Category: Policies

Trump administration dismantles LGBT-friendly policies

The nation’s health department is taking steps to dismantle LGBT health initiatives, as political appointees have halted or rolled back regulations intended to protect LGBT workers and patients, removed LGBT-friendly language from documents and reassigned the senior adviser dedicated to LGBT health.

The sharp reversal from Obama-era policies carries implications for a population that’s been historically vulnerable to discrimination in health care settings, say LGBT health advocates. A Health Affairs study last year found that many LGBT individuals have less access to care than heterosexuals; in a Harvard-Robert Wood Johnson-NPR survey one in six LGBT individuals reported experiencing discrimination from doctors or at a clinic.

The Trump administration soon after taking office also moved to change the agency’s LGBT-related health data collection, a window into health status and discrimination. Last month it established a new religious liberty division to defend health workers who have religious objections to treating LGBT patients.

The changes at the Department of Health and Human Services represent “rapid destruction of so much of the progress on LGBT health,” said Kellan Baker, a researcher at the Johns Hopkins School of Public Health who worked with HHS on LGBT issues for nearly a decade. “It’s only a matter of time before all the gains made under the Obama administration are reversed under the Trump administration, for purposes that have nothing to do with public health and have everything to do with politics.”

The policy reversals also come after President Donald Trump repeatedly pledged during his campaign that he would support LGBT causes. “Thank you to the LGBT community!” Trump tweeted in June 2016. “I will fight for you while Hillary brings in more people that will threaten your freedoms and beliefs.”

The Trump administration defended its approach to LGBT health as part of its broader health care strategy.

“The policies of the Trump administration are intended to improve the lives of all Americans, including the LGBTQ community,” White House principal deputy press secretary Raj Shah said in a statement. “Through actions aimed at making health care more affordable, rolling back burdensome regulations, and combating the opioid crisis, the administration is working to ensure a healthier America.”

The new leader of HHS — Alex Azar, who was sworn in as secretary last month — is thought to be more pragmatic than his predecessor Tom Price. Azar previously led U.S. operations for Eli Lilly, a pharmaceutical company that has been hailed by the Human Rights Campaign, among others, for its pro-LGBT policies. Lilly opposed Indiana’s religious liberty law, advanced by then-Gov. Mike Pence, that LGBT groups said was discriminatory.

However, staff inside the health department have raised concerns about several other Trump appointees now in senior roles who had a history of anti-LGBT comments before joining the agency, Among them is Roger Severino, a former Heritage Foundation official who has said that the Supreme Court’s 2015 decision on same-sex marriage was “wrong” and repeatedly warned of its consequences.

“[S]ame-sex marriage was merely the start, not end, of the left’s LGBT agenda,” Severino wrote in May 2016, about 10 months before he was tapped by Trump to be the health department’s top civil rights official. “The radical left is using government power to coerce everyone, including children, into pledging allegiance to a radical new gender ideology over and above their right to privacy, safety, and religious freedom.”

Asked in an interview this month if he stood by those comments, Severino pointed out that since joining the health department he had reached out to LGBT advocates. He also said his responsibility as civil rights chief is to uphold constitutional protections for all Americans.

“Statements I’ve made in the past are not binding on what I do in my role as a public servant,” Severino said. “What I’m guided by, and what I’m required to follow, is the law… I’m dedicated to treating everybody fairly and in accordance with the law.”

HHS officials also pointed to a listening session that Severino convened in April 2017 with more than a dozen LGBT advocates as well as several follow-up conversations with medical experts. “The outreach has been significant,” an agency spokesperson said.

But nearly all of those LGBT advocates said they’ve essentially been ignored since sitting down with Severino nearly a year ago.

“There’s been no communication since then through all the channels that he and his staff know how to reach us,” said Mara Youdelman of the National Health Law Program, who attended last year’s listening session and submitted subsequent requests for information that haven’t been returned. “It was a one-shot deal — and all of their actions speak much louder than words and one listening session.”

New direction under Trump

Though Barack Obama as a candidate for president opposed same-sex marriage, his administration immediately took steps to advance LGBT health issues, like loosening the rules on hospital visitation rights after some same-sex couples had been barred from seeing each other.

“[A]ll across America, patients are denied the kindnesses and caring of a loved one at their sides… [and] uniquely affected are gay and lesbian Americans,” Obama wrote in a 2010 memorandum, instructing HHS to expand visitation rights, a policy that still stands.

The Obama administration in 2016 also finalized a regulation, Section 1557 of the Affordable Care Act, that banned discrimination in health care based on sexual orientation and extended those protections to transgender individuals for the first time.

While some conservative groups said that the Obama administration moved too quickly on LGBT health priorities, its leaders argue their efforts were necessary, even overdue. “The purpose of the agency is to serve all Americans, not just straight people. Our job was helping everyone,” said Kathy Greenlee, who was appointed as an assistant HHS secretary in 2009 and is openly lesbian. “There was pent-up support for these issues.”

But upon taking office last year, the Trump administration swiftly froze a series of LGBT-friendly rules, including proposed new regulations to further ban discrimination in Medicare and Medicaid. A regulation that would have allowed transgender HHS staff more protections when using the department’s bathrooms and other facilities also was ignored.

“It was signed and technically finished on Jan. 19, 2017, but not posted online,” said one staffer. “And the new administration considered it unpublished and pulled it back.”

The Trump administration also reinterpreted the ACA’s Section 1557 anti-discrimination mandate, with the White House declining to fight a court battle to enforce it and signaling that it would roll back the rule. The health agency’s new Conscience and Religious Freedom Division, which POLITICO first reported last month, is expected to offer greater protections for health care workers who do not wish to treat LGBT patients.

Meanwhile, the agency’s senior adviser for LGBT health — a lawyer named Elliot Kennedy — was reassigned from the HHS secretary’s office to an HHS office in Rockville, Md., to work on disease prevention. Kennedy’s previous portfolio, including leading a committee to review and advance LGBT policy issues across HHS, also has lost influence, after openly LGBT leaders left the agency and current LGBT staffers say they’ve been dissuaded from attending. The committee’s annual report has not been publicly posted since 2016.

“Elliot Kennedy currently serves in the Office of Disease Prevention and Health Promotion as liaison for Healthy People 2020’s LGBT Health Topic and Objectives,” an HHS spokesperson said, in response to questions about the reassignment. “He continues to serve on the HHS LGBT Policy Coordinating Committee.”

Another quiet battle has been over a pair of HHS surveys, with the Trump administration moving to strike questions about sexual orientation that had been added by the Obama administration in order to understand health disparities and LGBT specific health issues. The two surveys are used to shape policy for older and disabled Americans, respectively. The Trump administration subsequently reinstated some of the questions after an outcry.

“A lot of people think data are really boring. But data are fundamental, especially to public health,” said Baker, the Johns Hopkins researcher. “The only way to have the evidence you need to prioritize and spend wisely to address disparities is to have data about those disparities.”

A listening session followed by silence

The Trump administration says that it’s worked hard to engage LGBT health advocates, pointing to the listening session convened by Severino in April 2017 and attended by 17 representatives from groups that specifically deal with LGBT health.

“We’ve done a lot of outreach to the LGBT community to hear people’s concerns to be open, to listen and to learn,” Severino said. “And we will continue to do that because it’s important. I see my role as serving everybody.”

But all of the LGBT advocacy organizations represented at the April 2017 listening session said that they had concerns about HHS’ approach to LGBT health. Nearly every attendee said they hadn’t had meaningful interactions with Severino or the civil rights division in 10 months and they were underwhelmed by last year’s meeting.

“There’s a difference between hearing and listening,” said Robin Maril of the Human Rights Campaign, one of the attendees. “For a listening session to actually be successful, we would’ve had to see actual, meaningful engagement. And we’ve seen nothing but disappointing and harmful policies come out of HHS and [the civil rights office] since the meeting.”

“A number of us struggled with whether we would participate in something that would be used for exactly this purpose … a charade to be used by folks to suggest they are open-minded,” added Sharon McGowan of Lambda Legal, who also attended. “That was the lost cause that we suspected that it was.”

The Human Rights Campaign and Lambda Legal were among more than a dozen advocacy organizations that sent follow-up letters to Severino in April 2017 and July 2017 that warned HHS to halt rolling back LGBT protections and better engage the patient community. The advocates say they were ignored.

Only one attendee of last year’s listening session who responded to POLITICO — Ezra Young, a lawyer who has since left the Transgender Legal Defense and Education Fund and is now in private practice — said that he’s been reassured by Severino and HHS’ actions.

“I’m trying to be fair to them. There was a lot of fear based on what Roger wrote in the past,” said Young, a transgender, Latino man. “I don’t know at this point if all that fear is rational based on what has and hasn’t been done.” Young added that he’s been in dialogue with Severino, saying that the two men discussed lunch plans as recently as December.

However, Young’s former employer holds a different view. “This administration continues taking actions that harm our community, which already faces immense bias,” the organization said in a statement to POLITICO.

Christian conservatives hail HHS

Since Trump took office, multiple agencies have pursued policy reversals related to LGBT priorities. Under Attorney General Jeff Sessions, the Justice Department suggested that federal law doesn’t ban sex discrimination in the workplace for transgender employees, a turnaround from the Obama administration. The Department of Education this month said that it would no longer investigate transgender students’ complaints about access to bathrooms.

But Christian conservatives are noticing, and specifically praising, the reversals at the health department. “Few departments have [historically] given Christians more grief than HHS,” Tony Perkins of the Family Research Council wrote last month. But “from about-faces on radical sex ed to abortion policy, the White House is turning the Health and Human Services into a virtual promise-keeping factory.”

The Trump administration also has put its mark on the language it has — and hasn’t — included in formal HHS documents.

One recent flashpoint was the department’s four-year strategic plan, a document that’s required by federal law, prepared by career staff and used as an agency roadmap. The latest draft plan, which was released in October, did not make a single reference to LGBT health issues — a notable break from the two previous strategic plans, dating back to 2010. The agency removed the draft plan, which also contained strong anti-abortion language, from its web site late last year.

However, the plan originally contained references to LGBT health, two HHS staffers told POLITICO, until political appointees ordered that the language be stripped from the document. The effort was spearheaded by Shannon Royce, the agency’s liaison with religious groups, who staff say also took steps to include other language favorable to Christian conservatives.

“In our strategic plan, we actually affirmed life from conception to natural death,” Royce said, touting the new language at the Evangelicals for Life conference last month.

HHS did not respond to a question about why references to LGBT health were removed.

Past comments cited by LGBT staff

Beyond policy, staff say there have been clear signals about the personnel chosen to steer the department. For instance, the Obama administration tapped multiple LGBT officials for senior roles, including Richard Sorian to run the agency’s public affairs.

In contrast, the current public affairs chief is Charmaine Yoest, a prominent anti-abortion leader who for years advocated against same-sex marriage and other LGBT issues. For instance, Yoest a decade ago said that same-sex couples shouldn’t be allowed to adopt children and that transgender individuals suffered from mental disorders; she declined to comment on whether she still holds those positions now. (POLITICO first reported on Friday that Yoest will soon be leaving HHS.) Royce, the head of the faith-based office, previously worked as a senior leader for organizations that fought same-sex marriage and promoted “conversion therapy,” a controversial practice to change the sexual orientation of LGBT individuals.

Several other top officials also criticized LGBT priorities just months before joining the administration. “Vote LGBT if you want to be forced to have your baby delivered at an abortion clinic by an abortionist,” Matthew Bowman tweeted in April 2016, about nine months before being tapped by Trump to join the health department, where he is currently deputy general counsel. After the Obama administration in June 2016 expanded protections for transgender military members, Severino wrote that the “decision has nothing to do with the Constitution and everything to do with politics and a gender ideology run amok.”

HHS did not respond to specific questions about Yoest, Bowman, Severino and Royce’s past public comments, and made only Severino available for comment. But a spokesperson said that LGBT staff should not be concerned.

“All the HHS staff you refer to in your story have sworn to uphold the law and believe that everyone deserves to be treated with respect because of their inherent human dignity,” HHS spokesperson Matt Lloyd said in a statement. “The belief that marriage is between one man and one woman is a mainstream view held by millions of Americans, a belief the Supreme Court has said is based on ‘decent and honorable premises.'”

Severino, the son of Colombian immigrants, added that he’s spent his life working to combat bigotry after experiencing it growing up in California.

“I faced actual discrimination and mistreatment,” Severino said, who said he heard slurs while learning to swim at a public pool and was wrongly steered to remedial classes in high school. “Those sort of inflection points drives me and my passion for civil rights,” he added, pointing to his education at Harvard Law School and subsequent work in the Department of Justice, where he served as an attorney for seven years under the George W. Bush and Obama administrations.

Career staff say that, regardless of what agency leaders believe or maintain now, their past comments on LGBT priorities have been widely passed around the 80,000-person department. “I photocopied them and left them in the cafeteria,” said one staffer. “It’s important for people to know these are the leaders they work for.”

It’s also fostered a climate where six staffers who are LGBT described removing their wedding rings before coming to work in the morning, taking down photos of their partners and families or ultimately finding new jobs further away from certain political appointees. They did not want to be identified; two said they feared being reassigned for being gay.

“When you have to hide a major part of who you are … it’s really debilitating,” said one staffer. “I wish I had more courage to be out with these people.”

Some LGBT staffers told POLITICO they hesitated to raise their concerns while the agency was run by then-Secretary Tom Price, who as a congressman voted against LGBT priorities and as secretary was backed by the Family Research Council, an anti-LGBT group that holds an official position that “homosexual conduct is harmful.”

Long-serving staff who worked with new HHS Secretary Azar, when he served as a senior agency leader in the George W. Bush administration, or observed his work in the private sector say they’re hoping he’ll take a different approach. Under Azar’s watch, Eli Lilly was hailed by the Human Rights Campaign as a company committed to inclusion and LGBT protections. The Indiana-based company also opposed a state law that critics feared could be discriminatory against LGBT people.

“Alex always struck me as a very pragmatic person. Not an ideologue. Very business-like. Very smart,” said one LGBT staffer. “I’m hoping he’ll put some brakes on the ideological stuff.”

Staff also suggested that HHS has bigger priorities than rolling back LGBT health gains. “To the vast majority of Americans, this isn’t that big a deal anymore,” said an employee. “It’s perplexing why they spend so much time on it.”

[Politico]

 

 

Trump calls for DOJ to investigate Obama over Iran

President Donald Trump was up early Sunday morning, tweeting that he can’t understand why former President Barack Obama was not investigated for the Iran deal before then launching an attack on House intel member Adam Schiff (D-CA).

Hours after undermining his own National Security Adviser on Twitter, Trump went after Obama.

“Never gotten over the fact that Obama was able to send $1.7 Billion Dollars in CASH to Iran and nobody in Congress, the FBI or Justice called for an investigation!” Trump wrote.

You can see the tweets below:

[Raw Story]

Reality

In 1979, Iran’s then-monarch Shah Mohammad Reza Pahlavi paid $400 million to the United States government to purchase military parts. But that year’s revolution toppled the shah, and the military parts were never delivered.

To regain its funds, Iran filed a claim against the United States in 1981 in the Iran-U.S. Claims Tribunal, which adjudicates disputes between the two nations. The body, located at the Hague, was established amid negotiations to end the 1979-81 Iran hostage crisis, in which pro-revolution students took over the U.S. embassy in Tehran.

EPA Head Says He Needs to Fly First Class Because People Are Mean to Him in Coach

The head of the Environmental Protection Agency has broken months of silence about his frequent premium-class flights at taxpayer expense, saying he needs to fly first class because of unpleasant interactions with other travelers.

EPA Administrator Scott Pruitt spoke about his flight costs on Tuesday in a pair of interviews in New Hampshire, following a first-class flight to meet with the state’s Republican governor and tour a toxic waste site.

Pruitt told the New Hampshire Union Leader he had some “incidents” on flights shortly after his appointment by President Donald Trump last year.

“We live in a very toxic environment politically, particularly around issues of the environment,” said Pruitt, who confirmed to the newspaper that he had flown first class from Washington to Boston before continuing on to New Hampshire. “We’ve reached the point where there’s not much civility in the marketplace and it’s created, you know, it’s created some issues and the (security) detail, the level of protection is determined by the level of threat.”

Pruitt is the first EPA administrator to have a 24-hour security detail that accompanies him at all times, even at the agency’s headquarters in Washington. He has also taken other security precautions, including the addition of a $25,000 soundproof “privacy booth” to prevent eavesdropping on his phone calls and spending $3,000 to have his office swept for hidden listening devices.

Pruitt said he was not involved in the decision for him to fly first class.

“There have been instances, unfortunately, during my time as administrator, as I’ve flown and spent time, of interaction that’s not been the best,” Pruitt told WMUR TV in Manchester, New Hampshire. “And, so, ingress and egress off the plane … that’s all decisions all made by our (security) detail team, by the chief of staff, by the administration. I don’t make any of those decisions. They place me on the plane where they think is best from a safety perspective.”

Pruitt was asked about the issue following a Washington Post report on Sunday that detailed some of his travel expenses, including a $1,641.43 first-class seat for a short flight in June from Washington to New York City. Pruitt’s ticket cost six times what EPA paid for his aides seated in coach.

The Associated Press reported in July and again in December that spending on commercial airline tickets purchased for Pruitt indicated he was flying in premium-class seats. EPA’s press office has repeatedly refused to comment on whether Pruitt was flying first class.

Federal regulations allow government travelers to fly business class or first class when no cheaper options are “reasonably available” or if there are exceptional security circumstances. However, past federal audits have found that those rules have been routinely violated by high-ranking government officials under both Republican and Democratic administrations.

[TIME]

Trump: ‘I am totally opposed to domestic violence of any kind’

President Donald Trump told reporters Wednesday that he is “totally opposed to domestic violence of any kind.”

The president made the statement as the White House continues to deal with a scandal involving former top aide Rob Porter, whose ex-wives have accused him of domestic violence.

“I am totally opposed to domestic violence of any kind. Everyone knows that,” Trump said Wednesday after reporters pressed him on whether he believed the women’s accusations.

It marked the first time Trump directly addressed the notion of domestic violence during the Porter imbroglio, which has thrust the White House into chaos over the past week. On Friday, Trump defended Porter, stressing that the former staff secretary has claimed he is innocent of the claims.

“We wish him well,” Trump said of Porter last week. “I think you also have to remember that. He said very strongly yesterday he’s innocent.”

Porter wasn’t the only former White House aide to quit over domestic abuse allegations last week. Speechwriter David Sorensen resigned Friday after The Washington Post reported that Sorensen’s ex-wife accused him of emotional and physical abuse. Sorensen, in turn, denied the allegations and said his former wife actually victimized him.

[CNBC]

Reality

After ten days of dodging direct questions on where he stood on domestic violence and throwing his support behind Rob Porter, who beat his wives, Trump “heroically” says the right thing.

Trump Says Florida Students Should Have Done More To Prevent Deadly Shooting

President Donald Trump on Thursday responded to the massacre at a South Florida high school by suggesting students and the surrounding community could have done more to prevent the attack.

At least 17 people were killed and 15 injured after a troubled former student opened fire on Marjory Stoneman Douglas High School in Parkland, Florida, on Wednesday, police said. Nikolas Cruz, 19, had been expelled from the school the previous year for “disciplinary reasons,” and many of his former classmates told media on Wednesday that he displayed problematic behavior.

“Honestly a lot of people were saying it was going to be him,” one student told CBS Miami. “We actually, a lot of kids threw jokes around like that, saying that he’s the one to shoot up the school, but it turns out everyone predicted it. It’s crazy.”

A former teacher, Jim Gard, told the Miami Herald that Cruz reportedly wasn’t allowed to carry a backpack on the school campus, and that “there were problems with him last year threatening students.”

Contrary to Trump’s tweet, it does appear that authorities were aware of Cruz’s behavior before the attack. A former neighbor told The New York Times that Cruz’s late mother called the police on her two sons on multiple occasions, though she stressed that she didn’t think the boys were violent. Broward County Mayor Beam Furr told CNN that Cruz had been treated at a mental health clinic in the past and  was somewhat on officials’ radar.

“It wasn’t like there wasn’t concern for him,” Furr said.

Trump’s tweet failed to acknowledge the role that Florida’s lax gun laws played in the shooting. Barring institutionalization, it’s extremely difficult to keep someone with a history of mental illness from buying a gun in Florida. The accused killer legally purchased the AR-15-style rifle used in the slaughter, his family’s attorney said.
The president also ignored the fact that he actually made it easier for people with mental health issues to buy guns by revoking an Obama-era gun regulation last year.

[Huffington Post]

Jeff Sessions strays from prepared remarks to praise ‘Anglo-American heritage’ of sheriffs

Update

Jeff Sessions was using a legal technical term “Anglo-American” law, which is a reference to the legal tradition of common law that the American sheriff’s system shares with England.

Attorney General Jeff Sessions strayed from his prepared remarks to comment on the “Anglo-American” historical origins of the sheriff.

Sessions spoke Monday to a the National Sheriffs Association, which represents about 20,000 law enforcement officials across the U.S., but video recordings show an apparent improvisation from the prepared remarks distributed ahead of time to reporters, according to Splinter News.

“The office of sheriff is a critical part of the Anglo-American heritage of law enforcement,” Sessions said. “We must never erode this historic office.”

The remarks quickly raised eyebrows on social media, where commenters perceived the reference as racist in light of the attorney general’s racially problematic history.

The sheriff indeed originated in medieval England, and the name derives from Anglo-Saxon words for the guardian, or reeve, of a county, or shire.

English colonists brought the tradition to America and elected their own sheriffs in the 1600s, and various right-wing fringe movements promote the legal fallacy that county sheriffs are the highest law enforcement officers in the United States.

[RawStory]

Media

Trump: Media’s ‘Approval Ratings Are Correctly at Their Lowest Levels In History’

President Donald Trump is back on Twitter. And guess what? He’s taking aim at the “Fake News Media” again.

In his first tweet of the day, the president complained that the media is not paying attention to all of the positive stuff going on in the country and instead churning out the “same negative stories.”

[Mediaite]

Donald Trump’s DACA Tweet Gets it All Wrong

Donald Trump seemed to spend most of his day on Saturday glued to Twitter, and following a morning of tweets musing about the “unfairness” of abuse accusations to the men accused and playing up his own victimhood, the president went on the offensive attacking both Democrats and facts, all in one Tweet (the new 240 character limit goes a long way).

There are multiple problems with this, beginning with the fact that DACA—the Deferred Action for Childhood Arrivals program that offers legal status to undocumented immigrants who arrived to the US as children—did not exist until 2012.

Some quick background that Trump did not seem to have access to before he tweeted: since the early 2000s, several variations of a bill known as the DREAM Act, which was designed to offer temporary legal status to individuals who were children when they arrived in the United States, were introduced in Congress. It wasn’t until September 2007, when Democrats controlled the House and Senate, but notably not the White House, that the bill seemed to have any real shot. It passed the House and won a majority of votes in the Senate but was blocked by a Republican filibuster. In 2010, when the Democrats did control all three branches, the bill was supported by a majority of both houses and President Barack Obama, but, again, blocked by a Republican filibuster. Notably, while some Republicans crossed party lines to support that version of the bill, the current top three House Republicans did not support it, and the current GOP Senate leadership cadre, including Majority Leader Mitch McConnell, voted against killing the filibuster that Democrats needed to beat to make the bill a law.

The DACA program itself was created in 2012 when Obama issued an executive order to enforce the provisions of what had been proposed in the legislation.

[Mother Jones]

Reality

So many things wrong:

  1. The White House, the Senate and the House are not the three branches of government.
  2. Obama wasn’t president in 2008.
  3. Republicans blocked DACA legislation in 2010.
  4. DACA executive order didn’t exist until 2012.
  5. It was Trump who unilaterally broke the program.

Trump administration just yanked press access of a journalist who wouldn’t censor his story

This story, in which the Trump-appointed administrator of a federal agency apparently summarily banned an American journalist from participating in news conferences after the reporter refused to remove sentences in one of his stories that the administrator wanted removed, is striking, and not just because it represents a direct Trump administration attempt to censor what is reported in the press.

The short version is that Modern Healthcare reporter Virgil Dickson was removed from an agency telephone-held press conference and told he was not allowed to participate after someone within the Centers for Medicare and Medicaid Services, now headed by Seema Verma, a Pence-tied conservative whose healthcare vision primarily consists of Americans getting less of it, took issue with his reporting on the “abrupt” resignation of a top Medicaid official.

After the article appeared, Dickson received an email from Brett O’Donnell, a communications contractor working for CMS. O’Donnell called reports of a disagreement or workload problems “false speculation” and said it was “irresponsible” to mention them without more details. […]
The next day, O’Donnell wrote to Dickson’s editor, Matthew Weinstock, asserting that the article was inaccurate and demanding that the references to workload and the disagreement be excised. O’Donnell’s email also stated: “Short of fully correcting the piece we will not be able to include your outlet in further press calls with CMS.”

Dickson and his editor stood their ground—and at the next press call with CMS, Dickson was indeed removed from the call.

So we have a federal agency curtailing press access to reporters whose stories contain unpleasantries, which is off the bat not what we are supposed to be doing. But that’s only half of it.

The person to call Dickson to make this demand is a curious character:

O’Donnell, the consultant who threatened to blackball Modern Healthcare, is not a member of the media affairs offices for CMS or for HHS.He is a Republican strategist who has helped GOP candidates in their political campaigns. In 2015, O’Donnell pleaded guilty to lying to U.S. House ethics investigators about how much campaign work he did with money that came from office accounts rather campaign accounts.

O’Donnell, reached by email, declined to answer questions from AHCJ.

So he is apparently a consultant for the agency rather than an employee because he was too crooked for the post? Or does the Republican “strategist” find it more strategic to be off-payroll?

And what idiot hired a man fresh off a guilty plea for lying to investigators? Oh. Right. These clowns. And these clowns have apparently enlisted a consultant fresh off a guilty plea for lying to government investigators to help administrator Seema Verma purge the nation’s papers of … reporting she doesn’t like?

[Daily Kos]

Kellyanne Conway’s ‘opioid cabinet’ sidelines drug czar’s experts

President Donald Trump’s war on opioids is beginning to look more like a war on his drug policy office.

White House counselor Kellyanne Conway has taken control of the opioids agenda, quietly freezing out drug policy professionals and relying instead on political staff to address a lethal crisis claiming about 175 lives a day. The main response so far has been to call for a border wall and to promise a “just say no” campaign.

Trump is expected to propose massive cuts this month to the “drug czar” office, just as he attempted in last year’s budget before backing off. He hasn’t named a permanent director for the office, and the chief of staff was sacked in December. For months, the office’s top political appointee was a 24-year-old Trump campaign staffer with no relevant qualifications. Its senior leadership consists of a skeleton crew of three political appointees, down from nine a year ago.

“It’s fair to say the ONDCP has pretty much been systematically excluded from key decisions about opioids and the strategy moving forward,” said a former Trump administration staffer, using shorthand for the Office of National Drug Control Policy, which has steered federal drug policy since the Reagan years.

The office’s acting director, Rich Baum, who had served in the office for decades before Trump tapped him as the temporary leader, has not been invited to Conway’s opioid cabinet meetings, according to his close associates. His schedule, obtained under a Freedom of Information Act request, included no mention of the meetings. Two political appointees from Baum’s office, neither of whom are drug policy experts, attend on the office’s behalf, alongside officials from across the federal government, from HHS to Defense. A White House spokesperson declined to disclose who attends the meetings, and Baum did not respond to a request for comment, although the White House later forwarded an email in which Baum stressed the office’s central role in developing national drug strategy.

The upheaval in the drug policy office illustrates the Trump administration’s inconsistency in creating a real vision on the opioids crisis. Trump declared a public health emergency at a televised White House event and talked frequently about the devastating human toll of overdoses and addiction. But critics say he hasn’t followed through with a consistent, comprehensive response.

He has endorsed anti-drug messaging and tougher law enforcement. But he ignored many of the recommendations from former New Jersey Gov. Chris Christie’s presidential commission about public health approaches to addiction, access to treatment, and education for doctors who prescribe opioids. And he hasn’t maintained a public focus. In Ohio just this week, it was first lady Melania Trump who attended an opioid event at a children’s hospital. The president toured a manufacturing plant and gave a speech on tax cuts.

Much of the White House messaging bolsters the president’s call for a border wall, depicting the opioid epidemic as an imported crisis, not one that is largely home-grown and complex, fueled by both legal but addictive painkillers and lethal street drugs like heroin and fentanyl.

“I don’t know what the agency is doing. I really don’t,” said Regina LaBelle, who was the drug office’s chief of staff in the Obama administration. “They aren’t at the level of visibility you’d think they’d be at by now.”

Conway touts her opioids effort as policy-driven, telling POLITICO recently that her circle of advisers help “formalize and centralize strategy, coordinate policy, scheduling and public awareness” across government agencies.

That’s exactly what the drug czar has traditionally done.

Conway’s role has also caused confusion on the Hill. For instance, the Senate HELP Committee’s staff has been in touch with both Conway and the White House domestic policy officials, according to chairman Lamar Alexander’s office. But lawmakers who have been leaders on opioid policy and who are accustomed to working with the drug czar office, haven’t seen outreach from Conway or her cabinet.

“I haven’t talked to Kellyanne at all and I’m from the worst state for this,” said Sen. Shelley Moore Capito, a Republican from West Virginia, which has the country’s highest overdose death rate. “I’m uncertain of her role.” The office of Sen. Rob Portman (R-Ohio), another leader on opioid policy, echoed that — although Portman’s wife, Jane, and Conway were both at the event with Melania Trump this week.

Some drug abuse experts and Hill allies find a silver lining, noting that Conway’s high rank brings White House muscle and attention.

“If I want technical advice, I’m going to work with Baum,” said Rep. Tom MacArthur (R-NJ), a co-chair of the Bipartisan Heroin Task Force. “If I want to get a message to the president, Kellyanne is somebody that I know I can talk to.”

“It’s a really good sign that one of the president’s top advisers has been assigned to such an important topic,” said Jessica Hulsey Nickel, president and CEO of the Addiction Policy Forum.

Baum’s email called the drug office the “lead Federal entity in charge of crafting, publishing and overseeing the implementation of President Trump’s National Drug Control Strategy,” which multiple agencies review. He called Conway’s opioids cabinet an “interagency coordinating apparatus for public-facing opioids-related initiatives” and said that it was not overseeing national policy. But several administration officials did say her cabinet was indeed focused on a variety of policies.

Whatever Conway’s ties to the president, her career has been in polling and politics, not public health, substance abuse, or law enforcement.

Some of her “cabinet” participants do have a broad, general health policy background. But they don’t match the experience and expertise of the drug office’s professional staff. In her circle is Lance Leggitt, the deputy director of the White House’s Domestic Policy Council who was also chief of staff to former HHS Secretary Tom Price. Another top Price aide, Nina Schaefer, recently returned to the Heritage Foundation. The conservative think tank then touted her as having managed “the development of the HHS response to the opioid abuse crisis,” but when POLITICO recently tried to contact her, she said through a spokesperson she was not an expert on the topic.

Among the people working on the public education campaign that Trump promised is Andrew Giuliani, Rudy Giuliani’s 32-year-old son, who is a White House public liaison and has no background in drug policy, multiple administration sources told POLITICO. Nor has Conway spent her career in the anti-opioid trenches.

“Kellyanne Conway is not an expert in this field,” said Andrew Kessler, the founder of Slingshot Solutions, a consulting group that’s worked on substance abuse with many federal agencies. “She may be a political operative and a good political operative,” he added. “But look. When you appoint a secretary of Labor, you want someone with a labor background. When you appoint a secretary of Defense, you want someone with a defense background. The opioid epidemic needs leadership that ‘speaks’ the language of drug policy.”

The set-up befuddles other experts who’ve worked on substance abuse for prior administrations. Fresh ideas are fine, they say. But the drug office has a purpose.

“The whole reason we created ONDCP in 1988 was to be a coordinating force with power in the government and to bring together 20 agencies, many reluctant to be involved in drug control,” said Bob Weiner, who served in that office in both the George W. Bush and Clinton White Houses. “This is exactly when the agency should get maximum support from the White House,” he added.

An ONDCP spokesperson told POLITICO the office “works closely with other federal agencies and White House offices, including Kellyanne Conway’s office, to combat the opioid crisis” but declined to say whether the office’s career experts have attended any of her “opioids cabinet” sessions. The drug office is still crafting the annual drug control strategy, outside the Conway group, administration officials said.

A senior White House official confirmed that officials considered kicking off the media campaign with a big splash during the Super Bowl, but that fell through. Beyond that, many experts on drug policy and substance abuse say messaging alone won’t solve the problem anyway. People with addiction need treatment, and many people get addicted in the first place to painkillers their doctors have prescribed. An ad campaign won’t solve that.

One big test for the drug office will come when Trump releases his budget Monday, which is expected to slash the office’s budget, turning much of its work over to HHS and the Department of Justice. Both departments are developing their own opioid approaches; in past administrations, the drug czar would have coordinated. Lawmakers are already sounding the alarms over the budget plan.

A bipartisan group of senators last week wrote a letter to White House budget director Mick Mulvaney, urging him to reconsider and maintain the office’s programs that “prevent and fight against the scourge of drug abuse.”

Pushback to a similar proposal last year led the Trump administration to reverse the decision and maintain the office’s budget. Lawmakers hope that there will be a similar outcome this time — along with a smarter utilization of the drug policy office.

“What we haven’t seen is the kind of coordination of critical programs that ONDCP has traditionally done,” said Sen. Maggie Hassan, a Democrat from New Hampshire, another state with one of the highest overdose death rates in the country.

Trump officials say it was the Obama administration that began undermining the drug policy office, demoting the director from the Cabinet, shrinking the staff and stressing the health aspects more than a law enforcement-focused “war on drugs.” They say the emergency requires a new approach.

Bob Dupont, who served as the second White House drug czar under President Gerald Ford, before the formal drug policy office was created, and still informally advises the Justice Department on drug policy, believes the White House will eventually realize it needs the expertise that ONDCP has to offer.

The West Wing doesn’t “have the staff or capability” to carry out drug policy work like ONDCP does, Dupont told POLITICO. “I don’t think swashbuckling your approach is going to last very long.”

[Politico]

1 … 266 267 268 269 270 … 337