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Last month, during a meeting of Democrats in rural southwestern Iowa, a man raised his hand. What are three noncontroversial issues that Democrats should be talking about right now? he asked the evenings speaker, Rob Sand, Iowas state auditor and a minor state celebrity.

I watched from the side of the room as Sand answered quickly. The first two issues Democrats should talk about are new state laws dealing with democracy and education, he told the man. And then they should talk about their support for abortion rights. People in the Iowa Republican Party and their activist base want to criminalize abortion, Sand said.

I registered this response with a surprised blink. Noncontroversial? Democrats in competitive states, and especially committed centrists like Sand, arent usually so eager to foreground abortion on the campaign trail. This seemed new.

Read: The most dangerous Democrat in Iowa

Ascribing a narrative to some elections is easy. The past two midterm cycles are a case in point. The Democrats 2018 blue wave, for example, will go down as a woman-led backlash to a grab-em-by-the-groin president. In 2022, Democrats performed better than expected, according to many analysts, because abortion rights were on the ballot. Now, a year after the Supreme Court overturned Roe v. Wade, Democrats want to do it again.

Theyre betting that they can re-create and even supercharge their successes last year by centering abortion rights in their platform once again in the lead-up to 2024. They want all of their elected officialseven state auditorstalking about the issue. If we can do all that, were gonna be telling the same story in December 2024 that we told in 2022, Yasmin Radjy, the executive director of the progressive political group Swing Left, told me.

But this time, Republicans might be better prepared for the fight.

After the leaked draft opinion before the Dobbs decision last May, many in Washington assumed that abortion would fade from voters minds by the time November rolled around. As we get further away from the shock of that event, of Roe being overturned, you dont think that people will sort of lose interest? CNNs Don Lemon asked the Democratic political strategist Tom Bonier in September 2022. People did not. Two months later, Democrats celebrated better-than-expected resultsavoiding not only the kind of shellacking that Barack Obamas party had suffered in 2010, but the widely predicted red wave. The Democrats narrowly lost the House but retained control of the Senate, flipping Pennsylvania in the process. Abortion-rights campaigners won ballot measures in six states.

The lesson has been well learned, Bonier told me last week. This is an issue that is incredibly effective, both for mobilizing voters but also for winning over swing voters.

Read: Is Gen Z coming for the GOP?

The latest polling suggests that the issue is very much alive. A record-high number of registered U.S. voters say that abortion is the most important factor in their decision about whom to vote for, and most of those voters support abortion rights, according to Gallup. Rather than growing less salient over time, abortion may even have gained potency: Roughly a quarter of Americans say that recent state efforts to block abortion access have made them more supportive of abortion rights, not less, according to a USA Today poll last week. Not only that, but recent data suggest that demand for abortion has not been much deterred, despite post-Dobbs efforts to restrict it.

Americans have watched as Republicans in 20 states restricted or banned abortion outright, and activists took aim at interstate travel for abortions and the pill mifepristone. Stories about pregnant women at risk of bleeding out or becoming septic after being denied abortions have lit up the internet for months. All of this attention and sentiment seem unlikely to dissipate by November 2024.

Republicans ran races on this issue for decades, the Democratic strategist Lis Smith told me. Youre gonna see Democrats run on this issue for decades to come as well.

Already, Democratic activists plan to engage swing voters by forcing the issue in as many states as possible. So far, legislators in New York and Maryland have introduced abortion-related ballot measures for 2024. Similar efforts are under way in other states, including Florida, Arizona, Missouri, South Dakota, and Iowa.

Smith and her fellow party operatives are confident that theyve landed on a message that worksespecially in purple states where candidates need to win over at least a few moderates and independents. The most successful Democrats last year anchored their abortion messages around the concept of personal liberty, Swing Lefts Radjy told me, because it was the single issue that is equally popular among far left, far right, center left, and center right. Radjy shared with me a research report that concluded: With limited attention and resources, [candidates should] lead with the freedom to decide. Freedom is resonating with the base and conflicted supporters, as well as Soft Biden and Soft Trump women.

Smith echoed this reframing. Republican politicians want to insert themselves into womens personal medical decisions, she said, by way of exemplifying the message. They want to take away this critical freedom from you. In her view, that gives Democratic candidates a decisive advantage: They dont even have to say the word abortion; they only have to use the language of freedom for people to be receptive.

Joe Biden has never been the most comfortable or natural messenger on abortion. But even he is giving the so-called freedom framework a try. Freedom is the first word in the presidents reelection-announcement ad. Republicans, he says in a voice-over, are dictating what health-care decisions women can make; they are banning books, and telling people who they can love.

Read: The new pro-life movement has a plan to end abortion

Its helpful, Democratic strategists told me, that the Republicans jockeying for the presidential nomination have been murky at best on the issue. Former South Carolina Governor Nikki Haley held a press conference in April to explain that she sees a federal role in restricting abortion, but wouldnt say what. Senator Tim Scott of South Carolina was foggy on his own commitments in interviews before appearing to support a 15-week national ban. Florida Governor Ron DeSantis, who recently signed a six-week limit on abortion, talks about that ban selectively. The leader of the primary pack, Donald Trump, has said that abortion laws should be left to the states, but told a reporter recently that he, too, is looking at a 15-week restriction.

Trump clearly wants to appease the primary base while keeping some room to maneuver in the general election. But if hes the nominee, Democrats say, hell have to answer for the end of Roe, as well as the anti-abortion positions advocated by other Republicans. When I worked for Obama in 2012, as rapid-response director, we tied Mitt Romney to the most extreme positions in his party, Smith told me. If Trump is the abortion-banning GOPs nominee, they will hang that around his neck like a millstone.

I found it difficult to locate Republican strategists willing to talk with me about abortion, and even fewer who see it as a winning issue for their party. One exception was the Republican pollster and former Trump adviser Kellyanne Conway, who says that Republicans can be successful in campaigning on abortionif they talk about it the right way. At a press conference celebrating the anniversary of the Dobbs decision, hosted by the anti-abortion group Susan B. Anthony List, Conway seemed to take a swipe at the former presidentand the rest of the wishy-washy primary field. If youre running to be president of the United States, it should be easy to have a 15-minimum-week standard, she said.

To win on abortion is to frame your opponent as more extreme, and Democrats have made that easy, says Conway, who also acts as an adviser to the Republican National Committee. Broad federal legislatio put forward by Democratic lawmakers last year, in response to the Dobbs leak, would prevent states from banning abortion after fetal viability for reasons of the mothers life or health. Republicans claim that this means that Democrats support termination at all stages of pregnancy. Voters may not like outright bans on abortion, but they also generally dont support abortion without limits. Conway advises Republican candidates to explain to voters whether they support exceptions for rape, incest, and the life of the mother, and get that out of the wayand then demand that their Democratic opponents define the time limits they favor. Id ask each and every one of them, What are your exceptions? Ive shown you mine, Conway told me.

Read: The abortion absolutist

Conways bullishness is belied by what some of her political allies are up to. While Democrats are pushing for ballot measures that will enshrine abortion rights into law, Republicans are trying to make it harder to pass state constitutional amendments. For example, after it became clear that a ballot measure could result in new abortion protections being added to the Ohio Constitution, state Republicans proposed their own ballot measure asking voters in a special election later this summer to raise the threshold for passing constitutional amendments.

This scheme does not demonstrate faith that a majority of voters are with them. But it does set up Ohio as the first practical test of abortions salience as a political issue in 2024. If Democrats can get their voters to show up this August in the name of abortion rights, maybe they can do it next year too.

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USAID crisis leaves South Africans living with HIV in turmoil

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USAID crisis leaves South Africans living with HIV in turmoil

A woman walks up to the security guards outside a shuttered USAID-funded sexual health clinic in Johannesburg’s inner-city district.

She looks around with confusion as they let her know the clinic is closed.

She tells us it has only been two months since she came here to receive her usual care.

Now, she must scramble to find another safe place for her sexual health screenings and Pre-Exposure Prophylaxis (PrEP) – her regular defence against rampant HIV.

On the day he was sworn in as US president for a second time, Donald Trump signed an executive order freezing foreign aid for a 90-day period.

That is being challenged by federal employee unions in court over what it says are “unconstitutional and illegal actions” that have created a “global humanitarian crisis”.

However the order is already having an immediate impact on South Africa’s most vulnerable.

More on South Africa

Her eyes tear up as she processes the news. Like many sex workers in town, free sexual health clinics are her lifeline.

An HIV-positive sex worker shared her patient transfer letter from the same closed clinic with Sky News and told us with panic that she is still waiting to be registered at an alternative facility.

South Africa is home to one of the world’s worst HIV/AIDS epidemics. At least 8.5 million people here are living with HIV – a quarter of all cases worldwide.

Widespread, free access to antiretroviral treatment in southern Africa was propelled by the introduction of George W. Bush’s US President Emergency Plan for AIDS Relief (PEPFAR) in 2003.

PEPFAR is considered one of the most successful foreign aid programmes in history, and South Africa is the largest recipient of its funds.

A sign for USAID on the clinic's window
Image:
A sign for USAID on the clinic’s window

A shuttered USAID-funded sexual health clinic in Johannesburg
Image:
A shuttered USAID-funded sexual health clinic in Johannesburg

The programme has now been halted by President Trump’s foreign aid funding freeze – plunging those who survived South Africa’s HIV epidemic and AIDS denialism in the early 2000s back to a time of scarcity and fear.

“That time, there was no medication. The government would tell us to take beetroot and garlic. It was very difficult for the government to give us treatment but we fought very hard to win this battle. Now, the challenge is that we are going back to the struggle,” says Nelly Zulu, an activist and mother living with HIV in Soweto.

Nelly says access to free treatment has saved her and her 21-year-old son, who tested positive for HIV at four years old.

“It helped me so much because if I didn’t get the treatment, I don’t think I would be alive – even my son.

“My concern is for pregnant women. I don’t want them to go through what I went through – the life I was facing before. I’m scared we will go back to that crisis.”

Nelly Zulu, an activist and mother living with HIV
Image:
Nelly Zulu, an activist and mother living with HIV

South African civil society organisations have written a joint open letter calling for their government to provide a coordinated response to address the healthcare emergency created by the US foreign aid freeze.

The letter states that close to a million patients living with HIV have been directly impacted by stop-work orders and that a recent waiver by US Secretary of State Marco Rubio continuing life-saving assistance explicitly excludes “activities that involve abortions, family planning, gender or diversity, equality and inclusion ideology programmes, transgender surgeries or other non-life saving assistance”.

The shuttered clinic we saw in Johannesburg’s central business district (CBD) comes under these categories – built by Witwatersrand University to research reproductive health and cater to vulnerable and marginalised communities.

An activist and healthcare worker at a transgender clinic tells us everyone she knows is utterly afraid.

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USAID in turmoil: What you need to know

“Corner to corner, you hear people talking about this. There are people living with chronic diseases who don’t have faith anymore because they don’t know where they are ending up,” says Ambrose, a healthcare worker and activist.

“People keep asking corner to corner – ‘why don’t you go here, why don’t you go there?’ People are crying – they want to be assisted.”

South Africa’s ministry of health insists that only 17% of all HIV/AIDs funding comes from PEPFAR but that statistic is offset by the palpable disruption.

On Monday, minister of health Dr Aaron Motsoaledi met to discuss bilateral health cooperation and new US policy for assistance with US charge d’affaires for South Africa, Dana Brown.

A statement following the meeting says: “Communication channels are open between the Ministry and the Embassy, and we continue to discuss our life-saving health partnership moving forward.

“Until details are available the minister called on all persons on antiretrovirals (ARVs) to under no circumstances stop this life-saving treatment.”

A demand much harder to execute than declare.

“There is already a shortage of the medication – even if you ask for three months’ treatment, they will give you one or two months worth then you have to go back,” says Nelly.

“Now, it is worse because you can see the funding has been cut off.”

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Politics

Utah takes the lead in potentially enacting a Bitcoin reserve bill

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Utah takes the lead in potentially enacting a Bitcoin reserve bill

A bill that would give the Utah treasurer the power to buy BTC and other high-cap crypto assets with public funds is on its way to the Senate.

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SEC acknowledges Grayscale Solana ETF filing in ‘notable’ step

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SEC acknowledges Grayscale Solana ETF filing in ‘notable’ step

It’s one more development reflecting a change in approach from the US Securities and Exchange Commission toward crypto.

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