Tag: Medicaid

Trump Continues to Attack Universities and Our Health

It’s hard to feel sorry for a wealthy university like Duke University that has an enormous endowment; however, the Trump Administration’s current little-publicized attack on the institution raises a larger issue.

Duke University will survive without federal grants, at least for a while. Its endowment can pick up the slack, at least for a while.

Exterior of Duke Chapel. Photo credit: Chuck Givens on unsplash.com

The larger issue is the Trump Administration’s continual attack on education on all levels. I believe Trump has no interest in education. He has no interest in what any school, college, or university teaches. He says, “I love the uneducated.” It might be the only truth he has ever spoken.

In a democracy, a president does not dictate university admissions or curriculum in public schools or private schools. In today’s United States, though, Trump believes he has that authority.

Last week, U.S. Secretary of Health and Human Services Robert F. Kennedy, Jr. and U.S. Secretary of Education Linda McMahon sent Duke University a letter. Specifically, Kennedy and McMahon threatened the Duke University Medical School and Duke Health (the entire Duke Health healthcare system). If writing letters to threaten universities for having diversity, equity, and inclusion is the only thing the U.S. Department of Education is going to do now, perhaps it needs to be abolished.

The letter alleges that the medical school and healthcare system engage in “wrongful racial preferences” in hiring and admissions. The letter reportedly states, “This vile racism carries a host of excuses and hides behind a smug superiority that such ‘benefitted’ races cannot compete under merit-based consideration.”

Furthermore, the letter says, “Like all racism, ‘affirmative action’ undermines America’s commitment to merit-based justice and violates the nation’s civil rights laws.”

North Carolina Public Radio, WUNC, reports, “Kennedy and McMahon urge Duke administrators set up a ‘Merit and Civil Rights Committee’ to review its diversity policies ‘to avoid invasive federal engagement.’ The secretaries warn the university’s federal funding could be at risk if it doesn’t change course. ‘It is our hope that Duke Medical School and other components of Duke Health will either demonstrate that they merit the privilege of receiving taxpayer support or will enact reforms that make further enforcement efforts unnecessary,’ the letter said.

“McMahon and Kennedy ask the university to respond to the letter within ten business days.”

Earlier this year, nearly 600 Duke employees took voluntary buyouts after Trump slashed research funding. According to WUNC, “Cuts at the National Institutes of Health, along with reductions in Medicare/Medicaid funding could cost the university $350-600 million annually.

Duke plans to lay off more employees between August 5 and August 19.

That’s not just what Duke as an institution and business will lose: Duke Health operates Duke Children’s Hospital, Duke Health Lake Norman Hospital, Duke Raleigh Hospital, Duke Regional Hospital, and Duke University Hospital, as well as 12 urgent care facilities.

But that’s not the only attack on Duke University

The U.S. Department of Education also sent Duke University a letter last week threatening the Duke School of Law’s student-edited Law Journal.

It seems that the law students are too open to diversity, equity, and inclusion.

We have gone from recognizing that the playing field is not level to declaring that it is so level that to give anyone a hand up is a violation of everyone’s civil rights.

The playing field in the United States is not level, folks. For an alleged billionaire living in the White House to proclaim that it is level does not make it so. Someone who was born with a silver (or gold?) spoon in his mouth does not have the right to say that every person in America has an equal opportunity.

Those who say that white privilege does not exist are only fooling themselves. This falls into the category of “alternative facts” that the first Trump White House was famous for giving us.

Want to learn more? Here’s a link: https://www.wunc.org/education/2025-07-30/duke-university-dei-federal.

Janet

We’ll have none of that!

It has been a few days (well, four) since I blogged about politics in the United States, so today I’ll try to briefly hit on some things you might have missed.

Office of Special Counsel

Paul Ingrassia was appointed the lead the Office of Special Counsel by President Trump and be his liaison with the Department of Homeland Security. That is the office that handles such things as illegal campaign actions by high officials. Thirteen of Trump’s senior aides were found to be in violation of the Hatch Act during his first term in office.

The problem with Paul Ingrassia being appointed to this position is: He is a former far-right podcaster who in while Trump tried to overthrow the 2020 election posted, “Time for @realDonaldTrump to declare martial law and secure his re-election.”

Don’t expect any whistle blowing within the Trump Administration.

The National Association of the Deaf

During the Covid 19 pandemic, all 50 states provided American Sign Language (ASL) interpreters during their governors’ press briefings, but the Trump White House refused to do so even after repeated requests from the National Association for the Deaf (NAD) and members of Congress. This led NAD to file a lawsuit against Trump on August 3, 2020 which asked for the immediate use of ASL interpreters during television broadcasts of coronavirus press conferences and briefings.

The suit maintained that the White House was in violation of Section 504 of the Rehabilitation Act of 1973. The Act mandates that people with disabilities have access to all White House communications. That is, of course, crucial during a public health crisis. After a judge ordered the White House to provide ASL interpreters for all Covid 19 press briefings, that was done.

President Joe Biden took office on January 20, 2021, and four days later announced that there would be ASL interpreters for all White House press briefings.

Fast forward to January 20, 2025, the day Trump’s second term began. On that day, he signed an Executive Order to halt all Diversity, Equity, Inclusion, and Accessibility (DEIA) programs and activities in the federal government.

No more ASL interpreters at the White House or in any department in the Executive Branch of the US Government.

“It’s Déjà vu all over again.” The National Association for the Deaf filed a lawsuit against President Trump, press secretary Karoline Leavitt, and Chief of Staff Susie Wiles for being in violation of Section 504 of the Rehabilitation Act of 1973.

Closed-captioning is helpful, but it usually skips or misinterprets some words. For people who are completely deaf, being able to watch an ASL interpreter is of paramount importance.

What’s the point of complaining about cuts to Medicaid if we’re all going to die anyway?

At a town hall meeting on Friday, Republican US Senator Joni Ernst of Iowa was questioned about the cuts to Medicaid that are in the “big, beautiful bill” passed by the US House and now under consideration by the Senate. Her response to her constituents: “People are not – well, we all are going to die, so, for heaven’s sakes.” Her words were met with jeers.

NBC News also reported, “Ernst also got into testy exchanges about DOGE cuts and her support for Defense Secretary Pete Hegseth at the Butler County town hall, but was asked repeatedly about the proposed Medicaid changes.”

When this happens when citizens go to public meetings held by a US Senator or US Representative, their questions should not be brushed off in such a way.

When writing your US Senators and Representative appears to be a waste of time

Three weeks ago, I wrote emails to both US Senators from North Carolina and my US Representative expressing my concern that the US had been placed on the CIVICUS Monitor Watchlist due to human rights.

Senator Thom Tillis responded the next week and thanked me for writing him about the border crisis.  

Senator Ted Budd responded last Thursday and told me repeatedly that he is working hard to uphold the US Constitution.

Representative Mark Harris responded a week or so ago and only praised the job President Trump is doing and said that every Executive Order signed by Trump should be codified into law by the Congress.

Now that I know how they feel about the CIVICUS Monitor Watchlist….

Diversity, Equity, and Inclusion (DEI)

On Friday, Trump fired Kim Sajet, the Director of the Smithsonian’s National Portrait Gallery. She had held the position for 12 years. Her crime, according to Trump was for being “a highly partisan person, and a strong supporter of DEI.”

So, if you hire or promote persons of color or women, you are not welcome in the Trump orbit.

If a person can lose their job for being “a highly partisan person,” it seems to me that would include everyone Trump has hire or appointed… or pardoned.

A false economy and a public health gamble.

Reuters reported that the Trump Administration cancelled a federal government contract with Moderna for the late-stage development of its bird flu vaccine for humans.

Are we heading for Remigration?

Remigration is a policy that calls for the removal of migrants. The goal appears to be to create white ethnostates.

It came to light last Thursday that the US State Department had sent a 136-page notification document to six Congressional Committees for approval by July 1. In addition to creating an Office of Remigration in the State Department, the document says that the new office “will also actively facilitate the voluntary return of migrants to their country of origin or legal status.”

Much of the Democracy, Human Rights, and Labor Bureau will be eliminated, as if the US isn’t already on a human rights watchlist!

The document tells of dramatic changes coming to the US diplomatic service, and the establishment of a new Deputy Assistant Secretary of State position to oversee “Democracy and Western Values.”

That last part is cringe-worthy. Trump’s disdain for democracy is one thing that worries me, and what do they mean by “Western Values?”

American Bar Association, thanks but no thanks

In a letter to William R. Bay, President of the American Bar Association, on May 29 US Attorney General Pam Bondi informed Mr. Bay that the US Department of Justice will no longer take ABA ratings into consideration in judicial nominations because “its ratings invariably and demonstrably favor nominees put forth by Democratic administrations.”

The letter went on to say the American Bar Association will be treated like any other “activist organization.”

Kudos to CNBC reporter Megan Cassella

Photo of three tacos
Photo by Jarett Lopez on Unsplash

Kudos to CNBC reporter Megan Cassella for daring to ask Trump what he thought about TACO: Trump Always Chickens Out.

In fairness to the Republicans…

On Tuesday, May 27, the US Supreme Court declined to review a lower court’s decision that allows the transfer of sacred Apache land in central Arizona to a foreign copper mining company.

The Apache Stronghold coalition of indigenous and non-indigenous people last year lost their case in front of the 9th US Circuit Court of Appeals. So, this started under the Biden Administration.

The Apache Stronghold maintains that copper mining in the Tonto National Forest sacred lands will create a crater.

Once more, the federal government slaps the faces of indigenous people.

Until my next blog post

Keep reading everything you can. I hope you’re reading a really good book now.

Hold family and friends close.

Remember the people of Ukraine and western North Carolina.

Janet