NOVEMBER 20, 2019

NEWS AND VIEWS

I KNEW THAT MEDICAL RESEARCH ON PHARMACEUTICALS IS OFTEN FINANCED BY THE SAME COMPANY THAT PRODUCES AND SELLS THE DRUG, CREATING AN INCENTIVE TO INFLUENCE THE TRIALS TO SHOW MORE POSITIVE RESULTS THAN ACTUALLY EXIST. THAT IS BAD ENOUGH, BUT APPARENTLY THE REVIEW BOARD (IRB) THAT IS EXAMINING AND GREEN LIGHTING THE PROPOSED RESEARCH MAY NOT BE DOING ITS’ JOB EITHER. ONE ARTICLE REFERRED TO AN IRB AS A “BLACK BOX,” AN IDEA OR IN THIS CASE AN ORGANIZATION WHOSE INNER WORKINGS ARE EXTREMELY DIFFICULT TO DETECT AND EVALUATE. SOMETIMES I WONDER HOW ANYTHING TURNS OUT RIGHT.

FOR THE TEXTS OF THE TWO LETTERS THAT WERE SENT, GO TO THE WEBSITE AND CLICK ON THE LINKS.

OVERSIGHTLETTERS
NOVEMBER 19, 2019

Senators Warren, Brown, and Sanders Investigate “Inherent” Conflicts of Interest of Private Equity-Owned Institutional Review Boards

Little data available to determine if companies are doing their job to keep research safe and maintain ethics standards that protect participants
Text of Letter to WCG Clinical (PDF) | Text of Letter to Advarra (PDF)

Washington, D.C. - United States Senators Elizabeth Warren (D-Mass.), Sherrod Brown (D-Ohio), and Bernie Sanders (I-Vt.) sent letters to two major private equity-owned commercial institutional review boards (IRBs*), WCG Clinical and Advarra, which review clinical research proposals to ensure that participant rights are protected and the research is conducted ethically. IRBs are entrusted with protecting participants and vulnerable populations. The lawmakers’ letter raises questions about whether for-profit IRBs are vulnerable to conflicts of interest that could inhibit their ability to protect research subjects, and whether the two companies are maintaining appropriate ethics standards. The lawmakers also request comprehensive information on their approvals, processes, policies, and quality metrics.

In recent years, approximately 70% of clinical trial reviews have shifted from academic to for-profit IRBs, dominated by two large companies owned by private equity firms. For-profit IRBs introduce an inherent conflict of interest into decision-making, since their financial incentive is to minimize obstacles for researchers and prioritize profits and turnaround time over thorough reviews.

“The recent trend of private equity ownership is especially troubling, given the pressures to reduce costs and ramp up profits that often accompany private equity’s entry into a field,” wrote the lawmakers. “If managers see their primary responsibility as generating returns for their investors, they may emphasize speed over thoroughness in the review process, creating risks for patients.”

The lawmakers also express concern about recent reports of a rise in “pay to participate” clinical trials, which for-profit IRBs have previously reviewed and approved. These “pay to participate” clinical trials ask patients to pay thousands of dollars for the opportunity to participate in sometimes lifesaving research studies. These studies may take advantage of vulnerable patients and their families, restrict access to treatment to those who can afford to pay, create incentives to over-sell the potential benefits of the trial, and potentially compromise the design of the clinical trial.

“IRB oversight should aim to prevent precisely these types of exploitative schemes,” wrote the lawmakers.

The lawmakers requested information regarding approvals, processes, policies, and quality metrics from the two for-profit IRBs for each of the past five years, by no later than December 13, 2019.

Senator Warren has been a vocal critic of private equity abuses throughout her time in the Senate and is fighting for reforms that protect students, workers, communities, and investors:

Senators Warren, Brown and Tammy Baldwin (D-Wis.), along with Representatives Mark Pocan (D-Wis.), and Pramila Jayapal (D-Wash.), introduced the Stop Wall Street Looting Act, a comprehensive bill to fundamentally reform the private equity industry and level the playing field by forcing private equity firms to take responsibility for the outcomes of companies they take over, empowering workers, and protecting investors.

Senators Warren, Sanders, and Baldwin, along with Representatives Pocan and Jayapal, sent a letter to Ernst & Young, sharply criticizing a misleading report the firm released in partnership with the American Investment Council, a trade group for the private equity industry, about the scope of private equity’s influence in the economy.

Senators Warren, Brown, and Representative Pocan wrote to four private equity firms that currently invest or have recently invested in companies providing nursing home care and other long-term care services, citing reports that show private equity investment has played a role in the declining quality of care in nursing homes and requesting information about each firms' management of this sector.

Senator Warren, Representatives Pocan, and Lloyd Doggett (D-Texas) wrote last month to five private equity firms with investments and physician staffing and emergency transport companies, questioning the role these companies play in patients receiving exorbitant surprise bills for out-of-network medical treatment.

In June 2015, Senator Warren was an original co-sponsor of the Carried Interest Fairness Act, legislation to close the carried interest loophole that allowed private equity fund managers to pay lower taxes. The legislation was re-introduced in March 2019 and is included in the Stop Wall Street Looting Act.

###


INVESTMENT TERMS

https://www.google.com/search?q=equity+definition&rlz=1C1CHBF_enUS869US869&oq=EQUITY+&aqs=chrome.1.69i57j0l5.6717j1j8&sourceid=chrome&ie=UTF-8
Dictionary

eq·ui·ty

noun
1.  the quality of being fair and impartial.
"equity of treatment"
2. the value of the shares issued by a company.
"he owns 62% of the group's equity"


Private Equity
REVIEWED BY JAMES CHEN  Updated Apr 14, 2019

What is Private Equity?

Private equity is an alternative investment class and consists of capital that is not listed on a public exchange. Private equity is composed of funds and investors that directly invest in private companies, or that engage in buyouts of public companies, resulting in the delisting of public equity.  . . . .


public limited company

Definition

A company whose securities are traded on a stock exchange and can be bought and sold by anyone. Public companies are strictly regulated, and are required by law to publish their complete and true financial position so that investors can determine the true worth of its stock (shares). Also called publicly held company. Public limited company and its abbreviation Plc are commonly used in the UK in the way that corporation and Inc. is used in the United States.

Read more: http://www.businessdictionary.com/definition/public-limited-company.html



JUST A BIT ABOUT THESE REVIEW BOARDS


An institutional review board (IRB), also known as an independent ethics committee (IEC), ethical review board (ERB), or research ethics board (REB), is a type of committee that applies research ethics by reviewing the methods proposed for research to ensure that they are ethical. Such boards are formally designated to approve (or reject), monitor, and review biomedical and behavioral research involving humans.



THIS ARTICLE SEEMS TO ME TO BE VERY MUCH TO THE POINT OF THE CONGRESSIONAL INVESTIGATION THAT IS GOING ON, AND IS WORTH CLOSE ATTENTION. IT’S ALSO VERY INTERESTING AND UNDERSTANDABLY WRITTEN. IT IS DATED AS 2016, BUT THE ISSUES ARE STILL CURRENT.

In clinical trials, for-profit review boards are taking over for hospitals. Should they?
By SHEILA KAPLAN    JULY 6, 2016

ART -- MIKE REDDY FOR STAT

For years, ethicist Arthur Caplan warned medical researchers that paying businesses to evaluate their clinical trials was a bad idea.

He condemned trials that didn’t rely on hospital or academic review boards — long the gold standard in science — and argued that for-profit review boards were out to make a buck, not protect patients.

Today, Caplan sits on the advisory board of WIRB-Copernicus Group, the largest commercial institutional review board, or IRB, in the country.

He says he had no choice.

“This shift to commercial IRBs is, in effect, over,” said Caplan, who heads the division of bioethics at New York University Langone Medical Center. “It’s automatic and it’s not going back.”

Related: Biden threatens funding cuts for researchers who fail to report clinical trial results

Institutional review boards — which review all research that involves human participants — have undergone a quiet revolution in recent years, with many drug companies strongly encouraging researchers to use commercial boards, considered by many more efficient than their nonprofit counterparts.

Commercial IRBs now oversee an estimated 70 percent of US clinical trials for drugs and medical devices. The industry has also consolidated, with larger IRBs buying smaller ones, and even private equity firms coming along and buying the companies. Arsenal Capital Partners, for example, now owns WIRB-Copernicus Group.

But even if the tide has already turned, the debate over commercial review boards — and whether they can serve as human subject safety nets, responsible for protecting the hundreds of thousands of people who enroll in clinical trials each year — continues to swirl.

The debate could also intensify. Late last month, the National Institutes of Health announced that US-funded trials that are carried out at multiple research centers must begin using a single IRB, with few exemptions possible. Because few universities or hospitals have the capacity to review study protocols and track adverse events for far-flung institutions, the new rule is expected to be a windfall for commercial IRBs.

The modern history of science is littered with studies in which participants were harmed because researchers failed to take necessary precautions. Tragic deaths in research studies at the University of Pennsylvania, University of Minnesota, Johns Hopkins University, and elsewhere have raised questions about the quality of review boards in general, even when they are overseen by universities and hospitals.

But some experts say the risks are far greater with commercial review boards, which often have harder-to-spot conflicts of interest and a profit motive.

The Food and Drug Administration reported twice as many violations and problems with commercial IRBs as with nonprofit boards from 2008 to 2014, according to preliminary findings in a recent study, conducted by Gabrielle Goldstein, an attorney and doctoral student at the University of California, Berkeley.

In one example, the agency disqualified a commercial review board known as Texas Applied Biomedical Services after the company repeatedly failed FDA inspections.

The agency found that the company, known as TABS, lacked a doctor who understood the study protocols well enough to determine if they posed a risk to participants in one trial, including children. In its decision to disqualify the firm, the FDA said the board claimed to have lost relevant records in a computer crash, which an agency official said “strains credibility.”

The board also reportedly failed to disclose that one of its members had a financial relationship with the company paying for the trial.

TABS did not return calls seeking comment.

Mark Schreiner, a medical school professor and vice chairman of the IRB at Children’s Hospital of Philadelphia, said he is uncomfortable outsourcing the evaluation of pediatric trials to commercial review boards.

“IRBs are hired by the sponsor,” Schreiner said. “They are paid by them. And so if they turn down the study, then I think they’re unlikely to get repeat business.”

Commercial IRBs, for their part, reject such assertions.

David Borasky, vice president of WIRB-Copernicus Group, said commercial IRBs, which the industry prefers to call “independent” IRBs, provide faster evaluation of proposed clinical trials than universities and hospitals can, without jeopardizing quality.

Borasky said they also tend to have more advanced technology, permitting better oversight of multisite trials that will have to be handled by a single IRB.

“This is what we were built to do,” Borasky said. “In this day and age you don’t have to be sitting in the same building as somebody to have good monitoring.”

Related: More clinical trials are succeeding for the first time in years

Part of the problem with assessing the relative merits of different review boards is that their overall performance is hard to measure.

“These are black boxes*,” said Dr. Steven Joffe, a pediatric oncologist and bioethicist of the University of Pennsylvania, who serves on the FDA’s Pediatric Ethics Committee. “IRBs as a rule are incredibly difficult to study. Their processes are opaque, they don’t publicize what they do. There is no public record of their decision or deliberations, they don’t, as a rule, invite scrutiny or allow themselves to be observed. They ought to be accountable for the work they do.”

Federal regulators at the FDA and the Department of Health and Human Service’s Office for Human Research Protections are charged with overseeing review boards. But they don’t have sufficient staff to monitor the thousands of IRBs and tens of thousands of studies conducted in the US and internationally.

The FDA, for example, has inspected WIRB-Copernicus only three times in the past five years, and in two of those inspections found “objectionable conditions or practices” that the company agreed to correct. Last year, the company handled reviews for 40 out of the 45 drugs that the agency approved. (In a statement, a spokeswoman for the agency said data for IRB inspections indicate the boards are “generally compliant.”)

“I think most ethical and other problems with IRBs and human subjects research oversight are not detected by FDA or OHRP,” said Dr. Michael Carome, a former senior official with the Office for Human Research Protections and now director of Public Citizen’s Health Research Group.

Against that backdrop, many experts are worried about the expansion of commercial IRBs.

Schulman Associates IRB, a well-known commercial board based in Ohio, has conducted reviews for hundreds of study protocols a year and has seen those numbers grow by double-digit percentages year over year, according to Sharon Nelson, who heads the firm’s consulting and compliance division. The business has trials covering about 15,000 individual sites. Two years ago, American Capital Equity III became the majority investor in the company.

“I think the test is in how the IRB or the organization manages either real or perceived or potential conflict of interest,” Nelson said. “In the case of Schulman and many strong commercial or independent IRBs, we are accredited. We have measures in place that are very clear to all of us. Those who sit in the business realm, or the ethical review board, are clear about lines that we don’t cross.”

Jennifer Miller, an assistant professor of bioethics at NYU’s medical school, who has studied the impact of private equity investment in commercial IRBs, thinks the model of private equity investing in scientific review boards, with their practice of buying a company, increasing its value, and reselling within three to five years for a profit, is worrisome.

“Private equity could help an IRB by allowing it to professionalize, better educate, and train its members and handle globalization of research,” Miller said. “But it could also put extra emphasis on cutting costs and boosting revenues. The main mission and reason for being of an IRB is to protect research subjects.”

Caplan, the NYU ethicist, said he joined the advisory board of WIRB-Copernicus Group to help ensure the commercial review board does its job responsibly.

“If you want to work in research ethics,” he said, “you work with them.’’

An earlier version of this story misstated the number of trials that are overseen by Schulman Associates IRB.



THIS ARTICLE MENTIONS A NUMBER OF GROUPS WHO ARE ACTIVE IN THE PROGRESSIVE MOVEMENT NOW. I HOPE THIS PLANNING SESSION MEANS THAT A CLOSE SOLIDIFICATION OF GROUPS WILL OCCUR TO INCLUDE AS MANY AS POSSIBLE IN ONE COMMITTED VOTING BLOC. WE SHOULDN’T FORGET TO INCLUDE LABOR UNIONS AS WELL. THE WIKIPEDIA ARTICLE BELOW SHOWS A HISTORY OF WHAT WAS FAMILIAR TO ME WHEN I WAS YOUNG. I WORKED FOR EUGENE MCCARTHY, FOR INSTANCE, WHO IS MENTIONED IN IT. THE TIME TO MAKE CHANGES HAS COME AGAIN, IN MY VIEW. BERNIE SANDERS HAS THE SORT OF PERSONALITY TO LEAD IT, AND THE INTELLECTUAL ABILITY AS WELL. FOR ME, HE’S THE ONE.

Reeling progressives meet behind closed doors after Medicare for All barrage
Leaders of the left implore the movement to stop pitting Sanders against Warren and get on the same page.
By ALEX THOMPSON , HOLLY OTTERBEIN and ALICE MIRANDA OLLSTEIN
11/20/2019 12:45 PM EST
Updated: 11/20/2019 06:50 PM EST

PHOTOGRAPH -- Sen. Bernie Sanders. | Justin Sullivan/Getty Images

Medicare for All has taken a beating lately.

Its two biggest proponents in the presidential field, Bernie Sanders and Elizabeth Warren, have come under sustained attack from centrist Democrats over the issue. The health care industry is spending millions to sow opposition. And polls show it’s taking a toll: Support for single-payer has slipped in some recent surveys, as has Warren's standing in the primary after spending weeks on the defensive over it.

Now, leaders of the left — suddenly reeling after seeing the Democratic health care debate shift dramatically in their direction the past few years — are strategizing on how to retake the offensive. At a closed-door meeting Tuesday, Congressional Progressive Caucus leader Rep. Pramila Jayapal (D-Wash.) had a message for her fellow supporters of Medicare for All: Unite against the moderates and don’t fight about whether Warren’s plan is too mild compared to Sanders’.

“I understand that people have favorites,” Jayapal, who has not yet endorsed in the race, told POLITICO after the meeting, which included representatives from top congressional allies of Warren and Sanders along with longtime advocates on the issue like National Nurses United. “We are better off having two strong presidential candidates endorsing Medicare for All than having one.”

Warren has done a delicate dance on the issue over the past month, releasing a detailed financing plan that she said would avoid middle-class tax hikes, then following up with a two-stage transition plan in a nod to those concerned about upheaval in the health care system. Though some established Democratic strategists said Warren's plans could give her more flexibility in a general election — by initially passing a robust public option and then trying to pass a full single payer bill later in her term — some progressives saw the maneuvering as too clever by half.

But Jayapal and other people at the meeting said sniping at Warren will only hurt the cause.

“I think everyone left [the meeting] knowing the overall objective is the same and Warren is as committed as she’s ever been to achieving Medicare for All,” said Wendell Potter, president of the group Business for Medicare for All, who attended the gathering.

Ady Barkan, one of the country's most prominent Medicare for All advocates who is dying of terminal ALS, made a similar plea as he endorsed Warren on Wednesday. "We should keep perspective," he wrote to fellow progressives, after laying out his reasons for preferring Warren's health care strategy. "We are, ultimately, on the same side. When the dust settles, Warren will enthusiastically endorse Sanders, or vice versa, and then we will need to all struggle together, as one progressive movement."

Pramila Jayapal

"We are better off having two strong presidential candidates endorsing Medicare for All than having one," Rep. Pramila Jayapal said. | Andrew Harnik, file/AP Photo

In the Capitol Hill meeting, Jayapal also expressed dismay at the online backlash Barkan received from some on the left for his previous positive assessments of Warren's health plans, and urged unity going forward. Jayapal and about 20 members of the Congressional Progressive Caucus also attended a separate Medicare for All closed-door briefing Tuesday. Informed by new polling paid for by the Progressive Change Institute in partnership with Public Citizen and Business for Medicare for All, the session offered strategies to respond to the most common attacks on Medicare for All, particularly that it will result in massive tax hikes and eliminate private insurance.

“This polling is really helpful because now we know that we can proceed with confidence,” said Adam Green, a Warren supporter and co-founder of the Progressive Change Campaign Committee who helped present the polling results to the members of Congress.

The polling session and Jayapal’s meeting Tuesday were two of several moves by the left in recent weeks to try to regain the offensive in the battle over Medicare for All. Some progressives have also felt that they need to challenge the alternative offered by moderates — a public-option plan dubbed ”Medicare for All who want it” by Mayor Pete Buttigieg — more aggressively. They argue the plan, which polls as more popular than Medicare for All, would continue to leave millions uninsured and still charge many people premiums and deductibles. Warren and Rep. Alexandria Ocasio-Cortez have dismissed the idea as “Medicare for All who can afford it” and “Medicare for Some,” respectively.

Conducted by Democratic pollster Margie Omero, the survey presented Tuesday found that the three strongest arguments for single-payer are that people would no longer die because they couldn’t afford medicine or care; that the U.S. would no longer be the only developed country without a universal health system; and that families would no longer struggle to provide long-term care for seniors and people with disabilities. The poll also found that most of the rebuttals to attacks about tax hikes or eliminating private insurance survey are about equally effective, so progressives urged members to confidently use the arguments they are naturally drawn to in order to regain control of the narrative.

“The most important thing is to make the case,” Green said.

Single-payer advocates also stressed that supporters need to end the friendly fire between Warren and Sanders supporters and redirect it toward the Democratic candidates who oppose the idea. “The enemy here is not one or the other of them,” Jayapal said of Sanders and Warren. “It is the entrenched interests, and the groups that are rallying around them, including some of our Democratic presidential candidates who are really doing a disservice to the American people.”

Several progressive members of Congress seemed to take the message to heart. “I think it's excellent,” Rep. Ilhan Omar (D-Minn.) said of Warren’s plan, despite having endorsed Sanders in the race. “There are many approaches to how we transition into this.”

“Obviously, I think it should be done in one bill, but when you look at the plans they have the same blueprint,” added Rep. Ro Khanna (D-Calif.), who is also a co-chair on Sanders’ campaign.

The Medicare for All movement has gained tremendous ground since Sanders ran on the plan in 2016, with more congressional co-sponsors than ever and Barack Obama dubbing it a “good, new idea” for Democrats last fall. But the 2020 presidential primary’s intense focus on the issue has put single-payer backers on their heels. Several of the candidates or former candidates who originally embraced the plan, including Sens. Kamala Harris and Kirsten Gillibrand, have backed away from it. And Warren has been consumed by the issue for weeks.

Now, Democratic and outside groups are hoping to go to the grassroots to take back control of the narrative. The 150,000-plus member nurses union, which endorsed Sanders in the 2020 primary and backed him in 2016, has mounted a 50-state organizing campaign to try to redirect the conversation away from Medicare for All’s cost and impact on private insurance and towards its benefits. They say they’ve knocked on 20,000 doors so far this year, and are in the midst of training thousands of volunteers.

“We’re seeing the presidential debates really muddying the waters on Medicare for All,” said Jasmine Ruddy, the lead Medicare for All organizer for the nurses union. “But that’s not what we’re seeing in our work out in the community, when we’re canvassing,” she added optimistically. “These conversations cut through the misinformation.”


CONGRESSIONAL PROGRESSIVE CAUCUS

NOT SURPRISINGLY, BERNIE SANDERS WAS ONE OF THE FIRST LEADERS OF THE CONGRESSIONAL PROGRESSIVE CAUCUS WHICH BEGAN IN 1991. SEE THIS ARTICLE AND, ON THE SUBJECT OF OUR VARIOUS LEFT-LEANING GROUPS AND MOVEMENTS IN THE LAST HUNDRED YEARS, SEE ALSO: https://en.wikipedia.org/wiki/Social_Democrats,_USA. WHAT SANDERS IS DOING IS NOT NEW, IT’S JUST RESURGING.

Congressional Progressive Caucus
From Wikipedia, the free encyclopedia

The Congressional Progressive Caucus (CPC) is a caucus within the Democratic congressional caucus in the United States Congress.[6] The CPC is a left-leaning organization that works to advance progressive and liberal issues and positions and represents the progressive faction of the Democratic Party.[7][8] It was founded in 1991 and has grown steadily since then.

Midway through the 116th United States Congress, following the death of Elijah Cummings (D-MD) and resignation of Katie Hill (politician) (D-CA), the CPC has 98 members, making it the second-largest caucus within the Democratic Party and the third largest caucus in Congress. The CPC is currently co-chaired by U.S. Representatives Mark Pocan (D-WI) and Pramila Jayapal (D-WA).

The founding CPC members were concerned about the economic hardship imposed by the deepening recession and the growing inequality brought about by the timidity of the Democratic Party response in the early 1990s. On January 3, 1995 at a standing room only news conference on Capitol Hill, they were the first group inside Congress to chart a detailed, comprehensive legislative alternative to U.S. Speaker Newt Gingrich and the Republican Contract with America, which they termed "the most regressive tax proposals and reactionary social legislation the Congress had before it in 70 years". The CPC's ambitious agenda was framed as "The Progressive Promise: Fairness".
. . . .

Ideology

The CPC advocates "universal access to affordable, high quality healthcare" (universal healthcare or single-payer healthcare), fair trade agreements, living wage laws, the right of all workers to organize into labor unions and engage in collective bargaining, the abolition of the USA PATRIOT Act, the legalization of same-sex marriage, U.S. participation in international treaties such as the climate change related Kyoto Accords, responsible reductions in profligate military expenditure, strict campaign finance reform laws, a crackdown on corporate welfare and influence, an increase in income tax rates on upper-middle and upper class households, tax cuts for the poor and an increase in welfare spending by the federal government.[11]

List of Chairs
House members
Senate members



ANOTHER YOUNG STAR SPEAKS UP FOR BERNIE HERE, AND NOTE HER MEMBERSHIP IN A MUSIC AND ARTS BASED VOTER REGISTRATION GROUP, @headcountorg.

NOVEMBER 20, 2019 5:11PM ET
Ariana Grande Breaks Free From Capitalism, Endorses Bernie Sanders
Pop star posts photos with Vermont senator on Twitter
By CLAIRE SHAFFER

Ariana Grande gave a ringing endorsement of Vermont senator and presidential hopeful Bernie Sanders on Twitter Wednesday afternoon.

Erik Pendzich/Shutterstock, Matt Baron/Shutterstock

Ariana Grande gave a ringing endorsement of Vermont senator and presidential hopeful Bernie Sanders on Twitter Wednesday afternoon.

The pop star shared two photos of her posing with Sanders and giving him a hug. “MY GUY. thank you Senator Sanders for coming to my show, making my whole night and for all that you stand for !” Grande wrote. “@headcountorg and i are doing our best to make you proud. we’ve already registered 20k+ young voters at my shows alone. also i will never smile this hard again promise.”


Ariana Grande
@ArianaGrande
MY GUY. thank you Senator Sanders for coming to my show, making my whole night and for all that you stand for ! @headcountorg* and i are doing our best to make you proud. we’ve already registered 20k+ young voters at my shows alone. also i will never smile this hard again promise.

View image on TwitterView image on Twitter
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Sanders shared the photos himself and added, “I want to thank @ArianaGrande for not only being a wonderful entertainer, but also for being such an outstanding advocate for social justice. We must all be prepared — like Ariana has shown — to fight for everyone who is struggling. It was great to meet her in Atlanta last night.”

Left Twitter was quick to jump on the posts, uncovering an old tweet from Alexandria Ocasio-Cortez who once tweeted a “Progressive policies as an Ariana dance party” set list.


Alexandria Ocasio-Cortez
@AOC
Progressive policies as an Ariana dance party:

👋🏽 thank u, next: Replace for-profit health insurance w/ #MedicareForAll

👩🏾 God is a Woman: Strike the Hyde Amendment*

👨🏽🎓 Break Free: Student loan debt forgiveness

🌎 Be Alright: Pass a Green New Deal!

💃🏽🎶 https://twitter.com/BernieSanders/status/1187805239723859968 …

Bernie Sanders
@BernieSanders
Ready to fight for Medicare for All. https://twitter.com/ArianaGrande/status/1187779679542841345 …

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If you’re shocked at all by Grande’s endorsement of a democratic socialist candidate, consider that she once licked a doughnut and said “I hate America” — an iconic protest against capitalism if there ever was one.

In This Article: Alexandria Ocasio-Cortez, Ariana Grande, Bernie Sanders


HEADCOUNT.ORG

HeadCountVerified account
@HeadCountOrg
We use music+culture to engage Americans with democracy. We've registered over 600K voters at concerts, music festivals & online since 2004. #TheFutureIsVoting

headcount.org
Joined January 2009
9,058 Photos and videos


FOR THOSE OF YOU WHO, LIKE ME, FORGET THINGS, THIS IS THE HYDE AMENDMENT.

Hyde Amendment
From Wikipedia, the free encyclopedia

In U.S. politics, the Hyde Amendment is a legislative provision barring the use of federal funds to pay for abortion except to save the life of the woman, or if the pregnancy arises from incest or rape.[1][2] Legislation, including the Hyde Amendment, generally restricts the use of funds allocated for the Department of Health and Human Services and consequently has significant effects involving Medicaid recipients.[1][2]

In 2018, 37% of Americans said that the practice of abortion should be illegal in most cases, while 58% said it should be legal in most cases, results consistent with prior years.[3] A minority of U.S. adults take an absolutist position, that abortion should be either illegal (15%) or legal (25%) in all cases.[3]

The Hyde Amendment itself was supported by 57% of voters and opposed by 36%, as of 2016.[4]

As of 2016, Medicaid currently serves approximately 15.6 million women in the United States, including 1 in 5 women of reproductive age (women aged 15–44).[5][6]

Before the Hyde Amendment took effect, an estimated 300,000 abortions were performed annually using taxpayer funds.[7]

The original Hyde Amendment was passed on September 30, 1976, by the House of Representatives, by a 207–167 vote.[8] It was named for its chief sponsor, Republican Congressman Henry Hyde of Illinois.[7] The measure represents one of the first major legislative gains by the United States pro-life movement, especially the National Committee for a Human Life Amendment led by lobbyist Mark Gallagher,[9] after the striking-down of anti-abortion laws following the 1973 Supreme Court case Roe v. Wade. Congress subsequently altered the Hyde Amendment several times.[7] The version in force from 1981 until 1993 prohibited the use of federal funds for abortions "except where the life of the mother would be endangered if the fetus were carried to term."[10]

On October 22, 1993, President Clinton signed into law the Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 1994.[11] The Act contained a new version of the Hyde Amendment that expanded the category of abortions for which federal funds are available under Medicaid to include cases of rape and incest.[12]

The 2016 platform marked the first time the Democratic platform had an explicit call to repeal the Hyde Amendment.[13] On January 24, 2017, the House of Representatives passed H.R. 7, which, according to the press office of Speaker Paul Ryan, "makes the Hyde amendment permanent."[14] The bill failed to pass the Senate and did not become law.




DEMOCRATIC DEBATE IN ATLANTA IS HAPPENING NOW, SO TODAY’S BLOG IS OVER. TUNE IN ON NBC OR ELSEWHERE.

Democratic debate live updates: Foreign policy and wars discussed
By Sean Sullivan,
Chelsea Janes,
Isaac Stanley-Becker and
Reis Thebault
November 20, 2019 at 10:04 PM EST

Right now: Candidates are talking about Afghanistan and foreign wars.

The fifth Democratic debate has begun. On stage in Atlanta are former vice president Joe Biden; Sen. Cory Booker (D-N.J.); South Bend, Ind., Mayor Pete Buttigieg; Rep. Tulsi Gabbard (D-Hawaii); Sen. Kamala D. Harris (D-Calif.); Sen. Amy Klobuchar (D-Minn.); Sen. Bernie Sanders (I-Vt.); businessman Tom Steyer; Sen. Elizabeth Warren (D-Mass.); and businessman Andrew Yang.

HIGHLIGHTS
Divides over approaches to health care
Sanders says party shouldn’t be ‘consumed by Donald Trump’
Just tuning into the 2020 Democratic primary? Start here.
Split screen: The latest on the impeachment inquiry hearing
November 20, 2019 at 10:07 PM EST
Booker takes on Buttigieg on experience

Booker, a sitting senator, sought to put this focus on a different stage of his career — his days as mayor of Newark, N.J.

“I happen to be the other Rhodes Scholar mayor on this stage,” he said at one point, a reference to Buttigieg. Soon, Booker returned to the topic of his mayoral record during a discussion on housing.

Booker also pointed out that he was mayor of the “largest city in my state,” which some on social media also interpreted as a dig at Butigieg, the mayor of South Bend, Ind. South Bend is the fourth most populous city in Indiana.

By Sean Sullivan


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