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The escalating confrontation between the parties over the federal budget rests on a fundamental paradox: The Republican majority in the House of Representatives is now more likely than Democrats to represent districts filled with older and lower-income voters who rely on the social programs that the GOP wants to cut.

A much larger share of Republican than Democratic House members represent districts where seniors exceed their share of the national population, census data show. Republicans are also more likely to represent districts where the median income trails the national level, or the proportion of people without health insurance is greater than in the nation overall.

House Republicans, in their ongoing struggle with President Joe Biden over raising the debt ceiling, have signaled they will push for sweeping reductions in domestic social programs, likely including Medicaid and the Affordable Care Act, the principal federal programs providing health care for working-age adults. And while House Republicans appear to have backed away from pursuing reductions in Social Security and Medicare, the conservative Republican Study Committee has set a long-term goal of cutting and partially privatizing both programs.

Ruy Teixeira: Democrats long goodbye to the working class

The fact that so many House Republicans feel safe advancing these proposals in districts with such extensive economic need testifies to the power of what Ive called the class inversion in American politics: the growing tendency of voters to divide between the parties based on cultural attitudes, rather than class interests. That dynamic has simultaneously allowed House Democrats to gain in more socially liberal, affluent, metropolitan areas and House Republicans to consolidate their hold over more culturally conservative, economically hardscrabble, nonurban areas.

Yesterday, Biden forcefully reiterated his charge that Republicans would shred the safety net at a White House ceremony commemorating the 13th anniversary of Barack Obama signing the ACA into law. An extended battle between House Republicans and Biden this spring and summer over the safety net may test whether any economic argument can allow Democrats to break through the cultural resistance that fortifies Republican control of these downscale districts.

While Republicans have gained in some areas primarily around culturally and racially infused disputes such as those over crime and immigration, a struggle over spending priorities will inevitably highlight that their policies on these bread-and-butter issues remain diametrically opposed to the economic interest of much of their base, Paul Pierson, a political scientist at UC Berkeley and a co-author of Let Them Eat Tweets, told me.

As I reported last week, to understand the social and economic characteristics of the House seats held by each party, Jeffer Giang and Justin Scoggins of the Equity Research Institute at the University of Southern California analyzed five-year summary results through 2020 from the Census Bureaus American Community Survey.

That analysis inverts many traditional assumptions, even within the parties themselves, about whose voters rely on the social safety net. There has been a massive transformation of the coalitions, Manuel Pastor, a sociology professor at USC and the director of the Equity Research Institute, told me.

Democrats, who led the legislative efforts to create Social Security under Franklin D. Roosevelt and Medicare under Lyndon B. Johnson, have long thought of themselves as the party of seniors. But today, Republicans represent 141 of the 215 House districts where adults aged 65 and older exceed their 16 percent share of the national population, while Democrats hold a clear majority of seats in districts with fewer seniors than average, according to the Equity Research Institute analysis.

Republicans now also control most of the House seats in which the median income trails the national level of nearly $65,000 annually. Republicans hold 152 of the 237 seats in that category. Democrats, in turn, hold 128 of the 198 seats where the median income exceeds the national level.

Perhaps most surprisingly, Republicans hold a clear majority of the districts where the share of residents who lack health insurance exceeds the national level of 9 percent. The GOP now holds 110 of those 185 highly uninsured seats. Democrats control 138 of the 250 seats with fewer uninsured than the nation overall.

Equally revealing is to examine what share of each partys total strength in the House these seats represent. From that angle, the parties offer almost mirror-image profiles. About two-thirds of House Republicans represent districts with more seniors than the national level, while about two-thirds of Democrats represent districts with fewer of them. Roughly two-thirds of House Republicans represent districts where the median income lags the national level, while three-fifths of Democrats hold seats where incomes surpass it. Almost exactly half of Republicans, compared with only about one-third of Democrats, represent districts with an unusually high concentration of people lacking health insurance.

The economically vulnerable districts that each side holds also present a stark demographic contrast. Low-income Democratic seats tend to be in urban centers with large nonwhite populations. In more than three-fourths of the Democratic seats with a median income below the national level, and in virtually all of the Democratic districts with more uninsured people than average, the minority share of the population is also higher than the national average.

Some low-income Republican districts also have large minority populations, particularly in Texas and Florida, where the GOP has made inroads into culturally conservative Latino communities. But mostly the low-income GOP seats are centered on working-class white areas, many of them outside metropolitan areas.

Read: Are Latinos really realigning toward Republicans?

In the 141 seats Republicans hold with more seniors than the national average, white residents exceed their national share of the population in 127 of them. Likewise, white residents surpass their share of the national population in more than four-fifths of the Republican-held districts that lag the median income. Nearly half of House Republicans represent districts in which all three things are true: They have more seniors than the national level, more white residents than the national level, and a lower median income than the national level.

All of this reflects how working-class white voters, many of them financially squeezed, have become the unquestioned foundation of the GOPs coalition at every level, from the House through presidential elections.

Biden is laying siege to those voters with a strategy of deemphasizing cultural disputes and stressing kitchen-table economic benefits. Democrats really are making appeals to these districts in a big way, Pierson said. Most of that infrastructure and climate [spending] is going to go on in red states. There really is a big effort to say, We are going to use policy to try to make our electoral coalition bigger.

A key element of Bidens courtship of these voters is defending the social safety net, especially Social Security and Medicare. The presidents repeated rejection of reductions in those programs, combined with former President Donald Trumps opposition to potential cuts, has resulted in the most obvious concession by House Republicans to their evolving electoral base: public declarations by Speaker Kevin McCarthy and other leaders that they will not target Social Security and Medicare in the cutbacks they are demanding for raising the federal debt limit this summer.

Republicans hope that exempting Social Security and Medicare will dampen any backlash to their deficit-reduction plans in economically vulnerable districts. But protecting those programs, as well as defense, from cutswhile also precluding tax increaseswill force the House Republicans to propose severe reductions in other domestic programs that many voters in blu-collar Republican districts rely on, potentially including Medicaid, the ACA, and food and housing assistance.

Will a Republican push for severe reductions in those programs provide Democrats with an opening in such places? Robert J. Blendon, a professor emeritus at the Harvard School of Public Health, is dubious. Although these areas have extensive needs, he told me, the residents voting Republican in them are generally skeptical of social-welfare spending apart from Social Security and Medicare. We are dealing with a set of values here, which has a distrust of government and a sense that anyone should have to work to get any sort of low-income benefit, Blendon said. The people voting Republican in those districts dont see it as important [that] government provides those benefits.

The one risk for Republicans in such areas, he noted, would be if voters conclude that they present a genuine threat to Social Security and Medicare. Even most conservative voters strongly favor those programs, Blendon told me, primarily because they view them as an earned benefit that workers have contributed to during their lifetime. If the GOP seriously pushes ideas such as converting Medicare into a voucher program, or diverting part of Social Security revenue into private investment accounts, then in districts with a lot of older people, they are going to get in trouble, Blendon said.

Pastor, the director of the Equity Research Institute, also believes that current Democratic arguments targeted at older and non-college-educated white voters that they are voting against their interests economically are unlikely to succeed. The problem, he says, is that those arguments dont directly address the way many voters also define their interests to include cultural and racial dynamics. Because Republican strength in these older, predominantly white, financially stressed districts is rooted largely in the alienation of white voters who fear the country is shifting on them demographically, Democrats must ultimately make a more explicit case to those voters about how all Americans can benefit from a more diverse and inclusive society, Pastor said. The Democratic Party needs to figure out how to talk more effectively about race and racismnot try to ignore it, but try to inoculate people against it, he said.

Read: The four quadrants of American politics

Bryan Bennett, the senior director of polling and analytics at the Hub Project, notes that the majority of voters, including seniors, support Bidens approach to preserving the safety net for retirees: In a recent national survey, his group found that voters were nearly four times as likely to support stabilizing Medicare by raising taxes on the affluent rather than cutting benefits. There is quite a bit of economically populist appetite even among Republicans for raising taxes on the wealthy and corporations, Bennett told me. Even Medicaid, once seen as a program for the poor, now draws widespread support across party lines, he said.

Yet Bennett, too, is cautious about predicting that Republican efforts to cut the safety net will hurt them in districts that highly depend on it. The GOP, Bennett said, is gambling that it can cut programs that benefit the partys lower-income white base and still prevent those voters from defecting to Democrats by stressing other issues like immigration and the culture war.

If Republicans face any internal resistance to sharp cuts in the safety net, in fact, it may be more likely to come from their members who represent socially liberal white-collar districts that dont rely as much on these programs than from their members who represent the culturally conservative blue-collar districts that do depend on them. The Republicans who seem least concerned about targeting the social safety net are those who represent the places that need those programs the most. Thats another telling measure of just how fully the concrete has settled beneath a modern political alignment that revolves more around culture than class.

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Donald Trump threatens to revoke Rosie O’Donnell’s US citizenship

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Donald Trump threatens to revoke Rosie O'Donnell's US citizenship

Donald Trump has said he is considering “taking away” the US citizenship of actress and comedian Rosie O’Donnell, despite a Supreme Court ruling that expressly prohibits a government from doing so.

In a post on Truth Social on Saturday, the US president said: “Because of the fact that Rosie O’Donnell is not in the best interests of our Great Country, I am giving serious consideration to taking away her Citizenship.”

He also labelled O’Donnell, who has moved to Ireland, as a “threat to humanity” and said she should “remain in the wonderful country of Ireland, if they want her”.

O’Donnell responded on Instagram by posting a photograph of Mr Trump with Jeffrey Epstein.

“You are everything that is wrong with America and I’m everything you hate about what’s still right with it,” she wrote in the caption.

“I’m not yours to silence. I never was.”

Rosie O'Donnell arrives at the ELLE Women in Hollywood celebration on Tuesday, Nov. 19, 2024, in Los Angeles. (Photo by Jordan Strauss/Invision/AP)
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Rosie O’Donnell moved to Ireland after Donald Trump secured a second term. Pic: AP

O’Donnell moved to Ireland with her 12-year-old son in January after Mr Trump had secured a second term.

She has said she’s in the process of obtaining Irish citizenship based on family lineage and that she would only return to the US “when it is safe for all citizens to have equal rights there in America”.

O’Donnell and the US president have criticised each other publicly for years, in an often-bitter back-and-forth that predates Mr Trump’s move into politics.

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Will Trump address parliament on UK state visit?

This is just the latest threat by the president to revoke the citizenship of someone he has disagreed with, most recently his former ally Elon Musk.

But the two situations are different as while Musk was born in South Africa, O’Donnell was born in the US and has a constitutional right to American citizenship.

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Amanda Frost, a law professor at the University of Virginia School of Law, said the Supreme Court ruled in a 1967 case that the fourteenth amendment of the constitution prevents the government from taking away citizenship.

“The president has no authority to take away the citizenship of a native-born US citizen,” he added.

“In short, we are nation founded on the principle that the people choose the government; the government cannot choose the people.”

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UK

Justice system ‘frustrating’, Met Police chief says – as he admits London’s ‘shameful’ racism challenge

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Justice system 'frustrating', Met Police chief says - as he admits London's 'shameful' racism challenge

It is “shameful” that black boys growing up in London are “far more likely” to die than white boys, Metropolitan Police chief Sir Mark Rowley has told Sky News.

In a wide-ranging interview with Sunday Morning with Trevor Phillips, the commissioner said that relations with minority communities are “difficult for us”, while also speaking about the state of the justice system and the size of the police force.

Sir Mark, who came out of retirement to become head of the UK’s largest police force in 2022, said: “We can’t pretend otherwise that we’ve got a history between policing and black communities where policing has got a lot wrong.

“And we get a lot more right today, but we do still make mistakes. That’s not in doubt. I’m being as relentless in that as it can be.”

He said the “vast majority” of the force are “good people”.

However, he added: “But that legacy, combined with the tragedy that some of this crime falls most heavily in black communities, that creates a real problem because the legacy creates concern.”

Sir Mark, who also leads the UK’s counter-terrorism policing, said black boys growing up in London “are far more likely to be dead by the time they’re 18” than white boys.

“That’s, I think, shameful for the city,” he admitted.

“The challenge for us is, as we reach in to tackle those issues, that confrontation that comes from that reaching in, whether it’s stop and search on the streets or the sort of operations you seek.

“The danger is that’s landing in an environment with less trust.

“And that makes it even harder. But the people who win out of that [are] all of the criminals.”

Met Police Commissioner Sir Mark Rowley said racism is still an issue in the force
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Met Police Commissioner Sir Mark Rowley

The commissioner added: “I’m so determined to find a way to get past this because if policing in black communities can find a way to confront these issues, together we can give black boys growing up in London equal life chances to white boys, which is not what we’re seeing at the moment.

“And it’s not simply about policing, is it?”

Sir Mark said: “I think black boys are several times more likely to be excluded from school, for example, than white boys.

“And there are multiple issues layered on top of each other that feed into disproportionality.”

‘We’re stretched, but there’s hope and determination’

Sir Mark said the Met is a “stretched service” but people who call 999 can expect an officer to attend.

“If you are in the middle of a crisis and something awful is happening and you dial 999, officers will get there really quickly,” Sir Mark said.

“I don’t pretend we’re not a stretched service.

“We are smaller than I think we ought to be, but I don’t want to give a sort of message of a lack of hope or a lack of determination.”

“I’ve seen the mayor and the home secretary fighting hard for police resourcing,” he added.

“It’s not what I’d want it to be, but it’s better than it might be without their efforts.”

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How police tracked and chased suspected phone thief

‘Close to broken’ justice system facing ‘awful’ delays

Sir Mark said the criminal justice system was “close to broken” and can be “frustrating” for police officers.

“The thing that is frustrating is that the system – and no system can be perfect – but when the system hasn’t managed to turn that person’s life around and get them on the straight and narrow, and it just becomes a revolving door,” he said.

“When that happens, of course that’s frustrating for officers.

“So the more successful prisons and probation can be in terms of getting people onto a law-abiding life from the path they’re on, the better.

“But that is a real challenge. I mean, we’re talking just after Sir Brian Leveson put his report out about the close-to-broken criminal justice system.

“And it’s absolutely vital that those repairs and reforms that he’s talking about happen really quickly, because the system is now so stressed.”

Giving an example, the police commissioner went on: “We’ve got Snaresbrook [Crown Court] in London – it’s now got more than 100 cases listed for 2029.”

Sir Mark asked Trevor Phillips to imagine he had been the victim of a crime, saying: “We’ve caught the person, we’ve charged him, ‘great news, Mr Phillips, we’ve got him charged, they’re going to court’.

“And then a few weeks later, I see the trial’s listed for 2029. That doesn’t feel great, does it?”

Asked about the fact that suspects could still be on the streets for years before going to trial, Sir Mark conceded it’s “pretty awful”.

He added: “If it’s someone on bail, who might have stolen your phone or whatever, and they’re going in for a criminal court trial, that could be four years away. And that’s pretty unacceptable, isn’t it?”

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Leveson explains plans to fix justice system

Challenge to reform the Met

The Met chief’s comments come two years after an official report found the force is institutionally racist, misogynistic and homophobic.

Baroness Casey was commissioned in 2021 to look into the Met Police after serving police officer Wayne Couzens abducted, raped and murdered Sarah Everard.

She pinned the primary blame for the Met’s culture on its past leadership and found stop and search and the use of force against black people was excessive.

At the time, Sir Mark, who had been commissioner for six months when the report was published, said he would not use the labels of institutionally racist, institutionally misogynistic and institutionally homophobic, which Baroness Casey insisted the Met deserved.

However, London Mayor Sadiq Khan, who helped hire Sir Mark – and could fire him – made it clear the commissioner agreed with Baroness Casey’s verdict.

A few months after the report, Sir Mark launched a two-year £366m plan to overhaul the Met, including increased emphasis on neighbourhood policing to rebuild public trust and plans to recruit 500 more community support officers and an extra 565 people to work with teams investigating domestic violence, sexual offences and child sexual abuse and exploitation.

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UK measles cases rising among children – with leading NHS hospital ‘concerned’

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UK measles cases rising among children - with leading NHS hospital 'concerned'

A leading NHS hospital has warned measles is on the rise among children in the UK, after treating 17 cases since June.

Alder Hey Children’s Hospital in Liverpool said it is “concerned” about the increasing number of children and young people who are contracting the highly contagious virus.

It said the cases it has treated since June were for effects and complications of the disease, which, in rare cases, can be fatal if left untreated.

“We are concerned about the increasing number of children and young people who are contracting measles. Measles is a highly contagious viral illness which can cause children to be seriously unwell, requiring hospital treatment, and in rare cases, death,” the hospital said in a statement to Sky News.

In a separate open letter to parents and carers in Merseyside earlier this month, Alder Hey, along with the UK Health and Security Agency (UKHSA) and directors of Public Health for Liverpool, Sefton and Knowsley, warned the increase in measles in the region could be down to fewer people getting vaccinated.

The letter read: “We are seeing more cases of measles in our children and young people because fewer people are having the MMR vaccine, which protects against measles and two other viruses called mumps and rubella.

“Children in hospital, who are very poorly for another reason, are at higher risk of catching the virus.”

What are the symptoms of measles?

The first symptoms of measles include:

• A high temperature

• A runny or blocked nose

• Sneezing

• A cough

• Red, sore or watery eyes

Cold-like symptoms are followed a few days later by a rash, which starts on the face and behind the ears, before it spreads.

The spots are usually raised and can join together to form blotchy patches which are not usually itchy.

Some people may get small spots in their mouth too.

What should you do if you think your child has measles?

Ask for an urgent GP appointment or call 111 if you think your child has measles.

If your child has been vaccinated, it is very unlikely they have measles.

You should not go to the doctor without calling ahead, as measles is very infectious.

If your child is diagnosed with measles by a doctor, make sure they avoid close contact with babies and anyone who is pregnant or has a weakened immune system.

The skin of a patient after 3 days of measles infection
Image:
The skin of a patient after three days of measles infection

It comes after a Royal College of Paediatrics and Child Health (RCPCH) report released earlier this month determined that uptake of vaccines in the UK has stalled over the last decade and is, in many cases, declining.

It said none of the routine childhood vaccinations have met the 95% coverage target since 2021, putting youngsters at risk of measles, meningitis and whooping cough.

The MMR vaccine has been available through the NHS for years. Two doses gives lifelong protection against measles, mumps and rubella.

File photo of a MMR vaccine
Image:
Two doses of the MMR vaccine give lifelong protection against measles, mumps and rubella. Pic: iStock

According to the latest NHS data, Liverpool was one of the cities outside London with the lowest uptake of the MMR vaccination in 2023-2024.

By the time children were five years old, 86.5% had been give one dose, decreasing to 73.4% for a second dose.

The RCPCH report put the nationwide decline down to fears over vaccinations, as well as families having trouble booking appointments and a lack of continuous care in the NHS, with many seeing a different GP on each visit.

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‘My voice box was removed after NHS missed cancer’

In the US, measles cases are at their highest in more than three decades.

Cases reached 1,288 on Wednesday this week, according to the US Centres for Disease Control and Prevention, with 14 states battling active outbreaks.

The largest outbreak started five months ago in communities in West Texas, where vaccination uptake is low. Since then, three people have died – including two children in Texas and an adult in New Mexico – with dozens more in hospital.

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