Conservatives notch 2 victories in their fight to deny Planned Parenthood federal funding through Medicaid

Source: The Conversation – USA (3) – By Rachel Rebouché, Professor of Law, Temple University

Conservatives have won two important battles in their decades-long campaign against Planned Parenthood, a network of affiliated clinics that are the largest provider of reproductive health services in the U.S.

One of these victories was a U.S. Supreme Court ruling handed down on June 26, 2025. The other is a provision in the multitrilion-dollar tax-and-spending package President Donald Trump has made his top legislative priority. Both follow the same strategy: depriving Planned Parenthood – and all other providers of abortion care – from getting reimbursed by Medicaid, the government health insurance program that mainly covers low-income adults and children, as well as people with disabilities.

Because Medicaid covers nearly 80 million Americans, this bill, and the Supreme Court’s decision, will sever federal support for health care that has nothing to do with abortion, such as annual exams, birth control and prenatal care. Abortions account for 3% of all of Planned Parenthood’s services.

As a scholar of reproductive rights, I have studied how abortion politics shape the broader provision of reproductive health care.

I see in both the legislation and the court’s ruling a culmination of a strategy to defund Planned Parenthood that was in full swing by 2007, toward the end of the George W. Bush administration. This campaign hinges on a strategy of insisting that federal and state dollars are supporting abortion care when they do not.

A clinic escort in a rainbow-striped vest assists a patient entering a Planned Parenthood clinic.
A clinic escort assists a patient at a Planned Parenthood health center in Philadelphia in 2022.
Angela Weiss/AFP via Getty Images

Congress and the Supreme Court

Trump’s package of tax breaks, spending increases and safety net changes passed in the House and the Senate by razor-thin margins.

One of the bill’s provisions will make it impossible for patients with Medicaid coverage to get any health care services at clinics like Planned Parenthood.

The provision will last only for a year.

The House approved the same version of the package that the Senate had passed a week after the U.S. Supreme Court ruled that states cannot be sued by patients if they make it impossible for Planned Parenthood clinics to be reimbursed by Medicaid.

The case, Medina v. Planned Parenthood South Atlantic, arose when a South Carolina woman wanted to get gynecological care at her local Planned Parenthood clinic. The rationale South Carolina Gov. Henry McMaster gave for the state’s policy was that Planned Parenthood is an abortion provider.

Man in suit speaks into a microphone, flanked by other people who are standing in front of a building surrounded by scaffolding.
South Carolina Gov. Henry McMaster stands outside the Supreme Court building in Washington in April 2025 and speaks about his state’s legal dispute regarding Medicaid funding for health care at Planned Parenthood clinics.
Kayla Bartkowski/Getty Images

Medicaid and abortion

To be clear, neither the legal dispute nor the provision in the legislative package had anything to do with the use of federal or state dollars to fund abortion.

Although Planned Parenthood offers abortion where and when it is legal, this provision and the court’s decision concern Medicaid reimbursement for all other services. Abortion care is not covered by Medicaid under federal law except in cases of rape, incest or a threat to the pregnant patient’s life.

Medicaid patients instead have relied on their plan at Planned Parenthood clinics when they get annual exams, prenatal care, mental health support, birth control, treatment for sexually transmitted infections, cervical cancer screenings and fertility referrals.

None of those services will be covered by Medicaid for a year. Patients will have to find another health care provider – as long as one is available.

While that provision is in effect, Medicaid won’t be allowed to reimburse Planned Parenthood for any services, mirroring what states just won the right to do in the Supreme Court ruling – but at the national level.

Although the bill blocks Medicaid funding for Planned Parenthood for only 12 months, the ruling lets states exclude any provider from its Medicaid program because they also provide abortions.

In other words, people who rely on Medicaid funding will lose access to all of those essential services not just at Planned Parenthood but potentially at any other providers that also offer abortion care.

Given the number of states that ban almost all abortion, I have no doubt that more states will do that, especially if this Medicaid funding provision expires after a year without being renewed.

A protester holds a sign aloft that says 'Women on Medicaid deserve choices too,' with another sign in the background that says 'Keep Abortion Legal,'
Abortion-rights demonstrators holds a sign in front of the Supreme Court building in Washington as the Medina v. Planned Parenthood South Atlantic case is heard on April 2, 2025.
Tom Williams/CQ-Roll Call via Getty Images

Roots of this defunding strategy

Politicians began to call for defunding Planned Parenthood about 20 years ago, following efforts by anti-abortion activists to discredit the organization altogether.

U.S. Rep. Mike Pence introduced the first federal legislation aimed at “defunding” Planned Parenthood in 2007. It failed to muster enough support in Congress to become law. States such as Texas then started down that path.

The first national legislative success came in 2015. Both houses of Congress passed a budget reconciliation measure with a provision to defund Planned Parenthood that year, but President Barack Obama vetoed it. Republicans had threatened to shut down the government over those demands. A year later, the GOP included a call to defund Planned Parenthood in its presidential campaign platform.

Before Obama left office, his administration passed a rule in December 2016 protecting federal funds for family planning for health care facilities that also provided abortion. The Trump administration rolled back that rule in 2017.

The Trump administration relied on an argument that any support for a health care provider that offers patients abortion services, no matter how segregated the sources of funding, is tantamount to subsidizing abortion.

What to expect next

Nationally, 16 million women of reproductive age rely on Medicaid, and 1 in 5 women will visit a Planned Parenthood clinic for health care at least once in their lives. Those clinics depend on Medicaid reimbursement to offer an array of reproductive health care services, such as prenatal care, that are not tied to abortion.

If Planned Parenthood clinics can’t bill Medicaid for those services, many will close. Planned Parenthood estimates that it could see almost 200 closures – 90% of them in states where abortion is legal. That means over 1 million low-income people risk losing access to their health care provider.

And once clinics close, they may never reopen, U.S. Sen. Patty Murray, a Washington Democrat, recently predicted.

Should the number of Planned Parenthood clinics plummet, it will threaten access to contraceptives, which are all the more important in preventing unwanted pregnancies for people living in states that have banned abortion. Researchers have repeatedly found that unwanted pregnancies, when people are denied access to abortion services, are correlated with increased debt, missed educational and employment opportunities, mental health problems, and diminished care for a family’s older children.

In addition, pregnant patients and new parents may have more limited options for prenatal and postnatal care. That could cause the country’s already-high rates of maternal and infant mortality to increase.

The Conversation

Rachel Rebouché does not work for, consult, own shares in or receive funding from any company or organization that would benefit from this article, and has disclosed no relevant affiliations beyond their academic appointment.

ref. Conservatives notch 2 victories in their fight to deny Planned Parenthood federal funding through Medicaid – https://theconversation.com/conservatives-notch-2-victories-in-their-fight-to-deny-planned-parenthood-federal-funding-through-medicaid-260233

Capitalism and democracy are weakening – reviving the idea of ‘calling’ can help to repair them

Source: The Conversation – USA (2) – By Valerie L. Myers, Organizational Psychologist and Lecturer in Management and Organizations, University of Michigan

Ask someone what a calling is, and they’ll probably say something like “doing work you love.” But as a management professor who has spent two decades researching the history and impact of calling, I’ve found it’s much more than personal fulfillment.

The concept of calling has deep roots. In the 1500s, theologian Martin Luther asserted that any legitimate work – not just work in ministry – could have sacred significance and social value, and could therefore be considered a calling. In this early form, calling wasn’t merely a vocation or passion; it was a way of living and working that built character, competence and social trust.

That’s because calling is an ethical system – a set of thoughts and actions aimed at producing “good work” that is both morally grounded and quality-focused. As such, it’s not just a feel-good idea.

Today, we know that calling can strengthen social trust by reinforcing its key elements: confidence in product quality, stable institutions, adherence to rules and laws, and relationships.

Social trust is crucial for capitalism and vibrant democracies. And when those systems weaken, as they are now, it’s calling – not cunning or charisma – that can help repair them.

Although calling’s original meaning has faded, I contend that it’s worth reviving. That robust spirit of work still has practical value today, especially since social trust has been declining for decades.

History’s warning lights are flashing

We’ve been here before – in the late 19th century, when the U.S. entered its first Gilded Age. Innovation surged, but so did corruption and inequality as lax regulations enabled tycoons to accumulate extraordinary wealth. Rapid social change sparked conflict. Meanwhile, rising authoritarianism, shifting national alliances and economic jolts unsettled the world. Sound familiar?

Today, in the U.S., trust in institutions has reached an all-time low, while measures of corruption and inequality are up. Meanwhile, American workers are increasingly disengaged at work, a problem that costs US$438 billion annually. America’s fractured and flawed democracy ranks 28th globally, having fallen 11 slots in less than 15 years.

These aren’t just economic or political failures – they’re signs of a moral breakdown.

Over a century ago, sociologist Max Weber warned that if capitalism lost its moral footing, it would cannibalize itself. He predicted the rise of “specialists without spirit,” people who are technically brilliant but ethically empty. The result: resurgence of a cruel, callous form of capitalism called moral menace.

Moral menaces and moral muses

Some leaders act as moral menaces, which law professor James Q. Whitman describes as an efficient but exploitative form of capitalism. Moral menaces extract value and treat people callously, which erodes trust that sustains markets and society. In contrast, others are what I call “moral muses” – leaders who are examples of a calling in action. They’re not saints or celebrities, but people who combine skill, care and moral courage to build trust and transform systems from within. President Franklin Roosevelt and Yvonne Chouinard are two examples.

When President Franklin D. Roosevelt was inaugurated in 1933, amid the Great Depression, an aide told Roosevelt if he was successful, he’d become America’s greatest president. Roosevelt replied, “If I fail, I shall be the last one.” He succeeded by restoring trust. Through New Deal policies, Roosevelt enhanced institutional trust, which stabilized democracy and helped rescue capitalism from its excesses. Today, the U.S. remains highly innovative, competitive and wealthy, in part because of moral muses like Roosevelt.

Or take Yvon Chouinard, the founder of clothing label Patagonia, who built a billion-dollar company while building trust around a moral mission. He urged customers not to buy more gear, but instead to repair their old products to curb consumer waste. Chouinard filed over 70 lawsuits to protect public land, and he gave away his company to climate-change nonprofits in 2022, declaring, “Earth is now our only shareholder.” Relatedly, Patagonia’s employee turnover is far lower than the industry standard, reporting shows. Why? Because people trust leaders who live their values.

History shows that such leaders aren’t born; they are trained.

MBAs and the calling to leadership

For 15 years, I’ve taught an MBA module named “The Calling to Leadership.” Students study moral muses like Roosevelt and Chouinard – not for their fame, but for how they live their callings to cultivate talent and trust, and transform systems.

Students learn to identify moral injuries that lead to disengagement, identify trust gaps, reflect on their own moral core, and practice ethical decision-making. They also engage in reflective practices that sharpen their ethical judgment, which is essential to creating moral markets.

As Lynn Forester de Rothschild, the founder of the Council for Inclusive Capitalism, put it: “At its best, the basis of capitalism is a dual moral and market imperative.”

Democracy and capitalism won’t be strengthened by charisma, cunning or exploitative ambition, but by people who answer a deeper calling to do “good work”: work that builds trust and strengthens the social fabric. History shows that real progress has often been guided by the slumbering ideals of calling. In this age of disengagement and distrust, those ideals aren’t just worth reviving – they’re essential.

In my view, calling isn’t a luxury; it’s a leadership imperative. To fulfill yours, don’t ask, “Is this my dream job?” Ask, “Will my actions build trust?” If not, change course. If yes, keep going. That’s how to heal institutions and improve systems, and how ordinary people can become the quiet force behind meaningful, lasting transformation.

The Conversation

Valerie L. Myers does not work for, consult, own shares in or receive funding from any company or organization that would benefit from this article, and has disclosed no relevant affiliations beyond their academic appointment.

ref. Capitalism and democracy are weakening – reviving the idea of ‘calling’ can help to repair them – https://theconversation.com/capitalism-and-democracy-are-weakening-reviving-the-idea-of-calling-can-help-to-repair-them-257091

Employers are failing to insure the working class – Medicaid cuts would leave them even more vulnerable

Source: The Conversation – USA (3) – By Sumit Agarwal, Assistant Professor of Internal Medicine, University of Michigan

The Congressional Budget Office estimates that 7.8 million Americans across the U.S. would lose their coverage through Medicaid – the public program that provides health insurance to low-income families and individuals – under the One Big Beautiful Bill Act making its way through Congress.

That includes 248,000 to 414,000 of my fellow residents of Michigan based on the House Reconciliation Bill in early June 2025. There are similarly deep projected cuts within the Senate version of the legislation.

Many of these people are working Americans who would lose Medicaid because of the onerous paperwork involved with the proposed work requirements.

They wouldn’t be able to get coverage in the Affordable Care Act Marketplaces after losing Medicaid. Premiums and out-of-pocket costs are likely to be too high for those making less than 100% to 138% of the federal poverty level who do not qualify for health insurance marketplace subsidies. Funding for this program is also under threat.

And despite being employed, they also wouldn’t be able to get health insurance through their employers because it is either too expensive or not offered to them. Researchers estimate that coverage losses would lead to thousands of medically preventable deaths across the country because people would be unable to access health care without insurance.

I am a physician, health economist and policy researcher who has cared for patients on Medicaid and written about health care in the U.S. for over eight years. I think it’s important to understand the role of Medicaid within the broader insurance landscape. Medicaid has become a crucial source of health coverage for low-wage workers.

A brief history of Medicaid expansion.

Michigan removed work requirements from Medicaid

A few years ago, Michigan was slated to institute Medicaid work requirements, but the courts blocked the implementation of that policy in 2020. It would have cost upward of US$70 million due to software upgrades, staff training, and outreach to Michigan residents enrolled in the Medicaid program, according to the Michigan Department of Health and Human Services.

Had it gone into effect, 100,000 state residents were expected to lose coverage within the first year.

The state took the formal step of eliminating work requirements from its statutes earlier this year in recognition of implementation costs being too high and mounting evidence against the policy’s effectiveness.

When Arkansas instituted Medicaid work requirements in 2018, there was no increase in employment, but within months, thousands of people enrolled in the program lost their coverage. The reason? Many people were subjected to paperwork and red tape, but there weren’t actually that many people who would fail to meet the criteria of the work requirements. It is a recipe for widespread coverage losses without meeting any of the policy’s purported goals.

Work requirements, far from incentivizing work, paradoxically remove working people from Medicaid with nowhere else to go for insurance.

Shortcomings of employer-sponsored insurance

Nearly half of Americans get their health insurance through their employers.

In contrast to a universal system that covers everyone from cradle to grave, an employer-first system leaves huge swaths of the population uninsured. This includes tens of millions of working Americans who are unable to get health insurance through their employers, especially low-income workers who are less likely to even get the choice of coverage from their employers.

Over 80% of managers and professionals have employer-sponsored health coverage, but only 50% to 70% of blue-collar workers in service jobs, farming, construction, manufacturing and transportation can say the same.

There are some legal requirements mandating employers to provide health insurance to their employees, but the reality of low-wage work means many do not fall under these legal protections.

For example, employers are allowed to incorporate a waiting period of up to 90 days before health coverage begins. The legal requirement also applies only to full-time workers. Health coverage can thus remain out of reach for seasonal and temporary workers, part-time employees and gig workers.

Even if an employer offers health insurance to their low-wage employees, those workers may forego it because the premiums and deductibles are too high to make it worth earning less take-home pay.

To make matters worse, layoffs are more common for low-wage workers, leaving them with limited options for health insurance during job transitions. And many employers have increasingly shed low-wage staff, such as drivers and cleaning staff, from their employment rolls and contracted that work out. Known as the fissuring of the workplace, it allows employers of predominately high-income employees to continue offering generous benefits while leaving no such commitment to low-wage workers employed as contractors.

Medicaid fills in gaps

Low-income workers without access to employer-sponsored insurance had virtually no options for health insurance in the years before key parts of the Affordable Care Act went into effect in 2014.

Research my co-authors and I conducted showed that blue-collar workers have since gained health insurance coverage, cutting the uninsured rate by a third thanks to the expansion of Medicaid eligibility and subsidies in the health insurance marketplaces. This means low-income workers can more consistently see doctors, get preventive care and fill prescriptions.

Further evidence from Michigan’s experience has shown that Medicaid can help the people it covers do a better job at work by addressing health impairments. It can also improve their financial well-being, including fewer problems with debt, fewer bankruptcies, higher credit scores and fewer evictions.

Premiums and cost sharing in Medicaid are minimal compared with employer-sponsored insurance, making it a more realistic and accessible option for low-income workers. And because Medicaid is not tied directly to employment, it can promote job mobility, allowing workers to maintain coverage within or between jobs without having to go through the bureaucratic complexity of certifying work.

Of course, Medicaid has its own shortcomings. Payment rates to providers are low relative to other insurers, access to doctors can be limited, and the program varies significantly by state. But these weaknesses stem largely from underfunding and political hostility – not from any intrinsic flaw in the model. If anything, Medicaid’s success in covering low-income workers and containing per-enrollee costs points to its potential as a broader foundation for health coverage.

The current employer-based system, which is propped up by an enormous and regressive tax break for employer-sponsored insurance premiums, favors high-income earners and contributes to wage stagnation. In my view, which is shared by other health economists, a more public, universal model could better cover Americans regardless of how someone earns a living.

Over the past six decades, Medicaid has quietly stepped into the breach left by employer-sponsored insurance. Medicaid started as a welfare program for the needy in the 1960s, but it has evolved and adapted to fill the needs of a country whose health care system leaves far too many uninsured.

The Conversation

Sumit Agarwal does not work for, consult, own shares in or receive funding from any company or organization that would benefit from this article, and has disclosed no relevant affiliations beyond their academic appointment.

ref. Employers are failing to insure the working class – Medicaid cuts would leave them even more vulnerable – https://theconversation.com/employers-are-failing-to-insure-the-working-class-medicaid-cuts-would-leave-them-even-more-vulnerable-259256

Speedballing – the deadly mix of stimulants and opioids – requires a new approach to prevention and treatment

Source: The Conversation – USA (3) – By Andrew Yockey, Assistant Professor of Public Health, University of Mississippi

Speedballing kills nearly 35,000 people in the U.S. every year. Cappi Thompson/Moment via Getty Images

Speedballing – the practice of combining a stimulant like cocaine or methamphetamine with an opioid such as heroin or fentanyl – has evolved from a niche subculture to a widespread public health crisis. The practice stems from the early 1900s when World War I soldiers were often treated with a combination of cocaine and morphine.

Once associated with high-profile figures like John Belushi, River Phoenix and Chris Farley , this dangerous polysubstance use has become a leading cause of overdose deaths across the United States since the early- to mid-2010s.

I am an assistant professor of public health who has written extensively on methamphetamine and opioid use and the dangerous combination of the two in the United States.

As these dangerous combinations of drugs increasingly flood the market, I see an urgent need and opportunity for a new approach to prevention and treatment.

Why speedballing?

Dating back to the 1970s, the term speedballing originally referred to the combination of heroin and cocaine. Combining stimulants and opioids – the former’s “rush” with the latter’s calming effect – creates a dangerous physiological conflict.

According to the National Institute on Drug Abuse, stimulant-involved overdose fatalities increased markedly from more than 12,000 annually in 2015 to greater than 57,000 in 2022, a 375% increase. Notably, approximately 70% of stimulant-related overdose deaths in 2022 also involved fentanyl or other synthetic opioids, reflecting the rising prevalence of polysubstance involvement in overdose mortality.

Users sought to experience the euphoric “rush” from the stimulant and the calming effects of the opioid. However, with the proliferation of fentanyl – which is far more potent than heroin – this combination has become increasingly lethal. Fentanyl is often mixed with cocaine or methamphetamine, sometimes without the user’s knowledge, leading to unintentional overdoses.

The rise in speedballing is part of a broader trend of polysubstance use in the U.S. Since 2010, overdoses involving both stimulants and fentanyl have increased 50-fold, now accounting for approximately 35,000 deaths annually.

This has been called the fourth wave of the opioid epidemic. The toxic and contaminated drug supply has exacerbated this crisis.

John Belushi in his Blues Brothers guise, wearing a black hat, black coat and tie and sunglasses and singing into a hand-held microphone.
The comedian John Belushi died in 1982 from an overdose of cocaine and heroin.
Larry Hulst/Michael Ochs Archives via Getty Images

A dangerous combination of physiological effects

Stimulants like cocaine increase heart rate and blood pressure, while opioids suppress respiratory function. This combination can lead to respiratory failure, cardiovascular collapse and death. People who use both substances are more than twice as likely to experience a fatal overdose compared with those using opioids alone.

The conflicting effects of stimulants and opioids can also exacerbate mental health issues. Users may experience heightened anxiety, depression and paranoia. The combination can also impair cognitive functions, leading to confusion and poor decision-making.

Speedballing can also lead to severe cardiovascular problems, including hypertension, heart attack and stroke. The strain on the heart and blood vessels from the stimulant, combined with the depressant effects of the opioid, increases the risk of these life-threatening conditions.

Addressing the crisis

Increasing awareness about the dangers of speedballing is crucial. I believe that educational campaigns can inform the public about the risks of combining stimulants and opioids and the potential for unintentional fentanyl exposure.

There is a great need for better access to treatment for people with stimulant use disorder – a condition defined as the continued use of amphetamine-type substances, cocaine or other stimulants leading to clinically significant impairment or distress, from mild to severe. Treatments for this and other substance use disorders are underfunded and less accessible than those for opioid use disorder. Addressing this gap can help reduce the prevalence of speedballing.

Implementing harm reduction strategies by public health officials, community organizations and health care providers, such as providing fentanyl test strips and naloxone – a medication that reverses opioid overdoses – can save lives.

These measures allow individuals to test their drugs for the presence of fentanyl and have immediate access to overdose-reversing medication. Implementing these strategies widely is crucial to reducing overdose deaths and improving community health outcomes.

The Conversation

Andrew Yockey does not work for, consult, own shares in or receive funding from any company or organization that would benefit from this article, and has disclosed no relevant affiliations beyond their academic appointment.

ref. Speedballing – the deadly mix of stimulants and opioids – requires a new approach to prevention and treatment – https://theconversation.com/speedballing-the-deadly-mix-of-stimulants-and-opioids-requires-a-new-approach-to-prevention-and-treatment-257425

Philadelphians with mental illness want to work, pray, date and socialize just like everyone else – here’s how creating more inclusive communities is good for public health

Source: The Conversation – USA (3) – By Mark Salzer, Professor of Social and Behavioral Sciences, Temple University

About 6% of American adults have a serious mental health condition. Dmitrii Marchenko/Moment Collection via Getty Images

Do you remember the COVID-19 shutdowns?

Many Americans could no longer do the activities they enjoyed once businesses, schools, churches, gyms and community organizations shut their doors. Even spending time with friends and family became nearly impossible.

Now imagine living that kind of isolation all the time.

For millions of Americans with serious mental health conditions, being unable to engage in meaningful activities is not just a temporary crisis – it’s daily life.

Community inclusion refers to everyone’s right to participate in meaningful social roles. This includes working, going to school, practicing one’s faith or simply connecting with others in shared activities.

Yet, for the estimated 15.4 million U.S. adults living with significant mental health conditions – about 6% of the adult population – community inclusion is far from guaranteed. Compared with the general population, they are far less likely to be involved in social activities that bring purpose and connection, as well as health benefits.

I am a psychologist who has worked in inpatient and outpatient psychiatric settings, and I directed a federally funded research and training center at Temple University in Philadelphia for more than 20 years that focuses on independent living and participation of people with serious mental illnesses.

My colleagues and I have conducted research which demonstrates that people with such conditions want to participate in their community just like everyone else. We also found that they can do so – with proper supports like medications, therapy, rehabilitation services and communities making reasonable accommodations for them. And furthermore, they should: Community inclusion is good for their health.

Benefits of community life

Community involvement gets people with mental illness out of bed and out of the house. It encourages movement and activity, which enhances physical health.

This is especially critical because people with serious mental illnesses die 15 to 20 years earlier than the general population – often due to preventable illnesses like diabetes, cancer and cardiovascular disease.

Regular participation in life’s routines provides social and emotional stimulation that also boosts cognitive functioning, like memory and problem-solving, and reduces depression and loneliness.

Illustration shows people of different gender, ethnicity and dress style walking on the street
Community involvement is good for physical and mental health.
Namthip Muanthongthae/Moment Collection via Getty Images

What really causes exclusion

Some people may assume that people with severe mental illnesses are restricted from active participation in their communities solely due to the mental health symptoms themselves.

For example, they might think that cognitive issues related to schizophrenia make it too difficult for people to work or go to school; or that mania, anxiety and depression prevent them from having good relationships with others.

But environment also plays a major role.

The social model of disability suggests that people are not disabled by their diagnosis. Instead, they experience a disability through limitations in their communities because of physical, structural and social barriers.

For example, someone with anxiety or depression may be penalized in a college class that deducts points for students who do not speak up.

A person with a disability that causes fluctuating moods or low energy might not succeed in a rigid nine-to-five job without accommodations.

And a churchgoer who talks to themselves or has to walk around during services because their medications make them jittery – a condition called akathisia – or who is known to have been diagnosed with schizophrenia might be asked to leave because their presence makes others uncomfortable.

The result is that people are unable to participate not simply because of an impairment, but because of an environment that does not accommodate or appreciate their unique attributes.

Helping people with mental illness rejoin community life

Some programs here in Pennsylvania are working to change that.

Education Plus helps Philadelphia residents with mental health conditions complete college and financial aid application forms, obtain school accommodations for their disability, and develop good study habits or learn to ask for help from their instructors.

Pathways to Housing PA offers transitional job opportunities to people who have been homeless, and organizes picnics, trips to Phillies baseball games and other fun activities that create a sense of community belonging.

A voter access initiative at an inpatient psychiatric facility in Pennsylvania helps patients check their voter registration status, register to vote and apply for mail-in ballots.

The nonprofit Compeer in suburban Philadelphia connects community volunteers to people with mental illnesses to engage in mutual leisure or educational interests. This oftentimes leads to long-term friendships.

And a current study I am conducting is examining ways to support faith communities in Montgomery County to be more welcoming and embracing of individuals with mental illnesses.

People smiling and shaking hands while standing in pews in a church
Churches and other faith communities can welcome members with mental illnesses by accepting their different behaviors.
zamrznutitonovi/iStock/Getty Images Plus via Getty Images

What you can do

Family members, friends and mental health professionals can simply ask people with mental illnesses about their interests – whether it’s employment, going to school, dating or making new friends – and then encourage and support them in pursuing those interests.

Creating inclusive communities means not just offering services to people with serious mental illness, but also changing negative beliefs and behaviors toward them. This includes embracing people who might express emotions differently, require flexibility or simply behave in ways we’re not used to.

For example, say you’re in a coffee shop and encounter a person who is muttering to themselves and may not have bathed in a few days. Maybe you make eye contact, smile and say hello. Certainly reconsider complaining.

It takes empathy, open-mindedness and patience to create a community that welcomes people with mental illness and increases the likelihood that they can participate in society like everyone else.

Read more of our stories about Philadelphia.

The Conversation

Mark Salzer receives funding from the National Institute on Disabilities, Independent Living, and Rehabilitation Research. He previously served on the Board of Directors for Pathways to Housing PA and works closely with Horizon House, including in the development of the Education Plus program mentioned in the article.

ref. Philadelphians with mental illness want to work, pray, date and socialize just like everyone else – here’s how creating more inclusive communities is good for public health – https://theconversation.com/philadelphians-with-mental-illness-want-to-work-pray-date-and-socialize-just-like-everyone-else-heres-how-creating-more-inclusive-communities-is-good-for-public-health-254441

One ‘big, beautiful’ reason why Republicans in Congress just can’t quit Donald Trump

Source: The Conversation – USA – By Charlie Hunt, Associate Professor of Political Science, Boise State University

The U.S. Capitol is seen shortly after the Senate passed its version of the One Big Beautiful Bill Act on July 1, 2025. Chip Somodevilla/Getty Images

As the U.S. House of Representatives voted to approve President Donald Trump’s sweeping domestic tax and spending package, many critics are wondering how the president retained the loyalty of so many congressional Republicans, with so few defections.

Just three Republican senators – the maximum allowed for the One Big Beautiful Bill Act to still pass – voted against the Senate version of the bill on July 1, 2025. In the House, only two Republicans voted against the bill, which passed the chamber on July 3.

Among other things, the bill will slash taxes by about US$4.5 trillion over a decade and exempt people’s tips and overtime pay from federal income taxes.

But the bill has been widely panned, including by some Republicans.

Democrats have uniformly opposed it, in part thanks to the bill’s sweeping cuts to Medicaid and Affordable Care Act marketplace funding. This could lead to an estimated 12 million more people without insurance by 2034.

The legislation is also likely to add between $3 trilion and $5 trillion to the national debt by 2034, according to the Congressional Budget Office.

The power of the presidency

Trump is not the first president to bend Congress to his will to get legislation approved.

Presidential supremacy over the legislative process has been on the rise for decades. But contrary to popular belief, lawmakers are not always simply voting based on blind partisanship.

Increasingly, politicians in the same political party as a president are voting in line with the president because their political futures are as tied up with the president’s reputation as they have ever been.

Even when national polling indicates a policy is unpopular – as is the case with Trump’s budget reconciliation bill, which an estimated 55% of American voters said in June they oppose, according to Quinnipiac University polling – lawmakers in the president’s party have serious motivation to follow the president’s lead.

Or else they risk losing reelection.

A white man with glasses, dark hair and a dark suit with a white shirt and red tie smiles and appears to speak into a microphone as people surround him.
Speaker of the House Mike Johnson speaks to reporters at the Capitol building on July 3, 2025.
Alex Wong/Getty Images

Lawmakers increasingly partisan on presidential policy

Over the past 50 years, lawmakers in the president’s party have increasingly supported the president’s position on legislation that passes Congress. Opposition lawmakers, meanwhile, are increasingly united against the president’s position.

In 1970, for example, when Republican President Richard Nixon was in the White House, Republicans in Congress voted along with his positions 72% of the time. But the Democratic majority in Congress voted with him nearly as much, at 60% of the time, particularly on Nixon’s more progressive environmental agenda.

These patterns are unheard of in the modern Congress. In 2022, for example – a year of significant legislative achievement for the Biden administration – the Democratic majority in Congress voted the same way as the Democratic president 99% of the time. Republicans, meanwhile, voted with Biden just 19% of the time.

Elections can tell us why

Over the past half-century, the two major parties have changed dramatically, both in the absolutist nature of their beliefs and in relation to one another.

Both parties used to be more mixed in their ideological outlooks, for example, with conservative Democrats and liberal Republicans playing key roles in policymaking. This made it easier to form cross-party coalitions, either with or against the president.

A few decades ago, Democrats and Republicans were also less geographically polarized from each other. Democrats were regularly elected to congressional seats in the South, for example, even if those districts supported Republican presidents such as Nixon or Ronald Reagan.

Much of this has changed in recent decades.

Congress members are not just ideologically at odds with colleagues in the other party – they are more similar than ever to other members within their party.

Districts supporting the two parties are also increasingly geographically distant from each other, often along an urban-rural divide.

And presidents in particular have become polarizing partisan figures on the national stage.

These changes have ushered in a larger phenomenon called political nationalization, in which local political considerations, issues and candidate qualifications have taken a back seat to national politics.

Ticket splitting

From the 1960s through most of the 1980s, between one-quarter and one-half of all congressional districts routinely split tickets – meaning they sent a politician of one party to Congress while supporting a different party for president.

These are the same few districts in Nebraska and New York, for example, that supported former Vice President Kamala Harris for president in 2024 but which also elected a Republican candidate to the House that same year.

Since the Reagan years, however, these types of districts that could simultaneously support a Democratic presidential nominee and Republicans for Congress have gone nearly extinct. Today, only a handful of districts split their tickets, and all other districts select the same party for both offices.

The past two presidential elections, in 2020 and 2024, set the same record low for ticket splitting. Just 16 out of 435 House districts voted for different parties for the House of Representatives and president.

Members of Congress follow their voters

The political success of members of Congress has become increasingly tied up with the success or failure of the president. Because nearly all Republicans hail from districts and states that are very supportive of Trump and his agenda, following the will of their voters increasingly means being supportive of the president’s agenda.

Not doing so risks blowback from their Trump-supporting constituents. A June 2025 Quinnipiac University poll found that 67% of Republicans support the bill, while 87% of Democrats oppose it.

These electoral considerations also help explain the unanimous opposition to Trump’s legislation by the Democrats, nearly all of whom represent districts and states that did not support Trump in 2024.

Thanks to party polarization in ideologies, geography and in the electorate, few Democrats could survive politically while strongly supporting Trump. And few Republicans could do so while opposing him.

But as the importance to voters of mere presidential support increases, the importance of members’ skill in fighting for issues unique to their districts has decreased. This can leave important local concerns about, for example, unique local environmental issues or declining economic sectors unspoken for. At the very least, members have less incentive to speak for them.

The Conversation

Charlie Hunt does not work for, consult, own shares in or receive funding from any company or organization that would benefit from this article, and has disclosed no relevant affiliations beyond their academic appointment.

ref. One ‘big, beautiful’ reason why Republicans in Congress just can’t quit Donald Trump – https://theconversation.com/one-big-beautiful-reason-why-republicans-in-congress-just-cant-quit-donald-trump-260345

What MAGA means to Americans

Source: The Conversation – USA – By Jesse Rhodes, Associate Professor of Political Science, UMass Amherst

A Trump supporter holds up a MAGA sign during a rally in Green Bay, Wis., on April 2, 2024. AP Photo/Mike Roemer

A decade ago, Donald Trump descended the golden escalator at Trump Tower in New York City and ignited a political movement that has reshaped American politics. In a memorable turn of phrase, Trump promised supporters of his 2016 presidential campaign that “we are going to make our country great again.”

Since then, the Make America Great Again movement has dominated the U.S. political conversation, reshaped the Republican Party and become a lucrative brand adorning hats, T-shirts and bumper stickers.

When asked what MAGA means to him, Trump, in a 2017 interview with The Washington Post said, “To me, it meant jobs. It meant industry, and meant military strength. It meant taking care of our veterans. It meant so much.”

But Democratic leaders have a different interpretation of the slogan.

Former President Bill Clinton in 2016 said of MAGA: “That message where ‘I’ll give you America great again’ is if you’re a white Southerner, you know exactly what it means, don’t you? What it means is ‘I’ll give you an economy you had 50 years ago, and I’ll move you back up on the social totem pole and other people down.”

While MAGA is ubiquitous, little is known about what it means to the American public. Ten years on, what do Americans think when they hear or read this phrase?

Based on the analysis of Americans’ explanations of what “Make America Great Again” means to them, we found evidence suggesting that the public’s views of MAGA mirror the perspectives offered by both Trump and Clinton.

Republicans interpret this phrase as a call for the renewal of the U.S. economy and military might, as well as a return to “traditional” values, especially those relating to gender roles and gender identities. Democrats, we found, view MAGA as a call for a return to white supremacy and growing authoritarianism.

A man descends an escalator as other people watch.
Donald Trump rides an escalator to a press event to announce his candidacy for the U.S. presidency at Trump Tower on June 16, 2015, in New York City.
Christopher Gregory/Getty Images

What MAGA means

We are political scientists who use public opinion polls to study the role of partisanship in American politics. To better understand American views about MAGA, in April 2025 we asked 1,000 respondents in a nationally representative online survey to briefly write what “Make America Great Again” meant to them.

The survey question was open-ended, allowing respondents to define this phrase in any way they saw fit. We used AI-based thematic analysis and qualitative reading of the responses to better understand how Democrats and Republicans define the slogan.

For our AI-based thematic analysis, we instructed ChatGPT to provide three overarching themes most touched upon by Democratic and Republican respondents. This approach follows recent research demonstrating that, when properly instructed, ChatGPT reliably identifies broad themes in collections of texts.

Republican interpretation of MAGA

Our analysis shows that Republicans view the slogan as representing the “American dream.” In part, MAGA is about restoring the nation’s pride and economic strength. Reflecting these themes, one Republican respondent wrote that MAGA means “encouraging manufacturers to hire Americans and strengthen the economy. Making the USA self-sufficient as it once was.”

MAGA is also closely related among Republicans with an “America First” policy. This is partly about having a strong military – a common theme among Republican respondents – and “making America the superpower” again, one respondent wrote.

Republicans also wrote that putting America first means emphasizing strict enforcement of immigration laws against “illegals” and cutting off foreign aid. For example, one Republican respondent said that MAGA meant “stopping illegals at the border, ending freebies for illegals, adding more police and building a strong military.”

Finally, Republicans see the slogan as calling for a return to “traditional” values. They expressed a strong desire to reverse cultural shifts that Republican respondents perceive as a threat.

As one Republican put it, MAGA “means going back to where men would join the military, women were home raising healthy minded children and it was easy to be successful, the crime rate was extremely low and it used to be safe for kids to hang out on the streets with other kids and even walk themselves places.”

Another Republican made the connection between MAGA and traditional gender roles even more explicit, highlighting the link between MAGA and opposition to transgender rights: “MAGA people know there are only 2 sexes and a man can never be a woman. If you believe otherwise you are destroying AMERICA.”

A large banner of a man is seen through tree leaves in the foreground.
A banner showing a picture of President Donald Trump is displayed outside of the U.S. Department of Agriculture building on June 3, 2025, in Washington, D.C.
Kevin Carter/Getty Images

Democratic MAGA views

Democrats have a very different understanding of the MAGA slogan. Many Democrats view MAGA as a white supremacist movement designed to protect the status of white people and undermine the civil rights of marginalized groups.

One Democrat argued that “‘Make America Great Again’ is a standard borne by people who’ve seen a decrease in the potency of their privilege (see: cisgendered white men) and wish to see their privilege restored or strengthened. In essence, it’s a chant for all racist, fascist and otherwise bigoted actors to unite under.”

Another Democrat wrote that MAGA was a call to “take us backwards as a society in regards to women’s, minority’s, and LGBTQ people’s rights … It would take us to a time when only White men ruled.”

Democrats also view MAGA as a form of nostalgia for a heavily mythologized past. Many Democratic respondents described the past longed for by Republicans as a “myth” or “fairytale.” Others argued that this mythologized past, though appealing on the surface, was repressive for many Americans.

One Democrat said that MAGA meant “returning America to a fantasy version of the past with the goal of advancing the success of white, straight, wealthy men by any means necessary and almost always to the detriment of other segments of the population.”

A man dressed in a white hat and tshirt holds a sign that reads 'Trump won't erase us.'
A person holds a ‘Trump won’t erase us’ sign while walking in the WorldPride Parade on June 7, 2025, in Washington, D.C.
Kevin Carter/Getty Images

Finally, many Democrats interpret the slogan as reflecting an authoritarian cult of personality. In this vein, a Democratic respondent said of MAGA, “It’s a call to arms for MAGA cult members, who believe that Trump and the Republicans party will somehow improve their lives by targeting people and policies they don’t like, even when it is against their best interests and any rational thought process.”

While some Republicans expressed racist, xenophobic or anti-trans sentiments in their understanding of MAGA, some Democrats revealed outright condescension toward MAGA believers.

“The MAGA’s are brainwashed, idiotic members of society who know nothing more than to follow the lead of an idiotic president who has the vocabulary of a 3rd grader,” one Democrat wrote. “It is nonsense idiots parrot,” another respondent said.

In all, in the 10 years since Donald Trump burst onto the political scene, much has been written about the conflicting visions of past, present and future at the heart of America’s partisan divisions.

With the Trump administration’s proclaimed commitment to return the U.S. to its “golden age” and a strong resistance to his efforts, only time will tell which vision of America will prevail.

The Conversation

Jesse Rhodes has received funding from the National Science Foundation, the Spencer Foundation, and Demos. He is a member of the American Civil Liberties Union.

Douglas Rice has received funding from the National Science Foundation.

Adam Eichen, Gregory Wall, and Tatishe Nteta do not work for, consult, own shares in or receive funding from any company or organization that would benefit from this article, and have disclosed no relevant affiliations beyond their academic appointment.

ref. What MAGA means to Americans – https://theconversation.com/what-maga-means-to-americans-259241

What damage did the US do to Iran’s nuclear program? Why it’s so hard to know

Source: The Conversation – USA – By Joshua Rovner, Associate Professor of International Relations, American University

Gen. Dan Caine, chairman of the Joint Chiefs of Staff, describes the U.S. military attack on Iranian nuclear sites, which occurred on June 21, 2025, . AP Photo/Alex Brandon

The U.S. Air Force dropped a dozen ground-penetrating bombs, each weighing 30,000 pounds (13,607 kilograms), in a raid on Iran’s nuclear site at Fordo on June 21, 2025. The attack was an attempt to reach the uranium enrichment facility buried deep inside a mountain. The target, President Donald Trump declared, was “completely and totally obliterated.”

Others were less sure. On June 24, the administration canceled a classified intelligence briefing to members of Congress, leading to frustration among those with questions about White House claims. While Defense Intelligence Agency analysts apparently agree that the strikes did real damage, they dispute the idea that the attack permanently destroyed Iran’s enrichment capability. Reports emerged that their initial analysis found that the strikes had only set Iran back a few months.

Such disagreements are unsurprising. Battle damage assessment – originally called bomb damage assessment – is notoriously difficult, and past wars have featured intense controversies among military and intelligence professionals. In World War II, poor weather and the limits of available technology conspired against accuracy.

Battle damage assessment remained a thorny problem decades later, even after radical improvements in surveillance technology. In the first Gulf War in 1990, for example, military leaders argued with CIA officials over the effects of airstrikes against Iraq’s armored forces.

I am a scholar of international relations who studies intelligence and strategy in international conflicts, and the author of “Fixing the Facts: National Security and the Politics of Intelligence.” I know from history that overcoming the challenges of battle damage assessment is especially hard when the target is a facility hidden under hundreds of feet of earth and rock, as is the case at Fordo.

How the U.S. military’s ‘bunker buster’ bomb works.

Tools of the trade

The intelligence community has a number of tools and techniques that can help with challenges like assessing the damage at Fordo. Imagery intelligence such as satellite photography is the obvious starting point. Before-and-after comparisons might reveal collapsed tunnels or topographical changes, suggesting unseen subterranean damage.

More exotic data collection techniques may be able to help infer the underground effects based on particle and electromagnetic emissions from the site. These platforms provide what is called measurement and signatures intelligence. Specialized sensors can measure nuclear radiation, seismographic information and other potentially revealing information from camouflaged facilities. When combined with traditional imagery, measurement and signatures intelligence can provide a more detailed model of the likely effects of the bombing.

Other sources may prove useful as well. Reporting from human intelligence assets – spies or unwitting informers with firsthand or secondhand knowledge – may provide information on internal Iranian assessments. These may be particularly valuable because Iranian officials presumably know how much equipment was removed in advance, as well as the location of previously enriched uranium.

The same is true for signals intelligence, which intercepts and interprets communications. Ideally, battle damage assessment will become more comprehensive and accurate as these sources of intelligence are integrated into a single assessment.

Pervasive uncertainty

But even in that case, it will still be difficult to estimate the broader effects on Iran’s nuclear program. Measuring the immediate physical effects on Fordo and other nuclear sites is a kind of puzzle, or a problem that can be solved with sufficient evidence. Estimating the long-term effects on Iranian policy is a mystery, or a problem that cannot be solved even with abundant information on hand. It’s impossible to know how Iran’s leaders will adapt over time to their changing circumstances. They themselves cannot know either; perceptions of the future are inherently uncertain.

Regarding the puzzle over Fordo, Trump seems to believe that the sheer volume of explosives dropped on the site must have done the job. As White House Press Secretary Karoline Leavitt put it: “Everyone knows what happens when you drop 14 30,000-pound bombs perfectly on their targets: total obliteration.”

But the fact that Fordo is buried in the side of a mountain is a reason to doubt this commonsense conclusion. In addition, Iran may have moved enriched uranium and specialized equipment from the site in advance, limiting the effects on its nuclear program.

Trump’s instincts might be right. Or the skeptics might be right. Both make plausible claims. Analysts will need more intelligence from more sources to make a confident judgment about the effects on Fordo and on Iran’s broader nuclear efforts. Even then, it is likely that they will disagree on the effects, because this requires making predictions.

News coverage of the attack on Fordo and White House claims of success.

Politicized intelligence

In a perfect world, policymakers and intelligence officials would wrestle with dueling assessments in good faith. Such a process would take place outside the political fray, giving both sides the opportunity to offer criticism without being accused of political mischief. In this idealized scenario, policymakers could use reasonable intelligence conclusions to inform their decision-making process. After all, there are a lot of decisions about Middle Eastern security left to be made.

But we are not in a perfect world, and hopes for a good faith debate seem hopelessly naïve. Already the battle lines are being drawn. Congressional Democrats are suspicious that the administration is being disingenuous about Iran. The White House, for its part, is going on the offensive. “The leaking of this alleged assessment is a clear attempt to demean President Trump,” Leavitt declared in a written statement, “and discredit the brave fighter pilots who conducted a perfectly executed mission.”

Relations between policymakers and their intelligence advisers are often contentious, and U.S. presidents have a long history of clashing with spy chiefs. But intelligence-policy relations today are in a particularly dismal state. Trump bears the most responsibility, given his repeated disparagement of intelligence officials. For example, he dismissed the congressional testimony on Iran from Director of National Intelligence Tulsi Gabbard: “I don’t care what she said.”

The problem goes deeper than the president, however. Intelligence-policy relations in a democracy are difficult because of the persuasive power of secret information. Policymakers fear that intelligence officials who control secrets might use them to undermine the policymakers’ plans. Intelligence officials worry that the policymakers will bully them into giving politically convenient answers. Such fears led to intelligence-policy breakdowns over estimates of enemy strength in the Vietnam War and estimates of Soviet missile capabilities in the early years of detente.

This mutual suspicion has become progressively worse since the end of the Cold War, as secret intelligence has become increasingly public. Intelligence leaders have become recognizable public figures, and intelligence judgments on current issues are often quickly declassified. The public now expects to have access to intelligence findings, and this has helped turn intelligence into a political football.

What lies ahead

What does all this mean for intelligence on Iran? Trump might ignore assessments he dislikes, given his history with intelligence. But the acrimonious public dispute over the Fordo strike may lead the White House to pressure intelligence leaders to toe the line, especially if critics demand a public accounting of secret intelligence.

Such an outcome would benefit nobody. The public would not have a better sense of the questions surrounding Iran’s nuclear effort, the intelligence community would suffer a serious blow to its reputation, and the administration’s efforts to use intelligence in public might backfire, as was the case for the George W. Bush administration after the war in Iraq.

As with military campaigns, episodes of politicizing intelligence have lasting and sometimes unforeseen consequences.

The Conversation

Joshua Rovner is associate professor of international relations at American University, and nonresident senior fellow at the Brookings Institution.

ref. What damage did the US do to Iran’s nuclear program? Why it’s so hard to know – https://theconversation.com/what-damage-did-the-us-do-to-irans-nuclear-program-why-its-so-hard-to-know-260058

Despite claims they’d move overseas after the election, most Americans are staying put

Source: The Conversation – USA – By Amanda Klekowski von Koppenfels, Honorary Reader in MIgration and Politics, University of Kent

Not that many people are preparing to leave the U.S. gerenme/E+ via Getty Images

Based on pronouncements in 2024, you might think now is the time to see U.S. citizens streaming out of the country. Months before the 2024 presidential election, Americans were saying they would leave should candidate Donald Trump win the election. Gallup polling in 2024 found that 21% of Americans wanted to leave the United States permanently, more than double the 10% who had said so in 2011.

And indeed in June 2025, a Vermont legislator announced that she was resigning her seat and moving to Canada because of political concerns and economic opportunities. To be sure, people are moving. Even so, as a scholar of American migration overseas, my research finds that the vast majority of Americans are not about to depart for greener shores.

A western Massachusetts group

In October 2024, I surveyed 68 Americans in western Massachusetts, an area with a slight Democratic majority, asking if they wanted to leave the United States for a lengthy period of time, but not necessarily permanently. Over 90% said no, noting that there were factors limiting their mobility, such as financial obligations or having a partner who would not move, and that there were reasons that made them want to stay, such as owning property and having friends nearby.

Just three respondents indicated they were making plans to move, while an additional 11 said they wanted to move “someday.”

Reality strikes

After the November 2024 election, I interviewed seven of those respondents, two of whom had said prior to the election that they might leave the United States. After the election, they all said they planned to stay.

One who had said she wanted to leave acknowledged her reversal, saying: “I may have flippantly said, ‘Oh, if (Trump) gets voted in … I would leave,’ but I can’t see leaving. Part of it is because of my daughter,” who had recently become a mother. She continued, “It’s never crossed my mind seriously enough to even research it.”

Another told me, “I’m not going to let somebody push me out of what I consider my country and my home because he’s a jerk.”

Others spoke of needing to work several more years in order to receive a pension, or having family responsibilities keeping them in the country. None supported the current administration.

On a national level

In two nationally representative surveys, my colleague Helen B. Marrow, a sociologist of immigration, and I found no significant increase in migration aspiration between 2014 and 2019. We also found that respondents mentioned exploration and adventure much more often than political or economic reasons for wanting to move abroad.

Even though the U.S. passport grants visa-free visitor access to more than 180 countries, U.S. citizens still need residence and work visas. At home, they, like others, have family commitments and financial constraints, or may just not want to leave home. More than 95% of the world’s population do not move abroad – and U.S. citizens are no different.

Relocation coaching

In addition to my academic research on overseas Americans, I am also an international relocation coach. I help Americans considering a move abroad navigate the emotional, practical and professional complexities of relocation, whether they’re just starting to explore the idea or actively planning their next steps.

Many of my clients do not want to live in a United States that no longer aligns with their values, while others are concerned about their safety, particularly, but not only, due to racism or homophobia. They are finding jobs overseas, retiring abroad or acquiring a European citizenship through a parent or grandparent. Most recently, American academics seeking to leave are being courted by European universities.

But most are staying

In February 2025, a national poll found that 4% of Americans said they were “definitely planning to move” to another country.

That same month, I followed up with my seven interviewees from western Massachusetts, including one trans man. They all reiterated their choice to remain in the United States. One person, who might move abroad at some point, told me she hadn’t changed her mind about leaving soon: “Leaving doesn’t necessarily mean anything will be better for me, even if it was a financial possibility.”

Two people said that recent political developments actually meant that they were more committed to remaining in the United States. One told me, “Now, more than ever, individuals need to figure out what small actions can be taken to help our fellow Americans get through this dark period.”

But even those “definitely planning on moving” can have other factors intervene. Two clients of mine who were making serious plans had to stop when family members’ health situations changed for the worse.

So how many people are actually leaving? It is clear that a growing number of Americans are considering a move abroad. But far fewer are conducting serious research, seeking professional consultation or actually moving. Drawing on available data, my own academic research and my coaching experience, my educated estimate is that no more than 1% to 2% of U.S. citizens are actively making viable plans to leave the country. Nor are all of those leaving out of protest; many are still motivated by exploration, adventure, employment or to be with a partner.

Even so, that figure is roughly 3 million to 6 million people – which would be a significant increase over the estimated 5.5 million Americans currently living abroad. As with many migration flows, even the movement of a small percentage of a population can still have the potential to reshape both the United States and its overseas population.

The Conversation

Amanda Klekowski von Koppenfels does not work for, consult, own shares in or receive funding from any company or organization that would benefit from this article, and has disclosed no relevant affiliations beyond their academic appointment.

ref. Despite claims they’d move overseas after the election, most Americans are staying put – https://theconversation.com/despite-claims-theyd-move-overseas-after-the-election-most-americans-are-staying-put-250728

The rule of law is key to capitalism − eroding it is bad news for American business

Source: The Conversation – USA (2) – By Robert Bird, Professor of Business Law & Eversource Energy Chair in Business Ethics, University of Connecticut

Something dangerous is happening to the U.S. economy, and it’s not inflation or trade wars. Chaotic deregulation and the selective enforcement of laws have upended markets and investor confidence. At one point, the threat of tariffs and resulting chaos evaporated US$4 trillion in value in the U.S. stock market. This approach isn’t helping the economy, and there are troubling signs it will hurt both the U.S. and the global economy in the short and long term.

The rule of law – the idea that legal rules apply to everyone equally, regardless of wealth or political connections − is essential for a thriving economy. Yet globally the respect for the rule of law is slipping, and the U.S. is slipping with it. According to annual rankings from the World Justice Project, the rule of law has declined in more than half of all countries for seven years in a row. The rule of law in the U.S., the most economically powerful nation in the world, is now weaker than the rule of law in Uruguay, Singapore, Latvia and over 20 other countries.

When regulation is unnecessarily burdensome for business, government should lighten the load. However, arbitrary and frenzied deregulation does not free corporations to earn higher profits. As a business school professor with an MBA who has taught business law for over 25 years, and the author of a recently published book about the importance of legal knowledge to business, I can affirm that the opposite is true. Chaotic deregulation doesn’t drive growth. It only fuels risk.

Chaos undermines investment, talent and trust

Legal uncertainty has become a serious drag on American competitiveness.

A study by the U.S. Chamber of Commerce found that public policy risks — such as unexpected changes in taxes, regulation and enforcement — ranked among the top challenges businesses face, alongside more familiar business threats such as competition or economic volatility. Companies that can’t predict how the law might change are forced to plan for the worst. That means holding back on long-term investment, slowing innovation and raising prices to cover new risks.

When the government enforces rules arbitrarily, it also undermines property rights.

For example, if a country enters into a major trade agreement and then goes ahead and violates it, that threatens the property rights of the companies that relied on the agreement to conduct business. If the government can seize assets without due process, those assets lose their stability and value. And if that treatment depends on whether a company is in the government’s political favor, it’s not just bad economics − it’s a red flag for investors.

When government doesn’t enforce rules fairly, it also threatens people’s freedom to enter into contracts.

Consider presidential orders that threaten the clients of law firms that have challenged the administration with cancellation of their government contracts. The threat alone jeopardizes the value of those agreements.

If businesses can’t trust public contracts to be respected, they’ll be less likely to work with the government in the first place. This deprives the government, and ultimately the American people, of receiving the best value for their tax dollars in critical areas such as transportation, technology and national defense.

Regulatory chaos also allows corruption to spread.

For example, the Foreign Corrupt Practices Act, which prohibits businesses from bribing foreign government officials, has leveled the playing field for firms and enabled the best American companies to succeed on their merits. Before the law was enacted in 1977, some American companies felt pressured to pay bribes to compete. “Pausing” enforcement of the law, as the current presidential administration has done, increases the cost of doing business and encourages a wild west economy where chaos thrives.

When corruption grows, stable and democratic governments weaken, opportunities for terrorism increase and corruption-fueled authoritarian regimes, which oppose the interests of the U.S., thrive. Halting the enforcement of an anti-bribery law, even for a limited time, is an issue of national security.

Legal uncertainty fuels brain drain

Chaotic enforcement of the law also corrodes labor markets.

American companies require a strong pool of talented professionals to fuel their financial success. When legal rights are enforced arbitrarily or unjustly, the very best talent that American companies need may leave the country.

The science brain drain is already happening. American scientists have submitted 32% more applications for jobs abroad compared with last year. Nonscientists are leaving too. Ireland’s Department of Foreign Affairs has witnessed a 50% increase in Americans taking steps to obtain an Irish passport. Employers in the U.K. saw a spike in job applications from the United States.

Business from other countries will gladly accept American talent as they compete against American companies. During the Third Reich, Nazi Germany lost its best and brightest to other countries, including America. Now the reverse is happening, as highly talented Americans leave to work for firms in other nations.

Threats of arbitrary legal actions also drive away democratic allies and their prosperous populations that purchase American-made goods and services. For example, arbitrarily threatening to punish or even annex a closely allied nation does not endear its citizens to that government or the businesses it represents. So it’s no surprise that Canadians are now boycotting American goods and services. This is devastating businesses in American border towns and hurts the economy nationwide.

Similarly, the Canadian government has responded to whipsawing U.S. tariff announcements with counter-tariffs, which will slice the profits of American exporters. Close American allies and trading partners such as Japan, the U.K. and the European Union are also signaling their own willingness to impose retaliatory tariffs, increasing the costs of operations to American business even more.

Modern capitalism depends on smart regulation to thrive. Smart regulation is not an obstacle to capitalism. Smart regulation is what makes American capitalism possible. Smart regulation is what makes American freedom possible.

Clear and consistently applied legal rules allow businesses to aggressively compete, carefully plan, and generate profits. An arbitrary rule of law deprives business of the true power of capitalism – the ability to promote economic growth, spur innovation and improve the overall living standards of a free society. Americans deserve no less, and it is up to government to make that happen for everyone.

The Conversation

Robert Bird does not work for, consult, own shares in or receive funding from any company or organization that would benefit from this article, and has disclosed no relevant affiliations beyond their academic appointment.

ref. The rule of law is key to capitalism − eroding it is bad news for American business – https://theconversation.com/the-rule-of-law-is-key-to-capitalism-eroding-it-is-bad-news-for-american-business-254922