whose work produced the food and products that made society function. On them rested the superior class of people, who took the capital the mudsills produced and used it to move the economy, and even civilization itself, forward. The world could not survive without the inferior mudsills, but the superior class had the right—and even the duty—to rule over them. 

But that’s not how it played out. (continued on Page 2)

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An Idaho health department isn’t allowed to give COVID-19 vaccines anymore. Experts say it’s a first

By  DEVI SHASTRI AP News (Thanks to Ed M.)

A regional public health department in Idaho is no longer providing COVID-19 vaccines to residents in six counties after a narrow decision by its board.

Southwest District Health appears to be the first in the nation to be restricted from giving COVID-19 vaccines. Vaccinations are an essential function of a public health department.

While policymakers in Texas banned health departments from promoting COVID vaccines and Florida’s surgeon general bucked medical consensus to recommend against the vaccine, governmental bodies across the country haven’t blocked the vaccines outright.

“I’m not aware of anything else like this,” said Adriane Casalotti, chief of government and public affairs for the National Association of County and City Health Officials. She said health departments have stopped offering the vaccine because of cost or low demand, but not based on “a judgment of the medical product itself.”

The six-county district along the Idaho-Oregon border includes three counties in the Boise metropolitan area. Demand for COVID vaccines in the health district has declined — with 1,601 given in 2021 to 64 so far in 2024. The same is true for other vaccines: Idaho has the highest childhood vaccination exemption rate in the nation, and last year, the Southwest District Health Department rushed to contain a rare measles outbreak that sickened 10.

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This Is Not the End of America

By McKay Coppins in The Atlantic (thanks to Alice W.)

Everything about the staging of Kamala Harris’s “closing argument” rally Tuesday night on the White House Ellipse seemed designed to frame the upcoming election as a referendum on democracy. Flanked by American flags and surrounded by banners that screamed FREEDOM, the Democratic nominee delivered her speech against the same backdrop that Donald Trump used on January 6 when he addressed the crowd that went on to storm the Capitol.

“So look,” Harris said about halfway through her speech. “In less than 90 days, either Donald Trump or I will be in the Oval Office …”

Scattered shouts of You will! You will! echoed from the audience near the stage. In my conversations with Harris supporters afterward, their confidence seemed authentic. To a person, everyone I talked with believed they were on the verge of victory—that Harris would defeat the “wannabe dictator” once and for all, pull America back from the brink, and save the world’s oldest democracy from descending into facism.

Then I would ask a question they found dispiriting: What if she doesn’t?

It’s a question that’s been on my mind for months. We are in a strange and precarious political moment as a country: With four days left in one of the closest presidential races in history, supporters of both campaigns seem convinced that they are going to win—and that if they don’t, the consequences for America will be existential. (continued on Page 2)

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Go-go times, then Slow-go times, then …..

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Kamala meets Kamala on SNL

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The Best Light Therapy Lamp

Ed note: In these dark days of winter with the very short days, sleep disruption and seasonal affective disorders are fairly common. So I break out my happy light and have it on the breakfast table for 30 minutes. Placebo or not, it seems to help. Below is a portion of the article from an extensive review by the Wirecutter researchers at the NYT.

Today, “bright light therapy is recommended as the first-line option” for the treatment of SAD, according to a 2003 review (PDF) in the journal Dialogues in Clinical Neuroscience. Far from being a fringe or “alternative” purported remedy for SAD, light therapy has been clinically shown in many studies to work to alleviate symptoms.

How we picked and tested

Our three picks for the best light therapy lamps, shown illuminated.
Photo: Rozette Rago

When you’re shopping for a SAD lamp, to ensure that you receive the full therapeutic benefits of the light, there are a few important factors to consider, namely how much light it delivers and how close to the lamp you need to sit for the treatment to be effective.

First, know that the FDA does not test, approve, or regulate light-box devices. As such, you should not use one without a physician’s guidance. We based our picks on research, customer feedback, and product specifications—including optimal sitting distances—provided by manufacturers, as well as conversations with experts who study and prescribe these units.

A light box should deliver between 2,500 and 10,000 lux. A lux is a unit that measures 1 lumen per square meter. The more lux a light delivers, the less time you need to spend positioned in front of it. For most 10,000-lux lights, 30 uninterrupted minutes per day, preferably in the morning, should suffice. “If you’re going to sleep too early and want to stay awake longer, a little bit of light therapy in the afternoon can help mitigate that,” said Teodore Postolache, PhD, a professor of psychiatry at the University of Maryland School of Medicine.

We also looked at how close to each box you need to sit to score the maximum results. Light intensity is subject to the inverse square law, which says that the intensity of light falls off by the square of the distance that you move away from it. For instance, if you are 2 feet away from a light source, you see a fourfold decrease in intensity. The farther away a person is able to sit from a lamp and still receive 10,000 lux for maximum efficacy, the more flexibility they have in terms of what they can be doing and how they can be sitting during treatment. “I insist, absolutely, that any reputable, reliable manufacturer has to tell the consumer what the distance it should be from the eyes to achieve 10,000 lux,” Lewy said. “If a light box doesn’t have that information, I wouldn’t use it.”

The FDA does not test, approve, or regulate light-box devices.

The larger the surface of the light box, the better. In Winter Blues, Rosenthal notes that the lights “used in almost all research studies … have an illuminated surface that is at least about one foot square.” For that reason, and the fact that smaller therapeutic lamps have not undergone the same kind of rigorous study that their bigger cousins have received, we strongly recommend light boxes with the largest surfaces. (We do recommend a smaller lamp, the HappyLight Luxe, which we think is a serviceable option if you don’t have the space or budget for one of our larger picks. However, our top pick has a longer track record of efficacy in home and academic use, and in a side-by-side comparison that we performed with a commercial luxmeter, the HappyLight Luxe’s light output did not seem as strong.)

We avoided any lamps that did not have a plastic filter to remove most if not all ultraviolet waves (which are potentially harmful to the eye), and we avoided those with incandescent bulbs, which can build up a lot of heat, as well as models that used blue LEDs, as there’s still some controversy over whether blue light, which is different from blue-enriched white light (PDF), is harmful to the eyes. (continued on page 2)

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Can’t Sleep? Try This Proven Alternative to Medication.

Cognitive behavioral therapy for insomnia is considered the most effective treatment for people who continually struggle to fall or stay asleep.


By Christina Caron in the NYT

About one in four adults in the United States develops symptoms of insomnia each year. In most cases, these are short-lived, caused by things like stress or illness. But one in 10 adults is estimated to have chronic insomnia, which means difficulty falling or staying asleep at least three times a week for three months or longer.

Sleep deprivation doesn’t just create physical health problems, it can also harm our minds. A recent poll from the National Sleep Foundation, for example, found a link between poor sleep health and depressive symptoms. In addition, studies have shown that a lack of sleep can lead otherwise healthy people to experience anxiety and distress. Fortunately, there is a well-studied and proven treatment for insomnia that generally works in eight sessions or less: cognitive behavioral therapy for insomnia, or C.B.T.-I.

If you cannot find a provider, C.B.T.-I. instruction is easy to access online. Yet it is rarely the first thing people try, said Aric Prather, a sleep researcher at the University of California, San Francisco, who treats patients with insomnia.

Instead, they often turn to medication. According to a 2020 survey from the Centers for Disease Control, more than 8 percent of adults reported taking sleep medication every day or most days to help them fall or stay asleep.

Studies have found that C.B.T.-I. is as effective as using sleep medications in the short term and more effective in the long term. Clinical trial data suggests that as many as 80 percent of the people who try C.B.T.-I. see improvements in their sleep and most patients find relief in four to eight sessions, even if they have had insomnia for decades, said Philip Gehrman, the director of the Sleep, Neurobiology and Psychopathology lab at the University of Pennsylvania.

Sleep aids can carry risks, especially for older people, who may experience problems like falls, memory issues or confusion as a result of using the medication. C.B.T.-I., on the other hand, is considered safe for adults of any age. It can even be adapted for use in children.

What is C.B.T.-I.? (continued on Page 2)

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Scary incident in the CDR

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Know your parasites

Thanks to Kate B.

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