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Dancing at Birnamwood Polka Days, a festival in Birnamwood, Wisconsin.(Angela Hart/KFF Health News) Polka festivals are common across Wisconsin, especially in the summertime.(Angela Hart/KFF Health News) At Birnamwood Polka Days, candidates for local and state office often mingle with voters.(Angela Hart/KFF Health News)

BIRNAMWOOD, Wis. The land of fried cheese curds and the Green Bay Packers is among a half-dozen battleground states that could determine the outcome of the expected November rematch between President Joe Biden and former President Donald Trump a contest in which the cost and availability of health care are emerging as defining issues. Use Our Content

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At church picnics and summertime polka festivals that draw voters of all political stripes, Wisconsinites said theyre struggling to pay for even the most basic health care, from common blood tests to insulin prescriptions. A proposal by Wisconsins Democratic governor to expand the states Medicaid program to thousands of low-income residents has become a partisan lightning rod in the affordability debate: Democrats want it; Republicans dont.

In 2020, voters here gave Biden, a Democrat, a narrow win after favoring Trump, a Republican, in 2016. Recent polling indicates that the two rivals were neck and neck in this years race. They were scheduled to square off tonight in the first televised debate of the campaign.

Many Wisconsin voters still cant figure out whom to vote for or whether to vote at all.

I know hes trying to improve health care and inflation, but Im not happy with Biden, said Bob Prelipp, 79, a Republican who lives in Birnamwood, a village of about 700 people in rural central Wisconsin. He reluctantly voted for Biden in 2020, after voting for Trump in 2016. Bob Prelipp voted for Donald Trump in 2016, switched to Joe Biden in 2020, and is undecided about whom to vote for this year. I know hes trying to improve health care and inflation, but Im not happy with Biden, said Prelipp, a resident of Birnamwood, Wisconsin.(Angela Hart/KFF Health News)

Prelipp was serving beer at the Birnamwood Polka Days festival on a muggy June day. Pro-Trump hats peppered the crowd, and against the backdrop of cheerful polka tunes, peppy dancing, and the sweet smell of freshly cut hay, candidates for local and state office mingled with voters.

This rural part of the state is ruby red. Trump flags fly over the landscape and businesses proudly display pro-Trump paraphernalia. Biden supporters are more visible and vocal in the Wisconsin population centers of Madison, the capital, and Milwaukee. In 2020, voters here gave Biden, a Democrat, a narrow win after favoring Trump, a Republican, in 2016. Recent polling indicates that the two rivals were neck and neck in this years race.(Angela Hart/KFF Health News)

Biden needs to get prices down. Everything is getting so unaffordable, even health care, said Prelipp, a Vietnam War veteran who said his federal health care for veterans has improved markedly under Biden, including wait times for appointments. Yet he said he cant stomach the idea of voting for him again, or for Trump, who has disparaged military veterans.

Prelipp said people are feeling nickel-and-dimed, not only at the grocery store and gas pump, but also at doctors offices and hospitals.

Greg Laabs, a musician in one of the polka bands at Birnamwood, displayed a pro-Trump sticker on his tuba. He said he likes his federal Medicare health coverage but worries that if Biden is reelected Democrats will provide publicly subsidized health care to immigrants lacking legal residency.

There are thousands of people coming across the border, said Laabs, 71. He noted that both Biden and Vice President Kamala Harris endorsed providing public health care to immigrants without legal residency as presidential candidates in 2019, a position that Harris home state of California has enthusiastically embraced. We cannot support the whole world, Laabs said. Greg Laabs, a musician playing at Birnamwood Polka Days, has a Trump sticker on his tuba. Laabs says he fears a Democratic president would provide publicly subsidized health care to immigrants without legal residency. There are thousands of people coming across the border, he says. We cannot support the whole world. (Angela Hart/KFF Health News) Email Sign-Up

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The two main political parties will pick presidential nominees at their national conventions, and Biden and Trump are widely expected to be their choices. Republicans will gather in Milwaukee in July. Democrats will convene in Chicago in August.

Biden is trying to make health care a key issue ahead of the Nov. 5 election, arguing that he has slashed the cost of some prescription medications, lowered health insurance premiums, and helped get more Americans covered under the Affordable Care Act, also known as Obamacare. He has also been a strong supporter of reproductive rights and access to abortion, particularly since the U.S. Supreme Court struck down Roe v. Wade two years ago.

The choice is clear: President Biden will protect our health care, claims one of Bidens campaign commercials.

Trump has said he wants to repeal Obamacare, despite multiple failed Republican attempts to do so over several years. The cost of Obamacare is out of control, Trump wrote last year. Im seriously looking at alternatives. Beth Gehred, a Democrat who lives in Ashland County in northern Wisconsin, says rural communities need better access to health care, and she believes President Joe Biden is working on it. However, she says she is more worried about the state of democracy in the United States. I know a lot of people on the fence right now between Trump and Biden, she says. People need to vote.(Angela Hart/KFF Health News) Ron and Marie Knight own Knights Bar in the small town of Elderon, Wisconsin. They support former President Donald Trump, and even gave free cocktails to residents who voted for him in 2020. The issue of health care is important to them, they say, but the economy is their biggest concern.(Angela Hart/KFF Health News) We live on our credit cards and we max them out every month, says Veronica St. Clair. Her husband, Robert St. Clair, is a military veteran and says he wants to see the U.S. Department of Veterans Affairs privatized. Then maybe I wouldn’t have to fight with the VA to get medical treatment, he says.(Angela Hart/KFF Health News)

Even Democrats who back Biden say the president must make it easier and cheaper to get medical care.

I signed up for one of the Obamacare plans and got my cholesterol and blood sugar tested and it was like $500, said Mary Vils, 63, a Democrat who lives in Portage County in central Wisconsin.

She strongly supports Biden but said people are feeling squeezed. Were fortunate because we had some savings, but thats a lot of money out-of-pocket.

Wisconsin Gov. Tony Evers, a Democrat, said he understands the frustration that people have.

Evers has repeatedly attempted to expand Medicaid to low-income adults who dont have children, which all but 10 states have done since the enactment of Obamacare in 2010. The states Republican-controlled legislature has repeatedly blocked his efforts, yet Evers is trying again. Expanding Medicaid would provide coverage to nearly 90,000 low-income people, according to his administration.

Evers, who supports Biden, has argued that expanding Medicaid would bring in $2 billion in federal funding that would help reimburse hospitals and insurers for uncompensated care, and ultimately make health care more affordable. Wisconsin Gov. Tony Evers shakes hands with President Joe Biden after he arrives at Milwaukee Mitchell International Airport on May 8.(Mandel Ngan/AFP via Getty Images)

Many states that have expanded Medicaid have realized savings in health care spending while providing coverage to more people, according to the Center on Budget ad Policy Priorities, a think tank based in Washington, D.C.

We have to get the Medicaid expansion money, Evers told KFF Health News. That would solve a lot of problems.

Bidens campaign is opening field offices in Wisconsin, and he and federal health care officials make frequent visits to the state. Theyre touting Bidens record of increasing subsidies for Obamacare insurance plans, and promising to expand access to care, especially in rural communities.

Millions more people have coverage today, said Neera Tanden, a domestic policy adviser to Biden, at a mid-June town hall event in Rothschild, Wisconsin, to announce $11 million in new federal funding to recruit and train health care workers.

She said the gains in Obamacare coverage have helped achieve the lowest rate of uninsurance at any time in American history. Thats not an accident.

But attendees at the town hall event told Tanden and the secretary of Health and Human Services, Xavier Becerra, that they have lost access to care as hospitals and rural health clinics have closed. Xavier Becerra, secretary of the U.S. Department of Health and Human Services, speaks in support of the Affordable Care Act, also known as Obamacare, alongside Neera Tanden, a domestic policy adviser to President Joe Biden, at a town hall event in Rothschild, Wisconsin, on June 13.(Angela Hart/KFF Health News)

We had a hospital thats been serving our community for over 100 years close very suddenly, said Michael Golat, an Altoona, Wisconsin, resident who described himself as an independent voter. Its really a crisis here.

Becerra encouraged Wisconsin lawmakers to expand Medicaid. Instantaneously, you would have hundreds of thousands of Americans in rural America, and including in rural Wisconsin, who now have access to care, he said.

Cory Sillars, a Republican running for the Wisconsin State Assembly who campaigned at the Birnamwood polka festival, opposes Medicaid expansion and said the state should instead grant nurses the authority to practice medicine without doctor supervision, which he argued would help address gaps in rural care.

If youre always expanding government programs, you get people hooked on government and they dont want to do it themselves. They expect it, he said.

Sillars is running as a pro-life candidate with traditional, Christian values, an anti-abortion stance that some Democrats hope will backfire up and down the ballot. Cory Sillars, a Republican candidate for the Wisconsin State Assembly, attends Birnamwood Polka Days to campaign and watch a parade.(Angela Hart/KFF Health News)

Kristin Lyerly, an obstetrician-gynecologist and a Democrat, has made access to abortion and contraception central to her campaign to fill the congressional seat vacated by Mike Gallagher, a Republican who resigned in April.

Lyerly lives outside Green Bay but practices in Minnesota after facing threats and harassment, largely from conservative extremists, she said. She was a plaintiff in the states legal bid to block Republicans from halting access to abortions. Abortions still are not available everywhere in Wisconsin, she said.

It is incumbent upon me as a physician and a woman to stand up and to use my voice, Lyerly said. This is an issue that people in this district might not be shouting about, but theyre having conversations about it, and theyre going to vote on it.

This article was produced by KFF Health News, which publishes California Healthline, an editorially independent service of the California Health Care Foundation.

Angela Hart: ahart@kff.org, @ahartreports Related Topics Elections Health Care Costs Health Care Reform Health Industry Medicaid Medicare Rural Health States Wisconsin Contact Us Submit a Story Tip

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Isles win draft lottery for first time since ’09

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Isles win draft lottery for first time since '09

SECAUCUS, N.J. — The New York Islanders won the NHL draft lottery on Monday night, moving up 10 spots to make the league’s first live televised drawing a memorable one.

“It was dramatic,” NHL commissioner Gary Bettman told ESPN after the drawing. “It worked the way it was supposed to in terms of the process. But the result was unpredictable.”

The Islanders had a 3.5% chance of securing the first pick entering the draft, the 10th-best odds out of the 16 teams in the lottery. It’s the fifth time in franchise history that the Islanders will select first, and the first time since they picked center John Tavares in 2009. Other first overall picks for New York were forward Billy Harris (1972), defenseman Denis Potvin (1973) and goalie Rick DiPietro (2000).

“The hockey gods smiled on us. I can’t tell you how thrilled I am for Islander fans, for our ownership, for the entire Islander organization,” Islanders director of pro scouting Ken Morrow said.

The Islanders’ jump from 10th to first is the biggest involving a team winning the No. 1 selection. It comes after the last-place team won the lottery to retain the first pick in four of the past five years.

Boston College forward James Hagens, a Long Island native, is one of the top prospects available in the 2025 NHL draft, scheduled for L.A. Live’s Peacock Theater in Los Angeles on June 27-28.

Two drawings were held, the first to determine the No. 1 pick followed by the No. 2 selection. Only the bottom 11 teams in the standings were eligible to land the first pick due to a rule restricting teams to moving up no more than 10 spots in the draft order. Each drawing selected a four-number combination that had been assigned to a team before the draft, with balls drawn at 30-second increments. There were 1,001 possible combinations.

The San Jose Sharks entered the day with the best odds, 18.5%, to win the lottery and a 25.5% chance of landing the No. 1 choice for the second straight season, having selected center Macklin Celebrini first in 2024. Celebrini joined Montreal defenseman Lane Hutson and Calgary Flames goalie Dustin Wolf as finalists for the Calder Trophy for NHL rookie of the year, as announced on Monday.

The Sharks settled for the second pick in 2025 after the Utah Hockey Club won the second lottery draw, moving up from 14th to No. 4 overall. The Chicago Blackhawks had the second-best chances to win the lottery and will pick third. The Nashville Predators had no lottery luck — despite having the third-best odds, they drop to the fifth pick.

The drama was amplified in this season’s lottery as the NHL televised the drawing live from the NHL Network studios for the first time in the event’s 30-year history. Previously, the drawing was held in a sequestered room at the facility, with deputy commissioner Bill Daly revealing each draft position by flipping over a stack of cards on television.

“It’s basically the same thing that I do when we’d pretape it and Bill would reveal it. For me, it’s the same. It’s a little different for Bill. He doesn’t have to flip the cards over now,” Bettman said.

The NHL decided to make the drawing live because it drew more fan bases into the excitement of the first overall pick than the previous format. Before the Islanders won the lottery, seven teams still had a shot at the first overall selection: The Blackhawks, Philadelphia Flyers, Pittsburgh Penguins and the Islanders each had two balls that would win them the lottery, while the Sharks, Seattle Kraken and Buffalo Sabres each had one.

“It gave those teams and those fan bases hope going into that final. To me, that was what this was all about: To keep hope alive all the way until the end,” Steve Mayer, the NHL’s chief content officer, said.

There was plenty of drama before the final ball was drawn, too. The NHL partnered with SportsMEDIA Technology (SMT) to create real-time odds adjustments after every ball was selected. When No. 7 was selected as the first ball in the first drawing, the Sharks’ odds spiked to 20.6%, while the Calgary Flames were eliminated. When No. 11 was taken second, the Sharks went up to 24.3% while four other teams were eliminated. When No. 12 was selected third, that’s when things took a turn: The Sharks’ chances dropped to 9.1%, the Predators and New York Rangers were eliminated and suddenly both the Penguins (9th) and the Islanders (10th) had an 18.2% chance at the first overall pick.

“This was the idea from the beginning. If we’re going to do this, we have to know after the first ball what the percentages are and who’s out. We need to know after the second ball and the third. We need to know going into the last ball what every team needs,” Mayer said.

“I said, ‘Can somebody way smarter than me figure this out?’ And that’s what they end up doing.”

At last year’s draft lottery, the NHL did a very rough run-through of what a live lottery draw might look like. Mayer sent that video to Bettman and Daly before the live broadcast as a way to present the run of show, with MLB Network employees having stood in for the commissioner and deputy commissioner.

Were there any concerns? “Steve said a hundred percent guaranteed, no problem. And his track record on putting on events, outdoor games, All-Star Games and the draft is impeccable. So we rely on his assurance,” Bettman said.

The NHL was pleased with the event after its completion, both in creating a more dramatic viewing experience and in the technology working. Bettman said there would be a debriefing among the league’s staffers but anticipated the format would return next season. That’s when the drama will really get amplified, when 17-year-old phenom Gavin McKenna of Medicine Hat in the Western Hockey League is expected to be the first pick.

“All the lotteries are important, and they all get the same treatment, in terms of how seriously we treat them,” Bettman said. “We can be a little lighthearted talking about how this [live drawing] came about, but in the final analysis, we had to get comfortable that this was a process with unquestionable integrity.”

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Maple Leafs’ Stolarz injured, exits in 2nd period

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Maple Leafs' Stolarz injured, exits in 2nd period

TORONTO — Toronto Maple Leafs goaltender Anthony Stolarz exited midway through the second period of Game 1 of his team’s second-round Eastern Conference series matchup against the Florida Panthers on Monday after taking an elbow to the head from forward Sam Bennett.

There was no penalty called on the play. Stolarz was replaced by backup Joseph Woll. He had made eight saves on nine shots before leaving while Toronto raced out to a 4-1 lead over its Atlantic Division rival.

On the game broadcast, during the third period, ESPN’s Emily Kaplan reported that a source said Stolarz had vomited on the bench before exiting for the locker room. The team made the official announcement that he wouldn’t return during the second intermission.

Stolarz started all six playoff games for Toronto against the Ottawa Senators in their first-round series victory, recording a 4-2 record with a .902 save percentage and a 2.21 goals-against average.

The 31-year-old veteran, who was the Panthers’ backup last season for Sergei Bobrovsky on their run to a Stanley Cup victory, was the Maple Leafs’ backbone in net throughout the regular season. He sat out some time after a midseason knee surgery but was an impressive 21-8-3 with .926 save percentage and a 2.14 GAA.

Woll took over starting duties when Stolarz was out during the regular season. He posted a 27-14-1 record with a.909 save percentage and a 2.73 GAA.

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Politics

How Nigel Farage is flirting with Labour’s most loyal voters – and the battle to stop him

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How Nigel Farage is flirting with Labour's most loyal voters - and the battle to stop him

For much of its history, the trade union movement’s main opponent has been the Conservative Party. But now it finds itself taking on a different type of adversary – one it might describe as a wolf in sheep’s clothing.

It began when Nigel Farage, known for being a staunch advocate of free trade and private markets, declined to criticise the Unite union for its bin strike in Birmingham, before calling for the nationalisation of British Steel following the near collapse of its plant in Scunthorpe.

The Reform UK leader has been sweet-talking the trade unions, speaking their language and brandishing their leaflets in public in what appears to his critics to be a new opportunistic strategy.

Farage’s courting of union members has alarmed the movement’s leaders – so much so that Sky News understands the executive of the Trades Union Congress (TUC), which represents unions across the country, has been holding meetings to draw up a strategy on how best to combat his appeal and more broadly, the far-right.

Over the weekend, as the two main parties were processing the battering they received in the local elections largely courtesy of Farage’s party, Unison’s general secretary Christina McAnea urged members of councils now controlled by Reform to join a union.

“Unions are there to ensure no one can play fast and loose with the law,” she said, after Farage threatened to sack staff working in areas such as diversity or climate change.

‘Political fraud’

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Paul Nowak, the general secretary of the TUC, has begun to step up his criticism of the former UKIP leader – accusing him of “cosplaying as a champion of working people”.

“He is not on the side of the working people,” he tells Sky News. “He’s on the side of bad bosses who want to treat staff like disposable labour.

“Unions will continue to expose him for the political fraud he is.”

At the moment, that campaign is largely focused on highlighting Farage’s voting record – in particular his decision to oppose the Employment Rights Bill, legislation unions say they have wanted for decades.

The bill offers protection from unfair dismissal from the first day of employment and sick pay for all workers from the first day of absence, among other measures.

The TUC says the bill is incredibly popular – and not just among Labour voters.

According to a poll it conducted of more than 21,000 people with campaign group Hope Not Hate, banning zero hours contracts is supported by more than seven in 10 UK voters – including two in three Reform voters from the 2024 election.

“People are going to find there are improvements to their life and work,” an insider tells Sky News. “We want them to understand who was for it, and who was against it.”

The TUC has also begun promoting videos on social media in which workers in the electric vehicle industry accuse Farage of threatening their jobs.

Farage’s response to the bill has been to claim that a clause within in that gives workers protection from third party harassment could herald the end of “pub banter”.

‘There has always been fellow feeling with unions’

But Gawain Towler, an ex-Reform press officer who has worked on and off for Farage for 20 years, insists his former boss isn’t against workers’ rights – he’s just opposed to Labour’s bill.

“Reform don’t see it as a workers rights’ bill – we think it takes away opportunities for work because it scares people away from employing people,” he says.

Nigel Farage reacts next to a local in Scunthorpe.
Pic: Reuters
Image:
Nigel Farage campaigning during the local elections in Scunthorpe.
Pic: Reuters

He believes “mass migration” is the real obstacle to better wages and job security, and argues net zero policies are “costing union members their jobs”.

The government may point to a recent study suggesting the net zero sector has grown by 10% over the past year, supporting the equivalent of 951,000 full-time jobs.

For Farage’s allies, his courting of union members is neither disingenuous nor new.

“He’s anti-union management, he’s not anti-union,” says Towler, who noted Farage’s friendship with the late union leader and Brexit advocate Bob Crow.

“Nigel has always been a free trader, but he’s never been deeply partisan, which is why he was able to start the Brexit Party. There has always been that fellow feeling with unions.”

Indeed, on one issue, a commonality is emerging between Reform and the GMB union.

While general secretary Gary Smith has criticised Farage for being “soft on Russia” and for voting against the Employment Rights Bill, there is an agreement between the pair over the impact of net zero.

Those sceptical of the government’s plans for the green transition point to Port Talbot in Wales, where 2,500 workers are expected to lose their jobs, and Grangemouth, where the closure of Scotland’s last remaining oil refinery is expected to result in around 400 job losses.

Members of Unite union take part in a demonstration to protest at Petroineos plans to close Grangemouth oil refinery.
Pic: PA
Image:
Members of Unite union protest at plans to close Grangemouth oil refinery.
Pic: PA

Although Unite has no common truck with Reform, it has warned there should be “no ban without a plan” when it comes to issuing new oil and gas licences.

‘Labour has one shot with workers’

For some unions, Labour’s position on certain issues has provided Reform with an opening.

There’s disappointment at some Labour policies in government – from partly watering down the Employment Rights Bill to stave off dissent from business leaders, to welfare cuts and offering below-inflation pay rises for public sector workers.

Gawain Little, the general secretary of the General Federation of Trade Unions, tells Sky News the party risks leaving “space open for fakers like Farage to come along and pretend they have people’s interests at heart”.

Only a sense that austerity is over, likewise the cost of living crisis, will truly “challenge” the Reform leader, he says.

One GMB member says Farage’s strategy is “from the same playbook” as right-wing parties in Europe, such as the AfD in Germany and Georgia Meloni’s Brothers of Italy.

By “continuously legitimising” Reform by talking tough on migration, union activists who usually get the word out for Labour have been left demoralised.

Farage on the picket line?

The current distance with some unions did not start in government. It began in opposition, when Labour refused to back workers who were on strike and when the party did not endorse some candidates put forward by some of the more left-wing unions.

But so far, sources in Labour have dismissed Farage’s tactics as just words – and believe his previous anti-union rhetoric will weigh against him when he tries to court votes.

In fact, Mr Farage’s calls for the renationalisation of steel have been interpreted as him “trying to jump on the bandwagon” of Labour’s success.

However, Damian Lyons Lowe, the founder of pollster Survation, spots danger for Labour if Farage is able to successfully tilt in the direction of workers’ rights – especially if the government finds itself unable to follow.

He says taking the side of unions in an industrial dispute over pay would be an example of a classic “wedge” strategy that Farage can deploy to back Labour into a corner.

Read more:
Why is it taking so long to settle the Birmingham bin dispute?
Tories ‘are not doing a deal with Reform,’ Kemi Badenoch insists

And given the government’s initial 2.8% pay offer to public sector workers is below that reportedly drawn up by the independent pay review body for NHS workers and teachers, there is the very real prospect this scenario could arise.

“It could pose a real threat to Labour,” Lyons Lowe says, with union members in “post-industrial” areas potentially receptive to a message of “protectionism, industrial revival, and national self-sufficiency”.

Could what started with Farage brandishing leaflets end up with him joining the picket line?

While one union insider doesn’t think Farage will ultimately convince union leaders, members may be tempted.

The Starmer government has “one shot to deliver for workers”, they warn.

“If they don’t, Farage and Reform are waiting in the wings.”

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